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https://www.readbyqxmd.com/read/29331476/factors-associated-with-withdrawal-from-maintenance-dialysis-a-case-control-analysis
#1
James B Wetmore, Heng Yan, Yan Hu, David T Gilbertson, Jiannong Liu
BACKGROUND: Little is known about differences in the clinical course between patients receiving maintenance dialysis who do and do not withdraw from dialysis therapy. STUDY DESIGN: Case-control analysis. SETTING & PARTICIPANTS: US patients with Medicare coverage who received maintenance hemodialysis for 1 year or longer in 2008 through 2011. PREDICTORS: Comorbid conditions, hospitalizations, skilled nursing facility stays, and a morbidity score based on durable medical equipment claims...
January 10, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29324965/analysis-of-brazilian-publications-on-distance-education-in-nursing-integrative-review
#2
Ana Paula Cardoso Tavares, Bruna Silva Leite, Isabelle Andrade Silveira, Thayane Dias Dos Santos, Willian de Andrade Pereira de Brito, Alessandra Conceição Leite Funchal Camacho
OBJECTIVE: To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. METHOD: Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. RESULTS: We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29322847/tissue-expanders-with-a-focus-on-extremity-reconstruction
#3
Abdul R Arain, Keegan Cole, Christopher Sullivan, Samik Banerjee, Jillian Kazley, Richard L Uhl
Acute traumatic or surgical wounds that cannot be primarily closed often cause substantial morbidity and mortality. This often leads to increased costs from higher material expenses, more involved nursing care, and longer hospital stays. Advancements in soft tissue expansion has made it a popular alternative to facilitate early closure without the need for more complicated plastic surgical procedures. Areas Covered: In this review, we briefly elaborate on the history and biomechanics of tissue expansion and provide comprehensive descriptions of traditional internal tissue expanders and a variety of contemporary external tissue expanders...
January 11, 2018: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/29320966/evaluating-barriers-to-adopting-telemedicine-worldwide-a-systematic-review
#4
Clemens Scott Kruse, Priyanka Karem, Kelli Shifflett, Lokesh Vegi, Karuna Ravi, Matthew Brooks
Introduction and objective Studies on telemedicine have shown success in reducing the geographical and time obstacles incurred in the receipt of care in traditional modalities with the same or greater effectiveness; however, there are several barriers that need to be addressed in order for telemedicine technology to spread. The aim of this review is to evaluate barriers to adopting telemedicine worldwide through the analysis of published work. Methods The authors conducted a systematic literature review by extracting the data from the Cumulative Index of Nursing and Allied Health Literature (CINAHL) and PubMed (MEDLINE) research databases...
January 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29316582/-burnout-in-intensive-care
#5
Andrej Michalsen, Andreas Hillert, Andreas Schießl, Dominik Hinzmann
Both acute crises and chronically incriminating circumstances in people's lives may lead to their being afflicted by psychological and somatic ailments. "Burnout" has been coined and established as the term for chronic occupational strain. Many professions claim to be extraordinarily affected by burnout, amongst others physicians and nurses, especially those working in anaesthesiology and critical care. Usually assessed with the Maslach Burnout Inventary, the prevalence of moderate or severe burnout in these areas is estimated at about 30 % amongst nurses and about 40 % to 50 % amongst physicians...
January 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29315937/reported-safety-environment-predicts-injuries-among-children-aged-1-6-years-in-specific-communities
#6
Maya Siman-Tov, Kobi Peleg, Orna Baron-Epel
AIM: To measure individual and environmental risk factors predicting reported child injuries. METHODS: A prospective, follow-up study was performed including 380 parents of children aged 1-6 years, living in various communities throughout Israel. Parents were interviewed three times, 3 months apart. Injuries were defined as including minor injuries that required parental attention and medically attended injuries: doctor or nurse visit, emergency medical services or hospitalisation...
January 9, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29312728/feasibility-and-outcomes-of-modified-enhanced-recovery-after-surgery-for-nursing-management-of-aged-patients-undergoing-esophagectomy
#7
Wei Li, Bin Zheng, Shuliang Zhang, Hao Chen, Wei Zheng, Chun Chen
Background: The aim of this study was to determine whether a modified enhanced recovery after surgery (mERAS) protocol has a positive effect on the recovery of aged patients with esophageal cancer undergoing esophagectomy. Methods: Consecutive patients were selected between January 2015 and June 2016 and were randomly assigned to a control group (traditional nursing care) or an observation group (mERAS protocol). We analyzed the outcomes of the patients, including surgical outcomes, postoperative complications, mental health status, and quality of life (QOL)...
December 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29306750/millennial-s-perspective-of-clicker-technology-in-a-nursing-classroom-a-mixed-methods-research-study
#8
Rebecca Toothaker
BACKGROUND: Nursing education is facing challenges and a shift in paradigm within the nursing classroom. Educators need to explore innovative strategies that engage students. Clickers are one tool that can enhance participation, protect anonymity, and promote learning of concepts. METHODS/DATA SOURCES: This mixed methods study evaluated nursing student's perceptions of clicker technology during lecture. This study uses a 9-item questionnaire to explore perceived levels of student perception of the technology of clickers in a nursing classroom...
December 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29306749/comparing-student-clinical-self-efficacy-and-team-process-outcomes-for-a-deu-blended-and-traditional-clinical-setting-a-quasi-experimental-research-study
#9
Christina Plemmons, Michele Clark, Du Feng
BACKGROUND: Clinical education is vital to both the development of clinical self-efficacy and the integration of future nurses into health care teams. The dedicated education unit clinical teaching model is an innovative clinical partnership, which promotes skill development, professional growth, clinical self-efficacy, and integration as a team member. Blended clinical teaching models are combining features of the dedicated education unit and traditional clinical model. OBJECTIVES: The aims of this study are to explore how each of three clinical teaching models (dedicated education unit, blended, traditional) affects clinical self-efficacy and attitude toward team process, and to compare the dedicated education unit model and blended model to traditional clinical...
December 29, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29303838/experiences-related-to-urinary-incontinence-of-stroke-patients-a-qualitative-descriptive-study
#10
Gulcihan Arkan, Ayse Beser, Vesile Ozturk
INTRODUCTION: Poststroke urinary incontinence is a common problem, with a prevalence ranging from 32% to 79%. Urinary incontinence after stroke has negative physiological, psychological, and economic effects, which lead to lifestyle changes for both patients and caregivers. Nurses play an important role in preventing and improving incontinence, understanding the experiences of individuals experiencing incontinence, providing healthcare for them, and implementing behavioral therapy methods...
February 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29289407/an-integrated-nurse-practitioner-run-subspecialty-referral-program-for-incontinent-children
#11
Kimberly S Jarczyk, Pam Pieper, Lori Brodie, Kelly Ezzell, Tina D'Alessandro
INTRODUCTION: Evidence suggests that urinary and fecal incontinence and abnormal voiding and defecation dynamics are different manifestations of the same syndrome. This article reports the success of an innovative program for care of children with incontinence and dysfunctional elimination. This program is innovative because it is the first to combine subspecialty services (urology, gastroenterology, and psychiatry) in a single point of care for this population and the first reported independent nurse practitioner-run specialty referral practice in a free-standing pediatric ambulatory subspecialty setting...
December 28, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29286990/self-directed-learning-readiness-is-independent-of-teaching-and-learning-approach-in-undergraduate-nursing-education
#12
Nomawethu Qamata-Mtshali, Judith C Bruce
Selecting appropriate teaching and learning strategies within an overarching teaching philosophy is 1 way of influencing nursing students' self-directedness. We conducted research to compare the self-directed learning readiness and learning attributes in different years of study of undergraduate nursing students who are exposed to traditional, lecture-based learning and problem-based learning strategies. We found that readiness for self-directed learning is not dependent on the dominant teaching-learning strategy used in the nursing program...
December 29, 2017: Nurse Educator
https://www.readbyqxmd.com/read/29286947/the-student-experience-with-varying-immersion-levels-of-virtual-reality-simulation
#13
Sharon L Farra, Sherrill J Smith, Deborah L Ulrich
With increasing use of virtual reality simulation (VRS) in nursing education and given the vast array of technologies available, a variety of levels of immersion and experiences can be provided to students. This study explored two different levels of immersive VRS capability. Study participants included baccalaureate nursing students from three universities across four campuses. Students were trained in the skill of decontamination using traditional methods or with VRS options of mouse and keyboard or head-mounted display technology...
December 28, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29286946/using-a-k-w-l-chart-to-bridge-the-theory-practice-gap
#14
Deborah A Raines
As nursing is a practice discipline, theory and practice cannot be separated. Yet nursing education is traditionally divided into two components: classroom or theory-based learning and clinical or practice-based learning. The theory-practice gap is one of the most significant issues in nursing today, given the emphasis on evidence-based practice. This article describes the use of a K-W-L chart as an approach to bridge the theory-practice gap and encourage students to become self-directed and take ownership of their knowledge...
December 28, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29284341/cerebral-perfusion-monitoring-in-adult-patients-following-cardiac-surgery-an-observational-study
#15
Tammy Slater, Julie Stanik-Hutt, Patricia Davidson
BACKGROUND: Strokes following adult cardiac surgery contribute to burdensome neurocognitive complications, which are often difficult to detect during the perioperative period. Fluctuations in regional cerebral perfusion and co-morbid conditions, such as hypertension, diabetes, prior stroke, symptomatic carotid stenosis, aortic atherosclerotic disease, and peripheral vascular disease are associated with perioperative strokes. Approaches to achieve optimal cerebral perfusion remain elusive and traditional strategies for perioperative monitoring are not always sufficiently sensitive to detect acute changes in cerebral perfusion...
December 28, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/29282068/advancing-beyond-the-system-telemedicine-nurses-clinical-reasoning-using-a-computerised-decision-support-system-for-patients-with-copd-an-ethnographic-study
#16
Tina Lien Barken, Elin Thygesen, Ulrika Söderhamn
BACKGROUND: Telemedicine is changing traditional nursing care, and entails nurses performing advanced and complex care within a new clinical environment, and monitoring patients at a distance. Telemedicine practice requires complex disease management, advocating that the nurses' reasoning and decision-making processes are supported. Computerised decision support systems are being used increasingly to assist reasoning and decision-making in different situations. However, little research has focused on the clinical reasoning of nurses using a computerised decision support system in a telemedicine setting...
December 28, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29281934/ethical-challenges-experienced-by-clinical-research-nurses-a-qualitative-study
#17
Mary E Larkin, Brian Beardslee, Enrico Cagliero, Catherine A Griffith, Kerry Milaszewski, Marielle T Mugford, Joanna M Myerson, Wen Ni, Donna J Perry, Sabune Winkler, Elizabeth R Witte
BACKGROUND: Clinical investigation is a growing field employing increasing numbers of nurses. This has created a new specialty practice defined by aspects unique to nursing in a clinical research context: the objectives (to implement research protocols and advance science), setting (research facilities), and nature of the nurse-participant relationship. The clinical research nurse role may give rise to feelings of ethical conflict between aspects of protocol implementation and the duty of patient advocacy, a primary nursing responsibility...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29280905/ultrasound-guided-peripheral-intravenous-catheters-to-reduce-central-venous-catheter-use-on-the-inpatient-medical-ward
#18
Benjamin T Galen, William N Southern
PURPOSE: The traditional technique of placing a peripheral intravenous (IV) catheter is successful in most cases on inpatient wards. However, when the traditional method fails, a central venous catheter may be placed to maintain IV access. These catheters are associated with risks including central line-associated bloodstream infection. METHODS: We evaluated the effectiveness and acceptability of an ultrasound-guided peripheral IV service to reduce the number of newly placed central venous catheters on an inpatient ward...
January 2018: Quality Management in Health Care
https://www.readbyqxmd.com/read/29279028/helping-smokers-quit-the-smoking-cessation-leadership-center-engages-behavioral-health-by-challenging-old-myths-and-traditions
#19
Steven A Schroeder, Brian Clark, Christine Cheng, Catherine B Saucedo
Smoking is much more common among persons with behavioral health conditions (mental illnesses and/or substance use disorders). Persons with these disorders are more likely to die from smoking-related causes than any other reason. Studies have shown that stopping smoking can improve mental health function, as well as improve outcomes for substance use disorders. Yet, for a variety of reasons, smoking cessation has not been integrated into the treatment of behavioral health conditions, and in many instances tobacco use was not only condoned but encouraged...
December 26, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/29279014/quality-indicator-survey-versus-traditional-survey-in-new-york-state-a-comparison-of-results-from-annual-nursing-home-surveys
#20
Colleen Moore Delaney, Lisa Rafalson, Roger C Fiedler, Joanne I Hernick
Despite the passage of OBRA'87 for nursing home reform, concerns about care in facilities continue. The Centers for Medicare and Medicaid developed new regulations and the Traditional Survey (TS) process for annual nursing home survey. The survey is conducted by state regional offices to determine facility compliance with federal regulations. Despite the regulations and new survey process, the TS inconsistently identified problems. A computerized process called the Quality Indicator Survey (QIS) was subsequently developed...
December 26, 2017: Journal of Aging & Social Policy
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