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https://www.readbyqxmd.com/read/29770560/how-nurses-restore-and-maintain-mobility-in-hospitalised-older-people-an-integrative-literature-review
#1
Stephanie Constantin, Sherry Dahlke
AIM: The aim of this integrative review of the literature was to evaluate and summarise current research about how nurses maintain and improve hospitalised older peoples' mobility levels. BACKGROUND: Older persons make up the majority of healthcare recipients, and they are at risk to experience significant decline in their mobility once hospitalised. This can result in longer hospitalisations or nursing home admissions. Currently, it is not well understood how nurses maintain and restore mobility of hospitalised older persons...
May 17, 2018: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/29759082/barriers-to-identifying-eating-disorders-in-pregnancy-and-in-the-postnatal-period-a-qualitative-approach
#2
Amanda Bye, Jill Shawe, Debra Bick, Abigail Easter, Megan Kash-Macdonald, Nadia Micali
BACKGROUND: Eating Disorders (ED) are mental health disorders that typically effect women of childbearing age and are associated with adverse maternal and infant outcomes. UK healthcare guidance recommends routine enquiry for current and past mental illness in antenatal and postnatal care for all women, and that pregnant women with a known ED are offered enhanced monitoring and support. Midwives and health visitors are ideally placed to identify and support women with ED as they are often the primary point of contact during the antenatal and postnatal periods...
May 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29743065/rationing-cancer-treatment-a-qualitative-study-of-perceptions-of-legitimate-limit-setting
#3
Eli Feiring, Hege Wang
BACKGROUND: Governments are facing tough choices about whether to fund new, promising but highly expensive drugs within the public healthcare system. Decisions that some drugs are not sufficiently beneficial relative to their cost to merit public funding are often contentious. The importance of making decisions that stakeholders can understand and accept as legitimate is increasingly recognized and is commonly understood to be a crucial component for stakeholder support and successful implementation...
May 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29730166/-i-thought-they-were-going-to-handle-me-like-a-queen-but-they-didn-t-a-qualitative-study-exploring-the-quality-of-care-provided-to-women-at-the-time-of-birth
#4
Jaki Lambert, Elsie Etsane, Anne-Marie Bergh, Robert Pattinson, Nynke van den Broek
OBJECTIVE: To explore experiences of care during labour and birth from the perspectives of both the healthcare provider and women receiving care, to inform recommendations for how the quality of care can be improved and monitored, and, to identify the main aspects of care that are important to women. DESIGN: A descriptive phenomenological approach. 53 interviews and 10KII as per table 1 took place including in-depth interviews (IDI), focus group discussions (FGD) and key informant interviews (KII) conducted with women, healthcare providers, managers and policy makers...
April 22, 2018: Midwifery
https://www.readbyqxmd.com/read/29705757/identification-and-initial-response-to-children-s-exposure-to-intimate-partner-violence-a-qualitative-synthesis-of-the-perspectives-of-children-mothers-and-professionals
#5
Natalia V Lewis, Gene S Feder, Emma Howarth, Eszter Szilassy, Jill R McTavish, Harriet L MacMillan, Nadine Wathen
OBJECTIVES: To synthesise evidence on the acceptable identification and initial response to children's exposure to intimate partner violence (IPV) from the perspectives of providers and recipients of healthcare and social services. DESIGN: We conducted a thematic synthesis of qualitative research, appraised the included studies with the modified Critical Appraisal Skills Programme checklist and undertook a sensitivity analysis of the studies scored above 15. DATA SOURCES: We searched eight electronic databases, checked references and citations and contacted authors of the included studies...
April 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29693726/uterotonic-agents-for-preventing-postpartum-haemorrhage-a-network-meta-analysis
#6
REVIEW
Ioannis D Gallos, Helen M Williams, Malcolm J Price, Abi Merriel, Harold Gee, David Lissauer, Vidhya Moorthy, Aurelio Tobias, Jonathan J Deeks, Mariana Widmer, Özge Tunçalp, Ahmet Metin Gülmezoglu, G Justus Hofmeyr, Arri Coomarasamy
BACKGROUND: Postpartum haemorrhage (PPH) is the leading cause of maternal mortality worldwide. Prophylactic uterotonic drugs can prevent PPH, and are routinely recommended. There are several uterotonic drugs for preventing PPH but it is still debatable which drug is best. OBJECTIVES: To identify the most effective uterotonic drug(s) to prevent PPH, and generate a ranking according to their effectiveness and side-effect profile. SEARCH METHODS: We searched Cochrane Pregnancy and Childbirth's Trials Register (1 June 2015), ClinicalTrials...
April 25, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29683038/the-recruitment-of-new-members-to-existing-pbsgl-small-groups-a-qualitative-study
#7
Julia Park, David E Cunningham
Introduction Practice-Based Small Group Learning (PBSGL) is a learning programme widely adopted by primary healthcare professions (general practitioners, general practice nurses and pharmacists) in Scotland and other countries in the UK. PBSGL groups recruit members and decide on meeting dates and venues. Study aims To determine how groups recruit new members and discern what are the important attributes of the new members. Method A grounded theory approach was used with purposive sampling to recruit PBSGL groups to the study...
April 23, 2018: Education for Primary Care
https://www.readbyqxmd.com/read/29678156/development-and-validation-of-pozqol-a-scale-to-assess-quality-of-life-of-plhiv
#8
Graham Brown, Gosia Mikołajczak, Anthony Lyons, Jennifer Power, Fraser Drummond, Aaron Cogle, Brent Allan, Craig Cooper, Simon O'Connor
BACKGROUND: Advances in medical treatment for HIV are driving major changes in HIV policy and practice, including the encouragement of intake and adherence to HIV antiretroviral treatment (ART) by people living with HIV (PLHIV) for both personal and public health benefits. However, there is increasing recognition that achieving these goals will require a concurrent focus on the broader psychological and social wellbeing of PLHIV. Increasingly calls are being been made to incorporate a stronger focus on quality of life (QoL) of PLHIV into HIV prevention policy...
April 20, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29667238/diet-quality-and-10-year-healthcare-costs-by-bmi-categories-in-the-mid-age-cohort-of-the-australian-longitudinal-study-on-women-s-health
#9
A Patterson, A Hure, T Burrows, J Jackson, C Collins
BACKGROUND: Better diets, as evaluated by diet quality indices, are associated with lower rates of morbidity and mortality. Although governments and researchers alike recognise the burden that obesity incurs for increased healthcare spending, there is insufficient evidence for the role of diet quality on healthcare costs. METHODS: Diet quality was assessed by the Australian Recommended Food Score (ARFS) for 6328 women aged 50-55 years from the Australian Longitudinal Study on Women's Health...
April 17, 2018: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/29662689/supporting-the-development-of-a-health-benefits-package-in-malawi
#10
Jessica Ochalek, Paul Revill, Gerald Manthalu, Finn McGuire, Dominic Nkhoma, Alexandra Rollinger, Mark Sculpher, Karl Claxton
Malawi, like many low-income and middle-income countries, has used health benefits packages (HBPs) to allocate scarce resources to key healthcare interventions. With no widely accepted method for their development, HBPs often promise more than can be delivered, given available resources. An analytical framework is developed to guide the design of HBPs that can identify the potential value of including and implementing different interventions. It provides a basis for informing meaningful discussions between governments, donors and other stakeholders around the trade-offs implicit in package design...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29643102/research-priority-setting-in-childhood-chronic-disease-a-systematic-review
#11
Harrison Lindsay Odgers, Allison Tong, Pamela Lopez-Vargas, Andrew Davidson, Adam Jaffe, Anne McKenzie, Ross Pinkerton, Melissa Wake, Peter Richmond, Sally Crowe, Patrina Ha Yuen Caldwell, Sophie Hill, Jennifer Couper, Suzy Haddad, Behrouz Kassai, Jonathan C Craig
OBJECTIVE: To evaluate research priority setting approaches in childhood chronic diseases and to describe the priorities of stakeholders including patients, caregivers/families and health professionals. DESIGN: We conducted a systematic review of MEDLINE, Embase, PsycINFO and CINAHL from inception to 16 October 2016. Studies that elicited stakeholder priorities for paediatric chronic disease research were eligible for inclusion. Data on the prioritisation process were extracted using an appraisal checklist...
April 11, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29616876/a-framework-for-medical-power-in-two-case-studies-of-health-policymaking-in-india-and-niger
#12
Sarah L Dalglish, Veena Sriram, Kerry Scott, Daniela C Rodríguez
Medical professionals influence health policymaking but the power they exercise is not well understood in low- and middle-income countries. We explore medical power in national health policymaking for child survival in Niger (late 1990s-2012) and emergency medicine specialisation in India (early 1990s-2015). Both case studies used document review, in-depth interviews and non-participant observation; combined analysis traced policy processes and established theoretical categories around power to build a conceptual framework of medical power in health policymaking...
April 4, 2018: Global Public Health
https://www.readbyqxmd.com/read/29562922/what-is-required-to-facilitate-implementation-of-swedish-physical-activity-on-prescription-interview-study-with-primary-healthcare-staff-and-management
#13
Catharina Gustavsson, Maria Nordqvist, Kristina Bröms, Lars Jerdén, Lena V Kallings, Lars Wallin
BACKGROUND: The method, Swedish Physical Activity on Prescription (SPAP), has been launched in Swedish healthcare to promote physical activity for prevention and treatment of lifestyle related health disorders. Despite scientific support for the method, and education campaigns, it is used to a limited extent by health professionals. The aim of the study was to describe the views of health professionals on perceived facilitators, barriers and requirements for successful implementation of SPAP in primary healthcare...
March 21, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29523567/perspectives-of-healthcare-providers-on-the-nutritional-management-of-patients-on-haemodialysis-in-australia-an-interview-study
#14
Jessica Stevenson, Allison Tong, Katrina L Campbell, Jonathan C Craig, Vincent W Lee
OBJECTIVE: To describe the perspectives of healthcare providers on the nutritional management of patients on haemodialysis, which may inform strategies for improving patient-centred nutritional care. DESIGN: Face-to-face semistructured interviews were conducted until data saturation, and thematic analysis based on principles of grounded theory. SETTING: 21 haemodialysis centres across Australia. PARTICIPANTS: 42 haemodialysis clinicians (nephrologists and nephrology trainees (15), nurses (12) and dietitians (15)) were purposively sampled to obtain a range of demographic characteristics and clinical experiences...
March 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29523460/-identifying-indicators-of-good-practice-in-clinical-and-healthcare-management
#15
C Bermúdez Tamayo, A Olry de Labry Lima, L García Mochón
OBJECTIVE: To identify good practices in order to develop and implement indicators of health outcomes for clinical and healthcare management, as well as the characteristics for an indicator to be considered adequate. METHODOLOGY: A scoping review was performed, with the following phases: 1) Search and identification of bibliography. 2) Selection of relevant documents. Including those studies that discussed issues related to good practices for the use of health indicators in the management field...
March 6, 2018: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/29511602/infectious-disease-risk-and-vaccination-in-northern-syria-after-5-years-of-civil-war-the-msf-experience
#16
Alan de Lima Pereira, Rosamund Southgate, Hikmet Ahmed, Penelope O'Connor, Vanessa Cramond, Annick Lenglet
Introduction: In 2015, following an influx of population into Kobanê in northern Syria, Médecins Sans Frontières (MSF) in collaboration with the Kobanê Health Administration (KHA) initiated primary healthcare activities. A vaccination coverage survey and vaccine-preventable disease (VPD) risk analysis were undertaken to clarify the VPD risk and vaccination needs. This was followed by a measles Supplementary Immunization Activity (SIA). We describe the methods and results used for this prioritisation activity around vaccination in Kobanê in 2015...
February 2, 2018: PLoS Currents
https://www.readbyqxmd.com/read/29497890/experience-adjusted-life-years-and-critical-medical-allocations-within-the-british-context-which-patient-should-live
#17
REVIEW
Michal Pruski
Medical resource allocation is a controversial topic, because in the end it prioritises some peoples' medical problems over those of others. This is less controversial when there is a clear clinical reason for such a prioritisation, but when such a reason is not available people might perceive it as deeming certain individuals more important than others. This article looks at the role of social utility in medical resource allocation, in a situation where the clinical outcome would be identical if either person received the treatment...
March 1, 2018: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29490970/identifying-primary-care-patient-safety-research-priorities-in-the-uk-a-james-lind-alliance-priority-setting-partnership
#18
Rebecca Lauren Morris, Susan Jill Stocks, Rahul Alam, Sian Taylor, Carly Rolfe, Steven William Glover, Joanne Whitcombe, Stephen M Campbell
OBJECTIVES: To identify the top 10 unanswered research questions for primary care patient safety research. DESIGN: A modified nominal group technique. SETTING: UK. PARTICIPANTS: Anyone with experience of primary care including: patients, carers and healthcare professionals. 341 patients and 86 healthcare professionals submitted questions. MAIN OUTCOMES: A top 10, and top 30, future research questions for primary care patient safety...
February 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29478012/effectiveness-of-a-complex-intervention-on-prioritising-multimedication-in-multimorbidity-primum-in-primary-care-results-of-a-pragmatic-cluster-randomised-controlled-trial
#19
Christiane Muth, Lorenz Uhlmann, Walter E Haefeli, Justine Rochon, Marjan van den Akker, Rafael Perera, Corina Güthlin, Martin Beyer, Frank Oswald, Jose Maria Valderas, J André Knottnerus, Ferdinand M Gerlach, Sebastian Harder
OBJECTIVES: Investigate the effectiveness of a complex intervention aimed at improving the appropriateness of medication in older patients with multimorbidity in general practice. DESIGN: Pragmatic, cluster randomised controlled trial with general practice as unit of randomisation. SETTING: 72 general practices in Hesse, Germany. PARTICIPANTS: 505 randomly sampled, cognitively intact patients (≥60 years, ≥3 chronic conditions under pharmacological treatment, ≥5 long-term drug prescriptions with systemic effects); 465 patients and 71 practices completed the study...
February 24, 2018: BMJ Open
https://www.readbyqxmd.com/read/29472012/prioritising-recommendations-to-advance-community-pharmacy-practice
#20
Andi Hermansyah, Dyah Pitaloka, Erica Sainsbury, Ines Krass
INTRODUCTION: The nature of community pharmacy in many countries has changed. Despite the significant efforts made to change practice, there is a paucity of literature that highlights consensus on the approaches that should be prioritised for advancing practice particularly in the context of developing countries. OBJECTIVE: To systematically identify and prioritise a range of potential recommendations to improve practice in Indonesian community pharmacy from the perspective of pharmacy stakeholders...
February 15, 2018: Research in Social & Administrative Pharmacy: RSAP
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