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https://www.readbyqxmd.com/read/29388344/evaluating-the-effectiveness-of-intensive-versus-non-intensive-image-interpretation-education-for-radiographers-a-randomised-control-trial-study-protocol
#1
Michael J Neep, Tom Steffens, Patrick Eastgate, Steven M McPhail
Radiographer commenting systems have not been successfully implemented in many Australian hospitals, despite evidence of their benefit and adoption elsewhere, such as the United Kingdom. An important contributor to the lack of widespread adoption of radiographer commenting in Australia (and likely elsewhere) is the limited availability of accessible education options for radiographers. The purpose of this randomised controlled trial is to compare the effectiveness of the same image interpretation education program delivered over an intensive 2-day period (intensive format) versus a series of shorter regular workshops (non-intensive format)...
February 1, 2018: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/29360829/long-term-risks-and-benefits-associated-with-cesarean-delivery-for-mother-baby-and-subsequent-pregnancies-systematic-review-and-meta-analysis
#2
Oonagh E Keag, Jane E Norman, Sarah J Stock
BACKGROUND: Cesarean birth rates continue to rise worldwide with recent (2016) reported rates of 24.5% in Western Europe, 32% in North America, and 41% in South America. The objective of this systematic review is to describe the long-term risks and benefits of cesarean delivery for mother, baby, and subsequent pregnancies. The primary maternal outcome was pelvic floor dysfunction, the primary baby outcome was asthma, and the primary subsequent pregnancy outcome was perinatal death. METHODS AND FINDINGS: Medline, Embase, Cochrane, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were systematically searched for published studies in human subjects (last search 25 May 2017), supplemented by manual searches...
January 2018: PLoS Medicine
https://www.readbyqxmd.com/read/29248840/introducing-a-design-exigency-to-promote-student-learning-through-assessment-a-case-study
#3
Laurie A Grealish, Julie M Shaw
BACKGROUND: Assessment technologies are often used to classify student and newly qualified nurse performance as 'pass' or 'fail', with little attention to how these decisions are achieved. Examining the design exigencies of classification technologies, such as performance assessment technologies, provides opportunities to explore flexibility and change in the process of using those technologies. OBJECTIVE: Evaluate an established assessment technology for nursing performance as a classification system...
December 5, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29219939/psychometric-evaluation-of-the-chinese-respiratory-distress-observation-scale-on-critically-ill-patients-with-cardiopulmonary-diseases
#4
Ya-Hsiang Chan, Hua-Shan Wu, Chih-Ching Yen, Margaret L Campbell
BACKGROUND: Respiratory distress is a common and distressing experience that strikes most critically ill patients with cardiopulmonary diseases. Now, most dyspnea assessment tools rely on patient's self-report. Only one instrument, the Respiratory Distress Observation Scale (RDOS), is valid for assessing respiratory distress when the patient cannot provide a dyspnea self-report. PURPOSE: The aims of this study were to develop the Chinese version of RDOS through two-way translation and examine its reliability and validity...
December 6, 2017: Journal of Nursing Research: JNR
https://www.readbyqxmd.com/read/29190622/classifying-apnea-of-prematurity-by-transcutaneous-electromyography-of-the-diaphragm
#5
Juliette V Kraaijenga, Gerard J Hutten, Cornelia G de Waal, Frans H de Jongh, Wes Onland, Anton H van Kaam
BACKGROUND: Treatment of apnea is highly dependent on the type of apnea. Chest impedance (CI) has inaccuracies in monitoring respiration, which compromises accurate apnea classification. Electrical activity of the diaphragm measured by transcutaneous electromyography (EMG) is feasible in preterm infants and might improve the accuracy of apnea classification. OBJECTIVES: To compare the accuracy of apnea classification based on diaphragmatic EMG (dEMG) and CI tracings in preterm infants...
December 1, 2017: Neonatology
https://www.readbyqxmd.com/read/29170327/30%C3%A2-do-nice-guys-finish-last
#6
Chris Turner, Jake Turner
: Emergency medicine is widely recognised as an intense specialty. Interruptions are known to derail thoughts, increasing cognitive load and result in longer periods before deep thought is re-established. Although approachability and warmth are regarded as important factors in clinicians we wondered what impact these characteristics had on the number of interruptions. METHODOLOGY: A team of 6 medical students were trained in the use of abespoke tool to record shop floor activities. Over 4 months we conducted 100 hours of minute by minute time and motion study of emergency medicine consultants during their clinical shifts, and noted how often they were interrupted...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29151556/-an-integrative-review-of-home-care-service-for-pregnant-women-mothers-infants-and-toddlers-in-vulnerable-group
#7
REVIEW
Dasom Kim, Insook Lee
PURPOSE: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. METHODS: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature...
October 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29141622/am-i-getting-an-accurate-picture-a-tool-to-assess-clinical-handover-in-remote-settings
#8
Malcolm Moore, Chris Roberts, Jonathan Newbury, Jim Crossley
BACKGROUND: Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. METHODS: Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature...
November 15, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/29124275/-the-role-of-mdk-in-the-german-reimbursement-system-for-intensive-care-medicine
#9
REVIEW
C Mitsch
The experts of Medizinischer Dienst der Krankenversicherung (MDK) assess services from different areas of the health care sector, including checks of hospital invoicing. MDK assessors are only employed after being commissioned by a statutory health or nursing insurance. The assessment of intensive medical treatment is made difficult by uncertainties and indistinctness in the regulations, especially the procedure codes for complex intensive care treatment.
November 9, 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/29090459/slow-versus-fast-subcutaneous-heparin-injections-for-prevention-of-bruising-and-site-pain-intensity
#10
REVIEW
Mina Mohammady, Leila Janani, Ali Akbari Sari
BACKGROUND: Heparin is an anticoagulant medication that is usually injected subcutaneously. Subcutaneous administration of heparin may result in complications such as bruising, haematoma, and pain at the injection site. One of the factors that may affect pain, haematoma, and bruising is injection speed. For patients and healthcare providers, strategies that can reduce pain and bruising are considered important. Reducing patients' discomfort and concerns whenever and wherever possible is an important aim of nursing...
November 1, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29076279/the-inter-rater-reliability-between-nurse-assessors-clinically-assessing-infection-of-chronic-wounds-using-the-wuwhs-criteria
#11
Jacqueline Jhhm Vestjens, Armand Alm Rondas, Richard Rj White, Samantha Sl Holloway
The aim of this study was to determine the inter-rater reliability between one expert-nurse and four clinical-nurses who were asked to clinically assess infection of chronic wounds by using the World Union of Wound Healing Societies (WUWHS) criteria. A quasi-experimental design was used to collect the data. In comparison to phase 1 in which 'open questions' were asked, in phase 2 a pre-printed form (checklist) was introduced. In both phases, 55 chronic wounds were clinically assessed. For each WUWHS criterion the inter-rater reliability of signs and symptoms was expressed by Cohens Kappa (κ)...
October 27, 2017: International Wound Journal
https://www.readbyqxmd.com/read/29065719/inter-rater-reliability-standard-error-of-measurement-and-minimal-detectable-change-of-the-12-item-whodas-2-0-and-four-performance-tests-in-institutionalized-ambulatory-older-adults
#12
Anabela G Silva, Margarida Cerqueira, Ana Raquel Santos, Catarina Ferreira, Joaquim Alvarelhão, Alexandra Queirós
PURPOSE: Self-reported and performance-based instruments are both necessary for a comprehensive view of the functioning of institutionalized older adults. Our aim was to assess the reliability and measurement error of the 12-item World Health Organization Disability assessment Schedule and compare these indexes against performance-based tests. MATERIALS AND METHODS: One hundred participants from Nursing Homes and Day Care Centers were assessed twice (two days to one week apart) by two independent assessors...
October 24, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28965359/slow-versus-fast-subcutaneous-heparin-injections-for-prevention-of-bruising-and-site-pain-intensity
#13
REVIEW
Mina Mohammady, Leila Janani, Ali Akbari Sari
BACKGROUND: Heparin is an anticoagulant medication that is usually injected subcutaneously. Subcutaneous administration of heparin may result in complications such as bruising, haematoma, and pain at the injection site. One of the factors that may affect pain, haematoma, and bruising is injection speed. For patients and healthcare providers, strategies that can reduce pain and bruising are considered important. Reducing patients' discomfort and concerns whenever and wherever possible is an important aim of nursing...
October 1, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28962608/benefits-of-home-based-multidisciplinary-exercise-and-supportive-care-in-inoperable-non-small-cell-lung-cancer-protocol-for-a-phase-ii-randomised-controlled-trial
#14
Lara Edbrooke, Sanchia Aranda, Catherine L Granger, Christine F McDonald, Mei Krishnasamy, Linda Mileshkin, Louis Irving, Sabine Braat, Ross A Clark, Ian Gordon, Linda Denehy
BACKGROUND: Lung cancer is one of the most commonly diagnosed cancers, and is a leading cause of cancer mortality world-wide. Due to lack of early specific symptoms, the majority of patients present with advanced, inoperable disease and five-year relative survival across all stages of non-small cell lung cancer (NSCLC) is 14%. People with lung cancer also report higher levels of symptom distress than those with other forms of cancer. Several benefits for survival and patient reported outcomes are reported from physical activity and exercise in other tumour groups...
September 29, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28843527/factors-associated-with-the-trend-of-physical-and-chemical-restraint-use-among-long-term-care-facility-residents-in-hong-kong-data-from-an-11-year-observational-study
#15
Kuen Lam, Joseph S K Kwan, Chi Wai Kwan, Alice M L Chong, Claudia K Y Lai, Vivian W Q Lou, Angela Y M Leung, Justina Y W Liu, Xue Bai, Iris Chi
BACKGROUND: Negative effects of restraint use have been well-documented. However, the prevalence of restraints use has been high in long-term care facilities in Hong Kong compared with other countries and this goes against the basic principles of ethical and compassionate care for older people. The present study aimed to review the change in the prevalence of physical and chemical restraint use in long-term care facilities (LTCFs) over a period of 11 years in Hong Kong and to identify the major factors associated with their use...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28809935/effectiveness-of-a-brief-behavioural-intervention-on-psychological-distress-among-women-with-a-history-of-gender-based-violence-in-urban-kenya-a-randomised-clinical-trial
#16
RANDOMIZED CONTROLLED TRIAL
Richard A Bryant, Alison Schafer, Katie S Dawson, Dorothy Anjuri, Caroline Mulili, Lincoln Ndogoni, Phiona Koyiet, Marit Sijbrandij, Jeannette Ulate, Melissa Harper Shehadeh, Dusan Hadzi-Pavlovic, Mark van Ommeren
BACKGROUND: Gender-based violence (GBV) represents a major cause of psychological morbidity worldwide, and particularly in low- and middle-income countries (LMICs). Although there are effective treatments for common mental disorders associated with GBV, they typically require lengthy treatment programs that may limit scaling up in LMICs. The aim of this study was to test the effectiveness of a new 5-session behavioural treatment called Problem Management Plus (PM+) that lay community workers can be taught to deliver...
August 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28800328/effects-of-exercise-on-cognitive-function-in-older-people-with-dementia-a-randomized-controlled-trial
#17
Annika Toots, Håkan Littbrand, Gustaf Boström, Carl Hörnsten, Henrik Holmberg, Lillemor Lundin-Olsson, Nina Lindelöf, Peter Nordström, Yngve Gustafson, Erik Rosendahl
BACKGROUND: Although physical exercise has been suggested to influence cognitive function, previous exercise studies show inconsistent results in people with dementia. OBJECTIVES: To investigate effects of exercise on cognitive function in people with dementia. METHOD: The Umeå Dementia and Exercise (UMDEX) study, a cluster-randomized controlled trial, was set in 16 nursing homes in Umeå, Sweden. One hundred-and-forty-one women and 45 men with dementia; mean age of 85 y and mean Mini-Mental State Examination (MMSE) score of 15, were randomized to a High-Intensity Functional Exercise program or a seated attention control activity...
2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28792830/consultation-on-the-new-roles-of-supervisor-and-assessor
#18
Elizabeth Rosser
Elizabeth Rosser, Deputy Dean (Education and Professional Practice) and Professor of Nursing at Bournemouth University, outlines three new practice and education roles proposed by the Nursing and Midwifery Council.
August 10, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28722775/depression-recognition-and-capacity-for-self-report-among-ethnically-diverse-nursing-homes-residents-evidence-of-disparities-in-screening
#19
Audrey Chun, Joann P Reinhardt, Mildred Ramirez, Julie M Ellis, Stephanie Silver, Orah Burack, Joseph P Eimicke, Verena Cimarolli, Jeanne A Teresi
AIMS AND OBJECTIVES: To examine agreement between Minimum Data Set clinician ratings and researcher assessments of depression among ethnically diverse nursing home residents using the 9-item Patient Health Questionnaire. BACKGROUND: Although depression is common among nursing homes residents, its recognition remains a challenge. DESIGN: Observational baseline data from a longitudinal intervention study. METHODS: Sample of 155 residents from 12 long-term care units in one US facility; 50 were interviewed in Spanish...
July 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28721769/nursingstandard-com
#20
(no author information available yet)
1 Mentors for nursing students could be replaced with supervisors and assessors as part of a 'radical' overhaul of education by the Nursing and Midwifery Council. Read more: rcni.com/mentors-scrapped.
July 19, 2017: Nursing Standard
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