Base de dados : MEDLINE
Pesquisa : N03.540.452.508.440 [Categoria DeCS]
Referências encontradas : 669 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 67 ir para página                         

  1 / 669 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29219907
[Au] Autor:Ramseur P; Fuchs MA; Edwards P; Humphreys J
[Ad] Endereço:Author Affiliations: Chief Nursing and Patient Care Services Officer (Dr Ramseur), Duke Raleigh Hospital; Vice President of Patient Care and System Chief Nurse Executive (Dr Fuchs) and Associate Chief Nursing Officer of Nursing Education; Duke University Health System and Associate Dean of Clinical Affairs; Duke University School of Nursing (Dr Edwards), Duke University Health System; and Associate Dean for Academic Affairs (Dr Humphreys), Duke University School of Nursing, Durham, North Carolina.
[Ti] Título:The Implementation of a Structured Nursing Leadership Development Program for Succession Planning in a Health System.
[So] Source:J Nurs Adm;48(1):25-30, 2018 Jan.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Preparing future nursing leaders to be successful is important because many current leaders will retire in large numbers in the future. A structured nursing leadership development program utilizing the Essentials of Nurse Manager Orientation online program provided future nursing leaders with content aligned with nursing leadership competencies. Paired with assigned mentors and monthly leadership sessions, the participants increased their perception of leadership competence.
[Mh] Termos MeSH primário: Instrução por Computador
Órgãos dos Sistemas de Saúde/organização & administração
Liderança
Enfermeiras Administradoras/educação
Supervisão de Enfermagem/organização & administração
Desenvolvimento de Pessoal/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Desenvolvimento de Programas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000566


  2 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26875546
[Au] Autor:Khosla N; Zachary I
[Ad] Endereço:a Department of Health Sciences , School of Health Professions, University of Missouri , Columbia , MO , USA.
[Ti] Título:Perspectives of HIV agencies on improving HIV prevention, treatment, and care services in the USA.
[So] Source:AIDS Care;28(10):1249-54, 2016 Oct.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:HIV healthcare services in the USA are made available through a complex funding and delivery system. We present perspectives of HIV agencies on improvements that could lead to an ideal system of HIV prevention, treatment and care. We conducted semi-structured interviews with representatives from 21 HIV agencies offering diverse services in Baltimore, MD. Thematic analysis revealed six key themes: (1) Focusing on HIV prevention, (2) Establishing common entry-points for services, (3) Improving information availability, (4) Streamlining funding streams, (5) Removing competitiveness and (6) Building trust. We recommend that in addition to addressing operational issues regarding service delivery and patient care, initiatives to improve HIV service systems should address underlying social issues such as building trust.
[Mh] Termos MeSH primário: Infecções por HIV/tratamento farmacológico
Infecções por HIV/prevenção & controle
Órgãos dos Sistemas de Saúde/economia
[Mh] Termos MeSH secundário: Acesso à Informação
Competição Econômica
Acesso aos Serviços de Saúde
Órgãos dos Sistemas de Saúde/organização & administração
Seres Humanos
Entrevistas como Assunto
Pesquisa Qualitativa
Confiança
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:160216
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2015.1124977


  3 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26604035
[Au] Autor:Hardman J; Elvey M; Shah N; Simson N; Patel S; Anakwe R
[Ad] Endereço:Trauma & Orthopaedics, St Marys Hospital, Praed Street, W2 1NY London, United Kingdom. Electronic address: hardmanj@doctors.org.uk.
[Ti] Título:Defining reference levels for intra-operative radiation exposure in orthopaedic trauma: A retrospective multicentre study.
[So] Source:Injury;46(12):2457-60, 2015 Dec.
[Is] ISSN:1879-0267
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:There is currently limited data to define reference levels for the use of ionising radiation in orthopaedic trauma surgery. In this multicentre study, we utilise methodology employed by the Health Protection Agency in establishing reference levels for diagnostic investigations in order to define analogous levels for common and reproducible orthopaedic trauma procedures. Four hundred ninety-five procedures were identified across four Greater London hospitals over a 1-year period. Exposure was defined in terms of both time and dose area product (DAP). Third quartile mean values for either parameter were used to define reference levels. Variations both between centres and grades of lead surgeon were analysed as secondary outcomes. Reference levels; dynamic hip screw (DHS) 1.9225000 Gycm(2)/70.50 s, intramedullary (IM) femoral nail 1.5837500 Gycm(2)/126.00 s, open reduction internal fixation (ORIF) clavicle 0.2042500 Gycm(2)/21.50 s, ORIF lateral malleolus 0.32250500 Gycm(2)/35.00 s, ORIF distal radius 0.1300000 Gycm(2)/56.00 s. Grade of surgeon did not influence exposure in dynamic hip screw, and was inversely related to exposure in intramedullary femoral nails. Less variation was observed with exposure time than with DAP. This study provides the most comprehensive reference to guide fluoroscopy use in orthopaedic trauma to date, and is of value both at the point of delivery and for audit of local practice.
[Mh] Termos MeSH primário: Fluoroscopia
Fixação Intramedular de Fraturas/métodos
Exposição Ocupacional/prevenção & controle
Procedimentos Ortopédicos/métodos
Exposição à Radiação/prevenção & controle
Lesões por Radiação/prevenção & controle
[Mh] Termos MeSH secundário: Fluoroscopia/efeitos adversos
Fluoroscopia/métodos
Órgãos dos Sistemas de Saúde
Seres Humanos
Duração da Cirurgia
Equipe de Assistência ao Paciente
Guias de Prática Clínica como Assunto
Proteção Radiológica
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170104
[Lr] Data última revisão:
170104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151126
[St] Status:MEDLINE


  4 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:26518238
[Au] Autor:Murphy SV; Atala A
[Ti] Título:New Government Accountability Office Report on Regenerative Medicine Provides an Excellent Assessment of the Field.
[So] Source:Stem Cells Transl Med;4(12):1371-2, 2015 Dec.
[Is] ISSN:2157-6564
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Órgãos dos Sistemas de Saúde
Medicina Regenerativa
Responsabilidade Social
[Mh] Termos MeSH secundário: Retratos como Assunto
Estados Unidos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1602
[Cu] Atualização por classe:151219
[Lr] Data última revisão:
151219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151101
[St] Status:MEDLINE
[do] DOI:10.5966/sctm.2015-0280


  5 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:26093073
[Au] Autor:Valentine N; Verdes-Tennant E; Bonsel G
[Ad] Endereço:Department of Public Health, Erasmus University Rotterdam, Postbus 2040, Rotterdam, The Netherlands; World Health Organization, Ave. Appia 20, CH1211 Geneva, Switzerland. Electronic address: valentine_nicole@hotmail.com.
[Ti] Título:Health systems' responsiveness and reporting behaviour: Multilevel analysis of the influence of individual-level factors in 64 countries.
[So] Source:Soc Sci Med;138:152-60, 2015 Aug.
[Is] ISSN:1873-5347
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Health systems' responsiveness encompasses attributes of health system encounters valued by people and measured from the user's perspective in eight domains: dignity, autonomy, confidentiality, communication, prompt attention, social support, quality of basic amenities and choice. The literature advocates for adjusting responsiveness measures for reporting behaviour heterogeneity, which refers to differential use of the response scale by survey respondents. Reporting behaviour heterogeneity between individual respondents compromises comparability between countries and population subgroups. It can be studied through analysing responses to pre-defined vignettes - hypothetical scenarios recounting a third person's experience in a health care setting. This paper describes the first comprehensive approach to studying reporting behaviour heterogeneity using vignettes. Individual-level variables affecting reporting behaviour are grouped into three categories: (1) sociodemographic, (2) health-related and (3) health value system. We use cross-sectional data from 150,000 respondents in 64 countries from the World Health Organization's World Health Survey (2002-03). Our approach classifies effect patterns for the scale as a whole, in terms of strength and in relation to the domains. For the final eight variables selected (sex; age; education; marital status; use of inpatient services; perceived health (own); caring for close family or friends with a chronic illness; the importance of responsiveness), the strongest effects were present for education, health, caring for friends or relatives with chronic health conditions, and the importance of responsiveness. Patterns of scale elongation or contraction were more common than uniform scale shifts and were usually constant for a particular factor across domains. The dependency of individual-level reporting behaviour heterogeneity on country is greatest for prompt attention, quality of basic amenities and confidentiality domains.
[Mh] Termos MeSH primário: Órgãos dos Sistemas de Saúde/organização & administração
Satisfação do Paciente
[Mh] Termos MeSH secundário: Adulto
Confidencialidade
Estudos Transversais
Estudos de Avaliação como Assunto
Feminino
Saúde Global
Pesquisa sobre Serviços de Saúde
Nível de Saúde
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Meia-Idade
Análise Multinível
Autonomia Pessoal
Indicadores de Qualidade em Assistência à Saúde
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150621
[St] Status:MEDLINE


  6 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
PubMed Central Texto completo
Texto completo
[PMID]:25837290
[Au] Autor:Fox AD; Chamberlain A; Frost T; Cunningham CO
[Ad] Endereço:a Department of Medicine , Albert Einstein College of Medicine , Bronx , New York , USA.
[Ti] Título:Harm Reduction Agencies as a Potential Site for Buprenorphine Treatment.
[So] Source:Subst Abus;36(2):155-60, 2015.
[Is] ISSN:1547-0164
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Harm reduction agencies complement addiction treatment by providing diverse services that improve the health of people who use drugs. Buprenorphine maintenance treatment (BMT) is an effective opioid addiction treatment that may be provided from flexible settings, potentially including harm reduction agencies. This study investigated attitudes toward different potential sites for BMT (harm reduction agencies, general medical clinics, and drug treatment programs) among harm reduction clients. METHODS: Using computer-based interviews, participants indicated preferred potential site for BMT (harm reduction agency, drug treatment program, or general medical clinic), interest in BMT by potential site, motivation for treatment, and barriers to BMT. Multivariable logistic regression was used to determine factors associated with harm reduction agency preference. RESULTS: Of 102 opioid users, the most preferred potential site for BMT was a harm reduction agency (51%), whereas fewer preferred general medical clinics (13%), drug treatment programs (12%), or were not interested in BMT (25%). In multivariable analysis, experiencing ≥1 barrier to BMT was strongly associated with preferring harm reduction agencies (adjusted odds ratio [aOR] = 3.39, 95% confidence interval [CI]: 1.00-11.43). CONCLUSIONS: The potential to initiate BMT at harm reduction agencies is highly favorable among harm reduction clients, especially among those experiencing barriers to BMT. Offering BMT at harm reduction agencies could improve access to treatment, but studies are needed to determine safety and efficacy of this approach.
[Mh] Termos MeSH primário: Buprenorfina/uso terapêutico
Redução do Dano
Acesso aos Serviços de Saúde
Órgãos dos Sistemas de Saúde/estatística & dados numéricos
Tratamento de Substituição de Opiáceos
Transtornos Relacionados ao Uso de Opioides/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Instituições de Assistência Ambulatorial/estatística & dados numéricos
Analgésicos Opioides/uso terapêutico
Feminino
Seres Humanos
Masculino
Meia-Idade
Motivação
Preferência do Paciente/estatística & dados numéricos
Centros de Tratamento de Abuso de Substâncias/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Analgesics, Opioid); 40D3SCR4GZ (Buprenorphine)
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150404
[St] Status:MEDLINE
[do] DOI:10.1080/08897077.2015.1011820


  7 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25814014
[Au] Autor:Takahashi HE
[Ad] Endereço:Niigata Rehabilitation Hospital, Niigata Bone Science institute, Japan.
[Ti] Título:[Hip Fracture--Epidemiology, Management and Liaison Service. What do we need to close care gaps in treating hip fracture?--How to include the UK experience into the care in Japan].
[So] Source:Clin Calcium;25(4):531-44, 2015 Apr.
[Is] ISSN:0917-5857
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:Various care gaps are noted in and between acute and rehabilitation hospitals, and after discharge from hospitals in Japan. In the most of acute care hospitals physicians take care of elderly fractured patients only by a request of orthopaedic team. This made a mean time until surgery was 4.5 days (2011). A critical pathway in treating hip fracture has certainly shortened days in the acute hospitals, care gaps may exist between hospitals. Although osteoporosis medication has started on discharge, it may be discontinued at home, in health or social care facilities under the care of primary care physicians. Even though it was estimated approximately 160,000 hip fractures per year in Japan, management of patients' address is not well established after discharge. In order to include the UK experience in Japan, two proposals were made for hospitals in treating hip fracture as follows. 1. Clinical auditing may be added to improve quality of care. An audit protocol is to be developed multidisciplinarily by orthopaedic surgeons and geriatricians, with interprofessional collaboration. 2. A fracture liaison service is to be established to make interprofessional care-mix possible, such as an increase of adherence of osteoporosis drugs and prevention of falls after discharge. A fracture liaison coordinator is to be assigned to the service in making a team approach possible to a patient and his/her family.
[Mh] Termos MeSH primário: Órgãos dos Sistemas de Saúde
Fraturas do Quadril/terapia
Osteoporose/tratamento farmacológico
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Ensaios Clínicos como Assunto
Seres Humanos
Japão
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1509
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:CliCa1504531544


  8 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25797043
[Au] Autor:Ventura-DiPersia C; Rodriguez K; Kelvin EA
[Ad] Endereço:Doctor of Public Health Program, The Graduate Center, City University of New York School of Public Health, 365 5th Ave, New York, NY 10016; New York Medical College School of Health Sciences and Practice, Department of Epidemiology and Community Health, Valhalla, NY 10595. Electronic address: cventura@gc.cuny.edu.
[Ti] Título:Failure of many United States Department of Health Web sites to provide accurate information about the female condom.
[So] Source:Contraception;92(1):40-5, 2015 Jul.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Uptake of the female condom (FC) in the United States has historically been low; inadequate promotion may be one barrier faced by potential users. We performed a content analysis of state and municipal health department Web sites to describe how the FC is being promoted for pregnancy and disease prevention. We found that only a slim majority (60.8%) of health department Web sites mention the FC at all and those that do include numerous inaccuracies in their messaging. These inaccuracies may discourage uptake of the FC or have a detrimental impact on the experience when using the product for the first time.
[Mh] Termos MeSH primário: Preservativos Femininos
Informação de Saúde ao Consumidor/normas
Comunicação em Saúde/normas
Órgãos dos Sistemas de Saúde/normas
Internet
[Mh] Termos MeSH secundário: Informação de Saúde ao Consumidor/métodos
Serviços de Planejamento Familiar/métodos
Serviços de Planejamento Familiar/normas
Feminino
Comunicação em Saúde/métodos
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150615
[Lr] Data última revisão:
150615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150324
[St] Status:MEDLINE


  9 / 669 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25726975
[Au] Autor:Seibert J; Fields S; Fullerton CA; Mark TL; Malkani S; Walsh C; Ehrlich E; Imshaug M; Tabrizi M
[Ad] Endereço:Dr. Seibert is with RTI International, Research Triangle Park, North Carolina (e-mail: jseibert@rti.org). Ms. Fields is with the University of Maryland School of Social Work, Baltimore. Dr. Fullerton is with Truven Health Analytics, Cambridge, Massachusetts. Dr. Mark, Ms. Malkani, Ms. Walsh, and Dr.
[Ti] Título:Use of quality measures for Medicaid behavioral health services by state agencies: implications for health care reform.
[So] Source:Psychiatr Serv;66(6):585-91, 2015 Jun.
[Is] ISSN:1557-9700
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The structure-process-outcome quality framework espoused by Donabedian provides a conceptual way to examine and prioritize behavioral health quality measures used by states. This report presents an environmental scan of the quality measures and satisfaction surveys that state Medicaid managed care and behavioral health agencies used prior to Medicaid expansion in 2014. METHODS: Data were collected by reviewing online documents related to Medicaid managed care contracts for behavioral health, quality strategies, quality improvement plans, quality and performance indicators data, annual outcomes reports, performance measure specification manuals, legislative reports, and Medicaid waiver requests for proposals. RESULTS: Information was publicly available for 29 states. Most states relied on process measures, along with some structure and outcome measures. Although all states reported on at least one process measure of behavioral health quality, 52% of states did not use any outcomes measures and 48% of states had no structure measures. A majority of the states (69%) used behavioral health measures from the National Committee for Quality Assurance's Healthcare Effectiveness Data and Information Set, and all but one state in the sample (97%) used consumer experience-of-care surveys. Many states supplemented these data with locally developed behavioral health indicators that rely on administrative and nonadministrative data. CONCLUSIONS: State Medicaid agencies are using nationally recognized as well as local measures to assess quality of behavioral health care. Findings indicate a need for additional nationally endorsed measures in the area of substance use disorders and treatment outcomes.
[Mh] Termos MeSH primário: Órgãos dos Sistemas de Saúde/normas
Programas de Assistência Gerenciada/normas
Medicaid
Serviços de Saúde Mental/normas
Garantia da Qualidade dos Cuidados de Saúde/normas
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Reforma dos Serviços de Saúde
Seres Humanos
Qualidade da Assistência à Saúde
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1602
[Cu] Atualização por classe:150602
[Lr] Data última revisão:
150602
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150303
[St] Status:MEDLINE
[do] DOI:10.1176/appi.ps.201400130


  10 / 669 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:25325674
[Au] Autor:Cummins MR
[Ad] Endereço:Utah Nursing Informatics Network.
[Ti] Título:Nursing informatics and learning health system.
[So] Source:Comput Inform Nurs;32(10):471-4, 2014 Oct.
[Is] ISSN:1538-9774
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Educação Continuada em Enfermagem
Órgãos dos Sistemas de Saúde/organização & administração
Informática em Enfermagem
[Mh] Termos MeSH secundário: Aprendizagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1602
[Cu] Atualização por classe:161208
[Lr] Data última revisão:
161208
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:141018
[St] Status:MEDLINE
[do] DOI:10.1097/CIN.0000000000000109



página 1 de 67 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde