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https://www.readbyqxmd.com/read/29670382/clinical-outcomes-and-health-care-utilization-pre-and-post-laparoscopic-radiofrequency-ablation-of-symptomatic-fibroids-and-laparoscopic-myomectomy-a-randomized-trial-of-uterine-sparing-techniques-trust-in-canada
#1
Darrien D Rattray, Laura Weins, Lexy C Regush, James M Bowen, Daria O'Reilly, John A Thiel
Objective: The objective of this study was to compare laparoscopic ultrasound-guided radiofrequency ablation of fibroids (Lap-RFA) and laparoscopic myomectomy in terms of 1) health care utilization and 2) serious complication rates. The secondary objectives were comparison of subject responses to validated symptom and quality-of-life questionnaires. We hypothesized that Lap-RFA health care utilization and clinical outcomes would not be worse than those of laparoscopic myomectomy in the aggregate...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29669639/ethical-implications-of-mandatory-reporting-of-intimate-partner-violence
#2
Kathy Grimley-Baker
Nurses are expected to provide a safe haven for clients. When clients seek the services of nurses, they are vulnerable, and they expect privacy and confi dentiality. Reporting acknowledged or suspected intimate partner violence (IPV) to authorities can impact nurse-client trust relationships. This article discusses the legal ramifi cations of reporting of IPV and their implications in a health care setting.
April 1, 2018: Creative Nursing
https://www.readbyqxmd.com/read/29669428/perception-of-the-quality-of-physiotherapy-care-provided-to-outpatients-from-the-primary-health-care-in-chile
#3
Priscila Reyes, Fabia Puelle, René Mauricio Barría
We explored outpatient's perceptions on the quality of physiotherapy care provided in three urban primary care centers of Valdivia, Chile, through a descriptive phenomenological study. We collected data from 21 participants through semistructured interviews which were analyzed using the Colaizzi approach. Two main themes emerged: quality related to the professional and structure of the care system. Perceptions about the care received from the physiotherapist are influenced by factors such as communication, the way they treat the patient, and the trust established between patient and professional...
January 1, 2018: Evaluation & the Health Professions
https://www.readbyqxmd.com/read/29668307/barriers-and-facilitators-for-clinical-care-engagement-among-hiv-positive-african-american-and-latino-men-who-have-sex-with-men
#4
James W Carey, Neal Carnes, Alisú Schoua-Glusberg, Katherine Kenward, Deborah Gelaude, Damian Denson, Elizabeth Gall, Laura A Randall, Paula M Frew
Achieving optimal health among people living with HIV (PLWH) requires linkage to clinical care upon diagnosis, followed by ongoing engagement in HIV clinical care. A disproportionate number of black/African American and Hispanic/Latino men who have sex with men (MSM) living with HIV do not, however, achieve ongoing care. We conducted semistructured interviews in 2014 with 84 urban black/African American and Hispanic/Latino MSM living with HIV to understand their barriers and facilitators to engagement. We classified men as care-engaged or not at the time of the interview, and conducted content analysis of the interview transcripts to identify barriers and facilitators to engagement...
April 18, 2018: AIDS Patient Care and STDs
https://www.readbyqxmd.com/read/29652227/former-suicidal-inpatients-experiences-of-treatment-and-care-in-psychiatric-wards-in-norway
#5
Julia Hagen, Birthe Loa Knizek, Heidi Hjelmeland
PURPOSE: The purpose of this study is to explore how former suicidal inpatients experienced treatment and care in psychiatric wards in Norway following the implementation of the National guidelines for prevention of suicide in mental health care. The focus of the analysis was on aspects of treatment and care with potential for improvement. METHOD: We interviewed five former inpatients and analysed the data by means of Interpretative Phenomenological Analysis. RESULTS: Experiencing a sense of companionship with the staff and receiving individualized treatment and care was important for the participants...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29650502/prevalence-of-multiple-chronic-conditions-among-older-adults-in-florida-and-the-united-states-comparative-analysis-of-the-oneflorida-data-trust-and-national-inpatient-sample
#6
Zhe He, Jiang Bian, Henry J Carretta, Jiwon Lee, William R Hogan, Elizabeth Shenkman, Neil Charness
BACKGROUND: Older patients with multiple chronic conditions are often faced with increased health care needs and subsequent higher medical costs, posing significant financial burden to patients, their caregivers, and the health care system. The increasing adoption of electronic health record systems and the proliferation of clinical data offer new opportunities for prevalence studies and for population health assessment. The last few years have witnessed an increasing number of clinical research networks focused on building large collections of clinical data from electronic health records and claims to make it easier and less costly to conduct clinical research...
April 12, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29650070/communication-and-ethics-in-the-clinical-examination
#7
REVIEW
Sharon Onguti, Sherine Mathew, Christine Todd
At the heart of every effective patient-physician interaction is a relationship that is built on trust. Cultivating sound communication skills coupled with the awareness and application of ethical principles is integral to this process. One of the foremost challenges in competent practice is negotiating situations that arise at the bedside when such issues as patient autonomy, differing world views, honesty, and cost stewardship come into conflict. It is essential for health care providers to consider how to detect and prioritize these issues as they advocate for high-quality and patient-centered care...
May 2018: Medical Clinics of North America
https://www.readbyqxmd.com/read/29649267/anonymity-preserving-reputation-management-system-for-health-sector
#8
Farhana Jabeen, Zara Hamid, Wadood Abdul, Sanaa Ghouzali, Abid Khan, Saif Ur Rehman Malik, Mansoor Shaukat Khan, Sarfraz Nawaz
In health sector, trust is considered important because it indirectly influences the quality of health care through patient satisfaction, adherence and the continuity of its relationship with health care professionals and the promotion of accurate and timely diagnoses. One of the important requirements of TRSs in the health sector is rating secrecy, which mandates that the identification information about the service consumer should be kept secret to prevent any privacy violation. Anonymity and trust are two imperative objectives, and no significant explicit efforts have been made to achieve both of them at the same time...
2018: PloS One
https://www.readbyqxmd.com/read/29643155/femoral-nerve-block-intervention-in-neck-of-femur-fracture-finof-a-randomised-controlled-trial
#9
Martin Rowlands, Gerrie van de Walt, Jim Bradley, Alexa Mannings, Sarah Armstrong, Nigel Bedforth, Iain K Moppett, Opinder Sahota
OBJECTIVE: Fractured neck of femur is a severely painful condition with significant mortality and morbidity. We investigated whether early and continuous use of femoral nerve block can improve pain on movement and mobility after surgery in older participants with fragility neck of femur fracture. DESIGN: Prospective single-centre, randomised controlled pragmatic trial. SETTING: Secondary care, acute National Health Service Trust, UK. PARTICIPANTS: Participants admitted with a history and examination suggesting fractured neck of femur...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29642973/enhancing-health-literacy-through-co-design-development-of-culturally-appropriate-materials-on-genetic-risk-and-customary-consanguineous-marriage
#10
Parveen Azam Ali, Sarah Salway, Elizabeth Such, Andrew Dearden, Matt Willox
AimTo develop a simple health literacy intervention aimed at supporting informed reproductive choice among members of UK communities practising customary consanguineous marriage. BACKGROUND: The contribution of 'health literacy' to reducing health inequalities and improving primary health-care efficiency is increasingly recognised. Enhancing genetic literacy has received particular attention recently. Consanguineous marriage is customarily practised among some UK minority ethnic communities and carries some increased risk of recessive genetic disorders among offspring compared with unions among unrelated partners...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29642964/strengthening-primary-health-care-through-primary-care-and-public-health-collaboration-the-influence-of-intrapersonal-and-interpersonal-factors
#11
Ruta K Valaitis, Linda O'Mara, Sabrina T Wong, Marjorie MacDonald, Nancy Murray, Ruth Martin-Misener, Donna Meagher-Stewart
AimThe aim of this paper is to examine Canadian key informants' perceptions of intrapersonal (within an individual) and interpersonal (among individuals) factors that influence successful primary care and public health collaboration. BACKGROUND: Primary health care systems can be strengthened by building stronger collaborations between primary care and public health. Although there is literature that explores interpersonal factors that can influence successful inter-organizational collaborations, a few of them have specifically explored primary care and public health collaboration...
April 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29625587/the-norwegian-national-summary-care-record-a-qualitative-analysis-of-doctors-use-of-and-trust-in-shared-patient-information
#12
Kari Dyb, Line Lundvoll Warth
BACKGROUND: This paper explores Norwegian doctors' use of and experiences with a national tool for sharing core patient health information. The summary care record (SCR; the Kjernejournal in Norwegian) is the first national system for sharing patient information among the various levels and institutions of health care throughout the country. The health authorities have invested heavily in the development, implementation and deployment of this tool, and as of 2017 all Norwegian citizens have a personalised SCR...
April 6, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29622025/health-workers-experiences-of-coping-with-the-ebola-epidemic-in-sierra-leone-s-health-system-a-qualitative-study
#13
Joanna Raven, Haja Wurie, Sophie Witter
BACKGROUND: The 2014 Ebola Virus Disease epidemic evolved in alarming ways in Sierra Leone spreading to all districts. The country struggled to control it against a backdrop of a health system that was already over-burdened. Health workers play an important role during epidemics but there is limited research on how they cope during health epidemics in fragile states. This paper explores the challenges faced by health workers and their coping strategies during the Ebola outbreak in four districts - Bonthe, Kenema, Koinadugu and Western Area - of Sierra Leone...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29621866/elder-abuse
#14
Nola M Ries, Elise Mansfield
BACKGROUND: There are growing calls for elder abuse screening to be conducted by a range of community-based service providers, including general practitioners (GPs), practice nurses, home care workers and lawyers. Improved screening may be a valuable first step towards improving elder abuse detection and response; however, practitioners need evidence-based strategies for screening and follow-up. OBJECTIVE: This article summarises several brief screening tools for various forms of elder abuse...
April 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29621443/the-role-of-the-health-care-provider-in-building-trust-between-patients-and-precision-medicine-research-programs
#15
Anitra Persaud, Vence L Bonham
No abstract text is available yet for this article.
April 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29606143/evaluation-of-mindfulness-based-cognitive-therapy-for-life-and-a-cognitive-behavioural-therapy-stress-management-workshop-to-improve-healthcare-staff-stress-study-protocol-for-two-randomised-controlled-trials
#16
Clara Strauss, Jenny Gu, Nikki Pitman, Cavita Chapman, Willem Kuyken, Adrian Whittington
BACKGROUND: Healthcare workers experience higher levels of work-related stress and higher rates of sickness absence than workers in other sectors. Psychological approaches have potential in providing healthcare workers with the knowledge and skills to recognise stress and to manage stress effectively. The strongest evidence for effectiveness in reducing stress in the workplace is for stress-management courses based on cognitive behavioural therapy (CBT) principles and mindfulness-based interventions (MBIs)...
April 2, 2018: Trials
https://www.readbyqxmd.com/read/29603812/patients-experiences-and-care-needs-during-the-diagnostic-phase-of-an-integrated-brain-cancer-pathway-a-case-study
#17
Tina Wang Vedelø, Jens Christian Hedemann Sørensen, Charlotte Delmar
AIM AND OBJECTIVE: To identify and describe patients' experiences and care needs throughout the diagnostic phase of an Integrated Brain Cancer Pathway. BACKGROUND: A malignant brain tumour is a devastating diagnosis, which may cause psychical symptoms and cognitive deficits. Studies have shown that the shock of the diagnosis, combined with the multiple symptoms, affect patients' ability to understand information and express needs of care and support. Unmet needs have been reported within this group of patients, however, the experiences and care needs of patients going through the diagnostic phase of a standardised Integrated Brain Cancer Pathway have not previously been explored...
March 31, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29602238/improving-health-literacy-in-a-japanese-community-population-a-pilot-study-to-develop-an-educational-programme
#18
Hirono Ishikawa, Ikuko Yamaguchi, Don Nutbeam, Mio Kato, Tsuyoshi Okuhara, Masafumi Okada, Takahiro Kiuchi
OBJECTIVE: Although a growing number of interventional studies on health literacy have been conducted recently, the majority were designed in clinical settings, focusing mainly on functional health literacy. This study evaluated a programme designed to improve health literacy in a community population, with a scope of going beyond functional health literacy. METHODS: In collaboration with an Approved Specified Nonprofit organization (NPO), we evaluated a five-session programme designed to provide basic knowledge on health-care policy and systems, current issues in health care in Japan, patient roles and relationships with health-care providers and interpersonal skills...
March 30, 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/29600243/reflections-of-homeless-women-and-women-with-mental-health-challenges-on-breast-and-cervical-cancer-screening-decisions-power-trust-and-communication-with-care-providers
#19
Catherine Claire Moravac
This study conducted in Toronto, Canada, explored the perceptions of women living in homeless shelters and women with severe mental health challenges about the factors influencing their decision-making processes regarding breast and cervical cancer screening. Twenty-six in-depth qualitative interviews were conducted. The objectives of this research were (i) to provide new insights about women's decision-making processes, (ii) to describe the barriers to and facilitators for breast and cervical cancer screening, and (iii) to offer recommendations for future outreach, education, and screening initiatives developed specifically for under/never-screened marginalized women living in urban centers...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29595573/public-health-resilience-checklist-for-high-consequence-infectious-diseases-informed-by-the-domestic-ebola-response-in-the-united-states
#20
Tara Kirk Sell, Matthew P Shearer, Diane Meyer, Hannah Chandler, Monica Schoch-Spana, Erin Thomas, Dale A Rose, Eric G Carbone, Eric Toner
CONTEXT: The experiences of communities that responded to confirmed cases of Ebola virus disease in the United States provide a rare opportunity for collective learning to improve resilience to future high-consequence infectious disease events. DESIGN: Key informant interviews (n = 73) were conducted between February and November 2016 with individuals who participated in Ebola virus disease planning or response in Atlanta, Georgia; Dallas, Texas; New York, New York; or Omaha, Nebraska; or had direct knowledge of response activities...
March 27, 2018: Journal of Public Health Management and Practice: JPHMP
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