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https://www.readbyqxmd.com/read/29280271/paper-1-nursing-as-concrete-philosophy-part-i-risjord-on-nursing-knowledge
#1
Kyriakos Theodoridis
This essay addresses the problem of the essentiality of nursing knowledge and what kind of theory, if any, is essential to nursing practice. The overarching aim of the essay was to argue for the thesis that nursing may be described as a kind of philosophical activity, and, consequently, that philosophy is the kind of "theory" that is essential to nursing practice and to the nursing discipline at large. The essay consists of two papers. The present paper, Part I, is a critical examination of Mark Risjord's discussion of the problem of the theory-practice gap in his Nursing Knowledge: Practice, Science, Philosophy, from 2010...
December 26, 2017: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/29235393/needs-of-people-with-advanced-dementia-in-their-final-phase-of-life-a-multi-perspective-qualitative-study-in-nursing-homes
#2
Holger Schmidt, Yvonne Eisenmann, Heidrun Golla, Raymond Voltz, Klaus Maria Perrar
BACKGROUND: People with advanced dementia present an important target group for palliative care. They suffer a range of symptoms, and their verbal communication abilities are highly restricted. At present, little is known about their needs in the final phase of life. AIM: To identify the needs of people with advanced dementia in their final phase of life and to explore the aspects relevant to first recognize and then meet these needs. DESIGN: Multi-perspective qualitative study using grounded theory methodology conducting group discussions, individual interviews, and participant observation...
December 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/29210333/training-reproductive-health-professionals-in-a-post-conflict-environment-exploring-medical-nursing-and-midwifery-education-in-mogadishu-somalia
#3
Abdiasis Yalahow, Mariam Hassan, Angel M Foster
Following two decades of civil war, Somalia recently entered the post-conflict rebuilding phase that has resulted in the rapid proliferation of higher education institutions. Given the high maternal mortality ratio, the federal government has identified the reproductive health education of health service professionals as a priority. Yet little is known about the coverage of contraception, abortion, pregnancy, childbirth, and sexual and gender-based violence (SGBV) in medicine, nursing, or midwifery. In 2016, we conducted a multi-methods study to understand the reproductive health education and training landscape and identify avenues by which development of the next generation of health service professionals could be improved...
December 6, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29206884/rapid-research-and-implementation-priority-setting-for-wound-care-uncertainties
#4
Trish A Gray, Jo C Dumville, Janice Christie, Nicky A Cullum
INTRODUCTION: People with complex wounds are more likely to be elderly, living with multimorbidity and wound related symptoms. A variety of products are available for managing complex wounds and a range of healthcare professionals are involved in wound care, yet there is a lack of good evidence to guide practice and services. These factors create uncertainty for those who deliver and those who manage wound care. Formal priority setting for research and implementation topics is needed to more accurately target the gaps in treatment and services...
2017: PloS One
https://www.readbyqxmd.com/read/29204103/single-mothering-as-experienced-by-burundian-refugees-in-australia-a-qualitative-inquiry
#5
Lily P Tsai, Jennieffer A Barr, Anthony Welch
Background: Refugee mothers have fled from their homeland to escape persecutions with their children only to find other threats to their well-being in the new country. Building on previous research, it is known that being a new immigrant is challenging and requires adaptation. The adaptation process, known as acculturation, may not be successful leading to psychological distress. It is also known that a generation gap can occur when children acculturate faster than their parents. What was lacking was understanding about the experiences of single refugee mothers...
2017: BMC Nursing
https://www.readbyqxmd.com/read/29199521/electronic-nicotine-delivery-systems-ends-what-nurses-need-to-know
#6
Carol Essenmacher, Madeline Naegle, Carolyn Baird, Bridgette Vest, Rene Spielmann, Marie Smith-East, Leigh Powers
BACKGROUND: Efforts to decrease adverse effects of tobacco use are affected by emergence of new nicotine delivery products. Advertising, product promotion, and social media promote use of these products, yet a lack of evidence regarding safety leaves nurses unprepared to counsel patients. OBJECTIVES: To critically evaluate current research, reviews of literature, expert opinion, and stakeholder policy proposals on use and safety of electronic nicotine delivery systems (ENDS)...
December 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29122188/identifying-a-practice-based-implementation-framework-for-sustainable-interventions-for-improving-the-evolving-working-environment-hitting-the-moving-target-framework
#7
Helene Højberg, Charlotte Diana Nørregaard Rasmussen, Richard H Osborne, Marie Birk Jørgensen
Our aim was to identify implementation components for sustainable working environment interventions in the nursing assistant sector to generate a framework to optimize the implementation of workplace improvement initiatives. The implementation framework was informed by: 1) an industry advisory group, 2) interviews with key stakeholder, 3) concept mapping workshops, and 4) an e-mail survey. Thirty five stakeholders were interviewed and contributed in the concept mapping workshops. Eleven implementation components were derived across four domains: 1) A supportive organizational platform, 2) An engaged workplace with mutual goals, 3) The intervention is sustainably fitted to the workplace, and 4) the intervention is an attractive choice...
February 2018: Applied Ergonomics
https://www.readbyqxmd.com/read/29114106/designing-and-implementation-of-a-heart-failure-telemonitoring-system
#8
Reza Safdari, Maryam Jafarpour, Mehrshad Mokhtaran, Nasim Naderi
Introduction: The aim of this study was to identify patients at-risk, enhancing self-care management of HF patients at home and reduce the disease exacerbations and readmissions. Method: In this research according to standard heart failure guidelines and Semi-structured interviews with 10 heart failure Specialists, a draft heart failure rule set for alerts and patient instructions was developed. Eventually, the clinical champion of the project vetted the rule set...
September 2017: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29019525/the-practice-of-reporting-adverse-events-in-a-teaching-hospital
#9
Andréia Guerra Siman, Simone Graziele Silva Cunha, Maria José Menezes Brito
OBJECTIVE: Understanding the practice of reporting adverse events by health professionals. METHOD: A qualitative case study carried out in a teaching hospital with participants of the Patient Safety Center and the nursing team. The collection took place from May to December 2015, and was conducted through interviews, observation and documentary research to treat the data using Content Analysis. RESULTS: 31 professionals participated in the study...
October 9, 2017: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/28992756/the-paradox-of-safety-in-medication-management
#10
Sara F Hawkins, Nancy A Nickman, Janice M Morse
The reduction of medication errors is largely dependent upon the structure of the medication management system and the role of the pharmacist in the acute care setting. The significance of this claim became evident in an ethnographic study of nurses' work in which data were generated from extensive observations, formal interviews, and document reviews. Each step of medication management-from ordering to administering-was microanalyzed, and spaces and places for error emerged. Results revealed medication errors defined by proximity to the patient...
October 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28971416/vhmentor-an-ontology-supported-mobile-agent-system-for-pervasive-health-care-monitoring
#11
Stella C Christopoulou, Theodore Kotsilieris, Ioannis Anagnostopoulos, Christos-Nikolaos Anagnostopoulos, Phivos Mylonas
Healthcare provision is a set of activities that demands the collaboration of several stakeholders (e.g. physicians, nurses, managers, patients etc.) who hold distinct expertise and responsibilities. In addition, medical knowledge is diversely located and often shared under no central coordination and supervision authority, while medical data flows remain mostly passive regarding the way data is delivered to both clinicians and patients. In this paper, we propose the implementation of a virtual health Mentor (vhMentor) which stands as a dedicated ontology schema and FIPA compliant agent system...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28965718/efficacy-and-immunogenicity-of-a-vi-tetanus-toxoid-conjugate-vaccine-in-the-prevention-of-typhoid-fever-using-a-controlled-human-infection-model-of-salmonella-typhi-a-randomised-controlled-phase-2b-trial
#12
Celina Jin, Malick M Gibani, Maria Moore, Helene B Juel, Elizabeth Jones, James Meiring, Victoria Harris, Jonathan Gardner, Anna Nebykova, Simon A Kerridge, Jennifer Hill, Helena Thomaides-Brears, Christoph J Blohmke, Ly-Mee Yu, Brian Angus, Andrew J Pollard
BACKGROUND: Salmonella enterica serovar Typhi (S Typhi) is responsible for an estimated 20 million infections and 200 000 deaths each year in resource poor regions of the world. Capsular Vi-polysaccharide-protein conjugate vaccines (Vi-conjugate vaccines) are immunogenic and can be used from infancy but there are no efficacy data for the leading candidate vaccine being considered for widespread use. To address this knowledge gap, we assessed the efficacy of a Vi-tetanus toxoid conjugate vaccine using an established human infection model of S Typhi...
September 28, 2017: Lancet
https://www.readbyqxmd.com/read/28902699/experiences-of-and-support-for-nurses-as-second-victims-of-adverse-nursing-errors-a-qualitative-systematic-review
#13
C J Cabilan, Kathryn Kynoch
BACKGROUND: Second victims are clinicians who have made adverse errors and feel traumatized by the experience. The current published literature on second victims is mainly representative of doctors, hence nurses' experiences are not fully depicted. This systematic review was necessary to understand the second victim experience for nurses, explore the support provided, and recommend appropriate support systems for nurses. OBJECTIVES: To synthesize the best available evidence on nurses' experiences as second victims, and explore their experiences of the support they receive and the support they need...
September 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28895974/intergenerational-program-for-nursing-home-residents-and-adolescents-in-korea
#14
Jaehyeon Kim, Jia Lee
Structural changes in the Korean population, such as a growing trend toward nuclear families and urbanization, have given rise to a generational gap between older adults and the younger generation. The current study developed a 6-week intergenerational program to facilitate interactions between nursing home residents and high school students. The effects of the program were examined in 120 participants (60 nursing home residents and 60 high school students) in the southern area of South Korea. The intergenerational program helped nursing home residents rediscover the value of their lives, have positive feelings about their lives, and adapt to circumstances through the sustained positive interactions with the younger generation...
September 12, 2017: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/28792780/an-update-nih-research-funding-for-palliative-medicine-2011-2015
#15
Elizabeth Brown, R Sean Morrison, Laura P Gelfman
BACKGROUND: The evidence base to support palliative care clinical practice is inadequate and opportunities to improve the palliative care evidence base remain despite the field's rapid growth. OBJECTIVE: To examine current NIH funding of palliative medicine research, changes since our 2013 report, and trends since our 2008 report. DESIGN: We sought to identify NIH funding of palliative medicine from 2011 to 2015 in two stages: (I) we searched the NIH grants database "RePorter" for grants with key words "palliative care," "end-of-life care," "hospice," and "end of life" and (II) we identified palliative care researchers likely to have secured NIH funding using three strategies...
August 9, 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/28783489/improving-delirium-recognition-and-assessment-for-people-receiving-inpatient-palliative-care-a-mixed-methods-meta-synthesis
#16
Annmarie Hosie, Meera Agar, Elizabeth Lobb, Patricia M Davidson, Jane Phillips
BACKGROUND: Delirium is a serious acute neurocognitive condition frequently occurring for hospitalized patients, including those receiving care in specialist palliative care units. There are many delirium evidence-practice gaps in palliative care, including that the condition is under-recognized and challenging to assess. OBJECTIVES: To report the meta-synthesis of a research project investigating delirium epidemiology, systems and nursing practice in palliative care units...
July 12, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28768945/background-on-establishing-a-working-group-to-create-home-clinical-cases-for-education
#17
REVIEW
Taketo Yoshitake
In Japan there are concerns that there will be a surge in social insurance costs such as medical and nursing care expenses as a result of the baby boom generation reaching the late stages of old age (75 years old and beyond) around 2025 ("The 2025 Problem"). In 2012, the "Outline on Social Insurance and Tax Reform" was approved by the Japanese cabinet and government, including "construction of regional comprehensive care". To promote participation in home medical care by pharmacists, this article presents the roles demanded of pharmacists in regional comprehensive care from the standpoint of physicians, and the discussion of case studies bridging the gap from knowledge learned in lectures to practical applications...
2017: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
https://www.readbyqxmd.com/read/28751491/pediatric-chronic-critical-illness-reducing-excess-hospitalizations
#18
Renee D Boss, Erin P Williams, Carrie M Henderson, Rebecca R Seltzer, Miriam C Shapiro, Emily Hahn, Nancy Hutton
OBJECTIVES: The past 2 decades have seen an expanding pediatric population that is chronically critically ill: children with repeated and prolonged hospitalizations and ongoing dependence on technologies to sustain vital functions. Although illness complexity prompts many hospitalizations, our goal with this study was to explore modifiable patient, family, and health system contributions to excess hospital days for children with chronic critical illness (CCI). METHODS: Semistructured interviews were conducted with 51 stakeholders known for their CCI expertise...
July 27, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28610754/power-and-ambivalence-in-intergenerational-communication-deciding-to-institutionalize-in-shanghai
#19
Lin Chen
China's tradition of taking care of one's aging parents continues to evolve, as evidenced by the growth in nursing home residents in Shanghai. However, how these families make the decision to institutionalize remains unclear. To fill this gap, this study draws on power relations to examine communication dynamics when oldest-old and their adult children decide to institutionalize. This study used a phenomenological approach. Twelve dyads of matched elderly residents and their children participated in face-to-face, in-depth interviews (N=24)...
April 2017: Journal of Aging Studies
https://www.readbyqxmd.com/read/28568962/rhetoric-versus-reality-the-role-of-research-in-deconstructing-concepts-of-caring
#20
Dawn Freshwater, Jane Cahill, Philip Esterhuizen, Tessa Muncey, Helen Smith
Our aim was to employ a critical analytic lens to explicate the role of nursing research in supporting the notion of caring realities. To do this, we used case exemplars to illustrate the infusion of such discourses. The first exemplar examines the fundamental concept of caring: using Florence Nightingale's Notes on Nursing, the case study surfaces caring as originally grounded in ritualized practice and subsequently describes its transmutation, via competing discourses, to a more holistic concept. It is argued that in the many and varied attempts to define the dynamic concept of care, caring has now become paradoxically, a more fragmented concept despite attempts to render it more holistic and inclusive...
May 31, 2017: Nursing Philosophy: An International Journal for Healthcare Professionals
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