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https://www.readbyqxmd.com/read/28915822/what-hinders-the-uptake-of-computerized-decision-support-systems-in-hospitals-a-qualitative-study-and-framework-for-implementation
#1
Elisa G Liberati, Francesca Ruggiero, Laura Galuppo, Mara Gorli, Marien González-Lorenzo, Marco Maraldi, Pietro Ruggieri, Hernan Polo Friz, Giuseppe Scaratti, Koren H Kwag, Roberto Vespignani, Lorenzo Moja
BACKGROUND: Advanced Computerized Decision Support Systems (CDSSs) assist clinicians in their decision-making process, generating recommendations based on up-to-date scientific evidence. Although this technology has the potential to improve the quality of patient care, its mere provision does not guarantee uptake: even where CDSSs are available, clinicians often fail to adopt their recommendations. This study examines the barriers and facilitators to the uptake of an evidence-based CDSS as perceived by diverse health professionals in hospitals at different stages of CDSS adoption...
September 15, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28891171/innovation-in-health-service-management-adoption-of-project-management-offices-to-support-major-health-care-transformation
#2
Mélanie Lavoie-Tremblay, Monique Aubry, Guylaine Cyr, Marie-Claire Richer, Jean-François Fortin-Verreault, Claude Fortin, Caroline Marchionni
AIM: To explore the characteristics that influence project management offices acceptance and adoption in healthcare sector. BACKGROUND: The creation of project management offices has been suggested as a promising avenue to promote successful organisational change and facilitate evidence-based practice. However, little is known about the characteristics that promote their initial adoption and acceptance in health care sector. This knowledge is important in the context where many organisations are considering implementing project management offices with nurse managers as leaders...
September 10, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28881151/jean-marian-purdy-remembered-the-hidden-life-of-an-ivf-pioneer
#3
Roger Gosden
Jean Purdy is almost forgotten as one of the British trio that introduced clinical IVF to the world. An unlikely pioneer, she qualified as a nurse but through indefatigable effort and unstinting loyalty to a programme that faced vitriolic opposition she became the clinical embryologist for the first IVF baby. In 1980, she helped to launch fertility services as the 'Technical Director' of Bourn Hall Clinic, near Cambridge. Although Robert Edwards and Patrick Steptoe generously credited her role in research and clinical care, a premature death in 1985 at age 39 robbed her of the reward of witnessing the blossoming of assisted reproductive technologies for patients around the world...
September 7, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28875775/give-leaders-clear-structures
#4
Stephen Taylor
If the same problems recur each year (Nurse director turnover worryingly high, analysis, 30 August) without significant structural reform, why should a failing CEO sit comfortably protected by a need for continuity?
September 6, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28871846/traits-of-vulnerability-in-repetitive-sexual-assaults-of-mentally-disabled-people
#5
Elmas Shaqiri, Granit Shahu, Bledar Xhemali, Gentian Vyshka
The issue of sexual abuse, assault, rape and unwanted pregnancies among mentally disabled women is largely under-reported for many reasons. Several myths prevail including that mentally disabled women offer little interest to sexual predators, together with a negative public attitude and this contributes to the problem. We report the case of a single centre in Albania, where repetitive sexual assaults were perpetrated against three mentally disabled women. Three unwanted pregnancies followed. The issue gained public attention after three criminal abortions were performed secretly with the aim of covering up the story...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28870502/eficiencia-en-la-prescripci%C3%A3-n-enfermera-en-andaluc%C3%A3-a-un-paso-atr%C3%A3-s-en-el-sistema-sanitario-tras-anulaci%C3%A3-n-por-real-decreto
#6
Juan José Ruiz Sánchez, Rocío Ruiz Calzado, Marcos Romero Sánchez
OBJECTIVES: To analyse the efficiency of nurse prescription of the health products inherent to their care work, in Andalusia, Spain, between the years 2009-2015. To also analyse the discussions by the Medical Colleges Organisation and the Ministry of Health, Social Services and Equality, before the draft bill on nurse prescription and their outcome. DESIGN: Scoping review. DATA SOURCE: Main bibliographic databases of Latin-American, Spanish, and foreign languages were reviewed, including, Fundación Index, Doyma, and Medline Library...
September 1, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28864853/-cooperation-between-nursing-homes-and-intellectual-disability-care-services-state-of-affairs-in-flanders
#7
J Campens, T Schiettecat, M Vervliet, L Van Heck, J Lesseliers, I Goethals, N De Witte
Considering the increasing life expectancy of people with intellectual disabilities (ID), the importance of cooperation between services for people with ID and elderly care services has been stressed in Flanders and the Netherlands, as well as internationally. However, the prevalence, intensity and content of such a cooperation are yet unknown. In order to gain information to address this issue, an online-survey was delivered to directors of all nursing homes in Flanders (n = 781). 229 surveys were completed...
September 1, 2017: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/28864690/interprofessional-team-assessments-of-the-patient-safety-climate-in-swedish-operating-rooms-a-cross-sectional-survey
#8
Camilla Göras, Maria Unbeck, Ulrica Nilsson, Anna Ehrenberg
BACKGROUND: A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse managers in the OR and medical directors' estimations of their staffs' attitudes to patient safety. METHODS: A cross-sectional survey with the Safety Attitudes Questionnaire (SAQ) was used to elicit estimations from surgical teams...
September 1, 2017: BMJ Open
https://www.readbyqxmd.com/read/28864437/organizational-factors-associated-with-perceived-quality-of-patient-care-in-closed-intensive-care-units
#9
Nathalie McIntosh, Eva Oppel, David Mohr, Mark Meterko
BACKGROUND: Improving patient care quality in intensive care units is increasingly important as intensive care unit services account for a growing proportion of hospital services. Organizational factors associated with quality of patient care in such units have been identified; however, most were examined in isolation, making it difficult to assess the relative importance of each. Furthermore, though most intensive care units now use a closed model, little research has been done in this specific context...
September 2017: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/28860432/-maggie-s-tokyo-s-human-support-the-meaning-of-where-now-and-cancer-journey
#10
Yoshie Takada
The landscape architect Maggie Jencks felt that she wanted a place to "get herself back" when her breast cancer recurred and was told that she only had a few months remaining. Mr. Charles Jencks, her husband who fulfilled her wishes, opened the first "Maggie's Cancer Caring Centre" in Edinburgh in 1996. Masako Akiyama, the chief of Maggie's Tokyo found out about Maggie's Centre when she listened to a presentation from Andrew Anderson, the director of Maggie's Edinburgh, at an International Nursing Seminar in 2008...
August 2017: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28859007/developing-professional-practice-and-ethics-engagement-a-leadership-model
#11
Karen M Reilly, Martha Jurchak
Nurse leaders are responsible for a practice environment that fosters safe, quality patient outcomes through excellence in nursing practice. This article describes a reflective practice intervention in the Cardiac Intensive Care Unit of an urban academic medical center led by the unit nursing director and the hospital's nurse ethicist. The twice monthly case-based discussions, called "Nursing Practice and Ethics Rounds," were attended by staff and unit managers (nurse director, assistant nurse director, and clinical educator) and were facilitated by the nurse ethicist...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28854248/maternal-health-care-initiatives-causes-of-morbidities-and-mortalities-in-two-rural-districts-of-upper-west-region-ghana
#12
Joshua Sumankuuro, Judith Crockett, Shaoyu Wang
BACKGROUND: Maternal and neonatal morbidities and mortalities have received much attention over the years in sub-Saharan Africa; yet addressing them remains a profound challenge, no more so than in the nation of Ghana. This study focuses on finding explanations to the conditions which lead to maternal and neonatal morbidities and mortalities in rural Ghana, particularly the Upper West Region. METHOD: Mixed methods approach was adopted to investigate the medical and non-medical causes of maternal and neonatal morbidities and mortalities in two rural districts of the Upper West Region of Ghana...
2017: PloS One
https://www.readbyqxmd.com/read/28853351/lead-by-walking-in-our-shoes
#13
Gordon Lees
I call on all directors of nursing and NHS leaders to search their consciences and challenge the government on their handling of the NHS.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28853342/strong-nurse-leadership-still-undermined-by-high-turnover
#14
(no author information available yet)
An effective, well-led health and social care system is dependent on having strong clinical leadership at board level. Not my words, but those of Christine McKenzie, lead of the RCN's executive nurse network, in response to the latest findings of Nursing Standard's annual survey of turnover among directors of nursing.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28833737/factors-influencing-the-implementation-of-evidence-in-chinese-nursing-practice
#15
Lei Cheng, Marion E Broome, Sheng Feng, Yan Hu
AIMS AND OBJECTIVES: To explore the influencing factors from staff nurses, nurse managers, nursing directors, and a physician involved in nursing evidence implementation in Mainland China. BACKGROUND: Although the need for evidence-based nursing is well recognized, continuous efforts are needed to strive for closing the gap from evidence to action. Previous studies have explored influencing factors from individual and organizational perspectives in western countries...
August 22, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28831876/chief-nurse-to-lead-nhs-london-region
#16
(no author information available yet)
England's chief nursing officer (CNO) Jane Cummings will take charge of the NHS England London region until a permanent regional director has been recruited.
August 23, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28805267/practices-in-the-evaluation-of-potential-kidney-transplant-recipients-who-are-elderly-a-survey-of-us-transplant-centers
#17
Didier A Mandelbrot, Aaron Fleishman, James R Rodrigue, Silas P Norman, Milagros Samaniego
Limited data exists regarding the evaluation and selection of older candidates for transplantation. To help guide the development of program protocols and help define research questions in this area, we surveyed US transplant centers regarding their current practices in the evaluation of older kidney transplant candidates. We emailed a 28-question survey to the medical and surgical directors of 190 adult kidney transplant programs in the US. We received usable responses from 59 programs, a 31.1% response rate...
August 14, 2017: Clinical Transplantation
https://www.readbyqxmd.com/read/28803227/perspectives-from-academic-leaders-of-the-nursing-faculty-shortage-in-canada
#18
Amanda Vandyk, Julie Chartrand, Émilie Beké, Laura Burlock, Cynthia Baker
There is a world-wide shortage of nursing faculty, which is complicated by the need for French, English, and bilingual professors in Canada. The purpose of this qualitative study was to explore the current status and effects of the nursing faculty shortage on Canadian Schools of Nursing (SON) from a leadership perspective. We conducted semi-structured interviews with 12 Deans and Directors of Canadian Schools of Nursing. The participants spoke about the faculty shortage in terms of demand, supply, and strategies employed...
August 15, 2017: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/28771646/assessing-disaster-preparedness-among-select-children-s-summer-camps-in-the-united-states-and-canada
#19
Megan Chang, Alan Sielaff, Stuart Bradin, Kevin Walker, Michael Ambrose, Andrew Hashikawa
OBJECTIVE: Children's summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters. METHODS: We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other...
August 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28766456/creating-a-stronger-voice-for-nursing-in-zambia
#20
Jennifer Trueland
Jennifer Munsaka is the first to admit that her organisation didn't always get the most positive reception from government ministers or hospital management. The director of policy, programmes and professional affairs at the Zambia Union of Nurses Organization (ZUNO) was aware it was perceived as fighting for nurses' rights rather than leading on professional matters, such as improving patient safety.
August 2, 2017: Nursing Standard
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