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Nursing models

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https://www.readbyqxmd.com/read/29240657/inequalities-in-health-services-usage-in-a-national-health-system-scheme-the-case-of-a-southern-social-european-region
#1
Maite Morteruel, Elena Rodriguez-Alvarez, Unai Martin, Amaia Bacigalupe
BACKGROUND: Health services can reduce inequalities caused by other determinants of health or increase them due to the effect of the inverse care law-the principle that the availability of good quality care tends to vary inversely with the need for it in the population served. OBJECTIVE: The purpose of the research was to describe inequalities in the use of nursing services, medical services in primary care, specialist care, and services not fully covered by the Basque public health system in Spain...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29240656/hospital-acquired-pressure-injury-risk-adjusted-comparisons-in-an-integrated-healthcare-delivery-system
#2
June Rondinelli, Stephen Zuniga, Patricia Kipnis, Lina Najib Kawar, Vincent Liu, Gabriel J Escobar
BACKGROUND: Although healthcare organizations have decreased hospital-acquired pressure injury (HAPI) rates, HAPIs are not eliminated, driving further examination in both nursing and health services research. OBJECTIVE: The objective was to describe HAPI incidence, risk factors, and risk-adjusted hospital variation within a California integrated healthcare system. METHODS: Inpatient episodes were included in this retrospective cohort if patients were hospitalized between January 1, 2013, and June 30, 2015...
January 2018: Nursing Research
https://www.readbyqxmd.com/read/29240571/developing-the-clinical-nurse-leader-survey-instrument-a-modified-delphi-study
#3
Miriam Bender, Alice Avolio, Patricia Baker, James L Harris, Nancy Hilton, Lisle Hites, Linda Roussel, Bobbi Shirley, Patricia L Thomas, Marjory Williams
Clinical nurse leader (CNL)-integrated care delivery is an emerging nursing model, with growing adoption in diverse health systems. To generate a robust evidence base for this promising nursing model, it is necessary to measure CNL practice to explicitly link it to observed quality and safety outcome improvements. This study used a modified Delphi approach with an expert CNL panel to develop and test the face, content, and construct validity of the CNL Practice Survey instrument.
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29240043/nurses-work-functioning-questionnaire-nwfq-refinement-and-validation-of-the-italian-version
#4
Nicola Magnavita, Carlo Chiorri
BACKGROUND: The availability of an assessment measure for work impairment in nurses, or nursing students, is of crucial importance for early detection of workers/students at risk. Recently, a new measure, the Nurses Work Functioning Questionnaire (NWFQ), has become available, but there is no validated Italian version. OBJECTIVES: The aim of this study was to develop and validate an Italian version of the NWFQ. METHODS: We evaluated the factor structure, the internal consistency, and the convergent and discriminant construct validity with respect to organizational justice and job strain of the Italian NWFQ using data from 645 nursing students...
December 14, 2017: La Medicina del Lavoro
https://www.readbyqxmd.com/read/29240014/classroom-participation-a-model-of-feminist-pedagogy
#5
Mary Tedesco-Schneck
Nursing faculty need to provide students with problem-solving skills during their formative academic years, and feminist pedagogy supported by classroom participation may foster these skills. Through the lens of feminist pedagogy, factors that influence classroom participation of nursing students were identified using the College and University Classroom Environment Inventory. Nursing students reported higher levels of attendance and punctuality compared with preparation and contribution to class discussion and favored personalization and equity over innovation and individualization in the classroom...
December 12, 2017: Nurse Educator
https://www.readbyqxmd.com/read/29239913/transforming-the-role-of-the-clinical-faculty-coordinator-in-the-dedicated-education-unit
#6
Nicole Auxier, Holly Simpson
The dedicated education unit (DEU) clinical education model has been identified nationally as an innovative model for clinical nursing education. This article identifies the core values of the DEU clinical faculty coordinator role and describes the transformation of this role across three clinical models. The role has been adapted to fit the needs of acute care, post-acute care, and community nursing DEU models, meeting the needs of the clinical educational environment and clinical staff as well as student learning outcomes...
December 13, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29239910/open-wide-and-say-a-ha-adding-oral-health-content-to-the-nurse-practitioner-curriculum
#7
Kathleen A Kent, Carol A Clark
While aligning our nurse practitioner curriculum to the competencies of the National Organization of Nurse Practitioner Faculties, we realized that there was a lack of oral health content in our program. As we did not possess the knowledge needed to teach this content, we invited a dental school faculty member to do this for our class. This experience led to a change in the delivery of our teaching content through the use of the STAR Legacy Cycle model and the How People Learn theory. The purpose of this article is to share our journey with others...
December 13, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29238496/lifelong-learning-strategies-in-nursing-a-systematic-review
#8
REVIEW
Mojtaba Qanbari Qalehsari, Morteza Khaghanizadeh, Abbas Ebadi
Background: Lifelong learning is an expectation in the professional performance of nurses, which is directly related to the success of students in nursing schools. In spite of the considerable attention paid to this issue, lifelong learning strategies are not fully understood. Objective: The aim of this study was to clarify lifelong learning strategies of nursing students with respect to international experience. Methods: In this systematic review, an extensive investigation was carried out using Persian and English studies in Pub Med, ProQuest, Cochrane, Ovid, Scopus, Web of Science, SID, and Iran Doc using the following keywords: lifelong learning, self-directed learning, lifelong learning model, continuing education, nursing education, and lifelong program...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29237579/usage-pattern-differences-and-similarities-of-mobile-electronic-medical-records-among-health-care-providers
#9
Yura Lee, Yu Rang Park, Junetae Kim, Jeong Hoon Kim, Woo Sung Kim, Jae-Ho Lee
BACKGROUND: Recently, many hospitals have introduced mobile electronic medical records (mEMRs). Although numerous studies have been published on the usability or usage patterns of mEMRs through user surveys, investigations based on the real data usage are lacking. OBJECTIVE: Asan Medical Center, a tertiary hospital in Seoul, Korea, implemented an mEMR program in 2010. On the basis of the mEMR usage log data collected over a period of 4.5 years, we aimed to identify a usage pattern and trends in accordance with user occupation and to disseminate the factors that make the mEMR more effective and efficient...
December 13, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29237444/development-and-assessment-of-an-active-strategy-for-the-implementation-of-a-collaborative-care-approach-for-depression-in-primary-care-the-indi%C3%A2-i-project
#10
Enric Aragonès, Diego Palao, Germán López-Cortacans, Antonia Caballero, Narcís Cardoner, Pilar Casaus, Myriam Cavero, José Antonio Monreal, Víctor Pérez-Sola, Miquel Cirera, Maite Loren, Eva Bellerino, Catarina Tomé-Pires, Laura Palacios
BACKGROUND: Primary care is the principal clinical setting for the management of depression. However, significant shortcomings have been detected in its diagnosis and clinical management, as well as in patient outcomes. We developed the INDI collaborative care model to improve the management of depression in primary care. This intervention has been favorably evaluated in terms of clinical efficacy and cost-effectiveness in a clinical trial. Our aim is to bring this intervention from the scientific context into clinical practice...
December 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29237139/outcomes-of-laparoscopic-colectomy-in-younger-and-older-patients-an-analysis-of-nationwide-readmission-database
#11
Hemalkumar B Mehta, Byron D Hughes, Eric Sieloff, Sneha O Sura, Yong Shan, Deepak Adhikari, Anthony Senagore
BACKGROUND: Prior studies report safety and effectiveness of laparoscopic colectomy in older patients. The study aimed to examine the impact of laparoscopic colectomy on 30-day readmissions, discharge destination, hospital length of stay, and cost in younger (19-65 years) and older adults (>65 years). MATERIALS AND METHODS: We used the nationwide readmission database from 2013 to study adults undergoing elective colectomy. The outcomes were 30-day readmissions, discharge destination for the index hospitalization (routine, skilled nursing facility [SNF]/intermediate care facility [ICF], home healthcare), length of stay, and cost...
December 13, 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/29236842/the-moderator-effect-of-sex-on-attitude-toward-communication-emotional-intelligence-and-empathy-in-the-nursing-field
#12
María Del Carmen Giménez-Espert, Vicente-Javier Prado-Gascó
OBJECTIVES: to analyze differences in the variables for the object of this study (attitude toward communication, emotional intelligence, and empathy) according to sex; verify correlations among variables between men and women and analyze regression models according to sex. METHOD: the ATC was used to measure attitudes toward communication; the Jefferson Scale of Empathy was used to measure empathy; and the Trait Meta Mood Scale 24 was used to measure emotional intelligence...
December 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29236840/clinical-information-systems-for-the-management-of-tuberculosis-in-primary-health-care
#13
Eliabe Rodrigues de Medeiros, Sandy Yasmine Bezerra E Silva, Cáthia Alessandra Varela Ataide, Erika Simone Galvão Pinto, Maria de Lourdes Costa da Silva, Tereza Cristina Scatena Villa
OBJECTIVE: to analyze the clinical information systems used in the management of tuberculosis in Primary Health Care. METHOD: descriptive, quantitative cross-sectional study with 100 health professionals with data collected through a questionnaire to assess local institutional capacity for the model of attention to chronic conditions, as adapted for tuberculosis care. The analysis was performed through descriptive and inferential statistics. RESULTS: Nurses and the Community Health Agents were classified as having fair capacity with a mean of 6...
December 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29236837/construction-and-validation-of-a-nursing-care-protocol-in-anesthesia
#14
Cassiane de Santana Lemos, Vanessa de Brito Poveda, Aparecida de Cassia Giane Peniche
OBJECTIVE: To construct and validate a nursing care protocol in anesthesia. METHOD: methodological study of face and content validation, judging clarity, relevance, pertinence and comprehensiveness of a care protocol, elaborated from the integrative review of previous literature and based on the conceptual model of assistance perioperative nursing of Castellanos and Jouclas. The protocol was evaluated by five anesthesiologists and nurses from the surgical center...
December 11, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29236524/the-impact-of-the-professional-qualifications-of-the-prenatal-care-provider-on-breastfeeding-duration
#15
Jordyn T Wallenborn, Juan Lu, Robert A Perera, David C Wheeler, Saba W Masho
BACKGROUND: A prenatal commitment to breastfeed is a strong predictor for breastfeeding success. Prenatal care providers have the opportunity to educate and promote breastfeeding. However, differences in education and training between healthcare providers such as physicians and midwives may result in differing breastfeeding outcomes. This study explores whether breastfeeding initiation and duration differ by prenatal care provider. MATERIALS AND METHODS: Longitudinal data from the Infant Feeding Practices Survey II were analyzed (N = 2,832 women)...
December 13, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/29235986/managing-diabetes-in-people-with-dementia-a-realist-review
#16
Frances Bunn, Claire Goodman, Peter Reece Jones, Bridget Russell, Daksha Trivedi, Alan Sinclair, Antony Bayer, Greta Rait, Jo Rycroft-Malone, Chris Burton
BACKGROUND: Dementia and diabetes mellitus are common long-term conditions that coexist in a large number of older people. People living with dementia and diabetes may be at increased risk of complications such as hypoglycaemic episodes because they are less able to manage their diabetes. OBJECTIVES: To identify the key features or mechanisms of programmes that aim to improve the management of diabetes in people with dementia and to identify areas needing further research...
December 2017: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29235430/prevalence-and-risk-factors-for-delirium-diagnosis-in-patients-followed-in-general-practices-in-germany
#17
Jens Bohlken, Karel Kostev
BACKGROUND: The aim of this study is to identify the prevalence and risk factors of documented delirium in general practices in Germany. METHODS: The present study includes 2,194 patients over the age of 65 years with delirium and 2,194 controls without delirium from a sample of 6,180,042 patients from 1,262 general practices. Multivariate logistic regression models were fitted with delirium as a dependent variable and other disorders and drugs as potential predictors...
December 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/29233433/interprofessional-objective-structured-teaching-exercise-ioste-to-train-preceptors
#18
Livia R M McCutcheon, Kathryn Whitcomb, Craig D Cox, Mary S Klein, Hansel Burley, Terrance Youngblood, Cynthia Raehl
BACKGROUND AND PURPOSE: Interprofessional education (IPE) is important in the education of all health care students, yet limited IPE training has been provided to preceptors who train these students in the clinical setting. Simulation using the standardized student model has been used to train health care preceptors in medicine. To our knowledge, there are no reports utilizing interprofessional objective structured teaching exercises (iOSTE) to train pharmacy preceptors. The primary objectives of this pilot study were to evaluate the effects of iOSTE on the pharmacy preceptors' perceived importance of the Interprofessional Education Collaborative (IPEC) core competencies and confidence in precepting interprofessional students...
July 2017: Currents in Pharmacy Teaching & Learning
https://www.readbyqxmd.com/read/29233014/family-perceptions-of-family-nursing-in-a-magnet-institution-during-acute-hospitalizations-of-older-adult-patients
#19
Kara Misto
Family involvement during hospitalizations of older adults with chronic illnesses may benefit both patients and family. However, there is a limited amount of research focused on families of older adults managing chronic illness. This study describes family member perceptions of the relationship between family and nurses when an older adult with diabetes is hospitalized in a Magnet institution. The Calgary Family Intervention Model guided the study. A family member of 60 older adult patients completed the Family Function, Family Health, and Social Support Instrument...
December 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/29230952/children-tolerate-intradialytic-oral-nutrition
#20
Andrew M South, Bonnie Fainman, Scott M Sutherland, Cynthia J Wong
BACKGROUND: People undergoing haemodialysis (HD) often have poor nutrition, which in turn can contribute to worse outcomes. Inadequate nutrition has a particularly deleterious effect on growth and neurocognitive development, as well as mortality, in children and adolescents. Nutritional supplementation can improve outcomes but can be difficult to administer. OBJECTIVE: Determine the tolerability of intradialytic oral nutrition in children and adolescents. DESIGN: A cross-sectional quality improvement study in an outpatient paediatric HD unit...
December 12, 2017: Journal of Renal Care
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