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Adult Nurs*

Kenji Takeuchi, Maya Izumi, Michiko Furuta, Toru Takeshita, Yukie Shibata, Shinya Kageyama, Yuka Okabe, Sumio Akifusa, Seijun Ganaha, Yoshihisa Yamashita
Aspiration is increasingly recognized as a major risk for pneumonia, but a potential link between wearing dentures and incident pneumonia with aspiration risk is unclear. The aim of this study was to investigate whether denture wearing moderates the association between aspiration risk and incident pneumonia in older adults. We used prospective cohort data of 156 residents aged >70 years from eight nursing homes in Aso, Japan. Aspiration risk was evaluated using the modified water swallowing test. During a 1-year follow-up (2014 to 2015), information on incident pneumonia was obtained from nursing home medical records...
February 14, 2019: International Journal of Environmental Research and Public Health
Fawwaz Alaloul, John Myers, Katlin M Masterson, Joey DiCicco, Michelle Perry Collins, Felicia Hogan, Luke Roesler, M Cynthia Logsdon
PURPOSE: To identify a relationship between patient satisfaction with the hospital experience and health-related quality of life (HRQOL), as well as determine predictors of each variable. PARTICIPANTS & SETTING: 50 patients with cancer in two adult oncology units in an academic health sciences center. METHODOLOGIC APPROACH: A descriptive, cross-sectional design was used. Patient satisfaction was measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and HRQOL was assessed using the Quality of Life Patient/Cancer Survivor (QOL-CS) version...
March 1, 2019: Oncology Nursing Forum
Valentina Zeffiro, Gianfranco Sanson, Luigia Carboni, Anna Malatesta, Ercole Vellone, Rosaria Alvaro, Fabio D'Agostino
Chronic diseases require continuous healthcare that is not fully guaranteed by the Italian Health System which is more oriented towards acute care. In the Lazio region (city of Palombara Sabina), a Nursing-Led in-patient unit is present with the aim to care for patients affected by chronic diseases. The aim of this study was to describe the type of healthcare delivered by this unit. A descriptive-comparative design was used. All 290 patients admitted to the Nursing-Led Unit, during 2014 and 2015 participated in the study...
July 2018: Igiene e Sanità Pubblica
Antonello Cocchieri, Luca Di Sarra, Fabio D'Agostino, Chiara Bravetti, Marco Pignocco, Ercole Vellone, Rosaria Alvaro, Maurizio Zega
The Professional Assessment Instrument (PAI) is a clinical nursing information system used in the adult inpatient units of the A. Gemelli university hospital in Rome (Italy). The PAI allows for the systematic collection of nursing care data in order to improve the quality of care. So far, few clinical nursing information systems have been developed in the neonatal and pediatric care setting. The aim of this study is to describe the development and implementation of a clinical nursing information system (PAIped) for the neonatal and pediatric care setting...
July 2018: Igiene e Sanità Pubblica
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
Gertrude van den Brink, Martha A C van Gaalen, Lissy de Ridder, C Janneke van der Woude, Johanna C Escher
BACKGROUND: Transition programs are designed to prepare adolescent Inflammatory Bowel Disease (IBD) patients for transfer to adult care. It is still unclear which outcome parameters define "successful transition". Therefore, this study aimed to identify outcomes important for success of transition in IBD. METHODS: A multinational Delphi study in patients, IBD-nurses and paediatric and adult gastroenterologists was conducted. In Stage 1, panellists commented on an outcome list...
February 14, 2019: Journal of Crohn's & Colitis
Waleed Alharbi, Jennifer Cleland, Zoe Morrison
Objective: Adverse events which result from medication errors are considered to be one of the most frequently encountered patient safety issues in clinical settings. We undertook a qualitative investigation to identify and explore factors relating to medication error in an adult oncology department in Saudi Arabia from the perspective of healthcare professionals. Methods: This was a qualitative study conducted in an adult oncology department in Saudi Arabia. After obtaining required ethical approvals and written consents from the participants, semi-structured interviews and focus group discussions were carried out for data collection...
February 2019: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
Wanda R Spurlock, Karen Rose, Tener Goodwin Veenema, Samir K Sinha, Deanna Gray-Miceli, Shionne Hitchman, Nicoda Foster, Lynn Slepski-Nash, Elaine T Miller
No abstract text is available yet for this article.
January 2019: Nursing Outlook
Joanne Shaw, Suvena Sethi, Lisa Vaccaro, Lisa Beatty, Laura Kirsten, David Kissane, Brian Kelly, Geoff Mitchell, Kerry Sherman, Jane Turner
BACKGROUND: Collaborative care involves active engagement of primary care and hospital physicians in shared care of patients beyond usual discharge summaries. This enhances community-based care and reduces dependence on specialists and hospitals. The model, successfully implemented in chronic care management, may have utility for treatment of depression in cancer. The aim of this systematic review was to identify components, delivery and roles and responsibilities within collaborative interventions for depression in the context of cancer...
February 14, 2019: BMC Health Services Research
Carolina Santiago de Araújo Pio, Gabriela Chaves, Philippa Davies, Rod Taylor, Sherry Grace
Too few patients utilize cardiac rehabilitation (CR), despite its benefits. The Cochrane review assessing the effectiveness of interventions to increase CR utilization (enrolment, adherence, and completion) was updated. A search was performed through July 2018 of the Cochrane and MEDLINE (Medical Literature Analysis and Retrieval System Online) databases, among other sources. Randomized controlled trials in adults with myocardial infarction, angina, revascularization, or heart failure were included. Interventions had to aim to increase utilization of comprehensive phase II CR...
February 5, 2019: Journal of Clinical Medicine
Javier Jerez-Roig, Francisca Sueli Monte Moreira, Saionara Maria Aires da Câmara, Lidiane Maria de Brito Macedo Ferreira, Kenio Costa Lima
AIMS: To verify the incidence of urinary continence decline and the probability of maintaining urinary continence, as well as identify the prognostic factors of urinary continence decline in institutionalized older people. METHODS: A 2-year longitudinal study (with five 6-month waves) was conducted with subjects ≥60 years old who lived in 10 nursing homes in the city of Natal-RN (Brazil). Urinary incontinence was assessed by the Minimum Data Set version 3.0. Sociodemographic, institution-related and health-related variables were considered to establish the baseline...
February 14, 2019: Neurourology and Urodynamics
Parvin Ahmadi, Negin Masoudi Alavi, Hamid Reza Gilasi, Azade Safa, Mohammad Aghajani
Ageism implies negative views and attitudes towards older people. These unconscious behaviors could make the elderly feel as if they were no longer useful for the family and community. Ageism is common in healthcare services. The objective of this study was to develop a tool to assess ageism in nursing care in Kashan/Iran 2015. This psychometric study was carried out in four stages: literature review for item generation; content validity testing; exploratory factor analysis (EFA) for evaluation of construct validity; and reliability assessment...
February 14, 2019: Journal of Cross-cultural Gerontology
Michelle Cleary, Toby Raeburn, Sancia West, Charmaine Childs
BACKGROUND: In the midst of changing environmental conditions and increasing populations aged over 65 years, how best to provide nursing care that promotes mental health and wellbeing within residential aged care facilities is an important concern. AIM/OBJECTIVE: To explore the perceptions of temperature control, thermal comfort and nursing care in a small group of older Australians. DESIGN: Descriptive, qualitative study using thematic analysis...
February 13, 2019: Contemporary Nurse
Allysa L Ciancio, Raza M Mirza, Amy A Ciancio, Christopher A Klinger
CONTEXT: Though palliative sedation has been recognized as an acceptable practice in Canada for many years now, there is a lack of clinical research and guidelines pertaining to its use as a treatment of existential refractory symptoms in the terminally ill. OBJECTIVES: This scoping review aimed to survey the literature surrounding palliative sedation and existential suffering and to inform research, policy, and practice. METHODS: To address the main research question: Is palliative sedation an acceptable intervention to treat existential refractory symptoms in adults aged 65 and older? a scoping review following Arksey and O'Malley's framework was performed, spanning electronic databases of the peer reviewed and grey literature...
February 13, 2019: Journal of Palliative Care
Suyapa Bejarano, Meghan E Freed, Darwin Zeron, Rennie Medina, Julio Cesar Zuniga-Moya, Linda Kennedy, Martha L Bruce, Lisa Zubkoff, Marie A Bakitas, Kathleen Doyle Lyons
Evidence-based interventions often need to be adapted to maximize their implementation potential in low-to middle-income countries. A single-arm feasibility study was conducted to determine the feasibility and acceptability of a telephone-delivered, nurse-led, symptom management intervention for adults undergoing chemotherapy in Honduras. Over the course of 6 months, nurses engaged 25 patients undergoing chemotherapy in the intervention. Each participant received an average of 16.2 attempts to contact them for telephone sessions ( SD = 8...
February 12, 2019: Western Journal of Nursing Research
Sarah H Ailey, Tricia J Johnson, Andrea Cabrera
Patients with autism spectrum disorder and/or intellectual disability (ASD/ID) face unique health care challenges. In addition to hospital experiences characterized by fear and insufficient staff training, these patients have 1.5-times longer lengths of stay (LOS) than patients without ASD/ID, and 3.4% of patients with ASD/ID have prolonged LOS (i.e., ≥30 days). Little research exists on factors related to prolonged LOS of patients with ASD/ID, hindering efforts to develop and implement evidence-based practices to improve care and reduce prolonged LOS...
February 8, 2019: Journal of Psychosocial Nursing and Mental Health Services
Anao Zhang, Dexia Kong, Lin Jiang, Fei Sun, Ruth E Dunkle, Chun Liu
Background and Objectives: There exists an imperative need to comprehensively evaluate the effectiveness of psychosocial interventions for Chinese geriatric populations' mental wellbeing. This study conducted a systematic review and meta-analysis of psychosocial services for Chinese older adults' depression and anxiety. Research Design and Methods: A search of nine electronic databases, five geriatric mental health journals, and reference lists was conducted for studies published between 1980 and April...
February 7, 2019: Gerontologist
James A McKinnell, Raveena D Singh, Loren G Miller, Ken Kleinman, Gabrielle Gussin, Jiayi He, Raheeb Saavedra, Tabitha D Dutciuc, Marlene Estevez, Justin Chang, Lauren Heim, Stacey Yamaguchi, Harold Custodio, Shruti K Gohil, Steven Park, Steven Tam, Philip A Robinson, Thomas Tjoa, Jenny Nguyen, Kaye D Evans, Cassiana E Bittencourt, Bruce Y Lee, Leslie E Mueller, Sarah M Bartsch, John A Jernigan, Rachel B Slayton, Nimalie D Stone, Matthew Zahn, Vincent Mor, Kevin McConeghy, Rosa R Baier, Lynn Janssen, Kathleen O'Donnell, Robert A Weinstein, Mary K Hayden, Micaela H Coady, Megha Bhattarai, Ellena M Peterson, Susan S Huang
Background: Multidrug-resistant organisms (MDROs) spread between hospitals, nursing homes (NH), and long-term acute care facilities (LTACs) via patient transfers. SHIELD OC is a regional public health collaborative involving decolonization at 38 healthcare facilities selected based upon their high degree of patient sharing. We report baseline MDRO prevalence in 21 NH/LTACs. Methods: A random sample of 50 adults for 21 NH/LTACs (18 NHs, 3 LTACs) were screened for methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus spp...
February 11, 2019: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
Barbara J Zarowitz, James E Tisdale
BACKGROUND: The exponential increase in the number of medications associated with clinically important prolongation of the heart rate-corrected QT interval (QTc) places older adults at increased risk of arrhythmias including life-threatening torsade de pointes (TdP) and sudden death. Risk factors, other than age older than 65 years and female sex, include multiple concurrent drugs that prolong QTc and a variety of underlying predisposing conditions. Although electronic medical records and pharmacy dispensing systems can alert clinicians to the risk of QTc-prolonging therapy, more than 95% of safety alerts are overridden, and many systems have deactivated QTc drug interaction alerts...
February 12, 2019: Journal of the American Geriatrics Society
Azizeh Khaled Sowan, Meghan Leibas, Albert Tarriela, Charles Reed
BACKGROUND: The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE: This study aimed to evaluate nurses' perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS: A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses' perceptions of system usability...
February 12, 2019: JMIR Human Factors
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