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https://www.readbyqxmd.com/read/29629682/impact-of-ideal-clinic-implementation-on-patient-waiting-time-in-primary-healthcare-clinics-in-kwazulu-natal-province-south-africa-a-before-and-after-evaluation
#1
B A Egbujie, A Grimwood, E C Mothibi-Wabafor, G Fatti, A M E T Tshabalala, S Allie, G Vilakazi, O Oyebanji
BACKGROUND: Long waiting times are a major source of dissatisfaction for patients attending public healthcare facilities in South Africa (SA). The National Department of Health has identified this as one of six priority areas for improvement. Health system-strengthening (HSS) interventions to improve patient waiting time are being implemented in public health facilities across SA as part of the 'Ideal Clinic' model. The effect of these interventions on patient waiting time needs to be assessed and evidence generated for system improvement...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29605713/cost-effectiveness-of-a-community-delivered-consultation-to-improve-infant-sleep-problems-and-maternal-well-being
#2
Sopany Saing, Bonny Parkinson, Jody Church, Stephen Goodall
OBJECTIVES: To evaluate the cost effectiveness of a community-delivered consultation aimed at improving infant sleep and maternal well-being. METHODS: A decision-analytic model was developed that compared the costs and benefits of an infant sleep consultation with usual care. The effectiveness of the consultation was based on clinical evidence, and improvements in maternal quality of life were estimated by mapping the Edinburgh Postnatal Depression Scale scores to published utility scores...
March 29, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29566730/collaborative-care-for-the-detection-and-management-of-depression-among-adults-with-hypertension-in-south-africa-study-protocol-for-the-prime-sa-randomised-controlled-trial
#3
Inge Petersen, Arvin Bhana, Naomi Folb, Graham Thornicroft, Babalwa Zani, One Selohilwe, Ruwayda Petrus, Ntokozo Mntambo, Daniella Georgeu-Pepper, Tasneem Kathree, Crick Lund, Carl Lombard, Max Bachmann, Thomas Gaziano, Naomi Levitt, Lara Fairall
BACKGROUND: The high co-morbidity of mental disorders, particularly depression, with non-communicable diseases (NCDs) such as cardiovascular disease (CVD), is concerning given the rising burden of NCDs globally, and the role depression plays in confounding prevention and treatment of NCDs. The objective of this randomised control trial (RCT) is to determine the real-world effectiveness of strengthened depression identification and management on depression outcomes in hypertensive patients attending primary health care (PHC) facilities in South Africa (SA)...
March 22, 2018: Trials
https://www.readbyqxmd.com/read/29397681/uptake-and-early-removals-of-implanon-nxt-in-south-africa-perceptions-and-attitudes-of-healthcare-workers
#4
O Adeagbo, S Mullick, D Pillay, M Chersich, C Morroni, N Naidoo, M Pleaner, H Rees
Background. The South African (SA) government introduced Implanon NXT, a long-acting subdermal contraceptive implant, in 2014 to expand contraceptive choice. Following an initial high uptake, its use declined considerably amid reports of early removals and frequent side-effects. We examine providers’ perceptions of training and attitudes towards Implanon NXT, as well as their views on the causes of early removals and the impact on the implant service. Objective. To assess healthcare providers’ perceptions and attitudes towards implant services in SA...
October 1, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29363338/ineffective-health-management-in-hemodialysis-patients-diagnostic-accuracy-study
#5
Maria das Graças Mariano Nunes de Paiva, Jéssica Dantas de Sá Tinôco, Maria Isabel da Conceição Dias Fernandes, Juliane Rangel Dantas, Isadora Lorenna Alves Nogueira, Ana Beatriz de Almeida Medeiros, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
This study analyzed the accuracy of clinical indicators of ineffective health management in hemodialysis patients. A diagnostic accuracy study was performed in 200 chronic kidney disease patients undergoing hemodialysis during the first half of 2015. Measures of sensitivity and specificity were calculated using latent class analysis. Ineffective health management was present in 66.28% of patients. Accurate clinical indicators included expressed nonadherence to treatment, daily life choices ineffective to achieve health goals, expression of difficulty with prescribed regimens, inappropriate use of medicines, lack of expression of willingness to control the disease, irregular attendance of dialysis sessions, and infection...
January 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/29223413/predictors-of-pressure-ulcer-risk-in-adult-intensive-care-patients-a-retrospective-case-control-study
#6
Ana Beatriz de Almeida Medeiros, Maria Isabel da Conceição Dias Fernandes, Jéssica Dantas de Sá Tinôco, Marcelly Santos Cossi, Marcos Venicios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
OBJECTIVES: To evaluate the predictive power of risk factors for pressure ulcers in adult intensive care patients. METHOD: A retrospective case-control study was performed utilising a heterogeneous sample group allocated into a case group with pressure ulcers (n=90) and a control group without pressure ulcers (n=90). The analysis explored the predictive power of risk factors for pressure ulcers using a hierarchical logistic regression model. RESULTS: The risk factors that predicted pressure ulcers were friction (OR=5...
December 7, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/29193837/weight-change-during-the-early-rheumatoid-arthritis-period-and-risk-of-subsequent-mortality-in-women-with-rheumatoid-arthritis-and-matched-comparators
#7
Jeffrey A Sparks, Shun-Chiao Chang, Uyen-Sa Nguyen, Medha Barbhaiya, Sara K Tedeschi, Bing Lu, David J Kreps, Karen H Costenbader, Yuqing Zhang, Hyon K Choi, Elizabeth W Karlson
OBJECTIVE: To investigate whether weight change during the early rheumatoid arthritis (RA) period is associated with subsequent mortality and to evaluate whether there is an RA-specific effect. METHODS: We identified patients with incident RA during the Nurses' Health Study (NHS; 1976-2016) and created a comparison cohort by matching each RA patient with up to 10 non-RA comparators by age and calendar year of the RA diagnosis (index date). To capture weight change around the early RA period ("peri-RA/index"), we used weight measurements collected 2-4 years before and 2-4 years after the index date...
January 2018: Arthritis & Rheumatology
https://www.readbyqxmd.com/read/29180947/prevalence-and-related-factors-of-successful-aging-among-chinese-rural-elders-living-in-nursing-homes
#8
Menglian Wu, Yang Yang, Dan Zhang, Yaoyao Sun, Hui Xie, Jie Zhang, Jihui Jia, Yonggang Su
Few studies focus on the prevalence and related factors of successful aging (SA) among Chinese rural elders living in nursing homes. This study aims to make an operational definition of successful aging, estimate the prevalence of SA, and identify factors related to SA among Chinese rural elders living in nursing homes. Data for this cross-sectional study were collected by face-to-face interviews in five rural public nursing homes. A total of 205 elders aged 60 years and above were asked to answer a series of questions...
December 2017: European Journal of Ageing
https://www.readbyqxmd.com/read/29172826/testing-nursing-sensitive-outcomes-in-out-patient-drug-addicts-with-nursing-role-effectiveness-model
#9
Paulo Rosário Carvalho Seabra, José Joaqui Penedos Amendoeira, Luis Octávio Sá
Our aim was to identify factors that contribute to a better outcome in drug users and to understand the effectiveness of nursing interventions, by applying "Nursing Role Effectiveness Model" (NREM). It's a correlational, cross-sectional study with 180 drug users in a methadone program, randomly selected from three community services. We identified that treatment time, lower co-morbidities, less poly-drug use, family support and being employed contribute to a better quality of life, better mental health, less substance addiction consequences and more satisfaction with nursing care (p < 0...
November 27, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/29160476/cultural-adaptation-of-the-end-stage-renal-disease-adherence-questionnaire-for-hemodialysis-patients
#10
Silvia Maria de Sá Basilio Lins, Josete Luzia Leite, Simone de Godoy, Patrícia Dos Santos Claro Fuly, Silvia Teresa Carvalho de Araújo, Ítalo Rodolfo Silva
OBJECTIVE: To describe the stages in the cultural adaptation of "The End-Stage Renal Disease Adherence Questionnaire" for use in Brazil. METHOD: A descriptive, transversal study with a quantitative approach. The cultural adaptation followed the steps of translation, professional committee, back translation, panel of patients and pretest. RESULTS: the translation stage created a version in Portuguese that was analyzed by specialists, who suggested alterations in the title, seven sentences in the questions and three sets of answers...
November 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29094426/antecedents-and-associations-of-sickness-presenteeism-and-sickness-absenteeism-in-nurses-a-systematic-review
#11
Hana Brborović, Qëndresë Daka, Kushtrim Dakaj, Ognjen Brborović
AIMS: This study comprehensively analysed and systemized the elements associated with nursing sickness presenteeism (SP) and sickness absenteeism (SA). BACKGROUND: Both behaviours represent a real challenge to nursing departments because they can increase costs, cause health care adverse events, and impact the quality of health care. DESIGN: The systematic review of cohort studies was designed to be consistent with the PRISMA guidelines. DATA SOURCES: PubMed, ProQuest, and Emerald were systematically searched for peer-reviewed articles published from the 1950s to December 2016...
December 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29069264/nurse-perception-of-care-of-hospitalized-older-adults-a-comparative-study-between-northern-and-central-regions-of-portugal
#12
João Paulo de Almeida Tavares, Alcione Leite da Silva, Pedro Sá-Couto, Marie Boltz, Elizabeth Capezuti
OBJECTIVE: to analyze the relationship between the perceptions of nurses about geriatric care (GC) environment and geriatric nurses' knowledge and attitudes according to unit type considering the northern and central regions of Portugal. METHOD: a cross-sectional study was developed among 1068 Portuguese's nurses in five hospitals. The instrument was Geriatric Institutional Assessment Profile - Portuguese version. The independent samples t-test was when the assumption of normality was verified, otherwise, the Mann-Whitney U test was used...
October 19, 2017: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29025443/perceptions-of-nurses-roles-in-end-of-life-care-and-organ-donation-imposition-or-obligation
#13
Kim Crymble, June Fabian, Harriet Etheredge, Petra Gaylard
South Africa has a rich organ-transplant history, and studies suggest that the SA public supports organ donation. In spite of this, persistently low donor numbers are a significant challenge. This may be due to a lack of contextually appropriate awareness and education, or to barriers to referring patients and families in clinical settings. It may also be due to ad hoc regulations that are not uniformly endorsed or implemented. In this article we present the findings of a study in Johannesburg that explored the attitudes and roles of nurses in end-of-life care and organ donation...
June 30, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29022525/evaluating-5-years-nimart-mentoring-in-south-africa-s-hiv-treatment-programme-successes-challenges-and-future-needs
#14
M Jones, D Cameron
Task shifting has enabled South Africa (SA) to rapidly expand its HIV treatment programme. This has been achieved by training and mentoring primary-care nurses in nurse initiation and management of antiretroviral therapy (NIMART). Five years into its clinical mentoring programme, the Foundation for Professional Development conducted an evaluation that identified improved knowledge, attitudes and confidence perceived by nurses who received NIMART mentoring. Low completion rates for the Department of Health (DoH) NIMART training process were identified and therefore targeted mentoring was introduced; this increased the percentage of primary nurses eligible for DoH certificates of clinical competence in NIMART from 12%, adding a further 30%...
September 22, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28723984/satisfaction-with-nursing-care-in-drug-users-the-evolution-of-a-scale
#15
Paulo Rosário Carvalho Seabra, Luis Octávio Sá, José Joaquim Penedos Amendoeira, Ana Leonor Ribeiro
Objectives: To identify the degree of satisfaction with nursing care, the significant variables and contribute to the evolution of the scale. Methods: Descriptive, correlational, cross study, with 180 drug users. Data collected using the scale called "Satisfaction of users with the Nursing Health Center26", between February and December 2012 in three treatment units in the region of Lisbon and Vale do Tejo, Portugal. Results: Users indicated 83...
July 13, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28688211/reducing-sedation-time-for-thyroplasty-with-arytenoid-adduction-with-sequential-anesthetic-technique
#16
Charles K Saadeh, Eric B Rosero, Girish P Joshi, Esra Ozayar, Ted Mau
OBJECTIVE: To determine the extent to which a sequential anesthetic technique 1) shortens time under sedation for thyroplasty with arytenoid adduction (TP-AA), 2) affects the total operative time, and 3) changes the voice outcome compared to TP-AA performed entirely under sedation/analgesia. STUDY DESIGN: Case-control study. METHODS: A new sequential anesthetic technique of performing most of the TP-AA surgery under general anesthesia (GA), followed by transition to sedation/analgesia (SA) for voice assessment, was developed to achieve smooth emergence from GA...
December 2017: Laryngoscope
https://www.readbyqxmd.com/read/28618181/ineffective-protection-in-hemodialysis-patients-sociodemographic-and-clinical-context
#17
Jéssica Dantas de Sá Tinôco, Maria das Graças Mariano Nunes de Paiva, Cecília Maria Farias de Queiroz Frazão, Maria Isabel da Conceição Dias Fernandes, Bertha Cruz Enders, Ana Luisa Brandão de Carvalho Lira
PURPOSE: To analyze the association between components of the nursing diagnosis ineffective protection (00043) and sociodemographic and clinical data of hemodialysis patients. METHOD: Cross-sectional study was conducted during the first half of 2015 with a sample of 200 patients from a reference clinic of nephrology. A structured instrument containing operational definitions was used to collect data. FINDINGS: Hemodialysis patients presented defining characteristics of ineffective protection (00043) associated with sociodemographic and clinical context variables...
June 15, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28618060/clinical-validation-of-the-nursing-diagnosis-of-ineffective-protection-in-haemodialysis-patients
#18
Jéssica Dantas de Sá Tinôco, Maria das Graças Mariano Nunes de Paiva, Cecília Maria Farias de Queiroz Frazão, Kadyjina Daiane Batista Lucio, Maria Isabel da Conceição Dias Fernandes, Marcos Venicios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
AIMS AND OBJECTIVES: To evaluate the clinical validity of indicators of the nursing diagnosis of "ineffective protection" in haemodialysis patients. BACKGROUND: Haemodialysis patients have reduced protection. Studies on the nursing diagnosis of "ineffective protection" are scarce in the literature. The use of indicators to diagnose "ineffective protection" could improve the care of haemodialysis patients. The clinical usefulness of the indicators requires clinical validation...
January 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28582989/a-situation-analysis-of-psychiatrists-in-south-africa-s-rural-primary-healthcare-settings
#19
Johannes H De Kock, Basil J Pillay
BACKGROUND: South Africa (SA) has been facing serious challenges in providing human resources for the delivery of essential mental health (MH) services. The majority of its prescribing MH specialists, psychiatrists, practise in private, urban and peri-urban areas. The findings of a situation analysis audit of psychiatrist human resources in the public rural primary healthcare (PRPHC) sector are presented in this paper. METHOD: This audit was based on both primary and secondary data...
May 29, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28505278/cost-effectiveness-of-outpatient-parenteral-antibiotic-therapy-a-simulation-modelling-approach
#20
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...
August 1, 2017: Journal of Antimicrobial Chemotherapy
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