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https://www.readbyqxmd.com/read/27855673/gender-and-physician-specialization-and-practice-settings-in-ecuador-a-qualitative-study
#1
Rita Bedoya-Vaca, Kathryn P Derose, Natalia Romero-Sandoval
BACKGROUND: The increasing proportion of women in the medical profession is a worldwide phenomenon often called the "feminization of medicine." However, it is understudied in low and middle-income countries, particularly in Latin America. METHODS: Using a qualitative, descriptive design, we explored the influence of gender and other factors on physician career decision-making and experiences, including medical specialty and public vs. private practice, in Quito, Ecuador, through in-depth, semi-structured interviews (n = 31) in 2014...
November 17, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27825583/barbados-insulin-matters-bim-study-perceptions-on-insulin-initiation-by-primary-care-doctors-in-the-caribbean-island-of-barbados
#2
Charles Grafton Taylor, Gordon Taylor, Anique Atherley, Ian Hambleton, Nigel Unwin, Oswald Peter Adams
AIMS: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. METHODS: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. RESULTS: Of 161 PCDs, 70% responded (75 private and 37 public sector)...
November 4, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27800154/influenza-vaccination-motivators-among-healthcare-personnel-in-a-large-acute-care-hospital-in-israel
#3
Amir Nutman, Naomi Yoeli
BACKGROUND: Vaccinating healthcare personnel (HCP) against influenza is important to prevent transmission and morbidity among patients and staff. METHODS: We conducted an online survey assessing knowledge, perceptions and attitudes concerning influenza vaccination among HCP. Multivariate logistic regression was performed to identify independent predictors of vaccination. RESULTS: The survey was completed by 468 HCP representing all categories of staff...
2016: Israel Journal of Health Policy Research
https://www.readbyqxmd.com/read/27760007/monitoring-of-frequency-and-antimicrobial-susceptibility-of-pathogens-on-the-hands-of-healthcare-workers-in-a-tertiary-hospital
#4
Athanasios Tselebonis, Evangelia Nena, Christos Nikolaidis, Theocharis Konstantinidis, Christos Kontogiorgis, Maria Panopoulou, Theodore C Constantinidis
OBJECTIVE: To monitor microbes, focusing on drug resistance, on the hands of the personnel of four departments of a tertiary hospital (ICU, neonatal unit, internal medicine ward and surgical ward) and explore differences between departments, professions and genders. MATERIALS AND METHODS: Hand sampling from 125 healthcare employees was conducted followed by isolation, identification and antibiotic resistance profiling of different microbial species. RESULTS: Staphylococcus spp was the most prevalent microbe (76/125, 60...
September 1, 2016: Folia Medica
https://www.readbyqxmd.com/read/27751640/willingness-to-participate-in-ebola-viral-disease-vaccine-trials-and-receive-vaccination-by-health-workers-in-a-tertiary-hospital-in-ile-ife-southwest-nigeria
#5
Samuel A Olowookere, Emmanuel A Abioye-Kuteyi, O Adekanle
BACKGROUND: Ebola viral disease (EVD) epidemic need to be contained through means which include vaccination of susceptible population. Vaccination has eradicated major killer diseases. OBJECTIVE: The study determined the health workers willingness to participate in EVD vaccine clinical trials and receive EVD vaccine. MATERIALS AND METHODS: A descriptive cross-sectional study design involving 370 consenting health workers of Obafemi Awolowo University, Ile-Ife that completed a self administered semi-structured questionnaire...
October 14, 2016: Vaccine
https://www.readbyqxmd.com/read/27730795/do-legal-issues-deserve-space-in-specialty-medical-journals
#6
Neeraj Nagpal
Physicians and Internists in India have tended to brush under the carpet legal issues affecting their profession. Of concern to all Physicians is the judgment in a recent case where the NCDRC has stated that if MD Medicine Physicians write Physician & Cardiologist on their letterhead it is Quackery. What is MD Medicine degree holder in India qualified and trained to treat ? These are issues which need debate and that can only be initiated once we recognize that there is a problem. Either an MD Medicine is a cardiologist or he is not...
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27720335/inattentional-blindness-and-failures-to-rescue-the-deteriorating-patient-in-critical-care-emergency-and-perioperative-settings-four-case-scenarios
#7
Angela Jones, Megan-Jane Johnstone
BACKGROUND: Failure to identify and respond to clinical deterioration is an important measure of patient safety, hospital performance and quality of care. Although studies have identified the role of patient, system and human factors in failure to rescue events, the role of 'inattentional blindness' as a possible contributing factor has been overlooked. OBJECTIVES: To explore the nature and possible patient safety implications of inattentional blindness in critical care, emergency and perioperative nursing contexts...
October 5, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/27631706/using-nurse-practitioner-comanagement-to-reduce-hospitalizations-and-readmissions-within-a-home-based-primary-care-program
#8
Masha G Jones, Linda V DeCherrie, Yasmin S Meah, Cameron R Hernandez, Eric J Lee, David M Skovran, Theresa A Soriano, Katherine A Ornstein
Nurse practitioner (NP) comanagement involves an NP and physician sharing responsibility for the care of a patient. This study evaluates the impact of NP comanagement for clinically complex patients in a home-based primary care program on hospitalizations, 30-day hospital readmissions, and provider satisfaction. We compared preenrollment and postenrollment hospitalization and 30-day readmission rates of home-bound patients active in the Nurse Practitioner Co-Management Program within the Mount Sinai Visiting Doctors Program (MSVD) (n = 87) between January 1, 2012, and July 1, 2013...
September 13, 2016: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
https://www.readbyqxmd.com/read/27457406/socioeconomic-and-racial-disparities-in-the-parental-perception-and-experience-of-having-a-medical-home-2007-to-2011-2012
#9
Kristen Diao, Yorghos Tripodis, Webb E Long, Arvin Garg
OBJECTIVE: To evaluate whether socioeconomic (SES) and racial disparities in the parental perception and experience of having a medical home decreased from 2007 to 2011-2012. DESIGN: /Methods: We used nationally representative samples of children ages 1-17 from the 2007 (n=83,293) and 2011-2012 (n=87,774) National Surveys of Children's Health (NSCH). Multivariable logistic regression was used to test associations between SES (income, employment, and education) and race/ethnicity to the medical home and its subcomponents (personal doctor or nurse, usual source of care, family-centered care, referrals, care coordination), controlling for a priori identified covariates...
July 22, 2016: Academic Pediatrics
https://www.readbyqxmd.com/read/27455207/nurse-workload-and-inexperienced-medical-staff-members-are-associated-with-seasonal-peaks-in-severe-adverse-events-in-the-adult-medical-intensive-care-unit-a-seven-year-prospective-study
#10
Christophe Faisy, Cindy Davagnar, Dominique Ladiray, Juliette Djadi-Prat, Maxime Esvan, Emilie Lenain, Pierre Durieux, Jean-François Leforestier, Carine Marlet, Marta Seijo, Anne Guillou
OBJECTIVE: Our purpose was to identify potential organizational factors that contributed to life-threatening adverse events in adult intensive care unit. METHODS: A prospective, observational, dynamic cohort study was carried out from January 2006 to December 2013 in a 20-bed adult medical intensive care unit. All patients admitted to the intensive care unit and who experienced one or more selected life-threatening adverse events (mainly unexpected cardiac arrest, unplanned extubation, reintubation after planned extubation, and readmission within 48h of intensive care unit discharge) were included in the analysis...
October 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27366535/comparison-of-sugammadex-versus-neostigmine-costs-and-respiratory-complications-in-patients-with-obstructive-sleep-apnoea
#11
Dilek Yazıcıoğlu Ünal, İlkay Baran, Murad Mutlu, Gülçin Ural, Taylan Akkaya, Onur Özlü
OBJECTIVE: To compare sugammadex and neostigmine regarding the efficacy in reversing rocuronium-induced neuromuscular block, the incidence of post-operative respiratory complications and costs in patients undergoing surgery for the treatment of obstructive sleep apnoea (OSA). METHODS: After obtaining ethical approval and patient consent, 74 patients in ASA physical status I or II were randomised into two groups to receive 2-mg kg(-1) sugammadex (Group S) or 0.04-mg kg(-1) neostigmine+0...
December 2015: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/27359319/-the-use-of-benzodiazepines-and-z-drugs-for-patients-with-sleeping-problems-a-survey-among-hospital-doctors-and-nurses
#12
V Weiß, S Heinemann, W Himmel, R Nau, E Hummers-Pradier
Aim | Benzodiazepines and Z-drugs are frequently prescribed sleep medications in spite of their poor risk-benefit ratio when used over a longer period of time. The aim of the study was to find out how the medical and nursing staff in a general hospital estimated the frequency of use for these drugs, and the risk-benefit ratio for elderly patients as well as the factors which positively influence the perceived use of these drugs. Methods | All members of the medical and nursing staff of a hospital received a questionnaire about their use of, and attitudes towards, benzodiazepines and Z-drugs...
July 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27317251/vital-signs-monitoring-on-general-wards-clinical-staff-perceptions-of-current-practices-and-the-planned-introduction-of-continuous-monitoring-technology
#13
Mirela Prgomet, Magnolia Cardona-Morrell, Margaret Nicholson, Rebecca Lake, Janet Long, Johanna Westbrook, Jeffrey Braithwaite, Ken Hillman
OBJECTIVE: Early detection of patient deterioration and prevention of adverse events are key challenges to patient safety. This study investigated clinical staff perceptions of current monitoring practices and the planned introduction of continuous monitoring devices on general wards. DESIGN: Multi-method study comprising structured surveys, in-depth interviews and device trial with log book feedback. SETTING: Two general wards in a large urban teaching hospital in Sydney, Australia...
September 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27275280/quality-of-life-of-the-health-care-workers-in-the-pre-retirement-period-from-the-private-sector-of-the-primary-health-care-from-the-skopje-region
#14
Iskra Gerazova Mujchin
BACKGROUND: The quality of life (QOL) of the workers in the pre-retirement period is an important line in their functioning, as well as in the process of their preparing for retirement. AIM: To assess the QOL of the health care workers - HCW (doctors and nurses/medical technicians) in the pre-retirement period from the private sector of the Primary Health Care (PHC). MATERIAL AND METHODS: We performed a cross-sectional, questionnaire-based study including 200 HCW in their pre-retirement period from the PHC from the Skopje region divided in two groups...
September 15, 2015: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27271139/epistemic-authority-in-nursing-practice-vs-doctors-orders
#15
Pamela G Reed
The practice policy of doctors' orders is still deeply embedded in 21st century professional nurse practice, despite its profound incongruence with nursing's perspective, standards of practice, and advanced knowledge. The author in this article elaborates on the doctors' orders policy in relation to nursing's disciplinary perspective and epistemic authority in professional practice.
July 2016: Nursing Science Quarterly
https://www.readbyqxmd.com/read/27178838/process-evaluation-of-cancer-prevention-media-campaigns-in-appalachian-ohio
#16
Mira L Katz, Gregory S Young, Paul L Reiter, Michael L Pennell, Jesse J Plascak, Barret J Zimmermann, Janice L Krieger, Michael D Slater, Cathy M Tatum, Electra D Paskett
The purpose of this study is to provide process data from campaigns (2009-2010) to improve colorectal cancer (CRC; intervention) screening and fruit and vegetable (F&V; comparison) consumption in 12 Appalachian Ohio counties. County-specific campaigns included one billboard, posters, and articles for local newspapers. Participants in CRC screening counties who reported seeing CRC screening billboards had greater intention to talk to a doctor/nurse about screening in the next 6 months (odds ratio [OR] = 2.92, 95% confidence interval [CI; 1...
May 13, 2016: Health Promotion Practice
https://www.readbyqxmd.com/read/27117394/parental-perception-of-treatment-and-medical-care-in-children-with-craniosynostosis
#17
S Kluba, S Rohleder, M Wolff, K Haas-Lude, M U Schuhmann, B E Will, S Reinert, M Krimmel
Surgery for craniosynostosis implies a relevant strain on the child and the parents. The development of the child's self-perception and self-confidence is mainly influenced by parental attitudes. The outcomes of 46 patients were analysed, taking into consideration parental perceptions. Parents were asked to indicate their satisfaction with the medical care and treatment provided using a questionnaire. Aesthetics were evaluated by the parents and doctors using a score (1=perfect, 5=deficient). Major surgical complications (2...
April 22, 2016: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/27108826/analysis-of-cricoid-pressure-application-anaesthetic-trainee-doctors-vs-nursing-anaesthetic-assistants
#18
Nurul Haizam Yahaya, Rufinah Teo, Azarinah Izaham, Shereen Tang, Aliza Mohamad Yusof, Norsidah Abdul Manap
BACKGROUND AND OBJECTIVE: To evaluate the ability of anaesthetic trainee doctors compared to nursing anaesthetic assistants in identifying the cricoid cartilage, applying the appropriate cricoid pressure and producing an adequate laryngeal inlet view. METHODS: Eighty-five participants, 42 anaesthetic trainee doctors and 43 nursing anaesthetic assistants, were asked to complete a set of questionnaires which included the correct amount of force to be applied to the cricoid cartilage...
May 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27060788/does-classroom-based-crew-resource-management-training-have-an-effect-on-attitudes-between-doctors-and-nurses
#19
Christina K W Chan, Hang-kwong So, Wing-yiu Ng, Pei-kei Chan, Wai-ling Ma, Kin-ling Chan, Siu-ha Leung, Lap-yin Ho
OBJECTIVE: To evaluate participant reactions and attitudes to crew resource management teamwork classroom-based training by comparing Likert responses before and after the intervention and exploring potential differences in attitudes across the different healthcare professionals. METHODS: Between 26 January and 27 March, 2015, a randomly selected sample of 240 frontline healthcare professionals offering direct patient care were recruited to undergo a 4-hour crew resource management classroom-based training programme...
2016: International Journal of Medical Education
https://www.readbyqxmd.com/read/27057153/smoking-prevalence-and-associated-risk-factors-among-healthcare-professionals-in-nicosia-general-hospital-cyprus-a-cross-sectional-study
#20
Stavri Zinonos, Theodora Zachariadou, Savvas Zannetos, Andrie G Panayiotou, Andreas Georgiou
BACKGROUND: In recent years, a significant progress has been achieved globally in reduction of smoking among physicians and nurses, however, in some countries the smoking prevalence of health professionals is maintained at very high levels, without significant difference from the general population. This study aims to investigate the prevalence of smoking among physicians and nurses working at Nicosia General Hospital, as well as their knowledge and attitudes towards smoking cessation strategies...
2016: Tobacco Induced Diseases
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