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skilled nursing

Mohammad Al Qadire
BACKGROUND: Various approaches and frameworks have been designed and tested to increase the uptake of research findings into practice. One approach is to base healthcare providers' practices on the best available research evidence rather than on expired policy or tradition. For which knowledge of evidence-based practice (EBP) principles is a prerequisite. OBJECTIVE: The purpose of the current inquiry is to evaluate Jordanian nursing students' knowledge of EBP. DESIGN: This study was an on-line cross-sectional survey...
October 16, 2018: Nurse Education Today
Hiroshi Nonogi
The in-hospital mortality rate of acute myocardial infarction (AMI) has dramatically decreased due to the treatment at the coronary care unit (CCU), especially with the progress of arrhythmia therapy and reperfusion therapy. On the other hand, severe heart failure and multiple organ failure are increasing due to aging populations and multiple organ diseases. As a result, patients with AMI without complications are less likely to be admitted to the CCU, and cardiologists staying in the CCU have also decreased...
October 17, 2018: Journal of Cardiology
Nirupama Yechoor, Amir Adeli, Shaheryar Hafeez
INTRODUCTION: Although overall mortality of status epilepticus is high, baseline patient characteristics and co-morbidities may be helpful to predict outcomes and shape treatment decisions. Two previously published scoring systems exist to predict outcomes: the Status Epilepticus Severity Score (STESS) and the Epidemiology-based Mortality Score in Status Epilepticus (EMSE). However, a comparison of the two scores has not previously been completed in an American intensive care unit. We hypothesize that both scores will adequately predict the primary outcome of in-hospital death, but that the EMSE may more accurately predict functional outcomes, and significantly impact treatment decisions for both clinicians and families...
October 3, 2018: Epilepsy Research
Martha Y Kubik, Jayne A Fulkerson, John R Sirard, Ann Garwick, Judy Temple, Olga Gurvich, Jiwoo Lee, Bonnie Dudovitz
Rising levels of severe obesity among children, worsening disparities by race and ethnicity and reluctance of primary care clinicians' to provide obesity management to children are compelling reasons to consider alternatives to primary care management of childhood obesity. The Students Nurses and Parents Seeking Healthy Options Together (SNAPSHOT) trial will test the efficacy of an elementary school-based, school nurse-led, healthy weight management program to reduce excess weight gain among children, 8- to 12-years old with a body mass index (BMI) ≥75th percentile, by increasing healthy dietary practices and physical activity and decreasing sedentary behaviors...
October 17, 2018: Contemporary Clinical Trials
Lu Yuan, Fengfei Li, Ting Jing, Bo Ding, Yong Luo, Rui Sun, Xiuping Wang, Hefeng Diao, Xiaofei Su, Lei Ye, Jianhua Ma
INTRODUCTION: Patients with type 2 diabetes (T2D) receiving premixed insulin often fail to achieve optimal glycemic control. The insulin injection technique (IT) itself may be one of the factors affecting glycemic variability (GV). The aim of this study was to assess the relationship between GV and IT in patients with T2D using premixed insulin. METHODS: This was a single center, cross-sectional, and self-controlled trial. Patients with T2D using premixed insulin were enrolled as inpatients...
October 19, 2018: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
Justin D Lee, Eric J Kuo, Lin Du, Michael W Yeh, Masha J Livhits
BACKGROUND: Patients with renal hyperparathyroidism (RHPT) are susceptible to major electrolyte fluctuations following parathyroidectomy, which may predispose them to early readmission. The purpose of this study is to evaluate risk factors for readmission in patients undergoing parathyroidectomy for RHPT. METHODS: Patients with renal failure who underwent parathyroidectomy were abstracted from the California Office of Statewide Health Planning and Development (1999-2012)...
October 19, 2018: World Journal of Surgery
Evelyn Obregon, Camilia R Martin, Ivan D Frantz Iii, Palak Patel, Vincent C Smith
OBJECTIVE: We compared the Neonatal Intensive Care Unit discharge preparedness of families with and without Limited English Proficiency (LEP). STUDY DESIGN: We performed a retrospective analysis of discharged families. Each family's discharge preparation was self-assessed on the day of discharge, and the discharging nurse assessed the family's overall emotional and technical discharge preparedness all on 9-point Likert scales. Families were considered not prepared for discharge if they rated themselves or the nurse rated their preparedness as <7 on the Likert scale...
October 19, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
Vanessa E C Sousa Freire, Marcos V O Lopes, Gail M Keenan, Karen Dunn Lopez
BACKGROUND: Being able to make accurate clinical decisions about actual or potential health problems is crucial to provide a safe and effective care. However, nursing students generally have difficulties identifying nursing diagnoses accurately. OBJECTIVE: To compare the diagnostic accuracy within and across the NANDA-I diagnoses domains of junior, senior, and graduate-entry students. DESIGN: Descriptive study PARTICIPANTS AND SETTING: The sample comprised one hundred thirty nursing students from a Midwestern American university...
October 11, 2018: Nurse Education Today
Rachael B Zuckerman, Shannon Wu, Lena M Chen, Karen E Joynt Maddox, Steven H Sheingold, Arnold M Epstein
OBJECTIVES: To examine characteristics and locations of high- and low-quality skilled nursing facilities (SNFs) and whether certain vulnerable individuals were differentially discharged to facilities with lower quality ratings. DESIGN: Retrospective observational study. SETTING: Medicare-certified SNFs providing postacute care. PARTICIPANTS: SNF stays (N=1,195,166) of Medicare beneficiaries aged 65 and older admitted to 14,033 SNFs within 2 days of hospital discharge...
October 19, 2018: Journal of the American Geriatrics Society
Marva Foster, Marie Gilbert, Darlene Hanson, Kathryn Whitcomb, Crystal Graham
BACKGROUND: While use of simulation to improve teamwork skills has been established in a variety of clinical settings, it is unclear how teamwork skills of nursing students are developed using simulation. PURPOSE: The purpose of this review was to synthesize literature on how simulation is used to teach teamwork skills to prelicensure nursing students. METHODS: The integrative review of the literature was conducted using the Whittemore and Knafl 5-stage methodology and the TeamSTEPPS framework...
October 18, 2018: Nurse Educator
A B de Castro, Natalia Dyba, Elizabeth D Cortez, Genecar G Pe Benito
BACKGROUND: Collaborative Online International Learning (COIL) is a pedagogical approach using digital technology to provide experiential international learning without travel abroad. Through web-based, cross-country intellectual exchange, COIL helps prepare nursing students for increasingly diverse and multicultural health care work environments globally. PROBLEM: Opportunities to engage in multicultural learning experiences have traditionally relied on intensive study abroad trips, which can be prohibitive for students with limited fiscal resources or who are place-bound...
October 18, 2018: Nurse Educator
Panpan Wang, Jiansai Ai, Patricia M Davidson, Tammy Slater, Ruofei Du, Changying Chen
AIMS AND OBJECTIVES: To describe nurses' attitudes, beliefs, and practices regarding sexuality care for patients with cardiovascular disease. BACKGROUND: Limited sexual activity is common among patients with cardiovascular disease, yet assessment of sexuality and counseling is frequently not undertaken by nurses. DESIGN: Cross-sectional study. METHODS: This study recruited 268 cardiac nurses from seven tertiary hospitals in five cities of Henan province...
October 19, 2018: Journal of Clinical Nursing
Emily A Gadbois, Denise A Tyler, Renee Shield, John McHugh, Ulrika Winblad, Joan M Teno, Vincent Mor
OBJECTIVE: This research aimed to understand the experiences of patients transitioning from hospitals to skilled nursing facilities (SNFs) by eliciting views from patients and hospital and skilled nursing facility staff. DESIGN: We conducted semi-structured interviews with hospital and skilled nursing facility staff and skilled nursing facility patients and their family members in an attempt to understand transitions between hospital and SNF. These interviews focused on all aspects of the discharge planning and nursing facility placement processes including who is involved, how decisions are made, patients' experiences, hospital-SNF communication, and the presence of programs to improve the transition process...
October 18, 2018: Journal of General Internal Medicine
Shahriar Ostovar, Atefeh Allahbakhshian, Leila Gholizadeh, Sima Lak Dizaji, Parvin Sarbakhsh, Akram Ghahramanian
Oral debriefing (OD) and video-assisted debriefing (VAD) are commonly used debriefing methods, with no evidence of superiority of one to another. The present study aimed to compare the effects of OD and VAD on the development of learning outcomes in nursing students. This is a quasi-experimental study. A total of 50 first-year nursing students participated in this study. Participants in the control group participated in OD and those in the intervention group took part in VAD. Debriefing improved psychomotor skills, self-confidence, and student satisfaction in both groups...
July 2018: Journal of Advanced Pharmaceutical Technology & Research
Mary G Boulton, Sally Beer
Aim: To provide a better understanding of the factors affecting recruitment and retention of clinical research nurses. Design: Qualitative exploratory design. Methods: An on-line questionnaire comprising open-ended and fixed-choice questions was completed by 121 clinical research nurses. Seven focus groups were held with a subgroup of 26 participants. Data were analysed using inductive thematic analysis. Results: Participants were attracted to a research nurse post by an interest in research itself, a desire for a change or to achieve personal objectives...
October 2018: Nursing Open
Yeliz Culha, Rengin Acaroglu
BACKGROUND: Students' gaining and adopting basic professional values, improving their emotional intelligence skills during the process of nursing education plays a significant role on meeting the needs of healthy/patient individual and his or her family, and individualized care practices. OBJECTIVES: This (descriptive, correlational) research was carried out to evaluate the nursing values, emotional intelligence levels, and individualized care perceptions of senior nursing students and to determine the relationship between them...
October 18, 2018: Nursing Ethics
Sherrill J Smith, Sharon L Farra, Deborah L Ulrich, Eric Hodgson, Stephanie Nicely, Angelia Mickle
AIM: The aim of the study was to assess two levels of immersive virtual reality simulation (VRS) to teach the skill of decontamination. BACKGROUND: Little is known about the use of VRS in providing disaster education, including retention. METHOD: Quasiexperimental design with repeated measures, supplemented by qualitative data, using a convenience sample of senior baccalaureate nursing students (n = 197) from four Midwest campuses was used...
November 2018: Nursing Education Perspectives
Joseph R Linzey, Elyne N Kahn, Maksim A Shlykov, Kyle T Johnson, Katie Sullivan, Aditya S Pandey
BACKGROUND: In an era of growing healthcare costs, there is increased pressure on medical care providers to discharge patients once they are medically fit. However, it is not uncommon for patients to stay beyond medical readiness (BMR). OBJECTIVE: To analyze the frequency with which patients remain in the hospital BMR. METHODS: A prospective cohort analysis utilizing a database maintained between 2014 and 2015 included 718 adults admitted to the neurosurgical service...
October 17, 2018: Neurosurgery
Oscar Andrés Gamboa, Sergio Iván Agudelo, María Jose Maldonado, Diana C Leguizamón, Sandra M Cala
OBJECTIVE: To evaluate two debriefing strategies for the development of neonatal resuscitation skills in health professionals responsible for the critical newborn care in a high-complexity university Hospital. RESULTS: A simple blind randomized clinical trial was conducted. Twenty-four professionals (pediatricians, nurses, and respiratory therapists) were randomly assigned for two interventions; one group received oral debriefing and the other oral debriefing assisted by video...
October 17, 2018: BMC Research Notes
Elizabeth M Bloom
Horizontal violence (HV), or nonphysical intergroup conflict expressed in overt and covert behaviors of hostility, is pervasive in nursing and has been discussed in the literature for more than two decades. It is costly and has potentially devastating effects including high nurse turnover rates, increased illness, decreased productivity, and decreased quality of patient care. Recognizing how these behaviors are established and sustained is necessary if nurses are to overcome these types of behaviors. This mixed methods study used an online survey to examine 76 hospital nurses' experiences and responses to episodes of HV as well as its effects on job performance...
October 17, 2018: Nursing Forum
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