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https://www.readbyqxmd.com/read/28436284/exertional-heat-illness-among-secondary-school-athletes
#1
Jill Rodgers, Peggy Slota, Beth Zamboni
Exertional heat illness (EHI) is a leading cause of preventable death among student athletes. While causes and preventative measures for EHI are known, school districts may not be implementing evidence-based practices. This descriptive, exploratory study explored school policies, resources, and practices of coaches in a mid-Atlantic state in the prevention and identification of EHI; 397 responded. Ninety-three percent knew of EHI, but only 52% scheduled acclimatization. Coaches reporting a heat emergency plan (56%) were significantly more likely to follow other evidence-based recommendations: altering equipment ( p < ...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28427740/a-study-of-the-incidence-and-management-of-admissions-for-cancer-related-symptoms-in-a-district-general-hospital-the-potential-role-of-an-acute-oncology-service
#2
C M Bruce, J Smith, A Price
AIMS: The non-specialist management of cancer patients is becoming increasingly complex. Acute oncology services (AOS), aiming to provide rapid access to specialist advice, have been shown to improve patient experience and reduce length of inpatient stay. The present study aimed to inform service provision in a district general hospital (DGH) by investigating cancer patients, not on active anti-cancer treatment, where the disease itself precipitated admission. This is a vulnerable group who are potentially disenfranchised of focused oncological input due to having less robust care pathways established to date...
April 17, 2017: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/28424765/community-health-volunteers-in-primary-healthcare-in-rural-uganda-factors-influencing-performance
#3
Yusufu Kuule, Andrew Eric Dobson, Desalegn Woldeyohannes, Maria Zolfo, Robinah Najjemba, Birungi Mutahunga R Edwin, Nahabwe Haven, Kristien Verdonck, Philip Owiti, Ewan Wilkinson
INTRODUCTION: Community health volunteers (CHVs) play an integral role in primary healthcare. Several countries rely on CHV programs as a major element in improving access to care and attaining universal health coverage. However, their performance has been heterogeneous and at times context-specific, and influenced by multiple factors. We describe the socio-demographic and workplace characteristics affecting CHVs' performance in a public health program in rural western Uganda. METHODS: This was a cross-sectional study based on routine program data of CHVs serving the catchment of Bwindi Community Hospital, Kanungu District, South Western Uganda, in 2014 and 2015...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28423478/a-qualitative-study-of-community-nurses-decision-making-around-the-anticipatory-prescribing-of-end-of-life-medications
#4
Ben Bowers, Sarah Redsell
AIMS: To explore community nurses' decision-making processes around the prescribing of anticipatory medications for people who are dying. BACKGROUND: Community nurses frequently initiate the prescribing of anticipatory medications to help control symptoms in those who are dying. However, little is known about their decision-making processes in relation to when they instigate anticipatory prescribing and their discussions with families and General Practitioners. DESIGN: A qualitative interpretive descriptive enquiry...
April 19, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28422621/historic-leadership-one-courageous-school-nurse-s-heroic-journey-part-3
#5
Ellen F Johnsen, Katherine J Pohlman
School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 3 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma...
May 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28422619/the-role-of-the-school-nurse-in-the-special-education-process-part-i-student-identification-and-evaluation
#6
Catherine F Yonkaitis, Robin A Shannon
Every U.S. student is entitled to a free and appropriate education. School districts must identify and evaluate any child who they find is unable to engage fully in learning as a participant in the general education curriculum. The Individuals with Disabilities Education Act of 2004 requires that these students be assessed by qualified individuals in any areas that may be impacting learning, including health, vision, hearing, social and emotional status, communicative status, and motor abilities. The school nurse, as the health expert, has an important role to play as a member of the special education team in evaluating whether a student has health concerns that are impacting learning and how health barriers to learning might be reduced...
May 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28421927/walking-forward-looking-back-lantham-dinah-walking-forward-looking-back-160pp-%C3%A2-8-99-trobador-books-9781784620844-178462084x-formula-see-text
#7
(no author information available yet)
The author of Walking Forward, Looking Back is a retired district nurse and midwife and this book is a heartwarming reflection on her life told as she recalls past events while out walking her dog.
April 19, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28410038/critical-care-nurses-knowledge-and-practice-of-delirium-assessment
#8
Gabby Rowley-Conwy
AIMS: The aim of this study was to examine perceived barriers to assessment of delirium for critical care nurses, and the impact of education on their knowledge and practice. BACKGROUND: Delirium is a significant problem in critical care, leading to increased morbidity and mortality. Many authors have found variations in assessment by critical care nurses, but there has been limited analysis of the reasons for this. Education on the topic improves knowledge and practice, but the best approach has not been examined...
April 13, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28403312/nursing-throughout-war-times-political-propaganda-and-professional-valorization-1942-1945
#9
Thais da Silva Kneodler, Graciele Oroski Paes, Fernando Rocha Porto, Pedro Ruiz Barbosa Nassar, Alexandre Barbosa de Oliveira
OBJECTIVE: to discuss the symbolic effects of the publication on written press of institutional rites related to the courses promoted by the Brazilian Federal District's Schools of Nursing during the Second World War. METHOD: exploratory and documentary study, whose sources were treated by historical method. RESULTS: one noticed, in the news reports analyzed, that the Brazilian Estado Novo has used nurses images to divulge within the society the woman's acting altruistic model in service to the country, through the systematic diffusion by the press of her honorable acting during the war, what assured the amplification of the visibility and acknowledgment of the Nursing profession in that context...
April 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28399515/healthcare-professionals-views-of-the-use-and-administration-of-two-salvage-therapy-drugs-for-acute-ulcerative-colitis-a-nested-qualitative-study-within-the-construct-trial
#10
Clare Clement, Frances Rapport, Anne Seagrove, Laith Alrubaiy, John Williams
OBJECTIVES: Insight into healthcare professionals' views and experiences of the use of ciclosporin and infliximab as salvage therapies for acute ulcerative colitis (UC) and how this may affect participation in a comparison trial is lacking. The study aimed to capture views and opinions of healthcare professionals about the two drugs within the CONSTRUCT trial. DESIGN: An interview-based qualitative study using Framework Analysis embedded within an open-label, pragmatic randomised trial...
February 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/28393341/-effects-of-nurse-led-team-management-on-type-2-diabetes-patients-in-the-community
#11
Yun-Xia Ni, Su-Zhen Liu, Ji-Ping Li, Yong-Shu Diao, Ting Dong, Lin Tao
BACKGROUND: Managing increasing numbers of diabetic patients is placing increasing pressure on healthcare providers, especially general practitioners, who usually serve in multiple roles. This situation has caused generally poor results in terms of diabetes management. However, community nurses in some countries have successfully and effectively controlled chronic diseases among their patients. Therefore, the effects of nurse-led management is worth further exploration in order to better understand and promote this mode of care...
April 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28390398/challenges-in-the-delivery-of-public-hiv-testing-and-counselling-htc-in-douala-cameroon-providers-perspectives-and-implications-on-quality-of-htc-services
#12
Patrice Ngangue, Marie-Pierre Gagnon, Emmanuelle Bedard
BACKGROUND: The Cameroon government has made HIV testing and counselling (HTC) a priority in its HIV/AIDS strategic plan. However, there is a dearth of literature on the perspectives of providers on the quality of HTC services. The aim of this study was to explore challenges in the provision of HTC services and their implications on quality of HTC services in Douala's district hospitals. METHODS: Two primary data collection methods supported by the Donabedian's model of healthcare were used to explain the challenges in the provision of HTC services and their implications on quality of HTC services...
April 8, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28366262/managing-a-patient-with-copd
#13
Isabelle Clavagnier
Mrs. Hayek, a patient so obese as to be house-bound, is admitted to the Medical Unit with exacerbation of her COPD (Chronic obstructive pulmonary disease) and lung infection. After her discharge from hospital, the district nursing service draws up a care plan with her.
April 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28364566/identifying-gaps-in-hiv-service-delivery-across-the-diagnosis-to-treatment-cascade-findings-from-health-facility-surveys-in-six-sub-saharan-countries
#14
Kathryn Church, Kazuyo Machiyama, Jim Todd, Brian Njamwea, Mary Mwangome, Vicky Hosegood, Janet Michel, Samuel Oti, Constance Nyamukapa, Amelia Crampin, Nyaguara Amek, Gertrude Nakigozi, Denna Michael, F Xavier Gómez-Olivé, Jessica Nakiyingi-Miiro, Basia Zaba, Alison Wringe
INTRODUCTION: Despite the rollout of antiretroviral therapy (ART), challenges remain in ensuring timely access to care and treatment for people living with HIV. As part of a multi-country study to investigate HIV mortality, we conducted health facility surveys within 10 health and demographic surveillance system sites across six countries in Eastern and Southern Africa to investigate clinic-level factors influencing (i) use of HIV testing services, (ii) use of HIV care and treatment and (iii) patient retention on ART...
January 12, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28359279/low-volume-versus-high-volume-initiated-trans-anal-irrigation-therapy-in-adults-with-chronic-constipation-study-protocol-for-a-randomised-controlled-trial
#15
Christopher Emmett, Helen Close, James Mason, Shiva Taheri, Natasha Stevens, Sandra Eldridge, Christine Norton, Charles Knowles, Yan Yiannakou
BACKGROUND: Constipation is common in adults and up to 20% of the population report this symptom. Chronic constipation (CC), usually defined as more than 6 months of symptoms, is less common but results in 0.5 million UK GP consultations per annum. The effect of symptoms on measured quality of life (QOL) is significant, and CC consumes significant health care resources. In the UK, it is estimated that 10% of district nursing time is spent on constipation. Trans-anal irrigation therapy has become a widely used treatment despite a lack of robust efficacy data to support its use...
March 31, 2017: Trials
https://www.readbyqxmd.com/read/28356923/the-guy-s-and-st-thomas-s-nhs-foundation-trust-home-service-an-overview-of-a-new-service
#16
Geraldine A Lee, Karen Titchener
Hospital in the home is a relatively new concept within the UK healthcare system. The Guy's and St Thomas's NHS Foundation Trust (GSTT) @home service 'Bringing hospital care to your home' was commissioned by Lambeth and Southwark CCG in 2014 to provide acute care in the patients' place of residence by facilitating rapid discharge from hospital. The service is designed for 260-280 referrals each month from local hospitals, London Ambulance Service, GPs, district nurses and palliative care services. The GSTT@home provides intensive care for a short episode through multidisciplinary team work with the aim of returning the patient to their prior health status following an acute episode of ill health...
March 2017: London Journal of Primary Care
https://www.readbyqxmd.com/read/28351247/don-t-forget-the-extraordinary-work-of-district-nurses
#17
Crystal Oldman
Last week I took some time out from reflecting on the policy and service challenges of delivering more care in people's homes and shadowed a Queen's Nurse at work.
March 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28351234/have-your-say-in-district-nursing-caseloads-consultation
#18
(no author information available yet)
Draft guidance on safe caseloads in district nursing has been published by NHS Improvement.
March 29, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28339494/facility-type-and-primary-care-performance-in-sub-district-health-promotion-hospitals-in-northern-thailand
#19
Nithra Kitreerawutiwong, Sue Jordan, David Hughes
BACKGROUND: Poor and middle-income Thai people rely heavily on primary care health services. These are staffed by a range of professionals. However, it is unknown whether the performance of primary care varies according to the staffing and organization of local service delivery units. Tambon (sub-district) health promotion hospitals (THPHs) were introduced in 2009 to upgrade the services offered by the previous health centres, but were faced with continuing shortages of doctors and nurses...
2017: PloS One
https://www.readbyqxmd.com/read/28327031/-dedicated-district-nursing-team-gave-the-best-care-in-the-world
#20
(no author information available yet)
Nothing has ever been too much trouble for the district nurse team operating out of Tennant Street Medical Practice in Stockton-on-Tees, who cared for my wife Maureen for nearly four years.
March 22, 2017: Nursing Standard
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