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https://www.readbyqxmd.com/read/28528622/introductions-during-time-outs-do-surgical-team-members-know-one-another-s-names
#1
David J Birnbach, Lisa F Rosen, Maureen Fitzpatrick, John T Paige, Kristopher L Arheart
BACKGROUND: Introductions are the first item of the time-out in the World Health Organization Surgical Safety Checklist (SSC). It has yet to be established that surgical teams use colleagues' names or consider the use of names important. A study was conducted to determine if using the SSC has a measurable impact on name retention and to assess if operating room (OR) personnel believe it is important to know the names of their colleagues or for their colleagues to know theirs. METHODS: All OR personnel were individually interviewed at the end of 25 surgical cases in which the SSC was used...
June 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28520838/effect-of-the-prepare-website-vs-an-easy-to-read-advance-directive-on-advance-care-planning-documentation-and-engagement-among-veterans-a-randomized-clinical-trial
#2
Rebecca L Sudore, John Boscardin, Mariko A Feuz, Ryan D McMahan, Mary T Katen, Deborah E Barnes
Importance: Documentation rates of patients' medical wishes are often low. It is unknown whether easy-to-use, patient-facing advance care planning (ACP) interventions can overcome barriers to planning in busy primary care settings. Objective: To compare the efficacy of an interactive, patient-centered ACP website (PREPARE) with an easy-to-read advance directive (AD) to increase planning documentation. Design, Setting, and Participants: This was a comparative effectiveness randomized clinical trial from April 2013 to July 2016 conducted at multiple primary care clinics at the San Francisco VA Medical Center...
May 18, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28502023/sources-of-care-for-alcohol-and-other-drug-problems-the-role-of-the-african-american-church
#3
Eunice C Wong, Kathryn P Derose, Paula Litt, Jeremy N V Miles
African Americans experience significant disparities in treatment access, retention, and quality of care for alcohol and drug use (AOD) problems. Religious congregations, often the first point of contact for help with AOD problems, can play an integral role in improving access to treatment. However, little is known about the role of African American churches in addressing AOD problems. We administered a survey to a faith-based collaborative of 169 African American churches in Los Angeles to examine how AOD problems are identified in congregations, the types of support provided, barriers to providing treatment referrals, and factors associated with the provision of treatment referrals...
May 13, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28499432/development-and-evaluation-of-a-community-based-buprenorphine-treatment-intervention
#4
Aaron D Fox, Nancy L Sohler, Taeko Frost, Carolina Lopez, Chinazo O Cunningham
BACKGROUND: The majority of Americans with opioid use disorder remain out of treatment. Operating in 33 states, Washington DC, and Puerto Rico, harm reduction agencies, which provide sterile syringes and other health services to people who inject drugs, are a key venue to reach out-of-treatment opioid users. Aiming to link out-of-treatment individuals with opioid use disorder to buprenorphine treatment, we developed a community-based buprenorphine treatment (CBBT) intervention in collaboration with New York City harm reduction agencies...
May 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28498182/integrating-hiv-and-maternal-neonatal-and-child-health-services-in-rural-malawi-an-evaluation-of-the-implementation-processes-and-challenges
#5
Andrews Gunda, Aurelie Jousset, Timothy Tchereni, Jessica Joseph, Victor Mwapasa
INTRODUCTION: Introducing Option B+ in Malawi increased antiretroviral therapy coverage among pregnant and breastfeeding women 3 fold. The Promoting Retention among Infants and Mothers Effectively (PRIME) study integrated care of Maternal, Neonatal and Child Health services through a mother-infant pair (MIP) clinic. This article evaluates the implementation processes and challenges health care workers' experienced in implementing these MIP clinics. METHODS: Between May 2013 and August 2016, 20 health facilities implemented MIP clinics...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28486553/pilot-study-of-a-multi-pronged-intervention-using-social-norms-and-priming-to-improve-adherence-to-antiretroviral-therapy-and-retention-in-care-among-adults-living-with-hiv-in-tanzania
#6
Sandra I McCoy, Carolyn Fahey, Aarthi Rao, Ntuli Kapologwe, Prosper F Njau, Sergio Bautista-Arredondo
BACKGROUND: Interventions incorporating constructs from behavioral economics and psychology have the potential to enhance HIV 'treatment as prevention' (TasP) strategies. To test this hypothesis, we evaluated an intervention to improve antiretroviral therapy (ART) adherence based on the concepts of social norms and priming. METHODS: We used tools from marketing research and patient-centered design to develop a combination intervention that included visual feedback about clinic-level retention in care, a self-relevant prime, and useful take-home items with the priming image...
2017: PloS One
https://www.readbyqxmd.com/read/28469897/using-real-time-anonymous-staff-feedback-to-improve-staff-experience-and-engagement
#7
Anne Frampton, Fiona Fox, Andrew Hollowood, Kate Northstone, Ruta Margelyte, Stephanie Smith-Clarke, Sabi Redwood
Improving staff engagement has become a priority for NHS leaders, although efforts in this area vary between organisations. University Hospital Bristol NHS Foundation Trust (UH Bristol) is a tertiary teaching hospital where concerns about staff satisfaction and communication were reflected in the 2014 staff survey. To improve staff engagement, a real-time feedback mechanism to capture staff experience and to facilitate feedback from local leaders, was developed and piloted using the Model for Improvement. Initially piloted in two areas in January 2015, the Staff Participation Engagement and Communication application (SPEaC-app) was gradually rolled out to 23 areas within the trust by November 2016...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28452645/staff-factors-contributing-to-family-satisfaction-with-long-term-dementia-care-a-systematic-review-of-the-literature
#8
Katharine Law, Tom G Patterson, Jane Muers
OBJECTIVE: The aim of the present review was to critically evaluate empirical evidence regarding staff factors that contribute to families' satisfaction with ongoing care provision for their relatives with dementia in long-term care. METHODS: Four databases were systematically searched using search terms informed by the aim of the present systematic review. The resulting 14 relevant articles comprised both qualitative and quantitative studies. RESULTS: The findings highlighted three broad areas relating to staff factors that appeared to contribute to families' satisfaction with care provision: family related factors, relating to staff interaction with families; staffing related factors, focusing on staffing organization and composition; and client related factors, focusing on staff interaction with clients and the quality of care provided...
November 29, 2016: Clinical Gerontologist
https://www.readbyqxmd.com/read/28446096/band-5-nurses-perceptions-and-experiences-of-professional-development
#9
Susan Wilkinson, Richard Hayward
Aim The aim of this qualitative study was to explore band 5 nurses' perceptions and experiences of professional development in an acute care provider to identify what, if any, effect these have on their job satisfaction and intention to stay in post. Method An adapted grounded theory approach was used. Theoretical sampling identified band 5 nurses in their first 24 months of employment in the trust. Data were collected through focus groups and analysed using the constant comparative method. Results Findings suggest that the provision of, and support for, development opportunities affect nurses' job satisfaction, and investment in these opportunities is likely to improve staff retention...
April 27, 2017: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/28443427/the-battle-for-fair-pay-can-still-be-won
#10
Josie Irwin
This year's report from the NHS Pay Review Body (RB) contains strong words and stark messages listing 'public-sector pay policy under stress, significant supply shortages in a number of staff groups and geographical areas, widespread concerns about recruitment, retention and motivation, inflation set to rise and further real-terms pay cuts on the horizon'. In short, according to the RB, the NHS is reaching a tipping point.
April 26, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28425612/oral-health-programmes-in-indigenous-communities-worldwide-lessons-learned-from-the-field-a-qualitative-systematic-review
#11
Carrie Tsai, Anthony Blinkhorn, Michelle Irving
OBJECTIVES: This systematic review examines the evidence on the effectiveness of programmes that aim to improve the oral health of Indigenous populations worldwide, as well as presents a qualitative analysis to explore the design and implementation of these initiatives. METHODS: MEDLINE and EMBASE were searched. Studies were included if they described an oral health programme for an Indigenous population in any country worldwide. A thematic synthesis of the qualitative findings was undertaken for each study's results and discussion sections...
April 20, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/28419268/the-american-society-for-clinical-pathology-s-2015-wage-survey-of-medical-laboratories-in-the-united-states
#12
Edna Garcia, Patrick B Fisher
Objectives: To inform the pathology and laboratory field of the most recent national wage data from the American Society for Clinical Pathology (ASCP). Historically, the results of this biennial survey have served as a basis for additional research on laboratory recruitment, retention, education, marketing, certification, and advocacy. Methods: The 2015 wage survey was conducted through collaboration between the ASCP's Institute of Science, Technology, and Policy in Washington, DC, and the ASCP Board of Certification in Chicago, Illinois...
May 1, 2017: Laboratory Medicine
https://www.readbyqxmd.com/read/28419149/mobile-health-treatment-support-intervention-for-hiv-and-tuberculosis-in-mozambique-perspectives-of-patients-and-healthcare-workers
#13
RANDOMIZED CONTROLLED TRIAL
José António Nhavoto, Åke Grönlund, Gunnar O Klein
BACKGROUND: Studies have been conducted in developing countries using SMS to communicate with patients to reduce the number of missed appointments and improve retention in treatment, however; very few have been scaled up. One possible reason for this could be that patients or staff are dissatisfied with the method in some way. This paper reports a study of patients' and healthcare workers' (HCW) views on an mHealth intervention aiming to support retention in antiretroviral therapy (ART) and tuberculosis (TB) treatment in Mozambique...
2017: PloS One
https://www.readbyqxmd.com/read/28404612/systematic-approach-to-evaluating-and-confirming-the-utility-of-a-suite-of-national-health-system-performance-hsp-indicators-in-canada-a-modified-delphi-study
#14
Omid Fekri, Kira Leeb, Yana Gurevich
OBJECTIVES: Evaluating an existing suite of health system performance (HSP) indicators for continued reporting using a systematic criteria-based assessment and national consensus conference. DESIGN: Modified Delphi approach with technical and leadership groups, an online survey of stakeholders and convening a national consensus conference. SETTING: A national health information steward, the Canadian Institute for Health Information (CIHI)...
April 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/28399988/youth-social-behaviour-and-network-therapy-y-sbnt-adaptation-of-a-family-and-social-network-intervention-for-young-people-who-misuse-alcohol-and-drugs-a-randomised-controlled-feasibility-trial
#15
Judith Watson, Paul Toner, Ed Day, Donna Back, Louca-Mai Brady, Caroline Fairhurst, Charlotte Renwick, Lorna Templeton, Shabana Akhtar, Charlie Lloyd, Jinshuo Li, Kim Cocks, Sangeeta Ambegaokar, Steve Parrott, Paul McArdle, Eilish Gilvarry, Alex Copello
BACKGROUND: Family interventions appear to be effective at treating young people's substance misuse. However, implementation of family approaches in UK services is low. This study aimed to demonstrate the feasibility of recruiting young people to an intervention based on an adaptation of adult social behaviour and network therapy. It also sought to involve young people with experience of using substance misuse services in the research process. OBJECTIVES: To demonstrate the feasibility of recruiting young people to family and social network therapy and to explore ways in which young people with experience of using substance misuse services could be involved in a study of this nature...
March 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/28398842/feasibility-of-a-brief-yoga-intervention-for-improving-acute-pain-and-distress-post-gynecologic-surgery
#16
Stephanie J Sohl, Nancy E Avis, Kimberly Stanbery, Janet A Tooze, Kelly Moormann, Suzanne C Danhauer
BACKGROUND: Women undergoing surgical procedures for suspected gynecologic malignancies frequently experience pain and psychological distress related to surgery. Yoga may reduce these negative surgical outcomes. The primary objective of this pilot study was to assess the feasibility of evaluating a perioperative brief Yoga Skills Training (YST) in this population. Secondary objectives were to (1) assess the immediate effects of the YST on pain and psychological distress; and (2) provide preliminary data for future studies...
September 1, 2016: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/28395621/how-expert-mentoring-can-pave-the-way-to-successful-leadership
#17
Laura Holliday, Paula Dawson, Carol Hall
It is vital for the healthcare system that nurses of children and young people have the ability and courage to lead. These qualities can affect all elements of healthcare, from direct care through service commissioning ( Royal College of Nursing 2014 ) to staff satisfaction and retention ( Kerfoot 2000 , Corning 2002 , Heller et al 2004 ).
April 11, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28393064/exploring-systems-that-support-good-clinical-care-in-indigenous-primary-health-care-services-a-retrospective-analysis-of-longitudinal-systems-assessment-tool-data-from-high-improving-services
#18
Cindy Woods, Karen Carlisle, Sarah Larkins, Sandra Claire Thompson, Komla Tsey, Veronica Matthews, Ross Bailie
BACKGROUND: Continuous Quality Improvement is a process for raising the quality of primary health care (PHC) across Indigenous PHC services. In addition to clinical auditing using plan, do, study, and act cycles, engaging staff in a process of reflecting on systems to support quality care is vital. The One21seventy Systems Assessment Tool (SAT) supports staff to assess systems performance in terms of five key components. This study examines quantitative and qualitative SAT data from five high-improving Indigenous PHC services in northern Australia to understand the systems used to support quality care...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28392431/-urinary-catheters-prevalence-study-in-a-university-hospital
#19
J Carrouget, C Legeay, A Poirier, A-R Azzouzi, J-R Zahar, P Bigot
INTRODUCTION: Urinary tract infection is the most common healthcare-association infection, especially because of urinary catheter. We evaluated our practices concerning catheter insertion and management in our institution. MATERIALS AND METHODS: We conducted a single-centre descriptive cross-sectional study during 1 week in September 2014 in all adult departments. We noted prevalence, indications, length, management of urinary catheter (UC) and symptomatic catheter-associated urinary tract infections (SCAUTI)...
April 6, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28384553/neonatal-resuscitation-training-for-midwives-in-uganda-strengthening-skill-and-knowledge-retention
#20
Clare Mildenberger, Cathryn Ellis, Kelley Lee
The objective of this project was to improve birth outcomes for babies in a regional referral hospital in Uganda by strengthening factors that influence the retention and application of neonatal resuscitation skills. Initial training in neonatal resuscitation is not enough on its own. In order to better understand the gap between training and effective practice, an evaluation of a neonatal resuscitation program was carried out. This included practical skill testing of local midwives using a neonatal resuscitation doll pre- and post-training, as well as follow up testing at 1 month and 12 months, followed by focus groups and interviews...
March 27, 2017: Midwifery
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