Breastfeeding Attitudes and Social Support Among Christian African Americans.

To describe the breastfeeding attitudes and subjective norms of breastfeeding among African American Christians from the New England region. A study was conducted using an online survey. Participants were recruited from four Christian churches in the New England region during the summer of 2021.

Multicentre implementation of a quality improvement initiative to reduce delirium in adult intensive care units: An interrupted time series analysis.

Purpose: The ABCDEF bundle may improve delirium outcomes among intensive care unit (ICU) patients, however population-based studies are lacking. In this study we evaluated effects of a quality improvement initiative based on the ABCDEF bundle in adult ICUs in Alberta, Canada.

Material And Methods: We conducted a pre-post, registry-based clinical trial, analysed using interrupted time series methodology.

Occupational Injuries and Illnesses among Paramedicine Clinicians: Analyses of US Department of Labor Data (2010 - 2020).

Objective: Paramedicine clinicians (PCs) in the United States (US) respond to 40 million calls for assistance every year. Their fatality rates are high and their rates of nonfatal injuries are higher than other emergency services personnel, and much higher than the average rate for all US workers. The objectives of this paper are to: describe current occupational injuries among PCs; determine changes in risks over time; and calculate differences in risks compared to other occupational groups.

Using care pathways for cancer diagnosis in primary care: a qualitative study to understand family physicians' mental models.

Background: Care pathways are tools that can help family physicians navigate the complexities of the cancer diagnostic process. Our objective was to examine the mental models associated with using care pathways for cancer diagnosis of a group of family physicians in Alberta.

Methods: We conducted a qualitative study using cognitive task analysis, with interviews in the primary care setting between February and March 2021.

A Cohort Study of Occupational Fatalities among Paramedicine Clinicians: 2003 through 2020.

Introduction/study Objectives: Emergency medical technicians (EMTs) and paramedics respond to 40 million calls for assistance every year in the United States; these paramedicine clinicians are a critical component of the nation's health care, disaster response, public safety, and public health systems. The study objective is to identify the risks of occupational fatalities among paramedicine clinicians working in the United States.

Methods: To determine fatality rates and relative risks, this cohort study focused on 2003 through 2020 data of individuals classified as EMTs and paramedics by the United States Department of Labor (DOL).

Disparities in 6 Month Exclusive Breastfeeding in Ghana, Africa: A Scoping Review.

Background: Exclusive breastfeeding practice for 6 months is a critical global public health goal. In 2020, only 44% of infants globally, 31% in Central and West Africa, and 43% in Ghana, were exclusively breastfed for the first 6 months of life.

Research Aim: To critically evaluate disparities in exclusive breastfeeding practice for 6 months in Ghana.

Identifying the core components of a nursing home hospital avoidance programme.

Background: Nursing home hospital avoidance programmes have contributed to a reduction in unnecessary emergency transfers but a description of the core components of the programmes has not been forthcoming. A well-operationalised health-care programme requires clarity around core components to evaluate and replicate the programme. Core components are the essential functions and principles that must be implemented to produce expected outcomes.

Breastfeeding Social Support Among African American Women in the United States: A Meta-Ethnography.

Background: In the United States, there are racial disparities in 6 months of exclusive breastfeeding. Only, 25.8% of American infants were breastfed for the first 180 days of life, with African American infants least (19.

Comparison of the Management and Short-Term Outcomes between Patients with Advanced Cancer and Other End-of-Life Conditions Presenting to Two Canadian Emergency Departments.

An increasing number of patients with end-of-life (EOL) conditions, particularly those with advanced cancer, are presenting to the emergency department (ED). To assess the characteristics, management and short-term outcomes of ED patients with advanced cancer compared to patients with other EOL conditions. A secondary analysis of a prospective cohort study.

Physician perspectives on delays in cancer diagnosis in Alberta: a qualitative study.

Background: Delays in cancer diagnosis have been associated with reduced survival, decreased quality of life after treatment, and suboptimal patient experience. The objective of the study was to explore the perspectives of a group of family physicians and other specialists regarding potentially avoidable delays in diagnosing cancer, and approaches that may help expedite the process.

Methods: We conducted a qualitative study using interviews with physicians practising in primary and outpatient care settings in Alberta between July and September 2019.

Comparison of characteristics and management of emergency department presentations between patients with met and unmet palliative care needs.

Introduction: This study examined emergency department (ED) presentations of patients with end of life (EOL) conditions and patients having met and unmet palliative care needs were compared.

Methods: Presentations for EOL conditions were prospectively identified and screened for palliative care needs. Descriptive data were reported as proportions, means or medians.

An Assessment of the Management of Patients with Advanced End-Stage Illness in the Emergency Department: An Observational Cohort Study.

Presentations to the emergency department (ED) by patients with end-of-life (EOL) conditions for their acute care needs are common. The objective of this study was to identify and describe the ED management across presentations to the ED for EOL conditions. Prospective observational cohort study.

Black/African American Breastfeeding Experience: Cultural, Sociological, and Health Dimensions Through an Equity Lens.

Disparities in breastfeeding (BF) continue to be a public health challenge, as currently only 42% of infants in the world and 25.6% of infants in the United States are exclusively breastfed for the first 6 months of life. In 2019, the infants least likely to be exclusively breastfed at 6 months are African Americans (AA) (17.

The effectiveness and cost effectiveness of a hospital avoidance program in a residential aged care facility: a prospective cohort study and modelled decision analysis.

Background: Residential aged care facility residents experience high rates of hospital admissions which are stressful, costly and often preventable. The EDDIE program is a hospital avoidance initiative designed to enable nursing and care staff to detect, refer and quickly respond to early signals of a deteriorating resident. The program was implemented in a 96-bed residential aged care facility in regional Australia.

From symptom to cancer diagnosis: Perspectives of patients and family members in Alberta, Canada.

Background: Significant intervals from the identification of suspicious symptoms to a definitive diagnosis of cancer are common. Streamlining pathways to diagnosis may increase survival, quality of life post-treatment, and patient experience. Discussions of pathways to diagnosis from the perspective of patients and family members are crucial to advancing cancer diagnosis.

International Survey of Violence Against EMS Personnel: Physical Violence Report.

Unlabelled: IntroductionEach year, Emergency Medical Services (EMS) personnel respond to over 30 million calls for assistance in the United States alone. These EMS personnel have a rate of occupational fatality comparable to firefighters and police, and a rate of non-fatal injuries that is higher than the rates for police and firefighters and much higher than the national average for all workers. In Australia, no occupational group has a higher injury or fatality rate than EMS personnel.

Preventing EMS workplace violence: A mixed-methods analysis of insights from assaulted medics.

Objective: To describe measures that assaulted EMS personnel believe will help prevent violence against EMS personnel.

Methods: This mixed- methods study includes a thematic analysis and directed content analysis of one survey question that asked the victims of workplace violence how the incident might have been prevented.

Results: Of 1778 survey respondents, 633 reported being assaulted in the previous 12 months; 203 of them believed the incident could have been prevented and 193 of them (95%) answered this question.

Violence against emergency medical services personnel: A systematic review of the literature.

Background: Violence against emergency medical services (EMS) personnel is a growing concern. The aim of this systematic review is to synthesize the current literature on violence against EMS personnel.

Methods: We examined literature from 2000 to 2016.

Moving nurse educators towards transcendence in simulation comfort.

Expensive simulation equipment continues to sit idle in nursing learning and teaching environments. To identify factors that influence nursing educator comfort in the use of simulation at an Australian university an explorative qualitative research project was undertaken using an interpretative constructivist methodology. The Goodwin et al.

Nursing staff intentions towards managing deteriorating health in nursing homes: A convergent parallel mixed-methods study using the theory of planned behaviour.

Aims And Objectives: To predict the factors that are most important in explaining nursing staff intentions towards early detection of the deteriorating health of a resident and providing subacute care in the nursing home setting.

Background: Nursing staff play a pivotal role in managing the deteriorating resident and determining whether the resident needs to be transferred to hospital or remain in the nursing home; however, there is a dearth of literature that explains the factors that influence their intentions. This information is needed to underpin hospital avoidance programs that aim to enhance nursing confidence and skills in this area.

Emergency Medical Service Personnel's Risk From Violence While Serving the Community.

Objectives: To determine the risks of violence-related injury among emergency medical services (EMS) personnel in the United States.

Methods: We analyzed 1630 violence-related occupational injury cases reported to the US Bureau of Labor Statistics for the years 2012 to 2015 and conducted secondary searches within the Bureau of Labor Statistics Web site.

Results: The number of cases per year varied between 250 and 560.

Mask-Ed: Breaking the Barrier of Fear of Intimate Care for Nursing Students.

Background: Nursing students learn to toilet, shower, and dress patients in the clinical laboratory with simulation modalities that lack the realism necessary to address the fears, values, and beliefs of nudity and intimate contact with patients.

Method: A high-fidelity Mask-Ed™ (KRS [Knowledgeable, Realistic, Spontaneous] simulation) intervention was developed and piloted with first-year nursing students around patient showering to increase confidence and skills around intimate care.

Results: Students initially felt intimidated, awkward, nervous, and anxious about showering patients; however, after the Mask-Ed simulation, 93% reported feeling more confident and having insight into the patient experience.

Incorporating peer-to-peer facilitation with a mid-level fidelity student led simulation experience for undergraduate nurses.

Background: The aim of this study was to evaluate peer-to-peer facilitated student led mid-level fidelity simulation experiences.

Methods: Second and third year nursing students (N = 637) were invited to complete a 16-item 6-point Likert scale questionnaire after the simulation experience.

Results: Students reported high self-confidence in their nursing skills (M = 4.