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https://read.qxmd.com/read/30767902/discussing-weight-management-with-type-2-diabetes-patients-in-primary-care-using-the-small-talk-big-difference-intervention-protocol-for-a-randomized-controlled-trial
#1
Katriona Brooksbank, Joanne O'Donnell, Vicky Corbett, Sarah Shield, Rachel Ainsworth, Ross Shearer, Susan Montgomery, Andrew Gallagher, Hannah Duncan, Lorna Hamilton, Valerie Laszlo, Rhonda Noone, Anna Baxendale, David Blane, Jennifer Logue
BACKGROUND: Guidelines for the management of type 2 diabetes universally recommend that adults with type 2 diabetes and obesity be offered individualized interventions to encourage weight loss. Yet despite the existing recommendations, provision of weight management services is currently patchy around the United Kingdom and where services are available, high attrition rates are often reported. In addition, individuals often fail to take up services, that is, after discussion with a general practitioner or practice nurse, individuals are referred to the service but do not attend for an appointment...
February 15, 2019: JMIR Research Protocols
https://read.qxmd.com/read/30765371/how-often-do-both-core-competencies-of-shared-decision-making-occur-in-family-medicine-teaching-clinics
#2
Gisèle Diendéré, Selma Chipenda Dansokho, Rhéa Rocque, Anne-Sophie Julien, France Légaré, Luc Côté, Sonia Mahmoudi, Philippe Jacob, Natalia Arias Casais, Laurie Pilote, Roland Grad, Anik M C Giguère, Holly O Witteman
OBJECTIVE: To assess how often risk communication and values clarification occur in routine family medicine practice and to explore factors associated with their occurrence. DESIGN: Qualitative and quantitative cross-sectional study. SETTING: Five university-affiliated family medicine teaching clinics across Quebec. PARTICIPANTS: Seventy-one health professionals (55% physicians, 35% residents, 10% nurses or dietitians) and 238 patients (76% women; age range 16 to 82 years old)...
February 2019: Canadian Family Physician Médecin de Famille Canadien
https://read.qxmd.com/read/30764865/integration-of-the-first-physician-assistants-into-israeli-emergency-departments-the-physician-assistants-perspective
#3
Rina Maoz-Breuer, Oren Berkowitz, Rachel Nissanholtz-Gannot
BACKGROUND: A new role of Physician Assistant (PA) was introduced into Emergency Departments (ED) in Israel in 2016, as part of a larger effort to improve the quality of service in the EDs. When the new role was introduced, there was a fair amount of uncertainty about whether it would succeed, in light of ambivalence on the part of many ED nurses, and lack of clarity among ED directors about the necessity of a PA role, and about the extent to which PAs would be allowed to take on professionally meaningful tasks...
February 15, 2019: Israel Journal of Health Policy Research
https://read.qxmd.com/read/30764824/gaming-the-system-to-care-for-patients-a-focused-ethnography-in-norwegian-public-home-care
#4
Maria Strandås, Steen Wackerhausen, Terese Bondas
BACKGROUND: With its emphasis on cost-reduction and external management, New Public Management emerged as the dominant healthcare policy in many Western countries. The ability to provide comprehensive and customized patient-care is challenged by the formalized, task-oriented organization of home-care services. The aim of this study is to gain deeper understanding of how nurses and the patients they care for, relate to and deal with the organizational systems they are subjected to in Norwegian home care...
February 14, 2019: BMC Health Services Research
https://read.qxmd.com/read/30762844/quantitative-analyses-of-the-effectiveness-of-a-newly-designed-preceptor-workshop
#5
Lihua Liu, Denise Fillipucci, Satish M Mahajan
Educational preparation for nurse preceptors helps reduce anxiety and stress in precepting. A quality improvement project was initiated in a large U.S. West Coast federal healthcare system to evaluate an existing training program for preceptors. A new 2-day preceptor workshop was subsequently created to address identified gaps. Results demonstrated statistically significant gains in preceptors' essential knowledge and skills required in precepting, and room for improvement in faculty teaching techniques and course materials...
February 11, 2019: Journal for Nurses in Professional Development
https://read.qxmd.com/read/30762764/integrating-traditional-chinese-medicine-healthcare-into-dementia-care-plan-by-reducing-the-need-for-special-nursing-care-and-medical-expenses
#6
Shun-Ku Lin, Pei-Chia Lo, Wang-Chuan Chen, Jung-Nien Lai
Reducing the need for advanced nursing care and medical expenses is an essential concern of dementia care. We investigated the impact of traditional Chinese medicine (TCM) on advanced nursing care and medical costs.We used Longitudinal Health Insurance Database to implement a cohort study of patients with dementia between 1997 and 2012 in Taiwan. Data from the onset of dementia to 1st advanced nursing care for the endotracheal tube, urinal indwelling catheterization, and nasogastric tube were assessed using Cox regression proportional hazards model, and independent t test was used to determine the difference of hospitalization costs and days...
February 2019: Medicine (Baltimore)
https://read.qxmd.com/read/30762323/clinical-standards-for-patient-blood-management-and-perioperative-hemostasis-and-coagulation-management-position-paper-of-the-italian-society-of-anesthesia-analgesia-resuscitation-and-intensive-care-siaarti
#7
Gilda Cinnella, Marco Pavesi, Andrea De Gasperi, Marco Ranucci, Lucia Mirabella
Patient blood management is currently defined as the application of evidence based medical and surgical concepts designed to maintain hemoglobin (Hb), optimize hemostasis and minimize blood loss to improve patient outcome. Blood management focus on the perioperative management of patients undergoing surgery or other invasive procedures in which significant blood loss occurs or is expected. Preventive strategies are emphasized to identify and manage anemia, reduce iatrogenic blood losses, optimize hemostasis (e...
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30761707/is-it-possible-to-teach-geriatric-medicine-in-a-stimulating-way-measuring-the-effect-of-active-learning-activities-in-brazilian-medical-students
#8
Alessandra L G Lucchetti, Bruna S V F Duarte, Thaís V de Assis, Bruna O Laurindo, Giancarlo Lucchetti
OBJECTIVE: To describe the experience of a Brazilian medical school in implementing different active methods to teach Geriatric Medicine, reporting the students' opinions and satisfaction with the classes and comparing pre- and postcourse measurements of knowledge, attitudes and skills. METHODS: A total of 166 third-year medical students received different active theoretical-practical activities for teaching Geriatric Medicine and their knowledge, attitudes, clinical skills and satisfaction were investigated...
February 14, 2019: Australasian Journal on Ageing
https://read.qxmd.com/read/30758636/-implementation-of-the-l%C3%A3-beck-model-of-themed-movement-activities-in-nursing-cooperation-at-the-local-level-to-strengthen-the-prevention-and-health-promotion-in-berlin-pankow
#9
REVIEW
Katja Dierich, Maria-Theresia Nicolai, Henrieke Franzen
In accordance with Prevention Act law and the associated new prevention mandate of the nursing care funds, more preventive and health promoting activities have been taking place in inpatient care facilities since 2016. The Lübeck model of themed movement activities as a part of the program "Grow older in Balance" of the Federal Center for Health Education was developed as a physical, mental, and socially activating prevention program for elderly people with physical and cognitive impairments.The regional implementation of the Lübeck model in inpatient care facilities, facilities for age-appropriate living, as well as in day-care, serves the Berlin project "Adaptation and implementation of the Lübeck model of themed movement activities in the model region of Pankow - Low threshold exercise offers in nursing facilities for the elderly...
February 13, 2019: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://read.qxmd.com/read/30753163/structure-and-content-of-a-new-entrance-exam-to-select-undergraduate-nursing-students
#10
Elina Haavisto, Maija Hupli, Nina Hahtela, Asta Heikkilä, Pirjo Huovila, Eeva-Liisa Moisio, Lea Yli-Koivisto, Kirsi Talman
Aim The aim of this study was to develop an evidence-based structure and content for the new nursing entrance examination. Background The purpose of the student selection process is to ensure that those admitted have the required aptitude, motivation and potential to successfully complete studies. Methods The literature reviews were collected using systematic searches in five electronic databases on the assessment of learning skills, social skills/ emotional intelligence and certainty of career choice of nursing applicants...
February 12, 2019: International Journal of Nursing Education Scholarship
https://read.qxmd.com/read/30747805/demonstrating-advanced-practice-provider-value-implementing-a-new-advanced-practice-provider-billing-algorithm
#11
Paula B Brooks, Megan E Fulton
BACKGROUND: Rapid changes in health care are driving the adjustment of work flow by which providers serve patients in team-based care. Specifically, there is a need to develop more effective and efficient utilization with accurate attribution of advanced practice providers' (APPs) productivity. LOCAL PROBLEM: The Directors of the APP-Best Practice Center conducted assessments of each clinical area at MUSC Health, a large academic medical center. A knowledge gap was identified, not only regarding billing practices of the APPs (nurse practitioners/physician assistants) but also in the utilization of APPs to practice to the fullest extent of their license, education, and experience...
February 2019: Journal of the American Association of Nurse Practitioners
https://read.qxmd.com/read/30747791/evaluating-the-effectiveness-of-survival-guides-among-student-and-new-nurse-practitioners
#12
Jenni L Hoffman
The transition between student and new nurse practitioner (NP) can be challenging. Survival guides given to student NPs may help ease the transition and make it a successful one. This study evaluates the effectiveness of survival guides in two student NP cohorts in the fall 2015 and fall 2016 semesters. Students completed a brief online survey at graduation, and three and six months after graduation. Results support the inclusion of survival guides in NP curricula as a creative way to positively support the transition from student to new NP and improve preparation for NP practice...
February 8, 2019: Nursing Education Perspectives
https://read.qxmd.com/read/30746675/the-nursing-profession-in-tunisia
#13
Hatem Shili, Sonia Ben Hadj Hassen, Taycir Daoud, Hichem Denguir, Françoise Ounalli
The Tunisian health care system is experiencing a significant period of change and needs reforms so as to adapt. The nursing profession, which is the main actor of this system, in terms of number and function, is barely known or utterly unknown. The present paper's authors, who are paramedical teachers, aim to shed light on the specificity of the nursing and the nursing profession based on data collecting, and rare articles and legislation texts. In four sections, the paper will discuss the following issues: the nursing population demography, providing several indicators, their training throughout the reforms period, their training which has been "hooked" to university studies, their job profile and career plan...
October 2018: La Tunisie Médicale
https://read.qxmd.com/read/30744920/overcoming-the-dual-stigma-of-mental-illness-and-aging-preparing-new-nurses-to-care-for-the-mental-health-needs-of-older-adults
#14
Ivy Benjenk, Portia Buchongo, Aitalohi Amaize, G Sofia Martinez, Jie Chen
OBJECTIVE: Registered nurses are uniquely positioned to fill shortages in the geropsychiatric healthcare workforce. With training, nurses can coordinate both mental and physical healthcare and deliver mental health interventions. Our objective was to determine how nursing educators are preparing students to care for the mental health needs of older adults and to explore the challenges they face in this effort. METHODS: This was a qualitative study using semi-structured, in-depth interviews...
December 27, 2018: American Journal of Geriatric Psychiatry
https://read.qxmd.com/read/30744881/perceptions-of-nurse-preceptors-of-students-and-new-graduates-with-learning-difficulties-and-their-willingness-to-precept-them-in-clinical-practice-part-2
#15
Kristine M L'Ecuyer
The aim of this study was to describe the perceptions of nurse preceptors of nursing students and new graduate nurses with learning disabilities in clinical settings. Learning disabilities pose potential challenges in nursing education, especially in clinical settings when working with preceptors. Preceptors (N = 166) who attended a state-wide preceptor workshop responded to an electronic survey that assessed their perceptions. Four concepts were explored: preceptor perceived level of preparedness; preceptor perceived confidence in implementation of their role; preceptor beliefs regarding the potential of learners with learning disabilities; and preceptor agreement with provision of accommodations for learners with learning disabilities...
January 2019: Nurse Education in Practice
https://read.qxmd.com/read/30744571/chronic-headache-education-and-self-management-study-chess-a-mixed-method-feasibility-study-to-inform-the-design-of-a-randomised-controlled-trial
#16
Kimberley White, Rachel Potter, Shilpa Patel, Vivien P Nichols, Kirstie L Haywood, Siew Wan Hee, Dipesh Mistry, Dawn Carnes, Stephanie J C Taylor, Martin Underwood, Manjit S Matharu
BACKGROUND: Self-management support programmes are effective in a range of chronic conditions however there is limited evidence for their use in the treatment of chronic headaches. The aim of this study was to test the feasibility of four key aspects of a planned, future evaluative trial of a new education and self-management intervention for people with chronic headache: 1) recruiting people with chronic headache from primary care; 2) a telephone interview for the classification of chronic headaches; 3) the education and self-management intervention itself; and 4) the most appropriate patient reported outcomes (PROMS)...
February 11, 2019: BMC Medical Research Methodology
https://read.qxmd.com/read/30744388/resettled-bhutanese-refugees-in-ottawa-what-coping-strategies-promote-psychological-well-being
#17
Anita Subedi, Dana S Edge, Catherine L Goldie, Monakshi Sawhney
BACKGROUND: Since 2008, Bhutanese refugees have been resettled in Canada, including Ottawa. This relocation and resettling process is associated with significant physical and psychological stress, as individuals acclimatize to a new country. PURPOSE: To assess the relationship between coping strategies and psychological well-being of Bhutanese refugees resettled in Ottawa. METHODS: A cross-sectional survey utilizing a convenience sample of adults (n = 110) was conducted in the fall of 2015 in Ottawa...
February 11, 2019: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
https://read.qxmd.com/read/30744342/growth-performance-and-health-of-nursing-lambs-supplemented-with-inulin-and-lactobacillus-casei
#18
Marco A Ayala-Monter, David Hernández-Sánchez, Sergio González-Muñoz, René Pinto-Ruiz, José A Marinez-Aispuro, Nicólas Torres-Salado, Jerónimo Herrera-Pérez, Adrian Gloria-Trujillo
Objective: This experiment was designed to evaluate the prebiotic effect of Agave tequilana inulin and Lactobacillus casei on growth, hematological variables, serum metabolites and total coliforms in nursing lambs. Methods: Forty-five new born lambs (Kathadin x Dorset, 4.8 + 0.8 kg weight at birth) were randomly assigned to one of three treatments (T): T1, control (pre-starter concentrate, PC); T2: T1 + 2 % inulin; and T3, T1 + 2 % inulin + L. casei. The variables were daily weight gain (DWG), dry matter intake (DMI) and diarrheas incidence (%) during 56 d...
February 7, 2019: Asian-Australasian Journal of Animal Sciences
https://read.qxmd.com/read/30742904/immunosenescence-in-honey-bees-apis-mellifera-l-is-caused-by-intrinsic-senescence-and-behavioral-physiology
#19
Anete Pedro Lourenço, Juliana Ramos Martins, Fernanda Andrade Silva Torres, Aline Mackert, Luiz Roberto Aguiar, Klaus Hartfelder, Márcia Maria Gentile Bitondi, Zilá Luz Paulino Simões
Young honey bee workers (0 to 2-3 weeks old) perform tasks inside the colony, including brood care (nursing), whereas older workers undergo foraging tasks during the next 3-4 weeks, when an intrinsic senescence program culminates in worker death. We hypothesized that foragers are less able to react to immune system stimulation than nurse bees and that this difference is due to an inefficient immune response in foragers. To test this hypothesis, we used an experimental design that allowed us to uncouple chronological age and behavior status (nursing/foraging)...
February 8, 2019: Experimental Gerontology
https://read.qxmd.com/read/30741919/self-care-strategies-for-professional-development-transcendental-meditation-reduces-compassion-fatigue-and-improves-resilience-for-nurses
#20
Jennifer Rheingans Bonamer, Catherine Aquino-Russell
The Transcendental Meditation technique was provided to 27 nurses across levels and areas of the organization. Quantitative tools measured the effect on nurses' compassion fatigue and resilience. Paired-sample t test analyses revealed significant improvements in the phenomena studied. Further, resilience showed a large significant, inverse relationship with burnout. This study contributes new knowledge for an innovative self-care strategy to improve resilience and reduce compassion fatigue and burnout among nurses...
February 7, 2019: Journal for Nurses in Professional Development
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