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https://www.readbyqxmd.com/read/29223212/how-to-engage-your-team-to-implement-delayed-cord-clamping
#1
Rebecca L Gams, Kimberly K Popp, Julianne Cramer, Thomas N George, Phillip N Rauk, Samantha A Sommerness, Jane A Sublette
This article describes how a health care team changed practice by implementing delayed cord clamping as standard practice. After administration of a survey to assess clinicians' knowledge and to discover barriers to this proposed practice change, members of a multidisciplinary committee used the results to create a guideline for delayed cord clamping and a plan for successful implementation. Integral to embedding and sustaining changes in practice was development of the Delivery Room Brief and Debrief Tool and inclusion of the process into nursing guidelines and the electronic health record...
December 2017: Nursing for Women's Health
https://www.readbyqxmd.com/read/29218966/building-compassion-literacy-enabling-care-in-primary-health-care-nursing
#2
Letitia Helen Burridge, Sarah Winch, Margaret Kay, Amanda Henderson
This paper introduces the concept of compassion literacy and discusses its place in nursing within the general practice setting. Compassion literacy is a valuable competency for sustaining the delivery of high quality care. Being compassion literate enables practice nurses to provide compassionate care to their patients and to recognise factors that may constrain this. A compassion literate practice nurse may be more protected from compassion fatigue and its negative consequences. Understanding how to enable self-compassion and how to support the delivery of compassionate care within the primary care team can enhance the care experienced by the patient while improving the positive engagement and satisfaction of the health professionals...
2017: Collegian: Journal of the Royal College of Nursing, Australia
https://www.readbyqxmd.com/read/29214975/home-based-health-promotion-for-older-people-with-mild-frailty-the-homehealth-intervention-development-and-feasibility-rct
#3
Kate Walters, Rachael Frost, Kalpa Kharicha, Christina Avgerinou, Benjamin Gardner, Federico Ricciardi, Rachael Hunter, Ann Liljas, Jill Manthorpe, Vari Drennan, John Wood, Claire Goodman, Ana Jovicic, Steve Iliffe
BACKGROUND: Mild frailty or pre-frailty is common and yet is potentially reversible. Preventing progression to worsening frailty may benefit individuals and lower health/social care costs. However, we know little about effective approaches to preventing frailty progression. OBJECTIVES: (1) To develop an evidence- and theory-based home-based health promotion intervention for older people with mild frailty. (2) To assess feasibility, costs and acceptability of (i) the intervention and (ii) a full-scale clinical effectiveness and cost-effectiveness randomised controlled trial (RCT)...
December 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29204014/mental-healthcare-delivery-in-rural-greece-a-10-year-account-of-a-mobile-mental-health-unit
#4
Vaios Peritogiannis, Thiresia Manthopoulou, Afroditi Gogou, Venetsanos Mavreas
Introduction: Patients living in rural and remote areas may have limited access to mental healthcare due to lack of facilities and socioeconomic reasons, and this is the case of rural areas in Eastern Europe countries. In Greece, community mental health service delivery in rural areas has been implemented through the development of the Mobile Mental Health Units (MMHUs). Methods: We present a 10-year account of the operation of the MMHU of the prefectures of Ioannina and Thesprotia (MMHU I-T) and report on the impact of the service on mental health delivery in the catchment area...
October 2017: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/29200059/a-perioperative-medicine-model-for-population-health-an-integrated-approach-for-an-evolving-clinical-science
#5
Solomon Aronson, Julie Westover, Nicole Guinn, Tracy Setji, Paul Wischmeyer, Padma Gulur, Thomas Hopkins, Thorsten M Seyler, Sandhya Lagoo-Deendayalan, Mitchell T Heflin, Annemarie Thompson, Madhav Swaminathan, Ellen Flanagan
Health care delivery in the United States continues to balance on the tight rope that connects its transition from volume to value. Value in economic terms can be defined as the amount something exceeds its commodity price and is determined by extraordinary reputation, quality, and/or service, whereas its destruction can be a consequence of poor management, unfavorable policy, decreased demand, and/or increased competition. Going forward, payment for health care delivery will increasingly be based on services that contribute to improvements in individual and/or population health value, and funds to pay for health care delivery will become increasingly vulnerable to competitive market forces...
November 30, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29197305/internal-medicine-hospitalists-perceived-barriers-and-recommendations-for-optimizing-secondary-prevention-of-osteoporotic-hip-fractures
#6
Eng Keong Tan, Kah Poh Loh, Sarah L Goff
OBJECTIVES: Osteoporosis is a major public health concern affecting an estimated 10 million people in the United States. To the best of our knowledge, no qualitative study has explored barriers perceived by medicine hospitalists to secondary prevention of osteoporotic hip fractures. We aimed to describe these perceived barriers and recommendations regarding how to optimize secondary prevention of osteoporotic hip fracture. METHODS: In-depth, semistructured interviews were performed with 15 internal medicine hospitalists in a tertiary-care referral medical center...
December 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/29179955/the-utility-of-bedside-simulation-for-training-in-critical-care-obstetrics
#7
REVIEW
Jean-Ju Sheen, Colleen Lee, Dena Goffman
Over the last 2 decades, the maternal mortality ratio in the United States has doubled from 7.4/100,000 live births in 1986 to 14.5/100,000 today. Despite great advances in health care, increasing rates of maternal morbidity and mortality in the United States have prompted calls to action to reverse this disturbing trend. Assisted reproductive technology has allowed women to delay childbearing to more advanced ages, resulting in a greater number of pregnancies complicated by one or more of the diseases associated with aging, such as cardiovascular disease, cancer, type 2 diabetes, and hypertension...
November 24, 2017: Seminars in Perinatology
https://www.readbyqxmd.com/read/29163979/use-of-a-social-media-network-to-reduce-early-neonatal-mortality-a-preliminary-report-from-a-quality-improvement-project-in-yaound%C3%A3-cameroon
#8
Adidja Amani, Jobert Richie Nansseu, Evelyn M Mah, Clemence Meguejio Vougmo, Seidou Moluh Moluh, Robinson Mbu
Background: Perinatal networks have yielded substantial contribution in decreasing the neonatal mortality rate. We present here the process of implementation of a perinatal network in Yaoundé (Cameroon) based on the WhatsApp messenger application as well as some preliminary results and achievements. Methods: In December 2016, the Yaoundé Perinatal Network was launched, regrouping a multidisciplinary team of health professionals dealing with perinatal care in Yaoundé, Cameroon...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/29157196/perinatal-outcomes-of-hypertensive-disorders-in-pregnancy-at-a-tertiary-hospital-in-ghana
#9
Kwame Adu-Bonsaffoh, Michael Y Ntumy, Samuel A Obed, Joseph D Seffah
BACKGROUND: Hypertensive disorders in pregnancy remain a major global health issue not only because of the associated high adverse maternal outcomes but there is a close accompaniment of significant perinatal morbidity and mortality especially in Sub-Saharan Africa (SSA). However, the perinatal burden of HDP in Ghana has not been explored. We conducted this study to determine the perinatal outcomes of HDP at a tertiary hospital in Ghana. METHODS: A cross-sectional study conducted between January to February 2013 at Korle Bu Teaching Hospital (KBTH) in Accra, Ghana...
November 21, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29151714/multidisciplinary-team-based-obesity-treatment-in-patients-with-diabetes-current-practices-and-the-state-of-the-science
#10
Daniel Foster, Shakira Sanchez-Collins, Lawrence J Cheskin
IN BRIEF Rates of obesity and diabetes are growing, as are their costs. Because the two diseases share many key determinants, the paradigms for their treatment overlap. For both, optimal treatment involves a multidisciplinary team following the Chronic Care Model of health care delivery. Combined treatment programs that include 1) a low-calorie diet individualized to patients' preferences, 2) structured exercise that is also tailored to each patient, and 3) psychotherapy induce the largest weight changes in patients with diabetes...
November 2017: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29129345/defining-value-based-care-in-cardiac-and-vascular-anesthesiology-the-past-present-and-future-of-perioperative-cardiovascular-care
#11
REVIEW
Lavinia M Kolarczyk, Harendra Arora, Michael W Manning, David A Zvara, Robert S Isaak
Health care reimbursement models are transitioning from volume-based to value-based models. Value-based models focus on patient outcomes both during the hospital admission and postdischarge. These models place emphasis on cost, quality of care, and coordination of multidisciplinary services. Perioperative physicians are challenged to evaluate traditional practices to ensure coordinated, cost-effective, and evidence-based care. With the Centers for Medicare and Medicaid Services planned introduction of bundled payments for coronary artery bypass graft surgery, cardiovascular anesthesiologists are financially responsible for postdischarge outcomes...
September 28, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29117959/barriers-and-facilitators-to-provide-quality-tia-care-in-the-veterans-healthcare-administration
#12
Teresa M Damush, Edward J Miech, Jason J Sico, Michael S Phipps, Greg Arling, Jared Ferguson, Charles Austin, Laura Myers, Fitsum Baye, Cherie Luckhurst, Ava B Keating, Eileen Moran, Dawn M Bravata
OBJECTIVE: To identify key barriers and facilitators to the delivery of guideline-based care of patients with TIA in the national Veterans Health Administration (VHA). METHODS: We conducted a cross-sectional, observational study of 70 audiotaped interviews of multidisciplinary clinical staff involved in TIA care at 14 VHA hospitals. We de-identified and analyzed all transcribed interviews. We identified emergent themes and patterns of barriers to providing TIA care and of facilitators applied to overcome these barriers...
November 8, 2017: Neurology
https://www.readbyqxmd.com/read/29106512/interventions-and-approaches-to-integrating-hiv-and-mental-health-services-a-systematic-review
#13
Fiona Leh Hoon Chuah, Victoria Elizabeth Haldane, Francisco Cervero-Liceras, Suan Ee Ong, Louise A Sigfrid, Georgina Murphy, Nicola Watt, Dina Balabanova, Sue Hogarth, Will Maimaris, Laura Otero, Kent Buse, Martin McKee, Peter Piot, Pablo Perel, Helena Legido-Quigley
Background: The frequency in which HIV and AIDS and mental health problems co-exist, and the complex bi-directional relationship between them, highlights the need for effective care models combining services for HIV and mental health. Here, we present a systematic review that synthesizes the literature on interventions and approaches integrating these services. Methods: This review was part of a larger systematic review on integration of services for HIV and non-communicable diseases...
July 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29104848/cultural-adaptation-of-an-evidence-informed-psychosocial-intervention-to-address-the-needs-of-phiv-youth-in-thailand
#14
Gisselle Pardo, Chutima Saisaengjan, Priya Gopalan, Jintanat Ananworanich, Sudrak Lakhonpon, Danielle Friedman Nestadt, Torsak Bunupuradah, Claude Ann Mellins, Mary McKernan McKay
Globally, pediatric HIV has largely become an adolescent epidemic. Thailand has the highest HIV prevalence in Asia (1.2%), with more than 14,000 children living with HIV. There is growing demand for evidence-based psychosocial interventions for this population that include health and mental health support and sexual risk reduction, which can be integrated into HIV care systems. To address this need, a multidisciplinary team of Thai and US researchers adapted an existing evidence-informed, family-based intervention, The Collaborative HIV Prevention and Adolescent Mental Health Program + (CHAMP+), which has been tested in multiple global trials...
2017: Global Social Welfare: Research, Policy & Practice
https://www.readbyqxmd.com/read/29069424/development-of-a-national-audit-tool-for-juvenile-idiopathic-arthritis-a-bspar-project-funded-by-the-health-care-quality-improvement-partnership
#15
Flora McErlane, Helen E Foster, Gillian Armitt, Kathryn Bailey, Joanna Cobb, Joyce E Davidson, Sharon Douglas, Andrew Fell, Mark Friswell, Clarissa Pilkington, Helen Strike, Nicola Smith, Wendy Thomson, Gavin Cleary
Objective: Timely access to holistic multidisciplinary care is the core principle underpinning management of juvenile idiopathic arthritis (JIA). Data collected in national clinical audit programmes fundamentally aim to improve health outcomes of disease, ensuring clinical care is equitable, safe and patient-centred. The aim of this study was to develop a tool for national audit of JIA in the UK. Methods: A staged and consultative methodology was used across a broad group of relevant stakeholders to develop a national audit tool, with reference to pre-existing standards of care for JIA...
October 23, 2017: Rheumatology
https://www.readbyqxmd.com/read/29068377/interdisciplinary-ehealth-practice-in-cancer-care-a-review-of-the-literature
#16
REVIEW
Anna Janssen, Melissa Brunner, Melanie Keep, Monique Hines, Srivalli Vilapakkam Nagarajan, Candice Kielly-Carroll, Sarah Dennis, Zoe McKeough, Tim Shaw
This review aimed to identify research that described how eHealth facilitates interdisciplinary cancer care and to understand the ways in which eHealth innovations are being used in this setting. An integrative review of eHealth interventions used for interdisciplinary care for people with cancer was conducted by systematically searching research databases in March 2015, and repeated in September 2016. Searches resulted in 8531 citations, of which 140 were retrieved and scanned in full, with twenty-six studies included in the review...
October 25, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29056085/patient-satisfaction-with-mental-health-services-based-on-andersen-s-behavioral-model
#17
Marilyn Fortin, Jean-Marie Bamvita, Marie-Josée Fleury
OBJECTIVE: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. METHODS: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29055605/capacity-for-cancer-care-delivery-research-in-national-cancer-institute-community-oncology-research-program-community-practices-availability-of-radiology-and-primary-care-research-partners
#18
Ruth C Carlos, JoRean D Sicks, George J Chang, Alan P Lyss, Teresa L Stewart, Lillian Sung, Kathryn E Weaver
PURPOSE: Cancer care spans the spectrum from screening and diagnosis through therapy and into survivorship. Delivering appropriate care requires patient transitions across multiple specialties, such as primary care, radiology, and oncology. From the program's inception, the National Cancer Institute Community Oncology Research Program (NCORP) sites were tasked with conducting cancer care delivery research (CCDR) that evaluates structural, organizational, and social factors, including care transitions that determine patient outcomes...
October 18, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29023974/diabetes-related-major-lower-limb-amputation-incidence-is-strongly-related-to-diabetic-foot-service-provision-and-improves-with-enhancement-of-services-peer-review-of-the-south-west-of-england
#19
R B Paisey, A Abbott, R Levenson, A Harrington, D Browne, J Moore, M Bamford, M Roe
AIMS: To investigate the relationship between high diabetes-related lower limb amputation incidence and foot care services in the South-West region of England. METHODS: The introduction of 10 key elements of foot care service provision in one area of the South-West resulted in stabilization of foot ulcer incidence and sustained reduction in amputation incidence from 2007. Services introduced included administrative support, standardized general practice foot screening, improved community podiatry staffing, hospital multidisciplinary foot clinics, effective care pathways, availability of an orthotist and audit...
October 11, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29018069/using-comprehensive-geriatric-assessment-for-quality-improvements-in-healthcare-of-older-people-in-uk-care-homes-protocol-for-realist-review-within-proactive-healthcare-of-older-people-in-care-homes-peach-study
#20
Maria Zubair, Neil H Chadborn, John R F Gladman, Tom Dening, Adam L Gordon, Claire Goodman
INTRODUCTION: Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach to care in which there is a thorough multidisciplinary assessment (physical and mental health, functioning and physical and social environments) and a care plan based on this assessment, usually delivered by a multidisciplinary team. The CGA process is known to improve outcomes for community-dwelling older people and those in receipt of hospital care, but less is known about its efficacy in care home residents...
October 10, 2017: BMJ Open
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