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Ambulatory nursing

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https://www.readbyqxmd.com/read/30306304/-pulmonary-artery-pressure-sensor-for-ambulatory-assessment-of-ventricular-filling-pressure-in-advanced-heart-failure-what-should-be-considered-for-the-follow-up-care
#1
REVIEW
Ester Herrmann, A Ecke, S Fichtlscherer, A M Zeiher, B Assmus
BACKGROUND: Patients with advanced heart failure suffer from frequent hospitalizations. Noninvasive hemodynamic telemonitoring for assessment of pulmonary filling pressure has been shown to reduce hospitalizations. In this article, our experience with possible control intervals and the standardization of the follow-up care of hemodynamic telemonitoring is reported. METHODS: A literature search and our own experience in the follow-up care concerning the implantable pulmonary artery pressure sensor for noninvasive hemodynamic telemonitoring in patients with advanced heart failure are presented...
October 10, 2018: Herzschrittmachertherapie & Elektrophysiologie
https://www.readbyqxmd.com/read/30302089/staffing-at-ambulatory-endoscopy-centers-in-the-united-states-practice-trends-and-rationale
#2
Deepak Agrawal, Rajeev Jain
Background: Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods: Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies...
2018: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/30300744/the-effect-of-a-telephone-based-self-management-program-led-by-nurses-on-self-care-behavior-biological-index-for-cardiac-function-and-depression-in-ambulatory-heart-failure-patients
#3
Mi Kyoung Moon, Jong Eun Yim, Mi Yang Jeon
PURPOSE: This study was conducted to examine the effects of a telephone-based self-management support program led by nurses on self-care behavior, biological index for cardiac function and depression. METHODS: This study is a quasi-experiment in nonequivalent control group design. 36 heart failure patients were conducted in medical treatment at the hospital (18 heart failure patients in experimental group and 18 heart failure patients in control group). The experimental group (n=18) received the telephone-based self-management support program, which included a 30-minute face-to-face education session and 4 telephone consultation and education sessions...
October 6, 2018: Asian Nursing Research
https://www.readbyqxmd.com/read/30293934/sociodemographic-and-clinical-correlates-of-key-outcomes-from-a-mobile-insulin-titration-intervention-miti-for-medically-underserved-patients
#4
Aisha T Langford, Binhuan Wang, Natasha A Orzeck-Byrnes, Sneha R Aidasani, Lu Hu, Melanie Applegate, Dana N Moloney, Mary Ann Sevick, Erin S Rogers, Natalie K Levy
BACKGROUND: Insulin titration is typically done face-to-face with a clinician; however, this can be a burden for patients due to logistical issues associated with in-person clinical care. The Mobile Insulin Titration Intervention (MITI) used basic cell phone technology including text messages and phone calls to help patients with diabetes find their optimal basal insulin dose (OID). OBJECTIVE: To evaluate sociodemographic and clinical correlates of reaching OID, text message response rate, and days needed to reach OID...
September 17, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/30291577/medication-related-problems-during-transfer-from-hospital-to-home-care-baseline-data-from-switzerland
#5
Carla Meyer-Massetti, Vera Hofstetter, Barbara Hedinger-Grogg, Christoph R Meier, B Joseph Guglielmo
Background The shift from inpatient to ambulatory care has resulted in an increase in home care patients. Little is known regarding medication safety associated with patient transfer from hospital to home care. Objective To evaluate medication-related problems in patients transferring from hospital to home care in Switzerland. Setting A non-for-profit home care organization in the city of Lucerne/Switzerland. Methods We conducted a prospective observational study, including patients aged ≥ 64 years and receiving ≥ 4 medications at hospital discharge...
October 5, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/30288268/using-manual-exchanges-for-an-urgent-start-peritoneal-dialysis-program
#6
Mihran V Naljayan, Farshid Yazdi, Efrain Reisin
Background: Urgent-start peritoneal dialysis (USPD) was designed to avoid temporary hemodialysis initiation with a hemodialysis catheter. In these patients, PD is initiated within 2 weeks of catheter placement, but typically these prescriptions utilize automated peritoneal dialysis (APD) with a cycler. Manual exchanges have not been reported previously for USPD. We hypothesize that using multiple, low-volume manual exchanges, patients will have similar rates of peritonitis, exit-site infection (ESI), pericatheter leaks and discontinuation of PD in the first 3 months after initiation...
October 2018: Clinical Kidney Journal
https://www.readbyqxmd.com/read/30285775/hospitalization-for-mental-health-related-ambulatory-care-sensitive-conditions-what-are-the-trends-for-first-nations-in-british-columbia
#7
Josée G Lavoie, Amanda Ward, Sabrina T Wong, Naser Ibrahim, Darrien Morton, John D O'Neil, Michael Green
BACKGROUND: Indigenous peoples globally experience a disproportionate burden of mental illness due to forced policies and practices of colonization and cultural disruption. The objective of this study was to provide a baseline profile of hospitalization rates for mental health-related Ambulatory Care Sensitive Conditions among First-Nations living both on and off reserve in British Columbia, Canada, and explore the relationship between local access to health services and mental health-related hospitalization rates...
October 3, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/30281414/factors-associated-with-1-year-mortality-after-discharge-for-acute-stroke-what-matters
#8
Zainab Magdon-Ismail, Tatiana Ledneva, Mingzeng Sun, Lee H Schwamm, Barry Sherman, Feng Qian, Janet Prvu Bettger, Ying Xian, Joel Stein
OBJECTIVE: To evaluate factors associated with 1-year mortality after discharge for acute stroke. METHODS: In this retrospective cohort study, we studied 305 patients with ischemic stroke or intracerebral hemorrhage discharged in 2010/2011. We linked Get With The Guidelines®-Stroke clinical data with New York State administrative data and used multivariate regression models to examine variables related to 1-year all-cause mortality poststroke. RESULTS: The mean age was 68...
October 3, 2018: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/30265200/-telematics-in-ambulatory-care-exploring-the-nurses-perspective
#9
Christoph Dockweiler, Leonie Diedrich, Sarah Palmdorf, Dina Beier, Jonas Ilic, Marius Kibbert, Joeline Kirsch, Niels Hannemann, Frederike Prisett, Viktoria Schmitke, Charline Schmidt, Teresa Spindeler, Lara Sommer, Samira Sommer, Anna Lea Stark, Chris Steinkühler, Johanna Stolte, Claudia Hornberg
Telematics in ambulatory care: Exploring the nurses' perspective Abstract. BACKGROUND: In the context of demographic change, the use of information and communications technology in home care has the aim of ensuring the quality of nursing care in the future. The acceptance of telematic applications by all users is crucial in this regard. AIM: The aim of this study was to assess the subjective attitudes and intentions of nursing staff on telematic applications in home care...
September 28, 2018: Pflege
https://www.readbyqxmd.com/read/30256743/development-and-evaluation-of-a-telematics-platform-for-monitoring-of-patients-in-ambulatory-major-surgery
#10
Elena Lopez de Dicastillo, Begonya García-Zapirain, María Teresa Axpe Fernández, Isabel de la Torre Díez, Ibon Oleagordia, Antonio Apezetxea Celaya
BACKGROUND: Ambulatory surgical procedures (ambulatory major surgery [AMS]), to which many people turn, do not require hospital admission. Patients may continue with their recovery from home on the same day they had surgery. OBJECTIVE: The main purpose of this article is to provide a technological solution that may enable nurses to control the evolution of a large number of patients in real time. METHODS: Java and Microsoft Band 2 SDK were used to program the mobile application (app), in contrast, Java, Hibernate, JSP, and Struts2 were used for the web app...
September 26, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/30252873/risks-of-treated-anxiety-depression-and-insomnia-among-nurses-a-nationwide-longitudinal-cohort-study
#11
Charles Lung-Cheng Huang, Ming-Ping Wu, Chung-Han Ho, Jhi-Joung Wang
The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified...
2018: PloS One
https://www.readbyqxmd.com/read/30243919/description-of-pharmacist-led-quality-improvement-huddles-in-the-patient-centered-medical-home-model
#12
Trisha Wells, Stuart Rockafellow, Marcy Holler, Antoinette B Coe, Anne Yoo, Hae Mi Choe, Amy N Thompson
OBJECTIVES: This case study describes the implementation of pharmacist-led quality improvement team huddles in the patient-centered medical home clinic model. The purpose of these huddles is to have an impact on clinic-based quality metrics. SETTING: Pharmacists embedded into primary care clinics at 2 separate health centers, within a large academic medical center, were funded by the clinics to lead their quality improvement (QI) team huddles. PRACTICE DESCRIPTION: Huddle team members vary depending on the practice sites and can include physicians, pharmacists, advanced practice providers, nurses, administrative managers, social workers, and medical assistants...
September 19, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/30237732/health-care-utilization-by-veterans-prescribed-chronic-opioids
#13
Cynthia Kay, Erica Wozniak, Alice Ching, Joanne Bernstein
Purpose: Ambulatory resources such as telephone calls, secure messages, nurse visits, and telephone triage are vital to the management of patients on chronic opioid therapy (COT). They are also often overlooked as health care services and yet to be broadly studied. The aim of the present study was to describe the Veterans Affairs (VA) health care utilization by patients based on COT, type, and amount of opioids prescribed. Patients and methods: A retrospective chart review was done on 617 patients on COT at a VA primary care clinic...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/30232570/shift-work-and-heart-rate-variability-coherence-pilot-study-among-nurses
#14
James B Burch, Melannie Alexander, Pallavi Balte, Jameson Sofge, James Winstead, Venkat Kothandaraman, J P Ginsberg
This study used ambient heart rate monitoring among health care workers to determine whether a novel measure of heart rate variability (HRV), as well as sleep disturbances, fatigue, or cognitive performance differed among non-rotating night shift nurses relative to those working permanent day shifts. Continuous ambulatory HRV monitoring was performed among night nurses (n = 11), and a comparison group of permanent day nurses (n = 7), over a 36-h period coinciding with the last two 12-h shifts of each participant's work week...
September 19, 2018: Applied Psychophysiology and Biofeedback
https://www.readbyqxmd.com/read/30221613/preventable-hospitalizations-among-older-patients-with-cognitive-impairments-and-dementia
#15
Dominik Wolf, Carolin Rhein, Katharina Geschke, Andreas Fellgiebel
ABSTRACTObjectives:Dementia and cognitive impairment are associated with higher rates of complications and mortality during hospitalization in older patients. Moreover, length of hospital stay and costs are increased. In this prospective cohort study, we investigated the frequency of hospitalizations caused by ambulatory care-sensitive conditions (ACSCs), for which proactive ambulatory care might prevent the need for a hospital stay, in older patients with and without cognitive impairments. DESIGN: Prospective cohort study...
September 17, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/30217215/one-year-mortality-in-displaced-intracapsular-hip-fractures-and-associated-risk-a-report-of-chinese-based-fragility-fracture-registry
#16
Simon Kwoon-Ho Chow, Jiang-Hui Qin, Ronald Man-Yeung Wong, Wai-Fan Yuen, Wai-Kit Ngai, Ning Tang, Chor-Yin Lam, Tak-Wing Lau, Kin-Bong Lee, Kwai Ming Siu, Sze-Hung Wong, Tracy Y Zhu, Wing-Hoi Cheung, Kwok-Sui Leung
BACKGROUND: The purpose of this registry-based retrospective study was to investigate the risk factors related to one-year mortality in displaced intracapsular fragility hip fracture patients. METHODS: Patients were screened from the Fragility Fracture Registry. Inclusion criterion was displaced intracapsular hip fracture patients with atypical or pathological fractures excluded. One-year mortality was investigated against risk factors including age, gender, past medical history, pre-fracture mobility (PFM), pre-operation ASA grade, delayed surgery over 48 h, post-surgical complications, and length of stay at acute orthopedic ward (LOS)...
September 14, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/30199590/burnout-symptoms-in-forensic-psychiatric-nurses-and-their-associations-with-personality-emotional-intelligence-and-client-aggression-a-cross-sectional-study
#17
Peter de Looff, Henk Nijman, Robert Didden, Petri Embregts
INTRODUCTION: Aggressive behaviour of forensic clients is associated with burnout symptoms in nursing staff. The role of staff characteristics as moderators is unclear. AIM: We explored the association of type and severity of aggressive behaviour as experienced by nursing staff and staff's burnout symptoms. In addition, the moderating roles of personality characteristics and emotional intelligence were studied. Moreover, the usefulness of ambulatory skin conductance assessments in detecting arousal related to burnout symptoms was studied...
September 10, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/30175678/implementation-of-a-comprehensive-program-to-improve-coordination-of-care-in-an-urban-academic-health-care-system
#18
Ya Luan Hsiao, Eric B Bass, Albert W Wu, Melissa B Richardson, Amy Deutschendorf, Daniel J Brotman, Michele Bellantoni, Eric E Howell, Anita Everett, Debra Hickman, Leon Purnell, Raymond Zollinger, Carol Sylvester, Constantine G Lyketsos, Linda Dunbar, Scott A Berkowitz
Purpose Academic healthcare systems face great challenges in coordinating services across a continuum of care that spans hospital, community providers, home and chronic care facilities. The Johns Hopkins Community Health Partnership (J-CHiP) was created to improve coordination of acute, sub-acute and ambulatory care for patients, and improve the health of high-risk patients in surrounding neighborhoods. The paper aims to discuss this issue. Design/methodology/approach J-CHiP targeted adults admitted to the Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center, patients discharged to participating skilled nursing facilities (SNFs), and high-risk Medicare and Medicaid patients receiving primary care in eight nearby outpatient sites...
August 20, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/30147067/understanding-the-characteristics-of-frequent-users-of-emergency-departments-what-role-do-medical-conditions-play
#19
Jens Rauch, Jens Hüsers, Birgit Babitsch, Ursula Hübner
Frequent users of emergency departments (ED) pose a significant challenge to hospital emergency services. Despite a wealth of studies in this field, it is hardly understood, what medical conditions lead to frequent attendance. We examine (1) what ambulatory care sensitive conditions (ACSC) are linked to frequent use, (2) how frequent users can be clustered into subgroups with respect to their diagnoses, acuity and admittance, and (3) whether frequent use is related to higher acuity or admission rate. We identified several ACSC that highly increase the risk for heavy ED use, extracted four major diagnose subgroups and found no significant effect neither for acuity nor admission rate...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/30143333/inpatient-versus-outpatient-hip-and-knee-arthroplasty-which-has-higher-patient-satisfaction
#20
Mick P Kelly, Tyler E Calkins, Chris Culvern, Monica Kogan, Craig J Della Valle
BACKGROUND: More surgeons are offering patients the option of having adult reconstructive procedures performed as an outpatient at an ambulatory surgery center. However, it is unknown if these patients have higher or lower satisfaction with their care than patients having a traditional inpatient stay. The purpose of this study is to compare satisfaction between inpatients and outpatients undergoing hip or knee arthroplasty. METHODS: Portions of the Health Consumer Assessment of Healthcare Providers and Systems survey, the Friends and Family Test, and 8 additional questions were administered to 174 consecutive patients...
November 2018: Journal of Arthroplasty
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