keyword
https://read.qxmd.com/read/38536732/new-graduate-nurses-approaches-to-death-and-dying-patients-and-the-relationship-between-death-anxiety-and-death-awareness-a-cross-sectional-study
#1
JOURNAL ARTICLE
Merve Tarhan, Pinar Dogan
BACKGROUND: One of the challenges experienced by new graduate nurses during the transition into practice is caring for dying patients. This study aimed to determine new graduate nurses' approaches to death and dying patients and the relationship between death anxiety and death awareness. METHODS: This descriptive, cross-sectional study was conducted with 226 new graduate nurses in Istanbul, Türkiye. A personal and work environment characteristics form, the Approach to Death and Dying Patients Attitude Scale, Templer's Death Anxiety Scale, and Multidimensional Mortality Awareness Measure were used to collect data...
March 27, 2024: American Journal of Hospice & Palliative Care
https://read.qxmd.com/read/38536235/decentralizing-health-care-history-and-opportunities-of-web3
#2
JOURNAL ARTICLE
Aditya Narayan, Kydo Weng, Nirav Shah
This paper explores the relationship between the development of the internet and health care, highlighting their parallel growth and mutual influence. It delves into the transition from the early, static days of Web 1.0, akin to siloed physician expertise in health care, to the more interactive and patient-centric era of Web 2.0, which was accompanied by advancements in medical technologies and patient engagement. This paper then focuses on the emerging era of Web3-the decentralized web-which promises a transformative shift in health care, particularly in how patient data are managed, accessed, and used...
March 27, 2024: JMIR Formative Research
https://read.qxmd.com/read/38535489/pragmatic-approach-to-in-situ-simulation-to-identify-latent-safety-threats-before-moving-to-a-newly-built-icu
#3
JOURNAL ARTICLE
Aarti Sarwal, Nicholas A Morris, Janet Crumpler, Terri Gordon, Ian Saunders, James E Johnson, Jeff E Carter
OBJECTIVES: Transitions to new care environments may have unexpected consequences that threaten patient safety. We undertook a quality improvement project using in situ simulation to learn the new patient care environment and expose latent safety threats before transitioning patients to a newly built adult ICU. DESIGN: Descriptive review of a patient safety initiative. SETTING: A newly built 24-bed neurocritical care unit at a tertiary care academic medical center...
March 27, 2024: Critical Care Medicine
https://read.qxmd.com/read/38535104/transferring-surgical-expertise-analyzing-the-learning-curve-of-robotic-cardiac-surgery-operative-time-reduction-when-surgeon-moves-from-one-experienced-center-to-another
#4
JOURNAL ARTICLE
Sherif M Khairallah, Mohamed Rahouma, Stephanie L Mick
BACKGROUND: Robotically assisted cardiac surgery is performed in a team setting and is well known to be associated with learning curves. Surgeon and operative team learning curves are distinct entities, with total operative time representing the entire operative team (surgery, anesthesia, nursing, and perfusion) and cross-clamp time representing mainly the surgical team. Little is known about how a team learning curve evolves when an experienced surgeon transitions from one surgical center to another...
February 29, 2024: Journal of Cardiovascular Development and Disease
https://read.qxmd.com/read/38533728/the-multifaceted-roles-of-gp-trainers-in-guiding-trainee-transition-to-portfolio-general-practice
#5
JOURNAL ARTICLE
Waseem Jerjes
The journey of transitioning from a GP trainee to a portfolio GP is a complex and transformative process. This article explores the multi-dimensional roles that GP trainers play in guiding trainees through this key transition. This article, also, aims to challenge readers to consider how GP trainers can further enhance their role in minimising barriers and maximising opportunities for trainees, inviting contributions to the educational discussion on this topic.Serving as mentors, GP trainers navigate trainees through the particulars of general practice, ensuring they are equipped with both skills and resilience...
March 27, 2024: Education for Primary Care
https://read.qxmd.com/read/38533563/direct-admission-program-implementation-a-qualitative-analysis-of-variation-across-health-systems
#6
JOURNAL ARTICLE
Jordan A Taylor, Corrie E McDaniel, Cathryn A Stevens, Elizabeth Jacob-Files, Stephanie C Acquilano, Seneca D Freyleue, Ryan Bode, Guliz Erdem, Kristyn Felman, Stephanie Lauden, Martha L Bruce, JoAnna K Leyenaar
OBJECTIVES: Direct admission (DA) to the hospital has the potential to improve family satisfaction and timeliness of care by bypassing the emergency department. Using the RE-AIM implementation framework, we sought to characterize variation across health systems in the reach, effectiveness, adoption, and implementation of a DA program from the perspectives of parents and multidisciplinary clinicians. METHODS: As part of a stepped-wedge cluster randomized trial to compare the effectiveness of DA to admission through the emergency department, we evaluated DA rates across 69 clinics and 3 health systems and conducted semi-structured interviews with parents and clinicians...
March 27, 2024: Pediatrics
https://read.qxmd.com/read/38533279/sglt2-inhibitors-paradigm-shift-from-diabetes-care-to-metabolic-care-an-indian-perspective
#7
REVIEW
K M Prasanna Kumar, A G Unnikrishnan, Pankaj Jariwala, Ashwani Mehta, Richa Chaturvedi, Sagar Panchal, Preet Lakhani, Rachana Acharya, Jitendra Dixit
The prevalence and burden of diabetes are on the rise in India, making it 'the diabetes capital of the world'. Comorbidities such as obesity, cardiovascular (CV) complications, chronic kidney disease (CKD), non-alcoholic fatty liver disease (NAFLD), and neurodegenerative diseases are common in patients with diabetes. Recent breakthroughs in diabetes medications and continuous glucose monitoring have resulted in a paradigm shift in diabetes care. Hence, a review in the Indian context is warranted. This review focuses on the existing evidence (gathered by a systematic literature search utilising online databases such as PubMed) on the metabolic, cardio-renoprotective, and hepatoprotective effects of sodium-glucose co-transporter 2 (SGLT2) inhibition, particularly in the Indian setting...
2024: Indian Journal of Endocrinology and Metabolism
https://read.qxmd.com/read/38533177/the-impact-of-an-intern-s-clinical-guidebook-on-easing-the-transition-of-new-interns-into-the-united-states-healthcare-system
#8
JOURNAL ARTICLE
Andranik Bedross, Bekure B Siraw, Ayah Alkhidir, Eli A Zaher, Parth Patel, Ashok Kumar, Peter Bostoros, Hasan Sqour, Pardeep Kumar, Shayet Hossain Eshan
This study explores the efficacy of an intern's clinical guidebook in facilitating the transition of categorical internal medicine interns into the United States healthcare system. New interns, particularly foreign medical graduates, face multifaceted challenges during their initial year of residency. The research, conducted at Ascension Saint Joseph Hospital in Chicago, employed a quasi-experimental pre-post design involving 20 interns. Participants were provided with an intern's clinical guidebook, and their knowledge was assessed through pre and post exams...
February 2024: Curēus
https://read.qxmd.com/read/38532544/impact-of-covid-19-on-the-pediatric-primary-care-model-in-catalonia-analysis-of-changes-in-the-number-and-type-of-face-to-face-and-remote-visits
#9
JOURNAL ARTICLE
Marta Castillo-Rodenas, José Ángel Vicente Gómez, Aïna Fuster-Casanovas, Queralt Miró Catalina, Josep Vidal-Alaball, Francesc López Seguí
BACKGROUND: The outbreak of COVID-19 has turned the care model of health systems around the world upside down. The health care crisis has led to opportunities for digital health to deliver quality care, and the system has been redirected toward telemedicine. In Catalonia, Spain, as of March 2020, the pattern of visits in primary care pediatric consultations changed, such that face-to-face visits decreased in favor of non-face-to-face visits. OBJECTIVE: This study aimed to analyze variations in the types of pediatric visits in primary care centers in Catalonia before and after the onset of COVID-19...
March 15, 2024: JMIR Pediatrics and Parenting
https://read.qxmd.com/read/38532438/evaluation-of-a-new-concept-to-improve-and-organize-clinical-practice-in-nursing-education-a-pilot-study
#10
JOURNAL ARTICLE
Helle Skou Thomsen, Britt Egeris Jørgensen, Jette Kynde Schøtz, Line Muff Bech, Lea Ladegaard Grønkjær
BACKGROUND: Nursing students may experience clinical practice as unsafe due to the interactions with patients, fear of making mistakes, lack of clinical experience and supervision, which results in anxiety and stress. Thus, interventions to improve and organize the learning environment in clinical practice for nursing students are warranted, and the aim of this pilot-study was to evaluate a new concept of clinical practice in order to get insight on the different initiatives and gain knowledge for further developing...
March 26, 2024: BMC Nursing
https://read.qxmd.com/read/38531659/estimating-the-impact-on-patient-safety-of-enabling-the-digital-transfer-of-patients-prescription-information-in-the-english-nhs
#11
JOURNAL ARTICLE
Elizabeth M Camacho, Sean Gavan, Richard Neil Keers, Antony Chuter, Rachel Ann Elliott
OBJECTIVES: To estimate the number and burden of medication errors associated with prescription information transfer within the National Health Service (NHS) in England and the impact of implementing an interoperable prescription information system (a single digital prescribing record shared across NHS settings) in reducing these errors. METHODS: We constructed a probabilistic mathematical model. We estimated the number of transition medication errors that would be undetected by standard medicines reconciliation, based on published literature, and scaled this up based on the annual number of hospital admissions...
March 26, 2024: BMJ Quality & Safety
https://read.qxmd.com/read/38531337/informal-care-time-and-costs-of-dementia-care-in-benin-west-africa
#12
JOURNAL ARTICLE
Angeladine Kenne Malaha, Clémence Thébaut, Dismand Stephan Houinato, Grégoire Magloire Gansou, Dieu Donné Gnonlonfoun, Thierry Adoukonou, Pierre-Marie Preux, Maëlenn Guerchet
BACKGROUND: Dementia is a growing global health challenge, with significant socioeconomic implications. This study examined the informal care duration and related costs along with the total cost of care for older individuals with dementia in Benin, West Africa, providing insights into a region with limited dementia research. METHODS: We conducted a cost-of-illness study in Benin. Both hospital and community recruitments were used to enroll adults aged ≥ 60 years and their primary caregivers...
March 26, 2024: Neuroepidemiology
https://read.qxmd.com/read/38530932/controlling-molecular-photoisomerization-in-photonic-cavities-through-polariton-funneling
#13
JOURNAL ARTICLE
Inki Lee, Sarah R Melton, Ding Xu, Milan Delor
Strong coupling between photonic modes and molecular electronic excitations, creating hybrid light-matter states called polaritons, is an attractive avenue for controlling chemical reactions. Nevertheless, experimental demonstrations of polariton-modified chemical reactions remain sparse. Here, we demonstrate modified photoisomerization kinetics of merocyanine and diarylethene by coupling the reactant's optical transition with photonic microcavity modes. We leverage broadband Fourier-plane optical microscopy to noninvasively and rapidly monitor photoisomerization within microcavities, enabling systematic investigation of chemical kinetics for different cavity-exciton detunings and photoexcitation conditions...
March 26, 2024: Journal of the American Chemical Society
https://read.qxmd.com/read/38530619/rural-and-urban-clinician-views-on-covid-19-s-impact-on-substance-use-treatment-for-individuals-on-community-supervision-in-kentucky
#14
JOURNAL ARTICLE
Carrie B Oser, Maria Rockett, Sebastian Otero, Evan Batty, Marisa Booty, Rachel Gressick, Michele Staton, Hannah K Knudsen
BACKGROUND: The COVID-19 pandemic produced system-level changes within the criminal legal system and community-based substance use disorder (SUD) treatment system with impacts on recovery efforts. This study examines rural and urban clinicians' perspectives of COVID-19 on SUD treatment delivery for people on community supervision. METHODS: Virtual qualitative interviews were conducted between April and October 2020 with 25 community supervision clinicians employed by Kentucky's Department of Corrections (DOC), who conduct assessments and facilitate community-based treatment linkages for individuals on probation or parole...
March 26, 2024: Health & Justice
https://read.qxmd.com/read/38530574/transitional-pain-service-an-update
#15
REVIEW
Ruben Klimke, Alexander Ott, Carolina S Romero, Andrea Berendes, Richard D Urman, Markus M Luedi, Vighnesh Ashok
PURPOSE OF REVIEW: Chronic Postsurgical Pain (CPSP) and the risk for long-term opioid dependency are known complications following major surgery. The idea of Transitional Pain Service (TPS) has been introduced as an interdisciplinary setting to manage pain in the perioperative continuum. We expand on the basic framework and principles of TPS and summarize the current evidence of the TPS and possible interventions to adress postoperative pain. Areas of future work in TPS-related research are discussed...
March 26, 2024: Current Pain and Headache Reports
https://read.qxmd.com/read/38530551/nutrition-to-enhance-metabolic-bariatric-surgery-outcomes
#16
JOURNAL ARTICLE
Kim B Knopp
BACKGROUND: Gender-specific post-surgical goals for 12-month percent body fat (%BF) based on World Health Organization (WHO) obesity thresholds and for lean mass-sparing were published as preliminary body composition (BC) guidelines to address a knowledge gap in metabolic-bariatric surgery (MBS). Other studies' %BF outcomes inconsistently fell below obesity thresholds; none described nutrition practices. To help practitioners positively influence patients' BC and weight changes, this study describes the team-supported process of conducting serial body composition analysis (sBCA) concomitantly with the evidence-based nutrition practices applied to generate the preliminary guidelines...
March 26, 2024: Obesity Surgery
https://read.qxmd.com/read/38530349/equity-centered-postdischarge-support-for-medicaid-insured-people-protocol-for-a-type-1-hybrid-effectiveness-implementation-stepped-wedge-cluster-randomized-controlled-trial
#17
JOURNAL ARTICLE
J Margo Brooks Carthon, Heather Brom, Marsha Grantham-Murrillo, Kathy Sliwinski, Aleigha Mason, Mindi Roeser, Donna Miles, Dianne Garcia, Jovan Bennett, Michael O Harhay, Emilia Flores, Kelvin Amenyedor, Rebecca Clark
BACKGROUND: Disparities in posthospitalization outcomes for people with chronic medical conditions and insured by Medicaid are well documented, yet interventions that mitigate them are lacking. Prevailing transitional care interventions narrowly target people aged 65 years and older, with specific disease processes, or limitedly focus on individual-level behavioral change such as self-care or symptom management, thus failing to adequately provide a holistic approach to ensure an optimal posthospital care continuum...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38530329/effects-of-electronic-nicotine-delivery-systems-substitution-on-body-weight-status-protocol-for-a-systematic-review-and-meta-analysis
#18
JOURNAL ARTICLE
Giusy Rita Maria La Rosa, Maria Ahmed Qureshi, Lucia Frittitta, Erika Anastasi, Riccardo Polosa
BACKGROUND: Weight gain following smoking cessation is a well-documented concern, often attributed to the absence of nicotine's metabolic influence. The adoption of Electronic Nicotine Delivery Systems (ENDS) has been used to achieve smoking cessation, with claims of aiding weight control. However, existing reviews present conflicting conclusions on ENDS' impact on weight status, necessitating a rigorous evaluation. OBJECTIVE: We aim to conduct a systematic review with meta-analysis to assess the actual impact of ENDS on weight status in individuals who have ceased or reduced conventional smoking...
March 26, 2024: JMIR Research Protocols
https://read.qxmd.com/read/38529595/-you-are-not-alone-we-ve-got-you-power-plays-devotion-and-punishment-on-healthy-eating-and-pro-eating-disorder-websites
#19
JOURNAL ARTICLE
Panagiota Tragantzopoulou, Alison Fixsen, Damien Ridge, Anna Cheshire
Healthy eating (HE) and pro-eating disorder (pro-ED) websites are popular sources of dietary and weight loss information, social support, and lifestyle inspiration. However, the discursive styles and language used by authors/moderators and users of these two site genres have not been widely studied or compared. Forty-three HE websites and twenty-four pro-ED websites were analysed using Fairclough's model of critical discourse analysis. Findings indicate that sites share common characteristics in terms of power relations played out by authors, 'successful' dieters, and those attending these sites...
March 26, 2024: Qualitative Health Research
https://read.qxmd.com/read/38529511/carfreeme%C3%A2-dementia-potential-benefits-of-a-driving-retirement-intervention-supporting-persons-with-dementia-and-their-families
#20
JOURNAL ARTICLE
Colleen M Peterson, Stephanie Ingvalson, Robyn W Birkeland, Katie W Louwagie, Theresa L Scott, Nancy A Pachana, Jacki Liddle, Louise Gustafsson, Joseph E Gaugler
BACKGROUND AND OBJECTIVES: Driving retirement can be a necessary but challenging and emotionally complex transition, especially for people living with dementia. This pilot study evaluated the utility of CarFreeMe™-Dementia (CFM™-D), a telehealth intervention providing tailored education and social support to those living with dementia and their care partners, as they prepare for or adjust to driving retirement. Delivered by empathetic health professionals, CFM™-D is a person-centric, flexible program tailored to address challenges specific to the participants' driving retirement stage and individualized contexts...
2024: Innovation in Aging
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