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skilled nursing

Alejandro Iregui, Karen Ha, Katharine Meleney, David Landman, John Quale
Objectives: Carbapenemase-producing Enterobacteriaceae are important nosocomial pathogens in many medical centres. Surveillance is needed to track trends and detect emergence of new carbapenemases. Methods: Single-patient isolates of Enterobacteriaceae were gathered from seven medical centres in New York City over a 3 month period in 2017. Susceptibility testing was performed and isolates were screened for selected carbapenemases. Additional isolates referred to our laboratory in 2018 were also tested...
August 10, 2018: Journal of Antimicrobial Chemotherapy
Jesús Molina-Mula, Antonio González-Trujillo, Margarita Simonet-Bennassar
Knowing professionals' attitudes is the basis for the development of skills for dealing with drug dependence. These attitudes may affect patients' clinical safety and the cost-benefit ratio of the interventions. The goal of this study was to assess emergency and mental health nurses' attitudes and perceptions towards alcoholics. A multicenter prospective descriptive study was conducted in six hospitals with 167 emergency and mental health nurses. Nurses classified alcoholics as sick individuals, although there was a tendency to feel uncomfortable working with them...
August 13, 2018: International Journal of Environmental Research and Public Health
Fadi Bouri, Walid El Ansari, Shady Mahmoud, Ahmed Elhessy, Abdulla Al-Ansari, Mohamed Al Ateeq Al-Dosari
Pain is a challenge for orthopedic healthcare professionals (OHCP). However, pain studies examined the competencies of a single OHCP category, did not consider various pain management domains or barriers to optimal pain service, and are deficient across the Arabic Eastern Mediterranean region. We surveyed OHCP's recognition and knowledge of pain and perceived barriers to optimal pain service (361 OHCP, five hospitals). Chi square compared doctors' ( n = 63) vs. nurses/physiotherapists' ( n = 187) views. In terms of pain recognition, more nurses had pain management training, confidently assessed pediatric/elderly pain, were aware of their departments' pain protocols, and felt that their patients receive proper pain management...
August 13, 2018: Healthcare (Basel, Switzerland)
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
Rikinkumar S Patel, Geetha Manikkara, Priya Patel, Jupi Talukdar, Zeeshan Mansuri
Objective : To analyze differences in demographic pattern and hospitalization outcomes in post-traumatic stress disorder (PTSD) with opioid use disorder (OUD) patients managed with versus without behavioral therapy (BT). Methods : We conducted case-control study using Nationwide Inpatient Sample and identified PTSD and OUD using ICD⁻9⁻CM codes. Linear regression model was used to evaluate impact of BT on inpatient stay and cost. Results : We analyzed 1531 inpatient admissions and 786 patients received BT...
August 12, 2018: Behavioral Sciences
Amer Zawahreh, Janet Rankin, Ahmed Abu Jaber, Abdulqadir Nashwan
OBJECTIVE: To identify the challenges and facilitators for implementing a 24-h telephone cancer service. DATA SOURCES: English language articles were retrieved from Medline, Cumulative Index of Nursing and Allied Health Literature, and Ovid Nursing electronic databases published from 2000 to 2015. STUDY DESIGN: The authors performed an integrative literature review. The qualitative and quantitative articles were evaluated using the Critical Appraisal Skills Program...
August 13, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
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
Jonathan Bayuo, Frank Agyei Bediako, Gabriel Allotey, Prince Kyei Baffour
AIM: To build a comparative understanding of nurses' experiences with caring for burned patients with the goal of eliciting possible support strategies. BACKGROUND: Considering the stressful nature of burns nursing, there is a need to develop support strategies for burn care nurses. DESIGN: This meta-ethnographic study used Noblit and Hare's approach and followed PRISMA guidelines. DATA SOURCES: The search databases included PsycINFO, EbscoHost, Google Scholar, ScienceDirect, and PubMed from 1990 to 2017...
August 12, 2018: International Journal of Nursing Practice
Elaine Wittenberg, Anne Reb, Elisa Kanter
OBJECTIVES: To examine nurse communication in cancer care and offer communication strategies for quality palliative care nursing. DATA SOURCES: Communication strategies offered are based on the COMFORT Communication curriculum, an evidence-based communication training program. CONCLUSION: Whole-patient assessment, a major component of palliative care, involves communication that includes eliciting the patient's story, addressing health literacy needs, being mindful of burnout, and relating to the patient and family...
August 9, 2018: Seminars in Oncology Nursing
Courtney J Balentine, Meredith C Mason, Peter J Richardson, Panagiotis Kougias, Faisal Bakaeen, Aanand D Naik, David H Berger, Daniel A Anaya
BACKGROUND: Variation in use of postacute care (PAC), including skilled nursing facilities and inpatient rehabilitation, accounts for 73% of regional variation in Medicare spending. Studies of hospital variation in PAC use have typically focused on nonsurgical patients or have been limited to Medicare data. Consequently, there is no nationally representative data on how rates of postoperative discharge to PAC differ between hospitals. The purpose of this study was to explore hospital-level variation in PAC utilization after cardiovascular and abdominal surgery...
October 2018: Journal of Surgical Research
Eleanor Curtis, Kathleen Romanowski, Soman Sen, Ashley Hill, Christine Cocanour
BACKGROUND: Although many frailty scales exist, a single scale has not been agreed upon to define frailty. Herein, we determined whether the Canadian Study on Health and Aging Clinical Frailty Scale (CSHA CFS) can predict the risk of elderly patients for hospital mortality and discharge to skilled nursing facilities (SNFs) following traumatic injury. METHODS: Charts from trauma patients aged ≥65 y admitted from December 1, 2011 to December 31, 2013 were retrospectively examined...
October 2018: Journal of Surgical Research
Bharati Sharma, Ingegerd Hildingsson, Kyllike Christensson
BACKGROUND: This study aimed to investigate the association between self-confidence of final-year students in selected midwifery skills and teaching-learning methods used in the two formally recognized education programs for nurse-midwives in India. DESIGN: A cross-sectional survey PARTICIPANTS: 633 final-year students, from 25 educational institutions randomly selected, stratified by type of program (diploma/bachelor), and ownership (private/government) in Gujarat...
August 8, 2018: Women and Birth: Journal of the Australian College of Midwives
Carey Candrian, Alexandra Tsantes, Dan D Matlock, Channing Tate, Jean S Kutner
OBJECTIVE: The objective of this paper is to understand patient, caregiver and hospice admission nurses needs during the hospice admission conversation so patients and their caregivers can make informed decisions about hospice. METHODS: Resulting data set from this qualitative study included 60 h of observation and a total of 30 interviews with caregivers, patients and hospice admission nurses. Participants were from a large non-profit hospice; observation settings included: home, hospital and skilled nursing facility...
August 4, 2018: Patient Education and Counseling
Gary Francis
No abstract text is available yet for this article.
August 10, 2018: Evidence-based Nursing
Julia Köppen, Claudia B Maier, Reinhard Busse
BACKGROUND: Many European countries experience health workforce skill-mix changes due to population ageing, multimorbidity and medical technology. Yet, there is limited cross-country research in hospitals. METHODS: Cross-sectional, observational study on staff role changes and contributing factors in nine European countries. Survey of physicians, nurses and managers (n = 1524) in 112 hospitals treating patients with breast cancer or acute myocardial infarction...
July 26, 2018: Health Policy
Mohsen Salari, Amrollah Roozbehi, Abdolvahed Zarifi, Rohani Ahmad Tarmizi
BACKGROUND: Nursing education in Iran has conventionally focused on lecture-based strategies. Improvements in teaching and learning over the years have led to an expansion of the pedagogies available to educators. Likewise, there has been a suggestion for a move toward more learner-centered teaching strategies and pedagogies that can result in improvement in learning. This study was undertaken to investigate the effects of Problem-Based Learning in developing cognitive skills in learning Pediatric Nursing among university students...
August 10, 2018: BMC Medical Education
Jenni L Hoffman, Linda Myler, Sandra Hines
Students in health care today are very different than those of past generations. Health care education requires both innovation and creativity to meet the changing needs of students. Soft skills such as leadership, communication, nursing informatics, technology, and professionalism can sometimes be lost in pursuit of scientific knowledge. The purpose of this descriptive pilot study was to evaluate the effectiveness of a product designed to assist in the development of soft skills in a bachelor of science in nursing curriculum...
August 7, 2018: Nursing Education Perspectives
Alexandra L Martin, J Ryan Stewart, Harshitha Girithara-Gopalan, Jeremy T Gaskins, Nicole J McConnell, Erin E Medlin
OBJECTIVES: The objective of this study was to determine complications associated with primary closure compared with reconstruction after vulvar excision and predisposing factors to these complications. METHODS: Patients undergoing vulvar excision with or without reconstruction from 2011 to 2015 were abstracted from the National Surgical Quality Improvement Program database. Common Procedural Terminology codes were used to characterize surgical procedures as vulvar excision alone or vulvar excision with reconstruction...
August 7, 2018: International Journal of Gynecological Cancer
Teresa Gore, Oma Baliram Singh
Academic leaders in a college of nursing were faced with an increasing need to integrate high quality simulations into their undergraduate curriculum; however, there was a general lack of expertise in the subject area among faculty. The leaders supported the development of an online course that focused on improving foundational simulation knowledge. The course, developed through collaboration between a faculty simulation expert and an instructional designer, was specifically designed to focus on key simulation objectives to improve the simulation skill set of faculty...
August 8, 2018: Nursing Education Perspectives
Meredith Campbell Britton, Beth Hodshon, Sarwat I Chaudhry
OBJECTIVES: Care transitions between hospitals and skilled nursing facilities (SNFs) are associated with disruptions in patient care and high risk for adverse events. Communication between hospital-based and SNF-based clinicians is often suboptimal; there have been calls to foster direct, real-time communication between sending and receiving clinicians to enhance patient safety. This article described the implementation of a warm handoff between hospital and SNF physicians and advanced practice providers at the time of hospital discharge...
August 9, 2018: Journal of Patient Safety
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