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https://www.readbyqxmd.com/read/28315556/developing-infrastructure-managing-patients-with-cancer-undergoing-car-t-cell-therapy%C3%A2
#1
Elizabeth Halton, Diane Llerandi, Claudia Diamonte, Hilda Quintanilla, Donna Miale-Mayer
BACKGROUND: The introduction of chimeric antigen receptor (CAR) T-cell therapy has created challenges and opportunities for nurses. Clinical nurses must be educated on new treatment modalities to recognize toxicity symptoms and to support the therapy moving forward. 
. OBJECTIVES: This article will discuss nursing leadership and interventions to standardize care and ensure patient safety while receiving CAR T cells. 
. METHODS: Using evolving experience, an interprofessional team created standards of care and identified common toxicities and best practices for their management...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28302309/best-practices-for-chiropractic-care-for-older-adults-a-systematic-review-and-consensus-update
#2
Cheryl Hawk, Michael J Schneider, Mitchell Haas, Paul Katz, Paul Dougherty, Brian Gleberzon, Lisa Z Killinger, John Weeks
OBJECTIVE: The purpose of this study was to update evidence-based recommendations on the best practices for chiropractic care of older adults. METHODS: The project consisted of a systematic literature review and a consensus process. The following were searched from October 2009 through January 2016: MEDLINE, Index to Chiropractic Literature, CINAHL (Cumulative Index to Nursing and Allied Health Literature), AMED (Allied and Complementary Medicine Database), Alt HealthWatch, Cochrane Database of Systematic Reviews, and Cochrane Registry of Controlled Trials...
March 14, 2017: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/28302217/-assessing-the-current-status-of-enhanced-recovery-after-surgery-in-the-usage-of-web-based-survey-questionnaires-by-thoracic-surgeons-and-nurses-attending-the-meeting-in-mainland-china
#3
Na Du, Chenglin Guo, Mei Yang, Yanli Ji, Wei Wang, Jie Li, Chuan Li, Lunxu Liu, Guowei Che
BACKGROUND: Though the concept of enhanced recovery after surgery (ERAS) has been progressively known by the surgeons and applied clinically, the current status of its cognition among thoracic surgeons and application in thoracic surgery is still unknown. Based on the analysis of a survey of thoracic surgeons and nurses on chest ERAS during a national conference, we aimed to analyze the status and difficulties of the application of ERAS in thoracic surgery. METHODS: A total of 773 questionnaires were collected during the first West China chest ERAS Forum and analyzed...
March 20, 2017: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/28300525/disaster-preparedness-among-health-professionals-and-support-staff-what-is-effective-an-integrative-literature-review
#4
Jeremy R Gowing, Kim N Walker, Shandell L Elmer, Elizabeth A Cummings
Introduction It is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters. Report An integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff...
March 16, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/28295539/a-bibliometric-analysis-of-the-journal-of-advanced-nursing-1976-2015
#5
Danica Železnik, Helena Blažun Vošner, Peter Kokol
BACKGROUND: Bibliometric studies of single journals have been performed, but to the best of our knowledge, bibliometric analysis and bibliometric mapping have not yet been used to analyse the literature production of the Journal of Advanced Nursing. AIM: The aim of this study was to examine the publication characteristics and development of Journal of Advanced Nursing during its 40-year history. DESIGN/METHOD: Using descriptive bibliometrics, we studied the dynamics and trend patterns of literature production and identified document types and the most prolific authors, papers, institutions and countries...
March 15, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28290956/multidisciplinary-in-situ-simulation-based-training-as-a-postpartum-hemorrhage-quality-improvement-project
#6
Monica A Lutgendorf, Carmen Spalding, Elizabeth Drake, Dennis Spence, Jason O Heaton, Kristina V Morocco
BACKGROUND: Postpartum hemorrhage is a common obstetric emergency affecting 3 to 5% of deliveries, with significant maternal morbidity and mortality. Effective management of postpartum hemorrhage requires strong teamwork and collaboration. We completed a multidisciplinary in situ postpartum hemorrhage simulation training exercise with structured team debriefing to evaluate hospital protocols, team performance, operational readiness, and real-time identification of system improvements...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28288622/cogchamps-a-model-of-implementing-evidence-based-care-in-hospitals-study-protocol
#7
Catherine Travers, Frederick Graham, Amanda Henderson, Elizabeth Beattie
BACKGROUND: Delirium and dementia (cognitive impairment; CI), are common in older hospital patients, and both are associated with serious adverse outcomes. Despite delirium often being preventable, it is frequently not recognized in hospital settings, which may be because hospital nurses have not received adequate education or training in recognizing or caring for those with CI. However, the most effective way of increasing nurses' awareness about delirium and dementia, and initiating regular patient screening and monitoring to guide best practices for these patients in hospital settings is not known...
March 14, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28287054/effects-and-feasibility-of-an-exercise-intervention-for-individuals-living-with-dementia-in-nursing-homes-study-protocol
#8
Lindsey Brett, Victoria Traynor, Paul Stapley, Shahla Meedya
BACKGROUND: Worldwide, there are an estimated 35.6 million individuals living with dementia. It is important that non-pharmacological therapies are utilized to help manage the symptoms of dementia, such as agitation, as they are the recommended first approach in best practice guidelines. METHODS: This protocol outlines a randomized controlled trial with a qualitative component which evaluated the effects and feasibility of a physical therapist-led physical exercise intervention on agitation of individuals living with dementia in nursing homes...
March 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28281336/enhancing-care-for-infants-with-neonatal-abstinence-syndrome-an-evidence-based-practice-approach-in-a-rural-midwestern-region
#9
Christy L Cook, Shannon K Dahms, Sonja J Meiers
This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1741-6787.
March 9, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28281328/implementation-of-evidence-based-practice-from-a-learning-perspective
#10
Per Nilsen, Margit Neher, Per-Erik Ellström, Benjamin Gardner
INTRODUCTION: For many nurses and other health care practitioners, implementing evidence-based practice (EBP) presents two interlinked challenges: acquisition of EBP skills and adoption of evidence-based interventions and abandonment of ingrained non-evidence-based practices. AIMS: The purpose of this study to describe two modes of learning and use these as lenses for analyzing the challenges of implementing EBP in health care. METHODS: The article is theoretical, drawing on learning and habit theory...
March 9, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28274941/supporting-insulin-initiation-in-type-2-diabetes-in-primary-care-results-of-the-stepping-up-pragmatic-cluster-randomised-controlled-clinical-trial
#11
John Furler, David O'Neal, Jane Speight, Jo-Anne Manski-Nankervis, Alexandra Gorelik, Elizabeth Holmes-Truscott, Louise Ginnivan, Doris Young, James Best, Elizabeth Patterson, Danny Liew, Leonie Segal, Carl May, Irene Blackberry
Objective To compare the effectiveness of a novel model of care ("Stepping Up") with usual primary care in normalising insulin initiation for type 2 diabetes, leading to improved glycated haemoglobin (HbA1c) levels.Design Cluster randomised controlled trial.Setting Primary care practices in Victoria, Australia, with a practice nurse and at least one consenting eligible patient (HbA1c ≥7.5% with maximal oral treatment).Participants 266 patients with type 2 diabetes and 74 practices (mean cluster size 4 (range 1-8) patients), followed up for 12 months...
March 8, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28271977/end-of-life-conversations-and-hospice-placement-association-with-less-aggressive-care-desired-in-the-nursing-home
#12
Joann P Reinhardt, Deirdre Downes, Verena Cimarolli, Patricia Bomba
Education about end-of-life care and treatment options, communication between family and health care providers, and having advance directives and medical orders in place are important for older adults with chronic, progressive decline and end-stage disease who spend their last days in the nursing home. This study used retrospective data (6 months before death) of long-stay nursing home decedents (N = 300) taken from electronic health records to capture the end-of-life experience. Findings showed for almost all decedents, Do Not Resuscitate and Do Not Intubate orders were in place, and just over one-half had Do Not Hospitalize and No Artificial Feeding orders in place...
January 2017: Journal of Social Work in End-of-life & Palliative Care
https://www.readbyqxmd.com/read/28271761/developing-effective-and-caring-nurse-patient-relationships
#13
Rebecca Feo, Philippa Rasmussen, Rick Wiechula, Tiffany Conroy, Alison Kitson
Establishing positive and trusting therapeutic relationships with patients has long been recognised as an essential component of nursing practice and is important for effective care. There are various challenges in clinical practice that make it increasingly difficult to deliver effective care centred on such relationships. Understanding and addressing these challenges is crucial to ensure a positive experience of care for patients, families, carers and nurses. This article outlines how nurses can use a framework to develop therapeutic relationships with patients and use the best available evidence to deliver effective care...
March 8, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28268159/protective-lung-strategies-a-cross-sectional-survey-of-nurses-knowledge-and-use-in-the-emergency-department
#14
Sarah Cornish, Rochelle Wynne, Sharon Klim, Anne-Maree Kelly
BACKGROUND: Mechanical ventilation (MV) is commonly used in emergency departments (EDs). Protective lung strategies (PLS), comprising of low tidal volume (6mL/kg), control of oxygen and plateau pressures, and administration of positive end expiratory pressure (PEEP) has been shown to reduces the risks associated with MV but there is little evidence exists about nurses' knowledge or application of PLS. Our aim was to explore nurses knowledge and application of PLS in Australian EDs. METHODS: Descriptive, exploratory design utilising an online questionnaire...
March 3, 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28267694/the-association-between-medicare-eligibility-and-gains-in-access-to-rehabilitative-care-a-national-regression-discontinuity-assessment-of-patients-ages-64-versus-65-years
#15
Cheryl K Zogg, John W Scott, David Metcalfe, Anupamaa J Seshadri, Thomas C Tsai, W Austin Davis, John A Rose, Olubode A Olufajo, Syed Nabeel Zafar, Ali Salim, Adil H Haider
OBJECTIVES: The aims of this study were to assess for changes in uninsured rates among trauma patients at age 64 versus 65 years and whether there are associated changes in post-discharge rehabilitation; determine whether changes are driven by rehabilitation provided at home, skilled nursing facilities (SNFs), or acute inpatient facilities; and determine whether changes vary among stratified subgroups of trauma-related "best-practice" factors. SUMMARY BACKGROUND DATA: Rehabilitation is an important component of high-quality trauma systems with access heavily influenced by insurance status...
April 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28263127/utility-of-routine-urinalysis-and-urine-culture-testing-in-an-ambulatory-urology-clinic-a-quality-improvement-initiative-in-a-veterans-healthcare-facility
#16
Kyle A Richards, Stacy Cesario, Amy H Lim, Sara L Best, Susan M Deeren, Wade Bushman, Nasia Safdar
INTRODUCTION: Urinalysis (UA) and urine culture (UCx) are commonly performed tests in the urology clinic. Many of these urine studies are performed prior to the patient visit may not always be indicated, thus contributing to unintended consequences such as antibiotic use and costs without enhancing patient care. Our objective was to perform a quality improvement initiative aimed to assess the utility of routine UA/UCx. MATERIALS AND METHODS: The practice pattern at our site's Veteran Affairs (VA) urology clinic prior to 2014 was to obtain routine UA/UCx on most clinic visits prior to patient evaluation...
February 2017: Canadian Journal of Urology
https://www.readbyqxmd.com/read/28262139/examining-the-dimensional-structure-models-of-secondary-traumatic-stress-based-on-dsm-5-symptoms
#17
Imelu G Mordeno, Geraldine P Go, April Yangson-Serondo
Latent factor structure of Secondary Traumatic Stress (STS) has been examined using Diagnostic Statistic Manual-IV (DSM-IV)'s Posttraumatic Stress Disorder (PTSD) nomenclature. With the advent of Diagnostic Statistic Manual-5 (DSM-5), there is an impending need to reexamine STS using DSM-5 symptoms in light of the most updated PTSD models in the literature. The study investigated and determined the best fitted PTSD models using DSM-5 PTSD criteria symptoms. Confirmatory factor analysis (CFA) was conducted to examine model fit using the Secondary Traumatic Stress Scale in 241 registered and practicing Filipino nurses (166 females and 75 males) who worked in the Philippines and gave direct nursing services to patients...
February 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28261790/japanese-experience-of-evolving-nurses-roles-in-changing-social-contexts
#18
S Kanbara, Y Yamamoto, T Sugishita, T Nakasa, I Moriguchi
AIM: To discuss the evolving roles of Japanese nurses in meeting the goals and concerns of ongoing global sustainable development. BACKGROUND: Japanese nurses' roles have evolved as the needs of the country and the communities they served, changed over time. The comprehensive public healthcare services in Japan were provided by the cooperation of hospitals and public health nurses. INTRODUCTION: The nursing profession is exploring ways to identify and systemize nursing skills and competencies that address global health initiatives for sustainable development goals...
March 5, 2017: International Nursing Review
https://www.readbyqxmd.com/read/28252495/using-simulation-to-prepare-nursing-staff-for-the-move-to-a-new-building
#19
Sara Knippa, Pol-Andre Senecal
Hospitals that expand or open new nursing units must provide training to staff providing patient care in the new space. Although expansion represents a significant investment and has substantial implications for patient care, there is little evidence to guide best practice. This article describes an approach to education, training, and orientation used by a large academic medical center in the United States, which included simulation. The results of a program evaluation are discussed, demonstrating the positive impact of this program on staff readiness and patient safety...
March 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28252484/ventrogluteal-site-injections-in-the-mental-health-setting-a-comprehensive-educational-program
#20
Helen McGee
Adoption of the ventrogluteal site for intramuscular injections has been limited in mental health settings despite its decreased risk of sciatic nerve injury and its promotion as best practice among student nurses. At a center for addiction and mental health in Toronto, Canada, registered practical nurses followed a competency checklist in a simulation setting and then observed and administered supervised ventrogluteal injections in clinical settings. This article describes the comprehensive educational program and its outcomes in practice...
March 2017: Journal for Nurses in Professional Development
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