Academic literature on the topic '111002 Clinical Nursing: Primary (Preventative)'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Contents
Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic '111002 Clinical Nursing: Primary (Preventative).'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Journal articles on the topic "111002 Clinical Nursing: Primary (Preventative)"
1
Endicott, Kendal M., Charles B. Drucker, Hakan Orbay, Joseph J. DuBose, Khanjan Nagarsheth, Shahab Toursavadkohi, and Rajabrata Sarkar. "Intraoperative Fragmentation and Retention of Endovascular Devices: Clinical Consequences and Preventative Strategies." Vascular and Endovascular Surgery 54, no. 2 (November 5, 2019): 118–25. http://dx.doi.org/10.1177/1538574419886193.
Full textAbstract:
Background: Expanded applications and increasing volumes of complex endovascular procedures have increased the risk of unintended intraoperative fragmentation and retention of catheters and sheaths. We describe a series of retained or fragmented endovascular devices, a quality improvement program to address this unmet need for improved detection of catheter fragmentation, and the results of this program. Methods: Cases utilizing endovascular devices that resulted in a retained catheter fragment were identified and analyzed during divisional quality improvement review. One consistent area of concern was operating room (OR) staff unfamiliarity with verifying the integrity of an endovascular device. In response, a slide-based training protocol of focused, endovascular nursing education was implemented. Following perceived lack of improvement after this approach, we developed a handheld visual reference display of the tips of common catheters and sheaths. Staff was surveyed before and after intervention to assess the educational value of the display and the impact on staff device familiarity. Results: All 4 described cases resulted in an unplanned return to the OR for retrieval of the fragmented catheter or sheath. No thromboembolic complications were observed, although associated intra-arterial thrombus was noted in 2 cases. Thirty-four OR nurses were polled to trial the visual reference display initiative, with 70% of those reporting primary surgical assignments outside of cardiovascular ORs. Introduction of the new visual reference display improved staff confidence in their ability to identify a broken device (2.4-3.7, P < .001). This improvement was most significant in OR staff with primary assignments in noncardiovascular services. Conclusion: Current OR standard operating procedures fail to address the potential for unintentionally retained catheters and wires during endovascular procedures. Our novel visual reference display of common endovascular items rather than conventional in-service training improved the ability of staff to identify device fragmentation at the time of the index procedure.
2
Gorelick, Philip B. "Community Engagement: Lessons Learned From the AAASPS and SDBA." Stroke 53, no. 3 (March 2022): 654–62. http://dx.doi.org/10.1161/strokeaha.121.034554.
Full textAbstract:
Community engagement is a means to help overcome challenges to the delivery of health care and preventative services. On the occasion of the 2021 International Stroke Conference Edgar J. Kenton III Lecture, I review community engagement strategies utilized in the AAASPS trial (African-American Antiplatelet Stroke Prevention Study) and SDBA (Studies of Dementia in the Black Aged) observational studies that I directed. The main community engagement strategies included use of home visits (bringing the study to the community), engagement of churches, community advisors, community physicians, other healthcare providers, major Black community organizations, and utilization of diversity training. Community engagement strategies were a major component of AAASPS and SDBA that helped to ensure successful recruitment and retention of an underrepresented community in clinical trial and observational studies. Lessons learned from these studies largely carried out in the 1980s and 1990s helped to dispel myths that Blacks could not be recruited into large-scale clinical trials, emphasized the importance of studying underrepresented groups with adequate statistical power to test primary study hypotheses, and provided foundational recruitment and retention methods for future consideration.
3
Marshall, Bob, Sue Floyd, and Rachel Forrest. "Clinical outcomes and patients perceptions of nurse-led healthy lifestyle clinics." Journal of Primary Health Care 3, no. 1 (2011): 48. http://dx.doi.org/10.1071/hc11048.
Full textAbstract:
BACKGROUND AND CONTEXT: The Nurse-Led Healthy Lifestyle Clinics focussed on lifestyle issues for patients with known health inequalities. Much of the nursing was educative and preventative care. This evaluation assessed patient experiences and opinions, as well as clinical outcomes. ASSESSMENT OF PROBLEM: Information came from clinical outcome data for 2850 individuals and 424 patient satisfaction surveys. Results: Patients were aged 095 years (45% between 40 and 59 years); 60% Pakeha/European, 31.4% Maori, 4.2% Pacific and 4.4% other ethnicities. Only 19% of claimants (approximately 40% were Maori or Pacific) came from quintile 5 addresses, suggesting the target population was not reached effectively. Ninety-four percent of patients had a better understanding of their diagnosis, medication and treatment plan, and were more motivated to self-manage their health needs. This increase in patient empowerment is a significant outcome of the project. Clinical outcome data showed no significant differences between first and last clinic visits for average weight, blood pressure, smoking, glycosylated haemoglobin levels, waist circumference or cardiovascular risk. Significant improvements were shown in the Dartmouth Primary Care Cooperative Information results for social activity, change in health, and overall health (n=89). STRATEGIES FOR IMPROVEMENT: More effective techniques to access the target population have been implemented, as has an extended period for review of clinical outcomes. LESSONS: More focussed evaluation of clinical outcomes is necessary to provide quantitative data on the clinics. The large percentage of patients who felt more empowered to self-manage their health needs suggests the clinics were effective in this area. KEYWORDS: Nurse-led clinics; life style; program evaluation; patient satisfaction; health status disparities
4
WONG, Sio Mui, Wen ZENG, Iek Long LO, Chong LAM, and Hong Lei LOU. "Development and Psychometric Evaluation of a Chinese Instrument of Knowledge, Attitude and Preventive Practice on Dementia Care in Macao." American Journal of Alzheimer's Disease & Other Dementias® 38 (January 2023): 153331752211493. http://dx.doi.org/10.1177/15333175221149358.
Full textAbstract:
Background Very few instruments to integrate knowledge, attitude and practice into dementia care as a holistic perspective were available to the Chinese. Method This article documented the development of a 30-item self-administered Chinese instrument of knowledge, attitude and preventive practice on dementia care and reported the results of psychometric testing among 1500 Chinese in Macao Special Administrative Region (SAR), including 234 primary health professionals, 272 staff working at day-care centers and nursing homes, 586 high school students and 408 community-dwelling older people. The Chinese instrument was developed through literature review and committee review. The psychometric methods were used to evaluate the reliability and validity of the Chinese instrument as measures of knowledge, attitude and preventive practice on dementia care for the Chinese. Results The preliminary results indicated that the Content Validity Index of the Chinese instrument was .973 and Cronbach’s alpha coefficient of the Chinese instrument was .842, among which Knowledge subscale, Attitude subscale and Preventive Practice subscale were .749, .633 and .845 respectively. The means and standard deviation were 65.13 ± 24.56 for Knowledge subscale, 74.76 ± 8.37 for Attitude subscale, 73.22 ± 14.05 for Preventative Practice subscale, and 70.99 ± 11.27 for the Chinese instrument. Conclusion The 30-item self-administered Chinese instrument of knowledge, attitude and preventive practice on dementia care had satisfied the psychometric evaluation well enough to warrant further use, and could also have particular implications for other Chinese populations all over the world.
5
Sartain, Sarah, John Price, Brooke Bitner, Elizabeth Wolfe, and Daniel Ortiz. "Determination of Antimicrobial Prescribing Practices in an Integrated Health System Emergency Department." Kansas Journal of Medicine 13 (June 25, 2020): 131–33. http://dx.doi.org/10.17161/kjm.v13i.13812.
Full textAbstract:
Introduction. Antibiotic stewardship utilizes interprofessional collaborative practices, including professionals from medicine, pharmacy, nursing, social services, and clinical laboratory science, to identify potential problems proactively. A tertiary care integrated health system’s Emergency Department (ED) aimed to identify antimicrobials prescribed to the outpatient community as part of a proactive antimicrobial stewardship project.
Methods. A pilot, prospective, snapshot of a tertiary community hospital’s outpatient antimicrobial prescribing habits was conducted. All subjects were identified via a daily report of patients discharged from the ED over 30 days in the summer of 2017 and individually reviewed for prescribed antimicrobial(s). Exclusions were hospital admission, antimicrobial sensitivity, and antimicrobial courses less than five days or more than 14 days. The primary goal was determining the number of antimicrobial oral tablets/capsule prescriptions to adult outpatients within a 5 to 14-day treatment window. Secondary goals were to include the diagnosis, non-capsule/tablet antimicrobial, pediatric patients, and prescriptions outside the treatment window.
Results. Total number of antimicrobial prescriptions over the 30-day period was 653 in 5,520 individual visits. Total number of adults prescribed oral antimicrobials was 467 (15.6 daily). Patients were diagnosed with infections including urinary tract, cellulitis, soft tissue injury, abscess, upper respiratory, dental caries, gastrointestinal, sexually transmitted, otitis media/externa, pneumonia, viral, pyelonephritis, tick-borne, fungal, Bell’s Palsy, and sepsis. The number of non-adult, non-oral, and outside window treatment antimicrobial prescriptions were 186 (6.2 daily). With an average 184 patients treated in the ED daily, approximately 11.8% received antimicrobial treatment on discharge.
Conclusion. Important aspects of the project were the evaluation of antimicrobial prescribing habits for a midwest ED and identification of potential complications requiring future interventions for follow-up or preventative measures to assist in patient care and community health. Areas of practice improvement were identified inadvertently as a result of this project. Potential future studies included seasonal variability, whether the patient obtained a prescription and complied with treatment, and differences between inpatient and outpatient antimicrobial prescribing practices.
6
Cahill, Elizabeth A., Thanh G. Ton, Annette L. Fitzpatrick, Kiet A. Ly, Quang V. Ngo, Tung T. Vo, Chien H. Pham, William T. Longstreth, and David L. Tirschwell. "Abstract W P333: Medications for Secondary Stroke Prevention at Hospital Discharge in Da Nang, Viet Nam." Stroke 45, suppl_1 (February 2014). http://dx.doi.org/10.1161/str.45.suppl_1.wp333.
Full textAbstract:
Background: Developing countries, such as Viet Nam, are currently undergoing a health transition from infectious to chronic medical conditions, including vascular diseases. Medications for secondary stroke prevention may be underused. Our objectives were to quantify the frequency of such underuse and to identify patient characteristics associated with it. Methods: Data from consecutive patients admitted with stroke to Da Nang Hospital from March 2010 through February 2011 were collected using the WHO Stroke STEPS approach. Patients with ischemic stroke (IS) discharged alive, and not sent home to die, were included. Hypertension (HTN), diabetes mellitus (DM) and hyperlipidemia (HL) were conditions eligible for preventative medications at discharge. "Underuse" was defined as prescribing less than all appropriate medications, given each patient’s conditions. Patients with intraparenchymal hemorrhage were excluded from analyses. Multivariate associations with underuse were assessed for age, gender, number of conditions, stroke symptoms, employment status, level of education, hospital ward, and discharge modified Rankin scale. Results: Of 754 patients admitted with stroke, 260 patients met our inclusion criteria with a mean age of 67.2 years and with 42% women. Most had HTN (91.5%), and some, DM (9.6%) and HL (11.2%). Patients mostly had ≥ 2 conditions needing treatment at discharge (93.5 %). Underuse occurred in 69.2%, with only half being discharged on antithrombotic agents. Factors independently associated with underuse included older age (RR=1.06 per decade; 95% CI: 1.0-1.1), admission to the ward caring for most stroke patients (RR=2.3; 95% CI: 1.5-3.5), and completing only primary school education (RR=1.3; 95% CI: 1.1-1.7). Conclusions: Stroke patients discharged from Da Nang Hospital in Viet Nam are not consistently prescribed medications for secondary stroke prevention. A specific ward, older age, and lower education were independently associated with underuse of preventative medications. Opportunities exist to increase use of medications for secondary stroke prevention at the time of hospital discharge, but barriers will need to be identified.
7
Majeed, Mustafa, Harry Ward, Cian Wade, Lisa Butcher, Zahir Soonawalla, and Giles Bond-Smith. "An analysis of the incidence, causes and preventative approaches to gram-negative bloodstream infections of hepatopancreatobiliary origin." Journal of Infection Prevention, December 4, 2020, 175717742097376. http://dx.doi.org/10.1177/1757177420973763.
Full textAbstract:
Background: Gram-negative bloodstream infection (GNBSI) is a threat to public health in terms of mortality and antibiotic resistance. The hepatopancreatobiliary (HPB) cohort accounts for 15%–20% of GNBSI, yet few strategies have been explored to reduce HPB GNBSI. Aim: To identify clinical factors contributing to HPB GNBSI and strategies for its prevention. Methods: We performed a retrospective analysis of 433 cases of HPB GNBSI presenting to four hospitals between April 2015 and May 2019. We extracted key data from hospital and primary care records including: the underlying source of GNBSI; previous documentation of biliary disease; and any previous surgical or non-surgical management. Findings: Out of 433 cases of HPB GNBSI, 388 had clear evidence of HPB origin. The source of GNBSI was related to gallstone disease in 282 of the 388 cases (73%) and to HPB malignancy in 70 cases (18%). Of the gallstone-related cases, 117 had previously been diagnosed with symptomatic gallstones. Of the 117 with a previous presentation, 93 could have been prevented with a laparoscopic cholecystectomy at the first presentation of gallstones, while 18 could have been prevented if intraoperative biliary tract imaging had been performed during a prior cholecystectomy. Of the 70 malignant cases, five could have been prevented through earlier biliary stenting, use of metal stents instead of plastic stents or earlier pancreaticoduodenectomy. Discussion: The incidence of HPB GNBSI could be reduced by up to 30% by the implementation of alternative management strategies in this cohort.
8
Krebs, Jörg, Jivko Stoyanov, Jens Wöllner, Ezra Valido, and Jürgen Pannek. "Immunomodulation for primary prevention of urinary tract infections in patients with spinal cord injury during primary rehabilitation: protocol for a randomized placebo-controlled pilot trial (UROVAXOM-pilot)." Trials 22, no. 1 (October 4, 2021). http://dx.doi.org/10.1186/s13063-021-05630-w.
Full textAbstract:
Abstract Background Urinary tract infections (UTIs) are common in individuals with neurogenic lower urinary tract dysfunction (NLUTD) following spinal cord injury (SCI). They are not only a great burden for affected individuals, but also cause considerable health costs. Furthermore, recurrent antibiotic treatments of UTIs contribute to the growing problem of bacterial resistance to antimicrobial compounds. Even though there is a multitude of different measures to prevent UTIs in individuals with NLUTD, no clear evidence exists for any of these. Oral immunomodulation with UTI-relevant Escherichia coli lysate may be a promising preventative measure with a good safety profile in individuals with NLUTD. However, currently available data are sparse. Methods This is a randomized, quasi-blinded, placebo-controlled, mono-centric pilot trial investigating the feasibility of a main trial regarding the effects of a lyophilized lysate of E. coli strains for oral application (Uro-Vaxom®, OM Pharma SA, Meyrin, Switzerland). There will be two parallel groups of 12 participants each. Individuals with acute SCI (duration SCI ≤ 56 days) from 18 to 70 years of age admitted for primary rehabilitation will be eligible. Blood and urine samples will be taken prior to intervention start, at the end of the intervention, and 3 months after intervention termination. The trial intervention will last 90 days. The participants will not be informed regarding the treatment allocation (quasi-blinded). The nursing staff will prepare the daily dose of the allocated treatment from the original packaging. The trial personnel and the biostatistician will be blinded. Feasibility (e.g., recruitment rate, patient attrition), clinical (e.g., number of symptomatic UTIs), and laboratory parameters (e.g., urinary culture, urinary proteo- and microbiome, blood cell counts) as well as adverse events will be collected. Discussion Effective and efficient measures for the prevention of UTIs in individuals with NLUTD are urgently needed. If the conclusion of this pilot is positive regarding feasibility, the effects of oral immunomodulation with a E. coli lysate will be investigated in a larger, sufficiently powered, multi-center trial. Trial registration ClinicalTrials.govNCT04049994. Registered on 8 August 2019
9
Lada, Diane, Janice McGraw, and Robert A. Lada. "Abstract W P365: Incorporating Telemedicine Access for Stroke in Vulnerable Alaskan Populations." Stroke 46, suppl_1 (February 2015). http://dx.doi.org/10.1161/str.46.suppl_1.wp365.
Full textAbstract:
Background and Purpose: The State of Alaska covers a vast area the size of California, Texas and Montana combined and comprises one-fifth of the total U.S. land mass. The population of approximately 735,132 is spread over 362 communities. The Alaska Native populations comprise 14.7% of the total population of Alaska with most of its members living in remote villages or isolated islands. Two hundred Alaskan communities can be reached only by boat or air. Public health and preventative services are challenging due to inaccessibility during winter months, high winds, volcanic activity, and poor infrastructure. The introduction of telemedicine to critical access facilities has proven effective for not only emergent delivery of stroke interventions but looks to promote access in the primary health setting as well. The purpose of this project was to identify barriers to neurological health and risk factors unique to Alaskans. Methods: Guided by a telehealth model of care for emergency Stroke cases, Providence Alaska Medical Center increased access to 5 spoke hospital sites in the Southeast portion of the State in the past six years. As the hub site for the State, Alaskans are placed in a national data base for outcomes, modifiable risk factor management and disability measurement. Interdisciplinary debriefings occur monthly for evidence-based practice agreements. Results: Patients have access to the only Cerebrovascular Neurologist in the State with a 50% increase in the delivery of tPA for ischemic stroke. Improved door-to-needle times, increased tPA delivery and interventional radiology, along with a decrease in length of stay has lead the way to developing a more extensive telestroke network within the Providence system. Conclusions: Access to primary and emergency neurological care remains a barrier to many Alaskans, especially those living in remote and isolated areas of the State. Using ongoing statistical data compared to other national averages, the telemedicine method of stroke care has proven vital to reducing morbidity and mortality in its large geographical boundaries. Further attention to a telestroke program will only enhance outcomes in the future.
10
Ryan, Nessa, Vida Rebello, Desiree Gutierrez, Kameko Washburn, Alvaro Zevallos Barboza, Emily Drum, Hector Perez, and Bernadette Boden-Albala. "Abstract P681: Implementation of Stroke Prevention Interventions in Low- and Middle-Income Countries: A Scoping Review." Stroke 52, Suppl_1 (March 2021). http://dx.doi.org/10.1161/str.52.suppl_1.p681.
Full textAbstract:
Background: Stroke is the second leading cause of death globally and an increasing concern in low- and middle-income countries (LMIC) where, due to limited capacity to treat stroke, preventative efforts are critically important. Although some research on evidence-based interventions for stroke prevention in LMIC exists, there remains a significant gap in understanding of their implementation across various contexts in LMIC. Objectives: In this scoping review, our objective was to identify and synthesize the implementation outcomes (using Proctor et al.’s taxonomy, 2011) for stroke prevention interventions, as well as to describe the diverse interventions employed. Methods: Eligible studies were empirical, focused on implementation of stroke prevention programs or policies, and occurred in at least one LMIC. Five databases were searched, including PubMed, PsycINFO, CINAHL, EMBASE, and Web of Science. Two reviewers independently assessed studies for selection and charted data; discrepancies were resolved through discussion with a third reviewer until consensus was reached. Narrative synthesis was used to analyze and interpret the findings. Results: Studies were predominantly focused in Asia, targeting primary or secondary prevention, and facility-based. Interventions were conducted at the level of individual (n=11), system (n=12), or both (n=4). Various implementation outcomes were reported, most commonly cost (n=10), acceptability (n=7), fidelity (n=7), and feasibility (n=6), but also adoption (n=4), penetration (n=3), appropriateness (n=1), and sustainability (n=1). Conclusions: Findings highlight the breadth of evidence-based interventions for stroke prevention available to implement in LMIC settings, including culturally acceptable education interventions, cost-effective medications, and community-based interventions implemented by community health workers. Implementation outcomes remain under-reported, and more rigorous research is needed to better plan and evaluate the implementation of these interventions to prevent stroke.
Book chapters on the topic "111002 Clinical Nursing: Primary (Preventative)"
1
Burch, Jennie, and Brigitte Collins. "Gall bladder." In Oxford Handbook of Gastrointestinal Nursing, 191–200. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198833178.003.0008.
Full textAbstract:
The gall bladder chapter describes conditions and diseases of the small organ of the gall bladder. The common diseases of the gall bladder are described with the more frequently presenting symptoms listed for the nurse. The occurrence rates of these pancreatic conditions are defined and any potential causes described. The investigations that are used to diagnose the condition are explored. Treatment options or preventative measures are also explored with a description of any potential complications. There are a number of conditions and diseases related to the gall bladder that include primary sclerosing cholangitis and gallstone. Inflammation of the gallbladder, cholecystitis may be acute or chronic. Succinct details related to people with diseases and conditions of the gall bladder are easy to use by the nurse within clinical practice.