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Healthcare teams

Hanneke Wiltjer, Kate Seers, Elizabeth Tutton
AIM: To explore assessment on a hospital ward for older people from the perspectives of patients and healthcare professionals. DESIGN: A qualitative study drawing on grounded theory was undertaken between February 2015 - January 2016. METHODS: Interviews with 15 patients and 22 healthcare professionals, a focus group with six healthcare professionals, 45 hours of observation and review of 18 sets of patient notes. Analysis was conducted using initial and focused coding, continuously comparing data, emerging codes and themes...
December 14, 2018: Journal of Advanced Nursing
Nikhil Adapa, Nikhil Jain, Allison Capek, Rajiv Chandawarkar, Safdar N Khan, Yazeed M Gussous, Elizabeth Yu
Background: Wound complications can occur in up to 20% of patients following multilevel posterior spinal fusion. Currently, the use of local flaps has been reported in high-risk patients with a history of spinal neoplasm, radiation therapy, exposed hardware, multiple spine surgeries, or wound infections. However, there are no reports of prophylactic muscle flap wound closure in patients undergoing multi-level spinal fusion for degenerative pathology. Given the extensive soft tissue dissection for exposure compounded by patient comorbidities, there is potential to minimize the risk of wound complications with prophylactic trapezius and/or paraspinal flap coverage...
September 2018: Journal of Spine Surgery (Hong Kong)
Melanie Handley, Frances Bunn, Claire Goodman
BACKGROUND: There are an increasing number of interventions to improve hospital care for patients with dementia. Evidence for their impact on staff actions and patient outcomes is, however, limited and context dependent. OBJECTIVE: To explain the factors that support hospital staff to provide dementia sensitive care and with what outcomes for patients with dementia. DESIGN: A realist evaluation using a two-site case study approach. SETTING: Two hospital trusts in the East of England...
November 30, 2018: International Journal of Nursing Studies
Johannes Lourens du Pisanie, Robert Dixon
Safety in medicine is a pressing issue. It has been shown that deaths due to medical error range from 98,000 to 400,000 per year in the United States. Since this issue was broached in 1999, a variety of clinical and institutional safety interventions have been pioneered; however, the medical community has realized that without a strong institutional safety culture, the efficacy of these interventions is limited. Changing culture is often a long and difficult process. Just as the wider medical community slowly moves towards the practice of safety culture, interventional radiology must uphold a culture of safety along with its other core tenets throughout its continued evolution...
December 2018: Techniques in Vascular and Interventional Radiology
James K Elrod, John L Fortenberry
BACKGROUND: Healthcare institutions deliver essential services that practically everyone needs at least periodically over the course of their lives. Hospital admissions, in particular, place patients in circumstances very foreign to them, with uncertain outcomes often being the case, causing stress for care recipients and their loved ones. Health and medical establishments must be very mindful of this and work toward supplying environments that are as comforting as possible for those in their care...
December 14, 2018: BMC Health Services Research
Hamid Ravaghi, Zeynab Foroughi, Ali Nemati, Victoria D Bélorgeot
The excessive use of resources, inefficiency and poor service quality in public hospitals has led developing countries to create reforms in public hospital governance, including autonomization. Hospital autonomy refers to the delegation of administrative rights to the hospital management team. The purpose of the present research is to review different aspects of hospital autonomy reforms in developing countries, such as incentives, preparations, obstacles and facilitators to change prior to implementation, impacts on achieving Universal Health Coverage (UHC) goals, challenges, outcomes and implications for implementation...
December 13, 2018: Health Policy and Planning
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
Ruth F Hunter, Jennifer M Murray, Aisling Gough, Jianjun Tang, Christopher C Patterson, David P French, Emma McIntosh, Yiqiao Xin, Frank Kee
BACKGROUND: We evaluated the effectiveness and cost-effectiveness of a loyalty scheme based intervention involving rewards for increasing physical activity in public sector employees. METHODS: A cluster randomised wait-list controlled trial in public sector organisations in Northern Ireland. We randomly assigned clusters (1:1) using a computer generated random sequence. Researchers were masked to allocation, but participants were not. Employees aged 18-65 years with no self-reported medical contraindications to physical activity were included...
December 12, 2018: International Journal of Behavioral Nutrition and Physical Activity
Samuel Bawa, Faisal Shuaib, Mahmoud Saidu, Adamu Ningi, Suleiman Abdullahi, Bashir Abba, Audu Idowu, Jibrin Alkasim, Kulchumi Hammanyero, Charity Warigon, Sisay G Tegegne, Richard Banda, Charles Korir, Yared G Yehualashet, Tesfaye Bedada, Chukwuji Martin, Peter Nsubuga, Usman S Adamu, Bassey Okposen, Fiona Braka, Alemu Wondimagegnehu, Rui G Vaz
BACKGROUND: The Global Vaccine Action Plan (GVAP) seeks to achieve the total realization of its vision through equitable access to immunization as well as utilizing the immunization systems for delivery of other primary healthcare programs. The inequities in accessing hard-to-reach areas have very serious implications for the prevention and control of vaccine-preventable diseases, especially the polio eradication initiative. The Government of Nigeria implemented vaccination in hard-to-reach communities with support from the World Health Organization (WHO) to address the issues of health inequities in the hard-to-reach communities...
December 13, 2018: BMC Public Health
Cécile Fournier, Jacques Cittée, Héléna Brugerolles, Evelyne Faury, Isabelle Bourgeois, Josselin Le Bel, Mariana Dorsa Figueiredo, Pierre-Yves Traynard
INTRODUCTION: Implementing patient education (PE) in a defined geographic area, based on a population-based approach, implies using community resources according to a logic of complementarity, in order to mitigate the risk of rupture in patient care. METHODS: The PE Resource Centre for the Ile-de-France Region convened a multidisciplinary and multi-setting meeting attended by 45 participants in order to define the ways to improve the complementarity of all available PE resources, while taking into account the diversity of patients' needs...
May 2018: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
Cássio de Almeida Lima, Ana Maria Vitrícia de Souza Santos, Romerson Brito Messias, Fernanda Marques da Costa, Dulce Aparecida Barbosa, Carla Silvana de Oliveira E Silva, Lucinéia de Pinho, Maria Fernanda Santos Figueiredo Brito
OBJECTIVE: To verify the use of integrative and complementary practices (ICPs) by community health agents working in family health teams. METHODS: Cross-sectional, quantitative research, conducted in the city of Montes Claros, Minas Gerais. An structured form was used for the characterization of participants and use of ICPs. Descriptive and bivariate analyses were conducted. RESULTS: Use of ICPs was referenced by 94 (40.7%) agents. The use of medicinal plants was predominant (32...
2018: Revista Brasileira de Enfermagem
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
Sabina Zapponi, Aline Ferreira, Paolo Galvagni, Camilla Roccatagliata, Simone Rodolfi, Miriana Spina, Chiara Foà, Leopoldo Sarli, Giovanna Artioli
BACKGROUND: The 38/2010 law has widened the supply of palliative care for patients with chronic and degenerative illness. Dementia is a chronic and debilitating illness and it requires specific, complex and constant assistance, involving the health professionals' community and family, and should also benefit from palliative care. But what do the caregivers of these patients think about it? AIM: To explore the point of view of caregivers accompanying dementia patients regarding palliative care and the accompaniment of the medical team...
December 7, 2018: Acta Bio-medica: Atenei Parmensis
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
Alice P McCloskey, Joanne Brown, Sharon Haughey, Roisin O'Hare
OBJECTIVES: To determine the impact of authentic clinical tasks on student confidence in interprofessional communication and assess the perceptions of pharmacists and pharmacy undergraduate students on how their degree prepares them to communicate and integrate with other healthcare professionals. METHODS: Pharmacists completed a questionnaire regarding how their degree prepared them to communicate with other healthcare professionals. Third- and fourth-year pharmacy undergraduate students completed a modified questionnaire with questions relating to interprofessional learning and their experiences of reflective interprofessional communication tasks whilst on hospital placement...
December 10, 2018: International Journal of Pharmacy Practice
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
Julia Thumfart, Dirk Bethe, Sarah Wagner, Wolfgang Pommer, Cornelia Rheinländer, Dominik Müller
AIM: Children and adolescents with end stage renal disease face a high morbidity and mortality. Palliative care provides a multidisciplinary approach to reduce disease burden and improve quality of life. This study evaluated concepts and current structures of palliative care from the perspective of a multidisciplinary paediatric nephrology team including physicians, nurses and psychosocial health professionals. METHODS: Evaluation was done by an online survey sent to the members of the German Society of Nephrology and to the nurse managers of German paediatric dialysis centres between April 9th 2018 and May 31th 2018...
December 11, 2018: Acta Paediatrica
Sunil T Pandya, Kausalya Chakravarthy, Aparna Vemareddy
Rapid advances and improved networking abilities have led to the widespread adoption of technology in healthcare, especially focused on diagnostics, documentation and evaluation, or mining of data to improve outcomes. Current technology allows for rapid and accurate decision-making in clinical care decisions for individual patients, collation and analysis at different levels for administrative and financial purposes, and the ability to visualise, analyse, and share data in real time for departmental needs. The adoption of technology may help to improve efficiency and efficacy of healthcare services...
November 2018: Indian Journal of Anaesthesia
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
Jerika T Lam, Mary A Gutierrez, Jeff A Goad, Larisa Odessky, Jason Bock
BACKGROUND AND PURPOSE: To evaluate student pharmacists' attitudes and satisfaction toward playing educational virtual games in the classroom. EDUCATIONAL ACTIVITY AND SETTING: Virtual games were played in the classroom setting. First year student pharmacists participated in two Mimycx quests in the Healthcare Communication and the Psychiatry/Neurology courses. Students were randomly assigned into teams and worked together to complete the assigned quest games. Completion of the pre- and post-quest questionnaires via Qualtrics was voluntary...
January 2019: Currents in Pharmacy Teaching & Learning
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