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https://www.readbyqxmd.com/read/29915435/lifestyle-intervention-using-internet-of-things-iot-for-the-elderly-a-study-protocol-for-a-randomized-control-trial-the-best-life-study
#1
Sawako Kato, Masahiko Ando, Takaaki Kondo, Yasuko Yoshida, Hiroyuki Honda, Shoichi Maruyama
Modification of lifestyle habits, including diet and physical activity, is essential for the prevention and control of type 2 diabetes mellitus (T2DM) in elderly patients. However, individualized treatment is more critical for the elderly than for general patients. This study aimed to determine lifestyle interventions that resulted in lowering hemoglobin A1c (HbA1c ) in Japanese pre- and early diabetic elderly subjects. The BEST-LIFE trial is an ongoing, open-label, 6-month, randomized (1:1) parallel group trial...
May 2018: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/29913348/from-linear-care-plan-through-concept-map-to-concepto-plan-the-creation-of-an-innovative-and-holistic-care-plan
#2
M Sherry McDonald, Melanie Neumeier, Mark E Olver
Linear care plans have traditionally been used in nursing education to support nursing students in identifying potential and actual health care problems, and to follow up on those issues with nursing interventions. However, the linear care plan does not support the nursing student with learning in-depth critical thinking, clinical reasoning, creative thinking, and other ways of thinking. Concept mapping was introduced as a way to support the nursing student to improve upon critical thinking and clinical reasoning and to identify relationships among the patient's health care problems...
May 26, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29912069/the-impact-of-critical-care-nursing-certification-on-pediatric-patient-outcomes
#3
Patricia A Hickey, Kimberlee Gauvreau, Courtney Porter, Jean A Connor
OBJECTIVES: To examine the relationship of nursing and unit characteristics including Critical Care Registered Nurse certification on patient complications for children undergoing congenital heart surgery in free-standing children's hospitals in the United States. DESIGN: A cross-sectional descriptive survey of nursing and organizational characteristics was sent electronically. SETTING: Free-standing children's hospitals in the United States...
June 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29903905/idiopathic-intracranial-hypertension-consensus-guidelines-on-management
#4
REVIEW
Susan P Mollan, Brendan Davies, Nick C Silver, Simon Shaw, Conor L Mallucci, Benjamin R Wakerley, Anita Krishnan, Swarupsinh V Chavda, Satheesh Ramalingam, Julie Edwards, Krystal Hemmings, Michelle Williamson, Michael A Burdon, Ghaniah Hassan-Smith, Kathleen Digre, Grant T Liu, Rigmor Højland Jensen, Alexandra J Sinclair
The aim was to capture interdisciplinary expertise from a large group of clinicians, reflecting practice from across the UK and further, to inform subsequent development of a national consensus guidance for optimal management of idiopathic intracranial hypertension (IIH). METHODS: Between September 2015 and October 2017, a specialist interest group including neurology, neurosurgery, neuroradiology, ophthalmology, nursing, primary care doctors and patient representatives met. An initial UK survey of attitudes and practice in IIH was sent to a wide group of physicians and surgeons who investigate and manage IIH regularly...
June 14, 2018: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/29903540/the-role-of-the-nurse-at-the-end-of-the-life-of-a-critically-ill-patient
#5
M González-Rincón, P Díaz de Herrera-Marchal, M L Martínez-Martín
OBJECTIVE: Analyze the role of the nurse at the end of the life of a critically ill patient. METHOD: Bibliographic review from a search of the health science databases such as PubMed, CINAHL, Cuiden, Scopus, Cochrane, as well as specialized platforms, general and thematic browsers. The limits were language (English or Spanish) and publication date (2005-2015). RESULTS: 180 articles met the inclusion criteria, and 16 of them were selected for analysis...
June 11, 2018: Enfermería Intensiva
https://www.readbyqxmd.com/read/29902939/dose-of-early-therapeutic-mobility-does-frequency-or-intensity-matter
#6
Chris Winkelman, Abdus Sattar, Hasina Momotaz, Kimberly D Johnson, Peter Morris, James R Rowbottom, John Daryl Thornton, Sheryl Feeney, Alan Levine
OBJECTIVE: Investigate the feasibility of a nurse-led mobility protocol and compare the effects of once- versus twice-daily episodes of early therapeutic mobility (ETM) and low- versus moderate-intensity ETM on serum biomarkers of inflammation and selected outcomes in critically ill adults. DESIGN: Randomized interventional study with repeated measures and blinded assessment of outcomes. SETTING: Four adult intensive care units (ICUs) in two academic medical centers...
January 1, 2018: Biological Research for Nursing
https://www.readbyqxmd.com/read/29902936/design-lessons-from-the-analysis-of-nurse-journeys-in-a-hospital-ward
#7
Masoumeh Nazarian, Andrew Price, Peter Demian, Masoud Malekzadeh
OBJECTIVE: The objective is to establish design strategies to help minimize nurse journeys and inform future decision-making. The impact of the ward layout was investigated through a case study ward in a multispecialty hospital in Tehran. BACKGROUND: Nurse teams have the most direct contact with ward patients. Time spent on activities not part of care provision should be minimized. Literature suggests that a significant part of nurses' time is spent moving between different places within wards, which emphasizes the importance of ward layout...
January 1, 2018: HERD
https://www.readbyqxmd.com/read/29902358/nurse-led-interventions-for-hypertension-a-scoping-review-with-implications-for-evidence-based-practice
#8
Lori A Spies, Susan Gerding Bader, Jackline G Opollo, Jennifer Gray
BACKGROUND: Hypertension is the leading preventable contributor to cardiovascular morbidity and mortality, affecting 1 billion people globally. Low- and middle-income countries have increasing rates of hypertension, much of it undiagnosed. AIMS: The purpose of the project is to review studies of nurse-led hypertension interventions that have been implemented in East Africa and to inform hypertension interventions in low-resource settings. METHODS: A scoping review was conducted following Arksey and O'Malley's (2005) format...
June 14, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29897671/undergraduate-student-nurses-perspectives-of-an-integrated-clinical-learning-model-in-the-mental-health-environment
#9
Gayelene Boardman, Karen Lawrence, Meg Polacsek
Providing nursing students with appropriate clinical practice during their undergraduate programme is critical to ensuring that graduates meet the competency requirements to gain registration as a nurse. In response to the predicted nursing workforce shortage, universities have been significantly increasing the enrolment of undergraduate nurses into Bachelor of Nursing courses. This has placed a demand on the availability of clinical placements and often universities struggle to find appropriate places. In this study, a Bachelor of Nursing course incorporated an Integrated Clinical Learning Model (ICLM) for the first time during a mental health placement...
June 13, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29896073/barriers-of-physical-assessment-skills-among-nursing-students-in-arab-peninsula
#10
Majed Sulaiman Alamri, Joseph U Almazan
Objective: There is a growing demand for health-care nursing services in several health care institutions. Understanding barriers to physical assessment among nursing students create a more detailed assessment in the development of quality patient's care in nursing practice. This study examined the barriers to physical assessment skills among nursing students in a government university in Arab Peninsula. Methods: A cross-sectional research survey design of 206 nursing students using a standardized questionnaire was used...
May 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29896072/nurses-knowledge-regarding-pain-management-in-high-acuity-care-units-a-case-study-of-palestine
#11
Basma Salameh
Background: Most patients who have been hospitalized at some point in time must have experienced a measure of pain despite improvements in health-care systems. Globally, there is a dearth in information with regard to pain management. Pain management is an essential process for nurses because they spend most time of the day with the patients. Therefore, nurses' level of knowledge and positive attitudes toward pain management reflect this vital and significant role played by nurses in critical care units...
May 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29894915/nursing-students-stress-and-satisfaction-in-clinical-practice-along-different-stages-a-cross-sectional-study
#12
Hanna Admi, Yael Moshe-Eilon, Dganit Sharon, Michal Mann
BACKGROUND: Research in the field of nursing students' stress shifted internationally in recent decades from Western to Eastern countries with an emphasis on Middle East and Far East countries. The clinical experience has always been at the heart of nursing education cross-culturally and is a major source of stress and attrition. OBJECTIVES: To investigate the perceptions of stress and satisfaction of undergraduate nursing students during three stages of clinical learning experiences: preclinical, clinical and advanced clinical...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29894446/parental-presence-at-the-bedside-of-critically-ill-children-in-a-unit-with-unrestricted-visitation
#13
Jennifer R Foster, Farhana I AlOthmani, Jamie A Seabrook, Tariq AlOfisan, Yasser M AlGarni, Amrita Sarpal
OBJECTIVES: To determine the percentage of time that critically ill children have a parent at the bedside and to identify extrinsic factors that are associated with percent of time with parental presence at the bedside. DESIGN: Prospective cohort study. SETTING: PICU in a single tertiary care children's hospital. SUBJECTS: Primary two parents of all children admitted to the PICU on 12 preselected days during a 1-year period from 2014 to 2015...
June 11, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29894257/taking-a-case-study-approach-to-assessing-alternative-leadership-models-in-health-care
#14
Jonathan Harris, Paula Mayo
Good leadership is essential to patient-centred care and staff satisfaction in the healthcare environment. All members of the healthcare team can be leaders and evidence-based theory should inform their leadership practice. This article uses a case study approach to critically evaluate leadership as exercised by a charge nurse and a student nurse in a clinical scenario. Ineffective leadership styles are identified and alternatives proposed; considerable attention is given to critiquing both 'heroic' and 'post-heroic' transformational leadership theories...
June 14, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29893439/nursing-home-resident-relationship-types-what-supports-close-relationships-with-peers-staff
#15
Tonya J Roberts
AIMS & OBJECTIVES: To describe from the nursing home resident perspective 1) the types and dimensions of relationships residents develop with others in the nursing home and 2) the conditions that influence development of close relationships. BACKGROUND: Close relationships are considered the fundamental building block of person-centered care. Prior studies have examined the various types of relationships residents develop with peers and staff, but few have focused specifically on articulating the characteristics and dimensions of a close relationship or the factors that can support or detract from their development...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29891575/education-research-variation-in-priorities-for-neurocritical-care-education-expressed-across-role-groups
#16
Abigail S Cohen, Saef Izzy, Monisha A Kumar, Cara J Joyce, Stephen A Figueroa, Matthew B Maas, Christiana E Hall, David L McDonagh, David P Lerner, Paul M Vespa, Lori A Shutter, Eric S Rosenthal
OBJECTIVE: To define expectations for neurocritical care (NCC) core competencies vs competencies considered within the domain of other subspecialists. METHODS: An electronic survey was disseminated nationally to NCC nurses, physicians, fellows, and neurology residents through Accreditation Council for Graduate Medical Education neurology residency program directors, United Council for Neurologic Subspecialties neurocritical care fellowship program directors, and members of the Neurocritical Care Society...
June 12, 2018: Neurology
https://www.readbyqxmd.com/read/29890836/high-acuity-rural-transport-findings-from-a-qualitative-investigation
#17
Jude Kornelsen, Brent Hobbs, Holly Buhler, Rebecca Kaus, Kari Grant, Scott C Lamont, Stefan Grzybowski
INTRODUCTION: The High Acuity Response Team (HART) was introduced in British Columbia (BC), Canada, to fill a gap in transport for rural patients that was previously being met by nurses and physicians leaving their communities to escort patients in need of critical care. The HART team consists of a critical care registered nurse (CCRN) and registered respiratory therapist (RRT) and attends acute care patients in rural sites by either stabilizing them in their community or transporting them...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29890643/mini-review-assessing-the-potential-impact-of-microneedle-technologies-on-home-healthcare-applications
#18
REVIEW
Aaron McConville, Catherine Hegarty, James Davis
The increasing devolution of healthcare towards community care has meant that the management of many conditions is conducted within the home either by community nurses or by the patients themselves. The administration of medicines within home healthcare scenarios can however be problematic—especially when considering the delivery of medicines through injection. The possibility of needlestick injury (NSI) has become an ever-present hazard within healthcare settings, with a significant proportion of percutaneous injuries occurring during the handling and disposal of the needle...
June 8, 2018: Medicines (Basel, Switzerland)
https://www.readbyqxmd.com/read/29889722/false-alarms-and-overmonitoring-major-factors-in-alarm-fatigue-among-labor-nurses
#19
Kathleen Rice Simpson, Audrey Lyndon
BACKGROUND: Nurses can be exposed to hundreds of alarms during their shift, contributing to alarm fatigue. PURPOSE: The purposes were to explore similarities and differences in perceptions of clinical alarms by labor nurses caring for generally healthy women compared with perceptions of adult intensive care unit (ICU) and neonatal ICU nurses caring for critically ill patients and to seek nurses' suggestions for potential improvements. METHODS: Nurses were asked via focus groups about the utility of clinical alarms from medical devices...
June 8, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29889719/collaborative-rural-nurse-peer-review-a-quality-improvement-project
#20
Stephanie D Drobny, Amy Snell, Lisa Morris, Cathy Harshbarger, Pat Village, Shelly A Fischer
BACKGROUND: Peer review is an essential element of professional nursing practice. LOCAL PROBLEM: Implementing nursing practice peer review is a challenge in any organization; some characteristics of small and rural hospitals can make the task especially daunting. METHODS: A team of nursing leaders and staff nurses from rural and critical access hospitals within 1 health care system was formed to make recommendations about implementing nursing practice peer review in the small rural facilities...
June 8, 2018: Journal of Nursing Care Quality
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