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https://www.readbyqxmd.com/read/29793191/development-and-validation-of-a-prediction-model-for-functional-decline-in-older-medical-inpatients
#1
Toshihiko Takada, Shingo Fukuma, Yosuke Yamamoto, Yukio Tsugihashi, Hiroyuki Nagano, Michio Hayashi, Jun Miyashita, Teruhisa Azuma, Shunichi Fukuhara
OBJECTIVE: To prevent functional decline in older inpatients, identification of high-risk patients is crucial. The aim of this study was to develop and validate a prediction model to assess the risk of functional decline in older medical inpatients. METHODS: In this retrospective cohort study, patients ≥65 years admitted acutely to medical wards were included. The healthcare database of 246 acute care hospitals (n = 229,913) was used for derivation, and two acute care hospitals (n = 1767 and 5443, respectively) were used for validation...
May 17, 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29792768/thai-nursing-students-experiences-of-caring-for-patients-at-the-end-of-life-a-phenomenological-study
#2
Yaowarat Matchim, Parinya Raetong
AIM: To describe Thai nursing students' experiences of providing end-of-life care (EoLC). METHODS: Data were collected via in-depth interviews with 21 nursing students and were analysed using Van Manen's method. FINDINGS: Eight themes emerged based on Van Manen's four lived worlds: feeling excited and worried when receiving an assigned case; feeling disappointed with the health-care team's provision of psychosocial support for patients at the end-of-life and their families; being in a time of uncertainty; recognising that EoLC is a time for gaining merit; knowing that a peaceful place and privacy are needed for promoting a peaceful death; knowing that the real-life classroom is around the patient's bedside; feeling lonely and needing help and support; and creating relationships with patients and families as a nurse...
May 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29792767/politics-and-palliative-care-zambia
#3
Dion Smyth
Dion Smyth's review of palliative nursing on the internet.
May 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29792733/feasibility-and-acceptability-of-nurse-led-primary-palliative-care-for-older-adults-with-chronic-conditions-a-pilot-study
#4
Shigeko Seiko Izumi, Basilia Basin, Margo Presley, Jean McCalmont, Jon P Furuno, Brie Noble, Judith G Baggs, J Randall Curtis
BACKGROUND: Many older adults live with serious illness for years before their death. Nurse-led primary palliative care could improve their quality of life and ability to stay in their community. OBJECTIVES: To assess feasibility and acceptability of a nurse-led Transitional Palliative Care (TPC) program for older adults with serious illness. METHODS: The study was a pilot trial of the TPC program in which registered nurses assisted patients with symptom management, communication with care providers, and advance care planning...
May 24, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29792461/teamwork-in-the-intensive-care-unit
#5
Jennifer N Ervin, Jeremy M Kahn, Taya R Cohen, Laurie R Weingart
Intensive care units (ICUs) provide care to the most severely ill hospitalized patients. Although ICUs increasingly rely on interprofessional teams to provide critical care, little about actual teamwork in this context is well understood. The ICU team is typically comprised of physicians or intensivists, clinical pharmacists, respiratory therapists, dieticians, bedside nurses, clinical psychologists, and clinicians-in-training. ICU teams are distinguished from other health care teams in that they are low in temporal stability, which can impede important team dynamics...
May 2018: American Psychologist
https://www.readbyqxmd.com/read/29792340/multidisciplinary-care-model-for-hiv-improves-treatment-outcome-a-single-centre-experience-from-the-middle-east
#6
Ali Elgalib, Halima Al-Sawafi, Bina Kamble, Saud Al-Harthy, Qamra Al-Sariri
Multidisciplinary team (MDT) care models have been shown to improve clinical outcomes among HIV patients. We aim to assess the impact of adopting MDT approach in a tertiary HIV clinic in Muscat, Sultanate of Oman. We introduced MDT approach in our HIV centre in January 2016 where existing team members (counsellors, nurses, social workers, pharmacists and doctors) worked together, through care pathways, to support patients as they go through the HIV care continuum from diagnosis to viral suppression. Notes were reviewed for demographics and clinical data...
May 24, 2018: AIDS Care
https://www.readbyqxmd.com/read/29792258/nurses-and-patients-perceptions-of-the-quality-of-psychiatric-nursing-care-in-jordan
#7
Wafa S Alsyouf, Ayman M Hamdan-Mansour, Shaher H Hamaideh, Khaled M Alnadi
BACKGROUND: The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients' outcomes. OBJECTIVES: The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan...
May 1, 2018: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29792174/perspectives-on-clinical-use-of-bioimpedance-in-hemodialysis-focus-group-interviews-with-renal-care-professionals
#8
Jenny Stenberg, Catrin Henriksson, Magnus Lindberg, Hans Furuland
BACKGROUND: Inadequate volume control may be a main contributor to poor survival and high mortality in hemodialysis patients. Bioimpedance measurement has the potential to improve fluid management, but several dialysis centers lack an agreed fluid management policy, and the method has not yet been implemented. Our aim was to identify renal care professionals' perceived barriers and facilitators for use of bioimpedance in clinical practice. METHODS: Qualitative data were collected through four focus group interviews with 24 renal care professionals: dieticians, nephrologists and nurses, recruited voluntarily from a nation-wide selection of hemodialysis centers, having access to a bioimpedance-device...
May 23, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29792131/management-of-nursing-workplace-incivility-in-the-health-care-settings-a-systematic-review
#9
Nancy Armstrong
Workplace incivility is a well-documented issue in nursing in the health care setting. It has the potential to cause emotional and physical distress in victims and potentially affects the quality of care provided. The purpose of this study was to critique and summarize the most recent, available evidence related to interventions in assisting nursing staff working in health care settings in managing incivility. This systematic review of literature yielded 10 studies meeting the criteria. The studies were mostly identified as lower quality research...
May 1, 2018: Workplace Health & Safety
https://www.readbyqxmd.com/read/29791762/ethical-dilemmas-in-nursing-an-integrative-review
#10
REVIEW
Jennifer Rainer, Joanne Kraenzle Schneider, Rebecca A Lorenz
AIMS: The purpose of this integrative review was to identify themes and gaps in the literature to stimulate researchers to develop strategies to guide decision-making among clinical nurses faced with ethical dilemmas. BACKGROUND: The concept of ethical dilemmas has been well explored in nursing because of the frequency of ethical dilemmas in practice and the toll these dilemmas can take on nurses. Although ethical dilemmas are prevalent in nursing practice, frequently leading to moral distress, there is little guidance in the literature to help nurses resolve them...
May 23, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29791753/double-jeopardy-missed-care-for-the-vulnerable-in-community-settings
#11
EDITORIAL
Annamaria Bagnasco, Fiona Timmins, Giuseppe Aleo, Loredana Sasso
Inequitable access of the world's population to quality health services is still a problem, despite the fact that good health and wellbeing are recognised as a fundamental human rights (United Nations, 2016). Reducing inequities in health is a major focus of international policy (World Health Organisation, 2015) and in the context of an ever-aging population, world recession, limited resources, and to promote independence in health, community care schemes are gaining increasing popularity (Phelan et al 2017)...
May 23, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29791672/jacobson-and-truax-method-evaluation-of-the-clinical-effectiveness-of-a-home-care-program-after-prostatectomy
#12
Luciana Regina Ferreira Pereira da Mata, Mariana Ferreira Vaz Gontijo Bernardes, Cissa Azevedo, Tânia Couto Machado Chianca, Maria da Graça Pereira, Emilia Campos de Carvalho
OBJECTIVE: to exemplify the applicability of the Jacobson and Truax Method in a nursing intervention study that analyzed the effectiveness of a home care teaching program after radical prostatectomy. METHOD: this is a descriptive study concerning the applicability of the Jacobson and Truax Method in the data analysis of a clinical trial. The intervention consisted of a teaching program for hospital discharge after radical prostatectomy through oral guidance, writing, and telephonic reinforcement...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29791671/validation-of-a-moral-distress-instrument-in-nurses-of-primary-health-care
#13
Priscila Orlandi Barth, Flávia Regina Souza Ramos, Edison Luiz Devos Barlem, Graziele de Lima Dalmolin, Dulcinéia Ghizoni Schneider
OBJECTIVE: to validate an instrument to identify situations that trigger moral distress in relation to intensity and frequency in primary health care nurses. METHOD: this is a methodological study carried out with 391 nurses of primary health care, applied to the Brazilian Scale of Moral Distress in Nurses with 57 questions. Validation for primary health care was performed through expert committee evaluation, pre-test, factorial analysis, and Cronbach's alpha. RESULTS: there were 46 questions validated divided into six constructs: Health Policies, Working Conditions, Nurse Autonomy, Professional ethics, Disrespect to patient autonomy and Work Overload...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29791668/phlebitis-and-infiltration-vascular-trauma-associated-with-the-peripheral-venous-catheter
#14
Luciene Muniz Braga, Pedro Miguel Parreira, Anabela de Sousa Salgueiro Oliveira, Lisete Dos Santos Mendes Mónico, Cristina Arreguy-Sena, Maria Adriana Henriques
OBJECTIVE: to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs). METHOD: cohort study with 110 patients. Scales were used to assess and document phlebitis and infiltration. Socio-demographic variables, clinical variables related to the PVC, medication and hospitalization variables were collected. Descriptive and inferential analysis and multivariate logistic models were used...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29791667/good-practices-in-normal-childbirth-reliability-analysis-of-an-instrument-by-cronbach-s-alpha
#15
Leila Bernarda Donato Gottems, Elisabete Mesquita Peres De Carvalho, Dirce Guilhem, Maria Raquel Gomes Maia Pires
OBJECTIVES: to analyze the internal consistency of the evaluation instrument of the adherence to the good practices of childbirth and birth care in the professionals, through Cronbach's Alpha Coefficient for each of the dimensions and for the total instrument. METHOD: this is a descriptive and cross-sectional study performed in obstetric centers of eleven public hospitals in the Federal District, with a questionnaire applied to 261 professionals who worked in the delivery care...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29791647/active-methodologies-for-graduation-in-nursing-focus-on-the-health-care-of-older-adults
#16
Elaine Fernanda Dornelas de Souza, Amanda Gaspar Silva, Ariana Ieda Lima Ferreira da Silva
OBJECTIVE: To describe the experience of the use of simulation as active teaching methodology in the Developmental Psychology discipline and share its impacts on the students' learning process. METHOD: Based on Active Methodologies, the students in Nursing of Universidade do Oeste Paulista - Presidente Prudente-SP developed simulated visits to older users of the Family Health Strategies. RESULTS: In accordance with the 2014 National Curriculum Guidelines and the Brazilian Unified Health System, particularities of the needs of older adults at their homes were problematized...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29791645/gerontological-contributions-to-the-care-of-elderly-people-in-long-term-care-facilities
#17
Vanessa da Silva Antonio Coimbra, Rose Mary Costa Rosa Andrade Silva, Fabiana Lopes Joaquim, Eliane Ramos Pereira
OBJECTIVE: To analyze Brazilian scientific productions from the last 11 years which show the contributions of nursing to elderly people in long-term care facilities. METHOD: This is an integrative literature review. The search took place in the Virtual Health Library (VHL) in the BDENF and LILACS databases and the SCIELO virtual library, between June and October 2016, using the keyword long-term care facility and the descriptors nursing and geriatrics. RESULTS: Eleven studies were selected, published 2005 and 2016, with various methodological approaches that enabled discussion of the proposed objective...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29791642/integrative-review-of-literature-nursing-care-to-aged-people-with-hiv
#18
Arayana Gomes da Silva, Viviane Siqueira Cavalcanti, Tâmyssa Simões Dos Santos, Gabriela Rodrigues Bragagnollo, Karen da Silva Santos, Ivanilde Miciele da Silva Santos, Kristiana Cerqueira Mousinho, Cinira Magali Fortuna
OBJECTIVE: To identify evidences in scientific Brazilian literature on nursing care to aged people with HIV. METHOD: Integrative review of literature from databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Scientific Eletronic Library Online (SciELO), Cochrane and the Nursing Database (BDENF). The applied inclusion criteria were publications that were fully available from 2001 to 2015 and answered to the guiding question of this study...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29791637/board-games-gerotechnology-in-nursing-care-practice
#19
Paula Cristina de Andrade Pires Olympio, Neide Aparecida Titonelli Alvim
OBJECTIVE: To create a board game as a form of gerotechnology to promote active and healthy aging. METHOD: This was a qualitative, convergent care study conducted with 32 older adults. Individual interviews, creativity and sensitivity techniques, group discussions, and participant observations guided by Paulo Freire's theoretical framework of problematization were used to produce data. The participants and researchers assessed the entire production process at the end of the study, after the gerotechnology was implemented in the groups...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29791624/the-meaning-of-religion-religiosity-for-the-elderly
#20
Ana Luíza Barreto de Oliveira, Tânia Maria de Oliva Menezes
OBJECTIVE: To understand the meaning of religion/religiosity for the elderly. METHOD: A qualitative, phenomenological study, based on Martin Heidegger. Thirteen older women registered in an Urban Social Center of Salvador, Bahia, Brazil aged between 60 and 84 years participated in the study. The collection of testimonies was carried out from November 2013 to May 2014 through phenomenological interviews. RESULTS: Hermeneutics has unveiled the unit of meaning: Meanings of religion/religiosity in the daily life of the elderly...
2018: Revista Brasileira de Enfermagem
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