keyword
https://read.qxmd.com/read/38613767/community-health-worker-outreach-to-farmworkers-in-rural-north-carolina-learning-from-adaptations-to-the-sars-cov-2-pandemic
#21
JOURNAL ARTICLE
Catherine E LePrevost, Leslie E Cofie, Julianna Nieuwsma, Emery L Harwell, Natalie D Rivera, Paula A Acevedo, Joseph G L Lee
BACKGROUND: Community health workers represent a critical part of the health outreach and services for migrant and seasonal farmworkers ('farmworkers') in rural areas of the United States. PURPOSE: We sought to identify adaptations to farmworker patient engagement and health outreach made by community health workers during the first 18 months of the COVID-19 pandemic. METHODS: In this qualitative study, we used semi-structured interviews with community health workers from August 2020 to February 2022 (n = 21)...
April 2024: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://read.qxmd.com/read/38538822/the-association-between-oncology-outreach-and-timely-treatment-for-rural-patients-with-breast-cancer-a-claims-based-approach
#22
JOURNAL ARTICLE
Bruno T Scodari, Andrew P Schaefer, Nirav S Kapadia, Gabriel A Brooks, A James O'Malley, Erika L Moen
BACKGROUND: Oncology outreach is a common strategy for increasing rural access to cancer care, where traveling oncologists commute across healthcare settings to extend specialized care. Examining the extent to which physician outreach is associated with timely treatment for rural patients is critical for informing outreach strategies. METHODS: We identified a 100% fee-for-service sample of incident breast cancer patients from 2015 to 2020 Medicare claims and apportioned them into surgery and adjuvant therapy cohorts based on treatment history...
March 27, 2024: Annals of Surgical Oncology
https://read.qxmd.com/read/38529082/identification-of-psychosis-risk-and-diagnosis-of-first-episode-psychosis-advice-for-clinicians
#23
REVIEW
Nancy B Lundin, Alexandra M Blouin, Henry R Cowan, Aubrey M Moe, Heather M Wastler, Nicholas J K Breitborde
Early detection of psychotic-spectrum disorders among adolescents and young adults is crucial, as the initial years after psychotic symptom onset encompass a critical period in which psychosocial and pharmacological interventions are most effective. Moreover, clinicians and researchers in recent decades have thoroughly characterized psychosis-risk syndromes, in which youth are experiencing early warning signs indicative of heightened risk for developing a psychotic disorder. These insights have created opportunities for intervention even earlier in the illness course, ideally culminating in the prevention or mitigation of psychosis onset...
2024: Psychology Research and Behavior Management
https://read.qxmd.com/read/38508624/barriers-and-enablers-of-quality-high-acuity-neonatal-care-in-sub-saharan-africa-protocol-for-a-synthesis-of-qualitative-evidence
#24
JOURNAL ARTICLE
Abera Mersha, Asresash Demissie, Gugsa Nemera
INTRODUCTION: Neonatal intensive care unit (NICU) in sub-Saharan Africa face limited resources and systemic challenges, resulting in poorer quality care, higher infant mortality, and dissatisfaction among both patients and healthcare workers. This review aims to bridge the knowledge gap by identifying and analysing the key barriers and enablers affecting quality care, informing interventions to improve patient outcomes and overall NICU effectiveness in this critical region. METHODS AND ANALYSIS: This systematic review will search and gather data from a variety of databases, including JBI Database, Cochrane Database, MEDLINE/PubMed, CINAHL/EBSCO, EMBASE, PEDro, POPLINE, Proquest, OpenGrey (SIGLE), Google Scholar, Google, APA PsycINFO, Web of Science, Scopus and HINARI...
March 19, 2024: BMJ Open
https://read.qxmd.com/read/38505784/factors-associated-with-knowledge-and-awareness-of-hepatitis-b-in-individuals-of-chinese-descent-results-from-a-mass-point-of-care-testing-and-outreach-campaign-in-toronto-canada
#25
JOURNAL ARTICLE
Andrew B Mendlowitz, Erin Mandel, Camelia I Capraru, Bettina E Hansen, David Wong, Jordan J Feld, Harry LA Janssen, Mia J Biondi, Ambreen Arif, Colina Yim
BACKGROUND: Migrants from hepatitis B virus (HBV) endemic regions are at high risk of having chronic infection. Despite this, HBV knowledge and awareness programming, and low-barrier screening methods such as point of care (POC) testing, among this group have yet to become routine. METHODS: We conducted a mass HBV POC screening and knowledge and awareness campaign for individuals of Chinese descent in Toronto, Canada. POC screening was administered, then participants completed a knowledge questionnaire...
February 2024: Canadian liver journal
https://read.qxmd.com/read/38494383/interventions-to-improve-patient-admission-and-discharge-practices-in-adult-intensive-care-units-a-systematic-review
#26
JOURNAL ARTICLE
Frances Fengzhi Lin, Yingyan Chen, Megan Rattray, Lauren Murray, Kylie Jacobs, Jane Brailsford, Patricia Free, Peter Garrett, Alexis Tabah, Mahesh Ramanan
OBJECTIVES: To identify and synthesise interventions and implementation strategies to optimise patient flow, addressing admission delays, discharge delays, and after-hours discharges in adult intensive care units. METHODS: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines. Five electronic databases, including CINAHL, PubMed, Emcare, Scopus, and the Cochrane Library, were searched from 2007 to 2023 to identify articles describing interventions to enhance patient flow practices in adult intensive care units...
March 16, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38494060/an-update-on-pediatric-environmental-health-specialty-units-activities-and-impacts-2015-2019
#27
JOURNAL ARTICLE
Alan D Woolf, J Elizabeth Jackson, Peter Corcoran, Meredith K Fritz, Stephani S Kim, Tanya M Maslak, Manthan Shah, Linda Hansen
INTRODUCTION: Pediatric Environmental Health Specialty Units (PEHSUs) address health concerns impacting children and their families related to environmental hazards by providing consultation and education to families, communities, and healthcare professionals. This analysis evaluated productivity of the national PEHSU program. METHODS: PEHSUs reported data on services provided to U.S. communities between October 1, 2014 and September 30, 2019. Descriptive statistics and qualitative analysis are presented...
March 15, 2024: Academic Pediatrics
https://read.qxmd.com/read/38481266/r2drv-study-protocol-for-longitudinal-assessment-of-driving-after-mild-tbi-in-young-drivers
#28
JOURNAL ARTICLE
Jingzhen Yang, Despina Stavrinos, Thomas Kerwin, Sylvie Mrug, Michael Tiso, Benjamin McManus, Cameron G Wrabel, Christopher Rundus, Fangda Zhang, Drew Davis, Erin M Swanson, Brett Bentley, Keith Owen Yeates
BACKGROUND: Mild traumatic brain injury (mTBI) and traffic-related injuries are two major public health problems disproportionately affecting young people. Young drivers, whose driving skills are still developing, are particularly vulnerable to impaired driving due to brain injuries. Despite this, there is a paucity of research on how mTBI impacts driving and when it is safe to return to drive after an mTBI. This paper describes the protocol of the study, R2DRV, Longitudinal Assessment of Driving After Mild TBI in Young Drivers, which examines the trajectory of simulated driving performance and self-reported driving behaviors from acutely post-injury to symptom resolution among young drivers with mTBI compared to matched healthy drivers...
March 13, 2024: Injury Epidemiology
https://read.qxmd.com/read/38450048/building-capacity-for-atls-trauma-education-role-of-nurse-practitioners-and-physician-assistants
#29
JOURNAL ARTICLE
Julie A Dunn, Alysia Wiley, Kim McFann, Craig Baumgartner, Brad Chernock, Jeannette Capella, Catherine Wilson, Melanie Hallman, Dennis Taylor, John Sutyak, Theresa Campo, Tim Thorton, Travis Polk
OBJECTIVES: Advanced Trauma Life Support (ATLS) focuses on care of injured patients in the first hour of resuscitation. Expanded demand for courses has led to a concurrent need for new instructors. Nurse practitioners and physician assistants (NPs/PAs) work on trauma services and duties include patient, staff, and outreach education. The goal of this project was to assess NP/PA self-reported knowledge and skills pertinent to ATLS and identify potential barriers to becoming instructors...
2024: Trauma Surgery & Acute Care Open
https://read.qxmd.com/read/38444365/impact-of-implementation-facilitation-on-the-reach-vet-clinical-program-for-veterans-at-risk-for-suicide
#30
JOURNAL ARTICLE
Sara J Landes, Bridget B Matarazzo, Jeffery A Pitcock, Karen L Drummond, Brandy N Smith, JoAnn E Kirchner, Kaily A Clark, Georgia R Gerard, Molly C Jankovsky, Lisa A Brenner, Mark A Reger, Aaron E Eagan, Rebecca Raciborski, Jacob Painter, James C Townsend, Susan M Jegley, Rajinder Sonia Singh, Jodie A Trafton, John F McCarthy, Ira R Katz
OBJECTIVE: In 2017, the Veterans Health Administration (VHA) implemented a national suicide prevention program, called Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment (REACH VET), that uses a predictive algorithm to identify, attempt to reach, assess, and care for patients at the highest risk for suicide. The authors aimed to evaluate whether facilitation enhanced implementation of REACH VET at VHA facilities not meeting target completion rates. METHODS: In this hybrid effectiveness-implementation type 2 program evaluation, a quasi-experimental pre-post design was used to assess changes in implementation outcome measures evaluated 6 months before and 6 months after onset of facilitation of REACH VET implementation at 23 VHA facilities...
March 6, 2024: Psychiatric Services: a Journal of the American Psychiatric Association
https://read.qxmd.com/read/38434252/post-intensive-cardiac-care-outpatient-long-term-outreach-clinic-piccolo-clinic-defining-health-care-needs-and-outcomes-among-coronary-care-unit-survivors
#31
JOURNAL ARTICLE
Christopher K Mason, Sara K Adie, Michael J Shea, Matthew C Konerman, Michael P Thomas, Jakob I McSparron, Theodore J Iwashyna, Hallie C Prescott, Andrea D Thompson
OBJECTIVE: Patients who survive critical illness endure complex physical and mental health conditions, referred to as post-intensive care syndrome (PICS). The University of Michigan's post-intensive cardiac care outpatient long-term outreach (PICCOLO) clinic is designed for patients recently admitted to the coronary care unit (CCU). The long-term goal of this clinic is to understand post-CCU patients' needs and design targeted interventions to reduce their morbidity and mortality post-discharge...
February 2024: American heart journal plus: cardiology research and practice
https://read.qxmd.com/read/38413539/post-hospitalization-care-transition-strategies-for-patients-with-substance-use-disorders-a-narrative-review-and-taxonomy
#32
REVIEW
Michael A Incze, A Taylor Kelley, Hannah James, Seonaid Nolan, Andrea Stofko, Cole Fordham, Adam J Gordon
Hospitalizations represent important opportunities to engage individuals with substance use disorders (SUD) in treatment. For those who engage with SUD treatment in the hospital setting, tailored supports during post-discharge transitions to longitudinal care settings may improve care linkages, retention, and treatment outcomes. We updated a recent systematic review search on post-hospitalization SUD care transitions through a structured review of published literature from January 2020 through June 2023. We then added novel sources including a gray literature search and key informant interviews to develop a taxonomy of post-hospitalization care transition models for patients with SUD...
February 27, 2024: Journal of General Internal Medicine
https://read.qxmd.com/read/38394981/critical-care-outreach-and-rapid-response-teams-are-they-the-panacea-to-all-hospital-patient-deterioration-problems
#33
JOURNAL ARTICLE
Natalie Pattison
No abstract text is available yet for this article.
February 22, 2024: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://read.qxmd.com/read/38357554/implementing-an-organized-colorectal-cancer-screening-program-lessons-learned-from-an-academic-community-practice
#34
JOURNAL ARTICLE
Amanda Kimura, Ari Bell-Brown, Nkem Akinsoto, Jerry Wood, Amy Peck, Victoria Fang, Rachel B Issaka
INTRODUCTION: The effectiveness of mailed fecal immunochemical test outreach might be enhanced through an organized colorectal cancer screening program, yet published real-world experiences are limited. We synthesized the process of implementing a colorectal cancer screening program that used mailed fecal immunochemical test outreach in a large integrated academic-community practice. METHODS: Data from a pilot mailed fecal immunochemical test program were shared with healthcare system leadership, which inspired the creation of a cross-institutional organized colorectal cancer screening program...
April 2024: AJPM Focus
https://read.qxmd.com/read/38346426/feasibility-of-implementing-a-low-barrier-long-acting-injectable-antiretroviral-program-for-hiv-treatment-prevention-for-people-experiencing-homelessness
#35
JOURNAL ARTICLE
Nicky J Mehtani, Alix Strough, Sarah Strieff, Barry Zevin, Joanna Eveland, Elise D Riley, Monica Gandhi
BACKGROUND: Long-acting (LA) antiretrovirals may provide meaningful benefit to people who use drugs and people experiencing homelessness (PEH) who face disproportionate structural and psychosocial barriers in adhering to daily oral HIV antiretroviral therapy (ART) or pre-exposure prophylaxis (PrEP), but their use in these populations has not been studied. SETTING: The Maria X. Martinez Health Resource Center is a low-barrier (e.g., no appointment) community-based clinic serving San Francisco PEH...
February 8, 2024: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://read.qxmd.com/read/38335227/community-based-integrated-wound-care-results-of-a-pilot-formative-research-conducted-in-benin-and-c%C3%A3-te-d-ivoire-west-africa
#36
JOURNAL ARTICLE
Anita Carolle Akpeedje Wadagni, Théodore Ange Kouakou Yao, Gabriel Diez, Flora Houndjrèbo Balle, Aboa Paul Koffi, Paulin Aoulou, Marie-Hélène Zahiri, Parfait Djossou, Yves Thierry Barogui, Henry Assé, Jean-Gabin Houezo, Ghislain Emmanuel Sopoh, Mark Nichter, Roch Christian Johnson
Appropriate treatment of chronic wounds is priority in the management of Neglected Tropical Skin Diseases (NTSDs) and non-communicable diseases. We describe an integrated, community-based wound care pilot project carried out in Benin and Cote d'Ivoire that entailed both outreach education and evidence based wound care training for nurses staffing rural clinics. This research was carried out by a transdisciplinary research. Following the collection of baseline data on wound care at home and in clinics, an innovative pilot project was developed based on a critical assessment of baseline data in three parts: a pragmatic nurse training program; mass community cultural sensitive outreach programs and a mobile consultation...
2024: PLOS Glob Public Health
https://read.qxmd.com/read/38258819/results-from-the-point-pragmatic-randomized-trial-an-emergency-department-based-peer-support-specialist-intervention-to-increase-opioid-use-disorder-treatment-linkage-and-reduce-recurrent-overdose
#37
JOURNAL ARTICLE
Dennis P Watson, Martha Tillson, Lisa Taylor, Huiping Xu, Fangqian Ouyang, Francesca L Beaudoin, Daniel O'Donnell, Alan B McGuire
BACKGROUND: People with opioid use disorder (OUD) frequently present at the emergency department (ED), a potentially critical point for intervention and treatment linkage. Peer recovery support specialist (PRSS) interventions have expanded in US-based EDs, although evidence supporting such interventions has not been firmly established. METHODS: Researchers conducted a pragmatic trial of POINT (Project Planned Outreach, Intervention, Naloxone, and Treatment), an ED-initiated intervention for harm reduction and recovery coaching/treatment linkage in 2 Indiana EDs...
January 9, 2024: Subst Use Addctn J
https://read.qxmd.com/read/38238113/the-role-of-funded-partnerships-in-working-towards-decreasing-covid-19-vaccination-disparities-united-states-march-2021-december-2022
#38
JOURNAL ARTICLE
Amy Parker Fiebelkorn, Sara Adelsberg, Rishelle Anthony, Samrawit Ashenafi, Amimah F Asif, Maria Azzarelli, Theresa Bailey, Timothy Tee Boddie, Alaina P Boyer, Nicole Williams Bungum, Helen Burstin, Jacqueline L Burton, David M Casey, Cammie Chaumont Menendez, Brigette Courtot, Kelly Cronin, Cherrie Dowdell, Laura H Downey, Megan Fields, Tom Fitzsimmons, Alexa Frank, Emily Gustafson, Margaret Gutierrez-Nkomo, Benita L Harris, Joanna Hill, Kathleen Holmes, Laura Huerta Migus, Joanna Jacob Kuttothara, Natalie Johns, Jennifer Johnson, Alice Kelsey, Lucy Kingangi, Cynthia M Landrum, James T Lee, Pedro D Martinez, Gisela Medina Martínez, Richard Nicholls, Jane R Nilson, Nma Ohiaeri, Laura Pegram, Claire Perkins, Alexandra M Piasecki, Talia Pindyck, Sarah Price, Michelle S Rodgers, Heather Roney, Ellen M Schultz, Elizabeth Sobczyk, JoAnn M Thierry, Chelsea Toledo, Nancy E Weiss, Amy Wiatr-Rodriguez, Lauren Williams, Chenmua Yang, Andrea Yao, Julie Zajac
During the COVID-19 vaccination rollout from March 2021- December 2022, the Centers for Disease Control and Prevention funded 110 primary and 1051 subrecipient partners at the national, state, local, and community-based level to improve COVID-19 vaccination access, confidence, demand, delivery, and equity in the United States. The partners implemented evidence-based strategies among racial and ethnic minority populations, rural populations, older adults, people with disabilities, people with chronic illness, people experiencing homelessness, and other groups disproportionately impacted by COVID-19...
January 17, 2024: Vaccine
https://read.qxmd.com/read/38237323/improving-escalation-of-deteriorating-patients-through-cognitive-task-analysis-understanding-differences-between-work-as-prescribed-and-work-as-done
#39
JOURNAL ARTICLE
J Ede, R Hutton, P Watkinson, B Kent, R Endacott
BACKGROUND: Appropriate care escalation requires the detection and communication of in-hospital patient deterioration. Although deterioration in the ward environment is common, there continue to be patient deaths where problems escalating care have occurred. Learning from the everyday work of health care professionals (work-as-done) and identifying performance variability may provide a greater understanding of the escalation challenges and how they overcome these. The aims of this study were to i) develop a representative model detailing escalation of care ii) identify performance variability that may negatively or positively affect this process and iii) examine linkages between steps in the escalation process...
March 2024: International Journal of Nursing Studies
https://read.qxmd.com/read/38152677/the-development-and-validation-of-data-elements-and-process-steps-for-an-electronic-health-record-for-hand-surgery-outreach-trips
#40
JOURNAL ARTICLE
Lauren M Shapiro, James Chang, Paige M Fox, Scott Kozin, Kevin C Chung, George S M Dyer, Duretti Fufa, Fraser Leversedge, Julie Katarincic, Robin Kamal
Background  The surgical burden in low- and middle-income countries (LMICs) as reported by the number of surgical cases per capita is great. To improve global health and help address this burden, there has been a rise in surgical outreach to LMICs. In high-income countries, an electronic health record (EHR) is used to document and communicate data critical to the quality of care and patient safety. Despite this, there is little guidance or precedence on the data elements or processes for utilizing an EHR on outreach trips...
December 2023: Journal of Hand and Microsurgery
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