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https://www.readbyqxmd.com/read/29240661/physical-restraint-use-with-elderly-patients-perceptions-of-nurses-and-nursing-assistants-in-spanish-acute-care-hospitals
#1
Emilio Fariña-López, Gabriel J Estévez-Guerra, M Luz Polo-Luque, Alica Hanzeliková Pogrányivá, Eva Penelo
BACKGROUND: Physical restraint is often used during the hospitalization of elderly people. However, this procedure is associated with adverse outcomes; therefore, it is necessary to be aware of the circumstances that promote restraint use, such as the perceptions of professionals who use it. OBJECTIVES: The purpose of the research was to determine the situations in which nursing staff considered the use of physical restraint as most important and to evaluate the possible associations with the sociodemographic and professional variables...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29240656/hospital-acquired-pressure-injury-risk-adjusted-comparisons-in-an-integrated-healthcare-delivery-system
#2
June Rondinelli, Stephen Zuniga, Patricia Kipnis, Lina Najib Kawar, Vincent Liu, Gabriel J Escobar
BACKGROUND: Although healthcare organizations have decreased hospital-acquired pressure injury (HAPI) rates, HAPIs are not eliminated, driving further examination in both nursing and health services research. OBJECTIVE: The objective was to describe HAPI incidence, risk factors, and risk-adjusted hospital variation within a California integrated healthcare system. METHODS: Inpatient episodes were included in this retrospective cohort if patients were hospitalized between January 1, 2013, and June 30, 2015...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29240594/preventive-effect-of-a-microclimate-regulating-system-on-pressure-ulcer-development-a-prospective-randomized-controlled-trial-in-dutch-nursing-homes
#3
Martin van Leen, Ruud Halfens, Jos Schols
OBJECTIVE: Prevention of pressure ulcers (PrUs) is based on relieving pressure, diminishing shear stress, and controlling the skin's microclimate. Based on the recommendations in the most recent guideline for prevention of PrUs, a pressure-relieving, shear stress-diminishing, and microclimate-controlling skin interface multilayer support system (Bedcare; Sense Textile, 's-Hertogenbosch, the Netherlands) has been developed for use on top of a viscoelastic foam mattress (Formafoam, Kabelfabriek Eupen, Belgium)...
January 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29240571/developing-the-clinical-nurse-leader-survey-instrument-a-modified-delphi-study
#4
Miriam Bender, Alice Avolio, Patricia Baker, James L Harris, Nancy Hilton, Lisle Hites, Linda Roussel, Bobbi Shirley, Patricia L Thomas, Marjory Williams
Clinical nurse leader (CNL)-integrated care delivery is an emerging nursing model, with growing adoption in diverse health systems. To generate a robust evidence base for this promising nursing model, it is necessary to measure CNL practice to explicitly link it to observed quality and safety outcome improvements. This study used a modified Delphi approach with an expert CNL panel to develop and test the face, content, and construct validity of the CNL Practice Survey instrument.
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29240471/nurse-led-clinics-for-atrial-fibrillation-managing-risk-factors
#5
Liril Jacob
Atrial fibrillation (AF) is the most common and sustained cardiac arrhythmia rated by cardiologists as one of the most difficult conditions to manage. Traditionally, AF management has focused on the three pillars of rate control, rhythm control and anticoagulation. However, more recently, cardiovascular risk-factor management in AF has emerged as a fourth and essential pillar, delivering improved patient outcomes. In the UK, AF is a condition that is often managed poorly, with patients reporting a lack of understanding of their condition and treatment options...
December 14, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29240304/weight-status-diet-quality-perceived-stress-and-functional-health-of-caregivers-of-children-with-autism-spectrum-disorder
#6
Xiaoyin Sara Li, Jennifer A Pinto-Martin, Aleda Thompson, Jesse Chittams, Tanja V E Kral
PURPOSE: Caring for children with autism spectrum disorder (ASD) can be highly demanding and can put significant strain on caregivers. To date, little is known about the extent to which caregivers of children with ASD experience increased levels of stress which may adversely affect health outcomes. The purpose of this secondary analysis was to compare caregivers of children with ASD and caregivers of typically developing children (TDC) in weight status, diet quality, perceived stress related to the parenting role, and functional health and well-being...
December 14, 2017: Journal for Specialists in Pediatric Nursing: JSPN
https://www.readbyqxmd.com/read/29239913/transforming-the-role-of-the-clinical-faculty-coordinator-in-the-dedicated-education-unit
#7
Nicole Auxier, Holly Simpson
The dedicated education unit (DEU) clinical education model has been identified nationally as an innovative model for clinical nursing education. This article identifies the core values of the DEU clinical faculty coordinator role and describes the transformation of this role across three clinical models. The role has been adapted to fit the needs of acute care, post-acute care, and community nursing DEU models, meeting the needs of the clinical educational environment and clinical staff as well as student learning outcomes...
December 13, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29239751/feasibility-of-single-vs-two-physician-procedural-sedation-in-a-small-community-emergency-department
#8
Clayton P Josephy, David R Vinson
OBJECTIVE: Sedation is commonly required for painful procedures in the emergency department (ED). Some facilities mandate two physicians be present for deep sedation cases. Evidence is lacking, however, that a two-physician approach improves safety outcomes. We report our experience on the feasibility of replacing a two-physician ED procedural sedation policy with a single-physician policy in a small, single-coverage community ED. METHODS: This is a retrospective, before/after, single-center observational study of prospectively collected data from January 2013 through December 2016...
November 3, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29239662/the-effect-of-electronic-health-records-on-patient-safety-a-qualitative-exploratory-study
#9
Ahmad Tubaishat
BACKGROUND: Electronic health records (EHRs) are increasingly used in healthcare settings and it is believed that they have brought benefits to patients and healthcare services alike. Few previous studies, however, have explored the impact of these records on patient safety. AIM: The overall purpose of this study was to explore the effect of EHRs on patient safety, as perceived by nurses. METHODS: This qualitative exploratory study was conducted using semi-structured interviews with staff nurses working in hospitals that employed the same EHR system in Jordan...
December 14, 2017: Informatics for Health & Social Care
https://www.readbyqxmd.com/read/29239260/a-1-year-follow-up-of-a-randomized-clinical-trial-with-focus-on-manual-and-electric-toothbrushes-effect-on-dental-hygiene-in-nursing-homes
#10
Katrine Gahre Fjeld, Hilde Eide, Morten Mowe, Leiv Sandvik, Tiril Willumsen
OBJECTIVE: A 2-month randomized clinical trial (RCT) study comparing electric and manual toothbrushes used by residents in nursing homes showed significant reduction in plaque score for both groups. The aim of this follow up study was to study if the effect sustained in a longer perspective when toothbrushes were used according to resident's own preference. MATERIALS AND METHODS: One year after baseline of the RCT-study, 100 participants were re-examined. The simplified oral hygiene index (OHI-S) was used as outcome measure on dental plaque...
December 14, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/29237444/development-and-assessment-of-an-active-strategy-for-the-implementation-of-a-collaborative-care-approach-for-depression-in-primary-care-the-indi%C3%A2-i-project
#11
Enric Aragonès, Diego Palao, Germán López-Cortacans, Antonia Caballero, Narcís Cardoner, Pilar Casaus, Myriam Cavero, José Antonio Monreal, Víctor Pérez-Sola, Miquel Cirera, Maite Loren, Eva Bellerino, Catarina Tomé-Pires, Laura Palacios
BACKGROUND: Primary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. We developed the INDI collaborative care model to improve the management of depression in primary care. This intervention has been favorably evaluated in terms of clinical efficacy and cost-effectiveness in a clinical trial. Our aim is to bring this intervention from the scientific context into clinical practice...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29237443/nursing-faculty-academic-incivility-perceptions-of-nursing-students-and-faculty
#12
Joshua K Muliira, Jansi Natarajan, Jacoba van der Colff
BACKGROUND: Incivility in nursing education can adversely affect the academic environment, the learning outcomes, and safety. Nursing faculty (NF) and nursing students (NS) contribute to the academic incivility. Little is known about the extent of NF academic incivility in the Middle East region. This study aimed at exploring the perceptions and extent of NF academic incivility in an undergraduate nursing program of a public university in Oman. METHODS: A cross sectional survey was used to collect data from 155 undergraduate NS and 40 NF about faculty academic incivility...
December 13, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29237201/implementation-of-a-checklist-before-colonoscopy-a-quality-improvement-initiative
#13
Omar Kherad, Sophie Restellini, Charles Ménard, Myriam Martel, Alan Barkun
Background and study aims Checklists can prevent errors and have a positive impact on patient morbidity and mortality in different surgical settings, and possibly also in gastrointestinal endoscopy. The aims of this study were to reinforce commitment in safety culture and better communication among team members in endoscopy, and to prove the feasibility of successful checklist adoption before colonoscopy. Patients and methods The study involved a pre - post quality improvement intervention involving all consecutive patients undergoing a colonoscopy at a single academic endoscopy unit...
December 13, 2017: Endoscopy
https://www.readbyqxmd.com/read/29237139/outcomes-of-laparoscopic-colectomy-in-younger-and-older-patients-an-analysis-of-nationwide-readmission-database
#14
Hemalkumar B Mehta, Byron D Hughes, Eric Sieloff, Sneha O Sura, Yong Shan, Deepak Adhikari, Anthony Senagore
BACKGROUND: Prior studies report safety and effectiveness of laparoscopic colectomy in older patients. The study aimed to examine the impact of laparoscopic colectomy on 30-day readmissions, discharge destination, hospital length of stay, and cost in younger (19-65 years) and older adults (>65 years). MATERIALS AND METHODS: We used the nationwide readmission database from 2013 to study adults undergoing elective colectomy. The outcomes were 30-day readmissions, discharge destination for the index hospitalization (routine, skilled nursing facility [SNF]/intermediate care facility [ICF], home healthcare), length of stay, and cost...
December 13, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29236524/the-impact-of-the-professional-qualifications-of-the-prenatal-care-provider-on-breastfeeding-duration
#15
Jordyn T Wallenborn, Juan Lu, Robert A Perera, David C Wheeler, Saba W Masho
BACKGROUND: A prenatal commitment to breastfeed is a strong predictor for breastfeeding success. Prenatal care providers have the opportunity to educate and promote breastfeeding. However, differences in education and training between healthcare providers such as physicians and midwives may result in differing breastfeeding outcomes. This study explores whether breastfeeding initiation and duration differ by prenatal care provider. MATERIALS AND METHODS: Longitudinal data from the Infant Feeding Practices Survey II were analyzed (N = 2,832 women)...
December 13, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/29236094/hospital-perceptions-of-medicare-s-sepsis-quality-reporting-initiative
#16
Ian J Barbash, Kimberly J Rak, Courtney C Kuza, Jeremy M Kahn
BACKGROUND: In October 2015, the Centers for Medicare and Medicaid Services (CMS) implemented the Sepsis CMS Core Measure (SEP-1) program, requiring hospitals to report data on the quality of care for their patients with sepsis. OBJECTIVE: We sought to understand hospital perceptions of and responses to the SEP-1 program. DESIGN: A thematic content analysis of semistructured interviews with hospital quality officials. SETTING: A stratified random sample of short-stay, nonfederal, general acute care hospitals in the United States...
December 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/29235986/managing-diabetes-in-people-with-dementia-a-realist-review
#17
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
https://www.readbyqxmd.com/read/29235419/an-observational-study-of-patient-handover-communications-among-nurses-on-an-oncology-critical-care-unit
#18
Jennifer L Milesky, Diana-Lyn Baptiste, Brenda K Shelton
Aim/Objectives: The purpose of this quality improvement project was to evaluate the feasibility and utilization of evidence-based recommendations for nurse-to-nurse shift handover on an oncology critical care unit. BACKGROUND: Breakdown in communication is the most common cause of medical errors in hospitals. DESIGN: Observational study. METHODS: Nurses were provided education that integrated evidence-based recommendations for handover of care...
December 13, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/29234943/enhanced-recovery-care-versus-traditional-care-after-laparoscopic-liver-resections-a-randomized-controlled-trial
#19
Xiao Liang, Hanning Ying, Hongwei Wang, Hongxia Xu, Minjun Liu, Haiyan Zhou, Huiqing Ge, Wenbin Jiang, Lijun Feng, Hui Liu, Yingchun Zhang, Zhiying Mao, Jianhua Li, Bo Shen, Yuelong Liang, Xiujun Cai
BACKGROUND: Enhanced recovery after surgery (ERAS), with several evidence-based elements, has been shown to shorten length of hospital stay and reduce perioperative hospital costs in many operations. This randomized clinical trial was performed to compare complications and hospital stay of laparoscopic liver resection between ERAS and traditional care. METHODS: A randomized controlled trial was performed for laparoscopic liver resection from August 2015 to August 2016...
December 12, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29233014/family-perceptions-of-family-nursing-in-a-magnet-institution-during-acute-hospitalizations-of-older-adult-patients
#20
Kara Misto
Family involvement during hospitalizations of older adults with chronic illnesses may benefit both patients and family. However, there is a limited amount of research focused on families of older adults managing chronic illness. This study describes family member perceptions of the relationship between family and nurses when an older adult with diabetes is hospitalized in a Magnet institution. The Calgary Family Intervention Model guided the study. A family member of 60 older adult patients completed the Family Function, Family Health, and Social Support Instrument...
December 1, 2017: Clinical Nursing Research
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