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https://www.readbyqxmd.com/read/28216281/clinicians-perspectives-on-advance-care-planning-for-patients-with-ckd-in-australia-an-interview-study
#1
Marcus Sellars, Allison Tong, Tim Luckett, Rachael L Morton, Carol A Pollock, Lucy Spencer, William Silvester, Josephine M Clayton
BACKGROUND: Advance care planning (ACP) empowers patients to consider and communicate their current and future treatment goals. However, ACP is not widely implemented in chronic kidney disease (CKD) care settings. This study aims to describe clinicians' beliefs, challenges, and perspectives of ACP in patients with CKD. STUDY DESIGN: Qualitative study. SETTING & PARTICIPANTS: Nephrologists (n=20), nurses (n=7), and social workers (n=4) with a range of experience in facilitating ACP for patients with CKD across Australia...
February 16, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28209209/perceived-quality-of-life-among-visceral-leishmaniasis-and-hiv-coinfected-migrant-male-workers-in-northwest-ethiopia-a-qualitative-study
#2
Mekuriaw Alemayehu, Mamo Wubshet, Nebiyu Mesfin, Abebaw Gebayehu
BACKGROUND: There is paucity of data on quality of life as a dimension of treatment outcome among Visceral Leishmaniasis and HIV coinfected patients. This study sought to explore perceived quality of life among Visceral Leishmaniasis and HIV coinfected male migrant workers in Northwest Ethiopia. METHODS: Twenty Visceral Leishmaniasis and HIV coinfected study participants took part in the in-depth interviews at Visceral Leishmaniasis and HIV treatment centers. Ten participants were on antiretroviral treatment (ART) and the remaining 10 have not yet started ART...
February 16, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28196475/nutrition-and-dementia-care-developing-an-evidence-based-model-for-nutritional-care-in-nursing-homes
#3
Jane L Murphy, Joanne Holmes, Cindy Brooks
BACKGROUND: There is a growing volume of research to offer improvements in nutritional care for people with dementia living in nursing homes. Whilst a number of interventions have been identified to support food and drink intake, there has been no systematic research to understand the factors for improving nutritional care from the perspectives of all those delivering care in nursing homes. The aim of this study was to develop a research informed model for understanding the complex nutritional problems associated with eating and drinking for people with dementia...
February 14, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28195527/the-effect-of-women-s-breast-cancer-fear-and-social-support-perceptions-on-the-process-of-participating-in-screening
#4
Aygul Kissal, Birgül Vural, Fatma Ersin, Tuğba Solmaz
INTRODUCTION: Social support and fear have been shown to be important factors affecting women's participation in breast cancer screening. This study aimed to determine the effect of women's perceived breast cancer fear and social support on participating in the breast cancer screening process, and to investigate the relationship between the perception of breast cancer fear and social support. METHODS: This is a descriptive study, carried out in a state hospital on 198 women...
February 1, 2017: Global Health Promotion
https://www.readbyqxmd.com/read/28192056/the-psychosocial-challenges-of-caring-for-patients-with-ebola-virus-disease
#5
Matthew W Smith, Philip W Smith, Christopher J Kratochvil, Shelly Schwedhelm
Caring for highly infectious patients in biocontainment units is a new phenomenon, and little is known about the behavioral health of workers in this setting. This is a qualitative study exploring the unique experiences of workers involved in the care of patients with Ebola virus disease (EVD) at Nebraska Medicine during the 2014 Ebola outbreak. Twenty-one in-depth interviews were conducted focused on topics of personal memories, interpersonal experiences, stress response, and patient management. Five themes were identified: (1) positive experiences were emotional while challenges were technical; (2) a significant percentage of workers encountered interpersonal stressors, with 29% of respondents having feelings of isolation, 33% having alterations in home life, and 25% experiencing at least 1 episode of discrimination; (3) physicians and nurses had stressors primarily related to patient care; (4) mental health was an important supportive service, with 45% of respondents using behavioral health counseling; and (5) working in the biocontainment unit during activation was more stressful than everyday work for 60% of respondents...
January 2017: Health Security
https://www.readbyqxmd.com/read/28191020/compliance-with-standard-precautions-and-associated-factors-among-healthcare-workers-in-gondar-university-comprehensive-specialized-hospital-northwest-ethiopia
#6
Tariku Gebre Haile, Eshetu Haileselassie Engeda, Abdella Amano Abdo
Background. In many studies, compliance with standard precautions among healthcare workers was reported to be inadequate. Objective. The aim of this study was to assess compliance with standard precautions and associated factors among healthcare workers in northwest Ethiopia. Methods. An institution-based cross-sectional study was conducted from March 01 to April 30, 2014. Simple random sampling technique was used to select participants. Data were entered into Epi info 3.5.1 and were exported to SPSS version 20...
2017: Journal of Environmental and Public Health
https://www.readbyqxmd.com/read/28183852/incarceration-and-exposure-to-internally-displaced-persons-camps-associated-with-reproductive-rights-abuses-among-sex-workers-in-northern-uganda
#7
Margaret Erickson, Shira M Goldenberg, Monica Akello, Godfrey Muzaaya, Paul Nguyen, Josephine Birungi, Kate Shannon
BACKGROUND: While female sex workers (FSWs) face a high burden of violence and criminalisation, coupled with low access to safe, non-coercive care, little is known about such experiences among FSWs in conflict-affected settings, particularly as they relate to sexual and reproductive health (SRH) and rights. We explored factors associated with lifetime abortions among FSWs in northern Uganda; and separately modelled the independent effect of lifetime exposures to incarceration and living in internally displaced persons (IDP) camps on coerced and unsafe abortions...
February 9, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/28169872/project-engage-snowball-sampling-and-direct-recruitment-to-identify-and-link-hard-to-reach-hiv-infected-persons-who-are-out-of-care
#8
Amy Rock Wohl, Natasha Ludwig-Barron, Rhodri Dierst-Davies, Sonali Kulkarni, Jesse Bendetson, Wilbert Jordan, Robert Bolan, Terry Smith, William Cunningham, Mario J Pérez
INTRODUCTION: Innovative strategies are needed to identify and link hard-to-find persons living with HIV (PLWH) who are out of care(OOC). Project Engage, a health department-based project in Los Angeles County(LAC), used a mixed methods approach to locate and provide linkage for PLWH who have limited contact with HIV medical and non-medical services. METHODS: Incentivized social network referrals(SNR) and direct recruitment(DR) was used to identify eligible OOC alters for a linkage intervention that included HIV clinic selection, appointment and transportation support, reminder calls/texts and clinic navigation...
February 6, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28166804/addressing-the-gaps-in-diabetes-care-in-first-nations-communities-with-the-reorganizing-the-approach-to-diabetes-through-the-application-of-registries-radar-the-project-protocol
#9
Dean T Eurich, Sumit R Majumdar, Lisa A Wozniak, Allison Soprovich, Kari Meneen, Jeffrey A Johnson, Salim Samanani
BACKGROUND: Type-2 diabetes rates in First Nations communities are 3-5 times higher than the general Canadian population, resulting in a high burden of disease, complications and comorbidity. Limited community nursing capacity, isolated environments and a lack of electronic health records (EHR)/registries lead to a reactive, disorganized approach to diabetes care for many First Nations people. The Reorganizing the Approach to Diabetes through the Application of Registries (RADAR) project was developed in alignments with federal calls for innovative, culturally relevant, community-specific programs for people with type-2 diabetes developed and delivered in partnership with target communities...
February 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28156434/earlier-access-to-palliative-medicine-an-experience-of-integration-into-a-community-oncology-practice
#10
Jacqueline Matthews
: 92 Background: A growing body of evidence supports the integration of palliative care as a standard for comprehensive cancer care. Through our experience as an inpatient palliative care provider, with 50% of our population having advanced cancer, we recognized the value proposition to provide continuity in the outpatient setting. Innovative Care Solutions developed a partnership with a large, community oncology program late 2015 for a palliative care multidisciplinary team to be embedded into one location of their practice...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28148227/effective-team-based-primary-care-observations-from-innovative-practices
#11
Edward H Wagner, Margaret Flinter, Clarissa Hsu, DeAnn Cromp, Brian T Austin, Rebecca Etz, Benjamin F Crabtree, MaryJoan D Ladden
BACKGROUND: Team-based care is now recognized as an essential feature of high quality primary care, but there is limited empiric evidence to guide practice transformation. The purpose of this paper is to describe advances in the configuration and deployment of practice teams based on in-depth study of 30 primary care practices viewed as innovators in team-based care. METHODS: As part of LEAP, a national program of the Robert Wood Johnson Foundation, primary care experts nominated 227 innovative primary care practices...
February 2, 2017: BMC Family Practice
https://www.readbyqxmd.com/read/28132602/including-personal-development-in-palliative-care-education-to-address-death-anxiety
#12
Carol Gouveia Melo, Jenny Billings
BACKGROUND: Death anxiety may interfere with health care workers' (HCW) relationship with patients and their families. AIMS: Evaluate an intervention to address death anxiety and improve HCW skills dealing with patients/families in palliative and end-of-life care. DESIGN: Quasi-experimental mixed methods approach with a pre-test/post-test design. PARTICIPANTS: 208 HCWs receiving the intervention and working in end-of-life care, in and out of palliative care units, were invited to answer quantitative and qualitative questionnaires...
January 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28132601/stigma-violence-and-hiv-vulnerability-among-transgender-persons-in-sex-work-in-maharashtra-india
#13
Deepika Ganju, Niranjan Saggurti
Among marginalised groups in India, HIV prevalence is highest among transgender persons; however, little is known about their HIV vulnerability. This study describes transgender sex workers' experiences of stigma and violence, a key driver of the HIV epidemic, and explores their coping responses. In-depth interviews were conducted with 68 respondents in Maharashtra state, India. Findings show that respondents face pervasive stigma and violence due to multiple marginalised social identities (transgender status, sex work, gender non-conformity), which reinforce and intersect with social inequities (economic and housing insecurity, employment discrimination, poverty), fuelling HIV vulnerability at the micro, meso and macro levels...
January 30, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28128731/adaptation-implementation-plan-and-evaluation-of-an-online-tobacco-cessation-training-program-for-health-care-professionals-in-three-spanish-speaking-latin-american-countries-protocol-of-the-fruitful-study
#14
Cristina Martínez, Assumpta Company, Olga Guillen, Mercè Margalef, Martha Alicia Arrien, Claudia Sánchez, Paula Cáceres de León, Esteve Fernández
BACKGROUND: Tobacco cessation training programs to treat tobacco dependence have measureable effects on patients' smoking. Tobacco consumption in low- and middle-income countries (LMICs) is high and slowly decreasing, but these countries usually lack measures to face the epidemic, including tobacco cessation training programs for health professionals and organizations. Based on a previous online smoking cessation training program for hospital workers in Spain, the Fruitful Study aims to increase smoking cessation knowledge, attitudes, self-confidence, and performance interventions among health care professionals of three Spanish-speaking low- and middle-income Latin American and Caribbean (LAC) countries...
January 27, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28119392/job-strain-and-the-incidence-of-coronary-heart-diseases-does-the-association-differ-among-occupational-classes-a-contribution-from-a-pooled-analysis-of-northern-italian-cohorts
#15
Marco M Ferrario, Giovanni Veronesi, Lorenza Bertù, Guido Grassi, Giancarlo Cesana
OBJECTIVES: To assess the association between job strain (JS) and the incidence of coronary heart disease (CHD) in North Italian employed men, adopting a stratified analysis by occupational class (OC). METHODS: The study was conducted on 4103 working men, CHD-free at baseline, enrolled in population-based and factory-based cohorts. Risk factor measurements and follow-up procedures were carried out adopting the WHO MONICA standardised procedures. OCs were derived from the Erikson-Goldthorpe-Portocarero classification...
January 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28118476/blending-simulation-based-learning-and-interpretative-pedagogy-for-undergraduate-leadership-competency-development
#16
Charmaine McPherson, Cathy MacDonald
BACKGROUND: Effective leadership is an essential component guiding nursing activity and influencing health systems, health workers, and patient outcomes. Despite this evidence, undergraduate nursing programs may not be adequately preparing graduates to effectively engage in leadership practice. METHOD: This article describes an educational innovation designed to support prelicensure leadership competency development. The authors blended simulation-based learning (SBL) with an interpretative pedagogical frame in a senior nursing leadership course at a primarily undergraduate university...
January 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28077347/translating-e-mental-health-into-practice-what-are-the-barriers-and-enablers-to-e-mental-health-implementation-by-aboriginal-and-torres-strait-islander-health-professionals
#17
James Bennett-Levy, Judy Singer, Simon DuBois, Kelly Hyde
BACKGROUND: With increasing evidence for the effectiveness of e-mental health interventions for enhancing mental health and well-being, a growing challenge is how to translate promising research findings into service delivery contexts. A 2012 e-mental health initiative by the Australian Federal Government (eMHPrac) has sought to address the issue through several strategies, one of which has been to train different health professional workforces in e-mental health (e-MH). OBJECTIVE: The aim of the study was to report on the barriers and enablers of e-MH uptake in a cohort of predominantly Aboriginal and Torres Strait Islander health professionals (21 Indigenous, 5 non-Indigenous) who occupied mainly support or case management roles within their organizations...
January 11, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28068999/intention-to-leave-profession-psychosocial-environment-and-self-rated-health-among-registered-nurses-from-large-hospitals-in-brazil-a-cross-sectional-study
#18
Daiana Rangel de Oliveira, Rosane Härter Griep, Luciana Fernandes Portela, Lucia Rotenberg
BACKGROUND: Nurses' intention to leave their profession is a worldwide concern. Studies have shown that it can take the form of a chain reaction: many nurses first leave the unit, then the hospital, and finally the profession. Organisation and other labour factors, personal and conjunctural, have been associated with the intention to quit nursing. This study aimed to examine the factors associated with the intention to leave the profession among registered nurses (RNs) at large public hospitals in Brazil...
January 10, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28063867/-it-s-like-heart-failure-it-s-chronic%C3%A2-and-it-will-kill-you-a-qualitative-analysis-of-burnout-among-hospice-and-palliative-care-clinicians
#19
Dio Kavalieratos, Daniel E Siconolfi, Karen E Steinhauser, Janet Bull, Robert M Arnold, Keith M Swetz, Arif H Kamal
CONTEXT: Although prior surveys have identified rates of self-reported burnout among palliative care clinicians as high as 62%, limited data exist to elucidate the causes, ameliorators, and effects of this phenomenon. OBJECTIVES: We explored burnout among palliative care clinicians, specifically their experiences with burnout, their perceived sources of burnout, and potential individual, interpersonal, organizational, and policy-level solutions to address burnout...
January 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28052164/sleep-disturbance-and-the-older-worker-findings-from-the-health-and-employment-after-fifty-study
#20
Keith T Palmer, Stefania D'Angelo, E Clare Harris, Cathy Linaker, Avan Aihie Sayer, Catharine R Gale, Maria Evandrou, Tjeerd van Staa, Cyrus Cooper, David Coggon
Objectives The aim of this study was to characterize the descriptive epidemiology of insomnia in midlife and explore the relative importance of different occupational risk factors for insomnia among older workers. Methods A questionnaire was mailed to all adults aged 50-64 years registered with 24 English general practices. Insomnia was defined as having at least one of four problems with sleep severely in the past three months. Subjects were also asked about employment conditions, feelings concerning work, and their health...
January 4, 2017: Scandinavian Journal of Work, Environment & Health
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