keyword
https://read.qxmd.com/read/38533906/social-determinants-associated-with-substance-use-and-treatment-seeking-in-females-of-reproductive-age-in-the-united-states
#1
JOURNAL ARTICLE
Holly Horan, Alyssa Thompson, Kendall Willard, Emmily Mobley, Justin McDaniel, Ellen Robertson, Shanna McIntosh, David L Albright
Introduction: Females of reproductive age (FoRA; 15-49 years) are the demographic most likely to be diagnosed with a substance use disorder. Preventative treatment prior to or during pregnancy is critical. Stigma and social inequities can delay access to care. There is limited research examining social determinants of health (SDoH) and how they are related to substance use and treatment seeking in this demographic. Methods: We analyzed the 2016-2019 data from the United States National Survey on Drug Use and Health using multivariable logistic regression models...
March 27, 2024: Journal of Women's Health
https://read.qxmd.com/read/38533699/business-continuity-plan-in-the-management-and-operations-of-hospitals-first-experience-to-certify-the-pdta-processes-with-the-requirements-defined-by-iso-22301-2019-in-emergency-medical-services
#2
JOURNAL ARTICLE
Lucio Dell'Atti, Roberto Papa, Leonardo Incicchitti, Maria Katia Zanni, Andrea Zampa, Michele Caporossi
BACKGROUND: A business continuity plan (BCP) facilitates the performance of primary functions during emergencies or other situations that can disrupt normal operations. If risk management is done analytically, a business impact analysis (BIA), according to ISO 22301 certification, makes it possible to define the best strategy for supporting the company's assets and image, optimizing the operational efficiency of service recovery and redesigning spaces for health. Since 2015, our healthcare company has embarked on a certification process for all sectors and activities through the implementation and development of diagnostic and therapeutic paths for operational diagnos-tic-therapeutic-assistance pathways (PDTAs)...
2024: Journal of Emergency Management: JEM
https://read.qxmd.com/read/38533413/mnemonic-utilization-in-stroke-education-fast-and-befast-adoption-by-certified-comprehensive-stroke-centers
#3
JOURNAL ARTICLE
Christopher Hogge, Larry B Goldstein, Sushanth R Aroor
INTRODUCTION: Symptom recognition and timely access to treatment are critical components of acute stroke care systems. Two mnemonics widely used in public educational campaigns for recognizing stroke symptoms include FAST (Face-Arm-Speech-Time) and BEFAST (Balance-Eyes-Face-Arm Speech-Time). The FAST mnemonic can miss up to 14% of strokes. BEFAST includes common posterior circulation stroke symptoms and has been implemented by several Comprehensive Stroke Centers (CSCs). METHODS: We sought to analyze the pattern of public educational materials available on the websites of US CSCs...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38533294/a-review-and-discussion-of-full-time-equivalency-and-appropriate-compensation-models-for-an-adult-intensivist-in-the-united-states-across-various-base-specialties
#4
JOURNAL ARTICLE
Michael Nurok, Brigid C Flynn, Marc Pineton de Chambrun, Mina Kazemian, Joel Geiderman, Mark E Nunnally
OBJECTIVES: Physicians with training in anesthesiology, emergency medicine, internal medicine, neurology, and surgery may gain board certification in critical care medicine upon completion of fellowship training. These clinicians often only spend a portion of their work effort in the ICU. Other work efforts that benefit an ICU infrastructure, but do not provide billing opportunities, include education, research, and administrative duties. For employed or contracted physicians, there is no singular definition of what constitutes an intensive care full-time equivalent (FTE)...
April 2024: Critical care explorations
https://read.qxmd.com/read/38532915/commonly-used-diagnostic-label-classes-domain-and-formulation-among-nursing-students-in-ibadan-oyo-state-nigeria
#5
JOURNAL ARTICLE
Iyanuoluwa O Ojo, Elizabeth O Kazeem, Olufemi O Oyediran, Timothy O Oladosu, Adenike A Olaogun, Prisca O Adejumo
BACKGROUND: In order to select nursing actions that will produce the desired results, a nursing diagnosis is crucial. Despite this, it can be challenging for nursing students to recognize and create precise nursing diagnostic labels that are particular to a patient's situation. The study's objectives are to identify the diagnostic labels, classes, and domains that are frequently formulated by nursing students. MATERIALS AND METHODS: A descriptive cross-sectional methodology and a self-developed questionnaire were utilized to gather information from 120 nursing students who were chosen using a simple random sampling technique...
2024: Journal of Education and Health Promotion
https://read.qxmd.com/read/38532677/-improving-the-standby-process-completion-rate-among-nurses-for-high-risk-neonates
#6
JOURNAL ARTICLE
Mo-Fen Wu, Li-Ying Chung
BACKGROUND & PROBLEMS: Readiness process effectiveness significantly impacts the safety of high-risk neonates and requires an immediately responsive and well-trained healthcare team. Analysis of our unit found the high-risk neonatal standby process completion rate among nursing staff to be very low. Reasons for this poor level of performance included absence of standardized procedures for high-risk neonatal standby, lack of an auditing system, inadequate education and training, multiple medical supplies in the standby kits, absence of a checklist for the kits, and failure to regularly inventory the contents of these kits...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532636/characterization-of-distinctive-teaching-practices-in-longitudinal-integrated-clerkships-perspectives-from-students-and-faculty
#7
JOURNAL ARTICLE
Jennifer E Adams, Sheilah Jiménez, Vishnu Kulasekaran, Anne Frank, Catherine Ard, Kristina Sandquist, Heather M Cassidy
Phenomenon : Longitudinal integrated clerkships (LICs) are novel curricula that place medical students in long-term learning and coaching relationships with faculty and require adaptation of teaching practices on the behalf of faculty to maximize learning outcomes. An understanding of how teaching in an LIC model differs from teaching trainees in more traditional models is critical to ensuring curricular innovation success through faculty development. Approach : A qualitative approach was used to describe the teaching practices of faculty and learning experiences of student participants in longitudinal integrated clerkships in different clinical and community settings...
March 26, 2024: Teaching and Learning in Medicine
https://read.qxmd.com/read/38529656/addressing-disparities-in-acute-stroke-management-and-prognosis
#8
REVIEW
M Carter Denny, Nicole Rosendale, Nicole R Gonzales, Thabele M Leslie-Mazwi, Sandy Middleton
There are now abundant data demonstrating disparities in acute stroke management and prognosis; however, interventions to reduce these disparities remain limited. This special report aims to provide a critical review of the current landscape of disparities in acute stroke care and highlight opportunities to use implementation science to reduce disparities throughout the early care continuum. In the prehospital setting, stroke symptom recognition campaigns that have been successful in reducing prehospital delays used a multilevel approach to education, including mass media, culturally tailored community education, and professional education...
March 26, 2024: Journal of the American Heart Association
https://read.qxmd.com/read/38529440/a-comprehensive-review-on-managing-fracture-calcaneum-by-surgical-and-non-surgical-modalities
#9
REVIEW
Aditya Chirayath, Nareshkumar Dhaniwala, Kevin Kawde
This comprehensive review delves into the multifaceted landscape of calcaneal fractures, thoroughly examining their aetiology, clinical presentation, and diverse management strategies. Encompassing surgical and non-surgical approaches, the review scrutinises critical aspects such as patient compliance, rehabilitation protocols, and long-term follow-up considerations. Surgical modalities, propelled by recent innovations like minimally invasive techniques and advanced fixation materials, are juxtaposed with non-surgical interventions, emphasising the pivotal role of patient education and adherence to optimise outcomes...
February 2024: Curēus
https://read.qxmd.com/read/38528519/outcomes-of-professional-misconduct-by-nurses-a-qualitative-study
#10
JOURNAL ARTICLE
Shokoh Varaei, Nahid Dehghan Nayeri, Leila Sayadi, Mehraban Shahmari, Akram Ghobadi
BACKGROUND: Professional misconduct by nurses is a critical challenge in providing safe quality care, which can lead to devastating and extensive outcomes. Explaining the experiences of clinical nurses and nursing managers in this regard using an in-depth qualitative method can be beneficial. This study was conducted with the aim of explaining the experiences of nurses regarding the outcomes of professional misconduct. METHODS: The present study used a qualitative descriptive with a conventional content analysis approach...
March 25, 2024: BMC Nursing
https://read.qxmd.com/read/38527076/parenteral-nutrition-at-home-long-term-parenteral-nutrition
#11
JOURNAL ARTICLE
Vanessa J Kumpf, Brenda Gray, Jessica Monczka, Sarah Zeraschi, Stanislaw Klek
DISCLAIMER: In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. PURPOSE: Some diseases require that patients receive parenteral nutrition (PN) over a prolonged time period...
March 25, 2024: American Journal of Health-system Pharmacy: AJHP
https://read.qxmd.com/read/38525881/antimicrobial-stewardship-and-molecular-diagnostics-a-symbiotic-approach-to-combating-resistance-in-the-ed-and-icu
#12
JOURNAL ARTICLE
Jan J De Waele, Jerina Boelens
PURPOSE OF THE REVIEW: This review aims to evaluate the incorporation of rapid molecular diagnostics (RMD) in antimicrobial stewardship programs (ASPs) in the management of patients in the emergency department (ED) and intensive care unit (ICU), highlighting a shift from conventional microbiological diagnostic tests to RMD strategies to optimize antimicrobial use and improve patient outcomes. RECENT FINDINGS: Recent advances in RMD have demonstrated the superior accuracy of RMD in identifying pathogens, combined with shorter turnaround times...
March 22, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525875/boarding-in-the-emergency-department-challenges-and-mitigation-strategies
#13
JOURNAL ARTICLE
Fernando J da Silva Ramos, Flavio G R Freitas, Flavia R Machado
PURPOSE OF REVIEW: Herein, we conducted a review of the literature to better understand the issue of prolonged emergency department (ED) boarding by providing an overview of the current evidence on the available causes, consequences, and mitigation strategies. RECENT FINDINGS: Severely ill patients awaiting transfer to intensive care units (ICU) imposes additional burdens on the emergency care team from both a clinical and management perspective. The reasons for prolonged ED boarding are multifactorial...
March 20, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525579/community-perceptions-of-community-health-worker-effectiveness-contributions-to-health-behaviour-change-in-an-urban-health-district-in-south-africa
#14
JOURNAL ARTICLE
L S Thomas, Y Pillay, E Buch
BACKGROUND: Community health worker (CHW) programmes contribute towards strengthening adherence support, improving maternal and child health outcomes and providing support for social services. They play a valuable role in health behaviour change in vulnerable communities. Large-scale, comprehensive CHW programmes at health district level are part of a South African (SA) strategy to re-engineer primary healthcare and take health directly into communities and households, contributing to universal health coverage...
February 13, 2024: South African Medical Journal
https://read.qxmd.com/read/38525263/current-situation-and-barriers-to-women-s-leadership-in-health-care-education-in-saudi-arabia-a-cross-sectional-study
#15
JOURNAL ARTICLE
Ohoud S Almalki, Ahmed Ibrahim Fathelrahman, Osamah M Alfayez, Ghada A Bawazeer
BACKGROUND: The aims of the current study were to explore the true representation of female academic staff who have advanced to leadership positions in Saudi health academic institutions and to determine the possible barriers to women's advancement to leadership positions in academia. METHODOLOGY: This was a cross-sectional study conducted between August 2022 and August 2023 using an adapted self-reported online questionnaire via Google form. Data was analyzed descriptively and comparatively by presenting frequencies with percentages besides means with standard deviations across various background categories and comparing them using student t test...
May 2024: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://read.qxmd.com/read/38523820/asymptomatic-paroxysmal-ventricular-standstill-in-an-elderly-male-following-revascularization-of-multivessel-coronary-disease-a-case-report-and-literature-review
#16
Andrew Sagalov, Shashi Maryala, Abhishek Kulkarni, Shruti Hegde, Mohamed Labedi
Ventricular standstill is a dangerous arrhythmia that requires prompt diagnosis and intervention, especially in patients with structural heart disease. Clinicians should recognize ventricular standstill as a complication of cardiac revascularization and be cognizant of asymptomatic cases necessitating intervention. Early evaluation to facilitate pacemaker implantation portends good outcomes in this patient subgroup.
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38523649/addressing-disparities-in-cancer-clinical-trials-a-roadmap-to-more-equitable-accrual
#17
JOURNAL ARTICLE
Jon A Hoin, Bradley C Carthon, Shantoria J Brown, Lynn M Durham, L Crain Garrot, Sharad A Ghamande, Andrew W Pippas, Brian M Rivers, Cindy T Snyder, Sheryl Gordon Ann Gabram-Mendola
The Georgia Center for Oncology Research and Education (Georgia CORE) and the Georgia Society of Clinical Oncology (GASCO) held a one-day summit exploring opportunities and evidence-based interventions to address disparities in cancer clinical trials. The purpose of the summit was to identify clear and concise recommendations aimed at decreasing clinical trial accrual disparities in Georgia for rural and minority populations. The summit included expert presentations, panel discussions with leaders from provider organizations throughout Georgia, and breakout sessions to allow participants to critically discuss the information presented...
2024: Front Health Serv
https://read.qxmd.com/read/38521999/factors-influencing-interprofessional-collaboration-in-long-term-care-from-a-multidisciplinary-perspective-a-case-study-approach
#18
JOURNAL ARTICLE
Yuko Yoshida, Yoshihisa Hirakawa, Young Jae Hong, Md Razib Mamun, Hiroko Shimizu, Yoshihisa Nakano, Hiroshi Yatsuya
Systematic assessments of interprofessional collaboration barriers and enablers in long-term care settings are critical for delivering person-centered healthcare. However, research on factors influencing interprofessional collaboration in long-term care settings is limited. For this study, 65 healthcare professionals across multiple facilities experienced in long-term care in Japan participated in online focus group discussions and individual interviews to discuss cases. The qualitative data were analyzed using qualitative content analysis...
March 24, 2024: Home Health Care Services Quarterly
https://read.qxmd.com/read/38521519/qualitative-investigation-of-military-surgical-resuscitation-teams-what-are-the-drivers-of-success-of-a-rapid-response-team
#19
JOURNAL ARTICLE
Matthew J Eckert, Lara Varpio, Michael Soh, Sayra Cristancho
OBJECTIVES: This qualitative study explores the characteristics of a specialised military medical rapid response team (MRRT), the surgical resuscitation team (SRT). Despite mixed evidence of efficacy, civilian MRRTs are widely employed, with significant variation in structure and function. Recent increased use of these teams to mitigate patient risk in challenging healthcare scenarios, such as global pandemics, mass casualty events and resource-constrained health systems, mandates a reconceptualisation of how civilian MRRTs are created, trained and used...
March 23, 2024: BMJ Open
https://read.qxmd.com/read/38520987/adherence-to-the-atrial-fibrillation-better-care-pathway-and-its-associated-factors-among-rural-patients-with-atrial-fibrillation-in-china-a-cross-sectional-study
#20
JOURNAL ARTICLE
Xiaomin Zhang, Wenxuan Wang, Jianqing Zeng, Qirao Ye, Xinwei Lai, Xiaomei Cai, Xiulin Diao, Jun Huang, Kun Li
BACKGROUND: The atrial fibrillation better care (ABC) pathway is an effective strategy for the integrated management of atrial fibrillation (AF). Current data on adherence to the ABC pathway among rural patients with AF in China are limited. OBJECTIVES: To investigated adherence to the ABC pathway and its associated factors among rural patients with AF in China. METHODS: In the cross-sectional study, we recruited 870 rural patients with AF from July 2022 to July 2023 in China...
March 22, 2024: Heart & Lung: the Journal of Critical Care
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