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Journal of family practice

Rebecca A Aslakson, Katherine Ast
Practices to optimize palliative care delivery and new opportunities in which to integrate palliative care vary across populations and care settings. Systematic reviews are an efficient and methodologically rigorous approach to summarize existing research to identify both evidence-based best-practices as well as new areas for future research and clinical practice. This is the introduction to a special series of articles in which members of the AAHPM Research Committee report the results of circumscribed systematic reviews which in a specific population or care setting seek to: (a) summarize existing evidence for optimal palliative care practices or (b) identify opportunities where better palliative care delivery could improve patient and/or family outcomes...
February 11, 2019: Journal of Pain and Symptom Management
Gabrielle Silver, Chani Traube
OBJECTIVE: Delirium is a frequent and severe complication of serious pediatric illness. Development of a nonpharmacologic approach to prevent pediatric delirium may improve short- and long-term outcomes in children and their families. In this brief report, we describe the development of a quality improvement project designed to methodically promote the family member's engagement, comforting, and orienting activities with their critically ill child to decrease delirium rates. METHOD: We created a developmentally specific Delirium Prevention Toolkit for families...
January 31, 2019: Palliative & Supportive Care
Liza L Behrens, Gwen McGhan, Katherine M Abbott, Donna M Fick, Ann Marie Kolanowski, Yin Liu, Harleah G Buck, Martina Roes, Allison R Heid, Abby Spector, Kimberly Van Haitsma
Person-centered care (PCC) has a wide range of definitions, most based on expert opinion rather than empirical analysis. The current study used an empirical concept mapping approach to identify core components of PCC used in long-term services and supports (LTSS). The aim is to help providers and researchers develop a unified set of domains that can be used to assess and improve the quality of PCC in real-world settings. Results yielded six domains describing essential elements of PCC in LTSS: Enacting Humanistic Values, Direct Care Worker Values, Engagement Facilitators, Living Environment, Communication, and Supportive Systems; and two underlying dimensions: Intrapersonal Activities and Extrapersonal Services and Social and Physical Environment...
February 1, 2019: Journal of Gerontological Nursing
Kyla Z Donnelly, Christine Dehlendorf, Reiley Reed, Daniela Agusti, Rachel Thompson
BACKGROUND: Women value receiving quality interpersonal care during abortion services, yet no measure exists to assess this outcome from patients' perspectives. We sought to adapt the Interpersonal Quality in Family Planning care scale (Dehlendorf et al., American Journal of Obstetrics Gynaecology 10.1016/j.ajog.2016.01.173, 2016) for use in abortion care. METHODS: We adapted items from the original scale for the abortion context, and conducted cognitive interviews to explore the acceptability, understandability, and importance of the adapted items...
January 21, 2019: Journal of patient-reported outcomes
Diana Arabiat, Lisa Whitehead, Mandie Foster, Linda Shields, Linda Harris
No abstract text is available yet for this article.
January 14, 2019: Journal of Pediatric Nursing
Krista M Perreira, Juan M Pedroza
Public policies play a crucial role in shaping how immigrants adapt to life in the United States. Federal, state, and local laws and administrative practices impact immigrants' access to education, health insurance and medical care, cash assistance, food assistance, and other vital services. Additionally, immigration enforcement activities have substantial effects on immigrants' health and participation in public programs, as well as effects on immigrants' families. This review summarizes the growing literature on the consequences of public policies for immigrants' health...
January 2, 2019: Annual Review of Public Health
Jodi Polaha, Nadiya Sunderji
The authors are pleased to introduce themselves as the new co-editors. They are Nadiya Sunderji and Jodi Polaha, midcareer academic clinicians whose careers have balanced research, teaching, and clinical practice in integrated care. They continue the Families, Systems, & Health (FSH) tradition of interprofessional co-editor teams (Dr. Sunderji is a psychiatrist and Dr. Polaha is a psychologist) and add a new twist: international collaboration. Dr. Sunderji is Canadian, and they welcome the new contributors and readers this collaboration will bring...
December 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
Lenora Marcellus
STUDY BACKGROUND: Journals are key learning mechanisms for nursing organizations. Analysis of publications provides opportunities to explore influences, priorities, and perspectives of nurses over time. PURPOSE: To identify historical trends in maternal-infant health and nursing practice. METHODS: Historical bibliometric and content analysis of articles in The Canadian Nurse, 1905-2015. Six hundred sixty-eight lead publications in the journal were identified...
December 21, 2018: Canadian Journal of Nursing Research, Revue Canadienne de Recherche en Sciences Infirmières
Ashleigh C N Gibb, Megan A Crosby, Caraline McDiarmid, Denisa Urban, Jennifer Y K Lam, Paul W Wales, Megan Brockel, Mehul Raval, Martin Offringa, Erik D Skarsgard, Tomas Wester, Kenneth Wong, David de Beer, Gregg Nelson, Mary E Brindle
INTRODUCTION: Enhanced Recovery After Surgery (ERAS) guidelines integrate evidence-based practices into multimodal care pathways designed to optimise patient recovery following surgery. The objective of this project is to create an ERAS protocol for neonatal abdominal surgery. The protocol will identify and attempt to bridge the gaps between current practices and best evidence. Our study is the first paediatric ERAS protocol endorsed by the International ERAS Society. METHODS: A research team consisting of international clinical and family stakeholders as well as methodological experts have iteratively defined the scope of the protocol in addition to individual topic areas...
December 9, 2018: BMJ Open
Ben Bowers, Richella Ryan, Isla Kuhn, Stephen Barclay
BACKGROUND: The anticipatory prescribing of injectable medications to provide end-of-life symptom relief is an established community practice in a number of countries. The evidence base to support this practice is unclear. AIM: To review the published evidence concerning anticipatory prescribing of injectable medications for adults at the end of life in the community. DESIGN: Systematic review and narrative synthesis. Registered in PROSPERO: CRD42016052108, on 15 December 2016 ( https://www...
December 4, 2018: Palliative Medicine
Norissa Honea
OBJECTIVE: To describe best practices and guidelines in symptom management at the end of life for adults with malignant glioma. DATA SOURCES: Journal articles, evidence-based reviews, textbooks, and clinical guidelines. CONCLUSION: Symptom management is an essential element of end-of-life care that aims to preserve dignity and quality of life for patients with glioma and their family caregivers. IMPLICATIONS FOR NURSING PRACTICE: Advance care planning using a holistic approach to the patient's symptoms experience and goals of care are necessary to develop, implement, and evaluate outcomes of an evidence-based plan of care tailored for each patient and family...
November 10, 2018: Seminars in Oncology Nursing
Heidi M Felix, Amy Lannen
BACKGROUND: Colposcopy is a common office procedure providing a magnified view of the cervix for the evaluation of an abnormal cytology result. Traditionally the procedure has been replicated in simulation training by using a sausage or hotdog to represent the cervix and allow for target biopsy. This is neither reusable nor sustainable. METHOD: We developed a cervix model comprised of food coloring and ballistics gel. After cooling, the surface was dotted with gel that can be activated by a black light to mimic acetowhite changes...
December 2018: Obstetrics and Gynecology
LaDrea Ingram, Shan Qaio, Xiaoming Li, Morgan Deal
Women with HIV are more likely to have a history of traumatic and stressful life experiences. The current study examines experiences of traumatic and stressful life events, issues co-occurring with experiences of trauma, and intergenerational family dynamics regarding trauma and psychological well-being in women with HIV. The study was guided by the theoretical approach of an integrative translational model that incorporates trauma-related factors into a psychosocial framework. Data were collected from interviews with 20 women with HIV and analyzed for thematic categories...
October 26, 2018: Journal of Psychosocial Nursing and Mental Health Services
Miriam Santer, Kate Rumsby, Matthew J Ridd, Nick A Francis, Beth Stuart, Maria Chorozoglou, Amanda Roberts, Lyn Liddiard, Claire Nollett, Julie Hooper, Martina Prude, Wendy Wood, Emma Thomas-Jones, Taeko Becque, Kim S Thomas, Hywel C Williams, Paul Little
BACKGROUND: Childhood eczema is very common. Treatment often includes emollient bath additives, despite there being little evidence of their effectiveness. OBJECTIVES: To determine the clinical effectiveness and cost-effectiveness of emollient bath additives in the management of childhood eczema. DESIGN: Pragmatic, randomised, open-label, multicentre superiority trial with two parallel groups. SETTING: Ninety-six general practices in Wales, the west of England and southern England...
October 2018: Health Technology Assessment: HTA
Ai Wen Chan, Petra Skeffington, Corinne Reid, Rhonda Marriott
INTRODUCTION: Adopting a process-oriented framework for test validation can help to establish whether this tool has the potential to be an acceptable, valid and reliable indicator of depression for mothers and mothers-to-be. This mixed-methods research protocol seeks to explore the views and experiences of Aboriginal mothers and healthcare professionals in relation to the Edinburgh Postnatal Depression Scale (EPDS), and is intended to highlight potential barriers in perinatal mental health conceptualisation, engagement and response style...
October 3, 2018: BMJ Open
Courtney L Wilt, Mary E Morningstar
The increasingly diverse population in the United States calls for schools to address the breadth of cultural histories students bring with them to the classroom. High school students with disabilities are also diverse in terms of cultural histories, race, ethnicities, religions, and citizenship. These factors intersect as families engage in planning for the transition to adulthood. A requisite for culturally diverse families with young adults who receive services under the educational category of intellectual disability (ID) are school professionals who can meaningfully collaborate...
October 2018: Intellectual and Developmental Disabilities
Mandy Stokes, Peter Schultz, Assim Alpaslan
BACKGROUND: The reported high rate of relapse in the context of an ever-increasing rate of substance abuse internationally and in South Africa together with the fact that the topic of sustained recovery from Substance Use Disorder (SUD) appears to be totally neglected in extant literature and research agendas motivated the researchers to conduct this investigation. The aim was to obtain an in-depth understanding of how individuals recovering from a SUD experience and sustain their recovery in order to fill the gap in the knowledge base...
September 27, 2018: Substance Abuse Treatment, Prevention, and Policy
Erik Munson, Karen C Carroll
Recognition and acknowledgment of novel bacterial taxonomy and nomenclature revisions can impact clinical practice, disease epidemiology, and routine clinical microbiology laboratory operations. The Journal of Clinical Microbiology ( JCM ) herein presents its biannual report summarizing such changes published in the years 2016 and 2017, as published and added by the International Journal of Systematic and Evolutionary Microbiology Noteworthy discussion centers around descriptions of novel Corynebacteriaceae and an anaerobic mycolic-acid-producing bacterium in the suborder Corynebacterineae ; revisions within the Propionibacterium, Clostridium, Borrelia , and Enterobacter genera; and, a major reorganization of the family Enterobacteriaceae JCM intends to sustain this series of reports as advancements in molecular genetics, whole genome sequencing, and studies of the human microbiome will continue to produce novel taxa and clearer understandings of bacterial relatedness...
September 26, 2018: Journal of Clinical Microbiology
Chaocong Liang, Aijing Luo, Zhuqing Zhong
Objective: The objective of this study was to analyze knowledge mapping and demonstrate the status quo, intellectual base, and hotspots in the field of medication literacy. Methods: Using the data from Web of Science Core database, we constructed a knowledge map to visualize medication literacy using CiteSpace, which revealed the power of the studies, core authors and journals, intellectual base, and hotspots in this field. Results: According to an analysis of 2025 literature reports, the stronger studies were mainly conducted at research institutions of higher education in the United States...
2018: SAGE Open Medicine
David Inwald, Ruth R Canter, Kerry Woolfall, Caitlin B O'Hara, Paul R Mouncey, Zohra Zenasni, Nicholas Hudson, Steven Saunders, Anjali Carter, Nicola Jones, Mark D Lyttle, Simon Nadel, Mark J Peters, David A Harrison, Kathryn M Rowan
BACKGROUND: There has been no randomised controlled trial (RCT) of fluid bolus therapy in paediatric sepsis in the developed world despite evidence that excess fluid may be associated with harm. OBJECTIVES: To determine the feasibility of the Fluids in Shock (FiSh) trial - a RCT comparing restricted fluid bolus (10 ml/kg) with current practice (20 ml/kg) in children with septic shock in the UK. DESIGN: (1) Qualitative feasibility study exploring parents' views about the pilot RCT...
September 2018: Health Technology Assessment: HTA
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