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Remote area nursing

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https://www.readbyqxmd.com/read/28629349/relationships-between-dental-personnel-and-non-dental-primary-health-care-providers-in-rural-and-remote-queensland-australia-dental-perspectives
#1
Jackie Stuart, Ha Hoang, Len Crocombe, Tony Barnett
BACKGROUND: Collaboration between dental practitioners and non-dental primary care providers has the potential to improve oral health care for people in rural and remote communities, where access to oral health services is limited. However, there is limited research on collaboration between these professional disciplines. The purpose of this paper was to explore the relationships between dental practitioners and non-dental primary care providers from rural and remote areas of Queensland and to identify strategies that could improve collaboration between these disciplines from the perspective of dental participants...
June 19, 2017: BMC Oral Health
https://www.readbyqxmd.com/read/28616369/management-of-an-obstructed-tracheostomy-in-a-limited-resource-setting
#2
Julie Chiaravalli, Norman Lufesi, Elwin Shawa, Vitumbiko Nkhoma, Elaine Sigalet, Adam Dubrowski
Obstruction of a tracheostomy tube is a common cause of respiratory compromise in adults and pediatric patients, which can lead to a life-threatening emergency if it is not properly managed. Compromised airway patency has many potential etiologies; however, the scenario described in this technical report focuses specifically on the management of tracheostomy obstruction through the presence of a mucus plug, blood clot, or highly viscous secretions. The simulation described in this technical report was written to be conducted as an in-situ simulation within the intensive care unit (ICU) at Mzuzu Central Hospital, Malawi...
May 13, 2017: Curēus
https://www.readbyqxmd.com/read/28607245/opportunities-in-oral-health-policy-for-timor-leste
#3
Lucio F Babo Soares, Silvana S Bettiol, Isaac J Dalla-Fontana, Penny Allen, Leonard A Crocombe
Timor-Leste faces an urgent set of challenges in oral health. The impact of oral diseases in terms of reduced quality of life and cost of treatment is considerable. This paper reviews progress on policy recommendations since the National Oral Health Survey in 2002, the first such national survey. Few proposals have been implemented to date, owing to (i) lack of local support for the recommendations, particularly on promotion of oral health; (ii) lack of financial and budgetary provisions for oral health; (iii) lack of focus on services, human resources and dental personnel; (iv) poor focus, design and implementation of policy and planning in oral health; and (v) lack of transport to facilitate health-care workers' access to remote areas...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28365651/access-to-continuing-education-for-critical-care-nurses-in-rural-or-remote-settings
#4
Lori Hendrickx, Charlene Winters
Caring for the critically ill does not occur solely in large medical centers or urban areas. Nurses practicing in rural or remote settings practice as nurse generalists, caring for a wide range of patients, including those needing critical care. As a nurse generalist, the need for a wide variety of skill sets challenges nurses in rural areas to maintain current practice through continuing education across many content areas. They also may not come in contact with critically ill patients or emergent situations as often as their urban counterparts, which can make remaining comfortable with more advanced skills difficult...
April 2017: Critical Care Nurse
https://www.readbyqxmd.com/read/28359313/an-examination-of-the-causes-consequences-and-policy-responses-to-the-migration-of-highly-trained-health-personnel-from-the-philippines-the-high-cost-of-living-leaving-a-mixed-method-study
#5
Erlinda Castro-Palaganas, Denise L Spitzer, Maria Midea M Kabamalan, Marian C Sanchez, Ruel Caricativo, Vivien Runnels, Ronald Labonté, Gail Tomblin Murphy, Ivy Lynn Bourgeault
BACKGROUND: Dramatic increases in the migration of human resources for health (HRH) from developing countries like the Philippines can have consequences on the sustainability of health systems. In this paper, we trace the outflows of HRH from the Philippines, map out its key causes and consequences, and identify relevant policy responses. METHODS: This mixed method study employed a decentered, comparative approach that involved three phases: (a) a scoping review on health workers' migration of relevant policy documents and academic literature on health workers' migration from the Philippines; and primary data collection with (b) 37 key stakeholders and (c) household surveys with seven doctors, 329 nurses, 66 midwives, and 18 physical therapists...
March 31, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28061783/improving-the-knowledge-of-labour-and-delivery-nurses-in-india-a-randomized-controlled-trial-of-mentoring-and-case-sheets-in-primary-care-centres
#6
Janet Bradley, Krishnamurthy Jayanna, Souradet Shaw, Troy Cunningham, Elizabeth Fischer, Prem Mony, B M Ramesh, Stephen Moses, Lisa Avery, Maryanne Crockett, James F Blanchard
BACKGROUND: Birthing in health facilities in India has increased over the last few years, yet maternal and neonatal mortality rates remain high. Clinical mentoring with case sheets or checklists for nurses is viewed as essential for on-going knowledge transfer, particularly where basic training is inadequate. This paper summarizes a study of the effect of such a programme on staff knowledge and skills in a randomized trial of 295 nurses working in 108 Primary Health Centres (PHCs) in Karnataka, India...
January 7, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28029724/the-role-of-the-breast-care-nurse-in-patient-and-family-care
#7
Lauretta Luck, Harrison Ng Chok, Nancy Scott, Lesley Wilkes
AIMS AND OBJECTIVES: This study aims to describe the role of the Breast Care Nurse in caring for patients and families. BACKGROUND: The Breast Care Nurse is an expert clinical nurse who plays a significant role in the care of women/men and their families with breast cancer. The role of these nurses has expanded since the 1990s in Australia. DESIGN: Descriptive study. METHODS: An online survey was sent to Breast Care Nurses using peak body databases (n=100)...
December 28, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27968859/the-health-brain-drain-in-rural-areas-about-the-health-personnel-incentive-policy-intervention-in-shanghai-a-longitudinal-study
#8
Kun Liu, Limei Jing, Xuhong Zhou, Yao Huang, Li Wang, Xiaoming Sun
BACKGROUND: The so-called health brain-drain-which refers to the health workers leaving their present jobs to other institutions, especially in rural areas-severely restricts the development of primary healthcare. To solve the problem, Pudong New Area of Shanghai carried out a series of incentive policies such as salary bonus, promotion and housing from July, 2014. In our study we aimed to analyse the change in health brain-drain which resulted from this policy. METHODS: There are 45 community health centres in Pudong, which we classified into 4 categories by geographical division: remote rural, general rural, suburban, and urban...
October 2016: Lancet
https://www.readbyqxmd.com/read/27941470/simbu-ptosis-an-outreach-approach-to-myogenic-ptosis-in-eastern-highlands-of-papua-new-guinea-experience-and-results-from-a-high-volume-oculoplastic-surgical-camp
#9
Anna G Gushchin, Alison V Crum, Ben B Limbu, Edward P Quigley, Michael S Seward, Geoffrey C Tabin
PURPOSE: To present the results of a high-volume oculoplastic surgical outreach in a remote region of Simbu Province in the Eastern Highlands of Papua New Guinea. The authors describe the clinical features and evaluation and treatment of a novel ptosis syndrome found in this area. DESIGN: A team of 4 international ophthalmologists and 3 local doctors and 3 local nurses involved in a high-volume field intervention for all patients presenting with a bilateral ptosis to Mingende Rural Hospital...
March 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27846242/understanding-health-workers-job-preferences-to-improve-rural-retention-in-timor-leste-findings-from-a-discrete-choice-experiment
#10
Marc-Francois Smitz, Sophie Witter, Christophe Lemiere, Patrick Hoang-Vu Eozenou, Tomas Lievens, Rashid U Zaman, Kay Engelhardt, Xiaohui Hou
BACKGROUND: Timor-Leste built its health workforce up from extremely low levels after its war of independence, with the assistance of Cuban training, but faces challenges as the first cohorts of doctors will shortly be freed from their contracts with government. Retaining doctors, nurses and midwives in remote areas requires a good understanding of health worker preferences. METHODS: The article reports on a discrete choice experiment (DCE) carried out amongst 441 health workers, including 173 doctors, 150 nurses and 118 midwives...
2016: PloS One
https://www.readbyqxmd.com/read/27829573/advancing-interprofessional-primary-health-care-services-in-rural-settings-for-people-with-chronic-low-back-disorders-protocol-of-a-community-based-randomized-controlled-trial
#11
Brenna Bath, Stacey Lovo Grona, Stephan Milosavljevic, Nazmi Sari, Biaka Imeah, Megan E O'Connell
BACKGROUND: Chronic low back disorders (CLBDs) are a substantial burden on individuals and societies, and impact up to 20% of Canadians. Rural and remote residents are approximately 30% more likely to have CLBDs. Reduced access to appropriate team-based health services, including physical therapy, is a key factor that may magnify the impact of CLBD on pain, physical function, overall quality of life, health-related system costs, and individual costs. OBJECTIVE: The purpose of this project is to evaluate the validity, comparative effectiveness, costs, barriers, and facilitators of an interprofessional management approach for people with CLBDs, delivered via telehealth...
November 9, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27825340/patient-and-provider-acceptance-of-telecoaching-in-type-2-diabetes-a-mixed-method-study-embedded-in-a-randomised-clinical-trial
#12
I Odnoletkova, H Buysse, F Nobels, G Goderis, B Aertgeerts, L Annemans, D Ramaekers
BACKGROUND: Despite advances in diagnosis and treatment of type 2 diabetes, suboptimal metabolic control persists. Patient education in diabetes has been proved to enhance self-efficacy and guideline-driven treatment, however many people with type 2 diabetes do not have access to or do not participate in self-management support programmes. Tele-education and telecoaching have the potential to improve accessibility and efficiency of care, but there is a slow uptake in Europe. Patient and provider acceptance in a local context is an important pre-condition for implementation...
November 9, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27624177/primary-health-care-for-aboriginal-women-and-children-in-the-year-after-birth-findings-from-a-population-based-study-in-south-australia
#13
Jane Yelland, Donna Weetra, Deanna Stuart-Butler, Janiene Deverix, Cathy Leane, Jackie Ah Kit, Karen Glover, Deirdre Gartland, Jonathan Newbury, Stephanie Brown
OBJECTIVE: To investigate the extent to which Aboriginal women access primary care for themselves and their infant in the year after childbirth. METHOD: Cross sectional population-based survey of women giving birth to Aboriginal babies in South Australia between July 2011 and June 2013. RESULTS: A total of 344 women took part in the study 4-9 months after giving birth. The majority had seen a primary health care practitioner since the birth: 86% had seen a Child and Family Health Service (CaFHS) nurse, 81% a general practitioner (GP), and 61% an Aboriginal health worker (AHW)...
October 2016: Australian and New Zealand Journal of Public Health
https://www.readbyqxmd.com/read/27573307/service-providers-experiences-of-using-a-telehealth-network-12-months-after-digitisation-of-a-large-australian-rural-mental-health-service
#14
Lareen Newman, Niranjan Bidargaddi, Geoffrey Schrader
BACKGROUND: Despite evidence of benefits of telehealth networks in increasing access to, or providing, previously unavailable mental health services, care providers still prefer traditional approaches. For psychiatric assessment, digital technology can offer improvements over analog systems for the technical and, subsequently, the social quality of provider-client interaction. This is in turn expected to support greater provider uptake and enhanced patient benefits. OBJECTIVE: Within the framework of Innovation Diffusion Theory, to study service providers' experiences of an existing regional telehealth network for mental health care practice twelve months after digitisation in order to identify the benefits of digital telehealth over an analog system for mental health care purposes in rural Australia...
October 2016: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/27534884/challenges-in-monitoring-the-development-of-young-children-in-remote-aboriginal-health-services-clinical-audit-findings-and-recommendations-for-improving-practice
#15
Anita D'Aprano, Sven Silburn, Vanessa Johnston, Ross Bailie, Fiona Mensah, Frank Oberklaid, Gary Robinson
INTRODUCTION: Early detection of developmental difficulties is universally considered a necessary public health measure, with routine developmental monitoring an important function of primary healthcare services. This study aimed to describe the developmental monitoring practice in two remote Australian Aboriginal primary healthcare services and to identify gaps in the delivery of developmental monitoring services. METHODS: A cross-sectional baseline medical record audit of all resident children aged less than 5 years in two remote Aboriginal health centres in the Northern Territory (NT) in Australia was undertaken between December 2010 and November 2011...
July 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27498185/education-employment-and-practice-midwifery-graduates-in-papua-new-guinea
#16
Alison Moores, Paula Puawe, Nancy Buasi, Florence West, Mary K Samor, Nina Joseph, Michele Rumsey, Angela Dawson, Caroline S E Homer
BACKGROUND: Papua New Guinea has a very high maternal mortality rate (773/100,000), low rates of supervised births and a critical shortage of skilled midwives. A midwifery education initiative commenced in 2012, funded by the Australian Government and led by the National Department of Health. One specific objective of the initiative was to improve the standard of clinical teaching and practice in four schools of midwifery. There were 394 midwives educated over the 4 year period (2012-2015) representing half of all midwives in Papua New Guinea...
October 2016: Midwifery
https://www.readbyqxmd.com/read/27490516/is-there-a-role-for-paediatric-sexual-assault-nurse-examiners-in-the-management-of-child-sexual-assault-in-australia
#17
Dania Nathanson, Susan Woolfenden, Karen Zwi
In Australia, paediatricians and Child Protection Specialists provide the medical and forensic examinations of child victims of sexual assault. There are workforce challenges in the recruitment and retention of doctors to undertake child sexual assault (CSA) work particularly in remote and rural areas. Pediatric Sexual Assault Nurse Examiner (PSANE) programs have existed in the USA and the UK for many years. Using Rapid Evidence Assessment (REA) methodology, a systematic search of the literature was performed to ascertain what is known about SANE programs, to evaluate the evidence for their effectiveness across a number of domains (accessibility, health and legal outcomes and cost effectiveness) and to inform policy on models of care and elements of best practice which may be appropriate for local implementation in Australia...
September 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27456344/implementing-the-first-regional-hospice-palliative-care-program-in-ontario-the-champlain-region-as-a-case-study
#18
José Pereira, Jocelyne Contant, Gwen Barton, Christopher Klinger
BACKGROUND: Regionalization promotes planning and coordination of services across settings and providers to meet population needs. Despite the potential advantages of regionalization, no regional hospice palliative care program existed in Ontario, Canada, as of 2010. This paper describes the process and early results of the development of the first regional hospice palliative care program in Ontario. The various activities and processes undertaken and the formal agreements, policies and documents are described...
July 26, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/27428092/primary-maternity-units-in-rural-and-remote-australia-results-of-a-national-survey
#19
Sue Kruske, Sue Kildea, Bec Jenkinson, Jennifer Pilcher, Sarah Robin, Margaret Rolfe, Jude Kornelsen, Lesley Barclay
BACKGROUND: Primary Maternity Units (PMUs) offer less expensive and potentially more sustainable maternity care, with comparable or better perinatal outcomes for normal pregnancy and birth than higherlevel units. However, little is known about how these maternity services operate in rural and remote Australia, in regards to location, models of care, service structure, support mechanisms or sustainability. This study aimed to confirm and describe how they operate. DESIGN: a descriptive, cross-sectional study was undertaken, utilising a 35-item survey to explore current provision of maternity care in rural and remote PMUs across Australia...
September 2016: Midwifery
https://www.readbyqxmd.com/read/27332173/use-of-nurses-in-tele-consultation-for-patients-in-remote-areas
#20
Metilda Robin, Teenu Xavier, Deepak Agrawal
UNLABELLED: There is poor penetration of trauma healthcare delivery in rural areas. On the other hand, mobile penetration in India is now averaging 80% with most families having access to mobile phone. AIMS AND OBJECTIVES: The aim of this study was to evaluate the effectiveness of tele-consultation by nurses using an integrated call centre. MATERIALS AND METHODS: This was a prospective observational study carried out over a 6-month period at a level I trauma Center in New Delhi, India...
2016: Studies in Health Technology and Informatics
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