Healthcare

Social Support Needs of Families: The Context of Rheumatoid Arthritis
The present study aimed to describe the experience of family members who provide social support to their relative with rheumatoid arthritis (RA), and explore the forms of support that they require. The psychosocial effects and changes that family members experience with their relative’s illness can pose considerable challenge for the family unit. The study used a descriptive qualitative desig...


Postpartum Fatigue, Baby-Care Activities, and Maternal-Infant Attachment of Vaginal and Cesarean Births following Rooming-in
This study compares women’s postpartum fatigue, baby-care activities, and maternal-infant attachment following vaginal and cesarean births in rooming-in settings. Postpartum women admitted to Baby-Friendly hospitals are asked to stay with their babies 24hours a day and to breastfeed on demand regardless of the type of childbirth. The study used a descriptive cross-sectional study design. A to...
Positive Outcomes of Varicose Vein Surgery: The Patient Perspective
Patient-reported outcomes are increasingly recognized as important to understanding outcomes of medical interventions such as varicose vein surgery (VVS). Our aim was to compare positive outcomes of VVS as defined by several patient-reported measures, and to identify baseline characteristics associated with positive outcomes of VVS. A secondary analysis of the UK Patient-Reported Outcome Measur...


Unmet Needs Associated with Attention-Deficit/Hyperactivity Disorder in Eight European Countries as Reported by Caregivers and Adolescents: Results from Qualitative Research
Attention-deficit/hyperactivity disorder (ADHD) is a neurobehavioral disorder characterized by inattention, impulsivity, and hyperactivity, the levels of which are inappropriately high for an individual’s developmental age. The objective of this study was to explore the unmet needs of children/adolescents with ADHD and their caregivers in eight European countries. Semi-structured interviews w...
Pooled assembly of marine metagenomic datasets: enriching annotation through chimerism
Despite advances in high-throughput sequencing, marine metagenomic samples remain largely opaque. A typical sample contains billions of microbial organisms from thousands of genomes and quadrillions of DNA base pairs. Its derived metagenomic dataset underrepresents this complexity by orders of magnitude because of the sparseness and shortness of sequencing reads. Read shortness and sequencing e...


Pulse Oximetry Screening for Critical Congenital Heart Disease: Bringing Evidence into Practice
Congenital heart disease is the most common and serious type of infant birth defect. Pulse oximetry screening has been supported in the literature as a valuable tool to aid in the prompt detection of critical defects. Pulse oximetry is easily accessible, inexpensive, and noninvasive, and can be readily performed by clinical nurses at the infant's bedside, however it remains a technology that is...
Smoking Cessation and Relapse Challenges Reported by Postpartum Women
To compare inpatient postpartum current and former smokers on: need for smoking cessation assistance; cessation interventions received from healthcare providers; cessation methods used; perceived barriers of cessation; exposure to second hand smoke (SHS); interest in postdischarge interventions; and smoking abstinence self-efficacy (SASE). and A descriptive comparative study was conducted using...

Informal Milk Sharing: What Nurses Need to Know
Human milk is the ideal food for human infants. However, some infants will be in situations wherein there is insufficient human milk to meet their needs. This article addresses formal breast milk donation (donor milk) and informal sharing of breast milk. Healthcare providers are likely to encounter families who access milk by informal breast milk sharing or cross-nursing. Both practices rely he...
Does the Type of Sleep Surface Influence Infant Wellbeing in the NICU?
To evaluate whether different mattress surfaces (standard vinyl-covered foam mattress [SFM] versus viscoelastic polyurethane mattress [VPM]) are associated with differences in nurses' perceptions of infant sleep/restfulness, nurses' assessment of infant pain, parents' perceptions of infant comfort/crying, infant weight, and vital signs among babies with birthweights ...

Health Promotion Text Blasts for Minority Adolescent Mothers
To examine use of technology for delivering a health promotion intervention via text blasts in single, low-income, adolescent, minority mothers and to describe their perceptions and experiences with the intervention. and A qualitative descriptive design was used for this study. Health promotion information was sent weekly in the form of text blasts and/or pictures to five mothers during the fir...
Nurses as Primary Advocates for Immunization Adherence
Immunizations, one of the greatest public health achievements, are at times hindered by a history of powerful biological, social, and cultural reactions from the public. State laws require immunizations for school entry, however some parents choose a nonmedical exemption for their children. Although many vaccine-preventable diseases are practically extinct in the United States, nurses have a un...

Radiation Exposure and Pregnancy
Radiological exposure from nuclear power reactor accidents, transportation of nuclear waste accidents, industrial accidents, or terrorist activity may be a remote possibility, but it could happen. Nurses must be prepared to evaluate and treat pregnant women and infants who have been exposed to radiation, and to have an understanding of the health consequences of a nuclear or radiological incide...
Scaling up Family Medicine in Uganda
MicrosoftInternetExplorer4It is evident that politicians, health managers and academics are realising the potential contribution of Family Medicine to health systems in sub-Saharan Africa. The challenge is in training institutions to recruit and train enough Family Physicians in order to meet expectations. The 3rd Family Medicine Conference in Uganda, held in October 2013, explored innovative w...
Using clinical variables and drug prescription data to control for confounding in outcome comparisons between hospitals
Hospital discharge records are an essential source of information when comparing health outcomes among hospitals; however, they contain limited information on acute clinical conditions. Doubts remain as to whether the addition of clinical and drug consumption information would improve the prediction of health outcomes and reduce confounding in inter-hospital comparisons. The objective of the st...
Is organizational progress in the EFQM model related to employee satisfaction?
To determine whether there is greater employee satisfaction in organisations that have made more progress in implementation of the European Foundation for Quality Management (EFQM) model. A series of cross-sectional studies (one for each assessment cycle) comparing staff satisfaction survey results between groups of healthcare organisations by degree of implementation of the EFQM model (assesse...