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https://www.readbyqxmd.com/read/27889583/development-and-evaluation-of-a-clinical-simulation-for-new-graduate-nurses-a-multi-site-pilot-study
#1
Dukyoo Jung, Soon Hee Lee, Sook Jung Kang, Jung-Hee Kim
BACKGROUND: New nursing graduates have revealed that they perceive a gap between theory and practice with reference to their education and the real workplace setting. Additionally, many nurses experience a reality shock when they participate in clinical practice. PURPOSE: The purpose of this study was to develop and test the effects of a scenario-based simulation training program on new graduate nurses' competency, critical thinking dispositions, and interpersonal communication skills...
November 18, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27853225/reality-must-trump-rhetoric-after-us-election-shock
#2
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
November 16, 2016: Nature
https://www.readbyqxmd.com/read/27796677/the-subjective-experience-of-patients-diagnosed-with-hereditary-hemorrhagic-telangiectasia-a-qualitative-study
#3
Laura Geerts, Carole Fantini-Hauwel, Elodie Brugallé, Odile Boute, Frédéric Frénois, Lydie Defrance, Sylvie Manouvrier-Hanu, Florence Petit, Pascal Antoine
The aim of the present study was to understand the context and psychological impact for patients diagnosed with hereditary hemorrhagic telangiectasia (HHT). Semi-structured interviews were conducted with 9 patients affected by HHT, and the transcripts were analyzed using interpretative phenomenological analysis. The results of this study allowed us to propose a new hypothesis to explain the delay in diagnosis: the trivialization of symptoms associated with HHT. Moreover, the results showed that a genetic diagnosis of HHT results in emotional shock, uncertainty about the future, and worry about one's children in parents who are confronted with the dilemma of facing the reality of the diagnosis or delaying dealing with the diagnosis until disease onset...
October 28, 2016: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/27624181/living-with-sub-optimal-glycemic-control-the-experiences-of-type-2-diabetes-diagnosis-and-education
#4
Marie Crowe, Lisa Whitehead, Carol Bugge, Dave Carlyle, Janet Carter, Virginia Maskill
AIM: To explore the experiences of diagnosis and education for people living with Type 2 diabetes who have sub-optimal glycemic control. BACKGROUND: The increasing prevalence of Type 2 diabetes is a global concern. Many people have difficulty maintaining optimal glycemic control with up to 50% having HbA1c levels higher than recommended. A range of factors have been suggested as possibly contributing to this, however, little is known about how their experience of diagnosis, education and support to attempt to understand the context of their self-management practices...
September 14, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27444643/blurring-reality-with-fiction-exploring-the-stories-of-women-madness-and-infanticide
#5
Diana Jefferies, Debbie Horsfall, Virginia Schmied
PROBLEM: Often, there is a sense of shock and disbelief when a mother murders her child. BACKGROUND: Yet, literary texts (plays, poems and novels) contain depictions of women experiencing mental illness or feelings of desperation after childbirth who murder their children. AIM: To further understand why a woman may harm her child we examine seven literary texts ranging in time and place from fifth century BCE Greece to twenty-first century Australia...
July 18, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27348496/eye-movements-are-captured-by-a-perceptually-simple-conditioned-stimulus-in-the-absence-of-explicit-contingency-knowledge
#6
Lauren S Hopkins, Fred J Helmstetter, Deborah E Hannula
Past reports suggest that threatening materials can impact the efficiency of goal-directed behavior. However, questions remain about whether a conditional stimulus (CS) can capture attention as previous results may have been influenced by voluntary prioritization of a to-be-ignored CS. In 2 experiments, eye tracking was used to evaluate whether neutral, perceptually simple materials capture attention when they take on aversive properties via probabilistic fear conditioning with strict methods in place to eliminate voluntary CS prioritization...
December 2016: Emotion
https://www.readbyqxmd.com/read/27234947/impact-of-compliance-with-a-sepsis-resuscitation-bundle-in-a-portuguese-emergency-department
#7
Joao Miguel Carvas, Cátia Canelas, Gustavo Montanha, Carlos Silva, Francisco Esteves
INTRODUCTION: Severe sepsis and septic shock are common conditions with high levels of morbi-mortality surpassing those of coronary heart disease or stroke. The reality of hospital treated sepsis is largely unknown outside of the intensive care unit. We therefore aimed to evaluate the level of compliance with the Surviving Sepsis Campaign 6-hour bundle in a Portuguese emergency department and to relate it to the patient clinical outcomes. MATERIAL AND METHODS: We conducted a retrospective, observational cohort study with 178 severe sepsis/septic shock patients admitted to the intensive and intermediate care unit between January 1st 2012 and December 31st 2012...
February 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/27125143/graduate-nurse-experiences-of-support-a-review
#8
REVIEW
Isabelle Gardiner, Jade Sheen
UNLABELLED: The first year of practice as a nurse is recognized as stressful. Graduate nurses (GNs) report gaps in their education, reality shock, burnout and other negative experiences that influence their intentions to remain in nursing. OBJECTIVES: The aim of this literature review was to gain a greater understanding of the experiences of GNs. REVIEW METHODS: It included thirty-six articles that focused on GNs and their transition to nursing, as part of a graduate nurse program (GNP), from 2005 to present...
May 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27011494/development-of-an-animal-model-for-burn-blast-combined-injury-and-cardiopulmonary-system-changes-in-the-early-shock-stage
#9
Quan Hu, Jiake Chai, Sen Hu, Jun Fan, Hong-Wei Wang, Li Ma, Hong-Jie Duan, Lingying Liu, Hongming Yang, Bai-Ling Li, Yi-He Wang
The purposes of this study were to establish an animal model for burn-blast combined injury research and elaborate cardiopulmonary system changes in the early shock stage. In this study, royal demolition explosive or RDX (hexagon, ring trimethylene nitramine) was used as an explosive source, and the injury conditions of the canine test subjects at various distances to the explosion (30, 50, and 70 cm) were observed by gross anatomy and pathology to determine a larger animal model of moderate blast injury. The canines were then subjected to a 35 % total body surface area (TBSA) full-thickness flame injury using napalm, which completed the development of a burn-blast combined injury model...
December 2015: Indian Journal of Surgery
https://www.readbyqxmd.com/read/26847034/the-death-of-patients-with-terminal-cancer-the-distress-experienced-by-their-children-and-medical-professionals-who-provide-the-children-with-support-care
#10
Hiroyuki Otani, Miwa Ozawa, Tatsuya Morita, Ayako Kawami, Sahana Sharma, Keiko Shiraishi, Akira Oshima
BACKGROUND: Few studies have been conducted on the experiences of children of terminally ill patients or hospital-based medical professionals supporting such children. AIM: This study explored distress among individuals whose parents died of cancer in childhood and among hospital-based medical professionals supporting such children. DESIGN: A qualitative study. SETTING/PARTICIPANTS: The sample was 12 adults whose parents had died of cancer in childhood and 20 hospital-based medical professionals supporting children of patients' with terminal cancer...
February 4, 2016: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/26522581/plug-the-hole-a-bailout-option-for-acute-focal-aortic-rupture
#11
Mohamed A Zayed, Clement Marshall, Michael Dake, Jason T Lee
BACKGROUND: Focal aortic rupture may result from expanding aneurysms, penetrating aortic wall ulcerations, or virulent infections. An urgent repair of paravisceral focal aortic rupture is associated with high morbidity. A staged repair approach may provide an alternative option. CASE REPORT: A 64-year-old woman presented with acute focal rupture of the posterior paravisceral aortic wall and was progressing to hemorrhagic shock and mesenteric ischemia. Given the patient's dire condition, an endovascular approach was used to plug her focal aortic wall defect using a ventricular septal defect occluder device...
January 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26449100/-normobaric-oxygen-therapy-in-acute-medical-care-myths-versus-reality
#12
Stephan von Düring, Stéphanie Bruchez, Laurent Suppan, Marc Niquille
Oxygen adiministration for both medical and traumatic emergencies is regarded as an essential component of resuscitation. However, many recent studies suggest that the use of oxygen should be more restrictive. Detrimental effects of normobaric oxygen therapy in patients suffering from hypercapnic respiratory diseases have been demonstrated, especially because of the suppression of the hypoxic drive. Apart from this particular situation, correction of hypoxemia is still a widely accepted treatment target, although there is growing evidence that hyperoxemia could be harmful in acute coronary syndromes and cardio-respiratory arrests...
August 12, 2015: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26348715/effects-of-extinction-treatments-on-the-reduction-of-conditioned-responding-and-conditioned-hyperarousal-in-a-rabbit-model-of-posttraumatic-stress-disorder-ptsd
#13
Lauren B Burhans, Carrie A Smith-Bell, Bernard G Schreurs
We have previously characterized a model of posttraumatic stress disorder (PTSD), based on classical conditioning of the rabbit nictitating membrane response (NMR), that focuses on 2 key PTSD-like features: conditioned responses to trauma-associated cues and hyperarousal. In addition to the development of conditioned NMRs (CRs) to a tone conditioned stimulus (CS) associated with a periorbital shock unconditioned stimulus (US), we have observed that rabbits also exhibit a conditioning-specific reflex modification (CRM) of the NMR that manifests as an exaggerated and more complex reflexive NMR to presentations of the US by itself, particularly to intensities that elicited little response prior to conditioning...
October 2015: Behavioral Neuroscience
https://www.readbyqxmd.com/read/26302285/creating-a-healthy-practice-environment-a-call-to-action-for-oncology-nurses
#14
Jane E Lacovara
When nurse researcher Marlene Kramer published Reality Shock: Why Nurses Leave Nursing in 1974, her seminal work launched a national discussion related to the distress felt by many baccalaureate-prepared novice nurses about leaving the academic setting and transitioning to the clinical setting. In particular, Kramer (1974) highlighted conflict between the values these new nurses had been taught in school and the reality of practicing as a professional nurse in a clinical setting. For example, in an educational setting, nursing students may focus on one or two patients at a time, whereas in the clinical setting, nurses must practice simultaneously with multiple patients with varied and numerous health deficits...
September 2015: Oncology Nursing Forum
https://www.readbyqxmd.com/read/26286003/reality-shock-absorber
#15
Kirsty Walsh
No abstract text is available yet for this article.
August 19, 2015: Nursing Standard
https://www.readbyqxmd.com/read/26164747/the-experiences-of-newly-graduated-nurses-during-their-first-year-of-practice-in-the-sultanate-of-oman-a-case-study
#16
Huda Al Awaisi, Hannah Cooke, Steven Pryjmachuk
BACKGROUND: Studies have demonstrated that the transition experience of new graduate nurses is complex and frequently negative, leading to dissatisfaction with nursing and increased attrition. Existing studies of new graduate nurses' transition experiences tend to be concerned with the experiences of new graduate nurses in the West. To date, no study has been conducted examining the transition experience in any Middle Eastern country where the cultural context surrounding nursing education and practice is different...
November 2015: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/26132369/dealing-with-the-moral-distress-of-reality-shock
#17
EDITORIAL
Linda Laskowski-Jones
No abstract text is available yet for this article.
August 2015: Nursing
https://www.readbyqxmd.com/read/26130164/pig-kidney-graft-survival-in-a-baboon-for-136-days-longest-life-supporting-organ-graft-survival-to-date
#18
Hayato Iwase, Hong Liu, Martin Wijkstrom, Huidong Zhou, Jagjit Singh, Hidetaka Hara, Mohamed Ezzelarab, Cassandra Long, Edwin Klein, Robert Wagner, Carol Phelps, David Ayares, Ron Shapiro, Abhinav Humar, David K C Cooper
The longest survival of a non-human primate with a life-supporting kidney graft to date has been 90 days, although graft survival > 30 days has been unusual. A baboon received a kidney graft from an α-1,3-galactosyltransferase gene-knockout pig transgenic for two human complement-regulatory proteins and three human coagulation-regulatory proteins (although only one was expressed in the kidney). Immunosuppressive therapy was with ATG+anti-CD20mAb (induction) and anti-CD40mAb+rapamycin+corticosteroids (maintenance)...
July 2015: Xenotransplantation
https://www.readbyqxmd.com/read/26002259/blood-far-forward-time-to-get-moving
#19
Andrew P Cap, Heather F Pidcoke, Marc DePasquale, Joseph F Rappold, Elon Glassberg, Håkon S Eliassen, Christopher K Bjerkvig, Theodor K Fosse, Shawn Kane, Patrick Thompson, Robert Sikorski, Ethan Miles, Andrew Fisher, Kevin R Ward, Philip C Spinella, Geir Strandenes
In planning for future contingencies, current problems often crowd out historical perspective and planners often turn to technological solutions to bridge gaps between desired outcomes and the reality of recent experience. The US Military, North Atlantic Treaty Organization, and other allies are collectively taking stock of 10-plus years of medical discovery and rediscovery of combat casualty care after the wars in Iraq and Afghanistan. There has been undeniable progress in the treatment of combat wounded during the course of the conflicts in Southwest Asia, but continued efforts are required to improve hemorrhage control and provide effective prehospital resuscitation that treats both coagulopathy and shock...
June 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25903823/implantable-cardioverter-defibrillator-icd-deactivation-discussions-reality-versus-recommendations
#20
Loreena Hill, Sonja McIlfatrick, Brian J Taylor, Lana Dixon, Ben R Cole, Debra K Moser, Donna Fitzsimons
BACKGROUND: The implantable cardioverter defibrillator (ICD) is a cornerstone in the treatment of life-threatening arrhythmias. As rates of device implantation continue to rise throughout Europe, European and International guidelines recommend professionals discuss deactivation with patients. In reality the appropriate therapeutic management of an ICD at the end-of-life remains uncertain in the minds of professionals and patients. AIM: To identify current practice and examine professional decision-making for patients with an ICD from time of implantation to final documentation and demise...
February 2016: European Journal of Cardiovascular Nursing
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