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https://www.readbyqxmd.com/read/28434454/measuring-to-improve-medication-reconciliation-in-a-large-subspecialty-outpatient-practice
#1
Elizabeth Kern, Meg B Dingae, Esther L Langmack, Candace Juarez, Gary Cott, Sarah K Meadows
BACKGROUND: To assess performance in medication reconciliation (med rec)-the process of comparing and reconciling patients' medication lists at clinical transition points-and demonstrate improvement in an outpatient setting, sustainable and valid measures are needed. METHODS: An interdisciplinary team at National Jewish Health (Denver) attempted to improve med rec in an ambulatory practice serving patients with respiratory and related diseases. Interventions, which were aimed at physicians, nurses (RNs), and medical assistants, involved changes in practice and changes in documentation in the electronic health record (EHR)...
May 2017: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/28419897/nurse-mentor-perceptions-in-the-delivery-of-a-home-based-cardiac-rehabilitation-program-to-support-patients-living-in-rural-areas-an-interpretive-study
#2
Terence J Frohmader, Frances Lin, Wendy P Chaboyer
Home-based cardiac rehabilitation (CR) programs improve health outcomes for people diagnosed with heart disease. Mentoring of patients by nurses trained in CR has been proposed as an innovative model of cardiac care. Little is known however, about the experience of mentors facilitating such programs and adapting to this new role. The aim of this qualitative study was to explore nurse mentor perceptions of their role in the delivery of a home-based CR program for rural patients unable to attend a hospital or outpatient CR program...
April 5, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28416026/evaluation-of-a-pilot-service-to-facilitate-discharge-of-patients-with-stable-long-term-mental-health-needs-from-secondary-to-primary-care-the-role-of-primary-care-mental-health-specialists
#3
Kate Hamilton-West, Sarah Hotham, Wei Yang, Julie Hedayioglu, Charlotte Brigden
Aim We aimed to evaluate a pilot service to facilitate discharge of patients with stable long-term mental health needs from secondary to primary care. BACKGROUND: Patients with stable long-term mental health conditions are often not discharged from secondary mental health services when no longer needed due to insufficient systems and processes to enable safe, effective, recovery-focussed treatment and support. The Primary Care Mental Health Specialist (PCMHS) Service was developed to address this gap; new PCMHS posts were introduced to act as a conduit for patients being discharged from secondary care and a single point of referral back into secondary care, should it be required...
April 18, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28403765/the-australasian-society-for-infectious-diseases-and-refugee-health-network-of-australia-recommendations-for-health-assessment-for-people-from-refugee-like-backgrounds-an-abridged-outline
#4
Nadia J Chaves, Georgia A Paxton, Beverley-Ann Biggs, Aesen Thambiran, Joanne Gardiner, Jan Williams, Mitchell M Smith, Joshua S Davis
In 2009, the Australasian Society of Infectious Diseases published guidelines on the post-arrival health assessment of recently arrived refugees. Since then, the number of refugees and asylum seekers reaching Australia has increased substantially (17 555 refugees in 2015-16) and the countries of origin have changed. These groups are likely to have had poor access to health care pre-arrival and, consequently, are at risk of a range of chronic and infectious diseases. We established an advisory group that included infectious diseases physicians, general practitioners, public health specialists, paediatricians and refugee health nurses to update the 2009 guidelines...
April 17, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28399861/health-care-providers-attitudes-towards-transfer-and-transition-in-young-persons-with-long-term-illness-a-web-based-survey
#5
Carina Sparud-Lundin, Malin Berghammer, Philip Moons, Ewa-Lena Bratt
BACKGROUND: Transition programs in health care for young persons with special health care needs aim to maximize lifelong functioning. Exploring health care professionals' perspective may increase the possibility of successful implementation of transition programs. The aim was to survey health care professionals' attitudes towards components and barriers on transition and transfer in young people with long-term medical conditions with special health care needs. METHODS: A cross-sectional web-based survey was sent by e-mail to 529 physicians and nurses in Swedish pediatric and adult outpatient clinics...
April 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28369785/end-of-life-care-transition-patterns-of-medicare-beneficiaries
#6
Shi-Yi Wang, Melissa D Aldridge, Cary P Gross, Maureen Canavan, Emily Cherlin, Elizabeth Bradley
OBJECTIVES: To characterize the patterns of transitions in care and factors associated with multiple transitions in the last 6 months of life of U.S. decedents (N = 660,132). DESIGN: Retrospective study. SETTING: United States. PARTICIPANTS: Medicare beneficiaries aged 66 and older who died from July to December 2011. MEASUREMENTS: Transitions between healthcare settings (e.g., hospital, skilled nursing facility, inpatient hospice, home hospice, home without hospice) in the last 6 months of life...
April 3, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28362464/experience-of-novice-clinical-adjunct-faculty-a-qualitative-study
#7
Carol Mann, Jennie C De Gagne
BACKGROUND: Despite the adjunct instructor's central role in the clinical training of nursing students, little research exists on the perspective of the clinical experts assuming this role. This qualitative study aimed to better understand how novice clinical adjunct faculty described their lived experiences in their significant role transition. METHOD: The sample consisted of nine novice adjunct clinical nursing faculty who provided direct clinical supervision of prelicensure students in the United States (i...
April 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28342618/a-realist-synthesis-of-social-connectivity-interventions-during-transition-to-parenthood-the-value-of-relationships
#8
Claudine T Bennett, Judy L Buchan, Nicole Letourneau, Stuart G Shanker, Anne Fenwick, Brenda Smith-Chant, Cyndi Gilmer
BACKGROUND: Social connections are important during the transition to parenthood. A wide body of literature suggests that these connections enhance health and contribute to wellbeing. In the case of parents and families, social connections can influence child development. Nurses and public health agencies are in a unique position to advocate for resources and approaches to enhance social connectivity for parents during this important life transition. OBJECTIVES: The aim of this review was to identify the universal social connectivity interventions that work, and the conditions that foster social connections for parents and enhance child development...
April 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28341689/designing-a-physical-activity-intervention-for-children-with-asthma-a-qualitative-study-of-the-views-of-healthcare-professionals-parents-and-children-with-asthma
#9
Russell Jago, Aidan Searle, A John Henderson, Katrina M Turner
OBJECTIVES: Qualitative methods were used to examine: (1) the attitudes of health professionals to promoting physical activity for children with asthma; (2) reasons why children with asthma are less active and (3) how a physical activity programme for children with asthma could be designed. DESIGN: Semistructured interviews were conducted with health professionals, children with asthma and their parents between October 2015 and March 2016. Interviews were transcribed verbatim and thematically analysed...
March 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28341615/design-and-usability-of-a-heart-failure-mhealth-system-a-pilot-study
#10
Nagla Alnosayan, Samir Chatterjee, Ala Alluhaidan, Edward Lee, Linda Houston Feenstra
BACKGROUND: Despite the advances in mobile health (mHealth) systems, little is known about patients' and providers' experiences using a new mHealth system design. OBJECTIVE: This study aimed to understand challenges and provide design considerations for a personalized mHealth system that could effectively support heart failure (HF) patients after they transition into the home environment. METHODS: Following exploratory interviews with nurses and preventive care physicians, an mHealth system was developed...
March 24, 2017: JMIR Human Factors
https://www.readbyqxmd.com/read/28338416/impact-of-a-complex-care-management-model-on-cost-and-utilization-among-adolescents-and-young-adults-with-special-care-and-health-needs
#11
Daniel D Maeng, Susan R Snyder, Thomas W Davis, Janet F Tomcavage
Adolescents and young adults with special care and health needs in the United States-many of whom have Medicaid coverage-at the transition phase between pediatric and adult care often experience critical care gaps. To address this challenge, a new model-referred to as Comprehensive Care Clinic (CCC)-has been developed and implemented by Geisinger Health System since 2012. CCC comprises a care team, consisting of a generalist physician, advanced practitioner, pharmacist, and a nurse case manager, that develops and closely follows a coordinated care plan...
March 24, 2017: Population Health Management
https://www.readbyqxmd.com/read/28319325/transitions-to-and-from-long-term-care-facilities-and-length-of-completed-stay-reuse-of-population-based-survey-data
#12
Joanna B Broad, Thomas Lumley, Toni Ashton, Peter B Davis, Michal Boyd, Martin J Connolly
OBJECTIVE: This article estimates length of completed stay and resident transitions for RAC residents over 12 months in Auckland. METHODS: Data from a census-type survey of nursing home residents (n = 6816) were linked with national mortality data. Transitions described include entry to residential aged care (RAC), movement between RAC facilities and deaths. RESULTS: When reweighted for missing data and adjusted for length bias, an estimated 9676 residents (95% CI 8368-10 985) used care over a 12-month period...
March 20, 2017: Australasian Journal on Ageing
https://www.readbyqxmd.com/read/28290256/preparing-the-sexual-health-workforce-to-deliver-integrated-services-is-education-the-answer-a-qualitative-study-exploring-the-impact-of-sexual-health-education-on-developing-integrated-policy-and-practice
#13
Judy Brook, Debra Salmon, Rachael-Anne Knight
Aim This study aimed to explore the ability of sexual health nurses working in the South West of England, to implement new learning within existing sexual health service delivery models. Drawing on Lipsky's account of street-level bureaucracy to conceptualise policy implementation, the impact of workforce learning on the development of integrated services across this region of the United Kingdom was assessed. BACKGROUND: In order to achieve the United Nations' goal of universal access to sexual health, it is essential for reproductive and sexual health, including HIV provision, to integrate into a single service...
March 14, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28277260/transitioning-a-bachelor-of-science-in-nursing-program-to-blended-learning-successes-challenges-outcomes
#14
Laurie Posey, Christine Pintz
To help address the challenges of providing undergraduate nursing education in an accelerated time frame, the Teaching and Transforming through Technology (T3) project was funded to transition a second-degree ABSN program to a blended learning format. The project has explored the use of blended learning to: enable flexible solutions to support teaching goals and address course challenges; provide students with new types of independent learning activities outside of the traditional classroom; increase opportunities for active learning in the classroom; and improve students' digital literacy and lifelong learning skills...
October 18, 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/28276577/former-patients-experiences-of-recovery-from-self-harm-as-an-individual-prolonged-learning-process-a-phenomenological-hermeneutical-study
#15
Randi Tofthagen, Anne Grethe Talseth, Lisbeth Maria Fagerstøm
AIM: To explore, describe and understand former patients' experiences of recovery from self-harm. BACKGROUND: Previous research shows that a person's development towards a more secure self-image, mastery of their emotions, an understanding of what triggers self-harm and mastery of new ways to cope with problems are central to recovery. Recovery from self-harm is still a relatively new field of research. DESIGN: A phenomenological hermeneutical approach...
March 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28274941/supporting-insulin-initiation-in-type-2-diabetes-in-primary-care-results-of-the-stepping-up-pragmatic-cluster-randomised-controlled-clinical-trial
#16
John Furler, David O'Neal, Jane Speight, Jo-Anne Manski-Nankervis, Alexandra Gorelik, Elizabeth Holmes-Truscott, Louise Ginnivan, Doris Young, James Best, Elizabeth Patterson, Danny Liew, Leonie Segal, Carl May, Irene Blackberry
Objective To compare the effectiveness of a novel model of care ("Stepping Up") with usual primary care in normalising insulin initiation for type 2 diabetes, leading to improved glycated haemoglobin (HbA1c) levels.Design Cluster randomised controlled trial.Setting Primary care practices in Victoria, Australia, with a practice nurse and at least one consenting eligible patient (HbA1c ≥7.5% with maximal oral treatment).Participants 266 patients with type 2 diabetes and 74 practices (mean cluster size 4 (range 1-8) patients), followed up for 12 months...
March 8, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28253421/internationally-educated-nurses-in-transition-in-the-united-states-challenges-and-mediators
#17
Marlene M Rosenkoetter, Deena Nardi, Marilyn Bowcutt
International migration has doubled worldwide since 1970, and nurses are increasingly becoming a part of this trend. In 2008, approximately 5.6% of RN positions were filled by nurses educated in other countries. One of the critical issues is the transition of these immigrated nurses to the U.S. health care system and acculturation in a new society. Continuing education is necessary to promote adjustment and provide for a successful transition while ensuring quality patient care. The life patterns model provides a framework to describe the challenges and potential mediators in the transition process...
March 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28253419/enhancing-transition-to-practice-using-a-valid-and-reliable-evaluation-tool-progressive-orientation-level-evaluation-pole-tool
#18
Gail K Acuna, Lina H Yoder, Lizely Madrigal-Gonzalez, Patricia S Yoder-Wise
BACKGROUND: Numerous evaluation tools are used to verify nursing competencies, job satisfaction, and leadership qualities separately. One comprehensive tool, the Progressive Orientation Level Evaluation (POLE) tool, measures the increasing complexity of competencies from novice through competent levels. The tool also measures employee satisfaction and engagement to identify potential challenges, stressors, or barriers to transition prior to completion of the post-hiring orientation (on-boarding) process...
March 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28252838/new-graduate-registered-nurses-knowledge-of-patient-safety-and-practice-a-literature-review
#19
REVIEW
Melanie Murray, Deborah Sundin
AIMS AND OBJECTIVES: To critically appraise available literature and summarise evidence pertaining to the patient safety knowledge and practices of new graduate registered nurses. BACKGROUND: Responsibility for patient safety should not be limited to the practice of the bedside nurses, rather the responsibility of all in the healthcare system. Previous research identified lapses in safety across the healthcare, more specifically with new practitioners. Understanding these gaps and what may be employed to counteract them is vital to ensuring patient safety...
March 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28247567/spiritual-coping-a-focus-of-new-nursing-diagnoses
#20
Sandra Rosado Cabaço, Sílvia Caldeira, Margarida Vieira, Beth Rodgers
OBJECTIVE: To define the antecedents, consequents, and attributes of spiritual coping. METHODS: Rodgers' evolutionary model for concept analysis was used to guide an integrative literature review of qualitative research. FINDINGS: Six qualitative articles were included and elements that define and contextualize the concept were identified. CONCLUSIONS: Three new nursing diagnoses are proposed, based on qualitative findings...
March 1, 2017: International Journal of Nursing Knowledge
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