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https://www.readbyqxmd.com/read/28812056/initiating-a-standardized-regional-referral-and-counter-referral-system-in-guatemala-a-mixed-methods-study
#1
Rupa Kapoor, Leslie Avendaño, Maria Antonieta Sandoval, Andrea T Cruz, Esther M Sampayo, Miguel A Soto, Elizabeth A Camp, Heather L Crouse
Background:Few data exist for referral processes in resource-limited settings. We utilized mixed-methods to evaluate the impact of a standardized algorithm and training module developed for locally identified needs in referral/counter-referral procedures between primary health centers (PHCs) and a Guatemalan referral hospital. Methods: PHC personnel and hospital physicians participated in surveys and focus groups pre-implementation and 3, 6, and 12 months post-implementation to evaluate providers' experience with the system...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28811271/-am-i-normal-the-wishes-of-patients-with-lymphoma-to-compare-their-patient-reported-outcomes-with-those-of-their-peers
#2
Simone Oerlemans, Lindy P Arts, Nicole J Horevoorts, Lonneke V van de Poll-Franse
BACKGROUND: Providing feedback to patients on their patient-reported outcomes (PROs) can help patients in monitoring their functioning and symptoms and may help empower them. OBJECTIVE: The objective of this study was to investigate whether patients with lymphoma wished to receive PRO feedback, including the option to compare their scores with those of their peers, and how this feedback was evaluated. METHODS: We invited 64 patients participating in a lymphoma cohort who were eligible for a follow-up questionnaire and gave them the option to receive PRO feedback...
August 15, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28809193/patient-at-work-in-the-era-of-pro
#3
Ann Bygholm, Pernille Bertelsen
There is a widespread consensus that it is important to involve patient in their own care, both for the reasons of quality and safety in healthcare and for the sake of the patients' individual rights. The appreciation of patient participation and related notions such as patient empowerment, patient centered care, patient involvement, patient as co-producers of health et cetera, indicate that the role of the patient have changed over the last decades. It has changed from being a passive recipient of treatment to becoming an active and responsible agent...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28798701/a-qualitative-investigation-on-patient-empowerment-in-prostate-cancer
#4
Chiara Renzi, Chiara Fioretti, Serena Oliveri, Ketti Mazzocco, Dario Zerini, Ombretta Alessandro, Damaris P Rojas, Barbara A Jereczek-Fossa, Gabriella Pravettoni
Purpose: Men with prostate cancer often describe low levels of empowerment. eHealth interventions may represent useful tools to deliver care and education and to meet patients' needs within an empowerment framework. In order to design a platform for cancer patients' empowerment within the H2020 iManageCancer project, the perspective of the target population for the platform was assessed. The present study aims to assess the qualitative experience of prostate cancer patients during treatment in order to provide insights for clinical practice with a particular focus on the design of a web platform to promote cancer patients' empowerment...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28797518/telemedicine-in-the-treatment-of-patients-with-inflammatory-bowel-disease
#5
Mariam Aguas, Javier Del Hoyo, Raquel Faubel, Bernardo Valdivieso, Pilar Nos
Inflammatory bowel disease (IBD) is a chronic and relapsing disorder with significant medical, social and financial impacts. IBD patients require continuous follow-up, and healthcare resource use in this context increases over time. In the last decade, telemedicine has influenced the treatment of chronic diseases like IBD via the application of information and communication technologies to provide healthcare services remotely. Telemedicine and its various applications (telemanagement, teleconsulting and tele-education) enable closer follow-up and provide education resources that promote patient empowerment, encouraging treatment optimisation over the entire course of the disease...
August 7, 2017: Gastroenterología y Hepatología
https://www.readbyqxmd.com/read/28795856/strengths-based-nursing-a-process-for-implementing-a-philosophy-into-practice
#6
Laurie N Gottlieb, Bruce Gottlieb
Strengths-Based Nursing (SBN) is both a philosophy and value-driven approach that can guide clinicians, educators, manager/leaders, and researchers. SBN is rooted in principles of person/family centered care, empowerment, relational care, and innate health and healing. SBN is family nursing yet not all family nursing models are strengths-based. The challenge is how to translate a philosophy to change practice. In this article, we describe a process of implementation that has organically evolved of a multi-layered and multi-pronged approach that involves patients and families, clinicians, educators, leaders, managers, and researchers as well as key stakeholders including union leaders, opinion leaders, and policy makers from both nursing and other disciplines...
July 1, 2017: Journal of Family Nursing
https://www.readbyqxmd.com/read/28795603/measurement-invariance-of-the-short-wake-forest-physician-trust-scale-and-of-the-health-empowerment-scale-in-german-and-french-women
#7
Serena Petrocchi, Nanon H M Labrie, Peter J Schulz
Measurement invariance is a crucial prerequisite to carry out cross-cultural research and to provide knowledge that enables culturally diverse patients to feel comfortable with their health providers. Although trust in doctors and health empowerment are widely studied, no previous research has examined their measurement invariance. The Short Wake Forest Physician Trust scale and the Health Empowerment scale were administered online. Participants were 217 German-speaking women ( M = 39.07, standard deviation = 5...
August 1, 2017: Journal of Health Psychology
https://www.readbyqxmd.com/read/28793835/culturally-tailoring-a-patient-empowerment-and-diabetes-education-curriculum-for-the-african-american-church
#8
Eric Whitney, Elijah Kindred, Abdullah Pratt, Yolanda O'Neal, Rev Chauncey P Harrison, Monica E Peek
Purpose The African American church has long been recognized as a valuable partner for health interventions in the community. While an extensive literature exists documenting the potential efficacy of diabetes education programs in church settings, there has yet to be an effort to leverage spiritual beliefs and practices to promote diabetes self-management and shared decision making within a faith-based framework that is culturally tailored to the African American church. The purpose of this article is to describe the translation of a clinic-based diabetes education program into faith-based education curriculum tailored for use in the African American church...
August 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28782335/elimination-of-hcv-as-a-public-health-concern-among-people-who-inject-drugs-by-2030-what-will-it-take-to-get-there
#9
REVIEW
Jason Grebely, Gregory J Dore, Sébastien Morin, Jürgen K Rockstroh, Marina B Klein
INTRODUCTION: Globally, there is a considerable burden of HCV and HIV infections among people who inject drugs (PWID) and transmission of both infections continues. Needle and syringe programme (NSP) and opioid substitution therapy (OST) coverage remains low, despite evidence demonstrating their prevention benefit. Direct-acting antiviral therapies (DAA) with HCV cure >95% among PWID provide an opportunity to reverse rising trends in HCV-related morbidity and mortality and reduce incidence...
July 28, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28776485/evidence-based-feedback-about-emotional-cancer-challenges-experienced-in-south-africa-a-qualitative-analysis-of-316-photovoice-interviews
#10
Lynn Barbara Edwards, Linda Estelle Greeff
This study aims to offer evidence-based feedback about the emotional challenges of cancer in South Africa. The action research photovoice methodology was used to capture accounts of cancer-related challenges via 316 face-to-face interviews with cancer patients and family members (n = 286), and oncology support and medical staff (n = 30). The photovoice contributions constituted qualitative data that were analysed according to inductive thematic analysis whereby nine themes of cancer challenges were identified and photovoice images were descriptively summarised from a phenomenological perspective...
August 4, 2017: Global Public Health
https://www.readbyqxmd.com/read/28771287/quality-of-life-in-patients-with-schizophrenia-in-china-relationships-among-demographic-characteristics-psychosocial-variables-and-symptom-severity
#11
Chunfeng Cai, Liping Yu
The aim of the current study was to examine the relationships among demographic characteristics, psychosocial variables, symptom severity, and quality of life (QOL), and the way these variables affect QOL in patients with schizophrenia living in Hubei, China. A convenience sample of 178 individuals with schizophrenia participated. The results suggest that the Schizophrenia Quality of Life Scale was positively and statistically significantly correlated with employment status (r = 0.232, p < 0.01) and monthly household income (r = 0...
August 1, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/28770663/a-successful-model-for-clinical-training-in-child-adolescent-cognitive-behavior-therapy-for-graduate-psychiatric-advanced-practice-nursing-students
#12
Pamela Lusk, Beverly G Hart Abney, Bernadette Mazurek Melnyk
BACKGROUND: Graduate faculty in advanced practice nursing programs seek to provide clinical training in psychotherapy for psychiatric mental health nurse practitioner (PMHNP) students and prepare them for practice with patients across the lifespan, including children and adolescents. OBJECTIVE: To develop a clinical training model for child/adolescent cognitive behavior therapy (CBT) that is adaptable to all graduate nursing programs including online, classroom, and blended programs...
August 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28769147/applications-of-the-capability-approach-in-the-health-field-a-literature-review
#13
Paul Mark Mitchell, Tracy E Roberts, Pelham M Barton, Joanna Coast
The primary aims of this review are to document capability applications in the health field and to explore the objectives and decision-rules of studies measuring capability more broadly. Relevant studies are identified using a literature search strategy known as "comprehensive pearl growing". All studies with a primary focus on health are assessed individually, whilst a summary narrative analysis of the full review examines the objectives of capability studies. Four distinct groups in the health field are identified in the review: (1) physical activity and diet; (2) patient empowerment; (3) multidimensional poverty and (4) assessments of health and social care interventions...
2017: Social Indicators Research
https://www.readbyqxmd.com/read/28768590/use-of-a-patient-empowerment-tool-for-hand-hygiene
#14
Allison Lastinger, Kayeromi Gomez, Ellen Manegold, Rashida Khakoo
BACKGROUND: Patient empowerment is recognized as an important component of a multimodal strategy to improve hand hygiene adherence. We examined the attitudes of adult patients and parents of pediatric patients toward a new patient empowerment tool (PET) at our hospital. We also surveyed physicians to determine their perceptions about the PET. METHODS: A cross-sectional survey was performed of hospitalized children's parents and adult patients in a 531-bed tertiary care teaching hospital in West Virginia...
August 1, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28764729/does-one-size-really-fit-all-the-effectiveness-of-a-non-diagnosis-specific-integrated-mental-health-care-program-in-germany-in-a-prospective-parallel-group-controlled-multi-centre-trial
#15
Annabel Sandra Mueller-Stierlin, Marina Julia Helmbrecht, Katrin Herder, Stefanie Prinz, Nadine Rosenfeld, Julia Walendzik, Marco Holzmann, Uemmueguelsuem Dinc, Matthias Schützwohl, Thomas Becker, Reinhold Kilian
BACKGROUND: The Network for Mental Health (NWpG-IC) is an integrated mental health care program implemented in 2009 by cooperation between health insurance companies and community mental health providers in Germany. Meanwhile about 10,000 patients have been enrolled. This is the first study evaluating the effectiveness of the program in comparison to standard mental health care in Germany. METHODS: In a parallel-group controlled trial over 18 months conducted in five regions across Germany, a total of 260 patients enrolled in NWpG-IC and 251 patients in standard mental health care (TAU) were recruited between August 2013 and November 2014...
August 1, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28758544/what-facilitates-patient-empowerment-in-cancer-patients-during-follow-up-a-qualitative-systematic-review-of-the-literature
#16
Clara R Jørgensen, Thora G Thomsen, Lone Ross, Susanne M Dietz, Signe Therkildsen, Mogens Groenvold, Charlotte L Rasmussen, Anna T Johnsen
Empowerment is a concept of growing importance in cancer care, but little is known about cancer patients' experiences of empowerment during follow-up. To explore this area, a qualitative systematic literature review was conducted in PubMed, CINAHL, and PsycINFO. A total of 2,292 papers were identified and 38 articles selected and included in the review. The thematic synthesis of the papers resulted in seven analytical themes being identified: empowerment as an ongoing process, knowledge is power, having an active role, communication and interaction between patients and health care professionals, support from being in a group, religion and spirituality, and gender...
July 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28757097/nursing-role-on-rapid-recovery-programmes-fast-track
#17
Alfonso Sevillano-Jiménez, Manuel Romero-Saldaña, Guillermo Molina-Recio
Rapid recovery (RR) or fast-track programmes are aimed at reducing surgical stress, leading to a reduction in nurse workload, costs and hospital stay, greater patient empowerment, early post-surgical recovery and reduced morbidity and mortality. These new protocols require the coordinated participation of a multidisciplinary team. Based on an integrative review of the literature, this paper aims to define the concept of a RR or fast track programme and show the existing evidence on the implementation of these programmes in nursing...
July 27, 2017: Enfermería Clínica
https://www.readbyqxmd.com/read/28756572/patient-satisfaction-and-quality-of-life-in-people-with-schizophrenia-spectrum-disorders-in-a-rural-area
#18
Manuel Furrer, Nurith Juliane Jakob, Katja Cattapan-Ludewing, Azizi Seixas, Christian G Huber, Andres R Schneeberger
People suffering from schizophrenia-spectrum disorders often endorse a reduced quality of life (QoL) as compared to the general population. There appears to be a lack of studies for rural catchment areas for this patient population. We conducted a cross-sectional study with 94 people with schizophrenia-spectrum disorders in a mainly rural alpine area. We used multilevel models controlled for covariates to analyze the data. Total service satisfaction was associated with psychological aspects of subjective QoL and physical well-being in our model...
July 29, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28751837/anmco-sic-consensus-document-cardiology-networks-for-outpatient-heart-failure-care
#19
Nadia Aspromonte, Michele Massimo Gulizia, Andrea Di Lenarda, Andrea Mortara, Ilaria Battistoni, Renata De Maria, Michele Gabriele, Massimo Iacoviello, Alessandro Navazio, Daniela Pini, Giuseppe Di Tano, Marco Marini, Renato Pietro Ricci, Gianfranco Alunni, Donatella Radini, Marco Metra, Francesco Romeo
Changing demographics and an increasing burden of multiple chronic comorbidities in Western countries dictate refocusing of heart failure (HF) services from acute in-hospital care to better support the long inter-critical out-of- hospital phases of HF. In Italy, as well as in other countries, needs of the HF population are not adequately addressed by current HF outpatient services, as documented by differences in age, gender, comorbidities and recommended therapies between patients discharged for acute hospitalized HF and those followed-up at HF clinics...
May 2017: European Heart Journal Supplements: Journal of the European Society of Cardiology
https://www.readbyqxmd.com/read/28749054/the-precision-medicine-nation
#20
Maya Sabatello, Paul S Appelbaum
The United States' ambitious Precision Medicine Initiative proposes to accelerate exponentially the adoption of precision medicine, an approach to health care that tailors disease diagnosis, treatment, and prevention to individual variability in genes, environment, and lifestyle. It aims to achieve this by creating a cohort of volunteers for precision medicine research, accelerating biomedical research innovation, and adopting policies geared toward patients' empowerment. As strategies to implement the PMI are formulated, critical consideration of the initiative's ethical and sociopolitical dimensions is needed...
July 2017: Hastings Center Report
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