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https://www.readbyqxmd.com/read/29655907/improving-the-visibility-of-intravenous-iv-site-in-pediatric-patients-to-reduce-iv-site-related-complications-an-evidence-based-utilization-project
#1
Eunice Ya Ping Lim, Cassandra Yuit Wah Wong, Lay Kee Kek, Siti Suhaila Binte Mohd Suhairi, Wai Kin Yip
PURPOSE: This project aims to improve the visibility of the IV site using more adhesive transparent dressings to attain 90% compliance based on the frequent and proper inspection of the IV site and decrease the incidence of IV complications. DESIGN AND METHOD: The project was conducted in a 43-bedded general pediatric ward from March 2016 to February 2017. To address the poor visibility of the IV site due to bandaging caused by poor adhesive strength of the IV securement dressing, a more adhesive securement dressing was introduced...
April 11, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29653128/serotonin-specific-lesions-of-the-dorsal-raphe-disrupt-maternal-aggression-and-caregiving-in-postpartum-rats
#2
M Allie Holschbach, Erika V Vitale, Joseph S Lonstein
The behavioral modifications associated with early motherhood, including high aggression, caring for young, and low anxiety are all affected by acute pharmacological manipulation of serotonin signaling. However, the effects on these behaviors of permanently disrupting serotonin signaling at one of its primary sources, the dorsal raphe (DR), have not been examined in detail. To address this, serotonin-specific lesions centered on the dorsomedial DR (DRdm; subregion most implicated in emotional behaviors) were induced at mid-pregnancy (day 15) or early postpartum (day 2) in rats using a saporin-conjugated neurotoxin targeting the serotonin transporter (Anti-SERT-SAP)...
April 10, 2018: Behavioural Brain Research
https://www.readbyqxmd.com/read/29652752/practice-change-from-intermittent-medication-boluses-to-bolusing-from-a-continuous-infusion-in-pediatric-critical-care-a-quality-improvement-project
#3
Jessica L Hochstetler, A Jill Thompson, Natalie M Ball, Melissa C Evans, Shaun C Frame, A Lauren Haney, Amelia K Little, Jaime L O'Donnell, Bryna M Rickett, Elizabeth H Mack
OBJECTIVES: To determine whether implementing a guideline to bolus medications from continuous infusions in PICUs affects nursing satisfaction, patient safety, central line entries, medication utilization, or cost. DESIGN: This is a pre- and postimplementation quality improvement study. SETTING: An 11-bed ICU and 14-bed cardiac ICU in a university-affiliated children's hospital. PATIENTS: Patients less than 18 years old admitted to the PICU or pediatric cardiac ICU receiving a continuous infusion of dexmedetomidine, midazolam, fentanyl, morphine, vecuronium, or cisatracurium from May 2015 to May 2016, excluding November 2015 (washout period), were eligible for inclusion...
April 12, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29652678/using-hourly-time-outs-and-a-standardized-tool-to-promote-team-communication-medical-record-documentation-and-patient-satisfaction-during-second-stage-labor
#4
Jessica Wood, Eleanor Stevenson
BACKGROUND: During labor, effective communication and collaboration among the healthcare team is critical for patient safety; however, there is currently no standard for communication and documentation of the plan of care as agreed upon by healthcare team members and the woman in labor. OBJECTIVES: The goal of this project was to increase consistency in communication and collaboration between clinicians and laboring women during secondstage labor. An hourly "time-out" meeting of all healthcare team members was initiated for all women during second-stage labor...
April 12, 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29650215/do-different-positions-affect-the-oxygen-saturation-and-comfort-level-of-children-under-five-with-pneumonia
#5
Ely Mawaddah, Nani Nurhaeni, Dessie Wanda
OBJECTIVE: Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia. METHOD: The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12)...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650210/the-effects-of-chair-yoga-with-spiritual-intervention-on-the-functional-status-of-older-adults
#6
Yoga Kertapati, Junaiti Sahar, Astuti Yuni Nursasi
OBJECTIVE: "Functional status" is an individual's ability to fulfill his/her needs and to perform the activities of daily life independently. Functional decline can lead to a higher level of dependency. This study aims to investigate the effects of chair yoga with spiritual intervention on the functional status of older adults. METHOD: This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 42 respondents and a control group of a further 42 respondents...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650196/clinical-care-pathway-strenghens-interprofessional-collaboration-and-quality-of-health-service-a-literature-review
#7
Mira Asmirajanti, Achir Yani Syuhaimie Hamid, Tutik Sri Hariyati
OBJECTIVE: To review the effectiveness of a clinical care pathway on interprofessional collaboration and quality of health service. METHOD: A review was performed of literature published from 2000 to 2015, with the following keywords: clinical pathway, care pathway, and interprofessional collaboration. RESULTS: Evidence depicted the positive results of nursing care for clients, health care professionals and facilities. The research results were implemented at different facilities using several research designs, from descriptive to experimental...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29650174/improving-the-interpersonal-competences-of-head-nurses-through-peplau-s-theoretical-active-learning-approach
#8
Suhariyanto, Rr Tutik Sri Hariyati, Titin Ungsianik
BACKGROUND: Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses. PURPOSE: This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses' interpersonal skills. METHOD: This study used a pre-experimental design with one group having pretests and posttests, without control group...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29649611/predictors-of-adverse-discharge-disposition-in-adult-spinal-deformity-and-associated-costs
#9
Peter G Passias, Gregory W Poorman, Cole A Bortz, Rabia Qureshi, Bassel G Diebo, Justin C Paul, Samantha R Horn, Frank A Segreto, Alexandra Pyne, Cyrus M Jalai, Virginie Lafage, Shay Bess, Frank J Schwab, Hamid Hassanzadeh
BACKGROUND CONTEXT: With advances in the understanding of adult spinal deformity (ASD), more complex osteotomy and fusion techniques are being implemented with increasing frequency. Patients undergoing ASD corrections infrequently require extended acute care, longer inpatient stays, and are discharged to supervised care. Given the necessity of value-based health care, identification of clinical indicators for adverse discharge disposition in ASD surgeries is paramount. PURPOSE: On nationwide and surgeon-created databases, identify predictors of adverse discharge disposition after ASD surgeries and view corresponding differences in charges...
April 9, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29648892/assessment-of-the-readiness-for-interprofessional-learning-scale-ripls-an-item-response-theory-analysis
#10
Matthew James Kerry, Rongmei Wang, Jinbing Bai
This short report aims to bring evidence from modern psychometric methods to bear on a popularly deployed questionnaire in interprofessional education (IPE) assessment. Specifically, three interrelated problems raised against the Readiness for Interprofessional Learning Scale (RIPLS) are examined in a study with 280 medical and nursing student participants. Firstly, findings support RIPLS overall reliability, but fail to support subscale reliabilities. Secondly, findings indicate a strong, general factor underlying the RIPLS that supports unidimensional interpretations...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29643951/effectiveness-of-surface-cleaning-and-disinfection-in-a-brazilian-healthcare-facility
#11
Aires G Santos-Junior, Adriano M Ferreira, Oleci P Frota, Marcelo A Rigotti, Larissa da S Barcelos, Alvaro Francisco Lopes de Sousa, Denise de Andrade, Odanir G Guerra, Mara C R Furlan
Background: Failures in the processes of cleaning and disinfecting health service surfaces may result in the spread and transfer of pathogens that are often associated with healthcare-related infections and outbreaks. Aims: To assess the effectiveness of environmental surface cleaning and disinfection in a hospital clinic. Method: The study was conducted in a nursing ward with 45 beds. A total of 80 samples from five high-touch surfaces were evaluated before and after cleaning and disinfection, using the following methods: visual inspection, adenosine triphosphate bioluminescence assay, aerobic colony count, Staphylococcus aureus colony count, and evaluation of resistance to methicillin...
2018: Open Nursing Journal
https://www.readbyqxmd.com/read/29643903/effectiveness-of-case-based-cultural-competency-among-nurses-working-in-private-hospitals-of-bangkok-thailand-a-quasi-experimental-study
#12
Pimkhwan Bunjitpimol, Ramesh Kumar, Ratana Somrongthong
Objectives: To evaluate the effect of case based cultural competency level and its factors affecting on nurse job in two private hospitals of Bangkok, Thailand. Methods: This was a quasi-experimental study implemented the cased-based cultural competent intervention in two private hospitals of Thailand in 2015. One hundred sixty six nurses from two control and intervention private hospitals through simple random selection method were selected for this study. Data was collected at the beginning of study (pre-test), immediately after the intervention and after two months of intervention (post-test)...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#13
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29625509/adult-congenital-heart-disease-with-pregnancy
#14
REVIEW
Koichiro Niwa
The number of women with congenital heart disease (CHD) at risk of pregnancy is growing because over 90% of them are grown-up into adulthood. The outcome of pregnancy and delivery is favorable in most of them provided that functional class and systemic ventricular function are good. Women with CHD such as pulmonary hypertension (Eisenmenger syndrome), severe left ventricular outflow stenosis, cyanotic CHD, aortopathy, Fontan procedure and systemic right ventricle (complete transposition of the great arteries [TGA] after atrial switch, congenitally corrected TGA) carry a high-risk...
April 2018: Korean Circulation Journal
https://www.readbyqxmd.com/read/29624089/geriatric-interdisciplinary-team-training-2-0-a-collaborative-team-based-approach-to-delivering-care
#15
Maryanne M Giuliante, Sherry A Greenberg, Margaret V McDonald, Allison Squires, Ronnie Moore, Tara A Cortes
Interprofessional collaborative education and practice has become a cornerstone of optimal person-centered management in the current complex health care climate. This is especially important when working with older adults, many with multiple chronic conditions and challenging health care needs. This paper describes a feasibility study of the Geriatric Interdisciplinary Team Training 2.0 (GITT 2.0) program focused on providing interprofessional care to complex and frail older adults with multiple chronic conditions...
April 6, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29623871/health-promoting-lifestyle-and-quality-of-life-among-chinese-nursing-students
#16
Yim Wah Mak, Angela H F Kao, Lucia W Y Tam, Virginia W C Tse, Don T H Tse, Doris Y P Leung
AimThis study aimed to examine the relationships between socio-economic status, health-promoting lifestyles, and quality of life among Chinese nursing students. BACKGROUND: Nursing students will be future health promoters, but they may not always adopt the recommended healthy lifestyle. Currently, there are insufficient studies examining the health-promoting lifestyles of Chinese nursing students, and the impact of socio-economic status and health-promoting lifestyle on their health. METHODS: This was a cross-sectional survey...
April 6, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29620704/learners-perceptions-during-simulation-based-training-an-interview-study-comparing-remote-versus-locally-facilitated-simulation-based-training
#17
Margrethe Duch Christensen, Doris Oestergaard, Peter Dieckmann, Leonie Watterson
INTRODUCTION: Remotely facilitated simulation-based training (RF-SBT) is less positively appraised than face-to-face, locally facilitated simulation-based training (LF-SBT), despite being considered as an acceptable alternative. This study compared the perceptions of learners after RF-SBT and LF-SBT to explain differences between the two and identify relevant theories that would guide future practice. METHODS: Telephone interviews were conducted with 21 newly graduated doctors and nurses who completed a standardized simulation course delivered in both RF-SBT and LF-SBT formats...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29618194/quality-improvement-activity-for-improving-pain-management-in-acute-extremity-injuries-in-the-emergency-department
#18
Hyung Lan Chang, Jin Hee Jung, Young Ho Kwak, Do Kyun Kim, Jin Hee Lee, Jae Yun Jung, Hyuksool Kwon, So Hyun Paek, Joong Wan Park, Jonghwan Shin
OBJECTIVE: The aim of this study was to investigate the effectiveness of a quality improvement activity for pain management in patients with extremity injury in the emergency department (ED). METHODS: This was a retrospective interventional study. The patient group consisted of those at least 19 years of age who visited the ED and were diagnosed with International Classification of Diseases codes S40-S99 (extremity injuries). The quality improvement activity consisted of three measures: a survey regarding activities, education, and the triage nurse's pain assessment, including change of pain documentation on electronic medical records...
March 2018: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29614191/difficult-to-doable-interprofessional-collaborative-practice-in-distance-education
#19
Patricia Cannistraci, Bonny Kehm, Barbara B Pieper, Kim Speerschneider, Stacey L Farber, Barbara C Storandt
BACKGROUND: This study investigated the effect of interprofessional educational (IPE) in a distance education setting on students' self-efficacy around the Interprofessional Collaborative Practice (IPEC) constructs. METHOD: Senior RN-to-Bachelor of Science nursing students, students from health sciences, and dietetic intern students participated in the IPE learning experience. A pre- postsurvey design measured the change in student self-efficacy in relation to the IPEC constructs of values and ethics, roles and responsibilities, interprofessional communication, and teams and teamwork...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29614105/evaluating-pre-pregnancy-dietary-diversity-vs-dietary-quality-scores-as-predictors-of-gestational-diabetes-and-hypertensive-disorders-of-pregnancy
#20
Selma Gicevic, Audrey J Gaskins, Teresa T Fung, Bernard Rosner, Deirdre K Tobias, Sheila Isanaka, Walter C Willett
BACKGROUND: Dietary diversity scores (DDS) are considered as metrics for monitoring the implementation of the UN's Sustainable Development Goals, but they need to be rigorously evaluated. OBJECTIVE: To examine two DDS, the Food Groups Index (FGI), and the Minimum Dietary Diversity-Women (MDD-W), alongside two dietary quality scores, the Alternate Healthy Eating Index (AHEI-2010) and the Prime Diet Quality Score (PDQS), with risks of gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDPs)...
2018: PloS One
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