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https://www.readbyqxmd.com/read/28642541/can-uk-undergraduate-dental-programmes-provide-training-in-non-surgical-facial-aesthetics
#1
T W M Walker, F Gately, S Stagnell, A Kerai, C Mills, S Thomas
Aim Recently, more and more dentists have found themselves engaging in the delivery of non-surgical facial aesthetics (NSFA) as part of their regular practice routine. NSFA is a growing field in aesthetic medicine that is practised by a range of clinicians including doctors, dentists and registered prescriber nurses and is an industry estimated to be worth over £3 billion in the UK alone. In the past few years, several public scandals in aesthetic medicine have prompted reactions by several bodies including the Government and Royal Colleges...
June 23, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28639528/challenges-in-accessing-and-interviewing-participants-with-severe-mental-illness
#2
Daniel Newman, Pauline O'Reilly, Siew Hwa Lee, Catriona Kennedy
Background Interviews are widely used in qualitative research to collect data. However, little has been written about interviewing people with severe mental illness (SMI). Aim To report and analyse an experience of addressing the ethical and practical challenges of interviewing people with SMI. Discussion Semi-structured interviews were conducted as part of a doctoral study to explore how service users and healthcare professionals built relationships with each other. Conclusion Although interviewing participants with SMI was challenging, rich data illustrating their experiences were gathered...
June 22, 2017: Nurse Researcher
https://www.readbyqxmd.com/read/28623923/making-hiv-testing-work-at-the-point-of-care-in-south-africa-a-qualitative-study-of-diagnostic-practices
#3
Nora Engel, Malika Davids, Nadine Blankvoort, Keertan Dheda, Nitika Pant Pai, Madhukar Pai
BACKGROUND: Point of care testing promises to reduce delays in diagnosing and initiating treatment for infectious diseases such as Human Immuno-deficiency Virus (HIV). In South Africa, decentralized HIV testing with rapid tests offers important lessons for point of care testing programs. Yet, little is known about the strategies of providers and clients to make HIV testing successful in settings short of equipment, human resources and space. We aimed at examining these strategies. METHODS: This paper is based on a larger qualitative study of diagnostic practices across major diseases and actors in homes, clinics, communities, hospitals and laboratories in South Africa...
June 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28622379/end-of-life-care-for-people-with-dementia-the-views-of-health-professionals-social-care-service-managers-and-frontline-staff-on-key-requirements-for-good-practice
#4
Richard Philip Lee, Claire Bamford, Marie Poole, Emma McLellan, Catherine Exley, Louise Robinson
BACKGROUND: Evidence consistently shows that people with advanced dementia experience suboptimal end of life care compared to those with cancer; with increased hospitalisation, inadequate pain control and fewer palliative care interventions. Understanding the views of those service managers and frontline staff who organise and provide care is crucial in order to develop better end of life care for people with dementia. METHODS AND FINDINGS: Qualitative interviews and focus groups were conducted from 2013 to 2015 with 33 service managers and 54 staff involved in frontline care, including doctors, nurses, nursing and care home managers, service development leads, senior managers/directors, care assistants and senior care assistants/team leads...
2017: PloS One
https://www.readbyqxmd.com/read/28617194/impact-of-online-toxicology-training-on-health-professionals-the-global-educational-toxicology-uniting-project-getup
#5
Anselm Wong, Rais Vohra, Andrew H Dawson, Andrew Stolbach
OBJECTIVE: The Global Educational Toxicology Uniting Project (GETUP), supported by the American College of Medical Toxicology, links countries with and without toxicology services via distance education with the aim to improve education. Due to the lack of toxicology services in some countries there is a knowledge gap in the management of poisonings. We describe our experience with the worldwide delivery of an online introductory toxicology curriculum to emergency doctors and other health professionals treating poisoned patients...
June 15, 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28607682/improving-inpatient-care-for-older-adults-implementing-dementia-commissioning-for-quality-and-innovation-cquin
#6
Judith R Harrison
Dementia is a common condition, and people with dementia occupy around 25% of hospital beds. Commissioning for Quality and Innovation (CQUIN) is an NHS payment framework that links part of English healthcare providers' income to quality improvement. The dementia CQUIN goals are designed to encourage the recognition of dementia in hospital. The Royal Surrey County Hospital, Guildford, introduced new procedures to meet the dementia CQUIN targets. Adherence to the changes was a problem. This project aimed to improve hospital's implementation strategy...
2017: BMJ Quality Improvement Reports
https://www.readbyqxmd.com/read/28599721/-nurse-doctor-a-relationship-of-trust
#7
Stéphane Aubin
A 3rd-year student nurse has analysed nurse-doctor relations on the basis of his different practice placement experiences. The organisation seems to be a marker of the quality of these relationships. Respect and trust are also important.
June 2017: Revue de L'infirmière
https://www.readbyqxmd.com/read/28597863/perinatal-care-practices-in-home-deliveries-in-rural-bangalore-india-a-community-based-cross-sectional-survey
#8
N Ramakrishna Reddy, C T Sreeramareddy
Background A slowing in the decline in neonatal mortality in India has hindered progress made in reducing overall child mortality. The persisting use of unsafe home deliveries and harmful neonatal care practices may contribute to this stagnation in neonatal mortality rates. Methods A community-based cross-sectional study of mothers residing in rural Bangalore, India, who had given birth within 42 days of the day of home visit was done during 2013-2014. Trained health workers interviewed women who delivered at home about perinatal care practices...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597173/problems-interventions-and-their-outcomes-during-the-routine-work-of-hospital-pharmacists-in-bosnia-and-herzegovina
#9
Gordana Ljubojević, Branislava Miljković, Tatjana Bućma, Milica Ćulafić, Milica Prostran, Sandra Vezmar Kovačević
Background In the last 30 years, activities of hospital pharmacists have gone through significant changes. Pharmacists are increasingly involved in patient care. Objectives To explore drug-related and logistic problems, interventions, and their outcomes during routine everyday work of hospital pharmacists. Setting Institute for physical medicine and rehabilitation, Banja Luka, Bosnia and Herzegovina. Methods In the period of January 2013-October 2015 a prospective observational study was performed. Medical doctors, nurses, therapists, and patients addressed pharmacists, face-to-face or by telephone, with drug-related problems (DRPs) and/or logistic issues...
June 9, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28594656/mentoring-and-development-resources-available-to-new-doctorally-prepared-faculty-in-nursing
#10
Charlotte A Agger, Mary R Lynn, Marilyn H Oermann
AIM: This study examined faculty mentoring practices and strategies currently in place in nursing programs. BACKGROUND: Mentoring is a critical component of organizations and can be especially important in times of organizational change. Schools of nursing are experiencing rapid organizational shifts with increases in retirement and the proliferation of Doctor of Nursing Practice-prepared faculty. METHOD: Deans and department chairs of baccalaureate and higher degree programs across the United States participated in a web-based survey...
July 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28592393/enhancing-the-autonomy-of-indian-nurses
#11
Meena Putturaj, N S Prashanth
With additional training and qualification, nurses in several countries are recognised as independent professionals. Evidence from several countries shows that capacitating nurses to practise independently could contribute to better health outcomes. Recently, the idea of nurses practising independently has been gaining momentum in Indian health policy circles as well, and the Ministry of Health and Family Welfare is contemplating the introduction of nurse practitioners (NPs) in primary healthcare. We briefly assess the policy environment for the role of NPs in India...
May 30, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28586939/-urgent-visits-to-nursing-homes-a-general-practitioner-s-perspective
#12
Markus Bleckwenn, David Ashrafnia, Rieke Schnakenberg, Klaus Weckbecker
Aim of the study Due to demographic changes, home visits to nursing care facilities are increasing. Urgent home visits represent a challenge for general practitioners. There are no recommendations for the implementation of urgent home visits. Therefore, in this study, we investigated how GP practices deal with urgent home visits and what improvements can be made to the medical emergency care. Methods A total of 15 teaching doctors of the Department of Family Medicine at the University of Bonn were interviewed using semi-structured interviews on the subject...
June 6, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28585986/evaluation-of-doctor-of-nursing-practice-students-competencies-in-an-online-informatics-course
#13
Barbara Kupferschmid, Connie Creech, Marsha Lesley, Marilyn Filter, Christina Aplin-Kalisz
BACKGROUND: Doctor of Nursing Practice (DNP) programs have experienced rapid growth across the United States. With the expansion of electronic health records, DNP students are expected to acquire the knowledge and skills needed to manage data and apply informatics concepts. However, little information exists to help faculty evaluate student competency in these areas. METHOD: This retrospective analysis evaluated the competencies of a convenience sample of DNP students enrolled in an online informatics course...
June 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28581376/improving-collaboration-between-professionals-supporting-mentally-ill-offenders
#14
Sarah Hean, Atle Ødegård, Elisabeth Willumsen
Purpose Interprofessional collaboration is necessary when supporting mentally ill offenders but little is understood of these interactions. The purpose of this paper is to explore prison officers' perceptions of current and desirable levels of interprofessional collaboration (relational coordination (RC)) to understand how collaboration between these systems can be improved. Design/methodology/approach Gittell's RC scale was administered to prison officers within the Norwegian prison system ( n=160) using an adaptation of the instrument in which actual and desired levels of RC are evaluated...
June 12, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28578608/do-gender-predominant-primary-health-care-organizations-have-an-impact-on-patient-experience-of-care-use-of-services-and-unmet-needs
#15
Raynald Pineault, Roxane Borgès Da Silva, Sylvie Provost, Michel Fournier, Alexandre Prud'homme, Jean-Frédéric Levesque
Physicians' gender can have an impact on many aspects of patient experience of care. Organization processes through which the influence of gender is exerted have not been fully explored. The aim of this article is to compare primary health care (PHC) organizations in which female or male doctors are predominant regarding organization and patient characteristics, and to assess their influence on experience of care, preventive care delivery, use of services, and unmet needs. In 2010, we conducted surveys of a population stratified sample (N = 9180) and of all PHC organizations (N = 606) in 2 regions of the province of Québec, Canada...
January 1, 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28577812/re-envisioning-a-dnp-program-for-quality-and-sustainability
#16
Marcia Killien, Hilaire Thompson, Gail Kieckhefer, Betty Bekemeier, Yoriko Kozuki, Cynthia K Perry
When the University of Washington, School of Nursing determined that its post-BSN-DNP degree program, with multiple specialty tracks and programs of study, was not sustainable, the curriculum was re-envisioned. The revised program is consistent with the American Association of Colleges of Nursing (AACN) Essentials of Doctoral Education for Advanced Nursing Practice and the national Licensure Accreditation, Certification, and Education (LACE) model. The re-envisioned program was conceptualized as a single degree in which students preparing for any specialty would have the same number of required credits with the majority of courses (DNP core) required for all students...
May 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28576661/knowledge-and-practice-related-to-gestational-diabetes-among-primary-health-care-providers-in-morocco-potential-for-a-defragmentation-of-care
#17
Bettina Utz, Bouchra Assarag, Amina Essolbi, Amina Barkat, Alexandre Delamou, Vincent De Brouwere
INTRODUCTION: The objective of this study was to assess knowledge and practices of general practitioners, nurses and midwives working at primary health care facilities in Morocco regarding screening and management of gestational diabetes (GDM). METHODS: Structured interviews with 100 doctors, midwives and nurses at 44 randomly selected public health care centers were conducted in Marrakech and Al Haouz. All data were descriptively analyzed. Ethical approval for the study was granted by the institutional review boards in Belgium and Morocco...
May 30, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28574917/an-intervention-to-improve-cultural-competence-in-graduate-nursing-education
#18
Constance Creech, Marilyn Filter, Hiba Wehbe-Alamah, Marilyn R McFarland, Margaret Andrews, Gwendolyn Pryor
Noting the small number of studies on the influence of an entire curriculum on graduate nursing students' cultural competence, the researchers examined the effect of a curricular intervention using a pretest-posttest design. The study, conducted from 2012 to 2014, focused solely on the Doctor of Nursing Practice program at a midwestern university. Results from a pre- and postintervention faculty curriculum survey indicated that the percentage of courses including a cultural competence objective increased from 65 percent to 81 percent...
June 1, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28572521/the-feeding-paradox-in-advanced-dementia-a-local-perspective
#19
J Kh Luk, F Hw Chan, E Hui, C Y Tse
Feeding problems are common in older people with advanced dementia. When eating difficulties arise tube feeding is often initiated, unless there is a valid advance directive that refuses enteral feeding. Tube feeding has many pitfalls and complications. To date, no benefits in terms of survival, nutrition, or prevention of aspiration pneumonia have been demonstrated. Careful hand feeding is an alternative to tube feeding with advanced dementia. In Hong Kong, the Hospital Authority has established clear ethical guidelines for careful hand feeding...
June 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28571162/a-qualitative-study-of-knowledge-attitude-and-practice-towards-pharmacovigilance-among-doctors-and-nursing-staff-in-a-tertiary-care-hospital-in-india
#20
Bharat Gajjar, Nazima Mirza, Alpa Gor, Malkesh Mistry, Nishal Shah
INTRODUCTION: Pharmacovigilance is the branch of science that deals with the detection, assessment, understanding and prevention of adverse reactions to medicines (i.e., adverse drug reactions or ADRs). The purpose of pharmacovigilance is to implement the safe and rational use of medicines, which ultimately helps in improving patient care. AIM: To investigate the Knowledge, Attitude And Practice (KAP) of clinicians, residents and nursing staff towards pharmacovigilance and Adverse Drug Events (ADE) reporting and to identify possible reasons for underreporting and to receive suggestions to improve the ADE reporting...
April 2017: Journal of Clinical and Diagnostic Research: JCDR
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