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Adult Nurs*

Chen Xiong, Melissa Biscardi, Emily Nalder, Angela Colantonio
INTRODUCTION: While much is known about caregiving burden and its consequences on both caregivers and care recipients, reports on the sex and gender differences that may be present among family caregivers of persons with dementia (PWD) are lacking. Attention to and a synthesis of these sex and gender distinctions have direct implications on the planning and development of health services for this population. The current protocol outlines a strategy for a systematic review of the current evidence to identify and synthesise sex and gender distinctions in caregiving burden experienced by family caregivers of PWD...
August 13, 2018: BMJ Open
Marije N van Doorn-van Atten, Lisette C P G M de Groot, Jeanne H M de Vries, Annemien Haveman-Nies
Optimal diet quality and physical activity levels are essential for healthy ageing. This study evaluated the effects of a multi-component telemonitoring intervention on behavioural determinants of diet quality and physical activity in older adults, and assessed the mediating role of these determinants and two behaviour change techniques in the intervention's effects. A non-randomised controlled design was used including 214 participants (average age 80 years) who were allocated to the intervention or control group based on municipality...
August 10, 2018: Nutrients
Jennifer M Putney, Sara Keary, Nicholas Hebert, Lisa Krinsky, Rebekah Halmo
OBJECTIVES: Older lesbian, gay, bisexual, and transgender (LGBT) adults are a vulnerable yet resilient population who face unique stressors as they foresee health decline. This paper presents the results of a study about community-dwelling LGBT older adults' anticipated needs and fears related to nursing homes and assisted living. METHODS: This qualitative study collected data through seven focus groups. The sample (N = 50) consisted of LGBT-identified adults age 55 and over...
August 13, 2018: Journal of Gerontological Social Work
B Ahmad, D Landes, S Moffatt
This paper presents a case study on the use of mixed methods in research into practice to inform policy. The study was undertaken as part of a review of oral healthcare for older people in residential and nursing care homes in County Durham, North East England. The findings highlighted challenges in the provision of good quality oral healthcare to older people in residential and nursing care homes and informed the county's oral health strategy (Durham County Council DCC, 2016). Key recommendations include the need to develop and implement a minimum set of best practice oral health standards within care home contracts and train care home staff in oral healthcare...
August 9, 2018: Community Dental Health
William V Padula, Peter J Pronovost, Mary Beth F Makic, Heidi L Wald, Dane Moran, Manish K Mishra, David O Meltzer
OBJECTIVE: Hospital-acquired pressure injuries are localised skin injuries that cause significant mortality and are costly. Nursing best practices prevent pressure injuries, including time-consuming, complex tasks that lack payment incentives. The Braden Scale is an evidence-based stratification tool nurses use daily to assess pressure-injury risk. Our objective was to analyse the cost-utility of performing repeated risk-assessment for pressure-injury prevention in all patients or high-risk groups...
August 10, 2018: BMJ Quality & Safety
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
Ana Díez-Izquierdo, Pia Cassanello-Peñarroya, Cristina Lidón-Moyano, Nuria Matilla-Santander, Albert Balaguer, Jose M Martínez-Sánchez
OBJECTIVE: The objective of this study is to perform a comprehensive review of the literature about thirdhand smoke (THS). METHODS: Systematic review of all aspects of THS. Standard methodological procedures were used to search the following databases through April 2018: MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science (WOS) in Indo-European languages. To identify published grey literature, the first 200 hits from Google Scholar™ were evaluated...
July 11, 2018: Environmental Research
Ann Marie P Mauro, Debora L Tracey, Maria Torchia LoGrippo, Diane Brienza-Arcilla, Mona Williams-Gregory, Suzanne Shugg, Angelica Bravo, Claire Byrne
Entry-level nurses require health promotion, chronic disease self-management, care coordination, data utilization, and evidence translation competencies to address complex population health needs. An innovative PhD-DNP faculty collaboration implemented a descriptive survey design to evaluate simulation-based strategies using an unfolding chronically ill adult case to address population health. Results showed the PhD-DNP faculty team was effective in developing clinically meaningful learning experiences to assist baccalaureate students to develop population health competencies...
September 2018: Nursing Education Perspectives
Maria C Dolce, Judith Haber, Judith A Savageau, Erin Hartnett, Christine A Riedy
BACKGROUND AND PURPOSE: Nurse practitioners (NPs) are a significant segment of the US primary care workforce and have a pivotal role in improving access to oral health (OH) care. The purpose of this research was to assess OH curricular integration in primary care NP programs and to examine factors that influence integration and satisfaction with graduates' level of OH competence. METHODS: A cross-sectional, national survey of NP programs (N = 466) was conducted using an electronically distributed 19-item, self-administered questionnaire...
August 6, 2018: Journal of the American Association of Nurse Practitioners
Karen Sue Hoyt, Elda Ramirez, Robert Topp, Stephen Nichols, Donna Agan
BACKGROUND AND PURPOSE: This retrospective study compared nurse practitioners and physician assistants (NPs/PAs) with physicians on their assignment of Emergency Severity Index level 3 (ESI level 3) acute abdominal pain (AAP) in the emergency department (ED). METHODS: Data obtained from a large ED group staffing four hospitals yielded 12,440 de-identified, adult patients diagnosed on ED admission with AAP ESI level 3 for descriptive analysis with logistic regression...
August 6, 2018: Journal of the American Association of Nurse Practitioners
Wendy P Chaboyer, Lukman Thalib, Emma L Harbeck, Fiona M Coyer, Stijn Blot, Claudia F Bull, Paula C Nogueira, Frances F Lin
OBJECTIVES: To systematically assess the incidence and prevalence of pressure injuries in adult ICU patients and the most frequently occurring pressure injury sites. DATA SOURCES: MEDLINE, Embase, the Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature. STUDY SELECTION: Observational studies reporting incidence rates, cumulative incidence, and prevalence of pressure injuries. DATA EXTRACTION: Two reviewers independently screened studies, extracted data, and assessed the risk of bias...
August 7, 2018: Critical Care Medicine
Mari Takashima, Jessica Schults, Gabor Mihala, Amanda Corley, Amanda Ullman
OBJECTIVES: To examine the proportion and rate of central venous access device failure and complications across central venous access device types in adult intensive care. DATA SOURCES: A systematic search was undertaken in the electronic databases Cochrane Central Register of Controlled Trials (CENTRAL), Embase, U.S. National Library of Medicine National Institutes of Health (MEDLINE), and Cumulative Index to Nursing and Allied Health (CINAHL) in September 2017...
August 7, 2018: Critical Care Medicine
Jennifer L Wolff, John Mulcahy, David L Roth, Irena S Cenzer, Judith D Kasper, Jin Huang, Kenneth E Covinsky
OBJECTIVES: To comprehensively examine factors associated with long-term nursing home (NH) entry from 6 domains of older adult and family caregiver risk from nationally representative surveys and develop a prognostic model and a simple scoring system for use in risk stratification. DESIGN: Retrospective observational study. SETTING: National Long-Term Care Surveys 1999 and 2004 and National Health and Aging Trends Study 2011 and linked caregiver surveys...
August 9, 2018: Journal of the American Geriatrics Society
María Fernández-Ibieta
Case Report  An 11-month-old female infant presented on the first postoperative (PO) day following an elective pyeloplasty, a dark bluish erythema of her lumbotomy wound, plus a satellite lesion of the same characteristics. Fever and sepsis developed, and despite broad spectrum antibiotics (meropenem and vancomycin) were started, a diagnosis of necrotizing soft-tissue infection (NSTI or necrotizing fasciitis) was established. Surgical debridement of both lesions was performed on day 3 PO, and a surgical contamination (ring retractor blade) was suspected, due to the particular geography of the lesion...
July 2018: Surgery Journal
Stephanie L Orstad, Meghan H McDonough, Peter James, David B Klenosky, Francine Laden, Marifran Mattson, Philip J Troped
Features that enhance neighborhood walkability (higher population density, street connectivity and access to destinations) are associated with higher levels of physical activity among older adults. The perceived neighborhood environment appears to mediate associations between the objective built environment and physical activity. The role of depressed mood in these associations is poorly understood. We examined the degree to which depressive symptoms moderated indirect associations between the objective neighborhood environment and physical activity via the perceived neighborhood environment in older women...
August 6, 2018: Preventive Medicine
Penelope Casey, Wendy Cross, Melinda Webb-St Mart, Cathryn Baldwin, Kath Riddell, Peteris Darzins
BACKGROUND: Delirium in hospitalised patients is common, and a risk factor for adverse outcomes. Health services require accurate delirium data to monitor the impact of initiatives designed to improve detection and prevention of delirium. AIM: To determine the extent to which ICD codes represent delirium occurrence. METHODS: A cross-sectional point prevalence survey was used to audit delirium occurrence in 25 inpatient wards of an Australian health service...
August 8, 2018: Internal Medicine Journal
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
Roberta Teixeira Prado, Josete Luzia Leite, Edna Aparecida Barbosa de Castro, Laura Johanson da Silva, Ítalo Rodolfo Silva
OBJECTIVE: To understand, in terms of complexity, the conditions that influence the interactions of health professionals in the face of death and dying of hospitalized adult patients and their families. METHOD: Theoretical and methodological references have been adopted, respectively, were the Complex Thought and Grounded Theory. The data were collected through semi-structured interviews between May 2015 and January 2016, with three sample groups: nurses, nursing technicians and members of the multidisciplinary team...
August 2, 2018: Revista Gaúcha de Enfermagem
Vanessa de Brito Poveda, Ana Carolina Breviglieri Alves Castilho, Lilia de Souza Nogueira, Renata Eloah Lucena Ferretti-Rebustini, Rita de Cássia Gengo E Silva
OBJECTIVE: To analyze the differences in nurses' clinical practice for assessing residual gastric volume and identifying the theoretical framework which supports their practice. METHOD: A cross-sectional study carried out by sending an online questionnaire by e-mail to nurses registered at the Regional Nursing Council of the State of São Paulo. RESULTS: This study included 598 nursing professionals, with 484 only providing care to adults and 114 exclusively to children...
August 6, 2018: Revista da Escola de Enfermagem da U S P
Qinqiuzi Yi, Junko Honda, Naohiro Hohashi
BACKGROUND: The older adult population is increasing in number, and elder abuse is expected to become a more pressing problem. Developing tools to assess the presence and severity of elder abuse is important to both effectively prevent this abuse and provide increased support for families. PURPOSE: This study was intended to test the validity of an assessment tool for domestic elder abuse (ATDEA). The items that constitute this tool were derived from a literature review...
August 7, 2018: Journal of Nursing Research: JNR
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