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https://www.readbyqxmd.com/read/28821311/ideology-evidence-and-the-business-case-for-the-doctor-of-nursing-practice
#1
EDITORIAL
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July 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28816992/are-physician-assistants-needed-in-guatemala-a-survey-of-potential-urban-and-rural-users
#2
Claudia Luna-Asturias, Jennifer Apple, Guillermo A Bolaños, Jonathan M Bowser, Edwin J Asturias
PURPOSE: The shortage of trained health care personnel has been increasing worldwide. With the physician assistant (PA) profession, created in the United States in the 1960s, expanding globally, this study sought to ascertain whether PAs can be an innovative solution to this crisis. METHODS: We conducted a convenience sample survey to assess the need for and acceptability of future PA professionals in Guatemala. Eighty-nine doctors, nurses, and community members from rural and urban areas of Guatemala participated in the survey...
September 2017: Journal of Physician Assistant Education
https://www.readbyqxmd.com/read/28815783/stuck-in-tradition-a-qualitative-study-on-barriers-for-implementation-of-evidence-based-nutritional-care-perceived-by-nursing-staff
#3
Malene Barfod O Connell, Pia Søe Jensen, Signe Lindgård Andersen, Cecilia Fernbrant, Vibeke Nørholm, Helle Vendel Petersen
AIM: To explore the barriers for nutritional care as perceived by nursing staff at an acute orthopedic ward, aiming to implement evidence-based nutritional care. BACKGROUND: Previous studies indicate that nurses recognize nutritional care as important, but interventions are often lacking. These studies show that a range of barriers influence the attempt to optimize nutritional care. Before the implementation of evidence-based nutritional care, we examined barriers for nutritional care among the nursing staff...
August 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28812053/emergency-medical-service-personnel-recognize-pediatric-concussions
#4
Joshua N Speirs, Matthew I Lyons, Bert E Johansson
Concussions are a major cause of morbidity in pediatrics. Many concussions occur during activities with emergency medical service (EMS) providers present to determine if a higher level of care is needed. Data are limited on how capable these providers are. We assessed the ability of EMS providers to recognize pediatric concussions. Fifty-six total responses were included, 38 from EMS and 18 from our MD/RN (medical doctor/registered nurse) group. No statistical differences were found between the 2 groups when adjusted for age, gender, number of years in practice, and number of pediatric concussions managed...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/28808077/gps-knowledge-use-and-confidence-in-national-physical-activity-and-health-guidelines-and-tools-a-questionnaire-based-survey-of-general-practice-in-england
#5
Robin Chatterjee, Tim Chapman, Mike Gt Brannan, Justin Varney
BACKGROUND: Physical activity (PA) brief advice in health care is effective at getting individuals active. It has been suggested that one in four people would be more active if advised by a GP or nurse, but as many as 72% of GPs do not discuss the benefits of physical activity with patients. AIM: To assess the knowledge, use, and confidence in national PA and Chief Medical Officer (CMO) health guidelines and tools among GPs in England. DESIGN AND SETTING: Online questionnaire-based survey of selfselecting GPs in England that took place over a 10-day period in March 2016...
August 14, 2017: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/28802979/navigating-professional-and-prescribing-boundaries-implementing-nurse-prescribing-in-new-zealand
#6
Anecita Gigi Lim, Nicola North, John Shaw
Non-medical prescribing is now well established in a number of countries. Because prescribing has traditionally been viewed as a medical role, there are inevitable interprofessional boundary tensions when non-medical prescribing is introduced. In New Zealand, enabling legislation has allowed nurse practitioners to apply for prescriptive authority after undertaking appropriate educational preparation. This study explored the experiences and perspectives of one of the first cohorts of nurse prescribers and their strategies in establishing the role and negotiating the associated professional boundaries...
August 8, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28801406/speak-up-culture-in-an-intensive-care-unit-in-hong-kong-a-cross-sectional-survey-exploring-the-communication-openness-perceptions-of-chinese-doctors-and-nurses
#7
George Wing Yiu Ng, Jack Kwok Hung Pun, Eric Hang Kwong So, Wendy Wai Hang Chiu, Avis Siu Ha Leung, Yuk Han Stone, Chung Ling Lam, Sarah Pui Wa Lai, Rowlina Pui Wah Leung, Hing Wah Luk, Anne Kit Hung Leung, Kin Wah Au Yeung, Kang Yiu Lai, Diana Slade, Engle Angela Chan
OBJECTIVES: Despite growing recognition of the importance of speaking up to protect patient safety in critical care, little research has been performed in this area in an intensive care unit (ICU) context. This study explored the communication openness perceptions of Chinese doctors and nurses and identified their perceptions of issues in ICU communication, their reasons for speaking up and the possible factors and strategies involved in promoting the practice of speaking up. DESIGN: A mixed-methods design with quantitative and sequential qualitative components was used...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28797300/can-routine-clinical-data-identify-older-patients-at-risk-of-poor-healthcare-outcomes-on-admission-to-hospital
#8
Kinda Ibrahim, Charlotte Owen, Harnish P Patel, Carl May, Mark Baxter, Avan A Sayer, Helen C Roberts
OBJECTIVE: Older patients who are at risk of poor healthcare outcomes should be recognised early during hospital admission to allow appropriate interventions. It is unclear whether routinely collected data can identify high-risk patients. The aim of this study was to define current practice with regard to the identification of older patients at high risk of poor healthcare outcomes on admission to hospital. RESULTS: Interviews/focus groups were conducted to establish the views of 22 healthcare staff across five acute medicine for older people wards in one hospital including seven nurses, four dieticians, seven doctors, and four therapists...
August 10, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28790256/-safe-handling-of-hazardous-drugs-in-nursing-practice
#9
Kazue Hirai
Handling of hazardous drugs in nursing practice, there are risks of a wide variety of occupational exposures such as drug administration, management of spills, care of patients after administration, etc. Using a general infusion set for intravenous administration, there are risk of exposure such as scattering when the bottle needle is spiked into the infusion bag, leakage when priming the infusion line with antineoplastic drug, spillage when removing the side tube. For intravenous administration, use of CSTD for administration is most effective, but in many facilities, a general infusion set is used due to cost considerations...
July 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28780559/doctor-referral-of-overweight-people-to-a-low-energy-treatment-droplet-in-primary-care-using-total-diet-replacement-products-a-protocol-for-a-randomised-controlled-trial
#10
Susan A Jebb, Nerys M Astbury, Sarah Tearne, Alecia Nickless, Paul Aveyard
INTRODUCTION: The global prevalence of obesity has risen significantly in recent decades. There is a pressing need to identify effective interventions to treat established obesity that can be delivered at scale. The aim of the Doctor Referral of Overweight People to a Low-Energy Treatment (DROPLET) study is to determine the clinical effectiveness, feasibility and acceptability of referral to a low-energy total diet replacement programme compared with usual weight management interventions in primary care...
August 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28764203/use-of-healthcare-services-by-patients-with-non-communicable-diseases-in-nepal-a-qualitative-study-with-healthcare-providers
#11
Saval Khanal, Lennert Veerman, Lisa Nissen, Samantha Hollingworth
INTRODUCTION: The healthcare systems in many Low-and Middle-Income Countries (LMICs) like Nepal have long focused on preventing and treating infectious diseases. Little is known about their preparedness to address the increasing prevalence of Non-Communicable Diseases (NCDs). AIM: This study aimed to investigate the use of healthcare services by patients with NCDs in Nepal. MATERIALS AND METHODS: Nine healthcare providers (including health assistants, pharmacy assistants, nurse, specialised nurse, practicing pharmacists, chief hospital pharmacist, doctors and specialised doctor) from Pokhara, Nepal, were recruited using purposive sampling...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28764199/evaluation-of-competencies-related-to-personal-attributes-of-resident-doctors-by-360-degree
#12
Harsha Jani, Wasea Narmawala, Jaishree Ganjawale
INTRODUCTION: Postgraduate teaching involves training the residents in all spheres including professionalism, communication and interpersonal skills in addition to the basic clinical skills. Therefore, 360 degree evaluation has gained focus due to increased standards of medical care as shown in this study. AIM: To evaluate interpersonal and communication skills and professionalism in residents doctors using 360 degree evaluation method. MATERIALS AND METHODS: The present study was a descriptive study conducted at a tertiary care hospital affiliated with a medical college...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28759694/doctorate-of-nursing-practice-students-impressions-of-uses-for-visual-thinking-strategies
#13
Desiree Hensel, Margaret Moorman
Visual Thinking Strategies (VTS) is a structured art-viewing technique designed to teach critical thinking and aesthetic appreciation. Literature on how VTS might be used in nursing is just emerging. This qualitative descriptive study examined written responses to how 14 doctorate of nursing practice students thought they might use VTS in their practice after engaging in a classroom session. Three themes emerged for how nurses might use VTS: Facilitating Interpersonal Relationships, Changing Thinking in Practice, and As a Teaching Tool...
August 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/28759580/knowledge-attitudes-and-practices-towards-yaws-and-yaws-like-skin-disease-in-ghana
#14
Michael Marks, Cynthia Kwakye-Maclean, Rachel Doherty, Paul Adwere, Abdul Aziz Abdulai, Fredrick Duah, Sally-Ann Ohene, Oriol Mitja, Blanche Oguti, Anthony W Solomon, David C W Mabey, Yaw Adu-Sarkodie, Kingsley Asiedu, Mercy M Ackumey
INTRODUCTION: Yaws is endemic in Ghana. The World Health Organization (WHO) has launched a new global eradication campaign based on total community mass treatment with azithromycin. Achieving high coverage of mass treatment will be fundamental to the success of this new strategy; coverage is dependent, in part, on appropriate community mobilisation. An understanding of community knowledge, attitudes and practices related to yaws in Ghana and other endemic countries will be vital in designing effective community engagement strategies...
July 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28753705/-workers-compensation-claims-for-needlestick-injuries-among-healthcare-personnel-in-hospitals-doctors-surgeries-and-nursing-institutions
#15
Madeleine Dulon, Birgit Lisiak, Dana Wendeler, Albert Nienhaus
Objective The "Technical rules for biological agents in healthcare and welfare facilities" (TRBA 250) came into force in March 2014 in Germany and deals with protective measures to prevent needlestick injuries (NSI). The present study covers the period of 6 months after TRBA 250 came into force. The study had 2 objectives: to investigate whether hospitals, doctors' surgeries and care facilities differ with respect to the causes of needlestick injuries (NSI) and to collect data on availability and implementation of safety-engineered devices (SED) in these healthcare settings workplaces...
July 28, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28752535/nurse-prescribing-in-spain-the-law-and-the-curriculum
#16
Angel Romero-Collado, Marta Raurell-Torreda, Edurne Zabaleta-Del-Olmo, Carolina Rascon-Hernan, Erica Homs-Romero
In this cross-sectional study, we explored course content related to pharmacology and/or healthcare products and supplies in all nursing degree programs in Spain. Changes in nurse-prescribing legislation in Spain require that nurses take a certification course before prescribing over-the-counter products and medications. Using a cross-sectional descriptive study, between July and September 2014, the degree programs of all centers that offer a degree in nursing in Spain were examined, selecting those with course information available online...
July 28, 2017: Nursing & Health Sciences
https://www.readbyqxmd.com/read/28738870/cross-sectional-description-of-nursing-and-midwifery-pre-service-education-accreditation-in-east-central-and-southern-africa-in-2013
#17
Carey F McCarthy, Jessica M Gross, Andre R Verani, Annette M Nkowane, Erica L Wheeler, Thokozire J Lipato, Maureen A Kelley
BACKGROUND: In 2013, the World Health Organization issued guidelines, Transforming and Scaling Up Health Professional Education and Training, to improve the quality and relevance of health professional pre-service education. Central to these guidelines was establishing and strengthening education accreditation systems. To establish what current accreditation systems were for nursing and midwifery education and highlight areas for strengthening these systems, a study was undertaken to document the pre-service accreditation policies, approaches, and practices in 16 African countries relative to the 2013 WHO guidelines...
July 24, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28734488/clinical-fellowship-for-an-innovative-integrated-bsn-phd-program-an-academic-and-practice-partnership
#18
Madelyne Z Greene, Mary Kate FitzPatrick, Jean Romano, Linda H Aiken, Therese S Richmond
Opportunities for research-focused doctoral education must be available to nurses early in their careers in order to ensure the further development of nursing science. Early entry into the research doctorate through an integrated BSN-PhD program is one innovative approach. This approach highlights the value of integrating post-licensure clinical training into the doctoral curriculum. To better prepare innovative nurse scientists early in their careers we developed a clinical nurse fellowship within an integrated BSN-PhD program in partnership with an affiliated health system...
July 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28732740/exposure-survey-of-trends-in-occupational-practice-expo-s-t-o-p-2015-a-national-survey-of-sharps-injuries-and-mucocutaneous-blood-exposures-among-health-care-workers-in-us-hospitals
#19
T Grimmond, L Good
BACKGROUND: National blood exposure (BE) surveys are valuable to health care facilities striving to reduce percutaneous sharps injuries (SIs) or mucocutaneous (MC) exposures among their health care workers (HCWs). In the Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015 we surveyed hospital BE incidence among members of the Association of Occupational Health Professionals in Healthcare. METHODS: A 23-item electronic survey requested 2015 data on total SI and MC; SI in nurses, doctors, and surgery; staffed beds; teaching status; full time equivalent staff (FTE), nurse FTE, average daily census (ADC), and adjusted patient days (APD)...
July 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28732256/using-the-theory-of-planned-behavior-incorporated-with-perceived-barriers-to-explore-sexual-counseling-services-delivered-by-healthcare-professionals-in-individuals-suffering-from-epilepsy
#20
Chung-Ying Lin, Xavier C C Fung, Mehdi Nikoobakht, Andrea Burri, Amir H Pakpour
People with epilepsy (PWE) are highly likely to suffer from sexual dysfunction, and dealing with this issue is a challenge for healthcare providers. Unfortunately, there is no theory-driven study that has investigated the counseling practice of healthcare providers for sexual problems in PWE. Therefore, we decided to apply the well-established Theory of Planned Behavior (TPB) to examine factors associated with healthcare providers' sexual counseling in PWE. Apart from TPB, perceived barriers toward providing counseling could be a possible factor that needs to be investigated as well...
July 18, 2017: Epilepsy & Behavior: E&B
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