#21
JOURNAL ARTICLE
Mariana Santos de Campos, Danielle Fabiana Cucolo, Marcia Galan Perroca
OBJECTIVE: to examine the nursing team's view of the repercussions of moving patients (admissions, transfers and discharges) on the organization of work and the delivery of care. METHOD: this is a qualitative study using the focus group technique, conducted with 23 professionals - 12 nurses, eight nurse technicians and three nurse assistants working in three inpatient units at a teaching hospital in the countryside of Sao Paulo. Four meetings took place between November 2021 and March 2022...
2024: Revista Latino-americana de Enfermagem
#22
JOURNAL ARTICLE
Tal Zimbalist, Ronnie Rosen, Keren Peri-Hanania, Yaron Caspi, Bar Rinott, Carmel Zeltser-Dekel, Eyal Bercovich, Yonina C Eldar, Shai Bagon
PURPOSE: The diagnosis of primary bone tumors is challenging as the initial complaints are often non-specific. The early detection of bone cancer is crucial for a favorable prognosis. Incidentally, lesions may be found on radiographs obtained for other reasons. However, these early indications are often missed. We propose an automatic algorithm to detect bone lesions in conventional radiographs to facilitate early diagnosis. Detecting lesions in such radiographs is challenging. First, the prevalence of bone cancer is very low; any method must show high precision to avoid a prohibitive number of false alarms...
March 2024: Journal of Medical Imaging
#23
RANDOMIZED CONTROLLED TRIAL
Shoaib Sarboozi-Hosseinabadi, Gholamreza Sharifzadeh, Seyed Mohammadreza Hosseini
INTRODUCTION: The high prevalence of COVID-19 and the necessity for social distancing have impacted medical training. On the one hand, the high mortality rate following the disease led the American Heart Association (AHA) to issue guidelines in October 2020 for performing cardiopulmonary resuscitation on patients diagnosed or suspected of having COVID-19. Various methods exist for teaching these guidelines. However, the use of many of these methods is greatly challenged due to the high risk of disease transmission...
March 18, 2024: BMC Emergency Medicine
#24
JOURNAL ARTICLE
Tshikani Lewis Khoza, Maureen Nokuthula Sibiya, Nombeko Mshunqane
Emergency medical technicians (EMT) are at high risk of workplace violence as they often care for patients in uncontrolled and often hostile emergency settings. Gauteng Province, the most populous province in South Africa, caters for 75% of the total population which is dependant on state funded health care. Public sector EMTs' have been robbed with aggravated circumstances, assaulted with intent to do grievous bodily harm, raped and even murdered whilst on duty. Despite this, comprehensive studies investigating the factors that predispose public sector EMTs' to workplace violence in Gauteng Province are lacking...
2024: Inquiry: a Journal of Medical Care Organization, Provision and Financing
#25
JOURNAL ARTICLE
Drew B Cameron, Laura Grage, Rebecca Van Wyck, Alexandra Edwards, Joy Chavez Mapaye, Ann Cheng, Gabriel Garcia
BACKGROUND: Low rates of COVID-19 vaccination remain a substantial public health challenge. Despite early successes, vaccinations of Alaskans trail the US average, drawing attention to the need for better-designed and targeted vaccine confidence interventions. Our objective was to assess levels of community trust and theory-driven predictors of vaccination status to inform the design of future programs. METHODS: We conducted a cross-sectional, telephone-based survey of 940 Alaskan adults between May and June 2022...
March 14, 2024: Vaccine
#26
JOURNAL ARTICLE
Fatih Mehmet Aras, Süreyya Gümüşsoy
BACKGROUND: With the onset of the COVID-19 pandemic, pre-hospital emergency healthcare workers (PHEHW) assumed critical responsibilities in controlling and preventing the spread of the virus. OBJECTIVE: This descriptive study aimed to explore the emotional burnout, job satisfaction, and intention to leave among PHEHW during the COVID-19 pandemic. METHODS: The study was conducted with 401 emergency medical technicians and paramedics. The Sociodemographic Data Form, the Emotional Burnout Scale, the Job Satisfaction Scale, the Intention to Leave the Profession Scale were used to collect data...
March 14, 2024: Work: a Journal of Prevention, Assessment, and Rehabilitation
#27
JOURNAL ARTICLE
Zahra Karimi, Fatemeh Darban, Samira Karimi, Enayatollah Safarzai
AIM: Communication skills are one of the components that influence the performance of pre-hospital emergency staff who provide services to patients. This study aimed to determine the effectiveness of communication skills training on the professional performance and quality of work life of pre-hospital emergency staff. METHODS: This experimental study with pretest-posttest design was conducted on 150 pre-hospital emergency staff in Iran from March 2022 to May 2023...
March 13, 2024: International Emergency Nursing
#28
JOURNAL ARTICLE
Richard Wanbon, Eric Villeneuve, Olena Serwylo, Alison Cheung, Leslie Manuel, Mark McGinnis, Melanie Harding, Timothy S Leung, Jason Volling, Aleesa Carter
BACKGROUND: Support for the role of an emergency department (ED) clinical pharmacy team is evidence-based and recognized in numerous professional guidelines, yet previous literature suggests a low prevalence of ED clinical pharmacy services in Canadian hospitals. OBJECTIVES: To update (from a survey conducted in 2013) the description and quantification of clinical pharmacy services in Canadian EDs. METHODS: All Canadian hospitals with an ED and at least 50 acute care beds were contacted to identify the presence of dedicated ED pharmacy services (defined as at least 0...
2024: Canadian Journal of Hospital Pharmacy
#29
JOURNAL ARTICLE
Ivenio Teixeira de Souza, Riccardo Patriarca, Assed Haddad
Building maintenance encompasses multiple tightly inter-connected agents (e.g., technicians, occupants, supervisors, and equipment). Variable working conditions and limited resources may affect the safety and sustainability of the activities. Although recent studies have explored how complex systems can perform resilient behavior in facing the complexity of everyday activities, the factors that effectively contribute to resilient performance are still paired with limited empirical evidence. We studied the performance of the maintenance team during sudden breakdowns of air-conditioning devices in a large university campus, using the Functional Resonance Analysis Method (FRAM)...
March 11, 2024: Applied Ergonomics
#30
JOURNAL ARTICLE
Meghan B Still, Dana Tedesco, Christina Hawkins, Holly Putnam
BACKGROUND: Models that provide high-quality veterinary care for more affordable prices are emerging, but not well documented outside of wellness and preventative care. Effective treatment guidelines for heartworm disease have been developed by the American Heartworm Society; however, not all owners are able to access treatment due to the high costs associated with sick and emergency care services. METHODS: To increase access to high-quality adulticidal treatment of canine heartworm disease, we developed and implemented a technician-leveraged heartworm treatment protocol for high-volume, outpatient community clinic settings based on the American Heartworm Society guidelines...
March 8, 2024: Parasites & Vectors
#31
REVIEW
Kaysi R Goodall, Elizabeth Morse, Carolyn M Howard
BACKGROUND: Despite evidence of the impact of provider implicit bias and overt discrimination experienced by sexual and gender minority youth (SGMY), evidence surrounding sexual and gender minority cultural sensitivity training for pediatric emergency health professionals is limited. No targeted training existed to improve the clinical preparedness of healthcare professionals serving SGMY by increasing providers' knowledge and attitudinal awareness in a pediatric emergency department at a large, urban pediatric hospital in the Southeastern United States...
March 3, 2024: International Emergency Nursing
#32
JOURNAL ARTICLE
Alex Black, Dennis Tribble, Jacie Strumpf, Stacey Fitzgibbons, Doina Dumitru, Julia Lucaci, Molly Jung, Amar Ramudhin
BACKGROUND: Financial, operational, and clinical workflow impacts of deploying an automated dispensing cabinet (ADC) in long-term care (LTC) facilities based on actual observations have not been documented in peer-reviewed literature. OBJECTIVES: To evaluate the impact of a closed-door pharmacy (CDP) implementing an ADC with unique secure, removable, and transportable locked pockets in an unstudied setting (LTC facilities) for management of first and emergency dose medications...
March 1, 2024: Journal of the American Pharmacists Association: JAPhA
#33
JOURNAL ARTICLE
Li Wei, Honglei Lv, Chenqi Yue, Ying Yao, Ning Gao, Qianwen Chai, Minghui Lu
OBJECTIVES: To construct pressure injury risk prediction models for emergency patients based on different machine learning algorithms, to optimize the best model, and to provide a suitable assessment tool for preventing the occurrence of pressure injuries in emergency patients. METHODS: A convenience sampling was used to select 312 patients admitted to the emergency department of a tertiary care hospital in Tianjin, China, from May 2022 to March 2023, and the patients were divided into a modeling group (n = 218) and a validation group (n = 94) in a 7:3 ratio...
March 2, 2024: International Emergency Nursing
#34
JOURNAL ARTICLE
Shuai Zhang, Fang Liu, Xiang Li, Xingwen Zhang, Xiaotong Han
AIMS: The aim of this study was to enhance the effectiveness of an integrated treatment model for patients with severe multiple injuries in China. METHODS: In this study, we conducted a retrospective analysis of data from 110 patients with multiple severe injuries. These patients were divided into two groups based on the treatment model they received. The first group, called the MDTM group, received the integrated treatment model, which involved a multidisciplinary team-based approach...
March 2, 2024: International Emergency Nursing
#35
JOURNAL ARTICLE
Andrea R Trent, Raymond Fang, Hegang Chen, Curtis C Copeland, Napoleon P Roux, Thomas E Grissom
INTRODUCTION: Traumatic brain injury (TBI) is the leading cause of combat casualties in modern war with an estimated 20% of casualties experiencing head injury. Since the release of the Brain Trauma Foundation's Guidelines for the Management of Severe Traumatic Brain Injury in 1995, recommendations for management of TBI have included the avoidance of routine hyperventilation. However, both published and anecdotal data suggest that many patients with TBI are inappropriately ventilated during transport, thereby increasing the risk of morbidity and mortality from secondary brain injury...
March 2, 2024: Military Medicine
#36
JOURNAL ARTICLE
Krysta-Lynn Amezcua, James Collier, Michael Lopez, Sofia I Hernandez Torres, Austin Ruiz, Rachel Gathright, Eric J Snider
Medical imaging-based triage is a critical tool for emergency medicine in both civilian and military settings. Ultrasound imaging can be used to rapidly identify free fluid in abdominal and thoracic cavities which could necessitate immediate surgical intervention. However, proper ultrasound image capture requires a skilled ultrasonography technician who is likely unavailable at the point of injury where resources are limited. Instead, robotics and computer vision technology can simplify image acquisition. As a first step towards this larger goal, here, we focus on the development of prototypes for ultrasound probe securement using a robotics platform...
March 1, 2024: Scientific Reports
#37
JOURNAL ARTICLE
Katherine Schneider, Mimi Williams, Nicholas M Mohr, Azeemuddin Ahmed
OBJECTIVE: Emergency medical services (EMS) clinicians experience dissatisfaction with the quality and quantity of clinical feedback from hospitals. Satisfaction is further diminished by the lack of a standardized systems approach. The purpose of this study was to identify rural clinicians' perceptions and preferences regarding clinical feedback received from hospitals, the delivery mechanisms, and its impact on their relationships with health care organizations. METHODS: This was a qualitative study focused on EMS clinicians involved in rural prehospital care at a single Midwestern academic medical center...
March 12, 2024: Prehospital Emergency Care
#38
JOURNAL ARTICLE
Piers Truter, Dale Edgar, David Mountain, Annabel Saggers, Caroline Bulsara
Background To investigate what factors contribute to a working age adult with a simple fracture seeking care in an Australian metropolitan Emergency Department (ED) Methods In this Qualitative Descriptive study, we interviewed ED patients with simple fractures including 5th metacarpal, 5th metatarsal, toe, radial head and clavicle fractures. Results We interviewed 30 patients aged 18-65. Two thirds of participants were aware they might have a minor injury. Many were well informed health consumers and convenience was the most important decision-making factor...
February 25, 2024: International Emergency Nursing
#39
REVIEW
Lorena Álvarez-Morales, José L Gómez-Urquiza, Nora Suleiman-Martos, María José Membrive-Jiménez, Ana González-Díaz, Raquel García Pérez, Antonio Liñán-Gonzalez
BACKGROUND: Peripheral intravenous cannulation is a common procedure in the emergency department. Nevertheless, failure rates during the first attempt are as high as 40% in adults and 65% in children. Evidence suggests that physician performed ultrasound-guided peripheral intravenous cannulation (USG-PIVC) is an effective alternative to the traditional method; however, there is insufficient data on the efficacy of the technique performed by nurses. OBJECTIVE: To examine the efficacy of the USG-PIVC technique performed by emergency department nurses...
March 2024: International Emergency Nursing
#40
JOURNAL ARTICLE
Angela Tolotti, Sarah Jayne Liptrott, Loris Bonetti, Shaila Cavatorti, Davide Sari, Luigi Caoduro, Annette Biegger, Alessandro Bressan, Dario Valcarenghi
The pandemic represented a challenge for hospital managers at different levels, required to reorganise services without compromising care. This study aimed to analyse the experiences of hospital managers during the COVID-19 pandemic. A narrative inquiry was conducted in a multisite acute hospital. Data were collected through narratives and open-ended questions. Direct and non-direct-care managers were invited to participate. Data were analyzed considering Clandinin & Connelly's (2000) framework and Braun & Clarke, (2006)...
February 9, 2024: Healthcare (Basel, Switzerland)
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