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skilled nursing

Heather C King, Natalie Spritzer, Nahla Al-Azzeh
INTRODUCTION: The Indo-Asia-Pacific region has the highest incidence of natural disasters world-wide. Since 2000, approximately 1.6 billion people in this region have been affected by earthquakes, volcanos, tsunamis, typhoons, cyclones, and large-scale floods. The aftermath of disasters can quickly overwhelm available resources, resulting in loss of basic infrastructure, shelter, health care, food and water, and ultimately, loss of life.Over the last 12 years, US military forces have collaborated with countries throughout the Indo-Asia-Pacific region to enhance disaster preparedness and management during shipboard global health engagement missions...
March 16, 2019: Military Medicine
Jin-Won Noh, Young-Mi Kim, Nabeel Akram, Ki-Bong Yoo, Jooyoung Cheon, Lena J Lee, Young Dae Kwon, Jelle Stekelenburg
Medical facility birth with skilled birth attendance is essential to reduce maternal mortality. The purpose of this study was to assess the demographic characteristics, socio-economic factors, and varied health information sources that may influence the uptake of birth services in Pakistan. We used pooled data from Maternal-Child Health Program Indicator Survey 2013 and 2014. Study population was 9719 women. Generalized linear model with log link and a Poisson distribution was used to identify factors associated with place of birth...
March 15, 2019: International Journal of Environmental Research and Public Health
Jelle Sjoerd Vogel, Marte Swart, Mike Slade, Jojanneke Bruins, Mark van der Gaag, Stynke Castelein
OBJECTIVE: The HospitalitY (HY) intervention is a novel recovery oriented intervention for people with psychotic disorders in which peer support and home-based skill training are combined in an eating club. A feasibility study was conducted to inform a subsequent randomised trial. METHODS: This study evaluated three eating clubs consisting of nine participants and three nurses. Semi-structured interviews and pre- and post-intervention measures (18 weeks) of personal recovery, quality of life and functioning were used to evaluate the intervention...
February 28, 2019: Journal of Behavior Therapy and Experimental Psychiatry
Susan Michaels-Strasser, Janel Smith, Judy Khanyola, Roberta Sutton, Tashtiana Price, Wafaa M El Sadr
In response to the urgent need to scale up access to antiretroviral therapy, the Global Nursing Education Partnership Initiative (GNCBP), a PEPFAR program administered by the U.S. Department of Health Resources and Services Administration (HRSA), was implemented from 2011 to 2018 by ICAP at Columbia University. Working closely together, HRSA and ICAP partnered with local nursing leaders and ministries of health to strengthen the nursing and midwifery workforce across 11 countries. This multi-country project, developed to address critical gaps in nursing education and training worked across six building blocks of health workforce strengthening: infrastructure improvement, curricula revision, clinical skills development, in-service training, faculty development and building partnerships for policy and regulation to increase the quality and quantity of the nursing and midwifery workforce...
April 30, 2018: Annals of Global Health
Kalay Moodley, Tabia Henry Akintobi, Therese Fish, Daniel S Blumenthal
BACKGROUND: The WHO Africa Region faces a shortage of health workers due to inadequate production of health workers and emigration of physicians and nurses to wealthier countries. South Africa and the United States share a history of discriminatory policies and practices resulting in groups that are under-represented amongst health professionals. One US response is the Area Health Education Centers Program (AHEC), a pipeline program to recruit members of under-represented groups into the health professions...
April 30, 2018: Annals of Global Health
Satoko Maejima, Ryuichi Ohta
Background: Japanese nurses may not be adequately trained to perform physical assessments compared to nurses overseas due to differences in accessibility to education; currently, research investigating this discrepancy is limited. This study investigated the current performance levels of Japanese community nurses in physical assessments and compared their performance to that of nurses overseas. Methods: In this cross-sectional study, we examined the practical application of physical assessments conducted by nurses at a Japanese community hospital...
March 2019: Journal of General and Family Medicine
John Paul G Kolcun, Michael Y Wang
BACKGROUND: Emerging technologies in minimally-invasive spinal surgery include surgical robots for navigation and spinal endoscopy. We applied these technologies in concert to treat a critically ill patient with thoracic discitis. CASE DESCRIPTION: The patient is an 83-year old woman with extensive medical comorbidities. In 2016, she was admitted from her skilled nursing facility with chest pain radiating to her left arm. Following a negative cardiac workup, CT-imaging revealed a right paramediastinal thoracic collection with endplate erosion at the T4 and T5 levels...
March 11, 2019: World Neurosurgery
Adam Strzelczyk, Malin Kalski, Thomas Bast, Adelheid Wiemer-Kruel, Ulrich Bettendorf, Lara Kay, Matthias Kieslich, Gerhard Kluger, Gerhard Kurlemann, Thomas Mayer, Bernd A Neubauer, Tilman Polster, Arne Herting, Sarah von Spiczak, Regina Trollmann, Markus Wolff, John Irwin, Joe Carroll, Daniel Macdonald, Clive Pritchard, Karl Martin Klein, Felix Rosenow, Susanne Schubert-Bast
INTRODUCTION: Dravet syndrome (DS) is a rare developmental and epileptic encephalopathy. This study estimated cost, cost-driving factors and quality of life (QoL) in patients with Dravet syndrome and their caregivers in a prospective, multicenter study in Germany. METHODS: A validated 3-12-month retrospective questionnaire and a prospective 3-month diary assessing clinical characteristics, QoL, and direct, indirect and out-of-pocket (OOP) costs were administered to caregivers of patients with DS throughout Germany...
February 28, 2019: European Journal of Paediatric Neurology: EJPN
Eduard E Vasilevskis, Avantika S Shah, Emily K Hollingsworth, Matthew S Shotwell, Amanda S Mixon, Susan P Bell, Sunil Kripalani, John F Schnelle, Sandra F Simmons
BACKGROUND: Polypharmacy is prevalent among hospitalized older adults, particularly those being discharged to a post-care care facility (PAC). The aim of this randomized controlled trial is to determine if a patient-centered deprescribing intervention initiated in the hospital and continued in the PAC setting reduces the total number of medications among older patients. METHODS: The Shed-MEDS study is a 5-year, randomized controlled clinical intervention trial comparing a patient-centered describing intervention with usual care among older (≥50 years) hospitalized patients discharged to PAC, either a skilled nursing facility (SNF) or an inpatient rehabilitation facility (IPR)...
March 14, 2019: BMC Health Services Research
Javaid I Sheikh, Sohaila Cheema, Karima Chaabna, Albert B Lowenfels, Ravinder Mamtani
BACKGROUND: There is a worldwide shortage of health care workers. This problem is particularly severe in the Gulf Cooperation Council (GCC) countries because of shortages in certain medical disciplines, due to a lack of nationally-trained professionals and a less developed educational system compared to other high income countries. Consequently, GCC countries are heavily dependent on an expatriate health care workforce; a problem exacerbated by high turnover. We discuss challenges and potential strategies for improving and strengthening capacity building efforts in health care professions in the GCC...
March 14, 2019: BMC Medical Education
Bernadette Groebe, Christian Rietz, Raymond Voltz, Julia Strupp
To individually plan end-of-life care, open communication about a person's preferences and attitudes toward the end of life can facilitate dignity and quality of life in patients and relatives. To improve communication, structured guiding tools might be used as door openers. However, most tools focus on care preferences and decisions without assessing the person's underlying attitudes in detail. This study aims to get insights into specific requirements and conditions for communication about the end of life in various end-of-life care settings...
March 14, 2019: American Journal of Hospice & Palliative Care
Anna Garus-Pakowska, Mariusz Górajski
Blood-borne infections represent an important occupational health issue in health care settings. The aim of this study was to analyze behaviors of health care workers (HCWs) in the field of needlestick injuries (NSIs) as well as to learn about their attitudes to patients infected with blood-borne viruses. A total of 487 HCWs based at 26 hospitals in Poland completed an anonymous self-administered questionnaire in the period of October⁻December 2015. Data was analyzed using descriptive statistics and multiple logistic regression...
March 12, 2019: International Journal of Environmental Research and Public Health
Grant R Williams, Lisette Dunham, YunKyung Chang, Allison M Deal, Mackenzi Pergolotti, Jennifer L Lund, Emily Guerard, Kelly Kenzik, Hyman B Muss, Hanna K Sanoff
PURPOSE: The association between geriatric assessment (GA)-identified impairments and long-term health care use in older cancer survivors remains unknown. Our objective was to evaluate whether a GA performed at cancer diagnosis was predictive of hospitalizations and long-term care (LTC) use in older adult cancer survivors. METHODS: Older adults with GA performed between 3 months before through 6 months after diagnosis were included (N = 125). Patients with Medicare Parts A and B coverage and no managed care were identified...
March 14, 2019: Journal of Oncology Practice
Annette L Gardner, Laura Clementz, Renée H Lawrence, Mary A Dolansky, Alli M Heilman, Anne R Rusterholtz, Simran Singh, Matthew Sparks, Mamta K Singh
Combining interprofessional education, clinical or workplace learning, and physician resident teachers in the ambulatory setting, the dyad model enhances teamwork skills and increases nurse practitioner students' clinical competence.
February 2019: Federal Practitioner
Magdalena Kwiatosz-Muc, Anna Fijałkowska-Nestorowicz, Magdalena Fijałkowska, Anna Aftyka, Paulina Pietras, Michał Kowalczyk
BACKGROUND: High levels of stress among anaesthesiology and intensive care unit workers are commonly reported. Personnel in these units are prone to stress because of specific characteristics of their work. Their development of skills to cope with stress may affect their psychophysical condition and, consequently, patient safety. OBJECTIVES: The aim of this study was to define the coping styles of anaesthesiology and intensive care unit personnel and to evaluate the connections between the work environment as well as personal characteristics and the dominant coping styles...
March 13, 2019: Scandinavian Journal of Caring Sciences
Cathy Dyches, Angela Haynes-Ferere, Twilla Haynes
Using an ethnographical case study method, faculty members examined senior nursing students' experiences and learning during a cultural immersion service-learning trip in Haiti. Pediatric care was emphasized, as well as cultural awareness and competency. Following thematic analysis, students' guided reflections revealed common themes: knowledge and skills, culture, healthcare, and challenges and opportunities. Students also reported improved cultural understanding and self-perception.
April 2019: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Yunghan Au, Mary Holbrook, Adam Skeens, Jessica Painter, James McBurney, Amy Cassata, Sheila C Wang
Pressure ulcers (PUs) are a serious health care problem for nursing home residents and a key quality metric for regulators. Three initiatives were introduced at a 128-bed facility to improve PU prevention. First, a Quality Assurance and Performance Improvement project and a Root Cause Analysis were conducted to improve the facility's wound care programme. Second, a digital wound care management solution was adopted to track wound management. Third, the role of skin integrity coordinator was created as a central point of accountability for wound care-related activities and related performance metrics...
March 12, 2019: International Wound Journal
Malcolm H W Mak, Woon Ling Chew, Sameer P Junnarkar, Winston W L Woon, Jee-Keem Low, Terence C W Huey, Vishalkumar G Shelat
Backgrounds/Aims: Traditional outcome measures (e.g., length of hospital stay, morbidity, and mortality) are used to determine the quality of care, but these may not be most important to patients. It is unclear which outcomes matter to patients undergoing elective laparoscopic cholecystectomy (ELC). We aim to identify patient-reported outcome measures (PROM) which patients undergoing ELC valued most. Methods: A 45-item questionnaire with Four-point Likert-type questions developed from prior literature review, prospectively administered to patients treated with ELC at a tertiary institution in Singapore...
February 2019: Annals of Hepato-Biliary-Pancreatic Surgery
Sandra Johnston
To aim of this study was to explore undergraduate nursing student (n = 256) perceptions of clinical reasoning ability and learning transfer after participating in either a standard post simulation debriefing or a debriefing based on transfer of learning principles. BACKGROUND: It is assumed that students will transfer what they have learned from simulation to real world practice, however, some students are unable to identify the relevance of simulated learning experiences if scenarios are dissimilar to clinical placement settings...
March 12, 2019: International Journal of Nursing Education Scholarship
Sage P Whitmore, Kyle J Gunnerson, Jonathan W Haft, William R Lynch, Tyler VanDyck, Christopher Hebert, John Waldvogel, Renee Havey, Allison Weinberg, James A Cranford, Deborah M Rooney, Robert W Neumar
BACKGROUND: Extracorporeal cardiopulmonary resuscitation (ECPR) is emerging as a viable rescue strategy for refractory out-of-hospital cardiac arrest. In the U.S., limited training of emergency medicine providers is a barrier to widespread implementation. AIMS: Test the hypothesis that emergency medicine physicians and nurses can acquire and retain the skills to rapidly and safely initiate ECPR using high-fidelity simulation. STUDY DESIGN: Prospective interventional study...
March 9, 2019: Resuscitation
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