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https://www.readbyqxmd.com/read/29893442/how-home-health-nurses-plan-their-work-schedules-a-qualitative-descriptive-study
#1
Elliane Irani, Karen B Hirschman, Pamela Z Cacchione, Kathryn H Bowles
AIMS AND OBJECTIVES: To describe how home health nurses plan their daily work schedules and what challenges they face during the planning process. BACKGROUND: Home health nurses are viewed as independent providers and value the nature of their work because of the flexibility and autonomy they hold in developing their work schedules. However, there is limited empirical evidence about how home health nurses plan their work schedules, including the factors they consider during the process and the challenges they face within the dynamic home health setting...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29893441/developing-and-sustaining-specialist-and-advanced-practice-roles-in-nursing-and-midwifery-a-discourse-on-enablers-and-barriers
#2
Gerard M Fealy, Mary Casey, Denise F O'Leary, Martin S Mcnamara, Denise O'Brien, Laserina O'Connor, Rita Smith, Diarmuid Stokes
AIMS AND OBJECTIVES: The aim of this discursive paper is to collate, synthesise and discuss published evidence and expert professional opinion on enablers and barriers to the development and sustainability of specialist and advanced practice roles in nursing and midwifery. BACKGROUND: Expanded practice is a response to population health needs, healthcare costs and practitioners' willingness to expand their scope of practice through enhanced responsibility, accountability and professional autonomy...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29890836/high-acuity-rural-transport-findings-from-a-qualitative-investigation
#3
Jude Kornelsen, Brent Hobbs, Holly Buhler, Rebecca Kaus, Kari Grant, Scott C Lamont, Stefan Grzybowski
INTRODUCTION: The High Acuity Response Team (HART) was introduced in British Columbia (BC), Canada, to fill a gap in transport for rural patients that was previously being met by nurses and physicians leaving their communities to escort patients in need of critical care. The HART team consists of a critical care registered nurse (CCRN) and registered respiratory therapist (RRT) and attends acute care patients in rural sites by either stabilizing them in their community or transporting them...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29884436/emergency-nursing-students-and-nurse-educators-perception-of-care-delivery-a-comparison-study-of-self-assessment-ratings
#4
Rachel Cross, Julia Morphet, Charne Miller
BACKGROUND: Postgraduate emergency nursing studies strengthen the emergency nursing workforce and contribute to specialist patient care. Formative and summative assessments in postgraduate study are important for student learning as they enable self-reflection and feedback. AIM: To compare formative and summative appraisal assessments between postgraduate emergency nursing students and nurse educators. METHOD: Retrospective review of assessments completed by postgraduate student and educator in the final multi-system complex subject of the postgraduate emergency nursing course during 2015...
June 5, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29846308/optimizing-adult-diabetes-care-in-community-health
#5
Elizabeth Nelson, Rohit Bobade, Vicki Hunt, Manpreet S Mundi
BACKGROUND AND PURPOSE: Diabetes mellitus is an epidemic. Many organizations and states have established reportable quality care measures. Our organization explored novel ways of chronic disease management. The purpose of this article is to decrease the percentage of patients with a hemoglobin A1c (HbA1c) more than 8%. METHODS: Prospective, pre- and postintervention, quality improvement project was implemented in the Employee and Community Health Clinic using an endocrinology nurse practitioner (NP) to coordinate and provide care to adult patients with diabetes...
May 4, 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29806212/the-association-of-proxy-care-engagement-with-proxy-reports-of-patient-experience-and-quality-of-life
#6
Jessica K Roydhouse, Roee Gutman, Nancy L Keating, Vincent Mor, Ira B Wilson
OBJECTIVE: To assess the association of proxy-specific covariates with proxy-reported patient cancer care experience, quality rating, and quality of life. DATA SOURCES/STUDY SETTING: Secondary analysis of data from the Cancer Care Outcomes Research and Surveillance (CanCORS) study. STUDY DESIGN: Cross-sectional observational study. The respondents were proxies for patients with incident colorectal or lung cancer. DATA COLLECTION/EXTRACTION METHODS: Analyses used linear regression models and adjusted for patient sociodemographic and clinical characteristics...
May 27, 2018: Health Services Research
https://www.readbyqxmd.com/read/29802089/perspectives-of-nurses-toward-telehealth-efficacy-and-quality-of-health-care-pilot-study
#7
Ayisha Bashir, Dhundy R Bastola
BACKGROUND: Telehealth nursing, or the delivery, management, and coordination of nursing care services provided via telecommunications technology, is one of the methods of delivering health care to patients in the United States. It is important to assess the service quality of the involved health professionals as well as the telehealth nursing process. The focus of this study is the innovative model of telehealth care delivery by nurses for managing patients with chronic disease while they are living in their own residence...
May 25, 2018: JMIR Medical Informatics
https://www.readbyqxmd.com/read/29800412/facilitating-primary-care-provider-use-in-a-patient-centered-medical-home-intervention-study-for-chronic-hemodialysis-patients
#8
Ifeanyi Beverly Chukwudozie, Marian L Fitzgibbon, Linda Schiffer, Michael Berbaum, Cheryl Gilmartin, Pyone David, Eson Ekpo, Michael J Fischer, Anna C Porter, Alana Aziz-Bradley, Denise M Hynes
Patients with chronic kidney disease have a high disease burand may benefit from primary care services and care coord A medical home model with direct access to primary care services is one approach that may address this need, yet has not been examined. As a substudy of the Patient-Centered Outcomes Research Institute (PCORI) patient-centered medical home for kidney disease (PCMH-KD) health system intervention study, we examined the uptake of free primary care physician (PCP) services. The PCORI PCMH-KD study was an initial step toward integrating PCPs, a nurse coordinator, a pharmacist, and community health workers (CHWs) within the health care delivery team...
May 23, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29800405/the-early-dissemination-of-patient-navigation-interventions-results-of-a-respondent-driven-sample-survey
#9
Patricia A Valverde, Elizabeth Calhoun, Angelina Esparza, Kristen J Wells, Betsy C Risendal
Patient navigators (PNs) coordinate medical services and connect patients with resources to improve outcomes, satisfaction, and reduce costs. Little national information is available to inform workforce development. We analyzed 819 responses from an online PN survey conducted in 2009-2010. Study variables were mapped to the five Consolidated Framework for Implementation Research (CFIR) constructs to explore program variations by type of PN. Five logistic regression models compared each PN type to all others while adjusting for covariates...
May 23, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29800398/chronic-care-coordination-by-integrating-care-through-a-team-based-population-driven-approach-a-case-study
#10
Constance O van Eeghen, Benjamin Littenberg, Rodger Kessler
Patients with chronic conditions frequently experience behavioral comorbidities to which primary care cannot easily respond. This study observed a Vermont family medicine practice with integrated medical and behavioral health services that use a structured approach to implement a chronic care management system with Lean. The practice chose to pilot a population-based approach to improve outcomes for patients with poorly controlled Type 2 diabetes using a stepped-care model with an interprofessional team including a community health nurse...
May 23, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29794551/barriers-to-preceptor-placement-for-nurse-practitioner-students
#11
Martha D Hawkins
Advanced practice registered nurses (APRNs) are positioned to fill healthcare gaps in the looming primary care provider shortage, if clinical educational needs can be met. Issues with preceptor placements for APRNs have been hotly debated in nursing education but not well studied. This article presents a case study of a quality improvement project, describing the experiences of a Clinical Preceptor Placement Coordinator for APRN students for a small Midwestern university. Barriers identified in finding preceptor placements for students are delineated, and suggestions for solutions and further research are given to address this growing problem...
May 22, 2018: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/29774649/end-of-life-trajectory-of-coping-and-self-care-of-patients-with-idiopathic-pulmonary-fibrosis-a-meta-synthesis-using-meta-ethnography
#12
Yasuko Igai
AIM: This study aimed to extract patient narratives regarding the end-of-life trajectory of their self-care and coping experiences as patients with idiopathic pulmonary fibrosis and to use meta-ethnography to discover common metaphors of their experience in order to inform the development of nursing interventions. METHODS: A comprehensive search of qualitative research using electronic databases, in English and Japanese, regarding patients with IPF, identified four articles...
May 17, 2018: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/29748299/drug-interaction-screening-in-swog-clinical-trials
#13
Daniel L Hertz, Rivka Siden, Jessie Modlin, Linda Lee Gabel, Siu Fun Wong
PURPOSE: The frequency and process for drug interaction (DI) screening at sites enrolling patients into SWOG clinical trials were studied. METHODS: Survey invitations were e-mailed to 180 SWOG head clinical research associates to determine the frequency of and personnel involved in DI assessment in subjects who were screened for and enrolled in clinical trials at their sites. Descriptive statistics were performed to evaluate the data. RESULTS: A total of 83 surveys recorded a response to at least 1 question, yielding an overall response rate of 46...
May 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29746689/impact-of-hospital-context-on-transitioning-patients-from-hospital-to-skilled-nursing-facility-a-grounded-theory-study
#14
Barbara J King, Andrea L Gilmore-Bykovskyi, Tonya J Roberts, Korey A Kennelty, Jacquelyn F Mirr, Michael B Gehring, Melissa N Dattalo, Amy J H Kind
Background: Twenty-five percentage of patients who are transferred from hospital settings to skilled nursing facilities (SNFs) are rehospitalized within 30 days. One significant factor in poorly executed transitions is the discharge process used by hospital providers. Objective: The objective of this study was to examine how health care providers in hospitals transition care from hospital to SNF, what actions they took based on their understanding of transitioning care, and what conditions influence provider behavior...
May 8, 2018: Gerontologist
https://www.readbyqxmd.com/read/29741457/differences-between-early-and-late-involvement-of-palliative-home-care-in-oncology-care-a-focus-group-study-with-palliative-home-care-teams
#15
Naomi Dhollander, Luc Deliens, Simon Van Belle, Aline De Vleminck, Koen Pardon
BACKGROUND: To date, no randomised controlled trials on the integration of specialised palliative home care into oncology care have been identified. Information on whether existing models of integrated care are applicable to the home care system and how working procedures and skills of the palliative care teams might require adaptation is missing. AIM: To gain insight into differences between early and late involvement and the effect on existing working procedures and skills as perceived by palliative home care teams...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29737245/palliative-care-volunteerism-across-the-healthcare-system-a-survey-study
#16
Steven Vanderstichelen, Dirk Houttekier, Joachim Cohen, Yanna Van Wesemael, Luc Deliens, Kenneth Chambaere
BACKGROUND: Volunteers fulfil several roles in supporting terminally ill people and their relatives and can positively influence quality of care. Healthcare in many countries faces resource constraints and some governments now expect communities to provide an increasing proportion of palliative care. However, systematic insights into volunteer presence, tasks and training and organisational challenges for volunteerism are lacking. AIM: Describe organised volunteerism in palliative direct patient care across the Flemish healthcare system (Belgium)...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29736112/still-hoping-for-a-miracle-parents-experiences-in-caring-for-their-child-with-cancer-under-palliative-care
#17
Mercy Nafratilova, Allenidekania Allenidekania, Dessie Wanda
Context: Parents' despair and feelings of grief, as well as communication and coordination that is less than adequate between the parents and the palliative team, can affect the provision of a qualified palliative care plan for children and their families. Aims: This study aims to explore the parents' experience in caring for children with cancer under palliative care condition. Setting and Design: The research applied descriptive qualitative phenomenology design...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29731496/aeromedical-transport-operations-using-helicopters-during-the-2016-kumamoto-earthquake-in-japan
#18
Tomokazu Motomura, Atsushi Hirabayashi, Hisashi Matsumoto, Nobutaka Yamauchi, Mitsunobu Nakamura, Hiroshi Machida, Kenji Fujizuka, Naomi Otsuka, Tomoko Satoh, Hideaki Anan, Hisayoshi Kondo, Yuichi Koido
More than 6,000 people died in the Great Hanshin (Kobe) Earthquake in 1995, and it was later reported that there were around 500 preventable trauma deaths. In response, the Japanese government developed the helicopter emergency medical service in 2001, known in Japan as the "Doctor-Heli" (DH), which had 46 DHs and 2 private medical helicopters as of April 2016. DHs transport physicians and nurses to provide pre-hospital medical care at the scene of medical emergencies. Following lessons learned in the Great East Japan Earthquake in 2011, a research group in the Ministry of Health, Labour and Welfare developed a command and control system for the DH fleet as well as the Disaster Relief Aircraft Management System Network (D-NET), which uses a satellite communications network to monitor the location of the fleet and weather in real-time during disasters...
2018: Journal of Nippon Medical School, Nippon Ika Daigaku Zasshi
https://www.readbyqxmd.com/read/29713242/caring-for-late-preterm-infants-public-health-nurses-experiences
#19
Genevieve Currie, Aliyah Dosani, Shahirose S Premji, Sandra M Reilly, Abhay K Lodha, Marilyn Young
Background: Public health nurses (PHNs) care for and support late preterm infants (LPIs) and their families when they go home from the hospital. PHNs require evidence-informed guidelines to ensure appropriate and consistent care. The objective of this research study is to capture the lived experience of PHNs caring for LPIs in the community as a first step to improving the quality of care for LPIs and support for their parents. Methods: To meet our objectives we chose a descriptive phenomenology approach as a method of inquiry...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29696221/the-administration-of-patient-reported-outcome-questionnaires-in-cancer-trials-interviews-with-trial-coordinators-regarding-their-roles-experiences-challenges-and-training
#20
Rebecca Mercieca-Bebber, Melanie Calvert, Derek Kyte, Martin Stockler, Madeleine T King
Aims: To explore cancer trial coordinators' roles and challenges in administering patient-reported outcome (PRO) questionnaires, and establish what PRO-specific training and guidance they received and needed. Methods: Eligible cancer trial coordinators experienced with PRO assessment from approved Australian sites participated in an audio-recorded, semi-structured interview (transcribed verbatim). Recruitment continued until data saturation. Transcripts underwent content analysis...
March 2018: Contemporary Clinical Trials Communications
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