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https://www.readbyqxmd.com/read/28820763/concept-evaluation-using-the-pdsa-cycle-for-continuous-quality-improvement
#1
Delois Meyer Laverentz, Sharon Kumm
As concept-based nursing education gains popularity, there is little literature on how to sustain quality after initiation of the curriculum. Critical appraisal of concepts in a university program revealed varying definitions, attributes, and exemplars resulting in student confusion. The Plan, Do, Study, Act (PDSA) cycle for continuous quality improvement was used for concept evaluation. The goals of the evaluation project were: 1) to develop common definition and attributes for concepts and 2) to develop horizontal and vertical leveling of exemplars to build on prior student learning...
September 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28816063/acute-cardiovascular-care-association-position-paper-on-intensive-cardiovascular-care-units-an-update-on-their-definition-structure-organisation-and-function
#2
Eric Bonnefoy-Cudraz, Hector Bueno, Gianni Casella, Elia De Maria, Donna Fitzsimons, Sigrun Halvorsen, Christian Hassager, Zaza Iakobishvili, Ahmed Magdy, Toomas Marandi, Jorge Mimoso, Alexander Parkhomenko, Susana Price, Richard Rokyta, Francois Roubille, Pranas Serpytis, Avi Shimony, Janina Stepinska, Diana Tint, Elina Trendafilova, Marco Tubaro, Christiaan Vrints, David Walker, Doron Zahger, Endre Zima, Robert Zuckerman, Maddalena Lettino
Acute cardiovascular care has progressed considerably since the last position paper was published 10 years ago. It is now a well-defined, complex field with demanding multidisciplinary teamworking. The Acute Cardiovascular Care Association has provided this update of the 2005 position paper on acute cardiovascular care organisation, using a multinational working group. The patient population has changed, and intensive cardiovascular care units now manage a large range of conditions from those simply requiring specialised monitoring, to critical cardiovascular diseases with associated multi-organ failure...
August 1, 2017: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/28812947/a-concept-analysis-of-professional-commitment-in-nursing
#3
Loreto García-Moyano, Rogelio Altisent, Begoña Pellicer-García, Sandra Guerrero-Portillo, Oihana Arrazola-Alberdi, María Teresa Delgado-Marroquín
BACKGROUND: The concept of professional commitment is being widely studied at present. However, although it is considered an indicator for the most human part of nursing care, there is no clear definition for it, and different descriptors are being used indiscriminately to reference it. OBJECTIVE: The aim of this study is to clarify the concept of professional commitment in nursing through the Rodgers' evolutionary concept analysis process. DESIGN: Systematic search using English and Spanish descriptors and concept analysis...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28810273/-nursing-internship-internal-medicine-evaluation-and-influences-on-the-attitude-towards-the-specialization
#4
Janine Wirkner, Sylvia Stracke, Anja Lange, Thomas Dabers, Harry Merk, Richard Kasch
Background German medical students have to perform a nursery internship of three month duration. While this internship is widely discussed, there is a lack of student evaluation data. Objectives Here, for the first time, student evaluation of a nursery internship in internal medicine (IM) is investigated. Moreover, the question was raised, whether the early experience during this internship may influence students' attitude towards the specialty. Methods In a nation-wide online-survey, 767 German medical students (mean age 22...
August 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28805184/recruiting-young-people-with-a-visible-difference-to-the-yp-face-it-feasibility-trial-a-qualitative-exploration-of-primary-care-staff-experiences
#5
Claire Hamlet, Heidi Williamson, Diana Harcourt
BACKGROUND: Qualitative research methods embedded within feasibility trials are of significant value as they can provide important information for a definitive trial, often unable to be fulfilled by quantitative methods alone. In addition, such information can aid researchers running other trials or evaluating interventions on a similar topic. Aim This study aimed to explore GP and nurses' experiences of recruiting to a trial exploring the feasibility of evaluating YP Face IT, a novel online psychosocial intervention to support young people with appearance-altering conditions...
August 14, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28793374/pain-assessment-by-emergency-nurses-at-triage-in-the-emergency-department-a-qualitative-study
#6
Marilène Vuille, Maryline Foerster, Eliane Foucault, Olivier Hugli
AIM: To investigate the assessment of pain intensity in the specific context of triage. BACKGROUND: Acute pain affects most patients admitted in emergency departments (ED) but pain relief in this setting remains insufficient. Evaluation of pain and its treatment at the time of patient triage expedites the administration of analgesia, but may be awkward at this time-pressured moment. The assessment of pain intensity by a validated pain scale is a critical initial step, and a patient's self-reporting is widely considered as the key to effective pain management...
August 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28779818/understanding-frailty-a-nurse-s-guide
#7
REVIEW
Cathy A Maxwell, Jinjiao Wang
Frailty is a public health crisis for an aging society. As a concept and condition, frailty is poorly understood and underrecognized in clinical settings. Nurses play an important role as frontline providers who care for aging adults. The aim of this article is to raise awareness among nurses about frailty and to discuss the recognition and management of this prevailing condition. The authors present conceptual definitions and models of frailty, a brief discussion of the underlying biological mechanisms and evidence-based interventions for frailty identification, and approaches to delay and decrease the burden of frailty...
September 2017: Nursing Clinics of North America
https://www.readbyqxmd.com/read/28771909/inter-professionals-definitions-of-moral-resilience
#8
Heidi Holtz, Katherine Heinze, Cynda Rushton
AIMS AND OBJECTIVES: The aim of this qualitative descriptive study was to describe common characteristics and themes of the concept of moral resilience as reported by inter-professional clinicians in healthcare. BACKGROUND: Research has provided an abundance of data on moral distress with limited research to resolve and help negate the detrimental effects of moral distress. This calls for much needed research on how to mitigate the negative consequences of moral distress that plague nurses and other healthcare providers...
August 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28766971/a-concept-analysis-of-resilience-integrating-genetics
#9
Kosuke Niitsu, Julia F Houfek, Cecilia R Barron, Scott F Stoltenberg, Kevin A Kupzyk, Michael J Rice
Although clinicians and researchers are interested in the phenomenon of resilience, there is no agreed-upon definition of resilience. Scientific evidence suggests that resilience is influenced by intrapersonal (e.g. personality traits) and environmental (e.g. social support) variables. A concept analysis was conducted to better understand the meaning of resilience. In this analysis, the antecedent of resilience was a potentially traumatic event; the defining attributes were ego-resiliency, emotion regulation, social support, and heredity; and the consequences were none to mild psychopathological symptoms and positive adaptation...
August 2, 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28764199/evaluation-of-competencies-related-to-personal-attributes-of-resident-doctors-by-360-degree
#10
Harsha Jani, Wasea Narmawala, Jaishree Ganjawale
INTRODUCTION: Postgraduate teaching involves training the residents in all spheres including professionalism, communication and interpersonal skills in addition to the basic clinical skills. Therefore, 360 degree evaluation has gained focus due to increased standards of medical care as shown in this study. AIM: To evaluate interpersonal and communication skills and professionalism in residents doctors using 360 degree evaluation method. MATERIALS AND METHODS: The present study was a descriptive study conducted at a tertiary care hospital affiliated with a medical college...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28760428/influence-of-nutritional-status-in-the-diagnosis-of-sarcopenia-in-nursing-home-residents
#11
Beatriz Lardiés-Sánchez, Alejandro Sanz-París, Javier Pérez-Nogueras, Antonio Serrano-Oliver, María E Torres-Anoro, Alfonso J Cruz-Jentoft
OBJECTIVES: Malnutrition and sarcopenia frequently coexist in elderly patients. The aim of this study was to assess the effect of nutritional status in the diagnosis of sarcopenia in nursing home residents. METHODS: A cross-sectional study was performed with data collected from 339 elderly patients living in five nursing homes. Sarcopenia was defined according to the consensus definition of the European Working Group on Sarcopenia in Older People. Body mass composition was assessed using bioimpedance analysis, handgrip strength using a dynamometer, and physical performance by 5-m gait speed test...
September 2017: Nutrition
https://www.readbyqxmd.com/read/28757333/heterogeneity-of-different-tools-for-detecting-the-prevalence-of-frailty-in-nursing-homes-feasibility-and-meaning-of-different-approaches
#12
N Martínez-Velilla, Pablo Aldaz Herce, Álvaro Casas Herrero, Marta Gutiérrez-Valencia, Mikel López Sáez de Asteasu, Alberto Sola Mateos, Ana Conde Zubillaga, Berta Ibáñez Beroiz, Arkaitz Galbete Jiménez, Mikel Izquierdo
BACKGROUND AND OBJECTIVE: The identification of frail individuals has been recognized as a priority for the effective implementation of healthy aging strategies. Only a limited number of studies have examined frailty in nursing homes, and there is a big heterogeneity in the methods used. The primary objective of this study was to determine the prevalence and feasibility of different frailty screening tools in nursing homes as well as its relationship with multimorbidity and disability...
July 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28757332/prediction-of-the-incidence-of-falls-and-deaths-among-elderly-nursing-home-residents-the-senior-study
#13
Fanny Buckinx, Jean-Louis Croisier, Jean-Yves Reginster, Céline Lenaerts, Théo Brunois, Xavier Rygaert, Jean Petermans, Olivier Bruyère
OBJECTIVE: The objective of this study was to evaluate, among nursing home residents, the extent to which the various operational definitions of frailty predict mortality and falls at 1 year. METHODS: We studied 662 participants from the Sample of Elderly Nursing home Individuals: An Observational Research (SENIOR) cohort aged 83.2 ± 8.99 years, including 484 (72.5%) women and living in nursing homes. Among this cohort, 584 and 565 participants, respectively, were monitored over 12 months for mortality assessment and for occurrence of falls (ie, by mean of their medical records)...
July 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28755612/-we-definitely-are-role-models-exploring-how-clinical-instructors-influence-nursing-students-attitudes-towards-older-adults
#14
Sheena Simpkins Gibbs, Judith C Kulig
The world's population is getting older, which will inevitably cause increased demands for nurses to provide high quality care to this demographic. Attitudes have been shown to influence the quality of care that older adults receive. It is therefore important to gain a better understanding of what influences nursing students' attitudes towards older adults. This article reports on one of three inter-connected research questions of a mixed methods study that explored the relationship between clinical instructors' attitudes and nursing students' attitudes towards older adults...
July 19, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28755424/healthy-skin-wins-a-glowing-pressure-ulcer-prevention-program-that-can-guide-evidence-based-practice
#15
Donna Martin, Lisa Albensi, Stephanie Van Haute, Maria Froese, Mary Montgomery, Mavis Lam, Kendra Gierys, Rob Lajeunesse, Lorna Guse, Nataliya Basova
BACKGROUND: In 2013, an observational survey was conducted among 242 in-patients in a community hospital with a pressure ulcer (PU) prevalence of 34.3%. An evidence-based pressure ulcer prevention program (PUPP) was then implemented including a staff awareness campaign entitled "Healthy Skin Wins" with an online tutorial about PU prevention. AIMS: To determine the effectiveness of the PUPP in reducing the prevalence of PUs, to determine the effectiveness of the online tutorial in increasing hospital staff's knowledge level about PU prevention, and to explore frontline staff's perspectives of the PUPP...
July 29, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28752830/healthcare-associated-infection-good-practices-knowledge-and-the-locus-of-control-in-heatlhcare-professionals
#16
Chiara Taffurelli, Alfonso Sollami, Carmen Camera, Francesca Federa, Annise Grandi, Marcella Marino, Tiziano Marrosu, Leopoldo Sarli
BACKGROUND AND AIM:   The incidence of Healthcare Associated Infections (HAI) is an important indicator of the quality of care. The behaviors associated with the prevention of infections are not only supported by rational knowledge or motivation, but are mediated by social, emotional and often stereotyped behaviors. The awarness of the good practices related to HAI, may be a factor. Other studies, identify how the perception of the problem in healthcare professionals is often influenced by a tendency towards an external Locus of Control: the patient, the family, the other wards, other care settings...
July 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28752827/clinical-pathway-for-patients-with-chronic-myeloid-leukaemia-the-euriclea-project
#17
Stefano Botti, Gianpaolo Gargiulo, Felice Bombaci, Giovanna Artioli, Chiara Cosentino, Adriana Concetta Pignatelli, Daniela Torino, Maria Marcella Lionetti, Emanuela Samarani, Lorella Cappucciati, Paola Bordiga, Antonella Diodati, Cristiana Caffarri, Irene Rosini, Fabrizio Pane
BACKGROUND AND AIMS: The use of Tirosine Kinase Ihnibitors (TKIs) for the treatment of Chronic Myeloid Leukemia (CML) has definitely represented a turning point in the treatment of the onco-hematological diseases. Over the years, the interest of physicians, nurses, patients and caregivers has increasingly focused on the aspects of the humanization of care, the management of side effects and on the full and constant therapeutic adherence. The aim of the project was to define patient-oriented care processes, based on a proactive approach that can fully respond to the new health needs of CML patients...
July 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28748741/nursing-student-attitudes-toward-euthanasia-a-cross-sectional-study
#18
Kazem Hosseinzadeh, Hossein Rafiei
BACKGROUND: Euthanasia is among the most common and controversial end-of-life care issues. Examining the attitudes of nursing students to this issue is important because they may well encounter these issues during the course of their clinical placements. Research aims: This study aims to examine the attitudes of a sample of Iranian nursing students towards euthanasia. RESEARCH DESIGN: This is a descriptive cross-sectional study. Participants and research context: Using convenience sampling, 382 Muslim nursing students were enrolled in this study...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28745441/clinical-staff-nurse-leadership-identifying-gaps-in-competency-development
#19
Sherron Franks-Meeks
BACKGROUND: To date, there has been no development of a complete, applicable inventory of clinical staff nurse (CSN) leadership role competencies through a valid and reliable methodology. Further, the CSN has not been invited to engage in the identification, definition, or development of their own leadership competencies. OBJECTIVE: Compare existing leadership competencies to identify and highlight gaps in clinical staff nurse leadership role competency development and validation...
July 26, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28745067/participants-understanding-of-informed-consent-for-biobanking-a-systematic-review
#20
Elizabeth R Eisenhauer, Alan R Tait, Soo Young Rieh, Cynthia M Arslanian-Engoren
Nurses are increasingly asked to obtain consent from participants for biobanking studies. Biobanking has added unique complexities to informed consent. The purpose of this systematic review was to evaluate participants' level of understanding of the information presented during the informed consent process unique to the donation of biological specimens for research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized to conduct the review. PubMed, EMBASE, CINAHL, PsycINFO, Scopus, Web of Science, and ProQuest bibliographic databases were searched...
July 1, 2017: Clinical Nursing Research
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