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https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#1
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29910497/study-of-the-impact-of-training-of-registered-nurses-in-cardiopulmonary-resuscitation-in-a-tertiary-care-centre-on-patient-mortality
#2
Mayureshkumar Pareek, Vandana Parmar, Jigisha Badheka, Nirmalyo Lodh
Background and Aims: Nurses should have cardiopulmonary resuscitation (CPR) knowledge and skills to be able to implement effective interventions during in-hospital cardiac arrest. The aim of this descriptive study was to assess mortality impact after nurses' CPR training with pre-CPR training data at our institute. Methods: Training regarding CPR was given to nurses, and CPR mortality 1-year before basic life support (BLS) and advanced cardiac life support (ACLS) training were collected and compared with post-training 1-year CPR mortality...
May 2018: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/29909707/the-impact-of-a-mindfulness-intervention-for-nurse-managers
#3
Diane Ceravolo, Deborah A Raines
PURPOSE: To examine the impact of a mindfulness intervention on nurse managers in an acute care hospital. DESIGN: A pre/post intervention design with three data collection points: prior to, at the conclusion of, and at 3 months following the intervention. METHOD: A survey to measure the impact of a mindfulness workshops on nurse managers' perception of professional quality of life, burnout, and perceived wellness. FINDINGS: There were significant changes in the scores on the compassion satisfaction (T-1 mean 3...
June 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29907171/-carbon-monoxide-poisoning-treatment-and-orientation
#4
Thibaut Le Corfec, Olga Maurin, Stéphane Foucher, Kilian Bertho, Hugues Lefort
Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility...
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29902741/clinical-learning-experiences-of-nursing-students-using-an-innovative-clinical-partnership-model-a-non-randomized-controlled-trial
#5
Aileen W K Chan, Fiona W K Tang, Kai Chow Choi, Ting Liu, Ruth E Taylor-Piliae
BACKGROUND: Clinical practicum is a major learning component for pre-registration nursing students. Various clinical practicum models have been used to facilitate students' clinical learning experiences, employing both university-based and hospital-based clinical teachers. Considering the strengths and limitations of these clinical practicum models, along with nursing workforce shortages, we developed and tested an innovative clinical partnership model (CPM) in Hong Kong. OBJECTIVE: To evaluate an innovative CPM among nursing students actual and preferred clinical learning environment, compared with a conventional facilitation model (CFM)...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29902738/simulation-for-emergency-nurses-siren-a-quasi-experimental-study
#6
Mary Boyde, Emily Cooper, Hannah Putland, Rikki Stanton, Christie Harding, Ben Learmont, Clare Thomas, Jade Porter, Andrea Thompson, Louise Nicholls
BACKGROUND: Within nursing education, simulation has been recognised as an effective learning strategy. Embedding simulation within clinical units has the potential to enhance patient safety and improve clinical outcomes. However it is important to evaluate the effectiveness of this educational technique to support the actual value and effectiveness. OBJECTIVE: This study aimed to implement and evaluate an innovative simulation experience for registered nurses. METHODS: A high-fidelity simulation focusing on nursing assessment was conducted with 50 Registered Nurses in an Emergency Department (ED) at a large tertiary referral hospital...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29898653/does-implementation-of-an-enhanced-recovery-after-surgery-program-for-hip-replacement-improve-quality-of-recovery-in-an-australian-private-hospital-a-quality-improvement-study
#7
Nicole Lay Tin Tan, Justin Lindley Hunt, Stella May Gwini
BACKGROUND: Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program components is unknown. This before-and-after quality improvement study was designed to determine whether adding 'non-surgical' components, to pre-existing 'surgical' components, in an Australian private healthcare setting, would improve patient recovery after total hip replacement...
June 13, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29896003/study-on-quality-of-iud-services-provided-by-trained-professionals-at-teaching-institutes
#8
Noopur Prasad, M L Jain, B S Meena
Objective: Access the completeness in IUD services provided by trained professionals and find out the weak links. Materials and Methods: Study was conducted on 100 IUD trained professionals of tertiary care hospital and nursing teaching institute. All were given questionnaire that was duly filled by them. Data obtained were analysed. Protocols of case selection, pre-insertion counselling, insertion process and follow-up were assessed. Results: All the four criteria were assessed on score of ten...
June 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29895467/the-impact-of-electronic-health-record-systems-on-clinical-documentation-times-a-systematic-review
#9
REVIEW
Lisa Ann Baumann, Jannah Baker, Adam G Elshaug
BACKGROUND: Effective management of hospital staff time is crucial to quality patient care. Recent years have seen widespread implementation of electronic health record (EHR) systems but the effect of this on documentation time is unknown. This review compares time spent on documentation tasks by hospital staff (physicians, nurses and interns) before and after EHR implementation. METHODS: A systematic search identified 8153 potentially relevant citations. Studies examining proportion of total workload spent on documentation with ≥40 h of staff observation time were included...
June 5, 2018: Health Policy
https://www.readbyqxmd.com/read/29890836/high-acuity-rural-transport-findings-from-a-qualitative-investigation
#10
Jude Kornelsen, Brent Hobbs, Holly Buhler, Rebecca Kaus, Kari Grant, Scott C Lamont, Stefan Grzybowski
INTRODUCTION: The High Acuity Response Team (HART) was introduced in British Columbia (BC), Canada, to fill a gap in transport for rural patients that was previously being met by nurses and physicians leaving their communities to escort patients in need of critical care. The HART team consists of a critical care registered nurse (CCRN) and registered respiratory therapist (RRT) and attends acute care patients in rural sites by either stabilizing them in their community or transporting them...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29889723/impacting-the-patient-s-experience-in-a-children-s-hospital-using-a-communication-bundle-strategy
#11
Bernadette Bumpers, Valorie Dearmon, Paula Dycus
BACKGROUND: The aim of this quality improvement project was to determine whether a communication bundle would impact parents' ratings of nurse-child communication in relation to (a) how often the nurse listened carefully to the child and (b) how often the nurse explained things in a way easy for the child to understand. LOCAL PROBLEM: The Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores on the unit lagged behind the hospital's 75th percentile external benchmark established by the National Research Corporation...
June 8, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29887705/outcome-of-pancreaticoduodenectomy-at-low-volume-centre-in-tier-ii-city-of-india
#12
Kumar Vinchurkar, Vishwanath M Pattanshetti, Manoj Togale, Santosh Hazare, Varadraj Gokak
Currently, pancreaticoduodenectomy (PD) is considered a common and feasibly performed surgery for periampullary tumours, but it is still a high-risk surgical procedure with potential morbidity and mortality rates. Previously, it was emphasised for the need of high-volume centres to perform specialised surgery such as PD. The authors have made an attempt to know the relation between low-volume centre and outcomes of PD. The study was conducted in a Tier-II city referral hospital located in Karnataka, India. A total of 37 patients with suspected periampullary neoplasms underwent surgical exploration with curative intent over a period of 4 years, i...
June 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29885710/evaluation-of-a-designated-family-bonding-time-to-decrease-interruptions-and-increase-exclusive-breastfeeding
#13
Jane S Grassley, Rick Tivis, Julie Finney, Susan Chapman, Susan Bennett
OBJECTIVE: The purpose of this quality improvement project was to plan and implement a daily family bonding time on our mother/baby care unit and evaluate its effect on interruptions, mothers' perceptions of interruptions, and exclusive breastfeeding rates. DESIGN: A separate sample pre-/postintervention design conducted in three phases. SETTING/LOCAL PROBLEM: Healthy breastfeeding newborns had double the odds of receiving supplementation before discharge if they stayed more than 1 night or were born at night...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29885569/the-effect-of-a-workplace-violence-training-program-for-generalist-nurses-in-the-acute-hospital-setting-a-quasi-experimental-study
#14
Scott Lamont, Scott Brunero
BACKGROUND: Workplace violence prevalence has attracted significant attention within the international nursing literature. Little attention to non-mental health settings and a lack of evaluation rigor have been identified within review literature. OBJECTIVES: To examine the effects of a workplace violence training program in relation to risk assessment and management practices, de-escalation skills, breakaway techniques, and confidence levels, within an acute hospital setting...
May 19, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29883285/improving-patient-outcomes-through-the-implementation-of-a-person-centred-leg-ulcer-pathway
#15
Julie Mullings, Elizabeth Merlin-Manton
OBJECTIVE: To develop a holistic pathway for leg ulcer assessment and management, implemented within a local community organisation. The primary aim for this pathway was to reduce time-to-healing. METHOD: A leg ulcer pathway was designed to be used in all care settings to support continuity, and contains quality of life (QoL) assessment tools, a treatment algorithm, guidance for use, a leg ulcer assessment form, and a wound treatment chart. RESULTS: Data analysis, carried out 12 months after implementation, compared pre- and post-averages for ulcer time-to-healing: 123...
June 2, 2018: Journal of Wound Care
https://www.readbyqxmd.com/read/29876832/designing-for-impact-identifying-stakeholder-driven-interventions-to-support-recovery-after-major-cancer-surgery
#16
Carmit McMullen, Matthew Nielsen, Alison Firemark, Patricia Merino Price, Denise Nakatani, Jean Tuthill, Ruth McMyn, Anobel Odisho, Michael Meyers, David Shibata, Scott Gilbert
PURPOSE: Complex bladder and colorectal cancer surgeries are associated with significant patient morbidity, yet few resources exist to prepare patients for the high levels of distress and complications they may experience. After ethnographic research to identify design challenges, we held a user-centered design (UCD) workshop to begin to develop patient- and caregiver-centered interventions to support preparation for and recovery after complex cancer surgery. METHODS: Concepts that emerged from brainstorming sessions were visually represented on storyboards and rated...
June 6, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29871689/impact-of-family-integrated-care-on-infants-clinical-outcomes-in-two-children-s-hospitals-in-china-a-pre-post-intervention-study
#17
Shi-Wen He, Yue-E Xiong, Li-Hui Zhu, Bo Lv, Xi-Rong Gao, Hua Xiong, Huan Wang, Hua-Rong Shi, Jos M Latour
BACKGROUND: Most Neonatal Intensive Care Units (NICUs) in China have restricted visiting policies for parents. This also implicates that parents are not involved in the care of their infant. Family Integrated Care (FIC), empowering parents in direct care delivery and decisions, is becoming the standard in NICUs in many countries and can improve quality-of-life and health outcomes of preterm infants. The aim of this study was to evaluate the impact of a FIC intervention on the clinical outcomes of preterm infants with Bronchopulmonary Dysplasia (BPD)...
June 5, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/29869590/encountering-existential-loneliness-among-older-people-perspectives-of-health-care-professionals
#18
Malin Sundström, Anna-Karin Edberg, Margareta Rämgård, Kerstin Blomqvist
PURPOSE: Existential loneliness is part of being human that is little understood in health care, but, to provide good care to their older patients, professionals need to be able to meet their existential concerns. The aim of this study was to explore health care professionals' experiences of their encounters with older people they perceive to experience existential loneliness. METHOD: We conducted 11 focus groups with 61 health professionals working in home care, nursing home care, palliative care, primary care, hospital care, or pre-hospital care...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29868706/impact-of-primary-care-intensive-management-on-high-risk-veterans-costs-and-utilization-a-randomized-quality-improvement-trial
#19
Jean Yoon, Evelyn Chang, Lisa V Rubenstein, Angel Park, Donna M Zulman, Susan Stockdale, Michael K Ong, David Atkins, Gordon Schectman, Steven M Asch
Background: Primary care models that offer comprehensive, accessible care to all patients may provide insufficient resources to meet the needs of patients with complex conditions who have the greatest risk for hospitalization. Objective: To assess whether augmenting usual primary care with team-based intensive management lowers utilization and costs for high-risk patients. Design: Randomized quality improvement trial. (ClinicalTrials.gov: NCT03100526)...
June 5, 2018: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29868138/psychometric-properties-of-the-romanian-version-of-the-hospital-survey-on-patient-safety-culture-hsops
#20
Carmen Tereanu, Scott Alan Smith, Mugurel Stefan Ghelase, Giuseppe Sampietro, Adrian Molnar, Antoaneta Dragoescu, Florentina Ligia Furtunescu, Camelia Stanescu, Olguta Alice Gavrila, Anca Patrascu, Andreea Loredana Golli, Manuela Dragomir
Objective: To explore psychometrics of the Romanian version of the Hospital Survey on Patient Safety Culture (HSOPS) released by the US Agency for Healthcare Research and Quality in 2004. Material and methods: The original US survey with 12 composites and 42 items was translated (back translation method), pre-tested on a few staff and then minimally adjusted. A qualitative cross-sectional study was carried out in units from six hospitals in four Romanian regions, based on the census of medical and non-medical staff (n...
March 2018: Mædica
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