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[PMID]:29364827
[Au] Autor:Verma R; Jena AK; Singh SP; Utreja AK; Rattan V
[Ad] Endereço:Department of Orthodontics and Dentofacial Orthopedics, Gian Sagar Dental College and Hospital, Ramnagar, Banur, Punjab, India. rashmiverma.in@gmail.com.
[Ti] Título:Multidisciplinary management of post-ankylosis malocclusion and mandibular deformity.
[So] Source:J Clin Orthod;51(12):809-819, 2017 Dec.
[Is] ISSN:0022-3875
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anquilose/terapia
Transtornos da Articulação Temporomandibular
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Masculino
Má Oclusão/etiologia
Má Oclusão/terapia
Equipe de Assistência ao Paciente
Retrognatismo/etiologia
Retrognatismo/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:180125
[St] Status:MEDLINE


  2 / 59219 MEDLINE  
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[PMID]:29360183
[Au] Autor:Izumi S; Barfield PA; Basin B; Mood L; Neunzert C; Tadesse R; Bradley KJ; Tanner CA
[Ad] Endereço:Oregon Health & Science University School of Nursing, Portland, Oregon.
[Ti] Título:Care coordination: Identifying and connecting the most appropriate care to the patients.
[So] Source:Res Nurs Health;41(1):49-56, 2018 02.
[Is] ISSN:1098-240X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although nurses are increasingly expected to fulfill the role of care coordinator, the knowledge and skills required to be an effective care coordinator are not well understood. The purpose of this study was to describe the knowledge and skills required in care coordination practice using an interpretive phenomenological approach. Fifteen care coordinators from 10 programs were interviewed over a 6-month period. Semi-structured face-to-face interviews were audio recorded, transcribed, and analyzed using interpretive phenomenology. The central theme of care coordination practice was bridging the patient and the healthcare systems. To bridge, care coordinators needed to have knowledge of the patient and healthcare system as well as the skills to identify and negotiate treatments appropriate for the patient. The most salient finding and new to this literature was that care coordinators who used their medical knowledge about available treatment options to discern and negotiate for the most appropriate care to the patient made differences in patient outcomes. Nurses with medical and healthcare system knowledge, combined with the skills to navigate and negotiate with others in an increasingly complex healthcare system, are well situated to be care coordinators and generate optimal outcomes. Further investigations of critical care coordinator competencies are needed to support nurses currently enacting the role of care coordinator and to prepare future nurses to fulfill the role.
[Mh] Termos MeSH primário: Equipe de Assistência ao Paciente/organização & administração
Assistência Centrada no Paciente/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Colaboração Intersetorial
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE
[do] DOI:10.1002/nur.21843


  3 / 59219 MEDLINE  
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[PMID]:29267423
[Au] Autor:Bordeleau L; Leblanc J
[Ad] Endereço:Université de Sherbrooke.
[Ti] Título:[Interprofessional Collaboration as a Modality to Resolve Therapeutic Impasses in Child Psychiatry: A Review].
[Ti] Título:La collaboration interprofessionnelle comme modalité pour résoudre les impasses thérapeutiques en pédopsychiatrie : une revue de littérature..
[So] Source:Sante Ment Que;42(2):229-243, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Child and adolescent intervention in child psychiatric clinics generates a high risk of therapeutic impasses for clinicians. Among the factors that contribute to this situation are the increasing severity of the problems of young people who are referred to psychiatric clinics and the obligation for professionals to collaborate with various actors surrounding the patient. This literature review explores the possibility that an intervention targeting indicators of interprofessional collaboration can help resolved the therapeutic impasses encountered by professionals working in child psychiatry. The article begins with a description of the impasse in therapeutic clinical child psychiatry. It then introduces a broad look at research about interprofessional collaboration and its effects on mental health service delivery. Finally, it examines the structuring model of the interprofessional collaboration process of D'Amour et al. in order to highlight the indicators that may be related to the resolution of clinical therapeutic impasses in child psychiatry. This review examines the possible interventions that could be done when targeting indicators of D'Amour et al.'s interprofessional collaboration model in order to improve therapeutic impasses resolution. A promising direction for future research which could contribute to therapeutic impasses resolution in child psychiatry is proposed.
[Mh] Termos MeSH primário: Transtornos Mentais/terapia
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Criança
Psiquiatria Infantil
Seres Humanos
Serviços de Saúde Mental
Modelos Organizacionais
Equipe de Assistência ao Paciente/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


  4 / 59219 MEDLINE  
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[PMID]:29231639
[Au] Autor:Hunnålvatn KH; Ivan D; Wisborg T
[Ti] Título:Emergency medicine in the general practice internship in Finnmark county.
[Ti] Título:Akuttmedisinsk turnusarbeid i Finnmark..
[So] Source:Tidsskr Nor Laegeforen;137(23-24), 2017 12 12.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:eng; nor
[Ab] Resumo:BACKGROUND: It is preferred that duty doctors in municipal health services participate in call-outs in emergency situations. The frequency of participation has previously been shown to vary. We wanted to examine the newly qualified doctors' expectations and experiences ­ both before and after the general practice internship ­ of emergency medicine and ambulance call-outs. MATERIAL AND METHOD: All 23 of the interns who were to undertake their general practice internship in Finnmark county in the period 2015­16 answered a questionnaire and participated in a focus group interview before the start of the internship. Twenty-one of the interns participated in the focus group interview after completing the internship. Each doctor took part in two interviews. We analysed the transcripts from the focus group interviews using the grounded theory method. RESULTS: The responses from the questionnaire before the general practice internship showed that the interns felt they needed more training in intravenous cannulation and in teamwork. Their expectations in connection with the challenges of call-outs are best characterised by the core category 'Can I do anything useful?' from the focus groups before the internship. After the internship, however, the core category 'It all went well in the end', was the best fit. Due to short transport times and their knowledge of certain patients, some of the doctors chose not to take part in call-outs. INTERPRETATION: During the general practice internship, the interns were initially anxious about whether they might be superfluous in call-outs, but eventually found their footing in the call-out role. The study shows that there is a need for more practice in certain practical procedures, and that doctors' non-technical skills need to be improved. This can be done through training in team leader roles before the general practice internship.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência
Medicina Geral/educação
Internato e Residência
Papel do Médico/psicologia
[Mh] Termos MeSH secundário: Ambulâncias
Atitude do Pessoal de Saúde
Competência Clínica
Grupos Focais
Seres Humanos
Noruega
Equipe de Assistência ao Paciente
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0160


  5 / 59219 MEDLINE  
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[PMID]:29406638
[Au] Autor:McGuire M
[Ti] Título:Is the Key to Successful Teambuilding Puzzling? Exactly!
[So] Source:Pediatr Nurs;42(5):212, 216, 2016 Sep-Oct.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Relações Interprofissionais
Colaboração Intersetorial
Medicina Naval/organização & administração
Equipe de Assistência ao Paciente/organização & administração
Enfermagem Pediátrica/organização & administração
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Maryland
Meia-Idade
Estados Unidos
United States Public Health Service
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  6 / 59219 MEDLINE  
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[PMID]:28459904
[Au] Autor:Englander H; Weimer M; Solotaroff R; Nicolaidis C; Chan B; Velez C; Noice A; Hartnett T; Blackburn E; Barnes P; Korthuis PT
[Ad] Endereço:Oregon Health and Science University, Portland, OR; Central City Concern, Portland, OR.
[Ti] Título:Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder.
[So] Source:J Hosp Med;12(5):339-342, 2017 05.
[Is] ISSN:1553-5606
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates of costly readmissions and longer than expected length of stay. Community stakeholders identified long wait times and lack of resources for medically complex patients as key barriers. We developed the Improving Addiction Care Team (IMPACT), which includes an inpatient addiction medicine consultation service, rapid-access pathways to posthospital SUD treatment, and a medically enhanced residential care model that integrates antibiotic infusion and residential addiction care. We developed a business case and secured funding from Medicaid and hospital payers. IMPACT provides one pathway for hospitals, payers, and communities to collaboratively address the SUD epidemic. Journal of Hospital Medicine 2017;12:339-342.
[Mh] Termos MeSH primário: Necessidades e Demandas de Serviços de Saúde/tendências
Hospitalização/tendências
Equipe de Assistência ao Paciente/tendências
Transtornos Relacionados ao Uso de Substâncias/terapia
[Mh] Termos MeSH secundário: Adulto
Registros Eletrônicos de Saúde/economia
Registros Eletrônicos de Saúde/tendências
Feminino
Necessidades e Demandas de Serviços de Saúde/economia
Hospitalização/economia
Seres Humanos
Masculino
Medicaid/economia
Medicaid/tendências
Equipe de Assistência ao Paciente/economia
Transtornos Relacionados ao Uso de Substâncias/economia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.12788/jhm.2736


  7 / 59219 MEDLINE  
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[PMID]:29179840
[Au] Autor:Armand S
[Ad] Endereço:Équipe mobile de gériatrie, GHM de Grenoble, 8, rue du Docteur-Calmette, 38028, Grenoble cedex 02, France. Electronic address: geriarmand@gmail.com.
[Ti] Título:[Collaboration in the prevention of frailty].
[Ti] Título:Une collaboration dans la prévention de la fragilité..
[So] Source:Rev Infirm;66(236):21-22, 2017 Dec.
[Is] ISSN:1293-8505
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Hospitalisation is an opportunity for frailty in the elderly to be detected. The collaboration of the assessment and prevention geriatrician-nurse partnership, combined with the skills of the advanced practice nurse in gerontology, helps to instil a culture of frailty prevention in the teams and create adapted care pathways.
[Mh] Termos MeSH primário: Fragilidade/prevenção & controle
Hospitalização
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Idoso
Fragilidade/diagnóstico
Avaliação Geriátrica
Seres Humanos
[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:171129
[St] Status:MEDLINE


  8 / 59219 MEDLINE  
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[PMID]:29390383
[Au] Autor:Kobo-Greenhut A; Sakas J; Magnezi R; Ben Shlomo I
[Ad] Endereço:The Department of Management, Bar Ilan University.
[Ti] Título:Stop! Check your initial assumptions: Frozen patient management in obstetrical practice.
[So] Source:Medicine (Baltimore);96(50):e9280, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:At times, leaping from one patient management routine to an alternative one may be required to mitigate medical errors. "Frozen patient management" is the resultant situation, when, in the face of an obvious gap between the expected and the actual phenomena, leaping from current patient management to an alternative one is not considered or done. Frozen patient management can lead to a significant delay of the correct definitive intervention, be it surgical or pharmacological. The significance of this delay is especially important in time-dependent dynamic situations. In delivery ward, this may cost the life of either the fetus or the mother.In this study, we describe a sequence in which frozen patient management occurred in the delivery ward. Using "thinking protocol" (herein termed "de-freezing" questionnaire) made the team stop and consider a leap when gaps became apparent, and saved the mother's life.We believe that adopting the "de-freezing questionnaire" as a routine adjunct for all medical activities would lead to a timely change of treatment line, which, in turn, will save lives and unnecessary suffer.
[Mh] Termos MeSH primário: Síndrome HELLP/diagnóstico
Síndrome HELLP/tratamento farmacológico
Erros Médicos/prevenção & controle
Equipe de Assistência ao Paciente/organização & administração
[Mh] Termos MeSH secundário: Adulto
Cesárea
Diagnóstico Diferencial
Feminino
Seres Humanos
Gravidez
Resultado da Gravidez
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009280


  9 / 59219 MEDLINE  
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[PMID]:29389801
[Au] Autor:Havens DS; Gittell JH; Vasey J
[Ad] Endereço:Author Affiliations: Professor (Dr Havens), School of Nursing, The University of North Carolina at Chapel Hill; Professor (Dr Gittell), Heller School for Social Policy & Management, Brandeis University, Waltham, Massachusetts; Principal (Dr Vasey), Tosti-Vasey & Vasey, Bellefonte, Pennsylvania.
[Ti] Título:Impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim.
[So] Source:J Nurs Adm;48(3):132-140, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To explore how relational coordination, known to enhance quality and efficiency outcomes for patients and hospitals, impacts direct care nurse outcomes such as burnout, work engagement, and job satisfaction, addressing the "Quadruple Aim," to improve the experience of providing care. BACKGROUND: Hospitals are complex organizations in which multiple providers work interdependently, under conditions of uncertainty and time constraints, to deliver safe quality care despite differences in specialization, training, and status. Relational coordination-communicating and relating for the purpose of task integration-is known to improve quality, safety, and efficiency under these conditions, but less is known about its impact on the well-being of direct care providers themselves. METHODS: Surveys measuring relational coordination among nurses and other types of providers as well as job-related outcomes in 5 acute care community hospitals were completed by direct care RNs. RESULTS: Relational coordination was significantly related to increased job satisfaction, increased work engagement, and reduced burnout. CONCLUSIONS: Relational coordination contributes to the well-being of direct care nurses, addressing the Quadruple Aim by improving the experience of providing care.
[Mh] Termos MeSH primário: Esgotamento Profissional/psicologia
Satisfação no Emprego
Cuidados de Enfermagem/normas
Recursos Humanos de Enfermagem no Hospital/normas
Equipe de Assistência ao Paciente/normas
Qualidade da Assistência à Saúde/normas
Engajamento no Trabalho
[Mh] Termos MeSH secundário: Esgotamento Profissional/etiologia
Esgotamento Profissional/prevenção & controle
Seres Humanos
Relações Interprofissionais
Colaboração Intersetorial
Cuidados de Enfermagem/organização & administração
Cuidados de Enfermagem/psicologia
Recursos Humanos de Enfermagem no Hospital/organização & administração
Recursos Humanos de Enfermagem no Hospital/psicologia
Equipe de Assistência ao Paciente/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[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:180202
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000587


  10 / 59219 MEDLINE  
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[PMID]:29386448
[Au] Autor:Sawaguchi T; Kamo T
[Ad] Endereço:Showa University School of Medicine.
[Ti] Título:[Some Attentional Points in the Clinical Aspects of Trauma Care].
[So] Source:Nihon Eiseigaku Zasshi;73(1):57-61, 2018.
[Is] ISSN:1882-6482
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:Almost all patients requiring care for a combination of sexual, physiological, and psychological trauma, suffer from psychological or mental illness. Mental symptoms are well known to be associated with the violence very well and assailants have a violence dependency but it is not a well known mental disease. Changing of roles between being an assailant and being a victim is observed in half of the patients. In patients with trauma, hyperarousal and apathy appears simultaneously, and avoidance symptoms, intrusion symptoms, and crashed sleep, dissociation are also recognized. In addition, symptoms of orality are observed in patients requiring trauma care. However, hyperarousal, disturbance of sleep, and suicidal ideation improve quickly and the symptoms of a pair of a mother-child pair are well correlated. In organic non-temporary hyper psychogenic diseases (physiological diseases and surgery, and so on), non-organic psychogenic diseases (psychiatric diseases), and diseases on the border line between organic and non-organic diseases (psychosomatic diseases and may be unknown to non-medical professionals knowledge of such characteristic symptoms) is important information for health and medical care in the regional comprehensive care setting.
[Mh] Termos MeSH primário: Transtornos de Estresse Pós-Traumáticos/terapia
[Mh] Termos MeSH secundário: Assistência Integral à Saúde
Seres Humanos
Equipe de Assistência ao Paciente
Psicoterapia de Grupo
Apoio Social
Transtornos de Estresse Pós-Traumáticos/diagnóstico
Transtornos de Estresse Pós-Traumáticos/etiologia
Transtornos de Estresse Pós-Traumáticos/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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.73.57



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