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https://www.readbyqxmd.com/read/28079424/career-development-for-all-ages
#1
Sam Foster
Sam Foster, Chief Nurse at Heart of England NHS Foundation Trust, considers the issues around career progression and staff retention and how they differ between generations.
January 12, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28078658/the-past-does-matter-a-nursing-perspective-on-post-traumatic-slave-syndrome-ptss
#2
Ejim Sule, Ryan M Sutton, Debbie Jones, Ramel Moore, Imaculata Igbo, Lovell A Jones
Few have reviewed the impact of post traumatic slave syndrome (PTSS) on the issues of inequities, especially as it pertains to mental and physical health. Furthermore, the impact of PTSS on the social determinants of health is an area that has been researched by few investigators. The possibilities that the impact of slavery and/or major stress events in the life of a population can become trans-generational are lost to history. Think about what is taking place in cities around the country and then think about racist socialization (internalized racism) and its impact on our society...
January 11, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28071843/automated-measurement-of-pressure-injury-through-image-processing
#3
Dan Li, Carol Mathews
AIMS AND OBJECTIVES: Develop an image processing algorithm to automatically measure pressure injuries using electronic pressure injury images stored in nursing documentation. BACKGROUND: Photographing pressure injuries and storing the images in the electronic health record is standard practice in many hospitals. However, the manual measurement of pressure injury is time-consuming, challenging, and subject to intra-inter-reader variability with complexities of the pressure injury and the clinical environment...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071246/family-perspectives-on-organ-and-tissue-donation-for-transplantation-a-principlist-analysis
#4
Marcelo José Dos Santos, Lydia Feito
BACKGROUND: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. OBJECTIVE: This study aims to analyze the family interview process with a focus on principlist bioethics. METHOD: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: "Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28069848/aco-affiliated-hospitals-reduced-rehospitalizations-from-skilled-nursing-facilities-faster-than-other-hospitals
#5
Ulrika Winblad, Vincent Mor, John P McHugh, Momotazur Rahman
Medicare's more than 420 accountable care organizations (ACOs) provide care for a considerable percentage of the elderly in the United States. One goal of ACOs is to improve care coordination and thereby decrease rates of rehospitalization. We examined whether ACO-affiliated hospitals were more effective than other hospitals in reducing rehospitalizations from skilled nursing facilities. We found a general reduction in rehospitalizations from 2007 to 2013, which suggests that all hospitals made efforts to reduce rehospitalizations...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28069627/what-aspects-of-intentional-rounding-work-in-hospital-wards-for-whom-and-in-what-circumstances-a-realist-evaluation-protocol
#6
Ruth Harris, Sarah Sims, Ros Levenson, Stephen Gourlay, Fiona Ross Cbe, Nigel Davies, Sally Brearley, Giampiero Favato, Robert Grant
INTRODUCTION: Intentional rounding (IR) is a structured process whereby nurses in hospitals carry out regular checks, usually hourly, with individual patients using a standardised protocol to address issues of positioning, pain, personal needs and placement of items. The widespread implementation of IR across the UK has been driven by the recommendations of the Francis Inquiry although empirical evidence of its effectiveness is poor. This paper presents a protocol of a multimethod study using a realist evaluation approach to investigate the impact and effectiveness of IR in hospital wards on the organisation, delivery and experience of care from the perspective of patients, their family members and staff...
January 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28068999/intention-to-leave-profession-psychosocial-environment-and-self-rated-health-among-registered-nurses-from-large-hospitals-in-brazil-a-cross-sectional-study
#7
Daiana Rangel de Oliveira, Rosane Härter Griep, Luciana Fernandes Portela, Lucia Rotenberg
BACKGROUND: Nurses' intention to leave their profession is a worldwide concern. Studies have shown that it can take the form of a chain reaction: many nurses first leave the unit, then the hospital, and finally the profession. Organisation and other labour factors, personal and conjunctural, have been associated with the intention to quit nursing. This study aimed to examine the factors associated with the intention to leave the profession among registered nurses (RNs) at large public hospitals in Brazil...
January 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28068960/nutritional-status-among-primary-school-children-in-rural-sri-lanka-a-public-health-challenge-for-a-country-with-high-child-health-standards
#8
N P G C R Naotunna, M Dayarathna, H Maheshi, G S Amarasinghe, V S Kithmini, M Rathnayaka, L Premachandra, N Premarathna, P C Rajasinghe, G Wijewardana, T C Agampodi, S B Agampodi
BACKGROUND: Nutritional status of pre adolescent children is not widely studied in Sri Lanka. The purpose of this study was to determine the nutritional status among pre-adolescent school children in a rural province of Sri Lanka. METHODS: A school based cross sectional study was carried out in North Central Province in 100 rural schools, selected using multi stage cluster sampling with probability proportionate to size. Children in grade one to five were enrolled with a maximum cluster size of fifty...
January 10, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28062813/the-transition-of-primary-care-group-practices-to-next-generation-models-satisfaction-of-staff-clinicians-and-patients
#9
Therese Zink, John Kralewski, Bryan Dowd
INTRODUCTION: Restructuring primary care is essential to achieve the triple aim. This case study examines the human factors of extensive redesign on 2 midsized primary care clinics (clinics A and B) in the Midwest United States that are owned by a large health care system. The transition occurred when while the principles for patient-centered medical home were being rolled out nationally, and before the Affordable Care Act. METHODS: After the transition, interviews and discussions were conducted with 5 stakeholder groups: health system leaders, clinic managers, clinicians, nurses, and reception staff...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28061873/prophylactic-melatonin-for-delirium-in-intensive-care-pro-medic-study-protocol-for-a-randomised-controlled-trial
#10
F Eduardo Martinez, Matthew Anstey, Andrew Ford, Brigit Roberts, Miranda Hardie, Robert Palmer, Lynn Choo, David Hillman, Michael Hensley, Erin Kelty, Kevin Murray, Bhajan Singh, Bradley Wibrow
BACKGROUND: Delirium is an acute state of brain dysfunction characterised by fluctuating inattention and cognitive disturbances, usually due to illness. It occurs commonly in the intensive care unit (ICU), and it is associated with greater morbidity and mortality. It is likely that disturbances of sleep and of the day-night cycle play a significant role. Melatonin is a naturally occurring, safe and cheap hormone that can be administered to improve sleep. The main aim of this trial will be to determine whether prophylactic melatonin administered to critically ill adults, when compared with placebo, decreases the rate of delirium...
January 6, 2017: Trials
https://www.readbyqxmd.com/read/28060000/embracing-the-concept-defining-the-practice-and-changing-the-outcome-setting-the-standard-for-medical-adhesive-related-skin-injury-interventions-in-woc-nursing-practice
#11
Stephanie Yates, Laurie McNichol, Steven B Heinecke, Mikel Gray
Medical adhesive-related skin injury (MARSI) is a comparatively new category of skin damage. Our current understanding of MARSI originates from an interdisciplinary consensus conference held in 2012 that generated and disseminated 25 statements pertaining to the assessment, prevention, and management of MARSI, along with gaps in research and knowledge related to this area. The 2012 MARSI Consensus Group also challenged each organization to refine the original statements to make them more relevant to their particular area of practice...
January 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/28059691/establishing-data-intensive-healthcare-the-case-of-hospital-electronic-prescribing-and-medicines-administration-systems-in-scotland
#12
Kathrin Cresswell, Pam Smith, Charles Swainson, Angela Timoney, Aziz Sheikh
BACKGROUND: Creating learning health systems, characterised by the use and repeated reuse of demographic, process and clinical data to improve the safety, quality and efficiency of care, is a key aim in realising the potential benefits and efficiency savings associated with the implementation of health information technology. OBJECTIVES: We sought to investigate stakeholder perspectives on and experiences of the implementation of hospital electronic prescribing and medicines administration (HEPMA) systems in Scotland and use these to inform political decisions on approaches to promoting the use and reuse of digitised prescribing and medication administration data in order to improve care processes and outcomes...
October 4, 2016: Journal of Innovation in Health Informatics
https://www.readbyqxmd.com/read/28057565/development-and-validation-of-a-continuously-age-adjusted-measure-of-patient-condition-for-hospitalized-children-using-the-electronic-medical-record
#13
Michael J Rothman, Joseph J Tepas, Andrew J Nowalk, James E Levin, Joan M Rimar, Albert Marchetti, Allen L Hsiao
Awareness of a patient's clinical status during hospitalization is a primary responsibility for hospital providers. One tool to assess status is the Rothman Index (RI), a validated measure of patient condition for adults, based on empirically derived relationships between 1-year post-discharge mortality and each of 26 clinical measurements available in the electronic medical record. However, such an approach cannot be used for pediatrics, where the relationships between risk and clinical variables are distinct functions of patient age, and sufficient 1-year mortality data for each age group simply does not exist...
January 2, 2017: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/28045887/psychometric-testing-of-a-religious-belief-scale
#14
Yi-Chien Chiang, Hsiang-Chun Lee, Tsung-Lane Chu, Chin-Yen Han, Ya-Chu Hsiao
BACKGROUND: Nurses account for a significant percentage of staff in the healthcare system. The religious beliefs of nurses may affect their competence to provide spiritual care to patients. No reliable and valid instruments are currently available to measure the religious beliefs of nurses in Taiwan. PURPOSES: The aims of this study were to develop a religious belief scale (RBS) for Taiwanese nurses and to evaluate the psychometric properties of this scale. METHODS: A cross-sectional study design was used, and 24 RBS items were generated from in-depth interviews, a literature review, and expert recommendations...
December 29, 2016: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/28042920/being-a-close-family-member-of-a-person-with-dementia-living-in-a-nursing-home
#15
Berit Seiger Cronfalk, Britt-Marie Ternestedt, Astrid Norberg
AIM: The objectives of this study were to illuminate how family members of persons with dementia describe their own experiences, before and after placing the relative in a nursing home. Background In the western world and with a growing population of older people, the number of persons with dementia increase. Family members often become carers in their own homes creating stressful and exhausting situation that eventually leads to re-locating the person to a 6 nursing home. This may lead to troubled conscience among family members...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28038371/conventional-vs-e-learning-in-nursing-education-a-systematic-review-and-meta-analysis
#16
REVIEW
Ari Voutilainen, Terhi Saaranen, Marjorita Sormunen
BACKGROUND: By and large, in health professions training, the direction of the effect of e-learning, positive or negative, strongly depends on the learning outcome in question as well as on learning methods which e-learning is compared to. In nursing education, meta-analytically generated knowledge regarding the comparisons between conventional and e-learning is scarce. OBJECTIVES: The aim of this review is to discover the size of the effect of e-learning on learning outcomes in nursing education and to assess the quality of studies in which e-learning has been compared to conventional learning...
December 22, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/28034331/what-factors-are-driving-increasing-demand-for-community-nursing
#17
Daniel Chalk, Alison Legg
Demand for district nursing services is increasing significantly. With increasing economic pressures, services are struggling to meet increases in demand, and are looking to become more proactive in planning for future demand. Traditional quantitative forecasting methods have limited use, because of the complexity of inter-linking factors that potentially drive demand for community services. Qualitative system dynamics approaches can be useful to model the complex interplay of causal factors leading to an effect, such as increased demand for services, and identify particular areas of concern for future focus...
January 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28029684/the-effectiveness-of-interventions-to-enhance-self-management-support-competencies-in-the-nursing-profession-a-systematic-review
#18
REVIEW
Veerle Duprez, Tina Vandecasteele, Sofie Verhaeghe, Dimitri Beeckman, Ann Van Hecke
AIM: To explore the effectiveness and effective components of training interventions to enhance nurses' competencies in self-management support in chronic care. BACKGROUND: The growing burden of chronic diseases puts an increasing focus on nurses' self-management support of people living with a chronic illness. The most effective method to train nurses' competencies in self-management support remains unclear. DESIGN: Systematic literature review...
December 28, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28028953/opinions-of-old-age-according-to-residents-of-polish-public-nursing-homes-and-members-of-the-universities-of-the-third-age
#19
Mateusz Cybulski, Elżbieta Krajewska-Kułak, Jacek Jamiołkowski
BACKGROUND: Statistical data from the turn of the 21st century shows a significant increase in the average human life span and, what follows, an extension of old age. OBJECTIVES: The aim of this study was to become familiar with the opinions submitted by respondents regarding aging and old age, health problems connected with aging and preferred health behaviors. MATERIAL AND METHODS: The research was conducted between January 3rd 2013 and February 15th 2014 on a group of 200 residents of public nursing homes and 200 members of the University of the Third Age using a questionnaire created by the authors...
September 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28025848/the-influence-of-anglo-american-theoretical-models-on-the-evolution-of-the-nursing-discipline-in-spain
#20
Olga Rodrigo, Jordi Caïs, Cristina Monforte-Royo
In Spain, the introduction of the new Diploma in Nursing in 1977 saw the role of nurses shifting from that of medical assistants with technical skills to being independent members of the healthcare team with specific responsibility for providing professional nursing care. Here, we analyse the evolution of the nursing profession in Spain following the transfer of nurse education to universities, doing so through interviews with the first generation of academic tutors. This was a qualitative study using the method of analytic induction and based on the principles of grounded theory...
December 26, 2016: Nursing Inquiry
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