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https://www.readbyqxmd.com/read/29909354/screening-emergency-department-patients-for-opioid-drug-use-a-qualitative-systematic-review
#1
REVIEW
Preet Kaur Sahota, Siri Shastry, Dana B Mukamel, Linda Murphy, Narisu Yang, Shahram Lotfipour, Bharath Chakravarthy
INTRODUCTION: The opioid drug epidemic is a major public health concern and an economic burden in the United States. The purpose of this systematic review is to assess the reliability and validity of screening instruments used in emergency medicine settings to detect opioid use in patients and to assess psychometric data for each screening instrument. METHODS: PubMed/MEDLINE, PsycINFO, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, Cumulative Index to Nursing and Allied Health Literature and ClinicalTrials...
May 24, 2018: Addictive Behaviors
https://www.readbyqxmd.com/read/29878963/food-and-drug-administration-upscheduling-of-hydrocodone-and-the-effects-on-nurse-practitioner-pain-management-practices
#2
Rachel Mack
BACKGROUND AND PURPOSE: In 2013, the Advisory Committee of the Food and Drug Administration determined hydrocodone combination medications (HCMs) needed tighter regulation due to high abuse potential; they recommended upscheduling HCMs from Schedule III to II. The purpose of this study was to examine the effect of upscheduling of HCMs on pain management practices of advanced practiced registered nurses (APRNs) in Oklahoma. METHODS: In this qualitative study, 25 participants described their primary care experiences after the upscheduling...
June 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29849318/compartment-and-crush-syndromes-after-sleep-deprivation-and-a-therapeutic-dose-of-zolpidem
#3
Martin R Huecker, Eric Yazel
Despite extensive review in the literature, compartment syndrome and crush syndrome remain difficult to diagnose. Trauma, toxins and reperfusion have been associated with these syndromes. Cases involving alcohol and drug abuse have described patients "found down" compressing an extremity. We present a case of a registered nurse who developed compartment syndrome in multiple limbs due to prolonged sleep after sleep deprivation and zolpidem use. To our knowledge, this is the first case of compartment syndrome or crush syndrome to have occurred in the setting of zolpidem use...
August 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29757920/alaska-nurse-practitioners-barriers-to-use-of-prescription-drug-monitoring-programs
#4
Heath Christianson, Elizabeth Driscoll, Aicha Hull
BACKGROUND AND PURPOSE: Prescription drug monitoring programs (PDMPs) have begun to demonstrate themselves as useful tools in enhancing safe and responsible prescription of controlled substances. The purpose of this project was to describe current practice, beliefs, and barriers of Alaska nurse practitioners (NPs) regarding the Alaska PDMP. METHODS: A questionnaire was sent to 635 Alaskan NPs with a 33% return rate. The data depicted prescribing habits, barriers to use, barriers to registering, and opinions on how to make the PDMP more clinically useful...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29728824/-using-social-network-analysis-to-examine-care-for-older-drug-users-in-three-major-cities-in-germany-results-of-a-pilot-study
#5
U Kuhn, L Hofmann, T Hoff, N Färber
BACKGROUND: Compared with the general population, chronic drug addicts already start showing typical aging problems by the age of 40 years. The increasing number of older drug addicts leads to questions of what an adequate health and social care should look like. This discussion particularly takes place in the context of a sufficient integration of different care systems. A sufficient integration requires an improvement in the networking of substance treatment, nursing care and medical care services...
May 4, 2018: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29592834/patient-compliance-with-antimicrobial-drugs-a-chinese-survey
#6
Shuangmei Tong, Jiaqian Pan, Shan Lu, Jing Tang
BACKGROUND: Antimicrobial therapy is among the mainstream treatment modalities employed in clinical settings. Antimicrobial sensitivity of the pathogen and patient compliance are key determinants of the efficacy of antimicrobial therapy. OBJECTIVE: In this study, we sought to investigate the factors that affect patient compliance to antimicrobial therapy in a Chinese teaching hospital to enhance patient compliance and to prevent abuse and misuse of antibiotics by patients...
April 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29361420/quantification-of-burnout-in-emergency-nurses-a-systematic-review-and-meta-analysis
#7
REVIEW
Hong Li, Bin Cheng, Xiao Ping Zhu
BACKGROUND: Previous studies showed increased levels of absenteeism, drug abuse, depression, and symptoms allied with burnout in emergency nurses. This meta-analysis aimed to quantify the three dimensions of burnout in emergency nurses and estimate the proportion of nurses who experience higher than tolerable levels of burnout. MATERIALS AND METHODS: A systematic search was conducted on PubMed, Scielo, Xueshu Baidu and Informa databases with a cut-off time between 1997 and 2017 to retrieve published papers in any language that had estimated the burnout levels in emergency nurses by using MBI scale...
January 17, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29330163/affective-stimuli-in-behavioural-interventions-soliciting-for-health-check-up-services-and-the-service-users-socioeconomic-statuses-a-study-at-japanese-pachinko-parlours
#8
Naoki Kondo, Yoshiki Ishikawa
Editor's note The study reported in this article examines a health intervention that uses gendered stereotypes of the nursing profession and suggestive uniforms that play on women's sexuality to encourage people to engage in health checkups. The intervention was not under the control of the authors and the study was approved by an institutional research ethics board. The Journal of Epidemiology & Community Health condemns the use of sexism, gender and professional stereotypes and other forms of discriminatory or exploitative behaviour for any purpose, including health promotion programs...
May 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29279028/helping-smokers-quit-the-smoking-cessation-leadership-center-engages-behavioral-health-by-challenging-old-myths-and-traditions
#9
Steven A Schroeder, Brian Clark, Christine Cheng, Catherine B Saucedo
Smoking is much more common among persons with behavioral health conditions (mental illnesses and/or substance use disorders). Persons with these disorders are more likely to die from smoking-related causes than any other reason. Studies have shown that stopping smoking can improve mental health function, as well as improve outcomes for substance use disorders. Yet, for a variety of reasons, smoking cessation has not been integrated into the treatment of behavioral health conditions, and in many instances tobacco use was not only condoned but encouraged...
December 26, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/29245022/cost-effective-way-to-reduce-stimulant-abuse-among-gay-bisexual-men-and-transgender-women-a-randomized-clinical-trial-with-a-cost-comparison
#10
RANDOMIZED CONTROLLED TRIAL
S X Zhang, S Shoptaw, C J Reback, K Yadav, A M Nyamathi
OBJECTIVES: A randomized controlled study was conducted with 422 homeless, stimulant-using gay/bisexual (G/B) men and 29 transgender women (n = 451) to assess two community-based interventions to reduce substance abuse and improve health: (a) a nurse case-managed program combined with contingency management (NCM + CM) versus (b) standard education plus contingency management (SE + CM). STUDY DESIGN: Hypotheses tested included: a) completion of hepatitis A/B vaccination series; b) reduction in stimulant use; and c) reduction in number of sexual partners...
January 2018: Public Health
https://www.readbyqxmd.com/read/29200044/past-year-substance-use-by-student-nurses
#11
Martha A Boulton, Kathleen A O'Connell
PURPOSE: Nurses who abuse substances are a threat to patients, colleagues, society, and themselves. Research indicates that substance use often begins during undergraduate years. The purpose of this research was to identify rates of past year substance use by student nurses. METHOD: A quantitative, cross-sectional, correlational design was used to examine past year substance use by student nurses and to determine whether substance use is related to age, gender, race, relationship status, ethnicity, country of birth, type of school program, and year in program...
October 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/29185903/redpilling-a-professional-reflects-on-white-racial-privilege-and-drug-policy-in-american-health-care
#12
David Shane Lowry
The landscape of American health care is changing under the weight of new knowledge that health care workers-physicians, nurses, and so on-are abusing the drugs that they use within health care. In this article, the author uses ethnographic data (including his own work in American pharmacies over the past two decades) to contextualize how health care's drug abuse epidemic is racially coded to ignore the fact that White Americans are the primary drug abusers-what he calls "redpilling." In pointing out the racial contexts of health care's drug abuse, the author asks whether our national "war on drugs" ought to be recast to see how White racial privilege-the privilege of White Americans to comfortably perform certain actions (and get away with them if they are illegal or morally wrong)-mandates that we move the lens of drug policy from ghettos and ethnic communities to American health care where we have been historically positioned to not identify White American health care workers who work while high...
January 2018: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/29171895/how-the-criminalization-of-pregnancy-robs-women-of-reproductive-autonomy
#13
Michele Goodwin
In 2003, the South Carolina Supreme Court upheld the conviction of Regina McKnight, an African American woman who was convicted at the age of twenty-two for committing "homicide by child abuse." She became the first woman in the United States to be arrested, prosecuted, and convicted for experiencing a stillbirth. Rather than an outlier case in the annals of American jurisprudence that stretched law beyond reason while restraining compassion and justice, McKnight's conviction inspired similar prosecutions of other poor black women and then of other women...
December 2017: Hastings Center Report
https://www.readbyqxmd.com/read/29131068/maternal-cannabinoid-use-alters-cannabinoid-cb1-and-endothelin-etb-receptor-expression-in-the-brains-of-dams-but-not-their-offspring
#14
Aarti Amlani, Mary G Hornick, Kevin Cooper, Preetha Prazad, Ramona Donovan, Anil Gulati
According to the 2015 National Survey on Drug Use and Health, cannabis (marijuana) is the most commonly used recreational drug in the US. Among pregnant women aged 14-55 years, 3.4% were cannabis users. Presently, little is known about the neurodevelopmental effect of cannabis use during pregnancy and/or nursing on neonates. Endothelin (ET) is essential for normal development of the central nervous system (CNS). Decreases in ETB receptor expression correlate with a decline in nerve growth factor (NGF) and an increase in vascular endothelial growth factor (VEGF) in postnatal brain...
2017: Developmental Neuroscience
https://www.readbyqxmd.com/read/29084290/exploring-differences-in-healthcare-utilization-of-prisoners-in-the-canton-of-vaud-switzerland
#15
Karine Moschetti, Véra Zabrodina, Pierre Stadelmann, Tenzin Wangmo, Alberto Holly, Jean-Blaise Wasserfallen, Bernice S Elger, Bruno Gravier
Prison healthcare is an important public health concern given the increasing healthcare needs of a growing and aging prison population, which accumulates vulnerability factors and suffers from higher disease prevalence than the general population. This study identifies the key factors associated with outpatient general practitioner (GP), nursing or psychiatric healthcare utilization (HCU) within prisons. Cross-sectional data systematically collected by the prison medical staff were obtained for a sample of 1664 adult prisoners of the Canton of Vaud, Switzerland, for the year 2011...
2017: PloS One
https://www.readbyqxmd.com/read/29076779/cigarette-smoking-and-outcomes-after-aneurysmal-subarachnoid-hemorrhage-a-nationwide-analysis
#16
Hormuzdiyar H Dasenbrock, Robert F Rudy, Pui Man Rosalind Lai, Timothy R Smith, Kai U Frerichs, William B Gormley, M Ali Aziz-Sultan, Rose Du
OBJECTIVE Although cigarette smoking is one of the strongest risk factors for cerebral aneurysm development and rupture, there are limited data evaluating the impact of smoking on outcomes after aneurysmal subarachnoid hemorrhage (SAH). Additionally, two recent studies suggested that nicotine replacement therapy was associated with improved neurological outcomes among smokers who had sustained an SAH compared with smokers who did not receive nicotine. METHODS Patients who underwent endovascular or microsurgical repair of a ruptured cerebral aneurysm were extracted from the Nationwide Inpatient Sample (NIS, 2009-2011) and stratified by cigarette smoking...
October 27, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28933627/primary-care-for-mentally-ill-adults-in-acute-residential-treatment-facilities
#17
Linda Chafetz, Gerri Collins-Bride
Psychiatric bed capacity has decreased nationally with an impact on the number and the types of patients admitted to acute in-patient units. Acute residential programs provide alternatives to hospitals for patients with problems that do not meet criteria for admission. However, these settings may not have resources to respond to the medical co-morbidities associated with severe mental illness. To understand the medical needs of patients in these settings, this research examined data from a nurse-managed primary care outreach service...
October 2017: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/28863056/preparing-nursing-and-social-work-students-to-care-for-patients-in-acute-alcohol-withdrawal
#18
Sharon A Gates, James R Brown
Alcohol and other drug abuse has become a national crisis with approximately 26% of general medical patients having alcohol-related problems. New nurses and social workers are often not prepared to care for patients with severe alcohol withdrawal symptoms because they lack experience in actual crisis situations. The purpose of this study was to prepare nursing and social work students to care for a patient undergoing an acute alcohol withdrawal process. Nine groups of 8-10 students participated in a 2.5-hour simulation event that included an alcohol withdrawal seizure, team meeting, and discharge of the patient...
July 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28863055/the-last-state-to-grant-nurse-practitioners-dea-licensure-an-education-improvement-initiative-on-the-florida-prescription-drug-monitoring-program
#19
Joni R Kellams, John P Maye
Nurse practitioners (NPs) now have prescriptive authority for controlled substances in all 50 states in the United States. Florida, the last state to grant NPs DEA licensure, has been wrought with prescription diversion practices for a number of years as pill mills, doctor shopping, and overprescribing proliferated. Prescription Drug Monitoring Programs (PDMPs) help curb drug diversion activity and play a key role in reducing the abuse of controlled substances. The primary objective of this education improvement initiative was to increase knowledge of actively licensed NPs in the state of Florida regarding the state's PDMP...
July 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28651589/behavioural-activation-by-mental-health-nurses-for-late-life-depression-in-primary-care-a-randomized-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Noortje Janssen, Marcus J H Huibers, Peter Lucassen, Richard Oude Voshaar, Harm van Marwijk, Judith Bosmans, Mirjam Pijnappels, Jan Spijker, Gert-Jan Hendriks
BACKGROUND: Depressive symptoms are common in older adults. The effectiveness of pharmacological treatments and the availability of psychological treatments in primary care are limited. A behavioural approach to depression treatment might be beneficial to many older adults but such care is still largely unavailable. Behavioural Activation (BA) protocols are less complicated and more easy to train than other psychological therapies, making them very suitable for delivery by less specialised therapists...
June 26, 2017: BMC Psychiatry
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