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https://www.readbyqxmd.com/read/29656474/assessment-of-motivation-levels-and-associated-factors-among-the-nursing-staff-of-tertiary-level-government-hospitals
#1
Rahul Pandey, Sonu Goel, Vipin Koushal
The present study assessed the motivation level of nurses working in 3 highly decorated tertiary-level government hospitals of India and also underpins the factors attributing to motivation levels. A sequential mixed-method design was used in this study wherein 400 nurses working in 5 units of nursing care in the hospitals were enrolled based upon proportionate random stratified sampling techniques. A self-administered questionnaire with Likert scale was developed based upon scale used by Mbindyo et al. The attributes of motivation were then categorized into external and internal attributes...
April 15, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29656399/differences-between-skilled-nursing-facilities-in-risk-of-subsequent-long-term-care-placement
#2
James S Goodwin, Shuang Li, Addie Middleton, Kenneth Ottenbacher, Yong-Fang Kuo
OBJECTIVES: To determine how the risk of subsequent long-term care (LTC) placement varies between skilled nursing facilities (SNFs) and the SNF characteristics associated with this risk. DESIGN: Population-based national cohort study with participants nested in SNFs and hospitals in a cross-classified multilevel model. SETTING: SNFs (N=6,680). PARTICIPANTS: Fee-for-service Medicare beneficiaries (N=552,414) discharged from a hospital to a SNF in 2013...
April 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29655631/detection-of-rotavirus-before-and-after-monovalent-rotavirus-vaccine-introduction-and-vaccine-effectiveness-among-children-in-mainland-tanzania
#3
Bhavin Jani, Adolfine Hokororo, Jackson Mchomvu, Margaret M Cortese, Christopher Kamugisha, Delphinius Mujuni, Dotto Kallovya, Umesh D Parashar, Jason M Mwenda, DaFrossa Lyimo, Antonia Materu, Kakuri Frank Omari, Mark Waziri, Theresia Laswai, Hamisi Juma, Josephine Mlay, Juliana Dogani, Eugenia Stephen, Mwanisha Seugendo, Uyanjo Nkumbi, Anna Lyakurwa, Anivera Matojo, Elice Bendera, Jonathan Senyota, Veronica Msingwa, Yohana Fungo, Fausta Michael, Amina Mpamba, Alfred Chambo, Happy Cholobi, Faraja Lyamuya, Inviollatha Chami, Esther Mchome, Amina Mohamed Mshana, Edward Mushi, Uforo Mariki, Ronica Chard, Deborah Tuju, Nuswe Ambokile, Fatuma Lukwale, Furaha Kyessi, Asha Khamis, Innocent Michael, Doreen Macha, Angelina Saguti
BACKGROUND: Monovalent rotavirus vaccine (RV1) was introduced in Tanzania in January 2013 under the Reach Every Child initiative, to be given at ages 6 and 10 weeks. We used the sentinel hospital rotavirus surveillance system to examine the rotavirus detection rate before and after vaccine introduction and estimate vaccine effectiveness. METHODS: Before vaccine introduction, rotavirus surveillance was established at two mainland hospitals; children admitted for acute diarrhea were eligible for enrollment and stools were tested for rotavirus antigen...
April 11, 2018: Vaccine
https://www.readbyqxmd.com/read/29653295/feasibility-of-a-mindfulness-based-cognitive-therapy-group-intervention-as-an-adjunctive-treatment-for-postpartum-depression-and-anxiety
#4
Barbara Shulman, Royce Dueck, Deirdre Ryan, Genevieve Breau, Isabel Sadowski, Shaila Misri
BACKGROUND: Many women experience moderate-to-severe depression and anxiety in the postpartum period for which pharmacotherapy is often the first-line treatment. Many breastfeeding mothers are reticent to increase their dose or consider additional medication, despite incomplete response, due to potential adverse effects on their newborn. These mothers are amenable to non-pharmacological intervention for complete symptom remission. The current study evaluated the feasibility of an eight-week mindfulness-based cognitive therapy (MBCT) intervention as an adjunctive treatment for postpartum depression and anxiety...
January 2, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29653107/inter-rater-and-intra-rater-reliability-of-the-balance-computerized-adaptive-test-in-patients-with-stroke
#5
Hsin-Yu Chiang, Wen-Shian Lu, Wan-Hui Yu, I-Ping Hsueh, Ching-Lin Hsieh
OBJECTIVE: To examine the inter-rater and intra-rater reliability of the Balance Computerized Adaptive Test (Balance CAT) in patients with chronic stroke having a wide range of balance functions. DESIGN: A repeated-assessments design (1 week apart) was used to examine the inter-rater and intra-rater reliability of the Balance CAT. The Balance CAT was administered by 3 raters in the inter-rater reliability study and by 2 raters in the intra-rater reliability study...
April 10, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29652978/-importance-of-cleaning-and-disinfection-of-critical-surfaces-in-dental-health-services-impact-of-an-intervention-program
#6
Elena Véliz, Teresa Vergara, Mercedes Pearcy, Jeannette Dabanch
Introduction Dental care has become a challenge for healthcare associated infection prevention programs, since the environment, within other factors, plays an important role in the transmission chain. Materials and Methods An intervention program was designed for the Dental Unit of Hospital Militar de Santiago, between years 2014 and 2015. The program contemplated 3 stages: diagnostic, intervention and evaluation stage. Objective To improve the safety of critical surfaces involved in dental healthcare. Results During the diagnostic stage, the cleaning and disinfection process was found to be deficient...
2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29652166/ambulance-use-distance-and-outcomes-in-patients-with-suspected-cardiovascular-disease-a-registry-based-geographic-information-system-study
#7
Nariman Sepehrvand, Wendimagegn Alemayehu, Padma Kaul, Rick Pelletier, Aminu K Bello, Robert C Welsh, Paul W Armstrong, Justin A Ezekowitz
BACKGROUND: Despite guideline recommendations, the majority of patients with symptoms suggestive of acute coronary syndrome do not use emergency medical services to reach the emergency department (ED). The aim of this study was to investigate the factors associated with EMS utilisation and subsequent patient outcomes. METHODS: Using administrative data, all patients who presented to an ED in the metropolitan areas of Edmonton and Calgary in the years of 2007-2013 with main ED diagnosis of acute coronary syndrome, stable angina or chest pain were included...
April 1, 2018: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/29651758/the-role-of-emergency-medicine-clerkship-e-portfolio-to-monitor-the-learning-experience-of-students-in-different-settings-a-prospective-cohort-study
#8
Arif Alper Cevik, Sami Shaban, Margret El Zubeir, Fikri M Abu-Zidan
BACKGROUND: Although emergency departments provide acute care learning opportunities for medical students, student exposure to recommended curriculum presentations and procedures are limited. In this perspective, clinical environments providing learning opportunities for students should be monitored as part of an ongoing quality improvement process. This study aims to analyze student exposures and their involvement levels in two different hospitals (Tawam and Al Ain) so as to improve the teaching and learning activities...
April 12, 2018: International Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29650907/-cases-of-oncologic-emergency-associated-with-colorectal-cancer
#9
Yukihisa Nishimura, Masayuki Yubakami, Nobuyuki Watanabe, Yutaka Kondo, Kazuto Ujiie, Momoko Todo, Yoshitaka Nakamura, Kiyoto Atsuji, Akihiro Yamaguchi, Naoki Kakihara, Osamu Ikawa, Hiroki Taniguchi
The clinical condition of oncologic emergency associated with colorectal cancer includes hemorrhage, perforation and obstruction. Obstructive colorectal cancer is an oncologic emergency commonly observed in our daily clinical practice. Colonic stent placement for obstructive colorectal cancer is relatively easy and safe and may be considered as an effective treatment method that enables favorable intestinal decompression preoperatively and one-stage resection. Colonic stent use can be a bridge to surgery, enabling shorter duration of hospitalization, and reduced postoperative complications, and colostomy rates, as compared to emergency surgery...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650878/-balance-in-disaster-preparedness-between-public-self-and-mutual-help-for-home-cared-individuals
#10
Kiyomi Hata, Masao Hata
At present, when it is predicted that large-scale disasters may occur, repletion and reinforcement of disaster preparedness are required. For disaster preparedness, a balance between public, self-, and mutual help is important. However, designated hospitals and their support systems were placed importance in medical care during disasters, and preparedness in regard to home care has not been discussed sufficiently. The purpose of this study is to clarify preparations that home-visit nursing stations may implement, states of support for self-help of cared persons and their families and mutual help such as of communities, in home-visit nursing stations in the areas where large-scale damages by Tokyo Inland Earthquake and Nankai Trough Earthquake are assumed...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650505/universal-versus-conditional-third-day-follow-up-visit-for-children-with-nonsevere-unclassified-fever-at-the-community-level-in-ethiopia-protocol-for-a-cluster-randomized-noninferiority-trial
#11
Karin Källander, Tobias Alfven, Ayalkibet Abebe Workineh, Abreham Hailemariam, Max Petzold, Dawit Getachew, Lawrence Barat, Laura C Steinhardt, Julie R Gutman
BACKGROUND: Under the World Health Organization's integrated community case management strategy, febrile children seen by community health workers (on day 1) without a diagnosable illness and without danger signs are advised to return on day 3, regardless of symptom resolution. This advice might be unnecessary and place additional time and cost burdens on caregivers and community health workers. However, the safety of not following up with respect to children with unclassified fever is unknown...
April 12, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29650322/decision-based-on-big-data-research-for-non-small-cell-lung-cancer-in-medical-artificial-system-in-developing-country
#12
Jia Wu, Yanlin Tan, Zhigang Chen, Ming Zhao
Non-small cell lung cancer (NSCLC) is a high risk cancer and is usually scanned by PET-CT for testing, predicting and then give the treatment methods. However, in the actual hospital system, at least 640 images must be generated for each patient through PET-CT scanning. Especially in developing countries, a huge number of patients in NSCLC are attended by doctors. Artificial system can predict and make decision rapidly. According to explore and research artificial medical system, the selection of artificial observations also can result in low work efficiency for doctors...
June 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29650216/the-effectiveness-of-acceptance-and-commitment-therapy-on-anxiety-in-clients-with-stroke
#13
Renta Sianturi, Budi Anna Keliat, Ice Yulia Wardani
OBJECTIVE: The purpose of this study was to determine the effects of acceptance and commitment therapy on anxiety in patients with stroke, especially during the first stage of recovery. METHOD: This quantitative study featured a quasi-experimental design without a control group and was conducted in the stroke ward of a public hospital. The 33 respondents were selected via consecutive sampling. The data analysis was completed using the paired t-test. RESULTS: The use of acceptance and commitment therapy significantly the signs and symptoms of anxiety in patients with stroke (p-value = < 0...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650215/do-different-positions-affect-the-oxygen-saturation-and-comfort-level-of-children-under-five-with-pneumonia
#14
Ely Mawaddah, Nani Nurhaeni, Dessie Wanda
OBJECTIVE: Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia. METHOD: The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12)...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650202/impact-of-family-empowerment-model-on-satisfaction-and-children-s-length-of-stay-in-hospital
#15
Nani Nurhaeni, Yeni Rustina, Nur Agustini, Novi Enis Rosuliana
OBJECTIVE: The purpose of the study was to identify the impact of family empowerment model intervention on family satisfaction and children's length of stay in the hospital due to pneumonia. METHOD: The design of the study was that of a quasi-experiment. About 83 family-child groups were divided into 42 pair in the intervention group and 41 pair in the control group; which were recruited using consecutive sampling using certain inclusion criteria. Three district hospitals in Jakarta were used in this study...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650180/pain-stress-and-sleep-quality-in-chronic-wound-patients
#16
Hasna Fauziyah, Dewi Gayatri
Chronic wounds are one impact of cancer cell growth that may cause discomforts or pain. This study aimed to identify the relationship between pain, stress, and sleep quality in cancer patients with a chronic wound. We used a cross-sectional design with 76 patients from a cancer hospital in Jakarta, Indonesia. The instruments used were the Numeric Rating Scale, the Questionnaire on Stress in Cancer Patients, Revised 23, and the Pittsburgh Sleep Quality Index. The results of this study showed that moderate-severe pain produced a higher than average amount of stress (58...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650174/improving-the-interpersonal-competences-of-head-nurses-through-peplau-s-theoretical-active-learning-approach
#17
Suhariyanto, Rr Tutik Sri Hariyati, Titin Ungsianik
BACKGROUND: Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses. PURPOSE: This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses' interpersonal skills. METHOD: This study used a pre-experimental design with one group having pretests and posttests, without control group...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650173/the-relationship-between-nurses-job-satisfaction-and-continuing-professional-development
#18
Rr Tutik Sri Hariyati, Satina Safril
OBJECTIVE: To identify the correlation between nurse's perception of the continuing professional development (CPD) and the satisfaction of nursing career ladder system (NCLS) implementation. METHOD: A non-experimental survey design was used for this study. The respondents were selected using proportional random sampling technique with the total sample size of 149 nurses. Data were measured using proportion, central tendency and Pearson product-moment correlation...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650019/the-effect-of-north-carolina-free-clinics-on-hospitalizations-for-ambulatory-care-sensitive-conditions-among-the-uninsured
#19
Jenny Hutchison, Michael E Thompson, Jennifer Troyer, Christine Elnitsky, Maren J Coffman, M Lori Thomas
BACKGROUND: Free clinics are volunteer based organizations that provide health care services to low-income individuals for free or minimal cost. Communities served by a free clinic can provide ambulatory care services for uninsured individuals, reducing reliance on costly hospital admissions for ambulatory care sensitive conditions. This study examines whether free clinics in North Carolina reduce hospitalizations for ambulatory care sensitive conditions for uninsured adults. METHODS: The study used North Carolina hospital discharge data from 2003 to 2007, restricted to uninsured adults residing in North Carolina (N = 270,325)...
April 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29649905/the-effect-of-acupressure-on-pain-in-cancer-patients-with-bone-metastasis-a-nonrandomized-controlled-trial
#20
Sibel Serçe, Özlem Ovayolu, Lütfiye Pirbudak, Nimet Ovayolu
BACKGROUND: Pain is a serious and common problem in bone metastases. For this purpose, complementary and supportive practices are also applied along with medical treatment. This study was conducted for the purpose of evaluating the effect of acupressure on pain in cancer patients with bone metastasis. METHODS: The study was conducted in a nonrandomized controlled trial with patients who applied to the radiotherapy unit of an oncology hospital. The data of the study were collected by using a questionnaire and the Visual Analog Scale...
April 1, 2018: Integrative Cancer Therapies
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