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https://www.readbyqxmd.com/read/29338968/an-alternative-tool-for-triaging-patients-with-possible-acute-coronary-symptoms-before-admission-to-a-chest-pain-unit
#1
Kuang-Chau Tsai, Ray F Lin, Chieh Lee, Ai-Hsien Li
OBJECTIVE: This study aimed to develop a triage tool to more effectively triage possible ACS patients presenting to the emergency department (ED) before admission to a protocol-driven chest pain unit (CPU). METHODS: Seven hundred ninety-three clinical cases, randomly selected from 7962 possible ACS cases, were used to develop and test an ACS triage model using cluster analysis and stepwise logistic regression. RESULTS: The ACS triage model, logit (suspected ACS patient)=-5...
December 13, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29333500/improving-the-written-medical-handover
#2
Rhys Martin, Melanie Huddart, Cara Garbett, Wendell Storr, Olivia Watts, Sanjeev Gupta
The handover of large numbers of medical patients, during on call periods when staffing levels are reduced, is a challenge for all acute medical services. At the Royal Cornwall Hospital, a large district general hospital, we identified that foundation doctors were reviewing medical inpatients during weekend on call periods with limited written handover information. We chose to address this problem by developing an intervention, a weekend handover sticker, and piloting it. We used the review of documentation to measure improvement and feedback from users to assess the processes involved...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29331259/public-and-physician-s-expectations-and-ethical-concerns-about-electronic-health-record-benefits-outweigh-risks-except-for-information-security
#3
Eleni Entzeridou, Evgenia Markopoulou, Vasiliki Mollaki
INTRODUCTION: Electronic Health Record systems (EHRs) offer numerous benefits in health care but also pose certain risks. As we progress toward the implementation of EHRs, a more in-depth understanding of attitudes that influence overall levels of EHR support is required. OBJECTIVES: To record public and physicians' awareness, expectations for, and ethical concerns about the use of EHRs. METHODS: A convenience sample was surveyed for both the public and physicians...
February 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29331220/-impact-of-chronic-illness-on-hospital-nursing-workloads
#4
S Vallés, E Valdavida, C Menéndez, C Natal
OBJECTIVES: To evaluate the short-term impact of chronic illness in hospital units and to establish a method that allows nursing workloads to be adapted according to the care needs of patients. METHODS: A descriptive study of the evolution of workloads of nursing staff associated with the care needs of patients between 1 July 2014 and 30 June 2016, in a county hospital. The care needs of the patients were assessed daily using an adaptation of the Montesinos scheme...
January 10, 2018: Revista de Calidad Asistencial: Organo de la Sociedad Española de Calidad Asistencial
https://www.readbyqxmd.com/read/29324947/cognitive-changes-in-nurses-working-in-intensive-care-units
#5
Daniel Aragão Machado, Nébia Maria Almeida de Figueiredo, Luciane de Souza Velasques, Cleonice Alves de Melo Bento, Wiliam César Alves Machado, Lúcia Alves Marques Vianna
OBJECTIVE: To measure the levels of stress, anxiety, and depression of nurses working in ICUs, relating them to levels of attention before and after 24 hours. METHOD: An observational, quantitative, analytical study with 18 nurses undergoing an inventory of stress, anxiety, and depression, as well as assessment of attention levels and psychomotor functioning. RESULTS: Sixty-one percent showed positive for stress. Depression was observed in 33%; and anxiety in 99...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29322579/the-employee-retention-triad-in-healthcare-exploring-relationships-among-organizational-justice-affective-commitment-and-turnover-intention
#6
Tyrone A Perreira, Whitney Berta, Monique Hebert
BACKGROUND: Turnover in healthcare is a serious concern, as it is contributes to the global nursing shortage and is associated with declines in quality of care, patient safety, and patient outcomes. Turnover also impacts care teams and is associated with decreased staff cohesion and morale. PURPOSE: The purpose of this study is to increase understanding of the relationships between organizational justice, affective commitment and turnover intention in healthcare...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29318688/organisational-efficiency-and-co-worker-incivility-a-cross-national-study-of-nurses-in-the-usa-and-italy
#7
Sara Viotti, Daniela Converso, Lydia E Hamblin, Gloria Guidetti, Judith E Arnetz
AIM: To examine the relationship of co-worker incivility with organisational efficiency, workload and intention to leave in nursing samples from two different countries, the USA and Italy. BACKGROUND: Organisational efficiency has received little attention as a possible correlate of co-worker incivility in the nursing management literature. Studies on co-worker incivility have primarily been carried out in North America and no cross-national studies are available...
January 10, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29318684/nurses-work-environment-indicators-of-satisfaction
#8
Mohammad Suliman, Maen Aljezawi
AIM: This study aimed to investigate nurses' perceptions of the nursing work environment in Jordanian hospitals. BACKGROUND: Previous research has indicated a strong relationship between nurses' work environment and their satisfaction at work. However, little is known about the situation in Jordan. METHOD: A cross-sectional and descriptive design was used. A sample of 500 nurses was recruited. The study was conducted using the Individual Workload Perception Revised scale (IWPS-R)...
January 10, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29314366/barriers-to-midwives-and-nurses-addressing-mental-health-issues-with-women-the-mind-mothers-study
#9
Agnes Higgins, Carmel Downes, Mark Monahan, Ailish Gill, Stephen A Lamb, Margaret Carroll
AIM: To explore barriers to midwives and nurses addressing mental health issues with women during the perinatal period. BACKGROUND: Perinatal mental health is considered an important public health issue with health policy internationally identifying the importance of psychological support for women in the perinatal period. Midwives and primary care nurses are ideally positioned to detect mental distress early, but evidence suggests that they are reluctant to discuss mental health issues with women during pregnancy or in the postnatal period...
January 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29310644/challenges-and-opportunities-for-healthcare-workers-in-a-rural-district-of-chad
#10
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/29300215/the-case-for-utilizing-rns-in-medicare-annual-wellness-visits
#11
Heather Bogrett, Maura Carriel
RNs in ambulatory practice must expand their role to assist primary care physicians meet the growing demands of the aging American population. This article explores the benefits of RNs performing annual wellness visits (AWVs) for Medicare patients. Having RNs conduct AWVs can decrease the workload of primary care providers, improve patient outcomes, contribute to the revenue of the practice, and elevate nursing standards in the ambulatory setting.
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29283915/diagnostic-power-and-healthcare-resource-consumption-of-a-dedicated-workflow-algorithm-designed-to-manage-thoracic-impedance-alerts-in-heart-failure-patients-by-remote-monitoring
#12
Renato P Ricci, Loredana Morichelli, Antonio Porfili, Laura Quarta, Anna Sassi
PURPOSE: Modern cardiac implantable devices provide diagnostic information on several physiological variables which are associated with worsening heart failure, creating an opportunity for early intervention to prevent heart failure symptoms and hospitalizations. We evaluated diagnostic accuracy and workload of a remote monitoring (RM) workflow algorithm which leverages intrathoracic impedance and other device diagnostics. METHODS: In our RM workflow a team of expert nurses was responsible for continuity of care, direct relationship with patients and implementation of a specific protocol to evaluate RM alerts and to limit unnecessary resource consumption...
December 27, 2017: Journal of Cardiovascular Medicine
https://www.readbyqxmd.com/read/29277941/nurse-workforce-scheduling-in-the-emergency-department-a-sequential-decision-support-system-considering-multiple-objectives
#13
Boon Yew Ang, Shao Wei Sean Lam, Yogeswary Pasupathy, Marcus Eng Hock Ong
AIM: We propose a nurse scheduling framework based on a set of performance measures that are aligned with multiple outcome measures. A case study for the emergency department is presented. METHODS: A total of 142,564 emergency department attendances over 1 year were included in this study. Operational requirements, constraints and historical workload data were translated into a mixed-integer sequential goal programming model, which considers the following outcome measures: (1) nurse-patient ratios; (2) number of favourable/unfavourable shifts; and (3) dispersion of rest days...
December 26, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29275350/workflow-interruptions-and-stress-atwork-a-mixed-methods-study-among-physicians-and-nurses-of-a-multidisciplinary-emergency-department
#14
Matthias Weigl, Joana Beck, Markus Wehler, Anna Schneider
OBJECTIVES: Dealing with multiple workflow interruptions is a major challenge in emergency department (ED) work. This study aimed to establish a taxonomy of workflow interruptions that takes into account the content and purpose of interruptive communication. It further aimed to identify associations of workflow interruptions with ED professionals' work stress. DESIGN: Combined data from expert observation sessions and concomitant self-evaluations of ED providers...
December 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29273658/qualitative-investigation-of-the-perceptions-and-experiences-of-nursing-and-allied-health-professionals-involved-in-the-implementation-of-an-enriched-environment-in-an-australian-acute-stroke-unit
#15
Ingrid C M Rosbergen, Sandra G Brauer, Sarah Fitzhenry, Rohan S Grimley, Kathryn S Hayward
OBJECTIVE: An enriched environment embedded in an acute stroke unit can increase activity levels of patients who had stroke, with changes sustained 6 months post-implementation. The objective of this study was to understand perceptions and experiences of nursing and allied health professionals involved in implementing an enriched environment in an acute stroke unit. DESIGN: A descriptive qualitative approach. SETTING: An acute stroke unit in a regional Australian hospital...
December 21, 2017: BMJ Open
https://www.readbyqxmd.com/read/29249629/students-experiences-of-embedded-academic-literacy-support-in-a-graduate-entry-nursing-program-a-qualitative-study
#16
Lucie M Ramjan, Della Maneze, Bronwyn Everett, Paul Glew, Suza Trajkovski, Joan Lynch, Yenna Salamonson
Graduate entry nursing (GEN) programs were designed to address the predicted nursing shortfall. In Australia, although these programs attract students from culturally and linguistically diverse (CALD) backgrounds, the workload is compounded by cultural differences and a new academic learning environment which presents additional challenges. This qualitative descriptive study explored the experiences of GEN students enrolled in the introductory unit of their nursing program with embedded academic literacy support in Sydney, Australia...
December 11, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/29248878/systematic-review-and-meta-analysis-of-the-effectiveness-of-pharmacist-led-medication-reconciliation-in-the-community-after-hospital-discharge
#17
Duncan McNab, Paul Bowie, Alastair Ross, Gordon MacWalter, Martin Ryan, Jill Morrison
BACKGROUND: Pharmacists' completion of medication reconciliation in the community after hospital discharge is intended to reduce harm due to prescribed or omitted medication and increase healthcare efficiency, but the effectiveness of this approach is not clear. We systematically review the literature to evaluate intervention effectiveness in terms of discrepancy identification and resolution, clinical relevance of resolved discrepancies and healthcare utilisation, including readmission rates, emergency department attendance and primary care workload...
December 16, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29244168/factors-to-consider-in-the-introduction-of-huddles-on-clinical-wards-perceptions-of-staff-on-the-safe-programme
#18
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/29243566/for-shawnee-keeping-the-student-and-family-front-and-center
#19
Erin D Maughan, Mayumi Willgerodt
Patient-centered care is a buzzword heard often as part of health care reform efforts. For school nurses patient-centered care means student- and family-centered care. Student-centered care can improve student compliance and actually decrease school nurse workload. This article explains what student-centered means and provides examples of how school nurses can provide student and families-centered care in their communities. Approaches that center on individual students, as well as community cafes will be included...
January 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29238584/systematic-review-and-meta-analysis-of-the-performance-of-nurses-in-small-bowel-capsule-endoscopy-reading
#20
Diana E Yung, Ignacio Fernandez-Urien, Sarah Douglas, John N Plevris, Reena Sidhu, Mark E McAlindon, Simon Panter, Anastasios Koulaouzidis
Introduction: Increasing demands on healthcare systems mean that nurses are taking on more roles as physician extenders. Capsule endoscopy (CE) is a laborious procedure where specialist nurses could reduce physician workload and rationalise resource utilisation. The aim of this review and meta-analysis is to consolidate data on nurses' performance in small bowel CE (SBCE). Materials and methods: A comprehensive literature search was conducted for randomised controlled trials and comparative studies on nurses in SBCE reading compared to physicians...
December 2017: United European Gastroenterology Journal
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