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[Everything can - nothing must? Peer support on acute psychiatric wards].
Psychiatr Prax
December 2024
Arbeitsgruppe Sozialpsychiatrie, Charité Universitätsmedizin Berlin.
Peer support is recommended for improving acute psychiatric care, but research is lacking. This qualitative study examines the impact, particularly on coercive measures, through semi-structured interviews with four peers, four patients, and twelve (non-peer) staff members from two acute psychiatric wards. Analysis shows that peers experience unique opportunities and challenges in this context.
View Article and Find Full Text PDFMissed Opportunities for Early De-Escalation of Antipseudomonal Beta-Lactam Antimicrobial Therapy in Enterobacterales Bloodstream Infection.
Antibiotics (Basel)
October 2024
Department of Medicine, University of South Carolina School of Medicine, Columbia, SC 29209, USA.
Antipseudomonal β-lactams (APBL) are commonly used for empirical therapy of Gram-negative bloodstream infections (BSI). This retrospective cohort study examines risk factors for prolonged APBL use (≥48 h) in patients with Enterobacterales BSI and compares 28-day mortality between early de-escalation of APBL and prolonged APBL therapy. Adult patients admitted to two community hospitals in South Carolina with Enterobacterales BSI from January 2010 to June 2015 were included in this study.
View Article and Find Full Text PDFWorkplace violence has a significant impact on patients, families, and staff safety. Workplace violence can produce traumatic results for those involved; the importance of preventive measures needs to be paramount in health service policy and process. Health care staff are required to document their experiences of violent incidents after every occasion, usually via an incident reporting system, which allows for a free text description of the event.
View Article and Find Full Text PDFAntibiotic Use in Medical-Surgical Intensive Care Units and General Wards in Latin American Hospitals.
Open Forum Infect Dis
November 2024
Sanatorio Las Lomas, Buenos Aires, Argentina.
Article Synopsis
- - The study aimed to find opportunities for improving antibiotic stewardship (AS) in medical-surgical intensive care units (MS-ICUs) and general wards (Gral-wards) across 41 hospitals in Latin America from March 2022 to February 2023.
- - Data was collected on antimicrobial use (AU) from 5780 MS-ICU and 7726 Gral-ward patients, revealing a 53.5% AU prevalence in MS-ICUs and 25.5% in Gral-wards, with a significant portion of antibiotics used for treating infections and surgical prophylaxis.
- - The study highlighted key areas for improvement in AU practices, including better antibiotic selection, the need for de
Article Synopsis
- Undergraduate nursing students often feel unprepared to handle aggressive patients, but virtual simulation training can improve their confidence and skills in de-escalation.
- A study involving 33 students showed that after participating in virtual simulations, there was a notable increase in their confidence and perceived success in managing aggressive behaviors.
- The results indicate that male students and those identifying as Caucasian reported higher comfort levels in de-escalating situations, highlighting the effectiveness of tailored de-escalation education.
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