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skilled nursing

Heidi Snoen Glomsås, Tonje Sørum Tranum, Anne-Kari Johannessen
This paper focuses on the experiences of nursing students on a student-managed ward, the purpose of which was to empower students for the nursing role. Five nursing students operated and managed a nursing home ward for eight weeks during their final year of nursing education. The students claimed that a group of five students was beneficial. However, a group of five was too large for one nurse to follow up. The students reported that they needed visible supervisors in order to develop professional nursing skills, both in terms of knowledge and practical implementation...
November 29, 2018: Nurse Education in Practice
Tahereh Najafi Ghezeljeh, Jaleh Mohammad Aliha, Hamid Haghani, Naser Javadi
BACKGROUND: Nurses play an important role in helping people to cope with disasters. Dealing with disasters requires proper knowledge, attitudes and skills that can be achieved through education. Education through virtual social networks as a method of distance education can be used due to its accessibility and ease of use. OBJECTIVES: To investigate the effect of education using the virtual social network on the knowledge and attitude of emergency nurses of disaster preparedness...
December 6, 2018: Nurse Education Today
Michael L Krol, Colette Allen, Loretta Matters, Aubrey Jolly Graham, William English, Heidi K White
BACKGROUND: Individuals discharged from the hospital to skilled nursing facilities (SNFs) experience high rates of unplanned hospital readmission, indicating opportunity for improvement in transitional care. LOCAL PROBLEM: Local physicians providing care in SNFs were not associated with the discharging hospital health care system. As a result, substantive real-time communication between hospital and SNF physicians was not occurring. METHODS: A multidisciplinary team developed and monitored implementation of the Health Optimization Program for Elders (HOPE) to improve patient transitions from acute hospital stay to SNFs...
December 12, 2018: Journal of Nursing Care Quality
Lacey Loomer, Brian Downer, Kali S Thomas
OBJECTIVES: Improving function is an important outcome of postacute care in skilled nursing facilities (SNFs), but cognitive impairment can limit a resident's ability to improve during a postacute care stay. Our objective was to examine the association between residents' cognitive status on admission and change in self-care and mobility during a Medicare-covered SNF stay. DESIGN: Retrospective analysis of Medicare beneficiaries who had a new SNF stay between January and June 2017...
December 13, 2018: Journal of the American Geriatrics Society
Wei-Chih Chin, Hsin-Mei Li, Kuo-Yu Chao, Hsueh-Ling Chang
Autism spectrum disorder has only recently been recognized as a developmental disability in Taiwan. We conducted an exploratory qualitative descriptive study with children (n = 14, mean age = 13.57 years) and their parents to understand stressors experienced by children with autism spectrum disorder in Taiwan. An analysis of face-to-face interviews revealed that children with autism spectrum disorder experienced stressors of daily living, which included environmental stimuli, academic and behavioral expectations, deviations in routine, behavioral expectations, and emotional control, and stressors of socializing, which included bullying, communication, personal interactions, conflict resolution, and difficulty understanding others' emotions...
December 11, 2018: Nursing & Health Sciences
John E Barkley, Andrea McCall, Andréa L Maslow, Beata A Skudlarska, Xu Chen
BACKGROUND: Inpatient palliative care consultation (PCC) may reduce 30-day readmissions and inpatient mortality among seriously ill patients. OBJECTIVE: To evaluate the impact of timing of PCC on 30-day readmissions and inpatient mortality. DESIGN: Retrospective, observational study comparing risk-adjusted, observed-to-expected (O/E) 30-day readmissions and inpatient mortality among patients receiving inpatient PCC to all other inpatients...
December 14, 2018: Journal of Palliative Medicine
Azeem Tariq Malik, Nikhil Jain, Jeffery Kim, Safdar N Khan, Elizabeth Yu
Background: Chronic obstructive pulmonary disease (COPD) is a common cause of morbidity and mortality worldwide. Past literature has demonstrated that patients with COPD are at an increased risk of post-operative complications. We assessed the impact of COPD on 30-day outcomes following a 1- to 2-level posterior lumbar fusion (PLF). Methods: The 2012-2016 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database was queried using current procedural terminology (CPT) codes 22612, 22630 and 22633 to identify patients undergoing PLFs...
September 2018: Journal of Spine Surgery (Hong Kong)
Tammie McIntyre, Carmel Taylor, Michael Bailey, Daryl Jones
BACKGROUND: There is a lack of knowledge about tasks intensive care unit liaison nurses (ICU LNs) perform during patient review, despite this role operating in at least 31 acute care hospitals in Australia. OBJECTIVES: To evaluate the tasks that ICU LNs perform during patient review in the following referral subcategories: review after ICU discharge, rapid response team (RRT) review, and ward referral. METHODS: A 2-month prospective observational study using standardised case report forms to collect data on patients reviewed by ICU LNs in 20 Australian hospitals was conducted...
December 10, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
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
Shahrzad Mavandadi, Laura O Wray, Ronald W Toseland
This study examined the psychometric properties of the Self-Appraisal of Change Scale, a measure designed to capture domains that are subjectively relevant to caregivers, associated with overall well-being, and amenable to change upon engaging in an intervention. Data from 107 caregivers of veterans with dementia enrolled in a randomized controlled trial of a telephone-delivered caregiver psychoeducation and support group program (the Telehealth Education Program (TEP)) were analyzed. The TEP, which was delivered by master's prepared social workers and a nurse dementia care manager, targeted caregivers' dementia-related knowledge, attitudes, and self-management skills...
December 13, 2018: Journal of Gerontological Social Work
María Del Mar Molero Jurado, María Del Carmen Pérez-Fuentes, Ana Belén Barragán Martín, María Del Mar Simón Márquez, África Martos Martínez, José Jesús Gázquez Linares
One of the trends in the current research in psychology is to explore how personal variables can determine a person's communication style. Our objective was to find out the moderating effect of mood in the relationship between the five big personality traits and an aggressive verbal communication style risk factor from work activities in a sample of nursing professionals. This study is a quantitative descriptive design. The final sample was 596 nurses with an age range of 22 to 56 years. An ad hoc questionnaire was used to collect sociodemographic data, and the 10-item Big Five Inventory, the Communication Styles Inventory, and the Brief Emotional Intelligence Inventory for Senior Citizens were used...
December 7, 2018: Journal of Clinical Medicine
Katherine Menard, Nancy Maas
Faculty in a baccalaureate nursing (BSN) program recognized that fundamentals students often expressed a lack of confidence regarding translating knowledge and skills from long-term care environments into acute medical-surgical environments. This study used Benner's novice to expert framework as the basis for designing and implementing a peer-coached student led simulation with the aim of easing student transition from novice to advanced beginner. A mixed-methods descriptive design was used to gather and analyze qualitative data from peer-coach and learner focus groups...
December 1, 2018: Nurse Education in Practice
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
Heleen Westland, Yvonne Koop, Carin D Schröder, Marieke J Schuurmans, P Slabbers, Jaap C A Trappenburg, Sigrid C J M Vervoort
BACKGROUND: Self-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support patients in changing their behaviour, the structured behaviour change Activate intervention was developed. This intervention aims to enhance physical activity in patients at risk for cardiovascular disease in primary care as well as to enhance nurses' role in supporting these patients...
December 12, 2018: BMC Family Practice
Amy Witkoski Stimpfel, Mattia J Gilmartin
BACKGROUND: Registered nurses are often underprepared with the knowledge and skills to care for hospitalized older adult patients. One strategy to bridge this gap is for hospitals to adopt the Nurses Improving Care for Healthsystem Elders (NICHE) program: A nurse-led interdisciplinary organizational intervention to improve care of hospitalized older adults. OBJECTIVES: This study aimed to identify the market, organizational and managerial, and sociotechnical factors associated with the adoption of NICHE among U...
January 2019: Nursing Research
Laura M Keohane, Salama Freed, David G Stevenson, Sunita Thapa, Lucas Stewart, Melinda B Buntin
Issue: Over the past decade, traditional Medicare’s per-beneficiary spending grew at historically low levels. To understand this phenomenon, it is important to examine trends in postacute care, which experienced exceptionally high spending growth in prior decades. Goal: Describe per-beneficiary spending trends between 2007 and 2015 for postacute care services among traditional Medicare beneficiaries age 65 and older. Methods: Trend analysis of individual-level Medicare administrative data to generate per-beneficiary spending and utilization estimates for postacute care, including skilled nursing facilities, home health, and inpatient rehabilitation facilities...
December 1, 2018: Issue Brief of the Commonwealth Fund
Luciara Fabiane Sebold, Julia Estela Willrich Boell, Vivian Costa Fermo, Juliana Balbinot Reis Girondi, José Luís Guedes Dos Santos
OBJECTIVE: Describe the reflections of nursing students on nursing care through the use of role-playing. METHOD: Qualitative research with descriptive-exploratory approach and documentary base. The data were collected from portfolios of 32 students from an undergraduate course in the Southern Brazil. The analysis of the data followed the steps of sorting, classification in structures of relevance, synthesis and interpretation. RESULTS: Two empirical categories were obtained: (1) Feelings in the act of taking care and receiving care and (2) Reversing roles: benefits to the nurse in the act of caring...
2018: Revista Brasileira de Enfermagem
Ivan Rubbi, Valeria Cremonini, Adriana Butuc, Carla Cortini, Giovanna Artioli, Antonio Bonacaro, Gianandrea Pasquinelli
BACKGROUND AND AIM OF THE STUDY: Nursing students are at high risk of injury while on clinical placement. The incidence of injury is three times higher in comparison to other healthcare workers, with a prevalence ranging from 25% up to 33,2%. Lack of knowledge and of experience in delivering nursing care, anxiety and unfamiliarity with the clinical environment all represent risk factors for injury. This study describes the number and type of injuries occurring in an organizational setting where nursing students are trained in simulation laboratories before being exposed to a real clinical environment...
December 7, 2018: Acta Bio-medica: Atenei Parmensis
Enrico Bulleri, Cristian Fusi, Stefano Bambi, Luigi Pisani
BACKGROUND: Mechanical ventilation is often employed as partial ventilatory support where both the patient and the ventilator work together. The ventilator settings should be adjusted to maintain a harmonious patient-ventilator interaction. However, this balance is often altered by many factors able to generate a patient ventilator asynchrony (PVA). The aims of this review were: to identify PVAs, their typologies and classifications; to describe how and to what extent their occurrence can affect the patients' outcomes; to investigate the levels of nursing skill in detecting PVAs...
December 7, 2018: Acta Bio-medica: Atenei Parmensis
Eda Ozkara San
INTRODUCTION: Standardized patient simulation can be an effective strategy to foster culturally competence education. METHODOLOGY: Guided by the cultural competence and confidence model, this grant-funded, longitudinal, one-group, pretest and posttest study used the Transcultural Self-Efficacy Tool (TSET) to examine the effect of the Diverse Standardized Patient Simulation (DSPS) cultural competence education strategy on students' ( n = 53) transcultural self-efficacy...
December 12, 2018: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
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