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https://www.readbyqxmd.com/read/29677924/strategies-for-effectively-documenting-sexual-orientation-and-gender-identity-in-electronic-health-record
#1
Julia Frangella, Carlos Otero, Daniel Luna
In this communication we identify strategies for effectively documenting Sexual Orientation and Gender Identity in Electronic Health Records. For this review a multidisciplinary group composed by three physicians, a nurse, an engineer and a lawyer analyzed the evidence in bibliography related to the topic and summarized the results. After analyzing the information, we summarized and classified them into three major topics: To request, to store and to display and access to the information. How to standardize those data and where data specifically will be populated in EHRs have not been answered yet...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29673317/budget-impact-model-of-mydrane%C3%A2-a-new-intracameral-injectable-used-for-intra-operative-mydriasis-from-a-uk-hospital-perspective
#2
Keith Davey, Bernard Chang, Christine Purslow, Emilie Clay, Anne-Lise Vataire
BACKGROUND: During cataract surgery, maintaining an adequate degree of mydriasis throughout the entire operation is critical to allow for visualisation of the capsulorhexis and the crystalline lens. Good anaesthesia is also essential for safe intraocular surgery. Mydrane® is a new injectable intracameral solution containing two mydriatics (tropicamide 0.02% and phenylephrine 0.31%) and one anaesthetic (lidocaine 1%) that was developed as an alternative to the conventional topical pre-operative mydriatics used in cataract surgery...
April 19, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29669454/palliative-nursing-and-sacred-medicine-a-holistic-stance-on-entheogens-healing-and-spiritual-care
#3
William E Rosa, Stephanie Hope, Marianne Matzo
The fields of palliative and holistic nursing both maintain a commitment to the care of the whole person, including a focus on spiritual care. Advanced serious illness may pose a plethora of challenges to patients seeking to create meaning and purpose in their lives. The purpose of this article is to introduce scholarly dialogue on the integration of entheogens, medicines that engender an experience of the sacred, into the spiritual and holistic care of patients experiencing advanced serious illness. A brief history of the global use of entheogens as well as a case study are provided...
April 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29668462/electrodermal-activity-monitoring-during-endotracheal-suction-in-sedated-adult-intensive-care-unit-patients
#4
Theodoros Aslanidis, Vasilios Grosomanidis, Konstantinos Karakoulas, Athanasios Chatzisotiriou
BACKGROUND: Endotracheal suctioning of respiratory secretions is one of the most common causes of pain and discomfort in Intensive Care Unit environment. The electrical properties of the skin, also known as electrodermal activity (EDA), are considered as an indirect measure of autonomous nervous system. AIM: This study explores EDA changes during endotracheal suction in sedated adult critical care patients; and compares these changes to other monitoring parameters...
March 1, 2018: Folia Medica
https://www.readbyqxmd.com/read/29667509/the-involvement-of-cancer-patients-in-the-four-stages-of-decision-making-preceding-continuous-sedation-until-death-a-qualitative-study
#5
Lenzo Robijn, Jane Seymour, Luc Deliens, Ida Korfage, Jayne Brown, Peter Pype, Agnes Van Der Heide, Kenneth Chambaere, Judith Rietjens
BACKGROUND: Involving patients in decision-making is considered to be particularly appropriate towards the end of life. Professional guidelines emphasize that the decision to initiate continuous sedation should be made in accordance with the wishes of the dying person and be preceded by their consent. AIM: To describe the decision-making process preceding continuous sedation until death with particular attention to the involvement of the person who is dying. DESIGN: Qualitative case studies using interviews...
April 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29664739/ce-original-research-exploring-clinicians-perceptions-about-sustaining-an-evidence-based-fall-prevention-program
#6
Rebecca B Porter, Laura Cullen, Michele Farrington, Grace Matthews, Sharon Tucker
Findings from this qualitative study may help improve sustainability. ABSTRACT: Purpose: This study aimed to address the knowledge gap between implementing and sustaining evidencebased fall prevention practices for hospitalized patients by exploring perspectives of the interprofessional health care team. DESIGN: A qualitative design was used to capture insights from clinicians across disciplines in a large midwestern academic medical center. METHODS: Four homogenous semistructured focus groups and three individual interviews involving a total of 20 clinicians were conducted between October 2013 and March 2014...
April 16, 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29662051/-knowledge-and-attitudes-toward-organ-donation-among-health-professionals-in-a-third-level-hospital
#7
Alejandro Montero Salinas, Santiago Martínez-Isasi, Eva Fieira Costa, Antón Fernández García, Diana Josefa Castro Dios, Daniel Fernández García
OBJECTIVE: The Spanish model is the model adopted by many countries to increase their donation rate, being the implication of the healthcare professionals one of the keys to this success. The attitude of these before the donation is crucial for the hour of influence on the population. Organ transplantation has been established as an effective treatment that has been improving over the years. The objective was to determine the knowledge and attitudes of health professionals before the donation of organs...
April 18, 2018: Revista Española de Salud Pública
https://www.readbyqxmd.com/read/29661749/a-website-supporting-sensitive-religious-and-cultural-advance-care-planning-acptalk-formative-and-summative-evaluation
#8
Amanda Pereira-Salgado, Patrick Mader, Clare O'Callaghan, Leanne Boyd
BACKGROUND: Advance care planning (ACP) promotes conversations about future health care needs, enacted if a person is incapable of making decisions at end-of-life that may be communicated through written documentation such as advance care directives. To meet the needs of multicultural and multifaith populations in Australia, an advance care planning website, ACPTalk, was funded to support health professionals in conducting conversations within diverse religious and cultural populations...
April 16, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29661270/systematic-review-of-the-evidence-related-to-mandated-nurse-staffing-ratios-in-acute-hospitals
#9
Richard Olley, Ian Edwards, Mark Avery, Helen Cooper
Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline...
April 17, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29656704/phenomenon-of-moral-distress-through-the-aspect-of-interpretive-interactionism
#10
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu, Shu-Li Lee
BACKGROUND: Most previous studies on moral distress focused on the factors that cause moral distress, paying inadequate attention to the moral conflict of nurses' values, the physician-nurse power hierarchy, and the influence of the culture. RESEARCH OBJECTIVE: To analyze the main causes for moral distress with interpretive interactionism. RESEARCH DESIGN: A qualitative study was adopted. PARTICIPANTS: Through purposeful sampling, 32 nurses from 12 different departments were chosen as the samples...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29656490/cross-cultural-adaptation-reliability-and-validity-of-the-spanish-version-of-the-neonatal-skin-risk-assessment-scale
#11
Pablo García-Molina, Evelin Balaguer López, José Verdú, Andreu Nolasco, Francisco P García Fernández
AIM: To adapt the Neonatal Skin Risk Assessment Scale to the Spanish context and to test its validity and reliability. BACKGROUND: Currently, in Spain there are no validated scales to evaluate the risk of pressure ulcers in infants. METHOD: The research was performed in 10 neonatal units. Overall, we use an observational study design, but divided it in to three stages. In the first stage, the transcultural adaptation of the scale and its content validation was performed...
April 14, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29656399/differences-between-skilled-nursing-facilities-in-risk-of-subsequent-long-term-care-placement
#12
James S Goodwin, Shuang Li, Addie Middleton, Kenneth Ottenbacher, Yong-Fang Kuo
OBJECTIVES: To determine how the risk of subsequent long-term care (LTC) placement varies between skilled nursing facilities (SNFs) and the SNF characteristics associated with this risk. DESIGN: Population-based national cohort study with participants nested in SNFs and hospitals in a cross-classified multilevel model. SETTING: SNFs (N=6,680). PARTICIPANTS: Fee-for-service Medicare beneficiaries (N=552,414) discharged from a hospital to a SNF in 2013...
April 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29652735/nursing-sensitive-outcomes-after-severe-traumatic-brain-injury-a-nationwide-study
#13
Lene Odgaard, Lena Aadal, Marianne Eskildsen, Ingrid Poulsen
BACKGROUND: Complications such as infections and conditions after immobilization are frequent after severe traumatic brain injury (TBI) due to compromised bodily functions. Traditionally, bodily functions are core elements in nursing, and therefore nurses in the rehabilitation departments are pivotal in the prevention of complications. Hence, the frequency of complications is an indicator of nursing care quality, which can be included in nursing-sensitive outcome indicators. To do so, it is necessary to know the frequency of the selected complications...
April 12, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29652592/development-of-the-emergency-department-senior-abuse-identification-ed-senior-aid-tool
#14
Timothy F Platts-Mills, Joseph A Dayaa, Bryce B Reeve, Kayla Krajick, Laura Mosqueda, Jason S Haukoos, Mehul D Patel, Carrie F Mulford, Samuel A McLean, Phil D Sloane, Debbie Travers, Sheryl Zimmerman
Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions...
April 13, 2018: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/29652165/exploring-the-predictors-of-emergency-department-triage-acuity-assignment-in-patients-with-sepsis
#15
Leon Petruniak, Maher El-Masri, Susan Fox-Wasylyshyn
Background and purpose Evidence suggests that septic patients, who require prompt medical attention, may be undertriaged, resulting in delayed treatment. The purpose of this study was to examine patient and contextual variables that contribute to high- versus low-acuity triage classification of patients with sepsis. Methods Data were abstracted from the medical records of 154 adult patients with sepsis admitted to hospital through a Canadian Emergency Department. Logistic regression was used to explore the predictors of triage classification...
January 1, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://www.readbyqxmd.com/read/29650496/reporting-ethical-processes-in-the-nursing-journal-of-india
#16
Radha Saini, Preety Narula
Nursing research is a developing field to which individuals within the profession can contribute substantially based on their skills and practical experience of nursing care. Both reporting of informed consent and ethical approval are key aspects of published papers which indicate the researchers' knowledge of and sensitivity to ethical aspects of research.
February 21, 2018: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/29648892/assessment-of-the-readiness-for-interprofessional-learning-scale-ripls-an-item-response-theory-analysis
#17
Matthew James Kerry, Rongmei Wang, Jinbing Bai
This short report aims to bring evidence from modern psychometric methods to bear on a popularly deployed questionnaire in interprofessional education (IPE) assessment. Specifically, three interrelated problems raised against the Readiness for Interprofessional Learning Scale (RIPLS) are examined in a study with 280 medical and nursing student participants. Firstly, findings support RIPLS overall reliability, but fail to support subscale reliabilities. Secondly, findings indicate a strong, general factor underlying the RIPLS that supports unidimensional interpretations...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29642929/how-well-does-the-minimum-data-set-measure-healthcare-use-a-validation-study
#18
Malcolm B Doupe, Jeff Poss, Peter G Norton, Allan Garland, Natalia Dik, Shauna Zinnick, Lisa M Lix
BACKGROUND: To improve care, planners require accurate information about nursing home (NH) residents and their healthcare use. We evaluated how accurately measures of resident user status and healthcare use were captured in the Minimum Data Set (MDS) versus administrative data. METHODS: This retrospective observational cohort study was conducted on all NH residents (N = 8832) from Winnipeg, Manitoba, Canada, between April 1, 2011 and March 31, 2013. Six study measures exist...
April 11, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29629682/impact-of-ideal-clinic-implementation-on-patient-waiting-time-in-primary-healthcare-clinics-in-kwazulu-natal-province-south-africa-a-before-and-after-evaluation
#19
B A Egbujie, A Grimwood, E C Mothibi-Wabafor, G Fatti, A M E T Tshabalala, S Allie, G Vilakazi, O Oyebanji
BACKGROUND: Long waiting times are a major source of dissatisfaction for patients attending public healthcare facilities in South Africa (SA). The National Department of Health has identified this as one of six priority areas for improvement. Health system-strengthening (HSS) interventions to improve patient waiting time are being implemented in public health facilities across SA as part of the 'Ideal Clinic' model. The effect of these interventions on patient waiting time needs to be assessed and evidence generated for system improvement...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29625595/psychometric-properties-of-the-arabic-version-of-the-confusion-assessment-method-for-the-intensive-care-unit-cam-icu
#20
Maha H Aljuaid, Ahmad M Deeb, Maamoun Dbsawy, Daniah Alsayegh, Moteb Alotaibi, Yaseen M Arabi
BACKGROUND: It is recommended that critically ill patients undergo routine delirium monitoring with a valid and reliable tool such as the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). However, the validity and reliability of the Arabic version of the CAM-ICU has not been investigated. Here, we test the validity and reliability of the Arabic CAM-ICU. METHODS: We conducted a psychometric study at ICUs in a tertiary-care hospital in Saudi Arabia...
April 6, 2018: BMC Psychiatry
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