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https://www.readbyqxmd.com/read/29148105/experiences-of-nurse-case-managers-within-a-central-discharge-planning-role-of-collaboration-between-physicians-patients-and-other-healthcare-professionals-a-sociocultural-qualitative-study
#1
Jorun E Thoma, Marion A Waite
AIMS AND OBJECTIVES: Purpose of this study was to gain knowledge of Nurse Case Managers' (NCM) experiences within the German acute care context of collaboration with patients and physicians in a discharge planning role. Further to learn about patients' assignment to the management of the NCMs. Explicitly, to explore critical incidences of interactions between NCM, patients and health care practitioner in discharge planning to understand the factor that contributes to effective collaboration...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29126461/impact-of-a-deferred-recruitment-model-in-a-randomised-controlled-trial-in-primary-care-cream-study
#2
Victoria Shepherd, Emma Thomas-Jones, Matthew J Ridd, Kerenza Hood, Katy Addison, Nick A Francis
BACKGROUND: Recruitment of participants is particularly challenging in primary care, with less than a third of randomised controlled trials (RCT) achieving their target within the original time frame. Participant identification, consent, randomisation and data collection can all be time-consuming. Trials recruiting an incident, as opposed to a prevalent, population may be particularly affected. This paper describes the impact of a deferred recruitment model in a RCT of antibiotics for children with infected eczema in primary care, which required the recruitment of cases presenting acutely...
November 10, 2017: Trials
https://www.readbyqxmd.com/read/29122792/understanding-the-implementation-of-sick-day-guidance-to-prevent-acute-kidney-injury-across-a-primary-care-setting-in-england-a-qualitative-evaluation
#3
Anne-Marie Martindale, Rebecca Elvey, Susan J Howard, Sheila McCorkindale, Smeeta Sinha, Tom Blakeman
OBJECTIVES: The study sought to examine the implementation of sick day guidance cards designed to prevent acute kidney injury (AKI), in primary care settings. DESIGN: Qualitative semistructured interviews were conducted and comparative analysis informed by normalisation process theory was undertaken to understand sense-making, implementation and appraisal of the cards and associated guidance. SETTING: A single primary care health setting in the North of England...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29120684/managing-exudate-and-maceration-in-venous-leg-ulceration-within-the-acute-health-setting
#4
Annemarie Brown
Exudate has beneficial effects in normal wound healing but detrimental consequences for chronic wounds. Practitioners need to identify and treat its cause, and manage the exudate and prevent if from damaging periwound skin. Management involves dressings of the most appropriate absorbency and other products, and avoiding maceration of periwound skin; compression therapy is the gold standard treatment for treating oedema and venous leg ulceration. Nurses in acute settings may not have the skills to implement or maintain compression therapy; this article is intended for nurses who may have to manage these patients temporarily while they are admitted to secondary care and may not have the skills...
November 8, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29117054/an-outcome-analysis-of-nurse-practitioners-in-acute-care-trauma-services
#5
(no author information available yet)
No abstract text is available yet for this article.
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29117053/an-outcome-analysis-of-nurse-practitioners-in-acute-care-trauma-services
#6
Anna Holliday, Damayanti Samanta, Julie Budinger, Jessica Hardway, Audis Bethea
The department of trauma at a Level 1 trauma center sought to improve outcomes by enhancing the continuity of care for patients admitted to trauma services. Departmental leadership explored opportunities to improve this aspect of patient care through expansion of existing trauma nurse practitioner (NP) services. The restructured trauma NP service model was implemented in September 2013. A retrospective study was conducted with patients who presented at the trauma center between September 2012 and August 2015...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29076613/social-support-and-factors-associated-with-self-efficacy-among-acute-care-nurse-practitioners
#7
Sophia H Hu, Ya-Mei Yu, Wen-Yin Chang, Yen-Kuang Lin
AIMS AND OBJECTIVES: To investigate the relationship of nurse practitioners' social support as well as other factors associated with perceived self-efficacy. BACKGROUND: There is a growing demand for nurse practitioners in Taiwan, for whom self-perceived efficacy is associated with performance. Nevertheless, research on the self-efficacy and social support of nurse practitioners is limited. DESIGN: This is a cross-sectional survey study. METHODS: Questionnaires were distributed to nurse practitioners in seven hospitals in northern Taiwan from May 2015 to March 2016...
October 27, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29069115/the-enhanced-care-program-impact-of-a-care-transition-program-on-30-day-hospital-readmissions-for-patients-discharged-from-an-acute-care-facility-to-skilled-nursing-facilities
#8
Bradley T Rosen, Ronald J Halbert, Kelley Hart, Marcio A Diniz, Sharon Isonaka, Jeanne T Black
BACKGROUND: Increased acuity of skilled nursing facility (SNF) patients challenges the current system of care for these patients. OBJECTIVE: Evaluate the impact on 30-day readmissions of a program designed to enhance the care of patients discharged from an acute care facility to SNFs. DESIGN: An observational, retrospective cohort analysis of 30-day hospital readmissions for patients discharged to 8 SNFs between January 1, 2014, and June 30, 2015...
October 4, 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28964502/international-practice-settings-interventions-and-outcomes-of-nurse-practitioners-in-geriatric-care-a-scoping-review
#9
REVIEW
Krista S Chavez, Andrew A Dwyer, Anne-Sylvie Ramelet
OBJECTIVES: To identify and summarize the common clinical settings, interventions, and outcomes of nurse practitioner care specific to older people. DESIGN: Scoping review of the international published and grey literature. DATA SOURCES: A structured literature search was conducted of CINAHL, EMBASE, MEDLINE, Google Scholar, and Cochrane Collaboration and Joanna Briggs Institute databases. REVIEW METHODS: Following the Arksey and O'Malley framework, randomized controlled and quasi-experimental studies of Masters-prepared nurse practitioners providing care for patients over 65 years were included...
September 18, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28947434/discrepancies-in-drug-histories-at-admission-to-gastrointestinal-surgery-internal-medicine-and-geriatric-hospital-wards-in-central-norway-a-cross-sectional-study
#10
Janne Kutschera Sund, Olav Sletvold, Trude Cecilie Mellingsæter, Randi Hukari, Torstein Hole, Per Einar Uggen, Petra Thiemann Vadset, Olav Spigset
OBJECTIVES: To compare discrepancies in drug histories among patients acutely admitted to different hospital wards, classify the discrepancies according to their potential clinical impact and identify appropriate selection criteria for patients that should be subject to a detailed drug history at admission. DESIGN: Cross-sectional study. SETTING: Two gastrointestinal surgery wards and one geriatric ward at St Olav's University Hospital in Trondheim and two general internal medicine wards at Ålesund Hospital in Ålesund, Norway...
September 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28923163/patients-experiences-of-nurse-case-management-in-primary-care-a-meta-synthesis
#11
Anna Askerud, Anna Askerud, Jenny Conder, Jenny Conder
The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner's 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples' perceptions of nurse case management...
September 19, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28886083/nurse-led-telephone-based-follow-up-of-secondary-prevention-after-acute-coronary-syndrome-one-year-results-from-the-randomized-controlled-nailed-acs-trial
#12
RANDOMIZED CONTROLLED TRIAL
Daniel Huber, Robin Henriksson, Stina Jakobsson, Thomas Mooe
BACKGROUND: Secondary prevention after acute coronary syndrome (ACS) could reduce morbidity and mortality, but guideline targets are seldom reached. We hypothesized that nurse-led telephone-based intervention would increase adherence. METHODS: The NAILED ACS trial is a prospective, controlled, randomized trial. Patients admitted for ACS at Östersund hospital, Sweden, were randomized to usual follow-up by a general practitioner or a nurse-led intervention. The intervention comprised telephone follow-up after 1 month and then yearly with lifestyle counselling and titration of medications until reaching target values for LDL-C (<2...
2017: PloS One
https://www.readbyqxmd.com/read/28857009/what-support-do-nurses-need-to-provide-palliative-care-for-people-with-dementia
#13
Elizabeth Champion
The aim of this project was to identify the support required by registered nurses and unregistered healthcare support workers to provide palliative care for people with dementia in an acute hospital in England. A quantitative approach was taken and participants were asked to fill in a questionnaire. Data were collated and analysed to identify support needs and any emerging themes. Respondents were confident in identifying the different stages of dementia. There was less confidence in identifying a patient with dementia for palliative care referral compared with a patient without dementia...
August 31, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28837507/intestinal-rehabilitation-programs-in-the-management-of-pediatric-intestinal-failure-and-short-bowel-syndrome
#14
Russell J Merritt, Valeria Cohran, Bram P Raphael, Timothy Sentongo, Diana Volpert, Brad W Warner, Praveen S Goday
Intestinal failure is a rare, debilitating condition that presents both acute and chronic medical management challenges. The condition is incompatible with life in the absence of the safe application of specialized and individualized medical therapy that includes surgery, medical equipment, nutritional products, and standard nursing care. Intestinal rehabilitation programs are best suited to provide such complex care with the goal of achieving enteral autonomy and oral feeding with or without intestinal transplantation...
November 2017: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/28820508/complementary-medicine-and-the-role-of-oncology-nurses-in-an-acute-care-hospital-the-gap-between-attitudes-and-practice
#15
Hanna Admi, Yael Eilon-Moshe, Eran Ben-Arye
PURPOSE/OBJECTIVES: To describe hospital nurses' knowledge, attitudes, and practices regarding complementary medicine (CM); to compare the knowledge and attitudes of nurse managers to staff nurses with diverse oncology experience; and to assess attitudes toward integrating CM into the role of the hospital oncology nurse. 
. DESIGN: Descriptive, cross-sectional study.
. SETTING: Rambam Health Care Campus in northern Israel.
. SAMPLE: A convenience sample of 434 hospital nurses with varied oncology experience...
September 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28789733/mobile-health-care-for-people-who-are-homeless
#16
Angela L Caires
Individuals experiencing homelessness face significant challenges on a daily basis. The ongoing need to find shelter, safety, and food becomes a priority and often supersedes the need for health care. People who are homeless have significantly higher morbidity and mortality rates than those who are sheltered, at least in part because care is sought when health care issues become acute and more difficult to manage from a medical standpoint. Most acute care for this population is provided in the emergency department, which is more expensive and more fragmented than regular care provided by a primary provider...
August 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28777114/use-of-a-virtual-learning-platform-for-distance-based-simulation-in-an-acute-care-nurse-practitioner-curriculum
#17
Margaret Carman, Shu Xu, Sharron Rushton, Benjamin A Smallheer, Denise Williams, Sathya Amarasekara, Marilyn H Oermann
BACKGROUND: Acute care nurse practitioner (ACNP) programs that use high-fidelity simulation as a teaching tool need to consider innovative strategies to provide distance-based students with learning experiences that are comparable to those in a simulation laboratory. OBJECTIVE: The purpose of this article is to describe the use of virtual simulations in a distance-based ACNP program and student performance in the simulations. METHOD: Virtual simulations using iSimulate were integrated into the ACNP course to promote the translation of content into a clinical context and enable students to develop their knowledge and decision-making skills...
September 2017: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/28686529/identifying-cognitive-impairment-in-hospitalized-older-adults-to-prevent-readmission-two-case-studies
#18
Sabrina Pickens, Lisa Boss, Hyochol Ahn, Felicia Jefferson
OBJECTIVE: To describe two patient outcomes post-discharge from an acute hospital admission. Both patients underwent cognitive testing during hospitalization. METHODS: A battery of cognitive tests was administered to two hospitalized older adult patients. Both patients were evaluated in their homes within 72 hours of discharge and again at 14- and 30-days by a nurse practitioner. RESULTS: One of the patients was readmitted within 30 days of hospital discharge due to complications from an amputation...
May 25, 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28677921/expertise-in-action-insights-into-the-dynamic-nature-of-expertise-in-community-based-nursing
#19
Caroline A W Dickson, Chris McVittie, Anuj Kapilashrami
AIM: To gain insight into community nurses' experiences and how they make sense of the expertise they offer in their role BACKGROUND: Globally, the spotlight is currently on community nursing expertise because of the movement of hospital-based to community- based care. Caring for people at home is no longer solely concerned with prevention, but delivering complex care to patients who are acutely unwell or at the end of their life. Little is known about the distinct expertise of community nurses, or their contribution to patient outcomes...
July 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28672169/simulation-in-mental-health-nurse-education-the-development-implementation-and-evaluation-of-an-educational-innovation
#20
Anne Felton, Nicola Wright
Simulation is an important learning approach for the development of skills for healthcare practice. However, it remains under used in the education of mental health practitioners. This article examines the development, implementation and evaluation of a simulated learning experience for final year undergraduate BSc mental health nursing students in the UK. Scenarios involving managing care in an acute in patient ward and community older persons' team were designed to enable students to develop their complex decision making skills...
September 2017: Nurse Education in Practice
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