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Nursing administration

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https://www.readbyqxmd.com/read/29029076/neoliberal-long-term-care-from-community-to-corporate-control
#1
Larry Polivka, Baozhen Luo
Publicly (mainly Medicaid) funded long-term care (LTC) services have evolved from a nursing home dominated system of service to a much more balanced system including home- and community-based services (HCBS) programs over the last 30 years. The HCBS programs have been largely administered by the state and local level nonprofit aging networks (ANs) consisting of Area Agencies on Aging and thousands of service providers. Over the last decade, however, for-profit HMOs administered primarily by large insurance companies have begun to displace AN organizations...
September 23, 2017: Gerontologist
https://www.readbyqxmd.com/read/29027207/resource-availability-for-the-management-of-maternal-sepsis-in-malawi-other-low-income-countries-and-lower-middle-income-countries
#2
Mohammed Abdu, Amie Wilson, Chisale Mhango, Fatima Taki, Arri Coomarasamy, David Lissauer
OBJECTIVE: To assess the availability of key resources for the management of maternal sepsis and evaluate the feasibility of implementing the Surviving Sepsis Campaign (SSC) recommendations in Malawi and other low-resource settings. METHODS: A cross-sectional study was conducted at health facilities in Malawi, other low-income countries, and lower-middle-income countries during January-March 2016. English-speaking healthcare professionals (e.g. doctors, nurses, midwives, and administrators) completed a questionnaire/online survey to assess the availability of resources for the management of maternal sepsis...
October 13, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29026841/causes-of-medication-errors-in-intensive-care-units-from-the-perspective-of-healthcare-professionals
#3
Sedigheh Farzi, Alireza Irajpour, Mahmoud Saghaei, Hamid Ravaghi
OBJECTIVE: This study was conducted to explore and to describe the causes of medication errors in Intensive Care Units (ICUs) from the perspective of physicians, nurses, and clinical pharmacists. METHODS: The study was conducted using a descriptive qualitative method in 2016. We included 16 ICUs of seven educational hospitals affiliated to Isfahan University of Medical Sciences. Participants included 19 members of the healthcare team (physician, nurse, and clinical pharmacist) with at least 1 year of work experience in the ICUs...
July 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29025818/mental-health-and-addictions-capacity-building-for-community-health-centres-in-ontario
#4
Akwatu Khenti, Fiona C Thomas, Sirad Mohamoud, Pablo Diaz, Oriana Vaccarino, Kate Dunbar, Jaime C Sapag
PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process...
October 2017: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/29019304/evaluation-de-la-culture-de-s%C3%A3-curit%C3%A3-en-etablissement-d-h%C3%A3-bergement-pour-personnes-ag%C3%A3-es-d%C3%A3-pendantes-ehpad-adaptation-fran%C3%A3-aise-du-questionnaire-nursing-home-survey-on-patient-safety-culture
#5
Marie Herr, Séhéno Raharimanana, Emmanuel Bagaragaza, Philippe Aegerter, Irène Sipos, Céline Fabre, Joël Ankri, George Pisica-Donose
The objective was to translate into French the American questionnaire "Nursing Home Survey on Patient Safety Culture" and to test the feasibility of its use in a sample of nursing homes. The questionnaire was translated by a multidisciplinary group of six experts and tested on a sample of people working in nursing homes. The questionnaire was then administered in five nursing homes. A first version of the French NHSPSC is proposed in this article. Despite similarities between items and ceiling effect for one item, the choices made were conservative to allow international comparisons...
October 11, 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/29017423/utilization-of-an-integrated-electronic-health-record-in-the-emergency-department-to-increase-prospective-medication-order-review-by-pharmacists
#6
Megan E Barra, Sarah E Culbreth, Katelyn W Sylvester, Megan A Rocchio
PURPOSE: The objective of this study is to evaluate the impact of an integrated medical record system on prospective medication order verification by pharmacists in the emergency department (ED) of a level I trauma center. METHODS: This was a single-center retrospective analysis comparing medication orders verified by a pharmacist during a 7-day period in 2013 (phase I) versus 2015 (phase II). Outcome measures include the percentage of medication orders reviewed by a pharmacist prior to administration and time from order entry to each of the following: pharmacist review, medication procurement from an automated dispensing cabinet (ADC), and medication administration...
January 1, 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28994454/healthcare-professionals-work-engagement-in-finnish-university-hospitals
#7
Sari Lepistö, Seija Alanen, Pirjo Aalto, Päivi Järvinen, Kaija Leino, Elina Mattila, Marja Kaunonen
BACKGROUND: Concerns about the sufficiency and dedication of the healthcare workforce have arisen as the baby boomer generation is retiring and the generation Y might have different working environment demands. AIMS AND OBJECTIVE: To describe the association between work engagement of healthcare professionals' and its background factors at five Finnish university hospitals. METHODS: Survey data were collected from nurses, physicians and administrative staff (n = 561) at all five university hospitals in Finland...
October 10, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28993857/smabcare-study-subcutaneous-monoclonal-antibody-in-cancer-care-cost-consequence-analysis-of-subcutaneous-rituximab-in-patients-with-follicular-lymphoma
#8
Emilie Fargier, Florence Ranchon, Laure Huot, Pascale Guerre, Violaine Safar, Arthur Dony, Nathalie Hequet, Emmanuel Bachy, Stéphane Savouroux, Clémentine Fronteau, Patrick Tomaré, Jean-François Tournamille, Vérane Schwiertz, Nicolas Vantard, Steven Le Gouill, Emmanuel Gyan, Gilles Salles, Catherine Rioufol
Rituximab is used as a standard of care for follicular lymphoma and is usually administered intravenously. A novel subcutaneous formulation recently showed non-inferior efficacy with similar pharmacokinetic and safety profiles compared to intravenous rituximab in patients with follicular lymphoma. This new approach is promising in terms of comfort for patients and time-saving for hospital staff. To evaluate the real-life economic impact of subcutaneous rituximab as maintenance therapy in patients with follicular lymphoma in real life, we conducted a cost-consequence analysis from the hospital's point of view in three French teaching hospitals...
October 10, 2017: Annals of Hematology
https://www.readbyqxmd.com/read/28992153/reporting-of-medication-administration-errors-by-nurses-in-south-korean-hospitals
#9
Eunjoo Lee
Objective: To identify differences in what nurses consider as medication administration errors, to examine their willingness to report these errors and to identify barriers to reporting medication errors by hospital type. Design: Cross-sectional, descriptive design. The questionnaire comprised six medication administration error scenarios and items related to the reasons for not reporting medication errors. Setting: Two tertiary and three general hospitals in a metropolitan area, and five general hospitals in K province, in South Korea...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28988350/predictors-of-30-and-90-day-readmission-following-craniotomy-for-malignant-brain-tumors-analysis-of-nationwide-data
#10
Daniel A Donoho, Timothy Wen, Robin M Babadjouni, William Schwartzman, Ian A Buchanan, Steven Y Cen, Gabriel Zada, William J Mack, Frank J Attenello
Hospital readmissions are a major contributor to increased health care costs and are associated with worse patient outcomes after neurosurgery. We used the newly released Nationwide Readmissions Database (NRD) to describe the association between patient, hospital and payer factors with 30- and 90-day readmission following craniotomy for malignant brain tumor. All adult inpatients undergoing craniotomy for primary and secondary malignant brain tumors in the NRD from 2013 to 2014 were included. We identified all cause readmissions within 30- and 90-days following craniotomy for tumor, excluding scheduled chemotherapeutic procedures...
October 7, 2017: Journal of Neuro-oncology
https://www.readbyqxmd.com/read/28987213/update-on-the-essure-system-for-permanent-birth-control
#11
Heidi Collins Fantasia
In 2002, the U.S. Food and Drug Administration approved the Essure system for permanent birth control. Implantation with this device offers a minimally invasive option for permanent female contraception that is placed during a brief office visit. Unlike laparoscopic tubal sterilization, the Essure procedure requires no hospitalization or general anesthesia, resulting in minimal recovery time. After a decade of stability in the report of adverse effects, the U.S. Food and Drug Administration noted a sharp increase in patient-reported adverse events, including chronic pelvic pain, irregular bleeding, allergic reactions, and autoimmune-like reactions...
October 2017: Nursing for Women's Health
https://www.readbyqxmd.com/read/28981172/quality-of-nursing-documentation-paper-based-health-records-versus-electronic-based-health-records
#12
Laila Akhu-Zaheya, Rowaida Al-Maaitah, Salam Hasan Bany Hani
AIM AND OBJECTIVE: To assess and compare the quality of paper-based and electronic-based health records. The comparison examined three criteria: content, documentation process, and structure. BACKGROUND: Nursing documentation is a significant indicator of the quality of patient care delivery. It can be either paper-based or organized within the system known as the Electronic Health Records (EHRs). Nursing documentation must be completed at the highest standards, in order to ensure the safety and quality of health care services...
October 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28980509/hospital-workplace-violence-prevention-in-california-new-regulations
#13
Patricia Pidge Gooch
In response to startling statistics in the increasing number of workplace violence (WPV) incidents against health care workers, California employers across the continuum of care are preparing their organizations to comply with California Occupational Safety and Health Administration (CAL/OSHA) regulation SB 1299. This groundbreaking legislation requires hospitals and other health care settings to implement written strategic prevention plans and broaden the identification and reporting of incidents related to WPV...
October 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28980365/technical-rationality-and-the-decentring-of-patients-and-care-delivery-a-critique-of-unavoidable-in-the-context-of-patient-harm
#14
Marie Hutchinson, Debra Jackson, Stacey Wilson
In recent decades, debate on the quality and safety of healthcare has been dominated by a measure and manage administrative rationality. More recently, this rationality has been overlaid by ideas from human factors, ergonomics and systems engineering. Little critical attention has been given in the nursing literature to how risk of harm is understood and actioned, or how patients can be subjectified and marginalised through these discourses. The problem of assuring safety for particular patient groups, and the dominance of technical forms of rationality, has seen the word 'unavoidable' used in connection with intractable forms of patient harm...
October 4, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28979754/correlation-between-medication-errors-with-job-satisfaction-and-fatigue-of-nurses
#15
Shahnaz Bolandianbafghi, Tahere Salimi, Maryam Rassouli, Reza Faraji, Mohammadtaghi Sarebanhassanabadi
BACKGROUND: Medication errors which can cause several medical malfunctions, have been in the spotlight recently. Job satisfaction and fatigue seems to be related to the increase of medication errors in nursing. OBJECTIVE: This study aimed to determine the correlation between the amount and type of medication errors with job satisfaction and fatigue of nurses working in Shahid Sadoughi hospital in Yazd-Iran. METHODS: This is a descriptive study by a cross-sectional and correlational approach conducted on all the nurses working in an educational hospital who have characteristics of samples...
August 2017: Electronic Physician
https://www.readbyqxmd.com/read/28977240/nursing-knowledge-and-practices-regarding-subcutaneous-fluid-administration
#16
Nathália Silva Gomes, Andrea Mara Bernardes da Silva, Luana Barbosa Zago, Érica Carneiro de Lima E Silva, Elizabeth Barichello
Objective: To describe the evidence in the literature regarding the knowledge and practices of the nursing team about subcutaneous administration of drugs and fluids in adults. Method: Integrative review of the literature using the descriptors "nursing", "hypodermoclysis", "drug administration routes", "adult health," and "knowledge," in English, Spanish, and Portuguese, with no publication deadline. Of the 569 articles found, eight made up the sample. Results: A predominance of international journals (75%) with more than five years of publication (62...
September 2017: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/28976553/nurse-managers-perception-of-night-shift-napping-a-cross-sectional-survey
#17
Heyam F Dalky, AbuAlRub F Raeda, Aldalqamouni A Esraa
BACKGROUND: Night-shift work often results in sleep deprivation, and this in turn results in fatigue that jeopardizes both nurse and patient safety. Napping is considered a viable deterrent to fatigue, yet hospital administration has been slow to adopt napping. OBJECTIVES: To identify nurse managers' knowledge and approval of napping practices for nurses on night shifts. METHODOLOGY: Nurse managers at nine Jordanian hospitals (n = 129) were surveyed using an Arabic version of a questionnaire previously used in a Canadian study...
October 4, 2017: Nursing Forum
https://www.readbyqxmd.com/read/28975307/effect-of-lorazepam-with-haloperidol-vs-haloperidol-alone-on-agitated-delirium-in-patients-with-advanced-cancer-receiving-palliative-care-a-randomized-clinical-trial
#18
David Hui, Susan Frisbee-Hume, Annie Wilson, Seyedeh S Dibaj, Thuc Nguyen, Maxine De La Cruz, Paul Walker, Donna S Zhukovsky, Marvin Delgado-Guay, Marieberta Vidal, Daniel Epner, Akhila Reddy, Kimerson Tanco, Janet Williams, Stacy Hall, Diane Liu, Kenneth Hess, Sapna Amin, William Breitbart, Eduardo Bruera
Importance: The use of benzodiazepines to control agitation in delirium in the last days of life is controversial. Objective: To compare the effect of lorazepam vs placebo as an adjuvant to haloperidol for persistent agitation in patients with delirium in the setting of advanced cancer. Design, Setting, and Participants: Single-center, double-blind, parallel-group, randomized clinical trial conducted at an acute palliative care unit at MD Anderson Cancer Center, Texas, enrolling 93 patients with advanced cancer and agitated delirium despite scheduled haloperidol from February 11, 2014, to June 30, 2016, with data collection completed in October 2016...
September 19, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28975139/communicating-risks-and-benefits-in-informed-consent-for-research-a-qualitative-study
#19
Lika Nusbaum, Brenda Douglas, Karla Damus, Michael Paasche-Orlow, Neenah Estrella-Luna
Multiple studies have documented major limitations in the informed consent process for the recruitment of clinical research participants. One challenging aspect of this process is successful communication of risks and benefits to potential research participants. This study explored the opinions and attitudes of informed consent experts about conveying risks and benefits to inform the development of a survey about the perspectives of research nurses who are responsible for obtaining informed consent for clinical trials...
January 2017: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/28974827/identification-of-causes-of-the-occupational-stress-for-health-providers-at-different-levels-of-health-care
#20
Natasa Trifunovic, Zaim Jatic, Alma Dzubur Kulenovic
OBJECTIVES: To identify and compare the stressors in the work environment experienced by employees in primary health care and secondary health care, amongphysiciansand nurses. PATIENTS AND METHODS: The survey was conducted to identify types of stressors by assessing health care workers employed in the primary and secondary health care services of the Public Institution, the Health Centre of the Sarajevo Canton, using a questionnaire about stress in the workplace...
June 2017: Medical Archives
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