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  1 / 105940 MEDLINE  
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PMID:29065073
Autor:Sosebee T; Potter R; Gilbert V; Newcomb P; Hampton M
Dirección:Author Affiliations: Assistant Chief Nursing Officer (Ms Sosebee) All Nursing Services, Texas Health Azle Hospital; Director (Mr Potter), Nursing Emergency Services; and Chief Nursing Officer (Ms Gilbert), all Nursing Services, Texas Health Methodist Hospital Azle; Nurse Scientist (Dr Newcomb), Nursing Operations, Texas Health Resources, Arlington; and Director (Dr Hampton), Nursing Operations, Texas Health Methodist Hospital, Fort Worth.
Título:Exploring Acuity-Adaptable Care in a Rural Hospital.
Fuente:J Nurs Adm; 47(11):565-570, 2017 Nov.
ISSN:1539-0721
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: The objective of this study is to assess benefits of the acuity-adaptable (AA) care model in rural hospitals. BACKGROUND: The AA model aims to provide care in the same space from admission to discharge regardless of acuity. Evidence is lacking to support claims that AA care will improve patient safety, increase nurse productivity, and improve patient/staff satisfaction in rural hospitals. METHODS: Patients admitted to a rural intensive care unit (ICU) were allocated to an AA group or an ICU group. Patients in the AA group remained in the ICU room through discharge. Patients in the ICU group transferred out of ICU when acuity permitted. Patient anxiety, depression, and perception of emotional care were measured. Staff responses were assessed qualitatively. RESULTS: Acuity-adaptable patients reported significantly more anxiety and less perceived emotional care than ICU patients. Intensive care unit nurses resisted caring for less acute patients. CONCLUSION: Disadvantages may outweigh benefits of AA care delivery in the rural ICU.
Tipo de publicación:CLINICAL TRIAL; JOURNAL ARTICLE


  2 / 105940 MEDLINE  
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PMID:29018090
Autor:Glauser W
Dirección:Toronto, Ont.
Título:Medical-legal concerns over prescribing opioids on the rise.
Fuente:CMAJ; 189(40):E1270-E1271, 2017 10 10.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS
Nombre de substancia:0 (Analgesics, Opioid)


  3 / 105940 MEDLINE  
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PMID:28917461
Autor:Chansky PB; Wanat K; Pappas-Taffer L; Rosenbach M; Micheletti RG
Dirección:Department of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Título:A cross-sectional survey of voriconazole prescribers: Assessing current practice and knowledge of cutaneous side effects.
Fuente:J Am Acad Dermatol; 77(4):769-770, 2017 10.
ISSN:1097-6787
País de publicación:United States
Idioma:eng
Tipo de publicación:LETTER; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
Nombre de substancia:0 (Antifungal Agents); JFU09I87TR (Voriconazole)


  4 / 105940 MEDLINE  
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PMID:28893893
Autor:Vogel L
Dirección:CMAJ.
Título:Physicians support assisted death for mature minors, but not mental illness.
Fuente:CMAJ; 189(36):E1173, 2017 09 11.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS


  5 / 105940 MEDLINE  
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PMID:28893880
Autor:Collier R
Dirección:CMAJ.
Título:How physicians can "flex their advocacy muscles".
Fuente:CMAJ; 189(36):E1152, 2017 09 11.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS


  6 / 105940 MEDLINE  
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PMID:28822955
Autor:Kelly J; Watson R; Watson J; Needham M; Driscoll LO
Dirección:Anglia Ruskin University, East Road Campus, Young Street Site, Cambridge CB1 1PT, UK. Electronic address: jacinta.kelly@anglia.ac.uk.
Título:Studying the old masters of nursing: A critical student experience for developing nursing identity.
Fuente:Nurse Educ Pract; 26:121-125, 2017 Sep.
ISSN:1873-5223
País de publicación:England
Idioma:eng
Resumen:In the past professional identity in nursing was inculcated in students alongside institutional pride. A strong sense of professional identity is key to staff retention and recruitment and key to the delivery of quality nursing care. With the wholesale transfer of pre-registration nursing education to the third level sector, however, the reality is that students now divide their affiliations between university and healthcare institutions and professional identity development may be stymied. For this reason, there is need to explore alternative means of developing professional identity. Exposure to nursing history may counteract this tendency. Based on adult nursing students' reflections of a visit to the Florence Nightingale Museum, we discuss the potential of this activity in aiding development of critical professional identity.
Tipo de publicación:JOURNAL ARTICLE


  7 / 105940 MEDLINE  
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PMID:28809660
Autor:Nash BH; Mitchell AW
Dirección:Brittany Hoffer Nash, DPT, OTR/L, MTC, is Occupational Therapist, Select Long-Term Acute Care Hospital and Tallahassee Memorial Home Health, Tallahassee, FL. At the time of the study, she was Assistant Professor, Department of Occupational Therapy, University of Tennessee Health Science Center, Memphis.
Título:Longitudinal Study of Changes in Occupational Therapy Students' Perspectives on Frames of Reference.
Fuente:Am J Occup Ther; 71(5):7105230010p1-7105230010p7, 2017 Sep/Oct.
ISSN:0272-9490
País de publicación:United States
Idioma:eng
Resumen:We explored students' views of the value of frames of reference (FoR) as they progressed through the didactic portion of an occupational therapy program. Thirty-four occupational therapy students were provided with a definition of FoR and asked to provide overall thoughts and impressions about FoR and their value 4 times over a period of 15 mo. Data were analyzed using phenomenological traditions, including open coding and analysis of themes. Throughout the program, students' understanding of how to use FoR evolved as they learned to implement them in practice. Opinions of the use of FoR seemed to be influenced by the students' perceptions of the use of FoR by their Level I fieldwork supervisors. Themes from the narrative data are described and their implications discussed.
Tipo de publicación:JOURNAL ARTICLE


  8 / 105940 MEDLINE  
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PMID:28772114
Autor:Saunder L; Knight RA
Dirección:City, University of London, Northampton Square, London EC1V 0HB, United Kingdom. Electronic address: l.saunder@city.ac.uk.
Título:CitySCaPE: Moving beyond indifference in education for pre-registration nurses about learning disability.
Fuente:Nurse Educ Pract; 26:82-88, 2017 Sep.
ISSN:1873-5223
País de publicación:England
Idioma:eng
Resumen:People with learning disabilities and Autism continue to suffer from the delivery of ineffective and inadequate care from health services CitySCaPE (City Simulated Community and Practice Environment) is a multi media resource delivering a simulation of situations student nurses may encounter in relation to service users with learning disabilities. The resource is applicable to adult, mental health and children's nursing. It is delivered in a blended approach to students in the first part of their programme as part of their simulated practice. Following the implementation of the resource an evaluation of student experience was undertaken using a mixed methods approach. 146 responses were obtained to a questionnaire containing quantitative and qualitative data. The findings indicate that this is a pedagogy that suits a variety of learning styles, is deemed to be realistic and improves the understanding of nursing students about the care of people with learning disabilities in generic practice areas. It is anticipated that CitySCaPE can be used as a model for delivery of practice based learning in areas that are often challenging to teach and demonstrate using a service user and person centred approach.
Tipo de publicación:JOURNAL ARTICLE


  9 / 105940 MEDLINE  
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PMID:28755612
Autor:Gibbs SS; Kulig JC
Dirección:Faculty of Nursing, MacEwan University, City Centre Campus, 10700 - 104 Avenue, Edmonton, AB, T5J 4S2, Canada. Electronic address: simpkinsgibbss@macewan.ca.
Título:"We definitely are role models": Exploring how clinical instructors' influence nursing students' attitudes towards older adults.
Fuente:Nurse Educ Pract; 26:74-81, 2017 Sep.
ISSN:1873-5223
País de publicación:England
Idioma:eng
Resumen:The world's population is getting older, which will inevitably cause increased demands for nurses to provide high quality care to this demographic. Attitudes have been shown to influence the quality of care that older adults receive. It is therefore important to gain a better understanding of what influences nursing students' attitudes towards older adults. This article reports on one of three inter-connected research questions of a mixed methods study that explored the relationship between clinical instructors' attitudes and nursing students' attitudes towards older adults. Semi-structured interviews were conducted with 6 clinical instructors and 13 nursing students. Interview data was analyzed using thematic analysis. A conceptual model was developed from the research findings, which revealed that nursing instructors are seen as strong role models for their students, and as role models, they influence students through demonstrations, expectations and support. As a result, nursing students mirror the attitudes of their instructors towards older adults. Findings from this study highlight the strong connection between nursing instructors' and students' attitudes. This has important implications for nursing education including strategies that instructors can employ to enhance students' attitudes towards older adults. Insights from this study also have the potential to improve the quality of care that future nurses provide to older adults.
Tipo de publicación:JOURNAL ARTICLE


  10 / 105940 MEDLINE  
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PMID:28754395
Autor:Liu S; Kass M; Ducas J; Elbarouni B
Título:Canadian Physician Attitudes and Practices Regarding Periprocedural Management of Oral Anticoagulation for Cardiac Catheterization.
Fuente:Can J Cardiol; 33(8):1067.e3-1067.e4, 2017 08.
ISSN:1916-7075
País de publicación:England
Idioma:eng
Tipo de publicación:LETTER
Nombre de substancia:0 (Anticoagulants)



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