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Uniformity of Care by Staff Nurses

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https://www.readbyqxmd.com/read/27802950/the-family-navigator-a-pilot-intervention-to-support-intensive-care-unit-family-surrogates
#1
Alexia M Torke, Lucia D Wocial, Shelley A Johns, Greg A Sachs, Christopher M Callahan, Gabriel T Bosslet, James E Slaven, Susan M Perkins, Susan E Hickman, Kianna Montz, Emily S Burke
BACKGROUND: Communication problems between family surrogates and intensive care unit (ICU) clinicians have been documented, but few interventions are effective. Nurses have the potential to play an expanded role in ICU communication and decision making. OBJECTIVES: To conduct a pilot randomized controlled trial of the family navigator (FN), a distinct nursing role to address family members' unmet communication needs early in an ICU stay. METHODS: An interprofessional team developed the FN protocol...
November 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27486745/referrals-between-public-sector-health-institutions-for-women-with-obstetric-high-risk-complications-or-emergencies-in-india-a-systematic-review
#2
Samiksha Singh, Pat Doyle, Oona M Campbell, Manu Mathew, G V S Murthy
Emergency obstetric care (EmOC) within primary health care systems requires a linked referral system to be effective in reducing maternal death. This systematic review aimed to summarize evidence on the proportion of referrals between institutions during pregnancy and delivery, and the factors affecting referrals, in India. We searched 6 electronic databases, reviewed four regional databases and repositories, and relevant program reports from India published between 1994 and 2013. All types of study or reports (except editorials, comments and letters) which reported on institution-referrals (out-referral or in-referral) for obstetric care were included...
2016: PloS One
https://www.readbyqxmd.com/read/27191516/-uniform-and-ornaments-of-hands-of-healthcare-workers-a-point-prevalence-survey-in-ausl-of-rimini
#3
Antonietta Santullo, Lorella Fabbri, Giovanni Curzi
INTRODUCTION: The debate about uniform and hand ornament of nurses, technical and supporting staff is focused on two main topics: the risk of infections and the effect on the professional image perceived by patient. AIM: HASH(0x478ab20) PRIMARY OBJECTIVE: to describe how nurses, technical and supporting staff dress their uniform. SECONDARY OBJECTIVE: to verify the use of ornaments of the hands during routine care. METHODS: The survey was conducted in a sample of 503 operators on 67 working contexts in hospital during 14 days...
January 2016: Professioni Infermieristiche
https://www.readbyqxmd.com/read/27096267/the-oeci-certification-designation-program-the-genoa-experience
#4
Giovanni Orengo, Paolo Pronzato, Manlio Ferrarini
Accreditation and designation procedures by the Organisation of European Cancer Institutes (OECI) have represented a considerable challenge for most of the Italian cancer centers. We summarize the experience of the San Martino-IST in Genoa, which, on the whole, was satisfactory, albeit demanding for the staff. The reorganization of most oncology/hematology operations within the disease management teams was probably the key point that allowed us to obtain approval as it brought about the possibility of bringing in uniform methods of diagnosis/treatment, increasing patient recruitment in clinical trials, and fostering translational research by promoting collaboration between clinicians and laboratory investigators...
2015: Tumori
https://www.readbyqxmd.com/read/26982525/telehealth-for-patients-with-parkinson-s-disease-delivering-efficient-and-sustainable-long-term-care
#5
Peter J Barbour, Jill Arroyo, Star High, Lisa B Fichera, Marie M Staska-Pier, Mary Kay McMahon
OBJECTIVES: We set out to demonstrate the benefits of providing long-term care via telehealth for patients with Parkinson's disease living in continuous care facilities. METHODS: A cohort of 16 patients with Parkinson's disease residing at one of 2 locations of a multi-facility continuous care retirement organization were seen virtually in follow-up over a 3-year period by Telehealth Services at a large, academic, tertiary care hospital in southeastern Pennsylvania...
2016: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/26833364/the-oeci-certification-designation-program-the-genoa-experience
#6
Giovanni Orengo, Paolo Pronzato, Manlio Ferrarini
Accreditation and designation procedures by the Organisation of European Cancer Institutes (OECI) have represented a considerable challenge for most of the Italian cancer centers. We summarize the experience of the San Martino-IST in Genoa, which, on the whole, was satisfactory, albeit demanding for the staff. The reorganization of most oncology/hematology operations within the disease management teams was probably the key point that allowed us to obtain approval as it brought about the possibility of bringing in uniform methods of diagnosis/treatment, increasing patient recruitment in clinical trials, and fostering translational research by promoting collaboration between clinicians and laboratory investigators...
January 29, 2016: Tumori
https://www.readbyqxmd.com/read/26331005/universal-versus-tailored-solutions-for-alleviating-disruptive-behavior-in-hospitals
#7
Talia Berman-Kishony, Shifra Shvarts
BACKGROUND: Disruptive behavior among hospital staff can negatively affect quality of care. Motivated by a standard on disruptive behavior issued by The Joint Commission (LD 3.10), as well as the desire to improve patient care, minimize liability, and improve staff retention, hospitals are setting policies to prevent and resolve disruptive behaviors. However, it is unknown whether uniform conflict management tools are equally effective among different hospital settings. METHODS: We surveyed residents and nurses to identify similarities and differences among hospital departments in the antecedents, characteristics, and outcomes of disruptive behaviors, and in the effectiveness of conflict management tools...
2015: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/26150325/nursing-home-staff-palliative-care-knowledge-and-practices-results-of-a-large-survey-of-frontline-workers
#8
COMPARATIVE STUDY
Kathleen T Unroe, John G Cagle, Kathleen A Lane, Christopher M Callahan, Susan C Miller
CONTEXT: Deficits in quality end-of-life care for nursing home (NH) residents are well known. Palliative care is promoted as an approach to improve quality. The Palliative Care Survey (PCS) is designed to measure NH staff palliative care knowledge and practice. OBJECTIVES: To comparing palliative care knowledge and practices across NH staff roles using the PCS, and to examine relationships between facility characteristics and PCS scores. METHODS: The PCS was administered to frontline NH staff-certified nursing assistants (CNAs), licensed practical nurses (LPNs), registered nurses (RNs), and social workers (SWs)-in 51 facilities in 2012...
November 2015: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/25242347/understanding-factors-that-influence-the-use-of-risk-scoring-instruments-in-the-management-of-patients-with-unstable-angina-or-non-st-elevation-myocardial-infarction-in-the-netherlands-a-qualitative-study-of-health-care-practitioners-perceptions
#9
Josien Engel, Marie-Julie Heeren, Ineke van der Wulp, Martine C de Bruijne, Cordula Wagner
BACKGROUND: Cardiac risk scores estimate a patient's risk of future cardiac events or death. They are developed to inform treatment decisions of patients diagnosed with unstable angina or non-ST-elevation myocardial infarction. Despite recommending their use in guidelines and evidence of their prognostic value, they seem underused in practice. The purpose of the study was to gain insight in the motivation for implementing cardiac risk scores, and perceptions of health care practitioners towards the use of these instruments in clinical practice...
2014: BMC Health Services Research
https://www.readbyqxmd.com/read/25154423/survey-of-home-hemodialysis-patients-and-nursing-staff-regarding-vascular-access-use-and-care
#10
RANDOMIZED CONTROLLED TRIAL
Leslie A Spry, John M Burkart, Christina Holcroft, Leigh Mortier, Joel D Glickman
Vascular access infections are of concern to hemodialysis patients and nurses. Best demonstrated practices (BDPs) have not been developed for home hemodialysis (HHD) access use, but there have been generally accepted practices (GAPs) endorsed by dialysis professionals. We developed a survey to gather information about training provided and actual practices of HHD patients using the NxStage System One HHD machine. We used GAP to assess training used by nurses to teach HHD access care and then assess actual practice (adherence) by HHD patients...
April 2015: Hemodialysis International
https://www.readbyqxmd.com/read/24850410/intended-and-unintended-consequences-of-minimum-staffing-standards-for-nursing-homes
#11
Min M Chen, David C Grabowski
Staffing is the dominant input in the production of nursing home services. Because of concerns about understaffing in many US nursing homes, a number of states have adopted minimum staffing standards. Focusing on policy changes in California and Ohio, this paper examined the effects of minimum nursing hours per resident day regulations on nursing home staffing levels and care quality. Panel data analyses of facility-level nursing inputs and quality revealed that minimum staffing standards increased total nursing hours per resident day by 5% on average...
July 2015: Health Economics
https://www.readbyqxmd.com/read/24452430/-verbal-aggression-against-health-care-staff-results-of-a-qualitative-study
#12
MULTICENTER STUDY
D Richter
Verbal aggression against health-care staff can induce considerable stress. Compared to physical aggression, systematic studies on verbal aggression are lacking.A qualitative focus group study was conducted in several clinical settings in north-western Germany: acute mental health care, forensic mental health care, children and adolescent psychiatry, residential care for mentally ill persons, general hospital, and nursing home. 74 staff members from various professions participated in 8 focus groups.Various forms of verbal aggression were reported, from verbal abuse over threats to non-compliant behaviour...
September 2014: Das Gesundheitswesen
https://www.readbyqxmd.com/read/23600849/re-examining-definitions-of-spirituality-in-nursing-research
#13
Katia Garcia Reinert, Harold G Koenig
AIM: To discuss the definition of spirituality and its limitations for nursing research. It proposes a definition that will capture more accurately the role of spirituality in health outcomes. BACKGROUND: Studies have increasingly examined spirituality in nursing research as a coping mechanism attenuating the negative impact of traumatic stress on mental health. Existing definitions of spirituality in nursing research include elements of positive emotional states (meaning, purpose, general well-being) which confound mental health outcomes...
December 2013: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/23406648/malnutrition-in-older-adults-urgent-need-for-action-a-plea-for-improving-the-nutritional-situation-of-older-adults
#14
REVIEW
Dorothee Volkert
During the past decades, malnutrition has attracted increasing scientific attention and is by now regarded as a true geriatric syndrome characterized by multifactorial causality, identified by symptoms and accompanied by frailty, disability and poor outcome. This viewpoint summarizes our present knowledge and the usual current handling of malnutrition in older people and highlights the urgent need for action in this field. Age-related changes in the complex system of appetite regulation, resulting in the so-called anorexia of aging, predispose older adults to a decrease in food intake which may lead to malnutrition, if additional risk factors like health or social problems occur...
2013: Gerontology
https://www.readbyqxmd.com/read/23008822/-breast-care-nurse-a-new-specialist-in-the-multidisciplinary-care-of-breast-cancer-patients
#15
Zoltán Mátrai, László Tóth, Akos Sávolt, Gábor Péley, Anikó Tínusz, Eva Palla, Alexandra Bartal, Ildikó Horti, Miklós Kásler
The uniform European structure and professional standards for high quality breast cancer care were established in conjunction with the European Organisation for Research and Treatment, the European Society of Mastology and the European Breast Cancer Coalition with the support of the European Parliament. Well-prepared professional teams including a new member called the breast care nurse serve as ground for special breast cancer centers with international accreditation that provide modern, evidence based, patient centered multidisciplinary oncological care...
September 2012: Magyar Onkologia
https://www.readbyqxmd.com/read/22795742/changing-institutional-identities-of-the-student-nurse
#16
Damien Brennan, Fiona Timmins
This paper emphasises the tensions between the ideal of the compliant within care settings and the ideal of the critical thinker within the university setting with reference to student nurse education and identity. Identity is an important part of who we are as people. While modernisation and increased professionalisation of nursing have impacted on staff and patients mostly in a positive way, changes in the management of nursing education in the past 20 years have also heralded a remarkable change in the student identity...
October 2012: Nurse Education Today
https://www.readbyqxmd.com/read/22702085/-tuberculosis-care-and-new-horizon-of-japanese-society
#17
Nobukatsu Ishikawa, Naohiro Nagayama
Current tuberculosis (TB) problems are reflections of Japanese society. Living or dying alone among the elderly, difficulty in finding jobs or withdrawal into themselves among the youths are features of modem society. The future needs for TB care were discussed on specific topics of TB among the elderly, foreigners and the homeless. Presenters showed the importance of the patient-centered care in collaboration with public health and welfare services. Both patients and staffs will see others shining, as they touch each other in the deep part of human existence...
April 2012: Kekkaku: [Tuberculosis]
https://www.readbyqxmd.com/read/22586141/the-process-of-implementation-of-the-diabetes-register-in-primary-health-care
#18
Ing-Marie Hallgren Elfgren, Eva Törnvall, Ewa Grodzinsky
QUALITY PROBLEM OR ISSUE: According to Swedish law, all health care units must have a system for quality improvement. The aim of this study was to follow an implementation process of a uniform routine for quality control of diabetes care in Primary Health Care in one county. INITIAL ASSESSMENT: Primary Health Care had a decentralized organization and patients with type 2 diabetes were served at 42 different Primary Health Care Centres. CHOICE OF SOLUTION: As the Swedish Diabetes Register (National Diabetes Register, NDR) holds the most important quality indicators, implementation of the NDR registration at all centres was chosen to be the best way to follow up quality in diabetes care...
August 2012: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/22343700/-the-management-of-nurses-training-school-of-po-ku-nyo-kwan-1903-1933
#19
Bang-weon Lee
This paper aims to examine the establishing background, curriculum and organization of personnel of Nurses' Training School of PO KU NYO KWAN(Caring For and Saving Woman's Hospital), the first nurses' training school in Korea. It is attempt to richen Korean medical history by the historical approach to modern nurses' training institution in Korea. PO KU NYO KWAN, the first women's hospital in Korea was established in 1887 by Metta Howard, who was sent by the Woman's Foreign Missionary Society of Northern Methodist Episcopal Church...
December 31, 2011: Ŭi Sahak
https://www.readbyqxmd.com/read/22157789/professional-excellence-and-career-advancement-in-nursing-a-conceptual-framework-for-clinical-leadership-development
#20
Rita Kudirat Adeniran, Anand Bhattacharya, Anthony A Adeniran
Increasingly, stakeholders in the health care community are recognizing nursing as key to solving the nation's health care issues. This acknowledgment provides a unique opportunity for nursing to demonstrate leadership by developing clinical nurse leaders to collaborate with the multidisciplinary care team in driving evidence-based, safe quality, cost-effective health care services. One approach for nursing success is standardizing the entry-level education for nurses and developing a uniform professional development and career advancement trajectory with appropriate incentives to encourage participation...
January 2012: Nursing Administration Quarterly
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