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https://www.readbyqxmd.com/read/29930406/-study-on-the-efficiency-of-tertiary-public-hospitals-and-its-influencing-factors-in-beijing
#1
R Z Jing, H Y Zhang, T T Xu, L Y Zhang, H Fang
OBJECTIVE: To evaluate the comprehensive technical efficiency of the tertiary public hospitals in Beijing between 2006 and 2015 and explore its influencing factors, so as to propose corresponding policy suggestions. METHODS: The data envelopment analysis was employed to evaluate the comprehensive technical efficiency, pure technical efficiency and scale efficiency of the tertiary public hospitals in Beijing. Malmquist index model was used to analyze the changes of the above three dynamic efficiencies...
June 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/29928027/information-needs-of-patients-with-lung-cancer-from-diagnosis-until-first-treatment-follow-up
#2
Ling-Yu Hsieh, Fang-Ju Chou, Su-Er Guo
The aim of this study was to analyze the information needs of lung cancer patients from diagnosis until first treatment follow-up. Sixty-nine participants with lung cancer were recruited from Ditmanson Medical Foundation Chia-Yi Christian Hospital in Midwest Taiwan. The Modified Toronto Informational Needs Questionnaire (TINQ) was used to assess information needs during visits to the outpatient oncology department. Generalized estimating equations were applied to compare changes in information needs over time and to examine correlates of information needs of lung cancer patients...
2018: PloS One
https://www.readbyqxmd.com/read/29927985/tsunami-evacuation-simulation-using-geographic-information-systems-for-homecare-recipients-depending-on-electric-devices
#3
Hisao Nakai, Tomoya Itatani, Ryo Horiike, Kaoru Kyota, Keiko Tsukasaki
Tsunamis cause direct damage to property and destroy infrastructure. In addition, power outages can lead to death, especially for patients who rely on medical equipment requiring a power supply. Recently, Nankai Trough Earthquakes have been predicted, and much effort has been put into developing countermeasures in Japan. Kochi City on Shikoku Island is expected to suffer in the event of a large tsunami. The present study identifies individuals living in Kochi who need evacuation assistance and depend on electrical medical devices, simulates evacuation behavior and inundation during a tsunami using a geographic information system (GIS), and considers the usefulness of such a GIS...
2018: PloS One
https://www.readbyqxmd.com/read/29927795/effects-of-the-insight-obesity-preventive-intervention-on-reported-and-observed-infant-temperament
#4
Stephanie Anzman-Frasca, Ian M Paul, Kameron J Moding, Jennifer S Savage, Emily E Hohman, Leann L Birch
OBJECTIVE: Infants higher on negative reactivity and lower on regulation, aspects of temperament, have increased obesity risk. Responsive parenting (RP) has been shown to impact the expression of temperament, including the developing ability to regulate negative emotions. The aim of this analysis was to test the effects of the INSIGHT study's RP intervention designed for the primary prevention of obesity on reported and observed infant negativity and regulation. METHODS: The sample included 240 mother-infant dyads randomized 2 weeks after birth to the RP intervention or a safety control intervention...
June 20, 2018: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/29927362/-midwives-and-nurses-in-early-childhood-intervention-the-benefit-of-additional-qualification-a-quantitative-study
#5
Sara Scharmanski, Ilona Renner
Midwives and nurses in early childhood intervention: The benefit of additional qualification. A quantitative study Abstract. BACKGROUND: Early childhood interventions are locally and regionally organized support services for families from pregnancy until the end of the third year of life. The interventions promote diverse measures to enhance parental skills in order to improve developmental and living circumstances. Midwives and nurses with additional qualification support burdened families in early childhood intervention...
June 22, 2018: Pflege
https://www.readbyqxmd.com/read/29925419/follow-up-study-regarding-the-medium-term-effectiveness-of-the-home-visiting-program-pro-kind-at-age-7-years-study-protocol-for-a-randomized-controlled-trial
#6
Sören Kliem, Malte Sandner, Anna Lohmann, Susan Sierau, Verena Dähne, Annette M Klein, Tanja Jungmann
BACKGROUND: Pro Kind is a German adaptation of the US Nurse Family Partnership program. It is an intervention based on home visits targeting first-time mothers from disadvantaged populations. Pro Kind was implemented as a randomized control trial from 2006 to 2012 with N = 755 first-time mothers (TG n = 394, CG n = 391). The 7-8-year follow-up aims to assess the mid-term effects of the program. METHODS/DESIGN: Mid-term outcomes are being assessed by trained assessors...
June 20, 2018: Trials
https://www.readbyqxmd.com/read/29923900/evaluating-a-surfactant-containing-polymeric-membrane-foam-wound-dressing-with-glycerin-in-patients-with-chronic-pilonidal-sinus-disease
#7
R Gary Sibbald, Reneeka Persaud Jaimangal, Patricia M Coutts, James A Elliott
GENERAL PURPOSE: To present an evaluation of a surfactant-containing polymeric membrane foam wound dressing for use on patients with chronic pilonidal sinus disease. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29921563/the-burden-of-a-remote-trial-in-a-nursing-home-setting-qualitative-study
#8
Susie Donnelly, Brenda Reginatto, Oisin Kearns, Marie Mc Carthy, Bill Byrom, Willie Muehlhausen, Brian Caulfield
BACKGROUND: Despite an aging population, older adults are typically underrecruited in clinical trials, often because of the perceived burden associated with participation, particularly travel associated with clinic visits. Conducting a clinical trial remotely presents an opportunity to leverage mobile and wearable technologies to bring the research to the patient. However, the burden associated with shifting clinical research to a remote site requires exploration. While a remote trial may reduce patient burden, the extent to which this shifts burden on the other stakeholders needs to be investigated...
June 19, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29913645/a-pediatric-patients-pain-evaluation-in-the-emergency-unit
#9
Anette Lemström
AimsHelsinki University Hospital for Children and Adolescents treats 0-to 16-year old pediatric and surgical patients. The patients arrive to the emergency unit by ambulance, referral or by decision of the triage nurse. The most common reason for visit is pain. VAS pain scale should be used, but pain is not evaluated properly. The aim of this study was to review literature on evaluation and treatment of pain in pediatric emergency unit. MethodsA search from Cinahl and Finnish Medic-database covering last 10 years was performed using: pain, child, trauma, documentation, evaluation, emergency and assessment as keywords...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#10
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29911497/work-hours-overtime-and-break-time-of-registered-nurses-working-in-medium-sized-korean-hospitals
#11
Sung-Heui Bae, Sung-Woo Hwang, Gunjeong Lee
This cross-sectional study used quantitative survey data collected from registered nurses (RNs) who worked as staff nurses in medium-sized (300 beds or less) Korean hospitals. Data from 290 RNs were analyzed to examine the nature and prevalence of staff nurses' work hours, overtime, breaks, and related work conditions. The results showed that staff nurses working in medium-sized Korean hospitals worked 9.6 hours a day on average and had 1.5 breaks daily, including mealtime. The average number of days the nurses skipped a meal due to work during the last month was 6...
June 1, 2018: Workplace Health & Safety
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#12
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29904903/nurse-s-contribution-to-alleviate-non-adherence-to-hypertension-treatment
#13
REVIEW
G Georgiopoulos, Z Kollia, V Katsi, D Oikonomou, C Tsioufis, D Tousoulis
PURPOSE OF REVIEW: Hypertension consists a major risk factor for cardiovascular events. Despite the proven effectiveness of antihypertensive treatment, approximately half of hypertensive patients have inadequate blood pressure control. Non-adherence to medication has been shown to be an important barrier to achieving adequate blood pressure control and nurse interventions can substantially improve therapeutic compliance. We sought to evaluate the role of nurse interventions in alleviating non-adherence to medication in patients with hypertension by performing a systematic review of the literature for all relevant articles...
June 15, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29898677/determinants-of-adherence-and-effects-on-health-related-quality-of-life-after-myocardial-infarction-a-prospective-cohort-study
#14
Gundula Krack, Rolf Holle, Inge Kirchberger, Bernhard Kuch, Ute Amann, Hildegard Seidl
BACKGROUND: Adherence to recommendations and medication is deemed to be important for effectiveness of case management interventions. Thus, reasons for non-adherence and effects on health-related quality of life (HRQoL) should be fully understood. The objective of this research was to identify determinants of non-adherence to medication and recommendations, and to test whether increased adherence improved HRQoL in patients after myocardial infarction (MI) in a case management intervention...
June 7, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29898672/prediction-of-functional-decline-in-community-dwelling-older-persons-in-general-practice-a-cohort-study
#15
Sophie C E van Blijswijk, Jeanet W Blom, Anton J M de Craen, Wendy P J den Elzen, Jacobijn Gussekloo
BACKGROUND: A first step to offer community-dwelling older persons proactive care is to identify those at risk of functional decline within a year. This study investigates the predictive value of registered information, questionnaire and GP-opinion on functional decline. METHODS: In this cohort study, embedded within the ISCOPE-trial, participants (≥75 years) completed the ISCOPE-screening questionnaire on four health domains. GPs gave their opinion on vulnerability of participants...
June 11, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29894494/the-impact-of-a-preventive-and-curative-oral-healthcare-program-on-the-prevalence-and-incidence-of-oral-health-problems-in-nursing-home-residents
#16
Barbara Janssens, Jacques Vanobbergen, Mirko Petrovic, Wolfgang Jacquet, Jos Mga Schols, Luc De Visschere
AIMS: To assess the impact of an oral healthcare program in nursing homes on the initial treatment backlog and residents' oral health stability. MATERIALS AND METHODS: The study is a longitudinal cohort study in nursing home residents in Flanders, Belgium, to evaluate the oral healthcare programme Gerodent. The program consisted of: (1) the introduction of an oral healthcare team, (2) oral health education, (3) the implementation of oral health guidelines and protocols, and (4) regular visits of a mobile dental team...
2018: PloS One
https://www.readbyqxmd.com/read/29894446/parental-presence-at-the-bedside-of-critically-ill-children-in-a-unit-with-unrestricted-visitation
#17
Jennifer R Foster, Farhana I AlOthmani, Jamie A Seabrook, Tariq AlOfisan, Yasser M AlGarni, Amrita Sarpal
OBJECTIVES: To determine the percentage of time that critically ill children have a parent at the bedside and to identify extrinsic factors that are associated with percent of time with parental presence at the bedside. DESIGN: Prospective cohort study. SETTING: PICU in a single tertiary care children's hospital. SUBJECTS: Primary two parents of all children admitted to the PICU on 12 preselected days during a 1-year period from 2014 to 2015...
June 11, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29893442/how-home-health-nurses-plan-their-work-schedules-a-qualitative-descriptive-study
#18
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/29889645/service-provision-and-quality-outcomes-in-home-health-for-rural-medicare-beneficiaries-at-high-risk-for-unplanned-care
#19
Tracy M Mroz, C Holly A Andrilla, Lisa A Garberson, Susan M Skillman, Davis G Patterson, Eric H Larson
Multiple barriers exist to providing home health care in rural areas. This study examined relationships between service provision and quality outcomes among rural, fee-for-service Medicare beneficiaries who received home health care between 2011 and 2013 for conditions associated with high-risk for unplanned care. More skilled nursing visits, visits by more types of providers, more timely care, and shorter lengths of stay were associated with significantly higher odds of hospital readmission and emergency department use and significantly lower odds of community discharge...
June 11, 2018: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/29888506/fluoride-varnish-application-a-quality-improvement-project-implemented-in-a-rural-pediatric-practice
#20
Ellen A Gnaedinger
OBJECTIVES: The United States has a public health crisis of dental caries in children's primary teeth. Fifty-five percent of children have dental caries by age 8. The majority of these children are nonwhite and poor. Caries could be decreased by 40% if fluoride varnish (FV) application started with tooth eruption. DESIGN AND SAMPLE: A four-month FV application QI project was implemented in a rural pediatric practice. The staff was trained by the Vermont Department of Health using the From the First Tooth protocol...
June 10, 2018: Public Health Nursing
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