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https://www.readbyqxmd.com/read/29774227/identifying-what-matters-to-hysterectomy-patients-postsurgery-perceptions-beliefs-and-experiences
#1
Andrew S Bossick, Roopina Sangha, Heather Olden, Gwen L Alexander, Ganesa Wegienka
Purpose: Hysterectomy is the most common non-obstetrical surgery for women in the United States. Few investigations comparing hysterectomy surgical approaches include patient-centered outcomes. Methods: The study was performed at Henry Ford Health System in Detroit, Michigan between February 2015 and May 2015. The data were collected through structured focus groups with 24 post-hysterectomy women in order to identify PCOs to employ in a subsequent cohort study of hysterectomy surgical approaches...
2018: Journal of Patient-centered Research and Reviews
https://www.readbyqxmd.com/read/29766486/risk-communication-in-genetic-counselling-exploring-uptake-and-perception-of-recurrence-numbers-and-their-impact-on-patient-outcomes
#2
K Borle, E Morris, A Inglis, J Austin
Providing recurrence numbers is often considered a fundamental component of genetic counselling. We sought to fill knowledge gaps regarding how often patients actively seek recurrence numbers, and how they impact patient outcomes. We conducted a retrospective chart review at a clinic where patients routinely complete the Genetic Counselling Outcomes Scale [GCOS, measuring empowerment] pre (T1)/post (T2)-appointment. Using ANCOVA we evaluated the effect on T2 GCOS score of: a) receiving recurrence numbers, and b) patient perception of recurrence numbers...
May 16, 2018: Clinical Genetics
https://www.readbyqxmd.com/read/29755917/sharing-is-caring-minimizing-the-disruption-with-palliative-care
#3
EDITORIAL
Abd Moain Abu Dabrh, Robert P Shannon, Richard J Presutti
There is an upward trend incidence of multiple chronic life-limiting conditions with a well-documented associated impact on patients and their caregivers. When patients approach the end of life, they are often faced with a challenging multidimensional burden while navigating a complex health care system. Patients and families/caregivers are faced with daily decisions, often with little or no frame of reference or medical knowledge. The "what, how, when, and where" puzzle during this challenging time can be overwhelming for patients and their families, and when clinicians do not contemplate this associated workload's impact on patients and caregivers' capacity for self-care, patients and caregivers scramble to find compensatory solutions, often putting their health care at lower priority...
March 13, 2018: Curēus
https://www.readbyqxmd.com/read/29747635/implementation-of-the-evidence-for-the-improvement-of-nursing-care-to-the-critical-patient-s-family-a-participatory-action-research
#4
Laura de-la-Cueva-Ariza, Pilar Delgado-Hito, Gemma Martínez-Estalella, Gemma Via-Clavero, Teresa Lluch-Canut, Marta Romero-García
BACKGROUND: There are many descriptive studies regarding the needs of the family, as well as those regarding nursing care aimed directly at family members. However, there is no widespread application of such evidence in clinical practice. There has also been no analysis made of the evolution of patterns of knowing during the act of improving clinical practice. Therefore, the purpose of the study is to understand the change process aimed at improving care to critical patient's families, and to explore the evolution of patterns of knowing that nurses use in this process...
May 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29741457/differences-between-early-and-late-involvement-of-palliative-home-care-in-oncology-care-a-focus-group-study-with-palliative-home-care-teams
#5
Naomi Dhollander, Luc Deliens, Simon Van Belle, Aline De Vleminck, Koen Pardon
BACKGROUND: To date, no randomised controlled trials on the integration of specialised palliative home care into oncology care have been identified. Information on whether existing models of integrated care are applicable to the home care system and how working procedures and skills of the palliative care teams might require adaptation is missing. AIM: To gain insight into differences between early and late involvement and the effect on existing working procedures and skills as perceived by palliative home care teams...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29741408/shifting-perspectives-on-pain-management-after-an-interprofessional-international-service-learning-experience-a-qualitative-assessment-of-pilot-data
#6
Catherine D Noonan, Sarah Scow, Brittany A Sheagley, Jennifer Bunn
Interprofessional education and international service learning (ISL) experiences are increasing in healthcare education and have the potential to broaden healthcare providers' strategies to manage patients' pain. After the addition of a physical therapy (PT) cohort to an existing interprofessional ISL, survey data was collected for program evaluation. Responses indicated altered ideation regarding the role of PT in pain management, and this theme was investigated further. Following two one-week interprofessional ISL experiences in Honduras in 2015 (Y1) and 2016 (Y2), participating students and preceptors in pharmacy, physician assistant and osteopathic medicine and Y1 PT preceptors were surveyed regarding their impressions of the PT cohort and the PT profession in general...
May 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29738993/investigating-drug-facilitated-sexual-assault-at-a-dedicated-forensic-centre-in-cape-town-south-africa
#7
Marianne Tiemensma, Bronwen Davies
BACKGROUND: Drug-facilitated sexual assault (DFSA) is a well-recognised public health concern. In South Africa however, epidemiological and toxicological data associated with suspected DFSA are not available. Toxicological screening is currently not routinely available in clinical forensic practice in the Western Cape, or elsewhere in South Africa. OBJECTIVES: To preliminary investigate and characterize DFSA in a specific metropolitan setting in South Africa and to identify the drugs/xenobiotics associated with these reported DFSAs...
April 23, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29734319/-a-critical-analysis-of-the-degree-of-care-humanization-in-the-hospitals-of-the-provincia-romana-san-giovanni-di-dio-fatebenefratelli-fbf
#8
Flavia Verginelli, Rosaria Gallo, Annalisa Teti, Claudia Franco, Patrizia Piscioneri, Giovanni Pimpinella, Rosalia Fiore, Angela Primavera, Adriana Sorrentino, Giovanni Guglielmucci, Michele Venditti, Alberto Carbone, Mariateresa Iannuzzo, Giampiero Seroni, Pietro Civello, Maria Cardarelli, Giovanni Roberti
In the Hospitals of the Ordine della Provincia Romana San Giovanni di Dio Fatebenefratelli (FBF) (consisting of four hospitals located in three Italian regions) Patient Centeredness has always been considered a central point. In 2015, the Central Hospitals' Health Direction decided to use a check-list for the evaluation of the degree of Patient Centered Care Facilities, drawn up by the National Agency for Regional Health Services (Age.Na.S) during the 2010 Research Project "Experimentation and transfer of organizational empowerment models for evaluating and improving the quality of health services...
January 2018: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29731336/empowerment-of-type-2-diabetic-patients-visiting-fuladshahr-diabetes-clinics-for-prevention-of-diabetic-foot
#9
Farbod Ebadi Fardazar, Farzaneh Tahari, Mahnaz Solhi
AIMS: Diabetic foot is one of the most serious and costly complications of diabetes. Empowerment is an important indicator in promoting foot care behaviors that helps patients to use their maximum abilities. This study was carried out with the aim of empowering patients with type 2 diabetes to prevent diabetic foot in the city of Fuladshahr, Isfahan, Iran. METHODS: This is a quasi-experimental study. 104 eligible patients were randomly assigned to two groups: intervention group and control group...
April 26, 2018: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/29730361/online-health-searches-and-their-perceived-effects-on-patients-and-patient-clinician-relationships-a-systematic-review-%C3%A2-%C3%A2-%C3%A2
#10
REVIEW
Jane Wang, Tamara Ashvetiya, Emmanuel Quaye, Kapil Parakh, Seth S Martin
Online health searches are common and may be impacting patients and their relationships with their clinicians in ways that are not fully understood. We searched PubMed, Embase, Cochrane Reviews, Cochrane Trials, Scopus, and CINAHL from 1 January 1990 to 29 January 2016 for studies in which patients searched online for any aspect of healthcare and then visited their clinician. We extracted data pertaining to either patients' or clinicians' perceptions of the effects of these online searches on patients and the patient-clinician relationship...
May 3, 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/29701880/student-courage-an-essential-for-today-s-health-education
#11
Erin Gibson
AIM: The aim of this concept analysis is to propose the new concept of student courage as it operates within the context of healthcare professionals' education. BACKGROUND: Nurses have a moral obligation that often requires courage. However, nursing students do not have the capacity to act with moral courage until they are close to licensure. Student courage is propositioned as a precursor to moral courage. DESIGN: The Walker and Avant approach is used to examine the attributes, antecedents, consequences, and empiric referents of student courage...
April 27, 2018: Nursing Forum
https://www.readbyqxmd.com/read/29696596/american-sign-language-interpreters-perceptions-of-barriers-to-healthcare-communication-in-deaf-and-hard-of-hearing-patients
#12
Rachel E Hommes, Amy I Borash, Kari Hartwig, Donna DeGracia
Communication barriers between healthcare providers and patients contribute to health disparities and the effectiveness of health promotion messages. This is especially true regarding communication between providers and deaf and hard of hearing (HOH) patients due to lack of understanding of cultural and linguistic differences, ineffectiveness of various means of communication and level of health literacy within that population. This research aimed to identify American Sign Language (ASL) interpreters' perceptions of barriers to effective communication between deaf and HOH patients and healthcare providers...
April 25, 2018: Journal of Community Health
https://www.readbyqxmd.com/read/29695198/effect-of-moral-empowerment-program-on-moral-distress-in-intensive-care-unit-nurses
#13
Safura Abbasi, Somayeh Ghafari, Mohsen Shahriari, Nahid Shahgholian
BACKGROUND: Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system. OBJECTIVE: The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality of care...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29682342/a-proposed-middle-range-theory-of-nursing-in-hypertension-care
#14
REVIEW
Eva Drevenhorn
Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient)...
2018: International Journal of Hypertension
https://www.readbyqxmd.com/read/29681040/balancing-between-privacy-and-patient-needs-for-health-information-in-the-age-of-participatory-health-and-social-media-a-scoping-review
#15
Mowafa Househ, Rebecca Grainger, Carolyn Petersen, Panagiotis Bamidis, Mark Merolli
OBJECTIVES:  With the increased use of participatory health enabling technologies, such as social media, balancing the need for health information with patient privacy and confidentiality has become a more complex and immediate concern. The purpose of this paper produced by the members of the IMIA Fbrticipatoiy Health and Social Media (PHSM) working group is to investigate patient needs for health information using participatory health enabling technologies, while balancing their needs for privacy and confidentiality...
April 22, 2018: Yearbook of Medical Informatics
https://www.readbyqxmd.com/read/29678096/developing-an-ehealth-tool-to-support-patient-empowerment-at-home
#16
Kristina Schildmeijer, Carolina Wannheden, Lina Nilsson, Oscar Frykholm, Amanda Hellström, Maria Flink, Mirjam Ekstedt
In previous research we have learned that patients with chronic or complex diseases often experience difficulties when transitioning from hospital care to self-care in their home. We address these difficulties by developing an eHealth tool for patients - ePATH (electronic Patient Activation in Treatment at Home) - intended to empower each patient to manage their individual situation. We have employed a user-centered design process involving both patients and healthcare personnel to specify the content and functionality of ePATH...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678050/evaluation-of-the-technology-acceptance-of-a-collaborative-documentation-system-for-addiction-therapists-and-clients
#17
Anja Perlich, Christoph Meinel, Daniel Zeis
Addiction treatment outcomes are strongly determined by relational factors. We present the interactive documentation system Tele-Board MED (TBM) developed as an adjunct to therapy sessions aimed at enhancing the therapeutic alliance and patient empowerment. The objective of this work is to find factors that predict the acceptance of TBM in face-to-face addiction treatment sessions. We combined the methodologies of survey and focus group and based the data collection and analysis on the Unified Theory of Acceptance and Use of Technology...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29678030/medical-system-choice-information-that-affects-the-selection-of-healthcare-provider-in-australia
#18
Tony Sahama, Andrew Stranieri, Kerryn Butler-Henderson, Isaac Golden
Many complementary and alternative medical practices (CAM) are readily assessable in Australia alongside Allopathic practitioners. Although CAM practices are prevalent, little is known about how patients seek and use information when deciding which system to consult. We report some preliminary findings of a longitudinal study, designed to solicit factors that influence the Australian public when selecting from diverse medical systems. Fifty-four general public participants, willing to provide their confidential and anonymous opinion were included...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29675870/clinical-leadership-structural-empowerment-and-psychological-empowerment-of-registered-nurses-working-in-an-emergency-department
#19
Megan Connolly, Stephen Jacobs, Karyn Scott
AIM: To examine clinical leadership of registered nurses in an emergency department, based on evidence that it is important for nurses to feel psychologically and structurally empowered in order to act as clinical leaders. BACKGROUND: Every registered nurse has the ability to act as a clinical leader. Clinical leadership is the registered nurse's behaviours that provide direction and support to patients and the team in the delivery of patient care. This study explores the connection between the need for structural and psychological empowerment and clinical leadership behaviours...
April 19, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29671791/the-antecedents-and-consequences-of-health-literacy-in-an-ecological-perspective-results-from-an-experimental-analysis
#20
Chiara Lorini, Francesca Ierardi, Letizia Bachini, Martina Donzellini, Fabrizio Gemmi, Guglielmo Bonaccorsi
This study analyses the relationship between the antecedents and consequences of health literacy (HL) at the ecological level among the nations involved in the European Health Literacy Survey (HLS-EU). The antecedents and consequences were investigated by means of proxy indicators. The HL was measured using the 47-item HLS-EU questionnaire (HLS-EUQ47) and the Newest Vital Sign (NVS). The two measures stood in significant correlation to the outcomes of the sub-discipline of the Euro Health Consumer Index (r = 0...
April 19, 2018: International Journal of Environmental Research and Public Health
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