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https://www.readbyqxmd.com/read/27924109/care-of-newborn-in-the-community-and-at-home
#1
REVIEW
S B Neogi, J Sharma, M Chauhan, R Khanna, M Chokshi, R Srivastava, P K Prabhakar, A Khera, R Kumar, S Zodpey, V K Paul
India has contributed immensely toward generating evidence on two key domains of newborn care: Home Based Newborn Care (HBNC) and community mobilization. In a model developed in Gadchiroli (Maharashtra) in the 1990s, a package of Interventions delivered by community health workers during home visits led to a marked decline in neonatal deaths. On the basis of this experience, the national HBNC program centered around Accredited Social Health Activists (ASHAs) was introduced in 2011, and is now the main community-level program in newborn health...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27924106/inpatient-care-of-small-and-sick-newborns-in-healthcare-facilities
#2
REVIEW
S B Neogi, R Khanna, M Chauhan, J Sharma, G Gupta, R Srivastava, P K Prabhakar, A Khera, R Kumar, S Zodpey, V K Paul
Neonatal units in teaching and non-teaching hospitals both in public and private hospitals have been increasing in number in the country since the sixties. In 1994, a District Newborn Care Programme was introduced as a part of the Child Survival and Safe Motherhood Programme (CSSM) in 26 districts. Inpatient care of small and sick newborns in the public health system got a boost under National Rural Health Mission with the launch of the national programme on facility-based newborn care (FBNC). This has led to a nationwide creation of Newborn Care Corners (NBCC) at every point of child birth, newborn stabilization units (NBSUs) at First Referral Units (FRUs) and special newborn care units (SNCUs) at district hospitals...
December 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27923394/an-economic-research-based-approach-to-calculate-community-health-staffing-requirements-in-xicheng-district-beijing
#3
Delu Yin, Tao Yin, Huiming Yang, Qianqian Xin, Lihong Wang, Ninyan Li, Xiaoyan Ding, Bowen Chen
BACKGROUND: A shortage of community health professionals has been a crucial issue hindering the development of CHS. Various methods have been established to calculate health workforce requirements. This study aimed to use an economic-research-based approach to calculate the number of community health professionals required to provide community health services in the Xicheng District of Beijing and then assess current staffing levels against this ideal. METHODS: Using questionnaires, we collected relevant data from 14 community health centers in the Xicheng District, including resident population, number of different health services provided, and service volumes...
December 7, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27922774/controlled-drugs-and-the-principle-of-double-effect-the-role-of-the-district-nurse
#4
Richard Griffith
The role of district nurses in the effective management of pain in palliative care has been strengthened by the Misuse of Drugs (Amendment No.2) (England, Wales and Scotland) Regulations 2012 that allow district nurses who are independent or supplementary prescribers to prescribe and administer controlled drugs. However, prescribing controlled drugs brings increased responsibility and accountability for the safe management of these medicines. In this article Richard Griffith considers the principle of double effect that seeks to ensure that patients in intractable pain receive the analgesia they require to manage that pain while district nurses avoid liability and prosecution under the law of murder...
December 2, 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27922517/a-5-year-follow-up-of-study-patients-with-asymptomatic-iron-deficiency-anemia-using-a-nurse-led-pathway
#5
Sarah Ann Townsend, Danny Cheung, Elaine Horne, Rupert Ransford
A protocol-driven, systematic pathway was developed to allow rapid and coordinated investigation of patients with iron-deficiency anemia (IDA) in a nurse-delivered outpatient setting. The study objective was to assess the safety and efficacy of the pathway by 5-year outcome data for the exclusion of gastrointestinal (GI) malignancy. This is a 5-year follow-up study of 122 patients entered onto the pathway with negative initial upper and lower GI investigations. The study was conducted at Hereford County Hospital NHS Trust (a district general hospital serving 220,00 people)...
November 2016: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/27918850/implementation-and-evaluation-of-a-community-based-interprofessional-learning-activity
#6
Ellen L Luebbers, Mary A Dolansky, Anton Vehovec, Gayle Petty
Implementation of large-scale, meaningful interprofessional learning activities for pre-licensure students has significant barriers and requires novel approaches to ensure success. To accomplish this goal, faculty at Case Western Reserve University, Ohio, USA, used the Ottawa Model of Research Use (OMRU) framework to create, improve, and sustain a community-based interprofessional learning activity for large numbers of medical students (N = 177) and nursing students (N = 154). The model guided the process and included identification of context-specific barriers and facilitators, continual monitoring and improvement using data, and evaluation of student learning outcomes as well as programme outcomes...
December 5, 2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27918408/full-practice-authority-for-nurse-practitioners
#7
Deborah Dillon, Faye Gary
Implementation of the Affordable Care Act (2010) enabled more than 30 million people to have new access to primary care services. On the basis of current utilization patterns, demand for primary care providers is expected to grow more rapidly than physician supply. This imbalance is expected to worsen, as the aging population requires more health care resources. In addition, more patients are requiring critical care services and physician numbers are not keeping with this growing need. Restrictions on resident physician practice hours have impacted inpatient care as well...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27910133/physical-restraints-and-associations-with-neuropsychiatric-symptoms-and-personal-characteristics-in-residential-care-a-cross-sectional-study
#8
Marja Kuronen, Hannu Kautiainen, Pertti Karppi, Sirpa Hartikainen, Hannu Koponen
BACKGROUND: Physical restraints are widely used in residential care. The objective was to investigate restraint use and its associations with neuropsychiatric symptoms and personal characteristics in residential care. METHODS: Data were collected in the South Savo Hospital District from 66 of 68 public or private institutions providing long-term residential care. Nurses assessed the use of physical restraints and neuropsychiatric symptoms (NPS) included in the symptom list of the Neuropsychiatric Inventory (NPI)...
December 2, 2016: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27902141/we-must-save-district-nursing
#9
Mares
Your story about district nurse numbers falling in more than half of trusts comes as no surprise (news, 23 November). The shortage in community staff nurses makes caseloads impossible to manage safely.
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27902118/nursingstandard-com
#10
(no author information available yet)
1 Hundreds of district nursing posts have been lost since 2014, with more than half of NHS trusts reporting a fall in numbers. Figures show a loss of 460 nurses, and a further 286.46 full-time-equivalent roles. Read more rcni.com/district-nursing-investigation.
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27897768/good-practice-in-end-of-life-care
#11
(no author information available yet)
Amanda Cheesley qualified as a nurse in 1981 after training with Queen Alexandra Royal Army Nursing Corps. She served in the first Gulf War and has also worked for the NHS as a district nurse and a Marie Curie nurse.
November 16, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27895915/care-practices-of-older-people-with-dementia-in-the-surgical-ward-a-questionnaire-survey
#12
Nina Hynninen, Reetta Saarnio, Satu Elo
OBJECTIVES: The objective of this study was to describe the care practices of nursing staff caring older people with dementia in a surgical ward. METHODS: The data were collected from nursing staff (n = 191) working in surgical wards in one district area in Finland during October to November 2015. Data were collected using a structured questionnaire and analyzed statistically. The instrument consists of a total number of 141 items and four dimensions. The dimensions were as follows: background information (12 of items), specific characteristics of older people with dementia in a surgical ward (24 of items), specific characteristics of their care in a surgical ward (66 of items) and use of physical restraints and alternative models for use of restraints for people with dementia (39 of items)...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27892219/supply-and-training-issues-hit-district-nurse-numbers
#13
Stephanie Jones-Berry
District nurse numbers are declining in more than half the trusts that employ them.
November 23, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27890982/towards-a-better-health-care-delivery-system-the-tamil-nadu-model
#14
R Parthasarathi, S P Sinha
The Tamil Nadu model of public health is renowned for its success in providing quality health services at an affordable cost especially to the rural people. Tamil Nadu is the only state with a distinctive public health cadre in the district level and also the first state to enact a Public Health Act in 1939. Tamil Nadu has gained significant ground in the various aspects of health in the last few decades largely because of the significant reforms in its health sector which dates back to 1980s which saw rigorous expansion of rural health infrastructure in the state besides deployment of thousands of multipurpose health workers as village health nurses in rural areas...
October 2016: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/27890302/-facilitators-and-barriers-regarding-end-of-life-care-at-nursing-homes-a-focus-group-study
#15
María Remedios Sánchez-García, Marina Moreno-Rodríguez, César Hueso-Montoro, Concepción Campos-Calderón, Ana Varella-Safont, Rafael Montoya-Juárez
AIM: To identify the facilitators and barriers experienced by professional related to end of life care in nursing homes. DESIGN: Descriptive qualitative research with phenomenological orientation, through content analysis. PLACEMENT: Nursing Homes at Primary Care District in Granada (Spain). PARTICIPANTS: Fifteen clinical professionals with, at least 6 months of experience in nursing homes, without specific background in palliative care...
November 24, 2016: Atencion Primaria
https://www.readbyqxmd.com/read/27863499/what-do-health-workers-in-timor-leste-want-know-and-do-findings-from-a-national-health-labour-market-survey
#16
Xiaohui Hou, Sophie Witter, Rashid U Zaman, Kay Engelhardt, Firdaus Hafidz, Fernanda Julia, Christophe Lemiere, Eileen B Sullivan, Estanislau Saldanha, Toomas Palu, Tomas Lievens
BACKGROUND: The objectives of this study were to understand the labour market dynamics among health workers, including their preferences and concerns, and to assess the skills, competence and performance (i.e. the 'know-do gap') of doctors working in Timor-Leste. METHODS: This cross-sectional survey was implemented in all 13 districts of Timor-Leste in 2014. We surveyed 443 health workers, including 175 doctors, 150 nurses and 118 midwives (about 20% of the health workers in the country)...
November 18, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27852347/gendering-guilt-among-dependent-family-members-caregivers
#17
Maria-Teresa Brea, María-Jesús Albar, Rosa Casado-Mejia
This study analyzes guilt among family caregivers of dependent patients, from a gender perspective. A qualitative design was used, conducting in-depth interviews and focus groups. Using purposive sampling, we selected 73 family caregivers and 23 health professionals (family medicine, community nursing, and social work) from the Primary Care District of Seville. The content of the information collected was analyzed in terms of the following categories: a) guilt for abandoning family and friends; b) guilt for the relationship with the dependent person; and c) guilt for placing the relative in a nursing home...
November 17, 2016: Spanish Journal of Psychology
https://www.readbyqxmd.com/read/27843847/peri-conceptional-supplementation-of-folic-acid-knowledge-and-practices-of-pregnant-women-and-health-providers
#18
Vartika Saxena, Manisha Naithani, Ranjeeta Kumari, Richa Singh, Pranoti Das
CONTEXT: Neural tube defects (NTDs) are one of the most common congenital anomalies. NTDs are preventable if folic acid (FA) is supplemented before and during conception. Knowledge and supplementation of FA by pregnant women as well as it's timely provision by health providers is crucial in reducing the burden of NTDs in the community. AIM: To study the knowledge and supplementation of FA by pregnant women and it's prescription/provision by health providers. SETTINGS AND DESIGN: A cross-sectional study was conducted in the block Doiwala, District Dehradun, Uttarakhand...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27842728/-transferring-palliative-care-patients-from-hospital-to-community-care-a-qualitative-study
#19
Matías Correa-Casado, José Granero-Molina, José Manuel Hernández-Padilla, Cayetano Fernández-Sola
AIM: To know the experience of case-manager nurses with regard to transferring palliative-care patients from the hospital to their homes. DESIGN: Qualitative phenomenological study carried out in 2014-2015. SETTING: Poniente and Almería health districts, which referral hospitals are Poniente Hospital and Torrecárdenas Hospital, respectively. PARTICIPANTS: A purposive sample comprised of 12 case-manager nurses was recruited from the aforementioned setting...
November 11, 2016: Atencion Primaria
https://www.readbyqxmd.com/read/27833824/supply-side-barriers-to-maternal-health-care-utilization-at-health-sub-centers-in-india
#20
Aditya Singh
INTRODUCTION: There exist several barriers to maternal health service utilization in developing countries. Most of the previous studies conducted in India have focused on demand-side barriers, while only a few have touched upon supply-side barriers. None of the previous studies in India have investigated the factors that affect maternal health care utilization at health sub-centers (HSCs) in India, despite the fact that these institutions, which are the geographically closest available public health care facilities in rural areas, play a significant role in providing affordable maternal health care...
2016: PeerJ
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