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Perspectives on Diversion of Medications From Safer Opioid Supply Programs.
JAMA Netw Open
December 2024
School of Social Work, University of Windsor, Windsor, Ontario, Canada.
Importance: Safer supply programs were implemented in Canada to provide pharmaceutical-grade alternatives to the toxic unregulated drug supply. While research shows clinical benefits and reduced overdose mortality among safer supply patients, medication diversion remains a concern.
Objective: To examine provider (prescribing clinicians and allied health professionals) and patient perspectives on diversion of opioids prescribed in safer supply programs.
Patient-centred stoma care support: urostomy patients.
Br J Community Nurs
December 2024
Pouch and Stoma Care Nurse Practitioner, TWINS for iPouch and Stoma Care Patients, London, England.
Urostomy patients are rare as only about 5% of ostomates have urostomies. This can prove challenging because many healthcare professionals do not have experience caring for these patients and may be unfamiliar with their specific needs. As with other ostomates, urostomy patients require specialist nurses with the expertise to provide long-term support.
View Article and Find Full Text PDFChallenges and Perceived Impacts of Ambulance Diversions During Emergency Department Overcrowding: A Multi-Stakeholder Study.
Prehosp Emerg Care
January 2025
Duke-NUS Medical School, Health Services and Systems Research, Singapore.
Objectives: Ambulance diversion has emerged as a strategy to address Emergency Department (ED) overcrowding, but the question of when or whether diversion should be triggered is widely debated. Although the positive and adverse impacts of diversion have been primarily studied using quantitative data, little is known about the experience and perceptions of key stakeholders involved in diversions. Our study aims to explore the challenges and impacts of ambulance diversion as experienced by key stakeholders and their suggestions for improving the diversion process.
View Article and Find Full Text PDFHealthcare professionals' experience with nutritional care beyond formal quality systems - A qualitative study.
Int J Nurs Stud
December 2024
Centre for Care Research, Department of Health Science in Gjøvik, Faculty of Medicine and Health Science, NTNU - Norwegian University of Science and Technology, Gjøvik, Norway; SINTEF Digital, Dept. of Health Research, Trondheim, Norway.
Background: Numerous formal strategies, screening tools, and interventions have been used to prevent malnutrition in long-term care patients. Despite these efforts, the proportion of screened patients is low, and a large proportion are malnourished. Previous research has revealed that healthcare professionals use a broad approach in their nutritional care but has also emphasised the need for further investigation into these approaches.
View Article and Find Full Text PDFThe 2022-2023 Pediatric Respiratory Illness Surge: Survey of Acute and Critical Care Resource Use.
Disaster Med Public Health Prep
September 2024
University of Michigan Medical School, Ann Arbor, MI, USA.
Article Synopsis
- * An online survey revealed that many hospitals faced critical care challenges, with 74% diverting patients from their emergency departments and one in five transferring patients on mechanical ventilation to other settings.
- * The findings highlight the need for improved public health preparedness in pediatric care to better handle similar surges in the future.
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