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https://www.readbyqxmd.com/read/29734255/patient-information-needs-and-breast-reconstruction-after-mastectomy-a-qualitative-meta-synthesis
#1
Tracey L Carr, Gary Groot, David Cochran, Lorraine Holtslander
BACKGROUND: Although many women benefit from breast reconstruction after mastectomy, several studies report women's dissatisfaction with the level of information they were provided with before reconstruction. OBJECTIVE: The present meta-synthesis examines the qualitative literature that explores women's experiences of breast reconstruction after mastectomy and highlights women's healthcare information needs. METHODS: After a comprehensive search of 6 electronic databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Scopus), we followed the methodology for synthesizing qualitative research...
April 27, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29734254/exploring-women-s-support-needs-after-breast-reconstruction-surgery-a-qualitative-study
#2
Tracey L Carr, Gary Groot, David Cochran, Mikaela Vancoughnett, Lorraine Holtslander
BACKGROUND: The procedures for breast reconstruction (BR) after mastectomy frequently initiate a difficult recovery period. A better understanding of women's support needs after surgery would improve patient care. OBJECTIVE: The aim of this study was to identify patients' support needs after BR. METHODS: In a retrospective study design, 21 participants described their support experiences after BR, including their sources of support and the impact of support on their recovery in a semistructured interview...
April 27, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29566681/mapping-staff-perspectives-towards-the-delivery-of-hospital-care-for-children-and-young-people-with-and-without-learning-disabilities-in-england-a-mixed-methods-national-study
#3
Kate Oulton, Faith Gibson, Lucinda Carr, Angela Hassiotis, Carey Jewitt, Charlotte Kenten, Jessica Russell, Mark Whiting, Irene Tuffrey-Wijne, Jo Wray
BACKGROUND: Children and young people (CYP) with learning disabilities (LD) are a vulnerable population with increased risk of abuse and accidental injury and whose parents have reported concerns about the quality, safety and accessibility of their hospital care. The Care Quality Commission's (CQC) view of best practice for this group of patients includes: access to senior LD nurse provision; a clearly visible flagging system for identifying them; the use of hospital passports; and defined communication strategies (Glasper, Comp Child Adolesc Nurs 40:63-67, 2017)...
March 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29558570/vascular-access-specialist-teams-for-device-insertion-and-prevention-of-failure
#4
REVIEW
Peter J Carr, Niall S Higgins, Marie L Cooke, Gabor Mihala, Claire M Rickard
BACKGROUND: Most people admitted to hospitals worldwide require a vascular access device (VAD). Hundreds of millions of VADs are inserted annually in the USA with reports of over a billion peripheral intravenous catheters used annually worldwide. Numerous reports suggest that a team approach for the assessment, insertion, and maintenance of VADs improves clinical outcomes, the patient experience, and healthcare processes. OBJECTIVES: To compare the use of the vascular access specialist team (VAST) for VAD insertion and care to a generalist model approach for hospital or community participants requiring a VAD in terms of insertion success, device failure, and cost-effectiveness...
March 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29547603/annual-rite-of-spring
#5
Ellen Carr
Some consider spring the preparation for summer, a dress rehearsal for the primary season of high expectations to recharge. But spring for oncology nurses means coming together at the annual Oncology Nursing Society Congress.
April 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29503256/short-term-results-of-the-efficacy-of-percutaneous-tibial-nerve-stimulation-on-urinary-symptoms-and-its-financial-cost
#6
Zehra Kurdoğlu, Danielle Carr, Jihad Harmouche, Serdar Ünlü, Gökhan S Kılıç
OBJECTIVE: Overactive bladder (OAB) affects 16.9% of women in the United States. Percutaneous tibial nerve stimulation (PTNS) is a third-line treatment for patients who are refractory to behavioral and pharmacologic therapies. We aimed to evaluate the effects of PTNS on urinary symptoms in patients diagnosed as having refractory OAB and investigate the cost of medications and clinical visits before and after PTNS treatment. MATERIAL AND METHODS: We reviewed 60 women with refractory OAB treated with PTNS...
March 1, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29492696/the-2014-updated-version-of-the-confusion-assessment-method-for-the-intensive-care-unit-compared-to-the-5th-version-of-the-diagnostic-and-statistical-manual-of-mental-disorders-and-other-current-methods-used-by-intensivists
#7
Gérald Chanques, E Wesley Ely, Océane Garnier, Fanny Perrigault, Anaïs Eloi, Julie Carr, Christine M Rowan, Albert Prades, Audrey de Jong, Sylvie Moritz-Gasser, Nicolas Molinari, Samir Jaber
BACKGROUND: One third of patients admitted to an intensive care unit (ICU) will develop delirium. However, delirium is under-recognized by bedside clinicians without the use of delirium screening tools, such as the Intensive Care Delirium Screening Checklist (ICDSC) or the Confusion Assessment Method for the ICU (CAM-ICU). The CAM-ICU was updated in 2014 to improve its use by clinicians throughout the world. It has never been validated compared to the new reference standard, the Diagnostic and Statistical Manual of Mental Disorders 5th version (DSM-5)...
March 1, 2018: Annals of Intensive Care
https://www.readbyqxmd.com/read/29350702/focus-on-communities
#8
Ellen Carr
The opportunity for oncology nursing to have a broader influence in clinical care has never been more in sync with the times, buoyed by breakthroughs in diagnostics, precision treatments, and broader applications of interprofessional care. However, that influence is still encumbered by inequities in cancer care delivery to marginalized or underserved patients here in the United States and globally.
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29284588/the-personal-experience-of-lgbt-patients-with-cancer
#9
REVIEW
Ellen Carr
OBJECTIVES: To capture the perspectives from lesbian, gay, bisexual and transgender (LGBT) individuals diagnosed treated for cancer. DATA SOURCES: Four LGBT individuals diagnosed and treated for cancer. CONCLUSION: Care for the LGBT patient is based on sensitivity and awareness to LGBT issues and concerns. IMPLICATIONS FOR NURSING PRACTICE: Nurses caring for the LGBT cancer patient provide that care in a context of awareness and sensitivity...
February 2018: Seminars in Oncology Nursing
https://www.readbyqxmd.com/read/29149897/enablers-and-barriers-to-secondary-prophylaxis-for-rheumatic-fever-among-m%C3%A4-ori-aged-14-21-in-new-zealand-a-framework-method-study
#10
Hilary Barker, John G Oetzel, Nina Scott, Michelle Morley, Polly E Atatoa Carr, Keri Bolton Oetzel
BACKGROUND: Acute rheumatic fever (ARF) rates have declined to near zero in nearly all developed countries. However, in New Zealand rates have not declined since the 1980s. Further, ARF diagnoses in New Zealand are inequitably distributed--occurring almost exclusively in Māori (the indigenous population) and Pacific children--with very low rates in the majority New Zealand European population. With ARF diagnosis, secondary prophylaxis is key to prevent recurrence. The purpose of this study was to identify the perceived enablers and barriers to secondary recurrence prophylaxis following ARF for Māori patients aged 14-21...
November 17, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29139627/understanding-and-meeting-your-legal-responsibilities-as-a-nurse
#11
Louise Terry, Graham Carr, Yvonne Halpin
Nurses, midwives and nursing students are legally responsible for their actions. This article discusses the legal standard of care required in relation to nursing and midwifery practice and nurses' professional standards and code of conduct. It examines how courts in the UK determine if nurses have met their duty of care and how nurses must ensure they maintain competence to provide safe care. It examines why organisational knowing - understanding the organisation in which one is employed; its people, values and how it works - is important for all nurses, regardless of their level in the organisation...
November 15, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28945716/oncology-nurses-first-second-and-always-responders%C3%A2
#12
Ellen Carr
Our hearts go out to our Gulf and Atlantic Coast neighbors who were battered by the harrowing effects and destructive aftermath of hurricanes Harvey and Irma, which made landfall with historically destructive force in late August and early September. The estimated cost to rebuild and recover is staggering. These disasters will change the infrastructure of nearly all aspects of how Gulf and Atlantic Coast communities function: housing, healthcare delivery, public health safeguards, transportation, utilities, schools, retail businesses, and local and county government...
October 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28873028/randomized-prospective-evaluation-of-intraoperative-intravenous-acetaminophen-in-pediatric-adenotonsillectomy
#13
Christopher A Roberts, Shivani Shah-Becker, Ashley O'Connell Ferster, Aaron Baker, Lauren E Stahl, Khaled Sedeek, Michele M Carr
Objective To establish the safety and efficacy of single-dose intraoperative intravenous (IV) acetaminophen in postoperative pain management following adenotonsillectomy in addition to a standardized regimen of oral pain medication. Study Design Randomized, controlled prospective clinical trial. Setting Single academic medical center. Subjects and Methods Patients between the ages of 3 and 17 years scheduled for tonsillectomy or adenotonsillectomy by a single surgeon between December 2014 and November 2016 were recruited...
February 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28862891/apex-pro-care-mattress-how-can-this-advanced-mattress-assist-in-prevention-of-pressure-injuries
#14
Lynn Shingfield, Helen Carr, Jo Thomson
Avalon Nursing Home is fully aware of the potential for pressure ulcers in immobile residents and were keen to undertake an evaluation to ensure their residents have the most appropriate care possible. They selected Apex Pro-care to evaluate as there were concerns for residents heels in those with any arterial insufficiency. The Apex Pro-care mattress has a heel section where one or more of the bottom five cells can be deflated under the patient's heel to create a void, which will enable the heel to "float" so that there is no pressure in contact with the heel area...
September 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28800406/a-research-based-mantra-for-compassionate-caring
#15
Louise Terry, Roger Newham, Sinéad Hahessy, Siobhan Atherley, Yolanda Babenko-Mould, Marilyn Evans, Karen Ferguson, Graham Carr, S H Cedar
BACKGROUND: The United Kingdom introduced the Six C's strategy to help address deficits in approaching nursing care in a compassionate and caring manner. OBJECTIVE: To identify the book, article, poem, film or play that most influenced nurse educators' understanding of care and compassion and to articulate a clearer understanding of compassionate caring. DESIGN: A qualitative study applying discourse analysis to respondents' questionnaires and their nominated narrative...
November 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28792097/a-closer-lens-cancer-survivors-supportive-intervention-preferences-and-interventions-received
#16
Joanna J Arch, Rachel Vanderkruik, Alex Kirk, Alaina L Carr
BACKGROUND: Cancer survivor preferences for formal interventions designed to provide psychological support remain relatively unknown. To address this gap, we evaluated cancer survivors' preferences for psychological intervention, whom they preferred to recommend such intervention, and how their preferences compared with what they currently received. METHODS: U.S. cancer survivors (n = 345) who were at least 2 months post-treatment for diverse forms of cancer were recruited online to complete a survey study...
August 9, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/28686484/nursing-and-medical-students-teaming-up-results-of-an-interprofessional-project
#17
Rebecca A Feather, Douglas E Carr, Derrick M Garletts, Deanna L Reising
Health professions programmes are increasing the number of interprofessional events in their curricula. Many of these programmes are grounded in case study or simulation events in order to prepare students for eventual practice. We designed an interprofessional education collaborative practice (IPECP) that provides direct interprofessional practice experience while students are still in their health profession programmes. In our programme, teams of senior baccalaureate nursing and third-year medical students provided health coaching to patients in need of chronic disease management...
September 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28671908/development-of-the-barriers-to-error-disclosure-assessment-tool
#18
Darlene Welsh, Dominique Zephyr, Andrea L Pfeifle, Douglas E Carr, Joseph L Fink, Mandy Jones
OBJECTIVES: An interprofessional group of health colleges' faculty created and piloted the Barriers to Error Disclosure Assessment tool as an instrument to measure barriers to medical error disclosure among health care providers. METHODS: A review of the literature guided the creation of items describing influences on the decision to disclose a medical error. Local and national experts in error disclosure used a modified Delphi process to gain consensus on the items included in the pilot...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28623941/development-of-a-program-theory-for-shared-decision-making-a-realist-review-protocol
#19
Gary Groot, Tamara Waldron, Tracey Carr, Linda McMullen, Lori-Ann Bandura, Shelley-May Neufeld, Vicky Duncan
BACKGROUND: The practicality of applying evidence to healthcare systems with the aim of implementing change is an ongoing challenge for practitioners, policy makers, and academics. Shared decision- making (SDM), a method of medical decision-making that allows a balanced relationship between patients, physicians, and other key players in the medical decision process, is purported to improve patient and system outcomes. Despite the oft-mentioned benefits, there are gaps in the current literature between theory and implementation that would benefit from a realist approach given the value of this methodology to analyze complex interventions...
June 17, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28562460/team-communication-influence-on-procedure-performance-findings-from-interprofessional-simulations-with-nursing-and-medical-students
#20
Deanna L Reising, Douglas E Carr, Sally Gindling, Roxie Barnes, Derrick Garletts, Zulfukar Ozdogan
Interprofessional team performance is believed to be dependent on the development of effective team communication skills. Yet, little evidence exists in undergraduate nursing programs on whether team communication skills affect team performance. A secondary analysis of a larger study on interprofessional student teams in simulations was conducted to determine if there is a relationship between team communication and team procedure performance. The results showed a positive, significant correlation between interprofessional team communication ratings and procedure accuracy in the simulation...
September 2017: Nursing Education Perspectives
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