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https://www.readbyqxmd.com/read/28922075/factors-associated-with-optimal-antenatal-care-use-in-northern-region-ghana
#1
Abdulai Abubakari, Faith Agbozo, Gilbert Abotisem Abiiro
BACKGROUND: The aim of the present study was to investigate the factors associated with optimal use of antenatal care (ANC), that is, four or more times during pregnancy. METHODS: A facility-based cross-sectional survey was conducted between February and August 2014 among nursing mothers (n = 578) attending postnatal and child welfare clinics in three districts in Northern Ghana, representing urban, peri-urban and rural zones. The developed questionnaire aided the collection of information on maternal demographic characteristics, health status, household assets, and ANC attendance...
September 18, 2017: Women & Health
https://www.readbyqxmd.com/read/28919839/ground-up-top-down-a-mixed-method-action-research-study-aimed-at-normalising-research-in-practice-for-nurses-and-midwives
#2
Vicki Parker, Gena Lieschke, Michelle Giles
BACKGROUND: Improving health, patient and system outcomes through a practice-based research agenda requires infrastructural supports, leadership and capacity building approaches, at both the individual and organisational levels. Embedding research as normal nursing and midwifery practice requires a flexible approach that is responsive to the diverse clinical contexts within which care is delivered and the variable research skills and interest of clinicians. This paper reports the study protocol for research being undertaken in a Local Health District (LHD) in New South Wales (NSW) Australia...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28913924/nurse-managers-and-the-sandwich-support-model
#3
Christine Chisengantambu, Guy M Robinson, Nina Evans
AIM: To explore the interplay between the work of nurse managers and the support they receive and provide. BACKGROUND: Support is the cornerstone of management practices and is pivotal in employees feeling committed to an organisation. Support for nurse managers is integral to effective health sector management; its characteristics merit more attention. METHODS: The experiences of 15 nurse managers in rural health institutions in South Australia were explored using structured interviews, observation and document review...
September 15, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28912667/how-do-nurse-consultant-job-characteristics-impact-on-job-satisfaction-an-australian-quantitative-study
#4
Michelle Giles, Vicki Parker, Rebecca Mitchell, Jane Conway
BACKGROUND: There is a direct link between job satisfaction, nurses' job performance and improved patient outcomes. Understanding what job characteristics influence job satisfaction is vital if health organizations are to optimize individual employee satisfaction and performance. This is particularly necessary in the Nurse Consultant role, which is a multifaceted role that has evolved to meet the dynamic and changing needs of health services. This study aims to examine how job characteristics influence Nurse Consultant job satisfaction and identify differences across metropolitan and rural contexts...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28910328/non-governmental-organization-facilitation-of-a-community-based-nutrition-and-health-program-effect-on-program-exposure-and-associated-infant-feeding-practices-in-rural-india
#5
Veena Singh, Saifuddin Ahmed, Michele L Dreyfuss, Usha Kiran, Deepika N Chaudhery, Vinod K Srivastava, Ramesh C Ahuja, Abdullah H Baqui, Gary L Darmstadt, Mathuram Santosham, Keith P West
BACKGROUND: Integrated nutrition and health programs seek to reduce undernutrition by educating child caregivers about infant feeding and care. Data on the quality of program implementation and consequent effects on infant feeding practices are limited. This study evaluated the effectiveness of enhancing a nutrition and health program on breastfeeding and complementary-feeding practices in rural India. METHODS: Utilizing a quasi-experimental design, one of the implementing districts of a Cooperative for Assistance and Relief Everywhere (CARE) nutrition and health program was randomly selected for enhanced services and compared with a district receiving the Government of India's standard nutrition and health package alone...
2017: PloS One
https://www.readbyqxmd.com/read/28903976/working-hard-but-working-differently-a-qualitative-study-of-the-impact-of-generational-change-on-rural-health-care
#6
David Snadden, Mark Alexander Kunzli
BACKGROUND: There is limited literature evaluating generational change in the physician workforce and the adjustments required of practices, practitioners and the health care system as a whole. The purpose of this study was to explore rural practitioners' experiences of their current contexts relevant to recruitment and retention and to determine how practices are responding to changing aspirations of new practitioners. METHODS: We used qualitative methods. Participants were selected to ensure diversity of career stage...
September 12, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28901665/kansas-nurse-leader-residency-programme-advancing-leader-knowledge-and-skills
#7
Qiuhua Shen, Jill Peltzer, Cynthia Teel, Janet Pierce
AIMS: To evaluate the effectiveness of the Kansas Nurse Leader Residency (KNLR) programme in improving nurses' leadership knowledge and skills and its acceptability, feasibility and fidelity. BACKGROUND: The Future of Nursing Report (Institute of Medicine, 2011) calls for nurses to lead change and advance health. The 6-month KNLR programme was developed by the Kansas Action Coalition to support nurses' leadership development. METHODS: Nurses (n = 36) from four nursing specialties (acute care, long-term care, public health and school health) participated in the programme...
September 12, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28899264/ubiquitous-technology-in-healthcare-and-teaching-learning-scourge-or-blessing
#8
Nan Russell Yancey
The author in this article introduces a discussion of one school of nursing's efforts integrating telehealth education into undergraduate and graduate curricula using King's theory of goal attainment as a guide. The introduction shares a story of loss in a rural setting without access to quality healthcare to highlight the blessing technology may be. However, challenges are discussed that arise through the ubiquitous use of technology in person-to-person communication and relationships.
July 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28899251/leading-following-in-the-context-of-rural-nursing
#9
Pamela Stewart Fahs
Leading-following, as defined by Parse, is "deliberately innovating with potent engaging in persistently pursuing excellence. It is an indivisible, unpredictable, ever changing cocreation." Parse noted that processes forming the essence of leading-following require commitment, risk-taking, acknowledging ambiguity, respecting others, and vigilance. There is a bond between members of society and nurses-an expectation that nurses will provide care to individuals, families, and communities. Nursing is a profession where the potential to create meaning in healthcare has not yet been fully realized...
April 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28899247/-oh-the-places-nurses-go-leading-following-within-rural-nursing
#10
Mario R Ortiz
It is interesting to imagine the many diverse places and settings that nurses "go" to serve individuals, families, and communities with their unique knowledge base. Nurses working in rural areas have many challenges and opportunities, since they work in isolated areas "in the wide open air" where there is limited access to healthcare.
April 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28899101/retention-of-qualified-healthcare-workers-in-rural-senegal-lessons-learned-from-a-qualitative-study
#11
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/28893080/core-competencies-of-radiographers-working-in-rural-hospitals-of-kwazulu-natal-south-africa
#12
Bernard Mung'omba, Annali D H Botha
INTRODUCTION: Rural radiographers require, over and above traditional radiographic expertise, additional competencies which to a certain degree are unique however not limited to rural practice. Previous studies, however, have focused more attention primarily on other rural health professionals such as doctors and nurses leaving a research need in this field. This article focuses on the additional competencies that may be required for rural radiographers. AIM: To investigate and identify additional core competencies required by radiographers working in rural hospitals of KwaZulu-Natal in order to propose a continuous professional development strategy aimed at rural radiographers...
August 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28892479/towards-chagas-disease-elimination-neonatal-screening-for-congenital-transmission-in-rural-communities
#13
Pamela Marie Pennington, José Guillermo Juárez, Margarita Rivera Arrivillaga, Sandra María De Urioste-Stone, Katherine Doktor, Joe P Bryan, Clara Yaseli Escobar, Celia Cordón-Rosales
Chagas disease is a neglected tropical disease that continues to affect populations living in extreme poverty in Latin America. After successful vector control programs, congenital transmission remains as a challenge to disease elimination. We used the PRECEDE-PROCEED planning model to develop strategies for neonatal screening of congenital Chagas disease in rural communities of Guatemala. These communities have persistent high triatomine infestations and low access to healthcare. We used mixed methods with multiple stakeholders to identify and address maternal-infant health behaviors through semi-structured interviews, participatory group meetings, archival reviews and a cross-sectional survey in high risk communities...
September 11, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28891385/trauma-informed-parenting-classes-delivered-to-rural-kinship-parents-a-pilot-study
#14
Karen J Foli, Stephanie Woodcox, Susan Kersey, Lingsong Zhang, Brooke Wilkinson
BACKGROUND: Without an informed approach, kinship parents, often grandparents, may struggle to effectively interact with their children who have experienced trauma. OBJECTIVES: The purpose of this pilot study was to describe the overall impact and acceptability of a trauma-informed parenting curriculum delivered to 16 rural-dwelling kinship parents. Nursing faculty partnered with Cooperative Extension Educators to deliver this curriculum, developed by the National Child Traumatic Stress Network...
September 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28888497/urban-rural-differences-in-school-nurses-asthma-training-needs-and-access-to-asthma-resources
#15
Delesha M Carpenter, Robin Dawson Estrada, Courtney A Roberts, Alice Elio, Melissa Prendergast, Kathy Durbin, Graceann Clyburn Jones, Steve North
PURPOSE: Few studies have examined school nurses preferences' for asthma training. Our purpose was to: 1) assess school nurses' perceived asthma training needs, 2) describe nurses' access to asthma educational resources, and 3) identify urban-rural differences in training needs and access to resources in southern states. DESIGN AND METHODS: A convenience sample of school nurses (n=162) from seven counties (two urban and five rural) in North Carolina and South Carolina completed an online, anonymous survey...
September 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/28877182/cryptococcal-antigen-screening-by-lay-cadres-using-a-rapid-test-at-the-point-of-care-a-feasibility-study-in-rural-lesotho
#16
Fernanda Rick, Aline Aurore Niyibizi, Amir Shroufi, Kazumi Onami, Sarah-Jane Steele, Malehlohonolo Kuleile, Innocent Muleya, Tom Chiller, Tiffany Walker, Gilles Van Cutsem
INTRODUCTION: Cryptococcal meningitis is one of the leading causes of death among people with HIV in Africa, primarily due to delayed presentation, poor availability and high cost of treatment. Routine cryptococcal antigen (CrAg) screening of patients with a CD4 count less than 100 cells/mm3, followed by pre-emptive therapy if positive, might reduce mortality in high prevalence settings. Using the cryptococcal antigen (CrAg) lateral flow assay (LFA), screening is possible at the point of care (POC)...
2017: PloS One
https://www.readbyqxmd.com/read/28876629/clinical-breast-examination-screening-by-trained-laywomen-in-malawi-integrated-with-other-health-services
#17
L Gutnik, C Lee, J Msosa
BACKGROUND: Breast cancer awareness and early detection are limited in Sub-Saharan Africa. Resource limitations make screening mammography or clinical breast examination (CBE) by physicians or nurses impractical in many settings. METHOD: Four laywomen were trained to deliver breast cancer educational talks and conduct CBE. After training, screening was implemented in diverse urban health clinics. Eligible women were 30 years old, with no prior breast cancer or breast surgery, and clinic attendance for reasons other than a breast concern...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28860096/the-association-between-therapy-intensity-and-discharge-outcomes-in-aged-medicare-skilled-nursing-facilities-admissions
#18
Suzanne R O'Brien, Ning Zhang
OBJECTIVE: To determine the association between therapy intensity and discharge outcomes for aged Medicare skilled nursing facilities (SNFs) fee-for-service admissions. Second, to determine the association between intensity and time to community discharge. DESIGN: A retrospective, observational design. Year 2008 databases of the Minimum Data Set, Online Survey Certification and Reporting dataset, and Rural Urban Commuting Area Codes were linked. SETTING: SNFs in California, Florida, New York, Ohio, Texas...
August 28, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28859770/no-245-alcohol-use-and-pregnancy-consensus-clinical-guidelines
#19
George Carson, Lori Vitale Cox, Joan Crane, Pascal Croteau, Lisa Graves, Sandra Kluka, Gideon Koren, Marie-Jocelyne Martel, Deana Midmer, Irena Nulman, Nancy Poole, Vyta Senikas, Rebecca Wood
OBJECTIVE: To establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence. EVIDENCE: Published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction)...
September 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28859003/a-rural-grow-your-own-strategy-building-providers-from-the-local-workforce
#20
Ingrid M Johnson
Rural health care leaders are increasingly tasked with the responsibility of providing health access to 21% of the national population with only 10% of the provider workforce. Provider recruitment strategies offering loan repayment have had some success in the short term but are less impactful at creating a long-term retention rate, unless the providers have an existing connection to either the community in which they are working or rural health care. Responding to these data, a demonstration project and study has been underway in Colorado to test a rural focused "grow your own" advanced practice registered nurse (APRN) model...
October 2017: Nursing Administration Quarterly
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