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https://www.readbyqxmd.com/read/29907553/development-and-evaluation-of-an-ethical-guideline-for-decisions-to-limit-life-prolonging-treatment-in-advanced-cancer-protocol-for-a-monocentric-mixed-method-interventional-study
#1
Katsiaryna Laryionava, Katja Mehlis, Elena Bierwirth, Friederike Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C Winkler
BACKGROUND: Many patients with advanced cancer receive chemotherapy close to death and are referred too late to palliative or hospice care, and therefore die under therapy or in intensive care units. Oncologists still have difficulties in involving patients appropriately in decisions about limiting tumor-specific or life-prolonging treatment. OBJECTIVE: The aim of this Ethics Policy for Advanced Care Planning and Limiting Treatment Study is to develop an ethical guideline for end-of-life decisions and to evaluate the impact of this guideline on clinical practice regarding the following target goals: reduction of decisional conflicts, improvement of documentation transparency and traceability, reduction of distress of the caregiver team, and better knowledge and consideration of patients' preferences...
June 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29907171/-carbon-monoxide-poisoning-treatment-and-orientation
#2
Thibaut Le Corfec, Olga Maurin, Stéphane Foucher, Kilian Bertho, Hugues Lefort
Colourless and odourless, each year carbon monoxide is responsible for several thousand cases of poisoning. Often collective, their symptoms are non specific and can result in serious neurological sequelae or even death, if they are not detected in time. The (pre-) hospital emergency nurse plays an important role in the management of these patients, in terms of assessment, treatment and monitoring as well as the organisation of the admittance of victims, categorisation and medical triage. As part of a team, the nurse ensures that the patient enters an adapted, regulated pathway, with the most serious cases being directed towards a hospital equipped with a hyperbaric medicine facility...
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29902741/clinical-learning-experiences-of-nursing-students-using-an-innovative-clinical-partnership-model-a-non-randomized-controlled-trial
#3
Aileen W K Chan, Fiona W K Tang, Kai Chow Choi, Ting Liu, Ruth E Taylor-Piliae
BACKGROUND: Clinical practicum is a major learning component for pre-registration nursing students. Various clinical practicum models have been used to facilitate students' clinical learning experiences, employing both university-based and hospital-based clinical teachers. Considering the strengths and limitations of these clinical practicum models, along with nursing workforce shortages, we developed and tested an innovative clinical partnership model (CPM) in Hong Kong. OBJECTIVE: To evaluate an innovative CPM among nursing students actual and preferred clinical learning environment, compared with a conventional facilitation model (CFM)...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29902739/responding-to-disruptive-behaviors-in-nursing-a-longitudinal-quasi-experimental-investigation-of-training-for-nursing-students
#4
Ericka Sanner-Stiehr
OBJECTIVES: The objective of this study was to determine the impact of a cognitive rehearsal intervention on nursing students' self-efficacy to respond effectively to disruptive behaviors. DESIGN: This quantitative study was part of a longitudinal, quasi-experimental program of research. SETTING: Interventions were conducted on site at facilities provided by participating pre-licensure nursing programs. PARTICIPANTS: A total of 129 nursing students enrolled in their final academic year in three traditional format, pre-licensure nursing programs in the Midwestern United States were recruited to participate in this study...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29902738/simulation-for-emergency-nurses-siren-a-quasi-experimental-study
#5
Mary Boyde, Emily Cooper, Hannah Putland, Rikki Stanton, Christie Harding, Ben Learmont, Clare Thomas, Jade Porter, Andrea Thompson, Louise Nicholls
BACKGROUND: Within nursing education, simulation has been recognised as an effective learning strategy. Embedding simulation within clinical units has the potential to enhance patient safety and improve clinical outcomes. However it is important to evaluate the effectiveness of this educational technique to support the actual value and effectiveness. OBJECTIVE: This study aimed to implement and evaluate an innovative simulation experience for registered nurses. METHODS: A high-fidelity simulation focusing on nursing assessment was conducted with 50 Registered Nurses in an Emergency Department (ED) at a large tertiary referral hospital...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29898672/prediction-of-functional-decline-in-community-dwelling-older-persons-in-general-practice-a-cohort-study
#6
Sophie C E van Blijswijk, Jeanet W Blom, Anton J M de Craen, Wendy P J den Elzen, Jacobijn Gussekloo
BACKGROUND: A first step to offer community-dwelling older persons proactive care is to identify those at risk of functional decline within a year. This study investigates the predictive value of registered information, questionnaire and GP-opinion on functional decline. METHODS: In this cohort study, embedded within the ISCOPE-trial, participants (≥75 years) completed the ISCOPE-screening questionnaire on four health domains. GPs gave their opinion on vulnerability of participants...
June 11, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29898653/does-implementation-of-an-enhanced-recovery-after-surgery-program-for-hip-replacement-improve-quality-of-recovery-in-an-australian-private-hospital-a-quality-improvement-study
#7
Nicole Lay Tin Tan, Justin Lindley Hunt, Stella May Gwini
BACKGROUND: Enhanced recovery after surgery programs may improve recovery and reduce duration of hospital stay after joint replacement surgery. However, uptake is incomplete, and the relative importance of program components is unknown. This before-and-after quality improvement study was designed to determine whether adding 'non-surgical' components, to pre-existing 'surgical' components, in an Australian private healthcare setting, would improve patient recovery after total hip replacement...
June 13, 2018: BMC Anesthesiology
https://www.readbyqxmd.com/read/29896003/study-on-quality-of-iud-services-provided-by-trained-professionals-at-teaching-institutes
#8
Noopur Prasad, M L Jain, B S Meena
Objective: Access the completeness in IUD services provided by trained professionals and find out the weak links. Materials and Methods: Study was conducted on 100 IUD trained professionals of tertiary care hospital and nursing teaching institute. All were given questionnaire that was duly filled by them. Data obtained were analysed. Protocols of case selection, pre-insertion counselling, insertion process and follow-up were assessed. Results: All the four criteria were assessed on score of ten...
June 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29895467/the-impact-of-electronic-health-record-systems-on-clinical-documentation-times-a-systematic-review
#9
REVIEW
Lisa Ann Baumann, Jannah Baker, Adam G Elshaug
BACKGROUND: Effective management of hospital staff time is crucial to quality patient care. Recent years have seen widespread implementation of electronic health record (EHR) systems but the effect of this on documentation time is unknown. This review compares time spent on documentation tasks by hospital staff (physicians, nurses and interns) before and after EHR implementation. METHODS: A systematic search identified 8153 potentially relevant citations. Studies examining proportion of total workload spent on documentation with ≥40 h of staff observation time were included...
June 5, 2018: Health Policy
https://www.readbyqxmd.com/read/29894397/allied-health-and-nursing-pre-registration-student-tracking-studies-a-scoping-review-protocol
#10
Hanan Khalil, Keith Sutton, Susan Waller
The objective of this scoping review is to examine the study designs and outcomes of allied health and nursing student and graduate tracking studies. Specifically the review questions are.
June 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29893428/the-nursing-positive-recruitment-arabic-model-nurs-p-r-a-m-a-mixed-methods-study
#11
Eman Tawash, Seamus Cowman
AIM: To identify factors influencing high school students' choice of nursing and explore strategic interventions to promote nursing as a career in the Arab region. BACKGROUND: This study forms part of a PhD thesis, conducted in Bahrain, in a healthcare environment with a high dependence on expatriate nurses to maintain nursing services. However, in attracting local candidates to study nursing, the public image of nursing in the Middle East must be improved by implementing strategies that are sensitive to the Arabic culture...
June 12, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29890836/high-acuity-rural-transport-findings-from-a-qualitative-investigation
#12
Jude Kornelsen, Brent Hobbs, Holly Buhler, Rebecca Kaus, Kari Grant, Scott C Lamont, Stefan Grzybowski
INTRODUCTION: The High Acuity Response Team (HART) was introduced in British Columbia (BC), Canada, to fill a gap in transport for rural patients that was previously being met by nurses and physicians leaving their communities to escort patients in need of critical care. The HART team consists of a critical care registered nurse (CCRN) and registered respiratory therapist (RRT) and attends acute care patients in rural sites by either stabilizing them in their community or transporting them...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29889723/impacting-the-patient-s-experience-in-a-children-s-hospital-using-a-communication-bundle-strategy
#13
Bernadette Bumpers, Valorie Dearmon, Paula Dycus
BACKGROUND: The aim of this quality improvement project was to determine whether a communication bundle would impact parents' ratings of nurse-child communication in relation to (a) how often the nurse listened carefully to the child and (b) how often the nurse explained things in a way easy for the child to understand. LOCAL PROBLEM: The Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores on the unit lagged behind the hospital's 75th percentile external benchmark established by the National Research Corporation...
June 8, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29888506/fluoride-varnish-application-a-quality-improvement-project-implemented-in-a-rural-pediatric-practice
#14
Ellen A Gnaedinger
OBJECTIVES: The United States has a public health crisis of dental caries in children's primary teeth. Fifty-five percent of children have dental caries by age 8. The majority of these children are nonwhite and poor. Caries could be decreased by 40% if fluoride varnish (FV) application started with tooth eruption. DESIGN AND SAMPLE: A four-month FV application QI project was implemented in a rural pediatric practice. The staff was trained by the Vermont Department of Health using the From the First Tooth protocol...
June 10, 2018: Public Health Nursing
https://www.readbyqxmd.com/read/29887923/comorbidity-and-intercurrent-diseases-in-geriatric-stroke-rehabilitation-a-multicentre-observational-study-in-skilled-nursing-facilities
#15
Anouk D Kabboord, Monica Van Eijk, Bianca I Buijck, Raymond T C M Koopmans, Romke van Balen, Wilco P Achterberg
Background: Older patients often have multiple comorbidities and are susceptible to develop intercurrent diseases during rehabilitation. This study investigates intercurrent diseases and associated factors in patients undergoing geriatric stroke rehabilitation, focussing on pre-existing comorbid conditions, overall comorbidity and baseline functional status. Materials and methods: This multicentre prospective cohort study included 15 skilled nursing facilities. Data were collected at baseline and at discharge...
2018: European Geriatric Medicine
https://www.readbyqxmd.com/read/29887705/outcome-of-pancreaticoduodenectomy-at-low-volume-centre-in-tier-ii-city-of-india
#16
Kumar Vinchurkar, Vishwanath M Pattanshetti, Manoj Togale, Santosh Hazare, Varadraj Gokak
Currently, pancreaticoduodenectomy (PD) is considered a common and feasibly performed surgery for periampullary tumours, but it is still a high-risk surgical procedure with potential morbidity and mortality rates. Previously, it was emphasised for the need of high-volume centres to perform specialised surgery such as PD. The authors have made an attempt to know the relation between low-volume centre and outcomes of PD. The study was conducted in a Tier-II city referral hospital located in Karnataka, India. A total of 37 patients with suspected periampullary neoplasms underwent surgical exploration with curative intent over a period of 4 years, i...
June 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29886788/implementation-of-a-nurse-driven-protocol-for-catheter-removal-to-decrease-catheter-associated-urinary-tract-infection-rate-in-a-surgical-trauma-icu
#17
Anna F Tyson, Eileen F Campbell, Lacey R Spangler, Samuel W Ross, Caroline E Reinke, Catherine L Passaretti, Ronald F Sing
INTRODUCTION: Early removal of urinary catheters is an effective strategy for catheter-associated urinary tract infection (CAUTI) prevention. We hypothesized that a nurse-directed catheter removal protocol would result in decreased catheter utilization and CAUTI rates in a surgical trauma intensive care unit (STICU). METHODS: We performed a retrospective, cohort study following implementation of a multimodal CAUTI prevention bundle in the STICU of a large tertiary care center...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29885710/evaluation-of-a-designated-family-bonding-time-to-decrease-interruptions-and-increase-exclusive-breastfeeding
#18
Jane S Grassley, Rick Tivis, Julie Finney, Susan Chapman, Susan Bennett
OBJECTIVE: The purpose of this quality improvement project was to plan and implement a daily family bonding time on our mother/baby care unit and evaluate its effect on interruptions, mothers' perceptions of interruptions, and exclusive breastfeeding rates. DESIGN: A separate sample pre-/postintervention design conducted in three phases. SETTING/LOCAL PROBLEM: Healthy breastfeeding newborns had double the odds of receiving supplementation before discharge if they stayed more than 1 night or were born at night...
June 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29885612/household-fuel-use-and-biomarkers-of-inflammation-and-respiratory-illness-among-rural-south-african-women
#19
Ankita Misra, Matthew P Longnecker, Kathie L Dionisio, Riana M S Bornman, Gregory S Travlos, Sukhdev Brar, Kristina W Whitworth
Though literature suggests a positive association between use of biomass fuel for cooking and inflammation, few studies among women in rural South Africa exist. We included 415 women from the South African Study of Women and Babies (SOWB), recruited from 2010 to 2011. We obtained demographics, general medical history and usual source of cooking fuel (wood, electricity) via baseline questionnaire. A nurse obtained height, weight, blood pressure, and blood samples. We measured plasma concentrations of a suite of inflammatory markers (e...
June 6, 2018: Environmental Research
https://www.readbyqxmd.com/read/29885569/the-effect-of-a-workplace-violence-training-program-for-generalist-nurses-in-the-acute-hospital-setting-a-quasi-experimental-study
#20
Scott Lamont, Scott Brunero
BACKGROUND: Workplace violence prevalence has attracted significant attention within the international nursing literature. Little attention to non-mental health settings and a lack of evaluation rigor have been identified within review literature. OBJECTIVES: To examine the effects of a workplace violence training program in relation to risk assessment and management practices, de-escalation skills, breakaway techniques, and confidence levels, within an acute hospital setting...
May 19, 2018: Nurse Education Today
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