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"Triage" AND "Nurse"

Amer Zawahreh, Janet Rankin, Ahmed Abu Jaber, Abdulqadir Nashwan
OBJECTIVE: To identify the challenges and facilitators for implementing a 24-h telephone cancer service. DATA SOURCES: English language articles were retrieved from Medline, Cumulative Index of Nursing and Allied Health Literature, and Ovid Nursing electronic databases published from 2000 to 2015. STUDY DESIGN: The authors performed an integrative literature review. The qualitative and quantitative articles were evaluated using the Critical Appraisal Skills Program...
August 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
James N Kirkpatrick, Hoai T T Nguyen, Loi Do Doan, Thanh T Le, Son Pham Thai, David Adams, Liza Y Sanchez, Nova Sprague, Jill Inafuku, Rachel Quang, Rebecca Hahn, Andrea M Van Hoever, Tu Nguyen, Thanh G Kirkpatrick, Jose Banchs
BACKGROUND: Multiple studies investigating the use of focused cardiac ultrasound (FCU) in lower and middle-income countries and in medically underserved areas of the United States have demonstrated utility in echocardiographic screening algorithms performed by a variety of operators at different levels of training. No study to date has employed previously untrained nurses in a medically underserved setting to identify older adults with cardiac disorders. The aim of this study was to assess the accuracy of nurse-performed FCU to screen adult subjects at a village health center in Vietnam...
August 7, 2018: Journal of the American Society of Echocardiography
Loren De Freitas, Steve Goodacre, Rachel O'Hara, Praveen Thokala, Seetharaman Hariharan
OBJECTIVES: Patient flow and crowding are two major issues in ED service improvement. A substantial amount of literature exists on the interventions to improve patient flow and crowding, making it difficult for policymakers, managers and clinicians to be familiar with all the available literature and identify which interventions are supported by the evidence. This umbrella review provides a comprehensive analysis of the evidence from existing quantitative systematic reviews on the interventions that improve patient flow in EDs...
August 9, 2018: Emergency Medicine Journal: EMJ
Betina Franco, Lurdes Busin, Tânia Couto Machado Chianca, Vítor Monteiro Moraes, Ananda Ughini Bertoldo Pires, Amália de Fátima Lucena
OBJECTIVE: To analyze the association between Manchester Triage System flowchart discriminators and nursing diagnoses in adult patients classified as clinical priority I (emergency) and II (very urgent). METHOD: Cross-sectional study conducted in an emergency department in southern Brazil between April and August 2014. The sample included 219 patients. Data were collected from online patient medical records and data analysis was performed using Fisher's exact test or the chi-square test...
August 2, 2018: Revista Gaúcha de Enfermagem
Olutosin A Awolude, Sunday O Oyerinde, Joshua O Akinyemi
Purpose Universal coverage of cervical cancer screening remains elusive in most low- and middle-income countries (LMICs), home to the greatest burden of this preventable disease. Implementation of a cytology-based screening strategy in these countries is challenging. Also, there is shortage of health care workers (HCWs) to implement the low-technology, cheaper, but equally effective, methods like visual inspection with acetic acid. However, the implementation of HIV programs in LMICs has introduced the innovation of task shifting and task sharing, using the community health extension workers (CHEWs) and community health officers (CHOs) to complement clinical HCWs, especially at the primary health care, level with good outcome...
July 2018: Journal of Global Oncology
Hannah Beks, Christopher Healey, Kate G Schlicht
INTRODUCTION: A higher proportion of chronic mental illness is reported for populations residing in inner and outer regional (IOR) areas when compared to major cities in Australia. Conversely, fewer mental health professionals work in IOR areas when compared to major cities indicating poorer access to services for rural populations. Rural emergency departments (EDs) and urgent care centres (UCCs) deliver a broad range of services. Often they are the first point of care for consumers experiencing acute mental health issues...
August 2018: Rural and Remote Health
Heather Quaile
OBJECTIVE: To implement an obstetrics-specific triage acuity tool called the Maternal Fetal Triage Index (MFTI) in two maternity units, test the change in nurses' knowledge of triage assessment, and improve timeliness of care. DESIGN: A quality improvement project that included pre- and posttesting of nursing knowledge using the MFTI and measuring the difference in time based on time stamps from pregnant women's intake sheets. SETTING/LOCAL PROBLEM: Two hospitals that are part of a large multi-campus hospital system in the Southeastern United States...
August 2018: Nursing for Women's Health
James M Ruda, Linda Payne, Anne May, Mark Splaingard, Stephanie Lemle, Kris R Jatana
Objective We undertook this quality improvement project to improve communication of outpatient pediatric sleep study results to families in a consistent and timely manner. Methods Based on the Institute for Healthcare Improvement quality improvement methodology, multiple key drivers were identified, including standardizing documentation and communication for sleep study results among the otolaryngology department, sleep center, and families. Meaningful interventions included developing standard electronic medical record documentation and utilizing otolaryngology nurses and advanced practice nurses to assist with communication by sending the results from the sleep center to both the referring otolaryngology provider and the triage nurses...
July 31, 2018: Otolaryngology—Head and Neck Surgery
Roland Brilla, Stephanie Gardon, Audrey Jantzen, Anne Weiss
OBJECTIVE: In many if not most institutions in the US, demand for neurology services exceeds the supply, resulting in poor access. This study examines whether the use of a limited resource - time for outpatient neurology consultation - can be optimized by screening referrals for appropriateness and whether it is safe to do so. PATIENTS AND METHODS: An established triage activity at an academic outpatient clinic - experienced nurses flagging possibly inappropriate outpatient referrals and a group of neurologists triaging them - was examined by obtaining referral characteristics and detailed one year follow up for patients that were referred but not scheduled, over a period of 6 months...
June 1, 2018: Clinical Neurology and Neurosurgery
Mor Saban, Lev Zaretsky, Heli Patito, Rabia Salama, Aziz Darawsha
Patients with suspected ST elevation myocardial infarction should be classified with a high-priority triage level in the Emergency Department. Accurate triage can reduce mortality and morbidity in ST elevation myocardial infarction patients. Yet, half of these patients were given a low-priority score, especially the average classification (P3 on a P1-P5 scale). AIM: To identify and clarify significant factors in the triage process that result in P3 assignment for patients with ST Elevation Myocardial Infraction diagnosis...
July 24, 2018: International Emergency Nursing
Mark X Cicero, Travis Whitfill, Barbara Walsh, Maria Carmen Diaz, Grace Arteaga, Daniel J Scherzer, Scott Goldberg, Manu Madhok, Angela Bowen, Geno Paesano, Michael Redlener, Kevin Munjal, David Kessler, Marc Auerbach
Objectives: Paramedics and emergency medical technicians (EMTs) perform triage at disaster sites. There is a need for disaster triage training. Live simulation training is costly and difficult to deliver. Screen-based simulations may overcome these training barriers. We hypothesized that a screen-based simulation, 60 Seconds to Survival (60S), would be associated with in-game improvements in triage accuracy. Methods: This was a prospective cohort study of a screen-based simulation intervention, 60S...
April 2018: AEM education and training
Cristiane Chaves de Souza, Tânia Couto Machado Chianca, Welfane Cordeiro Júnior, Maria do Carmo Paixão Rausch, Gabriela Fontoura Lana Nascimento
OBJECTIVE: To analyze the reliability of the Manchester Triage System to determine the priority of patients in emergency services. METHOD: This is a reliability study with a sample of 361 nurses. The data were collected in three stages and the questionnaires were applied using the electronic software. The agreement was measured by the evaluation of clinical cases. The outcomes evaluated were agreement with the gold standard and intra-observer in the indication of the flowchart, discriminator, and level of risk...
July 16, 2018: Revista Latino-americana de Enfermagem
Yuzhuo Zhao, Junmei Wang, Fei Pan, Peiyao Li, Lijing Jia, Kaiyuan Li, Cong Feng, Tongbo Liu, Zhengbo Zhang, Desen Cao, Tanshi Li
OBJECTIVE: To construct a database containing multiple kinds of diseases that can provide "real world" data for first-aid clinical research. METHODS: Structured or non-structured information from hospital information system, laboratory information system, emergency medical system, emergency nursing system and bedside monitoring instruments of patients who visited department of emergency in PLA General Hospital from January 2014 to January 2018 were extracted...
June 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Marius Wamsiedel
Most studies on gatekeeping at the emergency department (ED) have emphasised the assessment of clients in terms of perceived legitimacy and deservingness, showing that lay considerations lead to exclusionary practices, and the ED contributes to the social reproduction of inequality. Some recent works have challenged this representation, providing compelling evidence of staff's concern for the access to care of the most vulnerable users. I extend this perspective by presenting the criterion of reasonableness of the visit to the ED that nurses in Romania commonly use during the triage admission interview...
July 10, 2018: Sociology of Health & Illness
Amber R Campbell, Karen Kinvig, Hélène Cf Côté, Richard T Lester, Annie Q Qiu, Evelyn J Maan, Ariane Alimenti, Neora Pick, Melanie Cm Murray
BACKGROUND: Improving adherence to combined antiretroviral therapy (cART) can be challenging, especially among vulnerable populations living with HIV. Even where cART is available free of charge, social determinants of health act as barriers to optimal adherence rates. Patient-centered approaches exploiting mobile phone communications (mHealth) have been shown to improve adherence to cART and promote achievement of suppressed HIV plasma viral loads. However, data are scarce on the health care provider (HCP) time commitments and health care costs associated with such interventions...
July 9, 2018: JMIR MHealth and UHealth
Daniel Tsoy, Paula Sneath, Josh Rempel, Simon Huang, Nicole Bodnariuc, Mathew Mercuri, Alim Pardhan, Teresa M Chan
PROBLEM: As patient volumes increase, it is becoming increasingly important to find novel ways to teach junior medical learners about the intricacies of managing multiple patients simultaneously, as well as about working in a resource-limited environment. APPROACH: Serious games (i.e., games not intended purely for fun) are a teaching modality that have been gaining momentum as teaching tools in medical education. From May 2016 to August 2017, the authors designed and tested a serious game, called "GridlockED," to provide a focused educational experience for medical trainees to learn about multipatient care and patient flow...
July 3, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
Urai Kummarg, Siriorn Sindhu, Sombat Muengtaweepongsa
Background: Intravenous recombinant tissue plasminogen activator (i.v. rt-PA) is the milestone treatment for patients with acute ischemic stroke. Stroke Fast Track (SFT) facilitates time reduction, guarantees safety, and promotes good clinical outcomes in i.v. rt-PA treatment. Nursing case management is a healthcare service providing clinical benefits in many specific diseases. The knowledge about the efficacy of a nurse case management for Stroke Fast Track is limited. We aim to study the effect of nurse case management on clinical outcomes in patients with acute ischemic stroke involving intravenous recombinant tissue plasminogen activator (i...
2018: Neurology Research International
Sun Hee Moon, Yeon Hwan Park
PURPOSE: This study aimed to develop a triage competency scale (TCS) for emergency nurses, and to evaluate its validity and reliability. METHODS: Preliminary items were derived based on the attributes and indicators elicited from a concept analysis study on triage competency. Ten experts assessed whether the preliminary items belonged to the construct factor and determined the appropriateness of each item. A revised questionnaire was administered to 250 nurses in 18 emergency departments to evaluate the reliability and validity of the scale...
June 2018: Journal of Korean Academy of Nursing
Martina Curto, Enrico Pompili, Cristiana Silvestrini, Pina Bellizzi, Serena Navari, Pieritalo Pompili, Agostino Manzi, Valeria Bianchini, Cristiano Carlone, Stefano Ferracuti, Giuseppe Nicolò, Ross J Baldessarini
To increase access to treatment, Italy made assessment at community mental health centers (CMHCs) independent of medical referral, resulting in increased numbers of patients to be triaged efficiently. To support this process, we evaluated SCL-90-R item-ratings to identify factors that best predicted adverse early outcomes among persons seeking first-time CMHC care in a 24-month period in Rome. A psychiatric nurse screened subjects with a brief interview and self-administered SCL-90-R and psychiatrists provided CGI ratings and ICD-9 diagnosis...
June 19, 2018: Psychiatry Research
Allie Slemon
Standardization has emerged as the dominant principle guiding the organization and provision of healthcare, with standards resultantly shaping how nurses conceptualize and deliver patient care. Standardization has been critiqued as homogenizing diverse patient experiences and diminishing nurses' skills and critical thinking; however, there has been limited examination of the philosophical implications of standardization for nursing knowledge and practice. In this manuscript, I draw on Foucault's philosophy of order and categorization to inform an analysis of the consequences of healthcare standardization for the profession of nursing...
June 27, 2018: Nursing Philosophy: An International Journal for Healthcare Professionals
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