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https://www.readbyqxmd.com/read/29471270/validation-of-time-to-task-performance-assessment-method-in-simulation-a-comparative-design-study
#1
Mary Ann Shinnick, Mary A Woo
BACKGROUND: There is a lack of objective and valid measures for assessing nursing clinical competence which could adversely impact patient safety. Therefore, we evaluated an objective assessment of clinical competence, Time to Task (ability to perform specific, critical nursing care activities within 5 min), and compared it to two subjective measures, (Lasater Clinical Judgement Rubric [LCJR] and common "pass/fail" assessment). DESIGN/METHODS: Using a prospective, "Known Groups" (Expert vs...
February 12, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29470469/acceptability-of-electronic-cigarettes-as-an-option-to-replace-tobacco-smoking-for-alcoholics-admitted-to-hospital-for-detoxification
#2
Penelope Truman, Moira Gilmour, Geoffrey Robinson
AIM: A feasibility/acceptability trial was undertaken at Ward 5, Kenepuru Hospital, Porirua, to ascertain whether electronic cigarettes (e-cigarettes) were a useful option to replace or reduce smoking in the detoxification ward. METHODS: Two groups of patients were studied. Tobacco use and dependency data were collected for each. The first group was surveyed on the usefulness of standard nicotine replacement therapy (NRT). The second group were offered e-cigarettes with the option of standard NRT as well...
February 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29470383/participating-in-a-multisite-study-exploring-operational-failures-encountered-by-frontline-nurses-lessons-learned
#3
Halia Melnyk, Peri Rosenfeld, Kimberly S Glassman
This article describes our experience participating in a multisite collaborative study involving frontline nurses and operational failures (OFs). We encountered a range of challenges conducting the study as proposed by the study's coordinating center (CC), which hindered our ability to meet our goals and objectives. We identified 3 general areas in which our expectations and actual experience diverged: 1) research resources, design, and methods; 2) CC communications and deliverables; and 3) influencing organizational change...
February 21, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29470268/facilitating-early-breast-milk-expression-in-mothers-of-very-low-birth-weight-infants
#4
Leslie Ann Parker, Jacqueline Hoffman, Ashley Darcy-Mahoney
BACKGROUND: Although early initiation of human milk (HM) expression after birth is known to increase lactation success in mothers of very low birthweight (VLBW) infants, initiation is frequently delayed, potentially decreasing both short- and long-term HM production. Obstetrical (OB) nurses are typically the healthcare provider responsible for facilitating the initial HM expression session. As delays in initiation are common, it is likely that nurses experience obstacles to facilitation of an early initiation of HM expression...
March 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29470005/factors-influencing-the-introduction-of-a-process-of-advance-care-planning-in-outpatient-hemodialysis-facilities
#5
Aoife Moran
Individuals with kidney failure on outpatient hemodialysis therapy may experience many biopsycho social complications and existential concerns. Consequently, there is a need to implement a process of advance care planning to effectively meet the extensive needs of these individuals. However, this article suggests there are various barriers in some outpatient hemodialysis facilities that may hinder the introduction of advance care planning. This article provides a critical discussion of some of these elements, including increased time pressure, nurse-patient communication, and the nurse-patient relationship...
January 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29469649/a-new-way-of-organising-palliative-care-for-patients-with-severe-chronic-obstructive-pulmonary-disease
#6
Marie Lavesen, Kristoffer Bastrup-Madsen Marsa, Dorthe Gaby Bove
Patients with chronic obstructive pulmonary disease (COPD) often live with unmet palliative needs and low quality of life, although several guidelines recommend that those with COPD should be offered early and integrated palliative care. However, none of the guidelines describe how these recommendations can be operationalised and the current literature offers little information about experiences with developing and implementing new palliative care services. This article offers insight into the experience of developing and implementing a new palliative outpatient structure for patients with severe COPD...
February 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29469645/spirituality-among-family-caregivers-in-palliative-care-an-integrative-literature-review
#7
Nasreen Lalani, Wendy Duggleby, Joanne Olson
BACKGROUND: Family caregivers experience spiritual and existential concerns while caring for their terminally ill family members. AIM: To evaluate and synthesise studies on spirituality among family caregivers in palliative care. DESIGN: An integrative literature review of peer-reviewed articles published between 2000 and 2016. SAMPLE: Participants were family caregivers (parents, spouses, relatives or friends) caring for an adult (age>18 years) family member with a terminal illness in a palliative care setting...
February 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29468930/navigating-nuances-of-language-and-meaning-challenges-of-cross-language-ethnography-involving-shona-speakers-living-with-schizophrenia
#8
Sherphard Chidarikire, Merylin Cross, Isabelle Skinner, Michelle Cleary
For people living with schizophrenia, their experience is personal and culturally bound. Focused ethnography enables researchers to understand people's experiences in-context, a prerequisite to providing person-centered care. Data are gathered through observational fieldwork and in-depth interviews with cultural informants. Regardless of the culture, ethnographic research involves resolving issues of language, communication, and meaning. This article discusses the challenges faced by a bilingual, primary mental health nurse researcher when investigating the experiences of people living with schizophrenia in Zimbabwe...
February 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29468777/caring-for-crying-babies-a-mixed-methods-study-to-understand-factors-influencing-nurses-and-doctors-management-of-infant-colic
#9
James McGann, Jaqueline Manohar, Harriet Hiscock, Denise O'Connor, Jan Hodgson, Franz Babl, Valerie Sung
AIM: The aim of this study was to determine the barriers and enablers influencing the uptake of two recommendations from a tertiary paediatric hospital's clinical practice guidelines by maternal and child health nurses (MCHNs) and emergency department (ED) doctors: (i) explaining normal crying; and (ii) avoiding attributing crying to gastro-oesophageal reflux (GOR) and limiting anti-reflux medication use. METHODS: The study was designed as 1-h focus group discussions, guided by the Theoretical Domains Framework, and a short questionnaire, with a purposive sample of MCHNs and ED doctors in Victoria, Australia in (March to September) 2015...
February 22, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29468566/pediatric-psychologists-collaboration-in-a-national-pediatric-obesity-initiative-a-case-study-in-interprofessional-collaboration
#10
REVIEW
Wendy L Ward, Laura A Shaffer, Elizabeth Getzoff Testa
Health Care reform calls for collaborative team-based care; psychologists must therefore strengthen their competencies for work in interprofessional clinical care settings. Toward that end, a group of psychologists participated with physicians, dieticians, physical activity specialists, nurses, and others in a national interprofessional workgroup focused on pediatric obesity. The interprofessional group was designed to identify areas in need of national advocacy, key assessment and treatment concerns, and gaps in internal policies and procedures in children's hospitals...
February 21, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29467974/stroke-simulation-improves-acute-stroke-management-a-systems-based-practice-experience
#11
Tapan Mehta, Sara Strauss, Dawn Beland, Gilbert Fortunato, Ilene Staff, Nora Lee
Background : Literature on the effectiveness of simulation-based medical education programs for caring for acute ischemic stroke (AIS) patients is limited. Objective : To improve coordination and door-to-needle (DTN) time for AIS care, we implemented a stroke simulation training program for neurology residents and nursing staff in a comprehensive stroke center. Methods : Acute stroke simulation training was implemented for first-year neurology residents in July 2011...
February 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29467568/commentary-addressing-racial-disparities-in-stroke-the-wide-spectrum-investigation-of-stroke-outcome-disparities-on-multiple-levels-wissdom
#12
EDITORIAL
Robert J Adams, Charles Ellis, Gayenell Magwood, Mark S Kindy, Leonardo Bonilha, Daniel T Lackland
Racial-ethnic disparities in stroke recovery are well-established in the United States but the underlying causes are not well-understood. The typical assumption that racial-ethnic disparities in stroke recovery are explained by health care access inequities may be simplistic as access to stroke-related rehabilitation, for example, does not adequately explain the observed disparities. To approach the problem in a more comprehensive fashion, the Wide Spectrum Investigation of Stroke Outcome Disparities on Multiple Levels (WISSDOM) was developed to bring together scientists from Regenerative Medicine, Neurology, Rehabilitation, and Nursing to examine disparities in stroke "recovery...
2018: Ethnicity & Disease
https://www.readbyqxmd.com/read/29466345/symptom-dimensions-as-outcomes-in-interventions-for-patients-with-cancer-a-systematic-review
#13
Ingela Henoch, Cecilia Olsson, Maria Larsson, Karin Ahlberg
PROBLEM IDENTIFICATION: Symptom experience in patients with cancer consists of several dimensions, often measured descriptively within various populations but seldom used as intervention outcomes. This review aims at describing symptom dimensions as outcomes of interventions designed to alleviate symptoms in patients with cancer and to describe these interventions' effects on at least two symptom dimensions. 
. LITERATURE SEARCH: The PRISMA statement for reporting systematic reviews was used...
March 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29466341/coming-of-age-with-cancer-physical-social-and-financial-barriers-to-independence-among-emerging-adult-survivors
#14
Eden Brauer, Huibrie C Pieters, Patricia A Ganz, Wendy Landier, Carol Pavlish, MarySue V Heilemann
PURPOSE: To explore the transition to self-care among a sample of emerging adult cancer survivors after hematopoietic cell transplantation (HCT). 
. PARTICIPANTS & SETTING: 18 HCT survivors who were aged 18-29 years at the time of HCT for a primary hematologic malignancy and were 8-60 months post-HCT participated in the study. The study took place in the hematology outpatient setting at City of Hope National Medical Center.
. METHODOLOGIC APPROACH: The authors conducted in-depth semistructured interviews and analyzed interview transcripts using grounded theory methodology...
March 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29466261/engaging-nurses-in-optimizing-antimicrobial-use-in-icus-a-qualitative-study
#15
Lianne Jeffs, Madelyn P Law, Michelle Zahradnik, Marilyn Steinberg, Maria Maione, Linda Jorgoni, Chaim M Bell, Andrew M Morris
Antimicrobial stewardship programs (ASPs) have predominately involved infectious diseases physicians and pharmacists with little attention to the nurses. To achieve optimal success of ASPs, engagement of nurses to actively participate in initiatives, strategies, and solutions to combat antibiotic resistance across the health care spectrum is required. In this context, the experiences of local ASP teams engaging nurses in appropriate antimicrobial use were explored to inform future strategies to enhance their involvement in ASPs...
April 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29466237/the-state-of-knowledge-regarding-the-use-of-simulation-in-pre-licensure-nursing-education-a-mixed-methods-systematic-review
#16
Joanne K Olson, Pauline Paul, Gerri Lasiuk, Sandra Davidson, Barbara Wilson-Keates, Rebecca Ellis, Nichole Marks, Maryam Nesari, Winnifred Savard
This project is a mixed-methods systematic review on the use of simulation in pre-licensure nursing. This research question guided this review: What is the best evidence available upon which to base decisions regarding the use of simulation experiences with pre-licensure nursing students? Searches of CINAHL Plus with Full Text, MEDLINE, and ERIC were performed to identify relevant literature. These searches yielded 1220 articles. After duplicates were removed and titles and abstracts were reviewed for relevance to the inclusion criteria, the remaining 852 articles were independently assessed for quality by pairs of researchers...
February 20, 2018: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29465521/one-patient-experience-inspires-nursing-staff-caring-for-dying-patients
#17
Mary Beth Farah, Melanie M Heuston, Annette Dye, Megan F King, Autumn Shingler-Nace
No abstract text is available yet for this article.
March 2018: Nursing
https://www.readbyqxmd.com/read/29465248/quality-of-sedation-with-propofol-administered-by-non-anesthetists-in-a-digestive-endoscopy-unit-the-results-of-a-one-year-experience
#18
Cristina López Muñoz, Andrés Sánchez Yagüe, Jose Carlos Canca Sánchez, José Antonio Reinaldo-Lapuerta, Ana Belén Moya Suárez
INTRODUCTION: research has shown that an endoscopist-nurse clinical team can perform sedation with propofol effectively, safely and efficiently. To do so, it is essential to provide specific and appropriate training in the necessary skills. The main aim of the present study was to evaluate the quality of the sedation procedure administered by non-anesthetists in a digestive endoscopy unit, one year after its introduction. METHODS: a prospective cohort study was performed in patients given propofol sedation by non-anesthetists...
February 21, 2018: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/29465176/nurses-experiences-of-providing-care-to-bereaved-families-who-experience-unexpected-death-in-intensive-care-units-a-narrative-overview
#19
Aalia Shariff, Joanne Olson, Anna Santos Salas, Lisa Cranley
BACKGROUND: Death is a common occurrence in intensive care units (IC Us) and the complexity of care makes it difficult for nurses to find a balance between the patient's physical needs and the family's emotional needs, especially in circumstances of unexpected death. Cumulative or unresolved grief for families can have lasting negative repercussions. Nurses, therefore, need access to bereavement education in order to provide optimal- bereavement support. PURPOSE: The purpose of this review is to identify challenges and facilitators that nurses experience in delivering bereavement support during and after sudden or unexpected death in ICUs...
May 2017: Canadian Journal of Critical Care Nursing
https://www.readbyqxmd.com/read/29465093/-perceptions-of-health-care-professionals-about-end-of-life-care-obstacles-and-ethical-dilemmas-in-hospitals-primary-care-and-nursing-homes
#20
P Guardia Mancilla, R Montoya-Juarez, C Marti-Garcia, R Herrero Hahn, M P Garcia Caro, F Cruz Quintana
BACKGROUND: This study compares the perceptions of physicians and nurses regarding professional practice, perceived obstacles and ethical dilemmas in end-of-life care in primary care (PC), hospitals and nursing homes (NH). METHODS: Descriptive, cross-sectional and multicentre study. Intentional sampling of physicians and nurses with more than four months professional practice from four hospitals, five PC centres and twenty-nine NH in Granada was carried out. An ad hoc questionnaire was developed to assess perception of professional practice in eight dimensions (structure and processes of care, physical, psychological, social, spiritual, cultural, ethical aspects and care for the dying), frequency of ethical dilemmas, and obstacles to optimum care...
February 21, 2018: Anales del Sistema Sanitario de Navarra
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