1268 Records downloaded - Thu May 05 14:34:34 UTC 2016
RECORD 1
TITLE
What is the clinical relevance of drug-resistant pneumococcus?
AUTHOR NAMES
Cillóniz C.
Ardanuy C.
Vila J.
Torres A.
AUTHOR ADDRESSES
(Cillóniz C.; Torres A., atorres@clinic.ub.es) Department of Pneumology,
Institut Clinic Del Tórax, Hospital Clinic of Barcelona Institut
d'Investigacions Biomèdiques August Pi i Sunyer, University of Barcelona
(UB), C/Villarroel 170, Barcelona, Spain.
(Ardanuy C.) Microbiology Department, Hospital Universitari de Bellvitge,
University of Barcelona-IDIBELL, Barcelona, Spain.
(Ardanuy C.) CIBER de Enfermedades Respiratorias, ISCIII, Madrid, Spain.
(Vila J.) Department of Microbiology, Hospital Clinic of Barcelona, Spain.
(Vila J.) ISGlobal, Barcelona Ctr. Int. Health Res. (CRESIB), Universitat de
Barcelona, Barcelona, Spain.
CORRESPONDENCE ADDRESS
A. Torres, Department of Pneumology, Institut Clinic Del Tórax, Hospital
Clinic of Barcelona Institut d'Investigacions Biomèdiques August Pi i
Sunyer, University of Barcelona (UB), C/Villarroel 170, Barcelona, Spain.
Email: atorres@clinic.ub.es
SOURCE
Current Opinion in Pulmonary Medicine (2016) 22:3 (227-234). Date of
Publication: 1 May 2016
ISSN
1531-6971 (electronic)
1070-5287
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
Purpose of review Pneumococcal infections are a major cause of morbidity and
mortality worldwide. In recent years, Streptococcus pneumoniae has shown
increasing resistance to a several antibiotics, becoming a worldwide
problem. The impact of antibiotic resistance of S. pneumoniae on clinical
outcomes is still controversial. The principal reason for this controversy
is the existence of several factors related to the patients and to the
pathogen that may influence how antibiotic resistance patterns affect
clinical outcomes. The aim of this review is to discuss current knowledge of
the epidemiological data on antibiotic resistance; we also discuss
mechanisms and risk factors for antibiotic resistance. Recent findings The
phenomenon of serotype replacement after the introduction of conjugate
pneumococcal vaccinations and the escalation of antibiotic resistance
worldwide remains an important issue in terms of their impact on clinical
outcomes in pneumococcal disease. Antimicrobial resistance of pneumococcus
leads to changes in the clinical presentation of pneumococcal disease,
making it more difficult to diagnose and to treat. Consumption of
antibiotics in the community is directly proportional to antimicrobial
resistance. Carriage of S. pneumoniae and infection with
antibiotic-resistant pneumococcus is associated with prior antibiotic
therapy, extremes of age, presence of comorbidities (i.e. COPD), attendance
at child day care centers, crowded conditions, intra-familial transmission,
and nursing home residence. Summary Antibiotic-resistant S. pneumoniae is a
worldwide problem. The implementation of several strategies including
vaccine campaigns, prudent use of current antibiotics, and programs for the
surveillance of pneumococcal infections, could limit the increasing
resistance of this pathogen to antimicrobials.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
EMTREE DRUG INDEX TERMS
amoxicillin
beta lactam antibiotic
cefotaxime
ceftriaxone
chloramphenicol
clindamycin
cotrimoxazole
erythromycin
levofloxacin
lincosamide
macrolide
penicillin derivative
quinoline derived antiinfective agent
tetracycline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
antibiotic resistance
pneumococcal infection (drug resistance)
Streptococcus pneumoniae
EMTREE MEDICAL INDEX TERMS
bacteremia
beta lactam resistant Streptococcus pneumoniae
drug misuse
extensively resistant Streptococcus pneumoniae
human
macrolide resistant Streptococcus pneumoniae
minimum inhibitory concentration
multidrug resistance
multidrug resistant Streptococcus pneumoniae
nonhuman
penicillin resistance
penicillin resistant Streptococcus pneumoniae
review
risk factor
serotype
Streptococcus pneumonia
CAS REGISTRY NUMBERS
amoxicillin (26787-78-0, 34642-77-8, 61336-70-7)
cefotaxime (63527-52-6, 64485-93-4)
ceftriaxone (73384-59-5, 74578-69-1)
chloramphenicol (134-90-7, 2787-09-9, 56-75-7)
clindamycin (18323-44-9)
cotrimoxazole (8064-90-2)
erythromycin (114-07-8, 70536-18-4)
levofloxacin (100986-85-4, 138199-71-0)
lincosamide (80738-43-8)
tetracycline (23843-90-5, 60-54-8, 64-75-5, 8021-86-1)
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Drug Literature Index (37)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160165329
FULL TEXT LINK
http://dx.doi.org/10.1097/MCP.0000000000000262
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 2
TITLE
Utility of a naloxone educational module to improve hospital opioid safety
AUTHOR NAMES
McGrath S.
Baratta J.
Torjman M.
Shevchenko D.
Pilidis K.
Viscusi E.
AUTHOR ADDRESSES
(McGrath S.; Baratta J.; Torjman M.; Shevchenko D.; Pilidis K.; Viscusi E.)
Thomas Jefferson University Hospital, United States.
CORRESPONDENCE ADDRESS
S. McGrath, Thomas Jefferson University Hospital, United States.
SOURCE
Regional Anesthesia and Pain Medicine (2016) 41:2. Date of Publication:
March-April 2016
CONFERENCE NAME
14th Annual Pain Medicine Meeting of the American Society of Regional
Anesthesia and Pain Medicine, ASRA 2015
CONFERENCE LOCATION
Miami, FL, United States
CONFERENCE DATE
2015-11-19 to 2015-11-21
ISSN
1098-7339
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Introduction Naloxone is an opioid receptor antagonist indicated for
treatment of opioid induced respiratory depression (OIRD) or overdose .
Naloxone can precipitate severe and even life-threatening withdrawal
symptoms (e.g. tachycardia, hypertension, pulmonary edema or death ).
Inadequate dosing can result in re-narcotization with respiratory depression
and catastrophic sequela . Exploratory studies demonstrate gaps in many
areas of naloxone use . We test provider's knowledge base of naloxone use in
treating OIRD and implement a novel teaching tool to educate on proper
usage. The teaching tool educates on gaps such as accurate administration,
side effects, characteristics of opioid antagonism and proper management of
an opioid overdose. The effectiveness of this teaching tool is assessed.
Materials and methods (NA for case report) IRB approval was obtained.
Participants include medical students, nurses, anesthesiology residents and
anesthesiologists. A pre-survey was given to assess baseline knowledge. The
novel teaching tool was then implemented to properly educate on naloxone and
OIRD. The teaching tool specifically targets education about half-life,
clinical management, standard concentration, dosing, side effects and its
use in chronic opioid users. After completing the teaching tool a post
survey assessed for knowledge improvement. Those who receiving a score >70%
were defined as reaching the passing threshold. The pre and post educational
scores were used to assess the validity of the educational material.
Results/Case report 16 medical students, 11 anesthesiology residents, 5 PACU
nurses and 4 attending anesthesiology were assessed. 100% of respondents
found the materials helpful in understanding the proper treatment for OIRD.
The mean score for the entire sample was 4.5/9 on the pretest and 7.8/9 on
the post-test. (Table 1) On the pre-test 17% reached passing threshold for
the sample as compared to 86% on the post-test. (Table 1) There was a
significant difference in the samples pre-test and post-test score. (Figure
1) There were no significant differences within the individual groups scores
from pre-test to post-test. (Figure 2) Discussion Opioid related respiratory
depression remains a source of morbidity and mortality in the hospital
setting. Proper treatment for OIRD is a necessity for safe inpatient opioid
usage. Our novel teaching tool significantly improved knowledge from 4.5 to
7.8 questions correctly answered post intervention. There were no
differences in scoring within individual groups likely due to a limitation
of the small sample size. Achieving a threshold “pass” rate increased
significantly from 17% on the pre-test to 86% on the post-test demonstrating
that this simple educational tool is an effective method of teaching
naloxone safety. 100% of the sample could identify the correct half-life of
naloxone as 30-80 minutes on the post intervention as compared to 29% pre
intervention. Post intervention 97% could identify proper naloxone dosing as
compared to 43% on the pre-survey. All respondents rated the module as an
effective teaching tool for treating OIRD. This teaching module is now
included in a hospital-wide opioid safety initiative. (Table presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
opiate
EMTREE DRUG INDEX TERMS
opiate antagonist
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
hospital
pain
regional anesthesia
safety
society
EMTREE MEDICAL INDEX TERMS
anesthesiology
anesthesist
case report
death
education
half life time
hospital patient
human
intoxication
knowledge base
lung edema
medical student
morbidity
mortality
nurse
pulmonary hypertension
respiration depression
sample size
side effect
tachycardia
teaching
validity
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 3
TITLE
Simulation-based assessments in health professional education: A systematic
review
AUTHOR NAMES
Grundberg Å.
Hansson A.
Religa D.
Hillerås P.
AUTHOR ADDRESSES
(Grundberg Å., ake.grundberg@shh.se; Religa D.; Hillerås P.) Division of
Neurogeriatrics, Department of Neurobiology, Care Sciences and Society,
Karolinska Institutet, Huddinge, Sweden.
(Grundberg Å., ake.grundberg@shh.se; Hansson A.; Hillerås P.) Sophiahemmet
University, Stockholm, Sweden.
CORRESPONDENCE ADDRESS
Å. Grundberg, Sophiahemmet University, PO Box 5605, Lindstedtsvägen 8,
Stockholm, Sweden. Email: ake.grundberg@shh.se
SOURCE
Journal of Multidisciplinary Healthcare (2016) 9 (83-95). Date of
Publication: 23 Feb 2016
ISSN
1178-2390 (electronic)
BOOK PUBLISHER
Dove Medical Press Ltd., PO Box 300-008, Albany, Auckland, New Zealand.
ABSTRACT
Introduction: Elderly people with multiple chronic conditions, or
multimorbidity, are at risk of developing poor mental health. These seniors
often remain in their homes with support from home care assistants (HCAs).
Mental health promotion by HCAs needs to be studied further because they may
be among the first to observe changes in clients’ mental health status. Aim:
To describe HCAs’ perspectives on detecting mental health problems and
promoting mental health among homebound seniors with multimorbidity.
Methods: We applied a descriptive qualitative study design using
semi-structured interviews. Content analyses were performed on five focus
group interviews conducted in 2014 with 26 HCAs. Results: Most HCAs stated
that they were experienced in caring for clients with mental health problems
such as anxiety, depression, sleep problems, and high alcohol consumption.
The HCAs mentioned as causes, or risk factors, multiple chronic conditions,
feelings of loneliness, and social isolation. The findings reveal that
continuity of care and seniors’ own thoughts and perceptions were essential
to detecting mental health problems. Observation, collaboration, and social
support emerged as important means of detecting mental health problems and
promoting mental health. Conclusion: The HCAs had knowledge of risk factors,
but they seemed insecure about which health professionals had the primary
responsibility for mental health. They also seemed to have detected early
signs of mental health problems, even though good personal knowledge of the
client and continuity in home visits were crucial to do so. When it came to
mental health promotion, the suggestions related to the aim of ending social
isolation, decreasing feelings of loneliness, and increasing physical
activity. The results indicate that the HCAs seemed dependent on supervision
by district nurses and on care managers’ decisions to support the needed
care, to schedule assignments related to the detection of mental health
problems, and to promote mental health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health practitioner
EMTREE MEDICAL INDEX TERMS
aged
alcohol consumption
anxiety
content analysis
home care
human
human experiment
loneliness
mental disease
mental health
nurse
patient care
perception
physical activity
professional practice
qualitative research
responsibility
risk factor
semi structured interview
sleep disorder
social isolation
social support
systematic review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160184525
FULL TEXT LINK
http://dx.doi.org/10.2147/JMDH.S99388
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 4
TITLE
The weight of pain: What does a 10 on the pain scale mean? An innovative use
of art in medical education to enhance pain management
AUTHOR NAMES
Marr B.
Baruch J.
AUTHOR ADDRESSES
(Marr B.) Johns Hopkins Hospice and Palliative Medicine Fellowship Program,
Baltimore, United States.
(Baruch J.) Alpert Medical School, Brown University, Providence, United
States.
CORRESPONDENCE ADDRESS
B. Marr, Johns Hopkins Hospice and Palliative Medicine Fellowship Program,
Baltimore, United States.
SOURCE
Journal of Pain and Symptom Management (2016) 51:2 (381-382). Date of
Publication: February 2016
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2016
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2016-03-09 to 2016-03-12
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives • It is our hypothesis that clinician training in metacognition
builds awareness for the roles of observation and communication in the
formation of perception and can ultimately influence decision- making in
pain management. Background. Clinicians practice pain management in an
environment where the goal of treating pain is made challenging by opioid
addiction and abuse. Treating pain is complex and based on the clinician's
perception of the patient's pain. Metacognition is the awareness and
understanding of one's own thought processes. Often this is lacking in pain
management and unconscious biases guide decision-making. Art offers a unique
platform for engaging these processes and can aid in the development of
metacognitive skills. Methods. Two sessions were held at a museum in
collaboration with museum educators. Attending physicians, residents, and
mid-level providers from the Emergency Medicine department were invited to
the first session with 14 participants total, and the second session was
expanded to include the Palliative Care and Internal Medicine departments
with 17 participants total. In the first session participants viewed one of
two pieces of artwork and discussed how their observations changed as
information was revealed about the artist. At the second session, based on
feedback, participants viewed two pieces of artwork. At the first work of
art, they developed a question. They subsequently were asked to answer this
question based on their observations about the second piece. These
discussion points opened up the opportunity for participants to discuss how
they dealt with uncertainty when they had to answer a question with limited
information. A discussion with all participants present took place at both
sessions to relate their experiences with the art to pain management.
Optional surveys were distributed at both sessions. The first called for
narrative responses and the second offered “yes/no” selections with the
option for narrative. Results. Tables containing data available. Results for
Session One: Participant Responses to Narrative- Based Questions. When
asked, “Has the session helped you think differently about communication?”
92% provided positive responses. When asked, “Will you make changes based on
this session?” 77% responded positively. When asked, “Do you see a link
between what you learned about observation and the evaluation of pain?” 85%
responded positively. When asked, “Would you be interested in future
sessions?” 100% responded positively. Results of Survey for Session Two:
Participant response based on selection choices of “Yes” or “No.” When
asked, “Has this session helped you think differently about communication?”
81% responded “Yes.” When asked, “Has this session helped you think
differently about making observations?” 100% responded “Yes.” When asked,
“Do you feel observation and communication play a role in pain management?”
100% responded “Yes.” When asked, “Do you think this event will lead to a
change in your clinical practice?” 62% responded “Yes.” When asked, “Would
you recommend this session to a colleague?” 100% responded “Yes.”
Discussion. Pain is multidimensional and highly individualized both for the
person experiencing it and the care provider striving to treat it.
Metacognition is an important element of pain management and often difficult
to tease out through traditional medical education. Provider responses
indicated that our sessions using artwork as a means of opening up
discussion about how we communicate and make observations enabled them to
start thinking differently about these elements of our practice and could
see a definite link with pain management. Furthermore, the majority
indicated that it likely will change their practice in some capacity. All
participants at both sessions responded they would be interested in future
sessions or would refer a colleague. These important elements demonstrate
that a relatively low-budget educational intervention utilizing the
humanities has the capacity to potentially generate change in an extremely
important aspect of our practice: pain management. Conclusion. Art has the
capacity to aid clinicians in examining their perceptions and communication;
elements of daily practice that they agree impacts delivery of analgesia.
Providers report that training in metacognition has the capacity to change
practice behaviors as they pertain to pain management.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
analgesia
hospice
human
medical education
nurse
pain
pain assessment
palliative therapy
weight
EMTREE MEDICAL INDEX TERMS
abuse
addiction
budget
clinical practice
decision making
ego development
emergency medicine
environment
feedback system
humanities
hypothesis
information center
internal medicine
interpersonal communication
narrative
patient
physician
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 5
TITLE
A joint, multilateral approach to improve compliance with hand hygiene in 4
countries within the Baltic region using the World Health Organization's
SAVE LIVES: Clean Your Hands model
AUTHOR NAMES
Lytsy B.
Melbarde-Kelmere A.
Hambraeus A.
Liubimova A.
Aspevall O.
AUTHOR ADDRESSES
(Lytsy B., birgitta.lytsy@akademiska.se; Hambraeus A.) Department of Medical
Sciences, Clinical Bacteriology, Uppsala University, Uppsala, Sweden
(Melbarde-Kelmere A.) Eastern University Hospital, Riga, Latvia
(Liubimova A.) Department of Epidemiology, Parasitology and Disinfectology,
North-Western State Medical University named after I.I. Mechnikov, St.
Petersburg, Russia
(Aspevall O.) Public Health Agency of Sweden, Solna, Sweden
CORRESPONDENCE ADDRESS
B. Lytsy, Department of Clinical Microbiology and infection Control, Uppsala
University Hospital, Dag Hammarskolds vag 17, S-751 85 Uppsala, Sweden
Email: birgitta.lytsy@akademiska.se
SOURCE
American Journal of Infection Control (2016). Date of Publication: 2016
ISSN
1527-3296 (electronic)
0196-6553
BOOK PUBLISHER
Mosby Inc., customerservice@mosby.com
ABSTRACT
Background: The aim of this prospective multicenter study was to explore the
usefulness of a modified World Health Organization (WHO) hand hygiene
program to increase compliance with hand hygiene among health care workers
(HCWs) in Latvia, Lithuania, Saint Petersburg (Russia), and Sweden and to
provide a basis for continuing promotion of hand hygiene in these countries.
The study was carried out in 2012. Thirteen hospitals participated,
including 38 wards. Methods: Outcome data were handrub consumption,
compliance with hand hygiene measured with a modified WHO method, and
assessment of knowledge among HCWs. Interventions were education of the
nursing staff, posters and reminders in strategic places in the wards, and
feedback of the results to nursing staff in ward meetings. Results: Feedback
of results was an effective tool for education at the ward level. The most
useful outcome measurement was handrub consumption, which increased by at
least 50% in 30% of the wards. In spite of this, handrub consumption
remained at a low level in many of the wards. Conclusions: There are several
reasons for this, and the most important were self-reported nursing staff
shortage and fear of adverse effects from using alcoholic handrub and
verified skin irritation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hygiene
joint
world health organization
EMTREE MEDICAL INDEX TERMS
alcoholism
clinical trial
controlled clinical trial
education
fear
human
Latvia
Lithuania
multicenter study
nursing staff
outcome assessment
Russian Federation
side effect
skin irritation
Sweden
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160312566
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ajic.2016.03.009
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 6
TITLE
The clinical effectiveness and cost-effectiveness of STeroids Or
Pentoxifylline for Alcoholic Hepatitis (STOPAH): A 2 × 2 factorial
randomised controlled trial
AUTHOR NAMES
Thursz M.
Forrest E.
Roderick P.
Day C.
Austin A.
O’Grady J.
Ryder S.
Allison M.
Gleeson D.
McCune A.
Patch D.
Wright M.
Masson S.
Richardson P.
Vale L.
Mellor J.
Stanton L.
Bowers M.
Ratcliffe I.
Downs N.
Kirkman S.
Homer T.
Ternent L.
AUTHOR ADDRESSES
(Thursz M., m.thursz@imperial.ac.uk) Department of Surgery and Cancer,
Imperial College London, London, United Kingdom.
(Forrest E.) Department of Gastroenterology, Glasgow Royal Infirmary,
Glasgow, United Kingdom.
(Roderick P.) Primary Care and Population Sciences, University of
Southampton, Southampton, United Kingdom.
(Day C.; Masson S.) Institute of Cellular Medicine, The Newcastle upon Tyne
Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom.
(Austin A.) Department of Gastroenterology, Derby Royal Hospital, Derby,
United Kingdom.
(O’Grady J.) Institute of Liver Studies, King’s College Hospital, London,
United Kingdom.
(Ryder S.) Department of Hepatology, Nottingham University Hospitals NHS
Trust and National Institute for Health Research Biomedical Research Unit,
Queens Medical Centre, Nottingham, United Kingdom.
(Allison M.) Department of Hepatology, Addenbrookes Hospital, Cambridge,
United Kingdom.
(Gleeson D.) Department of Hepatology, Sheffield Teaching Hospitals
Foundation Trust, Sheffield, United Kingdom.
(McCune A.) Department of Hepatology, Bristol Royal Infirmary, Bristol,
United Kingdom.
(Patch D.) Sheila Sherlock Liver Centre, Royal Free Hospital, London, United
Kingdom.
(Wright M.) Department of Hepatology, University Hospital Southampton NHS
Foundation Trust, Southampton, United Kingdom.
(Richardson P.) Department of Hepatology, Royal Liverpool Hospital,
Liverpool, United Kingdom.
(Vale L.; Kirkman S.; Homer T.; Ternent L.) Newcastle University, Newcastle
upon Tyne, United Kingdom.
(Mellor J.; Stanton L.; Bowers M.; Ratcliffe I.; Downs N.) Southampton
Clinical Trials Unit, University of Southampton, Southampton, United
Kingdom.
CORRESPONDENCE ADDRESS
M. Thursz, Department of Surgery and Cancer, Imperial College London,
London, United Kingdom. Email: m.thursz@imperial.ac.uk
SOURCE
Health Technology Assessment (2015) 19:102. Date of Publication: 1 Dec 2015
ISSN
2046-4924 (electronic)
1366-5278
BOOK PUBLISHER
NIHR Journals Library
ABSTRACT
Background Alcoholic hepatitis (AH) is a distinct presentation of alcoholic
liver disease arising in patients who have been drinking to excess for
prolonged periods, which is characterised by jaundice and liver failure.
Severe disease is associated with high short-term mortality. Prednisolone
and pentoxifylline (PTX) are recommended in guidelines for treatment of
severe AH, but trials supporting their use have given heterogeneous results
and controversy persists about their benefit. Objectives The aim of the
clinical effectiveness and cost-effectiveness of STeroids Or Pentoxifylline
for Alcoholic Hepatitis trial was to resolve the clinical dilemma on the use
of prednisolone or PTX. Design The trial was a randomised, double-blind, 2 ×
2 factorial, multicentre design. Setting Sixty-five gastroenterology and
hepatology inpatient units across the UK. Participants Patients with a
clinical diagnosis of AH who had a Maddrey’s discriminant function value of
≥ 32 were randomised into four arms: A, placebo/placebo; B,
placebo/prednisolone; C, PTX/placebo; and D, PTX/prednisolone. Of the 5234
patients screened for the trial, 1103 were randomised and after withdrawals,
1053 were available for primary end-point analysis. Interventions Those
allocated to prednisolone were given 40 mg daily for 28 days and those
allocated to PTX were given 400 mg three times per day for 28 days. Outcomes
The primary outcome measure was mortality at 28 days. Secondary outcome
measures included mortality or liver transplant at 90 days and at 1 year.
Rates of recidivism among survivors and the impact of recidivism on
mortality were assessed. Results At 28 days, in arm A, 45 of 269 (16.7%)
patients died; in arm B, 38 of 266 (14.3%) died; in arm C, 50 of 258 (19.4%)
died; and in arm D, 35 of 260 (13.5%) died. For PTX, the odds ratio for
28-day mortality was 1.07 [95% confidence interval (CI) 0.77 to 1.40; p =
0.686)] and for prednisolone the odds ratio was 0.72 (95% CI 0.52 to 1.01; p
= 0.056). In the logistic regression analysis, accounting for indices of
disease severity and prognosis, the odds ratio for 28-day mortality in the
prednisolone-treated group was 0.61 (95% CI 0.41 to 0.91; p = 0.015). At 90
days and 1 year there were no significant differences in mortality rates
between the treatment groups. Serious infections occurred in 13% of patients
treated with prednisolone compared with 7% of controls (p = 0.002). At the
90-day follow-up, 45% of patients reported being completely abstinent, 9%
reported drinking within safety limits and 33% had an unknown level of
alcohol consumption. At 1 year, 37% of patients reported being completely
abstinent, 10% reported drinking within safety limits and 39% had an unknown
level of alcohol consumption. Only 22% of patients had attended alcohol
rehabilitation treatment at 90 days and 1 year. Conclusions We conclude that
prednisolone reduces the risk of mortality at 28 days, but this benefit is
not sustained beyond 28 days. PTX had no impact on survival. Future research
should focus on interventions to promote abstinence and on treatments that
suppress the hepatic inflammation without increasing susceptibility to
infection. Trial registration This trial is registered as EudraCT
2009-013897-42 and Current Controlled Trials ISRCTN88782125. Funding This
project was funded by the National Institute for Health Research (NIHR)
Health Technology Assessment programme and will be published in full in
Health Technology Assessment; Vol. 19, No. 102. See the NIHR Journals
Library website for further project information. The NIHR Clinical Research
Network provided research nurse support and the Imperial College Biomedical
Research Centre also provided funding.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
pentoxifylline (adverse drug reaction, clinical trial, drug therapy)
prednisolone (adverse drug reaction, clinical trial, drug therapy)
EMTREE DRUG INDEX TERMS
placebo
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol liver disease (drug therapy, disease management, drug therapy)
clinical effectiveness
cost effectiveness analysis
EMTREE MEDICAL INDEX TERMS
abstinence
acute kidney failure (side effect)
adult
alcohol consumption
alcohol rehabilitation program
article
controlled study
disease severity
double blind procedure
drinking behavior
factorial design
female
follow up
hospital patient
human
infection (side effect)
liver graft
major clinical study
male
mortality
multicenter study
prognosis
randomized controlled trial
survivor
United Kingdom
CAS REGISTRY NUMBERS
pentoxifylline (6493-05-6)
prednisolone (50-24-8)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Gastroenterology (48)
CLINICAL TRIAL NUMBERS
ISRCTN (ISRCTN88782125)
EudraCT (2009-013897-42)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160073809
FULL TEXT LINK
http://dx.doi.org/10.3310/hta191020
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 7
TITLE
Companion robots in the healthcare sector
AUTHOR NAMES
Klein B.
AUTHOR ADDRESSES
(Klein B.) Frankfurt University of Applied Sciences (FRA-UAS), Frankfurt am
Main, Hesse, Germany.
CORRESPONDENCE ADDRESS
B. Klein, Frankfurt University of Applied Sciences (FRA-UAS), Frankfurt am
Main, Hesse, Germany.
SOURCE
International Psychogeriatrics (2015) 27 SUPPL. 1 (S176-S177). Date of
Publication: December 2015
CONFERENCE NAME
17th IPA International Congress
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2015-10-13 to 2015-10-16
ISSN
1041-6102
BOOK PUBLISHER
Cambridge University Press
ABSTRACT
Objective: Psycho-social care has an increasing importance in the care of
elderly persons which has been underpinned by several legal changes in
Germany. These changes contributed to an increase of the workforce in
nursing care homes by 212% between 1999 and 2013 compared to an increase of
33% of residents in the same period (Statistisches Bundesamt 2001; 2015).
Since 2005 the first companion robot, the plush seal PARO, is on the market
and tested in several pilots and projects. Other companion robots followed
e.g. the toy dinosaur robot PLEO. Besides these commercially available
products, a range of new robots has been developed and can be utilized for
research purposes. One of these robots is TELENOID which is embodied as a
small humanoid resembling a foetus. New technology-based concepts emerged
such as robot-based activity and therapy (Libin & Libin 2004; Klein 2012).
In teaching research projects of Frankfurt University of Applied Sciences
the effects of the emotional robots PARO and PLEO were explored in nursing
care homes. Whereas PARO and PLEO are robots which work autonomously and
react and act on touch and voice, the social robot TELENOID is a kind of
telepresence robot which is operated by a remote person who can be situated
anywhere in the world as long as internet access is provided. The operator
can transmit voice and mimics onto the TELENOID. Objective of small
qualitative studies at FRA-UAS was to explore and get an insight in possible
effects on people cared for in nursing homes. Questions pursued were on
acceptance and impact and how these new technologies can be utilized in
order to contribute to well-being and quality of life. Methods: A mixed
methods approach seemed to be most suitable for research with very new
technologies and vulnerable clients. From 2009- 2011 students observed
interactions with PARO resp. PLEO in teaching research projects and used
video graphing, socio grams and questionnaires. In 2015 a prototype of the
robot TELENOID was explored with four residents in a nursing care home as a
kind of replication study undertaken in Japan (Yamazaki et al. 2012). In
this qualitative study the interactions between residents, TELENOID and
staff were observed and recorded by video and sound. Following the
interventions, a structured discussion was undertaken with social care staff
involved. Results: Although these three robots have very different
embodiments, they all seem to contribute to social interaction and
communication. The emotional robots PARO and PLEO contributed also to
reactions such as smiling, touching, stroking, cuddling and hugging the
robot (Klein, Gaedt, Cook 2013). TELENOID has a very different technological
and organisational concept. TELENOID can be held in the arms and hugged. The
embodiment allows interpreting age, gender, feelings etc. according to the
user's imagination. In the study social care staff was talking via laptop
through the TELENOID to the resident. Verbal communication is a centrepiece
in the application. Residents could hold or hug TELENOID if they wished. In
general the utilization of robots requires staff training in order to
exploit the psychosocial potential. From a technological point of view PARO
is the easiest to handle robot. PARO needs to be switched on and off,
receive regular charging and cleaning of its fur. PLEO starts as a newborn
dinosaur and needs to be cared for by entertaining and feeding, charging and
cleaning. PLEO can develop its functionalities and start to walk and react
in different ways. The prototype TELENOID utilized in the explorative study
was more complex to use. Setting up an internet or wireless connection for
the laptop and TELENOID was handled by a technician. Although the software
programme was easy to use, social care staff had to cope with the operation
of the laptop and talking to the resident through a different embodiment.
Staff training is a key issue for PARO use. This is also emphasized through
the distribution concept of PARO in Europe: PARO is only distributed with a
staff/multiplier training in order to utilize the potentials of the robot.
The study with TELENOID showed even more clearly that staff training will be
a major issue if TELENOID is used in activity or therapeutic settings.
Conclusion: More research is needed in order to explore the effects of
different embodiments of emotional and social robots as well as the impact
on the suitability of robots for psychosocial interventions. Addiction
research and practise show that virtual counselling and supervision through
emails and apps can contribute to an improvement of compliance in aftercare
(Bauer 2015). Telepresence companion robots could enable new forms of
(mediated) communication - not only for staff, but also relatives and
friends. More research is needed especially on the psycho-social potentials
of telepresence social care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care cost
robotics
EMTREE MEDICAL INDEX TERMS
addiction
aftercare
aged
arm
computer program
counseling
dinosaur
Europe
facial expression
feeding
fetus
friend
Fur (people)
gender
Germany
human
imagination
Internet
interpersonal communication
Japan
market
newborn
nursing care
nursing home
qualitative research
quality of life
questionnaire
replication study
social care
social interaction
staff training
student
teaching
technology
therapy
university
verbal communication
videorecording
voice
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1017/S1041610215002173
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 8
TITLE
Perceptions among healthcare professionals of prescription drug misuse
AUTHOR NAMES
Porath-Waller A.
Gereghty S.
Robeson P.
AUTHOR ADDRESSES
(Porath-Waller A.; Gereghty S.; Robeson P.) Canadian Centre on Substance
Abuse, Ottawa, Canada.
CORRESPONDENCE ADDRESS
A. Porath-Waller, Canadian Centre on Substance Abuse, Ottawa, Canada.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e180). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Prescription drug misuse (PDM) is a leading public health and safety
concern in North America. Healthcare professionals play a critical role in
addressing this issue; however, few studies have examined their part in
identifying, preventing or inadvertently enabling PDM among patients. A
clearer understanding of healthcare professionals' perceptions of PDM can
help to inform the development of educational and prevention initiatives and
to improve the capacity to address this public health and safety crisis.
Methods: This study investigated perceptions among 1063 Canadian healthcare
professionals, including physicians, registered nurses and nurse
practitioners, pharmacists, and dentists through an anonymous online survey.
Results: Findings revealed that the misuse of prescription opioids and
sedatives/tranquilizers was suspected to be more frequent among patients
with chronic pain, a substance abuse history or a mental health diagnosis.
Healthcare professionals did not feel overly effective in preventing or
addressing PDM in patients; they cited a lack of training and lack of access
to chronic pain or addiction specialists as barriers to identifying PDM.
Communication issues were reported between pharmacists and physicians.
Conclusions: This study raises the concern that Canadian healthcare
professionals do not believe they are optimally effective in preventing and
addressing PDM and most do not feel supported to do so. Professional
colleges and associations are well placed to provide or promote continuing
education that addresses the identification of PDM and the potential for
screening, brief intervention and referral, as well as guidelines, policies
and regulations for risk-management and prescribing practices. Additionally,
to enhance the safety of prescribing and dispensing practices and overall
patient outcomes, improvements in interdisciplinary communication are
needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
drug misuse
health care personnel
human
EMTREE MEDICAL INDEX TERMS
addiction
Canadian
chronic pain
continuing education
dentist
diagnosis
interdisciplinary communication
interpersonal communication
medical specialist
mental health
North America
nurse practitioner
patient
pharmacist
physician
policy
prescription
prevention
public health
registered nurse
risk management
safety
screening
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.488
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 9
TITLE
Comparing attitudes toward addressing patient drug use among health
professionals in training
AUTHOR NAMES
Johnson J.A.
Kelly U.
Tindol A.
Macmillan D.
Payne F.
Chalmers S.
Shellenberger S.
Le K.
Seale P.
AUTHOR ADDRESSES
(Kelly U.) Emory University, Atlanta, United States.
(Macmillan D.) Georgia College and State University, Milledgeville, United
States.
(Tindol A.; Payne F.; Shellenberger S.; Seale P.) Mercer University, Macon,
United States.
(Chalmers S.) University of North Georgia, Dahlonega, United States.
(Le K.) Wake Forest University, Winston-Salem, United States.
(Johnson J.A.) Georgia Regents University, Augusta, United States.
CORRESPONDENCE ADDRESS
J.A. Johnson, Georgia Regents University, Augusta, United States.
SOURCE
Drug and Alcohol Dependence (2015) 156 (e104). Date of Publication: 1 Nov
2015
CONFERENCE NAME
2015 Annual Meeting of the College on Problems of Drug Dependence, CPDD 2015
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2015-06-13 to 2015-06-18
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: The Substance Abuse and Mental Health Services Administration recently
funded grants to train health professionals to conduct alcohol and drug use
screening and brief intervention (SBI). Prior to training advanced practice
nursing students (APRNs) in SBI, baseline survey data were collected and
results compared to identical measures from first year medical residents.
Methods: APRNs (N= 291) and first year medical residents (N= 182) at 6
nursing schools and 6 residency programs completed a survey measuring
attitudes and beliefs about addressing alcohol and/or drug misuse and
current SBI practices. Results: Respondents ranked the level of importance
and their level of confidence in performing 9 components of drug SBI. APRNs
rated 8 of 9 importance items significantly higher than residents. Only 1
confidence item differed: residents reported higher confidence than APRNs in
advising at-risk patients to stop or reduce drug use. Respondents also
ranked the level of importance placed on reasons for and barriers to
addressing drug use in patients. APRNs scored significantly higher on all 8
items related to positive outcomes associated with drug SBI (e.g. improving
family relationships, reducing healthcare costs). APRNs also scored higher
on 4 of 9 items measuring barriers to performing SBI (e.g., inadequate
training, uneasiness discussing drug use). Residents scored higher on only 1
barrier item related to preferring to diagnose and treat primary health
issues rather than give preventive advice such as drug SBI. Conclusions:
Compared to residents, APRNs placed more importance on addressing patient's
drug use and potential positive outcomes associated with SBI. While SBI
training efforts may be more readily accepted among APRNs, perceived
barriers could limit SBI implementation. Future studies should assess the
ability of training programs to translate positive attitudes into increased
SBI behavior.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
drug use
health practitioner
human
patient
EMTREE MEDICAL INDEX TERMS
advanced practice nursing
drug misuse
health
health care cost
health service
mental health service
nursing education
nursing student
risk
screening
substance abuse
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2015.07.288
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 10
TITLE
Excellent outcome of the new liver transplantation center
AUTHOR NAMES
Hong G.
Min S.K.
Lee H.K.
AUTHOR ADDRESSES
(Hong G.; Min S.K.; Lee H.K.) Ewha Womans Univeristy, School of Medicine,
South Korea.
CORRESPONDENCE ADDRESS
G. Hong, Ewha Womans Univeristy, School of Medicine, South Korea.
SOURCE
Transplant International (2015) 28 SUPPL. 4 (625). Date of Publication:
November 2015
CONFERENCE NAME
17th Congress of the European Society for Organ Transplantation, ESOT
CONFERENCE LOCATION
Brussels, Belgium
CONFERENCE DATE
2015-09-13 to 2015-09-16
ISSN
0934-0874
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
New liver transplantation center has difficulty in showing good outcome
because of the shortage of manpower with experience and proper equipment.
And therefore, most of the transplantation centers perform less than five
cases, although forty-four centers have performed liver transplantation (LT)
in Korea. We present our initial experiences and outcome of the LT. We have
prepared LT for more than 5 years. An experienced surgeon of liver
transplantation who had been trained in the experienced center specialized
in the live donor LT in Korea as well as deceased donor LT was employed.
Experienced surgeon was the control tower in the setting of patients
evaluation, operation procedure, and postoperative care. Multidisciplinary
team was formally established. Doctors and nurses were educated over 10 h.
Some of them were sent to the experienced center to observe the procedure.
We have performed 15 consecutive LTs (6 live donor LTs, 9 deceased donor
LTs) from April 2013 to July 2014; One cryptogenic liver cirrhosis (LC), two
alcoholic LC, seven hepatitis B related LC, four hepatitis C related LC
patients, five patients with hepatocellular carcinoma, and one biliary
atresia 26 years after Kasai operation. The median MELD score was 14 (8-35),
Child-Turcotte-Pugh score was 10 (6-14). Operative time was 540 min
(380-605) and estimated blood loss was 5500 ml (1380-16600). Warm and cold
ischemic time was 50 min (35-109) and 290 min (60-67), respectively. There
was no re-operation and operative mortality. Until now, there has been no
mortality caused by severe complication. Without enough experiences,
equipment and skilled surgeon and nurses, to reach better outcome is
difficult in LT. Newly starting centers, therefore, need strict and
well-prepared strategy and proper training program and thorough preparation
as well as manpower for optimal result. Well-trained surgeon is prerequisite
for preparation and performing LT as a control tower.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
liver transplantation
organ transplantation
society
EMTREE MEDICAL INDEX TERMS
alcoholism
bile duct atresia
bleeding
Child Pugh score
cold ischemia
donor
hepatitis B
hepatitis C
human
Korea
liver cell carcinoma
liver cirrhosis
manpower
mortality
nurse
operation duration
patient
physician
portoenterostomy
postoperative care
procedures
surgeon
surgical mortality
training
transplantation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/tri.12702
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 11
TITLE
Evaluating the impact of a medication therapy management clinic for
outpatients within an academic medical center heart hospital
AUTHOR NAMES
Schultz A.
Vinh D.
Jordan T.
Bush C.
Snider M.
AUTHOR ADDRESSES
(Schultz A.; Snider M.) Department of Pharmacy, Ohio State University,
Wexner Medical Center, United States.
(Vinh D.; Jordan T.) Ohio State University, Wexner Medical Center, United
States.
(Bush C.) Division of Cardiovascular Medicine, Ohio State University, Wexner
Medical Center, United States.
CORRESPONDENCE ADDRESS
A. Schultz, Department of Pharmacy, Ohio State University, Wexner Medical
Center, United States.
SOURCE
Pharmacotherapy (2015) 35:11 (e212). Date of Publication: November 2015
CONFERENCE NAME
2015 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2015
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2015-10-17 to 2015-10-21
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: The objective of this study was to evaluate the clinical
interventions and operational outcomes of a pharmacist-managed medication
therapy management (MTM) clinic within an academic medical center heart
hospital. METHODS: A retrospective chart review was conducted on patients
within a pharmacist-managed MTM clinic between November 18, 2013 and April
18, 2014. Appointments were assessed for clinical interventions and
operational outcomes that included identified drug therapy problems,
barriers to adherence, number and type of recommendations made to a
physician, number and type of referrals placed, duration of appointments;
when applicable, time to first scheduled appointment from discharge, and
time to subsequent hospital admission following MTM clinic appointment.
RESULTS: The service was utilized by a variety of clinicians, including both
inpatient and outpatient physicians, nurses, and pharmacists. Primary reason
for referral was post-heart failure exacerbation discharge. Visits were
either telephonic (n = 9) or face-to-face (n = 21). Of the 30 patients
managed in the pharmacist- managed MTM clinic, none were readmitted within
30 days of discharge. Following MTM interventions, compliance with Centers
for Medicare and Medicaid Services (CMS) Core Measures increased to 100%,
and improved adherence to national practice guidelines was seen. There were
an average of 2.3 identified drug related problems per patient, resulting in
1.6 clinical interventions identified and 1.3 accepted interventions per
patient. Of the 49 recommendations, 96% were accepted. CONCLUSION: This
study demonstrated that for patients in a pharmacist-managed MTM service
within an academic medical center heart hospital, improved adherence to
clinical practice guidelines and CMS Core Measure compliance were seen and
that these patients were not readmitted within 30 days. The clinical
interventions had a high acceptance rate, supporting promising clinical
benefits in achieving therapeutic goals, and furthering a patient's
medication and disease state understanding.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
heart
hospital
human
medication therapy management
outpatient
university hospital
EMTREE MEDICAL INDEX TERMS
drug therapy
heart failure
hospital admission
hospital patient
medicaid
medical record review
medicare
nurse
patient
pharmacist
physician
practice guideline
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1659
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 12
TITLE
Provision of pharmacy interventions to promote medication safety in a
selected medical center in the Philippines-great catch program
AUTHOR NAMES
Docuyanan H.F.
Robles M.J.
AUTHOR ADDRESSES
(Docuyanan H.F.) Philippine Society of Hospital Pharmacists (PSHP), Makati
City, Philippines.
(Robles M.J.) Department of Pharmacy Services, Clinical Pharmacy Section,
Makati Medical Center, Makati City, Philippines.
CORRESPONDENCE ADDRESS
H.F. Docuyanan, Philippine Society of Hospital Pharmacists (PSHP), Makati
City, Philippines.
SOURCE
Pharmacotherapy (2015) 35:11 (e251). Date of Publication: November 2015
CONFERENCE NAME
2015 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2015
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2015-10-17 to 2015-10-21
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: To provide pharmacy interventions in order to prevent medication
errors, and promote medication safety. METHODS: Prospective, date gathering
of interventions provided There are several stages in the medication
management system when pharmacy interventions are provided by either the
inpatient pharmacist or the clinical pharmacist. The stages are:
prescribing, transcribing, drug appropriateness review, medication order
review and drug therapy monitoring (clinical pharmacy rounds) and
administration validation through Medication Administration Record review.
Every time the pharmacist identifies a drug-related problem, he/she provides
interventions - will refer to the prescribing physician or the nurse and
recommend resolutions so that errors are intercepted or corrected.
Documentation is done for every intervention. Data is reported to the
Medication Safety Subcommittee and Therapeutics Committee for system
improvement initiatives. Pharmacists with the most number of interventions
are recognized and appreciated every month and a special award is given at
the end of the year. RESULTS: Pharmacy interventions are greatly useful
during the prescribing stage and transcribing stage. These are where most of
the errors are intercepted and corrected. Pharmacy interventions are usually
provided during the drug appropriateness review and clinical pharmacy
rounds. Doctors and nurses are the most common persons contacted in order to
resolve the identified problem. The most common resolutions are to initiate
new drug order, corrected the error or clarify the order. Average acceptance
rate to the intervention is 98.7%. The average time to resolve the
intervention is 11 minutes. CONCLUSION: Provision of pharmacy interventions
intercepts and prevents medication errors. It also promotes patient safety
by identifying potential harm caused by drug interactions or drug reactions,
and recommending solutions accordingly. The great catch program through
provision of pharmacy interventions is one of the effective tools in
developing a culture of safety.
EMTREE DRUG INDEX TERMS
new drug
nonoxinol 9
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
drug therapy
pharmacy
Philippines
safety
EMTREE MEDICAL INDEX TERMS
awards and prizes
documentation
drug interaction
hospital patient
human
medical record review
medication error
medication therapy management
monitoring
nurse
patient safety
pharmacist
physician
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1659
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 13
TITLE
Barriers to pediatric pain management in children undergoing surgery: A
survey of health care providers
AUTHOR NAMES
Bawa M.
Mahajan J.K.
Aggerwal N.
Sundaram J.
Rao K.L.N.
AUTHOR ADDRESSES
(Bawa M., monikabawa@hotmail.com; Mahajan J.K.; Aggerwal N.; Sundaram J.;
Rao K.L.N.) Department of Paediatric Surgery, Postgraduate Institute of
Medical Education and Research, Advanced Paediatric Centre, Chandigarh,
India.
CORRESPONDENCE ADDRESS
M. Bawa, Department of Paediatric Surgery, Postgraduate Institute of Medical
Education and Research, Advanced Paediatric Centre, Chandigarh, India.
Email: monikabawa@hotmail.com
SOURCE
Journal of Pain and Palliative Care Pharmacotherapy (2015) 29:4 (353-358).
Date of Publication: 2 Oct 2015
ISSN
1536-0539 (electronic)
1536-0288
BOOK PUBLISHER
Taylor and Francis Ltd, healthcare.enquiries@informa.com
ABSTRACT
The appropriate pain management in neonates and children is lacking. Factors
that prevent the execution of proper pain relief vary from center to center.
We studied the factors responsible for it in a surgical unit. We conducted a
survey at a tertiary-level institute among the resident doctors and nursing
staff by means of an informal questionnaire analyzing their basic knowledge.
The questions pertained mainly to pain assessment, analgesic usage, role of
opioids, and formal training, and the responses so obtained were analyzed
under these four headings. Seventy-three percent (22/30) of the residents
and 74% (26/35) of the nursing staff knew about pain assessment scoring
system in pediatric patients. However, assessment of pain in emergency cases
was always done by only 6.6% of the residents. Effect of analgesia on
severity of pain was never recorded by 33% (10/30) of the residents.
Eighty-six percent (26/30) of the residents and 91% (32/35) of the nursing
staff had adequate knowledge about analgesic dosage and interval for routine
use. Ten of the 30 (33%) residents believed that analgesic administration in
an acute abdomen, before definitive diagnosis, will always mask the
symptoms. During a minor procedure, 56% (17/30) of the residents always used
analgesia. Only 3.3% (1/30) of residents and 2.8% (1/35) of the nursing
staff had received a structured training for pain management. Although, 93%
(28/30) of the residents claimed to know about the safety of use of opioids,
only 46% (14/30) used them routinely as analgesics. Pain management in
surgical neonates and children is often ignored. Lack of formal training,
inadequate knowledge, and standard protocols are the barriers in our setup,
which may in turn be due to overwhelming attention given to the surgical
condition.
EMTREE DRUG INDEX TERMS
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
health care survey
pediatric surgery
pediatrics
EMTREE MEDICAL INDEX TERMS
abscess drainage
acute abdomen (drug therapy, prevention)
article
child
clinical decision making
clinical practice
drug effect
drug safety
drug use
emergency care
human
major clinical study
medical documentation
newborn
nurse attitude
opiate addiction
pain assessment
pain severity
perioperative period
phlebotomy
physician attitude
postoperative analgesia
postoperative period
preoperative period
professional knowledge
residency education
staff training
treatment duration
treatment outcome
treatment response
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Gastroenterology (48)
Pediatrics and Pediatric Surgery (7)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
20160007384
FULL TEXT LINK
http://dx.doi.org/10.3109/15360288.2015.1082010
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 14
TITLE
Social work screening identifies unmet psychosocial needs amongst sickle
cell patients in the emergency department: A qualitative study
AUTHOR NAMES
Freiermuth C.
Johnston J.
Rutherford C.
Tanabe P.
AUTHOR ADDRESSES
(Freiermuth C.; Johnston J.; Rutherford C.; Tanabe P.) Duke University,
Durham, United States.
CORRESPONDENCE ADDRESS
C. Freiermuth, Duke University, Durham, United States.
SOURCE
Annals of Emergency Medicine (2015) 66:4 SUPPL. 1 (S151). Date of
Publication: October 2015
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2015 Research Forum
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-10-26 to 2015-10-27
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objective: Prior research has shown that psychological and social
factors contribute to pain complaints in the sickle cell population.
Patients with sickle cell disease (SCD) frequently seek treatment in the
emergency department (ED) for pain crises. The objective of this study was
to identify unmet psychosocial needs amongst patients with SCD who seek care
in the ED. Methods: A psychosocial screening tool was implemented as part of
a larger study designed to improve the quality of EDcare for patients with
SCD. The tool was developed based on prior research, with input from
physicians, nurses, social workers and patients on a quality improvement
(QI) team. Questions were designed to identify concomitant psychiatric
conditions, substance abuse, unstable living situations, insurance coverage
gaps, and social support. The screening tool was implemented in an urban ED
with 16 hours of social work coverage during the week and 24 hours of
coverage on the weekends. An automatic page was sent to the social worker
upon registration of an adult patient with sickle cell disease. Social
workers completed a face-to-face interview with patients willing to
participate. Completed screens were faxed to the SCD program social worker
to follow-up on addressing the patients' needs. De-identified screens were
then faxed to the QI team. Direct quotes from interviews were entered into a
Word document and arranged into common themes. Themes were agreed upon
amongst the QI team. Results: A total of 147 interviews were conducted over
the course of 16 months. Qualitative review and thematic organization
revealed a variety of problems that may contribute to increased visits to
the ED. Common themes that emerged were: lack of transportation to clinic
appointments, difficulty scheduling clinic appointments, insufficient funds
to obtain prescriptions, problems with insurance, depression, anxiety, and
frustration with the care they received. Narratives revealed feelings of
helplessness, with statements such as “I feel overwhelmed by my illness” and
“I want to go out, but then get sick and stuck.” Patients also expressed
desire to avoid the ED, explaining that “People judge you like a drug
seeker” and “Doctors do not understand the severity of pain.” Social workers
reported that they learned a significant amount about sickle cell disease
and resultant complications as a result of this screening process and
patients reported that they appreciated that someone cared enough to ask
these questions. The SCD social worker was able to follow up with individual
patients to provide further resources. Conclusion: Sickle cell patients in
the ED have unmet psychological and social needs. These were identified with
a short screening tool designed to be administered by social workers, case
managers, nurses or physicians. Implementation of this screen can lead to
referrals that address these unmet needs and potentially lead to decreased
use of the ED.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
college
emergency physician
emergency ward
human
patient
qualitative research
screening
sickle cell
social work
EMTREE MEDICAL INDEX TERMS
adult
anxiety
case manager
cell population
diseases
follow up
frustration
helplessness
hospital
insurance
interview
narrative
nurse
pain
physician
prescription
registration
sickle cell anemia
social aspect
social needs
social support
social worker
substance abuse
total quality management
traffic and transport
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 15
TITLE
The impact of huddle implementation on healthcare delivery metrics in a
pulmonary teaching clinic
AUTHOR NAMES
Heavner J.J.
Possick J.D.
AUTHOR ADDRESSES
(Heavner J.J.; Possick J.D.) Yale School of Medicine, New Haven, United
States.
CORRESPONDENCE ADDRESS
J.J. Heavner, Yale School of Medicine, New Haven, United States.
SOURCE
American Journal of Respiratory and Critical Care Medicine (2015) 191
MeetingAbstracts. Date of Publication: 2015
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2015
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2015-05-15 to 2015-05-20
ISSN
1073-449X
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
RATIONALE In 2013, Yale-New Haven Hospital's implementation of a new
electronic health record changed the workflow for many aspects of the
pulmonary fellows' teaching clinic. Evaluation of healthcare delivery
metrics revealed incompleteness of several key elements. The team huddle is
a key component of healthcare improvement processes. We hypothesized that
implementation of a pre-clinic huddle would be associated with improvement
in a composite metric score. METHODS In July 2014, pre-clinic huddles were
implemented in the Yale-New Haven Hospital pulmonary teaching clinic. The
huddle has a structured 5 minute agenda and involves fellows, attendings,
nurses, medical assistants, and administrative staff. It is led by the
rotating head nurse of the day. The agenda includes staffing review,
schedule review, acknowledgement of potential obstacles, clinic updates,
discussion of improvement processes, and open discussion of general ideas
and comments. A huddle board, which is the central focus of the huddle,
displays the staff available for the clinic session, room assignments,
patient schedule, performance metrics, idea cards, clinic reminders, and the
huddle agenda. Our primary outcome was the difference in a composite metric
score in week 1 and week 16, which includes documentation of smoking
history, tobacco cessation counseling including counseling time for active
smokers, charge capture for tobacco cessation counseling, fellow added as a
pulmonary consultant to the patient's care team, and immunization
documentation. RESULTS The components of the composite metric were available
for 59/59 (100%) patient encounters during week 1 and week 16. Composite
metric goals were met more frequently 16 weeks after huddle implementation
[149/163 (91.8%) week 16, 68/119 (57.1%) week 1; (P=0.0001)]. By week 16,
there were significant improvements in provider addition to electronic care
teams, immunization documentation, addition of tobacco dependence to the
visit diagnosis list, and charge capture for tobacco cessation counseling
(see Table 1). CONCLUSIONS Implementation of a pre-clinic huddle in our
pulmonary teaching clinic was associated with significant improvements in
healthcare delivery metrics. The chosen metrics were focused around ensuring
adequate documentation. Further study is needed to determine if
multidisciplinary huddle implementation is associated with improved patient
outcomes and staff satisfaction in this setting. (Figure Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
health care delivery
hospital
society
teaching
EMTREE MEDICAL INDEX TERMS
consultation
counseling
diagnosis
documentation
electronic medical record
head nurse
health care
human
immunization
medical assistant
nurse
patient
patient care
satisfaction
smoking
tobacco
tobacco dependence
workflow
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 16
TITLE
Understanding what patients need to stay healthy: The perspective of
community-and hospital-based caregivers
AUTHOR NAMES
Rising K.L.
Hollander J.E.
Carr B.G.
AUTHOR ADDRESSES
(Rising K.L.; Hollander J.E.; Carr B.G.) National Academic Center for
Telehealth, Thomas Jefferson University, Philadelphia, United States.
CORRESPONDENCE ADDRESS
K.L. Rising, National Academic Center for Telehealth, Thomas Jefferson
University, Philadelphia, United States.
SOURCE
Annals of Emergency Medicine (2015) 66:4 SUPPL. 1 (S56). Date of
Publication: October 2015
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2015 Research Forum
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2015-10-26 to 2015-10-27
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: To elicit the perspectives of community- and
hospital-based caregivers regarding the types of assistance patients need in
their daily lives and how the health system might better serve patients.
Methods: This is a qualitative study engaging community- and hospital-based
health workers (case managers and social workers) in Philadelphia. We
conducted focus groups and one-on-one interviews with use of a discussion
guide to elicit details of relationships with clients, perceptions regarding
client needs and experiences with the health system, and thoughts about how
the health system may better meet clients' needs. Participants were
contacted through email and flyers and were scheduled for a focus group or
interview depending on preference and scheduling constraints. All sessions
were transcribed, and themes were identified using the grounded theory
approach. Results: We engaged 39 individuals (3 focus groups and 21
interviews), with 17 community health workers and 22 hospital-based workers.
Participants described clients often not getting treatment for several
reasons, including lack of initiative to proactively manage health issues,
lack of information about the health care system, discomfort with or
mistrust of the health care system, and personal economic challenges. They
noted that many clients seek care primarily in the ED because they know they
will not be turned away. Even clients with insurance often have difficulty
affording copays, thus limiting utilization of outpatient services. Clients
often delayed care, and preferred the convenience and speed of receiving
testing in the ED. Primary factors limiting participants' ability to
thoroughly assist clients included problems building trust and understanding
patient needs in the minimal time they had engagement, client financial
concerns, and significant mental health and substance abuse issues of
clients. Provision of services such as one-time copay waivers helped their
clients in short-term, but they were rarely able to address root causes of
client struggles. Fear was the primary pervasive theme throughout
discussion-including fear of receiving a bad diagnosis, intimidation of the
health system, and lack of trust of the health system (such as a fear of
losing kids to DHS if the realities of home life are revealed to doctors).
Thus, the primary suggestion of the participants for health system
improvement was that there should be more visibility of health system within
communities. They suggested that providers going into communities would help
establish trust and let patients know that they are valued. They also
suggested that providers should focus more on asking about the life issues
that patients face, with a focus on understanding patients as people instead
of ailments. Conclusion: This work engaged a previously under-represented
population, hospital- and community-based caregivers, to explore perceptions
about how patients might be better served by the health system. Though
specific roles varied, the participants were unified in describing lack of
system engagement at the community level and under-use of patient-centered
approaches to identifying patient needs and developing treatment plans.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
caregiver
college
community
emergency physician
hospital
human
patient
EMTREE MEDICAL INDEX TERMS
case manager
diagnosis
e-mail
fear
grounded theory
health
health auxiliary
health care
health care personnel
health care system
information processing
insurance
interview
mental health
outpatient care
physician
population
qualitative research
social worker
substance abuse
United States
velocity
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 17
TITLE
Evaluating the effectiveness of an e-learning module for registered nurses
AUTHOR NAMES
Wong A.Y.P.
Kinson R.
Chan J.E.T.
AUTHOR ADDRESSES
(Wong A.Y.P.; Kinson R.; Chan J.E.T.) Tan Tock Seng Hospital, Singapore,
Singapore.
CORRESPONDENCE ADDRESS
A.Y.P. Wong, Tan Tock Seng Hospital, Singapore, Singapore.
SOURCE
Annals of the Academy of Medicine Singapore (2015) 44:10 SUPPL. 1 (S17).
Date of Publication: October 2015
CONFERENCE NAME
Singapore Health and Biomedical Congress, SHBC 2015
CONFERENCE LOCATION
Singapore, Singapore
CONFERENCE DATE
2015-10-02 to 2015-10-03
ISSN
0304-4602
BOOK PUBLISHER
Academy of Medicine Singapore
ABSTRACT
Background & Hypothesis: Registered nurses care for many complex patients in
a general hospital including those developing alcohol withdrawals (AW).
Delirium tremens, a severe form of AW, if untreated, can lead to mortality.
Often, knowledge and assessment skill gaps exist in assessment of
alcohol-related problems. Methods: The Department of Psychological Medicine
created an e-Learning module to target identified knowledge gaps that
encompass theoretical knowledge of alcohol withdrawal (pathophysiology,
identification, investigations, management and monitoring of patients), and
showcased the skills component by using Clinical Institute of Withdrawal
Assessment-Alcohol scale (CIWA-Ar) in the videos with each progression of AW
demonstrated. Pre- and post-test scores were obtained in the form of 10
multiple choice questions (MCQ) and assessing severity of AW based on a
series of videos using CIWA-Ar charting. Results: A total of 91 registered
nurses completed both the pre- and post-test MCQs. There was an improvement
of 56% (n = 51) in the pre- and post-MCQs scores. Sixty-five registered
nurses completed the pre- and post-test assessments for assessing severity
of AW using CIWA-Ar charting. A majority (n = 49, 75%) scored the severity
of AW correctly during the pre-test assessment and 56 (86%) for the
post-test assessment. Out of 16 nurses who failed the pre-test assessments,
87.5% (n = 14) showed improvement in the post-test. Discussion & Conclusion:
The preliminary findings revealed the positive use of the use of e-Learning
module which had been effective in bridging the knowledge gaps for
registered nurses. This module is also effective in enhancing nurses'
assessment skills.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
human
learning
registered nurse
Singapore
EMTREE MEDICAL INDEX TERMS
alcohol withdrawal
delirium tremens
general hospital
hypothesis
monitoring
mortality
multiple choice test
nurse
pathophysiology
patient
skill
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 18
TITLE
The mutual benefits of preceptorship
AUTHOR NAMES
Korzon J.
Trimmer W.
AUTHOR ADDRESSES
(Korzon J.; Trimmer W.)
SOURCE
Nursing New Zealand (Wellington, N.Z. : 1995) (2015) 21:8 (14-16). Date of
Publication: 1 Sep 2015
ISSN
1173-2032
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis)
female
human
male
mental health service
middle aged
New Zealand
nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
26548062 (http://www.ncbi.nlm.nih.gov/pubmed/26548062)
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 19
TITLE
'Class smoke-free' pledge impacts on nicotine dependence in male
adolescents: A cluster randomized controlled trial
AUTHOR NAMES
Al-Sheyab N.
Alomari M.
Shah S.
Gallagher R.
AUTHOR ADDRESSES
(Al-Sheyab N.; Alomari M.) Jordan University of Science and Technology,
Irbid, Jordan.
(Shah S.; Gallagher R.) University of Sydney, Sydney, Australia.
CORRESPONDENCE ADDRESS
N. Al-Sheyab, Jordan University of Science and Technology, Irbid, Jordan.
SOURCE
Tropical Medicine and International Health (2015) 20 SUPPL. 1 (255-256).
Date of Publication: September 2015
CONFERENCE NAME
9th European Congress on Tropical Medicine and International Health
CONFERENCE LOCATION
Basel, Switzerland
CONFERENCE DATE
2015-09-06 to 2015-09-10
ISSN
1360-2276
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
OBJECTIVE To test the effectiveness of a school-based, peer-led smoking and
asthma education program, known as the Triple A (Adolescent Asthma Action)
in Jordan (TAJ), with an additional 'class smoke-free' pledge strategy
(TAJ-Plus) as compared to the TAJ alone on smoking-related knowledge and
perception, nicotine dependence, and asthma control in male high school
students in Jordan 4 months post intervention. METHODS In this
cluster-randomized controlled trial, four public male high schools in Irbid,
Jordan were randomly assigned to receive the TAJ-Plus (n = 215) or the TAJ
(n = 218). TAJ educators were 3rd year male undergraduate nursing students
(n = 9) who received training in a 1-day workshop. These educators then
trained senior students from the four schools to be Peer Leaders (n = 53),
who then taught peers in grades 7 and 8 (n = 433). The Peer Leaders in the
TAJ-Plus schools implemented the smoke-free pledge within the 7th and 8th
graders, who voluntarily signed the pledge for 4 months. Data were collected
from students in grades 7 and 8 using selfadministered questionnaires at
baseline and 4 months post intervention. RESULTS Students from the TAJ-Plus
group reported significant improvements in smoking-related knowledge and
perception (P <0.001) and lower nicotine dependence (P <0.001) as compared
to the TAJ group. Improvement in asthma control was greater (P = 0.03) in
nonsmokers versus smokers. CONCLUSIONS Voluntary group commitment smoke-free
through a pledge is feasible, beneficial, and an incentive to motivate
adolescents to abstain from smoking. Using social influences approaches in
schools is useful in countering current aggressive tobacco marketing
campaigns in Arab youth.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
European
human
male
public health
randomized controlled trial
smoke
tobacco dependence
tropical medicine
EMTREE MEDICAL INDEX TERMS
Arab
asthma
education program
high school
high school student
Jordan
juvenile
marketing
nursing student
questionnaire
school
smoking
student
tobacco
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/tmi.12574
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 20
TITLE
Doctors and nurses have more knowledge of and are more confident managing
acute toxicity related to the use of classical recreational drugs than novel
psychoactive substances
AUTHOR NAMES
Wood D.M.
Ceronie B.
Dargan P.I.
AUTHOR ADDRESSES
(Wood D.M., david.wood@gstt.nhs.uk; Dargan P.I.) Guy's and St Thomas' NHS
Foundation Trust, King's Health Partners, London, United Kingdom.
(Ceronie B.) King's College London, London, United Kingdom.
CORRESPONDENCE ADDRESS
D.M. Wood, Guy's and St Thomas' NHS Foundation Trust, King's Health
Partners, London, United Kingdom. Email: david.wood@gstt.nhs.uk
SOURCE
Clinical Toxicology (2015) 53:7 (718). Date of Publication: 2015
CONFERENCE NAME
2015 Annual Meeting of the North American Congress of Clinical Toxicology,
NACCT 2015
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2015-10-08 to 2015-10-12
ISSN
1556-3650
BOOK PUBLISHER
Taylor and Francis Ltd
ABSTRACT
Background: There is increasing availability of and reports of acute
toxicity related to the use of novel psychoactive substance (NPS). Initial
management of patients with acute recreational drug/ NPS toxicity is often
by non-toxicologist medical and nursing staff. The aim of this study was to
assess emergency and internal medicine clinicians' knowledge of and
confidence in managing acute toxicity related to classical recreational
drugs and NPS. Methods: Nursing and medical staff working in a central
London hospital emergency department, and critical care and internal
medicine admissions units completed a questionnaire on their knowledge of
and confidence in managing acute toxicity related to classical recreational
drugs and NPS. Participants self-assessed using scale of 1 to 5 for each
variable: Knowledge: 1 = little knowledge to 5 = very knowledgeable;
Confidence: 1 = little confidence to 5 = very confident. Knowledge and
confidence for doctors and nurses between classical recreational drugs and
NPS were compared using a paired student t-test; comparison between nurses
and doctors were undertaken by unpaired student t-test. Results: 188 staff
completed the questionnaire (82 medical, 106 nursing staff). Knowledge: Both
nursing and medical staff had greater knowledge of classical recreational
drugs than NPS. Nursing staff: 2.9 ± 0.9 -vs- 2.1 ± 1.0, p < 0.0001; Medical
staff: 3.1 ± 0.8 -vs- 2.1 ± 1.0, p < 0.0001. There was no difference between
nursing and medical staff in knowledge of classical recreational drugs (p =
0.11) and NPS (p = 0.89). Confidence in managing acute toxicity: Both
nursing and medical staff had greater confidence in managing acute classical
recreational drug toxicity than acute NPS toxicity; Nursing staff: 3.0 ± 1.1
-vs- 2.3 ± 1.1, p < 0.0001; Medical staff: 3.0 ± 0.9 -vs- 2.1 ± 1.0, p <
0.0001. There was no difference between nursing and medical staff in their
confidence in managing acute toxicity related to the use of classical
recreational drugs (p = 0.85) or NPS (p = 0.33). Conclusions: Medical and
nursing staff had less knowledge of NPS than classical recreational drugs,
and less confidence in managing acute toxicity related to the use of NPS.
There needs to be greater consideration to ensure that education related to
recreational drugs includes appropriate information on NPS to improve the
confidence of those who may be initially managing the patient.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
recreational drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
acute toxicity
human
North American
nurse
physician
substance abuse
toxicology
EMTREE MEDICAL INDEX TERMS
drug toxicity
education
emergency
emergency ward
hospital
intensive care
internal medicine
medical staff
nursing
nursing staff
patient
questionnaire
Student t test
toxicity
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.3109/15563650.2015.1071025
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 21
TITLE
The validation of Premenstrual Symptoms Screening Tool (PSST) in the Greek
population: Preliminary results
AUTHOR NAMES
Karaoulanis S.
Sevlianou A.
AUTHOR ADDRESSES
(Karaoulanis S.; Sevlianou A.) University of Thessalia, Psychiatric,
Larissa, Greece.
CORRESPONDENCE ADDRESS
S. Karaoulanis, University of Thessalia, Psychiatric, Larissa, Greece.
SOURCE
European Neuropsychopharmacology (2015) 25 SUPPL. 2 (S401-S402). Date of
Publication: September 2015
CONFERENCE NAME
28th European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2015-08-29 to 2015-09-01
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction: Premenstrual dysphoric disorder (PMDD) is a clinical entity
which affects many women of childbearing age. It is important to have an
instrument which will help the clinicians to make the correct diagnosis.
Premenstrual Symptoms Screening Tool (PSST) is such a questionnaire. The aim
of our study is the validation of PSST in Greek population. Methods: The
PSST reflects and translates categorical DSM-IV criteria into a rating scale
with degrees of severity. The premenstrual symptoms were examined over the
course of one menstrual cycle. The PSST asked, “Within the last month have
you experienced the following premenstrual symptoms starting during the week
before menses and remitting a few days after the onset of menses?” The
premenstrual symptoms listed on the PSST are: “Depressed mood”, “Anxiety or
tension”, “Tearful”, “Anger or irritability”, “Decreased interest in work,
home or social activities”, “Difficulty concentrating”, “Fatigue or lack of
energy”, “Overeating or food cravings”, “Insomnia or hypersomnia”, “Feeling
overwhelmed” and “Physical symptoms such as tender breasts, feeling of
bloating, headache, joint or muscle pain, weight gain”. The PSST also asked
whether such premenstrual symptoms interfered with “Work efficiency or
productivity, home responsibility”, “Social life activities” or
“Relationships with coworkers or family”. The PSST asked women to rate the
severity of premenstrual symptoms as “not at all”, “mild”, “moderate” or
“severe”. We divided nursery students with premenstrual symptoms into three
groups: “Premenstrual dysphoric disorder”, “Moderate to Severe Premenstrual
Syndrome (PMS)” and “No PMS”, according to the scoring of PSST (Steiner et
al 2003). Results: In the first phase 30 women completed the questionnaire.
10 (33.3%) were single, 17 were married (56.7%), 2 were divorced (6.7%) and
1 (3.3%) was a widow. 26 of them (86.7%) had regular menstrual cycle, while
10 of them (10.3%) had irregular menstrual cycle. 20 women (66.7%) were
non-smokers while 10 women (33.3%) were smokers. 27 women (90%) were not
used to drink alcohol. On the contrary 3 women (10%) were alcohol users.
None of the women used psychoactive substances ever. 29 (96.7%) reported
that the questionnaire was simple and easy to be understood. 7 women (23.3%)
appeared to suffer from premenstrual symptom while 4 (13.3%) seemed to have
PMDD. The first results are in accordance with the results of PSST in other
countries. Conclusion: Since most women who experience changes in affect or
somatic symptoms during the premenstrual period are not severely
functionally impaired, it is important to distinguish these women for those
who are diagnosed with PMDD. Therefore, it is important to have a reliable
questionnaire in order to detect PMDD. PSST is such an instrument and it is
very important to be validated in a Meditteranean country like Greece.
Preliminary results in Greece show that PSST would be useful in Greece.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
European
Greece
Greek (citizen)
human
population
psychopharmacology
screening
EMTREE MEDICAL INDEX TERMS
anxiety
bloating
breast
coworker
diagnosis
divorced person
fatigue
female
food
headache
hypersomnia
insomnia
irritability
married person
menstrual cycle
menstruation
mood
myalgia
nursery
overnutrition
pregnancy
premenstrual dysphoric disorder
premenstrual syndrome
productivity
questionnaire
rating scale
responsibility
smoking
social behavior
social life
student
weight gain
widow
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 22
TITLE
Impact of bacterial coinfection on clinical outcomes in pneumococcal
pneumonia
AUTHOR NAMES
Kumagai S.
Ishida T.
Tachibana H.
Ito Y.
Ito A.
Hashimoto T.
AUTHOR ADDRESSES
(Kumagai S.; Ishida T.; Tachibana H.; Ito Y.; Ito A.; Hashimoto T.)
CORRESPONDENCE ADDRESS
S. Kumagai,
SOURCE
European Respiratory Journal (2015) 46 SUPPL. 59. Date of Publication: 1 Sep
2015
CONFERENCE NAME
European Respiratory Society Annual Congress 2015
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2015-09-26 to 2015-09-30
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Purpose: The aim of this study was to investigate the influence of bacterial
coinfection on patients with pneumococcal pneumonia. Methods: We
retrospectively analyzed the incidence, clinical features, microbial
distributions, and outcomes of patients with bacterial coinfection in a
cohort of 433 hospitalized patients with pneumococcal pneumonia. Results:
Eighty-five patients (19.6%) were diagnosed with bacterial coinfection; the
most frequent pathogens were Haemophilus influenzae (25 patients, 33.3%),
methicillin-sensitive Staphylococcus aureus (15 patients, 20.0%), and
Moraxella catarrhalis (13 patients, 17.3%). The CURB-65 score and pneumonia
severity index (PSI) were significantly higher in patients with bacterial
coinfection (both P < 0.001). In addition, the proportion of patients with
bacterial coinfection who met the IDSA/ATS severe pneumonia criteria was
significantly higher (P < 0.001). Multivariate logistic regression analysis
identified three risk factors for bacterial coinfection in patients with
pneumococcal pneumonia: alcoholism (odds ratio [OR], 5.12; 95% confidence
interval (95% CI), 1.60-16.4; P = 0.006), hospitalization for two days or
more within 90 days preceding admission (OR, 2.02; 95% CI, 1.03-3.98; P =
0.041), and residence in a nursing home or extended care facility (OR, 3.22;
95% CI, 1.48-6.97; P = 0.003). Multivariate analysis for 30-day mortality
showed that bacterial coinfection was a significant adverse prognostic
factor (OR, 2.50; 95% CI, 1.13-5.53; P = 0.023), independent of IDSA/ATS
severe pneumonia, PSI, or healthcare-associated pneumonia. Conclusion:
Bacterial coinfection may have an adverse impact on severity and outcomes of
pneumococcal pneumonia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
European
mixed infection
society
Streptococcus pneumonia
EMTREE MEDICAL INDEX TERMS
alcoholism
clinical feature
confidence interval
Haemophilus influenzae
health care associated pneumonia
hospital patient
hospitalization
human
methicillin susceptible Staphylococcus aureus
Moraxella catarrhalis
mortality
multivariate analysis
multivariate logistic regression analysis
nursing home
pathogenesis
patient
pneumonia
Pneumonia Severity Index
risk
risk factor
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1183/13993003.congress2015.PA1842
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 23
TITLE
An educational intervention to improve nurses reporting of adverse drug
reactions
AUTHOR NAMES
Marquez S.
Herdeiro M.T.
Ribeiro-Vaz I.
AUTHOR ADDRESSES
(Marquez S.; Herdeiro M.T.) University of Aveiro, Aveiro, Portugal.
(Herdeiro M.T.; Ribeiro-Vaz I.) Northern Pharmacovigilance Centre, Porto,
Portugal.
CORRESPONDENCE ADDRESS
S. Marquez, University of Aveiro, Aveiro, Portugal.
SOURCE
Clinical Therapeutics (2015) 37:8 SUPPL. 1 (e57). Date of Publication:
August 2015
CONFERENCE NAME
12th Congress of the European Association for Clinical Pharmacology and
Therapeutics, EACPT 2015
CONFERENCE LOCATION
Madrid, Spain
CONFERENCE DATE
2015-06-27 to 2015-06-30
ISSN
0149-2918
BOOK PUBLISHER
Excerpta Medica Inc.
ABSTRACT
Introduction: Adverse drug reactions (ADR) are an important cause of
mortality and morbidity leading to additional costs with health. Drug safety
data before commercialization is limited and incomplete, which is the reason
why pharmacovigilance is important. ADR reporting system is efficient in
drug safety monitoring. Nurses can have an important role in ADR reporting
due to their daily activities of drugs administration (including vaccines).
However, among these professionals, there a high rate of underreporting.
Based on the reasons proposed by Inman for underreporting ADR, it was
concluded that the main obstacles to ADR reporting among nurses were
indifference (the belief that a single case cannot contribute to medical
knowledge) and the lack of knowledge about the pharmacovigilance system. The
aim of this study is to evaluate the quantitative and qualitative increase
of ADR reports by nurses after an educational intervention. Methods: A
quasiexperimental study was performed in nurses working in primary care in
Braga district, Portugal. One hundred thirteen individuals were placed in
the intervention group while the control group included 590 nurses. Two
educational interventions were performed to nurses working in primary care
in ACES Cavado II (intervention group) that focused on the problem of
adverse drug reaction, the impact on public health and spontaneous
reporting. Statistical analysis were based on absolute and relative
frequencies. Results: Between January 2013 and September 2014 the Northern
Pharmacovigilance Centre received 8 reports/100 nurses from the intervention
group and 5 reports/100 nurses from control group. Conclusions: The
educational intervention increased 1.6 times the number of reports during
the study period. The second intervention had more impact than the first
one. There was no significant increase in the quality of ADR reports in the
intervention group. In the second intervention the number of reports
increased only at the intervention day.
EMTREE DRUG INDEX TERMS
vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse drug reaction
clinical pharmacology
European
human
nurse
therapy
EMTREE MEDICAL INDEX TERMS
control group
drug safety
drug surveillance program
health
monitoring
morbidity
mortality
Portugal
primary medical care
public health
quasi experimental study
statistical analysis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 24
TITLE
Bridging the gap between education and appropriate use of benzodiazepines in
psychiatric clinical practice
AUTHOR NAMES
Dell’Osso B.
Albert U.
Atti A.R.
Carmassi C.
Carrà G.
Cosci F.
Del Vecchio V.
Di Nicola M.
Ferrari S.
Goracci A.
Iasevoli F.
Luciano M.
Martinotti G.
Nanni M.G.
Nivoli A.
Pinna F.
Poloni N.
Pompili M.
Sampogna G.
Tarricone I.
Tosato S.
Volpe U.
Fiorillo A.
AUTHOR ADDRESSES
(Dell’Osso B.) Department of Psychiatry University of Milan, Fondazione
IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy.
(Dell’Osso B.) Bipolar Disorders Clinic, Stanford Medical School, Stanford
University, United States.
(Albert U.) Rita Levi Montalcini Department of Neuroscience, University of
Turin, Torino, Italy.
(Atti A.R.) Department of Biomedical and NeuroMotor Sciences, University of
Bologna, Bologna, Italy.
(Carmassi C.) Department of Clinical, Experimental Medicine, University of
Pisa, Pisa, Italy.
(Carrà G.) Division of Psychiatry, Faculty of Brain Sciences, University
College London, London, United Kingdom.
(Cosci F.) Department of Health Sciences, University of Florence, Florence,
Italy.
(Del Vecchio V.; Luciano M.; Sampogna G.; Volpe U.; Fiorillo A.,
anfioril@tin.it) Department of Psychiatry, University of Naples SUN, Naples,
Italy.
(Di Nicola M.) Institute of Psychiatry Psychology, Catholic University of
Sacred Heart, Rome, Italy.
(Ferrari S.) Department of Diagnostic-Clinical Medicine and Public Health,
University of Modena and Reggio Emilia, Modena, Italy.
(Goracci A.) Department of Molecular Medicine and Clinical, Department of
Mental Health, University of Siena, Siena, Italy.
(Iasevoli F.) Department of Neuroscience, Reproductive Sciences,
Odontostomatology University Federico II of Naples, Naples, Italy.
(Martinotti G.) Department of Neuroscience, Imaging, and Clinical Science,
University G.d Annunzio, Chieti-Pescara, Italy.
(Nanni M.G.) Section of Psychiatry, Department of Biomedical, Specialty
Surgical Sciences University of Ferrara, Ferrara, Italy.
(Nivoli A.) Psychiatric Institute Department of Clinical, Experimental
Medicine, University of Sassari, Sassari, Italy.
(Nivoli A.) Bipolar Disorder Unit CIBERSAM, IDIBAPS Hospital Clinic,
University of Barcelona, Barcelona, Spain.
(Pinna F.) Department of Public Health Clinical and Molecular Medicine, Unit
of Psychiatry, University of Cagliari, Cagliari, Italy.
(Poloni N.) Department of Clinical and Experimental Medicine, Psychiatric
Division, University of Insubria, Varese, Italy.
(Pompili M.) Department of Neurosciences and Mental Health and Sensory
Organs Suicide Prevention Center, Sant’ Andrea Hospital, Sapienza University
of Rome, Rome, Italy.
(Tarricone I.) Department of Medical and Surgical Sciences, Bologna
University, Bologna, Italy.
(Tosato S.) Section of Psychiatry, Department of Public Health, Community
Medicine University of Verona, Verona, Italy.
CORRESPONDENCE ADDRESS
A. Fiorillo, Department of Psychiatry, University of Naples SUN, Largo
Madonna delle Grazie, Naples, Italy.
SOURCE
Neuropsychiatric Disease and Treatment (2015) 11 (1885-1909). Date of
Publication: 30 Jul 2015
ISSN
1178-2021 (electronic)
1176-6328
BOOK PUBLISHER
Dove Medical Press Ltd., PO Box 300-008, Albany, Auckland, New Zealand.
ABSTRACT
More than half a century after their discovery, benzodiazepines (BDZs) still
represent one of the largest and most widely prescribed groups of
psychotropic compounds, not only in clinical psychiatry but also in the
entire medical field. Over the last two decades, however, there has been an
increased focus on the development of antidepressants and antipsychotics on
the part of the pharmaceutical industry, clinicians, and researchers, with a
reduced interest in BDZs, in spite of their widespread clinical use. As a
consequence, many psychiatric residents, medical students, nurses, and other
mental health professionals might receive poor academic teaching and
training regarding these agents, and have the false impression that BDZs
represent an outdated chapter in clinical psychopharmacology. However,
recent advances in the field, including findings concerning epidemiology,
addiction risk, and drug interactions, as well as the introduction of the
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition with
related diagnostic changes, strongly encourage an updated appraisal of the
use of BDZs in clinical practice. During a recent thematic event convened
with the aim of approaching this topic in a critical manner, a group of
young Italian psychiatrists attempted to highlight possible flaws in current
teaching pathways, identify the main clinical pros and cons regarding
current use of BDZs in clinical practice, and provide an updated overview of
their use across specific clinical areas and patient populations. The main
results are presented and discussed in this review.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative (clinical trial, drug therapy, pharmacokinetics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
medical education
psychiatry
psychopharmacology
EMTREE MEDICAL INDEX TERMS
akathisia (drug therapy)
anxiety disorder (drug therapy)
bipolar disorder (drug therapy)
borderline state (drug therapy)
clinical effectiveness
consultation
data analysis
depression (drug therapy)
drug efficacy
drug half life
drug potency
drug response
drug use
dystonia (drug therapy)
eating disorder (drug therapy)
elderly care
health education
human
impulse control disorder (drug therapy)
major depression (drug therapy)
medical information
medical research
medical student
migrant
neuroleptic malignant syndrome (drug therapy)
obsessive compulsive disorder (drug therapy)
patient assessment
posttraumatic stress disorder (drug therapy)
professional competence
professional knowledge
psychosis (drug therapy)
psychosomatic disorder (drug therapy)
review
risk assessment
risk benefit analysis
risk factor
sleep disorder (drug therapy)
social phobia (drug therapy)
student attitude
substance abuse
suicide (drug therapy)
tardive dyskinesia (drug therapy)
treatment resistant depression (drug therapy)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015289212
FULL TEXT LINK
http://dx.doi.org/10.2147/NDT.S83130
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 25
TITLE
'Get Trained'
AUTHOR NAMES
Kowal D.L.
AUTHOR ADDRESSES
(Kowal D.L.) Diane L. Kowal, MA, BS, RN, CSNT, NCSN Coventry, RI
SOURCE
The American journal of nursing (2015) 115:7 (13). Date of Publication: 1
Jul 2015
ISSN
1538-7488 (electronic)
EMTREE DRUG INDEX TERMS
adrenalin (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
EMTREE MEDICAL INDEX TERMS
anaphylaxis (drug therapy)
devices
drug misuse (prevention)
human
inhalational drug administration
injection
nursing
school health nursing
standards
CAS REGISTRY NUMBERS
adrenalin (51-43-4, 55-31-2, 6912-68-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
26110936 (http://www.ncbi.nlm.nih.gov/pubmed/26110936)
FULL TEXT LINK
http://dx.doi.org/10.1097/01.NAJ.0000467257.55136.7b
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 26
TITLE
Cancer and pain management: Debunking myths in latino patients and
caregivers
AUTHOR NAMES
Mayorga L.
Juarez G.
AUTHOR ADDRESSES
(Mayorga L.; Juarez G.) City Of Hope National Medical Center, United States.
CORRESPONDENCE ADDRESS
L. Mayorga, City Of Hope National Medical Center, United States.
SOURCE
Psycho-Oncology (2015) 24 SUPPL. 2 (192-193). Date of Publication: July 2015
CONFERENCE NAME
2015 World Congress of Psycho-Oncology
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2015-07-28 to 2015-08-01
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND/PURPOSE: Pain is a sensitive topic among Latinos, due to fear of
disease progression, treatment delays or fear of pain medication addiction.
To date, limited Spanish educational materials/programs on pain management
are available. In the USA, pain is the most common reason individuals
consult with a physician, yet for many-especially the Hispanic
community-pain is a very sensitive topic especially among cancer patients.
However, through culturally relevant education on how best to manage pain,
patients can empower themselves to have an active voice in their healthcare
and learn how their cancer journey can be pain free. The purpose of this
educational intervention was to educate Spanish speaking patients, families
and caregivers on pain management and debunking their myths about cancer
pain. METHODS: Based on results of performance improvement activity amongst
new Latino cancer patients, an educational intervention was provided to
Spanish speaking cancer patients, caregivers and their families over a
2-year period. Pretests and posttests were collected as well as 1-month
follow-up calls and focus groups. A total of 10 Spanish pain classes were
conducted by Advance Practice Nurse and Health Educator. Five interactive
components were embedded to ensure patients understanding and learning. The
educational intervention and resources were provided in Spanish. Education
was provided on: types of cancer pain, pain scales, pain diaries, medication
safety, including CAM and non-therapeutic options for pain management.
Including education on pain management, pain types, and dispelling
myths/perceptions of cancer pain and taking an active role in their care by
communicating their pain. Patients/Families received a 2 h educational
class, culturally relevant tools and resources. RESULTS: A total of 64
patients and caregivers attended the educational program in Spanish. Of
these 36 were caregivers. The educational intervention further identified a
distorted perception of pain when undergoing cancer treatment: (1) pain was
not manageable (2) part of the treatment process (3) a way that the body is
getting rid of cancer. Others refused medication for fear of addiction. When
asked how they dealt with pain, the majority mentioned that they preferred
to receive support or comfort in their families or talk with other cancer
patients in similar situations. Some patients shared that they did not
communicate their pain issues to their healthcare team, for fear of
treatment delay. In addition 75% were currently experiencing cancer pain, of
those 90% had yet to discuss this with their medical team and 50% did not
know that cancer pain could be managed. Patients stated that the class
provided them with tools and resources to take more of an active role in
their care and managing their pain. CONCLUSIONS: After attending class
patients are able to take more of an active role in their care. Attendees
are able to communicate their pain to their healthcare team by using
descriptive words and/ or using the pain scale to rate their pain or
describe it. Patients have incorporated non-drug intervention strategies to
help them cope with pain (music, meditation, attending educational classes).
Patients reported improvements in communication with their healthcare team,
managed pain and ability to better enjoy day-to-day activities. Caregivers
reported a better sense of taking control of their care as well and
empowered to be better advocates of their own health. Research Implications:
Findings from this study can guide future research interventions and
education to improve cancer pain perceptions amongst Latinos and patient
engagement in the healthcare process. It can also guide the development of
future educational programs for patients and families and to explore
innovative ways to deliver pain educational program sand interventions.
Practice Implications: Understanding gained from this study provides an
opportunity to enhance health communication and health education strategies
more effectively to benefit patients and families.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
caregiver
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
cancer patient
cancer therapy
comfort
community
disease course
drug therapy
education
fear
follow up
health
health care
health education
health educator
information processing
interpersonal communication
learning
medical information
meditation
music
nociception
nurse
pain
pain assessment
physician
safety
sand
speech
therapy delay
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/pon.3874
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 27
TITLE
Cancer and pain management: Debunking myths in latino patients and
caregivers
AUTHOR NAMES
Mayorga L.
AUTHOR ADDRESSES
(Mayorga L.) City of Hope National Medical Center, United States.
CORRESPONDENCE ADDRESS
L. Mayorga, City of Hope National Medical Center, United States.
SOURCE
Psycho-Oncology (2015) 24 SUPPL. 2 (194-195). Date of Publication: July 2015
CONFERENCE NAME
2015 World Congress of Psycho-Oncology
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2015-07-28 to 2015-08-01
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND/PURPOSE: Pain is a sensitive topic among Latinos, due to fear of
disease progression, treatment delays or fear of pain medication addiction.
To date, limited Spanish educational materials/programs on pain management
are available. In the USA, pain is the most common reason individuals
consult with a physician, yet for many-especially the Hispanic
community-pain is a very sensitive topic especially among cancer patients.
However, through culturally relevant education on how best to manage pain,
patients can empower themselves to have an active voice in their healthcare
and learn how their cancer journey can be pain free. The purpose of this
educational intervention was to educate Spanish speaking patients, families
and caregivers on pain management and debunking their myths about cancer
pain. METHODS: Based on results of performance improvement activity amongst
new Latino cancer patients, an educational intervention was provided to
Spanish speaking cancer patients, caregivers and their families over a
2-year period. Pretests and posttests were collected as well as 1-month
follow-up calls and focus groups. A total of 10 Spanish pain classes were
conducted by Advance Practice Nurse and Health Educator. Five interactive
components were embedded to ensure patients understanding and learning. The
educational intervention and resources were provided in Spanish. Education
was provided on: types of cancer pain, pain scales, pain diaries, medication
safety, including CAM and non-therapeutic options for pain management.
Including education on dispelling myths/perceptions of cancer pain and
taking an active role in their care by communicating their pain.
Patients/Families received a 2 h educational class and were provided
culturally relevant tools and resources. RESULTS: A total of 64 patients and
caregivers attended the educational program in Spanish. Of these, 36 were
caregivers. The educational intervention further identified a distorted
perception of pain when undergoing cancer treatment: (1) pain was not
manageable (2) part of the treatment process (3) a way that the body is
getting rid of cancer. Others refused medication for fear of addiction. When
asked how they dealt with pain, the majority mentioned that they preferred
to receive support or comfort in their families or talk with other cancer
patients in similar situations. Some patients shared that they did not
communicate their pain issues to their healthcare team, for fear of
treatment delay. In addition 75% were currently experiencing cancer pain, of
those 90% had yet to discuss this with their medical team and 50% did not
know that cancer pain could be managed. Patients stated that the class
provided them with tools and resources to take more of an active role in
their care and managing their pain. CONCLUSIONS: After attending class
patients are able to take more of an active role in their care. Attendees
are able to communicate their pain to their healthcare team by using
descriptive words and/or using the pain scale to rate their pain or describe
it. Patients have incorporated non-drug intervention strategies to help them
cope with pain (music, meditation, attending educational classes). Patients
reported improvements in communication with their healthcare team, managed
pain and ability to better enjoy day-to-day activities. Caregivers reported
a better sense of taking control of their care as well and empowered to be
better advocates of their own health. Research Implications: Findings from
this study can guide future research interventions and education to improve
cancer pain perceptions amongst Latinos and patient engagement in the
healthcare process. It can also guide the development of future educational
programs for patients and families and to explore innovative ways to deliver
pain educational programs and interventions. Practice Implications:
Understanding gained from this study provides an opportunity to enhance
health communication and health education strategies more effectively to
benefit patients and families.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
caregiver
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
cancer patient
cancer therapy
comfort
community
disease course
drug therapy
education
fear
follow up
health
health care
health education
health educator
information processing
interpersonal communication
learning
medical information
meditation
music
nociception
nurse
pain
pain assessment
physician
safety
speech
therapy delay
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/pon.3874
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 28
TITLE
Nurses: Barriers in using this powerful force in smoking cessation in the
Czech Republic
AUTHOR NAMES
Nohavova I.
Mala K.
Felbrova V.
Kulovana S.
Kralikova E.
Pankova A.
AUTHOR ADDRESSES
(Nohavova I.; Mala K.; Felbrova V.; Kulovana S.; Kralikova E.; Pankova A.)
Society for Treatment of Tobacco Dependence, Prague, Czech Republic.
(Mala K.) Department of Cardiology, Military University Hospital Prague,
Prague 6, Czech Republic.
(Felbrova V.; Kulovana S.; Kralikova E.; Pankova A.) Centre for
Tobacco-Dependent, 3rd Medical Department, General University Hospital,
Prague 2, Czech Republic.
CORRESPONDENCE ADDRESS
I. Nohavova, Society for Treatment of Tobacco Dependence, Prague, Czech
Republic.
SOURCE
Cancer Nursing (2015) 38:4 SUPPL. 1 (S7-S8). Date of Publication:
July-August 2015
CONFERENCE NAME
International Conference on Cancer Nursing, ICCN 2015
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2015-07-08 to 2015-07-11
ISSN
0162-220X
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
The Czech Republic, a central European country, has 10 million inhabitants,
2,200,000 smokers (30 % of the population 15 years and older), 40,000
physicians and approximately 100,000 nurses. Methods: Report the activities
of the Czech Society for Treatment of Tobacco Dependence (STTD) Nurses'
section to increase nurses involvement in tobacco control. Results: Since
2007, regular one-day workshops are organized for nurses about basics in
tobacco control and smoking cessation methods, mainly the brief intervention
(5 A' s) and the role of nurses in its application. Also, since 2012, more
such activities are conducted through the collaborative project with the
ISNCC, including expanding the Czech model of building capacity to other
countries in the region and implementing online learning. Nurses have
developed, and recently revised, a smoking cessation guideline specific to
nurses. During the past 9 years, more than 500 nurses have passed this
educational program. One of the barriers for additional nursing involvement
is their own smoking: still about 40%of nurses smoke, compared to 23%of
women in the general population and 16% of physicians. Efforts are needed to
support quitting among nurses. Expanded training and motivation will also
assist in engaging more nurses. Conclusion: If each nurse in the country
would help just one smoker quit every year, it would be a substantial
reduction in the number of Czech smokers. Any possibility to increase
nurses' motivation to stop smoking and take better care of their smoking
patients is hugely valuable and the various activities the STTD offers,
several in partnership with ISNCC, address this gap.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Czech Republic
human
nurse
oncology nursing
smoking cessation
EMTREE MEDICAL INDEX TERMS
Central European
Czech (citizen)
female
learning
model
motivation
nursing
patient
physician
population
smoke
smoking
society
tobacco
tobacco dependence
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/NCC.0000000000000287
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 29
TITLE
Performance-Enhancing Drugs and the High School Athlete
AUTHOR NAMES
Franckowiak B.
AUTHOR ADDRESSES
(Franckowiak B.) Family Nurse Practitioner, Ellicott City, MD
SOURCE
NASN school nurse (Print) (2015) 30:4 (214-216). Date of Publication: 1 Jul
2015
ISSN
1942-602X
ABSTRACT
A performance-enhancing drug (PED) is any substance that is used to increase
muscle mass, dull pain, reduce weight, or ease stress. The use of PEDs is a
growing concern among adolescents, due in part to the pressures to perform,
the influence of professional role models, and a general lack of education
about the dangers of these substances. Use of performance enhancers has been
identified in middle school as well as high school age students. This
article details the school nurse's role in identifying youth who are using a
PED, providing education for students and families, and referring for
treatment if needed. Although PED use is not as prevalent as use of other
illicit drugs, PEDs still pose a threat to adolescent physical and mental
health. Discussion about PED use can open the door to discussion about use
of other substances.
EMTREE DRUG INDEX TERMS
anabolic agent (drug administration, adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
athletic performance
nurse attitude
organization and management
prevention and control
EMTREE MEDICAL INDEX TERMS
adolescent
doping
health promotion
human
school
school health nursing
school health service
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26118434 (http://www.ncbi.nlm.nih.gov/pubmed/26118434)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X14562962
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 30
TITLE
Impact of bacterial coinfection on clinical outcomes in pneumococcal
pneumonia
AUTHOR NAMES
Kumagai S.
Ishida T.
Tachibana H.
Ito Y.
Ito A.
Hashimoto T.
AUTHOR ADDRESSES
(Kumagai S., skumagai1212@gmail.com; Ishida T.; Tachibana H.; Ito Y.; Ito
A.; Hashimoto T.) Department of Respiratory Medicine, Kurashiki Central
Hospital, 1-1-1 Miwa, Kurashiki, Japan.
CORRESPONDENCE ADDRESS
S. Kumagai, Department of Respiratory Medicine, Kurashiki Central Hospital,
1-1-1 Miwa, Kurashiki, Japan.
SOURCE
European Journal of Clinical Microbiology and Infectious Diseases (2015)
34:9 (1839-1847). Date of Publication: 10 Jun 2015
ISSN
1435-4373 (electronic)
0934-9723
BOOK PUBLISHER
Springer Verlag, service@springer.de
ABSTRACT
The aim of this study was to investigate the influence of bacterial
coinfection on patients with pneumococcal pneumonia. We retrospectively
analyzed the incidence, clinical features, microbial distributions, and
outcomes of patients with bacterial coinfection in a cohort of 433
hospitalized patients with pneumococcal pneumonia. Eighty-five patients
(19.6 %) were diagnosed with bacterial coinfection; the most frequent
pathogens were Haemophilus influenzae (25 patients, 33.3 %),
methicillin-susceptible Staphylococcus aureus (MSSA) (15 patients, 20.0 %),
and Moraxella catarrhalis (13 patients, 17.3 %). The CURB-65 score and
pneumonia severity index (PSI) were significantly higher in patients with
bacterial coinfection (both P < 0.001). In addition, the proportion of
patients with bacterial coinfection who met the Infectious Disease Society
of America (IDSA)/American Thoracic Society (ATS) severe pneumonia criteria
was significantly higher (P < 0.001). Multivariate logistic regression
analysis identified three risk factors for bacterial coinfection in patients
with pneumococcal pneumonia: alcoholism (odds ratio [OR], 5.12; 95 %
confidence interval (95 % CI), 1.60–16.4; P = 0.006), hospitalization for
2 days or more within 90 days preceding admission (OR, 2.02; 95 % CI,
1.03–3.98; P = 0.041), and residence in a nursing home or extended care
facility (OR, 3.22; 95 % CI, 1.48–6.97; P = 0.003). Multivariate analysis
for 30-day mortality showed that bacterial coinfection was a significant
adverse prognostic factor (OR, 2.50; 95 % CI, 1.13–5.53; P = 0.023),
independent of IDSA/ATS severe pneumonia, PSI, or healthcare-associated
pneumonia. In conclusion, bacterial coinfection may have an adverse impact
on severity and outcomes of pneumococcal pneumonia.
EMTREE DRUG INDEX TERMS
aztreonam
beta lactam
biapenem
cefepime
cefoperazone plus sulbactam
cefozopran
ceftazidime
ciprofloxacin
doripenem
macrolide
pazufloxacin
piperacillin
piperacillin plus tazobactam
potassium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bacterial infection
mixed infection
Streptococcus pneumonia
EMTREE MEDICAL INDEX TERMS
aged
alcoholism
antibiotic therapy
antimicrobial therapy
article
artificial ventilation
body temperature
clinical feature
confusion
disease severity
female
Haemophilus influenzae
health care associated pneumonia
hospital patient
human
incidence
length of stay
major clinical study
male
methicillin susceptible Staphylococcus aureus
monotherapy
Moraxella catarrhalis
mortality
neurologic disease
nursing home
outcome assessment
Pneumonia Severity Index
priority journal
retrospective study
risk factor
urea nitrogen blood level
CAS REGISTRY NUMBERS
aztreonam (78110-38-0)
biapenem (120410-24-4)
cefepime (88040-23-7)
cefoperazone plus sulbactam (92739-15-6)
cefozopran (113359-04-9)
ceftazidime (72558-82-8)
ciprofloxacin (85721-33-1)
doripenem (148016-81-3)
pazufloxacin (127045-41-4)
piperacillin (59703-84-3, 61477-96-1)
potassium (7440-09-7)
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Drug Literature Index (37)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015121253
FULL TEXT LINK
http://dx.doi.org/10.1007/s10096-015-2421-y
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 31
TITLE
A prospective cohort study of influences on internalizing and externalizing
behaviors across childhood
AUTHOR NAMES
Enoch M.-A.
Kitzman H.
Smith J.A.
Anson E.
Hodgkinson C.A.
Goldman D.
Olds D.
AUTHOR ADDRESSES
(Enoch M.-A.; Kitzman H.; Smith J.A.; Anson E.; Hodgkinson C.A.; Goldman D.;
Olds D.) Laboratory of Neurogenetics, NIAAA, NIH, Bethesda, United States.
(Enoch M.-A.; Kitzman H.; Smith J.A.; Anson E.; Hodgkinson C.A.; Goldman D.;
Olds D.) University of Rochester, School of Nursing, Rochester, United
States.
(Enoch M.-A.; Kitzman H.; Smith J.A.; Anson E.; Hodgkinson C.A.; Goldman D.;
Olds D.) University of Colorado, Department of Pediatrics, Aurora, United
States.
CORRESPONDENCE ADDRESS
M.-A. Enoch, Laboratory of Neurogenetics, NIAAA, NIH, Bethesda, United
States.
SOURCE
Alcoholism: Clinical and Experimental Research (2015) 39 SUPPL. 1 (132A).
Date of Publication: June 2015
CONFERENCE NAME
38th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
This study investigated influences on internalizing and externalizing
behaviors in a cohort of 600 firstborn (FB) children followed from pregnancy
to 18 years. Data were derived from a prospective study of the effects of
prenatal and infancy nurse home educational visiting (NHV) on health
outcomes in low income, predominantly African Americans, in Memphis, TN.
Mothers were assessed in pregnancy for mental health (MH), self-efficacy and
mastery and reported on smoking, alcohol and drug use in pregnancy and at
child ages 6 and 12. The Achenbach Child Behavior Checklist was completed at
2, 6, 12 and 18 yrs and by youths at ages 12 and 18. Composite internalizing
disorders (ID) scores and externalizing disorders (ED) scores were the
outcomemeasures and were clinically significant in 10-15% of children.
DSM-IV alcohol and drug use disorder (AUD, DUD) diagnoses were obtained from
youth at age 18. The functional SNPs FKBP5 rs1360780 and DRD2/ANKK1
rs1800497 and 186 AIMs were genotyped. Maternal alcohol/drug use was minimal
throughout but smoking increased from 12% in pregnancy to 30% at age 12.
Predictors for both ID and ED at age 2 included sex,maternal MH, mastery and
NHV; behavior was better only in children whose mothers had high
self-efficacy and had received NHV. This effect persisted until age 6 for ID
only. The strongest predictors of ID and ED were behavioral scores at
younger ages. Maternal MH in pregnancy continued to influence ID and ED up
to 12 yrs after which maternal mastery re-emerged in importance. Maternal
smoking predicted ID and ED from 6 to 18 yrs. FKBP5 rs1360780 influenced ID
up to 6 years whereas DRD2/ANKK1 rs1800497 influenced ED from 6 to 18 years.
At age 18, 13% of FB had a diagnosis of AUD/DUD. Predictors for 'any
addiction' included sex, FB pastmonth cigs/day and youth-report ED at age
18. A total of 13% of FB smoked at age 18; predictors included maternal
smoking in pregnancy and age 6, FB 'any addiction' and youth-report ED at
age 18. Our study suggests that there are long lasting effects of maternal
MH, resilience and smoking on childhood behavior. NHV had a positive effect
on early behavior. Our findings have implications for prevention of
pathological behaviors in adulthood.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
childhood
cohort analysis
human
society
EMTREE MEDICAL INDEX TERMS
addiction
adulthood
African American
child
Child Behavior Checklist
diagnosis
diseases
drug use
female
health
infancy
juvenile
lowest income group
maternal smoking
mental health
mother
nurse
pregnancy
prevention
prospective study
self concept
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.12741
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 32
TITLE
Nurses' health behaviours and physical activity-related health-promotion
practices
AUTHOR NAMES
Bakhshi S.
Sun F.
Murrells T.
While A.
AUTHOR ADDRESSES
(Bakhshi S.; Sun F.; Murrells T.; While A.) Savita Bakhshi, Visiting
Research Associate, Florence Nightingale Faculty of Nursing and Midwifery,
King's College London
SOURCE
British journal of community nursing (2015) 20:6 (289-296). Date of
Publication: 1 Jun 2015
ISSN
1462-4753
ABSTRACT
Many registered nurses (RNs) are not achieving the recommended daily levels
of physical activity. This study collected data from 623 RNs about their
personal health behaviours and their professional, physical activity-related
health-promotion practices. The findings showed that 75% of the sample
reported engaging in personal physical activity, 25% were at risk of
hazardous drinking or active alcohol use disorders, 17% were past smokers
and 11% were current smokers, 47% reported having a normal body weight-size,
and 73% desired to be a normal body weight-size. Nearly half of the sample
reported that they were promoting physical activity within their clinical
practice. Personal physical activity behaviour, perceived health status,
length of clinical practice, clinical specialty, and actual body weight-size
were significantly related to the RNs' professional, physical
activity-related practices. This study highlights a need for training on
physical activity-related counselling, including awareness of the latest
recommendations and strategies to promote physical activity. Health-care
employers should also consider addressing nurses' barriers to the promotion
of physical activity within their clinical practice so that all health-care
contacts are able to maximise opportunities to promote active ageing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
motor activity
nurse
EMTREE MEDICAL INDEX TERMS
adult
cross-sectional study
female
health behavior
human
male
middle aged
questionnaire
risk factor
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26043015 (http://www.ncbi.nlm.nih.gov/pubmed/26043015)
FULL TEXT LINK
http://dx.doi.org/10.12968/bjcn.2015.20.6.289
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 33
TITLE
Designing a educational intervention to nurse management of cardiovascular
risk factors in patients with spondyloarthritis
AUTHOR NAMES
Rey Villar R.
Alonso Blanco-Morales E.
Bravo-Ferrer Acosta J.M.
Gismero Salmador E.
Soilan Lopez A.
Martinez Fernandez N.
Pinto Tasende J.A.
Blanco García F.J.
AUTHOR ADDRESSES
(Rey Villar R.; Alonso Blanco-Morales E.; Bravo-Ferrer Acosta J.M.; Gismero
Salmador E.; Soilan Lopez A.; Martinez Fernandez N.; Pinto Tasende J.A.;
Blanco García F.J.) Rheumatology, University Hospital A Coruña, A Coruña,
Spain.
CORRESPONDENCE ADDRESS
R. Rey Villar, Rheumatology, University Hospital A Coruña, A Coruña, Spain.
SOURCE
Annals of the Rheumatic Diseases (2015) 74 SUPPL. 2 (1340-1341). Date of
Publication: June 2015
CONFERENCE NAME
Annual European Congress of Rheumatology of the European League Against
Rheumatism, EULAR 2015
CONFERENCE LOCATION
Rome, Italy
CONFERENCE DATE
2015-06-10 to 2015-06-13
ISSN
0003-4967
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Background: The cardiovascular risk of individuals with spondyloarthritis
(SpA) is increased (1) compared to the general population of the same age
and sex. Early identification of cardiovascular risk factors and ongoing
monitoring of these factors are mandatory to reduce the excess
cardiovascular risk. Objectives: Considering the scientific evidence about
the effectiveness of an educational nursing intervention in these patients
(2), we pursue the aim of designing a protocol for nursing management of
cardiovascular risk in patients with SpA (particularly ankylosing
spondylitis and psoriatic arthritis). Methods: Prospective study of a
consecutive sample of patients, who are part or the follow up SpA
Rheumatology cohort of a tertiary level hospital, once signed informed
consent. In medical visit, an assessment of disease activity with validated
questionnaires and treatment monitoring is performed. Furthermore, carotid
ultrasound for detection of subclinical atherosclerosis is performed.
Results: The individual educational intervention begins with a closed
directed interview. Subsequently, vital signs, the ABI (Ankle-brachial
Index) is performed for all patients who meet the screening criteria,
according to the American Heart Association, cardiovascular risk according
to the SCORE charts validated for Spain, Classic Framingham and REGICOR are
measured. The three pillars on which the Nursing Intervention is carried out
are: smoking, exercise and eating habits (3). - Smoking habits: Fagerstrom
Test for the measurement of the level of nicotine dependence. Tobacco
education, motivation to quit and referral to pulmonology Smoking Cessation,
when the subject is willing to quit. - Correlation of physical activity
level with BMI (Body Mass Index) and lipid profile to establish a pattern of
individualized physical activity depending on local resources. - Eating
Habits: Individual eating advice, encouragement of Mediterranean diet and
check on levels of salt and saturated fats. After the consultation, we set
realistic achievable goals and assessing their fulfilment by telephone
follow-up visits every 6 months and a face to face interview every two
years, where repeat measurements to establish a comparison. Conclusions:
Thanks to our study, we will obtain scientific evidence on the effectiveness
of the educational intervention on health and on the influence over the
correction of modifiable cardiovascular risk factors. We hope to highlight
the key role of nursing in the management of these patients and that these
findings are indicative of the development of evidence-based practice in
nurse led care. Also, the results, and their effectiveness will duly
reported.
EMTREE DRUG INDEX TERMS
lipid
saturated fatty acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular risk
European
human
nurse
patient
rheumatic disease
rheumatology
spondylarthritis
EMTREE MEDICAL INDEX TERMS
ankle brachial index
ankylosing spondylitis
atherosclerosis
body mass
carotid artery
consultation
disease activity
eating
eating habit
education
evidence based practice
exercise
follow up
health
hope
hospital
informed consent
interview
medical society
Mediterranean diet
monitoring
motivation
nursing
nursing intervention
nursing management
physical activity
population
prospective study
psoriatic arthritis
pulmonology
questionnaire
screening
smoking
smoking cessation
smoking habit
Spain
telephone
tobacco
tobacco dependence
ultrasound
vital sign
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/annrheumdis-2015-eular.3337
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 34
TITLE
Baseline measures of importance, confidence, and current practice in an
SBIRT training program: The role of experience for advanced practice RNS
AUTHOR NAMES
Savage C.
Johnson J.A.
Finnell D.
Seale J.P.
AUTHOR ADDRESSES
(Savage C.; Johnson J.A.; Finnell D.; Seale J.P.) Johns Hopkins University,
Baltimore, MD 21202, USA, Georgia Regents University, Augusta, GA 30912, USA
and Mercer University, Macon, GA 31206, USA
CORRESPONDENCE ADDRESS
C. Savage,
SOURCE
Alcoholism: Clinical and Experimental Research (2015) 39 SUPPL. 1 (191A).
Date of Publication: June 2015
CONFERENCE NAME
38th Annual Scientific Meeting of the Research Society on Alcoholism
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2015-06-20 to 2015-06-24
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: Screening, brief intervention and referral to treatment (SBIRT) is
a set of clinical strategies recommended for use to identify and provide
appropriate services to those at risk for alcohol and/or drug related
consequences. The use of SBIRT by advanced practice nurses requires
inclusion of SBIRT and related content in nursing curricula. While
implementing SBIRT curricula in Advanced Practice Registered Nurse (APRN)
programs, we conducted surveys with students prior to SBIRT training to
identify baseline levels of importance, confidence, and current practice
related to SBIRT. Methods: The cross-sectional survey was completed with 365
students in 7 APRN programs. Depending upon the mode of instruction for the
APRN program (online or classroom) surveys were administered through an
online data collection tool or on paper. Importance and confidence measures
and current practice measures were asked separately for alcohol and drugs.
Data were analyzed using SPSS statistical software. Results: Students were
predominantly white (75%) and female (91%) with a mean age of 33 years and a
mean of 7 years of experience as a registered nurse. Mean age and experience
varied widely by site depending on the mode of instruction. Programs that
were predominantly online had significantly older, more experienced
students. To determine the potential impact of experience on baseline SBIRT
measures, years of experience was categorized into quartiles (less than
years, 3 to 5 years, 6 to 8 years,more than 8 years). One-way Analysis of
Variance was used to identify differences across experience groups. There
were no group differences on any of the alcohol or drug importance measures.
There were, however, a number of group differences on many of the
confidence, and current practice measures for alcohol with mean scores
increasing with years of experience. These differences were even more
pronounced among measures assessing confidence in addressing drug use
issues. Conclusion: Prior to SBIRT training, nurses' years of experience in
the field has a significant impact on their level of confidence in
identifying and addressing patients' alcohol and drug use issues as well as
self-reported practice behaviors. Forthcoming post-training surveys as well
as post-graduation surveys will be able to determine if these differences
persist and if they translate into differences in the practice of SBIRT once
APRN students complete their degrees and enter clinical practice.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
society
training
EMTREE MEDICAL INDEX TERMS
advanced practice nurse
analysis of variance
clinical practice
computer program
curriculum
data analysis software
drug use
female
human
information processing
nurse
nursing
patient
registered nurse
risk
screening
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/acer.12741
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 35
TITLE
Prevention of child neurological disorders in Uganda
AUTHOR NAMES
Nakibirango J.
AUTHOR ADDRESSES
(Nakibirango J.) Rise and Shine Dyslexic Organization (RASDO), Kampala,
Uganda.
CORRESPONDENCE ADDRESS
J. Nakibirango, Rise and Shine Dyslexic Organization (RASDO), Kampala,
Uganda.
SOURCE
European Journal of Neurology (2015) 22 SUPPL. 1 (488). Date of Publication:
June 2015
CONFERENCE NAME
1st Congress of the European Academy of Neurology
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2015-06-20 to 2015-06-23
ISSN
1351-5101
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background and aims: The most challenging issue in Uganda is data collection
and neurological disorders have become inevitable phenomenon in the country
to all categories of children from affluent or non-affluent families yet the
public has little knowledge about the causes and handling of children with
neurological disorders. Rise and Shine Dyslexic Organisation (RASDO) was
started in Munyonyo to cater for Dyslexic children and experience shows that
Neurological disorders are increasingly prevalent in Uganda; the factors
that are producing this increased burden include malnutrition, perinatal
conditions, diseases, accidents and complications before and after birth.
Methods: RASDO offers psychosocial support to both parents and teachers for
proper management of children with neurological disorders. Our staff
addresses issues through checklists, interviews and observation; findings
show that malnutrition, adverse perinatal conditions, malaria, meningitis,
demographic transitions, increased vehicular traffic, persistent regional
conflicts, trauma, and alcohol abuse lead to neurological disorders such as
cerebral palsy, dyslexia, mental retardation, epilepsy, peripheral
neuropathy, and other developmental disorders. Results: Special educationist
and a part time nurse give attention to dyslexic children to address their
issues. As there is a big increase in numbers who need help of our services,
RASDO needs good working relationship and networking with Neurological
organizations worldwide for excellent services. Conclusion: Child neurology
being a crucial issue in the development of the nervous system, RASDO needs
to collaborate with International organizations on the prevention of
increasing number of child neurological disorders. Lastly, training for many
numerological specialists in Uganda is still lacking and should be
addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
European
human
neurologic disease
neurology
prevention
Uganda
EMTREE MEDICAL INDEX TERMS
accident
alcohol abuse
cerebral palsy
checklist
developmental disorder
diseases
dyslexia
epilepsy
information processing
injury
interview
malaria
malnutrition
medical specialist
meningitis
mental deficiency
nervous system
nurse
organization
parent
peripheral neuropathy
psychosocial care
teacher
traffic
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/ene.12808
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 36
TITLE
Managing pain medications in long-term care: nurses' views
AUTHOR NAMES
Kaasalainen S.
Agarwal G.
Dolovich L.
Brazil K.
Papaioannou A.
AUTHOR ADDRESSES
(Kaasalainen S.; Agarwal G.; Dolovich L.; Brazil K.; Papaioannou A.)
Associate Professor, School of Nursing, McMaster University, David Braley
Health Sciences Centre
SOURCE
British journal of nursing (Mark Allen Publishing) (2015) 24:9 (484, 486-9).
Date of Publication: 14 May 2015
ISSN
0966-0461
ABSTRACT
The purpose of this study was to explore nurses' perceptions of their
current practices related to administering pain medications to long-term
care (LTC) residents. A cross-sectional survey design was used, including
both quantitative and open-ended questions. Data were collected from 165
nurses (59% response rate) at nine LTC homes in southern Ontario, Canada.
The majority (85%) felt that the medication administration system was
adequate to help them manage residents' pain and 98% felt comfortable
administering narcotics. In deciding to administer a narcotic, nurses were
influenced by pain assessments, physician orders, diagnosis, past history,
effectiveness of non-narcotics and fear of making dosage miscalculations or
developing addictions. Finally, most nurses stated that they trusted the
physicians and pharmacists to ensure orders were safe. These findings
highlight nurses' perceptions of managing pain medications in LTC and
related areas where continuing education initiatives for nurses are needed.
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
anticoagulant agent (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
psychology
EMTREE MEDICAL INDEX TERMS
adult
cross-sectional study
female
human
long term care
male
middle aged
nursing staff
practice guideline
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25978282 (http://www.ncbi.nlm.nih.gov/pubmed/25978282)
FULL TEXT LINK
http://dx.doi.org/10.12968/bjon.2015.24.9.484
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 37
TITLE
Change in provider perspectives about opioid analgesics following a
multidisciplinary educational intervention to enhance safe opioid use
AUTHOR NAMES
Agarwal A.K.
Gugelmann H.
O'Conor K.
Shofer F.
Perrone J.
AUTHOR ADDRESSES
(Agarwal A.K.; Shofer F.; Perrone J.) University of Pennsylvania,
Philadelphia, United States.
(Gugelmann H.) Veterans Affairs Medical Center, San Francisco, United
States.
(O'Conor K.) Johns Hopkins University, School of Medicine, Baltimore, United
States.
CORRESPONDENCE ADDRESS
A.K. Agarwal, University of Pennsylvania, Philadelphia, United States.
SOURCE
Academic Emergency Medicine (2015) 22:5 SUPPL. 1 (S131). Date of
Publication: May 2015
CONFERENCE NAME
2015 Annual Meeting of the Society for Academic Emergency Medicine, SAEM
2015
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2015-05-12 to 2015-05-15
ISSN
1069-6563
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: Increased opioid prescribing is associated with rising addiction
rates, overdoses, and deaths. Although several organizations have
established guidelines to effect safe ED opioid prescribing, it is unknown
which aspects of provider perspectives are affected when prescribing
changes. Objectives: The objective of this study was to assess the effect of
an educational intervention upon ED providers' perspectives regarding pain
management. Methods: This prospective study measured the change in
providers' perspectives following a previously reported ED-based,
multidisciplinary educational intervention. The study population included ED
nurses, nurse practitioners (NPs), residents, and attending physicians.
Participants completed baseline and post-intervention surveys measuring
analgesic prescribing preferences and providers' responsibilities. The
primary outcome was a change in perspectives measured in group means and
assessed by t-test. Secondary outcomes included changes in providers' views
of ED pain management. Results: 108 (65.5%) of providers completed the
baseline survey and 91 (69%) completed the (6-month) post-intervention
survey. Respondents includes nurses (47.2%), attending physicians (22.6%),
resident physicians (30.1%), and NPs (4.4%); 32.5% of respondents had
practiced over 10 years. Analgesics for acute pain shifted towards NSAIDs
and acetaminophen (p=0.012) and away from opioids for chronic pain
(p=0.005). Providers increasingly identified the risks of (Table presented)
short and long term opioid addiction (p=0.003, 0.0001). Providers
acknowledged the potential exacerbation of opioid misuse secondary to the
use of opioids for chronic pain, and reported that ED providers can affect
individual outcomes in pain management (Table 293). Conclusion: Previously
published data illustrate that educational interventions targeted at both
prescribers and non-prescribing nurses decreased ED opioid prescribing. This
follow-up study illustrates the significant changes in provider perspectives
on factors related to both acute and chronic ED pain management. This
included increased emphasis on non-opioid analgesics and heightened
awareness of the risk of opioid addiction. The prescriber education
succeeded in changing perspectives, which may explain the success of the
intervention.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
paracetamol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency medicine
society
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
chronic pain
death
education
follow up
human
intoxication
nurse
nurse practitioner
organization
pain
physician
population
prospective study
resident
responsibility
risk
Student t test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/acem.12644
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 38
TITLE
Amphetamine intoxication and withdrawal management guidelines for acute
hospital settings
AUTHOR NAMES
Loke K.S.
Castle D.
Lloyd-Jones M.
Bosanac P.
Karro J.
Fraser N.
AUTHOR ADDRESSES
(Loke K.S.) Nexus Dual Diagnosis Service, Melbourne, Australia.
(Castle D.; Lloyd-Jones M.; Bosanac P.; Karro J.; Fraser N.) St Vincent's
Hospital, Melbourne, Australia.
CORRESPONDENCE ADDRESS
K.S. Loke, Nexus Dual Diagnosis Service, Melbourne, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2015) 49 SUPPL. 1 (98).
Date of Publication: May 2015
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2015
CONFERENCE LOCATION
South Brisbane, QLD, Australia
CONFERENCE DATE
2015-05-03 to 2015-05-07
ISSN
0004-8674
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Amphetamine intoxication is becoming an increasingly prevalent
problem in emergency departments and psychiatric inpatient units in
Victoria. Some of these presentations are associated with acute arousal with
agitation and aggression, which pose a risk to treating staff as well as the
patients themselves. Objectives: To provide a quick reference guide for
medical and nursing staff who need to manage acute arousal, withdrawal and
post-acute/chronic presentations related to amphetamine-type stimulants in
acute hospital settings. Methods: A literature search was conducted on
various protocols to manage acute presentations of amphetamine intoxication
in acute medical settings. Medical and nursing colleagues in Emergency
medicine/Toxicology, Addiction Medicine and Psychiatry were consulted. The
existing generic acute arousal protocol for the acute inpatient service was
reviewed. Findings: Various acute medical problems that can be caused by
stimulants require screening. Behavioural and psychopharmacological
strategies can be used to manage and prevent escalation of acute arousal.
Stage-matched strategies to deal with amphetamine use disorders can be
implemented in the post-acute phase. Conclusions: An abbreviated protocol
for managing the acute and post-acute phases of amphetamine intoxication and
withdrawal was designed for use in psychiatric inpatient units and emergency
departments.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine
EMTREE DRUG INDEX TERMS
central stimulant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australian
college
hospital
human
New Zealand
psychiatrist
EMTREE MEDICAL INDEX TERMS
addiction
aggression
agitation
arousal
diseases
emergency
emergency ward
hospital patient
nursing
nursing staff
patient
psychiatry
risk
screening
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867415578344
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 39
TITLE
Characteristics of nursing associated with completion of compliance
monitoring program for substance abuse
AUTHOR NAMES
Bhounsule P.
Moes S.
Peterson A.M.
AUTHOR ADDRESSES
(Bhounsule P.) University of the Sciences in Philadelphia, Philadelphia,
United States.
(Moes S.) Livengrin Foundation,Inc., Bensalem, United States.
(Peterson A.M.) University of the Sciences, Philadelphia, United States.
CORRESPONDENCE ADDRESS
P. Bhounsule, University of the Sciences in Philadelphia, Philadelphia,
United States.
SOURCE
Value in Health (2015) 18:3 (A75). Date of Publication: May 2015
CONFERENCE NAME
ISPOR 20th Annual International Meeting Research
CONFERENCE LOCATION
Philadelphia, PA, United States
CONFERENCE DATE
2015-05-16 to 2015-05-20
ISSN
1098-3015
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
OBJECTIVES: To identify the predictors of the nurses undergoing a Compliance
Monitoring Program (CMP) for substance/drug abuse successfully and assessing
the effect of these variables on the successful completion of program.
METHODS: This was a retrospective cross-sectional cohort study using the
de-identified data from the Florida Intervention Project for Nurses (IPN).
Status of CMP program categorized as 'completed' and 'Incomplete' formed the
dependent variable. The independent variables were characteristics of the
nurses - demographic (education, marital status), type of treatment
employed, years of nursing experience, healthcare institutional setting that
employed the nurses, healthcare specialty of nurses, diagnostic and
statistical manual of mental disorders (DSM-axes), lab results for presence
of drugs, presence of substance related disorders (dependency, abuse),
family history of biological, non-biological and mental diseases, lab test
results during relapse, if aftercare is required at end of program, status
of treatment at end of program, type of contract, reason for dismissal from
program and whether individual treatment is required. Imputation procedures
using the Markov chain Monte Carlo simulation with maximum-likelihood
estimation were employed to fill missing data. Statistical tests included
descriptive analysis including chi-square tests followed by logistic
regression (p< 0.05). RESULTS: All independent variables except family
history of mental diseases were found associated with the status of the CMP.
The stepwise logistic regression yielded only nursing experience in years,
type of healthcare institution, specialty, nursing license and treatment
(all p< 0.0001) were found associated with the completion of the CMP at p<
0.05. CONCLUSIONS: Nursing profession characteristics like healthcare
setting, specialty and years of experience seemed to have a higher
association with completion of the CMP for substance abuse.
EMTREE DRUG INDEX TERMS
cytidine phosphate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
monitoring
nursing
substance abuse
EMTREE MEDICAL INDEX TERMS
abuse
addiction
aftercare
chi square test
cohort analysis
dependent variable
Diagnostic and Statistical Manual of Mental Disorders
education
family history
health care
human
independent variable
licence
logistic regression analysis
marriage
maximum likelihood method
mental disease
Monte Carlo method
nurse
occupation
probability
procedures
relapse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 40
TITLE
Beyond post partum depression: Interactive methods for teaching about
pregnancy related obsessive compulsive disorder (OCD) and substance use
disorders (SUDS)
AUTHOR NAMES
Frank J.B.
Chisolm M.S.
AUTHOR ADDRESSES
(Frank J.B.) Department of Psychiatry George, Washington University, School
of Medicine and Health Sciences, United States.
(Chisolm M.S.) Department of Psychiatry and Behavioral Sciences, Johns
Hopkins University, School of Medicine, United States.
CORRESPONDENCE ADDRESS
J.B. Frank, Department of Psychiatry George, Washington University, School
of Medicine and Health Sciences, United States.
SOURCE
Archives of Women's Mental Health (2015) 18:2 (311). Date of Publication:
April 2015
CONFERENCE NAME
International Marce Society for Perinatal Mental Health Biennial Scientific
Conference 2014
CONFERENCE LOCATION
Swansea, United Kingdom
CONFERENCE DATE
2014-09-10 to 2014-09-12
ISSN
1434-1816
BOOK PUBLISHER
Springer-Verlag Wien
ABSTRACT
Explain the objective and expected outcomes of the workshop. The education
of midwives, nurses, psychiatrists and obstetricians has evolved from
lectures and apprenticeship to active learning methods such as interviews
with standardized patients, demonstration followed by practice with peers,
use of media and team based learning. When guided by clear objectives, such
methods allow trainees to develop a more than superficial understanding of
relatively uncommon, yet important and disabling disorders associated with
pregnancy. Reliable methods of efficiently screening for obsessive
compulsive disorder and substance use disorders can be transposed from
general settings into training at many levels for those in obstetrics and
perinatal health care. This workshop demonstrates the use of the Yale Brown
Obsessive Compulsive Checklist (YBOC) and the Alcohol Use Disorders
Identification Test (AUDIT) in simulations relevant to pregnant and post
partum women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health
obsessive compulsive disorder
pregnancy
puerperal depression
society
substance abuse
teaching
EMTREE MEDICAL INDEX TERMS
alcohol use disorder
checklist
diseases
education
female
health care
human
interview
learning
midwife
nurse
obstetrician
obstetrics
patient
psychiatrist
screening
simulation
student
workshop
Yale Brown Obsessive Compulsive Scale
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s00737-014-0488-6
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 41
TITLE
Prevalence, awareness, treatment and control of hypertension in students of
San Luis university
AUTHOR NAMES
Ojeda A.
Wendel G.
Fuentes L.
AUTHOR ADDRESSES
(Ojeda A.; Wendel G.; Fuentes L., lfuen@unsl.edu.ar) Farmacología, UNSL, San
Luis, Argentina.
CORRESPONDENCE ADDRESS
L. Fuentes, Farmacología, UNSL, San Luis, Argentina. Email:
lfuen@unsl.edu.ar
SOURCE
Biocell (2015) 39 SUPPL. 1. Date of Publication: 2015
CONFERENCE NAME
32nd Annual Meeting Sociedad de Biologia de Cuyo
CONFERENCE LOCATION
San Luis, Argentina
CONFERENCE DATE
2015-12-04 to 2015-12-05
ISSN
0327-9545
BOOK PUBLISHER
Centro Regional de Invest. Cientif. y Tecn.
ABSTRACT
Hypertension (HTA) is one of the main risk factors for cardiovascular
disease. The prevalence of HTA has increased due to greater life expectancy
and prevalence of obesity in the population. The purpose of this study was
to estimate the prevalence and distribution, awareness, treatment, and
control of HTA in students of San Luis University. The survey was approved
by Ethics Committee and the data were statistically analyzed. A
crosssectional study based on surveys performed on subjects randomly
selected from biochemistry and nursing carrier of our university. A total of
264 subjects (53.0% nursing, 47.0% biochemistry) were tested. Measuring rods
scales and equipment aneroid blood pressure were used. Mean age: 24.54±5.44
years (18-49 years), weight: 70.1±13.0 kg (42.5-130), height: 1.64± 0.08 m
(1.45-1.87), BMI: 23.2±4.2 (16.3-44.9), waist circumference: 80.6±15.0 (53-
130), mean systolic and diastolic blood pressure: 108.1±11.3 and 69.8±11.0.
The prevalence of HTA was 16% (12% women, 4% men, 2.2% treatment), without
HTA 73.4 %, unknown 10.6%. DBT: 16.6%, DLP: 4.5%, hyperuricemia: 5.3%,
internment for breast pain: 6.4%, IAM: 4.5%, IC: 3.7%, ACV: 3.0%, coronary
disease: 2.6%. Nicotinism: 33.3%; alcoholic drinks frequently 3.0%,
occasionally 82.1%, never 14.9%; physical activity frequently 33.7%,
occasionally 50.7%, never 15.6%, diet fatty acid frequently 18.1%,
occasionally 80.3%, never 1.6%, family history cardiovascular disease: 54.1%
and 97,7% know about risk factors. Sixteen percent of the population
evaluated has HTA, more common in women. It is advisable to identify risk
factors early in life, in order to prevent the subsequent development of HTA
in adulthood and its future complications. This study suggests the
broadening of bases for bio-clinical examination to other sectors of our
community in order to more effectively motivate students, parents, and
teachers in healthy habits for cardiovascular disease prevention.
EMTREE DRUG INDEX TERMS
fatty acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
hypertension
prevalence
student
university
EMTREE MEDICAL INDEX TERMS
adulthood
alcoholic beverage
blood pressure
cardiovascular disease
clinical examination
community
coronary artery disease
diastolic blood pressure
diet
family history
female
habit
height
hyperuricemia
life expectancy
male
mastalgia
nursing
obesity
parent
physical activity
population
professional standard
prophylaxis
risk factor
teacher
tobacco dependence
waist circumference
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 42
TITLE
Court-appointed guardians for adults with impaired capacity
AUTHOR NAMES
Cohen A.B.
Trentalange M.
Fried T.
AUTHOR ADDRESSES
(Cohen A.B.; Trentalange M.; Fried T.) Section of Geriatrics, Department of
Medicine, Yale University, New Haven, United States.
(Trentalange M.; Fried T.) VA Connecticut Healthcare System, West Haven,
United States.
CORRESPONDENCE ADDRESS
A.B. Cohen, Section of Geriatrics, Department of Medicine, Yale University,
New Haven, United States.
SOURCE
Journal of the American Geriatrics Society (2015) 63 SUPPL. 1 (S105). Date
of Publication: April 2015
CONFERENCE NAME
2015 Annual Scientific Meeting of the American Geriatrics Society
CONFERENCE LOCATION
National Harbor, MD, United States
CONFERENCE DATE
2015-05-15 to 2015-05-17
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: For some adults who develop impaired capacity, health care
decisions are made by a court-appointed guardian. Case reports have
identified potential issues with decision-making by guardians in the
clinical setting, including unavailability to health care providers and a
reluctance to make difficult treatment decisions. Efforts to evaluate and
address these issues have been limited, however, because few data are kept
about guardianship and little is known about guardians or persons under
guardianship. Methods: We obtained access to the electronic charts as well
as administrative data for veterans who obtained care at Veterans' Health
Administration (VHA) facilities in Connecticut and died between 2003 to
2013. We searched note titles and patient contact information for forms of
the words “guardian” and “conservator” and identified persons likely to have
a court-appointed guardian. We then conducted structured chart reviews to
verify guardianship status and collect additional information, including the
reason for incapacity and the relationship between patient and guardian.
Results: 273 of 29479 decedent veterans (0.9%) had a court-appointed
guardian with authority to make health care decisions. The majority of
veterans under guardianship were long-term nursing home residents (56%),
with a mean age at death of 81.9 (± 12.3) years. The median length of
guardianship was 2.3 years (IQR 0.9-4.6). For 179 veterans under
guardianship (66%), the guardian was a family member or friend, known as a
private guardian. For 94 veterans (34%), the guardian was a paid official,
most often a lawyer, known as a professional guardian. The most common
reasons for incapacity in both groups were dementia (51% overall), a
psychotic disorder (21%), and substance abuse (5%), but a psychotic disorder
and substance abuse were more common among veterans with professional
guardians than veterans with private guardians (p = 0.03). Conclusions: This
is the first work, to our knowledge, to characterize guardianship among a
large patient population. Professional guardians, who have no pre-existing
relationship with the persons they represent and are often unable to
exercise substituted judgment, were appointed for more than a third of
decedent veterans under guardianship. Further work is needed to assess the
challenges in decision-making for these vulnerable persons.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
American
geriatrics
society
EMTREE MEDICAL INDEX TERMS
case report
death
decision making
dementia
exercise
friend
health care
health care management
health care personnel
human
lawyer
medical record review
nursing home patient
patient
population
psychosis
substance abuse
United States
veteran
veterans health
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/jgs.13439
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 43
TITLE
Validation of a questionnaire to assess knowledge, attitudes and behaviors
towards smoking among nursing students: a pilot study in Piedmont region
AUTHOR NAMES
Chiarini M.
Saulle R.
Panaro A.S.
La Torre G.
AUTHOR ADDRESSES
(Chiarini M.) Department of Public Health and Infectious Diseases, Sapienza
University of Rome
(Saulle R., rosella.saulle@uniroma1.it) Department of Public Health and
Infectious Diseases, Sapienza University of Rome.Email:
(Panaro A.S.) Università del Piemonte Orientale
(La Torre G.) Department of Public Health and Infectious Diseases, Sapienza
University of Rome
SOURCE
Professioni infermieristiche (2015) 68:2 (183-189). Date of Publication: 1
Apr 2015
ISSN
0033-0205
ABSTRACT
AIM: Healthcare professionals have an important role to play both as
advisers influencing smoking cessation and as role models. Despite this many
of them continue to smoke. In this pilot study we have evaluated the
reliability and validity of the Global Health Professional Students Survey
questionnaire to examine smoking prevalence, in the Piedmont region.METHODS:
Reliability analysis was tested and content validity was evaluated using
Cronbach's alpha to check internal consistency with the intention to obtain
no misunderstanding with the results. The questionnaire composed of 6
sections for a total of 36 items, was administered among nursing students in
Piedmont's hospitals and data were collected in the period between January
and July 2013. Statistical analysis was performed through SPSS Statistics
for Windows version 19 (IBM Corp. Released 2010. IBM SPSS Statistics for
Windows, Version 19.0.Armonk, NY: IBM Corp, USA).RESULTS: Questionnaire was
administered to 265 nursing students: 77 (29.1%) men and 188 (70.9%) women.
Only 37 (14%) students were over 30 year old, 57 (21.5) were in a range of
25-29 and 171 (64.5%) were in a range of 18-24 years old. Students had
attended the 3th year of the course. The prevalence of current smokers was
25.3% (67). The higher value of Cronbach's Alpha resulted on the selection
of 14 items (0.841), while on the other all sections (34 items in total)
resulted in a value (0.786) meaning that the questionnaire has a
satisfactory internal validity.CONCLUSIONS: This pilot study demonstrated
that the questionnaire has very good reliability properties in the study and
this needs to be taken into account for future extensive studies needed due
to the high percentage of students in nursing who currently smoke (about a
quarter of the total in our study). In addition, this study revealed that
the education of students on smoking cessation is highly associated with
their positive perception of their role as health model. This is a fact
which may indicate the importance of adopting a core-curriculum related to
the prevention and treatment of tobacco addiction among nursing students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health behavior
nursing student
smoking
standards
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age distribution
attitude to health
epidemiology
female
human
Italy
male
pilot study
prevalence
questionnaire
reproducibility
risk factor
statistics and numerical data
validation study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26402239 (http://www.ncbi.nlm.nih.gov/pubmed/26402239)
FULL TEXT LINK
http://dx.doi.org/10.7429/pi.2015.6822183
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 44
TITLE
Marijuana in the workplace: Guidance for occupational health professionals
and employers: Joint guidance statement of the American Association of
Occupational Health Nurses and the American College of Occupational and
Environmental Medicine
AUTHOR NAMES
Phillips J.A.
Holland M.G.
Baldwin D.D.
Meuleveld L.G.
Mueller K.L.
Perkison B.
Upfal M.
Dreger M.
AUTHOR ADDRESSES
(Phillips J.A., japhil@uab.edu; Holland M.G.; Baldwin D.D.; Meuleveld L.G.;
Mueller K.L.; Perkison B.; Upfal M.; Dreger M.) American College of
Occupational and Environmental Medicine, Elk Grove Village, United States.
CORRESPONDENCE ADDRESS
J.A. Phillips, University of Alabama at Birmingham, 1720 2nd Avenue, S,
Birmingham, United States. Email: japhil@uab.edu
SOURCE
Journal of Occupational and Environmental Medicine (2015) 57:4 (459-475).
Date of Publication: 1 Apr 2015
ISSN
1536-5948 (electronic)
1076-2752
BOOK PUBLISHER
Lippincott Williams and Wilkins, kathiest.clai@apta.org
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE DRUG INDEX TERMS
alcohol
dronabinol
illicit drug
medical cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis addiction
occupational health
workplace
EMTREE MEDICAL INDEX TERMS
alcohol intoxication
Americans with disabilities act
article
cannabis use
high risk behavior
human
law enforcement
policy
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
dronabinol (7663-50-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
20160142467
MEDLINE PMID
25851187 (http://www.ncbi.nlm.nih.gov/pubmed/25851187)
FULL TEXT LINK
http://dx.doi.org/10.1097/JOM.0000000000000441
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 45
TITLE
The tell-tale heart: A case of group b streptococcus (GBS) endocarditis
presenting as complete heart block
AUTHOR NAMES
Ahmed A.
Zhang D.S.
Chiang I.-H.
AUTHOR ADDRESSES
(Ahmed A.; Zhang D.S.; Chiang I.-H.) Baylor College of Medicine, Houston,
United States.
CORRESPONDENCE ADDRESS
A. Ahmed, Baylor College of Medicine, Houston, United States.
SOURCE
Journal of General Internal Medicine (2015) 30 SUPPL. 2 (S468). Date of
Publication: April 2015
CONFERENCE NAME
38th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-22 to 2015-04-25
ISSN
0884-8734
BOOK PUBLISHER
Springer New York LLC
ABSTRACT
LEARNING OBJECTIVE #1: Recognize that the rate of invasive Group B
Streptococcus (GBS) infections is rising in non-pregnant adults particularly
in the elderly LEARNING OBJECTIVE #2: Identify GBS as a rare pathogen
causing destructive native valve infective endocarditis and treat with
antibiotics and early cardiac surgery CASE: A 62 year old Caucasianmale with
well controlled chronic obstructive pulmonary disease, diabetes and
hypertension presented with progressive dyspnea on exertion. He had noted
productive cough, fevers, congestion, shortness of breath and wheezing 2
weeks prior to admission. All the symptoms had resolved except the fevers
and shortness of breath that had continued to worsen. The patient said that
at baseline he was able to walk about a mile but now walking to the bathroom
left him winded. He denied recent travel. His roommate had been sick with
him. Vitals showed that he was febrile and bradycardic with normal blood
pressure. Physical exam revealed lower extremity edema, crackles at lung
bases and a new III/VI systolic murmur at the apex. EKG showed complete
heart block. Laboratory studies were significant for leukocytosis. Blood
cultures grew 4/4 bottles of GBS. Echo showed a 8×4 mm mobile mass on the
mitral valve, possible aortic root abscess with preserved ejection fraction.
Coronary angiography was notable for chronic total occlusion of the right
coronary artery. He was started on ceftriaxone and gentamicin and a
temporary trans-venous pacemaker was placed. DISCUSSION: GBS was long
thought of causing infections more commonly in pregnant women and neonates.
However now it is increasingly recognized as a cause of bacteremia without a
focus, sepsis, soft tissue infections, infectious endocarditis, urinary
tract and central nervous system infections in non-pregnant adults. It
affects elderly adults more commonly with the case fatality rate for elderly
adults being estimated at 15 %. Increased rates of skin, rectum, and
pharyngeal carriage are seen in nursing home residents and men who have sex
with men. In the pre-antibiotic era,most cases of GBS infective endocarditis
were seen in pregnant women usually with prior rheumatic heart disease. At
the time mortality rate was almost 100 %. Several recent studies have shown
that GBS infective endocarditis now usually occurs in older patients, with a
ratio of male to female patients of 1:1. There is an association between GBS
infective endocarditis and chronic systemic diseases, such as alcoholism,
diabetes mellitus, cirrhosis, cancer and HIV infection. GBS infective
endocarditis has been compared to staphylococcus endocarditis given it's
propensity to infect and rapidly destroy native valves. In one review the
incidence of emboli was 50 and 40 % of patients underwent cardiac surgery
because of extensive valve destruction. GBS isolates have traditionally been
uniformly penicillin-sensitive. However, there is greater penicillin
resistance seen with GBS than with group Astreptococcus. Some authors
recommend the addition of gentamicin to penicillin or a cephalosporin for at
least the first 2 weeks of a 4 to 6 week course of antimicrobial therapy.
Data suggests that that early cardiac surgery has improved overall survival
rates among more recently treated patients as compared with patients treated
in the past.
EMTREE DRUG INDEX TERMS
antibiotic agent
ceftriaxone
cephalosporin
gentamicin
penicillin derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
complete heart block
endocarditis
heart
internal medicine
society
Streptococcus agalactiae
EMTREE MEDICAL INDEX TERMS
abscess
adult
aged
alcoholism
angiocardiography
antimicrobial therapy
aorta root
bacteremia
bacterial endocarditis
bath
blood culture
blood pressure
central nervous system infection
chronic obstructive lung disease
coughing
crackle
diabetes mellitus
dyspnea
edema
embolism
exercise
fatality
female
fever
group B streptococcal infection
heart ejection fraction
heart surgery
human
Human immunodeficiency virus
Human immunodeficiency virus infection
hypertension
infection
laboratory
leg
leukocytosis
liver cirrhosis
lung
male
men who have sex with men
mitral valve
mortality
neoplasm
newborn
nursing home patient
occlusion
overall survival
pacemaker
pathogenesis
patient
penicillin resistance
pregnant woman
rectum
rheumatic heart disease
right coronary artery
sepsis
skin
soft tissue infection
Staphylococcus
survival rate
systemic disease
systolic heart murmur
travel
urinary tract
walking
wheezing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 46
TITLE
Public health nurses' perception of their roles in relation to psychotropic
drug use by adolescents: a phenomenographic study
AUTHOR NAMES
Steffenak A.K.
Nordström G.
Hartz I.
Wilde-Larsson B.
AUTHOR ADDRESSES
(Steffenak A.K.; Nordström G.; Hartz I.; Wilde-Larsson B.) Faculty of Public
Health, Hedmark University College, Elverum, Norway
SOURCE
Journal of clinical nursing (2015) 24:7-8 (970-979). Date of Publication: 1
Apr 2015
ISSN
1365-2702 (electronic)
ABSTRACT
AIMS AND OBJECTIVES: The purpose of the paper was to describe the
perceptions of public health nurses' roles in relation to psychotropic drug
use by adolescents.BACKGROUND: Mental health problems among adolescents are
documented with studies indicating an increased use of psychotropic drugs.
In Norway, care for such adolescents may fall naturally into the remit of
public health nurses.DESIGN: A phenomenographic approach was used to analyse
the data.METHOD: A qualitative interview study was made of 20 Norwegian
public health nurses, strategically chosen using phenomenographic
methodology.RESULTS: The public health nurses described three categories:
discovering public health nurses who become aware of psychotropic drug use
in the health dialogue with adolescents and choose to either act or not act
in relation to psychotropic drug use. Those public health nurses who take
action are cooperating public health nurses, who cooperate with adolescents,
their families, schools and others. If cooperation has been established,
supporting public health nurses teach and support the adolescent in relation
to psychotropic drug use.CONCLUSION: The public health nurses who do not act
can hinder or delay further treatment. Public health nurses need to acquire
knowledge about psychotropic drugs, to fulfil their role in nursing mental
health problems among adolescents and the increasing use of psychotropic
drugs.RELEVANCE TO CLINICAL PRACTICE: The results demonstrated that public
health nurses, working in health centres and schools, have the
responsibility and the opportunity to identify young people struggling with
mental health problems and psychotropic drug use as well as teach and
support significant others, e.g. parents and siblings. Intervention studies
are needed with regard to health promotion programmes aimed at fortifying
young people's mental health.
EMTREE DRUG INDEX TERMS
psychotropic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
nurse attitude
psychiatric nursing
psychology
EMTREE MEDICAL INDEX TERMS
adolescent
adult
female
human
male
middle aged
Norway
nurse
qualitative research
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25639291 (http://www.ncbi.nlm.nih.gov/pubmed/25639291)
FULL TEXT LINK
http://dx.doi.org/10.1111/jocn.12716
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 47
TITLE
Increasing prehospital emergency medical service interventions for nursing
home residents
AUTHOR NAMES
Carron P.-N.
Dami F.
Yersin B.
Toppet V.
Burnand B.
Pittet V.
AUTHOR ADDRESSES
(Carron P.-N., pierrenicolas.carron@chuv.ch; Dami F.; Yersin B.) Emergency
Department, Lausanne University Hospital, BH 06-428, CHUV Lausanne,
Switzerland.
(Dami F.) Emergency Medical Services, Dispatch Centre, State of Vaud
(Fondation Urgences Santé - 144), Switzerland.
(Toppet V.; Burnand B.; Pittet V.) Institute of Social and Preventive
Medicine, Lausanne University Hospital, Switzerland.
CORRESPONDENCE ADDRESS
P.-N. Carron, Emergency Department, Lausanne University Hospital, BH 06-428,
CHUV Lausanne, Switzerland.
SOURCE
Swiss Medical Weekly (2015) 145 Article Number: w14126. Date of Publication:
26 Mar 2015
ISSN
1424-3997 (electronic)
1424-7860
BOOK PUBLISHER
EMH Swiss Medical Publishers Ltd., verlag@emh.ch
ABSTRACT
QUESTION: In the ageing European population, the proportion of interventions
by the emergency medical services (EMS) for elderly patients is increasing,
but little is known about the recent trend of EMS interventions in nursing
homes. The aim of this analysis was to describe the evolution of the
incidence of requests for prehospital EMS interventions for nursing home
residents aged 65 years and over between 2004 and 2013. METHODS: A
prospective population-based register of routinely collected data for each
EMS intervention in the Canton of Vaud. Linear time trends of incidence of
requests to the EMS in nursing homes were calculated and stratified by age
categories. RESULTS: The number of ambulance interventions in nursing homes
for people aged 65 years and over (65+) increased by 68.9% (1124?1898)
between 2004 and 2013. A significant linear increase of the annual incidence
of requests to EMS per 1,000 nursing home residents was found for people
aged 65-79 (10.2, 95% confidence interval [CI] 6.2-14.2), 80-89 (16.5, 95%
CI 14.0-19.0) and over 90 (12.1, 95% CI 5.8-18.4). EMS interventions in
nursing home residents who required an emergency physician increased during
the same period by 205.6% (from 106 to 324), representing an increase from
2% to 7% of all emergency physician interventions in the Canton.
CONCLUSIONS: Our results confirmed an important increase in the incidence of
EMS interventions in nursing homes during the last decade, far exceeding the
actual increase of the nursing home population during the same period. This
evolution represents an important opportunity to reconsider the EMS missions
in the context of an ageing society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency health service
nursing home patient
EMTREE MEDICAL INDEX TERMS
aged
ambulance
article
cardiovascular disease
clinical examination
coma
convulsion
drug abuse
emergency physician
female
heart arrest
human
incidence
intoxication
major clinical study
male
nursing home
prospective study
respiratory distress
resuscitation
thermal injury
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015042832
MEDLINE PMID
25811249 (http://www.ncbi.nlm.nih.gov/pubmed/25811249)
FULL TEXT LINK
http://dx.doi.org/10.4414/smw.2015.14126
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 48
TITLE
Developing best practices for clinical policies and procedures for
supervised injection services within integrated health care settings in
Canada
AUTHOR NAMES
Baltzer Turje R.
Payne H.M.
McDougall P.
Davis M.
AUTHOR ADDRESSES
(Baltzer Turje R.; Payne H.M.; McDougall P.; Davis M.) Vancouver, Canada.
CORRESPONDENCE ADDRESS
R. Baltzer Turje, Vancouver, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2015) 26
SUPPL. SB (21B). Date of Publication: March-April 2015
CONFERENCE NAME
24th Annual Canadian Conference on HIV/AIDS Research, CAHR 2015
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-04-30 to 2015-05-03
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
ISSUES: The importance of integrating health care and harm reduction
services, including supervised injection services (SIS), for persons who use
illicit drugs has been recognized for over 20 years in Europe and is
becoming increasingly well recognized in Canada. Despite this, there is not
a standard of best practices for clinical policies and procedures for SIS in
integrated health care settings in Canada. DESCRIPTION: Since 2002, the Dr.
Peter Centre (DPC) has integrated SIS within a broad range of health care
services for people living with HIV in its Day Health Program and 24-hour
Specialized Nursing Care Residence. The DPC started the service for its
clients after the College of Registered Nurses of British Columbia (CRNBC)
confirmed that it was within the scope of nursing practice to supervise
injections for the purposes of preventing illness and promoting health. It
has evolved to include the interface with other professional disciplines.
DPC clinical policies and procedures for SIS include ones which address
agreement for services, the parameters of nursing involvement, role of other
professional disciplines, counselling and addiction treatment, dealing with
emergencies, record-keeping and the disposal of biohazards and controlled
substances. LESSONS LEARNED: While DPC clinical policies and protocols were
prepared in consultation with the CRNBC to conform to the scope of nursing
practice, developing clinical policies and procedures for SIS is a complex
process in an environment that engages other professional disciplines in
addition to nursing. RECOMMENDATION: A review and evaluation of policies and
procedures for health care organizations providing SIS in an integrated
setting is needed for the Canadian health care context so that organizations
interested in applying for an exemption under Section 56 of the Controlled
Drugs and Substances Act (CDSA) can do so with a complete range of policies
and procedures that meets best practice standards.
EMTREE DRUG INDEX TERMS
controlled substance
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Canada
Canadian
health care
injection
policy
procedures
EMTREE MEDICAL INDEX TERMS
addiction
biosafety
college
consultation
counseling
diseases
emergency
environment
Europe
harm reduction
health
health care organization
health program
health service
human
Human immunodeficiency virus
nursing
nursing care
organization
parameters
registered nurse
scope of practice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 49
TITLE
Psychological distress and lifestyle of students: implications for health
promotion
AUTHOR NAMES
Deasy C.
Coughlan B.
Pironom J.
Jourdan D.
Mcnamara P.M.
AUTHOR ADDRESSES
(Deasy C., christine.deasy@ul.ie) Department of Nursing and Midwifery,
University of Limerick, Limerick, Ireland
(Coughlan B.) Department of Psychology, University of Limerick, Limerick,
Ireland
(Pironom J.) Health Education Research Unit, Laboratoire ACTé, ESPE
Clermont-Auvergne, Université Blaise Pascal, 36 Avenue Jean Jaurès CS 20001,
Chamalières Cedex 63407, France
(Jourdan D.) Department of Education and Professional Studies, University of
Limerick, Limerick, Ireland
(Mcnamara P.M.) Department of Education and Professional Studies, University
of Limerick, Limerick, Ireland
SOURCE
Health promotion international (2015) 30:1 (77-87). Date of Publication: 1
Mar 2015
ISSN
1460-2245 (electronic)
ABSTRACT
Poor diet, physical inactivity, tobacco smoking and alcohol consumption are
major risk factors for chronic disease and premature mortality. These
behaviours are of concern among higher education students and may be linked
to psychological distress which is problematic particularly for students on
programmes with practicum components such as nursing and teaching.
Understanding how risk behaviours aggregate and relate to psychological
distress and coping among this population is important for health promotion.
This research examined, via a comprehensive survey undergraduate
nursing/midwifery and teacher education students' (n = 1557) lifestyle
behaviour (Lifestyle Behaviour Questionnaire), self-reported psychological
distress (General Health Questionnaire) and coping processes (Ways of Coping
Questionnaire). The results showed that health- risk behaviours were common,
including alcohol consumption (93.2%), unhealthy diet (26.3%), physical
inactivity (26%), tobacco smoking (17%), cannabis use (11.6%) and high
levels of stress (41.9%). Students tended to cluster into two groups: those
with risk behaviours (n = 733) and those with positive health behaviours (n
= 379). The group with risk behaviours had high psychological distress and
used mostly passive coping strategies such as escape avoidance. The
potential impact on student health and academic achievement is of concern
and suggests the need for comprehensive health promotion programmes to
tackle multiple behaviours. As these students are the nurses and teachers of
the future, their risk behaviours, elevated psychological distress and poor
coping also raise concerns regarding their roles as future health
educators/promoters. Attention to promotion of health and well-being among
this population is essential.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
health behavior
lifestyle
EMTREE MEDICAL INDEX TERMS
adult
cannabis addiction (epidemiology, epidemiology)
diet
drinking behavior
female
health promotion
high risk behavior
human
Ireland
male
mental stress
motor activity
nursing student
psychology
questionnaire
sex ratio
smoking
statistical model
student
university
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25315646 (http://www.ncbi.nlm.nih.gov/pubmed/25315646)
FULL TEXT LINK
http://dx.doi.org/10.1093/heapro/dau086
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 50
TITLE
Nurses' knowledge of pain management for patients with combat-related
traumatic brain injuries on rehabilitation units
AUTHOR NAMES
Jaimes L.M.
Thompson H.J.
Landis C.A.
Warms C.A.
AUTHOR ADDRESSES
(Jaimes L.M.; Thompson H.J.; Landis C.A.; Warms C.A.) Department of Veterans
Affairs, Pacific Islands Healthcare System, Honolulu, HI, USA
SOURCE
Rehabilitation nursing : the official journal of the Association of
Rehabilitation Nurses (2015) 40:2 (74-83; quiz 81-3). Date of Publication: 1
Mar 2015
ISSN
0278-4807
ABSTRACT
PURPOSE: The purpose of this project was to survey nurses' knowledge of pain
management for patients with combat-related traumatic brain injuries
(TBI).DESIGN/METHODS: A survey was used to collect data regarding nurses'
knowledge of pain assessment and management for patients with combat-related
TBI. Nurses were invited to participate in the study via email and provided
with a link to the electronic survey.FINDINGS: Twenty-five surveys were
returned (52% response rate). A total of 76% of nurse respondents perceived
that TBI patients over report pain intensity. Only 40% of nurses were able
to correctly identify the appropriate medication to treat migraine-type
headache pain in TBI patients.CONCLUSION: This study identified gaps in
knowledge regarding pain management for patients with combat related
TBIs.CLINICAL RELEVANCE: Nurses need additional education regarding common
pain syndromes, available treatments, and a better understanding of
addiction in order to provide optimal care to these patients.
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
nursing
organization and management
EMTREE MEDICAL INDEX TERMS
adult
analgesia
brain injury (rehabilitation)
clinical competence
complication
cross-sectional study
female
human
male
middle aged
migraine (drug therapy, rehabilitation)
multiple trauma (rehabilitation)
nursing education
pain (etiology, rehabilitation)
practice guideline
rehabilitation nursing
United States
war
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24711148 (http://www.ncbi.nlm.nih.gov/pubmed/24711148)
FULL TEXT LINK
http://dx.doi.org/10.1002/rnj.156
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 51
TITLE
Quality of nurse-acquired best possible medication history in an ambulatory
hemodialysis centre
AUTHOR NAMES
Zhao L.
Chong S.
Newman P.
AUTHOR ADDRESSES
(Zhao L.; Chong S.; Newman P.) Kingston General Hospital, Kingston, Canada.
CORRESPONDENCE ADDRESS
L. Zhao, Kingston General Hospital, Kingston, Canada.
SOURCE
Canadian Journal of Hospital Pharmacy (2015) 68:1 (71). Date of Publication:
2015
CONFERENCE NAME
CSHP Professional Practice Conference 2015
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2015-01-31 to 2015-02-04
ISSN
0008-4123
BOOK PUBLISHER
Canadian Society of Hospital Pharmacists
ABSTRACT
Background: Hemodialysis (HD) patients are vulnerable to adverse drug events
due to complex medication regimens, frequent dose changes, and poor
adherence. An accurate best possible medication history (BPMH), obtained
during medication reconciliation, can be utilized to identify and resolve
drug-related problems. Due to resource limitations, the BPMH is often
obtained by nurses in HD centres. Objectives: The primary objective was to
compare the accuracy of BPMHs obtained by nurses to pharmacists for HD
outpatients at our hospital. Secondary objectives include analysis of BPMH
discrepancies, discrepancy severities, identification of process
improvements, and evaluation for educational opportunities. Methods: A
sample of HD outpatients was randomly selected to be interviewed
independently by both a nurse and a pharmacist in a crossover design. BPMHs
were manually documented on an existing medication list for each patient and
compared following both sets of interviews. Discrepancies between
nurse-acquired and pharmacistacquired BPMHs were analyzed. Results:
Fifty-nine patients were included in the study; 2 pharmacists and 27 nurses
obtained BPMHs. Nurses and pharmacists agreed on 678 of the total 821
medication regimens reviewed (agreement rate = 82.6%). Of the 161
discrepancies identified, the most common type was incorrect frequency
(31.7%) followed by incorrect dose (31.1%). The majority (75.3%) of the
discrepancies were judged to have no potential to cause harm. However, 24.7%
of the discrepancies had the potential to cause moderate to severe
discomfort or clinical deterioration. The top three drug classes involved in
these potentially harmful discrepancies were anti-diabetics, analgesics, and
mineral supplements. Conclusion: Nurses at the hospital HD centre were able
to obtain BPMHs with similar accuracy as pharmacists. Continued training on
patient interview and BPMH documentation is required to further improve
quality of nurse-acquired BPMHs. Education on high risk drug classes is
necessary to reduce number of potentially harmful discrepancies.
EMTREE DRUG INDEX TERMS
analgesic agent
mineral
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
hemodialysis
human
nurse
professional practice
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
crossover procedure
deterioration
diabetes mellitus
documentation
education
hemodialysis patient
hospital
interview
medication therapy management
outpatient
patient
pharmacist
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 52
TITLE
Impact of a novel inter professional case-based curriculum in adolescent
health
AUTHOR NAMES
Gooding H.C.
Ziniel S.
Pitts S.A.B.
Goncalves A.
Emans J.
Burke P.J.
AUTHOR ADDRESSES
(Gooding H.C.) Boston Children's Hospital/Harvard Medical School, United
States.
(Ziniel S.; Pitts S.A.B.; Goncalves A.; Emans J.; Burke P.J.) Boston
Children's Hospital, United States.
CORRESPONDENCE ADDRESS
H.C. Gooding, Boston Children's Hospital/Harvard Medical School, United
States.
SOURCE
Journal of Adolescent Health (2015) 56:2 SUPPL. 1 (S41-S42). Date of
Publication: February 2015
CONFERENCE NAME
2015 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2015
CONFERENCE LOCATION
Los Angeles, CA, United States
CONFERENCE DATE
2015-03-18 to 2015-03-21
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: The Boston Children's Hospital Maternal and Child Health Bureau
(MCHB) funded Leadership Education in Adolescent Health (LEAH) program
trains post-graduate fellows in medicine, nursing, social work, psychology,
and nutrition in a unique inter professional environment. In 2012, we
transformed a collection of 5 didactic seminars led by uni-disciplinary
faculty into a case based curriculum facilitated by multi-disciplinary
faculty teams. Core interprofessional concepts such as communication,
professionalism, leadership, program development and evaluation, and
advocacy were interwoven into six clinical cases designed to teach
adolescent/young adult development via common clinical scenarios (eating
disorders, teen pregnancy, gay/lesbian/bisexual/ transgender (GLBT) youth
issues, HIV/AIDS, substance abuse, and transition for youth with special
health care needs). Each case evolved over four weekly half-day sessions.
Methods: We formally assessed the impact of the new program in AY13-14.
Seven fellows completed a 4-item pre- and post-case questionnaire for each
clinical case scenario that assessed confidence with assessment and
diagnosis, comfort with counseling skills, and ability to devise a treatment
plan, along with an assessment of their understanding of the role of their
colleagues in the care of each clinical issue. These 4 items were assessed
with 4-point Likert scales (1=poor, 4=best). Fellows also completed the
19-item Readiness for Interprofessional Learning Scale (RIPLS, range 0-90)
and the 12-item Interdisciplinary Education Perception Scale (IEPS, range
0-72) at the beginning, middle, and end of the academic year. Finally, all
fellows completed a 15-minute semistructured interview at the conclusion of
the year. Results: Mean scores for confidence with assessment and diagnosis
and comfort counseling adolescents increased for all six clinical cases,
with the greatest gains for eating disorders and substance abuse. Mean
scores for self-assessed ability to devise a treatment plan also increased,
with the largest increments for HIV/ AIDS and transitional care. Mean
ratings regarding understanding the role of other providers on the
interprofessional team also increased for each clinical case. Mean scores on
the RIPLS were similar at all three time points (pre: 81.7 [SD 6.0], mid:
82.6 [SD 8.1], post: 83.9 [SD 5.6]), although significant gains were seen
for the nursing and nutrition fellows. Mean scores on the IEPS were also
similar at all three time points (pre: 60.9 [SD 6.7], mid: 61.7 [SD 5.9],
post: 63.5 [SD 3.8]) although significant gains were seen for the nursing
and medical fellows. In semi-structured interviews, fellows highlighted the
value of learning unique approaches to each case from their colleagues.
Conclusions: An interprofessional case-based curriculum can increase comfort
and confidence with common adolescent health scenarios as well as self-rated
ability to manage these issues. While validated measures of readiness for
interprofessional learning and teamwork did not improve during the course of
our curriculum for most participants, this was likely due to high scores at
baseline. Understanding of colleagues' roles in specific clinical scenarios
did increase, and fellows valued the opportunity to learn in
interprofessional teams with role-modeling from interprofessional faculty.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
curriculum
society
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
adolescent
adult
child health
comfort
counseling
diagnosis
eating disorder
education
environment
female
graduate
health care need
health program
human
interdisciplinary education
interpersonal communication
juvenile
laryngeal mask
leadership
learning
Likert scale
model
nursing
nutrition
pediatric hospital
pregnancy
professionalism
program development
psychology
questionnaire
semi structured interview
skill
social work
substance abuse
teamwork
transgender
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2014.10.084
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 53
TITLE
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association: Education Schedule With
Abstracts 2015
AUTHOR ADDRESSES
SOURCE
Journal of Pain and Symptom Management (2015) 49:2. Date of Publication:
February 2015
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association 2015
CONFERENCE LOCATION
Philadelphia, PA, United States
CONFERENCE DATE
2015-02-25 to 2015-02-28
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
The proceedings contain 286 papers. The topics discussed include: morphine
or oxycodone for cancer-related pain? a randomized, open-label, controlled
trial; the role of central and peripheral muscle fatigue in postcancer
fatigue: a randomized controlled trial; an important but stressful part of
their future work: medical students' attitudes to palliative care throughout
their course; the frequency of alcoholism in patients with advanced cancer
admitted to an acute palliative care unit and a home care program;
comparison of ECOG/WHO performance status and ASA score as a measure of
functional status; screening for depression in advanced disease:
psychometric properties, sensitivity, and specificity of two items of the
palliative care outcome scale (POS); quality of palliative care for patients
with advanced cancer in a community consortium; and precision
pharmacopalliation: a no-nonsense, boots-on-the-ground approach to
medication management at the end of life.
EMTREE DRUG INDEX TERMS
morphine
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
education
hospice
human
nurse
palliative therapy
EMTREE MEDICAL INDEX TERMS
accuracy
advanced cancer
alcoholism
community
controlled study
fatigue
functional status
home care
medical student
medication therapy management
muscle fatigue
neoplasm
pain
patient
randomized controlled trial
randomized controlled trial (topic)
screening
sensitivity and specificity
shoe
LANGUAGE OF ARTICLE
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 54
TITLE
Safety measures of high-alert medications in paediatrics hospital
AUTHOR NAMES
Bataille J.
Prot-Labarthe S.
Bourdon O.
Joret P.
Brion F.
Hartmann J.-F.
AUTHOR ADDRESSES
(Bataille J.; Prot-Labarthe S.; Bourdon O.; Joret P.; Brion F.) Pharmacie,
Hôpital Robert-Debré, AP-HP, Paris, France.
(Bataille J.; Joret P.) Pharmacie Clinique, Université Paris Descartes,
Paris, France.
(Bourdon O.; Brion F.) Laboratoire Educations et Pratiques de santé,
Université Paris XIII, Bobigny, France.
(Hartmann J.-F.) Coordonnateur de la Gestion des Risques AssociéS Aux Soins,
CLIN/CVRiS, Hôpital Robert-Debré, Paris, France.
CORRESPONDENCE ADDRESS
J. Bataille, Pharmacie, Hôpital Robert-Debré, AP-HP, Paris, France.
SOURCE
International Journal of Clinical Pharmacy (2015) 37:1 (233). Date of
Publication: February 2015
CONFERENCE NAME
43rd ESCP International Symposium on Clinical Pharmacy Patient Safety:
Bridging the Gaps
CONFERENCE LOCATION
Copenhagen, Denmark
CONFERENCE DATE
2014-10-22 to 2014-10-24
ISSN
2210-7703
BOOK PUBLISHER
Kluwer Academic Publishers
ABSTRACT
Background and objective: High-alert medications are drugs associated with
the highest risk of injury when they are misused. Paediatric population
itself is at high risk of drug misuse. In a previous study, a list of 17
high-alert medications was identifying in our department. The aim of this
study is to identify the list of safety measures to reduce errors on
high-alert medications use process. Setting and method: A three-step process
was set: (1) literature review, (2) electronic survey sent to clinicians
(seniors and residents), nurses and pharmacists working in a paediatric
hospital. The participants were asked to select safety measures from the
list constructed from the literature search and to suggest other measures
for the use of high-alert medications. (3) A consensus staff approved a list
of safety measures for the hospital with a prioritization of action. Main
outcome measures: Obtain a list of paediatric measures to secure highalert
medications process. Results: The review of literature identified 69 safety
measures. The response rate to the survey was 20 % and nurses were the most
represented category (64 %). Survey participants suggested improvement to
safety measures in the following areas: incident reporting, drug
administration protocol, clear and accessible information about medications,
and double-checking implementation. The consensus list was composed of 53
measures. Several working groups are created to set up these projects. Some
high-alert medications are daily used, for example insulin in endocrinology
and anaesthetics in operating rooms. The medical staff working in these
departments is not bound to implement the complete measures, but these
exceptions are notified on the protocol. 26 % of these measures are already
set up. Conclusions: We proposed additional safety measures to prevent
medication errors associated with high-alert medications. These measures
addressed human, technical, organizational, and environmental factors such
as information sheets for each high-alert medications, development and
standardization of safety procedures and identification of high-alert
medications in stockrooms at the pharmacy and the health care units. The
implementation of these measures in paediatric hospital should help to
prevent medication errors, and subsequent studies will be carried out to
confirm their effectiveness. The outcomes expected are a reduction of
medications errors, an increase of reporting incidents of errors and nearly
errors.
EMTREE DRUG INDEX TERMS
anesthetic agent
insulin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
drug therapy
hospital
human
patient safety
pediatrics
safety
EMTREE MEDICAL INDEX TERMS
consensus
drug administration
drug misuse
endocrinology
environmental factor
health care
injury
medical staff
medication error
nurse
operating room
pediatric hospital
pharmacist
pharmacy
population
procedures
risk
standardization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-014-0039-2
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 55
TITLE
Differences in the knowledge and attitudes between students of technical and
nursing studies towards alcohol and alcoholism
ORIGINAL (NON-ENGLISH) TITLE
Znanja i stavovi studenata o alkoholu i alkoholizmu
AUTHOR NAMES
Malčić T.
Slijepčević M.K.
AUTHOR ADDRESSES
(Malčić T., malcic.tena@gmail.com; Slijepčević M.K.) Technical College in
Bjelovar, Study in Nursing, Bjelovar, Croatia.
CORRESPONDENCE ADDRESS
T. Malčić, Slavonska cesta 44, Bjelovar, Croatia. Email:
malcic.tena@gmail.com
SOURCE
Alcoholism (2015) 51:1 (15-30). Date of Publication: 2015
ISSN
1330-6170 (electronic)
0002-502X
BOOK PUBLISHER
Center for Study and Control of Alcoholism and Addictions,
alcoholism@kbsm.hr
ABSTRACT
Alcoholism is the most common type of addictive behavior. Every year the age
limit is pushed and more and more young people reach for alcohol. The
problem of excessive drinking and alcoholism in Croatia is one of the
leading problems in public health. The research conducted at Technical
College in Bjelovar, on the sample of 141 students in nursing and
mechatronics, about their habits, knowledge and attitude towards alcohol led
to the results that show notable difference between those two study
programs. Students filled out an anonymous online survey that included 39
questions related to the socioeconomic status of the individual, drinking
habits, knowledge about alcohol and students’ attitudes towards alcohol and
alcoholism. The given results showed more positive attitude towards alcohol
and higher tendency of irresponsible behavior by students of Mechatronics.
It is noticed that students have negative attitude towards alcohol only if
they consume it under the influence of society. Alcohol consumption under
the peer influence leads to more negative attitude towards alcoholics among
nursing students, while mechatronics students have a positive attitude. All
in all, nursing students have positive attitude towards those suffering from
alcoholism and they are willing to work with them whereas it is not the case
among mechatronics students. The negative attitude towards alcoholics,
tendency to consumption and little knowledge of consequences of consuming
alcohol can be justified by high tolerance of our society towards
consumption of alcohol, absence of effective program of addiction prevention
and quality education of all study programs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
knowledge
nursing student
student attitude
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
Croatia
drinking behavior
female
health survey
human
male
normal human
peer pressure
social aspect
social status
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, unknown
EMBASE ACCESSION NUMBER
20160193676
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 56
TITLE
Assessing stigma towards drug users among health care providers
AUTHOR NAMES
Albizu C.E.
Caraballo J.N.
Caraballo-Correa G.
Santiago S.
Mendez A.
Rivera-Suazo S.
AUTHOR ADDRESSES
(Albizu C.E.; Caraballo J.N.; Caraballo-Correa G.; Santiago S.; Mendez A.;
Rivera-Suazo S.) University of Puerto Rico, San Juan, United States.
CORRESPONDENCE ADDRESS
C.E. Albizu, University of Puerto Rico, San Juan, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e204). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Stigma involves disapproval and discrimination of individuals with a
discrediting mark. Negative beliefs about patients may influence decisions
made by treatment providers resulting in suboptimal care. Assessing the
impact of stigma and contribution to health disparities requires valid
measures of drug abuse stigma in health professionals. We report the need
for stigma research in treatment, the adaptation and validation of a stigma
measure for providers translated from English to Spanish, and correlates of
stigma, in a sample of Puerto Rican health profession students and
practicing professionals. Methods: Anonymous questionnaire was administered
to 474 grad students and 186 practicing professionals in Medicine, Nursing,
Psychology, and Social Work in Puerto Rico. Data was collected for
socio-demographic variables and experiences with individuals with substance
use disorder. A translation and adaptation of the Community Attitudes
towards Substance Abuse (CASA) scale developed by researchers at U of Nevada
Reno was included. Rasch analysis was conducted with each dimension of the
CASA scale as sub-tests and bivariate analysis to explore the correlates of
stigma. Results: The data fit the Rasch model. Stigma varied significantly
by discipline. All scores fluctuated slightly under the midpoint of the
scale. Higher scores were obtained for nurses, followed by physicians,
psychologists, and social workers (p < .01). Stigma levels remained stable
between students and professionals within disciplines. Stigma was
significantly associated to drug use problem among patients in professional'
practice (p < .03) and among relatives (p < .02). Conclusions: CASA is a
valid instrument that can be used for Latino and English speaking providers
to further research on stigma. Stigma in this sample does not change with
academic progress or experience in the workforce suggesting that academic
and professional training on countering stigma is either absent or
ineffective. Implications for professional training, for theory building and
for the research on the impact of stigma in clinical care will be discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
drug use
health care personnel
human
EMTREE MEDICAL INDEX TERMS
adaptation
bivariate analysis
community
drug abuse
health
health disparity
health practitioner
Hispanic
nurse
nursing
occupation
patient
physician
professional practice
psychologist
psychology
Puerto Rican
Puerto Rico
questionnaire
Rasch analysis
scientist
social work
social worker
speech
student
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.024
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 57
TITLE
Nurses' screening and referral behaviors and opinions about brief
interventions before and after implementation of Project Engage
AUTHOR NAMES
Pecoraro A.
Mooney R.
Horton T.
Woody G.E.
AUTHOR ADDRESSES
(Pecoraro A.; Woody G.E.) University of Pennsylvania, Philadelphia, United
States.
(Mooney R.; Horton T.) Christiana Hospital, Christiana, United States.
CORRESPONDENCE ADDRESS
A. Pecoraro, University of Pennsylvania, Philadelphia, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e66). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Project Engage (PE), implemented at Christiana Hospital in DE in 2013,
is a brief intervention to engage non-trauma patients presenting with a
variety of medical problems and found to have drug/alcohol problems in
substance abuse treatment. Describe any changes in Emergency Department (ED)
nurses' screening and referral behaviors and attitudes about the efficacy of
brief engagement interventions subsequent to program implementation.
Methods: 37 nurses completed an online survey shortly before and 6 months
after implementation. They also received a brief orientation to PE. Results:
Repeated measures t-tests revealed significant prepost improvements in:
screening for drug problems (t(35) = 3.08, p = .004); referral to peer
counselors for alcohol problems (t(23) = 3.54, pp= .002) and drug problems
(t(22) = 3.12, p = .005); and opinion of the effectiveness of brief
interventions to help patients cut down/quit substances (t(33) = 3.40, p =
.002) and get into substance abuse treatment (t(32) = 4.54, p = .000). There
was no significantly significant increase in screening for alcohol problems,
since those screening rates were high before PE's implementation.
Conclusions: Nurses' opinions and support are vital to program success.
These data demonstrate that nurses' screening and referral behaviors and
opinions on the effectiveness of brief engagement interventions may improve
subsequent to program implementation.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
human
nurse
screening
EMTREE MEDICAL INDEX TERMS
drug abuse
emergency ward
hospital
injury
patient
Student t test
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.548
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 58
TITLE
Cognitive-behavioral therapy and educational counseling for chronic pain and
opioid dependence
AUTHOR NAMES
Barry D.T.
Cutter C.J.
Beitel M.
Liong C.
Schottenfeld R.S.
AUTHOR ADDRESSES
(Barry D.T.; Cutter C.J.; Beitel M.; Schottenfeld R.S.) Psychiatry, Yale
School of Medicine, New Haven, United States.
(Barry D.T.; Cutter C.J.; Beitel M.; Liong C.) APT Foundation Pain Treatment
Services, New Haven, United States.
CORRESPONDENCE ADDRESS
D.T. Barry, Psychiatry, Yale School of Medicine, New Haven, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e218-e219). Date of Publication: 1
Jan 2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To examine the efficacy of cognitive behavioral therapy (CBT) and
educational counseling (EC)-the educational component of CBT augmented by
additional psychoeducation on chronic pain and addiction-for co-occurring
chronic low-back pain and opioid dependence (POD). Methods: 90 POD patients
received a standard protocol of buprenorphine/naloxone (BUP/NLX) and were
assigned to: physician management (PM) alone, consisting of six 10-15 min
medically focused sessions; PM plus psychologist-delivered CBT (10 sessions
over 12 weeks); or PM plus nurse-delivered EC (10 sessions over 12 weeks).
Primary outcomes were pain interference, pain intensity, and percentage of
opioid-negative urines. Results: The majority were men (68%), Caucasian
(89%), and never married (60%). Completion rates (>90%) and PM attendance
(mean of 5.6 of 6 planned sessions) did not vary across conditions. There
was a significant overall decrease in average pain interference from 4.6 at
baseline to 3.4 at month 3 (p < .05) and a significant interaction between
condition and time (p < .05), favoring PM plus CBT or EC over PM alone: The
mean (SD) reductions in pain interference (scored on 0-10 scales) in the
CBT, EC, and PM alone groups were 1.7 (1.7), 1.4 (1.6), and 0.6 (1.6),
respectively. Pain intensity decreased over time (p < .05) but did not
differ by group nor was there a significant interaction with group by time.
Overall, the proportion of urine samples indicating nonmedical opioid use
decreased from 100% at baseline to 31% (95% CI 23-40%) at month 1, 36% (95%
CI 27-46%) at month 2, and 39% (95% CI 30-50%) at month 3. Covarying for
nonmedical opioid use during BUP/NLX induction, there was a significant
interaction between counseling and time (p < .05): reductions from baseline
were sustained in both CBT and EC groups, while nonmedical opioiduse
increased in the PM alone group. Conclusions: Our findings support the
efficacy of PM enhanced by CBT or EC for patients with POD treated with
BUP/NLX.
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
cognitive therapy
college
counseling
drug dependence
opiate addiction
EMTREE MEDICAL INDEX TERMS
addiction
Caucasian
human
low back pain
male
married person
nurse
pain
pain intensity
patient
physician
psychoeducation
psychologist
urinalysis
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.062
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 59
TITLE
Responsible opioid use
AUTHOR NAMES
Compton P.
Weaver M.F.
AUTHOR ADDRESSES
(Compton P., pcompton@georgetown.edu) School of Nursing and Health Studies,
Georgetown University, Washington, United States.
(Weaver M.F.) Center for Neurobehavioral Research on Addictions, University
of Texas, Health Sciences Center at Houston, Houston, United States.
CORRESPONDENCE ADDRESS
P. Compton, Georgetown University, School of Nursing and Health Studies,
3700 Reservoir Road, NW, Washington, United States.
SOURCE
Journal of Pain and Palliative Care Pharmacotherapy (2015) 29:2 (166-168).
Date of Publication: 1 Jun 2015
ISSN
1536-0539 (electronic)
1536-0288
BOOK PUBLISHER
Informa Healthcare, healthcare.enquiries@informa.com
ABSTRACT
Editor's Note The journal is delighted to introduce a new feature in this
issue that focuses on the complex and multifaceted issue of managing pain
and related symptoms while responsibly attending to minimizing substance
abuse. How should the seemingly disparate disciplines of drug abuse and
symptom control interact? Should these be two separate fields or should
practitioners/investigators in one also be qualified in the other? Is that
even feasible? We are honored to have two leading, academically based
clinician scientists coordinating this new feature. Peggy Compton is
Professor and Associate Dean for Academic Affairs at the School of Nursing &
Health Studies, Georgetown University in Washington, DC. Many readers know
of Peggy's work from her years on the faculty of the University of
California at Los Angeles (UCLA). Peggy brings both clinical and scientific
addictionology expertise as well as the invaluable perspective of nursing to
this arena. Her collaborator is Michael F. Weaver. Mike is Professor of
Psychiatry and Behavioral Sciences, and Medical Director of the Center for
Neurobehavioral Research on Addictions, at the University of Texas Health
Sciences Center at Houston. Prior to moving to Texas, Dr. Weaver became
internationally known for his work in addiction medicine at the Medical
College of Virginia. We look forward to detailed explorations of many
interacting issues in symptom control and substance abuse in the articles
featured in this new journal feature in coming issues. The commentary below,
the article by Kanouse and Compton, the Issue Brief issued by the U.S.
Department of Health and Human Services, and my editorial, all of which
appear in this journal issue, introduce the new feature, which I am
confident will make valuable contributions to the pain management and
substance abuse literature. Arthur G. Lipman, Editor ABSTRACT Abusers of
prescription opioids represent two distinct populations: those who develop
addiction via opioids prescribed for pain, and those for whom prescription
opioids represent a primary drug of abuse. Regardless of the pathway to
abuse, outcomes for patients with untreated opioid addiction are poor, and
consideration of the contextual factors surrounding their problematic use is
critical to effective treatment. Reviewed are patterns of prescription
opioid abuse among particularly vulnerable populations in underserved rural
communities, and in an effort to prevent problematic use, principles of
responsible opioid prescription for chronic pain are outlined so as to
decrease the risk for developing addiction.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prescription
EMTREE MEDICAL INDEX TERMS
analgesia
chronic pain
human
opiate addiction
review
rural population
substance abuse
vulnerable population
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015152037
FULL TEXT LINK
http://dx.doi.org/10.3109/15360288.2015.1037522
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 60
TITLE
A pilot specialty jail diversion program for justice-involved veterans with
co-occurring disorders
AUTHOR NAMES
Smelson D.
Pinals D.A.
Sawh L.
Fulwiler C.
Singer S.
O'Connor K.
Fisher W.
Hartwell S.
Gonzalez G.
AUTHOR ADDRESSES
(Smelson D.; Sawh L.) Department of Veterans Affairs, Bedford, United
States.
(Smelson D.; Pinals D.A.; Sawh L.; Fulwiler C.; Singer S.; O'Connor K.;
Gonzalez G.) University of Massachusetts Medical School, Worcester, United
States.
(Pinals D.A.) Massachusetts Department of Mental Health, Boston, United
States.
(Sawh L.; Fisher W.) University of Massachusetts Lowell, Lowell, United
States.
(Hartwell S.) University of Massachusetts Boston, Boston, United States.
CORRESPONDENCE ADDRESS
D. Smelson, Department of Veterans Affairs, Bedford, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e101). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: To describe MISSION DIRECT-VET (MDV), a jail diversion program for
justice-involved veterans with co-occurring mental health and substance use
disorders (COD) and present the baseline service needs of program
participants. Methods: MDV is a 12-month wraparound intervention delivered
by case manager and peer support specialist teams in four Massachusetts
courts. This pilot enrolled 90 veterans who completed baseline assessments
which included the ASI-Lite, BASIS 24, PCL-C, and NOMS. Results: The sample
was predominantly male (96%), Caucasian (87%) and completed some college
(50%). The average age was 40, over half served in Iraq/Afghanistan (58%),
most were in the Army or Marines (83%), nearly half were less than honorably
discharged from the military (48%). and had an average of four prior
incarcerations. Participants reported use of alcohol (52%), marijuana (18%),
or cocaine (12.2%) in the 30 days before their most recent arrest while 54%
of the sample reported little or no difficulty managing their daily tasks
and 48% reported little or no difficulty coping with problems in the two
weeks prior to baseline. Many of the participants reported a history of
inpatient substance abuse (61%) and/or mental health treatment (44%) prior
to entering MDV. Additional baseline needs/risk data will be included in the
presentation. Conclusions: MDVis one of the first veteran-centric programs
in Massachusetts designed to divert veterans from jail into treatment. These
findings have the potential to guide development of other diversion programs
to meet the needs of justice-involved veterans including future Veterans
Treatment Courts. An evaluation of the MDV program is underway and
MISSION-Criminal Justice Treatment Manuals have been developed to assist
with model fidelity and replication.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
diseases
drug dependence
human
justice
prison
veteran
EMTREE MEDICAL INDEX TERMS
army
book
case manager
Caucasian
coping behavior
criminal justice
hospital patient
male
medical specialist
mental health
model
peer group
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.641
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 61
TITLE
Educational audit on drug dose calculation learning in a tanzanian school of
nursing
AUTHOR NAMES
Savage A.R.
AUTHOR ADDRESSES
(Savage A.R., asavage@sjut.ac.tz) St John’s University of Tanzania,
Tanzania.
CORRESPONDENCE ADDRESS
A.R. Savage, St John’s University of Tanzania, P O Box 47, Dodoma, Tanzania.
SOURCE
African Health Sciences (2015) 15:2 (647-655). Date of Publication: 2015
ISSN
1680-6905
BOOK PUBLISHER
Makerere University, Medical School, pic@infocom.co.ug
ABSTRACT
Background: Patient safety is a key concern for nurses; ability to calculate
drug doses correctly is an essential skill to prevent and reduce medication
errors. Literature suggests that nurses’ drug calculation skills should be
monitored. Objective: The aim of the study was to conduct an educational
audit on drug dose calculation learning in a Tanzanian school of nursing.
Specific objectives were to assess learning from targeted teaching, to
identify problem areas in performance and to identify ways in which these
problem areas might be addressed. Methods: A total of 268 registered nurses
and nursing students in two year groups of a nursing degree programme were
the subjects for the audit; they were given a pretest, then four hours of
teaching, a post-test after two weeks and a second post-test after eight
weeks. Results: There was a statistically significant improvement in correct
answers in the first post-test, but none between the first and second
post-tests. Particular problems with drug calculations were identified by
the nurses/students, and the teacher; these identified problems were not
congruent. Conclusion: Further studies in different settings using different
methods of teaching, planned continuing education for all qualified nurses,
and appropriate pass marks for students in critical skills are recommended.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dose calculation
learning
medical audit
nursing education
EMTREE MEDICAL INDEX TERMS
arithmetic
article
clinical education
controlled study
division
education program
human
medical error
multiplication
nursing student
pretest posttest control group design
problem identification
registered nurse
Tanzanian
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015082339
FULL TEXT LINK
http://dx.doi.org/10.4314/ahs.v15i2.44
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 62
TITLE
Brief tools for pediatricians to screen 9- to 12-year-olds in need of
prevention for substance use disorder
AUTHOR NAMES
Ridenour T.
Reynolds M.D.
AUTHOR ADDRESSES
(Ridenour T.) Research Triangle Institute, Allison Park, United States.
(Ridenour T.; Reynolds M.D.) University of Pittsburgh, Pittsburgh, United
States.
CORRESPONDENCE ADDRESS
T. Ridenour, Research Triangle Institute, Allison Park, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e80-e81). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Healthcare-based prevention of substance use disorder (SUD) has been a
policy for American Academy of Pediatrics for decades; the Affordable Care
Act also supports such programs. Two previously-validated and computerized
tools, parent-report Transmissible Liability Index (TLI) and child-report
Risk Index (RI), will be acceptable to patients, their parents and pediatric
staff and provide clinical utility when used during well child check-ups.
Methods: Following informed consent and child assent, while waiting for a
physician in the exam room, parents and patients completed the TLI and RI,
respectively. Nurses also invited parents to participate in a follow-up
interview. Of 258 records scanned for eligibility (patients of 17
pediatricians within 3 practices), 106 parent-child dyads were recruited by
nurses to complete the TLI and a RI prototype; 41.9% of patients were girls,
55.7% were African- American, 44.3% were Caucasian, and their mean age =
10.3 years (SD = 2.0). Results: TLIs took a mean 5.3 min (range = 4.3-7.4);
prototype RIs took a mean 5.1 min (range = 2.3-10.1). Parents and patients
rated the screening protocol very positively. E.g., over 93% of parents
reported they want pediatricians to use the screening tools; 96.6% reported
that if the screening indicated their child needed prevention, they would
seek help through a physician's referral. Pediatricians and office staff
also viewed the protocol positively, patient flow was not disrupted, and
medical staff agreed to assist in further development of a screening and
referral protocol. Scores on both indexes correlated with substance use,
conduct disorder, health behaviors that concern pediatricians (e.g., wearing
a helmet while riding a bike) and many case-conceptualization measures used
with the Family Check-Up prevention program. Conclusions: The TLI/RI
screening protocol fits pediatric well child check-up logistics, is
acceptable, and provides clinical utility as a screening tool for
healthcare-based SUD prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
human
pediatrician
prevention
substance abuse
EMTREE MEDICAL INDEX TERMS
African American
American
Caucasian
child
conduct disorder
female
follow up
girl
health behavior
health care
helmet
informed consent
interview
medical staff
nurse
parent
patient
pediatrics
physician
policy
risk
screening
substance use
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.588
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 63
TITLE
Partnership in wellness and recovery: An evidencebased practice for family
psycho-education
AUTHOR NAMES
Vaishnav R.
AUTHOR ADDRESSES
(Vaishnav R., r_d_vaishnav@yahoo.com) Supportive Housing in Peel, Canada.
CORRESPONDENCE ADDRESS
R. Vaishnav, Supportive Housing in Peel, Canada. Email:
r_d_vaishnav@yahoo.com
SOURCE
Indian Journal of Psychiatry (2015) 57:5 SUPPL. 1 (S184-S185). Date of
Publication: January 2015
CONFERENCE NAME
67th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2015
CONFERENCE LOCATION
Hyderabad, India
CONFERENCE DATE
2015-01-08 to 2015-01-11
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: This workshop will be based on the significance of Family
Psycho-education as a key component of recovery in the mental health
profession. The author will share her own success in developing a unique
support group for the family members of individuals who are diagnosed with
complex psychiatric illness. As a part of a professional role as a Social
Worker of an Assertive Community Treatment Team, the author was involved in
promoting and implementing projects to increase awareness and understanding
of family members and assisting them with enhancing their coping skills to
deal with the issues of complex care. This psycho-educational family support
group was able to create a safe environment where members had an opportunity
to share and exchange their ideas and discuss the challenges in care.
Sessions were developed to incorporate the unique needs of family members to
manage the complex illness of their loved-ones and become better partners in
their wellness. This group was conducted annually and represented by the
family members from diverse communities of Canada. Members who attended the
series of 10 workshops gained information on various diagnoses, treatment
modalities, and community resources. Members had an opportunity to share and
exchange their ideas with others, learn new coping skills, and improve their
problem solving and crisis management skills. Members were given an
opportunity to interact with the professionals from different disciplines of
ACT throughout the series. This group was able to create a foundation for a
future support network for family members. As Recovery encompasses personal,
emotional, physical, social, vocational and spiritual aspects of an
individual who is being recovered, the most essential components of this
complex process can be: Clinical care, hope, support from family members,
community involvement, empowerment, access to resources, a healthy life
style, positive interpersonal relationships, motivation and encouragement.
In the absence of these elements it becomes almost impossible for an
individual to reach the last stage of recovery which is a stage of
Interdependence/ awareness where the individual relies on self and others in
a mutual exchange of beneficial support, services and resources. The author
intends to focus on how family members can become a better partner in the
process of Recovery. In the ANCIPS workshop, the author will make a
presentation on the summary of the Evidence-based Psycho-educational Support
Group which will include information on the conception of group, outreach,
contents of workshops, results of pre and post questionnaire and feedback
summaries. The author will also provide information on the ACT Model which
is a unique service delivery system implemented in over 4 major countries of
the world. Target Audience: Social Workers, Addiction Specialists,
Occupational Therapists, Peer Support Specialists, Registered Nurses in
Psychiatric Sectors, Mental Health Clinicians, Family Members of Patients,
Researchers, Psychiatrists Learning Outcomes: • Participants will learn
about the ACTT model and how it helps to establish partnership and
collaboration in multidisciplinary teams. • Participants who are mental
health professionals will learn about the benefits of providing
evidence-based services to families. • Participants who are mental health
professionals will learn how to formulate a unique support group for
families and significant others. • Participants who are mental health
professionals will learn about the partnership in wellness and recovery. •
Participants who are family members will learn about the significance of
education and awareness around treatment and how to foster recovery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
evidence based practice
Indian
medical society
wellbeing
EMTREE MEDICAL INDEX TERMS
addiction
Canada
community
coping behavior
diagnosis
diseases
empowerment
environment
feedback system
group therapy
health care delivery
health practitioner
hope
human
human relation
laryngeal mask
learning
lifestyle
medical specialist
mental disease
mental health
model
motivation
non profit organization
occupation
occupational therapist
patient
peer group
problem solving
professional standard
psychiatrist
questionnaire
registered nurse
scientist
skill
social worker
support group
vocation
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 64
TITLE
Change of suicidality among heroin users: 1 month after methadone
maintenance treatment
AUTHOR NAMES
Wang S.-C.
Huang C.-L.
Wang N.Y.
Chan C.-H.
Liu Y.-L.
Chen C.-Y.
Ho I.-K.
AUTHOR ADDRESSES
(Wang S.-C.; Liu Y.-L.) Center for Neuropsychiatric Research, National
Health Research Institutes, Miaoli, Taiwan.
(Huang C.-L.; Wang N.Y.; Ho I.-K.) China Medical University and Hospital,
Taichung, Taiwan.
(Chen C.-Y.) National Yang Ming University, Taipei, Taiwan.
(Chan C.-H.) Taoyuan Mental Hospital, Taoyuan, Taiwan.
CORRESPONDENCE ADDRESS
S.-C. Wang, Center for Neuropsychiatric Research, National Health Research
Institutes, Miaoli, Taiwan.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e17). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Suicide is a leading cause of death among heroin users. Factors
affecting suicidality during treatment remain unclear. This study aimed to
investigate the heroin users' suicidality before and after 1 month of
methadone maintenance treatment (MMT). Factors associated with change in
suicidality were also explored. Methods: A total of 597 newly admitted MMT
patients were recruited from 8 hospitals located in the northern and
mid-Taiwan. Demographics, and history of substance abuse and treatment were
obtained from medical records. Suicidality was assessed by research nurses
using suicidality module of Mini International Neuropsychiatric Interview
(MINI). After the first month of MMT, subjects retained in treatment were
re-assessed for their suicidality. Logistic regression analyses were used to
determine the factors linked to change in suicidality during the first month
of MMT. Results: Among the 389 patients with suicidality reassessment, 83
(21.3%) improved, and 58 (14.9%) worsened or had no improvement for their
suicide risk. Contrast to the 248 subjects with no suicidality during the
past 1 month of MMT, those with no improvement were significantly associated
with no full-time job (e.g., part-time job: OR= 6.0, p < 0.001; unemployed:
OR= 7.5, p < 0.001), financial difficulty (e.g., loan from others: OR= 2.6,
p < 0.01; social welfare support: OR= 13.0, p < 0.01), HIV-infected (OR =
2.8, p < 0.01), and recent use of methamphetamine (OR = 1.1, p < 0.01). On
the other hand, the improving group was significantly associated with
HIV-infected (OR = 2.1, p < 0.05), and use of antidepressant before MMT (OR
= 3.3, p < 0.01) relative to those with no suicidality during the past
month. Conclusions: The MMT will help heroin users to reduce suicide risk.
However, service providers should pay attention to those with problems of
unemployment, financial difficulty and concomitant use of other illicit
drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
diamorphine
EMTREE DRUG INDEX TERMS
antidepressant agent
illicit drug
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
maintenance therapy
methadone treatment
EMTREE MEDICAL INDEX TERMS
cause of death
hospital
human
Human immunodeficiency virus
logistic regression analysis
medical record
mini international neuropsychiatric interview
nurse
patient
risk
social welfare
substance abuse
suicide
Taiwan
unemployment
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.726
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 65
TITLE
Factors affecting smoking status of nursing students and their addiction
levels
AUTHOR NAMES
Yiğitalp G.
AUTHOR ADDRESSES
(Yiğitalp G., gyigitalp@dicle.edu.tr) Department of Nursing, Dicle
University Atatürk Health High School, Diyarbakır, Turkey.
CORRESPONDENCE ADDRESS
G. Yiğitalp, Dicle Üniversitesi Atatürk Sağlık Yüksekokulu, Hemşirelik
Bölümü, Diyarbakır, Turkey.
SOURCE
Turk Toraks Dergisi (2015) 16:3 (121-127). Date of Publication: 1 Jul 2015
ISSN
1308-5387 (electronic)
1302-7808
BOOK PUBLISHER
AVES Ibrahim Kara, 105/9 Buyukdere Cad, Mecidiyekoy,Sisli, Istanbul, Turkey.
info@avesyayincilik.com
ABSTRACT
OBJECTIVES: This study was conducted to determine the smoking habits of
students of Atatürk Health College of Dicle University and the factors
affecting them. MATERIAL AND METHODS: This cross-sectional study was
performed between April 15 and 19, 2013. The selection of sampling was not
conducted, since the whole study population included. Of 400 registered
students, 326 (81.5%) were included. For collecting data, a questionnaire
form designed by the researcher and Fagerstrom test for nicotine dependence
for determining the addiction level were applied. Percentage calculation was
used for analyzing data, and chi-square test was employed for evaluating the
relationship between the variables. RESULTS: The mean age of students was
21.4±2.3 years. Of them, 12.3% still smoked and 4% had quit. Of the smokers,
21.9% were males and 3.5% were females. Of the smokers, 67.5% stated that
they tried to quit smoking and 72.5% replied that they thought of quitting
smoking in the future. It was found that 47.5% of the students smoked 11–20
cigarettes a day. Of the students who still smoked and who had quitted,
47.2% had begun to smoke at the age of 10–15 years. As the cause for smoking
initiation, 50.9% of the students revealed stress, difficulties, and sadness
and 35.8% revealed the effect of a friend. A statistically significant
difference was found between smoking habit and age, gender, class, and the
presence of smokers among close friends (p<0.05). Moreover, it was detected
that 35% of the students were over dependent. CONCLUSION: The prevalence of
smoking among the youth is high. To decrease smoking prevalence, the reasons
for smoking initiation should be investigated and some precautions should be
taken before the university age, and they should be continued during the
university education.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing student
smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
disease severity
emotional stress
female
groups by age
human
male
questionnaire
scoring system
smoking cessation
young adult
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015166958
FULL TEXT LINK
http://dx.doi.org/10.5152/ttd.2015.4357
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 66
TITLE
Body mass index in school-aged children and the risk of routinely diagnosed
non-alcoholic fatty liver disease in adulthood: a prospective study based on
the Copenhagen School Health Records Register
AUTHOR NAMES
Zimmermann E.
Gamborg M.
Holst C.
Baker J.L.
Sørensen T.I.
Berentzen T.L.
AUTHOR ADDRESSES
(Zimmermann E.) Institute of Preventive Medicine, Bispebjerg and
Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark
(Gamborg M.) Institute of Preventive Medicine, Bispebjerg and Frederiksberg
Hospital, The Capital Region, Copenhagen, Denmark
(Holst C.) Institute of Preventive Medicine, Bispebjerg and Frederiksberg
Hospital, The Capital Region, Copenhagen, Denmark
(Baker J.L.) Institute of Preventive Medicine, Bispebjerg and Frederiksberg
Hospital, The Capital Region, Copenhagen, Denmark Section on Metabolic
Genetics, Faculty of Health and Medical Sciences, Novo Nordisk Foundation
Centre for Basic Metabolic Research, University of Copenhagen, Denmark
(Sørensen T.I.) Institute of Preventive Medicine, Bispebjerg and
Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark Section on
Metabolic Genetics, Faculty of Health and Medical Sciences, Novo Nordisk
Foundation Centre for Basic Metabolic Research, University of Copenhagen,
Denmark MRC Integrative Epidemiology Unit, Bristol University, Bristol, UK
(Berentzen T.L.) Institute of Preventive Medicine, Bispebjerg and
Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark
SOURCE
BMJ open (2015) 5:4 (e006998). Date of Publication: 2015
ISSN
2044-6055 (electronic)
ABSTRACT
OBJECTIVE: The relation between childhood overweight and adult non-alcoholic
fatty liver disease (NAFLD) is largely unknown. We investigated if weight
and weight gain in childhood increases the risk of being diagnosed with
NAFLD in routine clinical settings in adulthood.PARTICIPANTS: We studied
244,464 boys and girls, born between 1930 and 1989, who attended school in
Copenhagen, Denmark. Their heights and weights were measured by physicians
or nurses at mandatory school health examinations at ages 7-13 years. Body
mass index (BMI) z-scores were calculated from an internal age-specific and
sex-specific reference.OUTCOME MEASURES: NAFLD reported in the National
Patient Register and the National Register of Pathology at 18 years of age
or older. HRs with 95% CIs were estimated.RESULTS: During follow-up, 1264
and 1106 NAFLD cases, respectively, occurred in men and women. In both
sexes, childhood BMI z-score was not consistently associated with adult
NAFLD. Change in BMI z-score between 7 and 13 years of age was positively
associated with NAFLD in both sexes. When adjusted for BMI z-score at age 7
years, the HRs of adult NAFLD were 1.15 (95% CI 1.05 to 1.26) and 1.12 (95%
CI 1.02 to 1.23) per 1-unit gain in BMI z-score in men and women,
respectively. Associations were similar when adjusted for BMI z-score at age
13 years, and were consistent across birth years.CONCLUSIONS: A BMI gain in
school-aged children is associated with adult NAFLD. Intriguingly, BMI gain
appears to have an effect on adult NAFLD irrespective of either the initial
or the attained BMI. Taken together, our results suggest that BMI gain in
childhood, rather than the level of BMI per se, is important in the
development of adult NAFLD.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body mass
weight gain
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
body height
child
childhood obesity
cohort analysis
complication
Denmark
female
human
incidence
male
middle aged
nonalcoholic fatty liver (epidemiology, etiology)
obesity
prospective study
risk factor
school health service
very elderly
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25941179 (http://www.ncbi.nlm.nih.gov/pubmed/25941179)
FULL TEXT LINK
http://dx.doi.org/10.1136/bmjopen-2014-006998
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 67
TITLE
Depot naltrexone as relapse prevention for opioid-dependent parolees
AUTHOR NAMES
O'Brien C.P.
Friedmann P.D.
Nunes E.
Lee J.D.
Kinlock T.W.
AUTHOR ADDRESSES
(O'Brien C.P.) Psychiatry, University of Pennsylvania, Philadelphia, United
States.
(Friedmann P.D.) Psychiatry, Rhode Island Hosp, Providence, United States.
(Nunes E.) Psychiatry, Columbia University, New York, United States.
(Lee J.D.) Psychiatry, New York University, New York, United States.
(Kinlock T.W.) Addiction, Friends Medical Research, Baltimore, United
States.
CORRESPONDENCE ADDRESS
C.P. O'Brien, Psychiatry, University of Pennsylvania, Philadelphia, United
States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e54-e55). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Determine whether depot naltrexone is safe and effective to prevent
relapse in parolees with opioid use disorder. All were volunteers, not
referred by parole officers. Effectiveness was evaluated by randomly
assigning parolees to 6 monthly naltrexone injections or treatment as usual
(TAU) without medication. Methods: All patients met DSM-IV criteria for
opioid dependence. 308 parolees were randomized and 290 are now eligible for
6-month follow up. The naltrexone group received 6 monthly injections of
380mg and a monthly visit with a nurse. The parolees randomized to TAU
received help in joining a community counseling program. Outcomes were
measured by urine tests and self-report. Results: Retention rates in
treatment at 27, 52, and 78 weeks were 64%, 58% and 54% for the TAU group
and 66%, 54% and 52% for the naltrexone group. Urine tests were examined at
27, 52 and 78 weeks and with pooled data from all 5 sites, there were
significantly fewer opioid positive urines in the naltrexone group (p <
.0001 for the pooled analysis). The rate of positive opioids for TAU was
3.36 times higher than that for naltrexone. No significant difference was
found for other drugs. There were 2 opioid overdoses in the TAU group and
none in the naltrexone group. There were 4 deaths from all causes in the TAU
group and 2 deaths in the naltrexone group unrelated to medication.
Conclusions: A monthly injection of depot naltrexone significantly reduced
opioid relapse in parolees. Six-month retention was similar in the two
groups. Serious adverse events including opioid overdose occurred less often
in the group receiving naltrexone (18 naltrexone vs. 43 for TAU). In this
interim analysis, depot naltrexone was found to be both safe and effective
in reducing the rate of relapse to opioid use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naltrexone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
prevention
relapse
EMTREE MEDICAL INDEX TERMS
community
counseling
death
diseases
drug therapy
follow up
human
injection
intoxication
nurse
opiate addiction
patient
self report
urinalysis
urine
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.519
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 68
TITLE
Effects of extended release tramadol on cigarette smoking during opioid
withdrawal
AUTHOR NAMES
Lofwall M.R.
Babalonis S.
Bennett L.
Nuzzo P.A.
Walsh S.L.
AUTHOR ADDRESSES
(Lofwall M.R.; Babalonis S.; Walsh S.L.) Behavioral Science, University of
Kentucky, College of Medicine (UK COM), Lexington, United States.
(Lofwall M.R.; Walsh S.L.) Psychiatry, UK COM, Lexington, United States.
(Lofwall M.R.; Babalonis S.; Nuzzo P.A.; Walsh S.L.) Center on Drug and
Alcohol Research, UK COM, Lexington, United States.
(Bennett L.) Anesthesiology, UK COM, Lexington, United States.
CORRESPONDENCE ADDRESS
M.R. Lofwall, Behavioral Science, University of Kentucky, College of
Medicine (UK COM), Lexington, United States.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e183). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: ER tramadol has a metabolite (M1) with modest opioid agonist activity
and is under investigation as a treatment for opioid withdrawal. Opioid
agonists have been shown to increase cigarette (cig) smoking. The aim was to
evaluate the effects of ER tramadol on cig smoking during opioid withdrawal.
Methods: This is a secondary analysis from an inpatient, double blind,
randomized, placebo-controlled trial. Eligibility criteria included: 18-55
years old, short-acting prescription opioid use >20 of the last 30 days,
meeting DSM-IV criteria for current opioid dependence, and daily cig
smoking. The day after admission, subjects were randomly assigned to oral
placebo or ER tramadol (200 or 600mgdaily) for 7 days and allowed to smoke
their preferred brand of cigs ad lib. Breakthrough withdrawal medications
were available for all subjects. Outcomes collected daily were: (1) subject
and nursing report of number of cigs smoked, (2) number and weight of smoked
cig butts, and (3) the brief questionnaire of smoking urges (QSU).
Fagerstrom Test for Nicotine Dependence (FTND) score and maximum total doses
of withdrawal medications/day (proxy for opioid withdrawal severity) were
employed as covariates. Results: Subjects (n = 11-12/group) smoked a mean of
21.1 cigs/day prior to admission. No group smoked more than this during
admission. Cig butts showed a Group×Time [F(2.080); p = 0.02] interaction
whereby the 600mggroup had more butts collected than the placebo group on
days 1-3. There were no other significant Group effects in time course or
peak maximum value analyses. FTND was a significant covariate (p < 0.05) for
number of cigs smoked and butts collected and peak QSU Factor 1 (smoking for
positive reinforcement) score. Conclusions: ER tramadol has few effects on
smoking during opioid withdrawal. Limitations include inpatient setting and
lack of positive opioid agonist control condition.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
tramadol
EMTREE DRUG INDEX TERMS
opiate agonist
placebo
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug dependence
smoking
EMTREE MEDICAL INDEX TERMS
controlled study
drug therapy
Fagerstrom Test for Nicotine Dependence
hospital patient
human
metabolite
nursing
opiate addiction
prescription
questionnaire
reinforcement
secondary analysis
smoke
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.413
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 69
TITLE
Implementation of drug and HIV risk counseling in MMT programs in Taiwan
AUTHOR NAMES
Lee T.S.-H.
Chawarski M.C.
Peng C.
Hung C.
Metzger D.
AUTHOR ADDRESSES
(Lee T.S.-H.; Peng C.) National Taiwan Normal University, Taipei, Taiwan.
(Chawarski M.C.) Psychiatry, Yale School of Medicine, New Haven, United
States.
(Hung C.) Taichung Veteran General Hospital, Taichung, Taiwan.
(Metzger D.) University of Pennsylvania, Philadelphia, United States.
CORRESPONDENCE ADDRESS
T.S.-H. Lee, National Taiwan Normal University, Taipei, Taiwan.
SOURCE
Drug and Alcohol Dependence (2015) 146 (e173). Date of Publication: 1 Jan
2015
CONFERENCE NAME
2014 Annual Meeting of the College on Problems of Drug Dependence
CONFERENCE LOCATION
San Juan, Puerto Rico
CONFERENCE DATE
2014-06-14 to 2014-06-19
ISSN
0376-8716
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Aims: Few methadone maintenance treatment (MMT) programs in Taiwan offer
drug counseling and data on program implementation have rarely been
reported. This study aims to examine the feasibility of Behavioral Drug and
Risk Counseling (BDRC) as a component of MMTP and documents its
implementation in Taiwan. Methods: 90 MMT patients were randomly assigned to
treatment as usual (n = 45, MMT only) or MMT+ BDRC (n = 45). Patients in the
BDRC group receive weekly counseling in the first month, bi-weekly in months
2 and 3, and monthly in months 4 to 7 after enrollment. BDRC sessions offer
education on biological and pharmacological mechanisms of heroin and
methadone, skills to reduce/avoid HIV risk behaviors, maintaining or
improving medication adherence, and establishing non-drug related activities
supporting recovery. BDRC utilizes health education, setting small and
achievable goals, positive feedback, and developing plans and skills to
improve treatment participation and prolonged drug recovery. BDRC counselors
(n = 4) received a 5-day training workshop at the program onset. Clinical
supervision, including case discussions, is conducted monthly and lead by an
experienced psychotherapist. Counselors maintain content checklists and
notes from each session. Results: Content analysis of the checklists and
counseling notes showed that counselors were able to deliver the BDRC but
fidelity of counseling intervention varies between sites and counselors.
Factors influencing intervention fidelity include: counselor's professional
background and past training, and site/organizational characteristics (e.g.,
availability of separate and confidential counseling space, coordination
between case managers and counselors) and frequency of clinical supervision.
Conclusions: Our preliminary findings support the potential of integrating
behavioral counseling into regular MMT as a component of a comprehensive
treatment in Taiwan.
EMTREE DRUG INDEX TERMS
diamorphine
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
counseling
drug dependence
Human immunodeficiency virus
risk
Taiwan
EMTREE MEDICAL INDEX TERMS
case manager
checklist
clinical supervision
content analysis
education
health education
human
maintenance therapy
medication compliance
methadone treatment
patient
patient counseling
positive feedback
psychotherapist
skill
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugalcdep.2014.09.387
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 70
TITLE
Increasing tobacco dependence treatment through continuing education
training for behavioral health professionals
AUTHOR NAMES
Williams J.M.
Miskimen T.
Minsky S.
Cooperman N.A.
Miller M.
Budsock P.D.
Cruz J.
Steinberg M.L.
AUTHOR ADDRESSES
(Williams J.M., jill.williams@rutgers.edu; Miskimen T.; Minsky S.; Cooperman
N.A.; Budsock P.D.; Cruz J.; Steinberg M.L.) Department of Psychiatry,
Rutgers-Robert Wood Johnson Medical School, Piscataway, United States.
(Williams J.M., jill.williams@rutgers.edu; Miskimen T.; Minsky S.; Miller
M.) Rutgers University Behavioral Health Care, Piscataway, United States.
(Cooperman N.A.; Steinberg M.L.) Rutgers Cancer Institute of New Jersey,
Canada.
SOURCE
Psychiatric Services (2015) 66:1 (21-26). Date of Publication: 1 Jan 2015
ISSN
1557-9700 (electronic)
1075-2730
BOOK PUBLISHER
American Psychiatric Association, apa@psych.org
ABSTRACT
Objective: Few continuing education programs to train behavioral health
professionals to deliver tobacco treatment services have been described and
evaluated. Methods: The effectiveness of two-day training on changing
practice was examined by review of clinical charts from 20 clinicians who
attended in 2012. Ten medical records were randomly selected for review from
each clinician's outpatient practice at a large behavioral health system.
Five charts from smokers seen within six months before and after training
were reviewed per clinician, for a total of 200. Records were electronically
searched on "cigarette," "nicotine," "tobacco," "quit," "smoking," and
"smoke." Results were compared via chi square tests (all p<.05). Results:
Almost half of the smokers indicated that they were interested in quitting,
although baseline rates of tobacco use treatment were very low.
Documentation of tobacco use significantly increased between baseline and
posttraining, both on the problem list (35% versus 74%) and treatment plan
(20% versus 60%). Also posttraining, clinicians advised significantly more
outpatients to quit (9% versus 36%) or referred them to individual or group
counseling. Discussion of nicotine replacement was documented more
frequently in charts (10% versus 31%), and prescriptions for tobacco
treatment medications increased significantly in the posttraining period,
although overall prescribing remained low. The proportion of patients making
quit attempts also significantly increased in the posttraining period (10%
versus 39%), suggesting that providers were delivering more tobacco
treatment than was reflected in charts. Conclusions: An intensive training
program for behavioral health professionals increased tobacco treatment and
patient quit attempts. Strategies beyond training may be needed to enhance
prescribing by these practitioners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavioral health professional
continuing education
health practitioner
paramedical education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
clinical practice
electronic medical record
evaluation study
evidence based practice
female
health care system
health personnel attitude
human
male
medical record review
outpatient care
psychiatrist
registered nurse
self report
smoking
smoking cessation
tobacco use
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015084897
MEDLINE PMID
25220158 (http://www.ncbi.nlm.nih.gov/pubmed/25220158)
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ps.201300523
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 71
TITLE
Alcohol and drug use among adolescents: An educational overview
AUTHOR NAMES
Gutierrez A.
Sher L.
AUTHOR ADDRESSES
(Gutierrez A., alfredo.gutierrez@mssm.edu) Icahn School of Medicine,
Department of Psychiatry, Box 1230, One Gustave L Levy Place, New York,
United States.
(Sher L.) James J. Peters Veterans' Administration Medical Center, Icahn
School of Medicine at Mount Sinai, New York, United States.
CORRESPONDENCE ADDRESS
A. Gutierrez, Icahn School of Medicine, Department of Psychiatry, Box 1230,
One Gustave L Levy Place, New York, United States.
SOURCE
International Journal of Adolescent Medicine and Health (2015) 27:2
(207-212). Date of Publication: 1 May 2015
ISSN
2191-0278 (electronic)
0334-0139
BOOK PUBLISHER
Walter de Gruyter GmbH, degruyter@s-f-g.com
ABSTRACT
Alcohol and drug use continues to be a significant global problem with many
health and economic consequences. Multiple studies have shown that the
majority of adults who end up with an alcohol/drug use disorder have their
first contact with these substances as adolescents. This article aims to
briefly summarize current prevalence and impact on society, as well as its
etiology, comorbid psychiatric disorders, and treatment and prevention of
adolescent drug and alcohol use. Alcohol and substance use impacts both the
user and society at large, from health risks to the user to increased early
pregnancies, car accidents, financial cost, and productivity cost. Substance
use and abuse results from intricate interactions between genetic and
environmental influences. Also, substance abuse along with a comorbid
psychiatric disorder is more common than a solitary substance use disorder
in adolescents. Current options for the treatment of substance abuse
disorders range from various therapy-based strategies, including behavioral
and family-based therapies, to the use of medications. More attention must
be placed on the importance of prevention of use, as well as progression of
use to dependence. Successful prevention requires a comprehensive plan that
needs to include, but should not be limited to, increasing education of all
gatekeepers and limiting access of substances and alcohol through policy and
reinforcement of those policies. Education of parents, pediatricians, school
nurses, teachers, and mental health workers is essential to ensure that
children at risk are identified in time to provide appropriate
interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
substance use
EMTREE MEDICAL INDEX TERMS
adolescent disease
alcohol consumption
behavior
family
first trimester pregnancy
health care access
health care policy
health education
health hazard
human
mental disease
mental health service
parent
productivity
reinforcement
review
school health nursing
society
teacher
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015018488
FULL TEXT LINK
http://dx.doi.org/10.1515/ijamh-2015-5013
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 72
TITLE
Assessment and delivery of treatment for hepatitis C virus infection in an
opioid substitution treatment clinic with integrated peer-based support in
Newcastle, Australia
AUTHOR NAMES
Keats J.
Micallef M.
Grebely J.
Hazelwood S.
Everingham H.
Shrestha N.
Jones T.
Bath N.
Treloar C.
Dore G.J.
Dunlop A.
Haber P.
Carolyn D.
Gregory D.
Tawil V.
Krahn M.
Loveday S.
Thein H.-H.
AUTHOR ADDRESSES
(Keats J.; Hazelwood S.; Everingham H.; Shrestha N.; Dunlop A.) Newcastle
Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New
England Local Health District, Newcastle, Australia.
(Micallef M., mmicallef@kirby.unsw.edu.au; Grebely J.; Dore G.J.) The Kirby
Institute, UNSW, Kensington, Australia.
(Everingham H.; Shrestha N.; Bath N.) NSW Users and AIDS Association, Inc.,
Sydney, Australia.
(Jones T.) Department of Gastroenterology, John Hunter Hospital, Hunter New
England Local Health District, Newcastle, Australia.
(Treloar C.) Centre for Social Research in Health, UNSW, Kensington,
Australia.
(Jones T.; Dunlop A.) University of Newcastle, Newcastle, Australia.
(Haber P.; Carolyn D.) University of Sydney, Australia.
(Gregory D.) UNSW Australia, Australia.
(Tawil V.) NSW Health Department, Australia.
(Krahn M.; Thein H.-H.) University of Toronto, Canada.
(Loveday S.) Hepatitis C Council of New South Wales, Inc., Australia.
CORRESPONDENCE ADDRESS
M. Micallef, The Kirby Institute, UNSW, Wallace Wurth Building, Kensington,
Australia.
SOURCE
International Journal of Drug Policy (2015) 26:10 (999-1006). Date of
Publication: 1 Oct 2015
ISSN
1873-4758 (electronic)
0955-3959
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: Among people who inject drugs (PWID), the prevalence of
hepatitis C virus (HCV) infection is high; however HCV treatment uptake
remains low. New models of care are needed to address the growing burden of
HCV-related disease in PWID and to understand the barriers to assessment and
treatment of HCV. This study evaluated assessment and treatment for HCV
infection among PWID attending an opioid substitution treatment (OST) clinic
with an integrated peer support worker model. Methods: Clients with a
history of IDU and chronic HCV infection, attending the Newcastle
Pharmacotherapy Service, Newcastle Australia, were recruited as part of a
multisite prospective observational study (the ETHOS Cohort). Additional
chart review was conducted for clients not enrolled in the ETHOS Cohort. A
peer support worker was introduced to complement and extend services offered
by the clinical team. Client contacts and assessments with a nurse and/or
peer worker were evaluated, including those who commenced HCV treatment.
Results: A total of 1447 clients attended the OST service during February
2009 and June 2014. Of these, 378 (26%) were assessed by a nurse and 242
(17%) by a clinician. HCV treatment was commenced by 20 (5%) participants
and 15 (75%) achieved a sustained virological response (SVR). During May
2009 and July 2011, 332 nurse contacts and 726 peer worker contacts were
evaluated. The nurse-led contacts were related to HCV treatment (50%) and
review of pathology tests (34%), whereas peer worker contacts included
discussion about HCV treatment (75%), education, counselling and/or support
(53%) and general discussion about HCV infection (59%). Conclusion: These
data demonstrate that peer support workers facilitate broader discussion
about HCV treatment, education and/or support, allowing nurses to focus on
HCV-related assessment and treatment. HCV treatment uptake was very low in
this cohort, but SVR was high. The integration of peer support workers in
treatment programs within OST clinics may address barriers to HCV care, but
further studies are needed to assess their impact on assessment and
treatment outcomes.
EMTREE DRUG INDEX TERMS
peginterferon (clinical trial, drug therapy)
ribavirin (clinical trial, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic hepatitis C (drug therapy, drug therapy)
health care delivery
health care facility
peer group
performance measurement system
EMTREE MEDICAL INDEX TERMS
adult
antiviral therapy
article
Australia
clinical assessment
clinical trial
drug dependence (therapy)
drug efficacy
drug withdrawal
female
health care management
health service
human
intravenous drug abuse
major clinical study
male
multicenter study
nurse attitude
nurse patient relationship
observational study
opiate substitution treatment
patient counseling
patient education
priority journal
prospective study
treatment response
CAS REGISTRY NUMBERS
ribavirin (36791-04-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015312469
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugpo.2015.07.006
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 73
TITLE
Knowledge and attitude towards alcoholism among nursing students: An
interventional study
AUTHOR NAMES
Patel P.R.
Oza H.
Prajapati G.
Vankar G.K.
AUTHOR ADDRESSES
(Patel P.R., poorav_patel2@yahoo.com; Oza H.; Prajapati G.; Vankar G.K.) BJ
Medical College, Ahmedabad, India.
CORRESPONDENCE ADDRESS
P.R. Patel, BJ Medical College, Ahmedabad, India. Email:
poorav_patel2@yahoo.com
SOURCE
Indian Journal of Psychiatry (2015) 57:5 SUPPL. 1 (S34). Date of
Publication: January 2015
CONFERENCE NAME
67th Annual National Conference of the Indian Psychiatric Society, ANCIPS
2015
CONFERENCE LOCATION
Hyderabad, India
CONFERENCE DATE
2015-01-08 to 2015-01-11
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications
ABSTRACT
Background: Alcohol is one of the most common substances leading to abuse
and dependence. Adequate knowledge regarding alcoholism and positive
attitudes in paramedical college students towards alcoholism would make
early recognition of and appropriate intervention in this disorder more
likely and hence better outcome of illness. Objectives: This study was
conducted to raise knowledge and to change the attitude of nursing students
towards alcoholism. Methods: Survey method, Pre and Post-interventional
session in students of Government Nursing School, Ahmedabad. Questionnaire
containing 36 questions regarding alcoholism was given before and after the
interventional lecture to 100 nursing students. Questionnaire comprising of
3 scales: The Marcus questionnaire (Marcus,1980), The Tolor-Tamerin Scale
(Tolor-Tamerin,1975) and The Seaman-Mannello Scale (Seaman-Mannello,1978)
Chi square test. SPSS version 15. P value of <0.05 was considered
statistically significant. Results: After the intervention, attitude of the
nursing students changed significantly. Attitude has been changed mainly
regarding etiology, moral factors and nature of alcoholism. After the
intervention significant number of students has accepted alcoholism as a
psychiatric illness. Before intervention 40 students considered alcoholism
as an illness and after intervention 67 students considered it as an
illness. Conclusion: Interventions like lecture of nursing students on
alcoholism results in improvement in knowledge and positive attitude towards
the illness, leading to early recognition and better treatment.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
human
Indian
intervention study
medical society
nursing student
EMTREE MEDICAL INDEX TERMS
abuse
chi square test
college student
data analysis software
diseases
etiology
government
mental disease
morality
nursing education
questionnaire
sailor
statistical significance
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 74
TITLE
Revisiting Project Re-Engineered Discharge (RED): The impact of a pharmacist
telephone intervention on hospital readmission rates
AUTHOR NAMES
Sanchez G.M.
Douglass M.A.
Mancuso M.A.
AUTHOR ADDRESSES
(Sanchez G.M.; Douglass M.A.; Mancuso M.A., michelle.mancuso@bmc.org)
Department of Pharmacy, Boston Medical Center, 88 E. Newton Street, Boston,
United States.
(Douglass M.A.) Department of Pharmacy Practice, Northeastern University,
Boston, United States.
CORRESPONDENCE ADDRESS
M.A. Mancuso, Department of Pharmacy, Boston Medical Center, 88 E. Newton
Street, Boston, United States.
SOURCE
Pharmacotherapy (2015) 35:9 (805-812). Date of Publication: 1 Sep 2015
ISSN
1875-9114 (electronic)
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
Purpose Project Re-Engineered Discharge is a discharge nurse education (DNE)
and pharmacist follow-up telephone intervention protocol that was shown to
decrease rehospitalization significantly. The specific value of the
pharmacist intervention was not originally evaluated. The objective of this
study was to determine the impact of a pharmacist telephone intervention
during the transition of care process on the rate of unplanned
hospitalization within 30 days of patient discharge. Methods A retrospective
chart review was completed for patients who received DNE counseling and were
discharged to home from the family medicine service at Boston Medical Center
from July 2012 to May 2013. Patients were stratified into two groups:
contacted/intervention and unable to contact/no intervention. The primary
outcome was the rate of unplanned hospital utilization including emergency
department visits and readmissions within 30 days of discharge. Secondary
end points included number of pharmacist interventions and time spent on
phone calls. Results A total of 401 patients were identified; 277 patients
received a pharmacist telephone intervention, and 124 patients were unable
to be contacted. Baseline characteristics did not differ between the two
groups, with the exception of a higher prevalence of substance abuse in the
nonintervention group (41.9% vs 21.3%, p<0.001). The rate of unplanned
hospitalization (visits/patient) was significantly reduced in the
intervention group, compared with the unable-to-contact group (0.227 vs
0.519, p<0.001). Pharmacists made a total of 128 interventions and spent an
average of 22 minutes on each telephone intervention. Conclusion Patients
unable to be contacted by a pharmacist after hospital discharge were more
likely to be readmitted or visit the emergency department in the 30 days
following discharge. A pharmacist telephone intervention as part of a
comprehensive discharge protocol can have a positive impact on patients
during the transition of care process by reducing incidence of unplanned
hospital utilization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital discharge
hospital readmission
nursing education
pharmacist
Project Re Engineered Discharge
telephone interview
EMTREE MEDICAL INDEX TERMS
adult
article
clinical protocol
controlled study
emergency ward
female
health care cost
health care utilization
home care
human
incidence
major clinical study
male
medicare
patient counseling
prevalence
primary medical care
retrospective study
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015410240
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1630
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 75
TITLE
Forensic patients hiding in full view
AUTHOR NAMES
Pasqualone G.
Michel C.
AUTHOR ADDRESSES
(Pasqualone G., Ltcgeorgia@msn.com) Fitchburg State University, SON,
Fitchburg, United States.
(Michel C.) University of Alaska, SON, Anchorage, United States.
CORRESPONDENCE ADDRESS
G. Pasqualone, Fitchburg State University, SON, Fitchburg, United States.
SOURCE
Critical Care Nursing Quarterly (2015) 38:1 (3-16). Date of Publication: 12
Dec 2015
ISSN
1550-5111 (electronic)
0887-9303
BOOK PUBLISHER
Lippincott Williams and Wilkins, LRorders@phl.lrpub.com
ABSTRACT
Violence has been identified as one of the leading public health hazards of
our time. The majority of the victims of violence are being seen in
emergency departments and critical care areas. This compels today's nurse to
be educated in the proper recognition, interpretation, collection,
documentation, and photo-documentation of the ramifications of violence and
the associated forensic evidence. The categorization of these patients
should be determined by the critical care nurse. Categorical determinations
will ensure that the nurse develops a systematic, algorithmic management
plan for any client with potential forensic implications associated with
their care. It will also assist the nurse in recognizing the mandated
reporting that must be completed in certain instances. The additional
benefit is to determine what educational needs are required by the critical
care nurse staff to posit the forensic population; and, to consider what
future research must be accomplished in order to better serve this unique
clientele.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic science
EMTREE MEDICAL INDEX TERMS
assault
battering
bite
body surface
burn
child abuse
child neglect
communicable disease
detention
disabled person
domestic violence
elder abuse
environmental exposure
forensic nursing
gang
gunshot injury
human
intensive care
intensive care unit
legal liability
malpractice
medical practice
negligence
occupational accident
organ donor
partner violence
review
sexual assault
substance abuse
terminal care
terrorism
traffic accident
EMBASE CLASSIFICATIONS
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014972135
FULL TEXT LINK
http://dx.doi.org/10.1097/CNQ.0000000000000043
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 76
TITLE
Liver disease knowledge and acceptability of non-invasive liver fibrosis
assessment among people who inject drugs in the drug and alcohol setting:
The LiveRLife Study
AUTHOR NAMES
Marshall A.D.
Micallef M.
Erratt A.
Telenta J.
Treloar C.
Everingham H.
Jones S.C.
Bath N.
How-Chow D.
Byrne J.
Harvey P.
Dunlop A.
Jauncey M.
Read P.
Collie T.
Dore G.J.
Grebely J.
AUTHOR ADDRESSES
(Marshall A.D., amarshall@kirby.unsw.edu.au; Micallef M.; Erratt A.; Read
P.; Dore G.J.; Grebely J.) The Kirby Institute, UNSW Australia, Australia.
(Telenta J.; Jones S.C.) Centre for Health and Social Research, Australian
Catholic University, Australia.
(Treloar C.) Centre for Social Research in Health, UNSW Australia,
Australia.
(Everingham H.; Bath N.) NSW Users and AIDS Association, Inc., Australia.
(How-Chow D.) St Vincent's Hospital Sydney, Australia.
(Byrne J.; Jauncey M.) Australian Injecting and Illicit Drug Users League,
Australia.
(Harvey P.) Hepatitis, Australia.
(Dunlop A.) University of Newcastle, Newcastle, Australia.
(Dunlop A.) Drug and Alcohol Clinical Services, Hunter New England Local
Health District, Newcastle, Australia.
(Read P.) Kirketon Road Centre, Australia.
(Collie T.) Coffs Harbour Drug and Alcohol Service, Australia.
CORRESPONDENCE ADDRESS
A.D. Marshall, Viral Hepatitis Clinical Research Program, The Kirby
Institute, UNSW Australia, Australia.
SOURCE
International Journal of Drug Policy (2015) 26:10 (984-991). Date of
Publication: 1 Oct 2015
ISSN
1873-4758 (electronic)
0955-3959
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: The aim of this study was to assess factors associated with
baseline knowledge of HCV and liver disease, acceptability of transient
elastography (TE) assessment (FibroScan®), and willingness and
intent to receive HCV treatment among persons with a history of injection
drug use participating in a liver health promotion campaign. Methods: The
LiveRLife campaign involved three phases: (1) campaign resource development;
(2) campaign resource testing; and (3) campaign implementation. Participants
were enrolled in an observational cohort study with recruitment at four
clinics - one primary health care facility, two OST clinics, and one
medically supervised injecting centre - in Australia between May and October
2014. Participants received educational material, nurse clinical assessment,
TE assessment, dried blood spot testing, and completed a knowledge survey.
Results: Of 253 participants (mean age 43 years), 68% were male, 71% had
injected in the past month, and 75% self-reported as HCV positive. Median
knowledge score was 16/23. In adjusted analysis, less than daily injection
(AOR 5.01; 95% CI, 2.64-9.51) and no daily injection in the past month (AOR
3.54; 95% CI, 1.80-6.94) were associated with high knowledge (≥16). TE was
the most preferred method both pre- (66%) and post-TE (89%) compared to
liver biopsy and blood sample. Eighty-eight percent were 'definitely
willing' or 'somewhat willing' to receive HCV treatment, and 56% intended to
start treatment in the next 12 months. Approximately 68% had no/mild
fibrosis (F0/F1, ≥2.5 to ≤ 7.4. kPa), 13% moderate fibrosis (F2, ≥ 7.5 to ≤
9.4. kPa), 10% severe fibrosis (F3, ≥ 9.5 to ≤ 12.4. kPa), and 9% had
cirrhosis (F4, ≥ 12.5. kPa). Conclusion: Liver disease and HCV knowledge was
moderate. High acceptability of TE by PWID provides strong evidence for the
inclusion of TE in HCV-related care, and could help to prioritise HCV
treatment for those at greatest risk of liver disease progression.
EMTREE DRUG INDEX TERMS
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
elastography
hepatitis C
liver disease
named groups of persons
patient attitude
people who inject drugs
transient elastography
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
Australia
blood sampling
clinical trial
cohort analysis
educational status
elastograph
feeding behavior
female
hepatitis B
human
intravenous drug abuse
liver biopsy
liver cirrhosis
liver fibrosis
major clinical study
male
multicenter study
observational study
opiate substitution treatment
priority journal
DEVICE TRADE NAMES
FibroScan
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Radiology (14)
Public Health, Social Medicine and Epidemiology (17)
Biophysics, Bioengineering and Medical Instrumentation (27)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015285225
FULL TEXT LINK
http://dx.doi.org/10.1016/j.drugpo.2015.07.002
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 77
TITLE
Self-efficacy, stress, and social support in retention of student registered
nurse anesthetists
AUTHOR NAMES
Conner M.
AUTHOR ADDRESSES
(Conner M.) UNCG School of Nursing, United States.
(Conner M.) RSNA, United States.
CORRESPONDENCE ADDRESS
M. Conner, UNCG School of Nursing, United States.
SOURCE
AANA Journal (2015) 83:2 (133-138). Date of Publication: 2015
ISSN
0094-6354
BOOK PUBLISHER
AANA Publishing Inc., llacey@aana.com
ABSTRACT
Many studies document the presence of stress and the need for social support
in anesthesia students. By addressing these, one can increase students'
self-efficacy, which is related to beliefs in one's ability to accomplish an
objective. By measuring and instituting measures to increase self-efficacy,
we could improve student selection in nurse anesthesia programs, and
increase academic success and likelihood of retention. This article reviews
the literature on this topic and makes recommendations for increasing
student self-efficacy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
self concept
skill retention
social support
stress
EMTREE MEDICAL INDEX TERMS
academic achievement
agitation
alcoholism
anesthesist
article
clinical competence
coping behavior
digestive system function disorder
eating disorder
education program
human
learning environment
nervousness
nurse anesthesia education
nursing practice
nursing student
persuasive communication
registered nurse
sleep disorder
social behavior
socialization
stress management
work environment
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2015022167
MEDLINE PMID
26016172 (http://www.ncbi.nlm.nih.gov/pubmed/26016172)
COPYRIGHT
Copyright 2016 Elsevier B.V., All rights reserved.
RECORD 78
TITLE
Interactive telemedicine: effects on professional practice and health care
outcomes
AUTHOR NAMES
Flodgren G.
Rachas A.
Farmer A.J.
Inzitari M.
Shepperd S.
AUTHOR ADDRESSES
(Flodgren G.; Rachas A.; Farmer A.J.; Inzitari M.; Shepperd S.) Nuffield
Department of Population Health, University of Oxford, Richard Doll
Building, Roosevelt Drive, Headington, Oxford, Oxfordshire, UK, OX3 7LF
SOURCE
The Cochrane database of systematic reviews (2015) 9 (CD002098). Date of
Publication: 2015
ISSN
1469-493X (electronic)
ABSTRACT
BACKGROUND: Telemedicine (TM) is the use of telecommunication systems to
deliver health care at a distance. It has the potential to improve patient
health outcomes, access to health care and reduce healthcare costs. As TM
applications continue to evolve it is important to understand the impact TM
might have on patients, healthcare professionals and the organisation of
care.OBJECTIVES: To assess the effectiveness, acceptability and costs of
interactive TM as an alternative to, or in addition to, usual care (i.e.
face-to-face care, or telephone consultation).SEARCH METHODS: We searched
the Effective Practice and Organisation of Care (EPOC) Group's specialised
register, CENTRAL, MEDLINE, EMBASE, five other databases and two trials
registers to June 2013, together with reference checking, citation
searching, handsearching and contact with study authors to identify
additional studies.SELECTION CRITERIA: We considered randomised controlled
trials of interactive TM that involved direct patient-provider interaction
and was delivered in addition to, or substituting for, usual care compared
with usual care alone, to participants with any clinical condition. We
excluded telephone only interventions and wholly automatic self-management
TM interventions.DATA COLLECTION AND ANALYSIS: For each condition, we pooled
outcome data that were sufficiently homogenous using fixed effect
meta-analysis. We reported risk ratios (RR) and 95% confidence intervals
(CI) for dichotomous outcomes, and mean differences (MD) for continuous
outcomes.MAIN RESULTS: We included 93 eligible trials (N = 22,047
participants), which evaluated the effectiveness of interactive TM delivered
in addition to (32% of studies), as an alternative to (57% of studies), or
partly substituted for usual care (11%) as compared to usual care alone.The
included studies recruited patients with the following clinical conditions:
cardiovascular disease (36), diabetes (21), respiratory conditions (9),
mental health or substance abuse conditions (7), conditions requiring a
specialist consultation (6), co morbidities (3), urogenital conditions (3),
neurological injuries and conditions (2), gastrointestinal conditions (2),
neonatal conditions requiring specialist care (2), solid organ
transplantation (1), and cancer (1).Telemedicine provided remote monitoring
(55 studies), or real-time video-conferencing (38 studies), which was used
either alone or in combination. The main TM function varied depending on
clinical condition, but fell typically into one of the following six
categories, with some overlap: i) monitoring of a chronic condition to
detect early signs of deterioration and prompt treatment and advice, (41);
ii) provision of treatment or rehabilitation (12), for example the delivery
of cognitive behavioural therapy, or incontinence training; iii) education
and advice for self-management (23), for example nurses delivering education
to patients with diabetes or providing support to parents of very low birth
weight infants or to patients with home parenteral nutrition; iv) specialist
consultations for diagnosis and treatment decisions (8), v) real-time
assessment of clinical status, for example post-operative assessment after
minor operation or follow-up after solid organ transplantation (8) vi),
screening, for angina (1).The type of data transmitted by the patient, the
frequency of data transfer, (e.g. telephone, e-mail, SMS) and frequency of
interactions between patient and healthcare provider varied across studies,
as did the type of healthcare provider/s and healthcare system involved in
delivering the intervention.We found no difference between groups for
all-cause mortality for patients with heart failure (16 studies; N = 5239;
RR:0.89, 95% CI 0.76 to 1.03, P = 0.12; I(2) = 44%) (moderate to high
certainty of evidence) at a median of six months follow-up. Admissions to
hospital (11 studies; N = 4529) ranged from a decrease of 64% to an increase
of 60% at median eight months follow-up (moderate certainty of evidence). We
found some evidence of improved quality of life (five studies; N = 482;
MD:-4.39, 95% CI -7.94 to -0.83; P < 0.02; I(2) = 0%) (moderate certainty of
evidence) for those allocated to TM as compared with usual care at a median
three months follow-up. In studies recruiting participants with diabetes (16
studies; N = 2768) we found lower glycated haemoglobin (HbA1c %) levels in
those allocated to TM than in controls (MD -0.31, 95% CI -0.37 to -0.24; P <
0.00001; I(2)= 42%, P = 0.04) (high certainty of evidence) at a median of
nine months follow-up. We found some evidence for a decrease in LDL (four
studies, N = 1692; MD -12.45, 95% CI -14.23 to -10.68; P < 0.00001; I(2 =)
0%) (moderate certainty of evidence), and blood pressure (four studies, N =
1770: MD: SBP:-4.33, 95% CI -5.30 to -3.35, P < 0.00001; I(2) = 17%; DBP:
-2.75 95% CI -3.28 to -2.22, P < 0.00001; I(2) = 45% (moderate certainty
evidence), in TM as compared with usual care.Seven studies that recruited
participants with different mental health and substance abuse problems,
reported no differences in the effect of therapy delivered over
video-conferencing, as compared to face-to-face delivery. Findings from the
other studies were inconsistent; there was some evidence that monitoring via
TM improved blood pressure control in participants with hypertension, and a
few studies reported improved symptom scores for those with a respiratory
condition. Studies recruiting participants requiring mental health services
and those requiring specialist consultation for a dermatological condition
reported no differences between groups.AUTHORS' CONCLUSIONS: The findings in
our review indicate that the use of TM in the management of heart failure
appears to lead to similar health outcomes as face-to-face or telephone
delivery of care; there is evidence that TM can improve the control of blood
glucose in those with diabetes. The cost to a health service, and
acceptability by patients and healthcare professionals, is not clear due to
limited data reported for these outcomes. The effectiveness of TM may depend
on a number of different factors, including those related to the study
population e.g. the severity of the condition and the disease trajectory of
the participants, the function of the intervention e.g., if it is used for
monitoring a chronic condition, or to provide access to diagnostic services,
as well as the healthcare provider and healthcare system involved in
delivering the intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
doctor patient relation
interpersonal communication
treatment outcome
EMTREE MEDICAL INDEX TERMS
diabetes mellitus (therapy)
heart failure (therapy)
human
mental disease (therapy)
meta analysis
physiologic monitoring
procedures
telemedicine
videoconferencing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26343551 (http://www.ncbi.nlm.nih.gov/pubmed/26343551)
FULL TEXT LINK
http://dx.doi.org/10.1002/14651858.CD002098.pub2
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 79
TITLE
A longitudinal study in mothers and firstborn children of genetic and
environmental influences on externalizing and internalizing disorders across
development
AUTHOR NAMES
Enoch M.-A.
Kitzman H.
Smith J.
Anson E.
Hodgkinson C.
Goldman D.
Olds D.
AUTHOR ADDRESSES
(Enoch M.-A.; Kitzman H.; Smith J.; Anson E.; Hodgkinson C.; Goldman D.;
Olds D.) National Institute on Alcohol Abuse and Alcoholism, National
Institutes of Health, Bethesda, United States.
CORRESPONDENCE ADDRESS
M.-A. Enoch, National Institute on Alcohol Abuse and Alcoholism, National
Institutes of Health, Bethesda, United States.
SOURCE
Neuropsychopharmacology (2014) 39 SUPPL. 1 (S401-S402). Date of Publication:
December 2014
CONFERENCE NAME
53rd Annual Meeting of the American College of Neuropsychopharmacology, ACNP
2014
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2014-12-07 to 2014-12-11
ISSN
0893-133X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: The development of behavior across childhood and adolescence is
known to be both genetically and environmentally influenced. The aim of this
study was to determine the effects of genetic and environmental factors on
the development of externalizing and internalizing disorders in a cohort of
600 firstborn children followed from pre-birth to 18 years. We hypothesized
that maternal mental health and resilience, alcohol and drug use and smoking
would predict child behavioral outcomes and that an early life nurse
visiting intervention program would be associated with better childhood
behavioral outcomes. We also hypothesized that a GABRA2 variant, previously
robustly associated with the development of externalizing disorders in late
adolescence would predict childhood behavior. Methods: Data were derived
from a longitudinal study of the effects of prenatal and infancy nurse home
educational visiting (NHV) on health outcomes up to age 18 years in a group
of urban, predominantly African American economically disadvantaged
individuals in Memphis, TN. In a substudy, a total of 600 women were
consecutively recruited from an obstetric clinic with their first viable
pregnancy. Of these, 200 were randomly assigned to NHV; on average 7 visits
in pregnancy and 26 from birth to age 2. Mothers were assessed and scored at
intake for mental health (depression, anxiety, emotional dysregulation),
self-efficacy (belief in one's own ability to complete tasks/achieve goals)
and the Pearlin mastery scale (personal sense of mastery, control). Mothers
reported on smoking, alcohol and drug use during pregnancy and when their
children were 6, 9 and 12 years old. The Achenbach Child Behavior Checklist
(CBCL) was completed by mothers at 2, 6, 12 and 18 years and by youths at
ages 12 and 18 years. Outcome measures derived from the CBCL were a
composite internalizing disorders (ID) score (anxious/depressed,
withdrawn/depressed, somatic complaints) and a composite externalizing
disorders (ED) score (rule-breaking behavior, aggressive behavior). DSM-IV
alcohol and drug use disorder (AUD, DUD) diagnoses were derived from the
Substance Abuse Module (SAM) completed by youth at age 18. Mothers and
children were genotyped for the GABRA2 tag SNP rs279858 together with 186
ancestry informative markers. Multiple regression analyses were performed
for each of the 4 time-points. Results: Maternal use of alcohol and drugs
was minimal throughout but smoking increased from 12% in pregnancy to 30% at
age 12 years. ED and ID scores were strongly positively correlated at all
time-points (r=0.57 - 0.76, p<0.0001). Independent predictors for both ED
and ID scores at age 2 included sex, maternal mastery, maternal mental
health, a maternal mental health x GABRA2 rs279858 interaction and a
maternal self-efficacy x NHV interaction. In the latter case, ED and ID
scores were both significantly lower in children whose mothers had high
selfefficacy and had received NHV, compared with the other 3 groups. At age
6 the influence of NHV on ED and ID scores was no longer apparent. Within
the whole regression models, the strongest predictors of ED and ID from 6
and upwards were ED and ID scores at younger ages. As an illustration, the
ED score at age 2 was correlated (all p<0.0001) with ED at age 6 (r=0.44),
age 12 (r=0.31) and age 18 (r=0.23). Maternal mental health during pregnancy
continued to influence ED and ID up to 12 years after which maternal mastery
re-emerged in importance. Maternal smoking predicted ED at all time-points
from 2 to 18 years and ID from 6 to 18 years. The influence of GABRA2
rs279858 emerged again at age 18 with a main effect on both ED and ID.
Moreover, there was an interactive effect between GABRA2 rs279858 genotype
and youth-report ED at age 12 (but not ID) on AUD and DUD at age 18.
Conclusions: Our study suggests that there are long lasting effects of
maternal mental health during pregnancy, resilience (belief in one's own
ability, personal sense of control) and smoking (possibly a marker for
maternal ED and ID) on childhood behavior, even though the ID and ED scores
were respectively clinically significant in only 10-15% of children. NHV
positively influenced early behavior but only in children of resilient
mothers. As has been shown in earlier studies of ED across development,
environmental influences predominate at younger ages and genetic effects,
such as the influence of GABRA2 rs279858 genotype, become relatively more
important towards adulthood. The results of our study have implications for
strategies for prevention of pathological ED and ID in adulthood.
EMTREE DRUG INDEX TERMS
alcohol
marker
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child
Child Behavior Checklist
college
diseases
female
human
longitudinal study
mother
psychopharmacology
EMTREE MEDICAL INDEX TERMS
adolescence
adulthood
African American
aggression
anxiety
childhood
diagnosis
drug use
environmental factor
genotype
health
heredity
hospital
infancy
juvenile
maternal smoking
mental health
model
multiple regression
nurse
pregnancy
prevention
self concept
smoking
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2014.281
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 80
TITLE
Recognizing Signs of Prescription Drug Abuse and Addiction, Part I
AUTHOR NAMES
Felicilda-Reynaldo F.D.
AUTHOR ADDRESSES
(Felicilda-Reynaldo F.D.)
SOURCE
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
(2014) 23:6 (391-396). Date of Publication: 1 Nov 2014
ISSN
1092-0811
ABSTRACT
Prescription drug abuse/misuse is increasing. Nonmedical use of prescription
medications, especially opioid analgesics, now is considered an epidemic in
the United States. Medical-surgical nurses are in a strategic position to
help address substance abuse problems in patients.
EMTREE DRUG INDEX TERMS
prescription drug (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
nursing
practice guideline
standards
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis, etiology)
human
nursing discipline
nursing education
nursing staff
perioperative nursing
procedures
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26281634 (http://www.ncbi.nlm.nih.gov/pubmed/26281634)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 81
TITLE
Pre-registration nursing students' perceptions and experiences of violence
in a nursing education institution in South Africa
AUTHOR NAMES
de Villiers T.
Mayers P.M.
Khalil D.
AUTHOR ADDRESSES
(de Villiers T.) Division of Nursing & Midwifery, Department of Health &
Rehabilitation Sciences, Faculty of Health Sciences, University of Cape
Town, Observatory, Cape Town, South Africa. Electronic address:
tania.devilliers@uct.ac.za
(Mayers P.M.) Division of Nursing & Midwifery, Department of Health &
Rehabilitation Sciences, Faculty of Health Sciences, University of Cape
Town, Observatory, Cape Town, South Africa. Electronic address:
Pat.mayers@uct.ac.za
(Khalil D., Doris.khalil@uct.ac.za) Division of Nursing & Midwifery,
Department of Health & Rehabilitation Sciences, Faculty of Health Sciences,
University of Cape Town, Observatory, Cape Town, South Africa. Electronic
address:
SOURCE
Nurse education in practice (2014) 14:6 (666-673). Date of Publication: 1
Nov 2014
ISSN
1873-5223 (electronic)
ABSTRACT
Violence is a growing problem worldwide in the field of health care and
within the nursing profession. A study comprising a survey and focus groups
with nursing students, and interviews with nurse educators was conducted to
examine nursing students' perceptions and experiences of violence at a
nursing education institution in the Western Cape, South Africa. A
self-administered questionnaire was distributed to all nursing students. Two
hundred and twenty three (n = 223) respondents completed the questionnaire.
Focus groups were conducted with purposively sampled student participants
and semi-structured interviews with nurse educators. The findings indicated
that the nature of the violent incidents experienced by students on campus,
especially in the residences, ranged from verbal abuse to violation of
students' property and personal space, and could be attributed primarily to
substance abuse. Violence among student nurses could negatively affect
learning. In a profession in which nurses are exposed to violence in the
workplace, it is important that violence in the learning environment is
actively prevented and respect of individual rights, tolerance and
co-operation are promoted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
psychology
violence
EMTREE MEDICAL INDEX TERMS
adolescent
adult
attitude
female
human
information processing
male
middle aged
nursing student
questionnaire
South Africa
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25262064 (http://www.ncbi.nlm.nih.gov/pubmed/25262064)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2014.08.006
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 82
TITLE
Substance abuse prevention: the role of the school nurse across the
continuum of care
AUTHOR NAMES
Patestos C.
Patterson K.
Fitzsimons V.
AUTHOR ADDRESSES
(Patestos C.; Patterson K.; Fitzsimons V.)
SOURCE
NASN school nurse (Print) (2014) 29:6 (310-314). Date of Publication: 1 Nov
2014
ISSN
1942-602X
ABSTRACT
As a health care provider, health educator, and school/family/community
liaison, the school nurse is in a unique position to act as a change agent
for youth substance abuse prevention. This article discusses the roles of
the school nurse as they apply to the prevention of substance abuse among
school-age children, across a continuum of care model first introduced by
the Institute of Medicine (IOM) in 1994. Through careful assessment,
identification of substance abuse risk factors, and promoting the
enhancement of protective factors of students, both in and out of the school
setting, the school nurse can play a vital role in the prevention of
substance abuse. Existing tools, including the IOM Mental Health
Intervention Spectrum Model, can be easily adapted to nursing practice and
may prove helpful in assisting school nurses in the evaluation and
implementation of effective prevention interventions in the school setting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
organization and management
patient care
procedures
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
child
human
program evaluation
risk factor
school health nursing
school health service
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25417332 (http://www.ncbi.nlm.nih.gov/pubmed/25417332)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 83
TITLE
Opioid interruptions, pain, and withdrawal symptoms in nursing home
residents
AUTHOR NAMES
Redding S.E.
Liu S.
Hung W.W.
Boockvar K.S.
AUTHOR ADDRESSES
(Redding S.E.; Liu S.; Hung W.W.; Boockvar K.S., Kenneth.boockvar@mssm.edu)
Icahn School of Medicine at Mount Sinai, New York, United States.
(Hung W.W.; Boockvar K.S., Kenneth.boockvar@mssm.edu) James J. Peters VA
Medical Center, 130 West Kingsbridge Road, Bronx, United States.
(Boockvar K.S., Kenneth.boockvar@mssm.edu) Jewish Home Lifecare, New York,
United States.
CORRESPONDENCE ADDRESS
K.S. Boockvar, James J. Peters VA Medical Center, 130 West Kingsbridge Road,
Bronx, United States.
SOURCE
Clinical Therapeutics (2014) 36:11 (1555-1563). Date of Publication: 1 Nov
2014
ISSN
1879-114X (electronic)
0149-2918
BOOK PUBLISHER
Excerpta Medica Inc.
ABSTRACT
Purpose: Interruptions in opioid use have the potential to cause pain
relapse and withdrawal symptoms. The objectives of this study were to
observe patterns of opioid interruption during acute illness in nursing home
residents and examine associations between interruptions and pain and
withdrawal symptoms. Methods: Patients from 3 nursing homes in a
metropolitan area who were prescribed opioids were assessed for symptoms of
pain and withdrawal by researchers blinded to opioid dosage received, using
the Brief Pain Inventory Scale and the Clinical Opioid Withdrawal Scale,
respectively, during prespecified time periods. The prespecified time
periods were 2 weeks after onset of acute illness (eg, urinary tract
infection), and 2 weeks after hospital admission and nursing home
readmission, if they occurred. Opioid dosing was recorded and a significant
interruption was defined as a complete discontinuation or a reduction in
dose of >50% for ≥1 day. The covariates age, sex, race, comorbid conditions,
initial opioid dose, and initial pain level were recorded. Symptoms pre- and
post-opioid interruptions were compared and contrasted with those in a group
without opioid interruptions. Findings: Sixty-six patients receiving opioids
were followed for a mean of 10.9 months and experienced a total of 104 acute
illnesses. During 64 (62%) illnesses, patients experienced any reduction in
opioid dosing, with a mean (SD) dose reduction of 63.9% (29.9%). During 39
(38%) illnesses, patients experienced a significant opioid interruption. In
a multivariable model, residence at 1 of the 3 nursing homes was associated
with a lower risk of interruption (odds ratio = 0.073; 95% CI, 0.009 to
0.597; P < 0.015). In patients with interruptions, there were statistically
insignificant changes in mean (SD) pain score (difference -0.50 [2.66]; 95%
CI, -3.16 to 2.16) and withdrawal score (difference -0.91 [3.12]; 95% CI,
-4.03 to 2.21) after the interruption as compared with before interruption.
However, when compared with patients without interruptions, patients with
interruptions experienced larger increases in pain scores during the
follow-up periods (difference 0.09 points per day; 95% CI, -0.01 to 0.019; P
= 0.08). In particular, patients who received the highest quartile of opioid
dose before interruption experienced increases in pain scores over time that
were 0.22 points per day larger (95% CI, 0.02 to 0.41; P = 0.03) than those
without interruption. Withdrawal scores were not associated with opioid
interruption regardless of dose before interruption. Implications: Nursing
home patients often experience interruptions in opioid dosing, which can be
associated with worse pain, but not withdrawal symptoms, during acute
illnesses. Clinicians should be aware of the potential risks and effects of
opioid interruptions during acute illnesses in this patient group.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction)
EMTREE DRUG INDEX TERMS
codeine (adverse drug reaction)
hydrocodone (adverse drug reaction)
hydromorphone (adverse drug reaction)
methadone (adverse drug reaction)
morphine (adverse drug reaction)
oxycodone (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home patient
pain (side effect, side effect)
withdrawal syndrome (side effect, side effect)
EMTREE MEDICAL INDEX TERMS
acute disease
adult
aged
analgesia
article
Brief Pain Inventory
controlled study
daily life activity
drug dose reduction
drug withdrawal
female
follow up
hospital admission
hospital readmission
human
major clinical study
male
observational study
patient assessment
prospective study
urinary tract infection
CAS REGISTRY NUMBERS
codeine (76-57-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014924346
FULL TEXT LINK
http://dx.doi.org/10.1016/j.clinthera.2014.10.013
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 84
TITLE
Effect of Structured Teaching Programme on Levels of Knowledge regarding
Narcotic Policy among Staff Nurses in Selected Hospitals of Bangalore
AUTHOR NAMES
Swapna M.A.
Parvathy M.
AUTHOR ADDRESSES
(Swapna M.A.; Parvathy M.)
SOURCE
The Nursing journal of India (2014) 105:6 (274-277). Date of Publication: 1
Nov 2014
ISSN
0029-6503
ABSTRACT
This study aims to determine the level of knowledge among staff nurses on
Narcotic policy and ascertain their knowledge by structured teaching
programme with pre-test, post-test method The study attempted to assess the
knowledge on Narcotic policy among staff nurses before and after structured
teaching programme; evaluate the effectiveness of structured teaching
programme on narcotic policy among staff nurses; and to find out the
association between post level of knowledge among staff nurses on narcotic
policy and selected demographic variables. A quasi-experimental study was
carried out with 60 staff nurses from BGS & Jeevani Sarvodaya Hospital,
Bangalore. A structured knowledge questionnaire was used to evaluate the
knowledge level on narcotic policy before & after an STP. Data were analysed
with chi-square and t test. The result showed that there was a significant
difference between pre-test and post-test knowledge scores as assessed by
the paired t-test value at 36.766 (HS p = 0.001). There was significant
association between knowledge and the selected demographic variables (age,
area of experience and years of experience (p ≤ 0.05). Thus for this study
one can conclude that STP could be an effective strategy to improve the
knowledge of staff nurses on narcotic policy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
education
nursing education
procedures
EMTREE MEDICAL INDEX TERMS
adult
comparative study
female
human
India
male
nursing staff
opiate addiction (prevention)
policy
questionnaire
socioeconomics
teaching
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
26182822 (http://www.ncbi.nlm.nih.gov/pubmed/26182822)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 85
TITLE
Development of chemotherapy-induced extravasation management algorithm to
facilitate and improve care of cancer patients
AUTHOR NAMES
Kim S.S.
Holcombe R.F.
AUTHOR ADDRESSES
(Kim S.S.; Holcombe R.F.) Mount Sinai Hospital, New York, United States.
CORRESPONDENCE ADDRESS
S.S. Kim, Mount Sinai Hospital, New York, United States.
SOURCE
Journal of Clinical Oncology (2014) 32:30 SUPPL. 1. Date of Publication: 20
Oct 2014
CONFERENCE NAME
ASCO's Quality Care Symposium 2014
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2014-10-17 to 2014-10-18
ISSN
0732-183X
BOOK PUBLISHER
American Society of Clinical Oncology
ABSTRACT
Background: Chemotherapy administration has up to a 6% incidence of
extravasation, which can cause ulcer formation, tissue necrosis and loss of
limb function, requiring surgical intervention (debridement and skin
grafting). Because of its rare occurrences and the lack of uniform consensus
on management strategies, much time is spent on decision making process by
the patient care team and treatments are often delayed. To facilitate and
improve the care of cancer patients in cases of chemotherapy extravasation,
a task force was created to develop chemotherapy extravasation management
algorithm. Methods: Chemotherapy extravasation management task force
comprised of oncology pharmacy and oncology nursing leaderships. Literature
search (limited to English language) was performed in PubMed (through April
2014) and of 34 “hits”, 13 articles on management of chemotherapy
extravasation were reviewed. An algorithm was developed which contained 7
distinct intervention pathways dependent upon the drug involved in
extravasation. The treatment algorithm was adopted after review by the
cancer institute's QI committee and oncology pharmacy and therapeutics
subcommittee. Results: Chemotherapy extravasation algorithm provides the
following guidance to nurses and providers: (1) Initial steps for nurses to
follow in case of chemotherapy extravasation; (2) Chemotherapeutic
agent-specific recommendations for cold or hot compress with antidote if
indicated; (3) Nursing instruction for documentation of the adverse event
and recommendation to photograph the site of extravasation; (4) Preparation
and administration instruction of the antidotes (hyaluronidase, dexrazoxane,
sodium thiosulfate, and DMSO). Finalized chemotherapy extravasation
algorithm was made available in all oncology treatment areas and included in
each extravasation kit. Conclusions: The development of algorithm for
chemotherapy extravasation management provides clear and comprehensive
instructions to oncology nurses and oncology providers on management and
shortens the time to initiate management, thereby minimizing the risk of
potentially debilitating sequelae from delayed management.
EMTREE DRUG INDEX TERMS
antidote
antiinfective agent
dimethyl sulfoxide
hyaluronidase
razoxane
sodium thiosulfate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
algorithm
cancer patient
chemotherapy
extravasation
human
EMTREE MEDICAL INDEX TERMS
cancer center
consensus
debridement
decision making
documentation
language
leadership
limb
Medline
nurse
nursing
oncology
oncology nursing
patient care
pharmacy
photography
risk
skin transplantation
surgery
therapy
tissue necrosis
ulcerogenesis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 86
TITLE
Cost-effectiveness study of long-acting injectable antipsychotics and
functioning in psychosis with and without substance dependence
AUTHOR NAMES
Pérez-Vigil A.
Batalla A.
Fàbrega M.
Ilzarbe D.
Mansilla S.
López-Pelayo H.
Bioque M.
Serrano J.
Bernardo M.
Parellada E.
AUTHOR ADDRESSES
(Pérez-Vigil A.; Batalla A.; Fàbrega M.; Ilzarbe D.; Mansilla S.;
López-Pelayo H.; Bioque M.; Bernardo M.; Parellada E.) Hospital Clínic,
Psychiatry and Psychology Department, Barcelona, Spain.
(Serrano J.) CAS Garbivent (Agencia de Salud Pública de Barcelona - Gestión
INPROSS), Psychiatry and Psychology Department, Barcelona, Spain.
CORRESPONDENCE ADDRESS
A. Pérez-Vigil, Hospital Clínic, Psychiatry and Psychology Department,
Barcelona, Spain.
SOURCE
European Neuropsychopharmacology (2014) 24 SUPPL. 2 (S522). Date of
Publication: October 2014
CONFERENCE NAME
27th European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2014-10-18 to 2014-10-21
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction: The development of long-acting injectable (LAI) antipsychotics
has provided a new paradigm for schizophrenia and other related disorders
treatment. By ensuring medication delivery, these formulations may lead to
better psychosocial adjustment [1] and prevent relapse and hospitalization
[2] but also to changes on pharmacological and service costs [3]. Moreover,
it is well known that comorbid substance abuse may be associated with higher
medication nonadherence and poorer outcomes. Purpose: The aim of this study
was to assess the psychosocial functioning and the change of service
utilization and costs for schizophrenia-related disorders with and without
comorbid substance dependence before and after LAI treatment. Methods: We
conducted a multicenter 6-month mirror-image study, involving a General
Mental Health Outpatient Unit and an Addiction Outpatient Unit. We recruited
patients with schizophrenia-related disorders who initiated LAI treatment
for the first time between 2011 and 2013, after at least six months of oral
antipsychotic treatment. Study assessments included sociodemographic data
and psychosocial functioning measured by the Global Assessment of
Functioning (GAF) scale. Costeffectiveness comparison was made for service
costs (the number of medical and nurse outpatient visits, acute admissions,
days of bed-stay and emergency visits) and medication costs. All analyses
were performed using SPSS version 19.0. Results: Twenty-one patients
(91.3%), 76.2% male with a mean age (SD) of 40 (11) years, completed the six
months follow-up. All patients met DSM-IV criteria for schizophrenia
(66.7%), schizoaffective disorder (19.0%) or psychotic disorder not
otherwise specified (14.3%), with an average duration of 16 years since
diagnosis. Eleven patients (52.4%) had comorbid substance dependence
diagnose. The main reason for using LAI, paliperidone palmitate (66.7%) or
risperidone LAI (33.3%), was poor adherence (81.0%) followed by patient's
decision or convenience (9.5%), lack of efficacy of oral antipsychotics
(4.8%) and others (4.8%). During the post-LAI period there was an
improvement on psychosocial functioning (p<0.001) and a reduction in service
uses, along with a 3-fold decrease on inpatient and outpatient service costs
(p = 0.002). Although medication costs significantly increased during the
post-LAI period (p <0.001), overall psychiatric costs did not increase. In
fact, there was a tendency to a 30% cost reduction compared to the pre-LAI
period (p = 0.079). The same results were observed when patients with and
without comorbid substance dependence were compared. Overall, there were no
differences between groups in terms of functioning, medication and service
costs. Conclusions: This 6-month mirror-image study showed that LAI
treatment was associated with improved functioning along with reductions of
service uses and costs in schizophrenia-related disorders, despite their
comorbid substance dependence condition. Although medication costs
significantly increased during the post- LAI period, overall psychiatric
costs tended to a 30% cost reduction compared to the pre-LAI period. Thus,
LAI should be considered as an important option in the treatment of patients
with schizophrenia and other related disorders, especially those with dual
diagnosis.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent
EMTREE DRUG INDEX TERMS
paliperidone
risperidone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
cost effectiveness analysis
psychopharmacology
psychosis
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
data analysis software
diagnosis
diseases
drug therapy
emergency
follow up
Global Assessment of Functioning
hospital patient
hospitalization
human
male
mental health
nurse
outpatient
outpatient care
outpatient department
patient
relapse
schizoaffective psychosis
schizophrenia
social psychology
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 87
TITLE
Striking the right balance: Assessing fellows' abilities to deliver patient
education
AUTHOR NAMES
Lucero C.
Villanueva G.
Talishinskiy S.
Chaudhary N.
Poles M.
Gillespie C.
Zabar S.
Weinshel E.
AUTHOR ADDRESSES
(Lucero C.; Villanueva G.; Talishinskiy S.; Chaudhary N.; Gillespie C.;
Zabar S.) NYU School of Medicine, New York, United States.
(Poles M.; Weinshel E.) VA New York Harbor Healthcare System, New York,
United States.
CORRESPONDENCE ADDRESS
C. Lucero, NYU School of Medicine, New York, United States.
SOURCE
American Journal of Gastroenterology (2014) 109 SUPPL. 2 (S629-S630). Date
of Publication: October 2014
CONFERENCE NAME
79th Annual Scientific Meeting of the American College of Gastroenterology
CONFERENCE LOCATION
Philadelphia, PA, United States
CONFERENCE DATE
2014-10-17 to 2014-10-22
ISSN
0002-9270
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Introduction: Patient education is critical in ensuring patient compliance
and good health outcomes. Fellows must be able to effectively communicate
with their patients, delivering enough information for the patient to
understand their medical problem so the patient can be compliant. We created
an objective structured clinical examination (OSCE) with 4 liver disease
cases to assess fellows' ability to inform standardized patients about their
clinical condition. Methods: We developed a 4 station OSCE: hepatitis B,
acute hepatitis C, new diagnosis of cirrhosis, and an end-stage cirrhotic
non-transplant candidate. The standardized patient (SP) with hepatitis B was
minimizing the fact that she couldn't read English. The acute hepatitis C SP
was a nursing student who is afraid that having hepatitis C might jeopardize
her career. The SP with the new diagnosis of alcoholic cirrhosis needed to
stop drinking, and the end-stage liver disease the SP had to grapple with
his advanced directives. Twelve fellows from four GI training programs
participated. Our focus was to assess the fellows' knowledge about liver
disease and the competencies of health literacy, shared decision making,
advanced directives, and goals of care. The goal for the fellows was to
communicate effectively with the SPs, acknowledging that each patient had an
emotionally charged issue to overcome. The SPs used a checklist to rate
fellows' performance. Faculty observed the case and provided feedback. The
fellows were surveyed on their performance regarding the case. Results: The
majority of fellows were able to successfully summarize findings and discuss
a plan with the patient in the new diagnosis of cirrhosis (76.92%) and
hepatitis C case (100%), but were less successful in the hepatitis B
(30.77%) and end-of-life case (41.67%). Overall, a small percentage of
fellows reflected that they did a good job (22-33%) except at the
end-of-life case (67%). The fellows' greatest challenge was trying to cover
a lot of information in a single outpatient visit. Conclusion: Caring for
patients with liver diseases can be complex and time-consuming. The faculty
observers felt the fellows met competency in the stations, but the patients
and fellows sensed inadequacies. The fellows believed they excelled in the
end-of-life case, but the patient SP thought only a small percentage was
able to successfully summarize and discuss the plan. The results of this
OSCE suggest discrepancies in fellow's perception of a successful outpatient
visit. OSCEs are important to help the fellows to facilitate striking the
right balance of information delivery and empathy, and this will lead to
better patient education, compliance, rapport, and satisfaction. (Table
Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
college
gastroenterology
human
patient education
EMTREE MEDICAL INDEX TERMS
acute hepatitis
alcohol liver cirrhosis
checklist
clinical examination
decision making
diagnosis
drinking
empathy
end stage liver disease
feedback system
health
health literacy
hepatitis B
hepatitis C
liver cirrhosis
liver disease
nursing student
outpatient
patient
patient compliance
satisfaction
training
transplantation
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/ajg.2014.286
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 88
TITLE
The prescription analysis of sedative hypnotics in nursing home of hospital
AUTHOR NAMES
Kuo M.S.
Pan H.M.
Lin W.C.
AUTHOR ADDRESSES
(Kuo M.S.) Pharmacy, St Joseph Hospital, Kaohsiung, Taiwan.
(Pan H.M.) Family Medicine Deparment, St Joseph Hospital, Kaohsiung, Taiwan.
(Lin W.C.) Community Deparment, St Joseph Hospital, Kaohsiung, Taiwan.
CORRESPONDENCE ADDRESS
M.S. Kuo, Pharmacy, St Joseph Hospital, Kaohsiung, Taiwan.
SOURCE
Pharmacoepidemiology and Drug Safety (2014) 23 SUPPL. 1 (437-438). Date of
Publication: October 2014
CONFERENCE NAME
30th International Conference on Pharmacoepidemiology and Therapeutic Risk
Management
CONFERENCE LOCATION
Taipei, Taiwan
CONFERENCE DATE
2014-10-24 to 2014-10-27
ISSN
1053-8569
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Background: Purpose: The old age residents in nursing home besides having
chronic diseases, some residents can also suffer with combination of
psychiatric and psychotic disorders. The patients who suffer with these
signs and symptoms can easily received sedative hypnotics through doctor's
prescriptions when requested. Objectives: These patients can develop
addiction and become dependent to the drugs after long-term used, under
comprehensive care coordination, we try to evaluate the suitability of
drugs. Methods: We collected the prescription data within six months, from
July to December of 2013. Reviews and discussion happened once every month
in regards of the kind of sedative hypnotic and the doses prescribed to our
nursing home residents. Results: Our nursing home residents were 166 person.
About 60 people (36%) were prescribed with sedative hypnotics, Long-term
used over 6 months were 41.7%, used less than 6 months were 25%, frequently
changing the kind of drugs were 18.3%. Within the sleep disturbance group,
residents use 1 drug belonging to Benzodiazepam and non-Benzodiazepam were
27 people (45%), there were Alprazolam,Clonazepam,Estazolam,
Fludiazepam,Lorazepam,Oxazolam, Zolpidem,etc. Detail of one drug used
prescriptions: most prescribed was Lorazepam 1mg were 12 people (44%),least
prescribed Zolpidem was 1 person (0.37%). Combine use of BZD+ non-BZD were 6
people,2 kinds of BZD were 2 people, and 3 kinds of BZD+ non BZD were 1
person. In the other 2 groups were combined with psychological& anxiolytic
drugs were 25 people (38.3%). Within half year period, We reviewed 3630
prescriptions, that there were 8 people who was prescribed with repeats and
overdose of drugs, and 5 of them discontinued or changed prescriptions after
discussion with doctors. Conclusions: We can review and discuss the
suitability of those prescriptions with the doctors, nurses and other
workers in nursing home to help advises and update information of the side
effects of the drugs prescribed. The result of analysis provides a safer way
for other members of the caretaker team, provide helpful knowledge, and
achieve the best benefit and good care quality in nursing home.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hypnotic agent
sedative agent
EMTREE DRUG INDEX TERMS
alprazolam
anxiolytic agent
clonazepam
estazolam
fludiazepam
lorazepam
oxazolam
zolpidem
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
nursing home
pharmacoepidemiology
prescription
risk management
EMTREE MEDICAL INDEX TERMS
addiction
chronic disease
human
intoxication
nurse
nursing home patient
patient
physical disease by body function
physician
psychosis
senescence
side effect
sleep disorder
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/pds.3701
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 89
TITLE
Concomitant alcohol intoxication delays antibiotic treatment of sepsis in
adult emergency department patients
AUTHOR NAMES
Dryer A.
Kopelman Z.
Dattilo A.
Ward M.F.
Schneider S.
D'Amore J.
AUTHOR ADDRESSES
(Dryer A.; Kopelman Z.; Dattilo A.; Ward M.F.; Schneider S.; D'Amore J.)
North Shore - LIJ, Manhasset, United States.
CORRESPONDENCE ADDRESS
A. Dryer, North Shore - LIJ, Manhasset, United States.
SOURCE
Annals of Emergency Medicine (2014) 64:4 SUPPL. 1 (S34). Date of
Publication: October 2014
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2014 Research Forum
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2014-10-27 to 2014-10-28
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Background: Alcohol abuse is associated with a higher incidence of sepsis
and hospital mortality. Previous studies demonstrate that patients with
alcohol dependence (continuing alcoholism or alcohol withdrawal) are 75%
more likely to develop septic shock, and 80% more likely to develop sepsis.
Alcohol intoxication may exist as a confounding factor in the identification
of systemic inflammatory response syndrome (SIRS) criteria, and subsequent
treatment of sepsis patients. A literature search produced no published
research examining the effects of alcohol intoxication on the timeliness of
sepsis treatment in the acutely alcohol intoxicated patient population.
Study Objective: To determine if there is a delay in antibiotic
administration time for acutely intoxicated septic patients presenting to
the emergency department (ED). Methods: IRB approved, retrospective,
case-controlled study of a consecutive sample of patients presenting to the
emergency department between January 2012 and February 2014. Setting: Urban
tertiary care center with 85k visits/year. Experimental Inclusion Criteria:
Suspicion of new infection, 2 SIRS criteria, and documentation of alcohol
intoxication noted by a nurse or physician (ie, patient history,
breathalyzer, and blood alcohol content). Control Inclusion Criteria:
Suspicion of new infection, 2 SIRS criteria. Control subjects were sex,
sepsis severity, and age (+/-3 years) matched to experimental subjects.
There were no significant differences in blood pressure, lactate levels, and
new organ dysfunction. Exclusion Criteria: <18 years of age, a documented
goal of care discussion at the time of sepsis that precludes compliance with
the sepsis bundle (a requested hold on antibiotics, etc), patient received
on transfer from outside facility with sepsis, patients taking antibiotics
at the time of ED presentation, and vulnerable populations. Study
procedures: Demographics, co-morbidities, clinical data, and treatment
details including antibiotic administration time were collected. Antibiotic
administration time was defined as time zero (initial sepsis identification)
to the time the first antibiotic was administered. Descriptive statistics
were calculated with 95% confidence intervals (in parentheses) where
appropriate. A paired sample t-test was used to assess statistical
significance between experimental and control groups. Results: Data analysis
revealed a mean antibiotic administration time of 118 minutes (56.5- 179.49)
for intoxicated septic patients versus 36.4 minutes (0 - 84.76) for control
patients (p<0.04 with 95% confidence). The mean age analyzed was 52.6 years
across ten study subjects. Conclusions: There was a delay of antibiotic
administration in alcohol intoxicated patients presenting to the emergency
department with sepsis. Limitations include a single study site and small
study sample. Further research is needed to better elucidate the reasons for
critical delays in antibiotic treatment for emergency department sepsis
patients who present with acute alcohol intoxication. Future research may
explore response to treatment and the possibility of exacerbated organ
dysfunction for the intoxicated sepsis patient population.
EMTREE DRUG INDEX TERMS
alcohol
antibiotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
alcohol intoxication
antibiotic therapy
college
emergency physician
emergency ward
human
patient
sepsis
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol blood level
alcohol withdrawal
alcoholism
blood pressure
clinical study
confidence interval
control group
controlled study
data analysis
documentation
infection
medical history
morbidity
mortality
nurse
physician
population
procedures
septic shock
statistical significance
statistics
Student t test
systemic inflammatory response syndrome
tertiary care center
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2014.07.119
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 90
TITLE
Cancer and pain management: Debunking myths in Latino patients
AUTHOR NAMES
Juarez G.
Mayorga L.
AUTHOR ADDRESSES
(Juarez G.; Mayorga L.) City Of Hope, Duarte, United States.
CORRESPONDENCE ADDRESS
G. Juarez, City Of Hope, Duarte, United States.
SOURCE
Psycho-Oncology (2014) 23 SUPPL. 3 (380-381). Date of Publication: October
2014
CONFERENCE NAME
IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2014-10-20 to 2014-10-24
ISSN
1057-9249
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
BACKGROUND: Pain is a sensitive topic among Latinos, due to fear of disease
progression, treat- ment delays or pain medication addiction. Limited
Spanish educational materials/programs on pain management are available.
Culturally-relevant education on managing pain can empower patients to have
an active voice in their care and learn how their cancer journey can be pain
free. Purpose of this Spanish interactive education program was to educate
patients/families on pain management and debunk cultural myths of cancer
pain. METHOD: Cultural factors were considered developing the education
intervention such as the significance of family or “familismo,” the most
specific value for Latinos. Ten Spanish pain classes were conducted by
Advance Practice Nurse and Health Educator. Five interactive components were
embedded to ensure patients understanding and learning. Education was
provided on how to interpret/use pain scales, creating a pain diary,
medication list, and medication safety, including CAM & non-therapeutic
options for pain management. Including education on pain management, pain
types, and dispelling myths/perceptions of cancer pain. Patients/Families
received a 2 hours educational class, program evaluation and post 30 day
followup. RESULTS: 81 patients/caregivers participated in the educational
program. Program identified a distorted perception of pain amongst Latinos:
(1) pain was not manageable (2) it's part of treatment process (3) a way
that the body is getting rid of cancer. Some refused medication for fear of
addiction. 50% patients did not communicate their pain issues to their
providers, for fear of treatment delay. 90% stated that the class provided
them with tools and resources to take an active role in their care and
managing their pain. In post 30 day follow-up patients reported that their
cancer pain was reduced by 50%. CONCLUSIONS: Power of education and
knowledge was evident within a 2-hour class, these perceptions were quickly
dispelled. Patients learned that they could go through their cancer journey
pain free. In addition to the importance of learning the facts about pain,
equally critical in our classes has been the role of culture and how to
frame information within this context. With our Hispanic patients, they had
an added bonus - an incredible support system from their families, who
attend the education classes with them. We learned that in most families
everyone has a role in taking care of the patient. RESEARCH IMPLICATIONS:
Need for more research in the area of pain management amongst latinos and
their perceptions on cancer pain. CLINICAL IMPLICATIONS: Both the medical
community and patients need to do understand more about pain and pain
management strategies in order to attain better health outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
Hispanic
human
literature
neoplasm
oncology
patient
EMTREE MEDICAL INDEX TERMS
addiction
cancer pain
community
cultural factor
disease course
drug therapy
education
education program
fear
follow up
health
health educator
learning
nurse
pain
pain assessment
program evaluation
safety
therapy delay
vascular guide wire
voice
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1099-1611.2014.3697
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 91
TITLE
Assessment of personal and social functioning and caregiver burden in
schizophrenics treated with paliperidone palmitate long acting injectable,
followed up for 1 year
AUTHOR NAMES
Zarranz I.
Bolaño S.
AUTHOR ADDRESSES
(Zarranz I.; Bolaño S.) Hospital Provincial de Toledo, Psiquiatria, Toledo,
Spain.
CORRESPONDENCE ADDRESS
I. Zarranz, Hospital Provincial de Toledo, Psiquiatria, Toledo, Spain.
SOURCE
European Neuropsychopharmacology (2014) 24 SUPPL. 2 (S551-S552). Date of
Publication: October 2014
CONFERENCE NAME
27th European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2014-10-18 to 2014-10-21
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Objectives: Patients with schizophrenia can experience great disruption to
their lives, not only difficulties in better functioning in the society [1],
but also to maintain social relationships and/or a job. They are unable to
perform basic personal and social roles or activities, which impacts the
quality of life of both, patients and families [2]. It is widely known that
adherence to treatment is low. A very helpful approach to improve adherence
and clinical, functional, and economic outcomes of schizophenia is the use
of longacting injectable (LAI) antipsychotics, although only a minority of
patients receives these. In order to improve non-adherence to treatment,
there are some issues needed to be adderessed: insight, social and family
support, multidisciplinary approches and addressing adverse advents, by
simplifying administration routes making treatments more comfortable [3].
Methods: This is a 1-year prospective study of schizophrenia, outpatients
from Hospital Provincial de Toledo. They were interviewed at baseline. 6
months and 12 months using the PSP and Zarit scales to assess funtioning and
caregiver's burden, respectively. Considering the dose received of
paliperidone palmitate, cost of treatment by patient and year were
calculated and compared to cost of treatment by patient and if they were
receiving, instead of PP, equivalent doses of RLAI. This study followed the
inclusion criteria as: Patients needed to (a) be over 18 years of age; (b)
meet ICD-10 criteria for TAB, Paranoid Schizophrenia, Schizoaffective
disorder; (c) have remained stable (meaning not having been hospitalized or
visiting urgency setting) during the last 12 months; (d) not have a I or II
axis disorder except for nicotine or caffeine dependence; (e) not have been
participating in psychosocial programs (CRPSL, Day Hospital); (f) sign a
written informed consent or have a guardian sign this informed consent.
Exclusion criteria were patients on an IC<70, with understanding language
problems or sensory disorders (deafness). Results: A statistically
significant improvement in patient functioning and caregiver's burden was
observed during the study period (∗p<0.05). Regarding our third study
outcome, we could observe a significant economic impact on savings between
the different groups of patients, considering their paliperidone palmitate
treatment doses vs. RLAI. Conclusions: At the end of this one year-long
follow-up analyses, we can conclude that: paliperidone palmitate was
effective to improve personal and social performance, measured by PSP scale,
of the studied patients, as well as, the caregiver's burden, measured by
Zarit scale. These improvements were observed from the first 6 months and
maintained over the 1-year follow-up. Economics outcomes were substantially
better with paliperidone palmitate than with RLAI, obtaining savings of
26,345.36EU/year. The absence of treatment indirect cost measurements (as
hospitalizations, urgency visits, concomitant medication cost, if
applicable, nurse visits, etc.) may bias the results of the economic
analysis. In addition, considering the previous patient antipsychotic
medication, some of them could require higher or lower doses of paliperidone
palmitate. On the other hand, it may be possible that improvements in
functionality and caregiver's burden could decrease these indirect costs,
which could be translated into higher savings.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
paliperidone
EMTREE DRUG INDEX TERMS
caffeine
neuroleptic agent
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
caregiver burden
college
psychopharmacology
schizophrenia
social interaction
EMTREE MEDICAL INDEX TERMS
day hospital
diseases
drug administration route
drug therapy
economics
follow up
hearing impairment
hospital
hospital patient
hospitalization
human
ICD-10
informed consent
language
nurse
outpatient
paranoid schizophrenia
patient
patient compliance
postsynaptic potential
prospective study
quality of life
schizoaffective psychosis
sensory dysfunction
society
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 92
TITLE
Analgesic response to intramuscular ketorolac in the obese patient
population in the emergency department
AUTHOR NAMES
Van Berkel M.
Jonap B.
Davis L.
Negrete A.
AUTHOR ADDRESSES
(Van Berkel M.; Negrete A.) Pharmacy Department, Methodist University
Hospital, Memphis, United States.
(Jonap B.) Department of Pharmacy, Methodist University Hospital, United
States.
(Davis L.) Emergency Department, Methodist University Hospital, United
States.
CORRESPONDENCE ADDRESS
M. Van Berkel, Pharmacy Department, Methodist University Hospital, Memphis,
United States.
SOURCE
Pharmacotherapy (2014) 34:10 (e241-e242). Date of Publication: October 2014
CONFERENCE NAME
2014 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2014
CONFERENCE LOCATION
Austin, TX, United States
CONFERENCE DATE
2014-10-12 to 2014-10-15
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Analgesic selection in the Emergency Department (ED) can be
challenging due to possible opioid abuse or absence of intravenous access.
Additionally, intramuscular (IM) injection in the obese population may be
problematic, given the standard IM needle length. This study evaluated the
effect of body mass index (BMI) on analgesic response to IM ketorolac in
non-obese, obese, and morbidly obese patients treated in the ED. METHODS:
This was a retrospective study of adult patients treated for pain with 60 mg
IM ketorolac in the ED from November 2013 through April 2014. Pain scores
were completed at the discretion of the nursing team using a traditional 10
point Likert pain scale, and the change in pre and post treatment scores was
compared for patients who are non-obese (BMI <30 kg/m(2)), obese (BMI
30.1-35 kg/m(2)), and morbidly obese (>35 kg/m(2)). Exclusion criteria were
a post pain score collected <30 minutes from the time of ketorolac
injection, concomitant administration of another analgesic, or incomplete
demographic and pain score data. RESULTS: During the inclusion period, 120
patients met eligibility for inclusion out of 388 charts reviewed. There was
no difference in patient age, location of pain, location of IM injection, or
pre-treatment pain scores. There were more females in the obese and morbidly
obese groups (p=0.0012). There was no difference in the primary outcome of
average change in pain response for patients in the non-obese (6.6 ± 3.0),
obese (6.0 ± 3.7) and morbidly obese (6.0 ± 3.1) groups, (p=0.593). A
multiple regression analysis was performed for the primary outcome and found
no difference between groups after controlling for time to post-treatment
pain score and location of injection (p=0.634). CONCLUSIONS: BMI did not
affect mean change in pain score suggesting effective administration in the
obese population. Data will be collected for additional analysis.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent
ketorolac
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
emergency ward
human
patient
population
EMTREE MEDICAL INDEX TERMS
abuse
adult
body mass
female
hospital patient
injection
intramuscular drug administration
multiple regression
needle
nursing
pain
pain assessment
retrospective study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1497
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 93
TITLE
Intravenous antibiotics impact on post-ERCP pancreatitis
AUTHOR NAMES
Abdelfatah M.
Enriquez K.
El Zoghbi M.
Shill M.
Kandil H.
AUTHOR ADDRESSES
(Abdelfatah M.; Enriquez K.) AGMC, Northeast Ohio University, Akron, United
States.
(Shill M.) Department Gastroenterology and Hepatology, AGMC, Northeast Ohio
University, Akron, United States.
(El Zoghbi M.) Department Gastroenterology and Hepatology, University
Hospitals, Case Medical Center, Cleveland, United States.
(Kandil H.) Division of Gastroenterology and Hepatology, East Carolina
University, Greenville, United States.
CORRESPONDENCE ADDRESS
M. Abdelfatah, AGMC, Northeast Ohio University, Akron, United States.
SOURCE
American Journal of Gastroenterology (2014) 109 SUPPL. 2 (S87). Date of
Publication: October 2014
CONFERENCE NAME
79th Annual Scientific Meeting of the American College of Gastroenterology
CONFERENCE LOCATION
Philadelphia, PA, United States
CONFERENCE DATE
2014-10-17 to 2014-10-22
ISSN
0002-9270
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Introduction: In a previous report, antibiotic prophylaxis of intravenous
ceftazidime given 30 minutes before ERCP decreased the risk of pancreatitis,
suggesting that bacteria could play a role in the pathogenesis of post-ERCP
pancreatitis (PEP). We aimed to evaluate the role of antibiotics on the
incidence of PEP. Methods: A single-center, retrospective, case-control
study was conducted to evaluate the potential effect of pre-ERCP intravenous
antibiotics (piperacillin and tazobactam, ciprofloxacin and cefoxitin) in
preventing PEP. All patients who underwent ERCP between January 2007 and
February 2014 were included. Medical records of the patients were reviewed
for demographic information, history of systemic disease, smoking, and
alcohol abuse. Physician orders and nursing notes were reviewed to confirm
intravenous antibiotics use prior to ERCP. PEP was defined based on new
onset abdominal pain requiring hospitalization for at least 2 nights and
increase in serum lipase and/or amylase ≥3 times the upper limit of the
normal level at least 24 hours after the procedure. Results: Two hundred
eighty ERCPs were performed during the study period; the average patient age
was 63.1 years, with 158 females, and 36 patients with history of
pancreatitis. Patients were divided in those taking intravenous antibiotics
(n=88) and control group (n=192) who did not take antibiotics. Fifteen
patients developed PEP, 7 of 88 patients (7.9%) taking antibiotics and 8 of
192 (4.1%) not taking antibiotics (p=0.205). The following factors were
found to be significantly associated with an increased incidence of PEP,
history of PEP, female sex, and difficult cannulation/ failed attempt.
Conclusion: Our study did not show any evidence to support a role for
antibiotics (piperacillin and tazobactam, ciprofloxacin, cefoxitin) in
decreasing the incidence or severity of PEP.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
EMTREE DRUG INDEX TERMS
amylase
cefoxitin
ceftazidime
ciprofloxacin
piperacillin
tazobactam
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
college
endoscopic retrograde cholangiopancreatography
gastroenterology
pancreatitis
EMTREE MEDICAL INDEX TERMS
abdominal pain
alcohol abuse
antibiotic prophylaxis
bacterium
case control study
control group
female
hospitalization
human
medical record
night
nursing
pathogenesis
patient
physician
procedures
risk
smoking
systemic disease
triacylglycerol lipase blood level
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/ajg.2014.275
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 94
TITLE
Revisiting Project Re-Engineered Discharge (RED): The impact of a pharmacist
telephone intervention on hospital readmission rates
AUTHOR NAMES
Mancuso M.
Sanchez G.
Douglass M.
AUTHOR ADDRESSES
(Mancuso M.; Sanchez G.) Department of Pharmacy, Boston Medical Center,
Boston, United States.
(Douglass M.) Department of Pharmacy Practice, Northeastern University,
School of Pharmacy, Boston, United States.
CORRESPONDENCE ADDRESS
M. Mancuso, Department of Pharmacy, Boston Medical Center, Boston, United
States.
SOURCE
Pharmacotherapy (2014) 34:10 (e200). Date of Publication: October 2014
CONFERENCE NAME
2014 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2014
CONFERENCE LOCATION
Austin, TX, United States
CONFERENCE DATE
2014-10-12 to 2014-10-15
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Project Re-Engineered Discharge (RED) is a discharge nurse
education (DNE) and pharmacist follow-up telephone intervention protocol
that was shown to significantly decrease re-hospitalization. The specific
value of the pharmacist intervention was not originally evaluated. The
objective of this study was to determine the impact of a pharmacist
telephone intervention during the transition of care process on the rate of
unplanned hospitalization within 30 days of patient discharge. METHODS: A
retrospective chart review was completed for patients who received DNE
counseling and were discharged to home from the family medicine service at
Boston Medical Center from July, 2012-May, 2013. Patients were stratified
into two groups: contacted/intervention, and unable to contact/no
intervention. The primary outcome was the rate of unplanned hospital
utilization, including emergency room visits and readmissions, within 30
days of discharge. Secondary endpoints included number of pharmacist
interventions and time spent on phone calls. RESULTS: There were 401
patients identified; 277 patients received a pharmacist telephone
intervention and 124 patients were unable to be contacted. Baseline
characteristics did not differ between the two groups, with the exception of
a higher prevalence of substance abuse in the non-intervention group (41.9%
vs 21.3%, p<0.001). The rate of unplanned hospitalization (visits/ patient)
was significantly reduced in the intervention group, compared to the unable
to contact group (0.227 vs 0.519, p<0.001). Pharmacists made a total of 128
interventions and spent an average of 22 minutes on each telephone
intervention. CONCLUSION: Patients unable to be contacted by a pharmacist
after hospital discharge were more likely to be readmitted or visit the
emergency room in the 30 days following discharge. A pharmacist telephone
intervention as part of a comprehensive discharge protocol can positively
impact patients during the transition of care process by reducing incidence
of unplanned hospital utilization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
hospital readmission
human
pharmacist
telephone
EMTREE MEDICAL INDEX TERMS
counseling
emergency ward
family medicine
follow up
hospital discharge
hospital utilization
hospitalization
medical record review
nursing education
patient
prevalence
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1497
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 95
TITLE
Clear: Clinical and laboratory data evaluation for an appropriate medication
review
AUTHOR NAMES
Mestres Gonzalvo C.
Hurkens K.P.G.M.
De Wit H.A.J.M.
Janknegt R.
Schols J.M.G.A.
Mulder W.J.
Verhey F.R.
Winkens B.
Van Der Kuy P.H.M.
AUTHOR ADDRESSES
(Mestres Gonzalvo C.; De Wit H.A.J.M.; Janknegt R.; Van Der Kuy P.H.M.)
Dept. of Clinical Pharmacy and Toxicology, Orbis Medical Centre, Sittard,
Netherlands.
(Hurkens K.P.G.M.; Mulder W.J.) Dept. of Internal Medicine, MUMC,
Netherlands.
(Schols J.M.G.A.) Dept. of General Practice and Health Services Research,
CAPHRI, Netherlands.
(Verhey F.R.) Dept. of Psychiatry and Neuropsychology, MHeNS, Netherlands.
(Winkens B.) Dept. of Methodology and Statistics, CAPHRI, UM, Maastricht,
Netherlands.
CORRESPONDENCE ADDRESS
C. Mestres Gonzalvo, Dept. of Clinical Pharmacy and Toxicology, Orbis
Medical Centre, Sittard, Netherlands.
SOURCE
British Journal of Clinical Pharmacology (2014) 78:4 (770). Date of
Publication: October 2014
CONFERENCE NAME
Dutch Society of Clinical Pharmacology and Biopharmacy Meeting 2013
CONFERENCE DATE
2013-03-26 to 2013-03-26
ISSN
0306-5251
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Introduction Polymedicated patients, including nursing home residents, have
an increased risk of experiencing adverse drug reactions, problems with drug
choice, dose and treatment duration, and probably undertreatment. In
addition, the management of such patients is often challenging due to
complex impairment and/or comorbidity [1, 2]. The ultimate goal is to
develop a clinical decision support system within the SCREEN study (ZonMw)
to support clinical practice in nursing homes and homes for the aged. The
aim of this study was to evaluate to which extent laboratory data, actual
medication, medical history and drug indication are used in daily practice.
Methods Healthcare professionals including nursing home physicians,
community pharmacists and general practitioners, were requested to perform
medication reviews for 3 different cases (A, B, C) in three different
situations in relation to the amount of available information at a time:
stage 1 only with the medication list, 2 adding the laboratory data and the
reason for admission, and stage 3 adding the medical history. The number of
remarks and their clinical relevance was retrospectively assessed, per
stage, by our expert panel in order to establish the golden standard.
Results The results after the comparison with the golden standard medication
are listed in Table 1. Medication problems which were identified by few
participants included the addition of new medication and switching
medication according to clinical data and/or guidelines. On the other hand,
benzodiazepines related remarks were well identified together with dose
reduction and/or drug stopping due to laboratory values or lack of
indication. Conclusion The large variation in the quality of these
medication reviews, as well as a the low mean quality, highlights that
information is not correctly used or wrongly interpreted, irrespective of
the available information. (Table Presented).
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacology
drug therapy
laboratory
society
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
clinical practice
clinical study
comorbidity
decision support system
drug choice
drug dose reduction
drug indication
general practitioner
gold standard
health care personnel
home for the aged
human
medical history
nursing home
nursing home patient
patient
pharmacist
physician
risk
treatment duration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/bcp.12400
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 96
TITLE
A novel six-sigma-based multidisciplinary administrative intervention
reduces opioid-seeking patient emergency department recidivism
AUTHOR NAMES
Ketcham E.M.
Fredella A.
Malone M.
Ketcham C.
Larkin G.L.
AUTHOR ADDRESSES
(Ketcham E.M.; Fredella A.; Malone M.; Ketcham C.; Larkin G.L.) San Juan
Regional Medical Center, Farmington, NM; University of Aukland, Aukland, New
Zealand
CORRESPONDENCE ADDRESS
E.M. Ketcham,
SOURCE
Annals of Emergency Medicine (2014) 64:4 SUPPL. 1 (S99). Date of
Publication: October 2014
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2014 Research Forum
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2014-10-27 to 2014-10-28
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Opioid-seeking visits to United States emergency
departments (EDs) cost billions and have increased an estimated 614% from
1995 to 2008. The objective of this study is to determine if a novel,
six-sigma based, multi-departmental, coordinated intervention program,
focused on high-ED-utilizing (rate of > 10 visits/ yr), opioid-seeking
patients could reduce ED recidivism at 12 months. Methods:
Quasi-experimental, open, prospective translational cohort study, in a
semi-rural, non-academic, community/county hospital, with ED volume of
>50,000 patients/year. Study subjects included adult and adolescent
patients, identified with a high level of certainty, to be primarily opioid
seeking, based on a high rate of ED utilization (> 10 visits/yr or at least
6 in the preceding 6 months), clear demands for opioids, or opioid
abuse-related overdoses. Patients exceeding visit threshold (10 in preceding
1 year or 6 in preceding 6 months), as well as those referred by either a
health care team member or friend/family member, were reviewed
systematically by an impartial multi-disciplinary committee. The committee
determined by consensus if the patient's hospital, ED, laboratory, and state
pharmacy board records reflect opioid abuse and/or opioid-seeking behavior.
If classified by the committee as opioid abusing/ seeking, patients were
“enrolled” in the recidivism program, and the patient was sent a
notification letter. All “enrolled” patients were identified as such upon ED
revisit using an icon on the electronic medical record (EMR) tracking board.
Physician and nursing staff were in-serviced/educated at program outset and
informed not to administer opioids to icon-bearing patients unless
circumstances were extenuating (eg, newly documented severe trauma). Cohort
ED visit rate was continually updated via ED EMR dashboard. Primary outcome
measure was the cohort ED visit rates over 12 months pre- and
post-intervention. Results: From March 2012 through February 2013, through a
series of 17 chart review sessions, the committee reviewed 542 patients, and
identified a cohort of opioid seeking patients (N = 298 patients), which
were each tracked for 1 year. Number of ED visits dropped from M = 13.5/yr
(SD = 3.68) prior to program implementation to M = 4.50/yr (SD = 1.30)
afterwards (Wilcoxon matched-pairs P=.001). Total ED visits for the
identified at-risk population dropped from 4,024 in year one to 1,319 in
year two; a reduction of 2,705 visits (67%). Additionally, cost analysis of
a random sample of 105 pre-program ED visits within this at-risk population
revealed operating costs of $924/visit. With a reduction of 2,705 presumably
unnecessary ED visits, approximately $8.38 million in charges and
approximately $2.50 million in operating costs were avoided. Conclusion: A
six-sigma-based intervention targeting high ED utilizing opioidseeking
patients reduced ED revisits significantly at 12 months.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
emergency ward
human
patient
recidivism
EMTREE MEDICAL INDEX TERMS
abuse
adolescent
adult
cohort analysis
consensus
cost benefit analysis
electronic medical record
health care
hospital
injury
intoxication
laboratory
medical record review
nursing staff
pharmacy
physician
population
random sample
risk
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2014.07.306
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 97
TITLE
Teaching motivational interviewing skills to medical care providers in the
tohoku area, where people suffered from an earthquake and atsunami in 2011
AUTHOR NAMES
Sakuma H.
Matsushita S.
Fujita S.
AUTHOR ADDRESSES
(Sakuma H.; Matsushita S.; Fujita S.) National Health Organization Kurihama
Medical and Addiction Center, Japan.
CORRESPONDENCE ADDRESS
H. Sakuma, National Health Organization Kurihama Medical and Addiction
Center, Japan.
SOURCE
Alcohol and Alcoholism (2014) 49 SUPPL. 1 (i26). Date of Publication: 1 Sep
2014
CONFERENCE NAME
16th International Society of Addiction Medicine Annual Meeting
CONFERENCE LOCATION
Yokohama, Japan
CONFERENCE DATE
2014-10-02 to 2014-10-06
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press
ABSTRACT
An earthquake of 9.0 magnitude hit the north eastern area of Japan on March
11, 2011. Many residents in the area are still forced to live in temporary
housing. Under stressful situation such as these natural disasters, various
risks of mental illness tend to increase. Many kinds of community mental
health care providers such as public health nurses, psychiatric social
workers, and administrative health care consultants are active in disaster
areas. Sometimes they face the residents' denial. Some people refuse to be
concerned about their drinking issues or unhealthy habits. We are visiting
the disaster areas of Ofunato City and Rikuzen-takata City monthly, and we
are supervising the intervention of the mental health care providers.We are
providing intervention skills that are based on motivational interviewing
and problem solving. As a result of the health care providers applying such
intervention skills, some residents have changed their distractive
behaviors. In one case, one person who had alcohol abuse problems stopped
drinking, although he had never changed his drinking behavior before. In
another case, one person who had serious Somatoform Disorder participated
regularly in counseling with an administrative health care consultant.
Through these cases, one can see the application of motivational
interviewing techniques for community health care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
earthquake
human
medical care
motivational interviewing
skill
society
teaching
EMTREE MEDICAL INDEX TERMS
alcohol abuse
city
community care
community mental health
consultation
counseling
drinking
drinking behavior
habit
health care
health care personnel
housing
Japan
mental disease
mental health care
natural disaster
nurse
problem solving
risk
social worker
somatoform disorder
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agu052.124
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 98
TITLE
Nurse's perspectives on care provided for patients with gamma-hydroxybutyric
acid and gamma-butyrolactone abuse
AUTHOR NAMES
Lundahl M.-K.
Olovsson K.J.
Rönngren Y.
Norbergh K.-G.
AUTHOR ADDRESSES
(Lundahl M.-K.; Olovsson K.J.; Rönngren Y.; Norbergh K.-G.) Department of
Health Sciences, Mid Sweden University, Sundsvall, Sweden
SOURCE
Journal of clinical nursing (2014) 23:17-18 (2589-2598). Date of
Publication: 1 Sep 2014
ISSN
1365-2702 (electronic)
ABSTRACT
AIMS AND OBJECTIVES: To describe registered nurses' views and experiences
providing care for gamma-hydroxybutyric acid and gamma-butyrolactone abuse
inpatients in a psychiatric unit.BACKGROUND: Gamma-hydroxybutyric acid and
gamma-butyrolactone are illegal drugs with potentially fatal outcomes that
are entering wider use in Scandinavia. Gamma-hydroxybutyric acid-dependent
persons with withdrawal symptoms often require forceful withdrawal treatment
provided in psychiatric units.DESIGN: A qualitative study with a purposive
sample including interviews from registered nurses.METHODS: Data were
collected from interviews with 15 registered nurses working in specialised
dependency units in psychiatric wards. The data collected were analysed
through a descriptive, qualitative analysis.RESULTS: The registered nurses'
narratives revealed four main areas of convergence: feelings of anxiety and
despair, preparation for unpredictable and precarious situations, striving
for good relationship and striving to optimise and develop nursing care. The
interviews revealed that registered nurses reflect on and discuss their
feelings about their patients' situations with colleagues; prepare
themselves for potential aggressiveness and unpredictable situations;
improve their care through conscious attitude adjustment and
relationship-forming behaviours; and strive to increase their personal
knowledge, maintain a hopeful outlook and exhibit a positive approach. These
themes were found in all nine categories and sixteen
subcategories.DISCUSSION: The findings based on the registered nurses'
narratives indicated that the registered nurses experienced their work
situation when caring for these patients to be very complex and
demanding.CONCLUSION: The study revealed that registered nurses worked
extensively to craft their approach and attitude towards their patients. It
is clear that registered nurses use themselves as tools or instruments for
the creation of good relationships, thus providing the best care
possible.RELEVANCE TO CLINICAL PRACTICE: Registered nurses should be given
more education, clearer guidelines and better guidance to assist them in
facing such challenging and often problematic situations. One-on-one
shadowing provides the possibility to create and develop relationship.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
gamma butyrolactone
hydroxybutyric acid
EMTREE DRUG INDEX TERMS
4 hydroxybutyric acid
4 hydroxybutyric acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
nursing practice
EMTREE MEDICAL INDEX TERMS
addiction
adult
female
hospital patient
hospital subdivisions and components
human
interview
male
middle aged
psychiatric nursing
Scandinavia
CAS REGISTRY NUMBERS
gamma butyrolactone (96-48-0)
hydroxybutyric acid (1320-61-2, 35054-79-6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24372816 (http://www.ncbi.nlm.nih.gov/pubmed/24372816)
FULL TEXT LINK
http://dx.doi.org/10.1111/jocn.12475
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 99
TITLE
Dying with dementia in long-term care settings: Research crossing borders
AUTHOR NAMES
Van Der Steen J.T.
Van Den Block L.
Geschwindner H.
AUTHOR ADDRESSES
(Van Der Steen J.T.; Van Den Block L.) VU University Medical Center, EMGO
Institute for Health and Care Research, Amsterdam, Netherlands.
(Geschwindner H.) City of Zurich Nursing Centres, Zurich, Switzerland.
CORRESPONDENCE ADDRESS
J.T. Van Der Steen, VU University Medical Center, EMGO Institute for Health
and Care Research, Amsterdam, Netherlands.
SOURCE
European Geriatric Medicine (2014) 5 SUPPL. 1 (S24-S25). Date of
Publication: September 2014
CONFERENCE NAME
10th International Congress of the European Union Geriatric Medicine Society
- Geriatric Medicine Crossing Borders, EUGMS 2014
CONFERENCE LOCATION
Rotterdam, Netherlands
CONFERENCE DATE
2014-09-17 to 2014-09-19
ISSN
1878-7649
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
The Dutch End of Life in Dementia Study (J.T. van der Steen): The Dutch End
of Life in Dementia (DEOLD) Study (data collection 2007-2011) involved both
a prospective and retrospective data collection in a nationally
representative sample of 34 long-term care facilities. Part of the
instruments were the same as the US CASCADE study, but the Dutch study did
not limit to advanced dementia, and the prospective data collection started
directly upon admission. Further, rather than relying on chart review for
medical data, the physicians provided data helped the elderly care
physicians being on the staff in the Netherlands and their views therefore
also being highly relevant to improve practice. We had the opportunity to
rely on dementia diagnoses available upon admission to a psychogeriatric
ward. We found that half of the patients died before reaching the stage of
advanced dementia. Nevertheless, symptom burdens were high, for example,
over half suffered from pain for more than a day in the last week of life.
Tools to observe pain systematically were not being used. A direct
comparison of the Dutch and the Flemish family views, however, indicated
that Dutch families found their relatives dying process more comfortable.
Quality of dying of nursing home residents with dementia in Flanders,
Belgium (L. van den Block): To inform practitioners and policy-makers in the
field of long term care, we investigated the clinical characteristics and
quality of dying of nursing home residents dying with dementia in Flanders,
Belgium. In 2010, we performed a large-scale, postmortem study in nursing
homes, representative for the region. For every deceased resident in a
period of three months a structured questionnaire was filled in by the nurse
most involved in care, the family physician, and the nursing home
administrator. We used the Cognitive Performance Scale and Global
Deterioration Scale to assess dementia. We identified 198 deceased residents
with dementia in 69 nursing homes (58% response rate). Fifty-four percent
had advanced dementia. In the last month of life, 95.5% had one or more
sentinel events (eg, eating/drinking problems, febrile episodes, or
pneumonia). Most frequently reported symptoms were pain, fear, anxiety,
agitation, and resistance to care. In the last week of life, difficulty
swallowing and pain were reported most frequently. Pressure sores were
present in 27%, incontinence in 89%, and cachexia in 46%. Physical
restraints were used in 21% of cases, and 10% died outside the nursing home.
Comparing stages of dementia revealed few differences between groups
regarding clinical complications, symptoms, or quality of dying. Hence,
regardless of the dementia stage, many nursing home residents develop
serious clinical complications and symptoms at the end of life. Although
palliative care is being integrated increasingly in nursing home structures
in Belgium, actual end-of-life practices might still be improved, as
training of nursing home staff lacks behind. Researching dementia
end-of-life care in Switzerland - the ZULIDAD study (H. Geschwindner): Data
on end-of-life care for dementia is lacking in Switzerland. As part of a
Swiss national research priority program on palliative care, the Zurich Life
and Death with Advanced Dementia (ZULIDAD) study investigates the last phase
of life in dementia with three different methods. First, a prospective
longitudinal study of nursing home residents with advanced dementia (n =
200) gathers observational data in four selected nursing homes in Zurich
during three years (start of data collection: 2013). This study shares key
study instruments with the Dutch DEOLD and the Belgian Dying Well studies
enabling international comparisons and covers the perspective of both family
members and professional caregivers. Secondly, an analysis of a large
database of RAI-MDS (resident assessment instrument-minimum data set) data
from several hundred nursing homes across Switzerland is performed in
parallel enabling development of RAI-MDS sub scores and cross-validation of
results on a larger scale. Third, a Round Table consisting of family
members, professionals in dementia and palliative care and researchers
serves as element of stakeholder participation during the entire course of
ZULIDAD. The talk will inform the audience about the organization of
end-of-life care for dementia in Switzerland as well as present preliminary
ZULIDAD data on the prevalence and trajectories of key symptoms at this
stage of disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia
European Union
geriatrics
long term care
society
EMTREE MEDICAL INDEX TERMS
administrative personnel
agitation
anxiety
Belgium
cachexia
caregiver
data base
death
decubitus
deterioration
diagnosis
elderly care
exercise
fear
general practitioner
human
incontinence
information processing
longitudinal study
medical record review
Netherlands
nurse
nursing home
nursing home patient
nursing home personnel
odontoid process
pain
palliative therapy
patient
physician
pneumonia
policy
prevalence
research priority
sample size
scientist
sentinel event
structured questionnaire
swallowing
Switzerland
terminal care
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 100
TITLE
An audit of the plate Pal volunteer programme in a long term care nursing
unit for older persons
AUTHOR NAMES
Murphy C.
Staveley R.
AUTHOR ADDRESSES
(Murphy C.; Staveley R.) Raheny Community Nursing Unit, Raheny, Dublin,
Ireland.
CORRESPONDENCE ADDRESS
C. Murphy, Raheny Community Nursing Unit, Raheny, Dublin, Ireland.
SOURCE
Irish Journal of Medical Science (2014) 183:7 SUPPL. 1 (S385). Date of
Publication: September 2014
CONFERENCE NAME
62nd Annual and Scientific Meeting of the Irish Gerontological Society, IGS
2014
CONFERENCE LOCATION
Galway, Ireland
CONFERENCE DATE
2014-10-09 to 2014-10-11
ISSN
0021-1265
BOOK PUBLISHER
Springer London
ABSTRACT
Background: Poor appetite and difficulty with eating and drinking are
problems faced by many older people in long term residential care (Furman
2006). Feelings of loneliness and helplessness can be a common theme within
this population group. The Plate Pal volunteer service provides one-on-one
companionship to residents at mealtimes. They can provide assistance and
gentle reminders to eat, provide company and stimulating conversation for
residents. The Plate Pal programme commenced in the nursing unit in June
2013 on a phased basis.Atotal of 12 volunteers visit.The Dietician and
Speech and Language Therapist carried out an audit to measure the
volunteer's experiences so far and help identify areas for service
enhancement. Methods: 12 Plate Pal volunteers were asked to complete a
5-question questionnaire using the Likert rating scale, with 1 being ''I
disagree'' and 10 being ''I agree''. The questions aimed to measure the
volunteers' overall experience including satisfaction, support,
relationships with staff and residents, and confidence. Results: Eight of
eleven questionnaireswere returned. Of those, 75 %of volunteers strongly
agreed that they feel supported by staff in the nursing home. 87 % of
volunteers strongly agreed that they find the volunteer experience
rewarding. 62 % strongly agree that they feel confident as a Plate Pal
volunteer. 62 % of volunteers felt strongly that contact with other
volunteers within the nursing home was important. 50 % of plate pals felt
strongly that they had developed a good relationship with their resident, 25
% were unsure and 25 % did not comment. Conclusion: Overall the Plate Pal
volunteers report to have a positive experience in the nursing home and find
their service very rewarding. The feedback will help develop and improve our
services to residents in our nursing unit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
long term care
medical audit
nursing unit
society
volunteer
EMTREE MEDICAL INDEX TERMS
appetite
conversation
dietitian
drinking
eating
feedback system
helplessness
loneliness
nursing home
population group
questionnaire
rating scale
residential care
satisfaction
speech and language
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11845-014-1177-1
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 101
TITLE
Risk and protective factors for relapse among Individuals with
Schizophrenia: A Qualitative Study in Dar es Salaam, Tanzania
AUTHOR NAMES
Sariah A.E.
Outwater A.H.
Malima K.I.Y.
AUTHOR ADDRESSES
(Sariah A.E., adellahsariah@gmail.com) Hubert Kairuki Memorial University
(HKMU), Faculty of Nursing, 322 Regent Estate, Dar es Salaam, Tanzania.
(Outwater A.H., outwater@yahoo.com) School of Nursing, Muhimbili University
of Health and Allied Sciences (MUHAS), Dar es Salaam, Tanzania.
(Malima K.I.Y., kmalima@costech.or.tz) Tanzania Commission for Science and
Technology (COSTECH), Dar es Salaam, Tanzania.
CORRESPONDENCE ADDRESS
A.E. Sariah, Hubert Kairuki Memorial University (HKMU), Faculty of Nursing,
322 Regent Estate, Dar es Salaam, Tanzania.
SOURCE
BMC Psychiatry (2014) 14:1 Article Number: 240. Date of Publication: 30 Aug
2014
ISSN
1471-244X (electronic)
BOOK PUBLISHER
BioMed Central Ltd., info@biomedcentral.com
ABSTRACT
Background: Relapse in people with schizophrenia is a major challenge for
mental health service providers in Tanzania and other countries.
Approximately 10% of people with schizophrenia are re-admitted due to
relapse at Muhimbili National Hospital (MNH) Psychiatric Unit each month.
Relapse brings about negative effects and it results in a huge burden to
patients, their families, the mental health sector and the country's
economy. So far no study has been done to address relapse in Tanzania. The
purpose of the study was to explore perspectives on risk and protective
factors influencing relapse of people with schizophrenia and their
caregivers attending Muhimbili National Hospital Psychiatric Out-patient
Department, Dar es Salaam, Tanzania.Methods: A qualitative study was
conducted, involving in-depth interviews of seven people with schizophrenia
who are out-patients and their seven family caregivers at MNH. Purposive
sampling procedure was used to select participants for the study. Audio
recorded in-depth interviews in Swahili language were conducted with all
study participants. The recorded information was transcribed and analyzed
using NVivo 9 computer assisted qualitative data analysis software.Results:
Personal risk and protective factors for relapse, environmental risk and
protective factors for relapse and suggestions to reduce relapse were the
main themes that emerged from this study. People with schizophrenia and
their caregivers (all of whom were relatives) perceived non adherence to
antipsychotic medication as a leading risk factor of relapse; other risks
included poor family support, stressful life events and substance use.
Family support, adherence to antipsychotic medication, employment and
religion were viewed as protective factors. Participants suggested
strengthening mental health psycho-education sessions and community home
visits conducted by mental health nurses to help reduce relapse. Other
suggestions included strengthening the nurse-patient therapeutic
relationship in provision of mental health care.Conclusions: This study
calls for improvement in mental health care service delivery to individuals
with schizophrenia. Establishing a curricular in mental health nursing that
aims to produce competent mental health nurse force would improve nursing
practice in mental health care service delivery.
EMTREE DRUG INDEX TERMS
chlorpromazine (drug therapy)
haloperidol (drug combination, drug therapy)
neuroleptic agent (drug therapy)
olanzapine (drug therapy)
trihexyphenidyl (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
relapse
schizophrenia (drug therapy, drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
cannabis addiction
caregiver
clinical article
employment
evening dosage
female
human
interview
male
medication compliance
mental health care
middle aged
nurse
nurse patient relationship
nursing practice
outpatient
patient compliance
peer group
professional practice
psychoeducation
psychopharmacotherapy
qualitative research
religion
risk factor
social support
substance use
Tanzania
very elderly
DRUG TRADE NAMES
artane
CAS REGISTRY NUMBERS
chlorpromazine (50-53-3, 69-09-0)
haloperidol (52-86-8)
olanzapine (132539-06-1)
trihexyphenidyl (144-11-6, 52-49-3)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014847443
MEDLINE PMID
25168715 (http://www.ncbi.nlm.nih.gov/pubmed/25168715)
FULL TEXT LINK
http://dx.doi.org/10.1186/s12888-014-0240-9
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 102
TITLE
Feasibility of discontinuing chronic benzodiazepine use in nursing home
residents: A pilot study
AUTHOR NAMES
Bourgeois J.
Elseviers M.M.
Van Bortel L.
Petrovic M.
Stichele R.H.V.
AUTHOR ADDRESSES
(Bourgeois J., jolyce.bourgeois@ugent.be; Elseviers M.M.; Van Bortel L.;
Petrovic M.; Stichele R.H.V.) Heymans Institute of Pharmacology, Ghent
University, De Pintelaan 185, Ghent, Belgium.
(Elseviers M.M.) Department of Nursing Science, University of Antwerp,
Antwerp, Belgium.
(Petrovic M.) Department of Geriatrics, Ghent University Hospital, Ghent,
Belgium.
CORRESPONDENCE ADDRESS
J. Bourgeois, Heymans Institute of Pharmacology, Ghent University, De
Pintelaan 185, Ghent, Belgium.
SOURCE
European Journal of Clinical Pharmacology (2014) 70:10 (1251-1260). Date of
Publication: 8 Aug 2014
ISSN
1432-1041 (electronic)
0031-6970
BOOK PUBLISHER
Springer Verlag, service@springer.de
ABSTRACT
Purpose: Guidelines discourage chronic benzodiazepines and related Z drugs
(BZD/Zs) for sleep problems. However, prevalence among nursing home
residents remains high. Discontinuing these drugs is widely recommended but
seems difficult to implement. The aim of our study was to evaluate the
overall feasibility in the nursing home, in terms of willingness towards
discontinuation and success rate at 8 months, together with the impact on
withdrawal symptoms, change in sleep quality, quality of life and medication
use. Methods: In a convenience sample of five nursing homes (823 residents),
we included cognitively competent residents with chronic BZD/Z use for
insomnia. We investigated sleep quality [with Pittsburgh Sleep Quality Index
(PSQI)], quality of life (EQ-5D) and withdrawal symptoms [Benzodiazepine
Withdrawal Symptom Questionnaire (BWSQ)]. Success rate was analysed with
survival analysis. Results: Of the 135 eligible residents, both general
physician (GP) and resident were willing to initiate discontinuation in 38
residents. Reasons for refusing to initiate discontinuation among GPs was
the unmotivated patient and among residents the reluctance towards change.
At 8 months, 66.0 % were successful discontinuers, with the subjective PSQI
component evolving favourably (p = 0.013) and a decreasing number of
midnight awakenings (p = 0.041). In the relapse group (n = 13), the quality
of life decreased (p = 0.012), with mainly an increase of problems with
activities and pain/discomfort. In both groups, the withdrawal symptoms,
functionality and medication use did not change. Conclusion: Discontinuation
of chronic BZD/Z use is feasible in the nursing home setting without
noticeable withdrawal symptoms, without a switch in medication use, without
detrimental effect on quality of life and with a positive effect on the
self-perceived sleep quality.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
benzodiazepine derivative
nitrogen 13
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
nursing home
nursing home patient
pilot study
sleep
EMTREE MEDICAL INDEX TERMS
arousal
convenience sample
drug therapy
general practitioner
insomnia
patient
Pittsburgh Sleep Quality Index
prevalence
quality of life
questionnaire
relapse
sleep quality
survival
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014727369
MEDLINE PMID
25098683 (http://www.ncbi.nlm.nih.gov/pubmed/25098683)
FULL TEXT LINK
http://dx.doi.org/10.1007/s00228-014-1725-7
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 103
TITLE
Training nurses and nursing students about prevention, diagnoses, and
treatment of fetal alcohol spectrum disorders
AUTHOR NAMES
Zoorob R.J.
Durkin K.M.
Gonzalez S.J.
Adams S.
AUTHOR ADDRESSES
(Zoorob R.J.) Department of Family and Community Medicine, Meharry Medical
College, Nashville, TN, USA
(Durkin K.M.) Department of Social Work, University of West Florida,
Pensacola, FL, USA; University of Alabama, Tuscaloosa, USA
(Gonzalez S.J.) Department of Family and Community Medicine, Meharry Medical
College, Nashville, 37208-3599 TN, USA. Electronic address:
sgonzalez@mmc.edu
(Adams S.) PMHNP Program, Vanderbilt University School of Nursing,
Nashville, TN, USA
SOURCE
Nurse education in practice (2014) 14:4 (338-344). Date of Publication: 1
Aug 2014
ISSN
1873-5223 (electronic)
ABSTRACT
Alcohol consumption during pregnancy can result in birth defects known as
fetal alcohol spectrum disorders. This study examined whether 1-h training
sessions on alcohol screening, brief intervention, diagnoses, and treatment
of fetal alcohol spectrum disorders could increase practical knowledge and
confidence in nurses and student nurses. Data were collected from 420 nurses
(n = 95) and student nurses (n = 325) in the southeastern United States,
from 2009 to 2011. Pre- and post-test data were analyzed using chi-square
tests and t-tests. The post-training response rate was 84%. Nurses were more
likely to know what constitutes binge drinking, facial abnormalities
associated with fetal alcohol syndrome, and criteria for diagnosis. Nurses
were also more confident in educating about effects of prenatal alcohol use,
identifying fetal alcohol spectrum disorders and utilizing resources.
Training materials may need to be improved and/or longer training programs
developed for student nurses, and nursing school programs should place more
emphasis on educating and preparing student nurses regarding this topic
area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse effects
education
nursing
organization and management
EMTREE MEDICAL INDEX TERMS
adult
attitude to health
comparative study
curriculum
drinking behavior
female
fetal alcohol syndrome (diagnosis, etiology, prevention)
human
nursing education
nursing staff
nursing student
practice guideline
pregnancy
United States
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24393607 (http://www.ncbi.nlm.nih.gov/pubmed/24393607)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2013.11.009
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 104
TITLE
Alcohol reduction starts here
AUTHOR NAMES
Dermody E.
AUTHOR ADDRESSES
(Dermody E.) Royal Preston Hospital and Chorley District Hospital
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2014)
28:43 (24-25). Date of Publication: 1 Jul 2014
ISSN
2047-9018 (electronic)
ABSTRACT
Emma Dermody leads a hospital-based specialist nursing team working with
patients who have alcohol-related problems. They aim to reduce admissions by
early intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
nursing
patient education
procedures
EMTREE MEDICAL INDEX TERMS
alcoholism (epidemiology, prevention)
health promotion
human
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25159766 (http://www.ncbi.nlm.nih.gov/pubmed/25159766)
FULL TEXT LINK
http://dx.doi.org/10.7748/ns.28.43.24.s28
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 105
TITLE
Nursing students' experiences with screening, brief intervention, and
referral to treatment for substance use in the clinical/hospital setting
AUTHOR NAMES
Braxter B.J.
Puskar K.
Mitchell A.M.
Hagle H.
Gotham H.
Terry M.A.
AUTHOR ADDRESSES
(Braxter B.J.; Puskar K.; Mitchell A.M.; Hagle H.; Gotham H.; Terry M.A.)
Betty J. Braxter, PhD, RN, CNM, Kathy Puskar, DrPH, RN, FAAN, and Ann M.
Mitchell, PhD, RN, FAAN, University of Pittsburgh School of Nursing,
Pennsylvania. Holly Hagle, PhD, Institute for Research, Education, and
Training in Addictions, Pittsburgh, Pennsylvania. Heather Gotham, PhD,
University of Missouri-Kansas City. Martha Ann Terry, PhD, University of
Pittsburgh Graduate School of Public Health, Pennsylvania
SOURCE
Journal of addictions nursing (2014) 25:3 (122-129). Date of Publication: 1
Jul 2014
ISSN
1548-7148 (electronic)
ABSTRACT
Although Screening, Brief Intervention, and Referral to Treatment (SBIRT) is
an effective early intervention when used across healthcare settings, its
implementation has been difficult, in part because of lack of training,
healthcare providers' feelings of low self-efficacy in performing SBIRT, and
negative attitudes about people who use alcohol and drugs. This study used
qualitative descriptive methods to examine baccalaureate nursing students'
experiences with practicing SBIRT in clinical rotations following in-depth
classroom work and skill-based training. Fifty-five junior level nursing
students participated in four focus groups. Three overarching themes
describe students' experiences with SBIRT. Students expressed a positive
impact of the training on their attitudes and feelings of self-efficacy
regarding the use of SBIRT, differences in opinions about whether SBIRT
should be used universally with all patients or as a targeted intervention
with only some patients, and that SBIRT is a nursing responsibility. These
results suggest that education and training can affect attitudes and
efficacy, but that attention needs to be paid to how SBIRT is implemented
within different healthcare settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
nursing process
nursing student
EMTREE MEDICAL INDEX TERMS
addiction
adult
female
health personnel attitude
human
information processing
male
nursing education
United States
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25202808 (http://www.ncbi.nlm.nih.gov/pubmed/25202808)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0000000000000037
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 106
TITLE
Telepsychiatry for geriatric residents in rural nursing homes
AUTHOR NAMES
Steinberg S.I.
Gallop R.
Syed I.
Shraddha J.
Mohammed A.A.
Singh H.
Bogner H.R.
AUTHOR ADDRESSES
(Steinberg S.I., susanne.steinberg45@gmail.com) Crozer Chester Medical
Center, Upland, United States.
(Gallop R.) West Chester University, West Chester, United States.
(Syed I.; Shraddha J.; Singh H.) Temple University, Philadelphia, United
States.
(Mohammed A.A.) Leesburg Regional Medical Center, Leesburg, United States.
(Bogner H.R.) University of Pennsylvania, Phiadelphia, United States.
CORRESPONDENCE ADDRESS
S.I. Steinberg, Crozer Chester Medical Center, Upland, United States. Email:
susanne.steinberg45@gmail.com
SOURCE
Alzheimer's and Dementia (2014) 10 SUPPL. 4 (P768). Date of Publication:
July 2014
CONFERENCE NAME
Alzheimer's Association International Conference 2014
CONFERENCE LOCATION
Copenhagen, Denmark
CONFERENCE DATE
2014-07-12 to 2014-07-17
ISSN
1552-5260
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Background: Telepsychiatry has been demonstrated to be effective (1- 4). Yet
few studies have examined its benefits in the geriatric patient (1, 5-7).
Our goal is to build a telepsychiatry registry of older adults who are
evaluated, treated and followed maximizing cost-effectiveness and
stakeholder satisfaction. Methods: Our sample included 300 older adults
recruited from nine nursing homes in rural Pennsylvania.Measures: Mini
Mental State Examination (MMSE)(8) with a cut point of < 20/30 for major
neurocognitive disorders (MND), fifteen-item Geriatric Depression Scale
(GDS)(9) with a score ≥5 suggesting depression, Barthel Index of Activities
of Daily Living (ADL)(10) with a score <50/100 indicating dependence and
Pittsburgh Agitation Scale (PAS)(11) with a score of >8/16 behaviors
requiring treatment. Results: PSYCHIATRY: History 123 (42). Current Axis I
and II Diagnoses: Mood: 110 (37), Anxiety 16 (6), Schizophrenia 15 (5),
Alcoholism 21 (7), Personality Disorder 12 (4), Mental Retardation 12(4)
other than neurocognitive disorder (Figure I). Measures Those with MND had a
mean score of 15; SD 4.8 on the MMSE versus those without MND =25; SD 3.6 P
< 0.0001 and cut scores ≥ 8 PAS 83(30) and mean ADL scores (35; SD 26)
versus those without MND 52 SD 29 p<0.0001.MEDICAL CONDITIONS in this
analysis are life threatening or impair quality of life. 122(41) had 4 or
more medical conditions and 41(14) died. There was no difference in
antipsychotic (p=0.22) or analgesic use (opioid) p = 0.56 in the deceased
versus the living; the groups were differentiated by the higher comorbidity
(p =0.02).TREATMENTS: Pharmacology: antidepressants 222 (76) ,antipsychotics
198 (67),memory enhancer 100 (34), anxiolytics 141 (48) analgesics 89
(30),mood stabilizers 43 (15), sleep aids 38 (13),anti-parkinson agents 29
(10) and Therapy (individual 8(30), family 19 (7), couple 15(5), behavior
modification 93 (32). Short Term Psychiatric Outcomes: Improved 131 (45);
Remain unstable 24 (8); Only Consult to date 73 (25); Refused treatment (6)
2. Conclusions: Telepsychiatry improved outcomes for older patients with a
wide range of psychiatric disorders and a high rate of medical comorbidity.
In future, a full economic analysis will permit strategic health care
planning for this venue. (Table Presented).
EMTREE DRUG INDEX TERMS
analgesic agent
antidepressant agent
anxiolytic agent
mood stabilizer
neuroleptic agent
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home
rural health nursing
telepsychiatry
EMTREE MEDICAL INDEX TERMS
adult
agitation
alcoholism
anxiety
Barthel index
behavior modification
comorbidity
cost effectiveness analysis
daily life activity
diagnosis
diseases
enhancer region
Geriatric Depression Scale
geriatric patient
health care planning
human
implantable cardioverter defibrillator
memory
mental deficiency
mental disease
Mini Mental State Examination
mood
patient
personality disorder
pharmacology
quality of life
register
satisfaction
schizophrenia
sleep
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 107
TITLE
Are nurse-conducted brief interventions (NCBIs) efficacious for hazardous or
harmful alcohol use? A systematic review
AUTHOR NAMES
Joseph J.
Basu D.
Dandapani M.
Krishnan N.
AUTHOR ADDRESSES
(Joseph J.; Basu D.; Dandapani M.; Krishnan N.) SUM Nursing College (SNC),
Siksha 'O'Anusandhan University, Odisha, India
SOURCE
International nursing review (2014) 61:2 (203-210). Date of Publication: 1
Jun 2014
ISSN
1466-7657 (electronic)
ABSTRACT
AIM: The aim of this study was to compare the efficacy of nurse-conducted
brief interventions in reducing alcohol consumption, by looking at with
treatment as usual compared with other treatments and general
physician-delivered brief interventions within the literature.BACKGROUND:
Globally, the consumption of alcohol is at a worrying level and has
significant effects on health when consumed to excess. Numerous studies have
reported that brief intervention is effective in reducing excessive
drinking. However, evidence on the efficacy of such interventions by nurses
is still inconclusive.METHODS: We included randomized controlled trials of
brief interventions in which nurses were primarily involved as therapists,
and were designed to achieve a reduction in alcohol consumption and related
problems. We used online searches to locate randomized controlled trials in
this area published from 1995 till 2012.FINDINGS: Eleven trials were found
meeting inclusion criteria, comparing nurse-conducted brief interventions
with a control group or with other treatments. Five trials reported a
statistically significant reduction in alcohol consumption in the
intervention group with 6-12-month follow-up period and two trials concluded
that brief interventions delivered by nurses was as efficacious as by
physicians.IMPLICATIONS FOR NURSING POLICY: The findings of the review have
important policy implications for the preparation of nurses as therapists
for brief interventions to reduce excessive drinking in a broad range of
settings such as primary healthcare and hospital settings. The adoption of
this intervention into contemporary nursing practice should be considered by
the International Council of Nurses and nurses around the world as,
according to the literature, it provides an evidence base for the
independent functioning of nurses within the realms of nursing profession
and addiction medicine.CONCLUSION: The results of the review suggest that
nurse-conducted brief interventions are an effective strategy for reducing
alcohol consumption. We advocate more rigorous randomized controlled trials
to underpin its efficacy in both research and real life scenario.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
directive counseling
nurse attitude
nurse patient relationship
nursing
patient education
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention)
comparative study
drinking behavior
female
human
male
program evaluation
treatment outcome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24645911 (http://www.ncbi.nlm.nih.gov/pubmed/24645911)
FULL TEXT LINK
http://dx.doi.org/10.1111/inr.12096
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 108
TITLE
Interim evaluation of a university-community collaboration to address
methamphetamine use in a rural Missouri community
AUTHOR NAMES
Calvert W.J.
Allen K.R.
Brockman-Jankowski S.
AUTHOR ADDRESSES
(Calvert W.J.; Allen K.R.; Brockman-Jankowski S.)
SOURCE
Progress in community health partnerships : research, education, and action
(2014) 8:2 (207-213). Date of Publication: 1 Jun 2014
ISSN
1557-0541
ABSTRACT
BACKGROUND: Methamphetamine use remains a significant public health problem.
A multifaceted problem requires a collaborative effort.OBJECTIVES: Community
partners and university faculty collaborated to address meth use in a rural
Missouri county. The objectives for this collaboration were to a) support
current community partnerships by working with parents and teachers to
incorporate a sustainable drug education curriculum in an elementary school
and b) provide learning opportunities for senior nursing students.METHODS:
Various strategies were used in the collaboration, including focus groups
with school personnel and piloting the curriculum in a local school.RESULTS:
Community members and university faculty worked together in all stages of
the collaboration. The collaboration allowed the community to continue and
expand its efforts in reducing methamphetamine use. Community and university
team members are working together to expand the implementation in additional
grades.CONCLUSIONS: A real-world community problem can be addressed through
a university-community collaboration.
EMTREE DRUG INDEX TERMS
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
organization and management
prevention and control
public relations
rural population
EMTREE MEDICAL INDEX TERMS
adolescent
child
cooperation
drug abuse
female
health promotion
human
male
participatory research
United States
university
CAS REGISTRY NUMBERS
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25152102 (http://www.ncbi.nlm.nih.gov/pubmed/25152102)
FULL TEXT LINK
http://dx.doi.org/10.1353/cpr.2014.0029
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 109
TITLE
School violent victimization and recent alcohol use and episodic heavy
drinking among youth
AUTHOR NAMES
King K.A.
Vidourek R.A.
Merianos A.L.
AUTHOR ADDRESSES
(King K.A.; Vidourek R.A.; Merianos A.L.) 1University of Cincinnati,
Cincinnati, OH, USA
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2014) 30:3 (187-195). Date of Publication: 1
Jun 2014
ISSN
1546-8364 (electronic)
ABSTRACT
School violent victimization is a serious public health problem among youth.
The current study investigated the association between youth alcohol use and
school violent victimization among middle school and high school students
(N=54,361). The PRIDE national survey for Grades 6-12 was administered to
youth in their classrooms. Results indicated that 38.3% of students were
involved in school violent victimization. School violent victimization
differed significantly based on sex, race, and grade level. Logistic
regression analyses indicated that school violent victimization was directly
related to elevated alcohol use in the past 12 months and episodic heavy
drinking among youth. Findings from this study may be beneficial to school
nurses in creating bullying and substance abuse prevention programs for
students. Recommendations for future research are included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epidemiology
psychology
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adolescent
adolescent behavior
binge drinking
child
crime victim
cross-sectional study
drinking behavior
female
human
male
risk factor
school
sex ratio
student
United States
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24502971 (http://www.ncbi.nlm.nih.gov/pubmed/24502971)
FULL TEXT LINK
http://dx.doi.org/10.1177/1059840514521239
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 110
TITLE
Mass gathering medical care in a motorsports event-based collaborative
training program
AUTHOR NAMES
Goodloe J.M.
Arthur A.O.
Genzel R.
Burns B.D.
Thomas S.H.
AUTHOR ADDRESSES
(Goodloe J.M.; Arthur A.O.; Genzel R.; Burns B.D.; Thomas S.H.) Department
of Emergency Medicine, University of Oklahoma, School of Community Medicine,
Tulsa, United States.
CORRESPONDENCE ADDRESS
J.M. Goodloe, Department of Emergency Medicine, University of Oklahoma,
School of Community Medicine, Tulsa, United States.
SOURCE
Canadian Journal of Emergency Medicine (2014) 16 SUPPL. 1 (S35). Date of
Publication: May 2014
CONFERENCE NAME
2014 CAEP/ACMU
CONFERENCE LOCATION
Ottawa, ON, Canada
CONFERENCE DATE
2014-05-31 to 2014-06-04
ISSN
1481-8035
BOOK PUBLISHER
Decker Publishing
ABSTRACT
Innovation concept: Emergency physicians are increasingly providing medical
oversight and care at mass gathering events. The pre-event planning,
dynamics, and all-hazards considerations of mass gatherings differ
substantially from traditional EMS and emergency medicine practices. Focused
mass gathering medical care training for emergency medicine resident
physicians and EMS fellows is integral to success in their future medical
oversight of such events. Methods: A multi-disciplinary faculty, comprised
of emergency physicians and nurses, EMS professionals, active duty special
operations military operators, law enforcement officers, firefighters, and
meteorologists deliver a threeday curriculum in mass gathering medicine
surrounding NASCAR and IndyCar racing events held at the Texas Motor
Speedway. The curriculum includes didactics of emergency medical care
planning for crowds in excess of 175,000, with many camping on-site up to a
week. Considerations of inclement weather, terrorist events, accidental
chemical exposures, and substance abuses are detailed in addition to the
variety of emergency medical conditions expected in any large crowd. The
curriculum is taught real-time during active events at the Texas Motor
Speedway, one of the largest sporting event venues in the world. Practical
exercises include responding with EMS crews and working with nurses and
physicians in the track hospitals, specialties including emergency medicine,
general surgery, and orthopedics. On-site capabilities successfully utilized
include advanced airway management, chest tube thoracostomies, plain film
radiology, and intravenous thrombolytics for acute myocardial infarcts.
Ground and rotor wing EMS capabilities are continuously present. Curriculum,
tool, or material: Multiple physicians have been successfully trained in
this collaborative program. Pre-event and post-event interviews indicate
substantial didactic and clinical knowledge acquisition through the course.
Consistently accurate discussion points with student physicians reveal
appropriate understanding of the need for multi-disciplinary planning for
the medical care to be provided at such events and for estimating likely
illness and injury to be encountered. Conclusion: A multi-disciplinary
faculty of medical and public safety professionals, led by emergency
physicians, can translate the didactic and clinical knowledge of mass
gathering medical care to emergency medicine residents and EMS fellows.
EMTREE DRUG INDEX TERMS
fibrinolytic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
emergency care
hospital
human
medical care
training
EMTREE MEDICAL INDEX TERMS
army
camping
chest tube
curriculum
diseases
dynamics
emergency
emergency medicine
emergency physician
exercise
exposure
fire fighter
forelimb
general surgery
hazard
heart infarction
injury
interview
law enforcement
learning
nurse
orthopedics
physician
planning
radiology
resident
respiration control
safety
sporting event
student
substance abuse
terrorism
United States
weather
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1017/S1481803500003171
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 111
TITLE
Knowledge, attitudes and sexual health behaviour of residents attending a
nurseled contraception and sexual health service within hostels for the
homeless
AUTHOR NAMES
Shawe J.
White A.
Ball A.
Stretch R.
Cannon E.
Rees L.
Fasana D.
Wilkinson C.
AUTHOR ADDRESSES
(Shawe J.) University of Surrey, Guildford, United Kingdom.
(White A.; Stretch R.; Cannon E.; Rees L.; Fasana D.; Wilkinson C.) CNWL NHS
Foundation Trust, London, United Kingdom.
(Ball A.) St Mungo's Charity, London, United Kingdom.
CORRESPONDENCE ADDRESS
J. Shawe, University of Surrey, Guildford, United Kingdom.
SOURCE
European Journal of Contraception and Reproductive Health Care (2014) 19
SUPPL. 1 (S142-S143). Date of Publication: May 2014
CONFERENCE NAME
13th Congress of the European Society of Contraception and Reproductive
Health
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2014-05-28 to 2014-05-31
ISSN
1362-5187
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Objective: The project aimed to establish and evaluate a Nurse-led
Contraception & Sexual Health Service providing care within hostels for the
homeless in London. Homelessness is a risk factor for poor health and
particularly sexual ill-health. Homeless women are more likely to become
pregnant and to have had a sexually transmitted infection. They often use
drugs and alcohol and then need to sell sex to feed the habit. Little is
known about the sexual health of homeless men. Design and Methods: A
nurse-led outreach sexual health service was established once a week in
three hostels for the homeless. Contraception and sexual health promotion,
screening and treatment were offered by the Specialist Reproductive Health
nurses, health care workers and health promotion staff. Following
consultations clients were asked to complete a questionnaire. Questionnaires
were also given out at three hostels without a service. Interviews with
residents (n = 12) and staff (n = 6) from the three hostels with the service
and three hostels without a service explored knowledge, attitudes and sexual
health behaviour. Quantitative data was analysed using IBM SPSS v20 and
Qualitative data using NVivo 10 software. Results: 161 clients (87 women and
71 men 3 unknown) used the service with 367 attendances. 42 completed
questionnaires at hostels with a service and 28 at hostels without a
service. Poor general health including long term conditions, mental health
conditions, addiction and substance misuse was reported. Harrowing stories
of past trauma, abuse and sex work emerged from the interviews. Key themes
which made the hostel service attractive included issues with access to
mainstream services, clients' unwillingness to travel and needing support to
attend. Ensured confidentiality was another important factor in attendance.
Clients also suggested incentivising vaccination programmes. Staff were
positive about the service in the hostels and highlighted the need for more
joined up working due to clients complex health needs. Conclusion: The
service has demonstrated unmet need and an impact on men and women who would
not normally attend mainstream services. It has also provided a valuable
opportunity for health promotion both with residents and staff. UK
Department of Health policy suggests that homeless people require targeted,
specialist services. The service enables women & men at high risk of sexual
ill-health to access appropriate care within a familiar non-threatening
environment.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
contraception
halfway house
health behavior
health service
reproductive health
sexual health
society
EMTREE MEDICAL INDEX TERMS
abuse
addiction
computer program
confidentiality
consultation
data analysis software
environment
female
habit
health
health care personnel
health care policy
health promotion
homelessness
human
injury
interview
male
medical specialist
mental health
nurse
prostitution
questionnaire
risk
risk factor
screening
sexually transmitted disease
travel
United Kingdom
vaccination
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.3109/13625187.2014.894779.11
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 112
TITLE
Nurses' perceptions of managing pain medications in long term care
AUTHOR NAMES
Kaasalainen S.
Agarwal G.
Dolovich L.
AUTHOR ADDRESSES
(Kaasalainen S.; Agarwal G.; Dolovich L.) McMaster University, Hamilton,
Canada.
CORRESPONDENCE ADDRESS
S. Kaasalainen, McMaster University, Hamilton, Canada.
SOURCE
Pain Research and Management (2014) 19:3 (e41-e42). Date of Publication:
May-June 2014
CONFERENCE NAME
35th Annual Scientific Meeting of the Canadian Pain Society
CONFERENCE LOCATION
Quebec City, QC, Canada
CONFERENCE DATE
2014-05-20 to 2014-05-23
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
AIM: Nursing care in long-term care (LTC) homes is becoming more complex
given the growing acuity of residents which coincides with more medications
being administered to LTC residents. The purpose of this study was to
explore LTC nurses' perceptions of their practices related to administering
pain medications to LTC residents. METHODS: A cross-sectional survey design
was used that included both quantitative and open-ended questions. Data was
collected from 165 licensed nurses (59% response rate) at nine LTC homes in
southern Ontario. RESULTS: The majority (85%) of all nurses felt that the
medication administration system was adequate to help them manage residents'
pain and 98% felt comfortable administering narcotics in LTC. In their
decision to administer a narcotic to a LTC resident, nurses were influenced
by pain assessments (ie, non-verbal and physical indications, verbal
requests from residents or their family members); physician orders;
diagnosis of resident (ie, physical condition, resident was deemed
palliative); past history; medical contraindications and allergies;
effectiveness of non-narcotics; and fear of making dosage miscalculations or
resident becoming addicted to narcotics. Finally, 63% of nurses reported
being comfortable with giving analgesics to residents who were currently
taking warfarin; most stating that they trusted the physicians and
pharmacists to ensure that orders were safe and appropriate. CONCLUSIONS:
These study findings highlight the perceptions of nurses related to
administering pain medications in LTC and related areas where continuing
education initiatives are needed.
EMTREE DRUG INDEX TERMS
analgesic agent
narcotic agent
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
human
long term care
nurse
pain
society
EMTREE MEDICAL INDEX TERMS
allergy
Canada
continuing education
diagnosis
fear
nursing care
pain assessment
pharmacist
physician
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 113
TITLE
Variability in adherence to opioid prescription guidelines among adult
primary care providers
AUTHOR NAMES
Lange A.
Lasser K.E.
Xuan Z.
Khalid L.
Beers D.
Heymann O.
Shanahan C.W.
Crosson J.
Liebschutz J.M.
AUTHOR ADDRESSES
(Lange A.; Lasser K.E.; Khalid L.; Beers D.; Heymann O.; Shanahan C.W.;
Crosson J.; Liebschutz J.M.) Boston Medical Center, Boston, United States.
(Lasser K.E.) Massachusetts Department of Public Health, Boston, United
States.
(Xuan Z.) Boston University, School of Public Health, Boston, United States.
CORRESPONDENCE ADDRESS
A. Lange, Boston Medical Center, Boston, United States.
SOURCE
Journal of General Internal Medicine (2014) 29 SUPPL. 1 (S248). Date of
Publication: April 2014
CONFERENCE NAME
37th Annual Meeting of the Society of General Internal Medicine, SGIM 2014
CONFERENCE LOCATION
San Diego, CA, United States
CONFERENCE DATE
2014-04-23 to 2014-04-26
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: In order to reduce prescription opioid misuse, clinical
guidelines recommend that primary care providers (PCPs) use opioid treatment
agreements and urine drug screens to monitor patients on opioid therapy for
chronic non-cancer pain, with risk for medication misuse informing
monitoring intensity. Little is known about variability among individual
PCPs in adherence to opioid management guidelines and whether guideline
non-adherence by PCP is associated with greater misuse of opioids. METHODS:
We examined 12 months (September 2011-August 2012) of electronic health
record (EHR) data from adult primary care clinics at two community health
centers and one urban safety net hospital. Patients age 18-89 were included
if they had received >3 opioid prescriptions for chronic pain within a
six-month period and were not receiving active cancer treatment. PCPs were
included if they had >4 eligible patients. Binary outcome variables were
evidence of guideline adherence through (1) EHR documentation of an opioid
treatment agreement (OTA) ever, and (2) Urine Drug Screen (UDS) in the past
12 months. Evidence of misuse was a binary outcome of 2 or more early opioid
refills (>2 prescriptions written 7-25 days after the previous prescription
for the same medication). Covariates were patient demographics, number of
primary care visits (past year), number of Emergency Department visits (past
year), number of patient risk factors for opioid misuse (age <45, drug use
disorder, alcohol use disorder, tobacco use, and mental health disorder),
morphine equivalent daily opioid medication dose (MDD) >50 mg/day, PCP type
(attending, resident, nurse practitioner), and site of care. We used odds
ratios to examine the correlations among patient-level binary outcomes, and
Pearson correlations to examine the relationships among PCP-level aggregates
of outcomes across patients within PCPs. Further, we used multi-level
modeling to account for patient clustering within PCP and examine
substantive variance attributable to PCP characteristics. RESULTS:
Sixty-seven PCPs prescribed opioids to 1,546 patients (mean patients per
PCP: 23, median: 14, range: 4-95). No PCP met 100 % of guideline practices,
and PCPs showed wide variability in adherence. PCPs had a mean of 48 % of
patients with OTA (median: 50 %, range: 0-100 %). PCPs had obtained >1 UDS
for a mean of 56 % of patients (median: 59 %, range: 0-100 %). Among the
three outcomes, the PCP-level variance for OTA and UDS were greater compared
to the variance for early refill. The variance for UDS decreased from 1.75
to 0.87 after adjustment for covariates and site (p<0.001). Step-wise
adjustment of the variance for UDS evaluated which portion of the adjustment
led to the difference in variance. Adjustment for patient-level covariates
decreased variance from 1.75 to 1.14 (p<0.001); further adjustment for PCP
type did not decrease the variance (p<0.001). Adjustment by site decreased
the variance substantially to 0.88 (p<0.001), reflecting differences in UDS
prevalence across the sites (24 %, 37 % vs. 67 %). At the patient level, the
presence of >50 mg/day MDD was associated with increased odds of early
refill (OR=2.92, 95 % CI 2.30-3.70), of UDS (OR=2.65, 95 % CI 2.06-3.41),
and of an OTA (OR=1.93, 95 % CI 1.53-2.44). OTA was associated with UDS
(OR=8.46 95 % CI 6.65-10.75) and early refill (OR=1.56, 95 % CI 1.27-1.93),
and early refill was associated with UDS (OR=1.76, 95 % CI 1.42-2.18). PCPs
with higher aggregates of MDD among their patients tend to have greater
proportions of patients with early refills (r=0.38, p=0.002) and UDS
(r=0.46, p <0.0001). PCPs with greater proportions of patients with UDS tend
to have greater proportions of patients with OTA (r=0.34, p=0.005) and with
early refills (r=0.27, p=0.03). CONCLUSIONS: PCPs practicing with an urban
underserved population show substantial heterogeneity in adherence to opioid
prescription guidelines, with only half of patients getting recommended
procedures. PCP use of urine drug screens, but not use of agreements,
appears to be heavily influenced by the practice environment. Although high
daily doses of opioid are associated with increased monitoring, they are
also associated with evidence of greater misuse. Examining the time
dependent relationship between monitoring and multiple early refills could
help distinguish whether monitoring practices help prevent potential opioid
misuse or are a reaction to it.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
internal medicine
prescription
primary medical care
society
EMTREE MEDICAL INDEX TERMS
alcohol use disorder
cancer pain
cancer therapy
chronic pain
diseases
documentation
drug therapy
drug use
electronic medical record
emergency ward
environment
health center
hospital
human
mental health
monitoring
multilevel analysis
nurse practitioner
outcome variable
patient
patient risk
population
practice guideline
prevalence
procedures
risk
risk factor
safety net hospital
therapy
tobacco use
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 114
TITLE
The effects of intimate partner violence duration on individual and
partner-related sexual risk factors among women
AUTHOR NAMES
Fontenot H.B.
Fantasia H.C.
Lee-St. John T.J.
Sutherland M.A.
AUTHOR ADDRESSES
(Fontenot H.B., Holly.fontenot@bc.edu) Boston College, William F. Connell
School of Nursing, Sidney Borum Health Center, Boston, MA, United States.
(Fantasia H.C.) University of Massachusetts Lowell, College of Health
Sciences, School of Nursing, Health Quarters, Beverly, MA, United States.
(Lee-St. John T.J.) Boston College, Lynch School of Education, United
States.
(Sutherland M.A.) Boston College, William F. Connell School of Nursing,
United States.
CORRESPONDENCE ADDRESS
H.B. Fontenot, Boston College, 140 Commonwealth Ave, Cushing Hall, Chestnut
Hill, MA 02467, United States. Email: Holly.fontenot@bc.edu
SOURCE
Journal of Midwifery and Women's Health (2014) 59:1 (67-73). Date of
Publication: 2014
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Introduction: Intimate partner violence (IPV) is associated with risk of
sexually transmitted infections (STIs) and HIV among women, but less is
known about mechanisms of this association and if length of relationship
violence is a factor. The purpose of this study was to explore the
relationship between the duration of IPV and both individual and
partner-related sexual risk factors that may increase women's risk for STIs
and HIV. Methods: This was a secondary analysis of data collected from the
medical records of 2000 women. Four distinct categories defined the duration
of partner violence: violence in the past year only, past year and during
the past 5 years, past year plus extending for greater than 5 years, and no
past year violence but a history of partner violence. Logistic regression
models were used to examine the associations between the duration of partner
violence and individual sexual risk behaviors (eg, number of sexual
partners, drug and/or alcohol use, anal sex) and partner-related sexual risk
factors (eg, nonmonogamy, STI risk, condom nonuse). Results: Nearly 30% of
the women in the study reported a history of partner violence during their
lifetime. All of the individual risk factors, as well as partner-related
risk factors, were significantly associated (P <05) with partner violence
and duration of violence. Discussion: The study findings extend the
knowledge related to partner violence as a risk factor for STIs/HIV,
highlighting the effects of partner violence duration on the health of
women. Assessing for lifetime experiences of partner violence may improve
outcomes for women and their families. © 2014 by the American College of
Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
female
health hazard
intimate partner violence duration
partner violence
women's health
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
anal intercourse
article
condom use
disease association
drug abuse
human
Human immunodeficiency virus infection
medical record
priority journal
retrospective study
risk factor
sexual behavior
sexuality
sexually transmitted disease
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014157461
MEDLINE PMID
24588879 (http://www.ncbi.nlm.nih.gov/pubmed/24588879)
FULL TEXT LINK
http://dx.doi.org/10.1111/jmwh.12145
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 115
TITLE
Interpretation of national policy regarding community-based use of
misoprostol for postpartum hemorrhage prevention in Ethiopia: A tale of two
regions
AUTHOR NAMES
Spangler S.A.
Gobezayehu A.G.
Getachew T.
Sibley L.M.
AUTHOR ADDRESSES
(Spangler S.A., s.spangler@emory.edu; Sibley L.M.) Nell HodgsonWoodruff
School of Nursing, Rollins School of Public Health, Emory University,
Atlanta, GA, United States.
(Gobezayehu A.G.) Emory University, Addis, Ababa, Ethiopia.
(Getachew T.) Maternal and Newborn Health in Ethiopia Partnership, Addis,
Ababa, Ethiopia.
CORRESPONDENCE ADDRESS
S.A. Spangler, Nell Hodgson Woodruff School of Nursing, Emory University,
1520 Clifton Road, NE, Room 234, Atlanta, GA 30322, United States. Email:
s.spangler@emory.edu
SOURCE
Journal of Midwifery and Women's Health (2014) 59:SUPPL1 (S83-S90). Date of
Publication: 2014
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Introduction: Postpartum hemorrhage (PPH) is responsible for a significant
proportion of maternal mortality in developing countries. The uterotonic
drug misoprostol (Cytotec) is a safe and effective means of preventing PPH.
However, ministries of health in some countries are still grappling with
policy that addresses the implementation of this targeted intervention in
community settings and with communicating this policy throughout the health
care system. The purpose of this study was to examine understandings of
national policy for community-based use of misoprostol to prevent PPH in 2
regions of Ethiopia: Amhara and Oromiya. Methods: Qualitative in-depth
interviews were conducted with a cohort of purposefully selected health
officials (N = 51) representing various administrative levels of the
Ministry of Health and influential nongovernmental organizations. Broad
topics included national policy for PPH prevention, safety and effectiveness
of community-based use of misoprostol, and preferences for misoprostol
administration. Interview transcripts were analyzed for key concepts both
across and within administrative levels. Results: Among all officials,
understandings of national policy for community-based PPH prevention using
misoprostol were unclear. Officials in Amhara tended to adopt a strict
interpretation that reflected fear of misuse and a deep concern for
encouraging home birth (thus deviating from the clear national goal to
increase facility-based birth). Conversely, Oromiya officials framed policy
in terms of the broader national goal to reduce maternal mortality, which
allowed them to adopt multiple means of misoprostol distribution.
Discussion: The differences observed in regional practice likely stem from
an ambiguously perceived national policy within a climate of
decentralization that allowed for flexibility in local implementation. A
policy that is clear, specific, evidence-based, and systematically
communicated may facilitate common understanding of community-based
misoprostol for PPH prevention and, thus, increase women's access to this
lifesaving intervention. © 2014 by the American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
misoprostol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
maternal care
postpartum hemorrhage (drug therapy, drug therapy, prevention)
EMTREE MEDICAL INDEX TERMS
article
awareness
drug efficacy
drug misuse
drug safety
Ethiopia
health care delivery
health care facility
health care personnel
home delivery
interview
maternal mortality
medical education
medical practice
priority journal
CAS REGISTRY NUMBERS
misoprostol (59122-46-2, 59122-48-4)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014126920
MEDLINE PMID
24588920 (http://www.ncbi.nlm.nih.gov/pubmed/24588920)
FULL TEXT LINK
http://dx.doi.org/10.1111/jmwh.12154
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 116
TITLE
Psychiatric nursing faculty partner with residents of a homeless shelter to
address medication safety
AUTHOR NAMES
Bonugli R.
AUTHOR ADDRESSES
(Bonugli R.) The University of Texas Health Science Center at San Antonio,
School of Nursing, San Antonio, Texas, USA
SOURCE
Issues in mental health nursing (2014) 35:3 (220-223). Date of Publication:
1 Mar 2014
ISSN
1096-4673 (electronic)
EMTREE DRUG INDEX TERMS
psychotropic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
housing
nursing
nursing education
patient education
psychology
EMTREE MEDICAL INDEX TERMS
chronic disease
cooperation
drug misuse (prevention)
homelessness
hospital organization
human
information processing
interdisciplinary communication
medication compliance
mental disease (drug therapy)
organization and management
psychiatric nursing
public relations
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24597588 (http://www.ncbi.nlm.nih.gov/pubmed/24597588)
FULL TEXT LINK
http://dx.doi.org/10.3109/01612840.2013.825681
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 117
TITLE
Nursing attitudes toward patients with substance use disorders in pain
AUTHOR NAMES
Morgan B.D.
AUTHOR ADDRESSES
(Morgan B.D.) Department of Nursing, School of Health and Environment,
University of Massachusetts, Lowell, Massachusetts. Electronic address:
betty_morgan@uml.edu
SOURCE
Pain management nursing : official journal of the American Society of Pain
Management Nurses (2014) 15:1 (165-175). Date of Publication: 1 Mar 2014
ISSN
1532-8635 (electronic)
ABSTRACT
The problem of inadequate pain management in hospitals is well documented.
Patients who have substance use disorders (SUD) have many medical problems
and are often in pain as a result of these problems. Nurses often lack
knowledge of appropriate treatment of both pain and SUD, and have been
identified as having negative attitudes toward patients with SUD. The
negative attitudes may affect the quality of care delivered to patients with
problems of pain and SUD. The purpose of this study was to identify and
explore nurses' attitudes toward hospitalized patients with SUD who are in
pain, to expand the knowledge about nurses' attitudes and interactions with
patients with SUD in pain, and to generate theory that will contribute to a
greater understanding of the problem. Grounded theory methodology was used
to interview hospital-based nurses who work with patients with SUD who are
in pain. Individual interviews, using a semistructured interview guide, were
conducted with 14 nurses who worked with this population. Additionally, an
expert addictions nurse was interviewed at the end of the study to validate
the findings. Interviews were analyzed and coded with the use of grounded
theory concepts. A model illustrating the categories and their relationships
was developed based on the theory generated as a result of the study. The
implications for nursing practice, education, research, and policy are
discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health personnel attitude
model
nursing
psychology
EMTREE MEDICAL INDEX TERMS
addiction
adult
analgesia
female
hospital
human
male
middle aged
nursing methodology research
nursing staff
pain
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24602434 (http://www.ncbi.nlm.nih.gov/pubmed/24602434)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2012.08.004
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 118
TITLE
Opioid interruptions, pain, and withdrawal symptoms during acute illness in
nursing home residents
AUTHOR NAMES
Redding S.E.
Liu S.
Hung W.
Boockvar K.
AUTHOR ADDRESSES
(Redding S.E.; Liu S.; Hung W.) Geriatrics, Mount Sinai Medical Center, New
York City, United States.
(Boockvar K.) Geriatrics, Jewish Home Lifecare, New York City, United
States.
(Hung W.; Boockvar K.) Geriatrics, James J. Peters VA Medical Center, Bronx,
United States.
CORRESPONDENCE ADDRESS
S.E. Redding, Geriatrics, Mount Sinai Medical Center, New York City, United
States.
SOURCE
Journal of the American Geriatrics Society (2014) 62 SUPPL. 1 (S59). Date of
Publication: March 2014
CONFERENCE NAME
2014 Annual Scientific Meeting of the American Geriatrics Society
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2014-05-15 to 2014-05-17
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background: Opioid dosing reductions and interruptions are common and have
the potential to cause pain relapse and withdrawal symptoms. The objective
of this study was to observe patterns of opioid interruption during acute
illness, and examine changes in pain scores, mental status, and symptoms of
withdrawal. Methods: This is a prospective cohort of residents from three
nursing homes in a metropolitan area. Residents who were receiving opioids
were followed longitudinally for median of 3 years. Baseline characteristics
including age, gender, race, and comorbid conditions were recorded. During
an illness, daily opioid dosage was recorded. Blinded to dosage, we
ascertained symptoms including pain and withdrawal using standardized scales
including the Clinical Opioid Withdrawal Scale and the Brief Pain Inventory
scale. Symptoms preand post-opioid interruptions and reductions, if they
occurred, were compared. Results: 130 residents with active opioid
prescriptions were followed. 45 (35%) residents experienced at least 1
illness, for a total of 103 observed illnesses. The average baseline daily
opioid dosage was 61.9 mg, morphine equivalents. The average baseline pain
score was 5.9 on a scale of 0-10. This study was limited by missing data.
During 22 (21%) illnesses in which patients who experienced 100%
interruption or a large (>50%) reduction of opioid dosing, there were no
significant changes in mean pain score (difference -0.50; sd 2.66; 95%CI
-3.16-2.16); or withdrawal score (difference -0.91; sd 3.12; 95%CI
-4.03-2.21). Similarly, during 26 (25%) illnesses in which patients
experienced no or minimal change in dosing, there were no significant
changes in pain score (difference -0.96; sd 2.69; -3.65-1.74); or withdrawal
score (difference 0.34; sd 2.16; -1.82-2.5). Conclusion: Among long-term
care residents, there was no difference in average pain, delirium and
withdrawal scores in patients whose opioids were held, decreased or
continued during acute illnesses. An implication is that in some long-term
care residents, opioid dosage may be held, decreased or substituted with
lower potency analgesics. Good clinical practice dictates that providers
should be cautious of the possibility of patients experiencing pain or
withdrawal symptoms when opioid analgesics are reduced or stopped.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
analgesic agent
morphine
narcotic analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acute disease
geriatrics
human
nursing home patient
pain
society
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
Brief Pain Inventory
delirium
diseases
gender
good clinical practice
long term care
mental health
nursing home
patient
prescription
relapse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/jgs.12870
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 119
TITLE
The Ghanaian surgical nurse and postoperative pain management: a clinical
ethnographic insight
AUTHOR NAMES
Aziato L.
Adejumo O.
AUTHOR ADDRESSES
(Aziato L.) School of Nursing, University of Ghana, Ghana. Electronic
address: laziato@ug.edu.gh
(Adejumo O.) School of Nursing, University of the Western Cape, Bellville,
South Africa
SOURCE
Pain management nursing : official journal of the American Society of Pain
Management Nurses (2014) 15:1 (265-272). Date of Publication: 1 Mar 2014
ISSN
1532-8635 (electronic)
ABSTRACT
Nurses form an indispensable part of the clinical team that manages
postoperative pain (POP). Within a particular clinical context, nurses
perceive and respond to pain based on specific factors. This study aimed at
illuminating the perceptions and responses of Ghanaian surgical nurses
regarding their patients' POP. It also identified the factors that
influenced nurses' pain responses. A focused ethnography was used, and data
were collected through individual interviews. Sampling was performed
purposively to include junior, senior, day, and night nurses who cared for
surgical patients. Concurrent data analysis was performed and data were
saturated with 12 individual interviews. The findings indicated that nurses
perceived POP as an individual phenomenon, and nurses responded to patients'
pain by administering analgesics and by using nonpharmacologic measures.
Factors that influenced the nurses' response were individual factors, such
as commitment, discretion, fear of addiction, and organizational factors,
such as organizational laxity and challenges of teamwork. The study
recommended that nurses should be educated, supported, and encouraged to
ensure pain relief after surgery and that they should see pain relief as a
priority postoperative care to avert the negative repercussions of poorly
managed POP.
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
nursing
EMTREE MEDICAL INDEX TERMS
adult
analgesia
cultural anthropology
female
Ghana
human
middle aged
nursing methodology research
pain measurement
perioperative nursing
postoperative pain (drug therapy)
procedures
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23352730 (http://www.ncbi.nlm.nih.gov/pubmed/23352730)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2012.10.002
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 120
TITLE
How do nursing students perceive substance abusing nurses?
AUTHOR NAMES
Boulton M.A.
Nosek L.J.
AUTHOR ADDRESSES
(Boulton M.A.) Changing Perspectives LLP, Westport, Connecticut; Fairfield
University, Fairfield, Connecticut; Norwalk Community College, Norwalk,
Connecticut. Electronic address: mboulton1952@sbcglobal.net
(Nosek L.J.) Case Western Reserve University, Cleveland, Ohio; Loyola
University Chicago, Chicago, Illinois; Excelsior College, Albany, New York
SOURCE
Archives of psychiatric nursing (2014) 28:1 (29-34). Date of Publication: 1
Feb 2014
ISSN
1532-8228 (electronic)
ABSTRACT
Substance abuse among nurses was recognized by nurse leaders and
professional nursing organizations as a growing threat to patient safety and
to the health of the abusing nurse more than 30years ago. Although numerous
studies on nurse impairment were published in the 1980s and 1990s, there was
minimal focus on student nurses' perceptions about impaired nurses and less
research has been published more recently, despite a growing rate of
substance abuse. A quasi-experimental study to explore the perceptions of
student nurses toward nurses who are chemically dependent was conducted
using a two-group, pretest-posttest design. The Perception of Nurse
Impairment Inventory (PNII) was completed by student nurses at the beginning
of their junior course work, prior to formal education about substance
abuse. The PNII was repeated after the students received substance abuse
education. The PNII was also completed by a control group of sophomore
student nurses who did not receive the formal substance abuse education. A
repeated measures analysis of variance was used to measure the differences
between the two groups of students. Students who received the education
chose more compassionate responses on the PNII and were more likely to
respond that an impaired nurse's supervisor is responsible for supporting
and guiding the impaired nurse to access professional care. Discrepancies in
study findings about the efficacy of education for effecting positive
attitudes of student nurses toward impaired nurses may be related to the
length and type of the education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health personnel attitude
nursing
psychology
EMTREE MEDICAL INDEX TERMS
addiction (rehabilitation)
alcoholism (rehabilitation)
clinical competence
female
human
male
malpractice
nursing education
nursing student
psychiatric nursing
questionnaire
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24506984 (http://www.ncbi.nlm.nih.gov/pubmed/24506984)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2013.10.005
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 121
TITLE
Antipsychotic discontinuation syndromes: a narrative review of the evidence
and its integration into Australian mental health nursing textbooks
AUTHOR NAMES
Salomon C.
Hamilton B.
AUTHOR ADDRESSES
(Salomon C.; Hamilton B.) Department of Nursing, School of Health Sciences,
University of Melbourne, Melbourne, Victoria, Australia
SOURCE
International journal of mental health nursing (2014) 23:1 (69-78). Date of
Publication: 1 Feb 2014
ISSN
1447-0349 (electronic)
ABSTRACT
In light of the high number of people discontinuing antipsychotics each
year, it is essential that nurses develop a robust understanding of all
aspects of the discontinuation experience. While there is a large body of
published work documenting post-discontinuation relapse rates, less is known
about other aspects of the discontinuation experience. This paper presents
the results of a narrative review of international studies of antipsychotic
discontinuation syndromes and their relevance to nursing practice. Four key
mental health nursing textbooks used in student nurse education in Australia
are examined to assess how this evidence has been incorporated into clinical
recommendations. This review finds that the evidence for discontinuation
syndromes could be more widely disseminated and applied than it is at
present. Strikingly, this evidence has not been incorporated into key mental
health nursing textbooks in Australia at all. Slow integration into nursing
published work may be influenced by a number of clinical and research
uncertainties. We consider the impact of this silence on key nursing roles
of psycho-education and adverse event monitoring during antipsychotic
discontinuation periods. Further robust research should be conducted into
discontinuation syndromes as a matter of urgency. Given the high number of
consumers potentially impacted upon by discontinuation syndromes, nurse
authors and educators should consider revising key nursing textbooks to
include the currently available information about discontinuation syndromes.
EMTREE DRUG INDEX TERMS
neuroleptic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
book
education
nursing
EMTREE MEDICAL INDEX TERMS
Australia
human
psychiatric nursing
psychosis (drug therapy)
recurrent disease
syndrome
withdrawal syndrome (etiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23211033 (http://www.ncbi.nlm.nih.gov/pubmed/23211033)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00889.x
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 122
TITLE
Body mass index in childhood and adult risk of primary liver cancer
AUTHOR NAMES
Berentzen T.L.
Gamborg M.
Holst C.
Sørensen T.I.A.
Baker J.L.
AUTHOR ADDRESSES
(Berentzen T.L.; Gamborg M.; Holst C.; Sørensen T.I.A.; Baker J.L.,
Jennifer.Lyn.Baker@regionh.dk) Institute of Preventive Medicine, Bispebjerg
and Frederiksberg Hospitals, Capital Region, Copenhagen, Denmark.
(Sørensen T.I.A.; Baker J.L., Jennifer.Lyn.Baker@regionh.dk) Novo Nordisk
Foundation Center for Basic Metabolic Research, Faculty of Health Sciences,
University of Copenhagen, Denmark.
CORRESPONDENCE ADDRESS
J.L. Baker, Institute of Preventive Medicine, Copenhagen University
Hospital, Nordre Fasansvej 57, Entrance 5, 2000 Frederiksberg, Denmark.
Email: Jennifer.Lyn.Baker@regionh.dk
SOURCE
Journal of Hepatology (2014) 60:2 (325-330). Date of Publication: February
2014
ISSN
0168-8278
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Background & Aims Childhood overweight increases the risk of early
development of non-alcoholic fatty liver disease, which may predispose to
carcinogenesis. We investigated if childhood body size during school ages
was associated with the risk of primary liver cancer in adults. Methods A
cohort of 285,884 boys and girls, born 1930 through 1980, who attended
school in Copenhagen, were followed from 1977 to 31 December 2010. Their
heights and weights were measured by school doctors or nurses at ages 7
through 13 years. Body mass index (BMI) z-scores were calculated from an
internal age- and sex-specific reference. Information on liver cancer was
obtained from the National Cancer Registry. Hazard ratios and 95% confidence
intervals (95% CI) of liver cancer were estimated by Cox regression. Results
During 6,963,105 person-years of follow-up, 438 cases of primary liver
cancer were recorded. The hazard ratio (95% CI) of adult liver cancer was
1.20 (1.07-1.33) and 1.30 (1.16-1.46) per 1-unit BMI z-score at 7 years and
13 years of age, respectively. Similar associations were found in boys and
girls, for hepatocellular carcinoma only, across years of birth, and after
accounting for diagnoses of viral hepatitis, alcohol-related disorders, and
biliary cirrhosis. Conclusions Higher BMI in childhood increases the risk of
primary liver cancer in adults. In view of the high case fatality of primary
liver cancer, this result adds to the future negative health outcomes of the
epidemic of childhood overweight, reinforcing the need for its prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body mass
cancer risk
liver cancer
EMTREE MEDICAL INDEX TERMS
adolescent
alcoholism
article
biliary cirrhosis
body height
body weight
child
disease association
female
follow up
human
liver cell carcinoma
major clinical study
male
priority journal
prospective study
school child
virus hepatitis
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014046226
MEDLINE PMID
24076363 (http://www.ncbi.nlm.nih.gov/pubmed/24076363)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jhep.2013.09.015
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 123
TITLE
An intervention to enhance psychological capital in homeless females:
Preliminary findings
AUTHOR NAMES
Rew L.
Thompson S.
Brown A.
Seo E.
AUTHOR ADDRESSES
(Rew L.; Thompson S.; Brown A.; Seo E.) University of Texas at Austin,
United States.
CORRESPONDENCE ADDRESS
L. Rew, University of Texas at Austin, United States.
SOURCE
Journal of Adolescent Health (2014) 54:2 SUPPL. 1 (S13). Date of
Publication: February 2014
CONFERENCE NAME
2014 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2014
CONFERENCE LOCATION
Austin, TX, United States
CONFERENCE DATE
2014-03-23 to 2014-03-26
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: Homeless young women ages 18-23 years are the most vulnerable of
unstably-housed youth. They are prone to sexually transmitted infections,
unplanned pregnancies, and substance use/ abuse. The study aim was to
determine feasibility and preliminary efficacy of a 4-session intervention
delivered at a drop-in site. We wanted to explore differences in indicators
of psychological capital between participants in the intervention and those
in an attention control group immediately following the intervention and 4
weeks later. Methods: Following IRB approval and written informed consent,
43 eligible homeless young women enrolled in the study (26 intervention and
18 control group; average age = 21.2 years; 45.5% White, lived away from
home approximately 57 days). The intervention and control condition were led
by two sets of female group facilitators (one nursing student and one social
work student) trained by the investigators to follow a manual with content
and strategies to enhance psychological capital (intervention) and street
health resources (control). Data were collected using valid scales
(Cronbach's alpha = .78-.96) by two other students at three times: prior to
start-up of either group, immediately following the completion of the 4
sessions, and at a follow-up date 4 weeks later. Following the 4 sessions,
participants in both intervention and control groups were each given a cell
phone to use for the 4-week period between the second and third data
collections. The purpose was to encourage those in the intervention to meet
their goals and to remind those in the control group that we would collect
data one more time. Each participant received a total of $45 for providing
data at all three collections. Results: A statistically significant time
effect was found in measures of hope (p < .001), resilience (p = .016),
future time perspective (p = .025), safer sex behaviors (p < .043), and
psychological capital (p = .034), over time, with intervention group
participants showing significant improvement in hope (p = .012) and social
connectedness (p = .028), and non-significant, but improved, self-efficacy
to negotiate safe sex (p = .066). Although scores on self-efficacy to refuse
alcohol also increased from baseline to times 2 and 3, a statistically
significant time effect was not found. A time by group effect was found for
resilience (p = .062) and optimism (p = .081), approaching significance.
Conclusions: To our knowledge, this is the first intervention for homeless
youth based on a Positive Psychology paradigm. The significant preliminary
intervention findings, despite the small sample size, are encouraging
because they indicate that a brief group intervention delivered in a drop-in
center may influence young women to enhance their psychological capital.
Positive changes in psychological capital that include positive attitudes
about the future can contribute to future healthy behaviors and quality of
life.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
female
society
EMTREE MEDICAL INDEX TERMS
abuse
book
control group
Cronbach alpha coefficient
follow up
health care planning
homelessness
hope
human
information processing
informed consent
juvenile
mobile phone
nursing student
optimism
psychology
quality of life
safe sex
sample size
self concept
sexual behavior
sexually transmitted disease
social work student
student
unplanned pregnancy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2013.10.041
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 124
TITLE
Association between addiction treatment staff professional and educational
levels and perceptions of organizational climate and resources
AUTHOR NAMES
Krull I.
Lundgren L.
Beltrame C.
AUTHOR ADDRESSES
(Krull I.; Lundgren L.; Beltrame C.) a Center for Addictions Research and
Services , Boston University, School of Social Work , Boston , Massachusetts
, USA
SOURCE
Substance abuse (2014) 35:1 (3-6). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
CONCLUSION: It cannot be inferred that higher levels of education among
treatment staff is necessarily associated with high levels of organizational
readiness for change.BACKGROUND: Research studies have identified addiction
treatment staff who have higher levels of education as having more positive
attitudes about evidence-based treatment practices, science-based training,
and the usefulness of evidence-based practices. This study examined
associations between addiction treatment staff level of education and their
perceptions of 3 measures of organizational change: organizational stress,
training resources and staffing resources in their treatment unit.METHODS:
The sample included 588 clinical staff from community-based substance abuse
treatment organizations who received Substance Abuse and Mental Health
Services Administration (SAMHSA) funding (2003-2008) to implement
evidence-based practices (EBPs). Bivariate analysis and regression modeling
methods examined the relationship between staff education level (no high
school education, high school education, some college, associate's degree,
bachelor's degree, master's degree, doctoral degree, and other type of
degree such as medical assistant, registered nurse [RN], or postdoctoral)
and attitudes about organizational climate (stress), training resources, and
staffing resources while controlling for staff and treatment unit
characteristics.RESULTS: Multivariable models identified staff with lower
levels of education as having significantly more positive attitudes about
their unit's organizational capacity. These results contradict findings that
addiction treatment staff with higher levels of education work in units with
greater levels of organizational readiness for change.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
educational status
health personnel attitude
organization and management
EMTREE MEDICAL INDEX TERMS
adult
drug dependence treatment
evidence based practice
female
health care planning
human
male
organization
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24588286 (http://www.ncbi.nlm.nih.gov/pubmed/24588286)
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2013.792313
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 125
TITLE
"I feel like you get it": When a classroom assignment makes a difference to
a wounded warrior's wife
AUTHOR NAMES
McMillan L.R.
AUTHOR ADDRESSES
(McMillan L.R., reedreb@auburn.edu) Auburn University School of Nursing,
Auburn University, United States.
CORRESPONDENCE ADDRESS
L.R. McMillan, Auburn University School of Nursing, Auburn University,
United States.
SOURCE
Patient Education and Counseling (2014) 97:3 (432-433). Date of Publication:
1 Dec 2014
ISSN
1873-5134 (electronic)
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
EMTREE MEDICAL INDEX TERMS
article
expectation
health educator
health promotion
human
interpersonal communication
nurse patient relationship
nursing care
nursing practice
nursing student
posttraumatic stress disorder
student attitude
substance abuse
suicide
traumatic brain injury
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2014881208
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pec.2014.08.009
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 126
TITLE
Identifying at risk individuals for drug and alcohol dependence: teaching
the competency to students in classroom and clinical settings
AUTHOR NAMES
Kane I.
Mitchell A.M.
Puskar K.R.
Hagle H.
Talcott K.
Fioravanti M.
Droppa M.
Luongo P.F.
Lindsay D.
AUTHOR ADDRESSES
(Kane I.; Mitchell A.M.; Puskar K.R.; Hagle H.; Talcott K.; Fioravanti M.;
Droppa M.; Luongo P.F.; Lindsay D.) Author Affiliations: Assistant Professor
(Drs Kane and Fioravanti), Associate Professors (Dr Mitchell), Professor (Dr
Puskar), Grants Administrator (Ms Talcott), Graduate Student Researcher (Ms
Droppa), School of Nursing, University of Pittsburgh; and National SBIRT
ATTC Director (Dr Hagle), Executive Director (Dr Luongo), Director of
Evaluation Services (Dr Lindsay), Institute for Research, Training &
Education in Addictions, Pittsburgh, Pennsylvania
SOURCE
Nurse educator (2014) 39:3 (126-134). Date of Publication: 2014 May-Jun
ISSN
1538-9855 (electronic)
ABSTRACT
Alcohol use and other drug use affect patient healthcare outcomes. This
article describes a classroom-to-clinical approach teaching nursing students
to utilize motivational interviewing techniques to support patient behavior
change. Through the lens of a universal prevention method, nursing students
learned about reward circuit activation leading to risky substance use and
the difference between addiction and at-risk use. Specific assessment tools
and motivational interviewing techniques were presented in the classroom.
Students then applied their knowledge in simulation laboratories and
clinical rotations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
procedures
EMTREE MEDICAL INDEX TERMS
addiction
alcoholism
clinical competence
human
motivational interviewing
nursing assessment
nursing education
nursing evaluation research
nursing methodology research
nursing student
psychology
risk assessment
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24743176 (http://www.ncbi.nlm.nih.gov/pubmed/24743176)
FULL TEXT LINK
http://dx.doi.org/10.1097/NNE.0000000000000035
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 127
TITLE
Faculty buy-in to teach alcohol and drug use screening.
AUTHOR NAMES
Puskar K.
Mitchell A.M.
Kane I.
Hagle H.
Talcott K.
AUTHOR ADDRESSES
(Puskar K.; Mitchell A.M.; Kane I.; Hagle H.; Talcott K.)
CORRESPONDENCE ADDRESS
K. Puskar,
SOURCE
Journal of continuing education in nursing (2014) 45:9 (403-408). Date of
Publication: Sep 2014
ISSN
0022-0124
ABSTRACT
Educating nursing faculty about the use of an evidence-based practice to
screen and intervene earlier along the continuum of alcohol and other drug
use, misuse, and dependence is essential in today's health care arena.
Misuse of alcohol and other drugs is a significant problem for both
individual health and societal economic welfare. The purpose of this article
is to describe nursing faculty buy-in for the implementation of an
evidence-based addiction training program at a university-based school of
nursing. Derived from an academic-community partnership, the training
program results suggest implications for continuing education and curriculum
innovation in schools of nursing and clinical practice. The training content
presented can be used in continuing education for nursing faculty across all
types of nursing school programs and professional nursing staff employed in
multiple settings. The training program was funded by the Health Resources
and Services Administration.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
organization and management
patient referral
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
25153430 (http://www.ncbi.nlm.nih.gov/pubmed/25153430)
FULL TEXT LINK
http://dx.doi.org/10.3928/00220124-20140826-03
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 128
TITLE
Web-based training for primary care providers on screening, brief
intervention, and referral to treatment (SBIRT) for alcohol, tobacco, and
other drugs
AUTHOR NAMES
Stoner S.A.
Mikko A.T.
Carpenter K.M.
AUTHOR ADDRESSES
(Stoner S.A., sastoner@uw.edu; Mikko A.T.; Carpenter K.M.) Talaria, Inc.,
Seattle, United States.
(Stoner S.A., sastoner@uw.edu) The Alcohol and Drug Abuse Institute,
University of Washington, Seattle, United States.
(Mikko A.T.) VA Puget Sound Healthcare System, Seattle, United States.
(Carpenter K.M.) Alere Wellbeing, Seattle, United States.
CORRESPONDENCE ADDRESS
S.A. Stoner, Alcohol and Drug Abuse Institute, 1107 NE 45th Street, Suite
120, Seattle, United States.
SOURCE
Journal of Substance Abuse Treatment (2014) 47:5 (362-370). Date of
Publication: 1 Nov 2014
ISSN
1873-6483 (electronic)
0740-5472
BOOK PUBLISHER
Elsevier Inc., usjcs@elsevier.com
ABSTRACT
This project evaluated a Web-based multimedia training for primary care
providers in screening, brief intervention, and referral to treatment
(SBIRT) for unhealthy use of alcohol, tobacco, and other drugs. Physicians
(n = 37), physician assistants (n = 35), and nurse practitioners (n = 20)
were recruited nationally by email and randomly assigned to online access to
either the multimedia training or comparable reading materials. At baseline,
compared to non-physicians, physicians reported lower self-efficacy for
counseling patients regarding substance use and doing so less frequently.
All provider types in both conditions showed significant increases in
SBIRT-related knowledge, self-efficacy, and clinical practices. Although the
multimedia training was not superior to the reading materials with regard to
these outcomes, the multimedia training was more likely to be completed and
rated more favorably. Findings indicate that SBIRT training does not have to
be elaborate to be effective. However, multimedia training may be more
appealing to the target audiences.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
drug dependence (therapy)
early intervention
health care personnel
health education
Internet
multimedia
screening, brief intervention and referral to treatment
tobacco
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
behavior change
clinical practice
controlled study
e-mail
health care delivery
human
human experiment
knowledge
nurse practitioner
outcome assessment
patient counseling
physician
physician assistant
primary medical care
rating scale
reading
self concept
substance use
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014739811
MEDLINE PMID
25115136 (http://www.ncbi.nlm.nih.gov/pubmed/25115136)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2014.06.009
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 129
TITLE
The impact of one TPAPN workshop.
AUTHOR NAMES
Manthey M.
AUTHOR ADDRESSES
(Manthey M.)
CORRESPONDENCE ADDRESS
M. Manthey,
SOURCE
Texas nursing (2014) 88:1 (10, 18). Date of Publication: 2014 Winter
ISSN
0095-036X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
drug dependence treatment
education
nursing care
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
human
methodology
note
organization and management
peer group
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24822292 (http://www.ncbi.nlm.nih.gov/pubmed/24822292)
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 130
TITLE
Defining Severe Maternal Morbidity
AUTHOR NAMES
Hunt S.
AUTHOR ADDRESSES
(Hunt S.) AWHONN, Washington, DC., United States.
CORRESPONDENCE ADDRESS
S. Hunt,
SOURCE
Nursing for Women's Health (2014) 18:2 (169-172). Date of Publication:
April/May 2014
ISSN
1751-486X (electronic)
1751-4851
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health disparity
maternal mortality
nursing care
patient education
practice guideline
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
cesarean section
checklist
communicable disease (therapy)
education
female
government
health care policy
human
methodology
note
obesity (prevention, therapy)
preeclampsia (therapy)
pregnancy
preventive health service
public health service
quality control
standard
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24750657 (http://www.ncbi.nlm.nih.gov/pubmed/24750657)
FULL TEXT LINK
http://dx.doi.org/10.1111/1751-486X.12114
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 131
TITLE
Marijuana legalization in Colorado: a nursing student's perspective.
AUTHOR NAMES
Scriber K.C.
AUTHOR ADDRESSES
(Scriber K.C.)
CORRESPONDENCE ADDRESS
K.C. Scriber,
SOURCE
Colorado nurse (1985) (2014) 114:2 (14). Date of Publication: May 2014
ISSN
8750-846X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis (adverse drug reaction)
EMTREE DRUG INDEX TERMS
medical cannabis (pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology)
drug legislation
nurse attitude
patient education
EMTREE MEDICAL INDEX TERMS
article
attitude to health
female
human
male
nursing
phytotherapy (adverse drug reaction)
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
25118431 (http://www.ncbi.nlm.nih.gov/pubmed/25118431)
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 132
TITLE
Suttur study: An epidemiological study of psychiatric disorders in south
Indian rural population
AUTHOR NAMES
Rao T.S.S.
Darshan M.S.
Tandon A.
Raman R.
Karthik K.N.
Saraswathi N.
Das K.
Harsha G.T.
Krishna V.S.T.
Ashok N.C.
AUTHOR ADDRESSES
(Rao T.S.S., tssrao19@yahoo.com; Darshan M.S.; Tandon A.; Raman R.; Karthik
K.N.; Saraswathi N.; Das K.; Harsha G.T.; Krishna V.S.T.) Department of
Psychiatry, JSS University, JSS Medical College Hospital, M.G. Road, Mysore,
India.
(Ashok N.C.) Department of Community Medicine, JSS Medical College, JSS
University, Mysore, India.
CORRESPONDENCE ADDRESS
T.S.S. Rao, Department of Psychiatry, JSS University, JSS Medical College
Hospital, M.G. Road, Mysore, India.
SOURCE
Indian Journal of Psychiatry (2014) 56:3 (238-245). Date of Publication: 1
Jul 2014
ISSN
1998-3794 (electronic)
0019-5545
BOOK PUBLISHER
Medknow Publications, B9, Kanara Business Centre, off Link Road, Ghatkopar
(E), Mumbai, India.
ABSTRACT
Background: Based on review of literature World Health Organization (WHO)
Global Burden of Disease Study has estimated that psychiatric disorders are
among the most burdensome, around the globe and has suggested general
population surveys for future research. This study aims to estimate the
prevalence of psychiatric disorders and study their association with various
socioeconomic variables. Materials and Methods: This was an exploratory
study where a door-to-door survey of the entire population residing in a
South Indian village was done (n = 3033). Mini international
neuropsychiatric interview kid (MINI) or MINI plus were administered to all
the subjects according to the age group. Results: It was found that 24.40%
of the subjects were suffering from one or more diagnosable psychiatric
disorder. Prevalence of depressive disorders was found to be 14.82% and of
anxiety disorders was 4%. Alcohol dependence syndrome was diagnosed in 3.95%
of the population. Prevalence of dementia in subjects above 60 years was
found to be 10%. Conclusion: Our study is among the very few epidemiological
studies with respect to methodological design which does not use screening
questionnaires and evaluates each subject with detailed administration of
MINI. It concluded that one among four were suffering from a psychiatric
disorder. Improving the training of underGrad. medical and nursing students
is likely to play a significant role in addressing the increasing
psychiatric morbidities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Indian
mental disease (epidemiology)
rural population
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
alcoholism (epidemiology)
anxiety disorder (epidemiology)
article
attention deficit disorder (epidemiology)
bipolar I disorder (epidemiology)
bipolar II disorder (epidemiology)
conduct disorder (epidemiology)
dementia (epidemiology)
depression (epidemiology)
dysthymia (epidemiology)
epilepsy (epidemiology)
exploratory research
female
generalized anxiety disorder (epidemiology)
groups by age
health survey
human
major clinical study
major depression (epidemiology)
male
melancholia (epidemiology)
mental deficiency (epidemiology)
mini international neuropsychiatric interview
mixed anxiety and depression (epidemiology)
oppositional defiant disorder (epidemiology)
prevalence
psychogenic pain (epidemiology)
schizoaffective psychosis (epidemiology)
social class
social phobia (epidemiology)
social status
somatization (epidemiology)
tobacco dependence (epidemiology)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014816605
FULL TEXT LINK
http://dx.doi.org/10.4103/0019-5545.140618
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 133
TITLE
Psychiatric disorders and pain treatment in community nursing homes
AUTHOR NAMES
Brennan P.L.
SooHoo S.
AUTHOR ADDRESSES
(Brennan P.L., penny.brennan@va.gov; SooHoo S.) Center for Health Care
Evaluation (152-MPD), VA Palo Alto Health Care System, Menlo Park Division,
795 Willow Rd., Menlo Park, CA 94025, United States.
CORRESPONDENCE ADDRESS
P.L. Brennan, Center for Health Care Evaluation (152-MPD), VA Palo Alto
Health Care System, Menlo Park Division, 795 Willow Rd., Menlo Park, CA
94025, United States. Email: penny.brennan@va.gov
SOURCE
American Journal of Geriatric Psychiatry (2014) 22:8 (792-800). Date of
Publication: August 2014
ISSN
1545-7214 (electronic)
1064-7481
BOOK PUBLISHER
Lippincott Williams and Wilkins, agents@lww.com
ABSTRACT
Objective: Effective pain assessment and pain treatment are key goals in
community nursing homes, but residents' psychiatric disorders may interfere
with attaining these goals. This study addressed whether (1) pain assessment
and treatment obtained by nursing home residents with psychiatric disorders
differs from that obtained by residents without psychiatric disorders; (2)
this difference is found consistently across the four types of psychiatric
disorder most prevalent in nursing homes (dementia, depression, serious
mental illness, and substance use disorder); and (3) male gender, non-white,
and longer length of stay add to psychiatric disorders to elevate risk of
potentially adverse pain ratings and pain treatments. Methods: In this
cross-sectional study, we examined relationships among National Nursing Home
Survey 2004 residents' demographic, diagnostic, pain, and pain treatment
characteristics. Results: Compared with residents without psychiatric
disorders, those with psychiatric disorders were less likely to be rated as
having pain in the last 7 days and had lower and more "missing" or "don't
know" pain severity ratings. They also were less likely to obtain opioids
and more likely to be given only nonopioid pain medications, even after
statistically adjusting for demographic factors, physical functioning, and
pain severity. These effects generally held across all four types of
psychiatric disorders most prevalent in nursing homes and were compounded by
male, non-white, and longerstay status. Conclusion: Psychiatric disorders
besides dementia may impact pain assessment and treatment in nursing homes.
Nursing home residents with psychiatric disorders, especially male,
non-white, and longer-stay residents, should be targeted for improved pain
care. © 2014 American Association for Geriatric Psychiatry.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy)
nonsteroid antiinflammatory agent (drug therapy)
opiate (drug therapy)
paracetamol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
mental disease
nursing home
pain assessment
EMTREE MEDICAL INDEX TERMS
age
aged
article
controlled study
cross-sectional study
dementia
demography
depression
disease severity
female
gender
human
length of stay
major clinical study
male
masculinity
massage
music therapy
nursing home patient
pain (drug therapy, therapy)
patient positioning
prevalence
race
serious mental illness
substance abuse
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014490607
MEDLINE PMID
23659899 (http://www.ncbi.nlm.nih.gov/pubmed/23659899)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jagp.2012.12.216
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 134
TITLE
The prevalence and patterns of substance abuse among nurse anesthesia
students.
AUTHOR NAMES
Bozimowski G.
Groh C.
Rouen P.
Dosch M.
AUTHOR ADDRESSES
(Bozimowski G.; Groh C.; Rouen P.; Dosch M.)
CORRESPONDENCE ADDRESS
G. Bozimowski,
SOURCE
AANA journal (2014) 82:4 (277-283). Date of Publication: Aug 2014
ISSN
0094-6354
ABSTRACT
The purpose of this study was to assess the prevalence, demographic factors,
outcomes, and preventative measures for substance abuse among nurse
anesthesia students over a 5-year period from 2008 to 2012. An electronic
survey was sent to 111 program directors of accredited nurse anesthesia
programs in the United States. Twenty-three programs (response rate = 21.7%)
reported data related to 2,439 students. Sixteen incidents of substance
abuse were reported for a 5-year prevalence of 0.65%. Opioids were the most
frequent drug of choice (n = 9). The programs identified no predisposing
risk factors in 50% of the incidents. For the students, reported outcomes
included voluntary entry into treatment (n = 10), dismissal from the program
(n = 7), loss of nursing license (n = 2), and 1 death. Pre-enrollment
background checks and drug testing for cause were the most commonly reported
screening practices. The most frequently reported prevention strategy was
wellness promotion education. The prevalence was lower among student
registered nurse anesthetists, as compared with certified registered nurse
anesthetists. Although additional studies are necessary to verify this
finding, an opportunity might exist for programs to be proactive in
assessing risk postgraduation. Future studies evaluating the effectiveness
of wellness promotion efforts might lead toward a standardized, best
practice approach to risk reduction strategies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
malpractice
nurse anesthetist
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
information processing
male
prevalence
statistics
United States (epidemiology)
young adult
LANGUAGE OF ARTICLE
English
MEDLINE PMID
25167607 (http://www.ncbi.nlm.nih.gov/pubmed/25167607)
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 135
TITLE
Barriers to discontinuation of chronic benzodiazepine use in nursing home
residents: Perceptions of general practitioners and nurses
AUTHOR NAMES
Bourgeois J.
Elseviers M.M.
Azermai M.
Van Bortel L.
Petrovic M.
Vander Stichele R.R.
AUTHOR ADDRESSES
(Bourgeois J., Jolyce.bourgeois@ugent.be; Azermai M.; Van Bortel L.; Vander
Stichele R.R.) Heymans Institute of Pharmacology, Ghent University, De
Pintelaan 185, 9000 Ghent, Belgium.
(Elseviers M.M.) Department of Nursing Science, University of Antwerp,
Antwerp, Belgium.
(Petrovic M.) Department of Geriatrics, Ghent University Hospital, Ghent,
Belgium.
CORRESPONDENCE ADDRESS
J. Bourgeois, Heymans Institute of Pharmacology, Ghent University, De
Pintelaan 185, 9000 Ghent, Belgium. Email: Jolyce.bourgeois@ugent.be
SOURCE
European Geriatric Medicine (2014) 5:3 (181-187). Date of Publication: June
2014
ISSN
1878-7657 (electronic)
1878-7649
BOOK PUBLISHER
Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex,
France. infos@masson.fr
ABSTRACT
Background/Aim Prescription guidelines caution against chronic
benzodiazepine (BZD) use. Nevertheless, chronic use among older adults,
especially in nursing homes is widespread. We wanted to explore why it is
difficult to implement discontinuation. We focused on individual residents
that used BZDs and explored benefit and harm of chronic BZD use, willingness
to try and barriers against the discontinuation of chronic BZD use. Methods
In this cross-sectional study, we selected nursing home residents with at
least 3 months of BZD use. A resident-specific questionnaire was addressed
to the GP and to the responsible nurse and questioned effectiveness, side
effects, initiation and willingness to stop. For every resident, the GP and
nurse had to score 8 barrier statements on a 10-point Likert scale.
Additionally, we collected 10 general attitudes scored by GPs and nurses.
Results We received data for 109 chronic BZD users. GPs and nurses indicated
that the BZD still had the desired effect in respectively 87% and 83% of the
109 residents and in 75% and 70% they observed no side-effect. Dependence
was seen in respectively 41% and 28%. Overall, the GPs had higher barriers
than the nurses but indicated a higher willingness to stop (33% vs. 21%).
Both caregivers were willing to stop in 13% of the residents. Conclusion The
perceived effectiveness, the absence of side-effects and the presence of
dependence in most residents on chronic BZD use resulted in a low
willingness to stop. Future discontinuation guidelines should consider all
caregivers' perceptions and promote a multidisciplinary approach. © 2013
Elsevier Masson SAS and European Union Geriatric Medicine Society.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine
EMTREE DRUG INDEX TERMS
alprazolam
bromazepam
clonazepam
lorazepam
lormetazepam
prazepam
tetrazepam
zolpidem
zopiclone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
health personnel attitude
long term care
nurse
nursing home patient
EMTREE MEDICAL INDEX TERMS
adult
aged
article
benzodiazepine dependence
caregiver
cross-sectional study
drug efficacy
electronic prescribing
female
human
Likert scale
major clinical study
male
nurse attitude
nursing home
patient attitude
perception
physician attitude
priority journal
questionnaire
treatment duration
CAS REGISTRY NUMBERS
alprazolam (28981-97-7)
benzodiazepine (12794-10-4)
bromazepam (1812-30-2)
clonazepam (1622-61-3)
lorazepam (846-49-1)
lormetazepam (848-75-9)
prazepam (2955-38-6)
tetrazepam (10379-14-3)
zolpidem (82626-48-0)
zopiclone (43200-80-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014409814
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurger.2013.11.005
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 136
TITLE
Challenges in nursing practice: Nurses' perceptions in caring for
hospitalized medical-surgical patients with substance abuse/dependence
AUTHOR NAMES
Neville K.
Roan N.
AUTHOR ADDRESSES
(Neville K., kneville@kean.edu) School of Nursing, Kean University, 1000
Morris Ave, Union, NJ 07083, United States.
(Roan N.) Somerset Medical Center, Somerville, NJ, United States.
CORRESPONDENCE ADDRESS
K. Neville, Email: kneville@kean.edu
SOURCE
Journal of Nursing Administration (2014) 44:6 (339-346). Date of
Publication: June 2014
ISSN
1539-0721 (electronic)
0002-0443
ABSTRACT
OBJECTIVE:: The objective of this study was to investigate nurses'
perceptions of caring for hospitalized medical-surgical patients with
comorbid conditions of substance abuse/dependence. BACKGROUND:: Critical to
this issue of quality patient care is the rising incidence of comorbid drug
and alcohol abuse among hospitalized patients. Little research exists on the
perceptions of nurses providing care to substance abuse/dependent
medical-surgical hospitalized patients. There exists the need to further
explore nurses' perceptions regarding caring for this challenging
population. METHODS:: Using a qualitative inductive approach, a convenience
sample of 24 nurses completed research questions regarding their perceptions
of caring for hospitalized patients with substance abuse/dependence.
RESULTS:: Data analysis revealed ethical duty to care, negative perceptions
toward patients with substance abuse/dependence, need for further education,
sympathy, and issues with pain management. Providing quality nursing care
for the hospitalized medical-surgical patient with concomitant alcohol
and/or drug dependence is challenging for nursing. Nurses need additional
education and professional support in caring for these individuals.
Copyright © 2014 Wolters Kluwer Health Lippincott Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nursing care
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
comorbidity
ethics
female
health care quality
human
male
medical ethics
methodology
middle aged
nursing
nursing education
psychological aspect
qualitative research
suicide (prevention)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24835142 (http://www.ncbi.nlm.nih.gov/pubmed/24835142)
FULL TEXT LINK
http://dx.doi.org/10.1097/NNA.0000000000000079
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 137
TITLE
Tobacco dependence, the most important cardiovascular risk factor: treatment
in the Czech Republic
AUTHOR NAMES
Králíková E.
Kmeťová A.
Štěpánková L.
Zvolská K.
Felbrová V.
Kulovaná S.
Bortlíček Z.
Blaha M.
Fraser K.
AUTHOR ADDRESSES
(Králíková E.; Kmeťová A.; Štěpánková L.; Zvolská K.; Felbrová V.; Kulovaná
S.; Bortlíček Z.; Blaha M.; Fraser K.) Institute of Hygiene and
Epidemiology, First Faculty of Medicine, Charles University and General
University Hospital, Prague, Czech Republic. eva.kralikova@lf1.cuni.cz
SOURCE
Physiological research / Academia Scientiarum Bohemoslovaca (2014) 63
Supplement 3 (S361-S368). Date of Publication: 2014
ISSN
1802-9973 (electronic)
ABSTRACT
Smoking is the most important cardiovascular (CV) risk factor. Stopping
smoking halves the CV risk. Every clinician should provide a brief
intervention with smokers. Intensive treatment should be available to those
who need it. There are 37 Centers for Tobacco Dependence in the Czech
Republic, which offer treatment including a psychobehavioral intervention
and pharmacotherapy (varenicline, nicotine, bupropion). Czech physicians,
pharmacists and nurses are regularly educated about smoking cessation. We
describe the results of intensive treatment offered by our centers.
Treatment includes screening (1 h), an intervention (2 h), and follow-up
visits during the next 12 months. Among 3532 patients, 34.3 % had
CO-validated abstinence at 12-months (including 489 patients who attended
the screening visit + only the 12-month follow up visit). Among patients who
underwent the intervention, the abstinence rate was 38.2 %. The majority of
patients who underwent the intervention (N=2470) used some form of
pharmacotherapy. After one year, the abstinence rate was 43.4 %, compared to
15.9 % (N=573) without pharmacotherapy. Only 28 % of patients came on the
recommendation of a physician. Despite the decrease in CV risk following
smoking cessation and the effectiveness of treatment, centers are
underutilized.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
procedures
EMTREE MEDICAL INDEX TERMS
adult
cardiovascular disease (epidemiology, prevention)
clinical trial
cohort analysis
Czech Republic
female
follow up
human
male
middle aged
multicenter study
risk factor
smoking
smoking cessation
tobacco dependence (epidemiology, therapy)
treatment outcome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
25428741 (http://www.ncbi.nlm.nih.gov/pubmed/25428741)
COPYRIGHT
Copyright 2016 Medline is the source for the citation and abstract of this
record.
RECORD 138
TITLE
Using motivational interviewing for smoking cessation in primary care
AUTHOR NAMES
Ridner S.L.
Ostapchuk M.
Cloud R.N.
Myers J.
Jorayeva A.
Ling J.
AUTHOR ADDRESSES
(Ridner S.L., lee.ridner@louisville.edu; Ostapchuk M.; Cloud R.N.; Myers J.;
Jorayeva A.; Ling J.) University of Louisville School of Nursing, Family
Medicine, Kent School of Social Work, 555 S Floyd St, Louisville, KY 40202,
United States.
CORRESPONDENCE ADDRESS
S.L. Ridner, University of Louisville School of Nursing, Family Medicine,
Kent School of Social Work, 555 S Floyd St, Louisville, KY 40202, United
States. Email: lee.ridner@louisville.edu
SOURCE
Southern Medical Journal (2014) 107:5 (314-319). Date of Publication: May
2014
ISSN
1541-8243 (electronic)
0038-4348
BOOK PUBLISHER
Lippincott Williams and Wilkins, LRorders@phl.lrpub.com
ABSTRACT
Objectives: To compare the effects of resident physician motivational
interviewing (MI), resident physician MI plus registered nurse (RN), and the
standard of care counseling approachV ask, advise, assess, assist, and
arrange follow-up (5 As)Von current smokers' behaviors (readiness to quit,
cigarettes smoked per day, current smoking rates), self-efficacy to quit
smoking, and nicotine dependence. Methods: The study design was
quasi-experimental pretest/posttest with a comparison group. Pencil/paper
measures were completed in the clinic setting at baseline and via telephone
approximately 1 and 2 months after the clinic visit. Results: There were no
differences among the three groups in the proportion of participants who
quit smoking, and the stages of change did not differ among the groups or
over time. Therewas a significant time effect and a decrease in the number
of cigarettes smoked per day (F (2,160) = 41.04, P < 0.001). Significant
group × time interactionswere present for self-efficacy (F(4,140) = 8.20, P
< 0.001), nicotine dependence (F(4,140) = 6.22, P < 0.001) and
satisfactionwith clinician (F(4,160)=3.81,P=0.006). Post hoc analyses showed
that participants in the MI groups smoked fewer cigarettes, had higher
self-efficacy, and had lower nicotine dependence scores. Only participants
in theMD-plus-RN follow-up group had significant positive changes in
satisfaction scores. Conclusions: Resident physicians who use MI techniques
have a tremendous effect on patients' smoking behaviors. When the resident
physician and theRNworked together, participants achieved better outcomes.
Copyright © 2014 by The Southern Medical Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
motivational interviewing
primary medical care
smoking cessation
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
counseling
female
follow up
health care planning
human
interpersonal communication
male
outcome assessment
patient care
registered nurse
resident
satisfaction
self concept
smoking habit
telephone interview
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014392159
MEDLINE PMID
24937733 (http://www.ncbi.nlm.nih.gov/pubmed/24937733)
FULL TEXT LINK
http://dx.doi.org/10.1097/SMJ.0000000000000106
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 139
TITLE
Screening, brief intervention, and referral to treatment (SBIRT) as an
integral part of nursing practice
AUTHOR NAMES
Finnell D.S.
Nowzari S.
Reimann B.
Fischer L.
Pace E.
Goplerud E.
AUTHOR ADDRESSES
(Finnell D.S.; Nowzari S.; Reimann B.; Fischer L.; Pace E.; Goplerud E.) a
Johns Hopkins University, School of Nursing , Baltimore , Maryland , USA
SOURCE
Substance abuse (2014) 35:2 (114-118). Date of Publication: 2014
ISSN
1547-0164 (electronic)
ABSTRACT
ABSTRACT. Substance use screening, brief intervention, and referral to
treatment (SBIRT) should be an integral part of the scope of nursing
practice. This commentary is an appeal for nurses to advance their knowledge
and competencies related to SBIRT. The question of how to move SBIRT into
the mainstream of nursing practice was posed to several leaders of federal
agencies, health care and nursing organizations, nurse educators, and nurse
leaders. The authors provide recommendations for moving this set of clinical
strategies (i.e., SBIRT) into day-to-day nursing practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
nurse attitude
nursing
patient referral
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis, therapy)
human
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24580067 (http://www.ncbi.nlm.nih.gov/pubmed/24580067)
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2014.888384
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 140
TITLE
Factors influencing adherence to dietary guidelines: A qualitative study on
the experiences of patients with type 2 diabetes attending a clinic in Cape
Town
AUTHOR NAMES
Ebrahim Z.
De Villiers A.
Ahmed T.
AUTHOR ADDRESSES
(Ebrahim Z., zarina.ebrahim@uct.ac.za; De Villiers A.; Ahmed T.) Department
of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape
Town, South Africa.
CORRESPONDENCE ADDRESS
Z. Ebrahim, Department of Human Biology, Faculty of Health Sciences,
University of Cape Town, Cape Town, South Africa.
SOURCE
Journal of Endocrinology, Metabolism and Diabetes of South Africa (2014)
19:2 (76-84). Date of Publication: 2014
ISSN
1608-9677
BOOK PUBLISHER
South African Medical Association, publishing@samedical.org
ABSTRACT
Objective: The purpose of this study was to explore the experiences of
patients with type 2 diabetes mellitus attending the Groote Schuur Hospital
Diabetes Clinic in relation to contextual factors that promote or impede
adherence to nutrition care guidelines.Subjects and setting: Eight diabetic
patients (four males and four females) attending the Groote Schuur Hospital
Diabetes Clinic who were between 40-70 years old.Outcome measures:
Qualitative analysis of factors influencing adherence to dietary
guidelines.Method: An explorative study, using a qualitative approach with
eight semi-structured interviews, was used. Patients were interviewed at the
diabetes outpatient clinic in Cape Town. Semi-structured interviews were
recorded and transcribed, and thereafter analysed using ATLAS/ti®.Results:
Various themes as to what influences adherence to dietary guidelines
emerged. An ecological analysis is offered to understand the different
levels of influence on participants' dietary behaviour. The main identified
factors at individual level were motivation, individual knowledge,
perceptions of moderation, self- responsibility, taste concept or cravings,
and temptations. At small group (family and friends) level, family relations
with the patients were identified as the main support system used to manage
the diabetes. At the organisational or health systems level, long waiting
times and the theme of seeing different doctors emerged as problematic
factors, but overall, patients were satisfied with the clinic service. At
community and policy level, culture and the cost of food were identified as
key influential factors with regard to adherence to nutrition care
guidelines.Conclusion: This study shows the usefulness of adopting an
ecological model in identifying factors that influenced adherence to dietary
guidelines by patients with type 2 diabetes. Some factors acted as enablers
and others as barriers. These had an impact on patient adherence to
nutrition care guidelines. These factors should be considered by diabetes
educators, including dietitians and nurses and doctors, when planning
treatment modalities for patients with type 2 diabetes mellitus. © SEMDSA.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dietary compliance
non insulin dependent diabetes mellitus
personal experience
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical article
dietary reference intake
female
human
male
nutrition education
outpatient department
qualitative analysis
responsibility
risk factor
semi structured interview
taste
withdrawal syndrome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Internal Medicine (6)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014848002
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 141
TITLE
A case report of historical trauma among American Indians on a rural
Northern Plains reservation
AUTHOR NAMES
Heckert W.
Eisenhauer C.
AUTHOR ADDRESSES
(Heckert W.; Eisenhauer C.) Author Affiliation: University of Nebraska
Medical Center College of Nursing-Northern Division
SOURCE
Journal of forensic nursing (2014) 10:2 (106-109). Date of Publication: 2014
Apr-Jun
ISSN
1939-3938 (electronic)
ABSTRACT
This case report describes historical trauma on a rural American Indian
reservation and outlines participatory action approaches for nurses. The
prevalence of historical trauma often goes unnoticed by healthcare
professionals because of its multifaceted nature and subsequent lack of
provider understanding. Nurses accustomed to looking only for physical and
psychosocial signs of trauma may not specifically understand how to align
significant historical trauma events with prevention, education, and
healthcare delivery. Nursing interventions developed through participatory
action and directed at individual, family, and community levels of care are
most effective in treating and preventing cumulative effects of historical
trauma.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
grief
health disparity
psychology
EMTREE MEDICAL INDEX TERMS
addiction
American Indian
art
ethnology
history
history
history
human
mental stress
poverty
rural population
unemployment
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24847874 (http://www.ncbi.nlm.nih.gov/pubmed/24847874)
FULL TEXT LINK
http://dx.doi.org/10.1097/JFN.0000000000000028
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 142
TITLE
Nurses' knowledge and attitudes toward pain in the emergency department
AUTHOR NAMES
Moceri J.T.
Drevdahl D.J.
AUTHOR ADDRESSES
(Moceri J.T.) Tacoma, WA. Electronic address: joanemoceri@gmail.com
(Drevdahl D.J.) Tacoma, WA
SOURCE
Journal of emergency nursing: JEN : official publication of the Emergency
Department Nurses Association (2014) 40:1 (6-12). Date of Publication: 1 Jan
2014
ISSN
1527-2966 (electronic)
ABSTRACT
INTRODUCTION: The purpose of this study was to investigate emergency nurses'
knowledge and attitudes about pain.METHODS: A descriptive design was used
for this study. A validated tool, the Knowledge and Attitudes Survey
Regarding Pain (KASRP), was administered to nurses working in 5 U.S.
emergency departments. Demographic data also were collected from each
participant.RESULTS: Ninety-one emergency nurses completed the survey. The
mean total KASRP score was 76%. No significant differences were found in
mean total scores by age, education level, years of nursing experience, or
years of ED experience. Eight questions were answered incorrectly by more
than 50% of participants. Five of these questions were related to opioid
pharmacology and dosage, 2 concerned understanding of addiction and
dependence, and one was linked to nurse assessment and patient report of
pain level. Analysis of these 8 questions revealed that higher education
levels had a weak positive association with correct answers.DISCUSSION:
Participants taking the survey scored comparably or better than participants
in other reported studies using the KASRP. Years of nursing experience was
not correlated with correct responses. Findings from this study underscore
the Institute of Medicine's Pain in America recommendation to increase pain
management education for all providers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
procedures
statistics and numerical data
EMTREE MEDICAL INDEX TERMS
adult
age distribution
analgesia
analysis of variance
clinical competence
emergency health service
emergency nursing
female
human
male
middle aged
nursing staff
pain (diagnosis, drug therapy)
pain measurement
questionnaire
United States
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22841012 (http://www.ncbi.nlm.nih.gov/pubmed/22841012)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jen.2012.04.014
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 143
TITLE
Alcohol and health content in nursing baccalaureate degree curricula.
AUTHOR NAMES
Savage C.
Dyehouse J.
Marcus M.
AUTHOR ADDRESSES
(Savage C.) Christine Savage, PhD, RN, CARN, FAAN, Johns Hopkins University
School of Nursing, Baltimore, Maryland. Janice Dyehouse, PhD, RN, University
of Cincinnati College of Nursing, Ohio. Marianne Marcus, EdD, RN, FAAN,
University of Texas at Huston School of Nursing.
(Dyehouse J.; Marcus M.)
CORRESPONDENCE ADDRESS
C. Savage,
SOURCE
Journal of addictions nursing (2014) 25:1 (28-34). Date of Publication: 2014
Jan-Mar
ISSN
1548-7148 (electronic)
ABSTRACT
Globally, a paradigm shift has occurred in the field of alcohol and health
from treatment of alcoholism to reducing at-risk drinking. The purpose of
this study was to determine if schools of nursing include content reflective
of the new paradigm in their Bachelor of Science in Nursing curricula. This
was a cross-sectional electronic survey of schools of nursing to determine
the mean number of alcohol-related content hours presented, the content
offered, and the inclusion of strategies aimed at reduction of at-risk
drinking such as screening and brief intervention. The schools (n = 66)
reported a mean of 11.3 hours of alcohol-related content, with most of the
content related to the treatment of alcohol dependence. Less than 10%
required competency in screening and brief intervention. This gap in
Bachelor of Science in Nursing curricula carries serious implications in
that nurses may not have the knowledge and competencies needed to provide
interventions to patients with at-risk alcohol use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
drinking behavior (prevention)
nursing education
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
female
human
male
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24613948 (http://www.ncbi.nlm.nih.gov/pubmed/24613948)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0000000000000018
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 144
TITLE
Adolescents and child maltreatment.
AUTHOR NAMES
Beard J.W.
AUTHOR ADDRESSES
(Beard J.W.)
CORRESPONDENCE ADDRESS
J.W. Beard,
SOURCE
NASN school nurse (Print) (2014) 29:2 (71-74). Date of Publication: Mar 2014
ISSN
1942-602X
ABSTRACT
Child maltreatment is a very complex medical and social problem. Many
children have died as a result of child maltreatment; others are depressed,
engaging in risky behaviors and substance abuse and running away from home.
The purpose of this article is to provide an overview of child maltreatment
in the United States. Characteristics and contributing factors of
maltreatment are described, and health and behavior problems associated with
maltreated adolescents will be reviewed. Additionally the role of the school
nurse will be discussed. It is imperative that school nurses are aware of
the significance of the problem and the effects that child maltreatment has
on children as they mature into early adulthood.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
child abuse
domestic violence
eating disorder (epidemiology)
ethnology
health behavior
human
social support
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24707655 (http://www.ncbi.nlm.nih.gov/pubmed/24707655)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X13517721
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 145
TITLE
Effects of Screening, Brief Intervention, and Referral to Treatment (SBIRT)
education and training on nursing students' attitudes toward working with
patients who use alcohol and drugs.
AUTHOR NAMES
Puskar K.
Gotham H.J.
Terhorst L.
Hagle H.
Mitchell A.M.
Braxter B.
Fioravanti M.
Kane I.
Talcott K.S.
Woomer G.R.
Burns H.K.
AUTHOR ADDRESSES
(Puskar K., krp12@pitt.edu) University of Pittsburgh School of Nursing,
Pittsburgh, PA 15261, USA.
(Gotham H.J.; Terhorst L.; Hagle H.; Mitchell A.M.; Braxter B.; Fioravanti
M.; Kane I.; Talcott K.S.; Woomer G.R.; Burns H.K.)
CORRESPONDENCE ADDRESS
K. Puskar, University of Pittsburgh School of Nursing, Pittsburgh, PA 15261,
USA. Email: krp12@pitt.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (122-128). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
Screening, Brief Intervention, and Referral to Treatment (SBIRT) can reduce
alcohol use and negative health outcomes in patients with risky substance
use. However, negative attitudes that some health care professionals have
toward patients who use substances are a barrier to implementing SBIRT. The
University of Pittsburgh School of Nursing, in partnership with the
Institute for Research, Education, and Training in Addictions (IRETA),
developed a curriculum to train baccalaureate student nurses to deliver
SBIRT. Following SBIRT education and training, students' perceived attitudes
toward patients who use alcohol became more positive. Less robust changes
were found for attitudes related to patients who use drugs. Nurses composing
the largest group of healthcare workers are in key positions to screen,
intervene, and provide education about substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
health personnel attitude
human
male
middle aged
program development
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23577905 (http://www.ncbi.nlm.nih.gov/pubmed/23577905)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 146
TITLE
Screening, Brief Intervention, and Referral to Treatment: Overview of and
student satisfaction with an undergraduate addiction training program for
nurses
AUTHOR NAMES
Mitchell A.M.
Puskar K.
Hagle H.
Gotham H.J.
Talcott K.S.
Terhorst L.
Fioravanti M.
Kane I.
Hulsey E.
Luongo P.
Burns H.K.
AUTHOR ADDRESSES
(Mitchell A.M., ammi@pitt.edu; Puskar K.; Talcott K.S.; Fioravanti M.; Kane
I.) University of Pittsburgh School of Nursing, United States.
(Terhorst L.) Community Care Behavioral Health Organization, University of
Pittsburgh Medical Center, Pittsburgh, United States.
(Hagle H.; Luongo P.) Institute for Research, Education, and Training in
Addictions, United States.
(Hulsey E.)
(Burns H.K.) Excela Health/Latrobe and University of Pittsburgh School of
Nursing, Pittsburgh, PA, United States.
(Gotham H.J.) School of Nursing and Health Studies, University of
Missouri-Kansas City, Kansas City, MO, United States.
CORRESPONDENCE ADDRESS
A. M. Mitchell, University of Pittsburgh School of Nursing, 3500 Victoria
Street, 415 Victoria Building, Pittsburgh, PA 15261, United States. Email:
ammi@pitt.edu
SOURCE
Journal of Psychosocial Nursing and Mental Health Services (2013) 51:10
(29-37). Date of Publication: 2013
ISSN
0279-3695
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
Preparing nursing students to apply an evidence-based screening and brief
intervention approach with patients has the potential to reduce patients'
risky alcohol and drug use. Responding to Mollica, Hyman, and Mann's article
published in 2011, the current article describes implementation results of
an Addiction Training for Nurses program of Screening, Brief Intervention,
and Referral to Treatment (SBIRT) embedded within an undergraduate nursing
curriculum. Results reveal that students in other schools of nursing would
benefit from similar, significant training on substance use disorders and
SBIRT. Training satisfaction surveys (N = 488) indicate students were
satisfied with the quality of the training experience. More than 90% of
students strongly agreed or agreed that the training was relevant to their
nursing careers and would help their patients. Additional clinical practice
and skill development may increase students' reported effectiveness in
working with the topic area of substance use and SBIRT. © SLACK
Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
nursing education
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
education
female
human
male
mass screening
methodology
middle aged
nursing
patient referral
program development
program evaluation
psychotherapy
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23855435 (http://www.ncbi.nlm.nih.gov/pubmed/23855435)
FULL TEXT LINK
http://dx.doi.org/10.3928/02793695-20130628-01
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 147
TITLE
A pilot study of addiction professionals' views of certification
AUTHOR NAMES
Massella J.
Simons L.
Young J.
Haas D.
Toth P.W.
AUTHOR ADDRESSES
(Massella J.; Simons L., lorgold@aol.com; Young J.; Haas D.; Toth P.W.)
Social Science Division, Widener University, One University Place, Chester,
PA 19013-5792, United States.
CORRESPONDENCE ADDRESS
Social Science Division, Widener University, One University Place, Chester,
PA 19013-5792, United States.
SOURCE
Addictive Disorders and their Treatment (2013) 12:4 (201-212). Date of
Publication: December 2013
ISSN
1531-5754
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
A survey was conducted on the perceived value of certification with 157
certified addiction professionals in the State of Pennsylvania. An
overwhelming number of professionals appraised certification as necessary
for work in the substance abuse treatment field. The results from a
discriminant analysis separated addiction professionals who did and did not
advocate for hiring a certified professional. Certified addiction
professionals' level of advocacy was closely related to their perceptions of
certification. The results further indicate that certified addiction
professionals have different motivations for certification and
recertification. Sex and years of experience were related to motivation for
recertification. Implications for certification boards are discussed.
Copyright © 2012 by Lippincott Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
certification
health personnel attitude
recertification
EMTREE MEDICAL INDEX TERMS
adult
aged
career
case manager
controlled study
demography
employment
female
health care survey
health survey
human
job experience
male
medical specialist
middle aged
motivation
normal human
patient advocacy
perception
physician
pilot study
priority journal
professional competence
professionalism
review
specialization
United States
young adult
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014031384
FULL TEXT LINK
http://dx.doi.org/10.1097/ADT.0b013e318272d773
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 148
TITLE
Severity of mobile phone and internet use among B.Sc. Nursing students
AUTHOR NAMES
Kumari A.
D'Souza M.S.
Dhar T.
Savitha
Alex S.
AUTHOR ADDRESSES
(Kumari A.; D'Souza M.S.; Dhar T.; Savitha, savitha.umesh@manipal.edu)
Department of Mental Health/Psychiatric Nursing, Manipal College of Nursing
Manipal, Manipal University, Manipal - 576104, Karnataka, India.
(Alex S.) Department of Fundamentals of Nursing, Manipal College of Nursing
Manipal, Manipal University, Manipal - 576104, Karnataka, India.
CORRESPONDENCE ADDRESS
Savitha, Department of Mental Health/Psychiatric Nursing, Manipal College of
Nursing Manipal, Manipal University, Manipal - 576104, Karnataka, India.
Email: savitha.umesh@manipal.edu
SOURCE
Nitte University Journal of Health Science (2013) 3:4 (67-70). Date of
Publication: December 2013
ISSN
2249-7110
BOOK PUBLISHER
Nitte University, 6th Flr, Medical Sciences Complex,, Deralakatte,
Mangalore, Karnataka, India.
ABSTRACT
Introduction: India continues to be one of the fastest growing major telecom
markets in the world. Around 60 million of internet users are from India and
19 to 40 years age group section 85% using internet in India. Young nurses
today have wide spread and inexpensive access to the internet. Aims and
Objectives: To assess the severity score of mobile phone use and internet
use among BSc. Nursing students and to find the relationship between mobile
phone and internet use. Study design: descriptive survey. Methods and
materials: The study was conducted among 114 BSc. nursing students in
Manipal College of nursing Manipal. A convenient sampling technique was
used. The data was obtained by using a demographic proforma, mobile phone
addiction test and internet addiction test. Results: Most of the subjects 50
(43.9%) belongs to 19-20 years of age. 1.8% subjects reported of having mild
addiction to mobile phone use. Three (2.6%) subjects had moderate internet
addiction and 35 (30.7%) subjects reported of having mild internet
addiction. The 'r' value (r=0.610, p= ≤ 0.001) showed that there is a
positive relationship between use of mobile phone and internet use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
internet addiction (diagnosis)
mobile phone addiction (diagnosis)
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
controlled study
correlation analysis
demography
descriptive research
disease severity
female
human
India
lifestyle
major clinical study
male
personality
psychologic test
reliability
sex difference
social life
urban rural difference
validity
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013636125
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 149
TITLE
High-alert medications in pediatrics hospital
AUTHOR NAMES
Bataille J.
Joret P.
Prot-Labarthe S.
Bourdon O.
Brion F.
Hartmann J.-F.
AUTHOR ADDRESSES
(Bataille J.; Joret P.; Prot-Labarthe S.; Bourdon O.; Brion F.) APHP,
Pharmacie, Hôpital Robert-Debré, Paris, France.
(Bataille J.; Joret P.; Bourdon O.; Brion F.) Pharmacie Clinique, Université
Paris Descartes, Paris, France.
(Bourdon O.; Brion F.) Laboratoire Education et Pratiques de Santé,
Université Paris XIII, Bobigny, Paris, France.
(Hartmann J.-F.) Coordonnateur de La Gestion Des Risques AssociéS Aux Soins,
CLIN/CVRiS Resp. du Manag. De La Qualite de La Prise En Charge
MeDicamenteuse, Hôpital Robert-Debré, Paris, France.
CORRESPONDENCE ADDRESS
J. Bataille, APHP, Pharmacie, Hôpital Robert-Debré, Paris, France.
SOURCE
International Journal of Clinical Pharmacy (2013) 35:6 (1321). Date of
Publication: December 2013
CONFERENCE NAME
42nd ESCP Symposium on Clinical Pharmacy: Implementation of Pharmacy
Practice
CONFERENCE LOCATION
Prague, Czech Republic
CONFERENCE DATE
2013-10-16 to 2013-10-18
ISSN
2210-7703
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Background and Objective: High-alert medications have the highest risk of
causing injury when misused. Errors on high-alert medications occur at the
same rate compared to usual medicine. Pediatric population itself is at high
risk of drug misuse. The aim of this study is to identify clinicians, nurses
and pharmacists perceptions of high-alert medications and to develop a
pediatrics specific high-alert medications list. Setting and Method: A three
step process was set: (1) review of literature, (2) electronic survey was
sent to clinicians (seniors and residents), registered nurses, young nurses
and pharmacists working in a pediatric university French hospital. They
suggested their top ten highalert medications and the medication which was
the most frequently involved. They were asked the type of errors they have
already encountered and to describe the consequences of the misuse. Results
were compared to the Institute for Safe Medications Practices list and
Franke&al PICU-specific, high-alert medications list. (3) consensus of
experts who approved a list of high-alert medications for the hospital. Main
outcome measures: Obtain a pediatrics specific high-alert medications list.
Results: The review of literature pinpoints four documentary sources 27
medication classes and 63 specific medications. Only one study has
identified a pediatric intensive care unit, specific high-alert medications
in the United States (US). The response survey rate was 20 % and nurses were
the most represented category. The number of medicines listed fluctuate form
3-10. The consensus list was composed of 17 medication classes and specific
medications such as adrenaline aerosol, amiodarone, anticoagulants and
antimalarial drugs. The complete table will be presented in the final
poster. Conclusions: Four medications weren't identified on the Institute
for Safe Medications Practices list and the PICU-specific, high-alert
medications list: injectable acetaminophen, quinine and derivates, magnesium
sulfate and adrenaline aerosol. This difference could be due to diversity of
practice between France and US (incidence of pathology, habit of care and
specific commercialized medicine). Currently, no pediatrics' specific
high-alert medications list was described in France and only one in the US.
The diffusion of the list can sensibilise the nursing staff to the drugs
they have to be aware of. A national study has to be conducted in other
pediatrics' hospital to confirm these results.
EMTREE DRUG INDEX TERMS
adrenalin
amiodarone
anticoagulant agent
antimalarial agent
magnesium sulfate
paracetamol
quinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
drug therapy
hospital
pediatrics
pharmacy
EMTREE MEDICAL INDEX TERMS
aerosol
consensus
diffusion
drug misuse
France
habit
human
injury
intensive care unit
nurse
nursing staff
pathology
pharmacist
population
registered nurse
risk
United States
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-013-9886-5
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 150
TITLE
Impact of training on Nigerian healthcare professionals' knowledge and
practice of pharmacovigilance
AUTHOR NAMES
Osakwe A.
Oreagba I.
Adewunmi A.J.
Adekoya A.
Fajolu I.
AUTHOR ADDRESSES
(Osakwe A.; Oreagba I., oreagbai@yahoo.com) National Pharmacovigilance
Centre, National Agency for Food and Drug Administration and Control, Abuja,
Nigeria.
(Oreagba I., oreagbai@yahoo.com) Department of Pharmacology, College of
Medicine, University of Lagos, Lagos, 12003 Idi-araba, Nigeria.
(Adewunmi A.J.) Accident and Emergency, Lagos University Teaching Hospital,
Idiaraba, Lagos, Nigeria.
(Adekoya A.) Pharmacy Department, Lagos University Teaching Hospital,
Idiaraba, Lagos, Nigeria.
(Fajolu I.) Department of Peadiatrics, Lagos University Teaching Hospital,
Idiaraba, Lagos, Nigeria.
CORRESPONDENCE ADDRESS
I. Oreagba, Department of Pharmacology, College of Medicine, University of
Lagos, Lagos, 12003 Idi-araba, Nigeria. Email: oreagbai@yahoo.com
SOURCE
International Journal of Risk and Safety in Medicine (2013) 25:4 (219-227).
Date of Publication: 2013
ISSN
0924-6479
1878-6847 (electronic)
BOOK PUBLISHER
IOS Press, Nieuwe Hemweg 6B, Amsterdam, Netherlands.
ABSTRACT
BACKGROUND: Pharmacovigilance is the science and activities relating to the
detection, assessment, understanding and prevention of adverse effects or
any other possible drug related problem. The effectiveness of this system
revolves on the active participation of the healthcare practitioners. Poor
knowledge and practice of pharmacovigilance has necessitated training of
healthcare professionals in different parts of Nigeria. OBJECTIVES: The
objectives of this study are to determine the knowledge and practice of
pharmacovigilance amongst health professionals in Nigeria and the impact of
previous training in pharmacovigilance on their knowledge and practice.
METHODS: In this descriptive cross sectional study, purposive and systematic
random sampling method was used in selecting health facilities and health
care practitioners respectively. Data were collected using a three-part
peer-reviewed structured questionnaire administered through electronic mail
(25) and self administration by healthcare professionals (316). RESULTS:
Respondents who had received training on pharmacovigilance had better
knowledge of correct definition of pharmacovigilance (P = 0.001) and better
theoretical knowledge and practice scores of pharmacovigilance (P = 0.001).
Receiving quarterly newsletters was not significantly associated (p = 0.220)
with improved knowledge of pharmacovigilance. Overall, knowledge and
practice of pharmacovigilance in Nigeria was still below average. The main
challenges faced in the reporting and detecting of ADR were lack of
awareness, poor communication, lack of continuity in training and poor
funding. CONCLUSION: Although training was associated with improved
knowledge and practice of pharmacovigilance amongst the health care
providers studied, its overall impact was mild. Strengthened awareness
creation and innovations in PV training methods are necessary to improve the
efficiency of the program. © 2013-IOS Press.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug surveillance program
health care personnel
medical education
professional knowledge
EMTREE MEDICAL INDEX TERMS
article
awareness
biomedical engineer
biomedical engineering
clinical practice
continuing education
cross-sectional study
descriptive research
dietitian
e-mail
female
funding
health care facility
human
interpersonal communication
laboratory personnel
male
Nigeria
normal human
nurse
paramedical personnel
peer review
pharmacist
physician
physiotherapist
publication
radiological technologist
structured questionnaire
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014053617
MEDLINE PMID
24305560 (http://www.ncbi.nlm.nih.gov/pubmed/24305560)
FULL TEXT LINK
http://dx.doi.org/10.3233/JRS-130605
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 151
TITLE
The use and costs of health and social services in patients with
longstanding substance abuse.
AUTHOR NAMES
Vossius C.
Testad I.
Skjæveland R.
Nesvåg S.
AUTHOR ADDRESSES
(Vossius C., c.vossius@hotmail.com) Stokka Teaching Nursing Home, Lassaveien
10, Stavanger, N-4022 Norway.
(Testad I.; Skjæveland R.; Nesvåg S.)
CORRESPONDENCE ADDRESS
C. Vossius, Stokka Teaching Nursing Home, Lassaveien 10, Stavanger, N-4022
Norway. Email: c.vossius@hotmail.com
SOURCE
BMC health services research (2013) 13 (185). Date of Publication: 2013
ISSN
1472-6963 (electronic)
ABSTRACT
Persons with longstanding substance abuse might become increasingly
dependent on help by the public, eventually requiring permanent care. In
2006 the municipality of Stavanger established a so-called addiction ward
for these clients, comprising 17 beds at the largest municipal nursing home.
We assumed that the residents of this ward were high consumers of health
care and social services during the last months preceding their admission.
The aim of the study was to register the type and extent of services that
were claimed by this client group during the last six months prior to
admission, and to calculate the costs that were caused. Further, we
estimated the incremental costs for nursing home placement. In 15 residents
from the addiction ward the use of all welfare services during the six
months prior to admission were registered. Costs were calculated by unit
costs from a municipal, national and societal perspective. Mean total costs
during this period were €32 474. Approximately half of these costs were
borne by state-funded institutions, and half were borne by the municipality.
The clients used a great variety of services aimed at subsistence, health
care and support in independent living, while services aimed at drug
withdrawal were not claimed. There was no correlation between costs and the
level of functioning. The incremental costs for nursing home admission were
borne by the municipalities. Persons with longstanding substance abuse
represent a group with a high use of welfare resources and hence cause high
costs. However, our findings do not indicate any correlation between the
amount of services rendered and the level of functioning. Further research
should focus on the identification of the clients' need for support in order
to facilitate targeted interventions that might prevent further
deterioration and, finally, the need for permanent care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health care cost
nursing home
patient care
residential care
social work
EMTREE MEDICAL INDEX TERMS
aged
article
economics
female
hospital admission
human
male
middle aged
Norway
statistics
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23692822 (http://www.ncbi.nlm.nih.gov/pubmed/23692822)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 152
TITLE
Antithymocyte globulin treatment for patients with recent-onset type 1
diabetes: 12-month results of a randomised, placebo-controlled, phase 2
trial
AUTHOR NAMES
Gitelman S.E.
Gottlieb P.A.
Rigby M.R.
Felner E.I.
Willi S.M.
Fisher L.K.
Moran A.
Gottschalk M.
Moore W.V.
Pinckney A.
Keyes-Elstein L.
Aggarwal S.
Phippard D.
Sayre P.H.
Ding L.
Bluestone J.A.
Ehlers M.R.
AUTHOR ADDRESSES
(Gitelman S.E., sgitelma@peds.ucsf.edu; Bluestone J.A.) University of
California, San Francisco, CA, United States.
(Gottlieb P.A.) Barbara Davis Center, University of Colorado, Aurora, CO,
United States.
(Rigby M.R.) Indiana University and Riley Children's Hospital, Indianapolis,
IN, United States.
(Felner E.I.) Emory University, Atlanta, GA, United States.
(Willi S.M.) Children's Hospital of Philadelphia, Philadelphia, PA, United
States.
(Fisher L.K.) Children's Hospital of Los Angeles, Los Angeles, CA, United
States.
(Moran A.) University of Minnesota, Minneapolis, MN, United States.
(Gottschalk M.) University of California, San Diego, CA, United States.
(Moore W.V.) Children's Mercy Hospital, Kansas City, MO, United States.
(Pinckney A.; Keyes-Elstein L.) Rho Federal Systems Division, Chapel Hill,
NC, United States.
(Aggarwal S.; Phippard D.) Immune Tolerance Network, Bethesda, MD, United
States.
(Sayre P.H.; Ehlers M.R.) Immune Tolerance Network, San Francisco, CA,
United States.
(Ding L.) National Institute of Allergy and Infectious Diseases, Bethesda,
MD, United States.
CORRESPONDENCE ADDRESS
S.E. Gitelman, University of California, Box 0434, 513 Parnassus Avenue, San
Francisco, CA 94143, United States. Email: sgitelma@peds.ucsf.edu
SOURCE
The Lancet Diabetes and Endocrinology (2013) 1:4 (306-316). Date of
Publication: December 2013
ISSN
2213-8587
BOOK PUBLISHER
Lancet Publishing Group, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Background: Type 1 diabetes results from T-cell-mediated destruction of β
cells. Findings from preclinical studies and pilot clinical trials suggest
that antithymocyte globulin (ATG) might be effective for reducing this
autoimmune response. We assessed the safety and efficacy of rabbit ATG in
preserving islet function in participants with recent-onset type 1 diabetes,
and report here our 12-month results. Methods: For this phase 2, randomised,
placebo-controlled, clinical trial, we enrolled patients with recent-onset
type 1 diabetes, aged 12-35 years, and with a peak C-peptide of 0·;4 nM or
greater on mixed meal tolerance test from 11 sites in the USA. We used a
computer generated randomisation sequence to randomly assign patients (2:1,
with permuted-blocks of size three or six and stratified by study site) to
receive either 6·;5 mg/kg ATG or placebo over a course of four days. All
participants were masked and initially managed by an unmasked drug
management team, which managed all aspects of the study until month 3.
Thereafter, to maintain masking for diabetes management throughout the
remainder of the study, participants received diabetes management from an
independent, masked study physician and nurse educator. The primary endpoint
was the baseline-adjusted change in 2-h area under the curve C-peptide
response to mixed meal tolerance test from baseline to 12 months. Analyses
were by intention to treat. This is a planned interim analysis of an
on-going trial that will run for 24 months of follow-up. This study is
registered with ClinicalTrials.gov, number NCT00515099. Findings: Between
Sept 10, 2007, and June 1, 2011, we screened 154 individuals, randomly
allocating 38 to ATG and 20 to placebo. We recorded no between-group
difference in the primary endpoint: participants in the ATG group had a mean
change in C-peptide area under the curve of -0·;195 pmol/mL (95% CI -0·;292
to -0·;098) and those in the placebo group had a mean change of -0·;239
pmol/mL (-0·;361 to -0·;118) in the placebo group (p=0·;591). All except one
participant in the ATG group had both cytokine release syndrome and serum
sickness, which was associated with a transient rise in interleukin-6 and
acute-phase proteins. Acute T cell depletion occurred in the ATG group, with
slow reconstitution over 12 months. However, effector memory T cells were
not depleted, and the ratio of regulatory to effector memory T cells
declined in the first 6 months and stabilised thereafter. ATG-treated
patients had 159 grade 3-4 adverse events, many associated with T-cell
depletion, compared with 13 in the placebo group, but we detected no
between-group difference in incidence of infectious diseases.
Interpretation: Our findings suggest that a brief course of ATG does not
result in preservation of β-cell function 12 months later in patients with
new-onset type 1 diabetes. Generalised T-cell depletion in the absence of
specific depletion of effector memory T cells and preservation of regulatory
T cells seems to be an ineffective treatment for type 1 diabetes. Funding:
US National Institutes of Health and the Juvenile Diabetes Research
Foundation. © 2013 Elsevier Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
thymocyte antibody (adverse drug reaction, clinical trial, drug therapy)
EMTREE DRUG INDEX TERMS
acute phase protein (endogenous compound)
C peptide (endogenous compound)
C reactive protein (endogenous compound)
interleukin 10 (endogenous compound)
interleukin 6 (endogenous compound)
placebo
serum amyloid A (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
insulin dependent diabetes mellitus (drug therapy, drug therapy)
recent onset type 1 diabetes (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
acne (side effect)
adolescent
adult
age distribution
appendicitis (side effect)
application site reaction (side effect)
arthralgia (side effect)
article
backache (side effect)
bipolar disorder (side effect)
CD3+ T lymphocyte
CD4 lymphocyte count
CD4+ T lymphocyte
CD8+ T lymphocyte
cell function
child
clinical article
comminuted fracture (side effect)
connective tissue disease (side effect)
controlled clinical trial
controlled study
coughing (side effect)
cytokine release
cytokine release syndrome (side effect)
depression (side effect)
drug efficacy
drug safety
exfoliative rash (side effect)
exfoliative rash (side effect)
faintness (side effect)
fatigue (side effect)
female
fever (side effect)
follow up
gastrointestinal disease (side effect)
headache (side effect)
hematologic disease (side effect)
human
hyperglycemia (side effect)
hypoglycemia (side effect)
hypotension (side effect)
immunopathology (side effect)
infection (side effect)
infestation (side effect)
leukopenia (side effect)
lymphatic system disease (side effect)
lymphocytopenia (side effect)
major depression (side effect)
male
mediastinum disease (side effect)
memory T lymphocyte
metabolic disorder (side effect)
monotherapy
mood change
mood disorder (side effect)
musculoskeletal disease (side effect)
musculoskeletal pain (side effect)
nausea (side effect)
neurologic disease (side effect)
neutropenia (side effect)
nutritional disorder (side effect)
oropharynx pain (side effect)
pancreas islet beta cell
phase 2 clinical trial
priority journal
pruritus (side effect)
randomized controlled trial
rash (side effect)
regulatory T lymphocyte
respiratory tract disease (side effect)
rhinorrhea (side effect)
school child
serum sickness (side effect)
side effect (side effect)
skin disease (side effect)
subcutaneous tissue disorder (side effect)
subcutaneous tissue disorder (side effect)
substance abuse
T cell depletion
thorax disease (side effect)
treatment duration
upper extremity deep vein thrombosis (side effect)
upper respiratory tract infection (side effect)
vascular disease (side effect)
viral gastroenteritis (side effect)
virus infection (side effect)
vomiting (side effect)
DRUG TRADE NAMES
thymoglobulin , United StatesGenzyme
DRUG MANUFACTURERS
(United States)Genzyme
CAS REGISTRY NUMBERS
C peptide (59112-80-0)
C reactive protein (9007-41-4)
EMBASE CLASSIFICATIONS
Endocrinology (3)
Drug Literature Index (37)
Adverse Reactions Titles (38)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT00515099, NCT00965458, NCT01106157)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013721486
FULL TEXT LINK
http://dx.doi.org/10.1016/S2213-8587(13)70065-2
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 153
TITLE
Sexual activity and adolescent health risk behaviours amongst high school
students in three ethnic Chinese urban populations
AUTHOR NAMES
Ong J.
Wong W.
Lee A.
Holroyd E.
Huang S.Y.
AUTHOR ADDRESSES
(Ong J.; Wong W.; Lee A.; Holroyd E.; Huang S.Y.) School of Population
Health, University of Melbourne, Carlton, Vic., Australia
SOURCE
Journal of clinical nursing (2013) 22:23-24 (3270-3279). Date of
Publication: 1 Dec 2013
ISSN
1365-2702 (electronic)
ABSTRACT
AIMS AND OBJECTIVES: To compare sexually active Chinese high school students
in three major Asian cities with their non-sexually active counterparts in
order to determine prevalence and associations with selected health
outcomes.BACKGROUND: There have been limited studies to date on the
association between sexual activity and substance use in Chinese high
schools. While the role of the school nurse in the development of sexual
health and harm reduction education in secondary schools has been well
documented in international studies, this has received little attention in
Asia.DESIGN: Cross-sectional survey.METHODS: This study was administered in
2003/2004 to 13,895 Grades 6 to 12 high school students in Hong Kong (3498),
Macau (6286) and Taipei (4111). Descriptive analysis was conducted followed
by univariate analysis comparing sexual behaviour with (1) substance use
including alcohol, smoking, illicit drugs; (2) feeling depressed for greater
than or equal to two weeks in last 12 months; contemplating suicide during
the last 12 months; and (3) perception of poor health/academic
performance.RESULTS: The students (8%) reported being sexually active had
marked differences in selected health outcomes when compared with the
nonsexually experienced students. More than 90% of the sexually active
students had tried alcohol, with more than 50% being regular drinkers, more
than 30% testifying to binge drinking and nearly 50% reported depression in
the past 12 months. Substance use, poorer perception of health and academic
performance were also significantly higher in the sexually experienced
students relative to their nonexperienced counterparts.CONCLUSIONS: Sexually
experienced Chinese high school students surveyed were at higher risk of
substance abuse, poorer psychological health and academic
performance.RELEVANCE TO CLINICAL PRACTICE: Community and public health
nursing needs to address Asian adolescent sexual health education needs, in
particular provide culturally targeted interventions for associated
substance abuse and psychological health within the context of high school
sex education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ethnic group
high risk behavior
psychology
sexual behavior
EMTREE MEDICAL INDEX TERMS
adolescent
adult
child
China
ethnology
human
male
student
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23815294 (http://www.ncbi.nlm.nih.gov/pubmed/23815294)
FULL TEXT LINK
http://dx.doi.org/10.1111/jocn.12267
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 154
TITLE
Relationship between spiritual well-being, sociodemographic characteristics
and use of alcohol and other drugs by students
ORIGINAL (NON-ENGLISH) TITLE
Relação entre bem-estar espiritual, características sociodemográficas e
consume de álcool e outras drogas por estudantes
AUTHOR NAMES
Silva R.P.
de Souza P.
Nogueira D.A.
Moreira D.S.
Chaves E.C.L.
AUTHOR ADDRESSES
(Silva R.P.; de Souza P.; Nogueira D.A.; Moreira D.S.; Chaves E.C.L.,
echaves@unifal-mg.edu.br) Universidade Federal de Alfenas (Unifal-MG),
Brazil.
CORRESPONDENCE ADDRESS
E. C. L. Chaves, Universidade Federal de Alfenas, Rua Gabriel Monteiro da
Silva, 700, Centro - 37130-000 - Alfenas, MG, Brazil. Email:
echaves@unifal-mg.edu.br
SOURCE
Jornal Brasileiro de Psiquiatria (2013) 62:3 (191-198). Date of Publication:
2013
ISSN
0047-2085
1982-0208 (electronic)
BOOK PUBLISHER
Editora Cientifica Nacional Ltda, Rua da Gloria 366, 3o andar, P.O. Box 590,
Rio de Janeiro, Brazil.
ABSTRACT
Objectives: This study aimed to evaluate the use of alcohol and other drugs
by nursing students and to investigate the relationship between this
consumption, and the spiritual well-being and sociodemographic
characteristics/religious students. Methods: This was an exploratory study
of type epidemiological and cross-sectional, conducted with 100 graduating
students of nursing at a university in southern Minas Gerais. The data
collection was conducted in the second half of 2011 using a sociodemographic
questionnaire, the Scale and Spiritual Well-being, Screening Test of
Involvement with Alcohol, Tobacco and other Substances. The statistical
treatment of the data was performed using univariated analysis, through chi
square test and multiple analyses, by logistic dichotomic regression.
Results: Alcohol proved to be the most commonly used substance among
students (84%), which in turn, showed a significant relationship with the
spirituality of the same, seen that owning spiritual welfare negative (OR:
3,325; IC95%: 1,059-10,441) and having no religious frequent practice (OR:
3,392; IC95%: 1,064-10,811) increase the chances of abuse of this substance.
Conclusion: Preventive initiatives to the consumption of psychoactive drugs
linked to the practice of spiritual activities can be used as strategies to
promote healthy habits and health maintenance, and also as a resource in the
training of nursing students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
spiritual care
wellbeing
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
demography
drug abuse
human
medical student
questionnaire
rating scale
social status
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, Portuguese
LANGUAGE OF SUMMARY
English, Portuguese
EMBASE ACCESSION NUMBER
2013701290
FULL TEXT LINK
http://dx.doi.org/10.1590/S0047-20852013000300003
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 155
TITLE
Implementation of a tobacco treatment program within a multidisciplinary
thoracic oncology surgery clinic
AUTHOR NAMES
Steliga M.A.
Barone C.P.
Boone E.
Hullihan V.E.
Franklin P.L.
AUTHOR ADDRESSES
(Steliga M.A.) Thoracic Surgery, University of Arkansas, United States.
(Barone C.P.) College of Nursing, University of Arkansas, United States.
(Boone E.) College of Health Professions, University of Arkansas, United
States.
(Hullihan V.E.; Franklin P.L.) Nursing- Dept of Surgery, University of
Arkansas, United States.
CORRESPONDENCE ADDRESS
M.A. Steliga, Thoracic Surgery, University of Arkansas, United States.
SOURCE
Journal of Thoracic Oncology (2013) 8 SUPPL. 2 (S1295-S1296). Date of
Publication: November 2013
CONFERENCE NAME
15th World Conference on Lung Cancer
CONFERENCE LOCATION
Sydney, NSW, Australia
CONFERENCE DATE
2013-10-27 to 2013-10-30
ISSN
1556-0864
BOOK PUBLISHER
International Association for the Study of Lung Cancer
ABSTRACT
Background: Many patients in a multidiscipinary thoracic oncology surgery
clinic smoke, and are treated for diseases related to smoking. While some
patients may be former smokers, many are actively smoking and unable to
quit. In the short term, perioperative complications such as impaired wound
healing, and increased respiratory complications are linked to continued
tobacco use whereas long term survival may be impacted by smoking causing
increased cardiovascular risk, worsening emphysema and future development of
metachronous primary tumors. Although quitting smoking has proven health
benefits, nicotine addiction is one of the most challenging to overcome
leading to a nihilistic view of tobacco cessation in this setting by some
patients and clinicians. Unaided cessation has a poor success rate (<5%),
while a combination of physician recommendation, face to face counseling by
certified tobacco treatment specialists (TTS), individualized
pharmacotherapy and ongoing follow up can improve quit rates and tobacco
abstinence. Methods: A multidisciplinary team from thoracic surgery, the
college of nursing and the college of health professions was assembled with
the goal of providing multifaceted, evidence-based tobacco treatment as an
integrated part of our thoracic oncology surgery clinic. Three team members
obtained TTS training. After institutional board review approval, all clinic
patients were queried for tobacco use, and any patient actively smoking
underwent brief intervention by the thoracic surgeon (who is a TTS) and was
referred for more in depth counseling to another member of the team who is
also a TTS. For patient convenience, and increased compliance with referral
to cessation services, the counseling took place in clinic, in a private
conference room adjacent to the exam rooms. Demographic data, tobacco use
data, other drug/alcohol use and medication use data were recorded
prospectively in a database. Follow up visits were conducted in the
inpatient setting, upon return to clinic and/or contact via phone. Exhaled
breath carbon monoxide monitoring was used during the visits to confirm
initial active use and also used to confirm successful cessation. Results:
Over the initial seven months, 60 patients were identified as active
smokers. All received brief intervention by the surgeon and referral to the
quitline and in-clinic TTS counselor. Despite physician recommendation, the
free of charge service, and the convenience of the service in clinic, 23/60
patients refused to meet the TTS counselor. Of the patients (24/60) who
agreed to meet with the TTS, consented to enroll in the program, and agreed
to follow up contact, 17/24 (70.8%) quit and remained abstinent at last
contact (between 1-6 month follow up). Some patients did not meet inclusion
criteria yet still met with the TTS counselor for referral to the quitline,
or to talk about continued abstinence after quitting. Conclusion:
Integrating TTS in the multidisciplinary thoracic oncology surgery clinic
can be accomplished. For those that enroll and consent to follow up, this
pilot data demonstrates excellent shortterm quit rates in this setting.
Ongoing enrollment, further follow up, and planned expansion to involve
other clinics (pulmonary and medical oncology) will allow better
understanding of the efficacy of tobacco cessation services integrated into
clinical settings.
EMTREE DRUG INDEX TERMS
carbon monoxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
lung cancer
nursing
oncology
surgery
tobacco
EMTREE MEDICAL INDEX TERMS
abstinence
breathing
cardiovascular risk
college
counseling
data base
diseases
drug therapy
emphysema
evidence based practice
follow up
health
hospital patient
human
long term survival
medical specialist
monitoring
occupation
patient
peroperative complication
physician
primary tumor
smoke
smoking
surgeon
thorax surgery
tobacco dependence
tobacco use
wound healing impairment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/01.JTO.0000438438.14562.c8
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 156
TITLE
Identification of the pregnant woman who is using drugs: Implications for
perinatal and neonatal care
AUTHOR NAMES
Casper T.
Arbour M.W.
AUTHOR ADDRESSES
(Casper T., Tammy.Casper@cchmc.org) Cincinnati Children's Hospital Medical
Center, Cincinnati, OH, United States.
(Casper T., Tammy.Casper@cchmc.org; Arbour M.W.) University Of Cincinnati
College Of Nursing, Cincinnati, OH, United States.
CORRESPONDENCE ADDRESS
T. Casper, 3333 Burnet Ave, MLC 1013, NICU, Cincinnati, OH 45229, United
States. Email: Tammy.Casper@cchmc.org
SOURCE
Journal of Midwifery and Women's Health (2013) 58:6 (697-701). Date of
Publication: November/December 2013
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Neonatal abstinence syndrome (NAS) is a set of drug withdrawal symptoms that
affect the central nervous, gastrointestinal, and respiratory systems in the
newborn when separated from the placenta at birth. Maternal substance use of
opioids, benzodiazepines, barbiturates, and alcohol can cause NAS. Universal
drug screening via questioning pregnant women is recommended, but
identification of drug use is incomplete with this method. This article
provides resources for the identification and management of drug use during
pregnancy for midwives who provide care not only during the prenatal period
but also during the intrapartum and postpartum periods. The impact of drug
use on newborns can be significant and may require pharmacologic assistance
with the transition to extrauterine life. Challenges involved in caring for
the woman who is using drugs during pregnancy include ordering toxicology
screens on the newborn, alerting social services, and educating the woman
about her newborn's progress. Several measures to comfort a newborn with NAS
may help to enable a mother to provide the best care for her newborn. © 2013
by the American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
amphetamine
cocaine
illicit drug
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
newborn care
perinatal care
pregnant woman
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
blood sampling
drug dependence
health education
health personnel attitude
high risk pregnancy
human
maternal attitude
maternal morbidity
maternal welfare
meconium
newborn screening
perinatal period
prenatal screening
priority journal
risk assessment
umbilical cord blood
urinalysis
withdrawal syndrome
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014036633
MEDLINE PMID
24015821 (http://www.ncbi.nlm.nih.gov/pubmed/24015821)
FULL TEXT LINK
http://dx.doi.org/10.1111/jmwh.12087
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 157
TITLE
Use of antibiotics in nursing homes--surveillance with different methods.
AUTHOR NAMES
Eriksen H.M.
Sæther A.R.
Viktil K.K.
Andberg L.
Munkerud M.W.
Willoch K.
Blix H.S.
AUTHOR ADDRESSES
(Eriksen H.M.; Sæther A.R.; Viktil K.K.; Andberg L.; Munkerud M.W.; Willoch
K.; Blix H.S.)
CORRESPONDENCE ADDRESS
H.M. Eriksen,
SOURCE
Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny
række (2013) 133:19 (2052-2056). Date of Publication: 15 Oct 2013
ISSN
0807-7096 (electronic)
ABSTRACT
Residents in nursing homes have a heightened risk of developing infections
that should be treated with antibiotics. Inappropriate use of antibiotics
may generate drug-related problems and increase resistance. In this study,
we describe the use of antibiotics in nursing homes on the basis of
prevalence surveys and drug sales statistics. Five nursing homes in Oslo
participated in two one-day surveys in 2009. All use of systemic antibiotics
was registered. The data collection was undertaken according to a protocol
developed by the European Surveillance of Antimicrobial Consumption (ESAC)
Network and was part of a European study. The nursing homes' drug sales
statistics for systemic antibiotics during 2009, distributed by the number
of bed days for each nursing home, were estimated. Information on
indications for each antibiotic from the prevalence surveys was collated
with sales data to achieve an estimate of how the purchased antibiotics were
used. The prevalence surveys showed that more than 8% of the residents
received antibiotics. Prophylactic treatment accounted for 33% of the
prescriptions. A prevalence of antibiotic use of 10% was estimated from the
drug sales statistics. Urinary tract infection was the most frequently
registered indication. Pivmecillinam and methenamine were most frequently
prescribed and most frequently purchased. Most courses of treatment were
prescribed in accordance with the national guidelines for antibiotic use.
The results from the drug sales statistics concurred well with the
prevalence surveys, and the methods can thus be relevant for purposes of
monitoring the use of antibiotics.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antiinfective agent (drug therapy)
EMTREE DRUG INDEX TERMS
methenamine (drug therapy)
pivmecillinam (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
nursing home
EMTREE MEDICAL INDEX TERMS
article
bacterial infection (drug therapy)
economics
human
Norway
prescription
standard
statistics
CAS REGISTRY NUMBERS
methenamine (100-97-0, 24360-05-2)
pivmecillinam (32886-97-8, 32887-03-9)
LANGUAGE OF ARTICLE
English, Norwegian
MEDLINE PMID
24129536 (http://www.ncbi.nlm.nih.gov/pubmed/24129536)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 158
TITLE
Prospective validation study of the prediction of alcohol withdrawal
severity scale (PAWSS): A new scale for the prediction of moderate to severe
alcohol withdrawal
AUTHOR NAMES
Maldonado J.
Sher Y.
Hills-Evans K.
Swendsen H.
Talley R.
Lolak S.
Miller A.C.
Ashbouri J.
AUTHOR ADDRESSES
(Maldonado J.; Sher Y.; Hills-Evans K.; Swendsen H.; Talley R.; Lolak S.;
Miller A.C.; Ashbouri J.) Stanford University, Stanford, CA USA; Stanford
University School of Medicine, Menlo Park, CA USA; University of California,
San Francisco, San Francisco, CA USA
CORRESPONDENCE ADDRESS
J. Maldonado,
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S8-S9). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Background: Alcohol use disorder is the most serious substance abuse problem
in the United States. The prevalence of alcoholism among medically ill
patients ranges between 20% and 81%; about 30% develop alcohol withdrawal
symptoms [AWS], requiring pharmacologic treatment. Complicated courses of
AWS can include withdrawal-related seizures, hallucinosis, and delirium
tremens (DTs). DTs occur in 10% of patients with AWS, resulting in death in
up to 20% of cases with certain medical comorbidities. Studies demonstrate
that alcohol withdrawal is detrimental to the central nervous system as it
causes neuronal degeneration and death. Thus, appropriate identification and
prevention of alcohol withdrawal in subjects at risk can greatly benefit
patients by reducing the risk of brain damage (and thus the rate of
neurocognitive decompensation), medical comorbidities, and length of
hospital and ICU stays. Several tools quantify the severity of clinical AWS
(eg, CIWA, AWSS), but none predict the subjects at risk, thus missing the
opportunity for timely prophylaxis. To meet this need, we developed a tool
to identify those at risk for moderate to severe AWS. Methods: We identified
factors associated with AW severity through a systematic literature review
(using Cochrane Databases, PubMed, PsychInfo, and MEDLINE) to identify
factors associated with the development and severity of AWS. Based on the
findings, we developed a 10-item scale to predict alcohol-dependent patients
at risk for developing moderate to severe AWS (ie, seizures and delirium
tremens). A pilot study (n=68) showed 100% sensitivity and specificity. We
then designed a large prospective trial of 400 consecutive inpatients to
test the PAWSS. Subjects were assessed using the PAWSS while independently
assessed daily by nurses with the CIWA-Ar, along with clinical monitoring
and measures of autonomic system functioning throughout their admission to
determine the presence and severity of AWS. Examiners were blind to each
other's findings. Results: We have results for 358 patients, grouped by
PAWSS score (Group A: PAWSS <4; low risk for AWS, and Group B: PAWSS >4;
high risk for moderate to severe AWS). None of the patients in Group A had
elevated CIWA scores or were treated for AWS. Most patients in Group B
required some pharmacologic treatment. Thus, using a PAWSS cutoff of 4, the
tool's sensitivity is 100%, specificity is 98.5%, positive predictive value
is 81.5%, and negative predictive value is 100%. Conclusions: The results of
this prospective study show that PAWSS appears to have excellent
psychometric characteristics and predictive value. Using PAWSS will help
clinicians identify those at risk and prevent patients in the moderate to
severe AWS range. This information may be used to provide prophylactic
treatment to those at high risk and thus minimize the potential detrimental
consequences of AWS (eg, sedation, delirium, respiratory depression,
intubation) and potentially minimize recidivism of alcohol abuse.
EMTREE DRUG INDEX TERMS
alcohol
succimer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol withdrawal
college
emergency physician
human
prediction
validation study
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol use disorder
alcoholism
autonomic nervous system
brain damage
central nervous system
data base
death
delirium
delirium tremens
hallucinosis
hospital
hospital patient
intubation
Medline
monitoring
nerve cell degeneration
nurse
patient
pilot study
predictive value
prevalence
prevention
prophylaxis
prospective study
PsycINFO
recidivism
respiration depression
risk
sedation
seizure
sensitivity and specificity
substance abuse
United States
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.305
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 159
TITLE
An operational analysis of integrating screening and brief intervention into
the normal workflow of the emergency department without additional resources
AUTHOR NAMES
Slain T.
Rickard-Aasen S.
Pringle J.
Hegde G.G.
Shang J.
Johnjulio W.
Venkat A.
AUTHOR ADDRESSES
(Slain T.; Rickard-Aasen S.; Pringle J.; Hegde G.G.; Shang J.; Johnjulio W.;
Venkat A.) Allegheny General Hospital, Pittsburgh, PA; Program Evaluation
Research Unit, University of Pittsburgh School of Pharmacy, Pittsburgh, PA;
Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA;
West Penn Allegheny Health System, Pittsburgh, PA
CORRESPONDENCE ADDRESS
T. Slain,
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S101). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Screening and Brief Intervention (SBI) protocols for
emergency department (ED) patients with evidence of alcohol or drug abuse
can help prevent future at-risk behavior. However, to date, such ED programs
have largely used external funding or additional personnel resources to
execute SBI. Our objectives were to evaluate whether SBI could be integrated
into the normal workflow of the ED without additional resources, identify
demographic and operational factors associated with failure to properly
perform the SBI protocol and report revenue collection from SBI. Methods: We
conducted a retrospective, observational analysis of a protocol adding SBI
to the normal workflow of a single, tertiary care ED (census: 50,000) for
all adult patients in 2012. ED staff received ongoing training on SBI from
2010. From 1/12, ED nurses pre-screened for evidence of alcohol or drug
abuse/at-risk behavior in adult patients during the social history triage
assessment and, when positive, executed SBI during nursing care in the
treatment area, all documented in our electronic medical record (EMR). We
downloaded from the EMR demographic (age, sex, race, insurance status,
acuity [ESI] level) and operational (mode and time of patient arrival, ED
daily census, admission status) data on all adult ED visits in 2012 and
whether pre-screening and, if positive, SBI was performed. Using
multivariable logistic regression, we report demographic and operational
factors significantly associated with failure to initiate and execute the
SBI protocol by odds ratios (OR), 95CI and Wald Factors (initiation analysis
alone due to its large sub-cohort size). Beginning in 10/12, we submitted
itemized charges for brief intervention to discharged patients' insurers and
report collections. Results: A total of 47693 visits by 31525 patients met
inclusion criteria (Mean Age: 48, 48.4% male, 63% white, 32% black). A total
of 39758 (83.4%) eligible visits had triage SBI protocol initiation.
Demographic and operational variables significantly associated with
decreased odds of SBI protocol initiation were decreasing age (OR for rising
age association with SBI initiation: 1.044 95CI (1.042-1.045), Wald:
2906.2), arrival by ambulance (OR: 0.37 95CI (0.35-0.40), Wald: 863.4) and
ESI acuity level 1 or 2 (OR: 0.08 95CI (0.07-0.09), Wald: 2585.5). 971
visits (2% of all visits) had documented brief interventions. Two hundred
fifty-one additional visits (0.53% of all visits, 20.5% of potential brief
intervention visits) had no brief intervention documented despite the SBI
protocol indicating by positive pre-screen and screen that this should have
taken place. Demographic and operational variables associated with decreased
odds of brief intervention execution were female sex (OR: 0.61 95CI (0.43-
0.86)) and decreasing ED census (OR for rising ED census association with
brief intervention execution: 1.012 95CI (1.01-1.02). $3617.53 was collected
on $10829.15 charged (33.4% collection rate) from 262 visits with itemized
billing for brief intervention. Conclusions: This trial indicates that SBI
integration into the normal workflow of the ED is operationally feasible
without additional resources. Variables most associated with failure to
properly perform the SBI protocol were younger, female, higher acuity
patients arriving by ambulance. Revenue collection for SBI remains
challenging.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
emergency ward
human
screening
workflow
EMTREE MEDICAL INDEX TERMS
adult
ambulance
drug abuse
electronic medical record
emergency health service
female
funding
insurance
logistic regression analysis
male
nurse
nursing care
patient
personnel
population research
risk
tertiary health care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.100
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 160
TITLE
Knowledge, beliefs, and attitudes of emergency department health care
providers towards hepatitis c and rapid hepatitis c testing
AUTHOR NAMES
Rotte M.
O'Donnell R.
AUTHOR ADDRESSES
(Rotte M.; O'Donnell R.) Thomas Jefferson University, Philadelphia, PA;
Jefferson School of Population Health, Philadelphia, PA
CORRESPONDENCE ADDRESS
M. Rotte,
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S103). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: The Centers for Disease Control and Prevention (CDC)
recently updated its recommendations regarding screening for Hepatitis C
(HCV) infection to include all individuals born between 1945 and 1965 (“baby
boomers”) along with those who have traditional risk factors (such as
intravenous drug abuse). It is known that patients presenting to the
emergency department (ED) have higher rates of infectious diseases, such as
HIV, than the general population. Therefore the ED may represent an
important site for routine HCV screening. We sought to determine the
knowledge, beliefs, and attitudes of ED health care providers (HCP) about
HCV and rapid HCV testing in the ED. Methods: An observational study was
conducted using a 24-item online survey. All ED resident and attending
physicians, as well as all mid-level providers, were invited via email to
take the survey on www.surveymonkey.com. All survey responses were
de-identified. The survey evaluated HCP knowledge of the epidemiology,
health consequences, treatment, and screening recommendations for HCV. HCP
beliefs regarding their perceived risk for contracting HCV while at work and
their attitudes toward implementation of rapid HCV testing in the ED were
recorded. We used descriptive statistics to analyze the results. Results: Of
the 90 HCP who were invited to complete the survey, 78 (87%) completed the
survey in full. Of these, 11 (14%) were mid-level providers (ie, nurse
practitioners or physician assistants), 36 (46%) were resident physicians,
and 31 (40%) were attending physicians. Overall, knowledge levels regarding
the health consequences of HCV were high. However, less than half of HCP
correctly identified the prevalence of HCV and 81% were unaware that there
are medications available that can cure HCV. Fifty-eight percent were aware
of the new CDC HCV screening guidelines. Regarding attitudes towards HCV,
42% of HCP reported that they are worried about contracting HCV while
working in the ED, 41% reported the use of additional barrier protection for
patients with known HCV, and 67% were more worried about contracting HCV
than hepatitis B and HIV from a needlestick injury. In contrast, 24% of HCP
did not identify health care workers as at higher risk for HCV than the
general population and 40% denied that HCP infected with HCV could transmit
HCV to a patient. With regard to rapid HCV testing in the ED, 71% of
providers agreed or strongly agreed that this would benefit their patients.
Sixty-nine percent of providers also agreed or strongly agreed that many
patients would want a rapid HCV test in the ED. Finally, only 9% of ED HCP
felt that rapid HCV testing would take too long and “bottleneck” the ED.
Conclusions: Although ED HCP have high knowledge levels regarding the health
consequences of HCV, knowledge of prevalence, available treatments, and
screening recommendations remain low. Additionally, although ED HCP report
concern about contacting HCV while at work, many do not identify themselves
as being at higher risk for HCV. There was support among HCP for the
implementation of rapid HCV testing in the ED. These results will be
important to consider if rapid HCV testing is instituted in the ED setting.
EMTREE DRUG INDEX TERMS
eldecalcitol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
emergency ward
health care personnel
hepatitis C
human
EMTREE MEDICAL INDEX TERMS
baby boomer
disease control
drug therapy
e-mail
epidemiology
health
hepatitis B
Human immunodeficiency virus
infection
intravenous drug abuse
needlestick injury
nurse practitioner
observational study
patient
physician
physician assistant
population
prevalence
prevention
protection
resident
risk
risk factor
screening
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.108
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 161
TITLE
Effective nonpharmacological strategies for smoking cessation in geriatric
long term care residents
AUTHOR NAMES
Shalshin A.
Krichmar G.
AUTHOR ADDRESSES
(Shalshin A.; Krichmar G.) Franklin Center for Nursing and Rehabilitation,
Greenvale, United States.
CORRESPONDENCE ADDRESS
A. Shalshin, Franklin Center for Nursing and Rehabilitation, Greenvale,
United States.
SOURCE
Chest (2013) 144:4 MEETING ABSTRACT. Date of Publication: October 2013
CONFERENCE NAME
CHEST 2013
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2013-10-26 to 2013-10-31
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: To evaluate effective non - pharmacological strategies that help
geriatric residents of long term care facilities in smoking cessation
METHODS: From January 2011 - December 2012, all active smokers over the age
of 65 and current residents of long term care facility were invited to
participate in a prospective study to evaluate effectiveness of smoking
cessation strategies. In total 74 patients agreed, and were followed for a
minimum of one year after initial intervention. Successful tobacco cessation
was defined as abstinence for 6 months and more. Interventions included
individual counseling from (primary care physician, nurse and a pulmonary
consultant), educational self-help written and video material, family
involvement and support. Each participant had consumed tobacco for more than
5 years and smoked on average half of pack per day. RESULTS: Out of 74
patients recruited 34 (46%) patients had successfully quit smoking, 8 (11%)
patients had initial success, but relapsed within 6 months. In the period of
at least 12 months follow up each patient was visited by multidisciplinary
team consisting of nurse, primary care physician and pulmonary consultant
complemented by self-help material, video and written on benefits of smoking
cessation. Each participant's family was encouraged to provide additional
support and educated on the benefits of multifaceted approach to tobacco
addiction treatment. Remaining 32 (43%) of patients expressed interest in
smoking cessation, but did not favor non - pharmacological approach,
however, at the end of this trial were even more motivated to quit with
nicotine replacement therapy. CONCLUSIONS: Previous research shows that
medical advice to quit smoking produces 1 year abstinence rates of 5 - 10
percent. In combination with self-help material, family support and
education our data shows that individual counseling from every level of
healthcare provider increases success rates in geriatric residents of long
term care facility.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
long term care
smoking cessation
EMTREE MEDICAL INDEX TERMS
abstinence
consultation
counseling
education
follow up
general practitioner
health care personnel
human
nicotine replacement therapy
nurse
patient
prospective study
self help
smoking
tobacco
tobacco dependence
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.1701974
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 162
TITLE
Physician attitudes and perceived barriers to prescribing nasal naloxone
rescue kits in the emergency department
AUTHOR NAMES
Dwyer K.H.
Samuels L.
Moore R.L.
Langlois B.K.
Mitchell P.M.
Grimsman J.
Bernstein E.
AUTHOR ADDRESSES
(Dwyer K.H.; Samuels L.; Moore R.L.; Langlois B.K.; Mitchell P.M.; Grimsman
J.; Bernstein E.) Boston Medical Center, Boston, United States.
CORRESPONDENCE ADDRESS
K.H. Dwyer, Boston Medical Center, Boston, United States.
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S43). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Study Objectives: Currently, nasal naloxone rescue kits (NNRK) are
distributed through detoxification centers and needle exchange programs to
opioid users and those likely to witness an overdose in the community. Given
the high rate of drug-related emergency department (ED) visits, the ED is an
underutilized arena for preventing deaths due to overdose. The study
objectives were to assess ED provider attitudes towards NNRK prescriptions
and distribution, and to examine barriers and willingness to prescribe NNRKs
in the ED. Methods: This was an IRB-approved, anonymous, Web-based survey of
ED providers (attendings, residents and nurse practitioners) at an academic,
urban, Level I trauma center from 12/2012-03/2013. Providers were e-mailed a
link to an electronic consent and a Web-based survey. There were three
follow-up email reminders sent to non-responders. Provider demographics were
collected. We used Likert scales to assess attitudes towards working with
patients with opioid abuse, and barriers and willingness to prescribe NNRKs.
Willingness to prescribe responses were further dichotomized into “not
prescribe” and “prescribe.” Barrier categories were as follows: not a
barrier, somewhat of a barrier, significant barrier. Results: A total of
69/81(85%) completed the survey. Respondents were: 52% male, 83% white, 50%
attending physicians, 63% had worked in the ED for <5 years, 12% for 5-10
years and 25% for > 10 years. When assessing attitudes, 14/69 (20%) felt
that there was little they could do to help drug users, and 15/69 (22%) had
less respect for drug users compared to other patients they cared for. The
factors most commonly influencing providers' willingness to prescribe were:
67/69 (97%) if prescribing NNRK was common in their ED and 65/69 (94%) if
there was strong evidence of mortality benefit. While only 17/69 (25%) of
physicians cited “lack of time in the clinical encounter” as a barrier to
prescribing NNRKs, 43/69 (62%) endorsed lack of training as a barrier and
36/69 (52%) cited lack of knowledge as a barrier to prescribing NNRKs from
the ED. Conclusions: The ED is an important venue for harm reduction
initiatives, including overdose education and NNRK distribution. Physicians
would be willing to prescribe take-home NNRK to opioid users in the ED if
leaders at their institution supported this effort or if there were strong
data indicating a mortality benefit. The largest barriers to adoption seem
to be education and training on NNRK.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
naloxone
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
emergency ward
human
physician attitude
EMTREE MEDICAL INDEX TERMS
abuse
community
death
detoxification
drug use
e-mail
education
emergency health service
follow up
harm reduction
intoxication
Likert scale
male
mortality
nurse practitioner
patient
physician
prescription
preventive health service
witness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.400
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 163
TITLE
Comparison of the top-10 most problematic pediatric medications ranked by
pediatric pharmacists and pediatric prescribers
AUTHOR NAMES
Son H.J.
Laurich A.A.
Patterson K.D.
Earley A.E.
Shipp M.M.
Walls K.B.
Smith F.L.
Yates K.M.
Kissack J.C.
AUTHOR ADDRESSES
(Son H.J.; Laurich A.A.; Patterson K.D.; Earley A.E.; Shipp M.M.; Walls
K.B.; Smith F.L.; Yates K.M.; Kissack J.C.) Harding University, College of
Pharmacy, Searcy, United States.
CORRESPONDENCE ADDRESS
H.J. Son, Harding University, College of Pharmacy, Searcy, United States.
SOURCE
Pharmacotherapy (2013) 33:10 (e282). Date of Publication: October 2013
CONFERENCE NAME
2013 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2013
CONFERENCE LOCATION
Albuquerque, NM, United States
CONFERENCE DATE
2013-10-13 to 2013-10-16
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: This survey measured the consensus opinion of pediatric pharmacists
compared to pediatric prescribers (pediatricians, physician assistants, and
nurse practitioners) on ranking medication categories from least to most
problematic regarding patient safety, and the top-10 most problematic
pediatric medications. METHODS: Participants ranked the top-10 from a list
of 50 medications for three areas: problems in dosing, adverse effects and
medication errors. Medications from each area were summed and ranked from 1
to 50 to identify the top-10 list. The 11 medication categories and 50
medications were drawn from expert consensus, the Institute for Safe
Medication Practice high-alert medication list, and medication
alerts/reviews of pediatric literature. RESULTS: The survey was completed by
232 pharmacists and 56 prescribers. Primary practice sites of participants
were mainly children's hospitals (64%) and pediatric units (20%) in 38
states plus the District of Columbia and 3 Canadian provinces. Regarding
overall pediatric patient safety, pharmacists ranked anticoagulants as most
problematic, and opioids and electrolytes ranked equally as moderately
problematic. The most problematic medications, according to pharmacists,
from first to tenth were: 1-insulin, 2- vancomycin, 3-warfarin, 4-heparin,
5-methadone, 6-digoxin, 7- morphine, 8-gentamicin, 9- potassium phosphate
and 10-(tied) amphotericin B & fentanyl. In comparison, prescribers ranked
opioids as most problematic and sedatives as moderately problematic. The
most problematic medications, according to prescribers, from first to tenth
were: 1-insulin, 2-heparin, 3-morphine, 4-digoxin, 5- warfarin, 6-fentanyl,
7-vancomycin, 8-amphotericin B, 9-potassium chloride, and 10-amiodarone.
Both pharmacists and prescribers ranked gastrointestinal medications as
least problematic. CONCLUSION: When overall results were compared,
pharmacists and prescribers ranked problematic medications very similarly.
Although there was slight disparity in the ranking order, both top-10 lists
contained 80% of the same medications. Survey participants identified six
medications identical to the top-10 high-alert medications surveyed in a
pediatric ICU by Franke et al. in 2009.
EMTREE DRUG INDEX TERMS
amiodarone
amphotericin B
anticoagulant agent
digoxin
electrolyte
fentanyl
gentamicin
heparin
insulin
methadone
morphine
potassium chloride
potassium dihydrogen phosphate
sedative agent
vancomycin
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
clinical pharmacy
college
drug therapy
human
pharmacist
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
Canadian
consensus
medication error
nurse practitioner
patient safety
pediatric hospital
pediatric ward
pediatrician
physician assistant
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/phar.1356
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 164
TITLE
EMF the effect of CYP2D6 drug-drug interactions on hydrocodone efficacy
AUTHOR NAMES
Monte A.A.
Heard K.J.
Campbell J.
Weinshilboum R.M.
Vasiliou V.
AUTHOR ADDRESSES
(Monte A.A.; Heard K.J.; Campbell J.; Weinshilboum R.M.; Vasiliou V.)
University of Colorado, Aurora, CO; Mayo Clinic, Rochester, MN
CORRESPONDENCE ADDRESS
A.A. Monte,
SOURCE
Annals of Emergency Medicine (2013) 62:4 SUPPL. 1 (S158-S159). Date of
Publication: October 2013
CONFERENCE NAME
American College of Emergency Physicians, ACEP Research Forum 2013
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2013-10-14 to 2013-10-15
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Background/Introduction: The efficacy of many commonly used drugs may be
altered by variation in metabolism. Hydrocodone, the most prescribed drug in
the United States, is largely dependent upon metabolic activation by the
hepatic cytochrome 2D6 (CYP2D6) for analgesic efficacy. Conversely,
ondansetron is inactivated by CYP2D6; so decreased metabolism by this
pathway should increase ondansetron's antiemetic effects. Oxycodone is not
primarily dependent upon CYP2D6 and therefore, efficacy should not be
different between 2D6 users and nonusers. The objective of this study was to
examine the effect of CYP2D6 drug-drug interactions on CYP2D6 dependent drug
efficacy. Methods: This was a prospective observational study conducted in
an academic US emergency department. Subjects were included if they had
self-reported pain or nausea identified by the initial nursing assessment.
Patients were excluded if they were unable to speak English, <18 y.o, or
previously diagnosed with chronic pain or cyclic vomiting. In patients with
dementia or critical illness, the history was obtained from the health care
proxy. Detailed drug ingestion histories for the preceding 48 hours prior to
ED visit were obtained. All treatment decisions and drug orders were made by
the patient's attending physician or by symptom-based triage protocols.
Patients' pain and nausea were quantified using a 100-millimeter visual
analogue scale (VAS) at baseline prior to drug administration. VAS was
obtained after doses of hydrocodone 5mg, oxycodone 5 mg, or ondansetron 4mg.
Repeat VAS was obtained between 30 and 90 minutes following hydrocodone,
oxycodone and/or ondansetron administration in the ED. All patient-reported
drugs were categorized as a CYP2D6 substrate, inhibitor, inducer, or not
CYP2D6 using the University of Indiana CYP450 Interaction Table. Wilcoxon
rank sum was used to determine if the VAS change was different between
CYP2D6 users and non-users. Results: A total of 76.6% (502/655) of
approached patients consented to enrollment. The demographics of the sample
were similar between groups. One hundred forty-six (29.1%) had nausea and/or
vomiting and 468 (93.2%) had pain. The median number of prescription drugs,
herbals, vitamins, supplements, or illicit drugs taken by patients in the 48
hours prior to ED presentation was 3 (range 0-33, IQR 1, 6). There was a
significant reduction in hydrocodone efficacy when patients had used of one
or more CYP2D6 dependent drugs in the 48 hours prior to ED presentation.
Conversely, the efficacy of ondansetron was increased when patients had used
one ormoreCYP2D6dependent drugs. There was no change in oxycodone efficacy
when controlled forCYP2D6 drug use (Table). Conclusions: CYP2D6 drug-drug
interactions change efficacy of commonly prescribed drugs in the ED. Drug
interaction should be considered prior to prescribing CYP2D6 drugs. (Table
Presented).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hydrocodone
EMTREE DRUG INDEX TERMS
analgesic agent
cytochrome
illicit drug
ondansetron
oxycodone
prescription drug
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug interaction
emergency physician
human
EMTREE MEDICAL INDEX TERMS
antiemetic activity
chronic pain
critical illness
custodial care
dementia
drug administration
drug efficacy
drug use
emergency health service
emergency ward
health care
ingestion
metabolic activation
metabolism
nausea
nursing assessment
observational study
pain
patient
physician
United States
university
visual analog scale
vomiting
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2013.07.266
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 165
TITLE
Potentially inappropriate prescribing and drug-drug interactions among
elderly Chinese nursing home residents in Macao
AUTHOR NAMES
Lao C.K.
Ho S.C.
Chan K.K.
Tou C.F.
Tong H.H.Y.
Chan A.
AUTHOR ADDRESSES
(Lao C.K., cklao@ipm.edu.mo; Ho S.C.; Chan K.K.; Tou C.F.; Tong H.H.Y.)
School of Health Sciences, Macao Polytechnic Institute, Rua de Luís Gonzaga
Gomes, Macao.
(Chan A.) Department of Pharmacy, Faculty of Science, National University of
Singapore, Singapore, Singapore.
CORRESPONDENCE ADDRESS
C.K. Lao, School of Health Sciences, Macao Polytechnic Institute, Rua de
Luís Gonzaga Gomes, Macao. Email: cklao@ipm.edu.mo
SOURCE
International Journal of Clinical Pharmacy (2013) 35:5 (805-812). Date of
Publication: October 2013
ISSN
2210-7703
BOOK PUBLISHER
Springer Netherlands, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Background The ageing of the population has become a concern all over the
world, including Macao. In general, older people are more prone to adverse
drug events which can result from potentially inappropriate medication (PIM)
use and drug-drug interactions (DDIs). Objective This study was designed to
evaluate the prevalence of PIM use and DDIs among elderly nursing home
residents in Macao, and to find out the factors associated with these
drug-related problems. Setting This study was conducted in the largest
nursing home in Macao, with a bed capacity of 168. Method All data of this
cross-sectional study were collected from medical charts and medication
administration records. PIM use was determined by the screening tool of
older person's prescription (STOPP) criteria and potential DDIs were
detected using the preset criteria of two compendia, Drug-Reax and
Lexi-Interact. Multivariate logistic regression analysis was performed to
identify the independent factors associated with each drug-related problem.
Main outcome measures The proportions of elderly nursing home residents who
regularly used PIMs and who were exposed to DDIs. Results A total of 114
elderly residents were eligible for PIM analysis. They consumed an average
of 6.9 ± 3.1 different medications. About 46.5 % of them regularly used one
or more PIMs. The prevalence of DDIs was 37.8 % among the 111 elderly
residents who consumed at least two different medications. An increased
number of drugs used was identified as the independent factor associated
with PIM use and DDIs (p < 0.05). However, the use of STOPP-related PIMs did
not appear to raise the likelihood of DDIs among the study population.
Conclusion Both PIM use and DDIs are common among elderly nursing home
residents in Macao. Further studies should be conducted to evaluate the
clinical outcomes of pharmacist-led interventions for elderly residents in
the local nursing home setting. © 2013 Springer Science+Business Media
Dordrecht.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug combination)
allopurinol (drug combination, drug interaction)
amlodipine (drug combination, drug interaction)
antihistaminic agent
benzodiazepine derivative
captopril (drug combination, drug interaction)
celecoxib (drug combination, drug interaction)
cilostazol (drug combination, drug interaction)
clopidogrel (drug combination, drug interaction)
digoxin (drug combination, drug interaction)
diltiazem (drug combination, drug interaction)
dipyridamole
enalapril (drug combination)
esomeprazole (drug combination, drug interaction)
furosemide (drug combination, drug interaction)
levodopa (drug combination, drug interaction)
neuroleptic agent
nifedipine (drug combination, drug interaction)
nonsteroid antiinflammatory agent
phenytoin (drug combination, drug interaction)
proton pump inhibitor (drug therapy)
psychotropic agent
simvastatin (drug combination, drug interaction)
theophylline (drug combination, drug interaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug interaction
inappropriate prescribing
nursing home patient
EMTREE MEDICAL INDEX TERMS
aged
article
cerebrovascular accident
cross-sectional study
diabetes mellitus
esophagitis (drug therapy)
falling
female
gastroesophageal reflux (drug therapy)
heart failure
human
hypertension
Macao
major clinical study
male
monotherapy
peptic ulcer (drug therapy)
prevalence
priority journal
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
allopurinol (315-30-0)
amlodipine (103129-82-4, 736178-83-9, 88150-42-9)
captopril (62571-86-2)
celecoxib (169590-42-5)
cilostazol (73963-72-1)
clopidogrel (113665-84-2, 120202-66-6, 90055-48-4, 94188-84-8)
digoxin (20830-75-5, 57285-89-9)
diltiazem (33286-22-5, 42399-41-7)
dipyridamole (58-32-2)
enalapril (75847-73-3)
esomeprazole (119141-88-7, 161796-84-5, 202742-32-3, 217087-09-7,
217087-10-0)
furosemide (54-31-9)
levodopa (59-92-7)
nifedipine (21829-25-4)
phenytoin (57-41-0, 630-93-3)
simvastatin (79902-63-9)
theophylline (58-55-9, 5967-84-0, 8055-07-0, 8061-56-1, 99007-19-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013668443
MEDLINE PMID
23812679 (http://www.ncbi.nlm.nih.gov/pubmed/23812679)
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-013-9811-y
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 166
TITLE
Risk factors associated with drug-related problems in hospitalised children:
Results from two countries
AUTHOR NAMES
Rashed A.
Neubert A.
Alhamdan H.
Tomlin S.
Alazmi A.
Jackman J.
Attar A.
AlShaikh A.
Wilton L.
Wong I.
AUTHOR ADDRESSES
(Rashed A.; Wilton L.) School of Pharmacy, UCL, London, United Kingdom.
(Neubert A.) Department of Paediatric and Adolescent Medicine, FAU
Erlangen-Nuremberg, Erlangen, Germany.
(Alhamdan H.; Alazmi A.; Attar A.; AlShaikh A.) Kind Abdul-Aziz Medical
City-Jeddah, National Guard Health Affairs, Jeddah, Saudi Arabia.
(Tomlin S.; Jackman J.) Evelina Children's Hospital, Guy's and St. Thomas'
NHS Foundation Trust, London, United Kingdom.
(Wong I.) Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of
Medicine, University of Hong Kong, Hong Kong, Hong Kong.
CORRESPONDENCE ADDRESS
A. Rashed, School of Pharmacy, UCL, London, United Kingdom.
SOURCE
International Journal of Clinical Pharmacy (2013) 35:5 SUPPL. 2 (886-887).
Date of Publication: October 2013
CONFERENCE NAME
41st ESCP Symposium on Clinical Pharmacy: Personalised and Safe Therapy
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2012-10-29 to 2012-10-31
ISSN
2210-7703
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Background: Drug-related problems (DRP) are “an event or circumstance
involving drug therapy that actually or potentially interferes with the
desired health outcome”. Understanding the risk factors of DRPs is important
in order to allow for better prioritisation of improvement strategies.
Objective: The aim was to identify risk factors for DRPs in hospitalised
children. Methods: A prospective cohort study in children aged 0-18 years,
admitted to the medical ward, paediatric intensive care unit (PICU), and
neonatal intensive care unit (NICU) during a 3-month period in two
hospitals. Patients' charts, medical records and laboratory data were
reviewed daily to identify DRPs. Logistic regression was used to analyse the
potential risk factors associated with DRP incidence. Results: 737 children
were included in this study from the two countries (KSA n = 364, UK n =
373). Their ages ranged from 0 to 18 years (median 2.3 years, Interquartile
range 6 months-8 years). A total of 478 DRPs were observed in 45.2 %
(333/737) of patients. Dosing problems were the most frequently reported
DRPs (n = 258, 54 %). The results of the logistic regression analysis showed
that number of prescriptions per patient (≥5prescriptions) and the type of
admission (transferred from another hospital or ward) were the strong
potential risk factors for DRP occurrence in children. Conclusions:
Polypharmacy and transferred admission (another hospital or ward) increase
the risk of DRPs occurrence. Thus, to minimise risk of DRPs in hospitalised
children, paediatric pharmacology and pharmacotherapy are important within
medical and nursing education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
hospitalized child
human
risk factor
therapy
EMTREE MEDICAL INDEX TERMS
child
cohort analysis
drug therapy
health
hospital
intensive care unit
laboratory
logistic regression analysis
medical record
newborn intensive care
nursing education
patient
pharmacology
polypharmacy
prescription
risk
United Kingdom
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-013-9801-0
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 167
TITLE
Implementing an evidence-based detoxification protocol for alcoholism in a
residential addictions treatment facility
AUTHOR NAMES
Rundio A.
AUTHOR ADDRESSES
(Rundio A., aar27@drexel.edu) College of Nursing and Health Professions,
Drexel University, 1505 Race Street, Room #429, Philadelphia, PA 19102,
United States.
(Rundio A., aar27@drexel.edu) International Nurses Society on Addictions, PO
Box 14846, Lenexa, KS 66285-4846, United States.
(Rundio A., aar27@drexel.edu) Lighthouse at Mays Landing, 5034 Atlantic
Avenue, Mays Landing, NJ 08330, United States.
CORRESPONDENCE ADDRESS
A. Rundio, College of Nursing and Health Professions, Drexel University,
1505 Race Street, Room #429, Philadelphia, PA 19102, United States. Email:
aar27@drexel.edu
SOURCE
Nursing Clinics of North America (2013) 48:3 (391-400). Date of Publication:
September 2013
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Chemical dependency, commonly known as substance abuse and use disorders,
continues to plague residents of the United States. Because treatment has
expanded beyond the walls of the acute care hospital, advanced practice
nurses play a pivotal role in caring for clients addicted to various
substances. This article describes how an advanced practice nurse in
collaboration with the medical director and a director of nursing at a
residential treatment center in southern New Jersey oversaw the development
of an evidence-based detoxification treatment protocol for alcohol
dependency, emphasizing the critical role of nurses in assuring that
clinical practice is rooted in current evidence. © 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
drug dependence treatment
nurse attitude
nurse practitioner
nursing assessment
residential home
EMTREE MEDICAL INDEX TERMS
advanced practice nurse
Chemical dependency
clinical protocol
detoxification
Detoxification protocol
human
Illicit drugs
Nurse executive
nursing
organization and management
recurrent disease (prevention)
review
substance abuse
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23998766 (http://www.ncbi.nlm.nih.gov/pubmed/23998766)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2013.04.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 168
TITLE
Screening, brief intervention, and referral to treatment: A need for
educational reform in nursing
AUTHOR NAMES
Murphy-Parker D.
AUTHOR ADDRESSES
(Murphy-Parker D., dam355@drexel.edu) College of Nursing and Health
Professions, Bellet Building, Room #422, 1505 Race Street, Philadelphia, PA
19102, United States.
CORRESPONDENCE ADDRESS
D. Murphy-Parker, College of Nursing and Health Professions, Bellet
Building, Room #422, 1505 Race Street, Philadelphia, PA 19102, United
States. Email: dam355@drexel.edu
SOURCE
Nursing Clinics of North America (2013) 48:3 (485-489). Date of Publication:
September 2013
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
With the prevalence of addiction-related health consequences, all nurses
must maintain a basic level of knowledge and skills regarding addictions.
Nurses are ideally positioned to screen, assess, refer; and, at the advanced
practice level, treat clients for addiction disorders, provided the
knowledge and willingness exists to intervene. A vision for nursing
education is to achieve minimal competencies for all generalist nurses,
facilitated by incorporation of substance-related disorder concepts into
nursing education. An urgent need exists to disseminate the most recent
knowledge and skills in nursing school curricula throughout the United
States and internationally. © 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced practice nursing
attitude to health
clinical competence
nurse attitude
nursing education
rehabilitation nursing
EMTREE MEDICAL INDEX TERMS
Addictions
brief intervention
education
human
methodology
nurse patient relationship
Nursing curricula
nursing evaluation research
patient referral
review
SBIRT
screening
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23998774 (http://www.ncbi.nlm.nih.gov/pubmed/23998774)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2013.07.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 169
TITLE
Health promotion and prevention strategies
AUTHOR NAMES
Bradbury-Golas K.
AUTHOR ADDRESSES
(Bradbury-Golas K., bradburygolas@comcast.net) Felician College, 262 South
Main Street, Lodi, NJ 07644, United States.
(Bradbury-Golas K., bradburygolas@comcast.net) 1423 Tilton Road, Northfield,
NJ 08225, United States.
CORRESPONDENCE ADDRESS
K. Bradbury-Golas, 14 Avalon Woods Court, Swainton, NJ 08210-1450, United
States. Email: bradburygolas@comcast.net
SOURCE
Nursing Clinics of North America (2013) 48:3 (469-483). Date of Publication:
September 2013
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Opiate dependency is a medical disorder that requires treatment
intervention. Primary health care not only entails treatment of illness but
also involves disease prevention and health promotion. Based on Pender's
revised Health Promotion Model, a descriptive study comparing the health
promoting behaviors/practices in abusing and recovering opiate-dependent
drug users is analyzed. Using the Health Promoting Lifestyle Profile II, a
comparative descriptive, exploratory, nonexperimental design study was
conducted to identify key health-promoting behaviors in recovering
opiate-dependent drug users. Prevention strategy recommendations are
discussed, along with future research recommendations. © 2013 Elsevier Inc..
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
health promotion
lifestyle
opiate addiction (rehabilitation)
patient compliance
EMTREE MEDICAL INDEX TERMS
human
methodology
nursing assessment
nursing evaluation research
outcome assessment
psychological aspect
recovery
Relapse prevention
review
risk reduction
severity of illness index
substance abuse (rehabilitation)
withdrawal syndrome (rehabilitation)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23998773 (http://www.ncbi.nlm.nih.gov/pubmed/23998773)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2013.04.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 170
TITLE
Patients' descriptions of living with COPD
AUTHOR NAMES
Efraimsson E.Ö.
Eriksson C.H.
Ha˚kansson A.
Andersson K.
Bengtsson H.
Lindström S.
Jensen M.
Falk L.
Fehrm C.
AUTHOR ADDRESSES
(Efraimsson E.Ö., eoe@du.se; Eriksson C.H., c.holding@hotmail.com;
Ha˚kansson A., h04annsu@du.se; Andersson K., h11katan@du.se; Bengtsson H.,
h10hilbe@du.se; Lindström S., h11salib@du.se; Jensen M.,
marje19@hotmail.com; Falk L., h11linfa@du.se; Fehrm C., h05cecfe@du.se)
Dalarna University, School of Health and Social Studies, Falun, Sweden.
CORRESPONDENCE ADDRESS
E.Ö. Efraimsson, Dalarna University, School of Health and Social Studies,
Falun, Sweden. Email: eoe@du.se
SOURCE
European Respiratory Journal (2013) 42 SUPPL. 57. Date of Publication: 1 Sep
2013
CONFERENCE NAME
European Respiratory Society Annual Congress 2013
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2013-09-07 to 2013-09-11
ISSN
0903-1936
BOOK PUBLISHER
European Respiratory Society
ABSTRACT
Aim: To explore which problems patients with COPD in all four stages express
and describe during visits at nurse-led COPD clinics in primary health care.
Method: A prospective qualitative observational study comprising two
videotaped consultations, first and third re-visit, with each of 20 patients
(13 women), all smokers (n=11) or former smokers diagnosed with COPD. The
consultations were conducted by six COPD-nurses in primary health care and
analysed by qualitative content analysis. Results: Smokers wished to quit or
reduce their smoking but expressed motivational difficulties in fighting
cravings. Concerns about the visits were mainly about the
spirometry-examination which they found exhausting and difficult to perform.
Also, they were worried about the results. Other concerns included the
prospect of increasing symptoms and fears about future health. Symptoms
described in all stages were cough, phlegm and dyspnoea connected even with
light physical exertion. In stage III and IV, dyspnoea was the most severe
symptom affecting daily activities. Patients expressed concern about
symptoms that could be dangerous or fatal. Previously independent activities
necessitated planning and help from others. They wished to learn about self
-management and used various strategies to handle their disease even when
offered support and assistance. Patients told that information about COPD,
how to handle symptoms and treatment in daily life increased their security
and control. Conclusion: Patients were concerned about their smoking habits
and subsequent symptoms being dangerous or fatal. Dyspnoea was troublesome
and limited everyday life already in early stages of COPD, thus not always
correlated to the severity stage of the disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
European
human
nursing care
patient
primary medical care
society
EMTREE MEDICAL INDEX TERMS
consultation
content analysis
coughing
dyspnea
examination
exercise
fear
female
health
hospital
infectious disease ELISA kit
nurse
observational study
planning
primary health care
self care
smoking
smoking habit
spirometry
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 171
TITLE
Multidisciplinary intervention decreases the use of opioid medication
discharge packs from 2 urban EDs
AUTHOR NAMES
Gugelmann H.
Shofer F.S.
Meisel Z.F.
Perrone J.
AUTHOR ADDRESSES
(Gugelmann H., hallamg@gmail.com; Shofer F.S.; Meisel Z.F.; Perrone J.)
Department of Emergency Medicine, Hospital of the University of
Pennsylvania, 3400 Spruce St, Ground Silverstein, Philadelphia, PA 19140,
United States.
CORRESPONDENCE ADDRESS
H. Gugelmann, Department of Emergency Medicine, Hospital of the University
of Pennsylvania, 3400 Spruce St, Ground Silverstein, Philadelphia, PA 19140,
United States. Email: hallamg@gmail.com
SOURCE
American Journal of Emergency Medicine (2013) 31:9 (1343-1348). Date of
Publication: September 2013
ISSN
0735-6757
1532-8171 (electronic)
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Prescription opioid overdoses and deaths constitute a public health
epidemic, and recent studies show that emergency department (ED) prescribers
may contribute to this crisis. We hypothesized that a multidisciplinary
educational intervention would decrease ED opioid packs dispensed at
discharge. Methods: This prospective study implemented a "bundle" of
interdisciplinary educational modalities: lectures, journal clubs, case
discussions, and an electronic medical record decision support tool.
Implementation occurred in 2 urban EDs in the same health system at
different times ("affiliate," September 2011; "primary," January 2012) to
better distinguish its effects. The primary outcome was
preintervention/postintervention change in opioid discharge packs dispensed
to all patients treated and discharged through August 2012 and was assessed
by 2-way analysis of variance. The secondary outcome was bivariate analysis
(using Fisher exact test) of change in opioid dispensing among patients with
known risk factors for prescription opioid dependence: age less than 65
years, history of substance abuse, chronic pain, or psychiatric disorders.
Results: A total of 71,512 and 45,746 patients were evaluated and discharged
from primary and affiliate EDs, respectively. Orders for opioid discharge
packs decreased from 13.9% to 8.4% and 4.7% to 1.9% at the primary and
affiliate hospitals (P <.0001). Dispensing among individuals at risk for
opioid dependence at the primary ED decreased from 21.8% to 13.9%.
Conclusions: A staged, multidisciplinary intervention targeting nurses,
residents, nurse practitioners, and attending physicians was associated with
decreased orders for opioid discharge packs in 2 urban EDs. Opioid discharge
pack orders decreased slightly more among patients with risk factors for
prescription opioid dependence. © 2013 Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
EMTREE DRUG INDEX TERMS
oxycodone plus paracetamol
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
medical information system
prescription
EMTREE MEDICAL INDEX TERMS
adult
aged
article
bivariate analysis
chronic pain
clinical practice
decision support system
drug misuse
electronic medical record
emergency health service
emergency ward
female
hospital discharge
human
major clinical study
male
opiate addiction (etiology)
practice guideline
priority journal
risk factor
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013570364
MEDLINE PMID
23906621 (http://www.ncbi.nlm.nih.gov/pubmed/23906621)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ajem.2013.06.002
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 172
TITLE
Alcohol abuse: take action against the no. 1 drug problem in this country.
AUTHOR NAMES
Taylor B.
AUTHOR ADDRESSES
(Taylor B.) Doctors Care of Aiken, Aiken, SC, USA.
CORRESPONDENCE ADDRESS
B. Taylor, Doctors Care of Aiken, Aiken, SC, USA.
SOURCE
Advance for NPs & PAs (2013) 4:9 (31-32, 34, 37). Date of Publication: Sep
2013
ISSN
2325-6699
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology, prevention)
nurse practitioner
patient education
physician assistant
EMTREE MEDICAL INDEX TERMS
article
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24079084 (http://www.ncbi.nlm.nih.gov/pubmed/24079084)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 173
TITLE
Assessment of anxiety in long-term care: Examination of the Geriatric
Anxiety Inventory (GAI) and its short form
AUTHOR NAMES
Gerolimatos L.A.
Gregg J.J.
Edelstein B.A.
AUTHOR ADDRESSES
(Gerolimatos L.A., lgerolim@mix.wvu.edu; Gregg J.J.; Edelstein B.A.)
Department of Psychology, West Virginia University, 53 Campus Drive, PO Box
6040, Morgantown, WV 26506, United States.
CORRESPONDENCE ADDRESS
L.A. Gerolimatos, Department of Psychology, West Virginia University, 53
Campus Drive, PO Box 6040, Morgantown, WV 26506, United States. Email:
lgerolim@mix.wvu.edu
SOURCE
International Psychogeriatrics (2013) 25:9 (1533-1542). Date of Publication:
September 2013
ISSN
1041-6102
1741-203X (electronic)
BOOK PUBLISHER
Cambridge University Press, Shaftesbury Road, Cambridge, United Kingdom.
ABSTRACT
ABSTRACT Background: Accurate assessment of anxiety in later life is
critical, as anxiety among older adults is associated with social and
functional impairment and poorer quality of life. The Geriatric Anxiety
Inventory (GAI) and the GAI-Short Form (GAI-SF) were designed to detect
anxiety symptoms among community-dwelling older adults, but the usefulness
of the GAI and GAI-SF in long-term care is unknown. The present study
examined the psychometric properties of the GAI and GAI-SF among residents
at a long-term care facility. Methods: Seventy-five nursing home residents
completed the GAI and measures of depression, executive functioning, and
adaptive functioning. The mean age of residents was 69.60 years (SD =
10.76). Psychiatric diagnoses included dementia, psychotic disorders, mood
disorders, anxiety disorders, substance abuse, sleep disorders, and mental
retardation. Results: Internal consistency of the GAI was good (α = 0.92)
and the GAI-SF was adequate (α = 0.73). GAI and GAI-SF scores were
moderately correlated with depression scores, and weakly correlated with
adaptive functioning scores and executive functioning scores, suggesting
discriminant validity. Logistic regression analyses were conducted with GAI
and GAI-SF scores predicting an anxiety disorders diagnosis. Results
provided support for the predictive validity of the GAI and GAI-SF.
Sensitivity, specificity, and the percentage of individuals correctly
classified at various cut-off scores were also calculated. Conclusions: Both
the GAI and GAI-SF appear to be useful tools for assessing anxiety among
nursing home residents with psychological disorders. The GAI-SF may be a
viable replacement for the GAI as a screener for anxiety in long-term care.
© International Psychogeriatric Association 2013.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anxiety disorder
Geriatric Anxiety Inventory
Geriatric Anxiety Inventory short form
geriatric disorder
psychometry
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
aged
article
dementia
depression
executive function
female
Geriatric Depression Scale
human
long term care
major clinical study
male
mental deficiency
mood disorder
nursing home patient
predictive validity
psychosis
sensitivity and specificity
sleep disorder
substance abuse
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013487636
MEDLINE PMID
23782768 (http://www.ncbi.nlm.nih.gov/pubmed/23782768)
FULL TEXT LINK
http://dx.doi.org/10.1017/S1041610213000847
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 174
TITLE
Alcohol use among older people
AUTHOR NAMES
While A.
AUTHOR ADDRESSES
(While A.) King's College London, Florence Nightingale School of Nursing and
Midwifery, QNI, United Kingdom.
CORRESPONDENCE ADDRESS
A. While, King's College London, Florence Nightingale School of Nursing and
Midwifery, QNI, United Kingdom.
SOURCE
British Journal of Community Nursing (2013) 18:9 (468). Date of Publication:
September 2013
ISSN
1462-4753
BOOK PUBLISHER
MA Healthcare Ltd, Dulwich Road, London, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
geriatric assessment
health promotion
mass screening
EMTREE MEDICAL INDEX TERMS
aged
community health nursing
human
methodology
note
United Kingdom
very elderly
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24005493 (http://www.ncbi.nlm.nih.gov/pubmed/24005493)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 175
TITLE
Education and promotion of adolescents mental health
AUTHOR NAMES
Loureiro L.M.
AUTHOR ADDRESSES
(Loureiro L.M.) Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
CORRESPONDENCE ADDRESS
L.M. Loureiro, Escola Superior de Enfermagem de Coimbra, Coimbra, Portugal.
SOURCE
European Psychiatry (2013) 28 SUPPL. 1. Date of Publication: 2013
CONFERENCE NAME
21st European Congress of Psychiatry, EPA 2013
CONFERENCE LOCATION
Nice, France
CONFERENCE DATE
2013-04-06 to 2013-04-09
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Mental health literacy allows individuals to recognize, prevent and manage
their health appropriately, being not only knowledge, but a knowledge facing
action for the benefit of himself and others. Aim: To assess the mental
health literacy of adolescents and young people in relation to depression,
schizophrenia and alcohol abuse in the areas of recognition, intention of
professional help-seeking and obstacles/barriers. Methods: It was used a
random cluster sample of 4938 adolescents and young, having been used
QuALiSMental (Loureiro et al., 2012) during the year 2012. The average age
is 16.75 years (SD = 1.62), being respectively 43.3% males and 56.7%
females. Results: The recognition of disorders is reduced (27.23% in
depression, 26.16% in schizophrenia and 45.27% in alcohol abuse). There is
intention of professional and specialized help-seeking, with focus on
psychiatrists, nurses and psychologists.As the biggest barriers to
help-seeking fear and personal shame, non-recovery of symptoms and breach of
confidentiality are referred. Conclusions: The low mental health literacy is
an indicator of the need for developing programs to promote health and
prevent mental illness. Despite being valued the intention of help-seeking,
fear of stigma and discrimination associated with these diseases is high.
Nurses, psychologists and psychiatrists can play a relevant role in this
regarding the role they occupy in the context of school health. Increase
mental health literacy could reduce the delay between the first signs and
symptoms and the professional help.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
education
human
mental health
psychiatry
EMTREE MEDICAL INDEX TERMS
alcohol abuse
cluster analysis
confidentiality
diseases
fear
female
health
health literacy
male
mental disease
nurse
physical disease by body function
psychiatrist
psychologist
schizophrenia
school health service
shame
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 176
TITLE
The effects of teaching brief intervention on attitudes of healthcare
workers towards patients with alcohol problems in a general hospital setting
AUTHOR NAMES
Lui Y.S.
Salikin Y.C.
Winslow R.M.
AUTHOR ADDRESSES
(Lui Y.S.; Salikin Y.C.) Psychological Medicine, Changi General Hospital,
Singapore, Singapore.
(Winslow R.M.) Yong Loo Lin School of Medicine, National University of
Singapore, Singapore, Singapore.
CORRESPONDENCE ADDRESS
Y.S. Lui, Psychological Medicine, Changi General Hospital, Singapore,
Singapore.
SOURCE
European Psychiatry (2013) 28 SUPPL. 1. Date of Publication: 2013
CONFERENCE NAME
21st European Congress of Psychiatry, EPA 2013
CONFERENCE LOCATION
Nice, France
CONFERENCE DATE
2013-04-06 to 2013-04-09
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
The study investigates how teaching healthcare workers brief-intervention
changes their attitudes. Evidence shows that negative therapeutic attitudes
hinder implementation of best practice. The attitudes are measured by AAPPQ,
ABS and SPATR in this randomised controlled trial. The sample was randomised
into 2 arms (control and intervention) and followed up after 9 months. The
intervention group consisted 2 interventions namely teaching ASSIST and
distributing alcohol brochures for self-learning. Pre- and post-intervention
measurements were analysed using the Student's T-test with a change of 20%
taken to be statistically significant at p-value of < 0.05. The pre- and
post-intervention sample comprised mainly Chinese female staff-nurses who
worked less than 5 years and had no training in brief-interventions. Before
intervention, the sample was neutral in their attitudes and adopted a
disease model of belief towards alcohol problems. Following intervention,
the sample showed positive changes in their therapeutic attitudes with the
ASSIST sub-group achieving a statistically significant positive shift in
both the score of Role-Adequacy and Role- Legitimacy. The sample also
adopted a free-will model of belief after intervention. The ASSIST sub-group
reported the greatest shift of 76.3% (p< 0.05). The ASSIST intervention
sub-group became more aware about the availability of counseling materials
and training programs for early-interventions. Teaching brief-interventions
made positive changes to the therapeutic attitudes of healthcare workers
with more robust effects from teaching ASSIST. A shift in the model of
belief may indicate stigma and denial of the presence of alcohol problem and
this may warrant continuous research and work in this area.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general hospital
health care personnel
human
patient
psychiatry
teaching
EMTREE MEDICAL INDEX TERMS
arm
counseling
disease model
early intervention
female
learning
model
randomized controlled trial
staff nurse
statistical significance
Student t test
training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 177
TITLE
Singapore Health and Biomedical Congress, SHBC 2013
AUTHOR ADDRESSES
SOURCE
Annals of the Academy of Medicine Singapore (2013) 42 Supplement 9 (S1)
CONFERENCE NAME
Singapore Health and Biomedical Congress, SHBC 2013
CONFERENCE LOCATION
Max Atria @Singapore Expo, Singapore
CONFERENCE DATE
2013-09-27 to 2013-09-28
ISSN
0304-4602
ABSTRACT
The proceedings contain 327 papers. The special focus in this conference is
on Health and Biomedicine. The topics include: Reducing the rate of
postoperative endophthalmitis over 11 years-results of a new intervention
using intracameral antibiotics; corpus callosum morphology in first episode
and chronic schizophrenia; differences in late cardiovascular mortality
following acute myocardial infarction among three major Asian ethnicities;
exploring relationship of retinal thickness on optical coherence tomography
and visual acuity in patients with diabetic macular edema; medication
reconciliation in outpatient hospital clinics; utilising discharge planning
tools in an inpatient psychiatric rehabilitation services to promote
positive clinical outcomes; seven-point subjective global assessment is more
time sensitive than conventional subjective global assessment in detecting
nutritional changes; Singapore hospice nurses perspectives about
spirituality and spiritual care; enhanced infarct stabilisation and cardiac
repair with an injectable PEGylated-fibrinogen hydrogel carrying vascular
endothelial growth factor (VEGF); identification of tumour suppressive
MicroRNAs in multiple myeloma by pharmacologic unmasking; use of a novel
stereographic projection software to calculate precise area of peripheral
non-perfusion and its correlation with manual grading; a protocol to reduce
inter-reviewer variability in computed tomography measurement of orbital
floor fractures; impact of genome wide supported psychosis susceptibility
NRGN gene on thalamocortical morphology in schizophrenia; improved outcome
of myeloma patients in a tertiary hospital; femoral neck fractures-factors
affecting ambulatory status in elderly patients more than 65 years old who
underwent hip hemiarthroplsty; exploratory factor analysis of the Zarit
burden interview in a multi-ethnic Asian community sample; prevalence,
awareness, treatment and control of hypertension among Singapore elderly
residential population; predictive factors of unscheduled 15-day hospital
readmissions; lost in transition-newly qualified registered nurses and their
transition to practice journey; national healthcare group clinical educators
reflection on web2.0’s application in enhancing teaching and lifelong
learning in medical education; determinants of clarification studies in
medical education research; hypoglycemia management of patients with type 2
diabetes in primary care setting; photograph-assisted dietary review amongst
type 2 diabetics in primary care; exploring the feasibility of advanced care
planning in persons with early cognitive impairment; roles of miR-186 in
circulating tumour cells (CTCs)-mediated metastasis in breast cancer;
characterisation of the biological and clinical relevance of RUNX genes in
natural killer T-cell lymphoma; a randomised controlled trial comparing
single-injection and continuous femoral nerve blocks with patient-controlled
analgesia; magnetic resonance imaging (MRI) changes in lower limbs in
transition to frailty; prevalence of dilutional hyponatraemia in inpatients
and outpatients in Singapore; a prospective randomised study on the patency
period of the plastic anti-reflux biliary stent; an academic-practice
collaboration through simulation learning; a multicentre study of
physiotherapists’ knowledge and perceptions in palliative care; post
discharge pain experiences following total knee arthroplasty;
characteristics of subjective QOL of elderly people with dementia in china
and Japan; audit of readmissions to a palliative care unit in a tertiary
hospital; factors affecting psychological distress in informal caregivers of
Singapore elderly; prevalence of anaemia in patients on aspirin medication
in a primary care setting; patient satisfaction with pharmacist-managed
hypertension-diabetes-lipids clinic and its relation to medication adherence
and beliefs about medication; anthropometric measures and cognition in the
Singapore elderly; clinical decision support for high-priority drug-drug
interactions; a normative study on the national university health system
aphasia screening test; a pilot study on the integration of a
cognitive-behavioral therapy-based computer game in the clinical treatment
of childhood anxiety; barriers of whole-grain intake among healthcare
workers in national healthcare group polyclinics; a novel approach to lead
screening; effects of computed tomography contrast on bone scans; prevalence
and predictors of employment among the Singaporean elderly; evaluating the
impact of inpatient accelerated palliative radiation therapy programme in
reducing inpatient hospitalisation; socio-demographic correlates of positive
mental health; unravelling the relationship between obesity, schizophrenia
and cognition; relationship between measures of mental health and functional
impairment in primary care; body mass index of elderly persons in Singapore;
improving the influenza and pneumococcal vaccination rate of eligible
patients with chronic heart failure; reducing near misses from packing
errors in inpatient pharmacy; pharmacy-led smoking cessation clinic in
dermatology; investigation of high platelet count in random platelet unit
and its viability; public attitudes towards mentally-ill persons in
Singapore; revisiting the association between parental bonding and risk for
psychopathology; pharmacist reviews and outcomes in nursing homes in
Singapore; evaluation of the inpatient smoking cessation programme in tan
Tock Seng hospital; community forums are effective in improving osteoporosis
knowledge; profile of patients referred for podiatry services in primary
care; novel use of tigecycline for multiple myeloma in vitro-alternative
non-mitochondrial pathways; linking human leucine-rich repeat kinase 2
(LRRK2) gene mutation to cancer development; haploinsufficiency of TP53 in
multiple myeloma; bioactive and conductive collagen scaffold for wound
healing augmented by electrical stimulation; systematic discovery of novel
cilia and ciliopathy genes through functional genomics in the zebrafish;
extracellular matrix-based biohybrid skin substitutes; enzyme sensor system
for determination of total cholesterol in human serum; intestinal microbial
study of gout patients; differences in gut microbiome between schizophrenic
patients and healthy individuals; changes in gait associated with
sarcopenia; noncultured cellular grafting for vitiligo-a three-year
follow-up study; bariatric surgery and its impact on sleep;
clinico-epidemiological profile of moderate to severe paediatric atopic
dermatitis; influenza vaccination of healthcare workers; a snapshot of
audits in the phototherapy unit; a naturalistic longitudinal study in
healthy children; retrospective study on autoimmune blistering disease in
paediatric patients; association between CHA65S2 score and obstructive sleep
apnoea; primary localised cutaneous amyloidosis; high STOP-BANG scores
herald adverse perioperative outcomes; neurobehavioral outcomes after
traumatic brain injury; extended outcomes by dialysis modality selection in
incident patients with end-stage renal disease and ischaemic cardiomyopathy;
laparoscopic gastrectomies in gastric cancer patients; survey on factors
influencing medication adherence in psychiatric patients; serum
brain-derived neurotrophic factor and metabolic indices in patients with
schizophrenia; outcomes of non-Tbitrauma patients in a surgical intensive
care unit; evaluation of patients screened for MERS-CoV infection at tan
Tock Seng hospital, Singapore; thinking twice before using the LMA for obese
and older patients-a prospective observational study; comparison study
between two apheresis machines; diabetes knowledge in older adults with type
2 diabetes in Singapore; establishing an intensive care unit database;
necrotising fasciitis of the head and neck; diabetic chronic kidney disease
patients should increase protein intake; the skin-endocrine axis in the
management of dermatology patients; dematiaceous mycoses of the skin in
Singapore from 2003 to 2010; profile of hearing aids users in Singapore;
factors that affect the degree of hearing loss at presentation and hearing
aid usage; cross diagnostic comparisons of quality of life between
schizophrenia and bipolar disorder patients; value of hearing questionnaire
in predicting hearing impairment; utility of self-perception of hearing loss
questions in predicting hearing impairment; burnout, challenges and
supportive factors in hospital doctors; exploring stereotypes in healthcare
professions; health sciences virtual hospital game as a learning tool in
nursing education; application of the RIME framework for education
administrators’ competencies; bed exit alarm as a novel tool for fall
prevention; when prolonged preoperative fasting is a myth; time-motion study
for nursing aides activities in a psychiatric hospital; impact of an
advanced practice nurse-led heart failure clinic in a secondary hospital in
Singapore; managing individuals with diabetes using the diabetes ambulatory
stabilisation services (DASS); streamlining process flow for maintenance of
12-lead ECG machine in a cardiology ward; factors of rehabilitation outcomes
in primary care physiotherapy; dietary intake of wholegrains of healthcare
workers in national healthcare group polyclinics; management of patients
with diabetes in two primary care podiatry clinics; preliminary evaluation
of shoulder conditions in primary care physiotherapy; prevalence of alcohol
problems among elderly in Singapore; prevalence and predictors of tobacco
use in elderly Singaporeans; mortality predictors for operative hip fracture
patients; a risk index to predict 30 days emergency hospital readmission;
compliance of preoperative chest X-rays in anaesthesia clinic; predictors of
mortality in patients with chronic kidney disease; continuity of care issues
in the Singapore health system; factors influencing patients adherence to
follow-up post bariatric surgery; a snapshot of audits in the phototherapy
unit; health screening perceptions in Singapore-a grounded theory study;
interactive dashboard for monitoring operating theatre operational
efficiency; reducing violence through the use of structured therapies; early
home visits by care coordinators help to reduce hospital readmission rate;
evaluation of a workplace nutrition programme at a hospital; a review of the
use of electroencephalography in autism spectrum disorder in the past
decade; an alternate plastic packaging to reduce threat of e coli
contamination; spatial epidemiology of tuberculosis in Singapore;
development of a polarised cellular model for Chikungunya virus infection;
summer-winter differences in total vitamin D concentrations in Singapore;
effect of femoral nerve block on ambulation following total knee
arthroplasty; development of a computer-based objective grading system for
facial paralysis; a preliminary finding of EEG differences of children with
disruptive behaviour disorders in Singapore; sex hormone concentrations in
Singaporean men; deciding where to allocate diabetic educational resources;
pseudoexfoliation syndrome at a Singapore eye clinic; corneal thickness in
Asian keratoconus patients; reasons influencing non-adherence to medications
in psychiatric patients; pilot study on nurses’ perceptions towards
different aspects of learning; oral conditions among dependent
community-dwelling elderly persons; knowledge of osteoporosis among
Singapore adults in national healthcare group polyclinics (NHGP) settings
and knowledge adequacy of diagnosis and treatment plans of elderly patients
on discharge from tertiary hospital.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid
alcohol
antibiotic agent
brain derived neurotrophic factor
collagen
fibrinogen
leucine rich repeat kinase 2
lipid
microRNA
plastic
sex hormone
tigecycline
vasculotropin
vitamin D
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
Singapore
EMTREE MEDICAL INDEX TERMS
acute heart infarction
administrative personnel
adult
advanced practice nurse
aged
amyloidosis
anemia
anesthesia
anxiety
aphasia
apheresis
Asian
atopic dermatitis
autism
bariatric surgery
biliary stent
biomedicine
bipolar disorder
body mass
bone scintiscanning
book
breast cancer
burnout
cancer patient
cardiology
cardiovascular mortality
caregiver
chikungunya
child
childhood
China
cholesterol blood level
chronic kidney disease
circulating tumor cell
cognition
cognitive defect
cognitive therapy
community
community sample
computer
computer assisted tomography
computer program
contamination
cornea thickness
corpus callosum
data base
day hospital
decision support system
dementia
dermatology
diabetes mellitus
diabetic macular edema
diagnosis
dialysis
diet restriction
dietary intake
diseases
disruptive behavior
distress syndrome
drug interaction
drug therapy
education
electrocardiogram
electroencephalogram
electroencephalography
electrostimulation
employment
endophthalmitis
enzymic biosensor
epidemiology
Escherichia coli
ethnicity
eukaryotic flagellum
extracellular matrix
eye
facial nerve paralysis
factorial analysis
fasciitis
femoral nerve
femur neck fracture
follow up
fracture
functional disease
functional genomics
gait
gastrectomy
gene
gene mutation
genome
gout
grain
grounded theory
haploinsufficiency
health care
health care personnel
health science
hearing
hearing aid
hearing impairment
heart failure
hip
hip fracture
hospice
hospital
hospital discharge
hospital patient
hospital physician
hospital readmission
human
hydrogel
hypertension
hypoglycemia
hyponatremia
in vitro study
infarction
infection
influenza
influenza vaccination
injection
intensive care unit
interview
intestine
intracameral drug administration
ischemic cardiomyopathy
Japan
keratoconus
kidney failure
learning
leg
lifelong learning
literature
longitudinal study
machine
male
mass screening
medical audit
medical education
medication compliance
medication therapy management
mental disease
mental health
mental hospital
mental patient
metastasis
microbiome
mobilization
model
monitoring
morphology
mortality
multicenter study
multiple myeloma
mycosis
myeloma
neck
neoplasm
nerve block
NK T cell lymphoma
non insulin dependent diabetes mellitus
nuclear magnetic resonance imaging
nurse
nursing assistant
nursing education
nursing home
nutrition
obesity
observational study
occupation
operating room
optical coherence tomography
orbit
osteoporosis
outpatient
outpatient department
packaging
pain
palliative therapy
patient
patient care
patient controlled analgesia
patient satisfaction
perfusion
pharmacist
pharmacy
photography
phototherapy
physiotherapist
physiotherapy
pilot study
planning
podiatry
population
prevalence
prevention
primary medical care
professional practice
protein intake
pseudoexfoliation
psychosis
quality of life
questionnaire
radiotherapy
randomized controlled trial
registered nurse
rehabilitation
rehabilitation center
religion
retinal thickness
retrospective study
risk
sarcopenia
schizophrenia
screening
screening test
self concept
serum
shoulder
simulation
skin
sleep
sleep disordered breathing
smoking cessation
spiritual care
stereotypy
stomach cancer
summer
teaching
tertiary health care
therapy
thorax radiography
thrombocyte
thrombocyte count
tobacco
total knee replacement
traumatic brain injury
tuberculosis
university
vaccination
violence
visual acuity
vitiligo
ward
winter
workplace
wound healing
zebra fish
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 178
TITLE
Alcohol education and training in pre-registration nursing: a national
survey to determine curriculum content in the United Kingdom (UK)
AUTHOR NAMES
Holloway A.S.
Webster B.J.
AUTHOR ADDRESSES
(Holloway A.S.; Webster B.J.) School of Health in Social Sciences, The
University of Edinburgh, The Medical School, Teviot Place, Edinburgh EH8
9AG, UK. Aisha.Holloway@edu.ac.uk
SOURCE
Nurse education today (2013) 33:9 (992-997). Date of Publication: 1 Sep 2013
ISSN
1532-2793 (electronic)
ABSTRACT
BACKGROUND: Alcohol-related harm impacts significantly on the health of the
population. Nurses are often among the first health professionals that many
patients with alcohol-related problems come into contact with and have been
identified as playing a key role but may be ill-prepared to respond. Future
nurses need to have the skills, knowledge and clinical confidence to respond
to patients suffering from alcohol-related harm. A pre-registration
curriculum that ensures a nursing workforce fit for practice in responding
to alcohol-related harm is necessary.OBJECTIVES: To determine the level of
alcohol education and training content in the pre-registration curriculum
for nursing in the United Kingdom (UK). To establish whether there are
variations in the pre-registration curriculum content across the UK.DESIGN:
A descriptive study.SETTING: All 68 UK Higher Education Institutions
offering a total of 111 pre-registration courses for nurses were invited to
participate in the study.PARTICIPANTS: Twenty nine completed questionnaires
were returned, a response rate of 26%. The largest number of identified
responders were from England (n=15), with 3 from Scotland and 1 each from
Wales and Northern Ireland. Nine Universities chose not to identify
themselves.METHODS: An online semi-structured questionnaire survey was used
to collect the study data.RESULTS: Teaching of alcohol and alcohol related
harm was mainly delivered during the second year of a pre-registration
nursing programme provided mainly to adult and mental health students.
Overall, the majority of alcohol related content that is provided within the
responding pre-registration nursing courses relates to biophysiology,
aetiology, and pharmacological and non-pharmacological
interventions.CONCLUSION: This study highlights the need for a greater and
more relevant focus of alcohol education to pre-registration nursing
students of all fields of practice incorporating an integrated approach
across all years of study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse effects
health personnel attitude
standards
EMTREE MEDICAL INDEX TERMS
cross-sectional study
curriculum
drinking behavior
evaluation study
female
human
Internet
male
nursing education
nursing student
questionnaire
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23154151 (http://www.ncbi.nlm.nih.gov/pubmed/23154151)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2012.10.011
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 179
TITLE
Clinical pharmacist to improve the pharmacological appropriateness in
residential social care for elderly
AUTHOR NAMES
Franchin G.
Bolcato J.
Caparrotta L.
Terrazzani G.
Chinellato A.
AUTHOR ADDRESSES
(Franchin G.; Bolcato J.; Caparrotta L.; Terrazzani G.; Chinellato A.)
Servizio Farmaceutico Territoriale AULSS 9, Treviso Dipartimento di scienze
del Farmaco, Università degli Studi di Padova, Padova, Italy.
CORRESPONDENCE ADDRESS
G. Franchin, Servizio Farmaceutico Territoriale AULSS 9, Treviso
Dipartimento di scienze del Farmaco, Università degli Studi di Padova,
Padova, Italy.
SOURCE
European Geriatric Medicine (2013) 4 SUPPL. 1 (S164-S165). Date of
Publication: September 2013
CONFERENCE NAME
9th Congress of the European Union Geriatric Medicine Society, EUGMS 2013
CONFERENCE LOCATION
Venice, Italy
CONFERENCE DATE
2013-10-02 to 2013-10-04
ISSN
1878-7649
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Introduction.- Elderly residents in Nursing Homes (NHs) are affected by
disorders that often lead to permanent disability with significant health
care needs and expenditure. This study presents a project of a computerized
management of therapies supported by a pharmacist placed by side of the
medical and paramedical staff in NHs to improve the pharmacological end
points by drug appropriateness. Methods.- One year observational study of
2050 residents (mean age 83 years, 23%Mvs 77% F), in 25 NHs of the Local
Health Authority (LHA) of Treviso. A clinical pharmacist by a dedicated
software recorded age, gender, and medications for each NH residents, to
identify elderly in severe polypharmacy. Drugs were classified by the
Anatomical Therapeutic Chemical (ATC) code (ATC5) to identify
chemical/therapeutic subgroup. Results.- The therapies mainly involved the
blood and bloodforming organs (4053 DDD/1000/day), the cardiovascular system
(1861 DDD/1000/day), the gastro-intestinal tract and metabolism (1355
DDD/1000/day), the nervous system (735 DDD/1000/day), the bone
remineralization, mostly bisphosphonates (96 DDD/1000/day). The 73% of
patients were in polypharmacy, prescribed on a number of drugs equal or
greater than six: to 56.5% of them were prescribed 6-9 medications, to 22.5%
10-11 medications, while the remaining 21% from 12-21. Conclusion.-
Considering the frailty of most elderly examined in this study and the
extensive use of drugs, the pharmacist collaboration with NHs staff improved
the therapeutic effectiveness and over that reduced the risk of drug-induced
problems. Furthermore, as 'pharmaceutical care provider', the pharmacist
improved the use of health care resources.
EMTREE DRUG INDEX TERMS
bisphosphonic acid derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
European Union
geriatrics
human
pharmacist
social care
society
EMTREE MEDICAL INDEX TERMS
blood
bone
cardiovascular system
computer program
disability
diseases
drug therapy
gastrointestinal tract
gender
health
health care
health care need
metabolism
nervous system
nursing home
observational study
paramedical personnel
patient
pharmaceutical care
polypharmacy
risk
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurger.2013.07.549
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 180
TITLE
Reducing alcohol-related health risks: the role of the nurse.
AUTHOR NAMES
Govier A.
Rees C.
AUTHOR ADDRESSES
(Govier A.) Cardiff and Vale University Health Board, Cardiff, UK.
(Rees C.)
CORRESPONDENCE ADDRESS
A. Govier, Cardiff and Vale University Health Board, Cardiff, UK.
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2013)
27:50 (42-46). Date of Publication: 2013 Aug 14-20
ISSN
0029-6570
ABSTRACT
The negative effects of alcohol consumption are increasingly being
recognised in the UK, with statistics highlighting the health and social
problems associated with the misuse of alcohol. Consequently, nurses need to
consider their role in educating and advising patients about 'safe' drinking
limits. This article identifies some of the problems with adhering to such
safe drinking limits, for example, the miscalculation of alcohol units. In
addition, the article highlights nursing interventions that can be used with
all patients, not just those presenting with alcohol-related problems, to
increase awareness of the negative effects of harmful alcohol consumption.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
drinking behavior (prevention)
nurse attitude
nurse patient relationship
patient education
risk reduction
EMTREE MEDICAL INDEX TERMS
article
health promotion
human
methodology
nursing
questionnaire
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23944824 (http://www.ncbi.nlm.nih.gov/pubmed/23944824)
FULL TEXT LINK
http://dx.doi.org/10.7748/ns2013.08.27.50.42.e7138
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 181
TITLE
Qualitative exploration of family perspectives of smoke-free mental health
and addiction services
AUTHOR NAMES
Missen R.L.
Brannelly T.
Newton-Howes G.
AUTHOR ADDRESSES
(Missen R.L., oregon@vodafone.co.nz; Newton-Howes G.) Hawkes Bay District
Health Board, Hastings, New Zealand.
(Missen R.L., oregon@vodafone.co.nz) Kina Families and Addictions Trust,
Napier, New Zealand.
(Brannelly T.) School of Health and Social Services, Massey University, New
Zealand.
(Newton-Howes G.) Wellington School of Medicine, Otago University,
Wellington, New Zealand.
(Newton-Howes G.) Imperial College London, London, United Kingdom.
CORRESPONDENCE ADDRESS
R.L. Missen, Hawkes Bay Hospital, Private Bag 9014, Hastings, New Zealand.
Email: oregon@vodafone.co.nz
SOURCE
International Journal of Mental Health Nursing (2013) 22:4 (294-303). Date
of Publication: August 2013
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
The significant health disparities experienced by people with mental illness
indicate the need for mental health service improvement. This qualitative
study explored family and whānau (Māori family group) perspectives of
smoke-free mental health services. Thematic analysis found that family and
whānau identified a number of barriers to the implementation of successful
smoke-free policy, including lack of coordination and consistency, and
limited, if any, family and whānau inclusion. Family and whānau discussed
smoking as a strategy for coping with anxiety and boredom; therefore, the
need for other activities and strategies to replace smoking was identified
as necessary in effective service delivery. The attitude that mental health
service policy should be different from general health policy, due to the
experience of mental distress, was also identified. In this paper, we argue
that the development and implementation of quality mental health services
would be strengthened by involving family and whānau in smoke-free
initiatives. Furthermore, the provision of relevant information to family,
whānau, and service users would help dispel myths and stigma associated with
tobacco and mental health. © 2012 Australian College of Mental Health Nurses
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
caregiver
drug dependence treatment
mental disease
mental hospital
smoking ban
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
health disparity
human
information processing
New Zealand
nursing
psychological aspect
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23066762 (http://www.ncbi.nlm.nih.gov/pubmed/23066762)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00882.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 182
TITLE
Confirming the factor structure of the alcohol and alcohol problems
questionnaire (AAPPQ) in a sample of baccalaureate nursing students
AUTHOR NAMES
Terhorst L.
Gotham H.J.
Puskar K.R.
Mitchell A.M.
Talcott K.S.
Braxter B.
Hagle H.
Fioravanti M.
Woomer G.R.
AUTHOR ADDRESSES
(Terhorst L.) Community Care Behavioral Health Organization, University of
Pittsburgh Medical Center, 112 Washington Place, Suite 700, Pittsburgh, PA,
United States.
(Gotham H.J.) Mid-America Addiction Technology Transfer Center, University
of Missouri-Kansas City, Kansas City, MO, United States.
(Puskar K.R.; Mitchell A.M.; Talcott K.S.; Braxter B.; Fioravanti M.; Woomer
G.R.) University of Pittsburgh School of Nursing, Pittsburgh, PA, United
States.
(Hagle H.) Institute for Research, Education and Training in Addictions
(IRETA), Pittsburgh, PA, United States.
(Hagle H.) Addiction Technology Transfer Center on SBIRT, United States.
CORRESPONDENCE ADDRESS
L. Terhorst, Community Care Behavioral Health Organization, University of
Pittsburgh Medical Center, 112 Washington Place, Suite 700, Pittsburgh, PA,
United States.
SOURCE
Research in Nursing and Health (2013) 36:4 (412-422). Date of Publication:
August 2013
ISSN
0160-6891
1098-240X (electronic)
BOOK PUBLISHER
John Wiley and Sons Inc., P.O.Box 18667, Newark, United States.
ABSTRACT
The Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ) is a
multi-dimensional measure of clinicians' attitudes toward working with
patients with alcohol problems. In the past 35 years, five- and six-subscale
versions and a short version of the AAPPQ have been published. While the
reliability of the AAPPQ subscales has remained acceptable, the factor
structure has not been verified using confirmatory techniques. In the
current study, we split a sample of 299 baccalaureate nursing students to
use exploratory (EFA) and confirmatory factor analyses (CFA). When compared
to the original six-factor solution and an imposed six-factor structure in
CFA, the EFA seven-factor solution with three original items (19, 20, and
25) removed had the best model fit. © 2013 Wiley Periodicals, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
nursing student
questionnaire
EMTREE MEDICAL INDEX TERMS
adult
alcohol problems
article
controlled clinical trial
controlled study
factorial analysis
female
human
male
nursing
nursing education
psychological aspect
randomized controlled trial
reproducibility
statistics
student attitudes
validation study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23633092 (http://www.ncbi.nlm.nih.gov/pubmed/23633092)
FULL TEXT LINK
http://dx.doi.org/10.1002/nur.21537
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 183
TITLE
Police referrals to a psychiatric hospital: Experiences of nurses caring for
police-referred admissions
AUTHOR NAMES
Maharaj R.
O'Brien L.
Gillies D.
Andrew S.
AUTHOR ADDRESSES
(Maharaj R., reshin.maharaj@swahs.health.nsw.gov.au; Gillies D.) Western
Sydney Local Health District, Sydney, Australia.
(O'Brien L.) Western New South Wales Local Health District and School of
Nursing and Midwifery, University of Newcastle, NSW, Australia.
(Andrew S.) Anglia Ruskin University, Chelmsford, United Kingdom.
CORRESPONDENCE ADDRESS
R. Maharaj, Cumberland Hospital, WS LHD, Locked Bag 7118 Parramatta, BC NSW
2124, Australia. Email: reshin.maharaj@swahs.health.nsw.gov.au
SOURCE
International Journal of Mental Health Nursing (2013) 22:4 (313-321). Date
of Publication: August 2013
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Police are a major source of referral to psychiatric hospitals in
industrialized countries with mental health legislation. However, little
attention has been paid to nurses' experience of caring for police-referred
patients to psychiatric hospitals. This study utilized a Heideggerian
phenomenological framework to explore the experiences of nine nurses caring
for patients referred by the police, through semistructured interviews. Two
major themes emerged from the hermeneutic analyses of interviews conducted
with nurse participants: (i) 'expecting "the worst"'; and (ii) 'balancing
therapeutic care and forced treatment'. Expecting 'the worst' related to the
perceptions nurse participants had about patients referred by the police.
This included two sub-themes: (i) 'we are here to care for whoever they
bring in'; and (ii) 'but who deserves care?' The second theme balancing
therapeutic care and forced treatment included the sub-themes: (i) 'taking
control, taking care'; and (ii) 'managing power'. The study raises ethical
and skill challenges for nursing including struggling with the notion of who
deserves care, and balancing the imperatives of legislation with the need to
work within a therapeutic framework. © 2012 Australian College of Mental
Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic psychiatry
health personnel attitude
mental hospital
nurse patient relationship
patient referral
police
EMTREE MEDICAL INDEX TERMS
addiction
adult
aggression
alcoholism
article
Australia
behavior
comorbidity
control
crisis intervention
female
human
legal aspect
male
middle aged
nursing
psychologic test
psychological aspect
psychosis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23009594 (http://www.ncbi.nlm.nih.gov/pubmed/23009594)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00881.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 184
TITLE
Mental health nurses' beliefs about smoking by mental health facility
inpatients
AUTHOR NAMES
Connolly M.
Floyd S.
Forrest R.
Marshall B.
AUTHOR ADDRESSES
(Connolly M.) Hawke's Bay District Health Board, Hastings, New Zealand.
(Floyd S.; Forrest R.; Marshall B., bmarshall@eit.ac.nz) Eastern Institute
of Technology, Taradale, New Zealand.
CORRESPONDENCE ADDRESS
B. Marshall, Faculty of Health Sciences, Eastern Institute of Technology, PB
1201 Hawke's Bay Mail Centre, Napier, New Zealand. Email:
bmarshall@eit.ac.nz
SOURCE
International Journal of Mental Health Nursing (2013) 22:4 (288-293). Date
of Publication: August 2013
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
This study examined beliefs of mental health nurses about smoking by
clients, nurses, and visitors in inpatient facilities and identified the
influence of years of experience, smoke-free status, and workplace on these
beliefs. Data were collected by a survey, distributed via a nursing
newsletter with approximately 600 members. Descriptive statistics and
cross-tabulations explored the data. A total of 104 responses were received.
Smoke-free status made significant differences to nurses' beliefs relating
to prohibition of smoking for clients, staff, and visitors; concern about
the effects of passive smoking; the role of smoking in the development of
therapeutic relationships; smoking as a source of patient pleasure; and the
role of smoking in symptom management. That half of the nurses who responded
believe that smoking is helpful in the creation of therapeutic relationships
is of concern. The nurse plays an important role model in promoting
smoke-free lifestyles amongst clients, and the effects of positive role
modelling could be lost if nurses continue to smoke with clients. The
negative impacts of smoking on the physical health of mental health
inpatients is considerable and well documented, and the creation of
smoke-free inpatient mental health services can help to address these. ©
2012 Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural anthropology
health personnel attitude
hospitalization
mental disease
psychiatric nursing
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
behavior
human
New Zealand
nurse patient relationship
nursing
nursing staff
pleasure
psychological aspect
questionnaire
smoking ban
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22897708 (http://www.ncbi.nlm.nih.gov/pubmed/22897708)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00871.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 185
TITLE
Residential addiction treatment for injection drug users requiring
intravenous antibiotics: A cost-reduction strategy
AUTHOR NAMES
Jewell C.
Weaver M.
Sgroi C.
Anderson K.
Sayeed Z.
AUTHOR ADDRESSES
(Jewell C.; Sayeed Z.) Department of Psychiatry, Virginia Commonwealth
University Health System, School of Medicine, Richmond, VA, United States.
(Sgroi C.) Physical Medicine and Rehabilitation, Virginia Commonwealth
University Health System, School of Medicine, Richmond, VA, United States.
(Anderson K.) Care Coordination, Virginia Commonwealth University Health
System, School of Medicine, Richmond, VA, United States.
(Weaver M., mweaver@mcvh-vcu.edu) Department of Internal Medicine, Virginia
Commonwealth University, School of Medicine, PO Box 980109, Richmond, VA
23298, United States.
CORRESPONDENCE ADDRESS
M. Weaver, Department of Internal Medicine, Virginia Commonwealth
University, School of Medicine, PO Box 980109, Richmond, VA 23298, United
States. Email: mweaver@mcvh-vcu.edu
SOURCE
Journal of Addiction Medicine (2013) 7:4 (271-276). Date of Publication:
July-August 2013
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objectives: Injection drug users (IDUs) are prone to developing infections
and complications requiring prolonged intravenous (IV) antibiotic treatment.
Our institution's unique multidisciplinary approach provides special
consideration and successful management of IDUs in a residential addiction
treatment facility with nurse-administered IV antibiotics. Our hypothesis is
that hospital costs can be reduced by providing both IV antibiotics and
addiction treatment in a community residential treatment setting outside the
hospital. Methods: A retrospective chart review was performed for inpatients
requiring prolonged antibiotic treatment who were admitted to the university
teaching hospital between January 2006 and December 2011 and were treated at
the residential addiction treatment facility. Data were gathered to
characterize this population of patients and estimate cost savings. Results:
A total of 205 patients were sent to the residential addiction treatment
facility from 2006 to 2011. The majority were African American, men, and in
their early forties. Heroin was the most popular injected substance, but
most patients were polysubstance users, including alcohol and tobacco. The
most common infections were osteomyelitis and septic arthritis. There was a
73% completion rate of antibiotic treatment in this program. The relapse
rate for return to illicit drug use was at least 32%. This program has
resulted in a significant cost savings of $2.43 million in a 6-year period.
Conclusions: The program saved $2.43 million over 6 years for the health
care system by reducing hospital length of stay with safe and appropriate
discharge planning for IDUs with infections requiring long-term IV
antibiotics. Copyright © 2013 American Society of Addiction Medicine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent (drug therapy, intravenous drug administration)
EMTREE DRUG INDEX TERMS
cannabis
cocaine
diamorphine
illicit drug
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
injection drug use
residential care
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
African American
article
controlled study
cost control
drug administration route
female
high risk patient
hospital cost
hospital patient
human
length of stay
major clinical study
male
medical record review
methicillin resistant Staphylococcus aureus infection (drug therapy)
osteomyelitis (drug therapy)
outcome assessment
priority journal
recurrence risk
retrospective study
Streptococcus infection (drug therapy)
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013728192
MEDLINE PMID
23648642 (http://www.ncbi.nlm.nih.gov/pubmed/23648642)
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e318294b1eb
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 186
TITLE
The role of the advanced practice nurse in promoting smoking cessation in
the adult population.
AUTHOR NAMES
Porter A.
AUTHOR ADDRESSES
(Porter A.) Fort Hamilton Hospital, Hamilton, OH, USA.
CORRESPONDENCE ADDRESS
A. Porter, Fort Hamilton Hospital, Hamilton, OH, USA.
SOURCE
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
(2013) 22:4 (264-268). Date of Publication: 2013 Jul-Aug
ISSN
1092-0811
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced practice nursing
health promotion
nurse attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
human
nurse patient relationship
nurse practitioner
pathophysiology
psychological aspect
smoking
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24147327 (http://www.ncbi.nlm.nih.gov/pubmed/24147327)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 187
TITLE
Breastfeeding rates and the relationship between breastfeeding and neonatal
abstinence syndrome in women maintained on buprenorphine during pregnancy
AUTHOR NAMES
O'Connor A.B.
Collett A.
Alto W.A.
O'Brien L.M.
AUTHOR ADDRESSES
(O'Connor A.B., aoconnor@mainegeneral.org) Faculty of Maine Dartmouth Family
Medicine Residency in Fairfield, Maine, United States.
(O'Connor A.B., aoconnor@mainegeneral.org) Dartmouth Medical School's
Department of Community, Family Medicine and Vanderbilt University, School
of Nursing, United States.
(Collett A.) Colby in Waterville, Maine, United States.
(Alto W.A.) Faculty of Swedish Family Medicine Residency Program, Cherry
Hill, United States.
(Alto W.A.) University of Washington in Seattle, United States.
(O'Brien L.M.) Department of Mathematics and Statistics at Colby, United
States.
(O'Brien L.M.) University of New England in Portland, Maine, United States.
CORRESPONDENCE ADDRESS
A.B. O'Connor, Maine Dartmouth Family Medicine Residency, 4 Sheridan Drive,
Fairfield, ME 04937, United States. Email: aoconnor@mainegeneral.org
SOURCE
Journal of Midwifery and Women's Health (2013) 58:4 (383-388). Date of
Publication: July/August 2013
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Introduction: Although a growing body of evidence suggests that
buprenorphine is a safe alternative to methadone in the treatment of
opioid-dependent pregnant women, little is known about breastfeeding in this
population. The first objective of this study was to describe breastfeeding
rates among opioid-dependent pregnant women maintained on buprenorphine in
an integrated medical and behavioral health program. The second objective
was to determine whether breastfeeding is related to the duration, severity,
and frequency of pharmacologic treatment for neonatal abstinence syndrome
(NAS). Methods: A retrospective chart review was conducted for all infants
born to opioid-dependent pregnant women treated in the integrated
buprenorphine program between December 2007 and August 2012. Results:
Eighty-five maternal-infant pairs were identified. Sixty-five women (76%)
chose to breastfeed their infants after birth; of the women who initiated
breastfeeding in the hospital, 66% were still breastfeeding 6 to 8 weeks
postpartum. Although the data suggest that infants who were breastfed had
less severe NAS (mean peak NAS, 8.83 vs 9.65 on a modified Finnegan Scoring
System) and were less likely to require pharmacologic treatment (23.1% vs
30.0%) than infants who were not breastfed, these results were not
statistically significant. Discussion: More than three-quarters of the
opioid-dependent pregnant women in this case series chose to breastfeed
after birth. Although a direct comparison of care models is not possible,
the integrated model of care potentially reduced some of the barriers to
breastfeeding as the women accessed all their care in a single,
infant-friendly setting. Further work is needed to definitively determine
whether breastfeeding mitigates NAS. © 2013 by the American College of
Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
EMTREE DRUG INDEX TERMS
antidepressant agent
illicit drug
opiate
phenobarbital (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
breast feeding
opiate addiction (drug therapy, drug therapy)
pregnancy
withdrawal syndrome (drug therapy, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
disease duration
disease severity
female
health care access
health program
human
infant
major clinical study
medical record review
priority journal
puerperium
scoring system
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013512443
MEDLINE PMID
23931660 (http://www.ncbi.nlm.nih.gov/pubmed/23931660)
FULL TEXT LINK
http://dx.doi.org/10.1111/jmwh.12009
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 188
TITLE
Reducing violence and aggression in the emergency department.
AUTHOR NAMES
Powley D.
AUTHOR ADDRESSES
(Powley D.) NHS Lothian District Nursing Services.
CORRESPONDENCE ADDRESS
D. Powley, NHS Lothian District Nursing Services. Email:
denise-powley@live.co.uk
SOURCE
Emergency nurse : the journal of the RCN Accident and Emergency Nursing
Association (2013) 21:4 (26-29). Date of Publication: Jul 2013
ISSN
1354-5752
ABSTRACT
Emergency department (ED) staff, particularly nursing students and
inexperienced nurses, are at risk of violence and aggression from patients.
However, by reflecting on violent incidents, nurses can gain new knowledge,
improve their practice and prepare themselves for similar incidents. This
article refers to the Gibbs reflective cycle to analyse a violent incident
involving a patient with mental health and alcohol-dependence problems that
occurred in the author's ED. It also identifies strategies for nurses to
pre-empt and defuse violent situations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aggression
emergency health service
nurse patient relationship
violence
EMTREE MEDICAL INDEX TERMS
addiction
article
human
mental disease
nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23901870 (http://www.ncbi.nlm.nih.gov/pubmed/23901870)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 189
TITLE
Nursing Home Residents Dying With Dementia in Flanders, Belgium: ANationwide
Postmortem Study on Clinical Characteristics and Quality of Dying
AUTHOR NAMES
Vandervoort A.
Van den Block L.
van der Steen J.T.
Volicer L.
Stichele R.V.
Houttekier D.
Deliens L.
AUTHOR ADDRESSES
(Vandervoort A., An.Vandervoort@vub.ac.be; Van den Block L.; Stichele R.V.;
Houttekier D.; Deliens L.) End-of-Life Care Research Group, Ghent University
and Vrije Universiteit Brussel, Brussels, Belgium.
(Van den Block L.) Department of Family Medicine, Vrije Universiteit
Brussel, Brussels, Belgium.
(van der Steen J.T.) EMGO Institute for Health and Care Research and
Expertise Center for Palliative Care, Department of General Practice and
Elderly Care Medicine, VU University Medical Center, Amsterdam, Netherlands.
(Volicer L.) University of South Florida, School of Aging Studies, Tampa,
FL, United States.
(Stichele R.V.) Heymans Institute of Pharmacology, Ghent University, Ghent,
Belgium.
(Deliens L.) EMGO Institute for Health and Care Research, Expertise Center
for Palliative Care, Department of Public and Occupational Health, VU
University Medical Center, Amsterdam, Netherlands.
CORRESPONDENCE ADDRESS
A. Vandervoort, End-of-Life Care Research Group, Ghent University and Vrije
Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Brussels, Belgium.
Email: An.Vandervoort@vub.ac.be
SOURCE
Journal of the American Medical Directors Association (2013) 14:7 (485-492).
Date of Publication: July 2013
ISSN
1525-8610
1538-9375 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objectives: There is a lack of large-scale, nationwide data describing
clinical characteristics and quality of dying of nursing home residents
dying with dementia. We set out to investigate quality of end-of-life care
and quality of dying of nursing home residents with dementia in Flanders,
Belgium. Design/Setting/Participants: To obtain representativity, we
conducted a postmortem study (2010) using random cluster sampling. In
selected nursing homes, all deceased residents with dementia in a period of
3 months were reported. For each case, a structured questionnaire was filled
in by the nurse most involved in care, the family physician, and the nursing
home administrator. We used the Cognitive Performance Scale and Global
Deterioration Scale to assess dementia. Main outcome measures were health
status, clinical complications, symptoms at the end of life, and quality of
dying. Measurements: Health status, clinical complications, symptoms at the
end of life, and quality of dying. Results: We identified 198 deceased
residents with dementia in 69 nursing homes (58% response rate). Age
distribution was the same as all deceased residents with dementia in
Flanders, 2010. Fifty-four percent had advanced dementia. In the last month
of life, 95.5% had 1 or more sentinel events (eg, eating/drinking problems,
febrile episodes, or pneumonia); most frequently reported symptoms were
pain, fear, anxiety, agitation, and resistance to care. In the last week,
difficulty swallowing and pain were reported most frequently. Pressure sores
were present in 26.9%, incontinence in 89.2%, and cachexia in 45.8%.
Physical restraints were used in 21.4% of cases, and 10.0% died outside the
home. Comparing stages of dementia revealed few differences between groups
regarding clinical complications, symptoms, or quality of dying. Conclusion:
Regardless of the dementia stage, many nursing home residents develop
serious clinical complications and symptoms in the last phase of life,
posing major challenges to the provision of optimum end-of-life care. © 2013
American Medical Directors Association, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia
dying
health care quality
nursing home patient
terminal care
EMTREE MEDICAL INDEX TERMS
age distribution
aged
agitation
anxiety
article
autopsy
Belgium
cachexia
cluster analysis
cross-sectional study
decubitus
dehydration
dysphagia
fear
female
general practitioner
health status
human
incontinence
major clinical study
male
nurse
nursing home
pain
pneumonia (complication)
quality of life
retrospective study
sentinel event
structured questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013413082
MEDLINE PMID
23523319 (http://www.ncbi.nlm.nih.gov/pubmed/23523319)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jamda.2013.01.016
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 190
TITLE
Medical error types and causes made by nurses in Turkey
ORIGINAL (NON-ENGLISH) TITLE
Türkiye'de Hemşirelik Hizmetlerinde Ti{dotless}bbi Hata Türleri ve Nedenleri
AUTHOR NAMES
Küçük Alemdar D.
Yaman Aktaş Y.
AUTHOR ADDRESSES
(Küçük Alemdar D., dilekkucuk@atauni.edu.tr; Yaman Aktaş Y.) Giresun
University, Giresun, Turkey.
CORRESPONDENCE ADDRESS
D. Küçük Alemdar, Giresun University, Giresun, Turkey. Email:
dilekkucuk@atauni.edu.tr
SOURCE
TAF Preventive Medicine Bulletin (2013) 12:3 (307-314). Date of Publication:
2013
ISSN
1303-734X
BOOK PUBLISHER
Gulhane Military Medical Academy, Halk Sagligi AD Bsk.ligi, Etlik - Ankara,
Turkey.
ABSTRACT
AIM: This study was carried out as a descriptive study in order to determine
types, causes and prevalence of medical errors made by nurses in Turkey.
METHOD: Seventy eight (78) nurses who have worked in a randomly selected
hospital from five hospitals in Giresun city centre were enrolled in the
study. The data was collected by the researchers using the 'Information Form
for Nurses' and 'Medical Error Form'. The Medical Error Form consists of 2
parts and 40 items including types and causes of medical errors. Nurses'
sociodemographic variables, medical error types and causes were evaluated
using the percentage distribution and mean. RESULTS: The mean age of the
nurses was 25.5 years, with a standard deviation 6.03 years. 50% of the
nurses graduated health professional high school in the study. 53.8% of the
nurses are single, 63.1% worked between 1-5 years, 71.8% day and night
shifts and 42.3% in medical clinics. The common types of medical errors were
hospital infection rate of 15.4%, diagnostic errors 12.8%, needle or cutting
tool injuries and problems related to drug usage which has side effects
10.3%. In the study 38.5% of the nurses reported that they thought the cause
of medical error highly was tiredness, 36.4% increased workload and 34.6%
long working hours. CONCLUSION: As a result of the present study, nurses
mentioned hospital infection, diagnostic errors, needle or cutting tool
injuries as the most common medical errors and fatigue, over work load and
long working hours as the most common medical error reasons.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medication error
nursing
EMTREE MEDICAL INDEX TERMS
adult
adverse outcome
article
diagnostic error
drug use
fatigue
hospital infection
human
infection rate
needlestick injury
nurse patient ratio
nurse training
nursing practice
patient safety
single (marital status)
Turkey (republic)
working time
workload
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2013364299
FULL TEXT LINK
http://dx.doi.org/10.5455/pmb.1-1345816200
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 191
TITLE
Pharmacist-led clinician tobacco cessation education and the effects on
adherance to joint commission standards
AUTHOR NAMES
Willner M.A.
Cohen V.
Lum D.
Cassera F.
Caruso P.
AUTHOR ADDRESSES
(Willner M.A.; Cohen V.; Lum D.; Cassera F.; Caruso P.) Maimonides Medical
Center, 4802 Tenth Ave, Brooklyn, United States.
CORRESPONDENCE ADDRESS
M.A. Willner, Maimonides Medical Center, 4802 Tenth Ave, Brooklyn, United
States.
SOURCE
Journal of Pharmacy Practice (2013) 26:3 (301). Date of Publication: June
2013
CONFERENCE NAME
52nd Annual Assembly of the New York State Council of Health-system
Pharmacists, NYSCHP 2013
CONFERENCE LOCATION
Verona, NY, United States
CONFERENCE DATE
2013-05-02 to 2013-05-05
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Tobacco addiction is a chronic disease that requires multiple interventions
and attempts for patients to quit. According to the Public Health Service's
Smoking Cessation Guidelines, tobacco use causes 435,000 deaths each year in
the United States and is a preventable chronic disease. 1 A recent
assessment by the Department of Health evaluating the current tobacco
cessation practices at our institution, a 700-bed tertiary care teaching
hospital, revealed a gap in care. To close this practice gap, we plan to
implement a two-phase pharmacist-led tobacco cessation program. The purpose
of this study is to evaluate the effectiveness of the pharmacist-led tobacco
cessation program in improving compliance with the current Joint Commission
Tobacco Use Standards. The first phase will involve the education of
clinicians (i.e. medical residents and attending physicians, nurse
practitioners, physician assistants, clinical pharmacists, and respiratory
therapists) on the topics of smoking cessation pharmacotherapy, Joint
Commission tobacco performance measures, and methods of patient counseling
to facilitate quitting attempts. The second phase of the implementation will
involve a computerized intervention document and computerized physician
order entry screens. The metrics collected regarding use of the intervention
document and smoking cessation therapy prescription will be used to assess
effectiveness in complying with the following Joint Commission standards:
screening for tobacco use, recommendations to quit by a care provider,
offering assistance with quitting using smoking cessation therapies,
counseling on smoking cessation and pharmacotherapy, and arranging follow-up
to assess smoking status 30-days after discharge. This project will address
the first phase of the aforementioned tobacco cessation program. The primary
study aim is to evaluate the effectiveness of pharmacist-led tobacco
cessation education to train clinicians to effectively screen, counsel, and
initiate evidence-based tobacco cessation therapy and meet the requirements
of the Joint Commission Tobacco Measure Set. To achieve these outcomes, a
clinical pharmacist will educate clinician groups and use a
pre-test/post-test model to assess their baseline knowledge and knowledge
after educational sessions. The projected number of clinicians to be
educated is 140. The projected number of patients to be affected by this
program through their care providers is 360. The mean pre-test score will be
compared to the mean post-test score by independent sample t-test. A P-Value
of <0.05 will denote statistical significant difference between the groups.
Descriptive statistics will be used to assess the pre-test and post-test
responses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health care
human
pharmacist
tobacco
United States
EMTREE MEDICAL INDEX TERMS
chronic disease
computerized provider order entry
counseling
death
drug therapy
evidence based practice
follow up
health
model
nurse practitioner
patient
patient counseling
physician
physician assistant
prescription
public health service
respiratory therapist
screening
smoking
smoking cessation
statistical significance
statistics
Student t test
teaching hospital
tertiary health care
therapy
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190013486091
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 192
TITLE
If you build it edesigning primary care training around actively
transforming continuity clinics
AUTHOR NAMES
Pels R.
Stark R.
Jain P.
Ogur B.
Bor D.
AUTHOR ADDRESSES
(Pels R.; Stark R.; Jain P.; Ogur B.; Bor D.) Cambridge Health Alliance,
Cambridge, United States.
(Pels R.; Stark R.; Jain P.; Ogur B.; Bor D.) Harvard Medical School,
Boston, United States.
CORRESPONDENCE ADDRESS
R. Pels, Cambridge Health Alliance, Cambridge, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S465-S466). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
NEEDS AND OBJECTIVES: Diagnosis and therapy in internal medicine have
shifted profoundly to the ambulatory setting. But the lack of satisfying
primary care continuity experiences, the need to prioritize acute inpatient
responsibilities, the minimal engagement in practice management and the
dearth of positive role models discourage trainees from pursing careers in
primary care. We seek to transform resident professional development through
the redesign of medicine residency training at our institution. We seek to
do this concurrent with enhancing systems performance via patientcentered
practice transformation at resident continuity clinic practice sites.
SETTING AND PARTICIPANTS: The Cambridge Health Alliance Internal Medicine
Residency Program is a university-affiliated, community hospital primary
program in an urban, highly diverse and largely underserved setting. All
three continuity clinic sites and all twenty-four residents are
participating in the innovation. DESCRIPTION: In July 2012, the residency
implemented a “2+4” immersion schedule. Residents spend 2 weeks in
ambulatory training alternating with 4 weeks of other experiences,
throughout the 3 years of residency, resulting in 25 % greater time on
ambulatory rotations and 30 % more clinic sessions. Resident continuity
clinics are transforming into Patient-Centered Medical Homes. Residents are
assigned to care teams with two other residents, a preceptor, nurse, and
medical assistant, and work with this team throughout residency. During
ambulatory rotations, residents have four clinic sessions and one
administrative session each week. They participate in population and complex
case management, and systems improvement. EVALUATION: Early feedback from
residents and preceptors has been very positive. Residents report they are
better able to focus on their clinic patients and to provide meaningful
longitudinal care. Residents meet regularly with their care teams and review
panel quality metrics and complex cases. Two of the three resident clinic
sites are co-locating providers (including residents) alongside nurses and
medical assistants. And residents are engaged in site-based practice
improvement teams. Yearlong experiential curriculums in community health and
health advocacy, and longitudinal experiences for first-year residents with
specialists in mental health, addictions, and geriatrics have been
successfully launched. A robust plan for quantitative and qualitative
program evaluation is underway. Data from the first 6 months will be
available for reporting at the time of the SGIM meeting. DISCUSSION /
REFLECTION / LESSONS LEARNED: Residency redesign with concurrent practice
transformation provides a facilitating framework for innovative,
longitudinal care experiences with patients, and for educational immersion
in outpatient medicine. When residents are fully integrated with care teams
and have predictable clinic schedules, without the distraction of concurrent
acute care responsibilities, they can develop meaningful relationships as
members of care teams and practice improvement teams, and participate in
practice transformation. We believe the emphasis on continuous relationships
with patients, staff and clinic sites will enhance residents' humanistic
professional identity. Outcomes may help to inform similar efforts in other
residency programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
internal medicine
primary medical care
society
EMTREE MEDICAL INDEX TERMS
addiction
case management
community hospital
curriculum
diagnosis
emergency care
feedback system
geriatrics
health
hospital patient
human
identity
immersion
management
medical assistant
medical specialist
mental health
model
nurse
outpatient
patient
population
professional development
program evaluation
public health
residency education
responsibility
student
therapy
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 193
TITLE
Helping children and adolescents at risk of developing substance use
problems: A significant role for nurses
AUTHOR NAMES
Mirlashari J.
Demirkol A.
Jahanbani J.
Salsali M.
Rafiey H.
AUTHOR ADDRESSES
(Mirlashari J.) Neonatal Intensive Care, Tehran University of Medical
Science, Nursing and Midwifery Faculty, Tehran, Iran.
(Demirkol A.) Addiction Medicine, Sydney University, Sydney, Australia.
(Jahanbani J.) Pathology Department, Dental Branch, Tehran Islamic Azad
University, Tehran, Iran.
(Salsali M.) Nursing, Tehran University of Medical Sciences, Nursing and
Midwifery Faculty, Tehran, Iran.
(Rafiey H.) Addiction, University of Social Welfare and Rehabilitation,
Tehran, Iran.
CORRESPONDENCE ADDRESS
J. Mirlashari, Neonatal Intensive Care, Tehran University of Medical
Science, Nursing and Midwifery Faculty, Tehran, Iran.
SOURCE
Intensive Care Medicine (2013) 39 SUPPL. 1 (S131). Date of Publication: June
2013
CONFERENCE NAME
24th Annual Meeting of the European Society of Paediatric and Neonatal
Intensive Care, ESPNIC 2013
CONFERENCE LOCATION
Rotterdam, Netherlands
CONFERENCE DATE
2013-06-12 to 2013-06-15
ISSN
0342-4642
BOOK PUBLISHER
Springer Verlag
ABSTRACT
Background: A wide variety of factors are considered to contribute to the
initiation of drug use. Among them parenting and early childhood experiences
are thought to be particularly important. Aims: This paper aims to report on
the results of a qualitative inquiry that explored the early childhood
experiences of current substance-dependent young adults in Tehran, Iran, and
the roles of nurses in the field of addictions in settings such as Iran were
assessed. Design and methods: The study was qualitative in nature.
Forty-four in-depth interviews were conducted with young men and women who
were either in treatment for their addiction or were active drug users at
the time of the interviews their parents and family members and nurses.
Results: The analysis of this study implicates traumatic childhood
experiences, dysfunctional family dynamics, disconnect between parents and
children, as well as parents' knowledge and attitudes about drug use and
prevention as the determinants of initial drug use. Also analysis of
interviews with nurses reveled categories like unfamiliar world of addiction
and prejudgment. Conclusion: All determining factors identified by the
participants of this study are within the scope of current nursing practice
such as early childhood, community or school nursing, where there are great
opportunities and unmet need for greater nursing involvement. Nurses who
work with adolescents and families have a unique opportunity for prevention,
early detection and timely intervention for drug dependency among at risk
children.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
child
human
newborn intensive care
nurse
risk
society
substance use
EMTREE MEDICAL INDEX TERMS
addiction
child parent relation
childhood
community
drug dependence
drug use
dynamics
dysfunctional family
female
interview
Iran
male
nursing
nursing practice
parent
prevention
school health nursing
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s00134-013-2950-8
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 194
TITLE
Medication Therapy Services (MTS) and Assertive Community Treatment (ACT)
AUTHOR NAMES
Gable K.N.
AUTHOR ADDRESSES
(Gable K.N.) Southern Illinois University, Edwardsville School of Pharmacy,
Edwardsville, United States.
CORRESPONDENCE ADDRESS
K.N. Gable, Southern Illinois University, Edwardsville School of Pharmacy,
Edwardsville, United States.
SOURCE
Journal of Pharmacy Practice (2013) 26:3 (341). Date of Publication: June
2013
CONFERENCE NAME
16th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP 2013
CONFERENCE LOCATION
Colorado Springs, CO, United States
CONFERENCE DATE
2013-04-21 to 2013-04-24
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Type: Innovative Practices. Background: Assertive Community Treatment (ACT)
is an evidence-based practice consisting of a multidisciplinary treatment
team providing comprehensive psychiatric and rehabilitative services to
individuals with severe and persistent mental illnesses. Treatment team
members include a psychiatrist, nurses, vocational specialists, substance
abuse specialists, and peer specialists. Many ACT teams receive funding from
the state Department of Mental Health (DMH). In August of 2012, Missouri
granted pharmacists the authority to perform Medication Therapy Services
(MTS). An MTS-certified pharmacist may initiate, modify and discontinue
medications under a medication therapy protocol with a collaborating
physician. The state of Missouri also recognizes psychiatric pharmacists as
Qualified Mental Health Providers (QMHPs), and client encounters can be
billed as medication or consultation services. Description of Innovative
Service: An MTS-certified clinical pharmacist is functioning as a prescriber
on a DMH-funded ACT team. The collaborating physician completes initial
client intakes and yearly psychiatric evaluations and reviews and co-signs
the electronic progress notes of the pharmacist. The pharmacist participates
in daily one-hour treatment team meetings and completes an average of four
to eight medication assessments per day. Most assessments occur at the
client's place of residence. Home visits are typically 30 to 60 minutes in
length and consist of a comprehensive review of psychiatric symptoms,
medications, and treatment plan goals. Medication adjustments are completed
when appropriate. Specific procedure codes allow for services to be billed
at a rate of $34.86 per 15 minutes. Impact on Patient Care: The concept of a
pharmacist as a prescriber on an ACT team is new and not common practice.
The clinical value of a pharmacist within ACT was demonstrated in a six
month retrospective review of pharmacist interventions published in 2010. A
total of 80 recommendations were made involving medication adjustments, labs
and adverse events. Having a pharmacist on an ACT team has the potential to
significantly decrease medicationrelated complications and improve treatment
adherence. Conclusion: ACT is a valuable and essential psychiatric treatment
for persons with severe and persistent mental illnesses. This innovative
service allows not only for the incorporation of the clinical pharmacist
into evidence-based practice, but also provides financial compensation for
services provided.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug therapy
group therapy
human
pharmacist
therapy
EMTREE MEDICAL INDEX TERMS
compensation
consultation
evidence based practice
funding
medical specialist
mental disease
mental health
nurse
patient care
patient compliance
physician
procedures
professional practice
psychiatric treatment
psychiatrist
substance abuse
United States
vocation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190013487674
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 195
TITLE
Effectiveness of educational intervention in improving knowledge and
perception among healthcare providers at a community based hospital
AUTHOR NAMES
Gupta A.
Wong I.
Chan T.
Khazal S.
Sedrak A.
Sadanandan S.
AUTHOR ADDRESSES
(Gupta A.; Wong I.; Chan T.; Khazal S.; Sedrak A.; Sadanandan S.) Brooklyn
Hospital Center, Brooklyn, United States.
CORRESPONDENCE ADDRESS
A. Gupta, Brooklyn Hospital Center, Brooklyn, United States.
SOURCE
Pediatric Blood and Cancer (2013) 60 SUPPL. 2 (S83-S84). Date of
Publication: June 2013
CONFERENCE NAME
26th Annual Meeting of the American Society of Pediatric
Hematology/Oncology, ASPHO 2013
CONFERENCE LOCATION
Miami, FL, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
1545-5009
BOOK PUBLISHER
Wiley-Liss Inc.
ABSTRACT
Background: Sickle cell disease (SCD) patients often face barriers to
optimal medical care due to inadequate knowledge and misperceptions among
healthcare providers. Furthermore, mistrust of patient's subjective
reporting of pain as well as stigmatization and bias leads to inadequate
pain management. Objectives: To evaluate knowledge and perceptions about SCD
among healthcare providers at The Brooklyn Hospital Center (TBHC) and to
assess the effectiveness of interactive educational session in improving
knowledge and eliminating misperceptions. Design/Method: Multiple
interactive educational seminars were conducted where a paired pre and post
seminar 26-point anonymous questionnaire was distributed at the beginning
and end of sessions. Participation was voluntary and included physicians,
medical students, nurses, physician assistants and other support staff
including pharmacists and patient care associates. Eighteen questions
addressed knowledge (sub-grouped into pathophysiology (8), clinical
presentation (6) and management (4)) while 8 focused on perceptions
(sub-grouped into addiction (4) and impact on quality of life (4)) of the
health care staff. The primary outcome was measured by the change in
individual scores between the pre and post-intervention responses. Paired
t-test was utilized to analyze change in mean score of the participants.
Results: Of the 540 participants (representing 25% of TBHC employees), 339
(63%) were physicians and nurses, 62% (n=331) being female. Asians (37%) and
African- Americans (30%) constituted majority of participants. Educational
intervention resulted in significant improvement in cumulative score for
knowledge and perception (71% vs. 83%; p<0.001), as well as in respective
subgroups (except impact on quality of life). Misperception about addiction
in SCD patients decreased significantly post-intervention (p<0.001).
Remarkable difference was observed in questions related to knowledge about
disease management (mean score 3.5 vs. 5.2; p<0.001), pathophysiology (5.1
vs. 6.3; p<0.001) and perception about addiction (2.1 vs. 2.7; p<0.001).
Significant improvement in knowledge and perception was also noticed in
these sub-groups when stratified based on gender, race and profession.
Conclusion: Simple, cost-effective educational interventions can help reduce
the barriers to knowledge and misperceptions among healthcare providers
about SCD. Improvement in knowledge and perception translates into better
practice and enhanced quality of care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
health care personnel
hospital
human
society
EMTREE MEDICAL INDEX TERMS
addiction
African American
analgesia
disease management
employee
female
gender
health care
medical care
medical student
nurse
occupation
pain
pathophysiology
patient
patient care
pharmacist
physician
physician assistant
quality of life
questionnaire
sickle cell anemia
Student t test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/pbc.24509
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 196
TITLE
Has nurses been avoiding palliative-end of life care seminars/
workshop/training in Kenya? Is it morphine, death, burn out, burden of work?
AUTHOR NAMES
Rithara S.
AUTHOR ADDRESSES
(Rithara S.) Kenya Medical Training College, Nairobi, Kenya.
(Rithara S.) Ongata Ngong Palliative Care, Kajiado, Kenya.
CORRESPONDENCE ADDRESS
S. Rithara, Kenya Medical Training College, Nairobi, Kenya.
SOURCE
Supportive Care in Cancer (2013) 21 SUPPL. 1 (S82-S83). Date of Publication:
June 2013
CONFERENCE NAME
2013 International MASCC/ISOO Symposium: Supportive Care in Cancer
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2013-06-27 to 2013-06-29
ISSN
0941-4355
BOOK PUBLISHER
Springer Verlag
ABSTRACT
Introduction: Palliative care is an expert care and has potential to greatly
reduce burden and distress of those facing life limiting illness and ability
to offer support. Nurses stay with palliation patients 90 % of their life
hence increasing need for palliative care services. Purpose: To explore the
challenges and fear the nurses have. Method: A survey done September
2010-September 2011, after explaining the purpose of the study, a total of
36 subjects were given questionnaire to complete t he survey between 20 and
45 years old nurses. Outcome: Majority of nurses are willing to do other
specialty away from palliative care. There has been increasing palliative
awareness in the country and short courses. 80 % fear of breaking bad news,
55 % it consume time, 65 % burn out, 50 % fear of prescribing morphine and
addiction, 70 % family dependant, 45 % fear of dealing with death after
work, 40 % course very expensive, 45 % lack of motivation, 80 % work in
rural with no idea of palliative care, 55 % not visited hospices which are
located in big towns, 30 % willing to do home care than hospital care,
student nurses less aware of the palliative care, less trained tutors on
palliative care and clinical instructors. Conclusion: Palliative awareness
especially in the rural set-up, encouragement and financial support for
course. Need Government active participation in palliative care delivery.
Majority of the nurses' work in government sector at the rural set-up who
are willing to work in the palliative field hence supported. Community
awareness in support of the nurses.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
death
human
Kenya
neoplasm
nurse
terminal care
EMTREE MEDICAL INDEX TERMS
addiction
city
community
diseases
fear
financial management
government
home care
hospice
hospital care
motivation
nursing student
palliative therapy
patient
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s00520-013-1798-3
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 197
TITLE
Identifying and reducing barriers to pain management: A unique
hospitalist/pain medicine collaboration
AUTHOR NAMES
Page C.S.
Rizk D.
Calabrese R.
Bookbinder M.
Flores S.E.
Portenoy R.
AUTHOR ADDRESSES
(Page C.S.; Rizk D.; Calabrese R.; Bookbinder M.; Flores S.E.; Portenoy R.)
Beth Israel Medical Center, New York, United States.
CORRESPONDENCE ADDRESS
C.S. Page, Beth Israel Medical Center, New York, United States.
SOURCE
Journal of General Internal Medicine (2013) 28 SUPPL. 1 (S95). Date of
Publication: June 2013
CONFERENCE NAME
36th Annual Meeting of the Society of General Internal Medicine, SGIM 2013
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2013-04-24 to 2013-04-27
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Patient satisfaction scores will soon affect hospital
reimbursement, and effective pain control is a key element of satisfaction
with an inpatient experience. A recent study at a large urban hospital
estimated that 40 % of inpatients have moderate-to-severe pain at least once
during their stay. Despite many strategies devised to manage these episodes,
inpatient pain remains a persistent challenge for hospitals. Categories of
barriers to pain control have been identified, but the frequency of
individual barriers has not been quantified. We describe the prevalence of
barriers and their change over time. METHODS: A Nurse Practitioner (NP) with
experience in pain management visited inpatient units where most patients
were cared for by hospitalists. For every patient with uncontrolled pain
(defined as three scores greater than five in the past 24 h), the NP spoke
with the attending physician, resident, and nurse, and reviewed the chart.
This data was coded into discrete barriers to pain control. RESULTS: Between
February and April, 499 patients had pain on one or more days. 52 % were
female, and the average age was 55. 44 % had a history of chronic pain, 18 %
had a history of psychiatric disease, and 12 % had a history of substance
abuse. A total of 56 potential barriers to pain control were initially
identified. The most frequent barrier, “Presence of a pre-existing chronic
pain syndrome,” was recorded 256 times in February and 253 times in May 2012
(1.2 % decline). The second most frequent barrier, “Pain medication not
changed due to need to observe current therapy” dropped from 113 occurrences
to 2 (99.9 % decrease). 158 patients had uncontrolled pain for three or more
days. During the study, the number of patients with uncontrolled pain for
three or more days dropped from 47 in February to 33 in May (34 % decline,
p=0.083). The total number of unique barriers declined from 32 in the first
month of the study to 21 in the final month (34 %). CONCLUSIONS: The
presence of a dedicated pain management NP making rounds on patients was
associated with a decrease in the recorded barriers to pain control. The
large decline in physicians choosing to “observe current therapy” before
escalating care has several possible explanations. Informal discussion with
a NP experienced in pain management may have given the primary team
confidence to more rapidly escalate care. There may also have been a
Hawthorne effect, in which providers who know they are being observed are
more attentive to pain control. Further research is needed to evaluate the
association between change in barriers and pain scores. Most Frequent
Barriers to Pain Cotrol February 2012 May 2012 % Change Presence of
pre-existing chronic pain syndrome 256 253-1.2 Pain medication not changed
due to need to observe current therapy 113 2-99.9 Pain control difficult due
to severity of medical disease 91 134+48.6 Patient admitted on analgesic
therapy 89 103+22.4 MD concerned about medication side effects 23 10-52.1.
EMTREE DRUG INDEX TERMS
analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
internal medicine
society
EMTREE MEDICAL INDEX TERMS
chronic pain
drug therapy
female
Hawthorne effect
hospital
hospital patient
human
medical staff
mental disease
nurse
nurse practitioner
pain
patient
patient satisfaction
physician
prevalence
reimbursement
satisfaction
side effect
substance abuse
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 198
TITLE
An examination of barriers to nurse practitioner endorsement in senior rural
drug and alcohol nurses in new south wales
AUTHOR NAMES
Ling S.
Curtis J.
Brighton R.
Dunlop A.
AUTHOR ADDRESSES
(Ling S., stephen.ling@hnehealth.nsw.gov.au) Drug and Alcohol, John Hunter
Hospital, Hunter New England Area Health Service, New South Wales,
Australia.
(Ling S., stephen.ling@hnehealth.nsw.gov.au; Dunlop A.) The Faculty of
Health, University of Newcastle, New South Wales, Australia.
(Dunlop A.) Drug and Alcohol Clinical Services, Hunter New England Area
Health Service, New South Wales, Australia.
(Curtis J.; Brighton R.) School of Nursing, Midwifery and Indigenous Health,
University of Wollongong, New South Wales, Australia.
CORRESPONDENCE ADDRESS
S. Ling, Drug and Alcohol, Division of Medicine, John Hunter Hospital,
Locked Bag 1, HRMC, NSW 2305, Australia. Email:
stephen.ling@hnehealth.nsw.gov.au
SOURCE
Collegian (2013) 20:2 (79-86). Date of Publication: June 2013
ISSN
1322-7696
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Introduction and aims: To examine barriers senior rural nurses in New South
Wales drug and alcohol clinical settings perceive when considering
endorsement to Nurse Practitioner (NP). Design and methods: A survey was
designed to record views of senior alcohol and drug nurses in rural New
South Wales about becoming a NP. Participants were identified by Area Health
Service Directors of Drug and Alcohol Services for each Area Health Service
in NSW excluding metropolitan Sydney. Forty eight surveys were distributed,
with 17 (35%) completed surveys included in the results. Results: Of the 17
participants, 12 (70.6%) expressed interest in becoming a NP. The majority
(12, 70.6%) were unaware or unsure of endorsement processes. Lack of clarity
about the NP role and processes and benefits to becoming a NP was found to
be of most concern to all participants. Only 6 participants (35%) indicated
they would consider seeking endorsement to NP. Discussion and conclusion:
Despite agreeing that NP positions in alcohol and drug settings would
improve patient access to treatment and care, senior nurses working in these
settings in regional areas are unfamiliar with pathways to becoming
endorsed. Barriers, such as a lack of internal support from management and
colleagues, as well as the fact that respondents reported no foreseeable
financial gain in endorsement, also need to be addressed, before more nurses
will consider endorsement. Further evaluation of the views of senior nurses
in metropolitan alcohol and other drug settings in the process to NP
endorsement is needed before clients will benefit from the expertise and
enhanced care that NP's may provide. © 2012 Australian College of Nursing
Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
career mobility
health personnel attitude
nurse practitioner
rural health care
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
female
health care survey
human
male
manpower
middle aged
nursing
nursing education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23898595 (http://www.ncbi.nlm.nih.gov/pubmed/23898595)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.colegn.2012.03.010
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 199
TITLE
Medication safety at a German University Hospital-results of a pilot project
AUTHOR NAMES
Lenssen R.
Heidenreich A.
Schulz J.B.
Trautwein C.
Jaehde U.
Eisert A.
AUTHOR ADDRESSES
(Lenssen R., rlenssen@ukaachen.de; Heidenreich A.; Schulz J.B.; Trautwein
C.; Eisert A.) Hospital Pharmacy, University Hospital Aachen, Steinbergweg
20, Aachen, Germany.
(Lenssen R., rlenssen@ukaachen.de; Jaehde U.) Department of Clinical
Pharmacy, Institute of Pharmacy, University of Bonn, Germany.
CORRESPONDENCE ADDRESS
R. Lenssen, Hospital Pharmacy, University Hospital Aachen, Steinbergweg 20,
Aachen, Germany. Email: rlenssen@ukaachen.de
SOURCE
International Journal of Clinical Pharmacy (2013) 35:3 (494-495)
CONFERENCE NAME
8th Working Conference of the Pharmaceutical Care Network Europe
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2013-02-06 to 2013-02-08
ISSN
2210-7703
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Aim of project/study The success of medication therapy is limited by
drug-related problems (DRP). Furthermore, these problems influence
medication safety. Pharmaceutical care service aims at reducing these DRP. A
pilot project was conducted at the University Hospital of Aachen. The aim of
this project was to reveal whether the implementation of a pharmaceutical
care service on wards is feasible. In this context, we evaluated the need
for pharmaceutical care for elderly and younger patients by separating the
two groups at the age of 65. Additionally, we investigated which care
setting is most vulnerable for DRP. Method The patients enrolled in this
project received pharmaceutical care during their stay on the cooperating
wards. For each patient, a drug information service based on DRP was
provided. The DRP were classified using the APS-Doc system.1 Each DRP was
analysed regarding to the step of the medication process at which the
problem occurred. Results The occurrence of more than two DRP per patient
confirm the need for pharmaceutical care [average: 2.3 DRP/patient, min: 0,
max: 11 DRP/patient]. Furthermore, the offered pharmaceutical care service
was highly accepted on the wards: 77 % of the recommendations were
translated into practice. Significantly more drug-related problems (2.5 vs.
1.9 DRP) were observed in the group of the elderly patients compared to the
younger ones (p<0.05). Of all detected DRP, 37 % were in the existing drug
therapy on admission of the patient to the ward. Further DRP occurred at the
transition of care (27 %), whereas 36 % took place during hospital stay.
Conclusion The presented results clearly reveal the necessity for
pharmaceutical care. The second part of the research project focuses on
elderly patients, especially home-cared patients and nursing home residents.
Moreover, the effectiveness and benefit of pharmaceutical care service is
currently being evaluated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
Europe
pharmaceutical care
pilot study
safety
university hospital
EMTREE MEDICAL INDEX TERMS
aged
drug information
hospitalization
human
nursing home patient
patient
therapy
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-013-9773-0
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 200
TITLE
Promotion of mental health: Higher education students
AUTHOR NAMES
Borges E.
Sequeira C.
Carvalho J.C.
Sousa C.
AUTHOR ADDRESSES
(Borges E., elizabete@esenf.pt; Sequeira C.; Carvalho J.C.; Sousa C.) Escola
Superior de Enfermagem do Porto, Portugal.
CORRESPONDENCE ADDRESS
E. Borges, Escola Superior de Enfermagem do Porto, Portugal. Email:
elizabete@esenf.pt
SOURCE
Atencion Primaria (2013) 45 SUPPL. 2 (99-100). Date of Publication: May 2013
CONFERENCE NAME
1st World Congress of Children and Youth Health Behaviors / 4th National
Congress on Health Education
CONFERENCE LOCATION
Viseu, Portugal
CONFERENCE DATE
2013-05-23 to 2013-05-25
ISSN
0212-6567
BOOK PUBLISHER
Ediciones Doyma, S.L.
ABSTRACT
Introduction: Higher education students experience trancisions processes
during theirs academic period that are conditioned by different factors. The
consumption of aditive substances as psychotropics, alcohol and drugs is a
reality (Botti et al, 2010) with repercussions in student's mental health.
Objectives: Evaluate the mental health of the nursing students relatively to
mental vulnerability, towards the mental health inventory (Ribeiro, 1999).
Methods: It is an exploratory and descriptive type of study, integrated
within the paradigm of quantitative research. The sample is made up of
nursing students of a school in the North of Portugal (N = 318 students).
The instrument for collecting data was the mental health inventory (Ribeiro,
1999). Results: We verified that 35.5% are 4th grade students. We emphasize
that in the last month: 48.5% referred loneliness, 48.2% felt nervous and
apprehensive; 68.6% felt tense and angry; 59.3% felt sad; 65% showed to be
anxious and worried; 45.3% referred feeling under great pressure and stress
and 61.4% felt depressed. The results point out a statistically significant
association between gender and the practice of physical exercise (male
students practice more physical exercise than female ones, p < 0.005) and
with the consumption of alcoholic drinks (male students consume more than
the female ones, p < 0.002). The students who consume tranquillizers feel
more depressed (p < 0.027); more nervous (p < 0.047) and with few
expectations for the future (p < 0.037). Conclusions: These data are
relevant as they allow intervening at the level of the prevention of the
disease - in the depression towards the intervention in student who consume
tranquillizers and the level of health promotion towards the interventionin
healthy living styles.
EMTREE DRUG INDEX TERMS
alcohol
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
education
health behavior
health education
human
juvenile
mental health
student
EMTREE MEDICAL INDEX TERMS
alcoholic beverage
exercise
female
gender
health promotion
loneliness
male
nursing student
Portugal
prevention
school
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0212-6567(13)70033-7
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 201
TITLE
Screening for Substance Abuse in Women's Health: A Public Health Imperative
AUTHOR NAMES
Goodman D.J.
Wolff K.B.
AUTHOR ADDRESSES
(Goodman D.J., daisyjgoodman@gmail.com; Wolff K.B.) Dartmouth Institute for
Health Care Policy and Clinical Practice, United States.
CORRESPONDENCE ADDRESS
D.J. Goodman, 566 Hanover Center Rd., Hanover, NH 03755, United States.
Email: daisyjgoodman@gmail.com
SOURCE
Journal of Midwifery and Women's Health (2013) 58:3 (278-287). Date of
Publication: May/June 2013
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Alcohol and drug use is a significant public health problem with particular
implications for the health and safety of women. Women who abuse these
substances are more likely to have untreated depression and anxiety and are
at higher risk for intimate partner violence, homelessness, incarceration,
infectious disease, and unplanned pregnancy. Substance abuse during
pregnancy places both mother and fetus at risk for adverse perinatal
outcomes. Data regarding the prevalence of substance abuse in women are
conflicting and difficult to interpret. On the clinical level, strong
arguments exist against routine urine drug testing and in favor of the use
of validated instruments to screen women for drug and alcohol use both in
primary women's health care and during pregnancy. A number of sex-specific
screening tools are available for clinicians, some of which have also been
validated for use during pregnancy. Given the risks associated with
untreated substance abuse and dependence in women, the integration of drug
and alcohol screening into daily clinical practice is imperative. This
article reviews screening tools available to providers in both the prenatal
and primary women's health care settings and addresses some of the
challenges raised when women screen positive for drug and alcohol abuse. ©
2013 by the American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
buprenorphine (drug combination, drug therapy)
buprenorphine plus naloxone (drug therapy)
dolphine
methadone (drug combination, drug therapy)
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
mass screening
substance abuse
women's health
EMTREE MEDICAL INDEX TERMS
article
clinical practice
comorbidity
cost control
criminal law
drug screening
emergency care
geographic distribution
health care access
health care cost
health care policy
hospitalization
human
motivational interviewing
opiate addiction (drug therapy)
patient referral
pregnancy
prevalence
primary health care
priority journal
prison
public health service
risk reduction
screening test
traffic accident
United States
urinalysis
DRUG TRADE NAMES
dolphine
suboxone
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013379145
MEDLINE PMID
23631601 (http://www.ncbi.nlm.nih.gov/pubmed/23631601)
FULL TEXT LINK
http://dx.doi.org/10.1111/jmwh.12035
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 202
TITLE
Will mothers of sick children help their husbands to stop smoking after
receiving a brief intervention from nurses? Secondary analysis of a
randomised controlled trial
AUTHOR NAMES
Chan S.S.C.
Wong D.C.N.
Lam T.-H.
AUTHOR ADDRESSES
(Chan S.S.C., nssophia@hku.hk; Wong D.C.N., cnwong@hkucc.hku.hk) School of
Nursing, University of Hong Kong, 4/F William M W Mong Block, 21 Sassoon
Road, Pokfulam, Hong Kong.
(Lam T.-H., hrmrlth@hku.hk) School of Public Health, University of Hong
Kong, 5/F William M W Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong.
CORRESPONDENCE ADDRESS
S.S.C. Chan, School of Nursing, University of Hong Kong, 4/F William M W
Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. Email: nssophia@hku.hk
SOURCE
BMC Pediatrics (2013) 13:1 Article Number: 50. Date of Publication: 8 Apr
2013
ISSN
1471-2431 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., Floor 6, 236 Gray's Inn Road, London, United Kingdom.
ABSTRACT
Background: Second-hand smoke is a severe health hazard for children.
Clinical guidelines suggest that nurses advise smoking parents to quit when
they accompany their sick children to paediatric settings, but the
guidelines did not mention what nurses can do if the parents are not with
the children. This study examines the effectiveness of a low-intensity,
nurse-led health instructional initiative for non-smoking mothers, to
motivate them to take action to help their husbands stop smoking.Methods:
This was a randomised controlled trial and 1,483 non-smoking women, who were
living with husbands who do smoke, were recruited when they accompanied with
their sick children on hospital admission in general paediatic
wards/outpatient departments of four hospitals in Hong Kong. The women were
randomly allocated into intervention and control groups. The former received
brief health education counselling from nurses, a purpose-designed health
education booklet, a " no smoking" sticker, and a telephone reminder one
week later; the control group received usual care. The primary outcome was
the women" s action to help their smoking husbands stop smoking at 3-, 6-
and 12-month follow-ups.Results: A higher proportion of women in the
intervention than the control group had taken action to help their husbands
stop smoking at the 3-month (76% vs. 65%, P < .001), 6-month (66% vs. 49%, P
< .001) and 12-month (52% vs. 40%, P < .001) follow-ups. Women who had
received the intervention, had better knowledge of the health hazards of
smoking, higher intention to take action, perceived their husbands'
willingness to stop/reduce smoking, had previously advised their husbands to
give up smoking, were aware of their husbands' history of smoking and, were
aware that their husbands had made an earlier quit attempt and intended to
help them stop smoking at the follow-ups.Conclusions: A brief health
education intervention by nurses in paediatric settings can be effective in
motivating the mothers of sick children to take action to help their
husbands quit smoking. We recommend adding the following to the clinical
practice guidelines on treating tobacco use and dependence: 'Nurses should
offer every non-smoking mother of a sick child brief advice to encourage
their husbands to stop smoking'.Trial registration: Current Controlled
Trials ISRCTN72290421. © 2013 Chan et al.; licensee BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family counseling
health education
passive smoking
paternal smoking
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
awareness
controlled study
female
follow up
general hospital
health hazard
Hong Kong
hospital admission
human
human experiment
knowledge
mother
multicenter study
normal human
nurse
outcome assessment
outpatient department
randomized controlled trial
risk reduction
smoking habit
teleconsultation
ward
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
CLINICAL TRIAL NUMBERS
ISRCTN (ISRCTN72290421)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013247501
MEDLINE PMID
23565835 (http://www.ncbi.nlm.nih.gov/pubmed/23565835)
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2431-13-50
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 203
TITLE
Relationship of internet game addiction and autonomic function in
adolescents
AUTHOR NAMES
Kim N.-H.
Kong I.D.
AUTHOR ADDRESSES
(Kim N.-H.) Basic Nursing Scence, Keimyung University, College of Nursing,
Daegu, South Korea.
(Kong I.D.) Department of Physiology, Yonsei University, College of
Medicine, Wonju, South Korea.
CORRESPONDENCE ADDRESS
N.-H. Kim, Basic Nursing Scence, Keimyung University, College of Nursing,
Daegu, South Korea.
SOURCE
FASEB Journal (2013) 27 Meeting Abstracts. Date of Publication: April 2013
CONFERENCE NAME
Experimental Biology 2013, EB
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2013-04-20 to 2013-04-24
ISSN
1530-6860
BOOK PUBLISHER
FASEB
ABSTRACT
The purpose of this study was to identify the relationship of internet game
addiction and autonomic function in adolescents. The subjects of this study
were 140 high school students. Data were collected from July to September,
2012, using a questionnaire for measuring internet game addiction, stress
and anxiety, and blood serum cortisol level for autonomic function. Data
were analyzed using descriptive analysis, t-test, ANOVA and Pearson
correlation coefficient with SPSS/WIN 15.0. The stress level of internet
game addiction group was significant higher than the stress level of the
non-addiction group (t=-5.06, p<.001). The anxiety score was also
significant high in the group of internet game addiction (t=-4.90, p<.001).
Serum cortisol level was higher in internet game addiction group than
non-addiction adolescents. There were significant positive correlations
between daily internet game time and the score of stress and anxiety. These
results showed that internet game addiction could increase sympathetic
activities in high school adolescents. Thus, nursing approach to relieve the
internet game addiction could be helpful to prevent cardiovascular distress
due to autonomic imbalance in their future.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
adolescent
human
Internet
EMTREE MEDICAL INDEX TERMS
analysis of variance
anxiety
correlation coefficient
high school
high school student
hydrocortisone blood level
nursing
questionnaire
serum
Student t test
sympathetic tone
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 204
TITLE
Changing the face of pain through pharmacy pain consults
AUTHOR NAMES
Nair H.
AUTHOR ADDRESSES
(Nair H.) IU Health, West Avon, United States.
CORRESPONDENCE ADDRESS
H. Nair, IU Health, West Avon, United States.
SOURCE
Journal of Pain (2013) 14:4 SUPPL. 1 (S89). Date of Publication: April 2013
CONFERENCE NAME
32nd Annual Scientific Meeting of the American Pain Society
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2013-05-09 to 2013-05-11
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
Changing the Face of Pain through Pharmacy Pain Consults at a Small
Community Hospital. In 2010, IU HealthWest Hospital ranked in the 12th
percentile in our value based purchasing pain score. In April of 2010 we
implemented a multidisciplinary Pain Resource Nurse and Colleague program
with the stated aim to improve our patient experience scores for pain
management. After two days of classroom education, this core group met
monthly to identify weaknesses in our practice methods, and to look for key
strategies to support improvements in pain management. Very early in our
Pain Committee evolution it was identified some staff had misunderstandings
and misperceptions about the nuances of appropriate pain management.
Pharmacological knowledge about various pain medications was identified as
an area that needed improvement. The pharmacist on the Pain Resource and
Colleague committee agreed to help educate the both physicians and nursing
staff. This education was done in phases due to the varying shifts and
staffing issues. After initial positive feedback, colleagues from physical
therapy and occupational therapy requested pharmacy education in the area of
pain management. This content was added for all new caregivers joining our
team. Our pain scores improved somewhat following this education, but were
still below our desired preeminent level. The Pain Committee advocated for
the initiation of a Pharmacy Pain Consult program to further support
patients experiencing unrelieved pain, chronic pain or who had addiction
issues. It was recognized that the pharmacists could share their
understanding of the pharmacology and pharmacokinetics of pain medications
with physicians and nurses who might need further education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
pharmacy
society
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
caregiver
chronic pain
community hospital
drug therapy
education
hospital
human
nurse
nursing staff
occupational therapy
patient
pharmacist
pharmacokinetics
pharmacology
physician
physiotherapy
positive feedback
purchasing
weakness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2013.01.695
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 205
TITLE
A nurse led pre admission education program for elective adult cardiac
surgical patients-a pilot study using an interdiscplinary approach
AUTHOR NAMES
Laws E.
Pucciarelli A.
Biagioni A.
Guerra A.
Chiaramonti F.
Nardini F.
Marotta M.
AUTHOR ADDRESSES
(Laws E.; Pucciarelli A.; Biagioni A.; Guerra A.; Chiaramonti F.; Nardini
F.; Marotta M.) Gabriele Monasterio Foundation CNR/Region Toscana, Heart
Hospital, Massa, Italy.
CORRESPONDENCE ADDRESS
E. Laws, Gabriele Monasterio Foundation CNR/Region Toscana, Heart Hospital,
Massa, Italy.
SOURCE
European Journal of Cardiovascular Nursing (2013) 12 SUPPL. 1 (S4-S5). Date
of Publication: April 2013
CONFERENCE NAME
EuroHeartCare 2013
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2013-03-22 to 2013-03-23
ISSN
1474-5151
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Background: Pre operative anxiety is well documentated. Patients and their
families on an elective waiting list can experience anxiety about the
procedure and hospital admission which is heightened when there is
postponement. Cardiac surgical activity in our institute has a 30%-40%
emergency admission incidence which means that elective waiting times are
6-7 months with continuous postponements. Aim: Reduce pre operative anxiety.
Involve patients and families in care. Fill educative gaps and unify
information. Reduce client complaints. Method: The TRIAD riahabilitation
model used in alcohol abuse treatment was adapted. It uses a multidisplinary
approach stressing psychological support and educational input to motivate
patients and families to collaborate in care with opportunities to discuss
any worries. The team involved are a clinical psychologist, a cardiac
surgeon, and an admission nurse. Slides and an information leaflet were
prepared. Patients are contacted 2 weeks pre admission and invited with
family members to attend the weekly meeting (lasting about 2 hours).
Patients complete a questionaire at the end of the meeting. Results: May-
August 2012, 13 meetings; 129 patients: 76 male, 53 female. Age range 20
years-87 years (mean age 68.5 years), see Table 1. Conclusion: The majority
of patients were highly satisfied. In a busy work enviroment this program
has given us an important space in which to explain and clarify care.
Patients say they feel more secure. The psycologist has the opportunity to
identify patients who may require more support during hospital stay. We
intend to use the Hospital Anxiety and Depression Score (HADS) to see if
anxiety levels are reduced. (Table presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
education program
human
nurse
pilot study
surgical patient
EMTREE MEDICAL INDEX TERMS
alcohol abuse
anxiety
cardiac surgeon
clinical psychology
emergency
female
hospital
hospital admission
hospitalization
male
model
patient
patient worry
procedures
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/1474515113477019
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 206
TITLE
Nurse efficiency of the intervention through an educational program to
reduce smoking in cardiology unit for acute event
AUTHOR NAMES
Mesa Rico R.
Rejon Amores M.
Timonet Andreu E.
Rodriguez Alarcon P.
Amor Perino T.
Rodriguez Martinez J.L.
Garcia Jarillo C.
Dominguez Naranjo A.
Escalona Aguilar A.
AUTHOR ADDRESSES
(Mesa Rico R.; Rejon Amores M.; Timonet Andreu E.; Rodriguez Alarcon P.;
Amor Perino T.; Rodriguez Martinez J.L.; Garcia Jarillo C.; Dominguez
Naranjo A.; Escalona Aguilar A.) Agencia Sanitaria Costa del Sol, Marbella.
Málaga, Spain.
CORRESPONDENCE ADDRESS
R. Mesa Rico, Agencia Sanitaria Costa del Sol, Marbella. Málaga, Spain.
SOURCE
European Journal of Cardiovascular Nursing (2013) 12 SUPPL. 1 (S40-S41).
Date of Publication: April 2013
CONFERENCE NAME
EuroHeartCare 2013
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2013-03-22 to 2013-03-23
ISSN
1474-5151
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Introducction and objectives: The smoking cessation reduces mortality in
patients who have suffered a coronary event, so the motivation of these
patients to stop smoking is very high. The aim of this study is to evaluate
the efficiency of a smoking cessation programin patients who have suffered
acute coronary event. Material and methods: Prospective quasi-experimental
study of 46 smokers who were admitted to the cardiology unit over a period
of three months with an acute coronary event, including a smoking cessation
program. Once detected, the patient underwent a smoker nursing interview
which assessedthe degree of motivation to quit smoking, the level of
nicotine dependence and the phase of stage of change in which they were.
Results: Of the 189 entries in the cardiology unit showed a smoking
prevalence of 24.33%. In smokers there was a withdrawal at three months of
53.7% and a reduction in consumption of 52.6%. There were statistically
significant (p = 0.001) between dropping the three months and the
motivation. As for neglect and the level of nicotine dependence using the
Fagerström test, we found no statistically significant differences (p =
0.833). Twice as many smokers in preparation / action against those who were
in pre / contemplation stopped smoking, but no significant differences (p =
0.096). Conclusions: Hospitalization in a cardiac unit after an acute
coronary event is a good time to start a smoking cessation program. The
nursing intervention through an educational program in coronary patients has
shown favorable results regarding smoking cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
human
nurse
smoking
EMTREE MEDICAL INDEX TERMS
hospitalization
interview
mortality
motivation
nursing
nursing intervention
patient
prevalence
quasi experimental study
smoking cessation
smoking cessation program
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/1474515113477019
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 207
TITLE
Integrating procedural care with addiction support: an example from a PICC
nurse.
AUTHOR NAMES
Wilson K.M.
AUTHOR ADDRESSES
(Wilson K.M.) Procedure Center, Community Hospital of Grand Junction, Grand
Junction, CO, USA.
CORRESPONDENCE ADDRESS
K.M. Wilson, Procedure Center, Community Hospital of Grand Junction, Grand
Junction, CO, USA. Email: kathleenparkerwilson@gmail.com
SOURCE
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
(2013) 22:2 (128-130, 135). Date of Publication: 2013 Mar-Apr
ISSN
1092-0811
ABSTRACT
Alcohol-related problems are substantial in this society. In support of
national health goals, increased effectiveness of hospital-provided care,
and patient's well-being, hospital nurses are called to address the issue of
addiction and recovery with patients and their families. SBIRT involve a set
of strategies useful for this purpose. Nurse-led use of SBIRT strategies
into hospital procedural care was demonstrated through the scenario. This
technique is applicable to patient encounters during most direct-care
inpatient procedures.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol liver disease
alcoholism
patient education
patient referral
social support
EMTREE MEDICAL INDEX TERMS
article
counseling
human
male
methodology
middle aged
nurse patient relationship
nursing
nursing staff
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23802502 (http://www.ncbi.nlm.nih.gov/pubmed/23802502)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 208
TITLE
Teen dating abuse: recognition and interventions.
AUTHOR NAMES
Freeman S.A.
Rosenbluth B.
Cotton L.
AUTHOR ADDRESSES
(Freeman S.A.) Dell Children's Medical Center, Austin, TX, USA.
(Rosenbluth B.; Cotton L.)
CORRESPONDENCE ADDRESS
S.A. Freeman, Dell Children's Medical Center, Austin, TX, USA.
SOURCE
NASN school nurse (Print) (2013) 28:2 (79-82). Date of Publication: Mar 2013
ISSN
1942-602X
ABSTRACT
Teen dating abuse, also known as teen dating violence, is a significant
public health issue. Adolescents with a history of dating abuse may struggle
academically and experience increased risk for serious injury or even death.
They may engage in risky sexual behavior, substance abuse, and unhealthy
dieting and exhibit suicidal behaviors. School nurses may be the first
adults that teens confide in when experiencing dating abuse and may lack the
knowledge and skills to intervene with teens involved in unhealthy dating
relationships. Beginning in 2008, Dell Children s Medical Center in Austin,
Texas, partnered with SafePlace (a local nonprofit that serves survivors of
sexual and domestic violence) to address dating abuse. This collaboration is
part of Start Strong Austin, one of 11 communities nationwide participating
in the Start Strong: Building Healthy Teen Relationships Initiative funded
by the Robert Wood Johnson Foundation. The Start Strong model employs
innovative strategies in education, community engagement, policy change, and
social marketing to prevent dating abuse before it starts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent behavior
high risk behavior
school health nursing
sexual crime (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
education
female
human
male
methodology
nursing education
personnel management
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23600090 (http://www.ncbi.nlm.nih.gov/pubmed/23600090)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X12469410
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 209
TITLE
Association between fatigue and Internet addiction in female hospital nurses
AUTHOR NAMES
Lin S.-C.
Tsai K.-W.
Chen M.-W.
Koo M.
AUTHOR ADDRESSES
(Lin S.-C.; Tsai K.-W.) Department of Geriatrics, Buddhist Dalin Tzu Chi
General Hospital, Chiayi, Taiwan.
(Chen M.-W.) Department of Nursing, Buddhist Dalin Tzu Chi General Hospital,
Chiayi, Taiwan.
(Koo M., m.koo@utoronto.ca) Dalla Lana School of Public Health, University
of Toronto, ON, Canada.
CORRESPONDENCE ADDRESS
M. Koo, Dalla Lana School of Public Health, University of Toronto, ON,
Canada. Email: m.koo@utoronto.ca
SOURCE
Journal of Advanced Nursing (2013) 69:2 (374-383). Date of Publication:
February 2013
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims. To report a study conducted to examine the association between fatigue
and Internet addiction among female hospital nurses. Background. The
Internet provides unprecedented convenience for social interaction and
information retrieval. Although excessive Internet use has been demonstrated
to correlate with fatigue in adolescents, no studies have examined whether
it is associated with fatigue in nurses. Design. Cross-sectional survey.
Methods. The study was conducted in August 2010. Female Registered Nurses
working in a regional teaching hospital in southern Taiwan were asked to
complete a paper-based questionnaire. The questionnaire included questions
on demographics, the Chen Internet Addiction Scale and the Chalder Fatigue
Scale. Multiple linear regression analysis was performed using Chalder
fatigue scale as the dependent variable. Results. Of the 564 (79% response)
valid questionnaires returned, 6 and 10% of the participants were classified
as diagnostic cases and possible cases of Internet addiction, respectively.
Fatigue levels, adjusting for other potential confounders including work
unit, shift work, regular self-medication, and self-perceived health status,
was significantly associated with both possible cases of Internet addiction
and diagnostic cases of Internet addiction. Conclusion. This study is the
first in reporting a statistically significant association between fatigue
levels and Internet addiction in female hospital nurses. Relevance to
clinical practice. Nurses should pay attention to their Internet activity
and whether it adds to their fatigue levels. Addictive behaviour should
promptly be dealt with to ensure that the best care is provided to patients.
© 2012 Blackwell Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
fatigue (etiology)
Internet
nurse
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
female
human
middle aged
nursing staff
psychological aspect
Taiwan
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22515191 (http://www.ncbi.nlm.nih.gov/pubmed/22515191)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2012.06016.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 210
TITLE
Opioid remsdprescriber education that is relevant, case based, and addresses
the tough issues (P19)
AUTHOR ADDRESSES
SOURCE
Journal of Pain and Symptom Management (2013) 45:2 (328-329). Date of
Publication: February 2013
CONFERENCE NAME
Annual Assembly of the American Academy of Hospice and Palliative Medicine
and the Hospice and Palliative Nurses Association, AAHPN/NPNA 2013
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2013-03-13 to 2013-03-16
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Objectives 1. Summarize why risk evaluation and mitigation strategies (REMS)
are necessary for opioid drugs. 2. Effectively assess benefits and risks of
prescribing extended release/long-acting (ER/ LA) opioids. 3. Define the
concepts and federal and state regulations regarding effectively initiating,
modifying dosing, and discontinuing ER/LA opioids. 4. Apply strategies to
effectively manage risk of side-effects, abuse, or diversion. 5. Counsel
patients and families about general characteristics, risks, and safe
management of ER/LA opioids. 6. Apply general information and specific
characteristics of ER/LA opioids in practice. The US Food and Drug
Administration (FDA) has determined that a risk evaluation and mitigation
strategy (REMS) is required for extended- release and long-acting opioid
medications to ensure that their benefits outweigh their risks. AAHPM has
been a strong advocate of availability of these medications for use in
palliative and hospice care settings while acknowledging the significant
increase of unintentional deaths, emergency department visits, and
admissions to substance abuse treatment due to abuse of pain relievers.
Prescriber education and patient education are vital components of these
REMS. This workshop will cover all six content areas defined in the FDA's
Blueprint for Prescriber Continuing Education Program refined specifically
for hospice and palliative care prescribers. While prescriber education is
currently voluntary, mandates are anticipated through federal legislation in
the near future. Anticipate an engaging, case-based session that informs
your practice going forward.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
hospice
human
nurse
palliative therapy
EMTREE MEDICAL INDEX TERMS
abuse
continuing education
death
drug therapy
education program
emergency ward
food and drug administration
hospice care
law
pain
patient
patient education
risk
side effect
substance abuse
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2012.10.025
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 211
TITLE
Health risk screening practices by providers and associated factors among
university students in hong kong
AUTHOR NAMES
Abraham A.
Lau C.-H.
Wong L.
Kim J.H.
AUTHOR ADDRESSES
(Abraham A.; Lau C.-H.; Kim J.H.) Chinese University of Hong Kong, Hong
Kong.
(Wong L.) Private Practice, Hong Kong.
CORRESPONDENCE ADDRESS
A. Abraham, Chinese University of Hong Kong, Hong Kong.
SOURCE
Journal of Adolescent Health (2013) 52:2 SUPPL. 1 (S46). Date of
Publication: February 2013
CONFERENCE NAME
2013 Annual Meeting of the Society for Adolescent Health and Medicine, SAHM
2013
CONFERENCE LOCATION
Atlanta, GA, United States
CONFERENCE DATE
2013-03-13 to 2013-03-16
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Purpose: The prevalence of health issues such as depression, eating
disorders and internet addiction has increased significantly among teens in
Hong Kong. Despite the importance of targeted health risk behaviour
screening and counselling for adolescents on issues such as mental health,
body image, drug and alcohol use and sexual activity, there is very limited
information regarding actual screening practices by health providers in Hong
Kong. This study was conducted to determine the frequency of specific
screening and counselling practices by providers as well as the associated
barriers to screening during health visits among university students in Hong
Kong. Methods: In 2011, a cross sectional study was conducted among 469
randomly selected incoming medical, nursing, public health and pharmacy
students to a public university in Hong Kong using a self-administered
questionnaire. Questionnaires were collected while students attended a
required health check-up in the university health service. Descriptive
statistics were generated by SPSS 16.0. Results: The mean age of students
was 19 years and 66% were female. The majority of students received care in
the private system (64%) and saw a traditional Western practitioner (75.9%).
Only 1/2 (49.5%) reported that the visit was conducted in a confidential
manner. The main reasons for visits were for acute visits (44.8%), followed
by routine health checks (14.7%) Students reported having problems in the
last five years with school issues (18.6%), depression (17.1%), body image
(16.8%), and internet overuse (11.3%). However, providers only infrequently
asked about school issues (3.2%) depression (4.3%), body image (.9%), and
internet overuse (2.8%) during encounters. In addition, providers rarely
asked about sexual activity (.6%), condom use (.4%) and drug/ alcohol use
(1.3%). Only 2.1% of providers used a written or electronic screening
questionnaire to ask about health behaviours. The majority of students cited
that they were comfortable and honest in discussing personal information
related to dietary habits (80.6%), sleep (77.8%), and depression and stress
(59.7%) but less so for drug use (39.9%), sexual activity (34.1%) and sexual
identity (35.8%). Some participants responded (40.9%) that they would feel
shocked if their provider asked about personal behaviours such as drug use
or sexual activity when the student visited for a routine URI and nearly 1/2
(53.7%) did not consider it part of the physician's job to ask about such
issues. Main barriers reported by students to disclosing personal
information included feeling ashamed (71%) and fear of disclosure to parents
(19%). Conclusions: Depression, body image concerns, and internet addiction
are important health problems among adolescents in Hong Kong. However,
students in this study were infrequently screened or counselled about these
issues during visits. Health providers are missing important opportunities
to provide preventive care. The use of a standardized written or electronic
screening questionnaire could be a useful adjunct to current care. In
addition, a more comprehensive approach which is confidential and culturally
appropriate should be adopted to improve the health of adolescents and young
adults in Hong Kong.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent health
health hazard
Hong Kong
human
screening
society
university student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol consumption
body image
condom
counseling
cross-sectional study
drug use
eating disorder
fear
female
gender identity
habit
health
health behavior
health service
Internet
internet addiction
mental health
nursing
parent
pharmacy student
physician
prevalence
public health
questionnaire
school
sexual behavior
sleep
statistics
student
university
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jadohealth.2012.10.109
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 212
TITLE
Homeless trauma patients-a unique challenge
AUTHOR NAMES
Blakely A.M.
Merritt R.
Stephen A.H.
Gregg S.C.
Connolly M.D.
Adams C.A.
Cioffi W.G.
Heffernan D.S.
AUTHOR ADDRESSES
(Blakely A.M.; Merritt R.; Stephen A.H.; Gregg S.C.; Connolly M.D.; Adams
C.A.; Cioffi W.G.; Heffernan D.S.) Division of Trauma and Surgical Critical
Care, Department of Surgery, Brown University, 593 Eddy Street, Providence,
United States.
CORRESPONDENCE ADDRESS
A.M. Blakely, Division of Trauma and Surgical Critical Care, Department of
Surgery, Brown University, 593 Eddy Street, Providence, United States.
SOURCE
Journal of Surgical Research (2013) 179:2. Date of Publication: February
2013
CONFERENCE NAME
8th Annual Academic Surgical Congress of the Association for Academic
Surgery, AAS and the Society of University Surgeons, SUS
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2013-02-05 to 2013-02-07
ISSN
0022-4804
BOOK PUBLISHER
Academic Press Inc.
ABSTRACT
Introduction: Trauma is perceived as a disease of the poor, underserved and
under-insured. The homeless, a subset of low socioeconomic individuals, are
arguably even more disadvantaged. Given high rates of substance abuse,
psychiatric illness, and undiagnosed comorbidities, homeless patients
presents unique challenges to trauma care providers in delivering optimal
in-hospital and post-discharge care. Although a unique population,
increasing in frequency, there is an absence of literature pertaining to the
homeless trauma patient Methods: Retrospective chart review of homeless
trauma victims admitted to a level 1 trauma center from Jan 2008 and Dec
2011. Homelessness was defined in the trauma registry as patients stating no
fixed abode or giving an address of a known homeless shelter. The homeless
population was compared to an age, ISS and gender matched population of
patients of fixed abode. Charts were reviewed for demographics, pre-trauma
health care insurance, mechanism, injury severity score (ISS), toxicology,
length of stay, substance withdrawal, infections, discharge disposition and
mortality. Results: Over the 4 years 134 homeless trauma patients were
admitted. Compared to individuals of fixed abode, homeless patients had
similar age (45.2 vs 52.6 yrs), but dramatically fewer elderly (>/=65yrs)
patients (1.5% vs 32.5%;p<0.001). Health care insurance, although less
frequent than in homed individuals, was surprisingly prevalent among
homeless patients (50.8% versus 78.5%;p<0.001). The Homeless sustained more
penetrating trauma (18.7% vs 8.8%;p<0.001) or assault (34.4% versus
10.2%;p<0.001), significantly less motor vehicle collisions (1.5% vs
18.8%;p<0.001) and less likely to have moderate or severe injury (ISS>/=15)
(9.8% vs 22.1%;p<0.001). Homeless patients had higher rates of positive
toxicology screen for alcohol (76% vs 45.2%;p<0.001) or illicit substances
(72.9% vs 43.7%;p<0.001), and had higher rates of substance withdrawal
(25.4% vs 3.8%;p<.001). In multivariate analysis, there was no difference in
hospital infectious complications (6% vs 8.9%;p=0.3), length of stay (5.8 vs
4.8 days;p=0.2), 30-day readmission (1.5% vs 3.0%;p=0.3), in-hospital
mortality(2.2% vs 4.5%;p=0.47). Homeless patients had higher rates of
signing out against medical advice (AMA) (8.4% vs 0.8%;p<0.001) and lower
rates of discharge to rehabilitation or nursing facility (16% vs
39.4%;p<0.001). Conclusions: Social issues dominate homeless trauma patient
care, with dramatic rates of person on person violence, substance abuse and
subsequent withdrawal. Remarkably few homeless trauma patients were elderly.
Despite high rates of pre-trauma health care insurance homeless patients had
lower utilization of post-hospital resources, marked by very low rates of
discharge to a skilled facility. High rates of leaving AMA may reflect a
lack of faith in health care systems among homeless patients. Understanding
this unique population is essential for delivering optimal care.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
injury
intensive care
patient
society
surgeon
surgery
university
EMTREE MEDICAL INDEX TERMS
aged
assault
emergency health service
gender
health care
health care system
homelessness
hospital
hospital readmission
infection
infectious complication
injury scale
insurance
length of stay
medical record review
mental disease
mortality
motor vehicle
multivariate analysis
nursing
patient care
penetrating trauma
population
register
rehabilitation
substance abuse
toxicology
victim
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 213
TITLE
Effectiveness of antismoking media messages and education among adolescents
in Malaysia and Thailand: Findings from the international tobacco control
southeast asia project
AUTHOR NAMES
Zawahir S.
Omar M.
Awang R.
Yong H.-H.
Borland R.
Sirirassamee B.
Fong G.T.
Hammond D.
AUTHOR ADDRESSES
(Zawahir S., shukry2010@gmail.com; Omar M.; Awang R.) Clearinghouse for
Tobacco Control, National Poison Center, Universiti Sains Malaysia, Pulau
Pinang, Malaysia.
(Zawahir S., shukry2010@gmail.com) School of Pharmacy, Management and
Science University, Shah Alam, Malaysia.
(Yong H.-H.; Borland R.) Cancer Council Victoria, Melbourne, Australia.
(Sirirassamee B.) Institute for Population and Social Research, Mahidol
University, Salaya, Thailand.
(Fong G.T.) Department of Psychology, University of Waterloo, ON, Canada.
(Fong G.T.) Ontario Institute for Cancer Research, Toronto, ON, Canada.
(Hammond D.) Department of Health Studies and Gerontology, University of
Waterloo, ON, Canada.
CORRESPONDENCE ADDRESS
S. Zawahir, National Poison Center, Universiti Sains Malaysia (USM), Pulau
Pinang, Malaysia. Email: shukry2010@gmail.com
SOURCE
Nicotine and Tobacco Research (2013) 15:2 (482-491). Date of Publication:
February 2013
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Introduction: Finding ways to discourage adolescents from taking up smoking
is important because those who begin smoking at an earlier age are more
likely to become addicted and have greater difficulty in quitting. This
article examined whether anti smoking messages and education could help to
reduce smoking susceptibility among adolescents in two Southeast Asian
countries and to explore the possible moderating effect of country and
gender. Methods: Data came from Wave 1 of the International Tobacco Control
Southeast Asia Project (ITC-SEA) survey conducted in Malaysia (n = 1,008)
and Thailand (n = 1,000) where adolescents were asked about receiving
antismoking advice from nurses or doctors, being taught at schools about the
danger of smoking, noticing antismoking messages, knowledge of health
effects of smoking, beliefs about the health risks of smoking, smoking
susceptibility, and demographic information. Data were analyzed using
chi-square tests and logistic regression models. Results: Overall,
significantly more Thai adolescents reported receiving advice from their
nurses or doctors about the danger of smoking (p < .001), but no country
difference was observed for reported antismoking education in schools and
exposure to antismoking messages. Multivariate analyses revealed that only
provision of antismoking education at schools was significantly associated
with reduced susceptibility to smoking among female Malaysian adolescents
(OR = 0.26). Higher knowledge of smoking harm and higher perceived health
risk of smoking were associated with reduced smoking susceptibility among
Thai female (OR = 0.52) and Malaysian male adolescents (OR = 0.63),
respectively. Conclusions: Educating adolescents about the dangers of
smoking in schools appears to be the most effective means of reducing
adolescents' smoking susceptibility in both countries, although different
prevention strategies may be necessary to ensure effectiveness for male and
female adolescents. © The Author 2012. Published by Oxford University Press
on behalf of the Society for Research on Nicotine and Tobacco. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent smoking
health education
mass medium
smoking ban
EMTREE MEDICAL INDEX TERMS
adolescent
article
comparative effectiveness
controlled study
female
health belief
health hazard
health survey
human
international cooperation
Malaysia
male
nurse
physician
priority journal
school health service
sex difference
Thailand
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013064619
MEDLINE PMID
22949569 (http://www.ncbi.nlm.nih.gov/pubmed/22949569)
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/nts161
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 214
TITLE
Effects of Screening, Brief Intervention, and Referral to Treatment (SBIRT)
education and training on nursing students' attitudes toward working with
patients who use alcohol and drugs
AUTHOR NAMES
Puskar K.
Gotham H.J.
Terhorst L.
Hagle H.
Mitchell A.M.
Braxter B.
Fioravanti M.
Kane I.
Talcott K.S.
Woomer G.R.
Burns H.K.
AUTHOR ADDRESSES
(Puskar K.; Gotham H.J.; Terhorst L.; Hagle H.; Mitchell A.M.; Braxter B.;
Fioravanti M.; Kane I.; Talcott K.S.; Woomer G.R.; Burns H.K.) University of
Pittsburgh School of Nursing, Pittsburgh, PA 15261, USA. krp12@pitt.edu
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2013) 34:2 (122-128). Date of
Publication: 2013
ISSN
1547-0164 (electronic)
ABSTRACT
BACKGROUND: Screening, Brief Intervention, and Referral to Treatment (SBIRT)
can reduce alcohol use and negative health outcomes in patients with risky
substance use. However, negative attitudes that some health care
professionals have toward patients who use substances are a barrier to
implementing SBIRT.METHODS: The University of Pittsburgh School of Nursing,
in partnership with the Institute for Research, Education, and Training in
Addictions (IRETA), developed a curriculum to train baccalaureate student
nurses to deliver SBIRT.RESULTS: Following SBIRT education and training,
students' perceived attitudes toward patients who use alcohol became more
positive. Less robust changes were found for attitudes related to patients
who use drugs.CONCLUSIONS: Nurses composing the largest group of healthcare
workers are in key positions to screen, intervene, and provide education
about substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
psychology
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
adult
curriculum
female
health personnel attitude
human
male
middle aged
nursing student
program development
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23577905 (http://www.ncbi.nlm.nih.gov/pubmed/23577905)
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2012.715621
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 215
TITLE
Interdisciplinary education in the addictions: a commentary on the current
status
AUTHOR NAMES
Murphy S.A.
AUTHOR ADDRESSES
(Murphy S.A.) University of Washington, Seattle
SOURCE
Journal of addictions nursing (2013) 24:1 (4-7). Date of Publication: 2013
Jan-Mar
ISSN
1548-7148 (electronic)
ABSTRACT
Educating doctors, nurses, pharmacists, dentists, and social workers in a
shared, patient-centered curriculum, let alone in the same classrooms and
clinics, would appear impractical at best and as an insurmountable task at
worst. Nonetheless, this novel idea is being implemented. This article
traces the concept's development. The proceedings of three national
conferences held in 2010 and 2011 are briefly summarized. Several model
programs are described. Interdisciplinary education in the addictions is in
the early phases. Alternative and complementary forms of health care show
less progress in interprofessional education. Two concerns are noted. These
pertain to the timing of implementation and budget considerations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
interdisciplinary education
procedures
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
human
patient care
public relations
vocational education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24622524 (http://www.ncbi.nlm.nih.gov/pubmed/24622524)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e31828767b7
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 216
TITLE
The impact of clinical experience with alcoholics on Brazilian nursing
students' attitudes toward alcoholism and associated problems.
AUTHOR NAMES
de Vargas D.
AUTHOR ADDRESSES
(de Vargas D.) School of Nursing, University of São Paulo (EEUSP), Brazil.
CORRESPONDENCE ADDRESS
D. de Vargas,
SOURCE
Journal of addictions nursing (2013) 24:3 (180-186). Date of Publication:
2013 Jul-Sep
ISSN
1548-7148 (electronic)
ABSTRACT
This quasiexperimental study assessed the impact of a clinical experience
involving alcoholics on nursing students' attitudes. The study participants
were 195 students at a large university-based nursing school in Brazil. They
were divided into experimental and control groups. Individuals in the
experimental group (n = 56) participated in 6 weeks of a clinical practicum
at a specialized treatment service for addiction, during a course in
psychiatric nursing. In the same period, the control group (n = 144)
participated in a 6-week clinical practicum at a specialized mental health
service that did not treat people with addiction. At the end of the
theoretical course and clinical practica, both groups completed an attitude
measurement scale. Data analysis, using analysis of variance, indicated a
statistically significant difference in the overall score on the attitude
scale between the experimental and control groups (p = .04), indicating that
the experimental group participants' have more positive attitudes,
perceptions, opinions, and feelings toward alcoholic individuals and working
and relating to these patients. In conclusion, educational interventions
that include clinical experience with alcoholics may be an effective
teaching strategy that contributes to better skill preparation and more
comfortable feelings for nurses intervening in problems related to the use
and abuse of alcohol and other drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication)
health personnel attitude
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
Brazil
female
human
male
nursing
psychological aspect
young adult
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24621548 (http://www.ncbi.nlm.nih.gov/pubmed/24621548)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e3182a4cc43
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 217
TITLE
Alcohol education revisited: Exploring how much time we devote to alcohol
education in the nursing curriculum
AUTHOR NAMES
Cund A.
AUTHOR ADDRESSES
(Cund A., Audrey.cund@uws.ac.uk) University of West of Scotland, School of
Nursing, Paisley Campus, Paisley PA1 2BE, United Kingdom.
CORRESPONDENCE ADDRESS
A. Cund, University of West of Scotland, School of Nursing, Paisley Campus,
Paisley PA1 2BE, United Kingdom. Email: Audrey.cund@uws.ac.uk
SOURCE
Nurse Education in Practice (2013) 13:1 (35-39). Date of Publication:
January 2013
ISSN
1471-5953
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
Introduction: This study examines student nurses knowledge, attitudes and
educational preparation to work with patients who misuse alcohol. The study
begins to quantify how much time is devoted to alcohol education at one
Scottish University. Method: The study modified the Short Alcohol Attitudes
Problem Perception Questionnaire (SAAPPQ) and incorporated three case
vignettes to examine the student nurses knowledge, attitudes and experience
of working with patients who have an alcohol problem. The questionnaire was
hand delivered to a convenience sample of third year nursing students.
Results: The results show that the student nurses exhibit positive attitudes
and beliefs about working with patients who have an alcohol misuse problem.
A series of significant associations was found between the adult nursing
cohort and their ability to include a comprehensive alcohol history in their
nursing assessments (χ(2) = 19.82, df = 4, p < 0.0005); recognise signs of
acute alcohol withdrawal (χ(2) = 52.26, df = 16, p < 0.000); and the
psychological signs associated with alcohol misuse (χ(2) = 41.81, df = 16, p
< 0.000). A baseline figure of 2.5 h of alcohol education is noted at this
university. Conclusions: Alcohol education strongly features in three out of
the five nursing programmes surveyed. Nurse education needs to focus on
strategies that extend to teaching nurses how to respond, provide brief
interventions and identify when to refer the patient for specialist
intervention. These approaches should be universal to all areas of nursing
practice. © 2012 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
clinical competence
health personnel attitude
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
female
human
male
middle aged
nursing
nursing assessment
nursing evaluation research
organization and management
psychological aspect
questionnaire
time
United Kingdom
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22858311 (http://www.ncbi.nlm.nih.gov/pubmed/22858311)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2012.07.005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 218
TITLE
Interdisciplinary research training in substance abuse and addictions
AUTHOR NAMES
Thompson E.A.
AUTHOR ADDRESSES
(Thompson E.A.) University of Washington School of Nursing, Seattle
SOURCE
Journal of addictions nursing (2013) 24:1 (39-44). Date of Publication: 2013
Jan-Mar
ISSN
1548-7148 (electronic)
ABSTRACT
Considerable evidence shows that the management of complex problems of and
related to substance abuse and addictions require comprehensive approaches
based on solid research. Nonetheless, timely and widespread dissemination of
research findings remains uncommon, hindering nursing practice, impeding the
health of individuals and families, and imposing untoward costs for society.
Shifts in science paradigms underscore the need for efficient and effective
interdisciplinary research teams to carry out innovative research within a
translational science framework. This means that early career investigators
will need the knowledge and skills to conduct research as part of an
interdisciplinary team and to contribute systematically to translational
research in the area of substance abuse and addictions. This brief report
describes a nursing research training program sponsored by the National
Institute on Drug Abuse that evolved into an interdisciplinary program
administrated within a school of nursing. Factors conducive to program
development are described, along with the structure and elements of the
program and examples of the scholars' projects and accomplishments. The
common benefits of interdisciplinary research training for both predoctoral
and postdoctoral research scholars include consistent exposure to new and
alternative scientific models and methodological approaches as well as
endurance of cross-discipline network connections. Benefits and challenges
of this program carry implications for the design of future nursing research
training programs in the field of substance abuse and addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
interdisciplinary education
patient care
vocational education
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
evidence based medicine
human
medical research
organization and management
procedures
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24622528 (http://www.ncbi.nlm.nih.gov/pubmed/24622528)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e3182876811
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 219
TITLE
Knowledge and attitudes of pain management among nursing faculty
AUTHOR NAMES
Voshall B.
Dunn K.S.
Shelestak D.
AUTHOR ADDRESSES
(Voshall B., bavoshal@oakland.edu) School of Nursing, Graceland University,
Independence, MO, United States.
(Dunn K.S.) Oakland University, Rochester, MI, United States.
(Shelestak D.) Kent State University, North Canton, OH, United States.
CORRESPONDENCE ADDRESS
B. Voshall, Email: bavoshal@oakland.edu
SOURCE
Pain Management Nursing (2013) 14:4 (e226-e235). Date of Publication:
December 2013
ISSN
1524-9042
ABSTRACT
A descriptive correlational design was used in this study to examine nursing
faculty knowledge and attitudes in pain management. Relationships between
age, education level, pain management preparation, length of time practicing
as a nurse, length of time teaching nursing, time teaching pain management
in the classroom, taught pain guidelines in the classroom, and additional
continuing education about pain management were explored. Ninety-six nursing
faculty participated from 16 schools of nursing in one Midwestern U.S.
region. Findings identified that most of the nursing faculty recalled being
taught about pain management in their basic education, but less than
one-half felt adequately prepared. Most respondents said that they taught
pain management, yet fewer than one-half identified that they used specific
pain management guidelines. Faculty demonstrated adequate knowledge of pain
assessment, spiritual/cultural issues, and pathophysiology. Areas of
weakness were found in medications, interventions, and addiction. Faculty
that reported teaching pain management in the classroom and reported more
continuing education missed fewer items. Older nursing faculty reported more
years of practice, more years of teaching, and more continuing education in
pain management than younger faculty. Younger nursing faculty remembered
being taught pain management in nursing school and felt more adequately
prepared than older nursing faculty. Faculty that reported practicing for
longer periods of time felt less prepared in pain management than faculty
who practiced for shorter periods of time. More continuing education in pain
management may be needed for older nurses to meet the recommendations of the
Institute of Medicines' report on relieving pain in the U.S. © 2013 American
Society for Pain Management Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
attitude to health
nursing education
nursing theory
pain
EMTREE MEDICAL INDEX TERMS
adult
aged
article
curriculum
female
human
information processing
male
middle aged
nursing
pain assessment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24315276 (http://www.ncbi.nlm.nih.gov/pubmed/24315276)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2012.02.001
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 220
TITLE
The role of the advanced practice nurse in promoting smoking cessation in
the adult population
AUTHOR NAMES
Porter A.
AUTHOR ADDRESSES
(Porter A.) Fort Hamilton Hospital, Hamilton, OH, USA
SOURCE
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
(2013) 22:4 (264-268). Date of Publication: 2013 Jul-Aug
ISSN
1092-0811
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced practice nursing
health promotion
nurse attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
addiction
adult
human
nurse patient relationship
nurse practitioner
pathophysiology
psychology
smoking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24147327 (http://www.ncbi.nlm.nih.gov/pubmed/24147327)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 221
TITLE
Making a Case for Systematic Integration of Theory-Based Tobacco Education
Into Graduate Psychiatric/Mental Health Nursing Curriculum
AUTHOR NAMES
Schwindt R.G.
Sharp D.
AUTHOR ADDRESSES
(Schwindt R.G., rschwind@iupui.edu) Indiana University School of Nursing,
Indianapolis, IN, United States.
(Sharp D., Daryl_Sharp@URMC.Rochester.edu) University of Rochester School of
Nursing, Rochester, NY, United States.
CORRESPONDENCE ADDRESS
R.G. Schwindt, Email: rschwind@iupui.edu
SOURCE
Archives of Psychiatric Nursing (2013) 27:4 (166-170). Date of Publication:
August 2013
ISSN
0883-9417
ABSTRACT
Tobacco use and dependence is a serious public health issue that
disproportionately affects the mentally ill client population. Mental health
professionals, including psychiatric/mental health advanced practice nurses
(PMHAPNs), are disinclined to integrate tobacco cessation interventions into
their practice, due in part, to a general lack of tobacco-related knowledge
(C. Essenmacher, C. Karvonen-Gutierrez, J. Lynch-Sauer, & S. A., Duffy,
2008; A. J. Molina, T. Fernandez, D. Fernandez, M. Delgado, S. de Abajo, &
V. Martin, 2012; L. Sarna, L. L. Danao, S. Chan, S. Shin, L. Baldago, E.
Endo, & M. E. Wewers, 2006); D. Sharp, S. Blaakman, R. Cole, & J. Evinger,
2009). This paper provides an in-depth literature review of tobacco
education in nursing curricula and proposes the systematic integration of
theory-based tobacco content into psychiatric/mental health graduate nursing
programs. © 2013 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
nursing education
nursing theory
psychiatric nursing
smoking cessation
EMTREE MEDICAL INDEX TERMS
attitude to health
curriculum
education
human
motivation
nurse patient relationship
nursing
patient referral
psychological aspect
review
smoking (adverse drug reaction)
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23915693 (http://www.ncbi.nlm.nih.gov/pubmed/23915693)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2012.12.004
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 222
TITLE
Integrating full harm reduction services including supervised injection
services into a licensed 24-hour specialized HIV/AIDS nursing care facility:
A necessary component of the continuum of HIV/AIDS housing and health care
for people living with HIV/AIDS who use illicit drugs and face other
physical and mental health challenges
AUTHOR NAMES
Baltzer Turje R.
Davis M.
McDougall P.
Payne M.
AUTHOR ADDRESSES
(Baltzer Turje R.; Davis M.; McDougall P.; Payne M.) Vancouver, Canada.
CORRESPONDENCE ADDRESS
R. Baltzer Turje, Vancouver, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2013) 24
SUPPL. SA (88A). Date of Publication: Spring 2013
CONFERENCE NAME
22nd Annual Canadian Conference on HIV/AIDS Research, CAHR 2013
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2013-04-11 to 2013-04-14
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
Issue: While some Canadian jurisdictions have a broad range of supportive
housing and care options for people living with HIV/AIDS, currently there is
only one facility in one jurisdiction (the Dr. Peter Centre [DPC] Residence
in Vancouver, BC) that incorporates supervised injection service into its
wide range of harm reduction strategies and services to meet the complex
needs of people living with HIV/AIDS who use illicit drugs and face other
physical and mental health challenges. Case Study: The DPC Residence is a
not-for-profit licensed HIV/ AIDS health care facility providing 24 h
specialized nursing care for residents who have complex health issues in
addition to HIV/AIDS including mental illness, active addiction, and
cognitive impairment, as well as long standing issues due to experiences of
social isolation, poverty and homelessness or substandard housing. In 2002,
the DPC Residence revised its harm reduction policy to incorporate
supervised injection service after confirmation by the Registered Nurses
Association of British Columbia (now the College of Registered Nurses of
British Columbia) that the supervision of injections for the purposes of
preventing illness and promoting health by registered nurses included nurses
in the DPC Residence. Lessons Learned: This residential care model that
incorporates a broad range of harm reduction strategies and services is
effective in retaining individuals in care, sustaining their adherence to
treatment (such as antiretroviral therapies), and improving health outcomes
(such as CD4 counts and viral loads). This demonstrates the value of this
residential care model as part of the necessary continuum of housing and
care for this vulnerable population. Policy Recommendation : A continuum of
housing and care for this vulnerable population needs to include 24 h
specialized residential care that incorporates a broad range of harm
reduction strategies and services, including supervised injection service.
Ensuring the continuum includes this component could reduce the health and
social inequities faced by this population, and improve acute health care
utilization.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
illicit drug
EMTREE DRUG INDEX TERMS
CD4 antigen
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Canadian
harm reduction
health care
housing
human
injection
mental health
nursing care
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
addiction
Canada
case study
cognitive defect
college
diseases
health
health care facility
health care utilization
homelessness
mental disease
model
nurse
patient compliance
policy
population
poverty
profit
registered nurse
residential care
social isolation
therapy
virus load
vulnerable population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 223
TITLE
Using Simulation to Teach Child Injury Prevention to Mothers Recovering from
Substance Abuse
AUTHOR NAMES
Bultas M.W.
Curtis M.P.
AUTHOR ADDRESSES
(Bultas M.W., mbultas@slu.edu) St. Louis University, School of Nursing, 3525
Caroline Street, St. Louis, MO 63104, United States.
(Curtis M.P.) Goldfarb School of Nursing at Barnes Jewish College, St.
Louis, MO, United States.
CORRESPONDENCE ADDRESS
M. W. Bultas, Email: mbultas@slu.edu
SOURCE
Journal of Community Health Nursing (2013) 30:3 (155-163). Date of
Publication: July 2013
ISSN
0737-0016
ABSTRACT
A paucity of literature regarding strategies for injury prevention in
children for mothers with substance abuse exists. Substance abuse propagates
distractions such as inattention; therefore, these mothers should be
targeted for injury prevention education. A quasi-experimental design
compared the results of traditional classroom teaching with an innovative
home hazard simulation activity to teach injury prevention to mothers
recovering from substance abuse. Study results identified a need to employ
multiple modalities when teaching injury prevention. Information obtained
from this research suggests a need for continued study and adaptation of
current teaching strategies for injury prevention education in other
high-risk populations. © 2013 Copyright Taylor and Francis Group, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
injury (prevention)
mother
patient education
teaching
EMTREE MEDICAL INDEX TERMS
article
child
community health nursing
female
human
methodology
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23879581 (http://www.ncbi.nlm.nih.gov/pubmed/23879581)
FULL TEXT LINK
http://dx.doi.org/10.1080/07370016.2013.806720
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 224
TITLE
Health screening dialouges.
AUTHOR NAMES
Swarbrick M.A.
Cook J.
Razzano L.
Yudof J.
Cohn J.
Fitzgerald C.
Redman B.
Costa M.
Carter T.
Burke K.
Yost C.
AUTHOR ADDRESSES
(Swarbrick M.A.; Cook J.; Razzano L.; Yudof J.; Cohn J.; Fitzgerald C.;
Redman B.; Costa M.; Carter T.; Burke K.; Yost C.)
CORRESPONDENCE ADDRESS
M.A. Swarbrick,
SOURCE
Journal of psychosocial nursing and mental health services (2013) 51:12
(22-28). Date of Publication: Dec 2013
ISSN
0279-3695
ABSTRACT
Nurses can play an important role in community-based health screenings,
which are a practical resource to empower people living with mental and
substance use disorders to make positive lifestyle changes. The experiences,
struggles, and strengths of screening participants provides insights for
nurses to engage people in health and wellness dialogues. Copyright 2013,
SLACK Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
mental disease (diagnosis)
mental health service
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis)
article
female
human
lifestyle
male
methodology
middle aged
nurse attitude
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24102839 (http://www.ncbi.nlm.nih.gov/pubmed/24102839)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 225
TITLE
An interview with Lynn M. Oswald, PhD, RN.
AUTHOR NAMES
Oswald L.M.
Kverno K.
AUTHOR ADDRESSES
(Oswald L.M.; Kverno K.)
CORRESPONDENCE ADDRESS
L.M. Oswald,
SOURCE
Journal of addictions nursing (2013) 24:2 (123-125). Date of Publication:
2013 Apr-Jun
ISSN
1548-7148 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
nursing research
EMTREE MEDICAL INDEX TERMS
adult
article
brain
child
disease predisposition
financial management
human
interview
nursing
pathophysiology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24621492 (http://www.ncbi.nlm.nih.gov/pubmed/24621492)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e31829297d5
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 226
TITLE
Current state of psychiatry in Saudi Arabia
AUTHOR NAMES
Koenig H.
Al Zaben F.
Sehlo M.
Khalifa D.
Al Ahwal M.
AUTHOR ADDRESSES
(Koenig H., Harold.Koenig@duke.edu) Duke University Medical Center, Box
3400, Durham, NC 27710, United States.
(Koenig H., Harold.Koenig@duke.edu; Al Zaben F.; Sehlo M.; Khalifa D.; Al
Ahwal M.) King Abdulaziz University, Saudi Arabia.
(Sehlo M.) Zagazig University, Egypt.
(Khalifa D.) Ain Shams University, Egypt.
CORRESPONDENCE ADDRESS
H. Koenig, Duke University Medical Center, Box 3400, Durham, NC 27710,
United States. Email: Harold.Koenig@duke.edu
SOURCE
International Journal of Psychiatry in Medicine (2013) 46:3 (223-242). Date
of Publication: 1 Jan 2013
ISSN
0091-2174
1541-3527 (electronic)
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Background: In 1983, an article and accompanying editorial was published on
the state of psychiatry in the Kingdom of Saudi Arabia (KSA), which was
described as "a mental health system in statu nascendi." Methods: We provide
a 30-year update on advances in mental health care in KSA. Data are reported
from a wide range of sources, including the 2007 Saudi Arabian Mental and
Social Health Atlas, which compares services in KSA with the rest of the
world. Results: We examine how the current mental health system operates in
KSA, including recent changes in mental healthcare policy and development of
a national mental healthcare plan. Discussed are current needs based on the
prevalence and recognition of mental disorders; availability of services and
providers (psychiatrists, psychiatric nurses, psychologists, and social
workers); education and training in psychiatry; developments in
consultation-liaison, addictions, child-adolescent, and geriatric
psychiatry; and progress in mental health research. Conclusions: Mental
healthcare in Saudi Arabia has come a long way in a very short time, despite
cultural, religious, social, and political challenges, although there still
remain areas where improvement is needed. The development of psychiatry in
KSA serves as a model for countries in the Middle East and around the world.
© 2013, Baywood Publishing Co., Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychiatry
Saudi Arabia
EMTREE MEDICAL INDEX TERMS
addiction
article
consultation
development
education
gerontopsychiatry
health care policy
human
liaison psychiatry
mental disease
mental health
mental health care
mental health research
Middle East
nonhuman
nurse
prevalence
psychiatrist
recognition
religion
social aspect
social work
training
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2014120652
MEDLINE PMID
24741832 (http://www.ncbi.nlm.nih.gov/pubmed/24741832)
FULL TEXT LINK
http://dx.doi.org/10.2190/PM.46.3.a
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 227
TITLE
Potential underuse of analgesics for recognized pain in nursing home
residents with dementia: A cross-sectional study
AUTHOR NAMES
De Souto Barreto P.
Lapeyre-Mestre M.
Vellas B.
Rolland Y.
AUTHOR ADDRESSES
(De Souto Barreto P., philipebarreto81@yahoo.com.br; Vellas B.; Rolland Y.)
Gérontopôle de Toulouse, Institut du Vieillissement, Centre
Hospitalo-Universitaire de Toulouse (CHU Toulouse), 37, Allées Jules Guesde,
31000 Toulouse, France.
(De Souto Barreto P., philipebarreto81@yahoo.com.br) UMR7268 Aix-Marseille
University, Laboratoire d'Anthropologie Bioculturelle, Droit, Éthique et
Santé, Marseille, France.
(Lapeyre-Mestre M.; Vellas B.; Rolland Y.) UMR INSERM 1027, University of
Toulouse III, Toulouse, France.
(Lapeyre-Mestre M.) Service de Pharmacologie Clinique, CHU de Toulouse, 37
Allees Jules Guesde, F-31000 Toulouse, France.
CORRESPONDENCE ADDRESS
P. De Souto Barreto, Gérontopôle de Toulouse, Institut du Vieillissement,
Centre Hospitalo-Universitaire de Toulouse (CHU Toulouse), 37, Allées Jules
Guesde, 31000 Toulouse, France. Email: philipebarreto81@yahoo.com.br
SOURCE
Pain (2013) 154:11 (2427-2431). Date of Publication: November 2013
ISSN
1872-6623 (electronic)
0304-3959
BOOK PUBLISHER
Elsevier
ABSTRACT
The expression of pain is altered in people with dementia (PWD), increasing
the risk of undertreatment in that population. The objective of this study
was to determine whether dementia and the absence of pain assessment in the
patients' medical chart reduced the probability of analgesic use in a large
sample of nursing home (NH) residents. This is a cross-sectional study using
data from 6275 residents (mean age 86 ± 8.2 years; 73.7% women) from 175 NHs
located in France. Information on residents' health status (including
dementia and pain assessment) and NHs' structure and organisation were
recorded by the NH staff. The NH staff sent to the research team drug
prescriptions participants were taking. They were screened for the use of
analgesics (dependent variable) and other medications potentially used for
pain management. The prevalence of analgesic use was 46.8% (42.3% for PWD
and 52% for people with no dementia). A binary logistic regression showed
that PWD (odds ratio 0.75; 95% confidence interval 0.66-0.85) and those who
had no pain assessment records (odds ratio 0.64; 95% confidence interval
0.53-0.79) had significant lower probabilities of taking analgesics; these
results were independent of pain complaints. Results remained fairly
unchanged after performing several sensitivity analyses. Our results suggest
that improvements are needed in pain management in NHs, particularly for
PWD. Implementing systematic evaluations of pain in NHs' routine would
contribute to a better management of pain, which can lead to important
benefits for residents. © 2013 International Association for the Study of
Pain. Published by Elsevier B.V. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (drug therapy)
EMTREE DRUG INDEX TERMS
anticonvulsive agent
antidepressant agent
anxiolytic agent
atypical antipsychotic agent
codeine (drug combination, drug therapy)
dextropropoxyphene (drug combination, drug therapy)
fentanyl (drug therapy, transdermal drug administration)
hypnotic sedative agent
morphine (drug therapy)
nonsteroid antiinflammatory agent
paracetamol (drug combination, drug therapy)
tramadol (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia
drug use
nursing home patient
pain (drug therapy, drug therapy)
undertreatment
EMTREE MEDICAL INDEX TERMS
aged
analgesia
article
cross-sectional study
drug misuse
female
France
health care organization
health status
human
inappropriate prescribing
major clinical study
male
medical record
nursing home
nursing home personnel
pain assessment
prescription
prevalence
priority journal
sensitivity analysis
CAS REGISTRY NUMBERS
codeine (76-57-3)
dextropropoxyphene (1639-60-7, 469-62-5)
fentanyl (437-38-7)
morphine (52-26-6, 57-27-2)
paracetamol (103-90-2)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Neurology and Neurosurgery (8)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT01703689)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013673079
MEDLINE PMID
23872102 (http://www.ncbi.nlm.nih.gov/pubmed/23872102)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pain.2013.07.017
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 228
TITLE
SBIRT goes to college: interdisciplinary screening for alcohol use
AUTHOR NAMES
Naegle M.
Himmel J.
Ellis P.
AUTHOR ADDRESSES
(Naegle M.; Himmel J.; Ellis P.) Madeline Naegle, PhD, CNS-PMH, BC, FAAN,
New York University, New York. Joy Himmel, Psy.D., PMHCNS-BC, LPC, NCC, Penn
State University Altoona, Pennsylvania. Patricia Ellis, MSN, FNP, BC, St.
Lawrence University, Canton, New York
SOURCE
Journal of addictions nursing (2013) 24:1 (45-50). Date of Publication: 2013
Jan-Mar
ISSN
1548-7148 (electronic)
ABSTRACT
Although risky/harmful drinking, in the form of binge drinking, remains a
national problem, only recently have health services in universities
systematically screened for drinking, drug use, and smoking. This article
recounts "lessons learned" in two nurse-directed, interdisciplinary health
services, which adapted the National College Depression Partnership model to
include screening and brief intervention (SBIRT) for risky/harmful alcohol
use in the form of binge drinking. Using a planned change model, nurse
leaders worked with university administrators, providers, and health service
staff to screen all students seeking health services for risky drinking. The
outcomes suggest that this process may increase staff and student awareness
of the importance of alcohol consumption to health, show the ease of using
SBIRT screening along with standard screening tools, and yield information
on the normalization of high-risk drinking in collegiate settings. Project
findings indicate that common perceptions in college students minimize
negative outcomes and stress the importance of additional quality assurance
initiatives that review the efficacy of combinations of standardized
screening tools.
EMTREE DRUG INDEX TERMS
ascorbic acid
colecalciferol
HUM 5007
nicotinic acid derivative
plant extract
prasterone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diagnosis
patient care
EMTREE MEDICAL INDEX TERMS
analogs and derivatives
binge drinking
female
health service
human
male
nursing
organization and management
procedures
program development
psychology
student
substance abuse
therapy
university
CAS REGISTRY NUMBERS
ascorbic acid (134-03-2, 15421-15-5, 50-81-7)
colecalciferol (1406-16-2, 67-97-0)
prasterone (53-43-0)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
24622529 (http://www.ncbi.nlm.nih.gov/pubmed/24622529)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e31828768cb
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 229
TITLE
A tailored curriculum of alcohol screening, brief intervention, and referral
to treatment (SBIRT) for nurses in inpatient settings.
AUTHOR NAMES
Broyles L.M.
Kraemer K.L.
Kengor C.
Gordon A.J.
AUTHOR ADDRESSES
(Broyles L.M.) Lauren M. Boyles, PhD, RN, and Adam J. Gordon, MD, MPH,
Center for Health Equity Research and Promotion, and Veterans Integrated
Service Network 4 Mental Illness Research, Education, and Clinical Center,
VA Pennsylvania.
(Kraemer K.L.; Kengor C.; Gordon A.J.)
CORRESPONDENCE ADDRESS
L.M. Broyles,
SOURCE
Journal of addictions nursing (2013) 24:3 (130-141). Date of Publication:
2013 Jul-Sep
ISSN
1548-7148 (electronic)
ABSTRACT
A package of clinical strategies known as alcohol screening, brief
intervention, and referral to treatment (SBIRT) is increasingly recommended
for reducing unhealthy alcohol use, the spectrum of alcohol consumption from
at-risk drinking (defined as consumption above recommended guidelines) to
alcohol abuse and alcohol dependence. The United States' Joint Commission
issued new SBIRT-related hospital accreditation measures for alcohol.
Ongoing initiatives aim to promote, support, and sustain SBIRT
implementation in hospital settings. In hospital settings, nurse-delivered
SBIRT may be a particularly viable and efficient model for SBIRT
implementation. However, like physicians, most nurses have not been trained
in how to perform SBIRT, and few authors have described alcohol-related
curricula specifically for nurses. In addition, historical differences in
nurse and physician professional scopes of practice, role perceptions, and
patterns of care delivery suggest the need for effective SBIRT initial and
continuing education and training that are tailored to the nursing
profession and inpatient environments. In this article, we provide an
in-depth description of the registered nurse SBIRT curriculum and describe
its development and contents as well as various nurse- and setting-specific
adaptations. In addition, we describe how we engaged nursing stakeholders in
the development and implementation of the curriculum and discuss potential
implications for future SBIRT training and delivery by nurses. SBIRT
continuing education and training for nurses represents one of the first
steps in expanded SBIRT implementation. Comprehensive workforce and
organizational development of inpatient and nurse-delivered SBIRT may
provide the means to address the entire spectrum of unhealthy alcohol use
across healthcare settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
curriculum
hospital patient
malpractice
nursing staff
patient referral
EMTREE MEDICAL INDEX TERMS
article
human
theoretical model
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24621542 (http://www.ncbi.nlm.nih.gov/pubmed/24621542)
FULL TEXT LINK
http://dx.doi.org/10.1097/JAN.0b013e3182a4cb0b
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 230
TITLE
Making a difference: Nursing scholarship and leadership in tobacco control
AUTHOR NAMES
Sarna L.
Bialous S.A.
Chan S.S.C.
Hollen P.
O'Connell K.A.
AUTHOR ADDRESSES
(Sarna L., lsarna@sonnet.ucla.edu) School of Nursing, University of
California, Los Angeles, Los Angeles, CA, United States.
(Bialous S.A.) Tobacco Policy International, San Francisco, CA, United
States.
(Chan S.S.C.) School of Nursing, University of Hong Kong, Hong Kong.
(Hollen P.) Oncology Nursing, University of Virginia, Charlottesville, VA,
United States.
(O'Connell K.A.) Nursing Education, Teachers College, Columbia University,
New York, NY, United States.
CORRESPONDENCE ADDRESS
L. Sarna, University of California, School of Nursing, 700 Tiverton Ave, Box
956918, Los Angeles, CA 90095, United States. Email: lsarna@sonnet.ucla.edu
SOURCE
Nursing Outlook (2013) 61:1 (31-42). Date of Publication: January 2013
ISSN
0029-6554
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
This report from members of the Health Behavior Expert Panel of the American
Academy of Nursing (AAN) provides an overview of nurse-led scholarship in
tobacco control. We reviewed published reviews of nurse-led studies in the
field. The synthesis includes theory development, methodological approaches,
studies focused on prevention of tobacco use, nursing interventions for
tobacco dependence including studies with selected populations,
investigations to reduce secondhand smoke, and studies of health care
systems and policy. Gaps in the literature provided direction for
stimulating nursing science, accelerating adoption of evidence-based
recommendations in practice, expanding nursing education, and increasing
nursing visibility and influence in health care policy efforts. The AAN is
positioned to maximize nursing leadership in this effort. © 2013 Elsevier
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
passive smoking (prevention)
smoking (prevention)
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
article
human
leadership
nurse attitude
nursing research
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22819635 (http://www.ncbi.nlm.nih.gov/pubmed/22819635)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.outlook.2012.05.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 231
TITLE
Perceptions of health equity and subjective social status among
baccalaureate nursing students engaged in service-learning activities in
Hawai'i.
AUTHOR NAMES
Thompson L.M.
Jarvis S.
Sparacino P.
Kuo D.
Genz S.
AUTHOR ADDRESSES
(Thompson L.M.) Department of Family Health Care Nursing, University of
California, San Francisco; San Francisco, CA (L.M.T., P.S.).
(Jarvis S.; Sparacino P.; Kuo D.; Genz S.)
CORRESPONDENCE ADDRESS
L.M. Thompson,
SOURCE
Hawai'i journal of medicine & public health : a journal of Asia Pacific
Medicine & Public Health (2013) 72:10 (339-345). Date of Publication: Oct
2013
ISSN
2165-8242 (electronic)
ABSTRACT
The purpose of this study was to measure undergraduate students' knowledge
of social determinants of health, health equity, and subjective social
status (SSS). A cross-sectional semi-structured survey was administered to
68 racially/ethnically diverse freshman students enrolled in a baccalaureate
nursing program in O'ahu, Hawai'i. Students ranked the impact of 13 issues
on Hawai'i residents' health and described how well the health care system
addressed these issues. A 10-rung ladder was used to rank SSS; students
marked an "X" on the ladder rung where they stand in society and explained
what they would need to "move up or down" the ladder. The students
identified three key issues that adversely impact health: substance abuse,
diet/nutrition, and cancer. Sixty-nine percent of students stated that
social determinants of health impact Hawai'i residents' health either "quite
a bit" or "very much", while only 31% felt that the health care system
adequately addressed these determinants. Students who ranked high on the
ladder (rungs 6-10) cited family as the reason. The students who ranked low
on the ladder (rungs 3-5) credited their position to lack of money.
Students' perceptions of social determinants of health and health equity
align with findings from public health studies in Hawai'i. These concepts
were integrated into the 4-year nursing school curricula and findings inform
future research and service-based learning activities conducted by the
students. While findings presented here focus on nursing students in
Hawai'i, this educational innovation could be replicated with students in
other undergraduate health sciences programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health disparity
nursing student
social class
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
female
health service
human
male
middle aged
nursing education
perception
psychological aspect
United States
young adult
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24167767 (http://www.ncbi.nlm.nih.gov/pubmed/24167767)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 232
TITLE
Risk Taking in First and Second Generation Afro-Caribbean Adolescents: An
Emerging Challenge for School Nurses
AUTHOR NAMES
Jolly K.
Archibald C.
Liehr P.
AUTHOR ADDRESSES
(Jolly K.; Archibald C., archibal@fau.edu; Liehr P.) Christine E. Lynn
College of Nursing, Florida Atlantic University, Boca Raton, FL, United
States.
CORRESPONDENCE ADDRESS
C. Archibald, Email: archibal@fau.edu
SOURCE
Journal of School Nursing (2013) 29:5 (353-360). Date of Publication:
October 2013
ISSN
1546-8364 (electronic)
1059-8405
ABSTRACT
School nurses are well positioned to address risk-taking behaviors for
adolescents in their care. The purpose of this mixed-method exploratory
study was to explore risk taking in Afro-Caribbean adolescents in South
Florida, comparing first- to second-generation adolescents. Quantitative and
qualitative data were collected from an immigrant group using the adolescent
risk-taking instrument to evaluate risk-taking attitudes, behaviors, and
self-described riskiest activities. One-hundred and six adolescents
participated; 44% were first generation Afro-Caribbean. Data analysis
included analysis of variance, frequencies, and content analysis. There were
no differences in risk-taking attitudes; smaller percentages of first
generation Afro-Caribbean adolescents reported sexual activity, substance
use, and violence. Over one third of the sample, regardless of generational
status, reported alcohol use, but did not note alcohol or other
health-compromising behaviors as "riskiest" activities. It is important to
better understand Afro-Caribbean adolescents' perspectives about risky
behaviors, and school-based venues offer the best promise for reaching these
adolescents. © The Author(s) 2013.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent behavior
health behavior
high risk behavior
school health nursing
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
adolescent
adolescents
African Caribbean
analysis of variance
article
attitude to health
Behaviors
Central America (epidemiology)
ethnology
female
human
male
methodology
migrant
psychological aspect
risk
sexual behavior
statistics
United States
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23358788 (http://www.ncbi.nlm.nih.gov/pubmed/23358788)
FULL TEXT LINK
http://dx.doi.org/10.1177/1059840513475819
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 233
TITLE
Alcohol consumption and risky sexual practices: The pattern of nursing
students from the Spanish University
AUTHOR NAMES
Gil-García E.
Martini J.G.
Porcel-Gálvez A.M.
AUTHOR ADDRESSES
(Gil-García E.; Porcel-Gálvez A.M.) Departamento de Enfermería, Universidad
de Sevilla, Sevilla, Spain.
(Martini J.G., jussarague@gmail.com) Centro de Ciências da Saúde,
Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
CORRESPONDENCE ADDRESS
J. G. Martini, Email: jussarague@gmail.com
SOURCE
Revista Latino-Americana de Enfermagem (2013) 21:4 (941-947). Date of
Publication: January/February 2013
ISSN
0104-1169
ABSTRACT
Objective: to determine the prevalence of substance abuse and unsafe sexual
practices and to analyze the relationship between them, in nursing students
at the University of Seville. Method: quantitative methodological approach
with a descriptive cross-sectional design. The population was composed of
first year nursing students in the University of Seville, during the
academic year 2010-2011 (N=510), with consecutive opportunistic sampling
composed of students who attended class on the scheduled day (n=291).
Results: a high prevalence of alcohol consumption, and increased likelihood
of not using protective measures during sexual practices when alcohol had
been consumed, was present. Conclusion: these findings are consistent with
those obtained in the same population in Brazil, and highlight the need to
strengthen in the nursing curriculum, the transverse axis related to the
prevention of substance abuse, especially alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
nursing student
unsafe sex
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
female
human
male
middle aged
prevalence
questionnaire
Spain
statistics
university
young adult
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23970232 (http://www.ncbi.nlm.nih.gov/pubmed/23970232)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692013000400016
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 234
TITLE
Smoking behaviour and attitudes among German nursing students
AUTHOR NAMES
Vitzthum K.
Koch F.
Groneberg D.A.
Kusma B.
Mache S.
Marx P.
Hartmann T.
Pankow W.
AUTHOR ADDRESSES
(Vitzthum K., karin.vitzthum@charite.de; Koch F.; Groneberg D.A.; Mache S.)
Institute of Occupational Medicine, Charité - University Medicine Berlin,
Free University and Humboldt-University Berlin, Thielallee 69-73, 14195
Berlin, Germany.
(Vitzthum K., karin.vitzthum@charite.de; Groneberg D.A.; Kusma B.; Mache S.)
Institute of Occupational, Social and Environmental Medicine, Department of
Rehabilitation Medicine, Goethe-University, Theodor-Stern-Kai 7, 60590
Frankfurt/Main, Germany.
(Mache S.) Medical Clinic for Psychosomatics, Charité - University Medicine
Berlin, Free University Berlin and Humboldt-University Berlin, Charitéplatz
1, 10117 Berlin, Germany.
(Koch F.; Hartmann T.) College Magdeburg-Stendal, Department of Social- and
Healthcare Studies, Breitscheidstraße 2, 39114 Magdeburg, Germany.
(Vitzthum K., karin.vitzthum@charite.de; Pankow W.) Vivantes - Network for
Health, Clinic for Pneumology and Institute for Tobacco Cessation and
Smoking Prevention, Rudower Straße 48, 12351 Berlin, Germany.
(Marx P.) Pfizer Germany GmbH, Linkstraße 10, 10785 Berlin, Germany.
CORRESPONDENCE ADDRESS
K. Vitzthum, Email: karin.vitzthum@charite.de
SOURCE
Nurse Education in Practice (2013) 13:5 (407-412). Date of Publication:
September 2013
ISSN
1471-5953
ABSTRACT
Tobacco consumption is a major public health threat. Healthcare workers can
contribute to the reduction of tobacco use. The principles of intervention
need to be provided already during vocational school. This research examines
the smoking habits, the personal attitudes towards smoking and the
professional beliefs of healthcare trainees. The aim of this study is to
ascertain the necessity and the general conditions for multilevel
interventions of prevention and health promotion. In 2010, a questionnaire
survey was conducted in a Berlin vocational school for healthcare workers.
Of 148 students (RR=49.3%) 41.9% of the students are daily or occasional
smokers. The nicotine dependency and the number of cigarettes per day are
comparatively low. The majority of smoking students is willing to quit and
has already undertaken several attempts. Non-smoking protection is evaluated
to be very important and intervention rates in patient care range between
49% and 72%. In both questions, non-smokers and smokers differ
significantly. The self-reported smoking prevalence in our population is
considerably lower than in previous studies. However, the smoking rate among
healthcare trainees is still higher than in the general population. The
students' own smoking behaviours and its influences on the treatment of
patients should be reflected during school. It is necessary to develop
adequate recruitment strategies and attractive interventions for this target
group. © 2012 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
nursing student
passive smoking (prevention)
smoking (epidemiology, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
female
Germany (epidemiology)
human
male
Non-smoker protection
prevalence
smoke
Stage of change
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23320964 (http://www.ncbi.nlm.nih.gov/pubmed/23320964)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2012.12.002
COPYRIGHT
Copyright 2014 Medline is the source for the citation and abstract of this
record.
RECORD 235
TITLE
Tobacco intervention practices of postsecondary campus nurses in Ontario
AUTHOR NAMES
Lawrance K.-A.G.
Travis H.E.
Lawler S.A.
AUTHOR ADDRESSES
(Lawrance K.-A.G.) Community Health Sciences Department, Brock University,
St. Catharines, ON, Canada.
(Travis H.E.; Lawler S.A.) Leave the Pack Behind, Community Health Sciences
Department, Brock University, United States.
CORRESPONDENCE ADDRESS
K.-A.G. Lawrance, Community Health Sciences Department, Brock University,
St. Catharines, ON, Canada.
SOURCE
Canadian Journal of Nursing Research (2012) 44:4 (142-159). Date of
Publication: December 2012
ISSN
0844-5621
BOOK PUBLISHER
McGill University, School of Nursing, 3506 University St Montreal, PQ, H3 A
2A7, Canada.
ABSTRACT
Cessation interventions offered by nurses to postsecondary students could
represent an important strategy for reducing smoking among young adults.
This study examines how nurses working in campus health clinics identify
smokers and provide cessation support. Of 108 nurses working at 16
universities in the Canadian province of Ontario, 83 completed a
researcher-designed questionnaire. Of these, 8.2% asked almost all patients
about their tobacco use and 27.4% asked almost none; 83.1% advised
identified smokers to quit, 63.9% offered them assistance, and 59.0%
arranged follow-up visits. Smoking was most often assessed during patient
visits for respiratory or cardiovascular concerns. Assistance most often
involved referral of smokers to other professionals or services. A
government-funded tobacco control initiative implemented on 10 of the 16
campuses had limited influence on whether nurses assessed tobacco use and
advised cessation. Education and support may be needed to improve the
frequency and quality of tobacco interventions provided by nurses working on
postsecondary campuses. © Ingram School of Nursing, McGill University.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
student
tobacco dependence (therapy)
university
EMTREE MEDICAL INDEX TERMS
adult
article
Canada
clinical nursing research
female
human
male
methodology
middle aged
nursing
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
MEDLINE PMID
23448080 (http://www.ncbi.nlm.nih.gov/pubmed/23448080)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 236
TITLE
Dual diagnosis, as described by those who experience the disorder: Using the
Internet as a source of data
AUTHOR NAMES
Edward K.-L.
Robins A.
AUTHOR ADDRESSES
(Edward K.-L., karen-leigh.edward@acu.edu.au) School of Nursing, Midwifery
and Paramedicine, Australian Catholic University, St Vincent's Private
(Melbourne) Nursing Research Unit, St Vincent's Private Hospital, Australia.
(Robins A.) School of Nursing and Midwifery, La Trobe University, Melbourne,
VIC, Australia.
CORRESPONDENCE ADDRESS
K.-L. Edward, Australian Catholic University, St Vincent's Private
(Melbourne) Nursing Research Unit, St Patrick's Campus, VECCI Building
Locked Bag 4115, Fitzroy, VIC 3065, Australia. Email:
karen-leigh.edward@acu.edu.au
SOURCE
International Journal of Mental Health Nursing (2012) 21:6 (550-559). Date
of Publication: December 2012
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
The complexity of providing treatment for people with dual diagnosis is well
recognized. For the purpose of this paper, the World Health Organization
definition of dual diagnosis was used; that is, a person diagnosed with an
alcohol or drug use problem in addition to mental illness. This research
explored the personal narratives of those who experience dual diagnosis
using the Internet as a data source. An important consideration in using the
Internet as a data source was that Web forums can offer a sense of
anonymity, allowing people to share very detailed and personal information,
and providing a rich source of qualitative data. The results produced five
emergent themes: spiralling out of control - again!, getting help and giving
support, treating both the addiction and mental illness, having meaning and
being active, and being honest with self and others. The results indicate
that individuals who experience dual diagnosis are often left to navigate
their personal treatment requirements across two diverse systems, and were
generally not satisfied with the conflictual advice received across these
two systems (i.e. alcohol and other drug and mental health services). This
study has produced valuable insights related to consumer-perceived service
barriers and enablers. © 2012 Australian College of Mental Health Nurses
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
psychiatric diagnosis
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
article
human
Internet
literature
mental disease (therapy)
peer group
psychological aspect
social support
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22830579 (http://www.ncbi.nlm.nih.gov/pubmed/22830579)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00833.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 237
TITLE
"And mostly they have a need for sleeping pills": Physicians' views on
treatment of sleep disorders with drugs in nursing homes
AUTHOR NAMES
Flick U.
Garms-Homolová V.
Röhnsch G.
AUTHOR ADDRESSES
(Flick U., flick@asfh-berlin.de; Garms-Homolová V.; Röhnsch G.) Alice
Salomon University of Applied Sciences, Berlin, Germany.
(Flick U., flick@asfh-berlin.de) University of Vienna, Austria.
CORRESPONDENCE ADDRESS
U. Flick, Alice Salomon University of Applied Sciences, Berlin, Germany.
Email: flick@asfh-berlin.de
SOURCE
Journal of Aging Studies (2012) 26:4 (484-494). Date of Publication:
December 2012
ISSN
0890-4065
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
The percentage of nursing home residents treated with hypnotic medications
is high, as many authors report, despite the fact that such medications are
almost always associated with undesirable effects for old people. This
article takes a closer look at nursing home physicians' views of
prescriptions when treating sleep disorders of nursing home residents. How
do physicians characterize the treatment strategy for residents suffering
from sleep disorders? How do they balance the benefits and risks of the
hypnotic medication? Under what circumstances do they accept negative
consequences? To answer these questions, N = 20 physicians (aged 36 to 68.
years) in 16 nursing homes in a German city were interviewed. The physicians
were either employed by nursing homes or worked on a contract basis.
Comparative categorization of the data produced a typology across cases.
Three interpretative patterns concerning the use of drugs for treating sleep
disorders were identified - "by request," "ambivalence," and "reflected
prescription." Differences between them were determined by the significance
of residents' wishes, neglect of risks, particularly that of addiction, and
the attempt to balance benefits and disadvantages. The study showed deficits
in professional management of sleep disorders in nursing homes. © 2012
Elsevier Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hypnotic sedative agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
ageism
health personnel attitude
home for the aged
nursing home
sleep disorder (drug therapy, epidemiology, etiology)
social psychology
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology, prevention)
aged
article
circadian rhythm sleep disorder (drug therapy, epidemiology, etiology)
clinical practice
cross-sectional study
doctor patient relation
drug utilization
female
Germany
human
insomnia (drug therapy, epidemiology, etiology)
lifestyle
male
nursing
patient satisfaction
psychological aspect
risk assessment
social environment
somnolence (drug therapy, epidemiology, etiology)
statistics
wakefulness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22939545 (http://www.ncbi.nlm.nih.gov/pubmed/22939545)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jaging.2012.07.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 238
TITLE
Utilizing clinical support staff and electronic health records to increase
tobacco use documentation and referrals to a state quitline
AUTHOR NAMES
Greenwood D.A.
Parise C.A.
MacAller T.A.
Hankins A.I.
Harms K.R.
Pratt L.S.
Olveda J.E.
Buss K.A.
AUTHOR ADDRESSES
(Greenwood D.A., greenwd@sutterhealth.org; Pratt L.S.; Olveda J.E.; Buss
K.A.) Sutter Medical Foundation, Sacramento, CA, United States.
(Parise C.A.; Hankins A.I.) Sutter Institute for Medical Research,
Sacramento, CA, United States.
(MacAller T.A.) California Diabetes Program, University of California, San
Francisco, CA, United States.
(Harms K.R.) Moores University of California San Diego Cancer Center, San
Diego, CA, United States.
CORRESPONDENCE ADDRESS
D.A. Greenwood, Sutter Medical Foundation, 3100 Douglas Boulevard, Suite
204, Roseville, CA 95661, United States. Email: greenwd@sutterhealth.org
SOURCE
Journal of Vascular Nursing (2012) 30:4 (107-111). Date of Publication:
December 2012
ISSN
1062-0303
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
The purpose of this study was to determine if incorporation of a workflow in
the electronic health record (EHR) that empowered medical assistants (MA) to
become tobacco-cessation promoters, would increase tobacco documentation and
referral for cessation counseling. MAs in three primary care centers were
trained to ask every patient, at every visit, about tobacco use then
document this status in the EHR. Patients ready to quit were electronically
referred to the quitline for tobacco cessation counseling. Documentation of
tobacco status, ongoing verification of tobacco use, and chief complaint
recording was compared before and after the intervention. Logistic
regression analysis indicated that after adjusting for differences between
care centers, there were increased odds in initial documentation (OR = 1.52;
95% CI = 1.42 - 1.62) and ongoing verification (OR = 2.86; 95% CI = 1.42 -
1.62) in 2010 in comparison with 2009. Recording of tobacco cessation as the
chief complaint in current smokers increased 91% (OR = 1.91; 95% CI = 1.56 -
2.34). Documentation and referrals for smoking cessation can be increased in
organizations using EHR by empowering MAs to promote tobacco cessation and
providing electronic referral options. © 2012 Society for Vascular Nursing,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic medical record
health promotion
information processing
nurse attitude
smoking cessation
tobacco dependence (diagnosis)
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
methodology
nursing
patient referral
smoking (prevention)
statistical model
statistics
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23127426 (http://www.ncbi.nlm.nih.gov/pubmed/23127426)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jvn.2012.04.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 239
TITLE
A pharmacist-conducted medication review in nursing home residents: Impact
on the appropriateness of prescribing
AUTHOR NAMES
Verrue C.
Mehuys E.
Boussery K.
Adriaens E.
Remon J.P.
Petrovic M.
AUTHOR ADDRESSES
(Verrue C.; Mehuys E., els.mehuys@ugent.be; Boussery K.; Adriaens E.; Remon
J.P.) Faculty of Pharmaceutical Sciences, Pharmaceutical Care Unit, Ghent
University, Belgium.
(Petrovic M.) Department of Geriatrics, Ghent University Hospital, Ghent,
Belgium.
CORRESPONDENCE ADDRESS
E. Mehuys, Faculty of Pharmaceutical Sciences, Pharmaceutical Care Unit,
Ghent University, Belgium. Email: els.mehuys@ugent.be
SOURCE
Acta Clinica Belgica (2012) 67:6 (423-429). Date of Publication: 2012
ISSN
0001-5512
BOOK PUBLISHER
Acta Clinica Belgica, De Pintelaan 185, UZ Gent, Belgium.
ABSTRACT
Medication use in nursing homes is often suboptimal. This study investigated
the impact of a pharmacist-conducted medication review on the
appropriateness of pre-scribing for Belgian nursing home residents. We
conducted a 6-month controlled, non-randomized study in two nursing homes
(one intervention and one control nursing home). Sixty-nine residents
completed the study in the intervention group (92 residents were included).
For the control group, that were 79 residents (100 residents were included).
Primary outcome was the appropriateness of prescribing, assessed by a set of
validated quality indicators. At baseline, this study detected three main
problems associated with the appropriateness of medication use: (i) the
Medication Appropriateness Index (MAI) could be improved (continuation of no
longer indicated medication was the most common problem), (ii) potential
overuse was present in about half of the group, and (iii) potential underuse
was present in about 30% of the sample. Despite this, our
pharmacist-conducted medication review only modestly improved the
appropriateness of prescribing. This may be attributed to the low
implementation rate of the pharmacist recommendations.
EMTREE DRUG INDEX TERMS
cardiovascular agent
central nervous system agents
gastrointestinal agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
nursing home patient
pharmacist
EMTREE MEDICAL INDEX TERMS
aged
article
clinical pharmacy
controlled study
drug abuse
drug cost
female
general practitioner
human
male
treatment duration
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013694900
MEDLINE PMID
23340148 (http://www.ncbi.nlm.nih.gov/pubmed/23340148)
FULL TEXT LINK
http://dx.doi.org/10.2143/ACB.67.6.2062707
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 240
TITLE
Enquiries into cigarette smoking habits of university students
ORIGINAL (NON-ENGLISH) TITLE
Üniversite öǧrencilerinde sigara
ali{dotless}şkanli{dotless}ǧi{dotless}ni{dotless}n Sorgulanmasi{dotless}
AUTHOR NAMES
Yüksel S.
Cücen Z.
AUTHOR ADDRESSES
(Yüksel S., syuksel@fatih.edu.tr; Cücen Z.) Fatih Üniversitesi Saǧlik
Bilimleri Meslek Yüksekokulu, Ankara, Turkey.
CORRESPONDENCE ADDRESS
S. Yüksel, Fatih Üniversitesi Saǧlik Bilimleri Meslek Yüksekokulu, Ankara,
Turkey. Email: syuksel@fatih.edu.tr
SOURCE
Turk Toraks Dergisi (2012) 13:4 (169-173). Date of Publication: December
2012
ISSN
1302-7808
1308-5387 (electronic)
BOOK PUBLISHER
AVES Publishing Co., Kizilelma CAD. 5/3, Findikzade- Istanbul, Turkey.
ABSTRACT
Objective: Currently, the most commonly used tobacco products are
cigarettes. In various studies, the ages of starting to smoke and becoming
dependent are often identified as high school and college ages. We organized
a series of activities related with smoking on May 31 due to "The world
no-smoking day", at Ankara Campus of Fatih University. Our goal was to draw
attention to the "harmful effects of smoking", as well as to the Law No.
5727, which was to be put into effect as of July 2009, and we also aimed at
encouraging our students to quit smoking. Material and Methods: For this
purpose, a questionnaire was administered, followed by a seminar and a
campaign called "Campaign with prize to quit smoking" was organized. A
questionnaire consisting of 25 questions was administered to students at the
end of March in 2009. A total of 493 people participated in the survey.
Results: Four hundred ninety-three students participated in the survey.
41.6% of participants (n=205) were male. Participants' smoking rate was
43.2% (n=207). Age, sex, graduation, parent education, cohabitation with
family and sibling smoking status were evaluated. Most non-smokers were in
the 19-20 years old group, whereas regular smokers were in the 20-21 years
old group. 70.9% of nonsmokers were female, 21.9% of regular smokers were
male. Among regular smokers, students who graduated from science high
schools were the least regular smokers. Having a sibling (especially first
and second sibling) who is a regular smoker significantly increased the risk
of cigarette smoking. Between the departments, "Nursing School" students
have high rates of never smokers. The highest rate of regular smokers has
been found in the "Business Management" and "Medical Imaging Techniques"
programs. Conclusion: In addition to taking legal measures to prevent young
people frombeginning to smoke, continuing education programs are important.
If necessary, support by specialists should be provided. Awareness of the
each of the students studying in health departments should be promoted so
that they will become health care providers. Besides, during their
education, they should be taught that they will become a role model in the
public as health providers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking habit
university student
EMTREE MEDICAL INDEX TERMS
adult
age
article
awareness
education program
family
female
human
male
questionnaire
risk factor
sex
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2013027504
FULL TEXT LINK
http://dx.doi.org/10.5152/ttd.2012.35
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 241
TITLE
Rational drug use awareness of the nurses in the Turkish Republic of
Northern Cyprus Near East University Hospital
ORIGINAL (NON-ENGLISH) TITLE
Kuzey Ki{dotless}bri{dotless}s Türk Cumhuriyeti Yaki{dotless}n Doǧu
Üniversitesi Hastanesi'ndeki hemşirelerin aki{dotless}lci{dotless} ilaç
kullani{dotless}mi{dotless} konusundaki
farki{dotless}ndali{dotless}ǧi{dotless}
AUTHOR NAMES
Toklu H.Z.
Demirdamar R.
Gümüşel B.
Yariş E.
Dülger G.
AUTHOR ADDRESSES
(Toklu H.Z., haletoklu@yahoo.com; Dülger G.) Marmara University, School of
Pharmacy, Istanbul, Turkey.
(Toklu H.Z., haletoklu@yahoo.com; Demirdamar R.; Gümüşel B.) Near East
University, Nicosia, Cyprus.
(Gümüşel B.) Hacettepe University, Ankara, Turkey.
(Yariş E.) Karadeniz Technical University, School of Medicine, Trabzon,
Turkey.
CORRESPONDENCE ADDRESS
H. Z. Toklu, Marmara University, School of Pharmacy, Istanbul, Turkey.
Email: haletoklu@yahoo.com
SOURCE
Marmara Pharmaceutical Journal (2012) 16:2 (150-154). Date of Publication:
2012
ISSN
1309-0801 (electronic)
BOOK PUBLISHER
Marmara University, Haydarpasa, Istanbul, Turkey.
ABSTRACT
OBJECTIVE: Irrational use of drugs cause a serious economical burden for
many countries. Rational drug use RDU requires a teamwork of health
providers. Prescribers, pharmacists and nurses have an important role in
RDU. In this study, we aimed to evaluate the knowledge and attitude of the
nurses about RDU. METHODS: The present study was conducted to evaluate the
knowledge of the 44 nurses (who consented to participate in the study) in
Turkish Republic of Northern Cyprus (T.R.N.C.) Near East University Hospital
towards rational drug use. RESULTS: All the nurses were female with an
average age of 38 ± 13. Half of them had high school degree, 11.4% associate
degree and 38.6 bachelor degree. Average experience in nursing was 16 ± 12
years. Seventy seven percent of the nurses told that they did not know the
RUD. The most common problems about order/prescription was claimed to be
illegible order/prescription (76.7%), unavailability of the drug in the
market/ hospital pharmacy stocks (37.5%), missing instructions (46.2%),
dosing error (24.4%), inappropriate pharmaceutical form (8.8%). The nurses
stated that they consulted physicians (97.8%) or their colleagues (89.2%) in
case of a drug related problem. Also they stated that they generally
informed patients about the time of drug administration (when to take the
drug- before or after a meal), while they informed patients about drug/
nutrient interactions. Eighty percent told that they were satisfied by the
way they practiced their profession and 96% said they would be willing to
attend a training course about RDU. CONCLUSION: Our survey results
demonstrated a need for educational program on RDU for nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
awareness
drug use
EMTREE MEDICAL INDEX TERMS
adult
article
drug bioavailability
drug information
education
female
hospital pharmacy
human
job satisfaction
medical error
nurse
prescription
questionnaire
Turkey (republic)
university hospital
work experience
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2013579012
FULL TEXT LINK
http://dx.doi.org/10.12991/201216413
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 242
TITLE
Validation of a computer case definition for sudden cardiac death in opioid
users.
AUTHOR NAMES
Kawai V.K.
Murray K.T.
Stein C.M.
Cooper W.O.
Graham D.J.
Hall K.
Ray W.A.
AUTHOR ADDRESSES
(Kawai V.K.) Division of Pharmacoepidemiology, Department of Preventive
Medicine, Nashville, TN, USA.
(Murray K.T.; Stein C.M.; Cooper W.O.; Graham D.J.; Hall K.; Ray W.A.)
CORRESPONDENCE ADDRESS
V.K. Kawai, Division of Pharmacoepidemiology, Department of Preventive
Medicine, Nashville, TN, USA.
SOURCE
BMC research notes (2012) 5 (473). Date of Publication: 2012
ISSN
1756-0500 (electronic)
ABSTRACT
To facilitate the use of automated databases for studies of sudden cardiac
death, we previously developed a computerized case definition that had a
positive predictive value between 86% and 88%. However, the definition has
not been specifically validated for prescription opioid users, for whom
out-of-hospital overdose deaths may be difficult to distinguish from sudden
cardiac death. We assembled a cohort of persons 30-74 years of age
prescribed propoxyphene or hydrocodone who had no life-threatening
non-cardiovascular illness, diagnosed drug abuse, residence in a nursing
home in the past year, or hospital stay within the past 30 days. Medical
records were sought for a sample of 140 cohort deaths within 30 days of a
prescription fill meeting the computer case definition. Of the 140 sampled
deaths, 81 were adjudicated; 73 (90%) were sudden cardiac deaths. Two deaths
had possible opioid overdose; after removing these two the positive
predictive value was 88%. These findings are consistent with our previous
validation studies and suggest the computer case definition of sudden
cardiac death is a useful tool for pharmacoepidemiologic studies of opioid
analgesics.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
dextropropoxyphene (adverse drug reaction)
hydrocodone (adverse drug reaction)
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
electronic medical record
sudden cardiac death (etiology)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
cohort analysis
computer assisted diagnosis
human
methodology
middle aged
predictive value
reproducibility
statistics
validation study
CAS REGISTRY NUMBERS
dextropropoxyphene (1639-60-7, 469-62-5)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22938531 (http://www.ncbi.nlm.nih.gov/pubmed/22938531)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 243
TITLE
Web-based SBIRT skills training for health professional students and primary
care providers.
AUTHOR NAMES
Tanner T.B.
Wilhelm S.E.
Rossie K.M.
Metcalf M.P.
AUTHOR ADDRESSES
(Tanner T.B.) Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA.
(Wilhelm S.E.; Rossie K.M.; Metcalf M.P.)
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2012) 33:3 (316-320). Date of
Publication: 2012
ISSN
1547-0164 (electronic)
ABSTRACT
The authors have developed and assessed 2 innovative, case-based,
interactive training programs on substance abuse, one for health
professional students on alcohol and one for primary care providers on
screening, brief intervention, and referral to treatment (SBIRT). Both
programs build skills in substance abuse SBIRT. Real-world effectiveness
trials involving medical students (n = 10) and nursing students (n = 60)
were completed; trials involving primary care providers (n = 65) are in
progress during 2011. Medical students and nursing students had similarly
low baseline scores on assessments that benefited from training: knowledge,
confidence, and clinical performance measured via an online standardized
patient case and encounter note all improved post-training. Preliminary
results indicate that practicing providers improved on knowledge, attitude,
and brief intervention skill performance after a similar training. Results
suggest that SBIRT skills can be improved with this model for case-based
interactive training programs, and thus, that this training has the
potential to impact patient outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
health care personnel
Internet
patient referral
primary health care
psychotherapy
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
evaluation study
human
medical education
methodology
nursing education
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22738013 (http://www.ncbi.nlm.nih.gov/pubmed/22738013)
FULL TEXT LINK
http://dx.doi.org/10.1080/08897077.2011.640151
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 244
TITLE
Mental health behaviours among undergraduate nursing students: Issues for
consideration
AUTHOR NAMES
Cleary M.
Horsfall J.
Baines J.
Happell B.
AUTHOR ADDRESSES
(Cleary M., michelle_cleary@nuhs.edu.sg) Alice Lee Centre for Nursing
Studies, Yong Loo Lin School of Medicine, Singapore.
(Horsfall J.; Baines J.) School of Nursing and Midwifery, University of
Western Sydney, Locked Bag 1797, Penrith South DC NSW 1797, Australia.
(Happell B.) Institute of Health and Social Science Research, School of
Nursing and Midwifery, CQ University, Australia.
CORRESPONDENCE ADDRESS
M. Cleary, Alice Lee Centre for Nursing Studies, Yong Loo Lin School of
Medicine, Clinical Research Centre, Level 2, Block MD11, 10 Medical Drive,
117597 Singapore, Singapore. Email: michelle_cleary@nuhs.edu.sg
SOURCE
Nurse Education Today (2012) 32:8 (951-955). Date of Publication: November
2012
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
It is clear that many university students across all disciplines (including
nursing) experience a diverse range of intrapersonal and interpersonal
difficulties. Some students are exposed to circumstances and expectations
that may place them at risk for mental health or substance use disorders or
exacerbate pre-existing problems. Research shows increasing rates of
diagnosable mental health conditions such as substance use disorders,
depression, personality disorders, and behavioural challenges that present
themselves while students are undertaking their university education. It is
therefore important that nurse educators are able to identify student
problems in both academic and clinical settings, so that symptoms, signs and
inexplicable behaviours are not ignored, and steps towards referral and
early intervention are taken. In this paper, we discuss rates of mental
health problems and substance use among undergraduate nursing students,
problems in the teaching-learning and clinical settings which nurse
educators are likely to witness, and the consequences of unacknowledged
psychiatric difficulties and problematic behaviours. © 2011 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
mental disease (diagnosis, epidemiology)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
forecasting
human
methodology
nursing evaluation research
organization and management
policy
psychological aspect
public relations
teaching
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22154953 (http://www.ncbi.nlm.nih.gov/pubmed/22154953)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2011.11.016
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 245
TITLE
Improving FASD knowledge in general population and healthcare professionals
in Murcia (SE Spain)
AUTHOR NAMES
Falcón M.
Sánchez M.F.
Villar Ana.B.
Jimenez-Roset J.
Gomariz V.
Cánovas A.
Ortega J.A.
Luna A.
AUTHOR ADDRESSES
(Falcón M.; Luna A.) Legal Medicine Department, University of Murcia,
Murcia, Spain.
(Sánchez M.F.; Gomariz V.; Cánovas A.; Ortega J.A.) Pediatric Environmental
Health Specialty Unit, Virgen de la Arrixaca University Hospital, Murcia,
Spain.
(Villar Ana.B.; Jimenez-Roset J.) Regional Drug Plan for the Region, Murcia,
Spain.
CORRESPONDENCE ADDRESS
M. Falcón, Legal Medicine Department, University of Murcia, Murcia, Spain.
SOURCE
Journal of Population Therapeutics and Clinical Pharmacology (2012) 19:3
(e394-e395). Date of Publication: 2012
CONFERENCE NAME
2nd European Conference on FASD
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2012-10-21 to 2012-10-24
ISSN
1710-6222
BOOK PUBLISHER
Canadian Society of Clinical Pharmacology
ABSTRACT
Background: The University of Murcia, the Regional Drug Plan for the Region
of Murcia, the Pediatric Environmental Health Specialty Unit. (PEHSU), and
the fetal unit in the Virgen de la Arrixaca University Hospital are working
together to increase the awareness on the FASD issue in this Mediterranean
Spanish area. This multidisciplinary team (clinic, research, public health
and university professionals) is developing different projects to reach a
main objective focused on reducing alcohol and other drug abuse substance
consumption during pregnancy. Objectives: The aim of this presentation is to
summarize the results of this collaboration and to improve the general
public/health professional knowledge about consequences of alcohol use
during pregnancy Materials & Methods: Review of the activities and programs
developed by these institutions (2010-2012). Results: The interventions
include among others: 1) Teaching and training network for health
professionals (pediatricians, gynecologist, obstetricians, nurses, midwives,
general practitioners and social workers) to make easier for them to
prevent, detect and diminish alcohol exposure during pregnancy and give
advice and treatment when necessary to woman-family, to reduce risk and harm
to the fetus. Training courses and conferences: a) Continuing Education
Courses: 5 Courses. Attendance: 101 general practitioners b) Courses
“Training Course for Trainers”: Attendance: 60 general practitioners c)
Pediatric Environmental Health: training program for residents of pediatrics
in our hospital. 50 students d) Workshop: “Reproductive Environmental Health
prevention of alcohol and other abuse substances exposure during pregnancy
and lactation”. 40 students. e) Specific curricula subjects in Medicine,
nursery and social work degrees. f) Specific curricula subjects in PhD
students (50 students) g) Courses for dissemination of prevention messages
and health education purposes: 85 persons 2) Media publications and
presentations to improve general population awareness of alcohol exposure
consequences during pregnancy and fostering the whole community involvement
in the protection of the newborn. Information materials for pregnant woman
and professionals reaching all the health areas of the Region with more than
13.713 families targeted. Radio interviews: 2. Newspapers interviews: 4.
Conclusion: The synergy between different institutions makes easier the
implementation of educational initiatives to reach both general population
and health related professionals.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
human
population
Spain
EMTREE MEDICAL INDEX TERMS
abuse
alcohol consumption
community
continuing education
curriculum
drug abuse
environmental health
exposure
female
fetus
general practitioner
gynecologist
health
health education
health practitioner
hospital
interview
lactation
midwife
newborn
nurse
nursery
pediatrician
pediatrics
PhD student
pregnancy
pregnant woman
prevention
professional knowledge
protection
public health
publication
risk
social work
social worker
student
teaching
telecommunication
training
university
university hospital
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 246
TITLE
Do first year paramedic have preconceived attitudes about patients with
specific medical conditions? A four-year longitudinal study
AUTHOR NAMES
Howard S.
Eloise-Verhees C.
Boyle M.
Williams B.
AUTHOR ADDRESSES
(Howard S.; Eloise-Verhees C.; Boyle M.; Williams B.) Monash University,
Melbourne, Australia.
SOURCE
Australasian Journal of Paramedicine (2013) 10:3 (18)
CONFERENCE NAME
2012 Paramedics Australasia Conference
CONFERENCE LOCATION
Hobart, Tasmania, Australia
CONFERENCE DATE
2012-11-02 to 2012-11-03
ISSN
2202-7270
BOOK PUBLISHER
The Official Journal of Paramedics Australasia
ABSTRACT
Background Certain medical conditions have long been associated with stigma,
stereotypes, and negative attitudes. These poor attitudes toward patients
with specific medical conditions are a major impediment in the provision of
healthcare. The objective of this study was to determine the attitude of
first year students entering a paramedic course over 4 consecutive yearly
(2008-2011) intakes toward patients with intellectual disability, substance
abuse, attempted suicide, and acute mental illness. Methods A
cross-sectional study using a convenience sample of first year undergraduate
paramedic and nursing/paramedic students was used. The students' attitude
towards four medical conditions commonly encountered in the prehospital
setting was assessed using the Medical Condition Regard Scale (MCRS). The
MCRS ranges from 11 to 66. Results There were 230 students who participated
in the study of which 66% were female with 76% of all students < 21 years of
age. Students showed the most negative attitudes towards substance abuse,
mean 35 (SD=6.6), and the most positive attitude toward intellectual
disability, mean 38.2 (SD=6.3). The mean attitude towards attempted suicide
and mental illness was 37.1 (SD=7.4) and 38.1(SD=6.8) respectively. Students
in the 2008 cohort displayed significantly higher regard for all medical
conditions compared to ensuing years (p<0.05). There was a significant
difference in attitude towards attempted suicide in students from the
paramedic course compared to those from the nursing/paramedic course, mean
37.9 vs. 35.8 (p=0.043). Paramedic students also showed a higher regard for
mental illness compared with their nursing/paramedic student counterparts,
mean 39 vs. mean 36.4 (p=0.006). Conclusions The study findings suggest that
students entering an undergraduate paramedic or paramedic/nursing course
have a relatively poor attitude towards the four specific medical
conditions, particularly substance abuse. These findings highlight the need
to educate students early in their course around these medical conditions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Australia and New Zealand
human
longitudinal study
patient
EMTREE MEDICAL INDEX TERMS
convenience sample
cross-sectional study
female
health care
intellectual impairment
mental disease
stereotypy
student
substance abuse
suicide attempt
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 247
TITLE
Home to Homeroom program brings school nurses to the forefront of teen
substance abuse prevention.
AUTHOR NAMES
Ducker S.
Terry J.
AUTHOR ADDRESSES
(Ducker S.) Consumer Healthcare Products Association, Washington, DC, USA.
(Terry J.)
CORRESPONDENCE ADDRESS
S. Ducker, Consumer Healthcare Products Association, Washington, DC, USA.
SOURCE
NASN school nurse (Print) (2012) 27:6 (329-330). Date of Publication: Nov
2012
ISSN
1942-602X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
health care quality
human
nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23193727 (http://www.ncbi.nlm.nih.gov/pubmed/23193727)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 248
TITLE
Disproportionate organizational injustice: A close look at facilities
exempted from indoor smoking laws in Canada
AUTHOR NAMES
Al-Hamdani M.
AUTHOR ADDRESSES
(Al-Hamdani M., alhamdani.mohammed@gmail.com) Department of Psychology,
Saint Mary's University, 923, Robie Street, Halifax, NS, B3H 3C3, Canada.
CORRESPONDENCE ADDRESS
M. Al-Hamdani, Department of Psychology, Saint Mary's University, 923, Robie
Street, Halifax, NS, B3H 3C3, Canada. Email: alhamdani.mohammed@gmail.com
SOURCE
Healthcare Policy (2012) 8:2 (24-29). Date of Publication: November 2012
ISSN
1715-6572 (electronic)
BOOK PUBLISHER
Longwoods Publishing Corp., 260 Adelaide Street East, No. 8, Toronto,
Canada.
ABSTRACT
Federal and provincial legislation bans smoking in indoor public spaces and
workplaces, yet exemptions exist for residential facilities such as nursing
homes and addiction treatment centres. In relying on ventilated smoking
rooms, however, these organizations are failing to protect the health of
their employees and clients. Increased use of risk messages regarding the
harms of second- and third-hand smoke, together with enhanced nicotine
replacement therapies for smokers, would rectify this disproportionate
injustice. Such an approach must also recognize and counteract the efforts
of the tobacco industry to block total indoor smoking bans.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
EMTREE MEDICAL INDEX TERMS
Canada
human
law
nicotine replacement therapy
note
occupational exposure
organization
passive smoking
tobacco industry
workplace
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2012739255
MEDLINE PMID
23968612 (http://www.ncbi.nlm.nih.gov/pubmed/23968612)
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 249
TITLE
Undergraduate college students' perceptions of psychiatric nurses
AUTHOR NAMES
Wantz R.A.
Firmin M.W.
Stolzfus M.J.
Ray B.N.
Holmes H.J.
Geib E.F.
AUTHOR ADDRESSES
(Wantz R.A., rick.wantz@wright.edu) Wright State University, College of
Education and Human Services, 3640 Col Glenn Hwy., Dayton, OH 45435, United
States.
(Firmin M.W.; Stolzfus M.J.; Ray B.N.; Holmes H.J.; Geib E.F.) Cedarville
University, Department of Psychology, Cedarville, OH, United States.
CORRESPONDENCE ADDRESS
R.A. Wantz, Wright State University, College of Education and Human
Services, 3640 Col Glenn Hwy., Dayton, OH 45435, United States. Email:
rick.wantz@wright.edu
SOURCE
Issues in Mental Health Nursing (2012) 33:11 (769-776). Date of Publication:
November 2012
ISSN
0161-2840
1096-4673 (electronic)
BOOK PUBLISHER
Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
We surveyed undergraduate students' perceptions of psychiatric nurses'
effectiveness and analyzed other sources of data. Students reported that
psychiatric nurses' strengths include helping in situations that involve
psychiatric symptoms, mental health evaluation, and drug abuse. Psychiatric
nurses also were said to be effective when helping an individual with
psychiatric symptoms, such as delusions and hallucinations. Friends or
associates, common knowledge, school and education, and movies are some
sources by which students learn about psychiatric nurses. Sources that
provided less influential information include insurance carriers,
newspapers, and personal experience. © 2012 Informa Healthcare USA, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
clinical competence
psychiatric nursing
social psychology
social stigma
student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
decision making
education
female
human
male
mental health service
middle aged
psychological aspect
questionnaire
statistics
United States
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23146011 (http://www.ncbi.nlm.nih.gov/pubmed/23146011)
FULL TEXT LINK
http://dx.doi.org/10.3109/01612840.2012.711432
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 250
TITLE
Increasing nursing referral to telephone quitlines for smoking cessation
using a web-based program
AUTHOR NAMES
Sarna L.
Bialous S.A.
Ong M.K.
Wells M.
Kotlerman J.
AUTHOR ADDRESSES
(Sarna L., lsarna@sonnet.ucla.edu; Wells M.) School of Nursing, University
of California-Los Angeles, 700 Tiverton Avenue, Los Angeles, CA 90095,
United States.
(Bialous S.A.) Tobacco Policy International, San Francisco, CA, United
States.
(Ong M.K.; Kotlerman J.) David Geffen School of Medicine, University of
California-Los Angeles, United States.
CORRESPONDENCE ADDRESS
L. Sarna, School of Nursing, University of California-Los Angeles, 700
Tiverton Avenue, Los Angeles, CA 90095, United States. Email:
lsarna@sonnet.ucla.edu
SOURCE
Nursing Research (2012) 61:6 (433-440). Date of Publication:
November-December 2012
ISSN
0029-6562
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
Background: Smokers who make a quit attempt during hospitalization have
improved long-term abstinence if they receive follow-up support, including
via a telephone quitline, a free resource in the United States. Smokers are
referred infrequently to this resource by healthcare providers. Objective:
The aim of this study was to evaluate the impact of a Web-based educational
program (Helping Smokers Quit) on translating the Treating Tobacco Use and
Dependence Clinical Practice Guideline: 2008 Update into practice. Using a
Web-based survey, frequency of nurses' self-reported referral of smokers to
a quitline and performance of the components of a smoking cessation
intervention (the 5As: Ask, Advise, Assess, Assist, Arrange) was compared
with self-reported performance among nurses who received printed educational
materials (control group) at 6 months. Methods: Nurses from 30 (n = 15
control and n = 15 intervention) randomly selected and assigned hospitals
from California, Indiana, and West Virginia participated. Both groups
received a toolkit of materials including a state quitline card and access
to the Tobacco Free Nurses Web site; the intervention group had additional
access to a project-specific Web page and the opportunity to attend a
webinar. Only nurses who completed baseline and 6-month surveys were
included in the analysis. Mean improvement of the 5As and refer scores and
logistic regressions of consistent (usually or always) referral to a
quitline were used to examine differences over time by group. Results:
Pre-post data were collected for 333 nurses (209 intervention, 124 control).
Mean improvement was significantly higher in Advise, Assess, Assist,
Arrange, and Referral to a Quitline for the Help Smokers Quit group. Nurses
in the control group significantly improved in Advise and Referral to a
Quitline. Consistent referral was most likely in the intervention group (OR
= 1.74, 95% CI [1.11, 2.72]), especially among those who viewed the webinar
(OR = 2.34, 95% CI [1.03, 4.23]). Discussion: After 6 months, nurses in the
intervention group had significant improvement in the frequency of
interventions and consistency of referral of smokers to the quitline. The
improvement of nurses' referral to the quitline among the control group who
only received printed materials demonstrates that both are effective
strategies in increasing awareness of this resource. © 2012 Lippincott
Williams amp; Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Internet
nursing practice
nursing staff
patient referral
smoking cessation
telephone
EMTREE MEDICAL INDEX TERMS
adult
article
education
female
follow up
human
male
methodology
middle aged
nursing education
nursing evaluation research
statistics
United States
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23073265 (http://www.ncbi.nlm.nih.gov/pubmed/23073265)
FULL TEXT LINK
http://dx.doi.org/10.1097/NNR.0b013e3182707237
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 251
TITLE
Involvement of health professionals in tobacco control in the South-East
Asia Region
AUTHOR NAMES
Venkatesh S.
Sinha D.N.
AUTHOR ADDRESSES
(Venkatesh S., drsvenkatesh1@gmail.com) Department of AIDS Control, Ministry
of Health and Family Welfare, India.
(Sinha D.N.) Tobacco Free Initiative, World Health Organization, Regional
Office for South-East Asia, India.
CORRESPONDENCE ADDRESS
S. Venkatesh, Department of AIDS Control, Ministry of Health and Family
Welfare, India. Email: drsvenkatesh1@gmail.com
SOURCE
Indian Journal of Cancer (2012) 49:4 (327-335). Date of Publication:
October-December 2012
ISSN
0019-509X
1998-4774 (electronic)
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd, B9, Kanara Business Centre, off
Link Road, Ghatkopar (E), Mumbai, India.
ABSTRACT
Tobacco use is widely entrenched in the South-East Asia (SEA) Region leading
to high morbidity and mortality in this region. Several studies revealed
that tobacco use is widespread among youth and school children. Exposure to
second-hand smoke was reported as around 50% or more in three
countries-Myanmar (59.5%), Bangladesh (51.3%), and Indonesia (49.6%). Health
profession students encompassing medical, dental, nursing and pharmacy
disciplines, and even qualified health professionals are no exception from
tobacco use. While they are regarded as role models in tobacco cessation
programs, their tobacco addiction will carry a negative impact in this
endeavour. A mere inquiry about the smoking status of patients and a brief
advice by doctors or dentists increases quit rates and prompts those who
have not thought about quitting to consider doing so. Evidence from some
randomized trials suggests that advice from motivated physicians to their
smoking patients could be effective in facilitating cessation of smoking.
However, the low detection rate of smokers by many physicians and the small
proportion of smokers who routinely receive advice from their physicians to
quit have been identified as a matter of concern. This paper describes the
role and issues of involvement of health professionals in tobacco control.
Data from a variety of sources is used to assess the status. Although there
are some differences, tobacco use is widespread among the students and
health professional students. Exposure to second hand smoke is also a matter
of concern. Tobacco-related problems and tobacco control cut across a vast
range of health disciplines. Building alliances among the health
professional associations in a vertical way will help synergize efforts, and
obtain better outcomes from use of existing resources. Health professional
associations in some countries in the SEA region have already taken the
initiative to form coalitions at the national level to advance the tobacco
control agenda. In Thailand, a Thai Health Professional Alliance against
Tobacco, with 17 allies from medical, nursing, traditional medicine, and
other health professional organizations, is working in a concerted manner
toward promoting tobacco control. Indian Dental Association intervention is
another good example.
EMTREE DRUG INDEX TERMS
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
health practitioner
smoking
EMTREE MEDICAL INDEX TERMS
clinical practice
consultation
cross-sectional study
dentist
health care personnel
health program
health status
human
leukoplakia
lifestyle modification
lung cancer
medical education
medical society
medical student
meta analysis (topic)
mouth cancer
neoplasm
nursing student
occupational health
passive smoking
patient assessment
patient counseling
physician
precancer
pregnant woman
prevalence
reproductive health
review
smokeless tobacco
smoking cessation
tobacco industry
traditional medicine
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013226799
MEDLINE PMID
23442394 (http://www.ncbi.nlm.nih.gov/pubmed/23442394)
FULL TEXT LINK
http://dx.doi.org/10.4103/0019-509X.107721
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 252
TITLE
Current mental health situation in Cambodia
AUTHOR NAMES
Kim S.
AUTHOR ADDRESSES
(Kim S.) Department of Psychiatry, Mental Health Association of Cambodia,
Cambodia.
CORRESPONDENCE ADDRESS
S. Kim, Department of Psychiatry, Mental Health Association of Cambodia,
Cambodia.
SOURCE
Asia-Pacific Psychiatry (2012) 4 SUPPL. 1 (22). Date of Publication: October
2012
CONFERENCE NAME
15th Pacific Rim College of Psychiatrists Scientific Meeting, PRCP 2012
CONFERENCE LOCATION
Seoul, South Korea
CONFERENCE DATE
2012-10-25 to 2012-10-27
ISSN
1758-5864
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Cambodia had been three decades of war, genocide, and civil political
unrest. From 1975-1979, 1.7 Million of people were killed, all economic and
health facilities were destroyed by the Khmer Rouge regime. Consequences led
to increased psychological disorders, social mistrust, breaks in
psychological development and parenting skills, and loss of human resources
in mental health, although high levels of resiliency among population.
1979-1996, mental patients have been brought to see traditional healers who
involve a range of professionals, such as, monks, and fortune tellers, and
includes a range of treatments: reading of fortunes, speaking to spirits
through medium, cupping or coining, herbal remedies, making offerings to
spirits, or meditative prayer.. Currently; 41 psychiatrists, 45 psychiatric
nurses and nearly 275 general practitioners have undergone 3 month courses
in primary care psychiatry. Mental health services delivery has been
integrated into the general health care system. There are 6,1% of Referral
Hospitals (n = 82) provide mental health services led by psychiatrists.
52.4% of Referral Hospitals (n = 82) and 1.8% of Health Centers (n = 1004)
provide Primary Mental Health care led by General Practitioners and
Psychiatric nurses while only one referral hospital provides child mental
health services led by foreign child psychiatrist. In 2011, 15,545 new cases
and 80,000 follow up cases consulted at mental services. Children, women,
rural populations, persons with disabilities, and persons with substance
abuse are still lacking in mental health care. This conclude to expand
services to rural areas, as well as at-risk demographics to address gaps in
treatment across Cambodia and increase training and education of community
leaders and mental health professionals in those areas to reduce burden of
mental diseases through early detection, prevention, treatment and
rehabilitation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Cambodia
college
human
mental health
psychiatrist
EMTREE MEDICAL INDEX TERMS
child
child parent relation
child psychiatry
community
disability
education
female
follow up
general practitioner
genocide
health care facility
health care system
health center
health practitioner
hospital
mental disease
mental health care
mental health service
mental patient
nurse
population
prevention
primary medical care
psychiatry
reading
rehabilitation
religion
risk
rural area
rural population
skill
speech
substance abuse
traditional healer
war
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/appy.12002
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 253
TITLE
Use of technology can improve hepatitis A and hepatitis B vaccination rates
in chronic liver disease patients: A prospective, single-center study
AUTHOR NAMES
Aggarwal A.
Atreja A.
Vinch R.
Manroa P.
Carey W.
AUTHOR ADDRESSES
(Aggarwal A.; Manroa P.) Internal Medicine, Cleveland Clinic, Cleveland,
United States.
(Atreja A.; Vinch R.; Carey W.) Digestive Disease Institute, Cleveland
Clinic, Cleveland, United States.
CORRESPONDENCE ADDRESS
A. Aggarwal, Internal Medicine, Cleveland Clinic, Cleveland, United States.
SOURCE
American Journal of Gastroenterology (2012) 107 SUPPL. 1 (S598-S599). Date
of Publication: October 2012
CONFERENCE NAME
77th Annual Scientific Meeting of the American College of Gastroenterology
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2012-10-19 to 2012-10-24
ISSN
0002-9270
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Purpose: Vaccination against Hepatitis A (HAV) and Hepatitis B (HBV) is
recommended in chronic liver disease (CLD) patients. We have previously
shown that patients presenting to the hepatology clinics oft en do not get
the recommended vaccines. Use of computer based prompt, along with modified
standing orders may be an effective method to improve the adherence rates.
Methods: This is a prospective, single center trial aiming to study the
effect of BPA on vaccination rates in CLD patients. BPA was designed to
identify adult patients (>18 years age) with CLD (defined by ICD 9 codes)
who presented to our tertiary care hepatology clinic. It was programmed to
analyze previous hepatitis serology results in the system, identify the
susceptible patients, and then alert the nurses. Patients were considered to
be susceptible to HAV or HBV by BPA if they had negative serologies or if
they did not have any serologies in the system. BPA then recommended pre
built order sets for different vaccination series, which could be selected
by the nurses. Upon approval of the vaccination series by the physician,
vaccine was administered. We report our experience with vaccination rates in
CLD patients seen from Feb 22, 2012- April 30, 2012 after BPA went live in
our hepatology clinic. For comparison, baseline vaccination rates were
obtained from a historical cohort of CLD patients presenting to the same
clinic from 2005-2009 (data presented previously). Results: Total of 446
patients with CLD who were identified as either HAV or HBV susceptible by
BPA were included (mean age 58.4 + 10.7 years). The major causes of chronic
liver disease were chronic hepatitis C in 49.5% patients, non alcoholic
fatty liver disease/ cryptogenic cirrhosis in 20.9%, and alcoholic liver
disease in 8% patients. 83.1% of patients were HAV susceptible while 79.8%
patients were identified as HBV susceptible. Hepatitis A vaccine had been
initiated or completed in 70.8 % (263/ 371= 70.8%) of the susceptible
patients as compared to 37.5% of the susceptible patients in the historical
cohort in whom Hepatitis A vaccine had been initiated (p<0.0001). Similarly,
70.2% of the patients seen after implementation of BPA had initiation of HBV
vaccination series as compared to 26.5% of Hepatitis B susceptible patients
in the historical cohort (p<0.0001). Conclusion: Proportion of susceptible
patients in whom Hepatitis A and Hepatitis B vaccination series were
initiated almost doubled during the active alerting period. Use of
technology seems to be a promising tool in improving adherence to
vaccination guidelines in CLD patients.
EMTREE DRUG INDEX TERMS
hepatitis A vaccine
vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic liver disease
college
gastroenterology
hepatitis A
hepatitis B
human
patient
technology
vaccination
EMTREE MEDICAL INDEX TERMS
adult
alcohol liver disease
computer
hepatitis
hepatitis C
hospital
ICD-9
liver cirrhosis
nonalcoholic fatty liver
nurse
physician
serology
tertiary health care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/ajg.2012.274
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 254
TITLE
Cost-effectiveness of pharmacist managed medication therapy adherence clinic
(MTAC) on type 2 diabetes patients in a Tertiary Hospital in Malaysia
AUTHOR NAMES
Loganadan N.K.
Lim K.Y.
Nur N.M.
Ariffin F.
AUTHOR ADDRESSES
(Loganadan N.K.; Lim K.Y.; Nur N.M.; Ariffin F.) Department of Pharmacy,
Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
CORRESPONDENCE ADDRESS
N.K. Loganadan, Department of Pharmacy, Hospital Kuala Lumpur, Kuala Lumpur,
Malaysia.
SOURCE
Pharmacotherapy (2012) 32:10 (e270). Date of Publication: October 2012
CONFERENCE NAME
2012 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2012
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2012-10-21 to 2012-10-24
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: This study was conducted: (i) To study the impact of pharmacist
managed Medication Therapy Adherence Clinic (MTAC) on medication adherence
and glycemic control of Type 2 Diabetes patients and (ii) To evaluate the
cost-effectiveness of MTAC program. METHODS: In this prospective cohort
study, 43 Type 2 Diabetes patients who attended pharmacist MTAC clinic
visits in Kuala Lumpur Hospital besides their routine physician visits
between February 2008 to August 2009 were assigned to Intervention group
while 42 others who attended physician visits only (Standard Care) as
Control. The Intervention group received medication adherence assessment,
advise on drug related problems, medication counseling and diabetes
education by pharmacists while the Control group did not. HbA1c levels (%)
and Morisky Scores were measured and compared at baseline and after 9 months
follow-up period between both groups. Direct medical costs including
doctor's cost, pharmacist's cost, nurse's cost, cost of medications and cost
of laboratory tests were used for costeffectiveness analysis (CEA). RESULTS:
Medication adherence of subjects in the Intervention (MTAC) group increased
significantly from a Morisky score of 4.23 at baseline to 7.84 (p<0.05)
compared to increase from 4.00 to 6.14 seen in Control at the end of
follow-up. The HbA1c of subjects in the Intervention arm also reduced
significantly (p<0.05) by 1.7% from 10.6% at baseline to 8.9% at the end of
follow-up compared with a relatively smaller decrease of 0.6% from 10.7% at
baseline to 10.1% achieved in Control (p>0.05). Average cost effectiveness
ratio (ACER) for Intervention group was RM446.01 per 1% reduction and
RM1328.52 per 1% HbA1c reduction for Control. CONCLUSIONS: Pharmacist
managed MTAC Diabetes program helped Type 2 Diabetes patients achieve
significantly better medication adherence and glycemic control besides being
more cost-effective than Standard Care with greater savings in diabetes
expenditure to the hospital.
EMTREE DRUG INDEX TERMS
hemoglobin A1c
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
cost effectiveness analysis
diabetic patient
drug therapy
hospital
human
Malaysia
non insulin dependent diabetes mellitus
patient compliance
pharmacist
tertiary health care
EMTREE MEDICAL INDEX TERMS
arm
cohort analysis
control group
counseling
diabetes education
diabetes mellitus
follow up
glycemic control
laboratory test
medication compliance
nurse
physician
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/j.1875-9114.2012.01219
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 255
TITLE
Interventions of a pharmacist on a teaching nursing home team
AUTHOR NAMES
Nye A.
AUTHOR ADDRESSES
(Nye A.)
CORRESPONDENCE ADDRESS
A. Nye,
SOURCE
Consultant Pharmacist (2012) 27:10 (707). Date of Publication: October 2012
CONFERENCE NAME
American Society of Consultant Pharmacists Fall 2012
CONFERENCE LOCATION
National Harbor, MD, United States
CONFERENCE DATE
2012-11-06 to 2012-11-09
ISSN
0888-5109
BOOK PUBLISHER
American Society of Consultant Pharmacists
ABSTRACT
Purpose: To determine the added value of a clinical pharmacist rounding with
an interdisciplinary team in a nursing home. Methods: A pharmacist rounded
with the physician team four days a week in a teaching nursing home in
addition to the monthly chart review. For two months interventions by a CGP
preceptor and pharmacy students were recorded, including the drug problem
and outcome. Results: There were a total of 197 drug problems identified
with 132 recommendations on a nursing home panel of approximately 90
patients. Eighty-five percent of recommendations were implemented. The most
common problems were an untreated problem (35), unnecessary drug (31), lab
monitoring needed (24), ineffective medication (17), suboptimal drug choice
(11), and high-risk drug (11). Recommendations including stopping a drug
(40), initiating new therapy (33), monitoring needed (25), changing the drug
(16), increasing the dose (16), and decreasing the dose (9). Conclusion: By
rounding with the team a pharmacist could make recommendations when
decisions were being made for the patient. When a less optimal medication
was being considered it could be changed before it was ordered. Having a
pharmacist at the point of care facilitates appropriate use of medications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consultation
human
nursing home
pharmacist
society
teaching
EMTREE MEDICAL INDEX TERMS
drug abuse
drug choice
drug therapy
medical record review
monitoring
patient
pharmacy student
physician
risk
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.4140/TCP.n.2012.698
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 256
TITLE
Cell phone based automated monitoring of patients with early rheumatoid
arthritis
AUTHOR NAMES
Puolakka K.
Sokka T.
Kautiainen H.
AUTHOR ADDRESSES
(Puolakka K.) Department of Medicine, South Karelia Central Hospital,
Lappeenranta, Finland.
(Sokka T.) Jyvaskyla Central Hospital, Jyvaskyla, Finland.
(Kautiainen H.) Orton Rehabilitation, Helsinki, Finland.
CORRESPONDENCE ADDRESS
K. Puolakka, Department of Medicine, South Karelia Central Hospital,
Lappeenranta, Finland.
SOURCE
Arthritis and Rheumatism (2012) 64 SUPPL. 10 (S163-S164). Date of
Publication: October 2012
CONFERENCE NAME
Annual Scientific Meeting of the American College of Rheumatology and
Association of Rheumatology Health Professionals 2012
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2012-11-09 to 2012-11-14
ISSN
0004-3591
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background/Purpose: Frequent monitoring improves patient compliance and
outcomes of RA. Limited resources may hinder adherence to recommendations to
frequent assessment. A remote assessment could be a solution with patient's
global assessment (PtGA) as a measure. Methods: A novel, cell-phone based
monitoring system has been invented (SandRA). Each incident patient with
early RA is being registered in SandRA monitoring-with his or her informed
consent. Baseline PtGA is recorded. Every 2 weeks during the following 6
months, SandRA sends automatically an SMS to the patient's cell phone, and
patient answers by one push on keyboard. The first 2 SMSs concern
medications (“Have you used the prescribed drug treatments?” Y/N) and
adverse events (“Have you experienced any problems with the drug?” Y/N).
From 6 weeks onwards, PtGAs is inquired: (“What is the severity of RA on
scale 0 to 10, when 0 corresponds absence of RA symptoms and 10 as severe RA
symptoms as you can imagine?”). Based on data from our previous early RA
cohorts, a treatment target was set at 5-3/10 (figure 1). The patients'
answers are recorded in SandRA database and automatically analyzed. If an
answer does not indicate problems, patient receives an automatic SMS
response of the answer being recorded. If an answer indicates problems,
i.e., patient has not used the treatment, has experienced adverse events, or
RA has not improved at the pace defined, the patient receives an SMS: “Your
nurse will call you within 2 working days”. At the same time, the nurse
receives an e-mail about the patient's problem. If the problem cannot be
solved on the phone, the patient is called for a visit for treatment
adjustment. Results: We analyzed 137 consecutive patients registered in
SandRA. The patients' regular doctor appointments were scheduled at 3 and 6
months. Most patients achieved the treatment target, i.e., their PtGAs were
under the alarm line (panel A). SandRA picked out 34%, 31%, 29%, and 31% of
the patients at 6, 10, 18, and 22 weeks for assessment before regular
appointments (panel B). Conclusion: A novel automated cell phone based
monitoring system may provide a feasible method to achieve treatment target
in patients with early RA.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
health practitioner
human
mobile phone
monitoring
patient
rheumatoid arthritis
rheumatology
EMTREE MEDICAL INDEX TERMS
data base
drug therapy
e-mail
informed consent
keyboard
nurse
patient compliance
physician
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/art.37735
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 257
TITLE
Lost in transition: The benefit of interdisciplinary home-based care
following hospitalization
AUTHOR NAMES
Borzadek E.Z.
Holmes J.T.
Krawtz D.B.
AUTHOR ADDRESSES
(Borzadek E.Z.; Holmes J.T.; Krawtz D.B.) Departments of Family Medicine and
Pharmacy Practice, Idaho State University, Pocatello, United States.
CORRESPONDENCE ADDRESS
E.Z. Borzadek, Departments of Family Medicine and Pharmacy Practice, Idaho
State University, Pocatello, United States.
SOURCE
Pharmacotherapy (2012) 32:10 (e269). Date of Publication: October 2012
CONFERENCE NAME
2012 Annual Meeting of the American College of Clinical Pharmacy, ACCP 2012
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2012-10-21 to 2012-10-24
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Idaho has the lowest national 30-day re-hospitalization rate for
Medicare beneficiaries at 13.3%, which may be misleading due to limited
access to care. A home-based Transition of Care (TOC) clinic was developed
to provide safe and effective transitions from acute care to home by
utilizing a unique interdisciplinary team of nurse practitioner, clinical
pharmacist, and health professions students with electronic medial record
(EMR) access in the home; drug-related problems (DRPs) were identified.
METHODS: An office-based interdisciplinary TOC clinic was developed in 2006
but evolved into a semi-weekly home-based service in 2011 due to high
no-show rates and an inability to thoroughly identify and resolve DRPs.
Enrollment criteria for the home-based TOC program included inpatient
hospitalization > 48 hours, age ≥ 65 and one additional risk factor (e.g. ≥
2 hospitalizations in the past 6 months, ≥ 2 chronic illnesses,
polypharmacy, ≥ 2 medication changes, documented history of poor adherence).
Services provided were assessment for DRPs, medication counseling and
reconciliation, personal medication record development, clinical assessment,
depression/dementia screening, fall risk assessment, and assistance with
advanced directives. An interim retrospective EMR chart abstraction of
documented hospital follow-up was performed to compare DRPs identified at
TOC and provider office visits. RESULTS: From October 17, 2011 to June 15,
2012, there were 55 home-based TOC encounters. Interim analysis identified
2.6 DRPs documented per TOC clinic encounter compared to 0.6 DRPs per
provider office encounter (p=0.023). The most common DRPs in TOC clinic were
secondary to unintentional/intentional non-adherence, incomplete/inaccurate
discharge instructions, therapy duplication, and
provider-provider/provider-patient miscommunication. A 12-month analysis of
identified and classified DRPs and 30-day re-hospitalization rates will be
presented. CONCLUSION: An interdisciplinary home-based TOC clinic is
effective at identifying DRPs. Although cost-prohibitive in many areas,
interdisciplinary home-visit TOC delivery should be further explored.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
hospitalization
EMTREE MEDICAL INDEX TERMS
ambulatory care
chronic disease
clinical assessment
counseling
drug therapy
emergency care
fall risk assessment
follow up
health
hospital
hospital patient
human
medicare
nurse practitioner
occupation
patient
pharmacist
polypharmacy
professional practice
risk factor
screening
student
therapy
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/j.1875-9114.2012.01219
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 258
TITLE
Tobacco use and cessation counseling in India-data from the Global Health
Professions Students Survey, 2005-09
AUTHOR NAMES
Surani N.S.
Pednekar M.S.
Sinha D.N.
Singh G.
Warren C.W.
Asma S.
Gupta P.C.
Singh P.K.
AUTHOR ADDRESSES
(Surani N.S.; Pednekar M.S., pednekarm@healis.org; Gupta P.C.)
Healis-Sekhsaria Institute for Public Health, Navi Mumbai, India.
(Sinha D.N.; Singh P.K.) World Health Organization, Regional Office for
South-East Asia, New Delhi, India.
(Singh G.) School of Preventive Oncology, Patna, India.
(Warren C.W.; Asma S.) US Centers for Disease Control and Prevention,
Atlanta, United States.
CORRESPONDENCE ADDRESS
M.S. Pednekar, Healis-Sekhsaria Institute for Public Health, Navi Mumbai,
India. Email: pednekarm@healis.org
SOURCE
Indian Journal of Cancer (2012) 49:4 (425-430). Date of Publication:
October-December 2012
ISSN
0019-509X
1998-4774 (electronic)
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd, B9, Kanara Business Centre, off
Link Road, Ghatkopar (E), Mumbai, India.
ABSTRACT
Context: Tobacco use by health professionals reflects the failure of
healthcare systems in protecting not only beneficiaries of the system but
also those involved in health care delivery. Aim: The aim of this study was
to report findings from the Global Health Professions Students Survey
(GHPSS) conducted in medical, dental, nursing and pharmacy schools in India.
Settings and Design: A cross-sectional survey was conducted in Indian dental
and medical schools (in 2009), nursing (in 2007), and pharmacy (in 2008)
schools. Materials and Methods: Anonymous, self-administered GHPSS
questionnaire covering demographics, tobacco use prevalence, secondhand
smoke (SHS) exposure, desire to quit smoking and training received to
provide cessation counseling to patients was used. Statistical Analysis:
Proportions and prevalence were computed using SUDAAN and SPSS 15.0.
Results: Current cigarette smoking and other tobacco use ranged from
3.4-13.4% and 4.5-11.6% respectively, in the four health professional
schools, with the highest numbers for medical schools and males. Enforcement
of smoking ban in medical schools was low (53%) compared to nursing (86.4%),
pharmacy (85.5%), and dental (90.8%) schools. Ninety percent students
thought health professionals have a role in giving smoking cessation advice
to their patients. Three out of five current smokers wanted to quit.
However, one out of two reported receiving help/advice to quit. Although all
expressed the need, 29.1-54.8% students received cessation training in their
schools. Conclusion: Tobacco control policy, cessation training and
initiatives to help students quit smoking should be undertaken.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
cross-sectional study
dental student
exposure
health practitioner
health survey
human
medical school
nursing student
passive smoking
patient counseling
pharmacy student
sampling
smoking ban
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2013226813
MEDLINE PMID
23442408 (http://www.ncbi.nlm.nih.gov/pubmed/23442408)
FULL TEXT LINK
http://dx.doi.org/10.4103/0019-509X.107751
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 259
TITLE
Breakthrough improvement model: Moving the hospital early detection services
to a municipality youth health- and leisure center. Is it possible detecting
mental illnesses earlier?
AUTHOR NAMES
Joergensen R.L.
Johannessen J.O.
Hatloey K.
Joa I.
AUTHOR ADDRESSES
(Joergensen R.L.; Johannessen J.O.; Hatloey K.; Joa I.) Stavanger University
Hospital, Division of Psychiatry, Norway.
(Johannessen J.O.; Joa I.) University of Stavanger, Norway.
CORRESPONDENCE ADDRESS
R.L. Joergensen, Stavanger University Hospital, Division of Psychiatry,
Norway.
SOURCE
Early Intervention in Psychiatry (2012) 6 SUPPL.1 (108). Date of
Publication: October 2012
CONFERENCE NAME
8th International Conference on Early Psychosis: From Neurobiology to Public
Policy
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2012-10-11 to 2012-10-13
ISSN
1751-7885
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Background: Results from the TIPS study in Stavanger, conducted in 1997-2000
showed that an early detection team(ED) and information campaigns can
significantly reduce the Duration of Untreated Psychosis (DUP). Aim: Offer
our hospital specialized early detection services to adolescent/ young
adults between 15-20 years in a municipality health- and leisure center for
youth. The following services are offered at the center: - Youth health
centre with school nurses and GPs. -Social workers working with troubled
youth. -Metropolis which is a music- and cultural club. -K46 which is a low
threshold services to young people with drug dependencies. Method: Offer ED
presence at the health- and leisure center on Wednesday's between 3 p.m. and
5 p.m. Offering potential patients and referral agents mental health
disorder screening and psychosis assessment. Results: The ED presence has
been operating since medium May 2010. We've since 1997 registered all
contacts to the ED team. From this data we have baseline information about
the contacts from the age group 15-20 years living in Stavanger. The
baseline will be compared with a follow- up1 period May 2010-May 2011, and a
follow-up2 from May 2012- May 2012. Conclusion: In the period of ED
presence, our experiences has been an increase in contacts with youth
between 15-20 years. There's also been detected 2 first episode psychosis
and 6 UHR/prodromal states during that time. The data and will presented and
commented in the poster.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
hospital
juvenile
leisure
mental disease
model
neurobiology
policy
primary prevention
psychosis
EMTREE MEDICAL INDEX TERMS
adult
diseases
drug dependence
groups by age
health center
human
mental health
music
patient
school health nursing
screening
social worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-7893.2012.00394.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 260
TITLE
SNACC-118 patient characteristics that correlate with a firsttime, early
do-not-attempt-resuscitation order in intracerebral hemorrhage
AUTHOR NAMES
McFarlin J.
Khan S.
Hailey C.
Gray M.
Sun W.
Bute B.
Kranz P.
Laskowitz D.
James M.
McDonagh D.
AUTHOR ADDRESSES
(McFarlin J.; Khan S.; Hailey C.; Gray M.; Sun W.; Bute B.; Kranz P.;
Laskowitz D.; James M.; McDonagh D.) Duke University, Raleigh, United
States.
CORRESPONDENCE ADDRESS
J. McFarlin, Duke University, Raleigh, United States.
SOURCE
Journal of Neurosurgical Anesthesiology (2012) 24:4 (506). Date of
Publication: October 2012
CONFERENCE NAME
40th Annual Meeting of the Society for Neuroscience in Anesthesiology and
Critical Care
CONFERENCE LOCATION
Washington, DC, United States
CONFERENCE DATE
2012-10-12 to 2012-10-12
ISSN
0898-4921
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Background: Prognostication in intracerebral hemorrhage (ICH) is complex and
mortality remains high. Neuroanesthetists are in a unique position to
counsel the families of these patients as they will often treat the patient
through the continuum of care in an intensive care unit. Although assessment
tools such as the ICH score have been developed to assist with
prognostication, physicians clearly use other additional parameters in
clinical practice. Inaccurate prognostication can have mortal consequences.
Though do-not-resuscitate (DNR) orders do not indicate the withholding of
any treatment other than cardiopulmonary resuscitation, they are associated
with increased risk of death in patients after ICH. Therefore, we sought to
understand early DNR (<72 h) designation in ICH patients with hope of moving
toward more precise clinical tools for ICH prognostication. Study Design:
All patients who were admitted to the neurological intensive care unit from
July 2007 to December 2010 with a diagnosis of supartentorial ICH were
identified. Data for all patients were collected retrospectively. Patients
without a DNR order throughout their admission were compared with patients
who received a new DNR order in the first 72 hours of admission. Patients
with preexisting DNR orders were not included. The Student t and χ(2)
statistical tests were used to analyze the data, with P<0.05 used to reject
the null hypothesis. Results: One hundred fifty-seven subjects were included
in the study with 18.4% made DNR within 72 hours of admission to our NICU.
Factors that showed a significant correlation with a new DNR order included
advanced age, white race, or residence in a skilled nursing facility. A past
medical history of malignancy, atrial fibrillation, current use of
antihypertensives or warfarin, or alcohol abuse predicted a DNR order. ICH
resulting in a low admission Glasgow Coma Score, high ICH score,
intraventricular extension and blood volumes >30mL correlated with a new DNR
order. (Table presented) Conclusions: Although most individual elements of
the ICH score do correlate with a new DNR order in this population, other
characteristics from patients past medical history or demographics were also
associated with an early DNR order in patients with ICH. Early DNR orders
may create a self-fulfilling prophecy if limitations of support are
instituted without a clear understanding of who may benefit from aggressive
care. Thus, identification of factors that providers believe to be
life-limiting may serve as a starting point to avoid early limitations in
aggressiveness of care (Table 1).
EMTREE DRUG INDEX TERMS
antihypertensive agent
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesiology
brain hemorrhage
human
intensive care
patient
resuscitation
society
EMTREE MEDICAL INDEX TERMS
aggressiveness
alcohol abuse
atrial fibrillation
blood volume
Caucasian
clinical practice
coma
death
diagnosis
hope
intensive care unit
medical history
mortality
null hypothesis
nursing home
parameters
physician
population
risk
student
study design
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 261
TITLE
Nurses opinion on the attributes of polypharmacy in patient safety
AUTHOR NAMES
Jenny J.L.
Jenny C.
Jayadevan S.
Jayakumary M.
Mohamed A.
Arun S.
Mohamed F.M.
AUTHOR ADDRESSES
(Jenny J.L., drlishaj@yahoo.com; Mohamed A.) Department of Pharmacology,
Gulf Medical University, Ajman, United Arab Emirates.
(Jenny C.) Department of Pediatrics, Gulf Medical College Hospital and
Research Centre, Ajman, United Arab Emirates.
(Jayadevan S.; Jayakumary M.) Research Division, Gulf Medical University,
Ajman, United Arab Emirates.
(Arun S.) College of Pharmacy, Gulf Medical University, Ajman, United Arab
Emirates.
(Mohamed F.M.) Department of Cardiology, Gulf Medical College Hospital and
Research Centre, Ajman, United Arab Emirates.
CORRESPONDENCE ADDRESS
J. L. Jenny, Department of Pharmacology, Gulf Medical University, Ajman,
United Arab Emirates. Email: drlishaj@yahoo.com
SOURCE
Acta Medica Iranica (2012) 50:7 (516-521). Date of Publication: 2012
ISSN
0044-6025
1735-9694 (electronic)
BOOK PUBLISHER
Medical Sciences University of Teheran, Poursina St, Teheran, Iran.
ABSTRACT
Nurses play a functional role in preventing drug related problems. They need
to be aware of the dangers of polypharmacy while reviewing patient
medications. We studied the nurses' opinion on the diverse effects of
polypharmacy in the hospital setting. Nurses working in a tertiary care
teaching hospital participated in this cross-sectional study, conducted over
3 months, by responding to a self-administered questionnaire. Chi-square
test was used to analyze association between socio-demographic
characteristics and items in the study. A value of P<0.05 was considered
statistically significant. Increased drug interactions scored the highest
(98.1%), followed by increased adverse drug effects (81.9%), and increase in
financial burden (69.5%) among the negative effects of polypharmacy. 61% of
the respondents felt that polypharmacy increased therapeutic effect in
polypathology. No difference was observed in the opinion between male and
female nurses or among varying nursing experience. Nurses with 5-10 years of
experience opined increase in non-compliance to prescribed medication
regimen and increase in financial burden also as negative attributes. Nurses
pointed out both positive and negative implications of polypharmacy.
Training programs such as continuing nursing education and workshops can be
planned to translate this knowledge into practice in their routine nursing
practice. © 2012 Tehran University of Medical Sciences. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
patient safety
polypharmacy
EMTREE MEDICAL INDEX TERMS
adult
adverse drug reaction
article
attitude to health
cross-sectional study
drug cost
drug interaction
female
health care survey
human
human experiment
inappropriate prescribing
male
medication error
nursing education
nursing practice
outcome assessment
patient compliance
practice guideline
quality of life
quality of nursing care
risk benefit analysis
survival rate
treatment duration
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012524898
MEDLINE PMID
22930386 (http://www.ncbi.nlm.nih.gov/pubmed/22930386)
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 262
TITLE
Integrating mental health and addiction nursing through teaching.
AUTHOR NAMES
Korzon J.
Trimmer W.
AUTHOR ADDRESSES
(Korzon J.) Faculty of Health at Whitireia, NZ.
(Trimmer W.)
CORRESPONDENCE ADDRESS
J. Korzon, Faculty of Health at Whitireia, NZ.
SOURCE
Australian nursing journal (July 1993) (2012) 20:3 (35). Date of
Publication: Sep 2012
ISSN
1320-3185
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
mental disease
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
education
human
methodology
New Zealand
nursing
problem based learning
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23066582 (http://www.ncbi.nlm.nih.gov/pubmed/23066582)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 263
TITLE
Engaging health professional students in substance abuse research
development and early evaluation of the SARET program
AUTHOR NAMES
Truncali A.
Kalet A.L.
Gillespie C.
More F.
Naegle M.
Lee J.D.
Huben L.
Kerr D.
Gourevitch M.N.
AUTHOR ADDRESSES
(Kalet A.L.; Gillespie C.; Lee J.D.; Huben L.; Gourevitch M.N.) New York
University School of Medicine, United States.
(More F.) NYU College of Dentistry, United States.
(Naegle M.) NYU College of Nursing, United States.
(Truncali A., andreatruncali@yahoo.com; Kerr D.)
CORRESPONDENCE ADDRESS
A. Truncali, New York, United States. Email: andreatruncali@yahoo.com
SOURCE
Journal of Addiction Medicine (2012) 6:3 (196-204). Date of Publication:
September 2012
ISSN
1932-0620
1935-3227 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
Objective: There is a need to build the ranks of health care professionals
engaged in substance abuse (SA)-focused clinical research. The authors
simultaneously developed and evaluated SARET, the Substance Abuse Research
Education and Training program. The fundamental goal of this
interprofessional program is to stimulate medical, dental, and nursing
student interest and experience in SA research. Evaluation aims to
understand program feasibility and acceptability and to assess short-term
impact. Methods: SARET comprises 2 main components: stipend-supported
research mentorships and a Web-based module series, consisting of 6,
interactive, multimedia modules addressing core SA research topics,
delivered via course curricula and in the research mentorships. Authors
assessed program feasibility and impact on student interestin conducting SA
research by tracking participation and conducting participant focus groups
and online surveys. Results: Thirty early health care professional students
completed mentorships (25 summer, 5 yearlong) and 1324 completed at least 1
Web-module. SARET was considered attractive for the opportunity to conduct
clinically oriented research and to work with health care professionals
across disciplines. Mentorship students reported positive impact on their
vision of SA-related clinical care, more positive attitudes about research,
and, in some cases, change in career plans. Web-based modules were
associated with enhanced interest in SA (35% increase, P = 0.005, in those
somewhat/very interested for neurobiology module) and SA research (+38%, P <
0.001 for activation, +45%, P < 0.001 for personal impact, +7%, P = 0.089
for neurobiology). Conclusions: The SARET program stimulates SA clinical and
research interest among students of nursing, medicine, and dentistry and may
lend itself to dissemination. Copyright © 2012 American Society of Addiction
Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical research
education program
substance abuse
Substance Abuse Research Education and Training program
EMTREE MEDICAL INDEX TERMS
article
career
controlled study
dentistry
feasibility study
health care personnel
health personnel attitude
human
human experiment
medical student
normal human
nursing
online system
priority journal
strength
summer
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012738857
MEDLINE PMID
22864401 (http://www.ncbi.nlm.nih.gov/pubmed/22864401)
FULL TEXT LINK
http://dx.doi.org/10.1097/ADM.0b013e31825f77db
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 264
TITLE
Common disorders demand expert care: The need for specialized professional
education in disorders of dementia
AUTHOR NAMES
Kaplan D.
Andersen T.
AUTHOR ADDRESSES
(Kaplan D.) Columbia University, School of Social Work, New York, United
States.
(Andersen T.) University of Utah, College of Social Work, Salt Lake City,
United States.
CORRESPONDENCE ADDRESS
D. Kaplan, Columbia University, School of Social Work, New York, United
States.
SOURCE
Alzheimer's and Dementia (2012) 8:4 SUPPL. 1 (P430). Date of Publication:
2012
CONFERENCE NAME
Alzheimer's Association International Conference 2012
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2012-07-14 to 2012-07-19
ISSN
1552-5260
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Background: The World Health Organization has identified the need for
significant changes in policy, practice and service delivery systems to
address the rapidly growing burdens associated with mental, neurological and
substance use disorders. Individuals confronting these disorders, especially
the diseases which cause symptoms of dementia, face significant barriers to
quality of life. Many education programs for health and mental health
professions aim to prepare future workers to meet the needs of older adults
by exposing students to a wide breadth of aging-related content during their
academic professional training. Yet disorders of dementia continue to
challenge new graduates and seasoned professionals alike. Professional
health providers may have outdated competencies and may not be able to meet
current and future needs. Building professional workforces and upgrading the
capacity of these workforces must be the backbone of efforts to improve
dementia care in all settings. Graduate education holds the greatest
opportunity to impact academic pre-professional training to guarantee
competence throughout the dementia care and service spectrum. Methods: A
review of the professional literature was conducted to survey the most
important articles and reports pertaining to higher education, professional
practice, and workforce preparation in dementia care. This literature is
summarized in order to give readers the necessary background to understand
recommendations for bolstering the quality of dementia care through improved
professional education and training in fields of health and mental health.
Results: The authors offer several possible solutions to the curriculum
dilemma in graduate education, including content infusion, elective courses,
and specialized practicum experiences. Debates between generalist and
specialist education are positioned within the contexts of course
requirements faculty limitations, and a rapidly evolving knowledge base, and
implications are drawn for academic training programs in medicine, nursing
social work, psychology, and public health. Conclusions: As rapid population
aging demands greater professional workforce capacity, schools of higher
education must prepare tomorrow's professionals for competent practice with
individuals confronting age-associated disorders. Specialized curricula are
needed in order to cover the complex multidimensional considerations and
sophisticated methods involved in competent practice with older adults
living with dementia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia
diseases
human
vocational education
EMTREE MEDICAL INDEX TERMS
academic achievement
adult
aging
competence
curriculum
education
education program
graduate
health
health care delivery
infusion
knowledge base
medical specialist
mental health
nursing
occupation
occupational health
policy
population
professional practice
psychology
public health
quality of life
reading
school
social work
student
substance abuse
training
worker
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jalz.2012.05.1147
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 265
TITLE
Health promotion at the Medically Supervised Injecting Centre.
AUTHOR NAMES
White M.
AUTHOR ADDRESSES
(White M.) Medically Supervised Injecting Centre, Kings Cross, NSW.
CORRESPONDENCE ADDRESS
M. White, Medically Supervised Injecting Centre, Kings Cross, NSW.
SOURCE
Australian nursing journal (July 1993) (2012) 20:3 (43). Date of
Publication: Sep 2012
ISSN
1320-3185
EMTREE DRUG INDEX TERMS
narcotic agent (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence treatment
health promotion
substance abuse
EMTREE MEDICAL INDEX TERMS
article
Australia
bloodborne bacterium
drug control
human
intoxication (prevention)
nursing
organization and management
preventive health service
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23066588 (http://www.ncbi.nlm.nih.gov/pubmed/23066588)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 266
TITLE
Drugs, alcohol and nurses' mental health.
AUTHOR NAMES
Duncan R.
Taylor G.
Hamilton B.
AUTHOR ADDRESSES
(Duncan R.) Department of Nursing, School of Health Sciences, University of
Melbourne.
(Taylor G.; Hamilton B.)
CORRESPONDENCE ADDRESS
R. Duncan, Department of Nursing, School of Health Sciences, University of
Melbourne.
SOURCE
Australian nursing journal (July 1993) (2012) 20:3 (45). Date of
Publication: Sep 2012
ISSN
1320-3185
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
malpractice
mental disease (prevention)
nurse
EMTREE MEDICAL INDEX TERMS
article
Australia
human
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23066589 (http://www.ncbi.nlm.nih.gov/pubmed/23066589)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 267
TITLE
Drug & alcohol nursing. P.A.R.T.Y. trauma reduction initiative.
AUTHOR NAMES
Thompson J.
AUTHOR ADDRESSES
(Thompson J.)
CORRESPONDENCE ADDRESS
J. Thompson,
SOURCE
Australian nursing journal (July 1993) (2012) 20:3 (34-35). Date of
Publication: Sep 2012
ISSN
1320-3185
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
alcohol intoxication (epidemiology, prevention)
health promotion
injury (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
Australia
decision making
high risk behavior
human
methodology
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23066581 (http://www.ncbi.nlm.nih.gov/pubmed/23066581)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 268
TITLE
Pneumococcal disease burden and vaccine coverage in nursing home residents
in Europe
AUTHOR NAMES
Topinkova E.
AUTHOR ADDRESSES
(Topinkova E.) Department of Geriatrics, 1st Faculty of Medicine, Charles
University, Prague, Czech Republic.
CORRESPONDENCE ADDRESS
E. Topinkova, Department of Geriatrics, 1st Faculty of Medicine, Charles
University, Prague, Czech Republic.
SOURCE
European Geriatric Medicine (2012) 3 SUPPL. 1 (S11). Date of Publication:
September 2012
CONFERENCE NAME
8th Congress of the European Union Geriatric Medicine Society
CONFERENCE LOCATION
Brussels, Belgium
CONFERENCE DATE
2012-09-26 to 2012-09-28
ISSN
1878-7649
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Influenza and pneumonia remain serious health concerns in older population
in Europe. Invasive pneumococcal diseases (IPD) peak in higher age group 65+
reaching 12-14 cases per 100 000 population. Diabetes, chronic cardiac
disease and polymorbidity increase the incidence of IPD 6-10 times, and
immunodeficit status up to 50 times. With increasing age the IPD case
fatality rates grow up to 30-40% of all IPD sufferers above 65 years
accounting for over 1.6 million deaths worldwide. Known risk factors for IPD
mortality are multimorbidity, disability, malnutrition, multilobar pulmonary
involvement, shock, alcohol abuse and immunosuppressive therapy. Vaccination
provides good protection against invasive pneumococcal diseases,
pneumococcal pneumonia and all-cause pneumonia lowering the overall burden
of pneumococcal diseases in the older population and decreasing costs.
Vaccination has been proven safe and effective yielding some protection also
against cerebro-vascular and cardiovascular acute events, improving survival
of heart failure patients and decreasing overall mortality. Despite the
proven benefits the vaccination coverage in older population above 60 years
is rather low, much lover compared with influenza vaccination. In a study
SHELTER (Services and Health for Elderly in Long TERm care) pneumococcal
vaccination status in the last 5 years was assessed in 4156 residents from
59 nursing home facilities from 8 European countries. The vaccination uptake
rates varied widely among countries ranging from 1.7 to 72.4% (mean 27.9%)
of vaccinated residents and even more so among participating nursing homes.
Factors independently associated with vaccine use will be presented. The
inter-facility variation calls for better vaccination strategy to improve
vaccination coverage. National and international guidelines should be part
of national diseaseprevention programs and innovative evidence
based-strategies for vaccine delivery promoted (such as nursing home policy
involving vaccination use as a care quality indicator, incentives for GP
participation, specific competences for nurses given by standing orders).
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Europe
European Union
geriatrics
human
nursing home patient
society
EMTREE MEDICAL INDEX TERMS
aged
alcohol abuse
competence
death
diabetes mellitus
disability
diseases
evidence based practice
fatality
groups by age
health
heart disease
heart failure
immunosuppressive treatment
influenza
influenza vaccination
long term care
malnutrition
mortality
nurse
nursing home
patient
pneumococcal infection
pneumonia
policy
population
protection
risk factor
Streptococcus pneumonia
survival
vaccination
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurger.2012.07.394
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 269
TITLE
Patient characteristics that correlate with a new, early do-not-resuscitate
order in intracerebral hemorrhage
AUTHOR NAMES
McFarlin J.M.
Emery C.
Gray M.
Sun W.
Bute B.P.
Lasokowitz D.
McDonagh D.
James M.L.
AUTHOR ADDRESSES
(McFarlin J.M.; Emery C.; Gray M.; Sun W.; Bute B.P.; Lasokowitz D.;
McDonagh D.; James M.L.) Duke University Medical Center, Durham, United
States.
CORRESPONDENCE ADDRESS
J.M. McFarlin, Duke University Medical Center, Durham, United States.
SOURCE
Neurocritical Care (2012) 17 SUPPL. 2 (S145). Date of Publication: September
2012
CONFERENCE NAME
10th Annual Meeting of the Neurocritical Care Society
CONFERENCE LOCATION
Denver, CO, United States
CONFERENCE DATE
2012-10-04 to 2012-10-07
ISSN
1541-6933
BOOK PUBLISHER
Humana Press
ABSTRACT
Introduction: Prognostication in intracerebral hemorrhage is complex and
mortality remains high. While tools such as the ICH score have been
developed to assist with prognostication, physicians clearly use additional
parameters in clinical practice. Though do-not-resuscitate orders do not
indicate the withholding of any treatment other than CPR, they are
associated with increase risk of death in patients after ICH. We sought to
understand early DNR (<72hours) designation in patients with hope of moving
toward more precise tools for prognostication. Methods: Patients admitted to
the Neurological Intensive Care Unit from July 2007 to December 2010 with a
diagnosis of supartentorial ICH were identified. Data for all patients were
collected retrospectively. Patients without a DNR order throughout their
admission were compared to patients who received a new DNR order in the
first 72 hours of admission. Patients with pre-existing DNR orders were not
included. Results: 157 subjects were included in the study with 18.4% made
DNR within 72 hours of admission to our NICU. Factors showing a significant
correlation with a new DNR order included advanced age, Caucasian race, or
residence in a skilled nursing facility. History of malignancy, atrial
fibrillation, current use of antihypertensives or warfarin, or alcohol abuse
predicted a DNR order. ICH resulting in a low admission Glasgow Coma Score,
high ICH score, intraventricular extension and blood volumes greater than
30ml correlated with a new DNR order. Conclusions: While individual elements
of the ICH score correlate with a new DNR order in this population, other
characteristics were also associated with an early DNR order. Early DNR
orders may create a self-fulfilling prophecy if limitations of support are
instituted without a clear understanding of who may benefit from aggressive
care. Thus, identification of factors that providers believe to be
life-limiting may serve as a starting point to avoid early limitations in
aggressiveness of care.
EMTREE DRUG INDEX TERMS
antihypertensive agent
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain hemorrhage
human
patient
society
EMTREE MEDICAL INDEX TERMS
aggressiveness
alcohol abuse
atrial fibrillation
blood volume
Caucasian
clinical practice
coma
death
diagnosis
hope
intensive care unit
mortality
nursing home
parameters
physician
population
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s12028-012-9775-0
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 270
TITLE
Misuse of prescribed opioids in a military population - Is there a
correlation with deployment, active duty, or combat illnesses or injury?
AUTHOR NAMES
Bebarta V.S.
Ganem V.
Varney S.M.
Ramos R.G.
Valtier S.
Ramirez S.
AUTHOR ADDRESSES
(Bebarta V.S.; Ganem V.; Varney S.M.; Ramirez S.) San Antonio Military
Medical Center, San Antonio, United States.
(Ramos R.G.) Office of the Chief Scientist, San Antonio Military Medical
Center, 59th Medical Wing, San Antonio, United States.
(Valtier S.) Clinical Research Division, Wilford Hall Ambulatory Surgical
Center, San Antonio, United States.
CORRESPONDENCE ADDRESS
V.S. Bebarta, San Antonio Military Medical Center, San Antonio, United
States.
SOURCE
Clinical Toxicology (2012) 50:7 (633-634). Date of Publication: August 2012
CONFERENCE NAME
2012 Annual Meeting of the North American Congress of Clinical Toxicology,
NACCT 2012
CONFERENCE LOCATION
Las Vegas, NV, United States
CONFERENCE DATE
2012-10-01 to 2012-10-06
ISSN
1556-3650
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Background: Opioid abuse and misuse has increased over the last 10 years in
the civilian population. Recent military veterans have an increased opioid
abuse rate. However, there are no reports about the military community (both
active duty and non-active duty) reporting the incidence of opioid
use/misuse, reasons for misuse, and correlation with deployment injuries and
illnesses. Methods: We conducted a prospective, anonymous survey in the
emergency department waiting room of a military tertiary care hospital. The
survey was approved by our IRB. We created an 11 question survey tool with
fi xed response (closed end) and multiple choice questions that included
validated questions from the 2008 and 2010 DoD Survey of Health Related
Behaviors. The survey was revised through a pilot sample and revision. A
research nurse and emergency medicine resident used a standardized verbal
script to greet subjects and then they offered the subjects the survey form
to complete anonymously. Survey collection was conducted 9 hours a day over
3 weeks. Opioid misuse was defined as taking more than prescribed, obtaining
opioids from others, and taking an opioid for a recent injury/illness that
was prescribed for an old injury/illness. We expected a margin of error-6%
and a response rate-98% based on our sample size of 500 subjects.
Proportions were compared with chi-square and fi sher's exact test. Results:
Thus far we have collected 300 completed surveys with a 99% completion rate.
The mean age was 34.5 yrs (SD 13.6), 63% were male, 61% (CI 54-68%) were
active duty, and 39% had deployed with an average aggregate deployment
duration of 17.5 months. 15% of subjects reported a diagnosis of TBI and 19%
PTSD. 36% of subjects reported a diagnosis of a physical injury in the last
5 yrs. 70% (CI 64-77%) had taken an opioid in the last 5 year and the most
common opioids were hydrocodone (26%), codeine (23%), and oxycodone (14%).
10% of respondents had taken more opioids than as prescribed and 20% had
consumed opioid pills for a recent injury/illness that was prescribed for an
old injury/illness. Subjects that were active duty, diagnosed with PTSD,
diagnosed with a physical injury, or who had deployed were more likely to
have taken an opioid recently than non-active duty (p< 0.005). These groups
were not more likely to have misused or taken more than prescribed. Female
subjects were more likely to have taken a previously prescribed opioid for a
new illness or injury. Conclusions: Opioid drug misuse occurs in the
military community. In our survey, we did not detect a correlation between
opioid misuse and a self-reported diagnosis of PTSD, TBI, history of
deployment, or being on active duty.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
codeine
hydrocodone
oxycodone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
army
diseases
injury
population
substance abuse
toxicology
EMTREE MEDICAL INDEX TERMS
community
diagnosis
drug misuse
emergency medicine
emergency ward
female
health behavior
hospital
human
male
multiple choice test
nurse
pill
posttraumatic stress disorder
sample size
tertiary health care
veteran
waiting room
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.3109/15563650.2012.700015
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 271
TITLE
Clients' perceptions of opioid substitution treatment: An input to improving
the quality of treatment
AUTHOR NAMES
Deering D.
Horn J.
Frampton C.M.A.
AUTHOR ADDRESSES
(Deering D., daryle.deering@otago.ac.nz) National Addiction Centre (Aotearoa
New Zealand), Department of Psychological Medicine, University of Otago,
Christchurch, New Zealand.
(Horn J.; Frampton C.M.A.) Department of Psychological Medicine, University
of Otago, Christchurch, New Zealand.
CORRESPONDENCE ADDRESS
D. Deering, National Addiction Centre (Aotearoa New Zealand), Department of
Psychological Medicine, University of Otago, Christchurch, Po Box 4345,
Christchurch 8140, New Zealand. Email: daryle.deering@otago.ac.nz
SOURCE
International Journal of Mental Health Nursing (2012) 21:4 (330-339). Date
of Publication: August 2012
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Despite the emphasis on providing high quality mental health and addiction
treatment, there has been relatively little consideration given to examining
clients' perceptions of addiction treatment (consumer satisfaction) as a
quality improvement strategy. The present article reports on a survey of a
representative sample of 93 clients receiving opioid substitution treatment
(OST). Employed participants reported higher treatment satisfaction and a
pattern of positive associations was found between satisfaction and general
health, mental health, social functioning, lower methadone doses, and
participants' ratings of their treatment progress. Lower satisfaction was
associated with higher frequency of benzodiazepine use, and, for women,
longer treatment duration. Māori participants rated their treatment progress
as lower than that of non-Māori. Results strongly endorse recording
participants' comments to provide a deeper understanding of survey item
ratings. The study findings highlight the need for a research focus on the
roles of mental health and other registered nurses who work with people
receiving OST in specialist service and primary care settings, and endorse a
partnership approach to future research in this area. The pattern of
findings arising from this study suggests key strategies for improving the
flexibility and client responsiveness of OST. © 2012 The Authors.
International Journal of Mental Health Nursing © 2012 Australian College of
Mental Health Nurses Inc.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate substitution treatment
patient satisfaction
total quality management
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
interview
male
methodology
middle aged
New Zealand
psychological aspect
questionnaire
standard
treatment outcome
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22564199 (http://www.ncbi.nlm.nih.gov/pubmed/22564199)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2011.00795.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 272
TITLE
Could an advance practice nurse improve detection of alcohol misuse in the
emergency department?
AUTHOR NAMES
O'Brien A.
Leonard L.
Deering D.
AUTHOR ADDRESSES
(O'Brien A., a.obrien@auckland.ac.nz) School of Nursing, Faculty of Medical
and Health Sciences, University of Auckland, New Zealand.
(O'Brien A., a.obrien@auckland.ac.nz) Liaison Psychiatry, Auckland District
Health Board, Ecom House, Grafton, Auckland, New Zealand.
(Leonard L.) Community Alcohol and Drug Service, Hamilton, New Zealand.
(Deering D.) Department of Psychological Medicine, National Addiction Centre
(Aotearoa New Zealand), University of Otago, Christchurch, New Zealand.
(O'Brien A., a.obrien@auckland.ac.nz) Private Bag 92019, Auckland 1142, New
Zealand.
CORRESPONDENCE ADDRESS
A. O'Brien, School of Nursing, Faculty of Medical and Health Sciences,
University of Auckland, Building 505, 85 Park Road, Grafton, Auckland, New
Zealand. Email: a.obrien@auckland.ac.nz
SOURCE
International Journal of Mental Health Nursing (2012) 21:4 (340-348). Date
of Publication: August 2012
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Alcohol misuse is a prevalent problem in New Zealand society, and one that
exacts a considerable cost in terms of health, social cohesion, and economic
productivity. Despite the burden of alcohol misuse, screening, brief
assessment, and interventions for alcohol problems are frequently poorly
performed within general health services. In this paper we explore the
response to alcohol problems in a New Zealand emergency department and
discuss difficulties encountered in improving rates of detection by
emergency department personnel. We report the results of a clinical audit of
alcohol screening and brief assessment and a staff education programme
designed to improve practice in this area, but which met with limited
success. The potential role for an advanced practice nurse providing a
clinical consultation and liaison service to the emergency department staff
is explored. We argue that such a role has potential to reduce the health
and social costs of alcohol misuse, and to meet the national policy
objective of providing a treatment response to people with alcohol-related
problems in contact with health services. © 2012 The Authors. International
Journal of Mental Health Nursing © 2012 Australian College of Mental Health
Nurses Inc..
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced practice nursing
alcoholism (diagnosis)
emergency health service
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
education
female
human
male
methodology
middle aged
New Zealand
organization and management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22540263 (http://www.ncbi.nlm.nih.gov/pubmed/22540263)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2011.00797.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 273
TITLE
Increasing the use of bedside ultrasound for the placement of difficult
peripheral intravenous catheters in the medical intensive care unit
AUTHOR NAMES
Hassan I.
Siska R.
Patel B.
AUTHOR ADDRESSES
(Hassan I., iman.a.hassan@uth.tmc.edu; Patel B.) UT Health, Univeristy of
Texas, Health Science Center at Houston, Houston, United States.
(Siska R.) Memorial Hermann Hospital-Texas Medical Center, Houston, United
States.
CORRESPONDENCE ADDRESS
I. Hassan, UT Health, Univeristy of Texas, Health Science Center at Houston,
Houston, United States. Email: iman.a.hassan@uth.tmc.edu
SOURCE
American Journal of Respiratory and Critical Care Medicine (2012) 185
MeetingAbstracts. Date of Publication: 2012
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2012
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2012-05-18 to 2012-05-23
ISSN
1073-449X
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
Placement of peripheral intravenous catheters (PIVs) is a routine nursing
procedure, often met with great success. However, because of a variety of
issues including obesity, dehydration, drug abuse, and edema, some patients
are known to have “difficult/poor peripheral IV access”. In light of such
challenges, many of these patients will require placement of central lines
to administer standard medications that could have otherwise been delivered
via PIVs. These patients are subject to the risks associated with central
line placement and maintenance. By increasing the use of bedside ultrasound
(BUS), an imaging modality that allows one to directly visualize a patient's
important arm vasculature to guide placement of difficult peripheral IVs, we
propose to ultimately eliminate “poor/difficult peripheral IV access” as an
acceptable indication for central lines. To this end, we implemented a
workshop, including didactic and hands on BUS guided PIV insertions, to
train a small group of Medical Intensive Care Unit (MICU) nurses.
Subsequently, the data collected about nursing experience with this novel
procedure showed that over 60 insertions were completed within the first 60
days following training. Furthermore, in comparison to standard technique,
50% fewer skin punctures were needed for successful IV insertion using
bedside ultrasound. Interestingly, 48 and 24% of successfully completed BUS
guided PIVs resulted in avoidance or removal of a central line,
respectively. As such 33 central line days were avoided and “poor peripheral
IV access” as a primary indication for central line maintenance was
decreased by 25% after the implementation of our BUS guided PIV training
course. In conclusion, our initial results suggest that this work could be
successful, and in this context, the use of BUS in the MICU for placement of
difficult PIVs has gained wider acceptance and incorporation into our MICU
nursing practice, with nurse-to-nurse education at the forefront of this
process.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American
intensive care unit
intravenous catheter
society
ultrasound
EMTREE MEDICAL INDEX TERMS
arm blood flow
central venous catheter
dehydration
drug abuse
drug therapy
edema
human
imaging
nurse
nursing
nursing education
nursing practice
obesity
patient
procedures
puncture
risk
skin
training
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 274
TITLE
Response to regulatory stringency: The case of antipsychotic medication use
in nursing homes
AUTHOR NAMES
Bowblis J.R.
Crystal S.
Intrator O.
Lucas J.A.
AUTHOR ADDRESSES
(Bowblis J.R., jbowblis@muohio.edu) Department of Economics, Miami
University, 3044 Farmer School of Business, Oxford, OH 45056, United States.
(Crystal S.; Lucas J.A.) Institute for Health, Health Care Policy, and Aging
Research, Rutgers University, New Brunswick, NJ, United States.
(Intrator O.) Center for Gerontology and Health Care Research, Brown
University and Providence VA Medical Center, Providence, RI, United States.
CORRESPONDENCE ADDRESS
J.R. Bowblis, Department of Economics, Miami University, 3044 Farmer School
of Business, Oxford, OH 45056, United States. Email: jbowblis@muohio.edu
SOURCE
Health Economics (United Kingdom) (2012) 21:8 (977-993). Date of
Publication: August 2012
ISSN
1057-9230
1099-1050 (electronic)
BOOK PUBLISHER
John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United
Kingdom.
ABSTRACT
This paper studies the impact of regulatory stringency, as measured by the
statewide deficiency citation rate over the past year, on the quality of
care provided in a national sample of nursing homes from 2000 to 2005. The
quality measure used is the proportion of residents who are using
antipsychotic medication. Although the changing case-mix of nursing home
residents accounts for some of the increase in the use of antipsychotics, we
find that the use of antipsychotics by nursing homes is responsive to state
regulatory enforcement in a manner consistent with the multitasking
incentive problem. Specifically, the effect of the regulations is dependent
on the degree of complementarity between the regulatory deficiency and the
use of antipsychotics. Copyright © 2011 John Wiley & Sons, Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
government regulation
nursing home
psychopharmacotherapy
EMTREE MEDICAL INDEX TERMS
article
drug abuse
drug use
health care cost
health care policy
health care quality
human
immobilization
medicaid
medicare
mental health service
nursing staff
practice guideline
priority journal
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012384579
MEDLINE PMID
21882284 (http://www.ncbi.nlm.nih.gov/pubmed/21882284)
FULL TEXT LINK
http://dx.doi.org/10.1002/hec.1775
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 275
TITLE
The Experiences of Nurses With Mental Health Problems: Colleagues'
Perspectives
AUTHOR NAMES
Joyce T.
Higgins I.
Magin P.
Goode S.
Pond D.
Stone T.
Elsom S.
O'Neill K.
AUTHOR ADDRESSES
(Joyce T., terry.joyce@newcastle.edu.au; Higgins I.,
Isabel.higgins@newcastle.edu.au; Magin P., Parker.magin@newcastle.edu.au;
Goode S., Susan.goode@newcastle.edu.au; Pond D.,
Dimity.pond@newcastle.edu.au; Stone T., Teresa.stone@newcastle.edu.au; Elsom
S., sjelsom@unimelb.edu.au; O'Neill K.) Discipline of General Practice,
Faculty of Health, University of Newcastle, Callaghan, NSW, Australia.
(Joyce T., terry.joyce@newcastle.edu.au; Higgins I.,
Isabel.higgins@newcastle.edu.au; Magin P., Parker.magin@newcastle.edu.au;
Goode S., Susan.goode@newcastle.edu.au; Pond D.,
Dimity.pond@newcastle.edu.au; Stone T., Teresa.stone@newcastle.edu.au; Elsom
S., sjelsom@unimelb.edu.au; O'Neill K.) School of Nursing and Midwifery,
University of Newcastle, Callaghan, NSW, Australia.
(Joyce T., terry.joyce@newcastle.edu.au; Higgins I.,
Isabel.higgins@newcastle.edu.au; Magin P., Parker.magin@newcastle.edu.au;
Goode S., Susan.goode@newcastle.edu.au; Pond D.,
Dimity.pond@newcastle.edu.au; Stone T., Teresa.stone@newcastle.edu.au; Elsom
S., sjelsom@unimelb.edu.au; O'Neill K.) NSWNA, Australian Nursing Federation
NSW Branch, Camperdown, NSW, Australia.
CORRESPONDENCE ADDRESS
T. Joyce, Discipline of General Practice, Faculty of Health, University of
Newcastle, Callaghan, NSW 2308, Australia. Email:
terry.joyce@newcastle.edu.au
SOURCE
Archives of Psychiatric Nursing (2012) 26:4 (324-332). Date of Publication:
August 2012
ISSN
0883-9417
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
A 3-stage qualitative study conducted in 2008 aimed to explore the issues to
inform a mental health education program to deliver to nurses. This article
presents the findings of Stage 1. Data were collected from semistructured
interviews conducted with 14 Australian nurses. The interviews explored
nurses' knowledge and understanding of mental health problems and their
workplace experiences of working with nurses with mental health problems.
The interviews were audiotaped, transcribed, and analyzed for the main
themes: textbook knowledge, day-to-day support, and workplace
considerations. These nurses' narratives guided the implementation of a
mental health education workshop targeting nurses (Stage 2). © 2012 Elsevier
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
malpractice
mental disease
nursing staff
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
alcoholism
anxiety disorder
article
Australia
automutilation
bullying
counseling
defense mechanism
depression
education
female
human
middle aged
nursing
pilot study
psychiatric nursing
psychologic test
psychological aspect
public relations
social support
workplace
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22835752 (http://www.ncbi.nlm.nih.gov/pubmed/22835752)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2011.12.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 276
TITLE
Riding the wave of younger residents in long-term care.
AUTHOR NAMES
Kaldy J.
AUTHOR ADDRESSES
(Kaldy J.)
CORRESPONDENCE ADDRESS
J. Kaldy,
SOURCE
The Consultant pharmacist : the journal of the American Society of
Consultant Pharmacists (2012) 27:8 (538-543). Date of Publication: Aug 2012
ISSN
0888-5109
ABSTRACT
Younger patients represent a growing percentage of nursing facility
residents. Patients younger than 65 years of age comprise about 14% of the
population in this setting. They are victims of traumatic brain or spinal
cord injuries and diseases such as amyotrophic lateral sclerosis and
Huntington's disease. These individuals present some novel challenges for
pharmacists and other practitioners because they often are more informed and
involved in their care, have younger family members (including small
children), have addiction issues, and may have expected life spans much
longer than the average elder nursing facility resident. By understanding
these individuals and their special needs and issues, pharmacists can help
maximize the quality of care younger residents receive, enhancing their
quality of life.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care quality
long term care
nursing home
EMTREE MEDICAL INDEX TERMS
adult
age
article
human
methodology
middle aged
organization and management
pharmacist
pharmacy
quality of life
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22910174 (http://www.ncbi.nlm.nih.gov/pubmed/22910174)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 277
TITLE
CMS seeks to reduce antipsychotic use in nursing home residents with
dementia
AUTHOR NAMES
Mitka M.
AUTHOR ADDRESSES
(Mitka M.)
CORRESPONDENCE ADDRESS
M. Mitka,
SOURCE
JAMA - Journal of the American Medical Association (2012) 308:2 (119-121).
Date of Publication: 11 Jul 2012
ISSN
0098-7484
1538-3598 (electronic)
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia (drug therapy, drug therapy)
drug use
nursing home patient
EMTREE MEDICAL INDEX TERMS
behavior disorder (drug therapy)
disease association
drug abuse
exercise
health care planning
health care quality
human
mortality
nursing home
pain assessment
patient care
patient safety
priority journal
short survey
training
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012399825
MEDLINE PMID
22782393 (http://www.ncbi.nlm.nih.gov/pubmed/22782393)
FULL TEXT LINK
http://dx.doi.org/10.1001/jama.2012.7422
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 278
TITLE
Quasi-experimental evaluation of a substance use awareness educational
intervention for nursing students
AUTHOR NAMES
Cadiz D.M.
O'Neill C.
Butell S.S.
Epeneter B.J.
Basin B.
AUTHOR ADDRESSES
(Cadiz D.M., cadiz@oregonrn.org; O'Neill C.) WorkHealthy Oregon, Oregon
Nurses Foundation, Tualatin, United States.
(Butell S.S.; Epeneter B.J.) Linfield-Good Samaritan School of Nursing,
Portland, OR, United States.
(Basin B.) Oregon Health and Sciences, University School of Nursing,
Portland, OR, United States.
CORRESPONDENCE ADDRESS
D. M. Cadiz, Oregon Nurses Foundation, 18765 SW Boones Ferry Road, Suite
200, Tualatin, OR 97062, United States. Email: cadiz@oregonrn.org
SOURCE
Journal of Nursing Education (2012) 51:7 (411-415). Date of Publication:
July 2012
ISSN
0148-4834
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
This article reports on a study that evaluated the effectiveness of an
educational intervention, Addressing Nurse Impairment, for addressing
nursing students' knowledge acquisition, changes in self-efficacy to
intervene, and changes in substance abuse stigma. A gap exists in nursing
students' education regarding the risks of addiction within the profession
and how to handle a colleague suspected of having a substance use disorder.
The seminar was adapted from an existing evidence-based prevention program
called Team Awareness, as well as information from focus groups and a pilot
test. A quasi-experimental pretest-posttest design was used to evaluate the
effect of the seminar. When the control and experimental groups were
compared, the results indicated that the seminar significantly affected
knowledge and self-efficacy to intervene but did not significantly affect
stigma. This research contributes to the body of evidence related to
educational interventions for nursing students regarding substance abuse in
the nursing profession. © SLACK Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
awareness
health care quality
malpractice
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
case control study
female
human
male
nursing education
self concept
social stigma
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22588623 (http://www.ncbi.nlm.nih.gov/pubmed/22588623)
FULL TEXT LINK
http://dx.doi.org/10.3928/01484834-20120515-02
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 279
TITLE
Atypical neck of femur fractures presenting without a history of acute fall.
A case series
AUTHOR NAMES
Doyle J.
Murphy E.
O'Connor G.S.
Brazil E.
AUTHOR ADDRESSES
(Doyle J.; Murphy E.; O'Connor G.S.; Brazil E.) Department of Emergency
Medicine, Mater Misericordiae University Hospital, Ireland.
CORRESPONDENCE ADDRESS
J. Doyle, Department of Emergency Medicine, Mater Misericordiae University
Hospital, Ireland.
SOURCE
Irish Journal of Medical Science (2012) 181 SUPPL. 3 (S98). Date of
Publication: July 2012
CONFERENCE NAME
RAMI Section of Interns Study Day 2012
CONFERENCE LOCATION
Dublin, Ireland
CONFERENCE DATE
2012-04-21 to 2012-04-21
ISSN
0021-1265
BOOK PUBLISHER
Springer London
ABSTRACT
Spontaneous hip fractures, or fractures without a fall have been described
in up to 6 % (1, 2) of cases of hip fracture. An upsurge in such cases was
recently observed in our emergency department. We present these in the form
of a retrospective case series. Patient 1 is a 43-year-old ex intravenous
drug user who presented with non-traumatic right-sided hip pain over a
period of weeks. Initial plain films did not reveal fracture. Over 1 week
her symptoms deteriorated to the extent that she became unable to
weight-bear. Patient 2 is a 66-year-old gentleman with increasing left sided
hip pain following a seemingly innocuous fall 3 months prior to index
presentation. Again initial radiographs did not reveal an abnormality.
Patient 3 is an 83-year-old bed-bound nursing home resident with end-stage
Alzheimer's disease. She was noted by nursing staff to have bilateral hip
symptoms post seizure. The patient was unable to mobilise independently and
had not fallen out of bed at any stage. Patient 4 is a 29-year-old lady who
presented with unilateral sacroiliac pain following a recent intensive
exercise program including kickboxing 1 week previously. In each of these
cases, subsequent review and plain films demonstrated fracture and in one
case bilateral fractures secondary to seizure were demonstrated. Our cases
highlight the need for diagnostic vigilance and a structured approach in
dealing with possible radiologically occult hip fractures, even in patients
with no proximate antecedent history of trauma.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
case study
femur fracture
neck
EMTREE MEDICAL INDEX TERMS
alertness
Alzheimer disease
diagnosis
emergency ward
exercise
fracture
hip
hip fracture
hip pain
human
immobility
injury
intravenous drug abuse
kickboxing
nursing home patient
nursing staff
pain
patient
seizure
weight
X ray film
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11845-012-0833-6
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 280
TITLE
Managing depression for residents in nursing facilities
AUTHOR NAMES
Mort J.R.
Remund K.E.
Bradley B.
AUTHOR ADDRESSES
(Mort J.R., Jane.Mort@sdstate.edu) South Dakota State University, College of
Pharmacy, Box 2202C, Brookings, SD 57007, United States.
(Remund K.E.) Sanford University, South Dakota Medical Center, Sioux Falls,
SD, United States.
(Bradley B.) Pacific University, School of Pharmacy, Hillsboro, OR, United
States.
CORRESPONDENCE ADDRESS
J.R. Mort, South Dakota State University, College of Pharmacy, Box 2202C,
Brookings, SD 57007, United States. Email: Jane.Mort@sdstate.edu
SOURCE
Consultant Pharmacist (2012) 27:7 (494-503). Date of Publication: July 2012
ISSN
0888-5109
BOOK PUBLISHER
American Society of Consultant Pharmacists, 1321 Duke Street, Alexandria,
United States.
ABSTRACT
Objective: Review the current Centers for Medicare & Medicaid Services'
(CMS) Interpretive Guidelines from the State Operations Manual (SOM) in
light of evidence for management of depression found in the literature. Data
Sources: Articles indexed in PubMed for the last 20 years, American
Psychiatric Association Guidelines, CMS Interpretive Guidelines from the
SOM, and The American Medical Directors Association (AMDA) Guidelines. St
udy Selection and Data Extraction: Forty published papers were reviewed, and
criteria supporting the primary objective were used to identify useful
resources. Data Synthesis: The literature included guidelines regarding the
management of late-life depression (e.g., dosage and duration of therapy).
This literature was examined in relation to the current CMS Interpretive
Guidelines, which are provided to state surveyors to help them evaluate
whether a nursing facility is in compliance with federal regulations. These
guidelines provide explanation and clarification of the actual regulations
and so are used during evaluation of the facility. Conclusion: Current
recommendations indicate that a first episode of depression should be
treated for 12 months beyond full remission, according to AMDA guidelines.
Longer treatment durations (maintenance phase) are needed depending on the
resident's situation (e.g., severity or number of episodes). In addition,
evidence suggests that antidepressants should remain at the same dose
through the maintenance phase of treatment. The Interpretive Guidelines
require a dosage reduction to the lowest effective dose by decreasing the
dose two times in the first year unless "clinically contraindicated to
discontinuation" is documented. This correlates to a dosage reduction within
the first nine months of antidepressant treatment. This necessitates that in
the majority of depressive episodes, clinicians document their rationale for
continuing treatment. Clinicians must commit to this process, and surveyors
must acknowledge this appropriate approach to depression management. © 2012
American Society of Consultant Pharmacists, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy)
hydrochlorothiazide (drug therapy, oral drug administration)
hydrocodone bitartrate plus paracetamol (drug therapy, oral drug
administration)
lisinopril (drug therapy, oral drug administration)
paracetamol (drug therapy, oral drug administration)
sertraline (adverse drug reaction, drug dose, drug therapy)
simvastatin (oral drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression
EMTREE MEDICAL INDEX TERMS
abdominal pain (side effect)
bedtime dosage
cerebrovascular accident (drug therapy)
dizziness (side effect)
drug dose reduction
drug dose regimen
headache (side effect)
human
hypertension (drug therapy)
insomnia (side effect)
knee pain (drug therapy)
major depression (drug therapy)
medicaid
medical documentation
medicare
nausea (side effect)
nervousness
nursing home
nursing home patient
osteoarthritis (drug therapy)
practice guideline
review
sensory deprivation (side effect)
side effect (side effect)
treatment duration
vertigo (side effect)
withdrawal syndrome (side effect)
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
hydrochlorothiazide (58-93-5)
lisinopril (76547-98-3, 83915-83-7)
paracetamol (103-90-2)
sertraline (79617-96-2)
simvastatin (79902-63-9)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012417146
MEDLINE PMID
22910130 (http://www.ncbi.nlm.nih.gov/pubmed/22910130)
FULL TEXT LINK
http://dx.doi.org/10.4140/TCP.n.2012.494
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 281
TITLE
The effect of menstruation on psychiatric hospitalization
AUTHOR NAMES
Weston J.
Speroni K.G.
Ellis T.
Daniel M.G.
AUTHOR ADDRESSES
(Weston J., jweston@shorehealth.org; Ellis T.) Shore Health System,
Cambridge, United States.
(Speroni K.G.) Nursing Research Council, United Kingdom.
(Daniel M.G.) Shore Health System, Easton, MD, United States.
CORRESPONDENCE ADDRESS
J. Weston, Shore Health System, 300 Byrn Street, Cambridge, MD 21613, United
States. Email: jweston@shorehealth.org
SOURCE
Journal of Psychosocial Nursing and Mental Health Services (2012) 50:7
(39-43). Date of Publication: July 2012
ISSN
0279-3695
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
This study evaluated the effect of menstruation on psychiatric
hospitalization. We conducted a retrospective chart review of the medical
records of 177 women who met the eligibility criteria. Data collected
included demographic details, primary and secondary diagnoses, date of last
menstrual period (LMP), medication adherence, psychiatric hospitalization
length of stay, previous psychiatric admissions (including those related to
menstruation), discharge referrals, and readmissions. The majority of women
were admitted for major depression, were single, Caucasian, and had a mean
age of 34. A disproportionate percentage (37%) of women had their LMP within
5 days of psychiatric hospitalization (p = 0.0006). The overall average
length of stay was 4.37 days, and 48.3% had a previous psychiatric
admission. Medication adherence was routinely not documented (77.4%).
Psychiatric hospitalizations for women are significantly greater within 5
days of their LMP. Nursing education and improved documentation are
warranted to decrease the potential for readmission. © SLACK Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar disorder
hospitalization
major depression
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
adult
article
female
hospital
human
menstruation
middle aged
nursing
patient education
premenstrual syndrome
psychiatric department
psychological aspect
retrospective study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22694781 (http://www.ncbi.nlm.nih.gov/pubmed/22694781)
FULL TEXT LINK
http://dx.doi.org/10.3928/02793695-20120605-01
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 282
TITLE
Beta blocker treatment of heart failure patients with ongoing cocaine use
AUTHOR NAMES
Narveson S.
Fesel N.M.
Littmann L.
AUTHOR ADDRESSES
(Narveson S.; Fesel N.M.; Littmann L.) Internal Medicine, Carolinas
Healthcare System, Charlotte, United States.
CORRESPONDENCE ADDRESS
S. Narveson, Internal Medicine, Carolinas Healthcare System, Charlotte,
United States.
SOURCE
Heart and Lung: Journal of Acute and Critical Care (2012) 41 4 (430-431).
Date of Publication: July-August 2012
CONFERENCE NAME
8th Annual Conference of the American Association of Heart Failure Nurses,
AAHFN 2012
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2012-06-28 to 2012-06-30
ISSN
0147-9563
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Background: Current guidelines recommend beta blocker therapy for all stable
adult heart failure patients with a reduced ejection fraction, unless
contraindicated. Mostheart failureguidelines,however, considerongoing
cocaine use to be a contraindication to beta blocker therapy. This leaves
cardiomyopathy patients who are unable to quit cocaine with few options for
improving their ejection fraction and quality of life. Methods: In a disease
management program for indigent patients with advanced heart failure, our
policy is not to withhold beta blocker treatment for patients with cocaine
cardiomyopathy regardless of their abstinence status. The purpose of this
retrospective study is to present4 cases inwhombeta blocker therapyresulted
in rapid normalization or near-normalization of left ventricular ejection
fraction (LVEF) despite admitted and/or documented ongoing cocaine use. Each
patient was started on low dose carvedilol and was quickly titrated until
therapeutic dose was reached. We closely monitored the patients for
hypertension and for signs of heart failure exacerbation. At each visit we
counseled the patients on the risks of cocaine use including possible
interaction between cocaine and beta blocker as well as the benefits of
cocaine cessation, and drug rehabilitation was offered for all. Results: In
the last 2 years we found 4 patients (3 male; mean age 53.3) who experienced
full or almost full recovery of LVEF during treatment with betablocker
despite ongoing cocaine use. None of the patients were on beta blocker on
admission to the clinic but by 21/2 months, each patient was titrated to
carvedilol 25 mg BID. At a follow-up interval of 6-13 months (mean, 9.25
months), the mean NYHA functional class dropped from a mean of 2.75 to 1.25,
and the LVEF increased from 5-15% up to 55-60% (mean, from 12.3% to 48.8%).
Each patient was originally admitted to the clinic after a hospitalization
for acute decompensated heart failure, but none of the patients required
rehospitalization in the year after enrollment. Conclusion: Beta blocker
therapy appears to be highly beneficial in some cocaine cardiomyopathy
patients, even in those with ongoing cocaine use. Of all available
medications for systolic heart failure, only beta blockers have been shown
to result in an increase in LVEF. The dramatic improvement in clinical and
echocardiographic parameters in our patients, therefore, was almost
certainly related to the use of beta blocker. We feel that urgent research
is needed to explore the possible risks versus benefits of using beta
blockers in the cocaine cardiomyopathy patient population. From a nursing
perspective it is important to recognize that in heart failure patients
ongoing cocaine abuse may not be an absolute contraindication to beta
blocker therapy. It is also essential that nurses continue to educate
patients on the benefits of cocaine cessation as the primary treatment
modality. In addition, until further research more definitely proves the
safety of beta blockers in this patient population, patients need to be
advised of the possible risks and should be closely monitored for cocaine
chest pain, hypertension, heart failure exacerbation and arrhythmias.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
beta adrenergic receptor blocking agent
cocaine
EMTREE DRUG INDEX TERMS
carvedilol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heart failure
human
nurse
patient
EMTREE MEDICAL INDEX TERMS
abstinence
abuse
acute heart failure
adult
cardiomyopathy
disease management
drug therapy
follow up
heart arrhythmia
heart ejection fraction
heart left ventricle ejection fraction
hospital
hospital readmission
hospitalization
hypertension
indigent
low drug dose
male
nursing
parameters
plant leaf
policy
population
quality of life
rehabilitation
retrospective study
risk
safety
systolic heart failure
therapy
thorax pain
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 283
TITLE
The pain-free ward: Myth or reality
AUTHOR NAMES
Morton N.S.
AUTHOR ADDRESSES
(Morton N.S., neilmorton@mac.com) Department of Anaesthesia, Royal Hospital
for Sick Children, Glasgow G3 8SJ, United Kingdom.
CORRESPONDENCE ADDRESS
N.S. Morton, Department of Anaesthesia, Royal Hospital for Sick Children,
Glasgow G3 8SJ, United Kingdom. Email: neilmorton@mac.com
SOURCE
Paediatric Anaesthesia (2012) 22:6 (527-529). Date of Publication: June 2012
ISSN
1155-5645
1460-9592 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Over the last 25 years, pediatric care has changed dramatically with
increased survival after premature birth, more complex care, better
outcomes, and reduced mortality. There is a better understanding of how pain
pathways and receptor systems develop and also how to assess pain at
different stages of development. The myth that children do not feel pain has
been comprehensively dispelled. Safe analgesic dose regimens for neonates,
infants, and children have been developed based upon a better understanding
of developmental pharmacokinetics and pharmacodynamics. It is a myth that
pain in children cannot be prevented or treated safely and effectively
because of the risks of adverse effects and addiction. Large-scale
prospective audits have clarified the safety profile and risk-benefit
balance for different techniques. There is now a substantial evidence base
supporting many techniques of postoperative and procedural pain management
for all age-groups of children. Guidelines based upon systematic review of
this evidence have been published and updated, but the real challenge is in
implementation of accurate pain assessment and safe, effective pain
management comprehensively to all children whatever the procedure, clinical
setting, developmental stage of the child, or comorbidities. In developed
countries, these are core topics in the education of all doctors and nurses
who care for children, and they are integrated into clinical practice by
acute pediatric pain teams for most hospitals. However, it is disappointing
that many country's healthcare systems do not give pediatric pain management
a priority and in many parts of the world there are no analgesics available.
So pain-free healthcare is sadly lacking in many hospitals. My hope is that
the current knowledge can be used more effectively to relieve the
unnecessary suffering of children in the 21st century. © 2012 Blackwell
Publishing Ltd.
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy)
opiate (drug therapy)
paracetamol (drug therapy, intravenous drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
child care
EMTREE MEDICAL INDEX TERMS
comorbidity
drug dependence
drug safety
evidence based practice
health care system
human
mortality
pain (drug therapy)
pain assessment
patient controlled analgesia
practice guideline
prematurity
priority journal
review
risk benefit analysis
survival
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012297459
MEDLINE PMID
22594405 (http://www.ncbi.nlm.nih.gov/pubmed/22594405)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1460-9592.2012.03881.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 284
TITLE
Three hours of training improve psychiatric staff's self-perceived knowledge
and attitudes toward problem-drinking patients
AUTHOR NAMES
Nehlin C.
Fredriksson A.
Grönbladh L.
Jansson L.
AUTHOR ADDRESSES
(Nehlin C., christina.nehlin.gordh@akademiska.se; Fredriksson A.; Grönbladh
L.; Jansson L.) Department of Neuroscience, Psychiatry, Uppsala University,
Uppsala, Sweden.
(Nehlin C., christina.nehlin.gordh@akademiska.se; Grönbladh L.) Uppsala
University Hospital, Uppsala, Sweden.
CORRESPONDENCE ADDRESS
C. Nehlin, Department of Neuroscience, Psychiatry, Uppsala University, UAS
ing 15, 3rd floor, 75185 Uppsala, Sweden. Email:
christina.nehlin.gordh@akademiska.se
SOURCE
Drug and Alcohol Review (2012) 31:4 (544-549). Date of Publication: June
2012
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Introduction and Aims. Staff attitudes are an important factor in the
successful implementation of systematic alcohol strategies and policies. The
forms and extent of training needed to improve therapeutic attitude among
psychiatric staff to problem drinking are unclear. The aim of the
investigation was to study the knowledge and attitudes of psychiatric staff
toward problem-drinking patients. A further aim was to investigate whether a
short 3h training is sufficient to improve knowledge and therapeutic
attitude toward problem drinking. Design and Methods. A tailored training
model for psychiatric staff (non-physicians) was carried out at a medium
size university clinic. Participants were medical (nurses and psychiatric
aides) and non-medical staff (psychologists and social workers). The
training consisted of a 2h workshop and a 1h follow-up session. Knowledge
and attitudes were measured at baseline and follow up by a questionnaire
including vignettes assessment and the Short Alcohol and Alcohol Problems
Perception Questionnaire. Results. In total, 115 persons completed the
questionnaire (follow-up rate 83.5%). The distribution was even (50% for the
medical and 50% for the non-medical staff). After training, the non-medical
staff estimated vignette case severity higher than before. Both staff groups
estimated their capacity to help a patient with complex problems higher
after training. Role adequacy was higher in both subgroups after training.
Medical staff scored work satisfaction higher after the training. Discussion
and Conclusions. Three hours of tailored training for psychiatric staff
improve their knowledge and therapeutic attitude to problem-drinking
patients. © 2011 Australasian Professional Society on Alcohol and other
Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
attitude to health
drinking behavior (therapy)
health care personnel
health personnel attitude
in service training
EMTREE MEDICAL INDEX TERMS
article
education
female
human
male
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22050211 (http://www.ncbi.nlm.nih.gov/pubmed/22050211)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2011.00373.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 285
TITLE
Meeting the physical health-care needs of people with substance misuse
problems: evaluation of a nurse-led blood-borne virus programme.
AUTHOR NAMES
Callaghan P.
Phillips P.
Khalil E.
Carter T.
AUTHOR ADDRESSES
(Callaghan P.) School of Nursing, Midwifery and Physiotherapy, University of
Nottingham, Nottingham, UK.
(Phillips P.; Khalil E.; Carter T.)
CORRESPONDENCE ADDRESS
P. Callaghan, School of Nursing, Midwifery and Physiotherapy, University of
Nottingham, Nottingham, UK. Email: patrick.callaghan@nottingham.ac.uk
SOURCE
International journal of mental health nursing (2012) 21:3 (248-258). Date
of Publication: Jun 2012
ISSN
1447-0349 (electronic)
ABSTRACT
People who inject substances are at high risk of many physical health
problems. The Blood-Borne Virus Programme (BBVP) is a nurse-led health
screening programme for blood-borne conditions in substance misusers. The
aim of this study was to evaluate the service delivery, organization, and
outcomes of the BBVP. The researchers used a case study with three units of
analysis: BBVP clinical activities during 1 year using a prospective audit;
service users' (n = 20) and professional stakeholders' (n = 10) experiences
of the BBVP using semistructured interviews; and service users' (n = 132)
satisfaction with the BBVP using a satisfaction measure. The BBVP conducted
4450 consultations with 1940 service users; 847 of whom were new, and
presented with many health problems compromising their physical health. The
BBVP provided a range of interventions meeting its users' physical health
needs. Users and other stakeholders were very satisfied with the service,
and suggested ways in which the service might improve. The BBVP appeared to
meet the physical health-care needs of people dependent on drugs. Nurse-led
services, such as the BBVP, offer a solution that, in the view of users and
professional stakeholders, is impacting significantly on the physical health
and well-being of people dependent on drugs. © 2012 The Authors.
International Journal of Mental Health Nursing © 2012 Australian College of
Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bloodborne bacterium
substance abuse (complication)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
evaluation study
female
health service
human
male
middle aged
nursing
patient satisfaction
prevalence
viremia (prevention)
virology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22533332 (http://www.ncbi.nlm.nih.gov/pubmed/22533332)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2012.00822.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 286
TITLE
Nursing home residents dying with dementia in flanders, belgium: A
nationwide study on clinical characteristics and quality of dying
AUTHOR NAMES
Vandervoort A.
Van Den Block L.
Van Der Steen J.T.
Volicer L.
Vander Stichele R.
Houttekier D.
Deliens L.
AUTHOR ADDRESSES
(Vandervoort A.; Houttekier D.; Deliens L.) End-of-Life Care Research Group
VUB-UGent, Brussels, Belgium.
(Van Den Block L.) End-of-Life Care Research Group VUB-UGent, Brussel,
Belgium.
(Van Den Block L.) Department of Family Medicine, Vrije Universiteit
Brussel, Brussels, Belgium.
(Van Der Steen J.T.; Deliens L.) VU University Medical Center, EMGO
Institute for Health and Care Research, Amsterdam, Netherlands.
(Volicer L.) University of South Florida, Tampa, United States.
(Vander Stichele R.) Heymans Institute of Pharmacology, Ghent University,
Ghent, Belgium.
CORRESPONDENCE ADDRESS
A. Vandervoort, End-of-Life Care Research Group VUB-UGent, Brussels,
Belgium.
SOURCE
Palliative Medicine (2012) 26:4 (407-408). Date of Publication: June 2012
CONFERENCE NAME
7th World Research Congress of the European Association for Palliative Care,
EAPC 2012
CONFERENCE LOCATION
Trondheim, Norway
CONFERENCE DATE
2012-06-07 to 2012-06-09
ISSN
0269-2163
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: Considering the expected increase in incidence and prevalence of
dementia in older adults, dying well with dementia is a major public health
challenge. However, we lack large-scale and representative data describing
the clinical characteristics and quality of dying of people with dementia in
nursing homes. Method: A retrospective, cross-sectional study was conducted
using a random cluster sampling procedure in Flanders, Belgium, in 2010. In
selected nursing homes, all deaths of residents with dementia in a study
period of three months were reported. For each deceased resident, the nurse
most involved in care, the general practitioner and the nursing home
administrator answered questions regarding the resident's health status,
clinical complications in the last month and week of life, and quality of
dying. The Cognitive Performance Scale and Global Deterioration Scale were
used to define advanced dementia. Results: In 69 nursing homes (58% response
rate), we identified 198 residents with dementia. Of those, 53.5% had
advanced dementia. In the last month of life, 95.5% of residents with
dementia had one or more sentinel events such as eating/drinking problems,
febrile episodes or pneumonia. Most frequently reported symptoms (SM-EOLD)
in the last month of life were pain, fear, anxiety and agitation. In the
last week of life difficulty swallowing and pain were reported most
frequently (CAD-EOLD). Decubitus was present in 26.9%, incontinence in 89.2%
and cachexia in 45.8%. Physical restraints were used in 21.4% and 10.0% died
outside the nursing home. Comparing advanced dementia with less advanced
stages revealed few differences between groups regarding clinical
complications, distressing symptoms or quality of dying Conclusion:
Regardless of the stage of dementia, many nursing home residents develop
important clinical complications and experience distressing symptoms in the
last phase of life, posing major challenges to caregivers in nursing homes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Belgium
dementia
human
nursing home patient
palliative therapy
EMTREE MEDICAL INDEX TERMS
administrative personnel
adult
agitation
anxiety
cachexia
caregiver
cross-sectional study
death
decubitus
deterioration
exercise
fear
general practitioner
health status
incontinence
nurse
nursing home
pain
pneumonia
prevalence
procedures
public health
sampling
sentinel event
swallowing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0269216312446391
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 287
TITLE
Nursing home residents dying with dementia in flanders, belgium: A
nationwide post-mortem study on quality of end-of-life care and quality of
dying
AUTHOR NAMES
Van Den Block L.
Vandervoort A.
Deliens L.
AUTHOR ADDRESSES
(Van Den Block L.; Vandervoort A.; Deliens L.) Vrije Universiteit Brussel,
UGhent and VUB End-of-Life Care Research Group, Brussels, Belgium.
CORRESPONDENCE ADDRESS
L. Van Den Block, Vrije Universiteit Brussel, UGhent and VUB End-of-Life
Care Research Group, Brussels, Belgium.
SOURCE
Palliative Medicine (2012) 26:4 (447). Date of Publication: June 2012
CONFERENCE NAME
7th World Research Congress of the European Association for Palliative Care,
EAPC 2012
CONFERENCE LOCATION
Trondheim, Norway
CONFERENCE DATE
2012-06-07 to 2012-06-09
ISSN
0269-2163
BOOK PUBLISHER
SAGE Publications Ltd
ABSTRACT
Background: There is a lack of nationwide data describing the circumstances
of dying for people with dementia. We aimed to investigate quality of
end-of-life care and quality of dying of nursing home residents with
dementia in Belgium. Methods: We conducted a post-mortem study (2010) using
random cluster-sampling. In selected nursing homes, all deceased residents
with dementia in a 3-month period were reported. For each case the nurse
most involved in care, GP and nursing home administrator reported health
status, clinical complications, end-of-life care, advance care planning and
quality of dying using SM-EOLD, CAD-EOLD and QUALID. We used Cognitive
Performance Scale and Global Deterioration Scale to assess dementia.
Findings: We identified 198 deceased residents with dementia in 69 nursing
homes; 54% with advanced dementia. In the last month of life 95% had one or
more sentinel events eg eating/drinking problems, febrile episodes, or
pneumonia. Most frequently reported symptoms were pain, fear, anxiety,
agitation and resistance to care. In the last week of life, difficulty
swallowing and pain were reported most frequently. Palliative care records
were present for 62% of cases and a palliative care task group discussion
took place in 49%. According to the GP 9% had a written advance directive
and for 76% a physician order limiting life-sustaining treatments was
present, discussed with patients in 11% of cases. A legal representative was
appointed in 6% of cases. At the end of life, one or more life-sustaining
treatments were provided in 31% of cases. Comparing different stages of
dementia revealed few differences between groups. Interpretation: Regardless
of the dementia stage, many nursing home residents develop serious clinical
complications in the last phase of life, posing major challenges to the
provision of optimum end-of-life care. While half of the deceased residents
develop to an advanced stage of dementia, advance patient directives are
hardly present.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Belgium
dementia
human
nursing home patient
palliative therapy
terminal care
EMTREE MEDICAL INDEX TERMS
administrative personnel
agitation
anxiety
deterioration
fear
health status
life sustaining treatment
living will
nurse
nursing home
pain
patient
patient care
physician
pneumonia
sampling
sentinel event
swallowing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0269216312446391
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 288
TITLE
Levels of empathy in undergraduate nursing students
AUTHOR NAMES
McKenna L.
Boyle M.
Brown T.
Williams B.
Molloy A.
Lewis B.
Molloy L.
AUTHOR ADDRESSES
(McKenna L., Lisa.McKenna@monash.edu) School of Nursing and Midwifery,
Monash University, Clayton, VIC, Australia.
(Boyle M.; Williams B.) Department of Community Emergency Health and
Paramedic Practice, Monash University, Frankston, VIC, Australia.
(Brown T.; Molloy A.) Department of Occupational Therapy, Monash University,
Frankston, VIC, Australia.
(Lewis B.) Department of Health Science, Monash University, Frankston, VIC,
Australia.
(Molloy L.) School of Primary Health Care, Monash University, Notting Hill,
VIC, Australia.
CORRESPONDENCE ADDRESS
L. McKenna, School of Nursing and Midwifery, Monash University, Building
13C, Clayton, VIC 3800, Australia. Email: Lisa.McKenna@monash.edu
SOURCE
International Journal of Nursing Practice (2012) 18:3 (246-251). Date of
Publication: June 2012
ISSN
1322-7114
1440-172X (electronic)
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Empathy and absence of prejudice and stigma are instrumental in facilitating
effective nurse-patient relations. This study assessed empathy levels and
regard for specific medical conditions in undergraduate nursing students. A
cross-sectional study was undertaken using paper-based versions of the
Jefferson Scale of Physician Empathy (JSPE) and Medical Condition Regard
Scale (MCRS), along with a brief set of demographic questions. Participants
reported good empathy levels on JSPE. Attitudes towards intellectual
disability, chronic pain, acute mental illness and terminal illness rated
well on MCRS. Attitudes towards substance abuse, however, were lower. There
were no significant differences between age groups, gender or year level of
study. Overall results of this study were positive. Nursing students
demonstrated acceptable empathy levels. Attitudes towards patients who abuse
substances highlight an area that needs both further exploration and
addressing. Attitudes towards mental health diagnoses were particularly
favourable given that these often attract stigma and negative attitudes. ©
2012 Blackwell Publishing Asia Pty Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
empathy
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22621294 (http://www.ncbi.nlm.nih.gov/pubmed/22621294)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-172X.2012.02035.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 289
TITLE
2012 Beers criteria update: how should practicing nurses use the criteria?
AUTHOR ADDRESSES
SOURCE
Journal of gerontological nursing (2012) 38:6 (3-5). Date of Publication:
Jun 2012
ISSN
0098-9134
ABSTRACT
The continued development of explicit lists of medications to avoid in older
adults, such as the Beers criteria, is a key initiative in geriatrics. The
involvement of nurse in this endeavor is critical , and nursing research,
education, and practice will help not only develop but also disseminate
important pharmacological management information to the public and thereby
decrease drug-related problems and improve the health of older adults.
Lastly, we wish to acknowledge Dr. Mark Beers' tremendous leadership in
conceptualizing the importance of medication management in older adults and
in acknowledging the significance of the full-team approach in patient care.
Mark, who passed away in 2009, was an incredible mentor and true champion of
safe medication use in adults.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
geriatric nursing
nurse
practice guideline
EMTREE MEDICAL INDEX TERMS
aged
drug therapy
editorial
human
manpower
nursing organization
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22657720 (http://www.ncbi.nlm.nih.gov/pubmed/22657720)
FULL TEXT LINK
http://dx.doi.org/10.3928/00989134-20120517-01
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 290
TITLE
VITAL (Virtual Interactive Teaching and Learning) pain assessment
AUTHOR NAMES
Musclow S.
Parry M.
Barry M.
MacAuley J.
Chavez F.
AUTHOR ADDRESSES
(Musclow S.; Parry M.; Barry M.; MacAuley J.; Chavez F.) University of
Toronto, Toronto, Canada.
CORRESPONDENCE ADDRESS
S. Musclow, University of Toronto, Toronto, Canada.
SOURCE
Pain Research and Management (2012) 17:3 (217). Date of Publication:
May-June 2012
CONFERENCE NAME
2012 Annual Conference of the Canadian Pain Society
CONFERENCE LOCATION
Whistler, BC, Canada
CONFERENCE DATE
2012-05-23 to 2012-05-26
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
AIM: To determine the feasibility of teaching and learning pain assessment
skills to Nurse Practitioner (NP) students through an interactive virtual
simulation environment using a Canadian Pain Society Nursing Issues Special
Interest Group (CPS NI SIG) developed pain scenario. METHODS: In this pilot,
a CPS NI SIG pain scenario was presented to four different groups of NP
students. Each group consisted of one remote and one to two onsite student
participants. Remote students gained access virtually to the Lawrence S.
Bloomberg Faculty of Nursing Simulation lab through a web conferencing tool
(Adobe Connect). An acute pain scenario which included addiction risk
factors was edited and scripted to ensure consistency of format, duration
and level of difficulty. Standardized patients (SP) were used to ensure
uniformity. Students worked together to perform advanced history taking and
physical examination skills. A generic scoring template was used to rate
student performance. Students were allotted 60 minutes for each scenario (30
minute history taking and physical exam, 20 minute debriefing, and 10 minute
scenario rotation and setup). Each scenario consisted of an examiner,
facilitator, and IT support person. Evaluations from the students, examiners
and facilitators were collected. RESULTS: Participants agreed that the
virtual classroom environment facilitated student learning (100%), improved
their history taking skills (100%), and increased their overall learning
within the course (100%). CONCLUSIONS: The use of pain case scenarios within
a virtual learning environment improved history taking skills and overall
learning experiences for students in a graduate health assessment course.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
learning
pain
pain assessment
society
teaching
EMTREE MEDICAL INDEX TERMS
addiction
anamnesis
environment
graduate
health
human
learning environment
nurse practitioner
nursing
patient
physical examination
risk factor
simulation
skill
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 291
TITLE
One green bottle
AUTHOR NAMES
Khan S.
Perraju B.
Powell T.G.
AUTHOR ADDRESSES
(Khan S.) Paediatrics, Wrexham Maelor Hospital, Wrexham, United Kingdom.
(Perraju B.) Paediatrics, Royal Gwent Hospital, Newport, United Kingdom.
(Powell T.G.) Paediatrics, Ysbyty Gwnedd, Bangor, United Kingdom.
CORRESPONDENCE ADDRESS
S. Khan, Paediatrics, Wrexham Maelor Hospital, Wrexham, United Kingdom.
SOURCE
Archives of Disease in Childhood (2012) 97 SUPPL. 1 (A8-A9). Date of
Publication: May 2012
CONFERENCE NAME
Annual Conference of the Royal College of Paediatrics and Child Health,
RCPCH 2012
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2012-05-22 to 2012-05-24
ISSN
0003-9888
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Introduction Most paediatricians are familiar with the diagnosis and
management of neonatal abstinence syndrome in babies of mothers who have
taken opiate drugs during pregnancy. We report a case in which parents tried
to prevent opiate withdrawal symptoms in their baby by giving her regular
doses of methadone from birth without medical advice. Case report AB
presented to our emergency department at 7 months of age with respiratory
symptoms and signs suggestive of a chest infection. This was her third
admission within two months, the first two having been with mild RSV (+) ve
bronchiolitis and with X-ray changes suggestive of aspiration pneumonia
respectively. AB's family was known to social services owing to previous
domestic violence and drug abuse. During this admission nurses had noted
erratic maternal behaviour culminating in the discovery of AB being fed
green-coloured milk. Analysis of both the milk and AB's urine revealed
significant levels of methadone. AB's blood methadone level was above the
lethal range signifying high tolerance to methadone. With no experience to
guide us with this unique case we consulted colleagues from the adult drug
service to determine our approach to management. We present our experience.
Conclusion We found no previous reports of parental 'diagnosis and
treatment' of neonatal abstinence syndrome or of the medical management of
opiate addiction in older babies and children. Although this case appears
unique we believe paediatricians should be increasingly alert to the
possibility of clandestine methadone administration to babies by parents
with a history of drug abuse.
EMTREE DRUG INDEX TERMS
methadone
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health
college
pediatrics
EMTREE MEDICAL INDEX TERMS
adult
aspiration pneumonia
baby
blood
bronchiolitis
case report
chest infection
child
diagnosis
disease management
domestic violence
drug abuse
emergency ward
female
human
milk
mother
nurse
opiate addiction
parent
pediatrician
pregnancy
social work
urine
withdrawal syndrome
X ray
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/archdischild-2012-301885.20
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 292
TITLE
Alcohol, violence and substance related presentations to a&e in 16-18 year
olds: The need for targeted adolescent services
AUTHOR NAMES
Wright K.
Oyeyinka K.
Gilmour I.
Salter R.
Maconochie I.
AUTHOR ADDRESSES
(Wright K.) Foundation Year 1, Royal Berkshire Hospital, Reading, United
Kingdom.
(Oyeyinka K.) Foundation Year 1, Hammersmith Hospital, Imperial College NHS
Trust, London, United Kingdom.
(Gilmour I.; Salter R.; Maconochie I.) Paediatric Emergency Medicine, St
Mary's Hospital, Imperial College NHS Trust, London, United Kingdom.
(Wright K.; Oyeyinka K.) School of Medicine, Imperial College, London,
United Kingdom.
CORRESPONDENCE ADDRESS
K. Wright, Foundation Year 1, Royal Berkshire Hospital, Reading, United
Kingdom.
SOURCE
Archives of Disease in Childhood (2012) 97 SUPPL. 1 (A150). Date of
Publication: May 2012
CONFERENCE NAME
Annual Conference of the Royal College of Paediatrics and Child Health,
RCPCH 2012
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2012-05-22 to 2012-05-24
ISSN
0003-9888
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Hazardous and harmful drinking patterns are increasing in adolescents. Heavy
adolescent drinkers are more likely to continue as hazardous drinkers.
Furthermore, alcohol and substance misuse in young adults is linked to
violence and mental health problems later in life, meaning these problems
should be managed as early as possible. This audit's aim was to ascertain
the influence of alcohol, substance abuse and violence, on presentations to
A&E, of 16-18 year-olds over one year. Method Symphony computer tracking
system was used. Presentations of patients aged 16 to 18 years from 1 March
2010 to 1 March 2011 were studied. Their presenting complaints were
recorded; non-specific presenting complaints were explored individually for
misuse of alcohol, substance abuse and/or violence. Results There were 2192
presentations. 'Apparently drunk' and 'assault' featured in the top 20
presenting complaints; 9.1% of all presentations involved violence and 4%
involved alcohol (figure 1). These presenting complaints are only the tip of
the iceberg (figure 2). Many triaged cases did not specify whether alcohol,
violence or substance abuse were involved. Cases may be missed by not being
flagged up at the triage stage. Impact Subsequently, a multidisciplinary
group including nurses and doctors from paediatric and adult A&E have
established guidelines for referral and produced an adolescent related
proforma to ask about sexual health, mental health, alcohol and substance
misuse. As the hospital became a Major Trauma Centre in January 2011, the
number of cause for concern forms increased by a factor of 8, many being
patients in the 16-18 year age bracket. This meant a steep learning curve
for adult A&E doctors and nurses. Children, adolescents, vulnerable young
people are discussed at the weekly interdepartmental meeting (includes CAMHS
team, substance misuse and alcohol worker, and liaison social workers).
Alcohol and substance misuse information and advice leaflets, geared to
adolescents, are available in the Emergency Department. Having set these
standards, this work will be repeated in one year to see if there has been
an improvement in the quality of care delivered to this vulnerable group.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
child health
college
human
pediatrics
violence
EMTREE MEDICAL INDEX TERMS
adult
assault
child
computer
drinking behavior
emergency health service
emergency ward
hospital
iceberg
injury
learning curve
medical audit
mental health
nurse
patient
physician
sexual health
social worker
substance abuse
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/archdischild-2012-301885.354
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 293
TITLE
Impact of standardised documentation on post take ward round
AUTHOR NAMES
Newnham A.
Hine C.
Agwu J.C.
AUTHOR ADDRESSES
(Newnham A.; Hine C.; Agwu J.C.) Paediatrics, Sandwell and West Birmingham
NHS Trust, Birmingham, United Kingdom.
CORRESPONDENCE ADDRESS
A. Newnham, Paediatrics, Sandwell and West Birmingham NHS Trust, Birmingham,
United Kingdom.
SOURCE
Archives of Disease in Childhood (2012) 97 SUPPL. 1 (A108-A109). Date of
Publication: May 2012
CONFERENCE NAME
Annual Conference of the Royal College of Paediatrics and Child Health,
RCPCH 2012
CONFERENCE LOCATION
Glasgow, United Kingdom
CONFERENCE DATE
2012-05-22 to 2012-05-24
ISSN
0003-9888
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Aims Does the acronym “Please Verify Info For Doctors and Please Note Every
Plan” (Problems, Vital signs, Investigations, Fluids, Drugs and
Patient/Parent concerns, Nursing concerns, Examination, Plan) improve
documentation on the post take ward round (PTWR). Does improved
documentation affect readmission rate and length of stay? Methods 50
consecutive notes for all children admitted under a single Consultant
Paediatrician from June-September 2010 (pre-acronym) were compared to 50
consecutive notes for children admitted June-September 2011 (post-acronym).
The adequacy of documentation on the PTWR including patient demographics was
compared between the two cohorts. As a secondary outcome we evaluated
whether the length of hospital stay and readmission (within 28 days) varied
between the two cohorts. Significance values were calculated using Fisher's
exact test and paired T-Test. Results The documentation of problem,
investigations, fluids, drugs, patient/parental concerns and nursing
concerns all showed significant improvement in recorded documentation after
the introduction of the PTWR acronym (table 1). There was no significant
change in documentation of vital signs, examination and plan; although these
variables all had high documentary compliance prior to the introduction of
the acronym. There was no significant difference between length of stay
(p=0.8934) or re-admission rates (p=0.2044) between the two cohorts. The
patient demographics did not differ signifi- cantly between the two cohorts.
Conclusion The use of a PTWR acronym significantly improves documentation.
This is important as the PTWR is the key forum for exchange of information
between doctor, nurse and patient. As the PTWR often defines the focus of
management it is essential that we strive to incorporate methods to improve
its documentation and hence implementation. (Table Presented).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health
college
documentation
pediatrics
ward
EMTREE MEDICAL INDEX TERMS
child
consultation
examination
Fisher exact test
hospital readmission
hospitalization
human
length of stay
liquid
nurse
nursing
patient
pediatrician
physician
Student t test
vital sign
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/archdischild-2012-301885.257
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 294
TITLE
Making the links between cultural safety and let's get real.
AUTHOR NAMES
Hughes M.
McKay L.
AUTHOR ADDRESSES
(Hughes M.) Christchurch Polytechnic Institute of Technology.
(McKay L.)
CORRESPONDENCE ADDRESS
M. Hughes, Christchurch Polytechnic Institute of Technology.
SOURCE
Nursing New Zealand (Wellington, N.Z. : 1995) (2012) 18:4 (26-28). Date of
Publication: May 2012
ISSN
1173-2032
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural competence
indigenous people
nurse patient relationship
nursing
nursing education
EMTREE MEDICAL INDEX TERMS
addiction
adult
analgesia
article
cholecystectomy
education
female
human
New Zealand
social psychology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22866468 (http://www.ncbi.nlm.nih.gov/pubmed/22866468)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 295
TITLE
The million hearts™ initiative why psychosocial nurses should care
AUTHOR NAMES
Swarbrick M.
Fitzgerald C.
AUTHOR ADDRESSES
(Swarbrick M.) Collaborative Support Programs of New Jersey, Freehold, NJ,
United States.
(Fitzgerald C.) Bridgeway Rehabilitation Services, Elizabeth, NJ, United
States.
CORRESPONDENCE ADDRESS
M. Swarbrick, Collaborative Support Programs of New Jersey, Freehold, NJ,
United States.
SOURCE
Journal of Psychosocial Nursing and Mental Health Services (2012) 50:5 (10).
Date of Publication: May 2012
ISSN
0279-3695
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
The Million Hearts initiative is a good way to spread the word about
cardiovascular health. It is an important initiative that will raise
awareness, and nurses in the mental health community should be particularly
interested in joining the campaign. Joining forces with Million Hearts will
encourage nurses to identify individuals at cardiac risk, ensure they
receive treatment for high blood pressure and cholesterol, promote healthy
diet and exercise, and support smoke-free environments. Hopefully, this will
reduce the number of heart attacks and strokes, as well as death, for people
with mental illness. © SLACK Incorporated.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug administration)
cholesterol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
cerebrovascular accident (prevention)
government
health promotion
heart infarction (prevention)
mental disease
nurse attitude
EMTREE MEDICAL INDEX TERMS
blood
comorbidity
editorial
human
hypertension (prevention)
nursing
organization and management
smoking cessation
United States
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
cholesterol (57-88-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22589281 (http://www.ncbi.nlm.nih.gov/pubmed/22589281)
FULL TEXT LINK
http://dx.doi.org/10.3928/02793695-20120410-05
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 296
TITLE
Outcomes of Polypharmacy in Nursing Home Residents
AUTHOR NAMES
Tamura B.K.
Bell C.L.
Inaba M.
Masaki K.H.
AUTHOR ADDRESSES
(Tamura B.K., bktamura@hotmail.com; Bell C.L.; Inaba M.; Masaki K.H.)
Department of Geriatric Medicine, The John A. Hartford Center of Excellence
in Geriatrics, 347 North Kuakini Street, HPM-9, Honolulu, HI 96817, United
States.
CORRESPONDENCE ADDRESS
B.K. Tamura, Department of Geriatric Medicine, The John A. Hartford Center
of Excellence in Geriatrics, 347 North Kuakini Street, HPM-9, Honolulu, HI
96817, United States. Email: bktamura@hotmail.com
SOURCE
Clinics in Geriatric Medicine (2012) 28:2 (217-236). Date of Publication:
May 2012
ISSN
0749-0690
1879-8853 (electronic)
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
EMTREE DRUG INDEX TERMS
antiarrhythmic agent
antiparkinson agent
nonsteroid antiinflammatory agent (drug therapy)
paracetamol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
long term care
polypharmacy
treatment outcome
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
ambulatory care
cause of death
clinical practice
cohort analysis
cost benefit analysis
cost control
drug cost
drug efficacy
drug misuse
drug safety
drug tolerability
drug utilization
falling
health care cost
health insurance
high risk patient
hip fracture
hospitalization
hospitalization cost
human
medication error
mortality
nursing care
observational study
osteoarthritis (drug therapy)
outcome assessment
patient care planning
patient compliance
patient monitoring
pharmaceutical care
pharmacist
prescription
prospective study
review
risk benefit analysis
systematic review
CAS REGISTRY NUMBERS
paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012213714
MEDLINE PMID
22500540 (http://www.ncbi.nlm.nih.gov/pubmed/22500540)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cger.2012.01.005
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 297
TITLE
Childhood body size and the risk of liver cancer in adulthood
AUTHOR NAMES
Landsvig Berentzen T.
Gamborg M.
Holst C.
Sørensen T.I.
Baker J.L.
AUTHOR ADDRESSES
(Landsvig Berentzen T.; Gamborg M.; Holst C.; Sørensen T.I.; Baker J.L.)
Institute of Preventive Medicine, Copenhagen University Hospital,
Copenhagen, Denmark.
CORRESPONDENCE ADDRESS
T. Landsvig Berentzen, Institute of Preventive Medicine, Copenhagen
University Hospital, Copenhagen, Denmark.
SOURCE
Obesity Facts (2012) 5 SUPPL. 1 (40). Date of Publication: May 2012
CONFERENCE NAME
19th European Congress on Obesity, ECO2012
CONFERENCE LOCATION
Lyon, France
CONFERENCE DATE
2012-05-09 to 2012-05-12
CONFERENCE EDITORS
Laville M.
ISSN
1662-4025
BOOK PUBLISHER
S. Karger AG
ABSTRACT
Introduction: Childhood overweight may increase the risk of liver cancer in
adulthood as a result of early establishment of NAFLD and the associated
metabolic complications. We therefore investigated if childhood body size
from the ages of 7 to 13 years was associated with the risk of liver cancer
in adulthood.Methods: Individuals were 326,423 boys and girls born between
1930 and 1989 from the Copenhagen School Health Records Register.
Information on liver cancer was obtained from the Danish Cancer Registry.
Anthropometry was measured by school doctors or nurses. Body mass index
(BMI) z-scores were calculated from internal age- and sex-specific
references. Hazard ratios (HR) (95% confidence intervals) of liver cancer
were calculated from Cox proportional hazard models. Results: During
follow-up, there were 392 cases of liver cancer. The HR of liver cancer in
adulthood was 1.14 (1.02-1.29) per 1-unit increase in BMI z-score at 7 years
of age, and 1.24 (1.10-1.39) per 1-unit increase in BMI z-score at 13 years
of age. Associations were similar for hepatocellular carcinoma, in boys and
girls, consistent across date of birth and essentially unchanged by
exclusion of individuals with hepatitis B, C, alcoholic conditions and
biliary diseases.Conclusion: Childhood BMI is positively associated with the
risk of liver cancer in adulthood. The epidemic of childhood overweight is
alarming because, in addition to the adverse health effects in childhood,
the epidemic may translate into adverse health effects in adulthood,
including liver cancer.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adulthood
body size
childhood
liver cancer
obesity
risk
EMTREE MEDICAL INDEX TERMS
alcoholism
anthropometry
body mass
boy
cancer registry
confidence interval
epidemic
female
follow up
girl
hazard ratio
health
hepatitis B
human
liver cell carcinoma
male
nurse
physician
proportional hazards model
register
school
school health service
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1159/000188329
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 298
TITLE
Health care for homeless people: the role of emergency nurses.
AUTHOR NAMES
Davis C.
AUTHOR ADDRESSES
(Davis C.)
CORRESPONDENCE ADDRESS
C. Davis, Email: nick.lipley@rcnpublishing.co.uk
SOURCE
Emergency nurse : the journal of the RCN Accident and Emergency Nursing
Association (2012) 20:2 (24-27; quiz 29). Date of Publication: May 2012
ISSN
1354-5752
ABSTRACT
The health care of homeless people, of whom there are thousands across the
UK, presents several problems to emergency nurses, who often become their
primary care providers. Many homeless people have poor physical and mental
health, as well as alcohol or drug problems, and they present to emergency
departments (EDs), and are admitted to hospitals, more often than other
patient groups. This article discusses initiatives in which emergency nurses
collaborate with other professionals to improve the care of homeless people
in and outside EDs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency nursing
health promotion
homelessness
patient care
patient compliance
EMTREE MEDICAL INDEX TERMS
article
hospital discharge
human
injury (therapy)
mental disease (therapy)
nurse attitude
nursing
teacher
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22799044 (http://www.ncbi.nlm.nih.gov/pubmed/22799044)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 299
TITLE
Student Drug Testing in Nursing Education
AUTHOR NAMES
Cotter V.T.
Glasgow M.E.S.
AUTHOR ADDRESSES
(Cotter V.T., cottervt@nursing.upenn.edu) University of Pennsylvania School
of Nursing, Claire Fagin Hall, Philadelphia, PA, United States.
(Glasgow M.E.S.) Drexel University College of Nursing and Health
Professions, Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
V.T. Cotter, University of Pennsylvania School of Nursing, Claire Fagin
Hall, 418 Curie Blvd, Philadelphia, PA 19104, United States. Email:
cottervt@nursing.upenn.edu
SOURCE
Journal of Professional Nursing (2012) 28:3 (186-189). Date of Publication:
May 2012
ISSN
8755-7223
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Nursing faculty and administrators have a responsibility to keep abreast of
current research, legal regulations, and professional standards that affect
students in the classroom and clinical setting. The purpose of this article
is to examine whether empirical research supports the current trend of
mandatory drug testing, provide a synopsis of current practice, and discuss
the legal and ethical implications for nursing faculty. © 2012 Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
mandatory testing
organization and management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22640951 (http://www.ncbi.nlm.nih.gov/pubmed/22640951)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.profnurs.2011.11.017
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 300
TITLE
Gaining insights from students in recovery from prescription drug abuse: did
school nurses report an influence on their practice? Outcomes results from a
live symposium.
AUTHOR NAMES
Embrey M.L.
AUTHOR ADDRESSES
(Embrey M.L.) NASN, Silver Spring, MD, USA.
CORRESPONDENCE ADDRESS
M.L. Embrey, NASN, Silver Spring, MD, USA.
SOURCE
NASN school nurse (Print) (2012) 27:3 (166-169). Date of Publication: May
2012
ISSN
1942-602X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, therapy)
health care survey
school health nursing
EMTREE MEDICAL INDEX TERMS
child
conference paper
consensus development
human
methodology
nursing
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22712119 (http://www.ncbi.nlm.nih.gov/pubmed/22712119)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X12443063
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 301
TITLE
A case of “indoor hypothermia”
AUTHOR NAMES
Ciucciarelli L.
Para O.
Vannucchi V.
Sammicheli L.
Turchi V.
Bacci F.
Pieralli F.
Nozzoli C.
AUTHOR ADDRESSES
(Ciucciarelli L.; Para O.; Vannucchi V.; Sammicheli L.; Turchi V.; Bacci F.;
Pieralli F.; Nozzoli C.) Medicina Interna e d'Urgenza, AOUC, Firenze, Italy.
CORRESPONDENCE ADDRESS
L. Ciucciarelli, Medicina Interna e d'Urgenza, AOUC, Firenze, Italy.
SOURCE
Italian Journal of Medicine (2012) 6:1 SUPPL. 1 (35). Date of Publication:
May 2012
CONFERENCE NAME
17th Congresso Nazionale FADOI
CONFERENCE LOCATION
Rimini, Italy
CONFERENCE DATE
2012-05-05 to 2012-05-08
CONFERENCE EDITORS
Gussoni G.
Frasson S.
ISSN
1877-9344
BOOK PUBLISHER
Elsevier Masson s.r.l.
ABSTRACT
Background “Indoor hypothermia” is more likely to occur in patients with
significant medical comorbidities (alcoholism, sepsis, hypothyroidism/
hypopituitarism) and bears a worse outcome than exposure hypothermia.
Hypothermia is associated with benzodiazepine overdose and antipsychotic
drug use. Clinical course A 54-year-old woman presented to the emergency
department with psychomotor agitation and aggressiveness. She was resident
in a nursing home. The patient had a history of poliomyelitis, generalized
epilepsy, alcoholism and cognitive impairment. During 2 months before
admission, the patient begun to present psychomotor agitation and quetiapine
and diazepam were started.. On admission she presented with severe
psychomotor agitation treated with midazolam, diazepam, clorpromazine,
haloperidol. Blood tests revealed hypernatremia (164 mEq/L)., creatinine was
normal. A chest x-ray and a brain CT scan didn't detect acute lesions.
Twenty-four hours later psychomotor agitation persisted along with the
appearance of hypotension and hypothermia. Electrocardiography revealed
sinus bradicardia, long QT and a Osborn wave. The patient has been treated
successfully with low doses of atypical antipsychotic drugs, hydratation and
rewarming. Conclusion Hypothermia is a frequently misdiagnosed condition in
agitated hospitalized patients treated with benzodiazepine and
antipsychotics drugs. Hypothermia bears a significant risk of death if
undetected, thus should be recognized and corrected early.
EMTREE DRUG INDEX TERMS
atypical antipsychotic agent
benzodiazepine
chlorpromazine
creatinine
diazepam
haloperidol
midazolam
neuroleptic agent
quetiapine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hypothermia
EMTREE MEDICAL INDEX TERMS
aggressiveness
alcoholism
blood
brain
cognitive defect
computer assisted tomography
death
disease course
drug use
electrocardiography
emergency ward
exposure
female
generalized epilepsy
hospital patient
human
hypernatremia
hypopituitarism
hypotension
intoxication
low drug dose
nursing home
patient
poliomyelitis
restlessness
risk
sepsis
thorax radiography
warming
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.itjm.2012.04.004
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 302
TITLE
How Do Emergency Department Patients Store and Dispose of Opioids After
Discharge? A Pilot Study
AUTHOR NAMES
Tanabe P.
Paice J.A.
Stancati J.
Fleming M.
AUTHOR ADDRESSES
(Tanabe P., Paula.tanabe@duke.edu) Duke University Schools of Nursing and
Medicine, Durham, NC, United States.
(Paice J.A.) Division of Hematology-Oncology, Feinberg School of Medicine,
Northwestern University, Chicago, IL, United States.
(Stancati J.) Northwestern University, Chicago, IL, United States.
(Fleming M.) Feinberg School of Medicine, Northwestern University, Chicago,
IL, United States.
CORRESPONDENCE ADDRESS
P. Tanabe, Duke University, DUMC 3322, 307 Trent Dr, Durham NC 27710, United
States. Email: Paula.tanabe@duke.edu
SOURCE
Journal of Emergency Nursing (2012) 38:3 (273-279). Date of Publication: May
2012
ISSN
0099-1767
1527-2966 (electronic)
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Introduction: Opioid abuse and overdose have increased drastically in recent
years. Diversion of opioids used to treat pain, either through theft or
sharing, is increasing and may contribute to this misuse. Based on these
trends, we designed a study to investigate opioid storage and disposal
practices of patients who were prescribed these agents in the emergency
department. Methods: A prospective cohort pilot study was conducted. All
adults (aged ≥18 years) with a chief complaint of either minor
musculoskeletal trauma, renal colic, or acute back pain who were discharged
home with an opioid prescription were eligible for inclusion; persons with
chronic pain were excluded. Patients were asked to participate in two home
interviews in which the research assistant viewed the storage location of
the opioid prescription. Safe storage was defined as being stored in a
locked container or cabinet. Safe disposal was defined as returning the
drugs to a designated location or mixing unused pills with an undesirable
substance, placing in a sealable container, and then in the trash. Patients
self-reported disposal methods. Feasibility of study methods evaluated the
ability to conduct home interviews after the ED visit. Descriptive
statistics were used to analyze the data. Results: Twenty-five subjects
consented to participate; 20 patients completed both home interviews. None
of the medications were safely stored. Only 1 patient disposed of the
medication, yet did so improperly. Conclusion: This pilot study revealed
widespread improper storage and disposal of opioids. The study has major
implications for education for ED physicians, nurses, and residents. © 2012
Emergency Nurses Association.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug storage
emergency health service
waste disposal
EMTREE MEDICAL INDEX TERMS
adult
aged
article
female
hospital discharge
human
interview
male
methodology
middle aged
pilot study
prospective study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22204885 (http://www.ncbi.nlm.nih.gov/pubmed/22204885)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jen.2011.09.023
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 303
TITLE
Questionnaire for research priorities in Paediatric SCT and future steps
AUTHOR NAMES
Stenvall M.
Trigoso E.
Deiana M.
AUTHOR ADDRESSES
(Stenvall M.; Trigoso E.; Deiana M.)
CORRESPONDENCE ADDRESS
M. Stenvall,
SOURCE
Bone Marrow Transplantation (2012) 47 SUPPL. 1 (S470). Date of Publication:
April 2012
CONFERENCE NAME
38th Annual Meeting of the European Group for Blood and Marrow
Transplantation, EBMT 2012
CONFERENCE LOCATION
Geneva, Switzerland
CONFERENCE DATE
2012-04-01 to 2012-04-04
ISSN
0268-3369
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: At the end of 2008, the EBMT Nurses Group created a Paediatric
Committee with the aims to know what are the main needs of the Paediatric
Nurses involved in the field of the HSCT and to promote, develop and share
knowledge between the paediatric nurses throughout Europe. During last year
a questionnaire has been developed in collaboration with the EBMT NG
Research Committee. The first aim of this survey is to identify and analyse
the research priorities among the EBMT paediatric nurses. The second aim is
to better focus and organize our future interventions. This questionnaire
was distributed during “ The 3rd Training course for Paediatricians and
Paediatric Nurses on HSCT in children and adolescents ” held in Genoa (IT)
from 31.5.2011 to 3.6.2011. In autumn 2011, it was sent to all contact
nurses by mail. Methods: An ad hoc questionnaire was used with a 5 points
numeric rating scale ranging from 1 (most important) to 5 (less important).
The questionnaire includes: demographic data and 4 different parts:
Management of Nursing, Process of Nursing, Practice of Nursing and
Development of Nursing. Statistical analysis was used. 5 points have been
assigned to the most important, while only 1 to the less important. We have
added the points, and below we have listed some results. We also considered
the percentage of votes received, among the total number of valid votes
possible. Results: At the moment, 30 questionnaires have been collected (43%
of our contact nurses' list, 12 countries and 18 different HSCT centres).
Our results show that: Considering “ Management of Nursing ” , “ Supportive
care guidelines ” received 60 points total and the 69,6 % of nurses voted
for it; more nurses (78,3%) voted for “ the psychosocial wellbeing of staff
” but received 57 points; Regarding The Process of Nursing:, “ Patient
information issues ” was the most voted (84,6%) and collected the highest
number of points, 67. The Practice of Nursing, Patient/family education was
the most voted (78,3%) and collected the highest number of points, 69. The
Development of Nursing, Quality of life issues collected the highest number
of points (80) and was the most voted (84%), as well as Practice development
and education (79 votes). In addiction “ The top five ” results (considering
all 4 parts) are the following: 1. “ Patient information issues ” was the
most considered, 2. “ Quality of life issues ” , 3. “ Practice development
and education ” , 4. “ Patient/ family education ” and 5. “ Supportive care
guidelines ” . Not one topic has been voted by 100% of nurses (considering
valid votes). The survey points out those research priorities are different
considering professional position. In fact the 100% of nurses scored “
Quality of life issues ” with 49 points, while the 100% of Coordinators and
managers scored for “ Practice development and education ” , with 49 points.
Conclusion: These findings had already contributed to the organization of “
The 3rd Meeting of the EBMT Paediatric Nurses ” that will be held in Prague,
Czech Republic, 7-10 June 2012. Paediatric Committee members are developing
an interesting programme in accordance with PDWP. The programme will include
patient education, safety of the patient and family centred care in the HSCT
setting. These results will help us in our commitment: to share knowledge
and education. It should be important to increase the number of
questionnaires in order to allow us to understand better the needs of
nurses, basic nurses, specialist nurses or coordinators.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
blood
bone marrow
questionnaire
research priority
transplantation
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
autumn
child
Czech Republic
education
Europe
human
manager
medical specialist
nurse
nursing
nursing practice
nursing process
patient
patient education
patient information
pediatric nurse
pediatrician
quality of life
rating scale
safety
statistical analysis
training
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/bmt.2012.39
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 304
TITLE
The use of Z hypnotics (zopiclone, zolpidem and zaleplon) in the management
of insmonia in forensic psychiatruc units in Oxford, UK
AUTHOR NAMES
Al-Taiar H.
Thapar D.
Khosla V.
AUTHOR ADDRESSES
(Al-Taiar H.; Thapar D.) Oxford Health NHS Foundation Trust, Oxford, United
Kingdom.
(Khosla V.) Oxford Health NHS Foundation Trust Oxford, United Kingdom.
CORRESPONDENCE ADDRESS
H. Al-Taiar, Oxford Health NHS Foundation Trust, Oxford, United Kingdom.
SOURCE
Australian and New Zealand Journal of Psychiatry (2012) 46 SUPPL. 1 (27-28).
Date of Publication: April 2012
CONFERENCE NAME
47th Annual Congress of the Royal Australian and New Zealand College of
Psychiatrists, RANZCP 2012
CONFERENCE LOCATION
Hobart, TAS, Australia
CONFERENCE DATE
2012-05-20 to 2012-05-24
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Background: Insomnia is a common symptom which has a prevalence rate of 30%
in general population (Shapiro & Dement, 1993). The prevalence is higher in
psychiatric patients (reaching up to 50%). There was a survey conducted on
insomnia in 1987 that showed that around half of psychiatric patients
received a hypnotic (Shapiro & Dement, 1993). It has been concluded that
people with mental health problems have an increased risk of dependence on
hypnotics (Hajak G et al., Addiction, vol 98 issue 10). The National
Institute of Clinical Excellence (NICE) has published guidance (Zaleplon,
Zolpidem and Zopiclone for the short-term management of Insomnia - NICE
guidance 2004) for the prescription of hypnotics. Key recommendations are
summarized below: 1. After consideration of non pharmacologic measures,
hypnotic drug therapy may be considered. 2. Hypnotic use is appropriate only
for the management of insomnia interfering with normal daily life. 3.
Hypnotics are recommended for short period of time only, in strict
accordance with licensed indications. 4. Switching from one of these
hypnotics to another should only occur if a patient experiences adverse
effects 5. Patients who have not responded to one of these hypnotic drugs
should not be prescribed any of the others. Aim: The aim of the audit is to
review if the newer Z hypnotic drugs are being prescribed as per NICE
guidance in forensic psychiatry wards at Littlemore Mental Health Centre,
Oxford. The parameters on which the audit tool is based were: 1. If insomnia
is being documented as a symptom in the patient's notes. 2. Whether other
measures have been offered to the patient before prescribing any of these
hypnotics. 3. The reason for switching from one hypnotic to another. 4. Is
the hypnotic being prescribed in the as required medications (PRN) section
of the drug chart? 5. Is the maximum duration for prescription documented?
6. If there is a review date for prescription of hypnotics. Method: We
reviewed the case notes of patients and the medication charts for the last
six months (from January 2010 to June 2010) for all 74 in-patients on the
six forensic psychiatry wards at Littlemore Mental Health Centre, Oxford.
Findings: We have found that only three patients had been prescribed
Zopiclone 7.5 mg, all on as required (PRN) basis. In two of the cases it was
used for two and three days respectively while it was prescribed but not
taken by the third patient. Insomnia (as a symptom) was documented only in
drug charts. Non-pharmacologic measures were recommended in one of the cases
and there is not information to suggest that similar recommendation was made
in other two cases. Documentation relating to prescription of Zopiclone was
seen in the nursing notes of one patient. It was not present in medical
notes of all patients. The maximum duration of prescription was not written
in medication charts and there was no date for reviewing the use of
Zopiclone. Conclusions: Conclusions from this audit are summarized below: 1.
Hypnotic medications (Zopiclone, Zolpidem, and Zaleplon) appear to be rarely
used on the six forensic psychiatry wards at Littlemore Mental Health
Centre, Oxford. 2. If prescribed, they were used for few days only. 3.
Zopiclone was the main hypnotic used. 4. There was no switching over between
medications. 5. Documentation of hypnotic-related prescription did not meet
the standards set by NICE guidance.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hypnotic agent
zaleplon
zolpidem
zopiclone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
human
New Zealand
psychiatrist
United Kingdom
EMTREE MEDICAL INDEX TERMS
addiction
adverse drug reaction
documentation
drug therapy
forensic psychiatry
health center
insomnia
medical audit
mental health
mental patient
nursing
parameters
patient
population
prescription
prevalence
risk
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0004867412445952
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 305
TITLE
Donepezil as a precipitating factor of mania: A case report
AUTHOR NAMES
Leung J.G.
AUTHOR ADDRESSES
(Leung J.G.) Western Psychiatric Institute and Clinic of UPMC, University of
Pittsburgh, College of Pharmacy, United States.
CORRESPONDENCE ADDRESS
J.G. Leung, Western Psychiatric Institute and Clinic of UPMC, University of
Pittsburgh, College of Pharmacy, United States.
SOURCE
Journal of Pharmacy Practice (2012) 25:2 (258-259). Date of Publication:
April 2012
CONFERENCE NAME
15th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP 2012
CONFERENCE LOCATION
Tampa, FL, United States
CONFERENCE DATE
2012-04-29 to 2012-05-02
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Background: Donepezil is indicated for the treatment of mild to severe
dementia associated with Alzheimer's disease; however it has also been
studied off-label for other dementia types, bipolar disorder, schizophrenia
and tardive dyskinesia. Although well tolerated, one neuropsychiatric side
effect not reported in clinical trials is the emergence of manic symptoms.
Patient History: A 71 year-old male with a history of paranoid schizophrenia
was transferred to a psychiatric facility after concerns of increased
disorganization and response to internal stimuli. Past medical history
included alcohol dependence, cognitive disorder NOS, hypothyroidism,
hypertension and iron deficient anemia. Laboratory values on admission were
not of clinical concern. Psychotic symptoms improved with the addition of
quetiapine 400 mg at bedtime. During his stay, donepezil 5 mg daily was
initiated and titrated to 10 mg after two weeks. After the dose increase,
the patient began to exhibit euphoric mood with an increased rate and
production of speech. The patient's need for sleep decreased with a
noticeable increase in psychomotor agitation and goal directed activities.
Donepezil was suspected to have induced these symptoms which subsequently
resolved once donepezil was discontinued. The patient was successfully
discharged following placement to a nursing facility. Review of Literature:
There are no cases of donepezil-induced mania reported in
randomized-controlled trials for the FDA approved use of Alzheimer's
dementia. However, a MEDLINE search revealed a few cases of mania associated
with the initiation of donepezil. In addition, a study of donepezil aiming
to improve memory impairment in bipolar patients suggested that donepezil
may destabilize mood and worsen bipolar symptoms. The mechanism of
donepezil-induced mania is unclear but may be a result of central
cholinergic system activation causing noradrenergic and dopaminergic system
activation. Conclusion: In this case there was a clear onset and dissipation
of manic symptoms with the initiation and discontinuation of donepezil.
While appearing to be rare, there is mounting evidence that donepezil may
cause the emergence of manic symptoms in some patients. Clinicians should be
aware of this potential side effect, especially as exploration of off-label
uses increase.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
donepezil
EMTREE DRUG INDEX TERMS
quetiapine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
case report
college
epidemiology
human
mania
pharmacist
EMTREE MEDICAL INDEX TERMS
alcoholism
Alzheimer disease
bipolar disorder
cholinergic system
clinical trial (topic)
cognitive defect
dementia
disorientation
dopaminergic system
drug dose increase
food and drug administration
hypertension
hypothyroidism
iron deficiency anemia
laboratory
male
medical history
memory disorder
mood
nursing
off label drug use
paranoid schizophrenia
patient
psychosis
randomized controlled trial (topic)
restlessness
schizophrenia
side effect
sleep
speech
stimulus
tardive dyskinesia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190012441353
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 306
TITLE
Childhood body size and the risk of hepatocellular carcinoma
AUTHOR NAMES
Berentzen T.L.
Gamborg M.
Holst C.
Sørensen T.I.A.
Baker. J.L.
AUTHOR ADDRESSES
(Berentzen T.L., ch@ipm.regionh.dk; Gamborg M.; Holst C.; Sørensen T.I.A.;
Baker. J.L.) Institute of Preventive Medicine, Copenhagen University
Hospital, Copenhagen, Denmark.
CORRESPONDENCE ADDRESS
T.L. Berentzen, Institute of Preventive Medicine, Copenhagen University
Hospital, Copenhagen, Denmark. Email: ch@ipm.regionh.dk
SOURCE
Journal of Hepatology (2012) 56 SUPPL. 2 (S49). Date of Publication: April
2012
CONFERENCE NAME
47th Annual Meeting of the European Association for the Study of the Liver,
International Liver Congress 2012
CONFERENCE LOCATION
Barcelona, Spain
CONFERENCE DATE
2012-04-18 to 2012-04-22
ISSN
0168-8278
BOOK PUBLISHER
Elsevier
ABSTRACT
Background and Aim: The prevalence of childhood overweight has reached
epidemic proportions around the globe. In parallel with the obesity
epidemic, non-alcoholic fatty liver disease has increased, and has now
become the most common cause of liver disease in children. The epidemic of
childhood overweight is of great concern because, in addition to these
adverse effects on the liver in childhood, overweight in childhood may also
affect the risk of liver disease in adulthood. Therefore we investigated if
childhood body size from the ages of 7 to 13 years was associated with the
risk of hepatocellular carcinoma (HCC) in adulthood. Methods: Individuals
were 165,540 men and 160,883 women born between 1930 and 1989 from the
Copenhagen School Health Records Register. Information on HCC was obtained
by linkage to the Danish Cancer Registry. Anthropometry was measured by
school doctors or nurses, and body mass index (BMI) z-scores were calculated
from internal age- and sex-specific references. Hazard ratios (HR) (95%
confidence intervals) of HCC were calculated from Cox proportional hazard
models. Results: During follow-up, there were 252 cases of HCC. At 7 years
of age, the HR of HCC in adulthood was 1.12 (0.97, 1.29) per 1-unit increase
in BMI z-score. By age 13 years, the HR of HCC was 1.25 (1.09, 1.44) per
1-unit increase in BMI z-score. Associations were similar in boys and girls,
consistent across year of birth and essentially unchanged by exclusion of
individuals with Hepatitis B and C, alcoholic conditions and biliary
diseases. Conclusion: Childhood BMI is positively associated with the risk
of HCC in adulthood. The risk is present in both boys and girls, and
increase slightly with increasing age of the children. The epidemic of
childhood overweight is alarming because, in addition to the many adverse
metabolic effects in childhood, the epidemic may also translate into a large
number of adverse health effects in adulthood, such as cardiovascular
disease and liver cancer.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
body size
childhood
liver
liver cell carcinoma
risk
EMTREE MEDICAL INDEX TERMS
adulthood
adverse drug reaction
alcoholism
anthropometry
biliary tract disease
body mass
boy
cancer registry
cardiovascular disease
child
confidence interval
epidemic
female
follow up
girl
hazard ratio
health
hepatitis B
human
liver cancer
liver disease
male
nonalcoholic fatty liver
nurse
obesity
physician
prevalence
proportional hazards model
register
school
school health service
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0168-8278(12)60124-X
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 307
TITLE
Shared impairment of prospective memory in patientswith schizophrenia and
bipolar disorder
AUTHOR NAMES
Lui S.S.Y.
Chan R.C.K.
Wang Y.W.
Liu A.C.Y.
Chui W.W.H.
Gong Q.-Y.
Shum D.
Cheung E.F.C.
AUTHOR ADDRESSES
(Lui S.S.Y.; Chan R.C.K.; Wang Y.W.) Neuropsychology and Applied Cognitive
Neuroscience Laboratory, Institute of Psychology, Chinese Academy of
Sciences, Beijing, China.
(Lui S.S.Y.) Graduate School, Chinese Academy of Sciences, Beijing, China.
(Lui S.S.Y.; Liu A.C.Y.; Chui W.W.H.; Cheung E.F.C.) Castle Peak Hospital,
Hong Kong Special Administrative Region, China.
(Gong Q.-Y.) Department of Radiology, West China Hospital, Sichuan
University, Chengdu, China.
(Shum D.) School of Psychology and Griffith Health Institute, Griffith
University, Brisbane, Australia.
CORRESPONDENCE ADDRESS
S.S.Y. Lui, Neuropsychology and Applied Cognitive Neuroscience Laboratory,
Institute of Psychology, Chinese Academy of Sciences, Beijing, China.
SOURCE
Schizophrenia Research (2012) 136 SUPPL. 1 (S334). Date of Publication:
April 2012
CONFERENCE NAME
3rd Biennial Schizophrenia International Research Conference
CONFERENCE LOCATION
Florence, Italy
CONFERENCE DATE
2012-04-14 to 2012-04-18
ISSN
0920-9964
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: Prospective memory (PM) refers to the ability to remember to
carry out an intended action in the future. It is classified into time-based
and event-based PM, and has translational relevance to behavior such as
remembering to take medications. The previous findings that PM is impaired
in clinical samples of schizophrenia and high-risk populations suggested
that PM is a biological marker of psychosis. Bipolar disorder and
schizophrenia have consistent overlapping in clinical symptoms and several
neurocognitive functions, but very little is known as to whether they share
similar PM impairment. Methods: This cross-sectional PM study recruited 38
and 40 patients with ICD 10 diagnoses of schizophrenia and bipolar disorder
respectively in an early intervention of psychosis outpatient clinic, and 37
healthy subjects in nursing schools and community centers. The exclusion
criteria included mental retardation, neurological disorder, history of
substance abuse, and history of electroconvulsive therapy in the past 6
months. The groups were matched in gender and age (mean: 22.3 years) but not
education [F(2,112)=7.74; p<0.01] and IQ [F(2,112)=6.26 p<0.01]. PM was
assessed by computerized test, together with other memory functions,
sustained attention, and execution functions. Repeated univariate ANCOVA was
used to compare group differences in semantic time-based PM, perceptual
timebased PM, semantic event-based PM and perceptual event-based PM, with
education and IQ as covariates. Repeated 3 (group: schizophrenia, bipolar,
and health subject) × 4 (PM type: semantic time-based, semantic eventbased,
perceptual event-based, and perceptual event-based) MANCOVA, controlling for
IQ and education, were conducted to examine the interaction effect between
groups status and PM type. Multiple ANOVA was used to assess the group
difference in other neurocognitive functions. Results: ANCOVA found
significant group difference in semantic timebased PM [F(2,122)=3.58;
p=0.31], and the average raw scores showed that schizophrenia group
performed worst, bipolar group intermediate, and healthy group highest in
PM. Post-hoc pair-wise comparison found that patients with schizophrenia
performed more poorly in semantic time-based PM than healthy subjects
[p=0.01], and patients with bipolar disorder performed more poorly than
healthy subjects [0.048]. The interaction effect between group status and PM
type was not significant. Regarding other neurocognitive functions, group
differences were significant in Letter- Number Span Test [F(2,112)=5.81;
p=0.04], the Wisconsin Card Sorting Test perseverative error [F(2,112)=8.13;
p<0.01] and number of category passed [F(2,112)=3.61; p=0.03], verbal
fluency test [F(2,112)=5.32; p=0.01], the Number-back task correct hit
[F(2,112)=3.68; p=0.03] and reaction time [F(2,112)=3.50; p=0.03].
Discussion: PM is not only impaired in early-stage schizophrenia; patients
with bipolar disorder also have an attenuated form of PM impairment, in
particular the time-based type. The pattern of PM dysfunction is similar
between the two diagnostic categories. This nature of shared impairment
further supports the concept of a continuum psychosis spectrum, extending
from the clinical symptom level to the neurocognitive level.
EMTREE DRUG INDEX TERMS
biological marker
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar disorder
prospective memory
schizophrenia
EMTREE MEDICAL INDEX TERMS
analysis of covariance
analysis of variance
community
diagnosis
drug therapy
early intervention
education
electroconvulsive therapy
gender
health
high risk population
human
ICD-10
intelligence quotient
memory
mental deficiency
multivariate analysis of covariance
neurologic disease
normal human
nursing education
outpatient department
patient
psychosis
reaction time
substance abuse
tracheobronchial stent
Wisconsin Card Sorting Test
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 308
TITLE
Decreased frequency of blood culture contamination in an emergency
department through the diffusion of a protocol among nursing staff
AUTHOR NAMES
Garcia-Reyne A.
Igarzabal A.
Lalueza A.
Herrero-Martinez J.M.
Villa J.
Fernandez-Ruiz M.
De Dios B.
Lopez-Medrano F.
San-Juan R.
Aguado J.M.
Sanz F.
AUTHOR ADDRESSES
(Garcia-Reyne A.; Igarzabal A.; Lalueza A.; Herrero-Martinez J.M.; Villa J.;
Fernandez-Ruiz M.; De Dios B.; Lopez-Medrano F.; San-Juan R.; Aguado J.M.;
Sanz F.) Madrid, Spain.
CORRESPONDENCE ADDRESS
A. Garcia-Reyne, Madrid, Spain.
SOURCE
Clinical Microbiology and Infection (2012) 18 SUPPL. 3 (565). Date of
Publication: April 2012
CONFERENCE NAME
22nd European Congress of Clinical Microbiology and Infectious Diseases
CONFERENCE LOCATION
London, United Kingdom
CONFERENCE DATE
2012-03-31 to 2012-04-03
ISSN
1198-743X
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Objectives: Blood culture contamination increases laboratory work and costs,
prolongs lengths of patient stay and leads to inappropriate or unnecessary
antibiotic use. All of these problems increase patient morbidity and
hospital costs. The blood culture contamination rate in the emergency room
of our hospital was much higher than the 3% recommended. The aim of this
study was to decrease this contamination rate by conducting an education
program for nursing staff. Methods: First, we developed a blood culture
protocol drawn following the current recommendations. The most important
steps we included were (i) Hand hygiene with alcohol-based hand rub; (ii)
The use of alcoholic 2% chlorhexidine as antiseptic, (iii) The performance
of a sterile technique, (iv) Proper labelling of the samples, (v) Adequate
registry of the extraction in the computer system and (vi) Proper handling
and transport form of the blood culture bottles. Subsequently, between
January and March 2010, there was a series of educational talks with all the
nursing staff from the Emergency Department of our hospital, for the
implementation of the protocol. Between, April 2010 and April 2011, we
prospectively collected the blood culture contamination rates. Results: In
the following months, after the educational program, there was a significant
decrease in blood culture contamination. The mean contamination rate of the
3 years before the intervention was 7.3% and the year after the educational
program was 3% (p < 0.0001). Increase in the months of July and August was
attributed to the incorporation of temporary personnel who had not been
instructed in the protocol. The number of blood cultures collected the years
before the educational program and the study period were similar. (Figure
presented) Conclusions: The implementation of a protocol for the extraction
of blood cultures and appropriate diffusion is a very effective method to
decrease the rate of blood cultures contamination. This information should
be regular and given to the new nursing staff.
EMTREE DRUG INDEX TERMS
alcohol
antibiotic agent
antiinfective agent
chlorhexidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
blood culture
contamination
diffusion
emergency ward
human
infection
microbiology
nursing staff
EMTREE MEDICAL INDEX TERMS
alcoholism
computer system
education program
extraction
hospital
hospital cost
hygiene
laboratory
morbidity
patient
personnel
register
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1469-0691.2012.03802.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 309
TITLE
Urban Seventh Grade Students: A Report of Health Risk Behaviors and Exposure
to Violence
AUTHOR NAMES
Dowdell E.B.
AUTHOR ADDRESSES
(Dowdell E.B., elizabeth.dowdell@villanova.edu) College of Nursing,
Villanova University, 800 E. Lancaster Avenue, Driscoll Hall, Villanova, PA
19085, United States.
CORRESPONDENCE ADDRESS
E. B. Dowdell, College of Nursing, Villanova University, 800 E. Lancaster
Avenue, Driscoll Hall, Villanova, PA 19085, United States. Email:
elizabeth.dowdell@villanova.edu
SOURCE
Journal of School Nursing (2012) 28:2 (130-137). Date of Publication: April
2012
ISSN
1059-8405
1546-8364 (electronic)
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
The health of adolescents and the adults they will become can be linked to
the health-related behaviors they adopt as children. To replicate a pilot
study with a more culturally diverse population a descriptive, correlational
study was undertaken with 379 seventh grade students. Key findings from this
study include (a) students exposed or involved in violence (e.g., fighting
and carrying a weapon) were more likely to report smoking cigarettes, (b)
nearly a quarter (24%) of students have smoked cigarettes at some time, and
(c) almost half of the students (48%) reported having at least one alcoholic
drink. Middle school can be critical time in the life of an adolescent who
may be faced with opportunities to experiment with and participate in health
risk behaviors. School nurses, practitioners, and other health care
professionals are in an ideal position to assess the type of and level of
participation by an adolescent in a health risk behavior. © National
Association of School Nurses 2012.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
high risk behavior
student
violence
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
child psychology
female
human
male
psychological aspect
statistics
United States (epidemiology)
urban population
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22025103 (http://www.ncbi.nlm.nih.gov/pubmed/22025103)
FULL TEXT LINK
http://dx.doi.org/10.1177/1059840511425678
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 310
TITLE
Student nurses' attitudes to illicit drugs: A grounded theory study
AUTHOR NAMES
Harling M.R.
Turner W.
AUTHOR ADDRESSES
(Harling M.R., m.harling@derby.ac.uk) School of Education Health and
Sciences, The University of Derby, Britannia Mill, Mackworth Road, Derby,
DE22 3BL, United Kingdom.
(Turner W., turnerw@lsbu.ac.uk) Faculty of Health and Social Care, London
South Bank University, Borough Road, London, SE1 0AA, United Kingdom.
CORRESPONDENCE ADDRESS
M.R. Harling, School of Education Health and Sciences, The University of
Derby, Britannia Mill, Mackworth Road, Derby, DE22 3BL, United Kingdom.
Email: m.harling@derby.ac.uk
SOURCE
Nurse Education Today (2012) 32:3 (235-240). Date of Publication: April 2012
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
The aim of this research was to identify the factors that influence the
attitudes of student nurses towards illicit drugs. This insight is important
in providing a foundation for the development of educational approaches
aimed at challenging what appear to be negative attitudes to illicit drug
users within nursing.The absence of a testable hypothesis prior to the
investigation led to the generation of theory from the data (inductive
enquiry) with a constructivist approach to grounded theory (Charmaz, 2006),
being employed.Data generation involved informal conversational interviews
(n = 12), semi-structured interviews (n = 9), four focus groups and an audit
of the education received by students (n = 61) around substance misuse
issues. The final grounded theory indicated that:. Student nurses enter
training with a wide range of personal experiences relating to illicit drug
use. The influences of society's negative views and the image of drug use
presented in the press appeared to be significant factors in developing
their attitudes on the subject. In the absence of effective approaches to
education, and given that many professionals in the practice environment
appear to view illicit substance users in a negative way, it is likely that
interventions with identified drug users will be influenced by negative
attitudes. © 2011 Elsevier Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nursing student
nursing theory
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
information processing
male
middle aged
nursing
nursing education
nursing methodology research
psychological aspect
qualitative research
social stigma
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21636182 (http://www.ncbi.nlm.nih.gov/pubmed/21636182)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2011.05.002
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 311
TITLE
Mass communication tool behavior on the effects of TV violence children age
group 3-6
ORIGINAL (NON-ENGLISH) TITLE
Kitle iletişim araçlarindan televizyonun 3-6 yaş grubundaki̇ çocuklarin
davranişlari üzeri̇ne etki̇si̇
AUTHOR NAMES
Özakar S.
Koçak C.
AUTHOR ADDRESSES
(Özakar S., selenozakar@hotmail.com; Koçak C., cemkocak@hotmail.com) Hitit
Üniversitesi, Saǧlik Yüksekokulu, Turkey.
CORRESPONDENCE ADDRESS
S. Özakar, Hitit Üniversitesi, Saǧlik Yüksekokulu, Turkey. Email:
selenozakar@hotmail.com
SOURCE
Yeni Symposium (2012) 50:1 (31-39). Date of Publication: 2012
ISSN
1300-8773
1304-4591 (electronic)
BOOK PUBLISHER
Istanbul Universitesi, Aksaray, Istanbul, Turkey.
ABSTRACT
Purpose: This ongoing study aims to daycare for 3-6 year-old children's
frequency of television watching, to determine the content of programs
broadcast on television, cartoons, movies and advertisements on children's
aggressive behavior to examine the impact of violence. Method: This
descriptive study was realized between 13.05.2011-18.05.2011 in independent
kindergartens related to the Directorate of National Education in the
province of Çorum. It is found with 648 students aging 3-6 going to the
nursery school. Aiming at the entire universe, and the data collected at the
school is willing to participate in the study sample consisted of 516
students. Data were collected using a questionnaire developed by researchers
in accordance with the relevant literature. Computer data analysis,
percentage, means, and chi-square tests were performed. Findings: Children
participated in the study 48.6% of girls and half of the five years old.
92.6% decides which program to watch, watching cartoons consisting violence
is 30.6%, violent cartoons. As 59.8% children watching violent cartoons,
62.8% of them violent love the violent characters. The most important reason
for this is emphasis on being powerful and children love strong characters
thus watch violent cartoons. 100% of the children stated that they want to
have super powers, and they wanted to use their power to destroy the wicked.
Female students have more tendencies violent than female students (p=0.000).
The average age of children deciding how long TV they will follow is getting
higher (p<0.005), with which the series follows the relationship between the
3-year-old children of all ages, the high rate of other age groups, followed
by children watching violent cartoons (p=0.000). Discussion: This were
reported the children of uncontrolled watching television from an early age
increased likelihood of becoming addicted to television, adversely affected
talent of interpretation- ratiocinate and difficulties that may occur in
communication with the environment. This descriptive study was children's
learned by imitating, trying to implement what they have learned and
imitated by their watching movie characters. Children makes interpretation
of series of violent cartoons and movies watched from more emphasis on the
strong characters in child. The average age of children deciding how long TV
they will follow is getting higher (p<0.005), with which the series follows
the relationship between the 3-year-old children of all ages, the high rate
of other age groups, followed by children watching violent cartoons
(p=0.000). Conclusion: Children being affected by violence is inevitable,
children playing games take in the cartoon characters and they attempt to
imitate the heroes in cartoons. As a result, they end up with aggressive and
anti-social behavior, and turns out to be an aggressive child. As a child
health nurse; families' description in importance of the child should not be
left watching TV, TV programmers must be selected. Program specialists
should select the TV programs for children; mothers and fathers should not
consider TV as a means of spending time. Children should not watch programs
for adults.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mass communication
television viewing
violence
EMTREE MEDICAL INDEX TERMS
aggression
art
article
child
child behavior
child health care
female
human
kindergarten
love
major clinical study
male
nursery school
preschool child
questionnaire
social behavior
telecommunication
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
English, Turkish
LANGUAGE OF SUMMARY
English, Turkish
EMBASE ACCESSION NUMBER
2012173120
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 312
TITLE
Efficacy of varenicline therapy in the “board the bus and quit” smoking
cessation program: One year results
AUTHOR NAMES
Clavario P.
Barbara C.
Casalino L.
Zappulla T.
Cavallero G.
Benvenuto S.
AUTHOR ADDRESSES
(Clavario P.; Barbara C.; Casalino L.; Zappulla T.; Cavallero G.; Benvenuto
S.) ASL 3 Cardiac Rehabilitation, Genoa, Italy.
CORRESPONDENCE ADDRESS
P. Clavario, ASL 3 Cardiac Rehabilitation, Genoa, Italy.
SOURCE
Journal of the American College of Cardiology (2012) 59:13 SUPPL. 1 (E1747).
Date of Publication: 27 Mar 2012
CONFERENCE NAME
61th Annual Scientific Session of the American College of Cardiology and i2
Summit: Innovation in Intervention, ACC.12
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2012-03-24 to 2012-03-27
ISSN
0735-1097
BOOK PUBLISHER
Elsevier USA
ABSTRACT
Background: Tobacco control centers in most european countries are not yet
available, this is particularly true for many regions in Italy. It would be
important to set up effective smoking cessation programs complementary to
those offered by the tobacco control centers . Methods: A common city
transportation bus was branded with the campaign logo and, in the last five
days of May 2010, was placed in five different street or squares in downtown
Genoa, Italy. Locations were chosen in no traffic zones in order to maximize
the opportunity of meeting walking-by pedestrians. On board the bus, three
smoking cessation experienced doctors and a nurse were available.The
walking-by smokers were asked by two hostesses to exchange their empty
cigarette box with a free cell-phone holder. Each smoker was then asked to
board the bus and meet the staff to have informations about the
opportunities of being supported in a quitting smoking attempt. If the
bystander was interested in immediately starting a cessation program, the
nurse measured the expired carbon monoxide and then gave each smoker the
usual depression, anxiety and tobacco dependence scales forms. Finally one
of the doctors interviewed each patient, scheduled a quitting date, and
prescribed the appropriate drug therapy. If not controindicated, Varenicline
1mg BID was primarely chosen. A first group follow-up visit was also
scheduled just before the quitting date and weekly follow-up visits were
planned for the three months drug therapy period. Self reported abstinence
was confirmed measuring an expired carbon monoxide < 5 PPM. Patients were
then followed at 3, 9 and 12 months after the quit date. Results: Among
hundreds of smokers who asked for information, 297 accepted to enter the
program and receaved a scheduled quit date and a drug prescription. 149
actually showed up at the first scheduled visit and followed the drug
treatment prescription. Among the 149 prescriptions followers at three
months 90 (60%) were abstinent. At 12 months 80 (53%) were still succesfully
quitters Conclusions: Varenicline treatment in a brief smoking cessation
program with an intensive follow up schedule is highly effective.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
varenicline
EMTREE DRUG INDEX TERMS
carbon monoxide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiology
college
smoking cessation program
therapy
EMTREE MEDICAL INDEX TERMS
abstinence
anxiety
city
drug therapy
follow up
human
Italy
mobile phone
nurse
patient
pedestrian
physician
prescription
smoking
smoking
smoking cessation
tobacco
tobacco dependence
traffic
traffic and transport
walking
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0735-1097(12)61748-3
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 313
TITLE
Online Tobacco Cessation Education to Optimize Standards of Practice for
Psychiatric Mental Health Nurses
AUTHOR NAMES
Amole J.J.
Heath J.
Joshua T.V.
McLear B.
AUTHOR ADDRESSES
(Amole J.J., jamole@georgiahealth.edu) Department of Biobehavioral Nursing,
Georgia Health Sciences University, College of Nursing, 1905 Barnett Shoals
Road, Athens, GA 30605, United States.
(Heath J.) Department of Biobehavioral Nursing, Georgia Health Sciences
University, College of Nursing, 987 Street Sebastian Way, EC5426, Augusta,
GA 30912, United States.
(Joshua T.V.) Department of Biobehavioral Nursing, Center for Nursing
Research, Georgia Health Sciences University, College of Nursing, 987
Street, Sebastian Way, EC4410, Augusta GA 30912, United States.
(McLear B.) Department of Physiological and Technological Nursing, Georgia
Health Sciences University, College of Nursing, 1905 Barnett Shoals Road,
Athens, GA 30605, United States.
CORRESPONDENCE ADDRESS
J.J. Amole, Department of Biobehavioral Nursing, Georgia Health Sciences
University, College of Nursing, 1905 Barnett Shoals Road, Athens, GA 30605,
United States. Email: jamole@georgiahealth.edu
SOURCE
Nursing Clinics of North America (2012) 47:1 (71-79). Date of Publication:
March 2012
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
This article presents an overview of an online education offering to improve
standards of practice for nurses intervening with tobacco-dependent mentally
ill populations. Designed as a pilot study and guided by the theory of
reasoned action framework, the pretest-posttest educational program was
conducted to examine attitudes and beliefs, knowledge, and intentions to
integrate tobacco cessation interventions into practice. Although positive
attitudes and beliefs were demonstrated, knowledge gaps continued to exist
after the online program. Strengths and challenges ofthe online education
offering are presented with recommendations for future research. © 2012
Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
Internet
nursing education
nursing practice
psychiatric nursing
smoking cessation
EMTREE MEDICAL INDEX TERMS
addiction
adult
attitude to health
female
human
male
mental disease
methodology
middle aged
nurse
nursing
pilot study
review
self concept
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22289399 (http://www.ncbi.nlm.nih.gov/pubmed/22289399)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2011.10.006
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 314
TITLE
Implementing practice guidelines and education to improve the care of
infants with neonatal abstinence syndrome
AUTHOR NAMES
Lucas K.
Knobel R.B.
AUTHOR ADDRESSES
(Lucas K., kay@nc.rr.com) Cape Fear Valley Health System, Fayetteville,
United States.
(Lucas K., kay@nc.rr.com; Knobel R.B.) Duke University, School of Nursing,
Durham, United States.
CORRESPONDENCE ADDRESS
K. Lucas, Cape Fear Valley Health System, Fayetteville, United States.
Email: kay@nc.rr.com
SOURCE
Journal of Paediatrics and Child Health (2012) 48 SUPPL. 1 (104). Date of
Publication: March 2012
CONFERENCE NAME
17th Congress of the Federation of Asian and Oceania Perinatal Societies,
FAOPS and the 16th Annual Congress of the Perinatal Society of Australia and
New Zealand, PSANZ
CONFERENCE LOCATION
Sydney, NSW, Australia
CONFERENCE DATE
2012-03-18 to 2012-03-21
ISSN
1034-4810
BOOK PUBLISHER
Wiley Blackwell
ABSTRACT
Background: The National Council on Alcoholism and Drug Dependency estimates
between 1 and 11% of babies born each year are exposed to illicit substances
in utero. Babies exposed to opioids or opioid derivatives during pregnancy
are at increased risk for developing Neonatal Abstinence Syndrome (NAS).
Care and management of these infants can be improved with practice
guidelines and education. The purpose of this quality improvement research
project was to develop and implement evidence based clinical practice
guidelines and an educational program around neonatal abstinence syndrome
(NAS) and the Finnegan Neonatal Abstinence Scoring Tool (FNAST) to improve
nursing assessment and care giving of the infant with NAS, as well as
improve scoring accuracy with use of the FNAST. Method: Nurses were tested
before and after participation in education about NAS. A subset of ten
nurses was evaluated using the FNAST with video of infants having NAS.
Results: Volunteer participation in the NAS educational project occurred in
81% of the NICU nurses. All nurses showed some improvement in scores on the
post-test, with 2%-44% improvement. All ten nurses who participated in the
interactive DVD test scored ≥90% against the FNAST criterion 1 week after
participation in the educational project. Conclusions: Evidenced-based
clinical practice guidelines and education around NAS and the FNAST equips
caregivers with the necessary tools to consistently and accurately assess an
infant with NAS when using the FNAST.
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
Australia and New Zealand
education
health care organization
human
infant
Pacific islands
practice guideline
society
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
abstinence
alcoholism
baby
caregiver
drug dependence
evidence based practice
female
nurse
nursing assessment
pregnancy
risk
total quality management
videorecording
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-1754.2012.02412.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 315
TITLE
An evolutionary concept analysis of school violence: From bullying to death
AUTHOR NAMES
Jones S.N.
Waite R.
Thomas Clements P.
AUTHOR ADDRESSES
(Jones S.N., sjones9090@aol.com; Thomas Clements P.) Drexel University,
College of Nursing and Health Professions, Philadelphia, PA, United States.
(Waite R.) Faculty Integration and Evaluation of Community Programs,
Interdisciplinary Research Unit, Doctoral Nursing Department, Philadelphia,
PA, United States.
CORRESPONDENCE ADDRESS
S.N. Jones, 4705 Belle Forte Road, Pikesville, MD 21208, United States.
Email: sjones9090@aol.com
SOURCE
Journal of Forensic Nursing (2012) 8:1 (4-12). Date of Publication: March
2012
ISSN
1556-3693
1939-3938 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 1517 Ritchis Hwy, Ste 208 Arnold MD, United States.
ABSTRACT
School violence has evolved into an identifiably pervasive public health
problem. Adverse consequences of school violence vary from bullying to
death. In 2007, 457,700 youth (ages 12-18) were victims of serious crimes
with 34% occurring on school grounds or on the way to school. A concept
analysis of school violence can expand and enhance awareness of the
pervasive phenomenon of school violence. Rodgers and Knafl (1993)
evolutionary concept analysis method was used to provide a guiding framework
for examination of school violence. Related manuscripts from the extant
interdisciplinary school violence literature were obtained from relevant
health science databases, the Education Resources Information Center, and
various governmental and specialty websites within the contemporary time
frame of 2000-2010. Analysis revealed the enormous scope and complexity of
the problem of school violence including bullying, physical fighting, weapon
carrying, alcohol/substance use and street gang presence on school property,
school-associated violent death, safe schools legislation, and violence
prevention strategies. Forensic nurses across practice settings are uniquely
positioned to intervene to improve health of these youth through
identification, assessment, treatment, and referral. © 2012 International
Association of Forensic Nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic nursing
nurse attitude
school
violence (prevention)
EMTREE MEDICAL INDEX TERMS
addiction (complication)
adolescent
article
bullying
child
human
legal aspect
peer group
public health
statistics
weapon
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22372393 (http://www.ncbi.nlm.nih.gov/pubmed/22372393)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1939-3938.2011.01121.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 316
TITLE
Culturally tailored motivational interviewing interventions in hispanic
populations: A systematic review
AUTHOR NAMES
Krukas A.
Kavookjian J.
AUTHOR ADDRESSES
(Krukas A., akrukas@gmail.com; Kavookjian J.) Auburn University, United
States.
CORRESPONDENCE ADDRESS
A. Krukas, Auburn University, United States. Email: akrukas@gmail.com
SOURCE
Journal of the American Pharmacists Association (2012) 52:2 (209). Date of
Publication: March-April 2012
CONFERENCE NAME
APhA2012
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2012-03-09 to 2012-03-12
ISSN
1544-3191
BOOK PUBLISHER
American Pharmacists Association
ABSTRACT
Objective: Motivational Interviewing (MI) is an evidence-based communication
skills set that has been effective in helping patients change health
behaviors. The objective of this study was to conduct a modified Cochrane
systematic review of the literature to identify evidence and gaps for
culturally tailored MI intervention studies among Hispanic populations for
whom prevalence of major chronic conditions is significant. Methods: Using a
modified Cochrane systematic approach, a search was conducted using several
relevant databases (Academic Search Premier, ALT Healthwatch, CINAHL, Health
Source for Consumer Education, Health Source for Nursing/ Academic
Education, MasterFILE Premier, MEDLINE, PsycARTICLES, and PsycINFO), and
primary search terms (motivational interviewing AND Latino OR Spanish
Speaking OR Hispanic). Additional criteria for article retention included
intervention studies in adult or adolescent patient populations, written in
the English language, published between 1985 and 2011. A multi-tiered
approach was applied by two researchers for retention decisions, based on
titles, abstracts, and full-text articles. Results: A total of 34 articles
were initially identified, of which 17 were excluded due to duplication, not
an intervention study, or unrelated. Retained studies varied in structure
and context (included drinking, antidepressant use, weight, asthma/smoking,
anxiety, hypertension, substance abuse, diabetes, HIV, and anger
management). Results describe patient characteristics, MI training of
interventionists, intervention protocol, cultural sensitivity of
intervention, target outcome(s), and results. Conclusion: MI is an
evidence-based strategy set that may require cultural tailoring for
effective use within specific minority populations. This systematic review
suggests that heterogeneity of studies makes comparisons for an optimal
protocol challenging: general findings suggest that cultural tailoring of
interventions is important for those who may be talking with Hispanic
patients about health behaviors needed to achieve optimal outcomes.
EMTREE DRUG INDEX TERMS
antidepressant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Hispanic
motivational interviewing
population
systematic review
EMTREE MEDICAL INDEX TERMS
adolescent
adult
anxiety
communication skill
consumer
cultural sensitivity
data base
diabetes mellitus
drinking
education
evidence based practice
health
health behavior
human
Human immunodeficiency virus
hypertension
intervention study
language
patient
prevalence
PsycINFO
scientist
speech
substance abuse
systematic review (topic)
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1331/JAPhA.2012.12510
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 317
TITLE
Smart Moves, Smart Choices: how school nurses can help safeguard students
from teen prescription drug abuse.
AUTHOR NAMES
Embrey M.L.
AUTHOR ADDRESSES
(Embrey M.L.) NASN, Silver Spring, MD, USA.
CORRESPONDENCE ADDRESS
M.L. Embrey, NASN, Silver Spring, MD, USA.
SOURCE
NASN school nurse (Print) (2012) 27:2 (101-102). Date of Publication: Mar
2012
ISSN
1942-602X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
prescription drug (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
methodology
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22567785 (http://www.ncbi.nlm.nih.gov/pubmed/22567785)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X11434481
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 318
TITLE
The Impact of the Georgia Health Sciences University Nursing Faculty
Practice on Tobacco Cessation Rates
AUTHOR NAMES
Heath J.
Inglett S.
Young S.
Joshua T.V.
Sakievich N.
Hawkins J.
Andrews J.O.
Tingen M.S.
AUTHOR ADDRESSES
(Heath J., Janie.heath@virginia.edu) University of Virginia School of
Nursing, Claude Moore Nursing Education Building, PO Box 800826, 225
Jeanette, Lancaster Way, Charlottesville, VA 22908-0826, United States.
(Inglett S.; Joshua T.V.; Hawkins J.) Department of Physiological and
Technological Nursing, College of Nursing, Georgia Health Sciences
University, 987 Saint Sebastian Way, EC 5426, Augusta, GA 30912, United
States.
(Young S.) Department of Family Medicine, Medical College of Georgia,
Georgia Health Sciences University, 1120 15th Street, August, GA 30912,
United States.
(Sakievich N.) NFPG Tobacco Cessation Program, 987 Saint Sebastian Way, EC
5396, Augusta, GA 30912, United States.
(Andrews J.O.) College of Nursing, Medical University of South Carolina, 99
Jonathan Lucas Street, MSC 160, Charleston SC 29425, United States.
(Tingen M.S.) Department of Pediatrics, Medical College of Georgia, Georgia
Health Sciences University, 1120 15th Street, BT 1852, Augusta GA 30912,
United States.
CORRESPONDENCE ADDRESS
J. Heath, University of Virginia School of Nursing, Claude Moore Nursing
Education Building, PO Box 800826, 225 Jeanette, Lancaster Way,
Charlottesville, VA 22908-0826, United States. Email:
Janie.heath@virginia.edu
SOURCE
Nursing Clinics of North America (2012) 47:1 (1-12). Date of Publication:
March 2012
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Nursing faculty practice groups can play a vital role in tobacco cessation
in academic medical centers. Outcomes from the Georgia Health Sciences
University Nursing Faculty Practice Group Tobacco Cessation Program revealed
64% abstinence outcomes at the end of treatment (N = 160) over a 2-year
period from the campus-wide tobacco-free policy initiation. A nurse-led,
evidence-based, interdisciplinary approach can be an effective strategy to
make a difference in the lives of tobacco-dependent individuals, while at
the same time integrating practice with education and research. © 2012.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based practice
faculty practice
nursing practice
outcome assessment
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
aged
female
human
male
methodology
middle aged
nonbiological model
program development
review
school
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22289393 (http://www.ncbi.nlm.nih.gov/pubmed/22289393)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2011.10.005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 319
TITLE
Education by a Nurse Increases the Adherence to Therapy in Chronic Hepatitis
C Patients
AUTHOR NAMES
Alavian S.M.
Aalaei-Andabili S.
AUTHOR ADDRESSES
(Alavian S.M.; Aalaei-Andabili S.) Baqiyatallah University of Medical
Sciences, Baqiyatallah Research Center for Gastroenterology and Liver
Disease, Tehran, Iran.
CORRESPONDENCE ADDRESS
S.M. Alavian, Baqiyatallah University of Medical Sciences, Baqiyatallah
Research Center for Gastroenterology and Liver Disease, Tehran, Iran.
SOURCE
Clinical Gastroenterology and Hepatology (2012) 10:2 (203). Date of
Publication: February 2012
ISSN
1542-3565
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
hepatitis C
nurse
EMTREE MEDICAL INDEX TERMS
genotype
intravenous drug abuse
letter
marriage
occupation
quality of life
socioeconomics
treatment duration
treatment response
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2012045664
MEDLINE PMID
21839708 (http://www.ncbi.nlm.nih.gov/pubmed/21839708)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cgh.2011.08.004
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 320
TITLE
Implementing practice guidelines and education to improve care of infants
with neonatal abstinence syndrome
AUTHOR NAMES
Lucas K.
Knobel R.B.
AUTHOR ADDRESSES
(Lucas K., kay@nc.rr.com; Knobel R.B.) Department of Nursing, Cape Fear
Valley Health System, Fayetteville, NC, United States.
(Lucas K., kay@nc.rr.com) Duke University School of Nursing, Durham, NC,
United States.
CORRESPONDENCE ADDRESS
K. Lucas, 3937 Nikita D, Hope Mills, NC 28348, United States. Email:
kay@nc.rr.com
SOURCE
Advances in Neonatal Care (2012) 12:1 (40-45). Date of Publication: February
2012
ISSN
1536-0903
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
PURPOSE: To develop and implement a program for the management of neonatal
abstinence syndrome (NAS) and the use of the Finnegan Neonatal Abstinence
Scoring Tool (FNAST). We evaluated knowledge gain in nurses as a result of
implementation of the practice guidelines and education. SUBJECTS:
Participants included 68 nurses employed in a neonatal intensive care unit
(NICU) at a single facility. DESIGN: A nonexperimental, pretest/posttest
study evaluated change in nursing knowledge about NAS and the use of the
FNAST after implementation of evidence-based clinical practice guidelines
and an educational project. METHODS: Nurses were tested before and after
participation in education about NAS. A subset of 10 nurses was evaluated
using the FNAST with videos of infants having NAS. RESULTS: Volunteer
participation in the NAS educational project occurred in 81% of the NICU
nurses. All nurses showed some improvement in scores on the posttest, with
2% to 44% improvement. All 10 nurses who participated in the interactive DVD
test scored 90% or more against the FNAST criterion 1 week after
participation in the educational project. CONCLUSION: Evidence-based
clinical practice guidelines and education around NAS and the FNAST equip
caregivers with the necessary tools to consistently and accurately assess an
infant with NAS when using the FNAST. Copyright © 2012 by The National
Association of Neonatal Nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
newborn intensive care
newborn nursing
nursing assessment
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
article
clinical competence
computer interface
education
evaluation study
human
methodology
newborn
nursing
practice guideline
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22301543 (http://www.ncbi.nlm.nih.gov/pubmed/22301543)
FULL TEXT LINK
http://dx.doi.org/10.1097/ANC.0b013e318241bd73
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 321
TITLE
Prospective validation of a predictive model that identifies homeless people
at risk of re-presentation to the emergency department
AUTHOR NAMES
Moore G.
Hepworth G.
Weiland T.
Manias E.
Gerdtz M.F.
Kelaher M.
Dunt D.
AUTHOR ADDRESSES
(Moore G., dgmoore@optusnet.com.au) Melbourne School of Population Health,
Faculty of Medicine, Dentistry and Health Sciences, The University of
Melbourne, Level 4, 207 Bouverie St, Carlton, VIC 3010, Australia.
(Hepworth G.) Statistical Consulting Centre, Department of Mathematics and
Statistics, The University of Melbourne, VIC 3010, Australia.
(Weiland T.) EPIcentre, Emergency Medicine, St Vincent's Hospital Melbourne,
PO Box 2900, Fitzroy, VIC 3065, Australia.
(Manias E.; Gerdtz M.F.) Melbourne School of Health Sciences, Faculty of
Medicine, Dentistry and Health Sciences, The University of Melbourne, Level
5, 234 Queensberry St, Carlton, VIC 3010, Australia.
(Kelaher M.; Dunt D.) Centre for Health Policy, Programs and Economics,
Melbourne School of Population Health, University of Melbourne, 207 Bouverie
St, Parkville, VIC 3010, Australia.
CORRESPONDENCE ADDRESS
G. Moore, PO Box 2900, Fitzroy, VIC 3065, Australia. Email:
dgmoore@optusnet.com.au
SOURCE
Australasian Emergency Nursing Journal (2012) 15:1 (2-13). Date of
Publication: February 2012
ISSN
1574-6267
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Objective: To prospectively evaluate the accuracy of a predictive model to
identify homeless people at risk of representation to an emergency
department. Methods: A prospective cohort analysis utilised one month of
data from a Principal Referral Hospital in Melbourne, Australia. All visits
involving people classified as homeless were included, excluding those who
died. Homelessness was defined as living on the streets, in crisis
accommodation, in boarding houses or residing in unstable housing. Rates of
re-presentation, defined as the total number of visits to the same emergency
department within 28 days of discharge from hospital, were measured.
Performance of the risk screening tool was assessed by calculating
sensitivity, specificity, positive and negative predictive values and
likelihood ratios. Results: Over the study period (April 1, 2009 to April
30, 2009), 3298 presentations from 2888 individuals were recorded. The
homeless population accounted for 10% (n=327) of all visits and 7% (n=211)
of all patients. A total of 90 (43%) homeless people re-presented to the
emergency department. The predictive model included nine variables and
achieved 98% (CI, 0.92-0.99) sensitivity and 66% (CI, 0.57-0.74)
specificity. The positive predictive value was 68% and the negative
predictive value was 98%. The positive likelihood ratio 2.9 (CI, 2.2-3.7)
and the negative likelihood ratio was 0.03 (CI, 0.01-0.13). Conclusion: The
high emergency department re-presentation rate for people who were homeless
identifies unresolved psychosocial health needs. The emergency department
remains a vital access point for homeless people, particularly after hours.
The risk screening tool is key to identify medical and social aspects of a
homeless patient's presentation to assist early identification and referral.
© 2012 College of Emergency Nursing Australasia Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency health service
homelessness
hospital readmission
patient attitude
statistical model
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
article
Australia (epidemiology)
cohort analysis
female
hospital
human
injury (epidemiology)
male
mental disease (epidemiology)
mental health
prospective study
public hospital
risk assessment
risk factor
socioeconomics
statistics
urban population
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22813618 (http://www.ncbi.nlm.nih.gov/pubmed/22813618)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.aenj.2011.12.004
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 322
TITLE
A research-practice partnership for enhancing drug court effectiveness.
AUTHOR NAMES
Vandermause R.
Altshuler S.
Baker R.
Howell D.
Roll J.M.
Severtsen B.
Short R.
Wu L.J.
AUTHOR ADDRESSES
(Vandermause R.) Washington State University College of Nursing, Spokane,
WA, USA.
(Altshuler S.; Baker R.; Howell D.; Roll J.M.; Severtsen B.; Short R.; Wu
L.J.)
CORRESPONDENCE ADDRESS
R. Vandermause, Washington State University College of Nursing, Spokane, WA,
USA. Email: rvandermause@wsu.edu
SOURCE
Journal of addictions nursing (2012) 23:1 (14-21). Date of Publication: Feb
2012
ISSN
1548-7148 (electronic)
ABSTRACT
Research and practice partnerships that focus on substance use and criminal
justice are necessary to address the needs and concerns of substance users,
their families, and the community. Such partnerships are complex and
therefore create challenges in implementing research that is simultaneously
relevant and rigorous. This article describes a developing research-practice
community-based partnership that guides several related research studies.
Lessons learned, implications for nursing, and practical recommendations for
others in forming such partnerships are offered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology, therapy)
criminal law
nursing research
offender
public relations
EMTREE MEDICAL INDEX TERMS
article
cooperation
human
legal aspect
needs assessment
organization and management
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22468656 (http://www.ncbi.nlm.nih.gov/pubmed/22468656)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 323
TITLE
The employment of nurses in publicly funded substance abuse treatment
programs.
AUTHOR NAMES
Knudsen H.K.
Abraham A.J.
AUTHOR ADDRESSES
(Knudsen H.K.) Hannah K. Knudsen, PhD, Department of Behavioral Science,
University of Kentucky, Lexington. Amanda J. Abraham, PhD, was at University
of Georgia, Athens, when this study was conducted. She is now at Department
of Health Services Policy and Management, University of South Carolina,
Columbia. Correspondence related to content to: Hannah K. Knudsen, PhD,
Department of Behavioral Science, University of Kentucky, 141 Medical
Behavioral Science Building, Lexington, KY 40536-0086.
(Abraham A.J.)
CORRESPONDENCE ADDRESS
H.K. Knudsen,
SOURCE
Journal of addictions nursing (2012) 23:3 (174-180). Date of Publication:
Oct 2012
ISSN
1548-7148 (electronic)
ABSTRACT
Little is known about the organizational and environmental factors
associated with the employment of nurses in substance abuse treatment
programs. Using data collected from the administrators of 250 publicly
funded substance abuse treatment programs, this study examined the
organizational and environmental correlates of nurse employment in these
settings. Negative binomial regression models indicated that the number of
nurses employed by treatment programs was positively associated with
government ownership, location within a healthcare setting, and the
availability of detoxification services. Outpatient-only programs employed
fewer nurses than programs with inpatient/residential services. Two
environmental factors were associated with nurse employment. Programs that
more strongly endorsed a scale of financial barriers employed significantly
fewer nurses, whereas programs indicating that funding from state contracts
could be used to pay for healthcare providers employed significantly more
nurses. These findings suggest that organizational decisions about employing
nurses may reflect both the characteristics of the program and the funding
environment. Future research should continue to examine the employment of
nurses in substance abuse treatment settings, particularly given the
shifting environment due to the implementation of healthcare reform.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
drug dependence treatment
employment
nursing staff
personnel management
EMTREE MEDICAL INDEX TERMS
adolescent
ambulatory care
article
economics
health care survey
human
manpower
nursing
organization
organization and management
regression analysis
residential care
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
24135687 (http://www.ncbi.nlm.nih.gov/pubmed/24135687)
COPYRIGHT
Copyright 2015 Medline is the source for the citation and abstract of this
record.
RECORD 324
TITLE
The preparation of graduate health professionals for working with bereaved
clients: An Australian perspective
AUTHOR NAMES
Breen L.
Fernandez M.
O'Connor M.
Pember A.-J.
AUTHOR ADDRESSES
(Breen L.) Curtin University and Edith Cowan University, Australia.
(Fernandez M.; Pember A.-J.) Edith Cowan University, Australia.
(O'Connor M.) Curtin University, Australia.
CORRESPONDENCE ADDRESS
Curtin University and Edith Cowan University, Australia.
SOURCE
Omega (United States) (2012) 66:4 (313-332). Date of Publication: 1 Jan 2012
ISSN
0030-2228
1541-3764 (electronic)
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
ABSTRACT
Students enrolled in health profession courses require grief education so
that, upon graduation, they are able to meet the needs of clients living
with loss and grief. We investigated grief and loss education in six
Australian university programs - medicine, nursing, counseling, psychology,
social work, and occupational therapy - drawing from course documents and
face-to-face interviews with key staff and final-year students. Only the
counseling course included a dedicated grief and loss unit. The nursing,
medicine, and occupational therapy courses emphasized end-of-life issues
rather than a breadth of bereavement experiences. The social work course
taught grief as a socially-constructed practice and the psychology course
focused on grief and loss in addiction. Several factors influenced the
delivery of grief education, including staffing, time, placement
opportunities, student feedback, and needs of each profession. The study
provides an indication as to how future health professionals are prepared
for grief and loss issues in their practice. © 2013, Baywood Publishing Co.,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to death
grief
health care personnel
health personnel attitude
human relation
medical personnel
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
article
Australia
curriculum
female
human
male
needs assessment
psychological aspect
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
23785983 (http://www.ncbi.nlm.nih.gov/pubmed/23785983)
FULL TEXT LINK
http://dx.doi.org/10.2190/OM.66.4.c
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 325
TITLE
Role of play therapy in child health promotion
AUTHOR NAMES
Manav Mert G.
AUTHOR ADDRESSES
(Manav Mert G.) Department of Pediatric Nursing, Nursing Division, Marmara
University, Turkey.
CORRESPONDENCE ADDRESS
G. Manav Mert, Department of Pediatric Nursing, Nursing Division, Marmara
University, Turkey.
SOURCE
Acta Paediatrica, International Journal of Paediatrics (2011) 100 SUPPL. 463
(93). Date of Publication: December 2011
CONFERENCE NAME
3rd Excellence in Paediatrics Conference and the 1st PNAE Congress on
Paediatric Nursing
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2011-11-30 to 2011-12-03
ISSN
0803-5253
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
As the game is a process with its own difficulties and particularly aims to
help children whose reactions aren't clear during the communication; the
game kind, the statements during the game and the pictures the child drew is
important to show child's mood status. The game is an active learning
process and a part of real life which aims a particular reason or not,
happens in a regular or irregular way but in every situation, the child take
place longing and craving for it and is fundamental of physical, cognitive,
oral, affective and social development (Bilir, 1995). The game lets the
child to communicate with the others and his/her own personality, to learn,
to gain new roles and to deal with traumatic situations (Gill & Drewes,
2005). It is known that the interaction of the children hospitalized in
hospitals with their environment has been prevented for physical and
physiological reasons and in case of they couldn't play games, these
children have had problems like depression, inadequate growth, developmental
and learning disorders, stress and orientation disorders. As Barnes stated
(1992), the involuntary physical and social isolation that the child has
because of the restrictions in the hospital could be reduced. When the nurse
creates a theoretical and methodological notional framework using the child
centered games, the nurse may have an opportunity to take place in a
multi-professional team to protect the child's health. Child centered games
aim to create a free environment that will support child's growth and
integration of his/her own self conception (Rocha & friends, 2005). A
humanistic and undirected environment provides admission and confidence
environment to the child. In a child centered game, the child is the
director of the game. The game makes easy to develop the child's self
conception and supports to order the child's attitude way. The game can be
applied to the all situations in which the child has depressions, obsessions
and attitude, attention and chronic disorders (Gill, Drewes, 2005; Pehrsson,
Aguleria, 2007). Pediatric nursing aims to develop the children at the
highest level in the society and the family in respect of physical,
intellectual, affective and social ways. Nurses' knowing the game which is
one of the basic elements in the child's healthy development with all
aspects and using it in every practice related to children will contribute
significant contributions to pediatric nursing for reaching its goal.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health
health promotion
nursing
pediatrics
play therapy
EMTREE MEDICAL INDEX TERMS
child
child growth
environment
friend
gill
hospital
human
interpersonal communication
learning
learning disorder
mood
nurse
obsession
pediatric nursing
personality
social evolution
social isolation
society
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1651-2227.2011.02486.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 326
TITLE
Female vulnerability to episodic and continuous social stress: Dopamine and
cocaine self-administration
AUTHOR NAMES
Shimamoto A.
Holly E.N.
DeBold J.F.
Miczek K.A.
AUTHOR ADDRESSES
(Shimamoto A.; Holly E.N.; DeBold J.F.; Miczek K.A.) Tufts University,
Medford, United States.
CORRESPONDENCE ADDRESS
K.A. Miczek, Tufts University, Medford, United States.
SOURCE
Neuropsychopharmacology (2011) 36 SUPPL. 1 (S328-S329). Date of Publication:
December 2011
CONFERENCE NAME
50th Annual Meeting of the American College of Neuropsychopharmacology, ACNP
CONFERENCE LOCATION
Waikoloa, HI, United States
CONFERENCE DATE
2011-12-04 to 2011-12-08
ISSN
0893-133X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: Women are more vulnerable to stressors inducing certain types of
psychiatric disorders, including major depression. Chronic stress disorders
are often associated with substance use disorders, and the mechanisms by
which stressful experiences alter drug taking have yet to be studied.
Evidence suggests that certain types of social stress can enhance neuronal
adaptation in drug reward pathway, particularly in the nucleus accumbens
(NAc). Recently we have demonstrated that in males, chronic social defeat
stress caused a blunted response to a cocaine challenge in extracellular
dopamine (DA) in the NAc, whereas intermittent social defeat stress enhanced
DA response to the cocaine challenge. Rats that experienced chronic social
defeat stress self-administered fewer infusions of cocaine during a 24-h
''binge'' of cocaine selfadministration as opposed to rats that took more
cocaine after they experienced intermittent social defeat stress. These data
prompted us to examine the effects of social defeat stress on 1) DA response
to cocaine, 2) behavioral sensitization, and 3) cocaine self-administration
in female rats. Methods: Female Long-Evans rats were examined for baseline
measurements of weight, preference for saccharin, and estrous cycles. Once
the baseline measurements were stable, the rats were assigned to either
intermittent episodic, continuous social stress or non-stressed control
groups. For chronic social subordination stress, each experimental female
rat confronted a nursing dam for 30 min twice daily for 21 days. In the
intervals between the confrontations, the rat was housed in a wire-mesh
protective cage inside the opponent's home cage to maximize the effects of
being threatened by the resident aggressor. For intermittent social defeat
stress, each rat experienced four episodes of direct confrontation separated
by 72 hours. Ten days after the last confrontation, the experimental rat was
challenged with 10 mg/kg of cocaine to examine either behavioral
sensitization or the extracellular DA and serotonin (5-HT) responses in the
NAc, using HPLC. Thereafter, the rats acquired cocaine (0.75 mg/kg/infusion)
self-administration and were maintained on a FR 5 schedule, followed by a
progressive ratio schedule (0.3 mg/kg/infusion). Finally, a 24-h 'binge'
test was performed, reinforcing each fifth response with a 0.2 mg/kg/
infusion of cocaine. For some rats, the 'binge' test consisted of a variable
dose (0.375, 0.75 and 1.5 mg/kg/infusion) sequence. Results: 1) DA response
to cocaine: Cocaine increased extracellular DA in the NAc, and this
increment was significantly reduced in rats which experienced continuous
social subordination stress. The extracellular 5-HT response to cocaine was
also blunted in continuously stressed rats. These rats exhibited less
preference for saccharin, lower weight gain, and disruption of estrous
cycles. In contrast, these behavioral parameters were not influenced in rats
which experienced intermittent episodes of social defeat stress. The effect
of cocaine challenge on extracellular DA was longlasting in these rats. 2)
Locomotor activity as assessed by duration of walking behavior was
significantly increased in rats which experienced intermittent social defeat
stress. Particularly, rats in the estrous phase showed a prominent increase
in duration of walking behavior. The increased locomotor activity persisted
for 30 min after the acute cocaine injection. 3) Rats which experienced
intermittent episodes of social defeat stress had higher number of cocaine
infusions when they were in proestrus. The 24-h 'binge' test did not reveal
stress effects in females that had experienced intermittent episodes of
social defeat. Discussion: Two types of social stress engendered distinct
patterns of neurochemical and behavioral profiles in females that differed
also from those in males. Particularly, the blunted DA and 5-HT responses to
cocaine and the anhedonia-like behavioral deficits during and after
continuous social stress suggest that these female rats exhibit a
depressive-like phenotype. Disruption of endocrine cyclicity, suppressed
preference for sweets and shorter cocaine binges are consistent with
cardinal symptoms of a depressive-like phenotype. In contrast, episodic
social defeat stress which resulted in behavioral sensitization did not
intensify cocaine self-administration, suggesting that - in contrast to
males - females may show a clear dissociation between stress-induced
behavioral sensitization and intense cocaine binges.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
dopamine
EMTREE DRUG INDEX TERMS
saccharin
serotonin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
drug self administration
female
psychopharmacology
social stress
EMTREE MEDICAL INDEX TERMS
adaptation
anhedonia
chronic stress
control group
dissociation
estrus cycle
experimental rat
high performance liquid chromatography
human
infusion
injection
locomotion
Long Evans rat
major depression
male
mare
mental disease
nucleus accumbens
nursing
phenotype
proestrus
rat
reward
sensitization
social interaction
substance abuse
walking
weight
weight gain
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2011.293
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 327
TITLE
Smoking status of Turkish nursing students and factors affecting their
behavior.
AUTHOR NAMES
Öztürk C.
Bektaş M.
Yilmaz E.
Salman F.
Şahin T.
Ilmek M.
Göke G.
AUTHOR ADDRESSES
(Öztürk C.) School of Nursing, Dokuz Eylul University Izmir, Turkey.
(Bektaş M.; Yilmaz E.; Salman F.; Şahin T.; Ilmek M.; Göke G.)
CORRESPONDENCE ADDRESS
C. Öztürk, School of Nursing, Dokuz Eylul University Izmir, Turkey.
SOURCE
Asian Pacific journal of cancer prevention : APJCP (2011) 12:7 (1687-1692).
Date of Publication: 2011
ISSN
1513-7368
ABSTRACT
This descriptive-cross sectional study was conducted in order to determine
the smoking status of nursing students and factors affecting their behavior.
Subjects were 220 students who were selected from all classes of a School of
Nursing with a stratified random sampling method and who voluntarily
accepted to participate. Permission was obtained both from individuals and
the relevant institution to conduct the study. Data were collected through
Demographic Data Collecting Form, Decisional Balance Scale, Fegostrom
Addiction Test and Cessation phase scale. Percentage calculations, chi
square, odd ratio, Kruskal wallis and CHAID analysis were used in the
assessment of the data. 81.5% of the students were female (163), average age
was 20.9±1.6 years, age at first smoking was 15.4±4.1, 58.5 of the parents
were smokers and at least one person from among their friends was smoking
(30%). 19.5% of the students were smoking. The difference between smoking
ratios of male and female students was significant (p<0.001). Rates
increased with increase in the number of friends who smoke (p<0.001).
Differences were detected across geographical regions (p=0.023). Smoking
mostly increases at times of exams (42.5%). It was estimated that 69.2% of
the smokers are addicts at a low level. Some 56.3% of the smokers and 12.5%
of non-smokers found smoking beneficial (p<0.001), this increasing the
future smoking risk nine fold. Pros and cons perceptions score averages of
smokers were intermediate. The difference between score averages of smokers
and non-smokers as regards to cancerogenic effects of smoking was found to
be statistically significant (p=0.034). 34% of the students stated that
their opinions about smoking did not change even though they received an
education in the field of nursing. One in five students participating in the
study was smoker. In terms of variables, while gender, geographical region,
number of friends using cigarettes and times of exams effect the use of
cigarettes, no influence was noted for class, perceived income level,
settlement, smoking and cancer cases in the family.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
nursing student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
educational status
female
health behavior
human
male
questionnaire
statistics
tobacco dependence
Turkey (republic) (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22126545 (http://www.ncbi.nlm.nih.gov/pubmed/22126545)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 328
TITLE
Alcohol use among college freshmen: A longitudinal analysis using facebook
AUTHOR NAMES
Gannon K.
Eikhoff J.
Huang A.
Moreno M.
AUTHOR ADDRESSES
(Gannon K.; Eikhoff J.; Huang A.; Moreno M.) University of Wisconsin,
Department of Biostatistics, Madison, United States.
CORRESPONDENCE ADDRESS
K. Gannon, University of Wisconsin, Department of Biostatistics, Madison,
United States.
SOURCE
Acta Paediatrica, International Journal of Paediatrics (2011) 100 SUPPL. 463
(18). Date of Publication: December 2011
CONFERENCE NAME
3rd Excellence in Paediatrics Conference and the 1st PNAE Congress on
Paediatric Nursing
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2011-11-30 to 2011-12-03
ISSN
0803-5253
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Introduction: College student alcohol use is associated with negative health
consequences, but identification of at risk students is challenging.
Facebook is a social networking website used by most college students; it
may be an innovative venue to identify peak times of problem alcohol use.
Patterns of Facebook alcohol display over time have not been previously
examined. Purpose: The purpose of this study was to conduct a longitudinal
evaluation of displayed alcohol on Facebook profiles throughout freshmen
year. Methods: Public Facebook profiles of freshmen undergraduates from a
large state university were examined at four time periods over the course of
1 year. Content analysis included self-displayed demographic information and
references to alcohol. Data collections included: prior to beginning college
(Time 1), early in fall semester (Time 2), the conclusion of fall semester
(Time 3), and the end of freshmen year (Time 4). A zero-inflated negative
binomial regression model with subject specific random effects was used to
analyze the number of displayed alcohol references. Results: Of 150 included
profiles, 97% were 18 years old; 55% were female. Among males, 39% of
profile owners displayed alcohol at Time 1; 55% displayed at Time 4 (P =
0.037). Among females, 57% displayed references to alcohol at Time 1
compared to 65% at Time 4. Across all time points, the number of alcohol
references displayed by females was significantly higher than for males with
a mean difference of 2.5 (SD 0.9) references (P < 0.001). For females, the
number of alcohol references significantly increased from Time 1 to 2 (P <
0.001) and decreased afterwards to levels below Time 1 values (P < 0.001).
In contrast, a linear increase in the number of alcohol references from Time
1 (mean 1.3, SD 0.3) to Time 4 (mean 2.1, SD 0.4) was observed for males (P
< 0.001).
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
college
nursing
pediatrics
EMTREE MEDICAL INDEX TERMS
college student
content analysis
female
health
human
information processing
longitudinal study
male
model
risk
student
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1651-2227.2011.02484.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 329
TITLE
Digital imaging for the education of proper surgical hand disinfection.
AUTHOR NAMES
Haidegger T.
Nagy M.
Lehotsky A.
Szilágyi L.
AUTHOR ADDRESSES
(Haidegger T.) Budapest University of Technology and Economics, Dept. of
Control Engineering and Information Technology, Budapest, Hungary.
(Nagy M.; Lehotsky A.; Szilágyi L.)
CORRESPONDENCE ADDRESS
T. Haidegger, Budapest University of Technology and Economics, Dept. of
Control Engineering and Information Technology, Budapest, Hungary. Email:
haidegger@iit.bme.hu
SOURCE
Medical image computing and computer-assisted intervention : MICCAI ...
International Conference on Medical Image Computing and Computer-Assisted
Intervention (2011) 14:Pt 3 (619-626). Date of Publication: 2011
ABSTRACT
Nosocomial infections are the undesirable result of a treatment in a
hospital, or a health care service unit, not related to the patient's
original condition. Despite the evolution of medicine, fundamental problems
with hand hygiene remain existent, leading to the spread of nosocomial
infections. Our group has been working on a generic solution to provide a
method and apparatus to teach and verify proper hand disinfection. The
general idea is to mark the skin surfaces that were sufficiently treated
with alcoholic hand rub. Digital image processing is employed to determine
the location of these areas and overlay it on the segmented hand,
visualizing the results in an intuitive form. A non-disruptive ultraviolet
marker is mixed to a commercially available hand rub, therefore leaving the
original hand washing workflow intact. Digital images are taken in an
enclosed device we developed for this purpose. First, robust hand contour
segmentation is performed, then a histogram-based formulation of the fuzzy
c-means algorithm is employed for the classification of clean versus dirty
regions, minimizing the processing time of the images. The method and device
have been tested in 3 hospitals in Hungary, Romania and Singapore, on
surgeons, residents, medical students and nurses. A health care professional
verified the results of the segmentation, since no gold standard is
available for the recorded human cases. We were able to identify the hand
boundaries correctly in 99.2% of the cases. The device can give objective
feedback to medical students and staff to develop and maintain proper hand
disinfection practice.
EMTREE DRUG INDEX TERMS
alcohol derivative
topical antiinfective agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cross infection (prevention)
hand washing
medical education
teaching
EMTREE MEDICAL INDEX TERMS
article
chemistry
health care personnel
hospital
human
hygiene
image processing
infection control
methodology
signal processing
statistical model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22003751 (http://www.ncbi.nlm.nih.gov/pubmed/22003751)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 330
TITLE
Opioid replacement therapy: A wait unmanaged
AUTHOR NAMES
Harlow W.
Happell B.
Browne G.
AUTHOR ADDRESSES
(Harlow W.; Happell B., b.happell@cqu.edu.au) Institute for Health, Social
Science Research, Australia.
(Harlow W.; Happell B., b.happell@cqu.edu.au) School of Nursing and
Midwifery, CQUniversity Australia, Rockhampton, Australia.
(Harlow W.) Southside Clinic, Alcohol Tobacco and Other Drugs Service,
Queensland Health, Gold Coast, QLD, Australia.
(Browne G.) School of Health and Human Sciences, Southern Cross University,
Lismore, NSW, Australia.
CORRESPONDENCE ADDRESS
B. Happell, School of Nursing and Midwifery, CQUniversity Australia, Bruce
Highway, Rockhampton, Queensland 4702, Australia. Email:
b.happell@cqu.edu.au
SOURCE
International Journal of Mental Health Nursing (2011) 20:6 (418-427). Date
of Publication: December 2011
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
There has been a rapid increase in members of the Australian population
using opioids in recent years. The flow-on effect has been an increase in
demand for treatments, particularly opioid replacement therapy (ORT), but
the availability of treatments has not increased. This has frequently
resulted in delays before treatment can be commenced. Outcomes could improve
if health-care professionals had clearer guidelines on how to prioritize
access to ORT. This review investigates the triage of consumers in ORT
within Australia. Information on triage in ORT was not available, and an
understanding of how consumer needs are managed when they present for ORT
triage was not identified. In the absence of research to guide this
practice, the body of evidence regarding ORT treatment access is weighted on
government policies. Triage, as applied in general health and mental
health-care service delivery, was reviewed to consider the components of
triage and how these might pertain to triage in ORT. Failure to facilitate
the needs of consumers accessing ORT can result in further harm to consumers
and increased social and financial costs for society. Research is required
to investigate how this issue is currently being managed and to lead the way
for needed improvements in service delivery. © 2011 The Authors.
International Journal of Mental Health Nursing © 2011 Australian College of
Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital admission
opiate substitution treatment
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Australia (epidemiology)
child
emergency health service
female
health service
human
male
mental health service
middle aged
opiate addiction (drug therapy, epidemiology)
practice guideline
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21592273 (http://www.ncbi.nlm.nih.gov/pubmed/21592273)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2011.00748.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 331
TITLE
Parental impact on environmental tobacco smoke exposure in preschool
children: A comparative study between rural and urban areas in greece
AUTHOR NAMES
Matziou V.
Kletsiou E.
Gotzia D.
Giotas
Bozas E.
Douros K.
Priftis K.
Tsoumakas K.
AUTHOR ADDRESSES
(Matziou V.; Kletsiou E.) Faculty of Nursing, University of Athens, Athens,
Greece.
(Gotzia D.; Giotas; Douros K.; Priftis K.) 3rd Department of Pediatrics,
University Hospital of Athens Attikon, Athens, Greece.
(Bozas E.; Tsoumakas K.) Pediatric Research Laboratory, University of
Athens, Athens, Greece.
CORRESPONDENCE ADDRESS
V. Matziou, Faculty of Nursing, University of Athens, Athens, Greece.
SOURCE
Acta Paediatrica, International Journal of Paediatrics (2011) 100 SUPPL. 463
(108-109). Date of Publication: December 2011
CONFERENCE NAME
3rd Excellence in Paediatrics Conference and the 1st PNAE Congress on
Paediatric Nursing
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2011-11-30 to 2011-12-03
ISSN
0803-5253
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Introduction: Environmental tobacco smoke (ETS) is associated with worsening
respiratory symptoms and decreased pulmonary function. Greece is among the
countries that face a serious smoking problem. Purpose: The aim of this
study was to explore the size of the problem and the impact of the parental
characteristics on ETS exposure in preschool children in urban and rural
environment. Material - Methods: Preschool children attending nursery
schools living in urban (UR) and rural environment (RU) were evaluated. ETS
exposure was measured by the child's urine cotinine levels, whereas
information on demographics, child's clinical status and house environment,
including smoking status of each household member, were selected by parents'
interviews. Results: We studied 234 children, (52.6% boys) with a mean age
of 4.02 ± 0.61 yrs, 48.3% in UR environment. Mean urine cotinine levels in
the whole sample were 50.2 ± 118.7 ng/mL, which equals to heavy exposure in
ETS for non-smokers. The exposure in RU environment was heavy, whereas much
less exposure was observed in UR (73.8 ± 144.7 and 25.7 ± 72.7 ng/mL,
respectively, P = 0.005). A correlation between the cotinine levels and the
educational level of the parents (P ≤ 0.001), as well as the number of the
cigarettes the parents declared to smoke per day (P ≤ 0.001) was found.
Interestingly, analysis revealed a correlation between the cotinine levels
and the fathers' smoking status (P = 0.005), but not with the mothers'
smoking cigarette number (P = 0.101), in children living in UR, while in
children living in RU the smoker mother affected the cotinine levels (P =
0.002) and the smoker father, marginally, did not (P = 0.053). However,
there was no correlation between the level of exposure and the allergy
status, history of respiratory infections, or wheezing illness. Conclusion:
ETS exposure of preschool children is a serious health problem in Greece. It
is more pronounced in RU areas where maternal smoking appears to play more
important role.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
tobacco smoke
EMTREE DRUG INDEX TERMS
cotinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
comparative study
exposure
Greece
human
nursing
pediatrics
preschool child
urban area
EMTREE MEDICAL INDEX TERMS
allergy
boy
child
environment
father
female
general aspects of disease
health
household
interview
lung function
male
maternal smoking
mother
nursery school
parent
respiratory tract infection
rural area
smoke
smoking
smoking
urine
wheezing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1651-2227.2011.02488.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 332
TITLE
Impact of a lecture intervention on the knowledge, attitudes and behavior in
smoking of first year medical students from the Faculty of Medicine and
Surgery at the University of Santo Tomas School year 2010-2011
AUTHOR NAMES
Javier A.G.
Santos M.A.R.
Calata-Rosales R.
AUTHOR ADDRESSES
(Javier A.G.; Santos M.A.R.; Calata-Rosales R.) Center for Respiratory
Medicine, University of Santo Tomas Hospital Espana, Manila, Philippines.
CORRESPONDENCE ADDRESS
A.G. Javier, Center for Respiratory Medicine, University of Santo Tomas
Hospital Espana, Manila, Philippines.
SOURCE
Respirology (2011) 16 SUPPL. 2 (44-46). Date of Publication: November 2011
CONFERENCE NAME
16th Congress of the Asian Pacific Society of Respirology
CONFERENCE LOCATION
Shanghai, China
CONFERENCE DATE
2011-11-03 to 2011-11-06
ISSN
1323-7799
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Introduction: Tobacco related deaths have been projected to increase from
3.0 million in 1990 to 8.4 million in 2020, which will make tobacco the
largest single health problem at this time.1 There are 80-90% of deaths from
chronic obstructive lung disease attributed to tobacco, and smokers have six
times the risk of contracting this disease compared with non-smokers;
similarly, 80-85% of lung cancer deaths are attributed to tobacco use, with
smokers having 10 times the risk compared with non-smokers.2 National and
international responses to the public health problem of tobacco therefore
need to be intensified. Primary care physicians have a vital role to play in
advising patients to stop smoking as most smokers visit their doctor.
Doctors and nurses are expected not only to offer care for their patients
but also to be a model to the advice they offer. Studies have found that the
practices and behaviours of their health-care providers can significantly
influence health-related behaviour of patients. Moreover, studies have shown
that very brief advice from the doctor yields one year quit rates of 5-10%,
and interventions that are more comprehensive, including follow up sessions,
produce abstinence rates of 20-36%.2 Another important way to control
tobacco use is to encourage medical schools to teach about tobacco issues in
the curriculum. It is vital that medical students, the future medical
practitioners, have adequate knowledge of smoking related diseases and
skills in smoking cessation. However, despite this important data citing the
important role of health-care providers in helping smokers to quit, medical
practitioners has not been proactive in providing smoking cessation services
to patients3. Inadequate education, knowledge, attitudes and perceptions of
health-care providers regarding smoking and smoking cessation have been
reported as one of the many factors that may contribute to the ineffective
tobacco treatment interventions. The literature reveals serious deficiencies
in knowledge and counselling skills among medical students, and large gaps
in the medical curriculum with respect to tobacco issues. If future medical
practitioners are to engage actively in advising smokers to quit, it is
vital that they acquire the skills and knowledge base which will allow them
to accomplish this task. Medical students should receive sufficient
knowledge of the determinants of smoking and specific training on how to
help patients to stop smoking, and a tobacco module should be included in
the curriculum of every medical school. Review of Related Literature There
have been many studies conducted around the world to determine the smoking
rates of medical students and their knowledge of smoking related diseases
and intervention strategies. Recognizing the important role of the future
health-care providers in smoking cessation campaign, the Tobacco Prevention
Section of the International Union Against Tuberculosis and Lung Disease
(IUATLD), a committee of representatives from many countries concerned with
tobacco control and prevention, has conducted a series of studies in medical
schools globally. The studies were joint collaborations between the IUATLD,
the World Health Organization (WHO), the American Cancer Society, and the
International Union against Cancer. The surveys were conducted among more
than 9000 students from 51 medical schools in 42 countries. The objectives
were to determine the smoking rates of medical students; to ascertain
medical students' knowledge of smoking as a major cause of disease; and to
determine whether students believed they can counsel patients about smoking.
Additionally, many medical schools have conducted surveys among their
student populations. In these surveys, most of them have the same
conclusions: medical students lacked relevant information about smoking and
health and the effectiveness of cessation methods. In a survey done by
Raupauch et al in a medical school in Germany and in London, smoking-related
mortality was underestimated by students from both study sites. Their data
suggest that smoking medical students greatly overestimated the chances of
reaching old age as a smoker and less than a third of medical students from
both study sites felt competent to counsel smoking patients. This finding
was constant across different stages of medical education. A study done by
Tessier et al on medical schools in Asia also revealed a gross
underestimation of tobacco's causal role in a number of important diseases,
e.g. coronary artery disease, peripheral vascular disease, emphysema,
bladder cancer and neonatal mortality. There were notable defects both in
training and in motivation to counsel smoking patients. Similar survey done
on medical schools in Africa by Tessier et al also yielded same conclusions.
An international study by Crofton and colleagues of smoking among medical
students in 42 countries, which asked the students about their knowledge of
its health consequences and looked at the implications for medical
education, has reported disturbing levels of smoking and widespread
ignorance about diseases caused by smoking. In Europe, nearly one in five
male medical students smokes. In Japan the rate is one in three, with only
just over half of students agreeing that cigarette smoking cause lung
cancer. Smokers generally tell the truth about their smoking, but asking
medical students if they smoke may be like asking theology students if they
blaspheme.9 Many of the self reported rates of smoking among medical
students are likely to be underestimates. Crofton's group has circulated its
findings to the deans of all European medical schools and asked them to take
action. Some will be spurred into reviewing their curriculums. In a review
by Richmond, he found out that as medical students progress through their
course their knowledge of smoking as a major cause of disease increase but,
interestingly, superior knowledge did not lead to a lower rate of smoking,
as students in the latter years generally smoked more than those in the
earlier years. Students seem more likely to begin smoking in medical school
than to give it up, and to increase their cigarette consumption rather than
decrease it, supporting the suggestion that, in medical students, medical
education and knowledge about the harmful effects of smoking have relatively
little impact on smoking. It would seem that the effect of increased
knowledge about smoking does not relate to students' smoking behaviour. Same
results were also seen in a study by Patkar et al in comparing smoking
habits among medical and nursing students. As the students progressed
through their education, little change in smoking habits including plans to
quit were observed during the course of medical and nursing education. It is
this inadequate education about tobacco treatment which hinders healthcare
practitioners to provide effective tobacco treatment interventions to their
patients. Also, it is the smoking behaviour and attitude of these doctors
which hinder them to provide adequate counselling on their patients who
smoke. In an editorial by Chapman, he questioned those general practitioners
and medical students who smoke. The first consideration concerns doctors'
roles and, many would add, responsibilities as exemplars. A recent
Australian study of smokers from low socioeconomic groups found that half of
them agreed with the statement that 'a lot of doctors smoke.' How can
doctors condemn smoking when so many of them do it themselves, and, by
extension, 'Why should I stop smoking when plenty of doctors don't?' 10 The
second consideration is whether smoking by doctors inhibits any of them from
counselling patients about smoking. Despite the enormous publicity given to
the health consequences of smoking and, more recently, the efforts of drug
companies to promote nicotine replacement therapy, the depressing fact
remains that doctors are either blind to their patients' smoking or
unwilling to raise the issue. A recent British study reported that less than
one third of smokers could recall being given advice to stop by their
general practitioner. 10 In Australia just over half of smokers had been
given such advice10 and general practitioners could identify only 62% of
their patients who smoked.10 Hence, Chapman, raised the issue of whether
medical students who smoke should be channelled away from primary care? Many
of the literature support the fact there is an increasing trend of smokers
among that medical students and many of them are underreported. Objectives
Prior to the implementation of a new curriculum regarding tobacco and its
treatment, basic information about smoking among medical students would be
important since their approach and credibility as treatment providers would
be largely influenced by their smoking habits, their attitudes and
perceptions towards smoking. Hence, the authors of this study would like to
investigate the smoking habits of this population using a cross-sectional
approach. The main objective of this study is to describe and assess the
behaviour, knowledge and attitudes of medical students on smoking by means
of a survey. Specifically, the authors of this study would like to:
Investigate the smoking habits of first year medical students enrolled in
UST Faculty of Medicine and Surgery Determine whether smoking habits,
knowledge and attitude of first year medical students will change after a
lecture Methodology Study Design Cross-sectional survey descriptive study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
human
medical student
school
smoking
society
surgery
university
EMTREE MEDICAL INDEX TERMS
abstinence
Africa
Asia
Australia
bladder cancer
cancer mortality
chronic obstructive lung disease
coronary artery disease
counseling
curriculum
death
education
emphysema
Europe
follow up
general practitioner
Germany
health
health behavior
health care personnel
Japan
knowledge base
lung cancer
lung disease
male
mass medium
medical education
medical school
methodology
model
mortality
motivation
neoplasm
newborn mortality
nicotine replacement therapy
non profit organization
nurse
nursing education
nursing student
patient
peripheral vascular disease
physician
population
prevention
primary medical care
public health problem
recall
responsibility
risk
senescence
skill
smoke
smoking
smoking cessation
smoking habit
student
study design
theology
tobacco
tuberculosis
United Kingdom
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1400-1843.2011.02071.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 333
TITLE
Internet addiction among students of the medical university of białystok
AUTHOR NAMES
Krajewska-Kulłak E.
Kułak W.
Marcinkowski J.T.
Damme-Ostapowicz K.V.
Lewko J.
Lankau A.
Łukaszuk C.
Rozwadowska E.
AUTHOR ADDRESSES
(Krajewska-Kulłak E., elzbieta.krajewska@wp.pl; Damme-Ostapowicz K.V.; Lewko
J.; Lankau A.; Łukaszuk C.; Rozwadowska E.) Departments of Integrated
Medical Care, Medical University of Biaystok, 7a M. Curie-Skodowskiej str,
15-096, Biaystok, Poland.
(Kułak W.) Pediatric Rehabilitation, Medical University of Białystok,
Poland.
(Marcinkowski J.T.) Social Medicine, Poznań University of Medical Sciences,
Poland.
CORRESPONDENCE ADDRESS
E. Krajewska-Kulłak, Departments of Integrated Medical Care, Medical
University of Biaystok, 7a M. Curie-Skodowskiej str, 15-096, Biaystok,
Poland. Email: elzbieta.krajewska@wp.pl
SOURCE
CIN - Computers Informatics Nursing (2011) 29:11 (657-661). Date of
Publication: November 2011
ISSN
1538-2931
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
The objective of this research was to assess Internet addiction among
students of the Faculty of Health Prevention at the Medical University of
Białystok. The present study included 358 students-nursing (n = 232),
midwifery (n = 71), and medical rescue (n = 55). The following instruments
were administered to the participants:the Young test, a test of the
intensity of the abstinence syndrome, and a test of "online" addiction.
Students who did not have a computer at home spent 3 hours a day on the
Internet; students who did have a computer at home spent 0.5 to 8hours. On
average, all respondents spent 1.8 ± 1.3 hours daily online. Internet
addiction was confirmed among 24 (10.3%) nursing, 7 (9.9%) midwifery, and
5(9.1%) medical rescue students. The abstinence syndrome was noted among 11
(4.7%) nursing, 7(9.9%) obstetrics, and 7 (12.7%) medical rescue students.
Several students had both an Internet addiction and the abstinence syndrome.
Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Internet
medical student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
male
Poland
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21697708 (http://www.ncbi.nlm.nih.gov/pubmed/21697708)
FULL TEXT LINK
http://dx.doi.org/10.1097/NCN.0b013e318224b34f
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 334
TITLE
Beliefs and attitudes about prescribing opioids among healthcare providers
seeking continuing medical education
AUTHOR NAMES
Hooten W.M.
Bruce B.K.
AUTHOR ADDRESSES
(Hooten W.M.) Department of Anesthesiology, Mayo Clinic College of Medicine,
Rochester, MN, United States.
(Hooten W.M.; Bruce B.K.) Department of Psychiatry and Psychology, Mayo
Clinic College of Medicine, Kochester, MN, United States.
CORRESPONDENCE ADDRESS
W.M. Hooten, Department of Anesthesiology, Mayo Clinic College of Medicine,
Rochester, MN, United States.
SOURCE
Journal of Opioid Management (2011) 7:6 (417-424). Date of Publication:
November-December 2011
ISSN
1551-7489
BOOK PUBLISHER
Weston Medical Publishing, 470 Boston Post Road, Weston, United States.
ABSTRACT
Objective: The purpose of this study was to assess the beliefs and attitudes
of healthcare providers about prescribing opioids for chronic pain. Setting:
The setting was a continuing medical education conference that was
specifically designed to deliver content about chronic pain and prescription
opioids to providers without specialty expertise in pain medicine.
Participants: Conference attendees with prescribing privileges were eligible
to participate, including physicians, physician assistants, and advance
practice nurses. Intervention: Study participants completed a questionnaire
using an electronic response system. Main outcome measures: Study
participants completed a validated questionnaire that u 'as specifically
developed to measure the beliefs and attitudes of healthcare providers about
prescribing opioids for chronic pain. Results: The questionnaire was
completed by 128 healthcare providers. The majority (58 percent) indicated
that they were "likely" to prescribe opioids for chronic pain. A significant
proportion of respondents had favorable beliefs and attitudes toward
improvements in pain (p < 0.001) and quality of life (p < 0.001) attributed
to prescribing opioids. However, a significant proportion had negative
beliefs and attitudes about medication abuse (p < 0.001) and addiction (p <
0.001). Respondents also indicated that prescribing opioids could
significantly increase the complexity of patient care and could unfavorably
impact several administrative aspects of clinical practice. Conclusions: The
beliefs and attitudes identified in this study highlight important
educational gaps that exist among healthcare providers about prescribing
opioids. Knowledge of these educational gaps could build the capacity of
medical educators to develop targeted educational materials that could
improve the opioid prescribing practices of healthcare providers. © 2011
Journal of Opioid Management, All Rights Reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
medical education
EMTREE MEDICAL INDEX TERMS
advanced practice nurse
article
attitude
clinical practice
consensus development
female
health belief
human
male
normal human
opiate addiction
patient care
physician
physician assistant
prescription
quality of life
questionnaire
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2012051346
MEDLINE PMID
22320023 (http://www.ncbi.nlm.nih.gov/pubmed/22320023)
FULL TEXT LINK
http://dx.doi.org/10.5055/jom.2011.0082
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 335
TITLE
Safety and Risks of Nitrous Oxide Labor Analgesia: A Review
AUTHOR NAMES
Rooks J.P.
AUTHOR ADDRESSES
(Rooks J.P., jprooks1@comcast.net) American College of Nurse-Midwives,
Maternity Center Association, United States.
CORRESPONDENCE ADDRESS
J.P. Rooks, 2706 SW English Court, Portland, OR 97201, United States. Email:
jprooks1@comcast.net
SOURCE
Journal of Midwifery and Women's Health (2011) 56:6 (557-565). Date of
Publication: November-December 2011
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd, Suite 1550, Silver
Spring, United States.
ABSTRACT
Introduction: This review of the safety and risks of nitrous oxide (N(2)O)
labor analgesia presents results of a search for evidence of its effects on
labor, the mother, the fetus, the neonate, breastfeeding, and
maternal-infant bonding. Concerns about apoptotic damage to the brains of
immature mammals exposed to high doses of N(2)O during late gestation,
possible cardiovascular risks from hyperhomocysteinemia caused by N(2)O, a
hypothesis that children exposed to N(2)O during birth are more likely to
become addicted to amphetamine drugs as adults, and possible occupational
risks for those who provide care to women using N(2)O/O(2) labor analgesia
are discussed in detail. Methods: Research relevant to the 4 special
concerns and to the effects of N(2)O analgesia on labor and the mother-child
dyad were examined in depth. Three recent reviews of the biologic,
toxicologic, anesthetic, analgesic, and anxiolytic effects of N(2)O; 3
reviews of the safety of 50% N(2)O/oxygen (O(2)) in providing analgesia in a
variety of health care settings; and a 2002 systematic review of N(2)O/O(2)
labor analgesia were used. Results: Nitrous oxide analgesia is safe for
mothers, neonates, and those who care for women during childbirth if the
N(2)O is delivered as a 50% blend with O(2), is self-administered, and good
occupational hygiene is practiced. Because of the strong correlation between
dose and harm from exposure to N(2)O, concerns based on effects of long
exposure to high anesthetic-level doses of N(2)O have only tenuous,
hypothetical pertinence to the safety of N(2)O/O(2) labor analgesia.
Discussion: Nitrous oxide labor analgesia is safe for the mother, fetus, and
neonate and can be made safe for caregivers. It is simple to administer,
does not interfere with the release and function of endogenous oxytocin, and
has no adverse effects on the normal physiology and progress of labor. ©
2011 by the American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nitrous oxide plus oxygen (adverse drug reaction, clinical trial, drug
comparison, drug concentration, drug dose, drug therapy, inhalational drug
administration, pharmacokinetics)
EMTREE DRUG INDEX TERMS
cobalamin
homocysteine
methionine synthase
narcotic analgesic agent
oxygen
pethidine (adverse drug reaction)
remifentanil (adverse drug reaction, clinical trial, drug comparison)
vitamin B group (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
obstetric analgesia
EMTREE MEDICAL INDEX TERMS
allergic rhinitis (side effect)
apnea (side effect)
auditory tube dysfunction (side effect)
brain death
breast feeding education
cardiovascular disease (side effect)
cardiovascular risk
consciousness disorder (side effect)
cyanocobalamin deficiency (drug therapy)
disease association
dizziness (side effect)
dosage schedule comparison
drug blood level
drug dependence
drug effect
drug elimination
drug half life
drug intermittent therapy
drug safety
human
hyperhomocysteinemia
hypoxia (side effect)
intrapartum care
labor pain (drug therapy)
long term exposure
mother child relation
nausea and vomiting (side effect)
neurotoxicity (side effect)
nonhuman
occupational exposure
occupational hazard
personal hygiene
priority journal
review
risk assessment
risk benefit analysis
sedation
side effect (side effect)
sinusitis (side effect)
upper respiratory tract infection (side effect)
vomiting (side effect)
CAS REGISTRY NUMBERS
cobalamin (13408-78-1)
homocysteine (454-28-4, 6027-13-0)
methionine synthase (37290-90-7)
nitrous oxide plus oxygen (54510-89-3)
oxygen (7782-44-7)
pethidine (28097-96-3, 50-13-5, 57-42-1)
remifentanil (132539-07-2)
vitamin B group (12001-76-2)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Anesthesiology (24)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011622682
MEDLINE PMID
22060215 (http://www.ncbi.nlm.nih.gov/pubmed/22060215)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1542-2011.2011.00122.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 336
TITLE
Impact of the implementation of an alcohol withdrawal guideline on patients
with burn injuries.
AUTHOR NAMES
Coffey R.
Kulisek J.
Tanda R.
Chipps E.
AUTHOR ADDRESSES
(Coffey R.) Burn Center, Ohio State University Health System, Columbus, OH
43210, USA.
(Kulisek J.; Tanda R.; Chipps E.)
CORRESPONDENCE ADDRESS
R. Coffey, Burn Center, Ohio State University Health System, Columbus, OH
43210, USA. Email: rebecca.coffey@osumc.edu
SOURCE
Clinical nurse specialist CNS (2011) 25:6 (286-293). Date of Publication:
2011 Nov-Dec
ISSN
1538-9782 (electronic)
ABSTRACT
The purpose of this study was to determine the impact of implementation of
evidence-based alcohol withdrawal syndrome (AWS) guideline using the
Clinical Institute Withdrawal Assessment of Alcohol Scale--Revised scale on
care and outcomes of burn patients with comorbid alcohol use and on
physician and nurse documentation of alcohol screening, education, and
referral. A retrospective medical record review of burn patients (n = 428)
was completed. Data were collected on admissions 1 year before
implementation of the alcohol withdrawal guideline and 1 year after
implementation. Data collection included alcohol use, use of
benzodiazepines, sitter use, restraint use, total body surface area,
inhalation injury, previous alcohol withdrawal, length of stay, and
physician and nurse documentation. A Midwestern academic medical center with
an American Burn Association and the American College of Surgeons verified
burn center. A multidisciplinary team developed evidence-based practice
guidelines for the treatment of AWS. Treatment of AWS was evaluated before
and after implementation of the new guidelines. Burn severity and inhalation
injury were associated with patients at risk for alcohol abuse. There was no
difference in the experience of alcohol withdrawal after guideline
implementation. Documentation in the medical record of alcohol use, abuse,
or previous withdrawal improved after implementation of the guideline.
Screening and treatment of alcohol abuse in the burn patient are still less
than ideal. Greater efforts should be directed at managing alcohol
withdrawal. An advance practice nurse can make an important contribution.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
burn (epidemiology)
practice guideline
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
adult
article
comorbidity
evaluation study
evidence based nursing
female
human
male
medical record
middle aged
nursing
nursing methodology research
retrospective study
treatment outcome
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
22016016 (http://www.ncbi.nlm.nih.gov/pubmed/22016016)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 337
TITLE
Psychosocial problems in childhood and later alcohol consumption: a life
course approach with historical information.
AUTHOR NAMES
Leino J.
Kauhanen L.
Hokkinen L.
Kurl S.
Toriola A.T.
Voutilainen S.
Lynch J.W.
Kauhanen J.
AUTHOR ADDRESSES
(Leino J.) Institute of Public Health and Clinical Nutrition, University of
Eastern Finland, Kuopio, Finland.
(Kauhanen L.; Hokkinen L.; Kurl S.; Toriola A.T.; Voutilainen S.; Lynch
J.W.; Kauhanen J.)
CORRESPONDENCE ADDRESS
J. Leino, Institute of Public Health and Clinical Nutrition, University of
Eastern Finland, Kuopio, Finland. Email: janne.leino@uef.fi
SOURCE
Scandinavian journal of public health (2011) 39:7 (749-756). Date of
Publication: Nov 2011
ISSN
1651-1905 (electronic)
ABSTRACT
Childhood psychosocial problems have been associated with poor alcohol
habits in adulthood. The purpose of this study was to investigate further
the association in men by using information from historical health records.
As part of the epidemiological FinDrink Study, we examined the association
between childhood psychosocial problems and total ethanol consumption, binge
drinking, and abstinence in later life among Finnish men. The participants
were a sample from the Kuopio Ischaemic Heart Disease Risk Factor Study
(KIHD), a population-based cohort study in eastern Finland. The data on
childhood psychosocial factors were collected from health records (n = 952,
35.5% of the entire study sample), mainly from the 1930s to the 1950s.
Questionnaire data on alcohol consumption were obtained from the baseline
examinations of the KIHD cohort in 1984-1989. Controlling for age and
examination year, the men who had been considered psychosocially
disadvantaged by elementary school nurses had a 2.72-fold (95% confidence
interval 1.30-5.65) risk of bingeing on fortified wine in later life. After
adjustment for adulthood behavioural and socioeconomic factors the
association (odds ratio 3.71, 95% confidence interval 1.56-8.84) appeared
even stronger. Childhood psychosocial problems also contributed to
abstinence, but did not appear to increase the total amount of ethanol
consumed. Psychosocial problems observed in boys seem to contribute to
different alcohol habits in later life. However, the factors eventually
involved in the manifestation of problematic drinking patterns through the
life course still require further research.
EMTREE DRUG INDEX TERMS
alcohol (drug administration, drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
social problem
socioeconomics
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcoholism (etiology)
article
child
cohort analysis
Finland
human
male
middle aged
psychological aspect
questionnaire
risk factor
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21948991 (http://www.ncbi.nlm.nih.gov/pubmed/21948991)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 338
TITLE
Unexpected lessons in unexpected places.
AUTHOR NAMES
Charney D.M.
Campbell J.B.
AUTHOR ADDRESSES
(Charney D.M.; Campbell J.B.)
CORRESPONDENCE ADDRESS
D.M. Charney,
SOURCE
Journal of Christian nursing : a quarterly publication of Nurses Christian
Fellowship (2011) 28:4 (226-227). Date of Publication: 2011 Oct-Dec
ISSN
0743-2550
ABSTRACT
A new graduate shares important lessons learned from attending Alcoholics
Anonymous, Narcotics Anonymous, and Overeaters Anonymous meetings as a
nursing student.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholics anonymous
nursing education
nursing student
self help
EMTREE MEDICAL INDEX TERMS
alcoholism
article
human
hyperphagia
methodology
nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21999087 (http://www.ncbi.nlm.nih.gov/pubmed/21999087)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 339
TITLE
An interdisciplinary approach to reducing opioid analgesic misuse in
patients with chronic noncancer pain in the primary care setting
AUTHOR NAMES
Matthews M.L.
Jamison R.N.
Ross E.
Scanlan E.M.
Tishler L.W.
AUTHOR ADDRESSES
(Matthews M.L.) Massachusetts College of Pharmacy and Health Sciences,
Boston, United States.
(Jamison R.N.; Ross E.; Scanlan E.M.) Brigham and Women's Hospital, Pain
Management Center, Chestnut Hill, United States.
(Tishler L.W.) Brigham and Women's Hospital, Phyllis Jen Center for Primary
Care, Boston, United States.
CORRESPONDENCE ADDRESS
M.L. Matthews, Massachusetts College of Pharmacy and Health Sciences,
Boston, United States.
SOURCE
Pharmacotherapy (2011) 31:10 (405e-406e). Date of Publication: October 2011
CONFERENCE NAME
2011 Annual Meeting of the American College of Clinical Pharmacy
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Many health care professionals are reluctant to support the use of
opioid analgesics for patients with chronic noncancer pain because of
concerns regarding adverse effects, lack of efficacy, tolerance, and
addiction. Within the past ten years the prescription of opioids for the
treatment of chronic pain has increased exponentially, primarily for
noncancer pain, and the abuse of such medications is receiving increasing
notice. Chronic pain patients who show aberrant drug-related behavior are
often dismissed from a primary care practice when they are nonadherent with
opioid therapy, instead of being offered interventions to reduce misuse and
to improve adherence. Unfortunately, there are few treatment resources for
such patients. Through the implementation of an interdisciplinary approach
to chronic pain management, we are seeking to remedy that deficit, with the
goal of reducing the rate of prescription opioid misuse among those patients
on or who are being considered for opioid therapy within the primary care
setting. METHODS: An interdisciplinary team of pain specialists consisting
of a physician, clinical pharmacist, psychologist, nurse practitioner, and
psychiatrist will work closely with primary care physicians to implement the
following services and programs: direct clinical support through a weekly
pharmacist-directed chronic pain management clinic embedded within the
primary care center to provide recommendations for therapy and ensure
adherence to an institution-wide opioid use policy; use of an electronic
software program that conducts computerized 'live' interviews of patients
and offers a provider report with a summarized pain assessment; psychiatry
consult service to manage opioid abuse/addiction issues; and monthly
provider educational sessions on pain assessment and management to promote
proper patient selection and risk assessment. RESULTS: This approach to the
use of opioid analgesics will help to improve adherence and reduce misuse
within the primary care setting.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent
EMTREE DRUG INDEX TERMS
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
human
pain
patient
primary medical care
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adverse drug reaction
analgesia
chronic pain
computer program
drug therapy
general practitioner
health care personnel
hospital
interview
medical specialist
nurse practitioner
pain assessment
patient selection
pharmacist
physician
policy
prescription
psychiatrist
psychiatry
psychologist
risk assessment
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 340
TITLE
Do emergency physicians know street drug slang?
AUTHOR NAMES
Burns B.
Stallard T.
Snell J.
Morgan D.
AUTHOR ADDRESSES
(Burns B.; Stallard T.; Snell J.; Morgan D.) University of Oklahoma, School
of Community Medicine, Tulsa, United States.
(Burns B.; Stallard T.; Snell J.; Morgan D.) Texas A and M Health Science
Center, Scott and White Memorial Hospital, Temple, TX, Temple, United
States.
CORRESPONDENCE ADDRESS
B. Burns, University of Oklahoma, School of Community Medicine, Tulsa,
United States.
SOURCE
Annals of Emergency Medicine (2011) 58:4 SUPPL. 1 (S215-S216). Date of
Publication: October 2011
CONFERENCE NAME
American College of Emergency Physicians, ACEP 2011 Research Forum
CONFERENCE LOCATION
San Francisco, CA, United States
CONFERENCE DATE
2011-10-15 to 2011-10-16
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Introduction: People with illicit substance abuse problems are frequent
patients in emergency departments. Generally, these patients are only
familiar with the “street slang” terms of abused substances. This
terminology is usually not familiar to many emergency department (ED)
professionals resulting in significant communication and treatment failures.
However, knowledge of street slang by physician specialtyhas not been
studied and the actual educational needs in this area are not known. Study
Objective: To measure and compare knowledge of street drug terminology among
groups of health care providers. Methods: A 25-question test on street drug
slang given to attending physicians, residents, and medical students. The
residents were in 2 emergency medicine residency programs in contiguous
states. As controls, the test was also given to non-emergency medicine
attending physicians, non-EM residents, fourth-year medical students at 2
medical schools, emergency medicine attending staff at the 2 programs,
pharmacists, and ED nurses. The emergency medicine attendings were compared
to the other groups using 95% confidence limits and the Mann-Whitney rank
sum test. Results: There were 65 attending physicians (17 emergency medicine
and 48 non-EM physicians), 67 residents (34 emergency medicine residents and
31 non-EM residents), 24 medical students, 7 pharmacists, and 17 nurses who
participated. Each group had a mean score of less than 10 correct answers
(40% correct) with a range from 1 to 19 correct. emergency medicine
attending physicians had a mean score of 9.9 (SD = 3.8), emergency medicine
residents scored 8.8 (Standard Deviation =3.9), non-EM physicians scored 5.4
(SD= 3.2), non-EM residents with 5.1 (SD = 2.2), nurses with 4.8 (SD = 2.3),
medical students with 6.63 (SD= 2.7) and the pharmacists scored 8.0 (SD =
4.7). When compared to the other groups, the emergency medicine residents
had a difference with emergency medicine attending of -1.2 (95% CI: -3.5 to
1.2), pharmacists 0.8 (95% CI: -2.8 to 4.4), medical students 2.1 (95% CI:
0.3 to 4.0), non-EM residents 3.6 (95% CI: 2.0 to 5.2), and ED nurses 4.0
(95% CI: 1.9 to 6.0). Only the comparison to medical students (p = .033),
non-EM residents (p<.001), and nurses (p<.001) were statistically
significant. Conclusions: All groups performed poorly on the test. Although
the emergency medicine attendings performed better than all groups, there
are major knowledge deficiencies in this area which may be significant
barriers to excellent Emergency care. Emergency medicine residencies and
continuing medical education activities need to focus on this potential
language and knowledge gap between health care providers and the population
they treat.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
emergency physician
human
EMTREE MEDICAL INDEX TERMS
emergency care
emergency medicine
emergency ward
health care personnel
interpersonal communication
language
medical education
medical school
medical student
nurse
patient
pharmacist
physician
population
rank sum test
substance abuse
treatment failure
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2011.06.140
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 341
TITLE
Impact of a pharmacist sedation program on the medical and surgical
mechanically ventilated patient population in a level II trauma center
AUTHOR NAMES
Lederhouse L.
Bobek M.B.
AUTHOR ADDRESSES
(Lederhouse L.; Bobek M.B.) New Hanover Regional Medical Center, Wilmington,
United States.
CORRESPONDENCE ADDRESS
L. Lederhouse, New Hanover Regional Medical Center, Wilmington, United
States.
SOURCE
Pharmacotherapy (2011) 31:10 (326e). Date of Publication: October 2011
CONFERENCE NAME
2011 Annual Meeting of the American College of Clinical Pharmacy
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: Determine the impact of a pharmacist monitoring sedation program in
the mechanically ventilated patient population in a community hospital
setting. METHODS: This retrospective/prospective study was approved by the
Institutional Review Board. The included population was any medical or
general surgical mechanically ventilated patient receiving continuous
sedatives and/or analgesics. Excluded from this study were neurosurgery
patients, patients on neuromuscular blockers, and those with active
seizures, withdrawal symptoms, evidence of increased intracranial
hemorrhage, or profound neurological deficits. The primary outcome was
length of mechanical ventilation time. Secondary outcomes included total
doses of analgesics/sedatives, documentation of the daily wake up
assessment, length of ICU stay, and adverse effects. In the retrospective
study, data was collected on 50 patients admitted during the months of
January and February 2010, which served as the control group. In the
prospective study, ICU nurses received an in-service on daily wake up
assessments by the pharmacist and also completed an online training module.
The pharmacist then ensured wake up assessments were performed daily and
made recommendations regarding appropriate sedatives and analgesics. The
results of the prospective study were compared with the retrospective study
for the primary outcome. RESULTS: The average length of mechanical
ventilation was reduced from 138.45 hours to 113.0 hours (P=0.6675).
Improvements in secondary outcomes were seen, including amount of wake up
assessments performed correctly increased from 12.5% to 67.8% (P<0.001) and
death rate (14% vs. 36%, P=0.0111). CONCLUSION: While the decrease in
mechanical ventilation time was not statistically significant, there was an
improvement in secondary outcomes, including the amount of wake up
assessments performed correctly and death rate. As a result of the study,
the nursing documentation system was updated to provide further guidance on
the wake up assessment.
EMTREE DRUG INDEX TERMS
analgesic agent
neuromuscular blocking agent
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
emergency health service
human
pharmacist
population
sedation
ventilated patient
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
artificial ventilation
brain hemorrhage
community hospital
control group
documentation
institutional review
monitoring
mortality
neurosurgery
nurse
nursing
patient
prospective study
retrospective study
seizure
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 342
TITLE
Transformative learning through a research practicum for undergraduate
nursing students
AUTHOR NAMES
Kirkpatrick H.
Tweedell D.
Semogas D.
AUTHOR ADDRESSES
(Kirkpatrick H., hkirkpat@stjoes.ca) St. Joseph's Healthcare Hamilton,
Hamilton, ON, Canada.
(Tweedell D.) McMaster University School of Nursing, Hamilton, ON, Canada.
(Semogas D.) Claremont House Wesley Urban Ministries, Hamilton, ON, Canada.
CORRESPONDENCE ADDRESS
H. Kirkpatrick, St. Joseph's Healthcare Hamilton, McMaster University School
of Nursing, West 5th Campus, BF-88, 100 West 5th Street, Hamilton, ON L8N
3K7, Canada. Email: hkirkpat@stjoes.ca
SOURCE
Journal of Nursing Education (2011) 50:10 (595-598). Date of Publication:
October 2011
ISSN
0148-4834
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
In their final year of a Bachelor of Science in Nursing (BScN) program,
students are required to take a research practicum related to clinical
practice in a new or ongoing research project, supervised by nursing
faculty. This course is designed to enhance students' understanding of the
research process. The student's potential role as a research collaborator is
emphasized. Involvement in an interdisciplinary narrative study with
formerly homeless individuals challenged by severe alcohol dependence, in
general poor health and living in a harm reduction environment, transformed
students' values, assumptions, and beliefs. Not only did students gain
confidence in their beginning skills as potential research collaborators,
but they also felt that their future practice would be enhanced by new
perspectives gained by studying a marginalized and stigmatized group, thus
enabling them to appreciate cultural diversity and improve their competence.
© SLACK Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
homelessness
nursing education
nursing research
verbal communication
EMTREE MEDICAL INDEX TERMS
article
Canada
education
human
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21751762 (http://www.ncbi.nlm.nih.gov/pubmed/21751762)
FULL TEXT LINK
http://dx.doi.org/10.3928/01484834-20110715-03
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 343
TITLE
Health-care provider characteristics affecting perceptions of pain and pain
management in the intensive care units: A pilot study
AUTHOR NAMES
Gupte C.
Raju P.
Jackson J.
Studer S.
La Rosa J.
AUTHOR ADDRESSES
(Gupte C.; Raju P.; Jackson J.; Studer S.; La Rosa J.) Newark Beth Israel
Medical Center, Newark, United States.
CORRESPONDENCE ADDRESS
C. Gupte, Newark Beth Israel Medical Center, Newark, United States.
SOURCE
Chest (2011) 140:4 MEETING ABSTRACT. Date of Publication: October 2011
CONFERENCE NAME
CHEST 2011
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2011-10-22 to 2011-10-26
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: Research has shown that adequate treatment for painful disorders
reduces suffering, length of hospital stay and healthcare costs. Although
there is extensive literature regarding patients' experience and reporting
of pain, there is little information on the relationship between the
personal and professional characteristics of healthcare providers and their
perceptions of pain and pain management. We conducted a pilot study of our
Intensive Care Unit(ICU) healthcare staff's perceptions of pain and pain
management. METHODS: This study was initiated in a 670 bed teaching
hospital. We collected demographics and assessed such perceptions utilizing
a 16-item selfadministered, anonymous questionnaire. Surveys were delivered
to 84 providers, including nurses, internal medicine residents, critical
care attending and fellow physicians. The ICU types included medical ICU,
Cardio-thoracic ICU, and Cardiac Care Unit. Survey questions were grouped
into 5 categories: perceptions regarding addiction, impact on hemodynamic
stability, legal issues, patients' expression of pain, and
training/education. We hypothesized that considerable differences in
perceptions of pain and pain management would be associated with
demographics, training and clinical experience. RESULTS: All 84 providers
approached for this study completed and returned the questionnaire.
Regression analyses indicated that the demographic variables significantly
predicted perceptions of hemodynamic stability (p=.020), patient expression
of pain (p=.041), and training/education (p=.032). Furthermore, these
demographic variables accounted for a significant proportion of the
variance: hemodynamic stability (60%), patient expression of pain (56%), and
training/education (56%). Country of birth, race, ethnicity, and religion
significantly predicted perceptions of addiction (p=.048) and accounted for
16% of the variance. CONCLUSIONS: Preliminary results of the study suggest
that demographic characteristics particularly, country of birth, race,
ethnicity and religion, may predict healthcare providers' perceptions of
pain and pain management. A larger study sample is required and ongoing to
confirm these findings. CLINICAL IMPLICATIONS: This investigation suggests
that healthcare workers' demographic characteristics may have a strong
impact on how they interpret and treat patients' pain. Results of this and
future studies could have strong implications for identifying these
variations in and optimizing approaches to pain management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
health care personnel
intensive care unit
pain
pilot study
EMTREE MEDICAL INDEX TERMS
addiction
demography
diseases
ethnicity
health care
health care cost
hospitalization
human
intensive care
internal medicine
nurse
patient
physician
questionnaire
regression analysis
religion
teaching hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.1117059
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 344
TITLE
Evaluation of medication reconciliation for inpatients with uncontrolled
diabetes: Preimplementation study
AUTHOR NAMES
Hope C.A.
AUTHOR ADDRESSES
(Hope C.A.) Norwegian American Hospital, Chicago, United States.
CORRESPONDENCE ADDRESS
C.A. Hope, Norwegian American Hospital, Chicago, United States.
SOURCE
Pharmacotherapy (2011) 31:10 (387e). Date of Publication: October 2011
CONFERENCE NAME
2011 Annual Meeting of the American College of Clinical Pharmacy
CONFERENCE LOCATION
Pittsburgh, PA, United States
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc.
ABSTRACT
PURPOSE: To evaluate accuracy of medication reconciliation of the diabetic
regimens of patient admitted to adult medical-surgical nursing units. To
identify drug-related problems associated with the regimen and potential for
advancing patient's therapeutic regimen to goal (for example: titrating to
max doses of oral therapy and/or initiating home insulin regimen). METHODS:
A retrospective chart review over a three month period was performed. Adult
patients admitted to a medical-surgical nursing with a documented Hemoglobin
A1C > 9 were classified as having uncontrolled diabetes and charts were
selected for review. Admission Medication Reconciliation forms were reviewed
and patient's home diabetes therapeutic regimens were documented and
reviewed for potential drug related problems and opportunities to adjust
their therapeutic regimen to achieve target A1C levels. Data collected from
this study will be used as baseline data prior to implementation of a
multi-disciplinary Diabetes Care Team. RESULTS: A total of 34 medical charts
were reviewed. Three (3) charts did not have discharge medication
reconciliation forms and could not be utilized. Twenty-six (26) % (8/31) of
the patient diabetes regimens reviewed revealed that there was no change in
their regimen while admitted as an inpatient. Twelve (39%) did reveal a
change in the patients drug regimen; such changes included increasing the
insulin dosages or changing from a mixed-insulin to a basal-bolus insulin
regimen. A little over 1/3 of the patients did not know their diabetes
medication regimen or did had no medications documented on their medication
reconciliation form. The average A1C of the study group was 11.3 (9.3-14).
CONCLUSION: There are several opportunities for clinical pharmacist to get
involved to improve patient outcomes for this patient population. There were
two that could have the most impact on improving quality of care include: 1)
Participating in obtaining medication histories for these patients on
admission. 2) Providing therapeutic recommendations to physicians to advance
drug therapy to maximize A1C lowering.
EMTREE DRUG INDEX TERMS
hemoglobin
insulin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
college
diabetes mellitus
hospital patient
medication therapy management
EMTREE MEDICAL INDEX TERMS
adult
drug therapy
human
medical record review
nursing unit
patient
pharmacist
physician
population
surgical nursing
therapy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 345
TITLE
Drug-related problems in hospitalised children in the United Kingdom and
Saudi Arabia
AUTHOR NAMES
Rashed A.N.
Neubert A.
Tomlin S.
Jackman J.
Alhamdan H.
Shaikh A.
Attar A.
Aseeri M.
Wong I.C.
AUTHOR ADDRESSES
(Rashed A.N.; Neubert A.; Wong I.C.) Centre for Paediatric Pharmacy
Research, School of Pharmacy, University of London, London, United Kingdom.
(Neubert A.) Department of Paediatric and Adolescent Medicine, FAU
Erlangen-Nuremberg, Erlangen, Germany.
(Tomlin S.; Jackman J.) Evelina Children's Hospital, Guy's and St Thomas'
NHS Foundation Trust, London, United Kingdom.
(Alhamdan H.; Shaikh A.; Attar A.; Aseeri M.) Kind Abdul-Aziz Medical
City-Jeddah, National Guard Health Affairs, Jeddah, Saudi Arabia.
(Wong I.C.) Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of
Medicine, University of Hong Kong, Hong Kong.
CORRESPONDENCE ADDRESS
A.N. Rashed, Centre for Paediatric Pharmacy Research, School of Pharmacy,
University of London, London, United Kingdom.
SOURCE
Drug Safety (2011) 34:10 (983). Date of Publication: October 2011
CONFERENCE NAME
11th ISoP Annual Meeting 'Next Stop: Istanbul - Bridging the Continents!'
CONFERENCE LOCATION
Istanbul, Turkey
CONFERENCE DATE
2011-10-26 to 2011-10-28
ISSN
0114-5916
BOOK PUBLISHER
Springer International Publishing
ABSTRACT
Background: Drug-related problem (DRP) is “an event or circumstance
involving drug therapy that actually or potentially interferes with the
desired health outcome”. The extent and characteristics of DRPs in children
in the UK and Saudi Arabia (KSA) is unknown. Aim: Our aim was to identify
the incidence and characteristics of DRPs in children attending A&E/admitted
to a hospital in the two countries. Methods: A prospective cohort study in
children aged 0-18 years admitted to the medical ward, paediatric intensive
care unit (PICU), and neonatal intensive care unit (NICU) or attending A&E
during a threemonth period in two hospitals were carried out. Data were
collected on a form adapted from the Pharmaceutical Care Network in Europe
(PCNE) DRP-Registration Form V5.01. Patients' charts, medical records and
laboratory data were reviewed daily to identify DRPs; their preventability
and severity were assessed. Results: 990 children [median 3 years, IQR; 10
months - 8 years, 58.6% male] were included. 388 patients suffered from 546
DRPs. Overall DRP incidence was 39.2% (95% CI, 36.1, 42.3) being higher in
KSA than in the UK (44.8% vs 33.3%, p< 0.001). Incidence was found to be
highest in PICU (59.7%; 95% CI, 47.0, 71.5). Dosing problems were the most
frequently reportedDRPs (n= 303, 55.5%), followed by drug choice problems (n
= 91, 16.7%). 80.0% of DRP cases were preventable; 71.4% (n = 390) DRPs were
assessed as minor and 27.8%(n = 152) as moderate. 295 (54.0%) were totally
resolved, of which 220 (74.6%) were resolved by pharmacists. Conclusions:
DRPs are a significant problem in the paediatric population in the UK and
KSA, the majority of which are preventable. Increased focus on paediatric
pharmacology and pharmacotherapy within paediatric medical and nursing
education is an important step in improving prescribing practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospitalized child
human
Saudi Arabia
Turkey (republic)
United Kingdom
EMTREE MEDICAL INDEX TERMS
child
cohort analysis
drug choice
drug therapy
Europe
health
hospital
intensive care unit
laboratory
male
medical record
newborn intensive care
nursing education
patient
pharmaceutical care
pharmacist
pharmacology
population
registration
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 346
TITLE
The anemia of elderly in the twenty-first century
AUTHOR NAMES
Cappellini M.D.
Motta I.
Migone D.E.
Amicis M.
AUTHOR ADDRESSES
(Cappellini M.D.; Motta I.; Migone D.E.; Amicis M.) Dipartimento di Medicina
Interna, Fondazione IRCCS Ca Granda Policlinico, Università di Milano,
Italy.
CORRESPONDENCE ADDRESS
M.D. Cappellini, Dipartimento di Medicina Interna, Fondazione IRCCS Ca
Granda Policlinico, Università di Milano, Italy.
SOURCE
Haematologica (2011) 96 SUPPL. 3 (223-224). Date of Publication: 1 Oct 2011
CONFERENCE NAME
43 Congress of the Italian Society of Hematology
CONFERENCE LOCATION
Napoli, Italy
CONFERENCE DATE
2011-10-16 to 2011-10-19
ISSN
0390-6078
BOOK PUBLISHER
Ferrata Storti Foundation
ABSTRACT
The number of elderly individuals is expected to increase significantly in
the XXI century all over the world. The Italian population is getting older
with a rate among the highest in Europe. In Italy the hope of living is
minimum 75 years for men and 81.3 years for women (in 1950 these figures
were 57 and 62). In 2025 there will be 6.9 millions of young people (under
20) and 17.7 millions of elderly people over 65; fifthy years back it was
the opposite (Source: ISTAT 2010).Generally speaking by 2050 the number of
people in EU aged 65 and above is expected to grow by 70% and the number of
people aged over 80 by 170%. This raises important challenges for the 21st
century: meet the higher demand for healthcare; adapt health system to the
needs of an ageing population while keeping them substainable in societies
with smaller workforce. One of the key challenge for EU is to promote
healthy and active ageing for European citizens (EIPAHA: European Innovation
Partnership on Active and Healthy Ageing, July 2011) Anemia of any degree is
recognized as a significant independent contributor to morbidity, mortality
and frailty in elderly patients1. The incidence of anemia in men and women
older than 65 years was reported 11% and 10% respectively from the Third
National Health and Nutrition Examination Study (NHANES III).The study
highlighted that even when “mild” anemia is present, it either causes and/or
is associated with both significant functional impairment and, perhaps,
increased patient mortality2. Although the prevalence of anemia (using the
World Health Organization (WHO) definition of anemia) is greater in women
than men before the age of 75 yrs, by age 75 the prevalence is similar in
both sexes even higher in men. Furthermore the NHANES III showed a
significant difference in the prevalence of anemia among ethnic groups, with
elderly non-Hispanic black having a prevalence of anemia of 27.8% versus 9%
in elderly non-Hispanic white2. These observations prompted Beutler and
West3 in 2005 to re-evaluate the stated normal range for hemoglobin,
hematocrit and mean corpuscular volume in African-American individuals.
Moreover the prevalence of anemia varies quite significantly according to
the settings where elderly persons live and are cared. (Table 1). Several
studies have shown decreased physical performance and strength in elderly
anemic patients. To remain in Italy, the in CHIANTI study conducted in the
Chianti areas, found a significant reduced knee extensor and hand grip
strength among anemic residents compared with their non-anemic peers aged 65
to 102 4 Anemia in the elderly: Causes Although anemia has often been
considered a normal consequence of aging due to impaired erythropoietin
(EPO) responsiveness of the hemopoietic stem cell, three major causes have
been recognized for anemia in elderly:1) blood loss/nutritional deficiences,
2) chronic illness/inflammation or chronic renal failure and 3) unexplained
anemias. The 3 causes are nearly equal in frequency. 1. Among the
nutritional deficiences, Vit B12 deficency is common in elderly but only
rarely causes megaloblastic anemia. Low levels of B12 occur in 10% to 15% of
the elderly but it is estimated that only 1%-2% of the elderly are anemic
due to vitamin B12 deficiency. Folate deficiency varies in different
populations and settings: elderly residents in nursing homes often receive
nutritional supplements, thus megaloblastic anemias due to folate deficiency
appear to be rare: when they occur are often related to alcohol abuse. Iron
deficiency anemia of different origin mainly nutritional is frequent in
petients over 75. 2. The high frequency of chronic comorbidities in elderly
patients (Cardiovascular diseases, diabetes, renal insufficiency, cancer
ecc) responsible for a chronic proinflammatory state, contributes to the
pathophysiology of one-third of anemias in subjects over 65. The
inflammatory response in the elderly is often aberrant, prolonged, even
after the initial inflammatory stimuli have resolved. There is strong
evidence that many markers of inflammation, including tumor necrosis
factor-alpha (TNF-alpha) and interleukin (IL)-6 are increased in the elderly
population, regardless the health status5. Recently, the pathophysiology of
anemia of inflammation most commonly seen in chronic diseases has been
elucidated by the discovery of hepcidin, a key regulator of iron metabolism.
Hepcidin inhibits intestinal iron absorption and blocks the release of iron
from macrophages. Hepcidin is an acute phase reactant potentially induced by
IL-6 and it is partially responsible for the iron-limited erythropoiesis in
patients with acute and chronic inflammatory status.6 A recent analysis of a
subgroup of participants in the inCHIANTI study, surprisingly showed no
association between hepcidin levels and anemia in elderly although IL-6 and
Creactive protein were elevated. This observation do supports a recent
hypothesis that anemia especially in elderly may be mediated through
hepcidin-indipendent proinflammatory pathways such as TNFalpha7. 3.
Approximately 34% of anemia in elderly patients is “unexplained” and its
pathophisyology is still poorly understood. The diagnosis is mainly by
exclusion. Vanasse7 postulate that overexpression of proinflammatory
cytokines is an important determinant of unexplained anemia in elderly
patients, and that they induce anemia by suppression of erythroid colony
formation on one hand and impairment of iron utilization on the other. It
has been shown that EPO production increases with age in healthy, non-anemic
elderly as compensatory mechanism to maintain normal erythrocyte production.
The sensing mechanism hypoxia/erythropoietin may become deficient with age
requiring higher levels of EPO in elderly. Patients with anemia had a lower
slope of rise, suggesting that anemia reflected a failure of a normal
compensatory rise in EPO levels with age. Stem cell physiology also changes
with age. The bone marrow cellularity declines with age and whether this is
due predominantly to an absolute decrease in stem cells and/or altered stem
cell functional characteristics remains to be determined8. Furthermore it is
well known that myelodysplasia (MDS) increases with age, thus occult MDS may
be an important cause of “unexplained” anemias in the elderly. Other
additional factors deserve to be taken into account when considering
unexplained anemia in advanced age such as changes in estrogen or
testosterone levels, propensity for polypharmaceutical usage, alcohol abuse,
careful enumeration of all significant medical conditions that may
contribute to development of anemia. Anemia in the elderly: population based
study Tettamanti et al. recently conducted a population-based observational
study of all elderly resident in the municipality of Biella a town with a
population of about 46,000 inhabitants. The study was specifically aimed at
investigating the epidemiology of mild anemia in an unselected population of
elderly. Findings from this large survey indicate that more than one out of
ten elderly persons are anemic and that most of the cases are of mild grade.
The prevalence of mild anemia steadly increase with increasing age,
affecting more than two out of ten people over 80 years old.9 The prevalence
of anemia was 13.2% overall, 12,6% in women and 14.1% in men, similar to
that reported in other population-based study. In subjects over 85 years the
prevalence reached 31.3%. According to recent estimates, the worldwide
prevalence of anemia is 23.9%. Few data are available on mild anemia. In the
Tettamanti study, mild grade anemia accounted for approximately 84% of the
cases: the majority of the subjects were unaware of being anemic. This
confirms that mild anemia in the elderly is often undiagnosed or disregarded
leading progressively to moderatesevere anemias that could compromise the
subject health status. Anemia among hospitalized elderly In a prospective
evaluation of 276 patients admitted in a period of 6 months to an Internal
Medicine Unit, it was shown that 78% were over 65, and among those 48% were
anemic although anemia was not the cause of admission (personal
data).Patients admitted with onco-hemalogical conditions were excluded. The
anemia was mild (10.1 + 1.4 g/dl) and in 36% of the cases was due to
nutritional deficiency (iron deficiency without loss, or Vit B12). In 10% of
the patients a combined iron, Vit.B12 and folic acid deficiency was
observed. 27% of the anemic patients had anemia associated to chronic
diseases and/or inflammation and for the remaining 27% the anemia remained
“unexplained”. The presence of anemia impacted significantly on the length
of hospitalization. (Fig 1). These data, although in a selected population
reflects the prevalence reported in several studies. Conclusions Anemia is a
significant problem in elderly patients, it affects some 164 million elderly
people worldwide, representing a public health problem. Although many anemic
elderly can be diagnosed with nutritional deficiency, the etiology of anemia
in a significant fraction remains obscure. A better understanding of the
causes of haemoglobin decline with age and ,in particular of unexplained
anemia, should provide critical pathophysiological entry points, and would
represent an important progress for effective strategies of anemia control
that will improve survival and quality of life in the aging population.
EMTREE DRUG INDEX TERMS
acute phase protein
C reactive protein
cyanocobalamin
cytokine
erythropoietin
estrogen
hemoglobin
hepcidin
interleukin 6
iron
marker
testosterone
tumor necrosis factor alpha
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
anemia
hematology
human
society
EMTREE MEDICAL INDEX TERMS
African American
aging
alcohol abuse
blood
bone marrow
cardiac resynchronization therapy device
cardiovascular disease
cell function
chronic disease
chronic kidney failure
city
colony formation
diabetes mellitus
diagnosis
epidemiology
erythropoiesis
ethnic group
etiology
Europe
Even (people)
examination
female
folic acid deficiency
functional disease
grip strength
hand grip
health
health care
health status
hematocrit
hematopoietic stem cell
Hispanic
hope
hospitalization
hypothesis
inflammation
internal medicine
iron absorption
iron deficiency
iron deficiency anemia
iron metabolism
Italy
kidney failure
knee
macrophage
male
mean corpuscular volume
megaloblastic anemia
morbidity
mortality
myelodysplastic syndrome
neoplasm
nursing home
nutrition
nutritional deficiency
observational study
organization
pathophysiology
patient
physical performance
population
prevalence
public health
public health problem
quality of life
speech
stem cell
stimulus
survival
world health organization
X ray bone densitometer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 347
TITLE
Factors associated with alcoholic behaviour in university nurse students
AUTHOR NAMES
Nakhli J.
Hassini R.
Ben Nasr S.
Ben Hadj Ali B.
AUTHOR ADDRESSES
(Nakhli J.; Hassini R.; Ben Nasr S.; Ben Hadj Ali B.) Farhat Hached
University Hospital, Department of Psychiatry, Sousse, Tunisia.
CORRESPONDENCE ADDRESS
J. Nakhli, Farhat Hached University Hospital, Department of Psychiatry,
Sousse, Tunisia.
SOURCE
European Neuropsychopharmacology (2011) 21 SUPPL. 3 (S566). Date of
Publication: September 2011
CONFERENCE NAME
24th Congress of the European College of Neuropsychopharmacology, ECNP 2011
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2011-09-03 to 2011-09-07
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: Alcoholic behavior is common among young students, with the
prevalence of alcohol consumption in university young students reported to
be between 50% and 80% [1,2,3]. This behaviour leads to university fall-out,
depression and suicide. Studies of alcohol behavior in students in Arabic
countries, especially in Tunisia, are rare. Objective: The aim of this study
is to determine the prevalence of alcohol consumption in university nurse
students in Sousse (Tunisia) and to evaluate factors associated with
alcoholic behavior. Methodology: This was a longitudinal study held in the
nurse institute in Sousse (Tunisia), between February and April 2010. 266
university students participated in this study (participation rate 88.7%).
Sociodemographic and clinical characteristics of this group were
investigated, and the Alcohol Use Disorders Identification Test (AUDIT) was
applied. AUDIT, an instrument frequently used in international studies,
evaluates alcohol behavior in the last 12 months. Subjects with an AUDIT
score above 13 are alcohol dependent. Statistical analysis was performed
using SPSS 10.0. Results: The group mean age was 21.2±1.5 years; gender
ratio (male/female) was 1.33. The majority of students were single (97%),
and 71.4% lived with their families. Psychiatric and medical family history
was found, respectively, in 3.4% and 4.9% of subjects. 2.3% and 4.5% of
students had a history of depressive and anxiety disorders. The mean AUDIT
score was 3.5±2.7. 70% of students had no alcohol consumption in the last 12
months, 18% drank alcohol at least once a month, and 11.7% were alcohol
dependent. Associated factors statistically correlated with high alcohol
consumption were age (r = 0.13; p = 0.026), male gender (p < 10(-3)),
university repeating (p = 0.029) and history of personal depressive
disorders (p < 10(-3)). Conclusion: 30% of university nurse students had
alcohol consumption in the last 12 months. A third of them have alcohol
dependence. Factors associated with high alcohol consumption were age, male
gender, university repeating and a history of personal depressive disorders.
These factors must be taken into consideration in screening alcoholic
behavior.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
college
nursing student
psychopharmacology
university
EMTREE MEDICAL INDEX TERMS
alcohol consumption
anxiety disorder
depression
fallout
family history
gender
longitudinal study
male
methodology
nurse
prevalence
screening
statistical analysis
student
suicide
Tunisia
university student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(11)70924-5
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 348
TITLE
Treatment adherence in schizophrenia using risperidone long-acting
injectable: As early as possible, as long as possible
AUTHOR NAMES
Viala A.
Boulicot V.
Merlot A.
Pinede D.
Vacheron M.N.
AUTHOR ADDRESSES
(Viala A.; Boulicot V.; Merlot A.; Pinede D.; Vacheron M.N.) Centre
Hospitalier Sainte-Anne, Paris Cedex 14, France.
CORRESPONDENCE ADDRESS
A. Viala, Centre Hospitalier Sainte-Anne, Paris Cedex 14, France.
SOURCE
European Neuropsychopharmacology (2011) 21 SUPPL. 3 (S516-S517). Date of
Publication: September 2011
CONFERENCE NAME
24th Congress of the European College of Neuropsychopharmacology, ECNP 2011
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2011-09-03 to 2011-09-07
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction: Relapses and rehospitalisations, but also cognitive symptoms,
social, familial and professional desinsertion, worsen the prognosis of
patients with schizophrenia. Treatment with long-acting antipsychotics,
which encourage adherence, can avoid the risk of interruption of treatment,
which is the main cause of relapse and rehospitalisation. This type of
treatment, used as early as possible, and as long as possible, could improve
the long-term prognosis. Method: The evaluation was carried out within the
framework of a naturalistic study of 120 patients treated with Risperidone
RLAI (Risperidone Long Acting Injectable) which was currently the only
atypical long-acting injectable antipsychotic available at that time in
France, associated with rehabilitation methods and followed for at least 18
months: 25 patients were hospitalised for the first time (and therefore
younger in age and illness duration), 19 were treated without
discontinuation for more than 5 years. The aim of our study is to
investigate the evolution of the illness, notably the number and duration of
rehospitalisations, but also the possibility of familial and
socio-professional reintegration. Clinical observation was assessed using
Clinical Global Impression scale (CGI) representative of clinical
improvement, and Global Assessment of Functionning (GAF) representative of
functional improvement, whose results are statistically significant.
Results: Among the 25 schizophrenic patients hospitalised for the first time
(14 men, 11 women; mean age 30.08±7.54 years; duration of illness 6.84±5.45
years; diagnosis: essentially paranoid schizophrenia) treated for the first
time with Risperidone RLAI, only 4 of them relapsed, and only once; 19 could
live in their own home, 11 could restart work and 3 could restart studies.
Treating as early as possible, from the first episode if possible, can
reduce relapse, and number and duration of hospitalisation (and therefore
direct and indirect cost), but also cognitive symptoms, illness worsening
and suicide attempts, and thus improve the prognosis. Among the 19
schizophrenic patients treated without discontinuation for at least 5 years
(15 men, 4 women; mean age 36.8±6.6 years; duration of illness 11.14±9.18
years; diagnosis: essentially paranoid schizophrenia, 7 of them suffered of
addictions) the number and duration of rehospitalisation decreased (mean
duration 12 days instead of 29 days); most of them could live independently,
improved their quality of life and possibility of familial, social and
professional reinsertion. Treating as long as possible (maintenance
treatment adapted for each patient) can provide for faster and longer
lasting recovery, reduce recurrence of the symptomatology, and prevent
sequelae. Conclusion: Initial therapeutic treatment should be maintained in
the long-term treatment of schizophrenia, using interactive,
interdisciplinary follow-up, corresponding with psychosocial biological
continuum, in order to progress from compliance to adherence: speaking with
family and caregivers, information about the illness and its treatment,
psychoeducation, bimonthly injection combined with nurse and psychiatrist
assessment, telephone call and home visit when patient is late,
reintegration program (housing, work, studies) may improve adherence and
outcomes in these patients. An additional pertinent function is motivational
enhancement fostering compliance and active participation in schizophrenia
treatment plans for both patients and caregivers.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
risperidone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
psychopharmacology
schizophrenia
EMTREE MEDICAL INDEX TERMS
addiction
caregiver
Clinical Global Impression scale
clinical observation
cognition
diagnosis
female
follow up
France
general aspects of disease
housing
human
injection
long term care
maintenance therapy
male
nurse
paranoid schizophrenia
patient
professional practice
prognosis
psychiatrist
psychoeducation
quality of life
rehabilitation
relapse
risk
speech
suicide attempt
symptomatology
telephone
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(11)70840-9
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 349
TITLE
Crisis intervention: A retrospective study of 493 patients
AUTHOR NAMES
Sentissi O.
Bartolomei J.
Baeriswyl-Cottin R.
Neu D.
Rey-Bellet P.
AUTHOR ADDRESSES
(Sentissi O.; Bartolomei J.; Baeriswyl-Cottin R.; Rey-Bellet P.) University
of Geneva Hospital, Psychiatrie g éné rale, Geneva, Switzerland.
(Neu D.) Free University of Brussels, CHU Brugmann, Brussels, Belgium.
CORRESPONDENCE ADDRESS
O. Sentissi, University of Geneva Hospital, Psychiatrie g éné rale, Geneva,
Switzerland.
SOURCE
European Neuropsychopharmacology (2011) 21 SUPPL. 3 (S617-S618). Date of
Publication: September 2011
CONFERENCE NAME
24th Congress of the European College of Neuropsychopharmacology, ECNP 2011
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2011-09-03 to 2011-09-07
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Background: Brief therapy centers (BTCs) are ambulatory mental health units
based on an open psychodynamic model of crisis setting [1]. One of their
main purposes is to provide mentally ill patients with a viable alternative
to hospitalization. These centers can provide unstable patients with 24-hour
crisis interventions; they use a multidimensional approach based on
individual and familial psychotherapeutic interventions and can provide
pharmacological treatments and structured social settings as well as
temporary accommodation (1 to 7 nights). BTCs should be easy to access and
were conceptualized to provide therapeutic services in less than 24 hours.
The typical length of a crisis intervention program is 4 to 6 weeks and does
not include any home intervention. Method: We conducted a pilot study with a
retrospective design of 493 patients admitted to a BTC in Geneva during 2006
in order to identify clinical and demographic variables. Results: Among the
493 patients, only 65.5% of them were admitted to the crisis intervention
program, while 25.5% received nurse support without medical intervention and
spent one or more nights in the center. 9% did not accept any care. These
two groups are described in a previously published article [2]. The 323
patients who were admitted to the crisis intervention program, 163 patients
were admitted a single time, while the remaining 160 were readmitted at
least twice in the BTC. We did not find differences in age or sex ratio
between these 2 groups or differences in the number of days of treatment.
However, we did identify significant differences in their marital status:
55.8% of single admission patients were married, whereas 43.8% of revolving
door patients were married (F((1,321)) = 5.8; P < 0.05). Moreover, compared
to patients who relapsed, single admission patients had a higher
socio-educational level (20.2% vs. 10.6%, respectively) and more stable
working conditions (44.8% vs. 30.6%, respectively); P < 0.05. We found that
the majority of single admission patients treated in the crisis intervention
program in 2006 suffered from unipolar affective disorder that was sometimes
associated with a significant impact on social function (72.4%), while the
diagnosis of bipolar disorders and borderline personality disorders was
significantly more common in the group of recurrent patients (19.4%, 24.4%
vs. 9.2%, 9.8% respectively for the group admitted once; P < 0.01).
Diagnoses of anxiety disorders or addictions were comparable in both
populations. Only 5.9% of the whole population had been hospitalized from
the BTC, with no difference between the two groups. Conclusion: The present
study supports the development of ambulatory mental health services. These
services introduce the most effective interventions to the appropriate
populations despite revolving door admission. Our findings must be
considered to be preliminary results and require confirmation by prospective
and controlled studies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
crisis intervention
human
patient
psychopharmacology
retrospective study
EMTREE MEDICAL INDEX TERMS
accommodation
addiction
anxiety disorder
bipolar disorder
borderline state
controlled study
diagnosis
drug therapy
hospitalization
marriage
mental disease
mental health center
mental health service
model
mood disorder
night
nurse
pilot study
population
sex ratio
social status
therapy
work environment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(11)71010-0
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 350
TITLE
Hepatitis C virus infection in USA: An estimate of true prevalence
AUTHOR NAMES
Chak E.
Talal A.H.
Sherman K.E.
Schiff E.R.
Saab S.
AUTHOR ADDRESSES
(Chak E.) Department of Medicine, UCLA-Olive View Medical Center, University
of California at Los Angeles, Sylmar, CA, United States.
(Talal A.H.) Division of Gastroenterology and Hepatology and Center for the
Study of Hepatitis C, Department of Medicine, Weill Cornell Medical College,
Cornell University, New York, NY, United States.
(Sherman K.E.) Department of Medicine, University of Cincinnati College of
Medicine, Cincinnati, OH, United States.
(Schiff E.R.) Department of Medicine, University of Miami School of
Medicine, Miami, FL, United States.
(Saab S., ssaab@mednet.ucla.edu) Department of Medicine and Surgery, David
Geffen School of Medicine, University of California at Los Angeles, Los
Angeles, CA, United States.
CORRESPONDENCE ADDRESS
S. Saab, UCLA Pfleger Liver Institute, 200 Medical Plaza, Suite 214, Los
Angeles, CA 90095, United States. Email: ssaab@mednet.ucla.edu
SOURCE
Liver International (2011) 31:8 (1090-1101). Date of Publication: September
2011
ISSN
1478-3223
1478-3231 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The recent National Health and Nutrition Examination Survey (NHANES) sampled
only the civilian, non-institutionalized population of USA and may have
underestimated the prevalence of hepatitis C virus (HCV) in this country. We
searched the database MEDLINE, the Bureau of Justice Statistics, Center for
Medicare and Medicaid and individual states Department of Corrections for
all epidemiological studies regarding the prevalence of HCV in populations
not sampled by the NHANES survey namely the incarcerated, homeless, nursing
home residents, hospitalized and those on active military duty. Because of
their relatively low frequency in the NHANES sample, we also expanded our
search to include healthcare workers and long-term dialysis patients.
Although included in the NHANES sample, we also performed searches on drug
users (injection and non-injection) and veterans to confirm the findings of
the NHANES study. Based on the prevalence of studies identified meeting our
inclusion criteria, our most conservative estimates state that there at
least 142761 homeless persons, 372754 incarcerated persons and 6805 persons
on active military duty unaccounted for in the NHANES survey. While the
NHANES estimates of drug users (both injection and non-injection) appear to
be reasonable, the survey seems to have underestimated the number of
HCV-positive veterans. Our most conservative estimates suggest that there
are at least 5.2 million persons living with HCV in USA today, approximately
1.9 million of whom were unaccounted for in the NHANES survey. © 2011 John
Wiley & Sons A/S.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis C (epidemiology)
EMTREE MEDICAL INDEX TERMS
health care personnel
health survey
hemodialysis
hemophilia
Hepatitis C virus
high risk population
homelessness
hospitalization
human
intravenous drug abuse
medicaid
medicare
Medline
nursing home personnel
prison
recipient
review
seroprevalence
systematic review
United States
veteran
virus transmission
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011434242
MEDLINE PMID
21745274 (http://www.ncbi.nlm.nih.gov/pubmed/21745274)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1478-3231.2011.02494.x
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 351
TITLE
Optimization of pharmacological prescription in Benquerencia nursing home,
Toledo (Spain)
AUTHOR NAMES
Cruz Santaella A.M.
Rodriguez Jimenez E.
Cifuentes Caceres R.
Diez R.
Martinez Camacho M.
AUTHOR ADDRESSES
(Cruz Santaella A.M.; Rodriguez Jimenez E.; Cifuentes Caceres R.; Diez R.;
Martinez Camacho M.) Toledo, Spain.
CORRESPONDENCE ADDRESS
A.M. Cruz Santaella, Toledo, Spain.
SOURCE
European Geriatric Medicine (2011) 2 SUPPL. 1 (S170). Date of Publication:
September 2011
CONFERENCE NAME
7th Congress of the EUGMS
CONFERENCE LOCATION
Malaga, Spain
CONFERENCE DATE
2011-09-28 to 2011-09-30
ISSN
1878-7649
BOOK PUBLISHER
Elsevier
ABSTRACT
Introduction.- The intervention is being carried out in a nursing home with
120 permanent residents. The population is characterized by its complexity,
showing a high prevalence of chronic pathology, pluripathology, advanced
functional impairment and a high incidence of cognitive impairment linked to
cognitive and behavioural symptoms, involving the use of large number of
drugs (risk of polypharmacy), and thus increasing the risk of drug related
problems (DRPs). Aim.- To implement optimization measures in the
prescription and follow-up of therapeutic regimes in the elderly
institutionalized patient, as an improvement tool for the quality of care
and the integral care. Patient and methods.- A total of 30.8% of
prescriptions were reviewed during 6 months in interdisciplinary meetings
between pharmacists and doctors. Firstly, we applied a general filter based
on pharmaceutical care criteria to detect DRPs, and then we suggested
interventions. Secondly, we assessed potentially inappropriate drug
prescriptions using STOPP/START criteria. Thirdly, prescriptions were fitted
to the pharmacotherapeutic guide of reference in our field. These data were
compiled in four database tables (DRPs Table, DRPs Intervention Table, START
Table, STOPP Table). And lastly, we drew up individual documents of
treatment according to each patient's features. Results.- An analysis of 37
cases showed an average use of 8 drugs. We detected 25 DRPs, with the
inappropriate drug use (52%) being the most common. A total of 32
interventions on DRPs were performed; the most frequent of them was that
aimed to stop the use of inappropriate drugs (46.87%). Regarding the use of
STOPP/ START criteria, we developed 21 interventions (80.95% aimed to STOPP
criteria and 19.05% aimed to START criteria). In the decisionmaking about
the use of these optimization criteria, the cardiovascular system was the
most commonly involved physiologic system (42.85% of the interventions).
Conclusions.- By applying treatment optimization tools (DRPs detection,
STOPP/START criteria), we can reduce polypharmacy, avoid DRPs and
inappropriate prescriptions, improving the control and follow-up of
therapeutic regimes and the quality of drug handling in a nursing home.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home
prescription
Spain
EMTREE MEDICAL INDEX TERMS
aged
cardiovascular system
cognitive defect
data base
drug use
filter
follow up
functional disease
human
inappropriate prescribing
pathology
patient
pharmaceutical care
pharmacist
physician
polypharmacy
population
prevalence
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eurger.2011.06.002
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 352
TITLE
Is hand sanitizing gel involved in acute pancreatitis in teaching nurses
after excessive disinfection?
AUTHOR NAMES
Huynh-Delerme C.
Artigou C.
Bodin L.
Verdier C.
Sater N.
Ould Elhkim M.
Desmares C.
AUTHOR ADDRESSES
(Huynh-Delerme C.; Artigou C.; Verdier C.; Sater N.; Desmares C.) Unité
D'évaluation Toxicologique Et Microbiologique, Agence franc¸aise de sécurité
sanitaire des produits de santé, Saint-Denis, France.
(Bodin L.) Agence nationale de sécurité sanitaire de l'alimentation, De
l'Environnement et du travail, Maisons-Alfort, France.
(Ould Elhkim M.) Uetm, Agence franc¸aise de sécurité sanitaire des produits
de santé, Saint-Denis, France.
CORRESPONDENCE ADDRESS
C. Huynh-Delerme, Unité D'évaluation Toxicologique Et Microbiologique,
Agence franc¸aise de sécurité sanitaire des produits de santé, Saint-Denis,
France.
SOURCE
Toxicology Letters (2011) 205 SUPPL. 1 (S262). Date of Publication: 28 Aug
2011
CONFERENCE NAME
47th Congress of the European Societies of Toxicology, EUROTOX 2011
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2011-08-28 to 2011-08-31
ISSN
0378-4274
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
Purpose: An occupational physician reported to the French Health Products
Safety Agency (Afssaps) a case of adverse effect of acute pancreatitis (AP)
in a teaching nurse, after multiple demonstrations with alcohol-based hand
rubs used in a classroom with faulty mechanical ventilation. It was
hypothesized by the occupational physician that the exposure to ethanol by
skin penetration and predominantly by inhalation may have produced a
significant blood alcohol concentration, and subsequently the AP. Methods:
The training nurse medical history showed that she was treated for a
hyperthyroidism but the treatment was stopped a month before the occurrence
of the AP. She had been treated for hypertension for 3 years and she was not
taking any oral contraceptive. She drank a glass of alcohol without abuse. A
Physiologically-Based Pharmacokinetic (PBPK) modeling was used in order to
determine the ethanol concentration in serum. Results of the study: Several
studies showed a very weak ethanol dermal absorption, even with intensive
use. The situation of confinement resulting in inhalation exposure to
ethanol shows that the maximum blood ethanol level determined by PBPK
modeling does not exceed the endogenous ethanol level. This study does not
allow any relationship between the exposures to alcoholic hand rubs and the
increase of plasmatic ethanol concentration even under closed classroom
conditions without mechanical ventilation, and this excludes the causal link
with AP. In this work the implication of drugs and/or hyperparathyroidism is
also discussed.
EMTREE DRUG INDEX TERMS
alcohol
glass
oral contraceptive agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acute pancreatitis
disinfection
health care organization
human
nurse
teaching
toxicology
EMTREE MEDICAL INDEX TERMS
abuse
adverse drug reaction
alcohol blood level
alcoholism
artificial ventilation
exposure
health
hyperparathyroidism
hypertension
hyperthyroidism
inhalation
medical history
model
occupational physician
pharmacokinetics
safety
serum
skin absorption
skin penetration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.toxlet.2011.05.891
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 353
TITLE
Implementing a perinatal substance abuse screening tool
AUTHOR NAMES
Wallman C.M.
Smith P.B.
Moore K.
AUTHOR ADDRESSES
(Wallman C.M., carolmwallman@aol.com) Children' S Hospital, Aurora, CO,
United States.
(Wallman C.M., carolmwallman@aol.com) Poudre Valley Hospital, Fort Collins,
CO, United States.
(Smith P.B.; Moore K.) Women and Family Services, Poudre Valley Hospital,
Fort Collins, CO, United States.
CORRESPONDENCE ADDRESS
C.M. Wallman, 8059 Timberwolf Circle, Wellington, CO 80549, United States.
Email: carolmwallman@aol.com
SOURCE
Advances in Neonatal Care (2011) 11:4 (255-267). Date of Publication: August
2011
ISSN
1536-0903
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
Newborns exposed to illicit drugs or alcohol in utero can face physical,
social, and emotional obstacles. Outcomes for children with fetal alcohol
syndrome disorders are well documented in the literature. Data exist on the
effects of maternal illicit drug use. Identifying perinatal substance abuse
can increase positive outcomes for newborns and create the opportunity for
mothers to access assistance through referrals to community resources. This
article provides insight on how hospitals can implement an effective
screening tool through patient surveying and testing, nurse education, and
collaboration with community agencies in a multidisciplinary advisory
committee setting. This discussed method of universal perinatal screening
results in increased positive screens and increased referrals for care and
support. Emphasis is placed on universal screening and testing methods.
Nurses are trained in motivational interview techniques that convey empathy,
listening, and objectivity. Community agencies partner with hospital staff
through onsite meetings with families that determine the best discharge plan
for the newborn. The multidisciplinary advisory committee meets continually
to discuss future enhancements. © 2011 by the National Association of
Neonatal Nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology)
perinatal care
substance abuse
EMTREE MEDICAL INDEX TERMS
article
chemistry
female
hospital
human
interdisciplinary communication
meconium
mental health service
methodology
newborn
nursing education
pregnancy
psychologic test
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
22123347 (http://www.ncbi.nlm.nih.gov/pubmed/22123347)
FULL TEXT LINK
http://dx.doi.org/10.1097/ANC.0b013e318225a20b
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 354
TITLE
Thoughts on "A public health approach to children's mental health".
AUTHOR NAMES
Yearwood E.L.
AUTHOR ADDRESSES
(Yearwood E.L.) Georgetown University School of Nursing and Health Studies,
Washington, DC, USA.
CORRESPONDENCE ADDRESS
E.L. Yearwood, Georgetown University School of Nursing and Health Studies,
Washington, DC, USA. Email: ely2@georgetown.edu
SOURCE
Journal of child and adolescent psychiatric nursing : official publication
of the Association of Child and Adolescent Psychiatric Nurses, Inc (2011)
24:3 (190-191). Date of Publication: Aug 2011
ISSN
1744-6171 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
mental disease (prevention)
mental health
public health
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
control
health care delivery
health care policy
health service
human
nursing
psychological aspect
quality of life
self concept
social adaptation
social environment
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21810136 (http://www.ncbi.nlm.nih.gov/pubmed/21810136)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 355
TITLE
Is deinstitutionalization working in our community?
AUTHOR NAMES
Hamden A.
Newton R.
McCauley-Elsom K.
Cross W.
AUTHOR ADDRESSES
(Hamden A., ahamden@lrh.com.au) Community Mental Health, Latrobe Regional
Hospital, Traralgon, Australia.
(Newton R.) Mental Health CSU, Austin Health, Australia.
(McCauley-Elsom K.) School of Nursing, Monash University, Peninsula Campus,
Australia.
(Cross W.) School of Nursing and Midwifery, Monash University, Melbourne,
VIC, Australia.
CORRESPONDENCE ADDRESS
A. Hamden, Community Mental Health, Latrobe Regional Hospital, 20 Washington
Street, Traralgon, VIC 3844, Australia. Email: ahamden@lrh.com.au
SOURCE
International Journal of Mental Health Nursing (2011) 20:4 (274-283). Date
of Publication: August 2011
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
This exploratory study examined the impact of deinstitutionalization on
consumers admitted to a regional community care unit (CCU) between 1996 and
2007, and looked at lengths of stay and re-admissions to acute psychiatric
care units and the impact this might have on quality of life. The results
showed that the original and current residents of CCU have improved quality
of life through friendships, a home-like environment, and reduced
re-admissions to acute psychiatric care units; however, further improvements
can be made with more emphasis on employment/vocational services and social
inclusion. More concerning is those who are unable to access a CCU bed due
to chronic CCU bed shortages. This group, referred to as the 'new chronic
patients', tend to become victims of 'the revolving door phenomenon',
homelessness, and substance abuse. The assertive community treatment model
of care and community packages are recommended for people on waiting lists
for CCU, or those who do not fit the CCU criteria, to try and reduce the
level of disability that is likely to occur from frequent relapses. © 2011
The Authors; International Journal of Mental Health Nursing © 2011
Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
deinstitutionalization
hospital readmission
length of stay
mental disease (rehabilitation, therapy)
quality of life
EMTREE MEDICAL INDEX TERMS
addiction
adult
aged
article
Australia
demography
female
homelessness
human
human relation
male
mental health service
methodology
middle aged
outcome assessment
residential care
social environment
statistics
vocational guidance
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21450048 (http://www.ncbi.nlm.nih.gov/pubmed/21450048)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2010.00726.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 356
TITLE
Risk of upper and lower gastrointestinal hospitalizations in the elderly
with and without alzheimer's disease
AUTHOR NAMES
Wu J.H.
Guo Z.
Kumar S.
Gomez A.
Lapuerta. P.
AUTHOR ADDRESSES
(Wu J.H.; Kumar S.; Gomez A.) Global Pharmacovigilance and Epidemiology,
Bristol-Myers Squibb Company, Pennington, United States.
(Guo Z.) Global Health Economics and Outcomes Research, Bristol-Myers Squibb
Company, Wallingford, United States.
(Lapuerta. P.) Global Clinical Research, Bristol-Myers Squibb Company,
Lawrenceville, United States.
CORRESPONDENCE ADDRESS
J.H. Wu, Global Pharmacovigilance and Epidemiology, Bristol-Myers Squibb
Company, Pennington, United States.
SOURCE
Pharmacoepidemiology and Drug Safety (2011) 20 SUPPL. 1 (S258). Date of
Publication: August 2011
CONFERENCE NAME
27th International Conference on Pharmacoepidemiology and Therapeutic Risk
Management
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2011-08-14 to 2011-08-17
ISSN
1053-8569
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Background: Very little published research addresses the risk of
gastrointestinal (Gi) hospitalizations in elderly patients with Alzheimer's
Disease (AD). The risk of these complications in AD patients may be
attributed to the high prevalence of comorbidities and use of concomitant
medications, e.g. NSAiD, anticoagulants and antiplatelets. Objectives: To
compare the incidence of Gi hospitalization (ulceration, perforation, or
bleeding in the upper or lower Gi tract) among the elderly aged 65 and older
with and without AD. Methods: Patients aged 65+ and with a diagnosis of AD
(iCD-9-CM 331.0) were identified from 1/1/2003 to 12/ 31/2006 using the
PharMetrics database. The control cohort consisted of a random sample
matched to the AD cohort by age, gender, region, and calendar year in a 1:1
ratio. The two study cohorts were followed for upper and lower Gi
hospitalizations from the index date for two years. Cox proportional hazards
modeling was used to compare the rates between two cohorts and also control
for other confounders. Results: A total of 27,076 AD patients were
identified. Approximately 66% of them were 80+ years of age, and 65% was
female. Patients with AD had higher rates of upper and lower Gi
hospitalizations, compared to those without AD (AD vs. non-AD: upper Gi:
27.4 vs. 17.1/1000personyear, HR=1.49, 95%Ci 1.34-1.65; lower Gi: 9.4 vs.
6.9/ 1000person-year, HR=1.26, 95%Ci 1.06-1.48). The Cox hazards models were
adjusted for age, gender, region, calendar year, Medicare enrollment,
hospitalizations in six months prior to the index date, Charlson comorbidity
index, nursing home residence, alcohol or drug abuse, concomitant use of
COX-2 inhibitors, NSAiDs, corticosteroids, anti-coagulant and anti-platelet.
The association was also present in patients without history of Gi bleeding
(upper Gi: HR=1.54, 95%Ci 1.37-1.73; lower Gi: HR=1.37, 95%Ci 1.14-1.64).
Conclusions: Patients with AD had higher incidence rates of upper and lower
Gi hospitalizations, compared to those without AD. Further analyses to
examine risk factors associated with Gi hospitalizations in AD patients are
warranted.
EMTREE DRUG INDEX TERMS
alcohol
anticoagulant agent
corticosteroid
cyclooxygenase 2 inhibitor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
Alzheimer disease
hospitalization
human
pharmacoepidemiology
risk
risk management
EMTREE MEDICAL INDEX TERMS
bleeding
comorbidity
data base
diagnosis
drug abuse
drug therapy
female
gender
hazard
incidence
medicare
model
nursing home
patient
perforation
prevalence
random sample
risk factor
thrombocyte
ulcer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/pds.2206
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 357
TITLE
A qualitative and quantitative needs assessment of pain management for
hospitalized orthopedic patients
AUTHOR NAMES
Cordts G.A.
Grant M.S.
Brandt L.E.
Mears S.C.
AUTHOR ADDRESSES
(Cordts G.A.; Grant M.S.; Brandt L.E.) Division of Geriatrics, Johns Hopkins
University, Baltimore, MD, United States.
(Mears S.C., ehenze1@jhmi.edu) c/o Elaine P. Henze, BJ, ELS, Editorial
Services, Department of Orthopedic Surgery, Johns Hopkins Bayview Medical
Center, 4940 Eastern Ave, #A665, Baltimore, MD 21224-2780, United States.
CORRESPONDENCE ADDRESS
S.C. Mears, c/o Elaine P. Henze, BJ, ELS, Editorial Services, Department of
Orthopedic Surgery, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave,
#A665, Baltimore, MD 21224-2780, United States. Email: ehenze1@jhmi.edu
SOURCE
Orthopedics (2011) 34:8 (e368-e373). Date of Publication: August 2011
ISSN
0147-7447
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
Despite advances in pain management, little formal teaching is given to
practitioners and nurses in its use for postoperative orthopedic patients.
The goal of our study was to determine the educational needs for orthopedic
pain management of our residents, nurses, and physical therapists using a
quantitative and qualitative assessment. The needs analysis was conducted in
a 10-bed orthopedic unit at a teaching hospital and included a survey given
to 20 orthopedic residents, 9 nurses, and 6 physical therapists, followed by
focus groups addressing barriers to pain control and knowledge of pain
management. Key challenges for nurses included not always having
breakthrough pain medication orders and the gap in pain management between
cessation of patientcontrolled analgesia and ordering and administering oral
medications. Key challenges for orthopedic residents included treating pain
in patients with a history of substance abuse, assessing pain, and
determining when to use long-acting vs short-acting opioids. Focus group
assessments revealed a lack of training in pain management and the need for
better coordination of care between nurses and practitioners and improved
education about special needs groups (the elderly and those with substance
abuse issues). This needs assessment showed that orthopedic residents and
nurses receive little formal education on pain management, despite having to
address pain on a daily basis. This information will be used to develop an
educational program to improve pain management for postoperative orthopedic
patients. An integrated educational program with orthopedic residents,
nurses, and physical therapists would promote understanding of issues for
each discipline.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
needs assessment
pain
professional knowledge
EMTREE MEDICAL INDEX TERMS
article
clinical practice
disease control
education program
hospital patient
human
medical education
patient assessment
qualitative analysis
quantitative analysis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011455133
MEDLINE PMID
21815578 (http://www.ncbi.nlm.nih.gov/pubmed/21815578)
FULL TEXT LINK
http://dx.doi.org/10.3928/01477447-20110627-11
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 358
TITLE
Multidisciplinary intervention to enhance medication safety in german
nursing homes
AUTHOR NAMES
Schroeder F.
Bernard S.
Schmiedl S.
Hanke F.
Jaehde U.
Thuermann P.
AUTHOR ADDRESSES
(Schroeder F.; Jaehde U.) Department of Clinical Pharmacy, Institute of
Pharmacy, University of Bonn, Bonn, Germany.
(Bernard S.; Schmiedl S.; Thuermann P.) Department of Clinical Pharmacology,
Philipp Klee-Institute for Clinical Pharmacology, HELIOS Clinic Wuppertal,
Wuppertal, Germany.
(Hanke F.) GeroPharmCare GmbH, Cologne, Germany.
CORRESPONDENCE ADDRESS
F. Schroeder, Department of Clinical Pharmacy, Institute of Pharmacy,
University of Bonn, Bonn, Germany.
SOURCE
International Journal of Clinical Pharmacy (2011) 33:4 (699). Date of
Publication: August 2011
CONFERENCE NAME
ESCP International Workshop on Geriatrics, 2011
CONFERENCE LOCATION
Utrecht, Netherlands
CONFERENCE DATE
2011-05-05 to 2011-05-06
ISSN
2210-7703
BOOK PUBLISHER
Springer Netherlands
ABSTRACT
Background and Objective Nursing home residents are characterised by very
old age, multimorbidity and polypharmacy. These patients are at particularly
high risk to suffer from drug-related problems such as adverse drug events
(ADEs). Design In this prospectively designed cross-sectional analysis two
clinical pharmacists surveyed the medical documentation and nurse's notes
for potential ADEs which were subsequently evaluated by a team of a
geriatrician, clinical pharmacologists and clinical pharmacists. Based on
the results a multidisciplinary intervention was developed consisting of
professional training in geriatric pharmacy and pharmacology, improved and
structured communication as well as decision and observational tools for the
prescribing GPs, nurses and pharmacists. Eight weeks after implementation of
the intervention a second cross-sectional analysis was carried out. Setting
This study was conducted in nursing homes in North Rhine- Westphalia,
Germany. The study was funded by the German Federal Ministry of Health
(BMG). Main Outcome Measures Number, type, severity and preventability of
ADEs prior and after the multidisciplinary intervention. Results 4 nursing
homes with 426 residents participated, of which 274 (87.8%) were included in
the first and 339 (80.7%) in the second crosssectional analysis. 57 and
respectively 54 ADEs were detected over the 30 days observation period in
both parts of the study resulting in a 30-days prevalence of 15.9 and 15.2
ADEs/100 resident months and an incidence of 8.8 and 7.7 ADEs/100 resident
months, respectively. There were no major differences in preventability and
severity of ADE between both cross-section analyses. While most of the ADEs
(42%) in the first analysis occurred in the gastro-intestinal tract,
neurological disorders (62%) were more frequent after the intervention. The
feasibility analysis showed that 72% of the participating nurses would
recommend the intervention to colleagues and 44% thought that the
intervention could be easily set up in other nursing homes. Conclusions The
multidisciplinary intervention was feasible and well accepted by pharmacists
and nurses. Incidence and prevalence of ADEs were not reduced after the
intervention probably due to the short period of the interventional phase (8
weeks) and/or an improved documentation of ADEs as a consequence of the
professional training. The involvement of prescribing GPs was limited which
can be contributed to the fact that in Germany, in comparison to many other
countries, a large number of GPs (4-22) cares for the residents of a nursing
home.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug therapy
geriatrics
nursing home
safety
workshop
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
documentation
gastrointestinal tract
Germany
health
human
interpersonal communication
medical documentation
neurologic disease
nurse
nursing home patient
patient
pharmacist
pharmacology
pharmacy
polypharmacy
prevalence
risk
senescence
very elderly
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-011-9528-8
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 359
TITLE
Potential underuse, overuse, and inappropriate use of antidepressants in
older veteran nursing home residents
AUTHOR NAMES
Hanlon J.T.
Wang X.
Castle N.G.
Stone R.A.
Handler S.M.
Semla T.P.
Pugh M.J.
Berlowitz D.R.
Dysken M.W.
AUTHOR ADDRESSES
(Hanlon J.T., jth14@pitt.edu; Handler S.M.) Geriatric Research, Education
and Clinical Center, Veterans Affairs Pittsburgh Health System, Pittsburgh,
PA, United States.
(Hanlon J.T., jth14@pitt.edu; Wang X.; Stone R.A.; Handler S.M.) Center for
Health Equity Research and Promotion, Veterans Affairs Pittsburgh Health
System, Pittsburgh, PA, United States.
(Hanlon J.T., jth14@pitt.edu; Handler S.M.) Division of Geriatric Medicine,
Department of Medicine, United States.
(Hanlon J.T., jth14@pitt.edu; Handler S.M.) Department of Biomedical
Informatics, School of Medicine, United States.
(Hanlon J.T., jth14@pitt.edu) Department of Pharmacy and Therapeutics,
School of Pharmacy, United States.
(Hanlon J.T., jth14@pitt.edu) Department of Epidemiology, Graduate School of
Public Health, University of Pittsburgh, Pittsburgh, PA, United States.
(Castle N.G.) Department of Health Policy and Management, Graduate School of
Public Health, University of Pittsburgh, Pittsburgh, PA, United States.
(Stone R.A.) Department of Biostatistics, Graduate School of Public Health,
University of Pittsburgh, Pittsburgh, PA, United States.
(Semla T.P.) Pharmacy Benefits Management Services, Department of Veterans
Affairs, Hines, IL, United States.
(Semla T.P.) Department of Medicine, Feinberg School of Medicine,
Northwestern University, Chicago, IL, United States.
(Semla T.P.) Department of Psychiatry and Behavioral Sciences, Feinberg
School of Medicine, Northwestern University, Chicago, IL, United States.
(Pugh M.J.) Veterans Evidence-Based Research Dissemination and
Implementation Center, South Texas Veterans Affairs Health System, San
Antonio, TX, United States.
(Berlowitz D.R.) Center for Health Quality, Outcomes and Economic Research,
Department of Veterans Affairs, Bedford, MA, United States.
(Dysken M.W.) Geriatric Research, Education and Clinical Center, Department
of Veterans Affairs, Minneapolis, MN, United States.
CORRESPONDENCE ADDRESS
J.T. Hanlon, Department of Medicine (Geriatrics), University of Pittsburgh,
Kaufman Medical Building-Suite 514, 3471 5th Ave, Pittsburgh, PA 15213,
United States. Email: jth14@pitt.edu
SOURCE
Journal of the American Geriatrics Society (2011) 59:8 (1412-1420). Date of
Publication: August 2011
ISSN
0002-8614
1532-5415 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Objectives: To examine prevalence and resident- and site-level factors
associated with potential underuse, overuse, and inappropriate use of
antidepressants in older Veterans Affairs (VA) Community Living Center (CLC)
residents. Design: Longitudinal study. Setting: One hundred thirty-three VA
CLCs. Participants: Three thousand six hundred ninety-two veterans aged 65
and older admitted between January 1, 2004, and June 3, 2005, with long
stays (≥90 days). Measurements: Prevalence of potential underuse,
inappropriate use, and overuse of antidepressants in residents with and
without depression (as documented according to International Classification
of Diseases, Ninth Revision, Clinical Modification, codes or Depression
Rating Scale). Results: Selective serotonin reuptake inhibitors were the
most commonly prescribed antidepressant. Of the 877 residents with
depression, 25.4% did not receive an antidepressant, suggesting potential
underuse. Of residents with depression who received antidepressants, 57.5%
had potential inappropriate use due primarily to problems seen with
drug-drug and drug-disease interactions. Of the 2,815 residents who did not
have depression, 1,190 (42.3%) were prescribed one or more antidepressants;
only 48 (4.0%) of these had a Food and Drug Administration-approved labeled
indication, suggesting potential overuse. Overall, only 17.6% of
antidepressant use was appropriate (324/1,844). The only consistent resident
factor associated with potential underuse and overuse use was taking an
antipsychotic without evidence of schizophrenia (underuse: adjusted relative
risk ratio (ARRR)=0.56, 95% confidence interval (CI)=0.33-0.94; overuse:
adjusted odds ratio=1.52, 95% CI=1.21-1.91). Having moderate to severe pain
(ARRR=1.54, 95% CI=1.08-2.20) and the prescribing of an anxiolytic or
hypnotic (ARRR=1.33, 95% CI=1.02-1.74) increased the risk of potential
inappropriate antidepressant use. Conclusion: Potential problems with the
use of antidepressants were frequently observed in older U.S. veteran CLC
residents. Future studies are needed to examine the true risks and benefits
of antidepressant use in CLC and non-VA nursing homes. © 2011, The American
Geriatrics Society.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (drug dose, drug therapy)
EMTREE DRUG INDEX TERMS
amfebutamone (drug therapy)
amitriptyline (drug dose, drug therapy)
anxiolytic agent (drug therapy)
cholinesterase inhibitor (drug therapy)
citalopram (drug therapy)
desipramine (drug therapy)
doxepin (drug therapy)
fluoxetine (drug therapy)
hypnotic agent (drug therapy)
memantine (drug therapy)
methylphenidate (drug therapy)
metoprolol
mirtazapine (drug therapy)
neuroleptic agent (drug dose, drug therapy)
nortriptyline (drug therapy)
paroxetine (drug therapy)
serotonin noradrenalin reuptake inhibitor (drug therapy)
serotonin uptake inhibitor (drug therapy)
sertraline (drug therapy)
trazodone (drug therapy)
tricyclic antidepressant agent (drug therapy)
venlafaxine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (drug therapy, diagnosis, drug therapy)
medication error
nursing home patient
EMTREE MEDICAL INDEX TERMS
aged
aging
article
controlled study
depression rating scale
disease severity
drug megadose
drug overdose
drug use
female
food and drug administration
human
International Classification of Diseases
length of stay
longitudinal study
major clinical study
male
multicenter study
pain (drug therapy)
prescription
prevalence
public hospital
rating scale
risk factor
schizophrenia
treatment indication
veteran
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
amitriptyline (50-48-6, 549-18-8)
citalopram (59729-33-8)
desipramine (50-47-5, 58-28-6)
doxepin (1229-29-4, 1668-19-5)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
memantine (19982-08-2, 41100-52-1)
methylphenidate (113-45-1, 298-59-9)
metoprolol (37350-58-6)
mirtazapine (61337-67-5)
nortriptyline (72-69-5, 894-71-3)
paroxetine (61869-08-7)
sertraline (79617-96-2)
trazodone (19794-93-5, 25332-39-2)
venlafaxine (93413-69-5)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011457262
MEDLINE PMID
21824120 (http://www.ncbi.nlm.nih.gov/pubmed/21824120)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1532-5415.2011.03522.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 360
TITLE
Novel modular teaching of hiv patients in resource-limiting setting: Effect
of learning outcomes on adherence to highly active antiretroviral therapy
(HAART)
AUTHOR NAMES
Busari O.
Busari O.
Adeyemi A.
Nakayima M.
AUTHOR ADDRESSES
(Busari O.; Busari O.) Federal Medical Centre, Ido-Ekiti, Nigeria.
(Adeyemi A.) Family Health International, Abuja, Nigeria.
(Nakayima M.) AIDS Support Organization, Masaka, Uganda.
CORRESPONDENCE ADDRESS
O. Busari, Federal Medical Centre, Ido-Ekiti, Nigeria.
SOURCE
Sexually Transmitted Infections (2011) 87 SUPPL. 1 (A332). Date of
Publication: July 2011
CONFERENCE NAME
19th Biennial Conference of the International Society for Sexually
Transmitted Diseases Research
CONFERENCE LOCATION
Quebec City, QC, Canada
CONFERENCE DATE
2011-07-10 to 2011-07-13
ISSN
1368-4973
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Background: Patient education is a crucial aspect of antiretroviral
treatment of HIV patients and plays a significant role in adherence to
HAART, development of OIs, hospitalisation and mortality. Unfortunately, in
most resource-poor setting, this is not often done, and when it is done,
often casually. Objective Objective was to compare a modular teaching method
(MTM) with traditional patient education (TTM), and evaluate its
effectiveness on adherence to HAART, development of OIs, hospitalisation and
mortality. Methods: 420 HIV-positive patients on HAART, zidovudine,
lamivudine and nevirapine, were recruited and randomly divided into subject
and control groups. A pre-test and post-test time-series design was used to
collect data using a 30-item knowledge and skills assessment schedule with
items rated on a 5-point Linkert-type scale. The schedule was pre-tested on
50 patients with Cronbach's Score of 0.92 and a test-retest co-efficient of
0.89 at a 4-week interval. The MTM consist of 10 modules which address
issues on adherence such as benefits of treatment, family and social
support, adverse drug effects, psychological factors, substance abuse,
patientprovider relationship, patient's self efficacy and effect of
traditional/ cultural values. MTM was used to educate subject group while
the controls received the traditional teaching by nurses on the wards.
Teaching was done throughout the period of hospitalisation. All the patients
were followed for 8 months at 4-week intervals via outpatient clinic and
home visits. χ(2) and t-tests were used; p<0.05 was considered significant.
Results: Mean age was 28.7±6.9 years. Mean adherence rate for the subjects
was 98.9±1.0% and for controls, 87.±62.4% (p<0.001). Frequency of OIs per
patient per month was lower in subjects than in controls (0.51 vs 1.31,
p=0.002). Mean number of readmissions per patient per month during the
8-month follow-up was 0.1860.01 for subjects and 0.89±0.02 for controls
(p=0.0012). Subject group had shorter hospital stay (6.2±2.6 days vs
15.7±4.8 days, p=0.002) and lower mortality (p=0.008) than the controls.
Conclusion MTM has significant effect on adherence to HAART, development of
OIs, readmission rate, hospital stay and mortality. MTM is recommended as a
core aspect of adherence counselling and antiretroviral treatment programme.
EMTREE DRUG INDEX TERMS
lamivudine
nevirapine
zidovudine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
highly active antiretroviral therapy
human
learning
patient
sexually transmitted disease
society
teaching
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
control group
counseling
cultural value
follow up
hospital readmission
hospitalization
Human immunodeficiency virus
Human immunodeficiency virus infected patient
mortality
nurse
outpatient department
patient education
professional practice
psychological aspect
self concept
skill
social support
Student t test
substance abuse
time series analysis
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/sextrans-2011-050108.572
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 361
TITLE
Preparing nurses for leadership roles in cardiovascular disease prevention
AUTHOR NAMES
Lanuza D.M.
Davidson P.M.
Dunbar S.B.
Hughes S.
De Geest S.
AUTHOR ADDRESSES
(Lanuza D.M., dlanuza@wisc.edu) School of Nursing, University of
Wisconsin-Madison, Madison, WI, United States.
(Davidson P.M.) Cardiovascular and Chronic Care, Curtin University and St
Vincent's Hospital, Sydney, Australia.
(Dunbar S.B.) Cardiovascular Nursing, Nell Hodgson Woodruff School of
Nursing, Emory University, Atlanta, United States.
(Hughes S.) System Population Health, Summa Health System, Akron, OH, United
States.
(De Geest S.) Nursing and Director, Institute of Nursing Science, Faculty of
Medicine, University of Basel, Basel, Switzerland.
CORRESPONDENCE ADDRESS
D.M. Lanuza, University of WisconsinMadison, 600 Highland Ave, Madison, WI
53792-2455, United States. Email: dlanuza@wisc.edu
SOURCE
European Journal of Cardiovascular Nursing (2011) 10:SUPPL. 2 (S51-S57).
Date of Publication: July 2011
ISSN
1474-5151
1873-1953 (electronic)
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Cardiovascular disease (CVD) is a critical global health issue, and
cardiovascular nurses play a vital role in decreasing the global burden and
contributing to improving outcomes in individuals and communities.
Cardiovascular nurses require the knowledge, skills, and resources that will
enable them to function as leaders in CVD. This article addresses the
education, training, and strategies that are needed to prepare nurses for
leadership roles in preventing and managing CVD. Building on the World
Health Organization core competencies for 21st-century health care workers,
the specific competencies of cardiovascular nurses working in prevention are
outlined. These can be further strengthened by investing in the development
of cultural, system change and leadership competencies. Mentorship is
proposed as a powerful strategy for promoting the cardiovascular nursing
role and equipping individual nurses to contribute meaningfully to health
system reform and community engagement in CVD risk reduction. © 2011
European Society of Cardiology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular disease (epidemiology, prevention)
cardiovascular nursing
health promotion
leadership
nurse manager
EMTREE MEDICAL INDEX TERMS
article
cardiovascular risk
chronic disease
community
cultural competence
cultural factor
demography
diabetes mellitus (prevention)
dyslipidemia (prevention)
environmental factor
epidemiological data
evidence based practice
exercise
health behavior
health care personnel
health care policy
health care system
heart failure (prevention)
heredity
human
hypertension (prevention)
medical education
medical expert
nutrition
prevalence
preventive medicine
priority journal
professional competence
risk assessment
risk reduction
strategic planning
teacher
thrombosis (prevention)
tobacco dependence (prevention)
training
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011387945
MEDLINE PMID
21762853 (http://www.ncbi.nlm.nih.gov/pubmed/21762853)
FULL TEXT LINK
http://dx.doi.org/10.1016/S1474-5151(11)00116-2
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 362
TITLE
Mental health services in Tehran University of medical sciences' general
hospitals: General status and pattern of service delivery in 2010
AUTHOR NAMES
Nejatisafa A.-A.
Khodabandeh N.
Hosseini N.
Arbabi. M.
AUTHOR ADDRESSES
(Nejatisafa A.-A.; Khodabandeh N.; Hosseini N.; Arbabi. M.) Department of
Psychiatry, Psychiatry and Psychology Research Center, Tehran University of
Medical Sciences, Tehran, Iran.
CORRESPONDENCE ADDRESS
A.-A. Nejatisafa, Department of Psychiatry, Psychiatry and Psychology
Research Center, Tehran University of Medical Sciences, Tehran, Iran.
SOURCE
Asian Journal of Psychiatry (2011) 4 SUPPL. 1 (S64-S65). Date of
Publication: July 2011
CONFERENCE NAME
3rd Congress of Asian Psychiatry, WCAP 2011
CONFERENCE LOCATION
Melbourne, VIC, Australia
CONFERENCE DATE
2011-07-31 to 2011-08-04
ISSN
1876-2018
BOOK PUBLISHER
Elsevier
ABSTRACT
Objective: To evaluate the status of mental health services in general
hospitals of Tehran University of medical Sciences in 2010. Methods: A
questionnaire was developed for conducting this survey. Sampling method was
census. The information about the number of psychiatrist, psychologist,
psychiatry nurses and social workers, practice pattern, work hours,
provision for developing mental health services, the most prevalent mental
health problems in different wards, main causes of consultations, number of
consultation per year, the degree of liaison work etc were gathered. The
dean of each hospital, the chief faculty of each medical or surgical ward,
the head nurse and all of mental health professionals were asked to
participate in the survey. Results: Seven university hospitals with more
than 2400 beds were evaluated. The number of psychiatrists, psychologists,
social workers and psychiatry nurses were 8, 5, 14 and 0 respectively. Most
of psychiatrists were part time. Although the prevalence of mental health
problems that were estimated by hospitals and different ward authorities was
at least 30%, the ratio of consultation to patient was 0.011. The most
prevalent diagnosis in referred cases was adjustment disorder, Depression,
anxiety and substance related disorders. Three hospitals had future plan to
develop mental health services. Pattern of service delivery was traditional
consultation in most hospitals and Liaison service was provided just in two
hospitals. Conclusion: The status of mental health services in general
hospitals of Tehran University of Medical Sciences were not favorable. For
the future we need to better organize and formalize mental health services.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Asian
general hospital
health care delivery
medicine
mental health service
psychiatry
university
EMTREE MEDICAL INDEX TERMS
addiction
adjustment disorder
anxiety
consultation
diagnosis
head nurse
health practitioner
hospital
human
mental health
nurse
patient
population research
prevalence
psychiatrist
psychologist
questionnaire
sampling
social worker
surgical ward
university hospital
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S1876-2018(11)60246-3
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 363
TITLE
Health and illness in context: a pragmatic, interdisciplinary approach to
teaching and learning applied public health within an urban safety net
system.
AUTHOR NAMES
Iles-Shih M.
Sve C.
Solotaroff R.
Bruno R.
Gregg J.
AUTHOR ADDRESSES
(Iles-Shih M.) School of Medicine, Oregon Health & Science University,
Portland, OR 97239, USA.
(Sve C.; Solotaroff R.; Bruno R.; Gregg J.)
CORRESPONDENCE ADDRESS
M. Iles-Shih, School of Medicine, Oregon Health & Science University,
Portland, OR 97239, USA. Email: ilesshim@ohsu.edu
SOURCE
Journal of public health management and practice : JPHMP (2011) 17:4
(308-312). Date of Publication: 2011 Jul-Aug
ISSN
1550-5022 (electronic)
ABSTRACT
Academic centers and community programs are too often separated by
institutional and cultural chasms. Such divides weaken our capacity to
develop a diverse public health-oriented, community-based workforce. This
article describes one bridge designed to connect the academy to local safety
net systems and the lessons learned during its construction. "Health &
Illness in Context" is an interdisciplinary program developed in 2008 by
students at Oregon Health & Science University and staff at Portland's
Central City Concern. Over a 7-week period, small cohorts of medical,
nursing, and public health students gain an intimate, street-level
understanding of the local safety net and the structural forces that shape
it. Guided by program faculty, they traverse the maze of urban social
services-following clients' pathways from homelessness and addiction to
treatment, recovery, and social reintegration. In each 4-hour session,
students: (1) apply key concepts from public health to challenging
real-world contexts, (2) explore effective, innovative approaches to
addressing complex health and social issues, and (3) directly engage members
of underserved communities and the diverse professionals that serve them.
Although too early to formally assess its impact on career choice, Health &
Illness in Context is already serving as an incubator for novel public
health-oriented experiences, curricula, and activism that are further
narrowing the community-university divide. Citing Health & Illness in
Context as a primary inspiration, students have developed complementary
elective courses, community-outreach activities, and long-term community
collaborations. Meanwhile, program faculty members, now formally advise
student initiatives, serve as mentors/preceptors, and have expanded their
involvement at the university.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health service
interdisciplinary communication
medical education
nursing education
public health
social work
EMTREE MEDICAL INDEX TERMS
addiction (therapy)
article
curriculum
education
health care disparity
health care planning
homelessness
human
organization and management
United States
university
vulnerable population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21617404 (http://www.ncbi.nlm.nih.gov/pubmed/21617404)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 364
TITLE
Improving patient outcomes in heart failure: Assessment of nurses' knowledge
of heart failure self management
AUTHOR NAMES
Kalowes P.
Peters C.
Long P.
Hawkins D.
Wayne B.
Catipon K.
Tin E.
Schauer A.
Jeong S.
Lamond B.
Nguyen H.
AUTHOR ADDRESSES
(Kalowes P.; Peters C.; Long P.; Hawkins D.; Wayne B.; Catipon K.; Tin E.)
Heart and Vascular Institute, Long Beach Memorial Medical Center, Long
Beach, United States.
(Schauer A.; Jeong S.; Lamond B.; Nguyen H.) Heart and Vascular Institute,
Orange Coast Memorial Medical Center, Fountain Valley, United States.
CORRESPONDENCE ADDRESS
P. Kalowes, Heart and Vascular Institute, Long Beach Memorial Medical
Center, Long Beach, United States.
SOURCE
Heart and Lung: Journal of Acute and Critical Care (2011) 40:4 (362). Date
of Publication: July-August 2011
CONFERENCE NAME
7th Annual Conference of the American Association of Heart Failure Nurses,
AAHFN 2011
CONFERENCE LOCATION
Seattle, WA, United States
CONFERENCE DATE
2011-06-23 to 2011-06-25
ISSN
0147-9563
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
Purpose: The purpose of this study was to examine nurses' knowledge of basic
principles of HF selfmanagement. The results of this survey are part of a
current randomized clinical trial (RCT), Outcomes of a Telephone
Intervention on Heart Failure Self-Care: A Multi-Site, RCT to Evaluate
Gender Differences, Hospital Readmissions, and Mortality in HF patients. We
theorized in this RCT that nurses knowledge and understanding about HF and
self-management principles vary significantly, thus inherently this may
influence the quality of instruction given to HF patients at time of
discharge. Background: Exacerbation of heart failure (HF) is the most common
cause for readmission of elderly patients with HF. Patient education is an
essential component of care, in order for HF patients to maintain adherence
to their regimen. Nurses are often the primary providers of education in the
hospital setting, thus, they should be knowledgeable about HF guidelines and
self-care. Methods: An exploratory survey design was used to collect data in
a convenience sample of 157 nurses. Of those surveyed, 99% were registered
nurses and 1% licensed vocational nurse; 68% worked in a large
university-based hospital; 32% were employed at a community hospital. Nurses
completed a 20-item true or false written survey to measure perceptions of
basic information important to HF self-management in diet (3 questions),
fluids or weight (7 questions), signs or symptoms of worsening condition (6
questions), medications (2 questions), and exercise (2 questions). Sample
included 62 nurses working in telemetry units; 7 from critical care and 41
nurses working on a medical-surgical unit, all routinely providing care to
patients with HF. Results: Mean HF self-care knowledge score was 14.78 (±2).
There was no statistical difference in the mean score between telemetry unit
14.90 (±2.1) and floor 15.07 (±1.95) nurses. Correct responses to individual
survey items ranged from 16% to 100%; 7 questions resulted in mean scores
>90% correct.Two questions (need for daily weight monitoring when
asymptomatic and the importance of notifying the doctor of new onset or
worsening of fatigue) were answered correctly by all participants. Subject
areas of scores <30% involved patient self-care with blood pressure
recordings, weight assessment and transient dizziness when rising. There
were three questions with scores >30% and <75%; nonsteroidal
anti-inflammatory inhibitor use 47%; potassium-based salt substitute use
56%; and lean deli meat use in a low-sodium diet 69%. These findings confirm
previous work suggesting that nurses regardless of setting, may not be
adequately prepared to educate patients with HF about self-management.
Conclusion: Results will serve as a baseline, as we develop a comprehensive
educational intervention to educate nurses regarding the 2010 Heart Failure
Society of America Comprehensive Heart Failure Practice Guidelines, which
includes diet and nutrition, activity restrictions and recommendations,
smoking cessation, alcoholic intake limitations, medication therapy, and
signs and symptoms of worsening HF. Knowledge transfer of new information
will enhance the nurses discharge teaching abilities, thus potentially
reducing HF patient readmissions thru better self-care and adherence.
EMTREE DRUG INDEX TERMS
potassium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heart failure
human
nurse
patient
self care
EMTREE MEDICAL INDEX TERMS
aged
alcoholism
blood pressure measurement
clinical trial
community hospital
convenience sample
diet
dizziness
drug therapy
education
exercise
fatigue
hospital
hospital readmission
intensive care
liquid
meat
monitoring
mortality
nutrition
patient education
physical disease by body function
physician
practice guideline
registered nurse
sex difference
smoking cessation
society
sodium restriction
teaching
telemetry
telephone
therapy
university
vocation
weight
Western Hemisphere
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 365
TITLE
Prevalence and risk assessment of CA-MRSA nasal colonization in patients of
Loghman Hakim Hospital Tehran, Iran
AUTHOR NAMES
Shokoohi S.
Abbasi F.
Sazgar S.
Hajikhani B.
Kashi M.S.
Sabeti S.
Sarbakhshi P.
AUTHOR ADDRESSES
(Shokoohi S.; Sazgar S.; Hajikhani B.; Kashi M.S.; Sabeti S.; Sarbakhshi P.)
Infectious Disease and Tropical Medical Research Center, Shaheed Besheshti
Medical University, Tehran, Iran.
(Abbasi F.) Bushehr University of Medical Sciences, Bushehr, Iran.
CORRESPONDENCE ADDRESS
S. Shokoohi, Infectious Disease and Tropical Medical Research Center,
Shaheed Besheshti Medical University, Tehran, Iran.
SOURCE
International Journal of Infectious Diseases (2011) 15 SUPPL. 1 (S18). Date
of Publication: July 2011
CONFERENCE NAME
5th Ditan International Conference on Infectious Diseases: Infectious
Diseases in the Resistance Era, DICID 2011
CONFERENCE LOCATION
Beijing, China
CONFERENCE DATE
2011-07-14 to 2011-07-17
ISSN
1201-9712
BOOK PUBLISHER
Elsevier
ABSTRACT
Objectives: Community-associated methicillin-resistant Staphylococcus aureus
(CA-MRSA) is a serious pathogen and its nasal carriage is a risk factor for
subsequent infections. This study aims at determining the prevalence of and
risk factors for CA-MRSA colonization at the time of hospital admission in
our community. Methods: In one year period, patients coming to the emergency
department of our hospital were interviewed and anterior nares cultures were
obtained within 24 hours of admission. Antibiotic susceptibility tests were
performed. A positive culture of MRSA within 24 hours of admission was
considered as CA-MRSA. Chi-square test was performed for assessment of
associations between culture results and the studied risk factors. Results:
56 (14%) and 11 (2.7%) of 400 patients had a nares culture positive for S.
aureus and MRSA respectively. HIV infection (P value = 0.001), nursing homes
residence (P value = 0.033) and nasal anatomic abnormalities (P value =
0.033) had significant association with CA-MRSA cultures. However in
logistic regression, no statistically significant association was found. 45%
of MRSA cultures showed induced resistance to clindamycin on D-test. On
tigacyline E-test, based on a 12 mg/ml cutoff for susceptibility, 6 (54.5%)
showed resistance. Conclusion: Our study showed CA-MRSA prevalence to be
2.7% and didn't demonstrate any association between recent hospitalization,
antibiotic use and intravenous drug abuse with CA-MRSA carriage unlike other
studies. This may have been a result of CA-MRSA low prevalence.
EMTREE DRUG INDEX TERMS
antibiotic agent
clindamycin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
human
infection
Iran
methicillin resistant Staphylococcus aureus
patient
prevalence
risk assessment
EMTREE MEDICAL INDEX TERMS
antibiotic sensitivity
chi square test
community
emergency ward
epsilometer test
hospital admission
hospitalization
Human immunodeficiency virus
Human immunodeficiency virus infection
induced resistance
intravenous drug abuse
logistic regression analysis
nursing home
pathogenesis
risk factor
statistical significance
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S1201-9712(11)60067-2
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 366
TITLE
Effectiveness of intensive educational sessions for nursing staff in large
ICU on multi drug resistant organism's acquisition rate: 3 year prospective
observational study
AUTHOR NAMES
Alhenn A.S.
Albraak A.
Yousef A.
Mhawesh M.
Alqudah N.
AUTHOR ADDRESSES
(Alhenn A.S.; Albraak A.; Yousef A.; Mhawesh M.; Alqudah N.) Previntion and
control department, King Saud Medical City, Riyadh, Saudi Arabia.
CORRESPONDENCE ADDRESS
A.S. Alhenn, Previntion and control department, King Saud Medical City,
Riyadh, Saudi Arabia.
SOURCE
BMC Proceedings (2011) 5 SUPPL. 6. Date of Publication: 29 Jun 2011
CONFERENCE NAME
International Conference on Prevention and Infection Control, ICPIC 2011
CONFERENCE LOCATION
Geneva, Switzerland
CONFERENCE DATE
2011-06-29 to 2011-07-02
ISSN
1753-6561
BOOK PUBLISHER
BioMed Central Ltd.
ABSTRACT
Introduction/objectives: unit-targeted, and informal educational
interventions were included in several studies. The focus of the
interventions was to encourage the behaviors change through improved
understanding of the problem of multi drug resistant organisms (MDRO).
Whether the desire change involved hand hygiene, or other outcomes,
enhancing understanding and creating a culture that supported and promoted
the desired behaviors, were viewed as essential to the success of the
intervention. Setting: A 100 Bed capacity Intensive care unit (ICU) in King
Saud medical city in Riyadh. Methods: A 3-year, unit-targeted, prospective
observational study was conducted to assess impact of intensive educational
activities -for nursing staff in ICU- on MDRO's rate. In-service educational
session have been distributed to three cycles per year, each cycle contain
(10) deferent topics about infection control policy in hospital in order of
topic/week. Each topic was presented to (5-8) nursing staff in bed side area
one time per day in each ICU section for about (10-15 min.). Same topics are
presented in each cycle in order to insure maximum staff attendance from ICU
staff at the end of the year. Result: Total of (1720) educational session
have been presented between (5/2008-12/2010) for (370) nurse per year
annually. Attendance rate for were 78% and MDRO's rate was decreased from
51.8 per 1000 to 25.3 per 1000 patients' day, with attributable risk 48.8 %.
Conclusion: Provide education and training on risks and prevention of MDRO
transmission during periodic educational updates, include information on
organizational experience with MDROs and preventions strategies, is ensuring
that systems are in place to promote optimal treatment of infections and
MDROs acquisition rate.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
infection control
nursing staff
observational study
organisms
prevention
EMTREE MEDICAL INDEX TERMS
attributable risk
city
education
hospital
hospital bed capacity
hygiene
infection
intensive care unit
nurse
patient
policy
risk
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 367
TITLE
Substance use disorders and health care costs among veterans affairs nursing
home residents
AUTHOR NAMES
Smith M.W.
Lemke S.
Schaefer J.
AUTHOR ADDRESSES
(Smith M.W.) Health Economics Resource Center, VA Palo Alto Health Care
System, Palo Alto, CA, United States.
(Smith M.W.) Center for Primary Care and Outcomes Research, Stanford
University School of Medicine, Palo Alto, CA, United States.
(Lemke S., sonne.lemke@va.gov; Schaefer J.) Center for Health Care
Evaluation, VA Palo Alto Health Care System, 795 Willow Road (152 MPD),
Menlo Park, CA 94025, United States.
CORRESPONDENCE ADDRESS
S. Lemke, Center for Health Care Evaluation, VA Palo Alto Health Care
System, 795 Willow Road (152 MPD), Menlo Park, CA 94025, United States.
Email: sonne.lemke@va.gov
SOURCE
Medical Care (2011) 49:6 (538-544). Date of Publication: June 2011
ISSN
0025-7079
1537-1948 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
Background: Research on the relationship between substance use disorders
(SUDs) and older adults health care costs is equivocal. A large-scale study
comparing health care costs among older adults with and without SUDs has
never been conducted. Objective: To determine the relation of SUDs to health
care costs in a large sample of adults following entry into a Veterans
Affairs (VA) nursing home. Methods: We performed a retrospective analysis of
29,997 adults aged 45+ who entered a VA nursing home in 2000. Total costs
were tallied over fiscal years 1997 to 2000 by setting (outpatient, nursing
home, other inpatient, and total) and included all care paid by VA. Results:
Relative to non-SUD patients, those with SUDs aged 75 to 84 years had
significantly higher total costs of care (+$10,020), as did those aged 85
and above (+$16,052). Yet, SUD diagnosis was not a significant predictor of
total cost or nursing home cost among persons 65 and above after controlling
for demographic, clinical, and financial factors. Conclusions: SUDs do not
directly increase health care costs among older adults entering nursing
homes, although they may affect cost of care indirectly through factors such
as income and marital dissolution. The generational increase in SUD rates
occurring in the United States may not lead to substantially greater health
care expenses if appropriate assistance can be provided before nursing home
entry. Copyright © 2011 by Lippincott Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care cost
nursing home patient
substance abuse
veteran
EMTREE MEDICAL INDEX TERMS
adult
aged
article
cohort analysis
controlled study
cost control
demography
female
financial management
hospital patient
human
income
major clinical study
male
marriage
medicare
outpatient
predictive value
priority journal
retrospective study
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011288574
MEDLINE PMID
21422957 (http://www.ncbi.nlm.nih.gov/pubmed/21422957)
FULL TEXT LINK
http://dx.doi.org/10.1097/MLR.0b013e318207f257
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 368
TITLE
Alcohol and health content in bacalaureate nursing programs
AUTHOR NAMES
Savage C.L.
Dyehouse J.
Marcus M.
Lindell A.
AUTHOR ADDRESSES
(Savage C.L.; Dyehouse J.; Marcus M.; Lindell A.) University of Cincinnati,
College of Nursing, Cincinnati, United States.
CORRESPONDENCE ADDRESS
C.L. Savage, University of Cincinnati, College of Nursing, Cincinnati,
United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2011) 35 SUPPL. 1 (74A).
Date of Publication: June 2011
CONFERENCE NAME
34th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
CONFERENCE LOCATION
Atlanta, GA, United States
CONFERENCE DATE
2011-06-25 to 2011-06-29
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: The purpose of the study was to determine the amount of content
covered in baccalaureate science of nursing (BSN) curricula related to
alcohol and health. Methods: this study was a cross sectional descriptive
survey. The survey was electronically distributed to members of the American
Association of Colleges of Nursing (AACN) listserv. Data were analyzed
through the calculation of frequencies, and distribution. The survey
inquired about the number of hours that alcohol content was taught, in what
course(s) and the content area covered. Results: Sixty-eight schools
responded (11% response rate). The the mean number of hours related to
alcohol content over a four year curriculum was 11.3 (SD = 8.34) with a
range of 3 to 38 hours. Over a third (38%) included 6 hours or less of
alcohol related content. The majority of those hours were offered in the
psychiatric course and focused on treatment of AUDs. The mean number of
hours related to Alcohol content in the psychiatric courses was 4.9 (SD =
5.03), with a range of 0 to 35. Eighty one percent reported 6 or less hours
of alcohol-related content in the psychiatric course. The mean number of
hours dedicated to alcohol-related content in the lifespan nursing courses
(obstetrics, pediatrics and adult health) was lower. In courses that cover
content related to adult health, the mean number of hours was 2.8 (SD = 3).
A little less than 65% included 2 hours or less and almost 16% reported that
no content was included in the adult health courses related to alcohol. The
women's and children's health courses had a mean of 1.8 hours with a range
of 0 to 6. Ten percent included no content on alcohol and 51% reported that
they included one hour or less. Conclusion: No standard approach was used by
these schools in relation to the amount of alcohol related content hours
that should be included. The lack of alcohol related content in the lifespan
courses has potentially serious consequences. For example, nurses working in
schools need alcohol related knowledge to actively participate in alcohol
prevention with school children especially with the strong evidence that
first use of alcohol at ages 11 to 14 increases the risk for the development
of an alcohol use disorder. Since nurses are the largest segment of the
health care work force, and alcohol is one of the top three causes of
premature death, interventions are needed that will result in an increase in
alcohol-related content in BSN curricula.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health
nursing
society
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
child
college
curriculum
death
female
health care
human
lifespan
nurse
obstetrics
pediatrics
prevention
risk
school
school child
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2011.01497.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 369
TITLE
Cost analyses of screening and brief intervention in multiple health care
settings - Practical considerations and implications for health policy
AUTHOR NAMES
Parthasarathy S.
Weisner C.
Sterling S.
Satre D.D.
Chi F.W.
Mertens J.
AUTHOR ADDRESSES
(Parthasarathy S.; Weisner C.; Sterling S.; Satre D.D.; Chi F.W.; Mertens
J.) Kaiser Permanente Division of Research, Oakland, United States.
CORRESPONDENCE ADDRESS
S. Parthasarathy, Kaiser Permanente Division of Research, Oakland, United
States.
SOURCE
Alcoholism: Clinical and Experimental Research (2011) 35 SUPPL. 1 (286A).
Date of Publication: June 2011
CONFERENCE NAME
34th Annual Scientific Meeting of the Research Society on Alcoholism, RSA
CONFERENCE LOCATION
Atlanta, GA, United States
CONFERENCE DATE
2011-06-25 to 2011-06-29
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
As part of the effort aimed at identifying individuals with alcohol problems
earlier in their course and addressing alcohol use in the context of other
chronic health conditions, screening, brief intervention and referral to
treatment (SBIRT) has been developed for alcohol problems in multiple health
care settings and is gaining momentum. Examining costeffectiveness analyses
of SBIRT varies by the treatment setting where it is implemented (e.g. adult
primary care, pediatric primary care and psychiatry). In this ongoing study,
we examine health care utilization and costs of patients in an SBIRT
implementation in adult primary care. Primary care clinics were randomized
to a control arm and two alternative modes of delivering SBIRT in
nonacademic primary care settings. In the Primary Care Physician or “PCP”
arm, PCPs were trained on the SBIRT protocols outlined in the NIAAA
Clinicians' Guide. In the Non-Physician Provider (NPP) arm, Medical
Assistants were trained to administer the NIAAA screener and enter the
results in the electronic medical record. In this arm, the NPPs (including
Behavioral Medicine Specialists, Primary Care Nurses and Clinical Health
Educators) were trained to conduct the screening, brief intervention and
referral activities. Providers in the control arm did not receive any
training on SBIRT protocols. In the first three months of study observation,
among those screened positive to the single question NIAAA screener, there
were no differences between prescreening and postscreening emergency room
(ER) utilization 2.9% vs. 3.4%. Of patients who screened positive, 3.4%had
an ER visit in the postscreening period. 1% of those screened positive had a
visit to the specialty CD department in the 1 month postassessment period,
59% of those screened positive had a primary care visit in the month after
intake. Further analyses will compare results across the study arms and
apply unit costs to these visits and examine cost-effectiveness of each
treatment arm.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
cost benefit analysis
health care
health care policy
screening
society
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
arm
behavioral medicine
cost effectiveness analysis
electronic medical record
emergency ward
general practitioner
health
health care utilization
health educator
hospital
human
medical assistant
medical specialist
nurse
patient
physician
primary medical care
psychiatry
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2011.01498.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 370
TITLE
Alcohol-related content in undergraduate nursing curricula in the
northeastern United States
AUTHOR NAMES
Mollica M.A.
Hyman Z.
Mann C.M.
AUTHOR ADDRESSES
(Mollica M.A., mollicam@dyc.edu) D'Youville College School of Nursing, Alt
519, 320 Porter Avenue, Buffalo, NY 14201, United States.
(Hyman Z.) Daemen College Department of Nursing, State University of New
York, Department of Psychiatry, Buffalo, United States.
(Mann C.M.) Daemen College Department of Nursing, Snyder, NY, United States.
CORRESPONDENCE ADDRESS
M. A. Mollica, D'Youville College School of Nursing, Alt 519, 320 Porter
Avenue, Buffalo, NY 14201, United States. Email: mollicam@dyc.edu
SOURCE
Journal of Psychosocial Nursing and Mental Health Services (2011) 49:6
(22-30). Date of Publication: June 2011
ISSN
0279-3695
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
Societal alcohol abuse and misuse is disproportionate to the number of
related didactic and clinical hours reported by traditional baccalaureate
nursing programs in the United States. Because no recent research
re-examines the findings from earlier studies, a survey was developed and
then electronically distributed to all nursing department deans or program
chairs of traditional baccalaureate nursing programs in the Northeast (N =
117). Twenty-seven (23%) schools responded. Results showed limited didactic
and clinical offerings. Most schools cover content related to definition,
psychological and medical complications, and treatment and rehabilitation.
Clinical applications were limited as was content addressing public
dimensions of alcohol misuse. The current findings showed little change from
those of studies conducted more than 20 years ago. Based on the current
findings, further survey development is encouraged with the intent of
continuing exploration of curricular offerings related to alcohol misuse. ©
SLACK Incorporated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
clinical trial
human
multicenter study
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21598870 (http://www.ncbi.nlm.nih.gov/pubmed/21598870)
FULL TEXT LINK
http://dx.doi.org/10.3928/02793695-20110503-01
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 371
TITLE
Community-based participatory research and American Indian/Alaska Native
nurse practitioners: A partnership to promote adolescent health
AUTHOR NAMES
Katz J.R.
Martinez T.
Paul R.
AUTHOR ADDRESSES
(Katz J.R., jkatz@wsu.edu) College of Nursing, Washington State University,
Spokane, WA, United States.
(Martinez T.) Diabetes Prevention, Indian Health Service, Wellpinit, WA,
United States.
(Paul R.) Native American Health Sciences, Washington State University,
Spokane, WA, United States.
CORRESPONDENCE ADDRESS
J.R. Katz, College of Nursing, Washington State University, PO Box 1495,
Spokane WA 99210-1495, United States. Email: jkatz@wsu.edu
SOURCE
Journal of the American Academy of Nurse Practitioners (2011) 23:6
(298-304). Date of Publication: June 2011
ISSN
1041-2972
1745-7599 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Purpose: To make recommendations for American Indian/Alaska Native (AI/AN)
nurse practitioners (NPs) and university partners who are partnering on
community-based participatory (CBPR) research projects. An example of a CBPR
study using focus groups to assess an important adolescent health problem is
used to illustrate opportunities and challenges for AI/AN NPs. Data sources:
Thirteen focus groups were held with 95 participants on the reservation
where the AI/AN NP was a member and working. Results indicated that a
majority of the community represented in the focus groups were concerned
about substance abuse among its youth. Conclusions: The NP faced several
challenges, including remembering emotional events recounted during focus
groups differently than participants. This necessitated debriefing and a
recommendation to carefully form policies and procedures before collecting
data to anticipate such events. By far, the benefit of the NP's involvement
was her ability to identify key members for focus groups, to assist in
tribal council meetings, and to schedule meetings. Implications for
practice: CBPR research partnerships are enhanced by NPs that are members of
the community. CBPR partnerships present opportunities for NPs and
university faculty to work on relevant community problems together. ©2011
The Author(s) Journal compilation ©2011 American Academy of Nurse
Practitioners.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American Indian
child health care
cooperation
Eskimo
nurse practitioner
participatory research
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
adult
aged
article
child
cultural competence
female
human
information processing
male
mental health
middle aged
qualitative research
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21649772 (http://www.ncbi.nlm.nih.gov/pubmed/21649772)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1745-7599.2011.00613.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 372
TITLE
The lived experience of adults with bipolar disorder and comorbid substance
use disorder.
AUTHOR NAMES
Ward T.D.
AUTHOR ADDRESSES
(Ward T.D.) Duke University, School of Nursing, Durham, North Carolina, USA.
CORRESPONDENCE ADDRESS
T.D. Ward, Duke University, School of Nursing, Durham, North Carolina, USA.
Email: terry.ward@duke.edu
SOURCE
Issues in mental health nursing (2011) 32:1 (20-27). Date of Publication:
2011
ISSN
1096-4673 (electronic)
ABSTRACT
There is a high incidence of comorbid substance use in the bipolar
population. Co-occurring substance use in this population increases negative
outcomes and changes the illness presentation. Currently there is a lack of
insight into the lived experience of adults with bipolar disorder and
comorbid substance abuse. This descriptive phenomenological study describes
and enhances the understanding of what it is like to live with bipolar
disorder and comorbid substance used disorder. The data were collected using
face-to-face in-depth interviews. Six distinctive themes were developed and
validated by the descriptions of the experiences of the participants. The
six themes that emerged from analysis of formulated meanings were: (1) Life
is Hard; (2) Feeling the Effects; (3) Trying to Escape; (4) Spiritual
Support; (5) Being Pushed Beyond the Limits; and (6) A Negative Connotation.
All the themes came from the interconnection of bipolar disorder and
substance use disorder. This study has implications for nursing practice,
research, and education. If nursing and health care professionals understand
the problem as these patients' perceive it, management of mood swings and
relapses from periods of sobriety along with selection of treatment
modalities will be improved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
addiction (epidemiology, therapy)
attitude to health
bipolar disorder (epidemiology, therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
comorbidity
cost of illness
female
human
male
methodology
middle aged
nursing methodology research
psychiatric diagnosis
psychiatric nursing
psychological aspect
psychological model
psychological rating scale
qualitative research
questionnaire
religion
self care
social psychology
social support
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21208049 (http://www.ncbi.nlm.nih.gov/pubmed/21208049)
FULL TEXT LINK
http://dx.doi.org/10.3109/01612840.2010.521620
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 373
TITLE
A wed-based module on neurobiology to engage students in substance abuse
research
AUTHOR NAMES
Truncali A.
Gillespie C.
Lee J.
Ross S.
Kerr D.
Huben L.
More F.
Naegle M.
Kalet A.
Gourevitch M.
AUTHOR ADDRESSES
(Truncali A.; Gillespie C.; Lee J.; Ross S.; Gourevitch M.) NYU School of
Medicine, New York, United States.
(More F.) NYU College of Dentistry, New York, United States.
(Kerr D.; Naegle M.) NYU College of Nursing, New York, United States.
(Huben L.; Kalet A.) NYU School of Medicine, Brooklyn, United States.
CORRESPONDENCE ADDRESS
A. Truncali, NYU School of Medicine, New York, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S585-S586). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
SETTING AND PARTICIPANTS: All first-year medical students (n=172) were
invited to complete the module as a supplement to their Neuroscience course
addiction lecture. They received instructions for accessing the module by
way of the Neuroscience course website. DESCRIPTION: The multimedia module
features a case study of a cocaine-dependent man whose addictive behaviors
are described and linked with associated neurobiology,including reward, cue
development and executive dysfunction. It uses interactive animation,
user-controlled video segments, and immediate feedback facilitated by the
learning platform. Successful research faculty colleagues further discuss
how basic science has advanced the understanding and treatment of addiction.
Immediate pre-post-testing on 4-point Likert scales evaluated interest in
SA, interest in general- and SA-focused research and perceived knowledge.
Post-testing evaluated attitudes and module appeal. A -month post survey was
conducted by email to assess longer-term impact. NEEDS AND OBJECTIVES: There
is a need to build the ranks of substance abuse (SA) researchers across
health professions. We developed a web-based module, the Neurobiology of SA,
as part of a NIDA-funded initiative to increase interest in SA research
among nursing, dental and medical students. We aimed to foster students'
understanding of addiction's physiologic basis and motivate interest in
SA-focused research. EVALUATION: 83 of 172 (48%) students voluntarily
completed the module (92 pretest, 44 posttest). Prior exposure to SA
treatment or research was reported as absent (45%), personal
(20%),educational (31%), and clinical (13%). SA interest increased (29% pre
to 45% post somewhat or very interested, p=.005). There was no change in
anticipated career research involvement, but interest in conducting SA
research specifically increased from 45 to 52% (p=.09). After the module,
students endorsed somewhat or full understanding of “how neurobiology
research has shaped addiction treatment” (73%), “relationships between
addiction and reward” (81%), and “pathways through which drug abuse affects
decision making and inhibition” (90%). SA attitudes were generally
ambivalent. At 4 months (n=44), students endorsed enhanced interest in SA
treatment (77% some or a lot), SA research (70%) and change in attitudes
(75%), as well as improved understanding of related course material(89%) and
exam performance(84%). DISCUSSION/REFLECTION/LESSONS LEARNED: A web module
on the neurobiology of SA offered to preclinical medical students with a
baseline lack of interest in SA was readily integrated into existing course
material and led to enhanced interest in SA and possibly motivation to
conduct related research. The module deepened understanding of related
course material. Attitudes toward SA treatment were generally ambivalent
post-module but may represent an improvement from baseline. Future study
will assess impact among dental and nursing students.
EMTREE DRUG INDEX TERMS
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
internal medicine
neurobiology
society
student
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
case study
decision making
drug abuse
e-mail
exposure
feedback system
health
learning
male
manager
medical student
motivation
multimedia
nursing
nursing student
occupation
reward
scientist
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 374
TITLE
A scale for measuring social stress among diabetic patients
AUTHOR NAMES
Rothberg M.
Du Val T.M.
Friderici J.
Welch G.
AUTHOR ADDRESSES
(Rothberg M.; Du Val T.M.; Friderici J.; Welch G.) Baystate Medical Center,
Springfield, United States.
CORRESPONDENCE ADDRESS
M. Rothberg, Baystate Medical Center, Springfield, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S287). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: In urban clinic settings, many clinicians believe that social
stress interferes with patients' ability to comply with complex medical
regimens and that social support is protective. However, little empirical
data is available and there is a paucity of assessment tools to foster
research in this area. Competing obligations from family, as well as
poverty, substance abuse, illiteracy, mental illness and domestic violence
are all common and potentially disruptive factors, while support includes
family members and community connections. The objective of this study was to
measure social stress levels and social supports in an urban, predominantly
Hispanic sample of patients with diabetes. METHODS: Using focus groups of
physicians, nurses and diabetes educators who work with patients at one
academic urban health center, we created a 20-item measure of social stress
and a 10-item measure of social support in English and Spanish. After pilot
testing with target subjects, the scale was modified for clarity. We
administered the scale by telephone to 250 patients with diabetes to assess
levels of social stress and support among our clinic population. For each
stress question respondents were asked whether it was a cause of stress in
the past week. Some questions included the possibility that a problem for a
family member might be the source of the patient's stress, e.g. problems
with alcohol or drug abuse in my family or myself. We also assessed
depression using the Patient Health Questionnaire (PHQ-9) and self-reported
disability. Proportions and 95% confidence intervals were calculated for
binary response items. Bivariate examinations of continuous stress and
support scores with demographic and behavioral predictors were conducted
using unpaired t-tests, chi-squared tests, and Pearson's rank correlation.
RESULTS: We invited 305 patients to participate, of which 246 (81%)
responded. Mean age was 53±11 years, 63% were female, and 53% were Hispanic,
25% white and 19% black. All patients had type 2 diabetes, 73% were obese,
and 61% were disabled. Depression measured by PHQ-9 was prevalent, with 31%
scoring >=10, indicating moderate to severe depression. Nearly all patients
(99%) had some form of health insurance. The average respondent endorsed 6
(SD 4) of 20 stress items (range 0 to 20) and 6 (SD 2) of 10 support items.
Most (93%) endorsed at least one stress item. The top-ranked stress items
were Depression/anxiety in self or family (63%; 95% CI 57%, 69%), “Family
sickness/disability” (61%; 95% CI 55%, 67%), “Not enough money for food,
rent” (60%; 95% CI 54%, 66%), “Caring for family's needs” (58%; 95% CI 51%,
64%) and “Cost of travel back home to visit family” (45% ; 95% CI 38%, 51%).
The top-ranked support items were “Supportive doctor” (93%, 95% CI 90%,
97%), “Good advice from family” (79%, 95% CI 73%, 84%), and “Supportive
friends” (76%, 95% 70%, 81%). Reliabilities for both scales were sound
(alpha=0.8, stress; 0.6, support). There were no significant differences in
stress by sex (men 6.1 vs. women 6.4, P=0.51); ethnicity (Hispanic 6.2 vs.
black 6.7 vs. white 5.9, P=0.26), educational level (Pearson's r-0.07,
P=0.54) or disability (disabled 6.7 vs. not 5.8, P=0.13). Stress scores were
positively correlated with PHQ-9 (Pearson's r=0.60, p<0.0001), and support
scores negatively so (Pearson's r=-0.26, p=0.0001). Stress and support were
inversely related (Pearson's r=0.16, p=0.02). CONCLUSION: Among diabetic
patients in an urban health center, levels of social stress were high, but
social supports were also common. Social stress was highly correlated with
depression.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diabetic patient
human
internal medicine
social stress
society
EMTREE MEDICAL INDEX TERMS
community
confidence interval
diabetes educator
diabetes mellitus
disability
disabled person
domestic violence
drug abuse
ethnicity
examination
female
food
friend
health
health center
health insurance
Hispanic
hospital
information processing
male
mental disease
money
non insulin dependent diabetes mellitus
nurse
patient
physician
population
poverty
questionnaire
reliability
social support
Student t test
substance abuse
telephone
travel
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 375
TITLE
Title: Improving inpatient pain: Possible barriers and solutions. A quality
improvement initiative
AUTHOR NAMES
Jain S.
Donato A.
Acharya B.
Mancini P.M.
Gulati G.
Romero B.
Fraga J.D.
AUTHOR ADDRESSES
(Jain S.; Donato A.; Fraga J.D.) Reading Hospital and Medical Centre,
Reading, United States.
(Acharya B.; Mancini P.M.; Fraga J.D.) Reading Hospital, Reading, United
States.
(Gulati G.; Fraga J.D.) Reading Hospital and Medical Center, West Reading,
United States.
(Romero B.; Fraga J.D.) Reading Hospital and Medical Center, Reading, United
States.
CORRESPONDENCE ADDRESS
S. Jain, Reading Hospital and Medical Centre, Reading, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S569). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
STATEMENT OF PROBLEM OR QUESTION: Pain management is often inadequately
managed in the inpatient setting, with prevalence of severe pain reported in
15-36%. DESCRIPTION OF PROGRAM/INTERVENTION: Flow charting of
nursingprocesses for pain assessment revealed significant limitations in
nursingcomputer resources (multiple duplicate recording systems, no
provisions forprompts and reminders). A focus group conducted identified a
lack of nursingeducation on equianalgesic doses and medication side-effects,
addiction andwithdrawal as well as a lack of nursing autonomy in treating
pain. Interventions to addressthese shortfalls four additive intervention
cycles that included shorteducation sessions for nurses, revision of the
nurse documentation system forpain evaluation, a nurse reminder system for
reassessment, and implementationof a standard pain order set with painscale
driven options for analgesia, anda nurse reminder system for pain
reassessment. OBJECTIVES OF PROGRAM/INTERVENTION: To improve inpatient
painmanagement, as measured byreassessment rates and patient satisfaction,
by 20% on a singlemedical-surgical ward over a 6-month time period. FINDINGS
TO DATE: Nursing education efforts did not have statistically significant
impact on post-test scores. Reassessment rates as evaluated by timeseries
run charting did show significant improvement by the third cycle.Patient
satisfaction scores regarding pain management had not improved by cycle
three (before pain protocol instituted). KEY LESSONS LEARNED: Initialfocus
groups helped us to realize that potential gaps in nursing knowledge
andattitudes. However, quality improvement efforts that include
educationalinterventions tend to have minimal effects on systems, as
demonstrated in ourstudy. Bycharting the nursing workflow, we realized the
need for a reminder system forthe nurses to facilitate their process. Our
data showed that such interventions improve reassessment rates andimprove
system flow, as the literature suggests, however this did not translate to
improved patient satisfaction. We believe that giving nurses autonomy in
analgesicmanagement may close this gap, and await implementation of our pain
protocol.Delays in protocol implementation may be overcome by earlier
involvement of IT resources and senior leadership.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital patient
internal medicine
pain
society
total quality management
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
documentation
drug therapy
human
information processing
leadership
nurse
nursing
nursing education
nursing knowledge
pain assessment
patient satisfaction
prevalence
recording
reminder system
satisfaction
side effect
surgical ward
workflow
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 376
TITLE
Remote area indigenous psychiatry - Reflections on nine years as a visiting
psychiatrist
AUTHOR NAMES
Cord-Udy N.
AUTHOR ADDRESSES
(Cord-Udy N.) Private Practice, Adelaide, Australia.
(Cord-Udy N.) Outreach Assistance Program, Australia.
CORRESPONDENCE ADDRESS
N. Cord-Udy, Private Practice, Adelaide, Australia.
SOURCE
Australian and New Zealand Journal of Psychiatry (2011) 45 O1 (A31). Date of
Publication: May 2011
CONFERENCE NAME
Royal Australian and New Zealand College of Psychiatrists, RANZCP Annual
Congress 2011
CONFERENCE LOCATION
Darwin, NT, Australia
CONFERENCE DATE
2011-05-29 to 2011-06-02
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
In November 2001 the author joined the federally funded Medical Specialists
Outreach Assistance Program and developed a new visiting psychiatry service
to the opal mining town of Coober Pedy in the far north of South Australia.
From this work he developed a passionate interest in Aboriginal mental
health. He provides regular clinic visits to communities in Central
Australia and East Arnhem Land. In this paper the author reflects upon the
observations and experiences of his work during the last nine years with
particular reference to the following topics: • The challenges of remote
area service provision including personal and professional demands and
sustainability, the outreach consultation liaison model, and collaboration
with remote area staff including GP s, nurses, Aboriginal health workers and
psychiatric nurses. The role of technology, the interface with tertiary
services in cities and regional centres, the experiences of working for an
Aboriginal-controlled health organisation, the role of traditional healers
and what has and hasn't worked are also considered in this broad ranging
overview. • A specific focus is given to the scourge of petrol sniffing, the
introduction of Opal fuel and the legacy of lead as well as the intrusion,
normalisation and effects of cannabis abuse, an episode of cluster suicides,
the training of psychiatric registrars and medical students through remote
area visits and the contrast between different areas reflecting community
strength and cultural vibrancy. One aim is to demonstrate the complex but
fascinating nature of this particular work.
EMTREE DRUG INDEX TERMS
fuel
gasoline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
New Zealand
psychiatrist
psychiatry
EMTREE MEDICAL INDEX TERMS
Australia
cannabis addiction
city
community
consultation
health
health care personnel
hospital
indigenous people
medical specialist
medical student
mental health
model
nurse
sniffing
suicide
technology
traditional medicine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 377
TITLE
Buprenorphine for the Treatment of Perinatal Opioid Dependence: Pharmacology
and Implications for Antepartum, Intrapartum, and Postpartum Care
AUTHOR NAMES
Goodman D.
AUTHOR ADDRESSES
(Goodman D., dgoodman@fchn.org) Franklin Memorial Hospital, Farmington,
United States.
CORRESPONDENCE ADDRESS
D. Goodman, 111 Franklin Health Commons, Farmington, ME 04938, United
States. Email: dgoodman@fchn.org
SOURCE
Journal of Midwifery and Women's Health (2011) 56:3 (240-247). Date of
Publication: May-June 2011
ISSN
1526-9523
1542-2011 (electronic)
BOOK PUBLISHER
Wiley-Blackwell Publishing, Inc., 8403 Colesville Rd,, Ste 1550 Silver
Spring MD, United States.
ABSTRACT
Opioid dependence during pregnancy is associated with significant health
risks for both the mother and her fetus. Opioid maintenance therapy with
methadone (Dolophine) is the current standard of care, reduces medical and
social risks associated with illicit drug use, and decreases rates of
prematurity and low birth weight. However, treatment with methadone is
frequently associated with neonatal abstinence syndrome. Buprenorphine is an
alternative to methadone that preliminary data indicates is equivalent in
safety and efficacy to methadone and significantly increases access to
treatment. The pharmacology of buprenorphine and its implications for the
care of pregnant women with opioid dependence are described. © 2011 by the
American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (adverse drug reaction, clinical trial, drug comparison, drug
concentration, drug interaction, intradermal drug administration, parenteral
drug administration, pharmacokinetics, pharmacology, sublingual drug
administration)
EMTREE DRUG INDEX TERMS
buprenorphine plus naloxone
fluoxetine (drug interaction)
ibuprofen
macrolide (drug interaction)
methadone (adverse drug reaction, drug comparison, drug interaction)
metronidazole (drug interaction)
naloxone (oral drug administration, pharmacokinetics)
oxycodone (oral drug administration)
oxycodone plus paracetamol
paroxetine (drug interaction)
sertraline (drug interaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesic agent abuse
perinatal care
EMTREE MEDICAL INDEX TERMS
amenorrhea (side effect)
binding affinity
breast milk
breathing rate
combination chemotherapy
constipation (side effect)
drug absorption
drug blood level
drug excretion
drug metabolism
drug potentiation
drug receptor binding
drug safety
gastrointestinal motility
human
intrapartum care
monotherapy
nausea (side effect)
newborn assessment
patient care
perinatal period
placental transfer
pregnancy
priority journal
puerperium
respiration depression (side effect)
review
side effect (side effect)
urine retention (side effect)
withdrawal syndrome (side effect)
xerostomia (side effect)
DRUG TRADE NAMES
flagyl
paxil
prozac
suboxone
subutex
zoloft
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
ibuprofen (15687-27-1, 79261-49-7)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
metronidazole (39322-38-8, 443-48-1)
naloxone (357-08-4, 465-65-6)
oxycodone (124-90-3, 76-42-6)
paroxetine (61869-08-7)
sertraline (79617-96-2)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011239886
MEDLINE PMID
21535372 (http://www.ncbi.nlm.nih.gov/pubmed/21535372)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1542-2011.2011.00049.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 378
TITLE
Nursing school students' perception of legal and illegal drugs consumption
ORIGINAL (NON-ENGLISH) TITLE
Percepción de los estudiantes de una escuela de enfermería acerca del
consumo de drogas lícitas e ilícitas
AUTHOR NAMES
Bermúdez-Herrera A.
Silva M.A.I.
Priotto E.M.T.
Sampaio J.M.C.
AUTHOR ADDRESSES
(Bermúdez-Herrera A., maiossi@eerp.usp.br) Escuela de Enfermería,
Universidad de Guayaquil, Ecuador.
(Silva M.A.I., maiossi@eerp.usp.br; Priotto E.M.T.,
elispalmapriotto@hotmail.com; Sampaio J.M.C., enfajulliane@usp.br) Escola de
Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro olaborador
de la OMS para el Desarrollo de la Investigación en Enfermería, SP, Brazil.
CORRESPONDENCE ADDRESS
A. Bermúdez-Herrera, Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, Departamento Materno-Infantil e Saúde Pública, Av. dos
Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão Preto, SP,
Brazil. Email: maiossi@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (684-690). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
Drugs consumption is as ancient as humanity. It has always existed and is
associated with culture, in its historical and social context. The aim of
this research is to know and analyze the perception of students from the
Nursing School at the University of Guayaquil about legal and illegal drugs
consumption. The methodological approach was qualitative, descriptive and
exploratory. The sample consisted of eleven first-year students from the
Nursing School. Individual and semi structured interviews were used for data
collection. Thematic content analysis was adopted, in which five themes were
identified: The economic situation, domestic violence, migration of close
relatives, influence of the media that surround us, and ignorance about the
topic. With a view to enhancing awareness on this hard reality that hurts
and prejudices humanity, knowing students' perceptions contributes to
identify their needs and create possibilities for health care interventions,
particularly health promotion.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
nursing education
LANGUAGE OF ARTICLE
English, Spanish, Portuguese
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
21739048 (http://www.ncbi.nlm.nih.gov/pubmed/21739048)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692011000700004
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 379
TITLE
A systematic review of social factors on risk of readmission and death after
hospitalization with pneumonia or heart failure: Implications for pay for
performance
AUTHOR NAMES
Calvillo-King L.
Lo M.
Eubank K.
Yunyonying P.
Stieglitz H.
Arnold D.
Halm E.
AUTHOR ADDRESSES
(Calvillo-King L.; Lo M.; Eubank K.; Yunyonying P.; Stieglitz H.; Arnold D.)
University of Texas, Southwestern, Dallas, United States.
(Halm E.) Univ. of Texas Southwestern Medical Center, Dallas, United States.
CORRESPONDENCE ADDRESS
L. Calvillo-King, University of Texas, Southwestern, Dallas, United States.
SOURCE
Journal of General Internal Medicine (2011) 26 SUPPL. 1 (S225-S226). Date of
Publication: May 2011
CONFERENCE NAME
34th Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Phoenix, AZ, United States
CONFERENCE DATE
2011-05-04 to 2011-05-07
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Rates of readmission and death after hospitalization for
community acquired pneumonia (CAP) and heart failure (HF) are publically
reported and will be tied to reimbursement. Safety net hospitals will be
disproportionately affected if reimbursement policies do not account for
important patient-level social determinants that may increase risk of
readmission and death. We performed a systematic review to assess the impact
of social factors on readmissions or death in CAP and HF. METHODS: We
searched OVID, PubMed and PSYCHINFO for studies published since January 1,
1950. Eligible articles studied CAP or HF, include patient level data,
examine ≥ 1 social factor (e.g., sociodemographics, insurance), and use
readmission and/or death as the outcome. Studies were abstracted by two
investigators using a structured data form ascertaining results [univariate
(UV) and multivariate (MV) associations] and methodological quality.
Inter-rater discrepancies were resolved by consensus. RESULTS: For CAP, 24
of 64 candidate articles met inclusion criteria. Readmission was the primary
outcome for 4 studies, death for 16, and a composite outcome of readmission
or death for 4. For HF, 52 of 170 were included. Readmission was the primary
outcome for 26 studies, death for 39, and a composite outcome for 4.
Thirty-nine percent of articles used administrative datasets, 23% medical
records/ interviews, and 38% both. The overall methodological quality was
mixed. Few studies rigorously examined social factors besides age, gender
and race. Among CAP studies of readmission, only 5 assessed age effects,
with 2/5 finding higher UV risk in the elderly, and 1/5 showing a
significant MV age association. Six studies assessed gender effects with 3/4
showing higher UV&MV risk in women. Three examined race with 1/3 showing
higher UV&MV readmission risk in non-whites. For death, 7/9 found a UV&MV
risk for older age; 5/7 higher UV&MV risk in women; and 3/7 for higher UV
risk for non-whites (and 2/6 MV race differences). Similarly, for HF studies
of readmission, 28 assessed age effects, with 4/10 finding higher UV risk in
the elderly, and 1/4 showing a significant MV association. Twenty-six
assessed gender with 3/12 showing higher UV risk and 3/5 higher MV risk for
women. Eighteen examined race with 6/9 showing higher UV risk and 3/5 higher
MV risk for non-whites. For death, 38 assessed age effects with 5/11 showing
higher UV risk and 8/13 higher MV risk for older age. Thirty-six assessed
gender with 4/11 showing higher UV risk and 8/12 higher MV risk for women.
Twenty-two assessed race effects with 3/7 showing higher UV&MV risk for
non-whites. A few studies found significant influences of ethnicity,
insurance, education, unemployment, nursing home residence, functional
status, mental health, and alcoholism, among others on rates of readmission
or death. CONCLUSION: Most studies of readmission or death after CAP and HF
ignored social factors, though those that looked found significant
influences of age, gender, and race as well as others. More research is
needed to assess the impact of deeper level social variables on risk of
post-DC outcomes. Pay-for-Performance policies should adjust for the impact
of social determinants of adverse post-hospital outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
death
heart failure
hospital readmission
hospitalization
internal medicine
pneumonia
risk
social aspect
society
systematic review
EMTREE MEDICAL INDEX TERMS
aged
alcoholism
community acquired pneumonia
consensus
education
ethnicity
female
functional status
gender
hospital
human
insurance
interview
Medline
mental health
nursing home
patient
policy
race difference
reimbursement
safety
unemployment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-011-1730-9
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 380
TITLE
Risk and protection factors related to the consumption of psychoactive
substances in undergraduate nursing students
ORIGINAL (NON-ENGLISH) TITLE
Factores de riesgo y de protección relacionados con el consumo de sustancias
psicoactivas en estudiantes de enfermería
AUTHOR NAMES
Morales B.N.
Plazas M.
Sanchez R.
Ventura C.A.A.
AUTHOR ADDRESSES
(Morales B.N., blanca.n.morales@gmail.com) Facultad de Enfermería, Fundación
Universitaria Ciencias de la Salud, Bogotá, Colombia.
(Plazas M., mplazas@fucsalud.edu.co) Fundación Universitaria Ciencias de la
Salud, Bogotá, Colombia.
(Ventura C.A.A., caaventura@eerp.usp.br) Escola de Enfermagem de Ribeirão
Preto, Universidade de São Paulo, Centro Colaborador de la OMS para el
esarrollo de la Investigación en Enfermería, SP, Brazil.
(Sanchez R., rfsanches@uol.com.br)
CORRESPONDENCE ADDRESS
C. A. A. Ventura, Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, Departamento de Enfermagem Psiquiátrica e Ciências Humanas,
Av. dos Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão
Preto, SP, Brazil. Email: caaventura@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (673-683). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
This study aims to identify the frequency of risk and protection factors
related to drug consumption among undergraduate nursing students. It is a
cross-sectional study in which authors applied the instrument Risk and
Protection Factors for the Consumption of Psychoactive Substances, validated
for use with undergraduate nursing students. Data were analyzed through
STATA 10. Three hundred and ninety students participated in the study. The
domain "prejudice and appraisal", "social permissiveness and access to
psychoactive substances", "social skills and self-control" are risk factors
for drugs use in 100% of participants. "Spirituality" and "satisfaction with
interpersonal relations" were predominant protective domains. Based on data,
authors can conclude that the students did not consider the risks in alcohol
and tobacco consumption, as they think it is normal and socially acceptable.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
female
human
male
questionnaire
risk factor
LANGUAGE OF ARTICLE
English, Spanish, Portuguese
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
21739047 (http://www.ncbi.nlm.nih.gov/pubmed/21739047)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 381
TITLE
Experiences and meanings of the drugs phenomenon in nursing students
ORIGINAL (NON-ENGLISH) TITLE
Experiencias y significados sobre el fenómeno de las drogas en estudiantes
de enfermería
AUTHOR NAMES
Meza-Benavides M.A.
Furegato A.R.F.
AUTHOR ADDRESSES
(Meza-Benavides M.A., marymeza1@yahoo.com) Escuela de Enfermería,
Universidad de Costa Rica, San José, Costa Rica.
(Furegato A.R.F., furegato@eerp.usp.br) Escola de Enfermagem de Ribeirão
Preto, Universidade de São Paulo, Centro Colaborador de la OMS para el
Desarrollo de la Investigación en Enfermería, SP, Brazil.
CORRESPONDENCE ADDRESS
A. R. F. Furegato, Universidade de São Paulo, Enfermagem de Ribeirão Preto,
Departamento de Enfermagem Psiquiátrica e Ciências Humanas, Av. dos
Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão Preto, SP,
Brazil. Email: furegato@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (691-698). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
The aim of this study was to identify the meanings and experiences of
nursing students regarding the drugs phenomenon. Data were collected through
a semi-structured interview. Data analysis showed five theme categories. Of
the 40 subjects in the sample, between 19 and 24 years old, 28 were women.
Three had never received information about drugs, and most had had
experiences with consumers or had consumed drugs. In Costa Rica, this
problem is associated with stigma and traffic. They recognize that everyone
is responsible, and consent with the State's contradictory attitude through
tobacco company advertisements and complicity with distilleries. They
acknowledge the importance of prevention and consider that the current
approach of this issue is not appropriate. They would like it to be
incorporated in their education, providing strategies on how to act and
relate with drugs consumers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
LANGUAGE OF ARTICLE
English, Spanish, Portuguese
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
21739049 (http://www.ncbi.nlm.nih.gov/pubmed/21739049)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692011000700005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 382
TITLE
Knowledge on drugs phenomenon by students and faculty from the medical
school at universidad mayor de San Andrés, La Paz, Bolivia
ORIGINAL (NON-ENGLISH) TITLE
Conocimiento sobre el fenómeno de las drogas en entre estudiantes y docentes
de la facultad de medicina universidad mayor de san andrés, La Paz, Bolivia
AUTHOR NAMES
Navia-Bueno M.P.
Farah-Bravo J.
Yaksic-Feraudy N.
Philco-Lima P.
Takayanagui A.M.M.
AUTHOR ADDRESSES
(Navia-Bueno M.P.) IINSAD, Universidad Mayor de San Andrés, La Paz, Bolivia.
(Farah-Bravo J.; Yaksic-Feraudy N.) IINSAD, Brazil.
(Philco-Lima P.)
(Takayanagui A.M.M., ammtakay@eerp.usp.br) Escola de Enfermagem de Ribeirão
Preto, Universidade de São Paulo, Centro Colaborador de la OMS para el
Desarrollo de la Investigación en Enfermería, SP, Brazil.
CORRESPONDENCE ADDRESS
A. M. M. Takayanagui, Universidade de São Paulo, Escola de Enfermagem de
Ribeirão Preto, Departamento de Enfermagem Psiquiátrica e Ciências Humanas,
Av. dos Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão
Preto, SP, Brazil. Email: ammtakay@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (722-729). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
The goal of this study was to identify the degree of knowledge of students
and health educators on licit and illicit drugs, related to the type,
classification, action, mechanisms damages, consequences and adverse
effects, besides use and consumption. A cross-sectional methodological
design was used, with a sample of 172 students, professors and residents in
medicine and nursing at Universidad Mayor de San Andrés (UMSA), Bolivia. The
results reveal weak knowledge on the classification of psychotropic
substances according to structure, chemical property and effects for health,
highlighting significant difference with knowledge on licit and illicit
drugs use, with high percentages. In conclusion, there is lack of knowledge
in all groups studied on licit and illicit drugs regarding the consequences
and adverse effects. This confirms the need to improve teaching on this
content in health schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
medical school
medical student
EMTREE MEDICAL INDEX TERMS
adult
article
Bolivia
female
human
male
LANGUAGE OF ARTICLE
English, Portuguese, Spanish
LANGUAGE OF SUMMARY
English, Portuguese, Spanish
MEDLINE PMID
21739053 (http://www.ncbi.nlm.nih.gov/pubmed/21739053)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692011000700009
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 383
TITLE
Licit drugs consumption among nursing students at a private university in
Bogotá, Colombia
ORIGINAL (NON-ENGLISH) TITLE
Consumo de drogas lícitas en estudiantes de enfermería de una universidad
privada en Bogotá, Colombia
AUTHOR NAMES
López-Maldonado M.C.
Luis M.A.V.
Gherardi-Donato E.C.S.
AUTHOR ADDRESSES
(López-Maldonado M.C., mclopez@javeriana.edu.co) Facultad de Enfermería,
Pontificia Universidad Javeriana, Bogotá, Colombia.
(Luis M.A.V., margarit@eerp.usp.br; Gherardi-Donato E.C.S.,
nane@eerp.usp.br) Escola de Enfermagem de Ribeirão Preto, Universidade de
São Paulo, Centro Colaborador de la OMS para el Desarrollo de la
Investigación en Enfermería, SP, Brazil.
CORRESPONDENCE ADDRESS
M. A. V. Luis, Universidade de São Paulo, Escola de Enfermagem de Ribeirão
Preto, Departamento de Enfermagem Psiquiátrica e Ciências Humanas, Av. dos
Bandeirantes, 3900 Bairro: Monte Alegre, CEP: 14040-902 Ribeirão Preto, SP,
Brazil. Email: margarit@eerp.usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2011) 19:SPEC. ISSUE (707-713). Date
of Publication: May-June 2011
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista, Sao
Paulo, Brazil.
ABSTRACT
This cross-sectional study aimed to establish the consumption of licit
psychoactive substances in a sample of 237 nursing students at a private
university in the city of Bogota, Colombia; and relate it with independent
study variables: age, sex, marital status, semester, number of children,
work and living together. Fagerström's Tolerance questionnaire was used to
evaluate the gravity of nicotine dependence and the AUDIT to evaluate
alcohol dependence. Confidentiality was guaranteed through the self
administered Questionnaire and anonymous survey. Univariate analysis was
used. Relevant data in this population was tobacco consumption in about 24 %
and alcohol in 82%. The level of tobacco dependence corresponded to 5 (8.5%)
students with slight dependence, 42 (72%) with average dependence and 12
(20%) with high dependence. When relating tobacco and alcohol consumption,
98 % of the students who smoke consume alcohol. The percentage of students
who never drink was higher in the group of non smokers (23%) than among
smokers (1.72%).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
nursing student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Colombia
cross-sectional study
female
health
human
male
organization and management
university
LANGUAGE OF ARTICLE
English, Spanish, Portuguese
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
21739051 (http://www.ncbi.nlm.nih.gov/pubmed/21739051)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692011000700007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 384
TITLE
Alcohol withdrawal in the critical care unit
AUTHOR NAMES
Corfee F.A.
AUTHOR ADDRESSES
(Corfee F.A., flora.corfee@acu.edu.au) Australian Catholic University
(Aquinas), School of Nursing and Midwifery, PO Box 650, Ballarat, VIC 3350,
Australia.
CORRESPONDENCE ADDRESS
F.A. Corfee, Australian Catholic University (Aquinas), School of Nursing and
Midwifery, PO Box 650, Ballarat, VIC 3350, Australia. Email:
flora.corfee@acu.edu.au
SOURCE
Australian Critical Care (2011) 24:2 (110-116). Date of Publication: May
2011
ISSN
1036-7314
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Managing acute alcohol withdrawal in critical care presents a unique
challenge to the critical care nurse. The prominence of alcohol use within
the Australian community means that many critical care admissions involve
acute alcohol withdrawal, an alcohol induced illness, or indeed an unrelated
admission with underlying heavy alcohol intake.Current statistics suggest 1
in 5 Australians drink to 'risky' levels each month. This suggests that most
critical care nurses will encounter a patient who is experiencing active
withdrawal from alcohol, often without clear physiological symptomatology.
Acute alcohol withdrawal delirium can be difficult to distinguish from other
forms of delirium and in the absence of a comprehensive history, alcohol
withdrawal and its sequelae may go untreated.Contemporary management
guidelines for alcohol withdrawal suggest a common framework of first line
benzodiazepine usage, with emerging research focusing on adjunctive therapy
aimed at reducing benzodiazepine doses, and therefore reducing length of
stay in the critical care unit. The controversial therapy of ethanol
infusion and common assessment and withdrawal scales are examined in
relation to their usefulness in critical care.Alcohol withdrawal management
in critical care necessitates careful nursing assessment, including alcohol
usage history, delirium management, withdrawal assessment and symptomatic
relief using an evidence-based protocol. © 2010 Australian College of
Critical Care Nurses Ltd.
EMTREE DRUG INDEX TERMS
alcohol (drug therapy)
benzodiazepine derivative (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
delirium tremens
intensive care
nursing assessment
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
Australia
human
intensive care unit
nursing
review
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20870419 (http://www.ncbi.nlm.nih.gov/pubmed/20870419)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.aucc.2010.08.005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 385
TITLE
Point-of-care testing: Is it a must in pediatrics?
AUTHOR NAMES
Hicks J.M.
AUTHOR ADDRESSES
(Hicks J.M., hicksjmb@gmail.com) Pediatrics and Pathology, George Washington
Medical Center, Washington, United States.
CORRESPONDENCE ADDRESS
J.M. Hicks, Pediatrics and Pathology, George Washington Medical Center,
Washington, United States. Email: hicksjmb@gmail.com
SOURCE
Clinical Biochemistry (2011) 44:7 (516-517). Date of Publication: May 2011
CONFERENCE NAME
12th International Congress of Pediatric Laboratory Medicine, ICPLM 2011
CONFERENCE LOCATION
Berlin, Germany
CONFERENCE DATE
2011-05-13 to 2011-05-15
ISSN
0009-9120
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Point-of-care testing (POCT) is generally considered to be testing performed
close to the patient, either at the bedside (in-patient), or in clinics
(out-patient) and at home. Innovative analytical and robust technologies
have allowed pediatric centers to embrace POCT. Test results can be
downloaded into the central laboratory computer. It has been driven by the
need for quicker results either in emergency type settings or in clinics
where the doctor would like the test results before the patient leaves the
office setting. POCT is now growing both in volume and the different types
of tests that are available. There are exciting new technologies that are
being introduced for evaluation of HIV and chlamydia in outlying clinics in
the developing world such as in Sub-Saharan Africa. POCT devices are being
used in ambulances and helicopters, and many are found in supermarkets and
chemists' shops for home testing. Point-of-care testing facilitates quicker
results. Usually the time from the arrival of a specimen in the laboratory
to the result reaching the physician is greater than one hour. The time
fromthe time the patient has the specimen drawn to the result can be up to
three hours. The time from the physician's need for the test to an action
based on the results can be very variable, but may be several hours. POCT
allows the time from the physician's request for a test to the result to be
less than five minutes. When setting up a POCT program there aremany issues
that need to be addressed such aswhat tests should be offered and inwhat
locations, responsibilities, training, certification and connectivity. In
terms of locations in pediatrics, all blood gases should be done by POCT,
whatever the location of the patient. This is especially true for the
Neonatal and Intensive CareUnits and the EmergencyDepartment. In most cases,
basic electrolyte determinations should be done by POCT. Sometimes this is
not appropriate if other necessary tests are not available by POCT, and it
is therefore inadvisable to do specimen splitting, with one for the bedside
andone for the central lab.One always must keep blood specimens down to a
minimum in pediatrics. Examples of the location of testing in the neonatal
and intensive care settings are seen in Figs. 1 and 2. There are many other
locations for POCT testing such as glucose and urinalysis testing in other
wards, the need for occult blood testing for gastroenterology patients and
pregnancy and drugs of abuse testing for adolescents. There is a kit
available in the UK that allows parents to check their children's urine for
six of the most commonly used illicit drugs Tests for Glucose, HbA(1c) and
microalbumin can be performed in clinics that handle diabetic patients.
Other clinics may also test for streptococcal throat infections or urinary
tract infections in children using POCT. Clearly, glucose testing in the
home for Type 1 diabetic children is a must. In the best programs, a
diabetic educator will teach the parents, and the child, if old enough, to
do the testing. The laboratory should work closely with these diabetic
educators to choose the most reliable equipment and one that agrees closely
with the laboratory. Amajor consideration in a POCT programis decidingwho
doeswhat. In my experience, nurses, respiratory therapists and patient care
technicians can do testing. Nurses and laboratory staff carry out training.
The quality control is the responsibility of nurse educators and the POCT
coordinator. The final oversight of Quality Control and certification
belongs to the clinical laboratory. The American Association for Clinical
Chemistry offers a program for certification of POCT Coordinators that
involves eight courses The charting and downloading of results into the
computer is performed by the nursing staff. Even in a small pediatric
hospital the burden of training is quite onerous; as many as 600 nurses need
to be trained for competency every six months. In any POCT programit is
necessary to have an oversight committee. This should be comprised of The
Laboratory Director, The Point-of-Care Coordinator, Nursing Representatives,
Educators/Trainers, A Performance Improvement Specialist, A Clinician and An
Information Systems Specialist (as needed). For accurate records and
avoidance of transcriptional errors it is highly recommended that all POCT
equipment be connected to the Laboratory Information System. This allows the
capture of Quality Control results, data for the patient's record and, in
the US, accurate billing. It is often thought that the cost of doing tests
by POCT is high, but in fact this is not so if all costs are considered,
they are equal or less expensive than in the central laboratory. As whole
blood is used for POCT tests there is no time taken to centrifuge and
separate the specimens and there is also no transport time involved. The
amount of time for performing quality control is very little and the expense
is negligible. There is generally little or no calibration required. Nursing
staff performs the tests, and therefore fewer laboratory staff are needed.
Initially nursing staff thought their jobs would be made more stressful by
doing POCT, but results are obtained immediately, and it was no longer
necessary to keep checking the computer or telephoning the laboratory to
find out whether results were ready. In summary, the key advantages of POCT
testing are thatwhole blood is generally used for testing, there is much
improved communications between the nursing and laboratory staff, it is more
cost effective, and importantly it leads to improved physician and patient
satisfaction. (Graph presented) The true challenges are themassive
trainingrequired, the need for an oversight committee and not always being
able to establish connectivity with all POCT equipment. Perceived challenges
are the possible threat to job security, reliability and cost. It is
interesting to note that the National Heart, Lung and Blood Institute of The
National Institutes of Health in the US considers POCT so essential that it
has established a POC TechnologiesResearchNetwork to bridge the
technology/clinical gap and provide partnerships necessary for applications
of technologies to the pressing needs of POC testing. My thoughts are that a
POCT programgreatly enhances patient care in pediatrics.
EMTREE DRUG INDEX TERMS
electrolyte
glucose
hemoglobin A1c
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
laboratory
pediatrics
point of care testing
EMTREE MEDICAL INDEX TERMS
abuse
adolescent
Africa
ambulance
blood
blood gas
centrifuge
certification
child
Chlamydia
clinical chemistry
clinical laboratory
computer
devices
diabetes mellitus
diabetic patient
emergency
female
gastroenterology
helicopter
hospital
human
Human immunodeficiency virus
information system
intensive care
interpersonal communication
job security
medical record
medical specialist
national health organization
nurse
nursing
nursing staff
occult blood
parent
patient
patient care
patient satisfaction
pediatric hospital
pharyngitis
physician
plant leaf
pregnancy
quality control
reliability
respiratory therapist
responsibility
technology
United Kingdom
urinalysis
urinary tract infection
urine
ward
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.clinbiochem.2011.03.021
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 386
TITLE
Psychoeducation and shared decision making as a way to reduce non-compliance
in mental disorders
AUTHOR NAMES
Leucht S.
AUTHOR ADDRESSES
(Leucht S.) Technische Universität München, Psychiatry and Psychotherapy,
Munich, Germany.
CORRESPONDENCE ADDRESS
S. Leucht, Technische Universität München, Psychiatry and Psychotherapy,
Munich, Germany.
SOURCE
European Neuropsychopharmacology (2011) 21 SUPPL. 2 (S109-S110). Date of
Publication: 1 Apr 2011
CONFERENCE NAME
11th ECNP Regional Meeting
CONFERENCE LOCATION
St. Petersburg, Russian Federation
CONFERENCE DATE
2011-04-14 to 2011-04-16
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Non-compliance is a very important issue in the pharmacological treatment of
schizophrenia. This is not a ''yes or no'' phenomenon. We often think in a
dichotomous way about compliance in the sense that patients are either
adherent or not, but probably com-pliance is rather a continuum. Some
patients are fully adherent and others refuse medication in general, but
most patients are probably somewhere in the middle, they are partially
compliant, i.e. they sometimes forget to take the medication or they take
'drug holidays'. Studies based on medication refills have, however, shown
that even small gaps in taking medication are associated with increased
rates of hospitalisation. In one of these trials even a small medication gap
between 1 and 10 days doubled the number of patients hospitalised. It also
seems that the introduction of the atypical antipsychotics has not
dramatically changed the problem of non-compliance. In another large
pharmacy-based study, in the atypical group patients did not have medication
available because they did not even go to the pharmacy for an average of 110
days per year. This number of days was only slightly higher in the typical
antipsychotic group (125 days per year). There are a number of factors that
contribute to noncompliance, reduced cognitive capabilities, substance
abuse, denial of the illness, side-effects etc. Importantly, doctors play
animportant role in patients non-adherence, as well, a phenomenon that has
been called ''doctors' non compliance''. In a study from approximately 15
years ago psychiatrists in German state hospitals were asked about how long
patients with several episodes of schizophrenia should receive maintenance
treatment with an antipsychotic. Surprisingly, there was little consensus
either between the different hospitals or within the same hospital, because
even in the same hospital doctors had very different opinions about this
issue. As this study was carried out at a time when guideline
recommendations were just being made available, a recent study from our
group tried to replicate the findings using a slightly different design. 50
doctors and 100 of their patients were asked about the guideline
recommendation on duration of aintenance treatment. The theoretical
knowledge on the duration of mainte-nance treatment was clearly improved.
For 75% of their patients the doctors knew the guideline recommendation.
However, they communicated the correct recommendation to only 33% of their
patients and when the patients were asked about what the doctors had
recommended to them, the answer was correct in only 11% of the patients.
When it comes to patient non-compliance depot medication is an obviously
useful tool to enhance adherence, because medication intake is assured and
because the doctor immediately knows when the patient stops taking the
medication. But there are also a num-ber of psychotherapeutic interventions
that have been investigated. The first one is compliance therapy, a method
based on motivational interviewing combined with cognitive behavioural
components. Unfortunately, after the promising results of an initial RCT,
subsequent RCTs could not confirm the adherence improving effects of this
strategy. The second important option is psychoeducation.
Psychoeducation-usually performed by means of a few group sessions-can be
provided for both patients and their relatives. The effects of this
intervention have been demonstrated in various studies and meta-analyses.
Nevertheless, there is a problem of resources. A survey in all German
speaking countries showed that only 21% of patients and only 6% of relatives
took part in psychoeducation in 2003 (1). One of the reasons is that
although psychoeducation is relatively easy to apply, busy doctors and
nurses do not have the time to establish their own programme. Therefore,
novel approaches try to establish 'peer-to-peer' psychoeducation. Here,
psychoeducation is provided by patients for other patients or by relatives
for relatives of other patients. This may help to increase the available
resources. Furthermore, pilot studies have shown that one of the major
advantages is the credibility of the peer oderators. If another patient or a
family member runs the sessions, their recommendations can be more credible
for the participants than if the sessions are run by health professionals.
Finally, the concept of ''shared decision making'' has recently been
introduced. Shared decision making lies somewhere between the standard
''paternalistic model'' and so-called ''informed choice''. The
''paternalistic model'' assumes that the doctor knows what is best for the
patient and he makes a recommendation. Therole of the patient is to adhere
to the recommendation, while the doctor is fully responsible. In some
countries ''informed choice'' is for example used for vaccination
recommendations before travels to tropical countries. All the necessary
information is provided to the travellers who must decide himself whether
they want to be vaccinated or not. Shared decision is somewhere in the
middle: patients are well informed about the available options so that they
are able to participate in a ''decision talk'' with the doctor. Both share
the responsibility for the decision. A first cluster-randomised trial has
been carried out in Germany and found in the acutephase that participants in
the shared decision making group felt significantly more involved (2). At
long-term follow-up there was a trend of fewer rehospitalisations (3). These
data suggest that shared decision making is a promising concept in
schizophrenia that should be further developed and investigated. Disclosure
statement: Stefan Leucht received speaker/ consultancy/advisory board
honoraria from SanofiAventis, BMS, Actelion, EliLilly, Essex Pharma,
AstraZeneca, GlaxoSmithKline, Janssen/Johnson and Johnson, Lundbeck and
Pfizer. SanofiAventis and EliLilly supported research projects by SL.
EMTREE DRUG INDEX TERMS
atypical antipsychotic agent
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
decision making
mental disease
psychoeducation
EMTREE MEDICAL INDEX TERMS
consensus
drug therapy
follow up
general aspects of disease
Germany
health practitioner
hospital
hospital physician
leisure
maintenance therapy
meta analysis
model
nurse
patient
pharmacy
physician
pilot study
psychiatrist
responsibility
schizophrenia
side effect
speech
substance abuse
therapy
travel
tropics
vaccination
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(11)70117-1
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 387
TITLE
Alcohol-related brief interventions as a criterion for American college of
surgeons level i trauma center verification: How best to train the
interventionists?
AUTHOR NAMES
London J.A.
Dunn C.W.
Utter G.H.
AUTHOR ADDRESSES
(London J.A., Jason.a.london@kp.org) Department of Surgery, Kaiser
Permanente, South Sacramento, 6600 Bruceville Road, Sacramento, CA 95823,
United States.
(London J.A., Jason.a.london@kp.org; Utter G.H.) Department of Surgery,
University of California, Davis Medical Center, Sacramento, CA, United
States.
(Dunn C.W.) Department of Psychiatry and Behavioral Sciences, University of
Washington, Seattle, WA, United States.
CORRESPONDENCE ADDRESS
J. A. London, Department of Surgery, Kaiser Permanente, South Sacramento,
6600 Bruceville Road, Sacramento, CA 95823, United States. Email:
Jason.a.london@kp.org
SOURCE
Journal of Trauma - Injury, Infection and Critical Care (2011) 70:4
(931-938). Date of Publication: April 2011
ISSN
0022-5282
1529-8809 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
Background: The American College of Surgeons Committee on Trauma recently
required that Level I trauma centers have the capability to perform
counseling in the form of brief interventions (BIs) for injured patients
identified as problem drinkers. However, it is not yet known what type of
training is optimal for trauma center personnel who will conduct these BIs.
Methods: We conducted a prospective cohort study at the University of
California, Davis Medical Center, a Level I trauma center. We compared two
methods of training trauma nurse practitioners (NPs) without prior
counseling expertise to conduct BIs: formal workshop training versus
"on-the-job" (OTJ) training. throughout the text. Is this OK? - We also
evaluated whether a further "booster" training session would improve BI
skills. We assessed BI skills in blinded fashion during interviews with a
standardized patient actor using a 21-point checklist of BI counseling tasks
("FLO" score). Results: Nine workshop- and five OTJ-trained NPs
participated. FLO scores did not markedly differ between the two groups
after initial training (total FLO score, 9.6 ± 2.4 and 7.8 ± 0.4, workshop
vs. OTJ, respectively; 95% confidence interval of difference, -4.1 to 0.6).
FLO scores did however improve in both groups after booster training (9.1 ±
2.0 and 16.0 ± 2.2, time 1 vs. time 2, respectively; 95% confidence interval
of difference, 4.7-9.1). The magnitude of improvement in FLO scores after
the booster session did not differ between the workshop and OTJ groups.
Conclusion: In preparing NPs to conduct BIs, OTJ training by an experienced
peer does not seem to differ markedly from workshop training by expert
counselors. Interventionist knowledge and performance can be improved in the
short term by follow-up training. This indicates that NP's taught by either
method should undergo periodic continuing education to maintain the
necessary skill set for performing BIs. Copyright © 2011 by Lippincott
Williams & Wilkins.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brief intervention
clinical education
nurse practitioner
on the job training
patient counseling
workshop
EMTREE MEDICAL INDEX TERMS
adult
article
cohort analysis
comparative effectiveness
controlled study
female
human
human experiment
injury
intermethod comparison
interview
male
normal human
nursing competence
priority journal
prospective study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
CLINICAL TRIAL NUMBERS
ClinicalTrials.gov (NCT00278785)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011216243
MEDLINE PMID
21610398 (http://www.ncbi.nlm.nih.gov/pubmed/21610398)
FULL TEXT LINK
http://dx.doi.org/10.1097/TA.0b013e3182127b0b
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 388
TITLE
HIV/AIDS awareness in those diagnosed with mental illness
AUTHOR NAMES
Ngwena J.
AUTHOR ADDRESSES
(Ngwena J., jerry.ngwena@tvu.ac.uk) Thames Valley University, Brentford,
United Kingdom.
CORRESPONDENCE ADDRESS
J. Ngwena, Thames Valley University Paragon, House Boston Manor Road,
Brentford TW8 9GA, United Kingdom. Email: jerry.ngwena@tvu.ac.uk
SOURCE
Journal of Psychiatric and Mental Health Nursing (2011) 18:3 (213-220). Date
of Publication: April 2011
ISSN
1351-0126
1365-2850 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The spread of human immunodeficiency virus (HIV) continues to increase among
the general population. Previous studies in this field focused mainly on the
'at-risk' groups such as homosexuals, prostitutes, intravenous drug users,
bisexual men and women. Mentally ill men and women remain one of the
subgroups understudied and yet continue to show disproportionately high
levels of seroprevalence. The purpose of this study was to elucidate
awareness of the risk factors associated with HIV transmission and
development of AIDS in those diagnosed with mental illness. Using
questionnaires, information regarding HIV method of transmission, knowledge
on HIV/AIDS and at-risk behaviour awareness was obtained from 30 subjects in
an acute psychiatric mental health unit (13 women and 17 men). Significant
association between different variables was determined at 95.5% confidence
level (P=0.05). Assessment of HIV/AIDS awareness and at-risk behaviour
awareness revealed significant knowledge deficit among this subject group.
The outcome of this study underscores the need to introduce intervention
programmes tailored to individual needs of the mentally ill. Measures such
as 'at-risk sexual' behaviours should be incorporated into the current
assessment process or profile so that accurate information and informed
judgement can be reached regarding client or patient sexual behaviour. ©
2011 Blackwell Publishing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health promotion
Human immunodeficiency virus infection (prevention)
mental disease
safe sex
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
disease transmission
female
high risk behavior
human
male
marriage
middle aged
nursing
psychiatric diagnosis
sexual behavior
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21395913 (http://www.ncbi.nlm.nih.gov/pubmed/21395913)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2850.2010.01657.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 389
TITLE
Up in smoke! Treating tobacco addiction in the hospital and policy
implications
AUTHOR NAMES
Shah L.
Press V.
Krishnan J.
Suresh K.
Arora V.
Meltzer D.
AUTHOR ADDRESSES
(Shah L.) Avalere Health, Washington, United States.
(Press V.; Krishnan J.; Suresh K.; Arora V.; Meltzer D.) University of
Chicago, Chicago, United States.
CORRESPONDENCE ADDRESS
L. Shah, Avalere Health, Washington, United States.
SOURCE
Journal of Hospital Medicine (2011) 6:4 SUPPL. 2 (S69-S70). Date of
Publication: April 2011
CONFERENCE NAME
Hospital Medicine 2011, HM 2011
CONFERENCE LOCATION
Grapevine, TX, United States
CONFERENCE DATE
2011-05-10 to 2011-05-13
ISSN
1553-5592
BOOK PUBLISHER
John Wiley and Sons Inc.
ABSTRACT
Background: Hospital-based tobacco cessation counseling is critical,
especially among African Americans, who suffer a disproportionate burden of
tobacco-related disease. Recently updated cessation guidelines are
available, and quality measures for counseling are tied to physician
reimbursement. Yet previous research showed only 10% of patients with
tobacco-related disease quit smoking postdischarge. This study aimed to
understand barriers to providing guidelinebased care for inpatient smokers.
Methods: Current smoking inpatients were identified and interviewed at
admission about smoking behaviors and cessation barriers. In addition,
providers were surveyed regarding barriers to following guidelines for
tobacco cessation. At discharge, interns, residents, and nurses caring for
enrolled smokers were interviewed regarding their awareness of tobacco
cessation guidelines, any tobacco cessation guideline-based care they
offered to the patient, and their assessments of individual patient
readiness to quit. Results: From September 2008 to July 2009, 225 of 289
hospitalized smokers (78%) participated in the study. Of the 225 patients,
193 (86%) were African American, and 77 (34%) had a discharge diagnosis of a
tobacco-related illness. A total of 196 provider surveys were completed;
these included 102 surveys of interns and residents rotating on the general
medicine service and 94 surveys of medicine ward nurses caring for enrolled
smokers at discharge. Of the 102 house staff surveys, physicians reported
being aware that the patient was a smoker 77% of the time and offering
tobacco cessation advice to these smokers 60% of the time. This advice
consisted of at least 10 minutes of counseling only 18% of the time. House
staff reported referring known smokers to an onsite tobacco cessation
program only 10% of the time. Similarly, nurses were aware a patient was a
smoker 77% of the time. In these cases, nurses reported they gave advice to
quit 59% of the time and spent at least 10 minutes counseling patients on
quitting only 13% of the time. They referred patients to an onsite tobacco
cessation clinic in only 13% of cases. All providers cited multiple reasons
for lack of counseling and lack of referral to a postdischarge clinic
including time constraints, a lack of prioritization, a belief that
individual patients were not ready to quit, and a lack of awareness of
tobacco cessation guidelines or postdischarge options. Conclusions:
Hospitalization is a missed opportunity to counsel on tobacco cessation,
with few patients quitting postdischarge and few providers delivering
evidence-based care. Despite quality measures for assessing tobacco use and
advising patients to quit, health care providers face many challenges to
implementing guideline- based tobacco cessation care in the hospital.
Quality measures may need to be expanded to further promote the use of
evidence-based methods. Health care providers may benefit from training and
support in promoting tobacco cessation at all stages of the care continuum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital
policy
smoke
tobacco dependence
EMTREE MEDICAL INDEX TERMS
African American
counseling
diagnosis
evidence based practice
general aspects of disease
general practice
health care personnel
hospital patient
hospitalization
nurse
patient
physician
reimbursement
resident
smoking
tobacco
ward
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/jhm.920
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 390
TITLE
Recognition of child maltreatment as a result of parents presenting to
hospital
AUTHOR NAMES
Hodes D.
Smith P.
Begent J.
Gilbert R.
AUTHOR ADDRESSES
(Hodes D.; Smith P.; Begent J.) Paediatrics, University College London
Hospitals NHS Trust, London, United Kingdom.
(Gilbert R.) Centre for Paediatric Epidemiology and Biostatistics, UCL,
Institute of Child Health, London, United Kingdom.
CORRESPONDENCE ADDRESS
D. Hodes, Paediatrics, University College London Hospitals NHS Trust,
London, United Kingdom.
SOURCE
Archives of Disease in Childhood (2011) 96 SUPPL. 1 (A94). Date of
Publication: April 2011
CONFERENCE NAME
Annual Conference of the Royal College of Paediatrics and Child Health,
RCPCH 2011
CONFERENCE LOCATION
Warwick, United Kingdom
CONFERENCE DATE
2011-04-05 to 2011-04-07
ISSN
0003-9888
BOOK PUBLISHER
BMJ Publishing Group
ABSTRACT
Aims: There is increasing recognition of the safeguarding needs of children
whose parents are affected by domestic violence (DV), mental health problems
and substance misuse highlighted in Local Safeguarding Board Child
Protection Procedures. Acute hospital trusts maybe one of the fi rst points
of recognition of the parental problems. However there is little evidence
demonstrating awareness among staff of adult presentations might lead to
protection of their vulnerable children. Our hospital procedures suggest a
child and family referral to social care in these situations. We aimed to
measure the pattern of referrals to the hospital child and family social
worker when the presenting adult causes concern about their children. Method
All emergency department, paediatric and other departmental staff were
trained to consider the implications of adult presentation with DV,
alcohol/drug misuse, mental health problems for their children. Data about
such referrals is collected monthly. Results: Referrals increased between
2008 and 2009. Of cases reported to named nurse in 2008, 94/320 (30%) were
children who were reported through their parents presenting to the hospital.
The total numbers referred in 2009 increased to 549 with 164 referred
through their parents with the proportion remaining at 30%. The concerns
were because of DV/assault, 33 (35%) in 2008 and 56 (34%) in 2009; mental
health problems increased from 14 (15%) in 2008 to 43 (26%) in 2009. For
substance misuse and overdose the proportion was the approximately the same
between the years, average 19% and 8% respectively. There was improved data
collection with 23% classified as other in 2008 but 13% in 2009. There was a
parallel doubling in the proportion of referrals that came from the hospital
to the local Child and Family Social Care; 11% in 2005 versus 22% in 2009.
Conclusions The needs of children whose parents present to hospital are
rarely considered. The audit shows that with increased training and hospital
guidelines, referrals related to parent presentations increase. Many of
these cases required liaison with social care, police, education and primary
care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
child health
college
hospital
human
parent
pediatrics
EMTREE MEDICAL INDEX TERMS
adult
domestic violence
education
emergency ward
information processing
intoxication
medical audit
mental health
nurse
police
primary medical care
protection
social care
social worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1136/adc.2011.212563.219
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 391
TITLE
Heatwaves and their impact on people with alcohol, drug and mental health
conditions: A discussion paper on clinical practice considerations
AUTHOR NAMES
Cusack L.
de Crespigny C.
Athanasos P.
AUTHOR ADDRESSES
(Cusack L., lynette.cusack@flinders.edu.au) Research Fellow (Population
Health),School of Nursing and Midwifery, Faculty of Health Science, Flinders
University, Adelaide, Australia.
(de Crespigny C.) Drug and Alcohol Nursing, Joint Chair,Discipline of
Nursing and Drug and Alcohol Services of South Australia, University of
Adelaide, Australia.
(Athanasos P.) Coordinator of Addiction and Mental Health
Programs,Discipline of Nursing, University of Adelaide, Australia.
CORRESPONDENCE ADDRESS
L. Cusack, Research Fellow (Population Health),School of Nursing and
Midwifery, Faculty of Health Science, Flinders University, Adelaide,
Australia. Email: lynette.cusack@flinders.edu.au
SOURCE
Journal of Advanced Nursing (2011) 67:4 (915-922). Date of Publication:
April 2011
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim. This article discusses the clinical implications of adverse health
outcomes derived during heatwaves for people with mental health disorders,
substance misuse and those taking prescribed medications such as lithium,
various neuroleptic and anticholinergic drugs. Background. With climate
change it is predicted that the incidence of prolonged periods of extreme
heat will increase. Specific adverse health outcomes associated with high
environmental temperatures include heat stroke and heat exhaustion. Those at
increased risk for heat-related mortality are those with chronic health
conditions, including those with mental health disorders and substance
misuse. Data sources. Sources of evidence included and 'grey' literature
published between 1985 and 2010, such as key texts, empirical research,
public policies, training manuals and community information sheets on heat
waves. Discussion. Current clinical practice and clinical impact of
heatwaves on those people with comorbidity is explored. This includes the
physiological components of heat stress, heat regulation, and the impact of
alcohol and other drugs; and, ramifications and professional practice issues
for those with mental health conditions and those requiring mental health
medications. Implications for nursing. Client education covering
modification of the environment and the use of client heat safety action
plans. Secure, accessible stores of prescribed medication are recommended
and emergency substance withdrawal kits could be made available. Conclusion.
All nurses have a responsibility to increase the capability and resilience
of their clients to manage their chronic health needs during a heatwave. At
these times nurses need to give extra monitoring and assistance when clients
lack the capacity or resources to protect themselves. © 2011 The Authors.
Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.
EMTREE DRUG INDEX TERMS
psychotropic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
clinical protocol
disaster medicine
heat (adverse drug reaction)
heat injury (epidemiology, etiology)
mental disease (drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
article
Australia (epidemiology)
chronic disease
comorbidity
drinking behavior (adverse drug reaction)
drug effect
emergency health service
female
greenhouse effect
human
infant
male
nurse attitude
nursing
pathophysiology
patient education
physiology
risk factor
thermoregulation
utilization review
withdrawal syndrome (drug therapy, etiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21214621 (http://www.ncbi.nlm.nih.gov/pubmed/21214621)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2010.05551.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 392
TITLE
Attitude towards mental illnesses among paramedical professionals and junior
doctors
AUTHOR NAMES
Solanki C.K.
Vankar G.K.
Prikh M.N.
AUTHOR ADDRESSES
(Solanki C.K.; Vankar G.K.; Prikh M.N.) Department of Psychiatry, B.J.
Medical College, Civil Hospital, Ahmedabad, Gujarat, India.
CORRESPONDENCE ADDRESS
C.K. Solanki, Department of Psychiatry, B.J. Medical College, Civil
Hospital, Ahmedabad, Gujarat, India.
SOURCE
Indian Journal of Psychiatry (2011) 53:5 SUPPL. 1 (S6). Date of Publication:
April 2011
CONFERENCE NAME
63rd Annual National Conference of the Indian Psychiatric Society, ANCIPS
2011
CONFERENCE LOCATION
New Delhi, India
CONFERENCE DATE
2011-01-16 to 2011-01-19
ISSN
0019-5545
BOOK PUBLISHER
Medknow Publications and Media Pvt. Ltd
ABSTRACT
Background: Attitudes of paramedical and medical professionals to
psychiatric illness are important for referral and use of mental health
facilities by general people. Knowledge of psychiatric disorders and
experience of working with psychiatric patients may be responsible for
positive attitudes. Aim: Our aim was to assess attitude towards different
mental illnesses among different paramedical professionals and to know
impact of education and work experience on attitudes towards mental
illnesses. Materials and Methods: We included nursing staff, nursing
students and junior doctors from our hospital and students of clinical
psychology from a private deaddiction centre. Study design was cross
sectional. Attitudes to Mental illness Questionnaire was used with
modifications and addition of demographic details. Experience of working
with psychiatric patients and of attending mental health primary care
program also were included. Results: Attitudes towards drug abuse,
depression, alcohol abuse and schizophrenia were negative. Anxiety spectrum
disorders, conversion and dissociative disorder showed positive attitudes.
Subjects with experience of working with psychiatric patients and experience
of mental health primary care showed more positive attitudes. Conclusions:
There is need of developing program containing knowledge of mental health
and practical experience of psychiatric patients in curriculum of
paramedical and medical profession and of restructuring present curriculum
to develop positive attitudes to mental illnesses for benefit of community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
Indian
medical society
mental disease
paramedical personnel
physician
EMTREE MEDICAL INDEX TERMS
alcohol abuse
anxiety
clinical psychology
community
curriculum
diseases
dissociative disorder
drug abuse
education
health care facility
hospital
medical profession
mental health
mental patient
nursing staff
nursing student
primary medical care
questionnaire
schizophrenia
student
study design
work experience
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 393
TITLE
Stress and burnout in Nurse Anesthesia
AUTHOR NAMES
Chipas A.
McKenna D.
AUTHOR ADDRESSES
(Chipas A., chipas@musc.edu; McKenna D., mckenna@musc.edu) Medical
University of South Carolina, Charleston, SC, United States.
CORRESPONDENCE ADDRESS
A. Chipas, Medical University of South Carolina, Charleston, SC, United
States. Email: chipas@musc.edu
SOURCE
AANA Journal (2011) 79:2 (122-128). Date of Publication: April 2011
ISSN
0094-6354
BOOK PUBLISHER
AANA Publishing Inc., 222 South Prospect Road, Park Ridge, United States.
ABSTRACT
This study was designed to determine the current level of stress and its
physical manifestations in Certified Registered Nurse Anesthetists (CRNAs)
and student registered nurse anesthetists. It also looked at coping
mechanisms individuals commonly employ to combat the effects of stress. The
study used data collected between February and May 2008 using a Stress and
Burnout Survey on an online survey tool (SurveyMonkey). The fiscal year 2008
president of the American Association of Nurse Anesthetists, Wanda Wilson,
CRNA, PhD, distributed a link to this survey in 2 electronic requests to
approximately 28,000 nurse anesthesia providers. The response rate was 26.9%
(N = 7,537). Based on responses and comments, recommendations can be made
for future wellness interventions for the Association and for individuals. ©
2011 AANA.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
burnout
nurse anesthetist
stress
EMTREE MEDICAL INDEX TERMS
adult
agitation
alcohol abuse
annoyance
article
bruxism
childbirth
concentration loss
confusion
coping behavior
financial management
habit
headache
heart arrhythmia
human
hypertension
infertility
injury
interpersonal stress
job change
job satisfaction
malpractice
marriage
normal human
pregnancy
retirement
substance abuse
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011214905
MEDLINE PMID
21560975 (http://www.ncbi.nlm.nih.gov/pubmed/21560975)
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 394
TITLE
Tako-Tsubo cardiomyopathy - Mending a broken heart
AUTHOR NAMES
Teehan S.
AUTHOR ADDRESSES
(Teehan S.) St James's Hospital, Trinity Centre for Health Sciences, Dublin,
Ireland.
CORRESPONDENCE ADDRESS
S. Teehan, St James's Hospital, Trinity Centre for Health Sciences, Dublin,
Ireland.
SOURCE
European Journal of Cardiovascular Nursing (2011) 10 SUPPL. 1 (S17). Date of
Publication: April 2011
CONFERENCE NAME
11th Annual Spring Meeting on Cardiovascular Nursing
CONFERENCE LOCATION
Brussels, Belgium
CONFERENCE DATE
2011-04-01 to 2011-04-02
ISSN
1474-5151
BOOK PUBLISHER
Elsevier
ABSTRACT
Purpose: To review the incidence of Tako-Tsubo Cardiomyopathy / Broken Heart
Syndrome over 12mths in a single cardiology center. Background: Tako-Tsubo
Cardiomyopathy (TTC) was first recognised in Japan in 1990 - characterised
by acute reversible apical ventricular dysfunction secondary to an acute
stressful trigger. The aetiology of this condition has been identified in
the literature as (a) Sudden emotional or physical stressful event (b) Surge
in plasma catecholamine levels (c) Myocardial stunning with normal coronary
blood flow. Available research demonstrates that 70-80% are post-menopausal,
65-80% are precipated by stress and 7% of female ACS patients have TTC.
Methods and Results: Over 12mths all emergency patients with suspected
Myocardial Infarcts (MI) and Non-ST elevation MI's were prospectively
reviewed with a diagnosis of Normal Coronaries which lead to Left
ventriculograms been performed. A total of 9 Patients were diagnosed with
having TTC. n=9 Age 58-75 Female 9 Hyperlipidemia 3 Hypertension 2 Diabetes
0 Family Hx CAD 3 Smoker (including ex-smokers) 4 Depression 2 Excessive
Alcoholism 0 Stress - related to death of Loved one 4 Stress - related to
traumatic event 3 Stress - related to Medical Illness (Non-Cardiac) 2
Conclusions: Awareness of this condition, potential complications and good
history taking is vital. Prognosis for TTC is excellent however as
Cardiology Nurse Specialists education of this condition is pivotal in
ensuring a great recovery. Clinical features, Nature of the syndrome -
including reversibility and low rate of occurence needs to be addressed with
our patients. Effective coping mechanisms requires assessment, referral to a
psychologist and education regarding the importance of follow-up to confirm
resolution thereby ensuring quality of care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiomyopathy
cardiovascular nursing
heart
takotsubo cardiomyopathy
EMTREE MEDICAL INDEX TERMS
alcoholism
anamnesis
cardiology
catecholamine blood level
clinical feature
coping behavior
coronary artery blood flow
death
diabetes mellitus
diagnosis
education
emergency patient
etiology
female
follow up
general aspects of disease
heart infarction
heart ventricle function
hyperlipidemia
hypertension
Japan
medical specialist
non ST segment elevation myocardial infarction
nurse
patient
prognosis
psychologist
smoking
stunned heart muscle
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S1474-5151(11)60066-2
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 395
TITLE
Examination of insomnia and insomnia treatment in psychiatric inpatients
AUTHOR NAMES
Haynes P.L.
Parthasarathy S.
Kersh B.
Bootzin R.R.
AUTHOR ADDRESSES
(Haynes P.L., thaynes@email.arizona.edu; Parthasarathy S.) Southern Arizona
VA Health Care System, Tucson, AZ, United States.
(Haynes P.L., thaynes@email.arizona.edu; Bootzin R.R.) Departments of
Psychiatry, Tucson, AZ, United States.
(Haynes P.L., thaynes@email.arizona.edu; Bootzin R.R.) Departments of
Psychology, Tucson, AZ, United States.
(Parthasarathy S.) Medicine, University of Arizona, Tucson, AZ, United
States.
(Kersh B.) New Mexico VA Health Care System, Albuquerque, NM, United States.
CORRESPONDENCE ADDRESS
P.L. Haynes, Southern Arizona VA Healthcare System, University of Arizona,
Departments of Psychiatry and Psychology, PO Box 245002, Tucson, AZ
85724-5002, United States. Email: thaynes@email.arizona.edu
SOURCE
International Journal of Mental Health Nursing (2011) 20:2 (130-136). Date
of Publication: April 2011
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Despite the high comorbidity of insomnia with psychiatric illness, few
studies have examined insomnia or insomnia treatments in psychiatric
inpatients. The present study had two overall goals. First, we sought to
describe insomnia symptoms in 76 US veterans hospitalized for a wide-range
of psychiatric illnesses. Next, we sought to examine whether participation
in one session of group therapy for insomnia was associated with improvement
in Insomnia Severity Index (ISI) scores for a subset of these inpatients
(n=19). Data were extracted from the clinical charts of 140 inpatients
admitted into the 26-bed psychiatric ward at the New Mexico VA Healthcare
System. The majority of the veterans had clinical insomnia in the
moderate-to-severe range, and only 18% of the sample reported no
clinically-significant insomnia. There was a significant reduction in ISI
scores approximately 1 week after attendance at the group therapy session,
which appears to be unrelated to the length of hospitalization, but might be
related to psychiatric stabilization. This is the first study to examine
insomnia symptoms in a mixed, psychiatric inpatient population. Group
therapy for insomnia might be a particularly useful treatment option given
polypharmacy and substance dependency issues often arising in this
population. International Journal of Mental Health Nursing © 2011 Australian
College of Mental Health Nurses Inc. No claim to original US government
works.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital patient
insomnia (diagnosis, epidemiology, therapy)
mental disease (therapy)
EMTREE MEDICAL INDEX TERMS
article
female
group therapy
hospitalization
human
male
middle aged
prevalence
psychological aspect
public hospital
statistics
treatment outcome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21371228 (http://www.ncbi.nlm.nih.gov/pubmed/21371228)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2010.00711.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 396
TITLE
FT32 - Self-medication in students of nursing and nutrition in San Luis
AUTHOR NAMES
Vendramín M.
Roquer S.
Duarte S.
Belotti M.
Calderón C.
AUTHOR ADDRESSES
(Vendramín M.; Roquer S.; Duarte S.; Belotti M.; Calderón C.,
ccal@unsl.edu.ar) Farmacología, UNSL, Argentina.
CORRESPONDENCE ADDRESS
M. Vendramín, Farmacología, UNSL, Argentina.
SOURCE
Biocell (2011) 35:3 (A265). Date of Publication: 2011
CONFERENCE NAME
2nd Joint Meeting of the Biology Societies from Argentina
CONFERENCE LOCATION
San Juan, Argentina
CONFERENCE DATE
2011-08-17 to 2011-08-19
ISSN
0327-9545
BOOK PUBLISHER
Universidad Nacional de Cuyo
ABSTRACT
Self-medication is taking medication without medical intervention. Often the
drug is used as a solution to any problem. Our goal was to analyze the use
of nonprescription drugs, health problems for which they were consumed and
the place of purchase. 139 interviews were conducted (May - June 2011),
including: the existence or not of prescription, age, sex, diagnoses,
medications, place of purchase. Drugs were classified according to ATC and
potential therapeutic value, and the diagnoses according to ICD-10
classification. Results (%): self-medication 64.8. Sex: F 88.9, M 11.1. Age:
<26 (78.9), 26-40 (11.1), >40 (10). Diagnoses: headache 16.7, menstrual
cramps 11.3, fatigue10 , sore throat, 8.7, anxiety 8, stomach pain 7.7,
cough 6.2, cold 5.9, sleep problems 3.9, decreased physical and intellectual
performance 3.9. ATC Group: M 45.5, N 30.7, A 15.5, A 5.1, J 2.3. Drug:
ibuprofen alone and combined (A,C) 39.2, paracetamol A,C 13.1, aspirin A,C
11.9, N-butilhioscina 5.1, propinox+clonixinate lysine 4, diclofenac 3.4.
Fixed Dose Combinations (FDC) 23.9. Place of purchase: pharmacy 80.1,
drugstore 12.5. Different types of pain, respiratory and digestive problems
were prevalent. Non-steroidal, anti-inflammatory and analgesic antipyretic
drugs were the most used then some medicines for the digestive and
respiratory system. High self-medication, sale in drugstore, and the use of
drugs in CDF of not high therapeutic value, as are the most cold medicines,
lead us to conclude that it is necessary to develop strategies to avoid
negative the negative connotations for the health which this misuse implies.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid
analgesic agent
antipyretic agent
diclofenac
ibuprofen
lysine
non prescription drug
paracetamol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Argentina
health care organization
human
nursing
nutrition
self medication
student
EMTREE MEDICAL INDEX TERMS
anxiety
classification
coughing
diagnosis
drug therapy
headache
health
intellect
interview
muscle cramp
pain
pharmacy
prescription
respiratory system
sex diagnosis
sleep
sore throat
stomach pain
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 397
TITLE
Healthcare use by children fatally or seriously harmed by child
maltreatment: Analysis of a national case series 2005-2007
AUTHOR NAMES
Woodman J.
Brandon M.
Bailey S.
Belderson P.
Sidebotham P.
Gilbert R.
AUTHOR ADDRESSES
(Woodman J., j.woodman@ich.ucl.ac.uk; Gilbert R.) MRC Centre of Epidemiology
for Child Health, UCL-Institute of Child Health, 30 Guilford Street, London
WC1H 1EH, United Kingdom.
(Brandon M.; Bailey S.; Belderson P.) School of Social Work and Psychology,
University of East Anglia, Norwich, United Kingdom.
(Sidebotham P.) Medical School, University of Warwick, Coventry, United
Kingdom.
CORRESPONDENCE ADDRESS
J. Woodman, MRC Centre of Epidemiology for Child Health, UCL-Institute of
Child Health, 30 Guilford Street, London WC1H 1EH, United Kingdom. Email:
j.woodman@ich.ucl.ac.uk
SOURCE
Archives of Disease in Childhood (2011) 96:3 (270-275). Date of Publication:
March 2011
ISSN
0003-9888
1468-2044 (electronic)
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
Aim: To determine antecedent patterns of healthcare use by children fatally
or seriously harmed by maltreatment. Methods: The authors analysed recorded
healthcare use for children who were the subject of a serious case review
(SCR) in England in 2005-2007. The SCRs were initiated when a child under 18
years old died or was seriously harmed, maltreatment (abuse or neglect) was
a factor, and there were lessons for interagency working. The authors
analysed a purposive sample (N=40), similar in key demographics to all 189
SCRs in England in 2005-2007. Results: Children had extensive recorded
contact with universal (N=34/40; 85%) and secondary (N=26/40; 65%)
healthcare services and children's social care (N=21/40; 53%). Thirty-one
children (78%) had recorded health visitor and/or school nurse contact.
Fourteen children (35%) had missed appointments. Almost three-quarters
(N=29) had complex family problems recorded (parental domestic violence,
alcohol/drug and/or mental health problems). Data quality regarding
healthcare use was poor, and the extent and type of 'missing data' varied by
age. Conclusions: Complex paediatric and family problems and a high level of
contact with services preceded serious adverse events. Universal health
services are likely to be well placed for giving ongoing and
family-orientated support to vulnerable families. The absence of
standardised data collection and any control group limits how far the
Biennial Analyses of SCRs can meet their stated objective of identifying
national trends and patterns. Linking SCRs to healthcare databases would
provide a control group, improve understanding of the population context and
diminish demands for data from professionals delivering care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child abuse
health care utilization
EMTREE MEDICAL INDEX TERMS
adolescent
age distribution
alcohol abuse
article
child
clinical article
controlled study
data base
demography
domestic violence
drug abuse
family violence
female
health service
health visitor
human
infant
male
mental disease
preschool child
priority journal
school child
school health nursing
social care
United Kingdom
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2011095625
MEDLINE PMID
21242231 (http://www.ncbi.nlm.nih.gov/pubmed/21242231)
FULL TEXT LINK
http://dx.doi.org/10.1136/adc.2010.190314
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 398
TITLE
Influence of alexithymia, self-concept and health locus of control on
alcohol consumption of young portuguese
AUTHOR NAMES
Lopes R.
AUTHOR ADDRESSES
(Lopes R.) UCP - Enfermagem de Saúde Mental e Psiquiatrica, Escola Superior
de Enfermagem de Coimbra, Coimbra, Portugal.
CORRESPONDENCE ADDRESS
R. Lopes, UCP - Enfermagem de Saúde Mental e Psiquiatrica, Escola Superior
de Enfermagem de Coimbra, Coimbra, Portugal.
SOURCE
European Psychiatry (2011) 26 SUPPL. 1. Date of Publication: March 2011
CONFERENCE NAME
19th European Congress of Psychiatry, EPA 2011
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2011-03-12 to 2011-03-15
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Portugal still holds a leading place in the per capita consumption of
alcohol at a world level, with high mortality rates due to hepatic
cirrhosis, high indexes of road/work killings, besides a vast range of
physical and mental, family and occupational health problems caused by
alcohol. The narrow connection between juvenile/academic events and alcohol
consumption makes youngsters vulnerable to this consumption. A
descriptive-correlational and transversal study was conducted with a 552
students' sample of the Nursing degree aiming to determine some
psychological characteristics that might influence/predict alcohol use/abuse
in youngsters: alexithymia, self-concept and health control locus. The data
collection instrument comprehended: Graffar Social Classification; Toronto
Alexithymia Scale (TAS20), What Do I Think Of Health, Self-Concept Clinical
Inventory (SCCI) and Alcohol Involvement Scale (AIS). Male gender is related
to alcohol involvement (rho=-0.276; p=.000), revealing that 35% of the male
gender and 7% of the female are normally drinkers with problems. Externally
oriented thought (F3-TAS20) (rho=.084; p=.048), the impulsiveness (F4-SCCI)
(rho=.119; p=.005) and the external control locus (rho=.118; p=.005) are
correlated to the involvement with alcohol. Hierarchic multiple regression
revealed as behaviour predictor variables of that involvement: gender (3.8%;
p=.000), impulsiveness (1.4%; p=.005) and self-efficiency with inverse
relation (F2-SCCI) (1.0%; p=.015). It is concluded that the choice of
preventive strategies must be focused in actions that facilitate personal
and social development, that promote personal and social skills, culminating
in a freedom of choice by healthy behaviours and life-styles, diminishing
the risk of PLA.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alexithymia
health
locus of control
psychiatry
self concept
EMTREE MEDICAL INDEX TERMS
classification
female
freedom
gender
impulsiveness
information processing
lifestyle
liver cirrhosis
male
mortality
multiple regression
nursing
occupational health
Portugal
predictor variable
risk
social adaptation
social evolution
student
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-9338(11)71786-2
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 399
TITLE
Nurses from practice awareness about clinical nutrition
AUTHOR NAMES
Kala Grofova Z.
AUTHOR ADDRESSES
(Kala Grofova Z.) Clinical nutrition, University and Hospital Pardubice,
Pardubice, Czech Republic.
CORRESPONDENCE ADDRESS
Z. Kala Grofova, Clinical nutrition, University and Hospital Pardubice,
Pardubice, Czech Republic.
SOURCE
Clinical Nutrition, Supplement (2011) 6:1 (177). Date of Publication: 2011
CONFERENCE NAME
33rd Congress of the European Society for Clinical Nutrition and Metabolism,
ESPEN 2011
CONFERENCE LOCATION
Gothenurg, Sweden
CONFERENCE DATE
2011-09-03 to 2011-09-06
ISSN
1744-1161
BOOK PUBLISHER
Elsevier
ABSTRACT
Rationale: Years of practice in clinical nutrition make us think everybody
is fully informed. What is the real level of awareness about undernutrition,
starvation, artificial nutrition, energetic metabolism or nutrients among
nurses? Methods: Nurses (n = 64) working in clinical practice were tested
while externaly studying first year of bachelor degree at Pardubice
University. They underwent the same test from Clinical Nutrition as full
time study students. Wrong answers to above mentioned main topics were
selected from all questions concerning nutrition. Results: Undernutrition,
starvation: 39% see no sequentiality of starvation and undernutrition
(starvation does not lead to a weight loss 22%; undernutrition not caused by
starvation 17.2%). 44% do not consider as causes of undernutition: loss of
teeth or apetite, alcohol abuse (33%); mechanical compression of digestive
tract and a lower food intake (11%). 48.4%: undernutrition combined with a
big stress does not lead to death. 50% see no link between undernutrition
and immunity, healing. 47%: no link between stress starvation and wound
healing; 48.4%: no link between stress starvation and immunity; 22% think
organism adapts quickly to stress starvation. Artificial nutrition: 68.8%:
artificial nutrition blocks the stress catabolism; 39%: nursing care of
central or peripheral cathters is the same; 61.2% have no clear image about
enteral nutrition, 20.4% about parenteral one. Nutrients, metabolism: 34.4%:
energy expenditure is not dependent on the body weight; 39%: proteins are
basic resource of energy; 19%: proteins are not utilized in stress
starvation; 33%: fatty acids are not a resource of energy; 45% have lack of
knowledge about saccharides as energy resource. Conclusion: The relatively
high percentage of wrong answers to test questions show the low awareness
about undernutrition, starvation and energetic metabolism. Further education
of nurses can help to focus more attention to this topic in practice.
EMTREE DRUG INDEX TERMS
carbohydrate
fatty acid
protein
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
metabolism
nurse
nutrition
society
EMTREE MEDICAL INDEX TERMS
alcohol abuse
appetite
artificial feeding
body weight
catabolism
clinical practice
compression
death
digestive system
education
energy expenditure
energy resource
enteric feeding
food intake
healing
immunity
malnutrition
nursing care
nutrient
organisms
starvation
student
tooth
university
weight reduction
wound healing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 400
TITLE
Don't ask don't tell: Substance abuse and addiction among nurses
AUTHOR NAMES
Monroe T.
Kenaga H.
AUTHOR ADDRESSES
(Monroe T., todd.b.monroe@vanderbilt.edu) Vanderbilt University, School of
Nursing, Nashville, United States.
(Kenaga H.) The University of Tennessee Health Science Center, College of
Medicine, Memphis, TN, United States.
CORRESPONDENCE ADDRESS
T. Monroe, Vanderbilt University, School of Nursing, 461 21st Avenue South,
600-A GH, Nashville, TN 37240, United States. Email:
todd.b.monroe@vanderbilt.edu
SOURCE
Journal of Clinical Nursing (2011) 20:3-4 (504-509). Date of Publication:
February 2011
ISSN
0962-1067
1365-2702 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim: The purpose of this manuscript is to illustrate the challenges faced by
nurses who abuse substances and to promote international dialogue about what
practitioners, administrators, health care providers and students can do
when they suspect someone in the profession is abusing substances, or they
may themselves be suffering from addiction. Background: Addiction among
nurses has been recognised by professionals in the field for over 100 years,
and current estimates place rates of substance misuse, abuse and addiction
rates as high as 20% among practicing nurses. Unfortunately, fear of
punishment and discipline may keep nurses or students from asking for help
for themselves or from reporting a colleague or friend who is in need of
help. Design: Discursive paper. Method: This paper synthesises the results
of three previous papers conducted on substance abuse policies in the
nursing profession. In the first paper, the authors reviewed the history of
addiction in nursing and compared disciplinary and alternative-to-discipline
policies. The second focused on the development of an
alternative-to-dismissal policy for substance abuse in a school of nursing
and using telephone and email interviews, and the final paper reported
findings of what types of polices seem to be working to retain and
rehabilitate nurses who suffer from addiction in the USA. Lastly, this paper
introduces international policy for nurses with addictions.Conclusions. Poor
or ineffective policies that mandate punitive action endanger the public by
making it difficult for impaired students or professionals to ask for help.
Providing early intervention and assistance is essential in helping
colleagues and students recover from an addictive disorder and providing a
non-punitive atmosphere of support may well be a life-saving first step for
nurses and those in their care. Many territories and countries throughout
the world now offer confidential, non-punitive, assistance for nurses
suffering from addictions. Relevance to clinical practice: Recognition of a
colleague's need of treatment is the important first step in the
rehabilitation process. Early intervention and assistance are essential for
helping colleagues and students to recover from an addictive disorder and
providing a confidential, non-punitive atmosphere of support may well be a
life-saving first step for nurses and those in their care. © 2010 Blackwell
Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
malpractice
nurse
EMTREE MEDICAL INDEX TERMS
article
human
personnel management
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21040041 (http://www.ncbi.nlm.nih.gov/pubmed/21040041)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2702.2010.03518.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 401
TITLE
Training nurses in the treatment of tobacco use and dependence: Pre- and
post-training results
AUTHOR NAMES
Sheffer C.E.
Barone C.
Anders M.E.
AUTHOR ADDRESSES
(Sheffer C.E., cesheffer@uams.edu) Department of Health Behavior and Health
Education, University of Arkansas for Medical Sciences, Little Rock, AR,
United States.
(Barone C.) Department of Nursing Practice, University of Arkansas for
Medical Sciences, Little Rock, AR, United States.
(Anders M.E.) Department of Respiratory and Surgical Technology, University
of Arkansas for Medical Sciences, Little Rock, AR, United States.
CORRESPONDENCE ADDRESS
C.E. Sheffer, Department of Health Behavior and Health Education, University
of Arkansas for Medical Sciences, Little Rock, AR, United States. Email:
cesheffer@uams.edu
SOURCE
Journal of Advanced Nursing (2011) 67:1 (176-183). Date of Publication:
January 2011
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim- This paper is a report of a study conducted to examine the effects of a
brief training in the treatment of tobacco use and dependence on the tobacco
use intervention-related knowledge and attitudes of nurses.Background-
Nurses are the largest group of healthcare providers and they have an
extended reach into the population of tobacco users. Thus, increasing the
number of nurses who deliver brief evidence-based interventions for tobacco
use and dependence, such as that prescribed by the Public Health Service
Clinical Practice Guideline in the United States of America, is likely to
expose more tobacco users to evidence-based treatments and lead to more
successful quit attempts. Effective training is key to improving provider
proficiency in delivering evidence-based interventions for tobacco use and
dependence.Method- A 1-hour didactic training was delivered to 359 nurses
from 2006 to 2007, including 54 Advanced Practice Nurses, 250 Registered
Nurses and 55 Licensed Practical Nurses. Pre- and post-training tests
assessed attitudes, knowledge and behaviours. Paired samples t-tests were
used to compare pre- and post-test results.Results- Statistically
significant increases on nearly all measures were achieved, with Registered
Nurses and Licensed Practical Nurses realizing the largest gains.Conclusion-
Given the overwhelming impact of tobacco use on patients, all nurses should
be provided with training in the delivery of brief, evidence-based
interventions for tobacco use. As the most trusted healthcare provider group
with an extended reach into the tobacco using population, nurses have a
large potential impact on the prevalence of tobacco use. © 2010 Blackwell
Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
nursing education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
aged
article
evidence based nursing
health care quality
human
methodology
middle aged
nursing
nursing evaluation research
self concept
smoking (prevention)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21039779 (http://www.ncbi.nlm.nih.gov/pubmed/21039779)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2010.05483.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 402
TITLE
At-risk and living with hepatitis C virus, HIV, addiction, and mental
illness: Stories from a peer model program in Toronto
AUTHOR NAMES
Woolhouse S.
Cooper E.
Pickard A.
Millson P.
AUTHOR ADDRESSES
(Woolhouse S.; Cooper E.; Pickard A.; Millson P.) Toronto, Canada.
CORRESPONDENCE ADDRESS
S. Woolhouse, Toronto, Canada.
SOURCE
Canadian Journal of Infectious Diseases and Medical Microbiology (2011) 22
SUPPL. SB (24B-25B). Date of Publication: Spring 2011
CONFERENCE NAME
20th Annual Canadian Conference on HIV/AIDS Research: Honouring our History,
Embracing our Diversity, CAHR 2011
CONFERENCE LOCATION
Toronto, ON, Canada
CONFERENCE DATE
2011-04-14 to 2011-04-17
ISSN
1712-9532
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
BACKGROUND: The East Toronto Hepatitis C Program is an innovative program
providing education, social services, nursing, medical and psychiatric care
to people living with hepatitis C virus (HCV), some with HIV co-infection
and others at-risk of HIV, and many with current or past histories of drug
use, incarceration, mental illness, and homelessness. The objective of this
research project was to explore the experiences of clients including group
participation, impact of illness, treatment, and determinants of health.
METHODS: Phenomenology informed the qualitative approach to this research by
using data collection methods of twenty semi-structured openended in-depth
interviews. Interpretive analysis was an iterative process of capturing the
meaning and common features of individuals' lived experiences. RESULTS:
Analysis of the data revealed several broad themes: the group as an agent of
transition and change; the program structure and services; the context of
clients' lives including experiences with the health care system; and the
illness experience related to HCV or HIV/HCV co-infection, physical health,
mental illness and emotional well-being. Participation in the group provided
opportunities for socialization, support, normalization, and development of
self-confidence through its peer model. Clients described factors that
impacted their ability to cope with their illness and treatment, including
lack of social determinants of health and challenging experiences with
medical and social services. All clients described the stigma associated
with their illness and the impact the disease had on their quality of life.
Finally, all clients described the process of “getting ready” for treatment
and the role the group and program played in supporting them through their
decision-making process. CONCLUSION: Findings suggest that this integrated
peer-based educational model can successfully treat people living with HCV
or HIV/HCV co-infection. These findings will enhance the quality of the
existing program and evaluate it as a model for other agencies and for
Canadian health policy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
Hepatitis C virus
Human immunodeficiency virus
mental disease
model
risk
EMTREE MEDICAL INDEX TERMS
data collection method
decision making
drug use
education
educational model
general aspects of disease
health
health care policy
health care system
hepatitis C
homelessness
human
interview
mental health care
mixed infection
nursing
personal experience
phenomenology
quality of life
social work
socialization
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 403
TITLE
A comparative study of nursing attitudes towards young male survivors of
brain injury: A questionnaire survey
AUTHOR NAMES
Linden M.A.
Redpath S.J.
AUTHOR ADDRESSES
(Linden M.A., m.linden@qub.ac.uk) School of Nursing and Midwifery (Research
unit), Queen's University Belfast, 10 Malone Road, Belfast BT9 5BN, United
Kingdom.
(Redpath S.J.) Neuropsychology, Morriston Hospital, Swansea, United Kingdom.
CORRESPONDENCE ADDRESS
M.A. Linden, School of Nursing and Midwifery (Research unit), Queen's
University Belfast, 10 Malone Road, Belfast BT9 5BN, United Kingdom. Email:
m.linden@qub.ac.uk
SOURCE
International Journal of Nursing Studies (2011) 48:1 (62-69). Date of
Publication: January 2011
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Background: The attitudes members of the nursing profession hold towards
survivors of brain injury may impact on the level of help, and degree of
involvement they are willing to have. Given that the manner in which an
individual receives their brain injury has been shown to impact on public
prejudices, the importance of exploring nursing attitudes to this vulnerable
group, and the subsequent impact this may have on the caring role, requires
investigation. Objective: To investigate the attitudes held by members of
the nursing profession towards young male survivors of brain injury whose
behaviour either contributed, or did not contribute, to their injury.
Design: Independent groups design. Setting and participants: Ninety trainee
and sixty-nine qualified nurses respectively drawn from a university in the
south west of England and the emergency, orthopaedic and paediatric
Departments of the Royal Devon and Exeter Hospital, UK. Methods:
Participants were randomly assigned to one of four fictional brain injury
scenarios. A young male character was portrayed as sustaining a brain injury
as a result of either an aneurysm, or through drug taking, with their
behaviour being either a contributory or non-contributory factor. On reading
these, participants were asked to complete the prejudicial evaluation scale,
the social interaction scale and the helping behaviour scale. Results:
Analysis of variance showed that qualified nurses held more prejudicial
attitudes than student nurses towards survivors of brain injury. Mean scores
indicated that individuals seen as contributing towards their injury were
likely to experience more prejudice (blame total = 42.35 vs. no blame total
= 38.34), less social interaction (blame total = 37.54 vs. no blame total =
41.10), and less helping behaviour (blame total = 21.49 vs. no blame total =
22.34) by both groups. Conclusions: Qualified nurses should be mindful of
the impact their attitudes and judgements of survivors of brain injury may
have on the subsequent care they provide. Greater emphasis on the effects of
negative attitudes on patient interactions during training may provide
nurses with the understanding to recognise and avoid challenges to their
caring role in the future. © 2010 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
brain injury (epidemiology, etiology)
health personnel attitude
nursing staff
social psychology
survivor
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
cooperation
empathy
female
high risk behavior
human
intracranial aneurysm (complication)
male
middle aged
nurse patient relationship
nursing methodology research
nursing student
psychological aspect
statistics
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20965077 (http://www.ncbi.nlm.nih.gov/pubmed/20965077)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2010.05.011
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 404
TITLE
The castle peak experience - 14 years of delivering local alcohol services
AUTHOR NAMES
Chiang T.P.
AUTHOR ADDRESSES
(Chiang T.P.) Alcohol and Drug Dependence Unit, Castle Peak Hospital, Hong
Kong, Hong Kong.
CORRESPONDENCE ADDRESS
T.P. Chiang, Alcohol and Drug Dependence Unit, Castle Peak Hospital, Hong
Kong, Hong Kong.
SOURCE
East Asian Archives of Psychiatry (2010) 20 SUPPL. 1 (12-13). Date of
Publication: December 2010
CONFERENCE NAME
2nd Joint International Conference of the Hong Kong College of Psychiatrists
and the Royal College of Psychiatrists (UK): Brain, Behaviour and Mind 2010
CONFERENCE LOCATION
Hong Kong, China
CONFERENCE DATE
2010-12-11 to 2010-12-13
ISSN
2078-9947
BOOK PUBLISHER
Hong Kong Academy of Medicine Press
ABSTRACT
The Tuen Mun Alcohol Problems Clinic (TMAPC) of Castle Peak Hospital is a
“one-stop shop” for inpatient and outpatient services focusing on alcohol
detoxification and treatment of co-existing psychiatric problems. It is the
first of its kind in Hong Kong and became operational in 1996. The treatment
and rehabilitative programme consists of pharmacological, psychological and
social interventions, which involves various disciplines including
psychiatrist, hospital-based psychiatric nurse, community psychiatric nurse,
occupational therapist, clinical psychologist, and social worker. Each
client is assigned with a case nurse. This case nurse coordinates the
efforts of professionals of different disciplines to provide an integrated
level of care by ensuring that the client's treatment needs are met. Our
team of health professionals provides all the necessary support resources.
We conduct individual and group therapy, and Alcoholics Anonymous meetings.
We also provide clinic supervision on disulfiram treatment for those without
effective supervision at home. Ethnic Chinese constitutes the vast majority
of our clientele. We had 792 registered cases (673 men and 119 women, 85.0%
and 15.0% respectively) in TMAPC in the period from August 1996 to March
2009. Co-existing drug misuse or other psychiatric disorders were diagnosed
in 225 clients (28.4%). Depressive disorder, dysthymia, adjustment disorder
and personality disorder were the most commonly diagnosed co-morbid
psychiatric conditions. At TMAPC, we observed a high male-to-female ratio of
5.7:1, which was significantly higher than those figures reported in the
western world. This might partly be explained by the stigma attached to
women's drinking in the local Chinese community. Meanwhile, 38.7% of our
female clients were diagnosed to have depression or dysthymia.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
disulfiram
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain
college
Hong Kong
human
psychiatrist
EMTREE MEDICAL INDEX TERMS
adjustment disorder
alcoholics anonymous
clinical psychology
community
cultural anthropology
depression
detoxification
drinking
drug misuse
dysthymia
female
group therapy
health practitioner
hospital
hospital patient
male
mental disease
nurse
occupational therapist
outpatient care
personality disorder
social worker
LANGUAGE OF ARTICLE
Chinese, English
LANGUAGE OF SUMMARY
English, Chinese
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 405
TITLE
A survey of psychiatric morbidity among youth substance abusers in Hong Kong
AUTHOR NAMES
Chan F.
Wong H.M.
Tang A.K.L.
Liang Y.
Tang W.K.
AUTHOR ADDRESSES
(Chan F.) Department of Psychiatry, North District Hospital, Hong Kong, Hong
Kong.
(Wong H.M.; Tang A.K.L.) Department of Psychiatry, Prince of Wales Hospital,
Hong Kong, Hong Kong.
(Liang Y.; Tang W.K.) Department of Psychiatry, Chinese University of Hong
Kong, China.
CORRESPONDENCE ADDRESS
F. Chan, Department of Psychiatry, North District Hospital, Hong Kong, Hong
Kong.
SOURCE
East Asian Archives of Psychiatry (2010) 20 SUPPL. 1 (83). Date of
Publication: December 2010
CONFERENCE NAME
2nd Joint International Conference of the Hong Kong College of Psychiatrists
and the Royal College of Psychiatrists (UK): Brain, Behaviour and Mind 2010
CONFERENCE LOCATION
Hong Kong, China
CONFERENCE DATE
2010-12-11 to 2010-12-13
ISSN
2078-9947
BOOK PUBLISHER
Hong Kong Academy of Medicine Press
ABSTRACT
Objectives: Significant psychiatric morbidity co-occurs with substance
misuse. Untreated psychiatric disorders may lead to worse outcome. In this
study, self-report questionnaires were given to substance abusers who were
not known to any mental health services. Methods: Youth substance abusers,
not known to any mental health services, were recruited on the streets in a
suburban district in Hong Kong. They were referred to a joint midnight
clinic run by a group of volunteer doctors, nurses, social workers and
allied health professionals. The pattern of substance use was documented.
The Chinese version of the Beck Depression Inventory (BDI) and the Beck
Anxiety Inventory (BAI) were given to the clients. Their scores were rated
and compared. Subjects selected by convenience sampling method would be
arranged clinical interviews with specialist psychiatrists. Results: A total
of 53 subjects participated in the study. Their mean age was 16.9 years.
Their mean duration of substance use is 3.9 years; 75% of the subjects is
male; 30 (57%) were unemployed. The most frequent substances of misuse are
ketamine (90% reporting frequent use), nimetazepam (55%), cocaine (50%),
cannabis (38%), methamphetamine (36%), MDMA (29%) and cough mixture (5%);
78.8% were poly-substance users. Over 43% reported drug use for more than 5
times per week. The majority scored above the cut-off in the BDI (58.5%) and
BAI (60.4%). In total, 77.4% scored above the cut-off in either the BDI or
the BAI, or both. Twenty-four were selected to see psychiatrists for a
clinical interview. Of the 24, 12 (50%) suffered a psychiatric condition,
defined using the ICD-10-7 suffered from mixed anxiety depressive disorder,
2 adjustment disorder, 1 social phobia, 1 substance-induced psychotic
disorder, 1 borderline personality disorder. Of the 7, 6 were referred to
psychiatric outpatient department for treatment. Conclusion: Psychiatric
disorders, especially anxiety and depressive disorders, are prevalent in
youth substance abusers who are not known to any mental health services.
Early referral and treatment of their condition may improve outcome.
EMTREE DRUG INDEX TERMS
3,4 methylenedioxymethamphetamine
cannabis
cocaine
ketamine
methamphetamine
nimetazepam
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain
college
Hong Kong
human
juvenile
morbidity
psychiatrist
substance abuse
EMTREE MEDICAL INDEX TERMS
adjustment disorder
anxiety
Beck Anxiety Inventory
Beck Depression Inventory
borderline state
convenience sample
coughing
depression
drug use
health practitioner
hospital
ICD-10
interview
male
medical specialist
mental disease
mental health service
nurse
outpatient department
physician
psychosis
questionnaire
sampling
self report
social phobia
social worker
substance use
unemployment
volunteer
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 406
TITLE
Parental brain function and structure: Effects of early life experience,
contemporaneous breastfeeding, correlations with behavior and changes in the
early postpartum
AUTHOR NAMES
Swain J.
Kim P.
Feldman R.
Mayes L.
Leckman J.
AUTHOR ADDRESSES
(Swain J.; Kim P.; Feldman R.; Mayes L.; Leckman J.) University of Michigan,
Ann Arbor, United States.
CORRESPONDENCE ADDRESS
J. Swain, University of Michigan, Ann Arbor, United States.
SOURCE
Neuropsychopharmacology (2010) 35 SUPPL. 1 (S368). Date of Publication:
December 2010
CONFERENCE NAME
49th Annual Conference of the American College of Neuropsychopharmacology,
ACNP 2010
CONFERENCE LOCATION
Miami Beach, FL, United States
CONFERENCE DATE
2010-12-05 to 2010-12-09
ISSN
0893-133X
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Background: Parenting constitutes an evolutionarily conserved set of
attachment behaviors to assure infant survival, provide nurturance and care,
and sooth the distressed infant. We are studying neural circuits and changes
in thoughts and behaviors in new parents that respond to infant pictures and
cries, particularly when those stimuli arise from their own infant. Animal
models indicate that early life experiences predict later parenting
behaviors, that certain key neuroendocrine factors such as oxytocin and
limbic brain structures are critical hormone for adaptive parental
behaviors, and that the structure and function of parenting systems changes
in the postpartum. In humans, maternal sensitivity behaviors across the
first year postpartum are linked with infant development, and certain
limbicbrain as well as cortical regions are involved. Such brain-based
systems allow adaptation to the postpartum infant's needs - providing
appropriate emotional responses and organizing sensitive parenting behaviors
by raising cognitive and emotional salience and reward derived from infant
stimuli and creating contingencies between endocrine, autonomic, and sensory
systems in parent and child. We hypothesize that neurobiological circuits
that regulate parenting involve systems of neurotransmitters overlap with
those that mediate caregiving, empathy as well as some aspects of anxiety,
obsessivecompulsive disorder and addiction. In newest analyses, we aimed to
determine if: 1) brain responses to own baby-cries in cortical-subcortical
circuits correlate with levels of parental preoccupations involving anxious,
intrusive, obsessive-compulsive-like thoughts and dyadic behaviors; 2)
parent sub-grouped according to nursing status and early life experience
show differences in brain activations; 3) brain structure varies as a
function of early life experience as well as longitudinally during the first
postpartum months. Methods: We are studying parental attachment in several
ways in 40 + sets of parents: administering interview and self-report
versions of the Yale Inventory of Parental Thoughts and Actions, mood and
anxiety scales as well as an inventory of perceived quality of early life;
making brief videos of parent-infant interaction to assess attachment and
interpersonal synchrony; performing structural and functional magnetic
resonance imaging (fMRI) of the brains of both mothers and fathers (using a
Siemens 3T Trio scanner) while listening to baby stimuli, including own and
other baby cries as well pictures. All data are acquired longitudinally at 2
weeks & 3 months postpartum, and analyzed with Brainvoyager and SPM analysis
software. At 3-4 months postpartum, we are also acquiring brief free play
videos involving mother plus infant, father plus infant, and mother plus
father plus infant to assess attachment and interpersonal synchrony. Parents
are grouped according to timing, experience, gender, psychometric measures,
and early life experience. In order to determine the influence of the
neuopeptide oxytocin, we also grouped parents according to breastfeeding and
mode of delivery. Results: The stable circuit that becomes active in
response to ownbaby cry in mothers and fathers, including anterior cingulate
and basal ganglia varies according to early life experience. In addition,
brain density is determined by early life experience and varies with time in
the first 3 months postpartum in medial frontal and temporal regions.
Mothers who are breastfeeding vs. formula feeding were more sensitive to
infant stimuli in amygdala, hypothalamus and putamen. Brain responses in
basal ganglia and frontal lobes vary according to parental mood.
Correlations of brain activity and parenting behavior appear in other
arousal and emotion control regions. Discussion: Human parenting involves
brain circuits of emotion, motivation, salience, and habits, which are
consistent with animal parenting work. The activity within parenting brain
circuits varies as a function of early life experience, as well as
contemporaneous breastfeeding and other dyadic behaviors. Also, the
experience of parenting is affecting cortical gray matter density as part of
parental adaptation. This work promises neuroimaging endophenotypes to test
interventions for optimizing family bonding and perhaps prevent or treat
perimartum mental illness toward improved child environments.
EMTREE DRUG INDEX TERMS
hormone
neurotransmitter
oxytocin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain function
college
personal experience
psychopharmacology
EMTREE MEDICAL INDEX TERMS
adaptation
addiction
amygdaloid nucleus
animal model
anterior cingulate
anxiety
arousal
artificial milk
baby
basal ganglion
brain
child
child development
child parent relation
computer program
density
diseases
electroencephalogram
emotion
empathy
endophenotype
environment
father
female
frontal lobe
functional magnetic resonance imaging
gender
gray matter
habit
human
hypothalamus
infant
interview
male
mental disease
mood
mother
motivation
neuroimaging
nursing
parent
parental behavior
putamen
reward
self report
sensory system
stimulus
survival
temporal lobe
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/npp.2010.218
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 407
TITLE
Automating individualized coaching and authentic role-play practice for
brief intervention training.
AUTHOR NAMES
Hayes-Roth B.
Saker R.
Amano K.
AUTHOR ADDRESSES
(Hayes-Roth B.) Lifelike Solutions Inc., 54 Marianna Lane, Atherton, CA
94027, USA.
(Saker R.; Amano K.)
CORRESPONDENCE ADDRESS
B. Hayes-Roth, Lifelike Solutions Inc., 54 Marianna Lane, Atherton, CA
94027, USA. Email: bhr@lifelikesolutions.com
SOURCE
Methods of information in medicine (2010) 49:4 (406-411). Date of
Publication: 2010
ISSN
0026-1270
ABSTRACT
Brief intervention helps to reduce alcohol abuse, but there is a need for
accessible, cost-effective training of clinicians. This study evaluated STAR
Workshop , a web-based training system that automates efficacious techniques
for individualized coaching and authentic role-play practice. We compared
STAR Workshop to a web-based, self-guided e-book and a no-treatment control,
for training the Engage for Change (E4C) brief intervention protocol.
Subjects were medical and nursing students. Brief written skill probes
tested subjects' performance of individual protocol steps, in different
clinical scenarios, at three test times: pre-training, post-training, and
post-delay (two weeks). Subjects also did live phone interviews with a
standardized patient, post-delay. STAR subjects performed significantly
better than both other groups. They showed significantly greater improvement
from pre-training probes to post-training and post-delay probes. They scored
significantly higher on post-delay phone interviews. STAR Workshop appears
to be an accessible, cost-effective approach for training students to use
the E4C protocol for brief intervention in alcohol abuse. It may also be
useful for training other clinical interviewing protocols.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
automation
computer interface
education
role playing
teaching
EMTREE MEDICAL INDEX TERMS
analysis of variance
article
clinical competence
comparative study
curriculum
devices
educational status
human
Internet
medical student
methodology
nursing student
statistics
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20405093 (http://www.ncbi.nlm.nih.gov/pubmed/20405093)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 408
TITLE
Retention of adolescents with substance dependence and coexisting mental
health disorders in outpatient alcohol and drug group therapy
AUTHOR NAMES
Pagey B.
Deering D.
Sellman D.
AUTHOR ADDRESSES
(Pagey B., bronwyn.pagey@cdhb.govt.nz) Youth Speciality Service, Canterbury
District Health Board, Christchurch, New Zealand.
(Deering D.; Sellman D.) National Addiction Centre (Aotearoa New Zealand),
University of Otago, Christchurch, New Zealand.
CORRESPONDENCE ADDRESS
B. Pagey, Youth Speciality Service, Canterbury District Health Board,
Private Bag 4733, Christchurch, New Zealand. Email:
bronwyn.pagey@cdhb.govt.nz
SOURCE
International Journal of Mental Health Nursing (2010) 19:6 (437-444). Date
of Publication: December 2010
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
The aim of this study was to investigate characteristics that might enhance
retention among adolescents attending outpatient alcohol and drug group
therapy within a youth mental health setting. An important goal was to
provide information for nurses and other clinicians who work with
adolescents with coexisting substance use and mental health disorders. A
retrospective file audit reviewed the files of 64 adolescents who attended a
weekly alcohol and drug group between 2002 and 2004. Five characteristics
were shown to have a significant impact on enhancing participant group
retention. These were Maori and Pacific Island ethnicity, past or current
legal charges, youth drug court (YDC) involvement, having a diagnosis of
cannabis dependence, and a diagnosis of conduct disorder. Logistic
regression found that YDC involvement on its own significantly predicted
treatment retention. In an area of limited research, the findings from this
study expand the literature on enhancing treatment retention for a
vulnerable and hard-to-engage adolescent group with complex treatment needs,
and highlight the need for further investigation of the potential role of
the YDC. From a practice perspective, the findings support group therapy
interventions as a cost-effective treatment modality for assisting
adolescents with coexisting substance use and mental health issues,
including those with conduct disorder and YDC involvement. © 2010 Australian
College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, therapy)
group therapy
mental disease (complication, therapy)
patient compliance
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cannabis addiction (complication, therapy)
chi square distribution
ethnic group
female
human
male
New Zealand
outpatient
patient
psychological aspect
retrospective study
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21054730 (http://www.ncbi.nlm.nih.gov/pubmed/21054730)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2010.00693.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 409
TITLE
School itineraries of children victims of maternal alcohol abuse in france
ORIGINAL (NON-ENGLISH) TITLE
Školski programi u francuskoj za djecu čije majke zloupotrebljavaju alkohol
AUTHOR NAMES
Toutain S.
Lejeune C.
AUTHOR ADDRESSES
(Toutain S., stephanie.toutain@parisdescartes.fr) CESAMES, Université Paris
Descartes, 45, Rue des Saints-Pères, 75270 Paris Cedex 06, France.
(Lejeune C.) Service de Néonatalogie, Hôpital Louis-Mourie, Paris, France.
CORRESPONDENCE ADDRESS
S. Toutain, CESAMES, Université Paris Descartes, 45, Rue des Saints-Pères,
75270 Paris Cedex 06, France. Email: stephanie.toutain@parisdescartes.fr
SOURCE
Alcoholism (2010) 46:1 (39-48). Date of Publication: Zagreb 2010
ISSN
0002-502X
1330-6170 (electronic)
BOOK PUBLISHER
Center for Study and Control of Alcoholism and Addictions, Vinogradska c.29,
Zagreb, Croatia.
ABSTRACT
We identified 28 children with fetal alcohol syndrome or fetal alcohol
spectrum disorders and were able to reconstruct the education itineraries of
19 of them. Although most of these children were initially enrolled in
mainstream nursery schools, the majority of them were then referred to
special educational classes or medical institutions when they were old
enough to go to primary school. Those who remained in mainstream education
encountered great difficulties. However, the education itineraries of these
children also depend on their family situations. Finally, late medical and
social intervention in their early childhood and irregular monitoring of
their progress often lead to the children being put away in medical centers.
© Center for Study and Control of Alcoholism and Other Addictions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
fetal alcohol syndrome
fetal alcohol syndrome
school
EMTREE MEDICAL INDEX TERMS
adolescent
alcohol abuse
article
child
childhood
clinical article
education program
family functioning
France
health center
health service
human
maternal welfare
nursery school
preschool child
primary school
school child
social work
special education
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English, unknown
LANGUAGE OF SUMMARY
English, unknown
EMBASE ACCESSION NUMBER
2011307299
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 410
TITLE
Association between workaholism and sleep problems among hospital nurses
AUTHOR NAMES
Kubota K.
Shimazu A.
Kawakami N.
Takahashi M.
Nakata A.
Schaufeli W.B.
AUTHOR ADDRESSES
(Kubota K., kazumikubota-tky@umin.net; Shimazu A.; Kawakami N.) Department
of Mental Health, Graduate School of Medicine, The University of Tokyo,
7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.
(Takahashi M.) National Institute of Occupational Safety and Health, 6-21-1
Nagao, Tama-ku, Kawasaki 214-8585, Japan.
(Nakata A.) National Institute for Occupational Safety and Health, 4676
Columbia Parkway, Cincinnati, OH 45226, United States.
(Schaufeli W.B.) Department of Social and Organizational Psychology, Utrecht
University, 3508 TC Utrecht, Netherlands.
CORRESPONDENCE ADDRESS
K. Kubota, Department of Mental Health, Graduate School of Medicine, The
University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. Email:
kazumikubota-tky@umin.net
SOURCE
Industrial Health (2010) 48:6 (864-871). Date of Publication: 2010
ISSN
0019-8366
BOOK PUBLISHER
National Institute of Industrial Health, 21-1 Nagao 6-chome, Tama-ku,
Kawasaki-shi, Kanagawa, Japan.
ABSTRACT
The present study examined the association between workaholism, the tendency
to work excessively hard in a compulsive fashion, and sleep problems among
Japanese nurses. A cross-sectional survey was conducted among 600 nurses
from 2 university hospitals in Japan using a self-reported questionnaire on
workaholism, sleep, job-related variables (i.e., job demands, job control,
and worksite support), and demographic variables. A total of 394 nurses
returned the questionnaire (response rate=65.7%) and complete data from 312
female nurses were used for analyses (final coverage rate=52.0%).
Workaholics, as measured using the Japanese version of the Dutch Workaholism
Scale, were defined as those having high scores on both the work
excessively" and "work compulsively" subscales. Logistic regression analyses
revealed that workaholics had higher risks for sleep problems in terms of
subjective sleep insufficiency, excessive daytime sleepiness at work,
difficulty awakening in the morning, and feeling tired when waking up in the
morning (odds ratios [OR] of 4.40, 3.18, 3.48, and 4.61, respectively,
p<0.05). These remained significant even after adjusting for demographic and
job-related variables (OR 3.41, 5.36, 2.56, and 2.77, respectively).
However, no significant associations were found between workaholism and
insomnia symptoms. These results suggest that workaholic nurses had higher
risks for impaired awakening, insufficient sleep, and workplace sleepiness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
mental stress (complication)
nursing staff
sleep disorder (diagnosis, etiology)
work schedule
workload
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
article
burnout
confidence interval
cross-sectional study
female
health survey
human
Japan
job satisfaction
middle aged
personality test
psychological aspect
psychometry
questionnaire
risk
risk factor
statistical model
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20616459 (http://www.ncbi.nlm.nih.gov/pubmed/20616459)
FULL TEXT LINK
http://dx.doi.org/10.2486/indhealth.MS1139
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 411
TITLE
Predicting early readmissions - An evidence based approach using mutivariate
l ogistic regression and CART analyses
AUTHOR NAMES
Kidney R.
Mikulich O.
O'Riordan D.
Silke B.
AUTHOR ADDRESSES
(Kidney R., whatsupdocrk@yahoo.co.uk; Mikulich O., whatsupdocrk@yahoo.co.uk;
O'Riordan D., whatsupdocrk@yahoo.co.uk; Silke B., whatsupdocrk@yahoo.co.uk)
St James's Hospital, Dublin, United Kingdom.
CORRESPONDENCE ADDRESS
R. Kidney, St James's Hospital, Dublin, United Kingdom. Email:
whatsupdocrk@yahoo.co.uk
SOURCE
Acute Medicine (2010) 9:3 (140). Date of Publication: 2010
CONFERENCE NAME
4th International Meeting of the Society of Acute Medicine
CONFERENCE LOCATION
Edinburgh, United Kingdom
CONFERENCE DATE
2010-10-07 to 2010-10-08
ISSN
1747-4884
BOOK PUBLISHER
Rila Publications Ltd
ABSTRACT
Aims The trend for rising unplanned medical readmissions is of concern. We
studied the pattern over 7 years (2002 - 2009) and identified only early
readmissions to be predictable. Methods We examined early emergency
readmissions (defined as < the 10th centile of the total distribution).
Multivariate Logistic Regression with Area under Receiver Operating Curve
(AUROC) determined predictors; Classification and Regression Tree (CART)
analysis defined readmission subsets, based on the identified predictors.
Results Of 20,093 total readmissions 2,009 were early (<6.3 weeks). Positive
predictors were: prior admission (ChiSquare 749.7, OR 8.02), illness
severity score, (ChiSq 42.1, OR 1.51), age (ChiSq 30.5, OR 1.90), gender
(ChiSq 15.3), alcohol abuse (ChiSq 9.4 OR 1.34), a respiratory disgnosis
(ChiSq 6.1, OR 1.18) and LOS above the median (ChiSq 4.6, OR 1.12). Negative
predictors were: weekend discharge (ChiSq 10.8, OR 0.74), nursing home
residency (ChiSq 10.7, OR 0.68) and a neoplasm code (ChiSq 6.1, OR 0.65).
For an early readmission, the AUROC was 0.82, Conclusions For 60% of
patients, the likelihood of a further readmission can be excluded with a
high degree of confidence. Whereas patients likely to be readmitted could
only be predicted with 19% to 29% confidence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based practice
society
EMTREE MEDICAL INDEX TERMS
alcohol abuse
classification
disease severity
emergency
gender
hospital readmission
logistic regression analysis
neoplasm
nursing home
patient
tree
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 412
TITLE
Italian nurse students' and clinical preceptors' perceptions about clinical
practice experiences: a questionnaire survey.
AUTHOR NAMES
Quattrin R.
Zanini A.
Bulfone G.
Farneti F.
Panariti M.
Calligaris L.
Brusaferro S.
AUTHOR ADDRESSES
(Quattrin R.) Chair of Hygiene, DPMSC School of Medicine, University of
Udine, Udine, Italy.
(Zanini A.; Bulfone G.; Farneti F.; Panariti M.; Calligaris L.; Brusaferro
S.)
CORRESPONDENCE ADDRESS
R. Quattrin, Chair of Hygiene, DPMSC School of Medicine, University of
Udine, Udine, Italy. Email: quattrin.rosanna@aoud.sanita.fvg.it
SOURCE
Igiene e sanità pubblica (2010) 66:6 (695-703). Date of Publication: 2010
Nov-Dec
ISSN
0019-1639
ABSTRACT
Aims of the study was to compare perception of both clinical preceptors and
nursing students in relation to clinical nursing practice in Italy. The
recent introduction of primary level nursing education to Italian University
primed many changes in processes and required to think new methods and
contents. Special attention was adopted on revaluation of clinical practice.
The study was part of a large investigation conducted from 2005 until 2006
as prevalence survey throughout two questionnaire addressed to nurses
student and to clinical guides. Participants were all students (tot. 172)
from one School of Nursing and their clinical guides (tot.120) working in a
high specialization hospital located in a large urban area in Northern
Italy. Students' and nurses' perceptions differed in these fields: knowledge
of students' learning objectives, explanation of students' competences and
objectives already reached, prevalence execution of assistance activity,
organization of briefing/debriefing meetings, planning of a learning
programme with students at the beginning of tutorship, choosing occasions
related to nursing subjects discussed in classroom, filling an intermediate
evaluation of the student tutorship in addiction to the final. The
perceptions of the students and preceptors were opposite on several factors.
This means that students and clinical guides approach the clinical
experience from individualized viewpoints.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
nursing
nursing student
EMTREE MEDICAL INDEX TERMS
article
comparative study
education
human
Italy
nursing education
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21358770 (http://www.ncbi.nlm.nih.gov/pubmed/21358770)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 413
TITLE
Breakthrough improvement model: Moving the hospital early detection services
to a municipality youth health- and leisurecenter. Is it possible detecting
mental illnesses earlier?
AUTHOR NAMES
Jørgensen R.
Nesva˚g H.A.
Johannessen J.O.
Joa I.
Larsen T.K.
AUTHOR ADDRESSES
(Jørgensen R.; Nesva˚g H.A.; Johannessen J.O.; Joa I.; Larsen T.K.)
CORRESPONDENCE ADDRESS
R. Jørgensen,
SOURCE
Early Intervention in Psychiatry (2010) 4 SUPPL. 1 (173). Date of
Publication: November 2010
CONFERENCE NAME
7th International Conference on Early Psychosis - Early Psychoses: A
Lifetime Perspective
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2010-11-29 to 2010-12-01
ISSN
1751-7885
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Background: Results from the TIPS study in Stavanger, conducted in 1997-2000
showed that an early detection team and information campaigns can
significantly reduce the Duration of Untreated Psychosis (DUP). Objective:
Offer our hospital specialized early detection (ED) services to
adolescent/young adults between 15 and 20 years in a municipality health and
leisure centre for youth. In the city of Stavanger the old police station
has been converted to a health and leisure centre for the youth. The
following services are offered: • Youth health centre with school nurses and
GP's. • Social workers working with troubled youth. • Metropolis which is a
music and cultural club. • K46 which is a low threshold services to young
people with drug dependencies. Method: Offer ED presence at the health- and
leisure centre on Wednesday's between 3 p.m. and 5 p.m. Offering potential
patients and referral agents mental health disorder screening and psychosis
assessment. Results: The ED presence has been operating since medium May
2010. So this is an ongoing study. All the requests will be registered.
We've since 1997 registered all the requests to the ED team. From this data
we have baseline information about the requests from the age group 15-20
years living in Stavanger. Conclusion: The conclusions of the study will be
presented in the poster presentation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
hospital
juvenile
lifespan
mental disease
model
psychosis
EMTREE MEDICAL INDEX TERMS
adult
city
drug dependence
groups by age
health center
human
leisure
mental health
music
patient
police
school health nursing
screening
social worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-7893.2010.00230.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 414
TITLE
Fitness to practise for student nurses: principles, standards and
procedures.
AUTHOR NAMES
David T.I.
Lee-Woolf E.
AUTHOR ADDRESSES
(David T.I.) Faculty of Medical and Human Sciences, University of
Manchester.
(Lee-Woolf E.)
CORRESPONDENCE ADDRESS
T.I. David, Faculty of Medical and Human Sciences, University of Manchester.
SOURCE
Nursing times (2010) 106:39 (23-26). Date of Publication: 2010 Oct 5-11
ISSN
0954-7762
ABSTRACT
Since 2009, all schools of nursing have been required to establish a fitness
to practise committee to consider any pre-registration student health or
character issues (Nursing and Midwifery Council, 2008). In 2009, fitness to
practice standards were published (NMC, 2009a). This article outlines how
fitness to practise procedures apply to nursing and midwifery students in
the U.K. and explains the key differences between how they are applied to
trainees and to registered nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
professional competence
professional misconduct
professional standard
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
article
deception
education
human
legal aspect
mental disease (prevention)
organization and management
practice guideline
publishing
standard
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21287847 (http://www.ncbi.nlm.nih.gov/pubmed/21287847)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 415
TITLE
Improving addictions treatment outcomes by empowering self and others
AUTHOR NAMES
Wood T.E.
Englander-Golden P.
Golden D.E.
Pillai V.K.
AUTHOR ADDRESSES
(Wood T.E.) Presbyterian Hospital of Dallas, Dallas, United States.
(Englander-Golden P.; Golden D.E.) Say It Straight Foundation, Austin,
United States.
(Pillai V.K., drpillai@yahoo.com) School of Social Work, University of Texas
at Arlington, Arlington, TX, United States.
CORRESPONDENCE ADDRESS
V.K. Pillai, School of Social Work, University of Texas at Arlington,
Arlington, TX 76019, United States. Email: drpillai@yahoo.com
SOURCE
International Journal of Mental Health Nursing (2010) 19:5 (363-368). Date
of Publication: October 2010
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
The present research tested the effectiveness of adding an interpersonal,
interactive, experiential training programme to addictions treatment that
enhances motivation, cognitive-behavioural coping skills, social support,
and group cohesiveness. The research was conducted in a co-educational,
long-term residential treatment facility for addictive disorders (alcohol
and other substances, sexual addiction, eating disorders, compulsive
shopping, and gambling) and concomitant psychiatric diagnoses. The added
training is co-created by participants. They choose challenging situations
important in their lives that are played out as 'movies' in which they play
and experience all the parts. Motivation for change, skills to implement
positive changes, self-efficacy, empathy, positive support, and group
cohesiveness are rooted in their own experiences and the feedback they
receive from others, as they behave in empowering and disempowering ways.
The training resulted in significant increases in empowering communication,
self-esteem and quality of group life in the treatment group and in the
family. Many of these results have large effect sizes and are consistent
with the findings from prior studies. The results obtained in this study
suggest that Say It Straight training can be an effective addition to the
treatment of addictions in residential treatment. Future research is needed
to determine the long-term effects of this training on relapse. © 2010 The
Authors. International Journal of Mental Health Nursing © 2010 Australian
College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
behavior
group therapy
self concept
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
interpersonal communication
male
methodology
middle aged
psychological aspect
quality of life
residential care
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20887611 (http://www.ncbi.nlm.nih.gov/pubmed/20887611)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2010.00678.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 416
TITLE
Outcomes of the Postgraduate Overseas Specialists Training (POST) Program
AUTHOR NAMES
Ryan B.
AUTHOR ADDRESSES
(Ryan B.) St. Vincent's Mental Health, Australia.
CORRESPONDENCE ADDRESS
B. Ryan, St. Vincent's Mental Health, Australia.
SOURCE
Asia-Pacific Psychiatry (2010) 2:3 (A4). Date of Publication: October 2010
CONFERENCE NAME
14th Pacific Rim College of Psychiatrists Scientific Meeting
CONFERENCE LOCATION
Brisbane, QLD, Australia
CONFERENCE DATE
2010-10-28 to 2010-10-30
ISSN
1758-5864
BOOK PUBLISHER
Wiley-Blackwell
ABSTRACT
Throughout our region, human resources remain the most critical asset in
mental health services. Based in Melbourne, Australia, the Postgraduate
Overseas Specialists Training (POST) Program, offers individualised
short-term clinical training placements to mental health clinicians in the
Asia-Pacific region. To explore the outcomes of this training program,
information was gathered on over 200 international Fellows who participated
in the POST Program from 2001 to 2010. The majority of POST Fellows were
psychiatrists or psychiatric nurses, reflective of the MH workforce
generally found in the region, and had an average age was 39 years old, with
53% women and 47% men. The most common subspecialty areas studied were
community psychiatry (adult) and aged psychiatry with increased demand for
consultation- liaison psychiatry, psychotherapy and addiction psychiatry
which are growing in significance within the region. The short-term
evaluation survey indicates that the majority of POST Fellows are very
satisfied with the training program and training supervisors, although long
term data collection was lacking. Key themes and potential outcomes emerged
including service developments and improvements, enhanced clinical
leadership, attitude change and broad peer education. Within the POST
placement, Fellows were able develop relationships with key staff in their
sub-specialities and talk through ideas for change and reform in their own
countries. The most striking example of supportive post training initiative
of the program is the Asia Pacific Community Mental Health Development
Project, established to explore diverse leading models of community mental
health in the region. When asked to reflect on the key learning from their
POST experience, the majority of POST alumni reported that gaining an
understanding of a different mental health system was their most significant
outcome. The POST program provides a unique opportunity for mental health
professionals to experience and take advantage of the active development of
community care in Victoria.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
medical specialist
psychiatrist
training
EMTREE MEDICAL INDEX TERMS
addiction
adult
alumnus
Asia
Australia
community care
community mental health
consultation
education
female
health care
health practitioner
human
information processing
leadership
learning
liaison psychiatry
mental health
mental health service
model
nurse
psychiatry
psychotherapy
social psychiatry
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1758-5872.2010.00083.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 417
TITLE
Improving training in tobacco-dependence diagnosis and treatment in
doctoral-level medical, nursing, dental, and pharmacy schools
AUTHOR NAMES
Sachs D.P.
Ferry L.H.
Sachs B.L.
AUTHOR ADDRESSES
(Sachs D.P.; Ferry L.H.; Sachs B.L.) Palo Alto Center for Pulmonary Disease
Prevention, Palo Alto, United States.
CORRESPONDENCE ADDRESS
D.P. Sachs, Palo Alto Center for Pulmonary Disease Prevention, Palo Alto,
United States.
SOURCE
Chest (2010) 138:4. Date of Publication: October 2010
CONFERENCE NAME
CHEST 2010 Annual Meeting
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-10-30 to 2010-11-04
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians
ABSTRACT
PURPOSE: Tobacco dependence remains the leading cause of premature death in
the United States, killing half its victims and causing 423,595 deaths/year.
It is exceptionally cost-effective to treat, yet tobacco-dependence basic
science knowledge and clinic diagnostic and treatment skills remain largely
untaught in the United States' medical, nursing, dental, or pharmacy
schools. We wanted to explore methods to integrate tobacco-dependence
education and training into all healthcare professional schools. METHODS:
The Palo Alto Center for Pulmonary Disease Prevention (PACPDP) chose to
partner with Loma Linda University (LLU) because it has graduate schools for
all four, major, health-science disciplines and has a 100-year-old
campus-wide mission to prevent and treat tobacco dependence. We initially
revised and updated the School of Medicine's (SM) thorough, 4-hour,
pre-clinical workshop and the School of Pharmacy's (SP) 9 hours of
pre-clinical content in tobacco-dependence diagnosis and pharmacotherapy.
Using a heuristic methodology for curriculum and faculty development, we
fostered discipline-specific curricular changes and initiated
interdisciplinary clinical rotations for LLU's Schools of Nursing (SN),
Pharmacy (SP), and Dentistry (SD). Faculty attended national, scientific
tobacco and nicotine meetings to increase knowledge and competence by
interacting with international experts. RESULTS: From February 2007 through
December 2009, the number of basic science hours taught in each of the four
professional schools increased a substantial 3-to 6-fold (e.g., 1 hour to 6
hours). Clinical training hours increased overall from 0 to 4, with the
School of Medicine adding a 4-week elective rotation. The greater the direct
support from the Dean's office in each school, the faster and greater the
faculty and curricular change. CONCLUSION: Major curricular change in
tobacco-dependence basic-science and clinical training can occur rapidly in
all four, major health-science schools by interweaving content into existing
courses and clerkships. Doing so required consistent, unwavering support
from the University Chancellor and Deans. CLINICAL IMPLICATIONS:
Implementing interdisciplinary curricular change will enable the forthcoming
generation of healthcare professionals to be vastly more effective in
diagnosis and treatment of tobacco dependence, reducing healthcare costs
substantially.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diagnosis
nursing
school
tobacco dependence
EMTREE MEDICAL INDEX TERMS
competence
curriculum
death
dentistry
drug therapy
education
graduate
health care cost
health care personnel
health science
hospital
Loma
lung disease
methodology
pharmacy
prophylaxis
skill
tobacco
United States
university
victim
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.10264
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 418
TITLE
Factors associated with the difficult to sedate endoscopy patient?
AUTHOR NAMES
Bal B.
Rashti F.
Crowell M.
Olden K.
AUTHOR ADDRESSES
(Bal B.; Rashti F.; Olden K.) Gastroenterology, Washington Hospital Center,
Alexandria, United States.
(Crowell M.) Mayo Clinic, Scottsdale, United States.
CORRESPONDENCE ADDRESS
B. Bal, Gastroenterology, Washington Hospital Center, Alexandria, United
States.
SOURCE
American Journal of Gastroenterology (2010) 105 SUPPL. 1 (S535-S536). Date
of Publication: October 2010
CONFERENCE NAME
75th Annual Scientific Meeting of the American College of Gastroenterology
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-10-15 to 2010-10-20
ISSN
0002-9270
BOOK PUBLISHER
Nature Publishing Group
ABSTRACT
Purpose: Effective sedation is an integral part of endoscopy. Difficult
sedation results in inadequate exams, aborted procedures and waste of
medical resources. HYPOTHESIS: gender, alcohol abuse and physical/sexual
abuse are predictors of difficult to sedate endoscopy patients. Methods:
This is a prospective cohort study. Patients were enrolled in the
out-patient clinic. At enrollment each patient answered two questionnaires -
Self report version of Alcohol Use Disorder Inventory (AUDIT) and Drossman
abuse questionnaire. Score of 10 or more on the AUDIT was recorded as
alcohol abuse and any positive answer on the Drossman questionnaire was
recorded as physical/sexual abuse. Age and gender were recorded. Conscious
sedation was administered at the discretion of the endoscopist. After
endoscopy; the nurse, technician, fellow and attending blinded to each
others responses, individually rated the quality of sedation on a 4 point
Likert scale. The Richmond agitation sedation scale was used to objectively
rate the quality of sedation. Follow-up call was made to the patient to
document their sedation perception on a 4 point Likert scale. Results:
Interim analysis of data: 36 patients; (14 males, 22 females) have been
enrolled. Based on the RASS score 14 patients (38.9%) were found to be
difficult to sedate. There was no association between patient gender and
difficult sedation (p value=0.293). 8 of 14 difficult to sedate patients met
criteria for alcohol abuse (p value=0.008). 20 of 36 (55.6%) patients
reported abuse on the Drossman questionnaire but this did not predict
difficult sedation (p value=0.023). All 36 patients reported satisfaction
with their sedation experience despite difficult sedation in 14 patients.
Comparison of sedation rating on the Likert scale, demonstrated a likelihood
ratio of 15.1 that the attending gastroenterologist and fellow would be in
agreement regarding the quality of sedation. Likelihood ratio for agreement
between the attending and nursing staff was only 3.3. Conclusion: To our
knowledge this is the first prospective study using a validated instrument
to show alcohol abuse as a predictor of difficulty with sedation. The study
also demonstrates no gender differences. The study clearly shows that
despite having difficult sedation, patients are generally satisfied with
their sedation experience. The Likert scale rating system shows that
although physicians are usually in agreement about the quality of sedation
the non-physician staff may not be in agreement with the physicians.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
college
endoscopy
gastroenterology
human
patient
EMTREE MEDICAL INDEX TERMS
abuse
agitation
alcohol abuse
alcohol use disorder
cohort analysis
conscious sedation
dental anesthesia
female
follow up
gender
hospital
male
nurse
nursing staff
outpatient
physician
procedures
prospective study
questionnaire
satisfaction
sedation
self report
sex difference
statistical significance
waste
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1038/ajg.2010.320-11
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 419
TITLE
Knowledge, attitude, experience and perceived barriers of smoking cessation
intervention in Korean nursing students -A pilot study
AUTHOR NAMES
Sohn M.
Ahn Y.
Park H.
AUTHOR ADDRESSES
(Sohn M.; Ahn Y.; Park H.) Inha University, Incheon, South Korea.
CORRESPONDENCE ADDRESS
M. Sohn, Inha University, Incheon, South Korea.
SOURCE
International Journal of Stroke (2010) 5 SUPPL. 2 (276). Date of
Publication: October 2010
CONFERENCE NAME
World Stroke Congress 2010
CONFERENCE LOCATION
Seoul, South Korea
CONFERENCE DATE
2010-10-13 to 2010-10-16
ISSN
1747-4930
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background/aims: Smoking is a major risk factor for ischemic stroke, but few
clinicians are confident in smoking cessation intervention for high risk
population. This study was conducted to explore knowledge, attitude,
experience and perceived barriers of smoking cessation intervention in
Korean nursing students. Methods: This is a descriptive cross sectional
study using a structured questionnaire. Results: Total 27 nursing students
(mean age: 21.6 ± 1.7) were included. Most of them were female (88%) and
third year nursing students (65%). Few were current smokers (12%). They
indicated that their curriculum includes health hazard of smoking (85%) and
second hand smoking (58%), nicotine withdrawal symptoms (42%), nurses' role
in tobacco control (29%), and smoking cessation intervention (27%). Most of
them agreed that nurses should set a good example by not smoking (81%),
actively encourage patients to stop smoking (96%), and have additional
training/skills in tobacco control (85%). However, when they were with
patients in clinical practicum, very few students were asking smoking status
(31%), assessing willingness to quit (4%), and advising to quit (4%). None
of them provided any specific skills for smoking cessation and relapse
prevention. Students perceived that the major barriers of providing smoking
cessation intervention to smoking patients include lack of knowledge (85%),
lack of skills (85%), patient's lack of interest (77%), lack of time (62%),
and other competing priorities (31%). Conclusion: Nursing students need
smoking cessation intervention training in their curriculum to improve their
knowledge, attitude and skills of smoking cessation intervention.
EMTREE DRUG INDEX TERMS
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cerebrovascular accident
nursing student
pilot study
smoking cessation
EMTREE MEDICAL INDEX TERMS
brain ischemia
cross-sectional study
curriculum
female
health hazard
high risk population
nurse
passive smoking
patient
prevention
relapse
risk factor
skill
smoking
structured questionnaire
student
tobacco
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1747-4949.2010.00480.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 420
TITLE
Smoking cessation: Against the odds
AUTHOR NAMES
Furey S.
Galapin M.
MacLagan E.
Gentilin A.
AUTHOR ADDRESSES
(Furey S.; Galapin M.; MacLagan E.; Gentilin A.) Sunnybrook HSC, Toronto,
Canada.
CORRESPONDENCE ADDRESS
S. Furey, Sunnybrook HSC, Toronto, Canada.
SOURCE
Canadian Journal of Cardiology (2010) 26 SUPPL. D (164D). Date of
Publication: October 2010
CONFERENCE NAME
2010 Canadian Council of Cardiovascular Nurses Annual Scientific Sessions
CONFERENCE LOCATION
Montreal, QC, Canada
CONFERENCE DATE
2010-10-23 to 2010-10-26
ISSN
0828-282X
BOOK PUBLISHER
Pulsus Group Inc.
ABSTRACT
BACKGROUND: In April 2009, a smoking cessation program was introduced to the
Schulich Heart Program at Sunnybrook Health Sciences Centre. Screening
showed 18% prevalence of tobacco use. Referrals for intervention have been
below recorded prevalence rate. Referrals by month, will be shown in the
poster presentation, this will be compared to the prevalence rate.
Furthermore, data regarding knowledge base and educational preparedness for
tobacco dependence intervention will be explored. SUMMARY: The purpose of
this project is to explore tobacco dependence interventions from the nursing
perspective. Data has been collected through a “tobacco dependence knowledge
and opinion questionnaire”, it was created by a smoking cessation
counsellor, two nurse practitioners, and an RN patient care manager within
the cardiology program. An external expert reviewer at The University of
Manitoba, with an expertise in nursing as well as tobacco dependence
research was utilized. The questionnaire will be completed online for one
month in order to ensure maximum participation from nurses within the
cardiology program. Results of the survey will be tabulated and presented in
poster and presentation format. Nurses' educational preparedness according
to best practice guidelines, future directions for nursing research and
quality improvement initiatives of the smoking cessation program will be
discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human
nurse
smoking cessation
EMTREE MEDICAL INDEX TERMS
Canada
cardiology
health science
heart
knowledge base
manager
nurse practitioner
nursing
nursing research
patient care
practice guideline
prevalence
questionnaire
screening
smoking cessation program
tobacco
tobacco dependence
total quality management
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 421
TITLE
An exploration of mental health nursing students' experiences and attitudes
towards using cigarettes to change client's behaviour
AUTHOR NAMES
Nash M.J.
Romanos M.T.
AUTHOR ADDRESSES
(Nash M.J., michael.nash@tcd.ie) School of Nursing and Midwifery, Trinity
College Dublin, Dublin, Ireland.
(Romanos M.T.) Consultant Forensic Psychiatrist, St Brendan's Hospital,
Dublin, Ireland.
CORRESPONDENCE ADDRESS
M.J. Nash, School of Nursing and Midwifery, Trinity College Dublin, 24
D'Olier Street, Dublin 2, Ireland. Email: michael.nash@tcd.ie
SOURCE
Journal of Psychiatric and Mental Health Nursing (2010) 17:8 (683-691). Date
of Publication: October 2010
ISSN
1351-0126
1365-2850 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Using cigarettes to change client behaviour is a common, yet little studied,
practice in mental health care. A questionnaire survey was used to explore
mental health nursing student's experiences and attitudes to this practice.
The sample was four cohorts of mental health nursing students (n= 151). Of
them, 84% had experienced the practice of using cigarettes to change client
behaviour in acute wards (73%), rehabilitation wards (28%) and elderly care
(14%). Cigarettes were used to change client behaviour in areas such as
attending to personal hygiene (57%) or engaging in the ward routine (39%).
However, items such as leave (60%) or drinks (tea and coffee) (38%) were
also reportedly used. Of the respondents, 54% inferred that the practice did
not work well with 46% stating it was not written up in care plans; 52% felt
it was an ad hoc practice, 60% inferred that at times it was used as a
punishment while 55% intimated that they felt bad withholding cigarettes.
There are ethical and moral dilemmas around using lifestyle risk factors as
rewards or using client's nicotine addiction as a means of controlling
behaviour. The question of whether this intervention should ever be used,
given its associated health risk, requires more critical debate in clinical
practice. © 2010 Blackwell Publishing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior therapy
health personnel attitude
mental disease (rehabilitation, therapy)
nursing student
psychiatric nursing
smoking
EMTREE MEDICAL INDEX TERMS
article
education
female
human
male
methodology
motivation
psychological aspect
questionnaire
reinforcement
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
21050334 (http://www.ncbi.nlm.nih.gov/pubmed/21050334)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2850.2010.01605.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 422
TITLE
Prospective pilot intervention study to prevent medication errors in drugs
administered to children by mouth or gastric tube: a programme for nurses,
physicians and parents.
AUTHOR NAMES
Bertsche T.
Bertsche A.
Krieg E.M.
Kunz N.
Bergmann K.
Hanke G.
Hoppe-Tichy T.
Ebinger F.
Haefeli W.E.
AUTHOR ADDRESSES
(Bertsche T.) Department of Clinical Pharmacology and Pharmacoepidemiology,
INF 410, 69120 Heidelberg, Germany.
(Bertsche A.; Krieg E.M.; Kunz N.; Bergmann K.; Hanke G.; Hoppe-Tichy T.;
Ebinger F.; Haefeli W.E.)
CORRESPONDENCE ADDRESS
T. Bertsche, Department of Clinical Pharmacology and Pharmacoepidemiology,
INF 410, 69120 Heidelberg, Germany.
SOURCE
Quality & safety in health care (2010) 19:5 (e26). Date of Publication: Oct
2010
ISSN
1475-3901 (electronic)
ABSTRACT
Drug administration in children is an error-prone task for nurses and
parents because individual dose adjustment is often necessary, and suitable
formulations for children are frequently lacking. Hence, in the absence of
measures for their prevention, medication errors are likely to occur. To
assess the error prevalence in drug administration by mouth or gastric tube
before and after implementing a programme for quality improvement for nurses
and parents. Prospective, two-period cohort intervention study on a
paediatric neurology ward of a university hospital where drug administration
procedures of nurses and parents were consecutively monitored during the
routine drug administration hours. Prevalence of administration errors
before and after implementing instructions for appropriate drug
administration, and a teaching and training programme supported by
information pamphlets. Altogether, 1164 predefined administration tasks were
assessed, 675 before and 489 after the intervention. Of these, 95.7% (after
the 92.6%) were performed by nurses. Errors addressed by the intervention
were reduced from 261/646 tasks (40.4%) to 36/453 (7.9%, p<0.001) in nurses
and from 28/29 (96.6%) to 2/36 (5.6%, p<0.001) in parents. Errors in
predefined categories concerning tablet dissolution, tablet storage, oral
liquids, tablet splitting, administration by gastric tube and others were
all considerably less frequent after the intervention (each p<0.001). Errors
of drug administration by mouth and gastric tube represent a considerable
and often neglected drug-related problem in paediatric inpatients. Targeted
quality-improvement programmes can substantially and rapidly reduce error
prevalence. Appropriate teaching and training of both nurses and parents
supported by pamphlets was a highly efficient way to reduce error
prevalence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care quality
medical staff
medication error (prevention)
parent
EMTREE MEDICAL INDEX TERMS
adult
article
child
cohort analysis
digestive tract intubation
education
female
human
male
oral drug administration
pilot study
preschool child
prospective study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20378618 (http://www.ncbi.nlm.nih.gov/pubmed/20378618)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 423
TITLE
Nursing role in the pharmaceutical life cycle.
AUTHOR NAMES
Becker J.
Méndez-Quigley T.
Phillips M.
AUTHOR ADDRESSES
(Becker J.) Women's Health & Environmental Network, Philadelphia,
Pennsylvania 19130, USA.
(Méndez-Quigley T.; Phillips M.)
CORRESPONDENCE ADDRESS
J. Becker, Women's Health & Environmental Network, Philadelphia,
Pennsylvania 19130, USA. Email: becker.julie@gmail.com
SOURCE
Nursing administration quarterly (2010) 34:4 (297-305). Date of Publication:
2010 Oct-Dec
ISSN
1550-5103 (electronic)
ABSTRACT
Biologically active, nontherapeutic levels of pharmaceuticals have been
detected in waterways and effluent. Although the vast majority of releases
stem from human or animal excretion and production effluent, some come from
disposal practices. Studies have demonstrated numerous links between
environmental exposures from pharmaceutical compounds and their impact upon
aquatic life. Nurses need to be aware of this issue since their roles in
health care are expanding and considered among the most trusted. Throughout
the life cycle of pharmaceuticals (design, approval/regulation, production,
use, and discharge/disposal), nursing can play pivotal roles in reducing and
eliminating pharmaceutical waste as well as improving public safety through
decreasing poisoning and drug abuse. This article discusses the
environmental impact of the pharmaceutical life cycle and what roles nurses
have as clinicians, educators, advocates, and researchers.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
drug (adverse drug reaction)
EMTREE DRUG INDEX TERMS
prescription drug (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
water management
water pollution (prevention)
EMTREE MEDICAL INDEX TERMS
article
chemistry
environmental exposure
green chemistry
human
metabolism
methodology
water supply (drug analysis)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20838174 (http://www.ncbi.nlm.nih.gov/pubmed/20838174)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 424
TITLE
Overcoming mixed messages on alcohol consumption: A teaching strategy
AUTHOR NAMES
Willsher K.A.
AUTHOR ADDRESSES
(Willsher K.A., kerre.willsher@unisa.edu.au) University of South Australia,
Nursing and Rural Health Unit, 111 Nicolson Ave, Whyalla, South Australia
5600, Australia.
CORRESPONDENCE ADDRESS
K.A. Willsher, University of South Australia, Nursing and Rural Health Unit,
111 Nicolson Ave, Whyalla, South Australia 5600, Australia. Email:
kerre.willsher@unisa.edu.au
SOURCE
Nurse Education in Practice (2010) 10:5 (279-284). Date of Publication:
Septemper 2010
ISSN
1471-5953
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
The aim of this discussion paper is to outline the teaching of nursing
students using a health promotion approach to guide young people on issues
involving alcohol consumption. Health promotion uses a holistic approach
involving the individual, attempts to understand complexities of human
behaviour and attempts to address environmental and social issues which
impact upon health. There are several models of health promotion but the
health assessment tool chosen was HEEADSSS which focuses upon assessment of
the Home environment, Education and Employment, eating disorders, peer
related activities, Drugs, Sexuality, Suicide/depression and Safety from
injury or violence. Society's approach to alcohol consumption is considered
ambiguous therefore it is essential to teach health promotion. Research
based on demographic and epidemiological information and anecdotal media
reports indicates a high incidence of binge drinking among young people on
the Eyre Peninsula. The plan was to develop and provide developmentally
appropriate health promotion using the Australian National Health and
Medical Research Council Recommendations on alcohol consumption and the
Australian Nursing and Midwifery Council Competencies for the Registered
Nurse. © 2010 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
child behavior
drinking behavior (adverse drug reaction, prevention)
health promotion
nursing education
EMTREE MEDICAL INDEX TERMS
adolescent
article
Australia
human
methodology
nursing student
philosophy
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20181532 (http://www.ncbi.nlm.nih.gov/pubmed/20181532)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2010.01.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 425
TITLE
The experiences of NICU nurses in caring for infants with neonatal
abstinence syndrome.
AUTHOR NAMES
Murphy-Oikonen J.
Brownlee K.
Montelpare W.
Gerlach K.
AUTHOR ADDRESSES
(Murphy-Oikonen J.) Faculty of Social Work, University of Calgary, Calgary,
Canada.
(Brownlee K.; Montelpare W.; Gerlach K.)
CORRESPONDENCE ADDRESS
J. Murphy-Oikonen, Faculty of Social Work, University of Calgary, Calgary,
Canada.
SOURCE
Neonatal network : NN (2010) 29:5 (307-313). Date of Publication: 2010
Sep-Oct
ISSN
1539-2880 (electronic)
ABSTRACT
This study explored the experiences of NICU nurses in caring for infants
with neonatal abstinence syndrome (NAS). A qualitative research approach was
used with open-ended questions employing computer-assisted personal
interviews. Fourteen NICU nurses employed in a regional hospital provided
responses. The nurses reflected a personal struggle between a desire to
employ their technical and critical nursing skills and the need to provide
expected maternal care to NAS infants. Other themes included frustration and
burnout, challenges to values about parenting, and increased awareness of
drug use in the community and at home. The results suggest that nurses
underrate the skill required to care for infants with NAS. The level of
knowledge, patience, and commitment to these newborns should be reframed to
increase job satisfaction, and education should be offered to nurses about
women struggling with addictions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
clinical competence
newborn intensive care
nursing staff
withdrawal syndrome (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
burnout (prevention)
Canada (epidemiology)
cooperation
drug effect
education
female
human
maternal behavior
middle aged
newborn
nurse patient relationship
nursing
nursing evaluation research
organization and management
psychological aspect
social problem
standard
workplace
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20829177 (http://www.ncbi.nlm.nih.gov/pubmed/20829177)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 426
TITLE
The Quit Smoking Program (QSP) at the university of Ottawa heart institute:
Design, patient characteristics and outcomes
AUTHOR NAMES
Aitken D.A.
Robert L.
Larue A.
Laroche M.
Tulloch H.
Mullen K.A.
Reid R.D.
Pipe A.L.
AUTHOR ADDRESSES
(Aitken D.A.; Robert L.; Larue A.; Laroche M.; Tulloch H.; Mullen K.A.; Reid
R.D.; Pipe A.L.) University of Ottawa Heart Institute, Ottawa, Canada.
CORRESPONDENCE ADDRESS
D.A. Aitken, University of Ottawa Heart Institute, Ottawa, Canada.
SOURCE
Journal of Cardiopulmonary Rehabilitation and Prevention (2010) 30:5 (354).
Date of Publication: September-October 2010
CONFERENCE NAME
Canadian Association of Cardiac Rehabilitation (Association Canadienne de
Readaptation Cardiaque) 20th Annual Meeting
CONFERENCE LOCATION
Montreal, QC, Canada
CONFERENCE DATE
2010-10-22 to 2010-10-24
ISSN
1932-7501
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Background: Quitting smoking is the most important step that a smoker can
take for cardiovascular health. Best practice guidelines recommend the use
of first-line smoking cessation medications, strategic advice and follow-up
support. The Quit Smoking Program (QSP) at the University of Ottawa Heart
Institute is a nurse-managed program that assists smokers to quit using
these recommended interventions. Here we describe the QSP, characteristics
of smokers using the program, and smoking cessation outcomes achieved.
Method: All smokers entering the program from December 2006-2009 were
included in the analysis. Smokers attended an information session followed
by individual appointments with a tobacco treatment nurse specialist at-2,
+2, +5, and +10 weeks relative to a target quit date. Questionnaires
including demographics, medical and psychiatric history, and smoking-related
and motivational variables were completed. All participants received
strategic advice tailored to their individual needs and pharmacotherapy as
appropriate. The primary outcome measures included 7-day point-prevalence
abstinence. Our results are reported on the basis of an “intention to treat”
analysis. Patients lost to followup were considered smokers. Results:
Participants (N = 876; mean age = 50.7(±11.2) years; 47% male) reported
smoking on average 23 (≥13.5) cigarettes per day. Mean age of first
cigarette use = 19.4 (≥7.1) years. Co-morbidities included
hypertension/dyslipidemia (49.3%), respiratory (45.1%), cardiovascular
(42.1%), depression (40.9%), gastrointestinal (33.8%), endocrine (24.4%),
dermatologic (23.5%), anxiety (23.1%), and cancer (14.0%). Smokers
attributed a high level of importance to cessation at the baseline session
(mean = 9.4; 0-10 scale), however their confidence level was lower (mean =
6.8; 0-10 scale). First line medications used were nicotine replacement
therapy (82.5%), bupropion (7.7%); varenicline (7.1%). On average,
participants attended 3 out of 4 sessions. The biochemically confirmed quit
rate at the end of the QSP is 18%. Conclusions: The QSP serves primarily
smokers with long smoking histories and high levels of nicotine dependence.
These participants are frequently already suffering from tobacco-related
illnesses and/or psychiatric illness. Despite these challenges, the program
has been able to achieve clinically important improvements in cessation
outcomes.
EMTREE DRUG INDEX TERMS
amfebutamone
varenicline
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptation
heart
heart rehabilitation
patient
smoking
university
EMTREE MEDICAL INDEX TERMS
abstinence
anxiety
drug therapy
follow up
general aspects of disease
health
male
medical specialist
mental disease
morbidity
neoplasm
nicotine replacement therapy
nurse
practice guideline
prevalence
questionnaire
smoking
smoking cessation
tobacco
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/HCR.0b013e3181f3a88f
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 427
TITLE
Understanding the impact of war zone experiences: a primer for civilian
nurses.
AUTHOR NAMES
Brennan J.M.
AUTHOR ADDRESSES
(Brennan J.M.) Widener University School of Nursing, USA.
CORRESPONDENCE ADDRESS
J.M. Brennan, Widener University School of Nursing, USA.
SOURCE
The Pennsylvania nurse (2010) 65:3 (20-22). Date of Publication: Sep 2010
ISSN
0031-4617
ABSTRACT
As the United States continues to fight the war on terror in Iraq and
Afghanistan, the number of personnel deployed to war zones and transitioning
back to the home front increases. After nine years of intensive experience,
military nurses have learned much about the needs of wounded warriors in
critical care settings and in acute phases of recovery. Several articles
have been published about the lessons learned and skill sets needed by
military nurses in critical care settings. The unique nature of the
volunteer military, along with the deployment of reservists and contractors
to war zones, has created a sub-population of individuals who have
transitioned or are transitioning back into their civilian world. Nurses
involved in primary care and emergency nursing can learn much from the
experiences of those nurses who have worked with traumatic brain injuries
(TBI), posttraumatic stress disorders (PTSD), alcohol abuse and substance
abuse as ineffective coping mechanisms and risks of suicide. The purpose of
this article is to share some of the lessons learned by military and
veterans administration healthcare workers with civilian nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
brain injury (epidemiology)
depression (epidemiology)
posttraumatic stress disorder (epidemiology)
soldier
EMTREE MEDICAL INDEX TERMS
article
education
emergency nursing
human
Internet
military nursing
nurse attitude
organization and management
primary health care
psychological aspect
statistics
suicide
United States (epidemiology)
war
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21061783 (http://www.ncbi.nlm.nih.gov/pubmed/21061783)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 428
TITLE
The effect of gambling activities on happiness levels of nursing home
residents.
AUTHOR NAMES
Dixon M.R.
Nastally B.L.
Waterman A.
AUTHOR ADDRESSES
(Dixon M.R.) Behavior Analysis and Therapy Program, Rehabilitation
Institute, Southern Illinois University, Carbondale, Illinois 62901, USA.
(Nastally B.L.; Waterman A.)
CORRESPONDENCE ADDRESS
M.R. Dixon, Behavior Analysis and Therapy Program, Rehabilitation Institute,
Southern Illinois University, Carbondale, Illinois 62901, USA. Email:
mdixon@siu.edu
SOURCE
Journal of applied behavior analysis (2010) 43:3 (531-535). Date of
Publication: 2010 Fall
ISSN
1938-3703 (electronic)
ABSTRACT
The current study evaluated the effect of participating in simulated
gambling activities on happiness levels of 3 nursing home residents. A
4-component analysis was used to measure objective responses associated with
happiness during baseline, varying durations of engagement in simulated
gambling activities, and 2 follow-up periods. Results indicated that all
residents exhibited a higher percentage of happiness levels while engaged in
simulated gambling activities compared with baseline. Follow-up assessment
took place 10 min and 30 min following the intervention; no lasting effects
were observed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
geriatric assessment
happiness
nursing home
pathological gambling
EMTREE MEDICAL INDEX TERMS
aged
article
female
human
male
social environment
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21358915 (http://www.ncbi.nlm.nih.gov/pubmed/21358915)
FULL TEXT LINK
http://dx.doi.org/10.1901/jaba.2010.43-531
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 429
TITLE
Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) military
mental health issues. Information on the wars' signature wounds:
posttraumatic stress disorder and traumatic brain injury.
AUTHOR NAMES
Wieland D.
Hursey M.
Delgado D.
AUTHOR ADDRESSES
(Wieland D.) La Salle University, School of Nursing & Health Sciences, USA.
(Hursey M.; Delgado D.)
CORRESPONDENCE ADDRESS
D. Wieland, La Salle University, School of Nursing & Health Sciences, USA.
SOURCE
The Pennsylvania nurse (2010) 65:3 (4-11; quiz 12-13). Date of Publication:
Sep 2010
ISSN
0031-4617
ABSTRACT
This topic can be related to the nursing profession and the need to be
better educated on military mental health. Since mood disorder, suicide,
alcohol abuse, PTSD and TBI are evident in actively serving and returning
service members, it is imperative to educate nurses and healthcare providers
about these conditions, the available evidence-based treatments and
referrals to programs for these signature OEF/OIF wounds. The authors
encourage nurse educators to consider ways to include military mental health
and other service-related health issues into nursing curricula and to use
Veterans Administration and veterans-related healthcare facilities for
clinical courses. As the wars in Afghanistan and Iraq continue into the
foreseeable future, many veterans will be seen not only in VA facilities,
but they will self-refer to academic and community hospitals, and
psychiatric and rehabilitation centers. It is important for all nurses to be
aware of the effects of PTSD, depression, suicide, substance abuse and TBI
on our patients and to be effective advocates for quality care of veterans
in all settings. Nurses need to advocate for screening and provision of
mental health services in primary care settings. When such services are
offered in primary care settings, it normalizes the care and the service
member will more likely allow themselves to receive the care (Jones, 2004).
All nurses must understand the price of war experienced by U.S. service
members and their families, and in particular, the invisible wounds of war.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain injury (diagnosis, epidemiology, therapy)
posttraumatic stress disorder (diagnosis, epidemiology, therapy)
soldier
veteran
EMTREE MEDICAL INDEX TERMS
article
education
health care delivery
health service
human
military medicine
military nursing
nurse attitude
organization and management
risk factor
social psychology
United States (epidemiology)
war
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21061780 (http://www.ncbi.nlm.nih.gov/pubmed/21061780)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 430
TITLE
Human trafficking: The role of the health care provider
AUTHOR NAMES
Dovydaitis T.
AUTHOR ADDRESSES
(Dovydaitis T., dtiffany@nursing.upenn.edu) The University of Pennsylvania
School of Nursing, Center for Health Equity Research, Claire M. Fagin Hall,
418 Curie Blvd., Floor 2L, Philadelphia, PA 19104-4217, United States.
CORRESPONDENCE ADDRESS
T. Dovydaitis, The University of Pennsylvania School of Nursing, Center for
Health Equity Research, Claire M. Fagin Hall, T32 Doctoral Fellow, 418 Curie
Blvd. Floor 2L, Philadelphia, PA 19104-4217, United States. Email:
dtiffany@nursing.upenn.edu
SOURCE
Journal of Midwifery and Women's Health (2010) 55:5 (462-467). Date of
Publication: September 2010
ISSN
1526-9523
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Human trafficking is a major public health problem, both domestically and
internationally. Health care providers are often the only professionals to
interact with trafficking victims who are still in captivity. The expert
assessment and interview skills of providers contribute to their readiness
to identify victims of trafficking. The purpose of this article is to
provide clinicians with knowledge on trafficking and give specific tools
that they may use to assist victims in the clinical setting. Definitions,
statistics, and common health care problems of trafficking victims are
reviewed. The role of the health care provider is outlined through a case
study and clinical practice tools are provided. Suggestions for future
research are also briefly addressed. © 2010 American College of
Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
human trafficking
social problem
EMTREE MEDICAL INDEX TERMS
abuse
article
clinical practice
depression
drug dependence
food deprivation
health care access
health care need
health care planning
human relation
injury
interview
knowledge
posttraumatic stress disorder
priority journal
sexually transmitted disease
sleep deprivation
stress
suicidal ideation
torture
victim
violence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010463202
MEDLINE PMID
20732668 (http://www.ncbi.nlm.nih.gov/pubmed/20732668)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2009.12.017
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 431
TITLE
Addressing physical health problems experienced by people with schizophrenia
in Canada: A critical literature review
AUTHOR NAMES
Nitkin D.I.R.K.
Gastaldo D.
AUTHOR ADDRESSES
(Nitkin D.I.R.K.; Gastaldo D.) Lawrence S. Bloomberg Faculty of Nursing,
Canada.
(Nitkin D.I.R.K.) Brazilian Project, University of Toronto, ON, Canada.
(Gastaldo D.) Centre for Critical Qualitative Health Research, University of
Toronto, Canada.
CORRESPONDENCE ADDRESS
D. I. R. K. Nitkin, Lawrence S. Bloomberg Faculty of Nursing, Canada.
SOURCE
Canadian Journal of Nursing Research (2010) 42:3 (124-140). Date of
Publication: September 2010
ISSN
0844-5621
BOOK PUBLISHER
McGill University, School of Nursing, 3506 University St Montreal, PQ, H3 A
2A7, Canada.
ABSTRACT
The authors present a critical review of the literature produced by Canadian
researchers regarding medical co-morbidities and the resources and
strategies they recommend for assessing and managing the physical health
problems of people with schizophrenia. Scientific production in the field
consists of 9 original research articles and 6 literature reviews, revealing
a dearth of studies in this area in Canada. The studies examined show that
diabetes, obesity, heart disease, and substance abuse are the most frequent
co-morbidities affecting people with schizophrenia. Another finding is that
most researchers are challenged methodologically to generalize results due
to limitations in design or sample characteristics.The authors point to the
need for more research to better understand the role of treatment,
individual characteristics, lifestyle, and structural issues in the
development of co-morbidities among people with schizophrenia. They also
discuss the importance of addressing these topics in nursing practice and
education. © McGill University School of Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
schizophrenia (complication)
EMTREE MEDICAL INDEX TERMS
Canada
comorbidity
human
pathophysiology
review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
MEDLINE PMID
21086781 (http://www.ncbi.nlm.nih.gov/pubmed/21086781)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 432
TITLE
Mental health challenges and strengths of street-involved youth: The need
for a multi-determined approach
AUTHOR NAMES
McCay E.
Langley J.
Beanlands H.
Cooper L.
Mudachi N.
Harris A.
Blidner R.
Bach K.
Dart C.
Howes C.
Miner S.
AUTHOR ADDRESSES
(McCay E.) Urban Health, Daphne Cockwell School of Nursing, Ryerson
University, Toronto, ON, Canada.
(Langley J.) Intervention in Psychosis Program, St. Michael's Hospital,
University of Toronto, Toronto, Canada.
(Beanlands H.) Master of Nursing, Daphne Cockwell School of Nursing, Ryerson
University, Canada.
(Cooper L.) Collaborative Undergraduate Degree Program, Daphne Cockwell
School of Nursing, Ryerson University, Canada.
(Mudachi N.; Harris A.; Blidner R.) Daphne Cockwell School of Nursing,
Ryerson University, Canada.
(Bach K.) Yonge Street Mission, Toronto, Canada.
(Dart C.) Turning Point Youth Services, Toronto, Canada.
(Howes C.) Covenant House, Toronto, Canada.
(Miner S.) Street Outreach Services, Toronto, Canada.
CORRESPONDENCE ADDRESS
E. McCay, Urban Health, Daphne Cockwell School of Nursing, Ryerson
University, Toronto, ON, Canada.
SOURCE
Canadian Journal of Nursing Research (2010) 42:3 (30-49). Date of
Publication: September 2010
ISSN
0844-5621
BOOK PUBLISHER
McGill University, School of Nursing, 3506 University St Montreal, PQ, H3 A
2A7, Canada.
ABSTRACT
The social environments and activities of homeless youth frequently create a
downward spiral, leading to drug abuse and survival sex as well as self-harm
behaviours and suicidality. This study employed a mixed-methods approach to
assess the mental health challenges and strengths of street-involved youth.
A convenience sample of 70 homeless young people completed a series of
standardized questionnaires evaluating mental health symptoms as well as
resilience and self-esteem.Two focus groups were also held to capture the
perceived mental health needs of street-involved youth. These young people
(aged 16-24) were found to have high levels of mental health symptoms
compared to other groups of young adults. However, they also exhibited
moderately high levels of resilience and self-esteem. Therefore,
multi-component mental health programs and interventions that address both
strengths and challenges may well help street-involved youth to work towards
social re-integration and, ultimately, improved quality of life. © McGill
University School of Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
homelessness
mental health
mental health service
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Canada
health care
human
information processing
organization and management
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
MEDLINE PMID
21086775 (http://www.ncbi.nlm.nih.gov/pubmed/21086775)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 433
TITLE
Effect of targeted nurse education on emergency department nurse perception
of narcotic use in sickle cell vaso-occlusive crisis
AUTHOR NAMES
Lyon M.L.
Jenkins D.
AUTHOR ADDRESSES
(Lyon M.L.; Jenkins D.) Medical College of Georgia, Augusta, United States.
CORRESPONDENCE ADDRESS
M.L. Lyon, Medical College of Georgia, Augusta, United States.
SOURCE
American Journal of Hematology (2010) 85:8 (E10). Date of Publication:
August 2010
CONFERENCE NAME
4th Annual Sickle Cell Disease Research and Educational Symposium and Grant
Writing Institute and Annual National Sickle Cell Disease Scientific Meeting
CONFERENCE LOCATION
Hollywood, FL, United States
CONFERENCE DATE
2010-02-14 to 2010-02-19
ISSN
0361-8609
BOOK PUBLISHER
Wiley-Liss Inc.
ABSTRACT
Due to frequent visits to the emergency department (ED) for vaso-occlusive
crisis (VOC), sickle cell (SC) patients are often viewed as drug-seekers by
ED staff. The purpose of this project was to test the effect of a focused
educational intervention on ED nurse perception of SC patients presenting
for VOC management. This was a prospective observational trial using a
one-group, pretest/posttest, descriptive design. This study was conducted at
an academic medical center with an annual census of 78,000 patients per year
with a large SC population. An educational program consisting of a
PowerPoint lecture was developed concerning SC disease, focusing on the
life-long aspects of the disease process, the pathophysiology of VOC,
narcotic use and addiction. The program also included the American Pain
Society guidelines for the treatment of pain. The effectiveness of this
educational intervention was assessed by gathering pre and post intervention
data from ED nurses using a survey. Survey topics were: compatibility of the
education to clinical practice (Does this information add to your current
knowledge of SC VOC?); the relative advantage of education to clinical
practice (Is it beneficial to change your practice?); information complexity
(Is the information too difficult to integrate into clinical practice?); and
commitment to change practice (Will you use the information to change your
practice?) Each survey topic utilized a series of semantic differential
scales in a combination with a Likert scale (1 most positive / 7 most
negative). The semantic differential scale is one of the most widely used
scales in the measurement of research subject attitude. The pre-test survey
was completed at the nurse's convenience prior to the program, and the
post-educational survey was assessed immediately thereafter. All ED nurses
were invited to participate, and an IRB approved consent was obtained.
Paired t-tests were used to determine whether the educational intervention
resulted in changes in the nurse attitudes. Sixty-two (73.8%) of 84 ED
nurses participated in the educational program. Nurses rating of whether the
information added to their current knowledge (compatibility) improved from a
mean of 8.98 to 6.89 (p=0.014). Relative advantage of education to clinical
practice improved from a mean of 12.58 to 8.94 (p=<0,0001). Level of
complexity of material improved after the intervention from a mean of 12,76
to 8.29 (p<0,0001). Commitment to change practice improved after the program
from a mean of 1.95 to 1.4 (p<0,01) indicating that the group was open to
change prior to the education but had more commitment after the education. A
focused educational intervention had a significant impact on ED nurse
perception of sickle cell patient narcotic use in the VOC and awareness of
the APS guidelines. Further work is needed to determine if this effect
carries over to clinical practice. This research project was unfunded.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
human
nurse
nursing education
sickle cell
sickle cell anemia
writing
EMTREE MEDICAL INDEX TERMS
addiction
clinical practice
education
nurse attitude
pain
pathophysiology
patient
population
population research
research subject
semantic differential scale
society
Student t test
university hospital
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/ajh.21763
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 434
TITLE
Development of alcohol (and other drugs)-related risk adolescents by school
nurses and doctors in secondary school of Parisian region, using DEP-ADO
questionnaire and brief motivational interventions
AUTHOR NAMES
Lécallier D.
Hadj-Slimane F.
Michaud P.
AUTHOR ADDRESSES
(Lécallier D.; Hadj-Slimane F.; Michaud P.) Insitut de Promotion de la
Prévention Secondaire en Addictologie, IPPSA, 32 rue Fernand-Pelloutier,
Clichy, France.
CORRESPONDENCE ADDRESS
D. Lécallier, Insitut de Promotion de la Prévention Secondaire en
Addictologie, IPPSA, 32 rue Fernand-Pelloutier, Clichy, France.
SOURCE
Alcoholism: Clinical and Experimental Research (2010) 34 SUPPL. 3 (47A).
Date of Publication: August 2010
CONFERENCE NAME
International Society for Biomedical Research on Alcoholism World Congress,
ISBRA 2010
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2010-09-13 to 2010-09-16
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Consumption of alcohol tobacco and cannabis has shown important changes in
France in the last decade, with a rise of the frequency of binge drinking
and the more common daily consumption of cannabis, i the same time as
tobacco smoking was slightly decreasing. So as to give a more accurate
intervention in adolescents attending secondary schools we trained 100
school nurses and doctors for the use of the questionnaire DEP-ADO, and for
brief motivational interventions, to assess whether the systematic use of
the questionnaire was able to increase the number of consultations in
specialized consultations aiming youth's cannabis (and other drugs) use.
2,000 youths were randomly assigned in two groups: 1,000 were called at
nurse's practice for an assessment with the questionnaire, 1,000 (matched by
age, school and level) received a short information and a booklet giving the
possibility of an subsequent interview with the nurse and/or a consultation
in the specialized out patient clinic. If the risk related to the
consumption reported by the youth was found low, the school nurse was
supposed to simply value the situation; if it was found medium, she had to
achieve a brief motivational interview aiming the reduction of the
consumption and consequently of the related risk; if it was found high, she
had to guide the youth to accept a specialized consultation, in a
motivational approach. The results were negative for the main criterion, ie
the rates of consultation in both groups were not different in the
specialized clinics. Nevertheless, a significantly higher number of
consultations at school nurse's practice were noted. The discussion of the
first result showed that distance and difficulty to encounter unknown
professionals are the main obstacles for the youth's consultations. One of
the possible responses to this obstacle is the development of automatically
delivered advice, through the internet or through interfaces like
'prevention touchscreens' as developed now by our Institute.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
alcoholism
high school
medical research
physician
questionnaire
risk
school health nursing
society
EMTREE MEDICAL INDEX TERMS
consultation
drinking
France
hospital
Internet
interview
juvenile
nurse
outpatient
prevention
school
smoking
tobacco
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2010.01292-3.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 435
TITLE
Prediction of un-planned readmission to hospital for patients with
schizophrenia - A cohort-study of 277 patients
AUTHOR NAMES
Kroken R.
Mellesdal L.S.
Jørgensen H.A.
Wentzel-Larsen T.
Johnsen E.
AUTHOR ADDRESSES
(Kroken R.; Mellesdal L.S.; Johnsen E.) Haukeland University Hospital,
Department for research Psychiatric Division, Bergen-Sandviken, Norway.
(Jørgensen H.A.) University of Bergen, Institute of Clinical Medicine,
Bergen-Sandviken, Norway.
(Wentzel-Larsen T.) Haukeland University Hospital, Center for Clinical
Research, Bergen, Norway.
CORRESPONDENCE ADDRESS
R. Kroken, Haukeland University Hospital, Department for research
Psychiatric Division, Bergen-Sandviken, Norway.
SOURCE
European Neuropsychopharmacology (2010) 20 SUPPL. 3 (S444-S445). Date of
Publication: August 2010
CONFERENCE NAME
23rd European College of Neuropsychopharmacology, ECNP Congress
CONFERENCE LOCATION
Amsterdam, Netherlands
CONFERENCE DATE
2010-08-28 to 2010-09-01
ISSN
0924-977X
BOOK PUBLISHER
Elsevier
ABSTRACT
Purpose of the study: To examine the level of un-planned readmissions to
psychiatric hospital for patients with schizophrenia after discharge from an
acute admission. Further; to examine the risk-modifying effects of the
treatment-related variables antipsychotic treatment, a contact with a
district specialist treatment centre (DPC), or involuntary outpatient
treatment orders. Methods: All patients with an ICD-10 clinical diagnosis of
schizophrenia consecutively admitted between 01.05.2005 and 30.04.2008 to
the Psychiatric Acute Unit at the Haukeland University Hospital were
followed after discharge, the study ended at the 01.01.2009. Data for the
treatment-related factors antipsychotic treatment, contact with a DPC, or
involuntary treatment orders were recorded until un-planned readmission or
the patients were censored from the study because of death, moving out of
catchment area or the study ended. The risk-modifying effects with respect
to un-planned readmissions of the treatment-related factors were evaluated
in a survival analysis (Cox regression) together with the confounder
variables gender, age at first admission, number of admissions, age at index
admission and a comorbid alcohol or drug problem. Results: 277 patients with
a diagnosis of schizophrenia were admitted in the study period, 64.6% males.
Mean age at admission was 42.3 (SD 13.8) years, 13.4% was first-ever
admittances, 17.3% had a co-morbid alcohol or drug-problem, and the mean
number of admittances including the index admission were 4. Four of the
patients were censored because of death, 7 moved or were lost to follow-up,
and 112 were censored at the end of the study. An un-planned readmission to
hospital was registered for 55.6% patients, with a mean follow-up time of
218 days for the readmitted patients. 11.2% was readmitted the first 30
days, 44.8% the first year after discharge. The survival analysis (Cox
regression) with days to un-planned readmission as the dependent variable
gave the following results (adjusted hazard ratios with 95% Confidence
Intervals and p-values): Antipsychotic use: one antipsychotic drug compared
to no antipsychotic drug: 0.26, (0.17-0.39), p<0.001. Two or more
antipsychotic drugs compared to no antipsychotic drug: 0.44, (0.27-0.70),
p<0.001. Treatment contact in the DPC: Out-patient DPC treatment compared to
no DPC treatment: 0.68, (0.45-1.01), p = 0.057. Inpatient DPC treatment
compared to no DPC treatment: 0.61, (0.37-0.99), p = 0.048. Involuntary
treatment orders without antipsychotic treatment order compared to no
treatment order: 2.05, (1.27-3.29), p = 0.003. Involuntary treatment orders
with antipsychotic treatment order compared to no treatment order: 3.42,
(1.86-6.31), p≤0.001. Conclusions: Our main finding is a significant and
strong riskreducing effect of antipsychotic treatment with respect to
unplanned readmission to psychiatric hospital, there was also a
risk-reducing effect of having a treatment in a District Specialist
Treatment Centre. The finding of a risk-increasing effect of outpatient
treatment orders was not unexpected as these orders are used for patients
with serious problems of violence and low insight in their disease.
Limitations in the study are that we were not able to control for adherence
of the antipsychotic treatment, and that municipality based interventions as
sheltered housing and consultations with a psychiatric nurse was not
recorded.
EMTREE DRUG INDEX TERMS
alcohol
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cohort analysis
college
hospital
hospital readmission
patient
prediction
psychopharmacology
schizophrenia
EMTREE MEDICAL INDEX TERMS
catchment
confidence interval
consultation
death
dependent variable
diagnosis
drug abuse
follow up
gender
hazard ratio
hospital patient
housing
involuntary commitment
male
medical specialist
mental hospital
nurse
outpatient
proportional hazards model
risk
statistical significance
survival
university hospital
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/S0924-977X(10)70647-7
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 436
TITLE
Alcohol use and pregnancy consensus clinical guidelines.
AUTHOR NAMES
Carson G.
Cox L.V.
Crane J.
Croteau P.
Graves L.
Kluka S.
Koren G.
Martel M.J.
Midmer D.
Nulman I.
Poole N.
Senikas V.
Wood R.
Society of Obstetricians and Gynaecologists of Canada
AUTHOR ADDRESSES
(Carson G.; Cox L.V.; Crane J.; Croteau P.; Graves L.; Kluka S.; Koren G.;
Martel M.J.; Midmer D.; Nulman I.; Poole N.; Senikas V.; Wood R.; Society of
Obstetricians and Gynaecologists of Canada)
CORRESPONDENCE ADDRESS
G. Carson,
SOURCE
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique
et gynécologie du Canada : JOGC (2010) 32:8 Suppl 3 (S1-31). Date of
Publication: Aug 2010
ISSN
1701-2163
ABSTRACT
to establish national standards of care for the screening and recording of
alcohol use and counselling on alcohol use of women of child-bearing age and
pregnant women based on the most up-to-date evidence. published literature
was retrieved through searches of PubMed, CINAHL, and the Cochrane Library
in May 2009 using appropriate controlled vocabulary (e.g., pregnancy
complications, alcohol drinking, prenatal care) and key words (e.g.,
pregnancy, alcohol consumption, risk reduction). Results were restricted to
literature published in the last five years with the following research
designs: systematic reviews, randomized control trials/controlled clinical
trials, and observational studies. There were no language restrictions.
Searches were updated on a regular basis and incorporated in the guideline
to May 2010. Grey (unpublished) literature was identified through searching
the websites of health technology assessment (HTA) and HTA-related agencies,
national and international medical specialty societies, clinical practice
guideline collections, and clinical trial registries. Each article was
screened for relevance and the full text acquired if determined to be
relevant. The evidence obtained was reviewed and evaluated by the members of
the Expert Workgroup established by the Society of Obstetricians and
Gynaecologists of Canada. The quality of evidence was evaluated and
recommendations were made according to guidelines developed by the Canadian
Task Force on Preventive Health Care. the quality of evidence was rated
using the criteria described by the Canadian Task Force on Preventive Health
Care (Table 1). the Public Health Agency of Canada and the Society of
Obstetricians and Gynaecologists of Canada. ENDORSEMENT: these consensus
guidelines have been endorsed by the Association of Obstetricians and
Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian
Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the
College of Family Physicians of Canada; the Federation of Medical Women of
Canada; the Society of Rural Physicians of Canada; and Motherisk. SUMMARY
STATEMENTS: 1. There is evidence that alcohol consumption in pregnancy can
cause fetal harm. (II-2) There is insufficient evidence regarding fetal
safety or harm at low levels of alcohol consumption in pregnancy. (III) 2.
There is insufficient evidence to define any threshold for low-level
drinking in pregnancy. (III) 3. Abstinence is the prudent choice for a woman
who is or might become pregnant. (III) 4. Intensive culture-, gender-, and
family-appropriate interventions need to be available and accessible for
women with problematic drinking and/or alcohol dependence. (II-2). 1.
Universal screening for alcohol consumption should be done periodically for
all pregnant women and women of child-bearing age. Ideally, at-risk drinking
could be identified before pregnancy, allowing for change. (II-2B) 2. Health
care providers should create a safe environment for women to report alcohol
consumption. (III-A) 3. The public should be informed that alcohol screening
and support for women at risk is part of routine women's health care.
(III-A) 4. Health care providers should be aware of the risk factors
associated with alcohol use in women of reproductive age. (III-B) 5. Brief
interventions are effective and should be provided by health care providers
for women with at-risk drinking. (II-2B) 6. If a woman continues to use
alcohol during pregnancy, harm reduction/treatment strategies should be
encouraged. (II-2B) 7. Pregnant women should be given priority access to
withdrawal management and treatment. (III-A) 8. Health care providers should
advise women that low-level consumption of alcohol in early pregnancy is not
an indication for termination of pregnancy. (II-2A).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, diagnosis, therapy)
drinking behavior (adverse drug reaction, epidemiology)
fetal alcohol syndrome (etiology, prevention)
fetus disease (etiology, prevention)
pregnancy complication (diagnosis, therapy)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol abstinence
alcoholic beverage (drug analysis)
article
Canada (epidemiology)
consensus
counseling
female
human
mass screening
maternal care
patient education
practice guideline
pregnancy
randomized controlled trial (topic)
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
21172102 (http://www.ncbi.nlm.nih.gov/pubmed/21172102)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 437
TITLE
Teaching thoughtful practice: Narrative pedagogy in addictions education
AUTHOR NAMES
Vandermause R.K.
Townsend R.P.
AUTHOR ADDRESSES
(Vandermause R.K., rvandermause@wsu.edu; Townsend R.P.) Washington State
University, College of Nursing, P.O. Box 1495, Spokane, WA 99210-1495,
United States.
CORRESPONDENCE ADDRESS
R.K. Vandermause, Washington State University, College of Nursing, P.O. Box
1495, Spokane, WA 99210-1495, United States. Email: rvandermause@wsu.edu
SOURCE
Nurse Education Today (2010) 30:5 (428-434). Date of Publication: July 2010
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
Preparing practitioners for this rapidly changing and demanding health care
environment is challenging. A surge in knowledge development and scientific
advancement has placed a priority on technical skill and a focus on content
driven educational processes that prepare students for evidence-based
practice. However, the most difficult health care scenarios require
thinking-in-action and thoughtfulness as well as didactic knowledge. It is
our contention that interpretive educational methods, like narrative
pedagogy, will promote judgment-based practice that includes use of evidence
and delivery of thoughtful care. In this article, we describe and interpret
a narrative approach to addictions content and teaching thoughtful practice.
We present our pedagogical process, including observations and field notes,
to show how interpretive pedagogies can be introduced into nursing
curricula. By presenting this process, the reader is invited to consider
interpretive methods as a way to inspire and habituate thoughtful practice
and judgment-based care. © 2009 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
learning
nursing education
teaching
verbal communication
EMTREE MEDICAL INDEX TERMS
article
education
educational model
evidence based nursing
human
nursing
qualitative research
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19889482 (http://www.ncbi.nlm.nih.gov/pubmed/19889482)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2009.09.017
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 438
TITLE
The healthy ageing model: Health behaviour change for older adults
AUTHOR NAMES
Potempa K.M.
Butterworth S.W.
Flaherty-Robb M.K.
Gaynor W.L.
AUTHOR ADDRESSES
(Potempa K.M., potempa@umich.edu) University of Michigan, School of Nursing,
400 North Ingalls, Suite 1320, Ann Arbor, MI 48109-0482, United States.
(Butterworth S.W., butterwo@comcast.net) Oregon Health and Science
University, 3030 SW Moody Avenue, Suite 105, Portland, OR 97201, United
States.
(Flaherty-Robb M.K., robbfam@hotmail.com) MFR and Associates, 2935 Hunter
Way, West Linn, OR 97068, United States.
(Gaynor W.L., gaynorandassociates@gmail.com) Gaynor and Associates, LLC,
5742 NW Skyline Boulevard, Portland, OR 97229-1303, United States.
CORRESPONDENCE ADDRESS
K.M. Potempa, University of Michigan, School of Nursing, 400 North Ingalls,
Suite 1320, Ann Arbor, MI 48109-0482, United States. Email:
potempa@umich.edu
SOURCE
Collegian (2010) 17:2 (51-55). Date of Publication: July 2010
ISSN
1322-7696
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Proposed is a model of primary care for older adults with chronic health
conditions that focuses on active engagement in health care. The Healthy
Ageing Model is anchored in established theory on motivation and health
behaviour change. The model draws on empirical and applied clinical
underpinnings in such diverse areas as health promotion and education,
treatment of addictions or obesity, management of chronic diseases,
goal-setting, and coaching techniques. The conceptual foundation for the
Healthy Ageing Model is described first, followed by a brief description of
the key characteristics of the model. In conclusion, suggestions are offered
for the clinical application and for further developing the model. © 2010
Royal College of Nursing, Australia.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aging
chronic disease (prevention)
health behavior
health promotion
primary health care
psychological model
EMTREE MEDICAL INDEX TERMS
aged
article
attitude to health
cooperation
directive counseling
health service
human
interview
methodology
motivation
nurse patient relationship
nursing
organization and management
patient care
patient care planning
patient education
physiology
psychological aspect
self care
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20738056 (http://www.ncbi.nlm.nih.gov/pubmed/20738056)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.colegn.2010.04.008
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 439
TITLE
Training in pain management
AUTHOR NAMES
Kav S.
AUTHOR ADDRESSES
(Kav S.) Baskent University, Faculty of Health Sciences, Department of
Nursing, Baglica, Ankara, Turkey.
CORRESPONDENCE ADDRESS
S. Kav, Baskent University, Faculty of Health Sciences, Department of
Nursing, Baglica, Ankara, Turkey.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (433). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Pain is a multidimensional and complex phenomenon that requires an
interdisciplinary approach for assessment and intervention. Many professions
are involved, directly and indirectly, in working toward the effective
management of pain experienced by patients in a variety of clinical
settings. Therefore pain education and training are fundamental to good pain
relief. Pain management is also being accepted as a basic human right, it is
even more important to train health professionals to be competent in the
areas of pain assessment and treatment. Despite major initiatives by
accrediting agencies, pain initiatives, and professional organizations,
knowledge of pain management is still inadequate. Precisely why pain is
underassessed and under-treated is not entirely understood. However, some
reports from the literature suggested that this may be attributed to
personal barriers such as knowledge, beliefs, and values. A number of
studies indicate that knowledge deficits and inadequate pain assessment are
the most important barriers for healthcare professionals in implementing
pain management. Undergraduate courses in pain management are inadequate as
a preparation for professional life. In a qualitative analysis of medical
and nursing faculty and students' knowledge of and attitudes toward cancer
pain management1; themes in informants' knowledge of pain included knowledge
deficits about medications and adjunct therapies and the presence of pain
management in the curriculum, and the role of knowledgeable faculty members
and mentors in the dissemination of information about pain management.
Themes in the meanings informants' assigned to pain included opioidphobia,
and the (inter-) subjectivity of pain. Faculty should have current knowledge
of pain theory, assessment, management, and research; critically examine
accuracy of pain management content in curricula; review textbooks for
content accuracy; integrate content throughout learning continuum and
consult with clinical pain experts. Schools worldwide should establish
formal pain management education in each year of their curricula. This will
enable graduating students everywhere to be well equipped to ease their
patients' pain. The basic curriculum for pain management should include;
neurophysiology; barriers to pain management; assessment; addiction,
tolerance, and physical dependence; pharmacologic and nonpharmacologic
therapies; psychosocial, cultural and spiritual impact of pain. The
complexity of the pain management process should be recognized by
institutions and healthcare providers by providing ongoing pain education
and continuous monitoring of documentation of pain assessment.2 Ongoing pain
management education is essential if we are going to change attitudes and
knowledge and affect pain management practices. Studies that investigate
methods to promote uniform approaches to pain management are worthwhile to
pursue. Strategies such as reading materials, lectures, and workshops fail
to change practice to an acceptable level or fail to have lasting effects.
Role modeling has been shown to be effective, although only as one aspect of
a multipart approach. However, self-study modules, computer simulators3 and
one-on-one audit with feedback and coaching4 have been documented as useful
interventions to change practice. In Turkey there are few studies available
regarding the knowledge, beliefs, and practices on cancer pain management,
which gives some perspectives from nurses5 and doctors.6 These studies
revealed the need to promote knowledge of pain management, also empathy and
empathic communication in relation to pain. Pain management services are
usually run by anesthesiology departments in Turkey. However, in recent
years, some centers have set up new departments dealing only with pain
management. Most medical and nursing schools do not teach pain management at
desired level. By 1993, the Turkish Society of Algology (established in
1987) became a regular chapter of the International Association for the
Study of Pain. The academic activities of the society included publishing a
scientific journal, organizing several conferences, publishing and
distributing relevant booklets, and incorporating palliative care into the
curriculum of medical students.7 Recently Palliative Care Program Action
Plan has been prepared in the National Cancer Program for 2009-20158 after 3
big workshops organized by Cancer Control Department of Turkish Ministry of
Health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm
pain
palliative therapy
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
anesthesiology
book
cancer control
cancer pain
computer
curriculum
documentation
drug dependence
drug therapy
education
empathy
feedback system
health
health care personnel
health practitioner
human rights
interpersonal communication
learning
medical audit
medical society
medical student
model
monitoring
neurophysiology
nursing education
occupation
pain assessment
patient
physician
publishing
qualitative analysis
reading
school
scientific literature
society
student
teacher
therapy
workshop
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 440
TITLE
“Challenges and obstacles facing the oncologist in pain management” my
personal experience. The Cyprus experience
AUTHOR NAMES
Malas S.
AUTHOR ADDRESSES
(Malas S.) Limassol Oncology Center, Limassol, Cyprus.
CORRESPONDENCE ADDRESS
S. Malas, Limassol Oncology Center, Limassol, Cyprus.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (423-424). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Pain means an unpleasant sensory and emotional experience associated with
actual or potential tissue damage or described in terms of such damage. It
can be classified into nociceptive (visceral or somatic), neuropathic,
mixed, or with undetermined pathophy-siology and psychologically based.
Careful evaluation is necessary to prevent inappropriate treatment and is
primarily clinical and based on probability and pattern recognition. Pain
management is very important to assure that the needs of the patients who
experience problems with pain are met. Because pain is multidimensional, it
is helpful to think in terms of total pain, encompassing physical,
psychologic, social, and spiritual aspects of suffering. Treatment of pain
may include the use of medications or application of other modalities and
medical devices, such as, but not limited to, heat or cold massages,
transcutaneous electrical nerve stimulation, acupuncture, neurolytic
techniques such as radiofrequency coagulation and cryotherapy, modification
of the pathologic process such as radiation therapy, hormone therapy,
chemotherapy, surgery, modification of way of life, and environment, etc.
The World Health Organization (WHO) and other organizations have designated
morphine and codeine as essential analgesics for the treatment of pain; (1)
their safety and efficacy have been proven in many studies. Morphine
consumption has been used for several years as one general indicator of the
availability of pain treatment in countries of the world. Looking at
Morphine consumption in Cyprus from 1991 to 2007, there was a 5-fold
increase (from 0.7 to 2.86mg/ capita). That was the result of the
establishment of palliative care teams in Cyprus under nongovernmental
organisations (The Cyprus Association of Cancer Patients and Friends
(PASYKAF) and the Cyprus Anti-Cancer Society (CACS). Although the use of
Morphine in Cyprus has increased, it remains well below the world and
European average. Cyprus reported in 2007 a per capita consumption
(2.86mg/capita) significantly lower than the global average (5.98 mg/capita)
and the European average of 12.37 mg/capita (2). So in that aspect we still
have a long way to go. There are a number of factors, to my knowledge, why
pain is not treated appropriate in Cyprus. The healthcare providers, the
health care system, the patients, and their families are the main obstacles
to pain relief in cancer patients. Why is that? Why doctors and the other
health care personal are reluctant or insufficiently relieve pain? The main
reasons to my knowledge are these: Lack of education related to pain Lack of
knowledge (ignorance) or understanding of pain physiology and management
Inadequate knowledge of medications or other treatment options Lack of or
inadequate pain assessment False judgment of patient Concerns about side
effects Under treatment Little censure for inadequate attention to pain
Concern about use of controlled substances Fear of addiction and tolerance
Occasionally legal barriers-regulatory scrutiny Inadequate time Lack of the
interdisciplinary team: Role of RN, MD, SW, Pharmacists etc What are the
obstacles from the health care system? These are probably: Confusion
regarding drug safety Limited availability of multidisciplinary pain clinics
Restrictive regulation of controlled substances Worsening problems of
availability of opioids Significant limits on numbers of pills by
reimbursement pharmacies Restrictive limits and disparities Time constraints
The patient and family members have occasionally: Reluctance to report pain
Reluctance to take pain medications Poor adherence with the prescribed
analgesic regimen Concerns about addiction/tolerance/side effects Lack of
knowledge regarding use of pain medications Caregiver burden The health care
professionals in Cyprus dealing with pain control in cancer patients are
mostly the Oncologists, a very limited number of Physicians with special
training in Palliative Care, and the nurses of the 2 associations in Cyprus
(PASYKAF, CACS). They have to fight on a daily basis against all the
obstacles that I mentioned above. In Cyprus there is no medical school, so
all the doctors are being trained in different countries, mostly Europe. The
syllabus of Palliative Care training is not the same in each country, so
their experience regarding pain control in cancer patients differs
substantially. If there was a medical school, the Oncology Society, or the 2
Palliative Care organizations could be able to make their contribution
regarding this issue. We have organized over the last couple of years a
number of conferences, seminars, etc. regarding Palliative Care and
especially pain control but unfortunately the participation of the medical
profession in Cyprus was very limited. Regarding the nurses things are
looking more promising. The great majority of the nurses are being trained
in Cyprus, and we already made a number of very important positive steps
regarding their training and palliative care experience. We are educating
nurses especially at the main local General hospitals, but in Cyprus the
nurses can only advice and not prescribe analgesics. The health care system
in Cyprus came a long way regarding pain control. We have now a lot of
different drugs for pain control than 15 years ago, although occasionally we
experience a shortage of certain drugs. Recently we were out of stock of
Fentanyl 25mcg/h patches for a whole month. We are at the process of getting
Methadone under strict regulations for a limited number of cancer patients
(available in the country for prescription by psychiatrists in the
management of opioid addiction). And what about the patient and his/her
family members? Is he/she so bad that you need to prescribe Morphine,
doctor? This is one of the many fears that we have to face on a daily basis
when Morphine is being prescribed. The patient, by not taking Morphine, is
trying to show to the family that he/she is better even when he/she
experiences excruciating pain. Occasionally family members are not giving
analgesics especially Morphine to the patients as they fear from addiction,
tolerance etc. and although the patient requests that. So it is tragic that
despite the availability of straight forward and cost effective therapies,
the management of Cancer pain remains still a subject to discuss. We need
continuous education for everybody in the field, from medical professionals,
to the health care system, the patients and their families, and many more.
We need to fight more to overcome all these barriers for our patients
because they deserve to live their life pain free.
EMTREE DRUG INDEX TERMS
analgesic agent
codeine
fentanyl
methadone
morphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Cyprus
neoplasm
pain
palliative therapy
personal experience
EMTREE MEDICAL INDEX TERMS
acupuncture
addiction
analgesia
cancer pain
cancer patient
caregiver burden
chemotherapy
cryotherapy
decision making
devices
drug safety
drug therapy
education
environment
Europe
fear
friend
general hospital
health care
health care personnel
health care system
heat
hormonal therapy
massage
medical profession
medical school
nerve stimulation
nurse
oncology
organization
pain assessment
pain clinic
patient
pattern recognition
pharmacist
pharmacy
physical disease by body function
physician
physiology
pill
prescription
psychiatrist
radiofrequency
radiotherapy
reimbursement
safety
side effect
society
surgery
therapy
tissue injury
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 441
TITLE
Current status of cancer pain management in middle eastern countries
AUTHOR NAMES
Silbermann M.
AUTHOR ADDRESSES
(Silbermann M.) Middle East Cancer Consortium, Israel.
CORRESPONDENCE ADDRESS
M. Silbermann, Middle East Cancer Consortium, Israel.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (420-421). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
To date, the management of cancer pain has not been incorporated into many
areas of clinical practice in most Middle Eastern countries. The 3 main
reasons for these facts are these: 1. Priorities in national health care
systems Governments' regulations concerning the use of potent opiate-based
drugs 3. Lack of education and training in pain management Among those
treating patients for pain are 68% physicians, 16% nurses, 4%
physiotherapists, and 12% basic scientists (pharmacologists). Of these, only
24% had formal training during their undergraduate studies on pain and its
management, which by themselves, were not sufficient to deal with pain
problems clinically. At the postgraduate level, in 39% the training was
associated with anesthesiology, 28% with general medicine, and 22% with
training in nursing. Yet, in 78% of the countries, pain management is not a
recognized medical specialty. In 82% of the countries, an official training
program in pain management does not exist, and potential trainees prefer to
have their training in a specialized pain center in their own country.
Currently, a wide range of professionals deal with pain: Anesthesiologists
82%, Neurosurgeons 73%, Oncologists 63%, Nurses 63%,
Psychologists/Psychiatrists 50%, and Physiotherapists 54%. As in other parts
of the world, acute pain management is taking place in hospitals of all
kinds (University, General, Private), and the treatment is primarily aimed
at adult patients. Only a third of them are pediatric patients. Whereas the
availability of outpatient facilities is growing, specialist teams for acute
pain management are less well developed, and their training is not
sufficient. Opioid drugs are essential in the management of moderate to
acute cancer pain. Fentanyl (a synthetic opioid related to the
phenylpi-peridines; and as an analgesic it is estimated to be 80 times more
potent than morphine) is readily available to most cancer centers. Methadone
(a synthetic i agonist with pharmacologic properties qualitatively similar
to morphine) less so. The percentage of patients receiving opioids is less
than might be expected or hoped for. In the Middle East, the availability of
oral opioids is greater for inpatients than for outpatients; and the
permission to prescribe them is given primarily to Oncologists and pain
clinicians. Other physicians are, for the most part, restricted in
prescribing these drugs. The main reason for this situation relates to the
fear of abuse or addiction, government regulations, and lack of training.
Hence, the most powerful group of drugs for the relief of cancer pain-the
opioids, is not freely available. In summary, the main barriers to good pain
management are lack of education, government health policies, and the fear
of addiction. Further, one should add the issue of patient compliance.
Recommendations: To have better training and better access to drugs for pain
relief, which seem to be the major barriers to good pain management. 1. In
what could MECC be involved to improve this situation? 2. In promoting pain
education programs in Medical and Nursing undergraduate studies. Teaching
programs ought also to be incorporated in Psychology and Physiotherapy
training. 3. In training pain problems in the trainees' own country and
language. 4. As chronic pain is not less of a problem than acute pain, and
is most seen at outpatient clinics, training of Family Physicians and
General Physicians is of high priority. 5. In encouraging changes in
regulations related to the availability of opioids. (The statistical data
brought forward in this abstract were retrieved from “Education and Training
for Pain Management,” Based on a Report by the International Association for
the Study of Pain, Developing Countries Taskforce, November 2007.).
EMTREE DRUG INDEX TERMS
analgesic agent
fentanyl
methadone
morphine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
neoplasm
palliative therapy
EMTREE MEDICAL INDEX TERMS
abuse
addiction
adult
agonist
analgesia
anesthesiology
anesthesist
cancer center
chronic pain
clinical practice
developing country
education
education program
fear
general practice
general practitioner
government
government regulation
health care policy
health care system
hospital
hospital patient
language
medical specialist
medicine
Middle East
nurse
nursing
outpatient
outpatient department
pain
pain clinic
patient
patient compliance
physician
physiotherapist
physiotherapy
psychology
public health service
scientist
student
teaching
training
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 442
TITLE
Practical ways to promote the effective use of opioids in cancer care. The
beilinson experience
AUTHOR NAMES
Morag A.
AUTHOR ADDRESSES
(Morag A.) Davidoff Cancer Center, Beilinson Medical Center, Rabin Campus,
Petach-Tikva, Israel.
CORRESPONDENCE ADDRESS
A. Morag, Davidoff Cancer Center, Beilinson Medical Center, Rabin Campus,
Petach-Tikva, Israel.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (431). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Opioids are the most effective analgesics for severe pain and are the
mainstay therapy for patients with cancer with pain (Ballantyne, 2003). The
success of opioids therapy depends on the expertise of the prescriber, who
must have knowledge of the nuances of the pharmacologic features of the
various opioids and experience in their use to make an appropriate selection
for each patient (de Leon-Casasola & Lema, 2003). Oncology nurses must
become acquainted with new strategies to manage cancer pain including
opioids rotation, understand the importance of balancing side effects,
recognize potential hazards and provide an effective comprehensive pain
control plan (Miaskowski, 2008). Although opioids are available in all
Beilinson hospital wards and residents prescribe morphine to patients as
needed, there are 3 levels of pain and palliative care at Beilinson
hospital, which relate to the nurse's awareness of the symptoms, palliative
knowledge, and pain management priorities. The first level relates to the
internal nursing staff. Although pain assessment is done on a regular basis,
the internal nurses who are very busy, lack necessary knowledge in pain
control. Cancer patients, who are hospitalized in the internal wards, often
undergo treatments and suffer from pain. The problem is that on one hand the
use of morphine may be necessary for pain control but in contrast the nurses
do not know how to identify patients who are at risk of addiction to their
pain medication. Both groups of patients need to be identified so that
appropriate intervention can be initiated to achieve optimal pain
management. The second level relates to the Davidoff Center wards and to the
ambulatory services. Pain assessment done on a daily basis by the nurses is
the gold standard of pain control. It gives data on successful pain
interventions, on pain in patients undergoing treatments, and addresses the
need of adding other pain control modalities. Nurses are aware and active in
titration, opioids rotation, and very often activate the residents to change
a patient's pain control plan. Our oncology nurses are skilled with symptom
assessment and management and carry out these duties not only for the
patients in pain but also for patients who undergo chemotherapy and/or
radiotherapy on a daily basis. Patients who receive opioids are monitored
for side effects and their treatment plan is changing according to these
findings. Still there is a lot to be done with the nurse's diagnosis of
chemo/hypercalcemia side effects and the possibility of an opioids overdose.
The third levels relates to the Pain and Palliative Service at the Davidoff
Center. The service is involved in symptom management in all stages of
cancer-curative, life-prolonging, and incurable. They do not confine their
activities to incurable cancer and they do not treat nonmalignant
conditions. Symptom control includes: presenting complaints, and side
effects of treatment and recurrent disease. End-of-life care incorporates
management of delirium, existential distress, discussion about the place of
death, and support of family. The Pain and Palliative Service at the
Davidoff Center is also involved with uncontrolled pain and other complex
patient's conditions and constitute a source of pain knowledge and skills
for all levels of the nursing staffs. We still face several obstacles toward
the wider usage of opioids. These include the patients and families refusal
to take morphine because of its connotation to addiction and pharmacists and
family doctors objection and restrain from morphine side effects. For the
well-being of our cancer patients and toward easing their suffering there is
a definite need to expand nursing education and the creation of nursing
partnerships at all levels, in the hospital and in the community.
EMTREE DRUG INDEX TERMS
analgesic agent
morphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm
palliative therapy
EMTREE MEDICAL INDEX TERMS
addiction
ambulatory care
cancer pain
cancer patient
chemotherapy
community
death
delirium
diagnosis
drug therapy
general practitioner
gold standard
hazard
hospital
intoxication
nurse
nursing
nursing education
nursing staff
oncology
pain
pain assessment
patient
pharmacist
radiotherapy
recurrent disease
risk
side effect
skill
terminal care
therapy
titrimetry
ward
wellbeing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 443
TITLE
School nurses connect schools and parents from home to homeroom to prevent
teen medicine abuse.
AUTHOR NAMES
Suydam L.
Garcia A.
AUTHOR ADDRESSES
(Suydam L.) Consumer Healthcare Products Association, Washington, DC, USA.
(Garcia A.)
CORRESPONDENCE ADDRESS
L. Suydam, Consumer Healthcare Products Association, Washington, DC, USA.
SOURCE
NASN school nurse (Print) (2010) 25:4 (170-171). Date of Publication: Jul
2010
ISSN
1942-602X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
non prescription drug
prescription drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
human relation
parent
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20645589 (http://www.ncbi.nlm.nih.gov/pubmed/20645589)
FULL TEXT LINK
http://dx.doi.org/10.1177/1942602X10371008
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 444
TITLE
The challenges and obstacles in cancer pain management in Turkey
AUTHOR NAMES
Mutafoglu K.
AUTHOR ADDRESSES
(Mutafoglu K.) Institute of Oncology, Department Pediatric Oncology, Dokuz
Eylul University, Inciralti, Izmir, Turkey.
CORRESPONDENCE ADDRESS
K. Mutafoglu, Institute of Oncology, Department Pediatric Oncology, Dokuz
Eylul University, Inciralti, Izmir, Turkey.
SOURCE
Journal of Pediatric Hematology/Oncology (2010) 32:5 (424-425). Date of
Publication: July 2010
CONFERENCE NAME
Middle Eastern Cancer Consortium, MECC Palliative Care Steering Committee
Meeting
CONFERENCE LOCATION
Larnaca, Cyprus
CONFERENCE DATE
2010-01-08 to 2010-01-10
ISSN
1077-4114
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
The inadequate management of cancer pain is a serious problem in Turkey.
Cancer pain frequently goes ineffectively treated owing to several different
factors. There are mainly 3 levels of barriers to effective pain management:
the barriers related to providers, the patients and families, and the health
system. Provider barriers to effective pain management include: Lack of
awareness of patient's pain Inadequate training and education on the
management of cancer pain Lack of time and resources to address pain A
higher priority given to curing cancer Concern about legal or regulatory
sanctions for overuse of opioids. Medical education, not addressing
palliative care, has a major impact on inadequate pain management. A great
majority of the physicians and nurses are cure-oriented and there is lack of
awareness of patient's pain. Most of them do not have adequate education,
and training on pain management. Besides, there is lack of time and
resources. Careful assessment and understanding of pain requires time in the
clinic. However, this is not always possible in the busy clinics in which
there is limited time for each patient. The number of health professionals
is not enough even to meet the need for curative anticancer treatment. Very
limited number of hospital beds is another major barrier to manage severe
pain. In Turkey, opioids can only be prescribed using a special type of
prescription, the so called “red prescription.” Although all physicians are
entitled to prescribe this type of medication, and it is a legal requirement
for them to keep red prescription available, most of them do not keep it
ready owing to concerns about legal or regulatory sanctions regarding
opioids. Nonpharmacologic interventions for pain management are almost
unavailable. Most of the health care workers turn a blind eye to these
interventions. Patient and family barriers include: Belief that pain is an
inevitable part of dealing with cancer Belief that nothing can be done for
cancer pain Failure to mention pain to providers Fear that mentioning pain
will distract providers from cancer treatment Fear of addiction and
dependence to painkillers Failure to access to the prescription of opioids
The stigmatization regarding morphine and terminal illness Lack of adherence
to treatment regimens There is lack of public awareness regarding the fact
that living and dying without pain is a human right. There is an assumption
that pain is inevitable in the course of cancer. Patients only rarely
express their pain unless it is specifically addressed by physicians or
nurses. The time spared per patient is very short, so the patients and the
care givers fear that mentioning pain will distract providers from cancer
treatment. Although fear of addiction and dependence on part of both
patients and providers may play a role in inadequate pain management, we
have no studies looked into this important issue. The number of patients who
directly refuse opioid analgesics is small. In clinical practice, patients
usually agree to use morphine if the physicians inform the patient and the
family about the rationale. However, family members often have more concern
than the patients. Some patients or family members may show reluctance or
poor compliance stem from the perception of morphine as a drug whose
prescription marks the beginning of the road toward death. Patients may
experience difficulty in getting an opioid prescription. Lack of adherence
to treatment regimens is a serious problem for every kind of analgesic
medicine. System barriers include: A priority on curing cancer over caring
for cancer patients Lack of palliative care organizations Regulatory
barriers to effective pain management Lack of communication between
specialists and primary care providers The heath care system has a priority
on curing cancer over caring for cancer patients. Palliative care has still
not been established. Most of the health professionals are even not aware of
the recent definition of palliative care. Lack of palliative care
organizations, particularly home care and hospices, is the most important
barrier to adequate pain management. Among the current barriers is the lack
of a functioning drug supply system. Opioid analgesics cannot be found in
all pharmacies even though it is legally required. Although nonopioid
analgesics are available almost everywhere, only some of the opioid
analgesics are available in limited quantities or places, or some are
available but underused. The only minor opioid available in the market is
tramadol. Codeine, in its pure form, is almost absent. It is only available
in some analgesic combination formulas such as paracetamol+ cafein + codein,
which causes problems in dose adjustment. The injectable forms of morphine
are still available more readily than the oral forms. The currently
available parenteral opioids in the market are morphine, fentanyl, and
sufentanyl. Immediate release oral morphine, which is the preferred first
line major opioid, is not available in Turkey. Although sustained-release
oral morphine was earlier available in the market, currently it is not. For
economic reasons, health care professionals are encouraged by the industry
to use more expensive drugs. There is no oral morphine, but oromucosal
fentanyl is available in the market. Transdermal fentanyl is currently the
drug of choice to manage cancer pain. The limitations regarding the maximum
dose of opioid analgesics in a single red recipe is another obstacle. The
lack of communication between oncology specialists and primary care
providers plays an important role in inadequate pain management. In
conclusion, there is a serious pain treatment gap: it is the difference
between what can be done, and what is done about cancer pain. Education and
awareness of the need for adequate pain management are necessary first
steps. The oncologists, oncology nurses, and pharmacists should be educated
and legally empowered to prescribe, dispense, and administer opioid
analgesics to patients in accordance with local needs. National standards to
establish a palliative care program should be defined urgently. As a
priority, we need staff including physicians, nurses, social workers,
psychologists, physiotherapists, etc to be particularly trained to provide
palliative care. Pain medication including opioids must be available in
adequate amounts in both parenteral and oral forms, and in the places where
patients are living. The government should designate a functional control
mechanism for ensuring adequate availability of opioids for medical care.
Governmental and institutional efforts to identify and address impediments
in the health care and regulatory systems are needed.
EMTREE DRUG INDEX TERMS
analgesic agent
codeine
fentanyl
morphine
narcotic analgesic agent
opiate
paracetamol
sufentanil
tramadol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
neoplasm
palliative therapy
EMTREE MEDICAL INDEX TERMS
addiction
cancer patient
cancer therapy
caregiver
clinical practice
death
drug therapy
education
eye
fear
government
health care
health care personnel
health practitioner
home care
hospice
hospital
hospital bed
human rights
industry
interpersonal communication
market
maximum permissible dose
medical care
medical education
medical specialist
nurse
oncology
organization
pain
patient
pharmacist
pharmacy
physician
physiotherapist
prescription
primary medical care
psychologist
social worker
sustained drug release
terminal disease
transdermal drug administration
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1097/MPH.0b013e3181d5aa83
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 445
TITLE
VA nursing home residents with substance use disorders: Mental health
comorbidities, functioning, and problem behaviors.
AUTHOR NAMES
Lemke S.
Schaefer J.A.
AUTHOR ADDRESSES
(Lemke S.) Center for Health Care Evaluation, Menlo Park, CA, USA.
(Schaefer J.A.)
CORRESPONDENCE ADDRESS
S. Lemke, Center for Health Care Evaluation, Menlo Park, CA, USA.
Email: sonne.lemke@va.gov
SOURCE
Aging & mental health (2010) 14:5 (593-602). Date of Publication: Jul 2010
ISSN
1364-6915 (electronic)
ABSTRACT
OBJECTIVES: This research addresses whether residents with substance use
disorders (SUDs) in VA nursing homes (VANHs) are distinctive in terms of
their demographic characteristics, medical and mental health comorbidities,
functioning, and problem behaviors. METHODS: Residents over age 55 admitted
to VANHs (n = 27,002) were identified in VA administrative files, and SUD
and non-SUD residents were compared. RESULTS: Compared with other residents,
the residents with SUDs (18% of admissions over age 55) were more likely to
be younger, male, African-American, unmarried, have low income and a tobacco
use disorder. Controlling for demographic factors and smoking, SUD residents
were more likely to have mental health comorbidities (dementia, serious
mental illness, depressive disorders, and post-traumatic stress disorder),
as well as AIDS/hepatitis, pulmonary disease, gastro-intestinal disorders,
and injuries. SUD residents were less likely to have cancer, diabetes,
neurological disorders, heart failure, and renal failure. SUD residents were
more independent in activities of daily living, such as mobility and
toileting. They were more likely to engage in verbal disruption but not in
other problem behaviors such as aggression. With demographic factors and
comorbidities controlled, the functioning differences were diminished, and
SUD and non-SUD residents did not differ in the levels of problem behaviors.
DISCUSSION: VANH residents with SUDs have distinctive patterns of
comorbidities and functioning. SUD appears to represent a separate risk
factor for VANH admission. Residents with SUDs present challenges but may
have good potential for positive discharge outcomes if their substance use
problems and limited resources can be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
antisocial personality disorder (epidemiology)
daily life activity
government
mental disease (epidemiology)
mental health
nursing home
EMTREE MEDICAL INDEX TERMS
aged
article
comorbidity
factual database
female
health status
hospital admission
human
male
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20480416 (http://www.ncbi.nlm.nih.gov/pubmed/20480416)
FULL TEXT LINK
http://dx.doi.org/10.1080/13607860903586169
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 446
TITLE
Smoking habits of students of nursing: A questionnaire survey (2004-2006)
AUTHOR NAMES
Fernandez D.
Martin V.
Molina A.J.
De Luis J.M.
AUTHOR ADDRESSES
(Fernandez D., daniel.fernandez@unileon.es) Department of Nursing and
Physiotherapy, University of León, Oncology Unit, Hospital of León, Spain.
(Martin V.; Molina A.J.) Department of Preventive Medicine and Public
Health, University of León, Spain.
(De Luis J.M.) Department of Nursing and Physiotherapy, University of León,
Spain.
CORRESPONDENCE ADDRESS
D. Fernandez, Complejo Asistencial de León, Servicio de Oncología (Planta
5a), Altos de Nava s/n 24701, León, Spain. Email:
daniel.fernandez@unileon.es
SOURCE
Nurse Education Today (2010) 30:5 (480-484). Date of Publication: July 2010
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
Aim: To determine changes in the prevalence of tobacco use among students of
nursing and associated factors. Background: The prevalence and distribution
of smokers among nursing students varies according to the country and period
of study. Method: Transversal descriptive study by self-answered
questionnaire. Eight hundred and fifty four subjects (94.9%) were questioned
in the period 2004-2006. Findings: Twenty eight percent of the students
declared themselves to be smokers. The habit began before the students
started university. The tendency of prevalence by year of survey and by
graduation year was downward. The students shown a low nicotine dependency
according to Fagerström and little motivation to give up. The average age at
the onset of consumption was 14.6 (1.8) years. From the logistical
regression analysis, the model best explaining the prevalence of tobacco
consumption included the variable of year surveyed and academic background,
those coming from the baccalaureate showing a lesser prevalence and tendency
to smoke. Conclusions: Tobacco consumption among students of health sciences
was less than in the general population of the same age but high given their
future profession. The tendency to smoke is decreasing and most started
smoking before joining the university. We recommend an intensification of
actions directed at teenagers and the promotion of anti-tobacco campaigns in
universities. © 2009 Elsevier Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
high risk behavior
nursing student
smoking (epidemiology)
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
confidence interval
health survey
human
incidence
male
middle aged
multivariate analysis
nonparametric test
nursing education
prevalence
questionnaire
risk
self evaluation
Spain (epidemiology)
statistical model
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20542191 (http://www.ncbi.nlm.nih.gov/pubmed/20542191)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2009.10.012
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 447
TITLE
Facilitators and barriers to intervening for problem alcohol use
AUTHOR NAMES
Tsai Y.-F.
Tsai M.
Lin Y.
Weng C.
Chen C.
Chen M.
AUTHOR ADDRESSES
(Tsai Y.-F., yftsai@mail.cgu.edu.tw) School of Nursing, Chang Gung
University, Tao-Yuan, Taiwan.
(Tsai Y.-F., yftsai@mail.cgu.edu.tw) Department of Nursing, Chang Gung
Memorial Hospital, Keelung, Taiwan.
(Tsai M.) Mei-Chu Tsai MS RN Supervisor Department of Nursing, Chang Gung
Memorial Hospital, Linkou, Tao-Yuan, Taiwan.
(Lin Y.) Yea-Pyng Lin MS RN Supervisor Department of Nursing, Mennonite
Christian Hospital, Hualien, Taiwan.
(Weng C.) Chih-Erh Weng BS RN Supervisor Department of Nursing, Chang Gung
Memorial Hospital, Keelung, Taiwan.
(Chen C.) Ching-Yen Chen MD Physician Department of Psychiatry, Chang Gung
Memorial Hospital, Linkou, Tao-Yuan, Taiwan.
(Chen M.) Min-Chi Chen PhD Associate Professor School of Medicine, Chang
Gung University, Tao-Yuan, Taiwan.
CORRESPONDENCE ADDRESS
Y.-F. Tsai, School of Nursing, Chang Gung University, Tao-Yuan, Taiwan.
Email: yftsai@mail.cgu.edu.tw
SOURCE
Journal of Advanced Nursing (2010) 66:7 (1459-1468). Date of Publication:
July 2010
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
tsai y.-f., tsai m.-c., lin y.-p., weng c.-e., chen c.-y. & chen m.-c.
(2010) Facilitators and barriers to intervening for problem alcohol use.
Journal of Advanced Nursing 66(7), 1459-1468. Title.: Perceived support from
healthcare practitioners among adults with type 2 diabetes. Aim.: This
article is a report of a study exploring nurses' perceived facilitators and
barriers to conducting brief interventions for problem alcohol use.
Background.: Excessive alcohol use has been associated with health, social
and legal problems. Healthcare providers worldwide need help to detect and
intervene with hazardous/harmful drinkers. Methods.: For this
cross-sectional study, ten hospitals were randomly selected throughout
Taiwan during 2007. Nurses (N =741) were selected from the emergency
department, and psychiatric and gastrointestinal medical-surgical units
where most patients with alcohol problems are seen. Data collected using
facilitator and barrier scales and a demographic information form were
analysed by descriptive statistics and stepwise, multiple linear regression
analysis. Results.: Nurses identified the top facilitator to intervening for
problem alcohol use as 'patients' drinking problems are related to their
illness'. Top barriers were 'patients lack motivation to change' and
'patients express no interest in receiving intervention'. Perceived
facilitators were associated with nurses' work unit, intention to intervene
for problem alcohol use, and age. Perceived barriers were associated with
work unit, experience in intervening for problem alcohol use, and having
attended a training course. Conclusion.: Source of perceived barriers
reflected cultural influences. Taiwanese nurse education needs to be
strengthened in terms of brief interventions for problem alcohol use.
Emergency department nurses need to become more aware of their important
role in alcohol intervention. Alcohol-related education is needed for the
general population and hospital policymakers to enhance facilitators and
reduce barriers to intervening for problem alcohol use. © 2010 Blackwell
Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
nursing assessment
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
clinical trial
cross-sectional study
female
human
male
middle aged
multicenter study
nursing
psychological aspect
self concept
statistical model
Taiwan
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20492022 (http://www.ncbi.nlm.nih.gov/pubmed/20492022)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2010.05299.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 448
TITLE
Attachment organization in a sample of incarcerated mothers: distribution of
classifications and associations with substance abuse history, depressive
symptoms, perceptions of parenting competency and social support.
AUTHOR NAMES
Borelli J.L.
Goshin L.
Joestl S.
Clark J.
Byrne M.W.
AUTHOR ADDRESSES
(Borelli J.L.) Department of Psychology, Pomona College, Claremont, USA.
(Goshin L.; Joestl S.; Clark J.; Byrne M.W.)
CORRESPONDENCE ADDRESS
J.L. Borelli, Department of Psychology, Pomona College, Claremont, USA.
SOURCE
Attachment & human development (2010) 12:4 (355-374). Date of Publication:
Jul 2010
ISSN
1469-2988 (electronic)
ABSTRACT
We report attachment classifications in a sample of pregnant women
incarcerated in a state prison with a nursery program. Analyses were based
on 69 women serving sentences for felony crimes who were followed from the
birth of their child to completion of the prison nursery co-residence. They
completed the Adult Attachment Interview shortly after entering the program
and scales measuring depression, perceived parenting competency, and social
support at study entry (Time 1) and program completion (Time 2).
Incarcerated mothers had higher rates of insecure attachment than previous
low-risk community samples. Compared with dismissing and secure mothers,
preoccupied mothers reported higher levels of depressive symptoms, lower
parenting competency, and lower satisfaction with social support at the
conclusion of the nursery program. Higher scores on unresolved loss and
derogation were associated with a history of substance abuse; higher scores
on unresolved trauma were associated with depressive symptoms at program
completion.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child parent relation
depression
mother
object relation
prisoner
EMTREE MEDICAL INDEX TERMS
adolescent
adult
analysis of variance
article
comparative study
female
health status
health survey
human
middle aged
multivariate analysis
nursery
perception
prison
psychological aspect
psychometry
regression analysis
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20582845 (http://www.ncbi.nlm.nih.gov/pubmed/20582845)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 449
TITLE
Linking India Global Health Professions Student Survey data to the World
Health Organization Framework Convention on Tobacco Control.
AUTHOR NAMES
Sinha D.N.
Singh G.
Gupta P.C.
Pednekar M.
Warrn C.W.
Asma S.
Lee J.
AUTHOR ADDRESSES
(Sinha D.N.) School of Preventive Oncology, Patna, India.
(Singh G.; Gupta P.C.; Pednekar M.; Warrn C.W.; Asma S.; Lee J.)
CORRESPONDENCE ADDRESS
D.N. Sinha, School of Preventive Oncology, Patna, India.
SOURCE
Indian journal of cancer (2010) 47 Suppl 1 (30-34). Date of Publication: Jul
2010
ISSN
1998-4774 (electronic)
ABSTRACT
The 2003 India Tobacco Control Act (ITCA) includes provisions designed to
reduce tobacco consumption and protect citizens from exposure to secondhand
smoke. India ratified the World Health Organization Framework Convention on
Tobacco Control (WHO FCTC) on February 27, 2005. The WHO FCTC is the world's
first public health treaty that aims to promote and protect public health
and reduce the devastating health and economic impact of tobacco. The Global
Health Professions Student Survey (GHPSS) was developed to track tobacco use
among third-year dental, medical, nursing, and pharmacy students across
countries. Data from the dental (2005), medical (2006), nursing(2007), and
pharmacy (2008) GHPSS conducted in India showed high prevalence of tobacco
use and a general lack of training by health professionals in patient
cessation counseling techniques. The Ministry of Health and Family Welfare
could use this information to monitor and evaluate the existing tobacco
control program effort in India as well as to develop and implement new
tobacco control program initiatives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health survey
medical profession
smoking (epidemiology, prevention)
student
tobacco dependence (prevention)
tobacco industry
world health organization
EMTREE MEDICAL INDEX TERMS
article
counseling
human
India (epidemiology)
legal aspect
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20622411 (http://www.ncbi.nlm.nih.gov/pubmed/20622411)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 450
TITLE
Overcoming barriers to cancer pain management; effect of education of
patients and medical professionals
AUTHOR NAMES
Kim S.
Yang Y.-J.
AUTHOR ADDRESSES
(Kim S.; Yang Y.-J.) Chungnam University, Department of Internal Medicine,
Daesadong, South Korea.
CORRESPONDENCE ADDRESS
S. Kim, Chungnam University, Department of Internal Medicine, Daesadong,
South Korea.
SOURCE
Supportive Care in Cancer (2010) 18 SUPPL. 3 (S149). Date of Publication:
June 2010
CONFERENCE NAME
2010 International Multinational Association of Supportive Care in Cancer,
MASCC/International Society for Oral Oncology, ISOO Symposium
CONFERENCE LOCATION
Vancouver, BC, Canada
CONFERENCE DATE
2010-06-24 to 2010-06-26
ISSN
0941-4355
BOOK PUBLISHER
Springer Verlag
ABSTRACT
Objectives: Barriers to cancer pain management can be classified into three
categories: patient, professional, and regulatory barriers. Incorrect
perception of patients and inadequate knowledge of medical professionals
regarding cancer pain influences individual patient's pain management. We
undertook surveys of pain status of admitted cancer patients before and
after educational sessions to patients and medical professional in a
university hospital setting and compared the pain status before and after
the sessions. Methods: We started a Pain Initiative Group in October 2008 to
enhance the effectiveness of pain management throughout our Chungnam
University Hospital. Survey of pain and it's management in a consequetive
group of 57 hospitalized cancer patients with metastatic diseases
complaining pain at admission was undertaken. After that we undertook an
educational lecture suited for each group of physicians, nurses, and
patients about pain and it's management. In 2009, The same pain survey
questions were collected from 53 cancer patients who were hospitalized. The
2 results were compared and analyzad. Results: Results showed improvement in
patient's cancer pain indices; 69% of patients complaining significant pain
received first dose of analgesics within 10 minutes of admission in 2008
while it was 87% in 2009 (p=0.035). In 2008, 36% of patients reported
moderate to severe pain (VAS score>4) at third hospital day while it was 19%
in 2009 (p=0.041). The overall incidence of patients reporting moderate to
severe pain also decreased (39% in 2008 vs 22% in 2009 (p=0.046). Patients
who feared addiction or adverse effects of opioids decreased from 34% to 9%
(p=0.003). Conclusions: These r esults suggest that cancer pain education of
patients and medical professionals can effectively improve the pain
management of hospitalized cancer patients. The weakness of this study may
be that the patient groups are not clearly comparable. The optimal format
and schedule of educational sessions to medical professionals and the
patients should be explored further.
EMTREE DRUG INDEX TERMS
analgesic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
education
neoplasm
oncology
patient
society
EMTREE MEDICAL INDEX TERMS
addiction
adverse drug reaction
cancer patient
hospital
hospital patient
metastasis
nurse
pain
physician
university hospital
weakness
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s00520-010-0891-0
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 451
TITLE
Building the nation's capacity to reduce negative alcohol related
consequences through the education of nurses
AUTHOR NAMES
Savage C.L.
Dyehouse J.
Pan W.
Marcus M.
AUTHOR ADDRESSES
(Savage C.L.; Dyehouse J.; Pan W.; Marcus M.) University of Cincinnati,
College of Nursing, Cincinnati, United States.
CORRESPONDENCE ADDRESS
C.L. Savage, University of Cincinnati, College of Nursing, Cincinnati,
United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2010) 34:6 (69A). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Scientific Meeting of the Research Society on Alcoholism, RSA
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-06-26 to 2010-06-30
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: Nurses are indispensable in the building of a national professional
health care workforce with the knowledge and clinical skills needed to
reduce the morbidity and mortality associated with alcohol use. Since there
are 2.42 million registered nurses (RNs) In the U.S. working primarily in
acute and primary care settings, providing them with the basic knowledge and
skills needed to prevent adverse consequences of alcohol use has an enormous
potential impact on the overall health of the nation. The purpose of this
report is to present the projected impact of increasing nurses' ability to
actively engage in alcohol prevention across settings and the lifespan.
Findings: The prevalence of heavy/at risk alcohol use in the United States
is high. In 2000 to 2001 over a quarter (28%) of U.S. adults (aged 18 or
older), exceeded the recommended limits. Thus at minimum one quarter of all
patients that nurses encounter across settings are at risk for adverse
alcohol related consequences. With the appropriate knowledge and confidence
in their clinical skills nurses can implement primary prevention with
children and young adolescents and they can engage in both primary and
secondary prevention with older adolescents, young adults, adults and older
adults. If every nurse currently in the workforce had these basic skills the
nation's capacity to reduce the negative impact of alcohol on health through
implementation of early prevention, would be potentially increased by over 2
million workers. Despite the potential presented by having the largest
segment of professional health workers trained in early detection and
intervention related to alcohol use and its adverse health consequences,
alcohol as a health issue is not part of any standard BSN curriculum. Nurses
receive no consistent formal education about alcohol use and health nor do
they consistently receive training in key prevention skills such as
screening and brief intervention (SBI), despite the growing evidence to
support the use of SBI in all health care settings. NIAAA has developed a
new curriculum specifically for educating baccalaureate nurses in these
important skills. Conclusion: The newly developed NIAAA curriculum is a
potential solution to a critical gap in nursing education, one that might be
expected to have a major impact on the health of the nation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
nurse
society
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol consumption
child
curriculum
health
health care
health care personnel
lifespan
morbidity
mortality
nursing education
occupational health
patient
prevalence
prevention
primary medical care
primary prevention
registered nurse
risk
screening
secondary prevention
skill
United States
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2010.01210.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 452
TITLE
Factors associated with proton pump inhibitor discontinuation in nursing
home residents
AUTHOR NAMES
Linsky A.
Rudolph J.
Hermos J.
Lawler E.
AUTHOR ADDRESSES
(Linsky A.) General Internal Medicine, Boston Medical Center, Boston, United
States.
(Rudolph J.) Geriatric Research Education and Clinical Center, VA Boston
Healthcare System, Jamaica Plain, United States.
(Hermos J.; Lawler E.) Massachusetts Veterans Epidemiology Research and
Information Center, VA Cooperative Studies Program, VA Boston Healthcare
System, Jamaica Plain, United States.
CORRESPONDENCE ADDRESS
A. Linsky, General Internal Medicine, Boston Medical Center, Boston, United
States.
SOURCE
Journal of General Internal Medicine (2010) 25 SUPPL. 3 (S276). Date of
Publication: June 2010
CONFERENCE NAME
33rd Annual Meeting of the Society of General Internal Medicine
CONFERENCE LOCATION
Minneapolis, MN, United States
CONFERENCE DATE
2010-04-28 to 2010-05-01
ISSN
0884-8734
BOOK PUBLISHER
Springer New York
ABSTRACT
BACKGROUND: Continued use of medications, beyond initial indications or
targeted endpoints, contributes to over-medication in elderly patients.
Proton pump inhibitors (PPIs) are commonly prescribed drugs that are often
initiated and continued without clear indication. As nursing home admission
is an opportunity for review of medication appropriateness, this study
sought to identify factors associated with PPI discontinuation among veteran
patients admitted to nursing homes. METHODS: The study population includes
patients, age 40 years and older, admitted to Veterans Affairs (VA)
Community Living Centers in 2005-2006 for a minimum stay of 90 days.
Baseline exposure to oral PPIs required an active inpatient prescription
within the first three days of admission. The primary outcome was PPI usage
(“continuation” or “discontinuation”) at 90 days, with an intermediate
outcome of PPI usage at 45 days. Covariates included patient sex, age, year
of nursing home admission, comorbidities, and prior PPI use, defined as a VA
prescription in the 30 days prior to admission. Multivariable logistic
regression and 95% confidence intervals (CI) estimated the associations of
patient characteristics with PPI discontinuation. RESULTS: We identified
26,743 patients, of whom 6,416 (24%) were prescribed a PPI at admission.
This veteran cohort was predominantly male (97.1%), with a median age of 66
years. Of these baseline PPI users, 1,468 (22.9%) had PPIs discontinued at
45 days and 2,006 inclusive (31.3%) had the medication discontinued by 90
days. The remaining 4,440 (68.7%) patients were continued on PPIs. Compared
to those with continued PPI use, patients discontinued were similar in age
(median age 66 years, IQR 56-80 vs. 67 years, IQR 56-80; p=0.8) and sex
(97.4% male vs. 96.9%, p=0.3). There were no statistically significant
differences between continuers and discontinuers in prevalence of ICD-9-CM
coded comorbidities, including diabetes, hypertension, cardiovascular
disease, chronic kidney disease, liver disease, malignancy and substance
abuse. Those who discontinued were more likely to have prior PPI use (78.5%
vs. 71.5%, p<0.0001), be admitted in 2006 rather than 2005 (53.1% vs. 34.0%,
p<0.0001) and have dementia (7.2% vs. 5.7%, p=0.01). Discontinuers were less
likely to have chronic obstructive pulmonary disease (COPD) (33.0% vs.
37.5%, p=0.0005) and gastric acid or reflux related upper gastrointestinal
disorders (33.5% vs. 42.3%, p< 0.0001). In an adjusted model, factors
associated with increased odds of PPI discontinuation were dementia [odds
ratio (OR) 1.4; 95% CI 1.1-1.7] and prior PPI use (OR 1.6; 95% CI 1.4-1.8).
Diagnoses of upper gastrointestinal disorders (OR 0.68; 95% CI 0.60-0.76)
and COPD (OR 0.85; 95% CI 0.76-0.96) were associated with a decreased odds
of discontinuation. CONCLUSIONS: Within 90 days of admission to a VA nursing
home, PPI prescriptions were more likely to be discontinued in patients with
prior PPI use - that is, not initiated in the nursing home - and those with
dementia. Patients with documented upper gastrointestinal diseases and COPD
were less likely to have PPIs discontinued. These findings would suggest a
reasoned evaluation of PPI needs at early stages of care, but the extent to
which physician and system level factors, as well as patient functional
status and concurrent medication use, impact decisions of medication
discontinuation remains to be elucidated.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
proton pump inhibitor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
internal medicine
nursing home patient
society
EMTREE MEDICAL INDEX TERMS
aged
cardiovascular disease
chronic kidney disease
chronic obstructive lung disease
community living
confidence interval
dementia
diabetes mellitus
diagnosis
drug therapy
exposure
functional status
gastrointestinal disease
hospital patient
hypertension
liver disease
logistic regression analysis
male
model
nursing home
patient
physician
population
prescription
prevalence
risk
stomach acid
substance abuse
veteran
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1007/s11606-010-1338-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 453
TITLE
Potential impact of a pilot training program on smoking cessation
intervention for tuberculosis DOTS providers in Malaysia
AUTHOR NAMES
Awaisu A.
Sulaiman S.A.S.
Mohamed M.H.N.
Noordin N.M.
Muttalif A.R.
Mahayiddin A.A.
Aziz N.A.
AUTHOR ADDRESSES
(Awaisu A., pharmahmed@yahoo.com; Sulaiman S.A.S.; Aziz N.A.) Department of
Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains
Malaysia, 11800 Minden, Penang, Malaysia.
(Mohamed M.H.N.) Department of Pharmacy Practice, Kulliyyah of Pharmacy,
International Islamic University Malaysia, Jln Sultan Ahmad Shah, Bandar
IM,25200 Kuantan, Malaysia.
(Noordin N.M.) Department of Health Economics and Finance, Institute for
Health Management, Ministry of Health, Jln Rumah Sakit, 59000 Kuala Lumpur,
Malaysia.
(Muttalif A.R.) Department of Respiratory, Penang Hospital, Jln Residensi,
10990 Penang, Malaysia.
(Mahayiddin A.A.) Institut Perubatan Respiratori, Jln Pahang, Wilayah
Persekutuan, 53000 Kuala Lumpur, Malaysia.
CORRESPONDENCE ADDRESS
A. Awaisu, Department of Clinical Pharmacy, School of Pharmaceutical
Sciences, Universiti Sains Malaysia, 11800 Minden, Penang, Malaysia. Email:
pharmahmed@yahoo.com
SOURCE
Journal of Public Health (2010) 18:3 (279-288). Date of Publication: June
2010
ISSN
0943-1853
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Background the association between tuberculosis (TB) and tobacco smoking is
becoming increasingly important.Smoking cessation may yield substantial
positive effects on TB treatment outcomes, relapse, and future lung
disease.Thus, TB directly observed therapy, short-course (TBDOTS) providers
are uniquely positioned to intervene with those TB patients who are smokers.
Unfortunately, most health care professionals are inadequately trained to
provide such service.Aim this study aimed to determine the feasibility of
developing and implementing a customized training program related to the
delivery of an integrated smoking cessation intervention (SCI) for TB DOTS
providers and to evaluate its potential impact on their knowledge,
attitudes,and perceived competence.Method We developed and delivered a
structured training program and materials about treating tobacco use and
dependence in TB settings.The training was offered to DOTS providers from
six chest clinics in Penang and Wilayah Persekutuan Kuala Lumpur health
districts,Malaysia, who were planned to be involved in a larger project,
known as the SCIDOTS Project. A pretest-posttest survey of a single group
was conducted.Changes in scores before and after the training program in
knowledge and attitude were measured.Results Ten DOTS providers participated
in the program and completed both the pretest and posttest survey
questionnaire. The trainees' median scores in knowledge of health risks of
tobacco and tobacco-related diseases, the association between TB and
tobacco, and overall knowledge significantly increased compared to the
baseline (p<0.05).Upon completion of the program, the majority of the
trainees (70-100%) believed that they were competent and confident in
performing most SCI activities.Conclusion This preliminary study suggests
that a customized in-service training program on SCI designed for and
delivered to TB DOTS providers could significantly improve their knowledge,
attitude, and practice related to SCI.It has also highlighted the gap
related to SCI in nursing education and calls for urgent curricula reforms.
© Springer-Verlag 2009.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
tuberculosis
EMTREE MEDICAL INDEX TERMS
article
controlled study
education program
health care personnel
health hazard
human
intervention study
Malaysia
pilot study
training
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Internal Medicine (6)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010404582
FULL TEXT LINK
http://dx.doi.org/10.1007/s10389-009-0302-5
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 454
TITLE
Use of a pharmacist/nurse model for the delivery of supportive care in adult
oncology clinics at the University of North Carolina Hospital
AUTHOR NAMES
Bernard S.A.
Valgus J.
Jarr S.
Rice M.
Schwartz R.
AUTHOR ADDRESSES
(Bernard S.A.; Valgus J.; Jarr S.; Rice M.; Schwartz R.)
CORRESPONDENCE ADDRESS
S.A. Bernard,
SOURCE
Journal of Clinical Oncology (2010) 28:15 SUPPL. 1. Date of Publication: 20
May 2010
CONFERENCE NAME
2010 Annual Meeting of the American Society of Clinical Oncology, ASCO
CONFERENCE LOCATION
Chicago, IL, United States
CONFERENCE DATE
2010-06-04 to 2010-06-08
ISSN
0732-183X
BOOK PUBLISHER
American Society of Clinical Oncology
ABSTRACT
Background: Since February 2008, we have begun a Supportive Care Consult
Service that uses a pharmacist/nurse model of care delivery. Requests are
called in from all adult oncology clinics-Hem/Onc; Gyn Onc, Surg Onc, or Rad
Onc to the nurse. The team then goes to the individual clinic where the
consult is done by either the pharmacist or nurse, with physician backup. A
separate half-day clinic was begun in April 2008 to address patients needing
ongoing follow-up or complex patients that could not be dealt with as
consults only. Methods: We carried out an analysis of the practice with an
IRB-approved database using standard descriptive statistical methods.
Results: In the first 18 months of the service, 89 new patients were seen.
Overall there were 292 encounters, reflecting both new and return visits.
Details of the encounters are shown in the Table. Demographics: M/F:
47%/53%; Age: >60 y.o.-45%; 44-59-34%, <44-21%; Ethnic/Racial Group: White
70%, African Am. 21%, Hispanic 8%, Native American 1%; Referral Site: Rad
Onc 48%, Med Onc 33%, Gyn Onc 11%, Surg Onc 8%. Pain was the reason for
consult in 75%, constipation 11%, N/V 8%, Anxiety 4%, Spiritual 2%. Tumor
types including Lung 20%, Gyn Onc 20%, H & N 15%, GU 12%, GI 8%, and Breast
7%. Substance abuse was fairly common: Ethanol, 26%, Cocaine 23%, and Heroin
9%. Results: For the first year of the service, 52/53 pts were already on
opioids. Recommendations lead to: Increase in medication 57%, Decrease 4%,
No Change 21%, Switch 21%, Additional meds 32%, and Stopped 6%. In a sample
of 49 patients, we have demonstrated a reduction of pain score from 4 to 2.7
(scale of 5 = maximum) by the second visit; nausea from 4 to 1.4 by the
second visit; and constipation from 2 to 1.6 by the second visit. These
results maintained beyond the 2nd visit but patient numbers were smaller.
Conclusions: Use of a roving pharmacist/nurse model for supportive care
represents a novel method of care delivery that results in significant
improvement in symptoms. (Table presented).
EMTREE DRUG INDEX TERMS
alcohol
cocaine
diamorphine
nitrogen 15
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adult
hospital
model
oncology
society
United States
university
EMTREE MEDICAL INDEX TERMS
American Indian
anxiety
breast
constipation
data base
day hospital
drug therapy
follow up
Hispanic
lung
nausea
neoplasm
nurse
pain
patient
pharmacist
physician
statistical analysis
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 455
TITLE
Smokeless tobacco cessation cluster randomized trial with rural high school
males: Intervention interaction with baseline smoking
AUTHOR NAMES
Walsh M.M.
Langer T.J.
Kavanagh N.
Mansell C.
MacDougal W.
Kavanagh C.
Gansky S.A.
AUTHOR ADDRESSES
(Walsh M.M., margaret.walsh@ucsf.edu; Langer T.J.; Kavanagh N.; Kavanagh C.;
Gansky S.A.) Department of Preventive and Restorative Dental Sciences,
School of Dentistry, University of California, San Francisco, CA, United
States.
(Mansell C.) Upper Lake High School, Upper Lake, CA, United States.
(MacDougal W.) Konocti School District, Lower Lake, CA, United States.
CORRESPONDENCE ADDRESS
M.M. Walsh, Department of Preventive and Restorative Dental Sciences, School
of Dentistry, University of California, San Francisco, 3333 California
Street, Suite 495, San Francisco, CA 94143-1361, United States. Email:
margaret.walsh@ucsf.edu
SOURCE
Nicotine and Tobacco Research (2010) 12:6 (543-550). Date of Publication:
June 2010
ISSN
1462-2203
1469-994X (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Introduction: Adolescent males in rural areas use smokeless tobacco (ST). We
assessed the efficacy of a school-based nurse-directed ST intervention among
rural high school males. Methods: Study high schools were randomly selected
from a public high school list of California rural counties. Consenting high
schools were stratified by school size and randomly assigned within strata
to intervention or no-intervention groups. After gaining parental consent,
male students completed baseline and 1-year follow-up questionnaires. The
intervention included peer-led educational sessions and an oral exam by the
school nurse who also provided brief tobacco cessation counseling. We used
binary generalized estimating equation (GEE) models accounting for
clustering within schools to test no difference between groups after
adjusting for year in high school using both completers only and multiple
imputation for those lost to follow-up. Subgroup analyses assessed Baseline
Factor × Group interaction in GEE models. Results: Twenty-one rural counties
(72%), 41 randomly selected high schools (56%), and 4,731 male students
(50%) participated with 65% retention. Nonsmoking ST users in the
intervention group were significantly more likely to stop using ST at
follow-up than those in the no-intervention group; there was no intervention
effect among baseline ST users who also smoked. A higher percentage of
baseline nonsmoking ST users reported smoking at follow-up than baseline
non-ST-using smokers who reported using ST. Discussion: A school-based
nurse-directed ST cessation program was efficacious among rural nonsmoking
ST-using high school males. The potential program reach holds significant
public health value. Baseline ST use facilitated smoking at follow-up. © The
Author 2010. Published by Oxford University Press on behalf of the Society
for Research on Nicotine and Tobacco. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical trial
controlled clinical trial
controlled study
follow up
health program
high school student
human
major clinical study
male
peer counseling
priority journal
questionnaire
randomized controlled trial
rural area
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010421057
MEDLINE PMID
20439384 (http://www.ncbi.nlm.nih.gov/pubmed/20439384)
FULL TEXT LINK
http://dx.doi.org/10.1093/ntr/ntq022
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 456
TITLE
Results of a nurse-led workshop designed to prevent fetal alcohol spectrum
disorder
AUTHOR NAMES
Caley L.M.
Riemer S.
Weinstein H.S.
AUTHOR ADDRESSES
(Caley L.M., lcaley@buffalo.edu) School of Nursing, University at Buffalo,
Buffalo, NY, United States.
(Riemer S.) University at Buffalo, Buffalo, NY, United States.
(Weinstein H.S.) Fetal Alcohol and Drug Effects, The Erie County Council for
the Prevention of Alcohol and Substance Abuse, Buffalo, NY, United States.
CORRESPONDENCE ADDRESS
L.M. Caley, School of Nursing, University at Buffalo, Kimball Tower 801,
3435 Main Street, Buffalo, NY 14214-3079, United States. Email:
lcaley@buffalo.edu
SOURCE
Public Health Nursing (2010) 27:3 (232-239). Date of Publication: May/June
2010
ISSN
0737-1209
1525-1446 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Preventing the negative consequences of prenatal exposure to alcohol remains
an unmet challenge. This paper presents the results of a workshop, designed
to increase the implementation of fetal alcohol spectrum disorders (FASD)
prevention interventions in 8 counties of New York. The workshop was based
on constructivist learning theory and used the Population-Based Public
Health Nursing Intervention Model as the structure for discussing potential
interventions. The number and type of FASD interventions implemented were
determined by surveys sent out postworkshop to 167 participants. At 4 months
postworkshop, 37 participants reported implementing 226 primary, secondary,
and tertiary interventions in 74 different worksites. The results indicate
that incorporation of constructivist learning theory shows promise for
future public health and continuing education programs aimed at changing or
enhancing practice. © 2010 Wiley Periodicals, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
fetal alcohol syndrome (prevention)
leadership
nursing education
EMTREE MEDICAL INDEX TERMS
article
education
educational status
evaluation study
female
human
information processing
methodology
newborn
nursing
organization and management
pregnancy
qualitative research
questionnaire
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20525095 (http://www.ncbi.nlm.nih.gov/pubmed/20525095)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2010.00848.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 457
TITLE
Evaluation of a successful fetal alcohol spectrum disorder coalition in
Ontario, Canada
AUTHOR NAMES
Clarke-McMullen D.M.
AUTHOR ADDRESSES
(Clarke-McMullen D.M., dclarkemcmullen@hotmail.com) Mental Health Program,
Hotel Dieu Hospital, Kingston, ON, Canada.
CORRESPONDENCE ADDRESS
D.M. Clarke-McMullen, PO Box 393, Verona, ON K0H 2W0, Canada. Email:
dclarkemcmullen@hotmail.com
SOURCE
Public Health Nursing (2010) 27:3 (240-247). Date of Publication: May/June
2010
ISSN
0737-1209
1525-1446 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Leading a successful coalition that benefits both the members and the
community is a difficult task. Coalitions are complex and require a great
deal of skill to initiate, lead, and evaluate. This article examines a
successful coalition, developed to build community capacity to address fetal
alcohol spectrum disorder (FASD). FASD is a complex, multidimensional health
issue common in many communities. Coalitions can be effective in tackling
these types of issues and fit with community capacity-building approaches to
health promotion. The Internal Coalition Outcome Hierarchy (ICOH) model
(Cramer, Atwood, & Stoner, 2006a, 2006b) is used to retrospectively examine
the internal constructs of the FASD Action Network and provide useful
lessons learned for other coalition leaders and public health nurses. This
hierarchical model demonstrates that sound internal processes lead to more
successful outcomes and ultimately an increased impact on community issues.
The usefulness of ICOH as a tool in evaluating the FASD Action Network and
its application to other health-promotion situations with community capacity
goals is described in this article. © 2010 Wiley Periodicals, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
cooperation
fetal alcohol syndrome (epidemiology)
health promotion
self help
EMTREE MEDICAL INDEX TERMS
article
attitude to health
Canada (epidemiology)
evaluation study
female
human
leadership
newborn
nursing
organization and management
pregnancy
professional competence
retrospective study
theoretical model
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20525096 (http://www.ncbi.nlm.nih.gov/pubmed/20525096)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2010.00849.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 458
TITLE
Magic of magician's doves
AUTHOR NAMES
Mattar Z.
Taji J.
Goyal R.
Avasthi S.
Kanjwal M.S.
Willey J.C.
AUTHOR ADDRESSES
(Mattar Z.) UTMC, Toledo, United States.
(Taji J.; Goyal R., rajan.goyal@utoledo.edu; Avasthi S.; Willey J.C.)
University of Toledo, Medical Center, Toledo, United States.
(Kanjwal M.S.) Toledo, United States.
CORRESPONDENCE ADDRESS
R. Goyal, University of Toledo, Medical Center, Toledo, United States.
Email: rajan.goyal@utoledo.edu
SOURCE
American Journal of Respiratory and Critical Care Medicine (2010) 181:1
MeetingAbstracts. Date of Publication: 1 May 2010
CONFERENCE NAME
American Thoracic Society International Conference, ATS 2010
CONFERENCE LOCATION
New Orleans, LA, United States
CONFERENCE DATE
2010-05-14 to 2010-05-19
ISSN
1073-449X
BOOK PUBLISHER
American Thoracic Society
ABSTRACT
30 Year Old female. Gradually worsening SOB in the last year.Respiratory
distress with severe hypoxemia. No cough, fever, chills, night sweats or any
other associated constitutional signs or symptoms. PMH : SOB of unknown
origin, Hyperlipidemia, M.Obesity. No Tobacco, alcohol or illicit drug
abuse. A student nurse. Social History :Pets : 2 cats and 2 birds. Married
with two healthy kids. Husband:Policeman. Part time magician. â-°Vitals: Bp
:122/70, P:95 ,RR:25 ,T:96.6 F SaO2:85% on RA . HEENT: Normal. Lungs:
Bilateral inspiratory crackles. CVS: S1,S2 normal CBC : WBC : 6.7 Normal
diff. CMP, LFTs, Coags ,TSH ,CE X 3: Normal. ABG : 7.40/ 32/ 69 / 20 on RA.
BNP : 4 ESR : 22 . Normal Vasculitis work up. 2D-Echo: Normal findings with
LVEF- 55%. Improved oxygenation on solumedrol treatment and 2 LPM -O2 per
NC. Negative Gram stain C&S. Negative Fungus, Viral and AFB cultures.
BAL-Cell counts: RBC: 1445, WBC: 119 with 0% Eos , 53%Lymphs and 13%
Macrophages Hypersensitivity panel : A FUMIGATUS Positive . PIGEON SERUM
Positive. Diagnosis of Hypersensitivity pnemonitis from Magician's Doves.
Discussion : Hypersentivity pnemonitis is a relatively rare disease. It has
been described with multiple allergens. We report a case of hypersensitivity
from magician's doves. (Figure presented) .
EMTREE DRUG INDEX TERMS
alcohol
allergen
cytidine phosphate
illicit drug
methylprednisolone sodium succinate
thyrotropin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dove
magic
society
EMTREE MEDICAL INDEX TERMS
bird
cat
cell count
coughing
diagnosis
drug abuse
erythrocyte
female
fever
fungus
Gram staining
human
hyperlipidemia
hypersensitivity
hypoxemia
lung
lymph
macrophage
night sweat
nursing student
oxygenation
pet animal
police
rare disease
tobacco
vasculitis
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 459
TITLE
Improving venous thromoboembolism prophylaxis in medical inpatients
AUTHOR NAMES
Collantes E.
Greaves P.
Mills S.
Sommerland A.
Fazal F.
Murray A.
Arunachalam H.
Hadjisymeou S.
Maccallum P.K.
AUTHOR ADDRESSES
(Collantes E.; Greaves P.; Mills S.; Sommerland A.; Fazal F.; Murray A.;
Arunachalam H.; Hadjisymeou S.; Maccallum P.K.) Department of Haematology,
Royal London Hospital, Bart's and the London NHS Trust, United Kingdom.
CORRESPONDENCE ADDRESS
E. Collantes, Department of Haematology, Royal London Hospital, Bart's and
the London NHS Trust, United Kingdom.
SOURCE
British Journal of Haematology (2010) 149 SUPPL. 1 (35). Date of
Publication: May 2010
CONFERENCE NAME
50th Annual Scientific Meeting of the British Society for Haematology
CONFERENCE LOCATION
Edinburgh, United Kingdom
CONFERENCE DATE
2010-04-19 to 2010-04-21
ISSN
0007-1048
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
To address the UK's 25,000 preventable deaths annually from hospital-related
venous thromboembolism (VTE), NICE guidelines mandate that every
hospitalised patient undergo documented VTE risk assessment and appropriate
prophylaxis. We audited the frequency of VTE risk assessment and appropriate
prophylaxis with low molecular weight heparin (LMWH) in medical admissions
in a teaching hospital acute trust. An initial survey showed 44% of medical
inpatients received VTE prophylaxis appropriately (n = 333). Re-audit one
year later following increase in multidisciplinary education showed
improvement to 68% ( n = 147). Subsequently, we evaluated VTE prophylaxis in
medical admissions over 7 days with implementation of three separate
interventions: first a sticker on the drug chart incorporating a risk
assessment tool, second an educational poster, third a patient leaflet and
finally all interventions concurrently. The proportion of patients receiving
appropriate prophylaxis was 84% (n = 131) during implementation of the
sticker, 69% during the poster display ( n = 99), 71% ( n = 56) when
patients given the leaflet by nurses (educated prior to leaflet handout) and
79% (n = 43) with all three. Documented risk assessment was never completed.
25% of patients had contraindications to LMWH, hence inclusion as standard
on the drug chart was considered unsafe. Multidisciplinary education and a
drug chart sticker had maximum impact on VTE prophylaxis. Ongoing
interventions include employing a VTE specialist nurse, staff education and
introducing an assessment tool in the drug chart which avoids additional
sheets and is easily audited and policed. Comprehensiveness of the tool may
be modified for simplicity. Leaflets and posters did not further improve VTE
prophylaxis: however patient education is clearly important. Perhaps 100
deaths could be prevented annually per trust if patients received VTE
prophylaxis appropriately. Risk assessment forms an integral part of this
policy's safe introduction but implementation remains problematic. The drug
chart provides a useful focus for this.
EMTREE DRUG INDEX TERMS
low molecular weight heparin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hematology
hospital patient
prophylaxis
society
EMTREE MEDICAL INDEX TERMS
death
education
hospital
medical audit
medical specialist
nurse
patient
patient education
policy
risk assessment
staff training
teaching hospital
United Kingdom
venous thromboembolism
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2141.2010.08116-1.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 460
TITLE
At least 25% of elderly residents of German nursing homes are addicted to
psychotropic drugs, report claims.
AUTHOR NAMES
Stafford N.
AUTHOR ADDRESSES
(Stafford N.)
CORRESPONDENCE ADDRESS
N. Stafford,
SOURCE
BMJ (Clinical research ed.) (2010) 340 (c2029). Date of Publication: 2010
ISSN
1468-5833 (electronic)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
home for the aged
nursing home
EMTREE MEDICAL INDEX TERMS
aged
female
Germany (epidemiology)
human
male
middle aged
note
risk factor
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20388674 (http://www.ncbi.nlm.nih.gov/pubmed/20388674)
FULL TEXT LINK
http://dx.doi.org/10.1136/bmj.c2029
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 461
TITLE
Pharmacist-enhanced medication reconciliation services at an outpatient
addiction medicine clinic
AUTHOR NAMES
Chan T.
Sproule B.
AUTHOR ADDRESSES
(Chan T.; Sproule B.) Centre for Addiction and Mental Health, Toronto,
Canada.
(Chan T.; Sproule B.) Faculty of Pharmacy, University of Toronto, Canada.
(Sproule B.) Dept of Psychiatry, University of Toronto, Canada.
CORRESPONDENCE ADDRESS
T. Chan, Centre for Addiction and Mental Health, Toronto, Canada.
SOURCE
Journal of Pharmacy Practice (2010) 23:2 (179). Date of Publication: April
2010
CONFERENCE NAME
13th Annual Meeting of the College of Psychiatric and Neurologic
Pharmacists, CPNP 2010
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-04-18 to 2010-04-21
ISSN
0897-1900
BOOK PUBLISHER
SAGE Publications Inc.
ABSTRACT
Abstract Type: Innovative Practices. Background: Patients in treatment for
substance dependence who are taking multiple medications from multiple
providers are at risk for drug therapy problems. Medication reconciliation,
the process of obtaining a complete and accurate list of a patient's current
home medications, may enhance patient safety. Although there are no
published studies on medication reconciliation in an outpatient addictions
setting, opportunities exist for pharmacists to provide services in this
setting. Description of Innovative Service: This project took place at the
Centre for Addiction and Mental Health's outpatient Addiction Medicine
Clinic in Toronto, Canada. A pharmacist was embedded in the clinic for one
month to conduct medication histories with patients, identify drug therapy
problems, and report findings to the clinic team. The pharmacist and clinic
team targeted patients who would likely benefit from the service and
patients must have been currently taking a medication prescribed at the
clinic to be included. A retrospective review of the patient health record
for medication documentation in the past 6 months was also completed.
Discrepancies were defined as any omissions or errors in documentation of
drug, dose, or frequency when comparing the medication list the pharmacist
obtained to the medication list on the patient health record (if present).
Four independent clinicians (physician, nurse and 2 pharmacists) assessed
the potential impact of the discrepancies identified. Impact on Practice:
Thirty-two patients were interviewed by the pharmacist. These patients were
taking a mean of 7 + 4 medications in addition to their clinic-prescribed
medications. The pharmacist identified 34 discrepancy-related drug therapy
problems in 21 patients. The drug therapy problems were either actual or
potential drug interactions (73%) or adverse drug reactions (24%).
Clinicians classified the drug therapy problems as causing minimal (28.6%),
moderate (38.1%), or severe (33.3%) patient discomfort or clinical
deterioration. Conclusion: Patients attending specialty clinics are at risk
of drug therapy problems related to medication record discrepancies. From
the experience of this project, it has been identified that a formal
medication reconciliation process is needed in this specialty ambulatory
setting, a potentially valuable role for psychiatric pharmacists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
college
hospital
medication therapy management
outpatient
pharmacist
EMTREE MEDICAL INDEX TERMS
adverse drug reaction
Canada
deterioration
documentation
drug dose
drug interaction
drug therapy
health
mental health
nurse
patient
patient safety
physician
risk
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1177/0897190010365987
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 462
TITLE
Online training needs of primary care providers in pain and addiction
AUTHOR NAMES
Rossie K.
Metcalf M.
Tanner T.
AUTHOR ADDRESSES
(Rossie K.; Metcalf M.; Tanner T.) Clinical Tools Inc., Chapel HIll, United
States.
CORRESPONDENCE ADDRESS
K. Rossie, Clinical Tools Inc., Chapel HIll, United States.
SOURCE
Journal of Pain (2010) 11:4 SUPPL. 1 (S20). Date of Publication: April 2010
CONFERENCE NAME
29th Annual Scientific Meeting of the American Pain Society, APS
CONFERENCE LOCATION
Baltimore, MD, United States
CONFERENCE DATE
2010-05-06 to 2010-05-08
ISSN
1526-5900
BOOK PUBLISHER
Churchill Livingstone Inc.
ABSTRACT
The majority of primary care providers did not receive adequate training to
detect, prevent, and manage patients at the interface of pain and
addiction.1 But there are currently little data to guide training
development so that it emphasizes the specific areas of greatest need.We
surveyed a convenience sample of twenty-seven primary care providers (9
physicians, 9 residents, and 9 nurse practitioners) retrospectively about
their training at the interface of treating pain and addiction. They were
asked to rate their agreement that their clinical training adequately
prepared them in 9 specific areas. The responses were very similar for each
of the three groups. Sixty-four percent (64%) of participants disagreed
(either strongly disagreed or disagreed) that they were adequately prepared
to treat pain in patients in recovery. Sixty percent (60%) disagreed that
they were prepared to treat pain in patients with current addictions. And
52% disagreed that they were adequately prepared to treat patients at risk
for addiction. Perception of their training to assess pain in the context of
addiction issues was more positive. Of the participants, 48% agreed or
strongly agreed that they were adequately prepared to recognize addiction in
a pain patient; still 28% disagreed. Similarly, 48% agreed or strongly
agreed that they were adequately prepared to recognize patients at risk for
addiction; but 36% disagreed. Primary care providers do not feel adequately
prepared by their training in pain and addiction, especially in the areas of
treatment. Training needs related to treatment increase as the risk of
addiction increases. Educational curricula are needed to ensure that pain
treatment providers have the skills necessary to assess and treat patients
at the interface of pain and addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
pain
primary medical care
society
EMTREE MEDICAL INDEX TERMS
convenience sample
curriculum
nurse practitioner
patient
physician
risk
skill
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpain.2010.01.087
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 463
TITLE
Teaching pharmacology in the medical faculty of medical university in sofia
AUTHOR NAMES
Boyadjieva N.
AUTHOR ADDRESSES
(Boyadjieva N.) Department of Pharmacology and Toxicology, Medical Faculty,
Medical University, Sofia, Bulgaria.
CORRESPONDENCE ADDRESS
N. Boyadjieva, Department of Pharmacology and Toxicology, Medical Faculty,
Medical University, Sofia, Bulgaria.
SOURCE
Autonomic and Autacoid Pharmacology (2010) 30:1 (68-70). Date of
Publication: 2010
CONFERENCE NAME
6th National Congress of Pharmacology
CONFERENCE LOCATION
Varna, Bulgaria
CONFERENCE DATE
2009-10-01 to 2009-10-04
ISSN
1474-8665
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
The Department of Pharmacology and Toxicology at the Medical Faculty in
Sofia was founded and started education on pharmacology in 1945. It was the
first department teaching pharmacology in Bulgaria. Our department supported
the development of pharmacology teaching in the Universities of Varna,
Plovdiv, Pleven, Stara Zagora as well as pharmacology teaching in colleges
for nurses and medical workers. The department has a history in advancing
the progress of pharmacology as a scientific discipline. We offer a broad
range of educational opportunities from undergraduate studies to graduate
research leading toward the award of M.D. and Ph.D degrees. Our pharmacology
education involves undergraduate, graduate degree programs, online
pharmacology as well as professional education for medical doctors,
dentists, nurses and medical workers. The program of pharmacology education
in the Sofia Medical Faculty differs from pharmacy programs. Our program
combines pharmacology and drug toxicology into a single unit, focusing on
pharmacokinetic, pharmacodynamic, toxicology, drug interactions,
prescriptions of drugs, etc., for medical students and doctors. The program
contains general, systems, integrative pharmacology and drug toxicology.
Students study pharmacology either as part of a medical degree or as part of
training to become researchers. The Medical Faculty in Sofia offers PhD
training in Pharmacology & Toxicology. The specialization in Pharmacology is
available. Currently, 300 medical students and 200 students from Dental
School are taking classes and examinations in pharmacology in our
department. The department competes to attract able students by offering new
courses and options. Problem-based learning (PBL) is gaining interest in
many medical schools. Although various approaches have been labelled PBL, it
remains unclear which approach is most appropriate for pharmacology courses.
There are numerous opportunities in the field of pharmacology available to
undergraduate students in our department. The department offers an
additional 7 PBL courses (modules) for students each academic year as
follows: (1) Pharmacotherapy of chronic disorders; (2) Pharmacology of Pain;
(3) Drug Abuse; (4) Pharmacotherapy of disorders in dentistry; (5)
Alternative medicine for therapy of social-related diseases; (6) Homeopathy;
(7) AIDS: pharmacotherapy. The courses focus on therapeutic and molecular
mechanisms of action for various drugs, used in the treatment of a large
spectrum of disorders (neuronal, brain, lung, cardio-vascular,
gastro-intestinal, muscular, cancers, immune-related diseases, arthritis,
AIDS, etc.). Our lectures correlate the effects of drugs and other chemical
agents with physiological, biochemical, microbiological, immunological or
behavioural factors influencing disease. Each of these courses is closely
interwoven with the experimental techniques of biochemistry, cellular and
molecular biology, microbiology, genetics, pathology, physiology, etc. The
role of the tutor in PBL courses also affects the choice of potential
tutors. Lecture-based pharmacology classes are typically taught by
established lecturers. PBL courses have tutors-professors from our
department. The results demonstrate the high level of interest from students
in PBL. For example: 220 students took PBL classes in pharmacology during
2008/2009. The teaching hours were up to 200. The lectures on pharmacology
and pharmacotherapy were given by eight professors and six assistant
professors. This experience has led to suggestions that the advantages of
PBL might manifest particularly in areas such as clinical competence and
pharmacotherapy. Our results suggest that there is high rank correlation
between assessment of student performance by computer and traditional
appraisal by written examination. We incorporated various teaching packages
on pharmacology for undergraduate students. The computer-assisted learning
is a part of our teaching process. Our department started with multimedia 25
years ago. In this department, the use of computer-assisted learning
software incorporating video, sound and animated graphics to replace
animal's experiments started 30 years ago. We developed video-films on
neuropharmacology, cardiopharmacology, pharmacolgy of pain, lung
pharmacology, general pharmacology, etc. and our films demonstrate
experimental benefits in teaching on pharmacology and drug toxicology. We
also developed written exams on pharmacology for medical students in
Bulgaria and published books with test questions in field of pharmacology.
Our department has a high level of respect due to the publication of books
on pharmacology. Our staff published 21 teaching books and up to 200
teaching chapters for medical students, students in dentistry, pharmacy,
nurses, etc. in the last 20 years. Moreover, we proposed the first new
pharmacology book in Bulgaria with illustrations/figures and textbooks for
practice. Our department, together with the Department of Biochemistry were
the first to make presentations about online pharmacology education at the
International Meeting in 2000. Subsequently the online teaching of
pharmacology was developed and accepted in 2008 as a support for teaching.
Additionally, medical students have the option to test their pharmacological
learning by using online tests developed by the department's staff. We
pioneered a new method in the education of medical students named 'Written
pharmacological chapters and competition for presentation' (WPC) in 2004.
Each student has to write four pages on scientific question in field of
pharmacology. Then, seven groups of professors and assistant professors in
pharmacology score the written chapters and select the best of them for
further competition and presentations. The department organizes the
scientific-educational workshop each year in May. Students who won the
competition present their posters or oral presentations. It is a big
scientific meeting with a lot of students, teachers, and medical doctors. It
is a great achievement in education on pharmacology. Posters presented news
in various fields in pharmacology, analysis of students, information about
scientific studies, etc. Multimedia oral presentations given by students
provided training in publicly communicating the science of pharmacology. The
results from last competition in 2009 were: (1) 250 students from 3rd
medical course wrote the chapters; (2) the average score was 5.50; (3) the
best chapters with score 6.00 + where written by 55 medical students; (4)
Oral presentations were made by eight students, posters presented by 38
students; (5) 200 students and guests participated in the scientific meeting
and discussions. The results demonstrated factual knowledge in the field of
pharmacology. Although the presentation of pharmacological facts in a
clinical and scientific context is likely to enhance medical student
motivation to study pharmacology, based on learning theories a further
enhancement of motivation can be expected by this new method in our
department. We observed improved self-determination and responsibility in
the students. We also observed that medical students were more able to take
responsibility for defining and achieving their own learning objectives in
pharmacology. Taken together, it appears that our new system of teaching
pharmacology enhances the quality of education. We started teaching
pharmacology for English speaking students in the Medical University in
Sofia in 2003. We publish programs, tests, lectures, etc in English. The new
module on 'Core information on pharmacotherapy of chronic disorders' was
developed for them in 2007. The department also created the 'Writing
pharmacological chapter and competition for presentation'. The results from
last competition of English speaking students were: (1) All 24 students
wrote chapters; (2) The average score was excellent (5.75); (3) All students
made oral presentation during workshop in May 2009. The unique opportunity
for undergraduate and graduate education in pharmacology, toxicology and
pharmacotherapy is the First Science-Educational School (SES) for capable
medical students. The department of Pharmacology and Toxicology organized
the school in 2007. Approximately 70-80 students took lectures, seminars,
workshops, posters discussions, etc. each year. The students with high
motivation and qualifications are admitted to the school. The aims are to
introduce the clinical, scientific and fundamental concepts in
pharmacotherapy to students, to develop medical doctor-scientist from the
3rd year of study in our university. Students have a chance to learn a lot
of from various great Bulgarian and European medical doctors and scientists.
The close relationship of the students with Acad. E. Golovinsky, Acad. C.
Cvetanov, Acad. P. Vasileva from the Bulgarian Academy of Science plays a
role in their scientific/educational motivation. The school celebrated its 2
year anniversary in May 2009. Students enrolled at the school to study
pharmacology, commenced their research projects where they are engaged in
developing new experimental pharmacological products. The students have
learned about and met great Bulgarian scientists in fields of endocrinology,
neurology, pharmacology, cancer research, immunology, psychiatry,
ophthalmology, molecular biology, microbiology. The students learned about
and celebrated the progress in medicine made by our teachers and great
scientists as Acad. R. Tzanev, Acad. T. Tashev, Acad. Ch. Nachev, Acad. I.
Puhlev, Acad. I. Penchev, Acad. D. Pashov, Acad. V. Petkov, Acad. C.
Angelov, Prof. D. Paskov, Prof. C. Stoichev, Prof. N. Shipkovenski, Prof. H.
Gelinov, Prof. A. Spasov, etc. The SES students met the leaders in medicine
from Bulgaria, USA, Europe and Asia. This has led to a high level of
interest in SES.
EMTREE DRUG INDEX TERMS
chemical agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical school
pharmacology
teaching
university
EMTREE MEDICAL INDEX TERMS
academic achievement
achievement
acquired immune deficiency syndrome
alternative medicine
animal experiment
arthritis
Asia
awards and prizes
book
brain
Bulgaria
cancer research
clinical competence
college
competition
computer
computer program
dental education
dentist
dentistry
drug abuse
drug interaction
drug mechanism
drug therapy
education
endocrinology
Europe
examination
experimentation
genetics
graduate
homeopathy
immunology
learning
learning theory
lung
medical personnel
medical student
microbiology
molecular biology
motivation
multimedia
neoplasm
neurology
neuropharmacology
nurse
ophthalmology
pain
pathology
peripheral lymphocyte
pharmacokinetics
pharmacy
physician
physiology
prescription
problem based learning
psychiatry
responsibility
school
scientist
specialization
speech
student
teacher
therapy
toxicology
videorecording
vocational education
workshop
writing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1474-8673.2009.00451.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 464
TITLE
How big is the threat in the outpatient setting?
AUTHOR NAMES
Woodford N.
AUTHOR ADDRESSES
(Woodford N.) London, United Kingdom.
CORRESPONDENCE ADDRESS
N. Woodford, London, United Kingdom.
SOURCE
Clinical Microbiology and Infection (2010) 16 SUPPL. 2 (S44-S45). Date of
Publication: April 2010
CONFERENCE NAME
20th ECCMID
CONFERENCE LOCATION
Vienna, Austria
CONFERENCE DATE
2010-04-10 to 2010-04-13
ISSN
1198-743X
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
E. coli with CTX-M enzymes are globally the most prevalent ESBL producers.
They are often isolated from urines of patients attending general practice,
but there are few data to assess accurately the extent of the community
burden. The prevalence of ESBL producers in faeces from healthy people is
typically <5% in Europe. In a recent multicentre study of non-hospitalized
patients with infections, one third of the ESBL producers (mainly E. coli)
were from those with no recent health care contact (Ben-Ami et al. Clin
Infect Dis. 2009;49:682). In the UK, ESBLproducing E. coli cause c. 2500
cases of bacteraemia p.a., and may be estimated to cause c. 50,000 urinary
tract infections p.a. Many belong to the globally-disseminated O25:H4-ST131
uropathogenic clone and have CTX-M-15 ESBL, though CTX-M-3 is equally common
in this clone in Belfast, a city where the ST131 clone is present in the
faeces of 40% of nursing home residents. CTX-M-15 ESBL is associated with
IncFII multi-resistance plasmids, while CTX-M-3 in Belfast is encoded on
IncI1 plasmids. These plasmids cannot readily be lost even in the absence of
antibiotic selective pressure, since they encode multiple 'addiction'
systems. Hence ESBL producers may serve as long-term community reservoirs of
resistance genes. Foreign travel may also be associated with gut
colonization by ESBL-producing isolates, and the ESBL present often reflects
the type most prevalent in the countries visited. Food remains an
under-explored potential source for ESBL-producing E. coli. Raw chicken has
been sampled in the UK, with CTX-M group 2 and 8 ESBLs found in meat
imported from South America; these types account for <1% of ESBLs from
clinical infections. There are currently no data to suggest wide presence of
CTX-M-15 ESBL in foodstuffs; it may be found in E. coli from animals, but
the strains are usually distinct from the dominant human clinical types.
ESBL producers are often multiresistant. Carbapenems are the drugs of choice
for serious infections, but resistance may emerge in strains with reduced
permeability, as observed in a UK nursing home resident who had no recent
hospitalization or carbapenem exposure. Carbapenemase-producing E. coli are
rare, although isolates with NDM-1 metallo-carbapenemase in addition to
CTX-M-15 and acquired AmpC enzymes give cause for concern lest they become
as prevalent as those with 'traditional' CTX-M-15 enzyme, or follow them
into the community setting.
EMTREE DRUG INDEX TERMS
antibiotic agent
beta lactamase AmpC
beta lactamase CTX M
carbapenem
carbapenem derivative
carbapenemase
enzyme
extended spectrum beta lactamase
salicylate sodium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
outpatient
EMTREE MEDICAL INDEX TERMS
bacteremia
chicken
city
clone
community
Escherichia coli
Europe
exposure
feces
food
gene
general practice
health care
hospital patient
hospitalization
human
infection
intestine
meat
multiple drug abuse
nursing home patient
patient
permeability
plasmid
prevalence
South America
travel
United Kingdom
urinary tract infection
urine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1469-0691.2010.03238.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 465
TITLE
Knowledge of substance abuse among high school students in Jordan
AUTHOR NAMES
Haddad L.
Shotar A.
Umlauf M.
Al-Zyoud S.
AUTHOR ADDRESSES
(Haddad L., lhaddad2@vcu.edu) School of Nursing, Virginia Commonwealth
University, Richmond, VA 23298, United States.
(Shotar A.) Jordan University of Science and Technology, Irbid, Jordan.
(Umlauf M.) University of Alabama, Tuscaloosa, AL, United States.
(Al-Zyoud S.) Hashemite University, Zarqa, Jordan.
CORRESPONDENCE ADDRESS
L. Haddad, School of Nursing, Virginia Commonwealth University, Richmond, VA
23298, United States. Email: lhaddad2@vcu.edu
SOURCE
Journal of Transcultural Nursing (2010) 21:2 (143-150). Date of Publication:
April 2010
ISSN
1043-6596
1552-7832 (electronic)
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
Objectives: The purpose of this study was to explore the knowledge,
attitude, and beliefs about substance abuse among Jordanian adolescents
(aged 15-18 years). Design: A descriptive design was employed using a
self-administrated questionnaire to collect the data from 400 high school
students. Methods: A multistage, random sample was generated in selecting
schools from the educational directorate located in a large urban city
located in the north of Jordan.This city district contains 23 public
secondary schools and serves 56.8% of the adolescents in the entire
province. Results: The results revealed the following: Students of both
sexes were knowledgeable about aspects of substance abuse, including its
harmful effects on the body and society and reported that even occasional or
frequent use of cigarettes, alcohol, and other drugs was extremely harmful.
A majority of the students perceived substance abuse as a problem, although
the older students were more acutely aware than the younger group. However,
the results revealed that the students lack in-depth knowledge of substance
abuse. In addition, the adolescents consistently refer to Islamic principles
forbidding use of intoxicants but mistakenly presume that mosques are
sources for assistance regarding substance abuse. Conclusions: Policy
makers, health workers, and religious leaders must collaborate to build
structured educational programs and readily accessible, evidence-based
treatment programs for adolescents. Given that young people constitute the
majority of the Jordanian population and that drug trafficking is prevalent
in the region, the implications of prevention programs are critical to
maintaining gains in public health outcomes as well as economic progress and
development in Jordan. © The Author(s) 2010.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, epidemiology)
attitude to health
school
student
EMTREE MEDICAL INDEX TERMS
adolescent
article
developing country
female
health behavior
health status
health survey
high risk behavior
human
Jordan (epidemiology)
male
nursing
pilot study
public health
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20220034 (http://www.ncbi.nlm.nih.gov/pubmed/20220034)
FULL TEXT LINK
http://dx.doi.org/10.1177/1043659609357632
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 466
TITLE
Predictors of HAV/HBV vaccination completion among methadone maintenance
clients.
AUTHOR NAMES
Nyamathi A.
Sinha K.
Greengold B.
Cohen A.
Marfisee M.
AUTHOR ADDRESSES
(Nyamathi A.; Sinha K.; Greengold B.; Cohen A.; Marfisee M.) School of
Nursing, University of California-Los Angeles, Box 951702, Los Angeles, CA
90095-1702, USA.
CORRESPONDENCE ADDRESS
A. Nyamathi, School of Nursing, University of California-Los Angeles, Box
951702, Los Angeles, CA 90095-1702, USA.
SOURCE
Research in nursing & health (2010) 33:2 (120-132). Date of Publication: Apr
2010
ISSN
1098-240X (electronic)
ABSTRACT
This randomized, controlled study (N = 256) was conducted to compare three
interventions designed to promote hepatitis A virus (HAV) and hepatitis B
virus (HBV) vaccination completion among clients undergoing methadone
maintenance (MM) treatment. Participants were recruited from five MM
treatment sites in Southern California and randomized into three groups:
Motivational Interviewing-Single (MI-Single), Motivational
Interviewing-Group (MI-Group); and Nurse-Led Hepatitis Health Promotion
(HHP). All were offered the three-series HAV/HBV vaccine. A total of 148
participants completed the vaccine. Groups did not differ in rate of
vaccination completion (73.6%, HHP group, vs. 65% and 69% for the MI-Single
and MI-Group, respectively). The equivalence of findings across groups
suggests the value of including nurses with a comprehensive health focus in
promoting vaccination completion. (c) 2010 Wiley Periodicals, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
hepatitis A vaccine
hepatitis B vaccine
methadone (drug therapy)
EMTREE DRUG INDEX TERMS
hepatitis A hepatitis B vaccine
vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (drug therapy)
health promotion
patient compliance
vaccination
EMTREE MEDICAL INDEX TERMS
adult
article
chi square distribution
clinical trial
comparative study
controlled clinical trial
controlled study
counseling
drug dependence treatment
female
group therapy
human
male
methodology
middle aged
motivation
multicenter study
nurse attitude
nursing evaluation research
psychological aspect
randomized controlled trial
statistical model
statistics
United States
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20143328 (http://www.ncbi.nlm.nih.gov/pubmed/20143328)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 467
TITLE
Recent changes in the prevalence of psychiatric disorders among VA nursing
home residents
AUTHOR NAMES
Lemke S.P.
Schaefer J.A.
AUTHOR ADDRESSES
(Lemke S.P., sonne.lemke@va.gov; Schaefer J.A.) Department of Veterans
Affairs Palo Alto Health Care System, Center for Health Care Evaluation, 795
Willow Rd., Menlo Park, CA 94025, United States.
CORRESPONDENCE ADDRESS
S. P. Lemke, Department of Veterans Affairs Palo Alto Health Care System,
Center for Health Care Evaluation, 795 Willow Rd., Menlo Park, CA 94025,
United States. Email: sonne.lemke@va.gov
SOURCE
Psychiatric Services (2010) 61:4 (356-363). Date of Publication: April 2010
ISSN
1075-2730
1557-9700 (electronic)
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
Objective: This study identified recent changes in the prevalence of
psychiatric disorders among Department of Veterans Affairs (VA) nursing home
residents. Methods: Psychiatric diagnoses in administrative databases were
summarized for nursing home residents in 1998, 2002, and 2006. Census
prevalence rates were compared with findings from earlier VA nursing home
surveys. Prevalence rates were compared for age groups and birth cohorts of
VA nursing home admissions in 1998 (N=27,734) and 2006 (N=32,543). Results:
Among residents in the census samples, prevalence rates for dementia and
schizophrenia fluctuated moderately from 1990 to 2006, depression prevalence
increased sharply, alcohol use disorder prevalence declined, and drug use
disorder prevalence increased. Among 1998 and 2006 admissions, dementia
prevalence increased for most birth cohorts but declined for most age groups
(35% to 32% overall). Depression prevalence increased for all age groups and
birth cohorts (27% to 37% overall), as did posttraumatic stress disorder
prevalence (5% to 12% overall). Serious mental illness prevalence increased
among the oldest residents and birth cohorts (19% to 22% overall). Alcohol
use disorder prevalence declined for all birth cohorts and most age groups
(18% to 16% overall), but drug use disorder prevalence increased
substantially for younger age groups (6% to 9% overall). Conclusions:
Examining differences in prevalence between birth cohorts and age groups can
clarify trends in nursing home resident characteristics and improve
projections of their future needs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease (epidemiology)
nursing home patient
prevalence
EMTREE MEDICAL INDEX TERMS
adult
aged
alcoholism (epidemiology)
article
bipolar disorder (epidemiology)
controlled study
drug dependence (epidemiology)
dysthymia (epidemiology)
female
health survey
hospital admission
human
major clinical study
major depression (epidemiology)
male
mania (epidemiology)
posttraumatic stress disorder (epidemiology)
psychosis (epidemiology)
schizophrenia (epidemiology)
veteran
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010219862
MEDLINE PMID
20360274 (http://www.ncbi.nlm.nih.gov/pubmed/20360274)
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 468
TITLE
Detainment and health: The case of the Lebanese hostages of war
AUTHOR NAMES
Farhood L.F.
Chaaya M.
Saab B.R.
AUTHOR ADDRESSES
(Farhood L.F.) Departments of Psychiatry, Beirut, Lebanon.
(Chaaya M., mchaaya@aub.edu.lb) Epidemiology and Population Health, Beirut,
Lebanon.
(Saab B.R.) Family Medicine, American University of Beirut, Beirut, Lebanon.
CORRESPONDENCE ADDRESS
M. Chaaya, Department of Epidemiology and Population Health, Faculty of
Health Sciences, American University of Beirut, PO Box 11-0236, Beirut,
Lebanon. Email: mchaaya@aub.edu.lb
SOURCE
International Journal of Mental Health Nursing (2010) 19:2 (83-91). Date of
Publication: April 2010
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
The purpose of the current research was to compare former detainees of Khiam
prison to a comparison group regarding depression, anxiety, presence of
chronic diseases, smoking, and alcohol drinking. The sample consisted of 118
ex-detainees and 90 community controls. The Beck Depression Inventory, the
Hamilton Anxiety Scale, the Clinician-Administered Post-Traumatic Stress
Disorder Scale, and the Harvard Trauma Questionnaire were used. The
ex-detainees suffered from an increased level of depression, high anxiety
scores, increased chronic diseases, smoked more, and consumed more alcohol
than their comparison group. Regression analyses showed that detainment
independently predicted depression and anxiety. © 2010 The Authors. Journal
compilation © 2010 Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
life event
mental health
prisoner
war
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (epidemiology, etiology)
anxiety (epidemiology, etiology)
article
case control study
chronic disease (epidemiology)
comparative study
depression (epidemiology, etiology)
female
human
Lebanon (epidemiology)
male
personality test
posttraumatic stress disorder (epidemiology, etiology)
psychological aspect
psychological rating scale
questionnaire
regression analysis
smoking (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20367645 (http://www.ncbi.nlm.nih.gov/pubmed/20367645)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2009.00653.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 469
TITLE
Drinking games and college students part 2: Nursing implications
AUTHOR NAMES
Ahern N.R.
Sole M.L.
AUTHOR ADDRESSES
(Ahern N.R.; Sole M.L.) College of Nursing, University of Central Florida,
Orlando, FL, United States.
CORRESPONDENCE ADDRESS
N. R. Ahern, University of Central Florida, College of Nursing, 4000 Central
Florida Boulevard, PO Box 162210, Orlando, FL 32816-2210, United States.
SOURCE
Journal of Psychosocial Nursing and Mental Health Services (2010) 48:4
(15-18). Date of Publication: April 2010
ISSN
0279-3695
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
In Part 1 of this article, published in the February 2010 issue, the problem
of drinking game participation by U.S. college students was described.
College students may play these games for reasons of peer acceptance and
social interaction. Unfortunately, approximately two thirds of U.S. college
students participate in this risky binge drinking behavior, from which
serious consequences and harms can result. In this article, implications for
community and mental health nurses are discussed. Nurses in a variety of
settings have unique opportunities to educate, counsel, treat, and refer
these students regarding the risks and protections of this behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol intoxication (prevention)
leisure
peer group
social behavior
student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
counseling
health service
human
nursing
patient education
patient referral
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20349889 (http://www.ncbi.nlm.nih.gov/pubmed/20349889)
FULL TEXT LINK
http://dx.doi.org/10.3928/02793695-20100302-03
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 470
TITLE
Polyneuropathy associated with nutritional deficiencies in a nursing home
resident with history of gastric bypass and alcohol abuse
AUTHOR NAMES
Kuchma R.
Pfeil L.A.
Gillespie S.M.
AUTHOR ADDRESSES
(Kuchma R.; Pfeil L.A.; Gillespie S.M.) Geriatrics/Aging, University of
Rochester Medical Center, Rochester, United States.
CORRESPONDENCE ADDRESS
R. Kuchma, Geriatrics/Aging, University of Rochester Medical Center,
Rochester, United States.
SOURCE
Journal of the American Geriatrics Society (2010) 58 SUPPL. 1 (S200). Date
of Publication: April 2010
CONFERENCE NAME
2010 Annual Scientific Meeting of the American Geriatrics Society
CONFERENCE LOCATION
Orlando, FL, United States
CONFERENCE DATE
2010-05-12 to 2010-05-15
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Introduction: Gastric bypass surgery is gaining its popularity as a
treatment of choice for morbidly obese individuals.While the surgical
procedure has evolved to decrease risks of malnutrition, long term
complications of the procedure have been linked to micronutrient
deficiencies. We report a case of polyneuropathy following gastric bypass
surgery in a long-term care resident with alcohol abuse, vitamin B12 and
copper deficiencies. Case: A morbidly obese 58 yo female with a remote
history of gastric bypass, vit B12 deficiency, and Diabetes presented to the
nursing home with a progressive lower extremity weakness affecting her
mobility. Her history was notable for remote lumbar discectomy surgeries and
chronic pain from fibromyalgia. At admission, she reported daily consumption
of up to 2 bottles of wine. On exam, she was noted to be non-ambulatory with
decreased vibratory sensation and proprioception of joints in her lower
extremities. Light touch and temperature sensation were intact. She had full
fleeting strength in the major muscle groups of lower extremities, both
proximally and distally. An EMG study showed moderate severity axonal
sensorimotor peripheral polyneuropathy. A series of tests were performed to
rule out autoimmune processes and cord compression. The patient's copper
level was low at 59 ug/dL (lower limit 80 ug/dL). She abstained from
alcohol, was continued on vitamin B12 supplementation and was started on
copper replacement therapy. Her serum copper levels normalized (114 ug/dL)
but she had no significant improvement in her neurological symptoms.
Discussion: Neurological complications after gastric bypass surgery have
been reported in literature. Deficiencies in copper and vitamin B12 have
been linked to these complications. Polyneuropathy following gastric bypass
is typically late in onset (median = 9 years) and poorly responsive to
nutritional repletion. Alcohol abuse can contribute to the development of
nutritional deficiencies and polyneuropathy. Conclusion: Patients with
Roux-en-Y gastric bypass surgery have late neurological complications
associated with nutrient deficiencies. Providers should be aware of the need
for chronic supplementation of selected vitamins and minerals in these
patients and should consider screening for nutritional deficiencies in
patients at risk for permanent neurological complications.
EMTREE DRUG INDEX TERMS
alcohol
copper
cyanocobalamin
mineral
trace element
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
geriatrics
human
nursing home patient
nutritional deficiency
polyneuropathy
society
stomach bypass
EMTREE MEDICAL INDEX TERMS
bypass surgery
chronic pain
compression
copper blood level
copper deficiency
diabetes mellitus
electromyogram
female
fibromyalgia
intervertebral diskectomy
leg
long term care
malnutrition
muscle
neurologic disease
neurological complication
nursing home
patient
procedures
proprioception
risk
screening
sensation
substitution therapy
supplementation
surgery
surgical technique
temperature
vibration sense
weakness
wine
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1532-5415.2010.02850.x
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 471
TITLE
Knowledge, attitudes and behaviours of adolescents in relation to STIs,
pregnancy, contraceptive utilization and substance abuse in the Mhlakulo
region, Eastern cape
AUTHOR NAMES
Bana A.
Bhat V.G.
Godlwana X.
Libazi S.
Maholwana Y.
Marafungana N.
Mona K.
Mbonisweni A.M.
Mbulawa N.
Mofuka J.
Mohlajoa N.A.
Nondula N.N.
Qubekile Y.
Ramnaran B.
AUTHOR ADDRESSES
(Bana A.; Godlwana X.; Libazi S.; Maholwana Y.; Marafungana N.; Mona K.;
Mbonisweni A.M.; Mbulawa N.; Mofuka J.; Mohlajoa N.A.; Nondula N.N.;
Qubekile Y.; Ramnaran B.) Year-3 COBES Group, Walter Sisulu University,
Mthatha, Eastern Cape province, South Africa.
(Bhat V.G., vivekbhat2005@yahoo.com) Department of Medical Microbiology,
Walter Sisulu University, Mthatha, Eastern Cape province, South Africa.
CORRESPONDENCE ADDRESS
V. G. Bhat, Department of Medical Microbiology, Walter Sisulu University,
Mthatha, Eastern Cape province, South Africa. Email: vivekbhat2005@yahoo.com
SOURCE
South African Family Practice (2010) 52:2 (154-158). Date of Publication:
March/April 2010
ISSN
1726-426X
BOOK PUBLISHER
Medpharm Publications, PO Box 14804, Lyttelton, Gauteng, South Africa.
ABSTRACT
Background: Sexually transmitted infections (STIs) and HIV/AIDS are a major
problem in South Africa. This, coupled with a high incidence of teenage
pregnancy, alcohol and drug abuse, is of grave concern, especially its
impact among the young (15-24 years) and in economically poor, rural
populations. This study aimed to assess the youths' knowledge, attitudes and
behaviours regarding STIs, teenage pregnancy, contraception and substance
abuse. Methodology: This is an interview-based, descriptive study. The
sample design employed a stratified sample (using schools as strata) of
young people aged 15 to 24 years in three schools in the Mhlakulo region,
Eastern Cape province. From each school, a sample of learners from grades 10
to 12 was selected randomly. Questionnaires covering relevant parameters
were used to interview the learners, after which the data were assimilated
and analysed. Results: A total of 150 learners were surveyed (86 females and
64 males). In total, 56% of them knew about STIs. About 88% of the
participants learned about STIs from health care
workers/nurses/doctors/clinics, the media, educators, the school and
friends. Most preferred to communicate to friends (38.67%) and siblings
(28%); only 15% communicated with parents. Among the sexually active, 54%
reported the use of condoms; of these only 62% used them consistently. Of
the participants, 7.33% had more than five sexual partners. Of the young
women, 12.8% reported to have fallen pregnant with one-sixth of them wanting
to become pregnant. Thirty per cent of those pregnant had to quit school,
but did return subsequently. Common contraceptives used were condoms (54%)
and pills (58%). Twenty-two per cent of the youths admitted to the use of
recreational drugs at some time; most of these were related to alcohol
(19.33%). A small fraction (1.33%) used dagga (cannabis). Conclusion: There
is lack of knowledge of STIs and their prevention and condom and
contraceptive use among young people of this community. Sexual promiscuity
and teenage pregnancy in the group is a cause for concern. Substance abuse
is another important problem that requires urgent attention. © SAAFP.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
knowledge
sexually transmitted disease
EMTREE MEDICAL INDEX TERMS
access to information
adolescent
adolescent pregnancy
adult
article
attitude to AIDS
attitude to pregnancy
attitude to sexuality
awareness
behavior
contraception
drug abuse
experience
female
health care personnel
human
interview
male
nurse
physician
questionnaire
sexual behavior
South Africa
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010282954
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 472
TITLE
NAPNAP position statement on prevention of tobacco use and effects in the
pediatric population.
AUTHOR ADDRESSES
SOURCE
Journal of pediatric health care : official publication of National
Association of Pediatric Nurse Associates & Practitioners (2010) 24:2
(13A-14A). Date of Publication: 2010 Mar-Apr
ISSN
1532-656X (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
advanced practice nursing
health promotion
nursing organization
passive smoking (adverse drug reaction, prevention)
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
article
child
child welfare
human
nursing
pediatrics
social marketing
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20222204 (http://www.ncbi.nlm.nih.gov/pubmed/20222204)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 473
TITLE
The Long-Term Effects of Prenatal Nicotine Exposure on Neurologic
Development
AUTHOR NAMES
Blood-Siegfried J.
Rende E.K.
AUTHOR ADDRESSES
(Blood-Siegfried J., blood002@mc.duke.edu; Rende E.K.)
SOURCE
Journal of Midwifery and Women's Health (2010) 55:2 (143-152). Date of
Publication: March 2010/April 2010
ISSN
1526-9523
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
A large body of documented evidence has found that smoking during pregnancy
is harmful to both the mother and the fetus. Prenatal exposure to nicotine
in various forms alters neurologic development in experimental animals and
may increase the risk for neurologic conditions in humans. There is a
positive association between maternal smoking and sudden infant death
syndrome (SIDS); however, the connection between nicotine addiction,
depression, attention disorders, and learning and behavior problems in
humans is not straightforward. Nicotine's action on the production and
function of neurotransmitters makes it a prime suspect in the pathology of
these diseases. Nicotine accentuates neurotransmitter function in adults but
desensitizes these functions in prenatally exposed infants and children.
This desensitization causes an abnormal response throughout the lifespan.
Furthermore, nicotine use by adolescents and adults can alleviate some of
the symptoms caused by these neurotransmitter problems while they increase
the risk for nicotine addiction. Although nicotine replacement drugs are
used by pregnant women, there is no clear indication that they improve
outcomes during pregnancy, and they may add to the damage that occurs to the
developing neurologic system in the fetus. Understanding the effects of
nicotine exposure is important in providing safe care for pregnant women,
children, and families and for developing appropriate smoking cessation
programs during pregnancy. © 2010 American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE DRUG INDEX TERMS
acetylcholine (endogenous compound)
adrenalin (endogenous compound)
amfebutamone (adverse drug reaction, clinical trial, drug therapy)
catecholamine derivative (endogenous compound)
dopamine (endogenous compound)
neurotransmitter (endogenous compound)
noradrenalin (endogenous compound)
serotonin (endogenous compound)
varenicline (adverse drug reaction, clinical trial, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nervous system development
prenatal exposure
EMTREE MEDICAL INDEX TERMS
adolescent smoking
article
attention deficit disorder
attention disturbance
autonomic nervous system
behavior disorder
brain cortex
cerebellum
clinical trial
cognitive therapy
congenital malformation (side effect)
depression
drug withdrawal
fetus death
fetus development
hippocampus
human
hypnosis
lactation
learning disorder
low birth weight (side effect)
maternal smoking
neurotransmission
nicotine replacement therapy
nonhuman
placenta previa (side effect)
preeclampsia (side effect)
pregnancy
prematurity (side effect)
priority journal
protein function
side effect (side effect)
smoking cessation
smoking cessation program
solutio placentae (side effect)
sudden infant death syndrome
tobacco dependence (drug therapy)
CAS REGISTRY NUMBERS
acetylcholine (51-84-3, 60-31-1, 66-23-9)
adrenalin (51-43-4, 55-31-2, 6912-68-1)
amfebutamone (31677-93-7, 34911-55-2)
dopamine (51-61-6, 62-31-7)
nicotine (54-11-5)
noradrenalin (1407-84-7, 51-41-2)
serotonin (50-67-9)
varenicline (249296-44-4, 375815-87-5)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010126764
MEDLINE PMID
20189133 (http://www.ncbi.nlm.nih.gov/pubmed/20189133)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2009.05.006
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 474
TITLE
Inhaled albuterol as a drug of abuse
AUTHOR NAMES
Meggs W.J.
D'Haenens J.P.
Fergusen J.
Nehus N.
AUTHOR ADDRESSES
(Meggs W.J.; D'Haenens J.P.; Fergusen J.; Nehus N.) Emergency Department,
Brody School of Medicine, Greenville, United States.
CORRESPONDENCE ADDRESS
W.J. Meggs, Emergency Department, Brody School of Medicine, Greenville,
United States.
SOURCE
Clinical Toxicology (2010) 48:3 (308). Date of Publication: March 2010
CONFERENCE NAME
2010 International Congress of the European Association of Poisons Centres
and Clinical Toxicologists
CONFERENCE LOCATION
Bordeaux, France
CONFERENCE DATE
2010-05-11 to 2010-05-14
ISSN
1556-3650
BOOK PUBLISHER
Informa Healthcare
ABSTRACT
Objective: Therapeutic drugs are taken in overdose in an attempt to “get
high” by adolescents. These include methylphenidate, dextromethorphan,
antihistamines, caffeine, and decongestants. We report a case of albuterol
overdose taken by a 13 year old girl in an attempt to “get high.” Case
report: A 13 year old girl was told by a friend that she could get high by
taking an overdose of her albuterol metered dose inhaler which delivered 120
micrograms of albuterol per inhalation. She reports taking 174 inhalations
(20.88 mg) of albuterol over an eight minute period at school. Fortyfive
minutes later she reported to the school nurse with headache, nausea,
blurred vision, feeling hot, and palpitations. She arrived in the Emergency
Department two hours and 20 minutes after the overdose. Past medical history
was attention deficit disorder, conduct disorder, and asthma. Social history
was tobacco, alcohol, and illicit drug use. Medications were albuterol,
birth control pills, and cough medicine containing dextromethorphan and
guaifenesin. Vital signs on arrival at the Emergency Department were pulse
of 116 per minute, respiratory rate of 20 per minute, blood pressure of
103/47 mm Hg. She was afebrile. A mild tremor of the hands was noted. Other
than tachycardia and tremor, her physical examination was normal. Laboratory
evaluation was remarkable for a potassium level of 2.6 meq/liter (normal
range 3.5 to 5.0 meq/liter). Neutrophil count was elevated at 9.7
thousand/mL (normal range 1.8 to 7.7 thousand/mL). Other laboratory
parameters were normal. Electrocardiogram showed a sinus tachycardia at
115/minute but was otherwise normal. Symptoms resolved gradually over two to
three hours from the time of ingestion. Potassium rose to 3.3 meq/liter. She
was discharged in the care of her parents after a period of observation.
Conclusion: Albuterol can be added to the list of therapeutic medications
that teenagers take in attempts to get high. Rather than a pleasurable
experience, this girl became ill from her attempt with symptoms of headache,
nausea, tremor, and palpitations. There was hypokalemia and neutrophilia as
expected from an albuterol overdose.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
poison
salbutamol
EMTREE DRUG INDEX TERMS
alcohol
antihistaminic agent
caffeine
decongestive agent
dextromethorphan
guaifenesin
illicit drug
methylphenidate
oral contraceptive agent
potassium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
EMTREE MEDICAL INDEX TERMS
adolescent
asthma
attention deficit disorder
blood pressure
blurred vision
breathing rate
case report
conduct disorder
coughing
drug therapy
drug use
electrocardiogram
emergency ward
friend
girl
headache
heart palpitation
hypokalemia
ingestion
inhalation
intoxication
laboratory
medical history
metered dose inhaler
nausea
neutrophil count
neutrophilia
parent
physical examination
pulse rate
school
school health nursing
sinus tachycardia
tachycardia
tobacco
tremor
vital sign
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.3109/15563651003740240
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 475
TITLE
Practice strategies to improve compliance and patient self-management
AUTHOR NAMES
Ruetsch C.
AUTHOR ADDRESSES
(Ruetsch C., Charles.Ruetsch@healthanalytic.com) Health Analytics, LLC, 9250
Bendix Rd. N., Ste. 240, Columbia, MD 21045, United States.
CORRESPONDENCE ADDRESS
C. Ruetsch, Health Analytics, LLC, 9250 Bendix Rd. N., Ste. 240, Columbia,
MD 21045, United States. Email: Charles.Ruetsch@healthanalytic.com
SOURCE
Journal of Managed Care Pharmacy (2010) 16:1 SUPPL. B (S26-S27). Date of
Publication: February 2010
ISSN
1083-4087
BOOK PUBLISHER
Academy of Managed Care Pharmacy (AMCP), 100 North Pitt St., Suite 400,
Alexandria, United States.
ABSTRACT
BACKGROUND: Failure in treating opioid dependence is costly to the patient,
the employer, managed care organizations, and the overall health care
system. Opioid dependent patients tend to be less productive at work and in
society and utilize a great many health care resources. Optimizing outcomes
is essential. OBJECTIVE: To introduce the benefit of integrated strategies
and patient support in the treatment of opioid dependence. SUMMARY: Health
Analytics is currently studying the benefit of HereToHelp, a behavioral
support program in which registered nurses or addiction treatment counselors
with specialized training in addiction education provide information and
encouragement to patients receiving pharmacologic treatment for opioid
dependence. A total of 470 physicians in 41 states have been enlisted to
participate in this patient support study. The study hypothesis is that
patients who receive behavioral support and encouragement will be more
compliant with their opioid replacement therapy, leading to better outcomes.
Additional treatment strategies are also being developed to minimize the
risk of abuse and diversion. Prodrugs and vaccines are also being
investigated. CONCLUSION: A coordinated team approach is essential in
treating pain patients and opioid-dependent patients. Offering behavior
modification in addition to pharmacotherapy and utilizing strategies such as
prescription monitoring programs, pain contracts, and screening are all
vital components necessary for positive outcomes. Copyright © 2010, Academy
of Managed Care Pharmacy. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
buprenorphine (drug therapy)
capsaicin
clonidine (adverse drug reaction)
dextromethorphan (drug therapy)
ipecac
ketamine (drug therapy)
lofexidine (adverse drug reaction, drug therapy)
memantine (drug therapy)
morphine sulfate (drug combination, drug therapy)
naltrexone (drug combination, drug therapy)
oxycodone (drug combination, drug therapy)
phencyclidine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction (drug therapy, side effect, drug therapy, side effect)
EMTREE MEDICAL INDEX TERMS
article
behavior modification
human
hypotension (side effect)
monitoring
nonhuman
pain (drug therapy)
patient compliance
physician
prescription
risk assessment
self care
treatment outcome
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
capsaicin (404-86-4)
clonidine (4205-90-7, 4205-91-8, 57066-25-8)
dextromethorphan (125-69-9, 125-71-3)
ipecac (8012-96-2)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
lofexidine (31036-80-3)
memantine (19982-08-2, 41100-52-1, 51052-62-1)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
naltrexone (16590-41-3, 16676-29-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010228244
MEDLINE PMID
20146552 (http://www.ncbi.nlm.nih.gov/pubmed/20146552)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 476
TITLE
Stakeholders views on abuse and diversion in kentucky
AUTHOR NAMES
Peppin J.F.
Kirsh K.
Porada S.
Cole B.E.
AUTHOR ADDRESSES
(Peppin J.F., johnpeppin@msn.com; Cole B.E.) Pain Treatment Center of the
Bluegrass, Lexington, United States.
(Kirsh K.; Porada S.) Aventine HealthSciences, Montclair, United States.
CORRESPONDENCE ADDRESS
J.F. Peppin, Pain Treatment Center of the Bluegrass, Lexington, United
States. Email: johnpeppin@msn.com
SOURCE
Pain Medicine (2010) 11:2 (330). Date of Publication: February 2010
CONFERENCE NAME
26th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-06
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Scheduled medication abuse and diversion of is a serious problem nationally
and particularly challenging in Kentucky. To date, few solutions for this
multifaceted problem have emerged. Stakeholders were gathered into a
committee comprised of law enforcement, regulatory, pharmacy, nursing,
physicians (addiction, internal medicine, pain medicine, family practice,
and palliative medicine), psychology, teen addiction, and education. A focus
group and partial Delphi method rank ordered multiple issues. These issues
were collated and initial questions were developed for an internet survey.
While ongoing, the first 50 responses to the survey were analyzed. When
asked to rank nine potential barriers to reducing diversion in Kentucky,
respondents rated lack of patient responsibility for their prescription
medications (average rank, AR = 2.81) and lack of appropriate pain
management education for prescribers and dispensers (AR = 3.09) as the two
most significant barriers. When asked to rank six sources of information,
which would help reduce diversion but were currently lacking, data on the
number of emergency room and hospital visits for controlled substances (AR =
2.81) and ways to identify the number of criminal activities ties to
controlled substances (AR = 3.05) were the top issues. Of existing
information, KASPER was reported as the single most important source of
data. Future recommendations included better training for healthcare
professionals and adoption of a requirement to show ID to pick up controlled
substance prescriptions. This survey is ongoing and will be reformatted for
a second iteration to help guide policy directions and targets for research
in this area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
abuse
pain
United States
EMTREE MEDICAL INDEX TERMS
addiction
Delphi study
drug therapy
education
emergency ward
general practice
health care personnel
hospital
information processing
internal medicine
Internet
law enforcement
nursing
offender
palliative therapy
patient
pharmacy
physician
policy
prescription
psychology
responsibility
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j1526-4637.2009.00781.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 477
TITLE
The Effect of an Anger Management Program for Family Members of Patients
With Alcohol Use Disorders
AUTHOR NAMES
Son J.-Y.
Choi Y.-J.
AUTHOR ADDRESSES
(Son J.-Y.; Choi Y.-J., yjchoi@redcross.ac.kr) Mental Health Center at
GwangJin-Gu, GwangJin-Gu, Seoul, 143-702, South Korea.
(Son J.-Y.; Choi Y.-J., yjchoi@redcross.ac.kr) Red Cross College of Nursing,
JongNo-Gu, Seoul, 110-102, South Korea.
CORRESPONDENCE ADDRESS
Y.-J. Choi, Mental Health Center at GwangJin-Gu, GwangJin-Gu, Seoul,
143-702, South Korea. Email: yjchoi@redcross.ac.kr
SOURCE
Archives of Psychiatric Nursing (2010) 24:1 (38-45). Date of Publication:
February 2010
ISSN
0883-9417
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
This study was aimed to test the structured anger management nursing program
for the family members of patients with alcohol use disorders (AUDs).
Families with the AUDs suffer from the dysfunctional family dynamic caused
by the patients' deteriorative disease processes of alcohol dependence.
Family members of AUDs feel bitter and angry about the uncontrolled
behaviors and relapses of the patients in spite of great effort for a long
time. This chronic anger threatens the optimal function of the family as
well as obstructs the family to help the patients who are suffering from
AUDs. Sixty three subjects were participated who were referred from
community mental health centers, alcohol consultation centers, and an
alcohol hospital in Korea. Pre-post scores of the Korean Anger Expression
Inventory were used to test the program. An anger management program was
developed and implemented to promote anger expression and anger management
for the family members of the patients with AUDs. The total anger expression
score of the experimental group was significantly more reduced as compared
with that of the control group. Subjects in the experimental group reported
after the program that they felt more comfortable and their life was changed
in a better way. The anger management program was effective to promote anger
expression and anger management for family members of AUDs. Nurses need to
include family members in their nursing process as well as to care of
patients with AUDs to maximize nursing outcome and patient satisfaction. ©
2010 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
alcoholism (prevention)
anger
attitude to health
family
health education
EMTREE MEDICAL INDEX TERMS
article
chi square distribution
clinical trial
community mental health center
controlled clinical trial
controlled study
curriculum
ethnology
female
group therapy
health care quality
human
human relation
interpersonal communication
Korea
male
methodology
middle aged
nursing evaluation research
organization and management
psychiatric nursing
psychological model
relaxation training
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20117687 (http://www.ncbi.nlm.nih.gov/pubmed/20117687)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2009.04.002
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 478
TITLE
Alcohol screening tools affect whether alcohol use history relates to post
traumatic stress disorder and quality of life after a traumatic injury
AUTHOR NAMES
Chu C.
De Roon-Cassini T.
Brasel K.
AUTHOR ADDRESSES
(Chu C.; De Roon-Cassini T.; Brasel K.) Medical College of Wisconsin,
Milwaukee, United States.
CORRESPONDENCE ADDRESS
C. Chu, Medical College of Wisconsin, Milwaukee, United States.
SOURCE
Journal of Surgical Research (2010) 158:2 (286). Date of Publication:
February 2010
CONFERENCE NAME
5th Annual Academic Surgical Congress of the Association for Academic
Surgery, AAS and the Society of University Surgeons, SUS
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2010-02-03 to 2010-02-05
ISSN
0022-4804
BOOK PUBLISHER
Academic Press Inc.
ABSTRACT
Introduction: The American College of Surgeons has mandated that Level I and
II trauma center have a process to identify patients with alcohol use
disorders. One reason for this screen is that trauma survivors with problem
and dependent drinking are at risk for more significant impairment in
functional outcomes (McFarlane, 2009). The aims of this study were to
evaluate the alcohol screening process at a level 1 academic trauma center,
its effectiveness in detecting alcohol use disorders and the associations of
the alcohol screen withPTSDsymptoms and quality of life. Methods: The
alcohol screening initiative was implemented at a Level 1 trauma center in
October, 2007. All patients were screened by a registered nurse, using 3
questions modified from the AUDIT-C. If screened positive, a social worker
followed with a CAGEassessment. A retrospective chart review was performed
on patients admitted to the trauma service between January 2008 and May 2009
following traumatic injury. Information on the screen results
andCAGEassessment was obtained from medical record review. Information
regarding demographics, mechanism of injury, and injury severity score was
obtained from the trauma registry. Results of the alcohol screen were
correlated with mental and physical quality of life measured by the Short
Form-36 (SF36) and PTSD measured by the PTSD Checklist (PCLC), routinely
given in our trauma population. Data were analyzed using SPSS. Results: Four
hundred eightyeight patients admitted to the trauma service during the study
period were screened for alcohol use disorders. The majority of patients
were male (n = 351, 72%) with an average age of 41 years. Sixty-two percent
were Caucasian (n = 303), 37% were Black (n = 144) and 6.8% were Hispanic (n
= 33). The mean injury severity score was 12.25. The majority experienced
non-assaultive traumas (71.9%, n = 351) with 33.8% of all traumas resulting
from motor vehicle crashes (n = 165). Seven hundred eleven patients were
admitted during this time period of which 68% were screened for alcohol use,
25% screened positive (n = 122), and of those 40.5% were
eventuallyCAGEassessed. Of those screened,85%(n = 414) completed
thePCLCsurvey and89%(n= 429) completed the SF36 survey. Patients screening
positive for alcohol abuse did not differ from those screening negative with
respect to PTSD symptoms or mental and physical quality of life. Conclusion:
Alcohol screening can be successfully implemented in a trauma population
using standard workflows and non-MD providers, although compliance is
significantly less than 100%. Positive screens using this adapted tool were
not correlated with either PTSD symptoms or health-related quality of life.
Further work to determine the optimal screen and relationship between
preexisting alcohol use disorders PTSD symptoms, and quality of life is
necessary.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
human
injury
posttraumatic stress disorder
quality of life
screening
society
surgeon
surgery
university
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcohol use disorder
Caucasian
checklist
college
compliance (physical)
data analysis software
drinking
emergency health service
Hispanic
injury scale
male
medical record review
motor vehicle
patient
population
register
registered nurse
risk
Short Form 36
social worker
survivor
traumatology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 479
TITLE
Editorial
AUTHOR NAMES
Arloth J.
AUTHOR ADDRESSES
(Arloth J., Jana.Arloth@mailbox.tu-dresden.de) Research Association Public
Health, Faculty of Medicine Carl Gustav Carus, TU Dresden, Fiedlerstr. 33,
Dresden 01307, Germany.
CORRESPONDENCE ADDRESS
J. Arloth, Research Association Public Health, Faculty of Medicine Carl
Gustav Carus, TU Dresden, Fiedlerstr. 33, Dresden 01307, Germany. Email:
Jana.Arloth@mailbox.tu-dresden.de
SOURCE
Journal of Public Health (2010) 18:1 (1-2). Date of Publication: February
2010
ISSN
0943-1853
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
EMTREE DRUG INDEX TERMS
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
public health
EMTREE MEDICAL INDEX TERMS
abstinence
breast cancer (epidemiology)
cancer prevention
cerebrovascular accident (epidemiology, prevention)
community care
editorial
health care personnel
human
migration
minority group
nurse
occupational health
patient satisfaction
pharmacy
race difference
smoking
smoking cessation
tobacco dependence (drug therapy)
uterine cervix carcinoma (epidemiology, prevention)
vaccination
Wart virus
workplace
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2010046900
FULL TEXT LINK
http://dx.doi.org/10.1007/s10389-009-0303-4
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 480
TITLE
A qualitative comparison of parent and adolescent views regarding substance
use
AUTHOR NAMES
Peterson J.
AUTHOR ADDRESSES
(Peterson J.) University of Missouri Kansas City, School of Nursing, Kansas
City, MO, United States.
CORRESPONDENCE ADDRESS
J. Peterson, University of Missouri Kansas City, School of Nursing, Kansas
City, MO, United States.
SOURCE
Journal of School Nursing (2010) 26:1 (53-64). Date of Publication: February
2010
ISSN
1059-8405
1546-8364 (electronic)
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
Substance use is a major cause of adolescent morbidity and mortality. By age
14, 70% of adolescents have consumed alcohol and half of 12th graders report
having used marijuana. The purpose of this study was to increase the
understanding of parent and adolescent perceptions regarding adolescent use
of alcohol, tobacco, and other drugs (ATOD) to enhance the development of
effective prevention programs. Six adolescent focus groups and one parent
focus group participated. Results were derived following elicitation of
adolescents' and parents' beliefs regarding adolescent ATOD use and current
prevention programs. Findings indicate that current prevention programs are
ineffective; ATOD use is normalized by schools, community, and family;
positive adult role models deter use; and programs should involve youth,
parents, schools, and community. Focus group discussions can strengthen the
development of tailored ATOD prevention programs. School nurses can foster
collaboration between families, schools, and communities to reduce
adolescent substance use. © 2010 The Author(s).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
attitude to health
parent
student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cannabis smoking (prevention)
child
comparative study
drinking behavior (prevention)
female
human
information processing
male
risk factor
smoking (prevention)
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
20081090 (http://www.ncbi.nlm.nih.gov/pubmed/20081090)
FULL TEXT LINK
http://dx.doi.org/10.1177/1059840509355586
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 481
TITLE
Creating Project Talanoa: a culturally based community health program for
U.S. Pacific Islander adolescents.
AUTHOR NAMES
McGrath B.B.
Ka'ili T.O.
AUTHOR ADDRESSES
(McGrath B.B.; Ka'ili T.O.) Psychosocial and Community Health, School of
Nursing, Seattle, Washington 98195, USA.
CORRESPONDENCE ADDRESS
B.B. McGrath, Psychosocial and Community Health, School of Nursing, Seattle,
Washington 98195, USA. Email: bbmcgrat@u.washington.edu
SOURCE
Public health nursing (Boston, Mass.) (2010) 27:1 (17-24). Date of
Publication: 2010 Jan-Feb
ISSN
1525-1446 (electronic)
ABSTRACT
OBJECTIVE: This is an evaluation of the process and outcome of a research
study to determine a culturally targeted health promotion program for U.S.
Pacific Islander youth who are at risk for co-occurring problem behaviors,
including risky sexual behavior, substance abuse, and interpersonal
violence. DESIGN AND SAMPLE: An exploratory design was used and included
qualitative interviews (N=54), focus groups (N=16), participant observation
(over 3 years), and surveys (N=24) with Pacific Islander adults and youth.
After identifying key cultural values and reviewing existing evidence-based
prevention interventions, "Project Talanoa" was developed around 4
constructs: (1) cultural identity and pride, (2) teen health, (3) peer
relations, and (4) family ties. The program was pilot tested and evaluated
by 24 Pacific Islander adolescents (ages 12-15 years). RESULTS: Results
indicate it was culturally appropriate, well liked by the participants,
supported by parents and others in the community, and found to be feasible.
CONCLUSIONS: Additional research is needed to test it for effectiveness.
Project Talanoa provides a model for applying cultural concepts in the
development of a risk reduction intervention for adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
child health care
community care
cultural competence
health promotion
indigenous people
EMTREE MEDICAL INDEX TERMS
adolescent
article
child psychology
curriculum
education
ethnology
evaluation study
health care quality
human
needs assessment
nursing evaluation research
nursing methodology research
organization and management
pilot study
program development
qualitative research
risk reduction
treatment outcome
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20055964 (http://www.ncbi.nlm.nih.gov/pubmed/20055964)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2009.00822.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 482
TITLE
Managing Mental Health Conditions in Primary Care Settings
AUTHOR NAMES
Hackley B.
Sharma C.
Kedzior A.
Sreenivasan S.
AUTHOR ADDRESSES
(Hackley B., barbara.hackley@yale.edu; Sharma C.; Kedzior A.; Sreenivasan
S.)
SOURCE
Journal of Midwifery and Women's Health (2010) 55:1 (9-19). Date of
Publication: January 2010/February 2010
ISSN
1526-9523
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Depression is one of the most commonly encountered conditions in women's
health, but many providers lack the knowledge and skills needed to identify
and manage depression in primary care settings. This article discusses
strategies that can improve the identification and treatment of depression.
In addition, it describes how these strategies were incorporated into an
urban inner-city health center. These strategies used in this setting can be
adapted for use in either comprehensive health care centers or in practices
providing primarily obstetric and gynecologic services. © 2010 American
College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
amfebutamone (adverse drug reaction, drug therapy, pharmacokinetics)
benzodiazepine derivative (drug therapy)
citalopram (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics)
diphenhydramine (drug therapy)
dopamine uptake inhibitor (adverse drug reaction, drug therapy)
duloxetine (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics)
escitalopram (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics)
fluoxetine (adverse drug reaction, drug therapy, pharmacokinetics)
fluvoxamine maleate (adverse drug reaction, drug therapy, pharmacokinetics)
monoamine oxidase inhibitor (adverse drug reaction, drug therapy)
nefazodone (adverse drug reaction, drug therapy)
noradrenalin uptake inhibitor (adverse drug reaction, drug comparison, drug
therapy)
paroxetine (adverse drug reaction, clinical trial, drug comparison, drug
therapy, pharmacokinetics)
serotonin 2 antagonist (drug therapy)
serotonin noradrenalin reuptake inhibitor (drug therapy)
serotonin uptake inhibitor (adverse drug reaction, drug comparison, drug
therapy, pharmacokinetics)
sertraline (adverse drug reaction, drug therapy, pharmacokinetics)
trazodone (adverse drug reaction, drug therapy)
tricyclic antidepressant agent (adverse drug reaction, drug comparison, drug
dose, drug therapy)
venlafaxine (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics)
zolpidem tartrate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (drug therapy, diagnosis, drug therapy, therapy)
mental health care
primary medical care
EMTREE MEDICAL INDEX TERMS
agitation
anxiety
anxiety disorder (drug therapy)
article
bipolar disorder (diagnosis)
blood pressure
clinical trial
cognitive therapy
community care
differential diagnosis
dizziness (side effect)
dose response
drug efficacy
drug elimination
drug half life
dysthymia (diagnosis)
family therapy
generalized anxiety disorder (diagnosis)
group therapy
headache (side effect)
health center
human
hypertensive crisis (side effect)
insomnia (drug therapy)
lethargy (side effect)
liver toxicity (side effect)
low drug dose
major depression (diagnosis)
mental health service
nausea (side effect)
neuropathic pain (drug therapy)
panic (diagnosis, drug therapy)
patient safety
premenstrual dysphoric disorder (diagnosis)
premenstrual syndrome (diagnosis)
priority journal
protirelin test
psychiatric diagnosis
psychoeducation
psychopharmacotherapy
screening test
sedation
seizure (side effect)
sexual dysfunction (side effect)
side effect (side effect)
sleep disorder (drug therapy)
somnolence (side effect)
suicidal ideation (drug therapy)
treatment planning
treatment response
urban area
weight gain
weight reduction
withdrawal syndrome (side effect)
women's health
DRUG TRADE NAMES
ambien
benadryl
celexa
cymbalta
effexor
lexapro
luvox
paxil
prozac
wellbutrin
zoloft
zyban
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
citalopram (59729-33-8)
diphenhydramine (147-24-0, 58-73-1)
duloxetine (116539-59-4, 136434-34-9)
escitalopram (128196-01-0, 219861-08-2)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
fluvoxamine maleate (61718-82-9)
nefazodone (82752-99-6, 83366-66-9)
paroxetine (61869-08-7)
sertraline (79617-96-2)
trazodone (19794-93-5, 25332-39-2)
venlafaxine (93413-69-5)
zolpidem tartrate (99294-93-6)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009648943
MEDLINE PMID
20129225 (http://www.ncbi.nlm.nih.gov/pubmed/20129225)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2009.06.004
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 483
TITLE
Tobacco and alcohol use in the spiti valley region of Northern India
AUTHOR NAMES
Skitch S.
Youdon D.
Tsomo S.
Chng L.
Giang K.
Hendren L.
Lam A.
Ngai T.
Rose S.
Suen M.
Taha N.
Taha N.
Gavin T.
Brkanovic S.
Kapoor V.
AUTHOR ADDRESSES
(Skitch S.; Chng L.; Giang K.; Hendren L.; Lam A.; Ngai T.; Rose S.; Suen
M.; Taha N.; Taha N.; Gavin T.; Brkanovic S.; Kapoor V.) University of
British Columbia, Vancouver, Canada.
(Youdon D.; Tsomo S.) Kailash Institute of Nursing and Para-Medical
Sciences, Noida, India.
CORRESPONDENCE ADDRESS
S. Skitch, University of British Columbia, Vancouver, Canada.
SOURCE
Journal of Investigative Medicine (2010) 58:1 (199). Date of Publication:
January 2010
CONFERENCE NAME
American Federation for Medical Research Western Regional Meeting, AFMR 2010
CONFERENCE LOCATION
Carmel, CA, United States
CONFERENCE DATE
2010-01-27 to 2010-01-30
ISSN
1081-5589
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Purpose of Study: Tobacco and alcohol use are major public health issues
that cause substantial morbidity and mortality in communities worldwide. The
current study assessed the prevalence of tobacco and alcohol consumption
among adults living in the Spiti Valley region of northern India. Currently,
there is no data available regarding the epidemiology of tobacco and alcohol
consumption in this community. Methods Used: Sixty-four adults within the
Spiti Valley completed an interview regarding their tobacco and alcohol use.
Interviews were conducted with the collaboration of nursing students fluent
in the local language. Tobacco use items were derived from the WHO Global
Adult Tobacco survey. Alcohol use items asked about typical consumption
patterns and the occurrence of problems as a result of alcohol use. Summary
of Results: Rates of tobacco use were consistent with levels reported in
studies conducted in other part of India. Among male participants, 54% were
current smokers and 34% regularly used smokeless forms of tobacco. Females
reported substantially less tobacco use. Alcohol use was common among
participants in the current sample. The rates of alcohol consumption were
substantially higher than those reported in a recent Indian national survey.
In the current study, the majority of males (76%) were current drinkers and
rates of alcohol consumption were also high among females (50%). Heavy
patterns of alcohol use were also relatively common with many respondents
reporting daily consumption patterns. Many drinkers in the sample reported
experiencing negative consequences as a result of their alcohol consumption.
Conclusions: This study indicates that tobacco and alcohol use are
significant public health issues in the Spiti Valley. Rates of alcohol
consumption and alcohol-related problems are particularly high compared to
those found in other parts of India. There is significant concern among
residents about the negative effects of tobacco and alcohol consumption on
community wellbeing. The results of this survey will be used as an initial
step towards developing a community based-approach to reducing the negative
health effects of tobacco and alcohol consumption in the Spiti Valley.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
India
medical research
tobacco
EMTREE MEDICAL INDEX TERMS
adult
community
epidemiology
female
health
human
Indian
interview
language
male
morbidity
mortality
nursing student
prevalence
public health
smoking
wellbeing
world health organization
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.231/JIM.0b013e3181c87db3
COPYRIGHT
Copyright 2013 Elsevier B.V., All rights reserved.
RECORD 484
TITLE
Healthcare and medical graduates of 2009: Their reactions to four key
proposals in the Scottish Government's strategy for tackling alcohol misuse
AUTHOR NAMES
Gill J.S.
Gibson C.
Nicol M.
AUTHOR ADDRESSES
(Gill J.S., jgill@qmu.ac.uk; Gibson C.; Nicol M.) School of Health Sciences,
Queen Margaret University, Edinburgh, EH21 6UU, United Kingdom.
CORRESPONDENCE ADDRESS
J.S. Gill, School of Health Sciences, Queen Margaret University, Edinburgh,
EH21 6UU, United Kingdom. Email: jgill@qmu.ac.uk
SOURCE
Alcohol and Alcoholism (2010) 45:2 (200-206) Article Number: agp084. Date of
Publication: March 2010
ISSN
0735-0414
1464-3502 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: This study compares the views of final year medical, and nursing and
allied health professional (NAHP) students in relation to four governmental
proposals impacting on the sale and purchase of alcohol. Methods: Against a
background of political will to address alcohol abuse in Scotland and moves
within the National Health Service promoting a shifting of professional
roles, selfcompleted questionnaires were administered in spring 2009 through
course websites and lectures to final year medical and NAHP students.
Results: Questionnaires were returned by 406 NAHPs and 121 medical students.
Over three quarters of all students agreed with the proposed change to
reduce the drink driving limit to 50mg/100ml blood. Less support was evident
for the raising of the minimum legal purchase age for off-sales (37%), the
banning of below cost price promotions of alcohol (47%) and minimum retail
pricing (37%). However, there were differences between the NAHP and medical
students in the case of the final two proposals; over 60% of the medical
students agreed they would have a positive impact. For NAHPs, figures were
41% and 31%, respectively. Conclusions: Support for four key proposals
outlined by the Scottish Government to address alcohol misuse varied. Only
the suggestion to lower the drink driving limit received backing overall and
within students in these professions. Effectiveness of proposed restrictions
on the price of alcohol was less well regarded except by medical students.
Evident gaps in knowledge around health guidelines, and the finding that
almost half of NAHPs disagreed that they had the appropriate knowledge to
advise patients about responsible drinking advice and alcohol misuse
problems, suggest a need for improved undergraduate education and continued
professional development with respect to public health aspects of alcohol
use. © The Author 2010. Published by Oxford University Press on behalf of
the Medical Council on Alcohol.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
medical education
EMTREE MEDICAL INDEX TERMS
allied health student
article
controlled study
drunken driving
government regulation
marketing
medical student
nursing student
priority journal
professional development
professional knowledge
questionnaire
student attitude
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2010170904
MEDLINE PMID
20015951 (http://www.ncbi.nlm.nih.gov/pubmed/20015951)
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agp084
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 485
TITLE
Why nursing research in tobacco control?
AUTHOR NAMES
Sarna L.
Bialous S.A.
AUTHOR ADDRESSES
(Sarna L.; Bialous S.A.) School of Nursing, University of California, Los
Angeles, USA.
CORRESPONDENCE ADDRESS
L. Sarna, School of Nursing, University of California, Los Angeles, USA.
SOURCE
Annual review of nursing research (2009) 27 (3-31). Date of Publication:
2009
ISSN
0739-6686
ABSTRACT
Tobacco use is an epidemic of overwhelming proportions affecting survival,
causing millions of deaths every year, causing untold human suffering
worldwide, and contributing to escalating health care costs. Nursing
research is vital to advancing knowledge in the field and to the translation
of science to evidence-based practice. As the largest group of health care
professionals (17 million worldwide), nurses have the capacity for an
enormous impact on this leading cause of preventable death. This chapter
thus provides a historical overview of the tobacco epidemic, health risks of
smoking and benefits of quitting, nicotine addiction, and recommendations of
evidence-based tobacco dependence treatment as a backdrop for understanding
the importance and need for nursing scholarship. Also examined are nursing
science efforts and leadership in removing two barriers to mounting programs
of nursing research in tobacco control: (1) lack of nursing education and
training in tobacco control, and (2) limited research funding and
mentorship. The chapter also addresses the issue of smoking in the
profession as it impacts nurses' health, clinical practice, and,
potentially, scholarship efforts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nursing research
smoking (epidemiology, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
article
economics
education
financial management
human
passive smoking (adverse drug reaction)
smoking cessation
tobacco dependence (epidemiology, prevention, rehabilitation)
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20192098 (http://www.ncbi.nlm.nih.gov/pubmed/20192098)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 486
TITLE
Primary and secondary tobacco prevention in youth.
AUTHOR NAMES
Tingen M.S.
Andrews J.O.
Stevenson A.W.
AUTHOR ADDRESSES
(Tingen M.S.; Andrews J.O.; Stevenson A.W.) Department of Pediatrics, School
of Medicine, Medical College of Georgia, USA.
CORRESPONDENCE ADDRESS
M.S. Tingen, Department of Pediatrics, School of Medicine, Medical College
of Georgia, USA.
SOURCE
Annual review of nursing research (2009) 27 (171-193). Date of Publication:
2009
ISSN
0739-6686
ABSTRACT
The childhood years represent a critical time for tobacco experimentation
and addiction. This chapter presents risk factors for youth smoking, state
of the science of nurse-led primary and secondary tobacco prevention
research in youth, and implications for future research, policy, and
practice. Nursing research on both primary and secondary tobacco prevention
efforts that are school-based, family-based, and community-based are
presented. Interventions, including both state and community approaches, and
media and policy endeavors to prevent tobacco use and foster successful
cessation are discussed. The nursing profession has made an impact on
primary and secondary prevention in youth regarding tobacco; however, much
remains to be accomplished. As one of the largest health care professions,
nurses should seize the important opportunity of positively impacting the
health of children and youth through comprehensive and effective primary and
secondary tobacco prevention efforts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
child
community health nursing
family nursing
human
methodology
nursing research
psychological aspect
review
school health nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20192104 (http://www.ncbi.nlm.nih.gov/pubmed/20192104)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 487
TITLE
Biological models for studying and assessing tobacco use.
AUTHOR NAMES
Ahijevych K.
AUTHOR ADDRESSES
(Ahijevych K.) The Ohio State University, College of Nursing, USA.
CORRESPONDENCE ADDRESS
K. Ahijevych, The Ohio State University, College of Nursing, USA.
SOURCE
Annual review of nursing research (2009) 27 (145-168). Date of Publication:
2009
ISSN
0739-6686
ABSTRACT
The purpose of this chapter on biological models for studying and assessing
tobacco use is to provide an introduction to some of the common concepts and
biomarkers in this arena to ultimately inform intervention research by nurse
scientists. An overview of selected biomarkers of tobacco exposure in
individuals includes exhaled carbon monoxide, cotinine (the proximate
metabolite of nicotine), and measurement of an individual's puffing pattern
termed smoking topography. Common tobacco contents discussed include tobacco
specific nitrosamines (TSNA) and polycyclic aromatic hydrocarbons (PAH) some
of which increase disease risk including cancer. Exemplars of additives to
cigarettes by the tobacco industry will be described including menthol, one
additive marketed by the industry. Genetics and tobacco addiction has
emerged as a rapidly expanding field. Illustrative of this area are twin
studies, nicotinic receptors, CYP2A6 polymorphisms, and genes that impact
dopamine receptors. The cadre of nurse scientists conducting research in
this much needed area is small. The opportunity for nurse scientists
educated in biological inquiry in tobacco-related research is great. Nurse
scientists actively involved in multidisciplinary translational teams to
address nicotine addition are needed.
EMTREE DRUG INDEX TERMS
biological marker
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
biological model
chemistry
genetic predisposition
genetics
human
metabolism
pathophysiology
review
tobacco
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20192103 (http://www.ncbi.nlm.nih.gov/pubmed/20192103)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 488
TITLE
Nursing research in community-based approaches to reduce exposure to
secondhand smoke.
AUTHOR NAMES
Hahn E.J.
Ashford K.B.
Okoli C.T.
Rayens M.K.
Ridner S.L.
York N.L.
AUTHOR ADDRESSES
(Hahn E.J.; Ashford K.B.; Okoli C.T.; Rayens M.K.; Ridner S.L.; York N.L.)
University of Kentucky College of Nursing, USA.
CORRESPONDENCE ADDRESS
E.J. Hahn, University of Kentucky College of Nursing, USA.
SOURCE
Annual review of nursing research (2009) 27 (365-391). Date of Publication:
2009
ISSN
0739-6686
ABSTRACT
Secondhand smoke (SHS) is the third leading cause of preventable death in
the United States and a major source of indoor air pollution, accounting for
an estimated 53,000 deaths per year among nonsmokers. Secondhand smoke
exposure varies by gender, race/ethnicity, and socioeconomic status. The
most effective public health intervention to reduce SHS exposure is to
implement and enforce smoke-free workplace policies that protect entire
populations including all workers regardless of occupation, race/ethnicity,
gender, age, and socioeconomic status. This chapter summarizes community and
population-based nursing research to reduce SHS exposure. Most of the
nursing research in this area has been policy outcome studies, documenting
improvement in indoor air quality, worker's health, public opinion, and
reduction in Emergency Department visits for asthma, acute myocardial
infarction among women, and adult smoking prevalence. These findings suggest
a differential health effect by strength of law. Further, smoke-free laws do
not harm business or employee turnover, nor are revenues from charitable
gaming affected. Additionally, smoke-free laws may eventually have a
positive effect on cessation among adults. There is emerging nursing science
exploring the link between SHS exposure to nicotine and tobacco dependence,
suggesting one reason that SHS reduction is a quit smoking strategy. Other
nursing research studies address community readiness for smoke-free policy,
and examine factors that build capacity for smoke-free policy. Emerging
trends in the field include tobacco free health care and college campuses. A
growing body of nursing research provides an excellent opportunity to
conduct and participate in community and population-based research to reduce
SHS exposure for both vulnerable populations and society at large.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
environmental exposure (adverse drug reaction, prevention)
health promotion
passive smoking (adverse drug reaction, prevention)
policy
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
attitude to health
consumer
human
legal aspect
nursing research
organization and management
review
United States
workplace
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20192112 (http://www.ncbi.nlm.nih.gov/pubmed/20192112)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 489
TITLE
Systems approaches to tobacco dependence treatment.
AUTHOR NAMES
McDaniel A.M.
Stratton R.M.
Britain M.
AUTHOR ADDRESSES
(McDaniel A.M.; Stratton R.M.; Britain M.) Indiana University Schools of
Nursing, USA.
CORRESPONDENCE ADDRESS
A.M. McDaniel, Indiana University Schools of Nursing, USA.
SOURCE
Annual review of nursing research (2009) 27 (345-363). Date of Publication:
2009
ISSN
0739-6686
ABSTRACT
Nurses have been at the forefront of initiatives to improve patient outcomes
through systems change. Nursing research addressing systems approaches to
treatment of tobacco dependence has demonstrated increased implementation of
evidence-based practice guidelines. Existing health system research
conducted by nurse scientists has focused on four strategies: tobacco use
identification systems, education and training of nursing staff to deliver
tobacco intervention, dedicated staff for tobacco dependence treatment in
both acute and primary care settings, and institutional policies to support
tobacco intervention. Nursing involvement in multidisciplinary health
services research focusing on tobacco treatment has lagged behind advances
in clinical nursing research of individual-focused smoking cessation
interventions. Health information technology shows promise as part of an
integrated approach to systems changes to support tobacco intervention,
particularly in light of the current national emphasis on adoption and
meaningful use of electronic health records. Future directions for
translational research present unprecedented opportunity for nurse
scientists to respond to the call for policy and systems changes to support
tobacco treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
integrated health care system
mass communication
smoking cessation
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
health services research
human
management
medical record
methodology
nursing
nursing education
nursing research
organization and management
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20192111 (http://www.ncbi.nlm.nih.gov/pubmed/20192111)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 490
TITLE
Perceptions of nurses in nursing homes on the usage of benzodiazepines
AUTHOR NAMES
Anthierens S.
Grypdonck M.
De Pauw L.
Christiaens T.
AUTHOR ADDRESSES
(Anthierens S., sibyl.anthierens@ugent.be) Department of General Practice
and Primary Health Care, Ghent University, UZ, 1K3, De Pintelaan 185, 9000
Gent, Belgium.
(Grypdonck M.; De Pauw L.) Department of Nursing Science, Ghent University,
Gent, Belgium.
(Christiaens T.) Department of General Practice and Primary Health Care,
Heymans Institute for Pharmacology and Pharmacotherapy, Ghent University,
Gent, Belgium.
CORRESPONDENCE ADDRESS
S. Anthierens, Department of General Practice and Primary Health Care, Ghent
University, UZ, 1K3, De Pintelaan 185, 9000 Gent, Belgium. Email:
sibyl.anthierens@ugent.be
SOURCE
Journal of Clinical Nursing (2009) 18:22 (3098-3106). Date of Publication:
November 2009
ISSN
0962-1067
1365-2702 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim. This paper reports the findings of a qualitative study on how nurses
perceive their own role in the use of benzodiazepines in nursing homes and
to identify the factors that have an impact on the nurses' role in the use
of benzodiazepines. Background. The use of benzodiazepines in nursing homes
is of particular concern, as nursing-home residents receive considerably
more benzodiazepines than non-institutionalised older persons. Evidence of
their long-term effectiveness is lacking. Nurses are important partners in
the decision-making process of starting and discontinuation of
benzodiazepines. Design. Qualitative descriptive. Method. Three focus group
interviews and 10 additional semi-structured interviews were used with 33
registered nurses. The interviews were thematically analysed. Findings.
Nurses' main concern is to work towards the comfort of the patient.
Benzodiazepines are an easy option with not too many side effects and
administration of benzodiazepines is experienced as a routine action. When
prescribed they will almost automatically lead to chronic usage as there is
no evaluation of their effect. There are three aspects that have an impact
on nurse's perceptions of their role in benzodiazepine usage: their own
individual attitude and perceptions, their knowledge and organisational
factors. Conclusion. Nurses do not see benzodiazepines as a problem drug and
once a prescription is initiated it will almost automatically lead to
chronic usage. Nurses should work towards a pro-active promotion of
addressing sleeping problems and they can play a key role in
non-pharmacological interventions. Relevance to clinical practice. Nurses
can play a key role in suggesting non-pharmacological alternatives.
Education to provide more insight into the problems of insomnia and anxiety
may positively influence their attitudes and behaviour. All caregivers in
nursing homes should be informed about the relevance of this issue. © 2009
Blackwell Publishing Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
nursing home
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
information processing
manpower
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19538562 (http://www.ncbi.nlm.nih.gov/pubmed/19538562)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2702.2008.02758.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 491
TITLE
Stigma reported by nurses related to those experiencing drug and alcohol
dependency: a phenomenological Giorgi study.
AUTHOR NAMES
Lovi R.
Barr J.
AUTHOR ADDRESSES
(Lovi R.; Barr J.) School of Nursing and Midwifery, Queensland University of
Technology, Brisbane, QLD, Australia.
CORRESPONDENCE ADDRESS
R. Lovi, School of Nursing and Midwifery, Queensland University of
Technology, Brisbane, QLD, Australia.
SOURCE
Contemporary nurse : a journal for the Australian nursing profession (2009)
33:2 (166-178). Date of Publication: Oct 2009
ISSN
1037-6178
ABSTRACT
Alcohol and drug dependency is a widespread health and social issue
encountered by registered nurses in contemporary practice. A study aiming to
describe the experiences of registered nurses working in an alcohol and drug
unit in South East Queensland was implemented. Data were analysed via
Giorgi's phenomenological method and an unexpected but significant finding
highlighted the frustration felt by registered nurses regarding experiences
of stigma they identified in their daily work encounters. Secondary analysis
confirmed the phenomenon of stigma with three themes: (1) inappropriate
judgement; (2) advocacy; and (3) education. Resultantly, findings concluded
registered nurses' working in this field need to become advocates for their
clients, ensuring professional conduct is upheld at all times. This paper
recommends that stigma could be addressed by incorporating alcohol and other
drug dependency subjects and clinical placements into the curriculum of the
Bachelor of Nursing degrees, and in-services for all practising registered
nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
social psychology
EMTREE MEDICAL INDEX TERMS
article
Australia
health education
human
patient advocacy
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19929161 (http://www.ncbi.nlm.nih.gov/pubmed/19929161)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 492
TITLE
Costs-of-illness of ulcus cruris in germany: results of two approaches
AUTHOR NAMES
Purwins S.
Augustin M.
Herberger K.
Debus S.
Rustenbach S.J.
AUTHOR ADDRESSES
(Purwins S.; Augustin M.; Herberger K.; Rustenbach S.J.) University Clinics
of Hamburg, Hamburg, Germany.
(Debus S.) Asklepios Klinik Harburg, Hamburg, Germany.
CORRESPONDENCE ADDRESS
S. Purwins, University Clinics of Hamburg, Hamburg, Germany.
SOURCE
Value in Health (2009) 12:7 (A453). Date of Publication: October 2009
CONFERENCE NAME
ISPOR 12th Annual European Congress
CONFERENCE LOCATION
Paris, France
CONFERENCE DATE
2009-10-24 to 2009-10-27
ISSN
1098-3015
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
OBJECTIVES: Estimation of cost-of-illness (COI) of leg ulcers in two German
cross-sectional studies using different methodical approaches. METHODS: A
direct and an indirect method for cost estimation were utilized. In a
nationwide cross-sectional study in 33 specialized dermatological, surgical
and general-medical wound centres, resource consumption and associated costs
of venous leg ulcer(s) were collected directly from physicians and patients.
In a second cross-sectional regional study, involving 147 institutions
(hospitals, residencies, nursing services, dermatological offices, services
for homeless and addictives) treating patients with ulcus cruris, resource
consumption and associated costs were inferred from history, wound condition
and actual/previous treatments based on standardized cost categories. Main
economic parameters in both studies were direct, indirect and intangible
costs (health related quality of life, HRQoL) from the societal perspective.
RESULTS: The national study enrolled n = 218 patients with a mean age of
69.8 years (regional study: n = 502, 71 years). Wounds existed for 7
(regional 9) years on average. The mean total COI per year and patient was
a9,569 (a10,624). While direct costs summed up to a8658 (a9851), indirect
costs were much lower a911 (a772). Of direct costs, a7631 (a9122) were
covered by the Statutory Health Insurances (SHI) and a1027 (a730) by the
patients. For SHI, major cost factors were inpatient costs, non-drug
treatments and physicians/nurses fees. Moreover, clinical predictors such as
wound size, number and duration as well as wound etiology and
characteristics of care (quality, support) were identified. All patients
were severely impaired in their HRQoL, implying a high burden of disease and
relevant intangible costs. CONCLUSIONS: Chronic leg ulcers generate highly
relevant COI. Despite different recruitment and cost estimation methods,
both studies resulted in comparable direct, indirect and intangible costs;
observed differences can be attributed to sample characteristics. The
results point to early and qualified disease management in all related
health services areas.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general aspects of disease
Germany
leg ulcer
EMTREE MEDICAL INDEX TERMS
cost of illness
cross-sectional study
disease management
drug therapy
etiology
health insurance
health service
hospital
hospital patient
nursing
patient
physician
quality of life
wound
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 493
TITLE
Preliminary study of mental health consultation-liaison activities with
primary health care teams in university community health care center in
Brazil
AUTHOR NAMES
Azevedo-Marques J.
Zanetti A.C.G.
Galera S.A.F.
Zuardi A.W.
AUTHOR ADDRESSES
(Azevedo-Marques J.) Department of Neurology Psychiatry and Medical
Psychology, Ribeirão Preto Medical School, HCFMRP-USP, Ribeirão Preto,
Brazil.
(Zanetti A.C.G.; Galera S.A.F.) Escola de Enfermagem de Ribeirão Preto,
Universidade de São Paulo, EERP/USP, Ribeirão Preto, Brazil.
(Zuardi A.W.) Department of Neurology Psychiatry and Medical Psychology,
Ribeirão Preto Medical School, Ribeirão Preto, Brazil.
CORRESPONDENCE ADDRESS
J. Azevedo-Marques, Department of Neurology Psychiatry and Medical
Psychology, Ribeirão Preto Medical School, HCFMRP-USP, Ribeirão Preto,
Brazil.
SOURCE
European Psychiatry (2009) 24 SUPPL. 1 (S890). Date of Publication: 2009
CONFERENCE NAME
17th European Psychiatric Association, EPA Congress
CONFERENCE LOCATION
Lisbon, Portugal
CONFERENCE DATE
2009-01-24 to 2009-01-28
ISSN
0924-9338
BOOK PUBLISHER
Elsevier Masson SAS
ABSTRACT
Aims: This preliminary study describe the experience of mental health
consultation-liaison activities delivered by a psychiatric community nurse
and a psychiatrist with Primary Health Care (PHC) teams in a university
community health center in city of Ribeirao Preto, State of Sao Paulo,
Brazil. Method: This is a descriptive exploratory study, carried out from
March to May 2008, from the record of the activities in weekly consultation
meetings with four PHC teams. Results: The activities developed including
discussions of issues and cases, joint consultations and home visits with
PHC teams. Fifty-one joint consultations/home visits and twenty-six
discussions of cases/issues were made. The clients were predominantly female
and aged over 18 years; diagnoses of major depressive episode, generalized
anxiety disorder and alcohol unhealthy use was common. Psychotic and bipolar
disorders were also discussed and evaluated. The main complaints were
related to: changes in sleep, appetite and energy; difficulty in
relationships (including family and work); aggression and violence
(including physical and sexual abuse); difficulty of adherence to treatment,
and other psychiatric symptoms. The referrals were made mostly for
ambulatory psychotherapy and ambulatory adult and child mental health
specialized care. Conclusion: The joint activities between the specialized
and PHC teams to enable full attention to health of patients and the
development of interdisciplinary work. This work is challenging because it
put on the agenda of health the borders between the levels of assistance,
knowledge, practices and goals of different professional groups.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Brazil
community care
consultation
mental health
primary health care
university
EMTREE MEDICAL INDEX TERMS
adult
aggression
appetite
bipolar disorder
child
city
community
diagnosis
female
generalized anxiety disorder
health
health center
major depression
mental disease
nurse
patient
professional practice
psychiatrist
psychosis
psychotherapy
sexual abuse
sleep
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 494
TITLE
Promoting tobacco dependence treatment in nursing education
AUTHOR NAMES
Sarna L.
Bialous S.A.
Rice V.H.
Wewers M.E.
AUTHOR ADDRESSES
(Sarna L., lsarna@sonnet.ucla.edu) School of Nursing, University of
California, Los Angeles, United States.
(Bialous S.A.) Tobacco Policy International, San Francisco, United States.
(Rice V.H.) College of Nursing, Wayne State University and Karmanos Cancer
Institute, Detroit, United States.
(Wewers M.E.) College of Public Health, The Ohio State University, Columbus,
United States.
CORRESPONDENCE ADDRESS
L. Sarna, UCLA School of Nursing, 700 Tiverton Ave, Los Angels, CA
90095-6918, United States. Email: lsarna@sonnet.ucla.edu
SOURCE
Drug and Alcohol Review (2009) 28:5 (507-516). Date of Publication:
September 2009
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Issues: There are 17.3 million nurses worldwide, the largest group of
health-care professionals, and they have great potential to address the
epidemic of tobacco use and its related morbidity and mortality. However,
the evidence indicates that the educational preparation of nurses for
tobacco control remains inadequate. Approach: This paper provides an
overview of the efficacy of nurses in the delivery of smoking cessation
interventions, existing tobacco control content in nursing educational
programs, model curricula, teaching resources and strategies for reducing
barriers to curricular change. Key Findings: Despite the efficacy of nursing
intervention for tobacco cessation, lack of appropriate knowledge and/or
skill presents a major problem for implementation. An important factor
fostering this lack of preparation is limited tobacco control content in
current nursing educational programs. Barriers to enhancing and building
this curricula include lack of preparation of educators, low priority for
this content in an already overloaded curricula, negative attitudes,
continued smoking by nursing students and/or faculty and lack of tested
curricula.The availability of new tobacco control resources, including those
specifically tailored for nurses can assist educators in teaching this
content and nurses in implementing interventions. Implications: Research and
changes in policy are needed to ensure that nursing education includes
essential content on tobacco control. Conclusion: Nurses can be effective in
delivering tobacco cessation interventions. Efforts are needed to promote
curriculum that ensures that all nursing students and practicing nurses
receive tobacco control content and are competent in the delivery of
interventions; and to disseminate resources to nursing educators. © 2009
Australasian Professional Society on Alcohol and other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
nursing education
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
article
curriculum
health personnel attitude
human
methodology
smoking cessation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19737209 (http://www.ncbi.nlm.nih.gov/pubmed/19737209)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1465-3362.2009.00107.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 495
TITLE
Information-Seeking and its Predictors in Low-Income Pregnant Women
AUTHOR NAMES
Shieh C.
McDaniel A.
Ke I.
AUTHOR ADDRESSES
(Shieh C., wshieh@iupui.edu; McDaniel A.; Ke I.)
SOURCE
Journal of Midwifery and Women's Health (2009) 54:5 (364-372). Date of
Publication: September 2009/October 2009
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
This study examined information-seeking and its predictors (information
needs and barriers) in low-income pregnant women. Eighty-four pregnant women
from a prenatal clinic were interviewed using three scales that measured the
frequency of information-seeking from eight different sources, information
needs for 20 pregnancy health topics, and 15 barriers to seeking
information, respectively. Most women were black, unmarried, between 20 and
29 years of age, high school educated or less, multigravidas, and in their
third trimester of pregnancy. Information needs and barriers were
significant predictors of information-seeking. Together, they explained 26%
of the variance in the seeking outcome. High information needs and low
barriers predicted more frequent information-seeking. First pregnancy and
asthma during pregnancy were significant covariates for information-seeking.
Information needs and barriers are related to information-seeking among
low-income pregnant women. To facilitate pregnant women's
information-seeking, health care providers may assess a woman's need for
information and barriers that the woman experiences when seeking
information, and factors such as first pregnancy and asthma. © 2009 American
College of Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maternal attitude
medical information
EMTREE MEDICAL INDEX TERMS
access to information
adult
age
alcohol consumption
article
asthma
birth control
Black person
breast feeding
child development
controlled study
domestic violence
drug abuse
educational status
emotional stress
exercise
female
health care need
health care personnel
human
interview
labor
lowest income group
marriage
maternal care
maternal nutrition
maternal stress
multipara
normal human
physical activity
prediction
pregnancy
prenatal care
primipara
priority journal
race difference
rating scale
rest
safe sex
safety
smoking
third trimester pregnancy
vitamin supplementation
weight gain
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009450806
MEDLINE PMID
19720337 (http://www.ncbi.nlm.nih.gov/pubmed/19720337)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2008.12.017
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 496
TITLE
Key factors in smoking cessation intervention among 15-16-year-olds
AUTHOR NAMES
Heikkinen A.
Broms U.
Pitkäniemi J.
Koskenvuo M.
Meurman J.
AUTHOR ADDRESSES
(Heikkinen A.) Department of General Practice and Primary Health Care,
University of Helsinki, Hospital District of Helsinki and Uusimaa, .
(Broms U.; Pitkäniemi J.; Koskenvuo M.) Department of Public Health,
National Institute for Health and Welfare, University of Helsinki, Helsinki,
Finland.
(Meurman J.) Department of Oral and Maxillofacial Diseases, University of
Helsinki, Helsinki University Central Hospital, Finland.
CORRESPONDENCE ADDRESS
A. Heikkinen, Department of General Practice and Primary Health Care,
University of Helsinki, Hospital District of Helsinki and Uusimaa, .
SOURCE
Behavioral Medicine (2009) 35:3 (93-99). Date of Publication: 1 Sep 2009
ISSN
0896-4289
BOOK PUBLISHER
Heldref Publications, 1319 Eighteenth Street NW, Washington, United States.
ABSTRACT
The authors aimed to investigate factors associated with smoking cessation
among adolescents after tobacco intervention. They examined smokers (n =
127) from one birth cohort (n = 545) in the city of Kotka in Finland. These
smokers were randomized in 3 intervention groups the dentist (n = 44) and
the school nurse (n = 42 groups), and a control group (n = 39). After 2
months, the authors sent a follow-up questionnaire to the initial smokers to
find out who had quit.The authors found that those whose best friend was a
nonsmoker were more likely to stop smoking (relative risk RR 7.0 95% Cl
4.6-10.7). Moreover, the nicotine-dependent participants (measured according
to the Fagerström Test for Nicotine Dependence(36)) were less likely to stop
(RR 0.1 95% Cl 0.08-0.11) compared to non-nicotine dependent participants.
Last, of the diurnal types, the morning types found it easier to quit
smoking than the evening types (RR 2.2 95% Cl 1.4-3.6). Thus, the authors
concluded that the best friend''s influence, nicotine dependence, and
diurnal type could be taken more into account in individual counseling on
smoking cessation. © 2009 Heldref Publications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
questionnaire
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
article
controlled study
female
Finland
health program
human
male
psychometry
risk factor
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009547469
MEDLINE PMID
19812027 (http://www.ncbi.nlm.nih.gov/pubmed/19812027)
FULL TEXT LINK
http://dx.doi.org/10.3200/BMED.35.3.93-99
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 497
TITLE
Does implementation of clinical practice guidelines change nurses' screening
for alcohol and other substance use?
AUTHOR NAMES
Tran D.T.
Stone A.M.
Fernandez R.S.
Griffiths R.D.
Johnson M.
AUTHOR ADDRESSES
(Tran D.T.; Stone A.M.; Fernandez R.S.; Griffiths R.D.; Johnson M.) Centre
for Applied Nursing Research, Sydney South West Area Health Service, Sydney,
NSW, Australia.
CORRESPONDENCE ADDRESS
D.T. Tran, Centre for Applied Nursing Research, Sydney South West Area
Health Service, Sydney, NSW, Australia.
SOURCE
Contemporary nurse : a journal for the Australian nursing profession (2009)
33:1 (13-19). Date of Publication: Aug 2009
ISSN
1037-6178
ABSTRACT
AIM: To examine the effectiveness of the implementation of a clinical
practice guideline on nurses screening patients for alcohol and other
substance use, providing brief interventions, and referring patients at risk
for treatment. METHOD: Medical record audits were conducted in selected
medical and surgical wards of two metropolitan hospitals in Sydney prior to
and three months following the guideline implementation. RESULT:
Seventy-nine (pre) and 84 (post) patient records were audited. There were no
differences in screening rates for alcohol (28% and 29%), tobacco (29% and
23%) and illicit drug use (16% and 8%) before and after implementation of
the guideline. PRACTICE IMPLICATION: Factors which may have limited the
effectiveness of the clinical practice guideline dissemination included
design of the education program, existing level of nurses' knowledge and
competence, and strategies in place to ensure sustainability of the program.
We also provided suggestions for improvement of screening for alcohol and
other substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
mass communication
mass screening
nursing staff
practice guideline
EMTREE MEDICAL INDEX TERMS
article
attitude to health
Australia
chi square distribution
clinical competence
education
evaluation study
health care quality
health personnel attitude
human
nurse attitude
nursing
nursing assessment
nursing education
nursing evaluation research
organization and management
patient referral
psychological aspect
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19715491 (http://www.ncbi.nlm.nih.gov/pubmed/19715491)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 498
TITLE
Survey of alcohol and other drug use attitudes and behaviors in nursing
students
AUTHOR NAMES
Baldwin J.N.
Bartek J.K.
Scott D.M.
Davis-Hall R.E.
Desimone Ii E.M.
AUTHOR ADDRESSES
(Baldwin J.N., jbaldwin@unmc.edu) College of Pharmacy, University of
Nebraska Medical Center, Omaha, NE, United States.
(Bartek J.K.) College of Nursing, University of Nebraska Medical Center,
Omaha, NE, United States.
(Scott D.M.) College of Pharmacy Nursing and Allied Sciences, North Dakota
State University, Fargo, ND, United States.
(Davis-Hall R.E.) Senior Care of Colorado, Aurora, CO, United States.
(Desimone Ii E.M.) School of Pharmacy and Health Professions, Creighton
University, Omaha, NE, United States.
CORRESPONDENCE ADDRESS
J. N. Baldwin, 986045 Nebraska Medical Center, Omaha, NE 68198-6045, United
States. Email: jbaldwin@unmc.edu
SOURCE
Substance Abuse (2009) 30:3 (230-238). Date of Publication: July 2009
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Statewide nursing student alcohol and other drug (AOD) use attitudes and
behaviors were assessed. Response was 929/2017 (46%) (practical nursing [n =
173/301] 57.3%; diploma and associate degree in nursing [n = 282/417] 67.6%;
bachelor of science in nursing [n = 474/1299] 36.5%). Nearly 44% reported
inadequate substance abuse education. Past-year AOD use included tobacco
36.9%, marijuana 6.8%, sedatives 4.6%, and opioids 2.6%. Past-year
AOD-related events included blackouts 19.8%, class/work under the influence
6.3%, patient care under the influence 3.9%, lowered grades/job evaluations
6.6%, and legal charges 3.6%. Heavy drinking was reported by 28.9%.
Practical nursing (PN) students most often reported tobacco use and sedative
use, whereas Bachelor of Science in nursing (BSN) students most often
reported marijuana use. Family histories of alcohol-related problems and
drug-related problems were reported, respectively, by 48.1% and 19.2% of
respondents; 51.1% reported at least one of these. PN students most often
reported such family histories. Nursing educational systems should
proactively address student AOD prevention, education, and assistance.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
anabolic agent
cannabis
opiate
psychedelic agent
sedative agent
steroid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
cannabis addiction (prevention)
coping behavior
drinking behavior
education program
family history
health education
human
major clinical study
opiate addiction (prevention)
patient care
self report
substance abuse
tobacco dependence (prevention)
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009583563
MEDLINE PMID
19591059 (http://www.ncbi.nlm.nih.gov/pubmed/19591059)
FULL TEXT LINK
http://dx.doi.org/10.1080/08897070903040964
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 499
TITLE
Nursing Home Policies on Items Brought in From the Outside for Facility
Residents
AUTHOR NAMES
Stefanacci R.G.
Lester P.E.
Kohen I.
Feuerman M.
AUTHOR ADDRESSES
(Stefanacci R.G., r.stefan@usp.edu; Lester P.E.; Kohen I.; Feuerman M.) The
Institute for Geriatric Studies, Mayes College of Healthcare Business and
Policy, University of the Sciences in Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
R.G. Stefanacci, The Institute for Geriatric Studies, Mayes College of
Healthcare Business and Policy, University of the Sciences in Philadelphia,
PA, United States. Email: r.stefan@usp.edu
SOURCE
Journal of the American Medical Directors Association (2009) 10:6 (419-422).
Date of Publication: July 2009
ISSN
1525-8610
1538-9375 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objective: To identify nursing home standards related to items brought in
from the community for residents through a nationwide survey of directors of
nursing. Specifically we examined the policies with regard to food,
cigarettes, alcoholic beverages, and over-the-counter medications. Methods:
A national survey was distributed online and was completed by 299 directors
of nursing of skilled nursing facilities. The directors of nursing were
asked about policies regarding whether family and friends of residents are
permitted to bring in items such as food, cigarettes, alcohol, and
over-the-counter medications. Specifically, questions were related to
monitoring, staff involvement, safety precautions, and policy
implementation. Results: The results of the survey demonstrated a consistent
policy practiced among facilities. Items commonly restricted for all
residents included over-the-counter medications, alcohol, and cigarettes. On
the other hand, food was significantly less likely to be restricted.
Conclusion: Despite overall strict policies regarding the monitoring of
access to over-the-counter medications, alcohol, and cigarettes by nursing
home residents, ingestion of outside food remains fairly unrestricted. This
is especially concerning given the growing number of residents with
end-stage congestive heart failure, diabetes, dysphagia, or food allergies
where access to outside food could result in an adverse event. Perhaps,
facilities need to identify at-risk residents and better communicate to
residents and their families regarding dietary restrictions on outside food.
© 2009 American Medical Directors Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
nursing home
residential care
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
cognitive defect
congestive heart failure
diabetes mellitus
diet restriction
drug use
dysphagia
health care management
health survey
medical staff
safety
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009304033
MEDLINE PMID
19560720 (http://www.ncbi.nlm.nih.gov/pubmed/19560720)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jamda.2009.03.003
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 500
TITLE
Characteristics of nurses who used the internet-based nurses quitNet (®) for
smoking cessation: Populations at risk across the lifespan: Population
studies
AUTHOR NAMES
Bialous S.A.
Sarna L.
Wells M.
Elashoff D.
Wewers M.E.
Froelicher E.S.
AUTHOR ADDRESSES
(Bialous S.A.) Tobacco Policy International, San Francisco, CA.
(Wells M.) School of Nursing, University of California, Los Angeles, CA.
(Elashoff D.) Department of Biostatistics, School of Medicine, University of
California, Los Angeles, CA.
(Wewers M.E.) College of Public Health, Ohio State University, Columbus, OH.
(Froelicher E.S.) Department of Physiological Nursing, Schools of Nursing
and Medicine, University of California, San Francisco, San Francisco, CA.
(Sarna L., lsarna@sonnet.ucla.edu) School of Nursing, University of
California, Los Angeles, Box 956918, 700 Tiverton Ave, Los Angeles, CA
90095-6918.
CORRESPONDENCE ADDRESS
L. Sarna, School of Nursing, University of California, Los Angeles, Box
956918, 700 Tiverton Ave, Los Angeles, CA 90095-6918. Email:
lsarna@sonnet.ucla.edu
SOURCE
Public Health Nursing (2009) 26:4 (329-338). Date of Publication:
July-August 2009
ISSN
0737-1209
1525-1446 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Background: Smoking among nurses is higher than other health care
professionals but nurse-specific cessation programs are limited. Nurses
QuitNet(®), launched in January 2004, provided an evidence-based online
smoking cessation program for nurses and nursing students. Objectives: To
describe Nurses QuitNet(®) registrants and relationships among the
demographic and smoking characteristics, program dissemination strategies,
and site utilization patterns. Design: Cross-sectional study. Sample: 1,790
Nurses QuitNets(®) registrants. Measurements: Demographics and smoking
characteristics on the Nurses QuitNet(®) intake questionnaire. Results: Most
registrants were female (92.5%), 45-54 years old (34.3%), Caucasian (84.5%),
and college graduates (57.5%). Over 68% smoked 10-20 cigarettes/day; 66.4%
smoked within 30 min of waking. Half of those with previous quit attempts
did not use evidence-based methods; 30% had not made a quit attempt in the
past year. "Read-only" social support was the most frequently used Nurses
Quitnet(®) feature. Conclusions: The Internet can be a viable option to
support nurses' cessation and is available to accommodate their work
schedules. The sample is similar to the general nursing population, except
for higher levels of education. Efforts are needed to assist nurses
struggling with nicotine addiction and disseminate cessation resources,
particularly targeting nurses with the highest prevalence of current
smoking, for example licensed practical nurses. © 2009 Wiley Periodicals,
Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to computers
health personnel attitude
Internet
nurse
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
attitude to health
chi square distribution
cross-sectional study
epidemiology
female
health education
human
male
methodology
middle aged
nursing methodology research
organization and management
psychological aspect
questionnaire
smoking (epidemiology, prevention)
social support
statistics
teaching
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19573211 (http://www.ncbi.nlm.nih.gov/pubmed/19573211)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2009.00787.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 501
TITLE
Nurses' perceived facilitators and barriers to assessing for alcohol use in
Taiwan
AUTHOR NAMES
Tsai Y.-F.
AUTHOR ADDRESSES
(Tsai Y.-F., yftsai@mail.cgu.edu.tw) School of Nursing, Chang Gung
University, Taiwan.
(Tsai Y.-F., yftsai@mail.cgu.edu.tw) Department of Nursing, Chang Gung
Memorial Hospital, Taiwan.
(Tsai Y.-F., yftsai@mail.cgu.edu.tw) School of Nursing, Chang Gung
University, Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan 333, Taiwan.
CORRESPONDENCE ADDRESS
Y.-F. Tsai, School of Nursing, Chang Gung University, Wen-Hwa 1st Road,
Kwei-Shan, Tao-Yuan 333, Taiwan. Email: yftsai@mail.cgu.edu.tw
SOURCE
Journal of Clinical Nursing (2009) 18:14 (2078-2086). Date of Publication:
July 2009
ISSN
0962-1067
1365-2702 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims. To explore nurses' perceived facilitators and barriers to assessing
for alcohol use in Taiwan. Background. Excessive alcohol use has been
associated with health, social and legal problem. Helping health care
providers to detect and treat hazardous or harmful drinkers is an important
worldwide issue. Design. A cross-sectional design was used. Methods. Nurse
participants (n = 741) were recruited from 10 randomly selected hospitals in
Taiwan. In these hospitals, nurses were selected from the Emergency
Department, psychiatric and gastrointestinal medical-surgical units where
most patients with alcohol problems are seen. Data were collected by
facilitator and barrier scales as well as a background information form.
Results. Nurses identified the top facilitator and barriers to assessing for
alcohol use as 'want to know if patients' drinking problems are related to
their illness' and 'patients' purposefully conceal information',
respectively. Older nurses and those with longer general clinical experience
had more perceived facilitators to assessing for alcohol use. Nurses'
perceived facilitator scores were significantly and positively related to
their intention scores, whereas their perceived barrier scores were
significantly and negatively related to their intention scores. In addition,
scores for perceived facilitators and barriers differed significantly by
nurses' education level, work unit, experiences with assessing for alcohol
use and previous attendance at training courses for assessing alcohol use.
Conclusions. Our results suggest a need to strengthen nurses' education and
training on the assessment of alcohol use in Taiwan. Relevance to clinical
practice. Education and training programmes should aim to enhance Taiwanese
nurses' alcohol knowledge, to emphasise the impact of alcohol use on illness
and treatment and to enhance nurses' perceived facilitators and decrease
their perceived barriers to assessing for alcohol use. © 2009 Blackwell
Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
nursing assessment
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
human
middle aged
Taiwan
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19220620 (http://www.ncbi.nlm.nih.gov/pubmed/19220620)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2702.2008.02590.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 502
TITLE
Sleep in adolescence: A review of issues for nursing practice
AUTHOR NAMES
Vallido T.
Peters K.
O'Brien L.
Jackson D.
AUTHOR ADDRESSES
(Vallido T.; Peters K., k.peters@uws.edu.au) School of Nursing, College of
Health and Science, University of Western Sydney, Penrith South DC, NSW,
Australia.
(Jackson D.) Department of Nusring, School of Nursing, University of Western
Sydney, Penrith South DC, NSW, Australia.
(O'Brien L.) Department of Nusring, University of Western Sydney, Cumberland
Hospital, Parramatta BC, NSW, Australia.
CORRESPONDENCE ADDRESS
K. Peters, School of Nursing, College of Health and Science, University of
Western Sydney, Penrith South DC, NSW, Australia. Email: k.peters@uws.edu.au
SOURCE
Journal of Clinical Nursing (2009) 18:13 (1819-1826). Date of Publication:
July 2009
ISSN
0962-1067
1365-2702 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims and objectives. The aim of this review was to explore the literature to
determine what is known about adolescent sleep, the causes and consequences
of disturbed sleep in adolescence and the implications this has for nursing
practice. Background. Sleep disorders are relatively common in young people.
Disturbed sleep can be both a cause and a result of ill health and if
recognised can indicate psychosocial, psychological or physical
difficulties. Design. Literature review. Methods. Searching of key
electronic databases. Results. Disturbed sleep in adolescents has several
potential consequences, including daytime sleepiness, reduced academic
performance and substance use/abuse. However, despite its significance and
frequency, sleep disturbance is an area of adolescent health that is almost
entirely unaddressed within the nursing literature. Conclusion. Nursing has
a role to play in assisting adolescents and their families to recognise the
importance of sleep to the general health and well-being of young people.
Relevance to clinical practice. There is a need for nursing to develop tools
to assess sleep in adolescent clients and non-pharmaceutical interventions
to assist adolescents achieve optimum sleep and rest. Nurses may also
contribute to educating adolescents and their families regarding the
importance of good sleep hygiene. © 2009 Blackwell Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
sleep disorder
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
nursing education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19638045 (http://www.ncbi.nlm.nih.gov/pubmed/19638045)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2702.2009.02812.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 503
TITLE
Alcohol content in nursing curriculum: A pilot study
AUTHOR NAMES
Savage C.L.
Murray M.
AUTHOR ADDRESSES
(Savage C.L.; Murray M.) University of Cincinnati, College of Nursing,
Cincinnati, United States.
CORRESPONDENCE ADDRESS
C.L. Savage, University of Cincinnati, College of Nursing, Cincinnati,
United States.
SOURCE
Alcoholism: Clinical and Experimental Research (2009) 33 SUPPL. 1 (138A).
Date of Publication: June 2009
CONFERENCE NAME
Texas Research Society On Alcoholism - 19th Annual Scientific Meeting
CONFERENCE LOCATION
San Antonio, TX, United States
CONFERENCE DATE
2009-02-20 to 2009-02-20
ISSN
0145-6008
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Purpose: Increasing our capacity to treat and prevent alcohol use disorders
and adverse health consequences related to alcohol use requires the building
of a workforce outside the traditional alcohol treatment system. Since
nurses represent the greatest number of healthcare workers increasing
curricular content related to alcohol use and health is a logical approach.
However, most nursing curricula provide minimal content on alcohol use
prevention and treatment. To address this need a new alcohol related
curriculum for nurses developed by the NIAAA was piloted with nurse
educators at two Universities, Howard University and the University of
Cincinnati. Methods: This was an educational evaluation study. Participants
at the two pilot sessions answered questions related to their teaching of
alcohol content prior to attending the conference and their own level of
knowledge. They were then asked to evaluate the effectiveness of the
curriculum presented. Data were analyzed using basic frequencies. Findings:
A total of 37 educators from nine institutions participated. Of these 26
completed the evaluation (70% response rate). At the first session (n = 13)
53% rated the content presented on prevention at community, family, and
individual as exceptional and 38% rated it good. At the second session (n=7)
100% rated the same content as exceptional. At the first session (n = 13)
23% rated the content on alcohol screening in nursing practice exceptional
to good and at the second session (n = 13) 92% rated is as exceptional and
8% as good. At the second session, additional questions were included. Based
on eleven responses, 82% stated they had no academic training in alcohol or
substance abuse yet the same percentage stated that they provided care to
patients with alcohol related problems and 55% taught alcohol-related
content in their classes. Conclusions: The attendees ranked the curriculum
presented to them with high rankings. The nurse educators attending the
second session reported encountering alcohol-related problems in their
practice and teaching alcohol content. However, they did not have formal
academic training in alcohol and health. Based on the results of this study,
an alcohol curriculum for nursing students has the potential to increase
nurse educators' knowledge base in alcohol and health and has utility for
the teaching of alcohol content in nursing curricula.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
nitrogen 13
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
curriculum
nursing
pilot study
society
United States
EMTREE MEDICAL INDEX TERMS
alcohol consumption
community
evaluation study
health
health care
knowledge base
nurse
nursing practice
nursing student
patient
prevention
screening
substance abuse
teaching
university
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1530-0277.2009.00957.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 504
TITLE
Alcohol brief interventions: exploring perceptions and training needs.
AUTHOR NAMES
Lacey J.
AUTHOR ADDRESSES
(Lacey J.) South West Essex Community Services.
CORRESPONDENCE ADDRESS
J. Lacey, South West Essex Community Services.
SOURCE
Community practitioner : the journal of the Community Practitioners' &
Health Visitors' Association (2009) 82:6 (30-33). Date of Publication: Jun
2009
ISSN
1462-2815
ABSTRACT
One of the main thrusts of contemporary alcohol misuse policies is that
early intervention can make a real difference to patterns of problem
drinking, as long as healthcare professionals are given the right skills.
However, healthcare professionals themselves suggest that they are often
unsure of how to raise issues, and feel that they lack the skills or
knowledge to do this effectively. This study investigates the perceptions
and training needs of health visitors, school nurses, nursery nurses and
practice nurses in relation to alcohol misuse primary prevention and the
delivery of brief interventions in their day-to-day work. The findings
indicate a variation in the need for training, which is reflected by the
level of knowledge, skills and confidence of the different professional
groups. This may help to facilitate the provision of needs-led alcohol
training, and promote the effective delivery of support and brief
interventions to individuals, families, schools and communities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
community health nursing
in service training
needs assessment
psychotherapy
EMTREE MEDICAL INDEX TERMS
article
clinical trial
education
epidemiology
human
information processing
multicenter study
nursing
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19552113 (http://www.ncbi.nlm.nih.gov/pubmed/19552113)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 505
TITLE
Patients adherence to anti-retroviral therapy in Botswana
AUTHOR NAMES
Kip E.
Ehlers V.J.
Van Der Wal D.M.
AUTHOR ADDRESSES
(Kip E.) University of South Africa, Pretoria, South Africa.
(Ehlers V.J., ehlersjh@mweb.co.za; Van Der Wal D.M.) Department of Health
Studies, University of South Africa, Pretoria, South Africa.
(Ehlers V.J., ehlersjh@mweb.co.za) PO Box 65075, Erasmusrand (Pretoria),
0165, South Africa.
CORRESPONDENCE ADDRESS
V. J. Ehlers, PO Box 65075, Erasmusrand (Pretoria), 0165, South Africa.
Email: ehlersjh@mweb.co.za
SOURCE
Journal of Nursing Scholarship (2009) 41:2 (149-157). Date of Publication:
June 2009
ISSN
1527-6546
1547-5069 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Purpose: To identify factors influencing patients' anti-retroviral therapy
(ART) adherence at four clinics in Botswana. Design: Quantitative
descriptive. Structured interviews were conducted with a random sample of
400 patients out of the population of all patients attending the four
randomly selected ART clinics in Botswana during April and May 2007.
Methods: Data were analysed using SPSS version 13. Chi-square and p-value
calculations were done to test significance of the relationships between
categories or variables. Findings: Patient-centred barriers to ART adherence
included inadequate knowledge about ART, human immunodeficiency virus (HIV),
acquired immunodeficiency syndrome (AIDS), CD4 cell and viral-load results,
stigma, travelling costs, waiting times at clinics, side effects of ART, use
of traditional (indigenous or folk) medicines, and abuse of alcohol.
Service-centred barriers included nurses' attitudes and knowledge, health
workers' inability to conduct home visits and to contact defaulters, limited
clinic hours, delays in getting CD4 and viral-load results. Conclusions: ART
adherence requires more than free ART. Adherence levels will improve if both
patient-centred and service-centred barriers are addressed. Clinical
Relevance: Nurses play key roles in educating patients about ART adherence
and side effects, but they should also educate patients about CD4 and
viral-load test results and about the dangers of using traditional medicines
and alcohol with ART. Shorter waiting times at clinics could make ART
patients' lives more manageable. © 2009 Sigma Theta Tau International.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antiretrovirus agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (drug therapy, epidemiology)
Human immunodeficiency virus infection (drug therapy, epidemiology)
patient compliance
EMTREE MEDICAL INDEX TERMS
adult
aged
article
Botswana (epidemiology)
female
human
male
middle aged
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19538699 (http://www.ncbi.nlm.nih.gov/pubmed/19538699)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1547-5069.2009.01266.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 506
TITLE
Improving services for people with alcohol-related problems.
AUTHOR NAMES
Mason C.
AUTHOR ADDRESSES
(Mason C.) Royal College of Nursing Northern Ireland, Belfast.
CORRESPONDENCE ADDRESS
C. Mason, Royal College of Nursing Northern Ireland, Belfast. Email:
carolyn.mason@rcn.org.uk
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2009)
23:38 (35-40). Date of Publication: 2009 May 27-Jun 2
ISSN
0029-6570
ABSTRACT
From March 2007 to April 2008 the Royal College of Nursing supported a
project to improve services for people with alcohol-related problems by
demonstrating and publicising the effectiveness of nursing interventions.
The project team included representation from England, Northern Ireland,
Wales and Scotland. This article presents a framework that can be adapted
and used by nurses to promote the development of specialist nursing services
by health and social care commissioners and policy makers to improve care
for people who misuse alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
health care quality
EMTREE MEDICAL INDEX TERMS
article
cost of illness
economics
health care policy
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19552044 (http://www.ncbi.nlm.nih.gov/pubmed/19552044)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 507
TITLE
Survey on addictions: toward curricular change for family nurse
practitioners.
AUTHOR NAMES
Campbell-Heider N.
Finnell D.S.
Feigenbaum J.C.
Feeley T.H.
Rejman K.S.
Austin-Ketch T.
Zulawski C.
Schmitt A.
AUTHOR ADDRESSES
(Campbell-Heider N.; Finnell D.S.; Feigenbaum J.C.; Feeley T.H.; Rejman
K.S.; Austin-Ketch T.; Zulawski C.; Schmitt A.) University at Buffalo, USA.
CORRESPONDENCE ADDRESS
N. Campbell-Heider, University at Buffalo, USA. Email: nheider@buffalo.edu
SOURCE
International journal of nursing education scholarship (2009) 6:1
(Article4). Date of Publication: 2009
ISSN
1548-923X (electronic)
ABSTRACT
The purpose of this paper is to describe the results of a survey of advanced
practice nurses (APNs) to determine the activities they perform related to
caring for patients with addictions and or co-occurring mental health
disorders, the amount of addictions education in their graduate programs,
and their perceptions of the value of addictions education for their role.
Data were obtained from 233 APNs in New York State using a tool adapted from
a previous job analysis survey. APNs reported the greatest amount of
experience in history taking for various types of addictions and
co-occurring mental health disorders and least amount of experience in
performing objective exams, using standardized screening tools, ordering
related diagnostic tests, prescribing pharmacological treatments, and making
referrals for addiction treatment. Respondents reported a mean of less than
three hours addictions education in their graduate programs in contrast to
their high perceived importance of this clinical area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
general practice
nurse attitude
nurse practitioner
nursing education
EMTREE MEDICAL INDEX TERMS
curriculum
education
epidemiology
female
health care quality
health personnel attitude
human
male
methodology
nurse
nursing
nursing evaluation research
professional competence
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19222396 (http://www.ncbi.nlm.nih.gov/pubmed/19222396)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 508
TITLE
The influence of addiction risk on nursing students' expectations of
patients' pain reports: A clinical vignette approach
AUTHOR NAMES
Miceli P.C.
Katz J.
AUTHOR ADDRESSES
(Miceli P.C., paula_m@yorku.ca; Katz J.) Department of Psychology, Faculty
of Health, York University, Toronto, ON, Canada.
CORRESPONDENCE ADDRESS
P. C. Miceli, Department of Psychology, Faculty of Health, York University,
Toronto, ON, Canada. Email: paula_m@yorku.ca
SOURCE
Pain Research and Management (2009) 14:3 (223-231). Date of Publication:
May-June 2009
ISSN
1203-6765
BOOK PUBLISHER
Pulsus Group Inc., 2902 South Sheridan Way, Oakville, Canada.
ABSTRACT
OBJECTIVE: To examine the influence of addiction risk (substance abuse
history [SAH]) and pain relief (PR) on nursing and non-nursing students'
perceptions of pain in a postoperative vignette patient. METHODS: Using a
2x2 design, the independent variables SAH (present/+, absent/-) and PR
(adequate, little) were varied systematically to produce four vignettes.
Participants were randomly assigned to receive one of the four vignettes
that described a 45-year-old man after a total hip replacement. Participants
rated the vignette patient's experienced and reported pain intensity (PI) on
a 0 mm to 100 mm visual analogue scale and addiction risk on a 0 mm to 100
mm visual analogue scale. A pain congruence (PC) score was calculated (PC =
reported PI - experienced PI), and was interpreted as congruent (±2 mm) or
incongruent (+2 mm to +100 mm for expected pain over-reporting; -2 mm to
-100 mm for expected pain under-reporting). RESULTS: Responses from
undergraduate nursing (n=89) and non-nursing (n=88) students were analyzed.
The estimated addiction risk was significantly lower in nursing (14% to 45%)
versus non-nursing students (50%). Nursing students' mean PC scores were not
significantly altered by SAH alone. Expectations of pain over-reporting were
observed under conditions of SAH+/adequate PR, but not SAH+/little PR. In
non-nursing students, SAH and PR were significant and independent factors
influencing mean PC scores in the direction of pain over-reporting.
CONCLUSION: Under most conditions, nursing students expected pain
under-reporting by the postoperative vignette patient. However, nursing
students did expect pain to be over-reported when addiction risk was high
and PR was adequate. These data suggest that nursing students' expectations
regarding pain over- and under-reporting were sensitive to perceptions of
addiction risk, but involved additional factors (eg, level of PR). ©2009
Pulsus Group Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
postoperative pain
student attitude
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
controlled study
female
human
male
nursing student
risk assessment
substance abuse
total hip prosthesis
vignette
visual analog scale
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Orthopedic Surgery (33)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2010010999
MEDLINE PMID
19547762 (http://www.ncbi.nlm.nih.gov/pubmed/19547762)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 509
TITLE
Addressing substance abuse among nursing students: development of a
prototype alternative-to-dismissal policy.
AUTHOR NAMES
Monroe T.
AUTHOR ADDRESSES
(Monroe T.) University of Tennessee Health Science Center, Memphis,
Tennessee, USA.
CORRESPONDENCE ADDRESS
T. Monroe, University of Tennessee Health Science Center, Memphis,
Tennessee, USA. Email: tmonroe@utmem.edu
SOURCE
The Journal of nursing education (2009) 48:5 (272-278). Date of Publication:
May 2009
ISSN
0148-4834
ABSTRACT
Substance abuse and dependency are health issues that require effective
policies within nursing education. In 2007, the University of Memphis School
of Nursing drafted a new substance abuse policy using the American
Association of Colleges of Nursing's Policy and Guidelines for Prevention
and Management of Substance Abuse in the Nursing Education Community. These
guidelines include the assumption that addiction is an illness that can be
treated and the philosophy that schools of nursing are committed to
assisting students with recovery. The new policy at University of Memphis
School of Nursing incorporated prevention, education, identification,
evaluation, treatment referral, and reentry guidelines, as well as
disciplinary action for students unwilling to undergo rehabilitation. It is
hoped this new substance abuse policy will serve as a prototype for other
institutions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation)
nursing education
nursing student
policy
EMTREE MEDICAL INDEX TERMS
article
education
human
malpractice
organization and management
psychological aspect
substance abuse
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19476032 (http://www.ncbi.nlm.nih.gov/pubmed/19476032)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 510
TITLE
Tobacco dependence treatment education for baccalaureate nursing students.
AUTHOR NAMES
Butler K.M.
Rayens M.K.
Zhang M.
Maggio L.G.
Riker C.
Hahn E.J.
AUTHOR ADDRESSES
(Butler K.M.; Rayens M.K.; Zhang M.; Maggio L.G.; Riker C.; Hahn E.J.)
University of Kentucky College of Nursing, Lexington, KY 40536, USA.
CORRESPONDENCE ADDRESS
K.M. Butler, University of Kentucky College of Nursing, Lexington, KY 40536,
USA. Email: Karen.Butler@uky.edu
SOURCE
The Journal of nursing education (2009) 48:5 (249-254). Date of Publication:
May 2009
ISSN
0148-4834
ABSTRACT
Tobacco use is the leading cause of preventable disease and death in the
United States. Nurses are effective interventionists for tobacco dependence
treatment but lack the related education. This quasi-experimental study
evaluated the impact of the Rx for Change: Clinician-Assisted Tobacco
Cessation curriculum on baccalaureate nursing students' perceived knowledge,
confidence, skills, and opinions related to tobacco dependence treatment.
Cohort 1 completed a process evaluation to assess acceptability of the
pretraining survey and intervention. Cohort 2 completed pretraining and
posttraining surveys. A subsample received a 2-hour intervention, whereas
other participants received 6 hours of training. Cohort 1 rated the
pretraining survey instrument favorably. In cohort 2, the Rx for Change
program had a positive impact on perceived knowledge, confidence, skills,
and opinions. Outcomes did not differ based on duration of intervention or
students' smoking status. Further research related to standardized content
for tobacco dependence treatment is indicated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
nursing education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adolescent
adult
analysis of variance
article
attitude to health
clinical trial
comparative study
education
female
human
male
nursing
time
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19476029 (http://www.ncbi.nlm.nih.gov/pubmed/19476029)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 511
TITLE
Improving nurses' therapeutic attitude to patients who use illicit drugs:
workplace drug and alcohol education is not enough.
AUTHOR NAMES
Ford R.
Bammer G.
Becker N.
AUTHOR ADDRESSES
(Ford R.; Bammer G.; Becker N.) School of Nursing and Midwifery, The
Australian Catholic University, Fitzroy, Victoria, Australia.
CORRESPONDENCE ADDRESS
R. Ford, School of Nursing and Midwifery, The Australian Catholic
University, Fitzroy, Victoria, Australia. Email: rosemary.ford@acu.edu.au
SOURCE
International journal of nursing practice (2009) 15:2 (112-118). Date of
Publication: Apr 2009
ISSN
1440-172X (electronic)
ABSTRACT
This study examines the impact of workplace drug and alcohol education on
nurses' therapeutic attitude to patients who use illicit drugs. It builds on
a study of the generalist nursing workforce in the Australian Capital
Territory in 2003, which showed that the interaction of role support with
workplace drug and alcohol education facilitated nurses' therapeutic
attitude. This paper explores this interaction in detail, showing that
workplace education has no independent association with therapeutic attitude
and that an effect from education only occurs when nurses have at least a
moderate level of role support. Nursing workforce development needs to focus
on strategies that provide role support for nurses as they work with this
clinically challenging patient group. Without the ready availability of
someone in the nurse's clinical field to advise and assist them, efforts to
increase nurses' knowledge and skills are wasted.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
alcoholism (prevention)
health education
health personnel attitude
nurse
nurse patient relationship
patient education
workplace
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19335529 (http://www.ncbi.nlm.nih.gov/pubmed/19335529)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-172X.2009.01732.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 512
TITLE
Changes in general nurses' knowledge of alcohol and substance use and misuse
after education
AUTHOR NAMES
Tran D.T.
Stone A.M.
Fernandez R.S.
Griffiths R.D.
Johnson M.
AUTHOR ADDRESSES
(Tran D.T.) Centre for Applied Nursing Research, University of Western
Sydney, Penrith, NSW, Australia.
(Stone A.M.) Drug Health Services, Sydney South West Area Health Service,
Liverpool, NSW, Australia.
(Fernandez R.S.) Centre for Applied Nursing Research, Sydney South West Area
Health Service, Liverpool, NSW, Australia.
(Griffiths R.D.) School of Nursing and Midwifery, University of Western
Sydney, Penrith, NSW, Australia.
(Johnson M.) University of Western Sydney, Penrith, NSW, Liverpool, NSW,
Australia.
(Griffiths R.D.; Johnson M.) Sydney South West Area Health Service,
Liverpool, NSW, Australia.
CORRESPONDENCE ADDRESS
D. T. Tran, Centre for Applied Nursing Research, University of Western
Sydney, Penrith, NSW, Australia.
SOURCE
Perspectives in Psychiatric Care (2009) 45:2 (128-139). Date of Publication:
April 2009
ISSN
0031-5990
1744-6163 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
PURPOSE. This study aims to assess the impact of an education program on
Australian general nurses' knowledge and competence in identifying and
managing patients with alcohol and substance use and misuse, and compare
findings with existing literature on mental health nurses. DESIGN AND
METHODS. Pre- and posttest design without a control group. FINDINGS. The
nurses' knowledge of safe drinking limits and alcohol withdrawal management
improved following the education. Nevertheless, overall the nurses reported
a lack of adequate knowledge and competence. Compared to mental health
nurses, the nurses in this study had lower levels of knowledge and
competence. PRACTICE IMPLICATIONS. We suggest several opportunities for
general nurses to strengthen their knowledge and skills and the need for a
comprehensive and regular education program. © 2009 Wiley Periodicals, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
alcoholism (diagnosis, rehabilitation)
clinical competence
delirium tremens (diagnosis, rehabilitation)
in service training
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
curriculum
education
female
human
male
middle aged
nursing
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19366423 (http://www.ncbi.nlm.nih.gov/pubmed/19366423)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1744-6163.2009.00213.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 513
TITLE
Overweight and perception of overweight as predictors of smokeless tobacco
use and of cigarette smoking in a cohort of Swedish adolescents
AUTHOR NAMES
Caria M.P.
Bellocco R.
Zambon A.
Horton N.J.
Galanti M.R.
AUTHOR ADDRESSES
(Galanti M.R., rosaria.galanti@ki.se) Department of Medicine, Clinical
Epidemiology Unit, T2, 17176 Stockholm, Sweden.
(Caria M.P.; Bellocco R.; Zambon A.) Department of Statistics, University of
Milano-Bicocca, Milan, Italy.
(Bellocco R.) Department of Medical Epidemiology and Biostatistics,
Karolinska Institutet, Stockholm, Sweden.
(Horton N.J.) Department of Mathematics and Statistics, Smith College,
Northampton, MA, United States.
(Galanti M.R., rosaria.galanti@ki.se) Stockholm Centre for Public
Health/Tobacco Prevention, Stockholm, Sweden.
(Galanti M.R., rosaria.galanti@ki.se) Clinical Epidemiology Unit, Department
of Medicine, Karolinska Institutet, Stockholm, Sweden.
CORRESPONDENCE ADDRESS
M. R. Galanti, Department of Medicine, Clinical Epidemiology Unit, T2, 17176
Stockholm, Sweden. Email: rosaria.galanti@ki.se
SOURCE
Addiction (2009) 104:4 (661-668). Date of Publication: April 2009
ISSN
0965-2140
1360-0443 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aim To study the association between measured or perceived overweight in
adolescence and subsequent uptake of cigarette smoking and of the Swedish
smokeless tobacco 'snus' (oral moist snuff). Design Population-based
prospective cohort study with 7 years' follow-up. Setting Self-administered
questionnaires and school nurses' visits. Participants A total of 2922
children of both sexes and mean age 11.6 years at recruitment, resident in
the Stockholm region, Sweden. Measurements Tobacco use was self-reported at
baseline and on six subsequent surveys. Subjects' height and weight were
measured by school nurses during the first 4 years, self-reported
thereafter. Overweight perception was self-reported at the age of 15 years.
Findings Overweight and perception of overweight were not associated with
subsequent uptake of either smoking or snus among males. Among females,
overweight at baseline was associated with uptake of smoking [adjusted
hazard ratio (HR) 1.34, 95% confidence interval (CI) 1.09-1.63], but not of
snus. A similar pattern was found with overweight status during follow-up.
Among girls with low-educated parents, overweight at baseline predicted the
uptake of both snus and smoking. Among 15-year-old females who never used
tobacco perceived overweight was associated with subsequent uptake of
smoking (adjusted HR 1.71, 95% CI 1.20-2.46), but not of snus. Conclusions
In Sweden, adolescent girls with actual or perceived overweight are at
increased risk to start smoking, while indications that this increased risk
applies to smokeless tobacco (snus) are limited to girls of low
socio-economic status. © 2009 Society for the Study of Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
adolescent
longitudinal study
obesity
smokeless tobacco
smoking
smoking
Sweden
EMTREE MEDICAL INDEX TERMS
child
cohort analysis
confidence interval
female
follow up
girl
hazard ratio
height
male
parent
population
questionnaire
risk
school health nursing
tobacco
weight
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009136226
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2009.02506.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 514
TITLE
High-fat diet and the risk for non-alcoholic fatty liver disease: A
population based-study
AUTHOR NAMES
Lobello S.
Floreani A.
Bressan A.
Petridis I.
Rosa Rizzotto E.
Di Andrea O.
Testa R.
Marra M.
Salmaso L.
Chiaramonte M.
AUTHOR ADDRESSES
(Lobello S.) ASL 16, University of Padova, Padova, Italy.
(Floreani A., annarosa.floreani@unipd.it; Bressan A.) Dept of Surgical and
Gastroenterological Sci, University of Padova, Padova, Italy.
(Petridis I.; Chiaramonte M.) Dept of Medicine and Public Health, University
of l'Aquila, L'Aquila, Italy.
(Rosa Rizzotto E.) University of Padovaii, Padova, Italy.
(Di Andrea O.) ASL 16, Teramo, Italy.
(Testa R.) Dept of Gerontology, Diabetology Unit, INRCA, Ancona, Italy.
(Marra M.) Dept of Gerontology, Diabetology Unit, INRCAi, Ancona, Italy.
(Salmaso L.) Dept of Statistics, University of Padova, Padova, Italy.
CORRESPONDENCE ADDRESS
S. Lobello, ASL 16, University of Padova, Padova, Italy.
SOURCE
Journal of Hepatology (2009) 50 SUPPL. 1 (S365). Date of Publication: April
2009
CONFERENCE NAME
International Liver Congress 2009, 44th Annual Meeting of the European
Association for the Study of the Liver
CONFERENCE LOCATION
Copenhagen, Denmark
CONFERENCE DATE
2009-04-22 to 2009-04-26
ISSN
0168-8278
BOOK PUBLISHER
Elsevier
ABSTRACT
The prevalence of NAFLD assessed by ultrasound (US) studies in the general
population has been estimated ranging between 20-30%; it has mainly been
associated to the metabolic syndrome components, especially obesity,
dislipidaemia, and insulin resistance. The influence of dietary patterns is
still poorly understood. Aims: To evaluate: 1. the prevalence of NAFLD in
the general population; 2. the relationship between fatty liver and the
following factors: dietary pattern, biochemical tests, and anthropometric
characteristics. Methods: A cross-sectional study in a sub-sample (n = 358)
of 700 residents in Arsita (a small town of Central Italy) was performed by
US, biochemical tests, anthropometric evaluation. A semi-quantitative
foodfrequency computer-assisted questionnaire was administered (Winfood 1.5,
Medimatica srl, Martinsicuro, Italy). Results: US fatty liver was observed
in 50.3% of cases (19.8% of whom had mild, 21.1% moderate, and 8% severe
fatty liver); liver steatosis increased with advancing age with a 62.8% peak
in males in the class of age between 46 and 75 years and was mainly
associated to both obesity and alcohol abuse (87.4%). Only 8% of residents
consumed a Mediterranean diet (2000-2500 Kcal, with 30% of lipids, mainly
unsatured); 35% consumed a high-fat (55% lipids-65% saturated
fat)/high-calories (3500-4500 Kcal) diet; 57% consumed a high-fat (40
lipids-50% saturated fat)/normalcalories diet. Logistic regression analysis
showed that, adjusting for age and gender, BMI>25 kg/m(2) (OR = 0.25,
0.13-0.51 95% CI), HOMA>2.3 (OR = 0.30, 0.14-0.67 95% CI), and
high-fat/high-calories diet (OR = 23.5, 2.74-201.8 95% CI) were
significantly associated with NAFLD. Conclusion: Nutritional habits have a
great importance in the pathogenesis of NAFLD; preventative efforts should
be addressed to children in nursery and primary school. On behalf of Arsita
Research Group, University of L'Aquila, Italy.
EMTREE DRUG INDEX TERMS
lipid
saturated fatty acid
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
lipid diet
liver
liver disease
nonalcoholic fatty liver
population
risk
EMTREE MEDICAL INDEX TERMS
alcohol abuse
calorie
child
city
computer
cross-sectional study
diet
fatty liver
feeding behavior
gender
insulin resistance
Italy
logistic regression analysis
male
Mediterranean diet
metabolic syndrome X
nursery
obesity
pathogenesis
prevalence
primary school
questionnaire
ultrasound
university
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 515
TITLE
Gaining insite: harm reduction in nursing practice.
AUTHOR NAMES
Lightfoot B.
Panessa C.
Hayden S.
Thumath M.
Goldstone I.
Pauly B.
AUTHOR ADDRESSES
(Lightfoot B.; Panessa C.; Hayden S.; Thumath M.; Goldstone I.; Pauly B.)
Insite, Vancouver, British Columbia.
CORRESPONDENCE ADDRESS
B. Lightfoot, Insite, Vancouver, British Columbia.
SOURCE
The Canadian nurse (2009) 105:4 (16-22). Date of Publication: Apr 2009
ISSN
0008-4581
ABSTRACT
Insite, a supervised injection facility in Vancouver, British Columbia, is
an evidence-based response to the ongoing health and social crisis in the
city's Downtown Eastside. It has been shown that Insite's services increase
treatment referrals, mitigate the spread and impact of blood-borne diseases
and prevent overdose deaths. One of the goals of this facility is to improve
the health of those who use injection drugs. Nurses contribute to this goal
by building trusting relationships with clients and delivering health
services in a harm reduction setting. The authors describe nursing practice
at Insite and its alignment with professional and ethical standards of
registered nursing practice. Harm reduction is consistent with accepted
standards for nursing practice as set out by the College of Registered
Nurses of British Columbia and the Canadian Nurses Association and with
World Health Organization guidelines.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
harm reduction
health care facility
nursing
substance abuse (complication)
EMTREE MEDICAL INDEX TERMS
article
Canada
crime
ethics
health care delivery
health promotion
human
medical ethics
nurse patient relationship
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19435252 (http://www.ncbi.nlm.nih.gov/pubmed/19435252)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 516
TITLE
Dating violence among high school students in southeastern North Carolina.
AUTHOR NAMES
Kim-Godwin Y.S.
Clements C.
McCuiston A.M.
Fox J.A.
AUTHOR ADDRESSES
(Kim-Godwin Y.S.; Clements C.; McCuiston A.M.; Fox J.A.) School of Nursing,
University of North Carolina at Wilmington, North Carolina, USA.
CORRESPONDENCE ADDRESS
Y.S. Kim-Godwin, School of Nursing, University of North Carolina at
Wilmington, North Carolina, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2009) 25:2 (141-151). Date of Publication: Apr
2009
ISSN
1059-8405
ABSTRACT
Adolescents are a high-risk group for dating violence. Using the Youth Risk
Behavior Survey data, this study examined the associations among dating
violence (including physical dating violence [PDV] and sexual dating
violence [SDV]) and selected health risk behaviors among 375 and 372 high
school students, in 2005 and 2007, respectively, in southeastern North
Carolina. The findings indicate PDV increased slightly from 2005 (11.6%) to
2007 (12.5%), while SDV remained approximately the same (10.4% in 2005 and
10.3% in 2007). PDV was strongly associated with SDV among high school
students in 2005 and 2007. Significant associations also exist among dating
violence and sexual behavior, substance use, violence, psychological health,
and unhealthy weight control. School nurses should be actively involved in
promoting healthy lifestyles and healthy choices among high school students
through interdisciplinary efforts with parents, teachers, school districts,
and communities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
courtship
high risk behavior
sexual crime (prevention)
violence (prevention)
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology, prevention)
adolescent
article
female
human
male
risk assessment
school health nursing
sexual behavior
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19244207 (http://www.ncbi.nlm.nih.gov/pubmed/19244207)
FULL TEXT LINK
http://dx.doi.org/10.1177/1059840508330679
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 517
TITLE
Development of pharmaceutical care services in nursing homes: Practice and
research in a Swiss canton
AUTHOR NAMES
Locca J.-F.
Ruggli M.
Buchmann M.
Huguenin J.
Bugnon O.
AUTHOR ADDRESSES
(Locca J.-F.; Bugnon O., olivier.bugnon@hospvd.ch) Community Pharmacy
Practice Research Unit, Universities of Lausanne and Geneva, Pharmacie de la
PMU, Rue du Bugnon 44, 1011 Lausanne, Switzerland.
(Ruggli M.) PharmaSuisse, Swiss Association of Pharmacists, 3097
Bern-Liebefeld, Switzerland.
(Buchmann M.) Community Pharmacy Tête Noire, 1680 Romont, Switzerland.
(Huguenin J.) Institute of Health Economics and Management, University of
Lausanne, 1015 Lausanne, Switzerland.
CORRESPONDENCE ADDRESS
O. Bugnon, Community Pharmacy Practice Research Unit, Universities of
Lausanne and Geneva, Pharmacie de la PMU, Rue du Bugnon 44, 1011 Lausanne,
Switzerland. Email: olivier.bugnon@hospvd.ch
SOURCE
Pharmacy World and Science (2009) 31:2 (165-173). Date of Publication: April
2009
ISSN
0928-1231
BOOK PUBLISHER
Springer Netherlands, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Objective The aim of this study was to assess the implementation process and
economic impact of a new pharmaceutical care service provided since 2002 by
pharmacists in Swiss nursing homes. Setting The setting was 42 nursing homes
located in the canton of Fribourg, Switzerland under the responsibility of
22 pharmacists. Method We developed different facilitators, such as a
monitoring system, a coaching program, and a research project, to help
pharmacists change their practice and to improve implementation of this new
service. We evaluated the implementation rate of the service delivered in
nursing homes. We assessed the economic impact of the service since its
start in 2002 using statistical evaluation (Chow test) with retrospective
analysis of the annual drug costs per resident over an 8-year period
(1998-2005). Main outcome measures The description of the facilitators and
their implications in implementation of the service; the economic impact of
the service since its start in 2002. Results In 2005, after a 4-year
implementation period supported by the introduction of facilitators of
practice change, all 42 nursing homes (2,214 residents) had implemented the
pharmaceutical care service. The annual drug costs per resident decreased by
about 16.4% between 2002 and 2005; this change proved to be highly
significant. The performance of the pharmacists continuously improved using
a specific coaching program including an annual expert comparative report,
working groups, interdisciplinary continuing education symposia, and
individual feedback. This research project also determined priorities to
develop practice guidelines to prevent drug-related problems in nursing
homes, especially in relation to the use of psychotropic drugs. Conclusion
The pharmaceutical care service was fully and successfully implemented in
Fribourg's nursing homes within a period of 4 years. These findings
highlight the importance of facilitators designed to assist pharmacists in
the implementation of practice changes. The economic impact was confirmed on
a large scale, and priorities for clinical and pharmacoeconomic research
were identified in order to continue to improve the quality of integrated
care for the elderly. © 2008 Springer Science+Business Media B.V.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical practice
medical research
EMTREE MEDICAL INDEX TERMS
aged
article
controlled study
female
human
male
nursing home
pharmacist
pharmacy
Switzerland
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009147444
MEDLINE PMID
19067223 (http://www.ncbi.nlm.nih.gov/pubmed/19067223)
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-008-9273-9
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 518
TITLE
Critical incidents in acute pain and the opioid dependent patient:
Introduction of a pain teaching module
AUTHOR NAMES
Kalbag A.
Gilfillan N.
Graham B.
Stranix N.
Townsend R.
Bourne N.
AUTHOR ADDRESSES
(Kalbag A.; Gilfillan N.; Graham B.; Stranix N.) Imperial College,
Anaesthetics, London, United Kingdom.
(Townsend R.; Bourne N.) Imperial College, London, United Kingdom.
CORRESPONDENCE ADDRESS
A. Kalbag, Imperial College, Anaesthetics, London, United Kingdom.
SOURCE
Pain Practice (2009) 9 SUPPL. 1 (53). Date of Publication: March 2009
CONFERENCE NAME
5th World Congress - World Institute of Pain
ISSN
1530-7085
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Background and Aims: The safe and effective management of acute pain
requires the appropriate education and training in the delivery of pain
relief. Misunderstandings in the terminology related to substance abuse,
tolerance, addiction and physical dependence may lead to inappropriate pain
management (American Acad Pain Med 2004). Accurate nursing/carer knowledge
about pain assessment and intervention is critical to effective pain
management. (Loeb 1999). The aims of this audit were to identify whether
introduction of an acute pain teaching module for junior anaesthetists made
any difference to the number and type of critical incidents being reported.
Methods: Our teaching programme was conducted on a weekly basis. It
consisted of 6 presentations followed by group discussion. Critical
incidents reported on our database were categorized by type of incident and
if they were nursing or physician related. The number of opioid dependent
patients needing a PCA between August 2006 and August 2008 was documented.
Results: The physician related incidents were higher than the nursing
related incidents over the period of August 2006-February 2008. However,
following this period, no such incidents were reported. (Figure Presented).
Conclusions: Introduction of an acute pain teaching module for anaesthetic
trainees along with dissemination of guidelines for PCA use in the opioid
dependent patient reduced the number and type of such incidents occurring,
thereby improving overall patient care.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE DRUG INDEX TERMS
anesthetic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
patient
teaching
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
data base
drug dependence
education
medical audit
nursing
pain assessment
patient care
physician
student
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1533-2500.2009.00266.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 519
TITLE
Project ECHO (extension for community healthcare outcomes): Knowledge
networks expand access to Hepatitis C (HCV) treatment with pegylated
interferon and ribavirin in rural areas and prisons. Care is as effective as
a university HCV clinic
AUTHOR NAMES
Arora S.
Murata G.H.
Thornton K.A.
Jenkusky S.
Parish B.
Dunkelberg J.C.
Deming P.
Kalishman S.
Dion D.
AUTHOR ADDRESSES
(Arora S.; Murata G.H.; Thornton K.A.; Dunkelberg J.C.; Dion D.) Internal
Medicine, University of New Mexico, Albuquerque, United States.
(Jenkusky S.; Parish B.) Psychiatry, University of New Mexico, Albuquerque,
United States.
(Deming P.) Pharmacy, University of New Mexico, Albuquerque, United States.
(Kalishman S.) Family Community Medicine, University of New Mexico,
Albuquerque, United States.
CORRESPONDENCE ADDRESS
S. Arora, Internal Medicine, University of New Mexico, Albuquerque, United
States.
SOURCE
Hepatology (2009) 50 SUPPL. 4 (654A). Date of Publication: 2009
CONFERENCE NAME
60th Annual Meeting of the American Association for the Study of Liver
Diseases: The Liver Meeting 2009
CONFERENCE LOCATION
Boston, MA, United States
CONFERENCE DATE
2009-10-30 to 2009-11-03
ISSN
0270-9139
BOOK PUBLISHER
John Wiley and Sons Ltd
ABSTRACT
Purpose: To conduct a prospective cohort study to evaluate the efficacy of
HCV treatment by primary care providers in rural areas and prisons in
comparison to university clinics. Methods: Project ECHO is a new method of
healthcare delivery and clinical education for the management of complex,
common and chronic diseases, in underserved areas, using HCV as a model. In
a worldwide competition sponsored by Ashoka Foundation and Robert Wood
Johnson Foundation, Project ECHO was selected as the most disruptive
innovation in healthcare that can improve healthcare globally. The Project
ECHO Hepatitis C initiative is a partnership of University of New Mexico,
eight prisons and fourteen rural health clinics dedicated to providing best
practices and protocol-driven healthcare in rural areas. Telemedicine and
internet connections enable specialists to comanage HCV patients using
case-based knowledge networks and to track outcomes. Project ECHO was
Project ECHO partners (nurse practitioners, primary care physicians, and
physician assistants) present HCV positive patients during weekly 2-hour
telemedicine clinics using a standardized, case-based format that includes
discussion of history, physical examination and test results. In these
case-based learning clinics, partners rapidly gain deep domain expertise in
HCV as they collaborate with university specialists in hepatology,
psychiatry and substance abuse in co-managing their patients. Results: Since
2003, 395 HCV knowledge network clinics have been conducted with 3965 case
presentations. 3812 hours of Hepatitis C related no cost CME credits have
been awarded to rural providers. 340 patients that met the study
inclusion/exclusion criteria have terminated their treatment for hepatitis C
(236 at a Project ECHO site and 104 at UNMH). Their mean age was 43.5 ± 10.5
years, 62.4% were male, and 58.7% were members of a minority group (mostly
Hispanic). Of the 280 subjects whose final status has been determined, 152
were free of virus at 6 month follow-up. No difference was found in the cure
rate for Project ECHO sites versus UNM (52.6% versus 58.3%). Project ECHO
sites were more likely to treat minorities (63.9% versus 47.1%; P=0.004) and
Hispanics (56.1% versus 34.3%; P<0.001) than the University. Significant
adverse events (SAE) occurred in 11.2% of patients. Female gender, a high
globulin, advanced age, and low BUN, were predictive of development of an
SAE. Primary care providers experienced significant improvement in self
efficacy and professional satisfaction(p<0.0001). Conclusions: ECHO based
HCV treatment for rural patients and prisoners is as effective as a
university HCV clinic.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
peginterferon
ribavirin
EMTREE DRUG INDEX TERMS
globulin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
health care
hepatitis C
hospital
liver
liver disease
prison
rural area
university
EMTREE MEDICAL INDEX TERMS
chronic disease
clinical education
cohort analysis
competition
female
follow up
gender
health
health care delivery
health center
Hispanic
Internet
learning
male
medical specialist
minority group
model
non profit organization
nurse practitioner
patient
physical examination
physician
physician assistant
primary medical care
prisoner
psychiatry
satisfaction
self concept
substance abuse
telemedicine
United States
urea nitrogen blood level
virus
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1002/hep.23303
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 520
TITLE
Development and evaluation of a mental health care system at a Japanese
company.
AUTHOR NAMES
Ariyoshi H.
AUTHOR ADDRESSES
(Ariyoshi H.) Kurume University, Fukuoka, Japan.
CORRESPONDENCE ADDRESS
H. Ariyoshi, Kurume University, Fukuoka, Japan.
SOURCE
AAOHN journal : official journal of the American Association of Occupational
Health Nurses (2009) 57:2 (59-65). Date of Publication: Feb 2009
ISSN
0891-0162
ABSTRACT
Compared with other industrialized countries, the suicide rate in Japan is
high. The purpose of this research was to evaluate the mental health care
offered at a newspaper facing organizational restructuring and with an aging
work force. The Health and Safety Committee played a central role in the
creation and application of a new mental health care system. This plan,
developed to meet the on-site dynamics of the company, was based on the
Ministry of Health, Labour and Welfare's "Guide for Workers' Mental Health
Promotion in the Workplace" Executive officers' roles were defined at the
directors' meetings, and the Health and Safety Committee held Listening
Skills Seminars for executive personnel. As a result, the mental health care
system functioned effectively and fostered the care of two presenting
employees (i.e., one with slight depression with chronic lumbago and the
other with alcohol dependency). In addition, the number of workers who took
4 or more days of sick leave decreased from 31 of 190 in 1996 to 5 of 108 in
2004, with no psychologically related absences. Moreover, the number of
industrial injuries declined from 8 cases in 1996 to 0 cases in 2004, and no
occupational deaths or early retirements occurred between the fiscal years
of 1996 and 2004. As a result of this research at the company, a worksite
where repeated large-scale organizational restructuring has occurred, the
mental health care system functioned effectively and contributed to a
decrease in the rate of sick leave taken by workers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
mental disease (prevention)
mental health service
occupational health service
program development
EMTREE MEDICAL INDEX TERMS
adult
article
health care quality
human
Japan
male
mental stress (prevention)
middle aged
occupational health nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19283934 (http://www.ncbi.nlm.nih.gov/pubmed/19283934)
FULL TEXT LINK
http://dx.doi.org/10.3928/08910162-20090201-01
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 521
TITLE
Evaluation of clinical practice improvement programs for nurses for the
management of alcohol withdrawal in hospitals.
AUTHOR NAMES
Daly M.
Kermode S.
Reilly D.
AUTHOR ADDRESSES
(Daly M.; Kermode S.; Reilly D.) Riverlands Drug & Alcohol Centre, Lismore
NSW, Australia.
CORRESPONDENCE ADDRESS
M. Daly, Riverlands Drug & Alcohol Centre, Lismore NSW, Australia.
SOURCE
Contemporary nurse : a journal for the Australian nursing profession (2009)
31:2 (98-107). Date of Publication: Feb 2009
ISSN
1037-6178
ABSTRACT
The most common alcohol-related chronic condition for hospitalisation is
alcohol dependence which can lead to an alcohol withdrawal syndrome (AWS).
The aim of this paper is to report on a quality improvement program in an
Australian rural area health service for the screening and management of
alcohol withdrawal and the effect of two types of nursing education and
training approaches: a self-directed competency training package and a more
traditional in-service program. The measure of improvement was compliance to
nine clinical standards or core competencies for the assessment and
treatment of the AWS derived from the Clinical Institute Withdrawal
Assessment for Alcohol-Revised (CIWA-Ar) scale and the NSW drug and alcohol
withdrawal clinical practice guidelines. An audit of medical records using a
standardised protocol for the nine standards was conducted at baseline
(n=100) and follow-up (n=340) across eleven hospitals in the area. Results
indicated that in three hospitals, where 70 nurses completed the
self-directed competency training, there was a higher total compliance score
across the nine standards compared to eight hospitals where 238 nurses
received the in-service program. The self-directed competency program was
also rated highly by nurses who participated in the program. The benefits of
self-directed competency training are discussed as well as future
recommendations for improving nurse education strategies for managing
alcohol withdrawal.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
health care quality
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
article
Australia
clinical competence
human
nursing
practice guideline
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19379112 (http://www.ncbi.nlm.nih.gov/pubmed/19379112)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 522
TITLE
Cigarette smoking among healthcare professional students of University of
Lagos and Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos,
Nigeria.
AUTHOR NAMES
Aina B.A.
Oyerinde O.O.
Joda A.E.
Dada O.O.
AUTHOR ADDRESSES
(Aina B.A.) Department of Clinical Pharmacy and Biopharmacy, Faculty of
Pharmacy, University of Lagos, Idi Araba Campus, Lagos, Nigeria.
(Oyerinde O.O.; Joda A.E.; Dada O.O.)
CORRESPONDENCE ADDRESS
B.A. Aina, Department of Clinical Pharmacy and Biopharmacy, Faculty of
Pharmacy, University of Lagos, Idi Araba Campus, Lagos, Nigeria. Email:
bolajokoaina@yahoo.com
SOURCE
Nigerian quarterly journal of hospital medicine (2009) 19:1 (42-46). Date of
Publication: 2009 Jan-Mar
ISSN
0189-2657
ABSTRACT
BACKGROUND: It is a known fact that health professionals can play a critical
role in reducing tobacco use. In fact, it has been shown that even brief and
simple advice from health care professionals can substantially increase
smoking cessation rates. Students in healthcare professions are future
healthcare professionals, identifying and documenting their knowledge,
attitudes and practices with regards to tobacco smoking would shed light as
to their future effectiveness in providing this much needed public health
initiative in their practices. OBJECTIVE: This research was carried out to
determine cigarette smoking habit among healthcare professional students of
University of Lagos and Nursing students of Lagos University Teaching
Hospital. METHODS: The study was a cross-sectional descriptive survey. Data
was collected by the use of a structured, self administered questionnaire
which was aimed at determining their smoking status and their attitudes. The
target population was first and final professional year students
representing the two class extremes and attempt was made to survey all the
students that fell within this identified target population without
randomization. Data was collected between March and June 2007. RESULTS: Out
of 814 qualified participants, 433 responded to the questionnaire (53%).
Smoking prevalence was highest among dental students (8.48%) while both
Physiotherapy and Nursing students had nil prevalence rates. Overall, the
current smoking prevalence was 3.93%. There was no statistically significant
difference between the smoking habits of first year and final year students
(p = 0.99). Based on Fagerstrom nicotine addiction test, only a small
proportion of the current smokers can be classified as being maximally
addicted (6.0%). CONCLUSIONS: From this study it can be concluded that
smoking prevalence is low among healthcare professional students at the
University of Lagos and this is a good indication that they would play
critical role in reducing tobacco use. It is recommended that a tobacco
counselling unit should be set up by the school authority.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking (adverse drug reaction, epidemiology)
smoking cessation
student
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cross-sectional study
female
human
male
Nigeria (epidemiology)
prevalence
psychological aspect
questionnaire
sex ratio
statistics
teaching hospital
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
20830986 (http://www.ncbi.nlm.nih.gov/pubmed/20830986)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 523
TITLE
Educational needs analysis regarding co-morbid pain and substance abuse
AUTHOR NAMES
Tanner T.B.
Metcalf M.P.
Rossie K.
AUTHOR ADDRESSES
(Tanner T.B., tanner@clinicaltools.com; Metcalf M.P.; Rossie K.) Clinical
Tools, Inc., Chapel Hill, United States.
CORRESPONDENCE ADDRESS
T.B. Tanner, Clinical Tools, Inc., Chapel Hill, United States. Email:
tanner@clinicaltools.com
SOURCE
Pain Medicine (2009) 10:1 (269). Date of Publication: January-February 2009
CONFERENCE NAME
25th Annual Meeting of the American Academy of Pain Medicine, AAPM
CONFERENCE LOCATION
Honolulu, HI, United States
CONFERENCE DATE
2009-01-27 to 2009-01-31
ISSN
1526-2375
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Introduction/Statement of the Problem: Successful treatment modalities for
patients with co-morbid pain and substance abuse problems have been
developed. However, the practice community is ill-equipped to incorporate
such evidence-based recommendations or strong clinical consensus opinions
due to a lack of knowledge and training in this area. Materials and
Methods:Using funding from NIDA, this project is surveying and interviewing
primary care physicians (PCP(s)), primary care residents, and nurse
practitioners (NP(s)), to determine educational needs and learning
preferences. We also inquired about interest in an educational experience
involving Internet-based Standardized Patients (SP(s)) to mirror the
challenges and variability of interviewing live patients. Exempt research
determined by the Clinical Tools' IRB involved opt-in subjects who were
contacted by email about participating in online surveys (n = 9 for each
group). Results: Each group prioritized training need as follows: 1)
treating patients in recovery, 2) treating patients actively using
substances, 3) treating patients at risk for substance abuse. With respect
to conventional online, case-based educational courses, each group preferred
a format using multiple short cases (>75%). They differed slightly in terms
of how to best integrate cases and factual content but all preferred
interactive questions/answer pairs on every page. The majority of each group
expressed interest in learning by interviewing a virtual SP. For the SP
experience, a chat-based interview was preferred to a video-based interview.
Practicing physicians want very flexible hours and quick response time.
Residents and NPs are more willing to wait for a response. Conclusions:
PCPs, residents and NPs identify a need to learn more about co-morbid
substance abuse and pain. They are interested in online education solutions,
especially those that employ multiple cases as the learning modality and
interactive questions. They are willing to engage with virtual SP via chat.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain
substance abuse
EMTREE MEDICAL INDEX TERMS
community
consensus
e-mail
education
evidence based practice
funding
Internet
interview
learning
nurse practitioner
patient
physician
primary medical care
response time
risk
videorecording
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1526-4637.2008.00537.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 524
TITLE
Binge drinking in college-aged women: Framing a gender-specific prevention
strategy
AUTHOR NAMES
Kelly-Weeder S.
AUTHOR ADDRESSES
(Kelly-Weeder S., kellywee@bc.edu) Family Nurse Practitioner Program, .
(Kelly-Weeder S., kellywee@bc.edu) William F Connell School of Nursing,
Boston College, Chestnut Hill, MA.
(Kelly-Weeder S., kellywee@bc.edu) William F Connell School of Nursing,
Boston College, Cushing Hall 420, 140 Commonwealth Avenue, Chestnut Hill, MA
02467.
CORRESPONDENCE ADDRESS
S. Kelly-Weeder, William F Connell School of Nursing, Boston College,
Cushing Hall 420, 140 Commonwealth Avenue, Chestnut Hill, MA 02467. Email:
kellywee@bc.edu
SOURCE
Journal of the American Academy of Nurse Practitioners (2008) 20:12
(577-584). Date of Publication: December 2008
ISSN
1041-2972
1745-7599 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Purpose: To provide an overview of binge drinking in college-aged women and
to suggest strategies for nurse practitioners (NPs) to assist women in
preventing the negative consequences associated with this behavior. Data
sources: Original research articles and comprehensive review articles
identified through Medline, CINAHL, and OVID databases. Conclusions:
Researchers have shown that the rates of binge drinking in college-aged
women are increasing, which places these women at increased risk for the
long-term complications associated with alcohol use. Implications for
practice: NPs must be aware of this phenomenon and carefully screen women
for high-risk alcohol use. Prevention strategies are reviewed and include
the use of brief motivational interviews delivered during individual client
encounters as well as through Web-based programs. © 2008 American Academy of
Nurse Practitioners.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology, prevention)
female
nurse practitioner
student
university
EMTREE MEDICAL INDEX TERMS
article
attitude to health
drinking behavior (prevention)
education
health service
human
lifestyle
methodology
motivation
nurse attitude
nursing assessment
organization and management
patient education
primary health care
primary prevention
psychological aspect
risk factor
statistics
women's health
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19120588 (http://www.ncbi.nlm.nih.gov/pubmed/19120588)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1745-7599.2008.00357.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 525
TITLE
Brief advice for 'harmful' drinkers.
AUTHOR NAMES
Davies G.
AUTHOR ADDRESSES
(Davies G.) Emergency Department, Addenbrooke's Hospital, Cambridge.
CORRESPONDENCE ADDRESS
G. Davies, Emergency Department, Addenbrooke's Hospital, Cambridge.
SOURCE
Emergency nurse : the journal of the RCN Accident and Emergency Nursing
Association (2008) 16:8 (26-27). Date of Publication: Dec 2008
ISSN
1354-5752
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
emergency health service
emergency nursing
nurse attitude
patient education
EMTREE MEDICAL INDEX TERMS
article
human
organization and management
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19119566 (http://www.ncbi.nlm.nih.gov/pubmed/19119566)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 526
TITLE
Beliefs, Knowledge, and Self-Efficacy of Nursing Students Regarding Tobacco
Cessation
AUTHOR NAMES
Lenz B.K.
AUTHOR ADDRESSES
(Lenz B.K., bklenz@stcloudstate.edu) Department of Nursing Science, St.
Cloud State University, St. Cloud, MN, United States.
CORRESPONDENCE ADDRESS
B.K. Lenz, Department of Nursing Science, St. Cloud State University, St.
Cloud, MN, United States. Email: bklenz@stcloudstate.edu
SOURCE
American Journal of Preventive Medicine (2008) 35:6 SUPPL. (S494-S500). Date
of Publication: December 2008
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Introduction: Evidence-based clinical interventions for smoking cessation
have proven to be effective in reducing smoking rates among patients who use
tobacco. Ensuring that registered nurses (RNs) are knowledgeable and have
the self-efficacy to provide such clinical interventions can contribute to
declines in tobacco use among their patients who smoke. The aim of this
study was to determine if baccalaureate nursing (BSN) students in Minnesota
received training in the clinical treatment of tobacco dependence and to
identify perceived barriers that may limit their ability to intervene with
their patients. Methods: Quantitative descriptive, with data collected in
spring of 2007. The sample was 675 senior BSN students enrolled in ten
Minnesota private and public institutions. The survey questionnaire included
demographics, knowledge about tobacco treatment, personal tobacco-use
history, beliefs about smoking, self-efficacy, and behavioral application of
cessation intervention. Results: BSN students generally reported that they
were comfortable assessing tobacco use among their patients and referring
tobacco users to cessation resources. Nursing students who considered
themselves smokers (7.9%) and who reported using tobacco in the last 30 days
but did not consider themselves smokers (17.5%) indicated more agreement
regarding the positive aspects of smoking, and were less likely to view it
as their professional responsibility to help smokers quit, than did
non-smoking nursing students (74.6%). Conclusions: Nursing students'
personal smoking behaviors affected their beliefs about smoking and their
view about the professional role in helping smokers quit. These findings
have implications for undergraduate nursing programs regarding professional
role socialization and education about clinical smoking cessation
interventions. © 2008 American Journal of Preventive Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tobacco dependence (prevention, therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
controlled study
female
health education
human
major clinical study
male
nursing knowledge
nursing student
review
self concept
smoking cessation
smoking habit
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008525888
MEDLINE PMID
19012844 (http://www.ncbi.nlm.nih.gov/pubmed/19012844)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amepre.2008.09.004
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 527
TITLE
An update on the management of hospital-acquired pneumonia in the elderly
AUTHOR NAMES
Lee C.-H.
Wu C.-L.
AUTHOR ADDRESSES
(Lee C.-H.; Wu C.-L., wuchienliang100@pchome.com.tw) Division of Chest and
Critical Care Medicine, Department of Internal Medicine, Mackay Memorial
Hospital, No. 92 Section 2, Chung Shan North Road, Taipei, Taiwan.
(Lee C.-H.; Wu C.-L., wuchienliang100@pchome.com.tw) Mackay Medicine,
Nursing and Management College, Taipei, Taiwan.
CORRESPONDENCE ADDRESS
C.-L. Wu, Division of Chest and Critical Care Medicine, Department of
Internal Medicine, Mackay Memorial Hospital, No. 92 Section 2, Chung Shan
North Road, Taipei, Taiwan. Email: wuchienliang100@pchome.com.tw
SOURCE
International Journal of Gerontology (2008) 2:4 (183-195). Date of
Publication: December 2008
ISSN
1873-9598
BOOK PUBLISHER
Elsevier (Singapore) Pte Ltd, 3 Killiney Road, 08-01, Winsland House I,
Singapore, Singapore.
ABSTRACT
Pneumonia is the leading cause of infection-related death and represents the
fifth cause of mortality in the elderly. There are several reported risk
factors for acquiring pneumonia at an older age, such as alcoholism, lung
and heart diseases, nursing home residence, and swallowing disorders.
Hospital-acquired pneumonia (HAP) is reviewed, with an emphasis on
multidrug-resistant (MDR) bacterial pathogens, such as Pseudomonas
aeruginosa, Acinetobacter species, and methicillin-resistant Staphylococcus
aureus. The clinical characteristics of pneumonia in the elderly differ
substantially compared with younger patients, and the severity of the
disease is strongly associated with increased age and age-related comorbid
disorders. Streptococcus pneumoniae is the pathogen most frequently
responsible for pneumonia in the elderly with early HAP without risk factors
for MDR; enteric Gram-negative rods should be considered in nursing
home-associated pneumonia, as well as anaerobes in patients with aspiration
pneumonia. Special attention should be given to preventive measures such as
vaccination, oral care, and nutrition. The management of HAP should be
instituted early with: appropriate use of antibiotics in adequate doses;
avoidance of excessive use of antibiotics by de-escalation of initial
antibiotic therapy, based on microbiologic cultures and the clinical
response of the patient; and reduction of the duration of treatment to the
minimum effective period. © 2008 Elsevier.
EMTREE DRUG INDEX TERMS
amikacin (drug therapy)
aminoglycoside antibiotic agent (drug combination, drug therapy)
aminopenicillin
antibiotic agent (drug therapy)
antiinfective agent (drug therapy)
azithromycin (drug therapy)
beta lactamase inhibitor (drug therapy)
cefepime (drug therapy)
ceftazidime (drug therapy)
ceftriaxone (drug therapy)
cephalosporin derivative (drug therapy)
ciprofloxacin (drug therapy)
clindamycin (drug therapy)
ertapenem (drug therapy)
gentamicin (drug therapy)
imipenem (drug therapy)
levofloxacin (drug dose, drug therapy)
linezolid
meropenem (drug therapy)
metronidazole (drug therapy)
moxifloxacin (drug therapy)
penicillin G (drug therapy)
piperacillin plus tazobactam
polymyxin derivative (adverse drug reaction, drug therapy)
polysaccharide vaccine (drug therapy)
rifampicin (drug combination, drug therapy)
sultamicillin (drug therapy)
tobramycin (drug therapy)
unindexed drug
vancomycin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital acquired pneumonia (diagnosis, drug therapy, etiology, prevention)
pneumonia (diagnosis, drug therapy, etiology, prevention)
EMTREE MEDICAL INDEX TERMS
Acinetobacter
aged
aging
alcoholism
antibiotic resistance
antibiotic sensitivity
antibiotic therapy
aspiration pneumonia
cause of death
clinical feature
clinical protocol
comorbidity
diagnostic test
disease severity
drug safety
drug use
dysphagia
Gram negative bacterium
heart disease
human
immunosuppressive treatment
infection prevention
lung disease
medical assessment
methicillin resistant Staphylococcus aureus
monotherapy
mortality
mouth hygiene
multidrug resistance
nephrotoxicity (side effect)
neurotoxicity (side effect)
nonhuman
nursing home patient
nutrition
pathogenesis
priority journal
prognosis
Pseudomonas aeruginosa
review
risk factor
vaccination
CAS REGISTRY NUMBERS
amikacin (37517-28-5, 39831-55-5)
azithromycin (83905-01-5)
cefepime (88040-23-7)
ceftazidime (72558-82-8)
ceftriaxone (73384-59-5, 74578-69-1)
ciprofloxacin (85721-33-1)
clindamycin (18323-44-9)
ertapenem (153773-82-1, 153832-38-3, 153832-46-3)
gentamicin (1392-48-9, 1403-66-3, 1405-41-0)
imipenem (64221-86-9)
levofloxacin (100986-85-4, 138199-71-0)
linezolid (165800-03-3)
meropenem (96036-03-2)
metronidazole (39322-38-8, 443-48-1)
moxifloxacin (151096-09-2)
penicillin G (1406-05-9, 61-33-6)
rifampicin (13292-46-1)
sultamicillin (76497-13-7)
tobramycin (32986-56-4)
vancomycin (1404-90-6, 1404-93-9)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Gerontology and Geriatrics (20)
Immunology, Serology and Transplantation (26)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009052775
FULL TEXT LINK
http://dx.doi.org/10.1016/S1873-9598(09)70007-9
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 528
TITLE
Role of the school nurse 100 years ago.
AUTHOR ADDRESSES
SOURCE
British journal of nursing (Mark Allen Publishing) (2008) 17:21 (1345). Date
of Publication: 2008 Nov 27-Dec 10
ISSN
0966-0461
ABSTRACT
School nursing is ripe for development and could well be an interesting
specialist area to work in for the innovative nurse, given some of the
problems nowadays. For example, child abuse, the increasing problem of
children with obesity and poor diet, alcohol abuse, smoking and sexual
health issues. Although the nature of some of the health problems has
changed there are some commonalities with what was happening 100 years ago
in Britain at the time.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
school health nursing
EMTREE MEDICAL INDEX TERMS
article
history
human
publication
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
19060817 (http://www.ncbi.nlm.nih.gov/pubmed/19060817)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 529
TITLE
Policy development for disruptive student behaviors.
AUTHOR NAMES
Clark C.M.
Farnsworth J.
Springer P.J.
AUTHOR ADDRESSES
(Clark C.M.; Farnsworth J.; Springer P.J.) Department of Nursing, Boise
State University, Boise, ID 83725-1840, USA.
CORRESPONDENCE ADDRESS
C.M. Clark, Department of Nursing, Boise State University, Boise, ID
83725-1840, USA. Email: cclark@boisestate.edu
SOURCE
Nurse educator (2008) 33:6 (259-262). Date of Publication: 2008 Nov-Dec
ISSN
1538-9855 (electronic)
ABSTRACT
Nursing students who demonstrate disruptive and at-risk behaviors in the
classroom and clinical arena compromise the learning environment and are
unable to provide safe, quality client care. They require early and swift
identification, consultation, sanctions, or possible referral into treatment
to protect themselves and public safety. The authors describe the evolution
of a comprehensive policy for faculty intervention with at-risk students and
provide an exemplar of a situation illustrating the use of the policy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
safety
violence (prevention)
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
aggression
ethics
high risk behavior
human
management
medical ethics
mental disease (prevention)
nurse attitude
organization and management
patient referral
policy
psychological aspect
review
statistics
student
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18981907 (http://www.ncbi.nlm.nih.gov/pubmed/18981907)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 530
TITLE
Facilitating risk reduction among homeless and street-involved youth
AUTHOR NAMES
Busen N.H.
Engebretson J.C.
AUTHOR ADDRESSES
(Busen N.H., nancy.h.busen@uth.tmc.edu; Engebretson J.C.) Department of
Integrative Nursing Care, School of Nursing, University of Texas Health
Science Center at Houston, Houston, TX, United States.
(Busen N.H., nancy.h.busen@uth.tmc.edu) Department of Integrative Nursing
Care, School of Nursing, University of Texas Health Science Center at
Houston, 6901 Bertner, Houston, TX 77030, United States.
CORRESPONDENCE ADDRESS
N. H. Busen, Department of Integrative Nursing Care, School of Nursing,
University of Texas Health Science Center at Houston, 6901 Bertner, Houston,
TX 77030, United States. Email: nancy.h.busen@uth.tmc.edu
SOURCE
Journal of the American Academy of Nurse Practitioners (2008) 20:11
(567-575). Date of Publication: November 2008
ISSN
1041-2972
1745-7599 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Purpose: The purposes of this evaluation project were to describe a group of
homeless adolescents and street-involved youth who utilized a mobile unit
that provided medical and mental healthcare services and to assess the
efficacy of the services provided in reducing their health risk behaviors.
Data sources: The records of 95 youth aged 15-25 years who used the medical
mobile unit for an average of 14 months were examined and evaluated
according to the national health indicators related to risk reduction.
Current literature related to health risk behavior among homeless youth was
reviewed, synthesized, and provided the background for this article.
Conclusions: Data were obtained from the records of mostly heterosexual
youth with a mean age of 20.5 years. Approximately one third of the
participants were high school graduates and most were without health
insurance. Living situations were transient including friends, shelters,
crash pads, or the streets. Abuse accounted for the majority leaving home.
Psychiatric conditions and substance abuse were common. Medical conditions
were related to transient living situations, substance abuse, and sexual
activity. Success of the program was associated with sustained counseling,
stabilizing youth on psychotropic medications, decreasing substance use,
providing birth control and immunizations, and treating medical conditions.
Implications for practice: Homeless youth are one of the most underserved
vulnerable populations in the United States with limited access and
utilization of appropriate healthcare services. Nurse practitioners often
serve as care providers but are also in a position to effectively lobby to
improve health care for homeless youth through professional organizations
and community activism. Furthermore, when designing and evaluating
healthcare services, multidisciplinary teams need to consider risk reduction
for homeless youth in the context of their environment. © 2008 The
Author(s).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
homelessness
nurse practitioner
preventive health service
risk reduction
EMTREE MEDICAL INDEX TERMS
adolescent
adult
child abuse (prevention)
demography
education
evaluation study
female
health behavior
health care disparity
health care planning
health care quality
health disparity
health survey
human
male
nursing
nursing evaluation research
organization and management
psychological aspect
retrospective study
review
statistics
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
19128341 (http://www.ncbi.nlm.nih.gov/pubmed/19128341)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1745-7599.2008.00358.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 531
TITLE
Profiling police presentations of mental health consumers to an emergency
department
AUTHOR NAMES
Lee S.
Brunero S.
Fairbrother G.
Cowan D.
AUTHOR ADDRESSES
(Lee S., soung.lee@sswahs.nsw.gov.au) Enhanced Hospital Drug Health
Consultation Liaison Services, Liverpool Hospital, PO Box 5, Fairfield, NSW
2165, Australia.
(Brunero S.) Liaison Mental Health Nursing, Prince of Wales Hospital, .
(Fairbrother G.) Prince of Wales Hospital, Sydney.
(Cowan D.) New South Wales Police Force, Parramatta, NSW, Australia.
CORRESPONDENCE ADDRESS
S. Lee, Enhanced Hospital Drug Health Consultation Liaison Services,
Liverpool Hospital, PO Box 5, Fairfield, NSW 2165, Australia. Email:
soung.lee@sswahs.nsw.gov.au
SOURCE
International Journal of Mental Health Nursing (2008) 17:5 (311-316). Date
of Publication: October 2008
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Public mental health systems have been called on to better meet the needs of
consumers presenting to health services with the police, yet few studies
have examined police presentations among mental health consumers in large
public mental health systems. This study was designed to determine the
frequency profile and characteristics of consumers of mental health services
brought in by police to an emergency department (ED) in Sydney, Australia.
Using data from the emergency department information system and obtaining
the psychiatric assessment from the medical record, we have examined trends
and characteristics in mental health presentations brought in by the police
to a general ED between 2003 and 2005. The sample consisted of 542 consumers
with a mental health problem brought in by the police to the ED of a 350-bed
community hospital. The characteristics of this group were compared with
those of all mental health related ED presentations for the same period
using logistic regression. Results indicated that police presentations are
likely to be young males who are unemployed, have past and present alcohol
and other drugs use, present after hours, and are admitted to hospital as a
result of their presentation. These consumers are likely to have a
presenting problem of a psychotic disorder, less likely to have a presenting
problem of depression and/or anxiety, and given a triage code of three or
higher. The study results highlight the importance of the availability of
24-hour access to mental health care to ensure a quick care delivery
response. Police presentations to EDs with mental health issues are an
indicator of significant impact on health services, especially with the
current overcrowding of EDs and the associated long waiting times. Systems
need to be developed that facilitate collaboration between EDs, hospital
security, police services, mental health, and ambulance services. © 2008
Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency health service
mental disease (epidemiology)
police
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
adult
age
alcoholism (epidemiology)
anxiety disorder (epidemiology)
article
Australia
community hospital
cross-sectional study
depression (epidemiology)
female
health care delivery
hospital information system
human
male
nursing
psychosis (epidemiology)
sex difference
socioeconomics
statistics
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18789040 (http://www.ncbi.nlm.nih.gov/pubmed/18789040)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2008.00553.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 532
TITLE
Absconding: A review of the literature 1996-2008
AUTHOR NAMES
Muir-Cochrane E.
Mosel K.A.
AUTHOR ADDRESSES
(Muir-Cochrane E., moselka@iprimus.com.au; Mosel K.A.) School of Nursing and
Midwifery, Flinders University, Adelaide, SA.
CORRESPONDENCE ADDRESS
E. Muir-Cochrane, School of Nursing and Midwifery, Flinders University,
Adelaide, SA. Email: moselka@iprimus.com.au
SOURCE
International Journal of Mental Health Nursing (2008) 17:5 (370-378). Date
of Publication: October 2008
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
Absconding is a significant problem with potential for harm to patients or
the general public. The consequences of absconding include physical harm,
prolonged treatment time, and substantial economic costs. The aim of this
systematic literature review is to synthesize quality literature about
absconding from psychiatric facilities, identify gaps in knowledge, and make
recommendations for practice. An electronic search yielded 39 journal
articles that met the review criteria. Findings demonstrate that a single
definition of absconding remains elusive, making the prevalence of
absconding difficult to establish. Absconding events are multifactorial,
with environmental, psychosocial, and organic aspects. Negative consequences
exist including violence, aggression, and self-neglect and harm to self and
others. Papers are clustered around the following themes: harm and risk,
absconder profiles, absconding rates, and perceptions of nurses and
patients. Nursing interventions designed to decrease absconding have been
implemented with success, but only in a few studies and in Australia, none
have been reported in the literature to date. Further research is required
to identify appropriate nursing-based interventions that may prove useful in
reducing the risk of absconding. © 2008 Australian College of Mental Health
Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
escape behavior
mental disease
patient
psychiatric department
EMTREE MEDICAL INDEX TERMS
addiction
adult
Australia
cross-sectional study
female
forensic psychiatry
human
male
nursing
organization and management
psychological aspect
review
risk factor
schizophrenia
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18789047 (http://www.ncbi.nlm.nih.gov/pubmed/18789047)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2008.00562.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 533
TITLE
Pharmacological Treatment of Behavioral and Psychological Symptoms of
Dementia (BPSD) in Nursing Homes: Development of Practice Recommendations in
a Swiss Canton (DOI:10.1016/j.jamda.2008.04.003)
AUTHOR NAMES
Locca J.-F.
Büla C.J.
Zumbach S.
Bugnon O.
AUTHOR ADDRESSES
(Locca J.-F.; Bugnon O., Olivier.bugnon@hospvd.ch) Universities of Lausanne
and Geneva, Community Pharmacy Practice Research Unit, Pharmacie de la PMU,
Lausanne, Switzerland.
(Büla C.J.) Service of Geriatric Medicine and Geriatric Rehabilitation,
Department of Medicine, University Hospital (CHUV), Lausanne, Switzerland.
(Zumbach S.) Service of Psychogeriatric Medicine, Psychiatric Hospital,
Marsens, Switzerland.
CORRESPONDENCE ADDRESS
O. Bugnon, Universities of Lausanne and Geneva, Community Pharmacy Practice
Research Unit, Pharmacie de la PMU, Lausanne, Switzerland. Email:
Olivier.bugnon@hospvd.ch
SOURCE
Journal of the American Medical Directors Association (2008) 9:8
(611-611.e10). Date of Publication: October 2008
ISSN
1525-8610
1538-9375 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objectives: In 2002, the canton of Fribourg, Switzerland, implemented a
coordinated pharmaceutical care service in nursing homes to promote rational
drug use. In the context of this service, a project was conducted to develop
recommendations for the pharmacological management of behavioral and
psychological symptoms of dementia (BPSD) in nursing home residents. Design
and Methods: Selected evidence-based guidelines and meta-analysis sources
related to the management of depression, insomnia, and agitation in dementia
patients were systematically searched and evaluated. Evidence and
controversies regarding the pharmacological treatment of the most common
BPSD symptoms were reviewed, and treatment algorithms were developed.
Results: Ten evidence-based guidelines and meta-analyses for BPSD management
were identified, with none specifically addressing issues related to nursing
home residents. Based on this literature, recommendations were developed for
the practice of pharmacological management of depression, sleep
disturbances, and agitation in nursing home residents. For depression, SSRIs
are considered the first choice if an antidepressant is required. No clear
evidence has been found for sleep disturbances; the underlying conditions
need to be investigated closely before the introduction of any drug therapy.
Many drugs have been investigated for the treatment of agitation, and if
necessary, antipsychotics could be used, although they have significant side
effects. Several areas of uncertainty were identified, such as the current
controversy about typical and atypical antipsychotic use or the
appropriateness of cholinesterase inhibitors for controlling agitation.
Treatment algorithms were presented to general practitioners, pharmacists,
and medical directors of nursing homes in the canton of Fribourg, and will
now be implemented progressively, using educational sessions, pharmaceutical
counseling, and monitoring. Conclusion: Based on existing evidence-based
studies, recommendations were developed for the practice of pharmacological
management of depression, sleep disturbances, and agitation in nursing home
residents. It should be further studied whether these algorithms implemented
through pharmaceutical care services will improve psychotropic drug
prescriptions and prevent drug-related problems in nursing home residents. ©
2008 American Medical Directors Association.
EMTREE DRUG INDEX TERMS
antidepressant agent (adverse drug reaction, drug therapy)
aripiprazole (drug therapy)
atypical antipsychotic agent (adverse drug reaction, drug comparison, drug
therapy)
cholinesterase inhibitor (drug therapy)
citalopram (drug therapy)
clomipramine (drug therapy)
diazepam (drug therapy)
etoperidone (drug therapy)
fluoxetine (drug therapy)
haloperidol (adverse drug reaction, drug therapy)
imipramine (drug therapy)
loxapine (drug therapy)
maprotiline (drug therapy)
melatonin (drug therapy)
moclobemide (drug therapy)
neuroleptic agent (adverse drug reaction, drug comparison, drug therapy)
olanzapine (adverse drug reaction, drug comparison, drug therapy)
placebo
psychotropic agent (drug therapy)
quetiapine (drug comparison, drug therapy)
risperidone (adverse drug reaction, drug comparison, drug therapy)
serotonin uptake inhibitor (drug therapy)
sertraline (drug therapy)
thioridazine (adverse drug reaction, drug therapy)
tiotixene (drug therapy)
trazodone (drug therapy)
unindexed drug
valproic acid (adverse drug reaction, drug dose, drug therapy)
venlafaxine (drug therapy)
zuclopenthixol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder (drug therapy)
dementia (drug therapy)
mental disease (drug therapy)
pharmaceutical care
practice guideline
EMTREE MEDICAL INDEX TERMS
agitation
algorithm
cerebrovascular disease (side effect)
cognitive defect (drug therapy)
delirium (side effect)
depression (drug therapy)
disease control
drug choice
drug efficacy
drug megadose
drug safety
erratum
evidence based practice
extrapyramidal syndrome (side effect)
general practitioner
human
insomnia (drug therapy)
nursing home
nursing home patient
nursing home personnel
patient counseling
patient education
patient monitoring
pharmacist
prescription
QT prolongation (side effect)
sedation
side effect (side effect)
Switzerland
unspecified side effect (side effect)
CAS REGISTRY NUMBERS
aripiprazole (129722-12-9)
citalopram (59729-33-8)
clomipramine (17321-77-6, 303-49-1)
diazepam (439-14-5)
etoperidone (52942-31-1, 57775-22-1)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
haloperidol (52-86-8)
imipramine (113-52-0, 50-49-7)
loxapine (1977-10-2)
maprotiline (10262-69-8, 10347-81-6)
melatonin (73-31-4)
moclobemide (71320-77-9)
olanzapine (132539-06-1)
quetiapine (111974-72-2)
risperidone (106266-06-2)
sertraline (79617-96-2)
thioridazine (130-61-0, 50-52-2)
tiotixene (5591-45-7)
trazodone (19794-93-5, 25332-39-2)
valproic acid (1069-66-5, 99-66-1)
venlafaxine (93413-69-5)
zuclopenthixol (53772-83-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008454239
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jamda.2008.09.001
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 534
TITLE
Development and validation of a scale of attitudes towards alcohol,
alcoholism and alcoholics
AUTHOR NAMES
De Vargas D.
Luis M.A.V.
AUTHOR ADDRESSES
(De Vargas D., vargas@usp.br) University of São Paulo, School of Nursing,
Brazil.
(Luis M.A.V., margarit@eerp.usp.br) University of Sao Paulo at Ribeirao
Preto College of Nursing, WHO Collaborating Center for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
D. De Vargas, University of São Paulo, School of Nursing, Brazil. Email:
vargas@usp.br
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:5 (895-902). Date of
Publication: September/October 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
The objective of this study was the construction and validation of a scale
that would measure the attitudes towards alcohol, alcoholism and the
alcoholic, called the Scale of Attitudes Towards Alcohol, Alcoholism and the
Alcoholic. The face and content validations, as well as the factor analysis
of the data obtained in a preliminary test with 144 nursing students
resulted in a scale consisting of 96 items, divided into 5 factors:
Attitudes towards the alcoholic person: care and interpersonal relations;
Etiology; Disease; Repercussions deriving from alcohol use/abuse; Alcoholic
beverages. The general scale presented a consistency level of 0.90. The
resulting instrument is concluded to be a reliable tool to evaluate
attitudes towards alcohol, alcoholism and alcohol addicts.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
questionnaire
EMTREE MEDICAL INDEX TERMS
article
human
psychometry
reproducibility
validation study
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
19061028 (http://www.ncbi.nlm.nih.gov/pubmed/19061028)
FULL TEXT LINK
http://dx.doi.org/10.1590/S0104-11692008000500016
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 535
TITLE
When pregnant patients disclose substance use: Missed opportunities for
behavioral change counseling
AUTHOR NAMES
Chang J.C.
Dado D.
Frankel R.M.
Rodriguez K.L.
Zickmund S.
Ling B.S.
Arnold R.M.
AUTHOR ADDRESSES
(Chang J.C., jchang@mail.magee.edu; Dado D.) Department of Obstetrics,
Gynecology and Reproductive Sciences and Medicine, University of Pittsburgh,
Magee-Womens Hospital of UPMC, 300 Halket Street, Pittsburgh, PA 15213,
United States.
(Frankel R.M.) Institute for Health Care, Indiana University School of
Medicine, Indianapolis, IN, United States.
(Rodriguez K.L.; Zickmund S.; Ling B.S.) Center for Health Equity Research
and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United
States.
(Rodriguez K.L.; Zickmund S.; Ling B.S.; Arnold R.M.) Department of
Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
CORRESPONDENCE ADDRESS
J.C. Chang, Department of Obstetrics, Gynecology and Reproductive Sciences
and Medicine, University of Pittsburgh, Magee-Womens Hospital of UPMC, 300
Halket Street, Pittsburgh, PA 15213, United States. Email:
jchang@mail.magee.edu
SOURCE
Patient Education and Counseling (2008) 72:3 (394-401). Date of Publication:
September 2008
ISSN
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
Objective: The first obstetric visit is an opportunity to provide counseling
to women with substance abuse risks, including smoking, drug use, and
alcohol use. Little is known about how obstetric care providers and patients
discuss these issues. Our objective was to examine patient-provider
communication about substance use behaviors during these visits. Methods: We
audio-taped and transcribed verbatim first prenatal visits in an outpatient
hospital clinic, then qualitatively analyzed them for content and process of
communication using modified grounded theory methods. Results: Twenty-nine
providers (21 residents, 5 midwives, 3 nurse practitioners) and 51 patients
participated. Twenty-five patients were smokers, 4 used alcohol, and 11 used
drugs. Provider responses to smoking disclosures included discussions of
risks, encouragement to quit-cut down, affirmation of attempts to quit-cut
down, and referral to smoking cessation programs. Responses to alcohol or
drug disclosures included only a general statement regarding risks and
referral to genetics. Conclusion: Providers were less attentive to alcohol
and drugs than smoking where they had pre-established patterns of response.
Practice implications: Providers should discuss behavioral change strategies
and motivations with pregnant patients who use drugs and/or alcohol as well
as those who smoke. © 2008 Elsevier Ireland Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient counseling
pregnancy
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol abuse
article
audio recording
behavior change
controlled study
doctor patient relation
drug abuse
female
health care personnel
human
interpersonal communication
major clinical study
outpatient care
priority journal
risk assessment
smoking
smoking cessation
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008379575
MEDLINE PMID
18620835 (http://www.ncbi.nlm.nih.gov/pubmed/18620835)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pec.2008.06.001
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 536
TITLE
The influence of learning styles preference of undergraduate nursing
students on educational outcomes in substance use education
AUTHOR NAMES
Rassool G.H.
Rawaf S.
AUTHOR ADDRESSES
(Rassool G.H., p9800003@sgul.ac.uk) Departamento de Enfermagem Psiquiatrica
e Ciencias Humanas, Universidade de Sao Paulo, EERP, Ribeirâo Preto, Sao
Paulo, Brazil.
(Rassool G.H., p9800003@sgul.ac.uk) Federal Universidade de Minas Gerals,
Brazil.
(Rawaf S.) Wandsworth Primary Care Trust, London, United Kingdom.
CORRESPONDENCE ADDRESS
G.H. Rassool, Departamento de Enfermagem Psiquiatrica e Ciencias Humanas,
Universidade de Sao Paulo, EERP, Ribeirâo Preto, Sao Paulo, Brazil. Email:
p9800003@sgul.ac.uk
SOURCE
Nurse Education in Practice (2008) 8:5 (306-314). Date of Publication:
September 2008
ISSN
1471-5953
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
This paper reports a study identifying the learning styles preference of
undergraduate nursing students and examining its influence on educational
outcomes. There are limited recent studies in the UK on the learning styles
preference of undergraduate and its influence on educational outcomes. A
purposive sample of 110 undergraduate nursing students completed a
demographic questionnaire and the Honey and Mumford's learning styles
inventory. A pre-post-test design was used to evaluate the educational
outcomes. Reflector learning styles preference was the dominant learning
styles among the majority of undergraduate nursing students. An interesting
phenomenon about the distribution of the learning styles preference is the
additional "dual" learning style category. The hypothesis that learning
styles preference will determine knowledge acquisition, changes in attitude
and intervention confidence skills was rejected. However, as this is a
multi-layered hypothesis the findings showed that only the dual learning
styles preference group was found to have a significant influence in
intervention confidence skills. Further research is warranted to replicate
this study using the same methodology but with several different population
samples specialising in different branch of nursing. As there are limited
literature on the dual learning styles preferences, this dual preference
phenomenon needs further investigation to establish its acceptability in
nursing education. © 2008 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
consumer
learning
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
middle aged
questionnaire
treatment outcome
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18373952 (http://www.ncbi.nlm.nih.gov/pubmed/18373952)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2008.02.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 537
TITLE
Researching marginalized populations: Ethical concerns about ethnography
AUTHOR NAMES
O'Byrne P.
Holmes D.
AUTHOR ADDRESSES
(O'Byrne P., pjobyrne@uottawa.ca) School of Nursing, Faculty of Health
Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada.
(O'Byrne P., pjobyrne@uottawa.ca) School of Nursing, University of Ottawa,
ON, Canada.
(Holmes D.) School of Nursing, University of Ottawa, .
CORRESPONDENCE ADDRESS
P. O'Byrne, School of Nursing, Faculty of Health Sciences, University of
Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5, Canada. Email:
pjobyrne@uottawa.ca
SOURCE
Canadian Journal of Nursing Research (2008) 40:3 (144-159). Date of
Publication: September 2008
ISSN
0844-5621
BOOK PUBLISHER
McGill University, School of Nursing, 3506 University St Montreal, PQ, H3 A
2A7, Canada.
ABSTRACT
Recent increases in the rates of sexually transmitted infection (STI) in
males having sex with males and simultaneous increases in the use of crystal
meth within gay circuit parties (GCP) highlight the growing need for
research on leisure practices involving sex and drugs. While there is
epidemiological evidence correlating these practices, STI rates have not
decreased. The author provides an ethical framework for qualitative research
that "colours outside the lines" of traditional epidemiological methods for
research on sexual health. To date, the majority of GCP research has used
survey methods; however, no literature addresses the ethical concerns of
naturalistic observation that is aimed at understanding the sexualized
environment of GCPs. This review found that while ethical risks are
inherent, the benefits to society and to the group under study significantly
outweigh the risks. © McGill University School of Nursing.
EMTREE DRUG INDEX TERMS
central stimulant agent
methamphetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural anthropology
homosexuality
nursing methodology research
qualitative research
vulnerable population
EMTREE MEDICAL INDEX TERMS
Canada (epidemiology)
confidentiality
drug abuse (complication)
ethics
ethnology
human
human experiment
informed consent
male
methodology
organization and management
patient advocacy
review
sexually transmitted disease (complication)
social justice
CAS REGISTRY NUMBERS
methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
MEDLINE PMID
18947098 (http://www.ncbi.nlm.nih.gov/pubmed/18947098)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 538
TITLE
Predictors of educational outcomes of undergraduate nursing students in
alcohol and drug education
AUTHOR NAMES
Rassool G.H.
Rawaf S.
AUTHOR ADDRESSES
(Rassool G.H., p9800003@sgul.ac.uk) Departamento de Enfermagem Psiquiatrica
e Ciencias Humanas, Universidade de Sao Paulo, EERP, Ribeirâo Preto, Sao
Paulo, Brazil.
(Rassool G.H., p9800003@sgul.ac.uk) Federal Universidade de Minas Gerais,
Brazil.
(Rawaf S.) Wandsworth Primary Care Trust, London, United Kingdom.
CORRESPONDENCE ADDRESS
G.H. Rassool, Departamento de Enfermagem Psiquiatrica e Ciencias Humanas,
Universidade de Sao Paulo, EERP, Ribeirâo Preto, Sao Paulo, Brazil. Email:
p9800003@sgul.ac.uk
SOURCE
Nurse Education Today (2008) 28:6 (691-701). Date of Publication: August
2008
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
This paper reports a study which aimed to evaluate the impact of an
educational programme on alcohol and drug on knowledge acquisition, changes
in attitude and intervention confidence skills of undergraduate nursing
students and identify the influence of selected demographic variables on
educational outcomes. Despite the high levels of morbidity and mortality
resulting from substance misuse, few nurses have been adequately prepared to
respond effectively. There remains a dearth of evidence on the educational
interventions in alcohol and drug with undergraduate nursing students and
this study intends to add a body of knowledge to this field. A
quasi-experimental, pre-post-test design was used using with a purposive
sample of four cohorts of undergraduate nursing students (n = 110) in
England. Pre-tests and post-tests after the educational intervention on
alcohol and drug were administered to measure the educational outcomes. The
data was collected between March 2002 and September 2003. The results showed
the educational intervention on alcohol and drug had a significant impact on
educational outcomes. There were significant differences between the
pre-test and post-test knowledge mean score (t = -.4.61, d.f. = 109, p =
0.000), attitude (t = -2.36, d.f. = 109, p = 0.02) and intervention
confidence skills (t = -9.75, d.f. = 109, p = 0.000). Within the
multi-layered hypothesis, the results indicate that only ethnicity was found
to have a significant influence on both knowledge acquisition (F((2,106)) =
6.59, p = 0.002) and intervention confidence skills (F((2, 106)) = 15.0, p =
0.000). The study provides some evidence that a short intensive educational
programme on alcohol and drug can be effective in improving educational
outcomes. Further research should be undertaken with undergraduate nurses
specialising in different branch of nursing. © 2007 Elsevier Ltd. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
attitude to health
clinical competence
health personnel attitude
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
curriculum
education
evaluation study
female
health care quality
human
male
mass screening
middle aged
nurse attitude
nursing
nursing assessment
organization and management
psychiatric nursing
psychological aspect
questionnaire
self concept
social psychology
standard
substance abuse
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18166248 (http://www.ncbi.nlm.nih.gov/pubmed/18166248)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2007.11.005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 539
TITLE
Perceptions of drugs benefits and barriers to quit by undergraduate health
students
ORIGINAL (NON-ENGLISH) TITLE
Percepción de los beneficios del consumo de drogas y barreras para su
abandono entre estudiantes del área de salud
AUTHOR NAMES
Henriquéz P.C.
De Carvalho A.M.P.
AUTHOR ADDRESSES
(Henriquéz P.C.) University of Concepción, Chile.
(De Carvalho A.M.P., anacar@eerp.usp.br) University of São Paulo at Ribeirão
Preto, College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
P. C. Henriquéz, University of Concepción, Chile.
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (621-626). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
Several studies have exposed the consumption of drugs by undergraduate
students in the health area, who are supposed to be examples of behavior and
health educators. This descriptive correlation study aimed to relate the
benefits of tobacco consumption and barriers to quit according to the
perception of undergraduate students. Eighty third-year students, In three
different courses, answered a self-applied questionnaire. The studied
variables were: consumption conditions, barriers and benefits regarding drug
consumption, family and personal characteristics. One-third of the students
reported tobacco use; 5% reported the use of marijuana; 15% alcohol and 6%
tranquilizers, more than once a month; 18% reported the consumption of
tobacco and 13% reported the use of alcohol even before the age of 15. The
perceived benefits were: relaxation, pleasure and social acceptance, whereas
barriers for quitting were: habituation and addiction. According to the
results, promoting self-responsibility of these future health professionals
is recommended in their educational context.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude
medical education
medical student
nursing student
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
questionnaire
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709285 (http://www.ncbi.nlm.nih.gov/pubmed/18709285)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 540
TITLE
Nurses' attitudes, beliefs and confidence levels regarding care for those
who abuse alcohol: Impact of educational intervention
AUTHOR NAMES
Vadlamudi R.S.
Adams S.
Hogan B.
Wu T.
Wahid Z.
AUTHOR ADDRESSES
(Vadlamudi R.S., rvadlamu@wfubmc.edu) Section of General Internal Medicine,
Wake Forest University School of Medicine, Medical Center Boulevard,
Winston-Salem, NC 27157, United States.
(Adams S., susie.adams@vanderbilt.edu) Vanderbilt University School of
Nursing, 384 Frist Hall, 461 21st Ave. South Nashville, TN 37240-0008,
United States.
(Hogan B., mhogan@uncfsu.edu) Department of Management, Fayetteville State
University, 1200 Murchison Road, Fayetteville, NC 28301, United States.
(Wu T., wut@etsu.edu) Department of Public Health, College of Public and
Allied Health, East Tennessee State University, 149 Lamb Hall, Johnson City,
TN 37614, United States.
(Wahid Z.) Department of Psychiatry, Meharry Medical College, Nashville, TN,
United States.
CORRESPONDENCE ADDRESS
R.S. Vadlamudi, Section of General Internal Medicine, Wake Forest University
School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157,
United States. Email: rvadlamu@wfubmc.edu
SOURCE
Nurse Education in Practice (2008) 8:4 (290-298). Date of Publication: July
2008
ISSN
1471-5953
BOOK PUBLISHER
Churchill Livingstone, 1-3 Baxter's Place, Leith Walk, Edinburgh, United
Kingdom.
ABSTRACT
Alcohol abuse is a worldwide public health concern. Nurses, representing the
largest body of health care providers, are a potential resource to provide
screening and brief intervention for patients with alcohol problems. This
study evaluates the effect of an educational intervention on the attitudes,
beliefs, and confidence levels of nurses regarding screening and brief
intervention for alcohol problems. One hundred eighty-one students at
Vanderbilt University School of Nursing participated in a four-hour
educational intervention to train providers in brief negotiated intervention
(BNI) for screening, early detection and brief treatment of alcohol
problems. Participants completed questionnaires before and after this
training. Analysis of the data using paired t-test and one-way analysis of
variance showed statistically significant positive change in the nurses'
attitudes, beliefs, and confidence levels regarding alcohol abuse and its
treatment after the educational intervention. For example, the percentage of
nurses who reported always having confidence in assessing patients'
readiness to change their behavior increased from 8.3% to 23.5% after
training. In conclusion, the BNI educational intervention can be effective
in promoting positive changes among nurses in attitudes, beliefs, and
confidence levels regarding alcohol abuse and its treatment. © 2007 Elsevier
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
methodology
middle aged
nursing
nursing evaluation research
primary health care
questionnaire
self concept
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18042433 (http://www.ncbi.nlm.nih.gov/pubmed/18042433)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nepr.2007.10.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 541
TITLE
Conceptions of nursing students on health promotion related to psychoactive
substances
ORIGINAL (NON-ENGLISH) TITLE
Concepción de los estudiantes de enfermería sobre promoción de la salud ante
el uso de sustancias psicoactivas
AUTHOR NAMES
Rojo M.D.
Bueno S.M.V.
Da Silva E.C.
AUTHOR ADDRESSES
(Rojo M.D., jazni@arnet.com.ar) Córdoba National University, Medical
Sciences School, School of Nursing, Argentina.
(Bueno S.M.V., smvbueno@eerp.usp.br; Da Silva E.C., nane@eerp.usp.br)
University of Sao Paulo at Ribeirão Preto, College of Nursing, WHO
Collaborating Centre for Nursing Research Development, Brazil.
CORRESPONDENCE ADDRESS
M. D. Rojo, Córdoba National University, Medical Sciences School, School of
Nursing, Argentina. Email: jazni@arnet.com.ar
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (627-633). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This qualitative study aimed to investigate the perception of undergraduate
nursing students on health promotion in view of the use of psychoactive
substances. Nine undergraduate students, attending the last disciplines of
the first semester, participated in the study and were divided in two focal
groups. The theoretical-methodological referential was based on Paulo
Freire's theory of conscientization. Data were processed through content
analysis, demonstrating that students find difficulties in planning
intervention strategies in health promotion in view of the drug phenomenon,
because the knowledge provided by the university has a biologist tendency,
typical of the medical model, recognizing a gap between theory and practice.
Nevertheless, they manage to reconstruct their knowledge and become aware of
their role as future health promoters in the face of drug use and abuse.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health personnel attitude
health promotion
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709286 (http://www.ncbi.nlm.nih.gov/pubmed/18709286)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 542
TITLE
Nursing students' perception regarding predicting factors of drugs use
ORIGINAL (NON-ENGLISH) TITLE
Percepción de las estudiantes de enfermería sobre los predictores del uso de
drogas
AUTHOR NAMES
De Abarca A.M.
Pillon S.C.
AUTHOR ADDRESSES
(De Abarca A.M.) National Autonomous University of Honduras, .
(Pillon S.C., pillon@eerp.usp.br) University of São Paulo at Ribeirão Preto,
College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
A. M. De Abarca, National Autonomous University of Honduras, .
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (607-613). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
The study on the perception of 264 (33.2%) nursing students from the
Professionailzation and Regular groups regarding predicting factors of drugs
consumption shows these students consume alcohol and tobacco and view
alcohol as a leading factor in the consumption of drugs. The
Professionailzation group consumes tranquilizers and stimulants at a higher
rate than the Regular group. The Professionailzation students argue that
they have to deal with an excessive personal load: career, job, family and
stress. According to them, these factors motivate the consumption of
tranquilizers and stimulants. The Professionailzation group views the family
and religion as protective factors; friends and school, on the other hand,
are considered risk factors. Both groups consider drug users as amoral and
addicts. The present study provides indicators that can support real actions
aimed at improving the education of nursing personnel.
EMTREE DRUG INDEX TERMS
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
Honduras
human
male
risk factor
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709283 (http://www.ncbi.nlm.nih.gov/pubmed/18709283)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 543
TITLE
Undergraduate students' motivations for the consumption of legal drugs
ORIGINAL (NON-ENGLISH) TITLE
Motivaciones del estudiante universitario para el consumo de drogas legales
AUTHOR NAMES
Rodriguez V.M.H.
Scherer Z.A.P.
AUTHOR ADDRESSES
(Rodriguez V.M.H., covetojo@yahoo.com) University Autonoma of Querétaro,
School of Nursing, Mexico.
(Scherer Z.A.P., scherer@eerp.usp.br) University of São Paulo at Ribeirao
Preto, College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
V. M. H. Rodríguez, University Autonoma of Querétaro, School of Nursing,
Mexico. Email: covetojo@yahoo.com
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (572-576). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This qualitative research aimed at identifying conceptions held by
undergraduate students regarding the term motivation, and motives leading
them to the consumption of legal drugs. Data were collected through a
questionnaire with four open questions, applied to 15 students of a public
university in the central region of Mexico. In order to perform the data
analysis, answers were classified in two categories: a) Undergraduate
students' conceptions regarding the term motivation and b) Undergraduate
students' conceptions regarding the motives for consumption. Such analysis
indicated that students identify two types of motivations: external and
internal. The external motivation includes family, mass media and friends;
whereas internal motivation includes personal characteristics, need of
belonging, curiosity, pleasure and idleness.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
medical education
motivation
nursing student
EMTREE MEDICAL INDEX TERMS
article
drug therapy
human
psychological aspect
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709277 (http://www.ncbi.nlm.nih.gov/pubmed/18709277)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 544
TITLE
Consumption of benzodiazepines without prescription among first-year nursing
students at the University of Guayaquil, School of Nursing, Ecuador
ORIGINAL (NON-ENGLISH) TITLE
Consumo de benzodiacepinas sin prescripción médica en los/as estudiantes de
primerano de la Escuela de Enfermería de la Universidad de Guayaquil,
Ecuador
AUTHOR NAMES
Paredes N.P.
Miasso A.I.
Tirapelli C.R.
AUTHOR ADDRESSES
(Paredes N.P.) University of Guayaquil, School of Nursing, Ecuador.
(Miasso A.I., amiasso@eerp.usp.br; Tirapelli C.R., crtirapelli@eerp.usp.br)
University of São Paulo at Ribeirão Preto, College of Nursing, WHO
Collaborating Centre for Nursing Research Development, Brazil.
CORRESPONDENCE ADDRESS
N. P. Paredes, University of Guayaquil, School of Nursing, Ecuador.
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (634-639). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This study aimed to determine the consumption of benzodiazepines without
prescription among first-year students from a nursing school of a public
University in Ecuador. This is a descriptive, transversal and explanatory
study with a quantitative approach. A questionnaire was used for data
collection. The population studied was of 181 students. The results showed
that 10.5% of the students had consumed benzodiazepine without prescription
once In their lives. Of these, 6.1% consumed benzodiazepine in the last
year, and 3.9% are currently consuming it. The diazepam was the most
consumed BZD without prescription and pharmacies, were the place of higher
access. The main reasons for the benzodiazepine consumption were: Insomnia,
anxiety, stress, depression, family and economical problems. The use of
benzodiazepines with non-medlclnal purposes is related to problems such as
memory loss, retirement syndrome and sedation. When benzodiazepines are
consumed jointly with alcohol or other drugs they can lead to coma or death.
This study shows the serious consequences benzodiazepines cause when used by
nursing students In Ecuador.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nursing student
prescription
EMTREE MEDICAL INDEX TERMS
adult
article
Ecuador (epidemiology)
female
human
male
residential care
statistics
university
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709287 (http://www.ncbi.nlm.nih.gov/pubmed/18709287)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 545
TITLE
Developing competencies for drug demand reduction
ORIGINAL (NON-ENGLISH) TITLE
Desarrollando competencias para la reducción de la demanda de drogas
AUTHOR NAMES
Mendes I.A.C.
Marziale M.H.P.
AUTHOR ADDRESSES
(Mendes I.A.C., iamendes@eerp.usp.br; Marziale M.H.P., marziale@eerp.usp.br)
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (503-508). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
nursing
professional competence
social support
EMTREE MEDICAL INDEX TERMS
editorial
human
South and Central America
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
MEDLINE PMID
18709267 (http://www.ncbi.nlm.nih.gov/pubmed/18709267)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 546
TITLE
Evaluation of different methods of providing medication-related education to
patients following myocardial infarction
AUTHOR NAMES
Polack J.
Jorgenson D.
Robertson P.
AUTHOR ADDRESSES
(Polack J., Jolene.Polack@saskatoonhealthregion.ca; Jorgenson D.; Robertson
P.) Department of Pharmaceutical Services, Saskatoon Health Region,
Saskatoon, SK, Canada.
CORRESPONDENCE ADDRESS
J. Polack, Department of Pharmaceutical Services, Saskatoon Health Region,
Saskatoon, SK, Canada. Email: Jolene.Polack@saskatoonhealthregion.ca
SOURCE
Canadian Pharmacists Journal (2008) 141:4 (241-247). Date of Publication:
July/August 2008
ISSN
1715-1635
BOOK PUBLISHER
Canadian Pharmacists Association, 1785 Alta Vista Drive, Ottawa, Canada.
ABSTRACT
Background: Patient education is one method used to improve the utilization
of post-myocardial infarction (MI) medications, but there is limited
evidence on how best to provide this education. Objective: To determine if
an education session provided by a pharmacist in the community to post-MI
patients soon after hospital discharge is more effective than a
pre-discharge education session provided by a pharmacist or a nurse.
Methods: This was a randomized, controlled trial. Patients hospitalized with
an MI were randomized to receive usual care (nurse-led pre-discharge
education), hospital pharmacist pre-discharge medication education, or
medication education from a pharmacist 1 to 2 weeks after discharge. A
survey was conducted to assess the primary endpoints of medication adherence
and knowledge retention. As a secondary endpoint, drug-related problems were
identified in the post-discharge pharmacist education group. Results: A
total of 14 patients were included in the final analyses. Although there was
no difference in medication adherence between groups as measured using the
Beliefs about Medicines Questionnaire or the Morisky Self-Reported
Medication-Taking Scale, the post-discharge pharmacist education group
scored significantly better on 2 out of 3 measures of knowledge retention (p
< 0.001). A mean of 2.75 drug-related problems per patient were identified
by the pharmacist during the education session provided in the
post-discharge group. Conclusion: Despite a limited sample size, our results
suggest that providing pharmacist-led post-MI medication education in a
community setting after hospital discharge may improve medication knowledge
and adherence while providing an opportunity to identify a number of
drug-related problems. Additional research is necessary to confirm these
results in a larger sample before practice change is warranted.
EMTREE DRUG INDEX TERMS
antithrombocytic agent (drug therapy)
beta adrenergic receptor blocking agent (drug therapy)
dipeptidyl carboxypeptidase inhibitor (drug therapy)
hydroxymethylglutaryl coenzyme A reductase inhibitor (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug information
heart infarction (drug therapy, therapy)
patient education
pharmaceutical care
EMTREE MEDICAL INDEX TERMS
adult
aged
clinical article
clinical trial
community care
controlled clinical trial
controlled study
drug safety
female
health education
human
intermethod comparison
male
nursing care
patient attitude
patient care
pharmacist attitude
randomized controlled trial
recall
review
treatment response
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008517350
FULL TEXT LINK
http://dx.doi.org/10.3821/1913-701X(2008)141[241:EODMOP]2.0.CO;2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 547
TITLE
Nursing students' premature pregnancy and consumption of alcohol
ORIGINAL (NON-ENGLISH) TITLE
Embarazo precoz de estudiantes de enfermería y laingesta de bebidas
alcohólicas
AUTHOR NAMES
Alvarez M.L.
AUTHOR ADDRESSES
(Alvarez M.L.) National University of Colombia, Bogota.
CORRESPONDENCE ADDRESS
M. L. Alvarez, National University of Colombia, Bogota.
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (577-583). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This qualitative descriptive research aimed to analyze pregnancy dynamics,
experienced by a group of women who, at the time, were at most 19 years old,
and identify the role attributed to the consumption of alcohol in such
dynamics. The research was developed with a group of 20 students from the
Colombia National University. Six of them were selected for in dept
investigation through interviews, which were analyzed by content analysis.
Based on the literature and the subjects' life history, the study examines
the following categories: pregnancy, making love, maternity, being a woman,
and drinking. Through these categories, was possible to identify the
dynamics experienced by these women during pregnancy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
nursing student
EMTREE MEDICAL INDEX TERMS
article
Colombia (epidemiology)
female
human
pregnancy
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709278 (http://www.ncbi.nlm.nih.gov/pubmed/18709278)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 548
TITLE
Alcohol consumption by nursing students in Honduras
ORIGINAL (NON-ENGLISH) TITLE
Uso de bebidas alcohólicas entre estudiantes de enfermería en Honduras
AUTHOR NAMES
Matute R.C.
Pillon S.C.
AUTHOR ADDRESSES
(Matute R.C.) National Autonomous University of Honduras, .
(Pillon S.C., pillon@eerp.usp.br) University de São Paulo at Ribeirão Preto,
College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
R. C. Matute, National Autonomous University of Honduras, .
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (584-589). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
The recreational use of alcohol is very frequent in the life of college
students. A descriptive study was carried out with nursing students in
Honduras, where the use of psychoactive substances represents a considerable
health problem, especially the use of alcohol. This study Identified that
74.9% were abstinent. Nevertheless, the study focused on drinkers, whose
consumption pattern may be changing over time. According to the sample
characteristics, most subjects were young working women, students, and
Christians. These variables should be considered in the investigation of
protective factors against drinking, and in designing preventive actions in
the university context.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
Honduras (epidemiology)
human
male
prevalence
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709279 (http://www.ncbi.nlm.nih.gov/pubmed/18709279)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 549
TITLE
Nursing students' work, a risk factor for the consumption of alcohol and
other drugs
ORIGINAL (NON-ENGLISH) TITLE
El trabajo del estudiante de enfermería como un factor de riesgo para el
consumo de alcohol y otras drogas
AUTHOR NAMES
De Oliveira E.B.
Furegato A.R.F.
AUTHOR ADDRESSES
(De Oliveira E.B., eliasbo@tutopia.com.br) Rio de Janeiro State University,
Brazil.
(Furegato A.R.F., furegato@eerp.com.br) University of Sao Paulo at Ribeirao
Preto, School of Nursing, WHO Collaborator Center for Nursing Research
Development, Brazil.
CORRESPONDENCE ADDRESS
E. B. De Oliveira, Rio de Janeiro State University, Brazil. Email:
eliasbo@tutopia.com.br
SOURCE
Revista Latino-Americana de Enfermagem (2008) 16:SPEC. ISS. (565-571). Date
of Publication: July/August 2008
ISSN
0104-1169
BOOK PUBLISHER
Associacao Medica Brasileira, Rua Sao Carlos do Pinhal 324, Bela Vista-Sao
Paulo, Brazil.
ABSTRACT
This descriptive, qualitative study alms to describe risk factors, in the
work environment, for the consumption of alcohol and other drugs, and also
to confirm the importance of protective factors. Interview technique was
used with 51 nursing students at the Rio de Janeiro State University, who
work in the city's health services. Results: students related work as a risk
factor for the consumption of drugs such as alcohol, cigarettes and
anxiolytics. We conclude that working with participative methodologies,
valuing student's former experiences, family and group life, and individual
characteristics are essential in the preventive approach. Attention to
protective factors is recommended.
EMTREE DRUG INDEX TERMS
anxiolytic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
nursing student
workplace
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
article
human
prevalence
risk factor
statistics
LANGUAGE OF ARTICLE
Spanish, Portuguese, English
LANGUAGE OF SUMMARY
English, Spanish, Portuguese
MEDLINE PMID
18709276 (http://www.ncbi.nlm.nih.gov/pubmed/18709276)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 550
TITLE
Pharmacological Treatment of Behavioral and Psychological Symptoms of
Dementia (BPSD) in Nursing Homes: Development of Practice Recommendations in
a Swiss Canton
AUTHOR NAMES
Locca J.-F.
Büla C.J.
Zumbach S.
Bugnon O.
AUTHOR ADDRESSES
(Locca J.-F.; Büla C.J.; Zumbach S.; Bugnon O., Oliver.bugnon@hospvd.ch)
Universities of Lausanne and Geneva, Community Pharmacy Practice Research
Unit, Pharmacie de la PMU, Lausanne, Switzerland.
CORRESPONDENCE ADDRESS
J.-F. Locca, Universities of Lausanne and Geneva, Community Pharmacy
Practice Research Unit, Pharmacie de la PMU, Lausanne, Switzerland.
SOURCE
Journal of the American Medical Directors Association (2008) 9:6 (439-448).
Date of Publication: July 2008
ISSN
1525-8610
1538-9375 (electronic)
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objectives: In 2002, the canton of Fribourg, Switzerland, implemented a
coordinated pharmaceutical care service in nursing homes to promote rational
drug use. In the context of this service, a project was conducted to develop
recommendations for the pharmacological management of behavioral and
psychological symptoms of dementia (BPSD) in nursing home residents. Design
and Methods: Selected evidence-based guidelines and meta-analysis sources
related to the management of depression, insomnia, and agitation in dementia
patients were systematically searched and evaluated. Evidence and
controversies regarding the pharmacological treatment of the most common
BPSD symptoms were reviewed, and treatment algorithms were developed.
Results: Ten evidence-based guidelines and meta-analyses for BPSD management
were identified, with none specifically addressing issues related to nursing
home residents. Based on this literature, recommendations were developed for
the practice of pharmacological management of depression, sleep
disturbances, and agitation in nursing home residents. For depression, SSRIs
are considered the first choice if an antidepressant is required. No clear
evidence has been found for sleep disturbances; the underlying conditions
need to be investigated closely before the introduction of any drug therapy.
Many drugs have been investigated for the treatment of agitation, and if
necessary, antipsychotics could be used, although they have significant side
effects. Several areas of uncertainty were identified, such as the current
controversy about typical and atypical antipsychotic use or the
appropriateness of cholinesterase inhibitors for controlling agitation.
Treatment algorithms were presented to general practitioners, pharmacists,
and medical directors of nursing homes in the canton of Fribourg, and will
now be implemented progressively, using educational sessions, pharmaceutical
counseling, and monitoring. Conclusion: Based on existing evidence-based
studies, recommendations were developed for the practice of pharmacological
management of depression, sleep disturbances, and agitation in nursing home
residents. It should be further studied whether these algorithms implemented
through pharmaceutical care services will improve psychotropic drug
prescriptions and prevent drug-related problems in nursing home residents. ©
2008 American Medical Directors Association.
EMTREE DRUG INDEX TERMS
aripiprazole (drug therapy)
atypical antipsychotic agent (adverse drug reaction, drug comparison, drug
therapy)
cholinesterase inhibitor (drug therapy)
citalopram (drug therapy)
clomethiazole (drug comparison, drug therapy)
clomipramine (drug therapy)
diazepam (drug therapy)
etoperidone (drug therapy)
fluoxetine (drug therapy)
haloperidol (adverse drug reaction, drug comparison, drug dose, drug
therapy)
loxapine (drug therapy)
maprotiline (drug therapy)
melatonin (drug therapy)
memantine (drug therapy)
moclobemide (drug therapy)
neuroleptic agent (adverse drug reaction, drug comparison, drug therapy)
olanzapine (adverse drug reaction, drug therapy)
psychotropic agent (drug therapy)
quetiapine (drug therapy)
risperidone (adverse drug reaction, drug therapy)
serotonin uptake inhibitor (drug therapy)
sertraline (drug therapy)
thioridazine (adverse drug reaction, drug comparison, drug therapy)
tiotixene (drug therapy)
trazodone (drug therapy)
tricyclic antidepressant agent (adverse drug reaction, drug therapy)
unindexed drug
valproic acid (adverse drug reaction, drug dose, drug therapy)
venlafaxine (drug therapy)
zuclopenthixol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder (drug therapy)
dementia (drug therapy, therapy)
mental disease (drug therapy)
practice guideline
EMTREE MEDICAL INDEX TERMS
administrative personnel
agitation
algorithm
article
cerebrovascular disease (side effect)
counseling
depression (drug therapy)
disease control
drug choice
drug efficacy
drug megadose
drug monitoring
drug safety
drug withdrawal
evidence based medicine
extrapyramidal symptom (side effect)
general practitioner
human
insomnia (drug therapy)
medical education
nursing home
pharmaceutical care
pharmacist
physical activity
prescription
QT prolongation (side effect)
sedation
side effect (side effect)
Switzerland
symptom
unspecified side effect (side effect)
CAS REGISTRY NUMBERS
aripiprazole (129722-12-9)
citalopram (59729-33-8)
clomethiazole (1867-58-9, 533-45-9)
clomipramine (17321-77-6, 303-49-1)
diazepam (439-14-5)
etoperidone (52942-31-1, 57775-22-1)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
haloperidol (52-86-8)
loxapine (1977-10-2)
maprotiline (10262-69-8, 10347-81-6)
melatonin (73-31-4)
memantine (19982-08-2, 41100-52-1)
moclobemide (71320-77-9)
olanzapine (132539-06-1)
quetiapine (111974-72-2)
risperidone (106266-06-2)
sertraline (79617-96-2)
thioridazine (130-61-0, 50-52-2)
tiotixene (5591-45-7)
trazodone (19794-93-5, 25332-39-2)
valproic acid (1069-66-5, 99-66-1)
venlafaxine (93413-69-5)
zuclopenthixol (53772-83-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008298064
MEDLINE PMID
18585647 (http://www.ncbi.nlm.nih.gov/pubmed/18585647)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jamda.2008.04.003
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 551
TITLE
Are nurses prepared to curb the tobacco epidemic in China? A questionnaire
survey of schools of nursing
AUTHOR NAMES
Chan S.S.-C.
Sarna L.
Danao L.L.
AUTHOR ADDRESSES
(Chan S.S.-C., nssophia@hkucc.hku.hk) Department of Nursing Studies, The
University of Hong Kong, Hong Kong SAR, Hong Kong.
(Sarna L.) School of Nursing, University of California, Los Angeles, CA,
United States.
(Danao L.L.) Jonsson Comprehensive Cancer Centre, Division of Cancer
Prevention and Control, University of California, Los Angeles, CA, United
States.
CORRESPONDENCE ADDRESS
S.S.-C. Chan, Department of Nursing Studies, The University of Hong Kong,
Hong Kong SAR, Hong Kong. Email: nssophia@hkucc.hku.hk
SOURCE
International Journal of Nursing Studies (2008) 45:5 (706-713). Date of
Publication: May 2008
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Background: Smoking prevalence among Chinese males is the highest in the
world and its morbidity and mortality is growing. Previous studies suggested
nurses are inadequately prepared to treat tobacco use and dependence.
Objectives: To examine the inclusion and organization of tobacco control
content in the undergraduate nursing curriculum of Hong Kong and Mainland
China; and the smoking status of faculty and students. Design:
Cross-sectional survey. Methods: Deans of 32 nursing schools in Hong Kong
and China with an undergraduate programme (representing over 12000 students)
completed a self-administered questionnaire. Results: Most schools included
the health hazards of tobacco (56.3-100%), but few covered tobacco cessation
theory (31.3-62.5%), or behavioural (9.4-56.3%) and pharmacological
(3.1-34.4%) interventions in the curriculum. Most curricula covered less
than 1 h of tobacco content per year of study. Nearly all schools (93.1%)
reported smoking among faculty but only half reported access to smoking
cessation programmes. Conclusions: This is the first known study to examine
the extent of tobacco control education in the nursing curriculum in China.
Results suggested deficiencies in the coverage and clinical practice in
smoking and smoking cessation, and recommendations were made to strengthen
the curriculum. © 2007 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nursing education
nursing student
smoking (adverse drug reaction, epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
attitude to health
China
clinical competence
cross-sectional study
health survey
Hong Kong
human
methodology
needs assessment
nurse attitude
organization and management
policy
prevalence
psychological aspect
questionnaire
smoking cessation
statistics
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17336307 (http://www.ncbi.nlm.nih.gov/pubmed/17336307)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2006.12.008
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 552
TITLE
A randomized trial of 2% chlorhexidine tincture compared with 10% aqueous
povidone-iodine for venipuncture site disinfection: Effects on blood culture
contamination rates
AUTHOR NAMES
Suwanpimolkul G.
Pongkumpai M.
Suankratay C.
AUTHOR ADDRESSES
(Suwanpimolkul G.; Pongkumpai M.; Suankratay C., chusana.s@chula.ac.th)
Division of Infectious Diseases, Department of Medicine, Faculty of
Medicine, Chulalongkorn University, PhraramIV Road, Pathumwan, Bangkok
10330, Thailand.
CORRESPONDENCE ADDRESS
C. Suankratay, Division of Infectious Diseases, Department of Medicine,
Faculty of Medicine, Chulalongkorn University, PhraramIV Road, Pathumwan,
Bangkok 10330, Thailand. Email: chusana.s@chula.ac.th
SOURCE
Journal of Infection (2008) 56:5 (354-359). Date of Publication: May 2008
ISSN
0163-4453
BOOK PUBLISHER
W.B. Saunders Ltd, 32 Jamestown Road, London, United Kingdom.
ABSTRACT
Background: Contaminated blood cultures have been recognized as a bothersome
issue, and continue to cause frustration for clinicians. Skin antiseptics
can prevent blood culture contamination. To our knowledge, there have been
no randomized studies to compare 2% alcoholic chlorhexidine and 10% aqueous
povidone-iodine for venipuncture site disinfection. Objective: This study
aimed to evaluate the efficacy of venipuncture site disinfection with 2%
chlorhexidine in 70% alcohol and 10% aqueous povidone-iodine in preventing
blood culture contamination. Patients and methods: A prospectively
randomized investigator-blinded trial was conducted in all patients in the
medical wards and emergency room (ER) at King Chulalongkorn Memorial
Hospital, Bangkok, Thailand, from August to October, 2006. Venipuncture
sites were disinfected with 2% chlorhexidine in 70% alcohol or 10% aqueous
povidone-iodine, and blood cultures were taken by students, residents, or
nurses. Results: Of 2146 blood cultures, 108 (5.03%) were contaminated with
skin flora. The blood culture contamination rate with 2% alcoholic
chlorhexidine was 3.2% (34 of 1068), compared with a rate of 6.9% (74 of
1078) (P < 0.001) with 10% aqueous povidone-iodine. In medical wards, the
contamination rates were 2.6% and 3.9% with 2% alcoholic chlorhexidine and
10% aqueous povidone-iodine (P = 0.2). In ER, the contamination rates were
4.3% and 12.5% with 2% alcoholic chlorhexidine and 10% aqueous
povidone-iodine (P < 0.001). The most common contaminant was
coagulase-negative Staphylococcus (80.6%), followed by Corynebacterium
(7.4%), Micrococcus (6.5%), and Bacillus (5.5%). Conclusion: Two percent
alcoholic chlorhexidine is superior to 10% aqueous povidone-iodine for
venipuncture site disinfection before obtaining blood cultures. © 2008 The
British Infection Society.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
chlorhexidine (clinical trial, drug comparison)
povidone iodine (clinical trial, drug comparison)
EMTREE DRUG INDEX TERMS
alcohol
antiinfective agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bacterium contamination
blood culture
skin decontamination
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aqueous solution
article
Bacillus
blood sampling
clinical trial
coagulase negative Staphylococcus
controlled clinical trial
controlled study
Corynebacterium
drug efficacy
emergency ward
female
human
male
medical student
Micrococcus
nurse
prospective study
randomized controlled trial
resident
skin flora
Thailand
tincture
vein puncture
DRUG MANUFACTURERS
(Spain)Medichem
(Netherlands)Mundipharma
CAS REGISTRY NUMBERS
alcohol (64-17-5)
chlorhexidine (3697-42-5, 55-56-1)
povidone iodine (25655-41-8)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008210597
MEDLINE PMID
18407355 (http://www.ncbi.nlm.nih.gov/pubmed/18407355)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jinf.2008.03.001
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 553
TITLE
Educational intervention of undergraduate nursing students' confidence
skills with alcohol and drug misusers.
AUTHOR NAMES
Rassool G.H.
Rawaf S.
AUTHOR ADDRESSES
(Rassool G.H.; Rawaf S.) Addiction and Mental Health, Departamento de
Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao
Paulo-EERP, USP, Sao Paulo, Brazil.
CORRESPONDENCE ADDRESS
G.H. Rassool, Addiction and Mental Health, Departamento de Enfermagem
Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo-EERP, USP, Sao
Paulo, Brazil. Email: grassool@sgul.ac.uk
SOURCE
Nurse education today (2008) 28:3 (284-292). Date of Publication: Apr 2008
ISSN
0260-6917
ABSTRACT
There is a paucity literature on the educational interventions and
evaluation programmes in alcohol and drug with undergraduate nursing
students in the United Kingdom and this study intends to add a body of
knowledge to this area. The aim of the study was to assess the intervention
confidence skills of undergraduate nursing students before and after an
educational intervention on alcohol and drug misuse. The research study is a
quasi-experimental, pre- and post-test design. The sample was made of four
cohorts of undergraduate nursing students (n=110) enrolled at a course
leading to a diploma or BSc in nursing from three educational institutions.
A visual analogue scale was used to measure intervention confidence skills
before and after the educational programme in alcohol and drug. The findings
showed an improvement in the level of intervention confidence skills of
undergraduate nursing students. Further research is needed to examine
effectiveness of educational interventions in working with substance
misusers and whether substance misuse education is the key predictor of
changing in changing intervention confidence skills.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
clinical competence
nursing education
nursing student
self concept
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (prevention)
article
clinical trial
female
health care quality
human
male
multicenter study
nursing
psychological aspect
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17643558 (http://www.ncbi.nlm.nih.gov/pubmed/17643558)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2007.06.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 554
TITLE
Psychoeducation. Patient education gets respect.
AUTHOR NAMES
London F.
AUTHOR ADDRESSES
(London F.) Phoenix Children's Hospital, Phoenix, AZ, USA.
CORRESPONDENCE ADDRESS
F. London, Phoenix Children's Hospital, Phoenix, AZ, USA. Email:
franlondon@phoenixchildrens.com
SOURCE
Home healthcare nurse (2008) 26:4 (209-211; quiz 212-213). Date of
Publication: Apr 2008
ISSN
0884-741X
ABSTRACT
Even those who are not psychiatric nurses find themselves caring for
patients with psychiatric disorders. Adults with a mental health and/or
substance abuse diagnosis accounted for 1 of 4 hospital stays in 2004.
Whether the patient's problem is physical, mental, or both, most care is
self-care. Psychoeducation improves health outcomes by optimizing self-care
skills, engaging family and community supports, and promoting early
recognition of problems and appropriate interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health promotion
mental disease (epidemiology, prevention)
patient education
EMTREE MEDICAL INDEX TERMS
article
human
length of stay
methodology
needs assessment
nurse attitude
nursing assessment
organization and management
psychological aspect
self care
social support
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18408511 (http://www.ncbi.nlm.nih.gov/pubmed/18408511)
FULL TEXT LINK
http://dx.doi.org/10.1097/01.NHH.0000316696.84514.c5
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 555
TITLE
Jordanian nurses' and physicians' learning needs for promoting smoking
cessation.
AUTHOR NAMES
Shishani K.
Nawafleh H.
Sivarajan Froelicher E.
AUTHOR ADDRESSES
(Shishani K.; Nawafleh H.; Sivarajan Froelicher E.) Faculty of Nursing, The
Hashemite University, PO Box 150459, Zarqa, 13115 Jordan.
CORRESPONDENCE ADDRESS
K. Shishani, Faculty of Nursing, The Hashemite University, PO Box 150459,
Zarqa, 13115 Jordan. Email: kawkab.shishani@gmail.com
SOURCE
Progress in cardiovascular nursing (2008) 23:2 (79-83). Date of Publication:
2008 Spring
ISSN
0889-7204
ABSTRACT
Smoking causes many health problems, including myocardial infarction,
stroke, and peripheral vascular disease, and has devastating effects on the
cardiovascular system. This study was performed to assess: (1) the
prevalence of smoking among Jordanian nurses and physicians, (2) the
differences in prevalence of smoking by sex, and 3) nurses' and physicians'
learning needs for promoting smoking cessation. A descriptive
cross-sectional design was used. Five Jordanian hospitals were randomly
selected; 164 nurses (65.3%) and 87 physicians (34.7%) participated in the
study. Prevalence of smoking among nurses and physicians was 41.5% (n = 66)
and 43.6% (n = 38), respectively, and significantly more men than women
smoked (odds ratio, 5.45; confidence interval, 2.52-11.74 [P = .00]). Many
Jordanian nurses and physicians do not recognize the addictive aspect of
smoking, and health professionals receive no formal training in smoking
cessation approaches to use with patients. Most nurses and physicians
recognize that University curricula must include information about smoking
cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
health promotion
medical staff
needs assessment
nursing staff
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
attitude to health
chi square distribution
clinical competence
cross-sectional study
education
female
human
Jordan (epidemiology)
male
middle aged
multivariate analysis
nursing methodology research
organization and management
prevalence
psychological aspect
questionnaire
self concept
sex ratio
smoking cessation
statistical model
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18843829 (http://www.ncbi.nlm.nih.gov/pubmed/18843829)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-7117.2008.07745.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 556
TITLE
Training in dual diagnosis interventions (the COMO Study): Randomised
controlled trial
AUTHOR NAMES
Hughes E.
Wanigaratne S.
Gournay K.
Johnson S.
Thornicroft G.
Finch E.
Marshall J.
Smith N.
AUTHOR ADDRESSES
(Hughes E., lhughes@lincoln.ac.uk; Gournay K., kevingournay@aol.com;
Thornicroft G., graham.thornicroft@iop.kcl.ac.uk; Smith N.,
n.smith@iop.kcl.ac.uk) Health Service and Population Research Department,
Institute of Psychiatry, King's College London, Denmark Hill, London SE5
8AF, United Kingdom.
(Hughes E., lhughes@lincoln.ac.uk) Centre for Clinical and Academic
Workforce Innovation, University of Lincoln, Pleasley Vale Business Park,
Mansfield, Nottinghamshire NG19 8RL, United Kingdom.
(Johnson S., s.johnson@ucl.ac.uk) Department of Mental Health, University
College London, 48 Riding House Street, London W1W 7EY, United Kingdom.
(Wanigaratne S., shamil.wanigaratne@slam.nhs.uk; Finch E.,
emily.finch@slam.nhs.uk; Marshall J., jane.marshall@slam.nhs.uk) Addiction
Sciences, Institute of Psychiatry, King's College London, Denmark Hill,
London SE5 8AF, United Kingdom.
CORRESPONDENCE ADDRESS
E. Hughes, Health Service and Population Research Department, Institute of
Psychiatry, King's College London, Denmark Hill, London SE5 8AF, United
Kingdom. Email: lhughes@lincoln.ac.uk
SOURCE
BMC Psychiatry (2008) 8 Article Number: 12. Date of Publication: 27 Feb 2008
ISSN
1471-244X (electronic)
BOOK PUBLISHER
BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
Background: Despite the high prevalence of co-morbid substance use among
mental health service users (dual diagnosis), very few mental health workers
in the UK have had training and/or clinical experience to equip them to
deliver targeted interventions to this client group. Method: In a randomised
controlled trial of training for dual diagnosis interventions, 79 case
managers from 12 community mental health teams in South London were randomly
allocated to either receive training and follow-up supervision (experimental
group) or no training and supervision (control group). Baseline measures of
attitude, self-efficacy and knowledge were collected prior to randomisation,
and were repeated at 18 months post-training. An intention to treat analysis
of follow-up data (adjusted for baseline score for that outcome and team)
was performed. Results: At 18 months post-training, the AAPPQ (The Alcohol
and Alcohol Problems Perception Questionnaire) total score was did not
differ significantly between the two groups (adjusted difference 7.43 [95%
CI -0.86 to 15.71], p = 0.08). There were significant differences in favour
of the experimental group on 2 of the 6 subscales of the AAPPQ: 'adequacy of
knowledge and skills in working with alcohol" (adjusted difference 3.598
[95% CI 1.03 to 6.16], p = 0.007) and "self-esteem in working with alcohol"
(adjusted difference 3.00 [95% CI 0.46 to 5.54], p = 0.021). In addition
there were significant improvements for the experimental group on "Knowledge
About Dual Diagnosis" (adjusted difference 2.00 [95% CI 0.80 to 3.22], p =
0.002) and "Self-Efficacy Scale" (adjusted difference 13.55 [95% CI 8.00 to
26.86], p = 0.001). The effect of membership of teams was added to the
analysis of covariance and this changed the results for only one variable:
"self-esteem working with drinkers" was no longer significant. Conclusion: A
brief training course in dual diagnosis interventions had a significant
effect on secondary measures of knowledge and self-efficacy that was
detectable at 18 months post-training. Improvements in attitudes towards
working with drinkers and drug users in mental health settings failed to
reach statistical significance. Future research should explore the effects
of dose of dual diagnosis training, and the successful integration of skills
gained into routine care. © 2008 Hughes et al; licensee BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
psychiatric diagnosis
EMTREE MEDICAL INDEX TERMS
article
burnout
case manager
clinical trial
community mental health
comorbidity
controlled clinical trial
controlled study
female
follow up
health personnel attitude
human
job satisfaction
knowledge
major clinical study
male
mental health care personnel
questionnaire
randomized controlled trial
scoring system
self esteem
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008166273
MEDLINE PMID
18304310 (http://www.ncbi.nlm.nih.gov/pubmed/18304310)
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-244X-8-12
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 557
TITLE
Program strategies for adolescent smoking cessation.
AUTHOR NAMES
Fritz D.J.
Wider L.C.
Hardin S.B.
Horrocks M.
AUTHOR ADDRESSES
(Fritz D.J.; Wider L.C.; Hardin S.B.; Horrocks M.) Maryville University, St.
Louis, MO, USA.
CORRESPONDENCE ADDRESS
D.J. Fritz, Maryville University, St. Louis, MO, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2008) 24:1 (21-27). Date of Publication: Feb
2008
ISSN
1059-8405
ABSTRACT
School nurses who work with adolescents are in an ideal position to promote
smoking cessation. This opportunity is important because research suggests
teens who smoke are likely to become habitual smokers. This study
characterizes adolescents' patterns and levels of smoking, describes
adolescents' perceptions toward smoking, and delineates quit strategies that
may prove helpful for adolescents who attempt smoking cessation. Results
suggest adolescent smokers have highly variable patterns and levels of
smoking. They fail to consider their future health and continue to be
unaware of the harmful effects of smoking and the addictive nature of
tobacco. Among adolescent smokers, there are few gender differences in
perception of smoking. Therefore, gender specific cessation programs may not
be necessary. The most effective quit strategy was the acquisition of
information on contents of cigarettes and the health effects of smoking.
Armed with these strategies, school nurses can provide leadership in the
design and implementation of school based smoking cessation programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
child psychology
patient education
smoking (epidemiology, prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adolescent
article
child behavior
counseling
female
human
male
methodology
motivation
needs assessment
nurse attitude
nursing methodology research
organization and management
practice guideline
psychological aspect
qualitative research
risk factor
school health nursing
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18220452 (http://www.ncbi.nlm.nih.gov/pubmed/18220452)
FULL TEXT LINK
http://dx.doi.org/10.1622/1059-8405(2008)024[0021:PSFASC]2.0.CO;2
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 558
TITLE
Drug-facilitated sexual assault: educating women about the risks.
AUTHOR NAMES
Elliott S.M.
AUTHOR ADDRESSES
(Elliott S.M.) Private Practice of Daniel Aronson, Mayfield Heights, OH,
USA.
CORRESPONDENCE ADDRESS
S.M. Elliott, Private Practice of Daniel Aronson, Mayfield Heights, OH, USA.
Email: selliottrn@sbcglobal.net
SOURCE
Nursing for women's health (2008) 12:1 (30-37). Date of Publication: Feb
2008
ISSN
1751-486X (electronic)
ABSTRACT
"Andrea," an 18-year-old college freshman, walked into her first fraternity
party with a few of her sorority sisters. As she walked through the crowded
house, one of the fraternity boys handed the girls large plastic cups.
Another boy circulated through the crowd, filling up the cups of all guests
from two pitchers of beer. When he filled Andrea's cup, he smiled and was
polite and charming. She thought his act of filling her cup was kind and
gentlemanly, and was flattered by his attention. She didn't notice he used a
different pitcher for her than he had for her friends. She and her friends
continued to mill through the crowd, sipping their beer. About 20 minutes
later, Andrea suddenly had trouble focusing her vision. She felt disoriented
and "drunk" even though she had only consumed a third of her beer. She
started feeling nauseated, and tried to find her friends. The polite boy who
had poured her beer asked her if she was all right, and offered to take her
up to his room so she could rest. She followed him, grateful to be able to
lie down. Forty-five minutes later, her concerned friends searched the house
for Andrea. They found her upstairs passed out in a bedroom, lying on her
side; she had vomited and her clothes were disheveled. Suspecting only
alcohol intoxication; they picked her up, and walked her out of the party.
After Andrea slept for about two hours, she woke up and told her friends
something wasn't right. She had only drunk a small amount of her beer, and
had no recollection after she walked up the stairs with the boy. She burst
into tears, stating she feels some vaginal discomfort, and is afraid she may
have been raped. Her friends looked at each other, thinking, "How did this
happen and what are we supposed to do?"
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent
EMTREE DRUG INDEX TERMS
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
attitude to health
nurse attitude
patient education
rape (prevention)
EMTREE MEDICAL INDEX TERMS
article
courtship
female
human
human relation
methodology
nursing
risk factor
social behavior
United States
women's health
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18257884 (http://www.ncbi.nlm.nih.gov/pubmed/18257884)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1751-486X.2007.00273.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 559
TITLE
A public health nursing initiative to promote antenatal health.
AUTHOR NAMES
Strass P.
Billay E.
AUTHOR ADDRESSES
(Strass P.; Billay E.) Westview Health Centre, Stony Plain, Alberta.
CORRESPONDENCE ADDRESS
P. Strass, Westview Health Centre, Stony Plain, Alberta.
SOURCE
The Canadian nurse (2008) 104:2 (29-33). Date of Publication: Feb 2008
ISSN
0008-4581
ABSTRACT
At least one in 10 pregnant women experiences depression. Other health risks
during pregnancy include family violence, substance abuse, inadequate
nutrition, financial challenges, environmental hazards and lack of social
support. Public health nurses are in a unique position to enhance perinatal
health by assessing for antenatal psychosocial risk factors. During 2005-06
in a suburban/rural community near Edmonton, Alberta, public health nurses
initiated a one-year demonstration project with the goal of increasing the
number of health and community services accessed by pregnant women as a
result of an interactive appointment with a public health nurse. Eight
family physicians in WestView Primary Care Network and three midwives from
WestView's Shared Care Maternity Program referred local pregnant clients to
the public health nursing unit at WestView Health Centre in Stony Plain.
Each woman was assessed by a public health nurse for a variety of
psychosocial risk factors. Results of the assessment determined the type of
additional health services to which the pregnant women were referred. Care
providers were unanimous in their support for public health nurses'
continuing to provide antenatal assessments to an expanded population of
suburban/rural communities in the Capital Health region.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
depression (diagnosis, epidemiology, prevention)
health promotion
mass screening
pregnancy complication (diagnosis, epidemiology, prevention)
prenatal care
EMTREE MEDICAL INDEX TERMS
article
attitude to health
Canada (epidemiology)
evaluation study
female
follow up
health care quality
human
model
nurse attitude
nursing assessment
nursing evaluation research
nursing methodology research
organization and management
patient referral
pregnancy
prevalence
psychological aspect
risk assessment
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18320897 (http://www.ncbi.nlm.nih.gov/pubmed/18320897)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 560
TITLE
Attitudes of Irish dental, dental hygiene and dental nursing students and
newly qualified practitioners to tobacco use cessation: a national survey.
AUTHOR NAMES
McCartan B.
McCreary C.
Healy C.
AUTHOR ADDRESSES
(McCartan B.; McCreary C.; Healy C.) Anatomy Department, Royal College of
Surgeons, Dublin, Ireland.
CORRESPONDENCE ADDRESS
B. McCartan, Anatomy Department, Royal College of Surgeons, Dublin, Ireland.
Email: bmccartan@rcsi.ie
SOURCE
European journal of dental education : official journal of the Association
for Dental Education in Europe (2008) 12:1 (17-22). Date of Publication: Feb
2008
ISSN
1396-5883
ABSTRACT
BACKGROUND: Ireland has some of the strictest smoking regulations in the
world. Little is known of the attitudes of student Irish dental healthcare
workers towards tobacco control and tobacco use cessation. This study aimed
at determining the knowledge and attitudes of these students towards the
deleterious effects of tobacco in the mouth and towards tobacco use
cessation in dental practice. METHOD: A questionnaire survey was distributed
to 654 students (including newly qualified) on dentistry, dental hygiene and
dental nursing programmes in Irish dental schools. Information sought
included college, course, year of study, sex, age, nationality, smoking
status, knowledge of effects of tobacco in the mouth and attitudes towards
tobacco use cessation in dental practice and towards the Irish smoking bans.
MAIN FINDINGS: There was a 90% response rate. In all, 12% of dental
students, 25% of dental hygiene students and 31% of dental nursing students
were current smokers. Newly qualified dental hygienists were as
knowledgeable about tobacco effects in the mouth as newly qualified
dentists. Overall, the majority in each student category believed that all
three groups could be effective tobacco counsellors and should provide
tobacco use cessation counselling to patients, although less than half of
evening course dental nursing students felt that dental nurses could be
effective counsellors or should provide counselling. There was overwhelming
support for the Irish smoking ban. Only a minority of dental students and
dental nursing students had received instruction in tobacco use cessation
counselling. CONCLUSIONS: There are strong positive attitudes to tobacco use
cessation counselling in dental practice among these young dental healthcare
students. This is true even amongst those who have not received specific
instruction in tobacco use cessation counselling.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
dental assistant
dental education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
dentist
education
ethnic group
ethnology
female
health personnel attitude
health promotion
human
Ireland
male
methodology
patient education
psychological aspect
standard
statistics
tobacco dependence (prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18257760 (http://www.ncbi.nlm.nih.gov/pubmed/18257760)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1600-0579.2007.00466.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 561
TITLE
Nursing interventions for preventing alcohol-related harm.
AUTHOR NAMES
Littlejohn C.
Holloway A.
AUTHOR ADDRESSES
(Littlejohn C.; Holloway A.) NHS Tayside Alcohol Problems Service, Dundee.
CORRESPONDENCE ADDRESS
C. Littlejohn, NHS Tayside Alcohol Problems Service, Dundee.
SOURCE
British journal of nursing (Mark Allen Publishing) (2008) 17:1 (53-59). Date
of Publication: 2008 Jan 10-23
ISSN
0966-0461
ABSTRACT
Harrington-Dobinson and Blows recently provided a three-part series of
articles on alcohol, its consequences for health and wellbeing, and the role
of the nurse. Their third article outlined the health education and health
promotion role of the nurse. They outlined basic principles for nursing
practice in relation to the patient with alcohol dependence in the acute
general hospital. The authors of this article believe that much more can,
and must, be said in relation to the vital issue of nurses' clinical
interventions for alcohol. This article builds on the third article from
Harrington-Dobinson and Blows by outlining, in more concrete terms, how
nurses in all settings can effectively intervene with patients. It
introduces the current evidence-based guidelines in this area and use the
'consensus model' contained within them to describe the process of effective
alcohol intervention. Using dialogue examples to illustrate the research,
the authors introduce the literature on brief interventions and motivational
interviewing to the nursing audience.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, diagnosis, prevention)
directive counseling
health promotion
nurse attitude
nursing assessment
patient participation
EMTREE MEDICAL INDEX TERMS
anamnesis
health care policy
hospitalization
human
interpersonal communication
mass screening
methodology
model
motivation
nursing
organization and management
practice guideline
psychological aspect
psychotherapy
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18399398 (http://www.ncbi.nlm.nih.gov/pubmed/18399398)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 562
TITLE
Educating nursing students about the dangers of drinking games
AUTHOR NAMES
Durkin A.
AUTHOR ADDRESSES
(Durkin A., anne.durkin@quinnipiac.edu) Quinnipiac University, Hamden, CT.
CORRESPONDENCE ADDRESS
A. Durkin, Quinnipiac University, Hamden, CT. Email:
anne.durkin@quinnipiac.edu
SOURCE
Nursing Education Perspectives (2008) 29:1 (38-41). Date of Publication:
January/February 2008
ISSN
1536-5026
BOOK PUBLISHER
National League for Nursing
ABSTRACT
Alcohol abuse is a serious problem among college students, and drinking
games are a common, yet risky practice in this population. This article
provides a description of different types of drinking games along with a
discussion of the risks of participation, factors that may lead college
students to participate, interventions that may help reduce student
participation, and reasons why nurse faculty should consider incorporating
information about drinking games j into their curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
health education
nursing student
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
methodology
nursing education
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18330421 (http://www.ncbi.nlm.nih.gov/pubmed/18330421)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 563
TITLE
Improving oral health in women: Nurses 1/4 call to action
AUTHOR NAMES
Clemmens D.A.
Kerr A.R.
AUTHOR ADDRESSES
(Clemmens D.A., dc70@nyu.edu) New York University, College of Nursing, New
York, NY.
(Kerr A.R.) New York University, College of Dentistry, New York, NY.
CORRESPONDENCE ADDRESS
D.A. Clemmens, New York University, College of Nursing, New York, NY. Email:
dc70@nyu.edu
SOURCE
MCN The American Journal of Maternal/Child Nursing (2008) 33:1 (10-14). Date
of Publication: January/February 2008
ISSN
0361-929X
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
The purpose of this article is to discuss the most significant oral health
and related problems experienced by women, and to provide a Nurse 1/4s Plan
of Action to respond to these largely preventable diseases. Oral health is
integral to women 1/4s overall health and well-being, with poor oral health
being associated with cancer, heart disease, diabetes, depression, and the
birth of preterm, low-birthweight babies. Poor nutrition and lifestyle,
principally tobacco and heavy alcohol use, can further increase the risk for
oral diseases. Disparities are evident in women' 1/4s reported poor access
of regular dental care related to lack of dental insurance and low income.
These facts are disturbing because most oral diseases are preventable. The
Surgeon General 1/4s report on oral health in America () and, more recently,
the ĝ€ National Call to Action to Promote Oral Healthĝ€ () emphasized the
need for partnerships of key stakeholders, including nurses, to get involved
in oral disease prevention. Nurses are in an ideal position to provide
health promotion education and screening across the multitude of settings in
which they work regarding oral health and risk factors for oral disease.
Nursing interventions aimed at promoting healthy outcomes and preventing
disease should include a focus on oral health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
health promotion
mouth hygiene
nurse attitude
women's health
EMTREE MEDICAL INDEX TERMS
alcoholism (complication)
article
dental health education
education
female
health service
health status
health survey
human
lifestyle
mass screening
nursing
nursing assessment
nutritional status
organization and management
patient care planning
patient referral
periodontitis (complication, diagnosis, prevention)
smoking (adverse drug reaction)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18158520 (http://www.ncbi.nlm.nih.gov/pubmed/18158520)
FULL TEXT LINK
http://dx.doi.org/10.1097/01.NMC.0000305650.56000.e8
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 564
TITLE
Teaching hospital staff about hazardous drinking: The effect of a single
intervention
AUTHOR NAMES
Walther M.
Montse B.
Silvia M.
Gemma N.
Antoni G.
AUTHOR ADDRESSES
(Walther M., marc.walther@hospvd.ch; Montse B.; Silvia M.; Gemma N.; Antoni
G.) Alcohol Department, Hospital Clinic, Barcelona, Spain.
(Walther M., marc.walther@hospvd.ch) Unitat d'Alcohologia, C/Villarroel 170,
08036 Barcelona, Spain.
CORRESPONDENCE ADDRESS
M. Walther, Unitat d'Alcohologia, C/Villarroel 170, 08036 Barcelona, Spain.
Email: marc.walther@hospvd.ch
SOURCE
Alcohol and Alcoholism (2008) 43:1 (51-52). Date of Publication:
January/February 2008
ISSN
0735-0414
1464-3502 (electronic)
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: To determine if a teaching intervention on hazardous drinking could
improve the knowledge, attitudes and clinical behaviour of Health
Professionals (HP) in a hospital. Methods: Changes were assessed at baseline
and 1 month after the intervention through questionnaires delivered to 38
professionals and interviews with patients (N = 240). Results: Knowledge of
professionals improved. No changes were observed through patients'
interviews. Conclusions: A single teaching session produces modest but
significant changes in the management of alcohol related issues in hospital
staff. © The Author 2007. Published by Oxford University Press on behalf of
the Medical Council on Alcohol. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
health education
health personnel attitude
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
clinical effectiveness
follow up
hospital personnel
human
interview
nurse practitioner
outcome assessment
physician
priority journal
questionnaire
self evaluation
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008012087
MEDLINE PMID
17932078 (http://www.ncbi.nlm.nih.gov/pubmed/17932078)
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agm043
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 565
TITLE
A computerized smoking cessation intervention for high school smokers.
AUTHOR NAMES
Fritz D.J.
Hardin S.B.
Gore Jr. P.A.
Bram D.
AUTHOR ADDRESSES
(Fritz D.J.; Hardin S.B.; Gore Jr. P.A.; Bram D.) VA Medical Center, St.
Louis, MO, USA.
CORRESPONDENCE ADDRESS
D.J. Fritz, VA Medical Center, St. Louis, MO, USA.
SOURCE
Pediatric nursing (2008) 34:1 (13-17). Date of Publication: 2008 Jan-Feb
ISSN
0097-9805
ABSTRACT
This study evaluated a computerized intervention designed to assist high
school-aged smokers to consider not smoking and move forward in the "Stages
of Change." A pretest-posttest pilot was conducted with 121 high school
students who completed self-reported questionnaires that provided
information about smoking history and exposure, smoking dependence, stage of
change, and social support. Following baseline assessment, the experimental
group (n = 61) completed four, 30-minute computerized sessions known as the
Computerized Adolescent Smoking Cessation Program (CASCP). Immediately
following completion of the program and 1 month later, the experimental
subjects were reassessed. Control subjects completed baseline assessment and
were reassessed 4 to 5 weeks later. CASCP increased the number of quit
attempts. At 1 month after the intervention, 20% of the experimental group
quit smoking. Of those subjects who did not quit smoking, nicotine
dependence and the number of cigarettes smoked daily decreased, which
decreased their nicotine dependence. Overall, there was a forward movement
in the experimental group's stage of change. CASCP was found to be an
effective and inexpensive intervention that motivates adolescent smokers to
consider smoking cessation, move forward in the stage of change, and
decrease nicotine dependence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
school health service
smoking cessation
teaching
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adolescent
analysis of variance
article
attitude to health
child behavior
child psychology
clinical trial
controlled clinical trial
controlled study
female
health care quality
human
male
methodology
motivation
multicenter study
nursing evaluation research
organization and management
pilot study
psychological aspect
questionnaire
randomized controlled trial
self concept
social support
statistical model
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18361082 (http://www.ncbi.nlm.nih.gov/pubmed/18361082)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 566
TITLE
Tobacco Intervention Training in American College of Nurse-Midwives
Accredited Education Programs
AUTHOR NAMES
Price J.H.
Mohamed I.
Jeffrey J.D.
AUTHOR ADDRESSES
(Price J.H., jprice@utnet.utoledo.edu; Mohamed I.; Jeffrey J.D.)
SOURCE
Journal of Midwifery and Women's Health (2008) 53:1 (68-74). Date of
Publication: January/February 2008
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The objective of this study was to assess the content, amount of time, and
educational techniques used in tobacco intervention training in American
College of Nurse-Midwives (ACNM) accredited programs. All 43 ACNM-accredited
programs were surveyed; 34 (79%) responded. Almost one in three programs
(29%) offered fewer than 3 hours of instruction in tobacco education. The
programs were more likely to offer training in the clinical science areas
and least likely to offer training in the sociopolitical areas. Few programs
(38%) required students to be taught smoking cessation techniques with
patients in a clinical setting. The main barriers to teaching more (>3 h)
tobacco education were not enough time in the curriculum (28%) and not
having staff who are adequately trained (15%). Midwife education programs
need to increase their instructional efforts, especially in the clinical
science and sociopolitical areas, if midwives are to meet their goals of
keeping women healthy, and in the case of pregnancies, making it a healthy
experience for the woman and her newborn. This may require the development
of a model core tobacco curriculum for all ACNM-accredited programs. © 2008
American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
cigarette smoke
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
accreditation
education program
nurse midwifery education
smoking
EMTREE MEDICAL INDEX TERMS
article
cancer risk
clinical education
curriculum
emphysema
health care policy
health economics
heart disease
high risk population
human
medical research
nicotine replacement therapy
passive smoking
patient counseling
politics
postgraduate education
pregnancy
priority journal
relapse (prevention)
risk assessment
smoking cessation
social aspect
teacher
teaching
time
withdrawal syndrome
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007616006
MEDLINE PMID
18164436 (http://www.ncbi.nlm.nih.gov/pubmed/18164436)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2007.06.017
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 567
TITLE
Stigmatization of AIDS patients: Disentangling Thai nursing students'
attitudes towards HIV/AIDS, drug use, and commercial sex
AUTHOR NAMES
Chan K.Y.
Stoové M.A.
Sringernyuang L.
Reidpath D.D.
AUTHOR ADDRESSES
(Chan K.Y., kit.chan@deakin.edu.au) School of Health and Social Development,
Deakin University, 221 Burwood Highway, Melbourne, VIC 3125, Australia.
(Stoové M.A.) Turning Point Alcohol and Drug Centre, Melbourne, VIC,
Australia.
(Sringernyuang L.) Center for Health Policy Studies, Mahidol University,
Bangkok, Thailand.
(Reidpath D.D.) Centre for Public Health Research, Brunel University,
London, United Kingdom.
CORRESPONDENCE ADDRESS
K.Y. Chan, School of Health and Social Development, Deakin University, 221
Burwood Highway, Melbourne, VIC 3125, Australia. Email:
kit.chan@deakin.edu.au
SOURCE
AIDS and Behavior (2008) 12:1 (146-157). Date of Publication: January 2008
ISSN
1090-7165
BOOK PUBLISHER
Springer New York, 233 Springer Street, New York, United States.
ABSTRACT
This paper analyzes the interrelationships between the stigma of HIV/AIDS
stigma and the co-stigmas of commercial sex (CS) and injecting drug use
(IDU). Students of a Bangkok nursing college (N = 144) were presented with
vignettes describing a person varying in the disease diagnoses (AIDS,
leukemia, no disease) and co-characteristics (IDU, CS, blood transfusion, no
co-characteristic). For each vignette, participants completed a social
distance measure assessing their attitudes towards the hypothetical person
portrayed. Multivariate analyses showed strong interactions between the
stigmas of AIDS and IDU but not between AIDS and CS. Although AIDS was shown
to be stigmatizing in and of itself, it was significantly less stigmatizing
than IDU. The findings highlight the need to consider the
non-disease-related stigmas associated with HIV as well as the actual stigma
of HIV/AIDS in treatment and care settings. Methodological strengths and
limitations were evaluated and implications for future research discussed. ©
2007 Springer Science+Business Media, LLC.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
Human immunodeficiency virus infection
intravenous drug abuse
prostitution
EMTREE MEDICAL INDEX TERMS
adult
AIDS patient
article
attitude to AIDS
blood transfusion
female
human
human experiment
leukemia
male
multivariate analysis
normal human
nursing education
nursing student
patient care
stigma
Thailand
vignette
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008043270
MEDLINE PMID
17364148 (http://www.ncbi.nlm.nih.gov/pubmed/17364148)
FULL TEXT LINK
http://dx.doi.org/10.1007/s10461-007-9222-y
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 568
TITLE
Oral health of adolescents
AUTHOR NAMES
Percy M.S.
AUTHOR ADDRESSES
(Percy M.S., msp5@nyu.edu) New York University, College of Nursing, New
York, NY.
CORRESPONDENCE ADDRESS
M.S. Percy, New York University, College of Nursing, New York, NY. Email:
msp5@nyu.edu
SOURCE
MCN The American Journal of Maternal/Child Nursing (2008) 33:1 (26-31). Date
of Publication: January/February 2008
ISSN
0361-929X
BOOK PUBLISHER
Lippincott Williams and Wilkins
ABSTRACT
Of all the health issues common to adolescents, oral health has not seemed
to receive much attention. However, just as ĝ€ eyes are the windows to the
soul,ĝ€ the oral health of an adolescent can be a reliable and expedient
indicator of general health. Lesions discovered during an oral exam can
indicate systemic problems that may not otherwise be disclosed during the
health history. Tobacco use, sexually transmitted infections, and type II
diabetes can manifest in the mouth, and many of these lesions mimic other
illnesses. It is essential that nurses who work with adolescents be aware of
possible differential diagnoses beyond the typical canker sores, herpes
simplex type I, and periodontal disease so commonly seen. Adolescents rarely
enter the healthcare system, but school and camp nurses and nurse
practitioners have access to teens on a regular basis. They can screen
adolescents for oral health problems and teach them practices that may
prevent health problems with lifetime consequences. Capitalizing on this
opportunity to educate adolescents can be critical to their long-term
health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dental caries (epidemiology, etiology, prevention)
health
non insulin dependent diabetes mellitus (complication, epidemiology,
prevention)
nurse attitude
sexually transmitted disease (complication, epidemiology, prevention)
smokeless tobacco (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS
adolescent
article
attitude to health
child behavior
child psychology
dental health education
female
health promotion
human
male
mass screening
mouth hygiene
nursing assessment
organization and management
prevalence
psychological aspect
risk factor
sexual behavior
sexual education
tobacco dependence (complication, epidemiology, prevention)
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18158524 (http://www.ncbi.nlm.nih.gov/pubmed/18158524)
FULL TEXT LINK
http://dx.doi.org/10.1097/01.NMC.0000305654.78871.ee
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 569
TITLE
Computer assisted monitoring of social and health care procedures for
fragile old subjects at home. The "I-Care" Forlì experience
AUTHOR NAMES
Camporesi R.
Mattarelli P.
AUTHOR ADDRESSES
(Camporesi R., p.mattarelli@cedaf.it; Mattarelli P.) Cedaf S.r.l., Via A.
Meucci 17, 47100 Forlì, Italy.
CORRESPONDENCE ADDRESS
P. Mattarelli, Cedaf S.r.l., Via A. Meucci 17, 47100 Forlì, Italy. Email:
p.mattarelli@cedaf.it
SOURCE
Mediterranean Journal of Pacing and Electrophysiology (2008) 10:1-2 (10-15).
Date of Publication: January/June 2008
ISSN
1128-4293
BOOK PUBLISHER
Edizioni Luigi Pozzi S.r.l., Via Panama 68, Roma, Italy.
ABSTRACT
The ICT system prototype released by I-Care project represents a first step
towards a complete welfare system able to manage all topics and subjects -
other than old people - that municipalities and health agencies have to care
of (families, handicapped persons, immigration, drug addicts, etc.). Cedaf
is now engaged in further development activities for the implementation of a
commercial package; to this end, close attention is dedicated to the
integration into the system of some opportunities offered by telemedicine,
like collection of clinical data from different systems, remote monitoring
of clinical parameters, wide diffusion of medical information, etc.,
shooting for an efficient and all-comprehensive "home-care" service, that in
many cases seems to be the main alternative to traditional provisions like
admission in hospitals or residential/nursing homes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer system
elderly care
health care planning
home monitoring
social welfare
telemedicine
EMTREE MEDICAL INDEX TERMS
article
data collection method
health care organization
heart failure
home care
legal aspect
medical information
organizational efficiency
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Biophysics, Bioengineering and Medical Instrumentation (27)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009150885
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 570
TITLE
Smoking cessation strategies by nurses in an acute care setting.
AUTHOR NAMES
Bryant S.K.
AUTHOR ADDRESSES
(Bryant S.K.) St. Mary Health Center, Richmond Heights, Missouri, USA.
CORRESPONDENCE ADDRESS
S.K. Bryant, St. Mary Health Center, Richmond Heights, Missouri, USA. Email:
skpom@hotmail.com
SOURCE
Journal for nurses in staff development : JNSD : official journal of the
National Nursing Staff Development Organization (2008) 24:1 (31-35). Date of
Publication: 2008 Jan-Feb
ISSN
1538-9049 (electronic)
ABSTRACT
Smoking Cessation Strategies by Nurses in an Acute Care Setting is a pilot
educational project for registered nurses (RNs) at a teaching community
hospital in the Southeast. The purpose of this project is to provide an
inservice education session using the recommendation of the National
Guideline Clearinghouse in Treating Tobacco Use and Dependence and the
Guideline from the U.S. Public Health Service. A convenience sample of 49
RNs completed a 10-question pretest and 10-question posttest on perceptions
about smoking cessation assessment, strategies, and documentation. After the
inservice education, the result showed a significant improvement of RN
perception in smoking cessation assessment, strategies, and documentation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
intensive care
smoking cessation
EMTREE MEDICAL INDEX TERMS
acute disease
article
education
educational status
epidemiology
health personnel attitude
human
in service training
methodology
perception
pilot study
program development
psychological aspect
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18349768 (http://www.ncbi.nlm.nih.gov/pubmed/18349768)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 571
TITLE
Shattered dreams: Parental experiences of adolescent substance abuse:
Feature Article
AUTHOR NAMES
Usher K.
Jackson D.
O'Brien L.
AUTHOR ADDRESSES
(Usher K., kim.usher@jcu.edu.au) School of Nursing Sciences, James Cook
University, Townsville, QLD.
(Jackson D.; O'Brien L.) School of Nursing, Family and Community Health,
University of Western Sydney, Penrith South DC, NSW, Australia.
(Usher K., kim.usher@jcu.edu.au) School of Nursing Sciences, James Cook
University, Townsville, QLD 4811, Australia.
CORRESPONDENCE ADDRESS
K. Usher, School of Nursing Sciences, James Cook University, Townsville, QLD
4811, Australia. Email: kim.usher@jcu.edu.au
SOURCE
International Journal of Mental Health Nursing (2007) 16:6 (422-430). Date
of Publication: December 2007
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Drug or substance abuse by adolescents continues to have a major impact on
the health and well-being of young people and poses a serious management
problem for health workers. While the majority of the problems surrounding
adolescent substance abuse rest on the parents, little is actually known
about their experiences. This study aimed to describe and construct an
interpretation of the lived experiences of parenting an adolescent who
abuses illicit substances. A qualitative approach, underpinned by the tenets
of phenomenology, was used to conduct in-depth interviews with 18 parents.
Thematic analysis revealed eight themes: confronting the lies, deceit, and
suspicion; struggling to set limits; dealing with the consequences; living
with the blame and the shame; trying to keep the child safe; grieving the
child that was; living with the guilt; and choosing self-preservation. The
results indicate that parents struggle to manage the problem, are left to
deal with the consequences of the behaviour with little support, and are
constantly looking for answers to the questions raised by the problem. ©
2007 Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
addiction
child parent relation
parent
EMTREE MEDICAL INDEX TERMS
adolescent
article
Australia
female
grief
guilt
human
male
psychological aspect
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17995513 (http://www.ncbi.nlm.nih.gov/pubmed/17995513)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2007.00497.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 572
TITLE
Mental illness and use of home care nationally in the u.s. department of
veterans affairs
AUTHOR NAMES
Miller E.A.
Rosenheck R.A.
AUTHOR ADDRESSES
(Miller E.A., edward_a_miller@brown.edu) Departments of Community Health and
Political Science, A. Alfred Taubman Center for Public Policy and American
Institutions, Brown University, Providence, RI.
(Miller E.A., edward_a_miller@brown.edu; Rosenheck R.A.) Veterans Affairs
Connecticut Mental Illness Research, Education and Clinical Center, West
Haven, CT.
(Rosenheck R.A.) Departments of Psychiatry and Epidemiology and Public
Health, School of Medicine, Yale University, New Haven, CT.
(Miller E.A., edward_a_miller@brown.edu) Center for Public Policy, American
Institutions, Brown University, 67 George St., Providence, RI 02912.
CORRESPONDENCE ADDRESS
E. A. Miller, Center for Public Policy, American Institutions, Brown
University, 67 George St., Providence, RI 02912. Email:
edward_a_miller@brown.edu
SOURCE
American Journal of Geriatric Psychiatry (2007) 15:12 (1046-1056). Date of
Publication: December 2007
ISSN
1064-7481
1545-7214 (electronic)
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327,
Philadelphia, United States.
ABSTRACT
OBJECTIVE: To determine whether patients with mental health diagnoses are
more likely to utilize home-based primary care (HBPC), and to identify
characteristics associated with HBPC admission among elderly and nonelderly
veterans, specifically. METHODS: Patients receiving treatment during fiscal
year (FY) 2003 and having no evidence of home care utilization during FY2002
were followed through FY2005 using administrative claims data of the
Veterans Health Administration of the U.S. Department of Veterans Affairs
(VA). Participants were 4,411,677 VA patients with no prior HBPC use. Cox
proportional hazard models were developed to identify correlates of HBPC
use. RESULTS: Of VA patients with no prior use of HBPC, 24.2% received a
mental health diagnosis, of whom 1.5% eventually used HBPC. Two in five new
HBPC admissions were diagnosed with mental illness. Patients diagnosed with
dementia were 66% more likely to be admitted. Patients diagnosed with
nonschizophrenia psychoses (hazard ratio [HR]: 1.30), miscellaneous
affective disorders (HR: 1.22), and schizophrenia (HR: 1.21) had the next
highest probabilities. Risk of admission was highest for ≥3 outpatient
medical visits (HR: 2.61), followed by any inpatient medical/surgical days
(HR: 1.79) or outpatient mental health visits (HR: 1.30). Elderly patients
with any inpatient mental health days were less likely to be admitted;
younger patients with nursing home use, community residential care, and
mental health intensive care management were more likely to be admitted.
CONCLUSION: Given that mental illness is independently associated with the
likelihood of admission, it is critical that providers develop the skills
and resources necessary to meet the psychiatric needs of home care
recipients. © 2007 American Association for Geriatric Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia (diagnosis, disease management)
home mental health care
mental disease (diagnosis, disease management)
mood disorder (diagnosis, disease management)
nonschizophrenia psychosis (diagnosis, disease management)
psychosis (diagnosis, disease management)
schizophrenia (diagnosis, disease management)
EMTREE MEDICAL INDEX TERMS
adult
aged
aging
alcoholism (diagnosis, disease management)
anxiety disorder (diagnosis, disease management)
article
bipolar disorder (diagnosis, disease management)
clinical practice
controlled study
drug dependence (diagnosis, disease management)
evidence based practice
female
health care management
health care utilization
hospital admission
hospital patient
hospitalization
human
long term care
major clinical study
major depression (diagnosis, disease management)
male
mental health care
outpatient care
personality disorder (diagnosis, disease management)
posttraumatic stress disorder (diagnosis, disease management)
primary medical care
residential care
risk
United States
veteran
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Neurology and Neurosurgery (8)
Gerontology and Geriatrics (20)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2009317394
MEDLINE PMID
18056823 (http://www.ncbi.nlm.nih.gov/pubmed/18056823)
FULL TEXT LINK
http://dx.doi.org/10.1097/JGP.0b013e3181462274
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 573
TITLE
Familial and social conditions of alcohol drinking in children and
adolescents.
AUTHOR NAMES
Maciorkowska E.
Buraczewska E.
Sacharewicz A.
AUTHOR ADDRESSES
(Maciorkowska E.; Buraczewska E.; Sacharewicz A.) Department of Pediatric
Nursing, Medical University of Białystok, Poland.
CORRESPONDENCE ADDRESS
E. Maciorkowska, Department of Pediatric Nursing, Medical University of
Białystok, Poland. Email: emaciorkowska@o2.pl
SOURCE
Advances in medical sciences (2007) 52 Suppl 1 (115-118). Date of
Publication: 2007
ISSN
1896-1126
ABSTRACT
PURPOSE: The aim of the study was to evaluate the frequency of alcoholic
beverage use among children and young people of Białystok city and to assess
the influence of familial and environmental factors on this phenomenon.
MATERIAL AND METHODS: The study included 894 pupils in the city of
Białystok. An anonymous questionnaire, prepared in the Department of
Pediatric Nursery of the Medical University of Białystok was used in the
study. RESULTS: The examinations revealed that alcohol use among adolescents
of Białystok increases with the increasing age of pupils (33.2%--the first
grade of middle school, 63.4%--the third grade of middle school, and
79.9%--the second grade of high school). The first experience with alcohol
took place in the 5-10 age bracket, but the greatest alcohol initiation (35%
of young people) was reported in the 10-15 age bracket; 16% of children were
not capable of establishing proper relations with their parents. The
examined pupils observed destructive behavior most frequently among their
friends (38%) and in people with whom they had no direct contact (36.8%).
Adolescents were revealed to use alcohol for company (21.6%), due to lack of
safety feeling (18.4%), and the ability of free time organizing (23.4%).
CONCLUSION: 1. Alcohol use by children and adolescents from the city of
Białystok increases with the age and the biggest alcohol initiation takes
place in the age of 10-15 brackets. 2. Familial and social
conditioning/factors influence alcohol use by children and adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology)
family
social status
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
female
genetics
human
male
Poland (epidemiology)
psychological aspect
questionnaire
university hospital
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18229646 (http://www.ncbi.nlm.nih.gov/pubmed/18229646)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 574
TITLE
School-based administration of ADHD drugs decline, along with diversion,
theft, and misuse.
AUTHOR NAMES
Dupont R.L.
Bucher R.H.
Wilford B.B.
Coleman J.J.
AUTHOR ADDRESSES
(Dupont R.L.; Bucher R.H.; Wilford B.B.; Coleman J.J.) Institute for
Behavior and Health, Inc., Rockville, MD, USA.
CORRESPONDENCE ADDRESS
R.L. Dupont, Institute for Behavior and Health, Inc., Rockville, MD, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2007) 23:6 (349-352). Date of Publication: Dec
2007
ISSN
1059-8405
ABSTRACT
Since 2000 researchers have reported a decline in the administration of
attention-deficit/hyperactivity disorder (ADHD) medications given by school
nurses, although no decline has been noted in the incidence of ADHD in
school-age populations. Government data for the same period show reduced
levels of methylphenidate abuse as measured by its involvement in hospital
emergency department (ED) admissions. Offsetting this, however, is an
increase in the involvement of amphetamine-dextroamphetamine in hospital ED
admissions for the same period. Because ADHD medications are often
administered in the school setting, a survey of school nurses was undertaken
to identify factors related to the administration as well as to the
diversion, theft, and misuse of ADHD medications. Of 311 school nurses
responding, 295 (95%) reported a significant or moderate decline between
2002 and 2004 in the need for school-based administration of ADHD
medications. Respondents also reported reductions in diversion, theft, and
misuse of ADHD drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
central stimulant agent (drug administration)
EMTREE DRUG INDEX TERMS
amphetamine (drug administration)
methylphenidate (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attention deficit disorder (drug therapy, epidemiology)
drug abuse (epidemiology, etiology, prevention)
health personnel attitude
school health nursing
theft
EMTREE MEDICAL INDEX TERMS
article
chemistry
child
confidentiality
delayed release formulation
drug administration
drug control
drug utilization
health service
hospital admission
human
nursing
nursing methodology research
nursing staff
patient selection
psychological aspect
questionnaire
United States (epidemiology)
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
methylphenidate (113-45-1, 298-59-9)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18052521 (http://www.ncbi.nlm.nih.gov/pubmed/18052521)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 575
TITLE
Computerized mental health assessment in integrative health clinics: A
cross-sectional study using structured interview: Feature Article
AUTHOR NAMES
Leung S.F.
French P.
Chui C.
Arthur D.
AUTHOR ADDRESSES
(Leung S.F., hsfong@inet.polyu.edu.hk; French P.) School of Nursing, Hong
Kong Polytechnic University, Kowloon.
(Chui C.) Nethersole School of Nursing, Faculty of Medicine, Chinese
University of Hong Kong, Shatin, Hong Kong.
(Arthur D.) Alice Lee Centre for Nursing Studies, Yoo Loo Lin School of
Medicine, National University of Singapore, Singapore, Singapore.
(Leung S.F., hsfong@inet.polyu.edu.hk) School of Nursing, Hong Kong
Polytechnic University, Hunghom, Kowloon, Hong Kong.
CORRESPONDENCE ADDRESS
S.F. Leung, School of Nursing, Hong Kong Polytechnic University, Hunghom,
Kowloon, Hong Kong. Email: hsfong@inet.polyu.edu.hk
SOURCE
International Journal of Mental Health Nursing (2007) 16:6 (441-446). Date
of Publication: December 2007
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
Computerized mental health assessment is gaining popularity. It enables the
standardization of assessment of clinical problems, increases the capacity
to collect sensitive or confidential information, facilitates personal
assessment at one's own pace, and offers rapid screening of mental health
status. The use of computer technology to conduct mental health assessment
was an initiative proposed for two nurse-led integrative health clinics
affiliated to a University in Hong Kong. It was intended to provide an
efficient screening for depression, anxiety, alcohol abuse, and problem
gambling common in the primary health-care settings to facilitate early
intervention. This study was conducted to assess the effectiveness of using
a computerized health assessment kiosk to perform mental health assessment.
The assessment items were derived from an abbreviated World Health
Organization Mental Disorders Checklist and the Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition Criteria for Pathological
Gambling. The study involved an opportunity sample of 31 subjects who
volunteered to complete the computerized mental health assessment during
their waiting time in the clinics. The results showed that most subjects had
positive feelings about using a computer to perform a mental health
assessment and had increased understanding of their mental health.
Suggestions made to improve computerized mental health assessments included
touch screen, voice instructions, and enlarged print font size. © 2007
Australian College of Mental Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer assisted diagnosis
mass screening
mental disease (prevention)
patient satisfaction
psychological rating scale
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
child
clinical trial
cross-sectional study
female
Hong Kong
human
male
methodology
middle aged
multicenter study
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17995515 (http://www.ncbi.nlm.nih.gov/pubmed/17995515)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2007.00500.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 576
TITLE
Promoting culturally appropriate interventions among vulnerable populations.
AUTHOR NAMES
Giger J.N.
Davidhizar R.
AUTHOR ADDRESSES
(Giger J.N.; Davidhizar R.) University of California, Los Angeles School of
Nursing, USA.
CORRESPONDENCE ADDRESS
J.N. Giger, University of California, Los Angeles School of Nursing, USA.
SOURCE
Annual review of nursing research (2007) 25 (293-316). Date of Publication:
2007
ISSN
0739-6686
ABSTRACT
Evidence-based practice is critical for the improvement of interventions for
culturally diverse and disadvantaged groups in the community. Nurses are
strategically located in the line of patient care and must be grounded in
knowledge related to the delivery of culturally appropriate intervention
strategies. Although many of the health care disciplines have failed to
conduct or disseminate culturally competent interventions among vulnerable
populations, it is important to note that nursing has long been engaged in
such activities. Clearly, all health care professionals must be provided
with the tools that they need to give appropriate and effective care to
patients and to conduct and disseminate relevant research about vulnerable
populations. This chapter focuses on culturally competent interventions for
ethnic and racial minority groups, women, and the mentally ill.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural anthropology
health promotion
nursing research
transcultural care
vulnerable population
EMTREE MEDICAL INDEX TERMS
addiction
breast tumor
clinical competence
ethnic group
ethnology
evidence based medicine
female
health service
human
Human immunodeficiency virus infection
information dissemination
male
methodology
minority group
organization and management
outcome assessment
race
review
smoking
women's health
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17958296 (http://www.ncbi.nlm.nih.gov/pubmed/17958296)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 577
TITLE
High expressed emotion, severe mental illness and substance use disorder.
AUTHOR NAMES
Watts M.
AUTHOR ADDRESSES
(Watts M.) School of Health, Park Campus, University of Northampton,
Northampton.
CORRESPONDENCE ADDRESS
M. Watts, School of Health, Park Campus, University of Northampton,
Northampton.
SOURCE
British journal of nursing (Mark Allen Publishing) (2007) 16:20 (1259-1262).
Date of Publication: 2007 Nov 8-21
ISSN
0966-0461
ABSTRACT
This article discusses the behavioural attitudes of high expressed emotion
as a major contributor to relapse in patients dually diagnosed with severe
mental illness and substance use disorder. There are a number of research
studies and authoritative texts on this particular problem and discussions
identify the role expressed emotion plays in this condition. However, the
majority of literature concentrates on how high expressed emotion affects
the person's mental illness causing relapse rather than any effect on their
substance misuse. This article outlines severe mental illness and substance
use disorder; identifies the components of expressed emotion and how this
may contribute to relapse; management and care in this condition; the
treatment and avoidance of expressed emotion by the family and the
professional; and issues of nurse education, training and support.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, therapy)
emotion
family
mental disease (diagnosis, therapy)
EMTREE MEDICAL INDEX TERMS
adolescent
case report
comorbidity
education
family therapy
female
forensic psychiatry
hospitalization
hostility
human
male
nurse attitude
nursing assessment
organization and management
psychiatric diagnosis
psychiatric nursing
psychological aspect
recurrent disease
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18073656 (http://www.ncbi.nlm.nih.gov/pubmed/18073656)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 578
TITLE
Reducing harm in the community.
AUTHOR NAMES
Katiforis R.
AUTHOR ADDRESSES
(Katiforis R.)
CORRESPONDENCE ADDRESS
R. Katiforis,
SOURCE
Australian nursing journal (July 1993) (2007) 15:5 (37). Date of
Publication: Nov 2007
ISSN
1320-3185
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
harm reduction
health promotion
patient care
substance abuse (complication, prevention)
EMTREE MEDICAL INDEX TERMS
article
human
Human immunodeficiency virus infection (etiology, prevention)
nurse attitude
nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18044243 (http://www.ncbi.nlm.nih.gov/pubmed/18044243)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 579
TITLE
Assessing the impact of training on mental health nurses' therapeutic
attitudes and knowledge about co-morbidity: A randomised controlled trial
AUTHOR NAMES
Munro A.
Watson H.E.
McFadyen A.
AUTHOR ADDRESSES
(Munro A., alison.munro@gcal.ac.uk; Watson H.E., h.e.watson@gcal.ac.uk;
McFadyen A.) School of Nursing, Midwifery and Community Health, Glasgow
Caledonian University, Cowcaddens Rd, Glasgow, G4 0BA, United Kingdom.
CORRESPONDENCE ADDRESS
H.E. Watson, School of Nursing, Midwifery and Community Health, Glasgow
Caledonian University, Cowcaddens Rd, Glasgow, G4 0BA, United Kingdom.
Email: h.e.watson@gcal.ac.uk
SOURCE
International Journal of Nursing Studies (2007) 44:8 (1430-1438). Date of
Publication: November 2007
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Background: Substance misuse can trigger or be causally associated with
mental health problems. Therapeutic attitude is important in predicting
effective engagement with people with alcohol and drug problems but health
professionals' attitudes towards this client group are often negative.
Education regarding substance misuse has often been neglected and nurses may
lack knowledge to provide appropriate care. Objectives: To test the impact
of training for staff who work with people who have co-existing mental
health and substance use problems. Design: A randomised controlled trial.
Setting: An NHS Primary Care Division in the West of Scotland. Participants:
Forty-nine mental health nurses. Methods: Intervention. A four-day training
programme. Measurements: (a) therapeutic attitudes measured by the
co-morbidity problems perceptions questionnaire; (b) knowledge of alcohol,
drugs and co-morbidity measured by a structured questionnaire. Results:
Significant effects for group (F = 30.42, p < 0.001) were found in
therapeutic attitude scores and also over time (F = 10.66, p < 0.001). A
significant interaction was also found (p < 0.001). Post-hoc testing
revealed that the mean pre-training attitude score was significantly
different from post-training (p = 0.001; 95% CI 5.53, 25.38) and from
six-months follow-up (p < 0.001; 95% CI 11.26, 32.49) but that post-training
and follow-up mean scores were not significantly different (p = 0.358; 95%
CI -4.71, 17.55). For knowledge, a significant group effect was found (F =
10.32, p = 0.002), and also a significant time effect (F = 3.35, p = 0.039)
but no significant interaction effect was present (p = 0.169). The post-hoc
testing revealed that only a pre-training to six-month follow-up time effect
was statistically significant (p = 0.005; 95% CI 1.37, 9.29). Conclusions:
The training programme was effective in improving the therapeutic attitudes
of participants to working with clients who have co-existing mental health
and substance use problems, both immediately after the training was
delivered, and at six-months follow-up. It was also effective in improving
participants' overall knowledge of alcohol, drugs and co-morbidity. © 2006
Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
attitude to health
mental disease (epidemiology)
nursing education
EMTREE MEDICAL INDEX TERMS
analysis of variance
article
clinical trial
comorbidity
controlled clinical trial
controlled study
female
human
male
nursing
psychiatric diagnosis
randomized controlled trial
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16996517 (http://www.ncbi.nlm.nih.gov/pubmed/16996517)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2006.07.024
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 580
TITLE
Sexually Compulsive/Addictive Behaviors in Women: A Women's Healthcare Issue
AUTHOR NAMES
Roller C.G.
AUTHOR ADDRESSES
(Roller C.G., croller@kent.edu)
SOURCE
Journal of Midwifery and Women's Health (2007) 52:5 (486-491). Date of
Publication: September 2007
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Sexually compulsive/addictive behavior is a pattern of sexual behaviors that
cause distress and/or impairment of social functioning. It is marked by
obsessive thoughts, compulsive behaviors, and the individual's inability to
stop the behaviors despite negative consequences. Women experiencing
sexually compulsive/addictive behavior are preoccupied with sex not as a
response to desire but rather as a behavior that serves the purpose of
anxiety reduction. Sexually compulsive/addictive behavior is associated with
a number of health consequences, including sexually transmitted infections,
unwanted pregnancies, abortions, and violence. It is important for providers
to have an understanding of the addiction process, assessment, diagnosis,
and interventions for these women. © 2007 American College of
Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
compulsion (diagnosis, etiology, therapy)
sexual addiction (diagnosis, etiology, therapy)
sexual compulsion (diagnosis, etiology, therapy)
EMTREE MEDICAL INDEX TERMS
abortion
anamnesis
anxiety
article
clinical feature
cognitive therapy
high risk behavior
human
pathophysiology
priority journal
psychologic assessment
sexual arousal
sexual deviation
sexually transmitted disease
social disability
social interaction
social stress
substance abuse
unwanted pregnancy
violence
women's health
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007432016
MEDLINE PMID
17826712 (http://www.ncbi.nlm.nih.gov/pubmed/17826712)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2007.03.014
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 581
TITLE
The need to prevent nicotine addiction and diabetes in our youth. The role
of school health programs.
AUTHOR NAMES
Tobacco M.
Butterbrodt M.
AUTHOR ADDRESSES
(Tobacco M.; Butterbrodt M.) Oglala Lakota Nation Wellness Team, USA.
CORRESPONDENCE ADDRESS
M. Tobacco, Oglala Lakota Nation Wellness Team, USA.
SOURCE
School nurse news (2007) 24:4 (13-14). Date of Publication: Sep 2007
ISSN
1080-7543
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
non insulin dependent diabetes mellitus (prevention)
school health nursing
school health service
smoking (epidemiology, prevention)
social marketing
student
EMTREE MEDICAL INDEX TERMS
adolescent
age
article
child
health education
human
nursing
risk assessment
risk factor
United States (epidemiology)
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17913099 (http://www.ncbi.nlm.nih.gov/pubmed/17913099)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 582
TITLE
Drink a little; take a few drugs: Do nurses have knowledge to identify and
manage in-patients at risk of drugs and alcohol?
AUTHOR NAMES
Griffiths R.D.
Stone A.
Tran D.T.
Fernandez R.S.
Ford K.
AUTHOR ADDRESSES
(Griffiths R.D., Rhonda.Griffiths@swsahs.nsw.gov.au; Tran D.T.; Ford K.)
University of Western Sydney, Sydney, Australia.
(Griffiths R.D., Rhonda.Griffiths@swsahs.nsw.gov.au; Stone A.; Fernandez
R.S.) Sydney South West Area Health Service, Sydney, Australia.
(Griffiths R.D., Rhonda.Griffiths@swsahs.nsw.gov.au) Department of Nursing,
.
(Griffiths R.D., Rhonda.Griffiths@swsahs.nsw.gov.au) Centre for Applied
Nursing Research, University of Western Sydney, Sydney, Australia.
(Fernandez R.S.) Centre for Applied Nursing Research, Sydney South West Area
Health Service, Sydney, Australia.
(Griffiths R.D., Rhonda.Griffiths@swsahs.nsw.gov.au) Centre for Applied
Nursing Research, Liverpool Hospital, Locked Bag 7103, Liverpool, NSW 1871,
Australia.
CORRESPONDENCE ADDRESS
R.D. Griffiths, Centre for Applied Nursing Research, Liverpool Hospital,
Locked Bag 7103, Liverpool, NSW 1871, Australia. Email:
Rhonda.Griffiths@swsahs.nsw.gov.au
SOURCE
Drug and Alcohol Review (2007) 26:5 (545-552). Date of Publication:
September 2007
ISSN
0959-5236
1465-3362 (electronic)
BOOK PUBLISHER
Taylor and Francis Ltd.
ABSTRACT
Introduction and Aims. The widespread use of alcohol and other drugs poses
particular problems during hospitalisation. Although nurses have been
identified as an appropriate group to screen patients and provide acute and
ongoing management to people with drug and alcohol-related problems, rates
of screening are low. The aims of this study were to identify current
practices for screening by nurses working in medical and surgical wards,
determine their knowledge relating to problems associated with substance use
and identify their self-reported skills in managing patients with drug- and
alcohol-related problems. Design and Methods. A chart audit of medical
records was completed and a survey was distributed to nurses working in the
study wards. Results. Screening for alcohol and drug use was documented on
only 22/79 medical records, and detailed information about quantity and
duration of use was recorded in only nine. Overall, the nurses reported that
they had little knowledge about substance use problems, and felt that they
lacked skills to care adequately for these patients. Discussion and
Conclusions. The results of this study suggest a need for a comprehensive
training and education to ensure that nurses are familiar with policies and
protocols for management of patients and to assist nurses to provide
evidence-based care and make appropriate referrals to specialist services.
[Griffiths RD, Stone A, Tran DT, Fernandez RS, Ford K. Drink a little; take
a few drugs: do nurses have knowledge to identify and manage in-patients at
risk of drugs and alcohol?
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
alcoholism (diagnosis)
attitude to health
mass screening
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
education
evidence based medicine
female
hospital admission
human
information processing
male
medical audit
medical record
methodology
middle aged
nursing
practice guideline
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17701518 (http://www.ncbi.nlm.nih.gov/pubmed/17701518)
FULL TEXT LINK
http://dx.doi.org/10.1080/09595230701499167
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 583
TITLE
Midwives' Knowledge, Perceptions, Beliefs, and Practice Supports Regarding
Tobacco Dependence Treatment
AUTHOR NAMES
Abatemarco D.J.
Steinberg M.B.
Delnevo C.D.
AUTHOR ADDRESSES
(Abatemarco D.J., dja17@pitt.edu; Steinberg M.B.; Delnevo C.D.)
SOURCE
Journal of Midwifery and Women's Health (2007) 52:5 (451-457). Date of
Publication: September 2007
ISSN
1526-9523
BOOK PUBLISHER
Wiley-Blackwell, 350 Main Street, Malden, United States.
ABSTRACT
Clinical practice guidelines and evidence-based reviews confirm the efficacy
of tobacco dependence treatment for pregnant women. The purpose of this
study was to examine tobacco dependence treatment practices among certified
nurse-midwives who treat pregnant women who smoke. Midwives were surveyed to
determine knowledge, perceptions, and beliefs about tobacco cessation
treatment and to identify practice environmental factors that support
treatment practices. Half of all midwives had not heard of the US Public
Health Service Guidelines (5 A's) to assist smokers in cessation treatment.
We found varying levels of adherence to the clinical practice guidelines.
Nearly all midwives routinely ask, advise, and assess; while fewer encourage
patients to set a quit date or discuss medication options (assist) and
perform follow-up activities (arrange). Barriers significantly associated
with clinical tobacco treatment practice are lack of training and competing
priorities in the visit. One-office support, a system in place to provide
smoking cessation information and resources, was associated with increased
practice. In summary, midwives believe they should be providing tobacco
dependence treatment, yet they identify a need for training. The findings of
this study also indicate that sustained practice change, which includes the
entire practice environment, should be targeted to enhance tobacco
dependence treatment. © 2007 American College of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
amfebutamone (drug therapy)
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
midwife attitude
smoking cessation
tobacco dependence (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical competence
clinical practice
environmental factor
female
follow up
health belief
health survey
human
male
maternal smoking
motivation
nicotine replacement therapy
nurse midwife
patient counseling
patient education
practice guideline
pregnant woman
priority journal
public health
DRUG TRADE NAMES
wellbutrin
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007432020
MEDLINE PMID
17826707 (http://www.ncbi.nlm.nih.gov/pubmed/17826707)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2007.03.019
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 584
TITLE
Prevention and health promotion and evidence-based fields of nursing - a
literature review.
AUTHOR NAMES
Wilhelmsson S.
Lindberg M.
AUTHOR ADDRESSES
(Wilhelmsson S.; Lindberg M.) R&D Department of Local Health Care, County of
Ostergötland, Linköping, Sweden.
CORRESPONDENCE ADDRESS
S. Wilhelmsson, R&D Department of Local Health Care, County of Ostergötland,
Linköping, Sweden. Email: susan.wilhelmsson@lio.se
SOURCE
International journal of nursing practice (2007) 13:4 (254-265). Date of
Publication: Aug 2007
ISSN
1322-7114
ABSTRACT
This paper summarizes the evidence constituting the foundation for
preventive and health promotive work performed by nurses in primary care.
This is a systematic literature review in six scientific databases. Forty
original articles and 16 literature reviews met the inclusion criteria.
After both authors independently read the articles, 25 were excluded and 15
included. One article was judged to be of high quality, five of medium
quality and 10 of low quality. The articles of high and medium quality
focused on alcohol counselling, coronary heart disease and diabetes. Of the
16 literature reviews from the Cochrane Library, 10 were found to be
relevant and presented evidence. The subjects included smoking cessation,
breast-feeding, prevention of falls among the elderly, asthma in children,
diabetes and cardiovascular disease. Few studies in the area of prevention
and health promotion are of adequate scientific quality, resulting in
limited evidence for the effects of interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based medicine
health promotion
nurse attitude
nursing research
primary health care
primary prevention
EMTREE MEDICAL INDEX TERMS
alcoholism
asthma
breast feeding
coronary artery disease
diabetes mellitus
falling (prevention)
human
methodology
nursing
organization and management
review
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17640247 (http://www.ncbi.nlm.nih.gov/pubmed/17640247)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1440-172X.2007.00635.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 585
TITLE
Mental health nursing students' relationships with the pharmaceutical
industry
AUTHOR NAMES
Ashmore R.
Carver N.
Banks D.
AUTHOR ADDRESSES
(Ashmore R., r.j.ashmore@shu.ac.uk; Carver N.) Sheffield Hallam University,
Faculty of Health and Wellbeing, Mundella House, Collegiate Crescent, S1
1WB, United Kingdom.
(Banks D.) School of Health and Social Care, University of Teesside, United
Kingdom.
CORRESPONDENCE ADDRESS
R. Ashmore, Sheffield Hallam University, Faculty of Health and Wellbeing,
Mundella House, Collegiate Crescent, S1 1WB, United Kingdom. Email:
r.j.ashmore@shu.ac.uk
SOURCE
Nurse Education Today (2007) 27:6 (551-560). Date of Publication: August
2007
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
Introduction: The medical profession's relationship with the pharmaceutical
industry (PI) has come under increased scrutiny in recent years, however
little is known on the subject in mental health nursing. Aims: The study
sought to investigate: (1) the frequency of contact between mental health
nursing students and PI employees; (2) students' attitudes and beliefs about
their relationship with the PI; (3) the range of 'gifts', promotional items
and hospitality accepted or seen in clinical environments by students in a
one year period; and (4) students' attitudes to 'gifts', promotional items
and hospitality offered by the industry. Method: Employing a survey design,
a 35-item questionnaire was distributed to 472 students at two universities
in the UK. Data were analysed from 347 respondents by means of descriptive
statistics and simple content analysis. Results: The findings suggest that
students have significant contact with the industry through one-to-one
meetings with pharmaceutical representatives (PRs) and by attending events
giving information on specific drugs or general mental health issues.
Students also identified a number of benefits (e.g. receiving "up-to-date"
information on new drugs) and problems (e.g. the potential influence exerted
on practitioners to use their drugs) arising out of this contact. Most
students (79.8%) had accepted some form of 'gift' from the industry but few
(11.5%) believed it was unacceptable to do so. The presence of promotional
items in the clinical environment was seen as advertising (84.4%) but few
students (19.3%) believed clinical environment should be free of these
items. Over half (57.1%) of the students believed that PRs did not always
give unbiased information but thought that they and mental health nurses in
general would be able to detect any bias. Conclusions: In parallel with
medicine, the study has shown that the pharmaceutical industry has at least
the potential to influence mental health nursing students. Within medicine
this realisation has triggered a vigorous debate on how medical schools
should respond to the promotional activities of the PI. We suggest this
study goes some way to demonstrating there is a need for these issues to be
debated in the education of mental health nurses. © 2006 Elsevier Ltd. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug industry
gift giving
health personnel attitude
nursing student
psychiatric nursing
public relations
EMTREE MEDICAL INDEX TERMS
article
attitude to health
clinical competence
conflict of interest
drug information
education
epidemiology
ethics
female
health service
human
male
medical ethics
nursing education
nursing methodology research
organization and management
persuasive communication
psychological aspect
qualitative research
questionnaire
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17113686 (http://www.ncbi.nlm.nih.gov/pubmed/17113686)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2006.08.016
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 586
TITLE
'Take my hand, help me out': Mental health service recipients' experience of
the therapeutic relationship: Feature Article
AUTHOR NAMES
Shattell M.M.
Starr S.S.
Thomas S.P.
AUTHOR ADDRESSES
(Shattell M.M., mona_shattell@uncg.edu) School of Nursing, University of
North Carolina at Greensboro, Greensboro.
(Starr S.S.) Gaston College, Dallas, NC.
(Thomas S.P.) College of Nursing, University of Tennessee at Knoxville,
Knoxville, TN, United States.
(Shattell M.M., mona_shattell@uncg.edu) School of Nursing, University of
North Carolina at Greensboro, Moore Building 320, PO Box 26170, Greensboro,
NC 27402, United States.
CORRESPONDENCE ADDRESS
M.M. Shattell, School of Nursing, University of North Carolina at
Greensboro, Moore Building 320, PO Box 26170, Greensboro, NC 27402, United
States. Email: mona_shattell@uncg.edu
SOURCE
International Journal of Mental Health Nursing (2007) 16:4 (274-284). Date
of Publication: August 2007
ISSN
1445-8330
1447-0349 (electronic)
BOOK PUBLISHER
Blackwell Publishing
ABSTRACT
The purpose of this study was to describe mental health service recipients'
experience of the therapeutic relationship. The research question was 'what
is therapeutic about the therapeutic relationship?' This study was a
secondary analysis of qualitative interviews conducted with persons with
mental illness as part of a study of the experience of being understood.
This secondary analysis used data from 20 interviews with community-dwelling
adults with mental illness, who were asked to talk about the experience of
being understood by a health-care provider. Data were analysed using an
existential phenomenological approach. Individuals experienced therapeutic
relationships against a backdrop of challenges, including mental illness,
domestic violence, substance abuse, and homelessness. They had therapeutic
relationships with nurses (psychiatric/mental health nurses and dialysis
nurses), physicians (psychiatrists and general practitioners),
psychologists, social workers, and counsellors. Experiences of the
therapeutic relationship were expressed in three figural themes, titled
using participants' own words: 'relate to me', 'know me as a person', and
'get to the solution'. The ways in which these participants described
therapeutic relationships challenge some long-held beliefs, such as the use
of touch, self-disclosure, and blunt feedback. A therapeutic relationship
for persons with mental illness requires in-depth personal knowledge, which
is acquired only with time, understanding, and skill. Knowing the whole
person, rather than knowing the person only as a service recipient, is key
for practising nurses and nurse educators interested in enhancing the
therapeutic potential of relationships. © 2007 Australian College of Mental
Health Nurses Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
mental disease
nurse attitude
nurse patient relationship
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
article
cooperation
empathy
female
health personnel attitude
human
male
methodology
middle aged
morality
nursing
nursing methodology research
nursing theory
problem solving
psychological aspect
psychological theory
qualitative research
questionnaire
self disclosure
social psychology
social support
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17635627 (http://www.ncbi.nlm.nih.gov/pubmed/17635627)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1447-0349.2007.00477.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 587
TITLE
Factors Influencing Intentions to Integrate Tobacco Education Among Advanced
Practice Nursing Faculty
AUTHOR NAMES
Heath J.
Crowell N.A.
AUTHOR ADDRESSES
(Heath J., ejh@georgetown.edu) School of Nursing and Health Studies,
Georgetown University, Washington, DC, United States.
(Crowell N.A.) School of Nursing and Health Studies, Georgetown University,
Washington, DC, United States.
CORRESPONDENCE ADDRESS
J. Heath, School of Nursing and Health Studies, Georgetown University,
Washington, DC, United States. Email: ejh@georgetown.edu
SOURCE
Journal of Professional Nursing (2007) 23:4 (189-200). Date of Publication:
July/August 2007
ISSN
8755-7223
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
We report on the findings of a national survey that examined factors that
influence faculty's intentions to integrate tobacco education in their
advanced practice nursing curricula. The addiction component of tobacco use
is taking its toll on the health of 48 million smokers in the United States.
Several national health authorities recommend and/or mandate that tobacco
prevention and tobacco cessation be addressed at every point of entry in the
health care delivery system. However, there is increasing evidence that
health care providers may not be adequately prepared to meet national goals
and/or standards. One hundred sixty-one advanced practice nursing faculty in
the United States completed an 88-item survey regarding external factors
(e.g., personal history of tobacco use, clinical practice, and current
tobacco topics taught) and components of the Theory of Reasoned Action model
(including perceived self-efficacy, behavioral beliefs, subjective norms,
and control beliefs related to tobacco education). Descriptive statistics,
χ(2) analysis, Pearson correlation, and linear regression were used to
analyze the data. The findings revealed that sex (χ(2) = 7.949, P = .024),
level of education (χ(2) = 26.853, P = .0005), years of academic teaching
(χ(2) = 19.418, P = .013), and combined clinical and course responsibility
(χ(2) = 10.430, P = .0236) were significant external (demographic) factors
and that behavioral beliefs (attitude about tobacco education) demonstrated
the strongest relationship with intention scores (r = 0.876, P < .0005).
Overall, 62.7% of nurse practitioners reported high scores (≥5, on a scale
of 1-7) for intentions to integrate tobacco education, as compared with
37.5% of nurse midwives, 30.3% of clinical nurse specialists, and 8.7% of
nurse anesthetists. This study adds to the growing body of evidence that
nursing curricular gaps with tobacco education exist and that national
efforts are needed to ensure that widespread changes occur to help reduce
the morbidity and mortality related to tobacco use. © 2007 Elsevier Inc. All
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior
health personnel attitude
nursing education
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
attitude to health
curriculum
education
female
human
male
multivariate analysis
needs assessment
nurse
nurse anesthetist
nurse midwife
nurse practitioner
nursing methodology research
organization and management
professional competence
psychological aspect
psychological model
questionnaire
self concept
statistical model
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17675113 (http://www.ncbi.nlm.nih.gov/pubmed/17675113)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.profnurs.2007.01.016
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 588
TITLE
An RCT of adherence therapy for people with schizophrenia in Chiang Mai,
Thailand
AUTHOR NAMES
Maneesakorn S.
Robson D.
Gournay K.
Gray R.
AUTHOR ADDRESSES
(Gray R., r.gray@iop.kcl.ac.uk) Institute of Psychiatry, King's College
London, PO Box 30, SE5 8AF London, United Kingdom.
(Maneesakorn S.; Robson D.; Gournay K.; Gray R., r.gray@iop.kcl.ac.uk)
Institute of Psychiatry, King's College London, London, United Kingdom.
CORRESPONDENCE ADDRESS
R. Gray, Institute of Psychiatry, King's College London, PO Box 30, SE5 8AF
London, United Kingdom. Email: r.gray@iop.kcl.ac.uk
SOURCE
Journal of Clinical Nursing (2007) 16:7 (1302-1312). Date of Publication:
July 2007
ISSN
0962-1067
1365-2702 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Aim. The aim of this paper was to evaluate the effectiveness of adherence
therapy-a brief intervention based on compliance therapy and motivational
interviewing techniques-in a sample of people with schizophrenia in
Thailand. Background. Poor adherence is problematic, but knowledge about how
to improve medication adherence is limited. Studies focusing on the effects
of interventions used to improve adherence have produced inconsistent
outcomes and have been mainly conducted in western countries. Methods. An
exploratory single blind randomized controlled trial was conducted in Chiang
Mai, Thailand. Thirty-two patients with schizophrenia were randomly
allocated to receive eight weekly sessions of adherence therapy or continue
with their treatment as usual. Patients were assessed at baseline and after
nine weeks. The primary outcome was overall psychotic symptoms. Secondary
outcomes were general functioning, attitude towards and satisfaction with
antipsychotic medication and medication side effects. Results. The findings
of this study indicated that patients who received adherence therapy
significantly improved in overall psychotic symptoms, attitude towards and
satisfaction with medication compared with treatment as usual but no
significant difference was found in general functioning or side effects
compared with treatment as usual. Relevance to clinical practice. Adherence
therapy has a positive impact on patients' psychiatric symptoms, attitude
towards and satisfaction with medication. Nurses can effectively deliver
adherence therapy following intensive training. © 2007 Blackwell Publishing
Ltd.
EMTREE DRUG INDEX TERMS
neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
patient compliance
patient education
psychology
psychotherapy
schizophrenia (complication, drug therapy)
EMTREE MEDICAL INDEX TERMS
addiction (complication)
adult
analysis of variance
article
clinical trial
controlled clinical trial
controlled study
female
follow up
health care quality
human
male
motivation
nursing assessment
organization and management
outcome assessment
psychologic test
psychological aspect
psychological model
psychological rating scale
randomized controlled trial
single blind procedure
Thailand
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17584349 (http://www.ncbi.nlm.nih.gov/pubmed/17584349)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2702.2007.01786.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 589
TITLE
The Integration of Physical Health and Behavioral Health Services: Three
University Case Examples
AUTHOR NAMES
Manderscheid R.W.
Masi D.
Rossignol C.R.
Masi D.A.
AUTHOR ADDRESSES
(Manderscheid R.W., rmanderscheid@constellagroup.com; Masi D.; Rossignol
C.R.; Masi D.A.) Mental Health and Substance Use Programs, Constella Group,
Rockville, MD, United States.
(Manderscheid R.W., rmanderscheid@constellagroup.com; Masi D.; Rossignol
C.R.; Masi D.A.) Department of Mental Health, School of Public Health, Johns
Hopkins University, Baltimore, MD, United States.
(Manderscheid R.W., rmanderscheid@constellagroup.com; Masi D.; Rossignol
C.R.; Masi D.A.) Masi Research Consultants, Boston, MA, United States.
(Manderscheid R.W., rmanderscheid@constellagroup.com; Masi D.; Rossignol
C.R.; Masi D.A.) University of Maryland, Baltimore, MD, United States.
(Manderscheid R.W., rmanderscheid@constellagroup.com; Masi D.; Rossignol
C.R.; Masi D.A.) Boston Behavioral, Boston, MA, United States.
CORRESPONDENCE ADDRESS
R.W. Manderscheid, Mental Health and Substance Use Programs, Constella
Group, Rockville, MD, United States. Email: rmanderscheid@constellagroup.com
SOURCE
Archives of Psychiatric Nursing (2007) 21:3 (141-149). Date of Publication:
June 2007
ISSN
0883-9417
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
To improve the quality of care, the Institute of Medicine has called for the
integration of mental health and substance use care with primary care
services. This article reports three case studies of service integration
efforts in universities. The results provide support for the feasibility of
such initiatives. In the three case studies, service integration proved to
be both clinically and financially feasible. © 2007 Elsevier Inc. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health service
mental health service
primary health care
public relations
university
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis, therapy)
article
counseling
eating disorder (diagnosis, therapy)
feasibility study
health care quality
health promotion
human
mental disease (diagnosis, therapy)
nonbiological model
nurse attitude
organization and management
patient care
patient referral
philosophy
program development
psychiatric nursing
total quality management
treatment outcome
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17556107 (http://www.ncbi.nlm.nih.gov/pubmed/17556107)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2007.01.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 590
TITLE
Integrating hepatitis prevention services into a substance use disorder
clinic
AUTHOR NAMES
Hagedorn H.
Dieperink E.
Dingmann D.
Durfee J.
Ho S.B.
Isenhart C.
Rettmann N.
Willenbring M.
AUTHOR ADDRESSES
(Hagedorn H., hildi.hagedorn@va.gov; Dieperink E.; Dingmann D.; Durfee J.;
Ho S.B.; Isenhart C.; Rettmann N.) Minneapolis Veterans Affairs Medical
Center, Minneapolis, MN 55417, United States.
(Hagedorn H., hildi.hagedorn@va.gov; Dieperink E.; Durfee J.; Ho S.B.;
Isenhart C.) University of Minnesota, Minneapolis, MN 55455, United States.
(Dieperink E.; Durfee J.; Ho S.B.) Veterans Affairs Hepatitis C Resource
Center, Minneapolis, MN 55417, United States.
(Willenbring M.) National Institute on Alcohol Abuse and Alcoholism,
Rockville, MD 20892, United States.
CORRESPONDENCE ADDRESS
H. Hagedorn, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN
55417, United States. Email: hildi.hagedorn@va.gov
SOURCE
Journal of Substance Abuse Treatment (2007) 32:4 (391-398). Date of
Publication: June 2007
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The Healthy Liver Program, established at the Minneapolis Veterans Affairs
Medical Center Substance Use Disorder Clinic, provides screening for
exposure to hepatitis infections, a group education class, and an individual
nursing appointment to review screening results, give vaccinations for
hepatitis A and hepatitis B, and make referrals to the hepatitis clinic as
appropriate. A patient chart audit was completed 11 months after the
establishment of the Healthy Liver Program. The attendance rate for the
educational group and individual feedback sessions was 66.9%, with 94.1% of
attendees accepting recommended hepatitis A and/or hepatitis B vaccinations.
All patients with chronic hepatitis C who attended the Healthy Liver Program
received a referral for evaluation in the hepatitis clinic, as compared with
only 50% of patients with chronic hepatitis C who were identified before the
establishment of the program. The importance of providing comprehensive
educational sessions and recommendations for how patients with substance use
disorders can access hepatitis screening, vaccination, and treatment
resources are stressed. © 2007 Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
hepatitis A hepatitis B vaccine
hepatitis A vaccine (drug therapy, pharmacoeconomics)
hepatitis B vaccine (drug therapy, pharmacoeconomics)
hepatitis C vaccine (drug therapy, pharmacoeconomics)
recombinant hepatitis B vaccine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis A (diagnosis, disease management, drug therapy, prevention)
hepatitis B (diagnosis, disease management, drug therapy, prevention)
hepatitis C (diagnosis, disease management, drug therapy, prevention)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
female
health care cost
health care quality
health education
health service
hepatitis virus
human
infection control
laboratory test
major clinical study
male
priority journal
vaccination
DRUG TRADE NAMES
engerix b
havrix
twinrix
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007209140
MEDLINE PMID
17481462 (http://www.ncbi.nlm.nih.gov/pubmed/17481462)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jsat.2006.10.004
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 591
TITLE
Tobacco smoking habits among a complete cross-section of Australian nursing
students
AUTHOR NAMES
Smith D.R.
Leggat P.A.
AUTHOR ADDRESSES
(Smith D.R., smith@h.jniosh.go.jp) International Center for Research
Promotion and Informatics, National Institute of Occupational Safety and
Health, 6-21-1 Nagao, Tama-Ku, Kawasaki 214-8585, Japan.
(Smith D.R., smith@h.jniosh.go.jp; Leggat P.A.) Anton Breinl Center for
Public Health and Tropical Medicine, James Cook University, Townsville, QLD,
Australia.
CORRESPONDENCE ADDRESS
D.R. Smith, International Center for Research Promotion and Informatics,
National Institute of Occupational Safety and Health, 6-21-1 Nagao, Tama-Ku,
Kawasaki 214-8585, Japan. Email: smith@h.jniosh.go.jp
SOURCE
Nursing and Health Sciences (2007) 9:2 (82-89). Date of Publication: June
2007
ISSN
1441-0745
1442-2018 (electronic)
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
This study was undertaken as a complete cross-sectional survey of tobacco
smoking habits among 270 undergraduate students at an Australian nursing
school (response rate: 84.6%). An anonymous, self-reporting questionnaire
survey was used to gather the data. The overall prevalence of current
smoking was 15.9%, with a further 8.5% being ex-smokers. The nursing
students consumed an average of 11.5 cigarettes per day, they began smoking
at 20.8 years of age, and had an average smoking duration of 7.2 years. The
students who had previously worked as a nurse were twice as likely to be
current smokers. This study suggests that although tobacco smoking remains
fairly common among Australian nursing students, its prevalence and
distribution vary according to the individual demographics of the group
under study. Future researchers will need to consider the changing
demographic base from which the new generation of nursing students are
drawn. © 2007 The Authors; Journal Compilation © 2007 Blackwell Publishing
Asia Pty Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing student
smoking habit
student attitude
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
Australia
controlled study
demography
disease duration
female
health survey
human
major clinical study
male
nurse practitioner
nursing education
onset age
prevalence
priority journal
questionnaire
self report
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007216671
MEDLINE PMID
17470180 (http://www.ncbi.nlm.nih.gov/pubmed/17470180)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1442-2018.2007.00306.x
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 592
TITLE
Coping strategies used by adolescents during smoking cessation.
AUTHOR NAMES
Jannone L.
O'Connell K.A.
AUTHOR ADDRESSES
(Jannone L.; O'Connell K.A.) Monmouth University, Marjorie K. Unterberg
School of Nursing, NJ, USA.
CORRESPONDENCE ADDRESS
L. Jannone, Monmouth University, Marjorie K. Unterberg School of Nursing,
NJ, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2007) 23:3 (177-184). Date of Publication: Jun
2007
ISSN
1059-8405
ABSTRACT
The purpose of this study was to examine coping strategies used by teens as
they attempted to quit smoking. The teens were attending a school-based
cessation program titled Quit 2 Win that was offered in four high schools.
This study examined situations in which teens were tempted to smoke. The
study compares coping strategies teens reported in resisting smoking with
situations where they reported lapsing. Participants were interviewed the
week of their quit date and asked about their state of mind, the
availability of cigarettes, and coping strategies used to resist smoking. By
identifying coping strategies, school nurses can develop new interventions
for teen smoking cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
smoking cessation
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical trial
female
human
male
multicenter study
psychological aspect
school health nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17536923 (http://www.ncbi.nlm.nih.gov/pubmed/17536923)
FULL TEXT LINK
http://dx.doi.org/10.1622/1059-8405(2007)023[0177:CSUBAD]2.0.CO;2
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 593
TITLE
Sleep-promoting medications should be used with caution in elderly nursing
home residents
AUTHOR ADDRESSES
SOURCE
Drugs and Therapy Perspectives (2007) 23:4 (10-13). Date of Publication:
2007
ISSN
1172-0360
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
Elderly persons living in institutions frequently experience difficulty in
sleeping. Before considering treatment, any contributory underlying
condition needs to be identified and corrected. Short-acting benzodiazepines
and nonbenzodiazepines (e.g. zaleplon, zolpidem, zopiclone and eszopiclone)
are commonly used, but are associated with daytime sedation, falls, and
cognitive and psychomotor impairment. Antidepressants, antihistamines and
antipsychotics are also sometimes used as sleep-promoting agents, but their
use is not generally recommended. Nonpharmacological approaches may help,
but are often overlooked. © 2007 Adis Data Information BV. All rights
reserved.
EMTREE DRUG INDEX TERMS
amfebutamone (adverse drug reaction)
amitriptyline (adverse drug reaction)
antidepressant agent (drug therapy)
antihistaminic agent (drug therapy)
benzodiazepine (adverse drug reaction, drug comparison, drug therapy)
beta adrenergic receptor stimulating agent (adverse drug reaction)
central stimulant agent (adverse drug reaction)
corticosteroid (adverse drug reaction)
decongestive agent (adverse drug reaction)
diphenhydramine (adverse drug reaction, drug therapy)
diuretic agent (adverse drug reaction)
dopamine receptor stimulating agent (adverse drug reaction)
duloxetine (drug therapy)
eszopiclone (drug therapy)
histamine H2 receptor antagonist (adverse drug reaction)
hypnotic agent (adverse drug reaction, clinical trial, drug therapy)
loprazolam (drug therapy, pharmacokinetics)
lormetazepam (drug therapy, pharmacokinetics)
mirtazapine (adverse drug reaction, clinical trial, drug therapy)
neuroleptic agent (drug therapy)
noradrenalin uptake inhibitor (adverse drug reaction)
ramelteon (adverse drug reaction, clinical trial, drug comparison, drug
therapy, pharmacology)
serotonin uptake inhibitor (adverse drug reaction)
temazepam (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics, pharmacology)
trazodone (adverse drug reaction, drug therapy)
unindexed drug
venlafaxine (drug therapy)
zaleplon (drug comparison, drug therapy, pharmacokinetics)
zolpidem (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics, pharmacology)
zopiclone (drug comparison, drug therapy, pharmacokinetics, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
sleep disorder (side effect, complication, drug therapy, side effect,
therapy)
EMTREE MEDICAL INDEX TERMS
accidental injury (side effect)
aging
amnesia (side effect)
anticholinergic effect
ataxia (side effect)
blurred vision (side effect)
cardiovascular disease (side effect)
clinical trial
cognitive defect (side effect)
confusion (side effect)
constipation (side effect)
delirium (side effect)
depression (drug therapy)
diarrhea (side effect)
dizziness (side effect)
drowsiness (side effect)
drug dependence (side effect)
drug half life
drug mechanism
drug withdrawal
elderly care
environmental factor
falling
fatigue (side effect)
headache (side effect)
human
insomnia (side effect)
lethargy (side effect)
meta analysis
motor dysfunction (side effect)
nausea (side effect)
nursing home
prescription
psychomotor disorder (side effect)
recommended drug dose
REM sleep
review
sedation
side effect (side effect)
sleep pattern
slow wave sleep
somnolence (side effect)
systematic review
vertigo (side effect)
vomiting (side effect)
xerostomia (side effect)
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
amitriptyline (50-48-6, 549-18-8)
benzodiazepine (12794-10-4)
diphenhydramine (147-24-0, 58-73-1)
duloxetine (116539-59-4, 136434-34-9)
eszopiclone (138729-47-2)
loprazolam (61197-73-7)
lormetazepam (848-75-9)
mirtazapine (61337-67-5)
ramelteon (196597-26-9)
temazepam (846-50-4)
trazodone (19794-93-5, 25332-39-2)
venlafaxine (93413-69-5)
zaleplon (151319-34-5)
zolpidem (82626-48-0)
zopiclone (43200-80-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007195000
FULL TEXT LINK
http://dx.doi.org/10.2165/00042310-200723040-00004
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 594
TITLE
A formative evaluation to develop a school health nursing early intervention
model for adolescent substance use
AUTHOR NAMES
Pirskanen M.
Laukkanen E.
Pietilä A.-M.
AUTHOR ADDRESSES
(Pirskanen M., marjatta.pirskanen@kuopio.fi) Health Promotion, Department of
Nursing Science, University of Kuopio, Finland.
(Pirskanen M., marjatta.pirskanen@kuopio.fi; Pietilä A.-M.) Kuopio Social
and Health Care Centre, Kuopio, Finland.
(Laukkanen E.) Department of Adolescent Psychiatry, Kuopio University
Hospital, Kuopio, Finland.
(Pietilä A.-M.) Department of Nursing Science, University of Kuopio,
Finland.
(Pirskanen M., marjatta.pirskanen@kuopio.fi) Samoilijantie 20 E, 70200
Kuopio, Finland.
CORRESPONDENCE ADDRESS
M. Pirskanen, Samoilijantie 20 E, 70200 Kuopio, Finland. Email:
marjatta.pirskanen@kuopio.fi
SOURCE
Public Health Nursing (2007) 24:3 (256-264). Date of Publication: May/June
2007
ISSN
0737-1209
1525-1446 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Objective: To improve an early intervention (EI) triggered by the
Adolescents' Substance Use Measurement (ADSUME) as a method to prevent
substance abuse among adolescents. We assessed how ADSUME and EI work in
practice and how EI could be improved. Design and sample: School health
nurses (n = 10) tested ADSUME and EI on 14- to 18-year-old adolescents (n =
228). Six months later, these nurses and their professional partners were
invited to assess EI in focus group interviews. Methods: Four focus group
interviews involving a total of 24 nurses and partners were implemented.
Interview data were analyzed with qualitative content analysis. Results:
ADSUME concretized assessment, activated profound dialogue, and proved to be
an important part of EI. It was important to assess the adolescent's
resources in addition to the ADSUME score. EI worked well in confidential
dialogues after the adolescent and the PHN reached a consensus on the level
of concern about the adolescent's substance use. The recommended EI enabled
individual brief intervention in all four stages of substance use, from
abstinence or experimental use to hazardous use. Conclusions: EI was
improved practically, and the contents of the intervention were
reformulated. It is important to integrate EI with the preventive efforts of
the school. © 2007, Blackwell Publishing, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention)
child health care
model
nursing assessment
questionnaire
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
cooperation
early diagnosis
evaluation study
Finland
health personnel attitude
human
information processing
mass screening
needs assessment
nurse attitude
nurse patient relationship
nursing evaluation research
nursing methodology research
nursing process
nursing staff
organization and management
psychological aspect
qualitative research
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17456127 (http://www.ncbi.nlm.nih.gov/pubmed/17456127)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2007.00632.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 595
TITLE
Perinatal Care of Women Maintained on Methadone
AUTHOR NAMES
Goff M.
O'Connor M.
AUTHOR ADDRESSES
(Goff M., meredith.goff@yale.edu; O'Connor M.)
SOURCE
Journal of Midwifery and Women's Health (2007) 52:3 (e23-e26). Date of
Publication: May/June 2007
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
A 2005 national survey found that nearly 4% of pregnant women between the
ages of 15 and 44 reported illicit drug use in the previous month. Among
pregnant women admitted to substance abuse programs, 15% identified heroin
as the primary substance used. Methadone is a recommended treatment for
pregnant women wishing to discontinue their use of heroin. Providers of
peripartum care may be unaware of the specific needs of this population,
which are illustrated in this case discussion. © 2007 American College of
Nurse-Midwives.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug therapy)
EMTREE DRUG INDEX TERMS
diamorphine
fentanyl citrate (intravenous drug administration)
morphine sulfate (intravenous drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heroin dependence (drug therapy)
perinatal care
pregnancy
EMTREE MEDICAL INDEX TERMS
adult
anesthesia level
Apgar score
article
breast feeding
case report
drug exposure
female
fetus heart rate
gestational age
hospital discharge
human
intravenous anesthesia
labor
maintenance therapy
newborn intensive care
obstetric anesthesia
prenatal care
priority journal
respiration depression
treatment duration
DRUG TRADE NAMES
sublimaze , United StatesAkorn
DRUG MANUFACTURERS
(United States)Akorn
CAS REGISTRY NUMBERS
diamorphine (1502-95-0, 561-27-3)
fentanyl citrate (990-73-8)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Anesthesiology (24)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007197748
MEDLINE PMID
17467581 (http://www.ncbi.nlm.nih.gov/pubmed/17467581)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2007.02.009
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 596
TITLE
Predictors of course satisfaction and perceived course impact of addiction
nurses undertaking a postgraduate diploma in addictive behaviour
AUTHOR NAMES
Rassool G.H.
Oyefeso A.
AUTHOR ADDRESSES
(Rassool G.H., grassool@sgul.ac.uk) Departamento de Enfermagem Psiquiatrica
e Ciencias Humanas, Universidade de Sao Paulo, EERP-USP, Ribeirâo Preto, Sao
Paulo, Brazil.
(Rassool G.H., grassool@sgul.ac.uk) Federal Universidade de Minas Gerais,
Brazil.
(Oyefeso A.) Department of Mental Health, Addiction Section, St. George
University of London, London, United Kingdom.
CORRESPONDENCE ADDRESS
G.H. Rassool, Departamento de Enfermagem Psiquiatrica e Ciencias Humanas,
Universidade de Sao Paulo, EERP-USP, Ribeirâo Preto, Sao Paulo, Brazil.
Email: grassool@sgul.ac.uk
SOURCE
Nurse Education Today (2007) 27:3 (256-265). Date of Publication: April 2007
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
The effectiveness and impact of continuing education for specialist nurses
working with drug and alcohol had been poorly documented and the purpose of
this study was to enhance our understanding of this process. The aims of the
study were to identify predictors of course satisfaction and perceived
course impact and to examine students' satisfaction with modules' learning
outcomes and their applications to practice. This study was a
cross-sectional survey of 46 part-time students enrolled a Postgraduate
Diploma in Addictive Behaviour. Three instruments were used to measure
modules' satisfaction, post-course satisfaction (PCSQ-18) and on-the-job
impact (CIQ-17). The findings provided some support on the effect and impact
of an educational programme on the practice development of addiction nurses.
Within the multilayered hypothesis, the results indicate that expectations
on the Health Education and Prevention Module were the only significant
predictor of course satisfaction and Expectation of the Special Population
Module was the only significant predictor of course impact on professional
practice. Clinical placements have had a significant impact on professional
practice of addiction nurses. Further evaluative studies need to be
undertaken to examine the impact of educational programmes on its
applications to clinical practice and the quality of care provided. © 2006
Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nurse
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
clinical competence
cross-sectional study
education
evaluation study
female
health care quality
health service
human
male
nursing
nursing methodology research
organization and management
outcome assessment
psychological aspect
questionnaire
self evaluation
statistical model
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16831495 (http://www.ncbi.nlm.nih.gov/pubmed/16831495)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2006.05.005
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 597
TITLE
Parenting skills and family support programs for drug-abusing mothers
AUTHOR NAMES
Kumpfer K.L.
Fowler M.A.
AUTHOR ADDRESSES
(Kumpfer K.L., kkumfer@xmission.com) Department of Health Promotion and
Education, University of Utah, Salt Lake City, UT, United States.
(Fowler M.A., sunflowerfowler@hotmail.com) College of Nursing, University of
Utah, Salt Lake City, UT, United States.
CORRESPONDENCE ADDRESS
K.L. Kumpfer, Department of Health Promotion and Education, University of
Utah, Salt Lake City, UT, United States. Email: kkumfer@xmission.com
SOURCE
Seminars in Fetal and Neonatal Medicine (2007) 12:2 (134-142). Date of
Publication: April 2007
Drug Abuse in Pregnancy and Effects on the Newborn, Book Series Title:
ISSN
1744-165X
BOOK PUBLISHER
W.B. Saunders Ltd, 32 Jamestown Road, London, United Kingdom.
ABSTRACT
Children born to drug-using mothers can suffer from fetal alcohol or drug
syndrome (FAS/FDS) or fetal alcohol or drug effect (FAE/FDE). Such children
have a greater likelihood of developing acute or chronic physical, cognitive
and behavioral problems. In-utero exposure to tobacco, alcohol or drugs
impact on the developing fetus and, after birth, the family environment and
family system exert effects on the infants and children of substance-abusing
parents. Evidence-based prevention and maternal drug treatment programs
focus on enhancing parental childcaring abilities, supporting parent-child
attachment and encouraging family support systems to improve children's
health and cognitive outcomes. FAS/FDS prevention programs, as well as
selective and indicated prenatal and postnatal interventions, can improve
the support given both to mother and to child, and evidence-based, in-home
parenting and family-skills-training approaches are particularly useful. ©
2007 Elsevier Ltd. All rights reserved.
EMTREE DRUG INDEX TERMS
alcohol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family counseling
fetal alcohol syndrome (epidemiology, prevention)
parenting education
withdrawal syndrome (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adoption
article
behavior disorder
child abuse
child health care
child parent relation
childhood
cognition
cognitive defect
developmental disorder
drug abuse
drug effect
emotional attachment
environmental factor
evidence based medicine
evidence based practice
family attitude
family interaction
fetus development
foster care
health program
high risk pregnancy
home care
human
Human immunodeficiency virus infection (prevention)
infection prevention
maternal behavior
nursing care
physical disease
postnatal care
prenatal care
prenatal drug exposure
prenatal exposure
prevalence
prophylaxis
socioeconomics
substance abuse
tobacco
training
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007122609
MEDLINE PMID
17327147 (http://www.ncbi.nlm.nih.gov/pubmed/17327147)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.siny.2007.01.003
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 598
TITLE
Inappropriate prescribing in the elderly
AUTHOR NAMES
Gallagher P.
Barry P.
O'Mahony D.
AUTHOR ADDRESSES
(Gallagher P.; Barry P.; O'Mahony D., omahoney@shb.ie) Department of
Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland.
CORRESPONDENCE ADDRESS
D. O'Mahony, Department of Geriatric Medicine, Cork University Hospital,
Wilton, Cork, Ireland. Email: omahoney@shb.ie
SOURCE
Journal of Clinical Pharmacy and Therapeutics (2007) 32:2 (113-121). Date of
Publication: April 2007
ISSN
0269-4727
1365-2710 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Background and objective: Drug therapy is necessary to treat acute illness,
maintain current health and prevent further decline. However, optimizing
drug therapy for older patients is challenging and sometimes, drug therapy
can do more harm than good. Drug utilization review tools can highlight
instances of potentially inappropriate prescribing to those involved in
elderly pharmacotherapy, i.e. doctors, nurses and pharmacists. We aim to
provide a review of the literature on potentially inappropriate prescribing
in the elderly and also to review the explicit criteria that have been
designed to detect potentially inappropriate prescribing in the elderly.
Methods: We performed an electronic search of the PUBMED database for
articles published between 1991 and 2006 and a manual search through major
journals for articles referenced in those located through PUBMED. Search
terms were elderly, inappropriate prescribing, prescriptions, prevalence,
Beers criteria, health outcomes and Europe. Results and discussion:
Prescription of potentially inappropriate medications to older people is
highly prevalent in the United States and Europe, ranging from 12% in
community-dwelling elderly to 40% in nursing home residents. Inappropriate
prescribing is associated with adverse drug events. Limited data exists on
health outcomes from use of inappropriate medications. There are no
prospective randomized controlled studies that test the tangible clinical
benefit to patients of using drug utilization review tools. Existing drug
utilization review tools have been designed on the basis of North American
and Canadian drug formularies and may not be appropriate for use in European
countries because of the differences in national drug formularies and
prescribing attitudes. Conclusion: Given the high prevalence of
inappropriate prescribing despite the widespread use of drug-utilization
review tools, prospective randomized controlled trials are necessary to
identify useful interventions. Drug utilization review tools should be
designed on the basis of a country's national drug formulary and should be
evidence based. © 2007 The authors.
EMTREE DRUG INDEX TERMS
amiodarone
amitriptyline (drug therapy)
antihypertensive agent
benzodiazepine derivative (pharmacokinetics)
beta adrenergic receptor blocking agent (pharmacokinetics)
chlordiazepoxide (drug therapy)
cimetidine
dextropropoxyphene
digoxin (drug concentration, pharmacokinetics)
dipyridamole
doxazosin
levodopa (drug therapy)
lithium (drug concentration, pharmacokinetics)
methyldopa
neuroleptic agent (adverse drug reaction)
nitrate (pharmacokinetics)
nitrofurantoin
nonsteroid antiinflammatory agent
oral antidiabetic agent
phenytoin (drug concentration)
promethazine
propranolol
psychotropic agent
theophylline (drug concentration)
tricyclic antidepressant agent (pharmacokinetics)
warfarin (drug concentration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
geriatric care
prescribed burning
EMTREE MEDICAL INDEX TERMS
aged
drug blood level
drug distribution
drug formulary
drug marketing
drug metabolism
drug response
drug use
drug utilization
first pass effect
health care policy
hospital admission
hospitalization
human
low drug dose
neuropathic pain (drug therapy)
nursing home
parkinsonism (drug therapy, side effect)
patient compliance
polypharmacy
review
treatment outcome
withdrawal syndrome (drug therapy)
CAS REGISTRY NUMBERS
amiodarone (1951-25-3, 19774-82-4, 62067-87-2)
amitriptyline (50-48-6, 549-18-8)
chlordiazepoxide (438-41-5, 58-25-3)
cimetidine (51481-61-9, 70059-30-2)
dextropropoxyphene (1639-60-7, 469-62-5)
digoxin (20830-75-5, 57285-89-9)
dipyridamole (58-32-2)
doxazosin (74191-85-8)
levodopa (59-92-7)
lithium (7439-93-2)
methyldopa (555-29-3, 555-30-6)
nitrate (14797-55-8)
nitrofurantoin (54-87-5, 67-20-9)
phenytoin (57-41-0, 630-93-3)
promethazine (58-33-3, 60-87-7)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
theophylline (58-55-9, 5967-84-0, 8055-07-0, 8061-56-1, 99007-19-9)
warfarin (129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007146517
MEDLINE PMID
17381661 (http://www.ncbi.nlm.nih.gov/pubmed/17381661)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2710.2007.00793.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 599
TITLE
Adolescents coping with mood disorder: A grounded theory study
AUTHOR NAMES
Meadus R.J.
AUTHOR ADDRESSES
(Meadus R.J., meadusr@mun.ca) School of Nursing, Memorial University, St.
John's, Nfld., Canada.
(Meadus R.J., meadusr@mun.ca) School of Nursing, Memorial University, St.
John's, Nfld. A1B 3V6, Canada.
CORRESPONDENCE ADDRESS
R.J. Meadus, School of Nursing, Memorial University, St. John's, Nfld. A1B
3V6, Canada. Email: meadusr@mun.ca
SOURCE
Journal of Psychiatric and Mental Health Nursing (2007) 14:2 (209-217). Date
of Publication: April 2007
ISSN
1351-0126
1365-2850 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
A grounded theory methodology was used to explore the phenomenon of coping
as experienced by adolescents with a mood disorder. Mood disorders among
children and adolescents are more persistent than previously thought and
have numerous negative associated features, including further episodes of
depression, impaired social, academic and vocational relationships, use of
alcohol and other drugs, and an increased risk of suicide. Current
literature offered little awareness of how adolescents cope with a mood
disorder, as well as their perspective of how such an illness impacts their
lives. A substantive theory regarding the process of coping for adolescents
with a mood disorder was generated from the data collected from one male and
eight female adolescents. Using grounded theory coding procedures, a
four-phase coping theory identified by the categories feeling different,
cutting off connections, facing the challenge/reconnecting, and learning
from the experience was developed. The core category identified in this
research was An Unplanned Journey: Coping Through Connections. Implications
identified for nursing practice, research and education included greater
attention on the prevention of adolescent mood disorder, and the education
of adolescents about the development and enhancement of healthy coping
skills. © 2007 The Author.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
attitude to health
child behavior
child psychology
mood disorder (prevention)
EMTREE MEDICAL INDEX TERMS
addiction (etiology)
adolescent
article
cost of illness
female
health service
human
human relation
life event
male
methodology
nursing methodology research
psychiatric nursing
psychological aspect
psychological theory
questionnaire
self care
sex difference
social support
socialization
suicide
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17352785 (http://www.ncbi.nlm.nih.gov/pubmed/17352785)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2850.2007.01067.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 600
TITLE
Prevalence and predictors of osteoporosis treatment in nursing home
residents with known osteoporosis or recent fracture
AUTHOR NAMES
Colón-Emeric C.
Lyles K.W.
Levine D.A.
House P.
Schenck A.
Gorospe J.
Fermazin M.
Oliver K.
Alison J.
Weisman N.
Xie A.
Curtis J.R.
Saag K.
AUTHOR ADDRESSES
(Colón-Emeric C., colon001@mc.duke.edu; Lyles K.W.) Duke University Center
for Aging and Human Development, Durham VA GRECC, Erwin Rd, Durham, NC
27710, United States.
(Levine D.A.; Oliver K.; Alison J.; Weisman N.; Xie A.; Curtis J.R.; Saag
K.) Center for Education and Research on Therapeutics (CERTs) of
Musculoskeletal Disorders, University of Alabama at Birmingham, 1530 3rd
Avenue South, Birmingham, AL 35294, United States.
(House P.; Schenck A.; Gorospe J.) Carolinas Center for Medical Excellence,
Cary, NC, United States.
(Fermazin M.) Health Services Advisory Group, Phoenix, AZ, United States.
(Colón-Emeric C., colon001@mc.duke.edu) Duke University Medical Center, P.O.
Box 3003, Durham, NC 27710, United States.
CORRESPONDENCE ADDRESS
C. Colón-Emeric, Duke University Medical Center, P.O. Box 3003, Durham, NC
27710, United States. Email: colon001@mc.duke.edu
SOURCE
Osteoporosis International (2007) 18:4 (553-559). Date of Publication: April
2007
ISSN
0937-941X
1433-2965 (electronic)
BOOK PUBLISHER
Springer London Ltd, The Guildway, Old Portsmouth Road, Artington,
Guildford, United Kingdom.
ABSTRACT
Summary: We studied nursing home residents with osteoporosis or recent
fracture to determine the frequency and predictors of osteoporosis
treatment. There was wide variation in performance, and both clinical and
systems variables predicted use. This study shows that improvement in
osteoporosis care is possible and important for many nursing homes.
Introduction: We determined the prevalence and predictors of osteoporosis
evaluation and treatment in high-risk nursing home residents. Methods: We
identified 67 nursing facilities in North Carolina and Arizona with > 10
residents with osteoporosis or recent hip fracture. Medical records (n=895)
were abstracted for osteoporosis evaluation [dual-energy X-ray
absorptiometry (DXA), vitamin D level, serum calcium), treatment (calcium,
vitamin D, osteoporosis medication, hip protectors), clinical, and systems
covariates. Data were analyzed at the facility level using mixed models to
account for the complex nesting of residents within providers and nursing
facilities. Results: Calcium and vitamin D was prescribed for 69% of
residents, bisphosphonates for 19%, calcitonin for 14%, other pharmacologic
therapies for 6%, and hip protectors for 2%. Overall, 36% received any bone
protection (medication or hip protectors), with wide variation among
facilities (0-85%). Factors significantly associated with any bone
protection included female gender [odds ratio (OR) 2.4, (1.5-3.7)] and
nonurban/suburban location [1.5, (1.1-2.2)]. Residents with esophagitis,
peptic ulcer disease (PUD), or dysphagia [0.6, (0.4-0.9)] and alcohol abuse
[0.2, (0.0-0.9)] were less likely to receive treatment. Conclusions: There
is substantial variation in the quality of osteoporosis treatment across
nursing homes. Interventions that improve osteoporosis quality of care are
needed. © 2006 International Osteoporosis Foundation and National
Osteoporosis Foundation.
EMTREE DRUG INDEX TERMS
bisphosphonic acid derivative
calcitonin
calcium (endogenous compound)
vitamin D
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
osteoporosis (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol abuse
article
calcium blood level
dual energy X ray absorptiometry
dysphagia
esophagitis
female
fracture
health care quality
hip fracture
human
medical record
nursing home
peptic ulcer
prediction
prevalence
priority journal
qualitative analysis
risk assessment
urban area
vitamin blood level
CAS REGISTRY NUMBERS
calcitonin (12321-44-7, 21215-62-3, 9007-12-9)
calcium (7440-70-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Orthopedic Surgery (33)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007117302
MEDLINE PMID
17120179 (http://www.ncbi.nlm.nih.gov/pubmed/17120179)
FULL TEXT LINK
http://dx.doi.org/10.1007/s00198-006-0260-5
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 601
TITLE
Use of laxatives among older nursing home residents in Helsinki, Finland
AUTHOR NAMES
Hosia-Randell H.
Suominen M.
Muurinen S.
Pitkälä K.H.
AUTHOR ADDRESSES
(Hosia-Randell H.) Department of Public Health, Faculty of Medicine,
University of Helsinki, Helsinki, Finland.
(Suominen M.) Central Union for the Welfare of the Aged, Helsinki, Finland.
(Muurinen S.) Social Services Department, Housing and Institutional Care
Services for the Elderly, City of Helsinki, Helsinki, Finland.
(Pitkälä K.H.) Department of General Practice and Primary Health Care,
University Hospital of Helsinki, University of Helsinki, Helsinki, Finland.
(Hosia-Randell H.) Department of Public Health, 00014 University of
Helsinki, P.O. Box 41, Helsinki, Finland.
CORRESPONDENCE ADDRESS
H. Hosia-Randell, Department of Public Health, 00014 University of Helsinki,
P.O. Box 41, Helsinki, Finland.
SOURCE
Drugs and Aging (2007) 24:2 (147-154). Date of Publication: 2007
ISSN
1170-229X
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
Background and objective: Constipation and, as a consequence, the use of
laxatives are common among frail older people. The causes of and factors
associated with laxative use, however, have undergone surprisingly little
study. The objectives of our study were to (i) assess the prevalence of
regularly administered laxatives, (ii) identify factors associated with
regular use of laxatives, and (iii) determine which drug classes or
medications are associated with regular laxative use in an older nursing
home population in Helsinki. Methods: This study was a cross-sectional
assessment of all long-term nursing home residents aged ≥65 years in
Helsinki, Finland. In February 2003, the health status of these residents
was assessed and data on their demographic characteristics, health and
medication use were collected from medical charts. Results: Of all nursing
home residents in Helsinki, 82% (n = 1987, mean age 83.7 years) participated
in the study. Of all residents, 55.3% received laxatives regularly. Factors
associated with regular laxative use in univariate analysis included age >80
years, stroke, Parkinson's disease, inability to move independently, poor
Mini Nutritional Assessment (MNA) score (<17), fluid intake less than five
glasses per day, and chewing problems. Drugs associated with laxative use
included opioids, antacids, diuretics, tricyclic antidepressants,
lipid-lowering drugs other than HMG-CoA reductase inhibitors (statins),
histamine H(2) receptor antagonists, nonselective NSAIDs, anticholinergic
drugs for urine incontinence, and calcium channel antagonists other than
verapamil and nifedipine. In logistic regression analysis, age >80 years
(odds ratio [OR] 1.29; 95% CI 1.03, 1.60), inability to move independently
(OR 1.80; 95% CI 1.42, 2.28), poor MNA score (<17) [OR 1.51; 95% CI 1.19,
1.93], chewing problems (OR 1.27; CI 95% 1.00, 1.61), Parkinson's disease
(OR 1.63; 95% CI 1.01, 2.64), and concomitant use of a high number (>7) of
drugs other than laxatives and constipation-inducing drugs found in
univariate analysis (OR 1.06; 95% CI 1.03, 1.09) were associated with use of
laxatives. Having snacks between meals (OR 0.74; 95% CI 0.60, 0.90) was
associated with lower risk of laxative use. Conclusions: Regular laxative
use in older nursing home residents in Helsinki is very common. Offering
snacks between meals and regular evaluation of medication use may influence
laxative use. © 2007 Adis Data Information BV. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
laxative
EMTREE DRUG INDEX TERMS
acetazolamide (adverse drug reaction)
acetylsalicylic acid (adverse drug reaction)
antacid agent (adverse drug reaction)
anticonvulsive agent (adverse drug reaction)
antiparkinson agent (adverse drug reaction)
anxiolytic agent (adverse drug reaction)
atypical antipsychotic agent (adverse drug reaction)
baclofen (adverse drug reaction)
beta adrenergic receptor blocking agent (adverse drug reaction)
bisphosphonic acid derivative (adverse drug reaction)
calcium (adverse drug reaction)
calcium channel blocking agent (adverse drug reaction)
cholinergic receptor blocking agent (adverse drug reaction, drug therapy)
cyclooxygenase 2 inhibitor (adverse drug reaction)
dipeptidyl carboxypeptidase inhibitor (adverse drug reaction)
diuretic agent (adverse drug reaction)
histamine H2 receptor antagonist (adverse drug reaction)
hydroxymethylglutaryl coenzyme A reductase inhibitor (adverse drug reaction)
iron (adverse drug reaction)
nifedipine (adverse drug reaction)
nonsteroid antiinflammatory agent (adverse drug reaction)
opiate (adverse drug reaction)
paracetamol (adverse drug reaction)
proton pump inhibitor (adverse drug reaction)
serotonin uptake inhibitor (adverse drug reaction)
tricyclic antidepressant agent (adverse drug reaction)
verapamil (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home patient
EMTREE MEDICAL INDEX TERMS
aged
article
cerebrovascular accident
confidence interval
constipation (side effect)
controlled study
drug use
female
Finland
fluid intake
health status
human
logistic regression analysis
major clinical study
male
mastication
medical record
Parkinson disease
prevalence
priority journal
risk
scoring system
univariate analysis
urine incontinence (drug therapy)
CAS REGISTRY NUMBERS
acetazolamide (1424-27-7, 59-66-5)
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
baclofen (1134-47-0)
calcium (7440-70-2)
iron (14093-02-8, 53858-86-9, 7439-89-6)
nifedipine (21829-25-4)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
paracetamol (103-90-2)
verapamil (152-11-4, 52-53-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007108042
MEDLINE PMID
17313202 (http://www.ncbi.nlm.nih.gov/pubmed/17313202)
FULL TEXT LINK
http://dx.doi.org/10.2165/00002512-200724020-00006
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 602
TITLE
Smoking too young: students' decisions about tobacco use.
AUTHOR NAMES
Hayes E.R.
Plowfield L.A.
AUTHOR ADDRESSES
(Hayes E.R.; Plowfield L.A.) School of Nursing, University of Delaware,
Newark, USA.
CORRESPONDENCE ADDRESS
E.R. Hayes, School of Nursing, University of Delaware, Newark, USA. Email:
erhayes@udel.edu
SOURCE
MCN. The American journal of maternal child nursing (2007) 32:2 (112-116).
Date of Publication: 2007 Mar-Apr
ISSN
0361-929X
ABSTRACT
PURPOSE: To describe college students' decisions related to tobacco use.
STUDY DESIGN AND METHODS: A sample of 49 smokers and 51 nonsmokers were
asked about the smoking continuum of starting smoking, continuing to smoke,
and tobacco cessation. An investigator-developed questionnaire was used to
determine tobacco use and whether prevention and cessation messages were
perceived as effective. Data were analyzed using descriptive statistics and
qualitative descriptive analysis. RESULTS: Peer pressure was the greatest
influencing factor for beginning to smoke, and health was the major reason
for not beginning to smoke. Addiction and stress maintained smoking. Both
smokers and nonsmokers identified cessation strategies. CLINICAL
IMPLICATIONS: Every interaction with youth is another opportunity to assess
smoking status. Recommendations from teens for cessation programs identified
in this study may be more attractive to teens and young adults than the
current standards related to strategies for adults.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
decision making
smoking (prevention)
student
university
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
case control study
child behavior
female
health behavior
health service
human
male
mass medium
motivation
nurse attitude
nursing assessment
nursing methodology research
peer group
psychological aspect
qualitative research
smoking cessation
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17356418 (http://www.ncbi.nlm.nih.gov/pubmed/17356418)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 603
TITLE
Fetal alcohol spectrum disorders: Understanding the effects of prenatal
alcohol exposure and supporting students
AUTHOR NAMES
Green J.H.
AUTHOR ADDRESSES
(Green J.H., greenjh@muohio.edu) Department of Psychology, Miami University,
Oxford, OH 45056, United States.
CORRESPONDENCE ADDRESS
J.H. Green, Department of Psychology, Miami University, Oxford, OH 45056,
United States. Email: greenjh@muohio.edu
SOURCE
Journal of School Health (2007) 77:3 (103-108). Date of Publication: March
2007
ISSN
0022-4391
1746-1561 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Background: Fetal Alcohol Spectrum Disorders (FASD) affect a significant
number of children in this country. This article addresses diagnostic issues
related to fetal alcohol syndrome (FAS) and other alcohol-related
disabilities, discusses associated features and behaviors of FASD, and
introduces interventions to support children with FASD in school settings.
Methods: A comprehensive review of FAS and FASD literature as it relates to
school functioning was conducted. Results: Prenatal alcohol exposure can
result in a broad range of negative developmental consequences, including
deficits in cognitive and academic functioning, psychological disorders,
behavioral problems, and difficulties with independent living. Children with
prenatal alcohol exposure are at risk for a spectrum of difficulties at
school. Conclusions: This topic is of considerable relevance to all
professionals in a school setting, including teachers, administrators,
school psychologists, special education providers, special service
providers, and school nurses who interact with children who may be
prenatally exposed to alcohol. Successful interventions will need to balance
the use of environmental modifications, immediate and meaningful positive
and negative consequences for behaviors, and opportunities to teach children
skills to monitor and modify their behavior. © 2007, American School Health
Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
behavior disorder (rehabilitation)
fetal alcohol syndrome (diagnosis)
learning disorder (rehabilitation)
school health service
EMTREE MEDICAL INDEX TERMS
chemically induced disorder
child
congenital malformation (rehabilitation)
early childhood intervention
early diagnosis
education
female
human
pathophysiology
pregnancy
psychological aspect
review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17302851 (http://www.ncbi.nlm.nih.gov/pubmed/17302851)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1746-1561.2007.00178.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 604
TITLE
Health at school: A hidden health care system emerges from the shadows
AUTHOR NAMES
Lear J.G.
AUTHOR ADDRESSES
(Lear J.G., jgl@gwu.edu) Department of Prevention and Community Health,
School of Public Health and Health Services, George Washington University,
Washington, DC, United States.
(Lear J.G., jgl@gwu.edu) Center for Health and Health Care in Schools,
George Washington University, Washington, DC, United States.
CORRESPONDENCE ADDRESS
J.G. Lear, Department of Prevention and Community Health, School of Public
Health and Health Services, George Washington University, Washington, DC,
United States. Email: jgl@gwu.edu
SOURCE
Health Affairs (2007) 26:2 (409-419). Date of Publication: March/April 2007
ISSN
0278-2715
0278-2715 (electronic)
BOOK PUBLISHER
Project HOPE
ABSTRACT
A vast array of child health professionals - 99,000 counselors; 56,000
nurses; 30,000 school psychologists; 15,000 social workers; and smaller
numbers of dental hygienists, dentists, physicians, and substance abuse
counselors - provide care to children and adolescents at school. However,
most thought leaders in child health know little about this "hidden" system
of care or are skeptical about its capacity to contribute to children's
well-being. Increased interest in prevention and chronic disease management,
powered by escalating concern about childhood overweight, might end the
isolation of school health programs and link them more effectively to
community-based prevention programs and health care services. ©2007 Project
HOPE-The People-to-People Health Foundation, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child welfare
community care
school health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
child health care
cost benefit analysis
female
forecasting
health care delivery
health care policy
health education
human
male
management
needs assessment
organization and management
preschool child
standard
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17339668 (http://www.ncbi.nlm.nih.gov/pubmed/17339668)
FULL TEXT LINK
http://dx.doi.org/10.1377/hlthaff.26.2.409
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 605
TITLE
Establishing a culture for patient safety - The role of education
AUTHOR NAMES
Milligan F.J.
AUTHOR ADDRESSES
(Milligan F.J., frank.milligan@luton.ac.uk) Faculty of Health Sciences,
University of Luton, Britannia Road, Bedford, MK42 9DJ, United Kingdom.
CORRESPONDENCE ADDRESS
F.J. Milligan, Faculty of Health Sciences, University of Luton, Britannia
Road, Bedford, MK42 9DJ, United Kingdom. Email: frank.milligan@luton.ac.uk
SOURCE
Nurse Education Today (2007) 27:2 (95-102). Date of Publication: February
2007
ISSN
0260-6917
1532-2793 (electronic)
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
This paper argues that the process of making significant moves towards a
patient safety culture requires changes in healthcare education.
Improvements in patient safety are a shared international priority as too
many errors and other forms of unnecessary harm are currently occurring in
the process of caring for and treating patients. A description of the
patient safety agenda is given followed by a brief analysis of human factors
theory and its use in other safety critical industries, most notably
aviation. The all too common problem of drug administration errors is used
to illustrate the relevance of human factors theory to healthcare education
with specific mention made of the Human Factors Analysis and Classification
System (HFACS). © 2006 Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical error (prevention)
nursing education
patient care
safety
EMTREE MEDICAL INDEX TERMS
article
attitude to health
bioengineering
curriculum
health personnel attitude
health service
human
interpersonal communication
national health service
nursing
nursing student
organization
organization and management
psychological aspect
public relations
total quality management
treatment outcome
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16713030 (http://www.ncbi.nlm.nih.gov/pubmed/16713030)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2006.03.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 606
TITLE
Alcohol use and anxiety: Diagnostic and management issues
AUTHOR NAMES
Brady K.T.
Tolliver B.K.
Verduin M.L.
AUTHOR ADDRESSES
(Brady K.T., bradyk@musc.edu; Tolliver B.K.; Verduin M.L.) Department of
Psychiatry, Medical University of South Carolina, Charleston, SC, United
States.
(Brady K.T., bradyk@musc.edu) Medical University of South Carolina,
Department of Psychiatry, 67 President St., Charleston, SC 29425, United
States.
CORRESPONDENCE ADDRESS
K.T. Brady, Medical University of South Carolina, Department of Psychiatry,
67 President St., Charleston, SC 29425, United States. Email:
bradyk@musc.edu
SOURCE
American Journal of Psychiatry (2007) 164:2 (217-221). Date of Publication:
February 2007
ISSN
0002-953X
BOOK PUBLISHER
American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825,
Arlington, United States.
ABSTRACT
"Ms. M" is a 40-year-old Caucasian female who presents with complaints of
anxiety and sleep disturbance. She recently went through a difficult divorce
after 14 years of marriage, and she has two children, ages 8 and 10. She was
trained as a nurse and had stopped working when her first child was born,
but she is now working as a school nurse. She reports feeling anxious about
everything, including financial issues, the well-being of her children, and
her competence at work. She has a great deal of difficulty falling asleep.
Approximately 3 months ago, she began to drink wine at night to help her
sleep. She has gradually increased her drinking and is currently drinking
2-3 glasses of wine (4 ounces each) per night on average, but on several
nights within the past month she drank a 32-ounce bottle of wine by herself.
Her father was an alcoholic, and she worries about her drinking. She reports
binge drinking during adolescence and in college and recalls having one
"blackout." After she met her husband 18 years ago, her drinking decreased
considerably because he drank alcohol only occasionally and disapproved of
her drinking. They kept little alcohol in the house and she drank only
socially. She says that since childhood she has felt extremely anxious in
social settings and that drinking alcohol always helped to "take the edge
off." She has several close friends and is involved in her church community.
EMTREE DRUG INDEX TERMS
acamprosate (drug therapy)
benzodiazepine (drug therapy)
buspirone (clinical trial, drug therapy)
disulfiram (drug therapy)
escitalopram (drug therapy)
naltrexone (drug therapy, pharmacology)
placebo
serotonin uptake inhibitor (clinical trial, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, therapy)
anxiety disorder (therapy)
EMTREE MEDICAL INDEX TERMS
alcohol withdrawal (drug therapy)
anxiety
article
behavior therapy
clinical trial
cognitive therapy
comorbidity
controlled clinical trial
drug mechanism
dysthymia
experimental model
generalized anxiety disorder
human
neurotransmission
nonhuman
obsessive compulsive disorder
patient assessment
priority journal
psychotherapy
randomized controlled trial
risk assessment
social phobia (drug therapy)
CAS REGISTRY NUMBERS
acamprosate (77337-73-6)
benzodiazepine (12794-10-4)
buspirone (33386-08-2, 36505-84-7)
disulfiram (97-77-8)
escitalopram (128196-01-0, 219861-08-2)
naltrexone (16590-41-3, 16676-29-2)
EMBASE CLASSIFICATIONS
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007105808
MEDLINE PMID
17267782 (http://www.ncbi.nlm.nih.gov/pubmed/17267782)
FULL TEXT LINK
http://dx.doi.org/10.1176/appi.ajp.164.2.217
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 607
TITLE
Academic health center management of chronic diseases through knowledge
networks: Project ECHO
AUTHOR NAMES
Arora S.
Geppert C.M.A.
Kalishman S.
Dion D.
Pullara F.
Bjeletich B.
Simpson G.
Alverson D.C.
Moore L.B.
Kuhl D.
Scaletti J.V.
AUTHOR ADDRESSES
(Arora S., SArora@salud.unm.edu) Department of Medicine, University of New
Mexico, School of Medicine, Albuquerque, NM, United States.
(Geppert C.M.A.) Psychiatry and Ethics, New Mexico Veterans Affairs Health
Care System, .
(Geppert C.M.A.) Department of Psychiatry, University of New Mexico, School
of Medicine, Albuquerque, NM, United States.
(Kalishman S.; Dion D.) Office of Program Evaluation, Education and
Research, University of New Mexico, School of Medicine, Albuquerque, NM,
United States.
(Pullara F.) New Mexico Corrections Department, Santa Fe, NM, United States.
(Bjeletich B.) Health Centers of Northern New Mexico, Espanola, NM, United
States.
(Simpson G.) Infectious Diseases, New Mexico Department of Health, Santa Fe,
NM, United States.
(Alverson D.C.) Department of Pediatrics and Regents', Center for Telehealth
and Cybermedicine Research, University of New Mexico Health Sciences Center,
Albuquerque, NM, United States.
(Moore L.B.; Kuhl D.) Indian Health Service, Santa Fe, NM, United States.
(Scaletti J.V.) University of New Mexico Health Sciences Center,
Albuquerque, NM, United States.
(Arora S., SArora@salud.unm.edu) MSC10 5550, Ambulatory Care Center, 1
University of New Mexico, Albuquerque, NM 87131-0001, United States.
CORRESPONDENCE ADDRESS
S. Arora, MSC10 5550, Ambulatory Care Center, 1 University of New Mexico,
Albuquerque, NM 87131-0001, United States. Email: SArora@salud.unm.edu
SOURCE
Academic Medicine (2007) 82:2 (154-160). Date of Publication: February 2007
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
The authors describe an innovative academic health center (AHC)-led program
of health care delivery and clinical education for the management of
complex, common, and chronic diseases in underserved areas, using hepatitis
C virus (HCV) as a model. The program, based at the University of New Mexico
School of Medicine, represents a paradigm shift in thinking and funding for
the threefold mission of AHCs, moving from traditional fee-for-service
models to public health funding of knowledge networks. This program, Project
Extension for Community Health care Outcomes (ECHO), involves a partnership
of academic medicine, public health offices, corrections departments, and
rural community clinics dedicated to providing best practices and
protocol-driven health care in rural areas. Telemedicine and Internet
connections enable specialists in the program to comanage patients with
complex diseases, using case-based knowledge networks and learning loops.
Project ECHO partners (nurse practitioners, primary care physicians,
physician assistants, and pharmacists) present HCV-positive patients during
weekly two-hour telemedicine clinics using a standardized, case-based format
that includes discussion of history, physical examination, test results,
treatment complications, and psychiatric, medical, and substance abuse
issues. In these case-based learning clinics, partners rapidly gain deep
domain expertise in HCV as they collaborate with university specialists in
hepatology, infectious disease, psychiatry, and substance abuse in
comanaging their patients. Systematic monitoring of treatment outcomes is an
integral aspect of the project. The authors believe this methodology will be
generalizable to other complex and chronic conditions in a wide variety of
underserved areas to improve disease outcomes, and it offers an opportunity
for AHCs to enhance and expand their traditional mission of teaching,
patient care, and research. © 2007 Association of American Medical Colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic disease (disease management)
health care management
health center
network learning
EMTREE MEDICAL INDEX TERMS
article
clinical education
education program
funding
health care delivery
hepatitis C
Internet
medical research
medical specialist
nurse practitioner
patient care
pharmacist
physical examination
physician
physician assistant
priority journal
psychiatry
public health
public health service
rural health care
substance abuse
teaching
telemedicine
treatment outcome
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007067161
MEDLINE PMID
17264693 (http://www.ncbi.nlm.nih.gov/pubmed/17264693)
FULL TEXT LINK
http://dx.doi.org/10.1097/ACM.0b013e31802d8f68
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 608
TITLE
The influence of the Pharmaceutical Benefits Scheme (PBS) on inappropriate
prescribing in Australian nursing homes
AUTHOR NAMES
King M.A.
Roberts M.S.
AUTHOR ADDRESSES
(King M.A., michelle.king@abdn.ac.uk) Department of General Practice and
Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn
Road, Aberdeen, AB25 2AY, United Kingdom.
(Roberts M.S.) Department of Medicine, University of Queensland, Australia.
CORRESPONDENCE ADDRESS
M.A. King, Department of General Practice and Primary Care, University of
Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen, AB25 2AY,
United Kingdom. Email: michelle.king@abdn.ac.uk
SOURCE
Pharmacy World and Science (2007) 29:1 (39-42). Date of Publication:
February 2007
ISSN
0928-1231
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Objectives: To determine the prevalence of inappropriate prescribing,
defined by applying modified Beers' criteria, and to examine the influence
of the Pharmaceutical Benefits Scheme (PBS), Australia's national scheme for
subsidising medicines, on inappropriate prescribing. Methods:
Cross-sectional survey of nursing home records, including 7-days data from
medication charts. Setting: Fiveteen randomly selected nursing homes (998
residents) in Southeast Queensland and Northern New South Wales, Australia.
Main outcome measures: The prevalence of inappropriate prescribing as
defined by modified Beers' criteria and its correlation with PBS
restrictions. Results: 18.5% of residents were ordered one or more
inappropriate medications, and 1.5% of residents were ordered two or more.
The level of PBS restriction and the percentage of residents ordered a
medication were highly correlated (ρ = -0.87, P<0.001). Medications in
Beers' criteria that were not listed (subsidised) on the PBS were not
ordered for any resident. PBS medicines with subsidies restricted to certain
populations or indications were ordered for 0% to 0.1% of residents.
Dextropropoxyphene, diazepam, amitriptyline and methyldopa were the only
medications in Beers' criteria prescribed to more than 0.5% of residents.
Dextropropoxyphene was only subsidised for war veterans, with a caution
warning of its potential to cause drug dependence, while diazepam,
amitriptyline and methyldopa were listed on the PBS without any subsidy
restrictions. Conclusion: Increases in the level of PBS restriction were
associated with decreases in the prevalence of inappropriate prescribing,
The targeting of drug subsidies to reduce inappropriate prescribing warrants
further investigation. © 2007 Springer Science+Business Media B.V.
EMTREE DRUG INDEX TERMS
amitriptyline (pharmacoeconomics)
carisoprodol (pharmacoeconomics)
chlordiazepoxide (pharmacoeconomics)
chlorpropamide (pharmacoeconomics)
cyclandelate (pharmacoeconomics)
cyclobenzaprine (pharmacoeconomics)
dextropropoxyphene (pharmacoeconomics)
diazepam (pharmacoeconomics)
dipyridamole (pharmacoeconomics)
flurazepam (pharmacoeconomics)
indometacin (pharmacoeconomics)
isoxsuprine (pharmacoeconomics)
meprobamate (pharmacoeconomics)
methocarbamol (pharmacoeconomics)
methyldopa (pharmacoeconomics)
orphenadrine citrate (pharmacoeconomics)
pentazocine (pharmacoeconomics)
pentobarbital (pharmacoeconomics)
phenylbutazone (pharmacoeconomics)
propranolol (pharmacoeconomics)
reserpine (pharmacoeconomics)
secobarbital (pharmacoeconomics)
trimethobenzamide (pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
geriatric care
prescription
EMTREE MEDICAL INDEX TERMS
adult
aged
article
Australia
controlled study
correlation analysis
cost benefit analysis
drug dependence
drug indication
drug information
female
human
male
medical record review
nursing home patient
prevalence
randomization
residential home
veteran
CAS REGISTRY NUMBERS
amitriptyline (50-48-6, 549-18-8)
carisoprodol (78-44-4)
chlordiazepoxide (438-41-5, 58-25-3)
chlorpropamide (94-20-2)
cyclandelate (456-59-7)
cyclobenzaprine (303-53-7, 6202-23-9)
dextropropoxyphene (1639-60-7, 469-62-5)
diazepam (439-14-5)
dipyridamole (58-32-2)
flurazepam (1172-18-5, 17617-23-1)
indometacin (53-86-1, 74252-25-8, 7681-54-1)
isoxsuprine (395-28-8, 579-56-6)
meprobamate (57-53-4)
methocarbamol (532-03-6)
methyldopa (555-29-3, 555-30-6)
orphenadrine citrate (4682-36-4)
pentazocine (359-83-1, 64024-15-3)
pentobarbital (57-33-0, 76-74-4)
phenylbutazone (129-18-0, 50-33-9, 8054-70-4)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
reserpine (50-55-5, 8001-95-4)
secobarbital (309-43-3, 76-73-3)
trimethobenzamide (138-56-7, 554-92-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007100958
MEDLINE PMID
17268937 (http://www.ncbi.nlm.nih.gov/pubmed/17268937)
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-005-5618-9
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 609
TITLE
Part 3: Nurses' guide to alcohol and promoting healthy lifestyle changes.
AUTHOR NAMES
Harrington-Dobinson A.
Blows W.
AUTHOR ADDRESSES
(Harrington-Dobinson A.; Blows W.) St Bartholomew School of Nursing and
Midwifery, City University, London.
CORRESPONDENCE ADDRESS
A. Harrington-Dobinson, St Bartholomew School of Nursing and Midwifery, City
University, London.
SOURCE
British journal of nursing (Mark Allen Publishing) (2007) 16:2 (106-108,
110). Date of Publication: 2007 Jan 25-Feb 7
ISSN
0966-0461
ABSTRACT
In this the third and final part, the focus is on the support and care of
patients who are working towards a solution for their drink problem. While a
number of treatment regimens exist for the management of alcohol abuse and
there are well established groups to assist patients and their families,
this article concentrates on three critical themes. The first concerns the
promotion of insight. Only when the drink problem is understood by patients,
carers and professionals alike, and shared in common terms, can
rehabilitation begin to work. The second concerns communication channels.
The propensity of some patients to deny their problem, or to lapse from
therapy, makes communication especially challenging. While some patients are
helped to overcome the risk of lapsing by being segregated from their usual
community for some time (the clinic approach), many less well-resourced
patients must tackle this problem from home and with the help of
community-based practitioners. Finally, the interplay of treatment
(detoxification) and psychological support is discussed, arguing that the
nurse has an important part to play in motivating patients and helping them
to solve problems as they arise.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, rehabilitation)
health promotion
lifestyle
nurse attitude
EMTREE MEDICAL INDEX TERMS
attitude to health
case management
human
interpersonal communication
methodology
motivation
nurse patient relationship
nursing assessment
organization and management
patient care
patient care planning
patient education
patient referral
problem solving
psychological aspect
review
self care
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17353821 (http://www.ncbi.nlm.nih.gov/pubmed/17353821)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 610
TITLE
Role development and career stages in addiction nursing: An exploratory
study
AUTHOR NAMES
Clancy C.
Oyefeso A.
Ghodse H.
AUTHOR ADDRESSES
(Clancy C., c.clancy@mdx.ac.uk) School of Health and Social Sciences,
Middlesex University, London, United Kingdom.
(Oyefeso A.) Department of Mental Health, St. George's, University of
London, London, United Kingdom.
(Ghodse H.) International Centre for Drug Policy, St. George's, University
of London, London, United Kingdom.
CORRESPONDENCE ADDRESS
C. Clancy, School of Health and Social Sciences, Middlesex University,
London, United Kingdom. Email: c.clancy@mdx.ac.uk
SOURCE
Journal of Advanced Nursing (2007) 57:2 (161-171). Date of Publication:
January 2007
ISSN
0309-2402
1365-2648 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Aim. This paper reports a study to explore factors influencing recruitment
and retention in addiction nursing, and the stages and features of role
acquisition and personal qualities important to that role. Background.
Specialist addiction nurses engage in a number of roles in the care of
individuals with problematic use of psychoactive substances. These include
assessment, outreach, prescribing, counselling, and harm reduction. In a
climate of increasing demand for specialist substance misuse workers, and a
trend to identify key occupational competencies, there is a need for a
framework in which career progression can be supported. Studies exploring
the roles of addiction nurses are minimal, and there is less comment on how
these roles are developed in the context of career stages. Method. A
qualitative study using focus groups was undertaken with specialist
addiction nurses between March and June 2004. The data were transcribed
verbatim and analysed using Burnard's six content analysis stages. Findings.
Positive factors identified as influencing recruitment and retention
included: prior knowledge of the working environment (as a nursing student),
opportunities for autonomous practice, the client profile, and associated
treatment philosophy and care approach. There was consensus that nurses
choosing to work in the field of addiction needed, in addition to being
non-judgmental, personal qualities including hardiness, patience and
tolerance. Five role development stages, with a set of descriptors, were
identified: encounter, engagement, stabilization, competency and mastery.
Conclusion. Identification of these five role development stages for
addiction nurses offers employers, nurse managers, educators and addiction
nurses a starting point from which specific occupational competencies can be
further explored. In addition, continuing professional development needs can
be mapped to specific role development stages. Employers and nurse managers
may wish to offer increased learning opportunities to student nurses to gain
work experience within specialist addiction units. © 2007 The Authors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nurse attitude
nursing staff
personnel management
EMTREE MEDICAL INDEX TERMS
adult
article
education
female
human
information processing
male
nursing
nursing education
organization and management
psychological aspect
standard
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17214752 (http://www.ncbi.nlm.nih.gov/pubmed/17214752)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1365-2648.2006.04088.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 611
TITLE
Tobacco training and educating primary care professionals in Bahrain
AUTHOR NAMES
Fadhil I.
Al Musawi M.
AUTHOR ADDRESSES
(Fadhil I.) Public Health Directorate, Ministry of Health, Arabian Gulf
University, Bahrain.
(Al Musawi M.) Diseases Control Section, Public Health Directorate, Ministry
of Health, Bahrain.
CORRESPONDENCE ADDRESS
I. Fadhil, Public Health Directorate, Ministry of Health, Arabian Gulf
University, Bahrain.
SOURCE
Journal of the Bahrain Medical Society (2007) 19:1 (23-27). Date of
Publication: January 2007
ISSN
1015-6321
BOOK PUBLISHER
Bahrain Medical Society, P.O. Box 26136, Manama, Bahrain.
ABSTRACT
Tobacco use has been well identified as the primary preventable cause of
premature deaths and disability, yet results from previous surveys shows
that educational curriculum of health professionals don't address this topic
adequately. Objectives: to assess primary care professionals knowledge,
perception and attitude related to selected tobacco use and effect items.
Method : responses to self administered questionnaire by primary care
professionals. Results: Hundred fifty primary care professionals
participated in the study, 24.7% of them are current smokers and 10%
ex-smokers. Inadequacy in tobacco education curriculum was noted . In
particular for nature of tobacco use addiction and management of tobacco
dependence . Only 12% of local graduate and 16% of overseas graduate
professionals had received formal training on smoking cessation
interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
health care personnel
professional knowledge
smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
controlled study
female
general practitioner
health education
human
human experiment
lifestyle
male
normal human
nurse
physician
physician attitude
questionnaire
smoking cessation
social worker
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Arabic
EMBASE ACCESSION NUMBER
2008238923
COPYRIGHT
Copyright 2008 Elsevier B.V., All rights reserved.
RECORD 612
TITLE
Implementation of computerized alcohol screening and advice in an emergency
department - a nursing staff perspective
AUTHOR NAMES
Bendtsen P.
Holmqvist M.
Johansson K.
AUTHOR ADDRESSES
(Bendtsen P., prebe@ihs.liu.se; Holmqvist M.; Johansson K.) Department of
Health and Society, Division of Social Medicine and Public Health Science,
Linköping University, S-581 83 Linköping, Sweden.
CORRESPONDENCE ADDRESS
P. Bendtsen, Department of Health and Society, Division of Social Medicine
and Public Health Science, Linköping University, S-581 83 Linköping, Sweden.
Email: prebe@ihs.liu.se
SOURCE
Accident and Emergency Nursing (2007) 15:1 (3-9). Date of Publication:
January 2007
ISSN
0965-2302
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
Changes in attitudes towards alcohol prevention among nursing staff are
evaluated after implementing an opportunistic computerized alcohol screening
and intervention (e-SBI) at an emergency department. After having assessed
the patients in the triage room the nurses asked patients to perform the
e-SBI on a touch screen computer. Before the start of the project more than
60% of the nurses expected the patients to react negatively when asked about
their alcohol habits. After one year of screening only 10% reported
experience of negative reactions from the patients. More than 50% of the
nurses found it easy or very easy to ask the patients to perform the e-SBI
and more than 75% of the nurses agreed that the e-SBI did not affect their
workload. The proportion of nurses who considered alcohol prevention to be
part of their duties at the emergency department did not change (40%) after
implementing the e-SBI. During the two-year study period, 1982 patients
completed the e-SBI which constituted 10-20% of all patients between 16 and
70 years of age attending the department for a sub critical condition. The
e-SBI seems to have better potential than ordinary alcohol screening and
intervention for implementation into routine emergency departments due to
its simplicity and low time consumption. © 2006 Elsevier Ltd. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, prevention)
computer assisted diagnosis
health personnel attitude
nursing staff
patient education
teaching
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
attitude to health
clinical competence
education
emergency health service
emergency nursing
female
human
male
mass screening
methodology
middle aged
nursing
nursing assessment
nursing evaluation research
nursing methodology research
organization and management
psychological aspect
questionnaire
self concept
standard
Sweden
university hospital
workload
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17113773 (http://www.ncbi.nlm.nih.gov/pubmed/17113773)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.aaen.2006.09.004
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 613
TITLE
College students' perspective on smoking cessation: "If the message doesn't
speak to me, I don't hear it"
AUTHOR NAMES
Staten R.R.
Ridner S.L.
AUTHOR ADDRESSES
(Staten R.R., rrstat00@pop.uky.edu) College of Nursing, University of
Kentucky, Lexington, KY, United States.
(Ridner S.L.) School of Nursing, University of Louisville, Louisville, KY,
United States.
(Staten R.R., rrstat00@pop.uky.edu) 525 HSLC-College of Nursing, University
of Kentucky, Lexington, KY 40536-0232, United States.
CORRESPONDENCE ADDRESS
R.R. Staten, 525 HSLC-College of Nursing, University of Kentucky, Lexington,
KY 40536-0232, United States. Email: rrstat00@pop.uky.edu
SOURCE
Issues in Mental Health Nursing (2007) 28:1 (101-115). Date of Publication:
1 Jan 2007
ISSN
0161-2840
1096-4673 (electronic)
BOOK PUBLISHER
Taylor and Francis Ltd.
ABSTRACT
The purpose of this study was to document the smoking cessation experiences
of three groups of 18-24-year-old college students and explore their ideas
for cessation. Focus group interviews were conducted with former smokers (n
= 7), smokers struggling to quit (n = 7), and smokers with no desire to quit
(n = 5). Participants indicated a need for smoking cessation programs that
would help the students understand the immediate physiological impact of
smoking, addictive nature of nicotine, and benefits of using nicotine
replacement therapy. They believed emotional and cognitive strategies for
coping with cravings and environmental cues to smoking should be included in
smoking cessation programs. Students indicated that cost and convenience
were important considerations for smoking cessation programs. They stated
that the media messages were for teens and older adults and did not relate
to them as college students or young adults. Copyright © Informa Healthcare.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
smoking cessation
student
university
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adolescent
adult
article
child behavior
child psychology
economics
female
health service
human
information processing
male
mass medium
methodology
motivation
nursing methodology research
patient education
peer group
psychological aspect
qualitative research
questionnaire
smoking (epidemiology, prevention)
United States (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17130010 (http://www.ncbi.nlm.nih.gov/pubmed/17130010)
FULL TEXT LINK
http://dx.doi.org/10.1080/01612840600997990
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 614
TITLE
Problem behaviors in adolescents.
AUTHOR NAMES
Bartlett R.
Holditch-Davis D.
Belyea M.
AUTHOR ADDRESSES
(Bartlett R.; Holditch-Davis D.; Belyea M.) School of Nursing, University of
North Carolina-Greensboro, Greensboro, NC, USA.
CORRESPONDENCE ADDRESS
R. Bartlett, School of Nursing, University of North Carolina-Greensboro,
Greensboro, NC, USA.
SOURCE
Pediatric nursing (2007) 33:1 (13-18). Date of Publication: 2007 Jan-Feb
ISSN
0097-9805
ABSTRACT
A fifth or more of a nationally representative sample of school-attending
adolescents report engaging in problem behaviors such as skipping school,
using alcohol, fighting, shoplifting, and stealing. A smaller but
significant number of adolescents report engaging in risky sexual behaviors.
All of these behaviors have potentially serious consequences for
adolescents, their family and friends, their school, and society. Nurses are
in a unique position to help identify these behaviors in adolescents,
educate school personnel about the behaviors, educate adolescents about the
risks they face when they engage in these behaviors, and assist parents to
access the resources they need to help children who may be engaging in these
problem behaviors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
antisocial personality disorder (diagnosis, epidemiology, prevention)
child behavior
nurse attitude
pediatric nursing
EMTREE MEDICAL INDEX TERMS
absenteeism
addiction (epidemiology, prevention)
adolescent
child psychology
education
high risk behavior
human
nursing assessment
organization and management
parent
patient education
psychological aspect
recumbency
review
risk factor
runaway behavior (prevention)
school health nursing
sexual behavior
statistics
United States (epidemiology)
violence (prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17410996 (http://www.ncbi.nlm.nih.gov/pubmed/17410996)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 615
TITLE
A targeted testing program for tuberculosis control and prevention among
Baltimore City's homeless population
AUTHOR NAMES
Lashley M.
AUTHOR ADDRESSES
(Lashley M., mlashley@towson.edu) Department of Nursing, Towson University,
Towson, MD, United States.
(Lashley M., mlashley@towson.edu) 2513 Tally-Ho Drive, Fallston, MD 21047,
United States.
CORRESPONDENCE ADDRESS
M. Lashley, 2513 Tally-Ho Drive, Fallston, MD 21047, United States. Email:
mlashley@towson.edu
SOURCE
Public Health Nursing (2007) 24:1 (34-39). Date of Publication:
January/February 2007
ISSN
0737-1209
1525-1446 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
Objective: To identify cases of latent tuberculosis infection (LTBI) and
improve access to TB treatment among the inner-city homeless. Design: This
is an intervention study describing the impact of a public health program on
TB prevention and control. Sample: The target population for the project was
residents and recent graduates of a residential addictions recovery program
in a faith-based, inner-city mission. Intervention: Faculty and student
nurses administered purified protein derivative (PPD) tuberculin skin tests
and TB symptom assessments on site to homeless Mission residents. Residents
testing positive for TB infection were referred to the local city health
department for follow-up. Residents placed on prophylactic therapy received
intensive tracking and coaching interventions to encourage adherence to the
9-month regimen. Results: Ninety-eight percent of the target population was
screened for LTBI. Ninety percent of residents requiring treatment for LTBI
successfully accessed treatment services. Thirty-three percent of residents
completed at least 6 months of treatment. Conclusion: The program
demonstrated a modest improvement in treatment completion among the
inner-city homeless when compared with local City Health Department
treatment completion rates. This program demonstrates how a faith-based
organization, an academic institution, and local government can successfully
partner together to meet community needs. © 2006, Blackwell Publishing, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
homelessness
mass screening
tuberculosis (prevention)
EMTREE MEDICAL INDEX TERMS
article
community health nursing
evaluation study
health care delivery
human
organization and management
program development
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17214651 (http://www.ncbi.nlm.nih.gov/pubmed/17214651)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1446.2006.00605.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 616
TITLE
Nursing Students' Knowledge and Attitudes Regarding Pain
AUTHOR NAMES
Plaisance L.
Logan C.
AUTHOR ADDRESSES
(Plaisance L., louisep9983@aol.com; Logan C.) Southeastern Louisiana
University School of Nursing, Hammond, LA, United States.
CORRESPONDENCE ADDRESS
L. Plaisance, Southeastern Louisiana University School of Nursing, Hammond,
LA, United States. Email: louisep9983@aol.com
SOURCE
Pain Management Nursing (2006) 7:4 (167-175). Date of Publication: December
2006
ISSN
1524-9042
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
The presence of pain is one of the main reasons why people seek health care,
yet pain is often undertreated. Inadequate treatment has been linked to
health care workers' failure to assess pain and to intervene appropriately.
It may also result from the limited attention given to pain management in
nursing curricula. This descriptive study explored nursing students'
knowledge and attitudes about pain management. The Nurses' Knowledge and
Attitude Survey Regarding Pain was used to collect data from clinical
nursing students. The sample (n = 313) was obtained from approximately one
fourth of the baccalaureate of science in nursing and associate degree in
nursing programs in Louisiana. Data analysis revealed misconceptions about
analgesic administration and duration, along with an exaggerated fear about
the incidence of addiction among patients. Knowledge of pharmacology items
was lower than that of nonpharmacology items. When faced with a clinical
scenario that required an initial assessment of a patient's pain, most
students responded appropriately. However, when the situation required
reassessment based on the patient's response to the student's chosen
intervention, a majority of them responded incorrectly. Overall, students in
the baccalaureate degree programs scored significantly higher (65% correct)
than students in the associate degree in nursing programs (60.8% correct) (t
[311] = -3.321, p = .001). However, the combined mean score for both groups
was 64%, indicating inadequate knowledge of pain management. Despite major
initiatives by accrediting agencies, statewide Pain Initiatives, and
professional organizations, knowledge of pain management is still
inadequate. Nursing faculty need to critically review their curricula to
determine whether students are being taught in-depth and up-to-date pain
management information that incorporates evidence-based research and current
standards of care. © 2004 American Society for Pain Management Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health personnel attitude
nursing education
nursing student
pain (diagnosis, therapy)
EMTREE MEDICAL INDEX TERMS
accreditation
adult
article
clinical competence
comparative study
cross-sectional study
curriculum
education
evidence based medicine
female
health service
human
male
nursing methodology research
practice guideline
psychological aspect
questionnaire
standard
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17145491 (http://www.ncbi.nlm.nih.gov/pubmed/17145491)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2006.09.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 617
TITLE
School health nurses and substance use among adolescents - Towards
individual identification and early intervention
AUTHOR NAMES
Pirskanen M.
Pietilä A.-M.
Halonen P.
Laukkanen E.
AUTHOR ADDRESSES
(Pirskanen M., marjatta.pirskanen@uku.fi; Pietilä A.-M.) Department of
Nursing Science, University of Kuopio, Kuopio, Finland.
(Halonen P.) Computing Centre, Kuopio IT Centre, University of Kuopio,
Kuopio, Finland.
(Laukkanen E.) Department of Adolescent Psychiatry, Kuopio University
Hospital, Kuopio, Finland.
(Pirskanen M., marjatta.pirskanen@uku.fi) Samoilijantie 20, E Kuopio 70200,
Finland.
CORRESPONDENCE ADDRESS
M. Pirskanen, Samoilijantie 20, E Kuopio 70200, Finland. Email:
marjatta.pirskanen@uku.fi
SOURCE
Scandinavian Journal of Caring Sciences (2006) 20:4 (439-447). Date of
Publication: December 2006
ISSN
0283-9318
1471-6712 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Adolescents' health is today threatened by the use of alcohol and other
psychoactive substances. It is therefore important to develop interventions
related to substance use in school health care. The aim of this study was to
examine the empowering or risk background factors related to substance use
among adolescents, and the ability of school nurses (PHN) to identify these
factors and to provide needed individual early intervention. The data were
collected by semistructured questionnaires completed by 14- to 18-year-old
adolescents (n = 326, response rate 79) and PHNs (n = 10) in 2004. The
adolescent questionnaire consisted of items related to the respondents'
background and Adolescents' Substance Use Measurement (ADSUME). Following
individual consent, adolescents' ADSUME responses were sent to the PHNs for
intervention. The PHNs assessed the adolescents' empowering background
factors and intervention using the questionnaire, and 70% (n = 228) of their
answers matched the adolescents' answers. The data were analysed with the
SPSS software using the chi-squared test, Fisher's exact test, kappa
coefficient and agreement percentages. Substance use among adolescents was
associated with parental support, mother's education and smoking, the
adolescents' knowledge about substances, peer support and hobbies. The PHNs'
assessments regarding supportive background were not in agreement with the
assessments of adolescents who were using hazardous substances. One-fifth of
the adolescents received the brief intervention, although many of them might
have needed extra support and follow-up on the basis of their ADSUME
results. The research findings can be generalized only for alcohol use,
because only 3% of the study informants used substances other than alcohol.
Further research is warranted concerning PHNs' ability to identify hazardous
substance use and to ensure preventive early intervention and requisite
support among substance-using adolescents in order to improve evidence-based
health promotion. © 2006 Nordic College of Caring Science.
EMTREE DRUG INDEX TERMS
alcohol
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
school health nursing
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
Adolescents Substance Use Measurement
adult
alcohol consumption
article
dangerous goods
education
evidence based medicine
follow up
health promotion
human
informed consent
leisure
major clinical study
parent
peer group
questionnaire
risk factor
smoking
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006576988
MEDLINE PMID
17116153 (http://www.ncbi.nlm.nih.gov/pubmed/17116153)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1471-6712.2006.00425.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 618
TITLE
Using qualitative methods for course evaluation: a case study from Botswana.
AUTHOR NAMES
Brown M.S.
Sebego M.
Seboni N.
Ntsayagae E.
Mogobe K.D.
Sabone M.
AUTHOR ADDRESSES
(Brown M.S.; Sebego M.; Seboni N.; Ntsayagae E.; Mogobe K.D.; Sabone M.)
Intercollegiate School of Nursing, Washington State University, Vancouver,
Washington, USA.
CORRESPONDENCE ADDRESS
M.S. Brown, Intercollegiate School of Nursing, Washington State University,
Vancouver, Washington, USA. Email: brownm10@comcast.net
SOURCE
Nurse educator (2006) 31:6 (275-280). Date of Publication: 2006 Nov-Dec
ISSN
0363-3624
ABSTRACT
This article is a report of a qualitative evaluation of a course on human
immunodeficiency virus/acquired immunodeficiency syndrome carried out
jointly by faculty from Botswana and the United States at a university in
Botswana. It demonstrates the importance of both international nurse
educator expertise in impacting a major pandemic and the use of qualitative
methods for course evaluation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care quality
nursing education
nursing methodology research
qualitative research
EMTREE MEDICAL INDEX TERMS
alcoholism
article
attitude to health
Botswana (epidemiology)
clinical competence
condom
curriculum
ethnology
health
health personnel attitude
human
Human immunodeficiency virus infection
information processing
international cooperation
methodology
nursing
nursing student
organization and management
psychological aspect
safe sex
statistical analysis
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17108794 (http://www.ncbi.nlm.nih.gov/pubmed/17108794)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 619
TITLE
An introductory clinical core course in psychiatric management: An
innovative lifespan course blending all nurse practitioner majors
AUTHOR NAMES
Weber M.T.
Snow D.
AUTHOR ADDRESSES
(Weber M.T., mweber@uta.edu; Snow D.) Psychiatric Mental Health Nurse
Practitioner Program, .
(Weber M.T., mweber@uta.edu; Snow D.) Center for Psychopharmacology
Education and Research, University of Texas at Arlington, School of Nursing,
.
CORRESPONDENCE ADDRESS
M.T. Weber, Psychiatric Mental Health Nurse Practitioner Program, . Email:
mweber@uta.edu
SOURCE
Perspectives in Psychiatric Care (2006) 42:4 (245-251). Date of Publication:
November 2006
ISSN
0031-5990
1744-6163 (electronic)
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
TOPIC. The prevalence of anxiety, depression, substance abuse, and suicidal
ideation is significant in primary care settings across the country.
Nonpsychiatric nurse practitioners must be able to recognize symptoms of
common psychiatric disorders, know how to treat less complex mental
illnesses, and know when to refer to psychiatric mental health nurse
practitioners (PMHNPs). PURPOSE. This article describes the course content,
assignments, and teaching strategies used in a clinical core course in the
nurse practitioner (NP) curriculum that is required for all NP majors at the
University of Texas at Arlington. Psychiatric Management for Advanced
Practice provides the foundation for later PMHNP major specific clinical
courses. SOURCES. Development of the course content was based on NONPF
Domains and Competencies for the NP, input from graduate NP faculty using a
modified Delphi approach, NP student feedback, review of curriculum from
other schools, and review of the literature on depression, suicide, anxiety,
and substance abuse disorders in primary care settings. CONCLUSIONS. Since
1999, students from the eight different NP programs at the University of
Texas at Arlington have been required to take this course. Student, faculty,
and graduate feedback about this course have been consistently positive.
Many NP students comment on feeling much more comfortable assessing for
depression, suicide, and substance use. © Blackwell Publishing 2006.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
nurse practitioner
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
curriculum
Delphi study
education
health personnel attitude
health service
human
mass screening
mental disease
nurse attitude
nursing
nursing assessment
nursing process
organization and management
patient referral
program development
psychological aspect
review
role playing
teaching
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17107569 (http://www.ncbi.nlm.nih.gov/pubmed/17107569)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1744-6163.2006.00089.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 620
TITLE
Use of a breathalyzer in a local bar: A community education project
AUTHOR NAMES
Kerber C.S.
Schlenker E.
AUTHOR ADDRESSES
(Kerber C.S., ckerber@iwu.edu) Illinois Wesleyan University, Bloomington, IL
61701, United States.
(Schlenker E.) Department of Nursing, Mennonite College of Nursing, Illinois
State University, Normal, IL, United States.
CORRESPONDENCE ADDRESS
C.S. Kerber, Illinois Wesleyan University, Bloomington, IL 61701, United
States. Email: ckerber@iwu.edu
SOURCE
Journal of Nursing Education (2006) 45:11 (455-457). Date of Publication:
November 2006
ISSN
0148-4834
BOOK PUBLISHER
Slack Incorporated
ABSTRACT
In completing a faculty-assigned service-learning project, a group of
nursing students sought to educate their peers and the public about the
effects of alcohol consumption. Breathalyzer readings were obtained from 150
bar patrons and correlated with the number of drinks consumed and number of
hours spent drinking. The results were used to educate bar patrons about the
difference between how intoxicated they felt and their actual blood alcohol
levels. The students also distributed information about substance abuse
assistance and safe transportation home. This screening technique served as
an application of secondary prevention principles for the nursing students.
The project was considered innovative in that no similar study was found in
the literature. Selected Healthy People 2010 goals were also addressed in
this project.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
central depressant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol intoxication (diagnosis, prevention)
breath analysis
community health nursing
drinking behavior (prevention)
nurse attitude
EMTREE MEDICAL INDEX TERMS
article
attitude to health
blood
education
female
health education
human
male
methodology
nursing
nursing methodology research
organization and management
psychological aspect
public relations
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
17120863 (http://www.ncbi.nlm.nih.gov/pubmed/17120863)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 621
TITLE
Assessment of alcohol and other drug use behaviors in health professions
students
AUTHOR NAMES
Baldwin J.N.
Scott D.M.
Agrawal S.
Bartek J.K.
Davis-Hall R.E.
Reardon T.P.
DeSimone II E.M.
AUTHOR ADDRESSES
(Baldwin J.N., jbaldwin@unmc.edu) College of Pharmacy, University of
Nebraska Medical Center, Omaha, NE, United States.
(Scott D.M.) College of Pharmacy, North Dakota State University, Fargo, ND,
United States.
(Agrawal S.; Bartek J.K.) College of Nursing, University of Nebraska Medical
Center, Omaha, NE, United States.
(Davis-Hall R.E.) School of Medicine, Department of Pediatrics, University
of Colorado Health Sciences Center, Aurora, CO, United States.
(Reardon T.P.) ITS Academic Computing, University of Nebraska Medical
Center, Omaha, NE, United States.
(DeSimone II E.M.) School of Pharmacy and Health Professions, Creighton
University, Omaha, NE, United States.
(Baldwin J.N., jbaldwin@unmc.edu) 982135 Nebraska Medical Center, Omaha, NE
68198-2135, United States.
CORRESPONDENCE ADDRESS
J.N. Baldwin, 982135 Nebraska Medical Center, Omaha, NE 68198-2135, United
States. Email: jbaldwin@unmc.edu
SOURCE
Substance Abuse (2006) 27:3 (27-37). Date of Publication: 23 Oct 2006
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Alcohol and other drug (AOD) use behaviors of health professions students
(HPS) were assessed by surveying both university-based HPS and other nursing
programs in a Midwestern state in 1999. Response was 2,646 (56.4%) of
surveyed students. Family history of alcohol-related and drug-related
problems were reported by 39.8% and 13.9%, respectively, with 42.6% of
respondents reporting one or both. Among nursing respondents, 48.1%, 19.2%
and 51.1%, respectively, reported family problems with alcohol, drugs, or
one or both. Past-year alcohol use was comparable to undergraduate college
students (UCS) nationally (83%); heavy drinking, tobacco and recreational
drug use by HPS were lower. Past year drug use was highest among medical
students. Marijuana was the predominant illicit drug; medical students and
males most often reported use. Health professions educational systems should
proactively address student AOD prevention, education and assistance needs.
© 2006 by The Haworth Press, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
cannabis
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
college student
drug use
EMTREE MEDICAL INDEX TERMS
article
drinking behavior
family history
family relation
health care personnel
high risk behavior
human
medical student
nursing student
self report
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006577138
MEDLINE PMID
17135178 (http://www.ncbi.nlm.nih.gov/pubmed/17135178)
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v27n03_05
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 622
TITLE
Advocating for a harm-minimization approach to drug education in Australian
schools.
AUTHOR NAMES
Guzys D.
Kendall S.
AUTHOR ADDRESSES
(Guzys D.; Kendall S.) School of Nursing and Midwifery, La Trobe University,
Bendigo, Victoria, Australia.
CORRESPONDENCE ADDRESS
D. Guzys, School of Nursing and Midwifery, La Trobe University, Bendigo,
Victoria, Australia.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2006) 22:5 (259-263). Date of Publication: Oct
2006
ISSN
1059-8405
ABSTRACT
The concept of using a harm-minimization approach to drug education in
Australian schools has existed in both national and state government policy
documents for over two decades. However, this approach appears to be
ineffectively and inconsistently incorporated within the curriculum. Harm
minimization emphasizes strategies that reduce the harms associated with
drug use and prevent related health and social problems. Traditional drug
education programs that promote abstinence as the only option may not be
realistic and appear to have had limited success. School nurses in the state
of Victoria have a significant role in improving both the understanding and
adoption of this approach through advocacy, education, and their
understanding of evidence-based practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
harm reduction
health education
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
adolescent
attitude to health
Australia
child behavior
child psychology
curriculum
educational model
evidence based medicine
health care policy
health promotion
health service
human
nurse attitude
organization
organization and management
patient advocacy
philosophy
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17172197 (http://www.ncbi.nlm.nih.gov/pubmed/17172197)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 623
TITLE
Prevalence of drug-related problems and cost-savings opportunities in
Medicaid high utilizers identified by a pharmacist-run drug regimen review
center
AUTHOR NAMES
LaFleur J.
McBeth C.
Gunning K.
Oderda L.
Steinvoort C.
Oderda G.M.
AUTHOR ADDRESSES
(LaFleur J., joanne.lafleur@pharm.utah.edu; McBeth C.; Gunning K.; Oderda
L.; Steinvoort C.; Oderda G.M.) Drug Regimen Review Center, Department of
Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT,
United States.
(LaFleur J., joanne.lafleur@pharm.utah.edu) 421 Wakara Way, #208, Salt Lake
City, UT 84108, United States.
CORRESPONDENCE ADDRESS
J. LaFleur, 421 Wakara Way, #208, Salt Lake City, UT 84108, United States.
Email: joanne.lafleur@pharm.utah.edu
SOURCE
Journal of Managed Care Pharmacy (2006) 12:8 (677-685). Date of Publication:
October 2006
ISSN
1083-4087
BOOK PUBLISHER
Academy of Managed Care Pharmacy (AMCP), 100 North Pitt St., Suite 400,
Alexandria, United States.
ABSTRACT
BACKGROUND: Despite numerous reports of state Medicaid drug utilization
review (DUR) programs, little data are available about the prevalence of
drug-related problems (DRPs) in Medicaid patients. A university-based,
pharmacist-run DUR program for high utilizers was created as an alternative
to imposition of a statutory limit of 7 medications per month in the Utah
Medicaid program in 2002. The DUR program was designed to suggest ways that
high-utilizing patients could decrease their total number of medications to
7 or fewer prior to imposition of the 7-medication limit at some time in the
future. OBJECTIVE: To describe the experience in 1 Medicaid DUR program and
to report the prevalence of DRPs and cost-saving opportunities (CSOs) among
a population of Medicaid recipients who were high utilizers of prescription
drugs. METHODS: DRPs were identified by 5 clinical pharmacists employed by
the Drug Regimen Review Center (DRRC) in Salt Lake City. The purpose of the
center was to provide drug therapy review services for a select number of
Utah Medicaid recipients (200-300 per month) who exceeded a 7-medication
limit during the calendar years 2003 and 2004. RESULTS: Out of 391,890
eligible Medicaid recipients, 242,411 (62%) received at least 1 medication,
and 16,958 (4.3%) exceeded the 7-medication limit during the review period.
Of those exceeding the limit, the DRRC reviewed a total of 3,706 (21.9%)
patients, representing the highest utilizers by volume of medication. The
prevalence of DRPs considered clinically important in the review cohort was
79.7% of patients, including therapeutic duplications in 54.6% of patients,
dose form optimization in 29.7%, and inappropriate uncoordinated care in
25.3%. The average pharmacy cost per month for patients with at least 1 DRP
was $1,081; by contrast, the average pharmacy cost per month for all other
patients receiving at least 1 prescription was $91. CONCLUSIONS:
Approximately 4% of Medicaid recipients exceeded the 7-medication monthly
limit. Among the 22% highest utilizers in this group, 48% of nursing home
residents and 87% of ambulatory recipients had at least 1 DRP, or an overall
rate of 80% of high-use Medicaid recipients or as much as 3.2% of the
Medicaid population. Copyright© 2006, Academy of Managed Care Pharmacy. All
rights reserved.
EMTREE DRUG INDEX TERMS
aciclovir (drug therapy)
adrenalin
amfebutamone
amitriptyline (adverse drug reaction)
atorvastatin
beta adrenergic receptor blocking agent
carisoprodol (drug therapy)
ciprofloxacin (drug interaction, pharmacology)
citalopram
diphenhydramine (adverse drug reaction)
erythromycin (adverse drug reaction)
hydrochlorothiazide (adverse drug reaction, drug therapy)
hydrocodone (drug combination)
hyoscyamine (adverse drug reaction)
ipratropium bromide plus salbutamol
paracetamol (drug combination)
paroxetine
promethazine (adverse drug reaction)
propranolol
quetiapine (drug therapy)
rosuvastatin
salbutamol
serotonin uptake inhibitor
sertraline
sumatriptan (adverse drug reaction)
theophylline (drug interaction, pharmacology)
thioridazine (adverse drug reaction)
unindexed drug
venlafaxine (adverse drug reaction, drug dose)
ziprasidone (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease (epidemiology)
drug use
EMTREE MEDICAL INDEX TERMS
adult
aged
article
blurred vision (side effect)
confusion (side effect)
controlled study
cost control
drug inhibition
drug potentiation
female
genital herpes (drug therapy)
health care cost
health care policy
health care utilization
health program
health service
heart arrest (side effect)
heart infarction (side effect)
human
hypertension (drug therapy, side effect)
major clinical study
male
medicaid
mucosal dryness (side effect)
musculoskeletal disease (drug therapy)
pharmacist
prescription
QT prolongation (side effect)
recommended drug dose
schizophrenia (drug therapy)
sedation
side effect (side effect)
torsade des pointes (side effect)
treatment duration
United States
unspecified side effect (side effect)
urine retention (side effect)
DRUG TRADE NAMES
combivent
CAS REGISTRY NUMBERS
aciclovir (59277-89-3)
adrenalin (51-43-4, 55-31-2, 6912-68-1)
amfebutamone (31677-93-7, 34911-55-2)
amitriptyline (50-48-6, 549-18-8)
atorvastatin (134523-00-5, 134523-03-8)
carisoprodol (78-44-4)
ciprofloxacin (85721-33-1)
citalopram (59729-33-8)
diphenhydramine (147-24-0, 58-73-1)
erythromycin (114-07-8, 70536-18-4)
hydrochlorothiazide (58-93-5)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hyoscyamine (101-31-5, 306-03-6)
paracetamol (103-90-2)
paroxetine (61869-08-7)
promethazine (58-33-3, 60-87-7)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
quetiapine (111974-72-2)
rosuvastatin (147098-18-8, 147098-20-2)
salbutamol (18559-94-9)
sertraline (79617-96-2)
sumatriptan (103628-46-2)
theophylline (58-55-9, 5967-84-0, 8055-07-0, 8061-56-1, 99007-19-9)
thioridazine (130-61-0, 50-52-2)
venlafaxine (93413-69-5)
ziprasidone (118289-78-4, 122883-93-6, 138982-67-9, 199191-69-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007448441
MEDLINE PMID
17269846 (http://www.ncbi.nlm.nih.gov/pubmed/17269846)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 624
TITLE
Sensation Seeking, Self-Esteem, and Unprotected Sex in College Students
AUTHOR NAMES
Gullette D.L.
Lyons M.A.
AUTHOR ADDRESSES
(Gullette D.L.; Lyons M.A.)
SOURCE
Journal of the Association of Nurses in AIDS Care (2006) 17:5 (23-31). Date
of Publication: September/October 2006
ISSN
1055-3290
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
This descriptive correlational study examined the relationships of sexual
sensation seeking, self-esteem, and self-efficacy in condom use, stages of
change, and alcohol consumption to HIV risk-taking behaviors among college
students. A total of 159 students completed an online survey in 2004.
Instruments included the Sexual Sensation Seeking Scale, College Alcohol
Problems Scale, Condom Use Scale, and Rosenberg Self-Esteem Scale. High
sensation seekers had higher self-esteem, more self-efficacy in condom
usage, fewer problems associated with alcohol consumption, and belonged to
Greek organizations (F [1,158] = 12.54; p < .0005). Women who were high
sensation seekers perceived more advantages (F [1, 116] = 1.67; p = .05)
than disadvantages (F [1, 116] = 2.01; p = .01) to using condoms. Men
consumed significantly more alcohol and had more social problems related to
alcohol use than women (F [1, 158] = 5.04; p < .03). Students in Greek
organizations had significantly more positive attitudes (X(2) [1] = 4.55; p
< .03) and more respect for themselves (X(2) [1] = 11.22; p < .0008) than
other students and were more likely to be tested for HIV (X(2) [1] = 3.85; p
< .05). Students with low self-esteem consumed more alcohol, had more sexual
partners, and had more HIV risk-taking behaviors than other students. Even
though students were reported to be efficacious in condom usage, they used
them inconsistently with their sexual partners and were in the earlier
stages of change. Interventions are needed in the community to help sexually
active individuals take responsibility for their sexual health and to
increase the awareness of the need to be tested for HIV. © 2006 Association
of Nurses in AIDS Care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
high risk behavior
self concept
student
university
unsafe sex (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
attitude to health
condom
drinking behavior (adverse drug reaction)
exploratory behavior
female
health service
human
male
motivation
nursing methodology research
psychological aspect
questionnaire
sex difference
sexually transmitted disease (prevention)
social behavior
socioeconomics
United States
utilization review
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16979512 (http://www.ncbi.nlm.nih.gov/pubmed/16979512)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jana.2006.07.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 625
TITLE
Epidemiology of medication-related adverse events in nursing homes
AUTHOR NAMES
Handler S.M.
Wright R.M.
Ruby C.M.
Hanlon J.T.
AUTHOR ADDRESSES
(Handler S.M., handlersm@upmc.edu; Wright R.M.; Hanlon J.T.) Division of
Geriatric Medicine, Department of Medicine, School of Medicine, Pittsburgh,
PA, United States.
(Handler S.M., handlersm@upmc.edu) Department of Biomedical Informatics,
School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
(Ruby C.M.; Hanlon J.T.) Department of Pharmacy and Therapeutics, School of
Pharmacy, University of Pittsburgh, Pittsburgh, PA, United States.
(Hanlon J.T.) Center for Health Equity Research, Geriatric Research
Education and Clinical Center, Veterans Affairs Pittsburgh Healthcare
System, Pittsburgh, PA, United States.
CORRESPONDENCE ADDRESS
S.M. Handler, Division of Geriatric Medicine, Department of Medicine, School
of Medicine, Pittsburgh, PA, United States. Email: handlersm@upmc.edu
SOURCE
American Journal Geriatric Pharmacotherapy (2006) 4:3 (264-272). Date of
Publication: September 2006
ISSN
1543-5946
BOOK PUBLISHER
Excerpta Medica Inc., 105 Raider Blvd, Suite 101, Hillsborough, United
States.
ABSTRACT
Background: Nursing home residents are prescribed more medications than
patients in any other clinical setting. Although pharmacotherapy for older
nursing home residents is usually safe and effective, it can lead to
medication-related adverse events such as adverse drug reactions (ADRs),
adverse drug withdrawal events (ADWEs), and therapeutic failures (TFs).
Objective: This article reviews the descriptive (incidence) and analytic
(risk factor) epidemiology of medication-related adverse events occurring in
nursing home residents as reported in the literature during the last 2
decades. Methods: A search of MEDLINE and International Pharmaceutical
Abstracts was conducted for articles published in English between January
1986 and July 2006 using the following terms: adverse drug events, adverse
drug reactions, adverse drug withdrawal events, aged, drug therapy,
drug-related problems, medication-related problems, nursing homes,
therapeutic failures, and treatment failures. The reference lists of
identified articles, recent review articles, book chapters, and the authors'
reference library were also searched manually. Results: Seven studies met
the inclusion and exclusion criteria and were included in this review. Five
studies described ADRs, 1 described ADWEs, and 1 described TFs. The studies
of ADRs used different methods of detecting ADRs, resulting in incidence
rates ranging from 1.19 to 7.26 per 100 resident-months. The single study of
ADWEs reported an incidence of 2.60 per 100 resident-months. An incidence
rate for the single study describing TFs could not be calculated.
Conclusions: Medication-related adverse events are common in the nursing
home setting. Additional studies are needed to enhance the detection and
prevention of medication-related adverse events and to reduce their impact
on residents' outcomes and health care costs. © 2006 Excerpta Medica, Inc.
EMTREE DRUG INDEX TERMS
antibiotic agent (adverse drug reaction)
anticoagulant agent (adverse drug reaction)
anticonvulsive agent (adverse drug reaction, drug therapy)
antidepressant agent (adverse drug reaction)
antiinfective agent (adverse drug reaction)
anxiolytic agent (adverse drug reaction)
digoxin (adverse drug reaction)
diuretic agent (adverse drug reaction)
hypnotic agent (adverse drug reaction)
metronidazole (drug therapy)
neuroleptic agent (adverse drug reaction)
potassium (adverse drug reaction)
psychotropic agent (adverse drug reaction)
sedative agent (adverse drug reaction)
vitamin (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease (epidemiology, side effect)
nursing home
EMTREE MEDICAL INDEX TERMS
cardiovascular disease (epidemiology, side effect)
central nervous system disease (epidemiology, side effect)
diarrhea (drug therapy)
drug hypersensitivity (epidemiology, side effect)
drug treatment failure
drug withdrawal
electrolyte disturbance (epidemiology, side effect)
gastrointestinal disease (epidemiology, side effect)
human
hypotension (epidemiology, side effect)
incidence
medication error
Medline
prescription
priority journal
recurrent disease
review
risk factor
sedation
seizure (drug therapy)
side effect (epidemiology, side effect)
CAS REGISTRY NUMBERS
digoxin (20830-75-5, 57285-89-9)
metronidazole (39322-38-8, 443-48-1)
potassium (7440-09-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006508319
MEDLINE PMID
17062328 (http://www.ncbi.nlm.nih.gov/pubmed/17062328)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.amjopharm.2006.09.011
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 626
TITLE
An ethnographic study of tobacco control in hospital settings
AUTHOR NAMES
Schultz A.S.H.
Bottorff J.L.
Johnson J.L.
AUTHOR ADDRESSES
(Schultz A.S.H., Annette_Schultz@UManitoba.ca) Helen Glass Centre for
Nursing, University of Manitoba, 89 Curry Place, Winnipeg, Man. R3T 2N2,
Canada.
(Schultz A.S.H., Annette_Schultz@UManitoba.ca) Faculty of Nursing,
University of Manitoba, Winnipeg, Man., Canada.
(Bottorff J.L.) University of British Colombia Okanogan, Kelowna, BC,
Canada.
(Johnson J.L.) University of British Columbia, Vancouver, BC, Canada.
CORRESPONDENCE ADDRESS
A.S.H. Schultz, Helen Glass Centre for Nursing, University of Manitoba, 89
Curry Place, Winnipeg, Man. R3T 2N2, Canada. Email:
Annette_Schultz@UManitoba.ca
SOURCE
Tobacco Control (2006) 15:4 (317-322). Date of Publication: August 2006
ISSN
0964-4563
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
Background: Tobacco control in hospital settings is characterised by a focus
on protection strategies and an increasing expectation that health
practitioners provide cessation support to patients. While practitioners
claim to have positive attitudes toward supporting patient cessation
efforts, missed opportunities are the practice norm. Objective: To study
hospital workplace culture relevant to tobacco use and control as part of a
mixed-methods research project that investigated hospital-based registered
nurses' integration of cessation interventions. Design: The study was
conducted at two hospitals situated in British Columbia, Canada. Data
collection included 135 hours of field work including observations of ward
activities and designated smoking areas, 85 unstructured conversations with
nurses, and the collection of patient-care documents on 16 adult inpatient
wards. Results: The findings demonstrate that protection strategies (for
example, smoking restrictions) were relatively well integrated into
organisational culture and practice activities but the same was not true for
cessation strategies. An analysis of resources and documentation relevant to
tobacco revealed an absence of support for addressing tobacco use and
cessation. Nurses framed patients' tobacco use as a relational issue, a risk
to patient safety, and a burden. Furthermore, conversations revealed that
nurses tended to possess only a vague awareness of nicotine dependence.
Conclusion: Overcoming challenges to extending tobacco control within
hospitals could be enhanced by emphasising the value of addressing patients'
tobacco use, raising awareness of nicotine dependence, and improving the
availability of resources to address addiction issues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
hospital
nurse attitude
smoking (epidemiology, prevention)
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
Canada
clinical trial
health personnel attitude
human
methodology
multicenter study
nursing
organization and management
questionnaire
smoking cessation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16885581 (http://www.ncbi.nlm.nih.gov/pubmed/16885581)
FULL TEXT LINK
http://dx.doi.org/10.1136/tc.2005.015388
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 627
TITLE
Determination of smoking habits and personality traits among nursing
students
AUTHOR NAMES
Durmaz A.
Üstün B.
AUTHOR ADDRESSES
(Durmaz A., aylin_durmaz@yahoo.com; Üstün B.) Psychiatric and Mental Health
Nursing Department, Dokuz Eylül University, School of Nursing, Izmir,
Turkey.
(Durmaz A., aylin_durmaz@yahoo.com) Dokuz Eylül University, School of
Nursing, Izmir, Turkey.
CORRESPONDENCE ADDRESS
A. Durmaz, Dokuz Eylül University, School of Nursing, Izmir, Turkey. Email:
aylin_durmaz@yahoo.com
SOURCE
Journal of Nursing Education (2006) 45:8 (328-333). Date of Publication:
August 2006
ISSN
0148-4834
BOOK PUBLISHER
Slack Incorporated
ABSTRACT
The purpose of this research was to determine the smoking habits of students
who receive nursing education in universities and their personality traits.
We found that 29.2% of the students were habitual smokers, and the average
score on the Fagerström Nicotine Dependence Test was 3.4 ± 2.3. A
significant difference in statistical terms was marked between the
participants' smoking habits and the self-control factor. Because we found
that the level of smoking among individuals with high self-control is rather
low, providing information to students on quitting smoking and periodically
assessing smoking status are recommended. In addition, individual
improvement programs focused on the development of self-control can be added
to nursing curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
nursing student
personality
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
attitude to health
control
curriculum
female
habit
health behavior
health service
hospitalization
human
male
mental stress (prevention)
nursing education
nursing methodology research
peer group
personality test
prevalence
psychological aspect
psychological model
questionnaire
sex difference
sex ratio
statistics
Turkey (republic) (epidemiology)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16915993 (http://www.ncbi.nlm.nih.gov/pubmed/16915993)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 628
TITLE
Student Nurses' Knowledge, Attitudes, and Self-Efficacy of Children's Pain
Management: Evaluation of an Education Program in Taiwan
AUTHOR NAMES
Chiang L.-C.
Chen H.-J.
Huang L.
AUTHOR ADDRESSES
(Chiang L.-C.; Chen H.-J.; Huang L., lichi@mail.cmu.edu.tw) School of
Nursing (L.-C.C., L.H.), China Medical University, School of Nursing
(H.-J.C.), Taiwan.
CORRESPONDENCE ADDRESS
L. Huang, School of Nursing (L.-C.C., L.H.), China Medical University,
School of Nursing (H.-J.C.), Taiwan. Email: lichi@mail.cmu.edu.tw
SOURCE
Journal of Pain and Symptom Management (2006) 32:1 (82-89). Date of
Publication: July 2006
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The purpose of this study was to examine the effectiveness of a pediatric
pain education program (PPEP) for student nurses. The sample consisted of
181 licensed student nurses who were enrolled in a nursing school in Taiwan.
Student nurses attended a 4-hour PPEP that involved case scenario
discussion, video, and lecture. Data were collected by an extensive
questionnaire that assessed student nurses' knowledge of, attitudes toward,
and self-efficacy in pediatric pain assessment and pharmacological and
nonpharmacological pain management. The results demonstrated that student
nurses gained significant knowledge of pediatric pain, expressed more
appropriate attitudes, and reported greater self-efficacy in children's pain
management after attending PPEP. Their knowledge of analgesic
pharmacotherapy did not significantly improve. These results suggest that
PPEP should be integrated into pediatric nursing curricula to enhance
knowledge and skills regarding children's pain management during the early
stage of a nursing career. © 2006 U.S. Cancer Pain Relief Committee.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (oral drug administration, pharmacology)
amitriptyline
analgesic agent (adverse drug reaction, drug combination, drug dose,
intravenous drug administration, oral drug administration, pharmacology)
codeine (oral drug administration, pharmacology)
hydromorphone
ibuprofen
morphine (drug dose, intravenous drug administration, oral drug
administration, pharmacology)
nonsteroid antiinflammatory agent (drug combination)
opiate (adverse drug reaction, drug combination, drug dose, intravenous drug
administration, oral drug administration, pharmacology)
promethazine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
childhood disease
nursing education
nursing knowledge
pain
self concept
student attitude
EMTREE MEDICAL INDEX TERMS
adult
article
career
curriculum
drug efficacy
drug hypersensitivity (side effect)
drug megadose
evaluation study
human
licence
nursing student
opiate addiction (side effect)
pain assessment
questionnaire
respiration depression (side effect)
Taiwan
videorecording
DRUG TRADE NAMES
aspirin
phenergan
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
amitriptyline (50-48-6, 549-18-8)
codeine (76-57-3)
hydromorphone (466-99-9, 71-68-1)
ibuprofen (15687-27-1)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
promethazine (58-33-3, 60-87-7)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006311971
MEDLINE PMID
16824988 (http://www.ncbi.nlm.nih.gov/pubmed/16824988)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2006.01.011
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 629
TITLE
Impact of educational outreach visits on smoking cessation activities
performed by specialist physicians: A randomized trial
AUTHOR NAMES
Etter J.-F.
AUTHOR ADDRESSES
(Etter J.-F.) Institute of Social and Preventive Medicine, University of
Geneva, 1 rue Michel-Servet, CH-1211 Geneva 4, Switzerland.
CORRESPONDENCE ADDRESS
J.-F. Etter, Institute of Social and Preventive Medicine, University of
Geneva, 1 rue Michel-Servet, CH-1211 Geneva 4, Switzerland.
SOURCE
Education for Health: Change in Learning and Practice (2006) 19:2 (155-165).
Date of Publication: July 2006
ISSN
1357-6283
1469-5804 (electronic)
BOOK PUBLISHER
Network: Towards Unity for Heath, P.O. Box 616, Maastricht, Netherlands.
ABSTRACT
Objectives: To find out whether educational visits by a nurse to specialist
physicians improved their self-reporting of smoking cessation activities;
whether these visits increased the percentage of physicians who were aware
of and recommended a computer-tailored smoking cessation program and who
participated in a training workshop on tobacco dependency treatment.
Methods: Specialist private practice physicians (n = 523) working in Geneva,
Switzerland were randomly assigned to either receiving (n = 261) or not
receiving (n = 262) a single 40-minute visit by a trained nurse in 2003. The
physicians answered a postal questionnaire 5 months after the visits
indicating the percentage of their patients they counselled or treated for
tobacco dependency and we recorded whether physicians took part in the
workshop. Findings: Only half (53%) of the physicians agreed to receive a
visit. At follow-up more physicians in the intervention group than in the
control group were aware of the computer-tailored program (73% vs. 39%, p <
0.001) and more physicians in the intervention group said they recommended
the use of this program to more patients (20% vs. 10%, p = 0.009). Among
non-smoking physicians only, the proportion of patients who were advised to
quit smoking was higher in the intervention than in the control group (69%
vs. 54%, p = 0.019, as reported by physicians). The intervention had no
impact on physicians' participation in the workshop. Conclusions: Visits by
a nurse increased the proportion of physicians who recommended to their
patients the use of a computer-tailored smoking cessation program. Among
non-smoking physicians only, the intervention increased the proportion of
patients who received the advice to quit smoking, as reported by physicians.
© 2006 Taylor & Francis.
EMTREE DRUG INDEX TERMS
amfebutamone (drug therapy)
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
smoking cessation program
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled clinical trial
controlled study
education program
female
follow up
human
major clinical study
male
medical education
medical specialist
nicotine replacement therapy
nurse
patient counseling
patient education
physician attitude
priority journal
private practice
questionnaire
randomized controlled trial
Switzerland
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006333699
MEDLINE PMID
16831798 (http://www.ncbi.nlm.nih.gov/pubmed/16831798)
FULL TEXT LINK
http://dx.doi.org/10.1080/13576280600742386
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 630
TITLE
Nursing research and treatment of tobacco dependence: state of the science.
AUTHOR NAMES
Wewers M.E.
Sarna L.
Rice V.H.
AUTHOR ADDRESSES
(Wewers M.E.; Sarna L.; Rice V.H.) School of Public Health, The Ohio State
University, Room 432, Cunz Hall, 1841 Millikin Road, Columbus, OH 43210,
USA.
CORRESPONDENCE ADDRESS
M.E. Wewers, School of Public Health, The Ohio State University, Room 432,
Cunz Hall, 1841 Millikin Road, Columbus, OH 43210, USA. Email:
wewers.1@osu.edu
SOURCE
Nursing research (2006) 55:4 Suppl (S11-15). Date of Publication: 2006
Jul-Aug
ISSN
0029-6562
ABSTRACT
Tobacco use is considered to be the single most preventable cause of
premature morbidity and mortality among men and women. It is well documented
that tobacco cessation reduces the burden of disease significantly and is
cost effective. Efficacious therapy for tobacco dependence exists, and
nurses have been shown to be effective tobacco cessation interventionists.
Given the large number of nurses in the United States, nurses can influence
national health objectives of reduced tobacco use significantly and help to
decrease the number of adults at risk for tobacco-attributable disease and
death. The objectives of this presentation are to (a) describe the
scientific evidence for tobacco cessation interventions, based on the U.S.
clinical practice guideline Treating Tobacco Use and Dependence; (b) present
the meta-analytic findings of the efficacy of nursing interventions for
smoking cessation; (c) discuss barriers to nursing research and tobacco
interventions; and (d) provide future directions for nursing intervention
research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nurse attitude
nursing research
smoking (epidemiology, therapy)
smoking cessation
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
clinical trial
controlled clinical trial
evidence based medicine
human
meta analysis
methodology
nursing
nursing informatics
organization and management
practice guideline
randomized controlled trial
review
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16829772 (http://www.ncbi.nlm.nih.gov/pubmed/16829772)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 631
TITLE
Strategic directions for nursing research in tobacco dependence.
AUTHOR NAMES
Sarna L.
Bialous S.A.
AUTHOR ADDRESSES
(Sarna L.; Bialous S.A.) School of Nursing, University of California, Los
Angeles 90095, USA.
CORRESPONDENCE ADDRESS
L. Sarna, School of Nursing, University of California, Los Angeles 90095,
USA. Email: lsarna@ucla.edu
SOURCE
Nursing research (2006) 55:4 Suppl (S1-9). Date of Publication: 2006 Jul-Aug
ISSN
0029-6562
ABSTRACT
Tobacco use continues to be the leading cause of preventable death in the
United States, causing approximately 440,000 deaths a year. Even with
significant progress in the last decades, there are over 45 million smokers
in the United States. Despite the efficacy of nurses in providing tobacco
cessation interventions, nursing research in this area has been minimal. The
purpose of this presentation is to summarize the recommendations for
focusing and fostering nursing research in tobacco cessation from 42
researchers, clinicians, educators, and representatives from the Agency for
Healthcare Research and Quality (AHRQ), the National Cancer Institute (NCI),
the Joint Commission on Accreditation of Healthcare Organizations, and from
nursing organizations who attended a 1-day invitational conference. This
conference evolved from the work of the Tobacco Free Nurses Initiative in
promoting the role of nursing in tobacco control and in response to the
recognition of potential contributions to the field from nursing research.
Sponsored by AHRQ and the NCI, the conference included formal presentations,
and small and large group discussions around tobacco cessation research,
resulting in consensus statements about a research agenda. Participants
recommended strategies for new approaches in nursing research on tobacco
dependence and cessation; strategies for seizing opportunities and
confronting challenges in building nursing research in the field; and
enhancing utilization of research findings into clinical practice. This
agenda provides direction for growing nursing research in tobacco cessation,
breaking down barriers to research, and supporting efforts for increasing
utilization of evidence-based findings in clinical practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nurse attitude
nursing research
smoking (epidemiology, prevention)
smoking cessation
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
human
information dissemination
nursing informatics
organization and management
practice guideline
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16829770 (http://www.ncbi.nlm.nih.gov/pubmed/16829770)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 632
TITLE
Development of an alcohol withdrawal protocol: CNS collaborative exemplar.
AUTHOR NAMES
Phillips S.
Haycock C.
Boyle D.
AUTHOR ADDRESSES
(Phillips S.; Haycock C.; Boyle D.) Banner Good Samaritan Medical Center,
Phoenix, Ariz. 85338, USA.
CORRESPONDENCE ADDRESS
S. Phillips, Banner Good Samaritan Medical Center, Phoenix, Ariz. 85338,
USA. Email: susan.phillips@bannerhealth.com
SOURCE
Clinical nurse specialist CNS (2006) 20:4 (190-198; quiz 199-198200). Date
of Publication: 2006 Jul-Aug
ISSN
0887-6274
ABSTRACT
PURPOSE: The purpose of this process improvement project was to develop an
Alcohol Withdrawal Syndrome (AWS) management protocol for acute care.
SIGNIFICANCE: The prevalence of alcohol abuse in our society presents
challenges for health professionals, and few nurses have received formal
education on the identification and treatment of AWS, which has frequently
resulted in ineffective, nonstandardized care. However, nurses practicing in
medical-surgical, emergency, trauma, and critical care settings must be
astute in the assessment and management of AWS. DESIGN/BACKGROUND/RATIONALE:
Following an analysis of existing management protocols, a behavioral health
clinical nurse specialist was asked to lead a work team composed of
physicians, pharmacists, and nurses to develop a new evidence-based alcohol
withdrawal protocol for acute care. METHODS/DESCRIPTION: By implementing a
standardized assessment tool and treatment protocol, clinical nurse
specialists empowered nursing staff with strategies to prevent the serious
medical complications associated with AWS. FINDINGS/OUTCOMES: The
development and integration of a safe and effective treatment protocol to
manage AWS was facilitated by collaborative, evidence-based decision making.
CONCLUSION: Clinical experience and specialty expertise were integrated by
clinical nurse specialists skilled in group dynamics, problem-solving, and
the implementation of change. Improving care of patients in AWS is an
exemplar for clinical nurse specialist roles as change agent and patient
advocate.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
clinical protocol
cooperation
nurse
withdrawal syndrome (therapy)
EMTREE MEDICAL INDEX TERMS
acute disease
algorithm
decision tree
evidence based medicine
hospitalization
human
intensive care
leadership
medical record
nurse attitude
nursing assessment
organization
organization and management
patient advocacy
patient care
problem solving
program development
psychological aspect
public relations
review
standard
total quality management
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16849931 (http://www.ncbi.nlm.nih.gov/pubmed/16849931)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 633
TITLE
Promoting smoking cessation during hospitalization for coronary artery
disease
AUTHOR NAMES
Reid R.D.
Lipe A.L.
Quinlan B.
AUTHOR ADDRESSES
(Reid R.D., breid@ottawaheart.ca; Lipe A.L.; Quinlan B.) Prevention and
Rehabilitation Centre, University of Ottawa Heart Institute, 40 Ruskin
Street, Ottawa, ON K1Y 4W7, Canada.
CORRESPONDENCE ADDRESS
R.D. Reid, Prevention and Rehabilitation Centre, University of Ottawa Heart
Institute, 40 Ruskin Street, Ottawa, ON K1Y 4W7, Canada. Email:
breid@ottawaheart.ca
SOURCE
Canadian Journal of Cardiology (2006) 22:9 (775-780). Date of Publication:
July 2006
ISSN
0828-282X
BOOK PUBLISHER
Pulsus Group Inc., 2902 South Sheridan Way, Oakville, Canada.
ABSTRACT
Background: Quitting smoking is the most effective intervention to reduce
mortality in patients with coronary artery disease who smoke. Guidelines for
the treatment of tobacco dependency recommend that health care institutions
develop plans to support the consistent and effective identification and
treatment of tobacco users. The University of Ottawa Heart Institute
(Ottawa, Ontario) has implemented an institutional program to identify and
treat all smokers admitted to the Institute. Objectives: The objectives of
the present paper are to describe core elements of this program and present
data concerning its reach and effectiveness. Program description: The goal
of the program is to increase the number of smokers who are abstinent from
smoking six months after a coronary artery disease-related hospitalization.
Core elements of the program include: documentation of smoking status at
hospital admission; inclusion of cessation intervention on patient care
maps; individualized, bedside counselling by a nurse counsellor; the
appropriate and timely use of nicotine replacement therapy; automated
telephone follow-up; referral to outpatient cessation resources; and
training of medical residents and nursing staff. Program reach and
effectiveness were measured over a one-year period. Results: Between April
2003 and March 2004, almost 1300 smokers were identified at admission, and
91% received intervention to help them quit smoking. At six-month follow-up,
44% were smoke-free. Conclusions: Hospitalization for coronary artery
disease provides an important opportunity to intervene with smokers when
their motivation to quit is high. An institutional approach reinforces the
importance of smoking cessation in this patient population and increases the
rate of smoking cessation. Posthospitalization quit rates should be a
benchmark of cardiac program performance. ©2006 Pulsus Group Inc. All rights
reserved.
EMTREE DRUG INDEX TERMS
nicotine derivative (drug therapy, transdermal drug administration)
nicotine patch (drug therapy, transdermal drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
coronary artery disease (surgery)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
Canada
controlled study
follow up
health care organization
health care planning
health care quality
health program
heart catheterization
hospital admission
hospital discharge
hospitalization
human
individualization
major clinical study
medical documentation
mortality
motivation
nicotine replacement therapy
nursing staff
outpatient department
patient attitude
patient care
patient counseling
patient referral
percutaneous coronary intervention
practice guideline
residency education
smoking
smoking habit
staff training
telephone
tobacco dependence (drug therapy)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
EMBASE ACCESSION NUMBER
2006390796
MEDLINE PMID
16835672 (http://www.ncbi.nlm.nih.gov/pubmed/16835672)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 634
TITLE
Using evidence-based educational strategies to increase knowledge and skills
in tobacco cessation.
AUTHOR NAMES
Heath J.
Andrews J.
AUTHOR ADDRESSES
(Heath J.; Andrews J.) Critical Care Clinical Nurse Specialist Program,
School of Nursing and Health Studies, Georgetown University, Washington, DC
20007-1107, USA.
CORRESPONDENCE ADDRESS
J. Heath, Critical Care Clinical Nurse Specialist Program, School of Nursing
and Health Studies, Georgetown University, Washington, DC 20007-1107, USA.
Email: ejh@georgetown.edu
SOURCE
Nursing research (2006) 55:4 Suppl (S44-50). Date of Publication: 2006
Jul-Aug
ISSN
0029-6562
ABSTRACT
To meet the demand for improved patient outcomes and accountability for
healthcare delivery, nurses must embrace a culture of evidence-based
practice (EBP). Integrating EBP for tobacco cessation in nursing practice is
particularly important for the 44.5 million smokers in the United States who
contribute to 157 billion dollars of healthcare costs annually.
Unfortunately, studies reveal that healthcare providers are not aware of
what is considered the best evidence, the United States Public Health
Service Clinical Practice Guideline: Treating Tobacco Use and Dependence,
resulting in missed opportunities to promote optimal health outcomes for
individuals wanting to quit smoking. Fortunately, leading healthcare
authorities such as the Joint Commission of Accreditation for Healthcare
Organizations and Centers for Medicare and Medicaid Services now require
providers to offer tobacco cessation services. The challenges and
opportunities to do this effectively are many and with limited resources it
will be increasingly important to ensure that nurses have the necessary
knowledge and skills to improve tobacco cessation outcomes. For tobacco
cessation interventions to become a standard of nursing practice, strategic
efforts must be directed at advancing nursing research that evaluates best
educational strategies for promoting tobacco cessation interventions within
nursing curricula. In this article, a framework to help address nursing
strategies to bridge the gap between EBP and tobacco cessation will be
described.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
evidence based medicine
nurse attitude
nursing research
smoking (epidemiology, prevention)
smoking cessation
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
accreditation
counseling
health education
human
methodology
nursing
organization and management
primary prevention
review
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16829776 (http://www.ncbi.nlm.nih.gov/pubmed/16829776)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 635
TITLE
Nursing's involvement in tobacco control: historical perspective and vision
for the future.
AUTHOR NAMES
Malone R.E.
AUTHOR ADDRESSES
(Malone R.E.) Department of Social and Behavioral Sciences, School of
Nursing, University of California, San Francisco 94118, USA.
CORRESPONDENCE ADDRESS
R.E. Malone, Department of Social and Behavioral Sciences, School of
Nursing, University of California, San Francisco 94118, USA. Email:
ruth.malone@ucsf.edu
SOURCE
Nursing research (2006) 55:4 Suppl (S51-57). Date of Publication: 2006
Jul-Aug
ISSN
0029-6562
ABSTRACT
There is little evidence that nursing organizations have played a major
leadership role in addressing tobacco control at the political level, and
none have addressed collectively, in any sustained way, the role of the
tobacco industry, the primary vector of the tobacco disease epidemic. The
aims of this article are (a) to explore what accounts for organized
nursing's relative quiescence about tobacco industry and (b) to elucidate
why a nursing voice would be especially effective in addressing the industry
as a vector of the tobacco disease epidemic. Drawing on the internal tobacco
industry documents research, and incorporating a critical theoretical
perspective on education, research, and practice, it is argued that tobacco
cessation cannot be viewed solely as an individual problem but must be
understood in a sociopolitical context and promoting a nursing agendum on
cessation research and practice requires educating (and energizing) nurses
on the sociopolitics of tobacco. Because of nurses' numbers, class status,
political capital, and moral authority in society, they are the group of
health professionals whose voices are needed urgently at this historical
moment to help avert the global tobacco epidemic. The Nightingales is an
example of a nursing group involved in activism against the tobacco
industry, applying findings from research on the industry to engage nurses
in tobacco control activism, research, and education. The cessation research
agenda should include research on the tobacco industry and how its
activities influence cessation, how political activism influences cessation,
and how critical education may advance cessation research, policies, and
practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
nursing research
smoking (epidemiology, prevention)
smoking cessation
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
health education
history
human
leadership
methodology
nursing
nursing organization
organization and management
primary prevention
review
tobacco industry
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16829777 (http://www.ncbi.nlm.nih.gov/pubmed/16829777)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 636
TITLE
Use of sleep-promoting medications in nursing home residents: Risks versus
benefits
AUTHOR NAMES
Conn D.K.
Madan R.
AUTHOR ADDRESSES
(Conn D.K., dconn@baycrest.org; Madan R.) Department of Psychiatry, Baycrest
Geriatric Health Care System, Toronto, Ont., Canada.
(Conn D.K., dconn@baycrest.org; Madan R.) Department of Psychiatry,
University of Toronto, Toronto, Ont., Canada.
(Conn D.K., dconn@baycrest.org) Department of Psychiatry, Baycrest Geriatric
Health Care System, 3560 Bathurst Street, Toronto, Ont. M6A 2E1, Canada.
CORRESPONDENCE ADDRESS
D.K. Conn, Department of Psychiatry, Baycrest Geriatric Health Care System,
3560 Bathurst Street, Toronto, Ont. M6A 2E1, Canada. Email:
dconn@baycrest.org
SOURCE
Drugs and Aging (2006) 23:4 (271-287). Date of Publication: 2006
ISSN
1170-229X
1170-229X (electronic)
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
This paper reviews the use of sleep-promoting medications in nursing home
residents with reference to risks versus benefits. Up to two-thirds of
elderly people living in institutions experience sleep disturbance. The
aetiology of sleep disturbance includes poor sleep hygiene, medical and
psychiatric disorders, sleep apnoea, periodic limb movements and restless
leg syndrome. One key factor in the development of sleep disturbance in the
nursing home is the environment, particularly with respect to high levels of
night-time noise and light, low levels of daytime light, and care routines
that do not promote sleep. Clinical assessment should include a
comprehensive medical, psychiatric and sleep history including a review of
prescribed medications. Nonpharmacological interventions for insomnia are
underutilised in many clinical settings despite evidence that they are often
highly effective. International studies suggest that 50-80% of nursing home
residents have at least one prescription for psychotropic medication.
Utilisation rates vary dramatically from country to country and from
institution to institution. The most commonly prescribed medications for
sleep are benzodiazepines and nonbenzodiazepine hypnotics (Z-drugs). The
vast majority of studies of these medications are short-term, i.e. ≤2 weeks,
although some longer extension trials have recently been carried out.
Clinicians are advised to avoid long-acting benzodiazepines and to use
hypnotics for as brief a period as possible, in most cases not exceeding 2-3
weeks of treatment. Patients receiving benzodiazepines are at increased risk
of daytime sedation, falls, and cognitive and psychomotor impairment.
Zaleplon, zolpidem, zopiclone and eszopiclone may have some advantages over
the benzodiazepines, particularly with respect to the development of
tolerance and dependence. Ramelteon, a novel agent with high selectivity for
melatonin receptors, has recently been approved in the US. Use of the
antidepressant trazodone for sleep in nondepressed patients is somewhat
controversial. Atypical antipsychotics should not be used to treat insomnia
unless there is also evidence of severe behavioural symptoms or psychosis. ©
2006 Adis Data Information BV. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent (drug comparison)
EMTREE DRUG INDEX TERMS
atypical antipsychotic agent
benzodiazepine (drug comparison)
diazepam
eszopiclone (drug comparison)
hypnotic agent
melatonin receptor
oxazepam
ramelteon (pharmacology)
trazodone
unclassified drug
zaleplon (drug comparison)
zolpidem (drug comparison)
zopiclone (drug comparison)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
insomnia (therapy)
sleep disorder (epidemiology)
EMTREE MEDICAL INDEX TERMS
aging
behavior therapy
cognitive defect
cognitive therapy
dementia
depression
drug dependence
drug tolerance
elderly care
environment
falling
health survey
human
hygiene
leg disease
limb movement
mental disease
noise
nursing home
prevalence
priority journal
psychomotor disorder
psychosis
review
sedation
sex difference
sleep disordered breathing
sleep induction
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
diazepam (439-14-5)
eszopiclone (138729-47-2)
oxazepam (604-75-1)
ramelteon (196597-26-9)
trazodone (19794-93-5, 25332-39-2)
zaleplon (151319-34-5)
zolpidem (82626-48-0)
zopiclone (43200-80-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006265183
MEDLINE PMID
16732687 (http://www.ncbi.nlm.nih.gov/pubmed/16732687)
FULL TEXT LINK
http://dx.doi.org/10.2165/00002512-200623040-00001
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 637
TITLE
Training school nurses: Screening and brief intervention for tobacco use
AUTHOR NAMES
Castleman J.B.
Novak M.A.
Sposetti V.J.
AUTHOR ADDRESSES
(Castleman J.B.) University of Florida, College of Nursing, Gainesville, FL,
United States.
(Novak M.A.) University of Florida, College of Medicine, Gainesville, FL,
United States.
(Sposetti V.J.) University of Florida, College of Dentistry, Gainesville,
FL, United States.
CORRESPONDENCE ADDRESS
J.B. Castleman, University of Florida, College of Nursing, Gainesville, FL,
United States.
SOURCE
Substance Abuse (2006) 26:3-4 (35-38). Date of Publication: 22 Jun 2006
ISSN
0889-7077
1547-0164 (electronic)
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
This field project focused on training school nurses to do screening and
brief interventions for tobacco use. Needed resources were organized in a
kit. © 2005 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
tobacco dependence (disease management)
EMTREE MEDICAL INDEX TERMS
article
health care cost
health care personnel
health care policy
human
medical student
morbidity
nursing student
residency education
school health nursing
screening
smoking cessation
training
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006368070
MEDLINE PMID
16837411 (http://www.ncbi.nlm.nih.gov/pubmed/16837411)
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v26n03_08
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 638
TITLE
Drug Use and Kidney Donation: What Are High-Risk Behaviors Today?
AUTHOR NAMES
Piccoli G.B.
Soragna G.
Putaggio S.
Consiglio V.
Mezza E.
Bonetto A.
Geuna S.
AUTHOR ADDRESSES
(Piccoli G.B., gbpiccoli@hotmail.com; Soragna G.; Putaggio S.; Consiglio V.;
Mezza E.) University of Torino, Torino, Italy.
(Bonetto A.) Centro Didattico, University of Torino, Torino, Italy.
(Geuna S.) University of Torino, Torino, Italy.
CORRESPONDENCE ADDRESS
G.B. Piccoli, University of Torino, Torino, Italy. Email:
gbpiccoli@hotmail.com
SOURCE
Transplantation Proceedings (2006) 38:5 (1221-1223). Date of Publication:
June 2006
ISSN
0041-1345
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background: "Social risk behaviors" are usually considered as
contraindications for organ donation. The organ shortage, however,
necessitates expansion of the donor pool. Reconsideration of the policy
toward substance abusers may be important. Opinions of the overall
population may be of use to define this cultural-sensitive issue. Methods: A
semistructured questionnaire on organ donation, including opinions on drug
use (cannabis and cocaine), was administered to various groups of the
general public and caregivers: high school students (liceo classico: 59
students, median age 18 years; istituto tecnico: 108, age 17); first- and
fourth-year medical school (77, age 19; 46, age 22); continuing medical
education (44, age 32); third-year nursing school (31, age 23); "senior
citizen university" (51, age 63). Results: Cannabis use was mainly accepted
for kidney donation (48.6% yes, 26.6% no, 29.8% uncertain/blank), but
cocaine use was not (22.1% yes, 44.2% no, 33.7% uncertain/blank). In the
univariate analysis, opinions differed according to age, sex, and belonging
to the health care teams upon multivariate analysis being a member of the
health care team was the strongest predictor of responses (P < .01).
Conclusion: It is difficult to define social risk behaviors. Since opinions
are important for organ donation, further studies and discussion are needed
to periodically analyze our policies. © 2006 Elsevier Inc. All rights
reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis (drug toxicity)
cocaine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cannabis addiction
cocaine dependence
kidney donor
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aging
article
caregiver
continuing education
controlled study
drug abuse
female
health care
high risk behavior
high school student
human
male
medical school
multivariate analysis
normal human
nursing education
prediction
priority journal
questionnaire
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Urology and Nephrology (28)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006293086
MEDLINE PMID
16797268 (http://www.ncbi.nlm.nih.gov/pubmed/16797268)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.transproceed.2006.02.095
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 639
TITLE
Primary care provider concerns about management of chronic pain in community
clinic populations
AUTHOR NAMES
Upshur C.C.
Luckmann R.S.
Savageau J.A.
AUTHOR ADDRESSES
(Upshur C.C., Carole.upshur@umassmed.edu; Luckmann R.S.; Savageau J.A.)
Department of Family Medicine and Community Health, University of
Massachusetts Medical School, Worcester, MA, United States.
(Upshur C.C., Carole.upshur@umassmed.edu) Department of Family Medicine and
Community Health, University of Massachusetts Medical School, 55 Lake Avenue
North, Worcester, MA 1655, United States.
CORRESPONDENCE ADDRESS
C.C. Upshur, Department of Family Medicine and Community Health, University
of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 1655,
United States. Email: Carole.upshur@umassmed.edu
SOURCE
Journal of General Internal Medicine (2006) 21:6 (652-655). Date of
Publication: June 2006
ISSN
0884-8734
1525-1497 (electronic)
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
BACKGROUND: Chronic pain is a common patient complaint in primary care, yet
providers and patients are often dissatisfied with treatment processes and
outcomes. OBJECTIVE: To assess provider satisfaction with their training for
and current management of chronic pain in community clinic settings. To
identify perceived problems with delivering chronic pain treatment and
issues with opioid prescribing for chronic pain. DESIGN: Mailed survey to
primary care providers (PCPs) at 8 community clinics. RESULTS: Respondents
(N=111) included attendings, residents, and nurse practioners
(NPs)/physician assistants (PAs). They reported 37.5% of adult appointments
in a typical week involved patients with chronic pain complaints. They
attributed problems with pain care and opioid prescribing more often to
patient-related factors such as lack of self-management, and potential for
abuse of medication than to provider or practice system factors.
Nevertheless, respondents reported inadequate training for, and low
satisfaction with, delivering chronic pain treatment. CONCLUSIONS: A
substantial proportion of adult primary care appointments involve patients
with chronic pain complains. Dissatisfaction with training and substantial
concerns about patient self-management and about opioid prescribing suggest
areas for improving medical education and postgraduate training. Emphasis on
patient-centered approaches to chronic pain management, including skills for
assessing risk of opioid abuse and addiction, is required.
EMTREE DRUG INDEX TERMS
opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (disease management, drug therapy)
community care
outpatient department
primary medical care
EMTREE MEDICAL INDEX TERMS
article
clinical practice
controlled study
health care delivery
health survey
human
nurse
physician assistant
prescription
resident
satisfaction
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006257114
MEDLINE PMID
16808752 (http://www.ncbi.nlm.nih.gov/pubmed/16808752)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1525-1497.2006.00412.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 640
TITLE
Characteristics of drug-related problems discussed by hospital pharmacists
in multidisciplinary teams
AUTHOR NAMES
Blix H.S.
Viktil K.K.
Moger T.A.
Reikvam Å.
AUTHOR ADDRESSES
(Blix H.S., Hege.salvesen.blix@fhi.no) Norwegian Institute of Public Health,
P.O. Box 4404, Nydalen, Oslo NO-0403, Norway.
(Viktil K.K.) Diakonhjemmet Hospital Pharmacy, P.O. Box 23, Vinderen, Oslo
NO-0319, Norway.
(Moger T.A.) Section of Medical Statistics, Faculty of Medicine, University
of Oslo, Blindern, Oslo NO-0317, Norway.
(Reikvam Å.) Department of Pharmacotherapeutics, Faculty of Medicine,
University of Oslo, Blindern, Oslo, NO-0316, Norway.
CORRESPONDENCE ADDRESS
H.S. Blix, Norwegian Institute of Public Health, P.O. Box 4404, Nydalen,
Oslo NO-0403, Norway. Email: Hege.salvesen.blix@fhi.no
SOURCE
Pharmacy World and Science (2006) 28:3 (152-158). Date of Publication: June
2006
ISSN
0928-1231
BOOK PUBLISHER
Springer Netherlands, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
Objective: To investigate pharmacist contribution in the therapeutic
hospital team by studying drug-related problems (DRPs), pharmacist therapy
advice and consequences of the advice. Methods: From May to December 2002,
827 patients in five Norwegian hospitals were included in the study.
Demographic data, drugs used, relevant medical history, laboratory data and
clinical/pharmacological risk factors were recorded prospectively at the
wards. Main outcome measure: DRPs, patients characteristics, pharmacist
advice to physicians, nurses or patients, response to the pharmacist advice,
and reasons (stated by the pharmacist) for not discussing an identified DRP,
were reported. An independent quality assessment team retrospectively
assessed the DRPs for a randomly selected number of the study population.
Results: On average 2.6 DRPs per patient were found. A total of 2128 DRPs
were registered and of these 1583 (74%) DRPs were brought up for discussion.
Physician immediate acceptance rates varied from 80% (for extremely
important clinically signififcant DRPs) to 50% (for DRPs of minor clinical
significance). High age, use of many drugs at admission, existence of many
DRPs and many clinical/pharmacological risk factors for DRPs were associated
with low immediate acceptance rate. Type of DRP influenced how the DRP was
discussed; adverse drug reaction (ADR) and unnecessary drug were discussed
with physicians while e.g. medical chart error and need for patient
education were discussed with nurses/patients. Reasons for not discussing
DRPs in the team were: not given priority (37%), no longer relevant (31%)
and others (31%). DRPs of minor clinical significance were most often
excluded from discussion (37%) as opposed to 14% and 22% of those of
moderate and major clinical significance. Conclusions: The majority of
patients had one or more DRPs. The problems identified as DRPs by the
pharmacists were accepted as such by the physicians and to a high degree
acted upon. Both clinical significance of the DRP and patient
characteristics influenced physician immediate acceptance rate. Some DRPs
could be solved by direct contact with nurses or the patients. Awareness of
DRPs increases through participation of pharmacists in the multidisciplinary
therapeutic hospital team. © 2006 Springer Science+Business Media, LLC.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anticoagulant agent (adverse drug reaction)
nonsteroid antiinflammatory agent (adverse drug reaction)
opiate (adverse drug reaction)
EMTREE DRUG INDEX TERMS
alanine aminotransferase (endogenous compound)
aspartate aminotransferase (endogenous compound)
creatinine (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease (prevention, side effect)
drug related problem (prevention, side effect, therapy)
hospital pharmacy
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
demography
doctor nurse relation
doctor patient relation
female
human
laboratory diagnosis
major clinical study
male
medical error
medical record review
multidisciplinary hospital team
Norway
patient education
pharmacist
prospective study
retrospective study
risk factor
team building
teamwork
unnecessary procedure
CAS REGISTRY NUMBERS
alanine aminotransferase (9000-86-6, 9014-30-6)
aspartate aminotransferase (9000-97-9)
creatinine (19230-81-0, 60-27-5)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006511852
MEDLINE PMID
17004023 (http://www.ncbi.nlm.nih.gov/pubmed/17004023)
FULL TEXT LINK
http://dx.doi.org/10.1007/s11096-006-9020-z
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 641
TITLE
A new role for pediatric nurses: teaching teen drug users how to sterilize
their equipment for prevention of infectious disease; a course outline.
AUTHOR NAMES
Edwards K.
AUTHOR ADDRESSES
(Edwards K.)
CORRESPONDENCE ADDRESS
K. Edwards,
SOURCE
Pediatric nursing (2006) 32:3 (257-262). Date of Publication: 2006 May-Jun
ISSN
0097-9805
ABSTRACT
This article discusses a sensitive issue that is complex and provocative,
and will undoubtedly stimulate a variety of opinions. What do you think?
Post your comments about this topic on the Pediatric Nursing Web site and
read what others have to say as well. Visit our homepage at
www.pediatricnursing.net and click on "Discussion". The opinions and
assertions contained herein are the private views of the contributors and do
not necessarily reflect the views of Pediatric Nursing Journal or the
publisher.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
instrument sterilization
nurse attitude
patient education
pediatric nursing
substance abuse (complication)
EMTREE MEDICAL INDEX TERMS
adolescent
article
case report
child behavior
child psychology
curriculum
disease transmission
drug abuse
female
hepatitis C (etiology, prevention)
human
Human immunodeficiency virus infection (etiology, prevention)
information processing
information service
Internet
male
methodology
nursing
nursing methodology research
organization and management
patient care planning
psychological aspect
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16802685 (http://www.ncbi.nlm.nih.gov/pubmed/16802685)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 642
TITLE
Training primary care nurses to conduct alcohol screening and brief
interventions in South Africa.
AUTHOR NAMES
Peltzer K.
Seoka P.
Babor T.
Obot I.
AUTHOR ADDRESSES
(Peltzer K.; Seoka P.; Babor T.; Obot I.) Human Sciences Research Council &
University Limpopo, Cape Town, South Africa.
CORRESPONDENCE ADDRESS
K. Peltzer, Human Sciences Research Council & University Limpopo, Cape Town,
South Africa. Email: KPeltzer@hsrc.ac.za
SOURCE
Curationis (2006) 29:2 (16-21). Date of Publication: May 2006
ISSN
0379-8577
ABSTRACT
Although progress has been made in developing a scientific basis for alcohol
screening and brief intervention (SBI), training packages are necessary for
its widespread dissemination in primary care settings in developing
societies. Using a training package developed by the World Health
Organisation 121 nurses from one rural site (29 clinics in Vhembe District)
and one urban site (3 clinics and 6 mobile clinics in Polokwane/ Seshego) in
South Africa were compared before and after SBI training regarding knowledge
and attitudes, and the subsequent practice of SBI in routine clinical
practice. Although the training effects were at times moderate, all changes
were in a direction more conducive to implementing SBI. Health care
providers significantly increased in knowledge, confidence in SBI and higher
self-efficacy in implementing SBI at follow-up after 9 months after
receiving the training. When delivered in the context of a comprehensive SBI
implementation programme, this training is effective in changing providers'
knowledge, attitudes, and practice of SBI for at-risk drinking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
counseling
in service training
mass screening
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
clinical trial
female
human
male
middle aged
multicenter study
nursing
primary health care
South Africa
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16910130 (http://www.ncbi.nlm.nih.gov/pubmed/16910130)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 643
TITLE
Perceptions and Use of Smoking Cessation in Nurse-Midwives' Practice
AUTHOR NAMES
Price J.H.
Jordan T.R.
Dake J.A.
AUTHOR ADDRESSES
(Price J.H., jprice@utnet.utoledo.edu; Jordan T.R.; Dake J.A.)
SOURCE
Journal of Midwifery and Women's Health (2006) 51:3 (208-215). Date of
Publication: May/June 2006
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The objective of this study was to examine Ohio nurse-midwives' perceptions
and use of a smoking cessation protocol in assisting pregnant smokers. The
total population of licensed Ohio nurse-midwives (n = 300) was surveyed by
using a cross-sectional survey design. Only 4 of 10 items that assessed a
nationally recommended method of promoting smoking cessation were done by
50% or more of respondents. Few nurse-midwives identified barriers to
counseling pregnant patients who smoked, but the most common were lack of
time (14%) and not knowing where to send pregnant smokers for treatment
(14%). Most respondents believed that nicotine replacement therapy (NRT)
would be most likely to reduce the number of pregnant smokers (74%), yet few
(26%) were confident in their ability to prescribe/recommend nicotine
replacement therapy. Respondents more likely to use 5 A's can be
characterized as the following: had higher efficacy expectations in their
ability to communicate issues about the 5 A's and had higher outcome
expectations regarding the effects of using the 5 A's. Nurse-midwife
training programs and continuing education needs to include current research
in nicotine replacement therapy use in pregnant patients and 5 A's
techniques to assist pregnant smokers in quitting. © 2006 American College
of Nurse-Midwives.
EMTREE DRUG INDEX TERMS
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse midwife
pregnancy
professional practice
smoking cessation
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
article
correlation analysis
health promotion
health survey
human
nicotine replacement therapy
nurse midwifery education
patient counseling
prescription
prevalence
priority journal
treatment outcome
United States
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006184940
MEDLINE PMID
16647673 (http://www.ncbi.nlm.nih.gov/pubmed/16647673)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jmwh.2005.12.003
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 644
TITLE
Community outreach with weekly delivery of anti-retroviral drugs compared to
cognitive-behavioural health care team-based approach to improve adherence
among indigent women newly starting HAART
AUTHOR NAMES
Visnegarwala F.
Rodriguez-Barradass M.C.
Graviss E.A.
Caprio M.
Nykyforchyn M.
Laufman L.
AUTHOR ADDRESSES
(Visnegarwala F., fehmidav@bcm.tmc.edu; Rodriguez-Barradass M.C.; Graviss
E.A.; Laufman L.) Baylor College of Medicine, Houston, TX, United States.
(Caprio M.) Harris County Hospital District, Houston, TX, United States.
(Nykyforchyn M.) University of Texas Health Science Center, Houston, TX,
United States.
(Rodriguez-Barradass M.C.) Veterans Administration Medical Center, Houston,
TX, United States.
(Visnegarwala F., fehmidav@bcm.tmc.edu) Baylor College of Medicine,
Department of Medicine, Section of Infectious Diseases, One Baylor Plaza,
Houston, TX 77030, United States.
CORRESPONDENCE ADDRESS
F. Visnegarwala, Baylor College of Medicine, Department of Medicine, Section
of Infectious Diseases, One Baylor Plaza, Houston, TX 77030, United States.
Email: fehmidav@bcm.tmc.edu
SOURCE
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2006) 18:4
(332-338). Date of Publication: May 2006
ISSN
0954-0121
1360-0451 (electronic)
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
Sustained virological suppression requires adherence to >95% of doses of
therapy. Overall there is paucity of data on adherence interventions among
women and post-intervention outcomes. In this pilot study, we evaluated a
novel strategy of weekly delivery of medications (Directly Delivered
Therapy: DDT) for six months using an outreach worker (ORW), among ARV naïve
indigent women starting HAART and compared the 'during intervention' and
'post-intervention' outcomes to the health care team (a nurse educator, a
case worker, a pharmacist and social worker/drug addictions counsellor)
based approach termed Adherence Coordination Services (ACS) and the Standard
of Care (SoC) historical referent group. The baseline characteristics of the
three groups were comparable. The proportion of women who achieved sustained
virologic suppression in 4-8 month period for DDT; ACS and SoC groups were
86% (18/21); 54% (6/11); and 36% (8/22) (P < 0.004); and in the 10-14 month
period were 80% (12/15); 54% (6/11) and 45%(10/22) (P = 0.036 for DDT vs.
SoC). Retention rate in the DDT was 87%, and 92% of 307 ORW visits were
kept, and post-intervention satisfaction was high. Short-term weekly
delivery of medications using a community based liaison is a feasible,
acceptable and a cost-effective strategy for improving both short-term and
perhaps long-term adherence among women initiating their first HAART
regimen. © 2006 Taylor & Francis.
EMTREE DRUG INDEX TERMS
antiretrovirus agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (drug therapy)
community care
health care delivery
highly active antiretroviral therapy
Human immunodeficiency virus infection (drug therapy)
patient compliance
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
cost effectiveness analysis
female
follow up
health service
health survey
human
indigent
major clinical study
patient satisfaction
priority journal
questionnaire
treatment outcome
virus load
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Immunology, Serology and Transplantation (26)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006252703
MEDLINE PMID
16809110 (http://www.ncbi.nlm.nih.gov/pubmed/16809110)
FULL TEXT LINK
http://dx.doi.org/10.1080/09540120500162155
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 645
TITLE
Mental health service provision in juvenile justice facilities: Pre- and
postrelease psychiatric care
AUTHOR NAMES
Chapman J.F.
Desai R.A.
Falzer P.R.
AUTHOR ADDRESSES
(Chapman J.F., John.Chapman@jud.state.ct.us) State of Connecticut-Judicial
Branch, Court Support Services Division, 936 Silas Deane Highway,
Wethersfield, CT 06516, United States.
(Desai R.A.; Falzer P.R.) Department of Psychiatry, Yale University School
of Medicine, VA Connecticut Health System, West Haven, CT, United States.
CORRESPONDENCE ADDRESS
J.F. Chapman, State of Connecticut-Judicial Branch, Court Support Services
Division, 936 Silas Deane Highway, Wethersfield, CT 06516, United States.
Email: John.Chapman@jud.state.ct.us
SOURCE
Child and Adolescent Psychiatric Clinics of North America (2006) 15:2
(445-458). Date of Publication: April 2006
Juvenile Justice, Book Series Title:
ISSN
1056-4993
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Although in most cases it is preferable to avoid either public or private
out-of-home placements within the juvenile justice system, the potential
benefits from incarceration should be maximized. Without intervention during
this important period, the best possible outcome is perhaps wasted time.
Roush [91] states that detention centers are responsible for the care and
custody of the children within them, but opinion differs as to which takes
precedence. Time spent in a juvenile justice facility should not be idle.
Programming designed to address social skill deficits are an important
component of any system. Programs designed to control anger, such as
aggression replacement training, have shown success [92]. Cognitive
behavioral interventions have clearly shown benefit, and case management can
be used to bridge the time between preadmission services and planning for
postdischarge treatment. Case management should begin at admission and
proceed through the sanctions phase, removing barriers throughout and
providing emotional support [93]. Benefits from time spent incarcerated can
be enhanced by parental involvement. The type of facility may be
unimportant. Outcomes of government-operated facilities are similar to those
of alternative facilities [94]. To manage health care delivery effectively,
the psychiatrist must hold a leadership position within a multidisciplinary
team that includes other mental health disciplines, medical and nursing
staff, education staff, custody staff, administration, and perhaps court
personnel. High rates of complex psychopathology require sophistication and
accuracy in assessment [33]. Efficient leadership will recognize potential
in custody staff as well as health care. Most detention staff are moderately
positive about their occupations and see themselves as effectively
influencing the life of the children they encounter [95]. Finally, important
information on correctional mental health care practice needs to be updated
frequently. Continuous quality improvement requires feedback and a forum for
health care practitioners to share information and demonstrate the quality
of care they practice [96]. Accreditation by national bodies such as NCCHC
is encouraged, and establishment of performance-based measures can gauge
effective practice [91], making the experience of working in juvenile
justice facilities a rewarding part of one's career.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
justice
mental health care
mental health service
EMTREE MEDICAL INDEX TERMS
anxiety
decision making
depression (complication)
disability
education
emotionality
evidence based medicine
health care
health care delivery
health practitioner
health program
human
human rights
juvenile
leadership
medical information
medical practice
medical research
medical staff
mental disease
mental health
mortality
performance
priority journal
public health
review
risk assessment
skill
stress
substance abuse
treatment planning
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006112233
MEDLINE PMID
16527665 (http://www.ncbi.nlm.nih.gov/pubmed/16527665)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.chc.2005.11.002
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 646
TITLE
Treatment of pneumonia in elderly patients
AUTHOR NAMES
Schmidt-Joanas M.
Lode H.
AUTHOR ADDRESSES
(Schmidt-Joanas M.; Lode H., haloheck@zedat.fu-berlin.de) Helios Klinikum
Emil von Behring, Department of Chest and Infectious Diseases, Lungenklinik
Heckeshorn Zum HeckeshornZum Heckeshorn, 3314109 Berlin, Germany.
CORRESPONDENCE ADDRESS
H. Lode, Helios Klinikum Emil von Behring, Department of Chest and
Infectious Disease, Lungenklinik Heckeshorn Zum Heckeshorn, 3314109 Berlin,
Germany. Email: haloheck@zedat.fu-berlin.de
SOURCE
Expert Opinion on Pharmacotherapy (2006) 7:5 (499-507). Date of Publication:
April 2006
ISSN
1465-6566
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Pneumonia represents the leading cause of infection-related death and the
fifth cause of overall mortality, in the elderly. Several risk factors for
acquiring pneumonia in older age have been reported, such as alcoholism,
lung and heart diseases, nursing home residence and swallowing disorders.
The clinical characteristics of pneumonia in the elderly differ
substantially compared with younger patients, and the severity of the
disease is strongly associated with increased age and age-related
comorbidities. Streptococcus pneumoniae is the leading pathogen responsible
for pneumonia in elderly; enteric Gram-negative rods should be considered in
nursing-home-acquired pneumonia, as well anaerobes in patients with
aspiration pneumonia. Antimicrobial therapy should take into account the
most recent guidelines, which are briefly presented in this review. A
special consideration should be given to the preventive measures, including
vaccination, oral care and nutrition. © 2006 Ashley Publications.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antiinfective agent (adverse drug reaction, clinical trial, drug
combination, drug comparison, drug dose, drug therapy, intravenous drug
administration, oral drug administration)
EMTREE DRUG INDEX TERMS
aminoglycoside antibiotic agent (drug combination, drug therapy, intravenous
drug administration)
amoxicillin (drug combination, drug dose, drug therapy, oral drug
administration)
amoxicillin plus clavulanic acid (drug combination, drug dose, drug therapy)
ampicillin (drug combination, drug dose, drug therapy, intravenous drug
administration)
antibiotic agent (clinical trial, drug combination, drug comparison, drug
dose, drug therapy, intravenous drug administration, oral drug
administration)
azithromycin (drug therapy, intravenous drug administration)
beta lactam antibiotic (drug combination, drug therapy, intravenous drug
administration)
cefotaxime (drug therapy)
cefpodoxime (drug therapy, oral drug administration)
ceftriaxone (drug therapy, parenteral drug administration)
cefuroxime (drug therapy, intravenous drug administration)
cephalosporin (drug combination, drug comparison, drug therapy)
ciprofloxacin (drug combination, drug therapy, intravenous drug
administration)
clarithromycin (drug combination, drug therapy, intravenous drug
administration, oral drug administration)
clindamycin (drug therapy)
doxycycline (drug therapy)
imipenem (drug therapy)
influenza vaccine (drug combination, drug therapy)
levofloxacin (drug therapy)
macrolide (adverse drug reaction, drug combination, drug therapy,
intravenous drug administration, oral drug administration)
meropenem (drug therapy)
moxifloxacin (drug therapy)
piperacillin (drug therapy)
Pneumococcus vaccine (drug combination, drug therapy, intravenous drug
administration)
polysaccharide vaccine (drug therapy)
quinoline derived antiinfective agent (drug combination, drug comparison,
drug therapy, intravenous drug administration)
sultamicillin (drug therapy)
tazobactam (drug therapy)
unindexed drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pneumonia (drug therapy, epidemiology, etiology, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
aged
alcoholism
aspiration pneumonia (drug therapy, epidemiology, etiology, prevention,
therapy)
clinical trial
community acquired pneumonia (drug therapy, epidemiology, etiology,
prevention, therapy)
comorbidity
diet therapy
disease severity
drug hypersensitivity (side effect)
drug megadose
dysphagia
elderly care
fatality
Gram negative bacterium
heart disease
human
lung disease
mortality
mouth hygiene
nursing home patient
nutrition
prognosis
review
risk factor
Streptococcus pneumoniae
systematic review
CAS REGISTRY NUMBERS
amoxicillin (26787-78-0, 34642-77-8, 61336-70-7)
amoxicillin plus clavulanic acid (74469-00-4, 79198-29-1)
ampicillin (69-52-3, 69-53-4, 7177-48-2, 74083-13-9, 94586-58-0)
azithromycin (83905-01-5)
cefotaxime (63527-52-6, 64485-93-4)
cefpodoxime (82619-04-3)
ceftriaxone (73384-59-5, 74578-69-1)
cefuroxime (55268-75-2, 56238-63-2)
cephalosporin (11111-12-9)
ciprofloxacin (85721-33-1)
clarithromycin (81103-11-9)
clindamycin (18323-44-9)
doxycycline (10592-13-9, 17086-28-1, 564-25-0)
imipenem (64221-86-9)
levofloxacin (100986-85-4, 138199-71-0)
meropenem (96036-03-2)
moxifloxacin (151096-09-2)
piperacillin (59703-84-3, 61477-96-1)
sultamicillin (76497-13-7)
tazobactam (93528-38-2)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
General Pathology and Pathological Anatomy (5)
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Drug Literature Index (37)
Gerontology and Geriatrics (20)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006176759
MEDLINE PMID
16553566 (http://www.ncbi.nlm.nih.gov/pubmed/16553566)
FULL TEXT LINK
http://dx.doi.org/10.1517/14656566.7.5.499
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 647
TITLE
Medical errors challenges for the health professionals: need of
Pharmacovigilance to prevent.
AUTHOR NAMES
Das B.P.
Rauniar G.P.
Bhattacharya S.K.
AUTHOR ADDRESSES
(Das B.P.; Rauniar G.P.; Bhattacharya S.K.) BP Koirala Institute of Health
Science, Dharan, Nepal.
CORRESPONDENCE ADDRESS
B.P. Das, BP Koirala Institute of Health Science, Dharan, Nepal. Email:
bpdas2000@yahoo.com
SOURCE
JNMA; journal of the Nepal Medical Association (2006) 45:162 (273-278). Date
of Publication: 2006 Apr-Jun
ISSN
0028-2715
ABSTRACT
The incidence of different aspects of iatrogenic problems due to drugs is
Adverse Events (AEs) 3.7%, Adverse Drug Events (ADEs) 2.4-6.5%, Adverse Drug
Reactions (ADRs) is 6.7%. Negligence in serious ADEs and death is 34% and
51% respectively, preventable ADEs is 25-50%. Medication Errors (MEs) occur
most often in perscribing (29-56%). The most common cause of MEs is lack of
knowledge about the drug (29%) and the patient about 18%. MEs result
malpractice claims in 13-25% of cases which occur due to mistakes and slips
of action & lapses of memory. The MEs can be prevented by establishing
effective Pharmacovigilance control center, which frequently gives proper
guidance to the prescribers. Use of computerized decision for prescription
writing, effective communication with patient, families, pharmacists and
nurses and continuing medical education on information of new drugs and new
information on current drugs can be effective tolls to prevent the errors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
legal liability
malpractice
medication error (prevention)
professional practice
EMTREE MEDICAL INDEX TERMS
drug surveillance program
hospital organization
human
incidence
legal aspect
medical information system
professional standard
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
18365356 (http://www.ncbi.nlm.nih.gov/pubmed/18365356)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 648
TITLE
Using the Rx for change tobacco curriculum in advanced practice nursing
education
AUTHOR NAMES
Kelley F.J.
Heath J.
Crowell N.
AUTHOR ADDRESSES
(Kelley F.J., kelleyj@georgetown.edu) Family Nurse Practitioner Program,
Georgetown University School of Nursing and Health Studies, 3700 Reservoir
Road NW, Washington, DC 20057, United States.
(Heath J.) Acute Care Nurse Practitioner and Acute and Critical Care
Clinical Nurse Specialist Program, Georgetown University School of Nursing
and Health Studies, 3700 Reservoir Road NW, Washington, DC 20057, United
States.
(Crowell N.) Georgetown University School of Nursing and Health Studies,
3700 Reservoir Road NW, Washington, DC 20057, United States.
(Kelley F.J., kelleyj@georgetown.edu) Family Nurse Practitioner Program,
Georgetown University School of Nursing and Health Studies, Box 571107, 3700
Reservoir Road NW, Washington, DC 20057, United States.
CORRESPONDENCE ADDRESS
F.J. Kelley, Family Nurse Practitioner Program, Georgetown University School
of Nursing and Health Studies, Box 571107, 3700 Reservoir Road NW,
Washington, DC 20057, United States. Email: kelleyj@georgetown.edu
SOURCE
Critical Care Nursing Clinics of North America (2006) 18:1 (131-138). Date
of Publication: March 2006
Tobacco Use and Smoking Cessation in Acute and Critical Care, Book Series
Title:
ISSN
0899-5885
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
In today's health care system, nurses, in particular APNs, must be
accountable for and driven by quality outcome indicators and performance
measures. APN students who have the knowledge and skills to intervene in
tobacco-cessation interventions will be in a better position to meet Joint
Commission on the Accreditation of Healthcare Organizations standards for
counseling patients who have myocardial infarction, heart failure, and
pneumonia [17]. Additionally, the integration of tobacco-cessation content
into APN programs will meet the academic standards or competencies
established by the AACN [18] and the National Organization of Nurse
Practitioner Faculty [19] that focus on health promotion and disease
prevention. Implementing curricular change, especially when considering the
addition of content, has challenges [20], but nursing faculty must ensure
that students receive an education that is relevant for practice and that is
evidence based. Six hours of a nursing curriculum intervention, such as the
Rx for Change, can go a long way to reduce the prevalence and human costs of
smoking. At the very least, nurses should learn more about tobacco,
nicotine, and tobacco-cessation counseling at www/rxforchange.org; the next
patient's life may depend on it. © 2005 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nurse
nurse practitioner
nursing education
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
clinical competence
counseling
education
evaluation study
family nursing
female
health care quality
human
intensive care
male
methodology
middle aged
nurse midwife
pilot study
psychological aspect
review
self concept
standard
tobacco dependence (prevention)
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16546016 (http://www.ncbi.nlm.nih.gov/pubmed/16546016)
FULL TEXT LINK
http://dx.doi.org/10.1353/earl.2006.0024
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 649
TITLE
Participants' evaluation of a training programme in dual diagnosis.
AUTHOR NAMES
Cooper P.
Doolin N.
Hemming I.
Rowlands E.
AUTHOR ADDRESSES
(Cooper P.; Doolin N.; Hemming I.; Rowlands E.)
CORRESPONDENCE ADDRESS
P. Cooper, Email: philip.cooper@5boroughspartnership.nhs.uk
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2006)
20:25 (48-56). Date of Publication: 2006 Mar 1-7
ISSN
0029-6570
ABSTRACT
A training programme in dual diagnosis (mental health and substance misuse)
began in 2003 across three NHS trusts and was funded by Cheshire and
Merseyside Strategic Health Authority. This article examines the background
to the training programme in dual diagnosis and reports the progress during
the first year. It examines what was provided across the three training
programmes and participants' evaluation of the programmes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, diagnosis, therapy)
health personnel attitude
in service training
mental disease (complication, diagnosis, therapy)
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
article
attitude to health
clinical competence
community health nursing
curriculum
education
evaluation study
health care quality
human
mental health service
organization and management
program development
psychiatric diagnosis
psychiatric nursing
psychological aspect
public relations
quality control
questionnaire
self evaluation
standard
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16536398 (http://www.ncbi.nlm.nih.gov/pubmed/16536398)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 650
TITLE
Knowing how to play the game: Hospitalized substance abusers' strategies for
obtaining pain relief
AUTHOR NAMES
Morgan B.D.
AUTHOR ADDRESSES
(Morgan B.D., Betty_Morgan@uml.edu) University of Massachusetts Lowell
School of Health and Environment, Department of Nursing, 3 Solomont Way,
Lowell, MA 01854, United States.
CORRESPONDENCE ADDRESS
B.D. Morgan, University of Massachusetts Lowell School of Health and
Environment, Department of Nursing, 3 Solomont Way, Lowell, MA 01854, United
States. Email: Betty_Morgan@uml.edu
SOURCE
Pain Management Nursing (2006) 7:1 (31-41). Date of Publication: March 2006
ISSN
1524-9042
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
This study explored hospitalized substance abusers' perspectives about
getting their pain adequately addressed in the hospital setting and their
interactions with nurses about pain-management issues. The aim of the study
was to generate theory that can contribute to a greater understanding of the
problem of pain management with this population. A grounded theory approach
was used to interview participants with a substance abuse problem who were
hospitalized with a medical/surgical problem. Interviews were conducted
using an interview guide; interviews were audiotaped and transcribed. In
addition, a focus group of nurses who worked with this population met twice,
once midway through the study, and before the final participant interview.
The nurses commented on the fit of the developing model according to their
experiences of working with the population described. Eighteen participants
were interviewed for a total of 20 interviews (two participants were
interviewed twice). All participants were polysubstance abusers and had a
painful medical/surgical problem for which they were hospitalized. The Model
of "Knowing How to Play the Game" was developed on the basis of
participants' descriptions of their experiences and consisted of two core
action categories "Feeling Respected/Not Respected" and "fStrategizing to
Get Pain Relief." Participants had many suggestions about nursing actions
that were helpful or not helpful in assisting them to obtain pain relief.
Nursing practice, education, research, and policy implications were
discussed. © 2006 by the American Society for Pain Management Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
hospital patient
nurse patient relationship
nursing staff
pain (complication, prevention)
psychological model
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
aggression
article
attitude to health
defense mechanism
health personnel attitude
health service
human
information processing
machiavellianism
middle aged
model
nurse attitude
nursing methodology research
patient advocacy
psychological aspect
social psychology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16490734 (http://www.ncbi.nlm.nih.gov/pubmed/16490734)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2005.12.003
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 651
TITLE
Response phases in methadone treatment for chronic nonmalignant pain
AUTHOR NAMES
Arnaert A.
Ciccotosto G.
AUTHOR ADDRESSES
(Arnaert A., Antonia.arnaert@mcgill.ca) McGill University, School of
Nursing, 3506 University Street, Montreal, Que. H2A 2A7, Canada.
(Ciccotosto G.) Centre de Sante Inuulitsivik, Puvirnituq, Que., Canada.
CORRESPONDENCE ADDRESS
A.A. Arnaert, McGill University, School of Nursing, 3506 University Street,
Montreal, Que. H2A 2A7, Canada. Email: Antonia.arnaert@mcgill.ca
SOURCE
Pain Management Nursing (2006) 7:1 (23-30). Date of Publication: March 2006
ISSN
1524-9042
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Although studies on the beliefs of persons with chronic nonmalignant pain
(CNMP) are still scarce, methadone is increasingly prescribed for the
treatment of CNMP. This qualitative case study uses semistructured
interviews to explore the beliefs of 11 patients with CNMP and the
challenges they faced coming to terms with and integrating methadone
treatment into their lives. The study identifies a two-phase process of
acceptance and integration. In the first phase, during acceptance of the
prescribed methadone treatment, initial beliefs were mostly determined by
the societal stigma that "methadone is for junkies." Different influencing
factors such as knowledge about methadone for pain management, family
support, and trust in physicians changed behavior in a positive way. In the
second phase, patients dealt with the degree of disclosure about their
treatment. Full disclosers have no problem in telling others that they were
being treated with methadone, whereas partial disclosers were more
selective. They were confronted with various barriers: negative encounters
with family, friends, and the public; past addict experiences; safety
issues; and obstacles within the health care system. As a result of these
challenges, their beliefs were summarized as: "others think I'm an addict,"
and "methadone can harm me and/or my family." This study highlights the
important role nurses have in the education of patients on the use of
methadone in pain management, and in assisting patients with CNMP to gain
confidence and a greater sense of control to cope with the challenging
issues related to disclosing information. © 2006 by the American Society for
Pain Management Nursing.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug therapy)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
pain (drug therapy, etiology)
patient attitude
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
article
attitude to health
Canada
chronic disease
defense mechanism
epidemiology
family
female
human
male
middle aged
nurse attitude
nursing methodology research
patient education
psychological aspect
psychological model
qualitative research
questionnaire
self concept
self disclosure
social psychology
social support
trust
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16490733 (http://www.ncbi.nlm.nih.gov/pubmed/16490733)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pmn.2005.12.004
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 652
TITLE
Pain management in the older patient
AUTHOR NAMES
Chopra A.
AUTHOR ADDRESSES
(Chopra A.) Education and Clinical Programs, New Jersey Institute for
Successful Aging, UMDNJ-School of Osteopathic Medicine, Stratford, NJ,
United States.
CORRESPONDENCE ADDRESS
A. Chopra, Education and Clinical Programs, New Jersey Institute for
Successful Aging, UMDNJ-School of Osteopathic Medicine, Stratford, NJ,
United States.
SOURCE
Clinical Geriatrics (2006) 14:3 (40-46). Date of Publication: Mar 2006
ISSN
1095-1598
ABSTRACT
Pain, an unpleasant sensory and emotional experience, is a frequent
complaint in community-dwelling elderly persons, with an even higher
prevalence in elderly nursing home residents. An individual's self-report of
pain is the most accurate and reliable evidence of its existence, as there
are no objective biomarkers. In this CME article, Dr. Chopra discusses the
prevalence of pain, the pathophysiologic classes of pain and common causes
of each, the assessment of pain, and treatment options for the older
patient.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug comparison, drug therapy)
amitriptyline (adverse drug reaction, drug comparison, drug therapy)
analgesic agent (adverse drug reaction, drug combination, drug therapy,
pharmacology, topical drug administration, transdermal drug administration)
anticonvulsive agent (drug combination, drug therapy)
antidepressant agent (adverse drug reaction, drug combination, drug
comparison, drug therapy)
carbamazepine (drug therapy)
celecoxib (adverse drug reaction, drug therapy)
choline magnesium trisalicylate (adverse drug reaction, drug therapy)
cyclooxygenase 2 inhibitor (adverse drug reaction, drug therapy)
dextropropoxyphene (adverse drug reaction, drug comparison, drug therapy,
pharmacokinetics)
fentanyl (adverse drug reaction, drug therapy, transdermal drug
administration)
gabapentin (adverse drug reaction, drug therapy)
hydromorphone (adverse drug reaction, drug therapy, oral drug
administration)
ibuprofen (drug therapy)
methadone (drug therapy, pharmacokinetics)
morphine (adverse drug reaction, drug therapy, intravenous drug
administration, oral drug administration, pharmaceutics, subcutaneous drug
administration)
nonsteroid antiinflammatory agent (adverse drug reaction, drug therapy)
norpethidine (adverse drug reaction, drug therapy, pharmacokinetics)
nortriptyline (adverse drug reaction, drug comparison, drug therapy)
opiate (adverse drug reaction, drug therapy, intravenous drug
administration, oral drug administration, pharmaceutics, pharmacokinetics,
subcutaneous drug administration, transdermal drug administration)
oxycodone (adverse drug reaction, drug therapy, oral drug administration,
pharmaceutics)
paracetamol (drug comparison, drug therapy)
paracetamol plus tramadol (drug therapy)
pethidine (adverse drug reaction, drug therapy, pharmacokinetics)
pregabalin (drug therapy)
rofecoxib (adverse drug reaction, drug therapy)
tramadol (adverse drug reaction, drug therapy)
tricyclic antidepressant agent (adverse drug reaction, drug therapy)
unclassified drug
unindexed drug
valdecoxib (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
geriatrics
pain (drug therapy, etiology, therapy)
EMTREE MEDICAL INDEX TERMS
accuracy
aged
anticholinergic effect
article
ataxia (side effect)
balance disorder (side effect)
behavior therapy
cardiovascular disease (side effect)
cerebrovascular accident
chronic pain (drug therapy, etiology, therapy)
cognitive defect (side effect)
cognitive therapy
consciousness disorder (side effect)
constipation (side effect)
diabetic neuropathy (complication, drug therapy)
dizziness (side effect)
drug absorption
drug dependence (side effect)
drug formulation
drug induced headache (side effect)
drug mechanism
emotion
gastrointestinal hemorrhage (side effect)
gastrointestinal symptom (side effect)
heart failure (side effect)
heart infarction (side effect)
human
ischemic heart disease (side effect)
kinesiotherapy
mental disease (side effect)
musculoskeletal disease
nausea (side effect)
nephrotoxicity (side effect)
neuropathic pain (drug therapy, etiology, therapy)
neurotoxicity (side effect)
orthostatic hypotension (side effect)
pain assessment
pathophysiology
peptic ulcer (side effect)
peripheral neuropathy
peripheral vascular disease
postherpetic neuralgia (complication, drug therapy)
prevalence
rating scale
reliability
residential home
respiration depression (side effect)
rheumatic polymyalgia
sedation
seizure (side effect)
self report
sensation
skin manifestation (side effect)
somnolence (side effect)
trigeminus neuralgia (drug therapy)
DRUG TRADE NAMES
aspirin
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
amitriptyline (50-48-6, 549-18-8)
carbamazepine (298-46-4, 8047-84-5)
celecoxib (169590-42-5)
choline magnesium trisalicylate (64425-90-7)
dextropropoxyphene (1639-60-7, 469-62-5)
fentanyl (437-38-7)
gabapentin (60142-96-3)
hydromorphone (466-99-9, 71-68-1)
ibuprofen (15687-27-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine (52-26-6, 57-27-2)
norpethidine (77-17-8)
nortriptyline (72-69-5, 894-71-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
pethidine (28097-96-3, 50-13-5, 57-42-1)
pregabalin (148553-50-8)
rofecoxib (162011-90-7, 186912-82-3)
tramadol (27203-92-5, 36282-47-0)
valdecoxib (181695-72-7)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Pharmacy (39)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006165526
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 653
TITLE
Effectiveness of strategies to implement brief alcohol intervention in
primary healthcare: A systematic review
AUTHOR NAMES
Nilsen P.
Aalto M.
Bendtsen P.
Seppä K.
AUTHOR ADDRESSES
(Nilsen P.; Bendtsen P.) Department of Health and Society, Division of
Social Medicine and Public Health Science, Linköping University, Sweden.
(Aalto M.) Department of Mental Health and Alcohol Research, National Public
Health Institute, Finland.
(Seppä K., kaija-liisa.seppa@uta.fi) Department of General Practice,
University of Tampere, Finland.
(Seppä K., kaija-liisa.seppa@uta.fi) Department of Psychiatry, Tampere
University Hospital, Finland.
(Seppä K., kaija-liisa.seppa@uta.fi) Medical School, University of Tampere,
FI-33014 Tampere, Finland.
CORRESPONDENCE ADDRESS
K. Seppä, Medical School, University of Tampere, FI-33014 Tampere, Finland.
Email: kaija-liisa.seppa@uta.fi
SOURCE
Scandinavian Journal of Primary Health Care (2006) 24:1 (5-15). Date of
Publication: March 2006
ISSN
0281-3432
1502-7724 (electronic)
BOOK PUBLISHER
Taylor and Francis A.S., P.O. Box 2562 Solli, Oslo, Norway.
ABSTRACT
Objective. To review systematically the available literature on
implementation of brief alcohol interventions in primary healthcare in order
to determine the effectiveness of the implementation efforts by the health
are providers. Key question. To what extent have the efforts to implement
brief alcohol interventions in primary healthcare environments been
successful? Method. Literature search from Medline, Cinahl, PsychLIT,
Cochrane. Setting. Primary healthcare. Material. A total of 11 studies
encompassing 921 GPs, 266 nurses, 88 medical students, and 44
"non-physicians" from Europe, the USA, and Australia. Main outcome measures.
Material utilization, screening, and brief intervention rates. Answer.
Intervention effectiveness (material utilization, screening, and brief
intervention rates) generally increased with the intensity of the
intervention effort, i.e. the amount of training and/or support provided.
Nevertheless, the overall effectiveness was rather modest. However, the
studies examined were too heterogeneous, not scientifically rigorous enough,
and applied too brief follow-up times to provide conclusive answers. © 2006
Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcoholism
primary health care
EMTREE MEDICAL INDEX TERMS
evaluation study
follow up
general practice
health care personnel
human
patient counseling
practice guideline
questionnaire
review
screening
secondary prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006075958
MEDLINE PMID
16464809 (http://www.ncbi.nlm.nih.gov/pubmed/16464809)
FULL TEXT LINK
http://dx.doi.org/10.1080/02813430500475282
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 654
TITLE
Providing health education on accidental drug overdose.
AUTHOR NAMES
Branagan O.
Grogan L.
AUTHOR ADDRESSES
(Branagan O.; Grogan L.) Addiction Service, Dublin, Ireland.
CORRESPONDENCE ADDRESS
O. Branagan, Addiction Service, Dublin, Ireland.
SOURCE
Nursing times (2006) 102:6 (32-33). Date of Publication: 2006 Feb 7-13
ISSN
0954-7762
ABSTRACT
There is an association between intravenous drug use and increased risk of
death due to overdose. This article reports on the evaluation of a health
promotion programme to educate drug users on preventing an overdose and how
to deal with an overdose if it occurs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
intoxication (prevention)
opiate addiction
EMTREE MEDICAL INDEX TERMS
article
drug dependence treatment
health care quality
human
nursing
teaching
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16494289 (http://www.ncbi.nlm.nih.gov/pubmed/16494289)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 655
TITLE
Undergraduate nursing students' perceptions of substance use and misuse: a
Brazilian position.
AUTHOR NAMES
Rassool G.H.
Villar-Luis M.
Carraro T.E.
Lopes G.
AUTHOR ADDRESSES
(Rassool G.H.; Villar-Luis M.; Carraro T.E.; Lopes G.) University of Sao
Paulo (EERP-USP), Sao Paulo, Brazil.
CORRESPONDENCE ADDRESS
G.H. Rassool, University of Sao Paulo (EERP-USP), Sao Paulo, Brazil. Email:
grasscool@sgul.ac.uk
SOURCE
Journal of psychiatric and mental health nursing (2006) 13:1 (85-89). Date
of Publication: Feb 2006
ISSN
1351-0126
ABSTRACT
Alcohol, cocaine and cannabis are the substances most commonly abused in
Brazil. There is limited evidence on the perceptions of undergraduate
nursing students towards substance misuse. Negative attitudes, in
combination with the lack of appropriate knowledge and skills, may result in
minimal care provided to substance misusers. The aims of the study are to
examine the knowledge and attitudes of undergraduate nursing students
towards substance misusers and consider the implications of these attitudes
for nursing education. The Nurse Education in Alcohol and Drug Educational
Faculty Survey (NEADA) questionnaire on knowledge and education, nursing
interventions, attitudes and values was distributed to undergraduate nurses
(n = 227) in the south and south-eastern part of Brazil. The findings showed
that there is a lack of adequate education in drug and alcohol use and
misuse, including competency skills, but the participants were positive
about treatment interventions. A paradigm shift in nurse education curricula
and further research studies on attitudes and values towards substance
misuse should be on the educational agenda. These are challenges faced by
nurses to meet the healthcare needs of substance misusers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, etiology)
attitude to health
health personnel attitude
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
Brazil (epidemiology)
clinical competence
curriculum
epidemiology
female
health service
human
male
nurse attitude
nursing
nursing assessment
nursing methodology research
organization
organization and management
philosophy
psychological aspect
questionnaire
social psychology
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16441398 (http://www.ncbi.nlm.nih.gov/pubmed/16441398)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 656
TITLE
An evidence-based project to improve depression and alcohol use screening.
AUTHOR NAMES
Valente S.
Nemec C.
AUTHOR ADDRESSES
(Valente S.; Nemec C.) Department of Veterans Affairs, Los Angeles, CA
90049, USA.
CORRESPONDENCE ADDRESS
S. Valente, Department of Veterans Affairs, Los Angeles, CA 90049, USA.
Email: sharon.valente@med.va.gov
SOURCE
Journal of nursing care quality (2006) 21:1 (93-98). Date of Publication:
2006 Jan-Mar
ISSN
1057-3631
ABSTRACT
Using research to improve practice is a high priority. Research shows that
routine screening helps identify adults who are at risk for various
disorders. Depression and alcohol use screening tools can improve evaluation
and treatment. Nurses aimed to improve the screening rates for depression
and alcohol use from the existing 50%-80% to 100% with a 1-hour educational
program on depression screening and alcohol use disorders screening for 2
clinic areas: primary care and home-based care. Post program evaluation
revealed that depression screening and alcohol use disorders screening rates
increased to 100%.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
depression (diagnosis)
evidence based medicine
mass screening
nursing education
total quality management
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
evaluation study
health care delivery
health care quality
health personnel attitude
home care
human
nurse attitude
nursing methodology research
organization and management
outcome assessment
primary health care
program development
psychological aspect
quality control
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16340695 (http://www.ncbi.nlm.nih.gov/pubmed/16340695)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 657
TITLE
HAART to heart: HIV-related cardiomyopathy and other cardiovascular
complications.
AUTHOR NAMES
Dakin C.L.
O'Connor C.A.
Patsdaughter C.A.
AUTHOR ADDRESSES
(Dakin C.L.; O'Connor C.A.; Patsdaughter C.A.) School of Nursing, Bouvè
College of Health Sciences, Northeastern University, Boston, MA 02115, USA.
CORRESPONDENCE ADDRESS
C.L. Dakin, School of Nursing, Bouvè College of Health Sciences,
Northeastern University, Boston, MA 02115, USA. Email: c.dakin@neu.edu
SOURCE
AACN clinical issues (2006) 17:1 (18-29; quiz 88-2990). Date of Publication:
2006 Jan-Mar
ISSN
1079-0713
ABSTRACT
More than one million Americans have been diagnosed with human
immunodeficiency virus (HIV). Advances in prevention and treatment of HIV
have led to an increased life expectancy for patients with HIV infection.
Due to their increased life span, HIV+ patients are now presenting to
hospitals with an increased number of diverse late-stage complications, such
as cardiomyopathy and other cardiovascular conditions. These complications
are as a direct or indirect result of HIV disease, HIV treatment modalities,
comorbid conditions, dietary and lifestyle factors, and unknown etiologies.
Cardiac complications, particularly HIV-related dilated cardiomyopathy, are
potentially life-threatening diagnoses, with symptoms that may be minimized
with appropriate cardiac-specific assessments and treatments, patient
teaching, and collaboration among nurses caring for the HIV-positive client
with cardiac disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cardiovascular disease (diagnosis, epidemiology, therapy)
congestive cardiomyopathy (diagnosis, epidemiology, therapy)
Human immunodeficiency virus infection (complication, diagnosis)
EMTREE MEDICAL INDEX TERMS
African American
case report
CD4 lymphocyte count
community health nursing
electrocardiography
health
health care
health service
highly active antiretroviral therapy
home care
human
incidence
male
middle aged
nurse attitude
nursing assessment
patient referral
psychological aspect
review
risk factor
statistics
substance abuse (complication)
treatment refusal
United States (epidemiology)
virology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16462405 (http://www.ncbi.nlm.nih.gov/pubmed/16462405)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 658
TITLE
Antiepileptic drug use and epileptic seizures in elderly nursing home
residents: A survey in the province of Pavia, Northern Italy
AUTHOR NAMES
Galimberti C.A.
Magri F.
Magnani B.
Arbasino C.
Cravello L.
Marchioni E.
Tartara A.
AUTHOR ADDRESSES
(Galimberti C.A., carloandrea.galimberti@mondino.it; Arbasino C.; Marchioni
E.; Tartara A.) I.R.C.C.S. C. Mondino Institute of Neurology Foundation, via
Mondino 2, 27100 Pavia, Italy.
(Magri F.; Cravello L.) Department of Internal Medicine and Medical Therapy,
Department of Geriatrics, University of Pavia, Pavia, Italy.
(Magnani B.) Statistics Unit, Azienda Per I Servizi Alla Persona (ASP),
Pavia, Italy.
CORRESPONDENCE ADDRESS
C.A. Galimberti, I.R.C.C.S. C. Mondino Institute of Neurology Foundation,
via Mondino 2, 27100 Pavia, Italy. Email: carloandrea.galimberti@mondino.it
SOURCE
Epilepsy Research (2006) 68:1 (1-8). Date of Publication: January 2006
ISSN
0920-1211
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Some surveys indicate that elderly nursing home residents are extensively
prescribed antiepileptic drugs (AEDs). Few studies have evaluated the
prevalence of seizure-related diagnoses as a risk factor for AED
administration in nursing homes. To assess the prevalence of AED use and of
epileptic seizures in the elderly nursing home residents in our country, we
considered age and gender data, functional status (measured by the Barthel's
Index), drugs currently administered on a scheduled basis, clinical
diagnoses from the patient's chart including possible history of epileptic
seizures, of all subjects aged 60 years and over living in 21 federated
nursing homes in the province of Pavia, Northern Italy. Data relating to
2.001 subjects (77.5 % females) were collected over a 4-month period
(September-December 2000). Eighty-seven of the 2.001 residents (4.3%; 5.3%
of all the males and 4.0% of all the females) were taking AEDs and 58 (3.5%
of all the males and 2.7% of all the females), all of them under treatment
with at least one AED, had epileptic seizures in their history. Both these
subgroups had a mean modified Barthel's Index score significantly lower than
that of the population as a whole. Phenobarbitone was the most frequently
prescribed AED, and the penetration of newer AEDs was minimal. Subjects in
early old age (60-74 years) were more likely than older subjects to take an
AED. Logistic regression indicated a significant association between
seizures reports, a younger age and a history of cerebrovascular events,
alcohol abuse and meningiomas. The prevalence of AED use in this study was
lower than that found by previous U.S. studies: nevertheless, our data
confirm male gender and early old age as factors associated with AED taking
in elderly nursing home residents. In our series AED users showed a lower
level of autonomy. Taken together, our data suggest that an earlier
institutionalization of seizure subjects could be facilitated by the
clustering of various conditions, such as seizures, cerebrovascular events,
other clinical disorders and a possibly inappropriate anticonvulsant
treatment. © 2005 Elsevier B.V. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anticonvulsive agent (drug therapy)
EMTREE DRUG INDEX TERMS
carbamazepine (drug therapy)
clonazepam (drug therapy)
diazepam (drug therapy)
phenobarbital (drug therapy)
phenytoin (drug therapy)
primidone (drug therapy)
valproic acid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
seizure (drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol abuse
Barthel index
cerebrovascular disease
conference paper
controlled study
disease association
elderly care
female
groups by age
health survey
human
Italy
logistic regression analysis
major clinical study
male
medical record
meningioma
nursing home patient
population research
prescription
prevalence
priority journal
scoring system
sex difference
United States
CAS REGISTRY NUMBERS
carbamazepine (298-46-4, 8047-84-5)
clonazepam (1622-61-3)
diazepam (439-14-5)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
phenytoin (57-41-0, 630-93-3)
primidone (125-33-7)
valproic acid (1069-66-5, 99-66-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Epilepsy Abstracts (50)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006016708
MEDLINE PMID
16330188 (http://www.ncbi.nlm.nih.gov/pubmed/16330188)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.eplepsyres.2005.09.031
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 659
TITLE
School nurses' opinions about the prevention of tobacco use
AUTHOR NAMES
Reinert B.
Carver V.
Range L.M.
AUTHOR ADDRESSES
(Reinert B.; Carver V.; Range L.M., L.Range@usm.edu) University of Southern
Mississippi, Ocean Springs, MS, United States.
(Range L.M., L.Range@usm.edu) University of Southern Mississippi, Box 5125,
Hattiesburg, MS 39406-5025, United States.
CORRESPONDENCE ADDRESS
L.M. Range, University of Southern Mississippi, Box 5125, Hattiesburg, MS
39406-5025, United States. Email: L.Range@usm.edu
SOURCE
Journal of Community Health Nursing (2005) 22:4 (205-211). Date of
Publication: Winter 2005
ISSN
0737-0016
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
To further understand school nurses' tobacco policy beliefs and attitudes
toward tobacco companies, a convenience sample of 53 school nurses completed
questionnaires about antitobacco policies and attitudes toward tobacco
companies. Overall, these nurses strongly agreed with tobacco policies such
as banning youths from wearing clothing with a tobacco logo to school and
fining restaurant owners who permit smoking. In addition, these nurses on
average were negative toward tobacco companies. For example, they thought
that tobacco companies and advertising leads to youth tobacco use. However,
this group of school nurses thought that youths were basically neutral
toward tobacco companies. Considering their professional experience with
tobacco prevention at school, school nurses would be logical designers of
tobacco prevention school interventions. An implication of these results(1)
is that school nurse education should include policy and activism
components. Copyright © 2005, Lawrence Erlbaum Associates, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
school
smoking habit
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
advertizing
article
attitude
catering service
education program
female
health care policy
human
human experiment
normal human
primary prevention
public opinion
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005535853
MEDLINE PMID
16245972 (http://www.ncbi.nlm.nih.gov/pubmed/16245972)
FULL TEXT LINK
http://dx.doi.org/10.1207/s15327655jchn2204_3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 660
TITLE
The case for alcohol research as a focus of study by nurse researchers.
AUTHOR NAMES
Stevenson J.S.
Sommers M.S.
AUTHOR ADDRESSES
(Stevenson J.S.; Sommers M.S.) Graduate Program, Mount Carmel College of
Nursing, Columbus, OH, USA.
CORRESPONDENCE ADDRESS
J.S. Stevenson, Graduate Program, Mount Carmel College of Nursing, Columbus,
OH, USA.
SOURCE
Annual review of nursing research (2005) 23 (3-26). Date of Publication:
2005
ISSN
0739-6686
ABSTRACT
Sixty percent of the U.S. population drinks alcohol. Although numerous
investigators have shown that low-volume alcohol intake has positive
influences on cardiovascular health, bone density, and cognition, there is a
fine line between positive, neutral, and negative ramifications of alcohol
consumption on health. Alcohol accounts for 7% of the global burden of
disease and injury from all causes and for 10% to 11% of all illnesses and
death each year worldwide. So alcohol use is a two-edged sword. Psychiatric
nurses have a long history of involvement with alcoholic patients, and
alcohol users, misusers, and abusers comprise a significant percentage of
the patient load in every specialty and subspecialty of nursing. Yet nursing
education has neglected this important area of content in general nursing
curricula, staff development has not trained mainstream nurses to routinely
assess for alcohol problems among hospital patients, and primary care
providers have failed to do case finding. During the past 25 years, the
federal government has funded curricular and faculty development programs to
bring alcohol information into the core of health provider training. The
process has been halting and minimally successful at best. One ramification
of the inattention to alcohol-related education is the dearth of
nurse-scientists engaged in programs of research in the field of alcohol
abuse. A federally funded faculty development program in the 1990s focused
attention on this issue, and a small cadre of nurses were trained to do
related research. Several of the authors in this volume are members of that
group. A brief overview of the focus of each of the remaining chapters in
this volume is presented. A rationale is provided for the importance of this
area of research for nursing knowledge and quality patient care in
essentially all areas of nursing practice. Finally, several burning research
questions are posed that would most appropriately be answered through
nursing research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drinking behavior
nursing research
EMTREE MEDICAL INDEX TERMS
article
curriculum
financial management
human
nursing
nursing education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16350761 (http://www.ncbi.nlm.nih.gov/pubmed/16350761)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 661
TITLE
Turning around the intergenerational impact of residential schools on
aboriginal people: Implications for health policy and practice
AUTHOR NAMES
Smith D.
Varcoe C.
Edwards N.
AUTHOR ADDRESSES
(Smith D.) University of Ottawa, Ont., Canada.
(Varcoe C.) School of Nursing, University of British Columbia, Vancouver,
BC, Canada.
(Edwards N.) School of Nursing, Department of Epidemiology and Community
Medicine, .
(Edwards N.) Community Health Research Unit, University of Ottawa, .
(Edwards N.) City of Ottawa Health Department, .
CORRESPONDENCE ADDRESS
D. Smith, University of Ottawa, Ont., Canada.
SOURCE
Canadian Journal of Nursing Research (2005) 37:4 (38-60). Date of
Publication: December 2005
ISSN
0844-5621
BOOK PUBLISHER
McGill University, School fof Nursing
ABSTRACT
This paper reports on the first wave of results from a. study exploring the
views and experiences of community-based stakeholders on improving care for
pregnant and parenting Aboriginal people in Canada. The issue of poor access
to prenatal care by Aboriginal women and families is viewed through a
post-colonial lens within a historical and social location. This case study
was guided by participatory research principles. Data were collected through
exploratory interviews and small-group discussions. The sample comprised
purposively selected community leaders, providers, and community members
affiliated with 2 Aboriginal health-care organizations in a mainly rural
region. Participants from all 3 stakeholder groups expressed the view that
care should be based on an understanding of the priorities and experiences
of the pregnant and parenting Aboriginal women and families themselves.
Therefore the research question What are Aboriginal parents' views of the
importance of pregnancy and parenting? was added to highlight the views and
life experiences of Aboriginal parents. "Turning around" the
intergenerational impact of residential schools was identified as pivotal to
care. The results suggest that pregnancy and parenting must be understood as
reflecting both the unique individual and family experiences of Aboriginal
people and the intergenerational impact of residential schools as an
instrument of collective violence and as a key factor in Aboriginal
Canadians' inequitable health status and access to health services. © McGill
University School of Nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American Indian
attitude to health
human relation
parent
prenatal care
school
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
Canada
compensation
consumer
cultural anthropology
cultural factor
ethnology
female
health care policy
health service
housing
human
information processing
male
nursing methodology research
organization and management
political system
poverty
psychological aspect
social psychology
violence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, French
MEDLINE PMID
16541818 (http://www.ncbi.nlm.nih.gov/pubmed/16541818)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 662
TITLE
The use of ergogenic agents in high school athletes.
AUTHOR NAMES
Rosenfield C.
AUTHOR ADDRESSES
(Rosenfield C.) Port Charlotte, FL, USA.
CORRESPONDENCE ADDRESS
C. Rosenfield, Port Charlotte, FL, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:6 (333-339). Date of Publication: Dec
2005
ISSN
1059-8405
ABSTRACT
Statistics reporting adolescent use of ergogenic agents are staggering.
According to the Centers for Disease Control and Prevention Youth Risk
Behavior Surveillance, 6.1% of students from grades 9 through 12 had taken
illegal anabolic steroids without a prescription one or more times during
their lifetime. Additionally, more adolescent athletes are using non-Food
and Drug Administration-regulated herbal supplements that claim ergogenic
benefits. Many athletes either are unaware of or do not consider the
possible health risks caused by these agents. School-based programs for
athletes may be successful in preventing the use of ergogenic agents by
increasing knowledge about such agents and offering skills in critical
thinking to improve decision-making skills.
EMTREE DRUG INDEX TERMS
anabolic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doping (prevention)
health promotion
EMTREE MEDICAL INDEX TERMS
adolescent
diet supplementation (adverse drug reaction)
evidence based medicine
female
human
male
methodology
review
risk factor
school health nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16285842 (http://www.ncbi.nlm.nih.gov/pubmed/16285842)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 663
TITLE
"My nurse taught me how to have a healthy baby and be a good mother:" Nurse
home visiting with pregnant women 1888 to 2005
AUTHOR NAMES
Dawley K.
Beam R.
AUTHOR ADDRESSES
(Dawley K., kd25@drexel.edu) Drexel University, College of Nursing and
Health Professions, 235 Pelham Road, Philadelphia, PA 19119, United States.
(Beam R.) National Nurse Family Partnership, 1900 Grant Street, Denver, CO
80203, United States.
CORRESPONDENCE ADDRESS
K. Dawley, Drexel University, College of Nursing and Health Professions, 235
Pelham Road, Philadelphia, PA 19119, United States. Email: kd25@drexel.edu
SOURCE
Nursing Clinics of North America (2005) 40:4 (803-815). Date of Publication:
December 2005
School-Based Health Centers and Nurse-Managed Health Centers, Book Series
Title:
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
Nurse home visiting with pregnant women and new mothers in the early decades
of the twentieth century was designed to improve birth and newborn outcomes,
hasten Americanization of immigrant mothers, and improve their parenting
skills (Fig. 4). Today the NFP home visitation program improves newborn and
child outcomes by positively influencing maternal role attainment and
significantly decreasing maternal smoking and other substance abuse, child
abuse and neglect, and children's emergency room visits. It also improves
life possibilities for vulnerable young women by decreasing the interval and
frequency of subsequent pregnancies and reduces dependence on welfare by
increasing workforce participation. The program's effects do not end with
the intervention. Long term follow-up in randomized controlled clinical
trials has shown that in adolescence children whose mothers were
participants in the NFP intervention had fewer arrests and convictions, less
drug use, and fewer sexual partners. Nurse-home visiting has always been a
practice with a higher level of independent nursing assessment and
decision-making. Over time, this nursing practice has been implemented by
independent nursing organizations such VNAs, nurse-run settlement houses,
and nurse-managed centers. Today the NFP outcomes show that this program of
home visitation, which is grounded in theories of child development,
attachment, and behavioral change, has the potential for reducing the
damaging and widespread problems experienced by low-income, vulnerable women
and their children. As a result, four states have committed to initiatives
funding statewide replication of this program, and together with 19 other
states without statewide initiatives, have developed replication sites in
250 counties nationwide. Today, Olds and colleagues in national and regional
offices, and NFP nurse home visitors around the country, work toward the
goal of making this program available to every vulnerable family in the
United States. Nurses, by maintaining fidelity to the NFP model, ensure that
its impact continues to change the life course trajectory for multiple
generations of families. © 2005 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
health education
home care
maternal care
nurse attitude
nurse patient relationship
EMTREE MEDICAL INDEX TERMS
female
history
human
infant welfare
maternal behavior
maternal welfare
newborn
pregnancy
review
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16324953 (http://www.ncbi.nlm.nih.gov/pubmed/16324953)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.cnur.2005.08.011
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 664
TITLE
Prevalence of physical and verbal aggressive behaviours and associated
factors among older adults in long-term care facilities
AUTHOR NAMES
Voyer P.
Verreault R.
Azizah G.M.
Desrosiers J.
Champoux N.
Bédard A.
AUTHOR ADDRESSES
(Voyer P., philippe.voyer@fsi.ulaval.ca; Azizah G.M.,
ginette.azizah@cha.quebec.qc.ca) Faculty of Nursing, Laval University,
Quebec City, Que., Canada.
(Verreault R., Rene.Verreault@msp.ulaval.ca) Faculty of Medicine, Laval
University, Quebec City, Que., Canada.
(Desrosiers J., johanne.desrosiers@USherbrooke.ca) Faculty of Medicine,
University of Sherbrooke, Sherbrooke, Que., Canada.
(Champoux N., nathalie.champoux@umontreal.ca) Faculty of Medicine,
University of Montréal, Montreal, Que., Canada.
(Bédard A., Annick.bedard@psy.ulava.ca) School of Psychology, Laval
University, Quebec City, Que., Canada.
CORRESPONDENCE ADDRESS
P. Voyer, Faculty of Nursing, Laval University, Quebec City, Que., Canada.
Email: philippe.voyer@fsi.ulaval.ca
SOURCE
BMC Geriatrics (2005) 5 Article Number: 13. Date of Publication: 10 Nov 2005
ISSN
1471-2318
1471-2318 (electronic)
BOOK PUBLISHER
BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
Background: Verbal and physical aggressive behaviours are among the most
disturbing and distressing behaviours displayed by older patients in
long-term care facilities. Aggressive behaviour (AB) is often the reason for
using physical or chemical restraints with nursing home residents and is a
major concern for caregivers. AB is associated with increased health care
costs due to staff turnover and absenteeism. Methods: The goals of this
secondary analysis of a cross-sectional study are to determine the
prevalence of verbal and physical aggressive behaviours and to identify
associated factors among older adults in long-term care facilities in the
Quebec City area (n = 2 332). Results: The same percentage of older adults
displayed physical aggressive behaviour (21.2%) or verbal aggressive
behaviour (21.5%), whereas 11.2% displayed both types of aggressive
behaviour. Factors associated with aggressive behaviour (both verbal and
physical) were male gender, neuroleptic drug use, mild and severe cognitive
impairment, insomnia, psychological distress, and physical restraints.
Factors associated with physical aggressive behaviour were older age, male
gender, neuroleptic drug use, mild or severe cognitive impairment, insomnia
and psychological distress. Finally, factors associated with verbal
aggressive behaviour were benzodiazepine and neuroleptic drug use,
functional dependency, mild or severe cognitive impairment and insomnia.
Conclusion: Cognitive impairment severity is the most significant
predisposing factor for aggressive behaviour among older adults in long-term
care facilities in the Quebec City area. Physical and chemical restraints
were also significantly associated with AB. Based on these results, we
suggest that caregivers should provide care to older adults with AB using
approaches such as the progressively lowered stress threshold model and
reactance theory which stress the importance of paying attention to the
severity of cognitive impairment and avoiding the use of chemical or
physical restraints. © 2005 Voyer et al; licensee BioMed Central Ltd.
EMTREE DRUG INDEX TERMS
benzodiazepine (adverse drug reaction)
neuroleptic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aggression
behavior disorder (side effect)
verbal behavior
EMTREE MEDICAL INDEX TERMS
absenteeism
aged
article
Canada
caregiver
cognitive defect
controlled study
disease predisposition
disease severity
distress syndrome
drug use
female
gender
health care cost
health care personnel
human
immobilization
insomnia
long term care
major clinical study
male
nursing home
prevalence
senescence
sex difference
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005566741
MEDLINE PMID
16280091 (http://www.ncbi.nlm.nih.gov/pubmed/16280091)
FULL TEXT LINK
http://dx.doi.org/10.1186/1471-2318-5-13
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 665
TITLE
International nursing leadership related to the drugs phenomenon: a case
study of the partnership experience between the Inter-American Drug Abuse
Control Commission (CICAD) and the University of Alberta--Faculty of
Nursing.
AUTHOR NAMES
Wright M.G.
Caufield C.
Gray G.
Olson J.
Ludueña A.C.
Musayon Oblitas F.Y.
Huaiquian Silva J.
David H.M.
Piedra Chavez K.A.
Bernal Roldán M.C.
Cartana M.H.
Allonso Castillo M.M.
Pillon S.
Galera S.A.
Randuz V.
AUTHOR ADDRESSES
(Wright M.G.; Caufield C.; Gray G.; Olson J.; Ludueña A.C.; Musayon Oblitas
F.Y.; Huaiquian Silva J.; David H.M.; Piedra Chavez K.A.; Bernal Roldán
M.C.; Cartana M.H.; Allonso Castillo M.M.; Pillon S.; Galera S.A.; Randuz
V.) Inter-American Drug Abuse Control Commission, Organization of American
States.
CORRESPONDENCE ADDRESS
M.G. Wright, Inter-American Drug Abuse Control Commission, Organization of
American States.
SOURCE
Revista latino-americana de enfermagem (2005) 13 Spec No (1102-1117). Date
of Publication: 2005 Nov-Dec
ISSN
0104-1169
ABSTRACT
In this article, the authors discuss the value of international health in
advancing the nursing profession through the development of strong
leadership in the area of drug demand reduction. Paradigms for nursing
leadership are briefly reviewed and linked to the development of the
"International Nursing Leadership Institutes" organized by the
Inter-American Commission for the Control of Drug Abuse (CICAD). The
"International Nursing Leadership Institutes" have facilitated the
implementation of Phase III of the CICAD Schools of Nursing Project: a)
planning and implementing the first "International Research
Capacity-Building Program for Nurses to Study the Drug Phenomenon in Latin
America", b) development of Regional and National Strategic Plans for
Nursing Professionals in the Area of Demand Reduction in Latin America, and
c) preparation of a document that provides guidelines on how to include drug
content into undergraduate and graduate nursing curricula. The article also
brings reflections directly from several of the participants in the first
International Research Capacity-Building Program for Nurses to Study the
Drug Phenomenon in the Americas, offered in collaboration with the Faculty
of Nursing at the University of Alberta in Edmonton, Canada. These
reflections demonstrate the multiplicity of ways in which this
capacity-building program has made it easier for these members of Latin
American Schools of Nursing to show leadership in the area of drug demand
reduction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
international cooperation
nursing education
nursing research
EMTREE MEDICAL INDEX TERMS
Argentina
article
Brazil
Canada
Chile
Colombia
comparative study
curriculum
Ecuador
human
leadership
Mexico
Peru
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16501780 (http://www.ncbi.nlm.nih.gov/pubmed/16501780)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 666
TITLE
International Research Capacity-Building Programs for Nurses to Study the
Drug Phenomenon in Latin America: challenges and perspectives.
AUTHOR NAMES
Wright M.G.
Caufield C.
Gray G.
Olson J.
AUTHOR ADDRESSES
(Wright M.G.; Caufield C.; Gray G.; Olson J.) Inter-American Drug Abuse
Control Commission/CICAD-Organization of American States.
CORRESPONDENCE ADDRESS
M.G. Wright, Inter-American Drug Abuse Control Commission/CICAD-Organization
of American States.
SOURCE
Revista latino-americana de enfermagem (2005) 13 Spec No (1095-1101). Date
of Publication: 2005 Nov-Dec
ISSN
0104-1169
ABSTRACT
The First International Research Capacity-Building Program for Nurses to
Study the Drug Phenomenon in the Americas is a result of a partnership
between the Inter-American Drug Abuse Control Commission (CICAD) of the
Organization of American States (OAS) and the Faculty of Nursing in the
University of Alberta, with financial support from the Government of Canada.
The program was divided into two parts. The first part of the program was
held at the University of Alberta in Edmonton, Alberta, Canada. It involved
capacity-building in research methodologies at the Faculty of Nursing, which
lead to the preparation of four multi-centric research proposals for drug
demand reduction in the home countries of the eleven participants in the
program. The second part of the program was related to the implementation of
multi-centric research proposals in seven countries in Latin America and in
Canada. This program presented expertise in research methodology to members
of Latin American Schools of Nursing and introduced Latin American expertise
to members of a Canadian Faculty of Nursing. The International Research
Capacity-Building Program for Nurses to Study the Drug Phenomenon in the
Americas has fostered the kind of inter-cultural respect and mutual
appreciation necessary to confront the global health problem of the abuse of
both licit and illicit drugs.
EMTREE DRUG INDEX TERMS
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
international cooperation
nursing education
nursing research
EMTREE MEDICAL INDEX TERMS
article
Canada
human
program development
South and Central America
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16501779 (http://www.ncbi.nlm.nih.gov/pubmed/16501779)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 667
TITLE
New NRT licensing: Changing our advice to patients
AUTHOR ADDRESSES
SOURCE
British Journal of Cardiology (2005) 12:6 (434-435). Date of Publication:
Nov 2005
ISSN
0969-6113
ABSTRACT
With UK smoking prevalence showing little evidence of further decline, new
initiatives are needed to meet the government target of a 21% reduction in
smoking in the next five years. Jennifer Percival, the Royal College of
Nursing Tobacco Policy Manager, reports on a new strategy which involves
cutting down on cigarettes with the use of nicotine replacement therapy,
before stopping completely, which is showing promise in increasing the
number of smokers giving up.
EMTREE DRUG INDEX TERMS
nicorette gum
nicorette inhalator
nicotine
nicotine gum (clinical trial, drug therapy)
placebo
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nicotine replacement therapy
smoking cessation
tobacco dependence (drug therapy, prevention, rehabilitation)
EMTREE MEDICAL INDEX TERMS
article
Australia
cardiovascular risk
clinical practice
clinical trial
drug marketing
Europe
government
health care planning
health care policy
health practitioner
health program
health survey
human
ischemic heart disease
licensing
managed care
national health service
nursing
prescription
prevalence
smoking
smoking habit
treatment indication
United Kingdom
United States
DRUG TRADE NAMES
nicorette gum
nicorette inhalator
CAS REGISTRY NUMBERS
nicotine gum (96055-45-7)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006006792
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 668
TITLE
Pain management in the neonatal intensive care unit: A national survey in
Italy
AUTHOR NAMES
Lago P.
Guadagni A.
Merazzi D.
Ancora G.
Bellieni C.V.
Cavazza A.
AUTHOR ADDRESSES
(Lago P., lago@pediatria.unipd.it) Neonatal Intensive Care Unit, Department
of Pediatrics, University of Padova, Padova, Italy.
(Guadagni A.) Neonatal Intensive Care Unit, Bambino Gesù Paediatric
Hospital, Roma, Italy.
(Merazzi D.) Neonatal Intensive Care Unit, Sant' Anna Hospital, Como, Italy.
(Ancora G.) Neonatal Intensive Care Unit, S. Orsola-Malpighi Hospital,
University of Bologna, Bologna, Italy.
(Bellieni C.V.) Department of Pediatrics, Obstetrics and Reproduction
Medicine, Policlinico Le Scotte, University of Siena, Siena, Italy.
(Cavazza A.) Neonatal Intensive Care Unit, Spedali Civili Hospital, Brescia,
Italy.
(Lago P., lago@pediatria.unipd.it) Neonatal Intensive Care Unit, Department
of Pediatrics, University of Padova, Via Giustiniani, 3, 35128 Padova,
Italy.
CORRESPONDENCE ADDRESS
P. Lago, Neonatal Intensive Care Unit, Department of Pediatrics, University
of Padova, Via Giustiniani, 3, 35128 Padova, Italy. Email:
lago@pediatria.unipd.it
SOURCE
Paediatric Anaesthesia (2005) 15:11 (925-931). Date of Publication: November
2005
ISSN
1155-5645
1460-9592 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Background: This study assessed current medical practice in preventative
analgesia and sedation for invasive procedures in neonatal intensive care
units (NICU) in Italy. Methods: A questionnaire was sent to level II and III
Italian NICUs to investigate pain management, pharmacological treatment and
the use of pain scores during invasive procedures. Main outcome measures
were the extent to which analgesia and sedation are currently used for
invasive procedures in Italian neonatal units. Results: The rate of response
to the questionnaire was 88%. Written guidelines were available on acute
pain control in 25% of the NICUs, and on prolonged pain control in 50%.
Routine use of preventative pharmacological and nonpharmacological measures
for painful procedures ranged from 13% for elective tracheal intubation to
68% for chest tube insertion. Thirty-six percent of NICUs routinely use
sedation with opioids for mechanical ventilation; 14% prevent distress and
pain for tracheal suctioning, 44% for heel lancing, 50% for venepuncture and
percutaneous venous catheter insertion; 58% use analgesia before lumbar
puncture. Validated pain assessment scores were used by 19% of NICUs.
Conclusions: The need for adequate analgesia is still underestimated.
Further information on the safety of analgesics in neonatology is
imperative, as is an adequate education of physicians and nurses on the use
of pain control guidelines as part of the standard of care in the NICU. ©
2005 Blackwell Publishing Ltd.
EMTREE DRUG INDEX TERMS
analgesic agent (drug combination, drug therapy)
atropine (drug combination, drug dose, drug therapy, intravenous drug
administration)
benzodiazepine derivative (adverse drug reaction, drug combination, drug
dose, drug therapy, intravenous drug administration, oral drug
administration)
chloral hydrate (drug dose, drug therapy, oral drug administration)
codeine (drug combination, drug therapy)
diazepam (adverse drug reaction, drug combination, drug dose, drug therapy,
intravenous drug administration, oral drug administration)
EMLA (drug therapy)
fentanyl (drug combination, drug dose, drug therapy, intravenous drug
administration)
ketamine (drug dose, drug therapy, intravenous drug administration)
lidocaine (drug therapy)
local anesthetic agent (drug therapy)
midazolam (adverse drug reaction, drug combination, drug dose, drug therapy,
intravenous drug administration, oral drug administration)
mivacurium (drug combination, drug dose, drug therapy, intravenous drug
administration)
morphine (adverse drug reaction, drug combination, drug dose, drug therapy,
intravenous drug administration)
muscle relaxant agent (drug combination, drug dose, drug therapy)
opiate (adverse drug reaction, drug combination, drug dose, drug therapy,
intravenous drug administration)
paracetamol (drug combination, drug therapy)
sedative agent (drug combination, drug dose, drug therapy)
suxamethonium (drug combination, drug therapy)
tramadol (adverse drug reaction, drug dose, drug therapy, oral drug
administration)
vecuronium (drug combination, drug dose, drug therapy, intravenous drug
administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
newborn intensive care
pain (drug therapy, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
addiction (side effect)
analgesia
apnea (side effect)
article
artificial ventilation
bradycardia (side effect)
child care
constipation (side effect)
endotracheal intubation
health survey
human
hypotension (side effect)
infant
invasive procedure
Italy
lumbar puncture
medical education
medical practice
muscle rigidity (side effect)
myoclonus seizure (side effect)
newborn
outcome assessment
pacifier
pain assessment
paralytic ileus (side effect)
practice guideline
priority journal
questionnaire
respiration depression (side effect)
sedation
suction
thorax wall defect (side effect)
tube
urine retention (side effect)
vein catheterization
vein puncture
CAS REGISTRY NUMBERS
EMLA (101362-25-8)
atropine (51-55-8, 55-48-1)
chloral hydrate (302-17-0)
codeine (76-57-3)
diazepam (439-14-5)
fentanyl (437-38-7)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
lidocaine (137-58-6, 24847-67-4, 56934-02-2, 73-78-9)
midazolam (59467-70-8)
mivacurium (106791-40-6, 106861-44-3)
morphine (52-26-6, 57-27-2)
muscle relaxant agent (9008-44-0)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
paracetamol (103-90-2)
suxamethonium (306-40-1, 71-27-2)
tramadol (27203-92-5, 36282-47-0)
vecuronium (50700-72-6)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Anesthesiology (24)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006307704
MEDLINE PMID
16238551 (http://www.ncbi.nlm.nih.gov/pubmed/16238551)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1460-9592.2005.01688.x
COPYRIGHT
Copyright 2010 Elsevier B.V., All rights reserved.
RECORD 669
TITLE
Pain management: cognitive restructuring as a model for teaching nursing
students.
AUTHOR NAMES
McCaffrey R.
Zerwekh J.
Keller K.
AUTHOR ADDRESSES
(McCaffrey R.; Zerwekh J.; Keller K.) College of Nursing, Florida Atlantic
University, Boca Raton, FL 33431, USA.
CORRESPONDENCE ADDRESS
R. McCaffrey, College of Nursing, Florida Atlantic University, Boca Raton,
FL 33431, USA. Email: rmccaffr@fau.edu
SOURCE
Nurse educator (2005) 30:5 (226-230). Date of Publication: 2005 Sep-Oct
ISSN
0363-3624
ABSTRACT
Nursing students often have fear and anxiety about managing pain. The most
common misconceptions include fear that patients in acute pain are easily
addicted to pain medication, persons who are alert experience side effects
from medication such as respiratory depression, and pain is inevitable and
cannot completely be relieved. Cognitive restructuring is a method of
changing behavior that focuses on identifying misconceptions, influencing
distorted thinking, and thereby diminishing anxiety and promoting reasoned
practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognitive therapy
nursing education
nursing student
pain
teaching
EMTREE MEDICAL INDEX TERMS
educational model
human
methodology
nursing
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16170266 (http://www.ncbi.nlm.nih.gov/pubmed/16170266)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 670
TITLE
Attitudes of swedish general practitioners and nurses to working with
lifestyle change, with special reference to alcohol consumption
AUTHOR NAMES
Geirsson M.
Bendtsen P.
Spak F.
AUTHOR ADDRESSES
(Geirsson M., magnus.geirsson@vgregion.se) Norrmalms Health Center, Skövde,
Sweden.
(Bendtsen P.) Faculty of Health Sciences, Department of Health and
Environment, University of Linköping, Linköping, Sweden.
(Spak F.) Department of Social Medicine, Institute of Community Medicine,
Göteborg University, Göteborg, Sweden.
(Geirsson M., magnus.geirsson@vgregion.se) Ekängsvägen 15, 541 40 Skövde,
Sweden.
CORRESPONDENCE ADDRESS
M. Geirsson, Ekängsvägen 15, 541 40 Skövde, Sweden. Email:
magnus.geirsson@vgregion.se
SOURCE
Alcohol and Alcoholism (2005) 40:5 (388-393). Date of Publication: September
2005
ISSN
0735-0414
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
Aims: To explore the attitudes of Swedish general practitioners (GPs) a nd
nurses to secondary alcohol prevention (early identification of, and
intervention for, alcohol-related problems) and compare it to their
attitudes to other important lifestyle behaviours such as smoking, stress,
exercise, and overweight. Methods: An adjusted version of The WHO
Collaborative Study Questionnaire for General Practitioners was posted to
all GPs and nurses in the County of Skaraborg, Sweden; 68 GPs and 193 nurses
responded. Results: The importance of drinking alcohol moderately,
counselling skills on reducing alcohol consumption and perceived current
effectiveness in helping patients change lifestyle behaviours ranked lower
than working with all the other lifestyle behaviours. The nurses rated their
potential effectiveness in helping patients change lifestyle higher than
that of GPs for all the lifestyle behaviours. Nurses receiving more
alcohol-related education had more positive attitudes than nurses with less
education. For alcohol, the GPs assessed their role adequacy, role
legitimacy and motivation higher than that of the nurses. The main obstacles
for the GPs to carry out alcohol intervention were lack of training in
counselling for reducing alcohol consumption, time constraints, and the fact
that the doctors did not know how to identify problem drinkers who have no
obvious symptoms of excess consumption. Conclusion: GPs and the nurses
estimated their alcohol-related competence as lower than working with many
other health-related lifestyles. These results can be explained by lack of
practical skills, lack of training in suitable intervention techniques, and
unsupportive working environments. All these elements must be considered
when planning secondary alcohol prevention programs in primary health care.
© The Author 2005. Published by Oxford University Press on behalf of the
Medical Council on Alcohol. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
lifestyle
nursing
physician attitude
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
competence
doctor patient relation
female
general practitioner
health program
health promotion
human
male
motivation
nurse patient relationship
nurse practitioner
patient counseling
postgraduate education
primary health care
primary prevention
priority journal
questionnaire
Sweden
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005393392
MEDLINE PMID
16043435 (http://www.ncbi.nlm.nih.gov/pubmed/16043435)
FULL TEXT LINK
http://dx.doi.org/10.1093/alcalc/agh185
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 671
TITLE
Smoking and depressive symptoms in a college population.
AUTHOR NAMES
Lee Ridner S.
Staten R.R.
Danner F.W.
AUTHOR ADDRESSES
(Lee Ridner S.; Staten R.R.; Danner F.W.) School of Nursing, University of
Louisville, Louisville, KY, USA.
CORRESPONDENCE ADDRESS
S. Lee Ridner, School of Nursing, University of Louisville, Louisville, KY,
USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:4 (229-235). Date of Publication: Aug
2005
ISSN
1059-8405
ABSTRACT
A number of studies have documented the relationship between smoking and
depression in adolescent and adult populations. The purpose of this study
was to examine the level of depressive symptoms among college-age smokers
and to determine whether or not increases in cigarette use were associated
with increases in the number of depressive symptoms. A non-experimental
cross-sectional design was used. Of the random sample (N = 895), 28% were
current smokers, and more than 26% of the total sample reported high levels
of depressive symptoms. Current smokers were more likely to report an
increased level of depressive symptoms than nonsmokers were. Correlates of
depressive symptoms included grade point average, marijuana use, and
increased work hours. When controlling for these variables, the number of
days smoked was predictive of depressive symptoms. School nurses have an
important role in preventing smoking and treating smokers, as well as in
preparing adolescents for the transition to college where many begin
smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (epidemiology)
health status
smoking (epidemiology)
student
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
cross-sectional study
female
human
male
nursing
peer group
psychological aspect
regression analysis
risk factor
statistics
tobacco dependence (epidemiology)
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16048368 (http://www.ncbi.nlm.nih.gov/pubmed/16048368)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 672
TITLE
Nightlife and health.
AUTHOR NAMES
Knott G.
AUTHOR ADDRESSES
(Knott G.) Gateshead NHS.
CORRESPONDENCE ADDRESS
G. Knott, Gateshead NHS.
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2005)
19:46 (67). Date of Publication: 2005 Jul 27-Aug 2
ISSN
0029-6570
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
leisure
EMTREE MEDICAL INDEX TERMS
education
emergency nursing
human
methodology
note
nurse attitude
nursing staff
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16097200 (http://www.ncbi.nlm.nih.gov/pubmed/16097200)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 673
TITLE
Formal education and nurses' attitudes towards alcohol and alcoholism in a
Brazilian sample
AUTHOR NAMES
Pillon S.C.
Laranjeira R.R.
AUTHOR ADDRESSES
(Pillon S.C., pillon@eerp.usp.br) Department of Psychiatric Nursing and
Human Sciences, Nursing School of Ribeirão Preto, University of São Paulo,
Av. Bandeirantes 3900, Ribeirão Preto, SP 14040-902, Brazil.
(Laranjeira R.R.) Department of Psychiatry and Medical Psychology,
Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo,
Brazil.
CORRESPONDENCE ADDRESS
S.C. Pillon, Escola de Enfermagem de Ribeirão Preto, Universidade de São
Paulo, Av. Bandeirantes 3900, Ribeirão Preto, SP 14040-902, Brazil. Email:
pillon@eerp.usp.br
SOURCE
Sao Paulo Medical Journal (2005) 123:4 (175-180). Date of Publication: 7 Jul
2005
ISSN
1516-3180
BOOK PUBLISHER
Associacao Paulista de Medicina, Av. Brig. Luiz Antonio 278 - 7o andar, Sao
Paulo, Brazil.
ABSTRACT
Context and objective: Nurses are one of the largest groups of healthcare
professionals sharing in patient care responsibilities, including caring for
those who use and abuse psychoactive substances. The objective was to
evaluate the theoretical-practical knowledge acquired by nurses in
undergraduate and postgraduate studies and their perceptions about alcohol
users. Design and setting: Quantitative, descriptive survey at Universidade
Federal de São Paulo - Escola Paulista de Medicina and Hospital São Paulo.
Methods: The sample included nurses, students and nursing teachers. The
survey included questions about sociodemographic characteristics; a nurses'
attitudes and beliefs scale; and a questionnaire to identify formal nursing
education on the use of alcohol and its consequences. Results: 59.7% out of
319 volunteers were nurses, 22.7% were nursing teachers and 17.6% were
nursing students. 70% of the participants had received little or no
information on physical, family and social problems related to alcohol use;
87% had received little or no information on high risk related to specific
segments of the population; 95% had received little or no information on
nursing procedures for alcohol-abuse patients. Conclusion: Formal education
regarding the use of alcohol and its consequences is limited, especially
with regard to offering adequate care and management for patients who have
problems with or are addicted to alcohol. Copyright © 2005, Associação
Paulista de Medicina.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nurse attitude
nursing education
patient care
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
Brazil
competence
demography
health survey
human
quantitative analysis
questionnaire
risk assessment
risk factor
social belief
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2005447285
MEDLINE PMID
16389415 (http://www.ncbi.nlm.nih.gov/pubmed/16389415)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 674
TITLE
Smoking prevalence and attitudes toward tobacco among student and staff
nurses in Niigata, Japan
AUTHOR NAMES
Sekijima K.
Seki N.
Suzuki H.
AUTHOR ADDRESSES
(Sekijima K., sekijima@clg.niigata-u.ac.jp; Seki N.; Suzuki H.) Department
of Public Health, Graduate School of Medical and Dental Sciences, Niigata,
Japan.
(Sekijima K., sekijima@clg.niigata-u.ac.jp) Department of Nursing, Faculty
of Medicine, Niigata University, 2-746 Asahimachi-Dori, Niigata 951-8518,
Japan.
CORRESPONDENCE ADDRESS
K. Sekijima, Department of Nursing, Faculty of Medicine, Niigata University,
2-746 Asahimachi-Dori, Niigata 951-8518, Japan. Email:
sekijima@clg.niigata-u.ac.jp
SOURCE
Tohoku Journal of Experimental Medicine (2005) 206:3 (187-194). Date of
Publication: July 2005
ISSN
0040-8727
BOOK PUBLISHER
Tohoku University Medical Press, 2-1 Seiryomachi, Aoba-ku, Sendai, Japan.
ABSTRACT
The present study investigated smoking prevalence and attitudes toward
smoking in student and staff nurses, and activities to promote tobacco
intervention by staff nurses. A total of 743 student nurses in 2 colleges
and one university and 490 staff nurses in the university hospital in
Niigata, Japan participated in the study and filled in self-administered
anonymous questionnaires focused on smoking habits, attitudes toward
smoking, and activities to promote tobacco intervention. The smoking
prevalence among student nurses was 6% and increased with the year of study,
whereas that of among staff nurses was 16% and increased by employment up to
3-5 years. Almost half of the student nurse smokers started the habit before
admission to higher education facilities, and more than half of staff
smokers also started smoking in their school years, in high school or
college. Nicotine dependence, as defined by over 11 cigarettes per day and
the first cigarette within 30 min after getting up, was high in smokers who
started smoking before admission to college or university, but not in those
who took up the habit thereafter. Thirty-six percent of student nurses and
25% of staff nurses agreed with the statement that "nurses should not
smoke." Only 12% of staff nurses were involved in anti-tobacco interventions
routinely, partly due to lack of broad knowledge and the necessary skills.
Greater efforts are needed as a high priority to educate student and staff
nurses systematically and comprehensively about the range of tobacco
interventions available in Japan. © 2005 Tohoku University Medical Press.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
smoking
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adult
article
female
health education
health promotion
human
Japan
major clinical study
medical personnel
nursing staff
prevalence
questionnaire
smoking cessation
smoking habit
university hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005288511
MEDLINE PMID
15942144 (http://www.ncbi.nlm.nih.gov/pubmed/15942144)
FULL TEXT LINK
http://dx.doi.org/10.1620/tjem.206.187
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 675
TITLE
Brief interventions for alcohol problems in hospital settings.
AUTHOR NAMES
Foster J.
Heather N.
AUTHOR ADDRESSES
(Foster J.; Heather N.) Department of Mental Health, Middlesex University,
London.
CORRESPONDENCE ADDRESS
J. Foster, Department of Mental Health, Middlesex University, London.
SOURCE
Nursing times (2005) 101:26 (38-41). Date of Publication: 2005 Jun 28-Jul 4
ISSN
0954-7762
ABSTRACT
Many patients present to general hospitals with alcohol-related problems,
but most of them are not identified as such. This article summarises the
evidence base for screening and brief interventions delivered by nurses in
general hospital medical/surgical wards and A&E departments. It also
suggests how screening and brief interventions can operate in these
environments.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
counseling
mass screening
patient education
EMTREE MEDICAL INDEX TERMS
attitude to health
hospital patient
human
nurse attitude
nursing
organization and management
primary health care
psychological aspect
psychotherapy
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16010843 (http://www.ncbi.nlm.nih.gov/pubmed/16010843)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 676
TITLE
Long-term treatment for patients with severe mental illness and substance
abuse
AUTHOR NAMES
Blix O.
Eek U.
AUTHOR ADDRESSES
(Blix O.; Eek U.) Addiction Medicine Unit, Department of Psychiatry, County
Hospital, Jonkoping, Sweden.
(Blix O.) D.D. Department of Psychiatry, County Hospital, Ryhov, SE-551 85
Jonkoping, Sweden.
CORRESPONDENCE ADDRESS
O. Blix, D.D. Department of Psychiatry, County Hospital, Ryhov, SE-551 85
Jonkoping, Sweden.
SOURCE
Heroin Addiction and Related Clinical Problems (2005) 7:2 (11-18). Date of
Publication: Jun 2005
ISSN
1592-1638
ABSTRACT
Drug and alcohol addiction is common among patients with severe mental
illness. Those patients often fall between different treatment systems.
Since 1994 a long-term treatment for patients with this kind of "Dual
Diagnosis" has been going on in the city of Jonkoping, Sweden. It is a joint
programme with staff both from the local social services and the psychiatric
clinic. A team of six people, three social workers and three nurses with
special education in psychiatry, are working with a group of at most 35-40
patients. A stepwise treatment lasts for a minimum of 3 years, after a model
constructed and evaluated in the U.S. (Meuser and Drake, New Hampshire). The
aim of the treatment is enduring retention leading to the stabilization of
both problem areas. The treatment goals are set by each client. Great
attention is given to training in social skills. Between 1994 and 2004, 82
patients in all were in the treatment programme. The results of the
treatment programme are presented.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
benzodiazepine
cannabis
diamorphine
illicit drug
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
heroin dependence (diagnosis, therapy)
mental disease (diagnosis, therapy)
opiate addiction (diagnosis, therapy)
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (diagnosis, therapy)
adult
article
bipolar disorder (diagnosis)
borderline state (diagnosis)
comorbidity
disease severity
female
human
long term care
major clinical study
major depression (diagnosis)
male
mental health care
multiple drug abuse (diagnosis, therapy)
nurse
patient counseling
priority journal
psychiatrist
schizoaffective psychosis (diagnosis)
schizophrenia (diagnosis)
schizotypal personality disorder (diagnosis)
social worker
treatment outcome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
benzodiazepine (12794-10-4)
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005316240
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 677
TITLE
Patient's education by nurse: What we really do achieve?
AUTHOR NAMES
González B.
Lupón J.
Herreros J.
Urrutia A.
Altimir S.
Coll R.
Prats M.
Valle V.
AUTHOR ADDRESSES
(González B.; Lupón J., jlupon@ns.hugtip.scs.es; Herreros J.; Urrutia A.;
Altimir S.; Coll R.; Prats M.; Valle V.) Unitat d'Insuficiència Cardíaca,
Servei de Cardiologia, Hospital Universitari Germans Trias I Pujol,
Carretera del Canyet s/n, 08916 Badalona, Spain.
CORRESPONDENCE ADDRESS
J. Lupón, Unitat d'Insuficiència Cardíaca, Servei de Cardiologia, Hospital
Universitari Germans Trias I Pujol, Carretera del Canyet s/n, 08916
Badalona, Spain. Email: jlupon@ns.hugtip.scs.es
SOURCE
European Journal of Cardiovascular Nursing (2005) 4:2 (107-111). Date of
Publication: June 2005
ISSN
1474-5151
BOOK PUBLISHER
Elsevier, P.O. Box 211, Amsterdam, Netherlands.
ABSTRACT
Aim: To evaluate what is really achieved with nurse education in an
outpatient heart failure population. Method: The answers obtained in a nurse
questionnaire performed at the first visit to the Unit and at 1 year of
follow-up were compared. The questionnaire was addressed to know how
compliant patients were and how much they knew about their disease and their
treatment. Results: Two hundred and ninety eight patients (219 men and 79
women) were evaluated. Baseline mean age was 65 years (35-86). At first
visit only 30% knew and understood the performance of the heart; 56% at 1
year (p < 0.001). Only 28% initially understood the disease; 55% at
follow-up (p < 0.001). Awareness of more than 3 worsening signs increased
from 66.5% to 86.5% (p < 0.001). Knowledge of the names of all the pills
they were receiving increased from 33% to 44% (p < 0.001), of the action of
these pills from 24% to 44% (p < 0.001), and of how to use nitroglycerine
among patients with ischemic heart disease from 87% to 96% (p < 0.001).
Initially 63% monitored their weight only at the medical visit and 21%
monitored it at least once a week; at 1 year these percentages were 16% and
39% respectively (p < 0.001). At baseline 45% checked blood pressure only at
the medical visit and 28.5% checked it at least once a week; at 1 year these
percentages were 12% and 43% (p < 0.001). Whereas no significant differences
were found in sodium restricted diet compliance, exercise performance
increased slightly although statistically significantly (p = 0.01). The
great majority of patients never or only very rarely smoked or drunk
alcoholic beverages, both at first visit and at 1 year, although both habits
increased slightly during follow-up. No significant differences in treatment
compliance (92% vs. 88% were taking all the medications prescribed) were
found. Conclusion: Nurse-guided education has changed self-care behaviour of
patients with heart failure in several important aspects, as weight and
blood monitoring, and has increased their knowledge and understanding of the
disease and treatment. However, these improvements have not been reflected
in a better compliance of treatment and sodium restricted diet. Such aspects
need more and more work to obtain better results. © 2005 European Society of
Cardiology. Published by Elsevier B.V. All rights reserved.
EMTREE DRUG INDEX TERMS
glyceryl trinitrate (sublingual drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heart failure
nursing
patient education
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol consumption
article
awareness
blood pressure monitoring
body weight
controlled study
exercise
female
follow up
heart function
human
ischemic heart disease
male
nurse
outpatient
patient compliance
prescription
priority journal
questionnaire
smoking habit
sodium restriction
statistical significance
CAS REGISTRY NUMBERS
glyceryl trinitrate (55-63-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005232733
MEDLINE PMID
15904880 (http://www.ncbi.nlm.nih.gov/pubmed/15904880)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ejcnurse.2005.03.006
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 678
TITLE
Nursing students' personal experiences involving alcohol problems
AUTHOR NAMES
Murphy-Parker D.
Martinez R.J.
AUTHOR ADDRESSES
(Murphy-Parker D., dmp334@nyu.edu) Division of Nursing, Steinhardt School of
Education, 246 Greene Street, New York, NY 10009, United States.
(Martinez R.J.)
CORRESPONDENCE ADDRESS
D. Murphy-Parker, Division of Nursing, Steinhardt School of Education, 246
Greene Street, New York, NY 10009, United States. Email: dmp334@nyu.edu
SOURCE
Archives of Psychiatric Nursing (2005) 19:3 (150-158). Date of Publication:
June 2005
ISSN
0883-9417
BOOK PUBLISHER
W.B. Saunders
ABSTRACT
This article discusses the views and beliefs of nursing students toward
people who abuse alcohol. An original study published in a separate article
[Archives of Psychiatric Nursing, (2003); (4)17: 156-164.] examined this
relationship with both a quantitative and a qualitative design. Three
open-ended questions allowed for further qualitative exploration about
relationships with others who have alcohol problems and beliefs about
recovery. The chronic nature of alcoholism was clearly identified by
students who described it as a lifelong process. Most students (79%)
expressed belief that recovery was possible whether they had personal
experience with people who have alcohol problems or not. The level of
optimism was surprisingly high in this sample of nursing students,
especially because many had had a personal experience with someone who
abused alcohol. Students come to the educational setting with a clear and
accurate view of the lifelong commitment that may be needed to recover from
alcohol addiction, but they also come with an overly optimistic view of
recovery. How this optimism impacts future care is unknown. If nursing
students hold an unrealistically positive view of recovery, they may be ill
prepared to handle the disappointments associated with treatment such as
relapse, interpersonal conflict, health deterioration, or other related
sequelae. © 2005 Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
convalescence
health status
human
medical education
medical personnel
nursing
qualitative analysis
quantitative analysis
questionnaire
relapse
review
sampling
treatment outcome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15991149 (http://www.ncbi.nlm.nih.gov/pubmed/15991149)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.apnu.2005.04.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 679
TITLE
What are the odds? Random drug testing of students: a legal perspective.
AUTHOR NAMES
Roach C.A.
AUTHOR ADDRESSES
(Roach C.A.) Rider Bennett, LLP, Minneapolis, MN, USA.
CORRESPONDENCE ADDRESS
C.A. Roach, Rider Bennett, LLP, Minneapolis, MN, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:3 (176-179). Date of Publication: Jun
2005
ISSN
1059-8405
ABSTRACT
Companion articles explore random drug testing programs in schools. The
first article addresses random drug testing of students from a legal
perspective. It describes legal issues and current case law regarding drug
testing programs in schools and commonly asked questions regarding these
programs. The second article addresses random drug testing of students from
a practice perspective. It explores arguments for and against random drug
testing programs and the role of the school nurse in policy and procedure
development.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
mandatory testing
school health nursing
school health service
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
child
child behavior
diagnostic test
human
legal aspect
nursing
organization and management
psychological aspect
review
school
standard
student
United States
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15898854 (http://www.ncbi.nlm.nih.gov/pubmed/15898854)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 680
TITLE
What are the odds? Random drug testing of students: a practice perspective.
AUTHOR NAMES
Hudlow R.
AUTHOR ADDRESSES
(Hudlow R.) Eden Prairie Schools, Eden Prairie, MN, USA.
CORRESPONDENCE ADDRESS
R. Hudlow, Eden Prairie Schools, Eden Prairie, MN, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:3 (179-181). Date of Publication: Jun
2005
ISSN
1059-8405
ABSTRACT
Companion articles explore random drug testing programs in schools. The
first article addresses random drug testing of students from a legal
perspective. It describes legal issues and current case law regarding drug
testing programs in schools and commonly asked questions regarding these
programs. The second article addresses random drug testing of students from
a practice perspective. It explores arguments for and against random drug
testing programs and the role of the school nurse in policy and procedure
development.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
mandatory testing
nurse attitude
school health nursing
school health service
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
child
child behavior
diagnostic test
human
nursing
organization and management
psychological aspect
review
school
standard
student
United States
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15898855 (http://www.ncbi.nlm.nih.gov/pubmed/15898855)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 681
TITLE
Fetal alcohol spectrum disorder.
AUTHOR NAMES
Caley L.M.
Kramer C.
Robinson L.K.
AUTHOR ADDRESSES
(Caley L.M.; Kramer C.; Robinson L.K.) School of Nursing, State University
of New York at Buffalo, Buffalo, NY, USA.
CORRESPONDENCE ADDRESS
L.M. Caley, School of Nursing, State University of New York at Buffalo,
Buffalo, NY, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:3 (139-146). Date of Publication: Jun
2005
ISSN
1059-8405
ABSTRACT
Fetal alcohol spectrum disorder (FASD) is a serious and widespread problem
in this country. Positioned within the community with links to children,
families, and healthcare systems, school nurses are a critical element in
the prevention and treatment of those affected by fetal alcohol spectrum
disorder. Although most school nurses are familiar with fetal alcohol
syndrome (FAS) and the problems it poses, they may not be familiar with the
newer term, fetal alcohol spectrum disorder. This article summarizes the
most recent information about FASD and recently published guidelines on
diagnostic criteria for FAS. Also outlined are primary, secondary, and
tertiary prevention activities school nurses can take to help assure that
children, families, and communities work to prevent the problem and to treat
the children affected by it.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child welfare
developmental disorder (diagnosis, prevention)
fetal alcohol syndrome (prevention)
nurse attitude
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
adult
chemically induced disorder
child
congenital malformation
education
female
health education
human
mental deficiency
nursing
pregnancy
primary prevention
review
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15898848 (http://www.ncbi.nlm.nih.gov/pubmed/15898848)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 682
TITLE
Evidence for smoking cessation: Implications for gender-specific strategies
AUTHOR NAMES
Singleton J.K.
Levin R.F.
Feldman H.R.
Truglio-Londrigan M.
AUTHOR ADDRESSES
(Singleton J.K., jsingleton@pace.edu) Institute for Healthy Aging, United
States.
(Levin R.F.) RN Evidence-Based Practice Initiative, .
(Feldman H.R.) Pace University Institutional Review Board, United States.
(Truglio-Londrigan M.) Department of Graduate Studies, .
(Truglio-Londrigan M.) Institute for Healthy Aging, Lienhard School of
Nursing, Pace University, New York, NY, United States.
(Singleton J.K., jsingleton@pace.edu) Institute for Healthy Aging, Lienhard
School of Nursing, Pace University, 41 Park Row, New York, NY 10038, United
States.
CORRESPONDENCE ADDRESS
J.K. Singleton, Institute for Healthy Aging, Lienhard School of Nursing,
Pace University, 41 Park Row, New York, NY 10038, United States. Email:
jsingleton@pace.edu
SOURCE
Worldviews on Evidence-Based Nursing (2005) 2:2 (63-74). Date of
Publication: June 2005
ISSN
1545-102X
1741-6787 (electronic)
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Background: Facilitating smoking cessation requires an evidence-based
approach. The Lienhard School of Nursing Institute for Healthy Aging in the
United States, whose focus is providing health information to aging baby
boomers, developed an interest in studying strategies for smoking cessation
in women. Approach: Studies were reviewed and critiqued related to the
question: What is the relative efficacy of first-line smoking cessation
interventions for women versus men in the 40- to 65-year-old age group? This
article first discusses the procedure used to construct an integrative
framework for finding the evidence on smoking cessation, including a
literature search and refinement of the problem to be studied, and then a
summary of the evidence gathered on the selected variable (gender) and
interventions (counseling, pharmacotherapy nicotine replacement therapy).
Findings: Evidence was found that supports the general efficacy of three
first-line smoking cessation interventions: counseling, bupropion-sustained
release (BSR), and nicotine replacement therapy (NRT). What the evidence
does not show, however, is which of these interventions may be more
effective for women versus men in general or specifically in the 40- to
65-year-old age group. Recommendations: Recommendations include the
development of a clinical trial and the inclusion from the outset of gender
as a major variable in all future intervention studies. Implications:
Practice implications include the fact that since effective treatments
already exist for assisting clients to stop smoking, all health-care
providers should offer an intervention that has been found effective to any
client who expresses a desire to quit smoking. Further studies of efficacy
are needed to develop more focused implications. Copyright © 2005 Sigma
Theta Tau International.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amfebutamone (clinical trial, drug therapy)
nicotine (clinical trial, drug therapy)
EMTREE DRUG INDEX TERMS
placebo
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
evidence based medicine
smoking
smoking cessation
tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
clinical trial
counseling
health care personnel
human
meta analysis
nicotine replacement therapy
public health
review
sex role
sustained drug release
systematic review
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005543348
MEDLINE PMID
17040543 (http://www.ncbi.nlm.nih.gov/pubmed/17040543)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1741-6787.2005.04055.x
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 683
TITLE
Bipolar disorder in school-age children.
AUTHOR NAMES
Olson P.M.
Pacheco M.R.
AUTHOR ADDRESSES
(Olson P.M.; Pacheco M.R.) Nova Southeastern University, Ft. Lauderdale, FL,
USA.
CORRESPONDENCE ADDRESS
P.M. Olson, Nova Southeastern University, Ft. Lauderdale, FL, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2005) 21:3 (152-157). Date of Publication: Jun
2005
ISSN
1059-8405
ABSTRACT
This article examines the individual components of bipolar disorder in
children and the behaviors that can escalate as a result of misdiagnosis and
treatment. The brain/behavior relationship in bipolar disorders can be
affected by genetics, developmental failure, or environmental influences,
which can cause an onset of dramatic mood swings and dysfunctional behavior.
School is often the site where mental health disorders are observed when
comparing behaviors with other children. Assessing the emotional, academic,
and health needs of a student with a bipolar disorder is a critical step in
designing effective interventions and school accommodations. Without
appropriate medical, psychological, pharmaceutical, and academic
interventions, a child is at risk for uncontrolled mania, depression,
substance abuse, or suicide. The school nurse is part of the
multidisciplinary team and plays a key role in facilitating case management
to potentially reverse this possible negative trajectory. Successful case
management provides children with bipolar disorder the opportunity to reach
their academic potential.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
bipolar disorder (diagnosis, drug therapy, epidemiology)
child welfare
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
child
child behavior
child psychology
human
methodology
nursing
nursing assessment
pathophysiology
prevalence
psychological aspect
review
standard
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15898850 (http://www.ncbi.nlm.nih.gov/pubmed/15898850)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 684
TITLE
Statewide evaluation of a tobacco cessation curriculum for pharmacy students
AUTHOR NAMES
Corelli R.L.
Kroon L.A.
Chung E.P.
Sakamoto L.M.
Gundersen B.
Fenlon C.M.
Hudmon K.S.
AUTHOR ADDRESSES
(Corelli R.L.; Kroon L.A.; Hudmon K.S., karen.hudmon@yale.edu) Department of
Clinical Pharmacy, School of Pharmacy, University of California, San
Francisco, United States.
(Chung E.P.) Department of Pharmacy Practice, W. University of Health
Sciences, College of Pharmacy, United States.
(Sakamoto L.M.) Department of Clinical Pharmacy, University of Southern
California, School of Pharmacy, United States.
(Gundersen B.) Department of Pharmacy Practice, University of the Pacific,
Thomas J. Long Sch. Pharm. Hlth. S., United States.
(Fenlon C.M.; Hudmon K.S., karen.hudmon@yale.edu) Dept. of Epidemiol. and
Pub. Health, Yale University, School of Medicine, 60 College Street, New
Haven, CT 06520, United States.
CORRESPONDENCE ADDRESS
K.S. Hudmon, Dept. of Epidemiol. and Pub. Health, Yale University, School of
Medicine, 60 College Street, New Haven, CT 06520, United States. Email:
karen.hudmon@yale.edu
SOURCE
Preventive Medicine (2005) 40:6 (888-895). Date of Publication: June 2005
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Previous studies suggest that healthcare professionals are
inadequately trained to treat tobacco use and dependence. Because even brief
interventions from clinicians improve patient quit rates, widespread
implementation of effective tobacco cessation training programs for health
professional students is needed. Methods. Pharmacy students received 7-8 h
of comprehensive tobacco cessation training. Participants completed pre- and
post-program surveys assessing perceived overall abilities for cessation
counseling, skills for key facets of cessation counseling (Ask, Advise,
Assess, Assist, Arrange), and self-efficacy for counseling. Results. A total
of 493 students (82.3%) completed linkable pre- and post-training
evaluations. Self-reported abilities, measured on a five-point scale,
increased significantly from 1.89 ± 0.89 to 3.53 ± 0.72 (P < 0.001).
Twenty-two percent of students rated their overall counseling abilities as
good, very good, or excellent before the training versus 94% of students
after the training. Eighty-seven percent of students indicated the training
will increase the number of patients that they counsel; 97% believed it will
increase the quality of their cessation counseling. Conclusions.
Comprehensive training significantly improved pharmacy students' perceived
confidence and ability to provide tobacco cessation counseling. The
curriculum is applicable to other health professional training programs and
currently is being used to train pharmacy, medical, nursing, and dental
students. © 2004 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical pharmacy
education program
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
controlled study
evaluation study
health care delivery
health care personnel
health care quality
health program
health survey
human
medical education
medical school
medical student
patient counseling
preventive medicine
priority journal
self report
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005197279
MEDLINE PMID
15850892 (http://www.ncbi.nlm.nih.gov/pubmed/15850892)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ypmed.2004.10.003
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 685
TITLE
Functioning, problem behavior and health services use among nursing home
residents with alcohol-use disorders: Nationwide data from the VA minimum
data set
AUTHOR NAMES
Brennan P.L.
Greenbaum M.A.
AUTHOR ADDRESSES
(Brennan P.L., penny.brennan@med.va.gov; Greenbaum M.A.) Center for Health
Care Evaluation and Mental Illness Research Education, Clinical Center,
Department of Veterans Affairs Palo Alto Health Care System, Menlo Park, CA,
United States.
(Brennan P.L., penny.brennan@med.va.gov) Center for Health Care Evaluation
(152-MPD), Veterans Affairs Palo Alto Health Care System, Menlo Park
Division, 795 Willow Road, Menlo Park, CA 94025, United States.
CORRESPONDENCE ADDRESS
P.L. Brennan, Center for Health Care Evaluation (152-MPD), Veterans Affairs
Palo Alto Health Care System, Menlo Park Division, 795 Willow Road, Menlo
Park, CA 94025, United States. Email: penny.brennan@med.va.gov
SOURCE
Journal of Studies on Alcohol (2005) 66:3 (395-400). Date of Publication:
May 2005
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
Objective: We examined (1) whether nursing home residents with alcohol-use
disorders (AUDs) function more poorly, have more behavioral problems and use
more health services than do demographically matched controls without such
disorders, and (2) whether AUDs interact with alcohol consumption to predict
poorer behavioral and health services outcomes among nursing home residents.
Method: We used Department of Veterans Affairs (VA) Patient Treatment File
data to identify a nationwide sample of older VA nursing home residents with
recent AUD diagnoses (n = 3,336) and a demographically matched sample
without such diagnoses (n = 3,336). The groups were compared on the Resident
Assessment Instrument Minimum Data Set indices of health-related
functioning, substance use, problem behavior and health services use. We
conducted two-way analyses of variance to determine interactions between
presence of an AUD and alcohol consumption on problem behavior and health
services use. Results: Residents with AUD diagnoses functioned somewhat
better than demographically matched controls. However, they were more likely
to have falls and fractures, difficulties in social functioning and to use
more health services. AUD diagnoses interacted with alcohol consumption to
predict an elevated risk of falls and fractures and more mental health
services use. Conclusions: Older residents with an AUD form a distinct
nursing home population that functions somewhat better than residents
without such disorders but they may pose more challenges to staff and use
more health care services. Residents' drinking histories should be
considered in formulating nursing home policies about alcohol consumption.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (disease management, rehabilitation)
nursing home
EMTREE MEDICAL INDEX TERMS
adult
aged
alcohol consumption
article
behavior
cognition
controlled study
daily life activity
depression
emergency ward
falling
female
fracture
functional assessment
health care utilization
health status
hospitalization
human
major clinical study
male
mental health care
smoking
tobacco
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005298160
MEDLINE PMID
16047529 (http://www.ncbi.nlm.nih.gov/pubmed/16047529)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 686
TITLE
Barriers to managing pain in the nursing home: Findings from a statewide
survey
AUTHOR NAMES
Tarzian A.J.
Hoffmann D.E.
AUTHOR ADDRESSES
(Tarzian A.J., atarzian@law.umaryland.edu; Hoffmann D.E.) University of
Maryland School of Law, 500 W. Baltimore St., Baltimore, MD 21204-1786,
United States.
CORRESPONDENCE ADDRESS
A.J. Tarzian, Law and Health Care Program, University of Maryland School of
Law, 500 W. Baltimore St., Baltimore, MD 21204-1786, United States. Email:
atarzian@law.umaryland.edu
SOURCE
Journal of the American Medical Directors Association (2005) 6:3 SUPPL.
(S12-S19). Date of Publication: May/June 2005
ISSN
1525-8610
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objectives: The objective of this study was to identify pain management
demographics, perceived resources, and perceived barriers to adequately
manage pain in the nursing home setting. Design: Mailed survey. Setting: All
licensed Connecticut nursing homes. Participants: Directors of Nursing
(DONs). Measurements: Survey elicit ing pain management demographics,
perceived resources, and perceived barriers to adequately manage pain in
respondents' nursing home. Results: A total of 113 of 260 DONs (43%)
responded to the survey. Respondents believed pain was suboptimally managed,
particularly for residents with malignant and nonmalignant chronic pain.
Perceived barriers to providing adequate pain management included lack of
knowledge about pain management among nurses and physicians, lack of a
standardized approach to treating pain, physicians' personal attitudes
toward treating pain (eg, fear of addiction or overdose), lack of diagnostic
precision in treating pain, and difficulty in choosing the right analgesic.
Other barriers are also discussed, including low hospice enrollment of
nursing home residents. Conclusion: Improving pain management in nursing
homes requires improving provider knowledge and attitudes, enhancing
diagnostic precision, standardizing pain treatment, and achieving an
institutional commitment. Although responding DONs seemed aware of the need
for improved pain management outcomes at their facilities, the required
institutional commitment to accomplish this was not evidenced by these
findings. Copyright © 2004 American Medical Directors Association.
EMTREE DRUG INDEX TERMS
morphine (adverse drug reaction, drug therapy, subcutaneous drug
administration)
narcotic analgesic agent (adverse drug reaction, drug therapy, subcutaneous
drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (diagnosis, drug therapy, therapy)
nursing home
EMTREE MEDICAL INDEX TERMS
administrative personnel
article
awareness
controlled study
demography
diagnostic accuracy
drug dependence
drug intoxication
fear
health care delivery
health care facility
health care need
health survey
hospice care
human
licensing
major clinical study
nurse
patient care
physician attitude
physiotherapy
residential care
resource allocation
side effect (side effect)
standardization
transcutaneous nerve stimulation
treatment outcome
United States
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005211336
MEDLINE PMID
15890286 (http://www.ncbi.nlm.nih.gov/pubmed/15890286)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jamda.2005.03.031
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 687
TITLE
A school-based harm minimization smoking intervention trial: Outcome results
AUTHOR NAMES
Hamilton G.
Cross D.
Resnicow K.
Hall M.
AUTHOR ADDRESSES
(Hamilton G., greg.hamilton@cdhb.govt.nz) Christchurch School of Medicine
and Health Sciences, University of Otago, New Zealand.
(Hamilton G., greg.hamilton@cdhb.govt.nz; Cross D.) Western Australian
Centre for Health Promotion Research, Curtin University of Technology,
Australia.
(Hamilton G., greg.hamilton@cdhb.govt.nz; Cross D.; Hall M.) School of
Nursing and Public Health, Edith Cowan University, Australia.
(Resnicow K.) School of Public Health, University of Michigan, Michigan,
United States.
(Hamilton G., greg.hamilton@cdhb.govt.nz) Christchurch School of Medicine
and Health Sciences, University of Otago, PO Box 4345, Christchurch, New
Zealand.
CORRESPONDENCE ADDRESS
G. Hamilton, Christchurch School of Medicine and Health Sciences, University
of Otago, PO Box 4345, Christchurch, New Zealand. Email:
greg.hamilton@cdhb.govt.nz
SOURCE
Addiction (2005) 100:5 (689-700). Date of Publication: May 2005
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Aims: To determine the impact of a school-based harm minimization smoking
intervention compared to traditional abstinence-based approaches. Design,
setting and participants: A school-based cluster randomized trial was
conducted in Perth, Western Australia in 30 government high schools from
1999 to 2000. Over 4000 students were recruited to participate and schools
were assigned randomly to either the harm minimization intervention or a
standard abstinence-based programme. Intervention: The harm minimization
intervention comprised eight 1-hour lessons over 2 years, quitting support
from school nurses and enactment of policies to support programme
components. Comparison schools implemented standard abstinence-based
programmes and policies. Measures: Cigarette smoking was categorized at two
levels: regular smoking, defined as smoking on 4 or more days in the
previous week; and 30-day smoking as any smoking within the previous month.
Findings: At immediate post-test (20 months post-baseline), after accounting
for baseline differences, school-level clustering effects, socio-economic
status, gender and family smoking, intervention students were less likely to
smoke regularly [OR = 0.51, 95% confidence interval (CI) = 0.36, 0.71] or to
have smoked within the previous 30 days (OR = 0.69, 95% CI = 0.53, 0.91).
Conclusion: The school-based adolescent harm minimization intervention
appears to have been more effective than the abstinence-based social
influences programme at reducing regular smoking. © 2005 Society for the
Study of Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
article
Australia
clinical trial
controlled clinical trial
controlled study
evaluation study
female
harm reduction
health care policy
health program
human
male
outcomes research
randomized controlled trial
school
school child
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005212926
MEDLINE PMID
15847627 (http://www.ncbi.nlm.nih.gov/pubmed/15847627)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.2005.01052.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 688
TITLE
Changing times, changing needs, changing programs
AUTHOR NAMES
Abrams S.E.
AUTHOR ADDRESSES
(Abrams S.E., sarah.abrams@uvm.edu) University of Vermont, 211 Rowell Hall,
Burlington, VT 05405, United States.
CORRESPONDENCE ADDRESS
S.E. Abrams, University of Vermont, 211 Rowell Hall, Burlington, VT 05405,
United States. Email: sarah.abrams@uvm.edu
SOURCE
Public Health Nursing (2005) 22:3 (267-268). Date of Publication: May/June
2005
ISSN
0737-1209
BOOK PUBLISHER
Blackwell Publishing Inc.
ABSTRACT
The following reprint of the unsigned editorial for the April 1952 issue of
Public Health Nursing describes the historical needs and the continuing
development of school health nursing from the early to mid-20th century.
Twenty-first century schools continue to deal with some of the same issues
such as hunger, poor nutrition, and the adverse effects of overly burdensome
work schedules on adolescent health and mental well-being. The goal, so
optimistically anticipated by the editors of Public Health Nursing in 1952,
of continuous, well-coordinated health supervision from birth to maturity
continues to elude us. Of course, school nurses and other health personnel
address problems not openly discussed in the 1950s - substance abuse,
violence, sexually transmitted diseases, and teen pregnancy. The theme of
this historical editorial is the power of advocacy - and the responsibility
public health nurses have to use our talents to improve child health. ©
Blackwell Publishing, Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health program
EMTREE MEDICAL INDEX TERMS
adolescence
age distribution
birth
health care
health care personnel
hunger
mental health
nurse
nursing
nutrition
pregnancy
public health
school health service
sexually transmitted disease
short survey
substance abuse
violence
wellbeing
work
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15982201 (http://www.ncbi.nlm.nih.gov/pubmed/15982201)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.0737-1209.2005.220311.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 689
TITLE
Under the influence: taking alcohol issues into the college classroom.
AUTHOR NAMES
Riley J.B.
Durbin P.T.
D'Ariano M.
AUTHOR ADDRESSES
(Riley J.B.; Durbin P.T.; D'Ariano M.) Georgetown University School of
Nursing and Health Studies, Washington, DC, USA.
CORRESPONDENCE ADDRESS
J.B. Riley, Georgetown University School of Nursing and Health Studies,
Washington, DC, USA.
SOURCE
Health promotion practice (2005) 6:2 (202-206). Date of Publication: Apr
2005
ISSN
1524-8399
ABSTRACT
Alcohol use and abuse among college students pose an enormous and unique
public health problem that is associated with significant harm to students.
Colleges nationwide are seeking to address student alcohol use through a
variety of programs and policies. An effort at Georgetown University in
Washington, D.C., combines a campus-wide dialogue on the subject with the
infusion of alcohol issues into the curriculum of an undergraduate course in
the School of Nursing and Health Studies. Course evaluations indicate that
participants benefited from the curriculum infusion approach. Participants
became aware of the health education resources available to students and the
campus culture contributing to alcohol. In addition, student participants
evaluated their own alcohol use, with significant modifications of alcohol
consumption behaviors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
curriculum
health education
nursing education
EMTREE MEDICAL INDEX TERMS
article
harm reduction
health service
human
methodology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15855290 (http://www.ncbi.nlm.nih.gov/pubmed/15855290)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 690
TITLE
The health impact of childhood trauma: An interdisciplinary review,
1997-2003
AUTHOR NAMES
Mulvihill D.
AUTHOR ADDRESSES
(Mulvihill D., dmulvih@uwo.ca) University of Western Ontario, London, Ont.,
Canada.
(Mulvihill D., dmulvih@uwo.ca) 23-51 Summit Avenue, London, Ont. N6H 2G5,
Canada.
CORRESPONDENCE ADDRESS
D. Mulvihill, 23-51 Summit Avenue, London, Ont. N6H 2G5, Canada. Email:
dmulvih@uwo.ca
SOURCE
Issues in Comprehensive Pediatric Nursing (2005) 28:2 (115-136). Date of
Publication: April/June 2005
ISSN
0146-0862
1521-043X (electronic)
BOOK PUBLISHER
Taylor and Francis Ltd.
ABSTRACT
Research has shown a strong relationship between childhood trauma and
psychological difficulties in later life; more recent research has indicated
that the long-term effects are even greater for physical illness. These
long-term effects have highlighted Posttraumatic Stress Disorder (PTSD) as a
possible mediator variable. The illnesses identified include, but are not
limited to, eating disorders, substance abuse, phobias, multiple personality
disorders, irritable bowel syndrome, rheumatoid arthritis, and autoimmune
disorders. Childhood trauma is an area of interdisciplinary interest;
therefore, a variety of disciplines have been carrying out research in this
area. This article is an integrative review of the literature over the last
five years across disciplines, including nursing, medicine, psychology,
education, social services, and government agencies. The review searched for
themes, common constructs, and definitions, plus gaps in the present
literature that need to be addressed. Particular attention was paid to
measurement tools, and the importance of post traumatic stress disorder.
Databases included were Medline, Proquest, Canadian Health Network (CHN),
Canadian Business and Current Affairs (CBCA) Education, Educational
Resources Information Center (ERIC) Plus, Cumulative Index to Nursing &
Allied Health Literature (CINAHL), American Psychological Association
Database Information (PsychINFO), and Cochrance. Copyright © Taylor &
Francis Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child abuse (diagnosis, prevention)
child welfare
patient care
posttraumatic stress disorder (diagnosis, etiology, therapy)
EMTREE MEDICAL INDEX TERMS
child
health service
human
mass screening
methodology
organization and management
psychological aspect
psychological model
questionnaire
review
risk factor
social support
time
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
16006380 (http://www.ncbi.nlm.nih.gov/pubmed/16006380)
FULL TEXT LINK
http://dx.doi.org/10.1080/01460860590950908
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 691
TITLE
Clinicians and dyslexia - A computer-based assessment of one of the key
cognitive skills involved in drug administration
AUTHOR NAMES
Millward L.J.
Bryan K.
Everatt J.
Collins R.
AUTHOR ADDRESSES
(Millward L.J., l.purvis@surrey.ac.uk) Department of Psychology, University
of Surrey, Guildford, Surrey GU2 5HX, United Kingdom.
(Bryan K.) Europ. Inst. of Hlth. and Med. Sci., University of Surrey,
Guildford, United Kingdom.
(Everatt J.; Collins R.) Department of Psychology, University of Surrey,
Guildford, Surrey, United Kingdom.
CORRESPONDENCE ADDRESS
L.J. Millward, Department of Psychology, University of Surrey, Guildford,
Surrey GU2 5HX, United Kingdom. Email: l.purvis@surrey.ac.uk
SOURCE
International Journal of Nursing Studies (2005) 42:3 (341-353). Date of
Publication: March 2005
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Aims: This research investigates the relationship between dyslexia traits
and nurse performance on a laboratory task designed to assess one of the key
cognitive skills involved in drug administration. The potential moderating
role of perceived performance control was also assessed, based on previous
work demonstrating the importance of self-belief as a facilitator of
vocational success. Background: Dyslexia within the health care professions
has been the subject of wide and emotionally charged debate but has not yet
been scientifically examined. Those who fear clinicians with dyslexia do so
because of a presumed or potential risk to patient health and safety posed
by dyslexia-induced performance error (e.g. problems with drug
administration). Design, sample and methods: 46 nurses (40 student nurses
and 6 qualified nurses) volunteered to complete a battery of computerised
tasks assessing for dyslexia traits (using four accuracy tasks measuring
different types of literacy skill), a paired association task designed to
measure one of the key cognitive skills involved in drug administration) and
a self-report questionnaire (Learning Styles Questionnaire, self-reported
reading difficulty and a history of educational support, perceived control
over performance). The performance criterion measure was constructed after
detailed job analysis (involving analysis of official documentation,
in-depth interviews and field observation across a variety of clinical
settings) and involved matching drug names to patient names and vice versa.
Results: The results showed that the dyslexia indicators (objective and
self-report) were significantly correlated with performance on the paired
association task. Contrary to expectation however, the perceived control
variable was not associated with performance. Conclusion: The findings
provide tentative support for the idea that some tasks might be problematic
for the clinician with dyslexia. Taken in isolation however, it would be
inappropriate to conclude that this will necessarily translate into true
performance errors without taking into consideration the entire performance
context. Suggestions are made for replicating and extending the study to
provide a more solid and constructive basis for intervention (e.g. support
measures, a built-in checking process). © 2004 Elsevier Ltd. All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cognition
dyslexia
EMTREE MEDICAL INDEX TERMS
adult
article
clinical article
computer program
controlled study
emotion
female
health care personnel
human
male
nurse attitude
patient satisfaction
questionnaire
safety
self report
task performance
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15708021 (http://www.ncbi.nlm.nih.gov/pubmed/15708021)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2004.07.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 692
TITLE
Investigation of the knowledge about cancer pain treatment among 128 nurses
in 27 provinces in China: An analysis of the questionnaires
AUTHOR NAMES
Huang X.-L.
Ma S.-L.
Zhang J.-F.
Zhang J.-P.
Wang F.-L.
AUTHOR ADDRESSES
(Huang X.-L., memory_my@sina.com; Ma S.-L.; Zhang J.-F.; Zhang J.-P.; Wang
F.-L.) Integrated Ward, College of CLinical Oncology, Peking University,
Beijing 100036, China.
CORRESPONDENCE ADDRESS
X.-L. Huang, Integrated Ward, College of CLinical Oncology, Peking
University, Beijing 100036, China. Email: memory_my@sina.com
SOURCE
Chinese Journal of Clinical Rehabilitation (2005) 9:6 (181-183). Date of
Publication: Feb 2005
ISSN
1671-5926
ABSTRACT
Background: After reviewing the literature, the author found that most of
the epidemiological data related to cancer pain was reported by physicians
from the point of view of treatment, or of patients' response to the
treatment. Although the nurses in oncology department are most direct
participants in the cancer pain management, there is less investigation
about the nurses' knowledge, attitudes to and skills of cancer pain
management. Objective: The purpose of this investigation was to provide
information so as to suggest the nursing managers and educators in
specifically propagating and disseminating the knowledge of cancer pain
management. Design: A sampled investigation. Setting: Integrated Medicine
Ward, College of Clinical Oncology, Peking University. Participants: The
participants of this investigation were 128 nurses who took part in the
National Tumor Care Academic Exchanges and Seminar Conference held in June
1998. Methods: This investigation was carried out through a survey
questionnaire and the questionnaire was designed on the basis of the Cancer
Analgesics Questionnaire (for nurses use only) established by the Oncology
Profession Committee of Chinese Nursing Association in 1993, furthermore,
suggestions from experts were adopted. Main outcome measures: 1 The
perception about "three-step analgesic ladder"; 2 currently most commonly
used analgesics in clinical; 3 assessment methods for cancer pain; 4
knowledge of being addicted to analgesics; 5 attitude of nursing staff to
cancer pain management. Results: The number of those who could correctly
designate the relationship of three steps and pain intensity was 82 (64.0%).
Only one person could correctly write down the contents of three steps
analgesic ladder (0.7%). Physician's orders for analgesics for cancer pain
in the responders' hospitals were classified into the following types:
temporary order: 54.0%; when necessary, 38.0%; long-term order, 24.0%. But
none of the nurses could mark correctly the range of mild, moderate and
severe grade on the scale. Only 49.2% (63/128) of the nurses considered that
"The pain scale should be determined according to the cancer patients'
self-perception to the pain intensity(chief complaint)". Among the
responders, only 12.5% (16/128) of them accepted that "the incidence of
addiction occurred as a result of analgesics used for pain control is less
than 1%". Only 26.5% (34/128) of the responders could distinguish the
concepts of tolerance, physical dependence, and addiction. Conclusion: From
the results of the investigation, we can see that, the nursing professionals
do not have sufficient knowledge about "three-step analgesic ladder". The
popularization of related knowledge among nurses has been delayed severely.
Nurses will obtain the knowledge of cancer pain management by clinical
experience instead of in regular ways. The attitude of nursing personnel to
cancer pain treatment is one of the important factors that affect the pain
management. The frontline nurses should master the pharmacological
characteristics of opioids so as to explain it to the patients and their
relations distinctly. Nurses should bring into play a more powerful action
in reducing the "addiction-phobia" due to their professional
characteristics. We suggest that the latest new progress in cancer pain
treatment should be incorporated into the normal textbooks on the management
of cancer pain. We also propose that the methods of cancer pain treatment,
contents of the principle of drug prescription be included in the training
of a medical care personnel of oncology professional before entering into
clinic.
EMTREE DRUG INDEX TERMS
analgesic agent
codeine
dihydromorphine
ibuprofen
morphine
paracetamol
pethidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
nursing
EMTREE MEDICAL INDEX TERMS
China
competence
drug dependence
drug information
experience
nurse attitude
nurse practitioner
nurse training
nursing staff
prescription
questionnaire
review
skill
CAS REGISTRY NUMBERS
codeine (76-57-3)
dihydromorphine (1421-28-9, 509-60-4)
ibuprofen (15687-27-1)
morphine (52-26-6, 57-27-2)
paracetamol (103-90-2)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Chinese
EMBASE ACCESSION NUMBER
2005272458
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 693
TITLE
Life beyond severe traumatic injury: an integrative review of the literature
AUTHOR NAMES
Halcomb E.
Daly J.
Davidson P.
Elliott D.
Griffiths R.
AUTHOR ADDRESSES
(Halcomb E.; Daly J.; Davidson P.; Griffiths R.) School of Nursing, Family
and Community Health College of Social and Health Sciences, University of
Western Sydney, NSW, Australia.
(Davidson P.) Western Sydney Area Health Service, Sydney, NSW, Australia.
(Elliott D.) Department of Clinical Nursing, University of Sydney, NSW,
Australia.
(Elliott D.) Prince of Wales Hospital, Sydney, NSW, Australia.
(Griffiths R.) Centre for Applied Nursing Research, University of Western
Sydney, NSW, Australia.
(Griffiths R.) South Western Sydney Area Health Service, NSW, Australia.
CORRESPONDENCE ADDRESS
E. Halcomb, School of Nursing, Family and Community Health College of Social
and Health Sciences, University of Western Sydney, NSW, Australia.
SOURCE
Australian Critical Care (2005) 18:1 (17-24). Date of Publication: February
2005
ISSN
1036-7314
BOOK PUBLISHER
Elsevier Ireland Ltd
ABSTRACT
It is only recently that recognition of the serious and debilitating
sequelae of trauma has prompted exploration of outcomes beyond survival,
such as disability, health status and quality of life. This paper aims to
review the literature describing outcomes following severe traumatic injury
to provide clinicians with a greater understanding of the recovery
trajectory following severe trauma and highlight the issues faced by those
recovering from such injury. Electronic databases, published reference lists
and the Internet were searched to identify relevant literature. The
heterogeneous nature of published literature in this area prohibited a
systematic approach to inclusion of papers in this review. Trauma survivors
report significant sequelae that influence functional status, psychological
wellbeing, quality of life and return to productivity following severe
injury. Key themes that emerge from the review include: current trauma
systems which provide inadequate support along the recovery trajectory;
rehabilitation referral which is affected by geographical location and
provider preferences; a long-term loss of productivity in both society and
the workplace; a high incidence of psychological sequelae; a link between
poor recovery and increased drug and alcohol consumption; and valued social
support which can augment recovery. Future research to evaluate
interventions which target the recovery needs of the severely injured
patients is recommended. Particular emphasis is required to develop
systematic, sustainable and cost-effective follow-up to augment the
successes of existing acute trauma services in providing high quality acute
resuscitation and definitive trauma management. © 2005 Australian College of
Critical Care Nurses Ltd. Published by Elsevier Australia (a division of
Reed International Books Australia Pty Ltd.).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
daily life activity
health status
multiple trauma (complication, rehabilitation)
quality of life
EMTREE MEDICAL INDEX TERMS
absenteeism
addiction (etiology)
attitude to health
convalescence
disabled person (rehabilitation)
employment
health service
human
injury scale
intensive care
life event
nurse attitude
organization and management
patient care
patient referral
philosophy
psychological aspect
review
social support
statistics
survivor
treatment outcome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
18038530 (http://www.ncbi.nlm.nih.gov/pubmed/18038530)
FULL TEXT LINK
http://dx.doi.org/10.1016/S1036-7314(05)80020-7
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 694
TITLE
Striving for congruence: the interconnection between values, practice, and
political action.
AUTHOR NAMES
Murphy N.
Canales M.K.
Norton S.A.
DeFilippis J.
AUTHOR ADDRESSES
(Murphy N.; Canales M.K.; Norton S.A.; DeFilippis J.) Center for
Comprehensive Care, St. Luke's Roosevelt Hospital Center, USA.
CORRESPONDENCE ADDRESS
N. Murphy, Center for Comprehensive Care, St. Luke's Roosevelt Hospital
Center, USA.
SOURCE
Policy, politics & nursing practice (2005) 6:1 (20-29). Date of Publication:
Feb 2005
ISSN
1527-1544
ABSTRACT
In the current U.S. health care system, both good health and a higher
quality of health care are more likely to be experienced by those who have
access to money, power, and privilege. Consequently, serious health
disparities exist between the rich and poor, White people and people of
color, and men and women. The American Association of Colleges of Nursing
(AACN) has made explicit the values that form the cornerstone of
professional nursing: altruism, autonomy, human dignity, integrity, and
social justice. In this article, the authors explore the interconnections
between values explicated by the AACN and nursing practices and policies.
The authors draw on work in the field of pain management, cultural
competency, and harm reduction as exemplars of this interconnection. The
authors propose that through political action, nurses can strive for
congruence between their professional values, practice, and policies and
subsequently effect change and improve health outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
nursing
patient advocacy
politics
social psychology
EMTREE MEDICAL INDEX TERMS
addiction (rehabilitation)
article
harm reduction
human
nursing education
social justice
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16443956 (http://www.ncbi.nlm.nih.gov/pubmed/16443956)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 695
TITLE
Evidence-based practice: A theory-based tobacco dependence treatment at an
adolescent health clinic.
AUTHOR NAMES
Pearlstein I.
AUTHOR ADDRESSES
(Pearlstein I.) HiTOPS, Inc.
CORRESPONDENCE ADDRESS
I. Pearlstein, HiTOPS, Inc.
SOURCE
New Jersey nurse (2005) 35:1 (15). Date of Publication: 2005 Jan-Feb
ISSN
0196-4895
ABSTRACT
Tobacco is the leading cause of preventable death in the US. Most smokers
report initiating smoking in adolescence when smoking is not perceived as a
health risk. Assessment and education about the harm of tobacco use is
critical to stemming the destructive behavior of smoking and avoiding
lifelong addiction. This article describes a theory-based, nurse-run,
adolescent-focused smoking assessment, education and intervention program.
Results of the first 6 months of the program are described.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health care
patient education
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
adolescent
article
attitude to health
child psychology
evaluation study
evidence based medicine
female
health care quality
human
methodology
nurse practitioner
nursing
nursing assessment
nursing evaluation research
organization and management
psychological aspect
psychological model
psychology
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15790012 (http://www.ncbi.nlm.nih.gov/pubmed/15790012)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 696
TITLE
Functioning and health service use among elderly nursing home residents with
alcohol use disorders: Findings from the national nursing home survey
AUTHOR NAMES
Brennan P.L.
AUTHOR ADDRESSES
(Brennan P.L., penny.brennan@med.va.gov) Center for Health Care Evaluation,
VA Palo Alto Health Care System, Menlo Park Division, Menlo Park, CA, United
States.
(Brennan P.L., penny.brennan@med.va.gov) Center for Health Care Evaluation
(152-MPD), VA Palo Alto Health Care System, Menlo Park Division, 795 Willow
Road, Menlo Park, CA 94025, United States.
CORRESPONDENCE ADDRESS
P.L. Brennan, Center for Health Care Evaluation (152-MPD), VA Palo Alto
Health Care System, Menlo Park Division, 795 Willow Road, Menlo Park, CA
94025, United States. Email: penny.brennan@med.va.gov
SOURCE
American Journal of Geriatric Psychiatry (2005) 13:6 (475-483). Date of
Publication: 2005
ISSN
1064-7481
BOOK PUBLISHER
Elsevier, agents@lww.com
ABSTRACT
Objective: The author asked whether older nursing home residents with
alcohol use disorders differ from demographically-matched residents without
alcohol use disorders on functioning, admission characteristics, and health
services use. Method: National Nursing Home Survey data were used to compare
nursing home residents with alcohol use disorders (N = 216) with
demographically-matched residents without alcohol use disorders (N = 216) on
functioning, admission characteristics, and health services use. Results:
Residents with alcohol use disorders functioned somewhat better than did
residents in the demographically-matched sample group, as indicated by
performance of basic activities of daily living. However, they were
significantly more likely to have lived alone before admission and to have
obtained mental health and social services. There was a significant group ×
gender interaction on length of stay: men with alcohol use disorders had
shorter lengths of stay than did men without alcohol use disorders; women
with alcohol use disorders had longer lengths of stay than did women without
such disorders. Conclusions: Having fewer social resources may contribute to
elevated admission risk and need for mental health and social services among
older nursing home residents who have alcohol use disorders. Duration and
severity of alcohol problems may help explain gender differences in length
of stay among these residents. © 2005 American Association for Geriatric
Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health care utilization
nursing care
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
controlled study
demography
female
functional status
geriatric care
human
length of stay
major clinical study
male
mental health
nursing home patient
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2006167851
MEDLINE PMID
15956267 (http://www.ncbi.nlm.nih.gov/pubmed/15956267)
FULL TEXT LINK
http://dx.doi.org/10.1097/00019442-200506000-00006
COPYRIGHT
Copyright 2015 Elsevier B.V., All rights reserved.
RECORD 697
TITLE
Tackling drug and alcohol misuse in Brazil: Priorities and challenges for
nurses
AUTHOR NAMES
Rassool G.H.
Villar-Luis M.
AUTHOR ADDRESSES
(Rassool G.H., hussein@eerp.usp.br; Villar-Luis M.) Dept. Psychiat. Nursing
Hum. Sci., University of São Paulo, Campus Universitário, Ribeirão Preto,
SP, Brazil.
(Rassool G.H., hussein@eerp.usp.br) Ctr. Res. Stress, Drug and Alcohol,
Dept. Psychiat. Nursing Hum. Sci., University of São Paulo, Avenida
Bandeirantes, 3900, Ribeirao Preto, SP, CEP 14.040-902, Brazil.
CORRESPONDENCE ADDRESS
G.H. Rassool, Ctr. Res. Stress, Drug and Alcohol, Dept. Psychiat. Nursing
Hum. Sci., University of São Paulo, Avenida Bandeirantes, 3900, Ribeirao
Preto, SP, CEP 14.040-902, Brazil. Email: hussein@eerp.usp.br
SOURCE
International Nursing Review (2004) 51:4 (201-207). Date of Publication:
December 2004
ISSN
0020-8132
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Aims: To provide an overview of the extent of drug and alcohol misuse in
Brazil and the policies and approaches in tackling substance misuse. An
examination of the challenges facing the nursing profession in working with
substance misusers is presented. Background: Alcohol, cocaine, and cannabis
are the most commonly misused psychoactive substances in Brazil. One of the
biggest public health problems is the interface between the misuse of
psychoactive substances and HIV prevalence and other sexually transmitted
diseases. Findings from a recent study suggest that undergraduate nurses in
Brazil are not adequately prepared in the care and management of substance
misuse problems. The nursing profession in Brazil faces numerous challenges
in the development of professional competence of nurses in this field.
Conclusion: A strategy proposed is the creation of regional centres in
Brazil to study the integration of substance use and misuse in the nursing
undergraduate curriculum and the giving of specific support in teaching and
research to nurse teachers. Nurses have a key role to play in the early
recognition, assessment, prevention, and treatment of substance misuse.
EMTREE DRUG INDEX TERMS
alcohol
antidepressant agent
antiretrovirus agent
benzodiazepine
cannabis
cocaine
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
EMTREE MEDICAL INDEX TERMS
alcoholism
Brazil
clinical education
clinical research
competition
cost effectiveness analysis
curriculum
drug dependence
drug misuse
health care
health care policy
hospital
hospital cost
hospitalization
human
Human immunodeficiency virus prevalence
nurse
nursing education
occupation
practice guideline
psychologic assessment
review
sexually transmitted disease
substance abuse
support group
teacher
tobacco dependence
CAS REGISTRY NUMBERS
alcohol (64-17-5)
benzodiazepine (12794-10-4)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15530160 (http://www.ncbi.nlm.nih.gov/pubmed/15530160)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1466-7657.2004.00248.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 698
TITLE
The impact of an urban outreach teaching project: developing cultural
competence.
AUTHOR NAMES
Ott C.H.
Doyle L.H.
Tarantino S.L.
AUTHOR ADDRESSES
(Ott C.H.; Doyle L.H.; Tarantino S.L.) University of Wisconsin-Milwaukee,
USA.
CORRESPONDENCE ADDRESS
C.H. Ott, University of Wisconsin-Milwaukee, USA. Email: carolott@uwm.edu
SOURCE
International journal of nursing education scholarship (2004) 1 (Article22).
Date of Publication: 2004
ISSN
1548-923X (electronic)
ABSTRACT
The purpose of this study was to explore the development of cultural
competence in a group of university nursing students in the context of an
interactive substance abuse prevention project attached to a health
promotion course with 414 racially diverse high school students. The project
provided opportunities for contact, interaction, and reflection. A
descriptive approach was utilized to elicit the meaning attached to the
experience. Data included written content from an exit survey, field notes
from onsite debriefings, transcriptions of a focus group interview, and an
analysis of theoretical papers. Findings indicate that when university
students participate in an urban teaching project under conditions of
diminishing anxiety and are given opportunities for reflection, they not
only increase cultural competence but they also develop a sense of advocacy.
Recommendations are made for building community partnerships to enhance
cultural competence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural anthropology
health promotion
nursing education
public relations
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
adult
article
evaluation study
female
health service
human
information processing
male
nursing student
school health service
urban population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16646888 (http://www.ncbi.nlm.nih.gov/pubmed/16646888)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 699
TITLE
The influence of environmental factors and education on tobacco smoking
among students of the Faculty of Nursing, Medical University of Lublin.
AUTHOR NAMES
Kalinowski P.
Karwat I.D.
AUTHOR ADDRESSES
(Kalinowski P.; Karwat I.D.) Chair and Department of Epidemiology,
Skubiszewski Medical University of Lublin.
CORRESPONDENCE ADDRESS
P. Kalinowski, Chair and Department of Epidemiology, Skubiszewski Medical
University of Lublin.
SOURCE
Annales Universitatis Mariae Curie-Skłodowska. Sectio D: Medicina (2004)
59:2 (124-128). Date of Publication: 2004
ISSN
0066-2240
ABSTRACT
Tobacco smoking among medical personnel is a problem concerning not only our
country. Nurses and midwives in their work have a close contact with
patients allowing influence on their health behaviours. Positive own example
is indispensable in this field. Formation of proper attitudes and healthy
behaviours should be one of the main goals of academic education of nurses
and midwives. The aim of the study was an attempt at analysing the problem
of tobacco smoking among the students of the Faculty of Nursing, Medical
University of Lublin. The material consisted of 152 anonymous questionnaires
filled in by the students in the academic year 2001/2002. There was applied
the method of standardized interview using an interview questionnaire. The
material was analysed by means of descriptive statistics methods. Women were
more prevalent among the respondents (143 persons out of 152), the mean age
equalled 29.4 years. The majority were students of nursing (109 persons) and
43 represented midwifery. Twenty-seven percent of all students declared
tobacco smoking, 13% quitted the habit and 60% never smoked. The studies
proved that medical education and knowledge of harmfulness of tobacco
smoking are the main reasons of non-smoking habits of the analysed group of
students. The decision about taking up smoking is mostly influenced by
smoking peers. This testifies to the need of further educational actions
during nursing studies that would promote proper health behaviours in this
field.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
environment
female
health behavior
human
prevalence
LANGUAGE OF ARTICLE
English
MEDLINE PMID
16146063 (http://www.ncbi.nlm.nih.gov/pubmed/16146063)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 700
TITLE
An exploratory study of multicomponent treatment intervention for tobacco
dependency.
AUTHOR NAMES
Buchanan L.M.
El-Banna M.
White A.
Moses S.
Siedlik C.
Wood M.
AUTHOR ADDRESSES
(Buchanan L.M.; El-Banna M.; White A.; Moses S.; Siedlik C.; Wood M.)
College of Nursing, 985330 Nebraska Medical Center, Omaha, NE 68198-5330,
USA.
CORRESPONDENCE ADDRESS
L.M. Buchanan, College of Nursing, 985330 Nebraska Medical Center, Omaha, NE
68198-5330, USA. Email: lbuchanan@unmc.edu
SOURCE
Journal of nursing scholarship : an official publication of Sigma Theta Tau
International Honor Society of Nursing / Sigma Theta Tau (2004) 36:4
(324-330). Date of Publication: 2004
ISSN
1527-6546
ABSTRACT
PURPOSE: To conduct an exploratory study of two interventions to help
smokers abstain over a period of 3 months. The specific aims were to
describe the outcomes, test feasibility of the study design, and evaluate
effect size. DESIGN AND METHODS: A randomized experimental design was used
in a sample of 42 patients who received multicomponent treatment
intervention (MTI) or standard care (SC) in a midwestern city in the United
States. Variables were behavioral (quit rate, self-efficacy, motivation),
psychosocial (depression, partner interaction), and symptom management (use
of nicotine replacement therapy [NRT]). Data analysis included descriptive
statistics and repeated measures ANOVA. RESULTS: The typical participant was
Caucasian, middle aged, nicotine dependent, married or partnered, and
employed, and had a high school education. Participants in the MTI group
were more likely to use NRT and to have higher self-reported quit rates at
follow-up. Statistically significant differences were found between groups
over time for self-efficacy and positive to negative behavior ratio.
Barriers to quitting were relapse, stress, weight gain, lack of support, and
depression that were more frequent in the SC group. For effect size (0.25),
probability level (.05), and power (.80), a sample size of 140 patients was
calculated. CONCLUSIONS: The MTI group had higher quit rates, more NRT,
higher self-efficacy, and more positive behavioral interactions. Limitations
of the study included self-report of tobacco use, small sample, and
attrition. The investigators suggest a future study with a larger sample to
test whether multicomponent interventions with telephone calls after
discharge are more effective than is standard care in helping patients to
quit and continue to abstain from smoking.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aftercare
behavior therapy
counseling
nurse
patient education
smoking cessation
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
clinical trial
controlled clinical trial
controlled study
feasibility study
female
follow up
health care quality
human
male
methodology
middle aged
motivation
multimodality cancer therapy
nursing evaluation research
organization and management
psychological aspect
questionnaire
randomized controlled trial
self concept
social support
United States
CAS REGISTRY NUMBERS
nicotine (54-11-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15636412 (http://www.ncbi.nlm.nih.gov/pubmed/15636412)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 701
TITLE
The effectiveness of intervention studies to decrease alcohol use in college
undergraduate students: an integrative analysis.
AUTHOR NAMES
Hunter Fager J.
Mazurek Melnyk B.
AUTHOR ADDRESSES
(Hunter Fager J.; Mazurek Melnyk B.) Center for High-Risk Children and
Youth, University of Rochester School of Nursing, NY 14642, USA.
CORRESPONDENCE ADDRESS
J. Hunter Fager, Center for High-Risk Children and Youth, University of
Rochester School of Nursing, NY 14642, USA. Email:
Judith.Fager@urmc.rochester.edu
SOURCE
Worldviews on evidence-based nursing / Sigma Theta Tau International, Honor
Society of Nursing (2004) 1:2 (102-119). Date of Publication: 2004
ISSN
1545-102X
ABSTRACT
AIMS: This analysis was performed to critique intervention studies targeted
at decreasing alcohol use in college students for the purpose of (1)
synthesizing the various types of interventions and outcomes used, (2)
evaluating the effectiveness of the interventions, and (3) identifying the
strengths and limitations of prior studies to make recommendations for
evidence-based clinical practice and future research. METHODS: An exhaustive
literature search was performed for experimental studies conducted in the
past 10 years. FINDINGS: Analysis using 15 identified studies indicated the
following strengths: (1) use of random assignment in many of the studies,
(2) use of theoretical frameworks to guide the interventions, (3)
replication of previous studies, and (4) inclusion of outcome measures of
alcohol use, quantity, and frequency. Limitations included: (1) small
convenience samples; (2) use of multiple tools to elicit outcomes, making it
difficult to compare results across studies; (3) lack of long-term follow-up
to assess sustainability of the interventions; (4) use of only self-report
outcome measures, which rely on subject's recall memory; (5) lack of
manipulation checks to assure that subjects actually processed the
interventions; and (6) a paucity of stress and coping interventions.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Extensive research to address the
problem of college alcohol use indicates that while education is an integral
part of the approach for this problem, it is ineffective when used alone as
an intervention strategy. However, some empirical support exists for the use
of brief motivational interventions to reduce alcohol use and harm. A
personalized approach addressing expectancies and normative use employing a
motivational interviewing style may produce desired outcomes. In addition,
theory-based manualized approaches using stress and coping intervention
strategies need to be developed and tested. In the design of future studies,
careful attention also should be given to methodological issues such as
sampling, measurement issues, and inclusion of more long-term follow-up
measures.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (epidemiology, prevention)
evidence based medicine
student
university
EMTREE MEDICAL INDEX TERMS
attitude to health
clinical trial
cognition
counseling
follow up
health education
health service
human
mass screening
methodology
nursing evaluation research
nursing theory
organization and management
outcome assessment
psychological aspect
psychotherapy
review
risk factor
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
17129324 (http://www.ncbi.nlm.nih.gov/pubmed/17129324)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 702
TITLE
The impact of an urban outreach teaching project: Developing cultural
competence
AUTHOR NAMES
Ott C.H.
Doyle L.H.
Tarantino S.-L.
AUTHOR ADDRESSES
(Ott C.H., carolott@uwm.edu; Tarantino S.-L., sft@uwm.edu) University of
Wisconsin, Milwaukee, WI, United States.
(Doyle L.H., ldoyle@odu.edu) Old Dominion University, .
CORRESPONDENCE ADDRESS
C.H. Ott, University of Wisconsin, Milwaukee, WI, United States. Email:
carolott@uwm.edu
SOURCE
International Journal of Nursing Education Scholarship (2004) 1:1 Article
Number: 22. Date of Publication: 2004
ISSN
1548-923X
1548-923X (electronic)
ABSTRACT
The purpose of this study was to explore the development of cultural
competence in a group of university nursing students in the context of an
interactive substance abuse prevention project attached to a health
promotion course with 414 racially diverse high school students. The project
provided opportunities for contact, interaction, and reflection. A
descriptive approach was utilized to elicit the meaning attached to the
experience. Data included written content from an exit survey, field notes
from onsite debriefings, transcriptions of a focus group interview, and an
analysis of theoretical papers. Findings indicate that when university
students participate in an urban teaching project under conditions of
diminishing anxiety and are given opportunities for reflection, they not
only increase cultural competence but they also develop a sense of advocacy.
Recommendations are made for building community partnerships to enhance
cultural competence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
competence
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
female
health program
health promotion
human
information processing
interview
male
medical personnel
substance abuse
teaching
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005107453
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 703
TITLE
High risk for Obstructive Sleep Apnea in truck drivers estimated by the
Berlin questionnaire: Prevalence and associated factors
AUTHOR NAMES
Moreno C.R.C.
Carvalho F.A.
Lorenzi C.
Matuzaki L.S.
Prezotti S.
Bighetti P.
Louzada F.M.
Lorenzi-Filho G.
AUTHOR ADDRESSES
(Moreno C.R.C., cmoreno@unisul.br) Univ. of Southern Santa Catarina, Santa
Catarina, Brazil.
(Moreno C.R.C., cmoreno@unisul.br; Carvalho F.A.; Matuzaki L.S.) Federal
University of Sao Paulo, São Paulo, Brazil.
(Lorenzi C.; Lorenzi-Filho G.) Otorhinolaryngology Department, University of
São Paulo, São Paulo, Brazil.
(Prezotti S.) Heart Institute, Pulmonary Division, University of São Paulo,
São Paulo, Brazil.
(Bighetti P.) Intervias, São Paulo, Brazil.
(Louzada F.M.) Federal University of Paraná, Puerto Rico.
(Moreno C.R.C., cmoreno@unisul.br) Centro de Pos-Graduacao, Rua Marcolino
Martins Cabral, 39, Centro, Tubarão, SC, Brazil.
CORRESPONDENCE ADDRESS
C.R.C. Moreno, Centro de Pos-Graduacao, Rua Marcolino Martins Cabral, 39,
Centro, Tubarão, SC, Brazil. Email: cmoreno@unisul.br
SOURCE
Chronobiology International (2004) 21:6 (871-879). Date of Publication: 2004
Equity and Working Time: a Challenge to Achieve, Book Series Title:
ISSN
0742-0528
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
The health issues that attract our attention when analyzing the truck driver
population are the high prevalence of sedentary habits, inadequate diet,
obesity, and proportion of hypertensive. All these are either considered
risk factors for or a consequence of Obstructive Sleep Apnea (OSA). The
objective of this study was to investigate the risk for OSA among 10,101
truck drivers and to correlate it with potentially related factors, such as
serum glucose and cholesterol levels, smoking habits, alcohol and drug
consumption, and self-reported physical activity. The drivers were invited
to participate in the campaign "Saúde na Boléia" (Health Behind the Wheel)
promoted by a Brazilian company responsible for the maintenance of
approximately 360 km of roads in the country. Drivers who spontaneously
stopped at the campaign booths placed along the roads were invited to answer
a questionnaire covering sociodemographic data such as age, alcohol, and
drug consumption. All participants completed a Berlin Questionnaire and were
classified as low- or high-risk subjects for OSA based on questions about
snoring, tiredness during the day, and the presence of hypertension or
obesity. Blood collection was accomplished at the same site by nurses and/or
nursing students collaborating with the campaign for subsequent laboratory
studies. Approximately 26% of the truck drivers were found to be at
high-risk group for OSA. An adjusted multiple logistic model found the
independent risk factors of smoking (OR = 1.16; p = 0.014) and drug use (OR
=1.32; p < 0.0001) were associated with high risk for OSA. The presence of
self-reported occasional (OR = 0.62; p < 0.0001) and regular (OR = 0.53; p <
0.0001) physical activity was found to be an independent factor protective
of OSA. Educational programs, including ones aimed at improving one's health
habits, such as engagement in physical exercise, should be considered in the
development of initiatives to reduce the risk for OSA among the truck driver
population.
EMTREE DRUG INDEX TERMS
cholesterol (endogenous compound)
glucose (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
driver
risk assessment
sleep disordered breathing (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
blood sampling
Brazil
cholesterol blood level
conference paper
correlation analysis
demography
dietary intake
drug abuse
education program
exercise
fatigue
glucose blood level
health education
high risk population
human
hypertension
lifestyle
major clinical study
obesity
physical activity
prevalence
questionnaire
risk factor
smoking
snoring
social aspect
statistical model
CAS REGISTRY NUMBERS
cholesterol (57-88-5)
glucose (50-99-7, 84778-64-3)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Otorhinolaryngology (11)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005004280
MEDLINE PMID
15646234 (http://www.ncbi.nlm.nih.gov/pubmed/15646234)
FULL TEXT LINK
http://dx.doi.org/10.1081/CBI-200036880
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 704
TITLE
Barriers to pain management by home care nurses.
AUTHOR NAMES
Vallerand A.H.
Hasenau S.M.
Templin T.
AUTHOR ADDRESSES
(Vallerand A.H.; Hasenau S.M.; Templin T.) Wayne State University College of
Nursing, Detroit, MI 48202, USA.
CORRESPONDENCE ADDRESS
A.H. Vallerand, Wayne State University College of Nursing, Detroit, MI
48202, USA. Email: April.Vallerand@wayne.edu
SOURCE
Home healthcare nurse (2004) 22:12 (831-838; quiz 839-840). Date of
Publication: Dec 2004
ISSN
0884-741X
ABSTRACT
This study examined home care nurses' perceived barriers to pain management.
Major barriers included lack of knowledge, inadequate pain assessment, and
difficulty managing opioid-related side effects. Home care nurses with more
knowledge about pain management had significantly lower scores on the
Barriers Questionnaire. The study documented the need for continued pain
management education for home care nurses. Practice implications are
provided.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
community health nursing
home care
pain (diagnosis, drug therapy)
practice guideline
EMTREE MEDICAL INDEX TERMS
article
comparative study
epidemiology
female
health care quality
health personnel attitude
health service
hospitalization
human
male
nursing
nursing assessment
opiate addiction (diagnosis)
pain assessment
questionnaire
risk assessment
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15597004 (http://www.ncbi.nlm.nih.gov/pubmed/15597004)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 705
TITLE
Barriers to the treatment of depression in cancer patients.
AUTHOR NAMES
Greenberg D.B.
AUTHOR ADDRESSES
(Greenberg D.B.) Department of Psychiatry, Massachusetts General Hospital,
Boston, 02114, USA.
CORRESPONDENCE ADDRESS
D.B. Greenberg, Department of Psychiatry, Massachusetts General Hospital,
Boston, 02114, USA. Email: dgreenberg@partners.org
SOURCE
Journal of the National Cancer Institute. Monographs (2004) :32 (127-135).
Date of Publication: 2004
ISSN
1052-6773
ABSTRACT
Major depressive disorder is a relapsing syndrome with grave morbidity and
mortality. Much like asthma, it has a genetic predisposition and
environmental triggers. Specific antidepressant medications alone, tested in
randomized, placebo-controlled studies, show that this is a treatable
condition with 65%-70% clinical response. Treatment guidelines written for
psychiatric patients and patients in primary care clarify the role of
medications and psychotherapy. Physicians are compelled to treat syndromes
that are serious and treatable, but barriers to diagnosis and treatment of
major depressive disorder in cancer patients include two major barriers to
quality medical care generally: uncertainty and cost. Given uncertainty
about diagnosis and treatment, cancer physicians with limited time avoid
questions about emotions. Cases of depression are often missed. Mental
health specialists often work in systems that are separated from oncologists
by location, organization, and insurance. Most successful interventions to
improve treatment of depressive disorders require multiple strategies:
clinical education, enhanced role of nurses, and integrated oncology and
specialist care. Recent strategies in oncology settings are reviewed.
Research concepts to improve outcomes in treatment of depression include
staging of depressive disorder in cancer to reveal prognosis, evaluation of
depression outcomes in the context of one tumor type, new organizational
models in the acute cancer setting, use of the cancer protocol, and
assessment of access to care of depression in cancer survivors. Major
depressive disorder in cancer is staged by positive past history, comorbid
anxiety disorder or substance abuse, use of specific cancer medications that
destabilize mood, and active cancer or no evidence of disease.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (etiology, therapy)
neoplasm (complication)
practice guideline
survivor
EMTREE MEDICAL INDEX TERMS
health care delivery
health care quality
human
leadership
organization and management
patient referral
prognosis
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15263054 (http://www.ncbi.nlm.nih.gov/pubmed/15263054)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 706
TITLE
Historical interpretations of alcohol use and misuse. implications for
nursing curricula.
AUTHOR NAMES
Hyman Z.
AUTHOR ADDRESSES
(Hyman Z.) Department of Nursing, Daemen College, 4380 Main Street, Amherst,
N Y 14226, USA.
CORRESPONDENCE ADDRESS
Z. Hyman, Department of Nursing, Daemen College, 4380 Main Street, Amherst,
N Y 14226, USA. Email: zhyman@daemen.edu
SOURCE
Journal of psychosocial nursing and mental health services (2004) 42:11
(46-55). Date of Publication: Nov 2004
ISSN
0279-3695
ABSTRACT
Since the 1950's, nursing schools have been encouraged to include some
formal content on alcoholism in their curricula. Yet there remains on
immerse disparity between the prevalence of drug and alcohol problems in our
society and the required number of hour on these topics in our nursing
curricula. The International Nurses Society on Addictions calls on the
nursing profession to promote healthy lifestyles for "at-risk" individuals.
In a historical context, this article critiques the ambivalence related to
alcohol use and misuse in the United States. Within that background,
pedagogy to help nursing faculty and students meet current societal and
professional demands and standards regarding intervention for
alcohol-related problems will be explored. The constructivist educational
and caring-educative models are highlighted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention, rehabilitation)
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
blood
car driving
drinking behavior
female
history
human
male
nomenclature
nursing
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15566165 (http://www.ncbi.nlm.nih.gov/pubmed/15566165)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 707
TITLE
The impact of an urban outreach teaching project: Developing cultural
competence
AUTHOR NAMES
Ott C.H.
Doyle L.H.
Tarantino S.-L.
AUTHOR ADDRESSES
(Ott C.H., carolott@uwm.edu; Tarantino S.-L., sft@uwm.edu) University of
Wisconsin, Milwaukee, WI, United States.
(Doyle L.H., ldoyle@odu.edu) Old Dominion University, .
CORRESPONDENCE ADDRESS
C.H. Ott, University of Wisconsin, Milwaukee, WI, United States. Email:
carolott@uwm.edu
SOURCE
International Journal of Nursing Education Scholarship (2004) 1:1 (i-15)
Article Number: 22. Date of Publication: 1 Nov 2004
ISSN
1548-923X
1548-923X (electronic)
ABSTRACT
The purpose of this study was to explore the development of cultural
competence in a group of university nursing students in the context of an
interactive substance abuse prevention project attached to a health
promotion course with 414 racially diverse high school students. The project
provided opportunities for contact, interaction, and reflection. A
descriptive approach was utilized to elicit the meaning attached to the
experience. Data included written content from an exit survey, field notes
from onsite debriefings, transcriptions of a focus group interview, and an
analysis of theoretical papers. Findings indicate that when university
students participate in an urban teaching project under conditions of
diminishing anxiety and are given opportunities for reflection, they not
only increase cultural competence but they also develop a sense of advocacy.
Recommendations are made for building community partnerships to enhance
cultural competence. Copyright ©2004 by the authors. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
competence
cultural anthropology
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
anxiety
article
controlled study
female
group dynamics
health promotion
high school
human
male
normal human
nursing
research
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2005215243
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 708
TITLE
Interdisciplinary collaboration on substance abuse skill OSCEs [2]
AUTHOR NAMES
Baez A.
Eckert-Norton M.
Morrison A.
AUTHOR ADDRESSES
(Baez A.) Lehman College, City University of New York, Bronx, NY, United
States.
(Baez A.) Counseling Center, MAINSTREAM Faculty, .
(Eckert-Norton M.) MAINSTREAM Faculty, SUNY Downstate, .
(Morrison A.) Department of Medicine, University of New Mexico, MAINSTREAM
Faculty, .
(Baez A.) Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
CORRESPONDENCE ADDRESS
A. Baez, Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
SOURCE
Substance Abuse (2004) 25:3 (29-31). Date of Publication: September 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical examination
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
certification
curriculum
evaluation study
experience
human
letter
medical practice
medical school
medical staff
medical student
nurse practitioner
patient care
performance
simulation
skill
social work
standardization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005527799
MEDLINE PMID
16150678 (http://www.ncbi.nlm.nih.gov/pubmed/16150678)
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n03_04
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 709
TITLE
Knowing how and showing how: Interdisciplinary collaboration on substance
abuse skill OSCEs for medical, nursing and social work students
AUTHOR NAMES
Baez A.
Eckert-Norton M.
Morrison A.
AUTHOR ADDRESSES
(Baez A.) Lehman College, City University of New York, Bronx, NY, United
States.
(Baez A.) Counseling Center, MAINSTREAM Faculty, .
(Eckert-Norton M.) MAINSTREAM Faculty, SUNY Downstate, .
(Morrison A.) Department of Medicine, University of New Mexico, MAINSTREAM
Faculty, .
(Baez A.) Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
CORRESPONDENCE ADDRESS
A. Baez, Lehman College, City University of New York, 250 Bedford Park
Boulevard West, Bronx, NY 10468, United States.
SOURCE
Substance Abuse (2004) 25:3 (33-37). Date of Publication: September 2004
ISSN
0889-7077
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical examination
medical education
nursing
social work
substance abuse
EMTREE MEDICAL INDEX TERMS
article
feedback system
human
interpersonal communication
learning
medical personnel
medical specialist
medical student
physical examination
procedures
reliability
self evaluation
skill
social worker
standardization
validation process
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2005527800
MEDLINE PMID
16150679 (http://www.ncbi.nlm.nih.gov/pubmed/16150679)
FULL TEXT LINK
http://dx.doi.org/10.1300/J465v25n03_05
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 710
TITLE
Comparing youth health in Sweden and Bosnia.
AUTHOR NAMES
Licanin I.
Laslo E.
Kelly K.B.
Lagerkvist B.
Fisekovic S.
AUTHOR ADDRESSES
(Licanin I.; Laslo E.; Kelly K.B.; Lagerkvist B.; Fisekovic S.) Clinic for
Psychiatry, Clinical Centre of Sarajevo.
CORRESPONDENCE ADDRESS
I. Licanin, Clinic for Psychiatry, Clinical Centre of Sarajevo.
SOURCE
Medicinski arhiv (2004) 58:2 (91-92). Date of Publication: 2004
ISSN
0350-199X
ABSTRACT
The Adolescence Medical Group in Sweden has performed a questionnaire every
second year since 1990. The questionnaire is performed during school hours
in seventh and ninth grade and also in the second grade in the upper
secondary school (gymnasium). The questionnaire is completed anonymously.
The schools are not chosen by statistical methods, but more depending on
youth-health-iterested school doctors and nurses who have interest in these
studies. The result of these studies has been used locally in each
community, but also been reported for example i Acta Pediatrica. After the
war in Bosnia there has been different projects to help to build up the
countries health system, for example in psychiatry. The question was laso
raised how the youth health was in Bosnia. Representatives from the
Adolescence section in Sweden were invited to Bosnia to introduce the
questionnaire and also to help in analysing the results. We were also in
Bosnia to present results to local authorities and those who performed the
study locally.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
child psychology
health behavior
health status
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
adolescent
article
Bosnia and Herzegovina (epidemiology)
child
comparative study
drinking behavior (epidemiology)
female
human
male
mental stress (epidemiology)
questionnaire
smoking (epidemiology)
socioeconomics
Sweden (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15202314 (http://www.ncbi.nlm.nih.gov/pubmed/15202314)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 711
TITLE
Improving nursing home staff knowledge and attitudes about pain
AUTHOR NAMES
Jones K.R.
Fink R.
Pepper G.
Hutt E.
Vojir C.P.
Scott J.
Clark L.
Mellis K.
AUTHOR ADDRESSES
(Jones K.R., katherine.jones@yale.edu) School of Nursing, Yale University,
Box 9740, 100 Church St. S., New Haven, CT 06536-0740, United States.
(Jones K.R., katherine.jones@yale.edu) School of Nursing, Yale University,
New Haven, CT, United States.
(Fink R.) University of Colorado Hospital, Denver, CO, United States.
(Pepper G.) School of Nursing, University of Utah, Salt Lake City, UT,
United States.
(Hutt E.) School of Medicine, Univ. of Colorado Hlth. Sci. Center, Denver,
CO, United States.
(Vojir C.P.; Clark L.; Mellis K.) School of Nursing, Univ. of Colorado Hlth.
Sci. Center, Denver, CO, United States.
(Scott J.) School of Nursing, University of Missouri, Columbia, AL, United
States.
CORRESPONDENCE ADDRESS
K.R. Jones, School of Nursing, Yale University, Box 9740, 100 Church St. S.,
New Haven, CT 06536-0740, United States. Email: katherine.jones@yale.edu
SOURCE
Gerontologist (2004) 44:4 (469-478). Date of Publication: August 2004
ISSN
0016-9013
BOOK PUBLISHER
Oxford University Press, 2001 Evans Road, Cary, United States.
ABSTRACT
Purpose: Effective pain management remains a serious problem in the nursing
home setting. Barriers to achieving optimal pain practices include staff
knowledge deficits, biases, and attitudes that influence assessment and
management of the residents' pain. Design and Methods: Twelve nursing homes
participated in this intervention study: six treatment homes and six control
homes, divided evenly between urban and rural locations. Three hundred
licensed and unlicensed nursing home staff members completed written
knowledge and attitude surveys at baseline, and 378 staff members completed
the surveys after intervention implementation. Results: Baseline results
revealed notable knowledge deficits in the areas of pharmacology, drug
addiction and dependence, side effect management, and nonpharmacologic
management-strategy effectiveness. Significant differences were noted by job
title (registered nurse/licensed practical nurse/certified nursing
assistant). Case studies displayed a knowledge application problem, with
nurses often filtering resident pain reports through observed resident
behaviors. The intervention led to significant improvement in knowledge
scores in some, but not all, the treatment homes. Perceived barriers to
effective pain management showed a significant decline across all study
nursing homes. Implications: Knowledge deficits related to pain management
persist in nursing homes. An interactive multifaceted educational program
was only partially successful in improving knowledge across settings and job
categories. Attitudes and beliefs appear more difficult to change, whereas
environmental and contextual factors appeared to be reducing perceived
barriers to effective pain management across all participating nursing
homes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home
pain
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
controlled study
drug dependence
drug use
education program
female
human
major clinical study
male
nurse
rural area
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004365071
MEDLINE PMID
15331804 (http://www.ncbi.nlm.nih.gov/pubmed/15331804)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 712
TITLE
Records--the Achilles' heel of school nursing: answers to bothersome
questions.
AUTHOR NAMES
Schwab N.C.
Pohlman K.J.
AUTHOR ADDRESSES
(Schwab N.C.; Pohlman K.J.)
CORRESPONDENCE ADDRESS
N.C. Schwab,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2004) 20:4 (236-241). Date of Publication: Aug
2004
ISSN
1059-8405
ABSTRACT
This article addresses practice issues related to school health records and
school nursing documentation. Because the issues have been posed by
practicing school nurses, the article is in Question and Answer (Q and A)
format. Specifically, the questions addressed concern the following:
ownership and storage location of student health records when the school
nurse is contracted from a community health agency rather than employed by
the school district; documentation of sensitive health information on
students' health records including pregnancy, drug and alcohol abuse, mental
illness, history of suicide attempt, and HIV status; inclusion of medical
diagnoses and current medications on a student's Individual Educational
Program (IEP); and Health Insurance Portability and Accountability Act
(HIPAA)-permitted communications between school nurses and health care
providers related to students' immunization status, regarding a student's
treatment needs in school, and via facsimile (e.g., records of
immunizations, completed physical examination forms, and medical orders).
HIPAA, the Family Educational Records and Privacy Act (FERPA), and other
laws are addressed as appropriate, and resources for obtaining further
information are included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
confidentiality
medical record
school
school health nursing
EMTREE MEDICAL INDEX TERMS
article
government regulation
health insurance
human
legal aspect
organization and management
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15283609 (http://www.ncbi.nlm.nih.gov/pubmed/15283609)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 713
TITLE
Community health service needs assessment in Korea using OMAHA
Classification System
AUTHOR NAMES
Yoo I.Y.
Cho W.J.
Chae S.M.
Kim M.J.
AUTHOR ADDRESSES
(Yoo I.Y., iyoo@yumc.yonsei.ac.kr; Cho W.J.; Chae S.M.; Kim M.J.) Research
Institute of Nursing Policy, College of Nursing, Yonsei University,
Shinchon-dong 134, Seodaemoon-gu, Seoul 120752, South Korea.
CORRESPONDENCE ADDRESS
I.Y. Yoo, Research Institute of Nursing Policy, College of Nursing, Yonsei
University, Shinchon-dong 134, Seodaemoon-gu, Seoul 120752, South Korea.
Email: iyoo@yumc.yonsei.ac.kr
SOURCE
International Journal of Nursing Studies (2004) 41:6 (697-702). Date of
Publication: August 2004
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
This study examined the appropriateness of OMAHA Classification System in
identifying health service needs and relevant strategies for intervention by
public health nurses working in community health centers in Seoul. The
face-to-face interview using a questionnaire was used to assess individual
and family health needs in the targeted district. Respondents were 4024
persons from 1449 households in one municipal district in Seoul, Korea.
Based on OCS, 16 problems were identified including insufficient income and
inadequate living space, ineffective communication with community resources,
pain, and substance use. Health teaching, guidance and counseling, case
management, treatment, and surveillance were identified as interventions for
these problems. These results suggest that OCS is appropriate to implement
in Korea to plan and organize better nursing interventions for community
residents by public health nurses working in health centers. © 2004 Elsevier
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community care
health care quality
EMTREE MEDICAL INDEX TERMS
adult
article
breathing
controlled study
counseling
emotional stability
environmental sanitation
family health
female
government
health center
human
interpersonal communication
interview
Korea
male
nurse
pain
patient care
questionnaire
salary
social behavior
substance abuse
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15240093 (http://www.ncbi.nlm.nih.gov/pubmed/15240093)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.ijnurstu.2004.02.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 714
TITLE
Educating women about the hidden dangers of alcohol.
AUTHOR NAMES
Cook L.J.
AUTHOR ADDRESSES
(Cook L.J.) Department of Nursing, Bloomsburg University, Pennsylvania
17815, USA.
CORRESPONDENCE ADDRESS
L.J. Cook, Department of Nursing, Bloomsburg University, Pennsylvania 17815,
USA. Email: lcook@bloomu.edu
SOURCE
Journal of psychosocial nursing and mental health services (2004) 42:6
(24-31). Date of Publication: Jun 2004
ISSN
0279-3695
ABSTRACT
1. There is mounting research evidence that alcohol use and abuse affects
women much differently than men. 2. Research indicates that women absorb and
metabolize alcohol differently than men, partly due to body composition
differences and the production of less gastric alcohol dehydrogenase by
women. 3. Women of child-bearing age who engage in binge drinking are at
increased risk of bearing children with fetal alcohol syndrome or
alcohol-related neurological deficits. 4. Psychiatric nurses are often in
the position to provide education and counseling to women regarding the
hidden dangers of alcohol use and abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
drinking behavior (adverse drug reaction, prevention)
health education
nurse patient relationship
psychiatric nursing
women's health
EMTREE MEDICAL INDEX TERMS
addiction
adult
attitude to health
body composition
female
fetal alcohol syndrome (prevention)
human
male
methodology
newborn
nurse attitude
nursing
pregnancy
review
risk factor
sex difference
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15237789 (http://www.ncbi.nlm.nih.gov/pubmed/15237789)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 715
TITLE
Potentially inappropriate prescribing in Ontario community-dwelling older
adults and nursing home residents
AUTHOR NAMES
Lane C.J.
Bronskill S.E.
Sykora K.
Dhalla I.A.
Anderson G.M.
Mamdani M.M.
Gill S.S.
Gurwitz J.H.
Rochon P.A.
AUTHOR ADDRESSES
(Lane C.J.; Dhalla I.A.; Gill S.S.; Rochon P.A., paula.rochon@utoronto.ca)
Department of Medicine, University of Toronto, Toronto, Ont., Canada.
(Bronskill S.E.; Sykora K.; Anderson G.M.; Mamdani M.M.; Gill S.S.; Rochon
P.A., paula.rochon@utoronto.ca) Inst. for Clin. Evaluative Sciences,
University of Toronto, Toronto, Ont., Canada.
(Bronskill S.E.; Anderson G.M.; Rochon P.A., paula.rochon@utoronto.ca) Hlth.
Policy, Mgmt. and Evaluation, University of Toronto, Toronto, Ont., Canada.
(Mamdani M.M.) Faculty of Pharmacy, University of Toronto, Toronto, Ont.,
Canada.
(Gill S.S.; Rochon P.A., paula.rochon@utoronto.ca) Kunin-Lunenfeld Appl.
Research Unit, Baycrest Center for Geriatric Care, Toronto, Ont., Canada.
(Gurwitz J.H.) Meyers Primary Care Institute, Fallon Found./Univ. of
Massachusetts, Medical School, Worcester, MA, United States.
(Rochon P.A., paula.rochon@utoronto.ca) Kunin-Lunenfeld Appl. Research Unit,
Baycrest Center for Geriatric Care, 3560 Bathurst Street, Toronto, Ont. M6A
2E1, Canada.
CORRESPONDENCE ADDRESS
P.A. Rochon, Kunin-Lunenfeld Appl. Research Unit, Baycrest Center for
Geriatric Care, 3560 Bathurst Street, Toronto, Ont. M6A 2E1, Canada. Email:
paula.rochon@utoronto.ca
SOURCE
Journal of the American Geriatrics Society (2004) 52:6 (861-866). Date of
Publication: June 2004
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVES: To compare patterns of potentially inappropriate drug therapy
prescribing in community-dwelling older adults and nursing home residents in
Ontario, Canada. DESIGN: A retrospective cohort study using administrative
databases. SETTING: Ontario community and nursing home facilities.
PARTICIPANTS: All 1,275,619 older adults aged 66 and older in Ontario
(1,216,900 community-dwelling and 58,719 nursing home residents) who were
dispensed at least one prescription from the comprehensive provincial drug
plan in 2001. In Ontario, the provision of clinical pharmacy services is
mandated in the nursing home setting. No comparable program exists for older
adults in the community setting. MEASUREMENTS: Potentially inappropriate
drug prescribing was compared between community-dwelling and nursing home
residents in two categories: those to always avoid and therapies considered
rarely appropriate to prescribe. RESULTS: Of the 1,275,619 adults in the
cohort, nursing home residents were older (mean age ± standard deviation =
84.2 ± 7.6 vs 75.0 ± 6.5, P < .001), included more women (73.3% vs 57.7%, P
< .001), had higher comorbidity scores (measured by the number of distinct
drug therapies dispensed in the prior year (10.7 ± 6.8 vs 7.2 ± 5.7, P <
.001) and Charlson comorbidity scores (1.4 ± 1.6 vs 0.9 ± 1.5, P < .001))
than community-dwelling individuals. Community-dwelling older adults were
significantly more likely to be dispensed at least one drug therapy in the
always avoid or rarely appropriate category than nursing home residents
(3.3% vs 2.3%, P < .001). Using a logistic regression model that controlled
for age, sex, and comorbidity (number of distinct drug therapies dispensed
in the prior year), nursing home residents were close to half as likely to
be dispensed one of these potentially inappropriate drug therapies as
community-dwelling older adults (odds ratio = 0.52, 95% confidence interval
= 0.49-0.55, P < .001). CONCLUSION: Potentially inappropriate drug therapy
in the always avoid and rarely indicated categories is dispensed less often
to nursing home residents than to older community-dwelling adults. Clinical
pharmacist services, which are mandated in the nursing home setting, may be
responsible for these differences in Ontario, Canada.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
barbituric acid derivative (adverse drug reaction, drug therapy)
chlorpropamide (adverse drug reaction, drug therapy)
flurazepam (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
belladonna alkaloid (adverse drug reaction, drug therapy)
carisoprodol (adverse drug reaction, drug therapy)
chlordiazepoxide (adverse drug reaction, drug therapy)
chlorzoxazone (adverse drug reaction, drug therapy)
cyclobenzaprine (adverse drug reaction, drug therapy)
dextropropoxyphene (adverse drug reaction, drug therapy)
diazepam (adverse drug reaction, drug therapy)
dicycloverine (adverse drug reaction, drug therapy)
hyoscyamine (adverse drug reaction, drug therapy)
meprobamate (adverse drug reaction, drug therapy)
metaxalone (adverse drug reaction, drug therapy)
methocarbamol (adverse drug reaction, drug therapy)
pentazocine (adverse drug reaction, drug therapy)
pethidine (adverse drug reaction, drug therapy)
propantheline bromide (adverse drug reaction, drug therapy)
trimethobenzamide (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse (drug therapy, epidemiology, side effect)
elderly care
nursing home
prescription
EMTREE MEDICAL INDEX TERMS
age distribution
aged
anticholinergic effect
article
Canada
clinical pharmacy
cohort analysis
community care
comorbidity
confidence interval
data base
drug dependence (side effect)
drug half life
extrapyramidal symptom (side effect)
female
gender
health care policy
health service
human
law
logistic regression analysis
major clinical study
male
muscle weakness (side effect)
retrospective study
scoring system
sedation
side effect (side effect)
statistical significance
CAS REGISTRY NUMBERS
belladonna alkaloid (8007-93-0)
carisoprodol (78-44-4)
chlordiazepoxide (438-41-5, 58-25-3)
chlorpropamide (94-20-2)
chlorzoxazone (95-25-0)
cyclobenzaprine (303-53-7, 6202-23-9)
dextropropoxyphene (1639-60-7, 469-62-5)
diazepam (439-14-5)
dicycloverine (50815-09-3, 67-92-5, 77-19-0)
flurazepam (1172-18-5, 17617-23-1)
hyoscyamine (101-31-5, 306-03-6)
meprobamate (57-53-4)
metaxalone (1665-48-1)
methocarbamol (532-03-6)
pentazocine (359-83-1, 64024-15-3)
pethidine (28097-96-3, 50-13-5, 57-42-1)
propantheline bromide (298-50-0, 50-34-0)
trimethobenzamide (138-56-7, 554-92-7)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004262964
MEDLINE PMID
15161447 (http://www.ncbi.nlm.nih.gov/pubmed/15161447)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1532-5415.2004.52250.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 716
TITLE
Substance use by pharmacy and nursing practitioners and students in a
northeastern state
AUTHOR NAMES
Kenna G.A.
Wood M.D.
AUTHOR ADDRESSES
(Kenna G.A., george_kenna@brown.edu) Dept. of Psychiat. and Hum. Behavior,
Brown University Medical School, Providence, RI, United States.
(Kenna G.A., george_kenna@brown.edu) Kent County Memorial Hospital, Warwick,
RI, United States.
(Wood M.D.) Department of Psychology, Cancer Prevention Research Center,
University of Rhode Island, Kingston, RI, United States.
(Kenna G.A., george_kenna@brown.edu) Roger Williams Medical Center,
457-West, 825 Chalkstone Avenue, Providence, RI 02908, United States.
CORRESPONDENCE ADDRESS
G.A. Kenna, Roger Williams Medical Center, 457-West, 825 Chalkstone Avenue,
Providence, RI 02908, United States. Email: george_kenna@brown.edu
SOURCE
American Journal of Health-System Pharmacy (2004) 61:9 (921-930). Date of
Publication: 1 May 2004
ISSN
1079-2082
BOOK PUBLISHER
American Society of Health-Systems Pharmacy, 7272 Wisconsin Ave., Bethesda,
United States.
ABSTRACT
Purpose. The prevalence and predictors of substance use among pharmacists
and nurses and pharmacy and nursing students were studied. Methods. During
summer 2002, pharmacists and nurses in a northeastern state were mailed an
anonymous survey to determine their use of alcohol, tobacco, and commonly
abused drugs; to determine their ease of access to controlled substances;
and to measure their family history of alcohol and drug problems. A similar
but not identical survey was distributed to pharmacy and nursing students
during spring 2000. Results. A total of 262 usable questionnaires were
received from pharmacists and nurses (response rate, 72.8%), and 138 usable
questionnaires were received from students (35.3%). Large majorities of
nursing students, pharmacy students, and nurses were women. A higher
percentage of pharmacists reported having used an opioid or an anxiolytic at
least once in their lives (24.8% and 14.3%, respectively) than nurses (14.5%
and 7.8%). Higher percentages of nursing students and nurses reported having
ever used an unprescribed drug (74.5% of nursing students and 63.6% of
nurses). Conclusion. A survey of pharmacy and nursing practitioners and
students in a north-eastern state provided important information on alcohol,
tobacco, and illicit drug use among these groups and highlighted the need
for prevention and intervention.
EMTREE DRUG INDEX TERMS
anxiolytic agent
cannabis
central stimulant agent
cocaine
hypnotic sedative agent
muscle relaxant agent
opiate
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
alcoholism
article
controlled study
demography
drug abuse
drug dependence
family history
female
human
human experiment
male
medical personnel
normal human
nurse
pharmacist
pharmacy
prescription
prevalence
priority journal
questionnaire
smoking
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
muscle relaxant agent (9008-44-0)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004483751
MEDLINE PMID
15156968 (http://www.ncbi.nlm.nih.gov/pubmed/15156968)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 717
TITLE
A randomized controlled trial of a nurse-administered educational
intervention for improving cancer pain management in ambulatory settings
AUTHOR NAMES
Yates P.
Edwards H.
Nash R.
Aranda S.
Purdie D.
Najman J.
Skerman H.
Walsh A.
AUTHOR ADDRESSES
(Yates P., p.yates@qut.edu.au; Edwards H.; Nash R.; Skerman H.; Walsh A.)
Center for Health Research, Queensland University of Technology, Kelvin
Grove Campus, Victoria Park Road, Brisbane, QLD 4059, Australia.
(Aranda S.) Peter MacCallum Cancer Institute, Locked Bag 1, A'Beckett St.,
Vic. 8006, Australia.
(Purdie D.) Queensland Inst. of Medical Research, Herston Road, Herston, QLD
4029, Australia.
(Najman J.) University of Queensland, St. Lucia, QLD 4067, Australia.
CORRESPONDENCE ADDRESS
P. Yates, Center for Health Research, Queensland University of Technology,
Kelvin Grove Campus, Victoria Park Road, Brisbane, QLD 4059, Australia.
Email: p.yates@qut.edu.au
SOURCE
Patient Education and Counseling (2004) 53:2 (227-237). Date of Publication:
May 2004
ISSN
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
The persistence of negative attitudes towards cancer pain and its treatment
suggests there is scope for identifying more effective pain education
strategies. This randomized controlled trial involving 189 ambulatory cancer
patients evaluated an educational intervention that aimed to optimize
patients' ability to manage pain. One week post-intervention, patients
receiving the pain management intervention (PMI) had a significantly greater
increase in self-reported pain knowledge, perceived control over pain, and
number of pain treatments recommended. Intervention group patients also
demonstrated a greater reduction in willingness to tolerate pain, concerns
about addiction and side effects, being a "good" patient, and tolerance to
pain relieving medication. The results suggest that targeted educational
interventions that utilize individualized instructional techniques may alter
cancer patient attitudes, which can potentially act as barriers to effective
pain management. © 2003 Elsevier Ireland Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain
health education
EMTREE MEDICAL INDEX TERMS
article
clinical trial
controlled clinical trial
controlled study
human
nurse
outpatient care
pain assessment
patient education
priority journal
randomization
randomized controlled trial
reduction
self report
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004210904
MEDLINE PMID
15140463 (http://www.ncbi.nlm.nih.gov/pubmed/15140463)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0738-3991(03)00165-4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 718
TITLE
Workplace violence against K-12 teachers: implementation of preventive
programs.
AUTHOR NAMES
Ruff J.M.
Gerding G.
Hong O.
AUTHOR ADDRESSES
(Ruff J.M.; Gerding G.; Hong O.) University of Michigan, Ann Arbor, MI, USA.
CORRESPONDENCE ADDRESS
J.M. Ruff, University of Michigan, Ann Arbor, MI, USA.
SOURCE
AAOHN journal : official journal of the American Association of Occupational
Health Nurses (2004) 52:5 (204-209). Date of Publication: May 2004
ISSN
0891-0162
ABSTRACT
Decreasing both workplace and school violence needs to be a priority of
individuals, families, communities, and workplaces for the effort to be
successful. Key factors associated with school and workplace violence such
as parental influences, school staff and police involvement, peer pressure,
student influences such as drug and alcohol abuse and a preoccupation with
weapons, and the mass media have all been identified as possible factors
associated with violence against teachers. In addition, individual student
characteristics such as gender, socioeconomic status, and a history of prior
violence may play a role. However, none of these factors can be identified
or singled out as the reason for violence. Violence against teachers occurs
as a result of a combination of these factors. Understanding how these
factors interact should be a goal of every community and school.
Occupational health nurses have the unique opportunity to partner with
communities, school nurses, and the school system to develop effective
violence prevention programs. Working in schools is an area of expansion for
occupational health nurses. They have the expertise to perform worksite
assessments and to identify key areas of weakness throughout the facility.
Their expertise in reviewing and analyzing workplace injury data and
developing cost effectiveness analysis for proposed interventions is unique.
Occupational health nurses also have the skills to network with school
officials and other key stakeholders to develop interventions to impact the
substantial implications of violence in the schools.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
occupational health
occupational health nursing
program development
school
school health service
university
violence (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
family
human
nurse attitude
organization and management
psychological aspect
public relations
standard
United States
workplace
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15152718 (http://www.ncbi.nlm.nih.gov/pubmed/15152718)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 719
TITLE
Training rural practitioners to use buprenorphine: Using the Change Book to
facilitate technology transfer
AUTHOR NAMES
McCarty D.
Rieckmann T.
Green C.
Gallon S.
Knudsen J.
AUTHOR ADDRESSES
(McCarty D., mccartyd@ohsu.edu; Rieckmann T.; Green C.; Gallon S.) Dept. of
Pub. Hlth. and Prev. Med., CB669, Oregon Health and Science University, 3181
SW Sam Jackson Park Road, Portland, OR 97230-3079, United States.
(Knudsen J.) RMC Research, Portland, OR, United States.
CORRESPONDENCE ADDRESS
D. McCarty, Dept. of Pub. Hlth. and Prev. Med., CB669, Oregon Health and
Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97230-3079,
United States. Email: mccartyd@ohsu.edu
SOURCE
Journal of Substance Abuse Treatment (2004) 26:3 (203-208). Date of
Publication: April 2004
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The Opiate Medication Initiative for Rural Oregon Residents trained
physicians and counselors in Central and Southwestern Oregon to use
buprenorphine and develop service models that supported patient
participation in drug abuse counseling. The Change Book from Addiction
Technology Transfer Centers was used to structure the change process.
Fifty-one individuals (17 physicians, 4 pharmacists, 2 nurse practitioners,
and 28 drug abuse counselors and administrators) from seven counties
completed the training and contributed to the development of community
treatment protocols. A pre-post measure of attitudes and beliefs toward the
use of buprenorphine suggested significant improvements in attitude after
training, especially among counselors. Eight months after training, 10 of 17
physicians trained had received waivers to use buprenorphine and 29 patients
were in treatment with six of the physicians. The Change Book facilitated
development of county change teams and structured the planning efforts. The
initiative also demonstrated the potential to concurrently train physicians,
pharmacists, and counselors on the use of buprenorphine. © 2004 Elsevier
Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
buprenorphine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
rural population
technology
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
administrative personnel
article
attitude
community care
counseling
drug abuse
drug use
human
medical service
nurse
patient care
pharmacist
physician
planning
priority journal
substance abuse
teamwork
CAS REGISTRY NUMBERS
buprenorphine (52485-79-7, 53152-21-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004158900
MEDLINE PMID
15063914 (http://www.ncbi.nlm.nih.gov/pubmed/15063914)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0740-5472(03)00247-2
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 720
TITLE
Tobacco dependence curricula in U.S. baccalaureate and graduate nursing
education
AUTHOR NAMES
Wewers M.E.
Kidd K.
Armbruster D.
Sarna L.
AUTHOR ADDRESSES
(Wewers M.E., wewers.1@osu.edu; Kidd K.; Armbruster D.) Ohio State
University, College of Nursing, Columbus, OH, United States.
(Sarna L.) Univ. of California, Los Angeles, School of Nursing, Los Angeles,
CA, United States.
(Wewers M.E., wewers.1@osu.edu) 1585 Neil Avenue, Columbus, OH 43210-1289,
United States.
CORRESPONDENCE ADDRESS
M.E. Wewers, 1585 Neil Avenue, Columbus, OH 43210-1289, United States.
Email: wewers.1@osu.edu
SOURCE
Nursing Outlook (2004) 52:2 (95-101). Date of Publication: April 2004
ISSN
0029-6554
BOOK PUBLISHER
Mosby Inc.
ABSTRACT
The overwhelming majority of nurses express a desire to help patients stop
smoking but most nurses report a lack of training in tobacco dependence
treatment. The purpose of the study was to assess tobacco content and extent
of tobacco education and intervention skills among a national sample of
baccalaureate and graduate U.S. nursing programs. A cross-sectional survey
design was implemented. A questionnaire that measured tobacco content
curriculum was sent to 909 baccalaureate and graduate nursing program
associate deans who were member institutions of the American Association of
Colleges of Nursing. The majority of tobacco content curricula focused on
the health effects of tobacco. Nursing students, especially undergraduates,
lacked curricular content in the area of clinical tobacco cessation
techniques. Increased instructional efforts concerning the clinical
treatment of tobacco dependence are critical for achieving a nationwide
reduction in tobacco use prevalence.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
tobacco dependence
EMTREE MEDICAL INDEX TERMS
curriculum
education program
health survey
human
medical education
prevalence
questionnaire
review
smoking cessation
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
15073590 (http://www.ncbi.nlm.nih.gov/pubmed/15073590)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.outlook.2003.09.007
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 721
TITLE
Inadequate Analgesia in Emergency Medicine
AUTHOR NAMES
Rupp T.
Delaney K.A.
AUTHOR ADDRESSES
(Rupp T., timothy.rupp@utsouthwestern.edu; Delaney K.A.) Department of
Surgery, Division of Emergency Medicine, Univ. of TX Southwestern Med. Ctr.,
Dallas, TX, United States.
(Rupp T., timothy.rupp@utsouthwestern.edu) 5323 Harry Hines Boulevard,
Dallas, TX 75390-8579, United States.
CORRESPONDENCE ADDRESS
T. Rupp, 5323 Harry Hines Boulevard, Dallas, TX 75390-8579, United States.
Email: timothy.rupp@utsouthwestern.edu
SOURCE
Annals of Emergency Medicine (2004) 43:4 (494-503). Date of Publication:
April 2004
ISSN
0196-0644
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
Review of emergency department pain management practices demonstrates pain
treatment inconsistency and inadequacy that extends across all demographic
groups. This inconsistency and inadequacy appears to stem from a multitude
of potentially remediable practical and attitudinal barriers that include
(1) a lack of educational emphasis on pain management practices in nursing
and medical school curricula and postgraduate training programs; (2)
inadequate or nonexistent clinical quality management programs that evaluate
pain management; (3) a paucity of rigorous studies of populations with
special needs that improve pain management in the emergency department,
particularly in geriatric and pediatric patients; (4) clinicians' attitudes
toward opioid analgesics that result in inappropriate diagnosis of
drug-seeking behavior and inappropriate concern about addiction, even in
patients who have obvious acutely painful conditions and request pain
relief; (5) inappropriate concerns about the safety of opioids compared with
nonsteroidal anti-inflammatory drugs that result in their underuse
(opiophobia); (6) unappreciated cultural and sex differences in pain
reporting by patients and interpretation of pain reporting by providers; and
(7) bias and disbelief of pain reporting according to racial and ethnic
stereotyping. This article reviews the literature that describes the
prevalence and roots of oligoanalgesia in emergency medicine. It also
discusses the regulatory efforts to address the problem and their effect on
attitudes within the legal community.
EMTREE DRUG INDEX TERMS
analgesic agent (adverse drug reaction, drug interaction, drug therapy)
anxiolytic agent (adverse drug reaction, drug interaction)
ketorolac (adverse drug reaction, drug therapy)
nonsteroid antiinflammatory agent (adverse drug reaction, drug therapy)
opiate (drug therapy)
sedative agent (adverse drug reaction, drug interaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
emergency medicine
EMTREE MEDICAL INDEX TERMS
anaphylaxis (side effect)
angioneurotic edema (side effect)
apnea (side effect)
aseptic meningitis (side effect)
cultural anthropology
drug dependence
emergency ward
ethnology
health care quality
human
kidney disease (side effect)
kidney failure (side effect)
medical education
medical practice
muscle rigidity (side effect)
myocardial disease (side effect)
pain (drug therapy)
physician attitude
prevalence
priority journal
quality control
race
respiration depression (side effect)
review
sedation
sex difference
CAS REGISTRY NUMBERS
ketorolac (74103-06-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004151489
MEDLINE PMID
15039693 (http://www.ncbi.nlm.nih.gov/pubmed/15039693)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.annemergmed.2003.11.019
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 722
TITLE
Gambling behaviors in Black older adults: perceived effects on health.
AUTHOR NAMES
Christensen M.H.
Patsdaughter C.A.
AUTHOR ADDRESSES
(Christensen M.H.; Patsdaughter C.A.) School of Nursing, Bouve College of
Health Sciences, Northeastern University, Boston, Massachusetts 02115, USA.
CORRESPONDENCE ADDRESS
M.H. Christensen, School of Nursing, Bouve College of Health Sciences,
Northeastern University, Boston, Massachusetts 02115, USA.
SOURCE
Journal of gerontological nursing (2004) 30:4 (34-39). Date of Publication:
Apr 2004
ISSN
0098-9134
ABSTRACT
Gambling is a popular activity among older adults of multiple ethnic and
cultural backgrounds, but gambling research has not focused on elderly
individuals or on minority groups. Although most gambling is a social
activity, it also could have health implications for older adults.
Sixty-seven Black individuals, ages 50 to 88, completed the Massachusetts
Gambling Screen and 20 Black older adults were interviewed about gambling
behaviors and beliefs about gambling and health. Although participants in
this study were low income, they were as active in gambling as the general
population. One pathological gambler and two problem gamblers were
identified. The correlation between reported overall health and beliefs
about the effects of gambling on health was not significant. Researchers,
educators, and nurses working with older adults can help define the health
implications of gambling on this population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
African American
pathological gambling
EMTREE MEDICAL INDEX TERMS
adaptive behavior
aged
article
female
health status
health survey
human
male
middle aged
psychological aspect
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15109045 (http://www.ncbi.nlm.nih.gov/pubmed/15109045)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 723
TITLE
A comparison of health professions student attitudes regarding tobacco
curricula and interventionist roles.
AUTHOR NAMES
Fried J.L.
Reid B.C.
DeVore L.E.
AUTHOR ADDRESSES
(Fried J.L.; Reid B.C.; DeVore L.E.) Dental Hygiene Program, Department of
Health Promotion and Policy, School of Dentistry, University of Maryland,
Baltimore 21201, USA.
CORRESPONDENCE ADDRESS
J.L. Fried, Dental Hygiene Program, Department of Health Promotion and
Policy, School of Dentistry, University of Maryland, Baltimore 21201, USA.
Email: jlf001@dental.umaryland.edu
SOURCE
Journal of dental education (2004) 68:3 (370-377). Date of Publication: Mar
2004
ISSN
0022-0337
ABSTRACT
Health care providers who feel prepared are more apt to assume tobacco
interventionist roles; therefore, educational preparation is critical. A
nonprobability sample of health professions students at an urban academic
health center were asked to respond to a twenty-two-item survey eliciting
demographic, behavioral, and tobacco-related attitudinal information.
Frequency distributions were assessed with Pearson chi-square statistics.
The overall response rate was 76.7 percent, and final sample size was 319.
Current use of spit tobacco (ST) was 2.5 percent and current smoking 5.6
percent. In comparing current smokers to nonsmokers and current ST users to
nonusers, we found that no differences in proportion agreeing with any of
the five questions about attitudes and opinions were statistically
significant at p-value 0.05. At least 70 percent of students from each of
six health professions programs agreed it was their professional
responsibility to help smokers quit, and at least 65 percent agreed to the
same responsibility for helping ST users quit. The proportion agreeing that
their programs had course content describing their role in helping patients
quit tobacco use varied widely by program from 100 percent agreement among
dental hygiene and pharmacy students to 14.6 percent of physical therapy
students (p-value <0.001). When asked whether their program adequately
prepared them to help smokers quit, agreement ranged from 100 percent among
dental hygiene students to only 5.5 percent among physical therapy students
(p-value <0.001). Almost 90 percent of dental hygiene students agreed that
they were adequately trained to help ST users quit, but no other program had
a percentage of agreement above 34 percent (p-value <0.001). Consistent and
comprehensive multidisciplinary tobacco-related curricula could offer
desirable standardization.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
health personnel attitude
professional standard
smoking cessation
tobacco dependence (prevention)
vocational education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
comparative study
dental assistant
dental student
education
female
human
male
medical ethics
medical student
methodology
nursing student
patient education
pharmacy student
physiotherapy
smoking (epidemiology)
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15038638 (http://www.ncbi.nlm.nih.gov/pubmed/15038638)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 724
TITLE
Barriers to managing pain in the nursing home: Findings from a statewide
survey
AUTHOR NAMES
Tarzian A.J.
Hoffmann D.E.
AUTHOR ADDRESSES
(Tarzian A.J., atarzian@law.umaryland.edu; Hoffmann D.E.) Univ. of Maryland
School of Law, Law and Health Care Program, 500 W. Baltimore St., Baltimore,
MD 21201-1786, United States.
CORRESPONDENCE ADDRESS
A.J. Tarzian, Law and Health Care Program, Univ. of Maryland School of Law,
500 W. Baltimore St., Baltimore, MD 21201-1786, United States. Email:
atarzian@law.umaryland.edu
SOURCE
Journal of the American Medical Directors Association (2004) 5:2 (82-88).
Date of Publication: March/April 2004
ISSN
1525-8610
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Objectives: The objective of this study was to identify pain management
demographics, perceived resources, and perceived barriers to adequately
manage pain in the nursing home setting. Design: Mailed survey. Setting: All
licensed Connecticut nursing homes. Participants: Directors of Nursing
(DONs). Measurements: Survey eliciting pain management demographics,
perceived resources, and perceived barriers to adequately manage pain in
respondents' nursing home. Results: A total of 113 of 260 DONs (43%)
responded to the survey. Respondents believed pain was suboptimally managed,
particularly for residents with malignant and nonmalignant chronic pain.
Perceived barriers to providing adequate pain management included lack of
knowledge about pain management among nurses and physicians, lack of a
standardized approach to treating pain, physicians' personal attitudes
toward treating pain (eg, fear of addiction or overdose), lack of diagnostic
precision in treating pain, and difficulty in choosing the right analgesic.
Other barriers are also discussed, including low hospice enrollment of
nursing home residents. Conclusion: Improving pain management in nursing
homes requires improving provider knowledge and attitudes, enhancing
diagnostic precision, standardizing pain treatment, and achieving an
institutional commitment. Although responding DONs seemed aware of the need
for improved pain management outcomes at their facilities, the required
institutional commitment to accomplish this was not evidenced by these
findings. Copyright © 2004 American Medical Directors Association.
EMTREE DRUG INDEX TERMS
analgesic agent (adverse drug reaction, drug therapy, intravenous drug
administration, oral drug administration, rectal drug administration,
subcutaneous drug administration, topical drug administration)
morphine (adverse drug reaction, drug therapy, subcutaneous drug
administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (drug therapy, therapy)
nursing home
EMTREE MEDICAL INDEX TERMS
administrative personnel
alternative medicine
article
awareness
cancer pain (diagnosis, drug therapy, therapy)
controlled study
demography
diagnostic accuracy
drug dependence
drug overdose
fear
health care facility
health care need
health survey
hospice
human
institutional care
licence
major clinical study
medical decision making
nurse attitude
physician attitude
postal mail
residential care
side effect (side effect)
standardization
transcutaneous nerve stimulation
treatment planning
United States
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004136330
MEDLINE PMID
14984618 (http://www.ncbi.nlm.nih.gov/pubmed/14984618)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 725
TITLE
Examining the relationships of addiction and beliefs of nursing students
towards persons with alcohol problems.
AUTHOR NAMES
Earlywine A.
AUTHOR ADDRESSES
(Earlywine A.)
CORRESPONDENCE ADDRESS
A. Earlywine,
SOURCE
Archives of psychiatric nursing (2004) 18:1 (35). Date of Publication: Feb
2004
ISSN
0883-9417
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
attitude to health
cultural anthropology
health personnel attitude
nursing student
EMTREE MEDICAL INDEX TERMS
human
note
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14986289 (http://www.ncbi.nlm.nih.gov/pubmed/14986289)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 726
TITLE
"Partnerships and collaborations" the third annual conference of the nursing
council on alcohol
AUTHOR NAMES
Watson H.
Cooper P.
Champney-Smith J.
AUTHOR ADDRESSES
(Watson H., nca.uk@btopenworld.com) Nursing Council on Alcohol, Glasgow
Caledonian University, Glasgow G4 0BA, United Kingdom.
(Cooper P., philip.cooper@lhp.nhs.uk) Community Mental Health Team,
Bloomfield House, Looms Lane, Bury St Edmonds IP33 1HE, United Kingdom.
(Champney-Smith J.) Cardiff and Vale NHS Trust, Cardiff, United Kingdom.
CORRESPONDENCE ADDRESS
H. Watson, Nursing Council on Alcohol, Glasgow Caledonian University,
Glasgow G4 0BA, United Kingdom. Email: nca.uk@btopenworld.com
SOURCE
Journal of Substance Use (2004) 9:1 (5-6). Date of Publication: Feb 2004
ISSN
1465-9891
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
continuing education
nursing education
EMTREE MEDICAL INDEX TERMS
competence
health promotion
human
medical society
note
nurse patient relationship
nurse practitioner
priority journal
professional practice
risk management
symposium
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2004195605
FULL TEXT LINK
http://dx.doi.org/10.1080/146598041000693167
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 727
TITLE
Nurses' attitudes toward pain treatment with opioids: A survey in a Belgian
university hospital
AUTHOR NAMES
Broekmans S.
Vanderschueren S.
Morlion B.
Kumar A.
Evers G.
AUTHOR ADDRESSES
(Broekmans S., susan.broekmans@med.kuleuven.ac.be; Vanderschueren S.;
Morlion B.; Kumar A.; Evers G.) Multidisciplinary Pain Centre, University
Hospital, Leuven, Belgium.
(Broekmans S., susan.broekmans@med.kuleuven.ac.be; Evers G.) Ctr. Hlth.
Serv. and Nursing Res., Catholic University, Kapucijnenvoer 35, Leuven,
Belgium.
CORRESPONDENCE ADDRESS
S. Broekmans, Multidisciplinary Pain Centre, University Hospital, Leuven,
Belgium. Email: susan.broekmans@med.kuleuven.ac.be
SOURCE
International Journal of Nursing Studies (2004) 41:2 (183-189). Date of
Publication: February 2004
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Aim: To investigate nurses' attitudes toward pain treatment with opioids in
a Belgian university hospital. Method: A cross-sectional, descriptive study
design was used. The randomised sample included 350 nurses working in the
University Hospital Leuven, Belgium. Non-response was 10.9%. Nurses'
attitudes were explored by a structured questionnaire. The score on the
opioid attitude scale (OAS) varied between 9 and 45. Results: Despite a
neutral to positive score on the OAS (mean=69.4%), nurses had clearly
negative attitudes towards the use of opioids during a diagnostic phase and
the risk of possible addiction. These negative attitudes can hinder adequate
pain treatment. © 2003 Elsevier Ltd. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate derivative (drug therapy)
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
pain (diagnosis, drug therapy)
EMTREE MEDICAL INDEX TERMS
addiction (etiology, prevention)
adult
Belgium
controlled study
defense mechanism
diagnostic procedure
education
female
health services research
health survey
human
male
nurse
nursing
nursing staff
prevalence
psychological aspect
questionnaire
randomization
review
risk factor
sampling
self evaluation
social psychology
university hospital
work capacity
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
14725782 (http://www.ncbi.nlm.nih.gov/pubmed/14725782)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0020-7489(03)00129-9
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 728
TITLE
Using a symptom-triggered approach to manage patients in acute alcohol
withdrawal.
AUTHOR NAMES
McKay A.
Koranda A.
Axen D.
AUTHOR ADDRESSES
(McKay A.; Koranda A.; Axen D.) Mayo Medical Center, Rochester, MN, USA.
CORRESPONDENCE ADDRESS
A. McKay, Mayo Medical Center, Rochester, MN, USA.
SOURCE
Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
(2004) 13:1 (15-20, 31; quiz 21). Date of Publication: Feb 2004
ISSN
1092-0811
ABSTRACT
Nurses working in the medical-surgical setting routinely care for patients
experiencing acute alcohol withdrawal. Symptom-triggered therapy using the
revised Clinical Institute Withdrawal Assessment (CIWA-Ar) (Sullivan,
Sykora, Schneiderman, Naranjo, & Sellers, 1989) is currently recommended.
Scoring patient symptoms using the CIWA-Ar and educating staff nurses are
keys to providing consistent management of a patient in acute alcohol
withdrawal.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (etiology)
withdrawal syndrome (etiology)
EMTREE MEDICAL INDEX TERMS
delirium tremens (etiology)
human
pathophysiology
review
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
15029927 (http://www.ncbi.nlm.nih.gov/pubmed/15029927)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 729
TITLE
Nursing students' perceptions of smoking prevention
AUTHOR NAMES
Baron-Epel O.
Josephsohn K.
Ehrenfeld M.
AUTHOR ADDRESSES
(Baron-Epel O., ornaepel@research.haifa.ac.il; Josephsohn K.) The Cheryl
Spencer Dept. of Nursing, Fac. of Social Welfare/Hlth. Studies, University
of Haifa, Mount Carmel 31095, Israel.
(Baron-Epel O., ornaepel@research.haifa.ac.il) Israel Center for Disease
Control, Ministry of Health, Tel-Hashomer, Israel.
(Ehrenfeld M.) Nursing Department, Tel Aviv University, Tel Aviv, Israel.
CORRESPONDENCE ADDRESS
O. Baron-Epel, The Cheryl Spencer Dept. of Nursing, Fac. of Social
Welfare/Hlth. Studies, University of Haifa, Mount Carmel 31095, Israel.
Email: ornaepel@research.haifa.ac.il
SOURCE
Nurse Education Today (2004) 24:2 (145-151). Date of Publication: February
2004
ISSN
0260-6917
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
Smoking behaviors of student nurses may have a profound effect on the
implementation of smoking-prevention activities in the future, as they are
the future nurses. The aim of the study was to evaluate the prevalence of
smoking among student nurses in Israel and to identify factors associated
with the students' attitude to their role in smoking prevention and to
nurses as role models regarding smoking. Student nurses from three large
academic schools (782 respondents) answered a self-administered
questionnaire. About 22% reported being current smokers. The latter more
frequently reported positive attitudes to nurses' smoking and saw no ethical
problems in their smoking. Smokers also reported less frequently that nurses
should be active in smoking prevention. In a logistic regression model,
attitudes to nurses' role in smoking prevention, smoking status, and having
friends who smoked were associated with the attitude to nurses as role
models. Attitude to nurses as role models was the main variable explaining
variance in attitudes to nurses' role in prevention. Smoking status and
students' social environment exerted a marked influence on students'
attitudes to smoking role modeling. A more holistic approach to student
nurses' education about smoking prevention is called for. © 2003 Elsevier
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
article
controlled study
ethics
ethnic group
female
human
human relation
Israel
logistic regression analysis
male
medical personnel
nursing education
parental behavior
prevalence
questionnaire
religion
smoking
smoking habit
social environment
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
14769459 (http://www.ncbi.nlm.nih.gov/pubmed/14769459)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.nedt.2003.11.001
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 730
TITLE
Preconception education: Caring for the future
AUTHOR NAMES
Gottesman M.M.
AUTHOR ADDRESSES
(Gottesman M.M.) 1585 Neil Avenue, Columbus, OH 43210-1289, United States.
CORRESPONDENCE ADDRESS
M.M. Gottesman, 1585 Neil Avenue, Columbus, OH 43210-1289, United States.
SOURCE
Journal of Pediatric Health Care (2004) 18:1 (40-44). Date of Publication:
January 2004
ISSN
0891-5245
BOOK PUBLISHER
Mosby Inc.
EMTREE DRUG INDEX TERMS
alcohol
folic acid
multivitamin
teratogenic agent
toxin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
maternal care
patient education
EMTREE MEDICAL INDEX TERMS
alcohol consumption
awareness
dental procedure
diet supplementation
domestic violence
environmental exposure
genetics
health education
health service
human
immunization
infection risk
medical care
mental health
nurse practitioner
nursing
nutrition
occupational exposure
pediatrics
pregnancy
prematurity (prevention)
primary medical care
prophylaxis
reproduction
review
social psychology
substance abuse
tobacco
United States
CAS REGISTRY NUMBERS
alcohol (64-17-5)
folic acid (59-30-3, 6484-89-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14722506 (http://www.ncbi.nlm.nih.gov/pubmed/14722506)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.pedhc.2003.12.002
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 731
TITLE
Effects of a continuing education program on nurses' practices of cancer
pain assessment and their acceptance of patients' pain reports
AUTHOR NAMES
Ger L.-P.
Chang C.-Y.
Ho S.-T.
Lee M.-C.
Chiang H.-H.
Chao C.-S.
Lai K.-H.
Huang J.-M.
Wang S.-C.
AUTHOR ADDRESSES
(Ger L.-P.) Dept. of Med. Education and Research, Kaohsiung Veterans General
Hospital, Kaohsiung, Taiwan.
(Chang C.-Y.; Huang J.-M.; Wang S.-C.) Department of Nursing, Kaohsiung
Veterans General Hospital, Kaohsiung, Taiwan.
(Lee M.-C.) Department of Anesthesiology, Kaohsiung Veterans General
Hospital, Kaohsiung, Taiwan.
(Lai K.-H.) Department of Internal Medicine, Kaohsiung Veterans General
Hospital, Kaohsiung, Taiwan.
(Ger L.-P.; Ho S.-T.) Department of Anesthesiology, National Defense Medical
Center, Tri-Service General Hospital, Taipei, Taiwan.
(Chiang H.-H.) Faculty of Nursing, National Yang-Ming University, Taipei,
Taiwan.
(Chao C.-S.) Department of Nursing, Medical College, National Chen-Kung
University, Tainan, Taiwan.
(Ger L.-P.) Dept. of Med. Education and Research, Kaohsiung Veterans General
Hospital, 386 Ta-Chung 1st Road, Kaohsiung, Taiwan.
CORRESPONDENCE ADDRESS
L.-P. Ger, Dept. of Med. Education and Research, Kaohsiung Veterans General
Hospital, 386 Ta-Chung 1st Road, Kaohsiung, Taiwan.
SOURCE
Journal of Pain and Symptom Management (2004) 27:1 (61-71). Date of
Publication: January 2004
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
A hospital-based quasi-experimental (pretest and post-test) study was
conducted in Kaohsiung Veteran General Hospital, Taiwan. This study was to
evaluate a continuing education program (CEP) on nurses' practices of cancer
pain assessment and their acceptance of patients' pain reports with respect
to four types of misconceptions. A questionnaire was sent to on-duty nurses
or head nurses with patient care responsibilities before the implementation
of CEP (n=645) and six months after the program (n=630). The response rates
were 92.6% and 91.3% for pretest and post-test surveys, respectively. The
CEP was implemented in 8 weeks with four-repeated sessions of 4-hour
lectures. A one-day workshop focused on cancer pain assessment and treatment
was held 3 months after the four-repeated sessions. Several educational
strategies and teaching materials were used in the CEP. The results showed
that CEP made statistically significant yet moderate improvement in nurses'
practices of pain assessment using pain rating scales (pretest 3.29±0.76 vs.
post-test 3.48±0.75, P<0.001) and acceptance of patient's pain reports
without misconceptions on addiction (3.12±0.80 vs. 3.39±0.90, P<0.001),
phantom pain (3.91±0.96 vs. 4.07±0.92, P=0.005), and placebo testing
(3.63±0.72 vs. 3.81±0.73, P<0.001), except on patient gender-age-related
doubts (3.60±0.72 vs. 3.67±0.77, P=0.109). In order to achieve further
improvement, additional follow-up CEP combined with a hospital-wide
institutionalization of pain assessment should be promoted and implemented
in the future. © 2004 U.S. Cancer Pain Relief Committee. Published by
Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
analgesic agent (drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer pain (drug therapy)
continuing education
pain assessment
EMTREE MEDICAL INDEX TERMS
article
clinical practice
controlled study
drug tolerance
evaluation study
follow up
human
nurse practitioner
patient care
questionnaire
rating scale
statistical significance
teaching
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004019023
MEDLINE PMID
14711470 (http://www.ncbi.nlm.nih.gov/pubmed/14711470)
FULL TEXT LINK
http://dx.doi.org/10.1016/j.jpainsymman.2003.05.006
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 732
TITLE
Substance abuse: Prevalence in a sample of nursing students
AUTHOR NAMES
Ahmadi J.
Maharlooy N.
Alishahi M.
AUTHOR ADDRESSES
(Ahmadi J., jamshid_ahmadi@yahoo.com) Psychiatry, Shiraz Univ. of Medical
Sciences, Shiraz, Iran.
(Maharlooy N.; Alishahi M.) Shiraz Univ. of Medical Sciences, Shiraz, Iran.
(Ahmadi J., jamshid_ahmadi@yahoo.com) Hafez Hospital, PO Box 71345-1416,
Shiraz, Iran.
CORRESPONDENCE ADDRESS
J. Ahmadi, Hafez Hospital, PO Box 71345-1416, Shiraz, Iran. Email:
jamshid_ahmadi@yahoo.com
SOURCE
Journal of Clinical Nursing (2004) 13:1 (60-64). Date of Publication:
January 2004
ISSN
0962-1067
BOOK PUBLISHER
Blackwell Publishing Ltd
ABSTRACT
Aims. The aim of this research was to evalvate the prevalence of substance
abuse in a sample of Iranian nursing students. Design and measurements. Four
hundred nursing students (85.25% were females and 14.25% were male) were
assessed by a confidential questionnaire based on DSM-IV, which was
distributed, completed by the students and collected in the same session.
Findings. Mean age of the females was 20.3 and of males was 22.8. Of the
subjects, 27.3% (21. 4% of females and 61% of males) reported usage of
substance(s) once or more sometime during their lives: cigarette (25.3%),
alcohol (5.8%), opium (8.5%), cocaine (1.5%), hashish (1.5%), marijuana
(0.8%) and morphine (0.5%). Only 3.8% of the participants (1.8% of females
and 15.3% of males) reported still using substances: cigarettes (3.3%),
alcohol (1.7%), opium (0.8%), cocaine (0.5%) and marijuana (0.3%). About
11.8% of the subjects (10% of females and 22% of males) reported using of
substances occasionally (at least once a month): cigarette (10.8%), alcohol
(3.5%), opium (4.3%), cocaine (0.5%) and hashish (0.3%). Some used or were
using more than one substance. Conclusions. Substance use was significantly
related to sex: higher among males than females. Tobacco and opium were
found to be the most prevalent form of substance use among students.
Pleasurable purposes, habit, need (to avoid withdrawal symptoms) and tension
were the major reasons for substance use. There was no report of
psychedelics use. These results are, however, different from those studies
carried out in the west, although there is some overlap. Cultural attitudes
toward substance use quite likely affect the types and patterns of use.
These findings can be considered when planning preventive and therapeutic
programmes. Relevance to clinical practice. Substance use can reduce
scientific progress and academic achievement of nursing students; therefore,
authorities of the university must be able to assess the extent of the
problem, understand the contributing factors, recognize signs and symptoms,
and use educational interventions in identifying and preventing substance
dependency.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical personnel
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
article
attitude
confidentiality
controlled study
cultural factor
female
habit
human
Iran
major clinical study
male
nursing
prevalence
questionnaire
sex ratio
smoking
tension
tobacco
withdrawal syndrome
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
14687294 (http://www.ncbi.nlm.nih.gov/pubmed/14687294)
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1365-2702.2003.00841.x
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 733
TITLE
Positive youth development: reducing the health risks of homeless youth.
AUTHOR NAMES
Taylor-Seehafer M.A.
AUTHOR ADDRESSES
(Taylor-Seehafer M.A.) Family and Public Health Division, The University of
Texas, Austin, TX 78712, USA.
CORRESPONDENCE ADDRESS
M.A. Taylor-Seehafer, Family and Public Health Division, The University of
Texas, Austin, TX 78712, USA. Email: denk444357@aol.com
SOURCE
MCN. The American journal of maternal child nursing (2004) 29:1 (36-40).
Date of Publication: 2004 Jan-Feb
ISSN
0361-929X
ABSTRACT
This article outlines several preventive health strategies for reducing the
health risks of homeless youth related to emotional distress, alcohol and
other drug use/abuse, risky sex, and victimization, all of which are well
documented as major health risks for homeless youth living on the street.
These health risks interrupt normal adolescent development and are primary
obstacles to exiting the street culture and lifestyle. Research indicates
that risk exposures among adolescents can be moderated and/or buffered by a
focus on individual strengths and environmental protective factors such as
community support and mentoring.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
health education
homelessness
preventive health service
program development
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
community care
human
maternal care
methodology
nursing
organization and management
review
risk assessment
sexual education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14734963 (http://www.ncbi.nlm.nih.gov/pubmed/14734963)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 734
TITLE
Internet information that's free, accurate and helpful.
AUTHOR NAMES
Ilardi D.
AUTHOR ADDRESSES
(Ilardi D.)
CORRESPONDENCE ADDRESS
D. Ilardi,
SOURCE
School nurse news (2004) 21:1 (30-32). Date of Publication: Jan 2004
ISSN
1080-7543
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
information service
Internet
EMTREE MEDICAL INDEX TERMS
addiction (etiology, prevention)
adolescent
article
child
education
human
nurse attitude
organization and management
school health nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14753088 (http://www.ncbi.nlm.nih.gov/pubmed/14753088)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 735
TITLE
Drug and substance use in adolescents.
AUTHOR NAMES
Schiffman R.F.
AUTHOR ADDRESSES
(Schiffman R.F.) University of Wisconsin-Milwaukee, College of Nursing,
University of Wisconsin-MIlwaukee, Milwaukee, WI 53201, USA.
CORRESPONDENCE ADDRESS
R.F. Schiffman, University of Wisconsin-Milwaukee, College of Nursing,
University of Wisconsin-MIlwaukee, Milwaukee, WI 53201, USA. Email:
schiffma@uwm.edu
SOURCE
MCN. The American journal of maternal child nursing (2004) 29:1 (21-27; quiz
28-29). Date of Publication: 2004 Jan-Feb
ISSN
0361-929X
ABSTRACT
This article provides an overview of adolescent drug and substance use, and
includes prevalence and trends, commonly occurring comorbid conditions,
clinical manifestations of drug and substance use, and evidence-based
prevention and treatment principles. Risk and protective factors in five
domains are also discussed in this article to provide guidance for
assessment and care planning. A detailed table of the most prevalent drugs
used by adolescents, including the drug's street names and the clinical
manifestations of each drug's use, is offered to assist nurses in
understanding their adolescent patients' language and to aid in teaching.
Nurses are in varied and ideal positions to begin early screening (and to
include families, peers, and other important influences in the adolescent's
life), to provide continuity of care, and to advocate in the policy arena
for development and funding of comprehensive and efficacious programs to
help prevent or treat substance use in adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
child behavior
maternal care
EMTREE MEDICAL INDEX TERMS
adolescent
human
methodology
nursing
nursing assessment
prevalence
review
risk factor
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14734961 (http://www.ncbi.nlm.nih.gov/pubmed/14734961)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 736
TITLE
The Pharmacological Management of Chronic Pain in Long-Term Care Settings:
Balancing Efficacy and Safety
AUTHOR NAMES
Argoff C.E.
Cranmer W.W.
AUTHOR ADDRESSES
(Argoff C.E.) Cohn Pain Management Center, North Shore University Hospital,
Manhasset, NY, United States.
(Argoff C.E.) Department of Neurology, New York Univ. School of Medicine, .
(Cranmer W.W.) Amer. Bd. of Psychiat. and Neurology, .
(Cranmer W.W.) Geriatric Medical Associates, Oklahoma City, OK, United
States.
CORRESPONDENCE ADDRESS
C.E. Argoff, Cohn Pain Management Center, North Shore University Hospital,
Manhasset, NY, United States.
SOURCE
Consultant Pharmacist (2003) 18:SUPPL. A (4-18). Date of Publication: 2003
ISSN
0888-5109
ABSTRACT
Objectives: To understand the extent and impact of chronic pain in the
nursing home setting, the array of pharmacological options available for the
treatment of chronic pain, and to examine the role of the consultant
pharmacist in improving chronic pain management among elderly nursing home
residents. Data sources: Literature reviews, national and international
guidelines, expert opinion. Data Synthesis: Chronic pain remains a common
and undertreated condition among elderly nursing home residents. Although
the reasons for the undertreatment of pain in this population are complex,
failure to recognize pain and to utilize the full spectrum of analgesic
options available for the management of pain may be central underlying
elements. The consultant pharmacist, in conjunction with the entire
treatment team, can prioritize pain recognition and implement treatment
strategies that incorporate analgesics from the full array of
pharmacological options shown to be effective and well tolerated in the
elderly. Conclusions: Adequate treatment of pain in the nursing home setting
will require an institutional commitment to determine which residents are in
pain and to identify the most appropriate treatment option for an individual
resident. The consultant pharmacist can play a central role in this process
by (1) participating in a coordinated education process for the entire
treatment team; (2) participating in the selection of an appropriate
analgesic regimen; and (3) evaluating the ongoing efficacy, safety, and
tolerability of analgesic regimens for long-term care residents.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alpha 2 adrenergic receptor stimulating agent (adverse drug reaction,
clinical trial, drug therapy, pharmacology)
analgesic agent (adverse drug reaction, drug administration, drug therapy,
oral drug administration, parenteral drug administration, pharmacology,
topical drug administration, transdermal drug administration)
anticonvulsive agent (adverse drug reaction, clinical trial, drug therapy,
pharmacology)
antidepressant agent (adverse drug reaction, clinical trial, drug therapy,
pharmacology)
muscle relaxant agent (adverse drug reaction, clinical trial, drug therapy,
pharmacology)
n methyl dextro aspartic acid receptor blocking agent (adverse drug
reaction, clinical trial, drug therapy, pharmacology)
EMTREE DRUG INDEX TERMS
capsaicin (adverse drug reaction, clinical trial, drug therapy,
pharmacology, topical drug administration)
carbamazepine (adverse drug reaction, drug dose, drug therapy, pharmacology)
clonazepam (drug therapy)
codeine (adverse drug reaction, drug therapy, pharmacology)
cyclooxygenase 2 inhibitor (adverse drug reaction, drug therapy)
diphenhydramine (clinical trial, drug comparison, drug therapy,
pharmacology, topical drug administration)
etiracetam
fentanyl (adverse drug reaction, clinical trial, drug therapy, pharmacology,
transdermal drug administration)
fentanyl citrate
gabapentin (drug therapy)
hydrocodone (adverse drug reaction, drug combination, drug therapy,
pharmacology)
hydrocodone bitartrate plus paracetamol
hydromorphone (adverse drug reaction, drug therapy, pharmacology)
ibuprofen (drug combination, drug therapy, pharmacology)
lamotrigine (drug therapy, pharmacology)
lidocaine (clinical trial, drug administration, drug comparison, drug
therapy, pharmacology, topical drug administration)
methadone (drug therapy)
morphine sulfate (adverse drug reaction, drug comparison, drug therapy,
pharmaceutics, pharmacology)
nonsteroid antiinflammatory agent (adverse drug reaction, drug combination,
drug therapy, pharmacology)
opiate (adverse drug reaction, clinical trial, drug combination, drug
therapy, pharmacology, topical drug administration)
oxcarbazepine
oxycodone (adverse drug reaction, clinical trial, drug combination, drug
dose, drug therapy, pharmaceutics, pharmacology)
oxycodone plus paracetamol (drug therapy, pharmaceutics, pharmacology)
oxymorphone (adverse drug reaction, drug therapy, pharmacology)
paracetamol (adverse drug reaction, drug combination, drug dose, drug
therapy)
phenytoin
topical agent (drug therapy, pharmacology, topical drug administration)
topiramate
unindexed drug (drug therapy)
valproate semisodium (drug therapy)
valproic acid
zonisamide
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (diagnosis, drug therapy, epidemiology, etiology)
long term care
EMTREE MEDICAL INDEX TERMS
addiction (side effect)
analgesia
ataxia (side effect)
burning sensation (side effect)
clinical pharmacy
clinical trial
cognitive defect (side effect)
constipation (side effect)
diplopia (side effect)
dizziness (side effect)
drowsiness (side effect)
drug dependence (diagnosis)
drug efficacy
drug formulation
drug mechanism
drug safety
drug tolerance
drug use
endocrine disease (side effect)
gastrointestinal toxicity (side effect)
geriatric patient
heart arrhythmia (side effect)
human
hypotension (side effect)
inappropriate drug use
lethargy (side effect)
libido disorder (side effect)
liver toxicity (side effect)
low back pain (drug therapy)
mental disease (complication)
nausea (side effect)
nephrotoxicity (side effect)
neuropathic pain (drug therapy)
nursing home
nystagmus (side effect)
orthostatic hypotension (side effect)
pain assessment
pharmacist
postherpetic neuralgia (drug therapy)
prevalence
pruritus (side effect)
review
sedation
side effect (side effect)
sleep disorder (side effect)
somnolence (side effect)
sustained release preparation
thrombocyte dysfunction (side effect)
undertreatment
visual impairment (side effect)
vomiting (side effect)
xerostomia (side effect)
DRUG TRADE NAMES
actiq
carbatrol
depacon
dilantin
dilaudid
keppra
lamictal
neurontin
numorphan
roxanol
roxicodone
topamax
trileptal
zonegran
zydone
CAS REGISTRY NUMBERS
capsaicin (404-86-4)
carbamazepine (298-46-4, 8047-84-5)
clonazepam (1622-61-3)
codeine (76-57-3)
diphenhydramine (147-24-0, 58-73-1)
etiracetam (102767-28-2, 33996-58-6)
fentanyl citrate (990-73-8)
fentanyl (437-38-7)
gabapentin (60142-96-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
ibuprofen (15687-27-1)
lamotrigine (84057-84-1)
lidocaine (137-58-6, 24847-67-4, 56934-02-2, 73-78-9)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
muscle relaxant agent (9008-44-0)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxcarbazepine (28721-07-5)
oxycodone (124-90-3, 76-42-6)
oxymorphone (357-07-3, 76-41-5)
paracetamol (103-90-2)
phenytoin (57-41-0, 630-93-3)
topiramate (97240-79-4)
valproate semisodium (76584-70-8)
valproic acid (1069-66-5, 99-66-1)
zonisamide (68291-97-4)
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Pharmacy (39)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004068302
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 737
TITLE
Want to give up smoking? Self-help tips for professionals.
AUTHOR NAMES
Percival J.
AUTHOR ADDRESSES
(Percival J.) Royal College of Nursing, London.
CORRESPONDENCE ADDRESS
J. Percival, Royal College of Nursing, London.
SOURCE
The journal of family health care (2003) 13:6 (165-167). Date of
Publication: 2003
ISSN
1474-9114
ABSTRACT
Health professionals are well aware of the health risks of nicotine but find
it as hard as lay people to give up smoking. How people prepare themselves
for quitting is important in determining success. Jennifer Percival, Tobacco
Education Project Manager at the Royal College of Nursing, explains how to
assess motivation and measure one's level of addiction. She also gives
practical steps for getting off to a successful start.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
self care
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
education
health behavior
human
methodology
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14753122 (http://www.ncbi.nlm.nih.gov/pubmed/14753122)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 738
TITLE
Preventing cancer by controlling youth tobacco use.
AUTHOR NAMES
DiFranza J.R.
Wellman R.J.
AUTHOR ADDRESSES
(DiFranza J.R.; Wellman R.J.) Department of Family and Community Medicine,
University of Massachusetts Medical Center, 55 Lake Ave, Worcester, MA
01655, USA.
CORRESPONDENCE ADDRESS
J.R. DiFranza, Department of Family and Community Medicine, University of
Massachusetts Medical Center, 55 Lake Ave, Worcester, MA 01655, USA.
SOURCE
Seminars in oncology nursing (2003) 19:4 (261-267). Date of Publication: Nov
2003
ISSN
0749-2081
ABSTRACT
OBJECTIVES: To review the epidemiology and prevention of teen smoking and
the risks of smoking among survivors of childhood cancer. DATA SOURCES:
Research articles, government reports, and surveys. CONCLUSION: Nicotine
dependence often begins with the first few cigarettes smoked during
adolescence. Teen tobacco use is fueled by the attractive social images that
tobacco companies create for their products. Curtailing the sale of tobacco
to minors and increasing their price decreases availability. Banning smoking
in schools and public places reduces smoking opportunities. IMPLICATIONS FOR
NURSING PRACTICE: Nurses have an important role to play in the battle
against tobacco-induced malignancies through collaboration with community
efforts or state initiatives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
nurse attitude
smoking (adverse drug reaction, prevention)
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
advertizing
attitude to health
child
child behavior
commercial phenomena
human
legal aspect
lung tumor (etiology, prevention)
methodology
nursing
nursing methodology research
review
risk factor
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14702860 (http://www.ncbi.nlm.nih.gov/pubmed/14702860)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 739
TITLE
The global epidemic of tobacco and cancer.
AUTHOR NAMES
Sarna L.
Cooley M.E.
Danao L.
AUTHOR ADDRESSES
(Sarna L.; Cooley M.E.; Danao L.) UCLA School of Nursing, 700 Tiverton Ave,
Box 956918, Factor 4-262, Los Angeles, CA 90095-6918, USA.
CORRESPONDENCE ADDRESS
L. Sarna, UCLA School of Nursing, 700 Tiverton Ave, Box 956918, Factor
4-262, Los Angeles, CA 90095-6918, USA.
SOURCE
Seminars in oncology nursing (2003) 19:4 (233-243). Date of Publication: Nov
2003
ISSN
0749-2081
ABSTRACT
OBJECTIVES: To provide a global context for understanding the epidemic of
tobacco-induced disease, and the need for nursing action. DATA SOURCES:
International cancer and tobacco statistics; published articles. CONCLUSION:
Tobacco use is a global problem and a significant issue for cancer control.
The efforts of health professionals, especially those concerned about
cancer, are needed to confront this epidemic. IMPLICATIONS FOR NURSING
PRACTICE: Worldwide action of nurses, the largest group of health
professionals, is critical in preventing tobacco use, helping with tobacco
cessation, and decreasing exposure to second-hand smoke.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
neoplasm (etiology, prevention)
nurse attitude
oncology nursing
smoking cessation
tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
health
human
international cooperation
methodology
nursing
patient education
review
risk factor
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14702857 (http://www.ncbi.nlm.nih.gov/pubmed/14702857)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 740
TITLE
A Comparison of Smoking Habits among Medical and Nursing Students
AUTHOR NAMES
Patkar A.A.
Hill K.
Batra V.
Vergare M.J.
Leone F.T.
AUTHOR ADDRESSES
(Patkar A.A., ashwin.patkar@mail.tju.edu; Vergare M.J.) Dept. of Psychiat.
and Hum. Behav., Jefferson Medical College, Thomas Jefferson University,
Philadelphia, PA, United States.
(Batra V.; Leone F.T.) Division of Critical Care, Jefferson Medical College,
Thomas Jefferson University, Philadelphia, PA, United States.
(Hill K.) Department of Medicine, Jefferson Medical College, Thomas
Jefferson University, Philadelphia, PA, United States.
(Patkar A.A., ashwin.patkar@mail.tju.edu) Department of Psychiatry, Thomas
Jefferson University, 833 Chestnut St East, Philadelphia, PA 19107, United
States.
CORRESPONDENCE ADDRESS
A.A. Patkar, Department of Psychiatry, Thomas Jefferson University, 833
Chestnut St East, Philadelphia, PA 19107, United States. Email:
ashwin.patkar@mail.tju.edu
SOURCE
Chest (2003) 124:4 (1415-1420). Date of Publication: October 2003
ISSN
0012-3692
BOOK PUBLISHER
American College of Chest Physicians, 3300 Dundee Road, Northbrook, United
States.
ABSTRACT
Objective: The approach and credibility of future physicians and nurses as
treatment providers for smoking- and tobacco-related diseases may be
influenced by their smoking habits. We compared smoking habits among medical
and nursing students, and examined whether these habits changed during the
course of education for each cohort. Method: Over 1,100 medical and nursing
students from a university were surveyed in year 2000 using a questionnaire
that included the Fagerstrom test for nicotine dependence (FTND). Results: A
total of 397 medical students and 126 nursing students completed the survey.
Significantly fewer medical students (3.3%) smoked compared to nursing
students (13.5%). Also, significantly more nursing students were former
smokers (17.8%) than medical students (9.8%). The severity of nicotine
dependence, as indicated by the total FTND score as well as scores on five
of the six items on the FTND, was significantly lower among medical students
compared to nursing students. Smoking or quit rates did not differ across
class years in both groups; however, unlike nursing students, time since
quitting significantly differed across class years for medical students.
Although smoking habits appear to change little during the course of
education for both medical and nursing students, many smokers may have quit
just prior to entering medical school but not nursing school. Conclusions:
The findings confirm the continuing decline in smoking among medical
students in the United States; however, increased efforts to promote tobacco
education and intervention among nursing students seem necessary.
Nevertheless, both groups appear to have the potential to be credible
advisors to patients and public regarding smoking cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
nursing
smoking habit
EMTREE MEDICAL INDEX TERMS
adult
article
cohort analysis
comparative study
controlled study
female
health survey
human
male
medical personnel
medical school
normal human
nursing education
priority journal
questionnaire
scoring system
statistical significance
university
EMBASE CLASSIFICATIONS
Chest Diseases, Thoracic Surgery and Tuberculosis (15)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003424580
MEDLINE PMID
14555574 (http://www.ncbi.nlm.nih.gov/pubmed/14555574)
FULL TEXT LINK
http://dx.doi.org/10.1378/chest.124.4.1415
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 741
TITLE
Making schools safer and healthier for lesbian, gay, bisexual, and
questioning students.
AUTHOR NAMES
Benton J.
AUTHOR ADDRESSES
(Benton J.) Waunakee Community Schools, Waunakee, WI, USA.
CORRESPONDENCE ADDRESS
J. Benton, Waunakee Community Schools, Waunakee, WI, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (2003) 19:5 (251-259). Date of Publication: Oct
2003
ISSN
1059-8405
ABSTRACT
This article describes some of the special health and safety concerns that
many lesbian, gay, bisexual, and questioning youth face in schools. Among
these problems are increased drug and alcohol use, sexually transmitted
infections and pregnancy risks, depression and suicidality, and increased
likelihood of being a victim of harassment or assault. School nurses can
play a unique role in the lives of these students. A needs assessment is
reviewed that describes school nurses' perceived professional responsibility
and their actual practice with regard to lesbian, gay, bisexual, and
questioning youth. Five barriers to optimal health care for these students
are discussed. Methods that encourage students to view the school nurse as
an ally, as well as issues surrounding disclosure or "coming out," are
discussed. Special considerations of confidentiality, community agency
referral, and family disclosure are discussed. Appropriate interventions at
school and ways to begin to change the school climate are also presented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
school health nursing
sexuality
student
EMTREE MEDICAL INDEX TERMS
adolescent
confidentiality
female
health personnel attitude
human
male
methodology
nurse attitude
nurse patient relationship
nursing organization
organization and management
patient advocacy
review
self disclosure
sexual education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14498773 (http://www.ncbi.nlm.nih.gov/pubmed/14498773)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 742
TITLE
Substance misuse and serious mental illness: spiritual care.
AUTHOR NAMES
Hammond A.
AUTHOR ADDRESSES
(Hammond A.) Substance Misuse Service, West Kent NHS, Social Care Trust,
Dartford, Kent.
CORRESPONDENCE ADDRESS
A. Hammond, Substance Misuse Service, West Kent NHS, Social Care Trust,
Dartford, Kent. Email: andrea.hammond@tgt.sthames.nhs.uk
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (2003)
18:2 (33-38). Date of Publication: 2003 Sep 24-30
ISSN
0029-6570
ABSTRACT
BACKGROUND: People with a dual diagnosis of serious mental illness and
substance misuse may be difficult to treat. This article explores how
spirituality can be integrated into community care plans of these patients.
It highlights the importance of including spirituality in pre- and
post-basic-education programmes. CONCLUSION: Nursing models that integrate
the positivist, existential and spiritual approach to understanding and
caring for those with a dual diagnosis should be developed. Nurses could
develop support groups along the lines of Alcoholics Anonymous to provide
support to this group of clients. The use of complementary therapies by
those with a dual diagnosis is an area of possibilities. The challenge is
now to integrate spirituality into the already established biopsychosocial
approach to caring for those with a dual diagnosis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology)
alternative medicine
mental disease (complication)
EMTREE MEDICAL INDEX TERMS
community health nursing
human
model
nursing
patient care planning
psychiatric nursing
psychological aspect
religion
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14596217 (http://www.ncbi.nlm.nih.gov/pubmed/14596217)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 743
TITLE
Imagery and associations of adolescents reflected in their behaviour
AUTHOR NAMES
Kyasová M.
AUTHOR ADDRESSES
(Kyasová M., mkyasova@med.muni.cz) Dept. Geriat., Nursing/Gen. Pract.,
Faculty of Medicine, Masaryk University, Brno, Czech Republic.
(Kyasová M., mkyasova@med.muni.cz) Dept. Geriat., Nursing/Gen. Pract.,
Faculty of Medicine, Masaryk University Brno, Joštova 10, 662 43 Brno, Czech
Republic.
CORRESPONDENCE ADDRESS
M. Kyasová, Dept. Geriat., Nursing/Gen. Pract., Faculty of Medicine, Masaryk
University Brno, Joštova 10, 662 43 Brno, Czech Republic. Email:
mkyasova@med.muni.cz
SOURCE
Central European Journal of Public Health (2003) 11:3 (132-137). Date of
Publication: September 2003
ISSN
1210-7778
BOOK PUBLISHER
Czech National Institute of Public Health, Srobarova 48, Prague, Czech
Republic.
ABSTRACT
In adolescent girls, by means of imagery and associations it was studied,
which images and associations produce concepts expressing activities which,
on the one hand, protect and promote health (exercises, use of seat belts,
and condoms) and, on the other hand, represent a health risk (drinking beer
and liquor, cigarette smoking, marijuana smoking and cocain use, and sexual
intercourse) and how they influence the respondents' behaviour. Nursing
school students were interviewed by means of a questionnaire published by
the Oregon Research Institute, U.S.A. The respondents gave a total number of
15,760 images for nine concepts. The associations for smoking cigarettes and
cocain were evaluated only negatively although 35% respondents had smoked in
the past six months. The associations for exercising were given mainly
positive ratings and, in some cases, neutral ratings although the
respondents mentioned low regular physical activities. Drinking liquor and
the using of seat belts were evaluated positively, negatively and neutrally.
Neady three quarters of the respondents had consumed alcoholic drinks
occasionally or frequently during the past six months. Drinking beer and
smoking marijuana were associated with negative or neutral images. Sexual
intercourse and condom use were prevailingly associated with positive
images. Our results have shown that images and associations tend to
contradict the adolescents' behaviour. However, the results can form a basis
for a particular application in primary preventive programmes which should
make use of and promote the development of desirable attitudes and
behaviour.
EMTREE DRUG INDEX TERMS
alcohol
cannabis
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
association
child behavior
health behavior
imagery
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcohol consumption
article
attitude
beer
concept formation
condom
daily life activity
drinking behavior
drug abuse
evaluation study
exercise
female
health hazard
health promotion
human
interview
liquid
nursing education
prediction
prophylaxis
rating scale
seatbelt
sexual behavior
sexual intercourse
smoking
student
CAS REGISTRY NUMBERS
alcohol (64-17-5)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003375706
MEDLINE PMID
14514165 (http://www.ncbi.nlm.nih.gov/pubmed/14514165)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 744
TITLE
Average cost of VA rehabilitation, mental health, and long-term hospital
stays
AUTHOR NAMES
Yu W.
Wagner T.H.
Chen S.
Barnett P.G.
AUTHOR ADDRESSES
(Yu W.; Wagner T.H.; Barnett P.G.) VA HSR and D Health Economics Resource
Center, Stanford University, Stanford, CA, United States.
(Chen S.) VA HSR and D Health Economics Resource Center, .
CORRESPONDENCE ADDRESS
VA HSR and D Health Economics Resource Center, Stanford University,
Stanford, CA, United States.
SOURCE
Medical Care Research and Review (2003) 60:3 SUPPL. (40S-53S). Date of
Publication: September 2003
ISSN
1077-5587
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
This article describes the development of a database for the cost of
inpatient rehabilitation, mental health, and long-term care stays in the
Department of Veterans Affairs from fiscal year 1998 forward. Using
"bedsection," which is analogous to a hospital ward, the authors categorize
inpatient services into nine categories: rehabilitation, blind
rehabilitation, spinal cord injury, psychiatry, substance abuse,
intermediate medicine, domiciliary, psychosocial residential rehabilitation,
and nursing home. For each of the nine categories, they estimated a national
and a local (i.e., medical center) average per diem cost. The nursing home
average per diem costs were adjusted for case mix using patient assessment
information. Encounter-level costs were then calculated by multiplying the
average per diem cost by the number of days of stay in the fiscal year. The
national cost estimates are more reliable than the local cost estimates.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care cost
EMTREE MEDICAL INDEX TERMS
blindness (disease management)
calculation
case mix
cost of illness
data base
health care financing
home care
hospital patient
hospitalization
human
length of stay
long term care
mental health
nursing home
psychiatry
rehabilitation
reliability
review
spinal cord injury (disease management)
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003333456
MEDLINE PMID
15095545 (http://www.ncbi.nlm.nih.gov/pubmed/15095545)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 745
TITLE
Examining the relationship of addiction education and beliefs of nursing
students toward persons with alcohol problems.
AUTHOR NAMES
Martinez R.J.
Murphy-Parker D.
AUTHOR ADDRESSES
(Martinez R.J.; Murphy-Parker D.) University of Colorado Health Sciences
Center-School of Nursing in Denver, CO 80262, USA.
CORRESPONDENCE ADDRESS
R.J. Martinez, University of Colorado Health Sciences Center-School of
Nursing in Denver, CO 80262, USA. Email: ruby.martineez@uchsc.edu
SOURCE
Archives of psychiatric nursing (2003) 17:4 (156-164). Date of Publication:
Aug 2003
ISSN
0883-9417
ABSTRACT
This study examined the effectiveness of two methods of teaching nursing
students about alcohol addiction. Each student who agreed to participate was
given pretests, posttests, and 3-month follow-up tests that measured
knowledge about and beliefs held toward people who abuse alcohol. Group 1
received lecture only, whereas group 2 received lecture and discussion with
a person who had been sober for many years. Both groups showed improved
scores in knowledge and certain aspects of beliefs, however, group 2 showed
greater knowledge and more accurate beliefs overall toward this population
than group 1. The introduction of a person successfully remaining sober was
shown to be an even more effective teaching strategy than lecture alone.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
cultural anthropology
drinking behavior (prevention)
health education
health personnel attitude
nursing student
perception
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
middle aged
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14508771 (http://www.ncbi.nlm.nih.gov/pubmed/14508771)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 746
TITLE
Nursing and tobacco reduction: A review of the literature
AUTHOR NAMES
Schultz A.S.H.
AUTHOR ADDRESSES
(Schultz A.S.H., annettes@interchange.ubc.ca) School of Nursing, University
of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada.
CORRESPONDENCE ADDRESS
A.S.H. Schultz, School of Nursing, University of British Columbia, T201-2211
Wesbrook Mall, Vancouver, BC V6T 2B5, Canada. Email:
annettes@interchange.ubc.ca
SOURCE
International Journal of Nursing Studies (2003) 40:6 (571-586). Date of
Publication: August 2003
ISSN
0020-7489
BOOK PUBLISHER
Elsevier Ltd
ABSTRACT
Nurses have an instrumental role to play in tobacco reduction, which is one
strategy used to address tobacco use; a primary source of preventable
morbidity and mortality globally. The following review addresses activities
by two groups of nurses: nursing governance bodies and nurse scientists,
whom together provide vision and knowledge to support and shape nursing
practice. While nursing governance bodies and scientists have contributed a
great deal to tobacco reduction, there are also gaps. Areas that require
strengthening are: support for tobacco dependent nurses, basic nursing
education concerning tobacco dependency treatment, and integration of
tobacco dependence treatment into nursing practice. © 2003 Elsevier Science
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical practice
nursing
smoking cessation
EMTREE MEDICAL INDEX TERMS
clinical trial
health care
human
medical research
morbidity
mortality
nursing education
practice guideline
reduction
review
tobacco dependence
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
12834923 (http://www.ncbi.nlm.nih.gov/pubmed/12834923)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0020-7489(03)00038-5
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 747
TITLE
An audit of interventions for dual diagnosis in a psychiatric unit.
AUTHOR NAMES
Saunder L.
AUTHOR ADDRESSES
(Saunder L.) City University, London.
CORRESPONDENCE ADDRESS
L. Saunder, City University, London.
SOURCE
Nursing times (2003) 99:27 (34-36). Date of Publication: 2003 Jul 8-14
ISSN
0954-7762
ABSTRACT
A programme of training on dual diagnosis was implemented for mental health
nurses working in an acute psychiatric unit following recommendations at
both a national and local level. An audit of the key standards was carried
out to examine the interventions offered to patients with a dual diagnosis.
An improvement was observed in the standards of care, but the sample size
was small and without further statistical analysis it would be difficult to
determine whether the improvement is statistically significant.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
in service training
nursing education
psychiatric diagnosis
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
evaluation study
health care quality
human
medical record
model
needs assessment
nursing
nursing evaluation research
practice guideline
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12882052 (http://www.ncbi.nlm.nih.gov/pubmed/12882052)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 748
TITLE
Intervening with at-risk youth: evaluation of the youth empowerment and
support program.
AUTHOR NAMES
Moody K.A.
Childs J.C.
Sepples S.B.
AUTHOR ADDRESSES
(Moody K.A.; Childs J.C.; Sepples S.B.) University of Basel, Basel,
Switzerland.
CORRESPONDENCE ADDRESS
K.A. Moody, University of Basel, Basel, Switzerland.
SOURCE
Pediatric nursing (2003) 29:4 (263-270). Date of Publication: 2003 Jul-Aug
ISSN
0097-9805
ABSTRACT
This study evaluated a community-based intervention, the Youth Empowerment
and Support Program (YES-P), a theoretically-based program designed to
decrease drug use and strengthen connections to school in at-risk youth
living in high-risk environments. The YES-P included several interventions,
such as providing mentor support and social skills training; growing a
positive peer culture; and developing youth in leadership roles for
community service. These interventions were delivered by 10 nursing students
in a weekly, after school, 2-hour, group activity for 20 weeks for 13
inner-city youth ages 10-12 years (7 girls, 6 boys). One girl identified
herself as Hispanic and the others as Caucasian. Using a pre/post one-group
design, data were collected in 1999 from program participants to evaluate
the YES-P. Results of a 1-year pilot study suggest that the multilevel
interventions were associated with positive effects on at-risk youth. In
particular, respondents at the posttest reported higher levels of
self-esteem, mentor support, positive peer bonding, social skills
attainment, and school attachment. Attitudes against underage drug use
decreased from pre-test scores revealing areas for strengthening the
program. These results lend empirical support to the positive evaluation of
the YES-P with at-risk youth living in high-risk environments.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
EMTREE MEDICAL INDEX TERMS
article
child
evaluation study
female
health care quality
high risk behavior
human
leadership
male
organization and management
peer group
risk factor
self concept
social behavior
teacher
urban population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12956545 (http://www.ncbi.nlm.nih.gov/pubmed/12956545)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 749
TITLE
Tobacco use and degenerative joint disease of the spine.
AUTHOR NAMES
Brotherson J.D.
Marshall E.S.
Measom G.
Clark J.R.
AUTHOR ADDRESSES
(Brotherson J.D.; Marshall E.S.; Measom G.; Clark J.R.) Utah Vasular Center,
Provo, Utah, USA.
CORRESPONDENCE ADDRESS
J.D. Brotherson, Utah Vasular Center, Provo, Utah, USA.
SOURCE
Journal of the American Academy of Nurse Practitioners (2003) 15:6
(277-281). Date of Publication: Jun 2003
ISSN
1041-2972
ABSTRACT
PURPOSE: To examine differences between tobacco users and nonusers who
required surgical treatment for degenerative joint disease (DJD) of the
spine. DATA SOURCES: Two hundred randomly selected medical records of
patients who had undergone surgery for DJD of the spine. CONCLUSIONS: The
number of tobacco users in the sample was significantly higher than the
number of tobacco users in the general population, indicating greater
incidence of DJD among tobacco users. The study demonstrated significant
differences between tobacco users and nonusers regarding age, gender, type
of occupation, number of imaging studies to diagnosis, and needs for pain
management. IMPLICATIONS FOR PRACTICE: Nurse practitioners who deal with
education and treatment of patients at risk for spinal degenerative joint
disease must consider tobacco use as a significant factor, especially
regarding diagnostic studies and pain management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
arthropathy (etiology, surgery)
smokeless tobacco (adverse drug reaction)
smoking (adverse drug reaction)
spine disease (etiology, surgery)
tobacco dependence (complication)
EMTREE MEDICAL INDEX TERMS
adult
aged
analysis of variance
article
chi square distribution
comparative study
female
health status
human
male
middle aged
pathophysiology
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12861894 (http://www.ncbi.nlm.nih.gov/pubmed/12861894)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 750
TITLE
Multidisciplinary medication review in nursing home residents: What are the
most significant drug-related problems? The Bergen District Nursing Home
(BEDNURS) study
AUTHOR NAMES
Ruths S.
Straand J.
Nygaard H.A.
AUTHOR ADDRESSES
(Ruths S., sabine.ruths@isf.uib.no) Section for Geriatric Medicine, Dept. of
Pub. Hlth./Prim. Hlth. Care, University of Bergen, Ulriksdal 8c, N-5009
Bergen, Norway.
(Ruths S., sabine.ruths@isf.uib.no; Nygaard H.A.) Section for Geriatric
Medicine, Dept. of Pub. Hlth./Prim. Hlth. Care, University of Bergen,
Bergen, Norway.
(Straand J.) Sect. for Gen. Pract./Fam. Medicine, Dept. of Gen. Pract./Comm.
Medicine, University of Oslo, Oslo, Norway.
CORRESPONDENCE ADDRESS
S. Ruths, Section for Geriatric Medicine, Dept. of Pub. Hlth./Prim. Hlth.
Care, University of Bergen, Ulriksdal 8c, N-5009 Bergen, Norway. Email:
sabine.ruths@isf.uib.no
SOURCE
Quality and Safety in Health Care (2003) 12:3 (176-180). Date of
Publication: June 2003
ISSN
0963-8172
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
Aim: Based on a multidisciplinary review of drug use in nursing home
residents, this study aimed to identify the most frequent clinically
relevant medication problems and to analyse them according to the drugs
involved and types of problems. Methods: Cross sectional study auditing drug
use by 1354 residents in 23 nursing homes in Bergen, Norway. Data were
collected in 1997. A physician/pharmacist panel performed a comprehensive
medication review with regard to indications for drug use and active medical
conditions. The drug related problems were subsequently classified according
to the drugs involved and types of problems (indication, effectiveness, and
safety issues). Results: 2445 potential medication problems were identified
in 1036 (76%) residents. Psychoactive drugs accounted for 38% of all
problems; antipsychotics were the class most often involved. Multiple
psychoactive drug use was considered particularly problematic. Potential
medication problems were most frequently classified as risk of adverse drug
reactions (26%), inappropriate drug choice for indication (20%), and
underuse of beneficial treatment (13%). Conclusions: Three of four nursing
home residents had clinically relevant medication problems, most of which
were accounted for by psychoactive drugs. The most frequent concerns were
related to adverse drug reactions, drug choice, and probable undertreatment.
EMTREE DRUG INDEX TERMS
antidepressant agent (adverse drug reaction)
antihistaminic agent (adverse drug reaction)
anxiolytic agent (adverse drug reaction)
dipeptidyl carboxypeptidase inhibitor (adverse drug reaction)
hypnotic agent (adverse drug reaction)
loop diuretic agent (adverse drug reaction)
mineral (adverse drug reaction)
neuroleptic agent (adverse drug reaction)
nonsteroid antiinflammatory agent (adverse drug reaction)
opiate (adverse drug reaction)
psychotropic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease (side effect)
nursing home
EMTREE MEDICAL INDEX TERMS
drug choice
drug efficacy
drug safety
drug use
human
Norway
outcomes research
pharmacist
physician attitude
review
treatment indication
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003242857
MEDLINE PMID
12792006 (http://www.ncbi.nlm.nih.gov/pubmed/12792006)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 751
TITLE
Co-morbidity and treatment needs among nursing home residents receiving
alcohol and drug treatment
AUTHOR NAMES
Buchanan R.J.
Gorman D.M.
Wang S.
Huang C.
AUTHOR ADDRESSES
(Gorman D.M.) Department of Epidemiology, School of Rural Public Health,
Texas A and M University, College Station, TX, United States.
(Wang S.) Department of Statistics, Texas A and M University, College
Station, TX, United States.
(Huang C.) Department of Statistics, North Dakota State University, Fargo,
ND, United States.
(Buchanan R.J., buchanan@srph.tamu.edu) Dept. of Hlth. Policy and
Management, School of Rural Public Health, TAMU 1266, College Station, TX
77843-1266, United States.
CORRESPONDENCE ADDRESS
R.J. Buchanan, Dept. of Hlth. Policy and Management, School of Rural Public
Health, TAMU 1266, College Station, TX 77843-1266, United States. Email:
buchanan@srph.tamu.edu
SOURCE
Journal of Addictive Diseases (2003) 22:2 (31-47). Date of Publication: 2003
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
This study profiles nursing home residents receiving alcohol and drug
treatment, describing their sociodemographic, health, and treatment
characteristics. We analyzed 3,662 admission assessments in the Minimum Data
Set for people receiving alcohol/drug treatment from June, 1998 through
September, 2000. These residents were likely to be male and under age 50.
More than half were White and 29 percent were African American. Typically,
these residents were not physically or cognitively impaired. However, more
than 39 percent had unstable health patterns and almost 21 percent had HIV
disease. Thirty-eight percent had a history of mental health conditions,
with 24 percent having depression and almost 18 percent having
schizophrenia. At least 75 percent received no psychological therapy in the
previous 7 days and a majority did not receive antipsychotic, antianxiety,
or antidepressant medications. These analyses indicate that most recently
admitted residents receiving alcohol/drug treatment did not receive mental
health therapy in nursing homes. © 2003 by The Haworth Press, Inc. All
rights reserved.
EMTREE DRUG INDEX TERMS
antidepressant agent (drug therapy)
anxiolytic agent (drug therapy)
diuretic agent (drug therapy)
hypnotic agent (drug therapy)
neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (drug therapy, therapy)
drug dependence (drug therapy, therapy)
drug dependence treatment
health care need
nursing home
EMTREE MEDICAL INDEX TERMS
adult
age
article
comorbidity
demography
depression (epidemiology)
ethnology
female
health
human
Human immunodeficiency virus infection (epidemiology)
major clinical study
male
mental disease (epidemiology)
psychopharmacotherapy
psychotherapy
schizophrenia (epidemiology)
sex ratio
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003196686
MEDLINE PMID
12703667 (http://www.ncbi.nlm.nih.gov/pubmed/12703667)
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v22n02_03
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 752
TITLE
Pharmacist involvement in a multidisciplinary inpatient medication education
program
AUTHOR NAMES
Calabrese A.T.
Cholka K.
Lenhart S.E.
McCarty B.
Zewe G.
Sunseri D.
Roberts M.
Kapoor W.
AUTHOR ADDRESSES
(Calabrese A.T., calabresea@msx.upmc.edu) Department of Pharmacy, University
of Pittsburgh (UP), Pittsburgh, PA, United States.
(Calabrese A.T., calabresea@msx.upmc.edu) UPMC-Presbytrian, Pittsburgh, PA,
United States.
(Cholka K.) Department of Ambulatory Care, Univ. of Wisconsin Hosp. and
Clinics, Madison, WI, United States.
(Cholka K.; Lenhart S.E.) Department of Pharmacy, University of Pittsburgh,
UPMC-Presbyterian, Pittsburgh, PA, United States.
(Lenhart S.E.) Aventis Pharmaceuticals, Bridgewater, NJ, United States.
(McCarty B.; Zewe G.; Sunseri D.) Department od Medicine, UPMC-Presbyterian,
Pittsburgh, PA, United States.
(Zewe G.) School of Nursing, University of Pittsburgh, UPMC-Presbyterian,
Pittsburgh, PA, United States.
(Roberts M.) Department of Medicine, University of Pittsburgh,
UPMC-Presbyterian, Pittsburgh, PA, United States.
(Kapoor W.) Division of Medicine, University of Pittsburgh,
UPMC-Presbyterian, Pittsburgh, PA, United States.
(Calabrese A.T., calabresea@msx.upmc.edu) Department of Pharmacy, UPMC
Health System, 302 Scaife Hall, 200 Lothrop Street, Pittsburgh, PA 15213,
United States.
CORRESPONDENCE ADDRESS
A.T. Calabrese, Department of Pharmacy, UPMC Health System, 302 Scaife Hall,
200 Lothrop Street, Pittsburgh, PA 15213, United States. Email:
calabresea@msx.upmc.edu
SOURCE
American Journal of Health-System Pharmacy (2003) 60:10 (1012-1018). Date of
Publication: 15 May 2003
ISSN
1079-2082
BOOK PUBLISHER
American Society of Health-Systems Pharmacy, 7272 Wisconsin Ave., Bethesda,
United States.
ABSTRACT
The development of a multidisciplinary inpatient medication education
program is described. A multidisciplinary group designed and implemented a
medication education program with defined roles for both nurses and
pharmacists. Nurses provided medication education to patients during each
medication administration using specially designed assessment and teaching
tools. The nursing staff submitted requests for pharmacist consultations for
patients with complex medication regimens, who were admitted because of a
drug-related problem or who required additional teaching as determined
through the medication education assessment form. A complex medication
regimen was defined as the admin[stration of oral medication more than five
different times per day, the start of at least 5 new medications that would
be continued at discharge, or the prescribing of at least 10 medications to
be taken daily that would be continued at discharge. Pharmacists provided
education for 19% of admitted patients during a six-month period. As a
result of pharmacists' interactions with prescribers and nurses, the number
of medications was reduced in 12% of these patients, and the number of
medication administrations each day was reduced in 19% of patients. In
addition, for 33% of patients, pharmacists contacted the prescriber to make
recommendations beyond the scope of the medication education program that
optimized and simplified the patient's drug regimen. The development of a
structured medication education program allowed patients to receive
medication education throughout their hospitalization from both nurses and
pharmacists. Pharmacists provided education for patients at highest risk for
noncompliance or poor outcomes. Full implementation of a medication
education program involving staff pharmacists is planned.
EMTREE DRUG INDEX TERMS
warfarin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
education program
patient education
pharmacist
EMTREE MEDICAL INDEX TERMS
algorithm
article
hospital patient
human
nurse
patient compliance
priority journal
CAS REGISTRY NUMBERS
warfarin (129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003198693
MEDLINE PMID
12789872 (http://www.ncbi.nlm.nih.gov/pubmed/12789872)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 753
TITLE
Will childhood relationships with parents contribute to a satisfying sex
life?
AUTHOR NAMES
Ojanlatva A.
Helenius H.
Rautava P.
Ahvenainen J.
Koskenvuo M.
AUTHOR ADDRESSES
(Ojanlatva A., ansa.ojanlatva@utu.fi) Department of Teacher Education,
University of Turku, Turku, Finland.
(Helenius H.) Department of Statistics, University of Turku, Turku, Finland.
(Rautava P.) Turku City Hospital, Turku, Finland.
(Ahvenainen J.; Koskenvuo M.) Department of Public Health, University of
Turku, Turku, Finland.
CORRESPONDENCE ADDRESS
A. Ojanlatvat, Turku City Hospital, Administration, Kunnallissairaalantie
20, 20700 Turku, Finland. Email: ansa.ojanlatva@utu.fi
SOURCE
Sexual and Relationship Therapy (2003) 18:2 (205-214). Date of Publication:
May 2003
ISSN
1468-1994
ABSTRACT
The study analysed the associations of three sex life issues (importance of
and satisfaction with sex life, and ease in talking about sex life) in
adulthood and childhood variables (relationship with mother/father, parents'
divorce, economic difficulties, conflicts, being afraid of a family member,
family member's illness or alcoholism) in a population-based random sample
of 21,101 Finnish respondents stratified according to four age groups
(20-24, 30-34, 40-44, and 50-54 years). A questionnaire was mailed in 1998
with a second mailing 10 weeks later. Relationships with parents and
selected events in childhood predicted importance of and satisfaction with
sex life as well as ease in talking about sex life. Close and warm
relationships with parents are important to both genders in relation to
their adult sex lives. The value of this could be usefully taken into
account during educational sessions for teachers, nurses, physicians,
well-baby clinic staff, and other professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child parent relation
sexual behavior
EMTREE MEDICAL INDEX TERMS
adult
adulthood
alcoholism
article
childhood
conflict
controlled study
divorce
economic aspect
family life
father child relation
female
gender
human
human relation
male
medical staff
mother child relation
nurse
outcomes research
physician
population research
prediction
professional practice
questionnaire
randomization
satisfaction
sexual education
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003207519
FULL TEXT LINK
http://dx.doi.org/10.1080/1468199031000099433
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 754
TITLE
Alcohol-related health problems in general hospitals.
AUTHOR NAMES
Proctor D.
AUTHOR ADDRESSES
(Proctor D.) Royal Bolton Hospital.
CORRESPONDENCE ADDRESS
D. Proctor, Royal Bolton Hospital.
SOURCE
Nursing times (2003) 99:9 (26-27). Date of Publication: 2003 Mar 4-10
ISSN
0954-7762
ABSTRACT
Alcohol-related health problems place a significant burden on general
hospitals. Statistics indicate that one in seven acute hospital admissions
is a result of alcohol misuse and that one in six attendances at A&E is
alcohol related, rising to eight out of 10 at peak times on weekend
evenings. Nurses have a role to play in estimating a patient's alcohol use
and, if appropriate, providing 'brief intervention' consisting of simple
advice and information on sensible drinking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, therapy)
general hospital
health promotion
EMTREE MEDICAL INDEX TERMS
drinking behavior
hospitalization
human
nursing
review
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12673982 (http://www.ncbi.nlm.nih.gov/pubmed/12673982)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 755
TITLE
Nurses' training on dealing with alcohol and drug abuse: a question of
necessity.
AUTHOR NAMES
Pillon S.C.
Luis M.A.
Laranjeira R.
AUTHOR ADDRESSES
(Pillon S.C.; Luis M.A.; Laranjeira R.) Department os Psychiatric Nursing,
School of Nursing, University of São Paulo, Ribeirão Preto, SP, Brazil.
CORRESPONDENCE ADDRESS
S.C. Pillon, Department os Psychiatric Nursing, School of Nursing,
University of São Paulo, Ribeirão Preto, SP, Brazil.
SOURCE
Revista do Hospital das Clínicas (2003) 58:2 (119-124). Date of Publication:
2003 Mar-Apr
ISSN
0041-8781
ABSTRACT
The purpose of this article is to present a brief review on the need for
changes in nurses' undergraduate education concerning alcohol and drugs.
Specialized literature makes it clear that nurses have difficulties giving
care to psychoactive substance users as part of their functions in the
various health care sites. This may be associated with a deficiency in
formal education. In the face of the social importance concerning these
related questions in the scope of research, care, and education, we made an
attempt at deepening the study on this theme, which could contribute to
changes in practice, care, and undergraduate nursing education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
nursing education
patient care
EMTREE MEDICAL INDEX TERMS
human
nurse attitude
nursing
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12845366 (http://www.ncbi.nlm.nih.gov/pubmed/12845366)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 756
TITLE
Methadone maintenance: Its future in skilled nursing facilities
AUTHOR NAMES
Goldberg R.J.
Grabowski R.
AUTHOR ADDRESSES
(Goldberg R.J.) New York Medical College, Valhalla, NY, United States.
(Goldberg R.J.) The Bayberry Care Center, New Rochelle, NY, United States.
(Goldberg R.J.; Grabowski R.) United Odd Fellow/Rebekah Home, Bronx, NY,
United States.
CORRESPONDENCE ADDRESS
R.J. Goldberg, Private Med. Grp. of New Rochelle, 150 Lockwood Avenue, New
Rochelle, NY 10801, United States.
SOURCE
Journal of the American Medical Directors Association (2003) 4:2 (98-100).
Date of Publication: March/April 2003
ISSN
1525-8610
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
The number of geriatric residents in skilled nursing facilities (SNF)
receiving methadone maintenance is likely to increase as the drug abusing
population ages. Currently, facilities specializing in the care of human
immunodeficiency virus (HIV) diseases are predominantly affected, but over
the next decade this will change. Residents on methadone have unique needs
based on their drug history and current treatment demands and will present
new challenges for the affected institutions. There are no current
publications or data in the literature exploring the use of methadone for
the aging nursing home patient. Further investigation is necessary so that
these residents are appropriately cared for.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone (drug dose, drug therapy)
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy)
enalapril (drug therapy)
multivitamin
salbutamol (drug therapy, inhalational drug administration)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence (drug therapy)
geriatric care
EMTREE MEDICAL INDEX TERMS
aged
anamnesis
article
case report
chronic obstructive lung disease (drug therapy)
clinical feature
comorbidity
drug abuse
futurology
health care quality
hip fracture (rehabilitation)
human
hypertension (drug therapy)
ischemic heart disease (drug therapy)
maintenance drug dose
male
medical documentation
medical research
methadone treatment
nursing home
osteoarthritis (drug therapy)
patient education
smoking cessation
smoking habit
social isolation
DRUG TRADE NAMES
aspirin
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
enalapril (75847-73-3)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
salbutamol (18559-94-9)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003120434
MEDLINE PMID
12807582 (http://www.ncbi.nlm.nih.gov/pubmed/12807582)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 757
TITLE
Nursing research and alcohol problems: learning from recent history?
AUTHOR NAMES
Dongier M.
Brown T.G.
AUTHOR ADDRESSES
(Dongier M.; Brown T.G.) McGill University, Montreal, Quebec, Canada.
CORRESPONDENCE ADDRESS
M. Dongier, McGill University, Montreal, Quebec, Canada. Email:
donmau@douglas.mcgill.ca
SOURCE
The Canadian journal of nursing research = Revue canadienne de recherche en
sciences infirmières (2003) 35:1 (13-22). Date of Publication: Mar 2003
ISSN
0844-5621
EMTREE DRUG INDEX TERMS
drugs used in the treatment of addiction (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (etiology, prevention)
nursing research
EMTREE MEDICAL INDEX TERMS
disease course
genetic predisposition
genetics
human
motivation
needs assessment
nurse attitude
patient care
psychological aspect
psychotherapy
remission
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12854238 (http://www.ncbi.nlm.nih.gov/pubmed/12854238)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 758
TITLE
Delirium
AUTHOR NAMES
Gleason O.C.
AUTHOR ADDRESSES
(Gleason O.C., ondria-gleason@ouhsc.edu) Univ. of Oklahoma Coll. of
Medicine, Tulsa, OK, United States.
(Gleason O.C., ondria-gleason@ouhsc.edu) Saint Francis Hospital, Tulsa, OK,
United States.
(Gleason O.C., ondria-gleason@ouhsc.edu) Univ. of Oklahoma Coll. of
Medicine, Department of Psychiatry, 4502 E. 41st St., Tulsa, OK 74135-2512,
United States.
CORRESPONDENCE ADDRESS
O.C. Gleason, Univ. of Oklahoma Coll. of Medicine, Department of Psychiatry,
4502 E. 41st St., Tulsa, OK 74135-2512, United States. Email:
ondria-gleason@ouhsc.edu
SOURCE
American Family Physician (2003) 67:5 (1027-1034). Date of Publication: 1
Mar 2003
ISSN
0002-838X
BOOK PUBLISHER
American Academy of Family Physicians, 11400 Tomahawk Creek Parkway, Suite
440, Leawood, United States.
ABSTRACT
Delirium is characterized by an acute change in cognition and a disturbance
of consciousness, usually resulting from an underlying medical condition or
from medication or drug withdrawal. Delirium affects 10 to 30 percent of
hospitalized patients with medical illness; more than 50 percent of persons
in certain high-risk populations are affected. The associated morbidity and
mortality make diagnosis of this condition extremely important. Patients
with delirium can present with agitation, somnolence, withdrawal, and
psychosis. This variation in presentation can lead to diagnostic confusion
and, in some cases, incorrect attribution of symptoms to a primary
psychiatric disorder. To make the distinction, it is important to obtain the
history of the onset and course of the condition from family members or
caregivers. Primary care physicians must be able to recognize delirium so
that the underlying etiology can be ascertained and addressed. The
management of delirium involves identifying and correcting the underlying
problem, and symptomatically managing any behavioral or psychiatric
symptoms. Low doses of antipsychotic drugs can help to control agitation.
The use of benzodiazepines should be avoided except in cases of alcohol or
sedative-hypnotic withdrawal. Environmental interventions, including
frequent reorientation of patients by nursing staff and education of
patients and families, should be employed in all cases. Copyright© 2003
American Academy of Family Physicians.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine (drug therapy)
haloperidol (adverse drug reaction, drug administration, drug dose, drug
therapy, intramuscular drug administration, intravenous drug administration,
oral drug administration)
neuroleptic agent (drug dose, drug therapy)
olanzapine (drug therapy)
risperidone (drug therapy)
sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
delirium (diagnosis, drug therapy, epidemiology, etiology, therapy)
EMTREE MEDICAL INDEX TERMS
agitation
alcohol withdrawal (drug therapy)
amnesia (complication)
apathy
attention
behavior disorder (complication)
clinical feature
cognitive defect (complication)
consciousness disorder
dementia (diagnosis)
depression (diagnosis)
diagnostic test
differential diagnosis
disease classification
disease course
disorientation (complication)
drug withdrawal
extrapyramidal symptom (side effect)
high risk population
human
mental disease (complication, drug therapy)
mental instability (complication)
Mini Mental State Examination
neurologic disease (complication)
nursing staff
palliative therapy
patient education
perception disorder (complication)
psychosis (drug therapy)
psychosocial withdrawal
review
risk factor
sleep disorder (complication)
somnolence
withdrawal syndrome (drug therapy, etiology)
DRUG TRADE NAMES
haldol
risperdal
zyprexa
CAS REGISTRY NUMBERS
benzodiazepine (12794-10-4)
haloperidol (52-86-8)
olanzapine (132539-06-1)
risperidone (106266-06-2)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003109049
MEDLINE PMID
12643363 (http://www.ncbi.nlm.nih.gov/pubmed/12643363)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 759
TITLE
Student nurses' attitudes to pain relieving drugs.
AUTHOR NAMES
Allcock N.
Toft C.
AUTHOR ADDRESSES
(Allcock N.; Toft C.) School of Nursing, Faculty of Medicine and Health
Sciences, The University of Nottingham, Queen's Medical Centre, Room B50,
NG7 2UH, Nottingham, UK.
CORRESPONDENCE ADDRESS
N. Allcock, School of Nursing, Faculty of Medicine and Health Sciences, The
University of Nottingham, Queen's Medical Centre, Room B50, NG7 2UH,
Nottingham, UK. Email: nick.allcock@nottingham.ac.uk
SOURCE
International journal of nursing studies (2003) 40:2 (125-131). Date of
Publication: Feb 2003
ISSN
0020-7489
ABSTRACT
This paper reports the results of a longitudinal survey of 217 student
nurses undertaken during their common foundation programme (CFP), which
comprises the first 18 months of the course. The study explored changes
during the CFP in students' perceptions of the risk of addiction and their
attitudes towards analgesics. The results revealed that although the
students had a more accurate view of the risk of addiction by the end of the
CFP there was still an exaggerated fear of the risk of addiction in over
half the students. Follow-up interviews with 14 students also indicated that
students displayed a more general wariness in relation to the use of
analgesics.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent
EMTREE DRUG INDEX TERMS
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nursing student
EMTREE MEDICAL INDEX TERMS
article
longitudinal study
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12559136 (http://www.ncbi.nlm.nih.gov/pubmed/12559136)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 760
TITLE
UCSF's new Center for Tobacco Control Research and Education finds valuable
lessons in the tobacco industry's internal documents
AUTHOR NAMES
Malone R.E.
AUTHOR ADDRESSES
(Malone R.E., rmalone@itsa.ucsf.edu) Institute for Health Policy Studies,
Dept. of Social/Behavioral Sciences, University of California, Box 1390, San
Francisco, CA 94143, United States.
CORRESPONDENCE ADDRESS
R.E. Malone, Institute for Health Policy Studies, University of California,
Dept. of Social/Behavioral Sciences, Box 1390, San Francisco, CA 94143,
United States. Email: rmalone@itsa.ucsf.edu
SOURCE
Journal of Emergency Nursing (2003) 29:1 (75-77). Date of Publication:
February 2003
ISSN
0099-1767
BOOK PUBLISHER
Mosby Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
documentation
health education
medical research
tobacco dependence (prevention)
tobacco industry
university
EMTREE MEDICAL INDEX TERMS
article
emergency ward
health care cost
health care organization
health care policy
health program
human
human rights
information center
intensive care
law suit
legal aspect
lung cancer
nurse
nurse attitude
organization
organization and management
patient care
public health
safety
smoking
smoking (adverse drug reaction, epidemiology, prevention)
smoking cessation
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12556840 (http://www.ncbi.nlm.nih.gov/pubmed/12556840)
FULL TEXT LINK
http://dx.doi.org/10.1067/men.2003.15
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 761
TITLE
Substance abuse integration in nursing education: An innovative
collaborative model
AUTHOR NAMES
Hayes P.D.
AUTHOR ADDRESSES
(Hayes P.D., phayes@wfubmc.edu) Interdisc. and Nursing Education, Northwest
Area Hlth. Educ. Center, Wake Forest Univ. School of Medicine, Medical
Center Blvd, Winston-Salem, NC 27157-1060, United States.
CORRESPONDENCE ADDRESS
P.D. Hayes, Interdisc. and Nursing Education, Northwest Area Hlth. Educ.
Center, Wake Forest Univ. School of Medicine, Medical Center Blvd,
Winston-Salem, NC 27157-1060, United States. Email: phayes@wfubmc.edu
SOURCE
Substance Abuse (2002) 23:1 (67-79). Date of Publication: 2002
ISSN
0889-7077
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
This paper reports the outcomes of a 3-year faculty development project, the
Nursing School Education Collaborative (NSEC), implemented in four
baccalaureate schools of nursing. The focus of the NSEC was to strengthen
educational programs through faculty development and curriculum integration
in the area of substance abuse and addictions education. A comprehensive
needs assessment process is outlined, and faculty development and curriculum
integration activities are detailed. Faculty development has resulted in
significant improvements in each school's substance abuse curriculum.
Outcomes at each participating school have included continuing education
activities, acquisition of additional teaching resources, the development of
an integration model, and increased curriculum and clinical contact hours.
With the increasing recognition of substance abuse as a number one public
health problem and nursing as a major health workforce, this project serves
as a model for replication.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
clinical education
continuing education
curriculum
education program
health services research
human
normal human
nurse training
outcomes research
teacher
teaching
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003364411
MEDLINE PMID
12444361 (http://www.ncbi.nlm.nih.gov/pubmed/12444361)
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1013634811426
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 762
TITLE
Nurses' knowledge, attitudes and beliefs regarding substance use: A
questionnaire survey
AUTHOR NAMES
Happell B.
Carta B.
Pinikahana J.
AUTHOR ADDRESSES
(Happell B.; Pinikahana J.) Ctr. Psychiat. Nursing Res./Practice, School of
Postgraduate Nursing, University of Melbourne, Carlton, Vic., Australia.
(Carta B.) SUMITT, Western Drug and Alcohol Service, Footscray, Vic.,
Australia.
CORRESPONDENCE ADDRESS
J. Pinikahana, Ctr. Psychiat. Nursing Res./Practice, School of Postgraduate
Nursing, University of Melbourne, 1/723 Swanston St., Carlton, Vic. 3010,
Australia.
SOURCE
Nursing and Health Sciences (2002) 4:4 (193-200). Date of Publication:
December 2002
ISSN
1441-0745
BOOK PUBLISHER
Blackwell Publishing, 550 Swanston Street, Carlton South, Australia.
ABSTRACT
A questionnaire on nurses' knowledge, attitudes, beliefs and practises
regarding substance use was distributed to 302 nurses in Victoria. One
hundred and thirty-four returned the questionnaire, giving an overall
response rate of 44.3%. The survey results showed that although knowledge
and skill gaps exist in assessment and management of alcohol and drug
problems, overall knowledge levels were adequate. Although positive
attitudes towards substance use were expressed, specific educational
programs to enhance nurses' skills in assessment and management of
substance-related disorders may be beneficial.
EMTREE DRUG INDEX TERMS
amphetamine
cannabis
cocaine
diamorphine
psychedelic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
Australia
clinical practice
comorbidity
controlled study
drug abuse
education program
female
health care planning
human
male
medical assessment
mental disease
nurse training
priority journal
quality of life
questionnaire
review
self care
skill
social interaction
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
cannabis (8001-45-4, 8063-14-7)
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002457922
MEDLINE PMID
12406206 (http://www.ncbi.nlm.nih.gov/pubmed/12406206)
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1442-2018.2002.00126.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 763
TITLE
Girls in the juvenile justice system: leave no girl's health un-addressed.
AUTHOR NAMES
Guthrie B.J.
Hoey E.
Ravoira L.
Kintner E.
AUTHOR ADDRESSES
(Guthrie B.J.; Hoey E.; Ravoira L.; Kintner E.) University of Michigan,
School of Nursing/Women's Studies, Ann Arbor, MI 48109-0482, USA.
CORRESPONDENCE ADDRESS
B.J. Guthrie, University of Michigan, School of Nursing/Women's Studies, Ann
Arbor, MI 48109-0482, USA. Email: bguthrie@umich.edu
SOURCE
Journal of pediatric nursing (2002) 17:6 (414-423). Date of Publication: Dec
2002
ISSN
0882-5963
ABSTRACT
Despite an increase in middle to older aged adolescent females' early
contact with the juvenile justice system, inadequate health care remains a
concern. This descriptive study surveyed the physical and mental health
needs of 130 self-selected, nonrandomized girls aged 12 to 18 years, with a
mean age of 15.42 years (SD, 1.24), who were involved with a juvenile
justice diversional program located in a southeastern region of the United
States. Findings revealed early initiation of sexual-related activities
(mean age, 13.9 years; SD, 1.49) and substance use (mean age, 12.9 years;
SD, 1.53). The data suggest an increasing need for pediatric nurses, and in
particular advanced practice nurses, to provide gender-responsive health
care and health promotion services to early middle-childhood females in the
juvenile justice system. Copyright 2002, Elsevier Science (USA). All rights
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health promotion
juvenile delinquency (prevention)
needs assessment
pediatric nursing
EMTREE MEDICAL INDEX TERMS
adolescent
alcoholism (epidemiology, prevention)
article
child
child behavior
child welfare
comparative study
cross-sectional study
epidemiology
female
human
nurse attitude
organization and management
preventive health service
sexual behavior
standard
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12518282 (http://www.ncbi.nlm.nih.gov/pubmed/12518282)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 764
TITLE
Attitudinal barriers to effective treatment of persistent pain in nursing
home residents
AUTHOR NAMES
Weiner D.K.
Rudy T.E.
AUTHOR ADDRESSES
(Weiner D.K., dweiner@pitt.edu) Department of Medicine, Division of
Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA, United States.
(Weiner D.K., dweiner@pitt.edu; Rudy T.E.) Department of Psychiatry,
University of Pittsburgh, Pittsburgh, PA, United States.
(Weiner D.K., dweiner@pitt.edu; Rudy T.E.) Pain Eval. and Treatment
Institute, University of Pittsburgh, Pittsburgh, PA, United States.
(Rudy T.E.) Department of Biostatistics, University of Pittsburgh,
Pittsburgh, PA, United States.
(Weiner D.K., dweiner@pitt.edu; Rudy T.E.) Department of Anesthesiology,
University of Pittsburgh, Pittsburgh, PA, United States.
(Weiner D.K., dweiner@pitt.edu) UPMC Pain Medicine at Centre Commons, 5750
Centre Ave., Pittsburgh, PA 15206, United States.
CORRESPONDENCE ADDRESS
D.K. Weiner, UPMC Pain Medicine at Centre Commons, 5750 Centre Ave.,
Pittsburgh, PA 15206, United States. Email: dweiner@pitt.edu
SOURCE
Journal of the American Geriatrics Society (2002) 50:12 (2035-2040). Date of
Publication: 1 Dec 2002
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVES: To systematically explore nursing home (NH) resident and staff
attitudes that serve as barriers to detection and management of persistent
pain. DESIGN: Survey. SETTING: Six community-based and one Veterans Affairs
long-term care facility PARTICIPANTS: Seventy-five NH nurses, 75 certified
nursing assistants (CNAs), and 75 communicative NH residents who reported
some pain or discomfort "every day or almost every day." MEASUREMENTS: Three
structured pain attitudes questionnaires (one each for NH residents, CNAs,
and nurses) that incorporated constructs gleaned from a comprehensive
literature review were designed. One-week test-retest reliability was
calculated on a subsample of 25 residents, 19 CNAs, and 26 nurses.
Attitudinal differences between the three groups were evaluated using
multivariate analysis of variance (MANOVA). RESULTS: Of 12 constructs
evaluated, 10 had fair to excellent reliability indices (residents
0.46-0.80; CNAs 0.57-0.76; nurses 0.62-0.94). Of these 10 reliable
constructs, MANOVA indicated significant overall attitude differences
between the three groups. Follow-up analyses indicated that attitudes
endorsed most strongly by residents were that chronic pain does not change,
belief in external pathology over pain reports, fear of addiction, and fear
of dependence. CNAs attitudes endorsed most strongly were lack of time and
complaints unheard. The nurse attitude endorsed most strongly was complaints
unheard. CONCLUSIONS: These findings suggest that, if residents' fears
regarding addiction, worsening dependence, and the immutable nature of
persistent pain were quelled, and if CNAs could feel that adequate time is
available for pain assessment, perhaps improved pain management in the NH
would result.
EMTREE DRUG INDEX TERMS
analgesic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain (disease management, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
analgesia
article
drug dependence (side effect)
female
follow up
health care personnel
human
major clinical study
male
multivariate analysis
nurse
nursing home
pain assessment
patient attitude
quality of life
questionnaire
reliability
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002455878
MEDLINE PMID
12473018 (http://www.ncbi.nlm.nih.gov/pubmed/12473018)
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1532-5415.2002.50618.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 765
TITLE
The development and implementation of an alcohol policy in a nursing home:
Overcoming denial
AUTHOR NAMES
Schwartz K.M.
Lasky N.
AUTHOR ADDRESSES
(Schwartz K.M.) Baycrest Centre for Geriatric Care, North York, Ont.,
Canada.
(Schwartz K.M.) University of Toronto, Department of Psychiatry, North York,
Ont., Canada.
(Schwartz K.M.) Baycrest Centre for Geriatric Care, 3560 Bathurst Street,
North York, Ont. 6A 2E1, Canada.
(Lasky N.)
CORRESPONDENCE ADDRESS
K.M. Schwartz, Baycrest Centre for Geriatric Care, 3560 Bathurst Street,
North York, Ont. 6A 2E1, Canada.
SOURCE
Journal of Geriatric Psychiatry (2002) 35:2 (151-167). Date of Publication:
2002
ISSN
0022-1414
ABSTRACT
Nursing homes are an important component in the delivery of health care for
the elderly. Potentially, nursing homes are well-positioned to effectively
intervene in the medical and psychosocial problems of the population they
are serving. However, society traditionally has placed little emphasis on
the aged and their medical care. The importance of alcoholism as a mental
health problem in the elderly has not been adequately recognized (Hirata,
Almeida, Funari, and Klein, 2001). The misuse of alcohol remains a common
and frequently neglected problem among nursing home residents (Joseph,
1995). With an aging population, the number of problem drinkers in nursing
homes can be expected to increase. There is little information in the
psychiatric literature at the time of writing that advises nursing homes on
how to proceed with drafting an effective alcohol policy. In this paper, we
describe the development and implementation of an alcohol policy by a
nursing home once the organization acknowledged that the problems that some
of its residents had with alcohol had become too great to ignore and deny.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
denial
health care policy
nursing home
EMTREE MEDICAL INDEX TERMS
aged
aging
case report
drug dependence treatment
female
human
male
mental health care
model
review
screening
social problem
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003117027
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 766
TITLE
An education programme for professionals who specialize in substance misuse
in St. Petersburg, Russia: Part 2
AUTHOR NAMES
Green A.J.
Holloway G. D.G.
AUTHOR ADDRESSES
(Green A.J., a.green@surrey.ac.uk) European Inst. of Hlth./Med. Sci.,
University of Surrey, Duke of Kent Building, Guildford, Surrey GU2 5TE,
United Kingdom.
(Holloway G. D.G.) School of Education/Continuing Stud., University of
Portsmouth, Portsmouth, United Kingdom.
CORRESPONDENCE ADDRESS
A.J. Green, European Inst. of Hlth./Med. Sci., University of Surrey, Duke of
Kent Building, Guildford, Surrey GU2 5TE, United Kingdom. Email:
a.green@surrey.ac.uk
SOURCE
Nurse Education Today (2002) 22:8 (648-653). Date of Publication: November
2002
ISSN
0260-6917
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
This paper extends the account of a joint project of education and training
of doctors and nurses in St. Petersburg, Russia funded by the Know How Fund
Health Sector Small Partnership Scheme (Russia) (Green et al. 2001). It
reports the findings of two evaluations of the project. The first, an
external evaluation was carried on behalf of the sponsors, the KHF. The
second was an 'insider' evaluation utilising a framework developed for the
English National Board by Cranfield and Stoneman. The paper concludes with a
discussion of issues arising from the cross-cultural evaluations. © 2002
Elsevier Science Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
international cooperation
medical education
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction (rehabilitation)
article
clinical practice
comparative study
continuing education
cultural factor
education program
financial management
health care organization
health care quality
health care system
health practitioner
human
medical specialist
methodology
nurse attitude
nursing
nursing staff
patient care
physician
physician attitude
politics
risk management
Russian Federation
self examination
socioeconomics
staff training
teaching
thinking
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
12443701 (http://www.ncbi.nlm.nih.gov/pubmed/12443701)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0260-6917(02)00103-X
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 767
TITLE
The genetics of substance abuse.
AUTHOR NAMES
Hardie T.L.
AUTHOR ADDRESSES
(Hardie T.L.) Department of Nursing, University of Delaware, Newark, DE
19716, USA.
CORRESPONDENCE ADDRESS
T.L. Hardie, Department of Nursing, University of Delaware, Newark, DE
19716, USA. Email: Thardie@udel.edu
SOURCE
AACN clinical issues (2002) 13:4 (511-522). Date of Publication: Nov 2002
ISSN
1079-0713
ABSTRACT
Substance abuse is among the most prevalent psychiatric disorders in males
and contributes significantly to the morbidity and mortality nurses see in
practice. Substance use and abuse disorders were the cause of a half million
drug-related visits to emergency rooms in 1995, with more than 50% related
to drug overdoses. Substance abuse and dependency result from a complex
interaction of genetics and the environment. Various polymorphisms of genes
have been demonstrated to have either protective effects or increased risk
associated with their presence. Substance abuse is a chronic disease state
that has effective treatments that reduce drug use, crime, and psychosocial
problems. Nurses can provide targeted education and interventions to
positively impact substance abuse treatment and by applying basic principles
of genetic counseling may prevent transmission to future generations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
alcoholism (epidemiology)
EMTREE MEDICAL INDEX TERMS
counseling
female
genetics
human
male
nursing
prevalence
review
risk factor
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12473914 (http://www.ncbi.nlm.nih.gov/pubmed/12473914)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 768
TITLE
Tobacco use and baccalaureate nursing students: a study of their attitudes,
beliefs and personal behaviours.
AUTHOR NAMES
Chalmers K.
Seguire M.
Brown J.
AUTHOR ADDRESSES
(Chalmers K.; Seguire M.; Brown J.) Faculty of Nursing, Helen Glass Centre
for Nursing, University of Manitoba, Winnipeg, Canada.
CORRESPONDENCE ADDRESS
K. Chalmers, Faculty of Nursing, Helen Glass Centre for Nursing, University
of Manitoba, Winnipeg, Canada. Email: karen_chalmers@umanitoba.ca
SOURCE
Journal of advanced nursing (2002) 40:1 (17-24). Date of Publication: Oct
2002
ISSN
0309-2402
ABSTRACT
AIM: To report findings about student nurses' attitudes, beliefs and
personal behaviour in relation to tobacco issues. RATIONALE: Nurses have the
potential to influence clients' behaviours and public policy concerning
tobacco use. However, a review of the literature suggests that this is not
happening. Further understanding of nursing students' attitudes, beliefs and
behaviours regarding tobacco use is needed in order to develop strategies
which can positively impact on their future health promotion role. METHODS:
A cross-sectional survey of the total population of baccalaureate nursing
students in one Canadian province was employed. Students were asked to
complete a self-administered questionnaire, which included questions related
to their smoking history; stage of behavioural change, and beliefs and
attitudes towards tobacco. Students also completed the Health Promotion
Lifestyle Profile (HPLP) and the Fagerström Nicotine Tolerance Scale.
FINDINGS: Two hundred and seventy-two students (61.9%) responded. Sixty
(22.1%) indicated that they smoked daily or in social situations. These
smokers were found to have a fairly low level of nicotine dependence and
although 91.4% said they wanted to quit, few were actively engaged in the
quitting process (16.9%). When comparing the beliefs and attitudes of
smoking and non-smoking students, proportionally more of the non-smokers
agreed that smokers will need close family/friends to help them quit; that
the health of society should be protected by laws against smoking; and that
nurses should set a non-smoking example. Non-smokers indicated more health
promoting behaviours on items in the HPLP especially on the variables of
physical activity, nutrition and stress management. CONCLUSIONS: Nurses have
the potential to influence clients' behaviours and public policy concerning
tobacco use. Developing future nurses with the knowledge and skill to do so
needs to be an important emphasis of nursing curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
health behavior
health personnel attitude
nursing education
nursing student
smoking (epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Canada (epidemiology)
cross-sectional study
female
health promotion
human
lifestyle
male
needs assessment
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12230524 (http://www.ncbi.nlm.nih.gov/pubmed/12230524)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 769
TITLE
Health outcomes of incarcerated pregnant women and their infants in a
community-based program
AUTHOR NAMES
Barkauskas V.H.
Low L.K.
Pimlott S.
AUTHOR ADDRESSES
(Barkauskas V.H.; Low L.K.; Pimlott S.) 400 North Ingalls, Ann Arbor, MI
48109-0482, United States.
CORRESPONDENCE ADDRESS
V.H. Barkauskas, 400 North Ingalls, Ann Arbor, MI 48109-0482, United States.
SOURCE
Journal of Midwifery and Women's Health (2002) 47:5 (371-379). Date of
Publication: 10 Sep 2002
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
An experimental, community-based, residential program, focused on health
promotion, was established in 1990 for incarcerated pregnant women with
short-term sentences and histories of drug abuse in a large, midwestern
metropolitan area in the United States. Infants resided with mothers after
birth. Prenatal care, delivery, postpartum, and family-planning services
were initiated and provided by a nurse-midwifery service. Community-based
health care, job training, and drug rehabilitation were provided for women
during pregnancy through the fourth postpartum month. Program participants'
prenatal, delivery, postpartum, and neonatal health outcomes are presented
and compared with those of incarcerated women in the same state prison
system who experienced usual correctional facility care and support. Program
participants represented a group of obstetrically high-risk women. Health
outcomes for both groups of incarcerated women and their infants were
similar and more optimal than would have been expected given their
preexisting health conditions and risk factors. © 2002 by the American
College of Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child care
pregnancy
pregnancy complication (prevention)
prisoner
residential care
EMTREE MEDICAL INDEX TERMS
addiction (rehabilitation)
adult
anamnesis
article
child health
childbirth
community
comparative study
controlled study
delivery
drug abuse
experience
family planning
female
health care facility
health care quality
health center
health program
health promotion
health service
health status
high risk patient
human
infant
infant welfare
major clinical study
methodology
midwife
mother
newborn
organization and management
outcomes research
postnatal care
prenatal care
psychological aspect
puerperium
rehabilitation
risk assessment
risk factor
rural area
time
treatment outcome
United States
vocational education
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
12361349 (http://www.ncbi.nlm.nih.gov/pubmed/12361349)
FULL TEXT LINK
http://dx.doi.org/10.1016/S1526-9523(02)00279-9
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 770
TITLE
Nursing education in the prevention and treatment of SUD.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.) Division of Nursing, New York University, New York, NY, USA.
CORRESPONDENCE ADDRESS
M.A. Naegle, Division of Nursing, New York University, New York, NY, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (247-261). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation)
alcoholism (prevention, rehabilitation)
nursing education
EMTREE MEDICAL INDEX TERMS
clinical competence
curriculum
forecasting
human
model
nurse attitude
nursing
review
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580999 (http://www.ncbi.nlm.nih.gov/pubmed/23580999)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 771
TITLE
Increasing practice nurse access to alcohol training
AUTHOR NAMES
Deehan A.
McCambridge J.
Ball D.M.
Strang J.
AUTHOR ADDRESSES
(Deehan A.; McCambridge J.; Ball D.M.; Strang J.) Home Office, 823 Abell
House, John Islip Street, London SW1P 4LM, United Kingdom.
CORRESPONDENCE ADDRESS
A. Deehan, Home Office, 823 Abell House, John Islip Street, London SW1P 4LM,
United Kingdom.
SOURCE
Drug and Alcohol Review (2002) 21:3 (281-286). Date of Publication:
September 2002
ISSN
0959-5236
BOOK PUBLISHER
Routledge
ABSTRACT
Policy makers have repeatedly placed emphasis on the role of primary care in
screening for at-risk alcohol consumption and delivering public health
messages to the general population. Research has pointed to primary care
staff holding negative attitudes towards alcohol misusing patients. Training
has traditionally been seen as the key to increasing the capacity of the
medical field to engage with alcohol misusing patients but little work has
been undertaken to examine the potential barriers to training take up.
Consequently, the aim of this study was to explore the willingness of
practice nurses to be trained in alcohol screening and brief intervention,
and whether identifiable barriers to training exist and how they may be
overcome. All practice nurses (n = 82) in an outer London (UK) Health
Authority Area were twice mailed an invitation to an alcohol training
seminar and a telephone invitation was made to all of those who did not
reply to the mailings. Those who did not attend (n = 66) were contacted to
take part in a short structured telephone interview - 89% (59/66) were
contacted successfully and interviewed. Respondents were experienced in
primary care and viewed health promotional activity as a valid part of their
role. Few had undertaken previous alcohol training and as a group they were
highly active in attending training events with training undertaken tending
to be related directly to perceived practice needs and priorities: thus this
group could not be characterized as unwilling to be trained. Barriers to
training at alcohol events were found to be either personal or work-related,
with most nurses interested in receiving further training or information.
These data imply that the ways in which training is organized and delivered
require sensitivity to identifiable barriers if it is to reach and effect
changing practice among practice nurses successfully. A range of
possibilities are identified as alternative approaches to the provision of
elective training events which may be more acceptable to the target
population of health-care staff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
nurse attitude
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
methodology
middle aged
nursing
psychological aspect
United Kingdom
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
12270080 (http://www.ncbi.nlm.nih.gov/pubmed/12270080)
FULL TEXT LINK
http://dx.doi.org/10.1080/0959523021000002750
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 772
TITLE
Patient-controlled analgesia: what information does the patient want?
AUTHOR NAMES
Chumbley G.M.
Hall G.M.
Salmon P.
AUTHOR ADDRESSES
(Chumbley G.M.; Hall G.M.; Salmon P.) Pain Relief Unit, King's College
Hospital, Denmark Hill, London, UK.
CORRESPONDENCE ADDRESS
G.M. Chumbley, Pain Relief Unit, King's College Hospital, Denmark Hill,
London, UK. Email: gillian.chumbley@talk21.com
SOURCE
Journal of advanced nursing (2002) 39:5 (459-471). Date of Publication: Sep
2002
ISSN
0309-2402
ABSTRACT
AIMS OF THE STUDY: To formulate and evaluate an information leaflet for
patients using patient-controlled analgesia (PCA), incorporating information
thought to be important by patients. RATIONALE: The benefit of current
information leaflets, written by professionals, has not been studied and
their value to patients is unknown. BACKGROUND: Previous studies have shown
that information leaflets were poorly designed and written in language too
difficult for patients to understand. RESEARCH METHODS: Seven focus groups
were conducted to establish what information patients wanted to know about
PCA. This information was incorporated into a new information leaflet. One
hundred patients were randomized to receive either the new leaflet or the
old leaflet in current use. A questionnaire was used to establish whether
the new leaflet was more clear and informative than the old one. RESULTS:
Patients wanted to know that the drug used in PCA was morphine. They wanted
more information about side-effects, needed to be reassured that it was
safe, and that they could not overdose or become addicted. They wanted
detailed instructions and diagrams about the technique. The questionnaire
study established that the new leaflet was clearer and more informative.
CONCLUSION: Patients' contribution led to major change, producing a leaflet
which was clearer, more attractive, more informative and which proved more
satisfactory to patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (drug therapy)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient controlled analgesia
patient education
postoperative pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical trial
controlled clinical trial
controlled study
female
human
male
methodology
middle aged
nursing methodology research
publication
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12175355 (http://www.ncbi.nlm.nih.gov/pubmed/12175355)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 773
TITLE
Attitudes toward sexuality among nursing home residents
AUTHOR NAMES
Aizenberg D.
Weizman A.
Barak Y.
AUTHOR ADDRESSES
(Aizenberg D., gandelf@inter.net.il; Weizman A.; Barak Y.) Sackler School of
Medicine, Tel Aviv University, Tel Aviv, Israel.
(Aizenberg D., gandelf@inter.net.il; Weizman A.) Geha Psychiatric Hospital,
Petah-Tiqva, Israel.
(Barak Y.) Abarbanel Mental Health Center, Bat-Yam, Israel.
(Aizenberg D., gandelf@inter.net.il) Psychogeriatric Ward, Geha Mental
Health Center, P O Box 102, Petah-Tikva, 49100, Israel.
CORRESPONDENCE ADDRESS
D. Aizenberg, Psychogeriatric Ward, Geha Mental Health Center, P O Box 102,
Petah-Tikva, 49100, Israel. Email: gandelf@inter.net.il
SOURCE
Sexuality and Disability (2002) 20:3 (185-189). Date of Publication: Sep
2002
ISSN
0146-1044
ABSTRACT
There is a paucity of data regarding sexuality among nursing home residents.
The aim of the present study was to evaluate sexual attitudes in a group of
independent residents in a large urban nursing home. Ten items covering
different aspects of sexual attitude were scored by two board certified
psychiatrists following a semistructured interview. The study was undertaken
at a large 1,200-bed nursing home providing services to both healthy
independent elderly as well as geriatric patients. Subjects were 31
volunteers: 15 men and 16 women (mean age: 82.4 and 74.1 years,
respectively), who consented to participate. Participants were cognitively
intact and living independently at the nursing home. Exclusion criteria
were: a) current major psychiatric morbidity, b) drug or alcohol abuse, c)
Geriatric Depression Scale (short version) score ≥5, and d) Clinical
Dementia Rating >0. A hierarchy of basic functions was constructed wherein
each function was graded on a 5-point Likert-like scale reflecting its
endorsed importance. The majority (23/31) felt that sexuality should be
openly discussed with the elderly by health professionals. Twenty-one of 31
expressed willingness to receive medical consultation and treatment for
sexual dysfunction as needed and 20/31 expressed a similar attitude if their
partner so needed. The hierarchy of needs was rated by the participants (men
and women, respectively) as follows: Mood (4.4; 4.3), Memory (4.2; 4.2),
Sleep (3.8; 3.9), Sex (3.5; 2.8), and Appetite (2.8; 2.6). Sex is graded as
"moderately important" among nursing home residents, more so in males. The
majority of residents expressed positive attitudes towards open discussion
of sexual matters and willingness to accept therapeutic interventions when
needed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
sexuality
EMTREE MEDICAL INDEX TERMS
aged
alcohol abuse
appetite
article
clinical article
dementia
drug abuse
elderly care
female
Geriatric Depression Scale
health practitioner
human
interview
Likert like scale
male
memory
mood
nursing home
rating scale
sexual behavior
sexual dysfunction
sleep
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2004152890
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021445832294
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 774
TITLE
Substance abuse education for nurse practitioners in primary care.
AUTHOR NAMES
Vasquez E.
Onieal M.E.
AUTHOR ADDRESSES
(Vasquez E.) Department of Child, Women's, and Family Health, School of
Nursing, University of Maryland, Baltimore, MD, USA.
(Onieal M.E.)
CORRESPONDENCE ADDRESS
E. Vasquez, Department of Child, Women's, and Family Health, School of
Nursing, University of Maryland, Baltimore, MD, USA.
SOURCE
Substance abuse : official publication of the Association for Medical
Education and Research in Substance Abuse (2002) 23:3 Suppl (235-246). Date
of Publication: Sep 2002
ISSN
0889-7077
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, rehabilitation)
advanced practice nursing
alcoholism (diagnosis, rehabilitation)
nurse practitioner
primary health care
EMTREE MEDICAL INDEX TERMS
clinical competence
cooperation
curriculum
education
family nursing
holistic nursing
human
interdisciplinary communication
multimodality cancer therapy
nurse patient relationship
nursing
nursing education
psychological aspect
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
23580998 (http://www.ncbi.nlm.nih.gov/pubmed/23580998)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 775
TITLE
Nursing care of adolescents who have been sexually assaulted.
AUTHOR NAMES
Pharris M.D.
Nafstad S.S.
AUTHOR ADDRESSES
(Pharris M.D.; Nafstad S.S.) Nursing Department, F-22, College of St.
Catherine, 2004 Randolph Avenue, St. Paul, MN 55105, USA.
CORRESPONDENCE ADDRESS
M.D. Pharris, Nursing Department, F-22, College of St. Catherine, 2004
Randolph Avenue, St. Paul, MN 55105, USA. Email: mdpharris@stkate.edu
SOURCE
The Nursing clinics of North America (2002) 37:3 (475-497). Date of
Publication: Sep 2002
ISSN
0029-6465
ABSTRACT
Healing responses for adolescents who have been sexually assaulted involve
nursing care centered on establishing safety, helping adolescents
reconstruct the story of the assault, and restoring connection with the
community and themselves [42]. Nurses partner with parents, school
personnel, and other meaningful people in the lives of adolescents who have
been sexually assaulted to create a physically and emotionally safe
environment for the adolescent in the days, weeks, and months after an
assault. Recovery involves being able to tell the story over and over again
in a safe environment until it is clear that the assailant holds the blame
for the assault, which was not sex but rather a crime of domination, and
that the adolescent did what she or he needed to do to survive. In
discerning ways to cope with the trauma of the assault, strengths are
identified, appreciated, and nurtured. Nursing advocacy involves educating
the adolescent and those around her or him on common reactions to sexual
assault and what is needed in the recovery process. Nurses advocate for
accommodations so that healing can occur and so that the well-being of the
adolescent is not sacrificed for the prosecution of the offender. The major
emphasis of nursing care is weaving together an understanding and caring
community to surround the adolescent with nurturance and love. It is in the
context of meaningful relationships that healing is maximized. Crisis brings
with it the opportunity for immense growth. A caring nursing relationship
creates the space in which adolescents can discover sources of spiritual and
emotional strength that they can draw upon throughout their lives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
nursing care
rape (rehabilitation)
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
article
child parent relation
female
human
male
nursing assessment
posttraumatic stress disorder (etiology, prevention)
psychological aspect
sexually transmitted disease (prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12449007 (http://www.ncbi.nlm.nih.gov/pubmed/12449007)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 776
TITLE
Smoking among female college students: a time for change.
AUTHOR NAMES
Gaffney K.F.
Wichaikhum O.A.
Dawson E.M.
AUTHOR ADDRESSES
(Gaffney K.F.; Wichaikhum O.A.; Dawson E.M.) College of Nursing and Health
Science, George Mason University, Fairfax, VA 22030-4444, USA.
CORRESPONDENCE ADDRESS
K.F. Gaffney, College of Nursing and Health Science, George Mason
University, Fairfax, VA 22030-4444, USA. Email: kgaffney@gmu.edu
SOURCE
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG
(2002) 31:5 (502-507). Date of Publication: 2002 Sep-Oct
ISSN
0884-2175
ABSTRACT
The transition from high school to college begins a time of personal growth
accompanied by normal developmental stressors. Some young women use smoking
as a coping mechanism. The immediate danger for these students is nicotine
dependence, with subsequent maternal and child morbidities. College provides
an optimal time to break this devastating trajectory. With an understanding
of psychosocial development, nurses who care for college-age women can
effect changes in smoking behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
female
nurse attitude
smoking (epidemiology, prevention)
student
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adolescent
adult
attitude to health
health service
human
human development
maternal care
mental stress (complication, prevention)
methodology
organization and management
peer group
psychological aspect
review
smoking cessation
statistics
United States (epidemiology)
women's health
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12353727 (http://www.ncbi.nlm.nih.gov/pubmed/12353727)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 777
TITLE
One last pleasure? Alcohol use among elderly people in nursing homes.
AUTHOR NAMES
Klein W.C.
Jess C.
AUTHOR ADDRESSES
(Klein W.C.; Jess C.) School of Social Work, University of Connecticut, West
Hartford 06117-2698, USA.
CORRESPONDENCE ADDRESS
W.C. Klein, School of Social Work, University of Connecticut, West Hartford
06117-2698, USA. Email: wklein@uconnvm.uconn.edu
SOURCE
Health & social work (2002) 27:3 (193-203). Date of Publication: Aug 2002
ISSN
0360-7283
ABSTRACT
The study discussed in this article describes the alcohol-related policies,
practices, and problems experienced by a sample of 111 intermediate care
facilities and homes for elderly people. Data were collected using a
semi-structured telephone interview and indicate that alcohol use and
associated problems among nursing home residents are common. Despite the
problems reported, screening for alcohol problems among residents, treatment
of identified problems, and training of staff were not found to be
widespread. Ambiguity about the role of alcohol as a social beverage or as a
psychoactive substance to be managed was identified. Challenges to social
workers and social work education are identified.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
hospital patient
nursing home
policy
EMTREE MEDICAL INDEX TERMS
aged
article
comparative study
education
female
geriatric assessment
health care personnel
health personnel attitude
human
in service training
interview
male
organization and management
psychological aspect
social work
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12230044 (http://www.ncbi.nlm.nih.gov/pubmed/12230044)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 778
TITLE
Women with HIV infection: A model of university-based care, training and
research
AUTHOR NAMES
Mundy L.M.
Kalluri P.
Meredith K.
Marshall L.
Fraser V.J.
Thompson P.
AUTHOR ADDRESSES
(Mundy L.M.; Kalluri P.; Meredith K.; Marshall L.; Fraser V.J.; Thompson P.)
Washington Univ. School of Medicine, Division of Infectious Diseases, Campus
Box 8051, 660 South Euclid, St. Louis, MO 63110, United States.
CORRESPONDENCE ADDRESS
L.M. Mundy, Washington Univ. School of Medicine, Division of Infectious
Diseases, Campus Box 8051, 660 South Euclid, St. Louis, MO 63110, United
States. Email: lmundy@imgate.wustl.edu
SOURCE
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV (2002)
14:SUPPL. 1 (S95-S107). Date of Publication: August 2002
ISSN
0954-0121
BOOK PUBLISHER
Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United
Kingdom.
ABSTRACT
The growth of human immunodeficiency virus type-1 (HIV) infection among
women in the USA has been coincident with an international momentum to
better address the specific health care needs of women. This paper provides
an overview of a demonstration model for comprehensive HIV care of
adolescent and adult women in an academic setting. The paper contains a
descriptive summary of a university-based demonstration model of
comprehensive care for women with HIV infection. During 1997-1998, there
were 279 urban and rural Midwest adolescent and adult women with HIV
infection in care at this model programme. Medical care encompassed
subspecialty HIV care, obstetrical and gynaecological care, primary care of
non-HIV comorbidities, mental health assessments and family planning in a
safe, university-based environment. For 279 women during the two-year
period, health services included the detection and treatment of sexually
transmitted diseases (56%) and cervical dysplasia (35%), perinatal care
(12%) and screening and referral for substance abuse treatment (30%). There
was no mother-to-child HIV transmission among 33 pregnant women enrolled in
the Center prior to delivery, and transmission by three of nine women
enrolled after delivery. Only I67 (60%) women were compliant with biannual
medical visits during 1997-1998. Integral to the health services delivery
was the provision of ancillary support services intended to enhance optimal
medical care for this cohort of women. This university-based model of care
also incorporated HIV provider training and formative HIV research.
Structured medical and public health experiential learning opportunities
occurred for medical and social work students, medicine residents,
infectious diseases fellows, nurses and other professional health care
workers. Clinical investigations of adolescent and adult women have
complemented care and training, with funded research in HIV medication
adherence and health services research. In follow-up, 71% of these women
remained active in care in 1999. Retention of vulnerable populations in care
may be a big challenge over the next decade, despite the availability of
potent antiretroviral therapies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Human immunodeficiency virus infection
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
female
health care delivery
health care need
health program
health service
human
major clinical study
medical care
medical research
patient care
priority journal
screening
United States
university
vertical transmission
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002296422
MEDLINE PMID
12204144 (http://www.ncbi.nlm.nih.gov/pubmed/12204144)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 779
TITLE
Tobacco dependence curricula in acute care nurse practitioner education.
AUTHOR NAMES
Robinette A.
AUTHOR ADDRESSES
(Robinette A.)
CORRESPONDENCE ADDRESS
A. Robinette,
SOURCE
American journal of critical care : an official publication, American
Association of Critical-Care Nurses (2002) 11:4 (316; author reply 401).
Date of Publication: Jul 2002
ISSN
1062-3264
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nurse practitioner
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
education
human
methodology
note
nursing
nursing education
practice guideline
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12102430 (http://www.ncbi.nlm.nih.gov/pubmed/12102430)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 780
TITLE
Tobacco dependence curricula in acute care nurse practitioner education.
AUTHOR NAMES
Wheeler E.
AUTHOR ADDRESSES
(Wheeler E.)
CORRESPONDENCE ADDRESS
E. Wheeler,
SOURCE
American journal of critical care : an official publication, American
Association of Critical-Care Nurses (2002) 11:4 (316-317; author reply 401).
Date of Publication: Jul 2002
ISSN
1062-3264
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nurse practitioner
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
education
human
methodology
note
nursing
nursing education
practice guideline
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12102429 (http://www.ncbi.nlm.nih.gov/pubmed/12102429)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 781
TITLE
Tobacco dependence curricula in acute care nurse practitioner education.
AUTHOR NAMES
Parker J.
AUTHOR ADDRESSES
(Parker J.)
CORRESPONDENCE ADDRESS
J. Parker,
SOURCE
American journal of critical care : an official publication, American
Association of Critical-Care Nurses (2002) 11:4 (317, 401; author reply
401). Date of Publication: Jul 2002
ISSN
1062-3264
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nurse practitioner
smoking cessation
tobacco dependence
EMTREE MEDICAL INDEX TERMS
education
human
methodology
note
nursing
nursing education
practice guideline
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12102431 (http://www.ncbi.nlm.nih.gov/pubmed/12102431)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 782
TITLE
Missed opportunities in the field: caring for clients with co-morbidity
problems.
AUTHOR NAMES
de Crespigny C.
Emden C.
Drage B.
Hobby C.
Smith S.
AUTHOR ADDRESSES
(de Crespigny C.; Emden C.; Drage B.; Hobby C.; Smith S.) School of Nursing
& Midwifery, The Flinders University of South Australia.
CORRESPONDENCE ADDRESS
C. de Crespigny, School of Nursing & Midwifery, The Flinders University of
South Australia. Email: charlotte.decresoigny@flinders.edu.au
SOURCE
Collegian (Royal College of Nursing, Australia) (2002) 9:3 (29-34). Date of
Publication: Jul 2002
ISSN
1322-7696
ABSTRACT
This discussion paper presents key issues associated with caring for people
with concurrent alcohol or drug and mental health problems. By way of
anecdotal stories and personal experiences, it draws attention to 'missed
opportunities' for effective care of clients within a general hospital and
community mental health service. As educators, inicians and students, we are
concerned our own attempts to improve the care of these clients may have
been less than successful due to various factors, and believe such
information is important to share with the wider nursing profession. We hope
the paper will stimulate interest amongst general, mental health and drug
and alcohol nurses, and researchers and educators to better address the
issue of alcohol, drug and mental health co-morbidity in our community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
mental disease (complication, diagnosis)
EMTREE MEDICAL INDEX TERMS
article
attitude to health
family
female
health personnel attitude
human
male
mental health service
methodology
needs assessment
nursing
psychiatric nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12529084 (http://www.ncbi.nlm.nih.gov/pubmed/12529084)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 783
TITLE
Integrating health promotion into nursing curricula in Hong Kong
AUTHOR NAMES
Tarrant M.
Chan S.S.-C.
AUTHOR ADDRESSES
(Tarrant M.; Chan S.S.-C.) Department of Nursing Studies, University of Hong
Kong, Faculty of Medicine, 21 Sassoon Road, Hong Kong, Hong Kong.
CORRESPONDENCE ADDRESS
M. Tarrant, Department of Nursing Studies, University of Hong Kong, Faculty
of Medicine, 21 Sassoon Road, Hong Kong, Hong Kong. Email:
tarrantm@hkucc.hku.hk
SOURCE
Journal of Community Health Nursing (2002) 19:2 (93-103). Date of
Publication: 2002
ISSN
0737-0016
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
The health care system in Hong Kong has historically been steeped in the
biomedical paradigm. Health care reform, however, is finally putting health
promotion on the agenda of governments and health care providers. As the
largest group of providers in Hong Kong, nurses must assume a leadership
role in the transition of the current illness-focused system to one that
emphasizes health and promotes wellness. For nurses to take up the challenge
of health promotion, they need to acquire the requisite knowledge and
skills. Nursing curricula must emphasize this new paradigm and provide
opportunities for students to develop expertise in health promotion and
disease prevention. This article describes a health-promotion initiative
carried out by 1st-year students in an undergraduate nursing program in Hong
Kong. The health-promotion project aims to prepare graduates who will be
able to meet health care needs and function effectively in the future health
care system. Not only will these nurses be capable of becoming future
leaders of the health-promotion movement in Hong Kong, they are also
contributing to the health and wellness of Hong Kong citizens.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nursing
EMTREE MEDICAL INDEX TERMS
article
cumulative trauma disorder (epidemiology, prevention)
curriculum
education program
Hong Kong
low back pain (epidemiology, prevention)
obesity
paramedical education
pregnancy
sexually transmitted disease (epidemiology, prevention)
smoking
smoking cessation
sport injury (epidemiology, prevention)
substance abuse
suicide
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002202437
MEDLINE PMID
12073307 (http://www.ncbi.nlm.nih.gov/pubmed/12073307)
FULL TEXT LINK
http://dx.doi.org/10.1207/15327650252988476
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 784
TITLE
A possible trend suggesting increased abuse from Coricidin® exposures
reported to the Texas poison network: Comparing 1998 to 1999
AUTHOR NAMES
Baker S.D.
Borys D.J.
AUTHOR ADDRESSES
(Baker S.D.; Borys D.J.) Central Texas Poison Center, Scott/White Clin. and
Memorial Hosp., University Syst. Hlth. Sci. Center, 2401 S 31st Street,
Temple, TX 76508, United States.
CORRESPONDENCE ADDRESS
S.D. Baker, Central Texas Poison Center, Scott/White Clin. and Memorial
Hosp., University Syst. Hlth. Sci. Center, 2401 S 31st Street, Temple, TX
76508, United States.
SOURCE
Veterinary and Human Toxicology (2002) 44:3 (169-171). Date of Publication:
2002
ISSN
0145-6296
BOOK PUBLISHER
Comparative Toxicology Laboratories, Manhattan, United States.
ABSTRACT
Coricidin® products seemed to be one of the over-the-counter medications
being reportedly abused by adolescents, as observed from the Texas Poison
Center Network data. This retrospective chart review investigated the
occurrence of abuse, developed a patient profile, and defined the clinical
effects resulting from the abuse of Coricidin® products. Data collected from
the Texas Poison Center Network Toxic Exposure Surveillance System-database
included human exposures between 1998 and 1999, patients ≥ 10y old,
intentional use or abuse, and single substance ingestion of 1 of the tablet
formulations of Coricidin®. Thirty-three cases from 1998 and 59 cases from
1999 were reviewed. Of these cases, 85% met the inclusion criteria. Of the 7
medications searched, only 4 substances were coded for: Coricidin® D,
Coricidin® D (long acting), Coricidin® D (cold, flu & sinus) and Coricidin®
HBP. These contain a combination of dextromethorphan hydrobromide,
chlorpheniramine maleate, phenylpropanolamine hydrochloride, and
acetaminophen. Of the 78 cases, 63% were male and 38% were female. The mean
age was 14.67years, 77% being between 13 to 17years old. Eighteen different
symptoms were reported: tachycardia 50%, somnolence 24.4%, mydriasis and
hypertension 16.7%, agitation 12.8%, disorientation 10.3%, slurred speech
9%, ataxia 6.4%, vomiting 5.1%, dry mouth and hallucinations 3.9%, tremor
2.6%, and headache, dizziness, syncope, seizure, chest pain, and nystagmus
each 1.3%; 12.8% of the calls originated from the school nurse. The
incidence of abuse reported increased 60% from 1998 to 1999. This worrisome
trend suggests increased abuse of these products.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
chlorpheniramine maleate (drug combination, drug toxicity)
coricidin (drug combination, drug toxicity, pharmaceutics)
dextromethorphan (drug combination, drug toxicity, pharmaceutics)
paracetamol (drug combination, drug toxicity)
phenylpropanolamine (drug combination, drug toxicity)
EMTREE DRUG INDEX TERMS
coricidin d
coricidin hbp
non prescription drug
phencyclidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical feature
female
health survey
human
major clinical study
male
poison center
retrospective study
United States
DRUG TRADE NAMES
coricidin d , United StatesSchering Plough
coricidin hbp , United StatesSchering Plough
coricidin , United StatesSchering Plough
DRUG MANUFACTURERS
(United States)Schering Plough
CAS REGISTRY NUMBERS
chlorpheniramine maleate (113-92-8)
dextromethorphan (125-69-9, 125-71-3)
paracetamol (103-90-2)
phencyclidine (77-10-1, 956-90-1)
phenylpropanolamine (14838-15-4, 154-41-6, 4345-16-8, 48115-38-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002189816
MEDLINE PMID
12046973 (http://www.ncbi.nlm.nih.gov/pubmed/12046973)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 785
TITLE
Promoting smoking cessation in adults.
AUTHOR NAMES
Scheibmeir M.S.
O'Connell K.A.
AUTHOR ADDRESSES
(Scheibmeir M.S.; O'Connell K.A.) School of Nursing, University of Kansas
Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160-7502, USA.
CORRESPONDENCE ADDRESS
M.S. Scheibmeir, School of Nursing, University of Kansas Medical Center,
3901 Rainbow Boulevard, Kansas City, KS 66160-7502, USA. Email:
mscheibm@kumc.edu
SOURCE
The Nursing clinics of North America (2002) 37:2 (331-340). Date of
Publication: Jun 2002
ISSN
0029-6465
ABSTRACT
There is a wealth of opportunities for nurses to facilitate smoking
cessation with their patients. Nurses have shown to have a modest but
positive effect on cessation rates when they deliver brief or intensive
counseling. Because nurses work in a multitude of clinical settings, they
can impact both prevention and treatment of nicotine addiction associated
with cigarette use. More nurses need to be educated about their role in
reducing the morbidity and mortality of tobacco-related diseases.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
adult
human
nurse practitioner
nursing
pathophysiology
practice guideline
psychological aspect
psychological model
reimbursement
review
smoking (epidemiology, prevention)
tobacco dependence
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12389273 (http://www.ncbi.nlm.nih.gov/pubmed/12389273)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 786
TITLE
Social norms marketing: a prevention strategy to decrease high-risk drinking
among college students.
AUTHOR NAMES
Ott C.H.
Haertlein C.
AUTHOR ADDRESSES
(Ott C.H.; Haertlein C.) School of Nursing, University of
Wisconsin-Milwaukee, 1921 E. Hartford Avenue, Milwaukee, WI 53211, USA.
CORRESPONDENCE ADDRESS
C.H. Ott, School of Nursing, University of Wisconsin-Milwaukee, 1921 E.
Hartford Avenue, Milwaukee, WI 53211, USA. Email: carolott@uwm.edu
SOURCE
The Nursing clinics of North America (2002) 37:2 (351-364, ix). Date of
Publication: Jun 2002
ISSN
0029-6465
ABSTRACT
We describe a social-norms marketing approach to moderating college student
drinking behaviors and correcting student misperceptions about campus
drinking. The intervention has the potential to be applied to other health
behaviors where misperceptions abound, such as those related to cigarette
smoking, eating disorders, sexual health, and sexual assault. Even though
nurses are actively working on alcohol and other drug (AOD) prevention
efforts on college campuses, little data based research have been published.
Collaborative efforts between faculty from different disciplines, including
nursing and nurse health educators, can be an effective combination for
preventing alcohol abuse and for initiating sound research-based campus
prevention programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior (prevention)
health service
social control
social marketing
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention)
article
health care planning
human
peer group
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12389275 (http://www.ncbi.nlm.nih.gov/pubmed/12389275)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 787
TITLE
Identification of suicidal ideation and prevention of suicidal behaviour in
the elderly
AUTHOR NAMES
Szanto K.
Gildengers A.
Mulsant B.H.
Brown G.
Alexopoulos G.S.
Reynolds III C.F.
AUTHOR ADDRESSES
(Szanto K., szantok@msx.upmc.edu; Gildengers A.; Mulsant B.H.; Reynolds III
C.F.) Department of Psychiatry, Western Psychiatric Institute and Clinic,
University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
(Brown G.) Department of Psychiatry, University of Pennsylvania,
Philadelphia, PA, United States.
(Alexopoulos G.S.) Department of Psychiatry, Cornell Institute of Geriatric
Psychiatry and Weill Medical College, Cornell University, White Plains, NY,
United States.
(Szanto K., szantok@msx.upmc.edu) Department of Psychiatry, Western
Psychiatric Institute and Clinic, University of Pittsburgh School of
Medicine, Pittsburgh, PA 15213, United States.
CORRESPONDENCE ADDRESS
K. Szanto, Department of Psychiatry, Western Psychiatric Inst. and Clinic,
Univ. of Pittsburgh Sch. of Medicine, Pittsburgh, PA 15213, United States.
Email: szantok@msx.upmc.edu
SOURCE
Drugs and Aging (2002) 19:1 (11-24). Date of Publication: 2002
ISSN
1170-229X
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
In almost all industrialised countries, men aged 75 years and older have the
highest suicide rate among all age groups. Although in younger age groups
suicide attempts are often impulsive and communicative acts, suicide
attempts in older people (defined as aged 65 years and older) are often long
planned and involve high-lethality methods. These characteristics, in
addition to the fact that elderly are more fragile and frequently live
alone, more often lead to fatal outcome. In later life, in both sexes, the
most common diagnosis in those who attempt or complete suicide is major
depression. In contrast to other age groups, comorbidity with substance
abuse and personality disorders is less frequent. Physical illness plays an
important role in the suicidal behaviour of the elderly: most frequently,
depression and illness co-occur; less often, the physical illness or the
treating medications are causally related to the depressive symptoms.
However, only 2 to 4% of terminally ill elderly commit suicide. In addition
to physical illness, complicated or traumatic grief, anxiety, unremitting
hopelessness after recovery from a depressive episode and history of
previous suicide attempts are risk factors for suicide attempts and
completed suicide. During a depressive episode, elderly patients with
suicidal ideation have higher levels of anxiety and, during treatment,
anxiety decreases the probability of remission and recovery. As well as
overt suicide attempts, indirect self-destructive behaviours, which often
lead to premature death, are common, especially in residents of nursing
homes, where more immediate means to commit suicide are restricted. Although
we do not have randomised trials of treatment, studies suggest that
antidepressant treatment may decrease suicide risk. Prevention and treatment
trials are underway to detect the effectiveness of improved treatment of
depression by primary care physicians as a means of reducing the prevalence
of depressive symptoms, hopelessness and suicidal ideation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
lithium (drug therapy)
nortriptyline (drug therapy)
phenelzine (drug therapy)
serotonin uptake inhibitor (drug therapy)
valproic acid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (diagnosis, drug therapy, etiology, therapy)
suicidal behavior (diagnosis, drug therapy, etiology, prevention, therapy)
EMTREE MEDICAL INDEX TERMS
akathisia (side effect)
alcohol abuse
behavior therapy
bereavement
clinical examination
cognitive therapy
elderly care
electroconvulsive therapy
high risk patient
human
mood
personality
priority journal
psychologic assessment
review
risk assessment
risk factor
risk management
social isolation
CAS REGISTRY NUMBERS
lithium (7439-93-2)
nortriptyline (72-69-5, 894-71-3)
phenelzine (156-51-4, 51-71-8)
valproic acid (1069-66-5, 99-66-1)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002158024
MEDLINE PMID
11929324 (http://www.ncbi.nlm.nih.gov/pubmed/11929324)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 788
TITLE
Impact of teaching interventions on nurse compliance with hand disinfection
AUTHOR NAMES
Colombo C.
Giger H.
Grote J.
Deplazes C.
Pletscher W.
Lüthi R.
Ruef C.
AUTHOR ADDRESSES
(Colombo C., infcco@usz.unizh.ch; Giger H.; Grote J.; Ruef C.) Div. of
Infect. Dis. Hosp. Epidemiol, University Hospital of Zurich, Raemistrasse
100, 8091 Zurich, Switzerland.
(Lüthi R.) Nursing Department, University Hospital of Zurich, Raemistrasse
100, 8091 Zurich, Switzerland.
(Deplazes C.; Pletscher W.) Cantonal Pharmacy Canton of Zurich, Zurich,
Switzerland.
CORRESPONDENCE ADDRESS
C. Colombo, Div. of Infect. Dis. Hosp. Epidemiol, University Hospital of
Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. Email:
infcco@usz.unizh.ch
SOURCE
Journal of Hospital Infection (2002) 51:1 (69-72). Date of Publication: May
2002
ISSN
0195-6701
BOOK PUBLISHER
W.B. Saunders Ltd, 32 Jamestown Road, London, United Kingdom.
ABSTRACT
The impact of teaching interventions and the availability of additional
dispensers for alcoholic hand disinfection was measured during three study
periods. A nursing care system of relevant nursing interventions was found
to be a useful tool for the assessment of compliance with hand hygiene
requirements if combined with an analysis of hand disinfectant use. This
study shows that compliance with hand disinfection can be improved through
targeted teaching and supportive structural improvements, and that this
positive impact may persist even after targeted teaching activities have
ended. © 2002 The Hospital Infection Society.
EMTREE DRUG INDEX TERMS
alcohol
disinfectant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
disinfection
nurse attitude
EMTREE MEDICAL INDEX TERMS
article
controlled study
health care system
human
nursing
outcomes research
personal hygiene
teaching
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2003518697
MEDLINE PMID
12009824 (http://www.ncbi.nlm.nih.gov/pubmed/12009824)
FULL TEXT LINK
http://dx.doi.org/10.1053/jhin.2002.1198
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 789
TITLE
Re: National drug policy: implications of the 'tough on drugs' ideology by
Rosemary Norman.
AUTHOR NAMES
Moran S.
AUTHOR ADDRESSES
(Moran S.)
CORRESPONDENCE ADDRESS
S. Moran,
SOURCE
Collegian (Royal College of Nursing, Australia) (2002) 9:2 (8-9). Date of
Publication: Apr 2002
ISSN
1322-7696
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health care policy
nursing education
EMTREE MEDICAL INDEX TERMS
Australia
human
letter
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12054398 (http://www.ncbi.nlm.nih.gov/pubmed/12054398)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 790
TITLE
Descriptive study and pharmacotherapeutic intervention in patients with
epilepsy or Parkinson's disease at nursing homes in southern Sweden
AUTHOR NAMES
Midlöv P.
Bondesson A.
Eriksson T.
Petersson J.
Minthon L.
Höglund P.
AUTHOR ADDRESSES
(Midlöv P.; Bondesson A.; Höglund P.) Department of Clinical Pharmacology,
Lund University Hospital, 221 85 Lund, Sweden.
(Eriksson T.) Hospital Pharmacy, Lund University Hospital, Lund, Sweden.
(Petersson J.) Department of Neurology, University Hospital MAS, Malmö,
Sweden.
(Minthon L.) Department of Psychiatry, Neuropsychiatric Clinic, University
Hospital MAS, Malmö, Sweden.
CORRESPONDENCE ADDRESS
P. Höglund, Department of Clinical Pharmacology, Lund University Hospital,
221 85 Lund, Sweden. Email: peter.hoglund@klinfarm.lu.se
SOURCE
European Journal of Clinical Pharmacology (2002) 57:12 (903-910). Date of
Publication: 2002
ISSN
0031-6970
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Objectives: To describe the drug use in epilepsy and Parkinson's patients
living in nursing homes and to evaluate the impact of multi-speciality team
intervention on health-related quality of life, activities of daily living
(ADL) and confusion state. Methods: Nursing home residents with epilepsy or
Parkinson's disease in the county of Skåne in Sweden were identified. From
119 nursing homes, 262 patients were identified. After obtaining informed
consent, 157 patients from 48 nursing homes were included. Of these patients
74 were diagnosed with epilepsy and 84 with Parkinson's disease (one patient
had both diagnoses). The average age of the epilepsy patients was 79 years
and of the Parkinson's patients 81 years. Pharmacists documented the
patients' drug use and any drug-related problems after communication with
nursing-home residents, their contact persons at the nursing home and the
residents' physicians. A multi-speciality group consisting of pharmacists, a
primary care physician, a neurologist, a neuro-psychiatrist and a clinical
pharmacologist evaluated the patients' medication and, when appropriate,
suggested changes. Lists of each resident's medications were collected
together with information about drug-related problems. The use of drugs
deemed inappropriate for geriatric nursing-home residents according to
Beer's criteria was documented. Health-related quality of life was evaluated
using a generic health-related quality of life instrument, SF-36. Confusion
state was measured using the Behaviour Pathology in Alzheimer's Disease
Rating Scale (Behave-AD), and ability to perform ADL was assessed using the
Schwab and England capacity for daily living scale. All measurements were
repeated after approximately 6 months. During that period, for the group
randomised to active intervention, the physicians involved in the care of
the patients had received the recommendations for changes in drug treatment
from the multi-speciality group. Results: Epilepsy patients at nursing homes
used on average 8.0 drugs for continuous use whereas Parkinson's patients
used 8.6 drugs. According to Beer's criteria about 40% of both patient
groups used drugs that are classified as inappropriate to geriatric
nursing-home patients. Dopamine receptor-blocking psychotropic drugs were
used by 29% of the Parkinson's patients. Indication for a patient's total
drug treatment was not documented for 50% of epilepsy and 40% of Parkinson's
patients. There were no significant differences between the active and
control groups in changes in SF-36, Behave-AD or ADL for epilepsy patients.
For Parkinson's patients there was a significant decrease in ADL for the
active group, whereas there were no differences in SF-36 or Behave-AD.
Conclusion: Nursing-home residents with epilepsy or Parkinson's disease use
many drugs and often drugs that are classified as inappropriate. A simple
problem-oriented questionnaire may be helpful in identifying specific
drug-related problems in geriatric patients with common neurological
diseases. Methods on how to improve the pharmacotherapy of these patients
still have to be developed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anticonvulsive agent (adverse drug reaction, drug therapy)
carbamazepine (adverse drug reaction, drug therapy)
dopamine receptor blocking agent (adverse drug reaction, drug therapy)
levodopa (adverse drug reaction, drug therapy)
phenytoin (adverse drug reaction, drug therapy)
valproic acid (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
psychotropic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
epilepsy (diagnosis, drug therapy)
Parkinson disease (diagnosis, drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
amnesia (side effect)
article
clinical trial
confusion
constipation (side effect)
controlled clinical trial
controlled study
daily life activity
diarrhea (side effect)
drug induced disease
evaluation study
fatigue (side effect)
female
gastrointestinal disease (side effect)
geriatric patient
human
hyperkinesia (side effect)
hypokinesia (side effect)
informed consent
major clinical study
male
medical specialist
neurologic disease
nightmare (side effect)
nursing home
orthostatic hypotension (side effect)
pharmacist
physician
primary medical care
priority journal
quality of life
questionnaire
randomized controlled trial
rating scale
rigidity
seizure (side effect)
Sweden
tremor (side effect)
vertigo (side effect)
visual hallucination (side effect)
CAS REGISTRY NUMBERS
carbamazepine (298-46-4, 8047-84-5)
levodopa (59-92-7)
phenytoin (57-41-0, 630-93-3)
valproic acid (1069-66-5, 99-66-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002084767
MEDLINE PMID
11936711 (http://www.ncbi.nlm.nih.gov/pubmed/11936711)
FULL TEXT LINK
http://dx.doi.org/10.1007/s00228-001-0408-3
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 791
TITLE
The Patient Health Questionnaire for Adolescents: Validation of an
instrument for the assessment of mental disorders among adolescent primary
care patients
AUTHOR NAMES
Johnson J.G.
Harris E.S.
Spitzer R.L.
Williams J.B.W.
AUTHOR ADDRESSES
(Johnson J.G., jjohnso@pi.cpmc.columbia.edu; Spitzer R.L.; Williams J.B.W.)
Department of Psychiatry, Columbia University, New York State Psychiatric
Institute, New York, NY, United States.
(Harris E.S.) Department of Psychiatry, Center for Health Services Research
in Primary Care, University of California, Davis, CA, United States.
(Johnson J.G., jjohnso@pi.cpmc.columbia.edu) Box 60, New York State
Psychiatric Institute, 1051 Riverside Drive, New York, NY 10032, United
States.
CORRESPONDENCE ADDRESS
J.G. Johnson, Box 60, New York State Psychiatric Institute, 1051 Riverside
Drive, New York, NY 10032, United States. Email:
jjohnso@pi.cpmc.columbia.edu
SOURCE
Journal of Adolescent Health (2002) 30:3 (196-204). Date of Publication:
2002
ISSN
1054-139X
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Purpose: To investigate the validity of the Patient Health Questionnaire for
Adolescents (PHQ-A), a self-administered instrument that assesses anxiety,
eating, mood, and substance use disorders among adolescent primary care
patients. Methods: A total of 403 adolescents from California, New Jersey,
New York, and Ohio completed the PHQ-A and the Medical Outcomes Study
Short-Form General Health Survey (SF-20) during or shortly after a visit to
a primary care clinic or a school nurse's office. A few days later, clinical
psychologists who were blind to the results of the PHQ-A administered a
semi-structured clinical interview to assess the same psychiatric disorders
and to conduct a global assessment of functioning (GAF) among 403 patients.
Diagnostic agreement coefficients were computed and analyses of covariance
were conducted. Results: Findings support the diagnostic validity of the
PHQ-A. The PHQ-A and the clinical interview produced similar estimates of
the prevalence rates of anxiety, eating, mood, and substance use disorders.
The PHQ-A demonstrated satisfactory sensitivity, specificity, diagnostic
agreement, and overall diagnostic accuracy, compared with the clinical
interview. Adolescents with PHQ-A diagnoses experienced significantly poorer
mental and overall functioning, more physical pain, and poorer overall
health compared with those without psychiatric disorders. These differences
remained significant after patients' age, gender, ethnicity, and site were
controlled statistically. Conclusion: The PHQ-A may be used to assist
primary care practitioners in identifying psychiatric disorders among their
adolescent patients. The PHQ-A is the first such tool to be tested for use
in adolescents and offers an acceptable and efficient tool for early
detection and recognition of mental disorders in this high-risk group. ©
Society for Adolescent Medicine, 2002.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affective neurosis (diagnosis)
anxiety neurosis (diagnosis)
eating disorder (diagnosis)
patient health questionnaire for adolescents
questionnaire
substance abuse
EMTREE MEDICAL INDEX TERMS
adolescent
adult
analysis of variance
article
clinical psychology
controlled study
diagnostic accuracy
diagnostic value
ethnic group
female
health status
health survey
human
intermethod comparison
interview
male
mental function
outcomes research
prevalence
primary medical care
priority journal
psychologist
United States
validation process
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Biophysics, Bioengineering and Medical Instrumentation (27)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002080012
MEDLINE PMID
11869927 (http://www.ncbi.nlm.nih.gov/pubmed/11869927)
FULL TEXT LINK
http://dx.doi.org/10.1016/S1054-139X(01)00333-0
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 792
TITLE
Interdisciplinary medication education in a church environment
AUTHOR NAMES
Schommer J.C.
Byers S.R.
Pape L.L.
Cable G.L.
Worley M.M.
Sherrin T.
AUTHOR ADDRESSES
(Schommer J.C.; Byers S.R.; Pape L.L.; Cable G.L.; Worley M.M.; Sherrin T.)
College of Pharmacy, University of Minnesota, 308 Harvard Street, S.E.,
Minneapolis, MN 55455, United States.
CORRESPONDENCE ADDRESS
J.C. Schommer, College of Pharmacy, University of Minnesota, 308 Harvard
Street, S.E., Minneapolis, MN 55455, United States. Email:
schom010@tc.umn.edu
SOURCE
American Journal of Health-System Pharmacy (2002) 59:5 (423-428). Date of
Publication: 1 Mar 2002
ISSN
1079-2082
BOOK PUBLISHER
American Society of Health-Systems Pharmacy, 7272 Wisconsin Ave., Bethesda,
United States.
ABSTRACT
A medication education program for ambulatory care patients implemented in a
church setting was studied. The program at each of 20 churches in Ohio
consisted of a one-hour orientation for pharmacists/interns, a 20-minute
presentation on medications and health, a question-and-answer session led by
a pharmacist and a nurse, a one-on-one session with a pharmacist, and an
exit interview with a nurse. Before the program, patients completed a form
to assess their current experiences with medications and their interactions
with health care professionals in the preceding six months. During an exit
interview at the end of the program, patients were asked whether the program
had been understandable and beneficial and whether taking medications
affected their lifestyle. A follow-up interview was conducted six months
later. A total of 187 patients completed both the exit and follow-up
interviews. Almost all reported that the church setting was a good place for
the program and that the program was beneficial. During the six months after
the program, the patients took significantly fewer drugs each day than
during the six months before the program and had fewer drug-related
problems. Significantly more patients sought drug information after
completing the program than before it. High rates of medication misuse were
identified, leading to 359 pharmacist recommendations. An interdisciplinary
program in a church setting successfully provided medication education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
EMTREE MEDICAL INDEX TERMS
adult
aged
ambulatory care
article
controlled study
drug information
drug misuse (epidemiology)
female
geriatrics
health care personnel
human
human experiment
information processing
male
nurse
patient education
patient information
patient satisfaction
pharmacist
priority journal
EMBASE CLASSIFICATIONS
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002094654
MEDLINE PMID
11887408 (http://www.ncbi.nlm.nih.gov/pubmed/11887408)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 793
TITLE
Understanding incarcerated populations.
AUTHOR NAMES
Cooke C.L.
AUTHOR ADDRESSES
(Cooke C.L.) University of Washington School of Nursing, Seattle, USA.
CORRESPONDENCE ADDRESS
C.L. Cooke, University of Washington School of Nursing, Seattle, USA.
SOURCE
AORN journal (2002) 75:3 (568-570, 573-576, 578 passim). Date of
Publication: Mar 2002
ISSN
0001-2092
ABSTRACT
Approximately 1.3 to 1.8 million people are incarcerated in the United
States at any given time. When providing emergency or elective surgical
intervention, perioperative nurses may encounter incarcerated individuals,
including many who require treatment for traumatic injury. Nurses,
therefore, need to educate themselves about this patient population and
understand the specific clinical and educational needs of this group. This
article explores key concepts involved in caring for incarcerated
individuals, including their characteristics and assumptions others make
about them. The article concludes with a discussion of educational and
policy implications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
operating room personnel
prisoner
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
elective surgery
emergency
exercise
family
female
human
interpersonal communication
male
methodology
minority group
needs assessment
nurse patient relationship
nursing
perioperative period
psychological aspect
review
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11921824 (http://www.ncbi.nlm.nih.gov/pubmed/11921824)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 794
TITLE
Tobacco dependence curricula in acute care nurse practitioner education.
AUTHOR NAMES
Heath J.
Andrews J.
Thomas S.A.
Kelley F.J.
Friedman E.
AUTHOR ADDRESSES
(Heath J.; Andrews J.; Thomas S.A.; Kelley F.J.; Friedman E.) Georgetown
University, School of Nursing and Health Studies, Washington, DC, USA.
CORRESPONDENCE ADDRESS
J. Heath, Georgetown University, School of Nursing and Health Studies,
Washington, DC, USA.
SOURCE
American journal of critical care : an official publication, American
Association of Critical-Care Nurses (2002) 11:1 (27-33). Date of
Publication: Jan 2002
ISSN
1062-3264
ABSTRACT
BACKGROUND: Tobacco dependence is the leading preventable cause of death in
the United States, yet healthcare professionals are not adequately educated
on how to help patients break the deadly cycle of tobacco dependence.
OBJECTIVE: To assess the content and extent of tobacco education in the
curricula of acute care nurse practitioner programs in the United States.
METHODS: A survey with 13 multiple-choice items was distributed to the
coordinators of 72 acute care nurse practitioner programs. The survey was
replicated and modifiedfrom previous research on tobacco dependence
curricula in undergraduate medical education. RESULTS: Fifty programs (83%)
responded to the survey. Overall, during an entire course of study, 70% of
the respondents reported that only between 1 and 3 hours of content on
tobacco dependence was covered. Seventy-eight percent reported that students
were not required to teach smoking-cessation techniques to patients, and 94%
did not provide opportunities for students to be certified as
smoking-cessation counselors. Sixty percent reported that the national
guidelines for smoking cessation were not used as a curriculum reference for
tobacco content. CONCLUSIONS: The majority of acute care nurse practitioner
programs include brief tobacco education. More in-depth coverage is required
to reduce tobacco dependence. Acute care nurse practitioners are in a prime
position to intervene with tobacco dependence, especially when patients are
recovering from life-threatening events. National recommendations for core
tobacco curricula and inclusion of tobacco questions on board examinations
should be developed and implemented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nurse practitioner
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
article
education
human
intensive care
nursing education
questionnaire
smoking cessation
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11785554 (http://www.ncbi.nlm.nih.gov/pubmed/11785554)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 795
TITLE
The economic impact of dementia in Belgium: Results of the NAtional Dementia
Economic Study (NADES)
AUTHOR NAMES
Scuvee-Moreau J.
Kurz X.
Dresse A.
AUTHOR ADDRESSES
(Scuvee-Moreau J.; Kurz X.; Dresse A.) Department of Pharmacology, Institute
of Pathology B23, University of Liège, B-4000 Sart-Tilman, Belgium.
CORRESPONDENCE ADDRESS
J. Scuvee-Moreau, Department of Pharmacology, Institute of Pathology B23,
University of Liège, B-4000 Sart-Tilman, Belgium. Email: jmoreau@ulg.ac.be
SOURCE
Acta Neurologica Belgica (2002) 102:3 (104-113). Date of Publication: 2002
ISSN
0300-9009
BOOK PUBLISHER
Springer-Verlag Italia s.r.l., springer@springer.it
ABSTRACT
Objectives : To estimate costs associated with dementia and its severity and
to identify main cost determinants. Design : One-year prospective cohort
study. Setting : 231 general practitioners (GPs) and 15 specialist clinics
throughout Belgium. Subjects : 605 patients aged ≥ 65 years (219 referent
patients, 218 demented patients at home and 168 demented patients in
institution). Outcome measures : Medical costs (visits to GPs/specialists,
physiotherapy, hospitalisation, nursing, incontinence, medication) and
non-medical costs (special equipment, services, professional help and
caregiving). Results : Total monthly costs amounted to 368.50 for referent
patients, 445.56 for demented patients at home and 2301.7 for demented
patients in institutions. Highest costs were measured in patients with
severe dementia (556.88 at home, 2465.28 in institutions). In demented
patients at home, 60% of costs were accounted for by the health system, with
hospitalisation and medication being the main cost components (36% and 20%).
In demented patients in institution, 46% of the costs were accounted for by
the health system, with residential costs and nursing being the main cost
components (42% and 32%). In multivariate covariance analysis, the main
determinants of costs for demented patients at home were physical dependence
and co-morbidity (neoplasm, cardiovascular disease). The adjusted difference
between demented and referent patients was 25 per month. Conclusions : a
large fraction of the costs observed in dementia is explained by the
association of dementia with physical dependence, co-morbidity and need for
caregiving. From an economic point of view, the results support the caring
for patients at home.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia (disease management, epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
aged
article
Belgium
caregiver
cohort analysis
comorbidity
controlled study
cost effectiveness analysis
disease severity
drug dependence
economic aspect
elderly care
female
general practitioner
health care cost
health service
home care
hospitalization
human
incidence
incontinence
major clinical study
male
medical specialist
multivariate analysis of covariance
nursing
outcomes research
physiotherapist
prevalence
prospective study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002368208
MEDLINE PMID
12400248 (http://www.ncbi.nlm.nih.gov/pubmed/12400248)
COPYRIGHT
Copyright 2014 Elsevier B.V., All rights reserved.
RECORD 796
TITLE
An education programme for professionals who specialize in substance misuse
in St. Petersburg, Russia: Part 1
AUTHOR NAMES
Green A.J.
Holloway D.G.
Fleming P.M.
AUTHOR ADDRESSES
(Green A.J.) European Institute of Health and Medical Sciences, University
of Surrey, Guildford, Surrey, GU2 5TE, United Kingdom.
(Holloway D.G.) School of Education and Continuing Studies, University of
Portsmouth, United Kingdom.
(Fleming P.M.) Substance Misuse Services, Portsmouth Healthcare Trust,
Portsmouth, Hampshire, United Kingdom.
CORRESPONDENCE ADDRESS
A.J. Green, European Inst. of Hlth./Medical Sci., University of Surrey,
Guildford, Surrey GU2 5TE, United Kingdom. Email: a.green@surrey.ac.uk
SOURCE
Nurse Education Today (2001) 21:8 (656-662). Date of Publication: 2001
ISSN
0260-6917
BOOK PUBLISHER
Churchill Livingstone
ABSTRACT
This paper provides an account of a joint project of education and training
of doctors and nurses in St Petersburg, funded by the Know How Fund Health
Sector Small Partnership Scheme (Russia). Contextual material on drug and
alcohol misuse in Russia is introduced prior to a focus on the drug and
alcohol misuse issues in St Petersburg. Reference is made to historical and
contemporary material on alcohol and drug misuse, and attention is drawn to
the reliability of statistical data. The main aims of the project and the
work carried out are outlined. Firstly, to bring together medical and
nursing colleagues, enabling a recognition of the overlap in training and
educational needs of both professional groups, and the learning that can
occur from understanding each others roles and responsibilities. Secondly,
that the theory and practice of different approaches to care and treatment
can be incorporated into already established curricula used to educate both
nurses and doctors. Colleagues in St Petersburg have requested the support
and guidance of UK practitioners and nurse educationalists to facilitate
these changes in perspectives. The paper concludes with a brief discussion
of the influence of the project in anticipation of the forthcoming paper
that will detail evaluation processes that the provision has undergone and
examine the findings in more detail. © 2001 Harcourt Publishers Ltd.
EMTREE DRUG INDEX TERMS
alcohol
illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
education program
health practitioner
international cooperation
nursing
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol abuse
alcoholism
article
comprehension
controlled study
curriculum
drug abuse
education
health care
health service
human
learning
medical education
medical ethics
mental health service
nurse
nursing education
physician
physician attitude
reliability
Russian Federation
statistical analysis
training
United Kingdom
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
11884179 (http://www.ncbi.nlm.nih.gov/pubmed/11884179)
FULL TEXT LINK
http://dx.doi.org/10.1054/nedt.2001.0596
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 797
TITLE
Implications of chemically impaired students in clinical settings.
AUTHOR NAMES
Pierce C.S.
AUTHOR ADDRESSES
(Pierce C.S.) Binghamton University, Decker School Nursing, New York
13902-6000, USA.
CORRESPONDENCE ADDRESS
C.S. Pierce, Binghamton University, Decker School Nursing, New York
13902-6000, USA.
SOURCE
The Journal of nursing education (2001) 40:9 (422-425). Date of Publication:
Dec 2001
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
malpractice
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
curriculum
female
human
male
management
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11769955 (http://www.ncbi.nlm.nih.gov/pubmed/11769955)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 798
TITLE
Drug & alcohol intervention for older women: a pilot study.
AUTHOR NAMES
Eliason M.J.
Skinstad A.H.
AUTHOR ADDRESSES
(Eliason M.J.; Skinstad A.H.) College of Nursing, University of Iowa, Iowa
City 52242, USA.
CORRESPONDENCE ADDRESS
M.J. Eliason, College of Nursing, University of Iowa, Iowa City 52242, USA.
SOURCE
Journal of gerontological nursing (2001) 27:12 (18-24; quiz 40-41). Date of
Publication: Dec 2001
ISSN
0098-9134
ABSTRACT
Pretest and posttest information was gathered from 26 older women attending
educational programs related to alcohol and drug use. The goals of the study
were to determine current knowledge about alcohol and drugs among older
women and to gather some initial information about the potential for alcohol
and drug interactions and misuse. The intervention included a 60-minute
presentation on the metabolism of alcohol and drugs in the aging body, the
potential for alcohol-drug interactions, and a discussion of healthy
lifestyles (e.g., diet, exercise). Older women, especially those who were
moderate to heavy drinkers, were found to have many misconceptions about
alcohol and drug use, but their knowledge improved dramatically after the
brief educational intervention. This finding may suggest that most of the
women had knowledge deficits rather than deeply entrenched attitudes about
alcohol and drug use or alcohol dependence. Therefore, simple educational
interventions may be very effective with this subset of women.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention, rehabilitation)
alcoholism (epidemiology, prevention, rehabilitation)
geriatric assessment
patient education
women's health
EMTREE MEDICAL INDEX TERMS
aged
article
attitude to health
epidemiology
female
geriatric nursing
health care quality
human
methodology
middle aged
pilot study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11820530 (http://www.ncbi.nlm.nih.gov/pubmed/11820530)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 799
TITLE
Patterns of drug consumption in relation with the pathologies of elderly
Mexican subjects resident in nursing homes
AUTHOR NAMES
Pérez-Guillé G.
Camacho-Vieyra A.
Toledo-López A.
Guillé-Pérez A.
Flores-Pérez J.
Rodríguez-Pérez R.
Juárez-Olguín H.
Lares-Asseff I.
AUTHOR ADDRESSES
(Pérez-Guillé G.; Camacho-Vieyra A.; Toledo-López A.; Guillé-Pérez A.;
Flores-Pérez J.; Rodríguez-Pérez R.; Juárez-Olguín H.; Lares-Asseff I.)
Department of Pharmacology, Faculty of Medicine, Natl. Autonomous University
Mexico, Mexico City, Mexico.
CORRESPONDENCE ADDRESS
H. Juárez-Olguín, Department of Pharmacology, Faculty of Medicine, Natl.
Autonomous University Mexico, Mexico City, Mexico. Email: juarez@yahoo.com
SOURCE
Journal of Pharmacy and Pharmaceutical Sciences (2001) 4:2 (159-166). Date
of Publication: 2001
ISSN
1482-1826
BOOK PUBLISHER
Canadian Society for Pharmaceutical Sciences, 3118 Dentistry/Pharmacy
Centre, Univ. of Alberta Campus, Edmonton, Canada.
ABSTRACT
Purpose. To describe the patterns of drugs consumed by the male and female
elderly living in Mexican private and public nursing homes. Methods: Three
hundred and fifty elderly participants from four nursing homes (2 private
and 2 public) were selected for the six month study: 108 subjects were
excluded; the remaining 242 were between 65 and 100 years old; 123 were
females and 119 males. A complete clinical history was taken and clinical
files were reviewed. Results: Of the 242 elderly studied, 193 took diverse
medications and 28.5% were at risk of some type of drug interaction. The
groups of drugs more frequently consumed were vitamins and anti-anemic
medications, followed by cardiovascular drugs. Females consumed greater
number of drugs. They also consumed more drugs simultaneously. Conclusions:
There is a need to monitor the elderly for their drugs pattern use.
EMTREE DRUG INDEX TERMS
aluminum magnesium hydroxide (drug therapy)
analgesic agent (drug therapy)
antianemic agent
antiinflammatory agent (drug therapy)
antirheumatic agent (drug therapy)
buphenine (drug therapy)
cardiovascular agent (drug therapy)
central nervous system agents (drug therapy)
chlordiazepoxide (drug therapy)
cimetidine (drug therapy)
digoxin (drug therapy)
dihydroergotamine mesilate (drug therapy)
dimeticone (drug therapy)
dipyridamole (drug therapy)
gastrointestinal agent (drug therapy)
isosorbide dinitrate (drug therapy)
ispagula (drug therapy)
kaolin pectin (drug therapy)
methyldopa (drug therapy)
metoclopramide (drug therapy)
metoprolol tartrate (drug therapy)
naproxen (drug therapy)
nifedipine (drug therapy)
papaverine (drug therapy)
prazosin (drug therapy)
propantheline bromide (drug therapy)
scopolamine butyl bromide (drug therapy)
Senna extract (drug therapy)
unindexed drug
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug utilization
elderly care
nursing home
EMTREE MEDICAL INDEX TERMS
aged
anamnesis
arthropathy (drug therapy)
article
bone disease (drug therapy)
cardiovascular disease (drug therapy)
controlled study
disease association
drug misuse
drug monitoring
eye disease (drug therapy)
female
gastrointestinal disease (drug therapy)
human
major clinical study
male
medical record
mental disease (drug therapy)
Mexico
pathology
sex difference
CAS REGISTRY NUMBERS
aluminum magnesium hydroxide (37317-08-1, 39366-43-3)
buphenine (447-41-6, 849-55-8)
chlordiazepoxide (438-41-5, 58-25-3)
cimetidine (51481-61-9, 70059-30-2)
digoxin (20830-75-5, 57285-89-9)
dihydroergotamine mesilate (6190-39-2)
dimeticone (32028-95-8, 68248-27-1, 9004-73-3, 9006-65-9)
dipyridamole (58-32-2)
isosorbide dinitrate (87-33-2)
ispagula (77462-61-4, 8063-16-9)
kaolin pectin (8047-39-0)
methyldopa (555-29-3, 555-30-6)
metoclopramide (12707-59-4, 2576-84-3, 364-62-5, 7232-21-5)
metoprolol tartrate (56392-17-7)
naproxen (22204-53-1, 26159-34-2)
nifedipine (21829-25-4)
papaverine (58-74-2, 61-25-6)
prazosin (19216-56-9, 19237-84-4)
propantheline bromide (298-50-0, 50-34-0)
scopolamine butyl bromide (149-64-4, 7182-53-8, 73156-19-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002139332
MEDLINE PMID
11466173 (http://www.ncbi.nlm.nih.gov/pubmed/11466173)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 800
TITLE
Student nurses' knowledge of palliative care: evaluating an education
module.
AUTHOR NAMES
Arber A.
AUTHOR ADDRESSES
(Arber A.) Kingston University and St George's Hospital Medical School,
London, UK.
CORRESPONDENCE ADDRESS
A. Arber, Kingston University and St George's Hospital Medical School,
London, UK.
SOURCE
International journal of palliative nursing (2001) 7:12 (597-603). Date of
Publication: Dec 2001
ISSN
1357-6321
ABSTRACT
There is evidence that education in palliative care in the UK is somewhat
patchy and that this important area of health care should be given a greater
emphasis in the nursing curriculum. This article describes an evaluation of
a palliative care module taken by a group of third year student nurses. The
effect of the module was evaluated using the palliative care quiz for
nursing (PCQN), administered at the beginning and at the end of the module.
The results demonstrate that the students significantly increased their
understanding of aspects of pain and symptom control. In particular, they
became knowledgeable about adjuvant therapies and opioid use. In contrast to
previous studies, the students rejected the 'fear of addiction' associated
with opioid use. Deficits in knowledge included side-effects of codeine, use
of sedation and the use of placebos. The results support the need to develop
a compulsory module in palliative care that is formally assessed and
includes a palliative care placement. This would enable comprehensive and
systematic coverage of palliative care in the undergraduate nursing
curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
palliative therapy
EMTREE MEDICAL INDEX TERMS
article
educational status
evaluation study
human
questionnaire
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11842683 (http://www.ncbi.nlm.nih.gov/pubmed/11842683)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 801
TITLE
Smoking behavior and related factors among Japanese nursing students: A
cohort study
AUTHOR NAMES
Ohida T.
Kamal A.A.M.
Takemura S.
Sone T.
Minowa M.
Nozaki S.
AUTHOR ADDRESSES
(Ohida T.; Kamal A.A.M.; Takemura S.; Sone T.) Department of Public Health
Administration, .
(Minowa M.) Department of Epidemiology, National Institute of Public Health,
Tokyo, 108-8638, Japan.
(Nozaki S.) Department of Public Health, Nihon University, School of
Medicine, Tokyo, Japan.
CORRESPONDENCE ADDRESS
T. Ohida, Dept. of Pub. Health Administration, National Institute of Public
Health, 4-6-1 Shirokanedai, Minato-ku, Tokyo 108-8638, Japan. Email:
tohida@iph.go.jp
SOURCE
Preventive Medicine (2001) 32:4 (341-347). Date of Publication: 2001
ISSN
0091-7435
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
Background. Although there have been several surveys on smoking behavior
among Japanese nursing students, most have been cross-sectional studies. No
longitudinal studies, such as a prospective cohort study, have ever been
carried out. We therefore conducted a cohort study on, and analyzed smoking
behavior and related factors among, Japanese nursing students. Methods. A
survey on smoking behavior using a confidential questionnaire was conducted
on nursing students at two vocational schools of nursing and two nursing
colleges/universities located in the Tokyo metropolitan area. Another survey
was subsequently conducted in the same manner among the same subjects 1 year
later. The surveys were conducted between 1997 and 1999. Results. Over the
1-year period, the prevalence of smoking among nursing students increased by
10% for students at the vocational schools of nursing (n = 224) and by 3%
for students at the nursing colleges/universities (n = 222). The average
score for nicotine dependence for students who were daily smokers at both
time points rose from 3.6 to 4.4 (P < 0.05). Two factors found to
significantly predict smoking behavior were having friends who smoke and
living alone. Conclusion. Smoking prevalence is increasing among Japanese
nursing students. Smoking prevention and cessation interventions should be
instituted in all nursing training programs. © 2001 American Health
Foundation and Academic Press.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical personnel
smoking
EMTREE MEDICAL INDEX TERMS
article
cohort analysis
female
human
Japan
major clinical study
male
nurse training
prevalence
priority journal
smoking cessation
vocational education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2002059986
MEDLINE PMID
11304095 (http://www.ncbi.nlm.nih.gov/pubmed/11304095)
FULL TEXT LINK
http://dx.doi.org/10.1006/pmed.2001.0828
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 802
TITLE
Experiential learning in drug and alcohol education.
AUTHOR NAMES
Norman R.
AUTHOR ADDRESSES
(Norman R.) School of Nursing, University of Canberra, Australian Capital
Territory.
CORRESPONDENCE ADDRESS
R. Norman, School of Nursing, University of Canberra, Australian Capital
Territory.
SOURCE
The Journal of nursing education (2001) 40:8 (371-374). Date of Publication:
Nov 2001
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
game
nursing education
problem based learning
role playing
teaching
EMTREE MEDICAL INDEX TERMS
article
curriculum
educational model
empathy
evaluation study
health care quality
health personnel attitude
human
methodology
needs assessment
nurse patient relationship
nursing
nursing student
patient education
psychological aspect
social psychology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11725997 (http://www.ncbi.nlm.nih.gov/pubmed/11725997)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 803
TITLE
Nurses' attitudes and practices in sickle cell pain management.
AUTHOR NAMES
Pack-Mabien A.
Labbe E.
Herbert D.
Haynes Jr. J.
AUTHOR ADDRESSES
(Pack-Mabien A.; Labbe E.; Herbert D.; Haynes Jr. J.) University of South
Alabama Comprehensive Sickle Cell Center, Mobile, AL, USA.
CORRESPONDENCE ADDRESS
A. Pack-Mabien, University of South Alabama Comprehensive Sickle Cell
Center, Mobile, AL, USA.
SOURCE
Applied nursing research : ANR (2001) 14:4 (187-192). Date of Publication:
Nov 2001
ISSN
0897-1897
ABSTRACT
Professional objectivity should be the primary focus of patient care. Health
care professionals are at times reluctant to give opioids out of fear that
patients may become addicted, which would result in the undertreatment of
pain. The influence of nurses' attitudes on the management of sickle cell
pain was studied. The variables of age, education, area of practice, and
years of active experience were considered. Of the respondents, 63% believed
addiction was prevalent, and 30% were hesitant to administer high-dose
opioids. Study findings suggest that nurses would benefit from additional
education on sickle cell disease, pain assessment and management, and
addiction. Educational recommendations are discussed. Copyright 2001 by W.B.
Saunders Company
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
nursing staff
opiate addiction
sickle cell anemia (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
education
human
nonparametric test
nursing
psychological aspect
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11699021 (http://www.ncbi.nlm.nih.gov/pubmed/11699021)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 804
TITLE
The nurse's role in assessing alcohol use by older people.
AUTHOR NAMES
Schofield I.
Tolson D.
AUTHOR ADDRESSES
(Schofield I.; Tolson D.) Caledonian Nursing and Midwifery Research Centre,
Glasgow Caledonian University.
CORRESPONDENCE ADDRESS
I. Schofield, Caledonian Nursing and Midwifery Research Centre, Glasgow
Caledonian University.
SOURCE
British journal of nursing (Mark Allen Publishing) (2001) 10:19 (1260-1268).
Date of Publication: 2001 Oct 25-Nov 7
ISSN
0966-0461
ABSTRACT
Nurses have the potential to carry out health promotion activity related to
alcohol use in a range of settings where older people receive care. The
majority of the literature on alcohol use in later life has focused on
abuse, especially on the more common risk of drug-alcohol interactions. In
order to work effectively with older people in health prevention and
education, nurses need to be knowledgeable about older people's patterns of
drinking, the effects of alcohol on medication and the current evidence on
the harm and benefits of alcohol to health. In carrying out assessments, a
skillful approach needs to be adopted in questioning older clients on what
some might regard as a sensitive issue. Screening tools for the detection of
alcohol abuse in the general adult population may not be valid for use with
older clients. Tools specific to the detection of alcohol abuse by older
people will be considered.
EMTREE DRUG INDEX TERMS
alcohol (pharmacokinetics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
drinking behavior
drug interaction
geriatric nursing
EMTREE MEDICAL INDEX TERMS
aged
article
human
nursing
questionnaire
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11832839 (http://www.ncbi.nlm.nih.gov/pubmed/11832839)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 805
TITLE
Briefs from the field of cancer research
AUTHOR NAMES
Daniels C.E.
AUTHOR ADDRESSES
(Daniels C.E.) Natl. Inst. of Health Clinical Ctr., Bethesda, MD, United
States.
CORRESPONDENCE ADDRESS
C.E. Daniels, Natl. Inst. of Health Clinical Ctr., Bethesda, MD, United
States.
SOURCE
Oncology Spectrums (2001) 2:8 (529-531). Date of Publication: 2001
ISSN
1532-8554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cancer research
diet supplementation
medical education
smoking
EMTREE MEDICAL INDEX TERMS
achievement
article
artificial intelligence
biomedicine
biotechnology
cancer prevention
cancer radiotherapy
cancer therapy
cause of death
computer
health care access
health care system
health center
health education
health program
health service
human
medical information
medical research
nurse
patient care
smoking cessation
telecommunication
tobacco dependence
training
EMBASE CLASSIFICATIONS
Radiology (14)
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2001340058
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 806
TITLE
Use of music therapy and other ITNIs in acute care.
AUTHOR NAMES
Gagner-Tjellesen D.
Yurkovich E.E.
Gragert M.
AUTHOR ADDRESSES
(Gagner-Tjellesen D.; Yurkovich E.E.; Gragert M.) College of Nursing,
University of North Dakota, Grand Forks, North Dakota, Box 9025, University
Station, Grand Forks, ND 58202-9025, USA.
CORRESPONDENCE ADDRESS
D. Gagner-Tjellesen, College of Nursing, University of North Dakota, Grand
Forks, North Dakota, Box 9025, University Station, Grand Forks, ND
58202-9025, USA.
SOURCE
Journal of psychosocial nursing and mental health services (2001) 39:10
(26-37). Date of Publication: Oct 2001
ISSN
0279-3695
ABSTRACT
The purpose of this descriptive study was to examine the clinical use of
music therapy as an independent therapeutic nursing intervention (ITNI) in
acute inpatient settings. This study identified the frequency, rationale,
and perceived effectiveness of its use as an ITNI. In addition, barriers and
facilitators to nurses' use of music therapy were identified. Frequency of
use of other ITNIs also were investigated. An author-designed questionnaire,
based on the literature and reviewed by a panel of experts, was used to
survey a convenience sample (N = 321) of RNs at an acute inpatient facility
with more than 50 beds, located in the midwestern United States. One hundred
thirty-five RNs (42%) participated in the study. Findings indicated that
85.2% (n = 115) of respondents knew of music therapy, with 69.6% (n = 94) of
them reporting using it in practice. Of the other listed ITNIs, deep
breathing was used most frequently, followed by therapeutic touch and
massage. Music therapy was used most commonly to reduce anxiety and was
ranked as the ITNI used most often to enhance sleep and decrease
distraction, agitation, aggression, and depression. Psychiatry/chemical
dependency and intensive care units had the highest incidence of use of
music therapy. The ranking of barriers and facilitators identified the
strongest barrier as not having time to help patients with music therapy,
whereas the strongest facilitator was nurses' comfort with the idea of using
music therapy. This research begins to fill an information gap about the
frequency, purpose, and perceived effectiveness of use of ITNIs. The use of
ITNIs can increase patient comfort and facilitate conservation of energy,
which aids healing processes, as described in Levine's Conservation Model.
Use of ITNIs also can empower nurses and facilitate their control over
nursing practice. This study indicates that nurses need further education on
the use of music therapy and other ITNIs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease (therapy)
mental health service
music therapy
EMTREE MEDICAL INDEX TERMS
acute disease
adult
article
cross-sectional study
human
methodology
middle aged
psychiatric nursing
psychological aspect
questionnaire
statistics
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11697072 (http://www.ncbi.nlm.nih.gov/pubmed/11697072)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 807
TITLE
Alcohol health education programme for schools.
AUTHOR NAMES
Owens R.
AUTHOR ADDRESSES
(Owens R.) Whiston Hospital.
CORRESPONDENCE ADDRESS
R. Owens, Whiston Hospital.
SOURCE
Emergency nurse : the journal of the RCN Accident and Emergency Nursing
Association (2001) 9:5 (24-29). Date of Publication: Sep 2001
ISSN
1354-5752
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology, prevention)
health education
nurse attitude
school health service
EMTREE MEDICAL INDEX TERMS
adolescent
article
child behavior
drinking behavior (epidemiology, prevention)
emergency nursing
female
health care quality
human
incidence
male
organization and management
risk factor
school health nursing
United Kingdom (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11936042 (http://www.ncbi.nlm.nih.gov/pubmed/11936042)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 808
TITLE
Controlled-release oxycodone hydrochloride (OxyContin).
AUTHOR NAMES
Heidrich D.E.
AUTHOR ADDRESSES
(Heidrich D.E.)
CORRESPONDENCE ADDRESS
D.E. Heidrich,
SOURCE
Clinical nurse specialist CNS (2001) 15:5 (207-209). Date of Publication:
Sep 2001
ISSN
0887-6274
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (adverse drug reaction, drug administration)
oxycodone (adverse drug reaction, drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
patient education
EMTREE MEDICAL INDEX TERMS
delayed release formulation
human
inhalational drug administration
intravenous drug administration
nursing care
pain (drug therapy)
patient compliance
pharmacy
review
tablet
CAS REGISTRY NUMBERS
oxycodone (124-90-3, 76-42-6)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11855610 (http://www.ncbi.nlm.nih.gov/pubmed/11855610)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 809
TITLE
Problems in the outcomes of nursing education create challenges for
continuing education.
AUTHOR NAMES
Leino-Kilpi H.
Solante S.
Katajisto J.
AUTHOR ADDRESSES
(Leino-Kilpi H.; Solante S.; Katajisto J.) Department of Nursing, University
of Turku, Finland.
CORRESPONDENCE ADDRESS
H. Leino-Kilpi, Department of Nursing, University of Turku, Finland.
SOURCE
Journal of continuing education in nursing (2001) 32:4 (183-189). Date of
Publication: 2001 Jul-Aug
ISSN
0022-0124
ABSTRACT
BACKGROUND: The purpose of this study was to identify the challenges for
continuing education by evaluating nurses' perceptions of quality of
learning outcomes among graduates of nursing programs in Finland. The
evaluation occurred 5 years after graduation from a bachelor's program,
which means that learning outcomes can be weighed against the practice of
nursing. METHOD: The data were collected in 1996 by postal questionnaires,
which were divided into four main domains--basic nursing skills, interactive
skills, counseling skills, and collaborative skills. The sample consisted of
522 graduating nursing students. The response rate was 68% (n = 354).
RESULTS: The respondents felt most confident with their basic nursing,
collaborative, and counseling skills. They felt least confident with their
interactive skills, particularly with patients with alcohol or drug
addiction problems. CONCLUSION: The results highlight some of the strengths
and weaknesses of the nurse education system and provide insights for
continuing education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
health personnel attitude
needs assessment
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
cooperation
counseling
education
Finland
human
human relation
middle aged
nursing
organization and management
psychological aspect
questionnaire
self concept
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11868959 (http://www.ncbi.nlm.nih.gov/pubmed/11868959)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 810
TITLE
Nurse practitioners and parent education: a partnership for health.
AUTHOR NAMES
Clark B.S.
Rapkin K.
Busen N.H.
Vasquez E.
AUTHOR ADDRESSES
(Clark B.S.; Rapkin K.; Busen N.H.; Vasquez E.) Baylor College of Medicine,
Texas Children's Liver Center, USA.
CORRESPONDENCE ADDRESS
B.S. Clark, Baylor College of Medicine, Texas Children's Liver Center, USA.
Email: bsclark@texaschildrenshospital.org
SOURCE
Journal of the American Academy of Nurse Practitioners (2001) 13:7
(310-316). Date of Publication: Jul 2001
ISSN
1041-2972
ABSTRACT
PURPOSE: To present the findings from a pilot-test of an innovative
curriculum for parent education classes that included information about well
child care and the care of sick children presented to substance abusing
women at a residential drug treatment facility. DATA SOURCES: Selected
literature and the results of a comparison of pre- and post-tests from the
37 women who received the classes over a 6 week period. CONCLUSIONS: The
Healthy Children, Happy Children parent education program was successful
overall in increasing the knowledge of the mothers about common skin
disorders, care of infants, toddlers, and preschoolers, and basic first aid.
IMPLICATIONS FOR PRACTICE: Nurse practitioners (NPs) are well suited to
teach parent education classes that contain information on growth and
development, well child care and diagnosis and management of acute minor
conditions. The Healthy Children, Happy Children curriculum can be adapted
to a variety of settings and populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child care
health education
mother
program development
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
article
child
child parent relation
education
female
human
methodology
middle aged
nurse practitioner
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11930604 (http://www.ncbi.nlm.nih.gov/pubmed/11930604)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 811
TITLE
Inhalants most popular drug for 12-year-olds.
AUTHOR ADDRESSES
SOURCE
NASNewsletter (2001) 16:4 (9). Date of Publication: Jul 2001
ISSN
1047-4757
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health education
EMTREE MEDICAL INDEX TERMS
article
child
human
inhalational drug administration
parent
school health nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11987869 (http://www.ncbi.nlm.nih.gov/pubmed/11987869)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 812
TITLE
Problem behavior in the last year of life: Prevalence, risks, and care
receipt in older Americans
AUTHOR NAMES
Bedford S.
Melzer D.
Guralnik J.
AUTHOR ADDRESSES
(Bedford S.) Addenbrooke's NHS Trust, Cambridge, United Kingdom.
(Melzer D.) Institute of Public Health, Cambridge, United Kingdom.
(Guralnik J.) Epidemiology, Demography and Biometry Office, National
Institute on Aging, Bethesda, MD, United States.
(Melzer D.) Institute of Public Health, Forvie Site, Robinson Way, Cambridge
CB2 2SR, United Kingdom.
CORRESPONDENCE ADDRESS
D. Melzer, Institute of Public Health, Forvie Site, Robinson Way, Cambridge
CB2 2SR, United Kingdom.
SOURCE
Journal of the American Geriatrics Society (2001) 49:5 (590-595). Date of
Publication: 2001
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVES: To estimate the prevalence of problem behavior in the last year
of life in older people and to explore risk factors and assess the effect of
behaviors on access to care. DESIGN: Retrospective analysis of data from the
1993 National Mortality Followback Survey, conducted by the National Center
for Health Statistics (NCHS). SETTING: Persons who resided and died in the
United States (except South Dakota) in 1993. PARTICIPANTS: Seven thousand
six hundred and eighty-four deaths in people age 65 and older were included,
from which full informant interview data were available for 6,748 decedents
(88%). MEASUREMENTS: Informant data were collected on frequency of
complaints about behavior from family members, complaints from others in the
community, bizarre behavior, destroying property, violent threats or
attempts, and temper tantrums. RESULTS: Overall, 20% of decedents were
reported as having any of the problem behaviors sometimes or often in the
last year of life. Rates differed little by age at death or gender. Risks of
having problem behaviors were higher for those with clinically diagnosed
dementia, mental illness, alcohol abuse, and bronchitis or emphysema. A
diagnosis of dementia had been made in 27% of those with behavior problems.
Nursing homes or healthcare facilities were the usual residence of 32% of
people with any behavior problems sometimes or often during their last year
of life. Informants for decedents who had destroyed property or made violent
threats were 2.3 times (95% confidence interval (CI) = 1.2-4.4) more likely
to report that the subject had not received the care they had needed during
the last year of life. CONCLUSION: Problem behavior is relatively common in
older people in the last year of life and is not confined to nursing home
residents or people suffering from dementia.
EMTREE DRUG INDEX TERMS
antidepressant agent (drug therapy)
sedative agent (drug therapy)
tranquilizer (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aging
dementia (disease management)
health care access
EMTREE MEDICAL INDEX TERMS
aged
aggression
alcohol abuse
anger
article
criminal behavior
female
human
major clinical study
male
mental disease (disease management, drug therapy)
mental health care
nursing home
regression analysis
risk factor
symptomatology
violence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001207876
MEDLINE PMID
11380752 (http://www.ncbi.nlm.nih.gov/pubmed/11380752)
FULL TEXT LINK
http://dx.doi.org/10.1046/j.1532-5415.2001.49119.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 813
TITLE
Health and service utilization patterns among homeless men in transition:
exploring the need for on-site, shelter-based nursing care.
AUTHOR NAMES
Brush B.L.
Powers E.M.
AUTHOR ADDRESSES
(Brush B.L.; Powers E.M.) Boston College School of Nursing Chestnut Hill, MA
02167, USA.
CORRESPONDENCE ADDRESS
B.L. Brush, Boston College School of Nursing Chestnut Hill, MA 02167, USA.
SOURCE
Scholarly inquiry for nursing practice (2001) 15:2 (143-154; discussion
155-159). Date of Publication: 2001 Summer
ISSN
0889-7182
ABSTRACT
Between September 1999 and May 2000, as part of a larger faculty/student
teaching project, data describing the demographic, health problem and
service utilization patterns of 183 newly sheltered homeless men (mean age =
42) seeking on-site nursing clinic services were collected and analyzed.
Upon arrival to the transitional shelter, 46% of the study participants were
medically uninsured or received state subsidized health benefits (49%).
Almost all (99%) were in recovery from substance addiction. Despite numerous
self-reported health problems, 44% had no primary care provider and 35% were
seen only sporadically in local hospital clinics or in emergency
departments. During the study period, nurse practitioner students and
faculty managed most of the residents' episodic illnesses on-site, while
assisting them to secure insurance coverage and medical appointments as a
prelude to independent living. This was an attempt to curtail residents'
previous pattern of waiting until medical problems became serious before
seeking treatment. These findings mirrored those in studies of similar
populations equating on-site delivery of health care to cost reduction.
Unfortunately, many nurse-managed clinics, like our study site, fail to
generate data supporting nurses' clinical efficiency and cost effectiveness
in caring for homeless individuals. As such, nurses' work remains invisible
and underappreciated. This article argues that future studies examining
nurses' work and worth in caring for homeless individuals are necessary in
determining future health care service planning with this vulnerable
population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
halfway house
health service
homelessness
needs assessment
nurse practitioner
EMTREE MEDICAL INDEX TERMS
adult
aged
article
cost benefit analysis
education
evaluation study
health care planning
health care quality
health services research
human
male
middle aged
morbidity
nursing evaluation research
organization and management
outpatient department
patient
statistics
United States (epidemiology)
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11695491 (http://www.ncbi.nlm.nih.gov/pubmed/11695491)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 814
TITLE
The family as a protective asset in adolescent development.
AUTHOR NAMES
Kingon Y.S.
O'Sullivan A.L.
AUTHOR ADDRESSES
(Kingon Y.S.; O'Sullivan A.L.) University of Pennsylvania, School of
Nursing, USA.
CORRESPONDENCE ADDRESS
Y.S. Kingon, University of Pennsylvania, School of Nursing, USA.
SOURCE
Journal of holistic nursing : official journal of the American Holistic
Nurses' Association (2001) 19:2 (102-121; quiz 122-126). Date of
Publication: Jun 2001
ISSN
0898-0101
ABSTRACT
Adolescents are considered at high risk for engaging in such negative health
behaviors as drug and alcohol use, unprotected sexual intercourse, and
violence. Conventional wisdom has long upheld the belief that the peer group
exerts the strongest influence on adolescent behavior. However, recent
research has shown that in fact the family remains a strong factor in
moderating teen risk behavior. Holistic nursing acknowledges the crucial
relationship between environment and health; the environment is composed of
everything that surrounds the individual, which by definition includes the
family. The purpose of this article is to examine the evidence supporting
the concept of the family as a protective external asset in adolescent
development, to explore the way the family helps defend young people from
risk, and to review briefly the implications for nursing research, practice,
advocacy, and education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
child psychology
ego development
family relation
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
human
review
risk factor
social environment
United States
violence (prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11847834 (http://www.ncbi.nlm.nih.gov/pubmed/11847834)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 815
TITLE
Cancer: A reality in the emerging world
AUTHOR NAMES
Plesničar S.
Plesničar A.
AUTHOR ADDRESSES
(Plesničar S.; Plesničar A.) Dr J. Cholewa Foundation for Cancer Research,
Ljubljana, Slovenia.
(Plesničar S.; Plesničar A.) University College of Health Care, Ljubljana,
Slovenia.
(Plesničar A.) University College of Health Care, Poljanska c. 26a, 1000
Ljubljana, Slovenia.
CORRESPONDENCE ADDRESS
A. Plesničar, University College of Health Care, Poljanska c. 26a, 1000
Ljubljana, Slovenia.
SOURCE
Seminars in Oncology (2001) 28:2 (210-216). Date of Publication: 2001
ISSN
0093-7754
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
World societies have changed significantly in the last decades. The main
characteristics of these changes are reciprocal connections and
interdependencies. It has been thus realized that a major part of the world
population still lives in poverty. Due to specific health care interventions
and consequent demographic changes, it is expected that the population in
general, and of the older people in particular, will increase significantly
in the future. The annual number of new cases of cancer is expected to
double from 10 million at present to 20 million in the next 20 years.
Considering the increases in life expectancy and in tobacco abuse worldwide,
and the existence of viral diseases leading to cancer in less developed
countries besides other factors, the majority of new cases will probably
occur in the emerging world. The number of new cases of cancer could in the
future be reduced with the enhancement of education on vertical and
horizontal levels in less developed countries. On the vertical arm, the
education would concentrate on physicians, nurses, and other health care
workers, while on the horizontal arm, it would be provided to government
officials, politicians, and other decision-makers. It should be accepted
that the world is one and that the problems associated with cancer in less
developed countries are global problems. Copyright © 2001 by W.B. Saunders
Company.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm (epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
aged
cancer incidence
continuing education
demography
developed country
government
health education
human
life expectancy
poverty
priority journal
review
smoking
society
virus infection
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001146839
MEDLINE PMID
11301385 (http://www.ncbi.nlm.nih.gov/pubmed/11301385)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 816
TITLE
Occurrence of potential drug-drug interactions in nursing home residents
AUTHOR NAMES
Van Dijk K.N.
De Vries C.S.
Van Den Berg P.B.
Brouwers J.R.B.J.
De Jong-van Den Berg L.T.W.
AUTHOR ADDRESSES
(Van Dijk K.N.; De Vries C.S.; Van Den Berg P.B.; Brouwers J.R.B.J.; De
Jong-van Den Berg L.T.W.) Social Pharm./Pharmacoepidem. Dept., University
Centre for Pharmacy, A. Deusinglaan 1, 9713 AV Groningen, Netherlands.
CORRESPONDENCE ADDRESS
L.T.W. De Jong-Van Den Berg, Social Pharm./Pharmacoepidem. Dept., University
Centre for Pharmacy, A. Deusinglaan 1, 9713 AV Groningen, Netherlands.
Email: L.T.W.de.Jong-van.den.Berg@farm.rug.nl
SOURCE
International Journal of Pharmacy Practice (2001) 9:1 (45-52). Date of
Publication: 2001
ISSN
0961-7671
ABSTRACT
Objective - It has been suggested that elderly people are at increased risk
of drug-related problems such as drug-induced adverse effects, drug-drug
interactions and drug-disease interactions. This is particularly the case
for nursing home residents because of the often complicated and multiple
co-morbidity that occurs in these people. The aim of this study was to
develop prescribing indicators to assess systematically the occurrence and
nature of potential drug-drug interactions (DDIs) in a cohort of Dutch
nursing home residents. Method - The study was conducted in residents aged
65 years and over in six nursing homes (n=2,355, two-year study period).
Computerised medication data for the residents were evaluated with respect
to co-prescribing of potentially interacting drugs. All DDIs that were
classified as clinically relevant according to the Dutch National Drug
Interaction Database were studied. DDIs were classified into three
categories according to their pharmacological mechanism: 1 - pharmacokinetic
interactions at the level of gastrointestinal (GI) absorption; 2 -
pharmacokinetic interactions at the level of metabolism and excretion; and 3
- pharmacodynamic interactions. Key findings - Thirty-two per cent (n=748)
of all residents were exposed to one or more combinations of drugs that
could lead to clinically adverse outcomes. The numbers of residents who
received drug combinations with a mechanism of interaction from category 1,
2 or 3 were 73 (3 per cent), 164 (7 per cent) and 612 (26 per cent)
respectively. The number of medications prescribed was significantly
associated with the occurrence of a potential DDI (P<0.05). Drugs most
frequently involved were oral anticoagulants, antibiotics and theophylline.
Conclusion - During the two-year study period, about one-third of the
residents were exposed to at least one drug interaction considered
clinically relevant. Adequate surveillance systems are needed to enable
better identification of these interactions with a view to preventing
potential clinical problems. Using the prescribing indicators developed in
this study, such surveillance could focus on detection and clinical aspects
of potential DDIs and possible alternative treatments.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent (drug interaction)
anticoagulant agent (drug interaction, oral drug administration)
theophylline (drug interaction)
EMTREE DRUG INDEX TERMS
amiodarone (drug interaction)
beta adrenergic receptor blocking agent (drug interaction)
bisphosphonic acid derivative (drug interaction)
carbamazepine (drug interaction)
cefuroxime (drug interaction)
cimetidine (drug interaction)
cotrimoxazole (drug interaction)
digoxin (drug interaction)
dipeptidyl carboxypeptidase inhibitor (drug interaction)
doxycycline (drug interaction)
enzyme inhibitor (drug interaction)
erythromycin (drug interaction)
fluoride (drug interaction)
lithium (drug interaction)
loop diuretic agent (drug interaction)
metronidazole (drug interaction)
nonsteroid antiinflammatory agent (drug interaction)
phenytoin (drug interaction)
potassium sparing diuretic agent (drug interaction)
quinoline derived antiinfective agent (drug interaction)
serotonin uptake inhibitor (drug interaction)
tamoxifen (drug interaction)
thyroid hormone (drug interaction)
tricyclic antidepressant agent (drug interaction)
unindexed drug
verapamil (drug interaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease
EMTREE MEDICAL INDEX TERMS
aged
article
comorbidity
drug potentiation
drug surveillance program
drug use
female
gastrointestinal absorption
human
major clinical study
male
nursing home
prescription
priority journal
CAS REGISTRY NUMBERS
amiodarone (1951-25-3, 19774-82-4, 62067-87-2)
carbamazepine (298-46-4, 8047-84-5)
cefuroxime (55268-75-2, 56238-63-2)
cimetidine (51481-61-9, 70059-30-2)
cotrimoxazole (8064-90-2)
digoxin (20830-75-5, 57285-89-9)
doxycycline (10592-13-9, 17086-28-1, 564-25-0)
erythromycin (114-07-8, 70536-18-4)
fluoride (16984-48-8)
lithium (7439-93-2)
metronidazole (39322-38-8, 443-48-1)
phenytoin (57-41-0, 630-93-3)
tamoxifen (10540-29-1)
theophylline (58-55-9, 5967-84-0, 8055-07-0, 8061-56-1, 99007-19-9)
verapamil (152-11-4, 52-53-9)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001140601
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 817
TITLE
Is codependency a meaningful concept?
AUTHOR NAMES
Stafford L.L.
AUTHOR ADDRESSES
(Stafford L.L.) University of Texas, Houston Health Science Center, School
of Nursing, 1100 Holcombe Blvd., Houston, TX 77030, USA.
CORRESPONDENCE ADDRESS
L.L. Stafford, University of Texas, Houston Health Science Center, School of
Nursing, 1100 Holcombe Blvd., Houston, TX 77030, USA. Email:
lstaffor@sonl.nur.uth.tmc.edu
SOURCE
Issues in mental health nursing (2001) 22:3 (273-286). Date of Publication:
2001 Apr-May
ISSN
0161-2840
ABSTRACT
The concept of condependency has achieved a prominent place in the
psychiatric, psychological, and addiction literature in a remarkably short
period of time. Although the term was first developed in the substance abuse
treatment arena, specifically referring to the wives of men who abuse
alcohol, codependency has more recently been used almost generically to
describe a dysfunctional style of relating to others (Irwin, 1995). The
manner in which definitions of codependency have become increasingly
inclusive are probably related to continuing input from the both the
fashionable self-help movement and from some psychiatric perspectives. The
purpose of this article is to review proposed definitions of codependency,
discuss issues related to the validity of the codependency construct, and
summarize efforts aimed at producing instruments to measure codependency.
Additionally, I will address implications of this concept as related to
psychiatric nursing education, practice, and research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
alcoholism
human relation
mental disease
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
nursing
personality test
psychiatric nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11885212 (http://www.ncbi.nlm.nih.gov/pubmed/11885212)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 818
TITLE
Pain in nursing home residents: Management strategies
AUTHOR NAMES
Weiner D.K.
Hanlon J.T.
AUTHOR ADDRESSES
(Weiner D.K.; Hanlon J.T.) Univ. of Pittsburgh Sch. of Medicine, Division of
Geriatric Medicine, 3520 Fifth Avenue, Pittsburgh, PA 15213-3313, United
States.
CORRESPONDENCE ADDRESS
D.K. Weiner, Univ. of Pittsburgh Sch. of Medicine, Division of Geriatric
Medicine, 3520 Fifth Avenue, Pittsburgh, PA 15213-3313, United States.
Email: dweiner@pitt.edu
SOURCE
Drugs and Aging (2001) 18:1 (13-29). Date of Publication: 2001
ISSN
1170-229X
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
Pain is prevalent and undertreated in nursing home residents, despite the
existing wide array of effective pharmacological and nonpharmacological
treatment modalities. In order to improve the quality of life of these
vulnerable individuals, practitioners require education about the correct
approach to assessment and management. Assessment should be comprehensive,
taking into account the basic underlying pathology (e.g. osteoarthritis,
osteoporosis, peripheral neuropathy, fibromyalgia, cancer) as well as other
contributory pathology (e.g. muscle spasm, myofascial pain) and modifying
comorbidities (e.g. depression, anxiety, fear, sleep disturbance).
Pharmacological management should be guided by a stepped-care approach,
modelled after that recommended by the World Health Organization for
treatment of cancer pain. Nonopioid and opioid analgesics are the
cornerstone of pharmacological pain management. Tricyclic antidepressants
and anticonvulsants can be very effective for the treatment of certain types
of neuropathic pain. In addition to treating the pain per se, attention
should be given to prevention of disease progression and exacerbation, as
maintaining function is of prime importance. Nursing home residents with
severe dementia challenge the practitioner's pain assessment skills: an
empirical approach to treatment may sometimes be warranted. The success of
treatment should be measured by improvement in pain intensity as well as
physical, psychosocial and cognitive function. Effective pain management may
impact any or all of these functional domains and, therefore, substantially
improve the nursing home resident's quality of life.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (drug combination, drug therapy)
nonsteroid antiinflammatory agent (adverse drug reaction, drug interaction,
drug therapy, pharmacokinetics, pharmacology)
paracetamol (adverse drug reaction, drug dose, drug interaction, drug
therapy, oral drug administration, pharmacokinetics, pharmacology)
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy)
anticonvulsive agent (drug therapy)
baclofen (drug therapy)
calcitonin (drug administration)
capsaicin (drug therapy)
desipramine (drug combination, drug therapy)
dextromethorphan (drug therapy)
ibuprofen (drug therapy)
levodopa (drug therapy)
lidocaine (drug therapy, topical drug administration)
mexiletine (drug therapy)
naproxen (drug therapy)
narcotic analgesic agent (adverse drug reaction, drug combination, drug
therapy)
nortriptyline (drug combination, drug therapy)
rofecoxib (drug therapy)
salsalate (drug therapy)
sulindac (drug therapy)
tramadol (adverse drug reaction, drug therapy)
tricyclic antidepressant agent (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home
pain (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
aged
cognitive therapy
comorbidity
dementia
disease course
disease exacerbation
drug absorption
drug clearance
drug dependence
drug dose
drug indication
drug metabolism
drug tolerability
drug tolerance
human
liver toxicity (side effect)
pain assessment
physiotherapy
priority journal
quality of life
rating scale
review
side effect (side effect)
transcutaneous nerve stimulation
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
baclofen (1134-47-0)
calcitonin (12321-44-7, 21215-62-3, 9007-12-9)
capsaicin (404-86-4)
desipramine (50-47-5, 58-28-6)
dextromethorphan (125-69-9, 125-71-3)
ibuprofen (15687-27-1)
levodopa (59-92-7)
lidocaine (137-58-6, 24847-67-4, 56934-02-2, 73-78-9)
mexiletine (31828-71-4, 5370-01-4)
naproxen (22204-53-1, 26159-34-2)
nortriptyline (72-69-5, 894-71-3)
paracetamol (103-90-2)
rofecoxib (162011-90-7, 186912-82-3)
salsalate (552-94-3)
sulindac (38194-50-2)
tramadol (27203-92-5, 36282-47-0)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001084430
MEDLINE PMID
11232736 (http://www.ncbi.nlm.nih.gov/pubmed/11232736)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 819
TITLE
Have you got an attitude problem? Caring for illicit drug-using patients.
AUTHOR NAMES
Norman R.
AUTHOR ADDRESSES
(Norman R.) School of Nursing, University of Canberra.
CORRESPONDENCE ADDRESS
R. Norman, School of Nursing, University of Canberra.
SOURCE
Contemporary nurse : a journal for the Australian nursing profession (2001)
10:1-2 (83-90). Date of Publication: Mar 2001
ISSN
1037-6178
ABSTRACT
The use of illicit drugs in an environment of prohibition results in major
health risks to the drug-using population. Substantial morbidity and
mortality in this group is identified as a priority area for public health
action. Undergraduate nursing programs prepare students to manage clinical
emergencies resulting from drug use, to undertake health promotion
activities in a harm minimization policy environment, and to provide
appropriate community referral. It is a cause for concern, therefore, that a
group of senior undergraduate nursing students express negative perceptions
of a drug-using individual's personality and behaviour. It is imperative
that undergraduate nurse educators find ways to challenge student attitudes
from the first semester of their program. Nurses in the clinical setting
must display professional values that emphasize the dignity and worth of all
individuals. They have an opportunity to make a difference to the health
outcomes of this marginalized group of health consumers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
nursing education
EMTREE MEDICAL INDEX TERMS
human
nursing
organization and management
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11855025 (http://www.ncbi.nlm.nih.gov/pubmed/11855025)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 820
TITLE
Treating tobacco use and dependence.
AUTHOR NAMES
Goolsby M.J.
AUTHOR ADDRESSES
(Goolsby M.J.) University Health Care System, Augusta, Georgia, USA.
CORRESPONDENCE ADDRESS
M.J. Goolsby, University Health Care System, Augusta, Georgia, USA. Email:
mgoolsby@uh.org
SOURCE
Journal of the American Academy of Nurse Practitioners (2001) 13:3
(101-105). Date of Publication: Mar 2001
ISSN
1041-2972
ABSTRACT
This month, the Clinical Practice Guideline (CPG) column reviews the
recently published guideline, Treating Tobacco Use and Dependence. This set
of recommendations is available in a quick reference format and a more
comprehensive clinician's guide that includes detailed information on the
methodology and references used to develop the guidelines. Both are
available in electronic and hard copy versions through a variety of sources,
including the National Guidelines Clearinghouse, the Centers for Disease
Control and Prevention, and the National Cancer Institute.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
motivation
patient education
practice guideline
smoking cessation
tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
counseling
drug therapy
human
nursing
problem solving
review
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11930579 (http://www.ncbi.nlm.nih.gov/pubmed/11930579)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 821
TITLE
Prevention of smoking behaviors in middle school students: student nurse
interventions.
AUTHOR NAMES
Miller M.P.
Gillespie J.
Billian A.
Davel S.
AUTHOR ADDRESSES
(Miller M.P.; Gillespie J.; Billian A.; Davel S.) Clemson University,
Clemson, South Carolina 29634, USA.
CORRESPONDENCE ADDRESS
M.P. Miller, Clemson University, Clemson, South Carolina 29634, USA. Email:
marilyn@clemson.edu
SOURCE
Public health nursing (Boston, Mass.) (2001) 18:2 (77-81). Date of
Publication: 2001 Mar-Apr
ISSN
0737-1209
ABSTRACT
This article examines the use of the Tar Wars curriculum with the public
health problem of preteen smoking and outlines interventions with a middle
school population by community health student nurses from a state
university. Smoking is the single most preventable cause of death and
disability. Three million people die worldwide each year as a result of
smoking. Cigarette smoking has now been labeled a pediatric disease.
Estimates are that 3,000 children will begin a lifelong addiction to
cigarettes every day. They will face a life of poor quality based on the
medical consequences of smoking cigarettes. Mortality from tobacco use is
annually greater than that from drug abuse, AIDS, suicide, homicide, and
motor vehicle accidents combined. Preteen and teenage smoking is now a
public health problem, therefore implications for service learning, nursing
advocacy, and interventions with this health problem are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
health behavior
school health nursing
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
curriculum
health care quality
human
male
nursing student
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11285101 (http://www.ncbi.nlm.nih.gov/pubmed/11285101)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 822
TITLE
The utilization of antidepressants in community-dwelling and
institutionalized elderly - Results form a representative survey in Germany
AUTHOR NAMES
Riedel-Heller S.G.
Matschinger H.
Schork A.
Angermeyer M.C.
AUTHOR ADDRESSES
(Riedel-Heller S.G.; Matschinger H.; Schork A.; Angermeyer M.C.) Department
of Psychiatry, University of Leipzig, Johannisallee 20, 04317 Leipzig,
Germany.
CORRESPONDENCE ADDRESS
S.G. Riedel-Heller, Department of Psychiatry, University of Leipzig,
Johannisallee 20, 04317 Leipzig, Germany. Email:
ries@server3.medizin.uni-leipzig.de
SOURCE
Pharmacopsychiatry (2001) 34:1 (6-12). Date of Publication: 2001
ISSN
0176-3679
BOOK PUBLISHER
Georg Thieme Verlag, Rudigerstrasse 14, Stuttgart, Germany.
ABSTRACT
Given its widespread occurrence and consequences, old-age depression has to
be regarded as a major public health problem. Drug treatment has been proven
effective in the majority of elderly individuals suffering from depression.
This study presents pharmacoepidemiological data regarding the use of
prescribed antidepressants and those purchased over the counter in the
elderly. Furthermore, it links the data to simultaneously assessed
depressive symptomatology. A representative survey on the utilization of
prescription and over-the-counter antidepressant drugs and depressive
symptomatology in community-dwelling (n = 1193) and institutionalized
elderly individuals (n = 470) aged 75 and over was conducted in an urban
region of Germany. Antidepressant use was found to be remarkably low
(synthetic antidepressants: 2.2% of community dwelling individuals, 3.6% of
institutionalized individuals; phytopharmaca containing hypericum
perforatum: 4.2% of community dwelling individuals, 2.8% of
institutionalized individuals). Two-thirds of the individuals treated with
synthetic antidepressants received tri- and tetracyclic drugs, which were
given at lower dosages than recommended for depression treatment. Selective
serotonin reuptake inhibitors (SSRIs) were introduced in community-dwelling
individuals only; none of the individuals cared for in residential and
nursing homes received SSRIs. Only a minority of individuals with depressive
symptoms were treated with antidepressants. The data suggests
underutilization of antidepressants in the elderly, in which
institutionalized elderly seem especially disadvantaged. The results call
for increased efforts to discuss mental health issues in the public and to
share scientific knowledge about symptoms, course and treatment options for
depression. Furthermore, geronto-psychiatric competence of medical
professionals, especially GPs, has to be systematically developed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (drug dose, drug therapy)
serotonin uptake inhibitor (drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
aged
article
community care
drug use
elderly care
female
Germany
gerontopsychiatry
health survey
human
institutional care
major clinical study
male
pharmacoepidemiology
prescription
priority journal
urban area
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001056129
MEDLINE PMID
11229623 (http://www.ncbi.nlm.nih.gov/pubmed/11229623)
FULL TEXT LINK
http://dx.doi.org/10.1055/s-2001-15186
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 823
TITLE
The effects of the problem-based Alcohol Early-Intervention Education
Package on the knowledge and attitudes of students of nursing.
AUTHOR NAMES
Arthur D.
AUTHOR ADDRESSES
(Arthur D.) Department of Nursing and Health Sciences, Hong Kong Polytechnic
University, Hung Hom, Kowloon.
CORRESPONDENCE ADDRESS
D. Arthur, Department of Nursing and Health Sciences, Hong Kong Polytechnic
University, Hung Hom, Kowloon.
SOURCE
The Journal of nursing education (2001) 40:2 (63-72). Date of Publication:
Feb 2001
ISSN
0148-4834
ABSTRACT
The profession of nursing is seeking to establish its unique professional
identity by developing discipline-focused research and clinical practice
supported by university education. However, according to refereed
literature, educating undergraduate nurses in alcohol-related problems is
lacking. The literature reveals that nurses in general lack the necessary
knowledge, attitudes, and skills to work with problem drinkers. Alcohol
early intervention is advocated as a strategy compatible with contemporary
nursing practice. This paper reports a study that commenced with the
development of a problem-based, five-week Alcohol Early Intervention
Education Package (AEIEP). This package became an intervention around which
the knowledge and attitudes of a sample of 212 students of nursing were
evaluated. A comprehensive instrument was developed to measure the
respondent's knowledge and attitude regarding alcohol-related problems in
general and specifically in early intervention. The effects of the education
intervention on the different strata of students, were examined in a
quasi-experimental, pre-post test design. The findings demonstrated it had a
significant effect on the knowledge and attitudes of students enrolled in an
integrated bachelor of nursing curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
attitude to health
continuing education
health personnel attitude
nursing education
nursing student
problem based learning
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled clinical trial
controlled study
educational status
factorial analysis
female
health care quality
human
male
methodology
nursing
psychological aspect
questionnaire
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11214850 (http://www.ncbi.nlm.nih.gov/pubmed/11214850)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 824
TITLE
Assessing the impact of a nurse-led health education intervention for people
with peripheral vascular disease who smoke: the use of physiological
markers, nicotine dependence and withdrawal.
AUTHOR NAMES
Galvin K.
Webb C.
Hillier V.
AUTHOR ADDRESSES
(Galvin K.; Webb C.; Hillier V.) Institute of Health & Community Studies,
Bournemouth University, Royal London House, Christchurch Road, BH1 3ER, UK.
CORRESPONDENCE ADDRESS
K. Galvin, Institute of Health & Community Studies, Bournemouth University,
Royal London House, Christchurch Road, BH1 3ER, UK. Email:
kgalvin@bournemouth.ac.uk
SOURCE
International journal of nursing studies (2001) 38:1 (91-105). Date of
Publication: Feb 2001
ISSN
0020-7489
ABSTRACT
This study evaluated the impact of a nurse-led health education programme on
the behaviour, nicotine dependence and nicotine withdrawal in patients who
smoke and suffer from peripheral vascular disease, based in a large teaching
hospital in the north of England. Smoking behaviour was measured by self
report, end-expired carbon monoxide and urinary cotinine. Nicotine
dependence and withdrawal were measured using a nicotine dependence scale
and a nicotine withdrawal scale. The findings demonstrated that the
programme did have some impact on behaviour. The study raised issues
concerning the measurement of physiological markers for smoking as nursing
outcomes. Issues about the measurement of nicotine dependence and withdrawal
are highlighted.
EMTREE DRUG INDEX TERMS
biological marker (drug analysis)
carbon monoxide (drug analysis)
cotinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
patient education
peripheral vascular disease (etiology)
smoking (adverse drug reaction, prevention)
smoking cessation
tobacco dependence (complication, diagnosis, prevention)
withdrawal syndrome (diagnosis, prevention)
EMTREE MEDICAL INDEX TERMS
aged
article
attitude to health
breath analysis
clinical trial
controlled clinical trial
controlled study
female
follow up
health care quality
human
male
metabolism
methodology
middle aged
nursing
nursing evaluation research
questionnaire
randomized controlled trial
standard
treatment outcome
urine
CAS REGISTRY NUMBERS
carbon monoxide (630-08-0)
cotinine (486-56-6)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11137727 (http://www.ncbi.nlm.nih.gov/pubmed/11137727)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 825
TITLE
Medication management in primary and secondary schools.
AUTHOR NAMES
Reutzel T.J.
Patel R.
Myers M.A.
AUTHOR ADDRESSES
(Reutzel T.J.; Patel R.; Myers M.A.) Department of Pharmaceutical Sciences,
Chicago College of Pharmacy, Midwestern University, 555 31st Street, Downers
Grove, IL 60515, USA.
CORRESPONDENCE ADDRESS
T.J. Reutzel, Department of Pharmaceutical Sciences, Chicago College of
Pharmacy, Midwestern University, 555 31st Street, Downers Grove, IL 60515,
USA. Email: treutz@midwestern.edu
SOURCE
Journal of the American Pharmaceutical Association (Washington,D.C. : 1996)
(2001) 41:1 (67-77). Date of Publication: 2001 Jan-Feb
ISSN
1086-5802
ABSTRACT
OBJECTIVE: To summarize present knowledge about medication management in
primary and secondary schools; to place this knowledge in its drug use and
organizational contexts; and to provide a foundation for studying the
problem and developing policy- and practice-level interventions aimed at
alleviating it. To offer recommendations for practitioners, policy makers,
and health professions educators aimed at improving the situation. DATA
SOURCES: MEDLINE database (1966-1998); International Pharmaceutical
Abstracts database (1977-1998); complete Medscape full-text search; contents
of the Journal of School Nursing and the Journal of School Health
(1966-present). STUDY SELECTION: We reviewed 95% of all articles, books, and
reports identified using the search terms elementary school, middle school,
junior high school, high school, primary school, secondary school, school
nurse, school health, and schoolchildren. DATA EXTRACTION: The literature on
this topic includes background material describing the nature of the problem
and its political and organizational context and implying its significance;
summaries of regulations, guidelines, and recommendations regarding
medication management in the schools; and empirical studies. Few articles
address pharmacist involvement in medication management in schools. DATA
SYNTHESIS: Although approaches to this important problem vary widely, a set
of core medication management guidelines is identifiable. Formal research is
sparse, but it shows that medication use is widespread in schools and
carries significant therapeutic and safety consequences. CONCLUSION:
Pharmacists and school nurses must cross professional borders if they wish
to play a role in solving this important drug therapy problem. Pharmacists
can provide therapeutic and contextual perspectives on the problem, while
school nurses can implement solutions within the schools.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
drug (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care policy
pharmacy
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
child
human
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11216116 (http://www.ncbi.nlm.nih.gov/pubmed/11216116)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 826
TITLE
Learning needs of nurses working in Canada's First Nations communities and
hospitals.
AUTHOR NAMES
Silverman B.E.
Goodine W.M.
Ladouceur M.G.
Quinn J.
AUTHOR ADDRESSES
(Silverman B.E.; Goodine W.M.; Ladouceur M.G.; Quinn J.) Office of Research
and Intstitutional Effectiveness, Mt. San Antonio College, Walnut,
California 91789, USA.
CORRESPONDENCE ADDRESS
B.E. Silverman, Office of Research and Intstitutional Effectiveness, Mt. San
Antonio College, Walnut, California 91789, USA.
SOURCE
Journal of continuing education in nursing (2001) 32:1 (38-45). Date of
Publication: 2001 Jan-Feb
ISSN
0022-0124
ABSTRACT
BACKGROUND: What are the learning needs of nurses providing services to
Canada's First Nations Communities and Hospitals? First Nations (or Indian
Band) are similar to communities except some comprise more than one
geographic Native community. Aboriginal (or Native) individuals are members
of the North American Indian, Inuit, or Métis peoples of Canada; those who
reported being a Treaty or Registered Indian (with the Federal Government);
or those who are members of an Indian Band/First Nation. METHOD: A
Canada-wide survey was completed to determine the learning needs of nurses
working with Canada's Aboriginal persons. RESULTS: Nurses indicated both
broad and specific aspects of their clinical practice, which were important
to their continuing education (CE) needs. Broad thematic areas for
continuing education included the following: emergency/acute care and
obstetrics/gynecology clinical skills, health and physical assessment,
mental health, and prenatal and postnatal care. Specific areas nurses cited
for CE included issues related to: victims of violence; non-compliant
clients; substance abuse; and fetal alcohol syndrome. CONCLUSION: This study
examined the learning needs of nurses working with Canada's Native people
and provided a basis for comparing and contrasting CE issues of these nurses
to other nurses working in remote locations around the world.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American Indian
in service training
needs assessment
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
education
female
health care planning
human
male
methodology
organization and management
psychological aspect
questionnaire
standard
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11868711 (http://www.ncbi.nlm.nih.gov/pubmed/11868711)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 827
TITLE
Discovering a role for nurses in an addictions treatment facility for women
and their children.
AUTHOR NAMES
Blazer L.K.
AUTHOR ADDRESSES
(Blazer L.K.) Lancaster Institute for Health Education, School of Nursing,
Pennsylvania, USA.
CORRESPONDENCE ADDRESS
L.K. Blazer, Lancaster Institute for Health Education, School of Nursing,
Pennsylvania, USA.
SOURCE
The Journal of nursing education (2000) 39:9 (415-417). Date of Publication:
Dec 2000
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
community health nursing
drug dependence treatment
health center
nursing education
EMTREE MEDICAL INDEX TERMS
article
child
child parent relation
education
empathy
female
human
human relation
methodology
nursing
self care
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11138748 (http://www.ncbi.nlm.nih.gov/pubmed/11138748)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 828
TITLE
Gender influence and major determinants of tobacco addiction among health
science students in Lara State, Venezuela
AUTHOR NAMES
Flores-Finizola A.
Granero R.
Linfa-Homes G.
Benitez E.
AUTHOR ADDRESSES
(Flores-Finizola A.; Granero R.; Linfa-Homes G.; Benitez E.) ASCARDIO,
Apartado de Correos 495, Barquisimeto, Venezuela.
CORRESPONDENCE ADDRESS
R. Granero, ASCARDIO, Apartado de Correos 495, Barquisimeto, Venezuela.
Email: jgranero@telcel.net.ve
SOURCE
CVD Prevention (2000) 3:1 (59-63). Date of Publication: 2000
ISSN
1095-4155
ABSTRACT
Background. We report on a survey designed to study smoking habits,
attitudes, and knowledge about smoking of Lara State, Venezuela, medical and
nursing students. Methods. A 62-item, self-administered questionnaire was
structured to explore factors that influence behavior: biology and
personality, cultural environment, and social context. Results. Data were
collected on 1056 students (67% of the universe). Cigarette smoking
prevalence was 10.8% (18.5% in males and 10% in females). There was no
difference between current smokers (CSM) and nonsmokers (Non-SM) concerning
knowledge about health consequences of smoking (both > 85%). The odds ratios
of being current smoker (ORs-CSM) given a "true" positive response to
selected statements were analyzed. Students who think that smoking is
relaxing have an OR-CSM of 159 males and 86 females. Feeling pleasure,
increasing self-confidence and sexual satisfaction present ORs-CSM from 3 to
68. Peer pressure or need for group acceptance has ORs-CSM from 9 to 25;
family modeling ORs-CSM are around 2; having a relationship with a CSM,
OR-CSM 5. Having a current partner who dislikes having a smoker partner is
protective (OR-CSM, 0.2 male, 0.3 female). Conclusions. Health promotion
programs should be tailored according to the particular reality of
Latin-American medical schools. Data from this study will facilitate the
development of appropriate, gender-sensitive interventions to help medical
students to remain nonsmokers or to quit smoking and, thereafter, to be able
to fulfill their expected role modeling within their community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
tobacco dependence (epidemiology)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
female
gender
health promotion
human
major clinical study
male
medical personnel
medical student
personality
prevalence
smoking cessation
smoking habit
social environment
Venezuela
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001033528
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 829
TITLE
Perceptions of problems in people hospitalized for bipolar disorder:
implications for patient education.
AUTHOR NAMES
Pollack L.E.
Cramer R.D.
AUTHOR ADDRESSES
(Pollack L.E.; Cramer R.D.) School of Nursing, University of Texas-Houston
(UT-H) Health Science Center and UT-H Harris County Psychiatric Center, 1100
Holcombe Boulevard, 5.540, Houston, TX 77030, USA.
CORRESPONDENCE ADDRESS
L.E. Pollack, School of Nursing, University of Texas-Houston (UT-H) Health
Science Center and UT-H Harris County Psychiatric Center, 1100 Holcombe
Boulevard, 5.540, Houston, TX 77030, USA.
SOURCE
Issues in mental health nursing (2000) 21:8 (765-778). Date of Publication:
Dec 2000
ISSN
0161-2840
ABSTRACT
This study explored the perceptions of people hospitalized for bipolar
disorder in regard to their difficulties in functioning and the most
important problem with which they would like the hospital's help.
One-hundred-twenty-two patients diagnosed with bipolar disorder completed
the Behavior and Symptom Identification Scale (BASIS-32) at the beginning of
their hospitalization. The relationships between subjective distress
(measured by the BASIS-32 scores) and background characteristics were
examined. In addition, participants' perceptions of their most important
problems were coded as (1) psychiatric problems, (2) social or physical
problems, or (3) no problems, and examined with respect to background
characteristics. Race, admission status, and a secondary diagnosis of a
substance use disorder were significantly related to overall subjective
distress; a substance use disorder diagnosis was significantly related to
all five BASIS subscale scores. No background variable was significantly
related to the problems with which participants reported wanting the
hospital's help, although admission status and race were of borderline
significance.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
bipolar disorder (therapy)
daily life activity
hospital patient
mental patient
needs assessment
patient attitude
patient education
EMTREE MEDICAL INDEX TERMS
adult
article
female
hospitalization
human
male
methodology
middle aged
nursing methodology research
psychiatric diagnosis
psychological aspect
psychological rating scale
questionnaire
role playing
self concept
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11854981 (http://www.ncbi.nlm.nih.gov/pubmed/11854981)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 830
TITLE
Community-acquired pneumonia in the elderly
AUTHOR NAMES
Marrie T.J.
AUTHOR ADDRESSES
(Marrie T.J.) 2F130 WMC, 8440 112 St., Edmonton, Alta. T6G 2B7, Canada.
CORRESPONDENCE ADDRESS
T.J. Marrie, 2F130 WMC, 8440 112 St., Edmonton, Alta. T6G 2B7, Canada.
Email: tom.marrie@ualberta.ca
SOURCE
Clinical Infectious Diseases (2000) 31:4 (1066-1078). Date of Publication:
2000
ISSN
1058-4838
BOOK PUBLISHER
University of Chicago Press, 1427 E. 60th Street, Chicago, United States.
ABSTRACT
Pneumonia in the elderly is a common and serious problem with a clinical
presentation that can differ from that in younger patients. Older patients
with pneumonia complain of significantly fewer symptoms than do younger
patients, and delirium commonly occurs. Indeed, delirium may be the only
manifestation of pneumonia in this group of patients. Alcoholism, asthma,
immunosuppression, and age >70 years are risk factors for community-acquired
pneumonia in the elderly. Among nursing home residents, the following are
risk factors for pneumonia: Advanced age, male sex, difficulty in
swallowing, inability to take oral medications, profound disability,
bedridden state, and urinary incontinence. Streptococcus pneumoniae is the
most common cause of pneumonia among the elderly. Aspiration pneumonia is
underdiagnosed in this group of patients, and tuberculosis always should be
considered. In this population an etiologic diagnosis is rarely available
when antimicrobial therapy must be instituted. Use of the guidelines for
treatment of pneumonia issued by the Infectious Diseases Society of America,
with modification for treatment in the nursing home setting, is recommended.
EMTREE DRUG INDEX TERMS
amoxicillin plus clavulanic acid (drug therapy, oral drug administration)
azithromycin (drug combination, drug therapy, intravenous drug
administration)
cefotaxime (drug combination, drug therapy, intravenous drug administration)
ceftriaxone (drug therapy, intravenous drug administration)
cefuroxime (drug therapy, intravenous drug administration)
clarithromycin (drug therapy, oral drug administration)
doxycycline (drug therapy, oral drug administration)
erythromycin (drug therapy, oral drug administration)
gatifloxacin (drug therapy, intravenous drug administration, oral drug
administration)
levofloxacin (drug therapy, intravenous drug administration, oral drug
administration)
macrolide (drug therapy, oral drug administration)
moxifloxacin (drug therapy, oral drug administration)
quinoline derived antiinfective agent (drug therapy, intravenous drug
administration, oral drug administration)
sparfloxacin (drug therapy, oral drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
elderly care
pneumonia (diagnosis, drug therapy, etiology)
EMTREE MEDICAL INDEX TERMS
aged
alcoholism
antibiotic therapy
article
aspiration pneumonia
asthma
clinical feature
delirium
disability
disease association
dysphagia
female
human
immunosuppressive treatment
male
nursing home
practice guideline
priority journal
risk factor
sex difference
Streptococcus pneumoniae
tuberculosis
urine incontinence
CAS REGISTRY NUMBERS
amoxicillin plus clavulanic acid (74469-00-4, 79198-29-1)
azithromycin (83905-01-5)
cefotaxime (63527-52-6, 64485-93-4)
ceftriaxone (73384-59-5, 74578-69-1)
cefuroxime (55268-75-2, 56238-63-2)
clarithromycin (81103-11-9)
doxycycline (10592-13-9, 17086-28-1, 564-25-0)
erythromycin (114-07-8, 70536-18-4)
gatifloxacin (112811-59-3, 180200-66-2)
levofloxacin (100986-85-4, 138199-71-0)
moxifloxacin (151096-09-2)
sparfloxacin (111542-93-9)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001143525
MEDLINE PMID
11049791 (http://www.ncbi.nlm.nih.gov/pubmed/11049791)
FULL TEXT LINK
http://dx.doi.org/10.1086/318124
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 831
TITLE
Heart failure in old age - Investigation and treatment
AUTHOR NAMES
Jay R.H.
AUTHOR ADDRESSES
(Jay R.H.) Department of Geriatric Medicine, Royal Victoria Infirmary,
Newcastle upon Tyne NE1 4LP, United Kingdom.
CORRESPONDENCE ADDRESS
R.H. Jay, Department of Geriatric Medicine, Royal Victoria Infirmary,
Newcastle upon Tyne NE1 4LP, United Kingdom.
SOURCE
CME Bulletin Geriatric Medicine (2000) 2:3 (95-99). Date of Publication:
2000
ISSN
1367-8914
ABSTRACT
Heart failure common in old age, frequently causes hospital admission, and
carries a poor prognosis. This article describes the nature of heart
failure, and a systematic approach to diagnosis, investigation of the
underlying cause and treatment. Randomised controlled trials of drugs
inhibiting the renin-angiotensin-aldosterone system, digoxin and beta
adrenergic antagonists in patients with left ventricular systolic function
are outlined. Practical approaches to the management of heart failure due to
atrial fibrillation and aortic stenosis are described and drug-related
problems are discussed. Evidence is given in support of the use of nurse
practitioners to educate patients and monitor treatment.
EMTREE DRUG INDEX TERMS
aldosterone (adverse drug reaction, endogenous compound)
aminophylline (adverse drug reaction, drug therapy)
amiodarone (adverse drug reaction, drug therapy, pharmacology)
antiarrhythmic agent (adverse drug reaction, drug therapy)
anticoagulant agent (drug therapy)
beta 2 adrenergic receptor blocking agent (adverse drug reaction, drug
therapy)
beta adrenergic receptor blocking agent (drug combination, drug therapy,
pharmacology)
bisoprolol (drug combination, drug therapy)
calcium antagonist (adverse drug reaction, drug therapy)
captopril (drug combination, drug comparison, drug therapy)
cardiac agent (adverse drug reaction, drug therapy)
carvedilol (drug combination, drug therapy)
diamorphine (drug therapy)
digoxin (drug therapy, pharmacology)
dipeptidyl carboxypeptidase inhibitor (drug combination, drug therapy,
pharmacology)
diuretic agent (drug combination, drug therapy)
enalapril (drug therapy)
flecainide (adverse drug reaction, drug therapy, pharmacology)
hydralazine (adverse drug reaction, drug therapy)
inotropic agent (drug therapy)
lisinopril (drug dose, drug therapy)
loop diuretic agent (drug therapy, intravenous drug administration)
losartan (drug combination, drug comparison, drug therapy)
metoprolol (drug combination, drug therapy)
nitrate (adverse drug reaction, buccal drug administration, drug therapy,
intravenous drug administration)
propafenone (adverse drug reaction, drug therapy, pharmacology)
ramipril (adverse drug reaction, drug therapy)
sotalol (adverse drug reaction, drug therapy, pharmacology)
spironolactone (drug combination, drug therapy)
unindexed drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heart failure (diagnosis, drug therapy, epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
aged
aging
aorta stenosis (complication)
atrial fibrillation (complication)
dose response
drug mechanism
electrocardiogram
faintness (side effect)
health care management
human
hypotension
patient education
patient monitoring
population risk
prognosis
reflex disorder (side effect)
renin angiotensin aldosterone system
review
systolic blood pressure
treatment outcome
CAS REGISTRY NUMBERS
aldosterone (52-39-1, 6251-69-0)
aminophylline (317-34-0)
amiodarone (1951-25-3, 19774-82-4, 62067-87-2)
bisoprolol (66722-44-9)
captopril (62571-86-2)
carvedilol (72956-09-3)
diamorphine (1502-95-0, 561-27-3)
digoxin (20830-75-5, 57285-89-9)
enalapril (75847-73-3)
flecainide (54143-55-4)
hydralazine (304-20-1, 86-54-4)
lisinopril (76547-98-3, 83915-83-7)
losartan (114798-26-4)
metoprolol (37350-58-6)
nitrate (14797-55-8)
propafenone (34183-22-7, 54063-53-5)
ramipril (87333-19-5)
sotalol (3930-20-9, 80456-07-1, 959-24-0)
spironolactone (52-01-7)
EMBASE CLASSIFICATIONS
General Pathology and Pathological Anatomy (5)
Adverse Reactions Titles (38)
Drug Literature Index (37)
Clinical and Experimental Pharmacology (30)
Gerontology and Geriatrics (20)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2001007708
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 832
TITLE
Nursing activities in the treatment of alcoholics in the community and
mental health facilities
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.) Div. of Nursing School of Education, New York University, New
York, NY, United States.
CORRESPONDENCE ADDRESS
M.A. Naegle, Div. of Nursing School of Education, New York University, New
York, NY, United States.
SOURCE
Alcoholism (2000) 36:1 (61-71). Date of Publication: 2000
ISSN
0002-502X
ABSTRACT
Nurses can identify alcohol related problems in early stages of development
as well as the existing problems with alcohol use through secondary
prevention efforts, using observation of patient, taking history and using
the screening instruments such as the CAGE, T-ACE or AUDIT. They can also
counsel patients about the effects of alcohol use and about the required
behavioral changes. Nurses should provide help in detecting, treating and
counselling the patients in the acute phases of alcoholism, as well as
during the withdrawal period and throughout some specialized healthcare
procedures for alcoholics, such as Disulfiram therapy. Help can be provided
by themselves, or the patients can be referred to other healthcare providers
(physicians, agencies). By combining knowledge about the nature of addiction
and the basic nursing knowledge, nurses can maximize the benefit of
teaching, counselling and nursing care opportunities.
EMTREE DRUG INDEX TERMS
disulfiram (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, drug therapy, prevention)
nursing
EMTREE MEDICAL INDEX TERMS
alcohol abstinence
alcohol consumption
alcohol withdrawal
anamnesis
article
behavior disorder (complication)
community mental health center
diagnostic test
human
nurse
observation
patient counseling
patient education
patient referral
questionnaire
screening
CAS REGISTRY NUMBERS
disulfiram (97-77-8)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Serbian
EMBASE ACCESSION NUMBER
2000364438
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 833
TITLE
Tobacco smoking habits, attitudes and beliefs among nurse and medical
students in Tuscany
AUTHOR NAMES
Melani A.S.
Verponziani W.
Boccoli E.
Trianni G.L.
Federici A.
Amerini R.
Vichi M.G.
Sestini P.
AUTHOR ADDRESSES
(Melani A.S.; Verponziani W.; Boccoli E.; Trianni G.L.; Federici A.; Amerini
R.; Vichi M.G.; Sestini P.) Anti-smoking Center, Azienda Ospedaliera Senese,
France.
(Melani A.S.) Fisiopatologia Respiratoria, Azienda Ospedaliera Senese,
France.
(Verponziani W.) Scuola per Infermieri Professionali e, France.
(Amerini R.; Vichi M.G.; Sestini P.) Istituto di Malattie Respiratorie,
UniversitaÀ di Siena, France.
(Boccoli E.; Trianni G.L.) Direzione Sanitaria e, France.
(Federici A.) Scuola per Infermieri Professionali, Azienda Ospedaliera
Careggi, France.
CORRESPONDENCE ADDRESS
A.S. Melani, U.O. Fisiopatologia Respiratoria, Azienda Ospedaliera Senese,
Policlinico delle Scotte, Viale Bracci 3, 53100 Siena, Italy. Email:
a.melani@ao-siena.toscana.it
SOURCE
European Journal of Epidemiology (2000) 16:7 (607-611). Date of Publication:
2000
ISSN
0393-2990
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
In this study we evaluated the smoking habits, beliefs and attitudes of
nurse and medical students at the University of Siena and Florence, Italy.
Students who entered the 1st year of school in 1998 were asked to complete a
self-administered anonymous questionnaire. Two hundred medical students
completed the questionnaire; they had a mean age (±SD) of 19.8 ± 1.7 years
and 68% were females. A total of 205 nurse respondents answered to the
questionnaire; they had a mean age of 21.8 ± 4.1 years and females were 83%
of the total. The overall response rate among students always remained
higher than 85%. Thirty per cent of medical students were current smokers,
and 5% former-smokers. A total of 43% of nurse students were current smokers
and 11.5% former-smokers. Nurse students were more likely to smoke than
medical students (p = 0.001). Among current smokers, the number of daily
cigarettes smoked and the degree of nicotine addiction did not differ
between groups. The prevalence of maternal smoking were higher among nurse
students. In spite of students' beliefs the knowledge about smoking remained
generic in both groups. Nurse students were less aware than medical students
of their special responsibility towards people about tobacco smoking. Such a
difference remained significant also after adjustment for smoking status (p
< 0.01). Students overestimated the prevalence of current smokers among
health caregivers of the local hospitals, and Italian people and
adolescents. Targeted and continuous training about smoking prevention
should be mandatory in Italian medical and nurse schools.
EMTREE DRUG INDEX TERMS
nicotine (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
smoking habit
tobacco (drug toxicity)
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
caregiver
female
health education
human
Italy
male
medical student
mother
nurse
questionnaire
tobacco dependence
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000380583
MEDLINE PMID
11078116 (http://www.ncbi.nlm.nih.gov/pubmed/11078116)
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007697126844
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 834
TITLE
Prescribing potentially inappropriate psychotropic medications to the
ambulatory elderly
AUTHOR NAMES
Mort J.R.
Aparasu R.R.
AUTHOR ADDRESSES
(Mort J.R., Jane_Mort@sdstate.edu; Aparasu R.R.) College of Pharmacy, South
Dakota State University, 1011 11th St, Rapid City, SD 57701, United States.
(Mort J.R., Jane_Mort@sdstate.edu) College of Pharmacy, South Dakota State
University, Brookings, SD, United States.
CORRESPONDENCE ADDRESS
J.R. Mort, College of Pharmacy, South Dakota State University, 1011 11th St,
Rapid City, SD 57701, United States.
SOURCE
Archives of Internal Medicine (2000) 160:18 (2825-2831). Date of
Publication: 9 Oct 2000
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Background: Psychotropic agents account for 23% to 51% of all inappropriate
medications prescribed based on 1991 inappropriate medication criteria for
nursing home residents. The criteria were revised to apply to all people
older than 65 years. This study used the revised criteria in ambulatory
settings to quantify potentially inappropriate prescription of psychotropic
agents and identify associated characteristics. Methods: The 1996 public use
data files of the National Ambulatory Medical Care Survey and the National
Hospital Ambulatory Medical Care Survey were analyzed for inappropriate
prescription of psychotropic medications for the elderly in office-based
settings and outpatient departments. Disease-independent and
disease-dependent criteria were analyzed. Results: Elderly patients were
prescribed a psychotropic agent in 8.7% of all visits, antidepressant and
antianxiety agents being the most frequently prescribed medications.
Commonly, elderly patients receiving psychotropic agents were female, white,
aged between 65 and 74 years, and received health care in a metropolitan
area. Potentially inappropriate psychotropic agents were prescribed in 27.2%
of all visits involving a psychotropic agent for the elderly.
Disease-independent criteria (eg, anti-depressant agents and long-acting
benzodiazepines) accounted for most of the potentially inappropriate
prescriptions. Factors positively associated with potentially inappropriate
prescriptions included older age, 'seen before' status, and antidepressant
drug class, while enrollment in Medicaid, antipsychotic drug class, living
in the Northeast region, and receiving health care in a metropolitan area
were negatively associated. Conclusions: Potentially inappropriate
prescription of psychotropic agents is very common for the elderly patient
in the ambulatory setting. By focusing on the agents most frequently
involved (eg, amitriptyline and long-acting benzodiazepines), provider
characteristics (eg, location), and patient characteristics (eg, age), the
greatest impact on potentially inappropriate prescribing can be achieved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent (drug therapy)
EMTREE DRUG INDEX TERMS
alprazolam (drug therapy)
amfebutamone (drug therapy)
amitriptyline (drug therapy)
amobarbital (drug therapy)
amoxapine (drug therapy)
antidepressant agent (drug therapy)
benzodiazepine derivative (drug therapy)
buspirone (drug therapy)
chloral hydrate (drug therapy)
chlormezanone (drug therapy)
clorazepate (drug therapy)
desipramine (drug therapy)
diazepam (drug therapy)
doxepin (drug therapy)
droperidol (drug therapy)
estazolam (drug therapy)
fluoxetine (drug therapy)
fluvoxamine (drug therapy)
halazepam (drug therapy)
lorazepam (drug therapy)
maprotiline (drug therapy)
meprobamate (drug therapy)
oxazepam (drug therapy)
paroxetine (drug therapy)
prazepam (drug therapy)
secbutabarbital (drug therapy)
sertraline (drug therapy)
trazodone (drug therapy)
unindexed drug
venlafaxine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (drug therapy)
mental disease (drug therapy)
psychopharmacotherapy
EMTREE MEDICAL INDEX TERMS
aged
ambulatory care
anxiety
article
controlled study
drug abuse
elderly care
health care delivery
human
major clinical study
nursing home
prescription
priority journal
risk factor
CAS REGISTRY NUMBERS
alprazolam (28981-97-7)
amfebutamone (31677-93-7, 34911-55-2)
amitriptyline (50-48-6, 549-18-8)
amobarbital (57-43-2, 64-43-7)
amoxapine (14028-44-5)
buspirone (33386-08-2, 36505-84-7)
chloral hydrate (302-17-0)
chlormezanone (80-77-3)
clorazepate (20432-69-3, 23887-31-2)
desipramine (50-47-5, 58-28-6)
diazepam (439-14-5)
doxepin (1229-29-4, 1668-19-5)
droperidol (548-73-2)
estazolam (29975-16-4)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
fluvoxamine (54739-18-3)
halazepam (23092-17-3)
lorazepam (846-49-1)
maprotiline (10262-69-8, 10347-81-6)
meprobamate (57-53-4)
oxazepam (604-75-1)
paroxetine (61869-08-7)
prazepam (2955-38-6)
secbutabarbital (125-40-6, 143-81-7)
sertraline (79617-96-2)
trazodone (19794-93-5, 25332-39-2)
venlafaxine (93413-69-5)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000350476
MEDLINE PMID
11025793 (http://www.ncbi.nlm.nih.gov/pubmed/11025793)
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 835
TITLE
Shaken baby syndrome
AUTHOR NAMES
Fulton D.R.
AUTHOR ADDRESSES
(Fulton D.R.) Emergency Center, University Hospital, San Antonio, TX, United
States.
CORRESPONDENCE ADDRESS
D.R. Fulton, Emergency Center, University Hospital, San Antonio, TX, United
States.
SOURCE
Critical Care Nursing Quarterly (2000) 23:2 (43-50). Date of Publication:
2000
ISSN
0887-9303
BOOK PUBLISHER
Lippincott Williams and Wilkins, 351 West Camden Street, Baltimore, United
States.
ABSTRACT
'Shaken baby syndrome' (SBS) results in intracranial and intraocular
hemorrhages with no evidence of external trauma. The cause of these injuries
is vigorous shaking of an infant being held by the chest, shoulders, or
extremities. A significant number of cases of head trauma in infants and
young children are a direct result of SBS. In extreme cases, SBS may result
in death. Many cases of SBS go unidentified because of the absence of
external injuries, no witnesses to the event, and the failure of the abuser
to admit his or her actions. Because of the numbers of children affected and
the difficulty in detecting SBS, it is essential that critical care nurses
who care for children be aware of SBS as a potentially lethal form of abuse.
This article educates nurses about the signs and symptoms of SBS in an
attempt to foster early recognition and interventions in cases of SBS to
reduce mortality and morbidity associated with the syndrome.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
battered child syndrome (diagnosis, epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
accident
brain hemorrhage (etiology)
child abuse (diagnosis, etiology)
clinical feature
computer assisted tomography
head injury (etiology)
human
infant
intensive care
intraocular hemorrhage (etiology)
lumbar puncture
nuclear magnetic resonance imaging
nursing
ophthalmology
parental behavior
preschool child
radiodiagnosis
review
risk factor
social environment
substance abuse
whiplash injury (etiology)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000312310
MEDLINE PMID
11853026 (http://www.ncbi.nlm.nih.gov/pubmed/11853026)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 836
TITLE
Smoking patterns, health behaviors, and health-risk behaviors of college
women.
AUTHOR NAMES
Kelley F.J.
Thomas S.A.
Friedmann E.
AUTHOR ADDRESSES
(Kelley F.J.; Thomas S.A.; Friedmann E.) Georgetown University School of
Nursing, Washington, DC 20057-1107, USA.
CORRESPONDENCE ADDRESS
F.J. Kelley, Georgetown University School of Nursing, Washington, DC
20057-1107, USA. Email: kelleyj@gunet.georgetown.edu
SOURCE
Clinical excellence for nurse practitioners : the international journal of
NPACE (2000) 4:5 (302-308). Date of Publication: Sep 2000
ISSN
1085-2360
ABSTRACT
In 1993, 22% of college women smoked; in 1997, the rate increased to 29%.
College-age women (<24 years) showed the greatest increase in smoking. The
purpose of this study is to describe smoking behaviors of college women. The
sample included 21 college-age female smokers. Each woman was interviewed
about smoking habits and completed a health survey, the Fagerstrom Test for
Nicotine Dependence, a Self-Efficacy Scale for predicting smoking relapse, a
Decisional Balance Scale for smoking, a readiness for change tool, and the
Derogatis Stress Profile. The majority of the students began smoking at the
age of 14 years or younger and smoked fewer than 10 cigarettes per day. The
biggest obstacles to quitting were being around other smokers and social
activities involving alcohol. These students did not smoke when ill and were
interested in quitting smoking. Smoking frequency correlated significantly
with dependency and stage of change. Advanced practice nurses have a unique
opportunity to identify these young smokers, educate them about
smoking-cessation options, and offer specific strategies to help these women
stop smoking.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
female
health behavior
high risk behavior
smoking (epidemiology)
student
university
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
attitude to health
education
health survey
human
leisure
nurse practitioner
patient education
psychological aspect
questionnaire
self concept
smoking cessation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11858452 (http://www.ncbi.nlm.nih.gov/pubmed/11858452)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 837
TITLE
Prevalence and characteristics of sexual abuse in a national sample of
Swedish seventeen-year-old boys and girls
AUTHOR NAMES
Edgardh K.
Ormstad K.
AUTHOR ADDRESSES
(Edgardh K.; Ormstad K.) Department of Venhalsan, Soder Hospital, SE-118 83
Stockholm, Sweden.
CORRESPONDENCE ADDRESS
K. Edgardh, Department of Venhalsan, Soder Hospital, SE-118 83 Stockholm,
Sweden.
SOURCE
Acta Paediatrica, International Journal of Paediatrics (2000) 89:3
(310-319). Date of Publication: 2000
ISSN
0803-5253
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
The aims of this study, which was part of a survey on adolescent sexual
behaviour, were to investigate adolescents' experience of child sexual abuse
and to present possible abuse-related problems. Representative samples of 2%
of Sweden's 17-y-old male and female students and school non-attenders were
selected in a two-step procedure. In all, 1943 students and 210 school
non-attenders answered a self-administered anonymous questionnaire,
distributed by school nurses. Six out of 170 questions dealt with personal
experiences of child sexual abuse, i.e. age at onset, frequency of abuse and
relationship to the offender. Peer abuse was excluded by the definitions
used. The overall response rate was 92.2% for students and 44.2% for school
dropouts. Among male and female students, 3.1% and 11.2%, respectively,
acknowledged sexual abuse, 2.3% and 7.1%, respectively, when exhibitionism
was excluded. Mean age at onset was 9.1 y (SD 4.3) for boys and 9.0 y (SD
3.9) for girls; 1.2% of the boys and 3.1% of the girls reported abusive
oral, vaginal and/or anal intercourse. Suicide attempts or other acts of
self-harm were reported by 33.3% of the male students reporting abuse and by
5.1% (p < 0.001) of those who had not been abused, and by 30.4% of the
abused student girls compared to 9.1% of the non-abused (p < 0.001). Sleep
and eating disorders, use of alcohol at an early age and/or experimentation
with illicit drugs and consensual coitarche before age 15 y was reported
significantly more often by abused than non-abused girls (p < 0.001,
differences not found among the student boys). Of School non-attenders, 4%
of the boys and 28% of the girls reported sexual abuse. Of the abused girls,
49% reported abusive vaginal intercourse and 64% reported self-destructive
behaviour or suicide attempts. No abused boys and few abused girls had
confided in a teacher, health professional or social worker. Results from
the student sample should be interpreted as markers of 'minimum prevalence',
as female school non-attenders report significantly higher prevalence of
sexual abuse. Potential high-risk groups are better included in prevalence
investigations of child sexual abuse. The fact that so few adolescents
confided in 'professionals' about the abuse, despite having severe symptoms
and signs of distress, underlines the need to address sexual abuse when
recording the social, medical and psychiatric histories of adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prevalence
sexual abuse
EMTREE MEDICAL INDEX TERMS
adolescent
article
female
health survey
human
major clinical study
male
onset age
priority journal
sexual behavior
suicide
Sweden
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000286059
MEDLINE PMID
10772279 (http://www.ncbi.nlm.nih.gov/pubmed/10772279)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 838
TITLE
Skin irritation and dryness associated with two hand-hygiene regimens:
Soap-and-water hand washing versus hand antisepsis with an alcoholic hand
gel
AUTHOR NAMES
Boyce J.M.
Kelliher S.
Vallande N.
AUTHOR ADDRESSES
(Boyce J.M.; Kelliher S.; Vallande N.) Miriam Hospital, Providence, RI,
United States.
(Boyce J.M.) Brown University, Providence, RI, United States.
(Boyce J.M.) Division of Infectious Diseases, Hospital of Saint Raphael,
1450 Chapel St., New Haven, CT 06511, United States.
CORRESPONDENCE ADDRESS
J.M. Boyce, Division of Infectious Diseases, Hospital of Saint Raphael, 1450
Chapel St, New Haven, CT 06511, United States.
SOURCE
Infection Control and Hospital Epidemiology (2000) 21:7 (442-448). Date of
Publication: 2000
ISSN
0899-823X
BOOK PUBLISHER
University of Chicago Press, 1427 E. 60th Street, Chicago, United States.
ABSTRACT
OBJECTIVE: To compare the frequency of skin irritation and dryness
associated with using an alcoholic-hand-gel regimen for hand antisepsis
versus using soap and water for hand washing. DESIGN: Prospective randomized
trial with crossover design. Irritation and dryness of nurses' hands were
evaluated by self-assessment and by visual assessment by a study nurse.
Epidermal water content of the dorsal surface of nurses' hands was estimated
by measuring electrical capacitance of the skin. SETTING: Miriam Hospital, a
200-bed university-affiliated teaching hospital. PARTICIPANTS: Thirty-two
nurses working on three hospital wards participated in the trial, which
lasted 6 weeks. RESULTS: Self-assessment scores of skin irritation and
dryness decreased slightly during the 2 weeks when nurses used the
alcoholic-hand-gel regimen (mean baseline score, 2.72; mean final score,
2.0; P=.08) but increased substantially during the 2 weeks when nurses used
soap and water (mean baseline score, 2.0; mean final score, 4.8; P<.0001).
Visual assessment scores by the study nurse of skin irritation and dryness
did not change significantly when the alcoholic-hand-gel regimen was used
(mean baseline and final scores were both 0.55), but scores increased
substantially when nurses used soap and water (baseline score, 0.59; mean
final score, 1.21; P=.05). Epidermal water content of the dorsal surface of
nurses' hands changed little when the alcoholic-hand-gel regimen was used
(mean±standard deviation baseline electrical capacitance reading, 24.8±6.8;
mean final reading, 25.7±7.3), but decreased significantly (skin became
dryer) with soap-and-water hand washing (mean baseline, 25.9±7.5; mean final
reading, 20.5±5.4; P=.0003). CONCLUSIONS: Hand antisepsis with an
alcoholic-hand-gel regimen was well tolerated and did not result in skin
irritation and dryness of nurses' hands. In contrast, skin irritation and
dryness increased significantly when nurses washed their hands with the
unmedicated soap product available in the hospital. Newer alcoholic hand
gels that are tolerated better than soap may be more acceptable to staff and
may lead to improved hand-hygiene practices.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
soap
water
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
antisepsis
dry skin (diagnosis, etiology)
hand washing
hygiene
skin irritation (diagnosis, etiology)
EMTREE MEDICAL INDEX TERMS
adult
article
atopic dermatitis (diagnosis, etiology, prevention)
clinical practice
clinical trial
controlled clinical trial
controlled study
crossover procedure
disease association
human
human experiment
nurse
population research
prospective study
randomized controlled trial
self evaluation
teaching hospital
water content
CAS REGISTRY NUMBERS
alcohol (64-17-5)
water (7732-18-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000281979
MEDLINE PMID
10926393 (http://www.ncbi.nlm.nih.gov/pubmed/10926393)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 839
TITLE
Students whose application to the nursing register is not supported.
AUTHOR NAMES
Castledine G.
AUTHOR ADDRESSES
(Castledine G.) University of Central England, Birmingham, and Dudley Group
of Hospitals NHS Trust.
CORRESPONDENCE ADDRESS
G. Castledine, University of Central England, Birmingham, and Dudley Group
of Hospitals NHS Trust.
SOURCE
British journal of nursing (Mark Allen Publishing) (2000) 9:15 (965). Date
of Publication: 2000 Aug 10-Sep 13
ISSN
0966-0461
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
licensing
malpractice
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
legal aspect
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11276643 (http://www.ncbi.nlm.nih.gov/pubmed/11276643)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 840
TITLE
The Ottawa Charter--from nursing theory to practice: insights from the area
of alcohol and other drugs.
AUTHOR NAMES
Smith M.
Cusack L.
AUTHOR ADDRESSES
(Smith M.; Cusack L.) University of South Australia, Division of Health
Sciences, School of Nursing and Midwifery, City East Campus, North Terrace,
Adelaide, South Australia 5000, Australia.
CORRESPONDENCE ADDRESS
M. Smith, University of South Australia, Division of Health Sciences, School
of Nursing and Midwifery, City East Campus, North Terrace, Adelaide, South
Australia 5000, Australia. Email: morgan.smith@unisa.ed.au
SOURCE
International journal of nursing practice (2000) 6:4 (168-173). Date of
Publication: Aug 2000
ISSN
1322-7114
ABSTRACT
This article aims to assist nursing services to use the Ottawa Charter as a
framework for nursing practice. Incorporation of the Ottawa Charter for
Health Promotion into a nursing structure constitutes an innovation in
nursing practice that was evaluated as a quality improvement exercise in a
health-care organization responsible for providing services in the area of
alcohol and other drugs. The evaluation consisted of two stages and sought
to identify the degree to which the framework was effective in practice.
This involved identifying issues surrounding the implementation of the
Ottawa Charter as a framework for nursing practice as well as identifying
the means by which quality improvements could occur. The evaluation involved
an initial questionnaire to all nursing staff, followed by a series of focus
groups. The data collected was both informative and enlightening and
revealed a range of pertinent issues such as staff understanding and
interpretation of the Ottawa Charter, expansion of the nurse's role and
suggestions for organizational change. The Ottawa Charter strategies are
discussed in relation to their relevance to the organization under
evaluation and also expanded into recommendations to assist those
contemplating using the Ottawa Charter as a framework for nursing practice.
There was considerable agreement among the respondents that the Ottawa
Charter provided a useful framework for nursing practice but was on
occasions problematic.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
model
nursing care
nursing theory
total quality management
EMTREE MEDICAL INDEX TERMS
article
Australia
Canada
evaluation study
health care quality
health personnel attitude
human
information processing
nursing
nursing methodology research
nursing staff
organization and management
psychological aspect
questionnaire
work
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11261045 (http://www.ncbi.nlm.nih.gov/pubmed/11261045)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 841
TITLE
Training of general practitioners and other primary health care
professionals as part of a community project in a district of Florence,
Italy
AUTHOR NAMES
Allamani A.
Centurioni A.
AUTHOR ADDRESSES
(Allamani A.; Centurioni A.) Centro Alcologico Integrato, Azienda Sanitaria
di Firenze, Dipartimento delle Dipendenze, Florence, Italy.
CORRESPONDENCE ADDRESS
A. Allamani, Centro Alcologico Integrato, Azienda Sanitaria di Firenze,
Dipartimento delle Dipendenze, Florence, Italy.
SOURCE
Alcologia (2000) 12:1 (31-36). Date of Publication: 2000
ISSN
0394-9826
ABSTRACT
One 3-day alcohol educational course for 28 general practitioners was held
in 1994-1995 over a period of 12 months, and another 11-day course for 24
other health professionals (community nurses, dieticians, health educators,
social worker, emergency room nurses and physicians, toxicology unit
personnel) was conducted in 1995-1996. Both courses were components of a
broader community action program intervening in a district of 17,000
inhabitants in the northwest area in the city of Florence. The aim of both
courses was to enable participants to identify the prevalence of high-risk
drinkers and alcohol-related harm among their clients, and to become
acquainted with their own educational tasks when facing patients and their
families. The clearest outcome of both courses was the greater ability of
participants to identify high-risk drinkers. Unless teachers pay special
attention to this issue, however, the idea of high-risk drinking is however
easily overshadowed by the pervasive concept of alcoholism.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
medical education
primary health care
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
community care
general practitioner
health education
high risk population
human
Italy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000245010
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 842
TITLE
Increasing smoking cessation counseling by advanced practice nurses.
AUTHOR NAMES
Montagna R.A.
Hupcey J.E.
AUTHOR ADDRESSES
(Montagna R.A.; Hupcey J.E.) Lebanon Valley Family Medicine, Palmyra.
CORRESPONDENCE ADDRESS
R.A. Montagna, Lebanon Valley Family Medicine, Palmyra.
SOURCE
Clinical excellence for nurse practitioners : the international journal of
NPACE (2000) 4:4 (224-230). Date of Publication: Jul 2000
ISSN
1085-2360
ABSTRACT
The magnitude of individual and societal problems caused by tobacco use
mandates that all primary care providers identify and advise smokers to
quit. However, this topic has received little attention in the nurse
practitioner literature. The purpose of this project is to identify
effective methods by which advanced practice nurses can increase the
identification and counseling of smokers by reviewing research on this
topic. The articles for review were obtained through a computerized
literature search and a review of related reference lists. The articles were
analyzed and categorized into three groups: office-wide interventions to
increase provider identification and counseling of smokers, smoking
cessation training programs for providers, and studies using the stages of
change theory. Provider smoking cessation programs and office-wide reminders
increased the identification and counseling of patients who smoke. The
stages of change theory helped explain the steps smokers must progress
through to cease smoking. Interventions appropriate for various stages in
the cessation process are suggested.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
nurse practitioner
patient education
primary health care
smoking cessation
EMTREE MEDICAL INDEX TERMS
ambulatory care
attitude to health
education
health personnel attitude
human
in service training
methodology
nursing education
psychological aspect
psychological theory
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11261083 (http://www.ncbi.nlm.nih.gov/pubmed/11261083)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 843
TITLE
Knowledge of, and attitude to, prescribed medications of patients with
frequent headaches
AUTHOR NAMES
Bray M.
Ghose K.
AUTHOR ADDRESSES
(Bray M.) Nursing and Midwifery Department, Otago Polytechnic, Dunedin, New
Zealand.
(Ghose K.) Clinical Pharmacology and Physician, Department of Pharmacology,
University of Otago, Dunedin, New Zealand.
(Ghose K.) University of Otago, Department of Pharmacology, School of
Medical Sciences, P.O. Box 913, Dunedin, New Zealand.
CORRESPONDENCE ADDRESS
K. Ghose, University of Otago, Department of Pharmacology, School of Medical
Sciences, P.O. Box 913, Dunedin, New Zealand.
SOURCE
Headache Quarterly (2000) 11:1 (37-40). Date of Publication: 2000
ISSN
1059-7565
ABSTRACT
Background: Patients with frequent headaches usually take intermittent
and/or prophylactic medication. Analgesic overuse and poor compliance are
commonly observed in them. Objective: We, therefore, decided to assess the
patients' knowledge of, and attitude to, prescribed medications Design:A
postal survey was performed using a published questionnaire. Setting:
Patients referred to a public hospital headache clinic were studied. Patient
selection: Ninety-six patients with frequent headaches were randomly
selected. Data analysis: Data were analyzed by using the SPSS program.
Results: Fifty-five percent of those receiving questionnaires responded.
They were aged 20 to 69 and 74 percent were female. Seventy-eight percent of
the respondents took a prescribed medication in the previous month and 74
percent were taking a prophylactic agent for over one month. Fifty-seven
percent were aware of the side effects of their medications. However, 49
percent of respondents felt that the health professionals did not provide
enough information and 88 percent agreed that an information leaflet would
be helpful. Sixteen percent of respondents kept their unused medications.
Four percent allowed others to take their medications, but only 2 percent
took medications prescribed for others. Conclusions: Patients with frequent
headaches had better knowledge of their medications than other members of
the community and a group of nursing students. However, their attitudes to
medications were similar to others.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
analgesic agent (adverse drug reaction, clinical trial, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
headache (drug therapy)
patient attitude
patient education
EMTREE MEDICAL INDEX TERMS
adult
aged
analgesic agent abuse
article
clinical trial
controlled study
drug induced disease (side effect)
drug storage
female
human
major clinical study
male
patient compliance
prescription
priority journal
questionnaire
randomized controlled trial
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Adverse Reactions Titles (38)
Neurology and Neurosurgery (8)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000191518
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 844
TITLE
Post-operative management of pain following major abdominal and thoracic
operations.
AUTHOR NAMES
Ocitti E.F.
Adwok J.A.
AUTHOR ADDRESSES
(Ocitti E.F.; Adwok J.A.) Department of Surgery, College of Health Sciences,
University of Nairobi, P.O. Box 19676, Nairobi, Kenya.
CORRESPONDENCE ADDRESS
E.F. Ocitti, Department of Surgery, College of Health Sciences, University
of Nairobi, P.O. Box 19676, Nairobi, Kenya.
SOURCE
East African medical journal (2000) 77:6 (299-302). Date of Publication: Jun
2000
ISSN
0012-835X
ABSTRACT
OBJECTIVE: To study the common methods of analgesia and their effectiveness
in post-operative patients and to assess the occurrence of common
post-operative complications related to pain. DESIGN: A prospective
descriptive study. SETTINGS: Three general surgical wards and one
cardiothoracic ward at the Kenyatta National Hospital, Nairobi, between 1st
September 1996 and 30th November 1996. PATIENTS: One hundred and six adult
patients admitted in the hospital for thoracotomy and/or laparotomy over a
period of three months. RESULTS: Overall, 60% of the patients did not
achieve adequate pain relief during the first 72 hours after surgery. Age,
sex, weight, drug and type of operation did not influence pain score
significantly. All but two patients were not prepared psychologically about
expectations after surgery. Over ninety seven per cent received pethidine
while 2.8% had morphine. The drugs were prescribed and administered with too
little attention to the patient' s response and too much concern about
adverse effects and narcotic addiction. CONCLUSION: The results suggest that
the standard of post-operative pain relief is poor. Patients need to be told
more about what to expect (and demand). The medical and nursing staff need
further education in how to prescribe and administer analgesia with
reference to individual drug response. Other more effective methods of pain
control should be introduced.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
laparotomy
postoperative pain (drug therapy)
thoracotomy
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
female
human
male
middle aged
prospective study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12858927 (http://www.ncbi.nlm.nih.gov/pubmed/12858927)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 845
TITLE
Drug-related problems in hospitalised patients
AUTHOR NAMES
Van Den Bemt P.M.L.A.
Egberts T.C.G.
De Jong-Van Den Berg L.T.W.
Brouwers J.R.B.J.
AUTHOR ADDRESSES
(Van Den Bemt P.M.L.A., bemtp@mcz-nw.znb.nl) Hosp. Pharm. Medisch Ctr.
Leeuwarden, Department of Clinical Pharmacy, De Tjongerschans Hospital,
Heerenveen, Netherlands.
(Egberts T.C.G.) Hospital Pharmacy Midden-Brabant, Tilburg, Netherlands.
(De Jong-Van Den Berg L.T.W.) Dept. of Pharmacoepidemiology and P., Utrecht
Inst. for Pharmaceutical S., University of Utrecht, Utrecht, Netherlands.
(Brouwers J.R.B.J.) Dept. of Social Pharm. and P., Groningen Univ. Inst. for
Drug E., University Centre for Pharmacy, Groningen, Netherlands.
(Brouwers J.R.B.J.) Department of Clinical Pharmacy, De Tjongerschans
Hospital, Heerenveen, Netherlands.
(Van Den Bemt P.M.L.A., bemtp@mcz-nw.znb.nl) Universitair Centrum voor
Farmacie, Afd. Sociale Farmacie en F., Ant. Deusinglaan 2, 9713 AW
Groningen, Netherlands.
CORRESPONDENCE ADDRESS
P.M.L.A. Van den Bemt, Universitair Centrum voor Farmacie, Afd. Sociale
Farm. Farmacoepidemiol., Ant. Deusinglaan 2, 9713 AW Groningen, Netherlands.
Email: bemtp@mcz-nw.znb.nl
SOURCE
Drug Safety (2000) 22:4 (321-333). Date of Publication: 2000
ISSN
0114-5916
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
Drug-related problems include medication errors (involving an error in the
process of prescribing, dispensing, or administering a drug, whether there
are adverse consequences or not) and adverse drug reactions (any response to
a drug which is noxious and unintended, and which occurs at doses normally
used in humans for prophylaxis, diagnosis or therapy of disease, or for the
modification of physiological function). Furthermore, adverse drug events
can be defined as an injury - whether or not causally-related to the use of
a drug. Drug-related problems are relatively common in hospitalised patients
and can result in patient morbidity and mortality, and increased costs. In
order to get an overview of studies on drug-related problems in hospitalised
patients, with specific attention to the incidence of drug-related problems
and their costs, to the possibilities of prevention and to the effect of
these interventions, we performed a literature search. Incidences of
medication errors reported in studies vary widely. The range of reported
incidences of adverse drug reactions is even wider. These wide ranges can be
largely explained by the different study methods and definitions used.
Problems related to drug therapy may be averted by preventive interventions.
Several possibilities for prevention exist, especially for the prevention of
medication errors. Prescribing, transcription and interpretation errors can
be reduced by using computerised physician order entry. Together with the
use of automated dispensing systems and bar-code technology, this will aid
in the reduction of both dispensing and administration errors. Education of
nursing staff involved in the process of drug distribution is another
important measure for preventing medication errors. Finally, the
introduction of systems for the early detection of adverse drug reactions
may help to reduce problems related to drug therapy. Identifying risk
factors that contribute to the development of adverse drug reactions, may
aid in the prevention of these reactions.
EMTREE DRUG INDEX TERMS
drug (adverse drug reaction, pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse drug reaction (side effect)
EMTREE MEDICAL INDEX TERMS
automation
cost of illness
drug therapy
error
hospitalization
human
major clinical study
medical information
medical literature
prescription
priority journal
review
vocational education
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Clinical and Experimental Pharmacology (30)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000142300
MEDLINE PMID
10789826 (http://www.ncbi.nlm.nih.gov/pubmed/10789826)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 846
TITLE
An interdisciplinary team model for substance abuse prevention in
communities.
AUTHOR NAMES
Marcus M.T.
AUTHOR ADDRESSES
(Marcus M.T.) Department of Nursing Systems and Technology, University of
Texas-Houston Health Science Center 77030, USA.
CORRESPONDENCE ADDRESS
M.T. Marcus, Department of Nursing Systems and Technology, University of
Texas-Houston Health Science Center 77030, USA.
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (2000) 16:3 (158-168). Date of
Publication: 2000 May-Jun
ISSN
8755-7223
ABSTRACT
Recognizing the continuing threat of alcohol, tobacco, and other drug abuse
and the mandate for health care reform with emphasis on community-based care
and prevention, the University of Texas-Houston Health Science Center School
of Nursing developed a model to link faculty to communities to provide
culturally competent, scientifically based, preventive interventions.
Faculty and community associates engaged in individual and group training
activities such as seminars, courses, and off-site meetings. The Preventive
Intervention Research Cycle was used to structure prevention activities and
assure scientific rigor. In addition to the specific outcomes of five
preventive interventions, the project resulted in increased faculty
scholarship in the field, increased community awareness and sustained
interventions related to substance abuse, enhanced curriculum for students,
and expanded collaborations with other community-based organizations.
Collaborative interdisciplinary partnerships between academic institutions
and community organizations are critical to the development of the science
of substance abuse prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
community health nursing
educational model
nursing education
patient care
EMTREE MEDICAL INDEX TERMS
human
nursing
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10860314 (http://www.ncbi.nlm.nih.gov/pubmed/10860314)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 847
TITLE
Teen Club: a nursing intervention for reducing risk-taking behavior and
improving well-being in female African American adolescents.
AUTHOR NAMES
Tuttle J.
Bidwell-Cerone S.
Campbell-Heider N.
Richeson G.
Collins S.
AUTHOR ADDRESSES
(Tuttle J.; Bidwell-Cerone S.; Campbell-Heider N.; Richeson G.; Collins S.)
University of Rochester, School of Nursing, 601 Elmwood Ave, Box SON,
Rochester, NY 14642, USA.
CORRESPONDENCE ADDRESS
J. Tuttle, University of Rochester, School of Nursing, 601 Elmwood Ave, Box
SON, Rochester, NY 14642, USA.
SOURCE
Journal of pediatric health care : official publication of National
Association of Pediatric Nurse Associates & Practitioners (2000) 14:3
(103-108). Date of Publication: 2000 May-Jun
ISSN
0891-5245
ABSTRACT
This article describes a nursing intervention called Teen Club that was
designed to reduce risk-taking behavior and improve well-being in female
African American adolescents. Participants were referred to Teen Club by
their nurse practitioners, physicians, and a community health nurse who were
working at an urban neighborhood health center's teen clinic. Referrals were
based on factors such as parental substance abuse, lack of social and family
support, and other characteristics thought to increase vulnerability to
risk-taking behavior. The 2-year intervention included weekly group meetings
co-led by a European American female community health nurse and a Latino
American male community worker, supplemented by case management and home
visits by both these persons. Findings from a retrospective group interview
conducted with 11 of the 12 original participants are presented. This is the
first step in a series of pilot studies designed to refine the Teen Club
intervention in anticipation of a future prospective, randomized
investigation of this health promotion and disease prevention model of
nursing care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
African American
child behavior
community health nursing
health auxiliary
health behavior
health promotion
high risk behavior
self help
EMTREE MEDICAL INDEX TERMS
adolescent
article
attitude to health
child psychology
evaluation study
female
health care quality
human
nursing evaluation research
organization and management
pilot study
psychological aspect
questionnaire
retrospective study
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10823968 (http://www.ncbi.nlm.nih.gov/pubmed/10823968)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 848
TITLE
A public health nursing early intervention program for adolescent mothers:
outcomes from pregnancy through 6 weeks postpartum.
AUTHOR NAMES
Koniak-Griffin D.
Anderson N.L.
Verzemnieks I.
Brecht M.L.
AUTHOR ADDRESSES
(Koniak-Griffin D.; Anderson N.L.; Verzemnieks I.; Brecht M.L.) School of
Nursing, University of California, Los Angeles 90095-6919, USA.
CORRESPONDENCE ADDRESS
D. Koniak-Griffin, School of Nursing, University of California, Los Angeles
90095-6919, USA.
SOURCE
Nursing research (2000) 49:3 (130-138). Date of Publication: 2000 May-Jun
ISSN
0029-6562
ABSTRACT
BACKGROUND: Adolescent pregnancy and parenting remain a major public concern
because of their impact on maternal-child health and on the social and
economic well-being of the nation. Federal welfare reform legislation has
created an urgent need for community-based nursing intervention programs to
improve health and social outcomes for disadvantaged adolescent mothers and
to promote their self-sufficiency. OBJECTIVE: To evaluate the effects of an
early intervention program (EIP) that uses a public health nursing model on
health and social outcomes of adolescent mothers and their children and on
the quality of mother-child interaction. METHODS: Pregnant adolescents
referred to a county health department were randomly assigned to an
experimental (EIP) or control (traditional public health nursing [TPHN])
group. The sample included 121 adolescents from predominantly minority and
impoverished backgrounds who were followed from pregnancy through 6 weeks
postpartum. Intense and comprehensive home visitation by public health
nurses and preparation-for-motherhood classes were provided to adolescents
in the EIP. Health outcomes were determined on the basis of medical record
data. Other measures included maternal self-report on selected behaviors,
nurse interviews, and the Nursing Child Assessment Teaching Scale (NCATS).
RESULTS: Early findings indicate reduced premature birth and
low-birth-weight (LBW) rates for young mothers receiving both forms of
public health nursing care. No significant differences between groups were
found for infant birth weight or type of delivery. Infants in the EIP had
significantly fewer total days of birth-related hospitalization and
rehospitalization than those in the TPHN group during the first 6 weeks of
life (chi2(1) = 6.41; p = 0.01). Adolescents in the EIP demonstrated
significantly more positive educational outcomes (e.g., lower school dropout
rates) than those in the TPHN group (chi2(1) = 6.76; p < 0.009).
CONCLUSIONS: The early findings of this study demonstrate that pregnant
adolescents benefit from both traditional and more intense public health
nursing care in terms of prenatal and perinatal outcomes. The EIP was
associated with decreased infant morbidity during the first 6 weeks of life
and decreased maternal school dropout. Long-term outcomes for the EIP are
being evaluated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent pregnancy
community health nursing
puerperium
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
article
birth weight
clinical trial
controlled clinical trial
controlled study
female
hospitalization
human
intervention study
model
poverty
pregnancy
pregnancy outcome
premature labor (prevention)
prenatal care
treatment outcome
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10882317 (http://www.ncbi.nlm.nih.gov/pubmed/10882317)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 849
TITLE
Drinks tonight at 7 pm: nursing students and alcohol use.
AUTHOR NAMES
Ball K.
AUTHOR ADDRESSES
(Ball K.)
CORRESPONDENCE ADDRESS
K. Ball,
SOURCE
Nursing New Zealand (Wellington, N.Z. : 1995) (2000) 6:4 (18-19). Date of
Publication: May 2000
ISSN
1173-2032
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, epidemiology, prevention)
nursing student
EMTREE MEDICAL INDEX TERMS
article
drinking behavior (epidemiology, prevention)
health promotion
human
nursing education
practice guideline
psychological aspect
questionnaire
risk management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12012510 (http://www.ncbi.nlm.nih.gov/pubmed/12012510)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 850
TITLE
Continuing education for nursing contact hours and CRNI/CLNI recertification
units
AUTHOR ADDRESSES
SOURCE
Journal of Intravenous Nursing (2000) 23:2 (73-76). Date of Publication:
2000
ISSN
0896-5846
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
continuing education
nursing
EMTREE MEDICAL INDEX TERMS
analgesia
blood sampling
cardiopulmonary bypass
central venous catheter
injury
note
nurse
substance abuse
world health organization
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
2000106840
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 851
TITLE
Project Hope: changing care delivery for the substance abuse patient.
AUTHOR NAMES
Swenson-Britt E.
Carrougher G.
Martin B.W.
Brackley M.
AUTHOR ADDRESSES
(Swenson-Britt E.; Carrougher G.; Martin B.W.; Brackley M.) University
Hospital, San Antonio, Texas, USA.
CORRESPONDENCE ADDRESS
E. Swenson-Britt, University Hospital, San Antonio, Texas, USA.
SOURCE
Clinical nurse specialist CNS (2000) 14:2 (92-100). Date of Publication: Mar
2000
ISSN
0887-6274
ABSTRACT
Project Hope is a program designed to assist healthcare providers in the
assessment, care, referral, and follow-up of the hospitalized substance
abuse patient. First implemented in 1990 at what is now called University
Hospital in San Antonio, Texas, the program has influenced care in a
positive way through change in the attitude and knowledge of personnel,
administrators, and community. In this paper, the authors provide an
overview of the approaches utilized, improvement process, and outcomes
obtained from this project. To formally evaluate the effectiveness of
Project Hope, a quasi-experimental, Solomon-Four design study was conducted.
Eighty nurses from various educational backgrounds and experience with
alcohol were divided into groups by nursing unit. A normative-reeducative
intervention was applied as described by Chin and Benne. Test of cognition
showed significant change (p < .01) in the experimental group; no
significance was found for attitudes change. Reasons for these findings and
lessons learned from the process are described.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing discipline
nursing education
personnel management
EMTREE MEDICAL INDEX TERMS
article
attitude to health
case report
education
female
health personnel attitude
human
male
middle aged
nursing
nursing evaluation research
nursing staff
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11188456 (http://www.ncbi.nlm.nih.gov/pubmed/11188456)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 852
TITLE
Preventing youth use of tobacco products: the role of nursing.
AUTHOR NAMES
LaSala K.B.
Todd S.J.
AUTHOR ADDRESSES
(LaSala K.B.; Todd S.J.) Department of Health Sciences, Family Nurse
Practitioner Program, Beth El College of Nursing and Health Sciences,
University of Colorado, Colorado Springs, CO, USA.
CORRESPONDENCE ADDRESS
K.B. LaSala, Department of Health Sciences, Family Nurse Practitioner
Program, Beth El College of Nursing and Health Sciences, University of
Colorado, Colorado Springs, CO, USA.
SOURCE
Pediatric nursing (2000) 26:2 (143-148). Date of Publication: 2000 Mar-Apr
ISSN
0097-9805
ABSTRACT
In the 1997 Youth Risk Behavior Survey (Centers for Disease Control and
Prevention [CDC], 1998a), 70.2% of high school students reported cigarette
use, 36.4% were current cigarette smokers, and 16.7% reported frequent
cigarette use (as measured by more than 20 in the last 30 days). Current
tobacco use by all racial and ethnic groups is 42.7% (48.2% male, 36.0%
female). Preventing youth tobacco use requires nurses to be active in many
different domains. Public health experts agree that tobacco control efforts
must target youth, with the goal of preventing tobacco product use and
dependence. Nurses need to be actively involved in directing resources and
talents toward public awareness and tobacco prevention programs, formulating
public policy initiatives to control youth access to tobacco, and initiating
cessation programs for youth. Efforts can be targeted at the schools,
community, and health care system, as well as the public policy arena and
media campaigns.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health education
nurse attitude
smoking (adverse drug reaction, prevention)
tobacco dependence (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
health care policy
human
legal aspect
nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
12026267 (http://www.ncbi.nlm.nih.gov/pubmed/12026267)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 853
TITLE
Attitudes towards mental illness, in the Commonwealth of Dominica
AUTHOR NAMES
Kohn R.
Sharma D.
Camilleri C.P.
Levav I.
AUTHOR ADDRESSES
(Kohn R., Robert_Kohn@brown.edu) Butler Hospital, Providence, RI, United
States.
(Sharma D.) Department of Psychiatry, Princess Margaret Hospital, Dominica,
West Indies, Trinidad and Tobago.
(Camilleri C.P.) Harvard S. Shore Dept. of Psychiatry, Vet. Administration
Medical Center, Brockton, MA, United States.
(Levav I.) Pan American Health Organization, Washington, DC, United States.
(Kohn R., Robert_Kohn@brown.edu) Brown University, Dept. of Psychiat. and
Hum. Behavior, Providence, RI, United States.
(Kohn R., Robert_Kohn@brown.edu) Butler Hospital, 345 Blackstone Blvd.,
Providence, RI 02906, United States.
CORRESPONDENCE ADDRESS
R. Kohn, Butler Hospital, 345 Blackstone Blvd., Providence, RI 02906, United
States.
SOURCE
Revista Panamericana de Salud Publica/Pan American Journal of Public Health
(2000) 7:3 (148-154). Date of Publication: March 2000
ISSN
1020-4989
BOOK PUBLISHER
Pan American Health Organization, 525 Twenty-Third Street NW, Washington,
United States.
ABSTRACT
Little is known about the perception of mental illness in the English-
speaking Caribbean. This study was conducted in 1995 to determine the
attitudes, knowledge, and help-seeking practices for emotional disorders in
the Commonwealth of Dominica. Two groups in Dominica were surveyed: 67
community leaders, consisting of nurses, teachers, and police officers; and
135 community members grouped into five socioeconomic strata that were
collapsed to three for the analysis. All the respondents were asked to
identify and suggest management of individuals with psychosis, alcoholism,
depression, and childhood hyperactivity, as depicted in case vignettes. The
person in the psychosis vignette was diagnosed as suffering from mental
illness by 84.0% of the leaders and by 71.2% of the community members.
However, in each of the three other vignettes, fewer than 30% of the
respondents thought that mental illness was present. The person with
alcoholism was viewed as having a serious problem by only slightly more than
half of the respondents. Fewer than half of the respondents thought that the
individuals with depression or hyperactivity had serious problems. The
community leaders did somewhat worse in recognizing mental illness than did
the community members. Respondents were most likely to refer a family member
with emotional problems to a medical practitioner. In conclusion, education
about mental health problems is needed in Dominica. Especially disconcerting
was the lack of knowledge on mental illness among nurses, teachers, and
police officers, that is, professionals directly involved in the pathway to
care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
EMTREE MEDICAL INDEX TERMS
adult
affective neurosis
alcoholism
article
attitude
depression
Dominica
female
health education
human
hyperactivity
male
medical information
psychosis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish
EMBASE ACCESSION NUMBER
2000156129
MEDLINE PMID
10808747 (http://www.ncbi.nlm.nih.gov/pubmed/10808747)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 854
TITLE
A database analysis of potentially inappropriate drug use in an elderly
medicaid population
AUTHOR NAMES
Piecoro L.T.
Browning S.R.
Prince T.S.
Ranz T.T.
Scutchfield E.D.
AUTHOR ADDRESSES
(Piecoro L.T.) Procter and Gamble Pharmaceuticals, Mason, OH, United States.
(Browning S.R.; Prince T.S.) Dept. Prev. Med. and Environ. Hlth., College of
Medicine, University of Kentucky, Lexington, KY, United States.
(Scutchfield E.D.) Ctr. for Hlth. Serv. Mgmt. and Res., University of
Kentucky, Lexington, KY, United States.
(Ranz T.T.) Omnicare Inc., Louisville, KY, United States.
(Piecoro L.T.) Box 2117, 8700 Mason-Montgomery Road, Mason, OH 45040, United
States.
CORRESPONDENCE ADDRESS
L.T. Piecoro, Box 2117, 8700 Mason-Montgomery Road, Mason, OH 45040, United
States.
SOURCE
Pharmacotherapy (2000) 20:2 (221-228). Date of Publication: 2000
ISSN
0277-0008
BOOK PUBLISHER
Pharmacotherapy Publications Inc., 750 Washington Street, Boston, United
States.
ABSTRACT
We conducted a cross-sectional retrospective review of 1996 Kentucky
Medicaid Pharmacy claims data to examine the prevalence of potentially
inappropriate drug use in 64,832 Medicaid recipients aged 65 years and older
who received a prescription. Twenty-seven percent of patients received at
least one potentially inappropriate agent. Prevalence was higher for nursing
home residents (33%) than for community dwellers (24%). Amitriptyline
(7.6%), propoxyphene (6.5%), doxepin (4.0%), and indomethacin (2.3%) were
the most prescribed potentially inappropriate agents. Education programs and
interventions aimed at optimizing the prescribing and dispensing of the most
appropriate drugs are needed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amitriptyline
dextropropoxyphene
doxepin
indometacin
EMTREE DRUG INDEX TERMS
alprazolam
barbituric acid derivative
belladonna alkaloid
carisoprodol
chlordiazepoxide
chlorzoxazone
cyclobenzaprine
diazepam
dicycloverine
dipyridamole
flurazepam
hyoscyamine
iron
lorazepam
meprobamate
metaxalone
methocarbamol
methyldopa
oxazepam
oxybutynin
pentazocine
pethidine
propantheline bromide
reserpine
temazepam
ticlopidine
triazolam
zolpidem
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
data base
drug misuse
geriatric care
medicaid
EMTREE MEDICAL INDEX TERMS
aged
article
drug utilization
education program
human
nursing home
prescription
United States
CAS REGISTRY NUMBERS
alprazolam (28981-97-7)
amitriptyline (50-48-6, 549-18-8)
belladonna alkaloid (8007-93-0)
carisoprodol (78-44-4)
chlordiazepoxide (438-41-5, 58-25-3)
chlorzoxazone (95-25-0)
cyclobenzaprine (303-53-7, 6202-23-9)
dextropropoxyphene (1639-60-7, 469-62-5)
diazepam (439-14-5)
dicycloverine (50815-09-3, 67-92-5, 77-19-0)
dipyridamole (58-32-2)
doxepin (1229-29-4, 1668-19-5)
flurazepam (1172-18-5, 17617-23-1)
hyoscyamine (101-31-5, 306-03-6)
indometacin (53-86-1, 74252-25-8, 7681-54-1)
iron (14093-02-8, 53858-86-9, 7439-89-6)
lorazepam (846-49-1)
meprobamate (57-53-4)
metaxalone (1665-48-1)
methocarbamol (532-03-6)
methyldopa (555-29-3, 555-30-6)
oxazepam (604-75-1)
oxybutynin (1508-65-2, 5633-20-5)
pentazocine (359-83-1, 64024-15-3)
pethidine (28097-96-3, 50-13-5, 57-42-1)
propantheline bromide (298-50-0, 50-34-0)
reserpine (50-55-5, 8001-95-4)
temazepam (846-50-4)
ticlopidine (53885-35-1, 55142-85-3)
triazolam (28911-01-5)
zolpidem (82626-48-0)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000050410
MEDLINE PMID
10678301 (http://www.ncbi.nlm.nih.gov/pubmed/10678301)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 855
TITLE
Impaired student performance in the clinical setting. A constructive
approach.
AUTHOR NAMES
Spier B.E.
Matthews J.T.
Jack L.
Lever J.
McHaffie E.J.
Tate J.
AUTHOR ADDRESSES
(Spier B.E.; Matthews J.T.; Jack L.; Lever J.; McHaffie E.J.; Tate J.)
University of Pittsburgh School of Nursing, Pennsylvania, USA. bsp
CORRESPONDENCE ADDRESS
B.E. Spier, University of Pittsburgh School of Nursing, Pennsylvania, USA.
bsp Email: 100+@pitt.edu
SOURCE
Nurse educator (2000) 25:1 (38-42). Date of Publication: 2000 Jan-Feb
ISSN
0363-3624
ABSTRACT
A challenge for even the most seasoned faculty member is dealing with a
student who arrives for clinical experience in an impaired state. Little
guidance is available for faculty regarding protocol for the immediate
removal of an unfit student from the clinical setting or for subsequent
actions aimed at helping the student constructively address the problem. The
authors provide guidance to faculty for the development of a policy to
address issues pertaining to the impaired student.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
absenteeism
addiction (prevention)
clinical competence
malpractice
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
counseling
documentation
human
psychological aspect
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
11141899 (http://www.ncbi.nlm.nih.gov/pubmed/11141899)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 856
TITLE
Clinical mental health training within a multidisciplinary School-Based
Health Clinic
AUTHOR NAMES
Mason M.J.
Wood T.A.
AUTHOR ADDRESSES
(Mason M.J.; Wood T.A.) Counseling/Human Development Dept., Warner School,
University of Rochester, Rochester, NY 14627, United States.
CORRESPONDENCE ADDRESS
M.J. Mason, Counseling/Human Development Dept., Warner School, University of
Rochester, Rochester, NY 14627, United States. Email:
mjmn@troi.cc.rochester.edu
SOURCE
Journal of Health and Social Policy (2000) 11:3 (45-65). Date of
Publication: 2000
ISSN
0897-7186
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
A model is presented to illustrate a clinical mental health training program
within a multidisciplinary School-Based Health Clinic (SBHC). In
collaboration with schools of education, medicine, nursing, and social work,
a multidisciplinary training and treatment program was established that
provided unique opportunities for clinical training. An ecological/public
health model was utilized as the conceptual framework for clinical mental
health training, treatment, and research. Preliminary clinical outcome data
suggest that out of a sample of 381 patients, 15% of those utilizing the
SBHC's mental health services were being treated for substance abuse
disorders. This finding supports current research that has demonstrated that
the SBHCs are providing access to students who are in the most serious need
of mental health services. Process data suggest that the SBHC is an
effective site for multidisciplinary clinical mental health training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health program
mental health
EMTREE MEDICAL INDEX TERMS
clinical education
health service
human
medical education
review
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999285670
MEDLINE PMID
10557892 (http://www.ncbi.nlm.nih.gov/pubmed/10557892)
FULL TEXT LINK
http://dx.doi.org/10.1300/J045v11n03_04
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 857
TITLE
Midwifery care research: What questions are being asked? what lessons have
been learned?
AUTHOR NAMES
Raisler J.
AUTHOR ADDRESSES
(Raisler J., jraisler@umich.edu) Nurse-Midwifery Program, Univ. of Michigan
School of Nursing, 400 N. Ingalls, Room 3320, Ann Arbor, MI 48109-0482,
United States.
CORRESPONDENCE ADDRESS
J. Raisler, Nurse-Midwifery Program, Univ. of Michigan School of Nursing,
400 N. Ingalls, Room 3320, Ann Arbor, MI 48109-0482, United States. Email:
jraisler@umich.edu
SOURCE
Journal of Midwifery and Women's Health (2000) 45:1 (20-36). Date of
Publication: January/February 2000
ISSN
1526-9523
BOOK PUBLISHER
Elsevier Inc.
ABSTRACT
Purpose: To create and critically evaluate a research database about
midwifery care that identifies topics studied, research methods, results,
funding, publication data, and implications for a future midwifery research
agenda. Methods: Systematic literature review. Studies included were 1)
data-based research; 2) about midwifery care or practice; 3) in the United
States; and 4) published between 1984-1998. The CINAHL and MEDLINE
electronic databases were searched using a defined strategy, and relevant
journals and bibliographies were searched by hand. Results: This 15-year
review identified 140 studies of midwifery care published in 161 papers. A
midwife was the lead author on 60%. Sixty percent were published in the
Journal of Nurse-Midwifery. Six to 15 studies were published each year, and
both the number of publications and funding increased over the time period.
The six major areas of focus were: 1) midwifery management, 2) structure of
care, 3) midwifery practice, 4) midwife - physician comparisons, 5) place of
birth, and 6) care of vulnerable populations. Discussion: Although
retrospective descriptive studies still predominate, more prospective
studies, randomized controlled trials, multi-site studies, and
quasi-experimental designs are being conducted. Qualitative methods are
helping to measure nontraditional outcomes. A research agenda should be
estab lished based on discussion and debate within the profession. Midwife
investigators need to build research teams and collaborate with other
disciplines. Key areas for future research include alternative therapies,
breastfeeding, cost-effectiveness, cultural studies, gynecology, health
policy, menopause, postpartum care, substance abuse interventions, and the
woman's experience of birth and midwifery care. J Midwifery Womens Health
2000;45:20-36 © 2000 by the American College of Nurse-Midwives.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health services research
methodology
midwife
EMTREE MEDICAL INDEX TERMS
article
female
human
information processing
organization and management
pregnancy
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
MEDLINE PMID
10772732 (http://www.ncbi.nlm.nih.gov/pubmed/10772732)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 858
TITLE
Alcohol problems among residents in old age homes in the city of Mannheim,
Germany
AUTHOR NAMES
Weyerer S.
Schäufele M.
Zimber A.
AUTHOR ADDRESSES
(Weyerer S., weyerer@as200.ze-mannheim.de; Schäufele M.; Zimber A.) Central
Institute of Mental Health, J5, D-68159 Mannheim, Germany.
CORRESPONDENCE ADDRESS
S. Weyerer, Central Institute of Mental Health, J5, D-68159 Mannheim,
Germany. Email: weyerer@as200.ze-mannheim.de
SOURCE
Australian and New Zealand Journal of Psychiatry (1999) 33:6 (825-830). Date
of Publication: December 1999
ISSN
0004-8674
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
Objective: This study aims to determine the prevalence of alcohol problems
among residents in old age homes, its demographic and clinical features, and
its association with the risk of falling. Method: All residents (n = 1922)
living in 20 randomly selected residential and nursing homes in the city of
Mannheim, Germany, were included. Based on routine documentation, details of
their sociodemographic features, medical diagnoses made upon admission, and
current medication were compiled. The home staff filled out for each
resident a standardised assessment sheet on activities of daily
living-impairment (Barthel Index), behaviour problems, alcohol consumption,
and frequency of falls. Results: According to the diagnoses of the primary
care physicians, 7.4% of the residents had mental and behavioural disorders
due to alcohol (ICD-10: F10). Rates were particularly high among men, and
younger and single or divorced residents. A high percentage of those with a
diagnosis of alcohol abuse/dependence (41.1%) were transferred from mental
hospitals. Home staff reported current alcohol abuse/dependence among 3.4%
of all residents. The risk of falling was significantly elevated (Odds
ratio: 2.65; p < 0.01) among those with current alcohol problems.
Conclusion: The results corroborate the findings from other studies wherein
residents of old age homes constitute a group at risk of alcohol abuse and
dependence. Alcohol problems were more the cause for, rather than the
consequence of, home admission.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology, etiology)
falling
nursing home
EMTREE MEDICAL INDEX TERMS
aged
alcohol consumption
behavior disorder
conference paper
daily life activity
divorce
female
Germany
human
major clinical study
male
mental hospital
primary medical care
risk
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000011318
MEDLINE PMID
10619208 (http://www.ncbi.nlm.nih.gov/pubmed/10619208)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 859
TITLE
Attitudes shown by nursing college students, staff, and faculty towards
substance abuse
AUTHOR NAMES
Eliason M.J.
Gerken K.C.
AUTHOR ADDRESSES
(Eliason M.J.; Gerken K.C.) College of Nursing, The University of Iowa, Iowa
City, IA 52242, United States.
CORRESPONDENCE ADDRESS
M.J. Eliason, College of Nursing, The University of Iowa, Iowa City, IA
52242, United States.
SOURCE
Journal of Substance Use (1999) 4:3 (155-163). Date of Publication: 1999
ISSN
1465-9891
ABSTRACT
Very little research has addressed nurses' attitudes towards substance
abuse. Nurses are socially acclimatized with the same values, biases, and
denial of the impact of substance abuse as is the general population, and
nursing education programmes allow very little time to the study of
substance abuse. Thus, it is likely that nurses and nursing students lack
accurate information about substance abuse, and may subscribe to common
stereotypes. This paper presents data from 277 students, staff, and faculty
at a large midwestern baccalaureate nursing programme. The results have
significant implications for nursing education, as they indicate a serious
lack of attention, in the curriculum, to the study of substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
college student
curriculum
female
human
male
medical information
normal human
stereotypy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999403796
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 860
TITLE
In-service drug and alcohol education for generalist nurses: Are they
interested?
AUTHOR NAMES
Happell B.
Taylor C.
AUTHOR ADDRESSES
(Happell B.; Taylor C.) School of Postgraduate Nursing, University of
Melbourne, Swanston Street, Carlton 3053, Vic., Australia.
CORRESPONDENCE ADDRESS
B. Happell, School of Postgraduate Nursing, University of Melbourne,
Swanston Street, Carlton 3053, Vic., Australia.
SOURCE
Journal of Substance Use (1999) 4:3 (164-169). Date of Publication: 1999
ISSN
1465-9891
ABSTRACT
A review of the literature reveals that generalist nurses tend to have
negative attitudes towards providing care to patients with drug and alcohol
problems. Pessimistic attitudes are frequently attributed to inadequate
education to enable the development of knowledge and skills required to deal
confidently with these patients. Insufficient content in drug and alcohol
issues has been found to be characteristic of undergraduate nursing
curricula throughout England, America and Australia. In-service education is
often presented as a viable alternative. This paper addresses the paucity of
research in relation to in-service education on drug and alcohol related
issues, for registered nurses. A research project was conducted involving
general nurses (n = 106) employed in a private, acute, medical-surgical
hospital, were surveyed to ascertain the amount of drug and alcohol
in-service education they had received, whether they were interested in
more, and the type of in-service education they would require. The results
of this study clearly demonstrated that the registered nurses recognized
their need for more education in this area.
EMTREE DRUG INDEX TERMS
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
curriculum
female
human
normal human
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999403797
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 861
TITLE
Assessment of potential inhalant use by students.
AUTHOR NAMES
Cook K.R.
AUTHOR ADDRESSES
(Cook K.R.) D'Youville College, Buffalo, New York, USA.
CORRESPONDENCE ADDRESS
K.R. Cook, D'Youville College, Buffalo, New York, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1999) 15:5 (20-23). Date of Publication: Dec
1999
ISSN
1059-8405
ABSTRACT
Inhalant use is a significant health risk for today's youth, so school
nurses need to be aware of its prevalence and life-threatening consequences.
Numerous, readily available, inexpensive substances are being inhaled by a
growing number of students. The effects of inhaling such substances can be
devastating.
EMTREE DRUG INDEX TERMS
adhesive agent (adverse drug reaction)
solvent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
exposure (adverse drug reaction)
nursing assessment
school health nursing
EMTREE MEDICAL INDEX TERMS
aerosol (adverse drug reaction)
child
human
methodology
nursing
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10889686 (http://www.ncbi.nlm.nih.gov/pubmed/10889686)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 862
TITLE
Developing a drug awareness program in an international school.
Cross-cultural issues.
AUTHOR NAMES
Jeffries P.R.
AUTHOR ADDRESSES
(Jeffries P.R.) Indiana University School of Nursing, Indianapolis, USA.
CORRESPONDENCE ADDRESS
P.R. Jeffries, Indiana University School of Nursing, Indianapolis, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1999) 15:4 (6-11). Date of Publication: Oct
1999
ISSN
1059-8405
ABSTRACT
In 1996, as an overseas school nurse/health educator, the author designed a
health and personal development curriculum for an international school in
Bandung, Indonesia, where 220 children from 26 different countries were
enrolled. Part of the health curriculum included a drug awareness program
for students from kindergarten through high school. Many parents, students,
administrators, and faculty had never been involved in such a program
before; therefore, obtaining acceptance from these groups was a first step
in designing the drug awareness program. Because there have been no school
or government anti-drug groups to promote drug prevention, this program was
the first of its kind in the international community of Bandung. A review of
the literature guided the choice of intervention strategies built into the
program. Information also was collected about the major risk and protective
factors that are known to be associated with an increased risk of drug use
in the international community. Existing models of drug use prevention were
used in designing the program. As in most prevention programs, drug use was
viewed as a deficit in coping or self-regulation skills. The drug awareness
program was developed with emphasis on peer, school, and community factors
potentially influencing the tobacco, alcohol, and other drug use of the
adolescent students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
cultural anthropology
health education
program development
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
comparative study
cultural factor
curriculum
human
Indonesia
international cooperation
methodology
organization and management
transcultural care
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10818875 (http://www.ncbi.nlm.nih.gov/pubmed/10818875)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 863
TITLE
Nurturing educational multiculturalism in psychosocial nursing: creating new
possibilities through inclusive conversations.
AUTHOR NAMES
Boutain D.M.
Olivares S.A.
AUTHOR ADDRESSES
(Boutain D.M.; Olivares S.A.) University of Washington School of Nursing,
Seattle, WA 98105, USA.
CORRESPONDENCE ADDRESS
D.M. Boutain, University of Washington School of Nursing, Seattle, WA 98105,
USA.
SOURCE
Archives of psychiatric nursing (1999) 13:5 (234-239). Date of Publication:
Oct 1999
ISSN
0883-9417
ABSTRACT
The increasingly diverse populations served by nurse practitioners require
the preparation of graduate students with special emphasis on diversity
issues that affect the mental and physical health of the underserved and
populations of color. Although initiatives to recruit and retain a
multicultural student group in nursing are not new, the current need to
establish a diverse work force in nursing remains urgent given the changing
demography within the United States. One challenge in nursing graduate
education lies in the development of innovative ways to educate students
committed to working with people of color and underserved populations in the
area of psychosocial health. This article presents the theoretical
underpinnings of, and practical strategies for, recruitment and retention
developed by the Psychosocial Nurse Practitioner training grant team, in
collaboration with others at the University of Washington School of Nursing.
This program, partially funded by the Division of Nursing, Bureau of Health
Professions, is designed to educate future nurse practitioners to work with
clients and families who have comorbid psychiatric, substance abuse, and
physical conditions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural anthropology
nurse practitioner
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
nursing education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10565056 (http://www.ncbi.nlm.nih.gov/pubmed/10565056)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 864
TITLE
Bridging gaps between mind, body, & spirit. Healing the whole person.
AUTHOR NAMES
Edmands M.S.
Hoff L.A.
Kaylor L.
Mower L.
Sorrell S.
AUTHOR ADDRESSES
(Edmands M.S.; Hoff L.A.; Kaylor L.; Mower L.; Sorrell S.) College of Health
Professions, Department of Nursing, University of Massachusetts, USA.
CORRESPONDENCE ADDRESS
M.S. Edmands, College of Health Professions, Department of Nursing,
University of Massachusetts, USA.
SOURCE
Journal of psychosocial nursing and mental health services (1999) 37:10
(35-42). Date of Publication: Oct 1999
ISSN
0279-3695
ABSTRACT
Fifty percent of visits of primary care providers are for psychiatric
problems making it desirable to screen for mental, addictive, or behavioral
disorders at the level of primary care. Psychiatric/mental health nurses
prepared at the master's level to practice in the blended clinical
specialist/nurse practitioner role are well placed to treat or collaborate
in the treatment of people who present with symptoms of physical or
psychological problems. The role of the clinical specialist/nurse
practitioner is evolving in response to changes in health demographics,
epidemiology, scientific and technological advances, and changes in managed
care. Advanced practice nursing education must continue to anticipate and
meet on-going changes and challenges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alternative medicine
holistic nursing
mental disease
EMTREE MEDICAL INDEX TERMS
adult
article
case report
education
female
fibromyalgia (therapy)
history
human
manpower
mental health service
methodology
nurse practitioner
nursing
pathophysiology
physiology
posttraumatic stress disorder (therapy)
psychiatric diagnosis
psychiatric nursing
psychophysiology
somatoform disorder (therapy)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10529962 (http://www.ncbi.nlm.nih.gov/pubmed/10529962)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 865
TITLE
Promoting tobacco cessation in primary care practice
AUTHOR NAMES
Pine D.
Sullivan S.
Conn S.A.
David C.
AUTHOR ADDRESSES
(Pine D.; Sullivan S.; Conn S.A.; David C.) Institute for Research and
Education, HealthSystem Minnesota, 3800 Park Nicollet Boulevard,
Minneapolis, MN 55416-2699, United States.
CORRESPONDENCE ADDRESS
S. Sullivan, Institute for Research and Education, HealthSystem Minnesota,
3800 Park Nicollet Boulevard, Minneapolis, MN 55416-2699, United States.
Email: sesullivan@compuserve.com
SOURCE
Primary Care - Clinics in Office Practice (1999) 26:3 (591-610). Date of
Publication: 1999
ISSN
0095-4543
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
In contrast to the 3% of smokers who quit on their own, clinic-based
interventions are effective in helping at least 10% of patients quit
smoking. Furthermore, the public health benefit is significant. Given that
35 million smokers see a physician at least once a year, clinic-based
interventions have a significant public health benefit. If even 10% of
smokers are assisted in quitting through their health care providers, 3.5
million smokers would become tobacco-free each year. Few treatments of any
kind have a potential benefit of this magnitude. This article outlined a
comprehensive and practical approach to clinic-based tobacco cessation that
will increase quit rates beyond those associated with brief advice.
Developing the organizational commitment among clinicians and staff will
result in long-term buy-in to promoting tobacco cessation. A systematic
approach to asking every patient about tobacco use at every visit, and
documenting it, provides an important infrastructure for the other
strategies, particularly if tobacco use is assessed and recorded as a vital
sign. Clinicians should take every opportunity to advise all tobacco users
to quit. A quick assessment of readiness to quit provides essential
information to tailor assistance through counseling, self-help materials,
and pharmacotherapy. Brief counseling might be provided by clinicians, and
extended counseling might be offered by a nurse or health educator by
telephone or in person. Counseling focuses on setting a quit date,
anticipating challenges to long-term quitting and planning how to overcome
them, discussing the option of using NRT and bupropion, and recommitting to
quitting if they relapse. Self-help materials reinforce and expand on
counseling messages. Nicotine Replacement Therapy and bupropion provide
additional support for cessation. Followup contacts by telephone or in
person can provide important support, particularly if provided within the
first 2 weeks of quitting and again as needed. Finally, basic evaluation
activities such as chart audits can give useful feedback for improving each
part of the clinic's process as well as provide data about quit rates in the
clinic's patient population. These strategies work effectively in
community-based primary care clinics. It is not an easy task to implement
these strategies consistently, but the key is to enlist the involvement of
clinicians and office staff and to organize the office practice to support
this approach.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amfebutamone (drug therapy)
nicotine (drug administration, drug therapy)
nicotine gum (drug administration, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking
smoking cessation
tobacco
EMTREE MEDICAL INDEX TERMS
addiction (drug therapy)
clinical practice
health promotion
human
oral drug administration
patient counseling
primary health care
priority journal
review
transdermal drug administration
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
nicotine (54-11-5)
nicotine gum (96055-45-7)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999328355
MEDLINE PMID
10436289 (http://www.ncbi.nlm.nih.gov/pubmed/10436289)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0095-4543(05)70119-6
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 866
TITLE
Perceived problems of pharmacotherapy: A problem detection study among
physicians and nurses at a Swedish University Hospital
AUTHOR NAMES
Eriksson T.
Henricson K.
Arrhenius K.
Höglund P.
Hedner K.
Stenberg P.
AUTHOR ADDRESSES
(Eriksson T.; Henricson K.; Stenberg P.) Hospital Pharmacy, Malmö University
Hospital, S-205 02 Malmö, Sweden.
(Arrhenius K.) Apoteket AB, Stockholm, Sweden.
(Höglund P.) Department of Clinical Pharmacology, University Hospital, Lund,
Sweden.
(Hedner K.)
CORRESPONDENCE ADDRESS
K. Henricson, Hospital Pharmacy, Malmo University Hospital, S-205 02 Malmo,
Sweden.
SOURCE
Pharmacy World and Science (1999) 21:4 (190-193). Date of Publication: 1999
ISSN
0928-1231
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
As a first step toward obtaining quality assurance regarding use and
handling of drugs at Malmo University Hospital, a problem detection study
(PDS) was performed, drug related problems being collected from nurses,
physicians and pharmacists. Problem questionnaires relevant for physicians
(67 items) and nurses (82 items) were prepared and sent to chief physicians
and head nurses for distribution to colleagues. The problems identified
covered all aspects of drug use and handling such as availability,
prescription, dispensing, information and monitoring. Fifty-six per cent
(79/141) of the physicians and 68 per cent (88/130) of the nurses responded.
The main problems were related to information, chart ordersheets and follow
up. The item 'Uncertain whether patients take their medicine correctly after
discharge' scored highest among physicians. The two main problems for the
nurses were that 'newly licensed drugs and drugs used on a named-patient
basis are not included in FASS' (the Swedish national formulary). The
problem detection technique proved useful for the identification of
drug-related problems, and the results will provide a basis for further
improvement in quality assurance in pharmacotherapy at the hospital.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug monitoring
drug use
EMTREE MEDICAL INDEX TERMS
article
drug information
hospital
human
nurse
physician
prescription
quality control
Sweden
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999297825
MEDLINE PMID
10483608 (http://www.ncbi.nlm.nih.gov/pubmed/10483608)
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1008776024243
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 867
TITLE
Substance abuse education liaisons: a collaborative continuing education
program for nurses in acute care settings.
AUTHOR NAMES
Marcus M.T.
Rickman K.A.
Sobhan T.
AUTHOR ADDRESSES
(Marcus M.T.; Rickman K.A.; Sobhan T.) Department of Nursing Systems and
Technology, University of Texas-Houston Health Science Center School of
Nursing 77030, USA.
CORRESPONDENCE ADDRESS
M.T. Marcus, Department of Nursing Systems and Technology, University of
Texas-Houston Health Science Center School of Nursing 77030, USA.
SOURCE
Journal of continuing education in nursing (1999) 30:5 (229-234). Date of
Publication: 1999 Sep-Oct
ISSN
0022-0124
ABSTRACT
BACKGROUND: Alcohol, tobacco, and other drug abuse undermine physical and
psychological well-being, contributing to the array of illnesses that
necessitate admission to acute care settings. Addictive disorders often are
undetected, underreported, or overshadowed by the primary illness. Nurses
need continuing education to enhance competence in meeting this challenging
problem. METHOD: Through a unique collaboration between university faculty
and acute care nurses from seven hospitals, the nurses attended 18 monthly
workshops designed to meet their learning needs related to substance abuse.
RESULTS: The nurses acquired essential knowledge and skills regarding
substance abusing clients. The publication of a substance abuse resource
manual and the establishment of a continuing network of professionals
committed to improving practice are additional positive outcomes of this
endeavor. CONCLUSION: Project SAEL (Substance Abuse Education Liaisons) is a
model that can be emulated by others.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acute disease
addiction (diagnosis, prevention)
cooperation
nursing education
nursing staff
public relations
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
health care quality
health personnel attitude
human
needs assessment
nursing
organization and management
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10808839 (http://www.ncbi.nlm.nih.gov/pubmed/10808839)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 868
TITLE
The work of general practitioners among Lithuanian Roma in Vilnius:
Incorporating harm reduction into primary medical practice
AUTHOR NAMES
Subata E.
Tsukanov J.
AUTHOR ADDRESSES
(Subata E., Emilssubata@takas.lt) Vilnius Narcological Center, Department of
Psychiatry, Vilnius University, Vilnius, Lithuania.
(Tsukanov J.) Naujininku Prim. Health Care Center, Vilnius, Lithuania.
CORRESPONDENCE ADDRESS
E. Subata, Vilnius Narcological Center, Vilnius University, Vilnius,
Lithuania. Email: Emilssubata@takas.lt
SOURCE
Journal of Drug Issues (1999) 29:4 (805-810). Date of Publication: Sep 1999
ISSN
0022-0426
ABSTRACT
We describe the efforts of general practitioners (GPs) in Vilnius working
with the Lithuanian-Roma community, the most impoverished and marginalized
segment of the city's population. We focus specifically on GPs' efforts to
advocate for and implement harm reduction principles and programs to protect
and improve the health of Roma drug injectors threatened by HIV. We describe
the full range of efforts that GPs have added to their practice beyond
'normal doctoring' in order to have a more far-reaching impact on the health
of drug users. This includes advocating for and successfully implementing
methadone drug treatment and needle exchange services as integrated parts of
routine primary medical practice. It also includes the outreach efforts by
GPs and nurses to educate many different segments of the larger Vilnius
community - law enforcement officials, teachers, and social workers - about
harm reduction principles and strategies.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
methadone
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
general practitioner
health promotion
intravenous drug abuse
EMTREE MEDICAL INDEX TERMS
article
human
Human immunodeficiency virus infection
Lithuania
methadone treatment
needlestick injury
preventive health service
primary medical care
virus transmission
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2000030625
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 869
TITLE
Different efficacy of alcohol education tools among trainee nurses
AUTHOR NAMES
Francesco Stefanini G.
Caputo F.
Lizzani L.
Castelli E.
Dall'Aglio C.
Baudanza P.
Marsigli L.
Giuseppe Foschi F.
Patussi V.
Addolorato G.
Bernardi M.
Gasbarrini G.
AUTHOR ADDRESSES
(Francesco Stefanini G.) Ospedale degli Infermi, Faenza, Italy.
(Lizzani L.) Dipartimento di Scienze Statistiche, Universita degli Studi di
Bologna, Bologna, Italy.
(Patussi V.) Dipto. Fisiopatol. Clin. Unita G., Firenze, Italy.
(Addolorato G.; Gasbarrini G.) Istituto di Clinica Medica, Universita
Cattolica del Sacro Cuore, Roma, Italy.
(Caputo F.; Castelli E.; Dall'Aglio C.; Baudanza P.; Marsigli L.; Giuseppe
Foschi F.; Bernardi M.)
CORRESPONDENCE ADDRESS
G.F. Stefanini, Ospedale degli Infermi, Faenza, Italy.
SOURCE
Hepato-Gastroenterology (1999) 46:27 (1910-1916). Date of Publication: 1999
ISSN
0172-6390
BOOK PUBLISHER
H.G.E. Update Medical Publishing Ltd., P.O. Box 17257, Athens, Greece.
ABSTRACT
BACKGROUND/AIMS: The evaluation of the efficacy of two different forms of
scientific information concerning alcohol-related problems (ARP), among
Italian trainee nurses. METHODOLOGY: A specific questionnaire, investigating
the awareness of ARP, was distributed to 193 trainee nurses, 158 enrolled in
the Italian Red Cross School for Professional Nurses at S. Orsola-Malpighi
Hospital in Bologna and 35 enrolled in the Professional Nursing School at
the Social Security Institute in the Republic of San Marino, who had
attended a scientific meeting on ARP in the last year. Eighty-one nurses (62
belonging to the Red Cross School of Bologna and 19 to the Professional
Nursing School of San Marino), had previously been given an information
package on ARP (Group A). One hundred twelve subjects (96 belonging to the
Red Cross School of Bologna and 16 to the Professional Nursing School of San
Marino) did not read the specialized material (Group B). RESULTS: The
results showed a statistically significant difference in the percentage of
correct answers between Group A (25.98%) and Group B (21.80%). The
percentage of correct answers among the Bologna trainee nurses were always
significantly lower than that of the San Marino nurses. CONCLUSIONS: These
results suggest a scant awareness and interest in ARP among trainee nurses
and show that courses and lectures are more effective than scientific
printed material.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
nurse training
EMTREE MEDICAL INDEX TERMS
article
awareness
Italy
priority journal
questionnaire
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999272905
MEDLINE PMID
10430368 (http://www.ncbi.nlm.nih.gov/pubmed/10430368)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 870
TITLE
Never too soon: a pilot first and third grade drug education program.
AUTHOR NAMES
Hall-Long B.A.
Dishop M.L.
AUTHOR ADDRESSES
(Hall-Long B.A.; Dishop M.L.) University of Delaware, College of Health and
Nursing Sciences, Newark, USA.
CORRESPONDENCE ADDRESS
B.A. Hall-Long, University of Delaware, College of Health and Nursing
Sciences, Newark, USA.
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1999) 15:3 (34-39). Date of Publication: Aug
1999
ISSN
1059-8405
ABSTRACT
Substance use is a leading national health problem, and school nurses are in
pivotal positions to assist with prevention activities to reduce this
growing epidemic. In response to increasing rates of parental and youth
substance use and abuse, a collaborative research-service-education
partnership was established between a college of nursing and an elementary
school in a low-income, urban community. A two-part pilot study of parental
knowledge and behaviors of drug use, and the evaluation of a first- and
third-grade drug education model, are described in this paper. Although the
findings cannot be generalized, they yield useful information for parental,
youth, and neighborhood teaching and future research. Over half of parents
consumed alcohol, and 60% smoked cigarettes. Forty-seven percent of parents
reported discussing drugs with their child. However, only 22% of the parents
who used substances reported talking about drugs with their children. The
pilot drug education sessions, two, 30-45 minute sessions a week for 8
weeks, resulted in an average of 30% higher posttest knowledge scores in the
first and third graders. Drug education classes should be offered every year
for patients and youth, kindergarten through twelfth grade.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
school health nursing
school health service
EMTREE MEDICAL INDEX TERMS
age
article
attitude to health
child
curriculum
education
educational model
health care quality
human
organization and management
parent
pilot study
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10745800 (http://www.ncbi.nlm.nih.gov/pubmed/10745800)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 871
TITLE
Minimal interventions for problem drinkers: a review of the literature.
AUTHOR NAMES
Watson H.E.
AUTHOR ADDRESSES
(Watson H.E.) Department of Nursing and Community Health, Glasgow Caledonian
University, Cowcaddens Road, Glasgow G4 0BA, Scotland.
CORRESPONDENCE ADDRESS
H.E. Watson, Department of Nursing and Community Health, Glasgow Caledonian
University, Cowcaddens Road, Glasgow G4 0BA, Scotland.
SOURCE
Journal of advanced nursing (1999) 30:2 (513-519). Date of Publication: Aug
1999
ISSN
0309-2402
ABSTRACT
There is an increasing body of literature concerning the role in health
promotion for nurses working in many health care settings. It has been
argued that this role should include identifying those individuals whose
life-style increases their risk of developing health problems, as well as
providing appropriate advice and information. Life-style factors which may
contribute to ill-health include problem drinking. This literature review
presents a critique of studies of brief, or minimal, interventions for
problem drinkers which have been conducted in both primary care and acute
settings. The concept of minimal interventions is explored and the potential
for nurses to assume a role in delivering such interventions is discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
patient education
psychotherapy
EMTREE MEDICAL INDEX TERMS
adult
female
human
male
methodology
middle aged
nursing
review
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10457255 (http://www.ncbi.nlm.nih.gov/pubmed/10457255)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 872
TITLE
Psychotherapy in geriatric long-term care
AUTHOR NAMES
Lichtenberg P.A.
AUTHOR ADDRESSES
(Lichtenberg P.A.) Institute of Gerontology, Wayne State University, 87 E.
Ferry Street, Detroit, MI 48202, United States.
CORRESPONDENCE ADDRESS
P.A. Lichtenberg, Institute of Gerontology, Wayne State University, 87 E.
Ferry Street, Detroit, MI 48202, United States.
SOURCE
Journal of Clinical Psychology (1999) 55:8 (1005-1014). Date of Publication:
Aug 1999
ISSN
0021-9762
ABSTRACT
Psychotherapy with older adult nursing home residents will likely be carried
out with two groups of patients: the chronically mentally ill, and the
medical rehabilitation patients. A typology of patients with mental illness
is described: the mild cognitively impaired and behaviorally disturbed, the
cognitively intact but interpersonally troubled, and the mentally ill
patients who have lost their support systems. Unique inpatient methods of
assessing and treating depression and alcohol abuse are explored for
rehabilitation patients. For both groups there is a focus on functioning and
behavioral outcomes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
geriatric care
long term care
psychotherapy
EMTREE MEDICAL INDEX TERMS
aged
alcohol abuse
article
behavior disorder (therapy)
case report
cognition
depression
female
human
male
mental disease (therapy)
nursing home
psychologic assessment
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999281733
FULL TEXT LINK
http://dx.doi.org/10.1002/(SICI)1097-4679(199908)55:8<1005::AID-JCLP8>3.0.CO;2-1
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 873
TITLE
The educational and liaison roles of drug and alcohol nurses: A potential
resource?
AUTHOR NAMES
Happell B.
Taylor C.
AUTHOR ADDRESSES
(Happell B.; Taylor C.) School of Postgraduate Nursing, University of
Melbourne, Grattan Street, Parkville 3052, Vic., Australia.
CORRESPONDENCE ADDRESS
B. Happell, School of Postgraduate Nursing, University of Melbourne, Grattan
Street, Parkville 3052, Vic., Australia.
SOURCE
Journal of Substance Use (1999) 4:1 (45-50). Date of Publication: 1999
ISSN
1465-9891
ABSTRACT
The difficulties encountered by nurses in caring for patients with drug and
alcohol related problems have been consistently acknowledged in the
literature. Negative attitudes towards these patients, and inadequate
knowledge and skills to adequately care for them, are generally considered
as the source of the problem. Despite this acknowledgement, drug and alcohol
education continues to occupy a very small presence within nursing
curricula. In-service education has been demonstrated to effect a more
positive perspective towards patients with drug and alcohol problems, yet
there is no evidence to suggest the situation is improving. This paper
discusses the potential role of the drug and alcohol liaison nurse and
addresses the paucity of literature referring to such a role. The results of
a qualitative study by the authors revealed that specialized drug and
alcohol nurses consider themselves suitably placed to fulfil this function.
Although the process at this stage is small scale and informal, the findings
suggest that drug and alcohol nurses are capable of fulfilling an educative
and liaison role. In doing this they can facilitate the development of
greater confidence and more positive attitudes amongst general nurses
towards this aspect of nursing care.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
EMTREE MEDICAL INDEX TERMS
article
attitude
curriculum
human
nurse
nursing education
skill
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999245025
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 874
TITLE
Promoting health in i.v. drug users.
AUTHOR NAMES
George S.
AUTHOR ADDRESSES
(George S.) Middlesex University.
CORRESPONDENCE ADDRESS
S. George, Middlesex University.
SOURCE
Nursing times (1999) 95:26 (45-47). Date of Publication: 1999 Jun 30-Jul 6
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
patient education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
methodology
nursing
nursing assessment
patient care planning
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10504963 (http://www.ncbi.nlm.nih.gov/pubmed/10504963)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 875
TITLE
Pain assessment and management in the long-term care setting
AUTHOR NAMES
Weissman D.E.
Matson S.
AUTHOR ADDRESSES
(Weissman D.E.) Department of Medicine, Division of Hematology Oncology,
Medical College of Wisconsin, Milwaukee, WI 53226-0509, United States.
(Matson S.) Lakeland Nursing Home, Elkhorn, WI 53121-4361, United States.
CORRESPONDENCE ADDRESS
D.E. Weissman, Department of Medicine, Division of Hematology Oncology,
Medical College of Wisconsin, Milwaukee, WI 53226-0509, United States.
SOURCE
Theoretical Medicine and Bioethics (1999) 20:1 (31-43). Date of Publication:
1999
ISSN
1386-7415
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
The assessment and management of pain is a significant public health problem
in the United States. Long-term care facilities face unique barriers and
challenges to pain management due to the large population of cognitively
impaired residents, little physician contact and poor pain education for
nurses and nurse assistants. In addition, common misconceptions about pain
and pain treatment in the elderly along with health professional and
resident fears of addiction and drug toxicity, add to the problem of pain
management. The basic principles of pain treatment in long-term care are
identical to all other health care settings - utilizing a combination of
drug and non-drug treatments. Recent efforts to institutionalize improved
pain management practices, through assessment procedures and defined pain
management policies, standards and education programming, is a promising
venue for systemically improving pain treatment in long-term care settings.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nonsteroid antiinflammatory agent (adverse drug reaction, drug therapy)
opiate (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
anticonvulsive agent (drug therapy)
antidepressant agent (drug therapy)
carbamazepine (drug therapy)
dextropropoxyphene (drug therapy)
fentanyl (drug therapy)
gabapentin (drug therapy)
hydrocodone (drug therapy)
hydromorphone (adverse drug reaction, drug therapy)
levorphanol (drug therapy)
morphine derivative (adverse drug reaction, drug therapy)
oxycodone (adverse drug reaction, drug therapy)
pethidine (drug therapy)
phenytoin (drug therapy)
steroid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
long term care
pain assessment (diagnosis, drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
allergic reaction (side effect)
article
cognition
constipation (side effect)
geriatric care
headache (side effect)
health care policy
home for the aged
human
human tissue
kidney failure (side effect)
nausea (side effect)
United States
xerostomia (side effect)
CAS REGISTRY NUMBERS
carbamazepine (298-46-4, 8047-84-5)
dextropropoxyphene (1639-60-7, 469-62-5)
fentanyl (437-38-7)
gabapentin (60142-96-3)
hydrocodone (125-29-1, 25968-91-6, 34366-67-1)
hydromorphone (466-99-9, 71-68-1)
levorphanol (125-72-4, 77-07-6)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
oxycodone (124-90-3, 76-42-6)
pethidine (28097-96-3, 50-13-5, 57-42-1)
phenytoin (57-41-0, 630-93-3)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999209228
MEDLINE PMID
10442052 (http://www.ncbi.nlm.nih.gov/pubmed/10442052)
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1009923907285
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 876
TITLE
Perinatal substance abuse education: A review of existing curricula
AUTHOR NAMES
Redding B.A.
Selleck C.S.
AUTHOR ADDRESSES
(Redding B.A.) University of South Florida, College of Nursing, 12901 Bruce
B. Downs Boulevard, Tampa, FL 33612-4799, United States.
(Selleck C.S.) Department of Family Medicine, University of South Florida,
Tampa, FL, United States.
CORRESPONDENCE ADDRESS
B.A. Redding, University of South Florida, College of Nursing, 12901 Bruce
B. Downs Boulevard, Tampa, FL 33612-4799, United States.
SOURCE
Substance Abuse (1999) 20:1 (17-31). Date of Publication: 1999
ISSN
0889-7077
ABSTRACT
The magnitude of the substance abuse problem in this country requires that
health care professionals be appropriately and adequately trained to
recognize and care for substance abusing patients, yet didactic and clinical
curricular content on the topic remains limited for most of them. Efforts
have been made over the past 25 years to develop faculty who have expertise
in alcohol, tobacco, and other drug abuse and who can provide leadership in
curricular development. Through these efforts, pockets of faculty expertise
developed in nursing, medicine, social work, and psychology programs around
the country. In addition, a number of printed substance abuse curricula were
developed. The purpose of this article is to address issues regarding the
substance abuse information needed by health professionals and to review the
available educational curricula, especially as they relate to perinatal
substance abuse. Discussion of methods to update information as substance
abuse knowledge expands is also included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
substance abuse
EMTREE MEDICAL INDEX TERMS
addiction
clinical education
curriculum
health care need
health care personnel
medical student
mental health service
nursing
review
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999207474
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1021344722132
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 877
TITLE
Collaboration between community nurses and nursing faculty using substance
abuse prevention focus groups.
AUTHOR NAMES
Reiskin H.
Gendrop S.
Bowen A.
Wright P.
Walsh E.
AUTHOR ADDRESSES
(Reiskin H.; Gendrop S.; Bowen A.; Wright P.; Walsh E.) College of Nursing,
University of Massachusetts at Boston, USA.
CORRESPONDENCE ADDRESS
H. Reiskin, College of Nursing, University of Massachusetts at Boston, USA.
SOURCE
NursingConnections (1999) 12:2 (31-36). Date of Publication: 1999 Summer
ISSN
0895-2809
ABSTRACT
Collaboration between community nurses and nurses from a university who
conducted focus groups is discussed. The focus groups explored why
low-income, inner-city, white women of childbearing age did not abuse drugs.
This partnership effort resulted in positive, successful outcomes for both
groups of nurses and yielded culturally sensitive information that may be
useful in preventing substance abuse. Methods of facilitating this
collaboration and results of our joint endeavors are explored.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
community health nursing
cooperation
faculty practice
information processing
nursing education
nursing staff
public relations
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
Caucasian
ethnology
female
human
nursing
organization and management
poverty
psychological aspect
urban population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10690114 (http://www.ncbi.nlm.nih.gov/pubmed/10690114)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 878
TITLE
Managing alcohol withdrawal in the acutely ill hospitalized adult.
AUTHOR NAMES
Segatore M.
Adams D.
Lange S.
AUTHOR ADDRESSES
(Segatore M.; Adams D.; Lange S.) St. Joseph's Hospital, Milwaukee, WI
53210-1688, USA.
CORRESPONDENCE ADDRESS
M. Segatore, St. Joseph's Hospital, Milwaukee, WI 53210-1688, USA.
SOURCE
The Journal of neuroscience nursing : journal of the American Association of
Neuroscience Nurses (1999) 31:3 (129-141). Date of Publication: Jun 1999
ISSN
0888-0395
ABSTRACT
Managing individuals with acute illness who are at high risk for alcohol
withdrawal presents multiple challenges to the treatment teams caring for
them. Following realization that management of this group was often
characterized by severe withdrawal symptoms (delirium tremens, seizures and
the need for leather restraints), a Task Force developed protocols to guide
care. Its principal goal was to avoid cardiorespiratory and neurologic
morbidities associated with severe withdrawal. The first 441 episodes of
care treated after protocol implementation are described in this report.
There were no instances of oversedation requiring pharmacological reversal
or intubation, few individuals suffered seizures outside of the emergency
department and the use of leather restraints declined dramatically.
Outstanding issues arising from analysis include the necessity of subjecting
the symptom severity instrument to rigorous psychometric study and
reconsideration of the appropriateness of a symptom-triggered approach in
treating this population. Our experience suggests that use of a
nonprescriptive approach by educated and motivated nursing and medical
staffs can reduce serious morbidity in this at-risk population.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital patient
withdrawal syndrome (diagnosis, drug therapy)
EMTREE MEDICAL INDEX TERMS
acute disease
adult
aged
article
comorbidity
delirium tremens (prevention)
epidemiology
female
hospitalization
human
male
medical record
middle aged
nursing
outcome assessment
questionnaire
retrospective study
CAS REGISTRY NUMBERS
alcohol (64-17-5)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10846644 (http://www.ncbi.nlm.nih.gov/pubmed/10846644)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 879
TITLE
Mood and drinking: A naturalistic diary study of alcohol, coffee and tea
AUTHOR NAMES
Steptoe A.
Wardle J.
AUTHOR ADDRESSES
(Steptoe A., asteptoe@sghms.ac.uk) Department of Psychology, St. George's
Hosp. Medical School, Cranmer Terrace, London SW17 0RE, United Kingdom.
(Wardle J.) Health Behaviour Unit, Dept. of Epidemiol. and Pub. Health,
University College London, 2-17 Torrington Place, London WC1E 6BT, United
Kingdom.
CORRESPONDENCE ADDRESS
A. Steptoe, Department of Psychology, St. George's Hospital Medical School,
Cranmer Terrace, London SW17 0RE, United Kingdom. Email:
asteptoe@sghms.ac.uk
SOURCE
Psychopharmacology (1999) 141:3 (315-321). Date of Publication: 1999
ISSN
0033-3158
BOOK PUBLISHER
Springer Verlag, Tiergartenstrasse 17, Heidelberg, Germany.
ABSTRACT
Understanding the pattern of associations between mood and consumption of
alcohol, coffee and tea may provide information about the factors governing
beverage drinking. The associations between mood and the consumption of
alcohol, coffee and tea during everyday life were assessed. A naturalistic
study was carried out with 18 male and 31 female volunteers from two working
groups (psychiatric nursing and school teaching). Participants completed
daily records of drink consumption, together with ratings of anxious and
positive moods for 8 weeks. Potential moderators of associations were
self-reported drinking to cope, high perceived job demands and social
support at work. Day-by-day associations were analysed using Spearman
correlations. There were substantial individual differences in associations
between mood and daily alcohol, coffee and tea consumption. Overall, alcohol
intake was associated with high positive and low anxious mood. This effect
was not present among participants with high drinking to cope ratings.
Coffee and tea drinking were not consistently related to mood across the
entire sample. However, job demands influenced the association between
coffee consumption and anxious mood in men, and those who experienced high
job demands drank more coffee on days on which they felt anxious. In
contrast, women but not men who enjoyed high social support at work felt
more relaxed on days on which they drank more tea. These results indicate
that people vary widely in the extent to which mood is related to the
drinking of alcohol, coffee and tea. The strength of associations is
influenced by gender, motivational factors, and by stress and coping
resources.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
mood
EMTREE MEDICAL INDEX TERMS
adult
alcohol consumption
alcoholism (etiology)
anxiety
article
coffee
controlled study
coping behavior
female
human
male
mental stress
motivation
normal human
priority journal
self report
sex difference
social support
tea
work
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999149282
MEDLINE PMID
10027513 (http://www.ncbi.nlm.nih.gov/pubmed/10027513)
FULL TEXT LINK
http://dx.doi.org/10.1007/s002130050839
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 880
TITLE
Adverse drug reaction-related hospitalizations of nursing facility patients:
A 4-year study
AUTHOR NAMES
Cooper J.W.
AUTHOR ADDRESSES
(Cooper J.W.) Department of Family Medicine, School of Medicine, Medical
College of Pharmacy, Augusta, GA, United States.
(Cooper J.W.) College of Pharmacy, University of Georgia, Athens, GA, United
States.
(Cooper J.W.) College of Pharmacy, University of Georgia, Athens, GA 30602,
United States.
CORRESPONDENCE ADDRESS
J.W. Cooper, College of Pharmacy, University of Georgia, Athens, GA 30602,
United States.
SOURCE
Southern Medical Journal (1999) 92:5 (485-490). Date of Publication: May
1999
ISSN
0038-4348
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Background. The purpose of this study was to document adverse drug reaction
(ADR)-related hospitalizations from a nursing facility population. Methods.
This 4-year prospective observational study used monthly repeated measures
of 332 residents present for 30 or more days. The review included admission
and monthly drug regimen review for each resident. Each probable ADR was
sent with monthly reports to attending physicians and charge nurses.
Results. There were 64 ADR-associated hospitalizations in 52 of the 332
residents (15.7%). The most common events were for nonsteroidal anti-
inflammatory drugs (NSAIDs) (30), psychotropic-related fall with fracture
(14), digoxin toxicity (5), and insulin hypoglycemia (4). Five patients had
recurrence of the hospitalization for the same problem. A significant factor
noted between ADR hospitalized and non-ADR residents was the number of
medications per patient (7.9 ± 2.6 vs 3.3 ± 1.3) for the same number of
problems. Conclusions. Adverse drug reaction-related hospitalizations may
affect as many as one of every seven nursing home residents and appear to be
related to polypharmacy as well as inattention to patient history of
contraindications and previous ADRs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
digoxin (adverse drug reaction)
insulin (adverse drug reaction)
nonsteroid antiinflammatory agent (adverse drug reaction)
psychotropic agent (adverse drug reaction)
EMTREE DRUG INDEX TERMS
acetazolamide (adverse drug reaction)
acetylsalicylic acid (adverse drug reaction, drug combination)
cholinergic receptor blocking agent (adverse drug reaction)
clindamycin (adverse drug reaction)
clorazepate (adverse drug reaction, drug combination)
codeine (adverse drug reaction, drug combination)
desipramine (adverse drug reaction, drug combination)
diazepam (adverse drug reaction, drug combination)
haloperidol (adverse drug reaction)
hydroxyzine (adverse drug reaction, drug combination)
ibuprofen (adverse drug reaction, drug combination)
indometacin (adverse drug reaction, drug combination)
naproxen (adverse drug reaction, drug combination)
pentobarbital (adverse drug reaction, drug combination)
phenylbutazone (adverse drug reaction, drug combination)
phenytoin (adverse drug reaction, drug combination)
temazepam (adverse drug reaction, drug combination)
terpin hydrate (adverse drug reaction, drug combination)
tetracycline (adverse drug reaction)
thioridazine (adverse drug reaction, drug combination)
tiotixene (adverse drug reaction, drug combination)
warfarin (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease (epidemiology, side effect)
geriatric care
EMTREE MEDICAL INDEX TERMS
aged
article
bleeding (side effect)
dystonia (side effect)
female
gastrointestinal symptom (side effect)
hospital admission
human
incidence
major clinical study
male
nursing home
patient care
polypharmacy
CAS REGISTRY NUMBERS
acetazolamide (1424-27-7, 59-66-5)
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
clindamycin (18323-44-9)
clorazepate (20432-69-3, 23887-31-2)
codeine (76-57-3)
desipramine (50-47-5, 58-28-6)
diazepam (439-14-5)
digoxin (20830-75-5, 57285-89-9)
haloperidol (52-86-8)
hydroxyzine (2192-20-3, 64095-02-9, 68-88-2)
ibuprofen (15687-27-1)
indometacin (53-86-1, 74252-25-8, 7681-54-1)
insulin (9004-10-8)
naproxen (22204-53-1, 26159-34-2)
pentobarbital (57-33-0, 76-74-4)
phenylbutazone (129-18-0, 50-33-9, 8054-70-4)
phenytoin (57-41-0, 630-93-3)
temazepam (846-50-4)
terpin hydrate (2451-01-6, 8006-39-1)
tetracycline (23843-90-5, 60-54-8, 64-75-5)
thioridazine (130-61-0, 50-52-2)
tiotixene (5591-45-7)
warfarin (129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1999175117
MEDLINE PMID
10342894 (http://www.ncbi.nlm.nih.gov/pubmed/10342894)
FULL TEXT LINK
http://dx.doi.org/10.1097/00007611-199905000-00007
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 881
TITLE
Gambling and health: against all odds.
AUTHOR NAMES
Christensen M.H.
Patsdaughter C.A.
Miller K.H.
Dowd L.J.
AUTHOR ADDRESSES
(Christensen M.H.; Patsdaughter C.A.; Miller K.H.; Dowd L.J.) College of
Nursing, Northeastern University, Boston, MA, USA.
CORRESPONDENCE ADDRESS
M.H. Christensen, College of Nursing, Northeastern University, Boston, MA,
USA.
SOURCE
Nursing spectrum (D.C./Baltimore metro ed.) (1999) 9:8 (12-14). Date of
Publication: 19 Apr 1999
ISSN
1098-9153
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
pathological gambling
patient education
EMTREE MEDICAL INDEX TERMS
human
methodology
nursing assessment
patient referral
prevalence
psychological aspect
review
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10562204 (http://www.ncbi.nlm.nih.gov/pubmed/10562204)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 882
TITLE
Substance abuse among nursing students. Establishing a comprehensive policy
and procedure for faculty intervention.
AUTHOR NAMES
Clark C.M.
AUTHOR ADDRESSES
(Clark C.M.) Boise State University, Idaho, USA.
CORRESPONDENCE ADDRESS
C.M. Clark, Boise State University, Idaho, USA. Email: cclark@bsu.idbsu.edu
SOURCE
Nurse educator (1999) 24:2 (16-19). Date of Publication: 1999 Mar-Apr
ISSN
0363-3624
ABSTRACT
Substance abuse among nursing students is a significant problem requiring
careful and prudent consideration. Studies reveal that many impaired
professional nurses were addicted as students. This article provides a
step-by-step guideline for developing comprehensive procedures for faculty
who must deal with chemically-impaired.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health service
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
health care quality
human
organization and management
policy
program development
psychological aspect
public relations
social support
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10410019 (http://www.ncbi.nlm.nih.gov/pubmed/10410019)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 883
TITLE
Assessing nursing students' basic communication and interviewing skills: the
development and testing of a rating scale.
AUTHOR NAMES
Arthur D.
AUTHOR ADDRESSES
(Arthur D.) Department of Nursing and Health Sciences, The Hong Kong
Polytechnic University, Hung Hom, Kowloon.
CORRESPONDENCE ADDRESS
D. Arthur, Department of Nursing and Health Sciences, The Hong Kong
Polytechnic University, Hung Hom, Kowloon.
SOURCE
Journal of advanced nursing (1999) 29:3 (658-665). Date of Publication: Mar
1999
ISSN
0309-2402
ABSTRACT
This study explores the communication skills of a group of nursing students
who were required to interview a simulated client as part of their studies.
In order to assess the students and to improve the process of learning
discrete skills, an instrument was developed and tested as part of this
process. The subjects were 212 nurses enrolled in a bachelor of nursing
programme, in New South Wales, Australia, who were studying a problem-based
learning package the focus of which was 'alcohol early intervention'. The
sub-groups within the sample included registered nurses, a significant
percentage of whom had completed their basic nursing education in overseas
countries. The Simulated Client Interview Rating Scale (SCIRS) was developed
to assess basic humanistic communication skills as well as beginning
motivational interviewing skills. The students were required to interview a
simulated client and demonstrate competence in interviewing. This was
assessed by the SCIRS which was completed by the students and the simulated
clients. The instrument proved to be a reliable and valid means of assessing
student interview technique as well as a flexible educational tool, while
valuable insights into students' interviewing techniques were gained.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
interpersonal communication
nurse patient relationship
nursing education
psychotherapy
EMTREE MEDICAL INDEX TERMS
alcoholism (rehabilitation)
analysis of variance
article
Australia
clinical trial
crossover procedure
human
methodology
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10210463 (http://www.ncbi.nlm.nih.gov/pubmed/10210463)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 884
TITLE
Promoting family-centered care with foster families.
AUTHOR NAMES
Barton S.J.
AUTHOR ADDRESSES
(Barton S.J.) College of Nursing and Clinical Nurse Researcher, University
of Kentucky Children's Hospital, Lexington, USA.
CORRESPONDENCE ADDRESS
S.J. Barton, College of Nursing and Clinical Nurse Researcher, University of
Kentucky Children's Hospital, Lexington, USA.
SOURCE
Pediatric nursing (1999) 25:1 (57-59). Date of Publication: 1999 Jan-Feb
ISSN
0097-9805
ABSTRACT
There has been a tremendous increase in the need for foster families since
the 1980s largely because of the effects of drug abuse on the child and the
biological family. As many as 500,000 children are currently living with
foster families. Many children living with foster families were exposed to
drugs before birth. Even those not exposed before birth demonstrate the
effects of having lived with drug-abusing family members. Family life for
these children is very often chaotic and unpredictable. There are increased
health care needs for foster children due to drug-exposure and neglect. Yet,
research suggests that the health care needs of foster children are often
neglected. Foster families report that their concerns and needs are,
frequently, neither recognized nor addressed by health professionals.
Pediatric nurses can improve health care by increasing their awareness of
the special needs of foster families and foster children.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child welfare
family health
foster care
health promotion
patient care
pediatric nursing
EMTREE MEDICAL INDEX TERMS
adult
child
human
methodology
needs assessment
psychological aspect
review
statistics
United States
work
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10335250 (http://www.ncbi.nlm.nih.gov/pubmed/10335250)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 885
TITLE
Alcohol and drug misuse in the nursing home
AUTHOR NAMES
Joseph C.L.
Harvath T.
AUTHOR ADDRESSES
(Joseph C.L.; Harvath T.) Honolulu VAMROC, P.O. Box 50188, Honolulu, HI
96850, United States.
CORRESPONDENCE ADDRESS
C.L. Joseph, Honolulu VAMROC, P.O. Box 50188, Honolulu, HI 96850, United
States.
SOURCE
Journal of Mental Health and Aging (1998) 4:2 (251-269). Date of
Publication: 1998
ISSN
1078-4470
ABSTRACT
Substance misuse is a common, treatable cause of morbidity and mortality
among nursing home (NH) residents. Problematic substance use may be
initiated by the resident him- or herself as in the case of tobacco,
alcohol, or illicit drugs; or may be visited on the resident by health care
providers in the form of inappropriate prescribing. This review covers the
practical aspects of recognizing and managing substance misuse problems in
the NH setting.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
substance abuse
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
caregiver
health care personnel
human
nursing home
prescription
smoking
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998370528
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 886
TITLE
Nursing students with disabilities.
AUTHOR NAMES
Murphy G.T.
Brennan M.
AUTHOR ADDRESSES
(Murphy G.T.; Brennan M.) Dalhousie University School of Nursing, Halifax,
N.S.
CORRESPONDENCE ADDRESS
G.T. Murphy, Dalhousie University School of Nursing, Halifax, N.S.
SOURCE
The Canadian nurse (1998) 94:10 (31-34). Date of Publication: Nov 1998
ISSN
0008-4581
ABSTRACT
Nursing is a self-licensing profession with an ever-increasing
responsibility to develop and sustain public trust. Thus, there is a need
for nurses not only to be accountable and trustworthy but to be perceived by
the public as accountable and trustworthy. Recognizing the special need for
trust in caregivers, the Faculty of Health Professions at Dalhousie
University has recently instituted a policy enabling its schools to suspend
or terminate a student from a program based on the student's professional
unsuitability. Unsuitability could include a type of conduct (criminal
behavior, substance abuse or unethical behavior) or a health impairment that
affects the student's ability to meet performance requirements. The
challenge for the health profession schools, including Nursing, is to
develop specific guidelines for implementing the policy. Guidelines on
performance requirements for students with disabilities will be particularly
difficult to define.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
disabled person
education
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
addiction
Canada
crime
human
medical ethics
organization and management
policy
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10025278 (http://www.ncbi.nlm.nih.gov/pubmed/10025278)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 887
TITLE
A chemical dependence clinical experience.
AUTHOR NAMES
Freed P.E.
York L.N.
AUTHOR ADDRESSES
(Freed P.E.; York L.N.) Barnes College of Nursing, University of Missouri,
USA.
CORRESPONDENCE ADDRESS
P.E. Freed, Barnes College of Nursing, University of Missouri, USA.
SOURCE
Nurse educator (1998) 23:5 (13-15). Date of Publication: 1998 Sep-Oct
ISSN
0363-3624
ABSTRACT
Chemical dependence treatment clinical experiences in undergraduate nursing
programs can provide appropriate entry-level experiences for students in
community settings when supervised adequately and arranged carefully. They
increase students' awareness of the pervasiveness of alcohol and
substance-related problems and its impact on individuals, families, and
societies. With careful attention to entry barriers and orientation issues,
faculty can develop clinical sites that provide a wealth of experience and
opportunity for students to develop themselves both personally and
professionally.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
nursing student
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9866555 (http://www.ncbi.nlm.nih.gov/pubmed/9866555)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 888
TITLE
Are practice nurses an unexplored resource in the identification and
management of alcohol misuse? Results from a study of practice nurses in
England and Wales in 1995.
AUTHOR NAMES
Deehan A.
Templeton L.
Taylor C.
Drummond C.
Strang J.
AUTHOR ADDRESSES
(Deehan A.; Templeton L.; Taylor C.; Drummond C.; Strang J.) National
Addiction Centre, London, England.
CORRESPONDENCE ADDRESS
A. Deehan, National Addiction Centre, London, England.
SOURCE
Journal of advanced nursing (1998) 28:3 (592-597). Date of Publication: Sep
1998
ISSN
0309-2402
ABSTRACT
Changes in the health promotional work undertaken in primary care, including
the work needed to meet the 'Health of the Nation' alcohol targets, have led
to a rapid expansion of the number of practice nurses in England and Wales.
However, there has been little evaluation of this role. This study provides
data, for the first time at a national level, about practice nurses' work in
identifying and managing patients drinking above recommended sensible
guidelines. Data were collected by postal questionnaire from all nurses in a
50% random sample of 1852 practices (drawn from a general practitioner (GP)
national study, undertaken at the same time). 43% of nurses responded from
62% of the targeted practices. Respondents reported identifying a mean of
3.1 patients per month who were drinking above recommended sensible
guidelines. These patients tended to be male, above 40 years of age and in
contact with the nurse for the first time about this problem. Most patients
were categorized as having a potential alcohol problem; few were classified
as currently dependent. Very little intervention work was undertaken by
nurses except for referral to the GP. If real progress is to be made in
meeting the 'Health of the Nation' targets on population alcohol
consumption, then primary care work in identifying alcohol misusing patients
needs to be developed as a matter of urgency. The patients identified by
practice nurses are those patients relevant to the 'Health of the Nation'
alcohol targets. More emphasis needs to be placed on the valuable
contribution practice nurses can make, particularly through the use of
screening instruments and brief interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
health promotion
nurse practitioner
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled clinical trial
controlled study
female
human
male
nursing
questionnaire
randomized controlled trial
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9756228 (http://www.ncbi.nlm.nih.gov/pubmed/9756228)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 889
TITLE
Adolescent medicine training in pediatric residency programs: Are we doing a
good job?
AUTHOR NAMES
Emans S.J.
Bravender T.
Knight J.
Frazer C.
Luoni M.
Berkowitz C.
Armstrong E.
Goodman E.
AUTHOR ADDRESSES
(Emans S.J.; Bravender T.; Luoni M.; Goodman E.) Div. of Adol./Young Adult
Medicine, Children's Hospital, Boston, MA, United States.
(Knight J.; Frazer C.) Division of General Pediatrics, Children's Hospital,
Boston, MA, United States.
(Emans S.J.; Bravender T.; Knight J.; Frazer C.; Armstrong E.; Goodman E.)
Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
(Berkowitz C.) Harbor UCLA Medical Center, Torrance, CA, United States.
(Armstrong E.) Office of Educational Development, Harvard Medical School,
Boston, MA, United States.
(Emans S.J.) Div. of Adol./Young Adult Medicine, Children's Hospital, 300
Longwood Ave, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
S.J. Emans, Div. of Adolescent/Young Adult Med., Children's Hospital, 300
Longwood Ave, Boston, MA 02115, United States.
SOURCE
Pediatrics (1998) 102:3 I (588-595). Date of Publication: September 1998
ISSN
0031-4005
BOOK PUBLISHER
American Academy of Pediatrics, 141 Northwest Point Blvd, P.O. Box 927, Elk
Grove Village, United States.
ABSTRACT
Objectives. To determine how pediatric residency programs are responding to
the new challenges of teaching adolescent medicine (AM) to residents by
assessing whether manpower is adequate for training, whether AM curricula
and skills are adequately covered by training programs, what types of
teaching methodologies are used to train residents in AM, and the needs for
new curricular materials to teach AM. Design. A 3-part 92-item survey mailed
to all US pediatric residency training programs. Setting. Pediatric
residency programs. Participants. Residency program directors and directors
of AM training. Main Outcome Measures. AM divisional structure, clinical
sites of training, presence of a block rotation, and faculty of pediatric
training programs; training materials used and desired in AM; perceived
adequacy of coverage of various AM topics; competency of residents in
performing pelvic examinations in sexually active teens; and manpower needs.
Results. A total of 155/211 (73.5%) of programs completed the program
director and the AM parts of the survey. Ninety-six percent of programs
(size range, 5-120 residents) had an AM block rotation and 90% required the
AM block; those without a block rotation were more likely to be larger
programs. Only 39% of programs felt that the number of AM faculty was
adequate for teaching residents. Almost half of the programs reported lack
of time, faculty, and curricula to teach content in substance abuse. Besides
physicians, AM teachers included nurse practitioners (28%), psychologists
(25%), and social workers (19%). Topics most often cited as adequately
covered included sexually transmitted diseases (81.9%), confidentiality
(79.4%), puberty (77.0%), contraception (76.1%), and menstrual problems
(73.5%). Topics least often cited as adequately covered included
psychological testing (16.1%), violence in relationships (20.0%), violence
and weapon-carrying (29.7%), and sports medicine (29.7%). Fifty-eight
percent of 137 respondents thought that all or nearly all of their residents
were competent in performing pelvic examinations by the end of training;
there was no difference between perceived competence and the residents' use
of procedure books. Seventy-four percent used a specific curriculum for
teaching AM; materials included chapters/articles (85%), lecture outlines
(76.1%), slides (41.9%), videos (35.5%), written case studies (24.5%),
computerized cases (6.5%), and CD- ROMs (3.2%). Fifty-two percent used
Bright Futures, 48% used the Guidelines for Adolescent Preventive Services,
and 14% used the Guide to Clinical Preventive Services for teaching clinical
preventive services. Programs that used Bright Futures were more likely to
feel that preventive services were adequately covered in their programs than
those who did not (78% vs 57%). A majority of programs desired more
learner-centered materials. Conclusions. Although almost all pediatric
programs are now providing AM rotations, there is significant variability in
adequacy of training across multiple topics important for resident
education. Programs desire more learner-centered materials and more faculty
to provide comprehensive resident education in AM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
residency education
EMTREE MEDICAL INDEX TERMS
article
child health care
clinical education
confidentiality
contraception
medical education
menstruation disorder
pediatrics
priority journal
puberty
sexually transmitted disease
sports medicine
violence
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998301109
MEDLINE PMID
9738181 (http://www.ncbi.nlm.nih.gov/pubmed/9738181)
FULL TEXT LINK
http://dx.doi.org/10.1542/peds.102.3.588
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 890
TITLE
Alcohol-related problems: a critical review of the literature and directions
in nurse education.
AUTHOR NAMES
Arthur D.
AUTHOR ADDRESSES
(Arthur D.) Department of Health Sciences, Hong Kong Polytechnic University,
Kowloon, Hong Kong.
CORRESPONDENCE ADDRESS
D. Arthur, Department of Health Sciences, Hong Kong Polytechnic University,
Kowloon, Hong Kong.
SOURCE
Nurse education today (1998) 18:6 (477-487). Date of Publication: Aug 1998
ISSN
0260-6917
ABSTRACT
It is generally accepted the around 2-5% of the adult population show major
signs of alcohol dependence, that alcohol-related harm is experienced by up
to 20% of the population, and that approximately 60% drink at risk-free
levels. Further prevalence studies show that there are high numbers of
problem drinkers who attend general hospital services for reasons other than
their alcohol consumption. Nurses are in constant contact with patients who
may have an early problem with alcohol but who are admitted for other
reasons, and they are in a prime position to comprehensively assess patients
(including alcohol screening), develop rapport and provide 'counselling'.
Also, university nursing education is propelling nurses toward adoption of
independent discipline focused models of care which are increasingly
becoming independent of the medical model. Recent trends in the management
of problem drinkers suggest that controlled drinking approaches may well
offer treatment options to nurses that the traditional abstinence approaches
did not. This paper presents a brief overview of the notion of controlled
drinking, then critically reviews the nursing research studies and the
descriptive literature providing direction for nursing education. Some
recent clinical initiatives are discussed which highlight the flaws existing
in nursing education, including lack of sufficient curriculum hours and the
need for better designed education models and strategies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
adult
human
model
nursing
organization and management
professional practice
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9847741 (http://www.ncbi.nlm.nih.gov/pubmed/9847741)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 891
TITLE
A satisfaction survey on distance education: a model for educating nurses in
the cognitive treatment of patients with addictive disorders.
AUTHOR NAMES
Reilly C.E.
AUTHOR ADDRESSES
(Reilly C.E.) College of Health and Nursing Sciences, University of
Delaware, Newark, USA.
CORRESPONDENCE ADDRESS
C.E. Reilly, College of Health and Nursing Sciences, University of Delaware,
Newark, USA.
SOURCE
Journal of psychosocial nursing and mental health services (1998) 36:7
(38-41). Date of Publication: Jul 1998
ISSN
0279-3695
ABSTRACT
Nurses need to be educated and trained in the assessment and treatment of
substance abuse, because 25% to 50% of their patients struggle with this
problem. Cognitive therapy takes a problem-solving approach and can be used
independently, or in conjunction with, psychopharmacological or 12-step
programs. Course participants who made use of the distant education format
found the information they learned helpful in their current practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
cognitive therapy
continuing education
health personnel attitude
nursing education
nursing student
psychiatric nursing
telecommunication
EMTREE MEDICAL INDEX TERMS
article
education
educational model
health care quality
human
organization and management
psychological aspect
psychological model
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9670120 (http://www.ncbi.nlm.nih.gov/pubmed/9670120)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 892
TITLE
Self-resolution of drinking problems as a process of reinvesting in self.
AUTHOR NAMES
Finfgeld D.L.
AUTHOR ADDRESSES
(Finfgeld D.L.) Sinclair School of Nursing, University of Missouri-Columbia,
USA.
CORRESPONDENCE ADDRESS
D.L. Finfgeld, Sinclair School of Nursing, University of Missouri-Columbia,
USA.
SOURCE
Perspectives in psychiatric care (1998) 34:3 (5-15). Date of Publication:
1998 Jul-Sep
ISSN
0031-5990
ABSTRACT
PROBLEM: Resolution of alcohol problems without formal treatment or
participation in self-help groups. METHODS: Qualitative study using grounded
theory (N = 11). FINDINGS: The onset of alcohol problems begins with
negligible penalties. Over time, the cost-benefit ratio of drinking habits
continues to rise and the risks become too great. Individuals find it
necessary to change their drinking patterns by reinvesting in themselves.
Assets such as the ongoing availability of information, life-management
skills, and self-confidence promote the change process; cultural mores and
behaviors of some healthcare providers serve as liabilities. The dividends
of self-resolving alcohol problems include self-pride, mental and physical
health, conscientious work performance, rewarding relationships, enhancement
of creative talents, and spiritual well-being. CONCLUSIONS: Nurses can play
an important role in promoting self-resolution of alcohol problems by
providing accurate information and encouraging clients to reinvest in
long-standing priorities and values.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
health promotion
self care
self concept
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
cost of illness
female
human
male
methodology
middle aged
nursing
nursing methodology research
psychiatric nursing
psychological aspect
psychological model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9847834 (http://www.ncbi.nlm.nih.gov/pubmed/9847834)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 893
TITLE
Drinking decisions. An innovative approach to problem drinking.
AUTHOR NAMES
McNaughton S.
Sauvé L.
Ashmore J.
Robson E.
AUTHOR ADDRESSES
(McNaughton S.; Sauvé L.; Ashmore J.; Robson E.) Capital Health, Community
Care and Public Health, Edmonton.
CORRESPONDENCE ADDRESS
S. McNaughton, Capital Health, Community Care and Public Health, Edmonton.
SOURCE
The Canadian nurse (1998) 94:6 (26-29). Date of Publication: Jun 1998
ISSN
0008-4581
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
community health nursing
health promotion
EMTREE MEDICAL INDEX TERMS
article
Canada
consumer
education
health care quality
human
organization and management
patient selection
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9677906 (http://www.ncbi.nlm.nih.gov/pubmed/9677906)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 894
TITLE
A joint effort.
AUTHOR NAMES
Porter R.
AUTHOR ADDRESSES
(Porter R.)
CORRESPONDENCE ADDRESS
R. Porter,
SOURCE
Nursing times (1998) 94:18 (14). Date of Publication: 1998 May 6-12
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health care policy
health promotion
EMTREE MEDICAL INDEX TERMS
article
human
national health service
nursing discipline
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9633404 (http://www.ncbi.nlm.nih.gov/pubmed/9633404)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 895
TITLE
Improving interactions between substance abusing mothers and their
substance-exposed newborns.
AUTHOR NAMES
French E.D.
Pituch M.
Brandt J.
Pohorecki S.
AUTHOR ADDRESSES
(French E.D.; Pituch M.; Brandt J.; Pohorecki S.) Lourdes College, Sylvania,
OH, USA.
CORRESPONDENCE ADDRESS
E.D. French, Lourdes College, Sylvania, OH, USA.
SOURCE
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG
(1998) 27:3 (262-269). Date of Publication: 1998 May-Jun
ISSN
0884-2175
ABSTRACT
OBJECTIVE: To determine whether teaching comforting and interacting
techniques within 24 hours of delivery to substance-abusing mothers will
improve mother-infant interactions 48-72 hours after discharge. DESIGN: An
experimental three-group, random assignment, pretest-posttest design.
SETTING: Mothers attending a clinic serving a mostly indigent population.
PARTICIPANTS: Eighty-three women whose urine was positive for drug use were
invited to participate. Sixty mother-newborn couplets completed the study.
INTERVENTIONS: Two observers, blind to the mothers' drug history, completed
the Nursing Child Assessment Feeding Scale (NCAFS) of all participants
within 24 hours of delivery. Mothers in the experimental group were given
the intervention. The observers completed the NCAFS in the mothers' homes
48-72 hours after discharge. RESULTS: At the home visit, couplets in the
treatment group showed significant improvement in their total NCAFS score (F
= 5.18; p = .008). When analyzed separately, only maternal scores showed a
significant difference between the treatment and control groups at the home
visit (F = 6.48; p = .0029). CONCLUSIONS: Nurses, by demonstrating
caregiving behavior, can help mothers recognize and respond to newborns'
behavioral cues, thus enhancing mother-newborn interactions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
child parent relation
feeding behavior
patient education
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
adult
analysis of variance
article
association
cannabis addiction
clinical trial
controlled clinical trial
controlled study
female
human
newborn
nursing
randomized controlled trial
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9620818 (http://www.ncbi.nlm.nih.gov/pubmed/9620818)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 896
TITLE
Talking with patients and families about addiction.
AUTHOR NAMES
McCaffery M.
Pasero C.L.
AUTHOR ADDRESSES
(McCaffery M.; Pasero C.L.)
CORRESPONDENCE ADDRESS
M. McCaffery,
SOURCE
The American journal of nursing (1998) 98:3 (18-21). Date of Publication:
Mar 1998
ISSN
0002-936X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic analgesic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
opiate addiction
pain (drug therapy, etiology)
patient education
EMTREE MEDICAL INDEX TERMS
article
chronic disease
family
fear
human
neoplasm
nursing
pathophysiology
psychological aspect
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9536172 (http://www.ncbi.nlm.nih.gov/pubmed/9536172)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 897
TITLE
Caring by degrees.
AUTHOR NAMES
Ward C.
AUTHOR ADDRESSES
(Ward C.) School of Nursing, Curtin University of Technology, Perth.
CORRESPONDENCE ADDRESS
C. Ward, School of Nursing, Curtin University of Technology, Perth.
SOURCE
Contemporary nurse : a journal for the Australian nursing profession (1998)
7:1 (24-28). Date of Publication: Mar 1998
ISSN
1037-6178
ABSTRACT
Caring is synonymous with nursing and, regardless of the culture, race,
lifestyle or sexuality of clients, nurses should care for all clients.
However, the emergence of HIV/AIDS brought a new and quite different
challenge to nurses with regard to willingness to care. Some nurses
expressed a negative attitude toward, and reluctance to care for, those
clients with HIV/AIDS, mainly due to fear of contagion based on ignorance
about the disease. The purpose of this cross-sectional study was firstly to
determine if there were differences in attitudes toward caring for clients
with HIV/AIDS in the three different at-risk groups (homosexuals,
intravenous drug users and haemophiliacs), as expressed by nursing students
at the beginning (Semester 1) and at the end (Semester 7) of a
three-and-a-half-year nursing degree programme. The second determination was
whether or not there were differences between the two groups of students
regarding their knowledge of HIV/AIDS. Data results indicated no significant
difference between the two groups of students in regard to caring attitude
towards members of the at-risk groups and knowledge of AIDS. This paper
discusses the implications of the research findings for nursing and further
research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
attitude to health
empathy
health personnel attitude
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
disease transmission
female
hemophilia A (complication)
homosexuality
human
male
nursing
nursing education
psychological aspect
social psychology
substance abuse (complication)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9764005 (http://www.ncbi.nlm.nih.gov/pubmed/9764005)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 898
TITLE
Nurses' attitudes towards alcoholism: factor analysis of three commonly used
scales.
AUTHOR NAMES
Pillon S.
Laranjeira R.
Dunn J.
AUTHOR ADDRESSES
(Pillon S.; Laranjeira R.; Dunn J.) Department of Gastroenterology,
Universidade Federal de São Paulo, Escola Paulista de Medicina, Brazil.
CORRESPONDENCE ADDRESS
S. Pillon, Department of Gastroenterology, Universidade Federal de São
Paulo, Escola Paulista de Medicina, Brazil. Email: pillon@psiquiatria.epm.br
SOURCE
São Paulo medical journal = Revista paulista de medicina (1998) 116:2
(1661-1666). Date of Publication: 1998 Mar-Apr
ISSN
1516-3180
ABSTRACT
OBJECTIVE: To investigate the psychometric properties of three scales
commonly used to measure attitudes and beliefs about alcoholism. DESIGN:
Cross-sectional study using a systematic sample. SETTING: Hospital São Paulo
(a public general tertiary hospital) and the adjoining Federal University of
São Paulo, Brazil. PARTICIPANTS: 310 nurses and nursing teachers.
INSTRUMENTS: The Marcus Alcoholism Questionnaire, The Seaman Mannello
Nurses' Attitudes Towards Alcohol and Alcoholism Scale and The Tolor-Tamarin
Attitudes Towards Alcoholism Scale, which were combined into one
self-administered questionnaire. ANALYSIS: The scales were re-grouped into
their original formats and each underwent a principal components analysis
with orthogonal rotation of factors. RESULTS: Each scale was found to
consist of three main factors. There was some degree of overlap in the
nature of the factors that the scales measured but each scale also measured
something unique. CONCLUSION: The results of this comparative analysis could
be used as a basis for developing a new scale covering all the important
attitudinal groups identified by this study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
health personnel attitude
nurse
EMTREE MEDICAL INDEX TERMS
article
comparative study
factorial analysis
human
psychometry
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9778885 (http://www.ncbi.nlm.nih.gov/pubmed/9778885)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 899
TITLE
Use of antipsychotic drugs in nursing homes: Current compliance with OBRA
regulations
AUTHOR NAMES
Llorente M.D.
Olsen E.J.
Leyva O.
Silverman M.A.
Lewis J.E.
Rivero J.
AUTHOR ADDRESSES
(Llorente M.D.; Olsen E.J.; Leyva O.; Silverman M.A.; Lewis J.E.; Rivero J.)
University of Miami, School of Medicine, Miami, FL, United States.
(Llorente M.D.; Olsen E.J.; Leyva O.; Rivero J.) UPBEAT Program, Miami Vet.
Admin. Medical Center, Miami, FL, United States.
(Llorente M.D.; Olsen E.J.; Leyva O.; Silverman M.A.; Rivero J.) Miami Vet.
Admin. Medical Center, Geriatric Res., Educ. and Clin. Ctr., Miami, FL,
United States.
(Llorente M.D.) UPBEAT, Dept. of Psychiatric, Vet.' Administration Medical
Center, 1201 NW 16 St., Miami, FL 33125, United States.
CORRESPONDENCE ADDRESS
M.D. Llorente, UPBEAT, Psychia. Vet. Admin. Med. Ctr. Dept., 1201 NW 16 St.,
Miami, FL 33125, United States.
SOURCE
Journal of the American Geriatrics Society (1998) 46:2 (198-201). Date of
Publication: February 1998
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVE: To examine the degree and patterns of compliance with the Omnibus
Budget Reconciliation Act (OBRA) regulations regarding the use of
antipsychotic drugs in nursing homes. DESIGN: Retrospective chart review of
all resident records. PARTICIPANTS: Eight nursing homes: five community, two
county-owned, and one university-affiliated Veterans Administration
facility. MEASUREMENTS: A structured assessment instrument to track
compliance with each aspect of the OBRA regulations regarding antipsychotic
drug use. RESULTS: A total of 1573 nursing home residents' pharmacy records
were reviewed between August 1994 and March 1996. Two hundred seventy-nine
residents were actively taking antipsychotic medications (prevalence =
17.7%). Mean compliance greater than 70% was found for (1) appropriate
diagnostic indication (X̄ = 70.9%), (2) dosage within recommended limits (X̄
= 90.1%), and 3) documented appropriate target symptoms (X̄ = 90.4%).
Dosages were more likely to exceed limits in those patients with histories
of major mental illness, particularly schizophrenia. CONCLUSIONS: Nursing
homes were better able to comply with those guidelines that are most
specific. Educational interventions now need to focus on behavioral
interventions, monitoring of adverse effects, and efficacy. These data are
useful in establishing threshold levels of performance and can be used by
nursing homes for continuous quality improvement. OBRA continues to impact
neuroleptic drug prescribing practices in nursing homes significantly.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (adverse drug reaction, drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug legislation
drug misuse
nursing home
schizophrenia (drug therapy)
EMTREE MEDICAL INDEX TERMS
aged
aggression
agitation
article
behavior therapy
clinical practice
cost control
drug effect
drug indication
elderly care
health education
human
major clinical study
paranoia (epidemiology, side effect)
practice guideline
prevalence
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998058235
MEDLINE PMID
9475449 (http://www.ncbi.nlm.nih.gov/pubmed/9475449)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 900
TITLE
Newer psychotropic medication use in nursing home residents
AUTHOR NAMES
Lasser R.A.
Sunderland T.
AUTHOR ADDRESSES
(Lasser R.A.; Sunderland T.) Geriatric Psychiatry Branch, National Institute
of Mental Health, Bethesda, MD, United States.
(Lasser R.A.) Bldg. 10, NIMH, Clinical Center, 10 Center Drive, Bethesda, MD
20892-1264, United States.
CORRESPONDENCE ADDRESS
R.A. Lasser, Bldg 10, Clinical Center, MSC 1264, 10 Center Drive, Bethesda,
MD 20892-1264, United States.
SOURCE
Journal of the American Geriatrics Society (1998) 46:2 (202-207). Date of
Publication: February 1998
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVE: To evaluate the use of newer psychotropic agents in nursing home
residents in the era of new Health Care Financing Administration (HCFA)
guidelines. DESIGN: Retrospective chart review of referrals to an on-site
geriatric psychiatry service in seven Eastern Massachusetts facilities
during 1995-1996. SUBJECTS: The 298 patients examined included 226 women and
72 men with a mean (SD) age of 81.9 (9.4) years. MEASUREMENTS: Patient
demographics, psychiatric history and medical diagnoses, prescribed
medication information, and mental status examination results were recorded
systematically. Descriptive statistics of demographics, medication use, and
dosing were generated, and comparative analyses were performed by
chi-square, ANOVA, and Tukey's tests. RESULTS: Overall, 69% of subjects were
taking at least one psychotropic medication. Although benzodiazepines (32%)
and antipsychotics (42%) were used by a large portion of subjects,
antidepressants (61%) were the most commonly prescribed psychotropic, with
53% taking serotonin reuptake inhibitors. The atypical antipsychotic,
risperidone, accounted for more than 30% of antipsychotic prescriptions. Low
rates of anticholinergic use and low doses and rates of tricyctic
antidepressant use were found in Alzheimer's disease patients. Mean dosing
of the psychotropic agents fell within HCFA guidelines. CONCLUSIONS:
Newer-generation psychotropics have had a significant impact on the
prescribing practices of primary physicians in treating nursing home
residents. Of clinical importance is the high rate of antidepressant use in
a population that has traditionally received inadequate pharmacotherapy for
depression. More studies are needed to examine a shift to the use of other
psychotropic drugs in this population in the post-HCFA area.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (adverse drug reaction, drug comparison, drug dose,
drug therapy)
cholinergic receptor blocking agent (drug therapy)
neuroleptic agent (adverse drug reaction, drug comparison, drug dose, drug
therapy)
sedative agent (drug comparison, drug dose, drug therapy)
serotonin uptake inhibitor (drug comparison, drug dose, drug therapy)
tricyclic antidepressant agent (adverse drug reaction, drug comparison, drug
dose, drug therapy)
EMTREE DRUG INDEX TERMS
amfebutamone (drug comparison, drug dose, drug therapy)
amitriptyline (drug comparison, drug dose, drug therapy)
antihistaminic agent (drug therapy)
benzatropine (drug therapy)
carbamazepine (drug therapy)
chlorpromazine (drug comparison, drug dose, drug therapy)
clozapine (adverse drug reaction, drug comparison, drug dose, drug therapy)
diphenhydramine (drug therapy)
fluphenazine (adverse drug reaction, drug comparison, drug dose, drug
therapy)
haloperidol (adverse drug reaction, drug comparison, drug dose, drug
therapy)
hydroxyzine (drug therapy)
lithium carbonate (drug therapy)
nefazodone (drug comparison, drug dose, drug therapy)
olanzapine (drug therapy)
quetiapine (drug therapy)
risperidone (adverse drug reaction, drug comparison, drug dose, drug
therapy)
tiotixene (adverse drug reaction, drug comparison, drug dose, drug therapy)
trazodone (drug comparison, drug dose, drug therapy)
trifluoperazine (adverse drug reaction, drug comparison, drug dose, drug
therapy)
valproic acid (drug therapy)
venlafaxine (drug comparison, drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
mental disease (drug therapy, epidemiology)
nursing home
EMTREE MEDICAL INDEX TERMS
aged
Alzheimer disease (drug therapy, epidemiology)
anxiety neurosis (drug therapy, epidemiology)
article
bipolar disorder (drug therapy, epidemiology)
clinical practice
depression (drug therapy, epidemiology)
drug efficacy
drug indication
drug legislation
drug misuse
extrapyramidal symptom (drug therapy, side effect)
female
human
institutional care
major clinical study
male
practice guideline
schizophrenia (drug therapy, epidemiology)
tardive dyskinesia (drug therapy, side effect)
CAS REGISTRY NUMBERS
amfebutamone (31677-93-7, 34911-55-2)
amitriptyline (50-48-6, 549-18-8)
benzatropine (86-13-5)
carbamazepine (298-46-4, 8047-84-5)
chlorpromazine (50-53-3, 69-09-0)
clozapine (5786-21-0)
diphenhydramine (147-24-0, 58-73-1)
fluphenazine (146-56-5, 69-23-8)
haloperidol (52-86-8)
hydroxyzine (2192-20-3, 64095-02-9, 68-88-2)
lithium carbonate (554-13-2)
nefazodone (82752-99-6, 83366-66-9)
olanzapine (132539-06-1)
quetiapine (111974-72-2)
risperidone (106266-06-2)
tiotixene (5591-45-7)
trazodone (19794-93-5, 25332-39-2)
trifluoperazine (117-89-5, 440-17-5)
valproic acid (1069-66-5, 99-66-1)
venlafaxine (93413-69-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998058236
MEDLINE PMID
9475450 (http://www.ncbi.nlm.nih.gov/pubmed/9475450)
COPYRIGHT
Copyright 2011 Elsevier B.V., All rights reserved.
RECORD 901
TITLE
Urine drug testing for social service agencies in Nova Scotia, Canada
AUTHOR NAMES
Fraser A.D.
AUTHOR ADDRESSES
(Fraser A.D., adfraser@is.dal.ca) Qu. Elizabeth II Hlth. Sci. Centre,
Department of Pathology, Dalhousie University, 1278 Tower Road, Halifax, NS
B3H 2Y9, Canada.
(Fraser A.D., adfraser@is.dal.ca) Qu. Elizabeth II Hlth. Sci. Centre, 1278
Tower Road, Halifax, NS B3H 2Y9, Canada.
CORRESPONDENCE ADDRESS
A.D. Fraser, Clinical and Forensic Toxicologist, Queen Elizabeth II Hlth.
Sci. Centre, 1278 Tower Road, Halifax, NS B3H 2Y9, Canada. Email:
adfraser@is.dal.ca
SOURCE
Journal of Forensic Sciences (1998) 43:1 (194-196). Date of Publication:
January 1998
ISSN
0022-1198
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
In Nova Scotia Canada, governmental authorities expressed concern in the
late 1980s about the adverse effects of drug use by parents on the welfare
of their children. Since 1991, parents with a history of drug abuse may be
required to submit to urine drug and alcohol testing when ordered by the
Family Courts of this province. The objective of this paper is to present
this drug testing program and the results of drug testing on 125 clients
from 1994-1996. Urine specimens were collected in the parents' residence by
a nurse and transferred directly to the laboratory by the collector or a
courier. Specimens were screened by immunoassay and TLC followed by GC-MS
confirmation. Results were sent directly to the social worker. In the 3,613
urine specimens analyzed, 50.2% of specimens were negative, 45.6% were
positive for one or more drug/metabolite and 4.2% of specimens were dilute
(creatinine <25 mg/dL). The distribution of positive results were:
cannabinoids (11.5%), cocaine metabolite (5.0%), benzodiazepines (14.5%),
codeine/morphine (7.1%), codeine (6.6%), diphenhydramine (2.2%) and ethyl
alcohol (1.6%). Drug testing has been considered a success by these agencies
since testing provides an objective indication of recent drug use and the
overall prevalence of drug use in this drug abusing population has reduced
from 100% to <50%.
EMTREE DRUG INDEX TERMS
alcohol
amphetamine
barbituric acid
benzodiazepine
cannabinoid
cocaine
codeine
diphenhydramine
methaqualone
methylphenidate
morphine
opiate
pethidine
phencyclidine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug urine level
EMTREE MEDICAL INDEX TERMS
alcohol abuse
article
Canada
drug screening
forensic medicine
gas chromatography
human
laboratory test
major clinical study
mass spectrometry
priority journal
social work
substance abuse
thin layer chromatography
CAS REGISTRY NUMBERS
alcohol (64-17-5)
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
barbituric acid (6191-25-9, 67-52-7)
benzodiazepine (12794-10-4)
cocaine (50-36-2, 53-21-4, 5937-29-1)
codeine (76-57-3)
diphenhydramine (147-24-0, 58-73-1)
methaqualone (340-56-7, 72-44-6, 8056-67-5)
methylphenidate (113-45-1, 298-59-9)
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
pethidine (28097-96-3, 50-13-5, 57-42-1)
phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998043295
MEDLINE PMID
9456542 (http://www.ncbi.nlm.nih.gov/pubmed/9456542)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 902
TITLE
Physician and staff assessments of drug interventions and outcomes in
Swedish nursing homes
AUTHOR NAMES
Schmidt I.K.
Claesson C.B.
Westerholm B.
Nilsson L.G.
AUTHOR ADDRESSES
(Schmidt I.K.) Apoteksbolaget, S-10514, Stockholm, Sweden.
(Claesson C.B.) Natl. Bd. of Health and Welfare, Stockholm, Sweden.
(Westerholm B.) Nepi Foundation, S-10514, Stockholm, Sweden.
(Nilsson L.G.) Pharmaceutical Affairs, Apoteksbolaget, S-10514, Stockholm,
Sweden.
(Schmidt I.K.) 425 North Charter St., Madison, WI 53706, United States.
CORRESPONDENCE ADDRESS
I.K. Schmidt, 425 North Charter St., Madison, WI 53706, United States.
SOURCE
Annals of Pharmacotherapy (1998) 32:1 (27-32). Date of Publication: January
1998
ISSN
1060-0280
BOOK PUBLISHER
Harvey Whitney Books Company, 8044 Montgomery Road, Suite 415, Cincinnati,
United States.
ABSTRACT
OBJECTIVE: To describe the type and frequency of drug-related problems
discussed in regular team meetings conducted in 15 Swedish nursing homes and
report physician and staff assessments of these intervations and residents
outcome. DATA SOURCES AND METHOD: The data were collected within the context
of a controlled trial with the primary aim of exploring the effects of
regular team interventions on chug prescribing practices in Swedish nursing
homes. In 15 experimental nursing homes, the residents' drug therapy was
discussed regularly by a team consisting of a pharmacist, a physician,
nurses, undernurses (similar to licensed practical nurses), and nurse's
aides. The pharmacist documented problems, marie changes, and observed
outcomes. Following the intervention period, a questionnaire was sent to the
medical staff that contained items regarding perceived outcomes, the
intervention's impact on knowledge of drug therapy in the elderly, and
attitudes toward the pharmacist's role. RESULTS: Unclear indication and
problematic choice of drugs were the most common drug-related problems
discussed. In 19% of the situations, therapy changes were reported to have
had a beneficial effect on the residents' clinical status; in 47% of the
situations, staff reported no observable outcome from changes, suggesting
that the changes had been appropriate. Finally, medical staff claimed in the
follow-up survey that their knowledge about drug therapy had increased they
expressed an overall positive attitude toward this interactive
collaboration. CONCLUSION: Regular interventions conducted by a
multidisciplinary team incorporating a pharmacist can effectively improve
prescribing practices, increase staff knowledge about appropriate drug
therapy in the elderly, and result in improved quality of care for nursing
home residents.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE DRUG INDEX TERMS
anxiolytic agent
benzodiazepine derivative
hypnotic agent
neuroleptic agent
tricyclic antidepressant agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
geriatric care
medical staff
nursing home
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
aged
article
clinical trial
controlled clinical trial
controlled study
drug choice
female
health care quality
human
major clinical study
male
outcomes research
patient attitude
pharmacist
practice guideline
prescription
priority journal
questionnaire
randomized controlled trial
residential care
Sweden
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Pharmacy (39)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
1998062057
MEDLINE PMID
9475816 (http://www.ncbi.nlm.nih.gov/pubmed/9475816)
FULL TEXT LINK
http://dx.doi.org/10.1345/aph.17104
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 903
TITLE
Pain knowledge and attitudes of healthcare providers: Practice
characteristic differences
AUTHOR NAMES
Lebovits A.H.
Florence I.
Bathina R.
Hunko V.
Fox M.T.
Bramble C.Y.
AUTHOR ADDRESSES
(Lebovits A.H.) Pain Management Center, Department of Anesthesiology, New
York University Medical Center, New York, NY, United States.
(Florence I.; Bathina R.) Pain Management Service, Department of
Anesthesiology, State Univ. New York Hlth. Sci. C.B., Brooklyn, NY, United
States.
(Hunko V.) Department of Quality Management, Kings County Hospital Center,
Brooklyn, NY, United States.
(Fox M.T.; Bramble C.Y.) Department of Nursing, Kings County Hospital
Center, Brooklyn, NY, United States.
(Lebovits A.H.) Pain Management Center, Department of Anesthesiology, New
York University Medical Center, 530 First Avenue, New York, NY 10016, United
States.
CORRESPONDENCE ADDRESS
A.H. Lebovits, Pain Management Center, Department of Anesthesiology, New
York University Medical Center, 530 First Avenue, New York, NY 10016, United
States.
SOURCE
Clinical Journal of Pain (1997) 13:3 (237-243). Date of Publication: 1997
ISSN
0749-8047
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Objective: To evaluate the knowledge and attitudes of different healthcare
professionals regarding pain issues such as addiction, the assessment of
pain, scheduling, use of analgesics, and pediatric pain. Additionally, to
determine whether differences exist based on hospital setting, years of
service, clinical practice area, and country of origin. Design: A total of
686 nurses, physicians, pharmacists, and medical/nursing students from three
hospitals completed a 17-item survey evaluating knowledge and beliefs about
pain. Setting: The three hospital settings were a large city hospital, a
private community hospital, and a state medical school- based hospital.
Results: The overall percentage 'correct' score was only 56%. Physicians
scored significantly higher, and pharmacists scored significantly lower than
other groups. Nurses scored significantly less concordantly than physicians
on 11 of the 17 items. Those identifying anesthesiology as their clinical
practice area scored significantly higher than all other areas, whereas
those practicing within medicine demonstrated significantly more 'correct'
scores than those in surgery. City hospital respondents scored significantly
lower than professionals practicing in the other two hospitals; non-U.S.
country of origin professionals scored significantly lower than U.S. country
of origin healthcare professionals. There were no significant differences
based on postgraduate years of practice. Conclusions: Significant knowledge
deficits regarding currently accepted principles of pain management practice
as well as beliefs that could interfere with optimal care, mandate a need
for educational interventions. Significant differences by profession,
clinical practice area, and hospital setting reflect populations to be
targeted for interventions. Unwarranted fear of addiction is a misunderstood
and important concept that needs to be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
health care personnel
pain
professional practice
EMTREE MEDICAL INDEX TERMS
addiction
analgesia
article
clinical practice
drug use
medical student
nurse
pharmacist
physician
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997380849
MEDLINE PMID
9303256 (http://www.ncbi.nlm.nih.gov/pubmed/9303256)
FULL TEXT LINK
http://dx.doi.org/10.1097/00002508-199709000-00009
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 904
TITLE
Demystifying the Betty Ford Clinic: an immersion experience.
AUTHOR NAMES
Pollack L.E.
AUTHOR ADDRESSES
(Pollack L.E.) University of Texas-Houston Health Science Center, School of
Nursing 77030, USA.
CORRESPONDENCE ADDRESS
L.E. Pollack, University of Texas-Houston Health Science Center, School of
Nursing 77030, USA.
SOURCE
Journal of psychosocial nursing and mental health services (1997) 35:12
(14-19). Date of Publication: Dec 1997
ISSN
0279-3695
ABSTRACT
1. The purpose of the Betty Ford Clinic (BFC) Professional in Residence
(PIR) Inpatient Program is to increase participants' understanding and
awareness of chemical dependency and its treatment. 2. Current alcoholism
treatment is a combination of medical, psychosocial, psychological, and
spiritual modalities interacting in a framework designed to help the
individual achieve and sustain sobriety (Collins, 1993); all of these
treatment components are evident in the BFC Model. 3. Double-blind studies
are not conducted at the BFC for ethical reasons, which are one of the many
difficulties inherent in the use of conventional control designs for
assessing the treatment effectiveness of residential drug abuse programs (De
Leon, Inciardi, & Martin, 1995).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
drug dependence treatment
hospital patient
nursing education
EMTREE MEDICAL INDEX TERMS
adaptive behavior
alcoholics anonymous
article
human
organization and management
outcome assessment
patient care
psychiatric nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9436161 (http://www.ncbi.nlm.nih.gov/pubmed/9436161)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 905
TITLE
Changes of smoking habits and beliefs during nurse training: A longitudinal
study
AUTHOR NAMES
Boccoli E.
Federici A.
Trianni G.L.
Melani A.S.
AUTHOR ADDRESSES
(Boccoli E.) Ctro. Stud. e la Prev. Oncologica, Azienda Ospedaliera Careggi,
Firenze, Italy.
(Federici A.) Sc. Infermieri Professionali B., Azienda Ospedaliera Careggi,
Firenze, Italy.
(Trianni G.L.) Direzione Sanitaria, Azienda Ospedaliera Careggi, Firenze,
Italy.
(Melani A.S.) Fisiopatologia Respiratoria, Azienda Ospedaliera Senese,
Siena, Italy.
(Melani A.S.) Fisiopatologia Respiratoria, Ospedale Le Scotte, Azienda
Ospedaliera Senese, Viale Bracci, I-53100 Siena, Italy.
CORRESPONDENCE ADDRESS
A.S. Melani, Fisiopatologia Respiratoria, Ospedale Le Scotte, Azienda
Ospedaliera Senese, Viale Bracci, I-53100 Siena, Italy.
SOURCE
European Journal of Epidemiology (1997) 13:8 (899-902). Date of Publication:
1997
ISSN
0393-2990
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
This prospective cohort study has been performed to evaluate the changes in
student nurses smoking habits and beliefs during their training. The source
of information was an anonymous questionnaire about tobacco smoking,
administered to students who entered the first year of School of Nursing in
Florence in 1991-1992, 1992-1993 and 1993-1994. Five hundred and thirty-six
(95%) of these student nurses completed the questionnaire. Five hundred and
one (93%) of these 536 respondents completed the questionnaire again at the
end of the third (final) year of training. Student nurses who smoked
increased the average number of cigarettes smoked per day (p < 0.01) and the
degree of dependence to nicotine (p < 0.01). Tobacco smoking remained
widespread and the percentage of ex-smokers who started smoking again
increased (p < 0.05). The knowledge about the health hazards due to tobacco
smoking remained generic and the prevalence of current smokers among student
nurses and health care workers was overestimated. We conclude that Nursing
School does not succeed in reducing the smoking habits of students.
Effective antitobacco strategies and smoking cessation services still need
be organized in Italy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse training
smoking
EMTREE MEDICAL INDEX TERMS
adult
article
caregiver
cohort analysis
female
habit
health care personnel
health hazard
health service
human
Italy
longitudinal study
major clinical study
male
smoking cessation
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1998032329
MEDLINE PMID
9476819 (http://www.ncbi.nlm.nih.gov/pubmed/9476819)
FULL TEXT LINK
http://dx.doi.org/10.1023/A:1007437627965
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 906
TITLE
Provider training for patient-centered alcohol counseling in a primary care
setting
AUTHOR NAMES
Ockene J.K.
Wheeler E.V.
Adams A.
Hurley T.G.
Hebert J.
AUTHOR ADDRESSES
(Ockene J.K.; Wheeler E.V.; Hurley T.G.; Hebert J.) Division of Preventive
Medicine, University of Massachusetts, Medical Center, Worcester.
(Adams A.) Division of General Medicine, University of Massachusetts,
Medical Center, Worcester.
(Ockene J.K.) University of Massachusetts, Medical School, 55 Lake Ave N,
Worcester, MA 01655, United States.
CORRESPONDENCE ADDRESS
J.K. Ockene, University of Massachusetts, Medical School, 55 Lake Ave N,
Worcester, MA 01655, United States.
SOURCE
Archives of Internal Medicine (1997) 157:20 (2334-2341). Date of
Publication: 1997
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Objective: To assess the impact of a brief training program on primary care
providers' skills, attitudes, and knowledge regarding high-risk and problem
drinking. Design: Training plus pretesting and posttesting for program
efficacy. Setting: Ambulatory primary care clinic; academic medical center.
Participants: Fourteen attending physicians, 12 residents, and 5 nurse
practitioners were randomized by clinical team affiliation to a Special
Intervention or usual care condition of a larger study. We report the
results of the training program for the Special Intervention providers.
Intervention: Providers received a 2-hour group training session plus a 10-
to 20-minute individual tutorial session 2 to 6 weeks after the group
session. The training focused on teaching providers how to perform
patient-centered counseling for high-risk and problem drinkers. Main Outcome
Measures: Alcohol counseling skills; attitudes regarding preparedness to
intervene and perceived importance and usefulness of intervening with
high-risk and problem drinkers; and knowledge of the nature, prevalence, and
appropriate treatment of alcohol abuse in primary care populations. Results:
After training, providers scored significantly higher on measures of
counseling skills, preparedness to intervene, perceived usefulness and
importance of intervening, and knowledge. Conclusion: A group training
program plus brief individual feedback can significantly improve primary
care providers' counseling skills, attitudes, and knowledge regarding
high-risk and problem drinkers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
EMTREE MEDICAL INDEX TERMS
article
clinical trial
controlled clinical trial
controlled study
education program
human
nurse practitioner
patient counseling
physician
primary medical care
priority journal
randomized controlled trial
resident
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997345628
MEDLINE PMID
9361574 (http://www.ncbi.nlm.nih.gov/pubmed/9361574)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 907
TITLE
The health care cost of drug-related morbidity and mortality in nursing
facilities
AUTHOR NAMES
Boatman J.L.
Harrison D.L.
Cox E.
AUTHOR ADDRESSES
(Boatman J.L.; Cox E.) Dept. of Pharm. Practice and Science, College of
Pharmacy, University of Arizona, Tucson.
(Harrison D.L.) Clin. Invest. Regulatory Office, Fort Sam Houston, TX,
United States.
(Boatman J.L.) College of Pharmacy, University of Arizona, PO Box 210207,
Tucson, AZ 85721, United States.
CORRESPONDENCE ADDRESS
J.L. Bootman, College of Pharmacy, University of Arizona, PO Box 210207,
Tucson, AZ 85721, United States.
SOURCE
Archives of Internal Medicine (1997) 157:18 (2089-2096). Date of
Publication: 1997
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Background: Preventable drug-related morbidity and mortality within nursing
facilities represent a serious problem urgently requiring expert medical
attention. The health care costs of drug-related problems can be both
immense and avoidable. However, the research to date has been narrow in
scope, focusing on the drug costs avoided and failing to consider the wider
range of possible negative outcomes and potential drug-related problems.
Objectives: To develop a model of therapeutic outcomes resulting from drug
therapy within nursing facilities, to estimate the magnitude of the cost of
drug-related morbidity and mortality within nursing facilities in the United
States, and to assess the impact of pharmacist-conducted, federally
mandated, monthly, retrospective review of nursing facility residents' drug
regimens in reducing the cost of drug-related morbidity and mortality.
Methods: Using decision analysis techniques, a probability pathway model was
developed to estimate the cost of drug-related problems within nursing
facilities. An expert panel consisting of consultant pharmacists and
physicians with practice experience in nursing facilities and geriatric care
was surveyed to determine conditional probabilities of therapeutic outcomes
attributable to drug therapy. Health care utilization and associated costs
derived from negative therapeutic outcomes were estimated. Results: Baseline
estimates indicate that the cost of drug-related morbidity and mortality
with the services of consultant pharmacists was $4 billion compared with
$7.6 billion without the services of consultant pharmacists. Conclusions:
Drug-related morbidity and mortality in nursing facilities represent a
serious economic problem. For every dollar spent on drugs in nursing
facilities, $1.33 in health care resources are consumed in the treatment of
drug-related problems. With the current federally mandated drug regimen
review, it is estimated that consultant pharmacists help to reduce health
care resources attributed to drug-related problems in nursing facilities by
$3.6 billion.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug induced disease
health care cost
nursing
EMTREE MEDICAL INDEX TERMS
article
cause of death
clinical feature
cost benefit analysis
data analysis
disease association
health care management
human
major clinical study
morbidity
mortality
priority journal
treatment outcome
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997309937
MEDLINE PMID
9382665 (http://www.ncbi.nlm.nih.gov/pubmed/9382665)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 908
TITLE
Use of analogy to educate clients about the roles of neurotransmitters in
addictions.
AUTHOR NAMES
Calleri P.P.
AUTHOR ADDRESSES
(Calleri P.P.) Chemical Dependency Unit, Columbus Community Health Center,
Division of Buffalo General Hospital, NY, USA.
CORRESPONDENCE ADDRESS
P.P. Calleri, Chemical Dependency Unit, Columbus Community Health Center,
Division of Buffalo General Hospital, NY, USA.
SOURCE
Journal of psychosocial nursing and mental health services (1997) 35:11
(14-17). Date of Publication: Nov 1997
ISSN
0279-3695
ABSTRACT
1 The professional nurse who practices within the field of addictions is in
an ideal position to serve as an educational conduit and catalyst for
promoting understanding of the addictive process. 2 Historically, the use of
analogy as a teaching device can be seen in the readings of the Bible to as
far back as Plato. 3 The client's level of functioning must be assessed by
the professional nurse so that any educational approach or intervention will
be designed to meet the appropriate level of the client.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
agents interacting with transmitter, hormone or drug receptors
EMTREE DRUG INDEX TERMS
neurotransmitter receptor
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
patient education
EMTREE MEDICAL INDEX TERMS
article
brain
human
nurse patient relationship
nursing
pathophysiology
physiology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9395984 (http://www.ncbi.nlm.nih.gov/pubmed/9395984)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 909
TITLE
Alcohol and other drug issues.
AUTHOR NAMES
Harvey T.
Taplin S.
AUTHOR ADDRESSES
(Harvey T.; Taplin S.) Western Sydney Drug and Alcohol Services.
CORRESPONDENCE ADDRESS
T. Harvey, Western Sydney Drug and Alcohol Services.
SOURCE
The Lamp (1997) 54:10 (28). Date of Publication: Nov 1997
ISSN
0047-3936
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health
health care planning
nursing education
EMTREE MEDICAL INDEX TERMS
article
Australia
clinical competence
human
nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9444217 (http://www.ncbi.nlm.nih.gov/pubmed/9444217)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 910
TITLE
An alcohol and drug education program for nurses.
AUTHOR NAMES
Markey B.T.
Stone J.B.
AUTHOR ADDRESSES
(Markey B.T.; Stone J.B.) Department of Nursing, Bloomsburg University, PA,
USA.
CORRESPONDENCE ADDRESS
B.T. Markey, Department of Nursing, Bloomsburg University, PA, USA.
SOURCE
AORN journal (1997) 66:5 (845-853). Date of Publication: Nov 1997
ISSN
0001-2092
ABSTRACT
Alcohol and drug use and abuse present serious problems for health care
professionals, both as clinicians and abusers. These topics, however, have
not been addressed adequately in nursing curricula. Nurses need to know the
effects that alcohol and drug use and abuse have on individuals, families,
and society. In this article, the authors outline the framework for a course
or presentation that reviews the problems and applies the nursing process to
the issues. The course can be adapted to meet the needs of nurses in any
discipline, including the perioperative area, as well as for other health
care providers and community groups. Course content and teaching strategies
are included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
methodology
personnel management
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9365794 (http://www.ncbi.nlm.nih.gov/pubmed/9365794)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 911
TITLE
Nurses' confidence in caring for patients with alcohol-related problems.
AUTHOR NAMES
Brown C.
Pirmohamed M.
Park B.K.
AUTHOR ADDRESSES
(Brown C.; Pirmohamed M.; Park B.K.) Department of Pharmacology, University
of Liverpool.
CORRESPONDENCE ADDRESS
C. Brown, Department of Pharmacology, University of Liverpool.
SOURCE
Professional nurse (London, England) (1997) 13:2 (83-86). Date of
Publication: Nov 1997
ISSN
0266-8130
ABSTRACT
General nurses lack confidence and experience in caring for patients with
alcohol-related problems. There is a need for better basic training and
continuing education for nurses on alcohol issues. A specialist alcohol
nurse could help support patients and staff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing staff
EMTREE MEDICAL INDEX TERMS
article
clinical competence
general hospital
health personnel attitude
human
nursing
psychological aspect
questionnaire
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9407897 (http://www.ncbi.nlm.nih.gov/pubmed/9407897)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 912
TITLE
An assessment of substance abuse treatment training needs among nurses (part
II): Applying an index of training needs
AUTHOR NAMES
Vander Bilt J.
Hall M.N.
Shaffer H.J.
Storti S.
Church O.M.
AUTHOR ADDRESSES
(Vander Bilt J.; Hall M.N.; Shaffer H.J.; Storti S.; Church O.M.) Division
on Addictions, Harvard Medical School, Goldenson Building, 220 Longwood
Avenue, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
H.J. Shaffer, Division on Addictions, Harvard Medical School, Goldenson
Building, 220 Longwood Avenue, Boston, MA 02115, United States.
SOURCE
Journal of Substance Misuse (1997) 2:4 (184-190). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
This article (part II of a two-part paper) presents the results of a
substance abuse treatment training needs assessment study conducted with 133
nurses who were working in randomly selected New England substance abuse
treatment facilities. This sample of nurses was derived from a larger survey
sample of 1684 substance abuse treatment providers working in randomly
selected New England substance abuse treatment facilities. These needs
assessment data show that, compared with drug and alcohol counselors, social
workers, and physicians or residents, nurses had the highest levels of
training need in the three major substance abuse treatment domains
investigated in this study. Without training, nurses cannot fulfill their
roles in prevention, intervention and treatment. Agencies and institutions
concerned with and committed to training health care providers are
encouraged to attend to the demonstrated need for training while interest is
high and clinical demand is great.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
nurse
training
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997314295
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 913
TITLE
Alcohol education as primary prevention in health care: A replication study
AUTHOR NAMES
Long P.
Gelfand G.
AUTHOR ADDRESSES
(Long P.; Gelfand G.) 141 Connecticut Avenue, Freeport, NY 11520, United
States.
CORRESPONDENCE ADDRESS
P. Long, 141 Connecticut Avenue, Freeport, NY 11520, United States.
SOURCE
Journal of Substance Misuse (1997) 2:4 (191-196). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
This article describes a replication study conducted in South Africa of
research previously done by the authors in the USA. The purpose of this
study was to identify practicing nurses' knowledge of the biophysiological
and psychosocial components of alcohol and its pharmacological effects. Data
were also gathered in order to assist nurses in the early identification of
individuals at risk for the disease of alcoholism. The study consisted of a
non-randomly selected study group for a sample of 114 practicing nurses
employed at two hospitals in Johannesburg, South Africa. The investigation
obtained self-reported information by means of a questionnaire. The
instrument elicited both demographics and the answers to 25 fixed
alternative questions to obtain information in nine topic areas. Findings
indicated that none of the nurses were able to answer questions about the
biophysiological effect of alcohol. Items related to attitudes were answered
correctly by only 44.7%, and questions about pharmacological properties of
alcohol were answered incorrectly by 86.8%. Conclusions document a critical
need for increased alcohol education in nursing programs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
EMTREE MEDICAL INDEX TERMS
article
health care
human
nurse
primary prevention
questionnaire
South Africa
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997314296
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 914
TITLE
Tried, true, and new: public health nursing in a county substance abuse
treatment system.
AUTHOR NAMES
Littman P.S.
Ritterbusch J.
AUTHOR ADDRESSES
(Littman P.S.; Ritterbusch J.) Center for Health Policy and Program
Evaluation, University of Wisconsin, Madison, USA.
CORRESPONDENCE ADDRESS
P.S. Littman, Center for Health Policy and Program Evaluation, University of
Wisconsin, Madison, USA.
SOURCE
Public health nursing (Boston, Mass.) (1997) 14:5 (286-292). Date of
Publication: Oct 1997
ISSN
0737-1209
ABSTRACT
The Milwaukee Target Cities (MTC) project was the only site within 19
federally funded Target Cities programs to feature a public health nursing
model as its sole means of providing comprehensive health-related services
to indigent substance abuse clients. We first describe MTC's implementation
process, focusing on the public health nursing component, and then present a
program evaluation section with selected findings from the ongoing
qualitative evaluation. Initially, misunderstandings about the nurses'
community-based, family-centered strategy of assuring access to health care
through cross-system service linkage dogged the nurses' efforts to explain
their roles and mission to federal funders, project management, coworkers,
and treatment providers. In the end, after federal funding ended, public
health nursing left an enduring legacy of partnerships in the county
substance abuse treatment system: education about public health nursing,
networking, referral processes, and resources to meet the complex
health-related needs of indigent substance abusers. Despite the project's
many changes, the nurses (a) became specialists in substance abuse, gaining
expertise and recognition in a new community, particularly with isolated
subpopulations; (b) assured substance abuse clients and their families
access to health-related resources through core public health nursing
skills; and (c) educated project staff, administrators, providers, and
clients about public health nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
community health nursing
EMTREE MEDICAL INDEX TERMS
article
female
health care planning
health care quality
human
infant
model
nursing
pregnancy
preschool child
public relations
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9342920 (http://www.ncbi.nlm.nih.gov/pubmed/9342920)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 915
TITLE
Psychiatric assessments of nursing home residents under OBRA-87: Should
PASARR be reformed?
AUTHOR NAMES
Borson S.
Pierre Loebel J.
Kitchell M.
Domoto S.
Hyde T.
AUTHOR ADDRESSES
(Borson S.; Pierre Loebel J.; Kitchell M.) Dept. of Psychiat. and Behav.
Sci., University of Washington, Seattle, WA, United States.
(Pierre Loebel J.; Kitchell M.; Hyde T.) Harborview Medical Center, Seattle,
WA, United States.
(Domoto S.) King County PASARR Administration, Seattle, WA, United States.
(Borson S.) Box 356560, University of Washington, Medical Center, 1959 NE
Pacific St., Seattle, WA 98195-6560, United States.
CORRESPONDENCE ADDRESS
S. Borson, Box 356560, Univ. of Washington Medical Center, 1959 NE Pacific
St., Seattle, WA 98195-6560, United States.
SOURCE
Journal of the American Geriatrics Society (1997) 45:10 (1173-1181). Date of
Publication: October 1997
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVE: As part of nursing home practice reforms, OBRA-87 mandates formal
psychiatric assessments (PASARR) of nursing home residents suspected of
having mental disorders, a responsibility it delegates individually to
states. We describe the initial year of implementation of the PASARR process
in King County, Washington, and characterize the mental disorders and mental
health services needs of nursing home residents referred for psychiatric
screening. DESIGN: Cross-sectional study. SETTING: The 54 Medicare-certified
King County nursing homes (total beds = 7013). PARTICIPANTS: All patients
referred for psychiatric evaluation under PASARR (n = 510). MEASUREMENTS: A
systematic, multidimensional evaluation including a semistructured
psychiatric diagnostic examination, validated measures of cognitive
dysfunction, depression, and global psychopathology, functional variables
relevant to need for nursing home care, and selected mental health services
indicators. RESULTS: Fewer than 10% of all nursing home residents were
referred for psychiatric evaluation. A primary mental illness, evenly
divided between psychoses and mood disorders, was found in 60% of the
sample, and a psychiatric disorder associated with dementia or mental
retardation was found in 25%. Six percent had complex neuropsychiatric
features defying classification, and 4% had no mental disorder. Other
disorders, such as substance abuse, were rare. Cognitive impairment and
global psychopathology were prevalent in all diagnostic groups, and
depressive symptoms were common even in patients without affective
diagnoses. Eighty-eight percent of the sample were appropriately placed,
based on their needs for daily care. Fifty- five percent had unmet mental
health services needs. CONCLUSIONS: The PASARR referral process detected a
group of seriously mentally ill, functionally disabled patients, most of
whom required the level of care that nursing homes provide. Depressed and
psychiatrically impaired dementia patients were underrepresented in the
referral pool as measured against widely accepted prevalence figures for
mental disorders in nursing home populations. The PASARR process as
currently configured appears to be most efficient in identifying
schizophrenic patients, who represent a small minority of nursing home
residents, and the skewed sample it generates fails to provide an adequate
basis for estimating overall mental health services needed in nursing homes.
The PASARR process should be altered to improve referral rates for depressed
and behaviorally disturbed dementia patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gerontopsychiatry
nursing home
psychiatric diagnosis
EMTREE MEDICAL INDEX TERMS
article
cognition
cognitive defect
dementia
disease classification
mental deficiency
mental disease
mental health service
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997309173
MEDLINE PMID
9329477 (http://www.ncbi.nlm.nih.gov/pubmed/9329477)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 916
TITLE
Alcohol abuse: A source of reversible functional disability among residents
of a VA nursing home
AUTHOR NAMES
Oslin D.W.
Streim J.E.
Parmelee P.
Boyce A.A.
Katz I.R.
AUTHOR ADDRESSES
(Oslin D.W.; Streim J.E.; Parmelee P.; Boyce A.A.; Katz I.R.) University of
Pennsylvania, Philadelphia, United States.
(Oslin D.W.) University of Pennsylvania, Ralston-Penn Center, 3615 Chestnut
Street, Philadelphia, PA 19104, United States.
CORRESPONDENCE ADDRESS
D.W. Oslin, University of Pennslyvania, Ralston-Penn Center, 3615 Chestnut
Street, Philadelphia, PA 19104, United States.
SOURCE
International Journal of Geriatric Psychiatry (1997) 12:8 (825-832). Date of
Publication: 1997
ISSN
0885-6230
BOOK PUBLISHER
John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United
Kingdom.
ABSTRACT
The prevalence of psychiatric disorders was determined in a sample of 196 VA
nursing home residents who were interviewed using the modified Schedule for
Affective Disorders and Schizophrenia (mSADS). Of the 160 subjects for whom
data were available, 86% had a diagnosis of at least one psychiatric
disorder. The prevalence of clinically significant cognitive impairment was
60.6% and of major depression 13.8%. Of 110 residents for whom alcohol
histories were obtained, 32 (29%) had a lifetime diagnosis of alcohol abuse.
The degree of impairment in activities of daily living improved
significantly from the time of admission to the time of the evaluation
(average 1.4 years) among those who were recently abusing alcohol compared
to those who formerly abused alcohol and those who never abused alcohol. The
effect is clinically as well as statistically significant and has the
potential benefit of reducing caregiver burden and health care costs for the
elderly.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
cognitive defect
nursing home
EMTREE MEDICAL INDEX TERMS
affective neurosis
aged
alcohol abuse
article
controlled study
daily life activity
depression
female
health care
health care cost
human
interview
major clinical study
male
mental disease
normal human
schizophrenia
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997280317
MEDLINE PMID
9283927 (http://www.ncbi.nlm.nih.gov/pubmed/9283927)
FULL TEXT LINK
http://dx.doi.org/10.1002/(SICI)1099-1166(199708)12:8<825::AID-GPS646>3.0.CO;2-6
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 917
TITLE
Nurses' knowledge of pain assessment and management: How much progress have
we made?
AUTHOR NAMES
McCaffery M.
Ferrell B.R.
AUTHOR ADDRESSES
(McCaffery M.) Nursing Department, Los Angeles, CA, United States.
(Ferrell B.R.) Nursing Research, City of Hope National Medical Center,
Duarte, CA, United States.
(McCaffery M.) 8347 Kenyon Ave., Los Angeles, CA 90045, United States.
CORRESPONDENCE ADDRESS
M. McCaffery, FAAN, 8347 Kenyon Ave., Los Angeles, CA 90045, United States.
SOURCE
Journal of Pain and Symptom Management (1997) 14:3 (175-188). Date of
Publication: September 1997
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Undertreatment of pain and lack of knowledge about pain management have been
evident for approximately two decades. Because nurses are often the
cornerstone of pain management, nurses' knowledge in this area is especially
important. This paper explores indications of progress in the level of
nursing knowledge about basic aspects of pain management. The literature is
reviewed and findings from recent (1995) surveys of nurses' knowledge are
compared with results of similar surveys conducted beginning in 1988.
Improvements in nurses' knowledge of pain assessment, opioid dosing, and
likelihood of addiction seem to have occurred. However, knowledge deficits
continue. Fewer than one-half of the nurses surveyed understand that the
patient's self report of pain is the single most reliable indicator of pain
and that the nurse should increase a previously safe but ineffective dose of
opioid. Findings from surveys on addiction reveal that the longer the
patient receives opioids the more concerned nurses become about causing
addiction. Nevertheless, results of current knowledge surveys of nurses
suggest that educational efforts probably have been beneficial and should
continue. To maximize the impact of educational efforts, content in basic
and continuing education courses should be prioritized and critically
evaluated for relevance and accuracy, especially content related to
addiction. Early in the education of nurses, responsibility for pain
assessment and use of analgesics must be instilled.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (drug dose, drug therapy)
opiate (drug dose, drug therapy)
pethidine (drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
nursing
pain assessment (drug therapy)
EMTREE MEDICAL INDEX TERMS
article
human
intramuscular drug administration
intravenous drug administration
nursing education
opiate addiction
patient care
self report
DRUG TRADE NAMES
demerol
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
pethidine (28097-96-3, 50-13-5, 57-42-1)
EMBASE CLASSIFICATIONS
Anesthesiology (24)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997271601
MEDLINE PMID
9291704 (http://www.ncbi.nlm.nih.gov/pubmed/9291704)
FULL TEXT LINK
http://dx.doi.org/10.1016/S0885-3924(97)00170-X
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 918
TITLE
Substance abuse education for clinical nurses: a controlled study.
AUTHOR NAMES
Graham A.V.
Christy K.
Emmitt-Myers S.
Zyzanski S.
AUTHOR ADDRESSES
(Graham A.V.; Christy K.; Emmitt-Myers S.; Zyzanski S.) Department of Family
Medicine, Case Western Reserve University, Cleveland, OH 44106-5036, USA.
CORRESPONDENCE ADDRESS
A.V. Graham, Department of Family Medicine, Case Western Reserve University,
Cleveland, OH 44106-5036, USA.
SOURCE
Journal of continuing education in nursing (1997) 28:5 (217-222). Date of
Publication: 1997 Sep-Oct
ISSN
0022-0124
ABSTRACT
BACKGROUND: A study was conducted to evaluate a substance abuse component of
a workshop for nurses being promoted to the position of Advanced Clinical
Nurse. METHODS: We compared whether the 88 nurses who received the
educational intervention increased their knowledge and enhanced their
feelings of competence regarding the care of chemically dependent patients
more than a control group of nurses who received the promotion workshop
without the substance abuse component. RESULTS: The nurses in the
intervention group had greater increases in knowledge and competence.
CONCLUSIONS: This study points out the importance of providing hospital
nurses with continuing education on substance abuse to compensate for their
educational deficiencies, to provide the information they need and desire,
and to help them meet the ANA's practice standards.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
clinical competence
nurse
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
clinical trial
controlled clinical trial
controlled study
education
female
health care quality
human
male
middle aged
nursing
organization and management
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9348834 (http://www.ncbi.nlm.nih.gov/pubmed/9348834)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 919
TITLE
Identification, intervention and education: essential curriculum components
for chemical dependency in nurses.
AUTHOR NAMES
Pullen L.M.
Green L.A.
AUTHOR ADDRESSES
(Pullen L.M.; Green L.A.) University of Tennessee, Knoxville 37922, USA.
CORRESPONDENCE ADDRESS
L.M. Pullen, University of Tennessee, Knoxville 37922, USA.
SOURCE
Journal of continuing education in nursing (1997) 28:5 (211-216). Date of
Publication: 1997 Sep-Oct
ISSN
0022-0124
ABSTRACT
BACKGROUND: A documented need exists for continuing education in the area of
chemical dependency as it relates not only to patient care, but also to
nurses who are susceptible to addiction. This is significant due to the fact
that nurses are at risk for chemical dependency and many nurse peers are
unable to recognize the signs of chemical dependency and therefore unable to
actively intervene. CONCLUSION: According to the literature, which includes
current research, nurses lack knowledge regarding specific risk factors,
symptoms of chemical dependency in peers, and steps for intervention. In
addition, the literature revealed that nursing curricula allot little time
to chemical dependency issues. The results of a small-scale learning needs
assessment support this literature finding. Continuing education courses can
effectively educate nurses to be able to identify their own susceptibility
and those of chemically dependent peers, intervene appropriately, and begin
the healing process for the impaired nurse. This article outlines a
curriculum and additional resources to address the learning needs of nurses
related to chemical dependency.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention)
curriculum
malpractice
nursing education
nursing staff
peer group
EMTREE MEDICAL INDEX TERMS
education
human
methodology
psychological aspect
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9348833 (http://www.ncbi.nlm.nih.gov/pubmed/9348833)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 920
TITLE
The pregnant patient: teaching without alienating.
AUTHOR NAMES
Kearney M.H.
AUTHOR ADDRESSES
(Kearney M.H.) Boston College School of Nursing, MA, USA.
CORRESPONDENCE ADDRESS
M.H. Kearney, Boston College School of Nursing, MA, USA.
SOURCE
The American journal of nursing (1997) 97:9 (69). Date of Publication: Sep
1997
ISSN
0002-936X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nurse patient relationship
patient education
pregnancy complication
EMTREE MEDICAL INDEX TERMS
adult
article
case report
female
human
methodology
nursing
pregnancy
prenatal care
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9311344 (http://www.ncbi.nlm.nih.gov/pubmed/9311344)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 921
TITLE
When the patient causes the problem: the effect of patient responsibility on
the nurse-patient relationship.
AUTHOR NAMES
Olsen D.P.
AUTHOR ADDRESSES
(Olsen D.P.) Yale University School of Nursing, New Haven, CT 06536-0740,
USA.
CORRESPONDENCE ADDRESS
D.P. Olsen, Yale University School of Nursing, New Haven, CT 06536-0740,
USA.
SOURCE
Journal of advanced nursing (1997) 26:3 (515-522). Date of Publication: Sep
1997
ISSN
0309-2402
ABSTRACT
A positive connection to the patient as a person within a nurse-patient
relationship provides the context for ethical treatment. The relationship
characterized by caring concern for the patient is also a clinically
effective resource. Ethical analysis shows that a nurse's caring and other
health care resources should not be allocated based on the degree to which
the patient is responsible for the clinical condition. Interviews were
conducted with 51 nursing students and nurses about their feelings toward
hypothetical patients. The theme of 'patient responsibility for causing the
clinical problem affecting the nurse-patient relationship' was identified
and responses were categorized according to how the theme was illustrated.
The categorization of the responses was validated by two nurse experts. When
asked to briefly compare reactions to the vignettes 25 (49%) of the
participants connected their feelings towards the patient with their
perception of the patient's responsibility.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
medical ethics
nurse patient relationship
EMTREE MEDICAL INDEX TERMS
adult
alcoholism
article
cocaine dependence
empathy
Empirical Approach
female
homosexuality
human
human relation
male
middle aged
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9378872 (http://www.ncbi.nlm.nih.gov/pubmed/9378872)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 922
TITLE
Alcohol early intervention: a nursing model for screening and intervention
strategies.
AUTHOR NAMES
Arthur D.
AUTHOR ADDRESSES
(Arthur D.) Department of Health Sciences, Hong Kong Polytechnic University,
Hung Hom, Kowloon, Hong Kong.
CORRESPONDENCE ADDRESS
D. Arthur, Department of Health Sciences, Hong Kong Polytechnic University,
Hung Hom, Kowloon, Hong Kong. Email: HSARTHUR@POLYU.EDU.HK
SOURCE
The Australian and New Zealand journal of mental health nursing (1997) 6:3
(93-101). Date of Publication: Sep 1997
ISSN
1324-3780
ABSTRACT
This paper presents the background policy directions in Australia that are
encouraging nurses to initiate alcohol early intervention strategies. The
current clinical initiatives that are supporting screening and early
intervention strategies are critically reviewed and presented in the form of
an Alcohol Early Intervention Model to guide nursing practice. The model is
compatible with current directions in nursing which encourage more
independent, empowering and educationally focused strategies. This model
also provides direction for undergraduate and graduate nursing curricula and
offers opportunities for future research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
mass screening
model
nursing assessment
psychotherapy
EMTREE MEDICAL INDEX TERMS
article
Australia
curriculum
human
methodology
nursing education
practice guideline
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9384008 (http://www.ncbi.nlm.nih.gov/pubmed/9384008)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 923
TITLE
An assessment of substance abuse treatment training needs among nurses.
(Part I): Evaluating skill, knowledge and training characteristics
AUTHOR NAMES
Vander Bilt J.
Hall M.N.
Schaffer H.J.
Storti S.
Church O.M.
AUTHOR ADDRESSES
(Vander Bilt J.; Hall M.N.; Schaffer H.J.; Storti S.; Church O.M.) Division
on Addictions, Harvard Medical School, Goldenson Building, 220 Longwood
Avenue, Boston, MA 02115, United States.
CORRESPONDENCE ADDRESS
H.J. Schaffer, Division on Addictions, Harvard Medical School, Goldenson
Building, 220 Longwood Avenue, Boston, MA 02115, United States.
SOURCE
Journal of Substance Misuse (1997) 2:3 (150-157). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
This article (part I of a two-part paper) presents results of a substance
abuse treatment training needs assessment study conducted with 133 nurses
who were working in randomly selected New England substance abuse treatment
facilities. This sample of nurses was derived from a larger survey sample of
1684 substance abuse treatment providers working in randomly selected New
England substance abuse treatment facilities. These needs assessment data
show that, compared with drug and alcohol counselors, social workers, and
physicians or residents, nurses have the lowest levels of skill or knowledge
in 8 of 12 substance abuse-specific treatment areas. Nurses reported that
additional training would increase their clinical effectiveness. Without
adequate training, nurses cannot fulfill their roles in prevention,
intervention and treatment.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
nurse
substance abuse
EMTREE MEDICAL INDEX TERMS
article
controlled study
health care quality
human
normal human
skill
training
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997222673
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 924
TITLE
Outcome of nursing home care for residents with alcohol use disorders
AUTHOR NAMES
Joseph C.L.
Rasmussen J.
Ganzini L.
Atkinson R.M.
AUTHOR ADDRESSES
(Joseph C.L.) Geriatrics Extended Care, Vet. Aff. Med. and Reg. Off. Center,
Honolulu, HI, United States.
(Joseph C.L.) John A. Burns School of Medicine, University of Hawaii, United
States.
(Rasmussen J.; Ganzini L.; Atkinson R.M.) Veterans Affairs Medical Center,
Portland, OR, United States.
(Rasmussen J.; Ganzini L.; Atkinson R.M.) Oregon Health Sciences University,
Portland, OR, United States.
(Joseph C.L.) Vet. Aff. Med. and Reg. Off. Center, 300 Ala Moana Blvd,
Honolulu, HI 96813, United States.
CORRESPONDENCE ADDRESS
C.L. Joseph, Veterans Affairs, Medical and Regional Office Center, 300 Ala
Moana Blvd, Honolulu, HI 96813, United States.
SOURCE
International Journal of Geriatric Psychiatry (1997) 12:7 (767-772). Date of
Publication: July 1997
ISSN
0885-6230
BOOK PUBLISHER
John Wiley and Sons Ltd, Southern Gate, Chichester, West Sussex, United
Kingdom.
ABSTRACT
Objectives. To describe the outcome of nursing home (NH) care for a
previously established cohort of residents with active, inactive or no
alcohol use disorder (AUD), and to examine demographic variables, health
services utilization, mortality and drinking behaviors in this group.
Design. Retrospective cohort study with participant interviews at NH
admission and 3 years later. Setting. Urban Veterans Affairs (VA) Medical
Center and Nursing Home Care Unit (NHCU). Participants. Patients older than
age 50 admitted consecutively to a VA NHCU between July 1991 and February
1993 who completed a structured interview, N = 117. Main outcome measures.
AUD as determined by DSM-III-R criteria. Demographics, health services
utilization and mortality as abstracted from the VA medical record. Results.
Health service utilization as measured by care episodes was not
significantly different in the three groups (active, inactive and no AUD),
but subjects with AUD had documented health services use related to
alcoholism, including hospitalizations for alcohol-related illness,
placements in long-term care facilities to control drinking and death from
alcohol-related causes. The mean age at death was significantly younger for
study participants with active or inactive AUD compared to those with no
AUD: 67.7, 70.4 and 77.9 years, respectively (p < 0.004). Of the 21
participants with active AUD at NHCU entry, 11 resumed drinking after
discharge and six still met criteria for active AUD 3 years later.
Conclusions. The subset of NHCU patients with active AUD continued to incur
alcohol-related hospitalizations and institutionalizations following NHCU
discharge and suffered early mortality relative to their peers. Effective
models of care for this subset of patients should be sought.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, rehabilitation)
geriatric care
nursing home
EMTREE MEDICAL INDEX TERMS
adult
aged
article
controlled study
drinking behavior
female
follow up
health care utilization
hospitalization
human
institutionalization
interview
major clinical study
male
medical record
mortality
retrospective study
EMBASE CLASSIFICATIONS
Rehabilitation and Physical Medicine (19)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997245222
MEDLINE PMID
9251942 (http://www.ncbi.nlm.nih.gov/pubmed/9251942)
FULL TEXT LINK
http://dx.doi.org/10.1002/(SICI)1099-1166(199707)12:7<767::AID-GPS640>3.0.CO;2-L
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 925
TITLE
Correlates of alcohol, tobacco and marijuana use among Scottish
postsecondary helping-profession students
AUTHOR NAMES
Engs R.C.
Van Teijlingen E.
AUTHOR ADDRESSES
(Engs R.C.; Van Teijlingen E.) Department of Applied Health Science, Indiana
University, Bloomington, IN 47405, United States.
(Van Teijlingen E.) Department of Public Health, Univ. of Aberdeen Medical
School, Aberdeen, United Kingdom.
CORRESPONDENCE ADDRESS
E. Van Teijlingen, Department of Public Health, Univ. of Aberdeen Medical
School, Aberdeen, United Kingdom.
SOURCE
Journal of Studies on Alcohol (1997) 58:4 (435-444). Date of Publication:
July 1997
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
Objective: There is limited information about the prevalence of recreational
drug use over the postsecondary experience in Scotland. The purpose of this
study was to investigate the patterns of alcohol, tobacco and marijuana use
in postsecondary helping-profession students (medical, nursing, education
and psychology) in Scotland in regards to gender, age and course of study.
Method: The Queensland Alcohol and Drug Study Questionnaire was completed by
students enrolled in helping-profession courses from 22 departments at
universities and colleges in five Scottish cities. The sample consisted of
717 male and 2,537 female students. Results: A slightly (p < .05) higher
percent of women (92.7%) consumed alcohol compared to men (90%), but men
consumed significantly (p < .001) move drinks per week (26.7) compared to
women (17.3). There was no difference between the two groups when U.K.
recommendations of maximum limits for each gender were considered. About 50%
of men and women consumed over 21 drinks and 14 drinks per week,
respectively. A higher (p < .05) percent of men (42.5%) smoked compared to
women (36.9%) and a higher (p < .001) percent of men (40.1%) consumed
marijuana compared to women (24.1%). There was no difference in the quantity
of tobacco consumed. For both men and women, the prevalence of alcohol and
marijuana was highest 2 or 3 years before the maximum use of tobacco
(students over 24 years of age). Male and female psychology students
consumed the most marijuana. Psychology students, together with nursing
students, also consumed the most tobacco. Conclusions: In view of the
increasing prevalence of tobacco over the university experience, especially
among nursing and psychology students, and heavier alcohol consumption among
younger students, health education programs for Scottish postsecondary
helping-profession students should expand from the recently introduced
school programs.
EMTREE DRUG INDEX TERMS
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
smoking
EMTREE MEDICAL INDEX TERMS
adolescent
adult
alcoholism
article
drinking behavior
drug dependence
female
health education
human
major clinical study
male
pattern recognition
risk factor
United Kingdom
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997188195
MEDLINE PMID
9203125 (http://www.ncbi.nlm.nih.gov/pubmed/9203125)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 926
TITLE
Dilemmas in implementing alcohol-related secondary prevention in primary
care using a behavioural method
AUTHOR NAMES
Arborelius E.
Damström Thakker K.
Krakau I.
Rydberg U.
AUTHOR ADDRESSES
(Arborelius E.; Krakau I.) Research Centre of General Medicine, Karolinska
Hospital, Stockholm, Sweden.
(Damström Thakker K.; Rydberg U.) Magnus Huss Clinic, Karolinska Hospital,
Stockholm, Sweden.
(Arborelius E.) Research Centre of General Medicine, Karolinska Hospital,
S-171 76 Stockholm, Sweden.
CORRESPONDENCE ADDRESS
E. Arborelius, Research Centre of General Medicine, Karolinska Hospital,
S-171 76 Stockholm, Sweden.
SOURCE
European Addiction Research (1997) 3:3 (150-157). Date of Publication: Jul
1997
ISSN
1022-6877
ABSTRACT
This is a report on experiences from a trial study, based on normal daily
routines, in which the aim was to study the feasibility of a simple method,
grounded in behavioural science, of alcohol counselling in primary care,
directed towards excessive drinkers. Physicians and nurses were educated in
the method in 1-day courses, followed by some tutorial sessions. The
evaluation showed that the method in itself seemed to be suitable,
functional and effective. At return visits, several patients reported that
they had reduced their alcohol consumption, and most patients with initially
high liver function test values showed a consistent decrease when new tests
were made. However, only few potential patients were identified. The
question is why the method was not used to a greater extent. One reason may
be that the prevalence of excessive drinkers in primary care is lower than
has been reported in previous studies. Another explanation might be the
difficulty of identifying possible excessive drinkers, in any significant
numbers, in the clinical situation at the health centre. One further reason
might be the reluctance on the part of physicians and nurses to broach the
subject of alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology, prevention, therapy)
behavior therapy
primary medical care
secondary prevention
EMTREE MEDICAL INDEX TERMS
alcohol consumption
article
doctor patient relation
human
liver function test
patient counseling
priority journal
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997211219
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 927
TITLE
Compliance/adherence and care management in HIV disease.
AUTHOR NAMES
Crespo-Fierro M.
AUTHOR ADDRESSES
(Crespo-Fierro M.) Visiting Nurse Service of New York, USA.
CORRESPONDENCE ADDRESS
M. Crespo-Fierro, Visiting Nurse Service of New York, USA.
SOURCE
The Journal of the Association of Nurses in AIDS Care : JANAC (1997) 8:4
(43-54). Date of Publication: 1997 Jul-Aug
ISSN
1055-3290
ABSTRACT
With the changing perspectives of the HIV epidemic and the introduction of
protease inhibitors to treat human immunodeficiency virus (HIV) disease, the
issue of compliance has gained considerable interest among health care
providers. The idea that clients with HIV disease should succumb to a
patriarchal system of medical care has been challenged by AIDS activists
since the beginning of the epidemic. The concept that there is only one
explanation for "noncompliance" is outdated. The reasons for noncompliance
are multifaceted in nature and include psychosocial factors, complex
medication and treatment regimens, ethnocultural concerns, and in many
instances substance use. Therefore, the notion that there is one
intervention to resolve noncompliance is at best archaic. Interventions to
enhance compliance include supervised therapy, improving the nurse-client
relationship, and patient education, all of which should be combined with
ethnocultural interventions. Plans to enhance compliance must incorporate
person-specific variables and should be tailored to individualized needs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
case management
Human immunodeficiency virus infection (complication, drug therapy)
patient compliance
EMTREE MEDICAL INDEX TERMS
addiction (complication)
cultural anthropology
human
nurse patient relationship
nursing
patient education
psychological aspect
review
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9260150 (http://www.ncbi.nlm.nih.gov/pubmed/9260150)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 928
TITLE
Hong Kong nurses' health-related behaviours: implications for nurses' role
in health promotion.
AUTHOR NAMES
Callaghan P.
Fun M.K.
Yee F.C.
AUTHOR ADDRESSES
(Callaghan P.; Fun M.K.; Yee F.C.) Department of Nursing, CUHK, Sha Tin, NT,
Hong Kong.
CORRESPONDENCE ADDRESS
P. Callaghan, Department of Nursing, CUHK, Sha Tin, NT, Hong Kong.
SOURCE
Journal of advanced nursing (1997) 25:6 (1276-1282). Date of Publication:
Jun 1997
ISSN
0309-2402
ABSTRACT
The health-related behaviors of a random sample (n = 92) of Hong Kong nurses
were assessed by a questionnaire written either in English or in English and
Chinese. Hong Kong nurses reported negligible smoking or alcohol use, low
levels of breast self-examination, cervical screening behaviour and regular
exercising, seat belt use and driving within the speed limit. The sample
reported high levels of making efforts to avoid foods high in cholesterol,
eating foods high in fibre and eating fruit daily. Dental hygiene was
reported to be high. Just over half the sample reported sleeping 7-8 hours
each night and eating breakfast daily. Most nurses reported maintaining
their body weight at a healthy level and eating snacks between meals. The
English language version of the questionnaire produced a slightly better
response rate than the bilingual questionnaire. The results are discussed
with reference to previous studies of females' health-related behaviours in
Hong Kong and elsewhere. The implications for Hong Kong nurses' role in
health promotion is discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health behavior
health promotion
information processing
nurse
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
adult
article
car driving
cultural factor
diet
female
Hong Kong
human
male
preventive health service
reproducibility
utilization review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9181427 (http://www.ncbi.nlm.nih.gov/pubmed/9181427)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 929
TITLE
A randomized controlled trial of group versus individual well child care for
high-risk children: maternal-child interaction and developmental outcomes.
AUTHOR NAMES
Taylor J.A.
Davis R.L.
Kemper K.J.
AUTHOR ADDRESSES
(Taylor J.A.; Davis R.L.; Kemper K.J.) Department of Pediatrics, University
of Washington, Seattle 98195, USA.
CORRESPONDENCE ADDRESS
J.A. Taylor, Department of Pediatrics, University of Washington, Seattle
98195, USA.
SOURCE
Pediatrics (1997) 99:6 (E9). Date of Publication: Jun 1997
ISSN
1098-4275 (electronic)
ABSTRACT
OBJECTIVE: To determine if group well child care (GWCC) for high-risk
children affects maternal-child interaction and development as compared to
these outcomes in children receiving traditional individual well child care
(IWCC). STUDY DESIGN: Randomized controlled trial. PARTICIPANTS: Infants
less than 4 months old at the initiation of the study who came from
high-risk families. Families were classified as high risk, and eligible for
study participation, if the mother had one or more of the following
characteristics: poverty, single marital status, less than a high school
education, age less than 20 years at delivery, previous substance abuse, or
a history of abuse as a child. SETTING: Two urban, university pediatric
clinics in Seattle, Washington. INTERVENTIONS: Study children were
randomized to receive GWCC or IWCC prior to the first study visit at the age
of 4 months. Study health supervision visits were scheduled at 4, 5, 6, 8,
10, 12, and 15 months of age. For children randomized to receive GWCC, study
visits consisted of an age-matched group discussion of child rearing issues,
either preceding or following a brief physical examination. After the
15-month visit, development of study patients was assessed by the use of
Bayley Scales of Infant Development (Bayley). Maternal-child interaction and
the home environment were evaluated by the use of the Nursing Child
Assessment Teaching Scale (NCATS) and the Home Observation for Measurement
of the Environment (HOME), respectively. RESULTS: At least one outcome
measure was obtained on 114 children; 86 patients completed all three
outcome measures. Bayley psychomotor mean scores were 103.6 +/- 11.5 for
GWCC patients versus 100.0 +/- 12.4 for those receiving IWCC (P = .14); mean
scores for the mental section were 99.3 +/- 14.8 and 100.4 +/- 14.3,
respectively (P = .71). The prevalence of high-risk maternal-child
interactions was 10% in both the GWCC and IWCC groups. A high-risk home
environment was found in 16% of IWCC patients versus 4% of those randomized
to GWCC (odds ratio comparing IWCC to GWCC 4.6, 95% confidence interval
0.78, 26.0, after controlling for confounding variables). Provider time was
similar among groups (mean number of minutes/patient/study visit: 19.8 +/-
5.6 and 20.4 +/- 6.7 for GWCC and IWCC, respectively, P = .66). CONCLUSION:
GWCC is a viable alternative to IWCC for high-risk children. Developmental
outcomes and maternal-child interaction are at least as good for children
who received GWCC as compared to traditional IWCC, without any increase in
provider time required.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health care
child parent relation
group structure
mother child relation
treatment outcome
EMTREE MEDICAL INDEX TERMS
adult
article
child care
clinical trial
confidence interval
controlled clinical trial
controlled study
female
human
infant
newborn
organization and management
randomized controlled trial
risk
risk assessment
socioeconomics
statistics
United States
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9164805 (http://www.ncbi.nlm.nih.gov/pubmed/9164805)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 930
TITLE
Faculty development and curricular change: a process and outcomes model for
substance abuse education.
AUTHOR NAMES
Marcus M.T.
AUTHOR ADDRESSES
(Marcus M.T.) Department of Nursing Systems and Technology, School of
Nursing, University of Texas-Houston Health Science Center 77030, USA.
CORRESPONDENCE ADDRESS
M.T. Marcus, Department of Nursing Systems and Technology, School of
Nursing, University of Texas-Houston Health Science Center 77030, USA.
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (1997) 13:3 (168-177). Date of
Publication: 1997 May-Jun
ISSN
8755-7223
ABSTRACT
Health care reform carries with it an imperative to change nursing education
to address emphases on primary care, community-based practice, managed care,
and cost-containment. comprehensive curricular revision must be accompanied
by faculty development if those changes are to be supported. This article
traces the process of faculty development and curriculum change and defines
outcomes that resulted from a 5-year Faculty Development Project grant to
increase nursing expertise in alcohol, tobacco, and other drug use and abuse
issues. The model has broad applicability to faculty development and to
curricular revision in general. Strategies outlined include independent
learning experiences, consultations, workshops, seminars, and retreats. A
comprehensive evaluation plan that measured the impact of the project on
faculty, students, institution, and community is discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
personnel management
treatment outcome
EMTREE MEDICAL INDEX TERMS
article
attitude to health
consultation
health care planning
health care quality
human
methodology
nursing
nursing student
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9167406 (http://www.ncbi.nlm.nih.gov/pubmed/9167406)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 931
TITLE
Identification and assistance for chemically dependent nurses working in
long-term care.
AUTHOR NAMES
Shewey H.M.
AUTHOR ADDRESSES
(Shewey H.M.) Kansas Department of Health and Environment, Topeka, USA.
CORRESPONDENCE ADDRESS
H.M. Shewey, Kansas Department of Health and Environment, Topeka, USA.
SOURCE
Geriatric nursing (New York, N.Y.) (1997) 18:3 (115-118). Date of
Publication: 1997 May-Jun
ISSN
0197-4572
ABSTRACT
The purpose of this manuscript is to examine impaired nurses' practice, to
identify causes, signs, and symptoms of problems, and to identify
interventions for chemically dependent nurses employed in long-term care.
The long-term care nurse manager has a moral, ethical, and legal
responsibility to assist the chemically dependent nurse and to protect the
resident and the facility. Education of nurse managers is essential to
provide for intervention and treatment for the chemically dependent nurse.
Assisting the nurse to accept treatment and return to practice benefits the
individuals, the facility, and the profession. This manuscript describes
step-by-step interventions for identification, treatment, and return to work
for chemically dependent nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
malpractice
nursing home
nursing staff
EMTREE MEDICAL INDEX TERMS
human
nurse administrator
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9197612 (http://www.ncbi.nlm.nih.gov/pubmed/9197612)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 932
TITLE
Mainstreaming drug and alcohol strategies into nursing practice
AUTHOR NAMES
Harvey T.L.
Russell S.V.
AUTHOR ADDRESSES
(Harvey T.L.; Russell S.V.) Drug and Alcohol Services, 4a Fleet Street,
North Parramatta, NSW 2151, Australia.
CORRESPONDENCE ADDRESS
T.L. Harvey, Drug and Alcohol Services, 4a Fleet Street, North Parramatta,
NSW 2151, Australia.
SOURCE
Journal of Substance Misuse (1997) 2:2 (98-104). Date of Publication: 1997
ISSN
1357-5007
ABSTRACT
In October 1991 the New South Wales Department of Health, Australia,
together with the New South Wales Drug and Alcohol Directorate launched 'The
Strategic Plan for Nurse Education and Nursing Management of Alcohol and
Other Drugs'. This plan highlighted the need to develop the skills and
knowledge of all accredited nurses in dealing with alcohol and other drug
issues. The Strategic Plan also challenged health care providers to address
policy in relation to admission, assessment, early intervention, management
of intoxication and management of withdrawal states. Since 1992, nursing
services in collaboration with nurse education within Western Sydney Area
Health Service have developed several initiatives to implement the nurse
Strategic Plan. It was recognized that to achieve the outcomes of the
Strategic Plan, the support of nursing management and nurse educators, both
in hospitals and in the community health setting was paramount. This paper
critically examines the guidelines, policies and education tools developed
within Western Sydney Area Health Service and evaluates the effectiveness of
a change in nursing practice. The paper also discusses the barriers to
implementation and highlights the strategies defined to improve nurse
education and patient outcomes towards the new millennium.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abuse
drug abuse
health care policy
nursing education
EMTREE MEDICAL INDEX TERMS
alcohol withdrawal
article
Australia
disease management
drug withdrawal
health care management
nursing
practice guideline
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997109821
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 933
TITLE
Where treatment and prevention merge: The need for a broader approach
AUTHOR NAMES
Heather N.
AUTHOR ADDRESSES
(Heather N.) Centre for Alcohol and Drug Studies, Newcastle City Health NHS,
United Kingdom.
(Heather N.) Centre for Alcohol and Drug Studies, N. Regional Alcohol and
Drug Service, Plummer Court, Carliol Place, Newcastle upon Tyne NE1 6UR,
United Kingdom.
CORRESPONDENCE ADDRESS
N. Heather, Centre for Alcohol and Drug Studies, Northern Regional Alcohol
Drug Serv., Plummer Court, Carliol Place, Newcastle upon Tyne NE1 6UR,
United Kingdom.
SOURCE
Addiction (1997) 92:SUPPL. 1 (S133-S136). Date of Publication: 1997
ISSN
0965-2140
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Four papers were presented in a Parallel Session chaired by Dr Jorge Gleser
(Israel) and these are summarized here. The papers were: (1) 'Supporting
primary health care physicians' by Dr Galina A. Korchagina of the Medical
Academy of Postgraduate Studies, St Petersburg, the Russian Federation; (2)
'A new role for nurses' by Ms Iveta Kelle, Nursing Consultant Riga, Latvia;
(3) 'Broadening the base of treatment' by Dr Nina Kerimi of the Research
Institute of Preventive and Clinical Medicine, Ashgabat, Turkmenistan; and
(4) 'Primary health care and alcohol reduction strategies' by Dr Leo Pas of
the Academic Centre of General Practice, Free University Brussels Belgium.
Following a discussion, participants agreed on the wording of a draft Policy
for Primary Health Care and Community Action and this is also included here.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
health promotion
primary health care
public health
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention)
conference paper
general practice
general practitioner
human
nursing
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997097754
MEDLINE PMID
9167300 (http://www.ncbi.nlm.nih.gov/pubmed/9167300)
FULL TEXT LINK
http://dx.doi.org/10.1111/j.1360-0443.1997.tb03408.x
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 934
TITLE
Clinic nurses: Confronting campus alcohol use on the frontline
AUTHOR NAMES
Miller J.B.
AUTHOR ADDRESSES
(Miller J.B.) Student Health Service, Bowling Green State University,
Bowling Green, OH, United States.
CORRESPONDENCE ADDRESS
J.B. Miller, Bowling Green State University, Bowling Green, 0H, United
States.
SOURCE
Journal of American College Health (1997) 45:5 (205-208). Date of
Publication: 1997
ISSN
0744-8481
BOOK PUBLISHER
Heldref Publications, 1319 Eighteenth Street NW, Washington, United States.
ABSTRACT
Alcohol use is common on college campuses. Nurses in the student health
clinic, in collaboration with other health professionals, have a
responsibility and an opportunity to assess, intervene, and prevent problems
related to the use of alcohol and other drugs. In this article, the author
suggests how college health nurses, in everyday practice, can seize
opportunities for helping students face their alcohol-related problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcoholism (diagnosis, epidemiology)
EMTREE MEDICAL INDEX TERMS
article
health care
health survey
human
problem solving
risk assessment
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997084107
MEDLINE PMID
9069678 (http://www.ncbi.nlm.nih.gov/pubmed/9069678)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 935
TITLE
Results of two levels of adjunctive treatment used with the nicotine patch
AUTHOR NAMES
Lifrak P.
Gariti P.
Alterman A.I.
McKay J.
Volpicelli J.
Sparkman T.
O'Brien C.
AUTHOR ADDRESSES
(Lifrak P.; Gariti P.; Alterman A.I.; McKay J.; Volpicelli J.; Sparkman T.;
O'Brien C.) Univ. of Pennsylvania Sch. of Med., Philadelphia, PA, United
States.
(Lifrak P.) Univ. Pennsylvania Treatm. Res. Ctr., 3900 Chestnut St.,
Philadelphia, PA 19104, United States.
CORRESPONDENCE ADDRESS
P. Lifrak, UPTRC, 3900 Chestnut St., Philadelphia, PA 19104, United States.
SOURCE
American Journal on Addictions (1997) 6:2 (93-98). Date of Publication:
Spring 1997
ISSN
1055-0496
BOOK PUBLISHER
Informa Healthcare, Telephone House, 69 - 77 Paul Street, United Kingdom.
ABSTRACT
The authors compared 9-, 16-, 26-, and 52-week outcomes for two randomly
assigned groups of nicotine-dependent subjects: 1) nicotine patch plus four
smoking cessation sessions with a nurse-practitioner giving advice and
instruction (n = 36; moderate-intensity condition, MI); or 2) the foregoing
treatments plus 16 weekly individual cognitive/behavioral relapse-prevention
therapy sessions (n = 33; high-intensity condition, HI). Patch completion
rates were 69. 7% in the HI group and 55.6% in the MI group (NS). Self-
reported abstinence rates at the four follow-up points were comparable for
the two treatment groups; HI: 39%, 36%, 36%, and 36%; MI: 44%, 28%, 25%, and
28%, respectively. There was some indication that MI patients with high
nicotine dependence had lower abstinence rates than highly dependent HI
patients.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
smoking cessation
EMTREE MEDICAL INDEX TERMS
abstinence
adult
article
behavior modification
behavior therapy
controlled study
cost effectiveness analysis
female
human
major clinical study
male
nurse
nurse patient relationship
patient counseling
relapse
CAS REGISTRY NUMBERS
nicotine (54-11-5)
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997160173
MEDLINE PMID
9134070 (http://www.ncbi.nlm.nih.gov/pubmed/9134070)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 936
TITLE
The physiological effects of alcohol misuse.
AUTHOR NAMES
Stanislas N.
Radcliffe J.
AUTHOR ADDRESSES
(Stanislas N.; Radcliffe J.)
CORRESPONDENCE ADDRESS
N. Stanislas,
SOURCE
Professional nurse (London, England) (1997) 12:5 (387). Date of Publication:
Feb 1997
ISSN
0266-8130
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing assessment
nursing education
EMTREE MEDICAL INDEX TERMS
curriculum
health personnel attitude
human
note
nursing
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9128695 (http://www.ncbi.nlm.nih.gov/pubmed/9128695)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 937
TITLE
Assessing substance abuse among health care students and the efficacy of
educational interventions.
AUTHOR NAMES
Coleman E.A.
Honeycutt G.
Ogden B.
McMillan D.E.
O'Sullivan P.S.
Light K.
Wingfield W.
AUTHOR ADDRESSES
(Coleman E.A.; Honeycutt G.; Ogden B.; McMillan D.E.; O'Sullivan P.S.; Light
K.; Wingfield W.) College of Nursing, University of Arkansas for Medical
Sciences, Little Rock 77205, USA.
CORRESPONDENCE ADDRESS
E.A. Coleman, College of Nursing, University of Arkansas for Medical
Sciences, Little Rock 77205, USA.
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (1997) 13:1 (28-37). Date of Publication:
1997 Jan-Feb
ISSN
8755-7223
ABSTRACT
Approximately 10 per cent of nurses are chemically dependent, and, for many,
substance abuse begins while attending nursing school. Faculty must be able
to assess the extent of the problem, understand the contributing factors,
recognize signs and symptoms, and use educational interventions in
identifying and preventing chemical dependency in nurses. Beginning in 1989,
the authors sampled all entering students in four colleges on a health
science campus using the Standardized Substance Abuse Attitude Survey and
obtained resurvey data from two of the colleges' 1989 entering classes in
fall 1991. Each college developed educational interventions. Some clear
differences between nursing and pharmacy students emerged and indicated that
a greater emphasis on drug and alcohol education can pay dividends.
Establishing a data base over a period of more than 2 years provides a
foundation to evaluate further interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
drinking behavior (epidemiology, prevention)
health education
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
attitude to health
clinical trial
curriculum
factual database
health care quality
human
methodology
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9183110 (http://www.ncbi.nlm.nih.gov/pubmed/9183110)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 938
TITLE
Problem drinkers in accident and emergency: health promotion initiatives.
AUTHOR NAMES
Lockhart T.
AUTHOR ADDRESSES
(Lockhart T.) Accident & Emergency Department, Cardiff Royal Infirmary, UK.
CORRESPONDENCE ADDRESS
T. Lockhart, Accident & Emergency Department, Cardiff Royal Infirmary, UK.
SOURCE
Accident and emergency nursing (1997) 5:1 (16-21). Date of Publication: Jan
1997
ISSN
0965-2302
ABSTRACT
Problems caused by excessive alcohol consumption often contribute to
Accident and Emergency attendances, giving possible health promotion
opportunities to this client group. These could include screening, health
education (verbal or written), brief intervention and referral to alcohol
services. Accident and Emergency staff rarely take these opportunities. A
knowledge of alcohol problems, possible health promotion initiatives and
services available alter attitudes and increase the likelihood of staff
giving health promotion. Health promotion to problem drinkers should be a
routine in Accident and Emergency departments.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
emergency nursing
health promotion
EMTREE MEDICAL INDEX TERMS
attitude to health
human
mass screening
nursing
nursing staff
patient education
patient referral
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9069729 (http://www.ncbi.nlm.nih.gov/pubmed/9069729)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 939
TITLE
Dyskinesias secondary to gradual neuroleptic drug withdrawal in elderly
nursing home residents
AUTHOR NAMES
Somani S.K.
Engberg K.D.
Guay D.R.P.
AUTHOR ADDRESSES
(Somani S.K.; Engberg K.D.; Guay D.R.P.) Geriatric Pharmacy Program, St.
Paul-Ramsey Medical Center, 640 Jackson Street, St. Paul, MN 55101, United
States.
CORRESPONDENCE ADDRESS
D.R.P. Guay, Geriatric Pharmacy Program, St. Paul-Ramsey Medical Center, 640
Jackson Street, St. Paul, MN 55101, United States.
SOURCE
Journal of Geriatric Drug Therapy (1996) 11:1 (37-51). Date of Publication:
1996
ISSN
8756-4629
ABSTRACT
Background: The authors evaluated the epidemiology of dyskinesias secondary
to gradual taper and discontinuation of neuroleptics in elderly nursing home
(NH) residents receiving these agents for management of behavioral disorders
due to dementia. Method: Prospective, non-randomized, single-blinded (i.e.,
Dyskinesia Identification System: Condensed User Scale [DISCUS] raters)
assessments were conducted in residents either undergoing no alteration of
neuroleptic dosage regimen (control group) or undergoing a gradual
neuroleptic dosage taper (defined as 25% of daily dose per month, depending
on availability of suitable dosage forms) and subsequent discontinuation
(experimental group). The study was conducted in 22 community-based NHs.
Fifty-seven elderly (≤ 65 years) NH residents participated, with 40
residents assigned to the control group and 17 to the experimental group.
After study enrollment, 18 subjects in the control group had neuroleptic
order changes initiated by the attending physician, creating a third study
group (dose change control). DISCUS assessments were performed by trained
nurse raters monthly for eight months. The main outcome measures assessed
were prevalence of tardive dyskinesia (TD) at baseline; incidence, severity,
and course of neuroleptic withdrawal dyskinesias (NWD), reversibility of
NWD; risk factors for development of NWD; and impact of NWD on resident
functional abilities. Results: Tardive dyskinesia was present at baseline in
12 percent of the study population and was not related to prestudy
neuroleptic dose or duration of therapy. Eight experimental group subjects
(50%) and 3 dose change control group subjects (17%) experienced a
behavioral relapse after neuroleptic dosage reduction or discontinuation.
Withdrawal dyskinesias occurred in 26 percent of study subjects undergoing
neuroleptic dosage taper or discontinuation. Withdrawal dyskinesias did not
negatively impact on resident functional abilities or incidence of falls.
Withdrawal dyskinesias persisted for at least 3 months in 56 percent of
affected patients, but were eventually reversible in 70 percent of affected
individuals. No factors predictive of the development of withdrawal
dyskinesias were found. Conclusions: Minimization of the use of neuroleptics
in the management of behavioral disorders associated with dementia is an
important aspect of optimal patient care. However, as illustrated in this
study, behavioral relapse and withdrawal dyskinesias may appear in a
substantial proportion of elderly individuals who are subjected to
neuroleptic dosage taper and withdrawal, even at a gradual rate of 25
percent of the daily dose at monthly intervals. Study limitations such as
small sample size, lack of randomized group assignment, potential for bias
in group assignment by attending physicians and study investigators, and
potential for limited generalizability due to stringent inclusion/exclusion
criteria suggest the need to conduct further studies to validate and extend
the findings of this study.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
neuroleptic agent (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dyskinesia (complication, epidemiology, side effect)
withdrawal syndrome (etiology)
EMTREE MEDICAL INDEX TERMS
aged
article
behavior disorder (complication, drug therapy)
clinical trial
controlled study
dementia (drug therapy)
disease severity
drug withdrawal
female
human
incidence
major clinical study
male
multicenter study
nursing home
prevalence
single blind procedure
tardive dyskinesia (complication, epidemiology, side effect)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1997045038
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 940
TITLE
Prevalence of tuberculin reactivity and risk factors for the development of
active tuberculosis upon admission to a nursing home.
AUTHOR NAMES
Vega Torres R.A.
Conde J.G.
Díaz M.
AUTHOR ADDRESSES
(Vega Torres R.A.; Conde J.G.; Díaz M.) Department of Family Medicine,
University of Puerto Rico, San Juan, USA.
CORRESPONDENCE ADDRESS
R.A. Vega Torres, Department of Family Medicine, University of Puerto Rico,
San Juan, USA.
SOURCE
Puerto Rico health sciences journal (1996) 15:4 (275-277). Date of
Publication: Dec 1996
ISSN
0738-0658
ABSTRACT
A total of 118 nursing home admissions were studied to determine the
prevalence of M. tuberculosis infection and the prevalence of risk factors
for the development of active tuberculosis. The overall prevalence of
positive tests was 22.5%. The most prevalent risk factors for development of
active tuberculosis were diabetes mellitus (42.4%), being more than 10%
below ideal body weight (41.5%), and alcohol abuse (12.7%). Thirty-four
percent of admissions had albumin levels below 3.5 g/dl. No associations
were found when logistic regression was used to determine the impact of age
and poor nutritional status on the prevalence of positive PPD tests on
admission. These results show a substantial difference between the
prevalence of positive PPD tests found upon nursing home admissions (22.5%)
and the prevalence found previously among residents in the same in nursing
home (42.9%).
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing home
tuberculin test
tuberculosis (epidemiology)
EMTREE MEDICAL INDEX TERMS
age
aged
alcoholism (complication)
article
body weight
diabetes mellitus
human
nutritional status
prevalence
Puerto Rico
risk factor
statistical model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9097345 (http://www.ncbi.nlm.nih.gov/pubmed/9097345)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 941
TITLE
Enhancing nursing competence with substance abusing clients.
AUTHOR NAMES
Marcus M.T.
Gerace L.M.
Sullivan E.J.
AUTHOR ADDRESSES
(Marcus M.T.; Gerace L.M.; Sullivan E.J.) Department of Nursing Systems and
Technology, School of Nursing, University of Texas Houston, Houston Health
Science Center 77030, USA.
CORRESPONDENCE ADDRESS
M.T. Marcus, Department of Nursing Systems and Technology, School of
Nursing, University of Texas Houston, Houston Health Science Center 77030,
USA.
SOURCE
The Journal of nursing education (1996) 35:8 (361-366). Date of Publication:
Nov 1996
ISSN
0148-4834
ABSTRACT
Alcohol and other drug abuse, major threats to health, pose challenges for
nurses in virtually every practice setting. Progress toward increasing
nursing competence in the addictions field is being made through the
development of practice standards and model curricula and through federal
initiatives to increase faculty expertise in this field. The next critical
step is to forge creative collaborative links with practice settings, links
that assure that requisite learning is reality-based and in step with the
future of health care. This article outlines progress toward improving
nursing competence in substance abuse and suggests reality-based learning
strategies as a future direction for this important goal for nursing
education. Two successful models of collaboration between education and
practice, designed to augment basic curriculum and improve nursing
knowledge, skills and attitudes related to substance abuse, are described.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
curriculum
nursing education
personnel management
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
article
attitude to health
clinical competence
drug dependence treatment
education
educational model
faculty practice
human
methodology
nurse practitioner
nursing
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8923312 (http://www.ncbi.nlm.nih.gov/pubmed/8923312)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 942
TITLE
Clinical knowledge and skill priorities in substance abuse education: a
nursing faculty longitudinal survey.
AUTHOR NAMES
Murphy S.A.
Scott C.S.
Mandel L.P.
AUTHOR ADDRESSES
(Murphy S.A.; Scott C.S.; Mandel L.P.) Department of Psychosocial Nursing,
University of Washington, Seattle 98195, USA.
CORRESPONDENCE ADDRESS
S.A. Murphy, Department of Psychosocial Nursing, University of Washington,
Seattle 98195, USA.
SOURCE
The Journal of nursing education (1996) 35:8 (356-360). Date of Publication:
Nov 1996
ISSN
0148-4834
ABSTRACT
The aims of this study were to: 1) determine which of 16 substance abuse
content areas nursing faculty fellows considered important for their
professional growth; 2) determine content areas in which faculty fellows
planned to obtain knowledge and skill development during the coming year;
and 3) to identify content areas faculty fellows thought undergraduate
and/or graduate students should be taught. Questionnaires were mailed to the
43 nursing faculty fellows who were recipients of substance abuse federal
training during the 1989-1994 academic years. The response rate was 81%. One
and a half years later, 66% responded to the same items on a follow-up
survey. The results showed that faculty ratings of knowledge and skill
development needs for themselves and their students in nursing were stable
over time. Findings can be used to guide faculty and curriculum development
in alcohol and other substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
clinical trial
education
female
human
longitudinal study
male
multicenter study
nursing
nursing discipline
personnel management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8923311 (http://www.ncbi.nlm.nih.gov/pubmed/8923311)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 943
TITLE
The powerful punch of nicotine: a smoking cessation facilitator's account.
AUTHOR NAMES
Boncella C.
AUTHOR ADDRESSES
(Boncella C.) Lawrence Memorial Hospital, Kansas, USA.
CORRESPONDENCE ADDRESS
C. Boncella, Lawrence Memorial Hospital, Kansas, USA.
SOURCE
The Kansas nurse (1996) 71:10 (1-2). Date of Publication: 1996 Nov-Dec
ISSN
0022-8710
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
patient education
smoking cessation
tobacco dependence (rehabilitation)
EMTREE MEDICAL INDEX TERMS
article
counseling
human
nursing
nursing education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9025463 (http://www.ncbi.nlm.nih.gov/pubmed/9025463)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 944
TITLE
Smoking cessation: educating for the nursing role.
AUTHOR NAMES
Ackeret J.A.
AUTHOR ADDRESSES
(Ackeret J.A.) Baker University School of Nursing, Stormont-Vail Campus,
USA.
CORRESPONDENCE ADDRESS
J.A. Ackeret, Baker University School of Nursing, Stormont-Vail Campus, USA.
SOURCE
The Kansas nurse (1996) 71:10 (4-5). Date of Publication: 1996 Nov-Dec
ISSN
0022-8710
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
smoking cessation
tobacco dependence (rehabilitation)
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9025464 (http://www.ncbi.nlm.nih.gov/pubmed/9025464)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 945
TITLE
Involving health care workers in screening for alcohol problems
AUTHOR NAMES
McCrady B.S.
Richter S.S.
Morgan T.J.
Slade J.
Pfeifer C.
AUTHOR ADDRESSES
(McCrady B.S.; Richter S.S.; Morgan T.J.; Pfeifer C.) Rutgers- State Univ.
of New Jersey, .
(Slade J.) Univ. Med. and Dent. of New Jersey, Robert Wood Johnson Medical
School, St. Peter's Medical Center, .
(McCrady B.S.) Center of Alcohol Studies, Rutgers University, Smithers
Hall-Busch Campus, Piscataway, NJ 08855, United States.
CORRESPONDENCE ADDRESS
B.S. McCrady, Center of Alcohol Studies, Rutgers University, Smithers
Hall-Busch Campus, Piscataway, NJ 08855, United States.
SOURCE
Journal of Addictive Diseases (1996) 15:3 (45-58). Date of Publication: 1996
ISSN
1055-0887
BOOK PUBLISHER
Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
Objectives: (1) Examine physician and nursing staff compliance with
conducting an alcohol screening interview; (2) Compare compliance with the
interview with usual physician and nurse assessment of drinking; (3) Examine
reasons why drinking information might not be collected. Design: Residents
and nurses were taught how to use an alcohol screening Interview and were
told by the director of residency training or by the Vice-President for
Nursing to administer it to all admitted patients. Data on interviewed
patients were compared with medical record data on a randomly selected
series of 80 patients who were not interviewed. Setting: Teaching hospital
in an urban/suburban community. Patients/participants: Residents on internal
medicine and family practice services; surgical nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, prevention)
health care personnel
screening
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
controlled study
female
human
information processing
interview
male
normal human
nursing staff
physician
resident
teaching hospital
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996307471
MEDLINE PMID
8842849 (http://www.ncbi.nlm.nih.gov/pubmed/8842849)
FULL TEXT LINK
http://dx.doi.org/10.1300/J069v15n03_03
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 946
TITLE
Alcohol abuse among college students: implications for nurse practitioners.
AUTHOR NAMES
Wright S.
AUTHOR ADDRESSES
(Wright S.) Georgetown University, School of Nursing, Washington, D.C., USA.
CORRESPONDENCE ADDRESS
S. Wright, Georgetown University, School of Nursing, Washington, D.C., USA.
SOURCE
Journal of the American Academy of Nurse Practitioners (1996) 8:10
(483-488). Date of Publication: Oct 1996
ISSN
1041-2972
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nurse practitioner
student
university
EMTREE MEDICAL INDEX TERMS
adult
female
health service
human
male
nursing
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9305048 (http://www.ncbi.nlm.nih.gov/pubmed/9305048)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 947
TITLE
Substance abuse.
AUTHOR NAMES
Ferguson B.
Dale H.
AUTHOR ADDRESSES
(Ferguson B.; Dale H.) Airdrie Health Centre, Scotland.
CORRESPONDENCE ADDRESS
B. Ferguson, Airdrie Health Centre, Scotland.
SOURCE
Journal of psychiatric and mental health nursing (1996) 3:5 (327). Date of
Publication: Oct 1996
ISSN
1351-0126
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
community health nursing
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
organization and management
pilot study
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9004627 (http://www.ncbi.nlm.nih.gov/pubmed/9004627)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 948
TITLE
Addiction nursing and substance misuse: a slow response to partial
accommodation.
AUTHOR NAMES
Rassool G.H.
AUTHOR ADDRESSES
(Rassool G.H.)
CORRESPONDENCE ADDRESS
G.H. Rassool,
SOURCE
Journal of advanced nursing (1996) 24:3 (425-427). Date of Publication: Sep
1996
ISSN
0309-2402
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication, prevention)
nursing education
EMTREE MEDICAL INDEX TERMS
curriculum
editorial
education
health care policy
human
nurse
nursing
nursing discipline
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8876400 (http://www.ncbi.nlm.nih.gov/pubmed/8876400)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 949
TITLE
Nursing education and research in New Zealand.
AUTHOR NAMES
Sigsby L.M.
Bullock L.
AUTHOR ADDRESSES
(Sigsby L.M.; Bullock L.) College of Nursing, University of Florida,
Gainesville 32610-0187, USA.
CORRESPONDENCE ADDRESS
L.M. Sigsby, College of Nursing, University of Florida, Gainesville
32610-0187, USA.
SOURCE
Image--the journal of nursing scholarship (1996) 28:3 (269-272). Date of
Publication: 1996 Fall
ISSN
0743-5150
ABSTRACT
Changes in nursing education and health care reform in New Zealand have
significantly affected nurses engaged in research. Movement in both
undergraduate and graduate educational qualifications has stimulated
interest in research about health-care problems including cardiovascular
disease, cancer, and substance abuse. Our small descriptive survey indicated
that most research is qualitative and focuses on clinical care. Lack of
funding, isolation from educational settings, and nurses' lack of confidence
in their research abilities are major hindrances to the development of
nursing knowledge. Limited publication opportunities further complicate
dissemination of research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing research
EMTREE MEDICAL INDEX TERMS
article
education
financial management
health care policy
human
New Zealand
organization
organization and management
questionnaire
university
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8854551 (http://www.ncbi.nlm.nih.gov/pubmed/8854551)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 950
TITLE
The benefits of psychiatric hospitalization for older nursing home residents
AUTHOR NAMES
Kunik M.E.
Ponce H.
Molinari V.
Orengo C.
Emenaha I.
Workman R.
AUTHOR ADDRESSES
(Kunik M.E.; Ponce H.; Molinari V.; Orengo C.; Workman R.) Vet. Affairs
Medical Center Hospital, Department of Psychiatry, Baylor College of
Medicine, Houston, TX, United States.
(Emenaha I.) Texas College of Pharmacy, Texas Southern University, Houston,
TX, United States.
(Kunik M.E.) Department of Psychiatry, One Baylor Plaza, Houston, TX 77030,
United States.
CORRESPONDENCE ADDRESS
M.E. Kunik, Department of Psychiatry, One Baylor Plaza, Houston, TX 77030,
United States.
SOURCE
Journal of the American Geriatrics Society (1996) 44:9 (1062-1065). Date of
Publication: September 1996
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVE: To examine the demographic characteristics and treatment outcomes
of nursing home residents admitted to a geropsychiatric inpatient unit.
DESIGN: A retrospective cohort design based on an ongoing data base effort.
SETTING: The geropsychiatric inpatient unit of the Houston Veterans Affairs
Medical Center Hospital. PARTICIPANTS: All admissions to the unit from
nursing homes during an 18-month period. MEASUREMENTS: Mini-Mental State
Examination, Brief Psychiatric Rating Scale, Hamilton Rating Scale for
Depression, Cohen-Mansfield Agitation Inventory, Rating Scale for Side
Effects, and Global Assessment of Functioning were administered on admission
and discharge. RESULTS: Paired t tests comparing change scores revealed
significant decreases in general psychiatric symptoms (P < .001), depression
(P < .001), and agitation (P < .001); significant improvement in global
functioning (P < .001); with no significant changes in cognitive status (P =
.485) or side effects (P = .120). When the patients were subgrouped
according to reasons for admission, paired t tests revealed decreases in
violence (CMAI Factor 1; P = .000), psychosis (BPRS thought disorder scale;
P = .000 and hostility subscale; P < .008), and depression (HAM-D; P =
.002). Four patients were discharged to less restrictive environments, all
with chronic mental illnesses. CONCLUSION: Inpatient psychiatric
hospitalization significantly benefits nursing home residents with and
without dementia who are admitted for severe behavior problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dementia
personality disorder
schizophrenia
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
aged
article
female
hospitalization
human
major clinical study
male
mental hospital
nursing home
psychiatric treatment
statistical analysis
treatment outcome
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996282352
MEDLINE PMID
8790231 (http://www.ncbi.nlm.nih.gov/pubmed/8790231)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 951
TITLE
Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City,
Saudi Arabia.
AUTHOR NAMES
Saeed A.A.
Khoja T.A.
Khan S.B.
AUTHOR ADDRESSES
(Saeed A.A.; Khoja T.A.; Khan S.B.) Department of Community Health Sciences,
College Of Applied Medical Sciences, King Saud University, Riyadh, Saudi
Arabia.
CORRESPONDENCE ADDRESS
A.A. Saeed, Department of Community Health Sciences, College Of Applied
Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
SOURCE
Tobacco control (1996) 5:3 (215-219). Date of Publication: 1996 Autumn
ISSN
0964-4563
ABSTRACT
OBJECTIVE: To measure the smoking behaviour and attitudes among Saudi adults
residing in Riyadh City, the capital of the Kingdom of Saudi Arabia. DESIGN:
Cross-sectional survey. SETTING AND SUBJECTS: Primary health care centres
(PHCCs) in Riyadh City were selected by stratified random sampling. Subjects
resident in each PHCC catchment area were selected by systematic sampling
from their records in the PHCCs; 1534 adults aged 15 years and older were
interviewed during January to April 1994. MAIN OUTCOME MEASURES:
Self-reported smoking prevalence; age of smoking initiation; daily cigarette
consumption; duration of smoking; reasons for smoking, not smoking, and
quitting smoking; intentions to smoke in the future; and attitudes toward
various tobacco control measures. RESULTS: 25.3% of respondents were current
smokers, 10.2% were ex-smokers, and 64.5% had never smoked. About 79% of all
smokers started smoking between the ages of 15 and 30 years, and 19.5%
before age 15. Significantly higher smoking prevalence and daily cigarette
consumption were associated with being male, single, and being more highly
educated. Relief of psychological tension, boredom, and imitating others
were the most important reasons for smoking, whereas health and religious
considerations were the most important reasons for not smoking among
never-smokers, for quitting among ex-smokers, and for attempting to quit or
thinking about quitting among current smokers. About 90% of all subjects
thought that they would not smoke in the future. Physicians and religious
men were identified as the most effective anti-smoking advocates by a much
higher proportion of respondents (44%) than nurses, health educators, and
teachers (each less than 5%). Health and religious education were generally
cited as more effective in deterring smoking than tobacco control laws and
policies. CONCLUSIONS: Cigarette smoking is prevalent among Saudi adults in
Riyadh, particularly males, most of whom begin to smoke rather early in life
and continue for many years. Health and religious education should be the
cornerstone for any organised tobacco control activities, which are urgently
needed to combat the expected future epidemic of smoking-related health
problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
female
human
incidence
male
middle aged
onset age
randomization
Saudi Arabia (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9035357 (http://www.ncbi.nlm.nih.gov/pubmed/9035357)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 952
TITLE
Management of agitation in nursing home patients: Treatment options
AUTHOR NAMES
Billig N.
AUTHOR ADDRESSES
(Billig N.) Geriatric Psychiatry Program, Georgetown University Medical
Center, Washington, DC, United States.
(Billig N.) Department of Psychiatry, Georgetown University Medical Center,
3800 Reservoir Road N.W., Washington, DC 20007, United States.
CORRESPONDENCE ADDRESS
N. Billig, Department of Psychiatry, Georgetown University Medical Center,
3800 Reservoir Road NW, Kober-Cogan, Washington, DC 20007, United States.
SOURCE
Drugs and Aging (1996) 9:2 (93-100). Date of Publication: 1996
ISSN
1170-229X
BOOK PUBLISHER
Adis International Ltd, 41 Centorian Drive, Private Bag 65901, Mairangi Bay,
Auckland 10, New Zealand.
ABSTRACT
Agitation in demented nursing home residents is a major clinical problem
with which patients, families and staff are required to cope. Agitation may
be secondary to a variety of psychiatric, environmental and medical
problems, and thus attempts must be made be clarify aetiological issues
before initiating a treatment plan. Treatments for agitation are imperfect,
and clinicians should be prepared to work through several to find the best
for a given patient and clinical situation,
Cognitive/behavioural/environmental treatments have the advantage of few or
no adverse effects and no drug-drug interactions. Some of these define
rather basic nursing management techniques for coping with agitated older
adults, while others attempt to diminish specific behaviours. The use of
pharmacological interventions should be reserved for those patients in whom
other measures have been unsuccessful, While the range of medications that
have been used to treat various kinds of agitated behaviours is large, there
are few double-blind, placebo-controlled trials in this area and fewer still
in nursing home populations. No one class and no one medication has been
identified as a treatment of choice. While we work to find the aetiological
mechanisms of irreversible forms of dementia, and the possible treatments
for the underlying disorders, the challenge to develop more effective
medications with better adverse effect profiles is before us.
EMTREE DRUG INDEX TERMS
acetophenazine (adverse drug reaction, drug therapy)
anticonvulsive agent (adverse drug reaction, drug therapy)
benzodiazepine (adverse drug reaction, drug therapy)
beta adrenergic receptor blocking agent (adverse drug reaction, drug
therapy)
buspirone (drug therapy)
carbamazepine (adverse drug reaction, drug therapy)
chlorpromazine (adverse drug reaction, drug therapy)
fluoxetine (adverse drug reaction, drug therapy)
haloperidol (adverse drug reaction, drug therapy)
lithium (adverse drug reaction, drug therapy)
loxapine (adverse drug reaction, drug therapy)
neuroleptic agent (adverse drug reaction, drug therapy)
oxazepam (adverse drug reaction, drug therapy)
paroxetine (adverse drug reaction, drug therapy)
penfluridol (adverse drug reaction, drug therapy)
propranolol derivative (adverse drug reaction, drug therapy)
serotonin agonist (adverse drug reaction, drug therapy)
serotonin uptake inhibitor (drug therapy)
sertraline (adverse drug reaction, drug therapy)
thioridazine (adverse drug reaction, drug therapy)
tiotixene (adverse drug reaction, drug therapy)
tricyclic antidepressant agent (adverse drug reaction, drug therapy)
trifluoperazine (adverse drug reaction, drug therapy)
valproic acid (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
affective neurosis (drug therapy, etiology, therapy)
agitation
dementia (drug therapy)
EMTREE MEDICAL INDEX TERMS
aggression
anticholinergic effect
aplastic anemia (side effect)
ataxia (side effect)
behavior therapy
bradycardia (side effect)
bronchospasm (side effect)
cardiovascular disease (side effect)
cognitive therapy
depression (side effect)
drug dependence (side effect)
environmental parameters
falling
gastrointestinal symptom (side effect)
heart failure (side effect)
human
hypothyroidism (side effect)
lethargy (side effect)
leukopenia (side effect)
nursing home
orthostatic hypotension (side effect)
polyuria (side effect)
priapism (side effect)
priority journal
review
sedation
side effect
weight gain
withdrawal syndrome (side effect)
CAS REGISTRY NUMBERS
acetophenazine (2751-68-0)
benzodiazepine (12794-10-4)
buspirone (33386-08-2, 36505-84-7)
carbamazepine (298-46-4, 8047-84-5)
chlorpromazine (50-53-3, 69-09-0)
fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
haloperidol (52-86-8)
lithium (7439-93-2)
loxapine (1977-10-2)
oxazepam (604-75-1)
paroxetine (61869-08-7)
penfluridol (26864-56-2)
sertraline (79617-96-2)
thioridazine (130-61-0, 50-52-2)
tiotixene (5591-45-7)
trifluoperazine (117-89-5, 440-17-5)
valproic acid (1069-66-5, 99-66-1)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Gerontology and Geriatrics (20)
Clinical and Experimental Pharmacology (30)
Psychiatry (32)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996242503
MEDLINE PMID
8820795 (http://www.ncbi.nlm.nih.gov/pubmed/8820795)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 953
TITLE
Invasive group A streptococcal infections in Ontario, Canada
AUTHOR NAMES
Davies H.D.
Mcgeer A.
Schwartz B.
Green K.
Cann D.
Simor A.E.
Low D.E.
AUTHOR ADDRESSES
(Davies H.D.) Division of Infectious Diseases, Hospital for Sick Children,
University of Toronto, Toronto, Ont., Canada.
(Mcgeer A.; Green K.; Cann D.; Low D.E.) Department of Microbiology, Mt.
Sinai Prncs. Margaret Hospitals, University of Toronto, Toronto, Ont.,
Canada.
(Simor A.E.) Department of Microbiology, Sunnybrook Health Sciences Centre,
University of Toronto, Toronto, Ont., Canada.
(Schwartz B.) Centers for Dis. Contr. and Prev., Atlanta, GA, United States.
(Low D.E.) Department of Microbiology, Mount Sinai Hospital, 600 University
Ave., Toronto, Ont. M5G 1X5, Canada.
CORRESPONDENCE ADDRESS
D.E. Low, Department of Microbiology, Mount Sinai Hospital, 600 University
Ave., Toronto, Ont. M5G 1X5, Canada.
SOURCE
New England Journal of Medicine (1996) 335:8 (547-554). Date of Publication:
22 Aug 1996
ISSN
0028-4793
BOOK PUBLISHER
Massachussetts Medical Society, 860 Winter Street, Waltham, United States.
ABSTRACT
Background: Several reports suggest that the incidence of invasive group A
streptococcal infections, including streptococcal toxic shock syndrome and
necrotizing fasciitis, is increasing. Methods: During 1992 and 1993 we
conducted prospective, population-based surveillance of invasive group A
streptococcal disease in Ontario, Canada. We reviewed clinical and
laboratory records, searched for secondary cases of invasive disease, and
cultured specimens from household contacts. Results: We identified 323
patients with invasive group A streptococcal infections, for an annual
incidence of 1.5 cases per 100,000 population. The rates were highest in
young children and the elderly. Fifty-six percent of the patients had
underlying chronic illness. Risk factors for disease included infection with
the human immunodeficiency virus, cancer, diabetes, alcohol abuse, and
chickenpox. The most common clinical presentations were soft-tissue
infection (48 percent), bacteremia with no septic focus (14 percent), and
pneumonia (11 percent). Necrotizing fasciitis occurred in 6 percent of
patients, and toxic shock in 13 percent. The mortality rate was 15 percent
overall, but it was 29 percent among those over 64 years of age (P<0.001)
and 81 percent among those with toxic shock (P<0.001). Fourteen percent of
the cases were nosocomial, and 4 percent occurred in nursing home residents,
often in association with disease outbreaks. Invasive disease occurred in 2
household contacts of patients with infection, for an estimated risk of 3.2
per 1000 household contacts (95 percent confidence interval, 0.39 to 12 per
1000). Conclusions: The elderly and those with underlying medical conditions
are at greatest risk for invasive group A streptococcal disease, toxic
shock, and necrotizing fasciitis. Invasive streptococcal infection is
associated with a substantial risk of transmission in households and health
care institutions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Streptococcus group A
Streptococcus infection (epidemiology, etiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
Canada
child
clinical feature
female
human
incidence
infant
major clinical study
male
mortality
newborn
priority journal
risk factor
toxic shock syndrome (epidemiology, etiology)
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996250810
MEDLINE PMID
8684408 (http://www.ncbi.nlm.nih.gov/pubmed/8684408)
FULL TEXT LINK
http://dx.doi.org/10.1056/NEJM199608223350803
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 954
TITLE
Policy and guidelines for prevention and management of substance abuse in
the nursing education community. American Association of Colleges of
Nursing.
AUTHOR ADDRESSES
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (1996) 12:4 (253-257). Date of
Publication: 1996 Jul-Aug
ISSN
8755-7223
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health care policy
malpractice
nursing education
nursing student
school health nursing
EMTREE MEDICAL INDEX TERMS
article
human
nursing organization
organization and management
policy
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8755141 (http://www.ncbi.nlm.nih.gov/pubmed/8755141)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 955
TITLE
The physiological effects of alcohol misuse.
AUTHOR NAMES
Roberts C.
AUTHOR ADDRESSES
(Roberts C.)
CORRESPONDENCE ADDRESS
C. Roberts,
SOURCE
Professional nurse (London, England) (1996) 11:10 (646-648). Date of
Publication: Jul 1996
ISSN
0266-8130
ABSTRACT
Alcoholism is costly both in human and monetary terms. A thorough nursing
assessment will lead to early detection and treatment. Further tissue damage
and suffering can be reduced by early intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication)
health promotion
nursing assessment
EMTREE MEDICAL INDEX TERMS
article
human
nursing
pathophysiology
patient education
self help
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8718369 (http://www.ncbi.nlm.nih.gov/pubmed/8718369)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 956
TITLE
Alcohol and other drug problems in Australia: the urgent need for nurse
education.
AUTHOR NAMES
de Crespigny C.
AUTHOR ADDRESSES
(de Crespigny C.) Flinders University of SA School of Nursing, South
Australia.
CORRESPONDENCE ADDRESS
C. de Crespigny, Flinders University of SA School of Nursing, South
Australia.
SOURCE
Collegian (Royal College of Nursing, Australia) (1996) 3:3 (23-29). Date of
Publication: Jul 1996
ISSN
1322-7696
ABSTRACT
The economic, social and health costs associated with alcohol and other drug
use, including medicines, impact on the Australian community profoundly.
Many Australians use alcohol and other drugs (AODs) on a regular basis and a
significant number experience problems at some time. There are about 25,000
drug-related deaths annually, the majority of which are related to alcohol
and tobacco use. Many young people die or are injured as a direct result of
alcohol intoxication, accidental overdose and related problems, and
significant numbers of elderly people are hospitalised, permanently
incapacitated or suffer avoidable trauma through adverse drug reactions and
side-effects of medications. It is estimated that at least 25 per cent of
acute hospital beds hold patients with alcohol-related problems directly
associated with the medical diagnosis, and there are comparable numbers of
people needing social and other forms of assistance at some time. Despite
the preventative nature of many AOD problems and the call for harm
reduction, timely intervention and support for the thousands of Australians
attending hospitals, community health and mental health services, nurses are
yet to effectively assist the community in preventing and responding to the
range of AOD problems. Nursing policy, guidelines and clinical expertise are
required to assist the community in addressing this issue. Undergraduate,
postgraduate and continuing education have a vital role to play in providing
the profession with the knowledge, skills and research base to meet this
challenge.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
alcoholism (prevention)
nursing education
EMTREE MEDICAL INDEX TERMS
Australia
clinical competence
cost of illness
human
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
9265493 (http://www.ncbi.nlm.nih.gov/pubmed/9265493)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 957
TITLE
A model of contributing risk factors to chemical dependency in nurses.
AUTHOR NAMES
Mynatt S.
AUTHOR ADDRESSES
(Mynatt S.) University of Memphis Loewenberg School of Nursing, Tennessee
38152, USA.
CORRESPONDENCE ADDRESS
S. Mynatt, University of Memphis Loewenberg School of Nursing, Tennessee
38152, USA.
SOURCE
Journal of psychosocial nursing and mental health services (1996) 34:7
(13-22). Date of Publication: Jul 1996
ISSN
0279-3695
ABSTRACT
1. The risk of chemical dependency in women includes a chaotic family of
origin, victimization, and low self-esteem. 2. Women with substance abuse
disorders often suffer from a co-morbid depression, which is a threat to
relapse. 3. Nursing and nursing education must develop strategies to
minimize the risks associated with substance abuse disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
malpractice
nurse
psychological model
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
philosophy
psychological aspect
questionnaire
retrospective study
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8832509 (http://www.ncbi.nlm.nih.gov/pubmed/8832509)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 958
TITLE
Drinking problems of nursing students.
AUTHOR NAMES
Marion L.N.
Fuller S.G.
Johnson N.P.
Michels P.J.
Diniz C.
AUTHOR ADDRESSES
(Marion L.N.; Fuller S.G.; Johnson N.P.; Michels P.J.; Diniz C.) Department
of Public Health Nursing, College of Nursing, University of Illinois at
Chicago 60612-7350, USA.
CORRESPONDENCE ADDRESS
L.N. Marion, Department of Public Health Nursing, College of Nursing,
University of Illinois at Chicago 60612-7350, USA.
SOURCE
The Journal of nursing education (1996) 35:5 (196-203). Date of Publication:
May 1996
ISSN
0148-4834
ABSTRACT
A sample of 315 nursing students in yearly cohorts (1988-1992) completed the
Michigan Alcoholism Screening Test (MAST). A simple and quick instrument
with established reliability and validity, the MAST had a reliability
coefficient of .78 with this sample. The MAST scores of the nursing students
indicated that 21.5% had probable alcoholism or were alcoholic. Drinking
problems among these nursing students were similar to those of other nursing
students and college students in general. Implications for nurse educators
include recognition that nursing students need continuing self-assessment
and monitoring to avoid drinking problems as a student and future
practitioner. Alcoholism self-screening is an excellent introduction to
client assessment for drinking problems. Implications for future research
include identifying correlates and determinants of problem drinking
behaviors and ultimately developing and testing educational interventions to
eliminate the problem.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
cohort analysis
female
human
incidence
male
mass screening
middle aged
nursing education
psychological aspect
questionnaire
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8718773 (http://www.ncbi.nlm.nih.gov/pubmed/8718773)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 959
TITLE
Attitudes and perceptions of nursing students toward chemically impaired
nurses: implications for nursing education.
AUTHOR NAMES
Wennerstrom P.A.
Rooda L.A.
AUTHOR ADDRESSES
(Wennerstrom P.A.; Rooda L.A.) Indiana University Northwest Campus, Gary
46408, USA.
CORRESPONDENCE ADDRESS
P.A. Wennerstrom, Indiana University Northwest Campus, Gary 46408, USA.
SOURCE
The Journal of nursing education (1996) 35:5 (237-239). Date of Publication:
May 1996
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health personnel attitude
malpractice
nurse
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
female
human
male
nursing
nursing education
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8718781 (http://www.ncbi.nlm.nih.gov/pubmed/8718781)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 960
TITLE
Helping students understand substance abuse.
AUTHOR NAMES
Espeland K.
AUTHOR ADDRESSES
(Espeland K.)
CORRESPONDENCE ADDRESS
K. Espeland,
SOURCE
Nurse educator (1996) 21:1 (31). Date of Publication: 1996 Jan-Feb
ISSN
0363-3624
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
education
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8700410 (http://www.ncbi.nlm.nih.gov/pubmed/8700410)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 961
TITLE
Case control study of risk factors for hepatitis A: Naples 1990-1991
AUTHOR NAMES
Sagliocca L.
Mele A.
Ferrigno L.
Palumbo F.
Converti F.
Tosti M.E.
Amoroso P.
Manzillo G.
AUTHOR ADDRESSES
(Sagliocca L.; Mele A.; Ferrigno L.; Palumbo F.; Converti F.; Tosti M.E.;
Amoroso P.; Manzillo G.) Istituto Superiore di Sanita, Lab. Epidemiologia
Biostatistica, Reparto di Epidemiologia Clinica, Viale Regina Elena 299,
00161 Roma, Italy.
CORRESPONDENCE ADDRESS
A. Mele, Istituto Superiore di Sanita, Lab. Epidemiologia Biostatistica,
Reparto di Epidemiologia Clinica, Viale Regina Elena 299, 00161 Roma, Italy.
SOURCE
Italian Journal of Gastroenterology (1995) 27:4 (181-184). Date of
Publication: 1995
ISSN
0392-0623
BOOK PUBLISHER
International University Press, Via Dora 1, Roma, Italy.
ABSTRACT
An increased incidence of hepatitis A was observed in Naples from 1990-1991.
A hospital-based case-control study was carried out to evaluate the relative
importance of various risk factors. A hundred and ninety-eight cases and 238
hospital controls were recruited during the study period. The strongest
association was contact with a jaundiced person among children. A
correlation was also shown for children and adults with raw shellfish
consumption and pre-school nursery attendance or presence in the household
of children attending pre-school nurseries. History of travel and
intravenous drug use were risk factors for adult subjects. Considering the
relative importance of the specific risk factors we found that 38% of the
acute hepatitis A cases were attributable to contact with a jaundiced
person, 15% to presence in the household of children attending pre-school
nurseries and 28% to raw shellfish consumption.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hepatitis A (epidemiology)
risk factor
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
case control study
child
city
controlled study
disease transmission
drug abuse
household
human
incidence
infant
Italy
jaundice
nursery
shellfish
travel
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Public Health, Social Medicine and Epidemiology (17)
Gastroenterology (48)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995362656
MEDLINE PMID
8520034 (http://www.ncbi.nlm.nih.gov/pubmed/8520034)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 962
TITLE
Certification update.
AUTHOR NAMES
Nelson N.
AUTHOR ADDRESSES
(Nelson N.)
CORRESPONDENCE ADDRESS
N. Nelson,
SOURCE
Perspectives on addictions nursing : a publication of the National Nurses
Society on Addictions (1995) 5:4 (10). Date of Publication: 1995 Winter
ISSN
1057-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
certification
nursing discipline
nursing organization
EMTREE MEDICAL INDEX TERMS
addiction
article
human
nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7773844 (http://www.ncbi.nlm.nih.gov/pubmed/7773844)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 963
TITLE
Alcohol and drug misuse in the nursing home
AUTHOR NAMES
Joseph C.L.
AUTHOR ADDRESSES
(Joseph C.L.) 111-NIICU, Portland VA Medical Center, PO Box 1035, Portland,
OR 97207, United States.
CORRESPONDENCE ADDRESS
C.L. Joseph, 111-NIICU, Portland VA Medical Center, PO Box 1035, Portland,
OR 97207, United States.
SOURCE
International Journal of the Addictions (1995) 30:13-14 (1953-1984). Date of
Publication: 1995
ISSN
0020-773X
BOOK PUBLISHER
Marcel Dekker Inc., 270 Madison Avenue, New York, United States.
ABSTRACT
The misuse of alcohol or drugs is a common and frequently neglected problem
among nursing home residents. The misuse of prescription medications is
particularly prevalent, but tobacco, alcohol, and illicit drugs are all
subject of misuse by nursing home residents. This article reviews the
epidemiologic and clinical aspects of substance misuse in nursing homes,
including alcohol, illicit drugs, tobacco, and pyschoactive medications,
Regulations regarding the prescription of psychoactive drugs in nursing
homes is also discussed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
psychotropic agent
EMTREE DRUG INDEX TERMS
antidepressant agent
anxiolytic agent
hypnotic sedative agent
illicit drug
neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology, rehabilitation, therapy)
drug misuse (epidemiology, rehabilitation, therapy)
nursing home
tobacco
EMTREE MEDICAL INDEX TERMS
aged
aging
drug dependence treatment
health care quality
human
prescription
priority journal
review
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English, Spanish, French
EMBASE ACCESSION NUMBER
1995371463
MEDLINE PMID
8751325 (http://www.ncbi.nlm.nih.gov/pubmed/8751325)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 964
TITLE
Evaluating students' substance abuse assessment skills
AUTHOR NAMES
Murphy S.A.
Scott C.S.
Mandel L.S.
AUTHOR ADDRESSES
(Murphy S.A.; Scott C.S.; Mandel L.S.) Dept. Psychosocial/Community Health,
University of Washington, Box 357263, Seattle, WA 98195-7263, United States.
CORRESPONDENCE ADDRESS
S.A. Murphy, Dept. Psychosocial/Community Health, University of Washington,
Box 357263, Seattle, WA 98195-7263, United States.
SOURCE
Journal of Substance Abuse (1995) 7:3 (357-364). Date of Publication: 1995
ISSN
0899-3289
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Graduating nursing students' abilities to assess clients for substance use
were evaluated using two standal dized patient (SP) cases. In the
comprehensive health history case (unprompted), 55% of the study
participants assessed alcohol use and 20% assessed drug use. When prompted
to conduct a substance use history, at least 90% of the subjects asked about
the quantity and frequency of alcohol use and 80% asked about drug use.
However, in the prompted case, fewer than 10% of the subjects linked current
alcohol and drug (AOD) use with risks and consequences, nor did they ask the
SP if he had considered decreasing substance use. The mean score for
communication skills used in the two assessment interviews were 3.65 and
3.56 on a 1 to 6 Likert scale. These data point out the need for additional
emphasis on instructing students to include AOD questions as part of routine
assessments, what questions to ask in a substance use assessment, and how to
act on the information received. The use of SPs is one way to obtain valid
information about students' assessment competencies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
substance abuse
EMTREE MEDICAL INDEX TERMS
adult
article
diagnosis
human
normal human
nurse
priority journal
student
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1996022488
MEDLINE PMID
8749794 (http://www.ncbi.nlm.nih.gov/pubmed/8749794)
FULL TEXT LINK
http://dx.doi.org/10.1016/0899-3289(95)90028-4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 965
TITLE
Courses conflict and control.
AUTHOR NAMES
Lehane M.
AUTHOR ADDRESSES
(Lehane M.)
CORRESPONDENCE ADDRESS
M. Lehane,
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (1995)
10:10 (50-51). Date of Publication: 1995 Nov 29-Dec 5
ISSN
0029-6570
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing staff
psychiatric nursing
violence
EMTREE MEDICAL INDEX TERMS
addiction
article
case report
education
human
in service training
male
nurse patient relationship
nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8679482 (http://www.ncbi.nlm.nih.gov/pubmed/8679482)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 966
TITLE
Agony and ecstasy.
AUTHOR NAMES
Day M.
AUTHOR ADDRESSES
(Day M.)
CORRESPONDENCE ADDRESS
M. Day,
SOURCE
Nursing times (1995) 91:44 (14-15). Date of Publication: 1995 Nov 1-7
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nursing education
EMTREE MEDICAL INDEX TERMS
article
clinical competence
human
nursing
standard
United Kingdom (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7501509 (http://www.ncbi.nlm.nih.gov/pubmed/7501509)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 967
TITLE
Community-based research: a tool for community empowerment and student
learning.
AUTHOR NAMES
Kelley B.R.
AUTHOR ADDRESSES
(Kelley B.R.) Northeastern University College of Nursing, Boston,
Massachusetts, USA.
CORRESPONDENCE ADDRESS
B.R. Kelley, Northeastern University College of Nursing, Boston,
Massachusetts, USA.
SOURCE
The Journal of nursing education (1995) 34:8 (384-386). Date of Publication:
Nov 1995
ISSN
0148-4834
ABSTRACT
Teaching Nursing Research is most often done close to the end of the
student's educational experience. This article describes Northeastern
University College of Nursing's experience using community-based research
projects as a method of teaching nursing concepts and skills to beginning
nursing students. By using Paulo Freire's model of Community Empowerment, a
group of inner-city teens developed a drug awareness manual that is used to
teach elementary school students about drugs and drug use. Through this
model, students also learn that healthcare is a partnership among
individuals, communities and professionals.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
consumer
nursing research
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
article
book
child
education
human
model
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8558286 (http://www.ncbi.nlm.nih.gov/pubmed/8558286)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 968
TITLE
Home care of the battered pregnant woman: one battered woman's pregnancy.
AUTHOR NAMES
Christian A.
AUTHOR ADDRESSES
(Christian A.) Harris Home Health Services, Fort Worth, TX, USA.
CORRESPONDENCE ADDRESS
A. Christian, Harris Home Health Services, Fort Worth, TX, USA.
SOURCE
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG
(1995) 24:9 (836-842). Date of Publication: 1995 Nov-Dec
ISSN
0884-2175
ABSTRACT
Perinatal nurses in the home care setting should screen all women for
battering. Pregnant women who are battered need nursing education and
intervention to help break the cycle of abuse and promote optimal maternal
and fetal outcomes. This case report describes nursing care in the home for
a battered pregnant patient at high risk.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
home care
partner violence
pregnancy complication
prenatal care
EMTREE MEDICAL INDEX TERMS
addiction
adult
article
case report
female
human
human relation
male
nursing
nursing assessment
patient education
pregnancy
psychological aspect
social support
treatment refusal
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8583274 (http://www.ncbi.nlm.nih.gov/pubmed/8583274)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 969
TITLE
Improving nurses' responses toward substance-misusing patients: a clinical
evaluation project.
AUTHOR NAMES
Gerace L.M.
Hughes T.L.
Spunt J.
AUTHOR ADDRESSES
(Gerace L.M.; Hughes T.L.; Spunt J.) University of Illinois, Chicago College
of Nursing, Rockford Regional Program 61107, USA.
CORRESPONDENCE ADDRESS
L.M. Gerace, University of Illinois, Chicago College of Nursing, Rockford
Regional Program 61107, USA.
SOURCE
Archives of psychiatric nursing (1995) 9:5 (286-294). Date of Publication:
Oct 1995
ISSN
0883-9417
ABSTRACT
Practitioners in acute and primary care settings often fail to identify and
intervene with chemically dependent patients. Counterproductive attitudes,
lack of knowledge, and poor clinical skills impede early identification,
treatment, and referral. In response to these problems, an educational
intervention was designed to improve practicing nurses' recognition of and
responses to substance-misusing patients. Results of the pretest posttest
comparison group evaluation suggest that educational interventions were
influential in improving nurses' confidence in caring for substance misusing
patients. Although data reflecting changes in attitudes were less
compelling, the improvement in treatment optimism is a positive change that
has important clinical implications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude to health
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
clinical competence
education
female
health care quality
human
longitudinal study
male
nursing
organization and management
program development
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7487170 (http://www.ncbi.nlm.nih.gov/pubmed/7487170)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 970
TITLE
Barriers and breakthroughs: substance abuse curricula in nursing education.
AUTHOR NAMES
Church O.M.
Babor T.F.
AUTHOR ADDRESSES
(Church O.M.; Babor T.F.) University of Connecticut School of Nursing,
Storrs, USA.
CORRESPONDENCE ADDRESS
O.M. Church, University of Connecticut School of Nursing, Storrs, USA.
SOURCE
The Journal of nursing education (1995) 34:6 (278-281). Date of Publication:
Sep 1995
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
attitude to health
education
educational model
health care quality
human
nursing
organization and management
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7472640 (http://www.ncbi.nlm.nih.gov/pubmed/7472640)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 971
TITLE
Pain in burn patients
AUTHOR NAMES
Latarjet J.
Choinère M.
AUTHOR ADDRESSES
(Latarjet J.) St Joseph and St Luc Burn Centre, Lyon, France.
(Latarjet J.; Choinère M.) Burn Center, Hôtel-Dieu Hospital of Montreal,
Que., Canada.
(Latarjet J.; Choinère M.) Department of Surgery and Anesthesia, Faculty of
Medicine, University of Montreal, Que., Canada.
CORRESPONDENCE ADDRESS
J. Latarjet, Centre Des Brules, CH St Joseph et St Luc, 6 Rue Raulin, 69365
Lyon cedex 07, France.
SOURCE
Burns (1995) 21:5 (344-348). Date of Publication: 1995
ISSN
0305-4179
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
While severe pain is a constant component of the burn injury, inadequate
pain management has been shown to be detrimental to burn patients.
Pain-generating mechanisms in burns include nociception, primary and
secondary hyperalgesia and neuropathy. The clinical studies of burn pain
characteristics reveal very clear-cat differences between continuous pain
and pain due to therapeutic procedures which have to be treated separately.
Some of the main features of burn pain are: (1) its long-lasting course,
often exceeding healing time, (2) the repetition of highly nociceptive
procedures which can lend to severe psychological disturbances if pain
control is inappropriate. Pharmacotherapy with opioids is the mainstay for
analgesia in burned patients, but non-pharmacological techniques may be
useful adjuncts. Routine pain evaluation is mandatory far efficient and safe
analgesia. Special attention mast be given to pain in burned children which
remains too often underestimated and undertreated. More educational efforts
from physicians and nursing staff are necessary to improve pain management
in burned patients.
EMTREE DRUG INDEX TERMS
acetylsalicylic acid (drug therapy)
alfentanil (drug therapy)
analgesic agent (drug therapy)
anxiolytic agent (drug therapy)
buprenorphine (pharmacology)
codeine (drug therapy)
dextropropoxyphene (drug therapy)
fentanyl (drug therapy)
ketamine (adverse drug reaction, drug therapy)
lidocaine (drug therapy)
morphine (drug therapy)
nalbuphine (pharmacology)
opiate (adverse drug reaction)
opiate agonist (drug therapy)
paracetamol (drug therapy)
propofol (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
burn
pain (complication, drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
aged
analgesia
article
childhood injury
complication
drug dependence (side effect)
hallucination (side effect)
human
hyperalgesia
intravenous drug administration
nociception
oral drug administration
pain assessment
preschool child
respiration depression (side effect)
school child
sensory neuropathy (complication)
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
alfentanil (69049-06-5, 71195-58-9)
buprenorphine (52485-79-7, 53152-21-9)
codeine (76-57-3)
dextropropoxyphene (1639-60-7, 469-62-5)
fentanyl (437-38-7)
ketamine (1867-66-9, 6740-88-1, 81771-21-3)
lidocaine (137-58-6, 24847-67-4, 56934-02-2, 73-78-9)
morphine (52-26-6, 57-27-2)
nalbuphine (20594-83-6, 23277-43-2)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
paracetamol (103-90-2)
propofol (2078-54-8)
EMBASE CLASSIFICATIONS
Adverse Reactions Titles (38)
Drug Literature Index (37)
Clinical and Experimental Pharmacology (30)
Forensic Science Abstracts (49)
Rehabilitation and Physical Medicine (19)
Pediatrics and Pediatric Surgery (7)
Internal Medicine (6)
Dermatology and Venereology (13)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995218683
MEDLINE PMID
7546255 (http://www.ncbi.nlm.nih.gov/pubmed/7546255)
FULL TEXT LINK
http://dx.doi.org/10.1016/0305-4179(95)00003-8
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 972
TITLE
Consumption, behaviour and knowledge with respect to alcoholic drinks in
student nurses in the province of Bologna, Italy
AUTHOR NAMES
Bergamaschi A.
Zanetti F.
Stampi S.
De Luca G.
AUTHOR ADDRESSES
(Bergamaschi A.; Zanetti F.; Stampi S.; De Luca G.) Istituto di Igiene, via
S. Giacomo 12, I-40126 Bologna, Italy.
CORRESPONDENCE ADDRESS
A. Bergamaschi, Istituto di Igiene, via S. Giacomo 12, I-40126 Bologna,
Italy.
SOURCE
European Journal of Epidemiology (1995) 11:2 (185-191). Date of Publication:
1995
ISSN
0393-2990
BOOK PUBLISHER
Kluwer Academic Publishers, Van Godewijckstraat 30, Dordrecht, Netherlands.
ABSTRACT
A study was carried out on alcohol intake among the students of the Schools
for Trained Nurses in the province of Bologna by means of an anonymous
especially prepared questionnaire. The series consisted of 1077 subjects:
753 females and 324 males aged between 16 and 40, 68.2% of males and 56.8%
of females drank wine, 1'81.3% of males and 61.8% of females drank beer and
65.3% of males and 46.2% of females drank spirits. While beer was the most
popular drink, wine was on average drank in greater quantity. Alcohol intake
was significantly related to sex (higher among males), area of origin
(South) and cigarette smoking. The risk attributable to alcohol abuse are
well known to almost all of the sample, above all those in the 2nd and 3rd
years of their course. Nevertheless their alcohol consumption was not
particularly different from that of students attending other High Schools.
Regarding the sources of their information about the risks, the 'mass media'
was more quoted by the oldest students while 'family' was given by the
younger students; the Nursing School was more often mentioned by both sexes
in the 2nd and 3rd year of course. No relation however was found between the
students knowledge of risks and actual consumption.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
health behavior
EMTREE MEDICAL INDEX TERMS
adult
article
drinking behavior
female
human
human experiment
Italy
male
normal human
nurse
questionnaire
risk assessment
risk factor
sex difference
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995188695
MEDLINE PMID
7672074 (http://www.ncbi.nlm.nih.gov/pubmed/7672074)
FULL TEXT LINK
http://dx.doi.org/10.1007/BF01719486
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 973
TITLE
Medicalizing the war on drugs
AUTHOR NAMES
Schmoke K.L.
AUTHOR ADDRESSES
(Schmoke K.L.) 100 North Holliday Street, Baltimore, MD 21202, United
States.
CORRESPONDENCE ADDRESS
K.L. Schmoke, 100 North Holliday Street, Baltimore, MD 21202, United States.
SOURCE
Academic Medicine (1995) 70:5 (355-358). Date of Publication: 1995
ISSN
1040-2446
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
Most medical colleges, teaching hospitals, and other health education and
treatment institutions are already expanding their horizons to include
attention to the public health needs of their communities. But one pressing
public health problem-substance abuse-that should be treated as a disease
and handled by doctors and nurses is at present entrusted primarily to law
enforcement. The author believes that this is the wrong approach: the War on
Drugs is not working, and drug laws are inconsistent and illogical. Changes
in national drug policies must be changed. The author has called for a
national commission to study how all drugs-legal and illegal-should be
regulated. He advocates a health-regulatory strategy, sometimes called
'medicalization,' whereby the government would set up a regime to pull
addicts into the public health system and would control the price,
distribution, purity, and access to addictive substances, just as it now
does with prescription drugs. This would take the profit out of drug
trafficking. Addicts would be treated and if necessary maintained under
medical auspices. Baltimore began its own version of medicalization in the
summer of 1994 with a needle-exchange program, an approach that has
elsewhere led to dramatic drops in AIDS infection and drug-related crime.
Baltimore also has a mobile van for methadone treatment and is getting help
from public and private sources for increased drug treatment and prevention
programs. In the medicalization of the War on Drugs, the nation's medical
colleges, schools of public health, teaching hospitals, and nursing schools
all have roles to play. For example, training in addiction treatment should
become part of their curricula, especially for primary care physicians and
nurses. All teaching, caregiving, research, and funding institutions must
get involved to find and successfully implement medically oriented ways to
deal with substance abuse.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug control
substance abuse
EMTREE MEDICAL INDEX TERMS
drug dependence (prevention, therapy)
drug legislation
heroin dependence (drug therapy)
human
law enforcement
methadone treatment
needle
priority journal
review
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995158764
MEDLINE PMID
7748378 (http://www.ncbi.nlm.nih.gov/pubmed/7748378)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 974
TITLE
Inappropriate use of nonpsychotropic medications in nursing homes
AUTHOR NAMES
Williams B.
Betley C.
AUTHOR ADDRESSES
(Williams B.; Betley C.) Div. of General Medicine, Dept. of Internal
Medicine, Michigan University Medical Center, 1500 E. Medical Center Dr.,
Ann Arbor, MI 48109-0376, United States.
CORRESPONDENCE ADDRESS
B. Williams, Div. of General Medicine, Dept. of Internal Medicine, Michigan
University Medical Center, 1500 E. Medical Center Dr., Ann Arbor, MI
48109-0376, United States.
SOURCE
Journal of the American Geriatrics Society (1995) 43:5 (513-519). Date of
Publication: 1995
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
OBJECTIVES: To determine the prevalence and patient-specific predictors of
the use of 10 presumptively inappropriate medications used to treat medical
conditions among nursing home residents, and to use this information to
examine alternative screening strategies using computerized assessment data
to identify residents who are at high risk of receiving inappropriate
medications. DESIGN: Retrospective, cross-sectional study. PATIENTS: All
persons residing in all 252 nursing homes in two states during the last 6
months of 1991 (N = 21,884). MEASUREMENTS: Data were from Minimum Data Set
Plus (MDS+) assessments, gathered as part of the Health Care Financing
Administration (HCFA) Multistate Nursing Home Casemix and Quality
Demonstration Project. The MDS+ is an expanded version of the federally
mandated Minimum Data Set (MDS) that includes additional information on
medications and their doses and schedules (frequency, standing vs prn). The
reliability of the MDS has been demonstrated previously. Medications were
defined as inappropriate using explicit criteria from published literature.
Outcome measures were the standing use of each or any of 10 presumptively
inappropriate medications used to treat medical (rather than psychiatric or
behavioral) conditions. Potential predictors of inappropriate medication use
included patient demographic characteristics, payer, a proxy measure for
length of stay and admission source, functional status, number of standing
medications, and state. MAIN RESULTS: A total of 12% of residents were
prescribed one or more of 10 presumptively inappropriate meditations on a
standing basis, a figure that differed substantially between states (14.0%
vs 7.4% (P < .001)). The most prevalent inappropriate medications were
dipyridamole (5.4% of residents), amitriptyline (3.3%), and methyldopa
(1.8%). Among patients receiving 0 to 3, 4 to 6, and 7+ meditations, 5%,
12%, and 19%, respectively, were receiving at least one inappropriate
medication. In multivariate logistic regression analyses, the strongest
predictors of inappropriate medication use were state and the total number
of standing medications prescribed. Including other statistically
significant predictors of inappropriate medication use (age > 65 years,
never having been married, severe functional limitations, being a long-stay
patient, and medical diagnosis) did not substantially improve the overall
predictive ability of the model. CONCLUSIONS: A substantial proportion of
nursing home residents receives presumptively inappropriate medications to
treat medical conditions. Selecting persons prescribed large numbers of
medications for further review may be the most efficient method for nursing
home or pharmacy personnel to identify residents at high risk of receiving
inappropriate medications. Extensive additional information on residents'
characteristics, although widely available through the Minimum Data Set,
does not significantly improve the ability to identify residents receiving
inappropriate medications for medical conditions. State-specific policies or
provider practices also influence the likelihood of presumptively
inappropriate medication use among nursing home residents and deserve
further investigation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amitriptyline
dipyridamole
methyldopa
EMTREE DRUG INDEX TERMS
chlorpropamide
cimetidine
cyclandelate
hydrochlorothiazide
isoxsuprine
ranitidine
reserpine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug misuse (epidemiology)
nursing home
EMTREE MEDICAL INDEX TERMS
adult
aged
article
combination chemotherapy
female
high risk patient
human
major clinical study
male
prediction
screening
United States
CAS REGISTRY NUMBERS
amitriptyline (50-48-6, 549-18-8)
chlorpropamide (94-20-2)
cimetidine (51481-61-9, 70059-30-2)
cyclandelate (456-59-7)
dipyridamole (58-32-2)
hydrochlorothiazide (58-93-5)
isoxsuprine (395-28-8, 579-56-6)
methyldopa (555-29-3, 555-30-6)
ranitidine (66357-35-5, 66357-59-3)
reserpine (50-55-5, 8001-95-4)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995147294
MEDLINE PMID
7730533 (http://www.ncbi.nlm.nih.gov/pubmed/7730533)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 975
TITLE
Problem drinking among residents of a VA nursing home
AUTHOR NAMES
Joseph C.L.
Atkinson R.M.
Ganzini L.
AUTHOR ADDRESSES
(Joseph C.L.; Atkinson R.M.; Ganzini L.) Portland VA Medical Center, Section
of Gerontology (111-NHCU-V), PO Box 1035, Portland, OR 97207, United States.
CORRESPONDENCE ADDRESS
C.L. Joseph, Portland VA Medical Center, Section of Gerontology
(111-NHCU-V), PO Box 1035, Portland, OR 97207, United States.
SOURCE
International Journal of Geriatric Psychiatry (1995) 10:3 (243-248). Date of
Publication: 1995
ISSN
0885-6230
ABSTRACT
The authors conducted a retrospective study of problem drinking among
persons admitted to a Veterans Affairs Nursing Home Care Unit (VA NHCU).
Lifetime problem drinking was prevalent in 36% of admissions, two-thirds of
whom had active alcohol problems. Problem drinkers were younger and less
often currently married than NHCU residents without alcohol problems.
Forty-seven per cent of persons with active alcohol problems returned to
independent living. The results suggest that VA NHCUs may be an important
transition between hospital and home for elderly patients with alcohol
problems, affording an opportunity for identification and intervention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
nursing home
senescence
EMTREE MEDICAL INDEX TERMS
adult
aged
article
human
major clinical study
male
marriage
medical record
retrospective study
soldier
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995119487
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 976
TITLE
Chemical impairment of nursing students: a comprehensive policy and
procedure.
AUTHOR NAMES
Asteriadis M.
Davis V.
Masoodi J.
Miller M.
AUTHOR ADDRESSES
(Asteriadis M.; Davis V.; Masoodi J.; Miller M.)
CORRESPONDENCE ADDRESS
M. Asteriadis,
SOURCE
Nurse educator (1995) 20:2 (19-22). Date of Publication: 1995 Mar-Apr
ISSN
0363-3624
ABSTRACT
Faculty and students in nursing education programs need to have a clear
understanding of what constitutes chemical impairment and the academic
consequences that will result when nursing students are identified as
impaired due to substance abuse. The authors present the process used to
develop a comprehensive policy, procedures, and contractual agreement for
addressing the problem of chemical impairment of nursing students.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
organization and management
policy
program development
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7770158 (http://www.ncbi.nlm.nih.gov/pubmed/7770158)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 977
TITLE
Putting prevention into clinical practice: A program for occupational health
nurses
AUTHOR NAMES
Lessure L.J.
Griffith H.M.
AUTHOR ADDRESSES
(Lessure L.J.; Griffith H.M.) Time Life, Inc., Alexandria, VA, United
States.
CORRESPONDENCE ADDRESS
L.J. Lessure, Time Life, Inc., Alexandria, VA, United States.
SOURCE
AAOHN Journal (1995) 43:2 (72-75). Date of Publication: 1995
ISSN
0891-0162
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
As cost control issues become paramount in the company downsizing mode of
the '90s, the exceptional health promotion/disease prevention skills of
occupational health nurses will be increasingly valued (Pravikoff, 1992).
This same corporate climate may dictate delivery methods that expand the
traditional focus of occupational health nurses. Increasing primary care and
health promotion efforts, including options for family involvement and
greater emphasis on group presentations and services, will direct
occupational health nurses activities to reach u greater proportion of the
employee population (Maciag, 1993; Rogers, 1994). For occupational health
nurses prepared to meet these new challenges, use of the PPIP program will
be a valuable resource.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care delivery
health promotion
occupational safety
EMTREE MEDICAL INDEX TERMS
blood pressure regulation
cholesterol blood level
cost control
fitness
health care quality
occupational health nursing
occupational therapist
patient counseling
primary medical care
review
stress
substance abuse
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1995044410
MEDLINE PMID
7779183 (http://www.ncbi.nlm.nih.gov/pubmed/7779183)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 978
TITLE
Effectiveness of health instruction provided by student nurses in rural
secondary schools of Zimbabwe: a feasibility study.
AUTHOR NAMES
Munodawafa D.
Marty P.J.
Gwede C.
AUTHOR ADDRESSES
(Munodawafa D.; Marty P.J.; Gwede C.) University of Akron, Department of
Physical and Health Education, OH 44325-5103, USA.
CORRESPONDENCE ADDRESS
D. Munodawafa, University of Akron, Department of Physical and Health
Education, OH 44325-5103, USA.
SOURCE
International journal of nursing studies (1995) 32:1 (27-38). Date of
Publication: Feb 1995
ISSN
0020-7489
ABSTRACT
This demonstration project used student nurses (n = 12) on community
deployment to provide health instruction among rural school-age populations
in Zimbabwe. A quasi-experimental (pre- and post-test), non-equivalent
control group design was used and consisted of 141 school pupils in the
intervention group and 144 pupils in the comparison group (N = 285). The
curriculum focused on prevention of STDs, HIV/AIDS and drugs (alcohol,
tobacco and marijuana). A gain in health knowledge scores among the
intervention group was reported at post-test. More than 70% of the pupils
who received health instruction from student nurses gave a high approval
rating of student nurses' performance. Further, student nurses, teachers and
tutors all support school health instruction by student nurses although
tutors and teachers differ on teaching about condoms.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Acquired Immunodeficiency Syndrome--prevention and control
action research
Adolescents
Drug Addiction--prevention and control
health
health education
nurse
nursing student
pilot study
program effectiveness
research
rural population
school health nursing
Secondary Schools
Sexually Transmitted Diseases--prevention and control
student
EMTREE MEDICAL INDEX TERMS
addiction (prevention)
adolescent
adult
Africa
Africa south of the Sahara
age
analysis of variance
article
attitude to health
chi square distribution
clinical trial
condom
controlled clinical trial
controlled study
curriculum
Demographic Factors
developing country
diseases
Eastern Africa
education
English Speaking Africa
feasibility study
female
genital tract infection
health care delivery
health care personnel
health care quality
human
Human immunodeficiency virus infection (prevention)
Infections
juvenile
male
methodology
organization and management
population
population and population related phenomena
Programs
psychometry
school
sexually transmitted disease (prevention)
social problem
Studies
substance abuse
Viral Diseases
Zimbabwe
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7730003 (http://www.ncbi.nlm.nih.gov/pubmed/7730003)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 979
TITLE
Perinatal substance use: promoting abstinence in acute care settings.
AUTHOR NAMES
Budd K.W.
AUTHOR ADDRESSES
(Budd K.W.)
CORRESPONDENCE ADDRESS
K.W. Budd,
SOURCE
AACN clinical issues (1995) 6:1 (70-78). Date of Publication: Feb 1995
ISSN
1079-0713
ABSTRACT
All health-care providers need to understand the effects of alcohol,
nicotine, and other drugs on the mother and developing fetus and the ways to
promote abstinence or at least a decrease in use. The use of these
substances may produce chronic and/or catastrophic effects that force the
pregnant woman into contact with the health-care system. Such contact can
produce a healthier outcome for both the mother and fetus if it includes
identification of substance use and intervention to promote abstinence. In
this article, the author describes the consequences of prenatal substance
use for the mother and fetus, identifies techniques used to screen and
assess prenatal substance use, and explains strategies used to intervene in
prenatal substance use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (complication)
health promotion
pregnancy complication
EMTREE MEDICAL INDEX TERMS
acute disease
article
female
human
intensive care
nursing
nursing assessment
pregnancy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7736307 (http://www.ncbi.nlm.nih.gov/pubmed/7736307)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 980
TITLE
Family nurse practitioner clinical competencies in alcohol and substance
use.
AUTHOR NAMES
Talashek M.L.
Gerace L.M.
Miller A.G.
Lindsey M.
AUTHOR ADDRESSES
(Talashek M.L.; Gerace L.M.; Miller A.G.; Lindsey M.)
CORRESPONDENCE ADDRESS
M.L. Talashek,
SOURCE
Journal of the American Academy of Nurse Practitioners (1995) 7:2 (57-63).
Date of Publication: Feb 1995
ISSN
1041-2972
ABSTRACT
The prevalence of substance use among patients presenting to primary health
care settings mandates clinical competency in the area for nurse
practitioners (NPs). An educational intervention with an evaluation
component is described. The effect of incorporating substance use content
into a Family Nurse Practitioner (FNP) curriculum was tested with a
convenience sample of 16 FNP students and 8 practicing NPs. Students'
knowledge increased significantly; however, differences in students' and
practicing NPs' knowledge did not reach significance. Students' clinical
competency increased significantly, as demonstrated by standardized patient
clinical evaluations, and was significantly better than the practicing NPs
in the skill domains of evaluation and record keeping. Educational
intervention can improve NP identification of substance-abusing patients in
primary health care settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
clinical competence
general practice
nurse practitioner
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
health care quality
human
nursing
nursing education
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7756035 (http://www.ncbi.nlm.nih.gov/pubmed/7756035)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 981
TITLE
A comparison of substance use rates among female nurses, clerical workers
and blue-collar workers.
AUTHOR NAMES
Blazer L.K.
Mansfield P.K.
AUTHOR ADDRESSES
(Blazer L.K.; Mansfield P.K.) Lancaster General Hospital, School of Nursing,
Pennsylvania, USA.
CORRESPONDENCE ADDRESS
L.K. Blazer, Lancaster General Hospital, School of Nursing, Pennsylvania,
USA.
SOURCE
Journal of advanced nursing (1995) 21:2 (305-313). Date of Publication: Feb
1995
ISSN
0309-2402
ABSTRACT
The issue of impairment of practising professional nurses by alcohol and
other drugs has become a critical concern since the 1980s. The literature
abounds with conjectures about the large numbers of nurses who are impaired,
often without valid data to support the claims that the problem in nursing
is greater than it is in the general population. This study reflects an
effort to compare the reported substance use of employed female nurses with
that of two other groups of working females. Survey data from 920 nurses,
405 clerical workers and 200 females employed in non-traditional trades jobs
in two large eastern states in the US revealed that there was little
evidence of 'abuse' of any of 15 substances; nurses did not report higher
rates of substance use than the other two groups; and most reported
substance use occurred in the younger age groups, reflecting the national
trend. The need for continuing research efforts and confirmation of valid
data, and primary prevention efforts with young female workers, including
at-risk student nurses, is made evident.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nurse
occupation
EMTREE MEDICAL INDEX TERMS
adult
age distribution
article
comparative study
female
human
malpractice
middle aged
questionnaire
randomization
socioeconomics
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7714288 (http://www.ncbi.nlm.nih.gov/pubmed/7714288)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 982
TITLE
Gear future training to practitioners' needs. Attitudes towards intravenous
drug users.
AUTHOR NAMES
Carroll J.
AUTHOR ADDRESSES
(Carroll J.)
CORRESPONDENCE ADDRESS
J. Carroll,
SOURCE
Professional nurse (London, England) (1995) 10:4 (215-219). Date of
Publication: Jan 1995
ISSN
0266-8130
ABSTRACT
1. There is no clear-cut relationship between staff knowledge and their
attitudes to HIV and Aids. 2. Perceptions of service delivery to drug users
are likely to be affected by respondents' occupational backgrounds. 3. The
effectiveness of service delivery is likely to be affected by situational
constraints. 4. There is a need for improved training and support,
particularly for non-specialist staff.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
attitude to health
nursing education
nursing staff
substance abuse
EMTREE MEDICAL INDEX TERMS
article
education
human
methodology
nursing
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7855146 (http://www.ncbi.nlm.nih.gov/pubmed/7855146)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 983
TITLE
The management of sharps in the emergency department: Is it safe?
AUTHOR NAMES
Moss S.T.
AUTHOR ADDRESSES
(Moss S.T.) UCSD School of Medicine, Office of Student Affairs 0606, 9500
Oilman Drive, San Diego, CA 92093-0606, United States.
CORRESPONDENCE ADDRESS
S.T. Moss, Office of Student Affairs, UCSD School of Medicine, 9500 Gilman
Drive, San Diego, CA 92093-0606, United States.
SOURCE
Journal of Emergency Medicine (1994) 12:6 (745-752). Date of Publication:
1994
ISSN
0736-4679
BOOK PUBLISHER
Elsevier USA, 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
In this study, we observed the management of sharps by health care workers
including physicians, nurses, technicians, and students in the Emergency
Department of the University of California-San Diego Medical Center. Twenty-
eight percent of 418 observed sharp utilizations were managed in such a way
that excess risk was conferred to the user, another person, or both. Twenty-
seven percent conferred excess risk to the user and 12% to another person.
Twenty percent of 322 recappable needles were recapped using a two-handed
technique; 64% were disposed of uncapped. Four sharps (1%) were
inadvertently thrown in the trash. Of the 418 observed sharp utilizations,
none resulted in a puncture wound, although the four that were thrown in the
trash represent a very high risk of injury to others. Physicians were
observed handling the highest percentage of sharps in manners associated
with excess risk while technicians and students managed sharps with the
least risk. Among sharps used on patients who were IV drug abusers with
unknown HIV status, 29% (n = 28) were handled with excess risk to the user,
another person, or both. Of 24 sharps used on known HIV-infected patients,
there were no practices observed that subjected either the user or another
person to excess risk.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
emergency ward
health care personnel
Human immunodeficiency virus infection (epidemiology, etiology, prevention)
stab wound (etiology)
EMTREE MEDICAL INDEX TERMS
article
controlled study
drug abuse
hepatitis B (epidemiology, etiology, prevention)
hepatitis C (epidemiology, etiology, prevention)
human
major clinical study
medical student
needle
nurse
occupational hazard
physician
priority journal
risk management
waste disposal
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994383868
MEDLINE PMID
7884192 (http://www.ncbi.nlm.nih.gov/pubmed/7884192)
FULL TEXT LINK
http://dx.doi.org/10.1016/0736-4679(94)90479-0
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 984
TITLE
School nursing in America--1902-1994: a return to public health nursing.
AUTHOR NAMES
Hawkins J.W.
Hayes E.R.
Corliss C.P.
AUTHOR ADDRESSES
(Hawkins J.W.; Hayes E.R.; Corliss C.P.) School of Nursing, Boston College,
MA.
CORRESPONDENCE ADDRESS
J.W. Hawkins, School of Nursing, Boston College, MA.
SOURCE
Public health nursing (Boston, Mass.) (1994) 11:6 (416-425). Date of
Publication: Dec 1994
ISSN
0737-1209
ABSTRACT
In October 1902, Lina Lavanche Rogers began her work in the New York City
schools as the first school nurse in the United States. The purpose of this
research was to examine the evolution of school nursing as it exemplifies
development of a public health nursing specialty. Historiographic
methodology was used. Primary sources included materials written by pioneers
in school nursing. Secondary sources included journals, books, newspapers,
biographical materials, and unpublished materials from the archives of
health care and educational institutions and agencies. Public health nurses
in 1902 had a model for practice that was considerably more independent and
interdependent than that characterizing the practice of hospital nurses.
From its origins in public health nursing, the role of the school nurse
shrunk in many school systems to that of dispenser of bandages and aspirins,
only to return once more to an advanced practice model. HIV, tuberculosis,
sexually transmitted diseases, addiction, and violence have returned and/or
replaced the contagious diseases of 1902 and the early years of school
nursing. New immigrants, poverty, homelessness, and lack of primary care
offer challenges to school nurses to meet the needs of schoolchildren and
their families in the 1900s.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
school health nursing
EMTREE MEDICAL INDEX TERMS
art
article
health service
history
human
model
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7870660 (http://www.ncbi.nlm.nih.gov/pubmed/7870660)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 985
TITLE
Cases of conscience: casuistic analysis of ethical dilemmas in expanded role
settings.
AUTHOR NAMES
Dimmitt J.H.
Artnak K.E.
AUTHOR ADDRESSES
(Dimmitt J.H.; Artnak K.E.)
CORRESPONDENCE ADDRESS
J.H. Dimmitt,
SOURCE
Nursing ethics (1994) 1:4 (200-207). Date of Publication: Dec 1994
ISSN
0969-7330
ABSTRACT
In the absence of a well articulated conceptual framework for nursing
ethics, this article argues for a theory of applied ethics--casuistics--used
within a clinical reasoning model, to analyse the complicated issues
presented in three cases involving adolescents receiving treatment for abuse
through a rural alternative learning centre. The clinical nurse specialist,
as an independent practitioner within the community, is presented with many
ethical challenges arising from cultural diversity. The inherent independent
nature of such practice environments combined with the pluralism which
exists in today's multicultural society demands that professional nurses
working in these circumstances develop and utilize an ethical framework for
the analysis of patient care in situations that involve moral conflict.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
casuistry
cultural anthropology
ethics
logic
medical ethics
model
nurse attitude
problem solving
role playing
vulnerable population
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
alternative medicine
article
Bioethics and Professional Ethics
case report
conflict
female
human
human relation
law enforcement
nurse
nursing
psychiatric nursing
trust
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7850509 (http://www.ncbi.nlm.nih.gov/pubmed/7850509)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 986
TITLE
Comorbidities of HIV-1/AIDS in adults.
AUTHOR NAMES
Ungvarski P.J.
AUTHOR ADDRESSES
(Ungvarski P.J.) Visiting Nurse Service of New York, NY.
CORRESPONDENCE ADDRESS
P.J. Ungvarski, Visiting Nurse Service of New York, NY.
SOURCE
The Journal of the Association of Nurses in AIDS Care : JANAC (1994) 5:6
(35-44). Date of Publication: 1994 Nov-Dec
ISSN
1055-3290
ABSTRACT
The comorbid diagnoses associated with illness due to human immunodeficiency
virus type 1 (HIV-1) are cumulative, multiple, and varied. These diagnoses
start with primary infection, then progress to symptomatic illness and
finally to AIDS-indicator diseases. The author reviews this progression and
additional variables such as preexisting health problems, socioeconomic
status, health insurance coverage, and educational level. Based on an
understanding of the preexisting problems, as well as the HIV-1 trajectory,
the author outlines the implications for future nursing education, practice,
and research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (complication)
comorbidity
EMTREE MEDICAL INDEX TERMS
adult
AIDS related complex (complication)
educational status
female
health insurance
human
lifestyle
male
review
sexual behavior
sexually transmitted disease
socioeconomics
substance abuse (complication)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7865805 (http://www.ncbi.nlm.nih.gov/pubmed/7865805)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 987
TITLE
Children from alcoholic families--a population at risk.
AUTHOR NAMES
Jack L.
Haines V.
Weinstein N.
AUTHOR ADDRESSES
(Jack L.; Haines V.; Weinstein N.)
CORRESPONDENCE ADDRESS
L. Jack,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1994) 10:3 (27-34; quiz 36). Date of
Publication: Oct 1994
ISSN
1059-8405
ABSTRACT
This article focuses on children of alcoholics as a population at risk, and
discusses strategies for assessment and intervention by school nurses.
Information about alcohol abuse and the effects of problem drinking on
children is provided. Case history examples will offer additional
illustration, with resiliency being highlighted.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
child
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
case report
female
human
male
nursing assessment
psychological aspect
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7873903 (http://www.ncbi.nlm.nih.gov/pubmed/7873903)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 988
TITLE
Survey of addiction education of Iowa nursing students.
AUTHOR NAMES
Flanders K.L.
Pfeiffer J.
Ryan V.H.
AUTHOR ADDRESSES
(Flanders K.L.; Pfeiffer J.; Ryan V.H.)
CORRESPONDENCE ADDRESS
K.L. Flanders,
SOURCE
Perspectives on addictions nursing : a publication of the National Nurses
Society on Addictions (1994) 5:3 (5-6). Date of Publication: 1994 Fall
ISSN
1057-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
nursing student
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7773842 (http://www.ncbi.nlm.nih.gov/pubmed/7773842)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 989
TITLE
Dual specialization for addiction nurses.
AUTHOR NAMES
Vourakis C.
AUTHOR ADDRESSES
(Vourakis C.)
CORRESPONDENCE ADDRESS
C. Vourakis,
SOURCE
Perspectives on addictions nursing : a publication of the National Nurses
Society on Addictions (1994) 5:3 (2, 4). Date of Publication: 1994 Fall
ISSN
1057-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
nursing discipline
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
editorial
human
nursing
nursing organization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7773840 (http://www.ncbi.nlm.nih.gov/pubmed/7773840)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 990
TITLE
Prescription drugs and nursing education: knowledge gaps and implications
for role performance.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
The Journal of law, medicine & ethics : a journal of the American Society of
Law, Medicine & Ethics (1994) 22:3 (257-261). Date of Publication: 1994 Fall
ISSN
1073-1105
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nurse practitioner
nursing education
prescription
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
medical society
nursing
psychiatric nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7749482 (http://www.ncbi.nlm.nih.gov/pubmed/7749482)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 991
TITLE
Modifying a childbirth education curriculum for two specific populations.
Inner-city adolescents and substance-using women.
AUTHOR NAMES
Carrington B.W.
Loftman P.O.
Boucher E.
Irish G.
Piniaz D.K.
Mitchell J.L.
AUTHOR ADDRESSES
(Carrington B.W.; Loftman P.O.; Boucher E.; Irish G.; Piniaz D.K.; Mitchell
J.L.) Department of Obstetrics and Gynecology, Harlem Hospital Center, New
York City.
CORRESPONDENCE ADDRESS
B.W. Carrington, Department of Obstetrics and Gynecology, Harlem Hospital
Center, New York City.
SOURCE
Journal of nurse-midwifery (1994) 39:5 (312-320). Date of Publication: 1994
Sep-Oct
ISSN
0091-2182
ABSTRACT
An interdisciplinary care provider team conducted a nonexperimental,
observational, descriptive study to determine a childbirth education
curriculum that would meet the needs of pregnant adolescent and
substance-using women who attend prenatal clinics at an urban, municipal
hospital center. A childbirth education curriculum, originally taught to a
clinic population in 1974, was used with the two special populations in 1993
for a 7-month period. Participants were encouraged to provide feedback about
the curriculum for each class by offering suggestions for additions or
deletions of content. Provider staff also evaluated the content for
applicability today. At the end of the study period, the pregnant adolescent
group had been most involved with the class exercises; members of the group
provided feedback about content. They were consistently positive in
evaluating the entire six-class curriculum and recommended some additional
topics. The adolescents demonstrated sustained interest in breast-feeding.
The substance-using women, on the other hand, expressed a preference for
content that focused on labor and birth; they preferred to ask questions,
individually and in the privacy of the examining room, and showed negligible
interest in breast-feeding.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
adolescent pregnancy
curriculum
labor
mother
pregnancy complication
urban population
EMTREE MEDICAL INDEX TERMS
adolescent
article
clinical trial
education
female
health care quality
health service
human
nursing
patient satisfaction
pregnancy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7990011 (http://www.ncbi.nlm.nih.gov/pubmed/7990011)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 992
TITLE
Health education: early learning centre.
AUTHOR NAMES
Williams K.
AUTHOR ADDRESSES
(Williams K.)
CORRESPONDENCE ADDRESS
K. Williams,
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (1994)
8:41 (22-23). Date of Publication: 1994 Jul 6-12
ISSN
0029-6570
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
attitude to health
child
female
human
male
methodology
teaching
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8060880 (http://www.ncbi.nlm.nih.gov/pubmed/8060880)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 993
TITLE
Problems in the recognition and treatment of patients with dual diagnoses
AUTHOR NAMES
Milling R.N.
Faulkner L.R.
Craig J.M.
AUTHOR ADDRESSES
(Milling R.N.) Department of Neuropsychiatry and Behavioral Science,
University of South Carolina, School of Medicine, United States.
(Faulkner L.R.) William S. Hall Psychiatric Institute, Columbia, SC, United
States.
(Craig J.M.) University of South Carolina, School of Medicine, United
States.
CORRESPONDENCE ADDRESS
R.N. Milling, Department of Neuropsychiatry, South Carolina Univ. School of
Med., Columbia, SC, United States.
SOURCE
Journal of Substance Abuse Treatment (1994) 11:3 (267-271). Date of
Publication: 1994
ISSN
0740-5472
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Background: This study was to find if the dually diagnosed in a teaching
psychiatric hospital were being adequately identified and treated. Method:
The records of 200 adult inpatients were reviewed for psychiatric diagnoses,
the presence of a history of substance abuse, and the kinds of treatment
rendered those patients. Results: Forty-three percent of the patients
admitted were found to have a history of substance abuse, but 31.4% of these
had a history of substance abuse in the record without a formal diagnosis.
Major depression (26.6%) and schizophrenia (18.7%) were the most frequent
diagnoses. Half of the patients received no documented treatment for
substance abuse. The most common intervention was education by the nursing
staff. Conclusions: There is a clear need for better recognition and
treatment of the dually diagnosed patient.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (diagnosis)
schizophrenia (diagnosis)
substance abuse
EMTREE MEDICAL INDEX TERMS
article
diagnostic accuracy
disease association
medical record
peer review
priority journal
treatment planning
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994191840
MEDLINE PMID
8072056 (http://www.ncbi.nlm.nih.gov/pubmed/8072056)
FULL TEXT LINK
http://dx.doi.org/10.1016/0740-5472(94)90085-X
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 994
TITLE
Neonatal outcome in infants with evidence of fetal exposure to opiates,
cocaine, and cannabinoids
AUTHOR NAMES
Nair P.
Rothblum S.
Hebel R.
AUTHOR ADDRESSES
(Nair P.; Rothblum S.; Hebel R.) Department of Pediatrics, Univ. of Maryland
School of Medicine, 700 West Lombard Street, Baltimore, MD 21201, United
States.
CORRESPONDENCE ADDRESS
P. Nair, Department of Pediatrics, Univ. of Maryland School of Medicine, 700
West Lombard Street, Baltimore, MD 21201, United States.
SOURCE
Clinical Pediatrics (1994) 33:5 (280-285). Date of Publication: 1994
ISSN
0009-9228
BOOK PUBLISHER
SAGE Publications Inc., 2455 Teller Road, Thousand Oaks, United States.
ABSTRACT
This study evaluated the neonatal outcome of infants with evidence of fetal
exposure to cocaine, opiates, and cannabinoids. Subjects were from the
newborn nursery of an inner-city university teaching hospital. Meconium from
141 infants admitted to the full-term nursery was analyzed for metabolites
of opiates, cocaine, and cannabinoids. The population was 72%
African-American; 82% had medical assistance; history of drug use was
reported in the medical records in 18%; mean maternal age was 24.2 years;
mean birth weight was 3,234 ± 502 g; and neonatal abstinence syndrome was
reported in 7%. Meconium analysis data showed the following: 52.5% were
drug-free; cocaine was present in 31%, opiates in 18% (cocaine and/or
opiates 39%), and cannabinoids in 17%. In 38 infants in whom urine
toxicology was obtained for clinical indications, meconium was more
sensitive than urine in detecting drug exposure (55.3% vs 31.5%). There was
no significant difference between cocaine/opiate-exposed and drug-free
infants in race, socioeconomic status, maternal age, birth weight, head
circumference, length, and Apgar scores. Cocaine/opiate-exposed infants had
greater length of stay and increased frequency of maternal sexually
transmitted diseases during pregnancy, with a trend toward a higher percent
with fetal distress.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabinoid
cocaine
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prenatal drug exposure
EMTREE MEDICAL INDEX TERMS
anthropometric parameters
Apgar score
article
feces analysis
fetomaternal transfusion
fetus distress (complication)
human
major clinical study
meconium
newborn
socioeconomics
urinalysis
withdrawal syndrome (epidemiology)
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994162745
MEDLINE PMID
8050257 (http://www.ncbi.nlm.nih.gov/pubmed/8050257)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 995
TITLE
Health promotion. Weeding out the issues.
AUTHOR NAMES
Seymour J.
AUTHOR ADDRESSES
(Seymour J.)
CORRESPONDENCE ADDRESS
J. Seymour,
SOURCE
Nursing times (1994) 90:23 (26-28). Date of Publication: 1994 Jun 8-14
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
smoking cessation
tobacco dependence (rehabilitation)
EMTREE MEDICAL INDEX TERMS
article
hospital patient
hospital personnel
human
morality
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8015923 (http://www.ncbi.nlm.nih.gov/pubmed/8015923)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 996
TITLE
Salutogenesis: an organizing structure for addictions nursing.
AUTHOR NAMES
Mason W.H.
AUTHOR ADDRESSES
(Mason W.H.)
CORRESPONDENCE ADDRESS
W.H. Mason,
SOURCE
Perspectives on addictions nursing : a publication of the National Nurses
Society on Addictions (1994) 5:2 (3-7). Date of Publication: 1994 Summer
ISSN
1057-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
patient education
EMTREE MEDICAL INDEX TERMS
article
case report
health promotion
human
male
middle aged
nursing
psychological aspect
psychological model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7773839 (http://www.ncbi.nlm.nih.gov/pubmed/7773839)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 997
TITLE
Prevention works! With the nursing link.
AUTHOR NAMES
Jack L.W.
AUTHOR ADDRESSES
(Jack L.W.)
CORRESPONDENCE ADDRESS
L.W. Jack,
SOURCE
Perspectives on addictions nursing : a publication of the National Nurses
Society on Addictions (1994) 5:2 (2, 15). Date of Publication: 1994 Summer
ISSN
1057-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
health promotion
EMTREE MEDICAL INDEX TERMS
article
human
nursing
nursing organization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7773838 (http://www.ncbi.nlm.nih.gov/pubmed/7773838)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 998
TITLE
Nursing implementation of smoking bans on psychiatric wards.
AUTHOR NAMES
Richardson M.
AUTHOR ADDRESSES
(Richardson M.) McLean Hospital, Belmont, Massachusetts 02178-9106.
CORRESPONDENCE ADDRESS
M. Richardson, McLean Hospital, Belmont, Massachusetts 02178-9106.
SOURCE
Journal of psychosocial nursing and mental health services (1994) 32:6
(17-19). Date of Publication: Jun 1994
ISSN
0279-3695
ABSTRACT
Although the prevalence of tobacco dependence among psychiatric inpatients
far exceeds that of the general population, psychiatric inpatients are
concerned about the health risks and financial impact of their addiction.
Financial resources heretofore invested in supporting psychiatric patients'
smoking and treatment of cigarette related illnesses can be reallocated to
underwrite patient education. Comprehensive nursing care of tobacco
dependent patients addresses knowledge deficits through individual and group
treatment modalities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
hospital subdivisions and components
mental hospital
nursing staff
smoking (prevention)
smoking cessation
EMTREE MEDICAL INDEX TERMS
article
human
methodology
organization and management
patient education
policy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7932302 (http://www.ncbi.nlm.nih.gov/pubmed/7932302)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 999
TITLE
Alcoholic heart disease: A review
AUTHOR NAMES
Piano M.R.
Schwertz D.W.
AUTHOR ADDRESSES
(Piano M.R.; Schwertz D.W.) Dept. of Medical-Surgical Nursing, College of
Nursing, University of Illinois, 845 S. Damen, Chicago, IL 60312, United
States.
CORRESPONDENCE ADDRESS
M.R. Piano, Dept. of Medical-Surgical Nursing, College of Nursing,
University of Illinois, 845 S. Damen, Chicago, IL 60312, United States.
SOURCE
Heart and Lung: Journal of Critical Care (1994) 23:1 (3-20). Date of
Publication: 1994
ISSN
0147-9563
BOOK PUBLISHER
Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
The association between chronic alcohol consumption and alcoholic heart
disease in human beings is well recognized. Chronic alcohol consumption is
the leading cause of secondary cardiomyopathy, a heart muscle disease
associated with long-term alcohol consumption. Both acute and chronic
alcohol consumption have a negative inotropic effect on the myocardium,
precipitate arrhythmias, and may provoke angina pectoris. There are numerous
reports that alcohol changes many subcellular processes that are involved in
excitation- contraction coupling. However, the exact mechanism(s) underlying
these changes in the heart are still poorly understood. Despite the recent
presumptive protective reports that moderate alcohol consumption protects
against the risk of coronary artery disease, nurses and physicians must
educate all patients about the many other adverse effects of alcohol on the
cardiovascular system. The purpose of this article is to review and discuss
the mechanism(s) that may underlie changes in contractile function after
long-term alcohol consumption and identify current trends in identification
and treatment of alcoholic heart disease.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
cardiac glycoside (drug therapy)
contractile protein (endogenous compound)
diuretic agent (drug therapy)
vasodilator agent (drug therapy)
EMTREE DRUG INDEX TERMS
acetaldehyde (drug toxicity)
actin (endogenous compound)
adenosine triphosphatase (potassium sodium) (endogenous compound)
apoprotein (endogenous compound)
beta adrenergic receptor blocking agent (drug therapy)
calcium channel blocking agent (drug therapy)
calcium ion (endogenous compound)
digitalis glycoside (drug therapy)
dipeptidyl carboxypeptidase inhibitor (drug therapy)
high density lipoprotein (endogenous compound)
hydralazine (drug therapy)
myosin (endogenous compound)
nitrate (drug therapy)
tropomyosin (endogenous compound)
troponin (endogenous compound)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholic cardiomyopathy (diagnosis, drug therapy, epidemiology, etiology,
surgery, therapy)
EMTREE MEDICAL INDEX TERMS
alcohol abstinence
alcohol blood level
alcohol consumption
alcohol intoxication
alcoholism
calcium homeostasis
coronary artery disease (prevention)
drug alcohol interaction
electrocardiography
heart function
heart mitochondrion
heart muscle contractility
heart size
human
hypertension (etiology)
lipid peroxidation
nonhuman
patient education
priority journal
review
sarcolemma
sarcoplasmic reticulum
self evaluation
sodium restriction
CAS REGISTRY NUMBERS
acetaldehyde (75-07-0)
alcohol (64-17-5)
calcium ion (14127-61-8)
hydralazine (304-20-1, 86-54-4)
nitrate (14797-55-8)
tropomyosin (72067-79-9)
EMBASE CLASSIFICATIONS
General Pathology and Pathological Anatomy (5)
Cardiovascular Diseases and Cardiovascular Surgery (18)
Drug Literature Index (37)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994056366
MEDLINE PMID
8150642 (http://www.ncbi.nlm.nih.gov/pubmed/8150642)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1000
TITLE
A multi-professional course in substance misuse.
AUTHOR NAMES
Rassool G.H.
AUTHOR ADDRESSES
(Rassool G.H.) St George's Hospital Medical School, Division of Psychiatry
of Addictive Behaviour, London, England.
CORRESPONDENCE ADDRESS
G.H. Rassool, St George's Hospital Medical School, Division of Psychiatry of
Addictive Behaviour, London, England.
SOURCE
International nursing review (1994) 41:2 (53-56). Date of Publication: 1994
Mar-Apr
ISSN
0020-8132
ABSTRACT
A major health problem worldwide, substance abuse is preventable and
manageable with minimal interventions. Thus there is an urgent need to
prepare nurses and other healthcare professionals to effectively respond and
adapt their existing generic skills in working with substance misusers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
patient care
EMTREE MEDICAL INDEX TERMS
article
attitude to health
clinical competence
curriculum
human
model
nurse
nursing
organization and management
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8034416 (http://www.ncbi.nlm.nih.gov/pubmed/8034416)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1001
TITLE
An intervention to improve the assessment of alcoholism by practicing
physicians.
AUTHOR NAMES
Cowan P.F.
AUTHOR ADDRESSES
(Cowan P.F.) Family Practice Department, University of Illinois at Chicago
60612.
CORRESPONDENCE ADDRESS
P.F. Cowan, Family Practice Department, University of Illinois at Chicago
60612.
SOURCE
The Family practice research journal (1994) 14:1 (41-49). Date of
Publication: Mar 1994
ISSN
0270-2304
ABSTRACT
OBJECTIVE: Alcoholism is estimated to affect at least 10% of American
adults. Despite the fact that early diagnosis is possible and early
treatment can prevent great suffering, American physicians typically
diagnose and treat alcoholism less than half the time. Several authors have
suggested additional physician education as a possible way to improve
alcoholism assessment skills and increase the diagnosis rate. METHODS: A
baseline audit, an educational intervention, and a post-intervention audit
were done with physicians and nurse practitioners in an urban family
practice group, using information recorded during everyday patient care.
RESULTS: A significant increase in specific alcohol intake histories and a
significant decrease in recorded abstention were found. The proportion of
patients with a recorded diagnosis of alcoholism was 2.5% before and 4.1%
after the intervention. CONCLUSIONS: After this intervention, physicians'
and FNP's skills in alcohol history-taking and assessment increased, and
were incorporated into their daily patient care. Education alone was not
enough to remedy a low diagnosis rate; many other factors are involved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis, rehabilitation)
general practice
medical audit
medical education
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
anamnesis
article
curriculum
education
female
group practice
human
male
middle aged
nurse practitioner
patient care
treatment outcome
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8048347 (http://www.ncbi.nlm.nih.gov/pubmed/8048347)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1002
TITLE
Community health research by PHC nurses in Kwazulu.
AUTHOR ADDRESSES
SOURCE
Nursing RSA = Verpleging RSA (1994) 9:3 (24-28). Date of Publication: Mar
1994
ISSN
0258-1647
ABSTRACT
Epidemiological research in community health has been practised by Primary
Health Care nursing students in KwaZulu for the past fifteen years. This
consists of a descriptive community survey to determine the priority needs,
followed by an investigation into one of these needs, usually by means of an
interview survey of 50 households. The process is largely self-directed,
with expert guidance and assistance readily available. The status and
support of the PHC nurses in KwaZulu needs to be enhanced in order to make
them more effective.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health services research
nursing research
EMTREE MEDICAL INDEX TERMS
alcoholism (prevention)
article
epidemiology
nematodiasis (prevention)
rural population
sanitation
sexually transmitted disease (prevention)
South Africa
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8177305 (http://www.ncbi.nlm.nih.gov/pubmed/8177305)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1003
TITLE
A tool for empowerment: live for life school nurse fellowship.
AUTHOR NAMES
Fredericksen P.
AUTHOR ADDRESSES
(Fredericksen P.)
CORRESPONDENCE ADDRESS
P. Fredericksen,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1994) 10:1 (6-9). Date of Publication: Feb
1994
ISSN
1059-8405
ABSTRACT
This report describes a school nurse fellowship program, Live for Life
School Nurse Fellowship, designed and supported by Johnson & Johnson and
held in conjunction with the New Jersey Summer School of Alcohol and Drug
Studies on the campus of Rutgers University in New Brunswick, New Jersey.
The program has been in effect for five years and has involved 135 school
nurses and their administrators from 13 states. Results of an independent
evaluation are included.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
medical education
school health nursing
EMTREE MEDICAL INDEX TERMS
article
behavior
education
health care quality
human
nursing
organization and management
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8161878 (http://www.ncbi.nlm.nih.gov/pubmed/8161878)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1004
TITLE
The cocaine-exposed infant, Part II: Intervention and teaching.
AUTHOR NAMES
Forrest D.C.
AUTHOR ADDRESSES
(Forrest D.C.)
CORRESPONDENCE ADDRESS
D.C. Forrest,
SOURCE
Journal of pediatric health care : official publication of National
Association of Pediatric Nurse Associates & Practitioners (1994) 8:1 (7-11).
Date of Publication: 1994 Jan-Feb
ISSN
0891-5245
ABSTRACT
The incidence of cocaine use among women of child-bearing years is
increasing at an alarming rate. Part I of this article described techniques
for identifying and assessing the cocaine-exposed infant. Part II discusses
techniques of intervention and treatment of these infants.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child care
mother
nurse practitioner
patient education
pediatric nursing
withdrawal syndrome (therapy)
EMTREE MEDICAL INDEX TERMS
article
chemically induced disorder
education
female
human
methodology
newborn
nursing
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8120784 (http://www.ncbi.nlm.nih.gov/pubmed/8120784)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1005
TITLE
Nursing model of psychoeducation for the seriously mentally ill patient.
AUTHOR NAMES
Holmes H.
Ziemba J.
Evans T.
Williams C.A.
AUTHOR ADDRESSES
(Holmes H.; Ziemba J.; Evans T.; Williams C.A.)
CORRESPONDENCE ADDRESS
H. Holmes,
SOURCE
Issues in mental health nursing (1994) 15:1 (85-104). Date of Publication:
1994 Jan-Feb
ISSN
0161-2840
ABSTRACT
The purposes of this paper are to describe a nursing model for
psychoeducation that is being implemented in the psychiatric unit of a
Veterans Administration (V.A.) Hospital and to report baseline descriptive
data for 19 seriously mentally ill patients. The data were collected as part
of a larger study of patient, family, and treatment variables associated
with community adjustment of seriously ill psychiatric patients. A
convenience sample of 19 consenting patients with DSM-III-R diagnoses of
schizophrenia, schizoaffective disorder, or bipolar disorder were
interviewed and assessed by a clinical nurse specialist. Nine consenting
family members, identified by the patient as a key family member, were also
interviewed. The baseline data reported here were generated in these
interviews. These data were also used to develop psychoeducational plans to
meet individual patient/family needs. The patients had had an average of 12
prior hospitalizations. Their mean age was 38 years; 74% were
African-American and 89% were male. Patients reported a variety of
understandings of the reason for their hospitalization and techniques for
management of their symptoms. The most common ways of managing symptoms were
categorized as physical activity, decreasing stimuli, and use of
alcohol/drugs/smoking. Practical problems arising in association with the
conduct of clinical research in a V.A. psychiatric setting by a research
team are also discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
educational model
mental disease (prevention)
model
patient care planning
patient education
psychology
EMTREE MEDICAL INDEX TERMS
adaptive behavior
adult
article
female
hospital readmission
human
male
middle aged
nursing
public hospital
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8119800 (http://www.ncbi.nlm.nih.gov/pubmed/8119800)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1006
TITLE
Smoking health risk. Counseling of psychiatric patients.
AUTHOR NAMES
Buchanan C.R.
Huffman C.
Barbour V.M.
AUTHOR ADDRESSES
(Buchanan C.R.; Huffman C.; Barbour V.M.) Mental Health Clinic, Department
of Veterans Affairs Domiciliary, White City, Oregon.
CORRESPONDENCE ADDRESS
C.R. Buchanan, Mental Health Clinic, Department of Veterans Affairs
Domiciliary, White City, Oregon.
SOURCE
Journal of psychosocial nursing and mental health services (1994) 32:1
(27-32). Date of Publication: Jan 1994
ISSN
0279-3695
ABSTRACT
1. Cigarette smoking has been identified as the single most important source
of preventable morbidity and premature mortality in the United States for
each of the past 25 years. Despite a smoking rate of 50% to 84%, persons
with psychiatric illness have not been the target of any documented smoking
health risk education in current literature. 2. Most nurses view smoking
health risk education as a nursing function, but few actually provide this
care for patients due to perceived ineffectiveness of health risk education,
belief that smoking is not a health risk, and lack of knowledge base to
provide the care. 3. Data from the study reported on in the article
reflected that nurses were providing smoking health risk information to less
than 50% of patients. Nurses were not identifying nicotine dependence as a
nursing problem and therefore were making no plans to provide nursing
interventions to resolve it.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude to health
clinical practice
counseling
mental hospital
nursing staff
psychiatric nursing
smoking cessation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
education
epidemiology
female
human
male
middle aged
nursing evaluation research
patient compliance
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8145196 (http://www.ncbi.nlm.nih.gov/pubmed/8145196)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1007
TITLE
Age-related differences in breast cancer treatment.
AUTHOR NAMES
August D.A.
Rea T.
Sondak V.K.
AUTHOR ADDRESSES
(August D.A.; Rea T.; Sondak V.K.) Department of Surgery, University of
Michigan, Ann Arbor 48109-0331.
CORRESPONDENCE ADDRESS
D.A. August, Department of Surgery, University of Michigan, Ann Arbor
48109-0331.
SOURCE
Annals of surgical oncology : the official journal of the Society of
Surgical Oncology (1994) 1:1 (45-52). Date of Publication: Jan 1994
ISSN
1068-9265
ABSTRACT
BACKGROUND: More than half of the cases of breast cancer treated in the
United States occur in women over age 65. This study investigates
age-related differences in breast cancer therapy. METHODS: A retrospective
review of all women with primary operable invasive breast cancer treated at
the University of Michigan Breast Care Center over a 30-month period showed
a total of 77 older patients aged > or = 65 years (median, 71; oldest
patient, 92) for whom full information was available regarding comorbidity,
tumor stage and histology, and details of surgery, radiation, and
chemohormonal therapy and complications. Fifty-one similar younger patients
aged 55-64 years (median, 59) were identified for comparison. Patients were
classified as either having received standard treatment or non-standard
treatment. Standard therapy was prospectively defined as follows:
local/regional--lumpectomy and axillary lymph node dissection plus radiation
therapy or modified radical mastectomy; systemic--chemotherapy and/or
tamoxifen for stage II disease. A comorbidity score calculated for each
patient assigned one point each for nursing home residence, nonambulatory
status, recent surgery, and each medical problem requiring drug therapy.
RESULTS: When overall treatment (local/regional plus systemic) was assessed,
proportionately fewer older patients (55 of 77 versus 47 of 51; p < 0.01)
received standard treatment. Fewer older than younger patients (62 of 77
versus 50 of 51; p < 0.01) received surgical therapy that included an
axillary dissection. A smaller proportion of older patients received
radiation therapy following lumpectomy and axillary lymph node dissection
(26 of 29 versus 19 of 19; N.S.). Overall, only 59 of 77 older patients
versus 50 of 51 younger patients (p < 0.001) received standard
local/regional care. Similar proportions of younger and older patients (19
of 22 and 24 of 30, respectively) received standard systemic therapy for
stage II breast cancer, but older patients were less likely to receive
chemotherapy than younger patients (7% versus 50%; p < 0.001).
Treatment-related complications were not age-related but were more frequent
in patients receiving standard treatment than in patients receiving
nonstandard treatment (45 of 102 versus two of 26; p < 0.001). Comorbidity
score correlated with the use of nonstandard therapy but not with age. The
scores for both older and younger patients receiving overall standard
treatment were 0.8 versus 1.5 and 1.4, respectively, in patients receiving
nonstandard treatment. Interestingly, explanations for decisions to deviate
from standard treatment guidelines were often not identified. Comorbidity
was explicitly noted in only one of four younger patients who received
nonstandard treatment therapy. In 22 older patients who received nonstandard
treatment, comorbidity was cited in eight cases, patient age was cited in
six cases, and patient choice was cited in four cases. Follow-up (median, 34
months) did not show that disease-free or overall survival differences were
related to age or to treatment (standard versus nonstandard). CONCLUSIONS:
These data demonstrate age-related variations in breast cancer treatment in
a multidisciplinary breast care unit. Lower complication rates and
equivalent short-term outcomes in women who received nonstandard therapy
suggest good clinical judgment may have played a role in these differences.
Although age-related patient preferences and comorbidity are relevant, the
age-related attitudes of caregivers must also be taken into account to fully
explain these variations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
breast tumor (therapy)
EMTREE MEDICAL INDEX TERMS
age
aged
article
female
human
middle aged
mortality
postoperative complication
radiotherapy (adverse drug reaction)
retrospective study
survival rate
LANGUAGE OF ARTICLE
English
MEDLINE PMID
7834427 (http://www.ncbi.nlm.nih.gov/pubmed/7834427)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1008
TITLE
Developing educational programmes for nurses that meet today's addiction
challenges.
AUTHOR NAMES
Hagemaster J.
Handley S.
Plumlee A.
Sullivan E.
Stanley S.
AUTHOR ADDRESSES
(Hagemaster J.; Handley S.; Plumlee A.; Sullivan E.; Stanley S.)
CORRESPONDENCE ADDRESS
J. Hagemaster,
SOURCE
Nurse education today (1993) 13:6 (421-425). Date of Publication: Dec 1993
ISSN
0260-6917
ABSTRACT
Since undergraduate curricula have in the past offered little substance
abuse content, bold and innovative educational programmes are necessary to
prepare nurses for the addiction challenges of the 1990s. The University of
Kansas and the American Nurses' Foundation (ANF) recently addressed the
problem when they were jointly funded by the John W. and Effie E. Speas
Memorial Trust to present an alcohol and other drug education project
targeted to nurses practicing in the local community. 60 nurses in key
clinical settings were given an opportunity to receive general information
about substance abuse through two, 2-day workshops. The purposes of the
project were; (1) to plan and develop materials for an alcohol and other
drug abuse (AODA) curriculum for practicing nurses in a variety of clinical
areas; (2) to assess the effectiveness of the programme through on-site and
post-workshop participant evaluations; (3) and to refine the curriculum and
materials according to evaluation data. Results indicated that participants'
knowledge of AODA was significantly increased by the workshop. Attitudes
also changed in two areas, permissiveness and belief in treatment
interventions. Decreased permissiveness toward substance abuse persisted 3
months after the workshop indicating this may be a lasting change. The
conclusion is that education can lead to a change in knowledge and attitudes
toward substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
program development
EMTREE MEDICAL INDEX TERMS
article
health care quality
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8121344 (http://www.ncbi.nlm.nih.gov/pubmed/8121344)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1009
TITLE
An evaluation of four student placements in psychiatric nursing.
AUTHOR NAMES
Adams C.G.
AUTHOR ADDRESSES
(Adams C.G.)
CORRESPONDENCE ADDRESS
C.G. Adams,
SOURCE
The Journal of the New York State Nurses' Association (1993) 24:4 (19-22).
Date of Publication: Dec 1993
ISSN
0028-7644
ABSTRACT
A sample of senior baccalaureate students enrolled in a psychiatric nursing
course was tested before and after four alternative clinical placements to
measure student satisfaction. While overall satisfaction with clinical
placements was relatively high for this sample and not significantly
different among groups, differences were noted when satisfaction was
examined for different aspects of clinical learning. In general, traditional
inpatient placement settings for psychiatric nursing may be deficient in
providing students with substantive learning about substance abuse and
rehabilitation models. Both substance abuse based settings and combining a
range of settings through which students rotate appear deficient in
providing adequate learning about mental illness. Perhaps most important was
the improvement in Group 3's preference scores, suggesting the importance to
students of the clinical nurse specialist as a role model.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
article
attitude
comparative study
education
human
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8113913 (http://www.ncbi.nlm.nih.gov/pubmed/8113913)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1010
TITLE
Alcohol-related problems within the family and global functioning of the
children: A population-based study
AUTHOR NAMES
Corrao G.
Busellu G.
Valenti M.
Lepore A.R.
Sconci V.
Casacchia M.
Di Orio F.
AUTHOR ADDRESSES
(Corrao G.; Busellu G.; Valenti M.; Lepore A.R.; Sconci V.; Casacchia M.; Di
Orio F.) Centro di Epidemiologia, Facolta di Medicina, Via G Verdi 28, 67100
L'Aquila, Italy.
CORRESPONDENCE ADDRESS
G. Corrao, Centro di Epidemiologia, Facolta di Medicina, Via G Verdi 28,
67100 L'Aquila, Italy.
SOURCE
Social Psychiatry and Psychiatric Epidemiology (1993) 28:6 (304-308). Date
of Publication: 1993
ISSN
0933-7954
BOOK PUBLISHER
Dr. Dietrich Steinkopff Verlag GmbH and Co. KG, P.O. Box 100462, Darmstadt,
Germany.
ABSTRACT
We carried out a population-based prevalence study to assess the association
between the presence of alcohol-related problems within the family and the
risk of disorders in the children's global functioning level. We enrolled
394 children attending nursery, primary and secondary schools and their
parents living in two municipalities in Central Italy. Alcohol-related
problems within the family were reported by registered records obtained from
general practitioners and teachers, who were considered as preference
raters. The childrens level of functioning was assessed by teachers, who
attributed to each school child a score according to the Children Global
Assessment Scale (CGAS). The number of reports of alcohol-related problems
within the family and the CGAS scores were considered, respectively, as
independent and dependent variables in a multiple logistic regression model
for ordinal outcome variables. The children's sex and age, and the age of
their parents, the duration of the parents' education and family size were
considered as covariates. We found a strong association between a poor level
of functioning in the children in the social environment and alcohol-related
problems within the family. The prevalence odds ratio (and 95% confidence
interval) decreased from 0.5 (range 0.2-1.3) for children whose families
were reported by one rater to 0.4 (range 0.2-0.8) for children whose
families were reported by two raters, the non-reported families being the
reference category, suggesting that the level of functioning of the child
decreased as reports of alcohol-related problems in the family increased.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
child health
family
social behavior
EMTREE MEDICAL INDEX TERMS
academic achievement
age
article
child
education
family size
female
human
Italy
major clinical study
male
population research
prevalence
regression analysis
social status
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1994028074
MEDLINE PMID
8134882 (http://www.ncbi.nlm.nih.gov/pubmed/8134882)
FULL TEXT LINK
http://dx.doi.org/10.1007/BF00795912
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1011
TITLE
Nursing knowledge: acute postoperative pain management in the elderly.
AUTHOR NAMES
Brockopp D.Y.
Warden S.
Colclough G.
Brockopp G.W.
AUTHOR ADDRESSES
(Brockopp D.Y.; Warden S.; Colclough G.; Brockopp G.W.)
CORRESPONDENCE ADDRESS
D.Y. Brockopp,
SOURCE
Journal of gerontological nursing (1993) 19:11 (31-37). Date of Publication:
Nov 1993
ISSN
0098-9134
ABSTRACT
1. The inadequate management of acute postoperative pain among adults is
well documented. Studies have shown that 75% or more of hospitalized adult
patients following surgery suffer moderate or intense pain even with the use
of analgesics. Also, physicians under-prescribe narcotic analgesics and
nurses administer less than the patient could receive. 2. Nurses'
ineffective approaches to the management of pain have been attributed to
inappropriate fears of addiction and respiratory depression, rigid attitudes
regarding what constitutes adequate pain relief, and misunderstandings about
the physiologic and psychologic components of pain. 3. The results of this
study support McCaffery's (1989) finding that nurses do not understand the
effective use of narcotics in relation to pain management.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing staff
nursing student
postoperative pain
EMTREE MEDICAL INDEX TERMS
adult
aged
article
education
human
middle aged
nursing
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8245398 (http://www.ncbi.nlm.nih.gov/pubmed/8245398)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1012
TITLE
How different are VA nursing home residents?
AUTHOR NAMES
Mehr D.R.
Fries B.E.
Williams B.C.
AUTHOR ADDRESSES
(Mehr D.R.; Fries B.E.; Williams B.C.) Family/Community Medicine Department,
M228 Medical Sciences Building, Columbia, MO 65212, United States.
CORRESPONDENCE ADDRESS
D.R. Mehr, Family/Community Medicine Department, M228 Medical Sciences
Building, Columbia, MO 65212, United States.
SOURCE
Journal of the American Geriatrics Society (1993) 41:10 (1095-1101). Date of
Publication: 1993
ISSN
0002-8614
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
Objective: To identify similarities and differences between VA nursing home
residents and other nursing home residents. Design: Comparison of cross-
sectional data from three sources. Participants: Residents of VA nursing
homes nationwide in early October 1986 (n = 10,117); participants in the
1985 National Nursing Home Survey (NNHS) (n = 5,243); residents assessed in
New York State nursing homes in 1988 (n = 94,840). Measures: Age-stratified
comparisons were made between the VA and the NNHS for gender, marital
status, race, ethnicity, length of stay, activities of daily living (ADL)
status, and selected diagnoses and conditions. Additionally, case-mix data
were compared between the VA and the New York State populations. Main
Results: The population of VA nursing homes is overwhelmingly men (96.1%
versus 28.4% in the NNHS), and 31.2% of the VA population is under 65 years
of age compared with 11.6% in the NNHS. Young (<65) VA residents are
considerably more impaired in ADL than young residents in the NNHS;
differences are less pronounced in those over 65 years old. VA case mix is
slightly higher than the overall New York State population though the
distribution of residents into categories in the Resource Utilization
Groups, Version II system is somewhat different. Conclusions: VA nursing
homes contain a substantial distinctive population of seriously impaired
residents under 65 years of age. Though differences exist, older VA
residents have many similarities to residents of non-VA nursing homes and
constitute a functionally impaired population that can provide insights into
the status of nursing home residents generally.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care system
health care utilization
nursing home
EMTREE MEDICAL INDEX TERMS
adult
aged
alcoholism
article
behavior disorder (diagnosis, epidemiology)
chronic obstructive lung disease (diagnosis, epidemiology)
community care
daily life activity
dementia (diagnosis, epidemiology)
diabetes mellitus (diagnosis, epidemiology)
ethnic group
female
gender
government
human
length of stay
major clinical study
male
marriage
priority journal
race
soldier
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993299880
MEDLINE PMID
8409156 (http://www.ncbi.nlm.nih.gov/pubmed/8409156)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1013
TITLE
The effects of ethanol exposure on radial arm maze learning and behavior of
offspring rats
AUTHOR NAMES
Omoto M.
Seki K.
Imai T.
Nomura R.
AUTHOR ADDRESSES
(Omoto M.; Seki K.; Imai T.; Nomura R.) Environmental/Occuptl. Health Dept.,
Toho University School of Medicine, Tokyo, Japan.
CORRESPONDENCE ADDRESS
M. Omoto, Environmental/Occuptl. Health Dept., Toho University School of
Medicine, Tokyo, Japan.
SOURCE
Environmental Research (1993) 63:1 (109-121). Date of Publication: 1993
ISSN
0013-9351
BOOK PUBLISHER
Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
The effects of maternal drinking on offspring have been studied
epidemiologically, in human beings, and experimentally, in rats. The
physical growth of offspring of female alcoholic rats, including
histological growth of brain, lung, thymus gland, liver, and kidney, was
previously reported by us. In the present study, we observed the effect of
ethanol intake by the mother rat on learning ability and behavior of
offspring rats using an eight radical arm maze. At the same time
histological observations of the cerebrum were carried out. The mother rat
was exposed to ethanol from a young age to delivery (P-DEL) or to weaning
(P-NURS). After weaning, the offspring was exposed to ethanol until the
tests began (P-WEAN). Experimental groups, classified by length of ethanol
exposure, as mentioned above, disclosed the following: (1) Number of trials
required for fulfilling learning criterion was significantly large in P-DEL
and P-NURS rat groups relative to the controls; that is, P-DEL and P-NURS
rats were slow in learning. (2) Numbers of rats which did not fulfill the
learning criterion were: Group P-DEL, one male of eight; Group P-NURS, three
males of seven. The behavior of the rats in Group P-WEAN differed from those
in other groups; while they were receiving acclimation training, they were,
unlike ordinary rats, not watchful of the device, slow to find the feed, and
indifferent. They seemed to lack carefulness and sometimes failed to eat the
feed even though they succeeded in selecting correct arms. Their motion was
abrupt and they ran at extraordinarily high speeds. (3) In the observations
of correct choices in the first eight choices, groups P-DEL and P-NURS
showed significantly low values. This suggested the lowering of their
learning ability. (4) In the observations of continuous correct choices.
Group P-DEL showed a significantly low value. This suggested the rats did
not learn thoroughly enough to retain their acquisition long. (5) Body
weight, learning ability, and hippocampal neurons were affected by ethanol
exposure more severely in Group P-NURS than in Group P-DEL. An even more
severe effect was observed in Group P-WEAN.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
fetal alcohol syndrome (diagnosis, etiology)
prenatal drug exposure
EMTREE MEDICAL INDEX TERMS
animal behavior
animal model
animal tissue
conference paper
controlled study
female
hippocampus
histopathology
learning
maze test
neurotoxicity (diagnosis, etiology)
nonhuman
psychomotor performance
rat
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Obstetrics and Gynecology (10)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993292161
MEDLINE PMID
8404766 (http://www.ncbi.nlm.nih.gov/pubmed/8404766)
FULL TEXT LINK
http://dx.doi.org/10.1006/enrs.1993.1133
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1014
TITLE
Recognizing and treating delirium in patients admitted to general hospitals
AUTHOR NAMES
Kane Jr. F.J.
Remmel R.
Moody S.
AUTHOR ADDRESSES
(Kane Jr. F.J.; Remmel R.; Moody S.) Department of Psychiatry, Emory
University School of Medicine, 490 Peachtree St NE, Atlanta, GA 30308,
United States.
CORRESPONDENCE ADDRESS
F.J. Kane Jr., Department of Psychiatry, Emory University School of
Medicine, 490 Peachtree St NE, Atlanta, GA 30308, United States.
SOURCE
Southern Medical Journal (1993) 86:9 (985-988). Date of Publication: 1993
ISSN
0038-4348
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
We report a retrospective study of 59 patients for whom our university
hospital nursing service had required the use of lay sitters because of the
need for constant observation. Of 54 charts examined, 28 noted a need for
psychiatric consultation, mostly because of delirious states. Quality of
care deficits discerned included (1) inadequate pharmacotherapy of alcoholic
and nonalcoholic delirium, (2) inadequate search for treatable causes of
delirium (thyroid, B(12), and folate deficiencies), (3) insufficient
awareness of persistent cognitive deficits, which influence the patient's
ability to care for himself or give informed consent. The knowledge and
skills deficits we found are not unique to this hospital and reflect the
failure of most graduate programs to reinforce basic psychiatric teaching.
The quality of care issues indicate that more serious consideration should
be given to providing necessary psychiatric training.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
benzodiazepine derivative (drug therapy)
hydroxyzine embonate (drug therapy)
neuroleptic agent (drug therapy)
EMTREE DRUG INDEX TERMS
chlordiazepoxide (drug therapy)
cyanocobalamin
folic acid
lorazepam (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
delirium (drug therapy, therapy)
delirium tremens (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
aged
article
cognitive defect
cyanocobalamin deficiency
folic acid deficiency
health care quality
hospitalization
human
hypothyroidism
major clinical study
observation
priority journal
psychiatric treatment
DRUG TRADE NAMES
vistaril
CAS REGISTRY NUMBERS
chlordiazepoxide (438-41-5, 58-25-3)
cyanocobalamin (53570-76-6, 68-19-9, 8064-09-3)
folic acid (59-30-3, 6484-89-5)
hydroxyzine embonate (10246-75-0)
lorazepam (846-49-1)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993277800
MEDLINE PMID
8103609 (http://www.ncbi.nlm.nih.gov/pubmed/8103609)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1015
TITLE
Updating the critical care nurse on alcohol and other drug abuse.
AUTHOR NAMES
Neafsey P.J.
Fisk N.B.
Williams C.A.
AUTHOR ADDRESSES
(Neafsey P.J.; Fisk N.B.; Williams C.A.)
CORRESPONDENCE ADDRESS
P.J. Neafsey,
SOURCE
Critical care nurse (1993) 13:5 (98-107). Date of Publication: Oct 1993
ISSN
0279-5442
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
intensive care
nursing education
EMTREE MEDICAL INDEX TERMS
adult
aged
article
curriculum
education
female
human
male
middle aged
nursing
nursing discipline
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8404008 (http://www.ncbi.nlm.nih.gov/pubmed/8404008)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1016
TITLE
Adolescent substance abuse: psychosocial factors.
AUTHOR NAMES
Tuttle J.
AUTHOR ADDRESSES
(Tuttle J.)
CORRESPONDENCE ADDRESS
J. Tuttle,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1993) 9:3 (18, 20, 22-25). Date of
Publication: Oct 1993
ISSN
1059-8405
ABSTRACT
The prevention and management of adolescent substance abuse requires an
understanding of the psychosocial context in which such a problem develops.
This article reviews literature from the health and behavioral sciences and
provides information about the prevalence of substance abuse, family and
other psychosocial factors associated with substance abuse, and signs and
symptoms of various kinds of substance abuse. Implications for school
nursing practice are discussed and suggestions for implementation made.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
female
human
male
nursing
prevalence
psychological aspect
review
risk factor
school health nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8241685 (http://www.ncbi.nlm.nih.gov/pubmed/8241685)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1017
TITLE
Nursing's renaissance. An innovative continuum of care takes nurses back to
their roots.
AUTHOR NAMES
Hey M.
AUTHOR ADDRESSES
(Hey M.)
CORRESPONDENCE ADDRESS
M. Hey,
SOURCE
Health progress (Saint Louis, Mo.) (1993) 74:8 (26-32). Date of Publication:
Oct 1993
ISSN
0882-1577
ABSTRACT
Nurses in the Tucson area are not only serving persons in hospitals but also
caring for them in their homes and neighborhoods and teaching them how to
maintain their health. Three nursing programs--community nursing centers,
home health services, and nurse case management--are part of the nursing
continuum of care within Carondelet Health Care. Promoting clients' optimal
wellness level, helping them maintain their highest level of functioning,
preserving their dignity and independence, and enhancing their self-care are
the goals of the Carondelet Community Nursing Centers. Nurse practitioners
monitor clients' blood pressure and cholesterol and blood sugar levels and
can test for episodic problems. Carondelet Home Health nurses teach clients
about disease processes, symptom management, and medications; assess or
monitor a patient's condition; care for wounds, and coordinate services such
as physical therapy, occupational therapy, and home-delivered meals. Persons
are usually referred to home health as they are discharged from the
hospital. In addition to helping clients with psychosocial problems, nurse
case managers perform traditional nursing functions like monitoring and
teaching about medications. Nurse case management clients include the frail
elderly or persons who have at least one of the following: a chronic disease
that is causing steadily declining health; a terminal illness; an acute
episode that requires monitoring and support; care-giver stress; or an
inability to cope, as evidenced by anxiety, depression or substance abuse.
Services for such clients will gain prominence in a reformed healthcare
system.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
patient care
EMTREE MEDICAL INDEX TERMS
adult
aged
article
health center
home care
hospital organization
human
middle aged
nurse practitioner
organization and management
patient care planning
philosophy
self care
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10129199 (http://www.ncbi.nlm.nih.gov/pubmed/10129199)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1018
TITLE
Stress and coping: the influence of racism on the cognitive appraisal
processing of African Americans.
AUTHOR NAMES
Outlaw F.H.
AUTHOR ADDRESSES
(Outlaw F.H.)
CORRESPONDENCE ADDRESS
F.H. Outlaw,
SOURCE
Issues in mental health nursing (1993) 14:4 (399-409). Date of Publication:
1993 Oct-Dec
ISSN
0161-2840
ABSTRACT
Individuals who experience repeated stressful events are at risk for
developing physical and psychological illnesses. African Americans are an
ethnic group that is exposed to a range of stressors over time, including
racism which leads to discrimination. African Americans also suffer
disproportionately from hypertension, cardiac disease, obesity, and drug and
alcohol abuse--all illnesses that have been linked to stress. This paper
describes a model to guide nursing practice, research, and education about
the influence of racism on the cognitive appraisal, stress, and coping of
African Americans. Lazarus and Folkman's (1984) phenomenological approach to
cognitive appraisal, stress, and coping is the theoretical framework on
which the model is based.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adaptive behavior
African American
cognition
mental function
mental stress
social psychology
EMTREE MEDICAL INDEX TERMS
article
ethnology
health status
human
nursing
nursing methodology research
psychological aspect
psychological model
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8244690 (http://www.ncbi.nlm.nih.gov/pubmed/8244690)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1019
TITLE
LIGHT model: An effective intervention model to change high-risk AIDS
behaviors among hard-to-reach urban drug users
AUTHOR NAMES
Andersen M.D.
Smereck G.A.D.
Braunstein M.S.
AUTHOR ADDRESSES
(Andersen M.D.; Smereck G.A.D.; Braunstein M.S.) Personalized Nursing
Corporation, 575 S. Main St., Plymouth, MI 48170, United States.
CORRESPONDENCE ADDRESS
M.D. Andersen, Personalized Nursing Corporation, 575 S. Main St., Plymouth,
MI 48170, United States.
SOURCE
American Journal of Drug and Alcohol Abuse (1993) 19:3 (309-325). Date of
Publication: 1993
ISSN
0095-2990
BOOK PUBLISHER
Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United
States.
ABSTRACT
Two thousand thirty-three hospital emergency room (ER) patients who were
current, active injecting drug users (IDUs) were voluntary participants in a
pretest, posttest research project which utilized a nursing model, the
Personalized Nursing LIGHT Model, as a counseling approach to decrease high-
risk AIDS behaviors. The LIGHT Model works by directly improving well-being
and thereby indirectly decreasing high-risk behaviors associated with AIDS.
Addicts from an urban ER in each of three cities (Detroit, Michigan;
Brooklyn, New York; and Baltimore, Maryland) were treated with teams
consisting of nurses and indigenous outreach workers. Posttest data were
gathered on 995 of the clients who received the Personalized Nursing LIGHT
Model teaching and counseling intervention. In a posttest at least 3 months
after the initial interview, these IDUs reported a significant increase in
well-being, t(530) = -11.77; p < .001, and significant reductions in
frequency of IV heroin use, z = -18.4; p < .001, IV cocaine use, z = -16.0;
p < .001, and IV speedball use, z = -14.3; p < .001, as well as significant
decreases in sharing of cookers (a type of drug-using equipment), z = -13.8;
p < .001, and other high-risk behaviors associated with AIDS acquisition and
transmission. At a second posttest, at least 6 months after the initial
interview, these results were unchanged.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
drug use
nursing
EMTREE MEDICAL INDEX TERMS
adult
article
behavior
female
human
infection risk
major clinical study
male
patient counseling
patient education
priority journal
United States
urban population
virus transmission
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
diamorphine (1502-95-0, 561-27-3)
EMBASE CLASSIFICATIONS
Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993259483
MEDLINE PMID
8213695 (http://www.ncbi.nlm.nih.gov/pubmed/8213695)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1020
TITLE
Nursing and substance misuse: responding to the challenge.
AUTHOR NAMES
Rassool G.H.
AUTHOR ADDRESSES
(Rassool G.H.) St George's Hospital Medical School, Division of Psychiatry
of Addictive Behaviour, London, England.
CORRESPONDENCE ADDRESS
G.H. Rassool, St George's Hospital Medical School, Division of Psychiatry of
Addictive Behaviour, London, England.
SOURCE
Journal of advanced nursing (1993) 18:9 (1401-1407). Date of Publication:
Sep 1993
ISSN
0309-2402
ABSTRACT
The widespread use and misuse of alcohol, drug and other psychoactive
substances are major health and social concerns that affect the lives of
many. The social and health sequelae of psychoactive drugs and alcohol are
preventable and manageable with minimal interventions. Nurses and other
health workers can effectively respond to substance misuse problems and
their existing generic skills can be easily adapted in working with
substance misusers. This paper considers some of the issues such as the
extent of the problem, attitudinal considerations, response to substance
misusers and a brief outline of the role of the nurse. The urgent need for
education and training in substance misuse and addictive behaviour for nurse
practitioners is also addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
attitude to health
clinical competence
curriculum
education
health care planning
human
nurse practitioner
nursing
nursing education
primary health care
review
role playing
social psychology
standard
United Kingdom (epidemiology)
work
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8258598 (http://www.ncbi.nlm.nih.gov/pubmed/8258598)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1021
TITLE
Teaching infant CPR to mothers of cocaine-positive infants.
AUTHOR NAMES
Messmer P.
Meehan R.
Gilliam N.
White S.
Donaldson P.
AUTHOR ADDRESSES
(Messmer P.; Meehan R.; Gilliam N.; White S.; Donaldson P.)
CORRESPONDENCE ADDRESS
P. Messmer,
SOURCE
Journal of continuing education in nursing (1993) 24:5 (217-220). Date of
Publication: 1993 Sep-Oct
ISSN
0022-0124
ABSTRACT
Cocaine abuse, a major problem in our society, has increased in women of
childbearing age. Because cocaine-positive infants are at greater risk for
apnea/sudden infant death syndrome (SIDS), their mothers need to be
instructed in infant CPR. This study compared the use of a computerized
interactive video learning system to the traditional infant CPR teaching
method (lecture, video, and return demonstration) to determine the most
effective method. This study indicated that mothers of cocaine-exposed
infants can learn infant CPR in the immediate postpartum period and that the
traditional method was found to be more effective. One unexpected positive
outcome was the increase in these mothers' self-esteem.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mother
resuscitation
teaching
videorecording
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
education
female
health care quality
human
methodology
newborn
nursing
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8408859 (http://www.ncbi.nlm.nih.gov/pubmed/8408859)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1022
TITLE
Health promotion. Education on the rocks.
AUTHOR NAMES
Cooper D.
AUTHOR ADDRESSES
(Cooper D.)
CORRESPONDENCE ADDRESS
D. Cooper,
SOURCE
Nursing times (1993) 89:29 (32-33). Date of Publication: 1993 Jul 21-27
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health promotion
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
nursing discipline
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8346062 (http://www.ncbi.nlm.nih.gov/pubmed/8346062)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1023
TITLE
The risk of occupational human immunodeficiency virus infection in health
care workers: Italian multicenter study
AUTHOR NAMES
Ippolito G.
Puro V.
De Carli G.
AUTHOR ADDRESSES
(Ippolito G.; Puro V.; De Carli G.) AIDS Unit, L. Spallanzani Hospital,
Rome, Italy.
CORRESPONDENCE ADDRESS
G. Ippolito, AIDS Unit, L. Spallanzani Hospital, Rome, Italy.
SOURCE
Archives of Internal Medicine (1993) 153:12 (1451-1458). Date of
Publication: 1993
ISSN
0003-9926
BOOK PUBLISHER
American Medical Association, 515 North State Street, Chicago, United
States.
ABSTRACT
Background: More than 50 cases of occupationally acquired human
immunodeficiency virus (HIV) infection in health care workers (HCWs) have
been reported worldwide. Determinants of injuries and of infection are
important to investigate to design effective prevention programs. Methods:
In Italy, 29 acute-care public hospitals were enrolled in a multicenter
study between 1986 and 1990. At each facility, all HCWs were enrolled who
reported percutaneous, mucous-membrane, or nonintact-skin exposure to the
body fluids and tissues to which universal precautions apply from an
HIV-infected patient. Data were collected at the time of the incident on
clinical status of the HIV-infected source, circumstance and type of
exposure, and use of infection control precautions. The HCWs were followed
up clinically and serologically for HIV infection at 1, 3, 6, and 12 months.
Results: A total of 1592 HIV exposures were reported in 1534 HCWs; most
exposures (67%) occurred in nurses, followed by physicians and surgeons
(17.5%). Needlesticks were the most common source of exposure (58.4%),
followed by nonintact-skin and mucous-membrane contamination (22.7% and
11.2%, respectively) and cuts (7.7%). At the time of exposure, 77.5% of the
HCWs knew or suspected that the source patient was HIV infected. Two
seroconversions were observed among a total of 1488 HCWs followed up for at
least 6 months: one occurred in a student nurse who had been stuck with a
needle used for an HIV antibody- negative, p24 HIV antigen-positive drug
addict; the other was in a nurse who experienced mucous-membrane
contamination with a large quantity of blood from an HIV-positive hemophilic
patient. The seroconversion rate was 0.10% after percutaneous exposure
(1/1003; 95% confidence interval, 0.006% to 0.55%) and 0.63% after
mucous-membrane contamination (1/158; 95% confidence interval, 0.018% to
3.47%). Conclusions: The study demonstrates a small but real risk of HIV
infection after percutaneous and mucous-membrane exposure to blood of
HIV-infected patients and that transmission can occur during the 'window
period' of infection. Furthermore, exposures to HIV are not infrequent, and
many exposures could be prevented with the use of barrier precautions,
appropriate behaviors, and safer devices and techniques.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care personnel
Human immunodeficiency virus infection (epidemiology, etiology)
occupational hazard
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
disease transmission
female
human
Human immunodeficiency virus
Human immunodeficiency virus prevalence
infection control
major clinical study
male
mucosa
occupational exposure
priority journal
skin
work environment
EMBASE CLASSIFICATIONS
Internal Medicine (6)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993191066
MEDLINE PMID
8512436 (http://www.ncbi.nlm.nih.gov/pubmed/8512436)
FULL TEXT LINK
http://dx.doi.org/10.1001/archinte.153.12.1451
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1024
TITLE
The chemically dependent student nurse: guidelines for policy development.
AUTHOR NAMES
Polk D.
Glendon K.
DeVore C.
AUTHOR ADDRESSES
(Polk D.; Glendon K.; DeVore C.) Miami University-Hamilton, Ohio.
CORRESPONDENCE ADDRESS
D. Polk, Miami University-Hamilton, Ohio.
SOURCE
Nursing outlook (1993) 41:4 (166-170). Date of Publication: 1993 Jul-Aug
ISSN
0029-6554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, epidemiology, rehabilitation)
nursing student
EMTREE MEDICAL INDEX TERMS
article
female
human
male
management
nursing education
policy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8415029 (http://www.ncbi.nlm.nih.gov/pubmed/8415029)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1025
TITLE
Belfast. Working with girls.
AUTHOR NAMES
Thompson M.
AUTHOR ADDRESSES
(Thompson M.)
CORRESPONDENCE ADDRESS
M. Thompson,
SOURCE
Health visitor (1993) 66:6 (220-221). Date of Publication: Jun 1993
ISSN
0017-9140
ABSTRACT
Belfast has many of the social problems common in major British cities:
soaring unemployment, teenage crime, joy-riding, high levels of teenage
pregnancy, drug and alcohol abuse. In Belfast, these problems are further
complicated by the political and religious divide which affects virtually
every area of society. Maura Thompson reports on a unique health visitor-led
initiative working with teenage girls.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
health education
social problem
women's health
EMTREE MEDICAL INDEX TERMS
adolescent
article
female
human
methodology
organization and management
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8344837 (http://www.ncbi.nlm.nih.gov/pubmed/8344837)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1026
TITLE
The relationship between social support and depression in recovering
chemically dependent nurses.
AUTHOR NAMES
Sisney K.F.
AUTHOR ADDRESSES
(Sisney K.F.) Alternatives: Psychotherapy & Consultation Services, San
Antonio, Texas.
CORRESPONDENCE ADDRESS
K.F. Sisney, Alternatives: Psychotherapy & Consultation Services, San
Antonio, Texas.
SOURCE
Image--the journal of nursing scholarship (1993) 25:2 (107-112). Date of
Publication: 1993 Summer
ISSN
0743-5150
ABSTRACT
The incidence of chemical dependence within nursing challenges the
profession to explore the phenomena of chemical dependence and its recovery.
Nurses (N = 58) who were peer assistance participants were studied to
examine relationships between social support and depression. Social support
was found to be significantly related to depression in this sample (r =
-.642, p < .001). Over half of the sample initiated chemical use prior to
completing nursing education. The findings of this study imply the need for
researchers to target both practicing nurses and student nurses in future
research intended to further explore chemical dependency in nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, rehabilitation)
depression (epidemiology, rehabilitation)
malpractice
nurse
social support
EMTREE MEDICAL INDEX TERMS
adult
aged
article
educational status
female
human
male
male nurse
middle aged
psychological aspect
questionnaire
statistics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8340118 (http://www.ncbi.nlm.nih.gov/pubmed/8340118)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1027
TITLE
Drug information and educational needs. A survey of rural home health care
nurses.
AUTHOR NAMES
Wolfgang A.P.
Jankel C.A.
McMillan J.A.
AUTHOR ADDRESSES
(Wolfgang A.P.; Jankel C.A.; McMillan J.A.)
CORRESPONDENCE ADDRESS
A.P. Wolfgang,
SOURCE
Home healthcare nurse (1993) 11:3 (20-23). Date of Publication: 1993 May-Jun
ISSN
0884-741X
ABSTRACT
In a study of rural home healthcare nurses' drug information and educational
needs, data were collected from 40 nurses employed by a community-based
public home health agency. The most serious drug-related problem identified
by the nurses was patients' failure to receive prescribed drugs. The ten
types of drug-related information included in the survey were viewed as very
useful. The most frequently used sources of drug-related information were
reference books, other nurses, and pharmacists.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community health nursing
drug information
EMTREE MEDICAL INDEX TERMS
article
drug self administration
human
medication error
patient compliance
patient education
self medication
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8314704 (http://www.ncbi.nlm.nih.gov/pubmed/8314704)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1028
TITLE
Evaluation of two AIDS prevention interventions for inner-city adolescent
and young adult women
AUTHOR NAMES
Quirk M.E.
Godkin M.A.
Schwenzfeier E.
AUTHOR ADDRESSES
(Quirk M.E.; Godkin M.A.; Schwenzfeier E.) Family and Community Medicine
Dept, Univ of Massachusetts Medical Center, 55 Lake Avenue North, Worcester,
MA 01655, United States.
CORRESPONDENCE ADDRESS
M.E. Quirk, Family and Community Medicine Dept, Univ of Massachusetts
Medical Center, 55 Lake Avenue North, Worcester, MA 01655, United States.
SOURCE
American Journal of Preventive Medicine (1993) 9:1 (21-26). Date of
Publication: 1993
ISSN
0749-3797
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Two hundred and fourteen young women received acquired immunodeficiency
syndrome (AIDS) prevention interventions at an inner-city family health
center serving minority patients predominantly. The community in which the
health center is located has a high incidence of intravenous (IV) drug
abuse. Either a peer or a health care provider delivered the intervention.
In the peer-delivered intervention, a trained peer educator reviewed with
patients an AIDS 'Rap' videotape and several AIDS brochures, which imparted
information about human immunodeficiency virus (HIV), its transmission, and
prevention. In the provider-delivered intervention, family practice
residents, attending physicians, and nurse practitioners used a
patient-centered counseling approach to convey the same information.
Questionnaires administered immediately before and after the intervention
and at one month follow-up evaluated changes in knowledge, attitudes, and
behavior. Analyses of data from both combined intervention groups revealed
significant improvement in several areas of knowledge, including the
effectiveness of using a condom and cleaning IV drug implements with bleach
to prevent transmission of HIV. Many improvements were retained at the
one-month follow-up. In addition, subjects in both groups who were sexually
active stated immediately after the intervention that asking a sexual
partner about past sexual experience would now be less difficult, and at
one-month follow-up they reported a significant decrease in the frequency of
vaginal sex. Our findings suggest that counseling by physicians can achieve
more changes in knowledge of sexual risks, whereas peer education can
achieve greater changes in knowledge about IV drug use. Results show that
both approaches to AIDS prevention used in this study can significantly
affect knowledge, attitudes, and sexual behavior.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
city
cleaning
condom
counseling
data analysis
drug abuse
family health
female
follow up
general practitioner
health care delivery
health center
health education
human
Human immunodeficiency virus
intravenous drug administration
normal human
nurse practitioner
physician
questionnaire
sexual behavior
videotape
virus transmission
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993089459
MEDLINE PMID
8439433 (http://www.ncbi.nlm.nih.gov/pubmed/8439433)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1029
TITLE
The need for substance misuse education in health studies curriculum: a case
for nursing education.
AUTHOR NAMES
Rassool G.H.
Oyefeso A.O.
AUTHOR ADDRESSES
(Rassool G.H.; Oyefeso A.O.)
CORRESPONDENCE ADDRESS
G.H. Rassool,
SOURCE
Nurse education today (1993) 13:2 (107-110). Date of Publication: Apr 1993
ISSN
0260-6917
ABSTRACT
The sharp increase, in recent years, in the use and misuse of psychoactive
substances necessitates greater involvement of non-specialist health care
workers in the management of problems associated with substance misuse. The
need to expand the health studies curriculum in line with current trends in
substance use and misuse is recommended.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
organization
organization and management
standard
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8502201 (http://www.ncbi.nlm.nih.gov/pubmed/8502201)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1030
TITLE
Partnership to prevent chemical dependency in nursing using Neuman's systems
model.
AUTHOR NAMES
Mynatt S.L.
O'Brien J.
AUTHOR ADDRESSES
(Mynatt S.L.; O'Brien J.) Memphis State University, Loewenberg School of
Nursing, TN 38152.
CORRESPONDENCE ADDRESS
S.L. Mynatt, Memphis State University, Loewenberg School of Nursing, TN
38152.
SOURCE
Journal of psychosocial nursing and mental health services (1993) 31:4
(27-32). Date of Publication: Apr 1993
ISSN
0279-3695
ABSTRACT
1. Neuman's theory of optimal client system, which has the goal to maintain
or to bring about the system's stability by the process of reconstitution,
is used as the basis for the prevention efforts of the West Tennessee
Nurses' Peer Assistance Program. Efforts are directed at bringing the client
system to a state of stability or wellness that is higher than the previous
state of chemical dependency. 2. The program has grown in both number of
clients and in comprehensiveness of its prevention activities. Prevention in
three specific areas--primary, secondary, and tertiary--is needed to combat
the chemical dependency problem in nursing. 3. A continued partnership
between the university, the school of nursing, the TNF, the TBN, and the
various health care providers and nurse practitioners is needed to address
the problem of chemical dependency in nursing.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
alcoholism (epidemiology, prevention)
malpractice
nurse
EMTREE MEDICAL INDEX TERMS
adult
article
cross-sectional study
female
human
incidence
male
psychological aspect
risk factor
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8487224 (http://www.ncbi.nlm.nih.gov/pubmed/8487224)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1031
TITLE
Promoting maternal infant health in rural communities. The Rural Health
Outreach Program.
AUTHOR NAMES
Boettcher J.H.
AUTHOR ADDRESSES
(Boettcher J.H.) Radford University School of Nursing, VA 24142.
CORRESPONDENCE ADDRESS
J.H. Boettcher, Radford University School of Nursing, VA 24142.
SOURCE
The Nursing clinics of North America (1993) 28:1 (199-209). Date of
Publication: Mar 1993
ISSN
0029-6465
ABSTRACT
RHOP is a nurse-managed community-based program that uses a variety of
approaches to reduce infant mortality and improve maternal child health. In
a rural area, representative of much of the rural South, which has a
persistent record of poor maternal-child outcomes, the program is using
university and community resources to make a difference. The goal is to
empower the community to help it help itself using all the available
resources. The initial outcome data indicate that these positive changes are
happening and can be the site for future activities by those in the
community as well as the university. Future plans include involving more
departments at the university in the program and expanding services to three
additional counties. Graduate students and faculty are becoming interested
in conducting research using RHOP activities as a base, and future grants
are being considered to expand into new areas such as substance abuse and
cancer prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child health care
community health nursing
health promotion
health service
rural population
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
infant
newborn
organization and management
preschool child
preventive health service
program development
public relations
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8451208 (http://www.ncbi.nlm.nih.gov/pubmed/8451208)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1032
TITLE
A review for school nursing professionals: adolescent depression.
AUTHOR NAMES
Sadler L.S.
AUTHOR ADDRESSES
(Sadler L.S.)
CORRESPONDENCE ADDRESS
L.S. Sadler,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1993) 9:1 (12-19). Date of Publication: Feb
1993
ISSN
1059-8405
ABSTRACT
Adolescent depression occurs within various developmental, social, and
biologic contexts, and is manifested by traditional depressive symptoms such
as fatigue, loss of interest in daily activities, weight changes, sleep
disturbances, sad moods, difficulty with concentration, behavioral agitation
or lethargy, feelings of worthlessness, and recurrent thoughts of death.
Depressed adolescents may combine these symptoms with certain additional
behaviors such as academic deterioration, substance abuse, sexual activity,
somatic complaints, eating disorders, conduct disorders, and other
risk-taking behaviors. School nurses can play a central role in the
prevention, assessment, referral, and follow-up care of this significant
adolescent health problem.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child psychology
depression (epidemiology, therapy)
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
female
human
male
methodology
nursing
psychological aspect
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8286906 (http://www.ncbi.nlm.nih.gov/pubmed/8286906)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1033
TITLE
Homeless children: interdisciplinary drug prevention intervention.
AUTHOR NAMES
Wagner J.
Melragon B.
Menke E.M.
AUTHOR ADDRESSES
(Wagner J.; Melragon B.; Menke E.M.)
CORRESPONDENCE ADDRESS
J. Wagner,
SOURCE
Journal of child and adolescent psychiatric and mental health nursing (1993)
6:1 (22-30). Date of Publication: 1993 Jan-Mar
ISSN
0897-9685
ABSTRACT
Homelessness among children has been called a national tragedy. Homeless
children, by virtue of their unique situation, are particularly vulnerable
for early initiation of and sustained participation in substance abuse
behaviors. The authors describe homeless children in relation to drug abuse
etiology research, discuss current prevention strategies, suggest necessary
components of an interdisciplinary prevention curriculum for homeless
preschool children, and delineate methods for delivering the curriculum to
the children. Nurses, given their unique role in the healthcare delivery
system as well as a holistic world view, are in an unparalleled position to
facilitate the design and implementation of such curricula.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
homelessness
patient care
primary prevention
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
organization and management
preschool child
LANGUAGE OF ARTICLE
English
MEDLINE PMID
8459358 (http://www.ncbi.nlm.nih.gov/pubmed/8459358)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1034
TITLE
Addicted women. Profiles from the inner city.
AUTHOR NAMES
Dumas L.
AUTHOR ADDRESSES
(Dumas L.) College of Nursing, University of Massachusetts, Boston.
CORRESPONDENCE ADDRESS
L. Dumas, College of Nursing, University of Massachusetts, Boston.
SOURCE
The Nursing clinics of North America (1992) 27:4 (901-915). Date of
Publication: Dec 1992
ISSN
0029-6465
ABSTRACT
This article has focused on addicted women and the contexts in which they
present to the community nurse. An effort has been made to broaden the
clinical applications to include the societal problems underlying addiction
and the policy issues that must be addressed to solve them. Addicted women
can be described from a societal dimension, in which the health care system
reflects disarray and fiscal chaos, and from a community dimension. The two
dimensions link the public and the private spheres. To evaluate addicted
women and the options for their recovery more effectively, it is helpful to
integrate the societal and personal milieu--public issues and the private
lives that illustrate them. This is how policy is best formulated. The
numbers of addicted women in the health care system reflect only the tip of
the iceberg. Health care providers must strive to reach women who are
outside of the health care system who have not been connected to a hospital,
shelter, or home care agency. Researchers need to differentiate sample
patient populations, and the patient selection bias needs to be addressed
early on. A model of a community support for recovery located within a
housing project was a viable option for reaching addicted women. The role of
nurses is becoming increasingly unique. Nurses are skilled as caregivers and
clinicians. They can open doors of opportunity for inner-city women and
children by developing health-promotive programs in hospital settings for
substance abusing women and by continuing to work with their colleagues in
the community context. On both dimensions, nurses have front-line
accessibility to women and children who are vulnerable. Often, commonality
of gender strengthens the nurse/patient relationship and facilitates trust
as well as empathy between female addicts and their nurse advocate
counterparts. Never has the call to inner-city nurses been more compelling.
The problems related to drug abuse and parenting are multidimensional. They
resist easy definition and solution. Nurses have the education and the
clinical expertise to provide front-line interventions for inner-city women
who are addicted to drugs. Nurses are educated holistically as caregivers
and teachers. Ideally, nurses can exert their strongest impact on health
promotion in the neighborhoods of communities. In reality, this has not
worked, and nurses remain part of a health care system that has failed
inner-city poor women and their children. Nurses in hospitals and in
community setting spend most of their time applying "bandages" to the
psychologic and physical wounds that emerge from the addiction to
drugs.(ABSTRACT TRUNCATED AT 400 WORDS)
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health
women's health
EMTREE MEDICAL INDEX TERMS
adult
case report
community care
family
female
health care delivery
human
nursing
review
risk factor
social support
standard
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1448364 (http://www.ncbi.nlm.nih.gov/pubmed/1448364)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1035
TITLE
Patterns of addiction in the family.
AUTHOR NAMES
Louie K.
AUTHOR ADDRESSES
(Louie K.)
CORRESPONDENCE ADDRESS
K. Louie,
SOURCE
NLN publications (1992) :15-2464 (45-86). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
family
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
article
child
child parent relation
curriculum
education
human
methodology
psychological aspect
teaching
violence
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293558 (http://www.ncbi.nlm.nih.gov/pubmed/1293558)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1036
TITLE
Group modalities in the care of clients with drug and alcohol problems.
AUTHOR NAMES
Wolf M.S.
AUTHOR ADDRESSES
(Wolf M.S.)
CORRESPONDENCE ADDRESS
M.S. Wolf,
SOURCE
NLN publications (1992) :15-2464 (1-44). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
group therapy
human
methodology
nursing
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293552 (http://www.ncbi.nlm.nih.gov/pubmed/1293552)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1037
TITLE
Nursing strategies with the client with alcohol and drug problems.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
NLN publications (1992) :15-2464 (355-402). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
methodology
nursing
psychiatric nursing
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293557 (http://www.ncbi.nlm.nih.gov/pubmed/1293557)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1038
TITLE
The role of the nurse on the interdisciplinary treatment team.
AUTHOR NAMES
McGivern D.O.
AUTHOR ADDRESSES
(McGivern D.O.)
CORRESPONDENCE ADDRESS
D.O. McGivern,
SOURCE
NLN publications (1992) :15-2464 (183-210). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
nursing education
patient care
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
human
methodology
nursing
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293554 (http://www.ncbi.nlm.nih.gov/pubmed/1293554)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1039
TITLE
Nursing strategies with alcohol and drug problems in the family.
AUTHOR NAMES
Giuffra M.J.
AUTHOR ADDRESSES
(Giuffra M.J.)
CORRESPONDENCE ADDRESS
M.J. Giuffra,
SOURCE
NLN publications (1992) :15-2464 (87-137). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
family
human relation
nursing education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
methodology
psychological aspect
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293559 (http://www.ncbi.nlm.nih.gov/pubmed/1293559)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1040
TITLE
Research perspectives on alcohol and drug problems.
AUTHOR NAMES
Compton M.
AUTHOR ADDRESSES
(Compton M.)
CORRESPONDENCE ADDRESS
M. Compton,
SOURCE
NLN publications (1992) :15-2464 (139-181). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
clinical nursing research
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
methodology
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293553 (http://www.ncbi.nlm.nih.gov/pubmed/1293553)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1041
TITLE
Perspectives on drug and alcohol problems.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
NLN publications (1992) :15-2464 (297-354). Date of Publication: Dec 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
methodology
nursing
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293556 (http://www.ncbi.nlm.nih.gov/pubmed/1293556)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1042
TITLE
Involving the target population and their providers in evaluation of
substance abuse videos.
AUTHOR NAMES
Reiskin H.
Lindenberg C.S.
AUTHOR ADDRESSES
(Reiskin H.; Lindenberg C.S.)
CORRESPONDENCE ADDRESS
H. Reiskin,
SOURCE
NursingConnections (1992) 5:4 (47-54). Date of Publication: 1992 Winter
ISSN
0895-2809
ABSTRACT
Substance abuse prevention and case finding are serious challenges to nurses
who care for pregnant women and their infants. Audiovisual media can be
useful in helping these nurses and their patients. This article discusses
the insights of pregnant, low-income, minority women and their health care
providers regarding selected substance abuse prevention videos. Focus group
sessions were used to elicit valuable information, not only about reactions
to substance abuse media but on their use in facilitating communication
between patients and providers. Through this process, collaborative
relationships were fostered among pregnant inner-city women, nurse
clinicians, and nursing faculty, all of whom share a concern about substance
abuse and an interest in working together to combat the problem.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
attitude to health
patient education
pregnancy complication (prevention)
videorecording
EMTREE MEDICAL INDEX TERMS
article
evaluation study
female
human
nursing
pregnancy
psychological aspect
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1293520 (http://www.ncbi.nlm.nih.gov/pubmed/1293520)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1043
TITLE
Nutrition in women across the life span.
AUTHOR NAMES
Gizis F.C.
AUTHOR ADDRESSES
(Gizis F.C.) Department of Health Sciences, C. W. Post Campus, Long Island
University, Brookville, NY 11548.
CORRESPONDENCE ADDRESS
F.C. Gizis, Department of Health Sciences, C. W. Post Campus, Long Island
University, Brookville, NY 11548.
SOURCE
The Nursing clinics of North America (1992) 27:4 (971-982). Date of
Publication: Dec 1992
ISSN
0029-6465
ABSTRACT
Recent recommendations on nutrition, such as the Surgeon General's Report on
Nutrition and Health, have emphasized the relationship between diet and
disease. In the Surgeon General's report, Americans have been advised to
limit their consumption of fat, cholesterol, sodium, and alcoholic
beverages, and to increase their consumption of complex carbohydrates and
fiber. Two of the recommendations in this report related to the consumption
of iron and calcium are particularly important to women's health. Women are
advised to increase their consumption of food high in calcium and to include
foods containing iron, such as lean meats, fish, certain beans,
iron-enriched cereals, and whole grain products. Iron is essential as a
constituent of hemoglobin, myoglobin, and certain enzymes. Iron losses
during menstruation and the increased need for iron during pregnancy place
women at risk for iron deficiency. Bone mass continues to increase until the
late twenties, and one method to prevent osteoporosis may be adequate
calcium intake during these years of early adulthood. Food guides that list
amounts and types of foods to be eaten are helpful for the individual or as
an educational tool for the nurse or educator. A Daily Food Guide was
recently designed to meet the nutritional needs of women throughout the life
cycle, and the government has very recently released a Food Guide Pyramid.
Although it is important for women to learn how to control certain dietary
components, they should also be aware of the protective nature of certain
nutrients, such as iron and calcium.
EMTREE DRUG INDEX TERMS
ferrous ion (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nutrition
women's health
EMTREE MEDICAL INDEX TERMS
adolescent
adult
age
calcium intake (drug administration)
child
education
female
health service
human
lactation
nutritional requirement
pregnancy
review
CAS REGISTRY NUMBERS
ferrous ion (15438-31-0)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1448370 (http://www.ncbi.nlm.nih.gov/pubmed/1448370)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1044
TITLE
A computerized system for identifying and informing physicians about
problematic drug use in nursing homes
AUTHOR NAMES
Beers M.H.
Fingold S.F.
Ouslander J.G.
AUTHOR ADDRESSES
(Beers M.H.; Fingold S.F.; Ouslander J.G.) Merck and Co., Inc., P.O. Box 4,
West Point, PA 19486, United States.
CORRESPONDENCE ADDRESS
M.H. Beers, Merck and Co., Inc., P.O. Box 4, West Point, PA 19486, United
States.
SOURCE
Journal of Medical Systems (1992) 16:6 (237-245). Date of Publication: 1992
ISSN
0148-5598
BOOK PUBLISHER
Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
With growing concern over the quality of medication use in nursing homes,
physicians, administrators, pharmacists, and regulators are looking for
effective and efficient methods to improve it. Pharmacy consultation alone
appears to be ineffective in controlling the use of inappropriate drugs. We
describe here a computerized drug utilization review system designed for use
in nursing homes. The system evaluates the appropriateness of medication use
by criteria developed through the consensus of experts in geriatrics and
specifically designed to address the pharmacological needs of elderly,
nursing home residents. The program not only determines the frequency of
inappropriate prescriptions, but produces written, educational statements to
be given to prescribing physicians. These statements can also be given to
nurses to educate them about issues in geriatrics pharmacology.
Additionally, the system produces medication order forms that may help focus
physicians' attention on the need to evaluate drugs individually.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amitriptyline
indometacin
methyldopa
phenylbutazone
propranolol
reserpine
EMTREE DRUG INDEX TERMS
analgesic agent
antibiotic agent
antidepressant agent
antiemetic agent
antihistaminic agent
antihypertensive agent
antithrombocytic agent
barbituric acid derivative
benzodiazepine derivative
cimetidine
cyclandelate
decongestive agent
digestive tract spasmolytic agent
digoxin
flurazepam
hypnotic sedative agent
iron derivative
isoxsuprine
meprobamate
muscle relaxant agent
neuroleptic agent
nonsteroid antiinflammatory agent
oral antidiabetic agent
paracetamol
thiazide diuretic agent
unindexed drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
computer system
drug use
nursing home
EMTREE MEDICAL INDEX TERMS
article
health care quality
prescription
utilization review
DRUG TRADE NAMES
dalmane
tagamet
tylenol
CAS REGISTRY NUMBERS
amitriptyline (50-48-6, 549-18-8)
cimetidine (51481-61-9, 70059-30-2)
cyclandelate (456-59-7)
digoxin (20830-75-5, 57285-89-9)
flurazepam (1172-18-5, 17617-23-1)
indometacin (53-86-1, 74252-25-8, 7681-54-1)
isoxsuprine (395-28-8, 579-56-6)
meprobamate (57-53-4)
methyldopa (555-29-3, 555-30-6)
muscle relaxant agent (9008-44-0)
paracetamol (103-90-2)
phenylbutazone (129-18-0, 50-33-9, 8054-70-4)
propranolol (13013-17-7, 318-98-9, 3506-09-0, 4199-09-1, 525-66-6)
reserpine (50-55-5, 8001-95-4)
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Biophysics, Bioengineering and Medical Instrumentation (27)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1993136011
MEDLINE PMID
1304593 (http://www.ncbi.nlm.nih.gov/pubmed/1304593)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1045
TITLE
Longitudinal study of psychotropic drug use by elderly nursing home
residents
AUTHOR NAMES
Garrard J.
Dunham T.
Makris L.
Cooper S.
Heston L.L.
Ratner E.R.
Zelterman D.
Kane R.L.
AUTHOR ADDRESSES
(Garrard J.; Dunham T.; Makris L.; Cooper S.; Heston L.L.; Ratner E.R.;
Zelterman D.; Kane R.L.) Health Services Research Institute, School of
Public Health, University of Minnesota, 420 Delaware Street SE, Minneapolis,
MN 55455, United States.
CORRESPONDENCE ADDRESS
J. Garrard, Health Services Research Institute, School of Public Health,
University of Minnesota, 420 Delaware Street SE, Minneapolis, MN 55455,
United States.
SOURCE
Journals of Gerontology (1992) 47:6 (M183-M188). Date of Publication: 1992
ISSN
0022-1422
BOOK PUBLISHER
Gerontological Society of America, 1030 15th Street, NW Suite 250,
Washington, United States.
ABSTRACT
In this longitudinal study of patterns of use of psychotropic drugs by a
cohort of elderly nursing home residents (N = 5,752), drug use was examined
upon admission, 3 months later, and at discharge/end of study. At each time
point, 17% of the cohort used neuroleptics. Half of the subjects
discontinued neuroleptics at each time point; however, a similar number were
initiated on the drug. Benzodiazepines were used by 21%, 15%, and 15% at
each of the three time points, respectively. Twice as many people were taken
off benzodiazepines as initiated on them following admission. The 5% rate of
antidepressant use was constant across the three time periods, although only
half of those who took antidepressants upon admission were also taking them
upon discharge/end of study. The amount of change due to discontinuation of
these drugs and adjustment in dosage levels challenges the stereotype of the
'neglected psychotropic drug user' in nursing homes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (drug therapy, pharmacology)
neuroleptic agent (drug therapy, pharmacology)
psychotropic agent (drug therapy, pharmacology)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug use
geriatric care
longitudinal study
nursing home
EMTREE MEDICAL INDEX TERMS
aged
anxiety neurosis (drug therapy)
article
depression (drug therapy)
disease association
drug abuse
hospital admission
major clinical study
nonhuman
prevalence
priority journal
psychosis (drug therapy)
quality of life
stereotypy
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Clinical and Experimental Pharmacology (30)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992342428
MEDLINE PMID
1358936 (http://www.ncbi.nlm.nih.gov/pubmed/1358936)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1046
TITLE
Pain and addiction: an urgent need for change in nursing education.
AUTHOR NAMES
Coyle N.
Adelhardt J.
AUTHOR ADDRESSES
(Coyle N.; Adelhardt J.)
CORRESPONDENCE ADDRESS
N. Coyle,
SOURCE
Journal of pain and symptom management (1992) 7:8 (439-440). Date of
Publication: Nov 1992
ISSN
0885-3924
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm
nursing education
oncology nursing
pain
EMTREE MEDICAL INDEX TERMS
education
human
note
nursing
pathophysiology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1287104 (http://www.ncbi.nlm.nih.gov/pubmed/1287104)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1047
TITLE
Substance abuse among nurses at teaching hospitals.
AUTHOR NAMES
Von Burg L.
Forman M.A.
AUTHOR ADDRESSES
(Von Burg L.; Forman M.A.)
CORRESPONDENCE ADDRESS
L. Von Burg,
SOURCE
Nursing management (1992) 23:11 (68-70). Date of Publication: Nov 1992
ISSN
0744-6314
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nursing staff
teaching hospital
EMTREE MEDICAL INDEX TERMS
article
human
malpractice
management
manpower
questionnaire
statistics
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1448223 (http://www.ncbi.nlm.nih.gov/pubmed/1448223)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1048
TITLE
Identifying substance use: an assessment tool for the school nurse.
AUTHOR NAMES
Cromwell P.
LeMoine A.
AUTHOR ADDRESSES
(Cromwell P.; LeMoine A.)
CORRESPONDENCE ADDRESS
P. Cromwell,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1992) 8:3 (6-10, 12, 14-15). Date of
Publication: Oct 1992
ISSN
1059-8405
ABSTRACT
A nursing assessment tool was developed to identify students who may be
using drugs or alcohol. The three-part tool enables the school nurse to
identify those students who require immediate medical care, as well as those
who are impaired by substance use but medically stable. The use of the tool
and implications for school nurses are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nursing assessment
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
methodology
nursing
prevalence
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1472829 (http://www.ncbi.nlm.nih.gov/pubmed/1472829)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1049
TITLE
Nurses respond to substance abuse.
AUTHOR NAMES
Sheehan A.
AUTHOR ADDRESSES
(Sheehan A.) Shropshire College of Nursing and Midwifery, UK.
CORRESPONDENCE ADDRESS
A. Sheehan, Shropshire College of Nursing and Midwifery, UK.
SOURCE
International nursing review (1992) 39:5 (141-144). Date of Publication:
1992 Sep-Oct
ISSN
0020-8132
ABSTRACT
Because of their close contact with the community, nurses are vital in
caring for substance abusers and in preventing addiction. And their roles in
community and national programmes in this area are increasing. Below, an
overview of the problems associated with substance abuse and how nurses are
needed to provide effective care, prevention and education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health promotion
EMTREE MEDICAL INDEX TERMS
article
community health nursing
human
international cooperation
nursing
nursing education
United Kingdom
world health organization
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1428657 (http://www.ncbi.nlm.nih.gov/pubmed/1428657)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1050
TITLE
Acquired immunodeficiency syndrome: knowledge and attitudes of nurses in
Northern Ireland.
AUTHOR NAMES
Melby V.
Boore J.R.
Murray M.
AUTHOR ADDRESSES
(Melby V.; Boore J.R.; Murray M.) Department of Nursing and Health Visiting,
University of Ulster, Coleraine, Northern Ireland.
CORRESPONDENCE ADDRESS
V. Melby, Department of Nursing and Health Visiting, University of Ulster,
Coleraine, Northern Ireland.
SOURCE
Journal of advanced nursing (1992) 17:9 (1068-1077). Date of Publication:
Sep 1992
ISSN
0309-2402
ABSTRACT
The number of people suffering from conditions associated with HIV infection
is growing steadily. These people require care from nurses who should be
well trained to undertake all the various aspects of nursing care. Surveys
have indicated that health professionals associate AIDS with minority groups
such as homosexuals, drug-abusers and prostitutes. Incidents of sub-optimal
nursing care of AIDS patients, or suspected AIDS patients belonging to these
minority groups, have been well documented. Surveys have revealed much
ignorance and confusion among the general public as well as among health
professionals with regard to this controversial syndrome. This study aimed
to measure nurses' knowledge and attitudes towards homosexuals, drug-abusers
and prostitutes, who through their lifestyle are at increased risk for HIV
infection. Questionnaires were distributed to a random sample of 800 nurses
in Northern Ireland. The sample was stratified by several demographic
variables. A response rate of almost 60% was achieved. Nurses appeared to
have a moderate knowledge of issues related to HIV infection, but there were
large gaps in their knowledge of the terminology used in HIV infection.
Nurses were not extremely worried about AIDS itself. However, homosexuals,
prostitutes and drug-abusers were seen to be at least partly responsible for
their own illness. Implications for nursing care and for nurse education are
discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (epidemiology)
health personnel attitude
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
adult
article
disease transmission
education
Empirical Approach
female
homosexuality
human
human relation
lifestyle
male
nursing
nursing evaluation research
prostitution
psychological aspect
risk factor
standard
substance abuse (complication)
United Kingdom (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1401548 (http://www.ncbi.nlm.nih.gov/pubmed/1401548)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1051
TITLE
Perceived risk of infection and attitudes toward risk groups: determinants
of nurses' behavioral intentions regarding AIDS patients.
AUTHOR NAMES
Jemmott 3rd. J.B.
Freleicher J.
Jemmott L.S.
AUTHOR ADDRESSES
(Jemmott 3rd. J.B.; Freleicher J.; Jemmott L.S.) Department of Psychology,
Princeton University, NJ 08544-1010.
CORRESPONDENCE ADDRESS
J.B. Jemmott, Department of Psychology, Princeton University, NJ 08544-1010.
SOURCE
Research in nursing & health (1992) 15:4 (295-301). Date of Publication: Aug
1992
ISSN
0160-6891
ABSTRACT
The relationship of perceived occupational risk of AIDS and attitudes toward
AIDS risk groups to behavioral intentions regarding the care of AIDS
patients was examined among nurses (N = 496) residing in a selected area of
New Jersey, a state with a relatively high number of reported AIDS cases.
Hierarchical multiple regression analyses on anonymous mail survey responses
revealed that, controlling for AIDS knowledge and years of education, nurses
who perceived that caring for AIDS patients increased their risk of HIV
infection scored higher on an index of intentions to avoid AIDS patient
care. In addition, nurses who expressed more negative attitudes toward
intravenous drug users or homosexuals were more likely to report similar
intentions to avoid AIDS patient care. The implications of these findings
for efforts to increase nurses' ability and willingness to provide quality
care to persons with AIDS are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (etiology)
attitude to health
nursing staff
occupational exposure
EMTREE MEDICAL INDEX TERMS
adult
article
disease transmission
education
female
homosexuality
human
male
nursing
nursing evaluation research
psychological aspect
questionnaire
risk factor
substance abuse (complication)
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1496153 (http://www.ncbi.nlm.nih.gov/pubmed/1496153)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1052
TITLE
Nursing faculty attitudes about substance abuse
AUTHOR NAMES
Ducote D.
AUTHOR ADDRESSES
(Ducote D.) School of Nursing, Texas Tech Univ. Health Sci. Center, Lubbock,
TX, United States.
CORRESPONDENCE ADDRESS
D. Ducote, School of Nursing, Texas Tech Univ. Health Sci. Center, Lubbock,
TX, United States.
SOURCE
Alcoholism Treatment Quarterly (1992) 9:1 (85-91). Date of Publication: 1992
ISSN
0734-7324
ABSTRACT
The Substance Abuse Attitude Survey was used in this study to examine
nursing faculty attitudes about substance abuse. Nursing faculty compared
favorably with professional counselors used as a criterion group.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse attitude
substance abuse
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
human experiment
nursing
patient care
rating scale
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992219424
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1053
TITLE
Depression in nursing home residents
AUTHOR NAMES
Abrams R.C.
Teresi J.A.
Butin D.N.
AUTHOR ADDRESSES
(Abrams R.C.; Teresi J.A.; Butin D.N.) New York Hospital, Cornell Medical
Center, 21 Bloomingdale Road, White Plains, NY 10605, United States.
CORRESPONDENCE ADDRESS
R.C. Abrams, New York Hospital, Cornell Medical Center, 21 Bloomingdale
Road, White Plains, NY 10605, United States.
SOURCE
Clinics in Geriatric Medicine (1992) 8:2 (309-322). Date of Publication:
1992
ISSN
0749-0690
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
Although their extent remains unclear, major and minor depressions are
widespread in the nursing home population. This statement appears
intuitively to be correct when consideration is given to the inactivity,
decline in functional competence, loss of personal autonomy, and unavoidable
confrontation with the process of death and dying that are associated with
nursing home placement. In addition, some nursing home residents have had
previous episodes of depression or are admitted to the facility already
dysthymic or with other chronic forms of the illness. Such circumstances
provide a favorable culture for the development and persistence of
depressive illness. When the high frequency of other psychiatric disorders
among nursing home residents is factored in, it is not surprising that
long-term health care facilities have come to be regarded as de facto
psychiatric hospitals. Nursing homes largely lack the treatment resources of
psychiatric hospitals, however. Nursing home physicians are often unprepared
to make psychiatric diagnoses, and a perfunctory annual psychiatric
evaluation is insufficient to manage the complex depression syndromes of
nursing home residents. Because nursing home psychiatrists typically work on
a consultation basis, recommendations are not necessarily acted upon by the
primary physicians. The consequences of undiagnosed and untreated depression
are substantial. From the psychiatric perspective, the possibility that
depression increases the risk for eventual development of permanent dementia
highlights the importance of early identification for cases of reversible
dementia. From the rehabilitation point of view, persistent depression among
individuals with physical dependency following a catastrophic illness is
associated with failure to improve in physical functioning. Depression can
probably be linked to increased medical morbidity in nursing home residents,
a relationship that also has been suggested for elderly medical inpatients.
If so, the use of nursing time and other health-care facility services would
be greater for depressed than nondepressed residents, and financial costs
would be higher as well. Finally, recent data point to increased mortality
in nursing home residents with major depressive disorder. It is apparent
that depression in long-term care facilities is a condition with doubtful
prognosis and negative medical, social, and financial consequences. The
highest costs of all may be paid by nursing home residents who experience
the unrelieved suffering of depressive illness. Only epidemiologic research
using standard diagnostic criteria and direct resident assessment will
adequately establish the magnitude of the need for intervention among
depressed residents in long-term care. Following that, uniformly collected
longitudinal data on the prevalence, comorbidities, course, and outcome of
depression in nursing homes can begin to answer some of the clinical
questions that have recently been posed.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antidepressant agent (drug dose, drug therapy)
EMTREE DRUG INDEX TERMS
benzodiazepine derivative (drug therapy)
monoamine oxidase inhibitor (drug therapy)
neuroleptic agent (adverse drug reaction)
tricyclic antidepressant agent (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
depression (diagnosis, drug therapy, epidemiology, side effect, therapy)
nursing home
EMTREE MEDICAL INDEX TERMS
aged
cerebrovascular accident (diagnosis)
dementia (diagnosis)
drug dependence (etiology)
hip fracture (diagnosis)
hospitalization
human
patient selection
prevalence
psychotherapy
review
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992207487
MEDLINE PMID
1600481 (http://www.ncbi.nlm.nih.gov/pubmed/1600481)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1054
TITLE
Impaired student nurses.
AUTHOR NAMES
Landrum B.J.
AUTHOR ADDRESSES
(Landrum B.J.)
CORRESPONDENCE ADDRESS
B.J. Landrum,
SOURCE
The Pulse of the Montana State Nurses' Association (1992) 28:4 (8). Date of
Publication: 1992 Jul-Aug
ISSN
0033-4189
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
alcoholism (rehabilitation)
malpractice
nursing student
EMTREE MEDICAL INDEX TERMS
article
counseling
human
nursing education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1509026 (http://www.ncbi.nlm.nih.gov/pubmed/1509026)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1055
TITLE
Dangerous kicks.
AUTHOR NAMES
Sadler C.
AUTHOR ADDRESSES
(Sadler C.)
CORRESPONDENCE ADDRESS
C. Sadler,
SOURCE
Nursing times (1992) 88:21 (18-19). Date of Publication: 1992 May 20-26
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
child psychology
health education
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
nursing
psychological aspect
risk
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1608751 (http://www.ncbi.nlm.nih.gov/pubmed/1608751)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1056
TITLE
Module II.3. Addictions: nursing diagnosis and treatment.
AUTHOR NAMES
D'Arcangelo J.S.
Adamski T.
AUTHOR ADDRESSES
(D'Arcangelo J.S.; Adamski T.)
CORRESPONDENCE ADDRESS
J.S. D'Arcangelo,
SOURCE
NLN publications (1992) :15-2463 (221-346). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
curriculum
nursing diagnosis
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614842 (http://www.ncbi.nlm.nih.gov/pubmed/1614842)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1057
TITLE
Module II.6. Drug misuse and dependence in the elderly.
AUTHOR NAMES
Mathwig G.
D'Arcangelo J.S.
AUTHOR ADDRESSES
(Mathwig G.; D'Arcangelo J.S.)
CORRESPONDENCE ADDRESS
G. Mathwig,
SOURCE
NLN publications (1992) :15-2463 (463-530). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
geriatric nursing
nursing education
EMTREE MEDICAL INDEX TERMS
aged
article
education
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614845 (http://www.ncbi.nlm.nih.gov/pubmed/1614845)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1058
TITLE
Substance abuse: the nurse's role in prevention education and caring.
AUTHOR ADDRESSES
SOURCE
The Nursing journal of India (1992) 83:5 (130-134). Date of Publication: May
1992
ISSN
0029-6503
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
patient education
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome (prevention)
alcoholism (rehabilitation)
article
disease transmission
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1298914 (http://www.ncbi.nlm.nih.gov/pubmed/1298914)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1059
TITLE
Chemical dependency: in the curriculum.
AUTHOR NAMES
Carr K.
Jones S.
Williams D.
AUTHOR ADDRESSES
(Carr K.; Jones S.; Williams D.)
CORRESPONDENCE ADDRESS
K. Carr,
SOURCE
Kentucky nurse (1992) 40:3 (9-10). Date of Publication: 1992 May-Jun
ISSN
0742-8367
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nurse
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1625466 (http://www.ncbi.nlm.nih.gov/pubmed/1625466)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1060
TITLE
Module II.1. Fetal effects of maternal alcohol and drug use.
AUTHOR NAMES
Gigliotti E.
AUTHOR ADDRESSES
(Gigliotti E.)
CORRESPONDENCE ADDRESS
E. Gigliotti,
SOURCE
NLN publications (1992) :15-2463 (1-116). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
fetus
nursing education
pregnancy complication
EMTREE MEDICAL INDEX TERMS
article
drug effect
female
human
nursing
pregnancy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614840 (http://www.ncbi.nlm.nih.gov/pubmed/1614840)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1061
TITLE
Module II.2. Impaired practice by health professionals.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
NLN publications (1992) :15-2463 (117-219). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
malpractice
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614841 (http://www.ncbi.nlm.nih.gov/pubmed/1614841)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1062
TITLE
Module II.4. Nursing care in acute intoxication.
AUTHOR NAMES
Compton M.
AUTHOR ADDRESSES
(Compton M.)
CORRESPONDENCE ADDRESS
M. Compton,
SOURCE
NLN publications (1992) :15-2463 (347-408). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
intoxication
nursing education
EMTREE MEDICAL INDEX TERMS
acute disease
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614843 (http://www.ncbi.nlm.nih.gov/pubmed/1614843)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1063
TITLE
Module II.5. Nursing care in withdrawal.
AUTHOR NAMES
Compton M.
AUTHOR ADDRESSES
(Compton M.)
CORRESPONDENCE ADDRESS
M. Compton,
SOURCE
NLN publications (1992) :15-2463 (409-462). Date of Publication: May 1992
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
nursing education
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1614844 (http://www.ncbi.nlm.nih.gov/pubmed/1614844)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1064
TITLE
Pain and addiction: An urgent need for change in nursing education
AUTHOR NAMES
Ferrell B.R.
McCaffery M.
Rhiner M.
AUTHOR ADDRESSES
(Ferrell B.R.; McCaffery M.; Rhiner M.)
SOURCE
Journal of Pain and Symptom Management (1992) 7:2 (117-124). Date of
Publication: 1992
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Lack of education of health care professionals, including nurses, is
frequently cited as a major reason for undertreatment of patients with pain.
A reason for undertreatment of pain with opioid analgesics is the irrational
fear of creating opioid addiction. To characterize the information nurses
receive in their basic education that could contribute to misinformation
about this issue, the authors reviewed 14 nursing textbooks, published since
1985, including 8 pharmacology texts and 6 medical surgical texts. An
analysis of content revealed that only one textbook correctly stated the
definition of opioid addiction and its likelihood following use of opioid
analgesics for pain control. Almost all of the texts used confusing
terminology, and some erroneously promoted the fear of addiction when
opioids are used for pain relief. A simple solution to this problem is to
encourage nursing educators to use the American Pain Society publication
'Guidelines for Analgesic Use' until textbooks have the opportunity to
incorporate correct information.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
vocational education
EMTREE MEDICAL INDEX TERMS
article
CAS REGISTRY NUMBERS
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Literature Index (37)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992125354
MEDLINE PMID
1573285 (http://www.ncbi.nlm.nih.gov/pubmed/1573285)
FULL TEXT LINK
http://dx.doi.org/10.1016/0885-3924(92)90123-Y
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1065
TITLE
Primary prevention of alcohol and other drug use.
AUTHOR NAMES
Jack L.W.
AUTHOR ADDRESSES
(Jack L.W.)
CORRESPONDENCE ADDRESS
L.W. Jack,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1992) 8:2 (25-33). Date of Publication: Apr
1992
ISSN
1059-8405
ABSTRACT
School nurses are uniquely positioned to identify and, thus, intervene in
alcohol and other drug (AOD) use by students. There is sure to be resistance
to the intervention, and it will come from the student, his or her parents,
and--possibly--even from a nurse not thoroughly conversant with the
biopsychosocial model of AOD use, and thus unwilling to tackle a very
difficult problem. This article deals with application of the
biopsychosocial model, and suggests methods of screening for students' AOD
use.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
primary prevention
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
human
mass screening
methodology
nursing
nursing education
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1568075 (http://www.ncbi.nlm.nih.gov/pubmed/1568075)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1066
TITLE
Alcohol education as primary prevention in health care
AUTHOR NAMES
Long P.
Gelfand G.
AUTHOR ADDRESSES
(Long P.; Gelfand G.) Department of Family and Community Health Nursing,
School of Nursing, State University of New York, Stony Brook, NY 11794
CORRESPONDENCE ADDRESS
Department of Family and Community Health Nursing, School of Nursing, State
University of New York, Stony Brook, NY 11794
SOURCE
Journal of Studies on Alcohol (1992) 53:2 (101-105). Date of Publication:
1992
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
The purpose of this survey research was to identify practicing nurses'
knowledge about the biophysiological and psychosocial components of alcohol
and its pharmacological effects. Additionally, data were gathered with the
intent of assisting nurses in the early identification of and intervention
with individuals at risk for the disease of alcoholism. The study consisted
of a convenience sample of 298 practicing nurses employed by community
hospitals that had been identified as having no specific treatment program
for chemical dependency. The investigation obtained self-reported
information by means of a questionnaire. The instrument elicited both
demographics and the answers to 25 fixed alternative questions designed to
obtain information in nine topic areas. Findings indicated that 66% of the
nurses incorrectly answered questions aimed at correlating population
statistics to the disease of alcoholism and its physiological effects.
Questions about knowledge of the pharmacological properties of alcohol were
answered incorrectly by 93% of the participants. One-way analysis of
variance was computed to compare the total score for each of the variables
listed. Conclusions document a critical need for increased alcohol education
in basic nursing programs. Content related to the pharmacological
properties, the disease concept and the biophysiological and psychosocial
effects of alcohol should be included in curriculum design.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol consumption
alcoholism
EMTREE MEDICAL INDEX TERMS
adult
article
education program
female
health care policy
human
male
nurse
prevention
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992095848
MEDLINE PMID
1560662 (http://www.ncbi.nlm.nih.gov/pubmed/1560662)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1067
TITLE
A survey examining nurses' knowledge of pain control
AUTHOR NAMES
Hamilton J.
Edgar L.
AUTHOR ADDRESSES
(Hamilton J.; Edgar L.) 3206 Pennington Street, Halifax, NS B3L 4A9
CORRESPONDENCE ADDRESS
3206 Pennington Street, Halifax, NS B3L 4A9
SOURCE
Journal of Pain and Symptom Management (1992) 7:1 (18-26). Date of
Publication: 1992
ISSN
0885-3924
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
Three hundred and eighteen (318) nursing staff members at an acute care
teaching hospital in Montreal, Canada, were surveyed to identify their
knowledge of pain assessment and management. Two pain instruments were
combined and adapted for use. The final instrument consisted primarily of
true/false responses and took about 10 min to complete. The mean score was
63.9%. Overall results indicated that nurses lacked knowledge and
understanding of opioid addiction, equivalent dosing, properties of opioids,
and differences in acute and chronic pain. No statistically significant
differences were found in the scores by level of educational preparation or
by years of experience. Presentation of the results unit by unit
demonstrated that the instrument is suitable as an educational tool as well
as an effective strategy to introduce nursing staff to nursing research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
analgesia
education
nurse
questionnaire
EMTREE MEDICAL INDEX TERMS
article
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992080574
MEDLINE PMID
1538176 (http://www.ncbi.nlm.nih.gov/pubmed/1538176)
FULL TEXT LINK
http://dx.doi.org/10.1016/0885-3924(92)90103-O
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1068
TITLE
Opioid analgesics: nurses' knowledge of doses and psychological dependence.
AUTHOR NAMES
McCaffery M.
Ferrell B.R.
AUTHOR ADDRESSES
(McCaffery M.; Ferrell B.R.)
CORRESPONDENCE ADDRESS
M. McCaffery,
SOURCE
Journal of nursing staff development : JNSD (1992) 8:2 (77-84). Date of
Publication: 1992 Mar-Apr
ISSN
0882-0627
ABSTRACT
Lack of education of health professionals, including nurses, is frequently
cited as a major reason for undertreatment of pain. Very recent surveys have
revealed an urgent need for basic and continuing nursing education to
address this problem. For example, little time is spent on the topic of pain
in many baccalaureate nursing programs, nursing textbooks lack correct
information about opioid addiction, and most practicing nurses currently do
not possess knowledge about opioid analgesics that would enable them to
administer opioids effectively. The authors report on a survey of 1,781
practicing nurses' specific knowledge deficits regarding opioid analgesics
and propose some solutions.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
narcotic agent (adverse drug reaction, drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology)
educational status
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
human
middle aged
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1432189 (http://www.ncbi.nlm.nih.gov/pubmed/1432189)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1069
TITLE
Implementing career development in a drug prevention program.
AUTHOR NAMES
Louie K.B.
Nkongho N.
Wille R.
AUTHOR ADDRESSES
(Louie K.B.; Nkongho N.; Wille R.)
CORRESPONDENCE ADDRESS
K.B. Louie,
SOURCE
The Journal of the New York State Nurses' Association (1992) 23:1 (16-18).
Date of Publication: Mar 1992
ISSN
0028-7644
ABSTRACT
This article describes an innovative school and community based drug
prevention program aimed at high risk urban youths. It is the result of the
collaborative efforts of the nursing faculty of Lehman College-CUNY and the
assistant district attorneys of the Office of the District Attorney of Bronx
County. In the program, children learn first hand about career opportunities
in nursing and law, and gain incentives to remain drug free.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
maternal care
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
child
curriculum
human
jurisprudence
nursing education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1593288 (http://www.ncbi.nlm.nih.gov/pubmed/1593288)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1070
TITLE
Impaired nursing: the role of the nurse manager.
AUTHOR NAMES
Virden J.
AUTHOR ADDRESSES
(Virden J.)
CORRESPONDENCE ADDRESS
J. Virden,
SOURCE
Pediatric nursing (1992) 18:2 (137-138). Date of Publication: 1992 Mar-Apr
ISSN
0097-9805
ABSTRACT
Impaired nursing practice is a professional and personal problem. As a
result of increasing substance abuse and in response to changing theories
and attitudes, nurse managers must be better educated on this topic.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis, prevention, rehabilitation)
malpractice
nursing
nursing staff
role playing
EMTREE MEDICAL INDEX TERMS
article
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1574367 (http://www.ncbi.nlm.nih.gov/pubmed/1574367)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1071
TITLE
Smokeless tobacco: the health consequences of snuff and chewing tobacco.
AUTHOR NAMES
Goolsby M.J.
AUTHOR ADDRESSES
(Goolsby M.J.) University of Florida School of Nursing, Tallahassee.
CORRESPONDENCE ADDRESS
M.J. Goolsby, University of Florida School of Nursing, Tallahassee.
SOURCE
The Nurse practitioner (1992) 17:1 (24, 28, 31, passim). Date of
Publication: Jan 1992
ISSN
0361-1817
ABSTRACT
The use of smokeless forms of tobacco, such as snuff and chewing tobacco, is
growing at alarming rates. The largest group of smokeless-tobacco users
includes adolescent and young adult males. The health consequences related
to smokeless-tobacco use include cancer of the oral mucosa and other sites,
the potential for accelerated cardiovascular disease, and stress to the
unborn infants of female users. This article provides background information
about the problem and offers suggestions for interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nurse practitioner
plant
smokeless tobacco (adverse drug reaction)
tobacco dependence (complication, epidemiology)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
classification
female
human
male
methodology
nursing
prevalence
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1538836 (http://www.ncbi.nlm.nih.gov/pubmed/1538836)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1072
TITLE
Faculty development and curriculum change in substance abuse.
AUTHOR NAMES
Gerace L.M.
Sullivan E.
Murphy S.A.
Cotter F.
AUTHOR ADDRESSES
(Gerace L.M.; Sullivan E.; Murphy S.A.; Cotter F.)
CORRESPONDENCE ADDRESS
L.M. Gerace,
SOURCE
Nurse educator (1992) 17:1 (25-27). Date of Publication: 1992 Jan-Feb
ISSN
0363-3624
ABSTRACT
What approaches can be used to upgrade nursing education and clinical skills
in alcohol and drug abuse? The authors discuss the development of faculty
and curricula in three schools of nursing. The programs described are part
of a national initiative to ensure that health care professionals have basic
knowledge and clinical skills in screening, assessment, intervention, and
the appropriate use of referral systems for clients with substance abuse
problems.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
health care quality
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1732863 (http://www.ncbi.nlm.nih.gov/pubmed/1732863)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1073
TITLE
Intervention: a strategy to help chemically dependent students.
AUTHOR NAMES
Sisney K.F.
AUTHOR ADDRESSES
(Sisney K.F.)
CORRESPONDENCE ADDRESS
K.F. Sisney,
SOURCE
Nurse educator (1992) 17:1 (28-29). Date of Publication: 1992 Jan-Feb
ISSN
0363-3624
ABSTRACT
Chemical dependence in nursing students is not a pleasant reality to face.
However, facing rather than denying this disease in our students may help to
save a valuable professional resource. The author describes how one nurse
educator used the chemical dependence tool of intervention as a strategy to
help a student eventually enter the nursing profession.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
nursing student
peer group
EMTREE MEDICAL INDEX TERMS
alcoholism (rehabilitation)
article
case report
female
human
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1732865 (http://www.ncbi.nlm.nih.gov/pubmed/1732865)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1074
TITLE
Alcohol and other drug abuse. Current perspectives for occupational health
nurses
AUTHOR NAMES
Hagemaster J.N.
AUTHOR ADDRESSES
(Hagemaster J.N.) Community Health Nursing, University of Kansas Medical
Center, Kansas City, KS
CORRESPONDENCE ADDRESS
Community Health Nursing, University of Kansas Medical Center, Kansas City,
KS
SOURCE
AAOHN Journal (1991) 39:10 (456-460). Date of Publication: 1991
ISSN
0891-0162
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
1. Trends in alcohol, drug, and tobacco use indicate that the upward surge
of the 1960s and 1970s has subsided, but the amount of drug use in this
country is still higher than in any other industrial nation. Risk factors
associated with age, gender, culture, and family point to a significant
increase in the number of individuals in the work force with a substance
abuse problem. 2. The etiology of alcohol and other drug addictions is a
subject of controversy. One position adheres to biological determinants of
disease, another adheres to psychological disorders. 3. Implications for
nurses involve effective teaching/learning strategies that range from
didactic content emphasizing long term consequences of the disease to
specific methods of employee instruction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
drug abuse
employee
occupational health nursing
United States
work environment
EMTREE MEDICAL INDEX TERMS
epidemiology
health education
psychosocial environment
review
smoking
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991329455
MEDLINE PMID
1930378 (http://www.ncbi.nlm.nih.gov/pubmed/1930378)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1075
TITLE
Strategies for promotion of avoiding harmful substances.
AUTHOR NAMES
Eells M.A.
AUTHOR ADDRESSES
(Eells M.A.) University of Maryland School of Nursing, Baltimore.
CORRESPONDENCE ADDRESS
M.A. Eells, University of Maryland School of Nursing, Baltimore.
SOURCE
The Nursing clinics of North America (1991) 26:4 (915-927). Date of
Publication: Dec 1991
ISSN
0029-6465
ABSTRACT
Obviously, avoiding harmful substances and addictions to them and
intervening later once the addiction is established are complex tasks. All
the aspects of primary, secondary, and tertiary interventions can be used in
a given family with addiction, for there may be late-stage, chronic
addiction, early addiction that can be interrupted, and youngsters who are
prone to addiction. Family patterns accompanying addiction may be intense
and well established, more moderate, or in a formative stage. Often addicted
persons, no matter what the addiction, may never enter treatment and
certainly not often of their own accord. In the select group of faithful AA
members, for example, it is said that only 1 of 37 people who ever attend is
successful in the program and, of course, many never enter the door. What is
our responsibility to the persons who are using harmful substances and their
family members? It lies in better case finding, enhanced by a greater
awareness of patterns of addiction; in family intervention first, no matter
what the stage of addiction or its type; and treatment for the person
addicted when that is possible. This is a natural role for nurses, one for
which they should take professional and, if need be, personal
responsibility. Strengthening families by changing dysfunctional patterns is
the ultimate strategy for avoiding the use and abuse for harmful substances.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
alcoholism (therapy)
health promotion
smoking cessation
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
animal
family
genetics
human
methodology
nursing process
review
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1945945 (http://www.ncbi.nlm.nih.gov/pubmed/1945945)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1076
TITLE
Assessment of the adult client for drug and alcohol use.
AUTHOR NAMES
Lisanti P.
AUTHOR ADDRESSES
(Lisanti P.)
CORRESPONDENCE ADDRESS
P. Lisanti,
SOURCE
NLN publications (1991) :15-2407 (151-247). Date of Publication: Dec 1991
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (diagnosis)
alcoholism (diagnosis)
nursing assessment
nursing education
teaching
EMTREE MEDICAL INDEX TERMS
adult
article
curriculum
human
methodology
nurse patient relationship
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1796001 (http://www.ncbi.nlm.nih.gov/pubmed/1796001)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1077
TITLE
Women at risk: an AIDS educational needs assessment.
AUTHOR NAMES
Williams A.B.
AUTHOR ADDRESSES
(Williams A.B.)
CORRESPONDENCE ADDRESS
A.B. Williams,
SOURCE
Image--the journal of nursing scholarship (1991) 23:4 (208-213). Date of
Publication: 1991 Winter
ISSN
0743-5150
ABSTRACT
In order to acquire the information nurses need to develop education and
support programs for women at risk for Acquired Immunodeficiency Syndrome
(AIDS), a qualitative needs assessment of women at risk was conducted.
Interviews were conducted with 21 women who were at risk for AIDS through
their own injection drug use or as the heterosexual partners of injection
drug users. Results were analyzed using the variables of the Health Belief
Model, including the concept of self-efficacy. The perception of AIDS as a
serious and a personal health threat motivated these women to practice both
"safe sex" and "safe drug use." However, they did not always believe that
recommended health behaviors would be effective; and they noted significant
costs associated with these behaviors. In addition, the impact of AIDS was
seen to be a heightening of the isolation and mistrust which were
characteristic of the injection drug using community before the epidemic.
AIDS programs for women at risk should facilitate discussion of social and
community issues and should emphasize hope rather than fear.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
health education
EMTREE MEDICAL INDEX TERMS
adult
article
attitude to health
condom
disease transmission
drug abuse (adverse drug reaction)
female
human
interview
psychological aspect
risk factor
sexual behavior
sexuality
substance abuse
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1937517 (http://www.ncbi.nlm.nih.gov/pubmed/1937517)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1078
TITLE
Assessment of a health-promotive lifestyle.
AUTHOR NAMES
Tanner E.K.
AUTHOR ADDRESSES
(Tanner E.K.) University of Maryland School of Nursing, Baltimore.
CORRESPONDENCE ADDRESS
E.K. Tanner, University of Maryland School of Nursing, Baltimore.
SOURCE
The Nursing clinics of North America (1991) 26:4 (845-854). Date of
Publication: Dec 1991
ISSN
0029-6465
ABSTRACT
Health promotion is an imperative goal for our nation. One needs only to
look at the major causes of morbidity and mortality to know that lifestyle
factors are major contributors. Nurses are in a unique position that allows
them to assist people in examining their lifestyle behaviors. The nursing
role in health promotion centers around assessment of behaviors that
promote, protect, and maintain health status. A health-promotion assessment
should include the following components: nutrition, exercise and fitness,
stress management, family planning, sexual history, tobacco use, alcohol and
chemical substance abuse, exposure to environmental hazards and injury, as
well as the psychological, spiritual, and social resources that enhance a
person's ability to engage in behaviors that promote health. Information
gained from assessment can guide the nurse and client in making personal
decisions for changing behavior and using inner resources to enhance the
existing level of health and well-being.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
lifestyle
nursing assessment
EMTREE MEDICAL INDEX TERMS
health behavior
human
methodology
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1945939 (http://www.ncbi.nlm.nih.gov/pubmed/1945939)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1079
TITLE
Chemical impairment in colleagues: perceptions of Western New York nurses.
AUTHOR NAMES
Hyman Z.
Haughey B.P.
Dittmar S.S.
Cookman C.L.
McKaig C.
Crosby F.
AUTHOR ADDRESSES
(Hyman Z.; Haughey B.P.; Dittmar S.S.; Cookman C.L.; McKaig C.; Crosby F.)
CORRESPONDENCE ADDRESS
Z. Hyman,
SOURCE
The Journal of the New York State Nurses' Association (1991) 22:4 (6-10).
Date of Publication: Dec 1991
ISSN
0028-7644
ABSTRACT
The purpose of this study was to determine nurses' perceptions about
substance abuse in professional colleagues, opinions about strategies for
dealing with substance abuse, and knowledge about resources available for
dealing with the problem of chemical impairment. Subjects included a
convenience sample of 161 nurses from Western New York. Data were gathered
by a questionnaire that included "The Perceptions of Nursing Impairment
Inventory" and items regarding respondents' background characteristics,
suspicions about alcohol and drug abuse in nurse colleagues, and knowledge
about and use of peer assistance services available through District I of
the New York State Nurses Association. The major outcome of the study was
identification of a knowledge deficit on the extent of the substance abuse
problem in nursing, ability to recognize an impaired colleague, and
awareness of services available. These data substantiate the need for
implementing educational programs to increase nurses' basic knowledge of,
and sensitivity to, the problem of chemical dependency.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
malpractice
nursing staff
EMTREE MEDICAL INDEX TERMS
article
human
nursing organization
public relations
questionnaire
social behavior
social support
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1761996 (http://www.ncbi.nlm.nih.gov/pubmed/1761996)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1080
TITLE
The 1990s and beyond: Determining the need for community health and primary
care nurses for rural populations
AUTHOR NAMES
Hanson C.M.
AUTHOR ADDRESSES
(Hanson C.M.) Graduate Program in Nursing, Georgia Southern University,
Landrum Box 8158, Statesboro, GA 30460-8158
CORRESPONDENCE ADDRESS
Graduate Program in Nursing, Georgia Southern University, Landrum Box 8158,
Statesboro, GA 30460-8158
SOURCE
Journal of Rural Health (1991) 7:4 SUPPL. (413-426). Date of Publication:
1991
ISSN
0890-765X
BOOK PUBLISHER
Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
Increased numbers of primary care and advanced practice nurses with unique
generalist skills will be required to meet the accelerating physiologic and
sociocultural health care needs of rural populations. Several factors have
been identified that will influence the demands and position of community-
based nurses in rural practice settings during the next decade. A back-to-
basics type of health care offered out of a growing elderly population;
technological breakthroughs that make it possible for more chronically ill
patients to live at home; serious substance abuse and other adolescent
problems; AIDS; and high infant morbidity and mortality statistics are only
some of the concerns that will demand nursing intervention. These changes
speak to the need for improved nursing coordination, stronger collegial
relationships, and better communication between physicians and nurses.
Health care is moving in new directions to offer more efficient and
technologically sophisticated care. These changes enhance the need for
clinically expert educators who teach and jointly practice in programs with
a rural focus. Telecommunications, and heightened computer literacy, will
play a major role both in nursing education and clinical practice. The goals
of kindergarten through 12th grade health promotion and disease prevention
strategies in school health will be the norm and will require better
prepared, and positions for, school nurses. More midwives and public health
nurses will be needed to care for the growing population of sexually active
adolescents who are in need of family planning and prenatal care.
Underinsured and indigent populations will continue to fall within the
purview of midlevel practitioners, as will providing anesthesia services in
small rural hospitals. The transition of some rural hospitals into expanded
primary care units (e.g., EACHs and RPCHs), and new models of case
management will greatly influence nursing demands. This paper will further
identify critical areas of advanced practice nursing within community
settings, including new relationships with other health care providers, and
will introduce strategies upon which rural health policy recommendations for
the 1990s can be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health care need
manpower
nursing education
primary health care
public health
rural health care
EMTREE MEDICAL INDEX TERMS
article
elderly care
homelessness
human
maternal care
mental health service
normal human
pediatrics
school health service
technology
telecommunication
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992084413
MEDLINE PMID
10116032 (http://www.ncbi.nlm.nih.gov/pubmed/10116032)
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1081
TITLE
The 1990s and beyond: Determining the need for community health and primary
care nurses for rural populations
AUTHOR NAMES
Hanson C.M.
AUTHOR ADDRESSES
(Hanson C.M.) Graduate Program in Nursing, Georgia Southern University,
Landrum Box 8158, Statesboro, GA 30460-8158, United States.
CORRESPONDENCE ADDRESS
C.M. Hanson, Graduate Program in Nursing, Georgia Southern University,
Landrum Box 8158, Statesboro, GA 30460-8158, United States.
SOURCE
Journal of Rural Health (1991) 7:4 (413-426). Date of Publication: 1991
ISSN
0890-765X
ABSTRACT
Increased numbers of primary care and advanced practice nurses with unique
generalist skills will be required to meet the accelerating physiologic and
sociocultural health care needs of rural populations. Several factors have
been identified that will influence the demands and position of community-
based nurses in rural practice settings during the next decade. A back-to-
basics type of health care offered out of a growing elderly population;
technological breakthroughs that make it possible for more chronically ill
patients to live at home; serious substance abuse and other adolescent
problems; AIDS; and high infant morbidity and mortality statistics are only
some of the concerns that will demand nursing intervention. These changes
speak to the need for improved nursing coordination, stronger collegial
relationships, and better communication between physicians and nurses.
Health care is moving in new directions to offer more efficient and
technologically sophisticated care. These changes enhance the need for
clinically expert educators who teach and jointly practice in programs with
a rural focus. Telecommunications, and heightened computer literacy, will
play a major role both in nursing education and clinical practice. The goals
of kindergarten through 12th grade health promotion and disease prevention
strategies in school health will be the norm and will require better
prepared, and positions for, school nurses. More midwives and public health
nurses will be needed to care for the growing population of sexually active
adolescents who are in need of family planning and prenatal care.
Underinsured and indigent populations will continue to fall within the
purview of midlevel practitioners, as will providing anesthesia services in
small rural hospitals. The transition of some rural hospitals into expanded
primary care units (e.g., EACHs and RPCHs), and new models of case
management will greatly influence nursing demands. This paper will further
identify critical areas of advanced practice nursing within community
settings, including new relationships with other health care providers, and
will introduce strategies upon which rural health policy recommendations for
the 1990s can be addressed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community care
health care delivery
nurse
primary medical care
rural area
EMTREE MEDICAL INDEX TERMS
futurology
human
review
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1992204229
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1082
TITLE
Morphine: Myths, morality and economics
AUTHOR NAMES
Doyle D.
AUTHOR ADDRESSES
(Doyle D.) St Columba's Hospice, Edinburgh, United Kingdom.
CORRESPONDENCE ADDRESS
D. Doyle, St Columba's Hospice, Edinburgh, United Kingdom.
SOURCE
Postgraduate Medical Journal (1991) 67:SUPPL. 2 (S70+S71+S72+S73+). Date of
Publication: 1991
ISSN
0032-5473
BOOK PUBLISHER
BMJ Publishing Group, Tavistock Square, London, United Kingdom.
ABSTRACT
It is a tragedy that morphine is scarcely available for between 1.3 and 2.5
billion people whilst 3.5 million cancer patients suffer needlessly. In only
10 countries is its consumption rising, in many more only codeine
consumption shows an increase, and in many areas even in the Western world
prescribing is grossly limited, fears of psychological addiction persist,
professional education of doctors and nurses in analgesia remains minimal
and too much importance is attached to expensive sophisticated methods of
administration. Doctors have a professional and a moral responsibility to
press for improved morphine availability in the most useful and economical
forms worldwide.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
morphine (adverse drug reaction, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug administration
EMTREE MEDICAL INDEX TERMS
addiction (side effect)
analgesia
cancer pain (drug therapy)
chronic pain (drug therapy)
conference paper
constipation (side effect)
cost effectiveness analysis
drug tolerance
geographic distribution
human
morality
nausea (side effect)
oral drug administration
pain (drug therapy)
priority journal
respiration depression (side effect)
responsibility
sedation
subcutaneous drug administration
sweating
vocational education
CAS REGISTRY NUMBERS
morphine (52-26-6, 57-27-2)
EMBASE CLASSIFICATIONS
Cancer (16)
Health Policy, Economics and Management (36)
Drug Literature Index (37)
Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991271666
MEDLINE PMID
1758820 (http://www.ncbi.nlm.nih.gov/pubmed/1758820)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1083
TITLE
Impaired nursing students: an intervention program.
AUTHOR NAMES
Greenhill E.D.
Skinner K.
AUTHOR ADDRESSES
(Greenhill E.D.; Skinner K.) University of Tennessee, College of Nursing,
Memphis 38163.
CORRESPONDENCE ADDRESS
E.D. Greenhill, University of Tennessee, College of Nursing, Memphis 38163.
SOURCE
The Journal of nursing education (1991) 30:8 (379-381). Date of Publication:
Oct 1991
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health service
malpractice
nursing student
preventive health service
EMTREE MEDICAL INDEX TERMS
article
confidentiality
human
nursing education
organization
organization and management
psychological aspect
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1658275 (http://www.ncbi.nlm.nih.gov/pubmed/1658275)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1084
TITLE
Responses of schools of nursing to physically, mentally, and
substance-impaired students.
AUTHOR NAMES
Swenson I.
Foster B.H.
Champagne M.
AUTHOR ADDRESSES
(Swenson I.; Foster B.H.; Champagne M.) School of Nursing, University of
North Carolina, Chapel Hill 27599.
CORRESPONDENCE ADDRESS
I. Swenson, School of Nursing, University of North Carolina, Chapel Hill
27599.
SOURCE
The Journal of nursing education (1991) 30:7 (320-325). Date of Publication:
Sep 1991
ISSN
0148-4834
ABSTRACT
Responses of schools of nursing to physically, mentally, and
substance-impaired applicants and matriculating students were assessed in a
12% simple random sample (n = 132) of the 383 baccalaureate and 715
associate degree nursing schools and programs accredited by the National
League for Nursing. A self-administered questionnaire concerning
experiences, policies, procedures, and factors influencing decision-making
was sent to the 132 deans and directors of the nursing schools and programs.
Criteria for defining impairments, resources for developing criteria,
methods of identifying impairments, actions taken, and individuals involved
in the decision were also assessed. While the schools used external
resources to guide decision-making, the majority of the responsibility was
with the school of nursing faculty and administration. Schools offered a
range of options for impaired individuals continuing in the program while
under treatment; nevertheless, seeking treatment was a frequent requirement
for continuation in the program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
disabled person
education
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing student
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1658261 (http://www.ncbi.nlm.nih.gov/pubmed/1658261)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1085
TITLE
Healing the wounded, neglected inner child of the past.
AUTHOR NAMES
Kneisl C.R.
AUTHOR ADDRESSES
(Kneisl C.R.) Nursing Transitions, Inc., Williamsville, New York.
CORRESPONDENCE ADDRESS
C.R. Kneisl, Nursing Transitions, Inc., Williamsville, New York.
SOURCE
The Nursing clinics of North America (1991) 26:3 (745-755). Date of
Publication: Sep 1991
ISSN
0029-6465
ABSTRACT
Childhood experiences of the past can have a destructive effect on the
present. The inner child in each person is the core of the personality that
has been molded by the directions on how to act to be loved that the person
receives in childhood. Painful experiences and lack of nurturing in
dysfunctional families wound the inner child and contaminate adult
experiences. Many persons with eating disorders have a wounded or neglected
inner child that affects their adult lives. Characteristically, they
demonstrate problems with trust, intimacy, addictive and compulsive
behaviors, and codependence among others. Healing the inner child by
grieving neglected childhood developmental needs is a long process, but one
that improves the quality of one's life. Nurses, depending on their
educational background and clinical skills, can help clients move toward
understanding and healing the wounded, neglected inner child of the past.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child abuse
child psychology
EMTREE MEDICAL INDEX TERMS
adult
article
child
eating disorder (etiology, therapy)
family
human
human relation
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1891407 (http://www.ncbi.nlm.nih.gov/pubmed/1891407)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1086
TITLE
Health care crisis in the black community: challenges prospects, and the
black nurse.
AUTHOR NAMES
Powell D.L.
AUTHOR ADDRESSES
(Powell D.L.)
CORRESPONDENCE ADDRESS
D.L. Powell,
SOURCE
Journal of National Black Nurses' Association : JNBNA (1991) 5:1 (3-10).
Date of Publication: 1991 Fall-Winter
ISSN
0885-6028
ABSTRACT
The Black community, particularly in major urban settings, is faced with
escalating social, economic, and life-style problems, which threaten the
life and well-being of current and future generations of Black people in
crisis proportion. The rising number of deaths due to heart disease and
stroke, homicide and accidents related to substance abuse, AIDS, cancer, and
infant mortality are among the leading culprits. They interfere with
prospects of longevity, joblessness, poverty, and homelessness and further
complicate the crisis. These problems have implications for the practice of
nursing. The magnitude of the problems dictate the need for modifications in
the health care delivery system and how future practitioners of nursing are
educated. The inextricable role of the community, although often
underaddressed, in solving its own problems is among the promising
strategies for resolving the crisis. Black nurses, in particular, must
accept the challenge and the opportunity to test innovative and sensitive
interventive strategies which will enable the Black community to emerge from
the complex and haunting problems which threaten well-being.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
African American
health care delivery
health status
nurse
EMTREE MEDICAL INDEX TERMS
article
human
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1885955 (http://www.ncbi.nlm.nih.gov/pubmed/1885955)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1087
TITLE
Blood pressure patterns in the first three days of life.
AUTHOR NAMES
Hulman S.
Edwards R.
Chen Y.Q.
Polansky M.
Falkner B.
AUTHOR ADDRESSES
(Hulman S.; Edwards R.; Chen Y.Q.; Polansky M.; Falkner B.) Medical College
of Pennsylvania, Department of Pediatrics, Philadelphia 19129.
CORRESPONDENCE ADDRESS
S. Hulman, Medical College of Pennsylvania, Department of Pediatrics,
Philadelphia 19129.
SOURCE
Journal of perinatology : official journal of the California Perinatal
Association (1991) 11:3 (231-234). Date of Publication: Sep 1991
ISSN
0743-8346
ABSTRACT
Current blood pressure data for healthy newborn infants consist primarily of
single measurements of systolic and diastolic pressure in the first 48 hours
of life. The purpose of this study was to determine if blood pressure levels
are stable or are changing during the first few days of life. To determine
blood pressure level and trend, indirect blood pressure was measured on day
1 through day 3 of life in all infants admitted to the well newborn nursery
at Hahnemann University Hospital in Philadelphia. Systolic pressure
correlated significantly with birthweight on day 1 of life (P less than
.03). Repeated measures analysis of variance demonstrated a significant
increase in both systolic and diastolic pressures over the first 72 hours of
life (P less than .001). There was no difference in blood pressure among
racial groups (black, Hispanic, white, Asian). In healthy newborns, there
was no correlation of blood pressure with maternal conditions: toxemia,
diabetes, substance abuse. These data demonstrate that blood pressure
correlates with birthweight in well newborns. There is, however, a
significant progressive increase in both systolic and diastolic blood
pressure over the first 3 days of life, regardless of birthweight or
maternal conditions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
blood pressure
newborn
EMTREE MEDICAL INDEX TERMS
analysis of variance
article
birth weight
comparative study
diastole
gestational age
human
physiology
systole
time
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1919820 (http://www.ncbi.nlm.nih.gov/pubmed/1919820)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1088
TITLE
AIDS-related behavioral research and nursing.
AUTHOR NAMES
Skinner A.
Walls L.
Brown Jr. L.S.
AUTHOR ADDRESSES
(Skinner A.; Walls L.; Brown Jr. L.S.) Division of Medical Services,
Evaluation and Research, Addiction Research and Medical Affairs, Brooklyn,
New York.
CORRESPONDENCE ADDRESS
A. Skinner, Division of Medical Services, Evaluation and Research, Addiction
Research and Medical Affairs, Brooklyn, New York.
SOURCE
Journal of the National Medical Association (1991) 83:7 (585-589). Date of
Publication: Jul 1991
ISSN
0027-9684
ABSTRACT
As efforts targeted at producing an effective vaccine or a definitive cure
are still in early stages of development, health education and prevention
continue to be this country's major line of defense against acquired
immunodeficiency syndrome (AIDS). This defense is dependent on knowledge of
behaviors that place individuals at risk of human immunodeficiency virus
(HIV) exposure and disease progression. This article reviews the critical
points in our state of knowledge and offers additional areas of need.
Research is needed to determine a database of persons who use psychoactive
substances and to understand the HIV-associated behaviors linked to drug
use. Epidemiologic studies are necessary to appreciate the sexual,
contraceptive, and childbearing practices of users of any psychoactive
substance. Greater emphasis also is needed to investigate the inherent
effects of various psychoactive substances on the immune, neurologic, and
endocrine systems. While biomedical research continues, it is apparent that
research from behavioral studies are crucial to education and prevention
efforts. Nurse investigators are well-positioned to play an important role
in accumulating this information. Given the critical role of drug abuse in
the HIV epidemic, the public health significance cannot be overestimated.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
sexual behavior
substance abuse
EMTREE MEDICAL INDEX TERMS
disease transmission
human
nursing research
review
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1920515 (http://www.ncbi.nlm.nih.gov/pubmed/1920515)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1089
TITLE
Employee health nurse counselor roles in the hospital setting
AUTHOR NAMES
Culver J.
AUTHOR ADDRESSES
(Culver J.) Employee Health Services, Emory University Hospital, Atlanta, GA
CORRESPONDENCE ADDRESS
Employee Health Services, Emory University Hospital, Atlanta, GA
SOURCE
AAOHN Journal (1991) 39:4 (199-204). Date of Publication: 1991
ISSN
0891-0162
BOOK PUBLISHER
Slack Incorporated, 6900 Grove Road, Thorofare, United States.
ABSTRACT
While hospitals, over the past several decades, have provided options for
health care to their employees, these services, with few exceptions, usually
have followed a medical model. Health promotion activities have often been
relegated to other departments. Consistent recognition that hospital
employee health is indeed occupational health still needs to be reinforced
by practitioners. Credibility within the institution and the profession will
be enhanced as evolving standards of practice, professional networking, and
pressure from accreditation bodies and federal agencies stress quality
assurance standards. It is an exciting time to be involved in hospital
employee health. The challenges in the Year 2000 Health Objectives for the
Nation provide many opportunities to affect employee health, as well as
public health interests. The employee health nurse must strive to promote
the roles of the nurse as counselor within the hospital and to achieve the
goals of health promotion and disease prevention while providing care for
the caregivers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
health promotion
hospital personnel
occupational health nursing
EMTREE MEDICAL INDEX TERMS
adult
article
drug abuse
employee
human
normal human
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1991150303
MEDLINE PMID
2069606 (http://www.ncbi.nlm.nih.gov/pubmed/2069606)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1090
TITLE
An empirically based substance abuse course for graduate students in
nursing.
AUTHOR NAMES
Murphy S.A.
AUTHOR ADDRESSES
(Murphy S.A.) Psychosocial Nursing Department, University of Washington,
Seattle 98195.
CORRESPONDENCE ADDRESS
S.A. Murphy, Psychosocial Nursing Department, University of Washington,
Seattle 98195.
SOURCE
The Journal of nursing education (1991) 30:6 (274-277). Date of Publication:
Jun 1991
ISSN
0148-4834
ABSTRACT
Currently, no texts or compilations of readings offer a comprehensive
graduate-level nursing foundation in addictive behaviors. This article
describes the development of a theory- and research-based collection of
readings and a course designed to meet this need.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
education
health care quality
human
methodology
nurse
nursing
organization and management
psychological aspect
psychological model
standard
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1649278 (http://www.ncbi.nlm.nih.gov/pubmed/1649278)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1091
TITLE
Recreational drugs. Societal and professional issues.
AUTHOR NAMES
Solari-Twadell P.A.
AUTHOR ADDRESSES
(Solari-Twadell P.A.) Lutheran General Health Care System, Park Ridge,
Illinois.
CORRESPONDENCE ADDRESS
P.A. Solari-Twadell, Lutheran General Health Care System, Park Ridge,
Illinois.
SOURCE
The Nursing clinics of North America (1991) 26:2 (499-509). Date of
Publication: Jun 1991
ISSN
0029-6465
ABSTRACT
Recreational drug use presents a challenge to society and, in particular,
the profession of nursing. Recreational drug use must be appreciated for the
implications it presents for the episodes of abuse and development of
chronic health problems. The effects and recreational use of volatile
substances, cannabis, opioids, barbiturates, benzodiazepines, amphetamines,
cocaine, psychedelics, and designer drugs as well as alcohol, caffeine, and
nicotine must be acknowledged and understood if options for change are to be
considered. The resultant cost of recreational drug use as well as health
care implications, public safety, and prevention are significant issues
society is faced with today. These issues will continue to be significant
unless the current posture toward recreational drug use and abuse is
addressed. The profession of nursing continues to be faced with the problems
associated with recreational drug use not only through caring for clients,
but immediately by the effects of recreational drug use on individual
professional nurses. To respond effectively, nursing education and nursing
research must be challenged to create an emphasis on this focus. Only
through this type of multifocal approach will long-term substantial change
be affected for the betterment of future generations.
EMTREE DRUG INDEX TERMS
designer drug (adverse drug reaction)
street drug (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
recreation
EMTREE MEDICAL INDEX TERMS
adolescent
adult
curriculum
decision making
drinking behavior (epidemiology)
human
leisure
lifestyle
nursing
nursing education
nursing research
psychological aspect
review
risk factor
social psychology
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2047294 (http://www.ncbi.nlm.nih.gov/pubmed/2047294)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1092
TITLE
Teaching safer sex in a long-term psychiatric setting.
AUTHOR NAMES
Davidhizar R.
Boonstra C.
Lutz K.
Poston P.
AUTHOR ADDRESSES
(Davidhizar R.; Boonstra C.; Lutz K.; Poston P.)
CORRESPONDENCE ADDRESS
R. Davidhizar,
SOURCE
Perspectives in psychiatric care (1991) 27:1 (25-29). Date of Publication:
1991
ISSN
0031-5990
ABSTRACT
The trend toward normalizing life in mental health institutions poses a
challenge to the facility's staff in the area of sexual relations among
clients. In addition to their other duties, nurses now are being asked to
discuss sexual feelings with the clients as well as teach sex education,
AIDS information, and safer-sex practices. Such programs need to begin with
retraining of staff and institution-wide classes to determine the clients'
knowledge base. One model program experienced initial resistance among staff
and patients, but worked well after an adjustment period. Different methods
were used successfully on the female admission unit, the addiction unit, and
the rehabilitation and release unit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental hospital
psychiatric nursing
sexual counseling
sexual education
EMTREE MEDICAL INDEX TERMS
article
human
methodology
nursing assessment
organization
organization and management
patient education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2008327 (http://www.ncbi.nlm.nih.gov/pubmed/2008327)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1093
TITLE
An opinion piece: the consensus conference.
AUTHOR NAMES
Felton G.
AUTHOR ADDRESSES
(Felton G.) College of Nursing, University of Iowa, Iowa City 52242.
CORRESPONDENCE ADDRESS
G. Felton, College of Nursing, University of Iowa, Iowa City 52242.
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (1991) 7:3 (184-187). Date of
Publication: 1991 May-Jun
ISSN
8755-7223
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
consensus development
mental health service
nursing education
nursing organization
EMTREE MEDICAL INDEX TERMS
article
human
nursing
organization and management
policy
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1905735 (http://www.ncbi.nlm.nih.gov/pubmed/1905735)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1094
TITLE
Cognitive impairments in early sobriety: nursing interventions.
AUTHOR NAMES
Friedrich R.M.
Kus R.J.
AUTHOR ADDRESSES
(Friedrich R.M.; Kus R.J.) College of Nursing, University of Iowa, Iowa City
52242.
CORRESPONDENCE ADDRESS
R.M. Friedrich, College of Nursing, University of Iowa, Iowa City 52242.
SOURCE
Archives of psychiatric nursing (1991) 5:2 (105-112). Date of Publication:
Apr 1991
ISSN
0883-9417
ABSTRACT
In the United States, more than 100,000 people are treated in inpatient
treatment centers for alcoholism and other forms of mind-altering drug
addictions. One of the most important elements of this treatment is
education about the disease process, recovery, and the effects of the drugs
on the body, mind, and spirit. Unfortunately, many alcoholics experience
cognitive impairment that may impede their learning in the early weeks of
recovery. After briefly describing how cognitive impairment may manifest
itself in many alcoholic patients in early recovery, and listing some of the
possible causes of this impairment, the authors provide several nursing
interventions designed to enhance the learning process in early alcoholic
recovery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcohol abstinence
alcoholism (complication)
cognitive defect (etiology)
patient education
EMTREE MEDICAL INDEX TERMS
addiction (complication)
article
depression (etiology)
human
nursing
psychiatric nursing
psychological aspect
rehabilitation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2059061 (http://www.ncbi.nlm.nih.gov/pubmed/2059061)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1095
TITLE
An analysis of school nurse leadership styles.
AUTHOR NAMES
Adams C.
AUTHOR ADDRESSES
(Adams C.)
CORRESPONDENCE ADDRESS
C. Adams,
SOURCE
The Journal of school nursing : the official publication of the National
Association of School Nurses (1991) 7:2 (22-25). Date of Publication: Apr
1991
ISSN
1059-8405
ABSTRACT
New programs, such as care of pregnant teens and substance abuse education,
are more commonplace in the school setting today. The school nurse is
increasingly involved with professionals and others inside and outside the
school system. Thus, the nurse's effectiveness may greatly depend upon the
ability to lead others.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
leadership
school health nursing
EMTREE MEDICAL INDEX TERMS
article
female
human
human relation
model
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1824301 (http://www.ncbi.nlm.nih.gov/pubmed/1824301)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1096
TITLE
Inclusion of alcoholism and drug abuse content in curricula of varied health
care professions.
AUTHOR NAMES
Long P.
Gelfand G.
McGill D.
AUTHOR ADDRESSES
(Long P.; Gelfand G.; McGill D.)
CORRESPONDENCE ADDRESS
P. Long,
SOURCE
The Journal of the New York State Nurses' Association (1991) 22:1 (9-12).
Date of Publication: Mar 1991
ISSN
0028-7644
ABSTRACT
Alcoholism and drug abuse are prevalent health problems in the United
States. Practitioners in nursing, medicine, and dentistry need to be
cognizant of the insidious signs of chemical dependency. A descriptive
survey using a researcher-designed questionnaire yielded a sample which
consisted of 11 medical schools, 2 dental schools, 25 baccalaureate and
higher degree nursing programs, and 38 associate degree nursing programs.
The survey findings indicated that the curricula for nursing, medicine, and
dentistry were inadequate in chemical dependency content. This survey
evidenced the need for a stronger educational effort addressing both
knowledge of alcoholism/drug abuse and impaired professional practice in the
curricula of the health professional programs examined.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
curriculum
dental education
medical education
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
medical school
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1941272 (http://www.ncbi.nlm.nih.gov/pubmed/1941272)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1097
TITLE
Nursing students' stress levels, attitude toward drugs, and drug use.
AUTHOR NAMES
Floyd J.A.
AUTHOR ADDRESSES
(Floyd J.A.) College of Nursing, Wayne State University, Detroit, MI.
CORRESPONDENCE ADDRESS
J.A. Floyd, College of Nursing, Wayne State University, Detroit, MI.
SOURCE
Archives of psychiatric nursing (1991) 5:1 (46-53). Date of Publication: Feb
1991
ISSN
0883-9417
ABSTRACT
This study investigated relationships among nursing students' drug use and
two variables usually assumed to contribute to the development of chemical
dependency in nurses, i.e., stress and positive attitudes about drugs. Drug
use was defined as the use of any psychoactive substance including
prescription drugs, over-the-counter drugs, recreational drugs, nicotine,
and alcohol. Questionnaires, were distributed to senior-year nursing
students and a comparison group of seniors in liberal arts. The only
significant difference in reported drug use was nursing students' more
frequent use of over-the-counter analgesics. There were no significant
differences between nursing and liberal arts majors with regard to three
symptoms of stress. Nursing students reported more positive attitudes toward
the use of some drugs than peers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
attitude to health
mental stress (epidemiology)
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
nursing education
prediction and forecasting
psychological aspect
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2039281 (http://www.ncbi.nlm.nih.gov/pubmed/2039281)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1098
TITLE
Don't give AIDS a mainline ticket.
AUTHOR NAMES
Sheehan A.
AUTHOR ADDRESSES
(Sheehan A.)
CORRESPONDENCE ADDRESS
A. Sheehan,
SOURCE
Nursing (1990) 4:25 (33-34). Date of Publication: 1990 Dec 20-1991 Jan 9
ISSN
0142-0372
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome (prevention)
community health nursing
patient education
publication
substance abuse
EMTREE MEDICAL INDEX TERMS
article
human
methodology
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2284068 (http://www.ncbi.nlm.nih.gov/pubmed/2284068)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1099
TITLE
Enhancing the self-esteem of inpatient alcoholics.
AUTHOR NAMES
Byers P.H.
Raven L.M.
Hill J.D.
Robyak J.E.
AUTHOR ADDRESSES
(Byers P.H.; Raven L.M.; Hill J.D.; Robyak J.E.)
CORRESPONDENCE ADDRESS
P.H. Byers,
SOURCE
Issues in mental health nursing (1990) 11:4 (337-346). Date of Publication:
1990
ISSN
0161-2840
ABSTRACT
This study examined the effect of pairing inpatient alcoholics with nursing
home residents (NHRs) on the alcoholics' self-esteem. In this PALS program,
the alcoholic inpatients assumed a helping-companion relationship with the
NHRs for 2 hr per day during their last 2 weeks of treatment. Fifty
alcoholic inpatients were randomly assigned to the PALS program (n = 25) or
to the library for free reading time (n = 25). The Tennessee Self-Concept
Scale (TSCS) was administered to all subjects in both groups before and
after the interventions. Of the nine TSCS scales, the improvement on the
Moral-Ethical scale was significantly greater in the PALS group. Because the
alcoholic inpatients in the PALS group engaged in altruistic (moral)
behavior, this study provides a logical link between the intervention and
the outcome, which has been a prevalent weakness in previous studies of
self-esteem in alcoholics.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
patient education
peer group
self concept
EMTREE MEDICAL INDEX TERMS
altruism
article
clinical trial
female
health care quality
home for the aged
human
male
nursing home
organization and management
psychological aspect
randomized controlled trial
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2228570 (http://www.ncbi.nlm.nih.gov/pubmed/2228570)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1100
TITLE
Comparison of results of Chinese and American forecasting of nursing
curriculum needs.
AUTHOR NAMES
Story D.K.
Smola B.K.
Liu K.H.
AUTHOR ADDRESSES
(Story D.K.; Smola B.K.; Liu K.H.) Luther College, Decorah, Iowa.
CORRESPONDENCE ADDRESS
D.K. Story, Luther College, Decorah, Iowa.
SOURCE
The Journal of nursing education (1990) 29:9 (400-405). Date of Publication:
Nov 1990
ISSN
0148-4834
ABSTRACT
This study used Mengel's (1987) Round Three Questionnaire results from the
Fellows of the American Academy of Nursing and baccalaureate nurse educators
of Taiwan to compare perceived importance of nursing curriculum needs. The
t-test was used as a test of difference between the two groups. Ninety-nine
of 129 items were significantly different (p less than .05). This result
showed that the forecasting of nursing curriculum needs between R.O.C. and
the U.S. generic baccalaureate nursing faculty are different in many ways;
specific content areas, sites for clinical experience, and perceived
baccalaureate nursing curriculum needs by the year 1995. R.O.C. nurse
educators value more highly than the American group six specific content
areas: midwifery, nuclear medicine/nursing, space medicine/nursing,
geropsychiatry, critical care nursing, and cardiac rehabilitation. American
nurse educators pay more attention to 16 specific content areas: palliative
care, family and social support systems for the adult, human responses to
actual and potential health problems, alcohol, substance abuse and
toxicology, life cycle effects on family dynamics, gerentology, health needs
of the adolescent, and increasing patient compliance. The emergency care
units are placed higher by the R.O.C. nurse educators than by the American
group for clinical experiences. R.O.C. nurse educators rated as more
important than the American group the ability to speak a second language,
the management of contracted nursing services, entrepreneurial activities,
and occupational nursing.(ABSTRACT TRUNCATED AT 250 WORDS)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
cultural factor
curriculum
forecasting
nursing education
EMTREE MEDICAL INDEX TERMS
article
comparative study
questionnaire
standard
Taiwan
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2176681 (http://www.ncbi.nlm.nih.gov/pubmed/2176681)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1101
TITLE
A critical review of human immunodeficiency virus infection--and acquired
immunodeficiency syndrome-related research: the knowledge, attitudes, and
practice of nurses.
AUTHOR NAMES
Swanson J.M.
Chenitz C.
Zalar M.
Stoll P.
AUTHOR ADDRESSES
(Swanson J.M.; Chenitz C.; Zalar M.; Stoll P.) Samuel Merritt College,
Oakland, CA.
CORRESPONDENCE ADDRESS
J.M. Swanson, Samuel Merritt College, Oakland, CA.
SOURCE
Journal of professional nursing : official journal of the American
Association of Colleges of Nursing (1990) 6:6 (341-355). Date of
Publication: 1990 Nov-Dec
ISSN
8755-7223
ABSTRACT
This article reviews the research literature related to nurses' knowledge,
attitudes, and practices (KAP) concerning acquired immunodeficiency syndrome
(AIDS) and human immunodeficiency virus (HIV) infection, and care of people
with AIDs (PWAs). Areas reviewed included the following: (1) KAP studies of
health professionals that include nurses; (2) KAP studies of nurses; (3) KAP
studies of nursing students and faculty; (4) studies of stress and coping
related to care of PWAs; and (5) studies of outcomes of AIDS education
programs. Gaps in knowledge and negative, fearful attitudes toward HIV
transmission and PWAs were identified. Negative fears and behaviors
decreased in nurses with the gain in accurate information. The studies were
largely atheoretical descriptive surveys of health professionals in acute
care settings. Studies of nurses specifically, including more studies of
obstetric and pediatric nurses, and nurses in a range of settings in the
community would be beneficial both in the United States and in other
countries. A wider variety of research designs including qualitative studies
are needed as are valid and reliable instruments to allow for
cross-comparisons between studies. An assessment of non-AIDS-related
content, such as spiritual needs of patients and substances abuse is needed
by nurses who care for PWAs for use in development of relevant educational
programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
attitude to health
nurse
EMTREE MEDICAL INDEX TERMS
Empirical Approach
Health Care and Public Health
human
human relation
international cooperation
psychological aspect
research
review
standard
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2254528 (http://www.ncbi.nlm.nih.gov/pubmed/2254528)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1102
TITLE
An international survey of the educational activities of schools of nursing
on psychoactive drugs
AUTHOR NAMES
Falkowski J.
Ghodse A.H.
AUTHOR ADDRESSES
(Falkowski J.; Ghodse A.H.) St Georges Hospital, Blackshaw Road, London SW17
0RE, United Kingdom.
CORRESPONDENCE ADDRESS
J. Falkowski, St Georges Hospital, Blackshaw Road, London SW17 0RE, United
Kingdom.
SOURCE
Bulletin of the World Health Organization (1990) 68:4 (479-482). Date of
Publication: 1990
ISSN
0043-9686
BOOK PUBLISHER
World Health Organization, 20 Ave. Appia, Geneva 27, Switzerland.
ABSTRACT
A survey of the educational activities of schools of nursing on psychoactive
drugs in 99 countries was carried out. All the schools that replied gave
specific teaching and many also included the rational use of these drugs.
The amount of time devoted to this teaching and the methods used varied
greatly. Most schools felt that this topic needed more emphasis and many
agreed that guidelines on teaching methods and approaches, as well as broad
teaching aims and objectives, would be useful.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
medical ethics
nursing
psychopharmacotherapy
EMTREE MEDICAL INDEX TERMS
article
education
human
normal human
priority journal
psychological aspect
theoretical study
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990301489
MEDLINE PMID
2208561 (http://www.ncbi.nlm.nih.gov/pubmed/2208561)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1103
TITLE
How are you doing? Patient evaluations of nursing actions.
AUTHOR NAMES
Yoder S.D.
Rode M.W.
AUTHOR ADDRESSES
(Yoder S.D.; Rode M.W.) Evansville State Hospital, IN 47715.
CORRESPONDENCE ADDRESS
S.D. Yoder, Evansville State Hospital, IN 47715.
SOURCE
Journal of psychosocial nursing and mental health services (1990) 28:10
(26-30). Date of Publication: Oct 1990
ISSN
0279-3695
ABSTRACT
1. Quality of patient care can be enhanced if we know what nursing actions
psychiatric patients perceive as helpful. Previous research has focused on
perceptions of patients on medical-surgical units. 2. Patients diagnosed
with bipolar disorder tended to see nursing actions as more helpful and
performed more frequently than patients diagnosed with substance abuse. 3.
Although positive feedback was identified as one of the most helpful nursing
actions, it was rated only average in frequency of performance. 4. Even
patients who had histories of long hospitalization did not want nursing
staff to do things for them that they could do for themselves. Nurses need
to focus on teaching self-care skills rather than "doing for" the patient.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
consumer
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
aged
article
female
health personnel attitude
hospital patient
human
male
middle aged
nurse patient relationship
nursing care
psychological aspect
questionnaire
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2286937 (http://www.ncbi.nlm.nih.gov/pubmed/2286937)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1104
TITLE
Attitudes of registered nurses toward perceived substance abusing peers and
education specific to substance abuse.
AUTHOR NAMES
Spencer-Strachan F.L.
AUTHOR ADDRESSES
(Spencer-Strachan F.L.)
CORRESPONDENCE ADDRESS
F.L. Spencer-Strachan,
SOURCE
The ABNF journal : official journal of the Association of Black Nursing
Faculty in Higher Education, Inc (1990) 1:2 (27-32). Date of Publication:
1990 Fall
ISSN
1046-7041
ABSTRACT
A randomized study of 86 senior registered nurse BSN student nurses was
conducted to: 1) examine registered nurses' awareness of the effects of
substance abuse on their profession; 2) determine their attitudes toward
education specific to substance abuse; 3) determine attitudes toward peers
perceived as substance abusers; and 4) elicit responses to viewing education
as a possible deterrent to drug addiction. Factor analysis for the subscales
yielded Cronbach alpha coefficient reliabilities of 0.78 to 0.39. Selected
cross tabulations for the independent variables showed no significant
influence on the attitudes of respondents. A significant percentage of
respondents believed that there was a drug problem in the profession,
supported the idea of an educational program on substance abuse, and felt
that a specific course could be a deterrent to drug addiction. A significant
number also wanted to support the chemically impaired nurse but were less
positive about the return of this person to the work place before complete
rehabilitation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
attitude
malpractice
nursing student
peer group
EMTREE MEDICAL INDEX TERMS
adult
article
human
middle aged
nursing education
psychological aspect
questionnaire
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2133632 (http://www.ncbi.nlm.nih.gov/pubmed/2133632)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1105
TITLE
The cocaine epidemic: treatment options for cocaine dependence.
AUTHOR NAMES
Chychula N.M.
Okore C.
AUTHOR ADDRESSES
(Chychula N.M.; Okore C.) Philadelphia Veterans Administration Medical
Center, Addictions Recovery Unit Pa.
CORRESPONDENCE ADDRESS
N.M. Chychula, Philadelphia Veterans Administration Medical Center,
Addictions Recovery Unit Pa.
SOURCE
The Nurse practitioner (1990) 15:8 (33-40). Date of Publication: Aug 1990
ISSN
0361-1817
ABSTRACT
Because the current cocaine epidemic has affected all levels of health care,
the primary care provider is increasingly called on to identify and treat
the consequences of cocaine abuse and dependence. Therefore, a thorough
understanding of the recovery process can enable the clinician to devise a
treatment plan that coincides with rehabilitation efforts. This article
presents an analysis of current management strategies for cocaine abuse and
dependence. By incorporating the use of a health care model that addresses
the five domains of health--physical, psychological, family/social, personal
and spiritual--the clinician is in a better position to treat and refer the
individual and family afflicted with the disease of cocaine addiction. A
description of contemporary ongoing research is included to highlight future
directions and possible modifications in treatment approaches for
psychoactive substance-use disorder.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (therapy)
health promotion
nurse practitioner
philosophy
EMTREE MEDICAL INDEX TERMS
clinical protocol
human
lifestyle
methodology
nursing
nursing assessment
prognosis
psychological aspect
review
CAS REGISTRY NUMBERS
cocaine (50-36-2, 53-21-4, 5937-29-1)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2204847 (http://www.ncbi.nlm.nih.gov/pubmed/2204847)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1106
TITLE
NCCDN omission.
AUTHOR NAMES
Bryson R.
AUTHOR ADDRESSES
(Bryson R.)
CORRESPONDENCE ADDRESS
R. Bryson,
SOURCE
The American journal of nursing (1990) 90:8 (20). Date of Publication: Aug
1990
ISSN
0002-936X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
nursing discipline
EMTREE MEDICAL INDEX TERMS
human
note
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2372023 (http://www.ncbi.nlm.nih.gov/pubmed/2372023)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1107
TITLE
Introducing student nurses to critical care: shadow a critical care nurse.
AUTHOR NAMES
Kerstein M.B.
Hasler M.
AUTHOR ADDRESSES
(Kerstein M.B.; Hasler M.)
CORRESPONDENCE ADDRESS
M.B. Kerstein,
SOURCE
Critical care nurse (1990) 10:7 (16-18). Date of Publication: 1990 Jul-Aug
ISSN
0279-5442
ABSTRACT
The lack of student experience in critical care makes it difficult for
graduate nurses to anticipate what expectations and demands might confront
them in intensive care. Consequently, some new graduates discounted critical
care as an opportunity available to them. Our institution believed that
critical care had special qualities and if those qualities could be
demonstrated to nurses, recruitment would improve. An unexpected benefit
from the program was the positive staff nurse response to showcasing their
skills and expertise. The success of the program was evidenced by the
student evaluations and the hiring of students. To date, seven nursing
students out of 20 who attended the program have been hired by the hospital.
The long-term impact of the program on retention and recruitment is
difficult to predict. The department will track these students, as they do
all new hires; however, the initial success warranted continuation of the
program. Student response to the program has resulted in plans to expand the
"shadow a nurse" concept housewide to showcase the nursing specialities such
as rehabilitation, maternal/child health, oncology, orthopedics, chemical
dependency, and critical care. Current planning involves designing a program
aimed toward high school students, with the goal of encouraging young people
to consider nursing as a career.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
intensive care
nursing education
personnel management
teaching
EMTREE MEDICAL INDEX TERMS
article
decision making
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2376134 (http://www.ncbi.nlm.nih.gov/pubmed/2376134)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1108
TITLE
Cinnamon oil abuse by adolescents
AUTHOR NAMES
Perry P.A.
Dean B.S.
Krenzelok E.P.
AUTHOR ADDRESSES
(Perry P.A.; Dean B.S.; Krenzelok E.P.) Pittsburgh Poison Center, Children's
Hospital of Pittsburgh, Pittsburgh, PA
CORRESPONDENCE ADDRESS
Pittsburgh Poison Center, Children's Hospital of Pittsburgh, Pittsburgh, PA
SOURCE
Veterinary and Human Toxicology (1990) 32:2 (162-164). Date of Publication:
1990
ISSN
0145-6296
BOOK PUBLISHER
Comparative Toxicology Laboratories, Manhattan, United States.
ABSTRACT
Reports in the literature about cinnamon oil toxicity are limited to
allergic reactions and local irritant effects vrom dermatologic exposure.
Cinnamon oil is easily obtained from pharmacies in 5-10 ml amounts for use
as a flavoring agent and in craft items. Within a 5-mo period the Pittsburgh
Poison Center (PPC) documented 32 cases of cinnamon oil abuse; all cases
involved males aged 11-16 y and were reported to the PPC by school nurses.
Sucking on toothpicks or fingers which had been dipped in cinnamon oil was
the primary method of abuse. A rush or sensation of warmth, facial flushing,
and oral burning were the experimences reported by the users. Some children
complained of nausea or abdominal pain but no systemic effects were
reported. Eight patients with dermal exposure had irritation ranging from
rythema to welts, which resolved after thorough soap and water
decontamination. Two ocular exposures resulted in mild irritation and were
successfully treated with irrigation or dilution. The recent popularity of
cinnamon oil abuse appears to be related to the ease with which it can be
carried, engendering little fear of discovery or chastisement. Despite the
relatively low toxicity of cinnamon oil, medical professionals should be
aware of its potential for misuse.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cinnamon oil
EMTREE DRUG INDEX TERMS
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
drug abuse
EMTREE MEDICAL INDEX TERMS
adolescent
age
conference paper
flushing
heat sensation
human
male
CAS REGISTRY NUMBERS
cinnamon oil (8015-91-6)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Toxicology (52)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990166312
MEDLINE PMID
2327068 (http://www.ncbi.nlm.nih.gov/pubmed/2327068)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1109
TITLE
Alcohol dependency: health promotion and Orem's model.
AUTHOR NAMES
Dunn B.
AUTHOR ADDRESSES
(Dunn B.)
CORRESPONDENCE ADDRESS
B. Dunn,
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (1990)
4:40 (34). Date of Publication: 1990 Jun 27-Jul 3
ISSN
0029-6570
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention, rehabilitation)
health promotion
theoretical model
EMTREE MEDICAL INDEX TERMS
article
human
nursing
self care
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2116854 (http://www.ncbi.nlm.nih.gov/pubmed/2116854)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1110
TITLE
Personality, addiction and anesthesia.
AUTHOR NAMES
McDonough J.P.
AUTHOR ADDRESSES
(McDonough J.P.)
CORRESPONDENCE ADDRESS
J.P. McDonough,
SOURCE
AANA journal (1990) 58:3 (193-200). Date of Publication: Jun 1990
ISSN
0094-6354
ABSTRACT
While substance abuse problems in the health care profession are not new,
little documentation exists as to their prevalence among nurse anesthetists.
There already exists considerable evidence that physician specialists in
anesthesia are overrepresented in the population of physicians seeking
treatment for drug and alcohol use. The purpose of this research was to
explore factors related to personality and addictive tendencies that might
predispose nurse anesthetists to substance abuse as well. Of the 150
graduate nursing students in the study, those specializing in anesthesia (n
= 81) formed the study group while those pursuing general nursing graduate
degrees (n = 69) comprised the control group. Differences in the personality
facets of impulsiveness, assertiveness and excitement seeking were measured
using the NEO Personality Inventory. The addictive tendencies of the
subjects were measured using the MacAndrew Scale taken from the Minnesota
Multiphasic Personality Inventory. In comparative analyses of the two
groups, the anesthesia subjects exhibited a higher mean score for excitement
seeking and a greater number of positive MacAndrew (addictive tendency)
scores (22.2% versus 5.9%). The findings also showed that subjects with
positive MacAndrew scores generally had higher excitement seeking scores. It
may be possible that this higher level of excitement seeking predisposes
future nurse anesthetists to the development of addictive disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
anesthesia
personality
EMTREE MEDICAL INDEX TERMS
adult
article
comparative study
drug effect
female
human
male
malpractice
Minnesota Multiphasic Personality Inventory
multivariate analysis
nurse anesthetist
nursing student
personality test
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2378235 (http://www.ncbi.nlm.nih.gov/pubmed/2378235)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1111
TITLE
On becoming drug-free: the individual nurse can make a difference.
AUTHOR NAMES
Willming M.D.
AUTHOR ADDRESSES
(Willming M.D.)
CORRESPONDENCE ADDRESS
M.D. Willming,
SOURCE
The Florida nurse (1990) 38:4 (1, 10). Date of Publication: Apr 1990
ISSN
0015-4199
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation)
health promotion
nurse
EMTREE MEDICAL INDEX TERMS
article
community care
human
nursing organization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2332072 (http://www.ncbi.nlm.nih.gov/pubmed/2332072)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1112
TITLE
A randomized trial of nurse-midwifery prenatal care to reduce low birth
weight
AUTHOR NAMES
Heins Jr. H.C.
Webster Nance N.
McCarthy B.J.
Melvin Efird C.
AUTHOR ADDRESSES
(Heins Jr. H.C.; Webster Nance N.; McCarthy B.J.; Melvin Efird C.)
Department of Obstetrics, and Gynecology, Med. Univ. of South Carolina, 171
Ashley Avenue, Charleston, SC 29425, United States.
CORRESPONDENCE ADDRESS
H.C. Heins Jr., Department of Obstetrics, and Gynecology, Med. Univ. of
South Carolina, 171 Ashley Avenue, Charleston, SC 29425, United States.
SOURCE
Obstetrics and Gynecology (1990) 75:3 I (341-345). Date of Publication: 1990
ISSN
0029-7844
BOOK PUBLISHER
Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
In a randomized, controlled trial in five regional centers with state health
department clinics, 1458 women at high risk for low birth weight (LBW)
outcome received either prenatal interventions provided by nurse-midwives
and nurses under their supervision or the standard high-risk prenatal care
provided by obstetricians. The intervention administered by the
nurse-midwives included patient education to identify the signs and symptoms
of preterm labor, activity counseling in response to monitoring of the
cervix by frequent examinations, stress reduction by enhancing social
support, nutrition counseling with emphasis on weight gain, and
substance-abuse counseling. For women in the control group, care was
provided by obstetricians according to local standards for the management of
high-risk pregnancies. We hypothesized that the LBW rate among live births
to women who had received care from nurse-midwives would be lower than that
in the control group. Although the LBW rate was lower in the intervention
group than in the control group, the observed difference was not
statistically significant. Race was not prespecified as a possible effect
modifier, but examination of the data post hoc suggested that black women at
high statistical risk of giving birth to an LBW infant may have derived
benefit from the program. Although the results do not suggest any striking
advantage of the nurse-midwifery intervention over standard obstetric care
for women at high statistical risk of having an LBW infant, neither do they
suggest any disadvantage. Nurse-midwives could provide care to certain
populations of high-risk women and facilitate future coverage of these
presently underserved populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
low birth weight
premature labor
EMTREE MEDICAL INDEX TERMS
article
fetus
human
midwife
pregnancy
priority journal
EMBASE CLASSIFICATIONS
Obstetrics and Gynecology (10)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990062611
MEDLINE PMID
2406656 (http://www.ncbi.nlm.nih.gov/pubmed/2406656)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1113
TITLE
Developing workable policies: the treasures of a small hospital.
AUTHOR NAMES
Rehak J.
AUTHOR ADDRESSES
(Rehak J.)
CORRESPONDENCE ADDRESS
J. Rehak,
SOURCE
The Florida nurse (1990) 38:1 (13). Date of Publication: Jan 1990
ISSN
0015-4199
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
article
education
hospital
hospital bed capacity
human
in service training
nursing
psychiatric nursing
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2298330 (http://www.ncbi.nlm.nih.gov/pubmed/2298330)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1114
TITLE
Teach the chemically dependent to avoid alcohol!
AUTHOR NAMES
Stefanik-Campisi C.
AUTHOR ADDRESSES
(Stefanik-Campisi C.)
CORRESPONDENCE ADDRESS
C. Stefanik-Campisi,
SOURCE
Advancing clinical care : official journal of NOAADN (1990) 5:1 (33). Date
of Publication: 1990 Jan-Feb
ISSN
1042-9565
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
drinking behavior
patient education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2297387 (http://www.ncbi.nlm.nih.gov/pubmed/2297387)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1115
TITLE
Managing vulnerability: nursing treatment for heroin addicts.
AUTHOR NAMES
Chenitz W.C.
AUTHOR ADDRESSES
(Chenitz W.C.)
CORRESPONDENCE ADDRESS
W.C. Chenitz,
SOURCE
Image--the journal of nursing scholarship (1989) 21:4 (210-214). Date of
Publication: 1989 Winter
ISSN
0743-5150
ABSTRACT
Grounded theory methodology was used to study nursing interventions in a
methadone maintenance clinic. Participant-observation as a clinic staff
nurse over four months was the principal method of data collection. A
substantive theory called "managing vulnerability" was developed to describe
nursing treatment of heroin addicts during methadone maintenance. Managing
vulnerability has three parallel stages for the client and nurse. These
stages are (a) learning to be vulnerable, (b) living with vulnerability and
(c) beyond vulnerability. Basic conditions for this process are dispensing
(giving) medication; therapeutic neutrality, which is the attitude assumed
by the nurse; effective staff communication and clear clinic policy.
Managing vulnerability illustrates the complexity of a therapeutic
psychological nursing process.
EMTREE DRUG INDEX TERMS
methadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
heroin dependence (drug therapy)
nursing theory
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
human
methodology
nurse patient relationship
nursing
patient care planning
CAS REGISTRY NUMBERS
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2807328 (http://www.ncbi.nlm.nih.gov/pubmed/2807328)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1116
TITLE
Self-medication among secondary school pupils in Hong Kong: A descriptive
study
AUTHOR NAMES
Tse M.H.W.
Chung J.T.N.
Munro J.G.C.
AUTHOR ADDRESSES
(Tse M.H.W.; Chung J.T.N.; Munro J.G.C.) General Practice Unit, Department
of Medicine, The University of Hong Kong
CORRESPONDENCE ADDRESS
General Practice Unit, Department of Medicine, The University of Hong Kong
SOURCE
Family Practice (1989) 6:4 (303-306). Date of Publication: 1989
ISSN
0263-2136
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
A self-completion questionaire was used to survey self-medication among
secondary school pupils in Hong Kong. Data were collected from 4793 pupils
aged 10 to 23 years (55.9% female and 44.1% male). Nearly three quarters
(72.1%) had taken self-mediciation without consulting a medical practitioner
and 51.8% of the sample had done so without the knowledge of older family
members. The prevalence of self-medication increased with age. More than
half the pupils (50.4%) indicated that trivial illness did not warrant a
consultation with a doctor. Information relating to the sources of
self-administered drugs, types of drugs used and sources of information
about these drugs was collected. Medicine cabinets at home and pharmacy
shops were the two most common places from which the pupils obtained their
drugs. Though the prevalence of taking tranquillizers and sleeping tablets
was found to be low, the probability of young people, especially boys,
obtaining dangerous drugs from these places should not be overlooked. The
medical, nursing and teaching professions should take a more active role in
health education, as the sources from which the pupils obtained their drug
knowledge, in descending order of frequency, were: family members, previous
illness experience, pharmacy shops, doctor or nurse, television or radio,
newspapers or magazines, friends and teachers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
high school student
self medication
EMTREE MEDICAL INDEX TERMS
adolescent
age
article
education
female
Hong Kong
male
school child
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1990040790
MEDLINE PMID
2632309 (http://www.ncbi.nlm.nih.gov/pubmed/2632309)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1117
TITLE
Spinal cord injury prevention in North America.
AUTHOR NAMES
Dewis M.
Tenn L.
AUTHOR ADDRESSES
(Dewis M.; Tenn L.)
CORRESPONDENCE ADDRESS
M. Dewis,
SOURCE
Nursing practice (Edinburgh, Scotland) (1989) 3:1 (15-17). Date of
Publication: 1989
ISSN
0266-6146
ABSTRACT
Traumatic spinal cord injury is accompanied by enormous physical,
psychosocial and financial losses for the individual and society. The age
group most affected by spinal cord injury are adolescents and young adults
and the incidence appears to be rising in North America. In the past,
efforts have been directed towards minimising the effects of the injury,
optimising rehabilitation and searching for a cure. Only recently has it
been acknowledged that spinal cord injuries are preventable disabilities.
Spinal cord injury prevention programmes have begun to be developed in
several regions of the United States and Canada. The authors contend that
effective prevention programmes should be based on understanding and
application of the developmental characteristics of the target population
and should incorporate behavioural as well as cognitive components. A
prototype programme that would integrate these aspects is described. The
purpose of this article is to describe the application of one educational
approach to the issue of spinal cord injury prevention in adolescents. The
approach may be useful for nurses involved in health education programmes
dealing with other high incidence health problems of this age group, such as
pregnancy and substance abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
spinal cord injury (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
Canada
health education
human
sport injury (prevention)
traffic accident (prevention)
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2615862 (http://www.ncbi.nlm.nih.gov/pubmed/2615862)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1118
TITLE
Anabolic steroid use among high school athletes.
AUTHOR NAMES
Engel N.S.
AUTHOR ADDRESSES
(Engel N.S.)
CORRESPONDENCE ADDRESS
N.S. Engel,
SOURCE
MCN. The American journal of maternal child nursing (1989) 14:6 (417). Date
of Publication: 1989 Nov-Dec
ISSN
0361-929X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
anabolic agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
doping (prevention)
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
female
human
male
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2514332 (http://www.ncbi.nlm.nih.gov/pubmed/2514332)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1119
TITLE
Nursing students using drugs and alcohol.
AUTHOR NAMES
Allen C.
Pearce L.
Planchock N.
AUTHOR ADDRESSES
(Allen C.; Pearce L.; Planchock N.)
CORRESPONDENCE ADDRESS
C. Allen,
SOURCE
Pelican news (1989) 45:5 (6). Date of Publication: Oct 1989
ISSN
0031-4161
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
cannabis smoking (epidemiology)
drinking behavior
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
human
male
middle aged
United States (epidemiology)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2812954 (http://www.ncbi.nlm.nih.gov/pubmed/2812954)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1120
TITLE
Consent requirements for treatment of minors.
AUTHOR NAMES
Thompson H.A.
AUTHOR ADDRESSES
(Thompson H.A.)
CORRESPONDENCE ADDRESS
H.A. Thompson,
SOURCE
Texas medicine (1989) 85:8 (56-59). Date of Publication: Aug 1989
ISSN
0040-4470
ABSTRACT
The American Academy of Family Physicians, the American Academy of
Pediatrics, the American College of Obstetricians and Gynecologists, the
Nurses Association of the American College of Obstetricians and
Gynecologists, and the National Medical Association recently released
guidelines aimed at protecting the privacy of adolescent patients. The
organizations stated that, in many cases, young people will not confide in
health professionals if the young people feel that these discussions will be
reported to their parents. Ultimately, the organizations said, health risks
to adolescents are so impelling that legal barriers and deference to
parental involvement should not stand in the way of needed health care. In
Texas there is a statute regarding consent for medical treatment of minors,
which responds to the above organizations' concerns about confidentially
treating children for substance abuse, sexually transmitted diseases, and
suicide prevention. However, the statute is silent in regard to medical
treatment involving prescription contraceptives. By negative inference, the
statute would preclude a minor on her own from making a decision about
abortion. This article examines Texas statutes dealing with consent for
medical treatment for minors and discusses US Supreme Court decisions on a
minor's rights to abortions and contraceptives.
EMTREE DRUG INDEX TERMS
contraceptive agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Adolescents, Female
child advocacy
Contraceptive Distribution
informed consent
jurisprudence
parent
prescription
therapeutic abortion
treatment
EMTREE MEDICAL INDEX TERMS
adolescent
Adolescents
age
article
child
contraceptive device
Demographic Factors
developed country
Distributional Activities
Family And Household
family planning
Family Relationships
family size
female
Fertility Control, Postconception
human
induced abortion
infant
juvenile
medicolegal aspect
newborn
North America
Northern America
organization and management
population
population and population related phenomena
pregnancy
preschool child
Program Activities
Programs
spontaneous abortion
United States
Western Hemisphere
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2763219 (http://www.ncbi.nlm.nih.gov/pubmed/2763219)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1121
TITLE
Caffeine: use and abuse.
AUTHOR NAMES
Benton D.
AUTHOR ADDRESSES
(Benton D.)
CORRESPONDENCE ADDRESS
D. Benton,
SOURCE
Nursing standard (Royal College of Nursing (Great Britain) : 1987) (1989)
44:3 (34-36). Date of Publication: 29 Jul 1989
ISSN
0029-6570
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
caffeine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention, rehabilitation)
health education
EMTREE MEDICAL INDEX TERMS
article
female
human
male
nursing staff
nursing student
questionnaire
withdrawal syndrome
CAS REGISTRY NUMBERS
caffeine (30388-07-9, 58-08-2)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2505124 (http://www.ncbi.nlm.nih.gov/pubmed/2505124)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1122
TITLE
Get wise to drugwise!
AUTHOR NAMES
Horne E.M.
AUTHOR ADDRESSES
(Horne E.M.)
CORRESPONDENCE ADDRESS
E.M. Horne,
SOURCE
Professional nurse (London, England) (1989) 4:10 (47). Date of Publication:
Jul 1989
ISSN
0266-8130
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology, prevention)
health education
nurse
EMTREE MEDICAL INDEX TERMS
editorial
human
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2771971 (http://www.ncbi.nlm.nih.gov/pubmed/2771971)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1123
TITLE
The student nurse and change.
AUTHOR NAMES
O'Toole A.
AUTHOR ADDRESSES
(O'Toole A.)
CORRESPONDENCE ADDRESS
A. O'Toole,
SOURCE
World of Irish nursing (1989) 18:4 (12-14). Date of Publication: 1989
Jul-Aug
ISSN
0332-3056
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing
nursing care
nursing student
EMTREE MEDICAL INDEX TERMS
alcoholism
article
human
intoxication
philosophy
social change
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2815816 (http://www.ncbi.nlm.nih.gov/pubmed/2815816)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1124
TITLE
The high-risk young people's program. A summing up
AUTHOR NAMES
Lear J.G.
Foster Jr. H.W.
Baratz J.A.
AUTHOR ADDRESSES
(Lear J.G.; Foster Jr. H.W.; Baratz J.A.) Children's Hospital National
Medical Center, Washington, DC 20010
CORRESPONDENCE ADDRESS
Children's Hospital National Medical Center, Washington, DC 20010
SOURCE
Journal of Adolescent Health Care (1989) 10:3 (224-230). Date of
Publication: 1989
ISSN
0197-0070
BOOK PUBLISHER
Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
For over five years, 21 teaching hospitals and 54 community cosponsors
provided health services to young people at risk for sociomedical problems,
i.e., to young people living in communities characterized by high rates of
teen pregnancy, sexually transmitted disease, drug abuse, alcohol abuse,
accidents, homicide, suicide, and mental illness. With support from The
Robert Wood Johnson Foundation, the 20 grantees of the High-Risk Young
People's Program developed projects whose collective goal was to expand
services to high-risk youth and improve their health. This goal was to be
achieved by a direct provision of medical services, training health
providers in the care of high-risk youth, consolidating categorical youth
services into single, comprehensive care sites, and securing long-term
support for these new services and training activities. During the grant
period, 114 fellows, 974 residents, 453 medical students, and 126 graduate
nurses trained at project sites. Patients visits, which totaled 47,203 the
first year, reached 84,754 the second year, and were reported at 89,024 in
the fourth year. Sixteen of the 20 projects secured 117 grants worth nearly
$7 million. We conclude that the projects were successful in training health
care providers and in securing additional support for Program purposes, but
were less successful in expanding services beyond the initial pilot for
clinical care.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
finance
health program
health service
high risk population
performance
training
EMTREE MEDICAL INDEX TERMS
adolescent
economic aspect
education
human
medical student
normal human
organization and management
priority journal
residency education
short survey
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989125784
MEDLINE PMID
2715097 (http://www.ncbi.nlm.nih.gov/pubmed/2715097)
FULL TEXT LINK
http://dx.doi.org/10.1016/0197-0070(89)90238-6
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1125
TITLE
The urgency of substance abuse education in schools of nursing.
AUTHOR NAMES
Murphy S.A.
AUTHOR ADDRESSES
(Murphy S.A.) University of Washington School of Nursing, Seattle.
CORRESPONDENCE ADDRESS
S.A. Murphy, University of Washington School of Nursing, Seattle.
SOURCE
The Journal of nursing education (1989) 28:6 (247-251). Date of Publication:
Jun 1989
ISSN
0148-4834
ABSTRACT
The abuse of alcohol and drugs has become a major health and social problem
in the United States. Nurses comprise the largest segment of health-care
professionals, yet report their educational experiences offer little to
prepare them to develop substance abuse prevention and intervention
programs. This article identifies factors that contribute to this
educational gap, discusses challenges in planning and implementing substance
abuse curricula, and offers specific guidelines for improving educational
experiences.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nursing education
EMTREE MEDICAL INDEX TERMS
curriculum
health care quality
human
nursing
nursing research
nursing theory
psychological aspect
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2544702 (http://www.ncbi.nlm.nih.gov/pubmed/2544702)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1126
TITLE
The incorporation of family primary care for southeast Asian refugees in a
community-based mental health facility.
AUTHOR NAMES
Pickwell S.
AUTHOR ADDRESSES
(Pickwell S.)
CORRESPONDENCE ADDRESS
S. Pickwell,
SOURCE
Archives of psychiatric nursing (1989) 3:3 (173-177). Date of Publication:
Jun 1989
ISSN
0883-9417
ABSTRACT
Immigration is a complex circumstance that exacts a serious toll from the
migrant in terms of mental, physical, and socioeconomic status. Among
migrating peoples, it is the refugee who encounters the greatest number of
personal and social obstacles to resettlement and adaptation. The degree of
effective acculturation among Southeast Asian refugees is largely unknown,
but it appears that adjustment difficulties are manifest more and more in
psychotic episodes, substance abuse, and other antisocial behaviors. This
report reviews the literature that documents the incidence of mental health
disturbance among this population and describes some of the treatment
approaches being tried at various health care centers across the country.
Nurses are confronted with the dilemma of integrating the techniques of
modern clinical psychiatry with cultural reality into a model system for
providing effective mental health services to ethnically diverse people.
Described here is a Family Nurse Practitioner-faculty-student clinical
experience designed to provide home health services to Southeast Asian
refugees with psychiatric diagnoses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community mental health center
migration
primary health care
EMTREE MEDICAL INDEX TERMS
article
cultural factor
ethnology
human
mental disease (epidemiology, therapy)
nurse practitioner
nursing
organization and management
Southeast Asia
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2751360 (http://www.ncbi.nlm.nih.gov/pubmed/2751360)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1127
TITLE
A critical and comparative review of the prevention of drug and alcohol
abuse in Israel
AUTHOR NAMES
Barnea Z.
AUTHOR ADDRESSES
(Barnea Z.) Bob Shapell School of Social Work, Tel-Aviv University, Tel-Aviv
69978
CORRESPONDENCE ADDRESS
Bob Shapell School of Social Work, Tel-Aviv University, Tel-Aviv 69978
SOURCE
Journal of Drug Education (1989) 19:1 (59-81). Date of Publication: 1989
ISSN
0047-2379
BOOK PUBLISHER
Baywood Publishing Co. Inc., 26 Austin Avenue, P.O. Box 337, Amityville,
United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug abuse
education program
health education
mass medium
school
EMTREE MEDICAL INDEX TERMS
education
human
Israel
manpower
normal human
nurse
organization and management
physician
psychological aspect
review
social worker
teacher
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1989106791
MEDLINE PMID
2656966 (http://www.ncbi.nlm.nih.gov/pubmed/2656966)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1128
TITLE
The certification process: History and significance for addictions nursing
practice
AUTHOR NAMES
Nelson N.
AUTHOR ADDRESSES
(Nelson N.) BSN Clinical Specialist/Faculty, Nursing Program, University of
Phoenix, Phoenix, AZ
CORRESPONDENCE ADDRESS
BSN Clinical Specialist/Faculty, Nursing Program, University of Phoenix,
Phoenix, AZ
SOURCE
Nursing Clinics of North America (1989) 24:1 (151-159). Date of Publication:
1989
ISSN
0029-6465
BOOK PUBLISHER
W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
The addictions nursing certification process will become a reality for the
nurse. Ideally, this process will provide a method of ensuring quality care
while maintaining self-regulation by the profession. The literature supports
certification based on standards of care as a measure of that quality of
care and as a voluntary mechanism selected by the practicing nurse. Many
professional issues lie ahead for specialty nursing practice in the 1990s.
The addictions nursing certification established by the NNSA offers a
quality basis for certification implementation. The addictions nursing
practice certification credential can provide the acknowledgment that the
nurse has mastered a body of knowledge and skills reflective of a specialty
nursing area.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
education
nurse
EMTREE MEDICAL INDEX TERMS
priority journal
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989081014
MEDLINE PMID
2646609 (http://www.ncbi.nlm.nih.gov/pubmed/2646609)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1129
TITLE
Alcohol education for patients: some nurses need persuading.
AUTHOR NAMES
Rowland N.
Maynard A.K.
AUTHOR ADDRESSES
(Rowland N.; Maynard A.K.)
CORRESPONDENCE ADDRESS
N. Rowland,
SOURCE
Nurse education today (1989) 9:2 (100-104). Date of Publication: Apr 1989
ISSN
0260-6917
ABSTRACT
Nurses form the largest group of health care workers and given their
repeated contact with patients are in a good position to develop their
health education role. Alcohol is the third major cause of morbidity and
mortality and alcohol education is an important part of patient care. As
part of a prospective study to assess the effects of early identification
and education for those patients drinking to excess, we assessed nurses'
attitudes towards screening patients for alcohol related problems, their
knowledge of what constituted harmful drinking and their views on alcohol
education for those at risk of harming their health. While nurses themselves
were receptive to alcohol education a sizeable proportion remained
unconvinced of the long term benefits of education for those who drink to
excess. Alcohol researchers and health education still have some way to go
in persuading health professionals of the benefits of incorporating health
education into their everyday practices.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
patient education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
nursing assessment
prospective study
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2725456 (http://www.ncbi.nlm.nih.gov/pubmed/2725456)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1130
TITLE
The nurse practitioners' role in smoking cessation.
AUTHOR NAMES
Christman C.
Bingham M.
AUTHOR ADDRESSES
(Christman C.; Bingham M.)
CORRESPONDENCE ADDRESS
C. Christman,
SOURCE
Journal of the American Academy of Nurse Practitioners (1989) 1:2 (49-54).
Date of Publication: 1989 Apr-Jun
ISSN
1041-2972
ABSTRACT
Most people who smoke want to quit. Smoking is a combination of nicotine
addiction, psychologic dependency, and habit. Nurse practitioners are in a
unique position to influence clients to stop smoking. The authors discuss
individual and group therapy programs and the role of the nurse
practitioner. Nurse practitioners are encouraged to start smoking cessation
programs in their communities.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health promotion
nurse practitioner
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
article
human
methodology
motivation
patient education
psychological aspect
self concept
self help
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2631926 (http://www.ncbi.nlm.nih.gov/pubmed/2631926)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1131
TITLE
Smoking--getting the message across.
AUTHOR ADDRESSES
SOURCE
Midwives chronicle (1989) 102:1215 (110). Date of Publication: Apr 1989
ISSN
0026-3524
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing care
patient education
smoking (prevention)
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
female
human
midwife
pregnancy
tobacco dependence (rehabilitation)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2761435 (http://www.ncbi.nlm.nih.gov/pubmed/2761435)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1132
TITLE
Patterns and implications of drug use by students of nursing.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
Imprint (1989) 36:2 (85-88). Date of Publication: 1989 Apr-May
ISSN
0019-3062
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (etiology, prevention)
nurse
nursing student
EMTREE MEDICAL INDEX TERMS
article
depression
female
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2707833 (http://www.ncbi.nlm.nih.gov/pubmed/2707833)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1133
TITLE
Preventing drug dependency: Part 2, education and supporting staff
AUTHOR NAMES
Clark M.D.
AUTHOR ADDRESSES
(Clark M.D.) Nursing Department, University of Chicago Hospitals, Chicago,
IL
CORRESPONDENCE ADDRESS
Nursing Department, University of Chicago Hospitals, Chicago, IL
SOURCE
Journal of Nursing Administration (1989) 19:1 (21-26). Date of Publication:
1989
ISSN
0002-0443
BOOK PUBLISHER
Lippincott Williams and Wilkins, 530 Walnut Street, Philadelphia, United
States.
ABSTRACT
In part 1 (JONA, December 1988) of this two part series of articles, the
author discussed risk factors associated with initial and continuing drug
use by nurses. The author presents the minimum knowledge base for an
education program to be given to all nursing personnel and suggests ways to
provide staff support and established systems of control.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
health education
health promotion
nurse
prevention
substance abuse
EMTREE MEDICAL INDEX TERMS
organization and management
priority journal
psychological aspect
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989058296
MEDLINE PMID
2911047 (http://www.ncbi.nlm.nih.gov/pubmed/2911047)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1134
TITLE
Health practices of nursing students: a survey.
AUTHOR NAMES
Dittmar S.S.
Haughey B.P.
O'Shea R.M.
Brasure J.
AUTHOR ADDRESSES
(Dittmar S.S.; Haughey B.P.; O'Shea R.M.; Brasure J.)
CORRESPONDENCE ADDRESS
S.S. Dittmar,
SOURCE
Health values (1989) 13:2 (24-31). Date of Publication: 1989 Mar-Apr
ISSN
0147-0353
ABSTRACT
This study describes the health practices of nursing students from several
nursing programs in western New York. Findings from a sample of 1,081 female
students who responded to a questionnaire showed considerable variability in
the extent to which students engage in health-related practices. While the
majority obtain six to eight hours of sleep per night, exercise regularly,
and have annual dental and physical examinations, less than half those
surveyed eat breakfast everyday, over three-quarters eat between meals, and
less than one-half limit fat, salt, and sugar in their diets. Most do not
wear seat belts consistently; less than one-third perform breast
self-examination monthly; and 90% consume alcoholic beverages and
one-quarter have five or more drinks per occasion. Analyses demonstrated a
statistically significant relationship between preventive-health orientation
scores and age and type of basic nursing education. These data suggest that
nurse faculty and health educators need to influence students'
health-promoting and disease-preventing behaviors. This need is particularly
salient since these students are expected to act as exemplars when they
complete their education and assume positions in the health-care system.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health behavior
health promotion
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
aged
article
female
human
information processing
middle aged
questionnaire
statistics
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10292142 (http://www.ncbi.nlm.nih.gov/pubmed/10292142)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1135
TITLE
The impaired nursing student.
AUTHOR NAMES
O'Quinn-Larson J.
Pickard M.R.
AUTHOR ADDRESSES
(O'Quinn-Larson J.; Pickard M.R.)
CORRESPONDENCE ADDRESS
J. O'Quinn-Larson,
SOURCE
Nurse educator (1989) 14:2 (36-39). Date of Publication: 1989 Mar-Apr
ISSN
0363-3624
ABSTRACT
Nursing students are at risk for abusing chemical substances during the
nursing education experience. To assist faculty and administrators address
this issue, characteristics of the chemically dependent nursing student are
described. The authors also discuss teaching strategies and preventive
approaches that might impact on the student's current or potential substance
abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
malpractice
nursing student
EMTREE MEDICAL INDEX TERMS
addiction (epidemiology)
article
human
nursing education
psychological aspect
social behavior
social support
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2704445 (http://www.ncbi.nlm.nih.gov/pubmed/2704445)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1136
TITLE
Nurses' perceptions of their pain assessment skills, pain management
practices, and attitudes toward pain.
AUTHOR NAMES
Dalton J.A.
AUTHOR ADDRESSES
(Dalton J.A.)
CORRESPONDENCE ADDRESS
J.A. Dalton,
SOURCE
Oncology nursing forum (1989) 16:2 (225-231). Date of Publication: 1989
Mar-Apr
ISSN
0190-535X
ABSTRACT
Nursing pain assessments are influenced by the length of available tools,
patient characteristics, patient pathology, concern about addictive
behavior, and characteristics of the nurse. The relationship among these
variables was explored in a sample of community hospital nurses (N = 59) and
ONS members (N = 19). Although a number of interesting similarities were
found in the two groups, age, professional and continuing education, and
care setting appear to be related to differences in pain assessment
practices. Implications for practice, research, and education include
teaching nurses to: assess factors related to quality of life in the pain
experience, assess and validate data from families, assess coping skills,
and teach patients to use behavioral pain management strategies. The
findings also suggest that further study is needed concerning the
relationship between personal beliefs and experiences and the assessment and
management of pain. Membership in professional organizations appears to be
associated with comprehensive approaches to the assessment and management of
cancer pain and should be addressed in further research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
clinical competence
health personnel attitude
nursing assessment
pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
adult
aged
analgesia
article
comparative study
human
methodology
middle aged
nurse
nursing
nursing staff
oncology nursing
perception
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2928271 (http://www.ncbi.nlm.nih.gov/pubmed/2928271)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1137
TITLE
Responding to the chemically dependent nursing student.
AUTHOR NAMES
Eller R.A.
Irwin B.L.
AUTHOR ADDRESSES
(Eller R.A.; Irwin B.L.) Loma Linda University School of Nursing,
California.
CORRESPONDENCE ADDRESS
R.A. Eller, Loma Linda University School of Nursing, California.
SOURCE
The Journal of nursing education (1989) 28:2 (87-88). Date of Publication:
Feb 1989
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
health service
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
alcoholism (rehabilitation)
article
human
organization and management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2538608 (http://www.ncbi.nlm.nih.gov/pubmed/2538608)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1138
TITLE
The educational impact of a course about addiction.
AUTHOR NAMES
Jack L.W.
AUTHOR ADDRESSES
(Jack L.W.) Undergraduate Program, School of Nursing, University of
Pittsburgh, PA.
CORRESPONDENCE ADDRESS
L.W. Jack, Undergraduate Program, School of Nursing, University of
Pittsburgh, PA.
SOURCE
The Journal of nursing education (1989) 28:1 (22-28). Date of Publication:
Jan 1989
ISSN
0148-4834
ABSTRACT
The purpose of this study was to evaluate the impact of a nursing course
about addiction on baccalaureate nursing students' attitudes toward
addictive substances and on their personal lifestyle behaviors. The course
was a three-credit, 15-week offering, focusing on: 1) learning to care for
addictive clients, and 2) learning to value responsible attitudes and
healthy lifestyle behaviors, as a strategy for primary prevention of
addiction in the nursing profession. A non-random treatment group of 46
students enrolled in the course was compared with a control group of 36
students. Data were collected at the beginning and end of the term using
Goodstadt's Drug Attitudes Scale and the Healthstyle Self-Test, and analyzed
using a two-way analysis of variance with repeated measures over time. The
treatment group made significantly greater changes than did the control
group when measured by the tobacco subscale and the opiates subscale. Both
groups showed a significantly decreased ability to manage stress at the end
of the term. In addition, a subgroup of students who indicated a family
background of drug or alcohol abuse reported significantly different
lifestyle behaviors when compared with a subgroup of students whose families
did not use drugs or alcohol.
EMTREE DRUG INDEX TERMS
narcotic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health personnel attitude
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
behavior
female
human
lifestyle
psychological aspect
smoking (prevention)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2538591 (http://www.ncbi.nlm.nih.gov/pubmed/2538591)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1139
TITLE
Alchol-related knowledge, beliefs and attitudes among health and clerical
personnel
AUTHOR NAMES
Poikolainen K.
AUTHOR ADDRESSES
(Poikolainen K.) National Public Health Institute, 00300 Helsinki
CORRESPONDENCE ADDRESS
National Public Health Institute, 00300 Helsinki
SOURCE
Social Science and Medicine (1988) 27:12 (1429-1432). Date of Publication:
1988
ISSN
0277-9536
BOOK PUBLISHER
Elsevier Ltd, Langford Lane, Kidlington, Oxford, United Kingdom.
ABSTRACT
Health personnel has been thought to pay too little attention to
alcohol-related problems. Knowledge, attitudes and beliefs related to
alcohol were studied among 225 physicians, 296 nurses, and 279 clerical
employees. Knowledge scores were constructed by giving one point for every
correct answer. For knowledge on alcoholic beverages and biological facts
(11 questions), the mean scores were: physicians 7.7, nurses, 6.7, and
clerical employees 6.5. For etiologic knowledge (12 items), the means were:
physicians 8.6, nurses 6.9, and clerical employees 6.3. The respective
scores for prognostic knowledge (9 items) were: physicians 6.8, nurses 6.3,
clerical employees 5.5. For knowledge on prevention and treatment the mean
scores were: physicians 2.7, nurses 2.2 and clerical personnel 2.3.
Physicians had more permissive attitudes towards alcohol use in various
social situations and were less likely to recommend compulsory treatment
than nurses or clerical employees. With respect to the prevention of alcohol
problems, all groups considered face-to-face health education to be the most
effective approach, followed by radio and TV education, and then voluntary
treatment. Beverage price increases were regarded to be the least effective
approach by nurses and clerical employees, while physicians felt that the
press was the least likely source of enlightenment. Knowledge was only
remotely related to age, marital status and permissive attitudes. Health
personnel knew more about alcohol-related problems than lay people, but
there is room for further improvement.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
health belief
health care personnel
health education
EMTREE MEDICAL INDEX TERMS
clergy
education
human
normal human
nurse
physician
psychological aspect
short survey
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1989000652
MEDLINE PMID
3238461 (http://www.ncbi.nlm.nih.gov/pubmed/3238461)
FULL TEXT LINK
http://dx.doi.org/10.1016/0277-9536(88)90209-2
COPYRIGHT
Copyright 2012 Elsevier B.V., All rights reserved.
RECORD 1140
TITLE
Mental health. Educating for health.
AUTHOR NAMES
Schickler P.
AUTHOR ADDRESSES
(Schickler P.)
CORRESPONDENCE ADDRESS
P. Schickler,
SOURCE
Nursing times (1988) 84:48 (67). Date of Publication: 1988 Nov 30-Dec 6
ISSN
0954-7762
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
health education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
health service
human
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3205800 (http://www.ncbi.nlm.nih.gov/pubmed/3205800)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1141
TITLE
Encouraging non-smoking behaviors: a necessary component of nursing
education.
AUTHOR NAMES
Kudzma E.C.
AUTHOR ADDRESSES
(Kudzma E.C.)
CORRESPONDENCE ADDRESS
E.C. Kudzma,
SOURCE
Nurse educator (1988) 13:6 (25-29). Date of Publication: 1988 Nov-Dec
ISSN
0363-3624
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nursing education
nursing student
smoking (prevention)
tobacco dependence
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3211395 (http://www.ncbi.nlm.nih.gov/pubmed/3211395)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1142
TITLE
Drug use and nursing students: Part II. A program for prevention.
AUTHOR NAMES
Clark M.D.
AUTHOR ADDRESSES
(Clark M.D.)
CORRESPONDENCE ADDRESS
M.D. Clark,
SOURCE
Nurse educator (1988) 13:6 (22-24). Date of Publication: 1988 Nov-Dec
ISSN
0363-3624
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
human relation
risk factor
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3211394 (http://www.ncbi.nlm.nih.gov/pubmed/3211394)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1143
TITLE
Chemical dependency nurses nationally certified.
AUTHOR ADDRESSES
SOURCE
Nursing management (1988) 19:10 (14). Date of Publication: Oct 1988
ISSN
0744-6314
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
certification
nursing discipline
EMTREE MEDICAL INDEX TERMS
human
letter
nursing
nursing organization
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3419711 (http://www.ncbi.nlm.nih.gov/pubmed/3419711)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1144
TITLE
Nursing students with alcoholic fathers: alcohol consumption and depressive
symptoms.
AUTHOR NAMES
Haack M.R.
Harford T.C.
AUTHOR ADDRESSES
(Haack M.R.; Harford T.C.)
CORRESPONDENCE ADDRESS
M.R. Haack,
SOURCE
Issues in mental health nursing (1988) 9:2 (181-188). Date of Publication:
1988
ISSN
0161-2840
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
depression
drinking behavior
father child relation
nursing student
EMTREE MEDICAL INDEX TERMS
adult
article
female
genetics
human
male
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3403243 (http://www.ncbi.nlm.nih.gov/pubmed/3403243)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1145
TITLE
Patterns of alcohol use among nurse educators.
AUTHOR NAMES
Gerace L.
AUTHOR ADDRESSES
(Gerace L.)
CORRESPONDENCE ADDRESS
L. Gerace,
SOURCE
Issues in mental health nursing (1988) 9:2 (189-200). Date of Publication:
1988
ISSN
0161-2840
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drinking behavior
nursing education
EMTREE MEDICAL INDEX TERMS
adult
alcoholism (etiology)
article
female
human
male
middle aged
questionnaire
risk factor
socioeconomics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3403244 (http://www.ncbi.nlm.nih.gov/pubmed/3403244)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1146
TITLE
Staff resource nurses: extending the influence of the nurse specialist.
AUTHOR NAMES
Steffen V.B.
Meacham-Zielasko J.
AUTHOR ADDRESSES
(Steffen V.B.; Meacham-Zielasko J.)
CORRESPONDENCE ADDRESS
V.B. Steffen,
SOURCE
NursingConnections (1988) 1:3 (23-31). Date of Publication: 1988 Fall
ISSN
0895-2809
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
addiction
article
diabetes mellitus
education
human
in service training
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3200330 (http://www.ncbi.nlm.nih.gov/pubmed/3200330)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1147
TITLE
Drug use and nursing students. Part 1, A program for prevention.
AUTHOR NAMES
Clark M.D.
AUTHOR ADDRESSES
(Clark M.D.)
CORRESPONDENCE ADDRESS
M.D. Clark,
SOURCE
Nurse educator (1988) 13:5 (25-27). Date of Publication: 1988 Sep-Oct
ISSN
0363-3624
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
mental stress
nursing education
psychological aspect
risk factor
social adaptation
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3211377 (http://www.ncbi.nlm.nih.gov/pubmed/3211377)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1148
TITLE
WHO cancer pain relief programme.
AUTHOR NAMES
Stjernswärd J.
AUTHOR ADDRESSES
(Stjernswärd J.) World Health Organization, Geneva, Switzerland.
CORRESPONDENCE ADDRESS
J. Stjernswärd, World Health Organization, Geneva, Switzerland.
SOURCE
Cancer surveys (1988) 7:1 (195-208). Date of Publication: 1988
ISSN
0261-2429
ABSTRACT
Cancer pain relief is a ubiquitous but neglected public health problem.
Every day more than three and a half million people suffer from cancer pain,
but only a fraction receive treatment for it. Relatively simple and
inexpensive methods of pain relief are available. Adequate pain relief is
not reaching a great number of cancer patients in developed countries. In
the developing countries, where more than half the world's cancer patients
are and where most are incurable at the time of diagnosis, pain relief
(often the only relevant human alternative) by and large is not offered.
Obstacles to effective cancer pain relief worldwide include poor drug
availability, misguided national drug legislation, lack of education of
doctors and nurses, underprescribing and underdosing by the professionals,
wrong timing of drugs given, fear of addiction and lack of public awareness
that pain can be controlled. A World Health Organization (WHO) method has
been developed which provides for drugs to be administered immediately if
there is pain, to be given 'by the clock' rather than 'on demand' and to be
increased from non-opioids (aspirin or paracetamol) to weak opioids
(codeine) and then to strong opioids (morphine) until the patient is free
from pain--hence the concept of a three-step ladder for cancer pain relief.
Field tests have shown that the right drug in the right dose at the right
time relieves 80 to 90% of pain. Thus a scientifically valid, relatively
inexpensive method suitable for reaching patients at community level does
exist.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm (therapy)
palliative therapy
world health organization
EMTREE MEDICAL INDEX TERMS
human
international cooperation
review
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2454740 (http://www.ncbi.nlm.nih.gov/pubmed/2454740)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1149
TITLE
Intervention with chemically dependent nurses: A paradigm for professional
retention
AUTHOR NAMES
Crosby L.R.
Offer P.L.
AUTHOR ADDRESSES
(Crosby L.R.; Offer P.L.) Nurse Recovery Program, Tampa Area Hospital
Council, Tampa, FL
CORRESPONDENCE ADDRESS
Nurse Recovery Program, Tampa Area Hospital Council, Tampa, FL
SOURCE
Quality Review Bulletin (1988) 14:4 (111-115). Date of Publication: 1988
ISSN
0097-5990
BOOK PUBLISHER
Joint Commission on Accreditation of Healthcare Organ., One Renaissance
Boulevard, Oakbrook Terrace, United States.
ABSTRACT
Although intervention is only one step in dealing with chemically dependent
nurses, how it is handled is crucial to the goal of retaining valuable
personnel. Subsequent steps in the recovery process include treatment,
discharge planning, contract negotations, physiologic and behavioral
monitoring, role adaptation, work group reintegration, and clinical criteria
for treating relapse. The Nurse Recovery Program can serve as a model for
identifying, treating, and reintegrating nurses who are chemically
dependent. The success of this pilot project was due largely to intensive
ongoing educational seminars for nurse managers and hands-on intervention
training workshops. Policies and procedures regarding impaired nursing
practice developed by the Nurse Recovery Program provided consistency for
measurable outcomes. This program's success should inspire nurse
administrators throughout the health care system to develop and implement
similar programs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
dependent personality disorder
drug abuse
drug dependence
nurse
EMTREE MEDICAL INDEX TERMS
article
economic aspect
organization and management
psychological aspect
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988130687
MEDLINE PMID
3132673 (http://www.ncbi.nlm.nih.gov/pubmed/3132673)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1150
TITLE
AIDS education in Switzerland: Implementing strategies to reach groups with
high risk behaviours, particularly youth
AUTHOR NAMES
Martin J.F.
Michaud P.-A.
AUTHOR ADDRESSES
(Martin J.F.; Michaud P.-A.) Faculty of Medicine and Public Health Service,
CH-1014 Lausanne
CORRESPONDENCE ADDRESS
Faculty of Medicine and Public Health Service, CH-1014 Lausanne
SOURCE
Health Education Research (1988) 3:1 (105-112). Date of Publication: 1988
ISSN
0268-1153
ABSTRACT
In Switzerland the Federal Office of Public Health has developed a
comprehensive set of AIDS care and prevention policies and activities in
recent years. For their actual implementation, the main responsibility lies
with the health departments of the 26 Cantons. This paper originates from
one of the large Cantons, Vaud. Major efforts have been made from the
Federal level to transmit relevent AIDS-related information to the general
public. Much remains to be done to assist people, especially high risk
groups, to translate the vital prevention messages into behaviour changes.
For youth in general, new attitudes towards sexual relations are called for,
different from those of young people 10 or 15 years ago. In Vaud, a number
of entry points are used to pass on this education: physicians and nurses
involved in school health, teachers and, among the latter, two groups with
specific in-service training and part-time functions - mediators (who made
themselves available to children in various risk situations) and health
animators (promoting the inclusion of health education topics in the
teaching). There is a special health programme for 16-19 year olds. Also a
substantial tradition of sexual education sessions in the school system
offers valuable opportunities for AIDS education. Further, innovative
strategies are developed to reach and work with the male homosexuals and, to
the extent possible, intravenous drug addicts. In conclusion it is
emphasized that, in many ways, AIDS education issues demand courage from
health and public leaders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acquired immune deficiency syndrome
health education
high risk population
public health
sexual education
EMTREE MEDICAL INDEX TERMS
education
normal human
Switzerland
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988127299
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1151
TITLE
Understanding alcoholism and drug dependency in nurses
AUTHOR NAMES
Stammer M.E.
AUTHOR ADDRESSES
(Stammer M.E.) Staff Education and Training, Naval Hospital, Portsmouth, VA
CORRESPONDENCE ADDRESS
Staff Education and Training, Naval Hospital, Portsmouth, VA
SOURCE
Quality Review Bulletin (1988) 14:3 (75-80). Date of Publication: 1988
ISSN
0097-5990
BOOK PUBLISHER
Joint Commission on Accreditation of Healthcare Organ., One Renaissance
Boulevard, Oakbrook Terrace, United States.
ABSTRACT
Despite the acknowledged prevalence of substance abuse among nurses,
supervisors and co-workers of impaired nurses have little understanding of
impairment or of how to constructively address the problem. A study of 34
nurses in Virginia explored factors underlying alcoholism in nurses. The
study revealed that most of these nurses were influenced by family
alcoholism and societal pressures associated with the female role. The need
for acceptance and the inability to cope with stress were also important
factors underlying nurses' use of alcohol. A general list of indicators of
alcoholism and drug dependency were compiled based on the study results.
Integrating the results of studies such as this one into educational
programs for nurses may facilitate the identification of impaired nurses and
their reentry into the workplace upon recovery.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
diagnosis
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Rehabilitation and Physical Medicine (19)
Occupational Health and Industrial Medicine (35)
Health Policy, Economics and Management (36)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988107964
MEDLINE PMID
3130599 (http://www.ncbi.nlm.nih.gov/pubmed/3130599)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1152
TITLE
Health promotion, education, counseling, and coordination in primary health
care nursing
AUTHOR NAMES
Brown M.A.
Waybrant K.M.
AUTHOR ADDRESSES
(Brown M.A.; Waybrant K.M.) Department of Community Health Care Systems,
School of Nursing, University of Washington, Seattle, WA 98195
CORRESPONDENCE ADDRESS
Department of Community Health Care Systems, School of Nursing, University
of Washington, Seattle, WA 98195
SOURCE
Public Health Nursing (1988) 5:1 (16-23). Date of Publication: 1988
ISSN
0737-1209
BOOK PUBLISHER
Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
The evolution of advanced nursing practice over the past several decades has
stimulated a number of studies of the activities of nurses specializing in
the area of primary health care. These studies have ignored the nursing
component of nurse practioners' role in the areas of health care
coordination, health promotion, health education, and counseling. We
examined the extent to which nurse practitioners reported involvement in
these areas in their practices. Study findings pointed to a high frequency
of health-promotion activities, with 98 percent of the respondents reporting
this type of care delivered during the reporting day, including health
screening, nutrition information, exercise counseling, family planning,
education, and risk factor analysis. The most common coordination activities
were referrals for mental health, social work or drug rehabilitation, vision
services, alcohol problems, and hearing services. Overall, study results
supported the assertion that nurse practioners considered that they provide
their clients with a wide array of coordination, health-promotion,
health-education, and counseling services within a nursing framework.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
counseling
education
health promotion
nursing
postgraduate education
primary health care
EMTREE MEDICAL INDEX TERMS
female
human
methodology
normal human
questionnaire
review
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988104325
MEDLINE PMID
3362767 (http://www.ncbi.nlm.nih.gov/pubmed/3362767)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1153
TITLE
Selected allied health professionals' self-confidence in health promotion
counseling skills and interest in continuing education programs.
AUTHOR NAMES
Mullen P.D.
Holcomb J.D.
Fasser C.E.
AUTHOR ADDRESSES
(Mullen P.D.; Holcomb J.D.; Fasser C.E.) School of Public Health, University
of Texas Health Science Center, Houston 77225.
CORRESPONDENCE ADDRESS
P.D. Mullen, School of Public Health, University of Texas Health Science
Center, Houston 77225.
SOURCE
Journal of allied health (1988) 17:2 (123-133). Date of Publication: May
1988
ISSN
0090-7421
ABSTRACT
Mail surveys of samples of dental hygienists (n = 90, 36% response),
registered dietitians (n = 262, 52% response), and physician assistants (n =
289, 89% response) in Texas and certified nurse midwives (n = 143, 57%
response) in the US provided data regarding their confidence that they
possess skills and knowledge to counsel patients about selected areas of
health promotion (self-efficacy). Also, the surveys gathered information
regarding respondents' beliefs that patients will follow through on their
recommendations (adherence expectation), and their interest in continuing
education programs. Overall, respondents displayed highest self-efficacy
with regard to counseling patients about blood pressure and smoking.
Confidence was lowest in illicit drug abuse and mental health areas.
Certified nurse midwives and physician assistants indicated confidence in
many more areas than the other two groups. Respondents consistently
expressed less certainty about patient adherence than about their own skills
and knowledge. They generally indicated a high degree of interest in
continuing education across the several health promotion topics. Modest
relationships were observed between self-efficacy and interest in continuing
education programs for physician assistants and registered dietitians,
indicating that those with greater self-efficacy had a greater interest in
building their skills. A similar pattern was observed among physician
assistant respondents with respect to adherence expectations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
continuing education
counseling
health promotion
paramedical personnel
self evaluation
EMTREE MEDICAL INDEX TERMS
article
clinical competence
dental assistant
dietetics
human
hypertension
nurse midwife
patient compliance
physician assistant
psychological aspect
questionnaire
smoking
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2898461 (http://www.ncbi.nlm.nih.gov/pubmed/2898461)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1154
TITLE
Psychotropic drug prescriptions for nursing home residents
AUTHOR NAMES
Burns B.J.
Kamerow D.B.
AUTHOR ADDRESSES
(Burns B.J.; Kamerow D.B.) Primary Care Research Program, Division of
Biometry and Applied Sciences, National Institute of Mental Health,
Rockville, MD
CORRESPONDENCE ADDRESS
Primary Care Research Program, Division of Biometry and Applied Sciences,
National Institute of Mental Health, Rockville, MD
SOURCE
Journal of Family Practice (1988) 26:2 (155-160). Date of Publication: 1988
ISSN
0094-3509
BOOK PUBLISHER
Dowden Health Media,Inc, 110 Summit Avenue, Montvale, United States.
ABSTRACT
Previous work has indicated that psychotropic medications may be misused in
nursing homes. Utilizing data from the National Nursing Home Study Pretest,
this analysis examined the frequency, indications, and appropriateness of
psychotropic drug prescriptions for a random group of 526 US nursing home
residents. One third of the sample residents were receiving a psychotropic
medication, and 8 percent were receiving more than one. Twenty-one percent
of those without a listed mental disorder diagnosis received psychotropic
medications, almost one third of which were antipsychotic medications. With
no corresponding notation of a related symptom or diagnosis in the chart, 30
percent of 212 psychotropic prescriptions were judged inappropriate by a
three-physician panel. Although more research should be done, these results
suggest the need for better and more careful charting in nursing homes as
well as better training for primary care physicians in the proper
prescribing of psychotropic drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
drug abuse
nursing home
prescription
EMTREE MEDICAL INDEX TERMS
drug therapy
human
psychological aspect
short survey
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Gerontology and Geriatrics (20)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988064115
MEDLINE PMID
3339319 (http://www.ncbi.nlm.nih.gov/pubmed/3339319)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1155
TITLE
Nurse-identified problems in the management of alcoholic patients
AUTHOR NAMES
Bartek J.K.
Lindeman M.
Newton M.
Fitzgerald A.P.
Hawks J.H.
AUTHOR ADDRESSES
(Bartek J.K.; Lindeman M.; Newton M.; Fitzgerald A.P.; Hawks J.H.)
University of Nebraska Medical Center, College of Nursing, Omaha, NE 68105
CORRESPONDENCE ADDRESS
University of Nebraska Medical Center, College of Nursing, Omaha, NE 68105
SOURCE
Journal of Studies on Alcohol (1988) 49:1 (62-70). Date of Publication: 1988
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
The purpose of this exploratory study was (1) to identify and rank the
patient problems of hospitalized alcoholics that medical-surgical nurses
view as difficult to manage, (2) to identify the factors that contribute to
the difficulty in care, (3) to identify interventions used by nurses in an
attempt to resolve patient problems and (4) to describe relationships
between nurses and the identified patient problems. Subjects (N=83)
completed and returned an open-ended questionnaire by listing the
physiological and psychosocial patient problems, factors and interventions.
Selected demographic and biographic data were also collected. A nursing
diagnosis classification described by others served as a basis and was
adapted for the nursing diagnosis categories. Nominal data were analyzed
using frequency distributions and percentages. The most difficult
physiological problems in caring for alcoholic persons were categorized from
subjects' responses using the nursing diagnoses of 'potential for injury,'
'alterations in nutrition-elimination' and 'fluid volume deficit.' The
nursing diagnosis categories of 'ineffective individual coping,'
'ineffective family coping' and 'noncompliance' comprised the most difficult
psychosocial patient problems. A majority of subjects reported having
limited classroom and clinical experience with alcoholism; 80% expressed a
need for additional inservice education. It is recommended that nursing
educational programs include didactic and clinical content about alcoholism,
focusing on problem areas identified and on family dynamics, communication,
coping strategies and time-management strategies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nurse
nursing
EMTREE MEDICAL INDEX TERMS
attitude
editorial
education
human
interpersonal communication
management
normal human
organization and management
psychological aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988037511
MEDLINE PMID
3347077 (http://www.ncbi.nlm.nih.gov/pubmed/3347077)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1156
TITLE
Promoting health among teenagers.
AUTHOR NAMES
Gillis A.
AUTHOR ADDRESSES
(Gillis A.) Department of Nursing, St Francis Xavier University, Antigonish,
Nova Scotia.
CORRESPONDENCE ADDRESS
A. Gillis, Department of Nursing, St Francis Xavier University, Antigonish,
Nova Scotia.
SOURCE
International nursing review (1988) 35:1 (10-12). Date of Publication: 1988
Jan-Feb
ISSN
0020-8132
ABSTRACT
The need for health promotion programmes geared to adolescents has never
been more acute. Today's youth lives in a "throw away society" characterized
by an impermanence of both objects and human relations--which works counter
to traditional health values and practices. The result has been a rise in
teenage drug-addiction, suicide, abortion, delinquency and alcoholism. How
can we make nurses and health services more accessible to adolescents?
Below, Angela Gillis describes a model for adolescent health promotion and
provides some practical suggestions for dealing more effectively with this
age group.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child behavior
health promotion
nurse
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
methodology
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3343085 (http://www.ncbi.nlm.nih.gov/pubmed/3343085)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1157
TITLE
Parental alcoholism and adolescent ego identity
AUTHOR NAMES
Talashek M.L.
AUTHOR ADDRESSES
(Talashek M.L.) Department of Public Health Nursing, College of Nursing,
University of Illinois, Chicago, IL 60612
CORRESPONDENCE ADDRESS
Department of Public Health Nursing, College of Nursing, University of
Illinois, Chicago, IL 60612
SOURCE
Journal of Community Health Nursing (1987) 4:4 (211-222). Date of
Publication: 1987
ISSN
0737-0016
BOOK PUBLISHER
Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
Using the Eriksonian theory of ego development, this study focused on the
ego identity of adolescents with one alcoholic parent. Fifty adolescents
with and 87 adolescents without one alcoholic parent were purposively
sampled to respond to a 72-item survey questionnaire. Forty-four adolescents
with one alcoholic parent were then matched on age, sex, and socioeconomic
level and were compared with 44 adolescents in the sample without an
alcoholic parent. Adolescents with one alcoholic parent scored significantly
lower on ego identity than did those without an alcoholic parent. This
difference was particularly evident in younger adolescents. The groups also
differed significantly on extended school absences due to illness. No
significant differences between groups were observed relative to the
personal use of alcohol. Findings from this study point to important
assessment and intervention strategies for community and school-based
nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
alcoholism
ego development
parent
EMTREE MEDICAL INDEX TERMS
adolescent
central nervous system
etiology
human
psychological aspect
review
social aspect
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987234295
MEDLINE PMID
3694240 (http://www.ncbi.nlm.nih.gov/pubmed/3694240)
FULL TEXT LINK
http://dx.doi.org/10.1207/s15327655jchn0404_4
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1158
TITLE
Comparison of chemically dependent and nondependent nurses on familial,
personal and professional characteristics
AUTHOR NAMES
Sullivan E.J.
AUTHOR ADDRESSES
(Sullivan E.J.) School of Nursing, University of Minnesota, Minneapolis, MN
55455
CORRESPONDENCE ADDRESS
School of Nursing, University of Minnesota, Minneapolis, MN 55455
SOURCE
Journal of Studies on Alcohol (1987) 48:6 (563-568). Date of Publication:
1987
ISSN
0096-882X
BOOK PUBLISHER
Alcohol Research Documentation Inc., New Brunswick, United States.
ABSTRACT
The characteristics associated with professional impairment due to chemical
dependency in nurses are examined. A sample of 139 recovering chemically
dependent nurses was compared with a random sample of 384 registered nurses
not identified as chemically dependent on familial, personal and
professional characteristics. Respondents completed an extensive mailed
questionnaire requesting information on demographic variables, family
history (past and present), education, employment, medical history,
lifestyle characteristics and alcohol- and drug-related behaviors.
Significant differences between the two groups were found in gender,
familial alcoholism and depression, sexual trauma and functioning, sexual
preference, parenthood status, marital history, physical health, depressive
illness and alcoholism in spouse. No differences were found in sibling rank,
basic nursing education, nursing school class rank, highest educational
degree held, academic achievement and length of nursing experience.
Recommendations for future study include improved methology, study of
recovery variables and longitudinal follow-up of recovering nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
nurse
EMTREE MEDICAL INDEX TERMS
clinical article
human
preliminary communication
psychological aspect
social psychology
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988047326
MEDLINE PMID
3682830 (http://www.ncbi.nlm.nih.gov/pubmed/3682830)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1159
TITLE
The Arjeplog project: Comprehensive health promotion in a community
AUTHOR NAMES
Henricson B.
AUTHOR ADDRESSES
(Henricson B.) Vard Centralen, Arjeplog, Lapland
CORRESPONDENCE ADDRESS
Vard Centralen, Arjeplog, Lapland
SOURCE
Health Promotion (1987) 2:2 (205-212). Date of Publication: 1987
ISSN
0268-1099
BOOK PUBLISHER
Oxford University Press, Great Clarendon Street, Oxford, United Kingdom.
ABSTRACT
The municipality of Arjeplog, Sweden, is an example of extensive and
successful community participation in the aims of health promotion. At the
health care centre, personnel from diverse departments meet on a regular
basis to discuss patient needs and exchange knowledge on medical and social
matters. Care groups exist in order to enable specialists to discuss and
meet community needs: a psychiatric group, a rehabilitation group, a home
care group, a child and family care group, etc. The municipality's resources
include an old person's home which runs a day centre. A nursery, adult
evening colleges, sports clubs, and services such as Alcoholics Anonymous,
all serve as centres for the health promotion movement. Preventing ill
health among the elderly and encouraging short-term visits to the centre has
resulted in the need for hospital beds remaining steady despite an increase
in the number of elderly people in the municipality. Preventive work in the
form of health education has taken place in schools and through study
circles specially formed by health education leaders. Public lectures have
been successful and met with requests for further talks. Visits to the
outpatient clinic have dropped by about a quarter. Arjeplog has one of the
lowest number of people on the sick list in Sweden and the duration of
diseases is lower than average. People are generally aware of what a healthy
lifestyle involves and often take measures to prevent ill health. A Health
Council has been formed and is to initiate future health work through work
groups set up to meet health problems identified collectively. The council
is responsible for collecting information and has launched a quarterly
journal to which different organizations in the municipality may contribute
items concerning health.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community
health promotion
lifestyle
public health
EMTREE MEDICAL INDEX TERMS
education
normal human
prevention
Sweden
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
1988128027
MEDLINE PMID
10287177 (http://www.ncbi.nlm.nih.gov/pubmed/10287177)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1160
TITLE
Enhancing cancer pain control regimens through patient education
AUTHOR NAMES
Rimer B.
Levy M.H.
Keintz M.K.
Fox L.
Engstrom P.F.
MacElwee N.
AUTHOR ADDRESSES
(Rimer B.; Levy M.H.; Keintz M.K.; Fox L.; Engstrom P.F.; MacElwee N.) The
Fox Chase Cancer Center, Philadelphia, PA 19111
CORRESPONDENCE ADDRESS
The Fox Chase Cancer Center, Philadelphia, PA 19111
SOURCE
Patient Education and Counseling (1987) 10:3 (267-277). Date of Publication:
1987
ISSN
0738-3991
BOOK PUBLISHER
Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
The problem of cancer-related pain afflicts millions of people annually. The
study described here was aimed at improving cancer patients' pain control
through a planned patient education program. A randomized clinical trial
with a Solomon Four-Group design was used to assess the effectiveness of a
patient education intervention consisting of nurse counseling and printed
materials. The sample included 230 cancer patients. One month later,
patients in the experimental group were more likely to have taken their pain
medicine on the correct schedule and to have taken the correct dosage. The
experimental group also was significantly less likely to report stopping the
medicine when they felt better. In addition, they were significantly less
worried about tolerance and addiction to pain medicines. Forty-four percent
of the experimental group compared to 24% of the control group reported no
or mild pain at the posttest.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
neoplasm
pain
patient education
EMTREE MEDICAL INDEX TERMS
central nervous system
clinical trial
controlled study
education
human
methodology
psychological aspect
randomized controlled trial
review
EMBASE CLASSIFICATIONS
Cancer (16)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987234368
MEDLINE PMID
10315745 (http://www.ncbi.nlm.nih.gov/pubmed/10315745)
FULL TEXT LINK
http://dx.doi.org/10.1016/0738-3991(87)90128-5
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1161
TITLE
Cigarette smoking among Ethiopian health professionals and students
AUTHOR NAMES
Zein Z.A.
AUTHOR ADDRESSES
(Zein Z.A.) Gondar College of Medical Sciences, PO Box 109, Gondar
CORRESPONDENCE ADDRESS
Gondar College of Medical Sciences, PO Box 109, Gondar
SOURCE
New York State Journal of Medicine (1987) 87:8 (433-435). Date of
Publication: 1987
ISSN
0028-7628
ABSTRACT
The smoking habits of 418 medical and paramedical students and 260 health
professionals in Northern Ethiopia were determined using questionnaires
developed by the World Health Organization. The rate of smoking was 18.4%
among students and 8.9% among health professionals, with a preponderance of
male smokers in both groups. There were relatively more physicians and
paramedical personnel who smoked than there were nurses who smoked. The rate
of smoking among these health care workers is lower than reported among
Ethiopian students and teachers, and physicians and nurses in other African
countries. However, the association between cigarette smoking, alcohol
consumption, and the use of tranquilizers and Khat (Catha edulis Forsk) is
alarming. The establishment of a national antismoking campaign is
recommended to address the problems of drug abuse in general, and cigarette
smoking in particular.
EMTREE DRUG INDEX TERMS
alcohol
tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health practitioner
medical student
smoking
EMTREE MEDICAL INDEX TERMS
article
Catha edulis
Ethiopia
geographic distribution
human
priority journal
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987186036
MEDLINE PMID
3477717 (http://www.ncbi.nlm.nih.gov/pubmed/3477717)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1162
TITLE
Substance abuse education in schools of nursing: a national survey.
AUTHOR NAMES
Hoffman A.L.
Heinemann M.E.
AUTHOR ADDRESSES
(Hoffman A.L.; Heinemann M.E.) School of Nursing, Department of Psychosocial
Nursing, University of Washington, Seattle.
CORRESPONDENCE ADDRESS
A.L. Hoffman, School of Nursing, Department of Psychosocial Nursing,
University of Washington, Seattle.
SOURCE
The Journal of nursing education (1987) 26:7 (282-287). Date of Publication:
Sep 1987
ISSN
0148-4834
ABSTRACT
A concern whether the expansion of knowledge in substance abuse nursing and
the contemporary prevalence of substance use disorders had influenced
current educational offerings in schools of nursing provided an impetus for
this national survey. The purpose of the study was to obtain information
about current curricular offerings in substance abuse by schools of nursing.
A total of 1,035 questionnaires were mailed to schools of nursing.
Respondents included 336 schools representing a 36% return rate. The sample
included 154 baccalaureate (46%), 126 associate degree (38%), and 56 diploma
(17%) programs. All but one state (Alaska) of the U.S. were part of the
sample. The questionnaire used for this study was adapted from one developed
for a survey of alcohol and drug abuse content taught in medical schools
(Pokorney & Solomon, 1983). Modifications were limited to placing questions
in a nursing context. All responding schools included substance abuse in
curricular offerings with the largest number (N = 192; 57%) reporting the
teaching of alcohol and drug content in a combined manner. The number of
required hours of instruction reported most frequently was one to five (N =
242; 72%), which did not differ significantly for the three types of
programs. The relatively small number of required hours of instruction would
seem disproportionate to the scope and prevalence of substance abuse
problems present in patient populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2822872 (http://www.ncbi.nlm.nih.gov/pubmed/2822872)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1163
TITLE
Alcoholism nursing: toward a policy perspective.
AUTHOR NAMES
Scavnicky-Mylant M.
AUTHOR ADDRESSES
(Scavnicky-Mylant M.) School of Nursing, University of Wyoming, Laramie.
CORRESPONDENCE ADDRESS
M. Scavnicky-Mylant, School of Nursing, University of Wyoming, Laramie.
SOURCE
The Journal of nursing education (1987) 26:7 (294-296). Date of Publication:
Sep 1987
ISSN
0148-4834
ABSTRACT
Nurses remain relatively uninvolved with the number-one health problem of
alcoholism due to ambivalence and/or ignorance. Efforts to change this
dilemma have been primarily in the form of passive recommendations. A more
direct and powerful action of mandating alcoholism education is suggested.
This recommendation successfully meets the major criteria of policy.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
accreditation
article
human
nursing
standard
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2822874 (http://www.ncbi.nlm.nih.gov/pubmed/2822874)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1164
TITLE
Attitudes and knowledge of nursing staff in relation to management of
postoperative pain.
AUTHOR NAMES
Chapman P.J.
Ganendran A.
Scott R.J.
Basford K.E.
AUTHOR ADDRESSES
(Chapman P.J.; Ganendran A.; Scott R.J.; Basford K.E.)
CORRESPONDENCE ADDRESS
P.J. Chapman,
SOURCE
The Australian and New Zealand journal of surgery (1987) 57:7 (447-450).
Date of Publication: Jul 1987
ISSN
0004-8682
ABSTRACT
The effectiveness of pain control following surgery is notoriously difficult
to assess, but objective assessment by nursing staff has been found to
correlate reasonably well with subjective patient assessment. A study was
designed to investigate the attitudes and knowledge of 86 qualified nursing
staff in relation to postoperative pain management. Overall knowledge was
sound to a point, but there were some obvious deficiencies in practical
application; for example, 25% of staff would wait until a patient was in
severe pain before using a prescribed (charted) analgesic. Additionally,
almost three-quarters of staff felt that, in general, postoperative patients
received adequate pain relief, while the great majority felt that
prescription writing could be improved, mainly by improved legibility and
clarity of actual instructions. The results suggest that the aim of
postoperative pain management--that is, the provision of adequate
analgesia--may need to be more strongly defined in nursing education.
EMTREE DRUG INDEX TERMS
narcotic analgesic agent (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health personnel attitude
nursing staff
postoperative pain
EMTREE MEDICAL INDEX TERMS
article
Australia
human
nursing
opiate addiction (prevention)
personnel management
prescription
questionnaire
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2886114 (http://www.ncbi.nlm.nih.gov/pubmed/2886114)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1165
TITLE
Clinical nurse specialist for substance abuse.
AUTHOR NAMES
Steffen V.B.
AUTHOR ADDRESSES
(Steffen V.B.)
CORRESPONDENCE ADDRESS
V.B. Steffen,
SOURCE
Ohio nurses review (1987) 62:3 (13-14). Date of Publication: Mar 1987
ISSN
0030-0993
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
nurse
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3645518 (http://www.ncbi.nlm.nih.gov/pubmed/3645518)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1166
TITLE
Helping agents' attitudes towards alcohol-related problems: Situations
vacant? A test and elaboration of a model
AUTHOR NAMES
Lightfoot P.J.C.
Orford J.
AUTHOR ADDRESSES
(Lightfoot P.J.C.; Orford J.) Department of Psychology, University of
Exeter, Washington Singer Laboratories, Exeter EX4 4QG
CORRESPONDENCE ADDRESS
Department of Psychology, University of Exeter, Washington Singer
Laboratories, Exeter EX4 4QG
SOURCE
British Journal of Addiction (1986) 81:6 (749-756). Date of Publication:
1986
ISSN
0952-0481
ABSTRACT
An elaboration of Cartwright's (1980) model explaining agents' negative
attitudes to responding to alcohol-related problems (ARPs) is presented.
Rather than Role Support, Experience, Education and Self-esteem per se being
seen as the main variables with effect on therapeutic attitude, it is argued
that the effects of these factors are best viewed as contingent upon
situational influences operating within agents' occupational contexts. An
attemp was made to isolate some of these influences by comparing the work
situations of 24 Community Psychiatric Nurses (CPNs) and 24 Social Workers.
Correlational data suggested that an index of Situational Constraint,
although it was not independent of Role Support and Experience, could
reliably predict levels of attitudes towards ARPs. It was found that CPNs
expressed significantly more positive therapeutic attitudes towards drinkers
than either 'long-term' generic, or medical, Social Workers, but were also
working under less Situational Constraint. It is concluded that social
workers do not attain such deep levels of involvement in ARPs as CPNs owing
to their more constraining work environments. They are, therefore, less open
to ARP educational events and are less likely to develop role support
contacts. Recommendations for future role support provision and training
programmes are briefly outlined.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
education
nurse
self esteem
social worker
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
human
normal human
priority journal
psychological aspect
social aspect
therapy
United Kingdom
EMBASE CLASSIFICATIONS
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987070820
MEDLINE PMID
3467774 (http://www.ncbi.nlm.nih.gov/pubmed/3467774)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1167
TITLE
Educating the educators on alcoholism.
AUTHOR NAMES
Clark M.D.
Kachoyeanos M.
Twadell A.S.
AUTHOR ADDRESSES
(Clark M.D.; Kachoyeanos M.; Twadell A.S.)
CORRESPONDENCE ADDRESS
M.D. Clark,
SOURCE
Nursing success today (1986) 3:12 (21-23). Date of Publication: Dec 1986
ISSN
0743-6726
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3643455 (http://www.ncbi.nlm.nih.gov/pubmed/3643455)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1168
TITLE
The constraints of professional-socialization: Nursing student attitudes
toward drug abusers
AUTHOR NAMES
Meiderhoff P.
Ray S.
Talarchek G.
AUTHOR ADDRESSES
(Meiderhoff P.; Ray S.; Talarchek G.) Medical College of Virginia, Richmond,
VA 23298
CORRESPONDENCE ADDRESS
Medical College of Virginia, Richmond, VA 23298
SOURCE
Research Communications in Substances of Abuse (1986) 7:1-2 (70-80). Date of
Publication: 1986
ISSN
0193-0818
ABSTRACT
Perceptions and attitudes of practitioners toward patients can enhance
treatment or interfere with treatment effectiveness. Counter-therapeutic
attitudes toward drug abusers are examined among student nurses using Ross
and Linn's Scale for the Measurement of Attitudes Toward Drugs (MAD). It is
hypothesized that professional socialization is related to
counter-therapeutic attitudes among students. Student nurses' attitudes are
found to be less punitive than students majoring in the physical sciences,
but more punitive than students majoring in other fields. Also, student
nurses' attitudes become more punitive if they are educated in a private
institution, but remain the same if educated in a public institution.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
EMTREE MEDICAL INDEX TERMS
adult
attitude
human
human experiment
intoxication
medical personnel
organization and management
prevention
psychological aspect
questionnaire
social aspect
United States
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987045013
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1169
TITLE
The young chronic client in mental health today
AUTHOR NAMES
Brunger J.B.
AUTHOR ADDRESSES
(Brunger J.B.) University of Maryland School of Nursing, Baltimore, MD
CORRESPONDENCE ADDRESS
University of Maryland School of Nursing, Baltimore, MD
SOURCE
Nursing Clinics of North America (1986) 21:3 (451-459). Date of Publication:
1986
ISSN
0029-6465
ABSTRACT
Due to the nature of the work with this demanding population, who, in spite
of all efforts, demonstrates only minimal changes at best, nurses need
aggressive management of their own lives. Burnout is rampant. Work with this
type of client is not for everyone. Programs need to offer staff the
opportunity to work with these clients only if the staff is capable and
desires the challenge. It is necessary to set realistic goals and
expectations with clients and to learn to accept tiny changes. Nurses must
help the client become more realistic in their expectations of what will be
achieved. It is important to note that the therapist may scare the client
into regressed behavior by being too hopeful, by pushing them too far too
fast, and by allowing them to go too fast. Caution should be taken with
respect to encouragement and expectations of normalcy. If goals are too high
and the client 'fails', the therapist perceives that he/she is the one who
failed. The patient who manages to achieve a level of functioning that
enables him to interface with the outside often finds a world that is cold,
demanding, and cruel - one that is easier to escape from than to deal with.
One must be flexible and accessible to the client - involved with honest
detachment. For the nurse therapist to serve this population requires
sophistication in the theories of child and adolescent suicide, crisis
intervention, aggression management, chemical abuse and use, and the ability
to negotiate housing, money, food, services - things which have previously
been the domain of others. This young adult chronic population has been
called the 'drifters', the transients. In reality, they are no more
transient than their counterparts of the same age. They complicate their
lives with chemicals as their counterparts do, they struggle toward
independence similar to their counterparts, and most of all want to be
'normal' as their counterparts. Problems with this identified population now
seem acute, probably because there are more people in the 18- to 35-year age
group than ever before. Perhaps as this population ages, we will see less
young adult chronic clients. One thing is certain, discovery of this young
adult group which has not been institutionalized for long periods
contradicts our thoughts that institutions were the cause of chronicity.
Just as nurses made many contributions to the care of the long-term
institutionalized chronically mentally ill client, so can nurses contribute
to the delineation of the characteristics and of interventions and treatment
plans for this group: the truly deinstitutionalized.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health
nursing
EMTREE MEDICAL INDEX TERMS
central nervous system
clinical article
human
priority journal
therapy
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1987000303
MEDLINE PMID
3092191 (http://www.ncbi.nlm.nih.gov/pubmed/3092191)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1170
TITLE
Substance misuse training in nursing, psychiatry, and social work
AUTHOR NAMES
Schlesinger S.E.
Barg M.D.
AUTHOR ADDRESSES
(Schlesinger S.E.; Barg M.D.) Psychology Service, Veterans Administration,
Hines, IL 60141
CORRESPONDENCE ADDRESS
Psychology Service, Veterans Administration, Hines, IL 60141
SOURCE
International Journal of the Addictions (1986) 21:4-5 (595-604). Date of
Publication: 1986
ISSN
0020-773X
ABSTRACT
This is a survey of American schools of nursing, psychiatry residency
programs, and schools of social work to develop information on the extent to
which nurses, psychiatrists, and social workers are prepared in their
professional education to identify and treat substance misusers. Results
describing nature, format, and extent of training experiences are presented
for didactic and patient contact components of programs. Results are
discussed in light of the finding that not much time is devoted to substance
misuse in the professional preparation of these health care providers.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
drug dependence
EMTREE MEDICAL INDEX TERMS
adult
clinical article
education
human
intoxication
nurse
psychiatrist
social aspect
social worker
United States
vocational education
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1986213755
MEDLINE PMID
3771014 (http://www.ncbi.nlm.nih.gov/pubmed/3771014)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1171
TITLE
The previous training and present training needs of nurses in charge of
alcohol treatment units and community alcohol teams.
AUTHOR NAMES
Kennedy J.
AUTHOR ADDRESSES
(Kennedy J.)
CORRESPONDENCE ADDRESS
J. Kennedy,
SOURCE
Journal of advanced nursing (1986) 11:3 (283-288). Date of Publication: May
1986
ISSN
0309-2402
ABSTRACT
The aim of the study was to collect information on the educational needs of
nurses in charge of alcohol treatment units and community alcohol teams. The
sample of all such nurses in England and Wales was asked to complete a
postal questionnaire and give information on the training and education they
had already received, what further training they needed and brief details
about their background and future plans. It was expected that a small
proportion of the respondents would have had specialized training and this
expectation was borne out. The results do provide evidence of considerable
dissatisfaction amongst the group as to the training they receive. It is
shown that these nurses wish to develop behavioural and psychotherapeutic
skills and that training provided so far has not met these needs.
Suggestions are made as to the content of future training events for nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
hospital subdivisions and components
mental health service
nursing
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adult
aged
article
education
female
human
in service training
male
middle aged
nursing education
psychotherapy
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3636356 (http://www.ncbi.nlm.nih.gov/pubmed/3636356)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1172
TITLE
Nursing and health care in the twentieth century: myth, reality and
dichotomy.
AUTHOR NAMES
Smith J.P.
AUTHOR ADDRESSES
(Smith J.P.)
CORRESPONDENCE ADDRESS
J.P. Smith,
SOURCE
Journal of advanced nursing (1986) 11:2 (127-132). Date of Publication: Mar
1986
ISSN
0309-2402
ABSTRACT
In this Fourth Ruth Langton Memorial Lecture, the author highlights some of
the major health problems in children, mentally and physically handicapped
people, and in the growing numbers of elderly people in society. Nurses'
roles are discussed. He identifies many major areas of concern and points
out that many of the afflictions affecting people throughout the world, such
as infectious diseases, blindness and malnutrition, could so easily be
prevented. The author also focuses on the diseases caused by unhealthy
lifestyles, in particular heart disease, cancers, drug addiction and
obesity. He argues that a redirection of resources spent on arms and defense
could do much to alleviate disease and suffering throughout the world. He
also questions the present effectiveness of nursing education programmes and
community care programmes. The paper concludes with a challenge to all
nurses to explode the myth that society is becoming healthier, to face the
reality of the urgent need for more primary health care and health education
programmes, and to heal the dichotomy between present nursing and health
care provision and the actual health needs of society.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
health status
nursing
EMTREE MEDICAL INDEX TERMS
acquired immune deficiency syndrome
adult
aged
Alzheimer disease
article
child
disabled person
health care planning
human
lifestyle
mental deficiency
mental disease
middle aged
role playing
technology
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
2940278 (http://www.ncbi.nlm.nih.gov/pubmed/2940278)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1173
TITLE
Educational and clinical perspectives in alcoholism.
AUTHOR NAMES
Naegle M.A.
AUTHOR ADDRESSES
(Naegle M.A.)
CORRESPONDENCE ADDRESS
M.A. Naegle,
SOURCE
NLN publications (1985) :41-1985 (124-129). Date of Publication: Sep 1985
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
article
curriculum
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3852208 (http://www.ncbi.nlm.nih.gov/pubmed/3852208)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1174
TITLE
The drug user as a parent
AUTHOR NAMES
Lief N.R.
AUTHOR ADDRESSES
(Lief N.R.) Center for Comprehensive Health Practice, New York Medical
College, New York, NY 10029
CORRESPONDENCE ADDRESS
Center for Comprehensive Health Practice, New York Medical College, New
York, NY 10029
SOURCE
International Journal of the Addictions (1985) 20:1 (63-97). Date of
Publication: 1985
ISSN
0020-773X
ABSTRACT
This paper describes a program developed at New York Medical College and in
practice since 1975. Supported by a grant from the National Institute on
Drug Abuse, the program deals with the addicted mother or addicted
mother-to-be. She is seen as early in her pregnancy as contact can be made,
usually by the second trimester. She is then followed throughout the rest of
her pregnancy and delivered by a member of the staff at an affiliated
hospital. Following delivery she and the child continue to receive medical,
social, counseling, and psychiatric services; and in addition, she must
attend parenting classes for the next 3 years until the child is in nursery
school. The program is called the Pregnant Addicts/Addicted Mothers program
and is hereafter referred to as PAAM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
parent
pregnancy
EMTREE MEDICAL INDEX TERMS
central nervous system
clinical article
human
intoxication
therapy
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985110355
MEDLINE PMID
3888862 (http://www.ncbi.nlm.nih.gov/pubmed/3888862)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1175
TITLE
Factors associated with public health nurses' perceptions of skill in
chemical dependency assessment and referral
AUTHOR NAMES
Reynolds B.
Ried L.D.
AUTHOR ADDRESSES
(Reynolds B.; Ried L.D.) College of Pharmacy, University of
Minnesota/Minneapolis, MN
CORRESPONDENCE ADDRESS
College of Pharmacy, University of Minnesota/Minneapolis, MN
SOURCE
Journal of Drug Education (1985) 15:1 (23-32). Date of Publication: 1985
ISSN
0047-2379
ABSTRACT
A public health nursing agency initiated plans to develop a program to
improve nurses' skill in obtaining and evaluating drug-taking behavior and
to improve nurses' actual referral behavior. The first step in the
development of the program was identification of factors associated with
nurses' perception of their assessment skill and their actual referral
behavior. Level for formal education and 'personal' experience with
chemically dependent, significant others were not associated with nurses'
perceptions of assessment skills. Participation in continuing education
classes or workshops, years since graduation, and 'working' experience were
associated with nurses' perceptions. When joint influences were examined,
chemical dependency classes, 'personal' and 'working' experience and years
since graduation were all shown to have independent effects upon nurses'
rates of referral. The predictor variables accounted for 41 percent of the
variance in the perception of skill model and 22 percent of the referral
rate model. It is concluded that in addition to chemical dependency classes,
experiential training is needed in the training of public health nurses.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
nurse
public health
EMTREE MEDICAL INDEX TERMS
diagnosis
education
experience
human
organization and management
social aspect
theoretical study
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985097283
MEDLINE PMID
4020586 (http://www.ncbi.nlm.nih.gov/pubmed/4020586)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1176
TITLE
Chemical dependency: nursing faculty and students are not immune.
AUTHOR NAMES
Griffin J.
AUTHOR ADDRESSES
(Griffin J.)
CORRESPONDENCE ADDRESS
J. Griffin,
SOURCE
Deans Notes (1985) 6:5 (1-3). Date of Publication: May 1985
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (rehabilitation)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
licensing
social behavior
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3845851 (http://www.ncbi.nlm.nih.gov/pubmed/3845851)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1177
TITLE
Drug use and misuse in chronic pain patients
AUTHOR NAMES
Sammons E.E.
AUTHOR ADDRESSES
(Sammons E.E.) Rehabilitation Medicine, Emory University Pain Control
Center, Atlanta, GA 30322
CORRESPONDENCE ADDRESS
Rehabilitation Medicine, Emory University Pain Control Center, Atlanta, GA
30322
SOURCE
Clinics in Anaesthesiology (1985) 3:1 (169-181). Date of Publication: 1985
ISSN
0261-9881
ABSTRACT
Narcotic and tranquillizer abuse is extremely common in chronic pain
patients and continued drug use is an insurmountable barrier to adequate
pain rehabilitation. Proper drug use assessment and withdrawal techniques
are essential, and some patients should be hospitalized for safe withdrawal.
Proper education of the nursing staff is essential for adequate
detoxification management. Alternative techniques for pain control provide
an invaluable support during the very difficult time of drug withdrawal for
the patient.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
acetylsalicylic acid
alcohol
alprazolam
amitriptyline
barbituric acid derivative
bromine derivative
butorphanol
caffeine
carbamazepine
carisoprodol
chloral hydrate
chlordiazepoxide
chlorpromazine
clorazepate
codeine
corticosteroid
cyclobenzaprine
dextropropoxyphene
dextropropoxyphene napsilate
dextropropoxyphene plus paracetamol
diazepam
doxepin
flurazepam
hydromorphone
lorazepam
methadone
methocarbamol
morphine
nalbuphine
naloxone
narcotic analgesic agent
oxazepam
oxycodone
paracetamol
pentazocine
pethidine
phenacetin
phenobarbital
phenytoin
prazepam
salsalate
temazepam
tranquilizer
triazolam
tricyclic antidepressant agent
EMTREE DRUG INDEX TERMS
darvacet
unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adverse drug reaction
chronic pain
drug abuse
drug comparison
drug overdose
drug withdrawal
neurotoxicity
withdrawal syndrome
EMTREE MEDICAL INDEX TERMS
central nervous system
human
intoxication
nervous system
short survey
therapy
DRUG TRADE NAMES
aspirin
darvacet
disalcid
distalgesic
nubain
talwin
CAS REGISTRY NUMBERS
acetylsalicylic acid (493-53-8, 50-78-2, 53663-74-4, 53664-49-6, 63781-77-1)
alcohol (64-17-5)
alprazolam (28981-97-7)
amitriptyline (50-48-6, 549-18-8)
butorphanol (42408-82-2)
caffeine (30388-07-9, 58-08-2)
carbamazepine (298-46-4, 8047-84-5)
carisoprodol (78-44-4)
chloral hydrate (302-17-0)
chlordiazepoxide (438-41-5, 58-25-3)
chlorpromazine (50-53-3, 69-09-0)
clorazepate (20432-69-3, 23887-31-2)
codeine (76-57-3)
cyclobenzaprine (303-53-7, 6202-23-9)
dextropropoxyphene napsilate (17140-78-2)
dextropropoxyphene plus paracetamol (39400-85-6)
dextropropoxyphene (1639-60-7, 469-62-5)
diazepam (439-14-5)
doxepin (1229-29-4, 1668-19-5)
flurazepam (1172-18-5, 17617-23-1)
hydromorphone (466-99-9, 71-68-1)
lorazepam (846-49-1)
methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
methocarbamol (532-03-6)
morphine (52-26-6, 57-27-2)
nalbuphine (20594-83-6, 23277-43-2)
naloxone (357-08-4, 465-65-6)
oxazepam (604-75-1)
oxycodone (124-90-3, 76-42-6)
paracetamol (103-90-2)
pentazocine (359-83-1, 64024-15-3)
pethidine (28097-96-3, 50-13-5, 57-42-1)
phenacetin (62-44-2)
phenobarbital (50-06-6, 57-30-7, 8028-68-0)
phenytoin (57-41-0, 630-93-3)
prazepam (2955-38-6)
salsalate (552-94-3)
temazepam (846-50-4)
triazolam (28911-01-5)
EMBASE CLASSIFICATIONS
Neurology and Neurosurgery (8)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Adverse Reactions Titles (38)
Drug Literature Index (37)
Psychiatry (32)
Clinical and Experimental Pharmacology (30)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1985066320
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1178
TITLE
Pre-professional and substance abuse: how are nursing educators handling the
problem?
AUTHOR NAMES
Sheverbush J.
Kerle D.
AUTHOR ADDRESSES
(Sheverbush J.; Kerle D.)
CORRESPONDENCE ADDRESS
J. Sheverbush,
SOURCE
The Kansas nurse (1985) 60:4 (16). Date of Publication: Apr 1985
ISSN
0022-8710
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
patient referral
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3846001 (http://www.ncbi.nlm.nih.gov/pubmed/3846001)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1179
TITLE
Impairment and the student of nursing.
AUTHOR NAMES
Haack M.R.
AUTHOR ADDRESSES
(Haack M.R.)
CORRESPONDENCE ADDRESS
M.R. Haack,
SOURCE
Imprint (1985) 32:3 (61-62). Date of Publication: 1985 Apr-May
ISSN
0019-3062
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
mental stress
nursing student
EMTREE MEDICAL INDEX TERMS
alcoholism
article
drinking behavior
human
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
3845050 (http://www.ncbi.nlm.nih.gov/pubmed/3845050)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1180
TITLE
Drinking patterns among student nurses
AUTHOR NAMES
Haack M.R.
Harford T.C.
AUTHOR ADDRESSES
(Haack M.R.; Harford T.C.) University of Illinois at the Medical Center,
Chicago, IL 60612
CORRESPONDENCE ADDRESS
University of Illinois at the Medical Center, Chicago, IL 60612
SOURCE
International Journal of the Addictions (1984) 19:5 (577-583). Date of
Publication: 1984
ISSN
0020-773X
ABSTRACT
The present study examined the use of alcohol among student nurses in a
senior class of a college of nursing. A majority of the students indicated a
stable pattern of alcohol use, and 13% reported alcohol-related problems
either at school or at work.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
EMTREE MEDICAL INDEX TERMS
adult
central nervous system
clinical article
human
intoxication
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
Occupational Health and Industrial Medicine (35)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1984238688
MEDLINE PMID
6333400 (http://www.ncbi.nlm.nih.gov/pubmed/6333400)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1181
TITLE
Attitude change and a prison health care experience.
AUTHOR NAMES
Werlin E.L.
O'Brien E.
AUTHOR ADDRESSES
(Werlin E.L.; O'Brien E.)
CORRESPONDENCE ADDRESS
E.L. Werlin,
SOURCE
The Journal of nursing education (1984) 23:9 (393-397). Date of Publication:
Nov 1984
ISSN
0148-4834
ABSTRACT
Nursing in a prison setting has recently emerged as a field of concern. One
of the issues in staff working with prisoners is attitudes and attitude
change. Since the most favorable site for attitude formation and/or change
is a student's educational experience, the present study was undertaken to
explore if nursing students who have a clinical experience with prisoners
will demonstrate a change toward more favorable attitudes toward prisoners.
The research design was a pre-test, post-test control group design. The
instrument was a Likert scale, adapted from previously developed scales
dealing with attitudes toward prisoners, the mentally ill, and drug addicts.
An important control was contained in the instrument, in that not only were
there statements dealing with prisoners, but also dealing with the mentally
ill and addicts, with whom none of the students would have student clinical
experience. The results revealed that there was no significant difference in
attitudes toward prisoners, drug addicts, and the mentally ill on the
pre-test for either experimental or control group. However, on the
post-test, there was a significantly lower (more positive) score on the
scale for prisoners for the experimental group, who had a prison clinical
experience. This finding suggests that attitudes can be favorably altered by
a relevant student clinical experience.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
nursing student
prisoner
EMTREE MEDICAL INDEX TERMS
addiction
article
epidemiology
human
juvenile delinquency
mental disease
primary health care
psychologic test
psychological aspect
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6094767 (http://www.ncbi.nlm.nih.gov/pubmed/6094767)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1182
TITLE
The phenomenon, the explanations and the responses: metaphors surrounding
diabetes in urban Canadian Indians.
AUTHOR NAMES
Hagey R.
AUTHOR ADDRESSES
(Hagey R.)
CORRESPONDENCE ADDRESS
R. Hagey,
SOURCE
Social science & medicine (1982) (1984) 18:3 (265-272). Date of Publication:
1984
ISSN
0277-9536
ABSTRACT
Type II Diabetes is a growing problem among Indian people in Canada. Ojibway
and Cree leaders in Toronto collaborated with the University of Toronto,
Faculty of Nursing, to develop the Native Diabetes Program. A key to the
success of the program was seen by Natives to be the story 'Nanabush and the
Pale Stranger', which seemed to put into perspective the nature of diabetes
as a phenomenon. It provided explanations for it and answered numerous
questions (non-biological) associated with the disease and indicated
appropriate coping strategies. Yet formal methods of analyzing the story
would not reveal its benefit as there is no explicit reference to many of
the questions it implicitly answers. Metaphoric relationships are
illuminated which may provide an underlying rationality to the narrative.
Cultural expression is advocated as a source of making meaningful and
tolerable that which is feared and avoided; of generating metaphors which
make health information understandable and useful, by providing resolution
to conflicting systems of belief. Information does not come in discreet
ingestible particles of fact. All information is a sort of propaganda in
that it is tied to deeper meaning structures. Clinicians are architects of
meaning construction. Clinical research and practice requires a knowledge of
the folk and professional construction of meaning around so-called factual
information.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
American Indian
ethnic group
non insulin dependent diabetes mellitus (epidemiology, etiology, prevention)
EMTREE MEDICAL INDEX TERMS
alcoholism
article
Canada
health service
human
language
urban population
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6701570 (http://www.ncbi.nlm.nih.gov/pubmed/6701570)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1183
TITLE
RCN calls for specialist nurses in each DHA. College evidence to inquiry on
misuse of drugs.
AUTHOR NAMES
Ellis S.
AUTHOR ADDRESSES
(Ellis S.)
CORRESPONDENCE ADDRESS
S. Ellis,
SOURCE
Nursing standard : official newspaper of the Royal College of Nursing (1984)
:382 (3). Date of Publication: 31 Jan 1984
ISSN
0029-6570
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
community health nursing
nursing
EMTREE MEDICAL INDEX TERMS
article
human
organization and management
United Kingdom
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6569998 (http://www.ncbi.nlm.nih.gov/pubmed/6569998)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1184
TITLE
Education: alcohol dependency nursing.
AUTHOR NAMES
Duncan S.
AUTHOR ADDRESSES
(Duncan S.)
CORRESPONDENCE ADDRESS
S. Duncan,
SOURCE
Nursing mirror (1983) 157:25 (50). Date of Publication: 1983 Dec 21-28
ISSN
0029-6511
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6558662 (http://www.ncbi.nlm.nih.gov/pubmed/6558662)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1185
TITLE
Substance abuse: Alcohol and drugs during adolescence
AUTHOR NAMES
Pallikkathayil L.
Tweed S.
AUTHOR ADDRESSES
(Pallikkathayil L.; Tweed S.) Sch. Nurs., Univ. Kansas, Kansas City, KS
66103
CORRESPONDENCE ADDRESS
Sch. Nurs., Univ. Kansas, Kansas City, KS 66103
SOURCE
Nursing Clinics of North America (1983) 18:2 (313-321). Date of Publication:
1983
ISSN
0029-6465
ABSTRACT
Adolescent substance abuse is a problem of great magnitude. It inhibits the
individual's potential for total growth and achievement or fulfillment. It
further strains family communications and relationships. Society at large
suffers the negative consequences of adolescent abuse. This problem of
adolescent substance abuse has attracted the attention of varied
professions. Nursing is one among them. Nurses in their different
educational backgrounds and in their unique roles in varied settings can
contribute much to the prevention and intervention efforts of substance
abuse among adolescents.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
drug abuse
EMTREE MEDICAL INDEX TERMS
adolescent
central nervous system
etiology
human
nursing
psychological aspect
symposium
therapy
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983173106
MEDLINE PMID
6552543 (http://www.ncbi.nlm.nih.gov/pubmed/6552543)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1186
TITLE
Drug awareness: a school nurse role.
AUTHOR NAMES
Parcell J.
AUTHOR ADDRESSES
(Parcell J.)
CORRESPONDENCE ADDRESS
J. Parcell,
SOURCE
Texas nursing (1983) 57:2 (12). Date of Publication: Feb 1983
ISSN
0095-036X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (prevention)
school health nursing
EMTREE MEDICAL INDEX TERMS
article
child
health education
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6401020 (http://www.ncbi.nlm.nih.gov/pubmed/6401020)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1187
TITLE
The student has a problem: whose responsibility.
AUTHOR NAMES
O'Leary P.M.
Solari-Twadell P.A.
AUTHOR ADDRESSES
(O'Leary P.M.; Solari-Twadell P.A.)
CORRESPONDENCE ADDRESS
P.M. O'Leary,
SOURCE
Nurse Educators Opportunities And Innovations (1983) (1-2, 4). Date of
Publication: Jan 1983
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
social behavior
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6551755 (http://www.ncbi.nlm.nih.gov/pubmed/6551755)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1188
TITLE
Training health professionals in substance abuse: A review
AUTHOR NAMES
Ewan C.E.
Whaite A.
AUTHOR ADDRESSES
(Ewan C.E.; Whaite A.) Univ. New South Wales, Kensington, NSW 2033
CORRESPONDENCE ADDRESS
Univ. New South Wales, Kensington, NSW 2033
SOURCE
International Journal of the Addictions (1982) 17:7 (1211-1229). Date of
Publication: 1982
ISSN
0020-773X
ABSTRACT
Alcohol- and drug-related problems are a major component of the work of
health professionals. Most professionals are inadequately trained to handle
the problems they will confront in this field. The need for training in
aspects of substance abuse is widely accepted. This paper is a review of
reports of such training programs in English-speaking countries. The
programs have been reviewed in four categories: (1) courses for
practitioners and teachers of health professionals, (2) courses for medical
students, (3) courses for nurses and nursing students, and (4) courses for
other health professionals. Many programs have achieved their objectives,
but documentation for many of them is insufficient to provide guidance for
future program development. In general, knowledge gain is easily
demonstrated, but changes in attitudes and skills require special conditions
in training.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
health care
medical personnel
EMTREE MEDICAL INDEX TERMS
education
human
normal human
short survey
therapy
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1983007149
MEDLINE PMID
6757156 (http://www.ncbi.nlm.nih.gov/pubmed/6757156)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1189
TITLE
Mexico's San Rafael community mental health center: Six years of progress
AUTHOR NAMES
Calderon G.
AUTHOR ADDRESSES
(Calderon G.) San Rafael Community Ment. Health Cent., Tlalpan, Mexico, D.F.
14000
CORRESPONDENCE ADDRESS
San Rafael Community Ment. Health Cent., Tlalpan, Mexico, D.F. 14000
SOURCE
Bulletin of the Pan American Health Organization (1982) 16:1 (17-27). Date
of Publication: 1982
ISSN
0085-4638
ABSTRACT
In 1974 Mexico undertook a substantial pilot mental health program in the
Federal District subdivision of Tlalpan. The program sought to incorporate
mental health activities into the field of public health by establishing
appropriate coordination between academic institutions, government agencies,
and private organizations. Facilities for the program's headquarters were
made available by the private San Rafael Clinic, a 200 bed hospital in
Tlalpan. No specific funding was provided for this program, because it was
felt that starting with minimal resources would make it more adaptable to
other developing areas where resources are very scarce. To help gain the
attention of appropriate institutions, a course in community mental health
work was conducted for representatives of institutions likely to be
interested in the program; and through this and other means the
collaboration of many institutions was obtained. By mid-1980 the program's
activities were being coordinated with a wide range of academic institutions
(including both local schools in the Tlalpan area and universities training
mental health professionals outside Tlalpan), health services, and civic
organizations. Employing supervised students of medicine, psychology,
nursing, and social work, the program has conducted some eight community
projects directed at primary prevention of mental health problems. These
projects, operating through community meetings, have dealt with the
following subjects: the program's overall objectives, sex education,
behavior and learning problems, alcoholism, drug dependence, adolescence,
human relations, and epilepsy. These projects, especially the sex education
and behavior and learning problem projects, have produced marked positive
results. The projects have also made it possible to detect many mental
health problems early and to provide treatment through consultations at the
program's San Rafael Center. Overall, between mid-1975 and the end of 1980
the center provided over 17,000 such consultations, all virtually free of
charge. The center also initiated a two-year course of psychotherapy,
through which university-trained mental health professionals received
training in this field and provided free care for patients in the community.
Overall, these and other students, together with a number of graduate
psychiatrists and psychologists, provided more than 5,500 psychotherapeutic
treatments for adults, children, families, or groups in 1976-1980. Again,
fees for these services were kept extremely low. The center has also
participated in a three-country study of community responses to
alcohol-related problems sponsored by the World Health Organization. This
undertaking was especially notable because previous Mexican research into
psychiatry and social psychology problems had been limited. In general, the
program has made extensive use of teaching and training activities to
attract mental health students, who in turn have contributed in a wide range
of ways to the improvement of community mental health. The marked success
achieved to date suggests this experience could provide a worthwhile model
for other countries and regions where community mental health needs are
great and resources are very limited.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
community mental health
mental health center
EMTREE MEDICAL INDEX TERMS
geographic distribution
Mexico
psychological aspect
short survey
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982185396
MEDLINE PMID
7074253 (http://www.ncbi.nlm.nih.gov/pubmed/7074253)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1190
TITLE
The influence of music on psychiatric patients' immediate attitude change
toward therapists.
AUTHOR NAMES
Kahans D.
Calford M.B.
AUTHOR ADDRESSES
(Kahans D.; Calford M.B.)
CORRESPONDENCE ADDRESS
D. Kahans,
SOURCE
Journal of music therapy (1982) 19:3 (179-187). Date of Publication: 1982
Fall
ISSN
0022-2917
ABSTRACT
This study was undertaken to establish that in an audience situation, music
may facilitate an immediate attitude change toward a therapist by patients.
To determine the characteristics of such a change, recorded (popular and
classical) and live (cello) music was employed. A semantic differential was
used to measure attitude change by psychiatric inpatients and control
subjects (medical students and student nurses). Significant attitude change
were found when the music presented was the preference of the therapist and
when this preference was conveyed to the audience. Patient breakdown into
diagnostic categories also showed that patients with affective or alcoholic
disorders showed significantly larger attitude change than the controls.
Results are discussed in terms of cognitive consistency theories of attitude
change, concluding that maximal attitude change toward a therapist occurs
under conditions in which the therapist presents new aspects of behavior (in
terms of previous exposure) to the patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
human relation
music therapy
psychotherapy
EMTREE MEDICAL INDEX TERMS
analysis of variance
article
attitude
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10256728 (http://www.ncbi.nlm.nih.gov/pubmed/10256728)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1191
TITLE
Medical, nursing, and pharmacy students' attitudes towards alcoholism in
Queensland, Australia
AUTHOR NAMES
Engs R.C.
AUTHOR ADDRESSES
(Engs R.C.) Dep. Hlth Safety Educ., Indiana Univ., Bloomington, IN 47405
CORRESPONDENCE ADDRESS
Dep. Hlth Safety Educ., Indiana Univ., Bloomington, IN 47405
SOURCE
Alcoholism: Clinical and Experimental Research (1982) 6:2 (225-229). Date of
Publication: 1982
ISSN
0145-6008
ABSTRACT
On the whole, the medical, nursing, and pharmacy students in this sample had
more negative feelings towards alcoholics and the cause of alcoholism
compared to the American students who were the norm for the instrument.
Medical and pharmacy students were less apt to ascribe a psychological
etiology to alcoholism and all groups were more socially rejecting and less
humanistic towards the alcoholic compared to the norm. They also felt that
alcoholism was more of a moral weakness and less of physical-genetic problem
compared to the norm. Though the differences were statistically significant
for most of the groups, they were under one scale point which might not have
practical significance in terms of interaction on the part of these
individuals with alcoholic persons. However, the results could indicate hat
these students have attitudes towards alcoholics which could cause them
problems with referrals and treatment interactions in their professional
capacity. It was interesting that no significant differences between the
different courses of study was found. This appears to be contrary to other
reports from other countries. Perhaps medical-related students in Australia
are more homogeneous due to similar backgrounds arising from living in a
small country with less divergent ethnic backgrounds compared to larger
nations. Final year students tended to be more negativistic on several
scales compared to first year students which appears to support other
studies which have also reported that students become more negativistic
towards alcohol-dependent persons as they go through their course of study.
Last year medical and nursing students were less likely to see alcoholism as
having a physical-genetic basis, and last year medical students were less
apt to view it as a treatable illness compared to the first year students in
these groups. However, pharmacy students in their final year of school were
more apt to envision alcoholism as a psychological problem, and final year
medical students less likely to view alcoholism as a moral weakness. There
was no change for any group on being less socially rejecting or more
humanistic towards alcoholic persons due to the existing course curriculum
for individuals in their last year of study.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
student
EMTREE MEDICAL INDEX TERMS
central nervous system
normal human
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1982147168
MEDLINE PMID
7048975 (http://www.ncbi.nlm.nih.gov/pubmed/7048975)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1192
TITLE
Alcohol education for nurses.
AUTHOR NAMES
Smith-DiJulio K.
AUTHOR ADDRESSES
(Smith-DiJulio K.)
CORRESPONDENCE ADDRESS
K. Smith-DiJulio,
SOURCE
Alcohol health and research world (1981) 5:3 (68-71). Date of Publication:
1981 Spring
ISSN
0090-838X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
nursing staff
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10251678 (http://www.ncbi.nlm.nih.gov/pubmed/10251678)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1193
TITLE
Education of nurses to recognise problem drinkers.
AUTHOR NAMES
Thornton L.
AUTHOR ADDRESSES
(Thornton L.)
CORRESPONDENCE ADDRESS
L. Thornton,
SOURCE
The New Zealand nursing journal. Kai tiaki (1981) 74:2 (9, 36). Date of
Publication: Feb 1981
ISSN
0028-8535
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
nursing assessment
nursing process
EMTREE MEDICAL INDEX TERMS
article
counseling
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6941117 (http://www.ncbi.nlm.nih.gov/pubmed/6941117)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1194
TITLE
Teaching drug promotion abuses to health profession students
AUTHOR NAMES
Palmisano P.
Edelstein J.
AUTHOR ADDRESSES
(Palmisano P.; Edelstein J.) Univ. Alabama Sch. Med., Birmingham, Ala.
CORRESPONDENCE ADDRESS
Univ. Alabama Sch. Med., Birmingham, Ala.
SOURCE
Journal of Medical Education (1980) 55:5 (453-455). Date of Publication:
1980
ISSN
0022-2577
ABSTRACT
Over the past 10 years a series of seminars on prescription drug promotion
have been conducted for medical students, dental students, and pediatric
residents at the University of Alabama Medical Center by one of the authors
(PP). More recently, these seminars have been incorporated into both the
core curriculum and continuing education programs for family planning nurse
practitioners in a California pilot program through which they are trained
and certified to prescribe formulary drugs and devices. The format is
designed to dramatize the practitioner-media interaction with particular
emphasis on potential conflicts of interest. A special attitude pretest was
recently introduced as a teaching instrument. The purpose of this
communication is to outline the seminar content with special stress on the
remarkable results of the attitude pretest.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical student
paramedical education
EMTREE MEDICAL INDEX TERMS
economic aspect
methodology
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980221793
MEDLINE PMID
7381888 (http://www.ncbi.nlm.nih.gov/pubmed/7381888)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1195
TITLE
Use of the adolescent peer group to increase the self-care agency of
adolescent alcohol abusers
AUTHOR NAMES
Michael M.M.
Sewall K.S.
AUTHOR ADDRESSES
(Michael M.M.; Sewall K.S.) Dept. Nurs. George Mason Univ., Fairfax, Va.
CORRESPONDENCE ADDRESS
Dept. Nurs. George Mason Univ., Fairfax, Va.
SOURCE
Nursing Clinics of North America (1980) 15:1 (157-176). Date of Publication:
1980
ISSN
0029-6465
ABSTRACT
Use of the peer group based on reality therapy was an effective modality for
increasing the self-care agency of selected adolescents. The focus of the
group was to change behavior and was oriented to the present. (Present
orientation is a crucial component of reality therapy and must be
continually reassessed to maintain the focus of the group). Adolescents can
and do respond in this re-educative group, learning responsible behavior.
Nurses have a major responsibility in the teaching-learning process. In
fact, teaching is an especially useful method of assistance available to
nurses in group work. The adolescent group serves as an instrument for
teaching, a support system, and an agent of change.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
alcoholism
self care
EMTREE MEDICAL INDEX TERMS
adolescent
central nervous system
therapy
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980209464
MEDLINE PMID
6899200 (http://www.ncbi.nlm.nih.gov/pubmed/6899200)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1196
TITLE
Alcohol education program: a benefit for you.
AUTHOR NAMES
Redding W.L.
AUTHOR ADDRESSES
(Redding W.L.)
CORRESPONDENCE ADDRESS
W.L. Redding,
SOURCE
The Oklahoma nurse (1980) 25:9 (3). Date of Publication: Nov 1980
ISSN
0030-1787
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
nursing education
patient education
EMTREE MEDICAL INDEX TERMS
article
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6904938 (http://www.ncbi.nlm.nih.gov/pubmed/6904938)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1197
TITLE
A survey of the abuse of medicines and illicit drugs by Finnish students
AUTHOR NAMES
Kopteff P.J.
AUTHOR ADDRESSES
(Kopteff P.J.) Dept. Publ. Hlth Sci., Univ. Turku, SF-20520 Turku 52
CORRESPONDENCE ADDRESS
Dept. Publ. Hlth Sci., Univ. Turku, SF-20520 Turku 52
SOURCE
International Journal of the Addictions (1980) 15:2 (269-275). Date of
Publication: 1980
ISSN
0020-773X
ABSTRACT
The purpose of the investigation was to determine the extent of the abuse of
medicines (sedatives, hypnotics, and analgesics) and illicit drugs
(cannabis, LSD, and amphetamine) among Finnish students. The information was
collected from a sample representing a population of approximately 6,400
Finnish students. The population was divided into three groups: university
students, nursing students, and drama students. Abuse of medicines and
illicit drugs was highest throughout among drama students. Illicit drugs
were less widely abused among Finnish university students than among
students in the United States. As in the United States, cannabis is the
illicit drug most commonly taken by Finnish students. Five percent of
Finnish university students had taken illicit drugs. Among Finnish drama
students, the rate was 38%.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse pattern
student
EMTREE MEDICAL INDEX TERMS
epidemiology
geographic distribution
major clinical study
nervous system
EMBASE CLASSIFICATIONS
Drug Dependence, Alcohol Abuse and Alcoholism (40)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980138272
MEDLINE PMID
7399757 (http://www.ncbi.nlm.nih.gov/pubmed/7399757)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1198
TITLE
Alcohol education: early case identification--the profit of an accurate
nursing assessment.
AUTHOR NAMES
McMillen M.
AUTHOR ADDRESSES
(McMillen M.)
CORRESPONDENCE ADDRESS
M. McMillen,
SOURCE
The Oklahoma nurse (1980) 25:1 (8). Date of Publication: 1980 Jan-Feb
ISSN
0030-1787
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (diagnosis)
health education
nursing assessment
nursing process
EMTREE MEDICAL INDEX TERMS
article
human
patient education
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6898301 (http://www.ncbi.nlm.nih.gov/pubmed/6898301)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1199
TITLE
Changing nursing students' attitudes toward alcoholic patients: examining
effects of a clinical practicum.
AUTHOR NAMES
Harlow P.E.
Goby M.J.
AUTHOR ADDRESSES
(Harlow P.E.; Goby M.J.)
CORRESPONDENCE ADDRESS
P.E. Harlow,
SOURCE
Nursing research (1980) 29:1 (59-60). Date of Publication: 1980 Jan-Feb
ISSN
0029-6562
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (epidemiology)
nursing student
EMTREE MEDICAL INDEX TERMS
article
comparative study
curriculum
evaluation study
health personnel attitude
human
nursing
nursing education
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
6898036 (http://www.ncbi.nlm.nih.gov/pubmed/6898036)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1200
TITLE
Reducing abuse potential and controlled drug management
AUTHOR NAMES
Ward C.F.
AUTHOR ADDRESSES
(Ward C.F.) Dept. Anesth., Univ. California, San Diego, Calif.
CORRESPONDENCE ADDRESS
Dept. Anesth., Univ. California, San Diego, Calif.
SOURCE
Anesthesiology (1979) 51:3 SUPPL (S347). Date of Publication: 1979
ISSN
0003-3022
ABSTRACT
A new solution to the problem of dispensing controlled drugs to residents
and nurse anesthetists was arrived at in the UCSD Hospital in October 1978.
Prior to that date, the resident/CRNA who gave the anesthetic obtained the
drugs, filled out the narcotic log, gave the drugs, returned unopened
ampules (with a note in the narcotic log) and wasted the remains of opened
ampules. This system presented numerous deficiencies, led to poor record
keeping and presented a drug abuse potential because of the lack of
accountability and the attitude that this was a matter of minimal
significance. Therefore, a system was evolved to correct this, cost analysis
of the system performed, and the impact on anesthetic practice of increased
restriction on the use of narcotics examined.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
anesthesia
drug abuse
drug control
prescription
EMTREE MEDICAL INDEX TERMS
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Anesthesiology (24)
Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1980024242
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1201
TITLE
Student learning following an educational experience at an alcohol
Rehabilitation Centre in Saskatoon, Saskatchewan, Canada.
AUTHOR NAMES
Sorgen L.M.
AUTHOR ADDRESSES
(Sorgen L.M.)
CORRESPONDENCE ADDRESS
L.M. Sorgen,
SOURCE
International journal of nursing studies (1979) 16:1 (41-50). Date of
Publication: 1979
ISSN
0020-7489
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
learning
nursing education
nursing student
rehabilitation center
EMTREE MEDICAL INDEX TERMS
article
Canada
evaluation study
female
health personnel attitude
human
male
nurse patient relationship
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
254655 (http://www.ncbi.nlm.nih.gov/pubmed/254655)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1202
TITLE
Nursing students' social acceptance of recovered alcoholics.
AUTHOR NAMES
Estes N.J.
Gurel M.
AUTHOR ADDRESSES
(Estes N.J.; Gurel M.)
CORRESPONDENCE ADDRESS
N.J. Estes,
SOURCE
Alcohol health and research world (1979) 3:4 (31-32). Date of Publication:
1979 Summer
ISSN
0090-838X
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nurse patient relationship
nursing student
EMTREE MEDICAL INDEX TERMS
article
health personnel attitude
human
nursing
psychological aspect
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
10242433 (http://www.ncbi.nlm.nih.gov/pubmed/10242433)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1203
TITLE
Children of alcoholic parents: a neglected issue.
AUTHOR NAMES
Triplett J.L.
Arneson S.W.
AUTHOR ADDRESSES
(Triplett J.L.; Arneson S.W.)
CORRESPONDENCE ADDRESS
J.L. Triplett,
SOURCE
The Journal of school health (1978) 48:10 (596-599). Date of Publication:
Dec 1978
ISSN
0022-4391
ABSTRACT
Little attention has been focused on the children of alcoholic families, and
the few studies that have been conducted indicate that these children are at
grave risk for developing long-lasting psychosocial and educational
problems. Their self-esteem suffers as a result of constant conflict,
inconsistency, and role confusion in the home, and it is also known that
academic performance and the ability to develop positive peer relationships
are also greatly affected. In an effort to determine the scope of this
problem, 51 Iowa school nurses attending an Annual School Nurse Conference
were queried about: a) their awareness of the problem, b) who should be
responsible for intervening with these children, and c) what the role of the
school nurse is in working with these youngsters. Based on their responses
as well as findings in the literature, suggestions regarding appropriate
nursing interventions are offered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
child welfare
parent
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
child
counseling
human
patient referral
self concept
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
252584 (http://www.ncbi.nlm.nih.gov/pubmed/252584)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1204
TITLE
The alcoholism nurse specialist.
AUTHOR NAMES
Cote W.
Roche M.
AUTHOR ADDRESSES
(Cote W.; Roche M.)
CORRESPONDENCE ADDRESS
W. Cote,
SOURCE
Supervisor nurse (1978) 9:12 (24-31). Date of Publication: Dec 1978
ISSN
0039-5870
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing discipline
patient education
EMTREE MEDICAL INDEX TERMS
aftercare
article
human
nursing
patient care planning
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
214875 (http://www.ncbi.nlm.nih.gov/pubmed/214875)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1205
TITLE
The knowledge, attitudes, and experience of medical personnel treating pain
in the terminally ill
AUTHOR NAMES
Charap A.D.
AUTHOR ADDRESSES
(Charap A.D.) Dept. Surg., Mount Sinai Sch. Med., City Univ. New York, N.Y.
CORRESPONDENCE ADDRESS
Dept. Surg., Mount Sinai Sch. Med., City Univ. New York, N.Y.
SOURCE
Mount Sinai Journal of Medicine (1978) 45:4 (561-580). Date of Publication:
1978
ISSN
0027-2507
ABSTRACT
A multiple choice, true/false survey was conducted to assess the knowledge,
attitudes, and experience of medical personnel engaged in the care of the
terminally ill. The questionnaire focused on the management of pain by
narcotic analgesics, especially the use of newer modalities of
pharmacotherapy. Surgical residents, Fellows in Neoplastic Disease and
Senior Clinical Nurses made up the sample population. The results indicated
a lack of knowledge of not only the newer methods of pain management, but
also of the fundamental principles governing analgesic therapy. Physicians
and nurses overestimated the risks and dangers of physical dependence and
addiction. They, however, assessed themselves as having sufficient
knowledge, with the assistance of senior staff, to deal with most problems
of terminal care. Surgical residents and nurses, in response to 'attitude'
questions, indicated that they believed that most patients are over- rather
than under-medicated. Although their aim in pain management was to provide
complete or near complete analgesia and they recognised the role of anxiety
in pain, their approach to analgesic therapy indicated a lack of knowledge
of strategies to minimize anxiety, thus preventing them from providing
optimal pain relief.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
chronic pain
neoplasm
terminal care
EMTREE MEDICAL INDEX TERMS
therapy
EMBASE CLASSIFICATIONS
Gerontology and Geriatrics (20)
Anesthesiology (24)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1979039299
MEDLINE PMID
81466 (http://www.ncbi.nlm.nih.gov/pubmed/81466)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1206
TITLE
Planning staff development: theory X, or theory Y?
AUTHOR NAMES
Bille D.A.
AUTHOR ADDRESSES
(Bille D.A.)
CORRESPONDENCE ADDRESS
D.A. Bille,
SOURCE
Journal of continuing education in nursing (1978) 9:6 (10-15). Date of
Publication: 1978 Nov-Dec
ISSN
0022-0124
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
in service training
motivation
nursing staff
EMTREE MEDICAL INDEX TERMS
article
education
human
nursing
patient care planning
theoretical model
LANGUAGE OF ARTICLE
English
MEDLINE PMID
251181 (http://www.ncbi.nlm.nih.gov/pubmed/251181)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1207
TITLE
Treating the alcoholic: a psychoeducational approach.
AUTHOR NAMES
Vansanten R.
AUTHOR ADDRESSES
(Vansanten R.)
CORRESPONDENCE ADDRESS
R. Vansanten,
SOURCE
The Canadian journal of psychiatric nursing (1978) 19:5 (10-12). Date of
Publication: 1978 Sep-Oct
ISSN
0008-4247
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (therapy)
patient education
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
article
human
psychotherapy
LANGUAGE OF ARTICLE
English
MEDLINE PMID
250439 (http://www.ncbi.nlm.nih.gov/pubmed/250439)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1208
TITLE
The continuing education needs of licensed practical nurses in Minnesota
AUTHOR NAMES
Morrison L.S.
AUTHOR ADDRESSES
(Morrison L.S.) Brigham Young Univ., Provo, Ut.
CORRESPONDENCE ADDRESS
Brigham Young Univ., Provo, Ut.
SOURCE
Abstracts of Hospital Management Studies (1978) 14:3 (18646NU). Date of
Publication: 1978
ABSTRACT
The purpose of this study was to determine the continuing education needs of
the licensed practical nurses in Minnesota as those needs were perceived by
licensed practical nurses and directors of nursing of hospitals and nursing
homes and to identify the differences, if any, between the perceptions of
the licensed practical nurse and the director of nursing regarding the
primary purpose of continuing education for the licensed practical nurse in
educational institutions. Questionnaires were sent to 784 licensed practical
nurses, to 190 directors of nursing of hospitals, and to 369 directors of
nursing of nursing homes. The continuing education needs of licensed
practical nurses in Minnesota included the following areas: Death and Dying,
Myocardial Infarction-Cardiovascular, Chemical Dependency, Patient
Education, Drug Interactions, Aging Process, Chronic Illness and Chronic
Brain Syndrome. The preferred presentation form was the workshop with
content emphasis on psycho-social concepts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
nursing education
EMTREE MEDICAL INDEX TERMS
economic aspect
psychological aspect
United States
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978316157
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1209
TITLE
Continuing education about alcoholism.
AUTHOR NAMES
Cooper S.S.
Murphy J.
AUTHOR ADDRESSES
(Cooper S.S.; Murphy J.)
CORRESPONDENCE ADDRESS
S.S. Cooper,
SOURCE
Journal of continuing education in nursing (1978) 9:2 (14-18). Date of
Publication: 1978 Mar-Apr
ISSN
0022-0124
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
article
human
nurse patient relationship
nursing
personnel management
LANGUAGE OF ARTICLE
English
MEDLINE PMID
246871 (http://www.ncbi.nlm.nih.gov/pubmed/246871)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1210
TITLE
JBCNS course number 620 in alcohol dependency nursing
AUTHOR NAMES
Speight I.M.
AUTHOR ADDRESSES
(Speight I.M.) Joint Board Clin. Nurs. Studies, London
CORRESPONDENCE ADDRESS
Joint Board Clin. Nurs. Studies, London
SOURCE
British Journal on Alcohol and Alcoholism (1977) 12:4 (152-160). Date of
Publication: 1977
ISSN
0309-1635
ABSTRACT
Legal background, aims and organization of a training course for alcohol
dependency nursing students in the UK are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing
nursing education
EMTREE MEDICAL INDEX TERMS
geographic distribution
legal aspect
United Kingdom
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978271252
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1211
TITLE
Differences in attitudes toward alcoholism in graduates of two schools of
nursing.
AUTHOR NAMES
Gurel M.
Spain M.D.
AUTHOR ADDRESSES
(Gurel M.; Spain M.D.)
CORRESPONDENCE ADDRESS
M. Gurel,
SOURCE
Psychological reports (1977) 41:3 pt. 2 (1285-1286). Date of Publication:
Dec 1977
ISSN
0033-2941
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health personnel attitude
nursing education
religion
EMTREE MEDICAL INDEX TERMS
article
comparative study
human
nursing
LANGUAGE OF ARTICLE
English
MEDLINE PMID
601159 (http://www.ncbi.nlm.nih.gov/pubmed/601159)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1212
TITLE
Selected characteristics of nursing students who study alcoholism
AUTHOR NAMES
Gurel M.
Livingston C.
Estes N.
AUTHOR ADDRESSES
(Gurel M.; Livingston C.; Estes N.) Univ. Washington Sch. Nurs., Seattle,
Wash. 98195
CORRESPONDENCE ADDRESS
Univ. Washington Sch. Nurs., Seattle, Wash. 98195
SOURCE
British Journal of Addiction (1977) 72:3 (235-240). Date of Publication:
1977
ISSN
0952-0481
ABSTRACT
Trainees enrolled in the alcoholism nursing program were found to have a
higher percentage of person(s) close to them with alcohol problems than a
control group. These close personal relationships influenced the trainees
decision to seek education about alcoholism. The majority of the trainees
who had a close relationship with an alcoholic person indicated that their
primary reason for enrolling in the alcoholism nursing program was their
lack of knowledge about alcoholism. For those trainees not influenced by
such experiences the primary reason for enrollment in the alcoholism nursing
program was almost equally divided between lack of alcoholism knowledge in
their education and availability of funds. In assessing the attitudes of
trainees and the control group who had a close relationship with persons who
had alcohol problems, it was found that in all instances but 1, the scores
on the 5 factors of the Alcoholism Questionnaire and 2 additional items were
more positive toward alcoholism for trainees at the beginning of their
alcoholism nursing program than for the control group.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
motivation
nursing
student
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978196749
MEDLINE PMID
270364 (http://www.ncbi.nlm.nih.gov/pubmed/270364)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1213
TITLE
Problems of children of school age (14-18 years)
AUTHOR ADDRESSES
SOURCE
(1977) (ICP/MCH 010 45p). Date of Publication: 1977
ABSTRACT
Because of the normal dysjunction between chronological age and biological,
psychological and social age found during this age period it is important to
teach the principles of adolescent growth and development to children (prior
to their puberty) and to all those involved with adolescents (parents,
teachers, nurses, physicians, social workers, etc.). For the same reason it
is important to use developmental age rather than chronological age as far
as possible in evaluating teenagers. More information is needed on sexual
development and sexuality during adolescence. More studies are needed on
adolescent pregnancy, abortion, childbirth, and parenthood. The nutritional
needs of adolescence are important but poorly understood. Each country must
determine the characteristics of smoking, alcohol abuse and drug abuse among
adolescents in its national territory and then develop its own programmes to
combat these problems based on its own information. As teenage suicide is
increasing in most of the European Region, each country needs adolescent
suicide prevention and treatment services. Occupational health programmes
for adolescents need to be broadly based and should aim at the optimum
suitability of jobs and the best vocational satisfaction. The role of the
school in adolescence is in need of reassessment, including its role in
preparation for a vocation, its role in preparation for family life, and its
relationship to substance abuse, juvenile delinquency and suicide.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescence
delinquency
drug abuse
family
physiology
pregnancy
school
sexual behavior
suicide
vocation
EMTREE MEDICAL INDEX TERMS
abstract report
adolescent
normal human
EMBASE CLASSIFICATIONS
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1978321749
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1214
TITLE
Nursing students in a juvenile court system.
AUTHOR NAMES
Chesnay M.
AUTHOR ADDRESSES
(Chesnay M.)
CORRESPONDENCE ADDRESS
M. Chesnay,
SOURCE
The Journal of nursing education (1977) 16:2 (19-23). Date of Publication:
Feb 1977
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
forensic psychiatry
juvenile delinquency
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
adolescent
alcoholism
article
counseling
curriculum
education
evaluation study
human
nursing
rehabilitation
social control
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14228 (http://www.ncbi.nlm.nih.gov/pubmed/14228)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1215
TITLE
Teen-age alcohol abuse.
AUTHOR NAMES
Bragg T.L.
AUTHOR ADDRESSES
(Bragg T.L.)
CORRESPONDENCE ADDRESS
T.L. Bragg,
SOURCE
Journal of psychiatric nursing and mental health services (1976) 14:12
(10-18). Date of Publication: Dec 1976
ISSN
0360-5973
ABSTRACT
In summary, we have seen that there isn't sufficient data available to
properly assess this problem, but from what exists we are fairly sure that
teen-age alcohol abuse is on the rise. We have also noted that there are
many area agencies for alcoholics, but that there is not much coordinated
effort, and essentially none for teen-agers. This is probably due to its
being a relatively new trend and that many people are apparently refusing to
admit that it exists. Also covered were possible causes for this new problem
and the various roles of nurses in prevention. These include school nurses,
public health nurses, and others in community and state politics, promotion
of new educational methods, family teaching both at home and in the
hospital, new responsibilities of the school nurse, and research. These are
challenging roles, but also very important considering that these teen-agers
who are flirting with trouble today will be rearing families and defining
social behavior tomorrow.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
adolescent
alcoholism (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
article
attitude
drinking behavior
human
parent
peer group
social change
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
186593 (http://www.ncbi.nlm.nih.gov/pubmed/186593)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1216
TITLE
Report of the Eighty first Session, Canberra, October, 1975
AUTHOR ADDRESSES
SOURCE
NAT.HLTH MRC SPEC.REP.SER. (1976) No. 81. Date of Publication: 1976
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
antibiotic agent
food additive
hormone
pesticide
poison
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
acupuncture
Aedes aegypti
agriculture
alcoholism
child health care
communicable disease
dental health
environmental health
health economics
health program
indigenous people
maternal welfare
medical education
medical research
mental health
microbiology
nursing
nutritional health
occupational health
radiation
smoking
standardization
statistics
traffic injury
EMTREE MEDICAL INDEX TERMS
arthropod
child
injury
microorganism
prevention
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1977186242
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1217
TITLE
An alcoholism training program: its effect on trainees and faculty.
AUTHOR NAMES
Gurel M.
AUTHOR ADDRESSES
(Gurel M.)
CORRESPONDENCE ADDRESS
M. Gurel,
SOURCE
Nursing research (1976) 25:2 (127-132). Date of Publication: 1976 Mar-Apr
ISSN
0029-6562
ABSTRACT
Evaluation of the effect of a three-year specialized training program in
alcoholism on opinions and attitudes of trainees and faculty members at the
University of Washington School of Nursing showed that the program
influenced both trainees and faculty in a positive direction. Trainees were
found to be more accepting of alcoholism as a disease and an increasing
number of faculty believed alcoholism-related courses should be a part of
the curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
animal
article
attitude
curriculum
dog
evaluation study
human
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1045241 (http://www.ncbi.nlm.nih.gov/pubmed/1045241)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1218
TITLE
The occupational health nurse's role in the corporate alcoholism program.
AUTHOR NAMES
Guida M.
AUTHOR ADDRESSES
(Guida M.)
CORRESPONDENCE ADDRESS
M. Guida,
SOURCE
Occupational health nursing (1976) 24:3 (22-24). Date of Publication: Mar
1976
ISSN
0029-7933
ABSTRACT
The problem of alcohol abuse among the nation's employees takes its toll in
countless ways -- in absenteeism, lost productivity, increased utilization
of health benefits and eventual loss of the employee's services. In all
cases both the employee and the employer lose. Like most other health
professionals, nurses have received little education in the care and
treatment of persons suffering with alcoholism or alcohol-related problems.
But with the appropriate training and the total commitment of her company,
she can be in a unique position to offer assistance to the alcoholic
employee. The seriousness of this problem today demands that all effective
means be utilized. We can no longer afford to mitigate or ignore the
occupational health nurse's valuable role in contributing to the success of
the corporate alcoholism program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (rehabilitation)
occupational health nursing
EMTREE MEDICAL INDEX TERMS
article
human
nursing
occupational health service
LANGUAGE OF ARTICLE
English
MEDLINE PMID
943744 (http://www.ncbi.nlm.nih.gov/pubmed/943744)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1219
TITLE
The impact of specialized training in alcoholism on management level
professionals
AUTHOR NAMES
Waring M.L.
AUTHOR ADDRESSES
(Waring M.L.) Sch. Soc. Work, Florida State Univ., Tallahassee, Fla. 32306
CORRESPONDENCE ADDRESS
Sch. Soc. Work, Florida State Univ., Tallahassee, Fla. 32306
SOURCE
J.STUD.ALCOHOL (1975) 36:3 (406-415). Date of Publication: 1975
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
medical education
nurse
social worker
EMTREE MEDICAL INDEX TERMS
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976089763
MEDLINE PMID
235684 (http://www.ncbi.nlm.nih.gov/pubmed/235684)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1220
TITLE
Student nurses and smoking: a survey
AUTHOR NAMES
Burk M.F.
Nilson G.T.
AUTHOR ADDRESSES
(Burk M.F.; Nilson G.T.) Maine Lung Ass., Brunswick, Me. 04011
CORRESPONDENCE ADDRESS
Maine Lung Ass., Brunswick, Me. 04011
SOURCE
Journal of the Maine Medical Association (1975) 66:10 (271-273). Date of
Publication: 1975
ABSTRACT
The level of smoking among the Maine student nurses surveyed in 1974
approximates that of a national random sample of professional nurses
surveyed in 1969, i.e., 37.3 percent. The survey reinforces, we think, the
need to incorporate a specific learning experience regarding cigarette
smoking and health in the nursing curriculum rather than assume that the
subject will be adequately covered within the regular nursing curriculum. A
resurvey of as many of the same student nurses as possible at the time of
graduation is planned in an attempt to assess the impact of the nurse
education program on smoking attitudes and habits. Analysis of significant
changes that are found may provide useful clues for improving the
educational program against smoking. Despite the relatively high percentage
of student nurses who smoke, it is encouraging to note their apparent
acceptance of the notion that nurses have a role in educating patients about
the effects of smoking and that they are interested in learning how to help
the patient with a smoking problem.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
smoking
statistics
EMTREE MEDICAL INDEX TERMS
intoxication
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976162946
MEDLINE PMID
1194769 (http://www.ncbi.nlm.nih.gov/pubmed/1194769)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1221
TITLE
Values clarification and the school nurse.
AUTHOR NAMES
Hopp J.W.
AUTHOR ADDRESSES
(Hopp J.W.)
CORRESPONDENCE ADDRESS
J.W. Hopp,
SOURCE
The Journal of school health (1975) 45:7 (410-413). Date of Publication: Sep
1975
ISSN
0022-4391
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
school health nursing
social psychology
EMTREE MEDICAL INDEX TERMS
addiction
adolescent
article
child
counseling
decision making
female
first aid
health education
human
male
methodology
teaching
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1041508 (http://www.ncbi.nlm.nih.gov/pubmed/1041508)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1222
TITLE
Alcoholism, drug abuse and drug addiction: a study of nursing education.
AUTHOR NAMES
Burkhalter P.
AUTHOR ADDRESSES
(Burkhalter P.)
CORRESPONDENCE ADDRESS
P. Burkhalter,
SOURCE
The Journal of nursing education (1975) 14:2 (30-36). Date of Publication:
Apr 1975
ISSN
0148-4834
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
alcoholism
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
adult
article
evaluation study
human
middle aged
questionnaire
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
236362 (http://www.ncbi.nlm.nih.gov/pubmed/236362)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1223
TITLE
Multi-discipline approach to alcoholism.
AUTHOR NAMES
Holmes E.
Jones R.
Murphy N.
AUTHOR ADDRESSES
(Holmes E.; Jones R.; Murphy N.)
CORRESPONDENCE ADDRESS
E. Holmes,
SOURCE
Journal of the New York State School Nurse-Teachers Association (1975) 6:3
(35-38). Date of Publication: 1975 Spring
ISSN
0036-1755
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (prevention)
health education
school health nursing
EMTREE MEDICAL INDEX TERMS
adolescent
article
human
school health service
LANGUAGE OF ARTICLE
English
MEDLINE PMID
1078853 (http://www.ncbi.nlm.nih.gov/pubmed/1078853)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1224
TITLE
The scope of drug abuse education in nursing schools offering baccalaureate
degrees
AUTHOR NAMES
Brewer T.
Reilly N.S.
AUTHOR ADDRESSES
(Brewer T.; Reilly N.S.) Univ. Michigan, Ann Arbor, Mich. 48104
CORRESPONDENCE ADDRESS
Univ. Michigan, Ann Arbor, Mich. 48104
SOURCE
Abstracts of Hospital Management Studies (1974) 11:2 (12564NU: 47p.). Date
of Publication: 1974
ABSTRACT
A descriptive study of drug abuse education was designed using a 109 item
questionnaire. The intent of this study was to determine the extent to which
the nursing educational systems offering baccalaureate programs in the
United States have incorporated drug abuse material into their present
curriculums. A total of 92 schools participated. It appears from this survey
that drug abuse is not a major curriculum effort, for the most part, in the
present nursing field. As in the literature, there is a lack of consensus of
the definition of drug abuse. It was indicated that most nursing educators
would like to place more emphasis on the presentation of drug abuse
material, especially in relation to lectures by exaddicts, multidisciplinary
workshops, and the utilization of agencies.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
nurse
nursing
nursing education
school
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1976055393
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1225
TITLE
Drug abuse patients in a general hospital
AUTHOR NAMES
Beigel A.
Gross I.
AUTHOR ADDRESSES
(Beigel A.; Gross I.)
SOURCE
Hospitals (1974) 48:20 (65-70). Date of Publication: 1974
ISSN
0018-5973
ABSTRACT
Establishment of the position of nurse coordinator of alcohol and drug abuse
services was instrumental in a county hospital in providing the necessary
cooperation and coordination for a successful treatment program. Job
qualifications for a nurse coordinator of alcohol and drug abuse services
included a baccalaureate degree in nursing as well as specialized post
graduate training or experience in the management of clinical problems
related to alcohol and drug abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
drug dependence
hospital
nursing
nursing education
quality control
EMTREE MEDICAL INDEX TERMS
general hospital
public hospital
teaching hospital
university hospital
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975124817
MEDLINE PMID
4412868 (http://www.ncbi.nlm.nih.gov/pubmed/4412868)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1226
TITLE
Prevalence of drug misuse among young people in Glasgow 1970-72
AUTHOR NAMES
Fish F.
Wells B.W.P.
Bunney J.E.
AUTHOR ADDRESSES
(Fish F.; Wells B.W.P.; Bunney J.E.) Univ. Strathclyde, Glasgow
CORRESPONDENCE ADDRESS
Univ. Strathclyde, Glasgow
SOURCE
British Journal of Addiction (1974) 69:4 (343-355). Date of Publication:
1974
ISSN
0952-0481
ABSTRACT
Using a self report questionnaire, the authors determined the prevalence of
non therapeutic drug taking among young persons, within the age range 16-24,
in the following groups: school pupils, university/college students, trainee
nurses, patients attending special (V.D.) clinics, casualty patients and
young offenders. The percentage proportions of occasional and regular drug
misusers within each group are given together with information on the extent
of misuse of individual drugs and drug combinations.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
diamorphine
lysergide
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
nurse
offender
school
university
EMTREE MEDICAL INDEX TERMS
child
major clinical study
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
diamorphine (1502-95-0, 561-27-3)
lysergide (50-37-3)
opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
Psychiatry (32)
Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975205506
MEDLINE PMID
4532049 (http://www.ncbi.nlm.nih.gov/pubmed/4532049)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1227
TITLE
Training models for drug abuse prevention: recommendations for the future
AUTHOR NAMES
Shute R.E.
Swisher J.D.
AUTHOR ADDRESSES
(Shute R.E.; Swisher J.D.) Addict. Prev. Lab., Dept. Counselor Educ.,
Pennsylvania State Univ., University Park, Pa.
CORRESPONDENCE ADDRESS
Addict. Prev. Lab., Dept. Counselor Educ., Pennsylvania State Univ.,
University Park, Pa.
SOURCE
Journal of Drug Education (1974) 4:2 (169-178). Date of Publication: 1974
ISSN
0047-2379
ABSTRACT
Why do drug educators conduct training programs for school, community, and
agency personnel? If the ultimate goal is to produce a cadre of skilled
trainees who will be effective in primary prevention ventures, then one
should be quite disappointed. This article describes and provides examples
of the three major training modalities currently in vogue. The strengths and
weaknesses of each are examined and then integrated to build a recommended
model for future training efforts.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
medical education
nurse training
nursing education
primary prevention
school health service
student
teacher
training
EMTREE MEDICAL INDEX TERMS
child
dentist
general practitioner
medical specialist
midwife
model
nursing
paramedical profession
pharmacist
physician assistant
prevention
social worker
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975132536
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1228
TITLE
Should courses for nurses that deal solely with alcoholism be taught at
universities? A preliminary report
AUTHOR NAMES
Gurel M.
AUTHOR ADDRESSES
(Gurel M.) Sch. Nurs., Univ. Washington, Seattle, Wash.
CORRESPONDENCE ADDRESS
Sch. Nurs., Univ. Washington, Seattle, Wash.
SOURCE
Nursing Research (1974) 23:2 (166-169). Date of Publication: 1974
ISSN
0029-6562
ABSTRACT
A questionnaire survey of 78 University of Washington School of Nursing
faculty members, regarding the offering of courses that deal solely with
alcoholism, revealed that if a faculty member thought information about
alcoholism should be provided, she included it in her course. The average
time devoted to the teaching of alcoholism related material was 2.6 hr in a
3 credit quarter course. The overwhelming majority of participants believed
that a course that deals solely with alcoholism should be offered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing
teaching
university
EMTREE MEDICAL INDEX TERMS
intoxication
methodology
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975089091
MEDLINE PMID
4493669 (http://www.ncbi.nlm.nih.gov/pubmed/4493669)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1229
TITLE
Reappraisal of nurse's role in the treatment of schizophrenia
AUTHOR NAMES
Kelleher M.J.
AUTHOR ADDRESSES
(Kelleher M.J.) Inst. Psychiat., London
CORRESPONDENCE ADDRESS
Inst. Psychiat., London
SOURCE
International Journal of Nursing Studies (1974) 11:4 (197-202). Date of
Publication: 1974
ISSN
0020-7489
ABSTRACT
Much of psychiatric nursing education is concerned with familiarizing the
student with the work done by other members of the therapeutic team. Yet, of
all the groups concerned with the care of the sick the psychiatric nurse
spends the longest periods of professional time in the patient's presence.
The essence of effective psychiatric nursing is based on developed expertize
in therapeutic interpersonal relationships. However there is a danger that
this ill defined central function of the clinical nurse will become
subservient to the professional interventions of the other caring agencies.
Because of this it is important that the nursing profession develops
specific clinical roles related to but independent of the professional roles
of other members of the clinical team. Although the present argument centres
on schizophrenia there is ample evidence of the nurse's effective roles in
the treatment of other psychiatric disorders e.g. neurotic disorders and
alcoholism. This paper concerns itself with 2 specific therapeutic
interventions a nurse may make in the treatment of schizophrenia, both in
the hospital and community.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental disease
mental patient
nursing
nursing education
schizophrenia
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975178237
MEDLINE PMID
4497842 (http://www.ncbi.nlm.nih.gov/pubmed/4497842)
FULL TEXT LINK
http://dx.doi.org/10.1016/0020-7489(74)90020-0
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1230
TITLE
Nursing school courses for nonnurses.
AUTHOR NAMES
Major D.M.
AUTHOR ADDRESSES
(Major D.M.)
CORRESPONDENCE ADDRESS
D.M. Major,
SOURCE
Nursing outlook (1974) 22:12 (769-772). Date of Publication: Dec 1974
ISSN
0029-6554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
education
nursing education
EMTREE MEDICAL INDEX TERMS
addiction
article
curriculum
evaluation study
female
human
jurisprudence
male
nutrition
sexual education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4498943 (http://www.ncbi.nlm.nih.gov/pubmed/4498943)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1231
TITLE
Type and prevalence of medication used in the treatment of hyperactive
children
AUTHOR NAMES
Krager J.M.
Safer D.J.
AUTHOR ADDRESSES
(Krager J.M.; Safer D.J.) Baltimore County Dept. Hlth, Towson, Md. 21204
CORRESPONDENCE ADDRESS
Baltimore County Dept. Hlth, Towson, Md. 21204
SOURCE
New England Journal of Medicine (1974) 291:21 (1118-1120). Date of
Publication: 1974
ISSN
0028-4793
ABSTRACT
This paper provides the results of a 1971 and a 1973 survey on the use of
medication for hyperactivity by children in elementary school in a large
suburban area. The survey differs substantially from the one reported by the
Children's Research Center in that the data were obtained from school
nurses, not physicians, and it represents an actual head count, not
estimated percentages. The survey is moderately reassuring in certain of its
findings. In the first place, 1.73% of children in primary schools are
receiving psychotropic medication, not 5 to 10%. Secondly, 88% of the
children on medication for hyperactive behavior associated with learning
problems are receiving stimulants; this psychopharmacologic treatment is
generally believed to be superior for these children. Thirdly,
methylphenidate has widened its lead over dextroamphetamine; there is some
evidence that this drug has fewer potential adverse effects than
dextroamphetamine.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
amphetamine
chlorpromazine
dexamphetamine
diphenhydramine
hydroxyzine
methylphenidate
thioridazine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
brain damaged child
child
drug therapy
hyperactivity
hyperkinesia
learning disorder
EMTREE MEDICAL INDEX TERMS
major clinical study
therapy
DRUG TRADE NAMES
atarax
benadryl
dexedrine
mellaril
ritalin
thorazine
CAS REGISTRY NUMBERS
amphetamine (1200-47-1, 139-10-6, 156-34-3, 2706-50-5, 300-62-9, 51-62-7,
60-13-9, 60-15-1)
chlorpromazine (50-53-3, 69-09-0)
dexamphetamine (1462-73-3, 51-63-8, 51-64-9)
diphenhydramine (147-24-0, 58-73-1)
hydroxyzine (2192-20-3, 64095-02-9, 68-88-2)
methylphenidate (113-45-1, 298-59-9)
thioridazine (130-61-0, 50-52-2)
EMBASE CLASSIFICATIONS
Drug Literature Index (37)
Pediatrics and Pediatric Surgery (7)
Psychiatry (32)
Rehabilitation and Physical Medicine (19)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975156960
MEDLINE PMID
4417001 (http://www.ncbi.nlm.nih.gov/pubmed/4417001)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1232
TITLE
Nursing students' attitudes toward alcoholics
AUTHOR NAMES
Schmid N.J.
Schmid D.T.
AUTHOR ADDRESSES
(Schmid N.J.; Schmid D.T.) St. Lawrence State Hosp., Outreach Commun. Cent.,
Plattsburgh, N.Y.
CORRESPONDENCE ADDRESS
St. Lawrence State Hosp., Outreach Commun. Cent., Plattsburgh, N.Y.
SOURCE
Nursing Research (1973) 22:3 (246-248). Date of Publication: 1973
ISSN
0029-6562
ABSTRACT
To investigate attitudes of nursing students towards alcoholic persons and
towards the physically disabled, two tests were administered to 41 freshman
nursing students. The sample was retested 2.5 years later, in their senior
year to determine the stability of their attitudes. No significant
difference was found when subjects' scores were compared with scores of a
suitable norm group on attitudes towards disabled people. Although a
significant difference was found between the respective attitudes for which
the students were tested, these attitudes were not significantly correlated.
No significant difference was found between pre- and posttest scores on
their attitudes towards alcoholics. The conclusions were: Nursing students
have a less accepting attitude toward alcoholics than toward the physically
disabled, and these attitudes remain stable.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
economic aspect
nursing
student
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Psychiatry (32)
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974021256
MEDLINE PMID
4267656 (http://www.ncbi.nlm.nih.gov/pubmed/4267656)
COPYRIGHT
Copyright 2009 Elsevier B.V., All rights reserved.
RECORD 1233
TITLE
Planning alcoholism services
AUTHOR NAMES
Unterberger H.
DiCicco L.M.
AUTHOR ADDRESSES
(Unterberger H.; DiCicco L.M.) Cambridge Somerville Ment. Hlth Retardat.
Cent., Cambridge, Mass.
CORRESPONDENCE ADDRESS
Cambridge Somerville Ment. Hlth Retardat. Cent., Cambridge, Mass.
SOURCE
Contemporary Drug Problems (1973) 2:4 (697-716). Date of Publication: 1973
ISSN
0091-4509
ABSTRACT
In Cambridge and Somerville the authors attempted to lay the groundwork for
a large variety of services developed to meet the problem of alcoholism in
this area. The alcoholism program now includes walk in emergency services,
consultation and education services, outpatient services, two community
residences, and a 10 bed detoxification unit in the Cambridge Hospital. 20
additional beds for detoxification will be made available. The staff
includes an internist as Director, a psychatrist as Codirector, three social
workers, a community mental health nurse, a public health educator, and an
assistant, five alcoholism counselors, and a halfway house manager;
detoxification staff includes six nurses, and five assistants. Two
additional staff persons have been deployed into existing neighborhood
health centers, to aid in case finding and education. Patients are
expressing their concern for a drop in recreational center. Staff feel the
pressure of a lack of overnight bed space for an alcoholic not sick enough
to be admitted to a hospital bed, yet somewhat drunk and in need of shelter.
The authors look forward to continuing training for staff and a more
intensive informational campaign for the public. A record keeping system is
presently being established in order to evaluate the effectiveness of this
program. As new mental health services are created and quickly inundated
with new patients, there is much talk about the prevention of emotional
disturbance and mental illness. The authors suggest that any serious effort
to prevent mental illness must give priority to the early identification and
treatment of alcoholism problems. Alcoholism is an illness which affects
adults, generally appearing in the mid twenties and escalating as
individuals reach the thirties. When alcoholism strikes a family, one can be
certain that parental behavior will be inconsistent and that family tensions
will mount. The nonalcoholic spouse becomes so distraught by the unreliable,
irrational behavior of the alcoholic that he or she is unable to provide
consistent support to the children. Children who grow up in households where
one or both parents are alcoholics have a dual problem. They live in a home
devastated by alcohol, where there is little energy to care for children. In
addition, children too often learn to identify with the parent who misuses
alcohol to cope with his or her problems of living. Children of alcoholic
parents do not necessarily become alcoholic, but are known to be a
population at risk. Other kinds of problems, such as drug addiction and
mental illness, seem to be disproportionately high among this group.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
counseling
detoxification
halfway house
social work
EMTREE MEDICAL INDEX TERMS
methodology
prevention
therapy
CAS REGISTRY NUMBERS
alcohol (64-17-5)
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1975010880
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1234
TITLE
Is a community general hospital capable of starting a treatment program for
the alcoholic patient
AUTHOR NAMES
Kehoe C.A.
AUTHOR ADDRESSES
(Kehoe C.A.) Xavier Univ., Cincinnati, Ohio
CORRESPONDENCE ADDRESS
Xavier Univ., Cincinnati, Ohio
SOURCE
Abstracts of Hospital Management Studies (1973) 9:4 (08803-100p.). Date of
Publication: 1973
ABSTRACT
The study investigates the feasibility of establishing a treatment program
for alcoholics at St. Francis, a 265 bed community acute general hospital in
Cincinnati. Facilities available at St. Francis are compared with six other
similar hospitals which do provide a treatment program for alcoholics. Data
show three relevant areas where St. Francis is lacking:
electroencephalograph; psychiatric inpatient unit; and psychiatric emergency
service. Precautionary measures that could be taken which would permit
caring for the alcoholic patient in an open medical surgical ward are
described. Study also surveys hospital personnel involved in carrying for an
alcoholic patient to determine their attitudes toward the alcoholic and
their confidence in caring for such a patient. Survey results indicate a
great majority of nursing personnel had favorable attitudes, viewed
alcoholism as a disease and their confidence in handling an alcoholic
patient correlated with the amount of nursing education they had. Findings
show that generally insurance coverage did extend to treatment of
alcoholics. If a need for the treatment program can be documented, it is
recommended implementation be tried on one single medical surgical unit.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
economic aspect
EMTREE MEDICAL INDEX TERMS
general hospital
EMBASE CLASSIFICATIONS
Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974059911
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1235
TITLE
Toward a model of primary prevention of drug abuse in elementary schools
AUTHOR NAMES
Weimar R.H.
AUTHOR ADDRESSES
(Weimar R.H.)
SOURCE
British Journal of Addiction (1973) 68:1 (57-63). Date of Publication: 1973
ISSN
0952-0481
ABSTRACT
Emphasis upon a public health model with 2 elements of primary prevention
(non specific health promotion and specific protection) is employed to
critique methods and techniques listed in 27 curriculum outlines and
guidelines for drug abuse prevention programs in elementary schools.
Responses from 24 states and territories, 5 cities a federal agency and a
private association are listed. The techniques, which were most often cited,
using grade 5 as a base, were: the listing and the classification of drugs,
the use of role play and/or dramatization, the discussion of prescription
vs. non presciption drugs, the use of bulletin board displays, the
discussion of drug storage, the discussion of the history of drugs,
suggestions for a doctor or nurse presentation, and the collection of
articles and advertisements about drugs. Critique of existing methods is
based upon the finding that most programs focused upon specific protection
rather than upon the non specific promotional aspects of primary prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug abuse
model
primary prevention
primary school
EMTREE MEDICAL INDEX TERMS
advertizing
city
classification
curriculum
drug dependence
drug storage
health promotion
nurse
physician
prescription
prevention
protection
public health
role playing
school
school child
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008892327
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1236
TITLE
Contribution of the school health nurse to the school drug program
AUTHOR NAMES
Merki D.J.
AUTHOR ADDRESSES
(Merki D.J.) Texas Woman's Univ., Denton, Tex.
CORRESPONDENCE ADDRESS
Texas Woman's Univ., Denton, Tex.
SOURCE
Journal of Drug Education (1973) 3:2 (183-187). Date of Publication: 1973
ISSN
0047-2379
ABSTRACT
The school health nurse has played a variety of roles in school drug
programs. For some of these tasks, she has been well suited, while, for
others, she has been less prepared. The school health nurse, because of her
basic role as the health authority in the school and her special preparation
in the knowledge and use of drugs, is a valuable potential resource for any
school drug program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
health education
nurse
school
school child
EMTREE MEDICAL INDEX TERMS
therapy
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974026412
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1237
TITLE
Attitudes of community caregivers toward drug users
AUTHOR NAMES
Baker F.
Isaacs C.D.
AUTHOR ADDRESSES
(Baker F.; Isaacs C.D.) Harvard Med. Sch., Southborough, Mass.
CORRESPONDENCE ADDRESS
Harvard Med. Sch., Southborough, Mass.
SOURCE
International Journal of the Addictions (1973) 8:2 (243-252). Date of
Publication: 1973
ISSN
0020-773X
ABSTRACT
Six dimensions of attitudes toward drug users were derived by factor
analysis of an attitude questionnaire administered to visiting nurses, law
students, and policemen. The attitude factors were: Moral Blame, Causal
Etiology, Harmfulness, Social Class, Rejection, and Sickness. Comparisons of
the three groups of community caregivers revealed differences in the ways
that these professionals viewed drug users. In general, the nurses displayed
the most positive and liberal attitudes toward drug users. However, the
police, who have often been stereotyped as holding negative and conservative
attitudes toward users of drugs, also responded in a relatively open and
liberal fashion to statements about drug users. The law students saw the
least degree of harm in drug use. Although the policemen were prone to blame
more, they gave more social explanations of the cause of drug use. The
visiting nurses gave less credence to a view that drug use was a lower class
phenomenon than the law students and policemen. All three groups tended to
view drug addiction as a physical and mental illness and tended to eschew
attitudes of rejection toward users of drugs.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
community
drug dependence
morality
rejection
social status
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974125628
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1238
TITLE
Attitudes of community caregivers toward drug users
AUTHOR NAMES
Baker F.
Isaacs C.D.
AUTHOR ADDRESSES
(Baker F.; Isaacs C.D.) Harvard Med. Sch., Southborough, Mass.
CORRESPONDENCE ADDRESS
Harvard Med. Sch., Southborough, Mass.
SOURCE
International Journal of the Addictions (1973) 8:2 (243-252). Date of
Publication: 1973
ISSN
0020-773X
ABSTRACT
Six dimensions of attitudes toward drug users were derived by factor
analysis of an attitude questionnaire administered to visiting nurses, law
students and policemen. The attitude factors were: moral blame, causal
etiology, harmfulness, social class, rejection, and sickness. Comparisons of
the 3 groups of community caregivers revealed differences in the ways that
these professionals viewed drug users. In general, the nurses displayed the
most positive and liberal attitudes toward drug users. The police, who have
often been stereotyped as holding negative and conservative attitudes toward
users of drugs, also responded in a relatively open and liberal fashion to
statements about drug users. The law students saw the least degree of harm
in drug use. Although the policemen were prone to blame more, they gave more
social explanations of the cause of drug use. The visiting nurses gave less
credence to a view that drug use was a lower class phenomenon than the law
students and policemen. All 3 groups tended to view drug addiction as a
physical and mental illness and tended to eschew attitudes of rejection
toward users of drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
attitude
district nurse
drug dependence
factory
nurse
police
prescription
rejection
social worker
student
EMTREE MEDICAL INDEX TERMS
major clinical study
EMBASE CLASSIFICATIONS
Psychiatry (32)
Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974174313
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1239
TITLE
Exposure to mental health training in schools of public health.
AUTHOR NAMES
Padilla E.
Goldston S.E.
AUTHOR ADDRESSES
(Padilla E.; Goldston S.E.)
CORRESPONDENCE ADDRESS
E. Padilla,
SOURCE
American journal of public health (1973) 63:8 (710-714). Date of
Publication: Aug 1973
ISSN
0090-0036
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
curriculum
mental health
school
EMTREE MEDICAL INDEX TERMS
accident prevention
alcoholism
article
drug control
evaluation study
family planning
female
geriatrics
human
pollution
pregnancy
professional practice
psychiatric nursing
psychiatry
psychology
questionnaire
school health service
sexually transmitted disease (prevention)
smoking
social work
spontaneous abortion
suicide
time
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4740504 (http://www.ncbi.nlm.nih.gov/pubmed/4740504)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1240
TITLE
Health education of patients in the field of social psychiatry, notably
alcoholics
AUTHOR NAMES
Hudolin V.
Bano N.
Gabelic I.
AUTHOR ADDRESSES
(Hudolin V.; Bano N.; Gabelic I.) Psychiat. Dept., Dr. M. Strojanvic Hosp.,
Zagreb, Croatia.
()
CORRESPONDENCE ADDRESS
V. Hudolin, Psychiat. Dept., Dr. M. Strojanvic Hosp., Zagreb, Croatia.
SOURCE
International Journal of Social Psychiatry (1972) 18:3 (157-170). Date of
Publication: 1972
ISSN
0020-7640
ABSTRACT
In this paper the authors exhibit the experiences they have gained in
working with alcoholics. Alcoholism, as a most important socio psychiatric
problem, makes its appearance in circa 15I of adult males. Out of the total
number of males presenting themselves before medical commissions for
assessment of the degree of their disablement in Croatia, 15° are
alcoholics. Based on these data a programme of control of alcoholism had
been set up, which is based on a great number (130 in Croatia) of local
programmes in which besides alcoholics members of professional teams (e.g.
psychiatrist, general practioner, social worker, nurse) are included. In the
framework of such a plan a systematic health education of patients and
members of their families is being performed. Special attention ought to be
paid to investigating on the efficiency of health education as a part of a
complex health protection, on the role of individual members of the
therapeutic team concerned with health education, as 11ell as on the
influence of the health education of patients on the general health culture
and education of personnel engaged in health education. In this way it would
be feasible to obtain data on the influence of health education of patients
upon the prevention of alcoholism in a general population. The authors are
fully aware that the mechanisms of evaluation and scientific work ought
automatically to be included into every therapeutic and rehabilitation
programme in the domain of social psychiatry, and especially in the sphere
of alcoholism, drug addiction and geriatry, so that special studies should
be devoted to discovering the best methods of evaluation of health
education.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
health education
patient
social psychiatry
EMTREE MEDICAL INDEX TERMS
adult
Croatia
disability
drug dependence
education
geriatrics
health
male
medical service
nurse
personnel
population
prevention
prophylaxis
psychiatrist
rehabilitation
social worker
Yugoslavia
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008891651
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1241
TITLE
Occupational therapy in the mental health field
AUTHOR NAMES
Trider M.F.
Reg O.T.
AUTHOR ADDRESSES
(Trider M.F.; Reg O.T.)
SOURCE
Canad. Ment. Hlth. (1972) 20:5 (24-28). Date of Publication: 1972
ABSTRACT
Occupational therapy in the mental health field has travelled a long way
from its professional beginnings. It is turning its attention to methods of
preventing psychosocial and physical dysfunction, to the effects of
environmental stress, and to consideration of the types of adaptive skills
that will be required of mankind in order to survive the effects of possible
future shock so clearly described by Toffler. At the same time practitioners
are applying their current theory and practice in the many locales where the
evidence indicates the presence of psychosocial dysfunction: in community
programs, in schools, nursing homes, business and industry, as well as the
more familiar institutions - the psychiatric hospital, the mental
retardation unit and hospital schools, day care unit, therapeutic community,
and addiction treatment centre. As it learns to subject its hypotheses to
more rigorous testing it is increasingly emphasizing both basic and applied
research.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
mental health
occupational therapy
EMTREE MEDICAL INDEX TERMS
addiction
applied research
commercial phenomena
community program
day care
environmental stress
hospital
hypothesis
industry
mental deficiency
mental health care
mental hospital
nursing education
nursing home
physician
school
skill
therapeutic community
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008950591
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1242
TITLE
Attitudes regarding alcoholism: The volunteer alcoholism clinic counsellor
AUTHOR NAMES
Ferneau E.
Paine H.J.
AUTHOR ADDRESSES
(Ferneau E.; Paine H.J.) Psychiat. Serv., Boston City Hosp., Mattapan, MA
02126, United States.
CORRESPONDENCE ADDRESS
E. Ferneau, Psychiat. Serv., Boston City Hosp., Mattapan, MA 02126, United
States.
SOURCE
Brit. J. Addict. (1972) 67:4 (235-238). Date of Publication: 1972
ABSTRACT
Physicians, medical students, nurses, and nursing students - all have been
discussed in relation to their attitudes toward alcoholism and the
alcoholic, especially with regard to the impact of their negative attitudes
on the treatment of the alcoholic. These caregivers are no doubt key agents
in the treatment of alcoholism, but certain other groups are also just as
important in this area. However, the attitudinai dispositions of these other
groups have been relatively ignored. One very significant group is that
which the authors report on here - the volunteer counsellors in the
alcoholism clinic of a large urban hospital. They hope that this reactive
research will communicate to them the importance they attach to their
attitudes, and encourage them with the help of their supervisors and other
staff to be constructively critical and searching of their attitude
structures.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
outpatient department
volunteer
EMTREE MEDICAL INDEX TERMS
caregiver
hope
hospital
medical student
nurse
nursing student
physician
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008890887
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1243
TITLE
Drugs in American society: a graduate course
AUTHOR NAMES
Serrone D.M.
Major D.M.
AUTHOR ADDRESSES
(Serrone D.M.; Major D.M.) Sch. Nurs., State Univ. New York, Albany, N.Y.
CORRESPONDENCE ADDRESS
Sch. Nurs., State Univ. New York, Albany, N.Y.
SOURCE
Journal of Drug Education (1972) 2:2 (191-196). Date of Publication: 1972
ISSN
0047-2379
ABSTRACT
The School of Nursing at the State University of New York at Albany has
offered, as a service to the university community, a course, not just a
series of lectures, but a semester course in which students could explore
the many factors associated with the use and abuse of drugs in America
today. The course was designed to cover in depth the vast problems of drug
abuse from the 'street drugs' to the medicine cabinet. The student was
expected to read and discuss current concepts of pharmacology, psychology,
and sociology as they apply to drug abuse.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
drug dependence
nursing
society
EMBASE CLASSIFICATIONS
Public Health, Social Medicine and Epidemiology (17)
Psychiatry (32)
LANGUAGE OF ARTICLE
English
EMBASE ACCESSION NUMBER
1974040701
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1244
TITLE
The drug problem and the school nurse.
AUTHOR NAMES
Vincent E.P.
AUTHOR ADDRESSES
(Vincent E.P.)
CORRESPONDENCE ADDRESS
E.P. Vincent,
SOURCE
ANA clinical sessions (1972) (14-18). Date of Publication: 1972
ISSN
0065-9495
EMTREE MEDICAL INDEX TERMS
addiction
article
health education
human
school health nursing
student
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
4490697 (http://www.ncbi.nlm.nih.gov/pubmed/4490697)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1245
TITLE
Physiological effects of shift rotation on ICU nurses
AUTHOR NAMES
Tooraen L.A.
AUTHOR ADDRESSES
(Tooraen L.A.) Incarnate Word Coll. Sch. Nurs., San Antonio, TX, United
States.
CORRESPONDENCE ADDRESS
L.A. Tooraen, Incarnate Word Coll. Sch. Nurs., San Antonio, TX, United
States.
SOURCE
Nursing Research (1972) 21:5 (398-405). Date of Publication: 1972
ISSN
0029-6562
ABSTRACT
Nine nurses employed in 4 intensive care units in 2 hospitals participated
in a study to investigate the effects of shift rotation on the circadian
electrolyte excretion of sodium and potassium in the urine. Results revealed
that the shift rotation followed by these nurses did not produce a
significant physiological adaptation to reversing their activity sleep or
their stress patterns. Actually, they continued to follow the same
physiological activity patterns whether sleeping during daylight hours or
vice versa. The literature of the field is extensively reviewed.
EMTREE DRUG INDEX TERMS
cannabis
electrolyte
potassium
sodium
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
nurse
EMTREE MEDICAL INDEX TERMS
adaptation
circadian rhythm
drug dependence
electrolyte excretion
hospital
intensive care unit
nursing
shift worker
sleep
sunlight
urine
CAS REGISTRY NUMBERS
potassium (7440-09-7)
sodium (7440-23-5)
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008892111
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1246
TITLE
The drug incident--a case study.
AUTHOR NAMES
Wood V.
AUTHOR ADDRESSES
(Wood V.)
CORRESPONDENCE ADDRESS
V. Wood,
SOURCE
The Canadian nurse (1972) 68:7 (21-26). Date of Publication: Jul 1972
ISSN
0008-4581
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
attitude
nursing education
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5064238 (http://www.ncbi.nlm.nih.gov/pubmed/5064238)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1247
TITLE
Marijuana use by nurses and nursing students.
AUTHOR NAMES
Lipp M.R.
Benson S.G.
Allen P.S.
AUTHOR ADDRESSES
(Lipp M.R.; Benson S.G.; Allen P.S.)
CORRESPONDENCE ADDRESS
M.R. Lipp,
SOURCE
The American journal of nursing (1971) 71:12 (2339-2341). Date of
Publication: Dec 1971
ISSN
0002-936X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction (epidemiology)
nurse
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5209456 (http://www.ncbi.nlm.nih.gov/pubmed/5209456)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1248
TITLE
Student nurses lead family groups.
AUTHOR NAMES
Scheideman J.
AUTHOR ADDRESSES
(Scheideman J.)
CORRESPONDENCE ADDRESS
J. Scheideman,
SOURCE
Hospital & community psychiatry (1971) 22:12 (378-380). Date of Publication:
Dec 1971
ISSN
0022-1597
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
family therapy
nursing student
psychiatric nursing
EMTREE MEDICAL INDEX TERMS
alcoholism (therapy)
article
human
mental disease (therapy)
psychiatric department
public hospital
social environment
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5136548 (http://www.ncbi.nlm.nih.gov/pubmed/5136548)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1249
TITLE
Nursing education on alcoholism.
AUTHOR NAMES
Burton G.
AUTHOR ADDRESSES
(Burton G.)
CORRESPONDENCE ADDRESS
G. Burton,
SOURCE
Annals of the New York Academy of Sciences (1971) 178 (48-51). Date of
Publication: 29 Mar 1971
ISSN
0077-8923
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism (complication, etiology, rehabilitation, therapy)
curriculum
nursing education
EMTREE MEDICAL INDEX TERMS
article
community care
counseling
documentation
health personnel attitude
human
patient referral
teaching
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5282654 (http://www.ncbi.nlm.nih.gov/pubmed/5282654)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1250
TITLE
Attitudes of nurses and nursing students toward alcoholism treatment.
AUTHOR NAMES
Moody P.M.
AUTHOR ADDRESSES
(Moody P.M.)
CORRESPONDENCE ADDRESS
P.M. Moody,
SOURCE
Quarterly journal of studies on alcohol (1971) 32:1 (172-175). Date of
Publication: Mar 1971
ISSN
0033-5649
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
authority
health personnel attitude
nurse
nursing student
EMTREE MEDICAL INDEX TERMS
article
educational status
empathy
female
human
nurse patient relationship
nursing
socioeconomics
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5546046 (http://www.ncbi.nlm.nih.gov/pubmed/5546046)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1251
TITLE
The school nurse and drug abusers.
AUTHOR NAMES
Caskey K.K.
Blaylock E.V.
Wauson B.M.
AUTHOR ADDRESSES
(Caskey K.K.; Blaylock E.V.; Wauson B.M.)
CORRESPONDENCE ADDRESS
K.K. Caskey,
SOURCE
Nursing outlook (1970) 18:12 (27-30). Date of Publication: Dec 1970
ISSN
0029-6554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
school health nursing
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5202909 (http://www.ncbi.nlm.nih.gov/pubmed/5202909)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1252
TITLE
Soup--soap--salvation.
AUTHOR NAMES
Steel J.F.
AUTHOR ADDRESSES
(Steel J.F.)
CORRESPONDENCE ADDRESS
J.F. Steel,
SOURCE
Nursing outlook (1970) 18:8 (31-34). Date of Publication: Aug 1970
ISSN
0029-6554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
community health nursing
health education
EMTREE MEDICAL INDEX TERMS
article
health service
human
hygiene
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5200964 (http://www.ncbi.nlm.nih.gov/pubmed/5200964)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1253
TITLE
Northern California postgraduate medical television: an evaluation.
AUTHOR NAMES
Mock R.L.
McCoard B.F.
Prestwood R.
AUTHOR ADDRESSES
(Mock R.L.; McCoard B.F.; Prestwood R.)
CORRESPONDENCE ADDRESS
R.L. Mock,
SOURCE
Journal of medical education (1970) 45:1 (40-46). Date of Publication: Jan
1970
ISSN
0022-2577
EMTREE DRUG INDEX TERMS
corticosteroid (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
medical education
television
EMTREE MEDICAL INDEX TERMS
alcoholism
article
behavior
cross infection (prevention)
epidemiology
gastrointestinal disease (rehabilitation)
health care quality
health personnel attitude
human
infection control
medical record
nursing
nursing education
United States
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5412414 (http://www.ncbi.nlm.nih.gov/pubmed/5412414)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1254
TITLE
The alcoholic in the emergency room
AUTHOR NAMES
Anderson R.H.
Weisman M.N.
AUTHOR ADDRESSES
(Anderson R.H.; Weisman M.N.) Dept. of Med., Univ. of Maryland Hosp.,
Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
R.H. Anderson, Dept. of Med., Univ. of Maryland Hosp., Baltimore, MD, United
States.
SOURCE
Maryland State Med. J. (1969) 18:7 (101-104). Date of Publication: 1969
ABSTRACT
Alcoholics are being examined and treated at an increasing rate in hospital
emergency rooms. Under Maryland law, the medical services of the general
hospital are expected to care for the needs of the intoxicated patient,
without discrimination, in accordance with the accepted standards applying
to other presenting patients. However, because of the stigma associated with
alcoholism and because of the lack of training of medical students and
nurses in this disease, the alcoholic is often treated improperly. This
paper discusses the important principles of emergency treatment of
alcoholics. The many medical and surgical complications are beyond its
scope, so that only acute intoxication and acute withdrawal syndromes are
considered. A discussion of the nature of the follow up which is so
necessary to prevent the 'revolving door', is presented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
emergency ward
EMTREE MEDICAL INDEX TERMS
emergency
emergency health service
emergency treatment
follow up
general hospital
hospital
intoxication
medical service
medical student
nurse
patient
postoperative complication
psychiatry
United States
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008714269
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1255
TITLE
Alcoholism education in a psychiatric institute. II. Student nurses:
Relationship of personal characteristics, attitudes toward alcoholism and
achievement
AUTHOR NAMES
Chodorkoff B.
AUTHOR ADDRESSES
(Chodorkoff B.) Psychiat. Inst. Herman Kiefer Hosp., Wayne State Univ. Sch.
Med., Detroit, MI, United States.
CORRESPONDENCE ADDRESS
B. Chodorkoff, Psychiat. Inst. Herman Kiefer Hosp., Wayne State Univ. Sch.
Med., Detroit, MI, United States.
SOURCE
Quart.J.Stud.Alcohol. (1969) 30:3 (657-664). Date of Publication: 1969
ABSTRACT
This report is the second part of a program of study attempting to evaluate
the impact of a clinical psychiatric training experience (1) upon the amount
of information senior medical and nursing students acquire during it, (2)
upon their attitudes toward a particular psychiatric entity in this case
alcoholism, (3) upon certain of their personal characteristics in this case
authoritarianism, and (4) upon the ways in which the degree of
authoritarianism interacts with their attitude toward alcoholism and affects
how much they learn from the clinical experience. Nursing students were
found to be significantly more authoritarian than the medical students.
Authoritarianism was significantly correlated with the amount of information
which the nursing student had available at the start of her placement at the
Institute. A similar finding was presented in the study of medical students.
The more authoritarian the nursing student, the less favorable were her
initial attitudes toward alcoholism. Such a relationship was absent in the
case of the medical students. In spite of such a relationship between
authoritarianism and attitudes toward alcoholism, authoritarianism was
unrelated to any individual changes in attitudes.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
achievement
alcoholism
education
nursing student
EMTREE MEDICAL INDEX TERMS
authority
medical student
personality
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008716724
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1256
TITLE
The alcoholic in the emergency room
AUTHOR NAMES
Anderspn H.H.
Weisman M.N.
AUTHOR ADDRESSES
(Anderspn H.H.; Weisman M.N.) Dept of Med, Univ. of Maryland Hosp.,
Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
H.H. Anderspn, Dept of Med, Univ. of Maryland Hosp., Baltimore, MD, United
States.
SOURCE
Maryland State Ifedj. (1968) 18:7 (101-104). Date of Publication: 1968
ABSTRACT
Alcoholics are being examined and treated at an increasing rate in hospital
emergency rooms. Under Maryland law, the medical services of the general
hospital are expected to care for the needs of the intoxicated patient,
without discrimination, in accordance with the accepted standards applying
to other presenting patients. However, because of the stigma associated with
alcoholism and because of the lack of training of medical students and
nurses in this disease, the alcoholic is often treated improperly. This
paper discusses the important principles of emergency treatment of
alcoholics. The many medical and surgical complications are beyond its
scope, so that only acute intoxication and acute withdrawal syndromes are
considered. A discussion of the nature of the follow up which is so
necessary to prevent the revolving door, is presented.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
emergency ward
EMTREE MEDICAL INDEX TERMS
emergency treatment
follow up
general hospital
hospital
intoxication
medical service
medical student
nurse
patient
postoperative complication
United States
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008303424
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1257
TITLE
Control of gonococcal infection
AUTHOR NAMES
Tasaddoque Hossain A.S.M.
AUTHOR ADDRESSES
(Tasaddoque Hossain A.S.M.)
SOURCE
Indian J. Derm. Venereol. (1968) 34:1 (29-40). Date of Publication: 1968
ABSTRACT
The several factors playing a role in the epidemiology and control of
gonorrhea are discussed and reviewed: notification of cases, legislation,
facilities for diagnosis and treatment, prophylaxis, case finding in the
community, individual case finding, special epidemiological investigations
(high powered 'speed zone' and cluster testing1 in the USA), control of
problem groups (prostitutes, young people, moving population: immigrants and
migrants, homosexuals, asymptomatic carriers, alcoholics, repeaters and
defaulters, seafarers and military personnel), promiscuity, education for
the medical profession (e.g. medical students, nurses) and health education
for patients and the public.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
gonorrhea
EMTREE MEDICAL INDEX TERMS
alcoholism
case finding
community
diagnosis
education
epidemiology
health education
homosexuality
immigrant
law
medical profession
medical student
nurse
patient
population
prophylaxis
prostitution
soldier
velocity
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008345429
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1258
TITLE
An evaluation of marihuana for school physicians, nurses and educators.
AUTHOR NAMES
Alsever W.D.
AUTHOR ADDRESSES
(Alsever W.D.)
CORRESPONDENCE ADDRESS
W.D. Alsever,
SOURCE
The Journal of school health (1968) 38:10 (629-638). Date of Publication:
Dec 1968
ISSN
0022-4391
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
cannabis
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
addiction
EMTREE MEDICAL INDEX TERMS
adolescent
adult
article
human
school health service
United States
CAS REGISTRY NUMBERS
cannabis (8001-45-4, 8063-14-7)
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5188904 (http://www.ncbi.nlm.nih.gov/pubmed/5188904)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1259
TITLE
Mothers' dietary management of pku children
AUTHOR NAMES
Acosta P.B.
Fiedler J.L.
Koch R.
AUTHOR ADDRESSES
(Acosta P.B.; Fiedler J.L.; Koch R.) Div. of Child Developm. Child, Hosp. of
los Angeles, Los Angeles, CA, United States.
CORRESPONDENCE ADDRESS
P.B. Acosta, Div. of Child Developm. Child, Hosp. of los Angeles, Los
Angeles, CA, United States.
SOURCE
J.Amer.Diet.Ass (1968) 53:5 (460-464). Date of Publication: 1968
ABSTRACT
The aim of the nutritionist should be to help maintain normal serum
phenylalanine levels (2 to 4 mg. per 100 ml.) in the child. This could be
achievable by the mother without disrupting normal family patterns of
living. While 41% of the mothers were able to maintain serum phenylalanine
levels in the excellent control range (2 to 6 mg. per 100 ml.) 75% of the
time, results of this report show that this was not easily achieved. Areas
in which parents require more intensive help by the nutritionist or other
professionals are: (a) Menu planning, (b) Food preparation, particularly the
initial mixing of Lofenalac. (c) Hunger and other feeding problems, (d)
Provision of an inexpensive low phenylalanine bread that is palatable, (e)
Greater knowledge of normal child growth and development, (f) Discipline,
(g) Instruction of child regarding the nature of his disorder and foods he
cannot eat. Certainly the nutritionist can and should give greater help with
menu planning, food preparation, and development of recipes (particularly
one for bread). When help is given in these areas, perhaps there will be
fewer children perpetually hungry and craving food or have other feeding
problems. The 2 most important areas where help is needed by the mother are
in disciplining and in teaching the child. The use of nurses, social
workers, health educators, teachers, and other individuals knowledgeable in
normal child growth and development should be sought to assist nutritionists
and parents in providing superior dietary control for these children. In
addition, it is recommended that the nutritionist reevaluate her own
teaching methods for parents to insure that goals are being met by the most
effective use of time and effort.
EMTREE DRUG INDEX TERMS
phenylalanine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
child
mother
EMTREE MEDICAL INDEX TERMS
bread
child growth
feeding
food
food processing
growth, development and aging
health educator
health service
hunger
nurse
nutrition
parent
phenylketonuria
prescription
serum
social worker
teacher
teaching
withdrawal syndrome
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008322070
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1260
TITLE
What student nurses think about alcoholic patients and alcoholism.
AUTHOR NAMES
Ferneau Jr. E.W.
AUTHOR ADDRESSES
(Ferneau Jr. E.W.)
CORRESPONDENCE ADDRESS
E.W. Ferneau,
SOURCE
Nursing outlook (1967) 15:10 (40-41). Date of Publication: Oct 1967
ISSN
0029-6554
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
attitude
nursing student
EMTREE MEDICAL INDEX TERMS
article
human
LANGUAGE OF ARTICLE
English
MEDLINE PMID
5182483 (http://www.ncbi.nlm.nih.gov/pubmed/5182483)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1261
TITLE
Problem drinkers on the psychiatric service of a municipal general hospital.
their relevance to programs of education, training and research
AUTHOR NAMES
Lief V.F.
AUTHOR ADDRESSES
(Lief V.F.)
SOURCE
International Journal of the Addictions (1966) 1:1 (42-49). Date of
Publication: 1966
ISSN
0020-773X
ABSTRACT
Experiences were gathered in a community mental health program on problem
drinking and in the psychiatric service of the Metropolitan Hospital in the
East Harlem area of New York City. The staff members belong to the
disciplines of psychiatry, sociology, clinical psychology, public health
nursing and social work. A complete case history of all problem drinkers
coming to their attention is taken in minute detail and discussed in stafi
meetings. The program brought into perspective that there are still many
gaps in the treatment of alcohoLs;cs, an important one being the lack of
after-care. In the traditional municipal hospital the early stages of
alcoholism are often missed, and when the patient approaches the stereotype
of 'the alcoholic' the attitude of the hospital staff often still represents
the old punitive moralistic view of alcoholism. If the patient is
sufficiently deteriorated he will mostly be institutionalized. A 3-month
survey of admissions to a 50-bed acute intensive psychiatric treatment unit
in psychiatry showed that about 50% of the male and 33% of the female
patients had been admitted for reasons directly or significantly related to
alcohol Of the total, 14% were sent to state hospitals, but of the remaining
86% more than half were discharged with only medical advice. Some of the
conclusions are: There is a need for new techniques in early detection. By
the nature of general hospitals in our society they are inadequate to deal
fully with alcoholism, as a social problem; a new kind of continuity of care
for the alcohol patient is needed There is a need for new teaching methods
to help in developing new attitudes among care giving agencies, hospitals,
physicians and the community in understanding and treating alcoholism.
Alcoholism is related to social pathology and must be seen within the
context of the social environment. Bonnema Wezep (N, 2c, 17).
EMTREE DRUG INDEX TERMS
alcohol
alcohol derivative
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
education
general hospital
mental health service
EMTREE MEDICAL INDEX TERMS
aftercare
antisocial personality disorder
clinical psychology
community
community health nursing
community mental health
drinking
female
health program
hospital
hospital personnel
male
patient
patient care
physician
psychiatric treatment
psychiatry
public hospital
social environment
social problem
social work
society
sociology
stereotypy
teaching
United States
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007563277
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1262
TITLE
Predictors of mortality in the institutionalized aged
AUTHOR NAMES
Goldfarb A.I.
Fisch M.
Gerber I.E.
AUTHOR ADDRESSES
(Goldfarb A.I.; Fisch M.; Gerber I.E.) Off. of Consult. on Spec. Servs. for
Aged, New York State Dept. of Ment. Hyg., Queens Village, NY, United States.
CORRESPONDENCE ADDRESS
A.I. Goldfarb, Off. of Consult. on Spec. Servs. for Aged, New York State
Dept. of Ment. Hyg., Queens Village, NY, United States.
SOURCE
Diseases of the nervous system (1966) 27:1 (21-29). Date of Publication:
1966
ISSN
0012-3714
ABSTRACT
A representive population of 1,280 residents of old age homes, nursing homes
and state hospitals aged 65 yr and over, were given a battery of medical,
psychiatric and psychological examinations. Several criteria from different
portions of the examinations were found to constitute significant predictors
of mortality within 1 yr. The 4 most unfavorable criteria included severity
of brain syndrome, severity of physical dependence, incontinence and mental
status questionnaire errors. The total number of persons who presented all 4
criteria of poor prognosis was 69, of which 52% died within 1 yr. Of the
total group 24% died within 1 yr. Mortality was higher in the state
hospitals than in the other institutional settings.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
aged
mortality
EMTREE MEDICAL INDEX TERMS
brain
drug dependence
examination
home for the aged
hospital
incontinence
institutionalization
mental health
nursing home
population
prognosis
psychologic test
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007911770
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1263
TITLE
PREDICTORS of MORTALITY in THE INSTITUTIONALIZED AGED
AUTHOR NAMES
Goldfarb A.I.
Fisch M.
Gerber I.E.
AUTHOR ADDRESSES
(Goldfarb A.I.; Fisch M.; Gerber I.E.) Off. of Consult. on Spec. Serve for
Aged, New York State Dept. of Ment. Hyg., Queens Village, NY, United States.
CORRESPONDENCE ADDRESS
A.I. Goldfarb, Off. of Consult. on Spec. Serve for Aged, New York State
Dept. of Ment. Hyg., Queens Village, NY, United States.
SOURCE
Diseases of the nervous system (1966) 27:1 (21-29). Date of Publication:
1966
ISSN
0012-3714
ABSTRACT
A representative population of 1,280 residents of old age homes, nursing
homes and state hospitals, aged 65 years and over, were given a battery of
medical, psychiatric and psychological examinations. Several criteria from
different portions of the examinations were found to constitute significant
predictors of mortality within one year. The four most unfavorable criteria
included severity of brain syndrome, severity of physical dependence,
incontinence and mental status questionnaire errors. The total number of
persons who presented all four criteria of poor prognosis was 69, of whom
52% died within a year. Of the total group, 24% died within one year.
Mortality was higher in the state hospitals than in the other institutional
settings. In 15 figures one can find mortality rates one year after
examination in relation to several disorders.
EMTREE MEDICAL INDEX TERMS
aged
brain
drug dependence
examination
home for the aged
hospital
incontinence
mental health
morality
mortality
nursing home
population
prognosis
psychologic test
questionnaire
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007309216
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1264
TITLE
Causes, control and prevention of accidental poisonings
AUTHOR NAMES
Jacobziner H.
AUTHOR ADDRESSES
(Jacobziner H.)
SOURCE
Public health reports (1966) 81:1 (31-41). Date of Publication: 1966
ISSN
0094-6214
ABSTRACT
On March 9, 1955, the New York City Poison Control Center was established as
an integral part of the Department of Health. From the date of establishment
to the end of 1963, over 95,000 poisonings were reported; in the most recent
year, 1964, there were more than 20,000 poisonings. Children under 4 yr of
age were involved in more than 50% of the total reports. Toxic agents
included internal medications, external drugs and cosmetics, household
preparations, pesticides, and lead. Preschool children were the most
susceptible group, the highest incidence being in the 3rd yr of life.
Investigations of poisonings in persons under 21 did not identify accident
prone children or accident prone families, but rather accident prone
situations. The incidence was slightly higher in the male, and also in the
nonwhite, the latter undoubtedly resulting from poor housing, overcrowded
inadequate home storage space, under-nutrition, and a lack of safety
information. While at the time of the poisoning the child was nominally
under adult supervision in over 70% of the cases, the accident occurred with
lightning rapidity when the adult was momentarily distracted. The kitchen
was the most dangerous site, and adults placed toxic substances where the
victim could reach them readily in more than 80% of the cases in persons
under 20 yr of age. Unsafe practices included the use of unlabeled or
mislabeled containers, drug shipments by mail, deteriorated or contaminated
drugs, the abuse or misuse of drugs, and dangerous playthings. Extensive
files are maintained in the Center, and all inquiries are answered within
minutes. In spite of the services provided by the national network of
Centers, there has been no significant reduction of overall morbidity and
mortality from accidental poisonings since the inceptions of the Centers.
Prevention requires the participation of the entire team concerned with the
health and safety of the public: physician, pharmacist, public health
worker, public health nurse, engineer, social scientist, pharmacologist,
toxicologist, chemist, environmental sanitarian, law enforcement officer,
industrialist, housing authority, nurse, hospital staff worker, health
educator, psychiatrist, psychologist, teacher, and statistician.
EMTREE DRUG INDEX TERMS
cosmetic
pesticide
toxic substance
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
prevention
EMTREE MEDICAL INDEX TERMS
abuse
accident
adult
child
date (fruit)
drug therapy
health
health care personnel
health educator
hospital personnel
household
housing
intoxication
kitchen
law enforcement
lightning
male
morbidity
mortality
nurse
nutrition
pharmacist
physician
poison center
preschool child
psychiatrist
psychologist
public health
safety
scientist
storage
teacher
United States
victim
worker
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008096621
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1265
TITLE
Instruction in alcoholism in nursing education.
AUTHOR NAMES
Iber F.L.
AUTHOR ADDRESSES
(Iber F.L.)
CORRESPONDENCE ADDRESS
F.L. Iber,
SOURCE
Maryland state medical journal (1961) 10 (653-654). Date of Publication: Nov
1961
ISSN
0025-4363
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
alcoholism
nursing education
EMTREE MEDICAL INDEX TERMS
article
LANGUAGE OF ARTICLE
English
MEDLINE PMID
14450500 (http://www.ncbi.nlm.nih.gov/pubmed/14450500)
COPYRIGHT
MEDLINE® is the source for the citation and abstract of this record.
RECORD 1266
TITLE
Malaria and opium control in Iran
AUTHOR NAMES
Rosa F.W.
AUTHOR ADDRESSES
(Rosa F.W.)
SOURCE
Public health reports (1960) 75:4 (347). Date of Publication: 1960
ISSN
0094-6214
ABSTRACT
The poor health and poverty of the population of Iran was due chiefly to
malaria and the use of opium. In the last 10 yr. malaria has been almost
eradicated by the destruction of the infected mosquitoes by D. D. T.
spraying: spleen indices in the Caspian area have been reduced from 95% to
2%. Work is still going on, financed chiefly by the oil companies. Opium was
grown in great quantities for home use and export and addiction was common.
Cultivation of the poppy has been forbidden by law; educaction of the
people, by every means, and treatment of addicts has resulted in improved
health and energy. This has led to increased crops and greater prosperity.
Other schemes which have been carried out with international aid from I. C.
A., W. H. O., U. N. I. C. and the Near East Foundation include vaccination,
control of typhus by D.D. T.,the education of women as nurses, basic
laboratory services, pure water supplies and rural sanitation and general
health education. The work has been so successful because it has been
carried out by teams working with a single purpose.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
Iran
malaria
EMTREE MEDICAL INDEX TERMS
addiction
drug dependence
education
female
health
health education
laboratory
Middle East
mosquito
non profit organization
nurse
population
poverty
sanitation
spleen
typhus
vaccination
water supply
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2008810019
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1267
TITLE
A physician's report on the Yale Summer School of Alcohol Studies
AUTHOR NAMES
Haarer J.G.
AUTHOR ADDRESSES
(Haarer J.G.)
CORRESPONDENCE ADDRESS
J.G. Haarer, Ionia, MI, United States.
SOURCE
The Journal - Michigan State Medical Society (1955) 54:7 (822-824). Date of
Publication: 1955
ISSN
0098-7522
ABSTRACT
The properties of alcohol were discussed and the effects demonstrated on
living tissues; white rats and class members were used. It was demonstrated
that specific amounts of alcohol produce definite blood levels and definite
degrees of anaesthesia at least with reasonable consistency. Blood levels
below 0.05% are not under the influence of alcohol; those of 0.05 to 0.15%
may or may not be under the influence; those over 0.15% are definitely under
the influence. Lecturers included psychiatrists, lawyers, ministers,
educators, judges, manufacturers and governmental agents, etc., discussing
the problems in their specific fields. These individuals lectured to the
general group and to the seminars. There were 9 seminar groups: community
organization, education, industry, medical, ministers, nurses,
rehabilitation, social workers, and special. Treatment of the individual
patient was of paramount interest among the medical group. Thorazine has
specific indications in control of vomiting. It is also effective in
aborting the full-blown delirium tremens syndrome. The conditional reflex
regime using emetine hydrochloride, or apomorphine, is still used by some
but is not favoured by the majority in the long-range treatment plan.
Antabuse is effective as it blocks the oxidation of alcohol in the tissues
with the production of acetaldehyde, which is extremely toxic to the
individual. It is effective in very small doses and no tolerance develops,
allowing for continued usage for years. The longer the patient is kept away
from alcohol, the better his ability to develop the habit of going without.
At the Ionia State Hospital, the patient is given not only the physical
boost of vitamins, high proteins, etc., but also the psychiatric
reorientation and relearning that spells the difference between recovery and
short-lived spasmodic remissions. Alcoholics Anonymous is the most effective
treatment programme, claiming approximately 75% recoveries. There are about
450,000 members now.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
alcohol
EMTREE DRUG INDEX TERMS
acetaldehyde
apomorphine
chlorpromazine
disulfiram
emetine
protein
vitamin
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
physician
school
summer
EMTREE MEDICAL INDEX TERMS
alcoholics anonymous
anesthesia
blood level
community
conditioned reflex
delirium tremens
education
habit
hospital
industry
lawyer
learning
nurse
oxidation
patient
psychiatrist
rat
rehabilitation
remission
social worker
tissues
vomiting
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007219613
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.
RECORD 1268
TITLE
The domiciliary care of sick persons as part of a comprehensive health and
medical care programme
AUTHOR NAMES
Phillips H.T.
Cohn H.D.
AUTHOR ADDRESSES
(Phillips H.T.; Cohn H.D.) Inst. of Family and Commun. Hlth, Union Hlth
Dept., Merebank, Durban.
CORRESPONDENCE ADDRESS
H.T. Phillips, Inst. of Family and Commun. Hlth, Union Hlth Dept., Merebank,
Durban.
SOURCE
South African medical journal (1954) 28:229 (613-617). Date of Publication:
1954
ISSN
0038-2469
ABSTRACT
Describes the domiciliary care of the sick by the Lament Health Centre of
Durban, a programme based on health team practice (doctors, nurses and
health educators); the provision of comprehensive medical care, both
preventive and curative; and the better use of such resources as housing,
home gardens, food supplies and community health agencies. The main health
problems of the community served by the Health Centre are malnutrition,
infectious diseases and infestations, syndromes indicative of rapid social
changes (alcoholism, delinquency, illegitimacy), and the use of home
remedies. The majority of sick people are treated at the Health Centre.
Decision to care for patients in their own home rather than refer them to
the hospital is based on the following criteria: (1) the necessary
procedures can be carried out at home; (2) there is a suitable person in the
home who can undertake the nursing care; (3) the patient constitutes no
danger to the family. A case report is presented and the psychological,
social and economic advantages of home care are discussed.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
health
home care
medical care
EMTREE MEDICAL INDEX TERMS
alcoholism
case report
catering service
community
delinquency
health center
health educator
hospital
housing
illegitimacy
infection
infestation
malnutrition
nurse
nursing care
patient
physician
public health
social change
sociology
LANGUAGE OF ARTICLE
English
LANGUAGE OF SUMMARY
English
EMBASE ACCESSION NUMBER
2007093773
COPYRIGHT
Copyright 2007 Elsevier B.V., All rights reserved.