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https://www.readbyqxmd.com/read/29775113/how-does-leadership-manifest-in-the-patient-therapist-interaction-among-physiotherapists-in-primary-health-care-a-qualitative-study
#1
Eva Rasmussen-Barr, Mairi Savage, Mia Von Knorring
OBJECTIVES: Health care is undergoing changes and this requires the participation and leadership of all health-care professions. While numerous studies have explored leadership competence among physicians and nurses, the physiotherapy profession has received but limited attention. The aim of this study was to explore how leadership manifests in the patient-therapist interaction among physiotherapists in primary health care and how the physiotherapists themselves relate their perception of leadership to their clinical practice...
May 18, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29773700/implications-of-involving-pharmacy-technicians-in-obtaining-a-best-possible-medication-history-from-the-perspectives-of-pharmaceutical-medical-and-nursing-staff-a-qualitative-study
#2
Andrea Niederhauser, Chantal Zimmermann, Liat Fishman, David L B Schwappach
OBJECTIVES: In recent years, the involvement of pharmacy technicians in medication reconciliation has increasingly been investigated. The aim of this study was to assess the implications on professional roles and collaboration when a best possible medication history (BPMH) at admission is obtained by pharmacy technicians. DESIGN: Qualitative study with semistructured interviews. Data were analysed using a qualitative content analysis approach. SETTING: Internal medicine units in two mid-sized Swiss hospitals...
May 17, 2018: BMJ Open
https://www.readbyqxmd.com/read/29768931/how-intersectoral-health-promotion-changes-professional-practices-a-case-study-from-denmark
#3
Mads Christensen, Viola Burau, Loni Ledderer
Intersectoral health promotion (IHP) has pushed health professions to engage in new tasks and interprofessional ways of working. We studied how care assistants from a nursing home and school teachers implemented a cookery project targeted at children ("Cool Beans") as an example of an IHP project in Denmark. Our aim was to examine the impact of the IHP project on the practices of the professions involved. We used a qualitative case study to investigate joint care and teaching situations with the two professions and their users...
May 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29764218/coping-with-shift-work-related-circadian-disruption-a-mixed-methods-case-study-on-napping-and-caffeine-use-in-australian-nurses-and-midwives
#4
Stephanie Centofanti, Siobhan Banks, Antonietta Colella, Caroline Dingle, Lisa Devine, Helen Galindo, Sophie Pantelios, Gorjana Brkic, Jillian Dorrian
INTRODUCTION: Two of the most ubiquitous fatigue countermeasures used by shift-working nurses are napping and caffeine. This mixed-methods case study investigated the ways nurses and midwives utilised napping and caffeine countermeasures to cope with shift work, and associated sleep, physical health and psychological health outcomes. MATERIALS AND METHODS: N = 130 Australian shift-working nurses and midwives (mean age = 44 years, range = 21-67, 115F, 15M) completed the Standard Shiftwork Index...
May 15, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29759258/improving-maternal-safety-at-scale-with-the-mentor-model-of-collaborative-improvement
#5
Elliott K Main, Ravi Dhurjati, Valerie Cape, Julie Vasher, Anisha Abreo, Shen-Chih Chang, Jeffrey B Gould
BACKGROUND: Obstetric safety bundles, consisting of action steps shown to improve outcomes, have been developed to address the most common and preventable causes of maternal morbidity and mortality. Implementing these best practices across all birthing facilities remains an important and challenging clinical and public health priority. METHODS: The California Maternal Quality Care Collaborative (CMQCC) developed an innovative external mentor model for large-scale collaborative improvement in which participating organizations were subdivided into small teams of six to eight hospitals, led by a paired dyad of physician and nurse leaders...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29752859/shifts-in-nursing-and-medical-student-s-attitudes-beliefs-and-behaviours-about-interprofessional-work-an-interprofessional-placement-in-ambulatory-care
#6
Karla Seaman, Rosemary Saunders, Helen Dugmore, Claire Tobin, Rachel Singer, Fiona Lake
AIM AND OBJECTIVES: To examine students' beliefs, behaviours and attitudes in relation to interprofessional socialisation, and their expectations and experience, before and after a two-week clinical placement in ambulatory care. BACKGROUND: Interprofessional clinical placements for students are important for developing an understanding of interprofessional collaboration and identity, for the benefit of patient care. Ambulatory care environment involves collaborative management of complex chronic problems...
May 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29739358/implementation-of-an-evidence-based-intervention-to-improve-the-wellbeing-of-people-with-dementia-and-their-carers-study-protocol-for-care-of-people-with-dementia-in-their-environments-cope-in-the-australian-context
#7
Lindy Clemson, Kate Laver, Yun-Hee Jeon, Tracy A Comans, Justin Scanlan, Miia Rahja, Jennifer Culph, Lee-Fay Low, Sally Day, Monica Cations, Maria Crotty, Susan Kurrle, Catherine Piersol, Laura N Gitlin
BACKGROUND: There are effective non-pharmacological treatment programs that reduce functional disability and changed behaviours in people with dementia. However, these programs (such as the Care of People with dementia in their Environments (COPE) program) are not widely available. The primary aim of this study is to determine the strategies and processes that enable the COPE program to be implemented into existing dementia care services in Australia. METHODS: This study uses a mixed methods approach to test an implementation strategy...
May 9, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29730303/students-take-the-lead-for-learning-in-practice-a-process-for-building-self-efficacy-into-undergraduate-nursing-education
#8
Amanda Henderson, Penny Harrison, Jennifer Rowe, Sam Edwards, Margaret Barnes, Simon Henderson, Amanda Henderson
To prepare graduate nurses for practice, the curriculum and pedagogy need to facilitate student engagement, active learning and the development of self-efficacy. This pilot project describes and explores an initiative, the Check-in and Check-out process, that aims to engage students as active partners in their learning and teaching in their clinical preparation for practice. Three interdependent elements make up the process: a check-in (briefing) part; a clinical practice part, which supports students as they engage in their learning and practise clinical skills; and a check-out (debriefing) part...
April 10, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29719874/reducing-the-rate-of-post-surgical-urinary-tract-infections-in-orthopedic-patients
#9
Amit Thakker, Natasha Briggs, Azusa Maeda, Julie Byrne, John Roderick Davey, Timothy D Jackson
Urinary tract infection (UTI) is the fourth leading cause of healthcare-associated infections, with approximately 70%-80% being attributed to the inappropriate use of indwelling catheters. In many cases, indwelling catheters are used inappropriately without any valid indication, creating potentially avoidable and significant patient distress, discomfort, pain and activity restrictions, together with substantial care burden, cost and hospitalisation. In the Division of Orthopedic Surgery at Toronto Western Hospital (TWH), we identified UTI rate reduction as a quality improvement priority...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29718517/nursing-students-perceptions-of-participatory-action-research
#10
Rick Csiernik, Tony O'Regan, Cheryl Forchuk, Abraham Rudnick
BACKGROUND: This article evaluates the experience of students engaged in a participatory action research project. METHOD: Nursing students were assigned to research activities addressing poverty and social inclusion in the lives of individuals with mental health issues. Focus group interviews were held with 25 students, representing 58.1% of eligible students. RESULTS: Themes and subthemes were categorized from the transcripts, with two overarching themes emerging: (a) aspects that worked well, and (b) aspects that could be improved...
May 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29705399/mollie-lentaigne-the-nurse-who-drew-mcindoe-s-guinea-pigs-exploring-the-role-of-a-medical-artist-at-the-queen-victoria-hospital-1940-1945
#11
Alexander J Baldwin
Mollie Lentaigne was a medical artist who worked at the Queen Victoria Hospital in East Grinstead during the Second World War alongside Archibald McIndoe and his dedicated team. She drew hundreds of medical illustrations for McIndoe and his fellow surgeons during the years between 1940 and 1945. Her illustrations depict the plastic surgery that was carried out in that hospital on the badly burnt RAF servicemen injured during the war that took place in the skies over Europe, which included many aircrew injured during the Battle of Britain...
April 16, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29684834/does-technology-really-enhance-nurse-education
#12
EDITORIAL
Tim Goodchild
Technology has clearly impacted upon our working lives, and the purpose of this paper is to offer a critical insight into the ubiquitous presence of technology in nurse education. This paper argues that technology enhanced learning is predicated on the promise of potential and purported transformation of teaching and learning. It suggests that there is a lack of critical engagement in the academic field of technology enhanced learning, and adds a critical voice to some of the emerging arguments in this area...
April 14, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29682890/work-engagement-and-its-predictors-in-registered-nurses-a-cross-sectional-design
#13
Qiaoqin Wan, Weijiao Zhou, Zhaoyang Li, Shaomei Shang, Fang Yu
Nurses are key staff members of health-care organizations. Nurse engagement directly influences quality of care and organizational performance. The purpose of the present study was to understand the state of work engagement and explore its predictors among registered nurses in China by using a descriptive, cross-sectional survey design (n = 1065). Work engagement was measured with the Chinese version of the Utrecht Work Engagement Scale. The results showed that the average work engagement of Chinese nurses was 3...
April 23, 2018: Nursing & Health Sciences
https://www.readbyqxmd.com/read/29682824/the-effect-of-quality-of-overtime-work-on-nurses-mental-health-and-work-engagement
#14
Mayumi Watanabe, Keita Yamauchi
AIM AND BACKGROUND: Recent research has suggested that the reasons why nurses work overtime hours exert differential effects on the overall impact of the work. This study aimed to clarify why nurses work overtime, and whether well-being effects differed by reason, at both the ward and individual level. METHODS: Participants were 1,075 permanent nurses from 54 wards. Overtime reasons' distribution and impact on nurses were examined by a multilevel structural equation modelling approach...
April 23, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29680586/the-professional-and-personal-debriefing-needs-of-ward-based-nurses-after-involvement-in-a-cardiac-arrest-an-explorative-qualitative-pilot-study
#15
Ruth Clark, Chris McLean
BACKGROUND: Current research demonstrates that debriefing staff post cardiac arrest in clinical practice is rare, with little evidence of effectiveness. OBJECTIVES: The aim of this pilot study was to identify the needs of ward based nurses for debriefing after involvement in a cardiac arrest and to identify any barriers to participating in debriefing. METHODOLOGY: An explorative qualitative study was undertaken with a purposive sample of seven nurses working on acute adult wards in a United Kingdom hospital...
April 18, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29672395/an-educational-implementation-process-staff-survey-lessons-learned
#16
Barbara Delmore, Martha Kent
OBJECTIVE: To evaluate the education process for the effective use of the Munro Pressure Ulcer Risk Assessment Scale by practicing perioperative staff at an urban tertiary medical center. Given that pressure injury formation is tied to the surgical process, there is a need for a pressure injury risk assessment scale that addresses the uniqueness of the perioperative process. METHODS: Participants were staff who worked in the surgical admissions area, the main operating room, and the main postanesthesia care unit...
May 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29667864/exploring-nurse-leaders-policy-participation-within-the-context-of-a-nursing-conceptual-framework
#17
Ashley Waddell, Jeffrey M Adams, Jacqueline Fawcett
This study was designed to describe and quantify the experiences of nurse leaders working to influence policy and to build consensus for priority skills and knowledge useful in policy efforts within the context of a nursing conceptual framework. The conceptual model for nursing and health policy and the Adams influence model were combined into a conceptual framework used to guide this two-round modified Delphi study. Twenty-two nurse leaders who were members of a state action coalition participated in the Round 1 focus group; 15 of these leaders completed the Round 2 electronic survey...
January 1, 2018: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/29664118/narratives-and-gatekeeping-making-sense-of-triage-nurses-practice
#18
Lars E F Johannessen
It is well documented that emergency service staff consider some patients to be 'inappropriate attenders'. A central example is 'trivia', denoting patients with medical problems considered too 'trivial' to warrant attention. Although research has repeatedly shown that frontline staff violate guidelines in turning away 'trivial' patients, existing research has paid insufficient attention to why staff are willing to engage in guideline-violating gatekeeping, which may put both themselves and 'trivial' patients at risk...
April 17, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29660564/closing-the-gap-a-whole-of-school-approach-to-aboriginal-and-torres-strait-islander-inclusivity-in-higher-education
#19
Amanda C Fowler, Beverley Ewens, Caroline Vafeas, Leitha Delves, Colleen Hayward, Noel Nannup, Gwen Baum
The recruitment and retention of Aboriginal and Torres Strait Islander nurses and midwives is key to the delivery of culturally appropriate health care and improving the health outcomes of Aboriginal and Torres Strait Islander people. A working group to address inclusion and engagement of Aboriginal and Torres Strait Islander students at a West Australian University has impacted on the curricula, faculty staff and Aboriginal and Torres Strait Islander students within the School of Nursing and Midwifery. The University's Reconciliation Action Plan was the foundation and catalysed the group to promote cultural safety education for staff and provide inclusive activities for Aboriginal and Torres Strait Islander students...
April 9, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29658141/formal-and-informal-inter-organizational-coordination-how-nurses-adapt-in-complex-pathways
#20
Anne Doessing
With the coordination of health care services becoming increasingly complex, the challenges of fragmentation cannot be solved by administrative restructuring alone. Attention must also be given to the coordination practices of professional groups, and, in this respect, the nursing profession is a particularly interesting case. Based on a qualitative case study of Danish nurses in hospital, municipality, and general practice, this article addresses the following question: How does the nursing profession practice formal and informal inter-organisational coordination in complex pathways, and what is the interplay between the 2 types of coordination? The findings contribute to our knowledge of coordination at the operative level of health care by identifying specific informal practices in inter-organisational coordination and by showing how informal coordination is activated to support formal coordination in a concurrent organisational and professional ambition of integration...
April 15, 2018: International Journal of Health Planning and Management
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