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https://www.readbyqxmd.com/read/28505278/cost-effectiveness-of-outpatient-parenteral-antibiotic-therapy-a-simulation-modelling-approach
#1
A Vargas-Palacios, D M Meads, M Twiddy, C Czoski Murray, C Hulme, E D Mitchell, A Gregson, P Stanley, J Minton
Objectives: In the UK, patients who require intravenous antimicrobial (IVA) treatment may receive this in the community through outpatient parenteral antimicrobial therapy (OPAT) services. Services include: IVA administration at a hospital outpatient clinic (HO); IVA administration at home by a general nurse (GN) or a specialist nurse (SN); or patient self-administered (SA) IVA administration following training. There is uncertainty regarding which OPAT services represent value for money; this study aimed to estimate their cost-effectiveness...
May 15, 2017: Journal of Antimicrobial Chemotherapy
https://www.readbyqxmd.com/read/28464477/smoking-behavior-changes-in-the-early-rheumatoid-arthritis-period-and-risk-of-mortality-during-36-years-of-prospective-follow-up
#2
Jeffrey A Sparks, Shun-Chiao Chang, Uyen-Sa D T Nguyen, Medha Barbhaiya, Sara K Tedeschi, Bing Lu, Karen H Costenbader, Yuqing Zhang, Hyon K Choi, Elizabeth W Karlson
OBJECTIVE: We investigated whether rheumatoid arthritis (RA) diagnosis influences smoking behavior changes and whether these changes were associated with mortality. METHODS: We identified an incident RA cohort in the Nurses' Health Study (NHS, 1976-2012). Behavioral data were collected through biennial questionnaires. We created a comparison cohort, matching RA cases to women without RA by age and calendar year at the index date of RA diagnosis. To investigate smoking behavior changes in the early RA period, sustained cessation was defined as permanently quitting within four years of RA/index date...
May 2, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28448226/the-role-of-social-support-for-patients-with-mental-disorders-in-primary-care-in-brazil
#3
Jacqueline de Souza, Raisa Chaves Magalhães, Denise M Saint Arnault, Jaqueline Lemos de Oliveira, Sara Pinto Barbosa, Francine Baltazar Assad, Toyoko Saeki, Luciane Sá de Andrade
The aim of this article was to identify the health care providers and other agencies in a given region where psychiatric patients included in the study reside. In addition, we evaluated how these patients perceive social support for specific needs related to mental health. This study was carried out using fieldwork and face-to-face semistructured interviews with 25 patients who were receiving psychiatric treatment through primary health care. We performed structural analysis of the data focusing on relationship structure...
May 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28443975/breastfeeding-assessment-instruments-and-their-use-in-clinical-practice
#4
Bárbara Tideman Sartorio, Kelly Pereira Coca, Karla Oliveira Marcacine, Érika de Sá Vieira Abuchaim, Ana Cristina Freitas de Vilhena Abrão
Objectives: To identify breastfeeding assessment tools, their application in clinical practice, and their validation and cross-cultural adaptation. Method: This is an integrative review of literature obtained from six databases and an online library, conducted from August 2014 to December 2015, without a temporal delimitation. Results: We identified 19 assessment tools, of which 12 were validated and five were cross-culturally adapted. In terms of adaptation, the tools were used to assess the risk of early weaning (BAPT) and the perception/behaviour of mothers during nursing (BSES-SF and IIFAS)...
April 20, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28399314/portuguese-older-adults-presenting-at-the-emergency-department-predictive-validity-of-the-identification-of-seniors-at-risk-isar-tool
#5
João Paulo de Almeida Tavares, Pedro Sa-Couto, Marie Boltz, Elizabeth Capezuti
Following an emergency department (ED) visit, older adults are more likely to experience poorer outcomes than younger adults. It is crucial to identify older patients using a validated tool. One of the most studied tools is the Identification of Seniors at Risk (ISAR), which is used to identify older adults at risk of adverse outcomes after ED admission. The purpose of the current study was to examine the sensitivity, specificity, and interrater reliability of the Portuguese version of the ISAR when considering early (30 days) and late (180 days) outcomes...
April 11, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28382415/the-case-for-the-genetic-nurse-in-south-africa
#6
REVIEW
Helen L Malherbe, Arnold L Christianson, David Woods, Colleen Aldous
The care and prevention of congenital disorders (CDs) is an emerging but unprioritised health need in South Africa (SA). Inadequate empirical data and underreporting conceal the true burden of CDs while medical genetic services to confront the problem have regressed. Positive epidemiological transition in the country now demands these services are improved to significantly further reduce child mortality. Current sector capacity in SA is inadequate and required personnel targets will not be reached quickly enough to meet the growing health need even if relevant posts are designated...
April 2017: Journal of Community Genetics
https://www.readbyqxmd.com/read/28367725/evaluating-situation-awareness-an-integrative-review
#7
Sabrina B Orique, Laurel Despins
Situation awareness (SA) refers to the conscious awareness of the current situation in relation to one's environment. In nursing, loss or failure to achieve high levels of SA is linked with adverse patient outcomes. The purpose of this integrative review is to examine various instruments and techniques used to measure SA among nurses across academic and clinical settings. Computerized database and ancestry search strategies resulted in 40 empirical research reports. Of the reports included in the review, 24 measured SA among teams that included nurses and 16 measured SA solely in nurses...
March 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28328306/integration-and-evaluation-of-substance-abuse-research-education-training-saret-into-a-master-of-social-work-program
#8
Ellen Tuchman, Kathleen Hanley, Madeline Naegle, Frederick More, Sewit Bereket, Marc N Gourevitch
BACKGROUND: The Substance Abuse Research and Education Training (SARET) program is funded by the National Institutes of Drug Abuse in 2006 as a novel approach to spark interest in substance abuse research among medical, dental, nursing, and social work graduate students through a Web-based curriculum and research mentorships. This report presents the initial integration of the intervention in a Master of Social Work (MSW) program, the components of the program, and the mixed-methods evaluation of its effect on students' attitudes towards substance abuse research and treatment...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28261489/practice-status-of-specialized-agencies-for-occupational-health-management-of-small-to-medium-size-enterprises-and-the-factors-improving-their-performance-a-cross-sectional-survey-study
#9
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
BACKGROUND: We examined the current status of specialized agencies for occupational health management (SAs) and their workforce. Furthermore, we aimed to clarify the current practice status of SA healthcare professionals and factors that influence their performance. METHODS: To examine the current SA workforce, we analyzed data from the 2014 Survey of Current Status of SA and their Workforce from the Ministry of Employment and Labor (MOEL). Furthermore, we mailed out an original questionnaire to SA professionals to determine their current health management status and factors that affect their performance...
2017: Annals of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28226064/reflections-in-the-light-of-the-complexity-theory-and-nursing-education
#10
Ronny Anderson de Oliveira Cruz, Elidianne Layanne Medeiros de Araujo, Neyce de Matos Nascimento, Raquel Janyne de Lima, Jael Rúbia Figueiredo de Sá França, Jacira Dos Santos Oliveira
Objective: to reflect on nursing education, taking into account the principles of complex thinking proposed by Morin. Method: reflection based on the principles of the complexity theory by Edgar Morin. Results: the application of complexity in teaching proposes an emancipatory education based on questioning and social transformation. It comprises the education of nurses who interact with others as a characteristic of their work. It is necessary to prepare students to develop critical and reflective attitudes and actions to overcome the fragmentation and linearity of knowledge...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28226037/excess-fluid-volume-sociodemographic-and-clinical-analysis-in-haemodialysis-patients
#11
Maria Isabel da Conceição Dias Fernandes, Camila de Souza Soares, Jéssica Dantas de Sá Tinôco, Millena Freire Delgado, Maria das Graças Mariano Nunes de Paiva, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
Objective: To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients. Method: Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic. Results: It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables...
January 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27992032/speech-of-nurse-managers-related-to-conditions-that-dis-favor-the-control-of-tuberculosis-in-the-elderly
#12
Amanda de Araújo Romera, Anne Jaquelyne Roque Barrêto, Patrícia Geórgia de Oliveira Diniz Pinheiro, Karinne Dantas de Oliveira Adário, Lenilde Duarte de Sá
Objective: To analyze the discourse of nurse managers related to conditions that (dis)favor the control of tuberculosis in the elderly. Method: This study is qualitative and was held in a city considered a priority in the control of tuberculosis in Paraiba. Data collection was carried out between February and May 2014, through semi-structured interviews with eleven nurse managers. French Discourse Analysis was used the to analyze the empirical material. Results: The following discursive block was identified in the analysis: Conditions that (dis)favor the control of tuberculosis in the elderly...
December 15, 2016: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/27981150/raising-the-awareness-of-undergraduate-nurses-to-the-psychosocial-impact-of-living-with-cancer-a-consumer-engagement-in-teaching-initiative
#13
Lana Zannettino, Jan Thompson, Julie Marker, Stephanie Agius
This article reflects on the development and implementation of a consumer engagement in teaching initiative by the authors. The authors highlight the challenges of engaging undergraduate nursing students on the psychosocial aspects of living with cancer and other chronic illnesses when students have very limited personal and professional experiences to draw on. The authors discuss how they have responded to these challenges by integrating the voices of consumers into their classrooms. Speakers from consumer advocacy organization, Cancer Voices SA, participated in a series of tutorials in a 1(st) year topic in the Undergraduate Nursing Program at the School of Nursing and Midwifery, Flinders University...
April 2016: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/27917777/the-identification-and-treatment-of-women-with-hyperglycaemia-in-pregnancy-an-analysis-of-individual-participant-data-systematic-reviews-meta-analyses-and-an-economic-evaluation
#14
Diane Farrar, Mark Simmonds, Susan Griffin, Ana Duarte, Debbie A Lawlor, Mark Sculpher, Lesley Fairley, Su Golder, Derek Tuffnell, Martin Bland, Fidelma Dunne, Donald Whitelaw, John Wright, Trevor A Sheldon
BACKGROUND: Gestational diabetes mellitus (GDM) is associated with a higher risk of important adverse outcomes. Practice varies and the best strategy for identifying and treating GDM is unclear. AIM: To estimate the clinical effectiveness and cost-effectiveness of strategies for identifying and treating women with GDM. METHODS: We analysed individual participant data (IPD) from birth cohorts and conducted systematic reviews to estimate the association of maternal glucose levels with adverse perinatal outcomes; GDM prevalence; maternal characteristics/risk factors for GDM; and the effectiveness and costs of treatments...
November 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27917771/socioeconomic-and-modifiable-predictors-of-blood-pressure-control-for-hypertension-in-primary-care-attenders-in-the-western-cape-south-africa
#15
N Folb, M O Bachmann, E D Bateman, K Steyn, N S Levitt, V Timmerman, C Lombard, T A Gaziano, L R Fairall
BACKGROUND: Low socioeconomic status is associated with the risk of hypertension. There are few reports of the effect of socioeconomic and potentially modifiable factors on the control of hypertension in South Africa (SA). OBJECTIVES: To investigate associations between patients' socio-economic status and characteristics of primary healthcare facilities, and control and treatment of blood pressure in hypertensive patients. METHODS: We enrolled hypertensive patients attending 38 public sector primary care clinics in the Western Cape, SA, in 2011, and followed them up 14 months later as part of a randomised controlled trial...
December 1, 2016: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/27819483/the-effects-of-the-music-with-movement-intervention-on-the-cognitive-functions-of-people-with-moderate-dementia-a-randomized-controlled-trial
#16
Daphne Sze Ki Cheung, Claudia Kam Yuk Lai, Frances Kam Yuet Wong, Mason Chin Pang Leung
OBJECTIVE: The aim of this study was to examine the effects of the six-week music-with-movement (MM) intervention, as compared with music listening (ML) and social activity (SA), on the cognitive functions of people with moderate dementia over time. METHODS: A multi-center randomized controlled trial was conducted on 165 nursing home residents with moderate dementia. The MM intervention protocol was developed based on a critical literature review, and tested in three rounds of pilot studies before undergoing testing in this study...
November 7, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27793143/urban-rural-and-geographic-differences-in-overweight-and-obesity-in-four-sub-saharan-african-adult-populations-a-multi-country-cross-sectional-study
#17
IkeOluwapo O Ajayi, Clement Adebamowo, Hans-Olov Adami, Shona Dalal, Megan B Diamond, Francis Bajunirwe, David Guwatudde, Marina Njelekela, Joan Nankya-Mutyoba, Faraja S Chiwanga, Jimmy Volmink, Robert Kalyesubula, Carien Laurence, Todd G Reid, Douglas Dockery, David Hemenway, Donna Spiegelman, Michelle D Holmes
BACKGROUND: Overweight and obesity are on the rise in developing countries including sub-Saharan Africa. We undertook a four-country survey to show the collective burden of these health conditions as they occur currently in sub-Saharan Africa and to determine the differences between urban and rural populations and other socio-economic factors. METHODS: Participants were nurses in two hospitals in Nigeria (200), school teachers in South Africa (489) and Tanzania (229), and village residents in one peri-urban (297) and one rural location in Uganda (200) who completed a standardised questionnaire...
October 28, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27783725/nurses-performance-on-indigenous-and-african-brazilian-health-care-practices
#18
Maria do Rosário de Araújo Lima, Maria Luísa de Almeida Nunes, Berta Lúcia Pinheiro Klüppel, Soraya Maria de Medeiros, Lenilde Duarte de Sá
Objective: to analyze the performance of nurses from the Estratégia Saúde da Família (Family Health Strategy) on health care practices rooted in African and Indigenous cultures. Methods: Thematic Oral History was used and interviews were conducted with seven participants, who worked with Primary Health Care in Northeastern Brazil. The analysis was based on Leininger's Theory of Cultural Care and the intercultural concept of human rights, among others. Results: nurses are unaware of the religious and historical context of the ethnic groups cared for and do not appreciate their self-care practices in areas with a predominance of African and indigenous cultures...
September 2016: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/27707825/patients-estimations-of-the-importance-of-preventive-health-services-a-nationwide-population-based-cross-sectional-study-in-portugal
#19
Luísa Sá, Orquídea Ribeiro, Luís Filipe Azevedo, Luciana Couto, Altamiro Costa-Pereira, Alberto Hespanhol, Paulo Santos, Carlos Martins
OBJECTIVES: To determine, in the context of primary care preventive health services, the level of importance that Portuguese patients attribute to different preventive activities. DESIGN: Cross-sectional study. SETTING: Primary Healthcare, Portugal. PARTICIPANTS: 1000 Portuguese adults selected by a stratified cluster sampling design were invited to participate in a computer-assisted telephone survey. Persons with a cognitive or physical disability that hampered the ability to complete a telephone interview and being a nursing home resident or resident in any other type of collective dwelling were excluded...
October 5, 2016: BMJ Open
https://www.readbyqxmd.com/read/27596110/screening-for-suicidal-thoughts-and-behaviors-in-older-adults-in-the-emergency-department
#20
Marian E Betz, Sarah A Arias, Daniel L Segal, Ivan Miller, Carlos A Camargo, Edwin D Boudreaux
OBJECTIVES: To estimate the prevalence of self-harm, suicidal ideation (SI), and suicide attempts (SA) in older adults in the emergency department (ED), including differences according to age, sex, and race and ethnicity. DESIGN: Quasi-experimental, multiphase, eight-center study with prospective review of consecutive charts during enrollment shifts (November 2011-December 2014). SETTING: Eight EDs in seven states, all with protocols for nurses to screen every patient for suicide risk (universal screening)...
October 2016: Journal of the American Geriatrics Society
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