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Artykuły w czasopismach na temat "Paediatric outreach nursing service"

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Rosina, Robyn, Jean Starling, Kenneth Nunn, David Dossetor i Kim Bridgland. "Telenursing: Clinical nurse consultancy for rural paediatric nurses". Journal of Telemedicine and Telecare 8, nr 3_suppl (grudzień 2002): 48–49. http://dx.doi.org/10.1258/13576330260440844.

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summary Videoconferencing is increasingly being accepted as a medium for health-care. Telenursing is in its infancy in Australia but has enormous potential for nursing care in remote areas. The Child and Adolescent Psychological Telemedicine Outreach Service (CAPTOS) began in 1997 and in its first evaluation recommended more support for paediatric nurses. CAPTOS telenursing began as a new initiative in late 2001. The telenursing project aims to link ward nurses to CAPTOS and local community teams, and to provide both clinical consultancy on nursing and interdisciplinary issues and locally based professional development. Telenursing supports nurses via site visits, videoconferencing sessions, an interactive Website and sabbatical opportunities. Telehealth works with existing services to enhance the nursing care of young people with a complex mixture of psychological and physical health problems.
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Stocki, Daniel, Conor McDonnell, Gail Wong, Gloria Kotzer, Kelly Shackell i Fiona Campbell. "Knowledge translation and process improvement interventions increased pain assessment documentation in a large quaternary paediatric post-anaesthesia care unit". BMJ Open Quality 7, nr 3 (sierpień 2018): e000319. http://dx.doi.org/10.1136/bmjoq-2018-000319.

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BackgroundDue to inadequate pain assessment documentation in our paediatric post-anaesthetic care unit (PACU), we were unable to monitor pain intensity, and target factors contributing to moderate and severe postoperative pain in children. The purpose of this study was to improve pain assessment documentation in PACU through a process improvement intervention and knowledge translation (KT) strategy. The study was set in a PACU within a large university affiliated paediatric hospital. Participants included PACU and Acute Pain Service nursing staff, administrative staff and anaesthesiologists.MethodsThe Plan–Do–Study-Act method of quality improvement was used. Benchmark data were obtained by chart review of 99 patient medical records prior to interventions. Data included pain assessment documentation (pain intensity score, use of validated pain intensity measure) during PACU stay. Repeat chart audit took place at 4, 5 and 6 months after the intervention.InterventionKey informant interviews were conducted to identify barriers to pain assessment documentation. A process improvement was implemented whereby the PACU flowsheets were modified to facilitate pain assessment documentation. KT strategy was implemented to increase awareness of pain assessment documentation and to provide the knowledge, skill and judgement to support this practice. The KT strategy was directed at PACU nursing staff and comprised education outreach (educational meetings for PACU nurses, discussions at daily huddles), reminders (screensavers, bedside posters, email reminders) and feedback of audit results.ResultsThe proportion of charts that included at least one documented pain assessment was 69%. After intervention, pain assessment documentation increased to >90% at 4 and 5 months, respectively, and to 100% after 6 months.ConclusionAfter implementing process improvement and KT interventions, pain assessment documentation improved. Additional work is needed in several key areas, specifically monitoring moderate to severe pain, in order to target factors contributing to significant postoperative pain in children.
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Peeraully, R., R. Hill, D. Colliver, A. Williams, S. Motiwale i B. Davies. "Can laparoscopy be part of a paediatric surgery outreach service?" Annals of The Royal College of Surgeons of England 99, nr 5 (maj 2017): 355–57. http://dx.doi.org/10.1308/rcsann.2017.0011.

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INTRODUCTION The aim of this study was to assess the outreach laparoscopic service delivered by four paediatric surgeons to a district general hospital (DGH). METHODS A retrospective review was carried out of all laparoscopic procedures performed in a single DGH between January 2004 and November 2014 by the four paediatric surgeons providing the outreach service. All operations were identified from the electronic theatre system and archived correspondence. Demographic and clinical details were obtained from contemporaneous records. RESULTS Over the 11-year study period, 1,339 operations were performed as part of the outreach paediatric surgery service, with 128 patients (9.6%) undergoing laparoscopy. The indications for laparoscopic surgery were impalpable unilateral or bilateral undescended testes (UDT) (n=79, 62%) or request for insertion of a feeding gastrostomy (n=49, 38%). All but six UDT cases (96%) were performed as day surgery and the median length of stay for gastrostomy patients was 3 days (interquartile range: 2–3 days). There were three UDT cases with surgical complications and one had complications related to the anaesthesia. One gastrostomy case required transfer to our tertiary centre for management of postoperative urinary retention and urethral injury. CONCLUSIONS Elective laparoscopic procedures in young children can be provided safely as components of an outreach paediatric surgery service in a DGH setting as part of an increasing volume of operations performed by specialist paediatric surgeons. This enables children to have a high quality service as close to their home as possible.
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Cubitt, Jonathan J., Amy Chesney, Liz Brown i Dai Q. Nguyen. "Evaluating an outreach service for paediatric burns follow up". Burns 41, nr 6 (wrzesień 2015): 1193–98. http://dx.doi.org/10.1016/j.burns.2015.02.004.

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Mendelson, Marilyn A., James Plews-Ogan i Jeffrey A. Johnson. "Utilization of a Migrant Outreach Nursing Service". Journal of Rural Health 2, nr 2 (lipiec 1986): 37–45. http://dx.doi.org/10.1111/j.1748-0361.1986.tb00144.x.

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Manickchund, Yashoda, i GP Hadley. "Paediatric surgery outreach: analysis of referrals to a tertiary paediatric surgery service to plan an outreach programme Kwa-Zulu Natal, South Africa". Tropical Doctor 47, nr 4 (6.07.2017): 305–11. http://dx.doi.org/10.1177/0049475517718103.

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Paediatric surgical disease is a neglected health problem. Patients travel great distances to tertiary level care for management. This study aimed at analysing referral patterns to design an outreach programme for paediatric surgery in KwaZulu Natal. Data forms of patients referred to the service between January and July 2016 were correlated with the clinical record. Delays in management were compared to morbidity and mortality. Out of 781, 158 referrals were accepted as emergencies. The majority (62%) were children aged < 1 year. Gastro-intestinal problems (38.4%) and congenital anomalies (26.9%) formed the majority. Patients who died had a significantly longer delay in transfer. Longer total delay was associated with statistically significant greater morbidity. In a setting where a large rural population is served by single-centre tertiary care, delays exist and contribute to morbidity. The authors advocate the establishment of an outreach programme to address these issues.
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Allen, Jane, David F. Dickinson, Arun Ramachandran i John D. R. Thomson. "Development of a cardiac technician led paediatric echocardiographic service – experience from a district general hospital in the United Kingdom". Cardiology in the Young 15, nr 3 (3.05.2005): 299–301. http://dx.doi.org/10.1017/s1047951105000600.

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Objectives:To report our experience in providing cardiac technician led paediatric echocardiography services in a district general hospital in the United Kingdom.Methods:We have collected prospectively the numbers of referrals, and the proportion of abnormal echocardiograms, since inception of the service in 2000. In additional, for a period of 12 months, we have audited in detail the patterns of referral to the service, and outcomes, assessing the effect of the service on the outreach clinic run by a visiting paediatric cardiologist.Results:Use of the system resulted in detection of a wide range of abnormalities, with our audit showing that the patients received appropriate management. The total referrals to the service increased 10 fold over the 4 year period of the study. The proportion of abnormal hearts detected by echocardiography, however, dropped from 90 per cent to 16 per cent over the same period. The numbers of patients seen in the outreach cardiology clinic remained unaltered.Conclusions:Having been proved to be an effective model for the triage of children with suspected congenital cardiac disease, adoption of a cardiac technician led echocardiographic service has seen a dramatic increase in the numbers of echocardiograms requested, without decreasing the workload of the visiting paediatric cardiologist.
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Bairstow, Phillip, Sarah Ashe i Mary Bairstow. "Hospital outreach service: Helping to prevent nursing home placement". Australian Health Review 21, nr 4 (1998): 192. http://dx.doi.org/10.1071/ah980192.

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An outreach service from a post-acute metropolitan teaching hospital delivered anintensive, multidisciplinary and coordinated allied health service, and achieved bothearly hospital discharge and the prevention or delay of nursing home placement. Thisarticle reports on three types of cases which illustrate how the service assisted wardteams, families and patients to determine whether nursing home placement wasessential. For a group of 20 cases, the total reduction in hospital length of stay was556 days, and home accommodation as an alternative to nursing homeaccommodation was achieved for a total of 7505 days. The article outlines a matrixof advantages and disadvantages, both tangible and intangible, of home versusnursing home accommodation. It is suggested that a full costing of this matrix wouldinform debate on the comparative merits of long-term home and nursing homeaccommodation.
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Draper, Brian, Susanne Meares i Helen McIntosh. "A Psychogeriatric Outreach Service to Nursing Homes in Sydney". Australasian Journal on Ageing 17, nr 4 (listopad 1998): 184–86. http://dx.doi.org/10.1111/j.1741-6612.1998.tb00070.x.

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Beane, Carol, i Liz Auld. "Paediatric oncology research nursing: improving the service". British Journal of Nursing 11, nr 9 (9.05.2002): 626–33. http://dx.doi.org/10.12968/bjon.2002.11.9.10176.

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Rozprawy doktorskie na temat "Paediatric outreach nursing service"

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Boss, Patricia M., i res cand@acu edu au. "Indicators of Satisfaction & Success For a Paediatric Outreach Nursing Service in Metropolitan Sydney, NSW". Australian Catholic University. School of Nursing, 2005. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp118.25102006.

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The purpose of this study was to determine the indicators of customer satisfaction and service success of a newly established paediatric outreach nursing service. Referring agents and care recipients were both consumers of the paediatric outreach nursing service. Both groups of consumers were surveyed to determine their satisfaction with the service delivery. Two satisfaction survey tools were developed to measure customer satisfaction. The tools were piloted and refined prior to distributing them. Both tools had a series of closed-ended questions and 3 open-ended questions. Eight service indicators were developed. These were designed to test the effectiveness of the service provided. The service indicators were piloted over two periods of three months and then modified based on the findings of the pilot period. The Paediatric Outreach Service (POS) is a positive service model for health care delivery. The survey results indicated that stakeholders were generally satisfied with the service delivery. When measured against service indicators that were developed for POS, the service performance was above average, with some opportunity to improve practice. Underpinned by a family-centered framework, POS has the capacity to empower children and their families in the planning and implementation of a management plan for the child’s illness. Such empowerment may lead families to practice better healthcare, develop better health-seeking practices and ultimately lead to healthier children. The results from this study has implications for nursing practice. The data obtained from this study may be useful to service providers considering commencing a paediatric outreach nursing service. Data may also be useful for existing service providers to use in order to review the aspects that consumers value against the service they currently provide. Keywords ambulatory care; paediatrics; home-nursing; community; evaluation; satisfaction; success; indicators
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Prinsloo, Cathrina Johanna. "Self-leadership strategies of nurses in an outreach service at a private hospital group in Gauteng". University of the Western Cape, 2018. http://hdl.handle.net/11394/6844.

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Philosophiae Doctor - PhD
Critical Care Outreach Services (CCOSs) recognize early sign of deterioration in medical units, regarding the condition of the patient, by using elements of vital sign tracking namely modified early warning score (MEWS). Nurses as leaders should be proactive by using influence to obtain a desired outcome. It is unclear how nurses experience self-leadership in this outreach service in a private hospital in Pretoria. The purpose of this research was to understand nurses’ experience of their self-leadership in the current CCOS at a private hospital in Pretoria, in order to develop self-leadership strategies that could contributes to the implementation of a CCOS (for the broader population of nurses) in a private hospital group in Gauteng. In this research the steps as outlined in the self-leadership strategic framework of Neck and Milliman (1994) were adapted for this research. The theoretical assumptions furthermore informed the methodological steps followed in the research process. The theoretical assumptions of the Practice Orientated Theory of Dickoff, James and Wiedenbach (1968) were adapted and the survey lists of this theory served as a reasoning map in this research. The central statement of this research was that, nurses need to lead themselves in implementing a CCOS in general wards in a private hospital group in Gauteng.
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Książki na temat "Paediatric outreach nursing service"

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Smith, J. Loddon NHS Community Trust Paediatric Community Nursing Team: Service evaluation. Hampshire: Loddon NHS Community Trust, 1996.

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Bignold, Sarah. Nursing families with children with cancer: The work of the paediatric oncology outreach nurse specialists : a research summary. London: Kings College, 1994.

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Bignold, Sarah. Nursing families with children with cancer: The work of the paediatric oncology outreach nurse specialists : a report to Cancer Relief Macmillan Fund and the Department of Health. London: Kings College, 1994.

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Części książek na temat "Paediatric outreach nursing service"

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Evans, Margaret, i Anne Thompson. "The Role of the Macmillan Paediatric Nursing Service". W Innovations in Paediatric Ambulatory Care, 103–14. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14367-2_8.

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Schantz, Betty J. "ERS as a Community Outreach Service from a Nursing Home". W Personal Response Systems: An International Report of a New Home Care Service, 229–38. Routledge, 2020. http://dx.doi.org/10.1201/9781315825380-31.

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Ardalan, Christine. "Introduction". W The Public Health Nurses of Jim Crow Florida, 1–26. University Press of Florida, 2019. http://dx.doi.org/10.5744/florida/9780813066158.003.0001.

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The introduction provides a background of the first public health nurses to begin work for the State Board of Health under Jim Crow laws by highlighting the dire need for their outreach, particularly in the rural areas among both black and white folk who were out of reach of medical care. Public health nursing came of age in the Progressive era, but Florida was behind Northern public health initiatives. Once Florida’s new group of black and white professional nurses began work, they illuminated how attitudes among national, regional, and state nursing leaders, as well as medical and public health authorities, created a wide variety of opportunities for them to grow their profession and deliver a service. White and black public health nurses were active agents for change, but cultural mores informed their practices differently. Professional patterns and social customs influenced the manner they could exert power to improve health and literally save people’s lives.
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