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https://www.readbyqxmd.com/read/28930900/retrospective-evaluation-of-the-impact-of-a-geriatric-trauma-institute-on-fragility-hip-fracture-patient-outcomes
#1
Elizabeth D Katrancha, Jami Zipf, Nancy Abrahams, Richard Schroeder
BACKGROUND: Fragility hip fractures occur in the older than 65-year population at an alarming rate. It is estimated that 260,000 hip fractures occur annually. Patient outcomes following hip fractures are devastating. One of every 5 patients dies within 1 year of injury, and 1 of 3 remains in a nursing home for years after the injury. Published literature recommends an interdisciplinary approach to caring for hip-fractured patients and expediting surgery to improve outcomes. PURPOSE: The purpose of this study was to retrospectively evaluate the impact of the Geriatric Trauma Institute (GTI) on fragility hip fracture patient outcomes...
September 2017: Orthopaedic Nursing
https://www.readbyqxmd.com/read/28929318/monitoring-and-evaluating-the-ebola-response-effort-in-two-liberian-communities
#2
Davison Munodawafa, Matshidiso Rebecca Moeti, Peter Malekele Phori, Stephen B Fawcett, Ithar Hassaballa, Charles Sepers, Florence DiGennaro Reed, Jerry A Schultz, Ephraim Tafadzwa Chiriseri
Although credited with ultimately reducing incidence of Ebola Virus Disease (EVD) in West Africa, little is known about the amount and kind of Ebola response activities associated with reducing the incidence of EVD. Our team monitored Ebola response activities and associated effects in two rural counties in Liberia highly affected by Ebola. We used a participatory monitoring and evaluation system, and drew upon key informant interviews and document review, to systematically capture, code, characterize, and communicate patterns in Ebola response activities...
September 19, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28915069/facilitators-and-barriers-to-positive-airway-pressure-adherence-for-adolescents-a-qualitative-study
#3
Zahra Alebraheem, Alene Toulany, Adele Baker, Jennifer Christian, Indra Narang
RATIONALE: Low adherence to positive airway pressure (PAP) treatment for adolescents with obstructive sleep apnea (OSA) can have long-term cardio-metabolic and developmental impact. OBJECTIVES: To explore the facilitators and barriers to PAP use in adolescents with OSA. METHODS: We conducted a qualitative study using a descriptive thematic analysis approach. A total of 21 interviews were conducted in the clinical setting with adolescents prescribed PAP to treat OSA within the previous 12 months...
September 15, 2017: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/28914272/a-randomized-controlled-trial-of-a-cpr-decision-support-video-for-patients-admitted-to-the-general-medicine-service
#4
Aimee M Merino, Ryan Greiner, Kristopher Hartwig
BACKGROUND: Patient preferences regarding cardiopulmonary resuscitation (CPR) are important, especially during hospitalization when a patient's health is changing. Yet many patients are not adequately informed or involved in the decision-making process. OBJECTIVE: We examined the effect of an informational video about CPR on hospitalized patients' code status choices. DESIGN: This was a prospective, randomized trial conducted at the Minneapolis Veterans Affairs Health Care System in Minnesota...
September 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28904274/factors-relating-to-self-efficacy-among-psychiatric-nurses
#5
Hironori Yada, Mako Kobayashi, Ryo Odachi, Toshie Yamane
This study aimed to clarify the factors related to self-efficacy experienced by psychiatric nurses. Analysis of qualitative descriptive data from a free self-description questionnaire administered to 16 psychiatric nurses working in psychiatric hospitals revealed 24 codes across the following 8 categories as factors that increase self-efficacy: A1. possibility of practical use in nursing, A2. nursing judgment, A3. improvement of psychiatric symptoms, A4. the patients presenting a positive attitude, A5. building a relationship of trust with the patients, A6...
2017: Journal of UOEH
https://www.readbyqxmd.com/read/28904075/association-between-living-in-food-deserts-and-cardiovascular-risk
#6
Heval M Kelli, Muhammad Hammadah, Hina Ahmed, Yi-An Ko, Matthew Topel, Ayman Samman-Tahhan, Mossab Awad, Keyur Patel, Kareem Mohammed, Laurence S Sperling, Priscilla Pemu, Viola Vaccarino, Tene Lewis, Herman Taylor, Greg Martin, Gary H Gibbons, Arshed A Quyyumi
BACKGROUND: Food deserts (FD), neighborhoods defined as low-income areas with low access to healthy food, are a public health concern. We evaluated the impact of living in FD on cardiovascular risk factors and subclinical cardiovascular disease (CVD) with the hypothesis that people living in FD will have an unfavorable CVD risk profile. We further assessed whether the impact of FD on these measures is driven by area income, individual household income, or area access to healthy food. METHODS AND RESULTS: We studied 1421 subjects residing in the Atlanta metropolitan area who participated in the META-Health study (Morehouse and Emory Team up to Eliminate Health Disparities; n=712) and the Predictive Health study (n=709)...
September 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28901701/exploring-extended-scope-of-practice-in-dietetics-a-systems-approach
#7
Dominique Ryan, Fiona Pelly, Elizabeth Purcell
AIM: The aim of this study was to explore health professionals' perceptions of an extended scope of a practice clinic, and develop a framework using a systems approach to facilitate extended scope models across various health settings. METHODS: A qualitative investigation using semi-structured interviews with four health professionals involved in an extended scope dietitian-led gastroenterology clinic in a hospital in regional Queensland was conducted. A case study design was utilised to investigate interviewees' perceptions of the clinic...
September 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28899859/development-of-a-surveillance-system-for-pediatric-hospital-acquired-venous-thromboembolism
#8
Laura H Brower, Erin E Shaughnessy, Ranjit S Chima
BACKGROUND: Pediatric hospital-acquired (HA) venous thromboembolism (VTE) is a vexing problem with improvement efforts hampered by lack of robust surveillance methods to establish accurate rates of HA-VTE. METHODS: At a freestanding children's hospital, a multidisciplinary team worked to develop a comprehensive surveillance strategy for HA-VTE. Starting with diagnosis codes, we implemented complementary detection methods, including clinical and radiology data, to develop a robust surveillance system...
September 12, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28898317/-recommendations-from-parents-of-obese-children-in-treatment-to-the-health-care-team-qualitative-study
#9
Andrea García, Carolina Aspillaga, Claudia Cruzat-Mandich, S Barja
INTRODUCTION: The family plays an essential role in the adherence and effectiveness in the treatment of childhood obesity. Caregivers’ experience is fundamental for proper guidance. AIM: To describe the recommendations for the health-care team made by parents of children that are being treated for obesity. PATIENTS AND METHOD: Cross-sectional and descriptive study with a qualitative approach and purposeful sampling. In the first semester of 2015, interviews were conducted with nine parents of children from 4 to 10 years old that were being treated for obesity ad who had at least three medical appointments in the previous year...
2017: Revista Chilena de Pediatría
https://www.readbyqxmd.com/read/28898245/improving-data-sharing-in-research-with-context-free-encoded-missing-data
#10
Marieke P Hoevenaar-Blom, Juliette Guillemont, Tiia Ngandu, Cathrien R L Beishuizen, Nicola Coley, Eric P Moll van Charante, Sandrine Andrieu, Miia Kivipelto, Hilkka Soininen, Carol Brayne, Yannick Meiller, Edo Richard
Lack of attention to missing data in research may result in biased results, loss of power and reduced generalizability. Registering reasons for missing values at the time of data collection, or-in the case of sharing existing data-before making data available to other teams, can save time and efforts, improve scientific value and help to prevent erroneous assumptions and biased results. To ensure that encoding of missing data is sufficient to understand the reason why data are missing, it should ideally be context-free...
2017: PloS One
https://www.readbyqxmd.com/read/28891878/using-high-fidelity-simulation-and-video-assisted-debriefing-to-enhance-obstetrical-hemorrhage-mock-code-training
#11
Peggy J Jacobs
The purpose of this descriptive, one-group posttest study was to explore the nursing staff's perception of the benefits of using high-fidelity simulation during mandated obstetrical hemorrhage mock code training. In addition, the use of video-assisted debriefing was used to enhance the nursing staff's evaluation of their communication and teamwork processes during a simulated obstetrical crisis. The convenience sample of 84 members of the nursing staff consented to completing data collection forms and being videotaped during the simulation...
September 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28881984/estimation-of-time-varying-growth-uptake-and-excretion-rates-from-dynamic-metabolomics-data
#12
Eugenio Cinquemani, Valérie Laroute, Muriel Cocaign-Bousquet, Hidde de Jong, Delphine Ropers
Motivation: Technological advances in metabolomics have made it possible to monitor the concentration of extracellular metabolites over time. From these data, it is possible to compute the rates of uptake and excretion of the metabolites by a growing cell population, providing precious information on the functioning of intracellular metabolism. The computation of the rate of these exchange reactions, however, is difficult to achieve in practice for a number of reasons, notably noisy measurements, correlations between the concentration profiles of the different extracellular metabolites, and discontinuties in the profiles due to sudden changes in metabolic regime...
July 15, 2017: Bioinformatics
https://www.readbyqxmd.com/read/28881074/hospital-passports-patient-safety-and-person-centred-care-a-review-of-documents-currently-used-for-people-with-intellectual-disabilities-in-the-united-kingdom
#13
Ruth Northway, Stacey Rees, Michelle Davies, Sharon Williams
AIMS AND OBJECTIVES: To review hospital passports currently in use for people with intellectual disabilities in the United Kingdom and to make recommendations for practice. BACKGROUND: Hospital passports have been introduced internationally to address communication barriers that may limit access to appropriate healthcare for people with intellectual disabilities. They are viewed as promoting patient safety and person-centred care but their format may vary, they are not always used appropriately, and hence their effectiveness may be limited...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28870273/factors-associated-with-delay-in-trauma-team-activation-and-impact-on-patient-outcomes
#14
Rory Connolly, Michael Y Woo, Jacinthe Lampron, Jeffrey J Perry
OBJECTIVE: Trauma code activation is initiated by emergency physicians using physiological and anatomical criteria, mechanism of injury, and patient demographic factors. Our objective was to identify factors associated with delayed trauma team activation. METHODS: We assessed consecutive cases from a regional trauma database from January 2008 to March 2014. We defined a delay in trauma code activation as a time greater than 30 minutes from the time of arrival. We conducted univariate analysis for factors potentially influencing trauma team activation, and we subsequently used multiple logistic regression analysis models for delayed activation in relation to mortality, length of stay, and time to operative management...
September 5, 2017: CJEM
https://www.readbyqxmd.com/read/28867256/timing-of-intubation-in-acute-respiratory-failure-associated-with-sepsis-a-mixed-methods-study
#15
Philippe R Bauer, Ashok Kumbamu, Michael E Wilson, Jasleen K Pannu, Jason S Egginton, Rahul Kashyap, Ognjen Gajic
OBJECTIVE: To analyze bedside clinicians' perspectives regarding the decision process to optimize timing of intubation in sepsis-associated acute respiratory failure. PARTICIPANTS AND METHODS: This mixed methods study was conducted from March 1, 2015, through June 30, 2016. Using qualitative research methods, factors that influenced variability in the decision to intubate were organized into categories and used to build a theoretical explanatory model grounded in current practice variance...
August 31, 2017: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/28866436/exploration-of-parent-provider-communication-during-clinic-visits-for-children-with-chronic-conditions
#16
Barbara K Giambra, Stephen M Haas, Maria T Britto, Ellen A Lipstein
INTRODUCTION: The purpose of this study was to explore the communication behaviors demonstrated by parents of children with chronic conditions and provider team members when communicating about the child's care in outpatient clinics using concepts from the Theory of Shared Communication (TSC). METHODS: This was a secondary data analysis of 30 previously recorded pediatric clinic visits. Communication among parents and provider team members was analyzed using a researcher-developed coding scheme based on the TSC...
August 30, 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28862085/value-based-healthcare-as-a-trigger-for-improvement-initiatives
#17
Kerstin Nilsson, Fredrik Bååthe, Annette Erichsen Andersson, Mette Sandoff
Purpose This study explores four pilot teams' experiences of improvements resulting from the implementation of value-based healthcare (VBHC) at a Swedish University Hospital. The aim of this study is to gain a deeper understanding of VBHC when used as a management strategy to improve patients' health outcomes. Design/methodology/approach An exploratory design was used and qualitative interviews were undertaken with 20 team members three times each, during a period of two years. The content of the interviews was qualitatively analysed...
September 1, 2017: Leadership in Health Services
https://www.readbyqxmd.com/read/28859001/report-from-the-night-shift-how-administrative-supervisors-achieve-nurse-and-patient-safety
#18
Susan H Weaver, Teri G Lindgren, Edna Cadmus, Linda Flynn, Charlotte Thomas-Hawkins
The administrative supervisor role (the nurse leader on the evening or night shift) has been present in hospitals for more than 100 years, but research is just commencing regarding how this leader achieves nurse and patient safety. This focused ethnographic study was conducted in 2 parts. The first part consisted of focus groups with night-shift staff nurses, held at 7 hospitals in the mid-Atlantic region of the United States, with the objective of obtaining the staff nurses' perception of the supervisors' role...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28858873/circulating-triglycerides-and-the-association-of-triglycerides-with-dietary-intake-are-altered-by-alpha-2-heremans-schmid-glycoprotein-polymorphisms
#19
Katie N Robinson, Itzel Vazquez-Vidal, Courtney Marques, Flavia Cristina Drumond Andrade, Celia Aradillas-Garcia, Margarita Teran-Garcia
BACKGROUND: Circulating fetuin-A (FetA) inhibits insulin receptor signaling and activates the toll-like receptor 4 proinflammatory cascade; thus, it may contribute to metabolic syndrome. Polymorphisms in alpha-2-Heremans-Schmid glycoprotein (AHSG), the gene which codes FetA, may influence metabolic syndrome progression in higher-risk ethnic groups. We aimed to identify whether individual variation in AHSG influences biomarkers of metabolic disease and obesity in young Mexican adults. METHODS: The participants were Mexican college applicants (18-25 years, n = 641)...
August 31, 2017: Journal of Nutrigenetics and Nutrigenomics
https://www.readbyqxmd.com/read/28851860/a-qualitative-study-of-gp-nurse-and-practice-manager-views-on-using-targeted-case-finding-to-identify-patients-with-copd-in-primary-care
#20
Rachael H Summers, Taniya Sharmeen, Kate Lippiett, Kate Gillett, Carla Astles, Linh Vu, Mark Stafford-Watson, Anne Bruton, Mike Thomas, Tom Wilkinson
'Finding the missing millions' with chronic obstructive pulmonary disease became part of the Department of Health strategy for England in 2010. Targeted case-finding within primary care is one potential pro-active strategy, but currently little is known about the views of healthcare professionals on this approach. In this study, 36 healthcare professionals (12 GPs, 14 nurses, and 10 practice managers) from 34 UK practices participated in semi-structured telephone interviews about targeted case-finding. Interviews followed an interview guide, were audio-recorded, transcribed verbatim, coded and analysed using 'Framework Approach'...
August 29, 2017: NPJ Primary Care Respiratory Medicine
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