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https://www.readbyqxmd.com/read/28325025/comparison-between-users-of-a-new-methodology-for-heart-sound-auscultation
#1
Ana Castro, Pedro Gomes, Sandra S Mattos, Miguel T Coimbra
Auscultation is a routine exam and the first line of screening in heart pathologies. The objective of this study was to assess if using a new data collection system, the DigiScope Collector, with a guided and automatic annotation of heart auscultation, different levels of expertise/experience users could collect similar digital auscultations. Data were collected within the Heart Caravan Initiative (Paraíba, Brasil). Patients were divided into two study groups: Group 1 evaluated by a third year medical student (User 1), and an experienced nurse (User 2); Group 2 evaluated by User 2 and an Information Technology professional (User 3)...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28323846/problems-identified-by-dual-sensory-impaired-older-adults-in-long-term-care-when-using-a-self-management-program-a-qualitative-study
#2
Lieve Roets-Merken, Sytse Zuidema, Myrra Vernooij-Dassen, Marianne Dees, Pieter Hermsen, Gertrudis Kempen, Maud Graff
OBJECTIVE: To gain insights into the problems of dual sensory impaired older adults in long-term care. Insights into these problems are essential for developing adequate policies which address the needs of the increasing population of dual sensory impaired older adults in long-term care. METHODS: A qualitative study was conducted in parallel with a cluster randomized controlled trial. Dual sensory impaired older adults in the intervention group (n = 47, age range 82-98) were invited by a familiar nurse to identify the problems they wanted to address...
2017: PloS One
https://www.readbyqxmd.com/read/28323727/experience-with-the-use-of-single-use-disposable-bronchoscope-in-the-icu-in-a-tertiary-referral-center-of-singapore
#3
Dominic C Marshall, Rucha S Dagaonkar, Chan Yeow, Anura T Peters, Siew Kin Tan, Dessmon Y H Tai, Soon Keng Gohs, Albert Y H Lim, Benjamin Ho, Sennen J W Lew, John Abisheganaden, Akash Verma
BACKGROUND: Flexible bronchoscopy is performed frequently in intensive care units (ICUs) for various indications using the reusable conventional bronchoscope (CB). Recently, "single-use disposable bronchoscope" (SB) was introduced into the health care industry. The purpose of this study was to compare the utility of SB with CB in ICU. METHODS: A retrospective review of medical records of patients undergoing flexible bronchoscopy in the ICUs in the year 2015. RESULTS: Ninety-three patients undergoing flexible bronchoscopy in the ICU were studied...
April 2017: Journal of Bronchology & Interventional Pulmonology
https://www.readbyqxmd.com/read/28319727/a-randomised-controlled-trial-of-student-nurse-performance-of-cardiopulmonary-resuscitation-in-a-simulated-family-witnessed-resuscitation-scenario
#4
Gerard Kenny, Isabelle Bray, David Pontin, Rachel Jefferies, John Albarran
This randomized controlled trial, conducted in a UK University nursing department, compared student nurses' performance during a simulated cardiac arrest. Eighteen teams of four students were randomly assigned to one of three scenarios: 1) no family witness; 2) a "quiet" family witness; and 3) a family witness displaying overt anxiety and distress. Each group was assessed by observers for a range of performance outcomes (e.g. calling for help, timing to starting cardiopulmonary resuscitation), and simulation manikin data on the depth and timing of three cycles of compressions...
March 14, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28319726/factors-affecting-the-programme-completion-of-pre-registration-nursing-students-through-a-three-year-course-a-retrospective-cohort-study
#5
Jane Wray, Jo Aspland, David Barrett, Eric Gardiner
Students who leave pre-registration nurse education having failed to complete remain a concern for higher education institutions. This study identifed factors influencing completion using a retrospective cohort analysis to map student characteristics at entry against Year 3 completion data. The study was set in a nursing faculty in a higher education institution in northern England. Data were collected between 2009 and 2014 with five cohorts of students participating (n = 807). Multinomial logistic regression was used to model the dependent variable Progression Outcome with categories of; completion and non-completion (academic and non-academic reasons)...
March 14, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28315556/developing-infrastructure-managing-patients-with-cancer-undergoing-car-t-cell-therapy%C3%A2
#6
Elizabeth Halton, Diane Llerandi, Claudia Diamonte, Hilda Quintanilla, Donna Miale-Mayer
BACKGROUND: The introduction of chimeric antigen receptor (CAR) T-cell therapy has created challenges and opportunities for nurses. Clinical nurses must be educated on new treatment modalities to recognize toxicity symptoms and to support the therapy moving forward. 
. OBJECTIVES: This article will discuss nursing leadership and interventions to standardize care and ensure patient safety while receiving CAR T cells. 
. METHODS: Using evolving experience, an interprofessional team created standards of care and identified common toxicities and best practices for their management...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28315547/how-can-i-change-my-patients-treatment-decision-making-by-becoming-a-nurse-scientist-%C3%A2
#7
Tamryn F Gray
"What would you do?" I have heard this question numerous times throughout my nursing career by patients and families affected by cancer. As a pediatric blood and marrow transplantation nurse, I have often seen patients and their families wrestle with difficult treatment decisions. I have witnessed parents struggle between beginning end-of-life care for their child, or pursuing a risky but potentially life-saving clinical trial. With science driving advances in cancer treatments and patients playing more active roles in their care, uncertainty around cancer treatment decisions will only become more complicated...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28315540/hazardous-drugs-legislative-and-regulatory-efforts-to-improve-safe-handling%C3%A2
#8
AnnMarie L Walton, Seth Eisenberg, Christopher R Friese
Several organizations have safety guidelines regarding handling of hazardous drugs. That said, only Washington and California have enforceable laws that regulate these practices. This article shares the experiences of three states-Washington, Michigan, and North Carolina-in advancing legislative and regulatory efforts. It also offers guidance to nurses seeking to improve the way hazardous drugs are handled and how and where to begin.
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28315533/songs-for-the-soul-a-program-to-address-a-nurse-s-grief%C3%A2
#9
Carolyn Phillips, Barbara Welcer
When caring for patients with cancer, a number of situations arise that cause nurses to grieve. Nurses need time and space to grieve to prevent the untoward effects of cumulative grief. While providing a safe space for nurses to be vulnerable in grief, Songs for the Soul combines the healing effects of expressive writing, storytelling, and music to help nurses address the grief and suffering they experience in their work. The use of storytelling through music portrays an expression of their grief that matches the intensity of their caregiving experience...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28314185/nurse-students-learning-acute-care-by-simulation-focus-on-observation-and-debriefing
#10
Anna Abelsson, Birgitta Bisholt
INTRODUCTION: Simulation creates the possibility to experience acute situations during nursing education which cannot easily be achieved in clinical settings. AIM: To describe how nursing students learn acute care of patients through simulation exercises, based on observation and debriefing. DESIGN: The study was designed as an observational study inspired by an ethnographic approach. METHOD: Data was collected through observations and interviews...
March 9, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28304263/battling-a-tangled-web-the-lived-experience-of-nurses-providing-end-of-life-care-on-an-acute-medical-unit
#11
Irene Oliveira, Frances Fothergill-Bourbonnais, Christine McPherson, Brandi Vanderspank-Wright
Meeting the heath care needs of patients at the end of life is becoming more complex. In Canada, most patients with life-limiting illness will die in hospitals, many on medical units. Yet, few studies have qualitatively investigated end-of-life care (EOLC) in this context, or from the perspectives of nurses providing EOLC. The purpose of this study was to seek to understand the lived experience of nurses on a medical unit providing EOLC to patients. Interpretive phenomenology guided the method and analysis...
November 1, 2016: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/28304260/the-challenges-of-cultural-competency-among-expatriate-nurses-working-in-kingdom-of-saudi-arabia
#12
Dalyal N Alosaimi, Muayyad M Ahmad
BACKGROUND AND PURPOSE: To explore the cultural challenges facing expatriate nurses working in the Kingdom of Saudi Arabia (KSA). Women do not have an active role in the workplace in KSA. Concepts of religion, culture, and language are considered to be crucial and often the lack of women's participation is attributed to these factors. METHODS: A descriptive qualitative approach was used with two methods of data collection: interviews and focus group. The study was located in a hospital setting in Al-Riyadh at KSA...
November 1, 2016: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/28304259/an-extended-expectation-confirmation-model-for-mobile-nursing-information-system-continuance
#13
Pi-Jung Hsieh, Hui-Min Lai, Chen-Chung Ma, Judith W Alexander, Memg-Yi Lin
Nursing is critical in health care systems and comprises the planning, execution, and documentation of nursing care. To better manage health care information during patient care, the use of a mobile nursing information system (MNIS) provides more time to care for inpatients by reducing time-consuming and redundant paperwork. The purpose of this study was to extend the expectation-confirmation model and explore the roles of nursing professional competency (skill in use), habit (customary use), satisfaction (with use), and frequency of prior use in the context of MNIS continuance usage...
November 1, 2016: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/28302990/public-health-nurses-descriptions-of-healthcare-targets-and-results
#14
Kyoko Fukukawa, Reiko Okamoto, Keiko Koide
Objectives This study examined the sentences that public health nurses (PHNs) use to describe "healthcare targets and results"; how they use the four components-target, result, term, and achievement degree-necessary for explaining, for example, a plan for healthcare activities; and what kind of contents they describe.Methods The participants were full-time PHNs working at randomly chosen prefectural public health centers or municipal health centers. Questionnaires were distributed by mail, and the subjects were asked to give a sentence describing "healthcare targets and results...
2017: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/28302438/antipsychotic-use-and-hospitalization-among-older-assisted-living-residents-does-risk-vary-by-frailty-status
#15
Kathryn J Stock, David B Hogan, Kate Lapane, Joseph E Amuah, Suzanne L Tyas, Susan E Bronskill, Andrew M Morris, Chaim M Bell, Lianne Jeffs, Colleen J Maxwell
OBJECTIVE: To examine associations between baseline frailty measures, antipsychotic use, and hospitalization over 1 year and whether hospitalization risk associated with antipsychotic use varies by frailty level. METHODS: In this prospective cohort study of 1,066 residents (mean age: 85 years; 77% women) from the Alberta Continuing Care Epidemiological Studies, trained research nurses conducted comprehensive resident assessments at baseline (2006-2007) for sociodemographic characteristics, health conditions, frailty status, behavioral problems, and all medications consumed during the past 3 days...
February 16, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28302340/when-patients-take-the-initiative-to-audio-record-a-clinical-consultation
#16
Inge Renske van Bruinessen, Brigit Leegwater, Sandra van Dulmen
OBJECTIVE: to get insight into healthcare professionals' current experience with, and views on consultation audio-recordings made on patients' initiative. METHOD: 215 Dutch healthcare professionals (123 physicians and 92 nurses) working in oncology care completed a survey inquiring their experiences and views. RESULTS: 71% of the respondents had experience with the consultation audio-recordings. Healthcare professionals who are in favour of the use of audio-recordings seem to embrace the evidence-based benefits for patients of listing back to a consultation again, and mention the positive influence on their patients...
March 6, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28302217/-assessing-the-current-status-of-enhanced-recovery-after-surgery-in-the-usage-of-web-based-survey-questionnaires-by-thoracic-surgeons-and-nurses-attending-the-meeting-in-mainland-china
#17
Na Du, Chenglin Guo, Mei Yang, Yanli Ji, Wei Wang, Jie Li, Chuan Li, Lunxu Liu, Guowei Che
BACKGROUND: Though the concept of enhanced recovery after surgery (ERAS) has been progressively known by the surgeons and applied clinically, the current status of its cognition among thoracic surgeons and application in thoracic surgery is still unknown. Based on the analysis of a survey of thoracic surgeons and nurses on chest ERAS during a national conference, we aimed to analyze the status and difficulties of the application of ERAS in thoracic surgery. METHODS: A total of 773 questionnaires were collected during the first West China chest ERAS Forum and analyzed...
March 20, 2017: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
https://www.readbyqxmd.com/read/28302085/adaptation-of-non-technical-skills-behavioural-markers-for-delivery-room-simulation
#18
Fabrizio Bracco, Michele Masini, Gabriele De Tonetti, Francesca Brogioni, Arianna Amidani, Sara Monichino, Alessandra Maltoni, Andrea Dato, Claudia Grattarola, Massimo Cordone, Giancarlo Torre, Claudio Launo, Carlo Chiorri, Danilo Celleno
BACKGROUND: Simulation in healthcare has proved to be a useful method in improving skills and increasing the safety of clinical operations. The debriefing session, after the simulated scenario, is the core of the simulation, since it allows participants to integrate the experience with the theoretical frameworks and the procedural guidelines. There is consistent evidence for the relevance of non-technical skills (NTS) for the safe and efficient accomplishment of operations. However, the observation, assessment and feedback on these skills is particularly complex, because the process needs expert observers and the feedback is often provided in judgmental and ineffective ways...
March 17, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28301800/indigenous-peoples-experiences-and-perceptions-of-hospitalisation-for-acute-care-a-metasynthesis-of-qualitative-studies
#19
REVIEW
Vainess Mbuzi, Paul Fulbrook, Melanie Jessup
OBJECTIVE: The objective of this study was to explore Indigenous people's experiences and perceptions of hospitalisation and acute care. METHODS: Systematic procedures were used for the literature search covering the period from 2000 to 2016. Final search was conducted in early September 2016. Quality of the selected studies was assessed using the Critical Appraisal Skills Program. Data extraction was conducted using the data extraction tool from the Joanna Briggs Institute...
March 6, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28299786/changing-nurse-licensing-examinations-media-analysis-and-implications-of-the-canadian-experience
#20
L McGillis Hall, M Lalonde, J Kashin, C Yoo, J Moran
AIM: This study examines perceptions of the implementation of National Council Licensing Examination in Canada through a content analysis of articles in the media. BACKGROUND: Public opinions of nursing in the media have been acknowledged as important for the profession, specifically in relation to their portrayal of nursing. INTRODUCTION: The Canadian Council of Registered Nurse Regulators began using the US-based National Council Licensing Examination as entry examination (also known widely as NCLEX) for Canada's registered nurses, discontinuing the previous Canadian Registered Nurse Examination in 2015...
March 15, 2017: International Nursing Review
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