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https://www.readbyqxmd.com/read/28449530/quality-improvement-in-the-icu-treat-first-what-kills-first
#1
EDITORIAL
Peter H J van der Voort
Professionals in the ICU, like nurses and doctors, are constantly working on quality improvement by developing protocols and monitoring the implementation with indicators. Protocols and quality indicators are usually based on evidence. Studies on quality improvement often measure the effect of protocols after implementation but frequently cannot replicate the results of the previously performed RCTs in clinical practice. Amongst other reasons, this is due to the selection of patients that are included in RCTs...
March 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/28447020/impact-of-educational-intervention-on-knowledge-attitude-and-awareness-of-good-clinical-practice-among-health-care-providers
#2
Divya Goel, Rani Walia, Poonam Sharma, Harmanjeet Kaur, Pallak Agnihotri
BACKGROUND: Clinical trials play an important role in the generation of evidence-based data in health care practices. To ensure the credibility of data and the safety and well-being of the patients Good clinical practice (GCP) guidelines play an important role. At present, we have little knowledge about awareness of GCP guidelines among health care providers in India. AIM: To assess the level of awareness, and perception of the health care providers toward GCP and subsequent change in these after a dayer training session on GCP guidelines...
April 2017: Perspectives in Clinical Research
https://www.readbyqxmd.com/read/28443811/-shared-decision-making-dilemmas-in-daily-practice
#3
F A P Nijhuis, M J Faber, B Post, B R Bloem
Shared decision-making is an essential - but often neglected - component of evidence-based medicine. In practice, doctors, nurses and patients encounter dilemmas which are understandable, but not insurmountable. We illustrate this by means of a complex decision concerning therapy in the advanced stage of Parkinson's disease. Evidence of effectiveness differs with each individual therapy, and, in practice, the experiences of neurologists also vary widely. In addition, the various treatment strategies all require a different sort of daily care, and have differing impacts on people's lives...
2017: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/28440956/doctoral-snobbery-justified-or-just-elitism
#4
EDITORIAL
Melanie Birks, Roger Watson
Doctoral snobbery exists. It's a thing (Parnell, 2016). It's an extension of 'academic snobbery' (Martin & Sorensen, 2014) more generally, and probably originates from 'title snobbery' (Valverde, Mueller, Paciotti, & Conway, 2016). Successfully completing a doctoral qualification is no small achievement and so some degree of elitism is probably reasonable. But is it reasonable for there to be an elitist division between the traditional PhD and the relative newcomer, the professional doctorate? And what about the doctorate in nursing practice (DNP) now apparently overtaking the PhD in the USA? Our recent participation in a round table on doctoral education in Hong Kong prompted us to explore the issue further and, by implication, to invite further comment...
April 25, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28438759/palliative-care-clinicians-knowledge-of-the-law-regarding-the-use-of-the-deprivation-of-liberty-safeguards-dols
#5
Caroline Barry, Anna Spathis, Sarah Treaddell, Sally Carding, Stephen Barclay
OBJECTIVES: To examine palliative care clinicians' level of knowledge of the law regarding the use of the Deprivation of Liberty Safeguards (DoLS). METHODS: Regional postal survey of palliative care clinicians working in hospices in the East of England, undertaken in April 2015. Clinicians' level of knowledge was assessed by their response to 7 factual questions. Data regarding self-reported levels of confidence in applying the Safeguards was collected, alongside information regarding the number of times they had used DoLS in practice...
April 24, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28437040/care-planning-and-co-ordination-imperfect-solutions-in-a-complex-world
#6
EDITORIAL
Michael Coffey, Ben Hannigan, Alan Simpson
Care planning and co-ordination are central to the delivery of comprehensive mental health care especially where individuals have complex health and social care needs. Although the terms are often used together they clearly imply different sets of processes, practices and ultimately experiences for individuals using and working in services. Care planning involves professionals (nurses, doctors, social workers and others) and the person needing care collaborating on goals, making shared written records and agreeing when to review progress...
April 24, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28435420/qualitative-evaluation-of-the-implementation-of-an-integrated-care-delivery-model-for-chronic-patients-with-multi-morbidity-in-the-basque-country
#7
María Luz Jauregui, Carmen Silvestre, Pedro Valdes, Idoia Gaminde
INTRODUCTION: The objective of this study was to assess a model for improving healthcare integration for patients with multiple chronic diseases in an integrated healthcare organisation in the Basque Country and to propose areas for improvement. METHODS: We organised four nominal groups composed of representatives from different categories of clinicians involved in the development of an integrated healthcare organisation and in the integrated care of patients with multiple diseases, namely, internists, general practitioners, and primary care and hospital nurses...
August 19, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28433731/effectiveness-of-a-role-play-simulation-program-involving-the-sbar-technique-a-quasi-experimental-study
#8
Mi Yu, Kyung Ja Kang
BACKGROUND: Accurate, skilled communication in handover is of high priority in maintaining patients' safety. Nursing students have few chances to practice nurse-to-doctor handover in clinical training, and some have little knowledge of what constitutes effective handover or lack confidence in conveying information. OBJECTIVES: This study aimed to develop a role-play simulation program involving the Situation, Background, Assessment, Recommendation technique for nurse-to-doctor handover; implement the program; and analyze its effects on situation, background, assessment, recommendation communication, communication clarity, handover confidence, and education satisfaction in nursing students...
April 9, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28422513/reducing-susceptibility-to-courtesy-stigma
#9
Catherine L Bachleda, Leila El Menzhi
In light of the chronic shortage of health professionals willing to care for HIV/AIDS patients, and rising epidemics in many Muslim countries, this qualitative study examined susceptibility and resistance to courtesy stigma as experienced by nurses, doctors, and social workers in Morocco. Forty-nine in-depth interviews provided rich insights into the process of courtesy stigma and how it is managed, within the context of interactions with Islam, interactions within the workplace (patients, other health professionals), and interactions outside the workplace (the general public, friends, and family)...
April 19, 2017: Health Communication
https://www.readbyqxmd.com/read/28421575/-prescribing-psychotropic-medication-by-the-nurse-practitioner-in-mental-health-care-an-explorative-study
#10
E D Rookhuizen, B Stringer, M S Huising, E de Ruijter, B van Meijel
BACKGROUND: Since January 1, 2012, nurse practitioners (NP) working in mental health care are allowed to prescribe psychotropic medication. So far, there has been very little research on the results of this decision that now let NPS share with doctors prescribing psychotropic drugs. AIM: To provide insight into how patients and psychiatrists experience the prescribing behaviours of NPS and how NPS themselves regard their extended role. METHOD: We performed an explorative study in which we used the data given in prescriptions written by NPS, questionnaires exploring patients' experiences and semi-structured interviews with psychiatrists and NPS...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28418455/the-development-and-performance-of-after-hours-primary-care-in-the-netherlands-a-narrative-review
#11
Marleen Smits, Martijn Rutten, Ellen Keizer, Michel Wensing, Gert Westert, Paul Giesen
In many Western countries, hospital emergency departments are overcrowded, leading to the desire to strengthen primary care, particularly after hours. To achieve this goal, an increasing number of Western nations are reorganizing their after-hours primary care systems into large-scale primary care physician (PCP) cooperatives. This article provides an overview of the organization, performance, and development of PCP cooperatives in the Netherlands. The Dutch after-hours primary care system might offer opportunities for other countries facing problems with after-hours care and inappropriate emergency department visits...
April 18, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/28411970/long-term-outcomes-of-the-new-jersey-nurse-faculty-preparation-program-scholars
#12
Angela M Gerolamo, Kara Conroy, Grace Roemer, Aline Holmes, Susan Salmond, Jennifer Polakowski
BACKGROUND: Rising concerns over the capacity of nursing education to prepare enough nurses to meet population demand have received national attention. The Robert Wood Johnson Foundation implemented the New Jersey Nursing Initiative Faculty Preparation Program to address nursing workforce issues in New Jersey. PURPOSE: This paper describes program and scholar outcomes and provides recommendations for nurse faculty development. METHODS: This descriptive study uses data from scholar surveys and interviews with grantees...
March 18, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28411298/detecting-sepsis-are-two-opinions-better-than-one
#13
Poushali Bhattacharjee, Matthew M Churpek, Ashley Snyder, Michael D Howell, Dana P Edelson
The diagnosis of sepsis requires that objective criteria be met with a corresponding subjective suspicion of infection. We conducted a study to characterize the agreement between different providers' suspicion of infection and the correlation with patient outcomes using prospective data from a general medicine ward. Registered nurse (RN) suspicion of infection was collected every 12 hours and compared with medical doctor or advanced practice professional (MD/APP) suspicion, defined as an existing order for antibiotics or a new order for blood or urine cultures within the 12 hours before nursing screen time...
April 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28408466/-best-interests-in-paediatric-intensive-care-an-empirical-ethics-study
#14
Giles Birchley, Rachael Gooberman-Hill, Zuzana Deans, James Fraser, Richard Huxtable
OBJECTIVE: In English paediatric practice, English law requires that parents and clinicians agree the 'best interests' of children and, if this is not possible, that the courts decide. Court intervention is rare and the concept of best interests is ambiguous. We report qualitative research exploring how the best interests standard operates in practice, particularly with decisions related to planned non-treatment. We discuss results in the light of accounts of best interests in the medical ethics literature...
April 13, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/28408074/burnout-and-job-satisfaction-of-intensive-care-personnel-and-the-relationship-with-personality-and-religious-traits-an-observational-multicenter-cross-sectional-study
#15
Asimenia Ntantana, Dimitrios Matamis, Savvoula Savvidou, Maria Giannakou, Mary Gouva, George Nakos, Vasilios Koulouras
OBJECTIVES: To investigate if burnout in the Intensive Care Unit (ICU) is influenced by aspects of personality, religiosity and job satisfaction. RESEARCH METHODOLOGY: Cross-sectional study, designed to assess burnout in the ICU and to investigate possible determinants. Three different questionnaires were used: the Malach Burnout Inventory, the Eysenck Personality Questionnaire and the Spiritual/Religious Attitudes Questionnaire. Predicting factors for high burnout were identified by multivariate logistic regression analysis...
April 10, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28388829/evidence-based-practice-beliefs-and-implementation-in-doctor-of-nursing-practice-students
#16
Joanne K Singleton
BACKGROUND: Doctors of Nursing Practice focus on leadership in evidence-based practice (EBP). EBP is influenced by one's beliefs in and implementation of EBP. Little is known to date about the EBP beliefs and implementation of Doctor of Nursing Practice students and outcomes of Doctor of Nursing Practice education. AIMS: Guided by the Advancing Research and Clinical practice through close Collaboration (ARCC) Model, the Evidence-Based Practice Beliefs (EBPB) and Implementation (EBPI) tools were used to assess the impact of EBP as a program pillar, curricular thread, and content area on EBPB and EBPI of Doctor of Nursing Practice-Family Nurse Practitioner students...
April 7, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28382707/improving-transfusion-education-for-junior-doctors-exploring-uk-experiences
#17
J E Graham, S Narayan, K Pendry
OBJECTIVES: To provide evidence-based guidance on how transfusion education should be delivered to junior doctors by employing established qualitative research methodology. BACKGROUND: There is a global call for increased transfusion education for doctors to support the delivery of evidence-based practice. Education is reported as an effective measure to improve transfusion practice, although there is a paucity of research evaluating how this should be effectively delivered...
April 2017: Transfusion Medicine
https://www.readbyqxmd.com/read/28379751/the-rise-of-massage-and-medical-gymnastics-in-london-and-paris-before-the-first-world-war
#18
Grégory Quin
Massage and medical gymnastics experienced a rapid institutionalization across Europe and North America between 1850 and 1914. This article explores how this process took place in London and Paris. Physiotherapy developed many of the hallmarks of an independent discipline during this period, including an identified corpus of manipulations and exercises, some autonomous training courses and degrees for future practitioners, and even the creation of departments within several hospitals. The article analyzes all of the processes surrounding this rise, paying special attention to the influence of the ambassadors of Swedish gymnastics (which led to the re-invention of massage across Europe), to the installation of physiotherapy in hospitals in London and in Paris, and to the practical and institutional innovations driven by nurses in England and by doctors in France...
2017: Canadian Bulletin of Medical History, Bulletin Canadien D'histoire de la Médecine
https://www.readbyqxmd.com/read/28379111/lifetime-doctor-diagnosed-mental-health-conditions-and-current-substance-use-among-gay-and-bisexual-men-living-in-vancouver-canada
#19
Nathan J Lachowsky, Joshun J S Dulai, Zishan Cui, Paul Sereda, Ashleigh Rich, Thomas L Patterson, Trevor T Corneil, Julio S G Montaner, Eric A Roth, Robert S Hogg, David M Moore
BACKGROUND: Studies have found that gay, bisexual, and other men who have sex with men (GBM) have higher rates of mental health conditions and substance use than heterosexual men, but are limited by issues of representativeness. OBJECTIVES: To determine the prevalence and correlates of mental health disorders among GBM in Metro Vancouver, Canada. METHODS: From 2012 to 2014, the Momentum Health Study recruited GBM (≥16 years) via respondent-driven sampling (RDS) to estimate population parameters...
May 12, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28370533/nurse-physician-communication-ndash-an-integrative-review
#20
REVIEW
Tit-Chai Tan, Huaqiong Zhou, Michelle Kelly
BACKGROUND: The challenges in nurse-physician communication persist since the term 'nurse-doctor game' was first used in 1967, leading to poor patient outcomes such as treatment delays and potential patient harm. Inconsistent evidence was found on the factors and interventions which foster or impair effective nurse-physician communication. AIM: To present a comprehensive review of current evidence on the factors which impact on nurse-physician communication and interventions developed to improve nurse-physician communication...
March 30, 2017: Journal of Clinical Nursing
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