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clinical governance in nursing

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https://www.readbyqxmd.com/read/29146489/exploring-the-barriers-to-and-facilitators-of-using-evidence-based-drugs-in-the-secondary-prevention-of-cardiovascular-diseases-findings-from-a-multistakeholder-qualitative-analysis
#1
Victoria Miller, Lavanya Nambiar, Malvika Saxena, Darryl Leong, Amitava Banerjee, José Pablo Werba, Jose Rocha Faria Neto, Katherine Curi Quinto, Mohammed Moniruzzaman, Shweta Khandelwal
BACKGROUND: Health-system barriers and facilitators associated with cardiovascular medication adherence have seldom been studied, particularly in low- and middle-income countries where uptake rates are poorest. OBJECTIVES: This study sought to explore the major obstacles and facilitators to the use of evidence-supported medications for secondary prevention of cardiovascular disease using qualitative analysis in 2 diverse countries across multiple levels of their health care systems...
November 13, 2017: Global Heart
https://www.readbyqxmd.com/read/29137552/clinical-governance-breakdown-australian-cases-of-wilful-blindness-and-whistleblowing
#2
Sonja Cleary, Maxine Duke
BACKGROUND: After their attempts to have patient safety concerns addressed internally were ignored by wilfully blind managers, nurses from Bundaberg Base Hospital and Macarthur Health Service felt compelled to 'blow the whistle'. Wilful blindness is the human desire to prefer ignorance to knowledge; the responsibility to be informed is shirked. OBJECTIVE: To provide an account of instances of wilful blindness identified in two high-profile cases of nurse whistleblowing in Australia...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29133281/should-medical-assistance-in-dying-be-extended-to-incompetent-patients-with-dementia-research-protocol-of-a-survey-among-four-groups-of-stakeholders-from-quebec-canada
#3
Gina Bravo, Claudie Rodrigue, Vincent Thériault, Marcel Arcand, Jocelyn Downie, Marie-France Dubois, Sharon Kaasalainen, Cees M Hertogh, Sophie Pautex, Lieve Van den Block
BACKGROUND: Alzheimer's disease and related disorders affect a growing number of people worldwide. Quality of life is generally good in the early stages of these diseases. However, many individuals fear living through the advanced stages. Such fears are triggering requests for medical assistance in dying (MAiD) by patients with dementia. Legislation was recently passed in Canada and the province of Quebec allowing MAiD at the explicit request of a patient who meets a set of eligibility criteria, including competence...
November 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29099826/-governance-in-a-project-addressing-care-of-disabled-elderly-persons-within-the-regional-healthcare-system-of-tuscany-italy
#4
Claudio Pedace, Antonella Rosa, Paolo Francesconi, Anna Acampora, Walter Ricciardi, Gianfranco Damiani
Population aging and the concurrent increase of age-related chronic degenerative diseases and disability are associated with an increased proportion of elderly persons who are dependent in activities of daily living (ADL). ADL-dependent persons need continuous and long-term health and social care according to the "taking charge" rationale, in order to warrant access and continuity of care. A healthcare system needs to respond to the long-term and complex needs, such as those of disabled elderly people, by providing appropriate health and social care services in Primary Care...
July 2017: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/29090016/interventions-to-increase-use-of-services-mental-health-awareness-in-nigeria
#5
Julian Eaton, Emeka Nwefoh, Godwin Okafor, Ugochukwu Onyeonoro, Kenneth Nwaubani, Claire Henderson
BACKGROUND: Mental health services in Nigeria consist mainly of large government psychiatric hospitals and there are very few mental health professionals to serve the large population of the country. However, more recently, community mental health services, which have been shown to improve access to care and clinical outcomes are beginning to develop in some locations. Despite efforts to promote more accessible services, low levels of knowledge about effective treatment of mental disorders means that even where these services are available, a very small proportion of people utilise these services...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28992155/attitudes-towards-accreditation-among-hospital-employees-in-denmark-a-cross-sectional-survey
#6
Lars Holger Ehlers, Morten Berg Jensen, Katherina Beltoft Simonsen, Gitte Sand Rasmussen, Jeffrey Braithwaite
Objective: To evaluate attitudes towards accreditation and the Danish Quality Model (DDKM) among hospital employees in Denmark. Negative attitudes led the Danish Government to abolish accreditation in 2015. Design: A cross-sectional survey was carried out via web-based questionnaire. Setting: All hospital managers, quality improvement staff (quality managers and employees), and hospital surveyors in Denmark; and clinicians (doctors and nurses) within nine selected specialties...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28987894/students-nurses-knowledge-and-prevalence-of-needle-stick-injury-in-jordan
#7
Mohammad Suliman, Mohammad Al Qadire, Manar Alazzam, Sami Aloush, Arwa Alsaraireh, Faris A Alsaraireh
BACKGROUND: Student nurses are at high risk of blood-borne pathogens transmitted via Needle Stick Injury (NSI). Understanding various aspects of NSI is essential if they are to avoid the risks associated with it. OBJECTIVES: The study was conducted to measure student nurses' level of knowledge about NSI and to examine its prevalence and post-exposure measures in Jordan. DESIGN: A cross-sectional and descriptive design was used. SAMPLE AND SETTING: A sample of 279 student nurses studying at one private and four government universities distributed throughout Jordan...
October 1, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28979100/acceptability-of-community-based-adherence-clubs-among-health-facility-staff-in-south-africa-a-qualitative-study
#8
Ndumiso Tshuma, Ofentse Mosikare, Jessica A Yun, Olufunke A Alaba, Meera S Maheedhariah, Keith Muloongo, Peter S Nyasulu
BACKGROUND: Patient retention in care for HIV/AIDS is a critical challenge for antiretroviral treatment programs. Community-based adherence programs (CBAPs) as compared to health care facility-based adherence programs have been considered as one of the options to provide treatment maintenance support for groups of patients on antiretroviral therapy. Such an approach provides a way of enhancing self-management of the patient's condition. In addition, CBAPs have been implemented to support antiretroviral treatment expansion in resource-limited settings...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28948596/-a-long-stream-the-historical-influence-of-peking-union-medical-college-on-the-development-of-modern-nursing-education-in-taiwan
#9
Duu-Jian Tsai, Meng-Chih Lee
The faculty of Peiping Union Medical College (PUMC) formatively influenced the development of modern nursing in Taiwan. PUMC, which retreated with the national government to Taiwan from Mainland China in 1949, was initially established earlier in that century by enthusiastic medical missionaries and later reformed by the Rockefeller Foundation. After relocating to Taiwan, PUMC teachers and graduates have provided critical leadership in disseminating modern nursing education in Taiwan and in integrating public health and clinical services to establish a solid foundation for Taiwanese nursing education...
October 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28947441/overview-of-the-uptake-and-implementation-of-non-medical-prescribing-in-wales-a-national-survey
#10
Molly Courtenay, Riyad Khanfer, Gail Harries-Huntly, Rhain Deslandes, David Gillespie, Karen Hodson, Gary Morris, Anthony Pritchard, Elizabeth Williams
OBJECTIVES: To identify (1) the non-medical healthcare professionals in Wales qualified to prescribe medicines (including job title, employer, where the prescribing qualification is used, care setting and service provided); (2) the mode of prescribing used by these healthcare professionals, the frequency with which medicines are prescribed and the different ways in which the prescribing qualification is used; and (3) the safety and clinical governance systems within which these healthcare professionals practise...
September 24, 2017: BMJ Open
https://www.readbyqxmd.com/read/28931478/precepting-a-literature-review
#11
REVIEW
Amanda Ward, Sara McComb
The purpose of this literature review is to examine studies evaluating preceptorships within nursing orientation or education programs. Nursing education in the classroom focuses on the theoretical aspect of nursing care as opposed to the clinical experience of nursing education that allows for the hands-on practical experience of nursing. The clinical experience is an integral part of the education process for both students and experienced nurses at various career transitions. Quality clinical experiences require practice partnerships, particularly in the form of preceptorships...
September 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28931399/principles-practices-and-knowledge-of-clinicians-when-assessing-febrile-children-a-qualitative-study-in-kenya
#12
Anneka M Hooft, Kelsey Ripp, Bryson Ndenga, Francis Mutuku, David Vu, Kimberly Baltzell, Linnet N Masese, John Vulule, Dunstan Mukoko, A Desiree LaBeaud
BACKGROUND: Clinicians in low resource settings in malaria endemic regions face many challenges in diagnosing and treating febrile illnesses in children. Given the change in WHO guidelines in 2010 that recommend malaria testing prior to treatment, clinicians are now required to expand the differential when malaria testing is negative. Prior studies have indicated that resource availability, need for additional training in differentiating non-malarial illnesses, and lack of understanding within the community of when to seek care play a role in effective diagnosis and treatment...
September 20, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28926150/facilitation-of-child-health-research-in-hospital-settings-the-views-of-nurses
#13
J Brown, O Barr, M Lindsay, E Ennis, S O'Neill
BACKGROUND: Child health research in clinical practice is increasing throughout the UK. Nurses and midwives facilitate access to patients, enact research study protocols and have a critical role in parental decisions to enrol children into research studies. Little is known about their perception of this process. AIMS & OBJECTIVES: To explore the views of nurses towards child health research and to identify factors influencing their willingness to facilitate it in practice...
September 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28894544/success-rate-evaluation-of-clinical-governance-implementation-in-teaching-hospitals-in-kerman-iran-based-on-nine-steps-of-karsh-s-model
#14
Leila Vali, Zahra Mastaneh, Ali Mouseli, Vida Kardanmoghadam, Sodabeh Kamali
BACKGROUND: One of the ways to improve the quality of services in the health system is through clinical governance. This method aims to create a framework for clinical services providers to be accountable in return for continuing improvement of quality and maintaining standards of services. OBJECTIVE: To evaluate the success rate of clinical governance implementation in Kerman teaching hospitals based on 9 steps of Karsh's Model. METHODS: This cross-sectional study was conducted in 2015 on 94 people including chief executive officers (CEOs), nursing managers, clinical governance managers and experts, head nurses and nurses...
July 2017: Electronic Physician
https://www.readbyqxmd.com/read/28882115/caught-in-a-no-win-situation-discussions-about-ccsvi-between-persons-with-multiple-sclerosis-and-their-neurologists-a-qualitative-study
#15
S Michelle Driedger, Ryan Maier, Ruth Ann Marrie, Melissa Brouwers
BACKGROUND: In recent years, shared decision making (SDM) has been promoted as a model to guide interactions between persons with MS and their neurologists to reach mutually satisfying decisions about disease management - generally about deciding treatment courses of prevailing disease modifying therapies. In 2009, Dr. Paolo Zamboni introduced the world to his hypothesis of Chronic Cerebrospinal Venous Insufficiency (CCSVI) as a cause of MS and proposed venous angioplasty ('liberation therapy') as a potential therapy...
September 7, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28860794/nursing-schools-and-academic-health-centers-toward-improved-alignment-and-a-synergistic-partnership
#16
Azita Emami, Darcy Jaffe, Paula Minton-Foltz, Grace Parker, Susan Manfredi, Theresa Braungardt, Kelly W Marley, Laura Cooley, Staishy Bostick Siem
This paper presents the findings from a national survey which the University of Washington conducted among leaders of 32 US academic nursing institutions that are part of academic health centers (AHCs) and complements these findings with results from a separate report by the American Association of Colleges of Nursing. While expressing overall satisfaction with their AHC relationships, these leaders find that nursing is often given greater parity in matters of education and research than in mission setting, financial, and governance matters...
2017: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/28857382/nurse-manager-perspective-of-staff-participation-in-unit-level-shared-governance
#17
Sheila Cox Sullivan, Mitzi R Norris, Lana M Brown, Karen J Scott
AIM: To examine the nurse manager perspective surrounding implementation of unit level shared governance in one Veterans Health Administration facility. BACKGROUND: Nursing shared governance is a formal model allowing nursing staff decision-making input into clinical practice, quality improvement, evidence-based practice and staff professional development. Unit level shared governance is a management process where decision authority is delegated to nursing staff at the unit level...
August 30, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28854916/the-quality-safety-and-governance-of-telephone-triage-and-advice-services-an-overview-of-evidence-from-systematic-reviews
#18
Rebecca Lake, Andrew Georgiou, Julie Li, Ling Li, Mary Byrne, Maureen Robinson, Johanna I Westbrook
BACKGROUND: Telephone triage and advice services (TTAS) are increasingly being implemented around the world. These services allow people to speak to a nurse or general practitioner over the telephone and receive assessment and healthcare advice. There is an existing body of research on the topic of TTAS, however the diffuseness of the evidence base makes it difficult to identify key lessons that are consistent across the literature. Systematic reviews represent the highest level of evidence synthesis...
August 30, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28840940/research-priorities-for-specialized-nursing-practice-in-the-united-arab-emirates
#19
N Al-Yateem, M Al-Tamimi, M Brenner, H Altawil, A Ahmad, S Brownie
BACKGROUND: Globally, nurses are undertaking expanded and more specialized roles in healthcare planning and service delivery in response to changing patterns and levels of health service demand. This means the nursing profession is increasingly considered as leaders in health service policy, research and practice. The United Arab Emirates has strengthened nursing governance and practice by establishing a Nursing and Midwifery Council and increasing the activity of nursing specialization, service leadership and research...
August 25, 2017: International Nursing Review
https://www.readbyqxmd.com/read/28840628/survey-shows-that-swedish-healthcare-professionals-have-a-positive-attitude-towards-surrogacy-but-the-health-of-the-child-is-a-concern
#20
G Armuand, C Lampic, A Skoog-Svanberg, K Wånggren, G Sydsjö
AIM: In February 2016, Sweden upheld its ban on surrogacy following a Government enquiry. This survey investigated attitudes towards surrogacy among primary health professionals working with children and their experiences of working with families following surrogacy abroad. METHODS: From April to November 2016, nurses, physicians and psychologist working in primary child health care in four counties in Sweden were invited to participate in a cross-sectional online survey about surrogacy...
August 25, 2017: Acta Paediatrica
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