keyword
https://read.qxmd.com/read/38536389/implementation-of-a-blended-learning-perioperative-nursing-education-program-in-canada
#1
JOURNAL ARTICLE
Jack S Li, Aaron Conway
Governmental COVID-19 mandates in Ontario, Canada, resulted in a backlog of perioperative procedures. Organization leaders were required to expand services after the pandemic; however, the ongoing nursing shortage and college-based structure of perioperative education programs complicated their response. In 2021, we developed an in-house perioperative education program using a blended-learning theory comprising online modules and videos, skills laboratory sessions, and clinical placement experiences. Nurses were required to apply for the program and remain employed at the facility for two years...
April 2024: AORN Journal
https://read.qxmd.com/read/38527324/the-prevalence-of-incontinence-and-its-association-with-urinary-tract-infections-dermatitis-slips-and-falls-and-behavioral-disturbances-among-older-adults-in-medicare-fee-for-service
#2
JOURNAL ARTICLE
Ian Duncan, Andrew Stocking, Karen Fitzner, Tamim Ahmed, Nhan Huynh
PURPOSE: The purpose of this study was to examine the prevalence of urinary (UI), fecal (FI), and dual incontinence (DI) in older adults and their association with urinary tract infections, dermatitis, slips and falls, and behavioral disturbances based on Medicare fee-for-service (FFS) claims data. DESIGN: Retrospective analysis. SUBJECTS AND SETTINGS: Data from administrative claims from the CMS Medicare Limited Data Set (5% sample) for all months in 2018 were reviewed...
March 2024: Journal of Wound, Ostomy, and Continence Nursing
https://read.qxmd.com/read/38523411/early-experiences-with-bundled-payments-for-care-improvement-for-major-bowel-surgery
#3
JOURNAL ARTICLE
Udai S Sibia, John R Klune, Said Saiolghalam, Anton Bilchik
BACKGROUND: Bundled Payment (BP) models are becoming more common in surgery. We share our early experiences with Bundled Payments for Care Improvement for major bowel surgery. METHODS: Patients undergoing major bowel surgery between January and October 2021 were identified using Medicare Severity-Diagnosis Related Group (MS-DRG) codes. Major drivers of cost in a BP model are reported and compared to the Fee-For-Service (FFS) payment model. RESULTS: A total of 202 cases (173 FFS vs 29 BP) were analyzed...
March 24, 2024: American Surgeon
https://read.qxmd.com/read/38522574/the-relationship-between-discharge-location-and-cardiac-rehabilitation-use-after-cardiac-surgery
#4
JOURNAL ARTICLE
Tyler M Bauer, Maximilian Fliegner, Hechaun Hou, Temilolaoluwa Daramola, Jeffrey S McCullough, Whitney Fu, Francis D Pagani, Donald S Likosky, Steven J Keteyian, Michael P Thompson
BACKGROUND: Cardiac rehabilitation (CR) is a guideline-recommended risk reduction program offered to cardiac surgical patients. Despite CR's association with better outcomes, attendance remains poor. The relationship between discharge location and CR use is poorly understood. METHODS: This study was a nationwide, retrospective cohort analysis of Medicare fee-for-service claims for beneficiaries undergoing coronary artery bypass grafting and/or surgical aortic valve repair between 07/01/2016 and 12/31/2018...
March 22, 2024: Journal of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38516991/racial-disparities-among-mild-stroke-survivors-predictors-of-home-discharge-from-a-retrospective-analysis
#5
JOURNAL ARTICLE
Lindsay Bright, Carolyn M Baum, Pamela Roberts
BACKGROUND: Half of all strokes are classified as mild, and most mild stroke survivors are discharged home after their initial hospitalization without any post-acute rehabilitation despite experiencing cognitive, psychosocial, motor, and mobility impairments. OBJECTIVES: To investigate the demographic and clinical characteristics of mild stroke survivors and their association with discharge location. METHODS: This is a retrospective analysis of mild stroke survivors from 2015-2023 in an academic medical center...
March 22, 2024: Topics in Stroke Rehabilitation
https://read.qxmd.com/read/38510641/evaluation-of-perioperative-care-and-drivers-of-cost-in-geriatric-thoracolumbar-trauma
#6
JOURNAL ARTICLE
Omar H Tarawneh, Rajkishen Narayanan, Michael McCurdy, Tariq Z Issa, Yunsoo Lee, Olivia Opara, Nicholas B Pohl, Alexa Tomlak, Matthew Sherman, Jose A Canseco, Alan S Hilibrand, Alexander R Vaccaro, Gregory D Schroeder, Christopher K Kepler
INTRODUCTION: As the population of elderly patients continues to rise, the number of these individuals presenting with thoracolumbar trauma is expected to increase. RESEARCH QUESTION: To investigate thoracolumbar fusion outcomes for patients with vertebral fractures as stratified by decade. Secondarily, we examined the variability of cost across age groups by identifying drivers of cost of care. MATERIALS AND METHODS: We queried the United States Nationwide Inpatient Sample(NIS) for adult patients undergoing spinal fusion for thoracolumbar fractures between 2012 and 2017...
2024: Brain Spine
https://read.qxmd.com/read/38505952/control-of-sars-cov-2-infection-in-skilled-nursing-facilities-in-detroit-michigan-a-model-for-emerging-infectious-diseases
#7
JOURNAL ARTICLE
Seema Joshi, Samia Arshad, Abigail Lindsay, Jessica Heinonen, Helina Misikir, John Zervos, Tyler Prentiss, Jelena Verkler, Mariia Numi, Bonnie Czander, Randy E David, Michael Mossing, Paul E Kilgore, Najibah Rehman, Marcus Zervos
An infection prevention bundle that consisted of the development of a response team, public-academic partnership, daily assessment, regular testing, isolation, and environmental controls was implemented in 26 skilled nursing facilities in Detroit, Michigan (March 2020-April 2021). This intervention was associated with sustained control of severe acute respiratory coronavirus virus 2 infection among residents and staff.
March 20, 2024: Infection Control and Hospital Epidemiology
https://read.qxmd.com/read/38498490/the-who-atlas-for-female-genital-schistosomiasis-co-design-of-a-practicable-diagnostic-guide-digital-support-and-training
#8
JOURNAL ARTICLE
Santiago Gil Martinez, Pamela S Mbabazi, Motshedisi H Sebitloane, Bellington Vwalika, Sibone Mocumbi, Hashini N Galaphaththi-Arachchige, Sigve D Holmen, Bodo Randrianasolo, Borghild Roald, Femi Olowookorun, Francis Hyera, Sheila Mabote, Takalani G Nemungadi, Thembinkosi V Ngcobo, Tsakani Furumele, Patricia D Ndhlovu, Martin W Gerdes, Svein G Gundersen, Zilungile L Mkhize-Kwitshana, Myra Taylor, Roland E E Mhlanga, Eyrun F Kjetland
Up to 56 million young and adult women of African origin suffer from Female Genital Schistosomiasis (FGS). The transmission of schistosomiasis happens through contact with schistosomiasis infested fresh water in rivers and lakes. The transmission vector is the snail that releases immature worms capable of penetrating the human skin. The worm then matures and mates in the blood vessels and deposits its eggs in tissues, causing urogenital disease. There is currently no gold standard for FGS diagnosis. Reliable diagnostics are challenging due to the lack of appropriate instruments and clinical skills...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38495681/impact-of-vision-impairment-on-discharge-destination-for-patients-with-hip-fracture
#9
JOURNAL ARTICLE
Jacarri Tollette, Victor Heh, Jessica M Wiseman, Catherine C Quatman-Yates, Sayoko Moroi, Carmen E Quatman
INTRODUCTION: Vision impairment (VI) due to low vision or blindness is a major sensory health problem affecting quality of life and contributing to increased risk of falls and hip fractures (HF). Up to 60% of patients with hip fracture have VI, and VI increases further susceptibility to falls due to mobility challenges after HF. We sought to determine if VI affects discharge destination for patients with HF. MATERIALS AND METHODS: Cross-sectional analysis of 2015 Inpatient Medicare claims was performed and VI, blindness/low vision), HF and HF surgery were identified using ICD-9, and ICD-10 codes...
March 2024: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/38495124/analysis-of-medicare-patients-treated-with-pimavanserin-versus-other-atypical-antipsychotics-a-cost-offset-model-evaluating-skilled-nursing-facility-stays-and-long-term-care-admissions-in-parkinson-s-disease-psychosis
#10
JOURNAL ARTICLE
Krithika Rajagopalan, Nazia Rashid, Vinod Yakkala, Dilesh Doshi
BACKGROUND: Patients with Parkinson's disease psychosis (PDP) treated with pimavanserin (PIM) versus other atypical antipsychotics (AAPs) including quetiapine (QUE) may have health-care cost savings due to fewer skilled nursing facility-stays (SNF-stays) and long-term care admissions (LTCA). METHODS: A decision analytic model was developed using the 2019 Medicare Patient Driven Payment Model (PDPM) to estimate SNF-stays and LTCA associated per-patient- per-year (PPPY) facility and rehabilitation costs among patients that initiated PIM vs QUE or vs other-AAPs (i...
2024: ClinicoEconomics and Outcomes Research: CEOR
https://read.qxmd.com/read/38494924/early-ambulation-after-fibular-free-flap-surgery-is-associated-with-reduced-length-of-stay-increased-mobility-independence-and-discharge-to-home
#11
JOURNAL ARTICLE
Hilary C McCrary, Mitchell F Dunklebarger, Brett J Fechter, Sarah M Drejet, Marcus M Monroe, Luke O Buchmann, Jason P Hunt, Richard B Cannon
BACKGROUND: Fibula free flaps (FFF) are one of the most common bony flaps utilized. This paper describes a quality improvement project aimed at increasing early ambulation. METHODS: A review of FFF patients at an academic hospital was completed (2014-2023). In 2018, an institutional change to encourage early ambulation without placement of a boot was made. Changes in hospital disposition and physical therapy outcomes were evaluated. RESULTS: A total of 168 patients underwent FFF reconstruction...
March 18, 2024: Head & Neck
https://read.qxmd.com/read/38493807/improving-sleep-using-mentored-behavioral-and-environmental-restructuring-slumber
#12
JOURNAL ARTICLE
Jennifer L Martin, Mary Cadogan, Abraham A Brody, Michael N Mitchell, Diana E Hernandez, Michael Mangold, Cathy A Alessi, Yeonsu Song, Joshua Chodosh
OBJECTIVES: To evaluate the impact of a mentoring program to encourage staff-delivered sleep-promoting strategies on sleep, function, depression, and anxiety among skilled nursing facility (SNF) residents. DESIGN: Modified stepped-wedge unit-level intervention. SETTING AND PARTICIPANTS: Seventy-two residents (mean age 75 ± 15 years; 55.9% female, 41% non-Hispanic White, 35% Black, 20% Hispanic, 3% Asian) of 2 New York City urban SNFs...
March 14, 2024: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38493806/implementation-outcomes-for-the-slumber-sleep-improvement-program-in-long-term-care
#13
JOURNAL ARTICLE
Joshua Chodosh, Mary Cadogan, Abraham A Brody, Michael N Mitchell, Diana E Hernandez, Michael Mangold, Cathy A Alessi, Yeonsu Song, Jennifer L Martin
OBJECTIVES: To describe the implementation of a mentored staff-delivered sleep program in nursing facilities. DESIGN: Modified stepped-wedge unit-level intervention. SETTING AND PARTICIPANTS: This program was implemented in 2 New York City nursing facilities, with partial implementation (due to COVID-19) in a third facility. METHODS: Expert mentors provided staff webinars, in-person workshops, and weekly sleep pearls via text messaging...
March 14, 2024: Journal of the American Medical Directors Association
https://read.qxmd.com/read/38491304/seeking-sufficient-and-appropriate-care-during-the-first-year-after-spinal-cord-injury-a-qualitative-study
#14
JOURNAL ARTICLE
Anne M Bryden, Brian Gran
STUDY DESIGN: Longitudinal qualitative study, based on a constructivist grounded theory and transformative approach. OBJECTIVES: This study investigated experiences of individuals with spinal cord injury (SCI) while navigating rehabilitation, resources for recovery, and community reintegration during the first year after injury. SETTING: An acute inpatient rehabilitation facility in the Midwest United States. METHODS: In-depth, semi-structured interviews were conducted with 20 individuals with newly-acquired SCI...
March 16, 2024: Spinal Cord
https://read.qxmd.com/read/38490663/experiences-prevalence-and-drivers-of-disrespect-and-abuse-of-adolescents-during-facility-based-childbirth-in-sub-saharan-africa-a-scoping-review-protocol
#15
JOURNAL ARTICLE
Samson Udho, Sheila Elizabeth Clow
INTRODUCTION: Adolescents are more likely to experience disrespect and abuse (D&A) by skilled health personnel during facility-based childbirth. However, research evidence on the experiences, prevalence and drivers of D&A of adolescents in childbirth is limited. We aim to establish research evidence on the experiences, prevalence and drivers of D&A of adolescents during facility-based childbirth in sub-Saharan Africa and identify gaps in the literature to inform future research...
March 15, 2024: BMJ Open
https://read.qxmd.com/read/38488792/clinicians-who-practice-primarily-in-nursing-homes-and-the-quality-of-end-of-life-care-among-residents
#16
JOURNAL ARTICLE
Arnab K Ghosh, Mark Aaron Unruh, Hyunkyung Yun, Hye-Young Jung
IMPORTANCE: Clinician specialization in the care of nursing home (NH) residents or patients in skilled nursing facilities (SNFs) has become increasingly common. It is not known whether clinicians focused on NH care, often referred to as SNFists (ie, physicians, nurse practitioners, and physician assistants concentrating their practice in the NH or SNF setting), are associated with a reduced likelihood of burdensome transitions in the last 90 days of life for residents, which are a marker of poor-quality end-of-life (EOL) care...
March 4, 2024: JAMA Network Open
https://read.qxmd.com/read/38486259/challenges-to-the-delivery-and-utilisation-of-child-healthcare-services-a-qualitative-study-of-the-experiences-of-nurses-and-caregivers-in-a-rural-district-in-ghana
#17
JOURNAL ARTICLE
Felix Kwasi Nyande, Esmeralda Ricks, Margaret Williams, Sihaam Jardien-Baboo
BACKGROUND: Sub-Saharan Africa has one of the poorest child health outcomes in the world. Children born in this region face significant health challenges that jeopardise their proper growth and development. Even though the utilisation of child healthcare services safeguards the health of children, the challenges encountered by nurses in the delivery of services, and caregivers in the utilisation of these services, especially in rural areas, have contributed to poor child health outcomes in this region...
March 14, 2024: BMC Nursing
https://read.qxmd.com/read/38486184/pharmacological-labour-pain-interventions-south-african-midwives-perspective
#18
JOURNAL ARTICLE
L E Parkies, D Murray, U B Okafor
Women of childbearing age feel great about giving birth, but the pain could be excruciating depending on their pain tolerances. Midwives requires obstetrical knowledge and skills such as pain management during labour and safety. We explored midwives' perspectives on the utilisation of pharmacological pain alleviation interventions during labour in selected hospitals in Matjhabeng Municipality, Free State province, South Africa. A qualitative study was undertaken, involving a sample of ten midwives, using a semi-structured interview guide...
March 14, 2024: BMC Nursing
https://read.qxmd.com/read/38468995/injury-patterns-in-vehicle-crashes-the-significance-of-occupant-seating-position
#19
JOURNAL ARTICLE
Zachary Taylor, Austin Henken-Siefken, Andrew McCague
OBJECTIVES:  Investigating patterns among the outcomes of patients involved in motor vehicle accidents (MVAs) can provide information necessary to guide targeted interventions to improve road traffic safety. Our purpose is to identify any differences between passenger and driver injury severity and overall clinical course after MVAs. METHODS:  We performed a retrospective review and analysis of 3,693 patients involved in MVAs from 2016 to 2021. We divided the data into two groups, drivers and passengers, and compared the Injury Severity Score (ISS), Revised Trauma Score (RTS) on admission, days in the Intensive Care Unit (ICU), length of hospital stay (LOS), post Emergency Department (ED) disposition, discharge (DC) disposition, and signs of life on arrival (SOLA) to the ED...
February 2024: Curēus
https://read.qxmd.com/read/38460943/continuous-glucose-monitoring-guided-insulin-administration-in-long-term-care-facilities-a-randomized-clinical-trial
#20
JOURNAL ARTICLE
Thaer Idrees, Iris Castro, Hyungseok D Oh, Monica D Gavaller, Zohyra Zabala, Emmelin Moreno, Bobak Moazzami, Rodolfo J Galindo, Priyathama Vellanki, Elena Cabb, Theodore M Johnson, Limin Peng, Guillermo E Umpierrez
OBJECTIVES: To evaluate the efficacy of real-time continuous glucose monitoring (rt-CGM) in adjusting insulin therapy in long-term care facilities (LTCF). DESIGN: Prospective randomized clinical trial. SETTINGS AND PARTICIPANTS: Insulin-treated patients with type 2 diabetes (T2D) admitted to LTCF. METHODS: Participants in the standard of care wore a blinded CGM with treatment adjusted based on point-of-care capillary glucose results before meals and bedtime (POC group)...
March 6, 2024: Journal of the American Medical Directors Association
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