keyword
MENU ▼
Read by QxMD icon Read
search

Nurses vs doctors

keyword
https://www.readbyqxmd.com/read/29873523/improving-ambulatory-blood-pressure-monitoring-knowledge-in-nurses-and-doctors-impact-of-a-training-intervention
#1
Artur Dalfó-Pibernat, Antoni Dalfó Baqué, Francisco Javier Pelegrina Rodríguez, Olatz Garin, Xavier Duran, Mercè Cladellas Capdevila, Josep Comin Colet
INTRODUCTION: Ambulatory blood pressure monitoring (ABPM) is fundamental to diagnosing and monitoring arterial hypertension (HTN), yet it is not known how effective training could be in improving knowledge of ABPM. PURPOSE: The purpose of this study was to evaluate ABPM knowledge before and after a training activity. METHODOLOGY: A before-and-after intervention study of 116 professionals. Data was collected on age, sex, occupational category, work setting, and work experience...
June 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29739393/involvement-in-decisions-about-intravenous-treatment-for-nursing-home-patients-nursing-homes-versus-hospital-wards
#2
Kristin Klomstad, Reidar Pedersen, Reidun Førde, Maria Romøren
BACKGROUND: Many of the elderly in nursing homes are very ill and have a reduced quality of life. Life expectancy is often hard to predict. Decisions about life-prolonging treatment should be based on a professional assessment of the patient's best interest, assessment of capacity to consent, and on the patient's own wishes. The purpose of this study was to investigate and compare how these types of decisions were made in nursing homes and in hospital wards. METHODS: Using a questionnaire, we studied the decision-making process for 299 nursing home patients who were treated for dehydration using intravenous fluids, or for bacterial infections using intravenous antibiotics...
May 8, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29650487/speaking-up-about-hand-hygiene-failures-a-vignette-survey-study-among-healthcare-professionals
#3
David L B Schwappach
BACKGROUND: Speaking up by healthcare professionals (HCPs) is an important resource to reduce risks to patient safety. Due to complex tradeoffs, HCPs are often reluctant to voice their concerns. A survey investigated HCPs' likelihood to speak up. METHODS: A cross-sectional survey study among HCPs in 5 Swiss hospitals addressed speaking-up behaviors, safety climate, and likelihood to speak up about poor hand hygiene practice described in a vignette. Likelihood to speak up was analyzed using a multilevel regression model...
April 9, 2018: American Journal of Infection Control
https://www.readbyqxmd.com/read/29567035/knowledge-attitudes-and-practices-regarding-hepatitis-b-vaccination-among-hospital-based-doctors-and-nurses-in-china-results-of-a-multi-site-survey
#4
Yan Liu, Chao Ma, Haimei Jia, Erping Xu, Yong Zhou, Zhujiazi Zhang, Li Lu, Lance Rodewald, Lixin Hao
BACKGROUND: Hepatitis B virus (HBV) can cause chronic HBV infection, which may lead to advanced cirrhosis and liver cancer. Healthcare workers (HCWs) are at risk HBV infection as an occupational hazard. Hepatitis B vaccination of HCWs is recommended by WHO, but the status of hepatitis B vaccination among HCWs in China is seldom reported. METHODOLOGY: We conducted a cross-sectional study in 22 hospitals of 3 developed cities in China. We interviewed managers in infectious diseases and occupational health departments, and at least 40 HCWs per hospital...
April 19, 2018: Vaccine
https://www.readbyqxmd.com/read/29559869/patient-centered-beliefs-among-patients-and-providers-in-kazakhstan
#5
Anara Zhumadilova, Brett J Craig, Martin Bobak
Background: Health services in Kazakhstan have undergone radical reforms since its independence in 1991, but levels of dissatisfaction among patients remain high. We investigated whether healthcare providers and patients at one hospital in Astana, Kazakhstan, believe the doctor-patient interaction should be doctor-centered vs patient-centered. Methods: We conducted a cross-sectional study of the responses to various surveys of 200 patients (response rate, 74%) and 201 healthcare providers (response rate, 86%) in a general hospital in Astana, Kazakhstan...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29501515/value-of-ventricular-intracranial-pressure-monitoring-for-traumatic-bifrontal-contusions
#6
Jun-Hui Chen, Pei-Pei Li, Li-Kun Yang, Lei Chen, Jie Zhu, Xu Hu, Yu-Hai Wang
OBJECTIVE: To investigate clinical efficacy of and optimal therapeutic strategy for ventricular intracranial pressure monitoring (V-ICPM) in patients with traumatic bifrontal contusions (TBCs). METHODS: From 8760 patients with traumatic brain injury treated between January 2010 and January 2016, a retrospective analysis was performed on 105 patients with TBCs who underwent V-ICPM and 282 patients with TBCs who did not. All patients underwent treatment at the 101st Hospital of PLA, Wuxi, China...
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29454507/pediatric-early-warning-score-systems-nurses-perspective-a-focus-group-study
#7
EDITORIAL
Claus Sixtus Jensen, Pia Bonde Nielsen, Hanne Vebert Olesen, Hans Kirkegaard, Hanne Aagaard
PURPOSE: Pediatric early warning score (PEWS) systems are used to monitor pediatric patients' vital signs and facilitate the treatment of patients at risk of deteriorating. The aim of this study was to gain knowledge about nurses' experiences with PEWS and to highlight factors facilitating and impeding the use of PEWS tools in clinical practice. DESIGN AND METHODS: An exploratory qualitative design was chosen using focus group interviews to gain a deeper understanding of nurses' experiences with PEWS...
February 14, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29447352/improvement-of-emergency-department-patient-flow-using-lean-thinking
#8
Miquel Sánchez, Montse Suárez, María Asenjo, Ernest Bragulat
Objective: To apply lean thinking in triage acuity level-3 patients in order to improve emergency department (ED) throughtput and waiting time. Design: A prospective interventional study. Setting: An ED of a tertiary care hospital. Participants: Triage acuity level-3 patients. Intervention(s): To apply lean techniques such as value stream mapping, workplace organization, reduction of wastes and standardization by the frontline staff...
May 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29393044/early-warning-score-challenges-and-opportunities-in-the-care-of-deteriorating-patients
#9
John Asger Petersen
Clinical deterioration of patients hospitalized on general wards is often preceded by worsening vital signs. If identified early and acted upon quickly, it is conjectured that further deterioration can be prevented. To this means the early warning score (EWS) was implemented in all hospitals in the Capital Region of Denmark in 2013. EWS consists of an aggregated weighted track-and-trigger system (TTS), to identify at-risk patients early, and a treatment protocol to escalate care appropriately and determine the level of competency of the provider...
February 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29373190/what-have-we-learned-from-reporting-safety-incidents-in-the-surgical-block-cross-sectional-descriptive-study-of-two-years-of-activity-of-a-multidisciplinary-analytical-group
#10
F Caba Barrientos, A Rodríguez Morillo, R Galisteo Domínguez, M Del Nozal Nalda, C V Almeida González, M Echevarría Moreno
BACKGROUND AND OBJECTIVES: Incident Reporting Systems (IRS) are considered a tool that facilitates learning and safety culture. Using the experience gained with SENSAR, we evaluated the feasibility and the activity of a multidisciplinary group analyzing incidents in the surgical patient notified to a general community system, that of the Observatory for Patient Safety (OPS). MATERIAL AND METHOD: Cross-sectional observational study planned for two years. After training in the analysis, a multidisciplinary group was created in terms of specialties and professional categories, which would analyze the incidents in the surgical patient notified to the OPS...
January 17, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29317259/adherence-to-contact-precautions-by-different-types-of-healthcare-workers-through-video-monitoring-in-a-tertiary-hospital
#11
Y Katanami, K Hayakawa, T Shimazaki, Y Sugiki, S Takaya, K Yamamoto, S Kutsuna, Y Kato, N Ohmagari
BACKGROUND: Contact precautions are required to prevent transmission of multi-drug-resistant organisms; however, reports on adherence rates vary. This study used video monitoring to evaluate adherence to the use of personal protective equipment (PPE) by different types of healthcare workers. METHODS: This observational study was conducted in a 781-bed tertiary hospital from July 2016 to March 2017. Cameras were installed in areas where staff don PPE. Infection control teams observed the videos and assessed adherence rates...
January 6, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29275269/improving-icu-services-in-resource-limited-settings-perceptions-of-icu-workers-from-low-middle-and-high-income-countries
#12
Rashan Haniffa, A Pubudu De Silva, Luciano de Azevedo, Dilini Baranage, Aasiyah Rashan, Inipavudu Baelani, Marcus J Schultz, Arjen M Dondorp, Martin W Dünser
PURPOSE: To evaluate perceptions of intensive care unit (ICU) workers from low-and-middle income countries (LMICs) and high income countries (HICs). MATERIALS AND METHODS: A cross sectional design. Data collected from doctors using an anonymous online, questionnaire. RESULTS: Hundred seventy-five from LMICs and 43 from HICs participated. Barriers in LMICs were lack of formal training (Likert score median 3 [inter quartile range 3]), lack of nurses (3[3]) and low wages (3[4])...
April 2018: Journal of Critical Care
https://www.readbyqxmd.com/read/29245167/-are-we-really-as-happy-as-we-think-we-are-a-critical-examination-of-work-satisfaction-in-a-university-pediatric-hospital
#13
Andreas Hiemisch, Yve Stöbel-Richter, Gesine Grande, Elmar Brähler, Wieland Kiess
Goals Despite numerous reported deficits and an increasingly tense working environment in German hospitals, employees themselves often assess their job satisfaction as being high to very high. Hence, the board of directors does not have important arguments for sustainable improvement of working conditions. This discrepancy between working conditions and subjective satisfaction was the motivation for this work. Methods Data were acquired via an attitude survey at the University Hospital for Children and Adolescents Leipzig, with employees sub-divided into medical, nursing and administrative/technical staff...
December 15, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29219082/task-shifting-in-the-management-of-hypertension-in-kinshasa-democratic-republic-of-congo-a-cross-sectional-study
#14
Aimée M Lulebo, Didine K Kaba, Silvestre E-H Atake, Mala A Mapatano, Eric M Mafuta, Julien M Mampunza, Yves Coppieters
BACKGROUND: The Democratic Republic of the Congo (DRC) is characterized by a high prevalence of hypertension (HTN) and a high proportion of uncontrolled HTN, which is indicative of poor HTN management. Effective management of HTN in the African region is challenging due to limited resources, particularly human resources for health. To address the shortage of health workers, the World Health Organization (WHO) recommends task shifting for better disease management and treatment. Although task shifting from doctors to nurses is being implemented in the DRC, there are no studies, to the best of our knowledge, that document the association between task shifting and HTN control...
December 4, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29207973/identifying-models-of-hiv-care-and-treatment-service-delivery-in-tanzania-uganda-and-zambia-using-cluster-analysis-and-delphi-survey
#15
Sharon Tsui, Julie A Denison, Caitlin E Kennedy, Larry W Chang, Olivier Koole, Kwasi Torpey, Eric Van Praag, Jason Farley, Nathan Ford, Leine Stuart, Fred Wabwire-Mangen
BACKGROUND: Organization of HIV care and treatment services, including clinic staffing and services, may shape clinical and financial outcomes, yet there has been little attempt to describe different models of HIV care in sub-Saharan Africa (SSA). Information about the relative benefits and drawbacks of different models could inform the scale-up of antiretroviral therapy (ART) and associated services in resource-limited settings (RLS), especially in light of expanded client populations with country adoption of WHO's test and treat recommendation...
December 6, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29191159/barriers-and-facilitating-factors-related-to-use-of-early-warning-score-among-acute-care-nurses-a-qualitative-study
#16
John Asger Petersen, Lars S Rasmussen, Susan Rydahl-Hansen
BACKGROUND: The early warning score (EWS) was developed to identify deteriorating patients early. It is a track-and-trigger system based on vital signs designed to direct appropriate clinical responses based on the seriousness and nature of the underlying condition. Despite its wide dissemination, serious adverse events still occur, often due to failure among staff on general wards to follow the EWS protocol. The purpose of the study was to determine barriers and facilitating factors related to three aspects of the EWS protocol: 1) adherence to monitoring frequency, 2) call for junior doctors to patients with an elevated EWS, and 3) call for the medical emergency team...
December 1, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/29170320/23-patient-and-staff-perspectives-on-the-reasons-for-increasing-emergency-department-attendances
#17
Suzanne Ablard, Melanie Rimmer, Colin O'Keeffe, Suzanne Mason
BACKGROUND/OBJECTIVES: An NHS England review recognised that demand for Urgent and Emergency Care is unsustainable. Health practitioners and policy makers are interested in understanding the reasons why patients with low acuity problems attend the Emergency Department (ED). This should, in turn, assist the development of interventions to reduce demand.We aimed to gain an understanding about the reasons for rising ED demand and to identify possible solutions. METHODS: A self-report patient survey was administered to non-ambulance patients at 9 EDs across Yorkshire and Humber (Y and H) asking participants: reasons for attending the ED; awareness of alternative services; and perceptions of the suitability of other services to manage their health problem...
December 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29151283/clinical-significance-of-rituximab-infusion-related-reaction-in-diffuse-large-b-cell-lymphoma-patients-receiving-r-chop
#18
Kyoung Min Cho, Bhumsuk Keam, Hyerim Ha, Miso Kim, Jae-Woo Jung, Woo-Jung Song, Tae Min Kim, Yoon Kyung Jeon, Hye-Ryun Kang, Dong Wan Kim, Chul Woo Kim, Dae Seog Heo
Background/Aims: This study was to evaluate the clinical significance of infusion-related reaction (IRR) of rituximab in diffuse large B-cell lymphoma (DLBCL) patients who received R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone) as a first-line chemotherapy. Methods: The medical records of 326 patients diagnosed with DLBCL were re trospectively analyzed. Both doctor's progress records and nursing records were reviewed. IRR was graded according to the National Cancer Institute Common Terminology Criteria...
November 20, 2017: Korean Journal of Internal Medicine
https://www.readbyqxmd.com/read/29149483/factors-influencing-the-quality-of-vital-sign-data-in-electronic-health-records-a-qualitative-study
#19
Jean E Stevenson, Johan Israelsson, Goran Petersson, Peter A Bath
AIMS AND OBJECTIVES: To investigate reasons for inadequate documentation of vital signs in an electronic health record. BACKGROUND: Monitoring vital signs is crucial to detecting and responding to patient deterioration. The ways in which vital signs are documented in electronic health records have received limited attention in the research literature. A previous study revealed that vital signs in an electronic health record were incomplete and inconsistent. DESIGN: Qualitative study...
March 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29143446/realism-in-paediatric-emergency-simulations-a-prospective-comparison-of-in-situ-low-fidelity-and-centre-based-high-fidelity-scenarios
#20
Fenton O'Leary, Ioannis Pegiazoglou, Kathryn McGarvey, Ruza Novakov, Ingrid Wolfsberger, Jennifer Peat
OBJECTIVE: To measure scenario participant and faculty self-reported realism, engagement and learning for the low fidelity, in situ simulations and compare this to high fidelity, centre-based simulations. METHODS: A prospective survey of scenario participants and faculty completing in situ and centre-based paediatric simulations. RESULTS: There were 382 responses, 276 from scenario participants and 106 from faculty with 241 responses from in situ and 141 from centre-based simulations...
February 2018: Emergency Medicine Australasia: EMA
keyword
keyword
78557
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"