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https://www.readbyqxmd.com/read/29933308/hopelessness-death-anxiety-and-social-support-of-hospitalized-patients-with-gynecologic-cancer-and-their-caregivers
#1
Fatma Uslu-Sahan, Fusun Terzioglu, Gulten Koc
BACKGROUND: Gynecologic cancer can create hopelessness and death anxiety and alter the lifestyle of the affected women and their caregivers. Perceived social support may facilitate coping with this illness. OBJECTIVE: The aim of this study was to determine whether hospitalized patients with gynecologic cancer and their caregivers differ in feelings of hopelessness and death anxiety and how those conditions may be related to their social support. METHODS: Two hundred patients with gynecologic cancer and their 200 caregivers from 1 university hospital were enrolled in this descriptive correlational study...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933305/presurgery-and-postsurgery-quality-of-life-and-associated-factors-in-patients-with-malignant-neoplasms-of-the-head-and-neck-a-6-month-follow-up-study
#2
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
https://www.readbyqxmd.com/read/29933269/high-fidelity-simulation-nurse-training-reduces-unplanned-interruption-of-continuous-renal-replacement-therapy-sessions-in-critically-ill-patients-the-simher-randomized-controlled-trial
#3
Pierre Lemarie, Solenne Husser Vidal, Soizic Gergaud, Xavier Verger, Emmanuel Rineau, Jerome Berton, Elsa Parot-Schinkel, Jean-François Hamel, Sigismond Lasocki
BACKGROUND: Although continuous renal replacement therapy (CRRT) is common, unplanned interruptions (UI) often limit its usefulness. In many units, nurses are responsible for CRRT management. We hypothesized that a nurse training program based on high-fidelity simulation would reduce the rate of interrupted sessions. METHODS: We performed a 2-phase (training and evaluation), randomized, single-center, open study: During the training phase, intensive care unit nurses underwent a 6-hour training program and were randomized to receive (intervention) or not (control) an additional high-fidelity simulation training (6 hours)...
June 20, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29933097/safety-and-effectiveness-of-nurse-administered-propofol-sedation-in-outpatients-undergoing-gastrointestinal-endoscopy
#4
Masamichi Sato, Akira Horiuchi, Michio Tamaki, Yasuyuki Ichise, Masashi Kajiyama, Yuta Yamamoto, Naoki Tanaka
BACKGROUND & AIMS: Esophagogastroduodenoscopy (EGD) and colonoscopy are common outpatient gastrointestinal endoscopic procedures that frequently use sedation. We aimed to identify a protocol that combines safety with cost effectiveness. METHODS: We collected data from consecutive outpatients (20-98 years old) who underwent diagnostic EGD (n=117,661) or colonoscopy (n=32,550) with propofol sedation from January 2006 through December 2016. Propofol was administered by a nurse via bolus injection using an age-adjusted standard protocol, up to a total of 200 mg...
June 19, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29931072/the-quality-and-safety-culture-in-general-hospitals-patients-physicians-and-nurses-evaluation-of-its-effect-on-patient-satisfaction
#5
Ilya Kagan, Nurit Porat, Sivia Barnoy
Objective: To explore the disparities between patients' and health care workers' perception of the quality and safety culture and to explore the relationship between patient perceptions, and engagement in, and satisfaction with their care and treatment. Design: A cross-sectional study was conducted in medical-surgical wards of four Israeli general hospitals. Data were collected using a self-administered questionnaire. Setting: Fourteen medical-surgical wards of the four hospitals where data were collected...
June 21, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29929520/what-is-behind-high-turnover-a-questionnaire-survey-of-hospital-nursing-care-workers-in-shanghai-china
#6
Yan Wang, Huiyun Yuan
BACKGROUND: Currently, hospital nursing care workers (hereafter referred to as HNCWs) have become an important part of the healthcare system in China. They exist in nearly all of the public hospitals and in some private hospitals, making up 20 to 30% of the total nursing staff and providing 30 to 40% of basic nursing care for patients. However, many studies have shown that the turnover rate of HNCWs is very high, with average annual rates of 20 to 45%. We conducted this survey to explore their turnover intentions and related factors and present some suggestions to improve their retention rate...
June 22, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29929495/brief-multifamily-psychoeducation-for-family-members-of-patients-with-chronic-major-depression-a-randomized-controlled-trial
#7
Fujika Katsuki, Hiroshi Takeuchi, Takahiko Inagaki, Tohru Maeda, Yosuke Kubota, Nao Shiraishi, Hideaki Tabuse, Tadashi Kato, Atsurou Yamada, Norio Watanabe, Tatsuo Akechi, Toshiaki A Furukawa
BACKGROUND: Major depressive disorder (MDD) is a common and often chronic problem. Patients with chronic MDD often have negative impacts on the health of their families. Family psychoeducation is recognized as part of the optimal treatment for patients with psychotic disorder, and has been shown to reduce the rate of relapse in individuals with schizophrenia and to reduce the burden on their caregivers. Thus, we predict that family psychoeducation has the potential to reduce the burden on the caregivers of patients with chronic MDD...
June 22, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29929483/diabetes-care-providers-opinions-and-working-methods-after-four-years-of-experience-with-a-diabetes-patient-web-portal-a-survey-among-health-care-providers-in-general-practices-and-an-outpatient-clinic
#8
Maaike C M Ronda, Lioe-Ting Dijkhorst-Oei, Rimke C Vos, Guy E H M Rutten
BACKGROUND: To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients' web portal use. METHODS: Survey among physicians and nurses from general practices and an outpatient clinic, correlated with data from the common web portal. RESULTS: One hundred twenty-eight questionnaires were analysed (response rate 56.6%)...
June 21, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29926473/nurse-led-versus-doctor-led-care-for-bronchiectasis
#9
REVIEW
Kathryn Lawton, Karen Royals, Kristin V Carson-Chahhoud, Fiona Campbell, Brian J Smith
BACKGROUND: Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills, within the context of bronchiectasis management in subacute, ambulatory, and/or community care...
June 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29926322/attitudes-of-nurses-in-turkey-toward-care-of-dying-individual-and-the-associated-religious-and-cultural-factors
#10
Ezgi Karadag, Serap Parlar Kilic, Ozlem Ugur, Merve Aliye Akyol
The aim of this study was to determine the attitudes of nurses working in two university hospitals located in the west and east of Turkey toward care of dying individual as well as religious and cultural factors that influence their attitudes. The descriptive and comparative study was conducted with a total of 189 nurses who were working in adult inpatient clinics of two university hospitals in western (101 nurses) and eastern (88 nurses) Turkey between July and November 2016. The data were obtained by using the questionnaire and Frommelt Attitudes Toward Care of the Dying Scale...
June 20, 2018: Journal of Religion and Health
https://www.readbyqxmd.com/read/29925447/visitor-restriction-policies-and-practices-in-children-s-hospitals-in-north-america-results-of-an-emerging-infections-network-survey
#11
Alice L Pong, Susan E Beekmann, Mekleet M Faltamo, Philip M Polgreen, Andi L Shane
OBJECTIVE: To delineate the timing of, indications for, and assessment of visitor restriction policies and practices (VRPP) in pediatric facilities. DESIGN: An electronic survey to characterize VRPP in pediatric healthcare facilities. METHODS: The Infectious Diseases Society of America Emerging Infections Network surveyed 334 pediatric infectious disease consultants via an electronic link. Descriptive analyses were performed. RESULTS: A total of 170 eligible respondents completed a survey between 12 July and August 15, 2016, for a 51% response rate...
June 21, 2018: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/29924753/assessing-the-association-between-unstimulated-whole-salivary-flow-rate-uwsfr-and-oral-health-status-among-healthy-adult-subjects-a-cross-sectional-study
#12
M Idrees, M Nassani, O Kujan
BACKGROUND: This study aimed to test the association between the unstimulated whole salivary flow rate (UWSFR) and the oral health status represented by dental and gingival status among healthy adult subjects. MATERIAL AND METHODS: This work was a cross-sectional study of patients attending the undergraduate dental clinics at AlFarabi College for Dentistry and Nursing, Riyadh, Saudi Arabia. The study population consisted of 502 systemically healthy adults aged 18-35 years...
June 20, 2018: Medicina Oral, Patología Oral y Cirugía Bucal
https://www.readbyqxmd.com/read/29924751/how-gender-affects-experiences-with-bullying-in-prelicensure-bsn-programs-a-pilot-study
#13
Julie Ann Vingers
The purpose of the study was to identify if differences existed between male and female nursing students in occurrence rates of bullying and who was perpetrating the bullying. Results of a survey of 107 nursing students found that patients, nurses, and other hospital staff bullied female nursing students significantly more than male nursing students. The findings indicate that nurse educators need to be diligent while on the clinical unit as female students are more likely to be bullied by those they are learning from in these settings...
July 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29923235/interpersonal-relationships-and-safety-culture-in-brazilian-health-care-organisations
#14
Eliana R Migowski, Nery Oliveira Júnior, Fernando Riegel, Sérgio A Migowski
AIM: To examine the association between interpersonal relationships, nursing leadership and patient safety culture and the impact on the efficiency of hospitals. BACKGROUND: Hospitals are still affected by the increased complexity of the treatments offered and by the diverse knowledge of professionals involved, which has made this assistance model ineffective, expensive and unsustainable over time. METHOD: A qualitative study of 32 professionals from three large hospitals in Southern Brazil was made...
June 20, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29922462/surgical-site-infection-surveillance-following-total-knee-arthroplasty-tertiary-care-hospital-experience
#15
Irfan Ashraf, Yasir Mohib, Obada Hasan, Amina Malik, Khabir Ahmad, Shahryar Noordin
Introduction: Surgical Site Infection (SSI) after knee arthroplasty is a major cause of morbidity and mortality that increases the hospital stay, financial burden and mental anguish of the patient. Infection Control Unit at Aga Khan University Hospital (AKUH) incorporated total knee arthroplasty in its surgical care surveillance program and started collecting data in June 2012. The purpose of this study is to review Surgical Site Infection (SSI) rates in patients undergoing primary total knee replacement (TKR) surgery...
July 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29921549/implementation-of-enhanced-recovery-after-surgery-in-a-community-hospital-an-evidence-based-approach
#16
Michele Persico, David Miller, Cassandra Way, Marsha Williamson, Kate O'Keefe, Dennis Strnatko, Fay Wright
PURPOSE: Enhanced recovery after surgery (ERAS) is an evidence-based practice protocol that has been shown to reduce cost, decrease length of stay (LOS), and improve surgical outcomes. DESIGN: An evidence-based practice improvement project with a multidisciplinary team translated the ERAS protocol into practice at a community hospital. The evidence-based practice improvement design allows integration of evidence into projects to improve clinical outcomes for patients...
June 16, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://www.readbyqxmd.com/read/29921389/comparison-of-gefitinib-and-platinum-based-chemotherapy-and-only-platinum-based-chemotherapy-to-treat-lung-adenocarcinoma
#17
L Yang, J H Fan, L L Liu, Y Su, D Lu, J Y Huang, H Zhang, Y Li, H D Huo, G T Liu
To study the curative effects and safety for patients who adopt both gefitinib and platinum-based chemotherapy or only platinum-based chemotherapy in the treatment of lung adenocarcinoma, 80 EGFR mutation-positive lung adenocarcinoma patients in stage IIIB/IV were divided into two groups. Half of them received both gefitinib and standard chemotherapy (group A), and the others (group B) received only standard chemotherapy. Overall response rate (ORR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS) and the related toxicities of both groups were recorded in order to take certain nursing measures for a variety of toxicities...
May 2018: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/29920427/patients-with-epilepsy-care-experiences-comparison-between-services-with-and-without-an-epilepsy-specialist-nurse
#18
Agnes Higgins, Carmel Downes, Jarleth Varley, Ella Tyrell, Charles Normand, Colin P Doherty, Cecily Begley, Naomi Elliott
The aim of this study was to determine whether there were differences in experiences of care, satisfaction with care and quality of life between those who were in receipt of care from a service with an epilepsy specialist nurse (ESN) and those who were receiving care from a service that did not include an ESN. A comparative design was used, which involved the completion of a confidential, self-completed survey. The survey was administered to a nonprobability convenience sample of patients with epilepsy who were attending services with an ESN (n = 244) and services where the treatment team did not include an ESN (n = 261) from each of the four health areas in Ireland...
June 16, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29917296/-experiences-of-the-burden-of-treatment-patient-reports-of-facilitated-subcutaneous-immunoglobulin-treatment-in-adults-with-immunodeficiency
#19
Christina Petersson, Ramona Fust, Carina Hagstedt, Per Vågström, Åsa Nilsdotter-Augustinsson
AIMS AND OBJECTIVES: To evaluate patient-reported experiences of facilitated subcutaneous immunoglobulin treatment in adults with primary or secondary immunodeficiency. BACKGROUND: Decreased levels of circulating antibodies (humoral immunodeficiency) are often associated with higher infection rates which cause problems in daily living, for example symptoms of severe and recurrent bacterial infections that may cause chronic lung diseases. For some diagnoses, treatment with immunoglobulin becomes critical and life-long...
June 19, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29917143/implementation-of-medication-related-indicators-of-potentially-preventable-hospitalizations-in-a-national-chronic-disease-management-program-for-older-patients-with-multimorbidity
#20
Gillian E Caughey, Jodie B Hillen, Stephanie Bacon, Nicholas Bullock, Virginia Bullock, Lisa Kalisch Ellett
Initial assessment: Older people are at increased risk of medication-related potentially preventable hospitalizations (MR-PPH) due to the presence of multiple chronic conditions (multimorbidity) and subsequent polypharmacy. Choice of solution: A pilot study was conducted, using evidence-based indicators to detect older patients in a chronic disease management program (CDMP) at risk of hospitalization due to sub-optimal medication use. Implementation: Previously validated indicators for MR-PPH were applied to patients with multimorbidity, aged 65 years or older and who were enrolled in a national community-based CDMP...
June 18, 2018: International Journal for Quality in Health Care
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