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Shiow-Luan Tsay, Shwu-Feng Tsay, Chia-Yen Ke, Ching-Mei Chen, Heng-Hsin Tung
BACKGROUND AND PURPOSE: To date, there has been no policy analysis or review of the effectiveness of the current nurse practitioner (NP) scope of practice regulations in Taiwan. The purpose is of this article was to provide a policy analysis of the NP scope of practice regulations in Taiwan. METHODS: The Longest policy cycle model was used to analyze the NP scope of practice regulations. Policy formation, policy implementation, and policy modification are three steps in this model...
December 12, 2018: Journal of the American Association of Nurse Practitioners
Tori Hazelwood, Amy Baker, Carolyn M Murray, Mandy Stanley
BACKGROUND/AIM: Professionals in health and social care have high workloads and are working with diverse populations in hierarchical and complicated service delivery systems. There is increasing pressure on new graduates because they are expected to be immediately work ready and may not receive adequate support or supervision. It is well known that there can be issues with satisfaction and retention rates of new graduates due to the challenges they experience. Ethical tensions are an unavoidable part of occupational therapy practice and may contribute to unique challenges for new graduates who may not yet have the personal resources to make sense of these independently...
December 11, 2018: Australian Occupational Therapy Journal
Brian Chan, Samuel T Edwards, Meg Devoe, Richard Gil, Matthew Mitchell, Honora Englander, Christina Nicolaidis, Devan Kansagara, Somnath Saha, P Todd Korthuis
BACKGROUND: Medically complex urban patients experiencing homelessness comprise a disproportionate number of high-cost, high-need patients. There are few studies of interventions to improve care for these populations; their social complexity makes them difficult to study and requires clinical and research collaboration. We present a protocol for a trial of the streamlined unified meaningfully managed interdisciplinary team (SUMMIT) team, an ambulatory ICU (A-ICU) intervention to improve utilization and patient experience that uses control populations to address limitations of prior research...
December 14, 2018: Addiction Science & Clinical Practice
Kyaw Ko Ko Htet, Tippawan Liabsuetrakul, Saw Thein, Edward B McNeil, Virasakdi Chongsuvivatwong
BACKGROUND: Contact tracing for tuberculosis (TB) is a recommended measure to improve the case detection rate; however, actual implementation in Myanmar is limited and low detection rates have been reported. Household contacts of a known index TB case are at high risk of infection, thus a more strategic action for contact tracing is required to achieve the goal of the World Health Organization End TB Strategy. This study aimed to assess TB case detection rates among household contacts by an integrated approach and identify risk factors for TB...
December 14, 2018: BMC Infectious Diseases
Burcu Cengiz, Zuhal Bahar, Aras Emre Canda
BACKGROUND: Individuals who have undergone stoma surgery take time to adjust to the stoma, and their quality of life is decreasing. OBJECTIVE: The aim of this study was to examine the effects of home-based nursing interventions informed by the Health Belief Model on patient care outcomes for individuals having a stoma. METHODS: This pretest, posttest, and semiexperimental design with a control group included adults who underwent a stoma operation in the previous 3 months...
December 12, 2018: Cancer Nursing
Rodrigo Velezmoro
The Veterans Administration (VA)'s Patient Aligned Care Team (PACT) model has been a cornerstone of primary care in the VA healthcare system and has indicated the need for an organizational cultural shift towards interdisciplinary care. Most of the focus in PACT has been on the traditional providers of the medical model, with little attention focused on the role of the psychologist. This paper examines how psychologists can assist in the PACT model and, in particular, within the team VA huddle. Literature on the PACT model, mental health in PACT, and the advantages of the huddle are reviewed...
May 8, 2018: Health Psychology Research
Brendan P Cassidy, Leah E Getchell, Lori Harwood, Juliya Hemmett, Louise M Moist
Purpose of review: Provision of education to inform decision making for renal replacement therapy (RRT) is a key component in the management of chronic kidney disease (CKD), yet patients report suboptimal satisfaction with the process of selecting a dialysis modality. Our purpose is to review the influencers of RRT decision making in the CKD population, which will better inform the process of shared decision making between clinicians and patients. Sources of information: PubMed and Google Scholar...
2018: Canadian Journal of Kidney Health and Disease
Jocelyn Kernot, Lucy Lewis, Tim Olds, Carol Maher
BACKGROUND: Facebook has over 1.8 billion users and offers unique opportunities for health intervention delivery due to its popularity, flexibility, high engagement, and social connectedness. METHODS: This study aimed to determine the effectiveness of the Mums Step It Up (MSIU) Facebook app, a team-based, 50-day physical activity intervention for postpartum women. A total of 120 postpartum women were recruited and randomly allocated to 1 of 3 conditions: MSIU (n = 41), pedometer only (n = 39), and control (n = 40)...
December 12, 2018: Journal of Physical Activity & Health
Leonardo Baldaçara, Flávia Ismael, Verônica Leite, Lucas A Pereira, Roberto M Dos Santos, Vicente de P Gomes Júnior, Elie L B Calfat, Alexandre P Diaz, Cintia A M Périco, Deisy M Porto, Carlos E Zacharias, Quirino Cordeiro, Antônio Geraldo da Silva, Teng C Tung
OBJECTIVE: To present the essential guidelines for non-pharmacological management of patients with psychomotor agitation in Brazil. METHODS: These guidelines were developed based on a systematic review of articles published from 1997 to 2017, retrieved from MEDLINE (PubMed), Cochrane Database of Systematic Review, and SciELO. Other relevant articles identified by searching the reference lists of included studies were also used to develop these guidelines. The search strategy used structured questions formulated using the PICO model, as recommended by the Guidelines Project of the Brazilian Medical Association...
December 6, 2018: Revista Brasileira de Psiquiatria
Nathália Maria Lopes Dos Santos, Fernando Neves Hugo
The National Oral Health Policy emphasizes the importance of training in Primary Health Care and adapting the work processes to the new health care model. This study seeks to investigate the association between the training of Dental-Surgeons in Family Health and the work process. It involved a cross-sectional and multicentric study, with 18,114 Oral Health Teams that participated on the National Program to Enhance Access and Quality of Primary Health Care. Data were collected through interviews, using a structured questionnaire...
December 2018: Ciência & Saúde Coletiva
Anand Avati, Kenneth Jung, Stephanie Harman, Lance Downing, Andrew Ng, Nigam H Shah
BACKGROUND: Access to palliative care is a key quality metric which most healthcare organizations strive to improve. The primary challenges to increasing palliative care access are a combination of physicians over-estimating patient prognoses, and a shortage of palliative staff in general. This, in combination with treatment inertia can result in a mismatch between patient wishes, and their actual care towards the end of life. METHODS: In this work, we address this problem, with Institutional Review Board approval, using machine learning and Electronic Health Record (EHR) data of patients...
December 12, 2018: BMC Medical Informatics and Decision Making
Pauline Joyce, Zena Eh Moore, Janice Christie
BACKGROUND: Pressure ulcers, which are a localised injury to the skin, or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services...
December 9, 2018: Cochrane Database of Systematic Reviews
Kerstin Maehder, Bernd Löwe, Martin Härter, Daniela Heddaeus, Martin Scherer, Angelika Weigel
Background: Stepped care models comprise a graded treatment intensity and a systematic monitoring. For an effective implementation, stepped care models have to account for the high rates of mental and somatic comorbidity in primary care. Objectives: The aim of the systematic review was to take stock of whether present stepped care models take comorbidities into consideration. A further aim was to give an overview on treatment components and involved health care professionals...
December 7, 2018: Family Practice
Magnus Bergmark, Ulrika Bejerholm, Bengt Svensson, Urban Markström
Introduction: There is increasing interest in implementing evidence-based integrated models of care in community-based mental health service systems. Assertive Community Treatment (ACT) is seen as an attractive, and at the same time challenging, model to implement in sectored service settings. This study investigates the implementation process of such an initiative. Methods: Interviews were conducted with ACT team members, the process leader, steering group members, and collaboration partners...
December 6, 2018: International Journal of Integrated Care
Sean M Murphy, Suat Kucukgoncu, Yuhua Bao, Fangyong Li, Cenk Tek, Nicholas J K Breitborde, Sinan Guloksuz, Vivek H Phutane, Banu Ozkan, Jessica M Pollard, John D Cahill, Scott W Woods, Robert A Cole, Michael Schoenbaum, Vinod H Srihari
BACKGROUND: Schizophrenia spectrum disorders exert a large and disproportionate economic impact. Early intervention services may be able to alleviate the burden of schizophrenia spectrum disorders on diagnosed individuals, caregivers, and society at large. Economic analyses of observational studies have supported investments in specialized team-based care for early psychosis; however, questions remain regarding the economic viability of first-episode services in the fragmented U.S. healthcare system...
September 1, 2018: Journal of Mental Health Policy and Economics
Ying Zhao, Yan Hu, Ji Liang, Xu Qian
This simulation-based Ethiopia Midwife Train-the-Trainer program for skilled birth attendants is one part of the China-UK Global Health Support Program (GHSP) activities and an approach to improving the Ethiopia trainers' midwifery teaching skills. This pilot study aimed to evaluate the effectiveness of a simulation-based training for Ethiopia skilled birth attendants. This program was divided into three stages. In Stage 1, Fudan team trained 5 trainers from Ethiopia. In Stage 2, Fudan team supervised and evaluated the 1st stage Ethiopia trainers to train their peers becoming the trainers in Fudan University...
December 3, 2018: Nurse Education in Practice
Khaled Al-Surimi, Haya AlAyadi, Mahmoud Salam
BACKGROUND: Patient safety is an integral part of all health care specialties, including dentistry. Dental students are exposed to patient safety culture during their clinical training. The aim of this study was to evaluate the perception of female students enrolled in dental degrees and dental hygiene programs towards patient safety culture and to determine its associated factors at a Middle Eastern setting. METHODS: This is a cross sectional study, based on a self-administered, English language questionnaire distributed by convenience among female dental students enrolled in two major Colleges of dentistry in Riyadh, Saudi Arabia...
December 10, 2018: BMC Medical Education
Ismail W R Taifa, Darshak A Desai, Niravkumar Mukesh Bulsara
PURPOSE: This paper discusses the process of developing an ergonomic desk for students through an integrated product team approach. METHODOLOGY: The deployed design process integrated product team approach. Numerous quality tools, customisation techniques, strategic tools and techniques including quality function deployment, ergonomic principles, Kano model, SCAMPER (substitute, combine, adapt, modify, put, eliminate, reverse), brainstorming, Paretòs principle, and cause-and-effect diagram were systematically applied...
December 10, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
Robert M Carey, Paul Muntner, Hayden B Bosworth, Paul K Whelton
Hypertension, the leading risk factor for cardiovascular disease, originates from combined genetic, environmental, and social determinants. Environmental factors include overweight/obesity, unhealthy diet, excessive dietary sodium, inadequate dietary potassium, insufficient physical activity, and consumption of alcohol. Prevention and control of hypertension can be achieved through targeted and/or population-based strategies. For control of hypertension, the targeted strategy involves interventions to increase awareness, treatment, and control in individuals...
December 11, 2018: Journal of the American College of Cardiology
Ana Clara Camarotti, Gabriela Wald, Alejandro Capriati, Ana Lía Kornblit
This article presents a model for building a comprehensive community response to adolescent health problems. The approach is comprehensive in that it includes prevention and promotion, assistance and protection, and involves different sectors and areas of the State and the community. We describe the conceptual framework and principles of the model, developed based on debates regarding health promotion and collective health as well as the work experiences of the research team in different communities in Argentina over the last 15 years...
July 2018: Salud Colectiva
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