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Tarush Kothari, Kendal Jensen, Debbie Mallon, Gerard Brogan, James Crawford
Acute kidney injury, especially early-stage disease, is a common hospital comorbidity requiring timely recognition and treatment. We investigated the effect of daily laboratory alerting of patients at risk for acute kidney injury as measured by documented International Classification of Diseases diagnoses. A quasi-experimental study was conducted at 8 New York hospitals between January 1, 2014, and June 30, 2017. Education of clinical documentation improvement specialists, physicians, and nurses was conducted from July 1, 2014, to December 31, 2014, prior to initiating daily hospital-wide laboratory acute kidney injury alerting on January 1, 2015...
January 2018: Academic Pathology
Elaine Zibrowski, Lisa Shepherd, Kamran Sedig, Richard Booth, Candace Gibson
BACKGROUND: The effectiveness of Lean Thinking as a quality improvement method for health care has been contested due, in part, to our limited contextual understanding of how it affects the working conditions and clinical workflow of nurses and physicians. Although there are some initial indications, arising from prevalence surveys and interviews, that Lean may intensify work performed within medical environments, the evidence base still requires detailed descriptions of the changes that were actually introduced to individuals' clinical workflow and how these changes impacted health care professionals...
December 13, 2018: JMIR Human Factors
Tiba Delespierre, Loic Josseran
BACKGROUND: New nursing homes (NH) data warehouses fed from residents' medical records allow monitoring the health of elderly population on a daily basis. Elsewhere, syndromic surveillance has already shown that professional data can be used for public health (PH) surveillance but not during a long-term follow-up of the same cohort. OBJECTIVE: This study aimed to build and assess a national ecological NH PH surveillance system (SS). METHODS: Using a national network of 126 NH, we built a residents' cohort, extracted medical and personal data from their electronic health records, and transmitted them through the internet to a national server almost in real time...
December 13, 2018: JMIR Public Health and Surveillance
Regina Molnár, Zoltán Sági, Zsuzsanna Fejes, Kálmán Törőcsik, Béla Köves, Edit Paulik
INTRODUCTION: Nowadays doctor-patient consultation is not limited to personal appointments, there are new technical possibilities to keep contact. AIM: The aim of our study was to examine the way in which the doctor and patient interact with each other between two personal consultations and how the patients would like to reach their physicians when needed. METHOD: Questionnaire survey was done among waiting patients in an outpatient clinic in Budapest...
December 2018: Orvosi Hetilap
Shamima Khan, Joshua J Spooner, Harlan E Spotts
Background: Not much is currently known about United States (US) physicians' opinions about healthcare financing, specifically subsequent to the creation and implementation of the Affordable Care Act (ACA). Objectives: A four state survey of practicing US based physicians' opinions about healthcare financing following ACA passage and implementation. Methods: Physician leaders practicing in the state of New York, Texas, Colorado and Mississippi were surveyed. Two factor analyses (FA) were conducted to understand the underlying constructs...
December 9, 2018: Pharmacy (Basel, Switzerland)
Howe Mao, Tony G E Milne, Gregory O'Grady, Ryash Vather, Richard Edlin, Ian Bissett
BACKGROUND: Prolonged postoperative ileus is a common major complication after abdominal surgery. Retrospective data suggest that ileus doubles the cost of inpatient stay. However, current economic impact data are based on retrospective studies that rely on clinical coding to diagnose ileus. OBJECTIVE: The aim of this study was to determine the economic burden of ileus for patients undergoing elective colorectal surgery. DESIGN: Economic data were audited from a prospective database of patients who underwent surgery at Auckland City Hospital between September 2012 and June 2014...
December 12, 2018: Diseases of the Colon and Rectum
Karin Reiber, Dorothea Reichert, Maik Winter
Implications for successive employment after general nursing education programmes - a multi-perspective study Abstract. BACKGROUND: The passage of the new education law will restructure the entire nursing education system in Germany, including the broad implementation of two former pedagogical pilot programmes - a generalist nursing programme and an academic nursing programme. So far, little research has been done to determine whether these new programmes, particularly the generalist nursing programme, equip students with suitable competencies...
December 13, 2018: Pflege
Malin Knutsen Glette, Olav Røise, Tone Kringeland, Kate Churruca, Jeffrey Braithwaite, Siri Wiig
BACKGROUND: Thirty-day hospital readmissions represent an international challenge leading to increased prevalence of adverse events, reduced quality of care and pressure on healthcare service's resources and finances. There is a need for a broader understanding of hospital readmissions, how they manifest, and how resources in the primary healthcare service may affect hospital readmissions. The aim of the study was to examine how nurses and nursing home leaders experienced the resource situation, staffing and competence level in municipal healthcare services, and if and how they experienced these factors to influence hospital readmissions...
December 12, 2018: BMC Health Services Research
Kathleen Finlayson, Anne M Chang, Mary D Courtney, Helen E Edwards, Anthony W Parker, Kyra Hamilton, Thu Dinh Xuan Pham, Jane O'Brien
BACKGROUND: Acute hospital services account for the largest proportion of health care system budgets, and older adults are the most frequent users. As a result, older people who have been recently discharged from hospital may be at greater risk of readmission. This study aims to evaluate the comparative effectiveness of transitional care interventions on unplanned hospital readmissions within 28 days, 12 weeks and 24 weeks following hospital discharge. METHOD: The present study was a randomised controlled trial (ACTRN12608000202369)...
December 12, 2018: BMC Health Services Research
Tonja M Hartjes
The American Association of Colleges of Nursing (AACN) last defined academic nursing scholarship in 1999. The AACN recognized faculty scholarship must align with the increasingly complex and dynamic health care environment to prepare nurses for an ever-changing future. The new, broader definition recognizes multiple ways of knowing and values all scholarly contributions, which affect nursing science and the health care system. The alignment of faculty scholarship to the practice of nursing will ensure high-quality education, influencing the next generation of nurses...
December 2018: Journal of the American Association of Nurse Practitioners
Maria Clara de Magalhães-Barbosa, Arnaldo Prata-Barbosa, Carlos Eduardo Raymundo, Antonio José Ledo Alves da Cunha, Claudia de Souza Lopes
OBJECTIVE: To assess the validity and reliability of a triage system for pediatric emergency care (CLARIPED) developed in Brazil. METHODS: Validity phase: prospective observational study with children aged 0 to 15 years who consecutively visited the pediatric emergency department (ED) of a tertiary hospital from July 2 to 18, 2013. We evaluated the association of urgency levels with clinical outcomes (resource utilization, ED admission rate, hospitalization rate, and ED length of stay); and compared the CLARIPED performance to a reference standard...
October 2018: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Renata Carla Nencetti Pereira Rocha, Eliane Ramos Pereira, Rose Mary Costa Rosa Andrade Silva, Angelica Yolanda Bueno Bejarano Vale de Medeiros, Sueli Maria Refrande, Neusa Aparecida Refrande
OBJECTIVE: To understand the spiritual needs of the patients' family caregiver under Oncology palliative care. METHOD: A descriptive, qualitative study with 20 family caregivers of patients hospitalized in an Oncology palliative unit. The data were collected through a phenomenological interview, and analyzed by the method of Amadeo Giorgi supported in the Merleau-Ponty's Phenomenology of Perception. RESULTS: The categories were unveiled: "Spirituality as a foundation for life"; "Spiritual needs sublimated by the family caregiver"; and "Care expected by the nurse"...
2018: Revista Brasileira de Enfermagem
Giovanna Artioli, Chiara Foà, Chiara Taffurelli, Chiara Cosentino
BACKGROUND AND AIM: The nursing diagnosis can based on two different approaches: the standard diagnosis, searching for regularities that can fall within pre-existing categories identified by the nurse, as the expert of the disease; the narrative diagnosis, based on personal meaning attributed to the illness, of which only the patient is the expert. The aim of this work is to underline the usefulness of integration between standard diagnosis and narrative diagnosis, through the Integrated Personalized Nursing Diagnosis (IPND)...
December 7, 2018: Acta Bio-medica: Atenei Parmensis
Alexandre Klein
A forgotten figure of the history of healthcare as well as Quebec's history, Charlotte Tassé (1893-1974) was a figurehead of the professionalization of Quebecoise nurses. This French-Canadian nurse established and ran two nursing schools, launched and directed a professional reference journal for thirty-five years, actively participated in the development of psychiatric nursing in Quebec, owned and managed one of the most important mental healthcare centers in the country, and also created a new class of nurses in Quebec: practical nurses...
September 2018: Recherche en Soins Infirmiers
Conchita Szyba, Pascale Didry, Anne Kaltenbach, Stephanie Phulpin, Pierre Schuster, Marie Laure Zieleniewicz
Since 2009, the new nursing training curriculum has included the topic of research in three teaching units in order to introduce it to nursing students. This move has signaled a new era for nurses in France. The development and the durability of research will allow for the marked appearance of a discipline in nursing sciences. Some educators from Lorraine have been carrying out a survey in order to identify the existing means in their nursing schools that can help promote a culture of research right from the beginning of training, through encouraging reading and writing...
September 2018: Recherche en Soins Infirmiers
Simona Grigorescu, Ana-Maria Cazan, Ovidiu Dan Grigorescu, Liliana Marcela Rogozea
Background: The burnout syndrome is characterized by emotional exhaustion, depersonalization, and lack of personal accomplishment. It was identified in some professional categories, the most often being affected those in public health services. Objectives: This study mainly aims to identify and analyze the value of the personality traits and work characteristics as predictive factors for the occurrence of the burnout syndrome in nurses, under the new approach of predictive, preventive, and personalized medicine...
December 2018: EPMA Journal
Shio-Shin Jean, Nan-Yao Lee, Hung-Jen Tang, Min-Chi Lu, Wen-Chien Ko, Po-Ren Hsueh
Carbapenem-resistant Enterobacteriaceae (CRE), a major resistance concern emerging during the last decade because of significantly compromising the efficacy of carbapenem agents, has currently become an important focus of infection control. Many investigations have shown a high association of CRE infections with high case-fatality rates. In Taiwan, a few surveys observed that a significant proportion (29-47%) of the CR- Klebsiella pneumoniae isolates harbored a plasmidic allele encoding K. pneumoniae carbapenemases (KPC, especially KPC-2)...
2018: Frontiers in Microbiology
Candice Downey, Rebecca Randell, Julia Brown, David G Jayne
BACKGROUND: Vital signs monitoring is a universal tool for the detection of postoperative complications; however, unwell patients can be missed between traditional observation rounds. New remote monitoring technologies promise to convey the benefits of continuous monitoring to patients in general wards. OBJECTIVE: The aim of this pilot study was to evaluate whether continuous remote vital signs monitoring is a practical and acceptable way of monitoring surgical patients and to optimize the delivery of a definitive trial...
December 11, 2018: Journal of Medical Internet Research
Anjali V Desai, Virginia M Klimek, Kimberly Chow, Andrew S Epstein, Camila Bernal, Kelly Anderson, Molly Okpako, Robin Rawlins-Duell, Dana Kramer, Danielle Romano, Jessica I Goldberg, Judith E Nelson
BACKGROUND: Prior work to integrate early palliative care in oncology has focused on patients with advanced cancer and primarily on palliative care consultation. We developed this outpatient clinic initiative for newly diagnosed patients at any stage, emphasizing primary (nonspecialist) palliative care by oncology teams, with enhanced access to palliative care specialists. METHODS: We piloted the project in two medical oncology specialty clinics (for patients with myelodysplastic syndrome and GI cancer, respectively) to establish feasibility...
December 2018: Journal of Oncology Practice
Natasha Hawkins, Sarah Jeong, Tony Smith
AIMS: To synthesize the scientific evidence about new graduate nurses' transition to practice in the acute care setting and consider implications for nurses and nursing practice. BACKGROUND: Despite the vast amount of literature on new graduate nurses' transition to practice, the transition of new graduate nurses is a global issue and remains at the forefront of discussions within the nursing community. DESIGN: An integrative review. REVIEW METHODS: A search of evidence-based research from seven electronic databases (CINAHL, MEDLINE, ProQuest, Cochrane, JBI, Wiley, and Scopus) was conducted for the period of 2006-2016...
December 9, 2018: International Journal of Nursing Practice
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