Artykuły w czasopismach na temat „Remote area nursing”
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Fisher, Jacklin, Julie Bradshaw, Beth Anne Currie, Jeanette Klotz, Patricia Robins, Kerry Reid Serle i Janie Smith. "VIOLENCE AND REMOTE AREA NURSING". Australian Journal of Rural Health 4, nr 3 (sierpień 1996): 190–99. http://dx.doi.org/10.1111/j.1440-1584.1996.tb00208.x.
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Opie, Tessa, Maureen Dollard, Sue Lenthall i Sabina Knight. "Occupational Stress in Remote Area Nursing: Development of the Remote Area Nursing Stress Scale (RANSS)". Journal of Nursing Measurement 21, nr 2 (2013): 246–63. http://dx.doi.org/10.1891/1061-3749.21.2.246.
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Background and Purpose: The purpose of this study was to develop a measure that would adequately and sensitively measure the occupational stress experience of nurses working in very remote health care facilities. Because no existing nursing stress tool is suitable to assess the unique stressors of remote nursing practice, the aim was to address this gap in psychometric measurement capacity and develop the Remote Area Nursing Stress Scale (RANSS). Method: A focus group (n = 19) of remote area nurses identified potential questionnaire items through open discussion and by later listing the stressors they experienced individually in their day-to-day functioning. Subsequently, the Delphi method was employed to further refine the questionnaire (n = 12 experts). The RANSS was successfully pilot tested and was afterward administered to nurses working in very remote Australia in 2008 (n = 349) and in 2010 (n = 433). Results: Principal components analysis and confirmatory factor analysis were performed for both waves of survey administration, demonstrating a robust 7-factor structure consistent across samples and accounting for significant variance in dependent measures. Conclusion: The development and validation of the RANSS is a significant advancement in remote area nursing research. The RANSS should be administered on an ongoing basis to monitor occupational stress among nurses working in very remote Australia. The RANSS should also be administered internationally in countries that also accommodate remote health care facilities. This would determine whether the RANSS is a psychometrically valid stress measure beyond the context of very remote Australia.
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Fisher, Jacklin, Julie Bradshaw, Beth Anne Currie, Jeanette Klotz, Kerry Reid Searl i Janine Smith. "AUSTRALIA: REMOTE AREA NURSES'EXPERIENCES OF VIOLENCE". International Journal of Nursing Practice 1, nr 1 (listopad 1995): 67–70. http://dx.doi.org/10.1111/j.1440-172x.1995.tb00012.x.
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Dowd, Toni, i Sally Johnson. "Remote area nurses – on the cutting edge". Collegian 2, nr 1 (styczeń 1995): 36–40. http://dx.doi.org/10.1016/s1322-7696(08)60085-2.
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Ellis, Isabelle. "Remote area nurses: fitting into a new mould". Collegian 1, nr 1 (styczeń 1994): 43. http://dx.doi.org/10.1016/s1322-7696(08)60581-8.
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Smith, Cathi. "“Yes, but what do remote area nurses do?”". Collegian 1, nr 1 (styczeń 1994): 43. http://dx.doi.org/10.1016/s1322-7696(08)60582-x.
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Opie, Tessa, Maureen Dollard, Sue Lenthall, John Wakerman, Sandra Dunn, Sabina Knight i Martha MacLeod. "Levels of occupational stress in the remote area nursing workforce". Australian Journal of Rural Health 18, nr 6 (30.11.2010): 235–41. http://dx.doi.org/10.1111/j.1440-1584.2010.01161.x.
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McCullough, Kylie, Lisa Whitehead, Sara Bayes i Rebecca Schultz. "Remote area nursing: best practice or paternalism in action? The importance of consumer perspectives on primary health care nursing practice in remote communities". Australian Journal of Primary Health 27, nr 1 (2021): 62. http://dx.doi.org/10.1071/py20089.
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This paper reports on a study that aimed to understand how remote area nurses implemented primary health care principles in the Australian remote health care setting. Twenty-four Registered Nurses and Nurse Practitioners who worked in remote health services without inpatient facilities were interviewed using constructivist grounded theory methods. Findings revealed that nurses in this study aimed to practice in a way that was guided by Indigenous empowerment and social justice. However, some nurses questioned elements of their practice such as ‘chasing’ people for appointments or routine screening required by clinical guidelines that may not reflect the values of Indigenous peoples. Nurses expressed concern that they may be reinforcing past colonising practices and their actions may be considered paternalistic rather than empowering. Nurses in this study wanted to develop partnerships and provide nursing care that aligned with the health and wellbeing expectations of communities. However, ways of communicating the needs of communities and the development of partnerships between health providers and communities need to be developed. The present study calls for further research from the perspective of remote community members in order to develop ways of sharing knowledge about health and wellbeing between remote area nurses and communities.
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Robertson, Jan. "Tackling tobacco: A call to arms for remote area nurses". Contemporary Nurse 37, nr 1 (grudzień 2010): 49–56. http://dx.doi.org/10.5172/conu.2010.37.1.049.
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Robertson, Jan. "Tackling tobacco: A call to arms for remote area nurses". Contemporary Nurse 37, nr 1 (styczeń 2011): 49–56. http://dx.doi.org/10.5172/conu.2011.37.1.049.
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Bell, Pam, i Trish Buckley. "Conference review —Research issues in rural and remote area health services". Collegian 3, nr 4 (styczeń 1996): 45–46. http://dx.doi.org/10.1016/s1322-7696(08)60197-3.
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Murphy, Simon. "Territory Palliative Care – a model for remote area palliative care provision". Progress in Palliative Care 18, nr 1 (luty 2010): 27–30. http://dx.doi.org/10.1179/096992610x12624290276304.
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Sharma, Anju, i Jane Ross. "Nepal: integrating traditional and modern health services in the remote area of Bashkharka". International Journal of Nursing Studies 27, nr 4 (styczeń 1990): 343–53. http://dx.doi.org/10.1016/0020-7489(90)90093-x.
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张, 丹丹. "A Fast Remote Sensing Inversion Model for Vegetation Leaf Area Index in Hu-mid Areas, South China". World Journal of Forestry 11, nr 04 (2022): 188–92. http://dx.doi.org/10.12677/wjf.2022.114023.
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Gardner, Anne, Wendy Smyth, Bronia Renison, Tina Cann i Mary Vicary. "Supporting rural and remote area nurses to utilise and conduct research: An intervention study". Collegian 19, nr 2 (czerwiec 2012): 97–105. http://dx.doi.org/10.1016/j.colegn.2011.09.005.
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Panchuk, Julia, i Lorraine M. Thirsk. "Conscientious objection to medical assistance in dying in rural/remote nursing". Nursing Ethics 28, nr 5 (11.01.2021): 766–75. http://dx.doi.org/10.1177/0969733020976185.
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In 2016, the Supreme Court of Canada legalized medical assistance in dying in Canada. Similar to jurisdictions where this has been a more long-standing option for end-of-life care, the Supreme Court’s decision in Canada included a caveat that no healthcare provider could be compelled to participate in medical assistance in dying. The Canadian Nurses Association, in alignment with numerous ethical guidelines for healthcare providers around the globe, maintains that nurses may opt out of participation in medical assistance in dying if they conscientiously object to this procedure. The realities of implementing medical assistance in dying are still unfolding. One area that has received little attention in the literature thus far is the ability of nurses who aid with, rather than administer, medical assistance in dying to conscientiously object. This is particularly significant in rural and remote areas of Canada where geographic dispersion and limited numbers of nursing staff create conditions that limit the ability to transfer care or call on a designated team. Exercising conscientious objection to medical assistance in dying in rural and remote areas, by way of policies developed with an urban focus, is one example of how the needs of rural nurses and patients may not be met, leading to issues of patient access to medical assistance in dying and retention of nursing staff. To illustrate the complexities of nurses’ conscientious objection to medical assistance in dying in a rural setting, we apply an ethical decision-making framework to a hypothetical case scenario and discuss the potential consequences and implications for future policy. Realizing that conscientious objection may not be a viable option in a rural or remote context has implications for not only medical assistance in dying, but other ethically sensitive healthcare services as well. These considerations have implications for policy in other jurisdictions allowing or considering medically assisted deaths, as well as other rural and remote areas where nurses may face ethical dilemmas.
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Yuginovich, Trudy. "A POTTED HISTORY OF 19TH-CENTURY REMOTE-AREA NURSING IN AUSTRALIA AND, IN PARTICULAR, QUEENSLAND". Australian Journal of Rural Health 8, nr 2 (kwiecień 2000): 63–67. http://dx.doi.org/10.1046/j.1440-1584.2000.00223.x.
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Boryczko, Marcin, i Anna Dunajska. "Remote social work during a pandemic. The example of Poland". Praca Socjalna 36, nr 1 (28.02.2021): 45–69. http://dx.doi.org/10.5604/01.3001.0014.7775.
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Employees of social work centres and nursing homes have to deal with the consequences of the ever-increasing coronavirus pandemic. The problems faced by social workers during the pandemic became the subject of this study. The research aim was to identify the difficulties faced by social workers in their professional work during the coronavirus pandemic which began on 20 March 2020 in Poland. The method of the study was a computer-assisted survey and the tool applied was the electronic questionnaire as well asindividual in-depth interviews . The study concerned three areas: diagnosis of difficulties occurring in the professional work of employees in the area of work organisation; diagnosis of difficulties occurring in the area of work with the client or environment; collecting opinions on possible remote work carried out by social workers in the future. The survey was conducted in late August and early September 2020 and covered 432 respondents. The data gathering was based on purposive sample where the adopted criterion was employment in a social work centre or a specialist institution connected to social work. The most important problems indicated by the respondents were: lack of appropriate tools, place, as well as procedures and instructions for remote work, lack of support of superiors, increase in the scope of administrative and office duties, and strongly limited cooperation with other services and institutions. We also formulated a set of recommendations in the following areas: equipment, work organisation, support in the area of relations with the client, coordination of social services and institutions.
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Hart, Bethne, James Black, Jayde Hillery i Sophie Smith. "Looking up to the sky! An exploration of new graduate nurses’ perceptions of remote area nursing". Collegian 21, nr 1 (marzec 2014): 61–64. http://dx.doi.org/10.1016/j.colegn.2013.02.002.
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O’Donnell, Elen, Bridget Honan, Simon Quilty i Rebecca Schultz. "The Effect of Heat Events on Prehospital and Retrieval Service Utilization in Rural and Remote Areas: A Scoping Review". Prehospital and Disaster Medicine 36, nr 6 (2.11.2021): 782–87. http://dx.doi.org/10.1017/s1049023x21001163.
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AbstractIntroduction:It is well-established that heatwaves increase demand for emergency transport in metropolitan areas; however, little is known about the impact of heat events on demand for prehospital retrieval services in rural and remote areas, or how heatwaves are defined in this context.Inclusion Criteria:Papers were eligible for inclusion if they reported on the impact of a heat event on the activity of a prehospital and retrieval service in a rural or remote area.Methods:A search of PubMed, Cochrane, Science Direct, CINAHL, and Google Scholar databases was undertaken on August 18, 2020 using search terms related to emergency medical transport, extreme heat, and rural or remote. Data relevant to the impact of heat on retrieval service activity were extracted, as well as definitions of extreme heat.Results:Two papers were identified, both from Australia. Both found that heat events increased the number of road ambulance call-outs. Both studies used the Excess Heat Factor (EHF) to define heatwave periods of interest.Conclusions:This review found almost no primary literature on demand for prehospital retrieval services in rural and remote areas, and no data specifically related to aeromedical transport. The research did recognize the disproportionate impact of heat-related increase in service demand on Australian rural and regional health services. With the effects of climate change already being felt, there is an urgent need for more research and action in this area.
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Teft, G. "Caseload profile of a diabetes nursing service in a remote area: Caithness and North Sutherland, UK". Practical Diabetes International 14, nr 3 (maj 1997): 84–87. http://dx.doi.org/10.1002/pdi.1960140309.
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Heywood, Troy, i Caroline Laurence. "An overview of the general practice nurse workforce in Australia, 2012–15". Australian Journal of Primary Health 24, nr 3 (2018): 227. http://dx.doi.org/10.1071/py17048.
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Several surveys of the general practice nurse (GPN) workforce have been undertaken in Australia over the last decade, but they have limitations, which mean that the workforce is not well-understood. The aim of this study is to describe the profile of the GPN workforce using the dataset available through the Australia Health Practitioner Registration Agency and to explore how it differs from the non-GPN nursing workforce, and if this workforce is changing over time. Data from labour force surveys conducted from 2012 to 2015 were used. Variables examined were age group, gender, remoteness area, hours worked, nurse type (enrolled (EN) or registered (RN)), years in the workforce and also intended years of work before exiting the workforce. When compared with the broader nursing workforce, a greater proportion of GPNs in 2015 were older (60 v. 51%), worked part-time (65 v. 48%) and worked in regional areas (35 v. 26%). Additionally, the characteristics of GPNs has changed between 2012 and 2015, with an increased proportion of younger nurses, more registered nurses and fewer working in remote areas. To ensure a sustainable workforce, particularly in rural and remote areas, strategies to recruit and retain this workforce will be needed.
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Caldeira, Pedro, Ana Correia, Daniel Ferraz, Nelson Santos, Nuno Gaibino, Rui Massena i Pedro Louro. "OR20 CARDIO DRONE – An Airborne AED, study project in a remote area". Resuscitation 175 (czerwiec 2022): S21—S22. http://dx.doi.org/10.1016/s0300-9572(22)00402-6.
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Wilks, Jeffrey, Josephine Barnes, Kerrie Paul, Maryann Wood i Denise Jones. "MANAGING PATIENT RECORDS AND DOCUMENTING SERVICE DELIVERY: THE RESULTS OF A ‘BEST PRACTICE’ REMOTE AREA NURSING PROGRAM". Australian Journal of Rural Health 5, nr 3 (sierpień 1997): 153–57. http://dx.doi.org/10.1111/j.1440-1584.1997.tb00257.x.
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Jonk, Yvonne Catharina, Andrew Coburn, Catherine McGuire, Deborah Thayer i Karen Mauney. "Acuity Differences Among Newly Admitted Medicare Residents in Rural and Urban Skilled Nursing Facilities". Innovation in Aging 5, Supplement_1 (1.12.2021): 411. http://dx.doi.org/10.1093/geroni/igab046.1592.
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Abstract Using the 2015 national Minimum Data Set Version 3.0, the Area Health Resources Files, the 2015 Provider of Services File, and the Rural-Urban Commuting Area codes, this study assessed rural-urban differences in newly admitted, Medicare skilled nursing facility (SNF) residents’ functional status, cognitive performance, and behavioral issues using self-performance, early loss, and late loss Activities of Daily Living (ADLs); the Cognitive Function Scale (CFS); and indicators of aggression, psychosis, or wandering, respectively. The study evaluated 686,881 unique patient assessments for newly admitted Medicare SNF residents across 15,157 facilities in 47 states. Negative binomial and generalized linear models with state fixed effects and clustering by SNFs were used to evaluate rural-urban acuity differences before and after adjusting for socio-economic factors; admission source, and market area characteristics. Compared to urban SNF residents, rural residents were more likely to be cognitively impaired (45% Isolated Small Rural, 44.5% Small Rural, 41% Large Rural, 38.8% Urban), and have behavioral issues (6.7% rural, 4.8% urban). Unadjusted and adjusted regression models confirmed bivariate findings that rural SNF residents were less functionally impaired (IRR range: 0.974-.987), but had more cognitive and behavioral issues in more remote rural locations than urban. The (unadjusted) odds of cognitive impairment were 1.1-1.3 times higher for residents of rural vs urban SNFs; while the odds of having any one of the behavioral issues were 1.2-1.6 times higher in more remote rural locations. The capacity of rural SNFs to manage complex cognitive and behavioral problems deserves further research.
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Carstens, Timothy V. "Academic and Special Library Collaboration in North Carolina: the MAHEC/WCU Partnership". North Carolina Libraries 63, nr 1 (15.05.2008): 29–32. http://dx.doi.org/10.3776/ncl.v63i1.65.
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Distance education is a rapidly expanding segment of the education marketplace, and the ability to support remote students with appropriate and quality services has become a major challenge for libraries. This article is concerned with library support for nursing students who are enrolled in a distance education program. Specifically, this article describes a collaborative arrangement wherein the Mountain Area Health Education Center (MAHEC) provides Western Carolina University (WCU) students with library services.
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Zoppo, Gianluca, Francesco Marrone, Monica Pittarello, Marco Farina, Alberto Uberti, Danilo Demarchi, Jacopo Secco, Fernando Corinto i Elia Ricci. "AI technology for remote clinical assessment and monitoring". Journal of Wound Care 29, nr 12 (2.12.2020): 692–706. http://dx.doi.org/10.12968/jowc.2020.29.12.692.
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Objective: To report the clinical validation of an innovative, artificial intelligence (AI)-powered, portable and non-invasive medical device called Wound Viewer. The AI medical device uses dedicated sensors and AI algorithms to remotely collect objective and precise clinical data, including three-dimensional (3D) wound measurements, tissue composition and wound classification through the internationally recognised Wound Bed Preparation (WBP) protocol; this data can then be shared through a secure General Data Protection Regulation (GDPR)- and Health Insurance Portability and Accountability Act (HIPAA)-compliant data transfer system. This trial aims to test the reliability and precision of the AI medical device and its ability to aid health professionals in clinically evaluating wounds as efficiently remotely as at the bedside. Method: This non-randomised comparative clinical trial was conducted in the Clinica San Luca (Turin, Italy). Patients were divided into three groups: (i) patients with venous and arterial ulcers in the lower limbs; (ii) patients with diabetes and presenting with diabetic foot syndrome; and (iii) patients with pressure ulcers. Each wound was evaluated for area, depth, volume and WBP wound classification. Each patient was examined once and the results, analysed by the AI medical device, were compared against data obtained following visual evaluation by the physician and research team. The area and depth were compared with a Kruskal–Wallis one-way analysis of variations in the obtained distribution (expected p-value>0.1 for both tests). The WBP classification and tissue segmentation were analysed by directly comparing the classification obtained by the AI medical device against that of the testing physician. Results: A total of 150 patients took part in the trial. The results demonstrated that the AI medical device's AI algorithm could acquire objective clinical parameters in a completely automated manner. The AI medical device reached 97% accuracy against the WBP classification and tissue segmentation analysis compared with that performed in person by the physician. Moreover, data regarding the measurements of the wounds, as analysed through the Kruskal–Wallis technique, showed that the data distribution proved comparable with the other methods of measurement previously clinically validated in the literature (p=0.9). Conclusion: These findings indicate that remote wound assessment undertaken by physicians is as effective through the AI medical device as bedside examination, and that the device was able to assess wounds and provide a precise WBP wound classification. Furthermore, there was no need for manual data entry, thereby reducing the risk of human error while preserving high-quality clinical diagnostic data.
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Wressell, Jennifer A., Bodil Rasmussen i Andrea Driscoll. "Exploring the workplace violence risk profile for remote area nurses and the impact of organisational culture and risk management strategy". Collegian 25, nr 6 (grudzień 2018): 601–6. http://dx.doi.org/10.1016/j.colegn.2018.10.005.
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Hegney, Desley, Ashley Plank, Jennifer Watson, Lisa Raith i Christine McKeon. "Patient education and consumer medicine information: a study of provision by Queensland rural and remote area Registered Nurses". Journal of Clinical Nursing 14, nr 7 (30.06.2005): 855–62. http://dx.doi.org/10.1111/j.1365-2702.2005.01203.x.
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Bezerra, Italla Maria Pinheiro. "State of the art of nursing education and the challenges to use remote technologies in the time of Corona Virus Pandemic". Journal of Human Growth and Development 30, nr 1 (14.04.2020): 141–47. http://dx.doi.org/10.7322/jhgd.v30.10087.
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Introduction: The Corona virus (COVID-19) pandemic caused, among others, the need for colleges and universities managers around the world to reinvent new ways of providing education preserving its good quality at the same time. With the new ordinances of the Ministry of Education and Health, all courses can use remote methodologies for the continuity on the current school year. With new challenges and paradigms emerging from this methodological proposal: provide for the user the feeling of immersion, of being in the class room, from the navigation and interaction in this virtual environment, at the same time that the educator, respecting the educational principles and the pedagogical approach that he believes, does not transform this moment into a simple distance education.
Objective: to describe the state of the art on nursing education and the challenges of using remote technologies in the time of Corona virus pandemic.
Methods: this is a reflective study based on secondary sources of literature relevant to the theme, considering articles from national and international journals and recent productions on education, health training, remote technologies, COVId-19 and public health.
Results: it is evident that experiencing the effects of the corona virus pandemic (COVID-19) in the health educational sector, especially in the field of nursing, goes beyond a structural reorganization of courses. It implies change attitude of managers, teachers and students to reformulate educational practices (sometimes with traditional tools), with innovative practices preserving a methodology that provides to the student criticality reflection, dialogue, bonding and interaction; elements that are part of a training aimed at transformation, empowerment and not just the transmission of knowledge. In this context, the COVID-19 pandemic caused paradigm shifts perhaps not yet overcome by health science institutions , because when they perceived themselves within a reality that generated changes in the political, economic, cultural and social aspects at a global level, they had to reinvent and insert new ways of teaching in their work process; they had to discuss different educational approaches and, given the needs to readjust health teaching methods, they inserted remote technologies as essential tools to meet the real need for continuity of classes in non-face-to-face model. For many, it is a challenge, as it currently permeates a reflection on the attention of distance learning in the field of nursing and other courses in the health area. However, as it opened up to discussions about new ways of teaching mediated by innovation, it can be said that this will be one of the greatest impact of the pandemic in benefit the education: the contribution of new information and communication technologies in the teaching-learning process for training in health, as well as the reflection on distance education and its concepts, differentiating it from the concepts of remote methodology and the use of technologies.
Conclusion: In nursing education, the discussion related to the use of remote technologies in the classroom has always been a point of debate. However, with the need to include these tools for the continuity of classes in the non-face-to-face model resulting from the social isolation strategy motivated by the pandemic of COVID-19, it can provide an opportunity to have a new look on the subject and perhaps there is an opportunity to expand the debate on the use of remote methodologies in health education, seeking a reflection on their interaction with the other teaching methods already implemented.
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Cleminson, Bruce. "Terminal Care in Shetland". Journal of Palliative Care 3, nr 1 (marzec 1987): 38–43. http://dx.doi.org/10.1177/082585978700300108.
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This paper describes provision for dying patients in the Shetland Isles, both in the author's practice – which serves 2,750 people, living in a 15-mile radius of Scalloway – and also the area as a whole, with about 23,000 people living on the 17 inhabited islands of the Shetland group. The possibilities for improving care are considered and existing models for hospice-type services are examined – and found to have little relevance to an area which is remote and has a small population. The importance of good symptom control and good nursing care is noted, and ways to improve these are put forward. The family doctor, who has adequate training and expertise in terminal care, is seen to have a unique opportunity for looking after both the dying patient and his family. This is particularly relevant in an area far from specialist services, because such patients are rarely more than 30 minutes by car from their family doctor's surgery.
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Hao, Wei, Xiujun Hao i Chao Yang. "Design and Optimization of Urinary Real-Time Nursing Model Based on Medical Internet of Things". Computational Intelligence and Neuroscience 2022 (20.04.2022): 1–11. http://dx.doi.org/10.1155/2022/7067856.
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The medical Internet of Things (IoTs) can bind intelligent sensing devices with urinary nursing recipients and integrate information into various hospital information systems through network communication, so as to realize the intelligent perception, data collection, remote monitoring, information sharing, and other functions of urinary real-time nursing recipients. The urinary real-time nursing model can complete the expansion of hospital information system data to the bedside and the instant exchange of terminal data with the system through the medical IoTs and wireless local area network. Based on the summary and analysis of previous research results, this paper expounds on the research status and significance of the urinary real-time nursing model, elaborates on the development background, current status, and future challenges of medical IoTs, introduces the methods and principles of medical IoTs level evaluation system and transformation rules-based optimization algorithm, conducts urinary real-time nursing model design based on medical IoTs, analyzes model hardware design based on medical IoTs, performs model software design based on medical IoTs, proposes the urinary real-time nursing model optimization based on medical IoTs, explores the front-end function optimization of the urinary real-time nursing, implements the system program optimization of the urinary real-time nursing, discusses the hierarchical architecture of the urinary real-time nursing model, and finally carries out the role function analysis of the medical IoTs in the urinary real-time nursing model. The study results show that the urinary real-time nursing model based on medical IoTs can accurately and efficiently identify, manage, and integrate clinical nursing procedures and data such as patients, diagnoses, drugs, and can optimize nursing workflow, strengthen quality control, and improve nursing efficiency and provide patients with more convenient nursing services. The research results of this paper provide a reference for further research on the design and optimization of urinary real-time nursing model based on medical IoTs.
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Happell, Brenda M., Cadeyrn J. Gaskin, Wendy Hoey, Debra Nizette i Kate Veach. "The activities that nurses working in community mental health perform: a geographical comparison". Australian Health Review 37, nr 4 (2013): 453. http://dx.doi.org/10.1071/ah13045.
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Objective. The primary aim of the present study was to identify the activities that nurses in community mental health services undertake. Method. A dataset containing records of the community and ambulatory interventions involving the nursing staff of 252 mental health facilities was analysed. Results. Nurses spend most of their time performing clinical care (78%), followed by clinical organisation (12%), mental health administration (6%) and integration activities (4%). There were minimal differences between treating units located in metropolitan, rural and remote areas in terms of the numbers of consumers receiving care, the time nurses spent with consumers, the types of nursing activities undertaken and the amounts of time spent on each of the four types of nursing activities. Conclusions. These findings suggest that nurses in mental health community settings spend more time in clinical care than nurses in other healthcare settings. What is known about the topic? Community settings are increasingly becoming the primary focus for mental health care in Australia. Nurses are providing community-based care for consumers with increased levels of acuity. There is a paucity of documented evidence about the activities nurses perform in community mental health settings. What does this paper add? This study provides a comprehensive understanding of the activities undertaken by nurses in community mental health settings. The findings presented emphasise the high proportion of clinical care performed by nurses in community mental health settings. No significant differences were noted in the provision of clinical care between metropolitan, rural and regional mental health services. What are the implications for practitioners? A comprehensive understanding of the activities of nurses in community mental health settings provides the basis for understanding the important role nursing plays in this area of care delivery.
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Sales, Cibele de Moura, Elaine Aparecida Mye Takamatu Watanabe, Simone Vidmantas i Cynthia de Barros Mansur. "The teaching protagonist in the face of the pandemic: construction of a continuum calendar in higher education". LAPLAGE EM REVISTA 7, nr 3C (20.09.2021): 210–17. http://dx.doi.org/10.24115/s2446-6220202173c1536p.210-217.
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The pandemic generated by COVID-19 has brought major challenges to higher education in a globalized manner, causing an abrupt break from face-to-face activities to virtual/remote processes, ordering changes in both the pedagogical and structural aspects. The courses in the health area needed an extra reorganization, as it involves practical activities, developed in health environments, which were not feasible in this new moment. A concern that moved professors was, how to advance the training process in the face of the new scenario, aiming at the completion of the course in a viable time, with quality and in a safe way? This article describes the trajectory of the construction and implementation of a proposal that the nursing course at the State University of Mato Grosso do Sul has been delineating/running in a dialogic perspective with the course's professors and students.
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Michele, Melita, i F. Tatang H. Pangestu. "PEMBARUAN KAMPUNG MATI VIETNAM DENGAN PEMBANGUNAN PANTI “JOMPO” DI JAKARTA TIMUR". Jurnal Sains, Teknologi, Urban, Perancangan, Arsitektur (Stupa) 4, nr 2 (23.01.2023): 1671–84. http://dx.doi.org/10.24912/stupa.v4i2.22244.
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Urbanization which is the movement of people to big cities continues to occur, in the administrative area of DKI Jakarta. According to the Sectoral Statistics of DKI Jakarta Province (2020), East Jakarta has the largest number of immigrants in DKI Jakarta with the total of 2,215 people. Increasing population can increase population density which can then lead to environmental quality degradation. A lot of land in East Jakarta is targeted to build more residential properties than tourist attractions which can attract outsiders to East Jakarta. Applying 'urban acupuncture' can help develop and improve settlement problems experienced in East Jakarta by finding a place that has the potential to be developed. Vietnam's Dead Village is one of the potential areas that is remote, neglected and no longer useful for the environment and the people around this area. The village could be reused as an 'urban acupuncture' intervention to help revive East Jakarta Kampung Mati Vietnam has a history of being the first pilot home for the elderly in Indonesia. Therefore, the renewal of this nursing home program was implemented to restore the memory and history of this place, as well as to overcome the problems that caused the previous nursing home to fail. Furthermore, an urban agriculture program was implemented with the aim of increasing reforestation and independent food production, as well as a trading area as a public program to unite the area around Vietnam's Dead Village. Keywords: Vietnam’s Dead Village; Nursing Home Abstrak Urbanisasi yang merupakan perpindahan penduduk ke kota besar terus terjadi, Wilayah administrasi DKI Jakarta. Menurut Statistik Sektoral Provinsi DKI Jakarta (2020), Jakarta Timur memiliki jumlah penduduk pendatang terbanyak di DKI Jakarta sebanyak 2.215 jiwa. Meningkatnya jumlah penduduk dapat meningkatkan populasi densitas yang kemudian dapat mengakibatkan degradasi kualitas lingkungan. Lahan di Jakarta Timur banyak ditargetkan untuk membangun properti hunian lebih banyak lagi dari pada tempat wisata untuk menarik masyarakat luar ke Jakarta Timur. Menerapkan ‘akupuntur perkotaan’ dapat membantu mengembangkan dan memperbaiki masalah-masalah permukiman yang dialami Jakarta Timur dengan mencari suatu tempat yang memiliki potensi untuk dikembangkan. Kampung Mati Vietnam adalah salah satu wilayah berpotensi yang terpencil, terbengkalai dan tidak lagi bermanfaat untuk lingkungan dan penduduk di sekitar kawasannya. Kampung tersebut dapat digunakan kembali sebagai intervensi ‘akupuntur perkotaan’ untuk membantu menghidupkan kembali Jakarta Timur. Kampung Mati Vietnam ini memiliki sejarah yang dulunya merupakan percontohan panti jompo pertama di Indonesia. Maka dari itu, diterapkan program panti jompo yang diperbarui untuk mengembalikan memori dan sejarah yang ada pada tempat ini, serta mengatasi masalah-masalah yang membuat panti jompo sebelumnya gagal. Selanjutnya diterapkan program pertanian perkotaan dengan tujuan meningkatkan penghijauan dan produksi bahan pangan mandiri, serta area perdagangan sebagai program publik untuk menyatukan kawasan sekitar Kampung Mati Vietnam ini.
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Daga, Subhashchandra. "Nursing Care of Low-Risk Newborns in Low Resource Setting: Nurses' Aides May Bridge the Gap at Community Hospitals". European Journal of Clinical Medicine 3, nr 1 (4.01.2022): 1–4. http://dx.doi.org/10.24018/clinicmed.2022.3.1.158.
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Objective: To study the role of a nurses' aide in the care for newborns weighing between 1500 and 2000 g at birth in a low resource setting.
Study Design: Observational.
Setting: The General hospital in 1994-95, in a public sector, located in a remote area in India
Intervention: A female ward assistant with seven years of schooling trained, on-the-job, to keep babies warm, initiate maternal breastfeeding, and to detect rapid breathing. The nursing staff from the pediatric ward supervised her performance. A separate "warm room" appropriately heated for preterm and sick babies became a makeshift nursery. The nursing staff administered enteral feeding, oxygen, and antibiotics. Services of the resident doctors or general duty medical officers were not available.
Results: The survival rate was nearly 100% for babies with birthweights between 1,500 and 2,000 g (none referred out).
Conclusions: A nurses' aide may facilitate the delivery of special care for newborns where nursing personnel are grossly inadequate and saving babies weighing between 1,500 and 2,000 g may need minimal inputs. It may be worthwhile to target 1,500 and 2,000 g birthweight categories even when resources are meager.
What is already known about this subject?
Low resource settings face staff shortages, especially nursing staff.
Health workers with midwifery skills can deliver nearly 90% of essential care services for maternal and neonatal health.
A substantial proportion of neonatal deaths occur among moderately low birth weight babies.
What does this study add?
It is possible to train a semi-literate person to facilitate early breastfeeding and to keep a baby warm.
A large proportion of deaths among babies with birthweight ranging from 1500 to 2000 g are preventable with meager resources.
How might this impact on clinical practice or future developments?
The facilities facing shortage of nursing staff in low resource settings, may employ nurses’ aide to deliver basic newborn care.
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Zheng, Yuanyuan, Xiaoyu Niu, Qian Wei, Yijing Li, Lifeng Li i Jie Zhao. "Familial Esophageal Cancer in Taihang Mountain, China: An Era of Personalized Medicine Based on Family and Population Perspective". Cell Transplantation 31 (styczeń 2022): 096368972211291. http://dx.doi.org/10.1177/09636897221129174.
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In the Taihang Mountain areas, known as the “esophageal cancer zone” in China, the incidence of esophageal cancer (ESCA) ranks the first in the country and shows a familial and regional clustering trend. Taihang Mountain areas are located in a mountainous area, with inconvenient transportation, limited living conditions, unbalanced diet, and poor nutrition. Ninety percent of the pathological types of ESCA in Taihang Mountain areas are squamous cell carcinoma, among which the risk factors have not been well understood. These areas are usually remote villages and mountains with low population mobility, large family members, similar environmental factors, and a clear and stable genetic background. Therefore, according to the current situation, second-generation sequencing and multigroup analysis technology are used to analyze the familial ESCA patients; disease-related genetic variation are located; and then disease-related susceptibility genes associated with ESCA are screened and analyzed. Health education, tobacco control, endoscopic screening, and other health management projects for suspected and high-risk patients in areas with a high incidence of ESCA can be carried out for screening and early diagnosis, and the incidence of ESCA in Taihang Mountain areas can be reduced. A comprehensive continuous care pattern based on traditional medical nursing to track, monitor, evaluate, and intervene with patients diagnosed with ESCA to facilitate them with medications guidance, dietary guidance, and timely health problem-solving is established. Furthermore, statistical analysis of epidemiology, gene sequencing, and family genetics information can be performed on patients with ESCA in the Taihang Mountains areas to clarify the relationship between genetic phenotype and genotype during the occurrence of ESCA.
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Padila, Padila, Liza Fitri Lina, Henni Febriawati, Bintang Agustina i Riska Yanuarti. "Home Visit Berbasis Sistem Informasi Manajemen Telenursing". Jurnal Keperawatan Silampari 2, nr 1 (14.10.2018): 217–35. http://dx.doi.org/10.31539/jks.v2i1.305.
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This study aims to analyze the description of Procurement of Nursing Management Information System at Home Visit Telenursing application at RS. M.Yunus Bengkulu. Design research that researchers use modify the theory of research (R) and development (D). The development of telenursing technology based on BAN (body area network) technology can provide realtime monitoring results and connect with WSN (wireless sensor network) transmission through integration with end user devices (laptop) which design and implementation can be used in rural and remote areas. The result of the study is the design of the program system that has the advantage of being able to be used to transmit medical data of the patient, the main complaint, the type of illness he feels (mild, moderate and severe), visualization of data in image, sound and text, even video, can be used as health detector digital-based patients via video mail, and family medical history with multimedia medical records techniques that are connected to the health center of M. Yusuf Bengkulu Hospital. Direct research was piloted to the nurse to gain a nurse's understanding of the use of telenursing. The conclusion of this research is the enthusiasm of nurses in accepting new challenge in providing telenursing service is very high, it can impact on ability to improve effective communication between nurse and patient.
Keywords: Home Visit Telenursing, Development, SIM
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Gussin, Gabrielle M., Raveena D. Singh, Raheeb Saavedra, Tabitha D. Catuna, Lauren Heim, Job Mendez, Ryan Franco i in. "Universal Decolonization Reduces MDRO Burden on High-Touch Objects in Nursing Home Resident Rooms and Common Areas". Infection Control & Hospital Epidemiology 41, S1 (październik 2020): s54—s55. http://dx.doi.org/10.1017/ice.2020.538.
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Background: More than half of nursing home (NH) residents harbor a multidrug-resistant organism (MDRO), and MDRO contamination of the environment is common. Whether NH decolonization of residents reduces MDRO contamination remains unclear. The PROTECT trial was a cluster-randomized trial of decolonization versus routine care in 28 California NHs from April 2017 through December 2018. Decolonization involved chlorhexidine bathing plus nasal iodophor (Monday–Friday, every other week), and it reduced resident nares and skin MDRO colonization by 36%. Methods: We swabbed high-touch objects in resident rooms and common areas for MDROs before and after the 3-month decolonization phase-in (April–July 2017). Five high-touch objects (bedrail, call button and TV remote, doorknob, light switch, and bathroom handles) were swabbed in 3 resident rooms per NH based on care needs (Alzheimer’s disease and related dementias (ADRD), ie, total care; ADRD, ambulatory care; and short stay). Five high-touch objects were also swabbed in the common area (nursing station, table, chair, railing, and drinking fountain). Swabs were processed for methicillin-resistant S. aureus (MRSA), vancomycin-resistant Enterococcus (VRE), extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae, and carbapenem-resistant Enterobacteriaceae (CRE). We used generalized linear mixed models to assess the impact of decolonization on MDRO environmental contamination when clustering by NH and room and adjusting for room type and object because unclustered and unadjusted results are likely to be inaccurate. Results: A high proportion of rooms were contaminated with any MDRO in control NHs: 43 of 56 (77%) in the baseline period and 46 of 56 (82%) in the intervention period. In contrast, decolonization NHs had similar baseline contamination (45 of 56, 80%) but lower intervention MDRO contamination (29 of 48, 60%). When evaluating the intervention impact using multivariable models, decolonization was associated with significantly less room contamination for any MDRO (OR, 0.25; 95% CI, 0.06–0.96; P = .04) and MRSA (OR, 0.16; 95% CI, 0.05–0.55; P = .004) but nonsignificant reductions in VRE contamination (OR, 0.86; 95% CI, 0.23–3.13) and ESBL contamination (OR, 0.13; 95% CI, 0.01–1.62). CRE was not modeled due to rare counts (2 rooms total). In addition, room type was important, with common areas associated with 5-fold, 9-fold, and 3-fold higher contamination with any MDRO, MRSA, and VRE, respectively, compared with short-stay rooms. Conclusions: The high burden of MDROs in NHs calls for universal prevention strategies that can protect all residents. Although decolonization was associated with an 84% reduction in odds of MRSA contamination of inanimate room objects, significant reductions in VRE or ESBL contamination were not seen, possibly due to the lower proportion of baseline contamination due to these organisms. Multimodal strategies are needed to address high levels of MDRO contamination in NHs.Funding: NoneDisclosures: Gabrielle Gussin: Stryker (Sage Products): Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Clorox: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Medline: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes. Xttrium: Conducting studies in which contributed antiseptic product is provided to participating hospitals and nursing homes.
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M, Shirakawa, Kanamoto Y, Nagaoka H, Honda H i Bando H. "Diabetic cases controlled with low carbohydrate diet (LCD) and GLP-1 receptor agonist (GLP-1 RA)". Asploro Journal of Biomedical and Clinical Case Reports 2, S1 (16.04.2019): 38–46. http://dx.doi.org/10.36502/2019/asjbccr.6137.
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Recent treatment for type 2 diabetes mellitus (T2DM) has included glucagon-like peptide-1 receptor agonist (GLP-1 RA), indicating clinical efficacy for better glucose variability. Subjects were seven patients with T2DM associated with the obese tendency. Their average age was 63.8 ± 21.7 years old (5 males, 2 females) who received a new administration of GLP-1 RA (Mean ± standard deviation). For GLP-1 RA, dulaglutide (TRULICITY R, single-dose pen) was administered by subcutaneous injection 0.75 mg once a week. Basal data at 0 month revealed that body weight 76.0 ± 11.6 kg, body mass index (BMI) 29.2 ± 11.6, blood C-peptide immunoreactivity (CPR) 2.68 ± 0.49 ng/mL, respectively. After the intervention of dulaglutide, decreased value of BMI for 3 and 6-9 months was 0.78 ± 0.45 and 1.16 ± 0.85, and HbA1c for 3 and 6-9 months was 1.60 ± 1.52% and 2.01 ± 1.44%, respectively. Though these cases have various complications besides T2DM, they showed clinical effects of weight reduction and lowering blood glucose. Diabetic treatment for current cases would suggest that GLP-1 RA would be effective in various situations such as a super-aged patient, medical practice in the remote area, family care and visiting nursing.
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Barraclough, Frances, i Sabrina Pit. "Online multidisciplinary integrated rural healthcare education programs during the COVID-19 pandemic for students from different universities: experiences and guidelines". Health Education 122, nr 2 (9.12.2021): 202–16. http://dx.doi.org/10.1108/he-06-2021-0096.
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PurposeThe COVID-19 pandemic has led to “forced innovation” in the health education industry. High-quality training of the future rural health workforce is crucial to ensure a pipeline of rural health practitioners to meet the needs of rural communities. This paper describes the implementation of an online multidisciplinary teaching program focusing on integrated care and the needs of rural communities.Design/methodology/approachA multidisciplinary teaching program was adapted to allow students from various disciplines and universities to learn together during the COVID-19 pandemic. Contemporary issues such as the National Aged Care Advocacy Program for Residential Aged Care COVID-19 Project were explored during the program.FindingsThis case study describes how the program was adopted, how learning needs were met, practical examples (e.g. the Hand Hygiene Advocacy within a Rural School Setting Project), the challenges faced and solutions developed to address these challenges. Guidelines are proposed for remote multidisciplinary learning among health professional students, including those in medical, nursing, pharmacy, dentistry, and allied health disciplines.Originality/valueThe originality of this program centers around students from multiple universities and disciplines and various year levels learning together in a rural area over an extended period of time. Collaboration among universities assists educators in rural areas to achieve critical mass to teach students. In addition it provides experiences and guidance for the work integrated learning sector, rural health workforce practitioners, rural clinical schools, universities, policy makers, and educators who wish to expand rural online multidisciplinary learning.
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Annadatha, Sowmya, Qirui Hua, Marie Fridberg, Tobias Lindstrøm Jensen, Jianan Liu, Søren Kold, Ole Rahbek i Ming Shen. "Preparing infection detection technology for hospital at home after lower limb external fixation". DIGITAL HEALTH 8 (styczeń 2022): 205520762211095. http://dx.doi.org/10.1177/20552076221109502.
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Background Patients with severe bone fractures and complex bone deformities are treated by orthopedic surgeons with external fixation for several months. During this long treatment period, there is a high risk of inflammation and infection at the superficial skin area (pin site). This can develop into a devastating, sometimes fatal, and always costly condition of deep bone infection. Objective For pin site infection surveillance, thermography technology could be the solution to build an objective and continuous home-based remote monitoring tool to avoid frequent nursing care and hospital visits. However, future studies of infection monitoring require a preliminary step to automate the process of locating and detecting the pin sites in thermal images reliably for temperature measurement, and this step is the aim of this study. Methods This study presents an automatic approach for identifying and annotating pin sites on visible images using bounding boxes and transferring them to the corresponding thermal images for temperature measurement. The pin site is detected by applying deep learning-based object detection architecture YOLOv5 with a novel loss evaluation and regression method, control distance intersection over union. Furthermore, we address detecting pin sites in a practical environment (home setting) accurately through transfer learning. Results and conclusion The proposed model offers the pin site detection in 1.8 ms with a high precision of 0.98 and enables temperature information extraction. Our work for automatic pin site annotation on thermography paves the way for future research on infection assessment on thermography.
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Lamsal, KS, i MP Kafle. "Hypertension, as an iceberg disease in the high hilly areas of Nepal". Journal of Institute of Medicine Nepal 34, nr 3 (12.10.2013): 4–7. http://dx.doi.org/10.3126/jiom.v34i3.8906.
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Introduction: Hypertension simply is usual blood pressure of 140/90 mm Hg or higher in otherwise normal individuals and even lower for certain high-risk patients. Its a common medical condition worldwide. It is the most important, commonest and correctible cardiovascular risk factor and one of the leading causes of death. M any factors like dietary, behavioral, psychological, environmental, genetic etc have direct or indirect influence on hypertension. In this study we have analyzed the prevalence and different stages of hypertension in a remote and high hilly area of Nepal. Methods: The study was conducted in high hilly area adjoined to Solukhumbu and Dolakha districts. Altogether 600 participants were enrolled in the study. Participants having age more 18 years, regardless of symptoms, willing to give consent were involved. Demograghic data and blood pressure was recorded twice. The 1st reading was taken by trained nursing staff using standard Riva Rocci Sphygnomanometer after five minutes rest. The 2nd reading was taken by Physician and mean was calculated from both readings. Results: A mong 600 patients involved in the study, the mean age was 48 years. A mong them, 92 patients were having prehypertension including 53 male and 39 female. The stage I hypertension was found in 130 cases, out of them 77 were male and 53 were female. Whereas stage II hypertension was found in 84 cases, including 40 males and 44 females. Prehypertension was commonest among 40-49 years of age, stage I and stage II hypertension was commonest among 50-59 years. Systolic hypertension was more common in younger and elderly participants whereas diastolic hypertension was more common in middle age adults. Conclusion: In the study, the incidence of hypertension increases whose age was found between 50-59 with age till 50-59 years age group. Systolic hypertension was more common than diastolic hypertension in less than 30 years age group where as between 30-59 years diastolic blood pressure was more commonly found than systolic blood pressure. In the elderly of more than 60 years, again systolic hypertension is more predominant than diastolic hypertension.DOI: http://dx.doi.org/10.3126/joim.v34i3.8906 Journal of Institute of Medicine, December, 2012; 34:4-7
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Pavloff, Michelle, Pamela M. Farthing i Elsie Duff. "Rural and Remote Continuing Nursing Education: An Integrative Literature Review". Online Journal of Rural Nursing and Health Care 17, nr 2 (16.11.2017): 88–102. http://dx.doi.org/10.14574/ojrnhc.v17i2.450.
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Background: Rural and remote nursing has unique practice requirements that create a need for distinct education and practice preparation. Preparing registered nurses (RNs) to work in rural and remote communities is essential for the support and advancement of rural and remote health, as there is a shortage of rural and remote health care providers. Purpose: An integrative literature review was conducted to identify the current continuing education needs of rural and remote RNs internationally. Sample: Eight studies were included in the integrative review of the literature. Countries reported in the literature included Canada (n = 2), Australia (n = 2), Sweden (n = 1) and the United States (n = 3). Method: An integrative literature review on rural and remote nursing practice continuing education was conducted using Torraco’s (2005) guidelines, in addition to Whittemore and Knafl’s (2005) methodological strategies. A search strategy was created, tested, and approved by the research team.Themes were extracted, collated, analyzed, and knowledge synthesized. Findings: Rural and remote RNs identified areas requiring enhanced ongoing training. The identified training areas were summarized into the following four themes: 1) Comprehensive specialized nursing practice for direct patient care, 2) Unanticipated events, 3) Non-direct patient care, and 4) Advanced specialty courses. Conclusion: The autonomy, competency, and expertise that is expected of RNs working in rural and remote locations requires educational supports. Rural and remote nursing continuing education is required in the areas of: comprehensive specialized nursing practice for direct patient care, unanticipated events, non-direct patient care, and advanced specialty courses. Keywords: continuing education, integrative review, registered nurse(s), remote, rural Acknowledgements: The authors thank Saskatchewan Polytechnic for partial funding of this review through the Seed Applied Research Program. The authors also thank their research team member Chau Ha and research assistant Devendrakumar Kanani for their contributions to this integrative review.
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Hunt, Steve, i Elena Hunt. "Barriers to Practice of Rural and Remote Nursing in Canada". European Scientific Journal, ESJ 12, nr 36 (31.12.2016): 56. http://dx.doi.org/10.19044/esj.2016.v12n36p56.
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The delivery of rural and remote healthcare has been identified in the literature as a unique and complex working environment for Nursing practice. This Canadian setting integrative review looks at barriers associated with rural and remote nursing. Nine articles were retained after filtering over 200 articles extracted from 4 databases. Critical Appraisal Skills Programme Checklist (CASP) for qualitative research and Quality Assessment Tool for Quantitative Studies (QATQ) were used for assessment of a total sample of N=3402 participants. Four (4) main themes (barriers) were extracted: 1) Professional Isolation, 2) Competing Demands, 3) Lack of Sustainable Continuing Educational Initiatives and 4) Lack of Organizational Support. Following analysis of the demographic data, an emerging theme of an aging workforce was also seen as a potential future barrier to rural nursing practice. Future research is required in order for sufficient and appropriate action to be taken in addressing aforementioned barriers. Recommendations for nursing practice and policy in rural and remote areas revolve around exposing nursing students to rural / remote settings, incentives for new graduate students to practice in these areas, as well as support and educational initiatives encouraging practitioners to work to their full scope of practice.
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Coyle, Meaghan, Mohammad A. Al-Motlaq, Jane Mills, Karen Francis i Melanie Birks. "An integrative review of the role of registered nurses in remote and isolated practice". Australian Health Review 34, nr 2 (2010): 239. http://dx.doi.org/10.1071/ah09743.
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Objective.To examine the role of the registered nurse in remote and isolated areas of Queensland, the Northern Territory, South Australia and Western Australia; and to illustrate the impact of the burden of disease on nursing practice. Data sources.A literature search was undertaken using electronic databases and the grey literature (including policy documents, project reports and position descriptions). Data synthesis.The role of the nurse in remote areas is diverse, and varies according to the context of practice. Although some states and territories offer formal programs to prepare nurses for the role, it is unclear whether this is routinely provided. The burden of disease is higher in remote Australia, and although nurses work to reduce the burden, the need to provide primary care can be at the expense of primary health care. Conclusions.Whilst the nature of nursing practice is influenced by many factors, considerable agreement exists between states and territories around the role of the registered nurses in remote and isolated communities. The higher burden of disease in remote and isolated areas of Australia impacts on nursing practice, and nurses are uniquely placed to assist in reducing the burden of disease. Greater agreement around what constitutes ‘remote’ is needed. What is known about the topic?Many papers have reported on the difficulties encountered by registered nurses in remote and isolated practice; however, there is a dearth of information describing the role of registered nurses in remote or isolated Australian communities. What does this paper add?This review describes the diverse role of nurses and their role in addressing the burden of disease in remote and isolated Australia. Comparison between states and territories highlights differences in preparation for the role. What are the implications for practitioners?National agreement is needed around preparation for practice, conditions of work, and what constitutes ‘remote’. Greater utilisation of the nursing workforce in remote and isolated areas would assist in addressing the burden of disease.
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Kyle, Richard G., Michelle Beattie i Annetta Smith. "Transition into remote and rural nurse education and careers: a qualitative study of student nurses". Journal of Research in Nursing 25, nr 6-7 (23.06.2020): 509–20. http://dx.doi.org/10.1177/1744987120908911.
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Background Global nurse shortages present a threat to the sustainability of remote and rural healthcare. Interventions have been developed to support recruitment and retention of nurses that focus on providing pre-nursing experience for school pupils who intend to pursue nursing careers. However, there is a lack of evidence around how pre-nursing experience supports transition into nurse education. Aims This study aims to explore the impact of a pre-nursing scholarship for school pupils in remote and rural areas of Scotland on experiences of transition into nurse education. Methods This was a qualitative study involving semi-structured telephone and face-to-face interviews with pre-nursing scholarship participants. Results An authentic pre-nursing experience supported school pupils’ transition to nurse education. First, it increased students’ self-efficacy, both in their decision to choose nursing as a career and their ability to nurse. Second, it helped students to realise that the opportunity to study closer to home was available to them. Third, it supported students’ educational and social integration, helping them feel prepared for university teaching and learning approaches and the social experience of being a student. Conclusions Pre-nursing experience can support transition into nurse education and contribute to career pathways that support recruitment and retention of nurses in remote and rural areas.
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Fury, Wen, Keun Woo Park, Zhuhao Wu, Eunhee Kim, Moon-sook Woo, Yu Bai, Lynn E. Macdonald, Susan D. Croll i Sunghee Cho. "Sustained Increases in Immune Transcripts and Immune Cell Trafficking During the Recovery of Experimental Brain Ischemia". Stroke 51, nr 8 (sierpień 2020): 2514–25. http://dx.doi.org/10.1161/strokeaha.120.029440.
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Background and Purpose: Stroke is a major cause of chronic neurological disability. There is considerable interest in understanding how acute transcriptome changes evolve into subacute and chronic patterns that facilitate or limit spontaneous recovery. Here we mapped longitudinal changes in gene expression at multiple time points after stroke in mice out to 6 months. Methods: Adult C57BL/6 mice were subjected to transient middle cerebral artery occlusion. Longitudinal transcriptome levels were measured at 10 time points after stroke from acute to recovery phases of ischemic stroke. Localization and the number of mononuclear phagocytes were determined in the postischemic brain. Whole-mount brain imaging was performed in asplenic mice receiving GFP + (green fluorescent protein)-tagged splenocytes. Results: Sustained stroke-induced mRNA abundance changes were observed in both hemispheres with 2989 ipsilateral and 822 contralateral genes significantly perturbed. In the hemisphere ipsilateral to the infarct, genes associated with immune functions were strongly affected, including temporally overlapping innate and adaptive immunity and macrophage M1 and M2 phenotype-related genes. The strong immune gene activation was accompanied by the sustained infiltration of peripheral immune cells at acute, subacute, and recovery stages of stroke. The infiltrated immune cells were found in the infarcted area but also in remote regions at 2 months after stroke. Conclusions: The study identifies that immune components are the predominant molecular signatures and they may propagate or continuously respond to brain injury in the subacute to chronic phase after central nervous system injury. The study suggests a potential immune-based strategy to modify injury progression and tissue remodeling in ischemic stroke, even months after the initiating event.
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Jones, Chelsea, Antonio Miguel-Cruz, Lorraine Smith-MacDonald, Emily Cruikshank, Delaram Baghoori, Avneet Kaur Chohan, Alexa Laidlaw i in. "Virtual Trauma-Focused Therapy for Military Members, Veterans, and Public Safety Personnel With Posttraumatic Stress Injury: Systematic Scoping Review". JMIR mHealth and uHealth 8, nr 9 (21.09.2020): e22079. http://dx.doi.org/10.2196/22079.
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Background A necessary shift from in-person to remote delivery of psychotherapy (eg, teletherapy, eHealth, videoconferencing) has occurred because of the COVID-19 pandemic. A corollary benefit is a potential fit in terms of the need for equitable and timely access to mental health services in remote and rural locations. Owing to COVID-19, there may be an increase in the demand for timely, virtual delivery of services among trauma-affected populations, including public safety personnel (PSP; eg, paramedics, police, fire, correctional officers), military members, and veterans. There is a lack of evidence on the question of whether digital delivery of trauma-therapies for military members, veterans, and PSP leads to similar outcomes to in-person delivery. Information on barriers and facilitators and recommendations regarding digital-delivery is also scarce. Objective This study aims to evaluate the scope and quality of peer-reviewed literature on psychotherapeutic digital health interventions delivered remotely to military members, veterans, and PSP and synthesize the knowledge of needs, gaps, barriers to, and facilitators for virtual assessment of and virtual interventions for posttraumatic stress injury. Methods Relevant studies were identified using MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica dataBASE), APA (American Psychological Association) PsycINFO, CINAHL (Cumulative Index of Nursing and Allied Health Literature) Plus with Full Text, and Military & Government Collection. For collation, analysis, summarizing, and reporting of results, we used the CASP (Critical Skills Appraisal Program) qualitative checklist, PEDro (Physiotherapy Evidence Database) scale, level of evidence hierarchy, PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews), and narrative synthesis. Results A total of 38 studies were included in this review. Evidence for the effectiveness of digital delivery of prolonged exposure therapy, cognitive processing therapy, behavioral activation treatment with therapeutic exposure to military members, veterans, and PSP was rated level 1a, whereas evidence for cognitive behavioral therapy was conflicting. The narrative synthesis indicated that virtual delivery of these therapies can be as effective as in-person delivery but may reduce stigma and cost while increasing access to therapy. Issues of risk, safety, potential harm (ie, suicidality, enabling avoidance), privacy, security, and the match among the therapist, modality, and patient warrant further consideration. There is a lack of studies on the influences of gender, racial, and cultural factors that may result in differential outcomes, preferences, and/or needs. An investigation into other therapies that may be suitable for digital delivery is needed. Conclusions Digital delivery of trauma therapies for military members, veterans, and PSP is a critical area for further research. Although promising evidence exists regarding the effectiveness of digital health within these populations, many questions remain, and a cautious approach to more widespread implementation is warranted.
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Zerillo, Jessica A., Benjamin Adam Goldenberg, Ritesh R. Kotecha, Alok Tewari, Monika K. Krzyzanowska i Joseph O. Jacobson. "Interventions to improve oral chemotherapy safety and quality: A systematic and grey literature review." Journal of Clinical Oncology 35, nr 8_suppl (10.03.2017): 97. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.97.
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97 Background: With the growing use of oral chemotherapy, there is an urgent need to develop safe and effective systems to administer and manage these agents. A comprehensive synthesis of literature on oral chemotherapy care delivery programs to which clinicians can look for best practices is lacking. Methods: We performed a systematic review of PubMed, EMBASE and CINAHL from 1/1995- 5/2016 and the grey literature to identify publications describing oral chemotherapy care delivery programs. Our population of interest was cancer patients of all ages prescribed cytotoxic or targeted anti-cancer oral agents. Interventions could address any part of the oral chemotherapy delivery process from prescribing through disposal but had to report outcomes (adherence and/or safety or toxicity) in relation to a control group. Results: From 7,984 abstracts in the peer-reviewed and 9 from the grey literature, 16 studies met inclusion criteria (7 of these randomized) with 3,612 patients represented. Interventions focused on prescribing (n = 1), preparation/dispensing (n = 2), education (n = 11), administration (n = 5), monitoring (n = 14), and storage/disposal (n = 1). Of the 10 articles with adherence as an outcome, four different measurement methods were used. Many articles lacked formal statistical testing. In the 6 studies with statistically significant improvement in outcomes, 3 utilized nursing phone calls to patients within the first few days of treatment initiation, which resulted in less toxicity (n = 2) or better adherence (n = 1). None of the four studies that evaluated eHealth strategies to increase patient to care team contact demonstrated a statistically significant improvement in outcomes. Conclusions: Limitations in study design impair our ability to draw definitive conclusions on best practices for oral chemotherapy care delivery. A framework for conducting research in this area that defines the processes of oral chemotherapy delivery and standardizes outcomes of success is needed to address this gap. Existing studies suggest that interventions focusing on education and remote phone-based monitoring of patients at therapy initiation may decrease toxicity, and possibly improve adherence.