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[PMID]:29351310
[Au] Autor:Maatouk I; Müller A; Angerer P; Schmook R; Nikendei C; Herbst K; Gantner M; Herzog W; Gündel H
[Ad] Endereço:Department of General Internal and Psychosomatic Medicine, University of Heidelberg, Heidelberg, Germany.
[Ti] Título:Healthy ageing at work- Efficacy of group interventions on the mental health of nurses aged 45 and older: Results of a randomised, controlled trial.
[So] Source:PLoS One;13(1):e0191000, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This multicentre, randomised controlled trial (RCT) aimed to evaluate the efficacy of a small-group intervention promoting successful ageing at work in older nurses (aged ≥45). METHOD: A sample of 115 nurses aged ≥45 from 4 trial sites in Germany were randomly assigned to either the intervention group (IG), that received a small-group intervention of seven weekly sessions of 120 min with a booster session after six weeks or to a wait-list control condition (WLC). Outcomes were measured via validated self-report questionnaires at baseline (T1) and at post-treatment (T2). Primary outcomes were mental health-related well-being and mental health-related quality of life (QOL). The secondary outcomes included mental health-related and work-related measures. RESULTS: The intention to treat (ITT) analysis showed significant positive effects of the intervention on mental health. A significant small effect (d = 0.3) in favour of the IG was found for psychological health-related quality of life. Positive small effects (d = 0.24 to d = 0.31) were also found for work related mental strain. CONCLUSIONS: Our small-group intervention based on a theory of successful ageing for nurses aged ≥45 was found to be effective with regard to improvements of psychological health related quality of life and other mental health-related outcomes. Thus, our study shows that the ageing workforce can be reached through specifically designed preventive interventions. The components of our intervention could be easily adapted to the belongings of other professions. Our results suggest that these components should be evaluated in various settings outside the healthcare sector.
[Mh] Termos MeSH primário: Envelhecimento/fisiologia
Saúde Mental
Enfermeiras e Enfermeiros/psicologia
Local de Trabalho
[Mh] Termos MeSH secundário: Adaptação Psicológica
Feminino
Seres Humanos
Masculino
Meia-Idade
Atenção Plena
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191000


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[PMID]:29321156
[Au] Autor:Wang T; Heianza Y; Sun D; Huang T; Ma W; Rimm EB; Manson JE; Hu FB; Willett WC; Qi L
[Ad] Endereço:Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA.
[Ti] Título:Improving adherence to healthy dietary patterns, genetic risk, and long term weight gain: gene-diet interaction analysis in two prospective cohort studies.
[So] Source:BMJ;360:j5644, 2018 01 10.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate whether improving adherence to healthy dietary patterns interacts with the genetic predisposition to obesity in relation to long term changes in body mass index and body weight. DESIGN: Prospective cohort study. SETTING: Health professionals in the United States. PARTICIPANTS: 8828 women from the Nurses' Health Study and 5218 men from the Health Professionals Follow-up Study. EXPOSURE: Genetic predisposition score was calculated on the basis of 77 variants associated with body mass index. Dietary patterns were assessed by the Alternate Healthy Eating Index 2010 (AHEI-2010), Dietary Approach to Stop Hypertension (DASH), and Alternate Mediterranean Diet (AMED). MAIN OUTCOME MEASURES: Five repeated measurements of four year changes in body mass index and body weight over follow-up (1986 to 2006). RESULTS: During a 20 year follow-up, genetic association with change in body mass index was significantly attenuated with increasing adherence to the AHEI-2010 in the Nurses' Health Study (P=0.001 for interaction) and Health Professionals Follow-up Study (P=0.005 for interaction). In the combined cohorts, four year changes in body mass index per 10 risk allele increment were 0.07 (SE 0.02) among participants with decreased AHEI-2010 score and -0.01 (0.02) among those with increased AHEI-2010 score, corresponding to 0.16 (0.05) kg versus -0.02 (0.05) kg weight change every four years (P<0.001 for interaction). Viewed differently, changes in body mass index per 1 SD increment of AHEI-2010 score were -0.12 (0.01), -0.14 (0.01), and -0.18 (0.01) (weight change: -0.35 (0.03), -0.36 (0.04), and -0.50 (0.04) kg) among participants with low, intermediate, and high genetic risk, respectively. Similar interaction was also found for DASH but not for AMED. CONCLUSIONS: These data indicate that improving adherence to healthy dietary patterns could attenuate the genetic association with weight gain. Moreover, the beneficial effect of improved diet quality on weight management was particularly pronounced in people at high genetic risk for obesity.
[Mh] Termos MeSH primário: Dieta/métodos
Dieta Saudável/tendências
Obesidade/genética
Ganho de Peso/genética
[Mh] Termos MeSH secundário: Adulto
Idoso
Índice de Massa Corporal
Dieta/efeitos adversos
Feminino
Seguimentos
Predisposição Genética para Doença/epidemiologia
Predisposição Genética para Doença/genética
Genótipo
Pessoal de Saúde/estatística & dados numéricos
Dieta Saudável/psicologia
Seres Humanos
Masculino
Meia-Idade
Enfermeiras e Enfermeiros/estatística & dados numéricos
Obesidade/epidemiologia
Avaliação de Resultados (Cuidados de Saúde)
Estudos Prospectivos
Cooperação e Adesão ao Tratamento/estatística & dados numéricos
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180112
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5644


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[PMID]:29215422
[Au] Autor:Cunningham EM; Doyle EI; Bowden RG
[Ad] Endereço:Emilie Cunningham is a Doctoral Candidate, Robbins College of Health and Human Sciences, Baylor University, Waco, TX. The author can be reached via e-mail at emilie_cunningham@baylor.edu Eva I. Doyle is Director, MPH in Community Health Education, Robbins College of Health and Human Sciences, Baylor University, Waco, TX. Rodney G. Bowden is an Interim Dean, Robbins College of Health and Human Sciences, Baylor University, Waco, TX.
[Ti] Título:Maternity Nurses' Perceptions of Implementation of the Ten Steps to Successful Breastfeeding.
[So] Source:MCN Am J Matern Child Nurs;43(1):38-43, 2018 Jan/Feb.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to determine maternity nurses' perceptions of implementing the Ten Steps to Successful Breastfeeding. METHODS: An online survey and a focus group were used to evaluate perceptions of maternity nurses of implementing the Ten Steps to Successful Breastfeeding in an urban Texas hospital at the onset of the project initiation. Responses were transcribed and coded using Nvivo software. Thematic analysis was conducted and consensus was reached among the research team to validate themes. RESULTS: Twenty-eight maternity nurses participated. Nurses perceived a number of barriers to implementing the Ten Steps to Successful Breastfeeding including nurse staffing shortages, variations in practice among nurses, different levels of nurse education and knowledge about breastfeeding, lack of parental awareness and knowledge about breastfeeding, culture, and postpartum issues such as maternal fatigue, visitors, and routine required procedures during recovery care that interfered with skin-to-skin positioning. Maternity nurses desired more education about breastfeeding; specifically, a hands-on approach, rather than formal classroom instruction, to be able to promote successful implementation of the Ten Steps. CONCLUSIONS: More education on breastfeeding for new mothers, their families, and healthcare providers was recommended. Nurse staffing should be adequate to support nurses in their efforts to promote breastfeeding. Skin-to-skin positioning should be integrated into the recovery period. Hospital leadership support for full implementation and policy adherence is essential. Challenges in implementing the Ten Steps were identified along with potential solutions.
[Mh] Termos MeSH primário: Aleitamento Materno/métodos
Enfermagem Materno-Infantil/recursos humanos
Enfermeiras e Enfermeiros/psicologia
Percepção
Avaliação de Programas e Projetos de Saúde
[Mh] Termos MeSH secundário: Adulto
Feminino
Grupos Focais
Seres Humanos
Enfermagem Materno-Infantil/métodos
Meia-Idade
Mães/psicologia
Política Organizacional
Gravidez
Inquéritos e Questionários
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000392


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[PMID]:29428034
[Au] Autor:Duchesne J; Majoue C; Duke M; Robledo R; Achord C; McHale L; Davis B; Nahapetyan L
[Ti] Título:Impact of Trauma-Certified Registered Nurse Anesthetists Team on Intra-Operative Resuscitation and Postoperative Outcomes of Trauma Patients.
[So] Source:Am Surg;84(1):93-98, 2018 Jan 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A Trauma Certified Registered Nurse Anesthetists Team (TCT) was created and trained to provide trauma-focused anesthesia and resuscitation. The purpose of this study was to examine patient outcomes after implementation of TCT. We conducted retrospective analyses of trauma patients managed with surgical intervention from March to December 2015. During the first five months, patients managed before the development of TCT were grouped No-TCT, patients managed after were grouped TCT. To assess outcomes, we used hospital and intensive care unit length of stay, ventilator days, and a validated 10-point intraoperative Apgar score (IOAS). IOAS is calculated using the estimated blood loss, lowest heart rate, and lowest mean arterial pressure during surgery. Higher IOAS are associated with significantly decreased complications and mortality after surgery. We used t test and nonparametric tests for analyses. Fifty two patients were included (mean age 39 years, 75% male; 46.2% managed with TCT). Patients in the No-TCT group had significantly lower use of vasopressors (0.019), lower mean IOAS (P = 0.02), and spent more days on ventilator (P = 0.005) than patients in the TCT. These results suggest that trauma centers should take into consideration implementation of TCT to improve intraoperative and overall outcomes.
[Mh] Termos MeSH primário: Cuidados Intraoperatórios/enfermagem
Enfermeiras Anestesistas
Enfermeiras e Enfermeiros
Cuidados Pós-Operatórios/enfermagem
Ressuscitação/enfermagem
Centros de Traumatologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Unidades de Terapia Intensiva
Cuidados Intraoperatórios/mortalidade
Masculino
Meia-Idade
Cuidados Pós-Operatórios/mortalidade
Reprodutibilidade dos Testes
Ressuscitação/mortalidade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180212
[St] Status:MEDLINE


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[PMID]:29406660
[Au] Autor:Curcio DL
[Ti] Título:The Lived Experiences of Nurses Caring For Dying Pediatric Patients.
[So] Source:Pediatr Nurs;43(1):8-14, 2017 Jan-Feb.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nurses and healthcare professionals may have difficulty adjusting to and comprehending their experiences when a patient's life ends. This has the potential to interfere with patient care. Reflection on past events and actions enables critical discovery of strategies to benefit both nurses and patients. This qualitative phenomenological study explores the lived experiences of nurses caring for dying pediatric patients. The philosophical underpinning of Merleau-Ponty (2008), in combination with the research method of van Manen (1990), was used for this study. The Roy Adaptation Model (RAM) (Roy, 2009; Roy & Andrews, 1991) was the nursing model that guided the study to help understand that nurses are an adaptive system, using censoring as a compensatory adaptive process to help function for a purposeful cause. Nine female nurse participants with one to four years of experience were interviewed. The context of the experiences told by nurses caring for dying pediatric patents uncovered seven essential themes of empathy, feelings of ambivalence, inevitability, inspiration, relationship, self-preservation, and sorrow, and these themes demonstrated a connection formed between the nurse and the patient.
[Mh] Termos MeSH primário: Relações Enfermeiro-Paciente
Enfermeiras e Enfermeiros/psicologia
Enfermagem Pediátrica
Assistência Terminal
[Mh] Termos MeSH secundário: Adaptação Fisiológica
Adulto
Criança
Empatia
Feminino
Pesar
Seres Humanos
Entrevistas como Assunto
Filosofia em Enfermagem
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29461349
[Au] Autor:Zolotorofe I; Fortini R; Hash P; Daniels A; Orsolini L; Mazzoccoli A; Gerardi T
[Ad] Endereço:Author Affiliations: Administrative Director Clinical Operations (Ms Zolotorofe) and Assistant Professor, Bon Secours Memorial College of Nursing (Ms Daniels), Medical Home, and Vice President and Chief Clinical Officer (Mr Fortini), Bon Secours Medical Group, Bon Secours Health System, Inc, Richmond, Virginia; Associate System Chief Nurse Executive (Dr Hash), Care Delivery and Advanced Practice Systems Consultant (Dr Orsolini), and Senior Vice President and Chief Nurse & Quality Officer (Dr Mazzoccoli), Bon Secours Health System, Inc, Marriottsville, Maryland; and Executive Director (Ms Gerardi), Tennessee Nurses Association, Nashville.
[Ti] Título:Return on Investment for the Baccalaureate-Prepared RN in Ambulatory Care.
[So] Source:J Nurs Adm;48(3):123-126, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Evidence supports the return on investment for an RN in ambulatory care. Utilizing RNs to their fullest potential in ambulatory practices is essential to effectively manage population health. Bon Secours Health System launched a new role, patient navigator RNs, to ensure seamless transitions of complex patients across care settings, resulting in better patient outcomes and a financial return.
[Mh] Termos MeSH primário: Assistência Ambulatorial/organização & administração
Bacharelado em Enfermagem/normas
Enfermeiras e Enfermeiros/normas
Navegação de Pacientes/normas
[Mh] Termos MeSH secundário: Assistência Ambulatorial/economia
Assistência Ambulatorial/recursos humanos
Análise Custo-Benefício
Seres Humanos
Enfermeiras e Enfermeiros/economia
Navegação de Pacientes/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000586


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[PMID]:29386455
[Au] Autor:Takai R; Nomura K; Hiraike H; Murakami A; Tanabe A; Tsuchiya A; Okinaga H
[Ad] Endereço:Faculty of Nursing, Toho University.
[Ti] Título:[An Investigation of Factors Associated with Emotional Exhaustion among Hospital Nurses: Adherence to "Maternal Affection" and Agreement with Stereotypical Gender Roles].
[So] Source:Nihon Eiseigaku Zasshi;73(1):90-95, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:OBJECTIVE: To investigate factors including adherence to "maternal affection" and stereotypical gender roles associated with emotional exhaustion among hospital nurses. METHOD: In 2014, among 2,690 workers recruited for this study, 891 participated with written informed consent. Of these, we investigated 464 hospital nurses. Adherence to maternal affection and emotional exhaustion were measured using valid and reliable scales developed by Egami (2005, 12 items) and Kubo (1992, 5 items), respectively. Stereotypical gender role was measured by asking "how much do you agree with the idea that women should stay home and men should work?". Workfamily conflict was measured in terms of the discrepancy in priority in life (i.e., a work or a private life) between the participant's ideal and the real world. RESULT: The majority of our participants were women (86%), aged 39 or younger (80%), and single (70%). About one-quarter had workfamily conflict (26%) and agreed with the stereotypical gender role (28%). The mean scores of emotional exhaustion and adherence to maternal affection were 17.2 (out of 25) and 30.8 (out of 48), respectively. A stepwise multivariable model showed that being a woman (p=0.028), being young (p=0.022), being single (p=0.007), and having workfamily conflict (p<0.001) were more likely to increase emotional exhaustion after adjusting for household income. Adherence to maternal affection and stereotypical gender role were not significantly associated with emotional exhaustion. CONCLUSION: This study demonstrated that adherence to "maternal affection" and stereotypical gender roles were not associated with psychological burnout. Special attention should be paid to hospital nurses who are women, young, or single, or who have workfamily conflict.
[Mh] Termos MeSH primário: Afeto
Esgotamento Profissional/psicologia
Emoções
Identidade de Gênero
Hospitais
Comportamento Materno/psicologia
Enfermeiras e Enfermeiros/psicologia
Estereotipagem
[Mh] Termos MeSH secundário: Adulto
Conflito Familiar
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180202
[St] Status:MEDLINE
[do] DOI:10.1265/jjh.73.90


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[PMID]:29183059
[Au] Autor:Ryskina KL; Polsky D; Werner RM
[Ad] Endereço:Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia.
[Ti] Título:Physicians and Advanced Practitioners Specializing in Nursing Home Care, 2012-2015.
[So] Source:JAMA;318(20):2040-2042, 2017 11 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermeiras Especialistas/provisão & distribuição
Casas de Saúde/recursos humanos
Médicos/provisão & distribuição
[Mh] Termos MeSH secundário: Ocupação de Leitos/estatística & dados numéricos
Modelos Lineares
Enfermeiras Especialistas/tendências
Enfermeiras e Enfermeiros/provisão & distribuição
Casas de Saúde/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.13378


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[PMID]:29369275
[Au] Autor:Younas A
[Ad] Endereço:Ahtisham Younas is a doctoral student at Memorial University of Newfoundland, Canada.
[Ti] Título:Practical tips for novice nurse educators.
[So] Source:Nursing;48(2):21-22, 2018 Feb.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Escolha da Profissão
Docentes de Enfermagem/psicologia
Enfermeiras e Enfermeiros/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
Filosofia
Autoavaliação
Ensino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000529815.29031.52


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[PMID]:29280841
[Au] Autor:Parsh B; Hanson-Smith B
[Ad] Endereço:At the Sacramento (Calif.) State School of Nursing, Bridget Parsh is an associate professor and Brenda Hanson-Smith is a professor emeritus.
[Ti] Título:Five steps to your next writing retreat.
[So] Source:Nursing;48(1):43-44, 2018 Jan.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermeiras e Enfermeiros/psicologia
Redação
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interprofissionais
Técnicas de Planejamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000527598.24839.50



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