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https://www.readbyqxmd.com/read/28927511/psychiatric-and-mental-health-nursing-in-china-past-present-and-future
#1
Xiuying Xu, Xin-Min Li, Dongmei Xu, Wenqiang Wang
The mental health service model and policy have undergone dramatic changes and are moving toward the establishment of integrated service network-based community mental health services in China. But there are still some issues, such as shortage of resources, a relatively low rate of psychiatric treatment, lack of the knowledge about mental health in the general population, and stigma associated with mental disorders. This paper summarizes the history of psychiatric and mental health nursing in China and analyzes the characteristics of the current situation...
October 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28922228/anesthesia-capacity-in-ghana-a-teaching-hospital-s-resources-and-the-national-workforce-and-education
#2
Mark A Brouillette, Alfred J Aidoo, Maria A Hondras, Nana A Boateng, Akwasi Antwi-Kusi, William Addison, Alec R Hermanson
BACKGROUND: Quality anesthetic care is lacking in low- and middle-income countries (LMICs). Global health leaders call for perioperative capacity reports in limited-resource settings to guide improved health care initiatives. We describe a teaching hospital's resources and the national workforce and education in this LMIC capacity report. METHODS: A prospective observational study was conducted at Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana, during 4 weeks in August 2016...
September 14, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28893514/nurse-practitioners-physician-assistants-and-physicians-are-comparable-in-managing-the-first-five-years-of-diabetes
#3
Yihan Yang, Qi Long, Sandra L Jackson, Mary K Rhee, Anne Tomolo, Darin Olson, Lawrence S Phillips
BACKGROUND: Increasing use of nurse practitioners (NPs) and physician assistants (PAs) is a possible solution to the shortage of primary care providers (PCPs) in the US, but the quality of care they provide is not well understood. METHODS: Since the scope of practice of the three provider types is similar in the Veterans Health Administration (VA), we determined whether patients managed by primary care NPs, PAs or physicians had similar HbA1c levels at comparable times in the natural history of diabetes...
September 8, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28893270/the-impact-of-the-advanced-practice-nursing-role-on-quality-of-care-clinical-outcomes-patient-satisfaction-and-cost-in-the-emergency-and-critical-care-settings-a-systematic-review
#4
REVIEW
Brigitte Fong Yeong Woo, Jasmine Xin Yu Lee, Wilson Wai San Tam
BACKGROUND: The prevalence of chronic illness and multimorbidity rises with population aging, thereby increasing the acuity of care. Consequently, the demand for emergency and critical care services has increased. However, the forecasted requirements for physicians have shown a continued shortage. Among efforts underway to search for innovations to strengthen the workforce, there is a heightened interest to have nurses in advanced practice participate in patient care at a great extent...
September 11, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28892208/perspectives-of-oncology-nurses-and-oncologists-regarding-barriers-to-working-with-patients-from-a-minority-background-systemic-issues-and-working-with-interpreters
#5
K J Watts, B Meiser, E Zilliacus, R Kaur, M Taouk, A Girgis, P Butow, D W Kissane, S Hale, A Perry, S K Aranda, D Goldstein
This study aimed to ascertain the systemic barriers encountered by oncology health professionals (HPs) working with patients from ethnic minorities to guide the development of a communication skills training programme. Twelve medical and five radiation oncologists and 21 oncology nurses were invited to participate in this qualitative study. Participants were interviewed individually or in a focus group about their experiences working with people from minority backgrounds. All interviews were transcribed verbatim and analysed thematically...
September 11, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28891258/a-scoping-review-of-nursing-workforce-planning-and-forecasting-research
#6
Allison Squires, Virpi Jylhä, Jin Jun, Anneli Ensio, Juha Kinnunen
AIM: This study will critically evaluate forecasting models and their content in workforce planning policies for nursing professionals and to highlight the strengths and the weaknesses of existing approaches. BACKGROUND: Although macro-level nursing workforce issues may not be the first thing that many nurse managers consider in daily operations, the current and impending nursing shortage in many countries makes nursing specific models for workforce forecasting important...
September 10, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28880485/pediatric-diabetes-training-for-healthcare-professionals-in-europe-time-for-change
#7
Nicky Helen Kime, Sheridan Waldron, Elizabeth Webster, Karin Lange, Katarzyna Zinken, Thomas Danne, Bärbel Aschemeier, Zdenek Sumnik, Ondrej Cinek, João Filipe Raposo, Andriani Vazeou, Natasa Bratina, Fiona Campbell
BACKGROUND: Training for healthcare professionals (HCPs) in Europe who care for children and young people (CYP) with type 1 diabetes and their families is variable depending on the country. Building on the work of SWEET (Better control in Pediatric and Adolescent diabeteS: Working to crEate CEnTers of Reference) and using the German Certified Diabetes Educators (CDEs) curriculum, a European collaboration of pediatric diabetes experts aimed to (1) establish current core elements that should be included in a pediatric diabetes education training course and (2) create a template for a European CDE's training curriculum...
September 7, 2017: Pediatric Diabetes
https://www.readbyqxmd.com/read/28877182/cryptococcal-antigen-screening-by-lay-cadres-using-a-rapid-test-at-the-point-of-care-a-feasibility-study-in-rural-lesotho
#8
Fernanda Rick, Aline Aurore Niyibizi, Amir Shroufi, Kazumi Onami, Sarah-Jane Steele, Malehlohonolo Kuleile, Innocent Muleya, Tom Chiller, Tiffany Walker, Gilles Van Cutsem
INTRODUCTION: Cryptococcal meningitis is one of the leading causes of death among people with HIV in Africa, primarily due to delayed presentation, poor availability and high cost of treatment. Routine cryptococcal antigen (CrAg) screening of patients with a CD4 count less than 100 cells/mm3, followed by pre-emptive therapy if positive, might reduce mortality in high prevalence settings. Using the cryptococcal antigen (CrAg) lateral flow assay (LFA), screening is possible at the point of care (POC)...
2017: PloS One
https://www.readbyqxmd.com/read/28875786/we-are-being-put-at-legal-risk
#9
Tobias Savage
When necessary care is leſt undone because of a nursing shortage, we nurses are leſt open to litigation. Then the NMC pounces and blames the individual nurse.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28875777/nursingstandard-com
#10
(no author information available yet)
1 Missed patient care due to nursing staff shortages increases hospital death rates, a major international study reveals. Lead researcher Jane Ball said the findings provide the 'missing link' in understanding mortality rates - when nurse staffing is low, necessary care is leſt undone. Read more: rcni.com/mortality-rates.
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28873852/development-of-a-risk-assessment-assistance-tool-for-robotic-care-devices
#11
Keiko Homma, Osamu Matsumoto
Aiming to eliminate a labor shortage caused by the aging of society, many kinds of service robots are under development. Nursing care for the elderly is considered as a typical application of service robots, especially in Japan. Elderly care robots or robotic care device must be designed with safety, but not a few manufacturers are inexperienced in designing and manufacturing them on the basis of safety. In this paper, we introduce a risk assessment assistance tool for robotic care device targeted for inexperienced manufacturers of risk assessment...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28870732/processes-and-outcomes-of-congestive-heart-failure-care-by-different-types-of-primary-care-models
#12
Yong-Fang Kuo, Deepak Adhikari, Chiemeziem G Eke, James S Goodwin, Mukaila A Raji
BACKGROUND: Having nurse practitioners (NPs) as primary care providers for patients with congestive heart failure (CHF) is one way to address the growing shortage of primary care physicians (PCPs). METHODS AND RESULTS: We used inverse probability of treatment weighted with propensity score to examine the processes and outcomes of care for patients under three care models. Approximately 72.9%, 0.8%, and 26.3% of CHF patients received care under the PCP model, the NP model, and the shared care model, respectively...
September 1, 2017: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/28859009/the-case-for-bringing-the-licensed-practical-nurse-back-to-the-hospital
#13
Catherine H Garner, Suzanne M Boese
The expansion of the aging population, residential care facilities, and projected registered nurse shortages pose significant challenges to nurse staffing ratios. The licensed practical/vocational nursing role is now being reexamined, as acute care and long-term care facilities look at staffing models and patient safety. There is now a demand for an increase in the numbers of practical nurse education programs, which have been overlooked as a pipeline for professional nursing. Recruiting and educating practical nurses open a pathway for greater diversity in the nursing profession as well as improving patient health outcomes...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28858997/virtually-integrated-care-a-new-paradigm-in-patient-care-delivery
#14
Shannon Denney, Elizabeth Miller Evans
Current trends, including an aging population; the impact of the Affordable Care Act; increased complexity and acuity of patient needs; shorter hospital stays; and higher patient expectations have resulted in a significant demand for reconfiguration of the bedside nursing model. The health care system is further complicated by a shortage of highly trained nurses, challenging financial incentive models, and inefficient traditional staffing models. These challenges have increased the urgency for designing a more efficient, cost-effective care delivery model...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28857975/finding-like-minded-partners-to-span-the-continuum-of-care
#15
Bruce Lawrence
This is an era of profound industry transformation, characterized by such forces as acceleration away from inpatient-centered care and toward alternative payment models, rising rates of chronic disease, and an aging population. Add to this mix physician and nurse shortages and a newfound understanding that today's patients are informed consumers, and the reality becomes clear: Healthcare providers must be adaptable, agile, and innovative to survive. Sometimes, the best way forward in transformative times is collaboration with other like-minded organizations...
October 2017: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/28855459/background-characteristics-and-clinical-features-of-elderly-patients-with-hyperglycemic-hyperosmolar-syndrome
#16
Takuya Yamaoka, Yoshiaki Tamura, Remi Kodera, Yuki Tsuboi, Ken Sato, Yuko Chiba, Seijiro Mori, Hideki Ito, Atsushi Araki
AIM: Few reports have described the characteristics of hyperglycemic hyperosmolar syndrome (HHS) in the elderly. We investigated the background characteristics and clinical features of 14 elderly patients with HHS. METHODS: HHS was diagnosed based on a blood glucose level of >600 mg/dL and an effective plasma osmolality [2 (Na) + glu/18] of >320 mOsm/kg. For 14 cases of HHS, we investigated the medical and social backgrounds of the patients, their clinical findings, and the outcomes...
2017: Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
https://www.readbyqxmd.com/read/28853347/nurse-shortages-linked-to-higher-patient-mortality
#17
Flavia Munn
Missed patient care due to nursing staff shortages increases death rates in hospital, a major international study reveals.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28830528/non-physician-clinicians-in-rural-africa-lessons-from-the-medical-licentiate-programme-in-zambia
#18
Jakub Gajewski, Carol Mweemba, Mweene Cheelo, Tracey McCauley, John Kachimba, Eric Borgstein, Leon Bijlmakers, Ruairi Brugha
BACKGROUND: Most sub-Saharan African countries struggle to make safe surgery accessible to rural populations due to a shortage of qualified surgeons and the unlikelihood of retaining them in district hospitals. In 2002, Zambia introduced a new cadre of non-physician clinicians (NPCs), medical licentiates (MLs), trained initially to the level of a higher diploma and from 2013 up to a BSc degree. MLs have advanced clinical skills, including training in elective and emergency surgery, designed as a sustainable response to the surgical needs of rural populations...
August 22, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28828878/determining-the-efficacy-of-national-strategies-aimed-at-addressing-the-challenges-facing-health-personnel-working-in-rural-areas-in-kwazulu-natal-south-africa
#19
Grace Mburu, Gavin George
BACKGROUND: Shortages of Human Resources for Health (HRH) in rural areas are often driven by poor working and living conditions, inadequate salaries and benefits, lack of training and career development opportunities amongst others. The South African government has adopted a human resource strategy for the health sector in 2011 aimed at addressing these challenges. AIM: This study reviews the challenges faced by health personnel against government strategies aimed at attracting and retaining health personnel in these underserved areas...
July 31, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28828868/the-role-of-patient-care-workers-in-private-hospitals-in-the-cape-metropole-south-africa
#20
Louise A Aylward, Talitha Crowley, Ethelwynn L Stellenberg
BACKGROUND: Nursing managers have to meet expectations of patients despite economic pressures, an increasing burden of disease and nursing shortages. Shifting health care-related tasks to lower categories of staff, including non-nursing support staff, has become one solution to address this dilemma. Patient care workers are a specific group of non-nursing support staff working in South African hospitals. Although patient care workers have been used for several years and their numbers are increasing, there are controversial opinions about the role of patient care workers, ranging from praise for their contribution towards patient care to serious concerns about the impact of their role on patient safety...
July 31, 2017: Curationis
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