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Nursing model of care

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https://www.readbyqxmd.com/read/29474407/predicting-excess-cost-for-older-inpatients-with-clinical-complexity-a-retrospective-cohort-study-examining-cognition-comorbidities-and-complications
#1
Kasia Bail, Brian Draper, Helen Berry, Rosemary Karmel, John Goss
BACKGROUND: Hospital-acquired complications increase length of stay and contribute to poorer patient outcomes. Older adults are known to be at risk for four key hospital-acquired complications (pressure injuries, pneumonia, urinary tract infections and delirium). These complications have been identified as sensitive to nursing characteristics such as staffing levels and level of education. The cost of these complications compared to the cost of admission severity, dementia, other comorbidities or age has not been established...
2018: PloS One
https://www.readbyqxmd.com/read/29474227/caring-in-the-margins-a-scholarship-of-accompaniment-for-advanced-transcultural-nursing-practice
#2
Ruth C Enestvedt, Kathleen M Clark, Kaija Freborg, Joyce P Miller, Cheryl J Leuning, Deborah K Schuhmacher, Kristin M McHale, Katherine A Baumgartner, Susan L Loushin
Nurses must learn essential skills based in transcultural nursing to address issues of equity and social justice. The development of a model for nursing practice for an urban nurse-led drop-in center for individuals experiencing marginalization provides an opportunity for student nurses to learn transcultural nursing skills that shifts care from acknowledging the need of others to accompanying others on their health journey. The practice model provides the opportunity for undergraduate and graduate nursing students at Augsburg University to de-emphasize tasks and build relationships...
February 22, 2018: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/29474102/defining-the-elements-of-early-palliative-care-that-are-associated-with-patient-reported-outcomes-and-the-delivery-of-end-of-life-care
#3
Michael Hoerger, Joseph A Greer, Vicki A Jackson, Elyse R Park, William F Pirl, Areej El-Jawahri, Emily R Gallagher, Teresa Hagan, Juliet Jacobsen, Laura M Perry, Jennifer S Temel
Purpose We describe the key elements of early palliative care (PC) across the illness trajectory and examine whether visit content was associated with patient-reported outcomes and end-of-life care. Methods We performed a secondary analysis of patients with newly diagnosed advanced lung or noncolorectal GI cancer (N = 171) who were randomly assigned to receive early PC. Participants attended at least monthly visits with board-certified PC physicians and advanced practice nurses at Massachusetts General Hospital...
February 23, 2018: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/29473837/graduate-medical-education-funding-and-curriculum-in-physical-medicine-and-rehabilitation-a-survey-of-physical-medicine-and-rehabilitation-department-chairs
#4
Danielle Perret, Tiffany Knowlton, Gregory Worsowicz
This national survey highlights graduate medical education funding sources for physical medicine and rehabilitation (PM&R) residency programs as well as perceived funding stability, alignment of the current funding and educational model, the need of further education in postacute care settings, and the practice of contemporary PM&R graduates as perceived by PM&R department/division chairs. Approximately half of the reported PM&R residency positions seem to be funded by Centers of Medicare and Medicaid Services; more than 40% of PM&R chairs believe that their residency program is undersized and nearly a quarter feel at risk for losing positions...
March 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29471830/beyond-coverage-improving-the-quality-of-antenatal-care-delivery-through-integrated-mentorship-and-quality-improvement-at-health-centers-in-rural-rwanda
#5
Anatole Manzi, Laetitia Nyirazinyoye, Joseph Ntaganira, Hema Magge, Evariste Bigirimana, Leoncie Mukanzabikeshimana, Lisa R Hirschhorn, Bethany Hedt-Gauthier
BACKGROUND: Inadequate antenatal care (ANC) can lead to missed diagnosis of danger signs or delayed referral to emergency obstetrical care, contributing to maternal mortality. In developing countries, ANC quality is often limited by skill and knowledge gaps of the health workforce. In 2011, the Mentorship, Enhanced Supervision for Healthcare and Quality Improvement (MESH-QI) program was implemented to strengthen providers' ANC performance at 21 rural health centers in Rwanda. We evaluated the effect of MESH-QI on the completeness of danger sign assessments...
February 23, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29471821/decision-making-at-the-limit-of-viability-differing-perceptions-and-opinions-between-neonatal-physicians-and-nurses
#6
Hans Ulrich Bucher, Sabine D Klein, Manya J Hendriks, Ruth Baumann-Hölzle, Thomas M Berger, Jürg C Streuli, Jean-Claude Fauchère
BACKGROUND: In the last 20 years, the chances for intact survival for extremely preterm infants have increased in high income countries. Decisions about withholding or withdrawing intensive care remain a major challenge in infants born at the limits of viability. Shared decision-making regarding these fragile infants between health care professionals and parents has become the preferred model today. However, there is an ongoing ethical debate on how decisions regarding life-sustaining treatment should be reached and who should have the final word when health care professionals and parents do not agree...
February 22, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29471725/dignity-from-the-nurses-and-older-patients-perspective-a-qualitative-literature-review
#7
Šárka Šaňáková, Juraj Čáp
INTRODUCTION: Dignity is one of the most important values sensitively perceived by patients in nursing care. Older patients have been identified as having a high risk of losing their dignity in institutional care. To promote optimum nursing care, a deeper insight into the problem of older patients' dignity is needed. AIM: The aim was to identify, analyse and synthesise the qualitative evidence of dignity views and factors affecting it from the nurses' and older patients' perspective in the context of nursing care and to compare synthesised finding from the both perspective...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29469712/future-growth-of-physicians-and-non-physician-providers-within-the-u-s-dermatology-workforce
#8
Michael R Sargen, Lucy Shi, Roderick S Hooker, Suephy C Chen
Trends in the training, supply, availability, career decisions, and retirement of US dermatology physicians are not well delineated. The current study evaluates whether growth in the dermatology workforce will keep pace with population expansion in the United States. A dermatologist supply model was projected to 2030 drawing on data from the American Academy of Dermatology, American Medical Association, Bureau of Labor Statistics, American Association of Medical Colleges, and other associations. The clinically active dermatologist workforce in 2015 was 36 per capita (1,000,000); entry following postgraduate training was age 30 with career separation at age 65 on average...
September 15, 2017: Dermatology Online Journal
https://www.readbyqxmd.com/read/29468718/nurses-turnover-intention-the-impact-of-leader-member-exchange-organizational-identification-and-job-embeddedness
#9
Decha Dechawatanapaisal
AIM: To examine the influence of three factors on turnover intention: leader-member exchange quality, organizational identification and job embeddedness. This area of inquiry has not been fully investigated in the literature. BACKGROUND: Employee turnover, particularly of professionals, becomes a very challenging issue. It continually affects organizations in terms of resourcing and developmental costs, manpower instability, day-to-day operations, perception of quality care and efficiency...
February 22, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29468566/pediatric-psychologists-collaboration-in-a-national-pediatric-obesity-initiative-a-case-study-in-interprofessional-collaboration
#10
REVIEW
Wendy L Ward, Laura A Shaffer, Elizabeth Getzoff Testa
Health Care reform calls for collaborative team-based care; psychologists must therefore strengthen their competencies for work in interprofessional clinical care settings. Toward that end, a group of psychologists participated with physicians, dieticians, physical activity specialists, nurses, and others in a national interprofessional workgroup focused on pediatric obesity. The interprofessional group was designed to identify areas in need of national advocacy, key assessment and treatment concerns, and gaps in internal policies and procedures in children's hospitals...
February 21, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29467568/commentary-addressing-racial-disparities-in-stroke-the-wide-spectrum-investigation-of-stroke-outcome-disparities-on-multiple-levels-wissdom
#11
EDITORIAL
Robert J Adams, Charles Ellis, Gayenell Magwood, Mark S Kindy, Leonardo Bonilha, Daniel T Lackland
Racial-ethnic disparities in stroke recovery are well-established in the United States but the underlying causes are not well-understood. The typical assumption that racial-ethnic disparities in stroke recovery are explained by health care access inequities may be simplistic as access to stroke-related rehabilitation, for example, does not adequately explain the observed disparities. To approach the problem in a more comprehensive fashion, the Wide Spectrum Investigation of Stroke Outcome Disparities on Multiple Levels (WISSDOM) was developed to bring together scientists from Regenerative Medicine, Neurology, Rehabilitation, and Nursing to examine disparities in stroke "recovery...
2018: Ethnicity & Disease
https://www.readbyqxmd.com/read/29465178/implementation-of-a-unique-rrt-model-in-a-tertiary-care-centre-in-western-canada
#12
Teddie Tanguay, Reagan Bartel
In early 2010, the Royal Alexandra Hospital (RAH) was the only tertiary hospital in Edmonton, Alberta, without a rapid response team (RRT). Once funding was obtained, the RAH RRT was developed with the mission of "Helping you make it happen" with the underlying philosophy that any call is a good call and the team is there to support care on the wards. The RAH RRT is unique, as it uses a registered nurse/respiratory therapist model rather than the physician model used by most tertiary centres. The RAH RRT provides consistent and efficient response to deteriorating patients and visitors to the hospital...
May 2017: Canadian Journal of Critical Care Nursing
https://www.readbyqxmd.com/read/29463382/clinical-and-non-clinical-factors-that-predict-discharge-disposition-after-a-fall
#13
Melissa K James, R Jonathan Robitsek, Syed M Saghir, Patricia A Gentile, Marylin Ramos, Frances Perez
BACKGROUND: Falls can result in injuries that require rehabilitation and long-term care after hospital discharge. Identifying factors that contribute to prediction of discharge disposition is crucial for efficient resource utilization and reducing cost. Several factors may influence discharge location after hospitalization for a fall. The aim of this study was to examine clinical and non-clinical factors that may predict discharge disposition after a fall. We hypothesized that age, injury type, insurance type, and functional status would affect discharge location...
February 14, 2018: Injury
https://www.readbyqxmd.com/read/29463210/barriers-to-and-strategies-for-addressing-the-availability-accessibility-acceptability-and-quality-of-the-sexual-reproductive-maternal-newborn-and-adolescent-health-workforce-addressing-the-post-2015-agenda
#14
Caroline S E Homer, Sofia Castro Lopes, Andrea Nove, Michaela Michel-Schuldt, Frances McConville, Nester T Moyo, Martha Bokosi, Petra Ten Hoope-Bender
BACKGROUND: In a post-2015 development agenda, achieving Universal Health Coverage (UHC) for women and newborns will require a fit-for-purpose and fit-to-practice sexual, reproductive, maternal, adolescent and newborn health (SRMNAH) workforce. The aim of this paper is to explore barriers, challenges and solutions to the availability, accessibility, acceptability and quality (AAAQ) of SRMNAH services and workforce. METHODS: The State of the World's Midwifery report 2014 used a broad definition of midwifery ("the health services and health workforce needed to support and care for women and newborns") and provided information about a wide range of SRMNAH workers, including doctors, midwives, nurses and auxiliaries...
February 20, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29462833/multilevel-moderated-mediation-model-with-ordinal-outcome
#15
Šárka Rusá, Arnošt Komárek, Emmanuel Lesaffre, Luk Bruyneel
Although increasingly complex models have been proposed in mediation literature, there is no model nor software that incorporates the multiple possible generalizations of the simple mediation model jointly. We propose a flexible moderated mediation model allowing for (1) a hierarchical structure of clustered data, (2) more and possibly correlated mediators, and (3) an ordinal outcome. The motivating data set is obtained from a European study in nursing research. Patients' willingness to recommend their treating hospital was recorded in an ordinal way...
February 20, 2018: Statistics in Medicine
https://www.readbyqxmd.com/read/29462503/efficacy-of-a-spanish-language-self-administered-stress-management-training-intervention-for-latinas-undergoing-chemotherapy
#16
Aasha I Hoogland, Suzanne C Lechner, Brian D Gonzalez, Brent J Small, Dinorah M Tyson, Yasmin Asvat, Anna Barata, Maria F Gomez, Yvelise Rodriguez, Heather S L Jim, Michael H Antoni, Paul B Jacobsen, Cathy D Meade
BACKGROUND: Cancer patients often report increased stress during chemotherapy. Stress management training has been shown to reduce this adverse outcome, but few interventions exist for Spanish-speaking Hispanic and Latina women (Latinas). METHODS: Following community feedback (including focus groups/in-depth interviews), we transcreated the Spanish-Language Self-Administered Stress Management Training (SL-SAT) intervention based on our previously developed and implemented English-based intervention...
February 20, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29461434/the-nursing-dean-role-an-integrative-review
#17
Melissa Bouws
AIM: The aim of this integrative review was to appraise research on the uniqueness of the nursing dean role. BACKGROUND: Deans of nursing are challenged with multiple expectations of their role, which is unlike that of other deans in academia. Investigation is needed to understand what is entailed in being a dean of nursing. METHOD: This integrative review explores the role of the nurse dean utilizing a model described by Whittemore and Knafl...
March 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29461350/leading-change-a-case-study-of-the-first-independent-critical-access-hospital-to-achieve-magnet%C3%A2-designation
#18
Heather V Nelson-Brantley, Debra J Ford, Karen L Miller, Kristin A Stegenga, Robert H Lee, Marjorie J Bott
OBJECTIVE: The aim of this study was to understand how nurses in a 25-bed critical-access hospital (CAH) led change to become the 1st to achieve Magnet®. BACKGROUND: Approximately 21% of the US population lives in rural areas served by CAHs. Rural nurse executives are particularly challenged with limited resources. METHODS: Staff nurses, nurse managers, interprofessional care providers, the chief nursing officer, and board of directors (n = 27) were interviewed...
March 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29461285/gauging-the-effects-of-self-efficacy-social-support-and-coping-style-on-self-management-behaviors-in-chinese-cancer-survivors
#19
Zhaohui Geng, Yolanda Ogbolu, Jichuan Wang, Pamela S Hinds, Huijuan Qian, Changrong Yuan
BACKGROUND: Better self-management control in cancer survivors would benefit their functional status, quality of life, and health service utilization. Factors such as self-efficacy, social support, and coping style are important predictors of self-management behaviors of cancer survivors; however, the impact of these factors on self-management behaviors has not yet been empirically tested in Chinese cancer survivors. OBJECTIVES: The aim of this study was to examine how self-efficacy, social support, and coping style affect specific self-management behaviors...
February 14, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29461282/a-behavioral-physical-activity-intervention-to-manage-moderate-and-severe-fatigue-among-head-and-neck-cancer-patients-pre-efficacy-study-in-the-national-institutes-of-health-orbit-model
#20
Hsiao-Lan Wang, Susan C McMillan, Nisha Vijayakumar, Sally McDonald, Li-Ting Huang, Clement Gwede, Tapan Padhya, Jeffery Russell, Karen Vondruska, Harleah G Buck, Yangxin Huang, Connie Visovsky
BACKGROUND: Cancer-related fatigue (CRF) reduces head and neck cancer (HNC) survival rates and is the most common, severe, and distressing symptom negatively impacting activities of daily living (ADLs) dependence among HNC patients. These patients remain physically inactive after their cancer treatment, although there is consensus that physical activity mitigates CRF in cancer patients. OBJECTIVE: A home-based personalized behavioral physical activity intervention with fitness graded motion exergames (PAfitME) was evaluated for its intervention components, intervention delivery mode, and intervention contact time/duration with initial assessment of the feasibility, acceptability, safety, and outcomes...
February 15, 2018: Cancer Nursing
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