Read by QxMD icon Read


Angela Ebert, Karin Strehlow
Issue addressed: The fly-in, fly-out (FIFO) work style has been linked to mental-health and interpersonal issues and a need for strategies that maintain a healthy workforce. This study investigated whether 24/7 on-site chaplains deliver a service that promotes the health and well being of FIFO personnel.Methods: A phenomenological approach was used to explore the perceptions of FIFO personnel working in different roles and organisational sections on a remote mine site in Western Australia. Multi-pronged strategies recruited 29 participants who represented management, supervisors, workers and support staff...
October 6, 2016: Health Promotion Journal of Australia
Gowri Anandarajah, Janet Roseman, Danny Lee, Nupur Dhandhania
CONTEXT: Although spiritual care (SC) is recognized as important in whole-person medicine, physicians infrequently address patients' spiritual needs, citing lack of training. Although many SC curricula descriptions exist, few studies report effects on physicians. OBJECTIVES: To broadly examine immediate and long-term effects of a required, longitudinal, residency SC curriculum, which emphasized inclusive patient-centered SC, compassion and spiritual self-care. METHODS: We conducted in-depth individual interviews with 26 physicians (13 intervention;13 comparison) trained at a 13-13-13 residency...
October 3, 2016: Journal of Pain and Symptom Management
Ahmed Boujelben, Michael Watson, Steven McDougall, Yi-Fen Yen, Elizabeth R Gerstner, Ciprian Catana, Thomas Deisboeck, Tracy T Batchelor, David Boas, Bruce Rosen, Jayashree Kalpathy-Cramer, Mark A J Chaplain
Patients diagnosed with glioblastoma, an aggressive brain tumour, have a poor prognosis, with a median overall survival of less than 15 months. Vasculature within these tumours is typically abnormal, with increased tortuosity, dilation and disorganization, and they typically exhibit a disrupted blood-brain barrier (BBB). Although it has been hypothesized that the 'normalization' of the vasculature resulting from anti-angiogenic therapies could improve drug delivery through improved blood flow, there is also evidence that suggests that the restoration of BBB integrity might limit the delivery of therapeutic agents and hence their effectiveness...
October 6, 2016: Interface Focus
Jana Maryšková
As military and prison chaplains have been active in the military or prison service for many years, nowadays, hospital chaplains have been active in many hospitals in the Czech Republic, too. The work of hospital chaplains, however, still lacks the necessary legislative framework and being embodied in law, which brings some drawbacks. These include primarily non-participation of the ministry of health as a contractual partner in the agreement on spiritual care in health care, the lack of a framework that would arrange the status of chaplains among other health professionals and the related uncertainty regarding career and competency profile of a chaplain...
2016: Casopís Lékar̆ů C̆eských
John Goodwin, Laura Behan, Peter Kelly, Karen McCarthy, Aine Horgan
University students demonstrate poor help-seeking behatabviors for their mental health, despite often reporting low levels of mental well-being. The aims of this study were to examine the help-seeking intentions and experiences of first year university students in terms of their mental well-betabing, and to extaplore these students' views on formal (e.g. psychiatrists) and informal (e.g. friends) help-seeking. Students from a universitytab in the Republic of Ireland (n=220) completed an online questionnaire which focused on mental well-being and help-seeking behaviors...
September 17, 2016: Psychiatry Research
Anahita Rassoulian, Charles Seidman, Henriette Löffler-Stastka
To explore how medical students-the doctors of tomorrow-reflect upon meeting the spiritual needs of their patients, and whether they have reflected on their own religious or spiritual beliefs, or not. The study also investigates to what extent the students feel comfortable with addressing spiritual issues in their patient care, and whether they feel this is beyond their role as medical doctors.A self-administered questionnaire was developed. The survey was administered in teaching classes at the medical university of Vienna...
September 2016: Medicine (Baltimore)
Joanne Spetz, Nancy Dudley, Laura Trupin, Maggie Rogers, Diane E Meier, Tamara Dumanovsky
The predominant model for palliative care delivery, outside of hospice care, is the hospital-based consultative team. Although a majority of US hospitals offer palliative care services, there has been little research on the staffing of their program teams and whether those teams meet national guidelines, such as the Joint Commission's standard of including at least one physician, an advanced practice or other registered nurse, a social worker, and a chaplain. Data from the 2012-13 annual surveys of the National Palliative Care Registry indicate that only 25 percent of participating programs met that standard based on funded positions, and even when unfunded positions were included, only 39 percent of programs met the standard...
September 1, 2016: Health Affairs
Kelly Arnett, Rebecca L Sudore, David Nowels, Cindy X Feng, Cari R Levy, Hillary D Lum
BACKGROUND: Interprofessional health care team members consider advance care planning (ACP) to be important, yet gaps remain in systematic clinical routines to support ACP. A clearer understanding of the interprofessional team members' perspectives on ACP clinical routines in diverse settings is needed. METHODS: One hundred eighteen health care team members from community-based clinics, long-term care facilities, academic clinics, federally qualified health centers, and hospitals participated in a 35-question, cross-sectional online survey to assess clinical routines, workflow processes, and policies relating to ACP...
September 6, 2016: American Journal of Hospice & Palliative Care
Fiona Timmins, Maryanne Murphy, Thelma Begley, Freda Neill, Greg Sheaf
National and international professional health and nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that spiritual care is an important aspect of holistic patient care that needs to be considered and supported, if relevant, in a healthcare context. However, many nurses lack knowledge and awareness of the subject, and it is unclear to what extent core textbooks provide the information they need. This article reports on a study that explored the extent to which contemporary core nursing textbooks support and advocate the provision of spiritual care by nurses...
September 2016: Nursing Management (Harrow)
Ann Kutney-Lee, Dawn Smith, Joshua Thorpe, Cindy Del Rosario, Said Ibrahim, Mary Ersek
BACKGROUND: Few studies have examined comprehensively racial/ethnic variations in quality of end-of-life care. OBJECTIVE: Examine end-of-life care quality received by Veterans and their families, comparing racial/ethnic minorities to nonminorities. RESEARCH DESIGN: This is a retrospective, cross-sectional analysis of chart review and survey data. SUBJECTS: Nearly all deaths in 145 Veterans Affairs Medical Centers nationally (n=94,697) in addition to Bereaved Family Survey (BFS) data (n=51,859) from October 2009 to September 2014...
August 30, 2016: Medical Care
Stephen John Walters, Cindy Stern, Suzanne Robertson-Malt
BACKGROUND: There is a growing call by consumers and governments for healthcare to adopt systems and approaches to care to improve patient safety. Collaboration within healthcare settings is an important factor for improving systems of care. By using validated measurement instruments a standardized approach to assessing collaboration is possible, otherwise it is only an assumption that collaboration is occurring in any healthcare setting. OBJECTIVES: The objective of this review was to evaluate and compare measurement properties of instruments that measure collaboration within healthcare settings, specifically those which have been psychometrically tested and validated...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
N Marcus Thygeson, Meinong Wang, David O'Riordan, Steven Z Pantilat
BACKGROUND: California hospitals report palliative care (PC) program characteristics to the California Office of Statewide Health Planning and Development (OSHPD), but the significance of this information is unknown. OBJECTIVE: Our objective was to determine whether self-reported California hospital PC program characteristics are associated with lower end-of-life (EoL) Medicare utilization. DESIGN: We performed a cross-sectional study of hospitals submitting 2012 data to OSHPD and included in the 2012 Dartmouth Atlas of Healthcare (DAHC) dataset, using statistical hypothesis testing, multivariate regression, and fuzzy set qualitative comparative analysis...
August 10, 2016: Journal of Palliative Medicine
(no author information available yet)
No abstract text is available yet for this article.
August 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
M-A Khuong-Josses, P Nivôse, C Charpentier, B Frison, M Poupard, I Gros, C Chaplain
No abstract text is available yet for this article.
June 2016: Médecine et Maladies Infectieuses
M Poupard, R Lefrançois, P Nivose, H Cordel, T Dieye, C Chaplain, I Gros
No abstract text is available yet for this article.
June 2016: Médecine et Maladies Infectieuses
Cicely K Macnamara, Mark Aj Chaplain
Gene regulatory networks (GRNs) play an important role in maintaining cellular function by correctly timing key processes such as cell division and apoptosis. GRNs are known to contain similar structural components, which describe how genes and proteins within a network interact - typically by feedback. In many GRNs, proteins bind to gene-sites in the nucleus thereby altering the transcription rate. If the binding reduces the transcription rate there is a negative feedback leading to oscillatory behaviour in mRNA and protein levels, both spatially (e...
October 21, 2016: Journal of Theoretical Biology
Sandra Lee DiScala, Sarah Onofrio, Maura Miller, Mitchell Nazario, Michael Silverman
OBJECTIVES: The primary objective of this quality improvement (QI) project was to determine if the Interdisciplinary Palliative Care Outpatient Clinic (IPCOC) at the West Palm Beach Veterans Affairs Medical Center offered improved symptom assessment and palliative care treatment outcomes. Secondary objectives were to identify, classify, and resolve medication problems and calculate the number of pharmacist recommendations accepted by prescribing providers. METHODS: An IPCOC was created by selecting disciplines for a core group including a nurse practitioner, clinical pharmacist, social worker, chaplain, and physician...
July 14, 2016: American Journal of Hospice & Palliative Care
Patrick Hemming, Paula Teague, Ty Crowe, R B Levine
No abstract text is available yet for this article.
July 2016: Journal of Graduate Medical Education
Tomáš Tyc, Stephen Oxburgh, Euan N Cowie, Gregory J Chaplain, Gavin Macauley, Chris D White, Johannes Courtial
We present a design for an omnidirectional transformation-optics (TO) cloak comprising thin lenses and glenses (generalized thin lenses) [J. Opt. Soc. Am. A33, 962 (2016)1084-7529JOAOD610.1364/JOSAA.33.000962]. It should be possible to realize such devices in pixelated form. Our design is a piecewise nonaffine generalization of piecewise affine pixelated-TO devices [Proc. SPIE9193, 91931E (2014)PSISDG0277-786X10.1117/12.2061404; J. Opt18, 044009 (2016)]. It is intended to be a step in the direction of TO devices made entirely from lenses, which should be readily realizable on large length scales and for a broad range of wavelengths...
June 1, 2016: Journal of the Optical Society of America. A, Optics, Image Science, and Vision
Katherine M Piderman, Jason S Egginton, Cory Ingram, Ann Marie Dose, Timothy J Yoder, Laura A Lovejoy, Spence W Swanson, James T Hogg, Maria I Lapid, Aminah Jatoi, Megan S Remtema, Beba S Tata, Carmen Radecki Breitkopf
Individuals with brain cancer face many challenges, including threats to cognition, personality, and sensory and motor functioning. These can alter one's sense of identity and result in despair. Chaplain-led spiritual interviews were conducted with 19 patients with brain cancer as part of a larger spiritual legacy intervention called "Hear My Voice." The majority was female (58%), married (68%) and had aggressive/advanced tumors (63%). Participants were 22-68 years of age and expressed the following religious affiliations: Protestant (42%), Catholic (21%), Muslim (5%), and none (32%)...
July 11, 2016: Journal of Health Care Chaplaincy
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"