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Management: Hospitals

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Total 262 results found since Jan 2013.

Telestroke Process at a Community Hospital: A Quality Improvement Project
The objectives of the current quality improvement project were to describe the updates to the stroke process and compare pre- and postintervention data on nurse-driven elements of the process, namely telestroke notification and neurologist assessment.
Source: Journal of Emergency Nursing: JEN - January 27, 2023 Category: Nursing Authors: Bryce A. Kennedy, Pamela J. Stout Tags: Research Source Type: research

Factors that influence activities of daily living in the elderly with probable dementia
This study identified five factors influencing ADL that can guide researchers and nurses in developing strategies to improve ADL. AbstractThe purpose of this study was to identify the factors that influence activities of daily living (ADL) in the elderly with probable dementia. The participants were 152 older adults who voluntarily visited a hospital to participate in a national dementia free screening programme. General characteristics, health‐related characteristics, ADL, Mini‐Mental State Examination Korean Consortium (MMSE‐KC) and the Geriatric Depression Scale (GDS) score were evaluated in this study. The data ...
Source: Journal of Psychiatric and Mental Health Nursing - September 21, 2013 Category: Nursing Authors: E. Ha, K. Kim Tags: Original Article Source Type: research

Keeping the story together: a holistic approach to narrative analysis
Delay seeking medical assistance for ischemic stroke symptoms is common worldwide, yet existing literature does not provide an adequate understanding of experiences at stroke onset. An explanatory narrative inquiry using a holistic-content approach to data was conducted to gain understanding of women’s experiences between symptom onset and hospital arrival. A holistic-content analysis retains the temporal dimension of each individual’s story so that the parts within the story are interpreted in relation to other parts of the story and the outcome of the story. The aim of this paper is to present the procedures ...
Source: Journal of Research in Nursing - November 20, 2013 Category: Nursing Authors: Beal, C. C. Tags: Articles Source Type: research

More than Just a Simple Swish and Spit: Implementation of Oral Care Best Practice in Clinical Neurosciences
Suboptimal oral care is well documented in the literature and is linked to increased nosocomial pneumonia rates and prolonged hospitalization, negatively affecting patients' quality of life (Terezakis et al. 2011). A standardized approach to oral care can change these adverse outcomes. This project used best practice guidelines and evidence in the literature to guide the development of oral care best practice within an acute care inpatient unit. Based on the work of the interprofessional Clinical Neurological Sciences (CNS) Continuous Quality Improvement (CQI) Council at London Health Sciences Centre – University...
Source: Nursing Leadership - May 6, 2013 Category: Nursing Source Type: research

Simulation Training in Early Emergency Response (STEER).
This study aimed to test a simulation curriculum based on institutional priorities using high-intensity, short-duration, frequent in situ content delivery based on deliberate practice. The study design was a prospective, single-center, mixed-methods quasi-experimental study. Scenarios used in this study were ventricular fibrillation, opiate-related respiratory depression, syncopal fall, and hemorrhagic stroke. The convenience sample included 41 teams (147 participants). Improvements were noted in initiating chest compressions (p = .018), time to check blood glucose (p = .046), and identification of heparin as a contributor...
Source: Journal of Continuing Education in Nursing - May 29, 2016 Category: Nursing Authors: Generoso JR, Latoures RE, Acar Y, Miller DS, Ciano M, Sandrei R, Vieira M, Luong S, Hirsch J, Fidler RL Tags: J Contin Educ Nurs Source Type: research

A Rural Hospital ’s Journey to Becoming a Certified Acute Stroke–Ready Hospital
For many stroke patients, rural emergency departments are the first point of medical care to stop brain cell death. We identified a need to meet standards to improve outcomes for stroke care.
Source: Journal of Emergency Nursing: JEN - December 31, 2016 Category: Nursing Authors: Denise C. Rhew, Susan H. Owens, Jessica B. Buckner, Sandra S. Kueider Tags: Practice Improvement Source Type: research

More than Just a Simple Swish and Spit: Implementation of Oral Care Best Practice in Clinical Neurosciences
Suboptimal oral care is well documented in the literature and is linked to increased nosocomial pneumonia rates and prolonged hospitalization, negatively affecting patients' quality of life (Terezakis et al. 2011). A standardized approach to oral care can change these adverse outcomes. This project used best practice guidelines and evidence in the literature to guide the development of oral care best practice within an acute care inpatient unit. Based on the work of the interprofessional Clinical Neurological Sciences (CNS) Continuous Quality Improvement (CQI) Council at London Health Sciences Centre – University...
Source: Nursing Leadership - May 6, 2013 Category: Nursing Source Type: research

Early mobilization in neurocritical care patients
Purpose of review To examine the potential benefits of early mobilization in neurocritically ill patients and to summarize the recent evidence for and against early mobilization. Recent findings Early ICU mobilization in medically critically ill patients may decrease ICU and hospital length of stay, increase discharge-to-home, and reduce medical costs. Whether these benefits apply to neurologically critically ill patients remains unclear, as neuro ICU patients are often excluded from trials of early mobility. Neurocritically ill patients may present with hemodynamic instability, acute hemiplegia, altered consciousness...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Peter Le Roux Source Type: research

Symptom clusters of early ‐stage poststroke depression: A mixed‐methods study
This study adheres to the GRAMMS checklist.ResultsExploratory factor analysis revealed six symptom clusters of early ‐stage PSD that accounted for an ideal variance in PSD: nervous, wakefulness, emotional, dull, guilt and low mood. Further, inductive content analysis revealed five themes that were like the above symptom clusters, except for the dull symptom cluster.
Source: Nursing Open - January 20, 2021 Category: Nursing Authors: Junya Chen, Yun Li, Jing Liu, Yi Zhang, Yawei Zeng, Mengjiao Chen, Weiwei Ding, Zhongqiu Lu, Hongbo Xu, Jufang Li Tags: RESEARCH ARTICLE Source Type: research

Rehabilitating the neurological patient in the ICU: what is important?
Purpose of review To describe recent literature evaluating the effectiveness of early rehabilitation in neurocritical care patients. Recent findings There is a drive for early rehabilitation within the ICU; however, there are unique considerations for the neurocritically ill patient that include hemiplegia, cognitive impairments and impaired conscious state that can complicate rehabilitation. Additionally, neurological complications, such as hemorrhage expansion and cerebral edema can lead to the risk of further neurological damage. It is, therefore, important to consider the effect of exercise and position chan...
Source: Current Opinion in Critical Care - March 10, 2021 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Markus B. Skrifvars Source Type: research

Symptom clusters of early ‐stage poststroke depression: A mixed‐methods study
This study adheres to the GRAMMS checklist.ResultsExploratory factor analysis revealed six symptom clusters of early-stage PSD  that accounted for an ideal variance in PSD: nervous, wakefulness, emotional, dull, guilt and low mood. Further, inductive content analysis revealed five themes that were like the above symptom clusters, except for the dull symptom cluster.
Source: Nursing Open - August 13, 2021 Category: Nursing Authors: Junya Chen, Yun Li, Jing Liu, Yi Zhang, Yawei Zeng, Mengjiao Chen, Weiwei Ding, Zhongqiu Lu, Hongbo Xu, Jufang Li Tags: RESEARCH ARTICLE Source Type: research

Pressure ulcer prevalence and quality of care in stroke patients in an Indonesian hospital
Journal of Wound Care, Vol. 22, Iss. 5, 08 May 2013, pp 254 - 260
Source: Contents for Journal of Wound Care, Volume 18 Issue 4 (26 March 2009) - May 8, 2013 Category: Nursing Authors: Y. Amir, R. J. G. Halfens, C. Lohrmann, J. M.G.A. Schols Source Type: research

Early ambulation after percutaneous coronary intervention does not increase bleeding risk compared with late ambulation
Commentary on: Tongsai S, Thamlikitkul V. The safety of early versus late ambulation in the management of patients after percutaneous coronary interventions: a meta-analysis. Int J Nurs Stud 2012;49:1084–90. Implications for practice and research Early ambulation after percutaneous coronary intervention (PCI) may facilitate earlier hospital discharge and improve patient comfort. There are a limited number of randomised clinical trials assessing the safety of this strategy. This meta-analysis suggests that earlier ambulation was not associated with an increased risk of adverse bleeding events. Context The number of PC...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Juergens, C. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research

Empty Handoff
A 29-year-old man with brittle diabetes (ie, frequent, severe changes in blood glucose levels) was admitted to surgery for incision and drainage of a leg infection. The patient had a history of chronic renal failure, hypertension, and stroke after a hypoglycemic event. While on the hospital floor before surgery, the patient's blood glucose level fell precipitously after he received insulin, and he required glucose several times. Because of the workload, the nurse did not accompany the patient to the OR but instead informed the transportation assistant about the patient's extreme sensitivity to insulin and asked that the i...
Source: AORN Journal - February 28, 2014 Category: Nursing Tags: Perioperative Grand Rounds Source Type: research

Communication Strategies Of The Nursing Team In The Aphasia After Cerebrovascular Accident
This is an exploratory, cross-sectional study of quantitative design that aimed to identify the communication strategies used and reported by the nursing staff in the care of aphasic patients after a stroke. The techniques used were the participant observation and interviews with 27 subjects of the nursing staff of neurological units in a general hospital. The most frequently mentioned strategies were gestures (100%), verbal communication (33.3%), written communication (29.6%) and the touch (18.5 %). Among the observed strategies, the gestures reached 40.7% and the touch was present in all situations, given its instrumenta...
Source: Revista da Escola de Enfermagem da USP - June 13, 2014 Category: Nursing Source Type: research