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https://www.readbyqxmd.com/read/29054400/barriers-to-delirium-assessment-in-the-intensive-care-unit-a-literature-review
#1
REVIEW
Gabby Rowley-Conwy
BACKGROUND: Delirium is a common syndrome that has both short and long-term negative outcomes for critically ill patients. Many studies over several years have found a knowledge gap and lack of evidence-based practice from critical care personnel, but there has been little exploration of the reasons for this. AIM: To identify the perceived barriers to delirium assessment and management among critical care nurses. METHOD: A literature review of published studies to examine barriers to effective delirium assessment using a comprehensive search strategy...
October 17, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29054104/integrating-gerontology-and-community-concepts-through-simulation
#2
Jacqueline Kayler DeBrew, Susan Hensley-Hannah
This article describes an innovative simulation experience for nursing students. Faculty from a community health nursing course and a course in gerontology worked together to provide a comprehensive simulation experience that combined low-fidelity and high-fidelity experiences that provided an integrated learning experience and gave faculty with an opportunity to collaborate to improve outcomes. Student and faculty feedback was overwhelmingly positive. Future plans include incorporating a third didactic course, Leadership and Management, and working with other disciplines to demonstrate interprofessional collaboration...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29054101/virtual-simulated-care-coordination-rounds-for-nursing-students
#3
Donna M Badowski
Implementation of the Affordable Care Act has nursing education reflecting on paradigm shifts in order to prepare nursing students for the evolving health care environment. The traditional focus of nursing education on nursing care in acute care settings does not provide learning experiences in care coordination and transitional care management skills. Virtual simulated care coordination rounds, using the National League for Nursing Advancing Care Excellence resources, offer nursing students an innovative experience in care coordination and transition care management...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29053532/using-a-complex-patient-management-scenario-to-help-bridge-the-education-practice-gap
#4
Adriane Burgess, Hannah Murphy Buc, Janice M Brennan
Preparing nursing students for transition to practice is challenging in light of the increasing complexity of today's health care environment. A clinical simulation was developed to engage senior-level bachelor of science in nursing students in the management of a critically ill patient whose deterioration warranted timely transfer to an intensive care unit. In this fast-paced, highly charged simulation, students were challenged to implement priority setting, delegation, communication methods, and teamwork...
October 20, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29052664/a-qualitative-study-exploring-models-of-supportive-care-in-men-and-their-partners-caregivers-affected-by-metastatic-prostate-cancer
#5
Charlotte Primeau, Catherine Paterson, Ghulam Nabi
PURPOSE/OBJECTIVES: To explore the experiences of patients with metastatic prostate cancer and their partners/caregivers, as well as an interprofessional team, with a nurse-led multimodality supportive care intervention. 
. RESEARCH APPROACH: Qualitative study. 
. SETTING: National Health Service (NHS), Tayside, Scotland.
. PARTICIPANTS: 19 patients, 7 partners/caregivers, and 7 interprofessional members from four hospitals in NHS, Tayside, Scotland...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29052663/self-management-intervention-for-adult-cancer-survivors-after-treatment-a-systematic-review-and-meta-analysis
#6
Soo Hyun Kim, Kisook Kim, Deborah K Mayer
PROBLEM IDENTIFICATION: This study aims to evaluate the effects of self-management interventions (SMIs) for cancer survivors who completed primary treatment. 
. LITERATURE SEARCH: Using PubMed, EMBASE, CINAHL®, PsycINFO®, and Cochrane Central Register of Controlled Trails (CENTRAL), the authors conducted a systematic search of randomized, controlled trials published in English from database conception through June 2016. 
. DATA EVALUATION: The meta-analysis was conducted with Cochrane Review Manager, version 5...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29052660/symptom-distress-in-patients-with-hepatocellular-carcinoma-toward-the-end-of-life
#7
Lissi Hansen, Nathan F Dieckmann, Kenneth J Kolbeck, Willscott E Naugler, Michael F Chang
PURPOSE/OBJECTIVES: To describe the presence, frequency, severity, and distress of symptoms in outpatients with advanced hepatocellular carcinoma toward the end of life, and the variability in psychological and physical symptom distress between and within patients over time. 
. DESIGN: A prospective, longitudinal, descriptive design. 
. SETTING: Outpatient clinics at two healthcare institutions. 
. SAMPLE: 18 patients (15 men and 3 women) with hepatocellular carcinoma and a mean age of 63...
November 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29052353/living-with-an-indwelling-urethral-catheter-in-a-community-setting-exploring-triggers-for-unscheduled-community-nurse-out-of-hours-visits
#8
William G Mackay, Teresa MacIntosh, Angela Kydd, Anne Fleming, Cate O'Kane, Ashley Shepherd, Suzanne Hagen, Craig Williams, Fiona Rodgers, Margaret MacLachlan, Rhona Galbraith, Jean Rankin, Val McIver
AIMS AND OBJECTIVE: To explore the experiences of community patients living with a urethral catheter and those caring for them. BACKGROUND: Living at home with an indwelling urethral catheter often results in consequences that create a double-edged burden; firstly, on patients and their relative carers, and secondly in terms of unscheduled community nurse service 'out of hours' provision. DESIGN: One-to-one interviews, were conducted with patients living at home, their relative carers, qualified community nurses, augmented home carers, and health care assistant...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29052282/nursing-staff-intentions-towards-managing-deteriorating-health-in-nursing-homes-a-convergent-parallel-mixed-methods-study-using-the-theory-of-planned-behaviour
#9
Barbara J O'Neill, Trudy Dwyer, Kerry Reid-Searl, Lynne Parkinson
AIMS AND OBJECTIVES: To predict the factors that are most important in explaining nursing staff intentions towards early detection of the deteriorating health of a resident and providing subacute care in the nursing home setting. BACKGROUND: Nursing staff play a pivotal role in managing the deteriorating resident and determining whether the resident needs to be transferred to hospital or remain in the nursing home; however, there is a dearth of literature that explains the factors that influence their intentions...
October 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29052117/clinical-impact-of-an-interdisciplinary-patient-safety-program-for-managing-drug-related-problems-in-a-long-term-care-hospital
#10
Oreto Ruiz-Millo, Mónica Climente-Martí, Ana María Galbis-Bernácer, José Ramón Navarro-Sanz
Background Medication reviews intended to identify drug-related problems (DRPs) have been researched in primary care, acute care and nursing homes rather than in long-term care hospitals (LTCHs). Objectives To assess the clinical impact of an interdisciplinary pharmacotherapy quality improvement and patient safety program in elderly patients with polypharmacy admitted to an LTCH. Setting An interventional, longitudinal, prospective study was conducted in a Spanish LTCH Method A total of 162 elderly (≥ 70 years) patients with polypharmacy (≥ 5 medications) were included...
October 19, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29051912/evaluating-diabetes-care-for-patients-with-serious-mental-illness-using-the-chronic-care-model-a-pilot-study
#11
Kelly Vaez, Lauren Diegel-Vacek, Catherine Ryan, Pamela Martyn-Nemeth
People with serious mental illness (SMI) have a higher incidence of type 2 diabetes mellitus (T2DM) and shorter life span due to medical health problems. The chronic care model (CCM) has been used to improve care of patients with T2DM. One clinical organization that provided primary care to patients with SMI had excellent diabetes outcomes but did not have information on how they achieved those outcomes. Thus, we conducted a pilot study chart review for 30 patients with T2DM and SMI to determine how well the clinic's system aligned with the overall CCM components and which components correlated with diabetes control...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/29051136/using-google-glass-in-nonsurgical-medical-settings-systematic-review
#12
Bryn Dougherty, Sherif M Badawy
BACKGROUND: Wearable technologies provide users hands-free access to computer functions and are becoming increasingly popular on both the consumer market and in various industries. The medical industry has pioneered research and implementation of head-mounted wearable devices, such as Google Glass. Most of this research has focused on surgical interventions; however, other medical fields have begun to explore the potential of this technology to support both patients and clinicians. OBJECTIVE: Our aim was to systematically evaluate the feasibility, usability, and acceptability of using Google Glass in nonsurgical medical settings and to determine the benefits, limitations, and future directions of its application...
October 19, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29051047/ostomy-telehealth-for-cancer-survivors-design-of-the-ostomy-self-management-training-osmt-randomized-trial
#13
Virginia Sun, Elizabeth Ercolano, Ruth McCorkle, Maria Grant, Christopher S Wendel, Nancy J Tallman, Frank Passero, Sabreen Raza, Zuleyha Cidav, Michael Holcomb, Ronald S Weinstein, Mark C Hornbrook, Robert S Krouse
PURPOSE: An ostomy adversely affects health-related quality of life (HRQOL) in a diverse population of cancer survivors and their caregivers. Hit-or-miss ostomy care, nurse counseling, and community referral have been the primary modes of self-management education and support in the peri-operative setting. Few evidence-based, systematic ostomy self-management programs are available to ensure optimal post-operative care. This paper describes the study design of a telehealth-based Ostomy Self-management Training (OSMT) program for cancer survivors and their caregivers...
October 16, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29050508/-doing-with-%C3%A2-rather-than-doing-for-%C3%A2-older-adults-rationale-and-content-of-the-stay-active-at-home-programme
#14
Silke F Metzelthin, Gertrud Ar Zijlstra, Erik van Rossum, Janneke M de Man-van Ginkel, Barbara Resnick, Gill Lewin, Matthew Parsons, Gertrudis Ijm Kempen
BACKGROUND: Owing to increasing age, accidents or periods of illness, home care services are provided to community-dwelling older adults. Traditionally, these services focus on doing things for older adults rather than with them; though from a rehabilitative perspective, it is important to assist older adults to attain and maintain their highest level of functioning. Consequently, a re-orientation of home care services is required away from treating disease and creating dependency towards focusing on capabilities and opportunities and maximising independence...
November 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29049997/discrepancies-between-perceived-and-measured-cognition-in-kidney-transplant-recipients-implications-for-clinical-management
#15
Aditi Gupta, Tashra S Thomas, Jeffrey A Klein, Robert N Montgomery, Jonathan D Mahnken, David K Johnson, David A Drew, Mark J Sarnak, Jeffrey M Burns
BACKGROUND: Cognitive impairment is common in kidney transplant (KT) recipients and affects quality of life, graft survival, morbidity, and mortality. Failure to identify patients with cognitive impairment can withhold appropriate and timely intervention. This study determines whether measured cognition with standard screening tools offers any advantage over perceived cognition in screening transplant patients for cognitive impairment. METHODS: Cognition was assessed in 157 KT recipients using the Montreal Cognitive Assessment (MoCA; measured cognition)...
October 20, 2017: Nephron
https://www.readbyqxmd.com/read/29049256/learning-from-clinical-experience-with-necrotizing-fasciitis-treatment-and-management
#16
Yukun Liu, Ke Guo, Jiaming Sun
GENERAL PURPOSE: To provide information about necrotizing fasciitis (NF), how to recognize it, and evidence-based treatment. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to: ABSTRACT: Necrotizing fasciitis is a threatening, rapidly progressive, infectious disease of the soft tissue...
November 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29049158/advanced-nursing-education-critical-factors-that-influence-diploma-and-associate-degree-nurses-to-advance
#17
Rose Lavine McGhie-Anderson
AIM: The purpose of this study was to gain an understanding of the social processes associated with the decision of diploma and associate degree nurses to advance academically. BACKGROUND: Advanced nursing education needs to be pursued along the continuum of the nursing career path. This education process is indispensable to the role of nurses as educator, manager, nurse leader, and researcher who will effect policy changes, assume leadership roles as revolutionary thinkers, and implement paradigmatic shifts...
November 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29049058/the-neonatal-microbiome-implications-for-neonatal-intensive-care-unit-nurses
#18
Jeannie Rodriguez, Sheila Jordan, Abby Mutic, Taylor Thul
Nursing care of the neonate in the neonatal intensive care unit (NICU) is complex, due in large part to various physiological challenges. A newer and less well-known physiological consideration is the neonatal microbiome, the community of microorganisms, both helpful and harmful, that inhabit the human body. The neonatal microbiome is influenced by the maternal microbiome, mode of infant birth, and various aspects of NICU care such as feeding choice and use of antibiotics. The composition and diversity of the microbiome is thought to influence key health outcomes including development of necrotizing enterocolitis, late-onset sepsis, altered physical growth, and poor neurodevelopment...
November 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29049055/oxidized-regenerated-cellulose-collagen-dressings-review-of-evidence-and-recommendations
#19
Stephanie Wu, Andrew J Applewhite, Jeffrey Niezgoda, Robert Snyder, Jayesh Shah, Breda Cullen, Gregory Schultz, Janis Harrison, Rosemary Hill, Melania Howell, Marcus Speyrer, Howard Utra, Jean de Leon, Wayne Lee, Terry Treadwell
OBJECTIVE: Healthcare systems are being challenged to manage increasing numbers of nonhealing wounds. Wound dressings are one of the first lines of defense in wound management, and numerous options exist. The oxidized regenerated cellulose (ORC)/collagen dressing may offer healthcare providers a robust and cost-effective tool for use in a variety of wounds. DESIGN: A multidisciplinary panel meeting was convened to discuss the use of ORC/collagen dressings in wound care and provide practice recommendations...
November 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29048941/patient-perceptions-of-the-adequacy-of-supplemental-oxygen-therapy-results-of-the-american-thoracic-society-nursing-assembly-oxygen-working-group-survey
#20
Susan S Jacobs, Kathleen O Lindell, Eileen G Collins, Chris M Garvey, Carme Hernandez, Sally McLaughlin, Ann M Schneidman, Paula M Meek
RATIONALE: Pulmonary clinicians and patients anecdotally report barriers to home supplemental oxygen services including inadequate supply, unacceptable portable options, and equipment malfunction. Limited evidence exists to describe or quantify these problems. OBJECTIVE: To describe the frequency and type of problems experienced by supplemental oxygen users in the United States. METHODS: The Patient Supplemental Oxygen Survey, a self-report questionnaire, was posted on the American Thoracic Society (ATS) Public Advisory Roundtable and patient and healthcare-affiliated websites...
October 19, 2017: Annals of the American Thoracic Society
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