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https://www.readbyqxmd.com/read/29457585/training-nurses-in-a-competency-framework-to-support-adults-with-epilepsy-and-intellectual-disability-the-epaid-cluster-rct
#1
Howard Ring, James Howlett, Mark Pennington, Christopher Smith, Marcus Redley, Caroline Murphy, Roxanne Hook, Adam Platt, Nakita Gilbert, Elizabeth Jones, Joanna Kelly, Angela Pullen, Adrian Mander, Cam Donaldson, Simon Rowe, James Wason, Fiona Irvine
BACKGROUND: People with an intellectual (learning) disability (ID) and epilepsy have an increased seizure frequency, higher frequencies of multiple antiepileptic drug (AED) use and side effects, higher treatment costs, higher mortality rates and more behavioural problems than the rest of the population with epilepsy. The introduction of nurse-led care may lead to improvements in outcome for those with an ID and epilepsy; however, this has not been tested in a definitive clinical trial...
February 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/29454775/left-ventricular-dysfunction-and-exercise-capacity-trajectory-implications-for-subclinical-heart-failure-staging-criteria
#2
Julian W Sacre, Chiew Wong, Yih-Kai Chan, Melinda J Carrington, Simon Stewart, Bronwyn A Kingwell
OBJECTIVES: This study aimed to determine the association of stage B heart failure (SBHF) and its constituent left ventricular (LV) abnormalities with trajectory of exercise capacity over time, and assess whether this association is modified by reversion of these LV abnormalities to normal. BACKGROUND: The LV abnormalities of SBHF may coincide with a reduction in exercise capacity that precedes the overt exercise intolerance of clinical heart failure (HF). Determining the predictive capacity of established and novel SBHF criteria for exercise capacity decline may improve HF risk stratification...
February 9, 2018: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/29440798/rural-palliative-care-in-north-india-rapid-evaluation-of-a-program-using-a-realist-mixed-method-approach
#3
Daniel F Munday, Erna Haraldsdottir, Manju Manak, Ann Thyle, Cathy M Ratcliff
Context: Palliative care has not developed widely in rural North India. Since 2010, the Emmanuel Hospitals Association (EHA) has been developing a model of palliative care appropriate for this setting, based on teams undertaking home visits with the backup of outpatient and inpatient services. A project to further develop the model operated from 2012 to 2015 supported by funding from the UK. Aims: This study aims to evaluate the EHA palliative care project. Settings and Design: Rapid evaluation method using a mixed method realist approach at the five project hospital sites...
January 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29439083/psychological-outcomes-following-a-nurse-led-preventative-psychological-intervention-for-critically-ill-patients-poppi-protocol-for-a-cluster-randomised-clinical-trial-of-a-complex-intervention
#4
Alvin Richards-Belle, Paul R Mouncey, Dorothy Wade, Chris R Brewin, Lydia M Emerson, Richard Grieve, David A Harrison, Sheila Harvey, David Howell, Monty Mythen, Zia Sadique, Deborah Smyth, John Weinman, John Welch, Kathryn M Rowan
INTRODUCTION: Acute psychological stress, as well as unusual experiences including hallucinations and delusions, are common in critical care unit patients and have been linked to post-critical care psychological morbidity such as post-traumatic stress disorder (PTSD), depression and anxiety. Little high-quality research has been conducted to evaluate psychological interventions that could alleviate longer-term psychological morbidity in the critical care unit setting. Our research team developed and piloted a nurse-led psychological intervention, aimed at reducing patient-reported PTSD symptom severity and other adverse psychological outcomes at 6 months, for evaluation in the POPPI trial...
February 8, 2018: BMJ Open
https://www.readbyqxmd.com/read/29438073/stroke-self-management-support-improves-survivors-self-efficacy-and-outcome-expectation-of-self-management-behaviors
#5
Suzanne H S Lo, Anne M Chang, Janita P C Chau
BACKGROUND AND PURPOSE: Evidence shows self-management programs are associated with improved recovery outcomes. This article reports on the effectiveness of a new nurse-led self-efficacy-based stroke self-management program. METHODS: A randomized controlled trial of participants recruited from 3 acute stroke units was conducted. The intervention group received the 4-week stroke self-management program. The control group received usual care. All participants were assessed at baseline and 8 weeks after randomization...
February 2, 2018: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/29437531/improving-population-health-among-uninsured-patients-with-diabetes
#6
Michele H Talley, Shea Polancich, Jason B Williamson, Jennifer S Frank, William Curry, John F Russell, Cynthia Selleck
Diabetes is a leading cause of morbidity and mortality; prevalence of diabetes is especially high in the southeastern United States among minority populations and those from lower socioeconomic sectors without access to health care services. The purpose of this project was to evaluate the clinical and financial outcomes of a nurse-led, interprofessional collaborative practice model that provides care coordination and transitional care for uninsured patients with diabetes. Data for this study were collected and evaluated from medical records of patients seen at the Providing Access to Health Care (PATH) Clinic between August 1, 2015, through May 30, 2017...
February 13, 2018: Population Health Management
https://www.readbyqxmd.com/read/29436102/clinical-nursing-and-midwifery-research-in-latin-american-and-caribbean-countries-a-scoping-review
#7
Sarah Iribarren, Samantha Stonbraker, Brandon Larsen, Islane Santos, Renata Faria, Fernanda S N Góes, Lorena Binfa, Elaine Larson
AIM: To identify and describe published, nursing-led and midwifery-led, clinical research that has been conducted in Latin America and the Caribbean. BACKGROUND: Peer-reviewed published research may correspond to and elucidate country's realities, priorities, and needs. DESIGN: A 6-stage scoping review methodology was used to search scientific databases using an applied search strategy. DATA SOURCES: Five databases were searched for articles published in English, Spanish, or Portuguese conducted in a Latin American or Caribbean country between January 1, 2006 and June 14, 2016...
February 12, 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29427533/utilization-of-a-biomedical-device-veinviewer-%C3%A2-to-assist-with-peripheral-intravenous-catheter-piv-insertion-for-pediatric-nurses
#8
Heidi L McNeely, Theresa L Ream, Jodi M Thrasher, Oliwier Dziadkowiec, Tiffany J Callahan
PURPOSE: Vascular access in pediatric patients can be challenging even with the currently available technological resources. This nurse-driven research study explored time, cost, and resources for intravenous access to determine if a biomedical device, VeinViewer ® Vision, would facilitate improvements in pediatric access. In addition, this study looked at nurse perceptions of skills and confidence around intravenous insertion and if the use of the VeinViewer ® impacted these perceptions...
February 10, 2018: Journal for Specialists in Pediatric Nursing: JSPN
https://www.readbyqxmd.com/read/29426562/a-nurse-led-cervical-screening-clinic-in-primary-care
#9
Ghislaine Young
Eliza is a practice nurse in a large general practice in England. She is trained in cancer screening and health promotion as well as chronic disease management. Today patients are consulting with her for their cervical smear test.
February 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29424492/urgent-care-centre-redirection-evaluation-of-a-nurse-led-intervention
#10
Nicola Groom, Tara Kidd, Nicola Carey
AIM: Patient redirection can help reduce service demand by providing information about more appropriate services. There is, however, no evidence about the effect of nurse-led patient redirection in urgent care centre settings. The aim of this project was to develop and evaluate a nurse-led patient 'self-care and redirection first' intervention in an urgent care centre (UCC). METHOD: Adopting a prospective observational design, the intervention was delivered to an opportunity sample of patients who attended a south London hospital UCC, between June and July 2014, and evaluated through patient interviews five to ten days after initial attendance...
February 9, 2018: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/29423981/embedding-routine-health-checks-for-adults-with-intellectual-disabilities-in-primary-care-practice-nurse-perceptions
#11
S Macdonald, J Morrison, C A Melville, M Baltzer, L MacArthur, S A Cooper
BACKGROUND: Adults with intellectual disabilities (IDs) have consistently poorer health outcomes than the general population. There is evidence that routine health checks in primary care may improve outcomes. We conducted a randomised controlled trial of practice nurse led health checks. Here, we report findings from the nested qualitative study. AIM: To explore practice nurse perceptions and experience of delivering an anticipatory health check for adults with IDs...
February 9, 2018: Journal of Intellectual Disability Research: JIDR
https://www.readbyqxmd.com/read/29417713/person-centred-care-in-nurse-led-outpatient-rheumatology-clinics-conceptualization-and-initial-development-of-a-measurement-instrument
#12
Sidona-Valentina Bala, Kristina Forslind, Bengt Fridlund, Karin Samuelson, Björn Svensson, Peter Hagell
BACKGROUND: Person-centred care (PCC) is considered a key component of effective illness management and high-quality care. However, the PCC concept is underdeveloped in outpatient care. In rheumatology, PCC is considered an unmet need and its further development and evaluation is of high priority. The aim of the present study was to conceptualize and operationalize PCC, in order to develop an instrument for measuring patient-perceived PCC in nurse-led outpatient rheumatology clinics. METHODS: A conceptual outpatient PCC framework was developed, based on the experiences of people with rheumatoid arthritis (RA), person-centredness principles and existing PCC frameworks...
February 8, 2018: Musculoskeletal Care
https://www.readbyqxmd.com/read/29413063/what-works-in-a-nurse-led-self-management-program-for-patients-with-serious-mental-illness-smi-and-diabetes-dm
#13
Carol Blixen, Stephanie W Kanuch, Adam T Perzynski, Charles Thomas, Neal V Dawson, Martha Sajatovic
OBJECTIVE: To develop a deeper understanding of "how" a nurse led self-management intervention in a successful randomized controlled trial (RCT) for individuals with both serious mental illness (SMI) and diabetes (DM) influenced health outcomes and the lives of the participants. METHODS: In depth interviews, were conducted with a sample of 10 participants who received the self-management intervention in the RCT. Interviews were audiotaped, transcribed verbatim, and analyzed using content analysis, with an emphasis on dominant themes...
February 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29398316/nurse-led-discharge-in-pediatric-care-a-scoping-review
#14
REVIEW
Sydney Breneol, Aaron Hatty, Andrea Bishop, Janet A Curran
PROBLEM: Patients and caregivers frequently report feeling ill-prepared during the transition from hospital to home. Given the privileged position nurses occupy within the health care setting, they are often an appropriate health care professional to lead the discharge process. We aimed to map what is currently known about nurse-led/facilitated discharge programs, interventions, models, or frameworks for the pediatric population. ELIGIBILITY CRITERIA: We conducted a scoping review following the Joanna Briggs Institute Methodology...
February 1, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29398163/descriptive-analysis-and-profile-of-health-care-transition-services-provided-to-adolescents-and-emerging-adults-in-the-movin-on-up-health-care-transition-program
#15
Cecily L Betz, Kathryn Smith, Alex Van Speybroeck, Robert A Jacobs, Natalie Rivera, Jeannie Lee, Saba Saghhafi, Benjamin Nguyen, Hao Tu
Global efforts are underway to develop, implement and test health care transition (HCT) models of care. Most studies have focused on the transfer of care models. In contrast, the nurse-led interdisciplinary HCT model, Movin' On Up, provides comprehensive HCT services beginning in early adolescence. A retrospective analysis was conducted of data extracted from HCT records of 146 adolescents and emerging adults with spina bifida (with a mean age of 13.91 years) who were provided services in the Movin' On Up HCT program...
February 2, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29397759/familial-silence-surrounding-hiv-and-non-disclosure-of-hiv-status-to-older-children-and-adolescents
#16
Grace McHugh, Victoria Simms, Chido Dziva Chikwari, Hilda Mujuru, Kusum Nathoo, Prosper Chonzi, Shungu Munyati, Ethel Dauya, Tsitsi Bandason, Joanna Busza, Rashida A Ferrand
Increasing numbers of children with HIV are surviving to adolescence and beyond, many of whom are orphaned. Disclosure of childrens' and adolescents' HIV status has been shown to improve adherence and retention in HIV treatment programmes. We investigated caregiving arrangements and intra-familial experience of HIV and its relationship to HIV disclosure to older children and adolescents. Children aged 6-15 years, newly diagnosed with HIV infection or previously diagnosed but not engaged in HIV care, were recruited from seven primary care clinics in Harare, Zimbabwe...
February 4, 2018: AIDS Care
https://www.readbyqxmd.com/read/29395531/strategies-to-implement-maternal-vaccination-a-comparison-between-standing-orders-for-midwife-delivery-a-hospital-based-maternal-immunisation-service-and-primary-care
#17
Sushena Krishnaswamy, Euan M Wallace, Jim Buttery, Michelle L Giles
Maternal vaccination is a safe and effective strategy to reduce maternal and neonatal morbidity and mortality from pertussis and influenza. However, despite recommendations for maternal vaccination since 2010, uptake remains suboptimal. Barriers to uptake have been studied widely and include lack of integration of vaccination into routine pregnancy care and access to vaccination services. Standing orders for administration of vaccines without the need for a physician review or prescription have been demonstrated to improve uptake as part of multi-model interventions to increase antenatal influenza and post-partum pertussis vaccination...
January 30, 2018: Vaccine
https://www.readbyqxmd.com/read/29389465/a-novel-bedside-focused-ward-surveillance-and-response-system
#18
Frank Sebat, Mary Anne Vandegrift, Sid Childers, Geoffrey K Lighthall
BACKGROUND: Rapid response systems (RRSs) have been universally adopted in much of the developed world; yet, despite broad implementation, their success has often been limited. Even with successful systems, there is a small body of evidence regarding effective organizational elements that are responsible for improved outcomes. New organizational processes were implemented that restructured the existing RRS, and the impact on the number of rapid response team (RRT) alerts, cardiac arrest, and mortality rates was evaluated...
February 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29389053/a-case-control-study-of-end-of-life-treatment-preferences-and-costs-following-advance-care-planning-for-adults-with-end-stage-kidney-disease
#19
Marcus Sellars, Rachael L Morton, Josephine M Clayton, Allison Tong, Daveena Mawren, William Silvester, David Power, Ronald Ma, Karen M Detering
AIM: To examine the efficacy of advance care planning (ACP) to improve the likelihood that end-stage kidney disease (ESKD) patient's preferences will be known and adhered to at end-of-life. METHODS: A case-control study of a nurse-led ACP program in adults with ESKD from a major tertiary hospital. The primary outcome was the proportion of patients whose preferences were known (by substitute decision maker and/or clinicians) and adhered to by their treating doctors...
February 1, 2018: Nephrology
https://www.readbyqxmd.com/read/29388674/pain-self-management-plus-nurse-led-support-in-young-adults-with-irritable-bowel-syndrome-study-protocol-for-a-pilot-randomized-control-trial
#20
Xiaomei Cong, Divya Ramesh, Mallory Perry, Wanli Xu, Katherine M Bernier, Erin E Young, Stephen Walsh, Angela Starkweather
Irritable bowel syndrome (IBS) is a functional gut disorder that typically manifests in early adult years. IBS patients report that pain is the most distressing symptom with the greatest impact on quality of life. Pain-sensitivity genes and the gut microbiome may influence severity of symptoms as well as response to self-management (SM) interventions. Based on current understanding of the science of SM, pain neurophysiology, and the gut-brain axis, our team developed a pain SM intervention to be added to evidence-based self-management instruction to increase the individual's SM knowledge and skills (self-efficacy, self-regulation, and goal-setting)...
February 1, 2018: Research in Nursing & Health
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