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https://www.readbyqxmd.com/read/29791667/good-practices-in-normal-childbirth-reliability-analysis-of-an-instrument-by-cronbach-s-alpha
#1
Leila Bernarda Donato Gottems, Elisabete Mesquita Peres De Carvalho, Dirce Guilhem, Maria Raquel Gomes Maia Pires
OBJECTIVES: to analyze the internal consistency of the evaluation instrument of the adherence to the good practices of childbirth and birth care in the professionals, through Cronbach's Alpha Coefficient for each of the dimensions and for the total instrument. METHOD: this is a descriptive and cross-sectional study performed in obstetric centers of eleven public hospitals in the Federal District, with a questionnaire applied to 261 professionals who worked in the delivery care...
2018: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/29784521/breaking-down-barriers-to-tell-a-mixed-methods-study-of-health-worker-involvement-in-disclosing-to-children-that-they-are-living-with-hiv-in-rural-south-africa
#2
Hanlie Myburgh, Esmé Calitz, Jean P Railton, Christina Maluleke, Elizabeth Mashao, Patiswa Ketelo, Geoff Jobson, Cornelius J Grobbelaar, Helen E Struthers, Remco P H Peters
Disclosing to a child that s/he is living with HIV is necessary to promote adherence to treatment and improve health outcomes. Facilitating disclosure between caregivers and children remains a challenge for health workers. Understanding how health workers are involved in and perceive the disclosure process is integral to engaging with such challenges. We held group discussions with and surveyed 73 physicians, nurses, and counselors across 16 randomly selected facilities in two rural South African health districts, exploring their experiences of supporting disclosure between caregivers and children...
April 25, 2018: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/29783223/-rational-nutrition-as-a-prerequisite-for-eliminating-the-risk-of-overweight-public-opinion-and-practice
#3
Natalia O Ryngach, Marina B Scherbinina, Tatiana M Shevchenko, Victoria M Gladun, Volodymyr I Sarychev
OBJECTIVE: Introduction: The awareness of the working-age population regarding the principles of a healthy lifestyle and risk factors of diseases is analyzed. Aim: To identify and characterize the level of awareness of the working-age population regarding the essence of a healthy lifestyle and risk factors (with a focus on irrational nutrition and its consequences). PATIENTS AND METHODS: Materials and methods: In the sociological study (2017), on request of Dnipropetrovsk regional state administration, methods of deep (N20) and personalized formal interviews (N2000) were used according to a specially developed methodology of qualitative and quantitative research stages and data collection tools...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29781689/the-impact-of-family-physician-supply-on-district-health-system-performance-clinical-processes-and-clinical-outcomes-in-the-western-cape-province-south-africa-2011-2014
#4
Rekai L Chinhoyi, Moleen Zunza, Klaus B Von Pressentin
BACKGROUND:  A revised family physician (FP) training programme was introduced in South Africa in 2007. A baseline assessment (2011) of the impact of FP supply on district health system performance was performed within the Western Cape Province, South Africa. The impact of an increased FP supply within this province required re-evaluation. AIM:  To assess the impact of FP supply on indicators of district health system performance, clinical processes and clinical outcomes in the Western Cape Province...
April 19, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29781687/assessment-of-nurses-cardiopulmonary-resuscitation-knowledge-and-skills-within-three-district-hospitals-in-botswana
#5
Lakshmi Rajeswaran, Megan Cox, Stoffel Moeng, Billy M Tsima
BACKGROUND:  Nurses are usually the first to identify the need for and initiate cardiopulmonary resuscitation (CPR) on patients with cardiopulmonary arrest in the hospital setting. Cardiopulmonary resuscitation has been shown to reduce in-hospital deaths when received from adequately trained health care professionals. AIM:  We aimed to investigate nurses' retention of CPR knowledge and skills at district hospitals in Botswana. METHODS:  A quantitative, quasi-experimental study was conducted at three hospitals in Botswana...
April 12, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29781677/community-health-workers-in-lesotho-experiences-of-health-promotion-activities
#6
Thato Seutloali, Lizeka Napoles, Nomonde Bam
BACKGROUND: Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care. AIM: The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho...
February 27, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29771976/skin-disease-prevalence-study-in-schoolchildren-in-rural-c%C3%A3-te-d-ivoire-implications-for-integration-of-neglected-skin-diseases-skin-ntds
#7
Rie Roselyne Yotsu, Kouamé Kouadio, Bamba Vagamon, Konan N'guessan, Amari Jules Akpa, Aubin Yao, Julien Aké, Rigobert Abbet Abbet, Barbine Tchamba Agbor Agbor, Roger Bedimo, Norihisa Ishii, L Claire Fuller, Roderick Hay, Oriol Mitjà, Henning Drechsler, Kingsley Asiedu
BACKGROUND: Early detection of several skin-related neglected tropical diseases (skin NTDs)-including leprosy, Buruli ulcer, yaws, and scabies- may be achieved through school surveys, but such an approach has seldom been tested systematically on a large scale in endemic countries. Additionally, a better understanding of the spectrum of skin diseases and the at-risk populations to be encountered during such surveys is necessary to facilitate the process. METHODS: We performed a school skin survey for selected NTDs and the spectrum of skin diseases, among primary schoolchildren aged 5 to 15 in Côte d'Ivoire, West Africa...
May 17, 2018: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/29764385/a-qualitative-study-about-the-gendered-experiences-of-motherhood-and-perinatal-mortality-in-mountain-villages-of-nepal-implications-for-improving-perinatal-survival
#8
Mohan Paudel, Sara Javanparast, Gouranga Dasvarma, Lareen Newman
BACKGROUND: We aim to examine the gendered contexts of poor perinatal survival in the remote mountain villages of Nepal. The study setting comprised two remote mountain villages from a mid-western mountain district of Nepal that ranks lowest on the Human Development Index (0.304), and is reported as having the lowest child survival rates in the country. METHODS: The findings are taken from a larger study of perinatal survival in remote mountain villages of Nepal, conducted through a qualitative methodological approach within a framework of social constructionist and critical theoretical perspectives...
May 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29764221/permanent-night-workers%C3%A2-sleep-and-psychosocial-factors-in-hospital-work-a-comparison-to-day-and-shift-work
#9
Kati Karhula, Tarja Hakola, Aki Koskinen, Anneli Ojajärvi, Mika Kivimäki, Mikko Härmä
We aimed to study whether permanent night workers sleep and psychosocial factors differ from day workers and shift workers. The participants (n = 9 312, 92% females, average age 45 years, most commonly nurses and departmental secretaries) were day workers (DW, n = 2 672), shift workers (SW, n = 6 486) and permanent night workers (PNW, n = 154). The Finnish Public Sector survey responses from six hospital districts from 2012 were combined to payroll data from 91 days preceding the survey. The data were analyzed using Pearson χ2 -test, one-way ANOVA and multinomial logistic regression analysis...
May 15, 2018: Chronobiology International
https://www.readbyqxmd.com/read/29757819/job-satisfaction-and-empowerment-of-self-employed-nurse-practitioners-a-mixed-methods-study
#10
Catherine Lyden, L Kathleen Sekula, Barbara Higgins, Rick Zoucha
BACKGROUND AND PURPOSE: Self-employed nurse practitioners (NPs) have been part of the American health care landscape since the 1970s, owning practices throughout the United States. The purpose of this study was to explore and measure the 2 characteristics of job satisfaction and empowerment in self-employed NPs practicing within the 50 states and District of Columbia and to explore factors that influence these characteristics. METHODS: A convergent parallel design, mixed methods study, using a survey and semistructured interviews, was completed...
February 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29754532/more-care-out-of-hospital-a-qualitative-exploration-of-the-factors-influencing-the-development-of-the-district-nursing-workforce-in-england
#11
Vari M Drennan
Objectives Many countries seek to improve care for people with chronic conditions and increase delivery of care outside of hospitals, including in the home. Despite these policy objectives in the United Kingdom, the home visiting nursing service workforce, known as district nursing, is declining. This study aimed to investigate the factors influencing the development of district nursing workforces in a metropolitan area of England. Methods A qualitative study in a metropolitan area of three million residents in diverse socio-economic communities using semi-structured interviews with a purposive sample of senior nurses in provider and commissioning organizations...
January 1, 2018: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/29745290/healthcare-providers-understanding-of-hiv-serodiscordance-in-south-africa-and-uganda-implications-for-hiv-prevention-in-sub-saharan-africa
#12
Ross Greener, Cecilia Milford, Francis Bajunirwe, Faith N Mosery, Claudia K Ng, Rachel Rifkin, Jasmine Kastner, Lavanya Pillay, Angela Kaida, David R Bangsberg, Jennifer A Smit, Lynn T Matthews
HIV transmission within stable heterosexual HIV serodiscordant couples accounts for almost half the new incident infections in South Africa and Uganda. Advances in HIV prevention provide opportunities to reduce transmission risk within serodiscordant partnerships (e.g., antiretroviral treatment (ART), pre-exposure prophylaxis (PrEP), medical male circumcision, and couples-based HIV counselling and testing). These interventions require a clinical encounter with a provider who recognises prevention opportunities within these partnerships...
May 10, 2018: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/29737674/development-of-a-paediatric-short-stay-observation-and-assessment-unit
#13
Tracey Jones, Helen Russell-Fisher
In recent years children's emergency admissions have risen by 18%. In 2011 a team at a city district general hospital in England recognised that children were being admitted to the general children's ward and often only staying for short periods of time. After a review of the service a plan was put forward for the development of a paediatric short-stay observation and assessment unit. The unit has led to a reduction in ward admissions and offered opportunities for children's nurses to extend their roles in assessment and treatment...
May 8, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29730166/-i-thought-they-were-going-to-handle-me-like-a-queen-but-they-didn-t-a-qualitative-study-exploring-the-quality-of-care-provided-to-women-at-the-time-of-birth
#14
Jaki Lambert, Elsie Etsane, Anne-Marie Bergh, Robert Pattinson, Nynke van den Broek
OBJECTIVE: To explore experiences of care during labour and birth from the perspectives of both the healthcare provider and women receiving care, to inform recommendations for how the quality of care can be improved and monitored, and, to identify the main aspects of care that are important to women. DESIGN: A descriptive phenomenological approach. 53 interviews and 10KII as per table 1 took place including in-depth interviews (IDI), focus group discussions (FGD) and key informant interviews (KII) conducted with women, healthcare providers, managers and policy makers...
April 22, 2018: Midwifery
https://www.readbyqxmd.com/read/29729662/child-abuse-and-neglect-in-the-jaffna-district-of-sri-lanka-a-study-on-knowledge-attitude-practices-and-behavior-of-health-care-professionals
#15
M G Sathiadas, Arunath Viswalingam, Karunya Vijayaratnam
BACKGROUND: Victims and perpetrators of child abuse do not typically self-report to child protection services, therefore responsibility of detection and reporting falls on the others. Knowledge on child protection is essential for the first contact person and such information is sparse in research literature originally coming from Sri Lanka. Anecdotally, several cases of child abuse have been missed out at the first contact level. Therefore we undertook this survey to assess the knowledge, attitudes towards child protection and the experiences of medical officers, nursing officers and social workers on child protection...
May 5, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29728147/interventions-for-improving-management-of-chronic-non-communicable-diseases-in-dikgale-a-rural-area-in-limpopo-province-south-africa
#16
Eric Maimela, Marianne Alberts, Hilde Bastiaens, Jesicca Fraeyman, Herman Meulemans, Johan Wens, Jeane Pierre Van Geertruyden
BACKGROUND: Chronic disease management (CDM) is an approach to health care that keeps people as healthy as possible through the prevention, early detection and management of chronic diseases. The aim of this study was to develop interventions to improve management of chronic diseases in the form of an integrated, evidence-based chronic disease management model in Dikgale, a rural area of Limpopo Province in South Africa. METHODS: A multifaceted intervention, called 'quality circles' (QCs) was developed to improve the quality and the management of chronic diseases in the Dikgale Health and Demographic Surveillance System (HDSS)...
May 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29722753/knowledge-and-attitudes-of-nurses-toward-pressure-injury-prevention-a-cross-sectional-multisite-study
#17
Michelle Barakat-Johnson, Catherine Barnett, Timothy Wand, Kathryn White
PURPOSE: The purpose of the study was to examine the knowledge and attitudes of nurses on pressure injury prevention and determine if there was a relationship between knowledge, attitude, and years of experience following an unexplained increase in reported hospital-acquired pressure injuries across 1 health district in Sydney, Australia. DESIGN: Multisite cross-sectional study. SUBJECTS AND SETTING: Registered and enrolled nurses working in acute, medical, and rehabilitation units in 4 hospitals and 5 community health centers across a local health district...
May 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29720091/mobility-concepts-and-access-to-health-care-in-a-rural-district-in-germany-a-mixed-methods-approach
#18
Lisa Schröder, Kristina Flägel, Katja Goetz, Jost Steinhäuser
BACKGROUND: Western countries are facing the challenges of an imminent shortage of physicians, especially general practitioners. As a consequence longer travel times to doctors' practices may arise. This study aimed to investigate the mobility behavior of a rural population in terms of medical consultations. METHODS: An exploratory mixed-methods design was conducted in the Waldshut district of the federal state Baden-Württemberg in Germany. Focus groups and a single telephone-interview with representatives, occupationally affiliated with mobility in the district (e...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29714508/implementation-of-a-school-based-bullying-program
#19
Katie Fisher, Brenda Cassidy, Dianxu Ren, Ann M Mitchell
A bully is defined as anyone who participates in any form of repetitive negative and hurtful behavior, with the intent of inflicting harm (Highmark & Center for Safe Schools, 2013). PURPOSE: The purpose of this project was to evaluate the feasibility of implementing a bullying awareness, prevention, and screening program for teachers and school nurses. METHODS: The sample included 174 fifth-graders from a public-school district in rural, southwestern Pennsylvania...
April 2018: Journal of Community Health Nursing
https://www.readbyqxmd.com/read/29713689/improving-rates-of-implantable-cardioverter-defibrillator-deactivation-in-end-of-life-care
#20
M R Javaid, Suzanne Squirrell, Fahad Farooqi
Implantable cardioverter defibrillators (ICDs) save lives in selected patients at risk of sudden cardiac death. However, in patents suffering with terminal illness, ICD therapy could pose a risk of unnecessary futile shocks which could lead to undignified discomfort in their final days of life. National guidelines advise that patients approaching the end of their natural life should be offered a compassionate choice of having their defibrillator deactivated. Following an actual clinical incident involving a patient receiving avoidable ICD shocks in his final hours, we identified shortcomings in communication and gaps in knowledge about ICD management in end-of-life care...
2018: BMJ Open Quality
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