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Presymptomatic SARS-CoV-2 Infections and Transmission in a Skilled Nursing Facility. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can spread rapidly within skilled nursing facilities. After identification of a case of Covid-19 in a skilled nursing facility, we assessed transmission and evaluated the adequacy of symptom-based screening to identify infections in residents.We conducted two serial point-prevalence surveys, 1 week apart, in which assenting residents (...) , presymptomatic, or asymptomatic.Twenty-three days after the first positive test result in a resident at this skilled nursing facility, 57 of 89 residents (64%) tested positive for SARS-CoV-2. Among 76 residents who participated in point-prevalence surveys, 48 (63%) tested positive. Of these 48 residents, 27 (56%) were asymptomatic at the time of testing; 24 subsequently developed symptoms (median time to onset, 4 days). Samples from these 24 presymptomatic residents had a median rRT-PCR cycle threshold value
Safe nurse staffing levels in acute hospitals 2019 www.kce.fgov.be KCE REPORT 325 SAFE NURSE STAFFING LEVELS IN ACUTE HOSPITALS 2019 www.kce.fgov.be KCE REPORT 325 HEALTH SERVICES RESEARCH SAFE NURSE STAFFING LEVELS IN ACUTE HOSPITALS KOEN VAN DEN HEEDE, LUK BRUYNEEL, DORIEN BEECKMANS, NIELS BOON, NICOLAS BOUCKAERT, JUSTIEN CORNELIS, DORIEN DOSSCHE, CARINE VAN DE VOORDE, WALTER SERMEUS COLOPHON Title: Safe nurse staffing levels in acute hospitals Authors: Koen Van den Heede (KCE), Luk Bruyneel (...) , Germany), Matthew McHugh (University of Pennsylvania School of Nursing, United States) Stakeholders: Geoffroy Berckmans (Union Générale des Infirmiers de Belgique (UGIB)), Bernard Ceriez (Association Belge des Directeurs d'Hôpitaux (ABDH)), Margot Cloet (Zorgnet-Icuro), Alexander Deschuymere (Gezondheidsinstellingen Brussel Bruxelles Institutions de Santé (GIBBIS)), Ellen De Wandeler (Algemene Unie van Verpleegkundigen van België (AUVB)), Arabella D'Havé (FOD Volksgezondheid – SPF Santé Publique
JBI Evidence Summary: Moral Distress (Nurses): Strategies in Emergency Department Settings MORAL DISTRESS (NURSES): STRATEGIES IN EMERGENCY DEPARTMENT SETTINGS 04/03/2020 Author Lucylynn Lizarondo, PhD, MPhysio, MPsych Question What is the best available evidence regarding the strategies used by nurses in emergency departments to cope with moral distress? Clinical Bottom Line Moral distress is widely reported in the nursing literature, specifically for nurses working in critical care settings (...) . 1 Emerging evidence suggests that nurses in an emergency department (ED) can also experience moral distress due to the fast-paced environment, high acuity, overcrowding and the complexity and unpredictability of patient presentations that require very quick decisions. 1 Moral distress can lead to physical and psychological problems that can ultimately impact on patient care and the healthcare organization in general. 1,2 It is therefore important that ED nurses are equipped with coping
JBI Evidence Summary: Moral Distress (Nurses): Interventions in Critical Care Settings MORAL DISTRESS (NURSES): INTERVENTIONS IN CRITICAL CARE SETTINGS 04/03/2020 Author Lucylynn Lizarondo, PhD Question What is the best available evidence regarding effective interventions to alleviate moral distress experienced by nurses working in critical care settings? Clinical Bottom Line Moral distress is commonly experienced by nurses working in critical care settings. 1-3 Moral distress in these settings (...) can be related to the inability of nurses to act according to their belief of what is right, care provided by other healthcare workers, poor communication, inconsistent care plans, end-of-life decision-making and the amount of care provided. 1,3 The experience usually leads to feelings of frustration and helplessness, lack of self-worth, depression, physical symptoms (e.g. headache and palpitations) and burn-out, which in turn can have a negative impact on patient care and the efficiency
The role and response of primary care and community nursing in the delivery of palliative care in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic The role and response of primary care and community nursing in the delivery of palliative care in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes (...) and disseminates better evidence for healthcare. Navigate this website The role and response of primary care and community nursing in the delivery of palliative care in epidemics and pandemics: a rapid review to inform practice and service delivery during the COVID-19 pandemic June 4, 2020 Sarah Mitchell 1,2 , Victoria Maynard 2 , Victoria Lyons 2 , Nicholas Jones 3 , Clare Gardiner 4 On behalf of the Oxford COVID-19 Evidence Service Team Centre for Evidence-Based Medicine, Nuffield Department of Primary Care
Complementary Therapy for Cancer Survivors: Integrative Nursing Care. The number of cancer patients who survive more than 5 years after the completion of their initial treatment is increasing. Oncology nurses must consider the needs of long-term cancer survivors in addition to those of cancer patients undergoing treatment because cancer survivors experience anxiety over several issues, including the risk of recurrence and progression of cancer status and symptom management.We tried to examine
[Nurse-led educational intervention in patients with atrial fibrillation discharged from the emergency department reduces complications and shortterm admissions]. To assess whether a nurse-led patient educational intervention for patients with atrial fibrillation (AF) discharged from the emergency department (ED) can improve the patients' understanding of arrhythmia and its treatment and reduce the number of complications and arrhythmia-related admissions.Prospective study of an intervention (...) %) than in the control group (24.2%) (P=.040). Fewer intervention patients had been admitted with heart failure at 30 days (0.8% vs 6.4% in the control group; P=.023); there were also fewer all-cause admissions at 90 days (11.2% vs 20.9%; P=.041).A nurse-led educational intervention on discharge from the ED improved patients' understanding of AF and decreased the number of complications, short-term admissions for heart failure, and mid-term all-cause admissions.
Effect of Nursing Intervention on Mothers' Knowledge of Cervical Cancer and Acceptance of Human Papillomavirus Vaccination for their Adolescent Daughters in Abuja - Nigeria. The aim of this study is to evaluate the effect of nursing intervention on mothers' knowledge of cervical cancer and acceptance of human papillomavirus (HPV) vaccination for their adolescent daughters in Abuja, Nigeria.This was a quasi-experimental study that utilized two groups pre and post-test design. The study (...) was 35 years ± 6.6 in the EG and 41 years ± 8.2 in the CG. The mean knowledge score of cervical cancer was low at baseline in both EG (9.58 ± 7.1) and CG (11.61 ± 6.5). However, there was a significant increase to 21.45 ± 6.2 after the intervention in EG (P < 0.0001). The baseline acceptance of HPV vaccination was high in EG after intervention from 74% to 99%. Exposure to nursing intervention and acceptance of HPV vaccination was statistically significant after intervention (P < 0.0001).The nursing
The Effect of Complementary Therapy for Hospital Nurses with High Stress. This study was to examine the effect of complementary therapy (CT) for nurses with high stress levels. It was taken before we employ this technique for cancer survivors because cancer patients are a heterogeneous group that requires substantial resources to investigate.A quasi-experimental design with five groups was employed for this study. The groups were examined whether there were effects for reducing the stress (...) and the differences in effectiveness among four intervention groups and a nonintervention group. Stress relief was measured using pulse rate and blood pressure measurements and the short form of the profile of mood states (POMS-SF). The participants practiced the therapy for 20 min twice per week for 3 weeks. A two-way factorial analysis of variance was used to analyze the data.The study enrolled 98 nurses (92 female and 6 male) with a mean age of 37.3 ± 10.5 years (range: 22-60 years). Fifty-nine nurses had 10
Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial High-quality evidence on how to improve palliative care in nursing homes is lacking.To investigate the effect of the Palliative Care for Older People (PACE) Steps to Success Program on resident and staff outcomes.A cluster-randomized clinical trial (2015-2017) in 78 nursing homes in 7 countries comparing PACE Steps to Success Program (intervention) with usual care (control (...) ). Randomization was stratified by country and median number of beds in each country in a 1:1 ratio.The PACE Steps to Success Program is a multicomponent intervention to integrate basic nonspecialist palliative care in nursing homes. Using a train-the-trainer approach, an external trainer supports staff in nursing homes to introduce a palliative care approach over the course of 1 year following a 6-steps program. The steps are (1) advance care planning with residents and family, (2) assessment, care planning
Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: the Ageing-ONDUAL-TASK randomized controlled study the potential benefits of dual-task interventions on older adults living in long-term nursing homes (LTNHs) from a multidimensional perspective are unknown. We sought to determine whether the addition of simultaneous cognitive training to a multicomponent exercise program offers further benefits to dual-task, physical
Nurse-led vs. usual-care for atrial fibrillation Nurse-led integrated care is expected to improve outcome of patients with atrial fibrillation compared with usual-care provided by a medical specialist.We randomized 1375 patients with atrial fibrillation (64 ± 10 years, 44% women, 57% had CHA2DS2-VASc ≥ 2) to receive nurse-led care or usual-care. Nurse-led care was provided by specialized nurses using a decision-support tool, in consultation with the cardiologist. The primary endpoint (...) was a composite of cardiovascular death and cardiovascular hospital admissions. Of 671 nurse-led care patients, 543 (81%) received anticoagulation in full accordance with the guidelines against 559 of 683 (82%) usual-care patients. The cumulative adherence to guidelines-based recommendations was 61% under nurse-led care and 26% under usual-care. Over 37 months of follow-up, the primary endpoint occurred in 164 of 671 patients (9.7% per year) under nurse-led care and in 192 of 683 patients (11.6% per year
Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity | British Association of Perinatal Medicine Allow cookies for anonymous usage tracking with Google Analytics Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity A BAPM Framework for Practice - Supplementary Guidance 12 November 2019 Categories The document aims to help (...) professionals determine optimal cot numbers and neonatal nurse staffing for individual units within a network and to facilitate decisions about admission when a unit is close to capacity. It provides supplementary guidance to BAPM Framework for Practice - . It should be used in conjunction with , the recommendations of the Neonatal Review in England, and the recommendations of the , as well as existing standards in each of the UK nations. Categories: BAPM Frameworks for Practice Related resources 25 Jun
Oncology Nursing Telepractice Standards Care Ontario Oncology Nursing Telepractice Standards Oncology Nursing Program August, 2019 Oncology Nursing Telepractice Standards 1 INTRODUCTION In 2017, the Oncology Nursing Program at Cancer Care Ontario completed a current state assessment across the province. The goal of the assessment was to gain a better understanding of the current landscape of oncology nursing in the outpatient setting, including nursing roles and models of nursing care delivery (...) throughout the province. Based on the results of this assessment, it was evident that telephone management makes up a large component of the oncology nurse’s supportive care role, but there was great variation as to how this role component was prioritized, supported, and delivered across organizations. The level of oncology nursing expertise and competency required to deliver telephone care safely, along with training expectations, and use of nursing practice guidelines to guide the encounters across
Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines | CADTH.ca Find the information you need Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Last updated: August 8, 2019 Project Number: RB1371-000