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https://www.readbyqxmd.com/read/28538140/comparison-of-policies-for-recognising-and-responding-to-clinical-deterioration-across-five-victorian-health-services
#1
Julie Considine, Anastasia F Hutchison, Helen Rawson, Alison M Hutchinson, Tracey Bucknall, Trisha Dunning, Mari Botti, Maxine M Duke, Maryann Street
Objectives The aim of the present study was to describe and compare organisational guidance documents related to recognising and responding to clinical deterioration across five health services in Victoria, Australia.Methods Guidance documents were obtained from five health services, comprising 13 acute care hospitals, eight subacute care hospitals and approximately 5500 beds. Analysis was guided by a specific policy analysis framework and a priori themes.Results In all, 22 guidance documents and five graphic observation and response charts were reviewed...
May 25, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28535398/nurses-occupational-physical-activity-levels-a-systematic-review
#2
REVIEW
Stephanie E Chappel, Simone J J M Verswijveren, Brad Aisbett, Julie Considine, Nicola D Ridgers
BACKGROUND: Nurses' physical performance at work has implications both for nurses' occupational health and patient care. Although nurses are the largest healthcare workforce, are present 24-hours a day, and engage in many physically demanding tasks, nurses' occupational physical activity levels are poorly understood. OBJECTIVES: The aim of this systematic review was to examine nurses' occupational physical activity levels, and explore how nurses accumulate their physical activity during a shift...
May 10, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28528565/effectiveness-of-energy-conservation-management-on-fatigue-and-participation-in-multiple-sclerosis-a-randomized-controlled-trial
#3
Lyan Jm Blikman, Jetty van Meeteren, Jos Wr Twisk, Fred Aj de Laat, Vincent de Groot, Heleen Beckerman, Henk J Stam, Johannes Bj Bussmann
BACKGROUND: Fatigue is a frequently reported and disabling symptom in multiple sclerosis (MS). OBJECTIVE: To investigate the effectiveness of an individual energy conservation management (ECM) intervention on fatigue and participation in persons with primary MS-related fatigue. METHODS: A total of 86 severely fatigued and ambulatory adults with a definite diagnosis of MS were randomized in a single-blind, two-parallel-arm randomized clinical trial to the ECM group or the information-only control group in outpatient rehabilitation departments...
May 1, 2017: Multiple Sclerosis: Clinical and Laboratory Research
https://www.readbyqxmd.com/read/28527824/clinical-significance-in-nursing-research-a-discussion-and-descriptive-analysis
#4
Denise F Polit
BACKGROUND: It is widely understood that statistical significance should not be equated with clinical significance, but the topic of clinical significance has not received much attention in the nursing literature. By contrast, interest in conceptualizing and operationalizing clinical significance has been a "hot topic" in other health care fields for several decades. OBJECTIVES: The major purpose of this paper is to briefly describe recent advances in defining and quantifying clinical significance...
May 10, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28525923/a-national-implementation-project-to-prevent-catheter-associated-urinary-tract-infection-in-nursing-home-residents
#5
Lona Mody, M Todd Greene, Jennifer Meddings, Sarah L Krein, Sara E McNamara, Barbara W Trautner, David Ratz, Nimalie D Stone, Lillian Min, Steven J Schweon, Andrew J Rolle, Russell N Olmsted, Dale R Burwen, James Battles, Barbara Edson, Sanjay Saint
Importance: Catheter-associated urinary tract infection (UTI) in nursing home residents is a common cause of sepsis, hospital admission, and antimicrobial use leading to colonization with multidrug-resistant organisms. Objective: To develop, implement, and evaluate an intervention to reduce catheter-associated UTI. Design, Setting, and Participants: A large-scale prospective implementation project was conducted in community-based nursing homes participating in the Agency for Healthcare Research and Quality Safety Program for Long-Term Care...
May 19, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28524254/migraine-nurses-in-primary-care-costs-and-benefits
#6
Jan S P van den Berg, Timothy J Steiner, Petra J L Veenstra, Boudewijn J Kollen
OBJECTIVE: We examined the costs and benefits of introducing migraine nurses into primary care. BACKGROUND: Migraine is one of the most costly neurological diseases. METHODS: We analyzed data from our earlier nonrandomized cohort study comparing an intervention group of 141 patients, whose care was supported by nurses trained in migraine management, and a control group of 94 patients receiving usual care. Estimates of per-person direct costs were based on nurses' salaries and referrals to neurologists...
May 19, 2017: Headache
https://www.readbyqxmd.com/read/28523764/self-care-behaviors-in-heart-failure
#7
Agueda Maria Ruiz Zimmer Cavalcante, Camila Takao Lopes, Evelise Fadini Reis Brunori, Elizabeth Swanson, Sue Ann Moorhead, Maria Márcia Bachion, Alba Lucia Bottura Leite de Barros
OBJECTIVE: To identify self-care behaviors, instruments, techniques, parameters for the assessment of self-care behaviors in people with heart failure, compare these behaviors with the indicators of the Nursing Outcomes Classification outcome, Self Management: Cardiac Disease. METHOD: Integrative literature review performed in Lilacs, Medline, CINAHL, and Cochrane, including publications from 2009 to 2015. One thousand six hundred ninety-one articles were retrieved from the search, of which 165 were selected for analysis...
May 18, 2017: International Journal of Nursing Knowledge
https://www.readbyqxmd.com/read/28522923/the-use-of-supportive-communication-when-responding-to-older-people-s-emotional-distress-in-home-care-an-observational-study
#8
Linda Hafskjold, Vibeke Sundling, Sandra van Dulmen, Hilde Eide
BACKGROUND: Responding to older people's distress by acknowledging or encouraging further discussion of emotions is central to supportive, person-centred communication, and may enhance home care outcomes and thereby promote healthy aging. This observational study describes nursing staff's responses to older people's emotional distress, and identify factors that encourage further emotional disclosure. METHODS: Audio-recorded home care visits in Norway (n = 196), including 48 older people and 33 nursing staff, were analysed with the Verona Coding Definitions of Emotional Sequences, identifying expressions of emotional distress and subsequent provider responses...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28514976/working-despite-having-influenza-like-illness-results-of-an-anonymous-survey-of-healthcare-providers-who-care-for-transplant-recipients
#9
Sherif B Mossad, Abhishek Deshpande, Sarah Schramm, Xiaobo Liu, Michael B Rothberg
OBJECTIVE To compare the rates of and reasons for presenteeism associated with influenza-like illness (ILI) among healthcare professionals (HCPs) caring for hospitalized inpatient transplant recipients and internal medicine patients. DESIGN We designed a 10-question anonymous survey in which ILI was defined as fever (>37.8°C) and cough and/or sore throat and ILI B was defined as fever (>37.8°C) or cough or sore throat; both definitions were considered in the absence of another known cause. SETTING Tertiary-care center...
May 18, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28514498/decreased-bed-rest-post-percutaneous-coronary-intervention-with-a-7-fr-arterial-sheath-and-its-effects-on-vascular-complications
#10
Laura J Wentworth, Elizabeth L Bechtum, Jessica G Hoffman, Robert R Kramer, David C Bartel, Joshua P Slusser, R Thomas Tilbury
AIMS AND OBJECTIVE: To compare the incidence of femoral access puncture site complications in the control group, who underwent 6 hours of bed rest, with patients in the case group, who underwent 4 hours of bed rest. BACKGROUND: The ideal bed rest length after percutaneous coronary intervention with a 7-French arterial sheath has been investigated by nursing practice. However, in this larger-sheath-size group, best practices have not been determined, and bed rest time continues to vary markedly among institutions...
May 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28508537/superorganismality-and-caste-differentiation-as-points-of-no-return-how-the-major-evolutionary-transitions-were-lost-in-translation
#11
Jacobus J Boomsma, Richard Gawne
More than a century ago, William Morton Wheeler proposed that social insect colonies can be regarded as superorganisms when they have morphologically differentiated reproductive and nursing castes that are analogous to the metazoan germ-line and soma. Following the rise of sociobiology in the 1970s, Wheeler's insights were largely neglected, and we were left with multiple new superorganism concepts that are mutually inconsistent and uninformative on how superorganismality originated. These difficulties can be traced to the broadened sociobiological concept of eusociality, which denies that physical queen-worker caste differentiation is a universal hallmark of superorganismal colonies...
May 15, 2017: Biological Reviews of the Cambridge Philosophical Society
https://www.readbyqxmd.com/read/28502866/what-is-inappropriate-hospital-use-for-elderly-people-near-the-end-of-life-a-systematic-review
#12
REVIEW
Magnolia Cardona-Morrell, James C H Kim, Mikkel Brabrand, Blanca Gallego-Luxan, Ken Hillman
BACKGROUND: Older people with advance chronic illness use hospital services repeatedly near the end of life. Some of these hospitalizations are considered inappropriate. AIM: To investigate extent and causes of inappropriate hospital admission among older patients near the end of life. METHODS: English language publications in Medline, EMBASE, PubMed, Cochrane library, and the grey literature (January 1995-December 2016) covering community and nursing home residents aged ≥60years admitted to hospital...
May 11, 2017: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/28488925/strategies-to-address-the-shortcomings-of-commonly-used-advanced-chronic-heart-failure-descriptors-to-improve-recruitment-in-palliative-care-research-a-parallel-mixed-methods-feasibility-study
#13
Pauline M Kane, Fliss Em Murtagh, Karen R Ryan, Mary Brice, Niall G Mahon, Brendan McAdam, Regina McQuillan, Geraldine O'Gara, Caroline Raleigh, Cecelia Tracey, Christine Howley, Irene J Higginson, Barbara A Daveson
BACKGROUND: Recruitment challenges contribute to the paucity of palliative care research with advanced chronic heart failure patients. AIM: To describe the challenges and outline strategies of recruiting advanced chronic heart failure patients. DESIGN: A feasibility study using a pre-post uncontrolled design. SETTING: Advanced chronic heart failure patients were recruited at two nurse-led chronic heart failure disease management clinics in Ireland Results: Of 372 patients screened, 81 were approached, 38 were recruited (46...
May 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28485908/-the-written-nursing-reports-of-the-asylum-paolo-pini-of-milan-from-1944-to-1947
#14
Marina Negri, Vanna Marchesini, Silvio De Valerio, Emiliana Soro
INTRODUCTION: The work provides the analysis of the nursing reports written by the nursing staff on duty at the asylum "Paolo Pini" from 1944 to 1947. OBJECTIVE: description of the nursing report evolution, analyses of the quantitative and qualitative matters. Study of the evolution of the records: enhancement of the description of the patient, integration between medical and nursing assistance, assumption of responsi- bility (for instance through the signature)...
January 2017: Professioni Infermieristiche
https://www.readbyqxmd.com/read/28480568/literature-review-of-trauma-informed-care-implications-for-mental-health-nurses-working-in-acute-inpatient-settings-in-australia
#15
Allyson Wilson, Marie Hutchinson, John Hurley
Trauma-informed care (TIC) is increasingly recognized as an approach to improving consumers' experience of, and outcomes from, mental health services. Deriving consensus on the definition, successful approaches, and consumer experiences of TIC is yet to be attained. In the present study, we sought to clarify the challenges experienced by mental health nurses in embedding TIC into acute inpatient settings within Australia. A systematic search of electronic databases was undertaken to identify primary research conducted on the topic of TIC...
May 7, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28478847/the-preoperative-reaction-and-decision-making-process-regarding-colostomy-surgery-among-chinese-rectal-cancer-patients
#16
Jun-E Zhang, Frances Kam Yuet Wong, Mei-Chun Zheng
PURPOSE: Patients with rectal cancer have issues in adjusting to their permanent colostomy after surgery, and support is required to help them resume normal life. However, few studies have explored the experience and factors that affect a patient's decision-making and maladjustment prior to colostomy surgery. The aim of this study was to explore the experience of rectal cancer patients who have to undergo colostomy surgery. METHOD: A descriptive, qualitative design was used...
June 2017: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
https://www.readbyqxmd.com/read/28471793/assessment-of-activity-of-daily-living-among-older-adult-patients-in-home-healthcare-and-skilled-nursing-facilities-an-integrative-review
#17
Zainab Toteh Osakwe, Elaine Larson, Mansi Agrawal, Jinjing Shang
Older adult's ability to self-manage illness is dependent on their ability to perform activities of daily living (ADL). Forty-five percent of those older than 65 years will have ongoing clinical needs after hospital discharge and require postacute care (PAC) services in settings such as home healthcare (HHC) and skilled nursing facilities (SNF). The Improving Medicare Post-Acute Care Transformation Act of 2014 requires PAC providers to begin collecting and reporting ADL data to build a coordinated approach to payment and standardize patient assessments and quality measurement...
May 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/28468703/triggers-and-their-influence-on-health-behaviors
#18
Christine S Gipson
This article provides a conceptual definition of the concept trigger within the context of health behaviors and applies it to the highly significant health issue of obesity. Healthy behaviors are essential to life and happiness, but they do not just happen. They are triggered, and an inner drive keeps them alive. To help patients gain and retain optimal health, nurses must understand the triggers of healthy behaviors. Walker and Avant's (2011) method of concept analysis is used as the basis for defining the concept of trigger...
May 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28459908/systematic-review-of-interventions-to-reduce-urinary-tract-infection-in-nursing-home-residents
#19
REVIEW
Jennifer Meddings, Sanjay Saint, Sarah L Krein, Elissa Gaies, Heidi Reichert, Andrew Hickner, Sara McNamara, Jason D Mann, Lona Mody
BACKGROUND: Urinary tract infections (UTIs) in nursing homes are common, costly, and morbid. PURPOSE: Systematic literature review of strategies to reduce UTIs in nursing home residents. DATA SOURCES: Ovid MEDLINE, Cochrane Library, CINAHL, Web of Science and Embase through June 22, 2015. STUDY SELECTION: Interventional studies with a comparison group reporting at least 1 outcome for: catheter-associated UTI (CAUTI), UTIs not identified as catheter-associated, bacteriuria, or urinary catheter use...
May 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28447106/defining-hip-fracture-with-claims-data-outpatient-and-provider-claims-matter
#20
S D Berry, A R Zullo, K McConeghy, Y Lee, L Daiello, D P Kiel
Medicare claims are commonly used to identify hip fractures, but there is no universally accepted definition. We found that a definition using inpatient claims identified fewer fractures than a definition including outpatient and provider claims. Few additional fractures were identified by including inconsistent diagnostic and procedural codes at contiguous sites. INTRODUCTION: Medicare claims data is commonly used in research studies to identify hip fractures, but there is no universally accepted definition of fracture...
April 26, 2017: Osteoporosis International
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