3,218 results match your criteria hospital-based nursing


Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines.

Int J Integr Care 2021 Apr 6;21(2). Epub 2021 Apr 6.

Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0213, JP.

Introduction: Japan's health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons.

Theory And Methods: A cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews. Read More

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Using innovative models in transition to practice and Master's Entry programs to teach ambulatory and primary care nursing.

J Prof Nurs 2021 Mar-Apr;37(2):435-440. Epub 2020 May 1.

Dean's Office, School of Nursing and Health Professions, University of San Francisco, San Francisco, CA, United States of America. Electronic address:

With advancements in health care and changes in reimbursement that contribute to shorter hospitalizations, health care delivery is increasingly shifting to other settings to include skilled nursing, home care, and outpatient areas. There is a well-documented shortage of hospital-based capacity for clinical placements in California. The need for clinical placements is creating an opportunity to utilize ambulatory care settings as innovative alternative learning experiences for prelicensure nursing students. Read More

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Implementing Advance Care Planning Tools in Practice: A Modified World Café to Elicit Barriers and Recommendations from Potential Adopters.

Healthc Q 2021 Apr;24(1):60-68

A hospital-based general internist at the Division of General Internal and Hospitalist Medicine, Credit Valley Hospital, Trillium Health Partners in Mississauga, ON.

This paper reports findings from a modified World Café conducted at a palliative care professional conference in 2019, where input on tools to support advance care planning (ACP) was solicited from healthcare practitioners, managers and family members of patients. Barriers to ACP tool use included insufficient structures and resources in healthcare, death-avoidance culture and inadequate patient and family member engagement. Recommendations for tool use included clarification of roles and processes, training, mandates and monitoring, leadership support, greater reflection of diversity in tools and methods for public engagement. Read More

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Compliance towards infection prevention measures among health professionals in public hospitals, southeast Ethiopia: a cross-sectional study with implications of COVID-19 prevention.

Trop Med Health 2021 Apr 16;49(1):30. Epub 2021 Apr 16.

Department of Nursing, School of Health Science, Madda Walabu University Goba Referral Hospital, Bale, Goba, Ethiopia.

Introduction: The new coronavirus disease 2019 is an emerging respiratory disease caused by the highly contagious novel coronavirus which has currently overwhelmed the world. Realizing a comprehensive set of infection prevention measures is a key to minimize the spread of this virus and its impacts in all healthcare settings. Therefore, this study was aimed to assess the compliance towards COVID-19 preventive measures and associated factors among health professionals in selected public hospitals, southeast Ethiopia. Read More

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Effectiveness of an infection prevention strategy to limit exposure of high-risk patients to COVID-19 in a hospital-based subacute unit: a descriptive report.

J Infect Prev 2021 Mar 4;22(2):94-97. Epub 2020 Dec 4.

O'Connor Hospital, San Jose, CA, USA.

The coronavirus (COVID-19) epidemic has put unprecedented stress on hospitals as well as skilled nursing facilities, where reside some of the most vulnerable individuals at high risk of mortality and complications of this infection. This report highlights the strategy and success of hospital infection prevention efforts to protect the residents of an in-hospital subacute unit with 24 at-risk patients with chronic pulmonary disease in northern California. Specific efforts are detailed, with results of surveillance testing reported, including both viral PCR and serological IgG assays. Read More

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A Dance Program to Manage A Fatigue-Sleep Disturbance-Depression Symptom Cluster among Breast Cancer Patients Receiving Adjuvant Chemotherapy: A Feasibility Study.

Asia Pac J Oncol Nurs 2021 May-Jun;8(3):337-339. Epub 2021 Feb 4.

The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Objective: Fatigue, sleep disturbance, and depression (FSD) are highly prevalent among breast cancer (BC) patients undergoing adjuvant chemotherapy, constituting a common symptom cluster (i.e., FSD cluster). Read More

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February 2021

Identifying disincentives to ethics consultation requests among physicians, advance practice providers, and nurses: a quality improvement all staff survey at a tertiary academic medical center.

BMC Med Ethics 2021 Apr 13;22(1):44. Epub 2021 Apr 13.

Department of Family Medicine and Public Health, Division of Biostatistics and Bioinformatics, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.

Background: Ethics consult services are well established, but often remain underutilized. Our aim was to identify the barriers and perceptions of the Ethics consult service for physicians, advance practice providers (APPs), and nurses at our urban academic medical center which might contribute to underutilization.

Methods: This was a cross-sectional single-health system, anonymous written online survey, which was developed by the UCSD Health Clinical Ethics Committee and distributed by Survey Monkey. Read More

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Caregiver experiences of paediatric inpatient cardiac services: A qualitative systematic review.

Eur J Cardiovasc Nurs 2021 Apr;20(2):147-159

Newcastle Upon Tyne Hospitals NHS Foundation Trust, UK.

Background: Advances in paediatric care have contributed to an increasing survival of children with complex heart disease. Yet, life-saving management demands prolonged inpatient admissions, which contribute to emotional and psychological distress for parents and other caregivers in a role of main custody.

Aim: The purpose of this study was to identify, appraise and synthesise qualitative studies exploring caregivers' experiences of paediatric inpatient cardiac services, generating an understanding of their needs in hospital and informing priorities for change in healthcare delivery. Read More

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Impact of a Face-To-Face Versus Smartphone App Versus Combined Breastfeeding Intervention Targeting Fathers: Randomized Controlled Trial.

JMIR Pediatr Parent 2021 Apr 12;4(2):e24579. Epub 2021 Apr 12.

School of Population Health, Curtin University, Perth, Australia.

Background: Despite the recognized health and economic benefits of exclusive breastfeeding, few Australian infants are exclusively breastfed beyond 5 months of age. Social support for breastfeeding, in particular the support of an infant's father, has been identified as a crucial element for successful breastfeeding.

Objective: The objective of this study was to determine the effectiveness of various father-focused breastfeeding interventions in terms of key infant feeding outcomes. Read More

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Detection, spread and phylogeny of meticillin-resistant sequence type 45 in Taiwan.

Microb Genom 2021 Apr;7(4)

National Institute of Infectious Diseases and Vaccinology, National Health Research Institutes, Zhunan, Taiwan, Taiwan, ROC.

Meticillin-resistant (MRSA) sequence type (ST) 45 was reported in the literature to have been first identified in 2006 in Taiwan. The present study was carried out to explore and trace the emergence, transmission and evolutional dynamics of MRSA ST45 in Taiwan. We identified MRSA ST45 isolates retrospectively from two collections of MRSA isolates, namely TSAR (Taiwan Surveillance of Antimicrobial Resistance) surveys and the CGMH (Chang Gung Memorial Hospital)-based laboratory collection. Read More

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Improving Incident Reporting in a Hospital-Based Radiation Oncology Department: The Impact of a Customized Crew Resource Training and Event Reporting Intervention.

Cureus 2021 Apr 5;13(4):e14298. Epub 2021 Apr 5.

Curriculum and Accreditation, Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, USA.

Background Radiation oncology (RO) is a high-risk environment with an increased potential for error due to the complex automated and manual interactions between heterogeneous teams and advanced technologies. Errors involving procedural deviations-- can adversely impact patient morbidity and mortality. Under-reporting of errors is common in healthcare for reasons such as fear of retribution, liability, embarrassment, etc. Read More

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'We tend to get pad happy': a qualitative study of health practitioners' perspectives on the quality of continence care for older people in hospital.

BMJ Open Qual 2021 Apr;10(2)

Nursing and Midwifery, University of the West of England Faculty of Health and Applied Sciences, Bristol, UK.

Background: Bladder and bowel control difficulties affect 20% and 10% of the UK population, respectively, touch all age groups and are particularly prevalent in the older (65+ years) population. However, the quality of continence care is often poor, compromising patient health and well-being, increasing the risk of infection, and is a predisposing factor to nursing and residential home placement.

Objective: To identify factors that help or hinder good continence care for patients aged 65 years and over in hospital medical ward settings. Read More

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Determinants of dietary diversity practice among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia.

PLoS One 2021 9;16(4):e0250037. Epub 2021 Apr 9.

Department of Medical Emergency, Hossana College of Health Science, Hossana, Ethiopia.

Background: Dietary diversity has continued to receive a global attention among pregnant women as they have been considered susceptible to malnutrition because of their increased nutrient demands. Thus, a variety of foodstuffs in their diet are necessary for ensuring the appropriateness of their nutrient consumptions. This study, therefore assessed the dietary diversity practice and its determinants among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia. Read More

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Knowledge and Practices on the Safe Handling of Cytotoxic Drugs Among Oncology Nurses Working at Tertiary Teaching Hospitals in Addis Ababa, Ethiopia.

Drug Healthc Patient Saf 2021 29;13:71-80. Epub 2021 Mar 29.

Department of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

Background: Cytotoxic drugs (CDs) administration and occupational exposure is a worldwide concern. Inappropriate handling may cause toxic residues to infiltrate hospital environments and patient care areas, and can even be traced to patients' homes. Hence, the study sought to assess knowledge and practices on the safe handling of cytotoxic drugs Among Oncology Nurses at Tertiary Teaching Hospitals in Addis Ababa, Ethiopia. Read More

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Differentiating impacts of non-pharmaceutical interventions on non-coronavirus disease-2019 respiratory viral infections: Hospital-based retrospective observational study in Taiwan.

Influenza Other Respir Viruses 2021 Apr 7. Epub 2021 Apr 7.

Division of Infectious Diseases, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Physical distancing and facemask use are worldwide recognized as effective non-pharmaceutical interventions (NPIs) against the coronavirus disease-2019 (COVID-19). Since January 2020, Taiwan has introduced both NPIs but their effectiveness on non-COVID-19 respiratory viruses (NCRVs) remain underexplored.

Methods: This retrospective observational study examined electronic records at a tertiary hospital in northern Taiwan from pre-COVID (January-December 2019) to post-COVID period (January-May 2020). Read More

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Factors Influencing Patients Using Long-Term Care Service of Discharge Planning by Andersen Behavioral Model: A Hospital-Based Cross-Sectional Study in Eastern Taiwan.

Int J Environ Res Public Health 2021 03 13;18(6). Epub 2021 Mar 13.

Department of Health Business Administration, Meiho University, Pingtung 912009, Taiwan.

Taiwan has been an aged society since March 2018, and the elderly population suffer from multiple comorbidities and long duration of disability. Therefore, the service of discharge planning of long-term care 2.0 is an important stage before patients go back to the community. Read More

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Influence of Lost to Follow Up from Antiretroviral Therapy Among Retroviral Infected Patients at Tuberculosis Centers in Public Hospitals of Benishangul-Gumuz, Ethiopia.

Authors:
Girish Degavi

HIV AIDS (Auckl) 2021 22;13:315-327. Epub 2021 Mar 22.

BuleHoraUniversity's Department of Nursing, College of Health and Medical Science, Bulehora, Hageremaryam, Ethiopia.

Background: Broadening access to healthcare (ART) antiretroviral therapy has led to a 19% reduction in the death rate of people infected with the human immunodeficiency virus. This study would also describe the status and deciding factors of ART in (TB) tuberculosis centers in public hospitals of Benishangul-Gumuz, Ethiopia, for (LTFU) lost follow-up among (RVI) retroviral infected patients.

Methods: Hospital-based, unrivalled analysis of the case management (3:1) design was conducted. Read More

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Preparedness to Face the COVID-19 Pandemic in Hospice and Palliative Care Services in the Asia-Pacific Region: A Rapid Online Survey.

Am J Hosp Palliat Care 2021 Apr 1:10499091211002797. Epub 2021 Apr 1.

Cicely Saunders Institute, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.

Background: Hospice and palliative care services provision for COVID-19 patients is crucial to improve their life quality. There is limited evidence on COVID-19 preparedness of such services in the Asia-Pacific region.

Aim: To evaluate the preparedness and capacity of hospice and palliative care services in the Asia-Pacific region to respond to the COVID-19 pandemic. Read More

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Higher hospital referral concentration associated with lower-risk patients in skilled nursing facilities.

Health Serv Res 2021 Mar 29. Epub 2021 Mar 29.

Department of Health Services Policy and Practice, School of Public Health, Brown University, Providence, Rhode Island, USA.

Objective: To examine whether stronger referral relationships between hospitals and skilled nursing facilities (SNF) are associated with lower-risk patients being admitted to SNF.

Data Sources/collection: We used MedPAR data to estimate referral relationship strength and nursing home survey data (OSCAR and CASPER) to determine the risk of patient admissions at nearly 14 000 SNFs from 2008 to 2014.

Study Design: We examined the association of hospital referral concentration with the percentage of higher-risk patients admitted to non-hospital-based (freestanding) SNFs using an instrumental variables approach. Read More

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[Perception of hospital-based nurses on the discharge from hospital.]

Soins 2021 Mar;66(853):55-57

Centre hospitalier universitaire de Rennes, site Pontchaillou, 2 rue Henri-Le-Guilloux, 35033 Rennes cedex 9, France.

Numerous studies show the risk of a breakdown in the continuity of care when a patient leaves hospital. A study was carried out of hospital-based nurses, to find out their representations with regard to their role in the hospital-home transition. The results enable areas of improvement to be identified. Read More

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Risk of COVID-19 Infection in Healthcare Workers Exposed During Use of Non-invasive Ventilation in a Tertiary Care Hospital in Oman.

Oman Med J 2021 Mar 24;36(2):e236. Epub 2021 Mar 24.

Department of Nursing, Royal Hospital, Muscat, Oman.

Objectives: Healthcare workers (HCWs), especially those working on the front line, are considered to be at high risk of nosocomial acquisition of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19). Little is known about the effectiveness of the recommended protective methods as few reports have described spread of the disease in hospital settings among this high-risk population. We describe the hospital-based transmission of SARS-CoV-2 related to non-invasive ventilation (NIV) in one of the main tertiary care hospitals in Oman. Read More

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Impacts on health outcomes and on resources utilization for anticancer drugs injection at home, a complex intervention: a systematic review.

Support Care Cancer 2021 Mar 25. Epub 2021 Mar 25.

Hospitalization At Home - Assistance Publique des Hôpitaux de Paris, 14, rue Vésale, 75005, Paris, France.

Background: As hospital-based home care is a complex intervention, we critically appraised the key elements that could ensure the completeness of assessment and explain the heterogeneity of the literature results about the comparison between home and hospital setting for the anticancer drugs injection within the same standards of clinical care.

Methods: Systematic review was conducted. Medline, Embase, Cochrane Library, Web of Sciences, and Cumulative Index of Nursing and Allied Health (Cinahl) searched to February 1, 2019, and combined with grey literature. Read More

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Perspectives of multisectoral community stakeholders on Arab American cancer patients' needs and suggested interventions.

Support Care Cancer 2021 Mar 24. Epub 2021 Mar 24.

School of Public Health, University of Illinois at Chicago, 649 SPHPI MC923, Chicago, IL, USA.

Background: Multilevel barriers can arise after a cancer diagnosis, especially in underserved racial/ethnic minority patient populations, raising the need for diverse and contextually adapted interventions. However, limited data exists on Arab American (ArA) cancer patients' needs, partly due to their racial/ethnic misclassification as Whites. This study leveraged the perspectives of cancer survivors and community stakeholders (i. Read More

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A multi-dimensional EBP educational program to improve evidence-based practice and critical thinking of hospital-based nurses: Development, implementation, and preliminary outcomes.

Nurse Educ Pract 2020 Dec 31;52:102964. Epub 2020 Dec 31.

Guangzhou Women and Children's Medical Center, China.

Improving outcomes and quality of care through evidence-based practice (EBP) is a priority globally. But most nurses have insufficient competence in EBP. How to conduct Educational interventions to enhance clinical nurses' EBP competencies and critical thinking disposition (CTD) requires more evidence. Read More

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December 2020

Level of Preparedness for COVID-19 and Its Associated Factors among Frontline Healthcare Providers in South Gondar Public Hospitals, Northwest Ethiopia, 2020: A Multicenter Cross-Sectional Study.

Biomed Res Int 2021 2;2021:6627430. Epub 2021 Mar 2.

Department of Maternal and Neonatal Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Introduction: Although the efforts at global and national levels have attempted to decrease the COVID-19 pandemic, the low level of preparedness among healthcare providers is a challenge mainly in developing countries. Hence, this study is aimed at assessing the level of preparedness for COVID-19 and its associated factors among frontline healthcare providers in South Gondar public hospitals, northwest Ethiopia.

Methods And Materials: A hospital-based cross-sectional study was conducted among 207 selected healthcare providers who were working in South Gondar public hospital from July 08 to August 29, 2020. Read More

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Investigating inequities in cardiovascular care and outcomes for Queensland Aboriginal and Torres Strait Islander people: protocol for a hospital-based retrospective cohort data linkage project.

BMJ Open 2021 Mar 19;11(3):e043304. Epub 2021 Mar 19.

Aboriginal and Torres Strait Islander Health Division, Queensland Health, Brisbane, Queensland, Australia.

Introduction: Cardiovascular disease (CVD) represents a significant burden of disease for Aboriginal and Torres Strait Islander people, a population that continues to experience a lower life expectancy than other Australians. The aim of the Better Cardiac Care Data Linkage project is to describe patient care pathways and to identify disparities in care and health outcomes between Aboriginal and Torres Strait Islander people and other Queensland residents diagnosed with CVD in the state of Queensland.

Methods: This is a population-based retrospective cohort study using linked regional, state and national health and administrative data collections to describe disparities in CVD healthcare in primary and secondary prevention settings and during hospitalisation. Read More

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Multipronged infection control strategy to achieve zero nosocomial coronavirus disease 2019 (COVID-19) cases among Hong Kong healthcare workers in the first 300 days of the pandemic.

Infect Control Hosp Epidemiol 2021 Mar 19:1-10. Epub 2021 Mar 19.

Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.

Background: Nosocomial outbreaks leading to healthcare worker (HCW) infection and death have been increasingly reported during the coronavirus disease 2019 (COVID-19) pandemic.

Objective: We implemented a strategy to reduce nosocomial acquisition.

Methods: We summarized our experience in implementing a multipronged infection control strategy in the first 300 days (December 31, 2019, to October 25, 2020) of the COVID-19 pandemic under the governance of Hospital Authority in Hong Kong. Read More

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The association of vertically integrated care with health care use and outcomes.

Health Serv Res 2021 Mar 17. Epub 2021 Mar 17.

Schaeffer Center for Health Policy and Economics, Sol Price School of Public Policy, University of Southern California, Los Angeles, California, USA.

Objective: To determine whether vertically integrated hospital and skilled nursing facility (SNF) care is associated with more efficient use of postdischarge care and better outcomes.

Data Sources: Medicare provider, beneficiary, and claims data from 2012 to 2014.

Study Design: We compared facility characteristics, quality of care, and health care use for hospital-based SNFs and "virtually integrated" SNFs (defined as freestanding SNFs with close referral relationships with a single hospital) relative to nonintegrated freestanding SNFs. Read More

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Occurrence and timely management of problems requiring prompt intervention among Indigenous compared with non-Indigenous Australian palliative care patients: a multijurisdictional cohort study.

BMJ Open 2021 Mar 16;11(3):e042268. Epub 2021 Mar 16.

Western Australian Centre for Rural Health, School of Population and Global Health, The University of Western Australia, Perth, Western Australia, Australia.

Objectives: Anticipation and prompt relief of symptoms among patients with a life-limiting illness is a core element of palliative care. Indigenous Australians commonly encounter cultural barriers in healthcare that may impair outcomes. The Palliative Care Outcomes Collaboration collects patient care data for the purposes of continuous quality improvement and benchmarking, with each recorded care episode divided into phases that reflect a patient's condition. Read More

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Prevalence of Stroke and Stroke Risk Factors in a South-Western Community of Nepal.

J Stroke Cerebrovasc Dis 2021 May 13;30(5):105716. Epub 2021 Mar 13.

Division of Respirology, Department of Medicine, McMaster University, Hamilton, Canada; Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom.

Background: Stroke related studies in Nepal are primarily hospital-based and mainly from the capital city.

Objectives: We aimed to estimate the prevalence of stroke and stroke risk factors in the South-Western community of Nepal.

Methods: A cross-sectional study was conducted from May to August 2018 among 549 randomly selected Nepalese participants from diverse ethnicity, aged ≥15 years, in a region with the availability of neurological support facilities. Read More

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