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https://www.readbyqxmd.com/read/29677381/technology-innovations-for-better-fall-risk-management-in-home-care
#1
Güneş Koru, Dari Alhuwail, Onimi Jademi, Uchenna Uchidiuno, Robert J Rosati
Achieving better fall risk management is an integral component of quality home care. The current qualitative study uncovers the challenges and opportunities of home health agencies (HHAs) in achieving better fall risk management. A secondary document analysis was adopted to learn from rich contextual information in fall incident reports recorded in a HHA. Poor engagement of patients and caregivers was a contributing factor in many fall incidents. Patients often fell as a result of not understanding or accepting their physical limitations...
April 19, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29677046/student-and-preceptor-advancement-in-a-dedicated-education-site-innovation-in-clinical-education-for-advanced-practice-nurses
#2
Katherine C Hall, Sandy K Diffenderfer, April Stidham, Christine M Mullins
In the 1990s, dedicated education units transformed undergraduate preceptorships, but graduate preceptorships remain static. The dyadic nurse practitioner preceptorship model supports an environment where faculty, students, and preceptors may overlook nuances that affect the teaching-learning process. This article describes an innovative clinical education model, Student and Preceptor Advancement in a Dedicated Education Site, designed to improve preceptorships for advanced practice nurses. The focus is on adaptations made to facilitate use in advanced practice nursing programs...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29677042/coaching-teamwork-in-the-classroom-using-an-innovative-team-coaching-process
#3
Gayle M Petty, Tony Lingham
The importance of health professionals working in teams was first acknowledged by the Institute of Medicine more than 15 years ago. Since then, teaching students to function in teams continues to present challenges in nursing education. This article presents an innovative process, using faculty as coaches in the classroom, to enhance student learning through experiential teamwork.
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29677041/nontraditional-academic-community-partnership-a-survey-of-student-knowledge-and-competencies
#4
Eileen Sarsfield, Agnes Burkhard
This pilot study examined student perceptions of the acquisition of core knowledge and basic community/public health generalist competencies gained through an innovative, nontraditional clinical partnership with an organization serving a vulnerable population. The Centers for Disease Control and Prevention Workplace Health Model was the conceptual framework. A survey, based on the Essentials of Baccalaureate Nursing Education for Entry Level Community/Public Health Nursing Practice, was completed by 25 BSN nursing students...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29677031/establishing-a-hybrid-wound-and-ostomy-continuing-education-program
#5
Vivian K Wong
Wound and ostomy nurses receive specialty training and certification to provide care in abdominal stomas, ostomies, wounds, fistulas, and pressure injuries. The eight existing nationwide programs in 2011 were inadequate to meet increasing patient population demands. We developed an innovative nondegree, postbaccalaureate continuing wound and ostomy education program using a hybrid design. The program integrated interactive online classes with intensive onsite classes and skills training. The program has been granted seven-year accreditation; student evaluations have been positive...
May 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29676782/evaluation-of-the-cincinnati-veterans-affairs-medical-center-hospital-in-home-program
#6
Shubing Cai, Andrew Grubbs, Rajesh Makineni, Bruce Kinosian, Ciaran S Phibbs, Orna Intrator
OBJECTIVES: To examine hospital readmissions, costs, mortality, and nursing home admissions of veterans who received Hospital-in-Home (HIH) services. DESIGN: Retrospective cohort study. SETTING: Cincinnati Veterans Affairs Medical Center (VAMC). PARTICIPANTS: Study cohort included veterans who received HIH services as an alternative to inpatient care between October 1, 2012, and November 30, 2015, and non-HIH veterans who were hospitalized for similar conditions in the Cincinnati VAMC during the same period...
April 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29674362/implementation-of-an-evidence-based-model-of-care-for-low-back-pain-in-emergency-departments-protocol-for-the-sydney-health-partners-emergency-department-shaped-trial
#7
Gustavo C Machado, Bethan Richards, Chris Needs, Rachelle Buchbinder, Ian A Harris, Kirsten Howard, Kirsten McCaffery, Laurent Billot, James Edwards, Eileen Rogan, Rochelle Facer, David Lord Cowell, Chris G Maher
INTRODUCTION: Patients with low back pain often seek care in emergency departments, but the problem is that many patients receive unnecessary or ineffective interventions and at the same time miss out on the basics of care, such as advice on self-management. This pattern of care has important consequences for the healthcare system (expensive and inefficient) and for patients (poor health outcomes). We hypothesised that the implementation of an evidence-based model of care for low back pain will improve emergency care by reducing inappropriate overuse of tests and treatments and improving patient outcomes...
April 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29672373/top-of-license-nursing-practice-describing-common-nursing-activities-and-nurses-experiences-that-hinder-top-of-license-practice-part-1
#8
Jacalyn Buck, Jacqueline Loversidge, Esther Chipps, Lynn Gallagher-Ford, Lynne Genter, Po-Yin Yen
OBJECTIVE: The aims of this study were to describe nurses' perceptions of nursing activities and analyze for consistency with top-of-license (TOL) practice. BACKGROUND: The Advisory Board Company expert panel proposed 8 TOL core nursing responsibilities representing practice at its potential. Thus far, no empirical work has examined nursing practices relative to TOL, from staff nurses' points of view. METHODS: This qualitative study used focus groups to explore perceptions of typical nursing activities...
May 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29669442/experiences-of-nursing-home-staff-using-the-targeted-interdisciplinary-model-for-evaluation-and-treatment-of-neuropsychiatric-symptoms-time-a-qualitative-study
#9
Bjørn Lichtwarck, Janne Myhre, Alka R Goyal, Anne Marie Mork Rokstad, Geir Selbaek, Øyvind Kirkevold, Sverre Bergh
BACKGROUND/AIMS: Neuropsychiatric symptoms (NPS) in dementia pose great challenges for residents and staff in nursing homes. The Targeted Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric Symptoms (TIME) has recently in a randomized controlled trial demonstrated reductions in NPS. We explored the participating staff's experiences with the model and how it meets the challenges when dealing with the complexity of NPS. METHODS: Three to six months after the end of the intervention, we interviewed 32 of the caregivers, leaders, and physicians participating in the trial, in five focus groups...
April 19, 2018: Aging & Mental Health
https://www.readbyqxmd.com/read/29668790/experimental-classroom-games-a-didactic-tool-in-palliative-care
#10
Ana Isabel López Alonso, Maria Elena Fernández Martínez, Cristina Liébana Presa, Ana Maria Vázquez Casares, Maria Paz Castro González
Objective To evaluate the effect of a games-based intervention on palliative care nursing students' scores on the Collett-Lester Fear of Death Scale. The challenge was to innovate and integrate grief-related theory and experiences into the classroom. Method Quasi-experimental study. Before and after the games-based intervention, 101 and 111 students completed the questionnaires, respectively. The intervention was performed in the context of a palliative care class taught during the first semester of the third year of the nursing programme...
2018: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/29667375/core-curriculum-to-facilitate-the-expansion-of-a-rheumatology-practice-to-include-nurse-practitioners-and-physician-assistants
#11
Benjamin J Smith, Marcy B Bolster, Barbara Slusher, Christine Stamatos, Jeanne R Scott, Heather Benham, Salahuddin Kazi, Elizabeth A Schlenk, Daniel E Schaffer, Vikas Majithia, Calvin R Brown, Joan M von Feldt, Joseph Flood, David M Haag, Karen L Smarr
OBJECTIVE: Due to an aging population, increasing prevalence of rheumatic disease, and a growing supply and demand gap of rheumatology providers, innovative solutions are needed to meet the needs of persons with rheumatic conditions. Nurse practitioners (NPs) and physician assistants (PAs) have been identified as a group of health professionals who could help address the workforce shortage. The Executive Committee of the Association of Rheumatology Health Professionals (ARHP), a division of the American College of Rheumatology (ACR), charged a task force to facilitate the preparation of NPs/PAs to work in a rheumatology practice setting...
April 17, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29665775/contact-among-healthcare-workers-in-the-hospital-setting-developing-the-evidence-base-for-innovative-approaches-to-infection-control
#12
Krista M English, Joanne M Langley, Allison McGeer, Nathaniel Hupert, Raymond Tellier, Bonnie Henry, Scott A Halperin, Lynn Johnston, Babak Pourbohloul
BACKGROUND: Nosocomial, or healthcare-associated infections (HAI), exact a high medical and financial toll on patients, healthcare workers, caretakers, and the health system. Interpersonal contact patterns play a large role in infectious disease spread, but little is known about the relationship between health care workers' (HCW) movements and contact patterns within a heath care facility and HAI. Quantitatively capturing these patterns will aid in understanding the dynamics of HAI and may lead to more targeted and effective control strategies in the hospital setting...
April 17, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29663430/effectiveness-of-a-new-single-needle-single-pump-dialysis-system-with-simultaneous-monitoring-of-dialysis-dose
#13
Wolfgang Bieser, Markus Welsch, Marten Jakob, Jörn Meibaum, David A Rodriguez, Henrik Wolff, Daniele Marcelli, Claudia Barth
To date, single-needle (SN) hemodialysis (HD) requires a dialysis machine equipped with two blood pumps-one controlling arterial blood flow (Qb) and one controlling venous Qb. B. Braun has developed an innovative single-pump SN HD system. Therefore, usability is improved by reducing complexity. The aim of this study was to compare dialysis parameters of the new single-pump SN HD system with a double-pump SN HD system available on the market (Fresenius Medical Care [FMC] 5008). In this two-armed crossover study, patients were randomized into two groups (B...
April 16, 2018: Artificial Organs
https://www.readbyqxmd.com/read/29661270/systematic-review-of-the-evidence-related-to-mandated-nurse-staffing-ratios-in-acute-hospitals
#14
Richard Olley, Ian Edwards, Mark Avery, Helen Cooper
Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline...
April 17, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#15
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29658849/suicide-prevention-for-school-communities-an-educational-initiative-for-student-safety
#16
Diane Cody Roberts, Mary Ellen Taylor, Audrey D'Ann Pyle
A knowledge gap exists in school communities regarding suicide prevention and means reduction education. The article highlights two core interrelated topics: school nurse engagement in dialogue with students' families and the implementation of an innovative, community-based suicide prevention educational program at a suburban public school district. The authors provide an overview of the public health problem of suicide for students, current student challenges, role of the school nurse in suicide prevention, and a key gap in current school nursing practice...
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29629933/using-tabletop-exercises-as-an-innovative-and-practical-teaching-strategy-in-response-to-external-disaster-scenarios
#17
Cathleen A Evans, Rose Schwartz
Transferring previous learning to novel and unfamiliar health care situations is a challenge that nurses face daily. As a nursing classroom experience, tabletop exercises provide nursing students with open-ended decision-making opportunities to manage realistic practice problems. This article describes an innovative tabletop exercise with a disaster healthcare context and patient scenarios that senior nursing students used to demonstrate foundational nursing education knowledge, skills, and abilities. Students demonstrated a transfer of knowledge from early medical-surgical coursework to a complex, novel situation using the nursing process and evidence-based clinical judgment...
April 6, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29624514/national-nurses-week-2018-inspire-innovate-influence
#18
(no author information available yet)
No abstract text is available yet for this article.
April 5, 2018: Nurse Practitioner
https://www.readbyqxmd.com/read/29615014/assessing-the-implementation-processes-of-a-large-scale-multi-year-quality-improvement-initiative-survey-of-health-care-providers
#19
Donna Goodridge, Masud Rana, Elizabeth L Harrison, Thomas Rotter, Roy Dobson, Gary Groot, Sonia Udod, Joshua Lloyd
BACKGROUND: Beginning in 2012, Lean was introduced to improve health care quality and promote patient-centredness throughout the province of Saskatchewan, Canada with the aim of producing coordinated, system-wide change. Significant investments have been made in training and implementation, although limited evaluation of the outcomes have been reported. In order to better understand the complex influences that make innovations such as Lean "workable" in practice, Normalization Process Theory guided this study...
April 3, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29614207/nurse-led-multidisciplinary-initiatives-to-improve-outcomes-and-reduce-hospital-admissions-for-older-adults-the-care-coordination-through-emergency-department-residential-aged-care-and-primary-health-collaboration-project
#20
Elizabeth Marsden, Alison Craswell, Andrea Taylor, Kaye Coates, Julia Crilly, Marc Broadbent, Amanda Glenwright, Colleen Johnston, Marianne Wallis
OBJECTIVES: This article describes the Care coordination through Emergency Department, Residential Aged Care and Primary Health Collaboration (CEDRiC) project. METHODS: CEDRiC is designed to improve the health outcomes for older people with an acute illness. It attempts this via enhanced primary care in residential aged care facilities, focused and streamlined care in the emergency department and enhanced intersectoral communication and referral. RESULTS: Implementing this approach has the potential to decrease inappropriate hospital admissions while improving care for older people in residential aged care and community settings...
April 3, 2018: Australasian Journal on Ageing
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