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Retention of staff

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https://www.readbyqxmd.com/read/29432086/overcoming-medication-stigma-in-peer-recovery-a-new-paradigm
#1
Noa Krawczyk, Tianna Negron, Maia Nieto, Deborah Agus, Michael I Fingerhood
BACKGROUND: Treatment for opioid use disorder involving opioid-based pharmacotherapies is considered most effective when accompanied by psychosocial interventions. Peer-led support groups are widely available and have been described by many as fundamental to the recovery process. However, some individuals using medications face stigma in these settings, which can be contradictory and counterproductive to their recovery. METHODS: This article describes the development of the Ability, Inspiration and Motivation or "AIM" group, an alternative peer support group that aims to remove medication stigma from peer-recovery...
February 12, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29430183/ruralization-of-students-horizons-insights-into-australian-health-professional-students-rural-and-remote-placements
#2
Tony Smith, Merylin Cross, Susan Waller, Helen Chambers, Annie Farthing, Frances Barraclough, Sabrina W Pit, Keith Sutton, Kuda Muyambi, Stephanie King, Jessie Anderson
Introduction: Health workforce shortages have driven the Australian and other Western governments to invest in engaging more health professional students in rural and remote placements. The aim of this qualitative study was to provide an understanding of the lived experiences of students undertaking placements in various nonmetropolitan locations across Australia. In addition to providing their suggestions to improve rural placements, the study provides insight into factors contributing to positive and negative experiences that influence students' future rural practice intentions...
2018: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/29413994/retained-surgical-sponge-medicolegal-aspects
#3
Patrizia Gualniera, Serena Serena
Retained surgical sponge events continue to occur despite the implementation of preventive surgical count policies, procedures, and adjunct technologies to manual counting. Such intraoperative mistakes can cause chronic nonspecific symptoms during the early postoperative period. When discovered years after surgery, they raise thorny medicolegal questions. We describe two cases from our practice that illustrate the need to identify the responsibility of the surgical team, as delineated in ministerial directives and the current legal framework, as well as the difficulty in evaluating clinical actions taken at different times and in different settings, with regard to the permanent health damage incurred by sponge retention...
February 1, 2018: Legal Medicine
https://www.readbyqxmd.com/read/29403326/levers-of-change-a-review-of-contemporary-interventions-to-enhance-diversity-in-medical-schools-in-the-usa
#4
Alexis Danielle Vick, Aaron Baugh, Julie Lambert, Allison A Vanderbilt, Evan Ingram, Richard Garcia, Reginald F Baugh
A growing body of research illustrates the importance of aligning efforts across the operational continuum to achieve diversity goals. This alignment begins with the institutional mission and the message it conveys about the priorities of the institution to potential applicants, community, staff, and faculty. The traditional themes of education, research, and service dominate most medical school mission statements. The emerging themes of physician maldistribution, overall primary-care physician shortage, diversity, and cost control are cited less frequently...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29385815/culturally-tailored-interventions-for-chronic-disease-self-management-among-chinese-americans-a-systematic-review
#5
Ya-Ching Huang, Alexandra A Garcia
OBJECTIVES: Literature review evaluating the effectiveness and cultural surface and deep structures of interventions designed to improve Chinese Americans' chronic disease self-management. METHOD: PubMed, PsycINFO, CINAHL, and Health Source databases were searched for research conducted from 1990 to 2016 on self-management interventions for Chinese Americans with chronic disease. RESULTS: Ten articles comprised eight interventions, which each addressed a dimension of cultural surface structure, all providing linguistically appropriate messages delivered via bilingual staff...
January 31, 2018: Ethnicity & Health
https://www.readbyqxmd.com/read/29378618/-recruitment-recruitment-recruitment-the-need-for-more-focus-on-retention-a-qualitative-study-of-five-trials
#6
Anne Daykin, Clare Clement, Carrol Gamble, Anna Kearney, Jane Blazeby, Mike Clarke, J Athene Lane, Alison Shaw
BACKGROUND: Loss to follow-up (attrition) is a frequent problem in clinical trials and can introduce bias or reduce power. So, understanding retention issues and strategies to address these are important. As part of a multi-method project, this qualitative study aimed to explore retention strategies used by trial teams and factors which may influence strategy adoption. METHOD: A purposive sample of active trials was selected from the UK NIHR HTA portfolio of ongoing trials in 2014/2015...
January 29, 2018: Trials
https://www.readbyqxmd.com/read/29361433/effect-of-an-interactive-text-messaging-service-on-patient-retention-during-the-first-year-of-hiv-care-in-kenya-weltel-retain-an-open-label-randomised-parallel-group-study
#7
Mia Liisa van der Kop, Samuel Muhula, Patrick I Nagide, Lehana Thabane, Lawrence Gelmon, Patricia Opondo Awiti, Bonface Abunah, Lennie Bazira Kyomuhangi, Matthew A Budd, Carlo Marra, Anik Patel, Sarah Karanja, David I Ojakaa, Edward J Mills, Anna Mia Ekström, Richard Todd Lester
BACKGROUND: Retention of patients in HIV care is crucial to ensure timely treatment initiation, viral suppression, and to avert AIDS-related deaths. We did a randomised trial to determine whether a text-messaging intervention improved retention during the first year of HIV care. METHODS: This unmasked, randomised parallel-group study was done at two clinics in informal settlements in Nairobi, Kenya. Eligible participants were aged 18 years or older, HIV-positive, had their own mobile phone or access to one, and were able to use simple text messaging (or have somebody who could text message on their behalf)...
January 17, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29361072/long-term-care-workforce-issues-practice-principles-for-quality-dementia-care
#8
Susan D Gilster, Marie Boltz, Jennifer L Dalessandro
Purpose: This article is one in a series of articles in this supplement addressing best practice for quality dementia care. The Alzheimer's Association, in revising their Dementia Care Practice Recommendations for 2017 has identified staff across the long-term care spectrum as a distinct and important determinant of quality dementia care. The purpose of this article is to highlight areas for developing and supporting a dementia-capable workforce. Methods: The Alzheimer's Association Principles For Advocacy To Assure Quality Dementia Care Across Settings provide a framework to examine interventions to support the dementia care workforce in long-term care settings...
January 18, 2018: Gerontologist
https://www.readbyqxmd.com/read/29352399/predictors-of-retention-in-an-alcohol-and-risky-sex-prevention-program-for-homeless-young-adults
#9
Eric R Pedersen, Brett A Ewing, Elizabeth J D'Amico, Jeremy N V Miles, Ann C Haas, Joan S Tucker
Homeless young adults are at risk for alcohol and other drug (AOD) use and risky sexual behavior. Interventions are needed to help these young people reduce their risky behavior, but this population is often difficult to engage and retain in services. We offered a four-session AOD and risky sex reduction program to 100 participants and examined if retention in the program was predicted by a number of factors: demographics, homelessness severity, other service use, AOD behaviors, mental health symptoms, sexual risk behaviors, and readiness to change AOD and condom use...
January 20, 2018: Prevention Science: the Official Journal of the Society for Prevention Research
https://www.readbyqxmd.com/read/29341295/sustainability-of-the-australian-radiation-oncology-workforce-a-survey-of-radiation-therapists-and-radiation-oncology-medical-physicists
#10
Georgia K B Halkett, Melissa N Berg, Lauren J Breen, David Cutt, Michael Davis, Martin A Ebert, Desley Hegney, Michael House, Rachel Kearvell, Leanne Lester, Sharon Maresse, Jan McKay
This study aimed to determine and compare Radiation Therapists' (RTs') and Radiation Oncology Medical Physicists' (ROMPs') perspectives about their profession and workplace, satisfaction with career progression opportunities, and leaving the current workplace. RTs and ROMPs who were currently or had previously worked in Australia were invited to complete an online survey. Univariate and multivariate methods were used for analysis. Participants were 342 RTs and 112 ROMPs with estimated response rates of 14% and 26% respectively...
January 17, 2018: European Journal of Cancer Care
https://www.readbyqxmd.com/read/29336833/education-for-ecmo-providers-using-education-science-to-bridge-the-gap-between-clinical-and-educational-expertise
#11
REVIEW
Lindsay Johnston, Susan B Williams, Anne Ades
A well-organized educational curriculum for the training of both novice and experienced ECMO providers is critical for the continued function of an institutional ECMO program. ELSO provides guidance for the education for ECMO specialists, physicians and staff, which incorporates "traditional" instructor-centered educational methods, such as didactic lectures and technical skill training. Novel research suggests utilization of strategies that align with principles of adult learning to promote active learner involvement and reflection on how the material can be applied to understand existing and new constructs may be more effective...
January 11, 2018: Seminars in Perinatology
https://www.readbyqxmd.com/read/29325431/persons-living-with-diagnosed-hiv-in-new%C3%A2-york-city-over-50-over-50-years-old
#12
Qiang Xia, Emily Westheimer, Rebekkah S Robbins, Lucia V Torian
Using NYC HIV surveillance data, we estimated the annual median age of persons living with diagnosed HIV (PLWDH) and the proportion of PLWDH over 50 years old in NYC between 2008 and 2015, and described the characteristics, retention in care and viral suppression status among PLWDH in NYC in 2015, by age (<50 vs. ≥50 years old). The median age of PLWDH in NYC increased from 46.4 years (interquartile range [IQR]: 39.4, 53.2) in 2008 to 50.2 years (IQR: 39.8, 57.5) in 2015, and the proportion of PLWDH over 50 years old increased from 35...
January 11, 2018: AIDS Care
https://www.readbyqxmd.com/read/29322579/the-employee-retention-triad-in-healthcare-exploring-relationships-among-organizational-justice-affective-commitment-and-turnover-intention
#13
Tyrone A Perreira, Whitney Berta, Monique Hebert
BACKGROUND: Turnover in healthcare is a serious concern, as it is contributes to the global nursing shortage and is associated with declines in quality of care, patient safety, and patient outcomes. Turnover also impacts care teams and is associated with decreased staff cohesion and morale. PURPOSE: The purpose of this study is to increase understanding of the relationships between organizational justice, affective commitment and turnover intention in healthcare...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29317223/cluster-analysis-of-vulnerable-groups-in-acute-tbi-rehabilitation
#14
Erkut N Kucukboyaci, Coralynn Long, Michelle Smith, Joseph F Rath, Tamara Bushnik
OBJECTIVE: To analyze the complex relationship between various social indicators that contribute to socioeconomic status and healthcare barriers. DESIGN: Cluster analysis of historical patient data obtained from inpatient visits. SETTING: Setting: Inpatient rehabilitation unit in a large, urban university hospital PARTICIPANTS: Adult patients receiving acute inpatient care, predominantly for closed head injury. INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: We examined the membership of TBI patients in various "vulnerable group" (VG) clusters (e...
January 6, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29315204/moral-distress-model-reconstructed-using-grounded-theory
#15
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu
BACKGROUND: The problems of nurse burnout and manpower shortage relate to moral distress. Thus, having a good understanding of moral distress is critical to developing strategies that effectively improve the clinical ethical climate and improve nursing retention in Taiwan. PURPOSE: The aim of this study was to reconstruct the model of moral distress using the grounded theory. METHODS: Twenty-five staff nurses at work units who attend to the needs of adult, pediatric, acute, and critical disease or end-of-life-care patients were recruited as participants using theoretical sampling from three teaching hospitals in Taiwan...
February 2018: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29310746/nurse-practitioner-s-perceptions-of-the-impact-of-the-nurse-practitioner-led-clinic-model-on-the-quality-of-care-of-complex-patients
#16
Roberta Heale, Susan James, Elizabeth Wenghofer, Marie-Luce Garceau
Aim To evaluate the organizational processes that influence the quality of care for patients with multimorbidity at nurse practitioner-led clinics (NPLCs). BACKGROUND: People are living longer, most with one or more chronic diseases (mulitmorbidity) and primary healthcare for these patients has become increasingly complex. One response was the establishment of new models of primary healthcare. NPLCs are an example of a model developed in Ontario, Canada, which feature nurse practitioners as the primary care providers practicing within an interprofessional team...
January 9, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29282792/the-effect-of-working-in-an-infection-isolation-room-on-hospital-nurses-job-satisfaction
#17
Ilya Kagan, Shoshana Fridman, Esther Shalom, Semyon Melnikov
AIMS: To examine how the nature of working in a carbapenemase-producing Klebsiella pneumoniae infection isolation room affects nurses' job performance and job satisfaction. BACKGROUND: Job satisfaction is under intensive research as a factor in the retention of nursing staff. METHODS: In a cross-sectional design study, a convenience sample of 87 registered nurses who had worked in carbapenemase-producing Klebsiella pneumoniae isolation rooms in a tertiary medical centre in Israel answered a self-administered questionnaire...
December 28, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29282025/validating-the-psychiatric-nurses-methods-of-coping-questionnaire-arabic-version
#18
Ahmad Yahya Al-Sagarat, Marwa Barmawi, Lourance A E Al Hadid, Jamal A S Qaddumi, Lorna Moxham
BACKGROUND: The aim of the study was to undertake a psychometric analysis of the Psychiatric Nurses Methods of Coping Questionnaire (PNMCQ) - Arabic version when used to measure coping skills in psychiatric nurses in Jordan. METHOD: A descriptive, cross-sectional design was adopted in this study. A demographic questionnaire and the 35-item PNMCQ -Arabic were the measures used to collect data. RESULT: The PNMCQ demonstrated valid and reliable values when administered to psychiatric nurses in Jordan after it had been submitted to factor analysis...
December 28, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/29258521/long-term-trends-in-supply-and-sustainability-of-the-health-workforce-in-remote-aboriginal-communities-in-the-northern-territory-of-australia
#19
Yuejen Zhao, Deborah J Russell, Steven Guthridge, Mark Ramjan, Michael P Jones, John S Humphreys, Timothy A Carey, John Wakerman
BACKGROUND: International evidence suggests that a key to improving health and attaining more equitable health outcomes for disadvantaged populations is a health system with a strong primary care sector. Longstanding problems with health workforce supply and turnover in remote Aboriginal communities in the Northern Territory (NT), Australia, jeopardise primary care delivery and the effort to overcome the substantial gaps in health outcomes for this population. This research describes temporal changes in workforce supply in government-operated clinics in remote NT communities through a period in which there has been a substantial increase in health funding...
December 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29240739/office-design-and-health-a-systematic-review
#20
Ann Richardson, John Potter, Margaret Paterson, Thomas Harding, Gaye Tyler-Merrick, Ray Kirk, Kate Reid, Jane McChesney
AIM: To carry out a systematic review of recent research into the effects of workplace design, comparing individual with shared workspaces, on the health of employees. METHODS: The research question was "Does workplace design (specifically individual offices compared with shared workspaces) affect the health of workers?" A literature search limited to articles published between 2000 and 2017 was undertaken. A systematic review was carried out, and the findings of the reviewed studies grouped into themes according to the primary outcomes measured in the studies...
December 15, 2017: New Zealand Medical Journal
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