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Results for “practice environment”

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At least 577 records · Page 32Linked to original sources

PubMed2000

[Natural latex allergy. Primary and secondary prevention in work environment].

UNLABELLED: AT RISK GROUPS: The incidence of latex hypersensitivity of latex hypersensitivity has increased over the last decade. The main at-risk groups for developing latex allergy are: health care workers and employees working in latex industries, patients with atopic diathesis and subjects with repeated surgical procedures during childhood. SENSITIZATION: The use of cornstarch powder gloves can sensitize healthy subjects and exacerbate symptoms of allergic patients as the powder spreads the latex allergens into the environment. PRACTICAL ATTITUDE: We propose here some practical recommendations for prevention, both for the general population and for allergic subjects.

Adult↗

PubMedDate not supplied

[Debate in the USA on nurses' delegation of duties to assistants].

In the today's rapidly changing practice environment, more nurses than ever are facing delegation dilemmas. The main issues of the debate on delegation of task and activities from nurses to less qualified personnel are reported. Nurses can delegate tasks but remain accountable for the final result. The main rules for delegation are discussed and the need for a correct communication and education to delegate is stressed.

Clinical Competence↗

PubMed2001

Urinary tract infection. Are we getting it right?

BACKGROUND: A lack of strict diagnostic criteria often leads to overtreatment of inconsequential infection in the urinary tract and inadequate concern for potentially serious infections. OBJECTIVE: To assist in the identification of patients with bacteria in the urinary tract who need to have antibiotic therapy and further imaging investigations. DISCUSSION: Since the majority of urine infections are treated in general practice, much more research is needed on this topic within the general practice environment.

Anti-Bacterial Agents↗

PubMedDate not supplied

Continued neglect of rural and remote nursing in Australia: the link with poor health outcomes.

Difficulties facing Australian rural and remote nurses first emerged decades ago and recent Australian Federal Government rural health strategies have promised improvements in health outcomes. However closer scrutiny of the funding allocation supporting these claims reveals that although nurses provide the majority of health care, they receive only a small fraction of funding support. Successive rural health strategies have continued to overlook nurses' concerns regarding the nurse-practice environment interface. This persistent lack of political support stifles organisational support for the nursing role, resulting in frustration, resignation and diminished health care delivery. Meanwhile, rural and remote population health outcomes fail to show signs of improvement.

Australia↗

PubMed2001

What's been done? What's to come?

Since October 17, 2000, when the Registered Nurses Association of British Columbia (RNABC) released its 10-Point Plan to Solve B.C.'s Nurse Shortage, the Association has continued to lobby for action on the recommendations in the plan. Here's a look at what's happened so far. In addition to the actions outlined here, RNABC sponsored the Western Canadian Forum for Senior Nurse Leaders in October. This sold-out conference brought together nurse experts from across North America to discuss ways to improve practice environments that encourage retention and recruitment of nurses.

British Columbia↗

PubMed2002

Application of problem-based learning to clinical dental education.

Problem-based learning provides a mechanism for learning in a manner that most closely simulates the future practice environment. PBL was initiated in medical education in the 1960s, and two-thirds of U.S. medical schools use PBL in their programs. The University of Southern California School of Dentistry has moved to the PBL model to give its dental students the knowledge base required to meet accreditation standards and to prepare them to be beginning general practitioners. This article explains how USC uses PBL in its dental curriculum.

Curriculum↗

PubMedDate not supplied

Mystery patient insight into clinical laboratory service.

Gone are the days when most patients tolerated impersonal service from their physicians and health-care providers in general. Every day, customer and patient satisfaction becomes more critical to a health-care provider's success and survival. Open communications, Internet-informed patients, and aggressive watch groups reveal those health-care providers who consistently deliver poor service. Most health-care providers employ patient satisfaction surveys to monitor their level of service; however, written and telephone surveys seldom provide the surveyor the insight necessary to provide differentiating service because of a large illiteracy rate and fear of reprisal. Toward this end, a well-trained mystery patients offers the health-care provider greater insight into how service is dispensed to its customers and patients. This article offers an aggregate of mystery patient insights into delivering clinical laboratory services both in hospital and medical practice environments, supported with insightful information into creating winning service strategies.

Benchmarking↗

PubMed2002

Preparing for and managing change: some thoughts for curriculum planners and implementers.

This paper outlines issues related to curricular reforms, and strategies to be considered for planning and implementation so as to ensure that the change is institutionalised. In Malaysia, in general, some imminent curricular changes have been carried out to prepare graduates for future changes in the practice environment. Change of reform requires planning, with consideration of the directions in which the change is needed, and the possible educational approaches to be utilized. To ensure change can occur and be maintained there should be effort to induce a paradigm shift amongst teachers and administrators at all levels, there must be transparency and dissemination of information of the required change and why, there must be involvement of teachers in decision making to ensure better compliance.

Curriculum↗

PubMedDate not supplied

[Systematic preventive antibiotic therapy during hysterosalpingography in an African tropical environment: is this practice justified?].

To find out whether preventive antibiotic therapy can be justified in the practice of hysterosalpingography in a tropical environment where the infectious risk is notoriatly high, the authors performed a prospective study concerning 49 females patients. The patients in genital activity period, were willing and volunteers and were aged from 20 to 44 years. They were examined by hysterosalpingography during a period of three months. Patients were distributed in two homogenous group, one group of 25 patients who had a preventive antibiotic therapy and the second group with 24 patients with no preventive antibiotic therapy. Hysterosalpingography examinations were performed with sterile and single-use equipment. All patients were clinically examined for medical record purposes: gynaecologic, obstetric, pelvic infection, oral contraception, previous hysterosalpingography. Biologic dosages were realized, including blood count and erythrocyte sedimentation, culture of vaginal sampling, C reactive protein rate. The results obtained showed no significant difference between the two groups. The authors conclude that hysterosalpingography can be also performed in a tropical environment without using systematic preventive antibiotic therapy provided that asepsisrules are strictly observed.

Adult↗

PubMed2004

Osteopathic emergency physician training and use of osteopathic manipulative treatment.

Previous studies of osteopathic manipulative treatment (OMT) have examined its use in several clinical settings, but no study to date has been specific to emergency medicine. This article examines the use of OMT in the practice of emergency medicine by osteopathic physicians. Osteopathic physicians who identified their practice as emergency medicine were surveyed to determine OMT use, including techniques used, graduate medical education, and factors affecting usage. Use of OMT was common (55%), with a large minority (28%) of osteopathic physicians reporting daily or weekly usage. Techniques most often used include soft tissue treatment, high velocity/low amplitude treatment, and muscle energy treatment. Factors affecting usage include residency training, undergraduate medical experiences, and practice environment. These findings indicate that further investigation into the indications and efficacy of OMT in emergency medicine is warranted.

Adult↗

PubMed2004

The Health Insurance Portability & Accountability Act and the practice of dentistry in the United States: system security.

This article reviews the issues related to the Health Insurance Portability & Accountability Act (HIPAA) security rule that apply to dental practice. The security rule specifically addresses individually identifiable health information that is transmitted or maintained in electronic media. System security must be applied to the entire technical infrastructure for the practice environment as well as to the work culture on a daily basis and must be thought of as an enterprise asset. Security refers to all of the policies, procedures, tools, and techniques used to assure that privacy and confidentiality are adequately addressed in a healthcare system. HIPAA requires all covered entities that transmit or maintain electronic health information perform, and document, a risk assessment for security and develop a security plan to address major areas of concern. A self-assessment tool is provided in this article.

Computer Security↗

PubMed2004

Management of urinary incontinence following radical prostatectomy.

INTRODUCTION: The impact of a urology oncology nurse specialist in the practice environment to assist with both pre and postoperative education needs of men undergoing genitourinary surgery for cancer was evaluated. OBJECTIVE: This study aimed to improve the preoperative process and teaching for men planning surgery for genitourinary cancers, including the delivery of pathology results. A secondary aim was to decrease the incidence of postoperative incontinence. METHODS: Male patients undergoing a radical prostatectomy were recruited. Patients who underwent surgery were evaluated both before and after the urology oncology nurse specialist role was established. Followup was via phone call interview and International Prostate Symptom Score questionnaire. RESULTS: Men who received the personalized education from the urology oncology nurse specialist had a higher return of continence postoperatively, as well as higher satisfaction scores with the outcome of their surgery, including higher quality of life scores. CONCLUSION: The urology oncology nurse specialist role had a significant impact on the postoperative incontinence rate and provided a missing patient education piece that improved the overall patient satisfaction rate with oncology-related care.

Follow-Up Studies↗

PubMed2005

Bacterial inactivation in open air by the afterglow plume emitted from a grounded hollow slot electrode.

Escherichia coli, Bacillus atrophaeus, and Bacillus atrophaeus spores were exposed to a downstream plasma afterglow plume emitted from a slotted plasma device operating in open air at atmospheric pressure. The reactor electrodes were RF powered at 13.56 MHz to excite a mixture of argon and oxygen gases by a capacitive discharge as it flowed past the electrodes into open air. Bacterial inactivation experiments on surfaces exposed to the plasma afterglow were conducted with varying plasma exposure times. Experimental results demonstrated a colony forming unit (CFU) reduction of almost 5 log10 of E. coli with only 1 s of exposure per unit area. One log CFU reduction was observed in B. atrophaeus with the same treatment time of 1 s per unit area. B. atrophaeus spores showed a reduction of 3 log10 with exposure time of 10 min. Comparison on various growth media suggests that cells are killed rather than sublethally injured, while the mechanistic action of the plasma appears to affect both nucleic acids as well as the cell wall structure. These results present a promising means of inactivation of harmful microbes in a practical environment with an electrically grounded device that is handheld, much like a wand applicator. Results are applicable to the development of plasma sterilization tools for various environmental purposes.

Bacillus↗

PubMed2004

Spiritual caregiving at the juncture of religion, culture, and state.

In response to the increasing social diversity of health-care recipients, nurse scholars have turned their attention to developing theoretical foundations for culturally responsive and spiritually sensitive nursing practice. However, despite the potential overlap between these 2 areas, there has been little exploration of the intersections between culture and spirituality. The authors present the findings of an interpretive descriptive pilot study that examined the contexts of intercultural spiritual caregiving from the perspectives of nurses and chaplains. The findings point to the need for health-care professionals to cultivate an internal space in which to provide spiritual care and to seek spiritual points of connection amidst diverse faith and cultural traditions. The contexts of current practice environments, as well as the social setting of a pluralistic and secular state, shape the dynamics of spiritual caregiving. The findings invite postcolonial, critical analyses of contemporary conceptions of spirituality and spiritual caregiving, and call for a rethinking of the trend towards de-emphasizing creedal religions in the quest for a universal spiritual experience.

Canada↗

PubMed2005

Residency programs for primary care nurse practitioners in federally qualified health centers: a service perspective.

A number of social forces are converging to shape the coming health care and professional practice environment for nurse practitioners (NPs) and the public they serve. Two major innovations of the 1960s, NPs and community health centers, have reached their fourth decade since their inception. These forces have traveled parallel and overlapping paths in their mission to provide high quality health care. Today the current federally qualified community health centers (FQHCs) are a major component of the nation's safety net for the medically underserved, special populations, and the uninsured throughout the United States. Nurse practitioners in the FQHC settings are responsible for highly complex care across lifecycles, with a focus on the treatment and management of disease along with prevention and health promotion. The author suggests that FQHC-based formal residency programs in primary care at either the post-master's or post-doctoral level are the next step in the evolution of both FQHCs and NP preparation. Possible funding mechanisms through changes in federal graduate medical education legislation are explored.

Community Health Centers↗

PubMedDate not supplied

The WOMAC Knee and Hip Osteoarthritis Indices: development, validation, globalization and influence on the development of the AUSCAN Hand Osteoarthritis Indices.

Clinical measurement in both clinical research and clinical practice requires tools and techniques that are valid, reliable and responsive. Patient-centred self-reported measures provide opportunity to evaluate consequences of osteoarthritis, that are important and relevant to patients with the condition. The WOMAC and AUSCAN Indices are health status measurement questionnaires that are valid, reliable and responsive, easy to complete, simple to score and available in multiple language forms and scaling formats. They provide opportunities to capture patient relevant information, relating to the impact of interventions, in clinical research and clinical practice environments. WOMAC data have also contributed to the development of proposed definitions for responder criteria and state-attainment criteria in osteoarthritis.

Biomedical Research↗

PubMedDate not supplied

Defining and addressing moral distress: tools for critical care nursing leaders.

Nurse clinicians may experience moral distress when they are unable to translate their moral choices into moral action. The costs of unrelieved moral distress are high; ultimately, as with all unresolved professional conflicts, the quality of patient care suffers. As a systematic process for change, this article offers the AACN's Model to Rise Above Moral Distress, describing four A's: ask, affirm, assess, and act. To help critical care nurses working to address moral distress, the article identifies 11 action steps they can take to develop an ethical practice environment.

Adaptation, Psychological↗

PubMed2002

Quality of nursing care provided in a neonatal intensive care unit. Structure assessment.

Structure is considered one of the three major approaches to the evaluation of quality the other two being process and outcome. Appraisal of structure involves the attributes of the settings in which care is delivered that includes the material resources, the human resources, and the organizational structure. The aim of the study was to assess the quality of nursing care provided at tne neonatal intensive care unit (NICU) at Princess Badia Teaching Hospital, Jordan, as regards the various components of structure domain within the context of quality. A checklist for structure assessment was developed which included criteria classified under three main areas namely, material resources, human resources, and organizational structure. Results revealed certain deviations from the recommended compliance scores for each area. Recommendations were proposed to stress the importance of the NICU being specifically built to reflect practice, environment, and cultural needs, as well as continuous education activities of NICU staff. Documented policy and procedure manuals were also recommended for assuring maintained quality care at the NICU.

Humans↗