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Nursing home predictors

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https://www.readbyqxmd.com/read/29760300/workaholism-and-negative-work-related-incidents-among-nurses
#1
Cecilie Schou Andreassen, Ståle Pallesen, Bente E Moen, Bjørn Bjorvatn, Siri Waage, Wilmar B Schaufeli
The present study comprised 1,781 nurses who participated in an investigation about working conditions, sleep, and health. They answered a questionnaire about age, sex, marital status, children living at home, work hours per week, number of night shifts last year, and total sleep duration and that also included a validated instrument assessing workaholism. In addition, they were asked to report on eight items concerning negative work-related incidents (dozed off at work, dozed while driving, harmed or nearly harmed self, harmed or nearly harmed patients/others, and harmed or nearly harmed equipment)...
May 15, 2018: Industrial Health
https://www.readbyqxmd.com/read/29759941/differences-in-and-determinants-of-prehospital-delay-times-among-stroke-patients-1994-versus-2012
#2
Angela Susan Labberton, Kashif Waqar Faiz, Ole Morten Rønning, Bente Thommessen, Mathias Barra
OBJECTIVES: Prehospital delay is a challenge for stroke treatment and the delivery of time-critical treatments. Few studies have examined secular trends in prehospital delay, and results vary. This study investigates how prehospital delay among Norwegian stroke patients has changed over the last 2 decades. METHODS: We compared time from symptom onset to admission in 2 cohorts of stroke patients admitted to Akershus University Hospital, Norway, in 1994 (n = 550) and 2012 (n = 522), and constructed predictive models for arrival within 3 hours for each cohort...
May 11, 2018: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29746263/the-effect-of-uncertainty-management-program-on-quality-of-life-among-vietnamese-women-at-3-weeks-postmastectomy
#3
Xuan Thi Nhu Ha, Sureeporn Thanasilp, Ratsiri Thato
BACKGROUND: In Vietnam, breast cancer is a top contributor to cancer-related deaths in women. Evidence shows that, after mastectomy, women in Vietnam have a lower quality of life than women in other countries. In addition, high uncertainty is a predictor of low quality of life postmastectomy. Therefore, if nurses can manage uncertainty, the quality of life postmastectomy can improve. OBJECTIVE: This study examined the effect of the Uncertainty Management Program (UMP) on quality of life at 3 weeks postmastectomy in Vietnamese women...
May 10, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29730623/what-is-usual-care-for-teenagers-expecting-their-first-child-in-england-a-process-evaluation-using-key-informant-mapping-and-participant-survey-as-part-of-the-building-blocks-randomised-controlled-trial-of-specialist-home-visiting
#4
Michael Robling, Rebecca Cannings-John, Sue Channon, Kerenza Hood, Gwen Moody, Ria Poole, Julia Sanders
OBJECTIVES: We compared the US-derived Family Nurse Partnership (FNP) home visiting programme when added to usually provided health and social care for first-time teenage mothers, to usual care alone. We aimed to: establish the nature of usual care, measure service usage and assess performance bias in core usual care services. DESIGN: Within trial process evaluation. Local professionals completed a survey mapping local health and social care services in seven domains...
May 5, 2018: BMJ Open
https://www.readbyqxmd.com/read/29730332/the-relationship-between-selected-body-fatness-indices-and-the-level-of-blood-interleukin-6-in-female-nursing-home-residents-aged-80-years-without-inflammation-a-pilot-study
#5
Ryszard Zarzeczny, Agnieszka Nawrat-Szołtysik, Anna Polak, Ahmed Manasar, Jakub Maliszewski, Adam Kiełtyka, Beata Matyja, Magdalena Dudek, Joanna Zborowska, Adam Wajdman
BACKGROUND: Interleukin-6 (IL-6) production facilitates a shift from acute to chronic inflammation that may induce the development of some diseases and aging. Several studies have suggested that adiposity is closely related to serum IL-6 level, but their authors examined relatively young older adults (aged 60-80 years), so it is not clear whether this association would also occur in people at a more advanced age. OBJECTIVE: to assess whether in elderly women without inflammation the widely used anthropometric obesity indices are associated with serum IL-6 level and, if so, to determine the best anthropometric predictor of this inflammatory biomarker...
May 3, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29730235/national-trends-and-outcomes-in-dialysis-requiring-acute-kidney-injury-in-heart-failure-2002-2013
#6
Ashish Correa, Achint Patel, Kinsuk Chauhan, Harshil Shah, Aparna Saha, Mihir Dave, Priti Poojary, Abhishek Mishra, Narender Annapureddy, Shaman Dalal, Ioannis Konstantinidis, Renu Nimma, Shiv Kumar Agarwal, Lili Chan, Girish Nadkarni, Sean Pinney
BACKGROUND: Dialysis-requiring acute kidney injury (D-AKI) is a serious complication in hospitalized heart failure (HF) patients. However, data on national trends are lacking after 2002. METHODS: We used the Nationwide Inpatient Sample (2002-2013) to identify HF hospitalizations with and without D-AKI. We analyzed trends in incidence, in-hospital mortality, length of stay (LoS) and cost. We calculated adjusted odds ratios (aOR) for predictors of D-AKI and for outcomes including in-hospital mortality and adverse discharge (discharge to skilled nursing facilities, nursing homes, etc)...
May 3, 2018: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/29729350/secondary-traumatization-and-proneness-to-dissociation-among-palliative-care-workers-a-cross-sectional-study
#7
Tali Samson, Pesach Shvartzman
CONTEXT: Exposure to dying patients can contribute to secondary traumatic stress among palliative care workers. Peritraumatic dissociation, an individual's personal proneness to dissociation during exposure to a stressful event, is the strongest predictor of post-traumatic stress, but existing research on its relationship to secondary traumatic stress is limited. OBJECTIVE: To compare the level of secondary traumatic stress among palliative workers with clinical levels of peritraumatic dissociation compared to those without clinical levels of peritraumatic dissociation...
May 2, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29728115/nasal-colonization-with-methicillin-resistant-staphylococcus-aureus-among-elderly-living-in-nursing-homes-in-brazil-risk-factors-and-molecular-epidemiology
#8
Monica da Silveira, Maria de Lourdes Ribeiro de Souza da Cunha, Camila Sena Martins de Souza, Adriana Aparecida Feltrin Correa, Carlos Magno Castelo Branco Fortaleza
BACKGROUND: Methicillin-resistant Staphylococcus aureus poses a threat to elderly living in nursing homes. Studies focusing on the epidemiology of colonization may help in the design of infection control strategies. OBJECTIVE: To identify factors associated with MRSA colonization and the dissemination of clones among nursing home residents. METHODS: Nasal swabs were collected from 300 persons from nine nursing homes in the city of Bauru, Brazil...
May 4, 2018: Annals of Clinical Microbiology and Antimicrobials
https://www.readbyqxmd.com/read/29719039/prognostic-effect-of-changes-in-physical-function-over-prior-year-on-subsequent-mortality-and-long-term-nursing-home-admission
#9
Thomas M Gill, Ling Han, Evelyne A Gahbauer, Linda Leo-Summers, Heather G Allore
OBJECTIVES: To evaluate the prognostic effect of changes in physical function at different intervals over the prior year on subsequent outcomes after accounting for present function. DESIGN: Prospective longitudinal study. SETTING: Greater New Haven, Connecticut, from March 1998 to January 2006. PARTICIPANTS: Community-living persons aged 71 and older who completed an 18-month comprehensive assessment (N=658). MEASUREMENTS: Disability in 13 activities of daily living, instrumental activities of daily living, and mobility activities was assessed at the 18-month comprehensive assessment and at 12, 6, and 3 months before 18 months...
May 2, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29716762/plasma-zinc-in-institutionalized-elderly-individuals-relation-with-immune-and-cardiometabolic-biomarkers
#10
Márcia Cristina Sales, Larissa Praça de Oliveira, Natalia Louise de Araújo Cabral, Sara Estéfani Soares de Sousa, Maria das Graças Almeida, Telma Maria Araújo Moura Lemos, Clélia de Oliveira Lyra, Kenio Costa de Lima, Karine Cavalcanti Mauricio Sena-Evangelista, Lucia de Fatima Campos Pedrosa
Changes in zinc metabolism caused by aging and the institutionalization process may contribute to zinc deficiency in elderly individuals. Hypozincemia results in changes in glycemic, lipid, and inflammatory profiles. The aim of this study was to evaluate plasma zinc concentrations and their relationships with sociodemographic, dietary, inflammatory, and cardiometabolic biomarkers in institutionalized elderly individuals. A cross-sectional study was carried out including 255 elderly adults living in nursing homes...
April 24, 2018: Journal of Trace Elements in Medicine and Biology
https://www.readbyqxmd.com/read/29713051/difficult-to-control-hypertension-identification-of-clinical-predictors-and-use-of-ict-based-integrated-care-to-facilitate-blood-pressure-control
#11
Valeria Visco, Rosa Finelli, Antonietta Valeria Pascale, Pietro Mazzeo, Nicola Ragosa, Valentina Trimarco, Maddalena Illario, Michele Ciccarelli, Guido Iaccarino
Difficult-to-control (DTC) hypertension represents a burden in real life that can be partially solved through identification of the characteristics of clinical patterns and tailoring antihypertensive strategies, including ICT-enabled integrated care (ICT-IC). In the quest for clinical predictors of DTC hypertension, we screened 482 hypertensive patients who were consecutively referred to the departmental hypertension clinic. Following a data quality check, patients were divided into controlled (C, 49.37%) and uncontrolled (UC, 50...
May 1, 2018: Journal of Human Hypertension
https://www.readbyqxmd.com/read/29707851/should-i-stay-or-should-i-go-nurses-wishes-to-leave-nursing-homes-and-home-nursing
#12
Christopher Bratt, Heidi Gautun
AIMS: This study investigates the prevalence of nurses' wishes to leave work in elderly care services and aims to explain differences between younger and older nurses. BACKGROUND: Health-and-care services, and specifically elderly care services, experience problems recruiting and retaining nurses. METHOD: A nationwide survey among nurses in Norway with 4,945 nurses aged 20-73 (mean age = 41.8), 95% female. Structural equation modelling was used, analysing the whole sample as well as analysing younger and older nurses as separate groups...
April 30, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29688637/-rehabilitation-of-mobility-and-motor-function-in-nursing-home-residents-with-dementia
#13
Efraim Aizen, Enna Lubosky, Saleh Sobeh, Rasha Ibrahim, Dina Pressburger, Roni Oliven
BACKGROUND: Few clinical trials have evaluated exercise programs developed specifically for patients with dementia in nursing home settings. OBJECTIVES: To determine if a training program tailored for demented patients, can be implemented in a nursing home setting in order to improve motor performances in patients with dementia who suffered functional decline. METHODS: The present intervention was conducted in wards of patients suffering from dementia in three nursing homes...
April 2018: Harefuah
https://www.readbyqxmd.com/read/29684374/single-center-experience-of-tracheobronchoplasty-for-tracheobronchomalacia-perioperative-outcomes
#14
Daniel H Buitrago, Adnan Majid, Daniel E Alape, Jennifer L Wilson, Mihir Parikh, Michael S Kent, Sidhu P Gangadharan
BACKGROUND: We aimed to present trends in practice as our experience has grown, and report the postoperative morbidity and its associated factors following tracheobronchoplasty. METHODS: Retrospective cohort study conducted in 161 patients who underwent tracheobronchoplasty from October 2002-September 2016. The main outcome was development of a postoperative complication within 30 days of surgery. Postoperative complication events were graded using the Clavien-Dindo system...
April 20, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29660574/the-effectiveness-of-learning-portfolios-in-learning-participation-and-learners-perceptions-of-skills-and-confidence-in-the-mother-of-preterm-infant
#15
Yi-Chuan Cheng, Li-Li Chen, Yu-Shan Chang, Tsai-Chung Li, Ching-Ju Chen, Li-Chi Huang
OBJECTIVE: The purpose of this study was to investigate the effectiveness of preterm infant learning portfolios in enabling mothers to develop infant care knowledge and skills, as well as confidence in their abilities. DESIGN: This study used a quasi-experimental design. SETTING AND PARTICIPANTS: The sample consisted of 52 mothers with preterm infants recruited at a neonatal intermediate unit of a medical centre in central Taiwan. Among those, 26 participants in the control group received regular health education and 26 participants in the experimental group received learning portfolios and regular care...
March 22, 2018: Midwifery
https://www.readbyqxmd.com/read/29649611/predictors-of-adverse-discharge-disposition-in-adult-spinal-deformity-and-associated-costs
#16
Peter G Passias, Gregory W Poorman, Cole A Bortz, Rabia Qureshi, Bassel G Diebo, Justin C Paul, Samantha R Horn, Frank A Segreto, Alexandra Pyne, Cyrus M Jalai, Virginie Lafage, Shay Bess, Frank J Schwab, Hamid Hassanzadeh
BACKGROUND CONTEXT: With advances in the understanding of adult spinal deformity (ASD), more complex osteotomy and fusion techniques are being implemented with increasing frequency. Patients undergoing ASD corrections infrequently require extended acute care, longer inpatient stays, and are discharged to supervised care. Given the necessity of value-based health care, identification of clinical indicators for adverse discharge disposition in ASD surgeries is paramount. PURPOSE: On nationwide and surgeon-created databases, identify predictors of adverse discharge disposition after ASD surgeries and view corresponding differences in charges...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29619542/incidence-and-outcomes-of-humeral-fractures-in-the-older-person
#17
M Q Wang, T Youssef, P Smerdely
Humeral fractures are not well understood and thus we examined the incidence and outcomes of elderly humeral fractures at a single institution over a 3-year period. We found increasing incidence in humeral fractures with increasing age and negative outcomes comparable to hip fractures. INTRODUCTION: In this study, we report the incidence of humeral fractures in the older patient and their outcomes, including new nursing homes discharges and mortality, residing in the metropolitan referral area of a Sydney tertiary referral hospital...
April 4, 2018: Osteoporosis International
https://www.readbyqxmd.com/read/29601425/predicting-risk-factors-for-30-day-readmissions-following-discharge-from-post-acute-care
#18
Nina M Flanagan, Victoria M Rizzo, Gary D James, Adele Spegman, Najla A Barnawi
PURPOSE OF STUDY: The specific aims of this descriptive study were to (1) examine the relationships between individual-level determinants of health using standard care admission assessments of residents admitted to a skilled nursing facility (SNF) and those residents readmitted to the hospital within 30 days from discharge from the same SNF; (2) identify and describe the risk factors of the residents readmitted to the hospital within 30 days; and (3) use the findings to inform and refine current practice to target the mutable risk factors correlated with 30-day hospital readmission...
May 2018: Professional Case Management
https://www.readbyqxmd.com/read/29574780/prevalence-of-depressive-symptoms-in-older-nursing-home-residents-with-intact-cognitive-function-in-taiwan
#19
Sophia H Hu, Yeu-Hui Chuang, Yeh-Feng Ting, Kuan-Yu Lin, Chia-Jung Hsieh
The investigators aimed to explore the prevalence of depressive symptoms and associated factors among older residents with intact cognitive function in nursing homes in Taiwan. A cross-sectional descriptive and correlational research design was used. A convenience sample of 178 older residents without cognitive impairment was recruited from 36 nursing homes in Southern Taiwan. The questionnaires included demographic data; the Barthel Index, which assesses the ability to perform activities of daily living; and the Geriatric Depression Scale Short Form...
March 25, 2018: Research in Nursing & Health
https://www.readbyqxmd.com/read/29573007/patients-readiness-for-discharge-predictors-and-effects-on-unplanned-readmissions-emergency-department-visits-and-death
#20
Sıdıka Kaya, Gulay Sain Guven, Seda Aydan, Ahmet Kar, Mesut Teleş, Ahmet Yıldız, Gülsüm Ş Koca, Nazan Kartal, Cahit Korku, Duygu Ürek, İpek Bilgin Demir, Onur Toka
AIM: To determine the variables that affect patients' perceptions about their readiness for discharge and to elucidate the effects of these perceptions on patient outcomes such as unplanned readmission to the hospital, emergency department visits and death within 30 days after discharge. BACKGROUND: In recent years, it has become even more important to assess patients' readiness for discharge as patients tend to be discharged more quickly. METHODS: For the determination of patients' self-assessment, the Readiness for Hospital Discharge Scale/Short Form was utilized...
March 23, 2018: Journal of Nursing Management
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