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Speaking up

Audrey H Calderwood, Paul C Schroy, Matthew A Kluge, Howard J Cabral, James F Burgess
OBJECTIVE: To identify predictors of adherence with surveillance colonoscopy at a safety-net hospital. METHODS: We evaluated average-risk patients aged 50-75 with adenomas diagnosed at screening colonoscopy between 1/1/05-12/31/07. The primary outcome was on-time follow-up defined as attendance at surveillance colonoscopy within 5.5 years of screening colonoscopy. RESULTS: Among 881 patients, of whom 38% were English-speaking non-Hispanic Blacks, 38...
2016: Journal of Health Care for the Poor and Underserved
Sheri J Hartman, Shira I Dunsiger, Beth C Bock, Britta A Larsen, Sarah Linke, Dori Pekmezi, Becky Marquez, Kim M Gans, Andrea S Mendoza-Vasconez, Bess H Marcus
Spanish-speaking Latinas have some of the lowest rates of meeting physical activity guidelines in the U.S. and are at high risk for many related chronic diseases. The purpose of the current study was to examine the maintenance of a culturally and individually-tailored Internet-based physical activity intervention for Spanish-speaking Latinas. Inactive Latinas (N  =  205) were randomly assigned to a 6-month Tailored Physical Activity Internet Intervention or a Wellness Contact Control Internet Group, with a 6-month follow-up...
October 17, 2016: Journal of Behavioral Medicine
Zeinab M Alawadi, Isabel M Leal, Juan R Flores, Julie L Holihan, Blake E Henchcliffe, Thomas O Mitchell, Tien C Ko, Mike K Liang, Lillian S Kao
BACKGROUND: The purpose of this study was to identify issues important to patients in their decision-making, expectations, and satisfaction when seeking treatment for a ventral hernia. STUDY DESIGN: An exploratory qualitative study was conducted of adult patients with ventral hernias seeking care at a safety-net hospital. Two semi-structured interviews were conducted with each patient: prior to and 6 -months following surgical consultation. Interviews were audiotaped, transcribed, and coded using latent content analysis until data saturation was achieved...
October 11, 2016: Journal of the American College of Surgeons
E Kollig, D Bieler, A Franke
The role of joint replacement in the treatment of osteoarthritis of the thumb carpometacarpal joint is a subject of considerable controversy in the current literature. In German-speaking countries this technique is used much less frequently than resection procedures. Aseptic loosening of the prosthesis is believed to be the major cause of the high failure rates reported for cemented and uncemented types of implants. In this study the different implant designs were evaluated on the basis of the results reported in the international literature...
October 13, 2016: Der Unfallchirurg
Ian R Wilkinson, Sarbendra L Pradhananga, Rowena Speak, Peter J Artymiuk, Jon R Sayers, Richard J Ross
: Acromegaly is a human disease of growth hormone (GH) excess with considerable morbidity and increased mortality. Somatostatin analogues are first line medical treatment but the disease remains uncontrolled in up to 40% of patients. GH receptor (GHR) antagonist therapy is more effective but requires frequent high-dose injections. We have developed an alternative technology for generating a long acting potent GHR antagonist through translational fusion of a mutated GH linked to GH binding protein and tested three candidate molecules...
October 12, 2016: Scientific Reports
Jordan J Allensworth, Scott H Troob, Tyler S Weaver, Javier D Gonzalez, Daniel Petrisor, Mark K Wax
OBJECTIVE: Acute invasive fungal sinusitis (AIFS) is a frequently fatal infection for which extensive and debilitating surgical debridement is a mainstay of therapy. Resulting defects are often composite in nature, mandating free tissue-transfer reconstruction. Outcomes data for free flap reconstruction are limited. The purpose of this study was to examine surgical outcomes and survival in patients undergoing free flap transfer following invasive fungal sinusitis. STUDY DESIGN: Retrospective case series...
October 12, 2016: Laryngoscope
Megan Delisle, Ruby Grymonpre, Rebecca Whitley, Debrah Wirtzfeld
Clinical errors due to human mistakes are estimated to result in 400,000 preventable deaths per year. Strategies to improve patient safety often rely on healthcare workers' ability to speak up with concerns. This becomes difficult during critical decision-making as a result of conflicting opinions and power differentials, themes underrepresented in many interprofessional initiatives. These elements are prominent in our interprofessional initiative, namely Crucial Conversations. We sought to evaluate this initiative as an interprofessional learning (IPL) opportunity for pre-licensure senior healthcare students, as a way to foster interprofessional collaboration, and as a method of empowering students to vocalise their concerns...
August 11, 2016: Journal of Interprofessional Care
Melanie Ann Brock, J O Szalay
After years of being undervalued, understaffed and underpaid, we school nurses are finally getting recognition for our role in promoting the health and well being of young people.
December 8, 2004: Nursing Standard
(no author information available yet)
Getting nurses to speak up about their work and profession has always been a challenge. Some argue it is to do with nursing being a female profession. Others believe it is due to nurses working in and adopting a culture that discourages 'speaking up'. A third school of thought is that nursing is so simple that there is nothing special to say about it. It is no consolation to know that it is a global problem; nurses all over the world seem to have difficulty explaining why what they do is so important.
November 1, 2003: Nursing Management (Harrow)
(no author information available yet)
DURING Congress nurses speak out on the issues that affect nursing and health care. This year is no exception. Nursing shortages, the continued use of short term contracts of employment, and a pay deal that undermines the value of nursing will be discussed and debated during the week.
April 17, 1996: Nursing Standard
(no author information available yet)
They swoop in, they swoop out, they * leave a nasty mess behind them and they both have large bills'. This cheeky, but nonetheless vivid, image comparing management consultants with seagulls cropped up during a healthcare debate last week in a speech opposing the motion that the NHS internal market is starting to work. Management consultants and not patients have been the main beneficiaries of NHS reforms, the speaker argued. The fact that the speaker was not, strictly speaking, a professional health care insider' but director of the Association of Community Health Councils of England and Wales may or may not have influenced the outcome of the debate...
November 16, 1994: Nursing Standard
Vincent Lorant, Victoria Soto Rojas, Laia Bécares, Jaana M Kinnunen, Mirte A G Kuipers, Irene Moor, Gaetano Roscillo, Joana Alves, Adeline Grard, Arja Rimpelä, Bruno Federico, Matthias Richter, Julian Perelman, Anton E Kunst
BACKGROUND: Social integration and the health of adolescents with a migration background is a major concern in multicultural societies. The literature, however, has paid little attention to the wider determinants of their health behaviours, including the composition of their social networks. The aim of this study was to describe the composition of adolescents' social networks according to migration background, and to examine how social networks are associated with substance use. METHOD: In 2013, the SILNE study surveyed 11,015 secondary-school adolescents in 50 schools in six European cities in Belgium, Finland, Germany, Italy, the Netherlands, and Portugal, using a social network design...
September 21, 2016: Social Science & Medicine
Diane Szulecki
A nurse's advocacy alters the path of a patient with locked-in syndrome.
October 2016: American Journal of Nursing
Kelly J Morrow, Allison M Gustavson, Jacqueline Jones
BACKGROUND: A critical characteristic of effective teams in any setting is when each member is willing to speak up to share thoughts and ideas to improve processes. In spite of attempts by healthcare systems to encourage employees to speak up, employee silence remains a common cause of communication breakdowns, contributing to errors and suboptimal care delivery. Nurses in particular have reported low confidence in their communication abilities, and cite the belief that speaking up will not make a difference...
September 21, 2016: International Journal of Nursing Studies
Jenny Walford
Nurses in Wales have formed a new society to promote the Welsh language in their work. The chair of the new society, Eira Rowley, professional adviser to the Welsh National Board for Nursing, said with up to 80 per cent of patients in some areas speaking Welsh as their first language, it is important to speak Welsh wherever possible. Ms Rowley said some patients were penalised because they were not so familiar with English as their mother tongue.
May 31, 1995: Nursing Standard
(no author information available yet)
Nursing can only move forward if the profession is prepared to speak out against poor standards, whistleblowing charge nurse Graham Pink warned last week after he was sacked by Stockport Health Authority for alleged gross misconduct.
September 25, 1991: Nursing Standard
Michael J Bernstein, Kiera Reifschneider, Ira Bennett, Jameson M Wetmore
Helping scientists and engineers challenge received assumptions about how science, engineering, and society relate is a critical cornerstone for macroethics education. Scientific and engineering research are frequently framed as first steps of a value-free linear model that inexorably leads to societal benefit. Social studies of science and assessments of scientific and engineering research speak to the need for a more critical approach to the noble intentions underlying these assumptions. "Science Outside the Lab" is a program designed to help early-career scientists and engineers understand the complexities of science and engineering policy...
September 28, 2016: Science and Engineering Ethics
Becky Marquez, Shira I Dunsiger, Dori Pekmezi, Britta A Larsen, Bess H Marcus
Objective: Family responsibilities and poor social support are barriers to physical activity among Latinas. This study evaluated the effects of a home- and print-based intervention on social support, moderating effects of familial ties on support and moderate-to-vigorous physical activity (MVPA), and mediating effects of support on MVPA. Method: Participants were randomized to receive through the mail either individually tailored physical activity intervention or general wellness print materials. Familial ties and social support were assessed by marital and child status and the social support for physical activity measure, respectively...
September 26, 2016: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
Anna T Mayo, Anita Williams Woolley
Teams offer the potential to achieve more than any person could achieve working alone; yet, particularly in teams that span professional boundaries, it is critical to capitalize on the variety of knowledge, skills, and abilities available. This article reviews research from the field of organizational behavior to shed light on what makes for a collectively intelligent team. In doing so, we highlight the importance of moving beyond simply including smart people on a team to thinking about how those people can effectively coordinate and collaborate...
September 1, 2016: AMA Journal of Ethics
Nancy Berlinger, Elizabeth Dietz
Participation in patient safety is one concrete expression of a foundational principle of medical ethics: do no harm. Being an ethical professional requires taking action to prevent harm to patients in health care environments. Checklists and time-outs have become common patient safety tools in the US and other nations. While their use can support ethical practice, recent research has revealed their limitations and has underscored the importance of interpersonal collaboration in developing and using these patient safety tools...
2016: AMA Journal of Ethics
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