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https://www.readbyqxmd.com/read/29665809/generating-evidence-for-health-policy-in-challenging-settings-lessons-learned-from-four-prevention-of-mother-to-child-transmission-of-hiv-implementation-research-studies-in-nigeria
#1
Nadia A Sam-Agudu, Muktar H Aliyu, Olusegun A Adeyemi, Frank Oronsaye, Bolanle Oyeledun, Amaka G Ogidi, Echezona E Ezeanolue
BACKGROUND: Implementation research (IR) facilitates health systems strengthening and optimal patient outcomes by generating evidence for scale-up of efficacious strategies in context. Thus, difficulties in generating IR evidence, particularly in limited-resource settings with wide disease prevention and treatment gaps, need to be anticipated and addressed. Nigeria is a priority country for the prevention of mother-to-child transmission of HIV (PMTCT). This paper analyses the experiences of four PMTCT IR studies in Nigeria, and proffers solutions to major challenges encountered during implementation...
April 17, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29665522/task-shifting-midwifery-support-workers-as-the-second-health-worker-at-a-home-birth-in-the-uk-a-qualitative-study
#2
Beck Taylor, Catherine Henshall, Laura Goodwin, Sara Kenyon
OBJECTIVE: Traditionally two midwives attend home births in the UK. This paper explores the implementation of a new home birth care model where births to low risk women are attended by one midwife and one Midwifery Support Worker (MSW). DESIGN AND SETTING: The study setting was a dedicated home birth service provided by a large UK urban hospital. PARTICIPANTS: Seventy-three individuals over 3 years: 13 home birth midwives, 7 MSWs, 7 commissioners (plan and purchase healthcare), 9 managers, 23 community midwives, 14 hospital midwives...
March 13, 2018: Midwifery
https://www.readbyqxmd.com/read/29660564/closing-the-gap-a-whole-of-school-approach-to-aboriginal-and-torres-strait-islander-inclusivity-in-higher-education
#3
Amanda C Fowler, Beverley Ewens, Caroline Vafeas, Leitha Delves, Colleen Hayward, Noel Nannup, Gwen Baum
The recruitment and retention of Aboriginal and Torres Strait Islander nurses and midwives is key to the delivery of culturally appropriate health care and improving the health outcomes of Aboriginal and Torres Strait Islander people. A working group to address inclusion and engagement of Aboriginal and Torres Strait Islander students at a West Australian University has impacted on the curricula, faculty staff and Aboriginal and Torres Strait Islander students within the School of Nursing and Midwifery. The University's Reconciliation Action Plan was the foundation and catalysed the group to promote cultural safety education for staff and provide inclusive activities for Aboriginal and Torres Strait Islander students...
April 9, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29653320/is-the-flipped-pedagogical-model-the-answer-to-the-challenges-of-rural-nursing-education-a-discussion-paper
#4
Helena Anolak, Andrew Coleman, Paul Sugden
Rural Australian health services face significant challenges such as aging populations, access and retention of services and health practitioners as well as difficulties with staff training due to geographic isolation. Educational pedagogy, through a 'flipped' or 'flipped' classroom method has become popular in nursing literature whereby discussion surrounding its effectiveness, ability to increase performance, address learning outcomes and resolve the education-clinical practice divide is currently being explored...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29643055/findings-of-the-chronic-obstructive-pulmonary-disease-sitting-and-exacerbations-trial-copd-seat-in-reducing-sedentary-time-using-wearable-and-mobile-technologies-with-educational-support-randomized-controlled-feasibility-trial
#5
Mark W Orme, Amie E Weedon, Paula M Saukko, Dale W Esliger, Mike D Morgan, Michael C Steiner, John W Downey, Lauren B Sherar, Sally J Singh
BACKGROUND: Targeting sedentary time post exacerbation may be more relevant than targeting structured exercise for individuals with chronic obstructive pulmonary disease. Focusing interventions on sitting less and moving more after an exacerbation may act as a stepping stone to increase uptake to pulmonary rehabilitation. OBJECTIVE: The aim of this paper was to conduct a randomized trial examining trial feasibility and the acceptability of an education and self-monitoring intervention using wearable technology to reduce sedentary behavior for individuals with chronic obstructive pulmonary disease admitted to hospital for an acute exacerbation...
April 11, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29624132/collaboration-in-a-competitive-healthcare-system-negotiation-101-for-clinicians
#6
Robyn Clay-Williams, Andrew Johnson, Paul Lane, Zhicheng Li, Lauren Camilleri, Teresa Winata, Michael Klug
Purpose The purpose of this paper is to evaluate the effectiveness of negotiation training delivered to senior clinicians, managers and executives, by exploring whether staff members implemented negotiation skills in their workplace following the training, and if so, how and when. Design/methodology/approach This is a qualitative study involving face-to-face interviews with 18 senior clinicians, managers and executives who completed a two-day intensive negotiation skills training course. Interviews were transcribed verbatim, and inductive interpretive analysis techniques were used to identify common themes...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29618112/critical-care-in-the-military-health-system-a-survey-based-summary-of-critical-care-services
#7
Jason J Nam, Christopher J Colombo, Cristin A Mount, Elizabeth A Mann-Salinas, Ferdinand Bacomo, Adam W Bostick, Konrad Davis, James K Aden, Kevin K Chung, Mary S McCarthy, Jeremy C Pamplin
Introduction: Critical care is an important component of in-patient and combat casualty care, and it is a major contributor to U.S. healthcare costs. Regular exposure to critically ill and injured patients may directly contribute to wartime skills retention for military caregivers. Data describing critical care services in the Military Health System (MHS), however, is lacking. This study was undertaken to describe MHS critical care services, their resource utilization, and differences in care practices amongst military treatment facilities (MTFs)...
March 29, 2018: Military Medicine
https://www.readbyqxmd.com/read/29614960/chair-based-exercise-in-community-settings-a-cluster-randomised-feasibility-study
#8
K R Robinson, A L Long, P Leighton, S Armstrong, R Pulikottill-Jacob, J R F Gladman, A L Gordon, P Logan, K A Anthony, R H Harwood, P E Blackshaw, T Masud
BACKGROUND: Some older people who find standard exercise programmes too strenuous may be encouraged to exercise while remaining seated - chair based exercises (CBE). We previously developed a consensus CBE programme (CCBE) following a modified Delphi process. We firstly needed to test the feasibility and acceptability of this treatment approach and explore how best to evaluate it before undertaking a definitive trial. METHODS: A feasibility study with a cluster randomised controlled trial component was undertaken to 1...
April 3, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29611095/an-end-user-participatory-approach-to-collaboratively-refine-hiv-care-data-the-new-york-state-experience
#9
Carol-Ann Swain, Steven Sawicki, Diane Addison, Benjamin Katz, Kelly Piersanti, Abigail Baim-Lance, Daniel Gordon, Bridget J Anderson, Denis Nash, Clemens Steinbock, Bruce Agins
Existing data dissemination structures primarily rely on top-down approaches. Unless designed with the end user in mind, this may impair data-driven clinical improvements to Human Immunodeficiency Virus (HIV) prevention and care. In this study, we implemented a data visualization activity to create region-specific data presentations collaboratively with HIV providers, consumers of HIV care, and New York State (NYS) Department of Health AIDS Institute staff for use in local HIV care decision-making. Data from the NYS HIV Surveillance Registry (2009-2013) and HIV care facilities (2010-2015) participating in a Health Resources and Services Administration (HRSA) Systems Linkages and Access to Care project were used...
April 2, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29611094/past-care-predicts-future-care-in-out-of-care-people-living-with-hiv-results-of-a-clinic-based-retention-in-care-intervention-in-north-carolina
#10
Jenna Donovan, Kristen Sullivan, Aimee Wilkin, Nada Fadul, Amy Heine, Jennifer Keller, Anna LeViere, Evelyn Byrd Quinlivan
Poor retention in care is associated with higher viral load (VL) results and decreased rates of viral load suppression (VS) in people living with HIV (PLWH). Therefore, improving retention in HIV care is a priority of national significance. The NC-LINK Retention Project utilized a systematic approach to identify, locate, and attempt to return to care patients who did not attend a clinic appointment for 6-9 months. Clinical and surveillance data were used to evaluate associations between patient characteristics and VL outcomes...
April 2, 2018: AIDS and Behavior
https://www.readbyqxmd.com/read/29610290/implementation-and-quality-assessment-of-a-pharmacy-services-call-center-for-outpatient-pharmacies-and-specialty-pharmacy-services-in-an-academic-health-system
#11
Matthew H Rim, Karen C Thomas, Jane Chandramouli, Stephanie A Barrus, Nancy A Nickman
PURPOSE: The implementation and quality assessment of a pharmacy services call center (PSCC) for outpatient pharmacies and specialty pharmacy services within an academic health system are described. SUMMARY: Prolonged wait times in outpatient pharmacies or hold times on the phone affect the ability of pharmacies to capture and retain prescriptions. To support outpatient pharmacy operations and improve quality, a PSCC was developed to centralize handling of all outpatient and specialty pharmacy calls...
April 2, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29595367/lessons-learned-from-the-implementation-of-a-medically-enhanced-residential-treatment-mert-model-integrating-intravenous-antibiotics-and-residential-addiction-treatment
#12
Honora Englander, Talitha Wilson, Devin Collins, Elena Phoutrides, Melissa Weimer, P Todd Korthuis, Jessica Calcagni, Christina Nicolaidis
BACKGROUND: Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People with SUD often remain hospitalized for many weeks instead of completing intravenous antibiotics at home; often, they are denied skilled nursing facility admission. Residential SUD treatment facilities are not equipped to administer intravenous antibiotics. We developed a medically enhanced residential treatment (MERT) model integrating residential SUD treatment and long-term IV antibiotics as part of a broader hospital-based addiction medicine service...
March 29, 2018: Substance Abuse
https://www.readbyqxmd.com/read/29587805/patient-centered-recruitment-and-retention-for-a-randomized-controlled-study
#13
Sumedha Chhatre, Ashlie Jefferson, Ratna Cook, Caitlin R Meeker, Ji Hyun Kim, Kayla Marie Hartz, Yu-Ning Wong, Adele Caruso, Diane K Newman, Knashawn H Morales, Ravishankar Jayadevappa
BACKGROUND: Recruitment and retention strategies for patient-centered outcomes research are evolving and research on the subject is limited. In this work, we present a conceptual model of patient-centered recruitment and retention, and describe the recruitment and retention activities and related challenges in a patient-centered comparative effectiveness trial. METHODS: This is a multicenter, longitudinal randomized controlled trial in localized prostate cancer patients...
March 27, 2018: Trials
https://www.readbyqxmd.com/read/29573023/leadership-style-and-organisational-commitment-among-nursing-staff-in-saudi-arabia
#14
Mansour Al-Yami, Paul Galdas, Roger Watson
AIMS: To examine how nurse managers' leadership styles, and nurses' organisational commitment in Saudi Arabia relate. BACKGROUND: Effective leadership is influential in staff retention; however, recruiting and maintaining nurses is an increasing problem in Saudi Arabia. METHODS: Using a survey design, the Multifactor Leadership Questionnaire and the Organisational Commitment Questionnaire were distributed to a sample of 219 nurses and nurse managers from two hospitals in Saudi Arabia...
March 23, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29572316/creating-a-learning-organization-to-help-meet-the-needs-of-multihospital-health-systems
#15
Angela Ward, Nannette Berensen, Rowell Daniels
PURPOSE: The considerations that leaders of multihospital health systems must take into account in developing and implementing initiatives to build and maintain an exceptional pharmacy workforce are described. SUMMARY: Significant changes that require constant individual and organizational learning are occurring throughout healthcare and within the profession of pharmacy. These considerations include understanding why it is important to have a succession plan and determining what types of education and training are important to support that plan...
April 1, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29569238/factor-analysis-and-mokken-scaling-of-the-organizational-commitment-questionnaire-in-nurses
#16
M Al-Yami, P Galdas, R Watson
AIMS: To generate an Arabic version of the Organizational Commitment Questionnaire that would be easily understood by Arabic speakers and would be sensitive to Arabic culture. BACKGROUND: The nursing workforce in Saudi Arabia is undergoing a process of Saudization but there is a need to understand the factors that will help to retain this workforce. INTRODUCTION: No organizational commitment tools exist in Arabic that are specifically designed for health organizations...
March 22, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29567853/roles-played-by-community-cadres-to-support-retention-in-pmtct-option-b-in-four-african-countries-a-qualitative-rapid-appraisal
#17
Donela Besada, Ameena Goga, Emmanuelle Daviaud, Sarah Rohde, Jacqueline Rose Chinkonde, Susie Villeneuve, Guy Clarysse, Nika Raphaely, Steve Okokwu, Nathan Tumwesigye, Nathalie Daries, Tanya Doherty
OBJECTIVES: To explore the roles of community cadres in improving access to and retention in care for PMTCT (prevent mother-to-child transmission of HIV) services in the context of PMTCT Option B+ treatment scale-up in high burden low-income and lower-middle income countries. DESIGN/METHODS: Qualitative rapid appraisal study design using semistructured in-depth interviews and focus group discussions (FGDs) between 8 June and 31 July 2015. SETTING AND PARTICIPANTS: Interviews were conducted in the offices of Ministry of Health Staff, Implementing partners, district offices and health facility sites across four low-income and lower-middle income countries: Cote D'Ivoire, Democratic Republic of Congo (DRC), Malawi and Uganda...
March 22, 2018: BMJ Open
https://www.readbyqxmd.com/read/29527760/challenges-in-clinical-teaching-investigated-towards-sustainable-staff-recruitment-and-retention-in-dentistry
#18
A Veerasamy, C Loch, L Adam, B J Howe, P A Brunton
PURPOSE: The study was conducted to identify possible factors and potential barriers that affect the retention and recruitment of clinical teaching staff at the Faculty of Dentistry, University of Otago, New Zealand. METHODOLOGY: A short questionnaire survey was distributed to 47 clinical teaching staff to understand the retention strategies and barriers. The collected quantitative and qualitative data were analysed and presented. FINDINGS: The response rate was 96%, with an equal distribution of female and male clinicians...
March 11, 2018: European Journal of Dental Education: Official Journal of the Association for Dental Education in Europe
https://www.readbyqxmd.com/read/29525896/radiation-dose-rates-of-differentiated-thyroid-cancer-patients-after-131-i-therapy
#19
Pingyan Jin, Huijuan Feng, Wei Ouyang, Juqing Wu, Pan Chen, Jing Wang, Yungang Sun, Jialang Xian, Liuhua Huang
Postoperative131 I treatment for differentiated thyroid cancer (DTC) can create a radiation hazard for nearby persons. The present prospective study aimed to investigate radiation dose rates in131 I-treated DTC patients to provide references for radiation protection. A total of 141131 I-treated DTC patients were enrolled, and grouped into a singular treatment (ST) group and a repeated treatment (RT) group. The radiation dose rate of131 I-treated patients was measured. The rate of achieving discharge compliance and restricted contact time were analyzed based on Chinese regulations...
March 10, 2018: Radiation and Environmental Biophysics
https://www.readbyqxmd.com/read/29517141/the-relationship-among-change-fatigue-resilience-and-job-satisfaction-of-hospital-staff-nurses
#20
Robin Brown, Howard Wey, Kay Foland
PURPOSE: The purpose of this study was to examine relationships between change fatigue, resilience, and job satisfaction among novice and seasoned hospital staff nurses. BACKGROUND: Health care is typified by change. Frequent and vast changes in acute care hospitals can take a toll on nurses and cause change fatigue, which has been largely overlooked and under-researched. DESIGN AND METHOD: A descriptive correlational design was employed with 521 hospital staff nurses in one midwestern state...
March 8, 2018: Journal of Nursing Scholarship
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