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https://www.readbyqxmd.com/read/29917335/assessment-and-management-of-older-people-with-venous-leg-ulcers
#1
Marie Todd
A venous leg ulcer (VLU) is defined as the loss of skin below the knee on the leg or foot in the presence of venous disease, which takes more than two weeks to heal. The prevalence of VLUs is increasing, especially in older people, which will increase the demand for nursing care. Development of a lower leg ulcer should trigger immediate assessment of risk factors for chronic venous disease followed by action to identify the cause and initiate treatment, which should prevent progression to more complex and chronic problems...
June 19, 2018: Nursing Older People
https://www.readbyqxmd.com/read/29916329/teaching-and-learning-from-case-studies-the-added-value-of-using-a-nursing-conceptual-model-to-construct-cases
#2
Jennifer Hackel, Jacqueline Fawcett
The purpose of this paper is to discuss the influence of applying Orem's self-care framework practice methodology on the content and comprehensiveness of a case study about a woman who denied having self-care deficits. The discussion begins with presentation of the case as it might have been found in a classroom or health professions journal and contrasts this with application of Orem's self-care framework practice methodology to illustrate how much more comprehensive the content of the case study is and how well it highlights the role of the primary care nurse practitioner in complex geriatric care...
July 2018: Nursing Science Quarterly
https://www.readbyqxmd.com/read/29914432/maternal-personality-disorder-symptoms-in-primary-health-care-associations-with-mother-toddler-interactions-at-one-year-follow-up
#3
Magnhild Singstad Høivik, Stian Lydersen, Ingunn Ranøyen, Turid Suzanne Berg-Nielsen
BACKGROUND: Research is scarce on how mothers' symptoms of personality disorders are linked to the mother-toddler relationship. In this study we have explored the extent to which these symptoms are associated with mutual mother-toddler interactions assessed 1 year after the initial assessment. METHODS: Mothers and their 0-24-month-old children (n = 112) were recruited by nurses at well-baby clinics due to either self-reported or observed mother-toddler interaction problems...
June 18, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29912026/rights-response-initiative-guiding-human-trafficking-services
#4
Theresa Vietor, Rosanne Hountz
Human trafficking, including both sex and labor trafficking, is a global issue affecting 20.9 million people worldwide. The National Human Trafficking Hotline identified 36,270 cases of human trafficking in the United States since 2007. Human trafficking affects every community in the United States, no matter the size. The Sexual Assault Response Team (SART) is a crisis intervention model that has shown improved outcomes for sexual assault victims. The SART approach can be modeled to develop a regional community response to human trafficking to improve outcomes for these victims...
June 15, 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29909354/screening-emergency-department-patients-for-opioid-drug-use-a-qualitative-systematic-review
#5
REVIEW
Preet Kaur Sahota, Siri Shastry, Dana B Mukamel, Linda Murphy, Narisu Yang, Shahram Lotfipour, Bharath Chakravarthy
INTRODUCTION: The opioid drug epidemic is a major public health concern and an economic burden in the United States. The purpose of this systematic review is to assess the reliability and validity of screening instruments used in emergency medicine settings to detect opioid use in patients and to assess psychometric data for each screening instrument. METHODS: PubMed/MEDLINE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, Cumulative Index to Nursing and Allied Health Literature and ClinicalTrials...
May 24, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29908875/managing-aesthetic-referrals-in-nhs-scotland-outcomes-from-1122-patients-in-the-east-of-scotland
#6
Abdulla Ibrahim, Mahmoud K Nassar, Daniel J Jordan, Manish Sinha, Fiona J Hogg
The Adult Exceptional Aesthetic Referral Protocol (AEARP) encompasses a series of aesthetic procedures which, as they do not treat an underlying disease process, are not routinely available within the National Health Service. Provision of these services can only be provided on an exceptional basis. In this prospective study, we evaluated the referral process and outcomes of 1122 patients referred under the AEARP over a 3.5-year period. Referrals were screened by a vetting panel comprising of a plastic surgeon, clinical nurse specialist, and clinical psychologist...
May 22, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29907553/development-and-evaluation-of-an-ethical-guideline-for-decisions-to-limit-life-prolonging-treatment-in-advanced-cancer-protocol-for-a-monocentric-mixed-method-interventional-study
#7
Katsiaryna Laryionava, Katja Mehlis, Elena Bierwirth, Friederike Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C Winkler
BACKGROUND: Many patients with advanced cancer receive chemotherapy close to death and are referred too late to palliative or hospice care, and therefore die under therapy or in intensive care units. Oncologists still have difficulties in involving patients appropriately in decisions about limiting tumor-specific or life-prolonging treatment. OBJECTIVE: The aim of this Ethics Policy for Advanced Care Planning and Limiting Treatment Study is to develop an ethical guideline for end-of-life decisions and to evaluate the impact of this guideline on clinical practice regarding the following target goals: reduction of decisional conflicts, improvement of documentation transparency and traceability, reduction of distress of the caregiver team, and better knowledge and consideration of patients' preferences...
June 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29907223/an-evidence-based-intraoperative-communication-tool-for-emergency-general-surgery-a-pilot-study
#8
Alexandra B Columbus, Manuel Castillo-Angeles, William R Berry, Adil H Haider, Ali Salim, Joaquim M Havens
BACKGROUND: Emergency general surgery (EGS) is characterized by high rates of morbidity and mortality. Though checklists and associated communication-based huddle strategies have improved outcomes, these tools have never been specifically examined in EGS. We hypothesized that use of an evidence-based communication tool aimed to trigger intraoperative discussion could improve communication in the EGS operating room (OR). MATERIALS AND METHODS: We designed a set of discussion prompts based on modifiable factors identified from previously published studies aimed to encourage all team members to speak up and to centralize awareness of patient disposition and intraoperative transfusion practices...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29906402/collaborating-with-youth-in-school-health-promotion-initiatives-with-photovoice
#9
Saria Lofton, Martha Dewey Bergren
Photovoice, a community-based approach that is being embraced in school settings, can help to nurture collaborations with youth, particularly adolescents, and engage them in the development of social policy and health promotion projects. Photovoice is an approach that positions school nurses to inspire youth to take ownership of health promotion issues that directly affect them in the school and in their communities. Engaging youth in Photovoice not only allows advocates to directly work with youth but also promotes critical thinking and the exploration of topics that may not otherwise be considered...
June 1, 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29903905/idiopathic-intracranial-hypertension-consensus-guidelines-on-management
#10
REVIEW
Susan P Mollan, Brendan Davies, Nick C Silver, Simon Shaw, Conor L Mallucci, Benjamin R Wakerley, Anita Krishnan, Swarupsinh V Chavda, Satheesh Ramalingam, Julie Edwards, Krystal Hemmings, Michelle Williamson, Michael A Burdon, Ghaniah Hassan-Smith, Kathleen Digre, Grant T Liu, Rigmor Højland Jensen, Alexandra J Sinclair
The aim was to capture interdisciplinary expertise from a large group of clinicians, reflecting practice from across the UK and further, to inform subsequent development of a national consensus guidance for optimal management of idiopathic intracranial hypertension (IIH). METHODS: Between September 2015 and October 2017, a specialist interest group including neurology, neurosurgery, neuroradiology, ophthalmology, nursing, primary care doctors and patient representatives met. An initial UK survey of attitudes and practice in IIH was sent to a wide group of physicians and surgeons who investigate and manage IIH regularly...
June 14, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29902738/simulation-for-emergency-nurses-siren-a-quasi-experimental-study
#11
Mary Boyde, Emily Cooper, Hannah Putland, Rikki Stanton, Christie Harding, Ben Learmont, Clare Thomas, Jade Porter, Andrea Thompson, Louise Nicholls
BACKGROUND: Within nursing education, simulation has been recognised as an effective learning strategy. Embedding simulation within clinical units has the potential to enhance patient safety and improve clinical outcomes. However it is important to evaluate the effectiveness of this educational technique to support the actual value and effectiveness. OBJECTIVE: This study aimed to implement and evaluate an innovative simulation experience for registered nurses. METHODS: A high-fidelity simulation focusing on nursing assessment was conducted with 50 Registered Nurses in an Emergency Department (ED) at a large tertiary referral hospital...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29898868/optimal-tr-band-weaning-strategy-while-minimizing-vascular-access-site-complications
#12
Sunay Shah, Ryan Gindi, Mir B Basir, Akshay Khandelwal, Mohammad Alqarqaz, Mohammad Zaidan, Michele Voeltz, Gerald Koenig, Henry E Kim, William W O'Neill, Khaldoon Alaswad
INTRODUCTION: The purpose of the study is to develop an optimal TR-Band weaning strategy while minimizing vascular access site complications of hematoma or radial artery occlusion (RAO). METHODS: The trial was a randomized, prospective, single center study of 129 patients who underwent cardiac catheterization via the radial artery. Group A was an accelerated protocol in which weaning was initiated 20 min after sheath removal. Group B was an adjusted protocol, in which weaning was dependent on the amount of anti-platelet or anti-coagulation used...
April 14, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29898343/impact-on-the-quality-of-life-of-women-with-breast-cancer-undergoing-chemotherapy-in-public-and-private-care
#13
Raquel de Castro Figueiredo Pereira Coelho, Sabrina Nunes Garcia, Larissa Marcondes, Flaviane Andreele Jacinto da Silva, Aline de Paula, Luciana Puchalski Kalinke
OBJECTIVES: To compare the general quality of life of women with breast cancer undergoing chemotherapy in a public and a private institution. METHODS: Longitudinal observational study including 115 women with breast cancer in an outpatient chemotherapy treatment at two health institutions, one public and one private, in the city of Curitiba (Brazil). The Quality of Life Questionnaire-C30 and the Quality of Life Questionnaire - Breast Cancer Module instruments were applied at three moments of treatment (onset, 40-50 days, and 85-95 days after initiation)...
February 2018: Investigación y Educación en Enfermería
https://www.readbyqxmd.com/read/29896072/nurses-knowledge-regarding-pain-management-in-high-acuity-care-units-a-case-study-of-palestine
#14
Basma Salameh
Background: Most patients who have been hospitalized at some point in time must have experienced a measure of pain despite improvements in health-care systems. Globally, there is a dearth in information with regard to pain management. Pain management is an essential process for nurses because they spend most time of the day with the patients. Therefore, nurses' level of knowledge and positive attitudes toward pain management reflect this vital and significant role played by nurses in critical care units...
May 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29895467/the-impact-of-electronic-health-record-systems-on-clinical-documentation-times-a-systematic-review
#15
REVIEW
Lisa Ann Baumann, Jannah Baker, Adam G Elshaug
BACKGROUND: Effective management of hospital staff time is crucial to quality patient care. Recent years have seen widespread implementation of electronic health record (EHR) systems but the effect of this on documentation time is unknown. This review compares time spent on documentation tasks by hospital staff (physicians, nurses and interns) before and after EHR implementation. METHODS: A systematic search identified 8153 potentially relevant citations. Studies examining proportion of total workload spent on documentation with ≥40 h of staff observation time were included...
June 5, 2018: Health Policy
https://www.readbyqxmd.com/read/29894494/the-impact-of-a-preventive-and-curative-oral-healthcare-program-on-the-prevalence-and-incidence-of-oral-health-problems-in-nursing-home-residents
#16
Barbara Janssens, Jacques Vanobbergen, Mirko Petrovic, Wolfgang Jacquet, Jos Mga Schols, Luc De Visschere
AIMS: To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability. MATERIALS AND METHODS: The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team...
2018: PloS One
https://www.readbyqxmd.com/read/29893922/how-do-dutch-primary-care-providers-overcome-barriers-to-advance-care-planning-with-older-people-a-qualitative-study
#17
Jolien J Glaudemans, Anja E de Jong, Bregje D Onwuteaka Philipsen, Jan Wind, Dick L Willems
Background: Few older people benefit from advance care planning (ACP), due to several barriers related to primary care professionals, such as insufficient knowledge, negative beliefs and a lack of time. Information on overcoming these barriers is limited. We assumed primary care professionals experienced in ACP with older patients are likely to have learned how to overcome these barriers. Objective: To investigate how Dutch primary care professionals experienced in ACP with older patients overcome these barriers...
June 11, 2018: Family Practice
https://www.readbyqxmd.com/read/29893432/factors-that-have-an-impact-on-knowledge-attitude-and-practice-related-to-kangaroo-care-national-survey-study-among-neonatal-nurses
#18
Qingqi Deng, Yao Zhang, Qiufang Li, Hua Wang, Xinfen Xu
AIMS AND OBJECTIVES: To explore factors that impact nurses' knowledge, perceptions, and practice related to kangaroo care (KC) in neonatal intensive care units (NICUs) in China. BACKGROUND: It is recognized extensively that KC is an effective intervention for improving the outcomes of preterm infants and has been recommended as a routine practice for neonatal care. However, this practice is uncommon in China and little is known about neonatal nurses' knowledge and attitude...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29893050/fundamental-nursing-complex-problems-and-the-lure-of-the-simple-solution
#19
EDITORIAL
Josephine M E Gibson
In the first half of 2018, two healthcare initiatives to address entrenched problems in fundamental nursing care in the British NHS were heavily promoted and adopted via official channels, the nursing and lay press, and on social media, with little serious critique or apparent evaluation. "Team Hydr8" was instigated by a group of preregistration nursing students in Wales who sought to address some of the challenges of providing and monitoring oral hydration in hospital patients. The intervention entailed providing water jugs with yellow lids to vulnerable patients, as a visual cue to all staff in contact with them which would replace the need for other bedside prompts...
June 12, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29893040/health-literacy-of-the-baby-boomer-generation-and-the-implications-for-nursing
#20
REVIEW
Peta Harbour, Laurie Grealish
AIMS AND OBJECTIVES: To investigate the health literacy of the baby boomer generation and what this means for nursing care. BACKGROUND: Nurses are encouraged to tailor information and education to the individual's level of understanding or health literacy but there may be generational differences in health literacy due to historical, social, and economic contexts. The baby boomer generation, people born between 1946 and 1966, are projected to be high users of health services as they age, therefore nurses' understanding of their health literacy characteristics is important...
June 12, 2018: Journal of Clinical Nursing
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