keyword
https://read.qxmd.com/read/37246879/a-traditional-chinese-medicine-characteristic-therapy-for-bronchial-asthma-moxibustion
#21
JOURNAL ARTICLE
Weiting Sun, Ke Liu, Ren Yang, Liuxue Guo, Peiyang Gao
Bronchial asthma is a chronic inflammatory disease of the airway which can lead to symptoms such as recurrent wheezing, shortness of breath, chest tightness, or cough, as a result of increased airway reactivity. With high diurnal variation, these symptoms often occur or worsen at night or in the morning. By burning and roasting the Chinese medica above human acupoints, moxibustion is a type of treatment that stimulates the activity of the human meridians through drugs and heat stimulation to prevent and treat diseases...
May 12, 2023: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/37180901/rationing-of-nursing-care-a-concept-analysis
#22
REVIEW
Tayebeh Moradi, Mohsen Adib-Hajbaghery, Mansour Dianati, Fatemeh Moradi
Rationing of nursing care (RONC) refers to necessary nursing tasks that nurses refuse or fail to do because of limited time, staffing level, or skill mix. As an important process factor, it affects the quality of patient care. The concept of rationing of nursing care has not yet been clearly defined and analyzed and there are different views regarding this issue. Using Walker and Avant's eight-step method, this concept analysis was conducted to analyze the meaning, attributes, dimensions, antecedents, and consequences of nursing care rationing...
May 2023: Heliyon
https://read.qxmd.com/read/37159015/understanding-the-impact-of-span-of-control-on-nurse-managers-and-hospital-outcomes
#23
JOURNAL ARTICLE
Asiah Ruffin, Maria R Shirey, Tracey Dick, Pariya L Fazeli, Patricia A Patrician
GOAL: Span of control is a multidimensional concept requiring a comprehensive definition that captures the complexities of the nurse manager's role in acute care settings. This concept analysis aimed to identify factors associated with span of control and provide a comprehensive definition outlining the breadth of this concept. METHODS: ProQuest, PubMed, and Scopus databases were used to search peer-reviewed literature addressing the span of control in acute care nurse management...
May 2023: Journal of Healthcare Management / American College of Healthcare Executives
https://read.qxmd.com/read/37101328/the-role-of-nurses-in-fetal-cardiology-programs-an-integrative-review
#24
REVIEW
Mary Butler, Erin C McArthur
BACKGROUND: Fetal cardiology programs are evolving quickly and include multiple interdisciplinary health care professionals whose roles could benefit from clear definition. Nurses provide an essential function in this field; however, descriptions or definitions of nursing practice, education and knowledge requirements, and responsibilities are limited and vary across institutions and disciplines. PURPOSE: To conduct an integrative review summarizing the literature to determine the role of nurses in fetal cardiology programs...
May 2023: MCN. the American Journal of Maternal Child Nursing
https://read.qxmd.com/read/37085404/big-data-in-oncology-nursing-research-state-of-the-science
#25
JOURNAL ARTICLE
Carolyn S Harris, Rachel A Pozzar, Yvette Conley, Manuela Eicher, Marilyn J Hammer, Kord M Kober, Christine Miaskowski, Sara Colomer-Lahiguera
OBJECTIVE: To review the state of oncology nursing science as it pertains to big data. The authors aim to define and characterize big data, describe key considerations for accessing and analyzing big data, provide examples of analyses of big data in oncology nursing science, and highlight ethical considerations related to the collection and analysis of big data. DATA SOURCES: Peer-reviewed articles published by investigators specializing in oncology, nursing, and related disciplines...
April 19, 2023: Seminars in Oncology Nursing
https://read.qxmd.com/read/37075940/the-first-dedicated-comprehensive-heart-failure-program-in-the-us-the-division-of-circulatory-physiology-at-columbia-presbyterian-1992-2004
#26
REVIEW
Milton Packer
The first dedicated multidisciplinary heart failure program in the US was founded as the Division of Circulatory Physiology at the Columbia University College of Physicians & Surgeons in 1992. The Division was administratively and financially independent of the Division of Cardiology and grew to 24 faculty members at its peak. Its administrative innovations included (1) a comprehensive full-integrated service line, with two differentiated clinical teams, one devoted to drug therapy and the other to heart transplantation and ventricular assist devices; (2) a nurse specialist/physician assistant-led clinical service; and (3) a financial structure independent of (and not supported by) other cardiovascular medical or surgical services...
April 17, 2023: Journal of Cardiac Failure
https://read.qxmd.com/read/36938388/qualitative-study-of-challenges-facing-emergency-departments-nurses-in-jordan
#27
JOURNAL ARTICLE
Suhair Hussni Al-Ghabeesh, Asmaa Thabet, Ahmad Rayan, Hana Mohammad Abu-Snieneh
Worldwide, nurses employed in the Emergency Department (ED) face many challenges that negatively influence their well-being and ability to provide high-quality patient care. Previous researchers have investigated these challenges regarding their causes, consequences, and how to deal with them. However, most of the previous research addressed these challenges using quantitative research. The current study is the first qualitative study that examined these challenges in the Jordanian context. A descriptive naturalistic qualitative design was used to explore the most critical challenges facing nurses employed in the ED and described the suggested solutions for these challenges from nurses' perspectives...
March 2023: Heliyon
https://read.qxmd.com/read/36833130/high-definition-3d-exoscope-assisted-barbed-pharyngoplasty-for-osas-and-snoring-better-than-live
#28
JOURNAL ARTICLE
Manuele Casale, Antonio Moffa, Michelangelo Pierri, Peter Baptista, Lucrezia Giorgi
Recently, a high-definition 3D exoscope (VITOM), a new magnification system that provides a 3D image of the surgical field, has been introduced. This study aims to describe the first use of VITOM 3D technology in Barbed Pharyngoplasty (BP) for Obstructive Sleep Apnea (OSA). VITOM 3D technology is used to support visualization during BP in a male patient affected by severe OSA with a circular palatal collapse pattern at drug-induced sleep endoscopy. During the surgical procedure, this approach markedly improves the visualization of the surgical field through anatomic details of the oral cavity, facilitating surgical dissection and enhancing the teaching environment...
February 16, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/36737435/shark-nanobodies-with-potent-sars-cov-2-neutralizing-activity-and-broad-sarbecovirus-reactivity
#29
JOURNAL ARTICLE
Wei-Hung Chen, Agnes Hajduczki, Elizabeth J Martinez, Hongjun Bai, Hanover Matz, Thomas M Hill, Eric Lewitus, William C Chang, Layla Dawit, Caroline E Peterson, Phyllis A Rees, Adelola B Ajayi, Emily S Golub, Isabella Swafford, Vincent Dussupt, Sapna David, Sandra V Mayer, Sandrine Soman, Caitlin Kuklis, Courtney Corbitt, Jocelyn King, Misook Choe, Rajeshwer S Sankhala, Paul V Thomas, Michelle Zemil, Lindsay Wieczorek, Tricia Hart, Debora Duso, Larry Kummer, Lianying Yan, Spencer L Sterling, Eric D Laing, Christopher C Broder, Jazmean K Williams, Edgar Davidson, Benjamin J Doranz, Shelly J Krebs, Victoria R Polonis, Dominic Paquin-Proulx, Morgane Rolland, William W Reiley, Gregory D Gromowski, Kayvon Modjarrad, Helen Dooley, M Gordon Joyce
Despite rapid and ongoing vaccine and therapeutic development, SARS-CoV-2 continues to evolve and evade, presenting a need for next-generation diverse therapeutic modalities. Here we show that nurse sharks immunized with SARS-CoV-2 recombinant receptor binding domain (RBD), RBD-ferritin (RFN), or spike protein ferritin nanoparticle (SpFN) immunogens elicit a set of new antigen receptor antibody (IgNAR) molecules that target two non-overlapping conserved epitopes on the spike RBD. Representative shark antibody variable NAR-Fc chimeras (ShAbs) targeting either of the two epitopes mediate cell-effector functions, with high affinity to all SARS-CoV-2 viral variants of concern, including the divergent Omicron strains...
February 3, 2023: Nature Communications
https://read.qxmd.com/read/36728995/defining-scholarship-for-today-and-tomorrow
#30
REVIEW
Robert J Milner, Terence R Flotte, Luanne E Thorndyke
Scholarship, required for academic advancement, has traditionally been defined narrowly, not keeping pace with the expansion of faculty academic activities in health professions schools. How can we refine the definition of scholarship so that it better aligns with the scope of current faculty practice within academic health systems? Revision of the academic policies for promotion and tenure at the University of Massachusetts Chan Medical School afforded an opportunity to redefine scholarship such that a broader platform was available for faculty recognition, aligning with current academic standards, yet providing flexibility for the future...
April 1, 2023: Journal of Continuing Education in the Health Professions
https://read.qxmd.com/read/36708052/aggression-in-mental-healthcare-opportunities-for-the-future-a-qualitative-study-on-the-challenges-when-defining-and-managing-aggression-across-inpatient-disciplines
#31
JOURNAL ARTICLE
Clemens Soenen, Roel Van Overmeire, Stefaan Six, Johan Bilsen, Lieve De Backer, Inge Glazemakers
INTRODUCTION: Aggression by patients against healthcare workers is a global recurring phenomenon in mental healthcare. Discrepancies in defining aggression can lead to differences in judgement, which in turn causes difficulties in managing aggression. The multidisciplinary nature of mental healthcare makes a standardized definition an even more pressing matter. No studies, however, were found exploring the way different disciplines approach the definition of aggression. Although traditional methods of managing aggression rely on coercive methods, current research favors the use of non-coercive measures...
January 27, 2023: Journal of Psychiatric and Mental Health Nursing
https://read.qxmd.com/read/36624571/exploring-the-role-of-vitamin-d-and-the-gut-microbiome-a-cross-sectional-study-of-individuals-with-irritable-bowel-syndrome-and-healthy-controls
#32
JOURNAL ARTICLE
Sarah W Matthews, Anna Plantinga, Robert Burr, Kevin C Cain, Tor Savidge, Kendra Kamp, Margaret M Heitkemper
Irritable bowel syndrome (IBS) is a common disorder of gut-brain interaction with multifaceted pathophysiology. Prior studies have demonstrated higher rates of vitamin D deficiency in individuals with IBS compared to healthy controls (HC), as well as associations of vitamin D concentration with IBS symptoms. A systematic review of 10 mouse and 14 human studies reported a positive association between vitamin D (serum levels and supplementation) and beta diversity of gut microbiome in a variety of conditions...
January 9, 2023: Biological Research for Nursing
https://read.qxmd.com/read/36450423/predatory-conferences-a-systematic-scoping-review
#33
JOURNAL ARTICLE
Tove Godskesen, Stefan Eriksson, Marilyn H Oermann, Sebastian Gabrielsson
OBJECTIVE: To systematically map the scholarly literature on predatory conferences and describe the present state of research and the prevalent attitudes about these conferences. METHODS: This scoping review follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Four databases were searched (PubMed/Medline, Web of Science, Scopus and ProQuest Social Sciences Premium Collection). In addition, the included studies' reference lists were scanned for additional papers not found in the searches...
November 30, 2022: BMJ Open
https://read.qxmd.com/read/36419399/representations-of-clinical-practice-guidelines-and-health-equity-in-healthcare-literature-an-integrative-review
#34
JOURNAL ARTICLE
Christina McMillan Boyles, Philippa Spoel, Phyllis Montgomery, Mika Nonoyama, Kyle Montgomery
AIM: This paper reports an integrative review of international health literature that discusses health equity in relation to clinical practice guidelines (CPGs). BACKGROUND: Healthcare professionals (HCPs), policy makers, and decision makers rely on sound empirical evidence to make fiscally responsible and appropriate decisions about the allocation of health resources and health service delivery. CPGs provide statements and recommendations that aim to standardize care with an implicit goal of achieving equity of care among diverse populations...
November 23, 2022: Journal of Nursing Scholarship
https://read.qxmd.com/read/36343511/integrating-interprofessional-electronic-medical-record-teaching-in-preregistration-healthcare-degrees-a-case-study
#35
JOURNAL ARTICLE
Zerina Lokmic-Tomkins, Kathleen Gray, Lisa Cheshire, Arno Parolini, Megan Sharp, Bronwyn Tarrant, Nicole Hill, David Rose, Marilyn Webster, Debra Virtue, Amanda Brignell, Rebecca Waring, Fiona Broussard, Alex Tsirgialos, Kwang Meng Cham
BACKGROUND: Electronic medical record (EMR) adoption across healthcare necessitates a purposeful curriculum design to prepare graduates for the delivery of safe and effective patient care in digitally-enabled environments. OBJECTIVE: To describe the design and development of an Interprofessional Electronic Medical Record (iEMR) subject that introduces healthcare students to its utility in clinical settings. METHODS: A six-stage design-based educational research framework (Focus, Formulation, Contextualisation, Definition, Implementation, Evaluation) was used to instigate the iEMR design and development in nursing and five allied health graduate entry to practice (preregistration) degrees at an Australian university...
November 4, 2022: International Journal of Medical Informatics
https://read.qxmd.com/read/36202684/facilitators-barriers-and-practices-of-early-mobilization-in-critically-ill-burn-patients-a-survey
#36
JOURNAL ARTICLE
Y Dikkema, L J Mouton, B Cleffken, E de Jong, M E van Baar, A Pijpe, A S Niemeijer, C P van der Schans, S M J H Scholten, M van der Steen-Dieperink, M K Nieuwenhuis
BACKGROUND: Early mobilization (EM) of intensive care (IC) patients is important but complex with facilitators and barriers. Compared to general IC patients, burn IC patients are more hyper-metabolic. They have extensive wounds, lengthy wound dressing changes, and repeated surgeries that may affect possibilities of EM. This study aimed to identify facilitators and barriers of EM in burn IC patients among all disciplines involved. Additionally, we assessed EM practices, i.e. when are which patients considered suitable for EM...
September 6, 2022: Burns
https://read.qxmd.com/read/36056149/analysis-of-flow-rate-and-pressure-in-syringe-based-wound-irrigation-using-bernoulli-s-equation
#37
JOURNAL ARTICLE
Hanna Lee, Ye-Kyung Lee, Ji-Yun Park, Jeong-Won Han
The objective of this study was to examine the dependence of the pressure level in the wound area on the height of the syringe needle from the wound, the gauge of the needle, and the flow rate using the Bernoulli equation. This study was the control-volume analysis using the Bernoulli equation. At a given height of the syringe needle from the wound, the gauge of the syringe needle was fixed, and the pressure in the wound area, which depended on the flow rate of the irrigation solution discharged from the tip of the needle, was calculated according to the Bernoulli equation and the definition of the flow rate...
September 2, 2022: Scientific Reports
https://read.qxmd.com/read/35985061/defining-foundational-competence-for-prelicensure-and-graduate-nursing-students-a-concept-analysis-and-conceptual-model
#38
JOURNAL ARTICLE
Katie L McDermott, Kristina Thomas Dreifuerst
AIM: To define the concept of foundational competence as it pertains to prelicensure and graduate nursing students during their educational program, thereby informing pedagogical and assessment practices. BACKGROUND: Competence has many definitions and uses, however a lack of consensus of a clear and useful definition in nursing persists. Without shared language, competence remains open for interpretation across and among groups and impedes the ability to teach and assess it in a competency-based education framework...
July 27, 2022: Nurse Education in Practice
https://read.qxmd.com/read/35915219/detection-tools-for-prediction-and-identification-of-adverse-drug-reactions-in-older-patients-a-systematic-review-and-meta-analysis
#39
JOURNAL ARTICLE
Dewi Susanti Atmaja, Yulistiani, Suharjono, Elida Zairina
Tools to accurately predict and detect adverse drug reactions (ADR) in elderly patients have not been developed. We aimed to identify and evaluate reports on tools that predict and detect ADR in elderly patients (≥ 60 years). In this review, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Databases were searched until January 2022 using key terms "elderly," "adverse drug reaction," and "detection instruments." Eighteen studies met the inclusion criteria, and they examined assorted interventions: STOPP/START version 1/2 (n = 10), Beers Criteria 2012 or 2015 (n = 4), Systematic Tool to Reduce Inappropriate Prescribing (STRIP) (n = 2), Tool to Reduce Inappropriate Medications (TRIM) (n = 1), Medication Risk Score (MERIS) (n = 1), Computerized alert systems (n = 1), and Norwegian General Practice-Nursing Home criteria (n = 1)...
August 1, 2022: Scientific Reports
https://read.qxmd.com/read/35874086/self-care-in-the-older-adult-population-with-chronic-disease-concept-analysis
#40
JOURNAL ARTICLE
Jawhrah Alqahtani, Ibtesam Alqahtani
Purpose: Chronic disease care is considered a challenging dilemma for health organizations' sustainability and patient health. Self-care is key to chronic disease management and is substantially important in all aspects of health and levels of care. In the past years, research regarding self-care in the context of chronic disease has evolved, yet this complex concept continues to be ambiguous as there are differences in the way self-care is clearly conceptualized in the literature. A discussion of an in-depth concept analysis of self-care in the older adult population with chronic disease and an outline of its defining common attributes, referents, antecedents, consequences, and related concepts...
July 2022: Heliyon
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