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https://www.readbyqxmd.com/read/29025093/discharge-communication-practices-and-healthcare-provider-and-patient-preferences-satisfaction-and-comprehension-a-systematic-review
#1
Harvey Newnham, Anna Barker, Edward Ritchie, Karen Hitchcock, Harry Gibbs, Sara Holton
Purpose: To systematically review the available evidence about hospital discharge communication practices and identify which practices were preferred by patients and healthcare providers, improved patient and provider satisfaction, and increased patients' understanding of their medical condition. Data sources: OVID Medline, Web of Science, ProQuest, PubMed and CINAHL plus. Study selection: Databases were searched for peer-reviewed, English-language papers, published to August 2016, of empirical research using quantitative or qualitative methods...
September 7, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29016416/the-new-age-of-bullying-and-violence-in-health-care-part-3-managing-the-bullying-boss-and-leadership
#2
Ellen Fink-Samnick
PURPOSE/OBJECTIVES: PRIMARY PRACTICE SETTING(S):: Applicable to all health care sections where case management is practiced. FINDINGS/CONCLUSIONS: This article is the third of a 4-part series on the topic of bullying in the health care workplace. Part 3 addresses the dimensions of the bullying boss and leadership, posing major implications for patient safety plus the mental health of staff members. The complex constructs and dynamics broached by the bullying boss and department leadership are explored...
November 2017: Professional Case Management
https://www.readbyqxmd.com/read/28984000/phase-ii-trial-of-a-depression-self-care-intervention-for-adult-cancer-survivors
#3
Jane McCusker, Mark Yaffe, Rosana Faria, Sylvie Lambert, Madeline Li, Joannie Poirier-Bisson, Mona Magalhaes, Manon de Raad
Supported self-care interventions are a low-intensity treatment for depression that has received little research attention in the cancer population. This is a phase II intervention only study to test the feasibility, acceptability and preliminary effectiveness of a depression self-care intervention for cancer patients who have completed their primary treatment and have moderate depressive symptoms. The self-care intervention was adapted from a successful model for people with chronic physical conditions, following focus groups with cancer care professionals and patients...
October 6, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28982194/perceived-needs-of-health-tutors-in-rural-and-urban-health-training-institutions-in-ghana-implications-for-health-sector-staff-internal-migration-control
#4
Robert Kaba Alhassan, Christopher B Beyere, Edward Nketiah-Amponsah, Prudence P Mwini-Nyaledzigbor
BACKGROUND: The population of Ghana is increasingly becoming urbanized with about 70% of the estimated 27 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32% of the national health sector workforce works. Moreover, the rural-urban disparities in the density of health tutors (staff responsible for pre-service training of health professionals) are enormous. This paper explores perceived needs of health tutors in rural and urban health training institutions in Ghana...
2017: PloS One
https://www.readbyqxmd.com/read/28981667/identifying-gaps-in-hiv-policy-and-practice-along-the-hiv-care-continuum-evidence-from-a-national-policy-review-and-health-facility-surveys-in-urban-and-rural-kenya
#5
Caoimhe Cawley, Ellen McRobie, Samuel Oti, Brian Njamwea, Amek Nyaguara, Frank Odhiambo, Fredrick Otieno, Muthoni Njage, Tara Shoham, Kathryn Church, Paul Mee, Jim Todd, Basia Zaba, Georges Reniers, Alison Wringe
The last decade has seen rapid evolution in guidance from the WHO concerning the provision of HIV services along the diagnosis-to-treatment continuum, but the extent to which these recommendations are adopted as national policies in Kenya, and subsequently implemented in health facilities, is not well understood. Identifying gaps in policy coverage and implementation is important for highlighting areas for improving service delivery, leading to better health outcomes. We compared WHO guidance with national policies for HIV testing and counselling, prevention of mother-to-child transmission, HIV treatment and retention in care...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28979100/acceptability-of-community-based-adherence-clubs-among-health-facility-staff-in-south-africa-a-qualitative-study
#6
Ndumiso Tshuma, Ofentse Mosikare, Jessica A Yun, Olufunke A Alaba, Meera S Maheedhariah, Keith Muloongo, Peter S Nyasulu
BACKGROUND: Patient retention in care for HIV/AIDS is a critical challenge for antiretroviral treatment programs. Community-based adherence programs (CBAPs) as compared to health care facility-based adherence programs have been considered as one of the options to provide treatment maintenance support for groups of patients on antiretroviral therapy. Such an approach provides a way of enhancing self-management of the patient's condition. In addition, CBAPs have been implemented to support antiretroviral treatment expansion in resource-limited settings...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28968282/recent-advances-of-simulation-in-obstetric-anesthesia
#7
Leslie A Schornack, Curtis L Baysinger, May C M Pian-Smith
PURPOSE OF REVIEW: Simulation training in obstetric anesthesia has become widespread in recent years. Simulations are used to train staff and trainees, assess and improve team performance, and evaluate the work environment. This review summarizes current research in these categories. RECENT FINDINGS: Simulation to improve individual technical skills has focused on induction of general anesthesia for emergent cesarean delivery, an infrequently encountered scenario by anesthesia trainees...
September 28, 2017: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/28965489/barriers-and-facilitators-of-the-hiv-care-continuum-in-southern-new-england-for-people-with-drug-or-alcohol-use-and-living-with-hiv-aids-perspectives-of-hiv-surveillance-experts-and-service-providers
#8
Lauretta E Grau, Abbie Griffiths-Kundishora, Robert Heimer, Marguerite Hutcheson, Amy Nunn, Caitlin Towey, Thomas J Stopka
BACKGROUND: Contemporary studies about HIV care continuum (HCC) outcomes within substance using populations primarily focus on individual risk factors rather than provider- or systems-level influences. Over 25% of people living with HIV (PLWH) have substance use disorders that can alter their path through the HCC. As part of a study of HCC outcomes in nine small cities in Southern New England (population 100,000-200,000 and relatively high HIV prevalence particularly among substance users), this qualitative analysis sought to understand public health staff and HIV service providers' perspectives on how substance use may influence HCC outcomes...
October 2, 2017: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/28957381/a-group-randomized-trial-using-an-appointment-system-to-improve-adherence-to-art-at-reproductive-and-child-health-clinics-implementing-option-b-in-tanzania
#9
RANDOMIZED CONTROLLED TRIAL
Dennis Ross-Degnan, John Chalker, Jafary Liana, Mwikemo Deborah Kajoka, Richard Valimba, Suleiman Kimatta, Angel Dillip, Catherine Vialle-Valentin, Martha Embrey, Rachel Lieber, Keith Johnson
INTRODUCTION: In October 2013, Tanzania adopted Option B+ under which HIV-positive pregnant women are initiated on antiretroviral therapy in reproductive and child health clinics at diagnosis. Studies have shown that adherence and retention to antiretroviral treatment can be problematic. METHODS: We implemented a group randomized controlled trial in 24 reproductive and child health clinics in eight districts in Mbeya region. The trial tested the impact of implementing paper-based appointment tracking and community outreach systems on the rate of missed appointments and number of days covered by dispensed antiretroviral medications among women previously established on antiretroviral therapy...
2017: PloS One
https://www.readbyqxmd.com/read/28938914/impact-of-basic-life-support-training-on-the-attitudes-of-health-care-workers-toward-cardiopulmonary-resuscitation-and-defibrillation
#10
Mostafa A Abolfotouh, Manal A Alnasser, Alamin N Berhanu, Deema A Al-Turaif, Abdulrhman I Alfayez
BACKGROUND: Cardiopulmonary resuscitation (CPR) increases the probability of survival of a person with cardiac arrest. Repeating training helps staff retain knowledge in CPR and in use of automated external defibrillators (AEDs). Retention of knowledge and skills during and after training in CPR is difficult and requires systematic training with appropriate methodology. The aim of this study was to determine the effect of basic life-support (BLS) training on the attitudes of health-care providers toward initiating CPR and on use of AEDs, and to investigate the factors that influence these attitudes...
September 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28904696/health-worker-attrition-at-a-rural-district-hospital-in-rwanda-a-need-for-improved-placement-and-retention-strategies
#11
Jackline Odhiambo, Felix Cyamatare Rwabukwisi, Christian Rusangwa, Vincent Rusanganwa, Lisa Ruth Hirschhorn, Evrard Nahimana, Patient Ngamije, Bethany Lynn Hedt-Gauthier
INTRODUCTION: The shortage and maldistribution of health care workers in sub-Saharan Africa is a major concern for rural health facilities. Rural areas have 63% of sub-Saharan Africa population but only 37% of its doctors. Although attrition of health care workers is implicated in the human resources for health crisis in the rural settings, few studies report attrition rates and risk factors for attrition in rural district hospitals in sub-Saharan Africa. METHODS: We assessed attrition of health care workers at a Kirehe District Hospital in rural Rwanda...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28902067/preventing-preschool-mental-health-problems-population-based-cluster-randomized-controlled-trial
#12
Harriet Hiscock, Alisha Gulenc, Obioha C Ukoumunne, Lisa Gold, Jordana Bayer, Daniel Shaw, Ha Le, Melissa Wake
OBJECTIVE: Prevention of child behavior problems may reduce later mental health problems. We compared the effectiveness, at the population level, of an efficacious targeted prevention program alone or following a universal parenting program. METHODS: Three-arm, cluster randomized controlled trial. One thousand three hundred fifty-three primary caregivers and healthy 8-month-old babies recruited from July 2010 to January 2011 from well-child centers (randomization unit)...
September 8, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28899101/retention-of-qualified-healthcare-workers-in-rural-senegal-lessons-learned-from-a-qualitative-study
#13
Mari Nagai, Noriko Fujita, Ibrahima S Diouf, Malick Salla
INTRODUCTION: Deployment and retention of a sufficient number of skilled and motivated human resources for health (HRH) at the right place and at the right time are critical to ensure people's right to access a universal quality of health care. Vision Tokyo 2010 Network, an international network of HRH managers at the ministry of health (MoH) level in nine Francophone African countries, identified maldistribution of a limited number of healthcare personnel and their retention in rural areas as overarching problems in the member countries...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28891715/-where-it-falls-apart-barriers-to-retention-in-hiv-care-in-latino-immigrants-and-migrants
#14
Julie H Levison, Laura M Bogart, Iman F Khan, Dianna Mejia, Hortensia Amaro, Margarita Alegría, Steven Safren
Latino immigrants in the United States are disproportionately affected by HIV. Barriers to consistent attendance (retention) in HIV primary care constrain opportunities for HIV treatment success, but have not been specifically assessed in this population. We conducted semistructured interviews with 37 HIV-infected Latinos (aged ≥18 years and born in Puerto Rico or a Latin American Spanish-speaking country) and 14 HIV providers in metropolitan Boston (total n = 51). The Andersen Model of Healthcare Utilization informed a semistructured interview guide, which bilingual research staff used to explore barriers to HIV care...
September 2017: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/28859674/identifying-research-priorities-for-effective-retention-strategies-in-clinical-trials
#15
Anna Kearney, Anne Daykin, Alison R G Shaw, Athene J Lane, Jane M Blazeby, Mike Clarke, Paula Williamson, Carrol Gamble
BACKGROUND: The failure to retain patients or collect primary-outcome data is a common challenge for trials and reduces the statistical power and potentially introduces bias into the analysis. Identifying strategies to minimise missing data was the second highest methodological research priority in a Delphi survey of the Directors of UK Clinical Trial Units (CTUs) and is important to minimise waste in research. Our aim was to assess the current retention practices within the UK and priorities for future research to evaluate the effectiveness of strategies to reduce attrition...
August 31, 2017: Trials
https://www.readbyqxmd.com/read/28854937/the-impact-of-a-human-resource-management-intervention-on-the-capacity-of-supervisors-to-support-and-supervise-their-staff-at-health-facility-level
#16
Ogenna Uduma, Marie Galligan, Henry Mollel, Honorati Masanja, Susan Bradley, Eilish McAuliffe
BACKGROUND: A systematic and structured approach to the support and supervision of health workers can strengthen the human resource management function at the district and health facility levels and may help address the current crisis in human resources for health in sub-Saharan Africa by improving health workers' motivation and retention. METHODS: A supportive supervision programme including (a) a workshop, (b) intensive training and (c) action learning sets was designed to improve human resource management in districts and health facilities in Tanzania...
August 30, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28840636/an-evaluation-of-a-school-based-dental-sealant-programme
#17
R Williams, E J Rogo, J R Gurenlian, K M Portillo
OBJECTIVES: To evaluate the effectiveness of Bengal Smiles, a school-based dental sealant programme and assess outcomes related to the U.S. Healthy People 2020 oral health objectives. METHODS: A needs assessment identified high caries prevalence in Idaho children and supported the need for a school-based dental sealant programme at a local Title 1 school. Children (n=54) ages 6-12 were screened by dental hygiene students for suspected dental caries, sealant placement and need for referral for dental treatment...
August 24, 2017: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/28835213/evaluation-of-the-mobile-nurse-training-mnt-intervention-a-step-towards-improvement-in-intrapartum-practices-in-bihar-india
#18
Aritra Das, Dipty Nawal, Manoj Kumar Singh, Morchan Karthick, Parika Pahwa, Malay Bharat Shah, Tanmay Mahapatra, Kunal Ranjan, Indrajit Chaudhuri
BACKGROUND: Evidence shows that improving the quality of intrapartum care is critical for maternal survival. However, a significant rise in the proportion of facility-based births over the last decade in India - attributable to a cash transfer program - has not resulted in a corresponding reduction in maternal mortality, thanks, in part, to low-skilled care at facilities. The current study evaluated a mobile knowledge-based intervention aimed at improving quality of care by mentoring in-service staff nurses at public obstetric facilities...
August 23, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28834805/using-gamification-to-improve-productivity-and-increase-knowledge-retention-during-orientation
#19
Stacey Brull, Susan Finlayson, Teresa Kostelec, Ryan MacDonald, Dina Krenzischeck
BACKGROUND: Nursing administrators must provide cost-effective and efficient ways of orientation training. Traditional methods including classroom lecture can be costly with low retention of the information. Gamification engages the user, provides a level of enjoyment, and uses critical thinking skills. PURPOSE: The aim of this study is to explore the effectiveness, during orientation, of 3 different teaching methods: didactic, online modules, and gamification. Specifically, is there a difference in nurses' clinical knowledge postorientation using these learning approaches? METHODS: A quasi-experimental study design with a 115-person convenience sample split nurses into 3 groups for evaluation of clinical knowledge before and after orientation...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28822955/studying-the-old-masters-of-nursing-a-critical-student-experience-for-developing-nursing-identity
#20
Jacinta Kelly, Roger Watson, James Watson, Malachi Needham, Laura O Driscoll
In the past professional identity in nursing was inculcated in students alongside institutional pride. A strong sense of professional identity is key to staff retention and recruitment and key to the delivery of quality nursing care. With the wholesale transfer of pre-registration nursing education to the third level sector, however, the reality is that students now divide their affiliations between university and healthcare institutions and professional identity development may be stymied. For this reason, there is need to explore alternative means of developing professional identity...
July 4, 2017: Nurse Education in Practice
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