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https://www.readbyqxmd.com/read/29787309/predicting-intensive-care-unit-readmission-with-machine-learning-using-electronic-health-record-data
#1
Juan C Rojas, Kyle A Carey, Dana P Edelson, Laura R Venable, Michael D Howell, Matthew M Churpek
RATIONALE: Patients transferred from the intensive care unit (ICU) to the wards who are later readmitted to the ICU have increased length of stay, healthcare expenditure, and mortality compared to those who are never readmitted. Improving risk-stratification for patients transferred to the wards could have important benefits for critically ill hospitalized patients. OBJECTIVE: We aimed to use a machine-learning technique to derive and validate an ICU readmission prediction model with variables available in the electronic health record (EHR) in real-time and compare it to previously published algorithms...
May 22, 2018: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/29784229/burnout-evaluation-and-potential-predictors-in-a-greek-cohort-of-mental-health-nurses
#2
Adamos-Konstantinos Konstantinou, Konstantinos Bonotis, Maria Sokratous, Vasileios Siokas, Efthimios Dardiotis
BACKGROUND: Job burnout is one of the most serious occupational health hazards, especially, among mental health nurses. It has been attributed among others to staff shortages, health service changes, poor morale and insufficient employee participation in decision-making. AIM: The aim of this study was to measure burnout among mental health nurses, investigate relations between burnout and organizational factors and examine potential predictors of nurses' burnout...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29775969/the-scale-on-community-care-perceptions-scope-for-nursing-students-a-development-and-psychometric-validation-study
#3
Margriet van Iersel, Rien de Vos, Corine Latour, Paul A Kirschner, Wilma Scholte Op Reimer
The aim of this study was to develop a valid instrument to measure student nurses' perceptions of community care (SCOPE). DeVellis' staged model for instrument development and validation was used. Scale construction of SCOPE was based on existing literature. Evaluation of its psychometric properties included exploratory factor analysis and reliability analysis. After pilot-testing, 1062 bachelor nursing students from six institutions in the Netherlands (response rate 81%) took part in the study. SCOPE is a 35-item scale containing: background variables, 11 measuring the affective component, 5 measuring community care perception as a placement, 17 as a future profession, and 2 on the reasons underlying student preference...
May 11, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29768733/assessment-of-nursing-workload-in-adult-psychiatric-inpatient-units-a-scoping-review
#4
REVIEW
C Sousa, P Seabra
DFINTRODUCTION: No systematic reviews on measurement tools in adult psychiatric inpatient settings exist in the literature, and thus, further research is required on ways to identify approaches to calculate safe nurse staffing levels based on patients' care needs in adult psychiatric inpatient units. AIM: To identify instruments that enable an assessment of nursing workload in psychiatric settings. Method A scoping review was conducted. RESULTS: Four studies were identified, with five instruments used to support the calculation of staff needs and workload...
May 16, 2018: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29762982/the-role-and-experiences-of-advanced-nurse-practitioners-working-in-out-of-hours-urgent-care-services-in-a-primary-care-setting
#5
Jacci Yuill
GPs' workload has increased significantly in recent years affecting their ability to provide high-quality services, and consequently there is increasing focus on nurses to provide a solution. There is little evidence of how advanced nurse practitioners (ANPs) experience their role in out of hours (OOH) services, and it is important to understand their perceptions of this and the challenges they may face in supporting service development and improvement. This article evaluates the role and experiences of ANPs working in an OOH urgent primary care service and identifies important factors that affect their roles...
May 15, 2018: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/29760030/nurse-practitioner-physician-comanagement-a-theoretical-model-to-alleviate-primary-care-strain
#6
Allison A Norful, Krystyna de Jacq, Richard Carlino, Lusine Poghosyan
PURPOSE: Various models of care delivery have been investigated to meet the increasing demands in primary care. One proposed model is comanagement of patients by more than 1 primary care clinician. Comanagement has been investigated in acute care with surgical teams and in outpatient settings with primary care physicians and specialists. Because nurse practitioners are increasingly managing patient care as independent clinicians, our study objective was to propose a model of nurse practitioner-physician comanagement...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29754395/nurses-needs-for-care-robots-in-integrated-nursing-care-services
#7
Jai-Yon Lee, Young Ae Song, Ji Young Jung, Hyun Jeong Kim, Bo Ram Kim, Hyun-Kyung Do, Jae-Young Lim
AIMS: To determine the need for care robots among nurses and to suggest how robotic care should be prioritized in an integrated nursing care services. BACKGROUND: Korea is expected to be a super-aged society by 2030. To solve care issues with elderly inpatient caused by informal caregivers, the government introduced 'integrated nursing care services'; these are comprehensive care systems staffed by professionally trained nurses. To assist them, a care robot development project has been launched...
May 13, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29753000/early-enforced-mobilization-after-liver-resection-a-prospective-randomized-controlled-trial
#8
Chun-Yan Ni, Zhi-Hong Wang, Zhi-Ping Huang, Hui Zhou, Li-Juan Fu, Hui Cai, Xuan-Xuan Huang, Yuan Yang, Hui-Fen Li, Wei-Ping Zhou
OBJECTIVE: This randomized controlled study investigated the feasibility of early ambulation after liver resection and the effect of the amount of activity on postoperative recovery. METHODS: A total of 120 patients who underwent liver resection were randomly divided into two groups for the comparative analysis of the following factors: amount of activity, pain control, sleeping state, perioperative gastrointestinal function recovery, incidence of complications and postoperative hospital stay...
May 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29748153/a-prospective-analysis-of-unplanned-patient-initiated-contacts-in-an-adult-cystic-fibrosis-centre
#9
Espérie Burnet, Dominique Hubert, Juliette Champreux, Isabelle Honoré, Reem Kanaan, Rosewilta Panzo, Pierre-Régis Burgel
BACKGROUND: Timely response should be provided when patients contact the cystic fibrosis (CF) centre in between scheduled visits. Little data exist on unplanned patient-initiated contacts in CF adults. METHODS: A two-stage prospective study was undertaken from 1 January to 31 December 2015 at Cochin Hospital, Paris (France). The first stage included all adults (≥18 years) who initiated unplanned contacts to the CF centre over four months. Four physicians and three nurses systematically recorded unplanned patient-initiated contacts...
May 7, 2018: Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society
https://www.readbyqxmd.com/read/29744305/evaluating-the-relationship-between-job-stress-and-job-satisfaction-among-female-hospital-nurses-in-babol-an-application-of-structural-equation-modeling
#10
Majid Bagheri Hosseinabadi, Siavash Etemadinezhad, Narges Khanjani, Omran Ahmadi, Hemat Gholinia, Mina Galeshi, Seyed Ehsan Samaei
Background: This study was designed to investigate job satisfaction and its relation to perceived job stress among hospital nurses in Babol County, Iran. Methods: This cross-sectional study was conducted on 406 female nurses in 6 Babol hospitals. Respondents completed the Minnesota Satisfaction Questionnaire (MSQ), the health and safety executive (HSE) indicator tool and a demographic questionnaire. Descriptive, analytical and structural equation modeling (SEM) analyses were carried out applying SPSS v. 22 and AMOS v...
2018: Health Promotion Perspectives
https://www.readbyqxmd.com/read/29737884/the-impact-of-shift-work-on-eating-patterns-and-self-care-strategies-utilised-by-experienced-and-inexperienced-nurses
#11
Jane Gifkins, Amy Johnston, Rebecca Loudoun
For nurses, shift work is a necessity, required to provide 24-h continuous care for patients. Research posits that fatigue amongst shift-working nurses is associated with inadequate and poorly timed sleep and also strongly influenced by the timing, quality and quantity of food consumed. The aim of this investigation was to examine differences and similarities in the food choices and eating patterns of nurses exposed to different lengths of time in shift work, as a means of understanding how nurses can adapt their eating patterns to better manage fatigue and sleep loss...
May 8, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29729050/staff-members-ambivalence-on-caring-for-patients-with-multidrug-resistant-bacteria-at-their-end-of-life-a-qualitative-study
#12
Johanna M Tiedtke, Stephanie Stiel, Maria Heckel, Franziska A Herbst, Alexander Sturm, Cornel Sieber, Christoph Ostgathe, Frieder R Lang
AIMS AND OBJECTIVES: To explore healthcare professionals' personal experiences, feelings, and attitudes about caring for hospitalized patients with multidrug-resistant bacteria in palliative and geriatric care. BACKGROUND: Working in end-of-life care involves at times burdening demands that affect not only healthcare professionals personally but also their actions. It is suggested that multidrug-resistant bacteria and their consequences for colonized or infected patients in hospitals are among the challenges for all professionals in end-of-life care...
May 5, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29726418/improving-fluid-management-in-critical-care-towards-the-icu-of-the-future
#13
Katharina Bergmoser, Lucas Pflanzl-Knizacek, Matthias Hafner, Gernot Schilcher, Christian Baumgartner
BACKGROUND: The calculation of daily fluid balances is essential in perioperative and postoperative fluid management in order to prevent severe hypervolemia or hypovolemia in critically ill patients. In this context, modern health information technology has the potential to reduce the workload for health care professionals by not only automating data collection but also providing appropriate decision support. OBJECTIVES: Within this work, current problems and barriers regarding fluid balancing in cardiac intensive care patients are outlined and improvement activities are specified...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29724443/advocating-for-greater-usability-in-clinical-technologies-the-role-of-the-practicing-nurse
#14
REVIEW
Karen Dunn Lopez, Linda Fahey
Health care, especially ICUs, rely on multiple types of technology to promote the best patient outcomes. Unfortunately, too often these technologies are poorly designed, causing errors, additional workload, and unnecessary frustration. The purpose of this article is to (1) empower nurses with the needed usability and usability testing vocabulary to identify and articulate clinical technology usability problems and (2) provide ideas on ways nurses can advocate to have an impact on positive change related to technology usability within a health care organization...
June 2018: Critical Care Nursing Clinics of North America
https://www.readbyqxmd.com/read/29718523/cost-effective-virtual-clinical-site-visits-for-nurse-practitioner-students
#15
Suzanne Alton, Sheba A Luke, Maureen Wilder
BACKGROUND: Clinical site visits (CSVs) are critical to assess the progress of nurse practitioner (NP) students. To overcome the challenges of effectively assessing long-distance students while maintaining a reasonable faculty workload, faculty implemented a project using FaceTime® to conduct online CSVs to assess NP student progress. FaceTime is a videoconferencing program available on Apple® devices. METHOD: Site visits were conducted by school of nursing faculty with real-time observation of the NP student-patient encounter...
May 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29699010/-analyzing-the-mental-health-status-and-its-impact-factors-among-female-nurses-in-china
#16
Y Tong, Z Q Jiang, Y X Zhang, J L Jia, W Lu, J Wang, H J Tang, M Zhang, X N Guo, T Li, H Y Jiang, W L Yu, J L Lou
Objective: To analyze the mental health status and its impact factors among nurses, finding ways to improve the mental health of nurses. Methods: A total of 13 425 female healthcare workers aged from 18 to 65 were selected as study objects. The survey was conducted with unified design questionnaire. The survey included the basic situation of the individuals and SCL-90 questionnaire. Comparing the female doctors, the mental health status and its impact factors of nurses were analyzed. Results: The income, age, education and occupation, which include shift work, heavy work load and overtime work are different between nurses and doctors...
February 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/29691843/a-systems-approach-to-identify-factors-influencing-adverse-drug-events-in-nursing-homes
#17
Ali Azeez Al-Jumaili, William R Doucette
The objectives of the study were to identify the incidence rate and characteristics of adverse drug events (ADEs) in nursing homes (NHs) using the ADE trigger tool and to evaluate the relationships between resident and facility work system factors and incidence of ADEs using the System Engineering Initiative for Patient Safety (SEIPS) model. The study used 2 observational quantitative methods, retrospective resident chart extraction, and surveys. The participating staff included Directors of nursing, registered nurses, certified nurse assistants (CNAs)...
April 24, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29691240/nursing-workload-patient-safety-incidents-and-mortality-an-observational-study-from-finland
#18
Lisbeth Fagerström, Marina Kinnunen, Jan Saarela
OBJECTIVE: To investigate whether the daily workload per nurse (Oulu Patient Classification (OPCq)/nurse) as measured by the RAFAELA system correlates with different types of patient safety incidents and with patient mortality, and to compare the results with regressions based on the standard patients/nurse measure. SETTING: We obtained data from 36 units from four Finnish hospitals. One was a tertiary acute care hospital, and the three others were secondary acute care hospitals...
April 24, 2018: BMJ Open
https://www.readbyqxmd.com/read/29689048/mapping-nurses-activities-in-surgical-hospital-wards-a-time-study
#19
W F J M van den Oetelaar, H F van Stel, W van Rhenen, R K Stellato, W Grolman
BACKGROUND: Balancing the number of nursing staff in relation to the number of patients is important for hospitals to remain efficient and optimizing the use of resources. One way to do this is to work with a workload management method. Many workload management methods use a time study to determine how nurses spend their time and to relate this to patient characteristics in order to predict nurse workload. OBJECTIVE: In our study, we aim to determine how nurses spend their working day and we will attempt to explain differences between specialized surgical wards...
2018: PloS One
https://www.readbyqxmd.com/read/29686535/nurses-attitude-and-perceived-barriers-to-pressure-ulcer-prevention
#20
Werku Etafa, Zeleke Argaw, Endalew Gemechu, Belachew Melese
Background: The presence or absence of pressure ulcers has been generally regarded as a performance measure of quality nursing care and overall patient health. The aim of this study- wasto explorenurses' attitude about pressure ulcer prevention'and to identify staff nurses' perceived barriers to pressure ulcer prevention public hospitals in Addis Ababa, Ethiopia. Methods: A self-reported multi-center institutional based cross sectional study design was employed to collect data from staff nurses ( N  = 222) working in six (6) selected public hospitals in Addis Ababa, from April 01-28/2015...
2018: BMC Nursing
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