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https://www.readbyqxmd.com/read/28106610/-opt-out-and-access-to-anesthesia-care-for-elective-and-urgent-surgeries-among-u-s-medicare-beneficiaries
#1
Eric C Sun, Franklin Dexter, Thomas R Miller, Laurence C Baker
BACKGROUND: In 2001, the Centers for Medicare and Medicaid Services issued a rule allowing U.S. states to "opt out" of the regulations requiring physician supervision of nurse anesthetists in an effort to increase access to anesthesia care. Whether "opt out" has successfully achieved this goal remains unknown. METHODS: Using Medicare administrative claims data, we examined whether "opt out" reduced the distance traveled by patients, a common measure of access, for patients undergoing total knee arthroplasty, total hip arthroplasty, cataract surgery, colonoscopy/sigmoidoscopy, esophagogastroduodenoscopy, appendectomy, or hip fracture repair...
January 19, 2017: Anesthesiology
https://www.readbyqxmd.com/read/28099046/death-notification-someone-needs-to-call-the-family
#2
Rachel Ombres, Lauren Montemorano, Daniel Becker
BACKGROUND: The death notification process can affect family grief and bereavement. It can also affect the well-being of involved physicians. There is no standardized process for making death notification phone calls. We assumed that residents are likely to be unprepared before and troubled after. OBJECTIVE: We investigated current death notification practices to develop an evidence-based template for standardizing this process. DESIGN: We used results of a literature review and open-ended interviews with faculty, residents, and widows to develop a survey regarding resident training and experience in death notification by phone...
January 18, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28098011/an-evaluation-of-the-florence-nightingale-foundation-scholarships
#3
Matthew Rose, Angela Tod, Candy McCabe, Richard Giordano
The Florence Nightingale Foundation (FNF) is a charity that awards scholarships in leadership, travel and research to nurses, midwives and other healthcare professionals to promote excellence in practice. The FNF offers mentoring support to scholars, and provides support with career development and writing articles for publication, in addition to the financial award. The leadership scholarships are bespoke: leadership scholars can access a range of development opportunities that are specially commissioned for them, and select their programme of study and experiences, based on their individual needs...
January 18, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28049440/an-assessment-of-the-level-of-concern-among-hospital-based-health-care-workers-regarding-mers-outbreaks-in-saudi-arabia
#4
Mostafa A Abolfotouh, Ali A AlQarni, Suliman M Al-Ghamdi, Mahmoud Salam, Mohammed H Al-Assiri, Hanan H Balkhy
BACKGROUND: Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated. METHODS: An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014...
January 3, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/27991601/on-the-road-less-traveled-journey-of-an-oncology-palliative-care-researcher
#5
Marie A Bakitas
In 2001, as the Trish Greene Quality of Life lecturer, I described coming to a career crossroads and cited a metaphor from Robert Frost's poem "The Road Not Taken," realizing that, as I chose to leave the path of bone marrow transplantation clinician and go to that of palliative care nurse, there was no turning back. In this article based on my 2016 Oncology Nursing Society Congress Distinguished Nurse Researcher Award lecture, I would like to continue the Frost metaphor as I describe what has transpired since taking "the one less traveled by"-that of palliative care nurse scientist...
January 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/27986235/building-a-sustainable-global-surgery-nonprofit-organization-at-an-academic-institution
#6
Margaret M Frisella
BACKGROUND: Surgical Outreach for the Americas is a 501(c)3 nonprofit organization providing surgical care to those in need in developing countries of the Western Hemisphere. Every year since its inception in 2008, teams of surgeons, nurses, and allied health professionals have traveled to areas of need and performed primarily hernia repair surgeries for those without access to affordable health care. METHODS: Surgical Outreach for the Americas (SOfA) began as a general concept based on World Health Organization statistics claiming that 11% of the global burden of disease can be resolved via surgery...
July 2016: Annals of Global Health
https://www.readbyqxmd.com/read/27912783/exploring-levers-and-barriers-to-accessing-primary-care-for-marginalised-groups-and-identifying-their-priorities-for-primary-care-provision-a-participatory-learning-and-action-research-study
#7
Patrick O'Donnell, Edel Tierney, Austin O'Carroll, Diane Nurse, Anne MacFarlane
BACKGROUND: The involvement of patients and the public in healthcare has grown significantly in recent decades and is documented in health policy documents internationally. Many benefits of involving these groups in primary care planning have been reported. However, these benefits are rarely felt by those considered marginalised in society and they are often excluded from participating in the process of planning primary care. It has been recommended to employ suitable approaches, such as co-operative and participatory initiatives, to enable marginalised groups to highlight their priorities for care...
December 3, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27894483/-telepsychiatry-and-cooperation-between-professionnals-in-a-mobile-team
#8
Élodie Boutbien, Sabrina Copin, Karine Veyres-Broquin, Yann Wendel
Telepsychiatry in a mobile team uses advanced technology for the benefit of healthcare. It requires a high level of cooperation between the different players. In a nursing home, ilt provides patients with access to psyhiatric care despite the distance or the difficulties involved in travelling to an appointment.
November 2016: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/27862244/retail-food-store-access-in-rural-appalachia-a-mixed-methods-study
#9
Esther Thatcher, Cassandra Johnson, Shannon N Zenk, Pamela Kulbok
OBJECTIVE: To describe how characteristics of food retail stores (potential access) and other factors influence self-reported food shopping behavior (realized food access) among low-income, rural Central Appalachian women. DESIGN AND SAMPLE: Cross-sectional descriptive. Potential access was assessed through store mapping and in-store food audits. Factors influencing consumers' realized access were assessed through in-depth interviews. Results were merged using a convergent parallel mixed methods approach...
November 14, 2016: Public Health Nursing
https://www.readbyqxmd.com/read/27829573/advancing-interprofessional-primary-health-care-services-in-rural-settings-for-people-with-chronic-low-back-disorders-protocol-of-a-community-based-randomized-controlled-trial
#10
Brenna Bath, Stacey Lovo Grona, Stephan Milosavljevic, Nazmi Sari, Biaka Imeah, Megan E O'Connell
BACKGROUND: Chronic low back disorders (CLBDs) are a substantial burden on individuals and societies, and impact up to 20% of Canadians. Rural and remote residents are approximately 30% more likely to have CLBDs. Reduced access to appropriate team-based health services, including physical therapy, is a key factor that may magnify the impact of CLBD on pain, physical function, overall quality of life, health-related system costs, and individual costs. OBJECTIVE: The purpose of this project is to evaluate the validity, comparative effectiveness, costs, barriers, and facilitators of an interprofessional management approach for people with CLBDs, delivered via telehealth...
November 9, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27778333/personalizing-nursing-home-compare-and-the-discharge-from-hospitals-to-nursing-homes
#11
Dana B Mukamel, Alpesh Amin, David L Weimer, Heather Ladd, Joseph Sharit, Ran Schwarzkopf, Dara H Sorkin
OBJECTIVE: To test whether use of a personalized report card, Nursing Home Compare Plus (NHCPlus), embedded in a reengineered discharge process, can lead to better outcomes than the usual discharge process from hospitals to nursing homes. DATA SOURCES/SETTING: Primary data collected in the Departments of Medicine and Surgery at a University Medical Center between March 2014 and August 2015. STUDY DESIGN: A randomized controlled trial in which patients in the intervention group were given NHCPlus...
December 2016: Health Services Research
https://www.readbyqxmd.com/read/27763973/barriers-to-cleft-lip-and-palate-repair-around-the-world
#12
Benjamin B Massenburg, Hillary E Jenny, Saurabh Saluja, John G Meara, Mark G Shrime, Nivaldo Alonso
BACKGROUND: Cleft lip and/or palate (CLP) is estimated to occur in 1 out of every 700 births, but for many people residing in low- and middle-income countries this deformity may be repaired late in life or not at all. This study aims to analyze worldwide provider-perceived barriers to the surgical repair of CLP in low- and middle-income countries. METHODS: From 2011 to 2014, Smile Train distributed a multiple-choice, voluntary survey to healthcare providers to identify areas of need in CLP care worldwide...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27745051/this-experience-taught-me-the-importance-of-sharing-knowledge
#13
Tara Lally
In my final year of learning disability nursing at Queen's University Belfast, I travelled to Romania with a team of nursing students for our 4-week elective placement.
September 14, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27742350/modeling-nurse-patient-assignments-considering-patient-acuity-and-travel-distance-metrics
#14
Ilgin Acar, Steven E Butt
Balancing workload among nurses on a hospital unit is important for the satisfaction and safety of nurses and patients. To balance nurse workloads, direct patient care activities, indirect patient care activities, and non-patient care activities that occur throughout a shift must be considered. The layout of a hospital unit and the location of a nurse's assigned patients relative to other resources on the unit are also important factors in achieving workload balance. In most hospitals, a unit charge nurse is responsible for the shift assignment of patients to nurses based on experience and past practices...
December 2016: Journal of Biomedical Informatics
https://www.readbyqxmd.com/read/27741934/at-the-crossroads-the-health-and-welfare-of-new-mothers
#15
Joan Garvan
BACKGROUND: Institutionalized practice is failing to keep pace with cultural change in regard to gendered expectations. After the birth of an infant there are high rates of marital breakdown, high rates of anxiety and depression, and issues related to identity. OBJECTIVES/AIMS: The aim was to gauge how a sample of Australian women were travelling through the Transition to Parenthood. METHODS/DESIGN: A qualitative study of 16 women who had their first child in 2004/2005...
October 28, 2016: Contemporary Nurse
https://www.readbyqxmd.com/read/27740583/beyond-borders-global-nursing-education-for-the-future
#16
Johis Ortega, Emma McKim Mitchell, Nilda Peragallo
Most articles on nursing student study abroad experiences are one-sided case studies focusing on students and faculty from developed countries who travel to less developed countries. This article presents the perspectives of students from theUnited States, Chile, Mexico, and Taiwan, both sides of the international exchange experience. Students described the real-world, hands-on experience of immersion in a different health system and professional culture as transformational and having a significant impact on their nursing career goals...
July 2016: Nursing Education Perspectives
https://www.readbyqxmd.com/read/27736871/determinants-of-treatment-abandonment-in-childhood-cancer-results-from-a-global-survey
#17
Paola Friedrich, Catherine G Lam, Geetinder Kaur, Elena Itriago, Raul C Ribeiro, Ramandeep S Arora
BACKGROUND: Understanding and addressing treatment abandonment (TxA) is crucial for bridging the pediatric cancer survival gap between high-income (HIC) and low-and middle-income countries (LMC). In childhood cancer, TxA is defined as failure to start or complete curative cancer therapy and known to be a complex phenomenon. With rising interest on causes and consequences of TxA in LMC, this study aimed to establish the lay-of-the-land regarding determinants of TxA globally, perform and promote comparative research, and raise awareness on this subject...
2016: PloS One
https://www.readbyqxmd.com/read/27640522/healthcare-personnel-s-experiences-using-video-consultation-in-primary-healthcare-in-rural-areas
#18
Annette M Johansson, Inger Lindberg, Siv Söderberg
BACKGROUND: Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel's experiences with this intervention. OBJECTIVE: The aim of this study was to describe healthcare personnel's experiences using video consultation in their work in primary healthcare...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27634633/a-comparison-of-recruitment-methods-for-an-mhealth-intervention-targeting-mothers-lessons-from-the-growing-healthy-program
#19
Rachel A Laws, Eloise-Kate V Litterbach, Elizabeth A Denney-Wilson, Catherine G Russell, Sarah Taki, Kok-Leong Ong, Rosalind M Elliott, Sharyn J Lymer, Karen J Campbell
BACKGROUND: Mobile health (mHealth) programs hold great promise for increasing the reach of public health interventions. However, mHealth is a relatively new field of research, presenting unique challenges for researchers. A key challenge is understanding the relative effectiveness and cost of various methods of recruitment to mHealth programs. OBJECTIVE: The objectives of this study were to (1) compare the effectiveness of various methods of recruitment to an mHealth intervention targeting healthy infant feeding practices, and (2) explore factors influencing practitioner referral to the intervention...
2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27613517/being-the-stranger-comparing-study-abroad-experiences-of-nursing-students-in-low-and-high-income-countries-through-hermeneutical-phenomenology
#20
Hendrika J Maltby, Joy M de Vries-Erich, Karen Lund
AIM: To understand the experience of American nursing students who complete a study abroad trip to a low-income country, Bangladesh, versus a high-income country, the Netherlands in the development of cultural consciousness. METHODS: Hermeneutic (interpretive) phenomenology was used to explore the journals of 44 students' experiences and reflections. RESULTS: The comprehensive understanding of the naïve and structural analysis revealed that, no matter where these students travelled, they increased their cultural consciousness...
October 2016: Nurse Education Today
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