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Unbound Medicine.
(Quality of health care)
8,113,576 results
  • Bypassing of nearest labor & delivery unit is contingent on rurality, wealth, and race. [Journal Article]
    Birth. 2023 Feb 08 [Online ahead of print]Carrel M, Keino BC, … Radke S
  • Patient decisions to bypass the closest labor & delivery (L&D) facility in favor of other birthing locations can have consequences for the provision of health care in rural and micropolitan areas as patient volumes decline and payer mixes change. Among 220 589 uncomplicated births in Iowa, we document characteristics of birth parents who bypass their closest birthing facility, show how this bypas…
  • The challenges facing residential aged care homes to participate in quality food and nutrition research. [Journal Article]
    J Hum Nutr Diet. 2023 Feb 08 [Online ahead of print]Cave D, Abbey K, Capra S
  • CONCLUSIONS: Several challenges to undertaking quality empirical research in residential aged care in Australia were identified. Research needs to be part of usual business, like hospitals and operate independently of staffing and funding issues. Issues within foodservices are system issues and there is a need for quality empirical research to determine solutions. This article is protected by copyright. All rights reserved.
  • Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. [Review]
    Worldviews Evid Based Nurs. 2023 Feb 08 [Online ahead of print]Connor L, Dean J, … Gallagher-Ford L
  • CONCLUSIONS: Findings indicate that EBPs improve patient outcomes and ROI for healthcare systems. Coordinated and consistent use of established nomenclature and methods to evaluate EBP and patient outcomes are needed to effectively increase the growth and impact of EBP across care settings. Leaders, clinicians, publishers, and educators all have a professional responsibility related to improving the current state of EBP. Several key actions are needed to mitigate confusion around EBP and to help clinicians understand the differences between quality improvement, implementation science, EBP, and research.
  • Evidence Translating Ability: A Walker and Avant Concept Analysis. [Journal Article]
    Florence Nightingale J Nurs. 2023 Feb; 31(1):62-68.Dang VN
  • CONCLUSIONS: Evidence translating ability requires a set of skills that nurses have to do such as identifying the challenges and analyzing the setting for searching the evidence; the best evidence is not the highest evidence hierarchy, the best evidence is the evidence that suits patient, organization, and practitioner abilities.
  • Occupational Satisfaction of Public Hospital Nurses in India: A Qualitative Explorative Study. [Journal Article]
    Florence Nightingale J Nurs. 2023 Feb; 31(1):42-47.Joseph HB, Ravindran V, Sahoo KC
  • CONCLUSIONS: The findings help us understand the various facilitating and hindering challenges nurses face in occupational satisfaction. It also emphasizes the organization's focus on modifiable factors in the working environment, enhancing satisfaction, and helping the nurses work more effectively and efficiently to deliver quality nursing care. Nursing administration in every healthcare setting should focus on strategies to improve nurses' professional development.
  • Lived Experiences of Adults with Sickle Cell Disease: A Qualitative Study, Dar es Salaam, Tanzania. [Journal Article]
    East Afr Health Res J. 2022; 6(2):189-195.Mkoka DA, Nkingi R
  • CONCLUSIONS: Individuals with SCD experiences several episodes of pain that affect their quality of life. Pain episode can be triggered or aggravated by various factors. Several approaches are used by individuals with SCD to self-manage the pain including taking rest, drinking plenty of water or using pain relieving medication. Care for individuals with SCD should be comprehensive and include proper management of pain, health education on home-based intervention for sickle cell pain, supportive services to deal with psychosocial implications of SCD and improving coping strategies to live with the illness.
  • Functional Ability and Health Problems of Stroke Survivors: An Explorative Study. [Journal Article]
    Cureus. 2023 Jan; 15(1):e33375.Poomalai G, Prabhakar S, Sirala Jagadesh N
  • Background A stroke is an emergency medical condition that needs to be treated promptly. Patients who suffer from stroke frequently experience varying degrees of impairment, necessitating emergency hospital treatment and prolonged home care. It can lower the quality of life which leads to social isolation and makes it harder to function independently. The purpose of this research was to assess th…
  • Improving the Hospital Transfer Process for Acute Type A Aortic Dissections. [Journal Article]
    Cureus. 2023 Jan; 15(1):e33451.Wagle R, Baumgartner B, … Helton N
  • Patients with acute type A aortic dissection who arrive at hospitals that lack the facilities to treat them must be transferred to a tertiary care facility to receive treatment. The transfer process involves a checkpoint at which the transfer is accepted or denied. Delays in making this decision may lead to suboptimal health outcomes. In light of this, the goal of this project was to devise a way…
  • Singapore KneE osTeoarthritis CoHort (SKETCH): protocol for a multi-centre prospective cohort study. [Journal Article]
    BMC Musculoskelet Disord. 2023 Feb 07; 24(1):104.Tan BY, Goh ZZS, … Car J
  • CONCLUSIONS: Results will allow contextualization, identification, and phenotyping of the critical (and potentially modifiable) psychosocial parameters that predict positive clinical outcomes in the OA population to guide optimization and refinement of healthcare and community. This will facilitate: 1. identification of high-risk knee OA subpopulations that will likely experience poor outcomes and 2. formulation of targeted multidisciplinary comprehensive approaches to address these psychosocial factors to optimize non-surgical treatment care, maximize functional outcomes and create more value-based care model for knee OA.
  • Informed or misinformed consent and use of modified texture diets in dysphagia. [Journal Article]
    BMC Med Ethics. 2023 Feb 07; 24(1):7.O'Keeffe ST, Leslie P, … SPARC (Swallow Perspectives, Advocacy and Research Collective)
  • CONCLUSIONS: Research is required to examine the informed consent processes in different settings, but there is ample reason to suggest that current practice in this area is suboptimal. Staff need to reflect on their current practice regarding use of modified texture diets with an awareness of the current evidence and through the 'lens' of informed consent. Education is required for staff to clarify the importance of, and requirements for, valid informed consent and for decision making that reflects people's preferences and values.
  • A novel approach to frontline health worker support: a case study in increasing social power among private, fee-for-service birthing attendants in rural Bangladesh. [Journal Article]
    Hum Resour Health. 2023 Feb 07; 21(1):7.Curry D, Islam MA, … Khandaker I
  • CONCLUSIONS: The SHE model successfully established a private SBA cadre that improved birth outcomes and enhanced their social power and technical skills in challenging settings through the mainstream health system. Strengthening the agency, voice, and well-being of the SHEs has transformative potential. Designing SBA interventions that increase their power in their social context could expand their economic independence and reinforce positive gender and power norms in the community, addressing long-standing issues of poor remuneration, overburdened workloads, and poor retention. Witnessing the introduction of peer or near-peer women with well-respected, well-compensated roles among their neighbors can significantly expand the effectiveness of frontline health workers and offer a model for other women in their own lives.
  • Student nurses' perceptions and experiences in caring for people living with HIV/AIDS: a qualitative study. [Journal Article]
    BMC Med Educ. 2023 Feb 07; 23(1):99.Shi C, Cleofas JV
  • CONCLUSIONS: Findings shed light on the development and changes in student nurses' perspectives on PLWHAs throughout their clinical experiences. Student nurses' perceptions and attitudes toward PLWHAs progressed through three distinct stages, and positive changes were observed after care-giving. Participants' perceptions and practical experiences with patients with AIDS enable patients to receive fair and high-quality care and provide valuable insights for nursing educators better prepare HIV nurses.
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