Healthcare

Patients' Care Needs: Documentation Analysis in General Hospitals
The purpose of the study is (a) to describe care needs derived from records of patients in Dutch hospitals, and (b) to evaluate whether nurses employed the NANDA-I classification to formulate patients' care needs. A stratified cross-sectional random-sampling nursing documentation audit was conducted employing the D-Catch instrument in 10 hospitals comprising 37 wards. FindingsThe most prevalent...


Concept Analysis and Content Validation of Risk of Injury to the Urinary Tract: Nursing Diagnosis
To elaborate, propose, and validate risk for urinary tract injury as a nursing diagnosis. Methodology was divided into three phases: analysis of the concept of urinary tract injury, elaboration of the diagnosis, and validation by a group of specialists. FindingsDiagnosis label, definition, and inclusion in taxonomy were validated. In 15 risk factors proposed, 12 were validated.sRisk of urinary ...
The impact of China’s national essential medicine system on improving rational drug use in primary health care facilities: an empirical study in four provinces
The National Essential Medicine System (NEMS) is a new policy in China launched in 2009 to improve the appropriate use of medications. This study aims to examine the outcomes of the NEMS objectives in terms of the rational use of medicines in primary health care facilities in China. A total of 28,651 prescriptions were collected from 146 township health centers in four provinces of China by mea...


Nest building is impaired in the Ts65Dn mouse model of Down syndrome and rescued by blocking 5HT2a receptors
Down syndrome (DS) has an incidence of about 1/700 births, and is therefore the most common cause of cognitive and behavioral impairments in children. Recent studies on mouse models of DS indicate that a number of pharmacotherapies could be beneficial for restoring cognitive abilities in individuals with DS. Attention deficits that are present in DS account in part for learning and memory defic...
Return-to-Work Self-Efficacy and Actual Return to Work Among Long-Term Sick-Listed Employees
Considering the costs incurred by sickness absence and the implications for the workers’ quality of life, a fast return to work (RTW) is important. Self-efficacy (SE) seems to be an important predictor of RTW for employees with mental health problems. The predictive value of return-to-work self-efficacy (RTW-SE) has not been examined in employees on long-term sickness absence due to any cause...


Dynamic device properties of pulse contour cardiac output during transcatheter aortic valve implantation
This prospective single-center study aimed to determine the responsiveness and diagnostic performance of continuous cardiac output (CCO) monitors based on pulse contour analysis compared with invasive mean arterial pressure (MAP) during predefined periods of acute circulatory deterioration in patients undergoing transcatheter aortic valve implantation (TAVI). The ability of calibrated (CCOCAL) ...
Using Lean Methodology to Decrease Wasted RN Time in Seeking Supplies in Emergency Departments
Timely stocking of essential supplies in an emergency department (ED) is crucial to efficient and effective patient care. The objective of this study was to decrease wasted nursing time in obtaining needed supplies in an ED through the use of Lean process controls. As part of a Lean project, the team conducted a “before and after” prospective observation study of ED nurses seeking supplies....

The Menefee Model for Patient-Focused Interdisciplinary Team Collaboration
The conversion to electronic plans of care in a community hospital setting offered an opportunity to design an interdisciplinary, collaborative model for patient-focused care. The performance improvement initiative began with the development of evidence-based interdisciplinary plans of care and concluded with a consistent and effective process for patient engagement and daily interdisciplinary ...
Why Do Older RNs Keep Working?
To identify the reasons older RNs (≥45 years) remain in the healthcare workforce. Despite predictions of early retirements of older nurses, many continue to work past the age when they can gain access to their retirement funds. The authors surveyed nurses older than 45 years in New South Wales, Australia. The need for income was the most common reason for staying in nursing (61.9%; n = 210), ...

Care Coordination: A Model for the Acute Care Hospital Setting
To evaluate a patient care delivery model (PCDM) that redefined roles for unit-based nurse case managers and RNs to streamline care coordination processes. Aligning care coordination in acute care is essential to meet constructs of accountable care. A pre-post descriptive study design was applied to evaluate implementation of a PCDM in an acute care hospital setting. Regression and correlation ...
Whole Scale Change for Real-Time Strategic Application in Complex Health Systems
This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. In this article, the authors introduce Whole Scale Change™, an action learning approach that accelerates organizational transformation to meet the challenges of dynamic environments.

The Evolution and Development of an Instrument to Measure Essential Professional Nursing Practices
Nursing continues to evolve from a task-oriented occupation to a holistic professional practice. Increased professionalism requires accurate measurement of care processes and practice. Nursing studies often omit measurement of the relationship between structures in the work environment and processes of care or between processes of care and patient outcomes. Process measurement is integral to un...
Using LEAN to Improve a Segment of Emergency Department Flow
Emergency department (ED) overcrowding is an organizational concern. This article describes how Toyota LEAN methods were used as a performance improvement framework to address ED overcrowding. This initiative also impacted “bolus of patients” or “batching” concerns, which occur when inpatient units receive an influx of patients from EDs and other areas at the same time. In addition to d...
Does patient education increase antimuscarinic treatment persistence in overactive bladder syndrome?
Overactive bladder syndrome (OAB) is a chronic condition that requires long-term management. Patient education may have role in decreasing the unfavourable effects of long-term treatment of OAB. The aim of the study was to evaluate the effect of detailed patient education on the patients' persistence with antimuscarinic treatment for OAB. A total of 140 patients with the diagnosis of OAB were i...
Effectiveness of patient simulation in Nursing Education: Meta-analysis
The use of simulation as an educational tool is becoming increasingly prevalent in nursing education, and a variety of simulators are utilized. Based on the results of these studies, nursing facilitators must find ways to promote effective learning among students in clinical practice and classrooms. To identify the best available evidence about the effects of patient simulation in nursing educa...