...How c a n p eop le red uc e the c ha nc e of g etting infec ted ? Avoid Mosquito Bites Make sure windows and doors are ?bug tight.? Repair or replace screens. Stay indoors at dawn and dusk, if possible, when mosquitoes are most active. Wear a long sleeve shirt, long pants, and a hat when going into mosquito infested areas, such as wetlands or woods. Use mosquito repellent when necessary. Read the label and carefully follow the instructions. Take special care when using repellent on children. Change the water in your birdbaths, fountains, wading pools, and animal troughs at least twice a week. Change the water in your birdbaths, fountains, wading pools, and animal troughs at least twice a week. Recycle unused containers that can collect water? bottles, cans, and buckets. Make sure roof gutters drain properly; and clean clogged gutters in the spring and fall. Fix leaky outdoor faucets and sprinklers. T ether we c a n fig ht og the b ite! Don? Give Mosquitoes t a Home Empty anything that holds standing water? old tires, buckets, plastic covers, flowerpots, and toys Empty anything that holds standing water? old tires, buckets, plastic covers, flowerpots, and toys Group 4 Ca nla p a n, Ka trina Sa ng a la ng , Nika ela Ma na lo, Ha rriet Da niel, Jethro T ng la o, Va nesha a Ad ria no, Pa tric k All rights reserved. 2016 W EST NILE VI RUS Do you know wha t 's bi t i ng you? WHAT IS WEST NILE VIRUS? SYMPT OMS ...
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...MRSA decontamination using octenidine-based products Mindaugas Danilevicius, Audra Juzéniené, Indré Juzénaité-Karneckiené, Anželika Veršinina Key words: Decontamination ■ Hospitalised patients ■ Methicillin-resistant Staphylococcus aureus ■ Octenidine Mindaugas Danilevicius, 2UAB ‘Apiterapija’, Vilnius, Lithuania, Audra Juzéniené, Indré Juzénaité-Karneckiené, Republican Vilnius University Hospital, Department of Infection Control, Vilnius, Lithuania Accepted for publication: July 2015 S36 I British Journal of Nursing, 2015 (Tissue Viability Supplement), Vol 24, No 15 © 2015 MA Healthcare Ltd Abstract Background: Methicillin-resistant Staphylococcus aureus (MRSA) infections are an increasing problem worldwide with a high risk of severe illness and mortality in hospitalised patients. Patients with chronic wounds are at particular risk of developing MRSA infections. As octenidinebased products have shown promising success in decontamination in the past, the aim of the present study was to determine its efficacy, safety, and tolerability in decontaminating hospitalised MRSApositive patients. Methods: From 1 April 2011 until 9 November 2012, 36 patients were screened MRSA-positive at the Republican Vilnius University Hospital, Vilnius, Lithuania. At least three swab tests were performed for each patient to screen for MRSA, one from each nostril and one from the perineum. In patients with wounds, an additional swab was taken from the wound surface...
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...1/29/2014 Problem solving skills of the nursing and midwifery students and influential factors Início Atual Expediente Instruções aos autores Sistema de submissão Original Article Çinar N, Sözeri C, Şahin S, Cevahir R, Say M. Problem solving skills of the nursing and midwifery students and influential factors. Rev. Eletr. Enf. [Internet]. 2010 out/dez;12(4):601-6. Available from: http://dx.doi.org/10.5216/ree.v12i4.8328. Problem solving skills of the nursing and midwifery students and influential factors Habilidades para solução de problemas pelos estudantes de enfermagem e obstetrícia e fatores influenciadores Habilidades para resolución de problemas por estudiantes de enfermería y partería y sus factores determinantes Nursan ÇinarI, Cefariye SözeriII, Sevil ŞahinIII, Reyhan CevahirIV, Mihriban Say V I Associate Prof. PhD. in Nursing. Sakarya, Turkey. E-mail: ndede@sakarya.edu.tr. II Midwifery Research Fellow. Sakarya, Turkey. E-mail: culudag@sakarya.edu.tr. III Midwifery Research Fellow. Sakarya, Turkey. E-mail: ssahin@sakarya.edu.tr. IV Midwifery Research Fellow. Sakarya, Turkey. E-mail: rcevahir@sakarya.edu.tr. V Nurse. Anadolu Saglik Merkezi. Izmit, Turkey. E-mail: mih_say@hotmail.com. ABSTRACT Effective problem solving strategies and decision making skill based on a powerful basis of knowledge are behaviors expected from midwife and nurses students that need to be developed during their vocational education. This study aimed to determine and to compare...
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...Stress management What is it? Lephuong Ong, Wolfgang Linden[pic], [pic]and Sandra Young Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, Canada VT 1Z4 Received 8 October 2002; accepted 4 March 2004. Available online 20 February 2004. Abstract Stress management (SM) is a widely used term with a seemingly obvious meaning. The research literature contains many studies evaluating its effectiveness, but it is not clear how many different forms of SM exist and how efficacious they are for which target problem. One hundred and fifty-three studies on SM were analyzed to determine consensus in definitions and therapy protocols. Results showed that a typical delivery format exists (mostly group form, 8–10 sessions in length and multitechnique), but the number of techniques used was very large, techniques were inconsistently labeled are often poorly described. It is concluded that in outcome research, the term "stress management" is operationally defined with such variability that comparisons of SM outcome studies are not meaningful at this time. Author Keywords: Stress management; Arousal reduction; Coping; Therapy outcome [pic] Article Outline • Introduction • Methods • Results • Typical components of SM interventions • Imagery, relaxation and meditation • Cognitive–behavioral approaches • Systemic approaches • Discussion • Acknowledgements • References [pic] Introduction This paper questions...
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...Stress management Abstract Stress management (SM) is a widely used term with a seemingly obvious meaning. The research literature contains many studies evaluating its effectiveness, but it is not clear how many different forms of SM exist and how efficacious they are for which target problem. One hundred and fifty-three studies on SM were analyzed to determine consensus in definitions and therapy protocols. Results showed that a typical delivery format exists (mostly group form, 8–10 sessions in length and multitechnique), but the number of techniques used was very large, techniques were inconsistently labeled are often poorly described. It is concluded that in outcome research, the term "stress management" is operationally defined with such variability that comparisons of SM outcome studies are not meaningful at this time. Author Keywords: Stress management; Arousal reduction; Coping; Therapy outcome [pic] [pic] Introduction This paper questions whether or not stress management (SM) researchers agree on what SM is, what the necessary treatment ingredients are and whether or not comparisons of different studies using SM are possible and meaningful. Previous experience with the conduct of controlled studies of SM for health outcomes [1 and 2] and the desire to continue this line of research motivated us to begin examining the efficacy of SM with the possible goal of conducting a meta-analytic review. A minimal, yet pivotal, requirement for considering meta-analysis...
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...Capstone Project Abstract Background Hand washing and hand hygiene are consider to be the number one, cheap essential measure of preventing and controlling spread of hospital acquired infections (HAIs). Hand washing and hygiene can significantly reduce the burden of disease, in particular in hospitalized patient Unfortunately compliance to hand hygiene recommended standard procedures by the health care workers (HCWs) has been unacceptably poor. In order to design education program, identification of several risk factors associated with poor hand hygiene (HH) compliance is of extreme importance. Objective: The purpose of this study is to implement a hand hygiene program for increase compliance with hand hygiene among health care worker in 97 beds hospital. The key target for compliance to HH is not only health-care workers but also policy-makers and organizational leaders and managers. Methods.: Compliance to hand hygiene will be evaluated through direct observation of HCWs ,to helps pinpoint areas of strength or weaknesses in HH behavior, so as to develop training program that will help HCWs to complaint with HH . Evaluation will be based on direct observation and survey audit, observing the HCWs during routine patient care to ensure that hands hygiene are performed before and after getting in contact with patient and patient environment. In addition, survey audit based on the HCWs perception, knowledge and attitude...
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...Wolters Kluwer Health | Lippincott Williams & Wilkins Missed Nursing Care, Staffing, and Patient Falls Beatrice J. Kalisch, PhD, RN, FAAN; Dana Tschannen, PhD, RN; Kyung Hee Lee, MPH, RN Patient falls in hospitals continue to be a major and costly problem. This study tested the mediating effect of missed nursing care on the relationship of staffing levels (hours per patient day [HPPD]) and patient falls. The sample was 124 patient units in 11 hospitals. The HPPD was negatively associated with patient falls (r = − 0.36, P < .01), and missed nursing care was found to mediate the relationship between HPPD and patient falls. Key words: falls, missed nursing care, staffing P to 12% of hospitalized patients experience at least 1 fall during their hospital stay.1 A fall is defined as any event in which patients are found on the floor (observed or unobserved) or an unplanned lowering of the patient to the floor by staff or visitors.2 In 2008, and 2010, falls were identified as one of the top 10 sentinel event categories by the Joint Commission.3 Fall rates in hospitals range from 4 to 14 falls per 1000 patient days.4 With the adoption of the Centers of Medicare and Medicaid rule, which no longer reimburses hospitals at the higher diagnosis related group for the care and treatment associated with patient falls that occur during hospitalization, a clearer understanding of what factors U Author Affiliations: School of Nursing, University of Michigan, Ann Arbor, Michigan (Drs Kalisch and...
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...Weissman and Beck in Development and Validation of the Dysfunctional Attitude Scale: A Preliminary Investigation, The Dysfunctional Attitude Scale (DAS) was developed to measure pervasive negative attitudes of a depressed person towards self, outside world, and future. (Weissman, 1978, p.3) When it was initially done it had one hundred questions, then it was reduced to two sets of forty questions and since then there have been different versions used to assess and research different studies. The Dysfunctional Attitude Scale shows that in depressed individuals there is a correlation in depression and the individual’s distortion in their views of self, world and future. . (Weissman, 1978, p.7) In reading the above article it is evident that the use of the Dysfunctional Attitude Scale is best used in an young adult to adult setting as a tool of depression evaluation. The areas covered in the questions pertain to accessibility of where you stand in life and measurements are by life events such as job, coworker’s ability to provide and so on. The knowledge gained and its validity has to do with whether or not the individuals are being honest in their answers. Also the perceptions that the individuals may have about their own lives may be distorted so how can it be a true answer to some questions. If using this tool in nursing process it would be effective for those involved in care as to how they will continue to care for themselves outside of the hospital setting, which could...
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...consultation process 64 Notes 65 Tables Table 1: Gross expenditure on research and experimental development by sector, 2008–09 38 Table 2: Expenditure on research and development as a proportion of GDP, Australia and the OECD, 2008 38 Figures Figure 1: Increase in low SES domestic students in higher education, 1992 to 2011 15 Figure 2: Australia’s benefits from research 37 Figure 3: Commonwealth per student funding, 1989 to 2010 55 Figure 4: Public investment in tertiary education as a percentage of GDP 55 Figure 5: Higher education revenue proportion by source 56 Figure 6: Productivity efficiency of tertiary education among OECD countries 60 A n a g e n da f o r A u s t r a l i a n h i g h e r e d u c at i o n 2 0 1 3 – 2 0 1 6 iii Universities Australia’s board and vice-chancellors of member universities Universities Australia Board of Directors Vice-chancellors of...
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...The n e w e ng l a n d j o u r na l of m e dic i n e Clinical Practice Caren G. Solomon, M.D., M.P.H., Editor Urinary Tract Infections in Older Men Anthony J. Schaeffer, M.D., and Lindsay E. Nicolle, M.D. This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors’ clinical recommendations. From the Feinberg School of Medicine, Northwestern University, Chicago (A.J.S.); and the University of Manitoba, Winnipeg, Canada (L.E.N.). Address reprint requests to Dr. Schaeffer at the Feinberg School of Medicine, Northwestern University, 303 E. Chicago Ave., Tarry Bldg. 16-703, Chicago, IL 60611, or at jschaeffer@ a northwestern.edu. N Engl J Med 2016;374:562-71. DOI: 10.1056/NEJMcp1503950 Copyright © 2016 Massachusetts Medical Society. An audio version of this article is available at NEJM.org 562 A 79-year-old community-dwelling man presents with urinary frequency, dysuria, and fever. Culture reveals extended-spectrum beta-lactamase Escherichia coli. He had a similar infection several months ago, with the same organism isolated, and he had a response to nitrofurantoin treatment. How would you further evaluate and manage this case? U The Cl inic a l Probl em rinary tract infection in men without indwelling catheters is uncommon among men younger...
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...Effectos of Communication on Patient Care Travis Porterfield Grand Canyon University Effectos of Communication on Patient Care The process of curing a patient requires a holistic approach which involves considerations beyond treating a disease. It warrants several skills in a doctor along with technical expertise. Studies have shown that good communication skill in a doctor improve patient’s compliance and overall satisfaction. There are certain basic principles of practicing good communication. Patient listening, empathy, and paying attention to the paraverbal and non verbal components of the communication are the important ones that are frequently neglected. Proper information about the nature, course and prognosis of the disease is important. Besides, patients and attendants should always be explained about the necessity and yield of expensive investigations and risks/benefits involved in invasive procedures. One should be extremely cautious while managing difficult encounters and breaking bad news. Formal training of the doctors in improving communication skills is necessary and has proven to improve overall outcome. (Ranjan, Kumari, & Chakrawarty, 2015, p. 1) Significant differences were found in eye gaze patterns across the groups.•Some technology use styles can engage patient more in the visit than others.•This study has implication for future EHRs which can enhance the communication.•This study has training implications for physicians for more efficient use...
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...STRESS IN THE WORKPLACE AND SAFETY ISSUES AMONG NURSES IN THE PHILIPPINES Abstract Personality differences among employees can lead to a tense and less productive work environment. Differences in race, gender, religious conviction, sexual orientation, and age can cause fear and uneasiness among employees. These feelings are often associated with confusion or powerlessness. Diversity and sensitivity training can assist employees in embracing each other’s unique qualities. “To accept differences, we have to understand differences, and there is no better way to do this than to learn to communicate with people who are different than you” (Lieberman, 2007). When employees feel overwhelmed, they can lose self-confidence, become irritable or act withdrawn. This behavior directly impacts productivity, and work becomes less rewarding. J. Segal, R. Segal, Horwitz, Jaffe-Gi[ http://www.termpaperwarehouse.com/essay-on/Managing-Stress-In-The-Workplace/54320 In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention by De Castro, A.B, et al. during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year...
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...Nursing in 3D: Diversity, Disparities, and Social Determinants The Social Determinants of Health: It’s Time to Consider the Causes of the Causes Paula Braveman, MD, MPHa Laura Gottlieb, MD, MPHb ABSTRACT During the past two decades, the public health community’s attention has been drawn increasingly to the social determinants of health (SDH)—the factors apart from medical care that can be influenced by social policies and shape health in powerful ways. We use “medical care” rather than “health care” to refer to clinical services, to avoid potential confusion between “health” and “health care.” The World Health Organization’s Commission on the Social Determinants of Health has defined SDH as “the conditions in which people are born, grow, live, work and age” and “the fundamental drivers of these conditions.” The term “social determinants” often evokes factors such as health-related features of neighborhoods (e.g., walkability, recreational areas, and accessibility of healthful foods), which can influence health-related behaviors. Evidence has accumulated, however, pointing to socioeconomic factors such as income, wealth, and education as the fundamental causes of a wide range of health outcomes. This article broadly reviews some of the knowledge accumulated to date that highlights the importance of social—and particularly socioeconomic— factors in shaping health, and plausible pathways and biological mechanisms that may explain their effects. We also discuss...
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...Quality Research Article Critique Factors Influencing Emergency Use of Nurse Practitioners: A Critique Problem and Purpose This is critique of a Qualitative Nursing article, the article is: Factors Influencing the Decision to Use Nurse Practitioners in the Emergency Department by Laurie A. McGee, MN, ARNP and Louise Kaplan, PhD, ARNP, published in Journal of Emergency Nursing, Volume 33, Number 5, October 2007. The problem that is stated in the article is there is a growing and serious problem facing the overcrowding of emergency rooms within the United States. There is a current epidemic of the population that relies on emergency room care as primary care. “The 2004 National Hospital Ambulatory Medical Care Survey (NHAMCS) reports an 18% increase in the number of visits to emergency departments from 1994 to 2004.” This causes long wait times and may cause emergency room doctors and nurses to be overworked allowing for a possibility for mistakes to handle the volume. “Overcrowding is defined as a situation in which demand for emergency services exceeds the ability of a department to provide quality care within acceptable time frames.” Overcrowding can delay care which is a patient safety issue and can lower patient satisfaction. “The Joint Commission on Accreditation of Healthcare Organizations' review of sentinel events has attributed patient deaths to delays in patient care. In hospital emergency departments, delay of treatment is the most common type of sentinel event.”...
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...Omega 40 (2012) 104–119 Contents lists available at ScienceDirect Omega journal homepage: www.elsevier.com/locate/omega Strategic performance measurement in a healthcare organisation: A multiple criteria approach based on balanced scorecard E. Grigoroudis n, E. Orfanoudaki, C. Zopounidis Technical University of Crete, Department of Production Engineering and Management University Campus, Kounoupidiana, 73100 Chania, Greece a r t i c l e i n f o Article history: Received 5 July 2010 Accepted 11 April 2011 Processed by Triantaphyllou Available online 20 April 2011 Keywords: Health service Multicriteria analysis Case study Performance measurement Balanced scorecard Business strategy a b s t r a c t The Balanced Scorecard (BSC) methodology focuses on major critical issues of modern business organisations: the effective measurement of corporate performance and the evaluation of the successful implementation of corporate strategy. Despite the increased adoption of the BSC methodology by numerous business organisations during the last decade, limited case studies concern non-profit organisations (e.g. public sector, educational institutions, healthcare organisations, etc.). The main aim of this study is to present the development of a performance measurement system for public health care organisations, in the context of BSC methodology. The proposed approach considers the distinguished characteristics of the aforementioned sector (e.g. lack of competition, social character...
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