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Cardiac nurse practitioner

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https://www.readbyqxmd.com/read/27919865/shared-decision-making-in-patients-with-low-risk-chest-pain-prospective-randomized-pragmatic-trial
#1
Erik P Hess, Judd E Hollander, Jason T Schaffer, Jeffrey A Kline, Carlos A Torres, Deborah B Diercks, Russell Jones, Kelly P Owen, Zachary F Meisel, Michel Demers, Annie Leblanc, Nilay D Shah, Jonathan Inselman, Jeph Herrin, Ana Castaneda-Guarderas, Victor M Montori
OBJECTIVE:  To compare the effectiveness of shared decision making with usual care in choice of admission for observation and further cardiac testing or for referral for outpatient evaluation in patients with possible acute coronary syndrome. DESIGN:  Multicenter pragmatic parallel randomized controlled trial. SETTING:  Six emergency departments in the United States. PARTICIPANTS:  898 adults (aged >17 years) with a primary complaint of chest pain who were being considered for admission to an observation unit for cardiac testing (451 were allocated to the decision aid and 447 to usual care), and 361 emergency clinicians (emergency physicians, nurse practitioners, and physician assistants) caring for patients with chest pain...
December 5, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27885832/defining-pediatric-inpatient-cardiology-care-delivery-models-a-survey-of-pediatric-cardiology-programs-in-the-usa-and-canada
#2
Antonio R Mott, Steven R Neish, Melissa Challman, Timothy F Feltes
BACKGROUND: The treatment of children with cardiac disease is one of the most prevalent and costly pediatric inpatient conditions. The design of inpatient medical services for children admitted to and discharged from noncritical cardiology care units, however, is undefined. North American Pediatric Cardiology Programs were surveyed to define noncritical cardiac care unit models in current practice. METHOD: An online survey that explored institutional and functional domains for noncritical cardiac care unit was crafted...
November 25, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27811584/get-the-picture-a-pilot-feasibility-study-of-telemedical-wound-assessment-using-a-mobile-phone-in-cardiology-patients
#3
John de Heide, C J Vroegh, T Szili Torok, R J J Gobbens, F Zijlstra, M Takens-Lameijer, M J Lenzen, S C Yap, W J M Scholte Op Reimer
BACKGROUND: Postprocedural complications after elective cardiac interventions include hematomas and infections. Telemedical wound assessment using mobile phones with integrated cameras may improve quality of care and help reduce costs. AIMS: We aimed to study the feasibility of telemedical wound assessment using a mobile phone. The primary aim was the number of patients who were able to upload their pictures. Secondary aims were image interpretability, agreement between nurse practitioners, and patient evaluation of the intervention...
November 2, 2016: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/27677745/transition-from-paediatric-to-adult-care-of-adolescent-patients-with-congenital-heart-disease-a%C3%A2-pathway-to-optimal-care
#4
A M M Strijbosch, R Zwart, N A Blom, B J Bouma, M Groenink, S M Boekholdt, R de Winter, B J M Mulder, A P Backx
INTRODUCTION: Adolescents with congenital heart disease transition from a paediatric to an adult setting. This is associated with loss-to-follow-up and suboptimal care. Increasing numbers of patients justify a special program. In this study we evaluated the cooperative program between paediatric and adult cardiology departments in a tertiary referral centre. METHODS: In this retrospective study, patients with congenital heart disease with at least one appointment scheduled at the transition program between January 2010 and January 2015 were included...
November 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27640522/healthcare-personnel-s-experiences-using-video-consultation-in-primary-healthcare-in-rural-areas
#5
Annette M Johansson, Inger Lindberg, Siv Söderberg
BACKGROUND: Patients living in rural areas often need to travel long distances for access to specialist care. To increase access to specialist care, video consultation between patients in primary healthcare and specialist care has been used. In order for this new method to be developed and used to the fullest, it is important to understand healthcare personnel's experiences with this intervention. OBJECTIVE: The aim of this study was to describe healthcare personnel's experiences using video consultation in their work in primary healthcare...
January 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/27604617/12th-winfocus-world-congress-on-ultrasound-in-emergency-and-critical-care
#6
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization...
September 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27478148/cpr-induced-consciousness-a-cross-sectional-study-of-healthcare-practitioners-experience
#7
Alexander Olaussen, Matthew Shepherd, Ziad Nehme, Karen Smith, Paul A Jennings, Stephen Bernard, Biswadev Mitra
INTRODUCTION: Consciousness may occur during effective management of cardiac arrest and ranges from eye opening to interfering with rescuers' resuscitation attempts. Reported cases in the medical literature appear scant compared to anecdotal reports. The aim of this study was to evaluate health care providers' experience with consciousness during cardio-pulmonary resuscitation (CPR). METHODS: A cross-sectional survey of 100 experienced health care professionals, including doctors, nurses and paramedics...
July 28, 2016: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27312015/transfusion-premedication-practices-among-pediatric-health-care-practitioners-in-canada-results-of-a-national-survey
#8
Ziad Solh, Anthony K C Chan, Nancy M Heddle
BACKGROUND: Although not supported by strong evidence, premedication (pretransfusion medication) is commonly prescribed to patients who have had a transfusion reaction. The research questions were: 1) What are Canadian pediatric practitioners' views and practices regarding premedication and 2) what are barriers to reducing premedication overuse in pediatrics? STUDY DESIGN AND METHODS: An online survey targeted hematology/oncology, emergency medicine, general surgery, intensive care, and cardiac intensive care practitioners in all 16 Canadian pediatric tertiary hospitals...
September 2016: Transfusion
https://www.readbyqxmd.com/read/27183500/physician-assistants-and-nurse-practitioners-in-rural-washington-emergency-departments
#9
Scott C Nelson, Roderick S Hooker
One role of physician assistants (PAs) and nurse practitioners (NPs) is to meet the growing demand for access to rural health care. Critical Access Hospitals, those with less than 25 beds, are usually located in rural communities, often providing continuity of care that clinics cannot deliver. Because little is known about staffing in these small hospital emergency departments, an exploratory study was undertaken using a mixed-methods approach. In Washington State, 18 of the 39 Critical Access Hospitals staff their emergency departments with PAs and NPs...
June 2016: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/27176731/improving-communication-during-cardiac-icu-multidisciplinary-rounds-through-visual-display-of-patient-daily-goals
#10
Lindsey B Justice, David S Cooper, Carla Henderson, James Brown, Katherine Simon, Lindsey Clark, Elizabeth Fleckenstein, Alexis Benscoter, David P Nelson
OBJECTIVES: To improve communication during daily cardiac ICU multidisciplinary rounds. DESIGN: Quality improvement methodology. SETTING: Twenty-five-bed cardiac ICUs in an academic free-standing pediatric hospital. PATIENTS: All patients admitted to the cardiac ICU. INTERVENTIONS: Implementation of visual display of patient daily goals through a write-down and read-back process. MEASUREMENTS AND MAIN RESULTS: The Rounds Effectiveness Assessment and Communication Tool was developed based on the previously validated Patient Knowledge Assessment Tool to evaluate comprehension of patient daily goals...
July 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27127639/exercise-training-characteristics-in-cardiac-rehabilitation-programmes-a-cross-sectional-survey-of-australian-practice
#11
Bridget Abell, Paul Glasziou, Tom Briffa, Tammy Hoffmann
INTRODUCTION: Exercise training is a core component of cardiac rehabilitation (CR), however, little information exists regarding the specific exercise interventions currently provided for coronary heart disease in Australian practice. We aimed to analyse the current status of exercise-based CR services across Australia. DESIGN: Cross-sectional survey. METHODS: Australian sites offering exercise-based CR were identified from publically available directories...
2016: Open Heart
https://www.readbyqxmd.com/read/27098820/multifactorial-intervention-to-prevent-cardiovascular-disease-in-patients-with-early-rheumatoid-arthritis-protocol-for-a-multicentre-randomised-controlled-trial
#12
Annemarie Lyng Svensson, Robin Christensen, Frederik Persson, Brian Bridal Løgstrup, Annamaria Giraldi, Christian Graugaard, Ulrich Fredberg, Jesper Blegvad, Tina Thygesen, Inger Marie Jensen Hansen, Ada Colic, Döne Bagdat, Palle Ahlquist, Hanne Slott Jensen, Kim Hørslev-Petersen, Ekta Sheetal, Torben Grube Christensen, Lone Svendsen, Henrik Emmertsen, Torkell Ellingsen
INTRODUCTION: Cardiovascular morbidity is a major burden in patients with rheumatoid arthritis (RA). In this study, we compare the effect of a targeted, intensified, multifactorial intervention with that of conventional treatment of modifiable risk factors for cardiovascular disease (CVD) in patients with early RA fulfilling the 2010 American College of Rheumatology European League Against Rheumatism (ACR/EULAR) criteria. METHODS AND ANALYSIS: The study is a prospective, randomised, open label trial with blinded end point assessment and balanced randomisation (1:1) conducted in 10 outpatient clinics in Denmark...
April 20, 2016: BMJ Open
https://www.readbyqxmd.com/read/27070510/the-australian-grey-nomad-and-aged-care-nurse-practitioner-models-of-practice-a-case-study-analysis
#13
Catherine Hungerford, Brenton Prosser, Rachel Davey, Shannon Clark
INTRODUCTION: The Nurse Practitioner - Aged Care Models of Practice Initiative supported the roll-out of a range of nurse practitioner (NP) models of practice, across Australia. One of these models was a community-based clinic-located practice, situated in a remote tourist destination where there is no resident general practitioner. Services were delivered by a NP to the local population as well as the many seasonal tourists passing through the region. These seasonal tourists included a growing number of older people, many of whom had chronic health conditions such as hypertension, diabetes and cardiac disease...
April 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/26966617/evaluation-of-a-community-health-service-center-based-intervention-program-for-managing-chronic-heart-failure
#14
Moli Gu, Yanlan Ma, Ti Zhou, Yunfeng Xia
BACKGROUND: Although the role of primary care for the management of patients with chronic heart failure (CHF) has been highly recommended, structural involvement of primary care in heart failure (HF) management programs is extremely limited. AIMS: To examine the feasibility and applicability of two most recommended forms of care delivery mode, home visit and telephone support, for CHF management in the setting of community health service center (CHSC). STUDY DESIGN: Prospective study...
January 2016: Balkan Medical Journal
https://www.readbyqxmd.com/read/26961521/personalised-discharge-care-planning-for-postmyocardial-infarction-patients-through-the-use-of-the-personalised-patient-education-protocol-implementing-theory-into-practice
#15
Margaret Lau-Walker, Anne Landy, Trevor Murrells
AIMS AND OBJECTIVES: This study aims to evaluate the service impact of the integration of an evidence-based instrument - the Personalised Patient Education Protocol - into an existing postmyocardial infarction care pathway. BACKGROUND: Recent research indicates that while better patient health outcomes can be achieved when care planning is personalised, delivery staff feel less satisfied and less confident in its provision. To achieve a shift to personalised care, innovations are needed to enable an effective transition for staff...
May 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/26932925/improving-surveillance-and-prevention-of-surgical-site-infection-in-pediatric-cardiac-surgery
#16
Melissa Cannon, Diane Hersey, Sheilah Harrison, Brian Joy, Aymen Naguib, Mark Galantowicz, Janet Simsic
BACKGROUND: Postoperative cardiovascular surgical site infections are preventable events that may lead to increased morbidity, mortality, and health care costs. OBJECTIVE: To improve surgical wound surveillance and reduce the incidence of surgical site infections. METHODS: An institutional review of surgical site infections led to implementation of 8 surveillance and process measures: appropriate preparation the night before surgery and the day of surgery, use of appropriate preparation solution in the operating room, appropriate timing of preoperative antibiotic administration, placement of a photograph of the surgical site in the patient's chart at discharge, sending a photograph of the surgical site to the patient's primary care physician, 30-day follow-up of the surgical site by an advanced nurse practitioner, and placing a photograph of the surgical site obtained on postoperative day 30 in the patient's chart...
March 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/26714997/establishment-of-pediatric-cardiac-intensive-care-advanced-practice-provider-services
#17
REVIEW
Jill Gilliland, Amy Donnellan, Lindsey Justice, Lindy Moake, Jennifer Mauney, Page Steadman, David Drajpuch, Dawn Tucker, Jean Storey, Stephen J Roth, Josh Koch, Paul Checchia, David S Cooper, Sandra L Staveski
The addition of advanced practice providers (APPs; nurse practitioners and physician assistants) to a pediatric cardiac intensive care unit (PCICU) team is a health care innovation that addresses medical provider shortages while allowing PCICUs to deliver high-quality, cost-effective patient care. APPs, through their consistent clinical presence, effective communication, and facilitation of interdisciplinary collaboration, provide a sustainable solution for the highly specialized needs of PCICU patients. In addition, APPs provide leadership, patient and staff education, facilitate implementation of evidence-based practice and quality improvement initiatives, and the performance of clinical research in the PCICU...
January 2016: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26545602/patient-satisfaction-in-cardiology-after-cardiac-catheterization-effects-of-treatment-outcome-visit-characteristics-and-perception-of-received-care
#18
R R Weidemann, T Schönfelder, J Klewer, J Kugler
BACKGROUND: Patient satisfaction is a key indicator for quality of care. However, recent data on determinants of satisfaction in invasive cardiology are lacking. Hence this study was conducted to identify determinants of patient satisfaction after hospitalization for cardiac catheterization. PATIENTS AND METHODS: Data were obtained from 811 randomly selected patients discharged from ten hospitals responding to a mailed post-visit questionnaire. The satisfaction dimension was measured with a validated 42-item inventory assessing demographic and visit characteristics as well as medical, organizational, and service aspects of received care...
June 2016: Herz
https://www.readbyqxmd.com/read/26544173/effects-of-a-structured-discharge-planning-program-on-perceived-functional-status-cardiac-self-efficacy-patient-satisfaction-and-unexpected-hospital-revisits-among-filipino-cardiac-patients-a-randomized-controlled-study
#19
Ruff Joseph Cajanding
BACKGROUND: Cardiovascular diseases remain the leading cause of morbidity and mortality among Filipinos and are responsible for a very large number of hospital readmissions. Comprehensive discharge planning programs have demonstrated positive benefits among various populations of patients with cardiovascular disease, but the clinical and psychosocial effects of such intervention among Filipino patients with acute myocardial infarction (AMI) have not been studied. AIMS/OBJECTIVES: In this study we aimed to determine the effectiveness of a nurse-led structured discharge planning program on perceived functional status, cardiac self-efficacy, patient satisfaction, and unexpected hospital revisits among Filipino patients with AMI...
January 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/26543689/simulation-to-assist-in-the-selection-process-of-new-airway-equipment-in-a-children-s-hospital
#20
Joan Roberts, Taylor Sawyer, Donald Foubare, Jennifer Reid, Kimberly Stone, Don Stephanian, Douglas Thompson
INTRODUCTION: To provide an informed choice of equipment purchase, we sought to use simulation to allow medical providers an opportunity to evaluate two potential laryngoscopes. METHODS: The study followed a prospective, blinded comparison design. Participants were blinded to the laryngoscope brands by using alphabetic labels on the handles ("A" and "B"). Participants included a convenience sample of healthcare providers who perform intubation. Participants were allowed to perform intubation with the two laryngoscope brands on neonatal, child, and adolescent/adult airway simulators...
2015: Curēus
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