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https://www.readbyqxmd.com/read/29338537/antidepressant-prescriptions-and-mental-health-nurses-an-observational-study-in-dutch-general-practice-from-2011-to-2015
#1
Tessa Magnée, Derek P de Beurs, Francois G Schellevis, Peter F Verhaak
PURPOSE: The purpose of this study was to investigate developments in antidepressant prescriptions by Dutch general practitioners, alongside the national introduction of mental health nurses. Antidepressant prescriptions are very common in general practice, but are often not in line with recommendations. The recent introduction of mental health nurses may have decreased antidepressant prescriptions, as general practitioners (GPs) have greater potential to offer psychological treatment as a first choice option instead of medication...
January 17, 2018: Scandinavian Journal of Primary Health Care
https://www.readbyqxmd.com/read/29336024/facility-and-state-variation-in-hip-fracture-in-u-s-nursing-home-residents
#2
Andrew R Zullo, Tingting Zhang, Geetanjoli Banerjee, Yoojin Lee, Kevin W McConeghy, Douglas P Kiel, Lori A Daiello, Vincent Mor, Sarah D Berry
OBJECTIVES: To quantify the variation in hip fracture incidence across U.S. nursing home (NH) facilities and states and examine how hip fracture incidence varies according to facility- and state-level characteristics. DESIGN: Retrospective cohort using linked national Minimum Data Set assessments; Online Survey, Certification and Reporting records; and Medicare claims. SETTING: U.S. NHs with 100 or more beds. PARTICIPANTS: Long-stay NH residents between May 1, 2007, and April 30, 2008, from 1,481 facilities and 46 U...
January 16, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29334913/identifying-enablers-and-barriers-to-individually-tailored-prescribing-a-survey-of-healthcare-professionals-in-the-uk
#3
Joanne Reeve, Nicky Britten, Richard Byng, Jo Fleming, Janet Heaton, Janet Krska
BACKGROUND: Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of individuals. However, professionals report barriers to achieving this in practice. In this study, we examined health professionals' perceptions of enablers and barriers to delivering individually tailored prescribing. METHODS: Normalisation Process Theory (NPT) informed an on-line survey of health professionals' views of enablers and barriers to implementation of Individually Tailored Prescribing (ITP) of medicines...
January 15, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29331256/measuring-non-administration-of-ordered-medications-in-the-pediatric-inpatient-setting
#4
Haresh L Bhatia, Neal R Patel, Catherine H Ivory, Phillip W Stewart, Kim M Unertl, Christoph U Lehmann
OBJECTIVE: Medication compliance in inpatient settings shows some significant gaps for adult patients. In pediatric settings prescribing and other administration errors have been studied but missed doses have not been specifically studied in the pediatric inpatient setting. We intended to apply health information technology and data processing methods to study the medication compliance for pediatric patients at our institution. STUDY DESIGN: We collected medication ordering, dispensing, and administration data spanning 42 months (7/1/2010 through 12/31/2013) for pediatric inpatients admitted to a major tertiary pediatric hospital...
February 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29330235/primary-care-physician-perspectives-about-antipsychotics-and-other-medications-for-symptoms-of-dementia
#5
J William Kerns, Jonathan D Winter, Katherine M Winter, Terry Boyd, Rebecca S Etz
BACKGROUND: Guidelines, policies, and warnings have been applied to reduce the use of medications for behavioral and psychological symptoms of dementia (BPSD). Because of rare dangerous side effects, antipsychotics have been singled out in these efforts. However, antipsychotics are still prescribed "off label" to hundreds of thousands of seniors residing in nursing homes and communities. Our objective was to evaluate how and why primary-care physicians (PCPs) employ nonpharmacologic strategies and drugs for BPSD...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29329559/simplification-of-medications-prescribed-to-long-term-care-residents-simpler-study-protocol-for-a-cluster-randomised-controlled-trial
#6
Janet K Sluggett, Esa Y H Chen, Jenni Ilomäki, Megan Corlis, Sarah N Hilmer, Jan Van Emden, Choon Ean Ooi, Kim-Huong Nguyen, Tracy Comans, Michelle Hogan, Tessa Caporale, Susan Edwards, Lyntara Quirke, Allan Patching, J Simon Bell
BACKGROUND: Complex medication regimens are highly prevalent in residential aged care facilities (RACFs). Strategies to reduce unnecessary complexity may be valuable because complex medication regimens can be burdensome for residents and are costly in terms of nursing time. The aim of this study is to investigate application of a structured process to simplify medication administration in RACFs. METHODS: SImplification of Medications Prescribed to Long-tErm care Residents (SIMPLER) is a non-blinded, matched-pair, cluster randomised controlled trial of a single multidisciplinary intervention to simplify medication regimens...
January 12, 2018: Trials
https://www.readbyqxmd.com/read/29326466/a-study-of-oral-health-prevention-behaviours-for-patients-with-early-stage-dementia
#7
R Emanuel, A Sorensen
Background Thorough dental prevention provided at the diagnosis of early stage dementia may be able to reduce the risk of dental disease before the associated cognitive decline takes hold.Method A questionnaire was used to see how many patients with a recent diagnosis of dementia were registered with a dentist and if they were accessing preventative dental care. The questionnaire was administered to patients attending Memory Assessment Services (MAS), approximately ten weeks after initial diagnosis. A similar questionnaire was conducted among MAS staff providing insight into their own personal dental care knowledge and behaviours...
January 12, 2018: British Dental Journal
https://www.readbyqxmd.com/read/29318570/confusion-strongly-associated-with-antibiotic-prescribing-due-to-suspected-urinary-tract-infections-in-nursing-homes
#8
Sean Mayne, Pär-Daniel Sundvall, Ronny Gunnarsson
OBJECTIVES: To quantify the prevalence of documented urinary tract infection (UTI), nonspecific symptoms, and antibiotic treatment of suspected UTI in nursing homes (NHs) in the tropics and to describe the typical resident likely to receive antibiotic treatment for suspected UTI and factors associated with the development of confusion, fatigue, and restlessness. DESIGN: Cross-sectional. SETTING: Five far north Queensland NHs in tropical Australia...
January 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29316297/prevalence-defining-characteristics-and-related-factors-of-the-nursing-diagnosis-of-anxiety-in-hospitalized-medical-surgical-patients
#9
Gianfranco Sanson, Annalisa Perrone, Adriana Fascì, Fabio D'Agostino
PURPOSE: To document the prevalence of the nursing diagnosis of anxiety in hospital patients, based on its level of severity, defining characteristics (DCs), and other related factors, and to identify the key DCs that serve as predictors of clinically significant anxiety (CSA). DESIGN: Cross-sectional study. We enrolled 116 consecutive adult patients hospitalized from October 10 to 16, 2016, in medical-surgical wards within the first 48 hr of admission. METHODS: The potential DCs and related factors of anxiety were collected based on the NANDA International terminology...
January 8, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29300965/an-evaluation-of-the-target-treat-antibiotics-responsibly-guidance-education-tools-antibiotics-toolkit-to-improve-antimicrobial-stewardship-in-primary-care-is-it-fit-for-purpose
#10
Leah Ffion Jones, Meredith K D Hawking, Rebecca Owens, Donna Lecky, Nick A Francis, Chris Butler, Micaela Gal, Cliodna A M McNulty
Background: The TARGET (Treat Antibiotics Responsibly; Guidance, Education, Tools) Antibiotics Toolkit aims to improve antimicrobial prescribing in primary care through guidance, interactive workshops with action planning, patient facing educational and audit materials. Objective: To explore GPs', nurses' and other stakeholders' views of TARGET. Design: Mixed methods. Method: In 2014, 40 UK GP staff and 13 stakeholders participated in interviews or focus groups...
December 28, 2017: Family Practice
https://www.readbyqxmd.com/read/29287694/use-of-anticholinergic-drugs-and-its-relationship-with-psychological-well-being-and-mortality-in-long-term-care-facilities-in-helsinki
#11
Ulla Liisa Aalto, Hanna-Maria Roitto, Harriet Finne-Soveri, Hannu Kautiainen, Kaisu Pitkälä
OBJECTIVES: To assess the burden of drugs with anticholinergic properties (DAPs) and associated factors in long-term care facilities and to explore how psychological well-being and mortality are associated with the use of DAPs. DESIGN: Cross-sectional study and 1-year follow-up of all-cause mortality. SETTING AND PARTICIPANTS: All 4449 older people (>65 years of age) living in nursing homes and assisted living facilities in Helsinki in 2011 were recruited...
December 26, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29284354/factors-associated-with-medication-engagement-among-older-adults-with-diabetes-systematic-review-and-meta-analysis
#12
Yoon Jeong Choi, Arlene M Smaldone
Purpose The purpose of this systematic review and meta-analysis is to explore the factors associated with medication engagement among older adults (≥60 years) with diabetes. Methods Five databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Scopus) were systematically searched to identify studies examining the association between factors and medication engagement among older diabetes patients. A study met inclusion for meta-analysis if the prevalence of medication engagement or factor was reported in ≥2 studies and the frequency or strength of association was either reported or able to be computed...
December 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/29282013/an-investigation-of-factors-predicting-the-type-of-bladder-antimuscarinics-initiated-in-medicare-nursing-homes-residents
#13
Daniela C Moga, Qishan Wu, Pratik Doshi, Amie J Goodin
BACKGROUND: To examine factors predicting type of bladder antimuscarinics (BAM) initiated in nursing home (NH) residents. METHODS: Incident BAM initiators following NH admission were identified by constructing a retrospective cohort from Medicare files and Minimum Data Set (MDS). Participants included all residents 65 years and older admitted in Medicare-certified NH between January 1, 2007 and December 31, 2008 who were prescribed BAM and had continuous Medicare (Part A, B, and D) enrollment...
December 28, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29281619/shortages-of-benzathine-penicillin-for-prevention-of-mother-to-child-transmission-of-syphilis-an-evaluation-from-multi-country-surveys-and-stakeholder-interviews
#14
Stephen Nurse-Findlay, Melanie M Taylor, Margaret Savage, Maeve B Mello, Sanni Saliyou, Manuel Lavayen, Frederic Seghers, Michael L Campbell, Françoise Birgirimana, Leopold Ouedraogo, Morkor Newman Owiredu, Nancy Kidula, Lee Pyne-Mercier
BACKGROUND: Benzathine penicillin G (BPG) is the only recommended treatment to prevent mother-to-child transmission of syphilis. Due to recent reports of country-level shortages of BPG, an evaluation was undertaken to quantify countries that have experienced shortages in the past 2 years and to describe factors contributing to these shortages. METHODS AND FINDINGS: Country-level data about BPG shortages were collected using 3 survey approaches. First, a survey designed by the WHO Department of Reproductive Health and Research was distributed to 41 countries and territories in the Americas and 41 more in Africa...
December 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29260276/prevalence-of-pain-and-pharmacological-pain-treatment-among-old-people-in-nursing-homes-in-2007-and-2013
#15
Eva-Stina Hemmingsson, Maria Gustafsson, Ulf Isaksson, Stig Karlsson, Yngve Gustafson, Per-Olof Sandman, Hugo Lövheim
PURPOSE: Many elderly people living in nursing homes experience pain and take analgesic medication. The aim of this study was to analyze the prevalence of pain and pharmacological pain treatment among people living in nursing homes in Sweden, in two large, comparable, samples from 2007 to 2013. METHODS: Cross-sectional surveys were performed in 2007 and 2013, including all residents in nursing homes in the county of Västerbotten, Sweden. A total of 4933 residents (2814 and 2119 respectively) with a mean age of 84...
December 20, 2017: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29258805/american-society-for-pain-management-nursing-and-hospice-and-palliative-nurses-association-position-statement-pain-management-at-the-end-of-life
#16
Patrick Coyne, Carol Mulvenon, Judith A Paice
Pain at the end of life continues to be of great concern as it may be unrecognized or untreated. Although nurses have an ethical obligation to reduce suffering, barriers remain regarding appropriate and adequate pain management at the end of life. This joint position statement from the American Society for Pain Management Nursing and Hospice and Palliative Nurses Association contains recommendations for nurses, prescribers, and institutions that would improve pain management for this vulnerable population.
December 16, 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/29251636/ce-managing-postoperative-pain
#17
Renee C B Manworren, Debra B Gordon, Robert Montgomery
: Acute postoperative pain remains undertreated despite the dramatic increase in opioid prescribing in the United States over the past 20 years. Inadequately relieved postoperative pain may be a risk factor for persistent postoperative pain, chronic pain, and disability. In an effort to promote evidence-based strategies for optimal postoperative pain management, the American Pain Society published a new postoperative pain management guideline in 2016. Its 32 recommendations for interdisciplinary and multimodal postoperative pain management are stratified according to risks and benefits, based on varying levels of evidence...
January 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29250892/implementing-team-huddles-in-small-rural-hospitals-how-does-the-kotter-model-of-change-apply
#18
Jure Baloh, Xi Zhu, Marcia M Ward
AIMS: To examine how the process of change prescribed in Kotter's change model applies in implementing team huddles, and to assess the impact of the execution of early change phases on change success in later phases. BACKGROUND: Kotter's model can help to guide hospital leaders to implement change and potentially to improve success rates. However, the model is under studied, particularly in health care. METHODS: We followed eight hospitals implementing team huddles for 2 years, interviewing the change teams quarterly to inquire about implementation progress...
December 17, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29248878/systematic-review-and-meta-analysis-of-the-effectiveness-of-pharmacist-led-medication-reconciliation-in-the-community-after-hospital-discharge
#19
Duncan McNab, Paul Bowie, Alastair Ross, Gordon MacWalter, Martin Ryan, Jill Morrison
BACKGROUND: Pharmacists' completion of medication reconciliation in the community after hospital discharge is intended to reduce harm due to prescribed or omitted medication and increase healthcare efficiency, but the effectiveness of this approach is not clear. We systematically review the literature to evaluate intervention effectiveness in terms of discrepancy identification and resolution, clinical relevance of resolved discrepancies and healthcare utilisation, including readmission rates, emergency department attendance and primary care workload...
December 16, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29243399/diabetic-foot-ulcer-management-in-clinical-practice-in-the-uk-costs-and-outcomes
#20
Julian F Guest, Graham W Fuller, Peter Vowden
The aim of this study was to estimate the patterns of care and annual levels of health care resource use attributable to managing diabetic foot ulcers (DFUs) in clinical practice by the UK's National Health Service (NHS), and the associated costs of patient management. This was a retrospective cohort analysis of the records of 130 patients with a newly diagnosed DFU in The Health Improvement Network (THIN) database. Patients' characteristics, wound-related health outcomes and health care resource use were quantified, and the total NHS cost of patient management was estimated at 2015-2016 prices...
December 15, 2017: International Wound Journal
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