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https://www.readbyqxmd.com/read/29333497/work-efficiency-improvement-of-90-after-implementation-of-an-annual-inpatient-blood-products-administration-consent-form
#1
Holly Lindsay, Saleh Bhar, Challice Bonifant, Sarah Sartain, Sarah B Whittle, Youngna Lee-Kim, Mona D Shah
Paediatric haematology, oncology and bone marrow transplant (BMT) patients frequently require transfusion of blood products. Our institution required a new transfusion consent be obtained every admission. The objectives of this project were to: revise inpatient blood products consent form to be valid for 1 year, decrease provider time spent consenting from 15 to <5 min per admission, and improve provider frustration with the consent process. Over 6 months, we determined the average number of hospitalisations requiring transfusions in a random sampling of haematology/oncology/BMT inpatients...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29330169/inter-rater-reliability-in-the-paediatric-observation-priority-score-pops
#2
Lisa Langton, Adam Bonfield, Damian Roland
OBJECTIVE: The primary objective of this study was to determine the level of inter-rater reliability between nursing staff for the Paediatric Observation Priority Score (POPS). DESIGN: Retrospective observational study. SETTING: Single-centre paediatric emergency department. PARTICIPANTS: 12 participants from a convenience sample of 21 nursing staff. INTERVENTIONS: Participants were shown video footage of three pre-recorded paediatric assessments and asked to record their own POPS for each child...
January 12, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29310644/challenges-and-opportunities-for-healthcare-workers-in-a-rural-district-of-chad
#3
Fabienne N Jaeger, Mahamat Bechir, Moumini Harouna, Daugla D Moto, Jürg Utzinger
BACKGROUND: Trained healthcare workers are an essential resource for effective health systems. However, healthcare workers' perspective on healthcare, the challenges they face to provide quality health services, and opportunities to improve motivation and providing adequate care are rarely investigated in resource-constrained settings of sub-Saharan Africa. METHODS: All reachable nurses of Abou Deia, a primarily rural district in the south-eastern part of Chad, were invited to participate...
January 8, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29280602/coloured-patient-folders-the-little-things-making-a-difference-for-the-bedside-nurse
#4
Jennifer Sloane
Jointly initiated by Monash Children's and The Royal Children's Hospital (RCH), The Victorian Children's Tool for Observation and Response project known as VICTOR (www.victor.org.au) is a sector-led project funded by the Victorian Paediatric Clinical Network.
May 2017: Australian Nursing & Midwifery Journal
https://www.readbyqxmd.com/read/29244168/factors-to-consider-in-the-introduction-of-huddles-on-clinical-wards-perceptions-of-staff-on-the-safe-programme
#5
Emily Stapley, Evelyn Sharples, Peter Lachman, Monica Lakhanpaul, Miranda Wolpert, Jessica Deighton
Objectives: To explore paediatric hospital staff members' perceptions of the emerging benefits and challenges of the huddle, a new safety improvement initiative, as well as the barriers and facilitators to its implementation. Design: A qualitative study was conducted using semi-structured interviews to explore staff perspectives and experiences. Setting: Situation Awareness For Everyone (SAFE), a safety improvement programme, was implemented on a sample of National Health Service (NHS) paediatric wards from September 2014 to June 2016...
December 13, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29237400/accuracy-of-acute-burns-diagnosis-made-using-smartphones-and-tablets-a-questionnaire-based-study-among-medical-experts
#6
Lisa Blom, Constance Boissin, Nikki Allorto, Lee Wallis, Marie Hasselberg, Lucie Laflamme
BACKGROUND: Remote assistance for burns by medical experts can support nurses and general physicians in emergency care with diagnostic and management advice. Previous studies indicate a high diagnostic accuracy based on images viewed on a computer screen, but whether image-based analysis by experts using handheld devices is accurate remains to be determined. METHOD: A review of patient data from eight emergency centres in the Western Cape, South Africa, revealed 10 typical cases of burns commonly seen in children and adults...
December 13, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29230952/children-tolerate-intradialytic-oral-nutrition
#7
Andrew M South, Bonnie Fainman, Scott M Sutherland, Cynthia J Wong
BACKGROUND: People undergoing haemodialysis (HD) often have poor nutrition, which in turn can contribute to worse outcomes. Inadequate nutrition has a particularly deleterious effect on growth and neurocognitive development, as well as mortality, in children and adolescents. Nutritional supplementation can improve outcomes but can be difficult to administer. OBJECTIVE: Determine the tolerability of intradialytic oral nutrition in children and adolescents. DESIGN: A cross-sectional quality improvement study in an outpatient paediatric HD unit...
December 12, 2017: Journal of Renal Care
https://www.readbyqxmd.com/read/29224575/a-systematic-review-of-patient-reported-outcome-measures-in-paediatric-otolaryngology
#8
J Powell, S Powell, A Robson
BACKGROUND: Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed...
December 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29223665/guidelines-and-checklists-for-short-term-missions-in-global-pediatric-surgery-recommendations-from-the-american-academy-of-pediatrics-delivery-of-surgical-care-global-health-subcommittee-american-pediatric-surgical-association-global-pediatric-surgery-committee
#9
REVIEW
Marilyn Butler, Elizabeth Drum, Faye M Evans, Tamara Fitzgerald, Jason Fraser, Ai-Xuan Holterman, Howard Jen, J Matthew Kynes, Jenny Kreiss, Craig D McClain, Mark Newton, Benedict Nwomeh, James O'Neill, Doruk Ozgediz, George Politis, Henry Rice, David Rothstein, Julie Sanchez, Mark Singleton, Francine S Yudkowitz
INTRODUCTION: Pediatric surgeons, anesthesia providers, and nurses from North America and other high-income countries (HICs) are increasingly engaged in resource-limited areas, with short-term missions (STMs) as the most common form of involvement. However, consensus recommendations currently do not exist for STMs in pediatric general surgery and associated perioperative care. METHODS: The American Academy of Pediatrics (AAP) Delivery of Surgical Care Subcommittee and American Pediatric Surgical Association (APSA) Global Pediatric Surgery Committee, with the American Pediatric Surgical Nurses Association, Inc...
November 15, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29222137/benefits-of-probiotics-in-preterm-neonates-in-low-income-and-medium-income-countries-a-systematic-review-of-randomised-controlled-trials
#10
Girish Deshpande, Gayatri Jape, Shripada Rao, Sanjay Patole
OBJECTIVE: Although there is an overall reduction in underfive mortality rate, the progress in reducing neonatal mortality rate has been very slow. Over the last 20 years, preterm births have steadily increased in low-income and medium-income countries (LMICs) particularly in sub-Saharan Africa and South Asia. Preterm birth is associated with increased mortality and morbidity, particularly in LMICs. Based on systematic reviews of randomised controlled trials (RCTs), many neonatal units in high-income countries have adopted probiotics as standard of care for preterm neonates...
December 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/29220709/self-reported-influenza-vaccination-rates-and-attitudes-towards-vaccination-among-health-care-workers-results-of-a-survey-in-a-german-university-hospital
#11
M H Hagemeister, N K Stock, T Ludwig, P Heuschmann, U Vogel
OBJECTIVES: The objective of this survey was to analyse vaccination rates and attitudes towards vaccination among health care workers (HCWs). The period prevalence of self-reported acute respiratory infections in the influenza season 2014/2015 was examined. STUDY DESIGN: A cross-sectional study was conducted among HCWs of a German university hospital using an anonymised questionnaire. Recruitment was performed by providing all medical and nursing staff a paper questionnaire with an invitation to participate...
December 5, 2017: Public Health
https://www.readbyqxmd.com/read/29216874/factors-influencing-the-experience-of-sexual-and-reproductive-healthcare-for-female-adolescents-with-perinatally-acquired-hiv-a-qualitative-case-study
#12
Gertrude Mwalabu, Catrin Evans, Sarah Redsell
BACKGROUND: Young people living with perinatally-acquired HIV require age-appropriate support regarding sex and relationships as they progress towards adulthood. HIV affects both genders but evidence suggests that young women are particularly vulnerable to sexual abuse and more prone to engaging in sexual behaviours to meet their daily survival needs. This can result in poor sexual and reproductive health (SRH) outcomes. HIV services in Malawi provide support for young women's HIV-related clinical needs, but it is unclear whether there is sufficient provision for their SRH needs as they become adults...
December 8, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29210143/sudden-death-in-paediatrics-as-a-traumatic-experience-for-critical-care-nurses
#13
Lígia Lima, Sandra Gonçalves, Cândida Pinto
BACKGROUND: Research shows that nurses working in critical care units and in particular, paediatric units, are at risk of developing symptoms of secondary traumatic stress (STS). However, little attention has been given to this phenomenon when associated with situations of sudden death in paediatrics. AIM: This study aimed to examine the impact of sudden death in paediatrics on nurses working in paediatrics critical care units and to explore nurses' experiences of this event...
December 5, 2017: Nursing in Critical Care
https://www.readbyqxmd.com/read/29206360/effect-of-a-children-s-at-home-nursing-team-on-reducing-emergency-admissions
#14
Laura Farnham, Hannah Harwood, Meredith Robertson
This article explores the effect of a children's at-home nursing team, Hospital at Home (H@H), which aimed to reduce demand on acute hospital beds, support families to improve patient experience, and empower parents to care safely for their unwell children and help prevent emergency department (ED) reattendance. Data on demographics and clinical presentation of H@H and ED attendances were collected and compared. A survey measuring parents' confidence in managing their unwell children was also conducted. Of 72 patients treated by the H@H service between May and July 2016, 32 (44%) would have been admitted to hospital from the ED if the H@H service had not existed...
December 5, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29203343/wide-variation-in-organisation-and-clinical-practice-of-paediatric-intestinal-failure-teams-an-international-survey
#15
Esther Neelis, Barbara de Koning, Myriam van Winckel, Merit Tabbers, Susan Hill, Jessie Hulst
BACKGROUND & AIMS: We aimed to assess the current organisation and clinical practice of teams treating children with intestinal failure (IF) across Europe and compare the results with the current guideline. METHODS: A two-part online survey was sent to all the major European specialist IF services. The first part concerned general information about the team and patients monitored. The second part concerned important care topics such as vascular access and monitoring of complications...
November 22, 2017: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29198257/global-perspective-on-training-and-staffing-for-paediatric-cardiac-critical-care
#16
Ronald A Bronicki, Uri Pollak, Andrew C Argent, R Krishna Kumar, Maria Balestrini, Paola Cogo, Bruna Cury Borim, Kumi De Costa, John Beca, Naoki Shimizu, Troy E Dominguez
This manuscript provides a global perspective on physician and nursing education and training in paediatric cardiac critical care, including available resources and delivery of care models with representatives from several regions of the world including Africa, Israel, Asia, Australasia, Europe, South America, and the United States of America.
December 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29176312/validation-of-a-paediatric-speech-and-language-screening-ralf
#17
Marisa Lousada, Ana Rita S Valente, Ana Mendes
BACKGROUND/AIMS: This study aims to analyse psychometric characteristics of the Portuguese Paediatric Speech and Language Screening (RALF) test. METHODS: 202 Portuguese children aged 3; 0-5; 11 were recruited from 4 kindergartens participating in this study. Reliability and validity (sensitivity and specificity) data were obtained and analysed. RESULTS: Content validity, analysed by an expert panel (general practitioner, kindergarten, teacher, nurse, and speech and language pathologist) revealed that the items were representative and relevant for the content the instrument intends to measure...
October 26, 2017: Folia Phoniatrica et Logopaedica
https://www.readbyqxmd.com/read/29171079/a-survey-of-staffing-levels-in-paediatric-diabetes-services-throughout-the-uk
#18
D Charalampopoulos, R Amin, J T Warner, R M Viner, F Campbell, J A Edge, T Stephenson
AIMS: To assess staffing levels of healthcare professionals involved in the care of children and young people with diabetes in the UK. METHODS: A web-based questionnaire was distributed to lead consultant paediatricians from all paediatric diabetes services in the UK between October and December 2014. Data on staffing levels and other aspects of diabetes services were collected and differences between the four nations of the UK and across the 10 English diabetes networks were explored...
November 24, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/29170354/57%C3%A2-support-for-suddenly-bereaved-parents-in-the-emergency-unit
#19
Emily Jones, Steffan Simpson
: The Paediatric Emergency Unit at the University Hospital of Wales provides care for over 33 000 children per year. There was no provision in place to support suddenly bereaved families. Staff felt that we could improve the services provided to families who's children sadly died in the unit.The aim was to provide immediate support for the suddenly bereaved families by working in partnership with local Charity 2 Wish Upon a Star. Together we created a Standard Operating Procedure (SOP) that consisted of a checklist and pathway allowing us to refer relatives for immediate physical and emotional support...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29170350/53%C3%A2-piloting-patch-providing-assessment-and-treatment-for-children-at-home-and-piecing-together-what-works
#20
Caroline Ward, Katie Knight, Mary-Rose Ballard, Georgina Keogh, Miriam Samuel, Sara Buttle, Claire Robb, Francesca Cleugh
AIMS: PATCH is a pilot acute community children's nurse led service delivering assessment and treatment for children at home who are moderately unwell and might otherwise be admitted to hospital or attend Paediatric Emergency Department (PED). Children are referred by PED or GP and followed up via telephone support and home visits depending on clinical need for duration of acute illness. METHODS: Pilot year funded by Imperial Charity. Using evaluation to build business case for sustained commissioned service...
December 2017: Emergency Medicine Journal: EMJ
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