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Nursing administration

Jakub Pawlikowski, Joanna Banasiuk, Jarosław Sak, Mariusz Jojczuk, Andrzej Grzybowski
Father Damien de Veuster, or Saint Damien of Molokai (1840-1889), was one of the pioneers of the holistic approach to care provision for leprosy patients and contributed to the overcoming of the patients' social stigmatization. He devoted his life to the lepers living in America's only leper colony, on the Hawaiian island of Molokai, where people with leprosy were required to live under government-sanctioned medical quarantine. Father Damien gained practical skills in caring for the sick, eagerly learning wound cleansing, bandaging techniques, and drug administration from a nurse...
September 2018: Clinics in Dermatology
Vivien Weiß, Roland Nau, Gerd Glaeske, Eva Hummers, Wolfgang Himmel
PURPOSE: Non-medical or contextual factors strongly influence physicians' prescribing behavior and may explain why drugs, such as benzodiazepines and Z-drugs, are still frequently prescribed in spite of well-known adverse effects. This study aimed to explore which contextual factors influence the prescription of hypnotics and sedatives and to compare their role in primary and secondary care. METHODS: Understanding medical practices as games with specific rules and strategies and performed in a largely habitual, not fully conscious manner, we asked a maximum variation sample of 12 hospital doctors and 12 general practitioners (GPs) about their use of hypnotics and sedatives...
September 13, 2018: European Journal of Clinical Pharmacology
Sulafa Ali, Heitham Awadallah, Ahmed Al Hamim, Hussam Al Hussein, Mohamed Al Amin Al Sunni, Tajudeen Bushari, Mohamed H Ahmed
Background: Rheumatic heart disease (RHD) is prevalent in Sudan's rural areas including Gezira state in central Sudan. We initiated a control program aiming at measurement of the echocardiographic (echo) prevalence of RHD, training of health workers and public awareness. Methods: This is a cross-sectional and interventional study conducted in Gezira State, Al Managil Locality from Nov 2016 to February 2018. We used handheld echo (HHE) to detect the prevalence of RHD in school children and those tested positives were referred for standard echo...
August 2018: Cardiovascular Diagnosis and Therapy
Ari Min, Linda D Scott, Chang Park, Catherine Vincent, Catherine J Ryan
BACKGROUND: Few studies have evaluated technical efficiency of nursing care, and no such studies have been conducted in intensive care units (ICUs). PURPOSE: To explore relative technical efficiency of US ICUs and identify organizational factors associated with efficiency in providing quality of nursing care. METHODS: A total of 404 adult ICUs from the 2014 National Database of Nursing Quality Indicators were included. Data envelopment analysis was used to estimate technical efficiency, and multilevel modeling was employed to determine effects of organizational factors on efficiency...
September 11, 2018: Journal of Nursing Care Quality
Matthew Kelm, Udobi Campbell
Purpose: A new-generation automated dispensing cabinet (ADC) deployment is described. Methods: A single-center retrospective-prospective pilot product performance study was conducted, and prospective nurse satisfaction survey and pharmacy technician product performance feedback survey were performed to determine the impact of new technology on medication storage and accessibility. The study measured efficiency of the 9:00 am medication pull for nursing users, assessment of nursing perceptions of medication administration pre- and postinstallation of the cabinetry, pharmacy technician perceptions of working with the cabinetry, and assessment of the efficiency of the pharmacy technician restock process...
October 2018: Hospital Pharmacy
Colleen J Maxwell, Michael A Campitelli, Christina Diong, Luke Mondor, David B Hogan, Joseph E Amuah, Sarah Leslie, Dallas Seitz, Sudeep Gill, Kednapa Thavorn, Walter P Wodchis, Andrea Gruneir, Gary Teare, Susan E Bronskill
BACKGROUND: The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home health care and policy planning. Our objective was to examine variation in the associations between frailty and select 1-year health outcomes by caregiver distress and client sex among community-residing older care recipients. METHODS: We conducted a retrospective cohort study using linked population-based clinical and health administrative databases for all long-stay home care clients (n = 234,552) aged 66+ years assessed during April 2010-2013 in Ontario, Canada...
September 12, 2018: BMC Geriatrics
Bevin Cohen, Christopher M Spirito, Jianfang Liu, Kenrick D Cato, Elaine Larson
BACKGROUND: Some nurse-driven interventions have successfully reduced rates of healthcare-associated infections (HAI), though incidence remains unacceptably high. Bacterial contamination in patient rooms may be a source of exposure for patients and, thus, a target for future interventions; however, few studies have investigated the role of the patient room on organism acquisition. OBJECTIVES: The purpose of this study was to determine the incidence of concurrent detection of bacterial pathogens among patients sharing a hospital room...
September 7, 2018: Nursing Research
Christie Emerson, Rebecca Shabo, Jackie Jones
BACKGROUND: Nonreporting of medical errors is an impediment to error prevention and safety in the clinical environment. Many prelicensure nursing education programs do not have policies, procedures, or forms to support student reporting of errors or near misses during their clinical experiences. PURPOSE: The purpose of this study was to describe the experiences of clinical faculty with prelicensure nursing student errors or near misses in the clinical environment and to use this information to create a reporting form...
September 6, 2018: Nurse Educator
Steven Gresswell, Paul Renz, Shaakir Hasan, Margaret Werts, Missy Fortunato, Day Werts
PURPOSE: Error identification in radiation therapy is critical to maintain a safe and efficient therapeutic environment. A verification simulation (VS; also called a dry run for patient information) provides a dedicated time prior to treatment to duplicate steps of patient setup, imaging, and treatment process as a final quality assurance step. Through the use of surveys and analysis of reported incidents, we sought to determine the value of a VS before initiating patient treatment. METHODS AND MATERIALS: In November 2014, a VS was instituted across our network of 11 radiation oncology clinics...
May 21, 2018: Practical Radiation Oncology
Maggy Mitzkewich
INTRODUCTION: Identifying patients with sepsis at triage can lead to a decrease in door-to-antibiotic time. Our community hospital emergency department's mean door-to-antibiotic time was 105.3 minutes, falling short of the Surviving Sepsis Campaign guideline's benchmark goal of 60 minutes. One of the most common reasons for treatment delays was that patients with sepsis were not identified upon entrance to the emergency department. A solution to the delay was to implement a practice improvement project by having the triage nurse screen all patients for sepsis upon entrance to the emergency department...
September 5, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Susan B Fowler, Christian A Rosado, Jennifer Jones, Suzanne Ashworth, Darlene Adams
INTRODUCTION: Despite the increasing incidence of acute ischemic stroke in the United States, many health care facilities remain unprepared to manage patients with acute stroke, including the administration of intravenous alteplase (recombinant tissue plasminogen activator [rTPA]). This has led to an opportunity for telemedicine systems to facilitate these evaluations and acute medical stroke treatment decisions. However, even telemedicine systems can fail to provide timely evaluation and management of the patient with acute stroke...
September 5, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Estela Arcos, Antonia Vollrath, Ximena Sánchez, Christine Bailey
BACKGROUND: The adverse impact of poverty and migration in pregnant women is expressed in diverse results in reproductive, mental and child health, all of which are related to lack of documentation to reside in the country, absence of health insurance and no economic resources to pay private services, or either not understanding the administrative procedures. OBJECTIVE: To understand the experience of immigrant women in the process of motherhood and rearing infants under 6 months, in the context of social vulnerability in an urban area of Santiago de Chile...
August 23, 2018: Midwifery
E Levine, N Beroul, A Cortey, A Damais Cepitelli, H Gouezec, S Pujol, B Wibaut, B Marti
BACKGROUND: Blood transfusion is common in neonatology, especially in preterm or low birth weight infants. Recommendations were proposed by the French National Authority of Health (HAS) in 2014 and 2015 for red blood cells and platelet transfusion respectively, but an heterogeneity of practical attitudes persist. The objective of this survey is to evaluate transfusion practices in neonatal intensive care units. METHODS: Investigation of practice of neonatal transfusion was organized among 68 neonatal intensive care unit (level 3) between September 2016 and May 2017, by mailing survey focused on systematic training of nurses, patient identification, immunohematology, information and technical aspects of blood components administration...
August 17, 2018: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
P Petrou, G Samoutis, C Lionis
OBJECTIVES: Healthcare systems worldwide are actively exploring new approaches for cost containment and efficient use of resources. Currently, in a number of countries, the critical decision to introduce a single-payer over a multipayer healthcare scheme poses significant challenges. Consequently, we have systematically explored the current scientific evidence about the impact of single-payer and multipayer systems on the areas of equity, efficiency and quality of health care, fund collection negotiation, contracting and budgeting health expenditure and social solidarity...
September 4, 2018: Public Health
R L Difazio, J A Vessey, O A Buchko, D V Chetverikov, V A Sarkisova, N V Serebrennikova
AIM: The aim of this study was to describe bullying experienced by professional nurses working in the Russian Federation. The frequency and type of bullying behaviours experienced, the personal and professional consequences of bullying and the actions taken to address bullying were all examined. BACKGROUND/INTRODUCTION: Workplace bullying negatively affects nurses, patients and healthcare organizations. To date, no research has been conducted on workplace bullying among nurses in the Russian Federation...
September 7, 2018: International Nursing Review
Amna Widad A Nasuf, Shalini Ojha, Jon Dorling
BACKGROUND: Placing a small volume of colostrum directly onto the buccal mucosa of preterm infants during the early neonatal period may provide immunological and growth factors that stimulate the immune system and enhance intestinal growth. These benefits could potentially reduce the risk of infection and necrotising enterocolitis (NEC) and improve survival and long-term outcome. OBJECTIVES: To determine if early (within the first 48 hours of life) oropharyngeal administration of mother's own fresh or frozen/thawed colostrum can reduce rates of NEC, late-onset invasive infection, and/or mortality in preterm infants compared with controls...
September 7, 2018: Cochrane Database of Systematic Reviews
Michael K Rooney, Fan Zhu, Erin F Gillespie, Jillian R Gunther, Ryan P McKillip, Matthew Lineberry, Ara Tekian, Daniel W Golden
PURPOSE: Simulation-based medical education (SBME) is gaining prominence as a tool to meet Accreditation Council for Graduate Medical Education-mandated competency-based assessment educational goals. SBME is used in radiation oncology, although the type and extent are not clear. This study reports a systematic literature review designed to clarify the type and extent of radiation oncology SBME. METHODS AND MATERIALS: The systematic review focused on radiation oncology SBME literature...
October 1, 2018: International Journal of Radiation Oncology, Biology, Physics
Paula R Mahon
Pediatric hematology/oncology units (PHOUs) are highly paced, stressful environments and can be difficult areas to work. Thus, these units can present issues when it comes to both recruiting and retaining health care professionals (HCPs). There is scant research addressing how the environment of a PHOU contribute to a HCP's desire to stay or leave this environment. To conduct this project, a critical ethnographic approach was used. The researcher conducted semistructured interviews ( n = 29), which included nurses ( n = 21), physicians ( n = 4), and allied health care staff ( n = 4)...
September 7, 2018: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
Jacob N Hunnicutt, Anne L Hume, Shao-Hsien Liu, Christine M Ulbricht, Jennifer Tjia, Kate L Lapane
OBJECTIVES: The aim of this study was to estimate the comparative safety of initiating commonly used opioids among older, long-stay United States nursing home residents with fracture hospitalizations. METHODS: We conducted a new-user retrospective cohort study of nursing home residents initiating short-acting oxycodone, hydrocodone, or tramadol by merging the 2011-2013 Minimum Data Set 3.0 to Medicare hospitalization and pharmacy claims. Residents (≥ 65 years, no cancer or hospice use) contributed treatment episodes (> 120 days with no prior opioid claims) and were followed for 180 days until incident fracture hospitalization (hip, femur, humerus, pelvis, radius/ulna), death (competing risk), treatment changes (e...
September 6, 2018: Drugs & Aging
Tsuneaki Kenzaka, Ayako Kumabe, Mai Mabuchi, Ken Goda, Shinsuke Yahata
Background: We compared the quality of care for nursing- and healthcare-associated pneumonia (NHCAP) and aspiration pneumonia provided by general physicians and pulmonologists. Methods: Questionnaires were mailed to 2490 medical facilities across Japan. The questionnaire assessed participants' implementation of microbiological investigations for NHCAP or aspiration pneumonia, as well as steps taken to prevent pneumonia recurrence (eg, use or discontinuation of drugs associated with swallowing and administration of pneumococcal polysaccharides)...
September 2018: Journal of General and Family Medicine
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