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  1 / 89721 MEDLINE  
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PMID:29045356
Autor:Durham ML; Egan A; Jankiewicz A; Murphy MP; Nedved P; Luvich R; Goh A; Fogg L
Dirección:Author Affiliations: Clinical Assistant Professor (Dr Durham), University of Illinois at Chicago College of Nursing; Nurse Practitioner, Critical Care Services (Dr Egan), NorthShore University HealthSystem, Evanston; Medication Safety Officer (Dr Jankiewicz), and Associate Vice President Professional Nursing Practice and Acting Administrator (Ms Nedved), Rush University Cancer Center; Assistant Unit Director 9 North Atrium (Ms Luvich), and Associate Professor/Adult Nurse Practitioner, Adult and Gero Nursing (Dr Murphy), Rush University Medical Center; Associate Professor (Dr Fogg), Rush University College of Nursing; and Assistant Professor of Medicine (Dr Goh), Rush University Medical School, Chicago, Illinois.
Título:Addressing Safe Opioid Monitoring Practices Using an Interprofessional Approach.
Fuente:J Nurs Adm; 47(11):537-544, 2017 Nov.
ISSN:1539-0721
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: The aims of the project are to increase knowledge related to opioids and improve adherence to evidence-based interventions for sedation monitoring and assessment in adult inpatients receiving opioids for pain through delivery of an interprofessional online program. BACKGROUND: Preventable opioid-induced respiratory depression is a patient safety risk in hospitals. Sedation and respiratory assessment and monitoring guidelines and tools are available to improve practice. METHODS: An interprofessional team identified organization-specific drivers of opioid-induced sedation and respiratory depression using process improvement methodology, developed interventions, and evaluated clinician opioid knowledge and documentation practice. RESULTS: Opioid knowledge survey responses improved after the interventions. Audits showing improved appropriate documentation by RNs of the correct sedation scale were performed over 2 separate 3-month periods. CONCLUSIONS: Clinicians demonstrated increased knowledge about newly adopted sedation and monitoring practices targeted to prevent opioid-induced respiratory depression.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Analgesics, Opioid)


  2 / 89721 MEDLINE  
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PMID:29038326
Autor:Collier R
Dirección:CMAJ.
Título:Health Canada to warn young people of cannabis risks in campaign.
Fuente:CMAJ; 189(41):E1297, 2017 10 16.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS


  3 / 89721 MEDLINE  
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PMID:28906156
Autor:Murray R; Glass-Kaastra S; Gardhouse C; Marshall B; Ciampa N; Franklin K; Hurst M; Thomas MK; Nesbitt A
Dirección:Centre for Food-borne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, 255 Woodlawn Road West, Unit 120, Guelph, Ontario, Canada N1H 8J1.
Título:Canadian Consumer Food Safety Practices and Knowledge: Foodbook Study.
Fuente:J Food Prot; 80(10):1711-1718, 2017 Oct.
ISSN:1944-9097
País de publicación:United States
Idioma:eng
Resumen:Understanding consumers' food safety practices and knowledge supports food safety education for the prevention of foodborne illness. The objective of this study was to describe Canadian consumer food safety practices and knowledge. This study identifies demographic groups for targeted food safety education messaging and establishes a baseline measurement to assess the effectiveness of food safety interventions over time. Questions regarding consumer food safety practices and knowledge were included in a population-based telephone survey, Foodbook, conducted from November 2014 to March 2015. The results were analyzed nationally by age group and by gender. The results showed that approximately 90% of Canadians reported taking the recommended cleaning and separating precautions when handling raw meat to prevent foodborne illness. Only 29% of respondents reported using a food thermometer when cooking any meat, and even fewer (12%) reported using a food thermometer for small cuts of meat such as chicken pieces. The majority (>80%) of Canadians were aware of the foodborne illness risks related to chicken and hamburger, but fewer (<40%) were aware of the risks related to frozen chicken nuggets, alfalfa sprouts, soft unpasteurized cheese, and unpasteurized juices. Generally, men were less likely to follow cooking instructions on packaging and took fewer steps to prevent cross-contamination than women. The youngest (18 to 29 years) age group was less likely to take steps to avoid cross-contamination and was less aware of the risks associated with eating an undercooked hamburger. The oldest (60+ years) respondents were less likely to be aware of the risks associated with raw eggs, alfalfa sprouts, and unpasteurized juice than the middle (30 to 59 years) age group. As a priority, food safety education in Canada should focus on increasing people's awareness of high-risk foods, specifically foods for which the awareness of risk found in this study was low; targeting messaging to demographic groups as appropriate; and promoting the use of food thermometers when cooking meat and poultry.
Tipo de publicación:JOURNAL ARTICLE


  4 / 89721 MEDLINE  
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PMID:28694316
Autor:Vogel L
Dirección:CMAJ.
Título:Canadian women opting for less effective birth control.
Fuente:CMAJ; 189(27):E921-E922, 2017 07 10.
ISSN:1488-2329
País de publicación:Canada
Idioma:eng
Tipo de publicación:NEWS


  5 / 89721 MEDLINE  
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PMID:28639423
Autor:Hickey MT; Shedlin MG
Dirección:School of Nursing, Hunter College, City University of New York, New York, New York.
Título:Emergency contraceptive pill users' risk perceptions for sexually transmitted infections and future unintended pregnancy.
Fuente:J Am Assoc Nurse Pract; 29(9):527-534, 2017 Sep.
ISSN:2327-6924
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND AND PURPOSE: The availability of emergency contraception pills (ECP) over the counter (OTC) has the potential to reduce the incidence of unintended pregnancy; however, the increased risk for sexually transmitted infection (STI) acquisition, related to unprotected intercourse, has not been adequately addressed. The purpose of this study is to gain insight into risk perceptions for STIs and subsequent unintended pregnancy in women who have purchased ECP OTC. METHODS: Twenty-one women, aged 18-24, attending a private university in an urban setting, who purchased and used ECP OTC participated in 1-h, individual interviews. CONCLUSIONS: Narrative, descriptive findings indicated that these women did not consider themselves at risk for STI or unintended pregnancy, despite having used ECP OTC. Pregnancy prevention was paramount for these women, which overshadowed concerns regarding STIs. IMPLICATIONS FOR PRACTICE: Women at risk for unintended consequences of sexual activity are not fully cognizant of those potential outcomes and do not take measures to prevent their occurrence. The availability of ECP OTC offers protection against unintended pregnancy; however, opportunities for health promotion and prevention counseling may be lost.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Nonprescription Drugs)


  6 / 89721 MEDLINE  
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PMID:28604645
Autor:Wu Y; Wang L; Cai Z; Bao L; Ai P; Ai Z
Dirección:Postdoctoral Research Station of Medicine, School of Medicine, Tongji University, Shanghai 200092, China. wuying19890321@gmail.com.
Título:Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China.
Fuente:Int J Environ Res Public Health; 14(6), 2017 Jun 12.
ISSN:1660-4601
País de publicación:Switzerland
Idioma:eng
Resumen:Health literacy is an increasingly important public health concern. However, little is known about the health literacy of general public in China. The aim of this study was to evaluate the prevalence of low health literacy and demographic associations in Shanghai, China. This study was a community-based cross-sectional health survey utilizing a multi-stage random sampling design. The sample consisted of 1360 individuals aged 15-69 years with the total community-dwelling Chinese as the sample frame. Health literacy was measured by a questionnaire developed on the basis of a national health literacy manual released by the Chinese Ministry of Health. Multiple logistic regression models were used to identify whether common socio-demographic features were associated with health literacy level. The prevalence of low health literacy was 84.49% (95% CI, 82.56% to 86.41%). The prevalence of low health literacy was negatively associated with the level of education, occupation, and annual household income, but was not associated with gender, age, or the presence of non-communicable chronic disease. Simplifying health services, enhancing health education, and promoting interventions to improve health literacy in high-risk populations should be considered as part of the strategies in the making of health policy in China.
Tipo de publicación:JOURNAL ARTICLE


  7 / 89721 MEDLINE  
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PMID:28466240
Autor:Njuguna JN; Gicheru MM; Kamau LM; Mbatha PM
Dirección:Department of Zoological Sciences, Kenyatta University, P.O Box 43844, Nairobi, 00100, Kenya. janeffernn@gmail.com.
Título:Incidence and knowledge of bovine brucellosis in Kahuro district, Murang'a County, Kenya.
Fuente:Trop Anim Health Prod; 49(5):1035-1040, 2017 Jun.
ISSN:1573-7438
País de publicación:United States
Idioma:eng
Resumen:Brucellosis in cattle is a zoonosis mainly caused by Brucella abortus. In Kenya, the disease is widespread, but its prevalence is largely unknown. The objective of this study was to investigate incidence rates of brucellosis and farmers' knowledge on the disease in Kahuro district, Murang'a County. In this study, 150 pooled milk samples were collected from 75 milk collection centers and tested. Subsequently, 230 milk samples were collected from farmers in 16 collection centers in Wangu and Mugoiri divisions whose pooled samples gave positive results. Five cow owners in each of the 16 collection centers were interviewed using a questionnaire to assess their knowledge levels. Wangu division had the highest incidence rate 19% with positive samples observed from 14 collection centers. Mugoiri division recorded 3% with two collection centers having positive samples, while Murarandia had none. All respondents with no formal education were unaware of the causative agent of brucellosis. There was a significant difference in incidence between Mugoiri and Wangu divisions (p < 0.05). Knowledge levels were high in the young and educated farmers compared to the old and uneducated. Frequent screening for brucellosis to identify infected animals should be initiated thus prevent transmission to other animals and humans.
Tipo de publicación:JOURNAL ARTICLE


  8 / 89721 MEDLINE  
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PMID:28292299
Autor:Santos SL; Tagai EK; Scheirer MA; Bowie J; Haider M; Slade J; Wang MQ; Holt CL
Dirección:Department of Behavioral and Community Health, University of Maryland, School of Public Health, 4200 Valley Dr., 1101 E SPH Building 255, College Park, MD, 20742, USA. ssantos1@umd.edu.
Título:Adoption, reach, and implementation of a cancer education intervention in African American churches.
Fuente:Implement Sci; 12(1):36, 2017 Mar 14.
ISSN:1748-5908
País de publicación:England
Idioma:eng
Resumen:BACKGROUND: Use of technology is increasing in health promotion and has continued growth potential in intervention research. Guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, this paper reports on the adoption, reach, and implementation of Project HEAL (Health through Early Awareness and Learning)-a community-based implementation trial of a cancer educational intervention in 14 African American churches. We compare adoption, reach, and implementation at the organizational and participant level for churches in which lay peer community health advisors (CHAs) were trained using traditional classroom didactic methods compared with a new online system. METHODS: Fifteen churches were randomized to one of two study groups in which two CHAs per church were trained through either classroom ("Traditional"; n = 16 CHAs in 8 churches) or web-based ("Technology"; n = 14 CHAs in 7 churches) training methods. Once trained and certified, all CHAs conducted a series of three group educational workshops in their churches on cancer early detection (breast, prostate, and colorectal). Adoption, reach, and implementation were assessed using multiple data sources including church-level data, participant engagement in the workshops, and study staff observations of CHA performance. RESULTS: The project had a 41% overall adoption rate at the church level. In terms of reach, a total of 375 participants enrolled in Project HEAL-226 participants in the Traditional group (43% reach) and 149 in the Technology group (21% reach; p < .10). Implementation was evaluated in terms of adherence, dosage, and quality. All churches fully completed the three workshops; however, the Traditional churches took somewhat longer (M = 84 days) to complete the workshop series than churches in the Technology group (M = 64 days). Other implementation outcomes were comparable between both the Traditional and Technology groups (p > .05). CONCLUSIONS: Overall, the Project HEAL intervention had reasonable adoption, though reach could have been better. Implementation was strong across both study groups, suggesting the promise of using web-based methods to disseminate and implement evidence-based interventions in faith-based settings and other areas where community health educators work to eliminate health disparities.
Tipo de publicación:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL


  9 / 89721 MEDLINE  
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PMID:28195940
Autor:Kumar VA; Albert NM; Medado P; Mango LM; Nutter B; Yang D; Levy P
Dirección:From the *Department of Emergency Medicine and Cardiovascular Research Institute, Wayne State University School of Medicine, Detroit, MI; †Nursing Research and Innovation, Cleveland Clinic, Cleveland, OH; ‡Detroit Medical Centre, Detroit, MI; and §Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Título:Correlates of Health Literacy and Its Impact on Illness Beliefs for Emergency Department Patients With Acute Heart Failure.
Fuente:Crit Pathw Cardiol; 16(1):27-31, 2017 Mar.
ISSN:1535-2811
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVES: To study the relationship between health literacy (HL) and socioeconomic, demographic factors and disease-specific illness beliefs among patients who present to the emergency department with heart failure (HF). BACKGROUND: Maintenance of well-being for patients with HF is partially dependent on appropriate self-care behaviors, which, in turn, are influenced by underlying illness beliefs. HL is a potential modifier of the interaction between behaviors and beliefs. There have been limited investigations studying this relationship among individuals with acute HF. METHODS: A cross-sectional study of patients with hemodynamically stable acute HF was conducted. Demographic, education, and social support data were obtained from all patients along with self-reported responses to the 36-item STOFHLA survey, a 14 item HF-specific illness belief questionnaire, and a 5-item self-care adherence survey. General association was assessed using the χ or Fisher exact test, and comparisons were made using the Kruskal-Wallis test. RESULTS: A total of 100 patients (51 females and 49 males) were included, 94% of whom were African-American (mean age [SD]: 57.5 [13.2] years). Inadequate, marginal, and adequate health literacy were present in 35%, 17%, and 48%, respectively, with increasing adequacy among the higher educated (P < 0.001). Overall, HF illness beliefs were considered to be "inaccurate" (mean score [SD] on a 4-point Likert scale: 2.8 [0.3]) but did correlate positively with improved HL (r = 0.26; P = 0.008). CONCLUSION: In this cohort of relatively young, predominantly African-American patients with acute HF, HL was positively correlated with level of education and negatively associated with age and was an important determinant of disease-specific illness beliefs.
Tipo de publicación:JOURNAL ARTICLE


  10 / 89721 MEDLINE  
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PMID:28187740
Autor:Wang B; Stanton B; Deveaux L; Lunn S; Rolle G; Adderley R; Poitier M; Koci V; Marshall S; Gomez P
Dirección:Division of Behavioral Sciences, Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, 6135 Woodward Ave, Detroit, MI, 48202, USA. bwang@med.wayne.edu.
Título:Multi-year school-based implementation and student outcomes of an evidence-based risk reduction intervention.
Fuente:Implement Sci; 12(1):16, 2017 Feb 10.
ISSN:1748-5908
País de publicación:England
Idioma:eng
Resumen:BACKGROUND: Intervention effects observed in efficacy trials are rarely replicated when the interventions are broadly disseminated, underscoring the need for more information about factors influencing real-life implementation and program impact. Using data from the ongoing national implementation of an evidence-based HIV prevention program [Focus on Youth in The Caribbean (FOYC)] in The Bahamas, this study examines factors influencing teachers' patterns of implementation, the impact of teachers' initial implementation of FOYC, and subsequent delivery of the booster sessions on students' outcomes. METHODS: Data were collected from the 80 government elementary and 34 middle schools between 2011 and 2014, involving 208 grade 6, 75 grade 7, and 58 grade 8 teachers and 4411 students initially in grade 6 and followed for 3 years. Student outcomes include HIV/AIDS knowledge, reproductive health skills, self-efficacy, and intention to use protection. Data from teachers includes implementation and modification of the curriculum, attitudes towards the prevention program, comfort level with the curriculum, and attendance at training workshops. Structural equation modeling and mixed-effect modeling analyses were applied to examine the impact of teachers' implementation. RESULTS: Teachers' attitudes towards and comfort with the intervention curriculum, and attendance at the curriculum training workshop had a direct effect on teachers' patterns of implementation, which had a direct effect on student outcomes. Teachers' attitudes had a direct positive effect on student outcomes. Teachers' training in interactive teaching methods and longer duration as teachers were positively associated with teachers' comfort with the curriculum. High-quality implementation in grade 6 was significantly related to student outcomes in grades 6 and 7 post-implementation. Level of implementation of the booster sessions in grades 7 and 8 were likewise significantly related to subsequent student outcomes in both grades. CONCLUSIONS: High-quality initial implementation of a prevention program is significantly related to better program outcomes. Poor subsequent delivery of booster sessions can undermine the positive effects from the initial implementation while strong subsequent delivery of booster sessions can partially overcome poor initial implementation.
Tipo de publicación:JOURNAL ARTICLE



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