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https://www.readbyqxmd.com/read/29334913/identifying-enablers-and-barriers-to-individually-tailored-prescribing-a-survey-of-healthcare-professionals-in-the-uk
#1
Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton, Janet Krska
BACKGROUND: Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of individuals. However, professionals report barriers to achieving this in practice. In this study, we examined health professionals' perceptions of enablers and barriers to delivering individually tailored prescribing. METHODS: Normalisation Process Theory (NPT) informed an on-line survey of health professionals' views of enablers and barriers to implementation of Individually Tailored Prescribing (ITP) of medicines...
January 15, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29334324/the-rite-of-passage-of-becoming-a-humanitarian-health-worker-experiences-of-retention-in-sweden
#2
Sara Albuquerque, Anneli Eriksson, Helle M Alvesson
BACKGROUND: Low retention of humanitarian workers poses constraints on humanitarian organisations' capacity to respond effectively to disasters. Research has focused on reasons for humanitarian workers leaving the sector, but little is known about the factors that can elucidate long-term commitment. OBJECTIVE: To understand what motivates and supports experienced humanitarian health workers to remain in the sector. METHODS: Semi-structured interviews were conducted with 10 experienced nurses who had been on at least three field missions with Médecins Sans Frontières Sweden...
2018: Global Health Action
https://www.readbyqxmd.com/read/29328359/destigmatizing-mental-illness-an-innovative-evidence-based-undergraduate-curriculum
#3
Stacey M Carroll
Stigma toward individuals with mental illness is prevalent, not only in society but also among nurses caring for this population. Such stigma contributes to health disparities, discrimination, and a lack of providers working with those who experience mental illness. An evidence-based anti-stigma curriculum innovation in a mental health nursing course in an undergraduate program is described. The curriculum change, undertaken over 2 years, included two elements: (a) contact-based education, and (b) reflective activities...
January 11, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29328357/sensitizing-inpatient-mental-health-staff-to-the-challenges-of-aging
#4
Michelle R Zechner, Joseph C Birkmann, Jennifer Sperduto, Carlos Pratt
Although the aging inpatient population in state psychiatric hospitals is growing significantly, there are few examples of available training to improve staff knowledge and practice. The current article describes a 10-week training series developed through a university and psychiatric hospital collaboration. Training was attended by 135 direct care nursing and rehabilitation staff and focused on improving aging awareness, problem solving, using person-centered therapeutic techniques, and engaging older adults...
January 11, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29321942/preventing-stress-related-ill-health-among-newly-registered-nurses-by-supporting-engagement-in-proactive-behaviors-development-and-feasibility-testing-of-a-behavior-change-intervention
#5
Elin Frögéli, Ann Rudman, Brjánn Ljótsson, Petter Gustavsson
Background: Transitioning into a new professional role is a stressful experience with consequences for mental and physical health, job satisfaction, organizational commitment, and turnover. New registered nurses seem to be at particular risk of developing stress-related ill health during their first years in the profession. Previous research indicates that engagement in proactive behaviors may reduce this risk. Methods: With the work presented in this paper, we aimed to test the feasibility of conducting an evaluation of the effect of a behavior change intervention to prevent stress-related ill health among new registered nurses by supporting their engagement in proactive behaviors...
2018: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29321051/midwives-respect-and-disrespect-of-women-during-facility-based-childbirth-in-urban-tanzania-a-qualitative-study
#6
Kana Shimoda, Shigeko Horiuchi, Sebalda Leshabari, Yoko Shimpuku
BACKGROUND: Over the last two decades, facility-based childbirths in Tanzania have only minimally increased by 10% partly because of healthcare providers' disrespect and abuse (D&A) of women during childbirth. Although numerous studies have substantiated women's experience of D&A during childbirth by healthcare providers, few have focused on how D&A occurred during the midwives' actual care. This study aimed to describe from actual observations the respectful and disrespectful care received by women from midwives during their labor period in two hospitals in urban Tanzania...
January 10, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29318699/-it-breaks-your-soul-an-in-depth-exploration-of-workplace-injustice-in-nursing
#7
Natalie Skinner, Paul Van Dijk, Christina Stothard, Erich C Fein
AIM(S): To understand nurses' experiences of injustice in the workplace and to identify the impact of injustice on well-being. BACKGROUND: Little is known about how nurses view injustice or its effects on their well-being, although research indicates that such perceptions are central to workplace practices such as performance management and outcomes such as employee well-being. METHOD(S): A qualitative study was conducted with semi-structured interviews for nurses employed in Australian public hospitals...
January 10, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29303904/impact-of-relational-coordination-on-staff-and-patient-outcomes-in-outpatient-surgical-clinics
#8
Jody Hoffer Gittell, Caroline Logan, Jack Cronenwett, Tina C Foster, Richard Freeman, Marjorie Godfrey, Dale Collins Vidal
BACKGROUND: Pressures are increasing for clinicians to provide high-quality, efficient care, leading to increased concerns about staff burnout. PURPOSE: This study asks whether staff well-being can be achieved in ways that are also beneficial for the patient's experience of care. It explores whether relational coordination can contribute to both staff well-being and patient satisfaction in outpatient surgical clinics where time constraints paired with high needs for information transfer increase both the need for and the challenge of achieving timely and accurate communication...
January 5, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29301519/iterative-co-creation-for-improved-hand-hygiene-and-aseptic-techniques-in-the-operating-room-experiences-from-the-safe-hands-study
#9
Annette Erichsen Andersson, Maria Frödin, Lisen Dellenborg, Lars Wallin, Jesper Hök, Brigid M Gillespie, Ewa Wikström
BACKGROUND: Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room...
January 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29300497/association-of-habitual-dietary-intake-with-morningness-eveningness-and-rotating-shift-work-in-japanese-female-nurses
#10
Takahiro Yoshizaki, Taiki Komatsu, Yuki Tada, Azumi Hida, Yukari Kawano, Fumiharu Togo
Rotating shift workers are associated with imbalanced dietary intakes. Rotating shift workers and dietary intakes in adults who do not engage in night work have also been shown to be associated with chronotype. However, no studies have examined associations between morningness-eveningness (i.e., the degree to which people prefer to be active in the morning or the evening), rotating shift work and dietary intakes. Therefore, our first purpose was to elucidate the association between morningness-eveningness and habitual food group intakes in rotating shift workers...
January 4, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29283890/environmental-health-advancing-emancipatory-policies-for-the-common-good
#11
Sarah K Valentine-Maher, Patricia G Butterfield, Gary Laustsen
Human health is substantially impacted by the state of the environment, and environmental degradation has a disproportionate impact on persons with less immediate access to financial and social power. This article calls for upstream nursing action to address the natural environment in order to turn about health injustices and improve health for all. Such action would move nursing towards a greater actualization of the nursing environmental domain. The health impacts of climate change, air and water quality, and toxic chemical exposure are substantiated and specific policy leadership recommendations are proposed...
December 27, 2017: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/29283474/the-work-and-challenges-of-care-managers-in-the-implementation-of-collaborative-care-a-qualitative-study
#12
Gritt Overbeck, Marius Brostrøm Kousgaard, Annette Sofie Davidsen
INTRODUCTION: In collaborative care models for anxiety and depression the care manager (CM), often a mental health nurse, has a key role. However, the work and challenges related to this role remain poorly investigated. AIM: To explore CMs' experiences of their work and the challenges they face when implementing their role in a collaborative care intervention in the Capital Region of Denmark. METHODS: Interviews with eight CMs, a group-interview with five CMs, and a recording of one supervision session were analyzed by thematic analysis...
December 28, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29282843/the-meaning-of-suicidal-behaviour-from-the-perspective-of-senior-nursing-undergraduate-students
#13
Kelly G G Vedana, Camila C M Pereira, José Carlos Dos Santos, Carla Ventura, Sabrina M Moraes, Adriana I Miasso, Ana Carolina G Zanetti, Tatiana L Borges
The meaning ascribed to suicidal behaviours may influence the quality of the care provided to people at risk of suicide. Such a phenomenon has yet to be properly investigated amongst nursing undergraduate students, the aim of this study being to gain an understanding of the meanings of suicidal behaviour for a particular group of nurses. The study, which utilized grounded theory, was conducted in Brazil in 2016-2017 with 30 undergraduate students. The findings indicated that suicidal behaviour, classified according to the individual beliefs and judgements of the participants, presented a significant barrier to the delivery of care and was complex and multifaceted care phenomenon...
December 28, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29281923/conflicts-and-con-fusions-confounding-compassion-in-acute-care-creating-dialogical-moral-space
#14
Jenny Jones, Petra Strube, Marion Mitchell, Amanda Henderson
BACKGROUND: Compassion, understood as empathy for another who is experiencing physical, mental, emotional and/or spiritual suffering, is an essential element of our shared understandings of nursing and the constitution of the professional nurse. Theoretical foundation: Charles Taylor account of ethics which concerns 'what or who is it good to be' rather than the predominant analytical moral philosophy approach which concentrates on 'what ought one to do' is the core concern of this discussion...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29278437/towards-a-standardised-definition-for-fundamental-care-a-modified-delphi-study
#15
Rebecca Feo, Tiffany Conroy, Eva Jangland, Asa Muntlin Athlin, Maria Brovall, Jenny Parr, Karin Blomberg, Alison Kitson
AIMS: To generate a standardised definition for fundamental care and identify the discrete elements that constitute such care. BACKGROUND: There is poor conceptual clarity surrounding fundamental care. The Fundamentals of Care Framework aims to overcome this problem by outlining three core dimensions underpinning such care. Implementing the Framework requires a standardised definition for fundamental care that reflects the Framework's conceptual understanding, as well as agreement on the elements that comprise such care (i...
December 26, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29275791/the-working-alliance-and-clinician-assisted-emotional-disclosure-for-rheumatoid-arthritis
#16
Mark A Lumley, Timothy Anderson, Brett Ankawi, Gregory Goldman, LisaCaitlin M Perri, Joseph A Bianco, Francis J Keefe
OBJECTIVES: The working alliance predicts improvement following general psychotherapy, but how it operates in brief interventions conducted with medically ill patients is unknown. Also, the role of the working alliance may differ in emotion-focused versus educational interventions. METHODS: We report secondary analyses of a randomized clinical trial (Keefe et al.) [35], in which patients with rheumatoid arthritis (RA) received four nurse-provided sessions of either a) Clinician-assisted Emotional Disclosure (CAED), which emphasized the disclosure, expression, and processing of emotions related to stressful events; or b) Arthritis Education (AE), which provided basic education about RA...
January 2018: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/29274639/the-changing-roles-of-community-nurses-the-case-of-health-plan-nurses-in-israel
#17
Rachel Nissanholtz-Gannot, Bruce Rosen, Miriam Hirschfeld
BACKGROUND: In Israel, approximately one-third of the country's nurses work in community settings - primarily as salaried employees in Israel's four non-profit health plans. Many health system leaders believe that the roles of health plan nurses have changed significantly in recent years due to a mix of universal developments (such as population aging and academization of the profession) and Israel-specific changes (such as the introduction of extensive quality monitoring in primary care)...
December 23, 2017: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/29261537/work-family-culture-within-hospitals-an-interdepartmental-analysis-of-employee-engagement-and-retention
#18
Matthew B Perrigino, Benjamin B Dunford, Matt Troup, R Wayne Boss, David S Boss
BACKGROUND: Helping employees balance their work and family needs is increasingly pivotal for attracting, engaging, and retaining key talent in health care. Yet, emerging theory and anecdotal evidence suggest that, within organizations, there is considerable variation between departments or units regarding how employees' lives outside work are supported. Despite top management's efforts to develop a unified organizational work-family culture, departments have a tendency to take on their own culture, norms, and traditions such that some are more supportive than others...
December 19, 2017: Health Care Management Review
https://www.readbyqxmd.com/read/29247094/oral-medicine-modification-for-older-adults-a-qualitative-study-of-nurses
#19
Aoife Mc Gillicuddy, Abina M Crean, Maria Kelly, Laura Sahm
OBJECTIVE: Oral medicines are frequently modified (eg, tablets crushed) for older adults. However, these modifications can have clinical, legal and/or ethical implications. Nurses bear responsibility for medicine administration and hence, perform these modifications. The aim of this study was to investigate the knowledge, attitudes and beliefs of nurses about oral medicine modification for older adults. DESIGN: A qualitative study was conducted using semi-structured, face-to-face interviews with nurses providing care to older adults in acute and long-term care settings...
December 14, 2017: BMJ Open
https://www.readbyqxmd.com/read/29235986/managing-diabetes-in-people-with-dementia-a-realist-review
#20
Frances Bunn, Claire Goodman, Peter Reece Jones, Bridget Russell, Daksha Trivedi, Alan Sinclair, Antony Bayer, Greta Rait, Jo Rycroft-Malone, Chris Burton
BACKGROUND: Dementia and diabetes mellitus are common long-term conditions that coexist in a large number of older people. People living with dementia and diabetes may be at increased risk of complications such as hypoglycaemic episodes because they are less able to manage their diabetes. OBJECTIVES: To identify the key features or mechanisms of programmes that aim to improve the management of diabetes in people with dementia and to identify areas needing further research...
December 2017: Health Technology Assessment: HTA
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