7,202 results match your criteria: "National Centre for Clinical Outcomes Research Nursing & Midwifery[Affiliation]"

Background: Health guideline developers engage with interested people and groups to ensure that guidelines and their recommendations are relevant and useful to those who will be affected by them. These 'interest-holders' include patients, payers/purchasers of health services, payers of health research, peer review editors, product makers, programme managers, policymakers, providers, principal investigators, and the public. The Guidelines International Network (GIN) and McMaster University Guideline Development Checklist describes 146 steps of the guideline process organized into 18 topics.

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  • Critically ill patients in Australia and New Zealand often don't meet energy and protein targets with oral nutrition, especially compared to those who start enteral or parenteral nutrition in ICU.
  • The study analyzed data from 409 patients across 44 hospitals to compare outcomes, focusing on energy delivery and nutrition assessment during hospital stays.
  • Results showed that patients on oral nutrition had lower energy and protein intake, fewer invasive interventions, and received less nutrition assessment compared to those who switched to enteral or parenteral nutrition.
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  • The hyperpronation (HP) maneuver shows superior success rates in reducing radial head subluxation after failed initial treatments compared to the traditional supination-flexion (SF) maneuver, although the best treatment approach is still debated.
  • A comprehensive review analyzed nine studies with 170 patients, confirming that HP has a significantly higher success rate for second attempts at reducing the subluxation.
  • Despite the advantages of HP, the effectiveness of crossover maneuvers for second reductions was not significantly different, suggesting that treatment decisions should be based on the clarity of the initial reduction method used.
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  • Individualized nursing care focuses on tailored assessments and interventions while considering patients' preferences and contexts for better health outcomes.
  • A study involving 122 registered nurses in various medical services in Portugal assessed their perceptions of individualized care using the Individualized Care Scale, revealing high value for its importance but challenges in implementation.
  • Key findings highlighted a need for improvement in addressing personal aspects of patient care, notably family involvement and daily habits, suggesting areas for targeted training and policy development.
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Introduction: Anaphylaxis is a severe allergic reaction marked by a sudden onset of symptoms affecting multiple bodily systems, and if not addressed promptly, it can lead to fatal outcomes. The primary clinical manifestations often involve skin rash, respiratory distress, and cardiovascular symptoms. Identifying these signs early is crucial for timely intervention, including the administration of epinephrine, aiming to prevent loss of life.

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Aim: To evaluate the implementation of the Transitional Care Model (TCM), an evidence-based, advanced practice registered nurse-led multi-component intervention, as part of a randomised controlled trial during the first year of the COVID-19 pandemic.

Design: Parallel convergent mixed-methods approach.

Methods: Data for this study were collected between June 2020 and February 2021.

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Risk factors for surgical site infections following hepatobiliary surgery: An umbrella review and meta-analyses.

Eur J Surg Oncol

January 2025

National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast, Australia; Nursing and Midwifery Education and Research Unit, Gold Coast Hospital and Health Service, Southport, Queensland, Australia.

Background: In the hepatobiliary (HPB) surgical cohort, surgical site infections (SSI) can extend hospital stays, result in higher morbidity, and poor patient outcomes. This umbrella review and meta-analysis aimed to synthesise the evidence for the association between clinical and patient risk factors and SSI in patients following HPB surgery.

Methods: We searched MEDLINE, CINAHL, EMBASE and Scopus from January 2000 to April 2023 to identify systematic reviews and meta-analyses where patient and/or clinical factors of SSIs following HPB surgery were reported.

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Data-Driven Cutoff Selection for the Patient Health Questionnaire-9 Depression Screening Tool.

JAMA Netw Open

November 2024

Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, Québec, Canada.

Article Synopsis
  • The study investigates how using small datasets to select an optimal cutoff score for the Patient Health Questionnaire-9 (PHQ-9) can lead to inaccurate results.
  • Researchers evaluated whether data-driven methods for cutoff selection resulted in scores that were significantly different from the true population optimal score and if these methods produced biased accuracy estimates.
  • Findings showed that many small studies frequently failed to identify the correct optimal cutoff score, particularly in smaller samples, leading to an overestimation of test sensitivity.
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Importance: The Primary Care Opioid Use Disorders (PROUD) treatment trial was a 2-year implementation trial that demonstrated the Massachusetts office-based addiction treatment (OBAT) model of nurse care management for opioid use disorder (OUD) increased OUD treatment in the 2 years after implementation began (8.2 more patient-years of OUD treatment per 10 000 primary care patients). The intervention was continued for a third year, permitting evaluation of 3-year outcomes.

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  • The study examines the long-term impact of the COVID-19 pandemic on nurses' mental health, highlighting increased levels of psychological distress and PTSD over time.
  • A survey of 8,785 registered nurses in China indicated a significant rise in psychological distress from 27.7% at the beginning to 57.6% later, with PTSD rates climbing from 7.8% to 14.7%.
  • Coping strategies were found to influence psychological distress and PTSD levels, while social support played a crucial role in protecting against severe mental health issues.
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Intrinsic Capacity and Its Association with Adverse Health Outcomes in Older Japanese Outpatients.

J Frailty Aging

November 2024

Shosuke Satake, MD, PhD, Department of Frailty Research, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, Obu, Japan, Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Japan, 7-430 Morioka-cho, Obu City, Aichi Prefecture, 474-8511, Japan, Phone: +81-562-46-2311, Fax: +81-562-44-8518, E-mail:

Objectives: This study aimed to provide evidence regarding the clinical significance of assessing intrinsic capacity (IC).

Design: Longitudinal study.

Setting: Frailty clinic.

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  • Olanzapine is an atypical antipsychotic that helps prevent nausea and vomiting, particularly after highly emetogenic chemotherapy (HEC), but it can cause side effects like hyperglycemia and drowsiness.
  • A systematic review and meta-analysis assessed the effectiveness of olanzapine combined with standard triplet antiemetic therapy compared to triplet therapy alone, focusing on outcomes like nausea control and adverse effects.
  • Results showed that adding olanzapine significantly improved nausea and vomiting prevention in both acute and delayed phases with minimal adverse effects, indicating it can be beneficial for patients undergoing HEC.
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Health care workers hospitalized for COVID-19 in Liberia: who were they, and what were their outcomes?

F1000Res

November 2024

Health Information, Monitoring & Evaluation and Research Department, Ministry of Health, Monrovia, 1000, Liberia.

Background: Sustaining a 'fit-for-purpose' health workforce requires a better understanding of the health care worker cadres that are affected during pandemics and their outcomes. In hospitalized health care workers with confirmed COVID-19 between March 2020 and May 2023 in Liberia, we determined the hospitalization and case fatality rates, type of health care worker cadres affected, their demographic and clinical characteristics and hospital exit outcomes.

Methods: This was a cohort study using routine data extracted from hospitalization forms for health care workers in 24 designated COVID-19 treatment facilities.

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Caregiving burden, depression, and anxiety in informal caregivers of people with mental illness in China: a cross-sectional survey.

BMC Psychiatry

November 2024

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai Clinical Research Center for Mental Health, Shanghai Key Laboratory of Psychotic Disorders, Shanghai, 200030, China.

Background: Caregiving for people with mental illness (PwMI) could be burdensome, especially for informal caregivers. However, there is a scarcity of research investigating caregiving burden among informal caregivers of PwMI in China at the national level. To fill this gap, this study examined the prevalence of caregiving burden, depression, and anxiety, as well as their associated factors, among a cross-sectional sample of informal caregivers of PwMI in China.

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  • Oral corticosteroids (OCS) are commonly used to manage exacerbations of chronic obstructive pulmonary disease (COPD) but can lead to negative health outcomes that increase healthcare costs and resource use.
  • A study analyzed data from the UK Clinical Practice Research Datalink to compare healthcare attendance and costs between COPD patients who used OCS and those who didn’t, focusing on hospital visits and costs.
  • Results showed that patients who used OCS had significantly higher healthcare attendance and costs, with the increases correlating positively with the cumulative OCS dose, particularly for primary care consultations and emergency visits.
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Objective: To analyse risk factors for early neurological damage in young and middle-aged stroke cases.

Methods: Totally 405 young and middle-aged stroke patients in the neurocritical care unit (NCU) were selected and divided into the developmental (260 patients) and validation (145 patients) sets. The 405 cases were also grouped based on whether early neurological deterioration (END) occurred.

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  • The 2023 American Epilepsy Society Annual Course focused on the importance of timing in evaluating and treating epilepsy, especially for vulnerable populations and those facing health disparities.
  • The course covered a wide range of topics, including gaps in epilepsy care, behavioral health optimization, seizure forecasting, and treatment timing for various seizure types and conditions.
  • Key discussions included the role of neuromodulation versus surgery, strategies for autoimmune-associated epilepsy, dietary therapy, and leveraging new biomarkers in collaboration with neuropsychological outcomes.
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Service Design and Evaluation of OpenNotes for Craniofacial Deformity Management in Patients and their Caregivers.

Healthc Inform Res

October 2024

Department of Plastic Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Objectives: This study aimed to assess the feasibility of implementing OpenNotes in Korea. It involved developing and evaluating the Open-CHA service, which provides clinical summary information to patients diagnosed with craniofacial deformities and their caregivers following outpatient visits.

Methods: The study included 109 patients diagnosed with craniofacial deformities, along with their caregivers.

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  • The study addresses the issue of low attendance at cardiac rehabilitation (CR) by analyzing data from 33,055 patients in Queensland over two years to identify characteristics affecting CR participation.
  • Results reveal that 37% of patients declined CR, 35% started but didn't finish, and 28% completed it, with age, Indigenous status, living location, and specific heart conditions being key factors linked to non-attendance and non-completion.
  • The findings suggest that targeted initiatives are needed to improve CR participation, particularly for Indigenous populations and those with certain demographic and health-related characteristics.
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Psoriasis, an autoimmune inflammatory disease characterized by hyperproliferation of keratinocytes, affects 0.2-4.8% of the global population.

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  • Atopic dermatitis (AD) significantly affects patients' quality of life, causing itching, skin pain, and sleep disturbances; ruxolitinib cream has shown effectiveness in treating these symptoms in adults and adolescents through two phase III clinical trials.
  • In the TRuE-AD studies, patients applied different strengths of ruxolitinib cream or a vehicle cream, with results indicating that those using ruxolitinib experienced quick relief from symptoms like skin pain and sleep issues within hours or weeks of application.
  • Analysis of patient-reported outcomes revealed notable improvements in overall quality of life and symptom burden after two weeks of using ruxolitinib cream compared to the vehicle, with sustained benefits observed throughout the study periods.
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A self-efficacy enhancement alcohol reduction intervention for men on-remand in prison: the APPRAISE feasibility pilot RCT.

Public Health Res (Southampt)

November 2024

Centre for Crime, Harm Prevention and Security, School of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, Tees Valley, UK.

Background: As many as 70% of remand prisoners have admitted to being under the influence of alcohol when committing the crime leading to their imprisonment. Providing support and advice regarding alcohol consumption can be effective in some groups of people. There is little evidence regarding this for men on remand in prison.

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Background: The benefits of randomised trials are not shared equally, and people from ethnic minority groups are a key constituency under-served by clinical research and clinical care. The STRIDE project aimed to give trialists practical information about how to decide which ethnic groups should be in their trials, and at what proportion.

Methods: We considered trials in six clinical areas: cancer, cardiovascular, diabetes, maternal health, mental health, and smoking cessation.

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Background: Preeclampsia is the second leading cause of maternal death in Uganda. WHO recommends using magnesium sulphate (MgSO4) to prevent and treat preeclampsia with severe features (PEC) and eclampsia. MgSO4 is used to prevent eclampsia and treat women who experience an eclamptic convulsion to avoid severe maternal/infant illnesses and death.

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Complementary and integrative healthcare (CIH) is increasingly recognized as a valuable approach to empowering and activating cancer patients. Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs. The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers (CCC) in Germany.

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