<1. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25758503 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baxter C FA - Baxter, Catherine IN - Baxter,Catherine. University of Worcester. TI - Starting out - Helping to manage a patient's care underlined the skills I had learned. SO - Nursing Standard. 29(28):29, 2015 Mar 11. AS - Nurs Stand. 29(28):29, 2015 Mar 11. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Alcoholism/nu [Nursing] MH - *Disease Management MH - Humans MH - Pancreatitis/nu [Nursing] MH - *Patient Care/st [Standards] MH - Students, Nursing/px [Psychology] ES - 2047-9018 IL - 0029-6570 DO - http://dx.doi.org/10.7748/ns.29.28.29.s31 PT - Journal Article LG - English DP - 2015 Mar 11 DC - 20150311 YR - 2015 ED - 20170103 RD - 20170104 UP - 20170105 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25758503 <2. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26950838 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nair JM AU - Nemeth LS AU - Sommers M AU - Newman S AU - Amella E FA - Nair, Julie McCulloh FA - Nemeth, Lynne S FA - Sommers, Marilyn FA - Newman, Susan FA - Amella, Elaine IN - Nair,Julie McCulloh. Julie McCulloh Nair, PhD, RN, CCRE, College of Nursing, Medical University of South Carolina, Charleston. Lynne S. Nemeth, PhD, RN, FAAN, College of Nursing, Medical University of South Carolina, Charleston. Marilyn Sommers, PhD, RN, FAAN, University of Pennsylvania School of Nursing, Philadelphia. Susan Newman, PhD, RN, CRRN, College of Nursing, Medical University of South Carolina, Charleston. Elaine Amella, PhD, RN, FAAN, College of Nursing, Medical University of South Carolina, Charleston. TI - Alcohol Use, Misuse, and Abuse Among Nursing Students: A Photovoice Study. SO - Journal of Addictions Nursing. 27(1):12-23, 2016 Jan-Mar. AS - J ADDICT NURS. 27(1):12-23, 2016 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholic Intoxication/ep [Epidemiology] MH - Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Curriculum MH - Education, Nursing, Baccalaureate MH - Female MH - Focus Groups MH - Humans MH - Male MH - *Risk-Taking MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] MH - Young Adult AB - BACKGROUND: Rates and frequencies of alcohol consumption remain unknown among nursing students, and risk and protective factors associated with alcohol misuse are poorly understood. Nursing curricula often lack content on substance use disorders among nurses, which is reported to begin prior to or during college. AB - PURPOSE: The aims of the study were to examine nursing students' perceptions of the risk and protective factors associated with alcohol behaviors among themselves and their peers and to identify substance use policies and their influence. AB - METHODS: We used the Photovoice method, which employs participatory action research. Participants were screened for alcohol misuse via AUDIT-C, and thoughts and perceptions were obtained regarding their alcohol consumption behaviors through self-expression and group advocacy. Data were collected from four focus groups that included nine undergraduate nursing students. AB - RESULTS: Data reflected the following key issues: stress, environmental influences, societal acceptance, and availability of alcohol. Participants identified that the following problems place them at risk for alcohol misuse: lack of addiction/alcohol education; nursing program expectations increase stress/anxiety; unhealthy habits, social isolation, and individual influences; peer influence/the college experience; and ineffective and unenforced campus policies. Protective factors included university policies; life experiences; and nursing program policies, responsibilities, peer influences, and perceived reputation. AB - CONCLUSION: This action research informed a dialogue with colleagues regarding nursing students' stressors and resulting professional ramifications. Recommendations for future work include investigation of expressed social isolation from university peers and its effects on their alcohol consumption behaviors and increase alcohol education with emphasis on adaptive coping strategies in a stressful professional role in Bachelor of Science in Nursing curricula. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000107 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2016 Jan-Mar DC - 20160308 YR - 2016 ED - 20161219 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26950838 <3. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26950837 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dion KA FA - Dion, Kimberly A IN - Dion,Kimberly A. Kimberly A. Dion, PhD, RN, CNE, University of Massachusetts Amherst. TI - Improving Outcomes of Opioid Overdose: Preparing Nursing Students to Intervene. SO - Journal of Addictions Nursing. 27(1):7-11, 2016 Jan-Mar. AS - J ADDICT NURS. 27(1):7-11, 2016 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Administration, Intranasal MH - Adult MH - *Clinical Competence MH - Drug Overdose/nu [Nursing] MH - Drug Overdose/pc [Prevention & Control] MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Naloxone/ad [Administration & Dosage] MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/ad [Administration & Dosage] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/nu [Nursing] MH - *Students, Nursing MH - Young Adult AB - PROBLEM: Death by overdose has been steadily increasing since 1992 and has become a public health epidemic. With the rise of prescription pain medications for nonmedical use and the highest use of illicit substances by those ages 18-25, the need for action is imperative. AB - PURPOSE: The aim of the study was to determine whether an educational intervention had an effect on nursing students' knowledge and skills regarding administration of intranasal naloxone for opioid overdose. AB - METHOD: A convenience sample of baccalaureate nursing students was recruited for the study. A pretest/posttest design was used to evaluate the educational intervention. A paired t test was used to compare differences in pre- and posttest scores. AB - RESULTS: A total of 49 students completed the study. The majority were women ages 25 and below, 31 (63.2%) had some or no background knowledge of opioid overdose, and 42 (85.7%) had not received previous training on intranasal naloxone. Student knowledge increased significantly (p < .001) following the educational intervention. Twenty-four students requested hands-on training for implementation of the intranasal naloxone and scored 100% accuracy in return demonstration. AB - CONCLUSIONS: Implementation of this brief training was effective for increasing the knowledge of opioid overdose for an at-risk population. The nursing student is in a unique position to educate, train, and intervene for peers, friends, and family members who are at high risk for an opiate overdose. Nursing students have a pronounced advantage to assess for respiratory depression and initiate CPR, thereby interrupting a fatal overdose. RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000106 PT - Journal Article LG - English DP - 2016 Jan-Mar DC - 20160308 YR - 2016 ED - 20161219 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26950837 <4. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26880399 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mulka-Gierek M AU - Foroncewicz B AU - Florczak M AU - Paczek L AU - Krawczyk M AU - Mucha K FA - Mulka-Gierek, Maria FA - Foroncewicz, Bartosz FA - Florczak, Michal FA - Paczek, Leszek FA - Krawczyk, Marek FA - Mucha, Krzysztof IN - Mulka-Gierek,Maria. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. IN - Foroncewicz,Bartosz. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. IN - Florczak,Michal. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. IN - Paczek,Leszek. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. IN - Krawczyk,Marek. Department of General, Liver and Transplant Surgery, Medical University of Warsaw, Warsaw, Poland. IN - Mucha,Krzysztof. Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland. IN - Mucha,Krzysztof. Institute of Biochemistry and Biophysics, Polish Academy of Sciences, Warsaw, Poland. TI - The use of nonsteroidal anti-inflammatory drugs and analgesics by liver transplant recipients. SO - Journal of Clinical Nursing. 25(7-8):1001-5, 2016 Apr. AS - J Clin Nurs. 25(7-8):1001-5, 2016 Apr. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - Aged MH - *Analgesics/tu [Therapeutic Use] MH - *Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use] MH - Cohort Studies MH - End Stage Liver Disease/co [Complications] MH - End Stage Liver Disease/su [Surgery] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Liver Transplantation MH - Male MH - Middle Aged MH - *Nonprescription Drugs/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] MH - Surveys and Questionnaires MH - Young Adult KW - NSAID; OTC; analgesics; awareness; liver transplantation; survey AB - AIMS AND OBJECTIVES: This study aimed to assess the reasons and the frequency of the use of over-the-counter (OTC) nonsteroidal anti-inflammatory drugs (NSAIDs) or analgesics by liver transplant recipients (LTR). Patient awareness of possible drug-related side-effects was also assessed. AB - BACKGROUND: NSAIDs and analgesics available without prescription belong to the most commonly used class of drugs. However, use of these drugs might be complicated by toxic adverse effects (AEs). Patients at risk for AEs include the transplant recipients. AB - DESIGN/METHODS: This was a descriptive study. An anonymous survey was carried out in 73 randomly selected LTR, who represented 10% of all LTR at our centre. AB - RESULTS: There were 64% of the patients who confirmed taking NSAIDs or analgesics; 16% of these patients took these drugs at least several times a week and 10% took them daily. For 39% of patients, the only way to manage their pain were OTC NSAIDs or analgesics. As many as 36% of patients were unaware of the risks associated with the use of these drugs. Ninety per cent of LTR consider physicians the most trusted source of drugs information. AB - CONCLUSIONS: Our study shows that two-thirds of LTR take OTC NSAIDs or analgesics and one-third are unaware of the AEs associated with these drugs. Therefore, both transplant nurses and doctors should educate their patients about the use and possible AE of these drugs. AB - RELEVANCE TO CLINICAL PRACTICE: Considering the high NSAIDs consumption rates, the side effects of these drugs should always be suspected. Especially in patients taking these drugs and referring to medical advisors with specific symptoms, such as: abdominal pain, anaemia, elevated serum creatinine concentration or liver enzymes activity. Awareness of the scale of the problem enables health professionals to cooperate in educating patients. Such practices may reduce uncontrolled abuse of these drugs and related health care costs.Copyright © 2016 John Wiley & Sons Ltd. RN - 0 (Analgesics) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Nonprescription Drugs) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/jocn.13112 PT - Journal Article LG - English EP - 20160216 DP - 2016 Apr DC - 20160321 YR - 2016 ED - 20161213 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26880399 <5. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26697818 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Evans CB AU - Mixon DK FA - Evans, Cecile B FA - Mixon, Diana K IN - Evans,Cecile B. Boise State University, Boise, Idaho. Electronic address: cecileevansphd@gmail.com. IN - Mixon,Diana K. Boise State University, Boise, Idaho. TI - The Evaluation of Undergraduate Nursing Students' Knowledge of Post-op Pain Management after Participation in Simulation. SO - Pain Management Nursing. 16(6):930-7, 2015 Dec. AS - Pain Manag Nurs. 16(6):930-7, 2015 Dec. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Cross-Sectional Studies MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Pain Management/st [Standards] MH - *Pain Measurement/st [Standards] MH - Pain, Postoperative/di [Diagnosis] MH - Pain, Postoperative/th [Therapy] MH - *Pain, Postoperative MH - *Simulation Training/mt [Methods] MH - Students, Nursing MH - Surveys and Questionnaires AB - The purpose of this paper was to assess undergraduate nursing students' pain knowledge after participation in a simulation scenario. The Knowledge and Attitudes of Survey Regarding Pain (KASRP) was used to assess pain knowledge. In addition, reflective questions related to the simulation were examined. Student preferences for education method and reactions to the simulation (SIM) were described. Undergraduate nursing students' knowledge of pain management is reported as inadequate. An emerging pedagogy used to educate undergraduate nurses in a safe, controlled environment is simulation. Literature reports of simulation to educate students' about pain management are limited. As part of the undergraduate nursing student clinical coursework, a post-operative pain management simulation, the SIM was developed. Students were required to assess pain levels and then manage the pain for a late adolescent male whose mother's fear of addiction was a barrier to pain management. The students completed an anonymous written survey that included selected questions from the KASRP and an evaluation of the SIM experience. The students' mean KASRP percent correct was 70.4% +/- 8.6%. Students scored the best on items specific to pain assessment and worst on items specific to opiate equivalents and decisions on PRN orders. The students' overall KASRP score post simulation was slightly better than previous studies of nursing students. These results suggest that educators should consider simulations to educate about pain assessment and patient/family education. Future pain simulations should include more opportunities for students to choose appropriate pain medications when provided PRN orders. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(15)00117-4 DO - http://dx.doi.org/10.1016/j.pmn.2015.07.006 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2015 Dec DC - 20151224 YR - 2015 ED - 20161213 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26697818 <6. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25979457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morley G AU - Briggs E AU - Chumbley G FA - Morley, Georgina FA - Briggs, Emma FA - Chumbley, Gillian IN - Morley,Georgina. King's College London, Florence Nightingale Faculty of Nursing and Midwifery, London; Imperial College Healthcare NHS Trust, Charing Cross Hospital, London. Electronic address: Georgina.Morley@bartshealth.nhs.uk. IN - Briggs,Emma. King's College London, Florence Nightingale Faculty of Nursing and Midwifery, London. IN - Chumbley,Gillian. Imperial College Healthcare NHS Trust, Charing Cross Hospital, London. TI - Nurses' Experiences of Patients with Substance-Use Disorder in Pain: A Phenomenological Study. SO - Pain Management Nursing. 16(5):701-11, 2015 Oct. AS - Pain Manag Nurs. 16(5):701-11, 2015 Oct. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Comorbidity MH - Drug Tolerance MH - Female MH - Humans MH - Hyperalgesia/ci [Chemically Induced] MH - Male MH - Middle Aged MH - *Nurse-Patient Relations MH - *Nurses MH - Pain/ep [Epidemiology] MH - *Pain/nu [Nursing] MH - Pain Management MH - Pain Measurement MH - Social Stigma MH - Stereotyping MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Young Adult AB - Patients with substance-use disorder and pain are at risk of having their pain underestimated and undertreated. Unrelieved pain can exacerbate characteristics that are believed to be 'drug-seeking' and in turn, perceived drug-seeking behavior can contribute to a patient being stigmatized and labeled 'difficult'. Previous literature has indicated that negative attitudes towards patients with substance-use disorder may affect their pain management but little is known about the specific barriers. This study explored nurses' experiences of working with patients with substance-use disorder in pain, providing an in-depth insight into their perspective. Descriptive phenomenology was employed as a framework for conducting semi-structured interviews to reveal the experiences of registered nurses. A convenience sample of registered nurses from a variety of clinical backgrounds were recruited and interviewed. This rich data was analyzed according to Giorgi's five-stage approach. Participants described feelings of powerlessness and frustration due to patient non-compliance, discrepancies in patient management amongst team members and external pressures effecting pain management. Participants described characteristics believed to be common, including psychosocial factors such as complex social backgrounds or mental health issues. Nurses' education and support needs were identified. Stereotyping and stigmatism were found to potentially still exist, yet there was also a general awareness of some specific clinical issues such as opioid tolerance and opioid-induced hyperalgesia. Further emphasis is required on interprofessional education and communication to improve patient management, alongside an appreciation of patient's rights facilitated by a concordance model of care. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(15)00039-9 DO - http://dx.doi.org/10.1016/j.pmn.2015.03.005 PT - Journal Article LG - English EP - 20150513 DP - 2015 Oct DC - 20151013 YR - 2015 ED - 20161213 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25979457 <7. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25497402 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Costello M AU - Thompson S FA - Costello, Margaret FA - Thompson, Sarah IN - Costello,Margaret. Simmons College, School of Nursing and Health Sciences and the Brigham and Women's Hospital, Nursing Department, Boston, Massachusetts. Electronic address: margaret.costello@simmons.edu. IN - Thompson,Sarah. Simmons College, School of Nursing and Health Sciences and the Brigham and Women's Hospital, Nursing Department, Boston, Massachusetts. TI - Preventing Opioid Misuse and Potential Abuse: The Nurse's Role in Patient Education. SO - Pain Management Nursing. 16(4):515-9, 2015 Aug. AS - Pain Manag Nurs. 16(4):515-9, 2015 Aug. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Humans MH - *Nurse's Role MH - Opioid-Related Disorders/nu [Nursing] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - *Patient Education as Topic MH - Prescription Drug Misuse/nu [Nursing] MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - Surveys and Questionnaires AB - Nurses play a vital role in providing patient education for proper use of opioids. This descriptive study was designed to explore nurses' knowledge of opioids. Nurses in two large urban East Coast medical centers in the United States were invited to participate in the study, and 133 nurses completed the survey in its entirety. Registered nurses' knowledge of and attitudes about opioid use were assessed using a 48-item web-based questionnaire sent via e-mail. Frequencies were computed for all items on the questionnaire. Chi-squared testing was used to analyze data for all questions that fewer than 50% of participants answered correctly. The results of this study revealed a pain management knowledge gap among nurses caring for patients who are receiving opioid analgesics. This gap includes patient assessment; pharmacologic management; use of adjuvant medications; risks of addiction; risks of respiratory depression; and disposal and storage of opioid analgesics. Only 25% of the nurses answered 50% of the survey questions correctly. Demographic variables such as experience working as a nurse and length of time as a nurse did not influence how nurses performed on the questionnaire, nor did educational level. However, nurses who received education on opioids as a separate class of medication answered a higher percentage of questions correctly than those who did not receive education on opioids. The results of this study reveal a knowledge gap and nurses' lack of sufficient information about opioids that may affect their ability to provide effective medication instructions to their patients.Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(14)00155-6 DO - http://dx.doi.org/10.1016/j.pmn.2014.09.008 PT - Journal Article LG - English EP - 20141208 DP - 2015 Aug DC - 20150810 YR - 2015 ED - 20161213 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25497402 <8. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25625708 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly PJ AU - Ramaswamy M AU - Chen HF AU - Denny D FA - Kelly, Patricia J FA - Ramaswamy, Megha FA - Chen, Hsiang-Feng FA - Denny, Donald IN - Kelly,Patricia J. University of Missouri-Kansas City, School of Nursing and Health Studies, Kansas City, Missouri, USA. TI - Wellness and illness self-management skills in community corrections. SO - Issues in Mental Health Nursing. 36(2):89-95, 2015 Feb. AS - Issues Ment Health Nurs. 36(2):89-95, 2015 Feb. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - gy7, 7907126 SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adult MH - *Community Mental Health Services MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - Middle Aged MH - Midwestern United States MH - *Prisoners/px [Psychology] MH - Prognosis MH - *Self Care/px [Psychology] MH - Socialization MH - Socioeconomic Factors MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - Community corrections provide a readjustment venue for re-entry between incarceration and home for inmates in the US corrections system. Our goal was to determine how self-management skills, an important predictor of re-entry success, varied by demographic and risk factors. In this cross-sectional study, we analyzed responses of 675 clients from 57 community corrections programs run by the regional division of the Federal Bureau of Prisons. A self-administered survey collected data on self-management skills, demographics, and risk factors; significant associations were applied in four regression models: the overall self-management score and three self-management subscales: coping skills, goals, and drug use. Over one-quarter (27.2%/146) of participants had a mental health history. White race, no mental health history and high school education were associated with better overall self-management scores; mental health history and drug use in the past year were associated with lower coping scores; female gender and high school education were associated with better self-management goals; female gender was associated with better self-management drug use scores. Self-management programs may need to be individualized for different groups of clients. Lower scores for those with less education suggest an area for targeted, nurse-led interventions. ES - 1096-4673 IL - 0161-2840 DO - http://dx.doi.org/10.3109/01612840.2014.956241 PT - Journal Article LG - English DP - 2015 Feb DC - 20150128 YR - 2015 ED - 20161114 RD - 20161115 UP - 20161116 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25625708 <9. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25625708 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly PJ AU - Ramaswamy M AU - Chen HF AU - Denny D FA - Kelly, Patricia J FA - Ramaswamy, Megha FA - Chen, Hsiang-Feng FA - Denny, Donald IN - Kelly,Patricia J. University of Missouri-Kansas City, School of Nursing and Health Studies, Kansas City, Missouri, USA. TI - Wellness and illness self-management skills in community corrections. SO - Issues in Mental Health Nursing. 36(2):89-95, 2015 Feb. AS - Issues Ment Health Nurs. 36(2):89-95, 2015 Feb. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - gy7, 7907126 SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adult MH - *Community Mental Health Services MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - Middle Aged MH - Midwestern United States MH - *Prisoners/px [Psychology] MH - Prognosis MH - *Self Care/px [Psychology] MH - Socialization MH - Socioeconomic Factors MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - Community corrections provide a readjustment venue for re-entry between incarceration and home for inmates in the US corrections system. Our goal was to determine how self-management skills, an important predictor of re-entry success, varied by demographic and risk factors. In this cross-sectional study, we analyzed responses of 675 clients from 57 community corrections programs run by the regional division of the Federal Bureau of Prisons. A self-administered survey collected data on self-management skills, demographics, and risk factors; significant associations were applied in four regression models: the overall self-management score and three self-management subscales: coping skills, goals, and drug use. Over one-quarter (27.2%/146) of participants had a mental health history. White race, no mental health history and high school education were associated with better overall self-management scores; mental health history and drug use in the past year were associated with lower coping scores; female gender and high school education were associated with better self-management goals; female gender was associated with better self-management drug use scores. Self-management programs may need to be individualized for different groups of clients. Lower scores for those with less education suggest an area for targeted, nurse-led interventions. ES - 1096-4673 IL - 0161-2840 DO - http://dx.doi.org/10.3109/01612840.2014.956241 PT - Journal Article LG - English DP - 2015 Feb DC - 20150128 YR - 2015 ED - 20161114 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25625708 <10. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25487399 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham S FA - Graham, Sharon IN - Graham,Sharon. Faculty of health sciences, Staffordshire University. TI - Every nurse has a duty to make every contact count. SO - Nursing Children and Young People. 26(10):16-21, 2014 Dec. AS - Nurs Child Young People. 26(10):16-21, 2014 Dec. NJ - Nursing children and young people PI - Journal available in: Print PI - Citation processed from: Internet JC - 101554473 SB - Nursing Journal CP - England MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/th [Therapy] MH - Curriculum MH - Diet MH - Great Britain MH - *Health Promotion MH - Home Care Services MH - Humans MH - Motor Activity MH - *Nurse's Role MH - Nurses, Community Health/ed [Education] MH - *Nurses, Community Health MH - *Pediatric Nursing MH - Public Health MH - State Medicine MH - Tobacco Use/pc [Prevention & Control] MH - Tobacco Use/th [Therapy] KW - Children and young people's nursing; health promotion; health visiting; home care services; nursing training; public health AB - Make Every Contact Count is a public health strategy and not entirely a new idea in nursing, but one that all nurses need to be more conscious of when dealing with patients and the public. The strategy is based on the fact that it is simple and easy to be tactful in delivering correct, brief health advice of any kind, in any setting, whether as nursing students or nurse consultants. Such opportunistic intervention may be opposed or ignored, but could be the trigger that encourages people to change their behaviour positively and take responsibility for their health. A sustained change can reduce the potential negative effect of adverse habits on people's life or on the lives of their children, even in much later years. In this article, the author argues that it is every nurses' duty to make every contact count for the health of the population now and for the future, and thereby reduce the burdens on the NHS and social services. ES - 2046-2344 IL - 2046-2336 DO - http://dx.doi.org/10.7748/ncyp.26.10.16.e535 PT - Journal Article LG - English DP - 2014 Dec DC - 20141209 YR - 2014 ED - 20161110 RD - 20161112 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25487399 <11. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25487399 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham S FA - Graham, Sharon IN - Graham,Sharon. Faculty of health sciences, Staffordshire University. TI - Every nurse has a duty to make every contact count. SO - Nursing Children and Young People. 26(10):16-21, 2014 Dec. AS - Nurs Child Young People. 26(10):16-21, 2014 Dec. NJ - Nursing children and young people PI - Journal available in: Print PI - Citation processed from: Internet JC - 101554473 SB - Nursing Journal CP - England MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/th [Therapy] MH - Curriculum MH - Diet MH - *Health Promotion MH - Home Care Services MH - Humans MH - Motor Activity MH - *Nurse's Role MH - Nurses, Community Health/ed [Education] MH - *Nurses, Community Health MH - *Pediatric Nursing MH - Public Health MH - State Medicine MH - Tobacco Use/pc [Prevention & Control] MH - Tobacco Use/th [Therapy] KW - Children and young people's nursing; health promotion; health visiting; home care services; nursing training; public health AB - Make Every Contact Count is a public health strategy and not entirely a new idea in nursing, but one that all nurses need to be more conscious of when dealing with patients and the public. The strategy is based on the fact that it is simple and easy to be tactful in delivering correct, brief health advice of any kind, in any setting, whether as nursing students or nurse consultants. Such opportunistic intervention may be opposed or ignored, but could be the trigger that encourages people to change their behaviour positively and take responsibility for their health. A sustained change can reduce the potential negative effect of adverse habits on people's life or on the lives of their children, even in much later years. In this article, the author argues that it is every nurses' duty to make every contact count for the health of the population now and for the future, and thereby reduce the burdens on the NHS and social services. ES - 2046-2344 IL - 2046-2336 DO - http://dx.doi.org/10.7748/ncyp.26.10.16.e535 PT - Journal Article LG - English DP - 2014 Dec DC - 20141209 YR - 2014 ED - 20161110 RD - 20170103 UP - 20170104 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25487399 <12. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25010597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cares A AU - Pace E AU - Denious J AU - Crane LA FA - Cares, Alexa FA - Pace, Elizabeth FA - Denious, Jean FA - Crane, Lori A IN - Cares,Alexa. a OMNI Institute , Denver , Colorado , USA. TI - Substance use and mental illness among nurses: workplace warning signs and barriers to seeking assistance. SO - Substance Abuse. 36(1):59-66, 2015. AS - Subst Abus. 36(1):59-66, 2015. NJ - Substance abuse PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Cues MH - Early Diagnosis MH - Early Medical Intervention MH - Fear MH - Female MH - Humans MH - Licensure MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/th [Therapy] MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Prevalence MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Program Evaluation MH - Shame MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - Workplace MH - Young Adult KW - Alcohol; barriers to seeking assistance; drugs; mental illness; nurses; peer health assistance program; substance use; worksite warning signs AB - BACKGROUND: Although some studies have examined the prevalence of substance use among nurses, few have assessed substance use in the workplace or early cues for identifying these health conditions. Primary data collected as part of a larger program evaluation were examined with the purpose of better understanding (a) the context and perceived consequences of substance use and mental illness among nurses and (b) barriers and opportunities for earlier identification and treatment of these issues among nurses, their colleagues, and employers. AB - METHODS: Anonymous surveys were mailed to 441 active and recent participants of a peer health assistance program in the summer of 2010. The survey examined drug-related behaviors in the workplace; behavioral cues that may permit earlier identification of substance use and mental illness; perceptions of barriers to seeking assistance; and strategies for preventing problems and overcoming barriers to seeking assistance. AB - RESULTS: Responses were received from 302 nurses (69%). Nearly half (48%) reported drug or alcohol use at work, and two fifths (40%) felt that their competency level was affected by their use. More than two thirds of respondents thought their problem could have been recognized earlier. The most highly rated barriers to seeking assistance for substance use and mental illness included fear and embarrassment and concerns about losing one's nursing license. Respondents recommended greater attention be paid to early identification of risk factors during nurses' professional training as a prevention strategy. AB - CONCLUSIONS: Findings from this study provide preliminary data that can be used by schools of nursing and health care employers to improve early identification of nurses' substance use and mental illness treatment needs. These data also suggest a need for more research to explore the prevention and early identification of co-occurring disorders in health care settings where nurses practice. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2014.933725 PT - Journal Article LG - English EP - 20140710 DP - 2015 DC - 20150320 YR - 2015 ED - 20161108 RD - 20161108 UP - 20161109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25010597 <13. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25010597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cares A AU - Pace E AU - Denious J AU - Crane LA FA - Cares, Alexa FA - Pace, Elizabeth FA - Denious, Jean FA - Crane, Lori A IN - Cares,Alexa. a OMNI Institute , Denver , Colorado , USA. TI - Substance use and mental illness among nurses: workplace warning signs and barriers to seeking assistance. SO - Substance Abuse. 36(1):59-66, 2015. AS - Subst Abus. 36(1):59-66, 2015. NJ - Substance abuse PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Cues MH - Early Diagnosis MH - Early Medical Intervention MH - Fear MH - Female MH - Humans MH - Licensure MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/th [Therapy] MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Prevalence MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Program Evaluation MH - Shame MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - Workplace MH - Young Adult KW - Alcohol; barriers to seeking assistance; drugs; mental illness; nurses; peer health assistance program; substance use; worksite warning signs AB - BACKGROUND: Although some studies have examined the prevalence of substance use among nurses, few have assessed substance use in the workplace or early cues for identifying these health conditions. Primary data collected as part of a larger program evaluation were examined with the purpose of better understanding (a) the context and perceived consequences of substance use and mental illness among nurses and (b) barriers and opportunities for earlier identification and treatment of these issues among nurses, their colleagues, and employers. AB - METHODS: Anonymous surveys were mailed to 441 active and recent participants of a peer health assistance program in the summer of 2010. The survey examined drug-related behaviors in the workplace; behavioral cues that may permit earlier identification of substance use and mental illness; perceptions of barriers to seeking assistance; and strategies for preventing problems and overcoming barriers to seeking assistance. AB - RESULTS: Responses were received from 302 nurses (69%). Nearly half (48%) reported drug or alcohol use at work, and two fifths (40%) felt that their competency level was affected by their use. More than two thirds of respondents thought their problem could have been recognized earlier. The most highly rated barriers to seeking assistance for substance use and mental illness included fear and embarrassment and concerns about losing one's nursing license. Respondents recommended greater attention be paid to early identification of risk factors during nurses' professional training as a prevention strategy. AB - CONCLUSIONS: Findings from this study provide preliminary data that can be used by schools of nursing and health care employers to improve early identification of nurses' substance use and mental illness treatment needs. These data also suggest a need for more research to explore the prevention and early identification of co-occurring disorders in health care settings where nurses practice. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2014.933725 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140710 DP - 2015 DC - 20150320 YR - 2015 ED - 20161108 RD - 20161110 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25010597 <14. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25010597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cares A AU - Pace E AU - Denious J AU - Crane LA FA - Cares, Alexa FA - Pace, Elizabeth FA - Denious, Jean FA - Crane, Lori A IN - Cares,Alexa. a OMNI Institute , Denver , Colorado , USA. TI - Substance use and mental illness among nurses: workplace warning signs and barriers to seeking assistance. SO - Substance Abuse. 36(1):59-66, 2015. AS - Subst Abus. 36(1):59-66, 2015. NJ - Substance abuse PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Cues MH - Early Diagnosis MH - Early Medical Intervention MH - Fear MH - Female MH - Humans MH - Licensure MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/th [Therapy] MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Prevalence MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Program Evaluation MH - Shame MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - Workplace MH - Young Adult KW - Alcohol; barriers to seeking assistance; drugs; mental illness; nurses; peer health assistance program; substance use; worksite warning signs AB - BACKGROUND: Although some studies have examined the prevalence of substance use among nurses, few have assessed substance use in the workplace or early cues for identifying these health conditions. Primary data collected as part of a larger program evaluation were examined with the purpose of better understanding (a) the context and perceived consequences of substance use and mental illness among nurses and (b) barriers and opportunities for earlier identification and treatment of these issues among nurses, their colleagues, and employers. AB - METHODS: Anonymous surveys were mailed to 441 active and recent participants of a peer health assistance program in the summer of 2010. The survey examined drug-related behaviors in the workplace; behavioral cues that may permit earlier identification of substance use and mental illness; perceptions of barriers to seeking assistance; and strategies for preventing problems and overcoming barriers to seeking assistance. AB - RESULTS: Responses were received from 302 nurses (69%). Nearly half (48%) reported drug or alcohol use at work, and two fifths (40%) felt that their competency level was affected by their use. More than two thirds of respondents thought their problem could have been recognized earlier. The most highly rated barriers to seeking assistance for substance use and mental illness included fear and embarrassment and concerns about losing one's nursing license. Respondents recommended greater attention be paid to early identification of risk factors during nurses' professional training as a prevention strategy. AB - CONCLUSIONS: Findings from this study provide preliminary data that can be used by schools of nursing and health care employers to improve early identification of nurses' substance use and mental illness treatment needs. These data also suggest a need for more research to explore the prevention and early identification of co-occurring disorders in health care settings where nurses practice. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2014.933725 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140710 DP - 2015 DC - 20150320 YR - 2015 ED - 20161108 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25010597 <15. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26279461 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Soccio J AU - Brown M AU - Comino E AU - Friesen E AI - Friesen, Emma; ORCID: http://orcid.org/0000-0001-6969-8230 FA - Soccio, Jacqui FA - Brown, Margaret FA - Comino, Elizabeth FA - Friesen, Emma IN - Soccio,Jacqui. Women's Health Unit, Rosemeadow Community Health Centre, South Western Sydney Local Health District (SWSLHD), New South Wales, Australia. IN - Brown,Margaret. Community Paediatrics, Liverpool Hospital, SWSLHD, New South Wales, Australia. IN - Comino,Elizabeth. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Comino,Elizabeth. Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales Australia, Liverpool, New South Wales, Australia. IN - Friesen,Emma. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Friesen,Emma. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. TI - Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility. SO - Journal of Advanced Nursing. 71(12):2858-66, 2015 Dec. AS - J Adv Nurs. 71(12):2858-66, 2015 Dec. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Australia/ep [Epidemiology] MH - Cross-Sectional Studies MH - Early Detection of Cancer/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Incidence MH - *Mass Screening/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Papanicolaou Test/px [Psychology] MH - Risk Factors MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Uterine Cervical Neoplasms/ep [Epidemiology] MH - *Uterine Cervical Neoplasms/pc [Prevention & Control] MH - *Uterine Cervical Neoplasms/px [Psychology] MH - *Vaginal Smears/px [Psychology] MH - *Women's Health Services/sn [Statistics & Numerical Data] MH - Young Adult KW - cervical screening; drug and alcohol use; nurses/midwives/nursing; pap smear testing; substance use disorder; women AB - AIM: To compare rates of late- screening, abnormal Pap smears and prevalence of psychosocial factors for cervical cancer between women in the community and women attending a residential drug and alcohol facility. AB - BACKGROUND: Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, late- or under- screening and psychosocial risk factors including domestic violence and sexual assault. AB - DESIGN: A descriptive cross-sectional study of women attending publically funded women's health clinics in the community or in a live-in residential drug and alcohol rehabilitation facility. AB - METHODS: The study was approved in May 2012. Data were collected between October 2012-December 2013 using standardized women's health questionnaires, domestic violence screening tools and Pap smear tests. AB - RESULTS: Women attending the rehabilitation facility had higher rates of abnormal Pap smears (16.7% vs. 1.6%) and self-reported history of abnormal Pap smears (44.4% vs. 20.6%). They also reported higher rates of smoking (72.2% vs. 29.2%), experience of sexual assault (44.1% vs. 16.9%), experience of domestic violence (65.7% vs. 10.9%) and other psychosocial risk factors, than women living in the general community. Unexpectedly, women in the rehabilitation facility reported similar levels of late screening as women in the community (52.8% vs. 55.4%). AB - CONCLUSION: Women with drug and alcohol addiction have significantly higher incidence of risk factors for cervical cancer and abnormal Pap smears. Provision of opportunistic cervical cancer screening during residential treatment appears to reduce incidence of late-screening. Roles of Women's Health Nurses in providing services to vulnerable women should be explored further.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12745 PT - Comparative Study PT - Journal Article LG - English EP - 2015Aug17 DP - 2015 Dec DC - 2016115 YR - 2015 ED - 20161018 RD - 20161019 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26279461 <16. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26279461 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Soccio J AU - Brown M AU - Comino E AU - Friesen E AI - Friesen, Emma; ORCID: http://orcid.org/0000-0001-6969-8230 FA - Soccio, Jacqui FA - Brown, Margaret FA - Comino, Elizabeth FA - Friesen, Emma IN - Soccio,Jacqui. Women's Health Unit, Rosemeadow Community Health Centre, South Western Sydney Local Health District (SWSLHD), New South Wales, Australia. IN - Brown,Margaret. Community Paediatrics, Liverpool Hospital, SWSLHD, New South Wales, Australia. IN - Comino,Elizabeth. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Comino,Elizabeth. Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales Australia, Liverpool, New South Wales, Australia. IN - Friesen,Emma. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Friesen,Emma. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. TI - Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility. SO - Journal of Advanced Nursing. 71(12):2858-66, 2015 Dec. AS - J Adv Nurs. 71(12):2858-66, 2015 Dec. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Australia/ep [Epidemiology] MH - Cross-Sectional Studies MH - Early Detection of Cancer/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Incidence MH - *Mass Screening/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Papanicolaou Test/px [Psychology] MH - Risk Factors MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Uterine Cervical Neoplasms/ep [Epidemiology] MH - *Uterine Cervical Neoplasms/pc [Prevention & Control] MH - *Uterine Cervical Neoplasms/px [Psychology] MH - *Vaginal Smears/px [Psychology] MH - *Women's Health Services/sn [Statistics & Numerical Data] MH - Young Adult KW - cervical screening; drug and alcohol use; nurses/midwives/nursing; pap smear testing; substance use disorder; women AB - AIM: To compare rates of late- screening, abnormal Pap smears and prevalence of psychosocial factors for cervical cancer between women in the community and women attending a residential drug and alcohol facility. AB - BACKGROUND: Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, late- or under- screening and psychosocial risk factors including domestic violence and sexual assault. AB - DESIGN: A descriptive cross-sectional study of women attending publically funded women's health clinics in the community or in a live-in residential drug and alcohol rehabilitation facility. AB - METHODS: The study was approved in May 2012. Data were collected between October 2012-December 2013 using standardized women's health questionnaires, domestic violence screening tools and Pap smear tests. AB - RESULTS: Women attending the rehabilitation facility had higher rates of abnormal Pap smears (16.7% vs. 1.6%) and self-reported history of abnormal Pap smears (44.4% vs. 20.6%). They also reported higher rates of smoking (72.2% vs. 29.2%), experience of sexual assault (44.1% vs. 16.9%), experience of domestic violence (65.7% vs. 10.9%) and other psychosocial risk factors, than women living in the general community. Unexpectedly, women in the rehabilitation facility reported similar levels of late screening as women in the community (52.8% vs. 55.4%). AB - CONCLUSION: Women with drug and alcohol addiction have significantly higher incidence of risk factors for cervical cancer and abnormal Pap smears. Provision of opportunistic cervical cancer screening during residential treatment appears to reduce incidence of late-screening. Roles of Women's Health Nurses in providing services to vulnerable women should be explored further.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12745 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150817 DP - 2015 Dec DC - 20160115 YR - 2015 ED - 20161018 RD - 20161110 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26279461 <17. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26279461 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Soccio J AU - Brown M AU - Comino E AU - Friesen E AI - Friesen, Emma; ORCID: http://orcid.org/0000-0001-6969-8230 FA - Soccio, Jacqui FA - Brown, Margaret FA - Comino, Elizabeth FA - Friesen, Emma IN - Soccio,Jacqui. Women's Health Unit, Rosemeadow Community Health Centre, South Western Sydney Local Health District (SWSLHD), New South Wales, Australia. IN - Brown,Margaret. Community Paediatrics, Liverpool Hospital, SWSLHD, New South Wales, Australia. IN - Comino,Elizabeth. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Comino,Elizabeth. Centre for Primary Health Care and Equity, School of Public Health and Community Medicine, University of New South Wales Australia, Liverpool, New South Wales, Australia. IN - Friesen,Emma. Primary and Community Health Research Unit (PCHRU), Division of Community Health, South Western Sydney Local Health District, Liverpool, New South Wales, Australia. IN - Friesen,Emma. School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia. TI - Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility. SO - Journal of Advanced Nursing. 71(12):2858-66, 2015 Dec. AS - J Adv Nurs. 71(12):2858-66, 2015 Dec. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Australia/ep [Epidemiology] MH - Cross-Sectional Studies MH - Early Detection of Cancer/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Incidence MH - *Mass Screening/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Papanicolaou Test/px [Psychology] MH - Risk Factors MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Uterine Cervical Neoplasms/ep [Epidemiology] MH - *Uterine Cervical Neoplasms/pc [Prevention & Control] MH - *Uterine Cervical Neoplasms/px [Psychology] MH - *Vaginal Smears/px [Psychology] MH - *Women's Health Services/sn [Statistics & Numerical Data] MH - Young Adult KW - cervical screening; drug and alcohol use; nurses/midwives/nursing; pap smear testing; substance use disorder; women AB - AIM: To compare rates of late- screening, abnormal Pap smears and prevalence of psychosocial factors for cervical cancer between women in the community and women attending a residential drug and alcohol facility. AB - BACKGROUND: Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, late- or under- screening and psychosocial risk factors including domestic violence and sexual assault. AB - DESIGN: A descriptive cross-sectional study of women attending publically funded women's health clinics in the community or in a live-in residential drug and alcohol rehabilitation facility. AB - METHODS: The study was approved in May 2012. Data were collected between October 2012-December 2013 using standardized women's health questionnaires, domestic violence screening tools and Pap smear tests. AB - RESULTS: Women attending the rehabilitation facility had higher rates of abnormal Pap smears (16.7% vs. 1.6%) and self-reported history of abnormal Pap smears (44.4% vs. 20.6%). They also reported higher rates of smoking (72.2% vs. 29.2%), experience of sexual assault (44.1% vs. 16.9%), experience of domestic violence (65.7% vs. 10.9%) and other psychosocial risk factors, than women living in the general community. Unexpectedly, women in the rehabilitation facility reported similar levels of late screening as women in the community (52.8% vs. 55.4%). AB - CONCLUSION: Women with drug and alcohol addiction have significantly higher incidence of risk factors for cervical cancer and abnormal Pap smears. Provision of opportunistic cervical cancer screening during residential treatment appears to reduce incidence of late-screening. Roles of Women's Health Nurses in providing services to vulnerable women should be explored further.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12745 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150817 DP - 2015 Dec DC - 20160115 YR - 2015 ED - 20161018 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26279461 <18. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26428712 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Wells M AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Wells, Marjorie FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Wells,Marjorie. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, California, USA. TI - Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China. SO - Journal of Advanced Nursing. 72(1):118-26, 2016 Jan. AS - J Adv Nurs. 72(1):118-26, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Asian Continental Ancestry Group/px [Psychology] MH - Attitude of Health Personnel MH - China MH - *Computer-Assisted Instruction MH - Female MH - Humans MH - *Internet MH - Male MH - Middle Aged MH - Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Prospective Studies MH - Sex Factors MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] KW - China; attitudes about smoking cessation; hospital; nurses; smoke-free environment; smoking cessation; tobacco use; web-based educational program AB - AIMS: To evaluate a web-based educational smoking cessation programme on changes in the frequency of hospital-based nurses' self-reported interventions to help smokers quit using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), to reduce exposure to second-hand smoke and to change attitudes about nurses' involvement in tobacco control. AB - BACKGROUND: Few nurses in China support smokers' quit attempts using evidence-based smoking cessation interventions based on the 5 As. Limited knowledge is a barrier to intervention. Web-based tobacco cessation programs have the potential to reach a large population of nurses. AB - DESIGN: A prospective single-group design with pre-, 3- and 6-month follow-up after the educational programme evaluated the feasibility of conducting web-based educational programs in two cities in China in 2012-2013. AB - METHODS: Frequency of interventions was assessed using a valid and reliable web-based survey with a convenience sample of nurses from eight hospitals in Beijing and Hefei, China. Generalized linear models, adjusting for age, clinical setting, education and site were used to determine changes in the consistent (usually/always) use of the 5 As from baseline to 3 and to 6 months. AB - RESULTS: Nurses (N = 1386) had baseline and/or 3- and 6-month data. At 6 months, nurses were significantly more likely to Assess, Assist and Arrange for smoking cessation and recommend smoke-free home environments. There was significant improvement in attitudes about tobacco control. AB - CONCLUSIONS: Nurses receiving web-based smoking cessation education significantly increased self-reports of frequency of providing interventions to patients who smoke, including recommending smoke-free home environments to support quit attempts.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12816 PT - Comparative Study PT - Evaluation Studies PT - Journal Article LG - English EP - 2015Oct01 DP - 2016 Jan DC - 2016115 YR - 2016 ED - 20161017 RD - 20161018 UP - 20161019 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26428712 <19. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26411961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Chan S AU - Wells MJ AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Chan, Sophia FA - Wells, Marjorie J FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Chan,Sophia. School of Nursing, The University of Hong Kong, China. IN - Wells,Marjorie J. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, CA, USA. TI - Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses. SO - Journal of Advanced Nursing. 72(1):107-17, 2016 Jan. AS - J Adv Nurs. 72(1):107-17, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Aged MH - Asian Continental Ancestry Group/px [Psychology] MH - *Attitude of Health Personnel MH - China MH - Female MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - *Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] MH - Young Adult KW - China; attitudes; hospitalized smokers; interventions; nurses; nursing; smoking cessation; tobacco use AB - AIMS: To describe the self-reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts. AB - BACKGROUND: Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown. AB - DESIGN: Descriptive survey using a convenience sample. AB - METHODS: Nurses from eight hospitals in Beijing and Hefei, China completed a web-based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1-5 scale (5 = most important). AB - RESULTS: Nurses (N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow-up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4.3/5) and thought nurses should be smoke-free role models (4.8/5.0). AB - CONCLUSIONS: This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12811 PT - Journal Article LG - English EP - 2015Sep28 DP - 2016 Jan DC - 2016115 YR - 2016 ED - 20161017 RD - 20161018 UP - 20161019 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26411961 <20. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26428712 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Wells M AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Wells, Marjorie FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Wells,Marjorie. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, California, USA. TI - Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China. SO - Journal of Advanced Nursing. 72(1):118-26, 2016 Jan. AS - J Adv Nurs. 72(1):118-26, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Asian Continental Ancestry Group/px [Psychology] MH - Attitude of Health Personnel MH - China MH - *Computer-Assisted Instruction MH - Female MH - Humans MH - *Internet MH - Male MH - Middle Aged MH - Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Prospective Studies MH - Sex Factors MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] KW - China; attitudes about smoking cessation; hospital; nurses; smoke-free environment; smoking cessation; tobacco use; web-based educational program AB - AIMS: To evaluate a web-based educational smoking cessation programme on changes in the frequency of hospital-based nurses' self-reported interventions to help smokers quit using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), to reduce exposure to second-hand smoke and to change attitudes about nurses' involvement in tobacco control. AB - BACKGROUND: Few nurses in China support smokers' quit attempts using evidence-based smoking cessation interventions based on the 5 As. Limited knowledge is a barrier to intervention. Web-based tobacco cessation programs have the potential to reach a large population of nurses. AB - DESIGN: A prospective single-group design with pre-, 3- and 6-month follow-up after the educational programme evaluated the feasibility of conducting web-based educational programs in two cities in China in 2012-2013. AB - METHODS: Frequency of interventions was assessed using a valid and reliable web-based survey with a convenience sample of nurses from eight hospitals in Beijing and Hefei, China. Generalized linear models, adjusting for age, clinical setting, education and site were used to determine changes in the consistent (usually/always) use of the 5 As from baseline to 3 and to 6 months. AB - RESULTS: Nurses (N = 1386) had baseline and/or 3- and 6-month data. At 6 months, nurses were significantly more likely to Assess, Assist and Arrange for smoking cessation and recommend smoke-free home environments. There was significant improvement in attitudes about tobacco control. AB - CONCLUSIONS: Nurses receiving web-based smoking cessation education significantly increased self-reports of frequency of providing interventions to patients who smoke, including recommending smoke-free home environments to support quit attempts.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12816 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20151001 DP - 2016 Jan DC - 20160115 YR - 2016 ED - 20161017 RD - 20161110 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26428712 <21. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26411961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Chan S AU - Wells MJ AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Chan, Sophia FA - Wells, Marjorie J FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Chan,Sophia. School of Nursing, The University of Hong Kong, China. IN - Wells,Marjorie J. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, CA, USA. TI - Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses. SO - Journal of Advanced Nursing. 72(1):107-17, 2016 Jan. AS - J Adv Nurs. 72(1):107-17, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Aged MH - Asian Continental Ancestry Group/px [Psychology] MH - *Attitude of Health Personnel MH - China MH - Female MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - *Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] MH - Young Adult KW - China; attitudes; hospitalized smokers; interventions; nurses; nursing; smoking cessation; tobacco use AB - AIMS: To describe the self-reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts. AB - BACKGROUND: Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown. AB - DESIGN: Descriptive survey using a convenience sample. AB - METHODS: Nurses from eight hospitals in Beijing and Hefei, China completed a web-based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1-5 scale (5 = most important). AB - RESULTS: Nurses (N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow-up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4.3/5) and thought nurses should be smoke-free role models (4.8/5.0). AB - CONCLUSIONS: This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12811 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150928 DP - 2016 Jan DC - 20160115 YR - 2016 ED - 20161017 RD - 20161110 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26411961 <22. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26428712 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Wells M AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Wells, Marjorie FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Wells,Marjorie. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, California, USA. TI - Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China. SO - Journal of Advanced Nursing. 72(1):118-26, 2016 Jan. AS - J Adv Nurs. 72(1):118-26, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Asian Continental Ancestry Group/px [Psychology] MH - Attitude of Health Personnel MH - China MH - *Computer-Assisted Instruction MH - Female MH - Humans MH - *Internet MH - Male MH - Middle Aged MH - Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Prospective Studies MH - Sex Factors MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] KW - China; attitudes about smoking cessation; hospital; nurses; smoke-free environment; smoking cessation; tobacco use; web-based educational program AB - AIMS: To evaluate a web-based educational smoking cessation programme on changes in the frequency of hospital-based nurses' self-reported interventions to help smokers quit using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), to reduce exposure to second-hand smoke and to change attitudes about nurses' involvement in tobacco control. AB - BACKGROUND: Few nurses in China support smokers' quit attempts using evidence-based smoking cessation interventions based on the 5 As. Limited knowledge is a barrier to intervention. Web-based tobacco cessation programs have the potential to reach a large population of nurses. AB - DESIGN: A prospective single-group design with pre-, 3- and 6-month follow-up after the educational programme evaluated the feasibility of conducting web-based educational programs in two cities in China in 2012-2013. AB - METHODS: Frequency of interventions was assessed using a valid and reliable web-based survey with a convenience sample of nurses from eight hospitals in Beijing and Hefei, China. Generalized linear models, adjusting for age, clinical setting, education and site were used to determine changes in the consistent (usually/always) use of the 5 As from baseline to 3 and to 6 months. AB - RESULTS: Nurses (N = 1386) had baseline and/or 3- and 6-month data. At 6 months, nurses were significantly more likely to Assess, Assist and Arrange for smoking cessation and recommend smoke-free home environments. There was significant improvement in attitudes about tobacco control. AB - CONCLUSIONS: Nurses receiving web-based smoking cessation education significantly increased self-reports of frequency of providing interventions to patients who smoke, including recommending smoke-free home environments to support quit attempts.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12816 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20151001 DP - 2016 Jan DC - 20160115 YR - 2016 ED - 20161017 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26428712 <23. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26411961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Zou XN AU - Wang W AU - Hong J AU - Chan S AU - Wells MJ AU - Brook J FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Zou, Xiao Nong FA - Wang, Weili FA - Hong, Jingfang FA - Chan, Sophia FA - Wells, Marjorie J FA - Brook, Jenny IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, California, USA. IN - Bialous,Stella Aguinaga. School of Nursing, University of California San Francisco, California, USA. IN - Zou,Xiao Nong. Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China. IN - Wang,Weili. School of Nursing, Anhui Medical University, Hefei, China. IN - Hong,Jingfang. School of Nursing, Anhui Medical University, Hefei, China. IN - Chan,Sophia. School of Nursing, The University of Hong Kong, China. IN - Wells,Marjorie J. School of Nursing, University of California, Los Angeles, California, USA. IN - Brook,Jenny. David Geffen School of Medicine, University of California, Los Angeles, CA, USA. TI - Helping smokers quit: behaviours and attitudes of Chinese Registered Nurses. SO - Journal of Advanced Nursing. 72(1):107-17, 2016 Jan. AS - J Adv Nurs. 72(1):107-17, 2016 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Aged MH - Asian Continental Ancestry Group/px [Psychology] MH - *Attitude of Health Personnel MH - China MH - Female MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - *Nurse's Role MH - Nurse-Patient Relations MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] MH - Young Adult KW - China; attitudes; hospitalized smokers; interventions; nurses; nursing; smoking cessation; tobacco use AB - AIMS: To describe the self-reported frequency of Chinese nurses' interventions to help smokers quit, using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), attitudes towards tobacco control and differences in consistency interventions by demographic and professional characteristics prior to an educational intervention to increase nurses' support for quit efforts. AB - BACKGROUND: Tobacco use is the leading cause of preventable death in China; quitting smoking reduces health risks and premature death. The China Tobacco Cessation Treatment Guideline supports the 5 As model for intervention, but nurses' frequency of delivering smoking cessation interventions is unknown. AB - DESIGN: Descriptive survey using a convenience sample. AB - METHODS: Nurses from eight hospitals in Beijing and Hefei, China completed a web-based survey in 2012. Differences in consistency of the 5 As by nurse characteristics were determined using multivariate logistic regression. Overall importance of nurses in tobacco control was evaluated on a 1-5 scale (5 = most important). AB - RESULTS: Nurses (N = 2440; 1404 Beijing, 1036 Hefei) participated. 64% consistently asked about smoking status, 85% advised patients to quit, 52% assessed readiness to quit and assisted with smoking cessation and 17% arranged for follow-up. Interventions varied by nurses' education and clinical setting. Nurses positively viewed involvement in tobacco control (4.3/5) and thought nurses should be smoke-free role models (4.8/5.0). AB - CONCLUSIONS: This study demonstrates that the majority of nurses asked about smoking status, but few assisted patients with quitting. Further efforts are needed to help nurses actively promote smoking cessation interventions.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12811 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150928 DP - 2016 Jan DC - 20160115 YR - 2016 ED - 20161017 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26411961 <24. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25391597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lovejoy-Bluem A FA - Lovejoy-Bluem, Arlene TI - Drug-exposed newborns and caregivers:quality care collaborative for the mother-baby-community triad. SO - Neonatal Network - Journal of Neonatal Nursing. 33(6):356-7, 2014 Nov-Dec. AS - Neonat Netw. 33(6):356-7, 2014 Nov-Dec. NJ - Neonatal network : NN PI - Journal available in: Print PI - Citation processed from: Internet JC - 8503921 SB - Nursing Journal CP - United States MH - Cooperative Behavior MH - Female MH - Humans MH - Infant, Newborn MH - Inservice Training MH - *Intensive Care Units, Neonatal MH - Interdisciplinary Communication MH - *Mother-Child Relations MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - *Neonatal Nursing MH - Pregnancy MH - *Quality Assurance, Health Care ES - 1539-2880 IL - 0730-0832 DO - http://dx.doi.org/10.1891/0730-0832.33.6.356 PT - Congresses PT - News LG - English DP - 2014 Nov-Dec DC - 20141113 YR - 2014 ED - 20161011 RD - 20161012 UP - 20161014 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25391597 <25. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25391597 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lovejoy-Bluem A FA - Lovejoy-Bluem, Arlene TI - Drug-exposed newborns and caregivers:quality care collaborative for the mother-baby-community triad. SO - Neonatal Network - Journal of Neonatal Nursing. 33(6):356-7, 2014 Nov-Dec. AS - Neonat Netw. 33(6):356-7, 2014 Nov-Dec. NJ - Neonatal network : NN PI - Journal available in: Print PI - Citation processed from: Internet JC - 8503921 SB - Nursing Journal CP - United States MH - Cooperative Behavior MH - Female MH - Humans MH - Infant, Newborn MH - Inservice Training MH - *Intensive Care Units, Neonatal MH - Interdisciplinary Communication MH - *Mother-Child Relations MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - *Neonatal Nursing MH - Pregnancy MH - *Quality Assurance, Health Care ES - 1539-2880 IL - 0730-0832 DO - http://dx.doi.org/10.1891/0730-0832.33.6.356 PT - Congresses PT - News LG - English DP - 2014 Nov-Dec DC - 20141113 YR - 2014 ED - 20161011 RD - 20161230 UP - 20161230 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25391597 <26. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26517342 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moss JA AU - Moore RL AU - Selleck CS FA - Moss, Jacqueline A FA - Moore, Randy L FA - Selleck, Cynthia S IN - Moss,Jacqueline A. Department of Acute, Chronic, and Continuing Care (Dr Moss), University of Alabama at Birmingham School of Nursing (Dr Moore); VA Nursing Academic Partnership, Birmingham Veterans Affairs Medical Center, Birmingham, Alabama (Dr Moore); and Clinical and Global Partnerships, University of Alabama at Birmingham School of Nursing (Dr Selleck). TI - Veteran Competencies for Undergraduate Nursing Education. SO - Advances in Nursing Science. 38(4):306-16, 2015 Oct-Dec. AS - ANS Adv Nurs Sci. 38(4):306-16, 2015 Oct-Dec. NJ - ANS. Advances in nursing science PI - Journal available in: Print PI - Citation processed from: Internet JC - 6e9, 7809992 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Clinical Competence/st [Standards] MH - Education, Nursing, Baccalaureate/st [Standards] MH - Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - *Health Personnel/px [Psychology] MH - Humans MH - Male MH - Military Personnel MH - *Nursing Care/st [Standards] MH - United States MH - *Veterans MH - *Veterans Health/ed [Education] MH - *Veterans Health/st [Standards] AB - Military Veterans comprise approximately 10% of the US population. Most Veterans do not receive their health care through Veterans Affairs facilities, are seen across the health care system, and their prior military service and associated health issues often go unrecognized. In this study, a modified Delphi design was used to develop a set of 10 Veteran Care Competencies and associated knowledge, skills, and attitudes for Undergraduate Nursing Education: Military and Veteran Culture, Post Traumatic Stress Disorder, Amputation and Assistive Devices, Environmental/Chemical Exposures, Substance Use Disorder, Military Sexual Trauma, Traumatic Brain Injury, Suicide, Homelessness, and Serious Illness Especially at the End of Life. ES - 1550-5014 IL - 0161-9268 DO - http://dx.doi.org/10.1097/ANS.0000000000000092 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2015 Oct-Dec DC - 20151031 YR - 2015 ED - 20160927 UP - 20160928 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26517342 <27. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26669227 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norwood CW AU - Biviji-Sharma R AU - Knotts A AU - Omenka I AU - Stone C AU - Purviance D FA - Norwood, Connor W FA - Biviji-Sharma, Rizwana FA - Knotts, Adam FA - Omenka, Isaac FA - Stone, Cynthia FA - Purviance, Donna IN - Norwood,Connor W. Connor W. Norwood, MHA, Rizwana Biviji-Sharma, MS, Adam Knotts, MBA, Isaac Omenka, MS, and Cynthia Stone, DrPH, RN, Department of Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis. Connor W. Norwood, MHA, Health Workforce Studies, Department of Family Medicine, Indiana University School of Medicine, Indianapolis. Donna Purviance, DNP, AANC, FNP-BC, Goodman Campbell Brain and Spine, Indianapolis, Indiana. TI - Fighting Prescription Drug Abuse Through State Policy: The Role of Nursing in Successful Implementation. SO - Journal of Addictions Nursing. 26(4):203-7, 2015 Oct-Dec. AS - J ADDICT NURS. 26(4):203-7, 2015 Oct-Dec. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Health Policy MH - Humans MH - *Nurse's Role MH - *Prescription Drug Misuse/nu [Nursing] MH - United States AB - Prescription drug abuse has become a top public health concern in the United States in recent years. Changes in prescribing practices and the way in which health providers manage pain resulted from national quality improvement efforts in the 1990s. Most efforts to reduce morbidity and mortality associated with the prescription drug abuse epidemic occur through policy initiatives at the state level. In 2011, Indiana ranked 17th in the United States and had only implemented a few intervention and prevention strategies. However, through a coordinated effort within the state, Indiana has expanded Good Samaritan laws and adopted rescue drug policies. Furthermore, the nursing workforce in Indiana has played a critical role in the successful implementation of these new policies. Nurses across the state have provided education and training to first responders and lay persons. They have also consulted with law enforcement agencies and other organizations looking to fully leverage the potential of these new state policies. Because of their versatility and clinical expertise, the nursing workforce has and will continue to play a critical role in the successful implementation of state policy initiatives aimed at fighting the prescription drug abuse epidemic. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000097 PT - Journal Article LG - English DP - 2015 Oct-Dec DC - 20151216 YR - 2015 ED - 20160926 UP - 20160927 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26669227 <28. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26669223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCulloh Nair J AU - Nemeth LS AU - Sommers M AU - Newman S FA - McCulloh Nair, Julie FA - Nemeth, Lynne S FA - Sommers, Marilyn FA - Newman, Susan IN - McCulloh Nair,Julie. Julie McCulloh Nair, PhD, RN, CCRE, Lynne S. Nemeth, PhD, RN, FAAN, and Susan Newman PhD, RN, College of Nursing, Medical University of South Carolina, Charleston. Marilyn Sommers, PhD, RN, FAAN, University of Pennsylvania School of Nursing, Philadelphia. TI - Substance Abuse Policy Among Nursing Students: A Scoping Review. [Review] SO - Journal of Addictions Nursing. 26(4):166-74, 2015 Oct-Dec. AS - J ADDICT NURS. 26(4):166-74, 2015 Oct-Dec. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Humans MH - Nurses MH - *Organizational Policy MH - *Students, Nursing MH - *Substance-Related Disorders MH - United States AB - BACKGROUND: Nursing students practicing in healthcare settings may increase risks to consumers, if impaired by drugs and/or alcohol, and are incapable of practicing safely. Several agencies implemented educational/professional policies, designed to protect healthcare consumers from risks. Policies addressing impaired nursing students vary among these agencies, and no nationally implemented policy exists for the treatment of impaired nursing student practice in the United States. AB - PURPOSE: This scoping study synthesizes substance abuse policy among nursing students, guided by the research question: What professional and state policies exist to address substance abuse among U.S. nursing students? The broader term, substance abuse, was used because alcohol-specific policies were not identified. AB - METHODS: Evidence was drawn from several policy documents identified through electronic sources that include national nursing organizations (NNOs) and nurse practice acts (NPAs) and rules. A comparative analysis was conducted on the identified policies to determine similarities and differences at the national and state levels and between national and state levels. AB - RESULTS: Four NNO policies, 50 U.S. states, District of Columbia, and two U.S. territories' NPAs were selected for review based on selection criteria. Six areas were identified in NNO policies, and four were identified in NPAs that addressed chemically impaired nursing students. AB - CONCLUSIONS: This review of current policy provided evidence that identifies and describes areas of concern. Impaired nursing practice, which includes nursing students, remains a major issue, complicated by the inconsistencies noted particularly within the reviewed NPAs. Knowledge gained from this review will be used to guide future research and subsequent state policy development. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000094 PT - Journal Article PT - Review LG - English DP - 2015 Oct-Dec DC - 20151216 YR - 2015 ED - 20160926 UP - 20160927 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26669223 <29. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24828617 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiVall MV AU - Kolbig L AU - Carney M AU - Kirwin J AU - Letzeiser C AU - Mohammed S FA - DiVall, Margarita V FA - Kolbig, Leslie FA - Carney, Mary FA - Kirwin, Jennifer FA - Letzeiser, Christine FA - Mohammed, Shan IN - DiVall,Margarita V. Bouve College of Health Sciences, Northeastern University , Boston , USA. TI - Interprofessional socialization as a way to introduce collaborative competencies to first-year health science students. SO - Journal of Interprofessional Care. 28(6):576-8, 2014 Nov. AS - J Interprof Care. 28(6):576-8, 2014 Nov. NJ - Journal of interprofessional care PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9205811 SB - Index Medicus CP - England MH - Boston MH - Cooperative Behavior MH - Curriculum MH - Female MH - *Health Occupations/ed [Education] MH - Humans MH - *Interprofessional Relations MH - Male MH - Program Development MH - Program Evaluation MH - *Socialization MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Young Adult KW - Attitudes; health science students; interprofessional conference; professional socialization AB - Interprofessional education (IPE) is the cornerstone of preparing future health care providers but remains to be a challenge for many health science programs. We aimed to develop and evaluate an interprofessional conference for first-year health science students with goals to provide students with interprofessional socialization opportunity and introduce IPE principles. A half-day conference was based upon core competencies for health professionals and involved 277 first-year health sciences, nursing, pharmacy, physical therapy, and speech language pathology and audiology students. Alcohol and substance misuse was chosen as a topic for its relevance to college students and health professionals. Results from program evaluation revealed that the conference was successful in exposing students to core interprofessional competencies and provided useful information about alcohol and substance misuse. This study advocates for early inclusion of IPE in the health professions curricula in the form of interprofessional socialization. ES - 1469-9567 IL - 1356-1820 DO - http://dx.doi.org/10.3109/13561820.2014.917403 PT - Journal Article LG - English EP - 20140514 DP - 2014 Nov DC - 20141010 YR - 2014 ED - 20160923 UP - 20160926 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24828617 <30. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25411992 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gutierrez A AU - Sher L FA - Gutierrez, Alfredo FA - Sher, Leo TI - Alcohol and drug use among adolescents: an educational overview. [Review] SO - International Journal of Adolescent Medicine & Health. 27(2):207-12, 2015 May. AS - Int J Adolesc Med Health. 27(2):207-12, 2015 May. NJ - International journal of adolescent medicine and health PI - Journal available in: Print PI - Citation processed from: Internet JC - 8506960 SB - Index Medicus CP - Germany MH - Accidents, Traffic/sn [Statistics & Numerical Data] MH - Adolescent MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - Cause of Death MH - Cost of Illness MH - Driving Under the Influence/sn [Statistics & Numerical Data] MH - Humans MH - Mental Disorders/ep [Epidemiology] MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - Underage Drinking/pc [Prevention & Control] AB - 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. IS - 0334-0139 IL - 0334-0139 DI - /j/ijamh.2015.27.issue-2/ijamh-2015-5013/ijamh-2015-5013.xml DO - http://dx.doi.org/10.1515/ijamh-2015-5013 PT - Journal Article PT - Review LG - English DP - 2015 May DC - 20150430 YR - 2015 ED - 20160829 UP - 20160830 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25411992 <31. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25816126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berl K AU - Collins ML AU - Melson J AU - Mooney R AU - Muffley C AU - Wright-Glover A FA - Berl, Kimberly FA - Collins, Michelle L FA - Melson, Jo FA - Mooney, Ruth FA - Muffley, Cheryl FA - Wright-Glover, Angela IN - Berl,Kimberly. Kimberly Berl, MSN, RN, PCCN, is a Staff Development Specialist for the Stepdown and Intensive Care Unit, Wilmington Hospital of Christiana Care Health System, Delaware. Michelle L. Collins, MSN, RN-BC, ACNS-BC, is Director of Nursing Professional Development and Education, Christiana Hospital of Christiana Care Health System, Wilmington, Delaware. Jo Melson, MSN, RN, FNP-BC, is a Nurse Practitioner, Wilmington Hospital of Christiana Care Health System, Delaware. Ruth Mooney, PhD, MN, RN-BC, is a Nursing Research Facilitator, Christiana Care Health System, Wilmington, Delaware. Cheryl Muffley, MSN, RN-BC, is a Staff Development Specialist for a Medical Stepdown Unit and the Express Admission Unit, Christiana Hospital of Christiana Care Health System, Wilmington, Delaware. Angela Wright-Glover, MSN, RN-BC, is a Staff Development Specialist for two medical-telemetry units, Christiana Hospital of Christiana Care Health System, Wilmington, Delaware. TI - Improving Nursing Knowledge of Alcohol Withdrawal: Second Generation Education Strategies. SO - Journal for Nurses in Professional Development. 31(6):328-32, 2015 Nov-Dec. AS - J. nurses prof. dev.. 31(6):328-32, 2015 Nov-Dec. NJ - Journal for nurses in professional development PI - Journal available in: Print PI - Citation processed from: Internet JC - 101603887 OI - Source: NLM. PMC4738842 SB - Nursing Journal CP - United States MH - *Alcohol Withdrawal Delirium/th [Therapy] MH - Alcoholism/di [Diagnosis] MH - *Clinical Competence MH - Clinical Protocols/st [Standards] MH - Educational Measurement MH - Focus Groups MH - Humans MH - Mass Screening MH - *Nursing Staff, Hospital/ed [Education] MH - Risk Assessment MH - *Staff Development/mt [Methods] AB - Christiana Care Health System implemented a Care Management Guideline for Alcohol Withdrawal Symptom Management, which provided direction for inpatient screening for alcohol withdrawal risk, assessment, and treatment. Nurses educated on its use expressed confusion with the use of the assessment tools, pharmacokinetics, and pathophysiology of alcohol withdrawal and delirium tremens. Reeducation was provided by nursing professional development specialists. Pre- and postsurveys revealed that nurses were more confident in caring for patients with alcohol withdrawal. ES - 2169-981X IL - 2169-9798 DO - http://dx.doi.org/10.1097/NND.0000000000000176 PT - Journal Article LG - English DP - 2015 Nov-Dec DC - 20151120 YR - 2015 ED - 20160824 RD - 20160301 UP - 20160825 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25816126 <32. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25062523 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Orlando S FA - Orlando, Susan IN - Orlando,Susan. Louisiana State University Health Sciences Center School of Nursing, New Orleans. TI - An overview of clinical tools used to assess neonatal abstinence syndrome. SO - Journal of Perinatal & Neonatal Nursing. 28(3):212-9, 2014 Jul-Sep. AS - J Perinat Neonatal Nurs. 28(3):212-9, 2014 Jul-Sep. NJ - The Journal of perinatal & neonatal nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - jpn, 8801387 SB - Nursing Journal CP - United States MH - Clinical Competence/st [Standards] MH - Clinical Decision-Making MH - Humans MH - Infant, Newborn MH - Neonatal Abstinence Syndrome/di [Diagnosis] MH - Neonatal Abstinence Syndrome/nu [Nursing] MH - *Neonatal Abstinence Syndrome MH - Neonatal Nursing/mt [Methods] MH - Neonatal Nursing/st [Standards] MH - *Neonatal Nursing MH - *Neonatal Screening/mt [Methods] MH - Reproducibility of Results MH - *Substance Abuse Detection/mt [Methods] AB - Several clinical tools have been developed to quantify the severity of withdrawal signs and symptoms exhibited by infants born to substance-using mothers. Scores from the systematic assessments are used to guide treatment of infants with moderate to severe clinical signs. This article provides an overview of published assessment tools developed for infants with neonatal abstinence syndrome. Nurses caring for infants at risk for neonatal abstinence syndrome should be knowledgeable about the tools used to evaluate these infants and guide their treatment. The ideal assessment tool should be published and include item definitions and a protocol for administering the tool. Nurses need education and training to achieve competency and interobserver reliability in the use of a selected tool. Tool-specific materials should be used to standardize training and improve accuracy in assessments. Competent and knowledgeable nurses play a critical role in improving outcomes for infants with neonatal abstinence syndrome. ES - 1550-5073 IL - 0893-2190 DO - http://dx.doi.org/10.1097/JPN.0000000000000043 PT - Journal Article LG - English DP - 2014 Jul-Sep DC - 20140726 YR - 2014 ED - 20160824 UP - 20160825 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25062523 <33. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27476260 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roberson C FA - Roberson, Charlene TI - Alcohol Use Disorder--Medication Assisted Treatment. SO - Alabama Nurse. 43(2):11-4; quiz 15, 2016 Jun-Aug. AS - Ala Nurse. 43(2):11-4; quiz 15, 2016 Jun-Aug. NJ - The Alabama nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 14720150r, 35k SB - Nursing Journal CP - United States MH - *Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/dt [Drug Therapy] MH - Alcohol-Related Disorders/nu [Nursing] MH - Education, Nursing, Continuing MH - Humans MH - *Nursing Care/st [Standards] MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/st [Standards] MH - *Practice Guidelines as Topic MH - United States IS - 0002-4317 IL - 0002-4317 PT - Journal Article LG - English DP - 2016 Jun-Aug DC - 20160801 YR - 2016 ED - 20160822 UP - 20160823 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27476260 <34. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27536344 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sinclair J AU - Searle E FA - Sinclair, Julia FA - Searle, Emma IN - Sinclair,Julia. Associate Professor of Psychiatry, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Academic Centre, College Keep 4-12 Terminus, Southampton SO14 3DT, UK. IN - Searle,Emma. GPST1 Wessex Deanery, University, UK. TI - Can student health professionals accurately estimate alcohol content in commonly occurring drinks?. SO - Therapeutic Advances in Psychopharmacology. 6(4):256-62, 2016 Aug. AS - Ther. adv. psychopharmacol.. 6(4):256-62, 2016 Aug. NJ - Therapeutic advances in psychopharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101555693 OI - Source: NLM. PMC4971601 CP - England KW - alcohol; evidence-based approach; health literacy; health professionals; numeric approach; public health AB - OBJECTIVES: Correct identification of alcohol as a contributor to, or comorbidity of, many psychiatric diseases requires health professionals to be competent and confident to take an accurate alcohol history. Being able to estimate (or calculate) the alcohol content in commonly consumed drinks is a prerequisite for quantifying levels of alcohol consumption. The aim of this study was to assess this ability in medical and nursing students. AB - METHODS: A cross-sectional survey of 891 medical and nursing students across different years of training was conducted. Students were asked the alcohol content of 10 different alcoholic drinks by seeing a slide of the drink (with picture, volume and percentage of alcohol by volume) for 30 s. AB - RESULTS: Overall, the mean number of correctly estimated drinks (out of the 10 tested) was 2.4, increasing to just over 3 if a 10% margin of error was used. Wine and premium strength beers were underestimated by over 50% of students. Those who drank alcohol themselves, or who were further on in their clinical training, did better on the task, but overall the levels remained low. AB - CONCLUSIONS: Knowledge of, or the ability to work out, the alcohol content of commonly consumed drinks is poor, and further research is needed to understand the reasons for this and the impact this may have on the likelihood to undertake screening or initiate treatment. IS - 2045-1253 IL - 2045-1253 DO - http://dx.doi.org/10.1177/2045125316645988 PT - Journal Article LG - English EP - 20160516 DP - 2016 Aug DC - 20160818 YR - 2016 ED - 20160818 RD - 20160820 UP - 20160822 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27536344 <35. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26691209 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thursz M AU - Forrest E AU - Roderick P AU - Day C AU - Austin A AU - O'Grady J AU - Ryder S AU - Allison M AU - Gleeson D AU - McCune A AU - Patch D AU - Wright M AU - Masson S AU - Richardson P AU - Vale L AU - Mellor J AU - Stanton L AU - Bowers M AU - Ratcliffe I AU - Downs N AU - Kirkman S AU - Homer T AU - Ternent L FA - Thursz, Mark FA - Forrest, Ewan FA - Roderick, Paul FA - Day, Christopher FA - Austin, Andrew FA - O'Grady, John FA - Ryder, Stephen FA - Allison, Michael FA - Gleeson, Dermot FA - McCune, Anne FA - Patch, David FA - Wright, Mark FA - Masson, Steven FA - Richardson, Paul FA - Vale, Luke FA - Mellor, Jane FA - Stanton, Louise FA - Bowers, Megan FA - Ratcliffe, Ian FA - Downs, Nichola FA - Kirkman, Scott FA - Homer, Tara FA - Ternent, Laura IN - Thursz,Mark. Department of Surgery and Cancer, Imperial College London, London, UK. IN - Forrest,Ewan. Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK. IN - Roderick,Paul. Primary Care & Population Sciences, University of Southampton, Southampton, UK. IN - Day,Christopher. Institute of Cellular Medicine, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. IN - Austin,Andrew. Department of Gastroenterology, Derby Royal Hospital, Derby, UK. IN - O'Grady,John. Institute of Liver Studies, King's College Hospital, London, UK. IN - Ryder,Stephen. Department of Hepatology, Nottingham University Hospitals NHS Trust and National Institute for Health Research Biomedical Research Unit, Queens Medical Centre, Nottingham, UK. IN - Allison,Michael. Department of Hepatology, Addenbrookes Hospital, Cambridge, UK. IN - Gleeson,Dermot. Department of Hepatology, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK. IN - McCune,Anne. Department of Hepatology, Bristol Royal Infirmary, Bristol, UK. IN - Patch,David. Sheila Sherlock Liver Centre, Royal Free Hospital, London, UK. IN - Wright,Mark. Department of Hepatology, University Hospital Southampton NHS Foundation Trust, Southampton, UK. IN - Masson,Steven. Institute of Cellular Medicine, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. IN - Richardson,Paul. Department of Hepatology, Royal Liverpool Hospital, Liverpool, UK. IN - Vale,Luke. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Mellor,Jane. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Stanton,Louise. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Bowers,Megan. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Ratcliffe,Ian. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Downs,Nichola. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Kirkman,Scott. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Homer,Tara. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Ternent,Laura. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. TI - The clinical effectiveness and cost-effectiveness of STeroids Or Pentoxifylline for Alcoholic Hepatitis (STOPAH): a 2x2 factorial randomised controlled trial. SO - Health Technology Assessment (Winchester, England). 19(102):1-104, 2015 Dec. AS - Health Technol Assess. 19(102):1-104, 2015 Dec. NJ - Health technology assessment (Winchester, England) PI - Journal available in: Print PI - Citation processed from: Internet JC - cao, 9706284 OI - Source: NLM. PMC4781103 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - Cost-Benefit Analysis MH - Double-Blind Method MH - Female MH - *Glucocorticoids/tu [Therapeutic Use] MH - Great Britain MH - *Hepatitis, Alcoholic/dt [Drug Therapy] MH - Hepatitis, Alcoholic/mo [Mortality] MH - Humans MH - Male MH - Middle Aged MH - *Pentoxifylline/tu [Therapeutic Use] MH - *Platelet Aggregation Inhibitors/tu [Therapeutic Use] MH - *Prednisolone/tu [Therapeutic Use] MH - Regression Analysis MH - Survival Analysis MH - Young Adult AB - 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. AB - 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. AB - DESIGN: The trial was a randomised, double-blind, 2x2 factorial, multicentre design. AB - SETTING: Sixty-five gastroenterology and hepatology inpatient units across the UK. AB - 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. AB - INTERVENTIONS: Those allocated to prednisolone were given 40mg daily for 28 days and those allocated to PTX were given 400mg three times per day for 28 days. AB - 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. AB - 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. AB - 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. AB - TRIAL REGISTRATION: This trial is registered as EudraCT 2009-013897-42 and Current Controlled Trials ISRCTN88782125. AB - 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. RN - 0 (Glucocorticoids) RN - 0 (Platelet Aggregation Inhibitors) RN - 9PHQ9Y1OLM (Prednisolone) RN - SD6QCT3TSU (Pentoxifylline) ES - 2046-4924 IL - 1366-5278 DO - http://dx.doi.org/10.3310/hta191020 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN88782125 SL - http://www.controlled-trials.com/ISRCTN88782125 NO - 08/14/44 (United Kingdom Department of Health) NO - MR/K02325X/1 (United Kingdom Medical Research Council) LG - English DP - 2015 Dec DC - 20151222 YR - 2015 ED - 20160810 RD - 20160719 UP - 20160811 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26691209 <36. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26691209 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thursz M AU - Forrest E AU - Roderick P AU - Day C AU - Austin A AU - O'Grady J AU - Ryder S AU - Allison M AU - Gleeson D AU - McCune A AU - Patch D AU - Wright M AU - Masson S AU - Richardson P AU - Vale L AU - Mellor J AU - Stanton L AU - Bowers M AU - Ratcliffe I AU - Downs N AU - Kirkman S AU - Homer T AU - Ternent L FA - Thursz, Mark FA - Forrest, Ewan FA - Roderick, Paul FA - Day, Christopher FA - Austin, Andrew FA - O'Grady, John FA - Ryder, Stephen FA - Allison, Michael FA - Gleeson, Dermot FA - McCune, Anne FA - Patch, David FA - Wright, Mark FA - Masson, Steven FA - Richardson, Paul FA - Vale, Luke FA - Mellor, Jane FA - Stanton, Louise FA - Bowers, Megan FA - Ratcliffe, Ian FA - Downs, Nichola FA - Kirkman, Scott FA - Homer, Tara FA - Ternent, Laura IN - Thursz,Mark. Department of Surgery and Cancer, Imperial College London, London, UK. IN - Forrest,Ewan. Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK. IN - Roderick,Paul. Primary Care & Population Sciences, University of Southampton, Southampton, UK. IN - Day,Christopher. Institute of Cellular Medicine, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. IN - Austin,Andrew. Department of Gastroenterology, Derby Royal Hospital, Derby, UK. IN - O'Grady,John. Institute of Liver Studies, King's College Hospital, London, UK. IN - Ryder,Stephen. Department of Hepatology, Nottingham University Hospitals NHS Trust and National Institute for Health Research Biomedical Research Unit, Queens Medical Centre, Nottingham, UK. IN - Allison,Michael. Department of Hepatology, Addenbrookes Hospital, Cambridge, UK. IN - Gleeson,Dermot. Department of Hepatology, Sheffield Teaching Hospitals Foundation Trust, Sheffield, UK. IN - McCune,Anne. Department of Hepatology, Bristol Royal Infirmary, Bristol, UK. IN - Patch,David. Sheila Sherlock Liver Centre, Royal Free Hospital, London, UK. IN - Wright,Mark. Department of Hepatology, University Hospital Southampton NHS Foundation Trust, Southampton, UK. IN - Masson,Steven. Institute of Cellular Medicine, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK. IN - Richardson,Paul. Department of Hepatology, Royal Liverpool Hospital, Liverpool, UK. IN - Vale,Luke. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Mellor,Jane. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Stanton,Louise. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Bowers,Megan. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Ratcliffe,Ian. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Downs,Nichola. Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. IN - Kirkman,Scott. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Homer,Tara. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. IN - Ternent,Laura. Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK. TI - The clinical effectiveness and cost-effectiveness of STeroids Or Pentoxifylline for Alcoholic Hepatitis (STOPAH): a 2x2 factorial randomised controlled trial. SO - Health Technology Assessment (Winchester, England). 19(102):1-104, 2015 Dec. AS - Health Technol Assess. 19(102):1-104, 2015 Dec. NJ - Health technology assessment (Winchester, England) PI - Journal available in: Print PI - Citation processed from: Internet JC - cao, 9706284 OI - Source: NLM. PMC4781103 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - Cost-Benefit Analysis MH - Double-Blind Method MH - Female MH - *Glucocorticoids/tu [Therapeutic Use] MH - *Hepatitis, Alcoholic/dt [Drug Therapy] MH - Hepatitis, Alcoholic/mo [Mortality] MH - Humans MH - Male MH - Middle Aged MH - *Pentoxifylline/tu [Therapeutic Use] MH - *Platelet Aggregation Inhibitors/tu [Therapeutic Use] MH - *Prednisolone/tu [Therapeutic Use] MH - Regression Analysis MH - Survival Analysis MH - Young Adult AB - 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. AB - 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. AB - DESIGN: The trial was a randomised, double-blind, 2x2 factorial, multicentre design. AB - SETTING: Sixty-five gastroenterology and hepatology inpatient units across the UK. AB - 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. AB - INTERVENTIONS: Those allocated to prednisolone were given 40mg daily for 28 days and those allocated to PTX were given 400mg three times per day for 28 days. AB - 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. AB - 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. AB - 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. AB - TRIAL REGISTRATION: This trial is registered as EudraCT 2009-013897-42 and Current Controlled Trials ISRCTN88782125. AB - 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. RN - 0 (Glucocorticoids) RN - 0 (Platelet Aggregation Inhibitors) RN - 9PHQ9Y1OLM (Prednisolone) RN - SD6QCT3TSU (Pentoxifylline) ES - 2046-4924 IL - 1366-5278 DO - http://dx.doi.org/10.3310/hta191020 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN88782125 SL - http://www.controlled-trials.com/ISRCTN88782125 NO - 08/14/44 (United Kingdom Department of Health) NO - MR/K02325X/1 (United Kingdom Medical Research Council) LG - English DP - 2015 Dec DC - 20151222 YR - 2015 ED - 20160810 RD - 20161126 UP - 20161128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26691209 <37. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26406772 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sanchez GM AU - Douglass MA AU - Mancuso MA FA - Sanchez, Gail M FA - Douglass, Mark A FA - Mancuso, Michelle A IN - Sanchez,Gail M. Department of Pharmacy, Boston Medical Center, Boston, Massachusetts. IN - Douglass,Mark A. Department of Pharmacy, Boston Medical Center, Boston, Massachusetts. IN - Douglass,Mark A. Department of Pharmacy Practice, Northeastern University, Boston, Massachusetts. IN - Mancuso,Michelle A. Department of Pharmacy, Boston Medical Center, Boston, Massachusetts. TI - Revisiting Project Re-Engineered Discharge (RED): The Impact of a Pharmacist Telephone Intervention on Hospital Readmission Rates. SO - Pharmacotherapy:The Journal of Human Pharmacology & Drug Therapy. 35(9):805-12, 2015 Sep. AS - Pharmacotherapy. 35(9):805-12, 2015 Sep. NJ - Pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Internet JC - par, 8111305 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Continuity of Patient Care/og [Organization & Administration] MH - Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Female MH - *Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Patient Discharge MH - *Patient Readmission/sn [Statistics & Numerical Data] MH - *Pharmacists/og [Organization & Administration] MH - *Pharmacy Service, Hospital/og [Organization & Administration] MH - Professional Role MH - Retrospective Studies MH - Telephone KW - Project RED; patient discharge; patient readmission; pharmacist; telephone call; transition of care AB - 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. AB - 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. AB - 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. AB - 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.Copyright © 2015 Pharmacotherapy Publications, Inc. ES - 1875-9114 IL - 0277-0008 DO - http://dx.doi.org/10.1002/phar.1630 PT - Journal Article LG - English DP - 2015 Sep DC - 20150926 YR - 2015 ED - 20160706 UP - 20160707 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26406772 <38. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26077341 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ordas B AU - Fernandez D AU - Ordonez C AU - Marques-Sanchez P AU - Alvarez MJ AU - Martinez S AU - Pinto A FA - Ordas, Beatriz FA - Fernandez, Daniel FA - Ordonez, Cesar FA - Marques-Sanchez, Pilar FA - Alvarez, Maria Jose FA - Martinez, Santiago FA - Pinto, Arrate IN - Ordas,Beatriz. Division of Nursing, University Hospital of Leon, Spain. IN - Fernandez,Daniel. Area of Nursing, University of Leon, Spain. IN - Ordonez,Cesar. Area of Biomedical Science, University of Leon, Spain. IN - Marques-Sanchez,Pilar. Area of Nursing, University of Leon, Spain. IN - Alvarez,Maria Jose. Area of Physiotherapy, University of Leon, Spain. IN - Martinez,Santiago. Area of Nursing, University of Leon, Spain. IN - Pinto,Arrate. Area of Physiotherapy, University of Leon, Spain. TI - Changes in use, knowledge, beliefs and attitudes relating to tobacco among nursing and physiotherapy students: a 10-year analysis.[Erratum appears in J Adv Nurs. 2015 Oct;71(10):2454; PMID: 26345474] SO - Journal of Advanced Nursing. 71(10):2326-37, 2015 Oct. AS - J Adv Nurs. 71(10):2326-37, 2015 Oct. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Education, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Physical Therapy Modalities/ed [Education] MH - *Smoking/px [Psychology] MH - Students, Nursing/px [Psychology] MH - Young Adult KW - evolution; nursing students; physiotherapy students; prevalence; smoking; tobacco; university AB - AIM: To analyse changes in prevalence, knowledge, beliefs and attitudes relating to smoking among undergraduate nursing and physiotherapy students over a 10-year period. AB - BACKGROUND: Few studies have been performed to describe changes in the use of tobacco and associated characteristics. AB - DESIGN: This study was a sequential cross-sectional study. AB - METHODS: A self-administered survey was performed during three academic years among nursing and physiotherapy students in a Spanish Faculty of Health Sciences. AB - FINDINGS: The proportion of smokers among nursing and physiotherapy students in 2003, 2008 and 2013 was 29.3%, 24.7% and 18.2% respectively. The ages when participants first smoked did not vary over the years. The Fagerstrom test showed low nicotine dependence. A significantly high percentage of students stated they were unaware of the link between smoking and bladder cancer and oral leukoplakia. Students declared they were unaware of the association between under-weight new-borns and second-hand smoke. The majority of students recognized that healthcare professionals were role models in society, there being little variation over the years studied. In relation to education and training, the study showed a need to inform students about methods and strategies to help people quit smoking. AB - CONCLUSIONS: The prevalence of smoking among nursing and physiotherapy students decreased over the ten years. Active programmes should be implemented to encourage those university students who smoke to break this habit. The decline over the years in knowledge about smoking provided evidence of a significant deficit in undergraduate training.Copyright © 2015 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12703 PT - Journal Article LG - English EP - 20150615 DP - 2015 Oct DC - 20150908 YR - 2015 ED - 20160706 UP - 20160707 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26077341 <39. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26420671 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martino S AU - Zimbrean P AU - Forray A AU - Kaufman J AU - Desan P AU - Olmstead TA AU - Gueorguieva R AU - Howell H AU - McCaherty A AU - Yonkers KA FA - Martino, Steve FA - Zimbrean, Paula FA - Forray, Ariadna FA - Kaufman, Joy FA - Desan, Paul FA - Olmstead, Todd A FA - Gueorguieva, Ralitza FA - Howell, Heather FA - McCaherty, Ashley FA - Yonkers, Kimberly A IN - Martino,Steve. Psychology Service, VA Connecticut Healthcare System, 950 Campbell Avenue (116B), West Haven, CT, 06516, USA. steve.martino@yale.edu. IN - Martino,Steve. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. steve.martino@yale.edu. IN - Zimbrean,Paula. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paula.zimbrean@yale.edu. IN - Forray,Ariadna. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ariadna.forray@yale.edu. IN - Kaufman,Joy. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. joy.kaufman@yale.edu. IN - Desan,Paul. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paul.desan@yale.edu. IN - Olmstead,Todd A. Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, 2300 Red River St., Stop E2700, Sid Richardson Hall, Unit 3, Austin, TX, 78712, USA. tolmstead@austin.utexas.edu. IN - Olmstead,Todd A. Seton/UT Clinical Research Institute, 1400 North IH 35, Austin, TX, 78701, USA. tolmstead@austin.utexas.edu. IN - Gueorguieva,Ralitza. Department of Biostatistics, Yale University School of Medicine, 60 College Street, New Haven, CT, 06510, USA. ralitza.gueorguieva@yale.edu. IN - Howell,Heather. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. heather.howell@yale.edu. IN - McCaherty,Ashley. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ashley.mccaherty@yale.edu. IN - Yonkers,Kimberly A. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. kimberly.yonkers@yale.edu. TI - See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units. SO - Implementation Science. 10:138, 2015. AS - Implement Sci. 10:138, 2015. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC4589113 SB - Index Medicus CP - England MH - Cost-Benefit Analysis MH - Education, Continuing/og [Organization & Administration] MH - *Health Personnel/ed [Education] MH - Hospitals, University MH - Humans MH - *Inpatients MH - Inservice Training/og [Organization & Administration] MH - *Motivational Interviewing/mt [Methods] MH - Nurses MH - Physician Assistants MH - Physicians MH - Referral and Consultation MH - *Research Design MH - *Substance-Related Disorders/th [Therapy] AB - BACKGROUND: General medical hospitals provide care for a disproportionate share of patients who abuse or are dependent upon substances. This group is among the most costly to treat and has the poorest medical and addiction recovery outcomes. Hospitalization provides a unique opportunity to identify and motivate patients to address their substance use problems in that patients are accessible, have time for an intervention, and are often admitted for complications related to substance use that renders hospitalization a "teachable moment." AB - METHODS/DESIGN: This randomized controlled trial will examine the effectiveness of three different strategies for integrating motivational interviewing (MI) into the practice of providers working within a general medical inpatient hospitalist service: (1) a continuing medical education workshop that provides background and "shows" providers how to conduct MI (See One); (2) an apprenticeship model involving workshop training plus live supervision of bedside practice (Do One); and (3) ordering MI from the psychiatry consultation-liaison (CL) service after learning about it in a workshop (Order One). Thirty providers (physicians, physician assistants, nurses) will be randomized to conditions and then assessed for their provision of MI to 40 study-eligible inpatients. The primary aims of the study are to assess (1) the utilization of MI in each condition; (2) the integrity of MI when providers use it on the medical units; and (3) the relative costs and cost-effectiveness of the three different implementation strategies. AB - DISCUSSION: If implementation of Do One and Order One is successful, the field will have two alternative strategies for supporting medical providers' proficient use of brief behavioral interventions, such as MI, for medical inpatients who use substances problematically. AB - TRIAL REGISTRATION: Clinical Trials.gov ( NCT01825057 ). ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/s13012-015-0327-9 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - R01 DA034243 (United States NIDA NIH HHS) NO - R01DA034243 (United States NIDA NIH HHS) LG - English EP - 20150929 DP - 2015 DC - 20150930 YR - 2015 ED - 20160622 RD - 20160513 UP - 20160623 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26420671 <40. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26275578 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keats J AU - Micallef M AU - Grebely J AU - Hazelwood S AU - Everingham H AU - Shrestha N AU - Jones T AU - Bath N AU - Treloar C AU - Dore GJ AU - Dunlop A AU - ETHOS Study Group FA - Keats, Julian FA - Micallef, Michelle FA - Grebely, Jason FA - Hazelwood, Susan FA - Everingham, Hope FA - Shrestha, Nikrant FA - Jones, Tracey FA - Bath, Nicky FA - Treloar, Carla FA - Dore, Gregory J FA - Dunlop, Adrian FA - ETHOS Study Group IN - Keats,Julian. Newcastle Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia. IN - Micallef,Michelle. The Kirby Institute, UNSW, Kensington, NSW, Australia. Electronic address: mmicallef@kirby.unsw.edu.au. IN - Grebely,Jason. The Kirby Institute, UNSW, Kensington, NSW, Australia. IN - Hazelwood,Susan. Newcastle Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia. IN - Everingham,Hope. Newcastle Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia; NSW Users and AIDS Association, Inc., Sydney, NSW, Australia. IN - Shrestha,Nikrant. Newcastle Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia; NSW Users and AIDS Association, Inc., Sydney, NSW, Australia. IN - Jones,Tracey. Department of Gastroenterology, John Hunter Hospital, Hunter New England Local Health District, Newcastle, NSW, Australia; University of Newcastle, Newcastle, NSW, Australia. IN - Bath,Nicky. NSW Users and AIDS Association, Inc., Sydney, NSW, Australia. IN - Treloar,Carla. Centre for Social Research in Health, UNSW, Kensington, NSW, Australia. IN - Dore,Gregory J. The Kirby Institute, UNSW, Kensington, NSW, Australia. IN - Dunlop,Adrian. Newcastle Pharmacotherapy Service, Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia; University of Newcastle, Newcastle, NSW, Australia. IR - Haber P IR - Bath N IR - Day C IR - Dore G IR - Grebely J IR - Tawil V IR - Krahn M IR - Loveday S IR - Micallef M IR - Thein HH IR - Treloar C TI - Assessment and delivery of treatment for hepatitis C virus infection in an opioid substitution treatment clinic with integrated peer-based support in Newcastle, Australia. SO - International Journal of Drug Policy. 26(10):999-1006, 2015 Oct. AS - Int J Drug Policy. 26(10):999-1006, 2015 Oct. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Adult MH - Australia MH - Female MH - Hepatitis C/co [Complications] MH - *Hepatitis C/dt [Drug Therapy] MH - Humans MH - Male MH - *Opiate Substitution Treatment MH - *Patient Acceptance of Health Care/px [Psychology] MH - *Peer Group MH - *Program Evaluation MH - Substance Abuse Treatment Centers MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/dt [Drug Therapy] MH - Young Adult KW - Community support; HCV; Peer-based support; People who inject drugs; Treatment AB - 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. AB - 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. AB - 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%). AB - 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.Copyright © 2015 Elsevier B.V. All rights reserved. ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(15)00207-8 DO - http://dx.doi.org/10.1016/j.drugpo.2015.07.006 PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, Non-U.S. Gov't LG - English EP - 20150717 DP - 2015 Oct DC - 20150921 YR - 2015 ED - 20160622 UP - 20160623 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26275578 <41. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26256938 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall AD AU - Micallef M AU - Erratt A AU - Telenta J AU - Treloar C AU - Everingham H AU - Jones SC AU - Bath N AU - How-Chow D AU - Byrne J AU - Harvey P AU - Dunlop A AU - Jauncey M AU - Read P AU - Collie T AU - Dore GJ AU - Grebely J FA - Marshall, A D FA - Micallef, M FA - Erratt, A FA - Telenta, J FA - Treloar, C FA - Everingham, H FA - Jones, S C FA - Bath, N FA - How-Chow, D FA - Byrne, J FA - Harvey, P FA - Dunlop, A FA - Jauncey, M FA - Read, P FA - Collie, T FA - Dore, G J FA - Grebely, J IN - Marshall,A D. The Kirby Institute, UNSW Australia, NSW, Australia. Electronic address: amarshall@kirby.unsw.edu.au. IN - Micallef,M. The Kirby Institute, UNSW Australia, NSW, Australia. IN - Erratt,A. The Kirby Institute, UNSW Australia, NSW, Australia. IN - Telenta,J. Centre for Health and Social Research, Australian Catholic University, VIC, Australia. IN - Treloar,C. Centre for Social Research in Health, UNSW Australia, NSW, Australia. IN - Everingham,H. NSW Users and AIDS Association, Inc., NSW, Australia. IN - Jones,S C. Centre for Health and Social Research, Australian Catholic University, VIC, Australia. IN - Bath,N. NSW Users and AIDS Association, Inc., NSW, Australia. IN - How-Chow,D. St Vincent's Hospital Sydney, NSW, Australia. IN - Byrne,J. Australian Injecting and Illicit Drug Users League, ACT, Australia. IN - Harvey,P. Hepatitis NSW, Australia. IN - Dunlop,A. University of Newcastle, Newcastle, NSW, Australia; Drug and Alcohol Clinical Services, Hunter New England Local Health District, Newcastle, NSW, Australia. IN - Jauncey,M. Australian Injecting and Illicit Drug Users League, ACT, Australia. IN - Read,P. The Kirby Institute, UNSW Australia, NSW, Australia; Kirketon Road Centre, NSW, Australia. IN - Collie,T. Coffs Harbour Drug and Alcohol Service, NSW, Australia. IN - Dore,G J. The Kirby Institute, UNSW Australia, NSW, Australia. IN - Grebely,J. The Kirby Institute, UNSW Australia, NSW, Australia. TI - 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. SO - International Journal of Drug Policy. 26(10):984-91, 2015 Oct. AS - Int J Drug Policy. 26(10):984-91, 2015 Oct. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Adult MH - Australia MH - Dried Blood Spot Testing MH - Elasticity Imaging Techniques MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Promotion/mt [Methods] MH - *Hepatitis C/co [Complications] MH - Hepatitis C/di [Diagnosis] MH - Hepatitis C/px [Psychology] MH - Humans MH - *Liver Cirrhosis/co [Complications] MH - *Liver Cirrhosis/di [Diagnosis] MH - Liver Cirrhosis/px [Psychology] MH - Male MH - Patient Education as Topic MH - *Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/px [Psychology] MH - Young Adult KW - Drug users; HCV; Hepatitis C; Knowledge; PWID; Willingness AB - 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. AB - 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. AB - 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 <7.4kPa), 13% moderate fibrosis (F2, >7.5 to <9.4kPa), 10% severe fibrosis (F3, >9.5 to <12.4kPa), and 9% had cirrhosis (F4, >12.5kPa). AB - 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.Copyright © 2015 Elsevier B.V. All rights reserved. ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(15)00203-0 DO - http://dx.doi.org/10.1016/j.drugpo.2015.07.002 PT - Journal Article PT - Observational Study LG - English EP - 20150716 DP - 2015 Oct DC - 20150921 YR - 2015 ED - 20160622 UP - 20160623 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26256938 <42. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26183726 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hanbury A AU - Farley K AU - Thompson C AU - Wilson PM FA - Hanbury, Andria FA - Farley, Katherine FA - Thompson, Carl FA - Wilson, Paul M IN - Hanbury,Andria. Department of Health Sciences, University of York, York, UK. IN - Farley,Katherine. Department of Health Sciences, University of York, York, UK. IN - Thompson,Carl. Department of Health Sciences, University of York, York, UK. IN - Wilson,Paul M. Centre for Reviews and Dissemination, University of York, York, UK. TI - Assessment of fidelity in an educational workshop designed to increase the uptake of a primary care alcohol screening recommendation. SO - Journal of Evaluation in Clinical Practice. 21(5):873-8, 2015 Oct. AS - J Eval Clin Pract. 21(5):873-8, 2015 Oct. NJ - Journal of evaluation in clinical practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cwd, 9609066 SB - Index Medicus CP - England MH - *Alcoholism/di [Diagnosis] MH - General Practitioners/ed [Education] MH - *Health Personnel/ed [Education] MH - Humans MH - *Inservice Training/og [Organization & Administration] MH - Mass Screening MH - Nurse Practitioners/ed [Education] MH - *Primary Health Care MH - Program Evaluation MH - *Quality Improvement/og [Organization & Administration] KW - education; fidelity; implementation; quality improvement AB - RATIONALE, AIMS AND OBJECTIVES: Educational workshops are a commonly used quality improvement intervention. Often delivered by credible local health professionals who do not necessarily have skills in pedagogy, it can be challenging to achieve high intervention fidelity. This paper summarizes the fidelity assessment of a workshop designed to increase the uptake of a primary care alcohol screening recommendation. AB - METHOD: Delivered in a single health region, the workshop comprised separate sessions delivered by three local health professionals, plus two role plays delivered by a commercial company. Sessions were tailored to local barriers. Meetings were held with presenters and an outline of the barriers was provided. Two researchers attended the workshop, rating the number of specified barriers targeted by presenters and their quality of delivery. Participant responsiveness was measured through attendees' feedback and intervention dose was calculated as the proportion of health professionals who attended and proportion of general practices represented. AB - RESULTS: Exposure was low, with 62 of 545 health professionals from 30 of a possible 80 practices attending. Sixty-five per cent of the specified barriers were targeted. There was variability in quality of delivery and participant responsiveness; challenges included potential mixed messages, overreliance on didactic methods and certain barriers appearing easier to target than others. AB - CONCLUSIONS: The framework provided a rounded assessment of intervention fidelity: intervention coverage was low, adherence was moderate and there was variability in the quality of delivery across presenters. Future studies testing the effectiveness of interventions delivered by local experts with and without brief training in pedagogy/behaviour change would be beneficial.Copyright © 2015 John Wiley & Sons, Ltd. ES - 1365-2753 IL - 1356-1294 DO - http://dx.doi.org/10.1111/jep.12393 PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - (United Kingdom Department of Health) LG - English EP - 20150717 DP - 2015 Oct DC - 20150917 YR - 2015 ED - 20160622 UP - 20160623 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26183726 <43. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26420671 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martino S AU - Zimbrean P AU - Forray A AU - Kaufman J AU - Desan P AU - Olmstead TA AU - Gueorguieva R AU - Howell H AU - McCaherty A AU - Yonkers KA FA - Martino, Steve FA - Zimbrean, Paula FA - Forray, Ariadna FA - Kaufman, Joy FA - Desan, Paul FA - Olmstead, Todd A FA - Gueorguieva, Ralitza FA - Howell, Heather FA - McCaherty, Ashley FA - Yonkers, Kimberly A IN - Martino,Steve. Psychology Service, VA Connecticut Healthcare System, 950 Campbell Avenue (116B), West Haven, CT, 06516, USA. steve.martino@yale.edu. IN - Martino,Steve. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. steve.martino@yale.edu. IN - Zimbrean,Paula. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paula.zimbrean@yale.edu. IN - Forray,Ariadna. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ariadna.forray@yale.edu. IN - Kaufman,Joy. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. joy.kaufman@yale.edu. IN - Desan,Paul. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paul.desan@yale.edu. IN - Olmstead,Todd A. Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, 2300 Red River St., Stop E2700, Sid Richardson Hall, Unit 3, Austin, TX, 78712, USA. tolmstead@austin.utexas.edu. IN - Olmstead,Todd A. Seton/UT Clinical Research Institute, 1400 North IH 35, Austin, TX, 78701, USA. tolmstead@austin.utexas.edu. IN - Gueorguieva,Ralitza. Department of Biostatistics, Yale University School of Medicine, 60 College Street, New Haven, CT, 06510, USA. ralitza.gueorguieva@yale.edu. IN - Howell,Heather. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. heather.howell@yale.edu. IN - McCaherty,Ashley. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ashley.mccaherty@yale.edu. IN - Yonkers,Kimberly A. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. kimberly.yonkers@yale.edu. TI - See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units. SO - Implementation Science. 10:138, 2015 Sep 29. AS - Implement Sci. 10:138, 2015 Sep 29. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC4589113 SB - Index Medicus CP - England MH - Cost-Benefit Analysis MH - Education, Continuing/og [Organization & Administration] MH - *Health Personnel/ed [Education] MH - Hospitals, University MH - Humans MH - *Inpatients MH - Inservice Training/og [Organization & Administration] MH - *Motivational Interviewing/mt [Methods] MH - Nurses MH - Physician Assistants MH - Physicians MH - Referral and Consultation MH - *Research Design MH - *Substance-Related Disorders/th [Therapy] AB - BACKGROUND: General medical hospitals provide care for a disproportionate share of patients who abuse or are dependent upon substances. This group is among the most costly to treat and has the poorest medical and addiction recovery outcomes. Hospitalization provides a unique opportunity to identify and motivate patients to address their substance use problems in that patients are accessible, have time for an intervention, and are often admitted for complications related to substance use that renders hospitalization a "teachable moment." AB - METHODS/DESIGN: This randomized controlled trial will examine the effectiveness of three different strategies for integrating motivational interviewing (MI) into the practice of providers working within a general medical inpatient hospitalist service: (1) a continuing medical education workshop that provides background and "shows" providers how to conduct MI (See One); (2) an apprenticeship model involving workshop training plus live supervision of bedside practice (Do One); and (3) ordering MI from the psychiatry consultation-liaison (CL) service after learning about it in a workshop (Order One). Thirty providers (physicians, physician assistants, nurses) will be randomized to conditions and then assessed for their provision of MI to 40 study-eligible inpatients. The primary aims of the study are to assess (1) the utilization of MI in each condition; (2) the integrity of MI when providers use it on the medical units; and (3) the relative costs and cost-effectiveness of the three different implementation strategies. AB - DISCUSSION: If implementation of Do One and Order One is successful, the field will have two alternative strategies for supporting medical providers' proficient use of brief behavioral interventions, such as MI, for medical inpatients who use substances problematically. AB - TRIAL REGISTRATION: Clinical Trials.gov ( NCT01825057 ). ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/s13012-015-0327-9 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01825057 SA - ClinicalTrials.gov/NCT01825057 SL - http://clinicaltrials.gov/search/term=NCT01825057 SL - http://clinicaltrials.gov/search/term=NCT01825057 NO - R01 DA027194 (United States NIDA NIH HHS) NO - R01 DA034243 (United States NIDA NIH HHS) NO - R01DA034243 (United States NIDA NIH HHS) LG - English EP - 20150929 DP - 2015 Sep 29 DC - 20150930 YR - 2015 ED - 20160622 RD - 20161206 UP - 20161207 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26420671 <44. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26420671 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martino S AU - Zimbrean P AU - Forray A AU - Kaufman J AU - Desan P AU - Olmstead TA AU - Gueorguieva R AU - Howell H AU - McCaherty A AU - Yonkers KA FA - Martino, Steve FA - Zimbrean, Paula FA - Forray, Ariadna FA - Kaufman, Joy FA - Desan, Paul FA - Olmstead, Todd A FA - Gueorguieva, Ralitza FA - Howell, Heather FA - McCaherty, Ashley FA - Yonkers, Kimberly A IN - Martino,Steve. Psychology Service, VA Connecticut Healthcare System, 950 Campbell Avenue (116B), West Haven, CT, 06516, USA. steve.martino@yale.edu. IN - Martino,Steve. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. steve.martino@yale.edu. IN - Zimbrean,Paula. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paula.zimbrean@yale.edu. IN - Forray,Ariadna. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ariadna.forray@yale.edu. IN - Kaufman,Joy. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. joy.kaufman@yale.edu. IN - Desan,Paul. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paul.desan@yale.edu. IN - Olmstead,Todd A. Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin, 2300 Red River St., Stop E2700, Sid Richardson Hall, Unit 3, Austin, TX, 78712, USA. tolmstead@austin.utexas.edu. IN - Olmstead,Todd A. Seton/UT Clinical Research Institute, 1400 North IH 35, Austin, TX, 78701, USA. tolmstead@austin.utexas.edu. IN - Gueorguieva,Ralitza. Department of Biostatistics, Yale University School of Medicine, 60 College Street, New Haven, CT, 06510, USA. ralitza.gueorguieva@yale.edu. IN - Howell,Heather. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. heather.howell@yale.edu. IN - McCaherty,Ashley. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ashley.mccaherty@yale.edu. IN - Yonkers,Kimberly A. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. kimberly.yonkers@yale.edu. TI - See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units. SO - Implementation Science. 10:138, 2015 Sep 29. AS - Implement Sci. 10:138, 2015 Sep 29. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC4589113 SB - Index Medicus CP - England MH - Cost-Benefit Analysis MH - Education, Continuing/og [Organization & Administration] MH - *Health Personnel/ed [Education] MH - Hospitals, University MH - Humans MH - *Inpatients MH - Inservice Training/og [Organization & Administration] MH - *Motivational Interviewing/mt [Methods] MH - Nurses MH - Physician Assistants MH - Physicians MH - Referral and Consultation MH - *Research Design MH - *Substance-Related Disorders/th [Therapy] AB - BACKGROUND: General medical hospitals provide care for a disproportionate share of patients who abuse or are dependent upon substances. This group is among the most costly to treat and has the poorest medical and addiction recovery outcomes. Hospitalization provides a unique opportunity to identify and motivate patients to address their substance use problems in that patients are accessible, have time for an intervention, and are often admitted for complications related to substance use that renders hospitalization a "teachable moment." AB - METHODS/DESIGN: This randomized controlled trial will examine the effectiveness of three different strategies for integrating motivational interviewing (MI) into the practice of providers working within a general medical inpatient hospitalist service: (1) a continuing medical education workshop that provides background and "shows" providers how to conduct MI (See One); (2) an apprenticeship model involving workshop training plus live supervision of bedside practice (Do One); and (3) ordering MI from the psychiatry consultation-liaison (CL) service after learning about it in a workshop (Order One). Thirty providers (physicians, physician assistants, nurses) will be randomized to conditions and then assessed for their provision of MI to 40 study-eligible inpatients. The primary aims of the study are to assess (1) the utilization of MI in each condition; (2) the integrity of MI when providers use it on the medical units; and (3) the relative costs and cost-effectiveness of the three different implementation strategies. AB - DISCUSSION: If implementation of Do One and Order One is successful, the field will have two alternative strategies for supporting medical providers' proficient use of brief behavioral interventions, such as MI, for medical inpatients who use substances problematically. AB - TRIAL REGISTRATION: Clinical Trials.gov ( NCT01825057 ). ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/s13012-015-0327-9 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01825057 SL - http://clinicaltrials.gov/search/term=NCT01825057 NO - R01 DA027194 (United States NIDA NIH HHS) NO - R01 DA034243 (United States NIDA NIH HHS) NO - R01DA034243 (United States NIDA NIH HHS) LG - English EP - 20150929 DP - 2015 Sep 29 DC - 20150930 YR - 2015 ED - 20160622 RD - 20161215 UP - 20161222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26420671 <45. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26055152 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Talbot AL AU - Dorrian J AU - Chapman J FA - Talbot, Anna-Lisa FA - Dorrian, Jillian FA - Chapman, Janine IN - Talbot,Anna-Lisa. School of Psychology, Social Work and Social Policy, University of South Australia, GPO Box 2471, Adelaide, SA 5001, Australia. Electronic address: talay007@mymail.unisa.edu.au. IN - Dorrian,Jillian. School of Psychology, Social Work and Social Policy, University of South Australia, GPO Box 2471, Adelaide, SA 5001, Australia. Electronic address: jill.dorrian@unisa.edu.au. IN - Chapman,Janine. Flinders Centre for Innovation in Cancer, Flinders University, c/o Public Health, Flinders University, GPO Box 2100, Adelaide SA 5001, Australia. Electronic address: janine.chapman@flinders.edu.au. TI - Using the Theory of Planned Behaviour to examine enrolled nursing students' intention to care for patients with alcohol dependence: A survey study. SO - Nurse Education Today. 35(11):1054-61, 2015 Nov. AS - Nurse Educ Today. 35(11):1054-61, 2015 Nov. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adolescent MH - Adult MH - *Alcoholism/nu [Nursing] MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Intention MH - Male MH - Middle Aged MH - Self Efficacy MH - South Australia MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult KW - Alcohol dependence; Attitudes; Behavioural intention; Enrolled nursing students; Patient care; Subjective norms; Theory of Planned Behaviour AB - BACKGROUND: Nurses are often the first point of contact for patients hospitalized due to alcohol-related causes. Alcohol dependence is highly stigmatized and as a result healthcare professionals often have low behavioural intentions, meaning low willingness to care for these patients. This can have a direct influence on quality of care. AB - OBJECTIVES: The purpose of this study was to explore enrolled nursing students' intention to care for patients with alcohol dependence and the antecedents, preliminary factors, that predict this within the Theory of Planned Behaviour; specifically attitudes, subjective norms, self-efficacy and controllability. AB - DESIGN: The study was a cross-sectional survey using the Theory of Planned Behaviour. AB - SETTING: Two Technical and Further Education South Australia campuses across metropolitan Adelaide. AB - PARTICIPANTS: n=86 enrolled nursing students completed the survey (62% response rate). AB - METHODS: Enrolled nursing students' intention, attitudes, subjective norms, self-efficacy and controllability were measured using a Theory of Planned Behaviour Questionnaire. The Short Alcohol and Alcohol Problems Perception Questionnaire investigated attitudes in more detail and a short knowledge scale assessed alcohol-related knowledge. AB - RESULTS: Subjective norms and attitudes had a significant, positive effect on intention to care within the final model, accounting for 22.6% of the variance, F2,83=12.12, p<0.001. Subjective norms were the strongest predictor. External factors such as age, previous alcohol training and alcohol-related knowledge held direct paths to antecedents of intention. AB - CONCLUSIONS: Subjective norms were the strongest predictor of intention to care for patients with alcohol dependence, followed by attitudes. The study provides an understanding of enrolled nursing students' intention to care for alcohol dependent patients. These findings can assist in developing tailored alcohol training for students, to increase attitudes and foster behavioural change, in order to improve the quality of care for these patients.Copyright © 2015 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(15)00245-2 DO - http://dx.doi.org/10.1016/j.nedt.2015.05.017 PT - Journal Article LG - English EP - 20150529 DP - 2015 Nov DC - 20151001 YR - 2015 ED - 20160621 UP - 20160622 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26055152 <46. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27319620 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Anonymous TI - Drug course. SO - Nursing Standard. 2(5):6, 1987 Oct 31. AS - Nurs Stand. 2(5):6, 1987 Oct 31. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 CP - England AB - The Open University last week launched a new course, 'Drug Use and Misuse', which will help nurses to recognise and help people who have drug problems. IS - 0029-6570 IL - 0029-6570 DO - http://dx.doi.org/10.7748/ns.2.5.6.s7 PT - Journal Article LG - English DP - 1987 Oct 31 DC - 20160620 YR - 1987 ED - 20160621 UP - 20160622 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27319620 <47. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26095489 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton P AU - Weaver MF FA - Compton, Peggy FA - Weaver, Michael F TI - Responsible opioid use. SO - Journal of Pain & Palliative Care Pharmacotherapy. 29(2):166-8, 2015 Jun. AS - J Pain Pall Care Pharmacother. 29(2):166-8, 2015 Jun. NJ - Journal of pain & palliative care pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Internet JC - 101125608 SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain Management/ae [Adverse Effects] MH - Pain Management/es [Ethics] MH - Pain Management/mt [Methods] MH - Prescription Drug Misuse/es [Ethics] MH - *Prescription Drug Misuse/pc [Prevention & Control] KW - addiction; opioids; pain; substance abuse AB - 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. RN - 0 (Analgesics, Opioid) ES - 1536-0539 IL - 1536-0288 DO - http://dx.doi.org/10.3109/15360288.2015.1037522 PT - Journal Article NO - U01 DA029580 (United States NIDA NIH HHS) LG - English DP - 2015 Jun DC - 20150623 YR - 2015 ED - 20160602 RD - 20150629 UP - 20160603 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26095489 <48. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26095489 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton P AU - Weaver MF FA - Compton, Peggy FA - Weaver, Michael F TI - Responsible opioid use. SO - Journal of Pain & Palliative Care Pharmacotherapy. 29(2):166-8, 2015 Jun. AS - J Pain Pall Care Pharmacother. 29(2):166-8, 2015 Jun. NJ - Journal of pain & palliative care pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Internet JC - 101125608 SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain Management/ae [Adverse Effects] MH - Pain Management/es [Ethics] MH - Pain Management/mt [Methods] MH - Prescription Drug Misuse/es [Ethics] MH - *Prescription Drug Misuse/pc [Prevention & Control] KW - addiction; opioids; pain; substance abuse AB - 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. RN - 0 (Analgesics, Opioid) ES - 1536-0539 IL - 1536-0288 DO - http://dx.doi.org/10.3109/15360288.2015.1037522 PT - Journal Article NO - U01 DA029580 (United States NIDA NIH HHS) LG - English DP - 2015 Jun DC - 2015623 YR - 2015 ED - 20160602 RD - 20161025 UP - 20161026 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26095489 <49. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25645450 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fernandez D AU - Ordas B AU - Alvarez MJ AU - Ordonez C FA - Fernandez, D FA - Ordas, B FA - Alvarez, M J FA - Ordonez, C IN - Fernandez,D. Department of Nursing and Physiotherapy, Faculty of Health Sciences, University of Leon, Leon, Spain. IN - Ordas,B. Division of Nursing, University Hospital of Leon, Leon, Spain. IN - Alvarez,M J. Department of Nursing and Physiotherapy, Faculty of Health Sciences, University of Leon, Leon, Spain. IN - Ordonez,C. Department of Toxicology, University of Leon, Leon, Spain. TI - Knowledge, attitudes and tobacco use among nursing and physiotherapy students. SO - International Nursing Review. 62(3):303-11, 2015 Sep. AS - Int Nurs Rev. 62(3):303-11, 2015 Sep. NJ - International nursing review PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Cross-Sectional Studies MH - Education, Nursing, Baccalaureate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Physical Therapy Specialty/ed [Education] MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Spain/ep [Epidemiology] MH - *Students, Health Occupations/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires KW - Attitudes; Beliefs; Cigarette Smoking; Knowledge; Nursing; Physiotherapy; Prevalence Studies; Students AB - BACKGROUND: As future health educators, nursing and physiotherapy students will play an essential role in the prevention of smoking. AB - AIM: To determine the prevalence of smoking among students and to analyse their knowledge of and attitudes towards smoking. AB - METHOD: This was a descriptive cross-sectional study using an anonymous questionnaire and conducted in a Spanish Faculty of Health Sciences in 2013. AB - FINDINGS: 247 nursing and physiotherapy students (82.33%) participated in the study. The global prevalence of smoking (18.2%) was lower compare with the general population group of the same age. We have observed statistical significance in relation to previous studies. Nursing and physiotherapy students showed a low nicotine dependence. We found a lack of knowledge about the harmful effects of cigarette consumption on health. Statistically significant results were also found in relation to degree courses (p<0.01) as regards students' opinions about their knowledge of strategies and methods to help patients stop smoking. AB - CONCLUSION: Most students started smoking before commencing their university studies; consequently, interventions should focus on cessation programmes. An analysis of university curricula leading to the award of a degree in the health sciences could serve to identify educational deficiencies in order to implement the necessary modifications. AB - IMPLICATIONS FOR NURSING AND HEALTH POLICY: This paper presents an update in tobacco use characteristics amongst nursing and physiotherapy students. Those results have showed a need to improve the curricula in order to develop specific programmes to improve knowledge, attitudes and beliefs. Measures to prevent smoking must be taken at school.Copyright © 2015 International Council of Nurses. ES - 1466-7657 IL - 0020-8132 DO - http://dx.doi.org/10.1111/inr.12177 PT - Journal Article LG - English EP - 20150203 DP - 2015 Sep DC - 20150825 YR - 2015 ED - 20160530 UP - 20160531 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25645450 <50. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27223775 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Watts M FA - Watts, M TI - Nurses are high risk group. SO - Nursing Standard. 2(27):47, 1988 Apr 9. AS - Nurs Stand. 2(27):47, 1988 Apr 9. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 CP - England AB - I am the RCN observer to the Medical Council of Alcoholism Education and Public Health Committee and a Charge Nurse at a Sub-Regional Alcohol Treatment Service. I disagree with the comment you reported, that nurses are not a high-risk group in respect of alcohol-related problems. IS - 0029-6570 IL - 0029-6570 DO - http://dx.doi.org/10.7748/ns.2.27.47.s74 PT - Journal Article LG - English DP - 1988 Apr 9 DC - 20160526 YR - 1988 ED - 20160527 UP - 20160531 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27223775 <51. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26340571 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Junqueira MA AU - Rassool GH AU - Santos MA AU - Pillon SC FA - Junqueira, Marcelle Aparecida de Barros FA - Rassool, G Hussein FA - Santos, Manoel Antonio dos FA - Pillon, Sandra Cristina IN - Junqueira,Marcelle Aparecida de Barros. Marcelle Aparecida de Barros Junqueira, RN, PhD, Federal University of Uberlandia (UFU), Brazil. G. Hussein Rassool, PhD, MSc, BA, FRSPH, CertEd, Faculty of Psychology, Islamic Online University, and Sakina Counselling Institute, Pailles, Mauritius (http://www.islamiconlineuniversity.com). Manoel Antonio dos Santos, Psych, PhD, Faculty of Philosophy, Sciences and Letters of Ribeirao Preto, University of Sao Paulo, Brazil. Sandra Cristina Pillon, RN, PhD, Faculty of Nursing at Ribeirao Preto, University of Sao Paulo, Brazil. TI - The Impact of an Educational Program in Brief Interventions for Alcohol Problems on Undergraduate Nursing Students: A Brazilian Context. SO - Journal of Addictions Nursing. 26(3):129-35, 2015 Jul-Sep. AS - J ADDICT NURS. 26(3):129-35, 2015 Jul-Sep. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Alcohol-Related Disorders/nu [Nursing] MH - Brazil MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Program Evaluation MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - Nurses are the prime movers in the prevention and harm reduction in alcohol-related harm especially for those patients who are unwilling to access specialist care. The aim of the study is to evaluate the attitudes and knowledge of nursing students before and after Brief Intervention Training for alcohol problems. A quasi-experimental study was conducted with 120 undergraduate nursing students. Sixty recruited students were randomized into experimental and control groups (n = 60 each). Participants completed questionnaires on knowledge and attitudes before and after this training of brief intervention. The brief intervention program, 16 hours of duration, includes training for screening and early recognition, nursing, and the treatment of alcohol problems. Analysis of the data showed statistically significant positive change in the nursing students' knowledge (identifications and care) and personal and professional attitudes in working with patients with alcohol problems after the educational intervention. The experimental group differed significantly in all the variables measured at posteducational program. The provision of educational program on brief intervention in undergraduate nursing education can be an effective way for acquisition of knowledge and changes in attitudes in working with patients with alcohol problems. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000086 PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2015 Jul-Sep DC - 20150905 YR - 2015 ED - 20160519 UP - 20160520 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26340571 <52. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25627678 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neininger MP AU - Kaune A AU - Bertsche A AU - Rink J AU - Musiol J AU - Frontini R AU - Prenzel F AU - Kiess W AU - Bertsche T FA - Neininger, Martina P FA - Kaune, Almuth FA - Bertsche, Astrid FA - Rink, Jessica FA - Musiol, Juliane FA - Frontini, Roberto FA - Prenzel, Freerk FA - Kiess, Wieland FA - Bertsche, Thilo IN - Neininger,Martina P. Drug Safety Center, University of Leipzig, Leipzig, Germany. MartinaPatrizia.Neininger@medizin.uni-leipzig.de. IN - Neininger,Martina P. Department of Clinical Pharmacy, University of Leipzig, Leipzig, Germany. MartinaPatrizia.Neininger@medizin.uni-leipzig.de. IN - Kaune,Almuth. Drug Safety Center, University of Leipzig, Leipzig, Germany. Almuth.Kaune@medizin.uni-leipzig.de. IN - Kaune,Almuth. Department of Clinical Pharmacy, University of Leipzig, Leipzig, Germany. Almuth.Kaune@medizin.uni-leipzig.de. IN - Bertsche,Astrid. Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, University of Leipzig, Leipzig, Germany. Astrid.Bertsche@medizin.uni-leipzig.de. IN - Rink,Jessica. Drug Safety Center, University of Leipzig, Leipzig, Germany. jessica.rink@gmx.de. IN - Rink,Jessica. Department of Clinical Pharmacy, University of Leipzig, Leipzig, Germany. jessica.rink@gmx.de. IN - Musiol,Juliane. Drug Safety Center, University of Leipzig, Leipzig, Germany. juliane_musiol@hotmail.de. IN - Musiol,Juliane. Department of Clinical Pharmacy, University of Leipzig, Leipzig, Germany. juliane_musiol@hotmail.de. IN - Frontini,Roberto. Drug Safety Center, University of Leipzig, Leipzig, Germany. Roberto.Frontini@medizin.uni-leipzig.de. IN - Frontini,Roberto. Pharmacy Department of the University Hospital Leipzig, University of Leipzig, Leipzig, Germany. Roberto.Frontini@medizin.uni-leipzig.de. IN - Prenzel,Freerk. Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, University of Leipzig, Leipzig, Germany. Freerk.Prenzel@medizin.uni-leipzig.de. IN - Kiess,Wieland. Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research, University of Leipzig, Leipzig, Germany. Wieland.Kiess@medizin.uni-leipzig.de. IN - Bertsche,Thilo. Drug Safety Center, University of Leipzig, Leipzig, Germany. thilo.bertsche@medizin.uni-leipzig.de. IN - Bertsche,Thilo. Department of Clinical Pharmacy, University of Leipzig, Leipzig, Germany. thilo.bertsche@medizin.uni-leipzig.de. TI - How to improve prescription of inhaled salbutamol by providing standardised feedback on administration: a controlled intervention pilot study with follow-up. SO - BMC Health Services Research. 15:40, 2015. AS - BMC Health Serv Res. 15:40, 2015. NJ - BMC health services research PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 OI - Source: NLM. PMC4314799 SB - Index Medicus CP - England MH - Administration, Inhalation MH - Adolescent MH - Adult MH - *Albuterol/ad [Administration & Dosage] MH - *Asthma/dt [Drug Therapy] MH - *Bronchodilator Agents/ad [Administration & Dosage] MH - Child MH - Child, Preschool MH - Female MH - Follow-Up Studies MH - Germany MH - Humans MH - Infant MH - Male MH - Middle Aged MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/st [Standards] MH - *Pediatric Nursing/st [Standards] MH - Pilot Projects MH - *Practice Guidelines as Topic/st [Standards] MH - Young Adult AB - BACKGROUND: The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert. AB - METHODS: We performed a controlled intervention pilot study with 4 consecutive groups in a general paediatric unit and assessed problems in salbutamol prescribing and administration. Control group [i]: Routine care without additional support. First intervention group [ii]: We carried out a teaching session for nurses aimed at preventing problems in inhalation technique. Independently from this, a pharmacist counselled physicians on problems in salbutamol prescribing. Second intervention group [iii]: Additionally to the first intervention, physicians received standardised feedback on the inhalation technique. Follow-up group [iv]: Subsequently, without any delay after the second intervention group had been completed, sustainability of the measures was assessed. We performed the chi-square test to calculate the level of significance with p<0.05 to indicate a statistically significant difference for the primary outcome. As we performed multiple testing, an adjusted p<0.01 according to Bonferroni correction was considered as significant. AB - RESULTS: We included a total of 225 patients. By counselling the physicians, we reduced the number of patients with problems from 55% to 43% (control [i] vs. first intervention [ii], n.s.). With additional feedback to physicians, this number was further reduced to 25% ([i] vs. [iii], p<0.001). In the follow-up [iv], the number rose again to 48% (p<0.01 compared to feedback group). AB - CONCLUSIONS: Teaching nurses, counselling physicians, and providing feedback on the quality of inhalation technique effectively reduced problems in salbutamol treatment. However, for success to be sustained, continuous support needs to be provided. AB - TRIAL REGISTRATION: German Clinical Trials register: DRKS00006792 . RN - 0 (Bronchodilator Agents) RN - QF8SVZ843E (Albuterol) ES - 1472-6963 IL - 1472-6963 DO - http://dx.doi.org/10.1186/s12913-015-0702-x PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't SI - DRKS SA - DRKS/DRKS00006792 LG - English EP - 20150128 DP - 2015 DC - 20150417 YR - 2015 ED - 20160517 RD - 20150417 UP - 20160518 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25627678 <53. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26245589 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malan Z AU - Mash B AU - Everett-Murphy K FA - Malan, Zelra FA - Mash, Bob FA - Everett-Murphy, Katherine IN - Malan,Zelra. Family Medicine and Primary Care, Stellenbosch University. zmalan@sun.ac.za. TI - A situational analysis of training for behaviour change counselling for primary care providers, South Africa. SO - African Journal of Primary Health Care & Family Medicine. 7(1), 2015. AS - Afr. j. prim. health care fam. med.. 7(1), 2015. NJ - African journal of primary health care & family medicine PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101520860 OI - Source: NLM. PMC4564904 SB - Index Medicus CP - South Africa MH - Adult MH - *Attitude of Health Personnel MH - Behavior Control MH - *Counseling/ed [Education] MH - Education, Medical, Continuing/mt [Methods] MH - *Family Health/ed [Education] MH - Female MH - Focus Groups MH - Health Personnel/ed [Education] MH - *Health Personnel/px [Psychology] MH - Health Plan Implementation MH - Humans MH - Life Style MH - Male MH - Middle Aged MH - Motivation MH - *Primary Health Care/mt [Methods] MH - Qualitative Research MH - South Africa AB - BACKGROUND: Non-communicable diseases and associated risk factors (smoking, alcohol abuse, physical inactivity and unhealthy diet) are a major contributor to primary care morbidity and the burden of disease. The need for healthcare-provider training in evidence-based lifestyle interventions has been acknowledged by the National Department of Health. However, local studies suggest that counselling on lifestyle modification from healthcare providers is inadequate and this may, in part, be attributable to a lack of training. AB - AIM: This study aimed to assess the current training courses for primary healthcare providers in the Western Cape. AB - SETTING: Stellenbosch University and University of Cape Town. AB - METHODS: Qualitative interviews were conducted with six key informants (trainers of primary care nurses and registrars in family medicine) and two focus groups (nine nurses and eight doctors) from both Stellenbosch University and the University of Cape Town. AB - RESULTS: Trainers lack confidence in the effectiveness of behaviour change counselling and in current approaches to training. Current training is limited by time constraints and is not integrated throughout the curriculum--there is a focus on theory rather than modelling and practice, as well as a lack of both formative and summative assessment. Implementation of training is limited by a lack of patient education materials, poor continuity of care and record keeping, conflicting lifestyle messages and an unsupportive organisational culture. AB - CONCLUSION: Revising the approach to current training is necessary in order to improve primary care providers' behaviour change counselling skills. Primary care facilities need to create a more conducive environment that is supportive of behaviour change counselling. ES - 2071-2936 IL - 2071-2928 DO - http://dx.doi.org/10.4102/phcfm.v7i1.731 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150318 DP - 2015 DC - 20150806 YR - 2015 ED - 20160504 RD - 20160204 UP - 20160505 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26245589 <54. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26964268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Estrada P FA - Estrada, Perla TI - ONF Education Program Reduces Stigma of Substance Abuse. SO - Oregon Nurse. :12, 2015. AS - Oreg Nurse. :12, 2015. NJ - The Oregon nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ok1, 1276216 SB - Nursing Journal CP - United States MH - *Education, Nursing, Continuing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Nursing Staff, Hospital/ed [Education] MH - Oregon MH - Organizational Objectives MH - *Social Stigma MH - *Societies, Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/px [Psychology] IS - 0030-4751 IL - 0030-4751 PT - Journal Article LG - English DP - 2015 DC - 20160311 YR - 2015 ED - 20160503 UP - 20160504 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26964268 <55. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26964261 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cadiz D FA - Cadiz, Dave TI - Speak up for Safety Has Positive Impact on Chemeketa Community College Student Nurses. SO - Oregon Nurse. :16, 2015. AS - Oreg Nurse. :16, 2015. NJ - The Oregon nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ok1, 1276216 SB - Nursing Journal CP - United States MH - *Computer-Assisted Instruction MH - *Curriculum MH - *Education, Nursing/og [Organization & Administration] MH - Humans MH - *Internet MH - Oregon MH - Pilot Projects MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0030-4751 IL - 0030-4751 PT - Journal Article LG - English DP - 2015 DC - 20160311 YR - 2015 ED - 20160503 UP - 20160504 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26964261 <56. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26162729 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klaassens M AU - Meijering L FA - Klaassens, Mirjam FA - Meijering, Louise IN - Klaassens,Mirjam. Wenckebach Institute, University Medical Center Groningen, University of Groningen, FC 33, Hanzeplein 1, 9713 GZ Groningen, the Netherlands. Electronic address: m.klaassens@umcg.nl. IN - Meijering,Louise. Department of Demography, Urban and Regional Studies Institute, Faculty of Spatial Sciences, University of Groningen, PO Box 800, 9700 AV Groningen, the Netherlands. Electronic address: l.b.meijering@rug.nl. TI - Experiences of home and institution in a secured nursing home ward in The Netherlands: A participatory intervention study. SO - Journal of Aging Studies. 34:92-102, 2015 Aug. AS - J Aging Stud. 34:92-102, 2015 Aug. NJ - Journal of aging studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8916517 SB - Index Medicus CP - England MH - Aged MH - *Attitude to Health MH - Caregivers/px [Psychology] MH - Delivery of Health Care MH - Female MH - Home Care Services MH - *Homes for the Aged MH - Humans MH - *Inpatients/px [Psychology] MH - *Institutionalization MH - Interpersonal Relations MH - Korsakoff Syndrome/px [Psychology] MH - Korsakoff Syndrome/th [Therapy] MH - Male MH - Narration MH - Netherlands MH - *Nursing Homes MH - Patient Satisfaction MH - Patient-Centered Care MH - Personal Autonomy MH - Personal Space MH - Privacy MH - Self-Control KW - Home; Nursing home; Participatory approach; Person-centred care; Qualitative methods; Total institutions AB - Nursing homes have been criticised for not providing a home for their residents. This article aims to provide insight into (1) the features of home and institution as experienced by residents and caregivers of a secured ward in a nursing home, and (2) how interventions implemented on the ward can contribute to a more home-like environment. For this purpose, a participatory intervention study, involving both caregivers and residents, was carried out. We collected data through qualitative research methods: observations, in-depth interviews and diaries to evaluate the interventions over time. We adopted an informed grounded theory approach, and used conceptualisations of total institutions and home as a theoretical lens. We found that the studied ward had strong characteristics of a total institution, such as batch living, block treatment and limited privacy. To increase the sense of home, interventions were formulated and implemented by the caregivers to increase the residents' autonomy, control and privacy. In this process, caregivers' perceptions and attitudes towards the provision of care shifted from task-oriented to person-centred care. We conclude that it is possible to increase the home-like character of a secured ward by introducing core values of home by means of interventions involving both caregivers and residents. Copyright © 2015 Elsevier Inc. All rights reserved. ES - 1879-193X IL - 0890-4065 DI - S0890-4065(15)00058-4 DO - http://dx.doi.org/10.1016/j.jaging.2015.05.002 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150606 DP - 2015 Aug DC - 20150711 YR - 2015 ED - 20160418 UP - 20160419 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26162729 <57. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25779029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krokmyrdal KA AU - Andenaes R FA - Krokmyrdal, Kurt A FA - Andenaes, Randi IN - Krokmyrdal,Kurt A. Faculty of Health Studies, Sogn og Fjordane University College, P. O. Box 523, N-6803 Forde, Norway. Electronic address: kurt.arild.krokmyrdal@hisf.no. IN - Andenaes,Randi. Faculty of Health Science, Department of Nursing, Oslo and Akershus University College of Applied Sciences, Norway. TI - Nurses' competence in pain management in patients with opioid addiction: A cross-sectional survey study. SO - Nurse Education Today. 35(6):789-94, 2015 Jun. AS - Nurse Educ Today. 35(6):789-94, 2015 Jun. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - *Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Norway MH - Nursing Staff, Hospital/ed [Education] MH - *Opioid-Related Disorders/nu [Nursing] MH - Opioid-Related Disorders/px [Psychology] MH - *Pain Management/nu [Nursing] MH - *Pain Measurement/nu [Nursing] MH - Pilot Projects MH - Surveys and Questionnaires MH - Young Adult KW - Competence; Education; Knowledge; Nurses; Opioid abuse; Pain treatment AB - BACKGROUND: There may be up to 21 million opioid abusers in the world. Drug abuse and associated health-related problems are increasing. Opioid addiction can cause serious bacterial infection, injury and trauma, conditions that can trigger pain. Opioid abusers experience pain differently from non-addicts. There is limited research on nurses' competence to provide pain treatment to patients with opioid addiction. AB - OBJECTIVE: To report on a Norwegian pilot study examining nurses' knowledge about pain and competence in treating pain in patients who abuse opioids. AB - DESIGN: A descriptive cross-sectional survey design was employed. AB - PARTICIPANTS: Nurses at medical (n=64) and orthopaedic (n=34) units at two urban, public Norwegian hospitals. AB - METHODS: Data were collected in January 2010 using a self-administered questionnaire. Sample selection was determined by purposive sampling. The response rate was 54%. AB - RESULTS: Eighty-eight percent of nurses did not have sufficient knowledge about pain treatment in patients with opioid addiction. Eight-eight percent and seventy-seven percent regarded work-place experience and colleagues as the primary contributors to their knowledge about pain treatment, respectively. Work-place experience contributed most to nurses' competence. Ninety percent, 70% and 84% of nurses responded that education, literature and information technology, respectively, played a minor role in obtaining knowledge about pain management. Sixty-five percent of the respondents had basic skills for evaluating pain, although 54% could not evaluate the degree of pain. Almost 62% of nurses did not trust the pain experience self-reported by patients who were opioid abusers. AB - CONCLUSION: Our study shows shortcomings in the nurses' competence to evaluate and treat pain, suggesting that patients with opioid addiction may not receive adequate pain management. Nurses' competence to offer pain treatment to opioid abusers could be characterized as experience-based rather than evidence-based.Copyright © 2015 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(15)00098-2 DO - http://dx.doi.org/10.1016/j.nedt.2015.02.022 PT - Journal Article LG - English EP - 20150307 DP - 2015 Jun DC - 20150515 YR - 2015 ED - 20160418 UP - 20160419 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25779029 <58. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25573748 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams B AU - Boyle M AU - Fielder C FA - Williams, Brett FA - Boyle, Malcolm FA - Fielder, Chris IN - Williams,Brett. Department of Community Emergency Health and Paramedic Practice, Monash University, McMahons Rd Frankston, Victoria 3199, Australia. Electronic address: brett.williams@monash.edu. IN - Boyle,Malcolm. Department of Community Emergency Health and Paramedic Practice, Monash University, McMahons Rd Frankston, Victoria 3199, Australia. IN - Fielder,Chris. Department of Community Emergency Health and Paramedic Practice, Monash University, McMahons Rd Frankston, Victoria 3199, Australia. TI - Empathetic attitudes of undergraduate paramedic and nursing students towards four medical conditions: a three-year longitudinal study. SO - Nurse Education Today. 35(2):e14-8, 2015 Feb. AS - Nurse Educ Today. 35(2):e14-8, 2015 Feb. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Allied Health Personnel/ed [Education] MH - *Allied Health Personnel/px [Psychology] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Education, Nursing, Baccalaureate MH - *Empathy MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Prejudice MH - Prospective Studies MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders MH - Young Adult KW - Attitudes; Medical Condition Regard Scale (MCRS); Nursing; Paramedic; Undergraduate AB - INTRODUCTION: In the healthcare context empathy is the cognitive ability to understand a patient's perspectives and experiences and to convey that understanding back to the patient. Some medical conditions are frequently stigmatised or otherwise detrimentally stereotyped with patients often describing healthcare practitioners as intolerant, prejudiced and discriminatory. AB - OBJECTIVES: The purpose of this study was to find how a group of paramedic students and nursing/paramedic double-degree students regard these types of patients and to note any changes that may occur as those students continued through their education. AB - METHODS: The 11-questions, 6-point Likert scale version of the Medical Condition Regard Scale was used in this prospective cross-sectional longitudinal study. This study included paramedic students enrolled in first, second, third and fourth year of an undergraduate paramedic or paramedic/nursing program from Monash University. AB - RESULTS: A total of 554 students participated. Statistically significant differences were found between double-degree and single-degree students (p<0.0001), year of course (p<0.0001) and gender (p=0.02) for patients presenting with substance abuse. Similar results were found for patients with intellectual disability and attempted suicide. No statistically significant results were found for acute mental illness. AB - CONCLUSIONS: This study has demonstrated significant differences in empathy between paramedic and nursing/paramedic double-degree students in regard to patients with these complex medical conditions. Paramedic/nursing students generally showed a positive change in empathy towards these complex patients by their third year of study; however, they also showed some alarming drops in empathy between second and third year.Copyright © 2014 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(14)00402-X DO - http://dx.doi.org/10.1016/j.nedt.2014.12.007 PT - Journal Article LG - English EP - 20141218 DP - 2015 Feb DC - 20150120 YR - 2015 ED - 20160411 UP - 20160412 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25573748 <59. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26091548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saylor JL AU - Schell KA AU - Mendell MF AU - Graber JS FA - Saylor, Jennifer L FA - Schell, Kathleen A FA - Mendell, Mark F FA - Graber, Jennifer S TI - Development of a Clinical Competency Checklist for Care of Patients Experiencing Substance Withdrawal Delirium or Delirium: Use of a Delphi Technique and Expert Panel. SO - Journal of Psychosocial Nursing & Mental Health Services. 53(6):29-36, 2015 Jun. AS - J Psychosoc Nurs Ment Health Serv. 53(6):29-36, 2015 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Internet JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Checklist MH - *Clinical Competence/st [Standards] MH - Delirium/nu [Nursing] MH - *Delirium/th [Therapy] MH - Delphi Technique MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient-Centered Care/mt [Methods] MH - Patient-Centered Care/st [Standards] MH - Substance Withdrawal Syndrome/nu [Nursing] MH - *Substance Withdrawal Syndrome/th [Therapy] AB - Health care providers are challenged by the presentation and management of inpatients experiencing substance withdrawal delirium (SWD) and delirium. The current Delphi study used an expert panel to develop a clinical competency checklist for nurse and physician educator use in teaching health care providers about the initial care of patients with SWD or delirium. The checklist includes categories of patient safety, history and information gathering, physical examination and assessment, treatment plan, and patient/family-centered care.Copyright 2015, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20150526-01 PT - Journal Article LG - English DP - 2015 Jun DC - 20150620 YR - 2015 ED - 20160408 UP - 20160411 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26091548 <60. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26218007 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hensel D AU - Engs RC AU - Middleton MJ FA - Hensel, Desiree FA - Engs, Ruth C FA - Middleton, Mary Jean IN - Hensel,Desiree. Author Affiliations: Associate Professor (Dr Hensel), School of Nursing,Indiana University, Bloomington; Professor Emeritus (Dr Engs), Indiana University Bloomington School of Public Health, Bloomington and Staff Nurse (Ms Middleton), Gateway Medical Center, Clarksville, Tennessee. TI - Differences in Drinking Patterns Between Female Nursing and Nonnursing Students. SO - Nurse Educator. 41(1):52-4, 2016 Jan-Feb. AS - Nurse Educ. 41(1):52-4, 2016 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Internet JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Alcohol Drinking/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Nursing Education Research MH - Risk-Taking MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - United States MH - Universities MH - Young Adult AB - This study compared the drinking patterns of 123 female nursing students with those of 185 female students of other majors enrolled beyond the freshman year at a large public university. High-risk drinking patterns did not vary significantly between the 2 groups, suggesting that students' drinking patterns reflected the norms of their institution. Prevention strategies geared at campus culture and that target students still enrolled in prerequisites may be needed to reduce alcohol abuse in nursing students. ES - 1538-9855 IL - 0363-3624 DO - http://dx.doi.org/10.1097/NNE.0000000000000200 PT - Comparative Study PT - Journal Article LG - English DP - 2016 Jan-Feb DC - 20151202 YR - 2016 ED - 20160407 UP - 20160408 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26218007 <61. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25636040 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cho S AU - Lee E FA - Cho, Sumi FA - Lee, Eunjoo IN - Cho,Sumi. Author Affiliations: Doctoral Student (Ms Cho) and Professor (Dr Lee), College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea. TI - Development of a brief instrument to measure smartphone addiction among nursing students. SO - CIN: Computers, Informatics, Nursing. 33(5):216-24, 2015 May. AS - Comput Inform Nurs. 33(5):216-24, 2015 May. NJ - Computers, informatics, nursing : CIN PI - Journal available in: Print PI - Citation processed from: Internet JC - 101141667 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Behavior, Addictive/di [Diagnosis] MH - Behavior, Addictive/pc [Prevention & Control] MH - Female MH - Humans MH - Male MH - Nursing Informatics MH - Reproducibility of Results MH - Republic of Korea MH - *Smartphone/ut [Utilization] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - Interruptions and distractions due to smartphone use in healthcare settings pose potential risks to patient safety. Therefore, it is important to assess smartphone use at work, to encourage nursing students to review their relevant behaviors, and to recognize these potential risks. This study's aim was to develop a scale to measure smartphone addiction and test its validity and reliability. We investigated nursing students' experiences of distractions caused by smartphones in the clinical setting and their opinions about smartphone use policies. Smartphone addiction and the need for a scale to measure it were identified through a literature review and in-depth interviews with nursing students. This scale showed reliability and validity with exploratory and confirmatory factor analysis. In testing the discriminant and convergent validity of the selected (18) items with four factors, the smartphone addiction model explained approximately 91% (goodness-of-fit index = 0.909) of the variance in the data. Pearson correlation coefficients among addiction level, distractions in the clinical setting, and attitude toward policies on smartphone use were calculated. Addiction level and attitude toward policies of smartphone use were negatively correlated. This study suggests that healthcare organizations in Korea should create practical guidelines and policies for the appropriate use of smartphones in clinical practice. ES - 1538-9774 IL - 1538-2931 DO - http://dx.doi.org/10.1097/CIN.0000000000000132 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2015 May DC - 20150515 YR - 2015 ED - 20160407 UP - 20160408 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25636040 <62. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26151148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zelle A AU - Arms T FA - Zelle, Andraya FA - Arms, Tamatha TI - Psychosocial Effects of Health Disparities of Lesbian, Gay, Bisexual, and Transgender Older Adults. SO - Journal of Psychosocial Nursing & Mental Health Services. 53(7):25-30, 2015 Jul. AS - J Psychosoc Nurs Ment Health Serv. 53(7):25-30, 2015 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Internet JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Aged, 80 and over MH - Aging/px [Psychology] MH - *Bisexuality/px [Psychology] MH - Education, Nursing, Continuing MH - Female MH - *Healthcare Disparities MH - *Homosexuality, Female/px [Psychology] MH - *Homosexuality, Male/px [Psychology] MH - Humans MH - Male MH - Middle Aged MH - Sexism MH - Social Isolation/px [Psychology] MH - *Social Stigma MH - *Transgender Persons/px [Psychology] MH - *Transsexualism/px [Psychology] MH - United States AB - The 1.5 million older adults who self-identify as lesbian, gay, bisexual, and transgender (LGBT) are expected to double in number by 2030. Research suggests that health disparities are closely linked with societal stigma, discrimination, and denial of civil and human rights. More LGBT older adults struggle with depression, substance abuse, social isolation, and acceptance compared to their heterosexual counterparts. Despite individual preferences, most health care providers recognize the right of any individual to have access to basic medical services. The U.S. Department of Health and Human Services requires that all hospitals receiving funds from Medicare and Medicaid respect visitation and medical decision-making rights to all individuals identifying as LGBT. The Joint Commission also requires a non-discrimination statement for accreditation. The current literature review examines LGBT health disparities and the consequential psychosocial impact on LGBT older adults as well as brings awareness to the needs of this underserved and underrepresented population.Copyright 2015, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20150623-04 PT - Journal Article LG - English DP - 2015 Jul DC - 20150708 YR - 2015 ED - 20160404 UP - 20160405 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26151148 <63. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26343551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flodgren G AU - Rachas A AU - Farmer AJ AU - Inzitari M AU - Shepperd S FA - Flodgren, Gerd FA - Rachas, Antoine FA - Farmer, Andrew J FA - Inzitari, Marco FA - Shepperd, Sasha IN - Flodgren,Gerd. Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Roosevelt Drive, Headington, Oxford, Oxfordshire, UK, OX3 7LF. TI - Interactive telemedicine: effects on professional practice and health care outcomes. [Review][Update of Cochrane Database Syst Rev. 2000;(2):CD002098; PMID: 10796678] SO - Cochrane Database of Systematic Reviews. 9:CD002098, 2015. AS - Cochrane Database Syst Rev. 9:CD002098, 2015. NJ - The Cochrane database of systematic reviews PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100909747 SB - Index Medicus CP - England MH - *Communication MH - Diabetes Mellitus/th [Therapy] MH - Heart Failure/th [Therapy] MH - Humans MH - Mental Disorders/th [Therapy] MH - Monitoring, Physiologic/mt [Methods] MH - *Outcome and Process Assessment (Health Care) MH - *Physician-Patient Relations MH - *Practice Patterns, Physicians' MH - *Telemedicine/mt [Methods] MH - Videoconferencing AB - 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. AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-493X IL - 1361-6137 DO - http://dx.doi.org/10.1002/14651858.CD002098.pub2 PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review LG - English EP - 20150907 DP - 2015 DC - 20151001 YR - 2015 ED - 20160331 UP - 20160401 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26343551 <64. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25455930 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Redding SE AU - Liu S AU - Hung WW AU - Boockvar KS FA - Redding, Sarah E FA - Liu, Sophia FA - Hung, William W FA - Boockvar, Kenneth S IN - Redding,Sarah E. Icahn School of Medicine at Mount Sinai, New York, New York. IN - Liu,Sophia. Icahn School of Medicine at Mount Sinai, New York, New York. IN - Hung,William W. Icahn School of Medicine at Mount Sinai, New York, New York; James J. Peters VA Medical Center, Bronx, New York. IN - Boockvar,Kenneth S. Icahn School of Medicine at Mount Sinai, New York, New York; James J. Peters VA Medical Center, Bronx, New York; Jewish Home Lifecare, New York, New York. Electronic address: Kenneth.boockvar@mssm.edu. TI - Opioid interruptions, pain, and withdrawal symptoms in nursing home residents. SO - Clinical Therapeutics. 36(11):1555-63, 2014 Nov 1. AS - Clin Ther. 36(11):1555-63, 2014 Nov 1. NJ - Clinical therapeutics PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cpe, 7706726 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Pain/dt [Drug Therapy] MH - Pain Measurement MH - *Substance Withdrawal Syndrome/et [Etiology] KW - nursing homes; opioid; pain management; withdrawal AB - 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. AB - 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. AB - 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. AB - 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.Copyright Published by Elsevier Inc. RN - 0 (Analgesics, Opioid) ES - 1879-114X IL - 0149-2918 DI - S0149-2918(14)00686-9 DO - http://dx.doi.org/10.1016/j.clinthera.2014.10.013 PT - Journal Article PT - Observational Study PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English EP - 20141119 DP - 2014 Nov 1 DC - 20141203 YR - 2014 ED - 20160331 UP - 20160401 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25455930 <65. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26343551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flodgren G AU - Rachas A AU - Farmer AJ AU - Inzitari M AU - Shepperd S FA - Flodgren, Gerd FA - Rachas, Antoine FA - Farmer, Andrew J FA - Inzitari, Marco FA - Shepperd, Sasha IN - Flodgren,Gerd. Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Roosevelt Drive, Headington, Oxford, Oxfordshire, UK, OX3 7LF. TI - Interactive telemedicine: effects on professional practice and health care outcomes. [Review][Update of Cochrane Database Syst Rev. 2000;(2):CD002098; PMID: 10796678] CM - Comment in: Urologe A. 2016 Apr;55(4):520-3; PMID: 26956438 SO - Cochrane Database of Systematic Reviews. (9):CD002098, 2015. AS - Cochrane Database Syst Rev. (9):CD002098, 2015. NJ - The Cochrane database of systematic reviews PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100909747 SB - Index Medicus CP - England MH - *Communication MH - Diabetes Mellitus/th [Therapy] MH - Heart Failure/th [Therapy] MH - Humans MH - Mental Disorders/th [Therapy] MH - Monitoring, Physiologic/mt [Methods] MH - *Outcome and Process Assessment (Health Care) MH - *Physician-Patient Relations MH - *Practice Patterns, Physicians' MH - *Telemedicine/mt [Methods] MH - Videoconferencing AB - 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. AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-493X IL - 1361-6137 DO - http://dx.doi.org/10.1002/14651858.CD002098.pub2 PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review LG - English EP - 20150907 DP - 2015 DC - 20151001 YR - 2015 ED - 20160331 RD - 20160818 UP - 20160819 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26343551 <66. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25200633 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rabanales Sotos J AU - Lopez Gonzalez A AU - Parraga Martinez I AU - Campos Rosa M AU - Simarro Herraez MJ AU - Lopez-Torres Hidalgo J FA - Rabanales Sotos, Joseba FA - Lopez Gonzalez, Angel FA - Parraga Martinez, Ignacio FA - Campos Rosa, Monchi FA - Simarro Herraez, Maria J FA - Lopez-Torres Hidalgo, Jesus IN - Rabanales Sotos,Joseba. Albacete Faculty of Nursing, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Spain. Electronic address: rabanalessotos@hotmail.com. IN - Lopez Gonzalez,Angel. Albacete Faculty of Nursing, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Spain. IN - Parraga Martinez,Ignacio. La Roda Health Centre (Albacete), Castilla-La Mancha Health Service (Servicio de Salud de Castilla-La Mancha/SESCAM), Spain. IN - Campos Rosa,Monchi. Albacete Integrated Healthcare Management (SESCAM), Spain. IN - Simarro Herraez,Maria J. Villarrobledo-Albacete Integrated Healthcare Management (SESCAM), Spain. IN - Lopez-Torres Hidalgo,Jesus. Albacete Faculty of Medicine (UCLM), Albacete Zone IV Health Centre (SESCAM), Spain. TI - Self-assessment of alcohol consumption as a health-education strategy in nursing students. SO - Nurse Education Today. 35(1):132-7, 2015 Jan. AS - Nurse Educ Today. 35(1):132-7, 2015 Jan. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Alcohol Drinking/pc [Prevention & Control] MH - Educational Measurement MH - Female MH - *Health Education MH - Humans MH - Male MH - *Self-Assessment MH - *Students, Nursing MH - Young Adult KW - Alcohol consumption; Education; Hazardous drinker; Nursing student; Preventive activities AB - BACKGROUND: In the field of preventive activities, early identification of excessive alcohol consumption is essential. The simplicity of existing instruments for detecting hazardous drinking makes for ready assimilation in university students. AB - OBJECTIVE: To ascertain nursing students' level of knowledge about alcohol prevention activities and assess their skills, acquired through self-assessment of their own alcohol consumption, in managing tools designed to detect hazardous drinkers. AB - DESIGN: Before and after intervention study. AB - MATERIAL AND METHODS: We assessed 1060 nursing students and ascertained their level of knowledge about excessive alcohol consumption. Following an educational intervention in which students were taught to use the recommended screening instruments in clinical practice through self-assessment of their own consumption (Systematic Interview of Alcohol Consumption and Alcohol Use Disorders Inventory Test), we tested the skills acquired in detecting hazardous drinkers and their knowledge of alcohol prevention activities. AB - RESULTS: Initially, the concept of hazardous drinker was known by only 24.1% of students and the method of quantifying alcohol consumption by only 3.1%. The prevalence of hazardous drinkers was 17.9% (95% CI: 15.5-20.3). After the educational intervention, 95.8% of students stated that they understood the concept of hazardous drinker and 92.5% stated that they understood how to quantify alcohol consumption, with these proportions being significantly higher than those obtained at baseline (p<0.001). When asked about the intervention's usefulness, 91.3% viewed it favourably. AB - CONCLUSION: By using a simple educational intervention, nursing students can improve their knowledge and skill detection of hazardous drinkers and quantification of alcohol consumption. These concepts allow for students to be satisfactorily introduced into the prevention activities during their university education. After assessing their own consumption, a considerable proportion of students realise that they are indulging in excessive alcohol consumption, which could in turn make for greater awareness of the problem among future health professionals.Copyright © 2014 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(14)00265-2 DO - http://dx.doi.org/10.1016/j.nedt.2014.08.004 PT - Journal Article LG - English EP - 20140823 DP - 2015 Jan DC - 20141208 YR - 2015 ED - 20160325 UP - 20160328 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25200633 <67. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26596664 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Laksonen RP Jr AU - Gasiewicz NK FA - Laksonen, Richard P Jr FA - Gasiewicz, Nanci K IN - Laksonen,Richard P Jr. Family Medicine, United States Air Force, 5th Medical Operations Squadron, 5th Medical Group, 5th Bomb Wing, Minot Air Force Base, Minot AFB, ND 58705, USA. Electronic address: Richard.laksonen.1@us.af.mil. IN - Gasiewicz,Nanci K. School of Nursing, Northern Michigan University, 1401 Presque Isle Avenue, Marquette, MI 49855, USA. TI - Implementing a Program for Ultrasound-Guided Peripheral Venous Access: Training, Policy and Procedure Development, Protocol Use, Competency, and Skill Tracking. [Review] SO - Nursing Clinics of North America. 50(4):771-85, 2015 Dec. AS - Nurs Clin North Am. 50(4):771-85, 2015 Dec. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Internet JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Catheterization, Peripheral/mt [Methods] MH - Catheterization, Peripheral/nu [Nursing] MH - Clinical Competence MH - Education, Nursing, Continuing MH - Humans MH - *Nursing Process MH - *Ultrasonography, Interventional/mt [Methods] MH - Ultrasonography, Interventional/nu [Nursing] MH - United States KW - Competency; Intravenous access; Protocol; Ultrasound guided AB - Peripheral intravenous (IV) access provides a means to administer medications, IV fluids, and blood products and allows for the sampling of blood for analysis. The traditional approach to obtaining peripheral IV access relies on vessel visualization in the arm and/or palpation of the blood vessel beneath the skin. However, the general population is aging, obesity is commonplace, and IV drug abuse is widespread, making peripheral IV access difficult. Use of ultrasound-guided peripheral IV access fills a practice gap in safe patient care between traditional peripheral IV access methods of vein visualization and/or palpation and ultrasound-guided central venous access. Copyright © 2015 Elsevier Inc. All rights reserved. ES - 1558-1357 IL - 0029-6465 DI - S0029-6465(15)00088-2 DO - http://dx.doi.org/10.1016/j.cnur.2015.07.010 PT - Journal Article PT - Review LG - English DP - 2015 Dec DC - 20151124 YR - 2015 ED - 20160316 UP - 20160317 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26596664 <68. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26286591 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malan Z AU - Mash R AU - Everett-Murphy K FA - Malan, Zelra FA - Mash, Robert FA - Everett-Murphy, Katherine IN - Malan,Zelra. Family Medicine and Primary Care, Stellenbosch University, Box 19063, Tygerberg, 7505, South Africa. zmalan@sun.ac.za. IN - Mash,Robert. Family Medicine and Primary Care, Stellenbosch University, Box 19063, Tygerberg, 7505, South Africa. rm@sun.ac.za. IN - Everett-Murphy,Katherine. Chronic Diseases Initiative in Africa (CDIA), Faculty of Health Sciences, University of Cape Town, P/Bag X 3, Observatory, Cape Town, 7935, South Africa. km.murphy@uct.ac.za. TI - Qualitative evaluation of primary care providers experiences of a training programme to offer brief behaviour change counselling on risk factors for non-communicable diseases in South Africa. SO - BMC Family Practice. 16:101, 2015. AS - BMC Fam Pract. 16:101, 2015. NJ - BMC family practice PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967792 OI - Source: NLM. PMC4545565 SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - Clinical Competence MH - *Directive Counseling/mt [Methods] MH - *Education, Medical, Continuing/mt [Methods] MH - *Education, Nursing, Continuing/mt [Methods] MH - *Health Behavior MH - *Health Promotion/mt [Methods] MH - Humans MH - Interviews as Topic MH - Life Style MH - *Primary Health Care/mt [Methods] MH - Program Evaluation MH - Qualitative Research MH - Risk Factors MH - Risk-Taking MH - South Africa AB - BACKGROUND: The global epidemic of non-communicable disease (NCDs) has been linked with four modifiable risky lifestyle behaviours, namely smoking, unhealthy diet, physical inactivity and alcohol abuse. Primary care providers (PCPs) can play an important role in changing patient's risky behaviours. It is recommended that PCPs provide individual brief behaviour change counselling (BBCC) as part of everyday primary care. This study is part of a larger project that re-designed the current training for PCPs in South Africa, to offer a standardized approach to BBCC based on the 5 As and a guiding style. This article reports on a qualitative sub-study, which explored whether the training intervention changed PCPs perception of their confidence in their ability to offer BBCC, whether they believed that the new approach could overcome the barriers to implementation in clinical practice and be sustained, and their recommendations on future training and integration of BBCC into curricula and clinical practice. AB - METHODS: This was a qualitative study that used verbal feedback from participants at the beginning and end of the training course, and twelve individual in-depth interviews with participants once they had returned to their clinical practice. AB - RESULTS: Although PCP's confidence in their ability to counselling improved, and some thought that time constraints could be overcome, they still reported that understaffing, lack of support from within the facility and poor continuity of care were barriers to counselling. However, the current organisational culture was not congruent with the patient-centred guiding style of BBCC. Training should be incorporated into undergraduate curricula of PCPs for both nurses and doctors, to ensure that counselling skills are embedded from the start. Existing PCPs should be offered training as part of continued professional development programmes. AB - CONCLUSIONS: This study showed that although training changed PCPs perception of their ability to offer BBCC, and increased their confidence to overcome certain barriers to implementation, significant barriers remained. It is clear that to incorporate BBCC into everyday care, not only training, but also a whole systems approach is needed, that involves the patient, provider, and service organisation at different levels. ES - 1471-2296 IL - 1471-2296 DO - http://dx.doi.org/10.1186/s12875-015-0318-6 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150819 DP - 2015 DC - 20150819 YR - 2015 ED - 20160315 RD - 20150823 UP - 20160316 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26286591 <69. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26053079 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nair JM AU - Nemeth LS AU - Williams PH AU - Newman SD AU - Sommers MS FA - Nair, Julie McCulloh FA - Nemeth, Lynne S FA - Williams, Pamela Holtzclaw FA - Newman, Susan D FA - Sommers, Marilyn S IN - Nair,Julie McCulloh. Julie McCulloh Nair, PhD, RN, CCRE, College of Nursing, Medical University of South Carolina, Charleston. Lynne S. Nemeth, PhD, RN, FAAN, College of Nursing, Medical University of South Carolina, Charleston. Pamela Holtzclaw Williams, PhD, RN, College of Nursing, University of Arkansas for Medical Sciences, Little Rock. Susan D. Newman, PhD, RN, College of Nursing, Medical University of South Carolina, Charleston. Marilyn S. Sommers, PhD, RN, FAAN, School of Nursing, University of Pennsylvania, Philadelphia. TI - Alcohol Misuse Among Nursing Students. SO - Journal of Addictions Nursing. 26(2):71-80; quiz E1, 2015 Apr-Jun. AS - J ADDICT NURS. 26(2):71-80; quiz E1, 2015 Apr-Jun. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/px [Psychology] MH - Alcoholic Intoxication/ep [Epidemiology] MH - Alcoholic Intoxication/px [Psychology] MH - *Attitude to Health MH - *Education, Nursing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Nursing Assessment MH - Nursing Methodology Research MH - Philosophy, Nursing MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - United States MH - Young Adult AB - BACKGROUND: The self-reported prevalence of alcohol use among U.S. college students decreased from 90.5% in 1980 to 79.2% in 2012. National efforts exist to reduce alcohol misuse among college students in the United States, yet little research addresses substance abuse among nursing students and even less addresses alcohol misuse. Alcohol misuse in nursing students may result in patient harm. AB - PURPOSE: This scoping study describes the state of the science of alcohol misuse among nursing students, guided by the research question: "What is the current state of alcohol misuse among U.S. nursing students?" AB - METHODS: Evidence was drawn from several scholarly sources. Articles were included if they addressed U.S. nursing students; alcohol misuse; substance abuse or chemical impairment; prevalence rates; and/or characteristics including nursing student behaviors, attitudes, and beliefs. Using thematic analysis, common themes were extracted, followed by hand coding those themes and using NVivo qualitative software. AB - RESULTS: Six studies met inclusion criteria. Three themes, eight subthemes, and several gaps in knowledge were identified. The themes include "high prevalence exists," "necessity of supportive environments," and "hopelessness without policies." Subthemes include "root cause," "vulnerable population," "scholarship and substance use," "education," "identification of risk factors," "prevention and deterrents," "safety," "ethical and legal issues," and "consequences." AB - CONCLUSIONS: On the basis of this analysis, several research questions were developed to explore alcohol misuse in this population. Alcohol was the most often used substance. Nursing students were unaware of a safe level of consumption and the potential negative health-related and professional effects associated with alcohol misuse. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000070 PT - Journal Article LG - English DP - 2015 Apr-Jun DC - 20150609 YR - 2015 ED - 20160314 UP - 20160315 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26053079 <70. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26053077 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dittman PW FA - Dittman, Patricia W IN - Dittman,Patricia W. Patricia W. Dittman, PhD, RN, CDE, College of Nursing, Nova Southeastern University, Davie, Florida. TI - Chemical Dependency and Nursing Students: A Complicated Process Calling for Nurse Educator Involvement. SO - Journal of Addictions Nursing. 26(2):58-61, 2015 Apr-Jun. AS - J ADDICT NURS. 26(2):58-61, 2015 Apr-Jun. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Faculty, Nursing/sn [Statistics & Numerical Data] MH - Health Promotion/mt [Methods] MH - *Health Status MH - Humans MH - Nursing Education Research MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Chemical use and dependency is a prevalent problem in society and among the members of the nursing profession. Nursing students, as the novice representatives of the profession, may be particularly vulnerable to chemical use. Nursing leaders in both educational institutions and practice settings must recognize highly vulnerable individuals, which nursing activities are most vulnerable, and interventions to assist and support the vulnerable individual while assuring a safe practice environment. As nurses, it is our responsibility, both ethically and legally, to provide a safe working environment not only for our patients but also for ourselves by reporting the behaviors of nurses who may be impaired through the proper channels according to your state's Nurse Practice Act. Through a united approach, nurse leaders from both the academic and practice environments should provide a safe and effective rehabilitation approach. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000072 PT - Journal Article LG - English DP - 2015 Apr-Jun DC - 20150609 YR - 2015 ED - 20160314 UP - 20160315 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26053077 <71. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26367105 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flynn AB AU - Falco M AU - Hocini S FA - Flynn, Anna B FA - Falco, Mathea FA - Hocini, Sophia IN - Flynn,Anna B. Department of Mental Health, the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. IN - Falco,Mathea. Drug Strategies, Washington, DC. IN - Hocini,Sophia. Drug Strategies, Washington, DC. TI - Independent Evaluation of Middle School-Based Drug Prevention Curricula: A Systematic Review. [Review] SO - JAMA Pediatrics. 169(11):1046-52, 2015 Nov. AS - Jama, Pediatr.. 169(11):1046-52, 2015 Nov. NJ - JAMA pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - 101589544 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Child MH - *Curriculum MH - Humans MH - Program Evaluation MH - *School Health Services MH - Schools MH - *Substance-Related Disorders/pc [Prevention & Control] AB - IMPORTANCE: Lack of robust program evaluation has hindered the effectiveness of school-based drug abuse prevention curricula overall. Independently evaluated randomized controlled trials (RCTs) of universal, middle school-based drug abuse prevention curricula are the most useful indicators of whether such programs are effective or ineffective. AB - OBJECTIVE: To conduct a systematic review identifying independently evaluated RCTs of universal, middle school-based drug abuse prevention curricula; extract data on study quality and substance use outcomes; and assess evidence of program effectiveness. AB - EVIDENCE REVIEW: PsycInfo, Educational Resources Information Center, Science Citation Index, Social Science Citation Index, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews were searched between January 1, 1984, and March 15, 2015. Search terms included variations of drug, alcohol, tobacco, and marijuana use, as well as school, prevention, and effectiveness. Studies included in the review were RCTs carried out by independent evaluators of universal school-based drug prevention curricula available for dissemination in the United States that reported alcohol, tobacco, marijuana, or other drug use outcomes. Two researchers extracted data on study quality and outcomes independently using a data extraction form and met to resolve disagreements. AB - FINDINGS: A total of 5071 publications were reviewed, with 13 articles meeting final inclusion criteria. Of the 13 articles, 6 RCTs of 4 distinct school-based curricula were identified for inclusion. Outcomes were reported for 42 single-drug measures in the independent RCTs, with just 3 presenting statistically significant (P<.05) differences between the intervention group and the control group. One program revealed statistically significant positive effects at final follow-up (Lions-Quest Skills for Adolescence). AB - CONCLUSIONS AND RELEVANCE: The results of our review demonstrate the dearth of independent research that appropriately evaluates the effectiveness of universal, middle school-based drug prevention curricula. Independent evaluations show little evidence of effectiveness for widely used programs. New methods may be necessary to approach school-based adolescent drug prevention. ES - 2168-6211 IL - 2168-6203 DO - http://dx.doi.org/10.1001/jamapediatrics.2015.1736 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review NO - T-32DA007292 (United States NIDA NIH HHS) LG - English DP - 2015 Nov DC - 20151103 YR - 2015 ED - 20160225 UP - 20160226 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26367105 <72. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25982774 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kazemi DM AU - Levine MJ AU - Qi L AU - Dmochowski J FA - Kazemi, Donna M FA - Levine, Maureen J FA - Qi, Li FA - Dmochowski, Jacek IN - Kazemi,Donna M. College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC. Electronic address: dkazemi@uncc.edu. IN - Levine,Maureen J. Walden University, College of Social and Behavioral Sciences, Walden University, Minneapolis, MN. IN - Qi,Li. Department of Mathematics and Statistics University of North Carolina at Charlotte, Charlotte, NC. IN - Dmochowski,Jacek. Department of Mathematics and Statistics University of North Carolina at Charlotte, Charlotte, NC. TI - Brief motivational intervention for heavy drinking mandated and voluntary freshmen: A 1-year follow-up assessment. SO - Nursing Outlook. 63(3):349-56, 2015 May-Jun. AS - Nurs Outlook. 63(3):349-56, 2015 May-Jun. NJ - Nursing outlook PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Female MH - Follow-Up Studies MH - *Health Education MH - Humans MH - Longitudinal Studies MH - Male MH - *Mandatory Programs MH - Motivation MH - *Students/px [Psychology] MH - Universities MH - *Voluntary Programs MH - Young Adult KW - Alcohol-related consequences; Brief motivational intervention; Freshmen; Mandated; Nursing; Readiness to change; Voluntary AB - BACKGROUND: Alcohol abuse among freshmen university students is a major public health issue with associated costs to individuals and the society of substantial morbidity, high-risk negative behaviors (e.g., blackouts, rape, suicide, and violence), and mortality. This longitudinal study compared the effectiveness of a brief motivational intervention (MI) in decreasing alcohol consumption and related consequences among mandated students and voluntary students. Readiness to change drinking behaviors was compared between the groups. AB - METHODS: Eligible participants (710 voluntary and 190 mandated, N = 900) received MI at baseline and again at 2 weeks with boosters at 3, 6, and 12 months. Repeated-measures analysis of variance was used to compare the two groups. AB - RESULTS: Alcohol use and related consequences in both groups decreased significantly between baseline and 12 months. At baseline, a significantly larger percent of students from the mandated group than the voluntary group were in the action stage of change (52.1% vs. 27.5%), and a significantly smaller percentage of mandated students were in the precontemplation stage (p < .0001). AB - DISCUSSION: MI effects were sustained over 12 months. Alcohol consumption and related consequences decreased significantly among the freshmen who were mandated to attend the program as well as among students who volunteered to participate in the study. The findings support the importance of advanced practice nurses conducting MI as an intervention with college students.Copyright © 2015 Elsevier Inc. All rights reserved. ES - 1528-3968 IL - 0029-6554 DI - S0029-6554(14)00251-6 DO - http://dx.doi.org/10.1016/j.outlook.2014.11.002 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1H79TI0202 (United States CSAT SAMHSA HHS) LG - English EP - 20141107 DP - 2015 May-Jun DC - 20150518 YR - 2015 ED - 20160223 UP - 20160224 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25982774 <73. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26124816 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savage AR FA - Savage, Angela Ruth IN - Savage,Angela Ruth. St John's University of Tanzania. TI - Educational audit on drug dose calculation learning in a Tanzanian school of nursing. SO - African Health Sciences. 15(2):647-55, 2015 Jun. AS - Afr Health Sci. 15(2):647-55, 2015 Jun. NJ - African health sciences PI - Journal available in: Print PI - Citation processed from: Internet JC - 101149451 OI - Source: NLM. PMC4480467 SB - Index Medicus CP - Uganda MH - Adult MH - Curriculum MH - *Drug Dosage Calculations MH - *Education, Nursing, Baccalaureate MH - Educational Measurement MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mathematics MH - Medication Errors/pc [Prevention & Control] MH - *Nurses MH - Program Evaluation MH - *Students, Nursing MH - Tanzania KW - Drug calculation; audit; mathematics; nurse; student nurse AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1729-0503 IL - 1680-6905 DO - http://dx.doi.org/10.4314/ahs.v15i2.44 PT - Journal Article LG - English DP - 2015 Jun DC - 20150630 YR - 2015 ED - 20160215 RD - 20150702 UP - 20160216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26124816 <74. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25017562 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwindt RG AU - McNelis AM AU - Sharp D FA - Schwindt, Rhonda G FA - McNelis, Angela M FA - Sharp, Daryl IN - Schwindt,Rhonda G. Indiana University School of Nursing, 1111 Middle Drive, NU W417, Indianapolis, IN 46202. Electronic address: rschwind@iu.edu. IN - McNelis,Angela M. Indiana University School of Nursing, 1111 Middle Drive, NU E435, Indianapolis, IN 46202. Electronic address: ammcneli@iu.edu. IN - Sharp,Daryl. University of Rochester Medical Center, Box SON, 601 Elmwood Avenue, Rochester, NY 14642. Electronic address: Daryl_Sharp@URMC.Rochester.edu. TI - Evaluation of a theory-based education program to motivate nursing students to intervene with their seriously mentally ill clients who use tobacco. SO - Archives of Psychiatric Nursing. 28(4):277-83, 2014 Aug. AS - Arch Psychiatr Nurs. 28(4):277-83, 2014 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Clinical Competence MH - Comorbidity MH - Computer-Assisted Instruction MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Motivation MH - *Nursing Theory MH - Personal Autonomy MH - *Smoking Cessation/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - *Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/px [Psychology] AB - Tobacco dependence is a major health problem for persons with a serious mental illness (SMI). Nurses working with psychiatric clients often lack the knowledge, ability, and confidence to offer their clients meaningful, effective help to quit smoking. The purpose of this study was to evaluate the effects of a tobacco education program on the perceived competence and motivation of baccalaureate nursing students (BSN) to intervene with SMI clients who use tobacco. The education program significantly improved the competence and motivation of BSN students to deliver cessation interventions to this vulnerable population of smokers. Copyright © 2014 Elsevier Inc. All rights reserved. ES - 1532-8228 IL - 0883-9417 DI - S0883-9417(14)00044-2 DO - http://dx.doi.org/10.1016/j.apnu.2014.04.003 PT - Journal Article LG - English EP - 20140418 DP - 2014 Aug DC - 20140714 YR - 2014 ED - 20160211 UP - 20160212 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25017562 <75. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24070819 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hensel D AU - Middleton MJ AU - Engs RC FA - Hensel, Desiree FA - Middleton, Mary Jean FA - Engs, Ruth C IN - Hensel,Desiree. Indiana University School of Nursing, SY 444, Bloomington, IN 47405, USA. Electronic address: dehensel@indiana.edu. IN - Middleton,Mary Jean. Gateway Medical Center, 651 Dunlop Lane, Clarksville, TN 37040, USA. Electronic address: mmklein@umail.iu.edu. IN - Engs,Ruth C. Indiana University School of Public Health, Room 116, Bloomington, IN 47405, USA. Electronic address: Engs@indiana.edu. TI - A cross-sectional study of drinking patterns, prelicensure nursing education, and professional identity formation. SO - Nurse Education Today. 34(5):719-23, 2014 May. AS - Nurse Educ Today. 34(5):719-23, 2014 May. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - *Alcohol Drinking MH - Cross-Sectional Studies MH - *Education, Nursing MH - Female MH - Humans MH - Male MH - Young Adult KW - Alcohol abuse; Baccalaureate nursing education; Nursing education; Professional identity; Professional self-concept; Substance abuse AB - BACKGROUND: Professional identity has been described as being an important outcome of nursing education, but how this identity forms is not well understood. Even less is known about how students' personal substance use/abuse patterns factor into their professional identity formation. AB - OBJECTIVES: The purpose of this study was to describe drinking behaviors and professional identity formation among baccalaureate of nursing students. AB - DESIGN: This cross-sectional, descriptive study used a survey design. AB - SETTING: The study took place on three campuses of a large system university in the Midwestern United States. AB - PARTICIPANTS: The convenience sample consisted of 333 students enrolled in the first semester of the second, third, and last year of a traditional baccalaureate of nursing program. AB - METHODS: Data were collected using the Nurse Self-Concept Questionnaire and the Student Alcohol Questionnaire. ANOVA and Pearson r statistical tests were used to analyze data. AB - RESULTS: Self-perceptions related to leadership were found to be the weakest aspect of the students' self-concepts, and the only dimensions of professional self-concept that differed significantly among students enrolled at varying program levels were knowledge and communication. A negative relationship was found between increased alcohol use and general self-concept and communication, but the associations were very weak. AB - CONCLUSIONS: More research is needed to understand how best to facilitate the acquisition of an identity consistent with the profession's values and how to recruit candidates that embody nursing's preferred future.Copyright © 2013. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(13)00324-9 DO - http://dx.doi.org/10.1016/j.nedt.2013.08.018 PT - Journal Article LG - English EP - 20130905 DP - 2014 May DC - 20140331 YR - 2014 ED - 20160209 UP - 20160210 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24070819 <76. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25928792 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friese CR AU - Mendelsohn-Victor K AU - Wen B AU - Sun D AU - Sutcliffe K AU - Yang JJ AU - Ronis DL AU - McCullagh MC AU - DEFENS Study Investigators FA - Friese, Christopher R FA - Mendelsohn-Victor, Kari FA - Wen, Bo FA - Sun, Duxin FA - Sutcliffe, Kathleen FA - Yang, James J FA - Ronis, David L FA - McCullagh, Marjorie C FA - DEFENS Study Investigators IN - Friese,Christopher R. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. cfriese@umich.edu. IN - Mendelsohn-Victor,Kari. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. karimend@umich.edu. IN - Wen,Bo. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. wenb@umich.edu. IN - Sun,Duxin. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. duxins@umich.edu. IN - Sutcliffe,Kathleen. Johns Hopkins University Carey School of Business and School of Medicine, Baltimore, MD, USA. ksutcliffe@jhu.edu. IN - Yang,James J. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. jjyang@umich.edu. IN - Ronis,David L. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. dronis@umich.edu. IN - McCullagh,Marjorie C. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. mcculla@umich.edu. TI - DEFENS - Drug Exposure Feedback and Education for Nurses' Safety: study protocol for a randomized controlled trial. SO - Trials [Electronic Resource]. 16:171, 2015. AS - Trials. 16:171, 2015. NJ - Trials PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101263253 OI - Source: NLM. PMC4411718 SB - Index Medicus CP - England MH - Antineoplastic Agents/ad [Administration & Dosage] MH - *Antineoplastic Agents/ae [Adverse Effects] MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing/mt [Methods] MH - *Feedback, Psychological MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infusions, Parenteral MH - *Inservice Training/mt [Methods] MH - Job Description MH - *Nursing Staff, Hospital/ed [Education] MH - *Occupational Exposure/ae [Adverse Effects] MH - *Occupational Health/ed [Education] MH - *Oncology Nursing/ed [Education] MH - Personal Protective Equipment MH - Research Design MH - Risk Assessment MH - Risk Factors MH - Surveys and Questionnaires MH - Time Factors MH - United States MH - Workload MH - Workplace AB - BACKGROUND: Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses' use of protective equipment when handling hazardous drugs. The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study will compare the efficacy of education (control) versus an audit and feedback intervention (treatment) on nurses' self-reported use of personal protective equipment when handling hazardous drugs. The treatment intervention will include tailored messages based on nurses' reported barriers to protective equipment use. AB - METHODS/DESIGN: The DEFENS Study is a cluster randomized controlled trial. We are enrolling cancer centers and will recruit nurse participants in April 2015. Eligible cancer centers employ at least 20 eligible registered nurses in the chemotherapy infusion setting and have on-site phlebotomy resources. Eligible participants are nurses who work at least 0.40 full-time equivalent hours in the chemotherapy infusion setting and have not received an antineoplastic drug for a health problem in the past year. An encrypted, user-authenticated website will administer surveys and deliver control and treatment interventions. The primary endpoint is the change in score on nurses' reports of the Revised Hazardous Drug Handling Questionnaire between baseline and approximately 18 months later. A baseline survey is completed after informed consent and is repeated 18 months later. Nurses in all sites who experience a drug spill will also report incidents as they occur; these reports inform the treatment intervention. Plasma will be obtained at baseline, approximately 18 months later (the primary endpoint), and with drug spill occurrences to measure hazardous drugs levels and to inform the treatment intervention. Potential mediators include knowledge of hazardous drug handling and perceived risk of drug exposure. We will examine whether personal factors and organizational factors moderate the intervention effects. AB - TRIAL REGISTRATION: Clinicaltrials.gov NCT02283164 , registered 31 October 2014. RN - 0 (Antineoplastic Agents) ES - 1745-6215 IL - 1745-6215 DO - http://dx.doi.org/10.1186/s13063-015-0674-5 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02283164 SL - http://clinicaltrials.gov/search/term=NCT02283164 NO - 1 R01 OH 010582-01 (United States NIOSH CDC HHS) NO - R01 OH010582 (United States NIOSH CDC HHS) NO - UL1 TR000433 (United States NCATS NIH HHS) LG - English EP - 20150417 DP - 2015 DC - 20150501 YR - 2015 ED - 20160204 RD - 20150504 UP - 20160205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25928792 <77. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25428741 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kralikova E AU - Kmetova A AU - Stepankova L AU - Zvolska K AU - Felbrova V AU - Kulovana S AU - Bortlicek Z AU - Blaha M AU - Fraser K FA - Kralikova, E FA - Kmetova, A FA - Stepankova, L FA - Zvolska, K FA - Felbrova, V FA - Kulovana, S FA - Bortlicek, Z FA - Blaha, M FA - Fraser, K IN - Kralikova,E. Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic. eva.kralikova@lf1.cuni.cz. TI - Tobacco dependence, the most important cardiovascular risk factor: treatment in the Czech Republic. SO - Physiological Research. 63 Suppl 3:S361-8, 2014. AS - Physiol Res. 63 Suppl 3:S361-8, 2014. NJ - Physiological research / Academia Scientiarum Bohemoslovaca PI - Journal available in: Print PI - Citation processed from: Internet JC - az7, 9112413 SB - Index Medicus CP - Czech Republic MH - Adult MH - *Cardiovascular Diseases/ep [Epidemiology] MH - *Cardiovascular Diseases/pc [Prevention & Control] MH - Cohort Studies MH - Czech Republic/ep [Epidemiology] MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - Smoking/ep [Epidemiology] MH - Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - 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. ES - 1802-9973 IL - 0862-8408 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2014 DC - 20141127 YR - 2014 ED - 20160204 UP - 20160205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25428741 <78. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25928792 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friese CR AU - Mendelsohn-Victor K AU - Wen B AU - Sun D AU - Sutcliffe K AU - Yang JJ AU - Ronis DL AU - McCullagh MC AU - DEFENS Study Investigators FA - Friese, Christopher R FA - Mendelsohn-Victor, Kari FA - Wen, Bo FA - Sun, Duxin FA - Sutcliffe, Kathleen FA - Yang, James J FA - Ronis, David L FA - McCullagh, Marjorie C FA - DEFENS Study Investigators IN - Friese,Christopher R. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. cfriese@umich.edu. IN - Mendelsohn-Victor,Kari. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. karimend@umich.edu. IN - Wen,Bo. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. wenb@umich.edu. IN - Sun,Duxin. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. duxins@umich.edu. IN - Sutcliffe,Kathleen. Johns Hopkins University Carey School of Business and School of Medicine, Baltimore, MD, USA. ksutcliffe@jhu.edu. IN - Yang,James J. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. jjyang@umich.edu. IN - Ronis,David L. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. dronis@umich.edu. IN - McCullagh,Marjorie C. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. mcculla@umich.edu. TI - DEFENS - Drug Exposure Feedback and Education for Nurses' Safety: study protocol for a randomized controlled trial. SO - Trials [Electronic Resource]. 16:171, 2015 Apr 17. AS - Trials. 16:171, 2015 Apr 17. NJ - Trials PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101263253 OI - Source: NLM. PMC4411718 SB - Index Medicus CP - England MH - Antineoplastic Agents/ad [Administration & Dosage] MH - *Antineoplastic Agents/ae [Adverse Effects] MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing/mt [Methods] MH - *Feedback, Psychological MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infusions, Parenteral MH - *Inservice Training/mt [Methods] MH - Job Description MH - *Nursing Staff, Hospital/ed [Education] MH - *Occupational Exposure/ae [Adverse Effects] MH - *Occupational Health/ed [Education] MH - *Oncology Nursing/ed [Education] MH - Personal Protective Equipment MH - Research Design MH - Risk Assessment MH - Risk Factors MH - Surveys and Questionnaires MH - Time Factors MH - United States MH - Workload MH - Workplace AB - BACKGROUND: Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses' use of protective equipment when handling hazardous drugs. The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study will compare the efficacy of education (control) versus an audit and feedback intervention (treatment) on nurses' self-reported use of personal protective equipment when handling hazardous drugs. The treatment intervention will include tailored messages based on nurses' reported barriers to protective equipment use. AB - METHODS/DESIGN: The DEFENS Study is a cluster randomized controlled trial. We are enrolling cancer centers and will recruit nurse participants in April 2015. Eligible cancer centers employ at least 20 eligible registered nurses in the chemotherapy infusion setting and have on-site phlebotomy resources. Eligible participants are nurses who work at least 0.40 full-time equivalent hours in the chemotherapy infusion setting and have not received an antineoplastic drug for a health problem in the past year. An encrypted, user-authenticated website will administer surveys and deliver control and treatment interventions. The primary endpoint is the change in score on nurses' reports of the Revised Hazardous Drug Handling Questionnaire between baseline and approximately 18 months later. A baseline survey is completed after informed consent and is repeated 18 months later. Nurses in all sites who experience a drug spill will also report incidents as they occur; these reports inform the treatment intervention. Plasma will be obtained at baseline, approximately 18 months later (the primary endpoint), and with drug spill occurrences to measure hazardous drugs levels and to inform the treatment intervention. Potential mediators include knowledge of hazardous drug handling and perceived risk of drug exposure. We will examine whether personal factors and organizational factors moderate the intervention effects. AB - TRIAL REGISTRATION: Clinicaltrials.gov NCT02283164 , registered 31 October 2014. RN - 0 (Antineoplastic Agents) ES - 1745-6215 IL - 1745-6215 DO - http://dx.doi.org/10.1186/s13063-015-0674-5 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02283164 SA - ClinicalTrials.gov/NCT02283164 SL - http://clinicaltrials.gov/search/term=NCT02283164 SL - http://clinicaltrials.gov/search/term=NCT02283164 NO - UL1 TR000433 (United States NCATS NIH HHS) NO - 1 R01 OH 010582-01 (United States NIOSH CDC HHS) NO - P30 CA016056 (United States NCI NIH HHS) NO - P30 CA046592 (United States NCI NIH HHS) NO - R01 OH010582 (United States NIOSH CDC HHS) LG - English EP - 20150417 DP - 2015 Apr 17 DC - 20150501 YR - 2015 ED - 20160204 RD - 20161206 UP - 20161207 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25928792 <79. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25428741 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kralikova E AU - Kmetova A AU - Stepankova L AU - Zvolska K AU - Felbrova V AU - Kulovana S AU - Bortlicek Z AU - Blaha M AU - Fraser K FA - Kralikova, E FA - Kmetova, A FA - Stepankova, L FA - Zvolska, K FA - Felbrova, V FA - Kulovana, S FA - Bortlicek, Z FA - Blaha, M FA - Fraser, K IN - Kralikova,E. Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic. eva.kralikova@lf1.cuni.cz. TI - Tobacco dependence, the most important cardiovascular risk factor: treatment in the Czech Republic. SO - Physiological Research. 63 Suppl 3:S361-8, 2014. AS - Physiol Res. 63 Suppl 3:S361-8, 2014. NJ - Physiological research PI - Journal available in: Print PI - Citation processed from: Internet JC - az7, 9112413 SB - Index Medicus CP - Czech Republic MH - Adult MH - *Cardiovascular Diseases/ep [Epidemiology] MH - *Cardiovascular Diseases/pc [Prevention & Control] MH - Cohort Studies MH - Czech Republic/ep [Epidemiology] MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - Smoking/ep [Epidemiology] MH - Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - 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. ES - 1802-9973 IL - 0862-8408 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2014 DC - 20141127 YR - 2014 ED - 20160204 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25428741 <80. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25928792 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friese CR AU - Mendelsohn-Victor K AU - Wen B AU - Sun D AU - Sutcliffe K AU - Yang JJ AU - Ronis DL AU - McCullagh MC AU - DEFENS Study Investigators FA - Friese, Christopher R FA - Mendelsohn-Victor, Kari FA - Wen, Bo FA - Sun, Duxin FA - Sutcliffe, Kathleen FA - Yang, James J FA - Ronis, David L FA - McCullagh, Marjorie C FA - DEFENS Study Investigators IN - Friese,Christopher R. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. cfriese@umich.edu. IN - Mendelsohn-Victor,Kari. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. karimend@umich.edu. IN - Wen,Bo. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. wenb@umich.edu. IN - Sun,Duxin. University of Michigan College of Pharmacy, Pharmacokinetics Core, Ann Arbor, MI, USA. duxins@umich.edu. IN - Sutcliffe,Kathleen. Johns Hopkins University Carey School of Business and School of Medicine, Baltimore, MD, USA. ksutcliffe@jhu.edu. IN - Yang,James J. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. jjyang@umich.edu. IN - Ronis,David L. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. dronis@umich.edu. IN - McCullagh,Marjorie C. University of Michigan School of Nursing, 400 North Ingalls, #4162, Ann Arbor, MI, USA. mcculla@umich.edu. TI - DEFENS - Drug Exposure Feedback and Education for Nurses' Safety: study protocol for a randomized controlled trial. SO - Trials [Electronic Resource]. 16:171, 2015 Apr 17. AS - Trials. 16:171, 2015 Apr 17. NJ - Trials PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101263253 OI - Source: NLM. PMC4411718 SB - Index Medicus CP - England MH - Antineoplastic Agents/ad [Administration & Dosage] MH - *Antineoplastic Agents/ae [Adverse Effects] MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing/mt [Methods] MH - *Feedback, Psychological MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infusions, Parenteral MH - *Inservice Training/mt [Methods] MH - Job Description MH - *Nursing Staff, Hospital/ed [Education] MH - *Occupational Exposure/ae [Adverse Effects] MH - *Occupational Health/ed [Education] MH - *Oncology Nursing/ed [Education] MH - Personal Protective Equipment MH - Research Design MH - Risk Assessment MH - Risk Factors MH - Surveys and Questionnaires MH - Time Factors MH - United States MH - Workload MH - Workplace AB - BACKGROUND: Three decades of research findings have documented the health effects of handling hazardous drugs. Oncology nurses are vulnerable due to frequent administration of antineoplastics, low adherence to equipment use, reported barriers to use, and perceived low risk of health effects. No interventions have been tested in a controlled, multi-site trial to increase nurses' use of protective equipment when handling hazardous drugs. The Drug Exposure Feedback and Education for Nurses' Safety (DEFENS) study will compare the efficacy of education (control) versus an audit and feedback intervention (treatment) on nurses' self-reported use of personal protective equipment when handling hazardous drugs. The treatment intervention will include tailored messages based on nurses' reported barriers to protective equipment use. AB - METHODS/DESIGN: The DEFENS Study is a cluster randomized controlled trial. We are enrolling cancer centers and will recruit nurse participants in April 2015. Eligible cancer centers employ at least 20 eligible registered nurses in the chemotherapy infusion setting and have on-site phlebotomy resources. Eligible participants are nurses who work at least 0.40 full-time equivalent hours in the chemotherapy infusion setting and have not received an antineoplastic drug for a health problem in the past year. An encrypted, user-authenticated website will administer surveys and deliver control and treatment interventions. The primary endpoint is the change in score on nurses' reports of the Revised Hazardous Drug Handling Questionnaire between baseline and approximately 18 months later. A baseline survey is completed after informed consent and is repeated 18 months later. Nurses in all sites who experience a drug spill will also report incidents as they occur; these reports inform the treatment intervention. Plasma will be obtained at baseline, approximately 18 months later (the primary endpoint), and with drug spill occurrences to measure hazardous drugs levels and to inform the treatment intervention. Potential mediators include knowledge of hazardous drug handling and perceived risk of drug exposure. We will examine whether personal factors and organizational factors moderate the intervention effects. AB - TRIAL REGISTRATION: Clinicaltrials.gov NCT02283164 , registered 31 October 2014. RN - 0 (Antineoplastic Agents) ES - 1745-6215 IL - 1745-6215 DO - http://dx.doi.org/10.1186/s13063-015-0674-5 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02283164 SL - http://clinicaltrials.gov/search/term=NCT02283164 NO - UL1 TR000433 (United States NCATS NIH HHS) NO - 1 R01 OH 010582-01 (United States NIOSH CDC HHS) NO - P30 CA016056 (United States NCI NIH HHS) NO - P30 CA046592 (United States NCI NIH HHS) NO - R01 OH010582 (United States NIOSH CDC HHS) LG - English EP - 20150417 DP - 2015 Apr 17 DC - 20150501 YR - 2015 ED - 20160204 RD - 20161215 UP - 20161222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25928792 <81. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26510070 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Costello M FA - Costello, Margaret IN - Costello,Margaret. Margaret Costello is an assistant professor at Simmons College School of Nursing and Health Sciences in Boston. Contact author: margaret.costello@simmons.edu. The author has disclosed no potential conflicts of interest, financial or otherwise. TI - Prescription Opioid Analgesics: Promoting Patient Safety with Better Patient Education. SO - American Journal of Nursing. 115(11):50-6, 2015 Nov. AS - Am. j. nurs.. 115(11):50-6, 2015 Nov. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Drug Tolerance MH - Female MH - Humans MH - Ileostomy/ae [Adverse Effects] MH - Ileostomy/mt [Methods] MH - Ileostomy/nu [Nursing] MH - Opioid-Related Disorders/et [Etiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain, Postoperative/dt [Drug Therapy] MH - Pain, Postoperative/nu [Nursing] MH - Pain, Postoperative/pc [Prevention & Control] MH - Patient Discharge/st [Standards] MH - Patient Education as Topic/mt [Methods] MH - *Patient Education as Topic/st [Standards] MH - *Patient Safety/st [Standards] MH - Prescription Drug Misuse/ae [Adverse Effects] MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - Prescription Drugs/ae [Adverse Effects] MH - Prescription Drugs/tu [Therapeutic Use] MH - Reoperation/ae [Adverse Effects] MH - Reoperation/nu [Nursing] AB - Patients expect and deserve adequate postoperative pain relief. Opioid analgesics are widely used and effective in controlling postoperative pain, but their use poses risks that many patients don't understand and that all too often result in adverse outcomes. Inappropriate and often dangerous use of prescription medication has increased sharply in the past two decades in the United States. Patients and caregivers must have an adequate understanding of safe use, storage, and disposal of opioids to prevent adverse drug events in patients and others. Nurses play a key role in providing this patient education. This article provides a case study that highlights the risks and important aspects of opioid medication use in the postoperative patient. RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 1538-7488 IL - 0002-936X DO - http://dx.doi.org/10.1097/01.NAJ.0000473315.02325.b4 PT - Case Reports PT - Journal Article LG - English DP - 2015 Nov DC - 20151029 YR - 2015 ED - 20160201 UP - 20160202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26510070 <82. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23790748 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duffy T AU - McCaig M AU - McGrandles A AU - Rimmer R AU - Martin CR FA - Duffy, Tim FA - McCaig, Marie FA - McGrandles, Amanda FA - Rimmer, Russell FA - Martin, Colin R IN - Duffy,Tim. University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom. Electronic address: tim.duffy@uws.ac.uk. IN - McCaig,Marie. University of the West of Scotland, Dudgeon House, Dumfries DG1 4ZN, United Kingdom. IN - McGrandles,Amanda. University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom. IN - Rimmer,Russell. School of Business, Enterprise and Management, Queen Margaret University, Edinburgh EH21 6UU, United Kingdom; Hotel and Tourism Management InstituteSorenberg 6174, Switzeralnd. IN - Martin,Colin R. University of the West of Scotland, University Avenue, Ayr KA8 0SX, United Kingdom. TI - Review of the integrity of a Self Administered Motivational Instrument. SO - Nurse Education Today. 34(4):625-30, 2014 Apr. AS - Nurse Educ Today. 34(4):625-30, 2014 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Education, Nursing MH - Humans MH - *Motivational Interviewing MH - Nursing Evaluation Research MH - *Students, Nursing/px [Psychology] KW - Fidelity of motivational interviewing; Integrity of motivational interviewing; MITI 3.11; Motivational interviewing AB - BACKGROUND: Motivational interviewing (MI) was developed by Miller and Rollnick as an evidence-based counselling approach for use in supporting people with alcohol problems. Over the years the principles and spirit of MI have been reviewed and fine-tuned and the approach has been embraced by practitioners worldwide and across fields. Since 2001 a number of instruments have been designed to evaluate the fidelity of MI practice. For the purposes of this study, one such instrument is used to assess a self-administered motivational instrument, known as the SAMI, which takes the interviewer role. AB - OBJECTIVES: The SAMI is evaluated against the MITI 3.1.1, which is designed to assess the extent to which MI interventions perform on five global dimensions. These are evocation, collaboration, autonomy/support, direction and empathy. AB - DESIGN: The SAMI was assembled based on the principles and spirit of MI, problem solving and goal-setting. The targeted behaviour changes were student learning styles and approaches to study. AB - SETTING: The SAMI was distributed, completed and submitted electronically via the university virtual learning environment. AB - PARTICIPANTS: Thirty three mature students of a university which delivered online nursing programme were invited to complete the SAMI. Of these, 25 submitted completed transcripts. AB - METHODS: Transcripts of a sample of six completed SAMIs were assessed by a group of teachers and researchers with experience in the use and evaluation of MI, using five-point Likert scales to assess the SAMI on the five dimensions. AB - RESULTS: Overall, an average score exceeding 4.5 was attained across the five dimensions. Conventionally, such a score is recognised as competency in MI. However, on one dimension (empathy), the rating was three. AB - CONCLUSIONS: This current research confirms that global principles have been observed in the online delivery of MI using the SAMI to probe approaches to study.Copyright © 2013 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(13)00194-9 DO - http://dx.doi.org/10.1016/j.nedt.2013.05.015 PT - Evaluation Studies PT - Journal Article LG - English EP - 20130619 DP - 2014 Apr DC - 20140307 YR - 2014 ED - 20160201 UP - 20160202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23790748 <83. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26793658 RO - PIP ST - PubMed-not-MEDLINE AU - Farahani MA AU - Ghaffari F AU - Seyed Fatemi N FA - Farahani, Mansoureh A FA - Ghaffari, Fatemeh FA - Seyed Fatemi, Naiemeh IN - Farahani,Mansoureh A. PhD, Associate Professor, Center for Nursing Care Research, Faculty member of the School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. farahani.ma@iums.ac.ir. IN - Ghaffari,Fatemeh. MSc, RN, PhD, Assistant Professor in Nursing, Center for Nursing Care Research, Babol University of Medical Sciences, Mazandaran, Iran. ghafarifateme@yahoo.com. IN - Seyed Fatemi,Naiemeh. PhD, Associate Professor, Center for Nursing Care Research, Faculty member of the School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. nseyedfatemi@yahoo.com. TI - Opium addiction in patients with coronary artery disease: a grounded theory study. SO - Medical Journal of the Islamic Republic of Iran. 29:267, 2015. AS - Med J Islam Repub Iran. 29:267, 2015. NJ - Medical journal of the Islamic Republic of Iran PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 8910777 OI - Source: NLM. PMC4715413 CP - Iran KW - Coronary artery disease; Drug abuse; Iran; Opium consumption; Qualitative research AB - BACKGROUND: There are widespread misconceptions about the positive effects of opium on coronary artery disease (CAD). Thus, we performed a study to explore the opium addiction process contributing factors among CAD patients using a grounded theory approach. AB - METHODS: The sample comprised 30 addicted CAD patients and their family members, physicians, nurses and friends. Purposive and theoretical sampling was employed; semi-structured interviews were conducted. Coding and constant comparative analysis techniques were as proposed by Strauss and Corbin (1998). AB - RESULTS: The core category was 'Fighting for Survival', comprising three main themes, namely, 'the gateway', 'blowing into the fire' and 'getting stuck in the mud'. AB - CONCLUSION: Increasing knowledge about the adverse effects of opium on the cardiovascular system would reinforce prevention and rehabilitation measures. Involving patients' family-members in addiction prevention and rehabilitation programs and referring patients to specialized rehabilitation centres could help patients quit opium. Healthcare providers (HCPs) should notice to the effects of opium consumption among CAD patients; nursing care must be holistic in nature. Although opium is stigmatised in Iran, HCPs must treat addicted CAD patients similar to other patients. Nursing students' must be aware of the negative effects of illegal drugs on CAD patients and the misconceptions regarding the positive effects thereof. Any misconceptions must be probed and clarified. Rehabilitation centres must be supervised by cardiologists and HCPs. IS - 1016-1430 IL - 1016-1430 PT - Journal Article LG - English EP - 20151003 DP - 2015 DC - 20160121 YR - 2015 ED - 20160121 RD - 20160124 UP - 20160126 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26793658 <84. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25654572 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fogger S AU - McGuinness TM FA - Fogger, Susanne FA - McGuinness, Teena M TI - Adolescents at risk: pain pills to heroin: part II. SO - Journal of Psychosocial Nursing & Mental Health Services. 53(2):27-30, 2015 Feb. AS - J Psychosoc Nurs Ment Health Serv. 53(2):27-30, 2015 Feb. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Internet JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Drug Overdose/mo [Mortality] MH - Drug Overdose/nu [Nursing] MH - Drug Overdose/pc [Prevention & Control] MH - Drug Substitution MH - *Heroin/ae [Adverse Effects] MH - Heroin Dependence/mo [Mortality] MH - *Heroin Dependence/nu [Nursing] MH - *Heroin Dependence/px [Psychology] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Nurse-Patient Relations MH - Opiate Substitution Treatment/nu [Nursing] MH - Opioid-Related Disorders/mo [Mortality] MH - *Opioid-Related Disorders/nu [Nursing] MH - *Opioid-Related Disorders/px [Psychology] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - Risk Factors MH - Substance Withdrawal Syndrome/nu [Nursing] MH - Substance Withdrawal Syndrome/px [Psychology] MH - United States AB - Casually exposing adolescents to prescription opioid agents may escalate to daily use. A trend exists for adolescents using prescription opioid agents to substitute heroin because it is significantly cheaper than pills (approximately half of the cost) and is often more readily available. Additionally, it is more potent than most prescription opioid agents and carries increased risks of overdose and death. Although treatment for substance use disorders has traditionally centered on total abstinence, opioid replacement therapy (ORT) is an option that saves lives and prevents overdose deaths. In the United States, ORT is based on two medicines: methadone and buprenorphine. These drugs can be substituted for other opiate agents and have much lower overdose risks. Nursing implications and web-based resources for teaching are presented.Copyright 2015, SLACK Incorporated. RN - 0 (Analgesics, Opioid) RN - 70D95007SX (Heroin) RN - UC6VBE7V1Z (Methadone) IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20150106-01 PT - Journal Article LG - English DP - 2015 Feb DC - 20150206 YR - 2015 ED - 20160111 UP - 20160112 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25654572 <85. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26548066 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bingham H FA - Bingham, Helen TI - Weaving mental health into WITT's undergraduate curriculum. SO - Nursing New Zealand (Wellington). 21(8):26-8, 2015 Sep. AS - Nurs N Z. 21(8):26-8, 2015 Sep. NJ - Nursing New Zealand (Wellington, N.Z. : 1995) PI - Journal available in: Print PI - Citation processed from: Print JC - 9507374, cdl SB - Nursing Journal CP - New Zealand MH - *Curriculum MH - *Education, Nursing/og [Organization & Administration] MH - Humans MH - Mental Disorders/nu [Nursing] MH - *Mental Health MH - New Zealand MH - Substance-Related Disorders/nu [Nursing] IS - 1173-2032 IL - 1173-2032 PT - Journal Article LG - English DP - 2015 Sep DC - 20151109 YR - 2015 ED - 20151231 UP - 20160104 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26548066 <86. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25851187 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phillips JA AU - Holland MG AU - Baldwin DD AU - Meuleveld LG AU - Mueller KL AU - Perkison B AU - Upfal M AU - Dreger M FA - Phillips, Jennan A FA - Holland, Michael G FA - Baldwin, Debra D FA - Meuleveld, Linda Gifford FA - Mueller, Kathryn L FA - Perkison, Brett FA - Upfal, Mark FA - Dreger, Marianne IN - Phillips,Jennan A. From American College of Occupational and Environmental Medicine, Elk Grove Village, Illinois. TI - 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. SO - Journal of Occupational & Environmental Medicine. 57(4):459-75, 2015 Apr. AS - J Occup Environ Med. 57(4):459-75, 2015 Apr. NJ - Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - b7h, 9504688 SB - Index Medicus CP - United States MH - Cannabis/ae [Adverse Effects] MH - *Cannabis MH - Federal Government MH - Government Regulation MH - Humans MH - Marijuana Abuse/di [Diagnosis] MH - Marijuana Abuse/pc [Prevention & Control] MH - *Marijuana Abuse MH - Marijuana Smoking/ae [Adverse Effects] MH - Marijuana Smoking/lj [Legislation & Jurisprudence] MH - Marijuana Smoking/pc [Prevention & Control] MH - *Marijuana Smoking MH - Medical Marijuana MH - Occupational Diseases/di [Diagnosis] MH - Occupational Diseases/pc [Prevention & Control] MH - *Occupational Diseases MH - Occupational Health/lj [Legislation & Jurisprudence] MH - *Occupational Health MH - Occupational Medicine/lj [Legislation & Jurisprudence] MH - Occupational Medicine/mt [Methods] MH - *Occupational Medicine MH - State Government MH - Street Drugs/ae [Adverse Effects] MH - Street Drugs/lj [Legislation & Jurisprudence] MH - *Street Drugs MH - Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - United States RN - 0 (Medical Marijuana) RN - 0 (Street Drugs) ES - 1536-5948 IL - 1076-2752 DO - http://dx.doi.org/10.1097/JOM.0000000000000441 PT - Journal Article PT - Practice Guideline LG - English DP - 2015 Apr DC - 20150408 YR - 2015 ED - 20151230 UP - 20151231 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25851187 <87. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25851187 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phillips JA AU - Holland MG AU - Baldwin DD AU - Meuleveld LG AU - Mueller KL AU - Perkison B AU - Upfal M AU - Dreger M FA - Phillips, Jennan A FA - Holland, Michael G FA - Baldwin, Debra D FA - Meuleveld, Linda Gifford FA - Mueller, Kathryn L FA - Perkison, Brett FA - Upfal, Mark FA - Dreger, Marianne IN - Phillips,Jennan A. From American College of Occupational and Environmental Medicine, Elk Grove Village, Illinois. TI - 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. CM - Comment in: J Occup Environ Med. 2015 Nov;57(11):e139; PMID: 26539777 CM - Comment in: J Occup Environ Med. 2015 Nov;57(11):e140; PMID: 26539778 SO - Journal of Occupational & Environmental Medicine. 57(4):459-75, 2015 Apr. AS - J Occup Environ Med. 57(4):459-75, 2015 Apr. NJ - Journal of occupational and environmental medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - b7h, 9504688 SB - Index Medicus CP - United States MH - Cannabis/ae [Adverse Effects] MH - *Cannabis MH - Federal Government MH - Government Regulation MH - Humans MH - Marijuana Abuse/di [Diagnosis] MH - Marijuana Abuse/pc [Prevention & Control] MH - *Marijuana Abuse MH - Marijuana Smoking/ae [Adverse Effects] MH - Marijuana Smoking/lj [Legislation & Jurisprudence] MH - Marijuana Smoking/pc [Prevention & Control] MH - *Marijuana Smoking MH - Medical Marijuana MH - Occupational Diseases/di [Diagnosis] MH - Occupational Diseases/pc [Prevention & Control] MH - *Occupational Diseases MH - Occupational Health/lj [Legislation & Jurisprudence] MH - *Occupational Health MH - Occupational Medicine/lj [Legislation & Jurisprudence] MH - Occupational Medicine/mt [Methods] MH - *Occupational Medicine MH - State Government MH - Street Drugs/ae [Adverse Effects] MH - Street Drugs/lj [Legislation & Jurisprudence] MH - *Street Drugs MH - Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - United States RN - 0 (Medical Marijuana) RN - 0 (Street Drugs) ES - 1536-5948 IL - 1076-2752 DO - http://dx.doi.org/10.1097/JOM.0000000000000441 PT - Journal Article PT - Practice Guideline LG - English DP - 2015 Apr DC - 201548 YR - 2015 ED - 20151230 RD - 20161018 UP - 20161019 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25851187 <88. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25941179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zimmermann E AU - Gamborg M AU - Holst C AU - Baker JL AU - Sorensen TI AU - Berentzen TL FA - Zimmermann, Esther FA - Gamborg, Michael FA - Holst, Claus FA - Baker, Jennifer L FA - Sorensen, Thorkild I A FA - Berentzen, Tina L IN - Zimmermann,Esther. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Gamborg,Michael. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Holst,Claus. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Baker,Jennifer 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. IN - Sorensen,Thorkild I A. 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. IN - Berentzen,Tina L. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. TI - 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. SO - BMJ Open. 5(4):e006998, 2015. AS - BMJ Open. 5(4):e006998, 2015. NJ - BMJ open PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101552874 OI - Source: NLM. PMC4420949 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Body Height MH - *Body Mass Index MH - Child MH - Cohort Studies MH - Denmark/ep [Epidemiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/ep [Epidemiology] MH - *Non-alcoholic Fatty Liver Disease/et [Etiology] MH - Overweight MH - *Pediatric Obesity/co [Complications] MH - Prospective Studies MH - Risk Factors MH - School Health Services MH - *Weight Gain MH - Young Adult KW - EPIDEMIOLOGY; GASTROENTEROLOGY; PATHOLOGY; PUBLIC HEALTH AB - 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. AB - 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. AB - 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. AB - 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. AB - 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.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 2044-6055 DO - http://dx.doi.org/10.1136/bmjopen-2014-006998 PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - MC_UU_12013/1 (United Kingdom Medical Research Council) LG - English EP - 20150503 DP - 2015 DC - 20150505 YR - 2015 ED - 20151224 RD - 20151215 UP - 20151228 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25941179 <89. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25941179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zimmermann E AU - Gamborg M AU - Holst C AU - Baker JL AU - Sorensen TI AU - Berentzen TL FA - Zimmermann, Esther FA - Gamborg, Michael FA - Holst, Claus FA - Baker, Jennifer L FA - Sorensen, Thorkild I A FA - Berentzen, Tina L IN - Zimmermann,Esther. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Gamborg,Michael. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Holst,Claus. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. IN - Baker,Jennifer 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. IN - Sorensen,Thorkild I A. 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. IN - Berentzen,Tina L. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospital, The Capital Region, Copenhagen, Denmark. TI - 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. SO - BMJ Open. 5(4):e006998, 2015 May 03. AS - BMJ Open. 5(4):e006998, 2015 May 03. NJ - BMJ open PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101552874 OI - Source: NLM. PMC4420949 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Body Height MH - *Body Mass Index MH - Child MH - Cohort Studies MH - Denmark/ep [Epidemiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease/ep [Epidemiology] MH - *Non-alcoholic Fatty Liver Disease/et [Etiology] MH - Overweight MH - *Pediatric Obesity/co [Complications] MH - Prospective Studies MH - Risk Factors MH - School Health Services MH - *Weight Gain MH - Young Adult KW - EPIDEMIOLOGY; GASTROENTEROLOGY; PATHOLOGY; PUBLIC HEALTH AB - 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. AB - 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. AB - 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. AB - 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. AB - 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.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 2044-6055 IL - 2044-6055 DO - http://dx.doi.org/10.1136/bmjopen-2014-006998 PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - ERC_281419 (International European Research Council) NO - MRC_MC_UU_12013/1 (United Kingdom Medical Research Council) LG - English EP - 20150503 DP - 2015 May 03 DC - 20150505 YR - 2015 ED - 20151224 RD - 20161107 UP - 20161109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25941179 <90. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24615196 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dobrowolska B AU - Mazurek H AU - Slusarska B AU - Zarzycka D AU - Charzynska-Gula M AU - Cuber T FA - Dobrowolska, Beata FA - Mazurek, Halina FA - Slusarska, Barbara FA - Zarzycka, Danuta FA - Charzynska-Gula, Marianna FA - Cuber, Tomasz IN - Dobrowolska,Beata. bb.dobrowolska@gmail.com. TI - Health-promoting activities performed by nurses for patients with COPD. SO - Pneumonologia i Alergologia Polska. 82(2):125-32, 2014. AS - Pneumonol Alergol Pol. 82(2):125-32, 2014. NJ - Pneumonologia i alergologia polska PI - Journal available in: Print PI - Citation processed from: Internet JC - bom, 9302892 SB - Index Medicus CP - Poland MH - Adult MH - Comorbidity MH - *Health Promotion/mt [Methods] MH - Humans MH - Patient Education as Topic/mt [Methods] MH - Poland MH - Population Surveillance MH - Pulmonary Disease, Chronic Obstructive/ep [Epidemiology] MH - *Pulmonary Disease, Chronic Obstructive/nu [Nursing] MH - *Pulmonary Disease, Chronic Obstructive/rh [Rehabilitation] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Social Support MH - Surveys and Questionnaires AB - INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is the fourth most common cause of death in the world. The significance of health promotion is usually emphasised among the activities which nurses should undertake in relation to patients suffering from COPD. The aim of the study was to analyse the frequency and types of health promotion activities undertaken by nurses in relation to patients suffering from COPD. AB - MATERIAL AND METHODS: The diagnostic survey with the use of a questionnaire constructed by the authors was applied in the study. Data collected in 2008 among 132 nurses (100%) working in outpatient and hospital healthcare sectors in Poland were quantitatively analysed. AB - RESULTS: Nurses working in hospitals more frequently took part in diagnosing COPD (62.30%) than those working in outpatient establishments did (33.40%). Anti-smoking counselling was performed by 69% of respondents. Nurses very rarely used professional tools for the measurement of the level of nicotine addiction (6%) or the level of motivation to fight the addiction (4%). Activities in terms of health education carried out on a patient with COPD were declared by 66.67% of primary care nurses, and by 76.81% from hospitals. The nurses surveyed did not perform any monitoring of their recommendations and did not assess their effectiveness. Participation in interdisciplinary pulmonary rehabilitation programmes was declared by 9.53% of outpatient sector nurses and by 40.58% of nurses from hospitals. AB - CONCLUSIONS: Nurses' activities in relation to patients suffering from COPD have a mainly educational nature, but unfortunately they are casual, occasional and unplanned. Planned and formal inclusion of nurses in the process of realisation of health promotion programs for patients with COPD is recommended, i.e. by planning funds for the tasks which can be performed by them. More attention should be payed to professional training of nurses for realisation of the process of health education, especially anti-smoking intervention. IS - 0867-7077 IL - 0867-7077 DO - http://dx.doi.org/10.5603/PiAP.2014.0018 PT - Journal Article LG - English DP - 2014 DC - 20140311 YR - 2014 ED - 20151217 UP - 20151218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24615196 <91. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26672958 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Efraimsson EO AU - Klang B AU - Ehrenberg A AU - Larsson K AU - Fossum B AU - Olai L FA - Efraimsson, Eva Osterlund FA - Klang, Birgitta FA - Ehrenberg, Anna FA - Larsson, Kjell FA - Fossum, Bjoorn FA - Olai, Lena IN - Efraimsson,Eva Osterlund. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. IN - Efraimsson,Eva Osterlund. Centre for Clinical Research, Dalarna, Falun, Sweden. IN - Efraimsson,Eva Osterlund. Dalarna County Council, Norslund Primary Health Care Centre, Falun, Sweden. IN - Efraimsson,Eva Osterlund. School of Health and Social Sciences, Dalarna University, Falun, Sweden. IN - Klang,Birgitta. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden. IN - Klang,Birgitta. Red Cross University College of Nursing, Stockholm, Sweden. IN - Ehrenberg,Anna. School of Health and Social Sciences, Dalarna University, Falun, Sweden. IN - Larsson,Kjell. National Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden. IN - Fossum,Bjoorn. Department of Clinical Science and Education, Sodersjukhuset, Karolinska Institutet, Stockholm, Sweden. IN - Fossum,Bjoorn. Sophiahemmet University, Stockholm, Sweden. IN - Olai,Lena. Centre for Clinical Research, Dalarna, Falun, Sweden. IN - Olai,Lena. School of Health and Social Sciences, Dalarna University, Falun, Sweden. IN - Olai,Lena. Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden; loa@du.se. TI - Nurses' and patients' communication in smoking cessation at nurse-led COPD clinics in primary health care. SO - European Clinical Respiratory Journal. 2:27915, 2015. AS - Eur Clin Respir J. 2:27915, 2015. NJ - European clinical respiratory journal PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101662134 OI - Source: NLM. PMC4653311 CP - United States KW - change talk; chronic obstructive pulmonary disease; motivational interviewing; nurse-led clinics; smoking cessation; videotaped consultation AB - BACKGROUND: Smokers with chronic obstructive pulmonary disease (COPD) have high nicotine dependence making it difficult to quit smoking. Motivational interviewing (MI) is a method that is used in stimulating motivation and behavioral changes. AB - OBJECTIVE: To describe smoking cessation communication between patients and registered nurses trained in MI in COPD nurse-led clinics in Swedish primary health care. AB - METHODS: A prospective observational study with structured quantitative content analyses of the communication between six nurses with basic education in MI and 13 patients in non-smoking consultations. AB - RESULTS: Only to a small extent did nurses' evoke patients' reasons for change, stimulate collaboration, and support patients' autonomy. Nurses provided information, asked closed questions, and made simple reflections. Patients' communication was mainly neutral and focusing on reasons for and against smoking. It was uncommon for patients to be committed and take steps toward smoking cessation. AB - CONCLUSION: The nurses did not adhere to the principles of MI in smoking cessation, and the patients focused to a limited extent on how to quit smoking. AB - PRACTICE IMPLICATIONS: To make patients more active, the nurses need more education and continuous training in motivational communication. IL - 2001-8525 DO - http://dx.doi.org/10.3402/ecrj.v2.27915 PT - Journal Article LG - English EP - 2015Aug07 DP - 2015 DC - 20151217 YR - 2015 ED - 20151217 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26672958 <92. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25315646 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Deasy C AU - Coughlan B AU - Pironom J AU - Jourdan D AU - Mcnamara PM FA - Deasy, Christine FA - Coughlan, Barry FA - Pironom, Julie FA - Jourdan, Didier FA - Mcnamara, Patricia Mannix IN - Deasy,Christine. Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland christine.deasy@ul.ie. IN - Coughlan,Barry. Department of Psychology, University of Limerick, Limerick, Ireland. IN - Pironom,Julie. Health Education Research Unit, Laboratoire ACTe, ESPE Clermont-Auvergne, Universite Blaise Pascal, 36 Avenue Jean Jaures CS 20001, Chamalieres Cedex 63407, France. IN - Jourdan,Didier. Department of Education and Professional Studies, University of Limerick, Limerick, Ireland. IN - Mcnamara,Patricia Mannix. Department of Education and Professional Studies, University of Limerick, Limerick, Ireland. TI - Psychological distress and lifestyle of students: implications for health promotion. SO - Health Promotion International. 30(1):77-87, 2015 Mar. AS - Health Promot Internation. 30(1):77-87, 2015 Mar. NJ - Health promotion international PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9008939, d00 SB - Index Medicus CP - England MH - *Adaptation, Psychological MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Diet MH - Female MH - *Health Behavior MH - Health Promotion MH - Humans MH - Ireland/ep [Epidemiology] MH - *Life Style MH - Logistic Models MH - Male MH - Marijuana Abuse/ep [Epidemiology] MH - Marijuana Abuse/px [Psychology] MH - Motor Activity MH - Risk-Taking MH - Sex Distribution MH - Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Stress, Psychological/ep [Epidemiology] MH - *Stress, Psychological/px [Psychology] MH - *Students/px [Psychology] MH - Students, Nursing MH - Surveys and Questionnaires MH - Universities MH - Young Adult KW - health promotion; health-risk behaviours; higher education students; psychological distress AB - 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. Copyright © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. ES - 1460-2245 IL - 0957-4824 DO - http://dx.doi.org/10.1093/heapro/dau086 PT - Journal Article LG - English EP - 20141014 DP - 2015 Mar DC - 20150214 YR - 2015 ED - 20151215 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25315646 <93. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26402239 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chiarini M AU - Saulle R AU - Panaro AS AU - La Torre G FA - Chiarini, Massimiliano FA - Saulle, Rosella FA - Panaro, Andrea Sophie FA - La Torre, Giuseppe IN - Chiarini,Massimiliano. Department of Public Health and Infectious Diseases, Sapienza University of Rome. IN - Saulle,Rosella. Department of Public Health and Infectious Diseases, Sapienza University of Rome.Email: rosella.saulle@uniroma1.it. IN - Panaro,Andrea Sophie. Universita del Piemonte Orientale. IN - La Torre,Giuseppe. Department of Public Health and Infectious Diseases, Sapienza University of Rome. TI - Validation of a questionnaire to assess knowledge, attitudes and behaviors towards smoking among nursing students: a pilot study in Piedmont region. SO - Professioni Infermieristiche. 68(2):183-9, 2015 Apr-Jun. AS - Prof Inferm. 68(2):183-9, 2015 Apr-Jun. NJ - Professioni infermieristiche PI - Journal available in: Print PI - Citation processed from: Print JC - pzn, 0244135 SB - Nursing Journal CP - Italy MH - Adolescent MH - Adult MH - Age Distribution MH - *Attitude to Health MH - Female MH - *Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Pilot Projects MH - Prevalence MH - Reproducibility of Results MH - Risk Factors MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Students, Nursing MH - *Surveys and Questionnaires/st [Standards] AB - 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. AB - 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). AB - 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. AB - 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. OA - Publisher: Abstract available from the publisher.; Language: Italian IS - 0033-0205 IL - 0033-0205 DO - http://dx.doi.org/10.7429/pi.2015.6822183 PT - Journal Article PT - Validation Studies LG - English DP - 2015 Apr-Jun DC - 20150925 YR - 2015 ED - 20151130 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26402239 <94. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26344539 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geraghty J FA - Geraghty, Jemell IN - Geraghty,Jemell. Royal Free London NHS Foundation Trust. TI - Managing leg ulceration in intravenous drug users. SO - Emergency Nurse. 23(5):16-22; quiz 23, 2015 Sep. AS - Emerg Nurse. 23(5):16-22; quiz 23, 2015 Sep. NJ - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association PI - Journal available in: Print PI - Citation processed from: Print JC - bia, 9208913 SB - Nursing Journal CP - England MH - Drug Users MH - Education, Nursing, Continuing MH - *Emergency Nursing/mt [Methods] MH - *Emergency Nursing/st [Standards] MH - Humans MH - *Leg Ulcer/di [Diagnosis] MH - Leg Ulcer/et [Etiology] MH - *Leg Ulcer/nu [Nursing] MH - *Practice Guidelines as Topic MH - *Substance-Related Disorders/co [Complications] MH - Ultrasonography, Doppler, Duplex KW - Doppler assessment; leg ulceration; substance misuse; wound care AB - Chronic venous leg ulceration is a long-term condition commonly associated with lower-limb injecting and chronic venous hypertension caused by collapsed veins, incompetent valves, deep vein thrombosis and reflux. It is not usually a medical emergency, but intravenous (IV) drug users with leg ulcers can attend emergency departments (EDs) with a different primary complaint such as pain or because they cannot access local primary care or voluntary services. Leg ulceration might then be identified during history taking, so it is important that ED nurses know how to assess and manage these wounds. This article explains how to assess and manage chronic venous leg ulcers in patients with a history of IV drug use, and highlights the importance of referral to specialist services when required, and to local primary care or voluntary services, before discharge to prevent admission and re-attendance. IS - 1354-5752 IL - 1354-5752 DO - http://dx.doi.org/10.7748/en.23.5.16.e1466 PT - Journal Article LG - English DP - 2015 Sep DC - 20150908 YR - 2015 ED - 20151130 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26344539 <95. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24372816 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lundahl MK AU - Olovsson KJ AU - Ronngren Y AU - Norbergh KG FA - Lundahl, Maja-Klara FA - Olovsson, Karl Johan FA - Ronngren, Ylva FA - Norbergh, Karl-Gustaf IN - Lundahl,Maja-Klara. Department of Health Sciences, Mid Sweden University, Sundsvall, Sweden. TI - Nurse's perspectives on care provided for patients with gamma-hydroxybutyric acid and gamma-butyrolactone abuse. SO - Journal of Clinical Nursing. 23(17-18):2589-98, 2014 Sep. AS - J Clin Nurs. 23(17-18):2589-98, 2014 Sep. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - *4-Butyrolactone MH - Adult MH - Female MH - Hospital Units MH - Humans MH - *Hydroxybutyrates MH - Inpatients MH - Interviews as Topic MH - Male MH - Middle Aged MH - *Practice Patterns, Nurses' MH - Psychiatric Nursing MH - Scandinavian and Nordic Countries MH - *Substance-Related Disorders/nu [Nursing] KW - content analysis; nurse-patient relationship; psychiatric nursing; qualitative study; substance abuse AB - 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. AB - 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. AB - DESIGN: A qualitative study with a purposive sample including interviews from registered nurses. AB - 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. AB - 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. AB - 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. AB - 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. AB - 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.Copyright © 2013 John Wiley & Sons Ltd. RN - 0 (Hydroxybutyrates) RN - 30IW36W5B2 (4-hydroxybutyric acid) RN - OL659KIY4X (4-Butyrolactone) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/jocn.12475 PT - Journal Article LG - English EP - 20131225 DP - 2014 Sep DC - 20140722 YR - 2014 ED - 20151123 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24372816 <96. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25363658 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rabanales Sotos J AU - Lopez Gonzalez A AU - Parraga Martinez I AU - Campos Rosa M AU - Simarro Herraez MJ AU - Lopez-Torres Hidalgo J FA - Rabanales Sotos, Joseba FA - Lopez Gonzalez, Angel FA - Parraga Martinez, Ignacio FA - Campos Rosa, Monchi FA - Simarro Herraez, Maria Jose FA - Lopez-Torres Hidalgo, Jesus IN - Rabanales Sotos,Joseba. Albacete Faculty of Nursing, University of Castilla-La Mancha (Universidad de Castilla-La Mancha/UCLM), Albacete, Spain. TI - Prevalence of hazardous drinking among nursing students. SO - Journal of Advanced Nursing. 71(3):581-90, 2015 Mar. AS - J Adv Nurs. 71(3):581-90, 2015 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - *Alcohol Drinking/ep [Epidemiology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Social Class MH - Spain/ep [Epidemiology] MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Young Adult KW - alcohol consumption; hazardous drinkers; nursing student; preventive activities; smoker AB - AIMS: To estimate the frequency of alcohol consumption among nursing students and describe their behaviour patterns in relation to excessive consumption. AB - BACKGROUND: Most alcohol-related problems appear in individuals who indulge in hazardous consumption, with hazardous drinkers constituting a priority in the field of preventive activities. According to previous studies, there is a high proportion of hazardous drinkers among university students. AB - DESIGN: Descriptive cross-sectional study. AB - METHODS: Over the course of the 2012-2013 academic year, we assessed 1060 nursing degree students, ascertaining their socio-demographic characteristics, lifestyle and alcohol consumption by means of the Systematic Alcohol Consumption Interview (Interrogatorio Sistematizado de Consumos Alcoholicos/ISCA) and Alcohol Use Disorders Inventory Test (AUDIT). AB - RESULTS: Hazardous alcohol consumption was observed in 43.4% of students. Moreover, 14.9% of men and 18.7% of women met criteria for hazardous drinkers, without any statistically significant difference between the sexes. The frequency of hazardous drinkers was significantly higher among participants aged under 21 years, those living outside the family nucleus and smokers. AB - CONCLUSION: A considerable proportion of students show evidence of hazardous alcohol consumption and, while there are no sex-related differences, the proportion of hazardous drinkers tends to be higher among the youngest subjects, smokers and persons living outside the family nucleus. Alcohol-prevention activities should envisage greater protection of university settings, particularly where future health professionals are involved.Copyright © 2014 John Wiley & Sons Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/jan.12548 PT - Journal Article PT - Observational Study LG - English EP - 20141103 DP - 2015 Mar DC - 20150210 YR - 2015 ED - 20151110 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25363658 <97. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26528011 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Primejdie DP AU - Mallet L AU - Popa A AU - Bojita MT FA - Primejdie, Daniela Petruta FA - Mallet, Louise FA - Popa, Adina FA - Bojita, Marius Traian IN - Primejdie,Daniela Petruta. Department of Clinical Pharmacy, Iuliu Hatieganu University of Medicine and Pharmacy, Faculty of Pharmacy, Cluj-Napoca, Romania. IN - Mallet,Louise. Faculty of Pharmacy, University of Montreal, Montreal, Quebec, Canada; Division of Geriatric Medicine, Department of pharmacy, McGill University Health Center, Montreal, Quebec, Canada. IN - Popa,Adina. Department of Clinical Pharmacy, Iuliu Hatieganu University of Medicine and Pharmacy, Faculty of Pharmacy, Cluj-Napoca, Romania. IN - Bojita,Marius Traian. Department of Pharmaceutical Analysis, Iuliu Hatieganu University of Medicine and Pharmacy, Faculty of Pharmacy, Cluj-Napoca, Romania. TI - Description of a systematic pharmaceutical care approach intended to increase the appropriateness of medication use by elderly patients. SO - Clujul Medical. 87(2):119-29, 2014. AS - Clujul med.. 87(2):119-29, 2014. NJ - Clujul medical (1957) PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101653053 OI - Source: NLM. PMC4462424 CP - Romania KW - Drug-related problems; elderly; inappropriate medication use; medication review; pharmaceutical care AB - BACKGROUND & AIMS: The pharmaceutical care practice represents a model of responsible pharmacist involvement in the pharmacotherapy optimization of various population groups, including the elderly, known to be at risk for drug-related problems. Romanian pharmacists could use validated pharmaceutical care experiences to confirm their role as health-care professionals. This descriptive research presents the application in two real and different environments of practice of a structured pharmaceutical care approach conceived as the basis for a medication review activity and aiming at the identification and resolution of the drug related problems in the elderly. AB - PATIENTS AND METHODS: Two patients with similar degree of disease-burden complexity, receiving care in different health-care environments (The Geriatric Ward of the Royal Victoria Hospital from the McGill University Health Centre in Montreal, Quebec, Canada, in November 2010, and an urban nursing-home facility in Cluj-Napoca, Romania, in March 2011), were chosen for the analysis. One clinical pharmacist suggested solutions for the management of each of the active drug-related problems identified, using the systematic pharmaceutical care approach and specific published geriatric pharmacotherapy recommendations. The number of the drug-related problems identified and the degree of the care-team acceptance of the pharmacists' solutions were noted for each patient. AB - RESULTS: The pharmacist found 6 active drug-related problems for the hospitalized patient (72 year-old, Chronic Disease Score 9) and 7 potential ones for the nursing-home resident (79 year-old, Chronic Disease Score 8), involving misuse, underuse and overuse of medications. Each patient had 3 geriatric syndromes at baseline. The therapy changes suggested by the pharmacist were implemented for the hospitalized patient, through collaboration with the health-care team. For the nursing home resident, the pharmacist identified the need for additional 6 medications and safety and efficacy arguments to cease 7 initial therapies, simplifying the therapeutic daily schedule (from 24 daily doses to 15). AB - CONCLUSION: The pharmacist's potential contribution to the optimization of the Romanian elderly patients' pharmacotherapy needs further exploration, as potential drug related problems reported as characteristic for this population were easily identified. The presented structured and validated model of pharmaceutical care approach could be used to this end. Its dissemination and use could be encouraged along with the enhancement of pharmacotherapy information and care team collaboration skills. IS - 1222-2119 IL - 1222-2119 DO - http://dx.doi.org/10.15386/cjmed-276 PT - Journal Article LG - English EP - 20140530 DP - 2014 DC - 20151103 YR - 2014 ED - 20151103 RD - 20151109 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26528011 <98. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25764478 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wolff J AU - McCrone P AU - Berger M AU - Patel A AU - Ackermann C AU - Gerhardt K AU - Normann C FA - Wolff, Jan FA - McCrone, Paul FA - Berger, Mathias FA - Patel, Anita FA - Ackermann, Christian FA - Gerhardt, Katja FA - Normann, Claus IN - Wolff,Jan. Institute of Psychiatry, Psychology and Neuroscience, Health Service and Population Research, Centre for the Economics of Mental and Physical Health, King's College London, London, UK, jan.wolff@kcl.ac.uk. TI - A work time study analysing differences in resource use between psychiatric inpatients. SO - Social Psychiatry & Psychiatric Epidemiology. 50(8):1309-15, 2015 Aug. AS - Soc Psychiatry Psychiatr Epidemiol. 50(8):1309-15, 2015 Aug. NJ - Social psychiatry and psychiatric epidemiology PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - uvp, 8804358 SB - Index Medicus CP - Germany MH - Adult MH - Costs and Cost Analysis MH - Female MH - Germany MH - Health Resources/cl [Classification] MH - Health Resources/ut [Utilization] MH - Hospitals, Psychiatric/ec [Economics] MH - *Hospitals, Psychiatric/sn [Statistics & Numerical Data] MH - Hospitals, Teaching/ec [Economics] MH - Hospitals, Teaching/sn [Statistics & Numerical Data] MH - Humans MH - *Inpatients/sn [Statistics & Numerical Data] MH - Length of Stay/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - Prospective Payment System/sn [Statistics & Numerical Data] MH - Psychiatric Nursing/sn [Statistics & Numerical Data] MH - Psychiatry/sn [Statistics & Numerical Data] MH - *Resource Allocation/sn [Statistics & Numerical Data] MH - Self Report MH - *Time and Motion Studies AB - PURPOSE: Judgement about the adequacy of reimbursement schemes requires an understanding of differences in resource use between patient groups. The aim of this study was to analyse staff time allocation of psychiatrists, psychologists and nurses in inpatient mental health care and to use these data to analyse differences in per diem resource use between patient groups. AB - METHODS: A self-reporting work-sampling study was carried out at a psychiatric teaching hospital. All of 36 psychiatrists, 23 psychologists and 106 nurses involved in clinical care during the study period participated in a two-week measurement of their work time. AB - RESULTS: A total of 20,380 observations were collected, representing about 10,190 h of work or 6.2 full-time-equivalent years. The average resource use in minutes of staff time per patient day was 227 min, representing 138 of staff costs. The most resource intensive care was provided at the Psychiatric Intensive Care Unit and for geriatric patients with 334 and 266 min per patient day (192 and 162 ), respectively. The least resource intensive care was provided for patients with substance-related disorders (197 min, 116 ). Substantial shares of clinical work time were dedicated to tasks without patient contact (58 %). Nursing time was the main driver of total resource use, representing 70 % of staff time and 60 % of costs. AB - CONCLUSION: Presented differences in per diem resource use should inform discussions about the adequacy of reimbursement schemes. Tasks in the absence of the patient, such as documentation and administration, should be reduced to free resources for direct patient care. ES - 1433-9285 IL - 0933-7954 DO - http://dx.doi.org/10.1007/s00127-015-1041-2 PT - Journal Article LG - English EP - 20150313 DP - 2015 Aug DC - 20150730 YR - 2015 ED - 20151102 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25764478 <99. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26106751 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Darker CD AU - Sweeney BP AU - Barry JM AU - Farrell MF AU - Donnelly-Swift E FA - Darker, Catherine D FA - Sweeney, Brion P FA - Barry, Joe M FA - Farrell, Michael F FA - Donnelly-Swift, Erica IN - Darker,Catherine D. Department of Public Health & Primary Care, Trinity College Dublin, Dublin, Ireland. catherine.darker@tcd.ie TI - Psychosocial interventions for benzodiazepine harmful use, abuse or dependence. [Review] SO - Cochrane Database of Systematic Reviews. 5:CD009652, 2015. AS - Cochrane Database Syst Rev. 5:CD009652, 2015. NJ - The Cochrane database of systematic reviews PI - Journal available in: Print PI - Citation processed from: Internet JC - 100909747 SB - Index Medicus CP - England MH - *Benzodiazepines MH - Cognitive Therapy/mt [Methods] MH - Correspondence as Topic MH - *Counseling/mt [Methods] MH - Humans MH - *Motivational Interviewing/mt [Methods] MH - *Psychotherapy/mt [Methods] MH - Randomized Controlled Trials as Topic MH - Relaxation Therapy MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome AB - BACKGROUND: Benzodiazepines (BZDs) have a sedative and hypnotic effect upon people. Short term use can be beneficial but long term BZD use is common, with several risks in addition to the potential for dependence in both opiate and non-opiate dependent patients. AB - OBJECTIVES: To evaluate the effectiveness of psychosocial interventions for treating BZD harmful use, abuse or dependence compared to pharmacological interventions, no intervention, placebo or a different psychosocial intervention on reducing the use of BZDs in opiate dependent and non-opiate dependent groups. AB - SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL- the Cochrane Library issue 12, 2014) which includes the Cochrane Drugs and Alcohol Group Specialized Register; PubMed (from 1966 to December 2014); EMBASE (from 1988 to December 2014); CINAHL Cumulative Index to Nursing and AlliedHealth Literature (1982 to September 2013); PsychINFO (1872 to December 2014); ERIC (Education Resources Information Centre, (January 1966 to September 2013); All EBM Reviews (1991 to September 2013, Ovid Interface); AMED (Allied & Alternative Medicine) 1985 to September 2013); ASSIA (Applied Social Sciences Index & Abstracts (1960 to September 2013); LILACS (January 1982 to September 2013);Web of Science (1900 to December 2014);Electronic Grey Literature Databases: Dissertation Abstract; Index to Theses. AB - SELECTION CRITERIA: Randomised controlled trials examining the use of a psychosocial intervention to treat BZDs versus pharmacological interventions,no intervention, placebo or a different psychosocial intervention on reducing the use of BZDs in opiate dependent and non-opiate dependent groups. AB - DATA COLLECTION AND ANALYSIS: We used the standard methodological procedures outlined in Cochrane Guidelines. AB - MAIN RESULTS: Twenty-five studies including 1666 people met the inclusion criteria. The studies tested many different psychosocial interventions including cognitive behavioural therapy (CBT) (some studies with taper, other studies with no taper), motivational interviewing (MI),letters to patients advising them to reduce or quit BZD use, relaxation studies, counselling delivered electronically and advice provided by a general practitioner (GP). Based on the data obtained, we performed two meta-analyses in this Cochrane review: one assessing the effectiveness of CBT plus taper versus taper only (575 participants), and one assessing MI versus treatment as usual (TAU) (80 participants).There was moderate quality of evidence that CBT plus taper was more likely to result in successful discontinuation of BZDs within four weeks post treatment compared to taper only (Risk ratio (RR) 1.40, 95% confidence interval (CI) 1.05 to 1.86; nine trials, 423 participants) and moderate quality of evidence at three month follow-up (RR 1.51, 95% CI 1.15 to 1.98) in favour of CBT (taper)for 575 participants. The effects were less certain at 6, 11, 12, 15 and 24 months follow-up. The effect of CBT on reducing BZDs by> 50% was uncertain for all time points examined due to the low quality evidence. There was very low quality evidence for the effect on drop-outs at any of the time intervals; post-treatment (RR 1.05, 95% CI 0.66 to 1.66), three month follow-up (RR 1.71, 95% CI0.16 to 17.98) and six month follow-up (RR 0.70, 95% CI 0.17 to 2.88).Based on the very low quality of evidence available, the effect of MI versus TAU for all the time intervals is unclear; post treatment(RR 4.43, 95% CI 0.16 to 125.35; two trials, 34 participants), at three month follow-up (RR 3.46, 95% CI 0.53 to 22.45; four trials,80 participants), six month follow-up (RR 0.14, 95% CI 0.01 to 1.89) and 12 month follow-up (RR 1.25, 95% CI 0.63 to 2.47).There was very low quality of evidence to determine the effect of MI on reducing BZDs by > 50% at three month follow-up (RR 1.52,95% CI 0.60 to 3.83) and 12 month follow-up (RR 0.87, 95% CI 0.52 to 1.47). The effects on drop-outs from treatment at any of e time intervals between the two groups were uncertain due to the wide CIs; post-treatment (RR 0.50, 95% CI 0.04 to 7.10), three month follow-up (RR 0.46, 95% CI 0.06 to 3.28), six month follow-up (RR 8.75, 95% CI 0.61 to 124.53) and 12 month follow-up(RR 0.42, 95% CI 0.02 to 7.71).The following interventions reduced BZD use - tailored GP letter versus generic GP letter at 12 month follow-up (RR 1.70, 95%CI 1.07 to 2.70; one trial, 322 participants), standardised interview versus TAU at six month follow-up (RR 13.11, 95% CI 3.25 to 52.83; one trial, 139 participants) and 12 month follow-up (RR 4.97, 95% CI 2.23 to 11.11), and relaxation versus TAU at three month follow-up (RR 2.20, 95% CI 1.23 to 3.94).There was insufficient supporting evidence for the remaining interventions.We performed a 'Risk of bias' assessment on all included studies. We assessed the quality of the evidence as high quality for random sequence generation, attrition bias and reporting bias; moderate quality for allocation concealment, performance bias for objective outcomes, and detection bias for objective outcomes; and low quality for performance bias for subjective outcomes and detection bias for subjective outcomes. Few studies had manualised sessions or independent tests of treatment fidelity; most follow-up periods were less than 12 months.Based on decisions made during the implementation of protocol methods to present a manageable summary of the evidence we did not collect data on quality of life, self-harm or adverse events. AB - AUTHORS' CONCLUSIONS: CBT plus taper is effective in the short term (three month time period) in reducing BZD use. However, this is not sustained at six months and subsequently. Currently there is insufficient evidence to support the use of MI to reduce BZD use. There is emerging evidence to suggest that a tailored GP letter versus a generic GP letter, a standardised interview versus TAU, and relaxation versus TAU could be effective for BZD reduction. There is currently insufficient evidence for other approaches to reduce BZD use. RN - 12794-10-4 (Benzodiazepines) ES - 1469-493X IL - 1361-6137 PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2015 DC - 20150623 YR - 2015 ED - 20151030 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26106751 <100. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24991789 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oruch R AU - Elderbi MA AU - Khattab HA AU - Pryme IF AU - Lund A FA - Oruch, Ramadhan FA - Elderbi, Mahmoud A FA - Khattab, Hassan A FA - Pryme, Ian F FA - Lund, Anders IN - Oruch,Ramadhan. Department of Pharmacology and Toxicology, School of Pharmacy, Benghazi University, Postbox: 5341, Benghazi, Libya. Electronic address: oruchr@gmail.com. IN - Elderbi,Mahmoud A. Department of Pharmacology and Toxicology, School of Pharmacy, Benghazi University, Postbox: 5341, Benghazi, Libya. IN - Khattab,Hassan A. Department of Pharmaceutical Chemistry, School of Pharmacy, Benghazi University, Benghazi, Libya. IN - Pryme,Ian F. Department of Biomedicine, University of Bergen, Bergen, Norway. IN - Lund,Anders. MoodNet Research Group, Psychiatric Clinic, Haukeland University Hospital, University of Bergen, Bergen, Norway. TI - Lithium: a review of pharmacology, clinical uses, and toxicity. [Review] SO - European Journal of Pharmacology. 740:464-73, 2014 Oct 5. AS - Eur J Pharmacol. 740:464-73, 2014 Oct 5. NJ - European journal of pharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - en6, 1254354 SB - Index Medicus CP - Netherlands MH - Animals MH - Antimanic Agents/ae [Adverse Effects] MH - Antimanic Agents/pk [Pharmacokinetics] MH - Antimanic Agents/pd [Pharmacology] MH - Antimanic Agents/tu [Therapeutic Use] MH - *Antimanic Agents MH - Bipolar Disorder/dt [Drug Therapy] MH - Breast Feeding MH - Drug Overdose MH - Female MH - Humans MH - Lithium Compounds/ae [Adverse Effects] MH - Lithium Compounds/pk [Pharmacokinetics] MH - Lithium Compounds/pd [Pharmacology] MH - Lithium Compounds/tu [Therapeutic Use] MH - *Lithium Compounds MH - Pregnancy KW - Bipolar affective disorder; Carbamazepine; Carbamzepine (PubChem CID 2554); Lamotrigine; Lamotrigine (PubChem CID 3878); Lithium; Lithium (PubChem CID 28486); Lurasidone (PubChem CID 213046); Major depression; Valproate; Valproate (PubChem CID 3121) AB - A radical drug treatment for bipolar affective disorder (BD) is currently unavailable. This is attributed to the fact that the precise pathophysiology of this ailment is unclear though a genetic factor is an essential element in etiology. Dissimilar to other serious psychiatric categories such as psychoses and major depression the forecast of this disease is unpredictable. There is a high suicidal risk among BD affected individuals. In this review we will consider lithium, the drug of choice in treatment of this disorder with special emphasis on pharmacology and toxicity. We have also elucidated the alternatives to lithium, since it has a wide spectrum of side-effects. Lithium is known to interact with many types of drugs used to treat different ailments in humans. This could cause either augmentation or minimization of the therapeutic action, causing secondary undesired effects of the agent. This necessitates a search for other alternatives and/or different combinations to lithium in order to decrease the range of unwanted effects for which it has received discredit. These alternatives should be potent mood stabilizers as monotherapy so as to avoid polypharmacy. If not, one should find the best combination of drugs (synergistic agents) such that the lithium dose can be minimized, thereby securing a more potent drug therapy. This study also focuses on the provision of instruction to psychiatric care givers, such as junior doctors in residency, nurses in psychiatric units, psychiatric emergency personnel and, additionally, medical and pharmacy students. Copyright © 2014 Elsevier B.V. All rights reserved. RN - 0 (Antimanic Agents) RN - 0 (Lithium Compounds) ES - 1879-0712 IL - 0014-2999 DI - S0014-2999(14)00493-2 DO - http://dx.doi.org/10.1016/j.ejphar.2014.06.042 PT - Journal Article PT - Review LG - English EP - 20140630 DP - 2014 Oct 5 DC - 20140827 YR - 2014 ED - 20151030 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24991789 <101. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26106751 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Darker CD AU - Sweeney BP AU - Barry JM AU - Farrell MF AU - Donnelly-Swift E FA - Darker, Catherine D FA - Sweeney, Brion P FA - Barry, Joe M FA - Farrell, Michael F FA - Donnelly-Swift, Erica IN - Darker,Catherine D. Department of Public Health & Primary Care, Trinity College Dublin, Dublin, Ireland. catherine.darker@tcd.ie TI - Psychosocial interventions for benzodiazepine harmful use, abuse or dependence. [Review] SO - Cochrane Database of Systematic Reviews. (5):CD009652, 2015. AS - Cochrane Database Syst Rev. (5):CD009652, 2015. NJ - The Cochrane database of systematic reviews PI - Journal available in: Print PI - Citation processed from: Internet JC - 100909747 SB - Index Medicus CP - England MH - *Benzodiazepines MH - Cognitive Therapy/mt [Methods] MH - Correspondence as Topic MH - *Counseling/mt [Methods] MH - Humans MH - *Motivational Interviewing/mt [Methods] MH - *Psychotherapy/mt [Methods] MH - Randomized Controlled Trials as Topic MH - Relaxation Therapy MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome AB - BACKGROUND: Benzodiazepines (BZDs) have a sedative and hypnotic effect upon people. Short term use can be beneficial but long term BZD use is common, with several risks in addition to the potential for dependence in both opiate and non-opiate dependent patients. AB - OBJECTIVES: To evaluate the effectiveness of psychosocial interventions for treating BZD harmful use, abuse or dependence compared to pharmacological interventions, no intervention, placebo or a different psychosocial intervention on reducing the use of BZDs in opiate dependent and non-opiate dependent groups. AB - SEARCH METHODS: We searched the Cochrane Central Register of Controlled Trials (CENTRAL- the Cochrane Library issue 12, 2014) which includes the Cochrane Drugs and Alcohol Group Specialized Register; PubMed (from 1966 to December 2014); EMBASE (from 1988 to December 2014); CINAHL Cumulative Index to Nursing and AlliedHealth Literature (1982 to September 2013); PsychINFO (1872 to December 2014); ERIC (Education Resources Information Centre, (January 1966 to September 2013); All EBM Reviews (1991 to September 2013, Ovid Interface); AMED (Allied & Alternative Medicine) 1985 to September 2013); ASSIA (Applied Social Sciences Index & Abstracts (1960 to September 2013); LILACS (January 1982 to September 2013);Web of Science (1900 to December 2014);Electronic Grey Literature Databases: Dissertation Abstract; Index to Theses. AB - SELECTION CRITERIA: Randomised controlled trials examining the use of a psychosocial intervention to treat BZDs versus pharmacological interventions,no intervention, placebo or a different psychosocial intervention on reducing the use of BZDs in opiate dependent and non-opiate dependent groups. AB - DATA COLLECTION AND ANALYSIS: We used the standard methodological procedures outlined in Cochrane Guidelines. AB - MAIN RESULTS: Twenty-five studies including 1666 people met the inclusion criteria. The studies tested many different psychosocial interventions including cognitive behavioural therapy (CBT) (some studies with taper, other studies with no taper), motivational interviewing (MI),letters to patients advising them to reduce or quit BZD use, relaxation studies, counselling delivered electronically and advice provided by a general practitioner (GP). Based on the data obtained, we performed two meta-analyses in this Cochrane review: one assessing the effectiveness of CBT plus taper versus taper only (575 participants), and one assessing MI versus treatment as usual (TAU) (80 participants).There was moderate quality of evidence that CBT plus taper was more likely to result in successful discontinuation of BZDs within four weeks post treatment compared to taper only (Risk ratio (RR) 1.40, 95% confidence interval (CI) 1.05 to 1.86; nine trials, 423 participants) and moderate quality of evidence at three month follow-up (RR 1.51, 95% CI 1.15 to 1.98) in favour of CBT (taper)for 575 participants. The effects were less certain at 6, 11, 12, 15 and 24 months follow-up. The effect of CBT on reducing BZDs by> 50% was uncertain for all time points examined due to the low quality evidence. There was very low quality evidence for the effect on drop-outs at any of the time intervals; post-treatment (RR 1.05, 95% CI 0.66 to 1.66), three month follow-up (RR 1.71, 95% CI0.16 to 17.98) and six month follow-up (RR 0.70, 95% CI 0.17 to 2.88).Based on the very low quality of evidence available, the effect of MI versus TAU for all the time intervals is unclear; post treatment(RR 4.43, 95% CI 0.16 to 125.35; two trials, 34 participants), at three month follow-up (RR 3.46, 95% CI 0.53 to 22.45; four trials,80 participants), six month follow-up (RR 0.14, 95% CI 0.01 to 1.89) and 12 month follow-up (RR 1.25, 95% CI 0.63 to 2.47).There was very low quality of evidence to determine the effect of MI on reducing BZDs by > 50% at three month follow-up (RR 1.52,95% CI 0.60 to 3.83) and 12 month follow-up (RR 0.87, 95% CI 0.52 to 1.47). The effects on drop-outs from treatment at any of e time intervals between the two groups were uncertain due to the wide CIs; post-treatment (RR 0.50, 95% CI 0.04 to 7.10), three month follow-up (RR 0.46, 95% CI 0.06 to 3.28), six month follow-up (RR 8.75, 95% CI 0.61 to 124.53) and 12 month follow-up(RR 0.42, 95% CI 0.02 to 7.71).The following interventions reduced BZD use - tailored GP letter versus generic GP letter at 12 month follow-up (RR 1.70, 95%CI 1.07 to 2.70; one trial, 322 participants), standardised interview versus TAU at six month follow-up (RR 13.11, 95% CI 3.25 to 52.83; one trial, 139 participants) and 12 month follow-up (RR 4.97, 95% CI 2.23 to 11.11), and relaxation versus TAU at three month follow-up (RR 2.20, 95% CI 1.23 to 3.94).There was insufficient supporting evidence for the remaining interventions.We performed a 'Risk of bias' assessment on all included studies. We assessed the quality of the evidence as high quality for random sequence generation, attrition bias and reporting bias; moderate quality for allocation concealment, performance bias for objective outcomes, and detection bias for objective outcomes; and low quality for performance bias for subjective outcomes and detection bias for subjective outcomes. Few studies had manualised sessions or independent tests of treatment fidelity; most follow-up periods were less than 12 months.Based on decisions made during the implementation of protocol methods to present a manageable summary of the evidence we did not collect data on quality of life, self-harm or adverse events. AB - AUTHORS' CONCLUSIONS: CBT plus taper is effective in the short term (three month time period) in reducing BZD use. However, this is not sustained at six months and subsequently. Currently there is insufficient evidence to support the use of MI to reduce BZD use. There is emerging evidence to suggest that a tailored GP letter versus a generic GP letter, a standardised interview versus TAU, and relaxation versus TAU could be effective for BZD reduction. There is currently insufficient evidence for other approaches to reduce BZD use. RN - 12794-10-4 (Benzodiazepines) ES - 1469-493X IL - 1361-6137 PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2015 DC - 20150623 YR - 2015 ED - 20151030 RD - 20160602 UP - 20160603 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26106751 <102. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26012127 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ilic D AU - Bukumiric Z AU - Jankovic S FA - Ilic, Darko FA - Bukumiric, Zoran FA - Jankovic, Slobodan TI - Impact of educational intervention on prescribing inappropriate medication to elderly nursing homes residents. SO - Srpski Arhiv Za Celokupno Lekarstvo. 143(3-4):174-9, 2015 Mar-Apr. AS - Srp Arh Celok Lek. 143(3-4):174-9, 2015 Mar-Apr. NJ - Srpski arhiv za celokupno lekarstvo PI - Journal available in: Print PI - Citation processed from: Print JC - 0027440, uzg SB - Index Medicus CP - Serbia MH - Aged, 80 and over MH - *Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] MH - Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] MH - *Education, Pharmacy/mt [Methods] MH - Female MH - Humans MH - *Inappropriate Prescribing/td [Trends] MH - Incidence MH - Male MH - *Nursing Homes MH - *Polypharmacy MH - Retrospective Studies MH - Serbia/ep [Epidemiology] AB - INTRODUCTION: Problems with polypharmacy, adverse drug reactions and non-adherence are especially frequent among elderly nursing home residents. AB - OBJECTIVE: The aim of our study was to evaluate effectiveness of a specific form of staff education on appropriateness of prescribing in a cluster of nursing homes for the elderly. AB - METHODS: The study was designed as before-and-after trial of educational intervention on appropriateness of prescribing in nursing homes for the elderly. In total 20 nursing homes located in Belgrade, Serbia were included in the study with 104 elderly residents and 27 caring physicians. Appropriateness of prescribing was checked against Beers, START and STOPP criteria, before and 6 months after the intervention. AB - RESULTS: There were 349 inappropriately prescribed drugs according to Beers criteria before the intervention and 37 drugs six months after the intervention. According to STOPP criteria there were 70 drugs inappropriately prescribed before the intervention, and 20 drugs 6 months after. When both criteria are taken together, there is a significant difference between the average number of inappropriate drugs per patient before (3.4+/-0.5) and after (0.6+/-0.7) educational intervention (t=38.902; p<0.001). Finally, before the intervention 143 appropriate drugs were omitted according to START criteria, while 6 months after the intervention there were only 67 omissions. AB - CONCLUSION: Simple, but well targeted educational interventions may improve polypharmacy and decrease inappropriate prescribing rate, contributing to a better care of elderly patients in nursing homes. IS - 0370-8179 IL - 0370-8179 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2015 Mar-Apr DC - 20150527 YR - 2015 ED - 20151022 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26012127 <103. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25639291 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steffenak AK AU - Nordstrom G AU - Hartz I AU - Wilde-Larsson B FA - Steffenak, Anne Kjersti Myhrene FA - Nordstrom, Gun FA - Hartz, Ingeborg FA - Wilde-Larsson, Bodil IN - Steffenak,Anne Kjersti Myhrene. Faculty of Public Health, Hedmark University College, Elverum, Norway. TI - Public health nurses' perception of their roles in relation to psychotropic drug use by adolescents: a phenomenographic study. SO - Journal of Clinical Nursing. 24(7-8):970-9, 2015 Apr. AS - J Clin Nurs. 24(7-8):970-9, 2015 Apr. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Male MH - Middle Aged MH - Norway MH - *Nurse's Role MH - *Nurses, Public Health/px [Psychology] MH - *Psychiatric Nursing MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Qualitative Research MH - Young Adult KW - adolescents; mental health; phenomenography; psychotropic drug use; public health nurses AB - 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. AB - 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. AB - DESIGN: A phenomenographic approach was used to analyse the data. AB - METHOD: A qualitative interview study was made of 20 Norwegian public health nurses, strategically chosen using phenomenographic methodology. AB - 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. AB - 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. AB - 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.Copyright © 2014 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd. RN - 0 (Psychotropic Drugs) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/jocn.12716 PT - Journal Article LG - English EP - 20150108 DP - 2015 Apr DC - 20150324 YR - 2015 ED - 20151021 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25639291 <104. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25639291 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steffenak AK AU - Nordstrom G AU - Hartz I AU - Wilde-Larsson B FA - Steffenak, Anne Kjersti Myhrene FA - Nordstrom, Gun FA - Hartz, Ingeborg FA - Wilde-Larsson, Bodil IN - Steffenak,Anne Kjersti Myhrene. Faculty of Public Health, Hedmark University College, Elverum, Norway. TI - Public health nurses' perception of their roles in relation to psychotropic drug use by adolescents: a phenomenographic study. SO - Journal of Clinical Nursing. 24(7-8):970-9, 2015 Apr. AS - J Clin Nurs. 24(7-8):970-9, 2015 Apr. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 OI - Source: NLM. PMC4674984 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Male MH - Middle Aged MH - Norway MH - *Nurse's Role MH - *Nurses, Public Health/px [Psychology] MH - *Psychiatric Nursing MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Qualitative Research MH - Young Adult KW - adolescents; mental health; phenomenography; psychotropic drug use; public health nurses AB - 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. AB - 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. AB - DESIGN: A phenomenographic approach was used to analyse the data. AB - METHOD: A qualitative interview study was made of 20 Norwegian public health nurses, strategically chosen using phenomenographic methodology. AB - 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. AB - 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. AB - 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.Copyright © 2014 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd. RN - 0 (Psychotropic Drugs) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/jocn.12716 PT - Journal Article LG - English EP - 20150108 DP - 2015 Apr DC - 20150324 YR - 2015 ED - 20151021 RD - 20160217 UP - 20160218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25639291 <105. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26487327 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Cote J AU - Rouleau G AU - Ramirez-Garcia P AU - Bourbonnais A AI - Cote, Jose; ORCID: http://orcid.org/0000-0002-0617-2861 AI - Rouleau, Genevieve; ORCID: http://orcid.org/0000-0003-1093-6577 AI - Ramirez-Garcia, Pilar; ORCID: http://orcid.org/0000-0001-6628-8762 AI - Bourbonnais, Anne; ORCID: http://orcid.org/0000-0002-6823-4044 FA - Cote, Jose FA - Rouleau, Genevieve FA - Ramirez-Garcia, Pilar FA - Bourbonnais, Anne IN - Cote,Jose. Research Centre of the Centre Hospitalier de l'Universite de Montreal, Research Chair in Innovative Nursing Practices, Montreal, QC, Canada. jose.cote@umontreal.ca. TI - Virtual Nursing Intervention Adjunctive to Conventional Care: The Experience of Persons Living With HIV. SO - JMIR Research Protocols. 4(4):e124, 2015. AS - JMIR Res Protoc. 4(4):e124, 2015. NJ - JMIR research protocols PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101599504 OI - Source: NLM. PMC4704901 CP - Canada KW - HIV infections; Internet; anti-HIV agents; medication adherence; nursing research; qualitative research; web-based interventions AB - BACKGROUND: Persons living with HIV (PLHIV) must adhere optimally to antiretroviral therapy (ART) on a daily basis and for their lifetime to maintain an undetectable viral load, allowing them to preserve their health. Taking advantage of the opportunity that information and communication technologies provide to broaden intervention modalities and intensify clinical follow-up, a virtual nursing intervention consisting of four interactive computer sessions was developed to empower PLHIV to manage their ART and symptoms optimally. Compared with other types of information and communication technologies-assisted interventions such as text messages, HIV Treatment, Virtual Nursing Assistance and Education (VIH-TAVIE) requires a certain degree of active engagement on the part of the user to develop and strengthen the self-management skills to optimize adherence. After the intervention's impact on ART adherence was measured quantitatively, a qualitative study was undertaken to describe how users experience the intervention. Understanding how PLHIV perceive being assisted asynchronously by a virtual nurse was of particular interest. AB - OBJECTIVE: The objective of the study was to explore and describe how PLHIV experience VIH-TAVIE, that is, receiving customized asynchronous accompaniment via a virtual nurse. AB - METHODS: A qualitative study was conducted with 26 PLHIV (20 men, 6 women) who received all four VIH-TAVIE sessions. Participants had been diagnosed with HIV 14 years earlier on average and had been on ART for a mean period of 10 years. The sessions lasted 20-30 minutes each and were received two weeks apart. They are hosted by a virtual nurse who engages the user in a self-management skills-learning process for the purpose of treatment adherence. Semistructured interviews were conducted lasting 30-40 minutes to get participants to share their experience of the intervention through personal stories and what they thought and felt during their participation. Data were analyzed using Miles and Huberman's method, by performing these three steps: (1) data reduction (data coding, summaries); (2) data display (in tables and text form); and (3) recontextualization of results. AB - RESULTS: Content analysis yielded five themes regarding how PLHIV experience VIH-TAVIE: (1) exposure to the virtual nursing intervention; (2) virtual nurse humanizes experience of the computer-delivered intervention; (3) learner's experience of the virtual nursing intervention; (4) perceived benefits following participation in the virtual nursing intervention; and (5) relevance of the virtual nursing intervention in relation to the medication management trajectory. AB - CONCLUSIONS: Analyzing the participants' experience revealed they found the intervention's content and format appropriate. To them, the virtual nurse humanized the experience and helped them acquire new skills for achieving optimal ART adherence. Results seem to underscore the importance of offering the intervention to persons who have more problems with drug intake or who are just beginning ART. ES - 1929-0748 IL - 1929-0748 DO - http://dx.doi.org/10.2196/resprot.4158 PT - Journal Article LG - English EP - 20151020 DP - 2015 DC - 20151021 YR - 2015 ED - 20151021 RD - 20160113 UP - 20160115 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26487327 <106. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26186473 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manworren RC AU - Gilson AM FA - Manworren, Renee C B FA - Gilson, Aaron M IN - Manworren,Renee C B. Renee C. B. Manworren is a nurse scientist in the Division of Pain and Palliative Medicine at Connecticut Children's Medical Center in Hartford. Aaron M. Gilson is director of the U.S. Program at the Pain and Policy Studies Group, a division of the Paul P. Carbone Cancer Center in the School of Medicine and Public Health, University of Wisconsin-Madison. Contact author: Renee C. B. Manworren, rmanworren@connecticutchildrens.org. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. TI - Nurses' Role in Preventing Prescription Opioid Diversion. SO - American Journal of Nursing. 115(8):34-40; quiz 41, 2015 Aug. AS - Am. j. nurs.. 115(8):34-40; quiz 41, 2015 Aug. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Humans MH - *Nurse's Role MH - Nurse-Patient Relations MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Patient Education as Topic MH - *Theft MH - United States/ep [Epidemiology] AB - Prescription opioid abuse is at epidemic levels. Opioids diverted from friends and family members who have legitimate prescriptions are a major source of abused prescription opioids. Nurses are vital to any effort to combat this public health crisis because they have the opportunity to provide essential anticipatory guidance every time a patient receives prescription medication. The purpose of this article is to inform nurses of the magnitude of opioid diversion, the nonmedical use of opioids, and opioids' inappropriate disposal. The authors propose three potential interventions in which nurses can play a critical role: teaching patients about the risks of opioid diversion, providing patients with information on the safekeeping and proper disposal of opioids, and tracking patients' analgesic use to improve our knowledge of prescription analgesic requirements for pain management. Nurses are in an ideal position to help reverse the occurrence and potentially fatal consequences of prescription opioid diversion. RN - 0 (Analgesics, Opioid) ES - 1538-7488 IL - 0002-936X DO - http://dx.doi.org/10.1097/01.NAJ.0000470398.43930.10 PT - Journal Article LG - English DP - 2015 Aug DC - 20150730 YR - 2015 ED - 20151013 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26186473 <107. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23154151 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holloway AS AU - Webster BJ FA - Holloway, Aisha S FA - Webster, Brian J IN - Holloway,Aisha S. School of Health in Social Sciences, The University of Edinburgh, The Medical School, Teviot Place, Edinburgh EH8 9AG, UK. Aisha.Holloway@edu.ac.uk TI - Alcohol education and training in pre-registration nursing: a national survey to determine curriculum content in the United Kingdom (UK). SO - Nurse Education Today. 33(9):992-7, 2013 Sep. AS - Nurse Educ Today. 33(9):992-7, 2013 Sep. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Alcohol Drinking/ae [Adverse Effects] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - *Curriculum/st [Standards] MH - *Education, Nursing MH - Female MH - Great Britain MH - Humans MH - Internet MH - Male MH - Nursing Education Research MH - Students, Nursing MH - Surveys and Questionnaires KW - Alcohol consumption; Curriculum; Education; Nursing; Pre-registration; Surveys; Universities AB - 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. AB - 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. AB - DESIGN: A descriptive study. AB - SETTING: All 68 UK Higher Education Institutions offering a total of 111 pre-registration courses for nurses were invited to participate in the study. AB - 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. AB - METHODS: An online semi-structured questionnaire survey was used to collect the study data. AB - 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. AB - 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.Copyright © 2012 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(12)00363-2 DO - http://dx.doi.org/10.1016/j.nedt.2012.10.011 PT - Evaluation Studies PT - Journal Article LG - English EP - 20121113 DP - 2013 Sep DC - 20130906 YR - 2013 ED - 20151001 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23154151 <108. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25631312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Halas G AU - Schultz AS AU - Rothney J AU - Goertzen L AU - Wener P AU - Katz A FA - Halas, Gayle FA - Schultz, Annette S H FA - Rothney, Janet FA - Goertzen, Leah FA - Wener, Pamela FA - Katz, Alan IN - Halas,Gayle. Department of Family Medicine, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Schultz,Annette S H. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Rothney,Janet. Neil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Goertzen,Leah. Faculty of Kinesiology and Recreation Management, Department of Family Medicine, College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Wener,Pamela. Department of Occupational Therapy, Faculty of Health Sciences, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Katz,Alan. Departments of Community Health Sciences and Family Medicine, Faculty of Health Sciences, College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. TI - A scoping review protocol to map the research foci trends in tobacco control over the last decade. SO - BMJ Open. 5(1):e006643, 2015. AS - BMJ Open. 5(1):e006643, 2015. NJ - BMJ open PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101552874 OI - Source: NLM. PMC4316427 SB - Index Medicus CP - England MH - Humans MH - Primary Prevention/mt [Methods] MH - *Research Design MH - *Review Literature as Topic MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] KW - PREVENTIVE MEDICINE; PRIMARY CARE; PUBLIC HEALTH; STATISTICS & RESEARCH METHODS AB - INTRODUCTION: Tobacco dependence and smoke exposure have been global epidemics with health consequences recognised by the US Surgeon General since the 1960s and 1970s, respectively. During this period, a vast body of research evidence has emerged including many reviews of primary research studies targeting various tobacco control strategies. Published review studies synthesise primary evidence, providing a rich source for mapping the broad range of topics and research foci along with revealing areas of evidence deficits. In this paper, we outline our scoping review protocol to systematically review published review articles specific to tobacco control and primary prevention over the last 10 years. AB - METHODS AND ANALYSIS: Using Arksey and O'Malley's scoping review methodology as a guide, our scoping review of published reviews begins by searching several databases: PubMed, Scopus, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo and the Educational Resources Information Centre (ERIC). Our multidisciplinary team has formulated search strategies and two reviewers will independently screen eligible studies for final study selection. Bibliographic data and abstract content will be collected and analysed using a tool developed iteratively by the research team. AB - ETHICS AND DISSEMINATION: A scoping review of published review articles is a novel approach for examining the breadth of literature regarding tobacco control strategies and, as a secondary analysis, does not require ethics approval. We anticipate results will identify research gaps as well as novel ideas for primary prevention research specific to tobacco control strategies concerning intervention, programming and policy. Although this is our first step in establishing a foundation for a research agenda, we will be disseminating results through journals and conferences targeting primary care providers and tobacco control.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 2044-6055 DO - http://dx.doi.org/10.1136/bmjopen-2014-006643 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150128 DP - 2015 DC - 20150129 YR - 2015 ED - 20150925 RD - 20151028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25631312 <109. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25631312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Halas G AU - Schultz AS AU - Rothney J AU - Goertzen L AU - Wener P AU - Katz A FA - Halas, Gayle FA - Schultz, Annette S H FA - Rothney, Janet FA - Goertzen, Leah FA - Wener, Pamela FA - Katz, Alan IN - Halas,Gayle. Department of Family Medicine, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Schultz,Annette S H. College of Nursing, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Rothney,Janet. Neil John Maclean Health Sciences Library, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Goertzen,Leah. Faculty of Kinesiology and Recreation Management, Department of Family Medicine, College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Wener,Pamela. Department of Occupational Therapy, Faculty of Health Sciences, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. IN - Katz,Alan. Departments of Community Health Sciences and Family Medicine, Faculty of Health Sciences, College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. TI - A scoping review protocol to map the research foci trends in tobacco control over the last decade. SO - BMJ Open. 5(1):e006643, 2015. AS - BMJ Open. 5(1):e006643, 2015. NJ - BMJ open PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101552874 OI - Source: NLM. PMC4316427 SB - Index Medicus CP - England MH - Humans MH - Primary Prevention/mt [Methods] MH - *Research Design MH - *Review Literature as Topic MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] KW - PREVENTIVE MEDICINE; PRIMARY CARE; PUBLIC HEALTH; STATISTICS & RESEARCH METHODS AB - INTRODUCTION: Tobacco dependence and smoke exposure have been global epidemics with health consequences recognised by the US Surgeon General since the 1960s and 1970s, respectively. During this period, a vast body of research evidence has emerged including many reviews of primary research studies targeting various tobacco control strategies. Published review studies synthesise primary evidence, providing a rich source for mapping the broad range of topics and research foci along with revealing areas of evidence deficits. In this paper, we outline our scoping review protocol to systematically review published review articles specific to tobacco control and primary prevention over the last 10 years. AB - METHODS AND ANALYSIS: Using Arksey and O'Malley's scoping review methodology as a guide, our scoping review of published reviews begins by searching several databases: PubMed, Scopus, the Cochrane Library, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo and the Educational Resources Information Centre (ERIC). Our multidisciplinary team has formulated search strategies and two reviewers will independently screen eligible studies for final study selection. Bibliographic data and abstract content will be collected and analysed using a tool developed iteratively by the research team. AB - ETHICS AND DISSEMINATION: A scoping review of published review articles is a novel approach for examining the breadth of literature regarding tobacco control strategies and, as a secondary analysis, does not require ethics approval. We anticipate results will identify research gaps as well as novel ideas for primary prevention research specific to tobacco control strategies concerning intervention, programming and policy. Although this is our first step in establishing a foundation for a research agenda, we will be disseminating results through journals and conferences targeting primary care providers and tobacco control.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 2044-6055 IL - 2044-6055 DO - http://dx.doi.org/10.1136/bmjopen-2014-006643 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150128 DP - 2015 DC - 20150129 YR - 2015 ED - 20150925 RD - 20160603 UP - 20160606 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25631312 <110. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25476019 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Newnham AL AU - Hine C AU - Rogers C AU - Agwu JC FA - Newnham, Amanda L FA - Hine, Christopher FA - Rogers, Camila FA - Agwu, Juliana Chizo IN - Newnham,Amanda L. Department of Paediatrics, Sandwell and West Birmingham NHS Trust, West Bromwich, UK. IN - Hine,Christopher. Department of Paediatrics, Sandwell and West Birmingham NHS Trust, West Bromwich, UK. IN - Rogers,Camila. Department of Paediatrics, Sandwell and West Birmingham NHS Trust, West Bromwich, UK. IN - Agwu,Juliana Chizo. Department of Paediatrics, Sandwell and West Birmingham NHS Trust, West Bromwich, UK. TI - Improving the quality of documentation of paediatric post-take ward rounds: the impact of an acrostic. SO - Postgraduate Medical Journal. 91(1071):22-5, 2015 Jan. AS - Postgrad Med J. 91(1071):22-5, 2015 Jan. NJ - Postgraduate medical journal PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pfx, 0234135 SB - Index Medicus CP - England MH - Abbreviations as Topic MH - Checklist MH - Documentation/st [Standards] MH - *Documentation MH - Humans MH - *Medical History Taking/st [Standards] MH - Medical Records MH - Point-of-Care Systems MH - Quality of Health Care MH - Teaching Rounds/mt [Methods] MH - *Teaching Rounds KW - PAEDIATRICS AB - BACKGROUND: Review of patients' notes while investigating clinical incidents showed a recurring problem of poor documentation of important aspects of the paediatric post-take ward round. AB - PURPOSE OF THE STUDY: To evaluate the impact of an acrostic (type of mnemonic), created to reflect the aspects of care that should be documented after every ward round, on the completeness of note keeping. AB - STUDY DESIGN: The acrostic, 'Please Verify Information For Doctors, Please Note Every Plan, was developed in 2010 to make it easy to remember the important aspects of post-take ward round, which are: Problem; Vital signs; Investigations; Fluids; Drugs; Patient/Parental concerns; Nursing concerns; Examination; Plan. The acrostic was introduced to doctors at a teaching session and included in the mandatory induction programme for all new doctors. Impact of use of the acrostic was evaluated in 2011 by audit of case notes before and after its introduction, with re-audit 2 years later. A survey of junior doctors on their attitude to its use was carried out in 2014. AB - RESULTS: Introduction of the acrostic led to significant improvement in the documentation of problem (84% vs 94%), investigations (26% vs 72%), fluids (16% vs 74%), drugs (26% vs 76%), patient/parental concerns (16% vs 72%) and nursing concerns (4% vs 48%). Most (95% (19/20)) of the junior doctors agreed that the acrostic provided them with an easy format to document important aspects of post-take ward rounds. AB - CONCLUSIONS: Our patient notes now reflect much more clearly the input of patients and their parents/carers and the involvement of the multiprofessional team.Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 1469-0756 IL - 0032-5473 DO - http://dx.doi.org/10.1136/postgradmedj-2013-132534 PT - Evaluation Studies PT - Journal Article LG - English EP - 20141204 DP - 2015 Jan DC - 20150113 YR - 2015 ED - 20150921 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25476019 <111. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26306356 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Felicilda-Reynaldo RF FA - Felicilda-Reynaldo, Rhea Faye D TI - Recognizing Prescription Drug Abuse and Addiction in Patients, Part II . SO - MEDSURG Nursing. 24(1):47-50, 61, 2015 Jan-Feb. AS - Medsurg Nurs. 24(1):47-50, 61, 2015 Jan-Feb. NJ - Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - btm, 9300545 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Nursing Staff, Hospital/ed [Education] MH - *Prescription Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] AB - With health and wellness advocacy as a part of their role, medical-surgical nurses should do their best to address patients' hidden health care concerns such as drug misuse and abuse, and lead them to treatment resources. By gaining knowledge of prescription drug abuse and misuse, nurses will be more prepared to recognize these problems in their patients. RN - 0 (Prescription Drugs) IS - 1092-0811 IL - 1092-0811 PT - Journal Article LG - English DP - 2015 Jan-Feb DC - 20150826 YR - 2015 ED - 20150918 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26306356 <112. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26306351 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - da Cunha BF FA - da Cunha, Brooke Faria TI - Ethics and Undertreatment of Pain in Patients with a History of Drug Abuse. SO - MEDSURG Nursing. 24(1):Suppl 4-7, 16, 2015 Jan-Feb. AS - Medsurg Nurs. 24(1):Suppl 4-7, 16, 2015 Jan-Feb. NJ - Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - btm, 9300545 SB - Nursing Journal CP - United States MH - Analgesics/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - Databases, Factual MH - Decision Making/es [Ethics] MH - Education, Nursing, Continuing MH - Humans MH - Internet MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/st [Standards] MH - Pain/ci [Chemically Induced] MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - *Pain Management/es [Ethics] MH - *Pain Management/nu [Nursing] MH - Practice Guidelines as Topic MH - Societies, Medical/st [Standards] MH - *Substance-Related Disorders/co [Complications] MH - Treatment Outcome MH - United States AB - Patients with substance abuse history make up 14% of inpatient admissions to acute care units, where it has been reported a great deal of patient pain is unrelieved (Substance Abuse and Mental Health Service Administration [SAMHSA], 2009. Definitions of substance abuse terms including tolerance, dependence, addiction, and pseudoaddiction are essential to a nurse's understanding of pain medication administration in patients with substance abuse history. Pain management is one of the nurse's main responsibilities, and using the principles of autonomy, beneficence, nonmaleficence, and justice can guide the nurse to making appropriate pain management decisions for and with these patients. Nursing implications and resources for more information are discussed. RN - 0 (Analgesics) IS - 1092-0811 IL - 1092-0811 PT - Journal Article LG - English DP - 2015 Jan-Feb DC - 20150826 YR - 2015 ED - 20150918 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26306351 <113. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25262064 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Villiers T AU - Mayers PM AU - Khalil D FA - de Villiers, Tania FA - Mayers, Pat M FA - Khalil, Doris IN - de Villiers,Tania. 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. IN - Mayers,Pat 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. IN - Khalil,Doris. Division of Nursing & Midwifery, Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Observatory, Cape Town, South Africa. Electronic address: Doris.khalil@uct.ac.za. TI - Pre-registration nursing students' perceptions and experiences of violence in a nursing education institution in South Africa. SO - Nurse Education in Practice. 14(6):666-73, 2014 Nov. AS - NURSE EDUC PRACT. 14(6):666-73, 2014 Nov. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Attitude MH - Female MH - Focus Groups MH - Humans MH - Male MH - Middle Aged MH - *Schools, Nursing MH - South Africa MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - *Violence MH - Young Adult KW - Horizontal violence; Nursing education; Nursing students; South Africa; Verbal abuse AB - 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. Copyright © 2014 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DI - S1471-5953(14)00120-6 DO - http://dx.doi.org/10.1016/j.nepr.2014.08.006 PT - Journal Article LG - English EP - 20140906 DP - 2014 Nov DC - 20141216 YR - 2014 ED - 20150915 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25262064 <114. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24502971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - King KA AU - Vidourek RA AU - Merianos AL FA - King, Keith A FA - Vidourek, Rebecca A FA - Merianos, Ashley L IN - King,Keith A. 1University of Cincinnati, Cincinnati, OH, USA. TI - School violent victimization and recent alcohol use and episodic heavy drinking among youth. SO - Journal of School Nursing. 30(3):187-95, 2014 Jun. AS - J Sch Nurs. 30(3):187-95, 2014 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - *Binge Drinking/ep [Epidemiology] MH - Binge Drinking/px [Psychology] MH - Child MH - Crime Victims/px [Psychology] MH - *Crime Victims/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Ohio/ep [Epidemiology] MH - Risk Factors MH - Schools MH - Sex Distribution MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Violence/px [Psychology] MH - *Violence/sn [Statistics & Numerical Data] KW - alcohol use; protective factors; risk factors; violent victimization AB - 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. ES - 1546-8364 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840514521239 PT - Journal Article LG - English EP - 20140206 DP - 2014 Jun DC - 20140513 YR - 2014 ED - 20150915 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24502971 <115. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26281634 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Felicilda-Reynaldo FD FA - Felicilda-Reynaldo, Faye D TI - Recognizing Signs of Prescription Drug Abuse and Addiction, Part I. SO - MEDSURG Nursing. 23(6):391-6, 2014 Nov-Dec. AS - Medsurg Nurs. 23(6):391-6, 2014 Nov-Dec. NJ - Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - btm, 9300545 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Nursing Staff, Hospital/ed [Education] MH - *Perioperative Nursing/st [Standards] MH - *Practice Guidelines as Topic MH - *Prescription Drugs/ae [Adverse Effects] MH - *Specialties, Nursing/st [Standards] MH - Substance Abuse Detection/mt [Methods] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - United States AB - 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. RN - 0 (Prescription Drugs) IS - 1092-0811 IL - 1092-0811 PT - Journal Article LG - English DP - 2014 Nov-Dec DC - 20150818 YR - 2014 ED - 20150911 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26281634 <116. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25366388 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Payne JM AU - Watkins RE AU - Jones HM AU - Reibel T AU - Mutch R AU - Wilkins A AU - Whitlock J AU - Bower C FA - Payne, Janet M FA - Watkins, Rochelle E FA - Jones, Heather M FA - Reibel, Tracy FA - Mutch, Raewyn FA - Wilkins, Amanda FA - Whitlock, Julie FA - Bower, Carol TI - Midwives' knowledge, attitudes and practice about alcohol exposure and the risk of fetal alcohol spectrum disorder. SO - BMC Pregnancy & Childbirth. 14:377, 2014. AS - BMC Pregnancy Childbirth. 14:377, 2014. NJ - BMC pregnancy and childbirth PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967799 OI - Source: NLM. PMC4228156 SB - Index Medicus CP - England MH - Adult MH - *Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - Cross-Sectional Studies MH - *Directive Counseling/mt [Methods] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Middle Aged MH - *Midwifery/ed [Education] MH - Pregnancy MH - Pregnant Women MH - *Prenatal Care/mt [Methods] MH - Surveys and Questionnaires MH - Western Australia AB - BACKGROUND: Midwives are an influential profession and a key group in informing women about alcohol consumption in pregnancy and its consequences. There are no current quantitative Australian data on midwives' knowledge, attitudes and practice in relation to alcohol consumption during pregnancy and Fetal Alcohol Spectrum Disorder. We aimed to reduce this knowledge gap by understanding midwives' perceptions of their practice in addressing alcohol consumption during pregnancy. AB - METHODS: This cross-sectional study was conducted at 19 maternity sites across the seven health regions of country Western Australia. A questionnaire was designed following review of the literature and other relevant surveys. Midwifery managers of the maternity sites distributed questionnaires to all midwives working in their line of management. A total of 334 midwives were invited to participate in the research and (n=245, 73.4%) of these were eligible. AB - RESULTS: The response fraction was (n=166, 67.8%). Nearly all (n=151, 93.2%) midwives asked pregnant women about their alcohol consumption during pregnancy and (n=164, 99.4%) offered advice about alcohol consumption in accordance with the Australian Alcohol Guideline, which states "For women who are pregnant or planning a pregnancy, not drinking is the safest option". Nearly two thirds (n=104, 64.2%) of the midwives informed pregnant women about the effects of alcohol consumption in pregnancy, they did not always use the recommended AUDIT screening tool (n=66, 47.5%) to assess alcohol consumption during pregnancy, nor conduct brief intervention when indicated (n=107, 70.4%). Most midwives endorsed professional development about screening tools (n=145, 93.5%), brief intervention (n=144, 92.9%), and alcohol consumption during pregnancy and FASD (n=144, 92.9%). AB - CONCLUSION: Nearly all midwives in this study asked and advised about alcohol consumption in pregnancy and around two thirds provided information about the effects of alcohol in pregnancy. Our findings support the need for further professional development for midwives on screening and brief intervention. Policy should support midwives' practice to screen for alcohol consumption in pregnancy and offer brief intervention when indicated. ES - 1471-2393 IL - 1471-2393 DO - http://dx.doi.org/10.1186/s12884-014-0377-z PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20141105 DP - 2014 DC - 20150311 YR - 2014 ED - 20150911 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25366388 <117. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25168715 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sariah AE AU - Outwater AH AU - Malima KI FA - Sariah, Adellah E FA - Outwater, Anne H FA - Malima, Khadija I Y IN - Sariah,Adellah E. Hubert Kairuki Memorial University (HKMU), Faculty of Nursing, 322 Regent Estate, Dar es Salaam, Tanzania. adellahsariah@gmail.com. TI - Risk and protective factors for relapse among individuals with schizophrenia: a qualitative study in Dar es Salaam, Tanzania. SO - BMC Psychiatry. 14:240, 2014. AS - BMC Psychiatry. 14:240, 2014. NJ - BMC psychiatry PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968559 OI - Source: NLM. PMC4169829 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Antipsychotic Agents/tu [Therapeutic Use] MH - Caregivers MH - Delivery of Health Care MH - Female MH - Humans MH - Male MH - Medication Adherence MH - *Mental Health Services MH - Middle Aged MH - Outpatients MH - Protective Factors MH - Psychiatric Nursing MH - Qualitative Research MH - Recurrence MH - Risk Factors MH - *Schizophrenia/ep [Epidemiology] MH - Schizophrenia/nu [Nursing] MH - *Schizophrenia/th [Therapy] MH - Substance-Related Disorders/ep [Epidemiology] MH - Tanzania AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Antipsychotic Agents) ES - 1471-244X IL - 1471-244X DO - http://dx.doi.org/10.1186/s12888-014-0240-9 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140830 DP - 2014 DC - 20140922 YR - 2014 ED - 20150902 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25168715 <118. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26102385 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nandwana SB AU - Walls DG AU - Torres WE FA - Nandwana, Sadhna B FA - Walls, Deborah G FA - Torres, William E IN - Nandwana,Sadhna B. 1 All authors: Department of Radiology, Emory University, c/o T. Easter, 1365-A Clifton Rd NE, Ste AT 627, Atlanta, GA 30322. IN - Walls,Deborah G. 1 All authors: Department of Radiology, Emory University, c/o T. Easter, 1365-A Clifton Rd NE, Ste AT 627, Atlanta, GA 30322. IN - Torres,William E. 1 All authors: Department of Radiology, Emory University, c/o T. Easter, 1365-A Clifton Rd NE, Ste AT 627, Atlanta, GA 30322. TI - Radiology Department Preparedness for the Management of Severe Acute Iodinated Contrast Reactions: Do We Need to Change Our Approach?. SO - AJR. American Journal of Roentgenology. 205(1):90-4, 2015 Jul. AS - AJR Am J Roentgenol. 205(1):90-4, 2015 Jul. NJ - AJR. American journal of roentgenology PI - Journal available in: Print PI - Citation processed from: Internet JC - 3ae, 7708173 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Algorithms MH - *Contrast Media/ae [Adverse Effects] MH - *Drug Hypersensitivity/dt [Drug Therapy] MH - *Drug Hypersensitivity/et [Etiology] MH - Drug Overdose MH - *Epinephrine/ad [Administration & Dosage] MH - Epinephrine/ae [Adverse Effects] MH - Humans MH - Injections, Intramuscular MH - *Iodine/ae [Adverse Effects] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Radiology Department, Hospital/og [Organization & Administration] MH - *Sympathomimetics/ad [Administration & Dosage] MH - Sympathomimetics/ae [Adverse Effects] KW - contrast reaction; epinephrine; incorrect dosage; radiology AB - OBJECTIVE: The purpose of this study was to identify opportunities for reducing epinephrine administration errors after a sentinel event entailing an overdose of i.v. epinephrine occurred in a radiology department. AB - MATERIALS AND METHODS: A root cause analysis was performed that included review and analysis of current system protocols, a medication audit, and access to treatment algorithms. A proctored three-question multiple-choice test was administered to radiology attending physicians, fellows, residents, and nurses to gauge baseline knowledge of epinephrine use. Chi-square analysis was performed. AB - RESULTS: Twelve of 13 radiology department central pharmacy automation system locations lacked epinephrine ampules. As a result, personnel had to access i.v. epinephrine stocked on hospital code carts designed for use during cardiac arrest. This led to errors related to appropriate dosing. Test participants included 46 attending physicians, 23 fellows, 28 residents, and 25 nurses (n = 122). Almost all (99%) correctly identified epinephrine as the medication to administer in this situation. Approximately one half (52%) correctly identified the dose of intramuscular epinephrine, but only 29% knew the dose and rate of administration of i.v. epinephrine (p < 0.001). Attending physicians were more likely to administer i.v. epinephrine correctly than were the other groups (p < 0.0001). AB - CONCLUSION: Stocking and routine auditing of medication availability are essential. The use of epinephrine intended for cardiac arrest stocked on code carts should be avoided during contrast reactions. It would be optimal if first-line responders to contrast reactions included attending physicians, but this may not always be the case at academic institutions. RN - 0 (Contrast Media) RN - 0 (Sympathomimetics) RN - 9679TC07X4 (Iodine) RN - YKH834O4BH (Epinephrine) ES - 1546-3141 IL - 0361-803X DO - http://dx.doi.org/10.2214/AJR.14.13884 PT - Journal Article LG - English DP - 2015 Jul DC - 20150624 YR - 2015 ED - 20150831 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26102385 <119. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26182822 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swapna MA AU - Parvathy M FA - Swapna, Mary A FA - Parvathy, Mohan TI - Effect of Structured Teaching Programme on Levels of Knowledge regarding Narcotic Policy among Staff Nurses in Selected Hospitals of Bangalore. SO - Nursing Journal of India. 105(6):274-7, 2014 Nov-Dec. AS - Nurs J India. 105(6):274-7, 2014 Nov-Dec. NJ - The Nursing journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - o97, 0376403 SB - Nursing Journal CP - India MH - Adult MH - *Education, Nursing, Continuing MH - Educational Measurement MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - India MH - Male MH - *Nursing Staff, Hospital/ed [Education] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Organizational Policy MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - *Teaching/mt [Methods] MH - Young Adult AB - 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. IS - 0029-6503 IL - 0029-6503 PT - Comparative Study PT - Journal Article LG - English DP - 2014 Nov-Dec DC - 20150717 YR - 2014 ED - 20150813 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26182822 <120. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26257524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Dell'Osso B AU - Albert U AU - Atti AR AU - Carmassi C AU - Carra G AU - Cosci F AU - Del Vecchio V AU - Di Nicola M AU - Ferrari S AU - Goracci A AU - Iasevoli F AU - Luciano M AU - Martinotti G AU - Nanni MG AU - Nivoli A AU - Pinna F AU - Poloni N AU - Pompili M AU - Sampogna G AU - Tarricone I AU - Tosato S AU - Volpe U AU - Fiorillo A FA - Dell'Osso, Bernardo FA - Albert, Umberto FA - Atti, Anna Rita FA - Carmassi, Claudia FA - Carra, Giuseppe FA - Cosci, Fiammetta FA - Del Vecchio, Valeria FA - Di Nicola, Marco FA - Ferrari, Silvia FA - Goracci, Arianna FA - Iasevoli, Felice FA - Luciano, Mario FA - Martinotti, Giovanni FA - Nanni, Maria Giulia FA - Nivoli, Alessandra FA - Pinna, Federica FA - Poloni, Nicola FA - Pompili, Maurizio FA - Sampogna, Gaia FA - Tarricone, Ilaria FA - Tosato, Sarah FA - Volpe, Umberto FA - Fiorillo, Andrea IN - Dell'Osso,Bernardo. Department of Psychiatry, University of Milan, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy ; Bipolar Disorders Clinic, Stanford Medical School, Stanford University, CA, USA. IN - Albert,Umberto. Rita Levi Montalcini Department of Neuroscience, University of Turin, Torino, Italy. IN - Atti,Anna Rita. Department of Biomedical and NeuroMotor Sciences, University of Bologna, Bologna, Italy. IN - Carmassi,Claudia. Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy. IN - Carra,Giuseppe. Division of Psychiatry, Faculty of Brain Sciences, University College London, London, UK. IN - Cosci,Fiammetta. Department of Health Sciences, University of Florence, Florence, Italy. IN - Del Vecchio,Valeria. Department of Psychiatry, University of Naples SUN, Naples, Italy. IN - Di Nicola,Marco. Institute of Psychiatry and Psychology, Catholic University of Sacred Heart, Rome, Italy. IN - Ferrari,Silvia. Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy. IN - Goracci,Arianna. Department of Molecular Medicine and Clinical Department of Mental Health, University of Siena, Siena, Italy. IN - Iasevoli,Felice. Department of Neuroscience, Reproductive Sciences and Odontostomatology, University Federico II of Naples, Naples, Italy. IN - Luciano,Mario. Department of Psychiatry, University of Naples SUN, Naples, Italy. IN - Martinotti,Giovanni. Department of Neuroscience, Imaging, and Clinical Science, University G.d Annunzio, Chieti-Pescara, Italy. IN - Nanni,Maria Giulia. Section of Psychiatry, Department of Biomedical and Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy. IN - Nivoli,Alessandra. Psychiatric Institute, Department of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy ; Bipolar Disorder Unit, CIBERSAM, IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain. IN - Pinna,Federica. Department of Public Health, Clinical and Molecular Medicine, Unit of Psychiatry, University of Cagliari, Cagliari, Italy. IN - Poloni,Nicola. Department of Clinical and Experimental Medicine, Psychiatric Division, University of Insubria, Varese, Italy. IN - Pompili,Maurizio. Department of Neurosciences, Mental Health and Sensory Organs, Suicide Prevention Center, Sant' Andrea Hospital, Sapienza University of Rome, Rome, Italy. IN - Sampogna,Gaia. Department of Psychiatry, University of Naples SUN, Naples, Italy. IN - Tarricone,Ilaria. Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy. IN - Tosato,Sarah. Section of Psychiatry, Department of Public Health and Community Medicine, University of Verona, Verona, Italy. IN - Volpe,Umberto. Department of Psychiatry, University of Naples SUN, Naples, Italy. IN - Fiorillo,Andrea. Department of Psychiatry, University of Naples SUN, Naples, Italy. TI - Bridging the gap between education and appropriate use of benzodiazepines in psychiatric clinical practice. [Review] SO - Neuropsychiatric Disease & Treatment. 11:1885-909, 2015. AS - Neuropsychiatr. dis. treat.. 11:1885-909, 2015. NJ - Neuropsychiatric disease and treatment PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101240304 OI - Source: NLM. PMC4525786 CP - New Zealand KW - benzodiazepines; psychiatric clinical practice; risks and benefits; teaching issues AB - 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. IS - 1176-6328 IL - 1176-6328 DO - http://dx.doi.org/10.2147/NDT.S83130 PT - Journal Article PT - Review LG - English EP - 20150730 DP - 2015 DC - 20150810 YR - 2015 ED - 20150810 RD - 20150812 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26257524 <121. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24895001 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Garcia-Gollarte F AU - Baleriola-Julvez J AU - Ferrero-Lopez I AU - Cuenllas-Diaz A AU - Cruz-Jentoft AJ FA - Garcia-Gollarte, Fermin FA - Baleriola-Julvez, Jose FA - Ferrero-Lopez, Isabel FA - Cuenllas-Diaz, Alvaro FA - Cruz-Jentoft, Alfonso J IN - Garcia-Gollarte,Fermin. Grupo Ballesol, Universidad Catolica de Valencia, Valencia, Spain. Electronic address: fermin.garcia@ballesol.es. IN - Baleriola-Julvez,Jose. Centro de Atencion Primaria Vall de Uixo, Castellon; Universidad Catolica de Valencia, Spain. IN - Ferrero-Lopez,Isabel. Hospital Pare Jofre, Valencia, Spain; Universidad Catolica de Valencia, Spain. IN - Cuenllas-Diaz,Alvaro. Grupo Ballesol, Madrid, Spain. IN - Cruz-Jentoft,Alfonso J. Servicio de Geriatria, Hospital Universitario Ramon y Cajal, Madrid, Spain; Universidad Europea de Madrid, Spain. TI - An educational intervention on drug use in nursing homes improves health outcomes resource utilization and reduces inappropriate drug prescription. SO - Journal of the American Medical Directors Association. 15(12):885-91, 2014 Dec. AS - J AM MED DIR ASSOC. 15(12):885-91, 2014 Dec. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Aged, 80 and over MH - Female MH - Geriatric Assessment MH - Humans MH - *Inappropriate Prescribing/pc [Prevention & Control] MH - *Inservice Training MH - Male MH - *Nursing Homes MH - *Polypharmacy MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Prospective Studies MH - Spain KW - Inappropriate drug prescription; educational intervention; polypharmacy AB - OBJECTIVE: Inappropriate drug prescription is a common problem in people living in nursing homes and is linked to adverse health outcomes. This study assessed the effect of an educational intervention directed to nursing home physicians in reducing inappropriate prescription and improving health outcomes and resource utilization. AB - DESIGN: Prospective, randomized, multicenter study. AB - SETTING: A private organization of nursing homes in Spain. AB - PARTICIPANTS: Sixty nursing home physicians caring for approximately 3900 nursing home residents in 37 centers were randomized to receive an educational intervention (30) or as a control group (30). AB - INTERVENTION: 10 hours educational program, followed by on demand support by phone. AB - OUTCOME MEASUREMENTS: Outcomes were assessed in 1018 randomly selected nursing home residents. Appropriateness of drug use [measured by the Screening Tool of Older Persons Prescriptions (STOPP) and Screening Tool to Alert Doctors to Right Treatment (START) criteria], incidence of selected geriatric syndromes (falls, delirium) and health resource utilization (visits to physicians and nursing homes, visits to the emergency room, days of hospitalization) were recorded for 3 months before the intervention started and 3 months after the intervention finished. AB - RESULTS: O total of 716 residents finished the study (344 cared for by the intervention group physicians, 372 cared for by control physicians). Mean age was 84.4 +/- 12.7 years; 73% were women. The mean number of inappropriate drugs (STOPP criteria) was higher at the end of the study in the control than in the intervention group (1.29 +/- 1.56 vs 0.81 +/- 1.13), as was the number of residents on 6 or more drugs (76.5% vs.67.0%), using antipsychotics (9.1% vs 3.2%) or duplicate medications (32.5% vs 9.2%). The number of fallers increased in the control group (from 19.3% to 28%) and did not significantly change in the intervention group (from 25.3% to 23.9%); the number of residents with delirium increased in the control group (from 3.8% to 9.1%) and decreased in the intervention group (from 6.1% to 3.2%). The number of visits to a physician did not change in the control group (-0.22, P = .3) but were significantly reduced in the intervention group (-0.76, P = .01), the same happened with the number of visits to a nurse (-0.38, P = .4 in controls, -1.43 in the intervention group, P < .001). Visits to the emergency room and days in hospital significantly increased in the control group (+0.12 and +0.38) but were unchanged in the intervention group (+0.03 and +0.01). AB - CONCLUSIONS: An educational intervention on drug use is feasible in nursing home physicians and improves the use of inappropriate drugs, use of antipsychotics, and drug duplications in their residents. It may also improve the risk of delirium and falls, and reduce the use of health care resources.Copyright © 2014 AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved. ES - 1538-9375 IL - 1525-8610 DI - S1525-8610(14)00216-3 DO - http://dx.doi.org/10.1016/j.jamda.2014.04.010 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial LG - English EP - 20140602 DP - 2014 Dec DC - 20141203 YR - 2014 ED - 20150807 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24895001 <122. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25978282 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaasalainen S AU - Agarwal G AU - Dolovich L AU - Brazil K AU - Papaioannou A FA - Kaasalainen, Sharon FA - Agarwal, Gina FA - Dolovich, Lisa FA - Brazil, Kevin FA - Papaioannou, Alexandra IN - Kaasalainen,Sharon. Associate Professor, School of Nursing, McMaster University, David Braley Health Sciences Centre. TI - Managing pain medications in long-term care: nurses' views. SO - British Journal of Nursing. 24(9):484, 486-9, 2015 May 14-27. AS - Br J Nurs. 24(9):484, 486-9, 2015 May 14-27. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adult MH - *Analgesics/tu [Therapeutic Use] MH - Anticoagulants/ad [Administration & Dosage] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Female MH - Great Britain MH - Guidelines as Topic MH - Humans MH - Long-Term Care MH - Male MH - Middle Aged MH - *Nursing Staff/px [Psychology] KW - Long-term care; Medication; Nurses; Pain management AB - 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. RN - 0 (Analgesics) RN - 0 (Anticoagulants) IS - 0966-0461 IL - 0966-0461 DO - http://dx.doi.org/10.12968/bjon.2015.24.9.484 PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - (Canada Canadian Institutes of Health Research) LG - English DP - 2015 May 14-27 DC - 20150518 YR - 2015 ED - 20150806 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25978282 <123. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26017980 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell AM AU - Fioravanti M AU - Kane I AU - Puskar K AU - Hagle H AU - Boucek L FA - Mitchell, Ann M FA - Fioravanti, Marie FA - Kane, Irene FA - Puskar, Kathy FA - Hagle, Holly FA - Boucek, Lynn IN - Mitchell,Ann M. Ann M. Mitchell is a professor, Marie Fioravanti is an assistant professor, Irene Kane is an associate professor, Kathy Puskar is a professor, and Lynn Boucek is a doctor of nursing practice student, all at the University of Pittsburgh School of Nursing, Pittsburgh, PA. Holly Hagle is director of the National SBIRT Addiction Technology Transfer Center at the Institute for Research, Education, and Training in Addictions, also in Pittsburgh. Contact author: Ann M. Mitchell, ammi@pitt.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise. TI - A call for universal alcohol, drug screening. SO - American Journal of Nursing. 115(6):11, 2015 Jun. AS - Am. j. nurs.. 115(6):11, 2015 Jun. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol-Related Disorders/co [Complications] MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/nu [Nursing] MH - Counseling/ed [Education] MH - *Education, Nursing/st [Standards] MH - *Health Behavior MH - Humans MH - *Mass Screening/nu [Nursing] MH - Nursing Diagnosis/mt [Methods] MH - *Nursing Diagnosis/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/nu [Nursing] ES - 1538-7488 IL - 0002-936X DO - http://dx.doi.org/10.1097/01.NAJ.0000466294.87304.ce PT - Journal Article LG - English DP - 2015 Jun DC - 20150528 YR - 2015 ED - 20150803 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26017980 <124. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25453507 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fogger S AU - McGuinness TM FA - Fogger, Susanne FA - McGuinness, Teena M TI - Adolescents at risk: pain pills to heroin: part I. [Review] SO - Journal of Psychosocial Nursing & Mental Health Services. 52(12):17-20, 2014 Dec 1. AS - J Psychosoc Nurs Ment Health Serv. 52(12):17-20, 2014 Dec 1. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Internet JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Female MH - Heroin Dependence/ep [Epidemiology] MH - Humans MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Prescription Drug Misuse/sn [Statistics & Numerical Data] MH - *Psychiatric Nursing/mt [Methods] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - Prescription pain medication has proliferated in the United States in the past 10 years, and opioid agents are the second most commonly abused substance in the United States. The opioid class comprises various prescription medications, including hydrocodone, as well as illicit substances, such as opium and heroin. The current article offers an example of one adolescent's history that began as weekend use of prescription opioid agents but expanded to daily use and physical dependence. Currently, a trend exists in which adolescents and young adults are moving from prescription opioid medication to heroin use due to increasing restrictions on prescription opioid agents. Nursing implications and web-based resources for teaching are also presented.Copyright 2014, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20141114-01 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2014 Dec 1 DC - 20141203 YR - 2014 ED - 20150728 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25453507 <125. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25187450 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kwok J FA - Kwok, Jennifer IN - Kwok,Jennifer. Bridge, Inc., New York, New York, USA. TI - Factors that influence the diagnoses of Asian Americans in mental health: an exploration. [Review] SO - Perspectives in Psychiatric Care. 49(4):288-92, 2013 Oct. AS - Perspect Psychiatr Care. 49(4):288-92, 2013 Oct. NJ - Perspectives in psychiatric care PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Acculturation MH - Asian Americans/px [Psychology] MH - *Asian Americans MH - Family/px [Psychology] MH - Humans MH - *Mental Disorders/eh [Ethnology] MH - Mental Disorders/th [Therapy] MH - Mental Health MH - *Mental Health Services/ut [Utilization] MH - Mind-Body Relations, Metaphysical/ph [Physiology] MH - Minority Groups/px [Psychology] MH - Patient Acceptance of Health Care/eh [Ethnology] MH - Social Stigma MH - Transcultural Nursing/ed [Education] MH - United States KW - Asian American mental health; Asian Americans psychiatry; model minority AB - PURPOSE: This 10-year review of Asian Americans focuses on factors that impede adequate psychiatric diagnosis and treatment. AB - CONCLUSION: Asian Americans are the fastest growing ethnic group in the United States, with a high prevalence of domestic violence, alcohol abuse, and significant distress. However, Asian Americans consistently underutilize mental health services because of stigma, misconceptions of Western treatment, and cultural interpretations of mental health problems. AB - PRACTICE IMPLICATIONS: Knowledge of the diversity of the Asian American population and an understanding of cultural interpretations of psychiatry will better prepare clinicians to treat and engage these patients.Copyright © 2013 Wiley Periodicals, Inc. ES - 1744-6163 IL - 0031-5990 DO - http://dx.doi.org/10.1111/ppc.12017 PT - Journal Article PT - Review LG - English EP - 20130328 DP - 2013 Oct DC - 20140904 YR - 2013 ED - 20150722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25187450 <126. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25689702 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Starr KT FA - Starr, Kristopher T IN - Starr,Kristopher T. Kristopher T. Starr is an Attorney at Law, Ferry Joseph, P.A., Wilmington, Del.; Nurse Manager, Wilmington Hospital Emergency Department, Christiana Care Health System, Wilmington, Del.; and a member of the Nursing2015 editorial board. TI - The sneaky prevalence of substance abuse in nursing. SO - Nursing. 45(3):16-7, 2015 Mar. AS - Nursing. 45(3):16-7, 2015 Mar. NJ - Nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - oa3, 7600137 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - Licensure, Nursing MH - *Nursing MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] ES - 1538-8689 IL - 0360-4039 DO - http://dx.doi.org/10.1097/01.NURSE.0000460727.34118.6a PT - Journal Article LG - English DP - 2015 Mar DC - 20150218 YR - 2015 ED - 20150721 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25689702 <127. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26043552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clavagnier I FA - Clavagnier, Isabelle TI - Sophie and Pierre take part in a drug education programme in Costa Rica. SO - Revue de L'Infirmiere. 203:49-50, 2014 Aug-Sep. AS - Rev Infirm. 203:49-50, 2014 Aug-Sep. NJ - Revue de l'infirmiere PI - Journal available in: Print PI - Citation processed from: Print JC - 1267175, s7t SB - Nursing Journal CP - France MH - Costa Rica MH - Education, Nursing, Continuing/mt [Methods] MH - Female MH - Humans MH - International Cooperation MH - Language MH - Male MH - Nurses MH - School Health Services/ma [Manpower] MH - *School Health Services MH - Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] RN - 0 (Street Drugs) IS - 1293-8505 IL - 1293-8505 PT - Journal Article LG - English DP - 2014 Aug-Sep DC - 20150605 YR - 2014 ED - 20150707 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26043552 <128. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26043552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clavagnier I FA - Clavagnier, Isabelle TI - Sophie and Pierre take part in a drug education programme in Costa Rica. SO - Revue de L'Infirmiere. (203):49-50, 2014 Aug-Sep. AS - Rev Infirm. (203):49-50, 2014 Aug-Sep. NJ - Revue de l'infirmiere PI - Journal available in: Print PI - Citation processed from: Print JC - 1267175, s7t SB - Nursing Journal CP - France MH - Costa Rica MH - Education, Nursing, Continuing/mt [Methods] MH - Female MH - Humans MH - International Cooperation MH - Language MH - Male MH - Nurses MH - School Health Services/ma [Manpower] MH - *School Health Services MH - Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] RN - 0 (Street Drugs) IS - 1293-8505 IL - 1293-8505 PT - Journal Article LG - English DP - 2014 Aug-Sep DC - 20150605 YR - 2014 ED - 20150707 RD - 20160622 UP - 20160623 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26043552 <129. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24815950 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahern NR AU - Mechling B FA - Ahern, Nancy R FA - Mechling, Brandy TI - E-cigarettes: a rising trend among youth. SO - Journal of Psychosocial Nursing & Mental Health Services. 52(6):27-31, 2014 Jun. AS - J Psychosoc Nurs Ment Health Serv. 52(6):27-31, 2014 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Electronic Cigarettes/ae [Adverse Effects] MH - *Electronic Cigarettes/ut [Utilization] MH - Humans MH - Prevalence MH - Psychiatric Nursing MH - Psychology MH - Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] AB - Electronic cigarettes, known as "e-cigarettes," were designed as a smoking cessation tool for adults. An unintended audience for the product has been found with adolescents, many of whom have never used conventional cigarettes. Broad consequences of e-cigarettes on adolescent health include nicotine addiction-and later nicotine withdrawal-and potential for nicotine overdose. U.S. Food and Drug Administration regulations are non-existent; empirical evidence regarding e-cigarettes is limited; and studies conducted with adolescent e-cigarette use are even less common. Prevention measures must target the manufacturers and retailers of these devices as well as adolescents, parents, schools, and health care professionals. Psychiatricmental health nurses are well positioned to raise awareness of the dangerous consequences of e-cigarette use in teens.Copyright 2014, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20140506-01 PT - Journal Article LG - English EP - 20140512 DP - 2014 Jun DC - 20140627 YR - 2014 ED - 20150622 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24815950 <130. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24433609 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mujika A AU - Forbes A AU - Canga N AU - de Irala J AU - Serrano I AU - Gasco P AU - Edwards M FA - Mujika, Agurtzane FA - Forbes, Angus FA - Canga, Navidad FA - de Irala, Jokin FA - Serrano, Inmaculada FA - Gasco, Placido FA - Edwards, Margaret IN - Mujika,Agurtzane. School of Nursing, University of Navarra, Spain. Electronic address: amujika@unav.es. IN - Forbes,Angus. Florence Nightingale School of Nursing and Midwifery, King's College London, UK. IN - Canga,Navidad. School of Nursing, University of Navarra, Spain. IN - de Irala,Jokin. School of Medicine, University of Navarra, Spain. IN - Serrano,Inmaculada. School of Nursing, University of Navarra, Spain. IN - Gasco,Placido. Iturrama Primary Care Centre, Servicio Navarro de Salud, Spain. IN - Edwards,Margaret. Florence Nightingale School of Nursing and Midwifery, King's College London, UK. TI - Motivational interviewing as a smoking cessation strategy with nurses: an exploratory randomised controlled trial. SO - International Journal of Nursing Studies. 51(8):1074-82, 2014 Aug. AS - Int J Nurs Stud. 51(8):1074-82, 2014 Aug. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Feasibility Studies MH - Female MH - Humans MH - Middle Aged MH - *Motivation MH - *Nurse-Patient Relations MH - *Smoking Cessation KW - Ambivalence; Cognitive dissonance; Motivational interviewing; Nurses; Professional role; Randomised controlled trial; Smoking cessation AB - BACKGROUND: Despite the important role that health professionals have in reducing tobacco use, many have a smoking habit themselves. The prevalence of smoking is particularly high among nurses. AB - OBJECTIVE: To test the efficacy, acceptability and feasibility of a motivational interviewing (MI) based smoking cessation intervention with nurses. AB - DESIGN: Two group parallel experimental design with random allocation to groups. AB - SETTING: A large teaching hospital in the North of Spain. AB - PARTICIPANTS: Nurses who smoked (n=30) were randomised into two groups: motivational interviewing based intervention (n=15) and usual care (n=15). AB - METHODS: Motivational interviewing based intervention consisted of four individual MI sessions. Usual care consisted of brief advice. Variables considered to assess efficacy were biochemically verified smoking cessation, mean cigarettes smoked, stages of change, self-efficacy and depression score. Variables to assess acceptability and feasibility included participant satisfaction, adherence to MI, and duration of sessions. Data were collected at: baseline, end of intervention and three months after the end of the intervention. AB - RESULTS: At three month follow up, compared with the control group, more nurses in the intervention group had quit (absolute difference 33.3%; 95% confidence interval [CI] 2.6-58.2). In the nurses who did not quit, there was no significant difference between the intervention and control groups in the number of cigarettes smoked per day, although progress in the stages of change was greater in the intervention group compared to the control group. Measures of acceptability and feasibility indicated good satisfaction with the intervention, with high levels of attendance and completion. AB - CONCLUSION: This study found a beneficial effect of motivational interviewing on nurses' smoking cessation. The intervention was acceptable for nurses and a number of aspects were identified that need to be considered prior to conducting a larger scale in order to optimise the intervention. Using MI might be a novel approach to the problem of health professionals who smoke.Copyright © 2013 Elsevier Ltd. All rights reserved. ES - 1873-491X IL - 0020-7489 DI - S0020-7489(13)00369-6 DO - http://dx.doi.org/10.1016/j.ijnurstu.2013.12.001 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English EP - 20131215 DP - 2014 Aug DC - 20140616 YR - 2014 ED - 20150622 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24433609 <131. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26078668 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Boztepe H AU - Ozdemir H AU - Karababa C AU - Yildiz O FA - Boztepe, Handan FA - Ozdemir, Handan FA - Karababa, Cigdem FA - Yildiz, Ozlem IN - Boztepe,Handan. Department of Pediatric Nursing, Hacettepe University Faculty of Nursing, Ankara, Turkey. IN - Ozdemir,Handan. Hacettepe University Ihsan Dogramaci Children's Hospital, Shift Responsible Nurse, Ankara, Turkey. IN - Karababa,Cigdem. Hacettepe University Ihsan Dogramaci Children's Hospital, Nurse Assistant Manager, Ankara, Turkey. IN - Yildiz,Ozlem. Hacettepe University Ihsan Dogramaci Children's Hospital, Nurse Assistant Manager, Ankara, Turkey. TI - Difficulties experienced during preparation and administration of oral drugs. SO - Turk Pediatri Arsivi. 49(3):231-7, 2014 Sep. AS - Turk Pediatri Ars. 49(3):231-7, 2014 Sep. NJ - Turk pediatri arsivi PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 9803140 OI - Source: NLM. PMC4462300 CP - Turkey KW - Child; administration; drugs; pediatric nursing AB - AIM: It was aimed to determine the difficulties experienced by pediatric nurses working in the wards of a university hospital during preparation and administration of drugs and to determine solution recommendations. AB - MATERIAL AND METHODS: One hundred and eight nurses who accepted to participate in the study constituted the sample of the study. Open-ended questions were asked in order to obtain detailed information about the attitudes and views of the participants and face to face interview was used. The problems experienced during preparation and administration of drugs were collected using the data collection form prepared by the investigators. Institution approval, ethics committee approval (HEK12/193) and written informed consent from the nurses who wished to participate in the study were obtained to conduct the study. The data obtained were expressed as figures and percentages. AB - RESULTS: The most commonly reported problems in preparation of drugs included incomplete dissolution of tablets or non-homogeneous distribution in fluids (54.6%) and difficulty in breaking tablets in appropriate doses (45.3%). The most commonly reported problem experienced during administration of drugs was rejection of drugs which tasted bad by babies/children or spitting out the drug (75.9%). In our study, the nurses also mentioned the problems related with drug administration equipment. These problems included fear of injectors (25.9%), escape of the drugs into the respiratory way (15.7%) and lack of appropriate equipment for administering the drugs (7.4%). AB - CONCLUSIONS: In our study, it was found that all nurses experienced difficulty in preparing and administering drugs. The problems experienced by the nurses and solution recommendations for these problems were reported to the hospital administration. IS - 1306-0015 DO - http://dx.doi.org/10.5152/tpa.2014.1795 PT - Journal Article LG - English EP - 20140901 DP - 2014 Sep DC - 20150616 YR - 2014 ED - 20150616 RD - 20150618 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26078668 <132. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25278674 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arain A AU - Robaeys G FA - Arain, Amber FA - Robaeys, Geert IN - Arain,Amber. Amber Arain, Geert Robaeys, Department of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium. IN - Robaeys,Geert. Amber Arain, Geert Robaeys, Department of Gastroenterology and Hepatology, Ziekenhuis Oost-Limburg, 3600 Genk, Belgium. TI - Eligibility of persons who inject drugs for treatment of hepatitis C virus infection. [Review] SO - World Journal of Gastroenterology. 20(36):12722-33, 2014 Sep 28. AS - World J Gastroenterol. 20(36):12722-33, 2014 Sep 28. NJ - World journal of gastroenterology PI - Journal available in: Print PI - Citation processed from: Internet JC - 100883448 OI - Source: NLM. PMC4177459 SB - Index Medicus CP - United States MH - Antiviral Agents/ec [Economics] MH - *Antiviral Agents/tu [Therapeutic Use] MH - Cost-Benefit Analysis MH - Drug Users/px [Psychology] MH - *Drug Users MH - Eligibility Determination/ec [Economics] MH - *Eligibility Determination MH - Health Care Costs MH - Health Knowledge, Attitudes, Practice MH - Health Services Accessibility/ec [Economics] MH - *Health Services Accessibility MH - Hepatitis C/di [Diagnosis] MH - *Hepatitis C/dt [Drug Therapy] MH - Hepatitis C/ec [Economics] MH - Hepatitis C/px [Psychology] MH - Hepatitis C/tm [Transmission] MH - Hepatitis C/vi [Virology] MH - Humans MH - Patient Acceptance of Health Care MH - Recurrence MH - *Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/ec [Economics] MH - Substance Abuse, Intravenous/px [Psychology] MH - Treatment Outcome KW - Adherence; Hepatitis C virus; Methadone; Persons who inject drugs; Sustained viral response AB - In this decade, an increase is expected in end-stage liver disease and hepatocellular carcinoma, most commonly caused by hepatitis C virus (HCV) infection. Although people who inject drugs (PWID) are the major source for HCV infection, they were excluded from antiviral treatments until recently. Nowadays there is incontrovertible evidence in favor of treating these patients, and substitution therapy and active substance use are no longer contraindications for antiviral treatment. The viral clearance in PWID after HCV antiviral treatment with interferon or pegylated interferon combined with ribavirin is comparable to the viral clearance in non-substance users. Furthermore, multidisciplinary approaches to delivering treatment to PWID are advised, and their treatment should be considered on an individualized basis. To prevent the spread of HCV in the PWID community, recent active PWID are eligible for treatment in combination with needle exchange programs and substitution therapy. As the rate of HCV reinfection is low after HCV antiviral treatment, there is no need to withhold HCV treatment due to concerns about reinfection alone. Despite the advances in treatment efficacies and data supporting their success, HCV assessment of PWID and initiation of antiviral treatment remains low. However, the proportion of PWID assessed and treated for HCV is increasing, which can be further enhanced by understanding the barriers to and facilitators of HCV care. Removing stigmatization and implementing peer support and group treatment strategies, in conjunction with greater involvement by nurse educators/practitioners, will promote greater treatment seeking and adherence by PWID. Moreover, screening can be facilitated by noninvasive methods for detecting HCV antibodies and assessing liver fibrosis stages. Recently, HCV clearance has become a major endpoint in the war against drugs for the Global Commission on Drug Policy. This review highlights the most recent evidence concerning HCV infection and treatment strategies in PWID. RN - 0 (Antiviral Agents) ES - 2219-2840 IL - 1007-9327 DO - http://dx.doi.org/10.3748/wjg.v20.i36.12722 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2014 Sep 28 DC - 20141003 YR - 2014 ED - 20150603 RD - 20151029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25278674 <133. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24393607 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zoorob RJ AU - Durkin KM AU - Gonzalez SJ AU - Adams S FA - Zoorob, Roger J FA - Durkin, Kristy M FA - Gonzalez, Sandra J FA - Adams, Susie IN - Zoorob,Roger J. Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA. IN - Durkin,Kristy M. Department of Social Work, University of West Florida, Pensacola, FL, USA; University of Alabama, Tuscaloosa, USA. IN - Gonzalez,Sandra J. Department of Family and Community Medicine, Meharry Medical College, Nashville, 37208-3599 TN, USA. Electronic address: sgonzalez@mmc.edu. IN - Adams,Susie. PMHNP Program, Vanderbilt University School of Nursing, Nashville, TN, USA. TI - Training nurses and nursing students about prevention, diagnoses, and treatment of fetal alcohol spectrum disorders. SO - Nurse Education in Practice. 14(4):338-44, 2014 Aug. AS - NURSE EDUC PRACT. 14(4):338-44, 2014 Aug. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcohol Drinking/ae [Adverse Effects] MH - Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - *Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Nursing Staff/ed [Education] MH - Practice Guidelines as Topic MH - Pregnancy MH - Southeastern United States MH - Students, Nursing MH - Young Adult KW - Alcohol; Fetal alcohol spectrum disorders; Nursing education; Prevention; Training AB - 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. Copyright © 2013 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DI - S1471-5953(13)00214-X DO - http://dx.doi.org/10.1016/j.nepr.2013.11.009 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1U84DD000443-03 (United States NCBDD CDC HHS) LG - English EP - 20131221 DP - 2014 Aug DC - 20140829 YR - 2014 ED - 20150603 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24393607 <134. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24571366 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Huang HW AU - Lu CC AU - Yang YH AU - Huang CL FA - Huang, H-W FA - Lu, C-C FA - Yang, Y-H FA - Huang, C-L IN - Huang,H-W. Chi Mei Medical Center, Liouying, Taiwan. TI - Smoking behaviours of adolescents, influenced by smoking of teachers, family and friends. SO - International Nursing Review. 61(2):220-7, 2014 Jun. AS - Int Nurs Rev. 61(2):220-7, 2014 Jun. NJ - International nursing review PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adult MH - Cross-Sectional Studies MH - *Faculty MH - *Family MH - Female MH - Friends MH - Humans MH - Male MH - Middle Aged MH - Peer Group MH - Risk Factors MH - *Smoking/px [Psychology] MH - *Social Facilitation MH - *Students/px [Psychology] MH - Surveys and Questionnaires MH - Taiwan MH - Young Adult KW - Adolescent; Family Smoking; Friends Smoking; Smoking Behaviour; The Presence of Smoking Teachers AB - BACKGROUND: Smoking tobacco is a global health problem, and this study highlights adolescent smoking in Taiwan. Smoking was completely banned on campuses under the Tobacco Hazards Prevention Act and School Health Regulations. Few have investigated the association between personnel smoking/school smoking policies and adolescent smoking in Taiwan. The smoking rate has gradually increased for senior high school students in Taiwan from 10.7% in 1994 to 14.7% in 2011. AB - AIM: This study examined the influence of family and friends' smoking on the association between the presence of teachers smoking and each stage of adolescents' smoking behaviour. AB - METHODS: A cross-sectional survey was conducted in nine high schools (n=921). Logistic regression analysis was used to examine the association between smoking stage, father smoking, mother smoking, sibling smoking, friends smoking and the presence of smoking teachers. AB - RESULTS: After adjusting for gender, school type and grade, fathers', siblings' and friends' smoking were significantly associated with adolescents' ever and current smoking behaviours, but mothers' smoking was only associated with adolescents' current smoking behaviours. Friends' smoking was strongly associated with being a smoker. While there was an interaction between friends' smoking and the presence of smoking teachers on current smoking behaviours indicating the effect of the presence of smoking teachers was increased when friends did not smoke. AB - DISCUSSION: The results suggest that teachers smoking on school may increase the likelihood of being a current smoker as their friends do not smoke. Family and friends smoking are associated with adolescent smoking. AB - CONCLUSION: The Taiwanese government has regulated a comprehensive smoking ban in schools to prohibit both student and staff smoking on all school premises. To achieve this, schools should make tobacco control communication efforts. Nurses could address the combined influence of family and friends as well as the effect of school smoking restrictions to help prevent adolescents from smoking.Copyright © 2014 International Council of Nurses. ES - 1466-7657 IL - 0020-8132 DO - http://dx.doi.org/10.1111/inr.12084 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140224 DP - 2014 Jun DC - 20140519 YR - 2014 ED - 20150529 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24571366 <135. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25098683 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bourgeois J AU - Elseviers MM AU - Van Bortel L AU - Petrovic M AU - Vander Stichele RH FA - Bourgeois, Jolyce FA - Elseviers, Monique M FA - Van Bortel, Luc FA - Petrovic, Mirko FA - Vander Stichele, Robert H IN - Bourgeois,Jolyce. Heymans Institute of Pharmacology, Ghent University, De Pintelaan 185 (1 Block B), 9000, Ghent, Belgium, jolyce.bourgeois@ugent.be. TI - Feasibility of discontinuing chronic benzodiazepine use in nursing home residents: a pilot study. SO - European Journal of Clinical Pharmacology. 70(10):1251-60, 2014 Oct. AS - Eur J Clin Pharmacol. 70(10):1251-60, 2014 Oct. NJ - European journal of clinical pharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Aged MH - Aged, 80 and over MH - *Benzodiazepines/ad [Administration & Dosage] MH - Benzodiazepines/tu [Therapeutic Use] MH - Feasibility Studies MH - Female MH - Follow-Up Studies MH - Humans MH - *Hypnotics and Sedatives/ad [Administration & Dosage] MH - Hypnotics and Sedatives/tu [Therapeutic Use] MH - Male MH - *Nursing Homes MH - Pilot Projects MH - Practice Guidelines as Topic MH - Quality of Life MH - *Sleep Initiation and Maintenance Disorders/dt [Drug Therapy] MH - Substance Withdrawal Syndrome/ep [Epidemiology] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Hypnotics and Sedatives) RN - 12794-10-4 (Benzodiazepines) ES - 1432-1041 IL - 0031-6970 DO - http://dx.doi.org/10.1007/s00228-014-1725-7 PT - Journal Article PT - Multicenter Study LG - English EP - 20140808 DP - 2014 Oct DC - 20140909 YR - 2014 ED - 20150525 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25098683 <136. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25202808 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Braxter BJ AU - Puskar K AU - Mitchell AM AU - Hagle H AU - Gotham H AU - Terry MA FA - Braxter, Betty J FA - Puskar, Kathy FA - Mitchell, Ann M FA - Hagle, Holly FA - Gotham, Heather FA - Terry, Martha Ann IN - Braxter,Betty J. 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. TI - Nursing students' experiences with screening, brief intervention, and referral to treatment for substance use in the clinical/hospital setting. SO - Journal of Addictions Nursing. 25(3):122-9, 2014 Jul-Sep. AS - J ADDICT NURS. 25(3):122-9, 2014 Jul-Sep. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel MH - Education, Nursing, Baccalaureate MH - Female MH - Focus Groups MH - Hospitals, University MH - Humans MH - Male MH - *Nursing Process MH - Pennsylvania MH - *Students, Nursing MH - *Substance-Related Disorders/nu [Nursing] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000037 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - D11HP14629 (United States PHS HHS) LG - English DP - 2014 Jul-Sep DC - 20140910 YR - 2014 ED - 20150514 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25202808 <137. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24711148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jaimes LM AU - Thompson HJ AU - Landis CA AU - Warms CA FA - Jaimes, Lorena M FA - Thompson, Hilaire J FA - Landis, Carol A FA - Warms, Catherine A IN - Jaimes,Lorena M. Department of Veterans Affairs, Pacific Islands Healthcare System, Honolulu, HI, USA. TI - Nurses' knowledge of pain management for patients with combat-related traumatic brain injuries on rehabilitation units. SO - Rehabilitation Nursing Journal. 40(2):74-83; quiz 81-3, 2015 Mar-Apr. AS - Rehabil Nurs. 40(2):74-83; quiz 81-3, 2015 Mar-Apr. NJ - Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 8104825, r25 SB - Nursing Journal CP - United States MH - Adult MH - Analgesics/tu [Therapeutic Use] MH - Brain Injuries/co [Complications] MH - *Brain Injuries/nu [Nursing] MH - *Brain Injuries/rh [Rehabilitation] MH - Clinical Competence MH - Cross-Sectional Studies MH - Education, Nursing, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Migraine Disorders/dt [Drug Therapy] MH - Migraine Disorders/nu [Nursing] MH - Migraine Disorders/rh [Rehabilitation] MH - Multiple Trauma/nu [Nursing] MH - Multiple Trauma/rh [Rehabilitation] MH - Pain/et [Etiology] MH - Pain/nu [Nursing] MH - Pain/rh [Rehabilitation] MH - *Pain Management/nu [Nursing] MH - Practice Guidelines as Topic MH - *Rehabilitation Nursing/og [Organization & Administration] MH - United States MH - Warfare KW - Pain; head injury; nurses AB - PURPOSE: The purpose of this project was to survey nurses' knowledge of pain management for patients with combat-related traumatic brain injuries (TBI). AB - 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. AB - 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. AB - CONCLUSION: This study identified gaps in knowledge regarding pain management for patients with combat related TBIs. AB - 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.Copyright © 2014 Association of Rehabilitation Nurses. RN - 0 (Analgesics) IS - 0278-4807 IL - 0278-4807 DO - http://dx.doi.org/10.1002/rnj.156 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140407 DP - 2015 Mar-Apr DC - 20150313 YR - 2015 ED - 20150508 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24711148 <138. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25904820 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Perry L AU - Lamont S AU - Brunero S AU - Gallagher R AU - Duffield C FA - Perry, Lin FA - Lamont, Scott FA - Brunero, Scott FA - Gallagher, Robyn FA - Duffield, Christine IN - Perry,Lin. Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007 Australia. IN - Lamont,Scott. Mental Health Liaison, Prince of Wales Hospital and Community Health Services, Randwick, NSW 2031 Australia. IN - Brunero,Scott. Mental Health Liaison, Prince of Wales Hospital and Community Health Services, Randwick, NSW 2031 Australia. IN - Gallagher,Robyn. Charles Perkins Centre and Sydney Nursing School, University of Sydney, Sydney, NSW 2006 Australia. IN - Duffield,Christine. Centre for Health Services Management, Faculty of Health, University of Technology Sydney, Ultimo, NSW 2007 Australia ; Edith Cowan University, Perth, WA Australia. TI - The mental health of nurses in acute teaching hospital settings: a cross-sectional survey. SO - BMC Nursing. 14:15, 2015. AS - BMC Nurs. 14:15, 2015. NJ - BMC nursing PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101088683 OI - Source: NLM. PMC4405850 CP - England KW - Absenteeism; Anxiety; Common mental disorder; Depression; Mental health; Nurses; Nursing workforce; Presenteeism; Vitality AB - BACKGROUND: Nursing is an emotionally demanding profession and deficiencies in nurses' mental wellbeing, characterised by low vitality and common mental disorders, have been linked to low productivity, absenteeism and presenteeism. Part of a larger study of nurses' health, the aim of this paper was to describe the mental health status and related characteristics of nurses working in two acute metropolitan teaching hospitals. AB - METHODS: A cross sectional survey design was used. The Registered and Enrolled Nurse workforce, employed on any form of contract, at two teaching hospitals in Sydney Australia were invited to participate. The survey tool was compiled of validated tools and questions. Family and medical history and health risk-related characteristics, current psycho-active medications, smoking status, alcohol intake, eating disorders, self-perceived general health, mental health and vitality, demographic, social and occupational details were collected. AB - RESULTS: A total of 1215 surveys were distributed with a usable response rate of 382 (31.4%). Altogether 53 nurses (14%) reported a history of mental health disorders, of which n=49 (13%) listed diagnoses of anxiety and/or depression; 22 (6%) were currently taking psychoactive medication. Symptoms that could potentially indicate a mental health issue were more common, with 248 (65.1%) reporting they had experienced symptoms sometimes or often in the last 12 month. Nurses had better mental health if they had better general health, lived with a spouse/ partner rather than alone, had fewer symptoms, sleep problems or disordered eating behaviours, were not an informal carer and did not work nights. Nurses had greater vitality if they were male, had better general health, fewer sleep problems or symptoms generally and lived with a spouse/ partner rather than alone; less vitality if they were an informal carer or had disordered eating. AB - CONCLUSION: Nurses and their managers should strive to create workplaces where working practices promote nurses' health and wellbeing, or at least are configured to minimise deleterious effects; where both nurses and their managers are aware of the potential for negative effects on the mental health of the workforce; where cultures are such that this can be discussed openly without fear of stigma or denigration. ES - 1472-6955 IL - 1472-6955 DO - http://dx.doi.org/10.1186/s12912-015-0068-8 PT - Journal Article LG - English EP - 20150327 DP - 2015 DC - 20150423 YR - 2015 ED - 20150423 RD - 20150427 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25904820 <139. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23211033 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Salomon C AU - Hamilton B FA - Salomon, Carmela FA - Hamilton, Bridget IN - Salomon,Carmela. Department of Nursing, School of Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. TI - Antipsychotic discontinuation syndromes: a narrative review of the evidence and its integration into Australian mental health nursing textbooks. [Review] SO - International Journal of Mental Health Nursing. 23(1):69-78, 2014 Feb. AS - Int J Ment Health Nurs. 23(1):69-78, 2014 Feb. NJ - International journal of mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101140527 SB - Nursing Journal CP - Australia MH - *Antipsychotic Agents/ae [Adverse Effects] MH - Antipsychotic Agents/tu [Therapeutic Use] MH - Australia MH - Humans MH - *Psychiatric Nursing/ed [Education] MH - Psychotic Disorders/dt [Drug Therapy] MH - Recurrence MH - Substance Withdrawal Syndrome/et [Etiology] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - Syndrome MH - *Textbooks as Topic KW - antipsychotic agents; health communication; medication non-compliance; nursing education research; substance withdrawal syndrome AB - 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. Copyright © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc. RN - 0 (Antipsychotic Agents) ES - 1447-0349 IL - 1445-8330 DO - http://dx.doi.org/10.1111/j.1447-0349.2012.00889.x PT - Journal Article PT - Review LG - English EP - 20121205 DP - 2014 Feb DC - 20140108 YR - 2014 ED - 20150420 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23211033 <140. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24580067 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finnell DS AU - Nowzari S AU - Reimann B AU - Fischer L AU - Pace E AU - Goplerud E FA - Finnell, Deborah S FA - Nowzari, Shahrzad FA - Reimann, Brie FA - Fischer, Leigh FA - Pace, Elizabeth FA - Goplerud, Eric IN - Finnell,Deborah S. a Johns Hopkins University, School of Nursing , Baltimore , Maryland , USA. TI - Screening, brief intervention, and referral to treatment (SBIRT) as an integral part of nursing practice. SO - Substance Abuse. 35(2):114-8, 2014. AS - Subst Abus. 35(2):114-8, 2014. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Nurse's Role MH - *Nursing MH - *Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] KW - Nursing practice; screening; substance use AB - 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. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2014.888384 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2014 DC - 20140513 YR - 2014 ED - 20150413 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24580067 <141. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24506985 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gray MT FA - Gray, Mary Tod IN - Gray,Mary Tod. East Stroudsburg University, East Stroudsburg, PA. Electronic address: mgray@esu.edu. TI - Agency and addiction in a harm reduction paradigm: French nurses' perspectives. SO - Archives of Psychiatric Nursing. 28(1):35-42, 2014 Feb. AS - Arch Psychiatr Nurs. 28(1):35-42, 2014 Feb. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - *Cross-Cultural Comparison MH - Cultural Characteristics MH - Curriculum MH - France MH - *Harm Reduction MH - Humans MH - *Internal-External Control MH - Interview, Psychological MH - Nurse-Patient Relations MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing MH - Psychotherapy MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - French psychiatric nurses' perspectives on individuals addicted to drugs and their treatments are influenced by French socio-cultural norms. In this study, steps of the ethnographic method were used to elicit the intertwining of French professional and cultural perspectives on drug addiction. Emergent themes from nurses' interviews and cultural participant-observations suggest that drug addiction management in France's harm reduction paradigm challenges nurses' beliefs about addicted individuals' agency and conformity to treatment goals, and is influenced by European Union membership, changes in health care, drugs and demographics. Novel nursing strategies emergent from these themes might be applicable in other cultural contexts. Copyright © 2014. ES - 1532-8228 IL - 0883-9417 DI - S0883-9417(13)00115-5 DO - http://dx.doi.org/10.1016/j.apnu.2013.09.005 PT - Journal Article LG - English EP - 20131010 DP - 2014 Feb DC - 20140210 YR - 2014 ED - 20150413 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24506985 <142. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24506984 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boulton MA AU - Nosek LJ FA - Boulton, Martha A FA - Nosek, Laura J IN - Boulton,Martha A. Changing Perspectives LLP, Westport, Connecticut; Fairfield University, Fairfield, Connecticut; Norwalk Community College, Norwalk, Connecticut. Electronic address: mboulton1952@sbcglobal.net. IN - Nosek,Laura J. Case Western Reserve University, Cleveland, Ohio; Loyola University Chicago, Chicago, Illinois; Excelsior College, Albany, New York. TI - How do nursing students perceive substance abusing nurses?. SO - Archives of Psychiatric Nursing. 28(1):29-34, 2014 Feb. AS - Arch Psychiatr Nurs. 28(1):29-34, 2014 Feb. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - *Professional Impairment/px [Psychology] MH - *Psychiatric Nursing/ed [Education] MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - Young Adult AB - 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. Copyright © 2014. ES - 1532-8228 IL - 0883-9417 DI - S0883-9417(13)00123-4 DO - http://dx.doi.org/10.1016/j.apnu.2013.10.005 PT - Journal Article LG - English EP - 20131017 DP - 2014 Feb DC - 20140210 YR - 2014 ED - 20150413 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24506984 <143. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22841012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moceri JT AU - Drevdahl DJ FA - Moceri, Joane T FA - Drevdahl, Denise J IN - Moceri,Joane T. Tacoma, WA. Electronic address: joanemoceri@gmail.com. IN - Drevdahl,Denise J. Tacoma, WA. TI - Nurses' knowledge and attitudes toward pain in the emergency department. SO - Journal of Emergency Nursing. 40(1):6-12, 2014 Jan. AS - J Emerg Nurs. 40(1):6-12, 2014 Jan. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 SB - Nursing Journal CP - United States MH - Adult MH - Age Distribution MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - *Emergency Nursing/mt [Methods] MH - Emergency Nursing/sn [Statistics & Numerical Data] MH - *Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Northwestern United States MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Pain Management/mt [Methods] MH - Pain Measurement/mt [Methods] MH - Surveys and Questionnaires MH - Young Adult KW - Analgesics; Emergency department; Nurse; Opioid; Pain; Pain management AB - INTRODUCTION: The purpose of this study was to investigate emergency nurses' knowledge and attitudes about pain. AB - 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. AB - 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. AB - 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.Copyright © 2014 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved. ES - 1527-2966 IL - 0099-1767 DI - S0099-1767(12)00192-4 DO - http://dx.doi.org/10.1016/j.jen.2012.04.014 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120726 DP - 2014 Jan DC - 20140103 YR - 2014 ED - 20150409 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22841012 <144. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23815294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ong J AU - Wong W AU - Lee A AU - Holroyd E AU - Huang SY FA - Ong, Jason FA - Wong, William FA - Lee, Albert FA - Holroyd, Eleanor FA - Huang, Song Yuen IN - Ong,Jason. School of Population Health, University of Melbourne, Carlton, Vic., Australia. TI - Sexual activity and adolescent health risk behaviours amongst high school students in three ethnic Chinese urban populations. SO - Journal of Clinical Nursing. 22(23-24):3270-9, 2013 Dec. AS - J Clin Nurs. 22(23-24):3270-9, 2013 Dec. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Child MH - China/eh [Ethnology] MH - *Ethnic Groups MH - Humans MH - Male MH - *Risk-Taking MH - *Sexual Behavior MH - *Students/px [Psychology] MH - Young Adult KW - adolescent health; community nursing; health education; mental health; sexual health; substance abuse AB - 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. AB - 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. AB - DESIGN: Cross-sectional survey. AB - 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. AB - 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. AB - CONCLUSIONS: Sexually experienced Chinese high school students surveyed were at higher risk of substance abuse, poorer psychological health and academic performance. AB - 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.Copyright © 2013 John Wiley & Sons Ltd. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/jocn.12267 PT - Journal Article LG - English EP - 20130702 DP - 2013 Dec DC - 20140303 YR - 2013 ED - 20150406 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23815294 <145. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24937294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alexander GK AU - Canclini SB AU - Krauser DL FA - Alexander, Gina K FA - Canclini, Sharon B FA - Krauser, Debbie L IN - Alexander,Gina K. Author Affiliations: Assistant Professor (Dr Alexander), Assistant Professor of Professional Practice (Ms Canclini), Harris School of Nursing, Harris College of Nursing and Health Sciences, Texas Christian University, Fort Worth; Program Director (Ms Krauser), Fort Worth Emergency Services Collaborative, Texas. TI - Academic-practice collaboration in nursing education: service-learning for injury prevention. SO - Nurse Educator. 39(4):175-8, 2014 Jul-Aug. AS - Nurse Educ. 39(4):175-8, 2014 Jul-Aug. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Internet JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Community Health Services/og [Organization & Administration] MH - *Cooperative Behavior MH - Drug Overdose/pc [Prevention & Control] MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Evidence-Based Nursing/og [Organization & Administration] MH - Humans MH - *Learning MH - Models, Educational MH - Models, Nursing MH - Nursing Education Research MH - Nursing Evaluation Research MH - Prescription Drugs/po [Poisoning] MH - *Public Health Nursing/ed [Education] MH - Safety Management/og [Organization & Administration] MH - *Students, Nursing/px [Psychology] MH - United States MH - *Wounds and Injuries/pc [Prevention & Control] AB - Teams of senior-level baccalaureate nursing students at a private, urban university complete a population-focused public health nursing practicum through service-learning partnerships. Recently, students collaborated with local service agencies for Safe Communities America, a program of the National Safety Council in affiliation with the World Health Organization. This article describes the student-led process of community assessment, followed by systematic planning, implementation, and evaluation of evidence-based interventions to advance prescription drug overdose/poisoning prevention efforts in the community. RN - 0 (Prescription Drugs) ES - 1538-9855 IL - 0363-3624 DO - http://dx.doi.org/10.1097/NNE.0000000000000044 PT - Journal Article LG - English DP - 2014 Jul-Aug DC - 20140618 YR - 2014 ED - 20150402 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24937294 <146. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24274245 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kameg KM AU - Englert NC AU - Howard VM AU - Perozzi KJ FA - Kameg, Kirstyn M FA - Englert, Nadine Cozzo FA - Howard, Valerie M FA - Perozzi, Katherine J IN - Kameg,Kirstyn M. Robert Morris University, College of Nursing and Health Sciences, Pittsburgh, Pennsylvania, USA. TI - Fusion of psychiatric and medical high fidelity patient simulation scenarios: effect on nursing student knowledge, retention of knowledge, and perception. SO - Issues in Mental Health Nursing. 34(12):892-900, 2013 Dec. AS - Issues Ment Health Nurs. 34(12):892-900, 2013 Dec. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - gy7, 7907126 SB - Nursing Journal CP - England MH - Adult MH - Alcohol Withdrawal Delirium/nu [Nursing] MH - Alcohol Withdrawal Delirium/px [Psychology] MH - Attitude of Health Personnel MH - *Clinical Competence MH - Comorbidity MH - Curriculum MH - Depression, Postpartum/nu [Nursing] MH - Depression, Postpartum/px [Psychology] MH - Educational Measurement MH - Female MH - *Holistic Nursing/ed [Education] MH - Humans MH - Male MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Patient Simulation MH - *Perception MH - Pilot Projects MH - *Psychiatric Nursing/ed [Education] MH - *Retention (Psychology) MH - Spouse Abuse/px [Psychology] MH - Stress Disorders, Post-Traumatic/nu [Nursing] MH - Stress Disorders, Post-Traumatic/px [Psychology] MH - *Teaching AB - High fidelity patient simulation (HFPS) has become an increasingly popular teaching methodology in nursing education. To date, there have not been any published studies investigating HFPS scenarios incorporating medical and psychiatric nursing content. This study utilized a quasi-experimental design to assess if HFPS improved student knowledge and retention of knowledge utilizing three parallel 30-item Elsevier HESI(TM) Custom Exams. A convenience sample of 37 senior level nursing students participated in the study. The results of the study revealed the mean HESI test scores decreased following the simulation intervention although an analysis of variance (ANOVA) determined the difference was not statistically significant (p = .297). Although this study did not reveal improved student knowledge following the HFPS experiences, the findings did provide preliminary evidence that HFPS may improve knowledge in students who are identified as "at-risk." Additionally, students responded favorably to the simulations and viewed them as a positive learning experience. ES - 1096-4673 IL - 0161-2840 DO - http://dx.doi.org/10.3109/01612840.2013.854543 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2013 Dec DC - 20131126 YR - 2013 ED - 20150402 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24274245 <147. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23659899 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL AU - SooHoo S FA - Brennan, Penny L FA - SooHoo, Sonya IN - Brennan,Penny L. Center for Health Care Evaluation, VA Palo Alto Health Care System, Palo Alto, CA. Electronic address: penny.brennan@va.gov. IN - SooHoo,Sonya. Center for Health Care Evaluation, VA Palo Alto Health Care System, Palo Alto, CA. TI - Psychiatric disorders and pain treatment in community nursing homes. SO - American Journal of Geriatric Psychiatry. 22(8):792-800, 2014 Aug. AS - Am J Geriatr Psychiatry. 22(8):792-800, 2014 Aug. NJ - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cm3, 9309609 OI - Source: NLM. NIHMS477261 OI - Source: NLM. PMC3851928 SB - Index Medicus CP - England MH - Aged, 80 and over MH - Continental Population Groups/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Length of Stay/sn [Statistics & Numerical Data] MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Nursing Homes MH - *Pain Management/sn [Statistics & Numerical Data] MH - Pain Measurement/sn [Statistics & Numerical Data] MH - Prevalence MH - Sex Factors MH - United States/ep [Epidemiology] KW - Psychiatric disorder; nursing homes; pain AB - 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. AB - METHODS: In this cross-sectional study, we examined relationships among National Nursing Home Survey 2004 residents' demographic, diagnostic, pain, and pain treatment characteristics. AB - 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 longer-stay status. AB - 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.Copyright Published by Elsevier Inc. ES - 1545-7214 IL - 1064-7481 DI - S1064-7481(12)00326-0 DO - http://dx.doi.org/10.1016/j.jagp.2012.12.216 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - AA017477 (United States NIAAA NIH HHS) NO - AA15685 (United States NIAAA NIH HHS) NO - R01 AA017477 (United States NIAAA NIH HHS) LG - English EP - 20130506 DP - 2014 Aug DC - 20140714 YR - 2014 ED - 20150401 RD - 20150801 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23659899 <148. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23659899 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL AU - SooHoo S FA - Brennan, Penny L FA - SooHoo, Sonya IN - Brennan,Penny L. Center for Health Care Evaluation, VA Palo Alto Health Care System, Palo Alto, CA. Electronic address: penny.brennan@va.gov. IN - SooHoo,Sonya. Center for Health Care Evaluation, VA Palo Alto Health Care System, Palo Alto, CA. TI - Psychiatric disorders and pain treatment in community nursing homes. SO - American Journal of Geriatric Psychiatry. 22(8):792-800, 2014 Aug. AS - Am J Geriatr Psychiatry. 22(8):792-800, 2014 Aug. NJ - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cm3, 9309609 OI - Source: NLM. NIHMS477261 OI - Source: NLM. PMC3851928 SB - Index Medicus CP - England MH - Aged, 80 and over MH - Continental Population Groups/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Length of Stay/sn [Statistics & Numerical Data] MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Nursing Homes MH - *Pain Management/sn [Statistics & Numerical Data] MH - Pain Measurement/sn [Statistics & Numerical Data] MH - Prevalence MH - Sex Factors MH - United States/ep [Epidemiology] KW - Psychiatric disorder; nursing homes; pain AB - 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. AB - METHODS: In this cross-sectional study, we examined relationships among National Nursing Home Survey 2004 residents' demographic, diagnostic, pain, and pain treatment characteristics. AB - 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 longer-stay status. AB - 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.Copyright Published by Elsevier Inc. ES - 1545-7214 IL - 1064-7481 DI - S1064-7481(12)00326-0 DO - http://dx.doi.org/10.1016/j.jagp.2012.12.216 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - R01 AA015685 (United States NIAAA NIH HHS) NO - R01 AA017477 (United States NIAAA NIH HHS) NO - AA017477 (United States NIAAA NIH HHS) NO - AA15685 (United States NIAAA NIH HHS) LG - English EP - 2013May06 DP - 2014 Aug DC - 2014714 YR - 2014 ED - 20150401 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23659899 <149. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24060204 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oral R AU - Koc F AU - Jogerst K AU - Bayman L AU - Austin A AU - Sullivan S AU - Bayman EO FA - Oral, Resmiye FA - Koc, Feyza FA - Jogerst, Kristen FA - Bayman, Levent FA - Austin, Andrea FA - Sullivan, Shannon FA - Bayman, Emine Ozgur IN - Oral,Resmiye. Department of Pediatrics, University of Iowa, Carver College of Medicine , Iowa City, IA , USA . TI - Staff training makes a difference: improvements in neonatal illicit drug testing and intervention at a tertiary hospital. SO - Journal of Maternal-Fetal & Neonatal Medicine. 27(10):1049-54, 2014 Jul. AS - J Matern Fetal Neonatal Med. 27(10):1049-54, 2014 Jul. NJ - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101136916 SB - Index Medicus CP - England MH - *Education, Medical, Continuing/mt [Methods] MH - *Education, Nursing, Continuing/mt [Methods] MH - Female MH - Humans MH - Infant, Newborn MH - *Neonatal Screening/ut [Utilization] MH - Outcome and Process Assessment (Health Care) MH - Pregnancy MH - *Pregnancy Complications/di [Diagnosis] MH - Retrospective Studies MH - Risk Assessment MH - Substance Abuse Detection/sn [Statistics & Numerical Data] MH - *Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/di [Diagnosis] MH - Tertiary Care Centers KW - Illicit drug; perinatal; staff; test; training AB - OBJECTIVE: This project explored the impact of staff training on the rates of perinatal maternal and neonatal illicit drug testing. AB - METHODS: Controlled, retrospective chart review on 1186 newborn and mother dyads from 2006 (pre-training control group) and on 1861 dyads from 2009 (post-training study group) was completed. Differences between rates of infant and mother drug testing were compared. AB - RESULTS: Increased drug testing rates for the mothers and infants led to increased case finding that tripled both for the mothers (13-3.7%, p<0.001) and for the infants (0.9-2.9%, p<0.001). Missed opportunities for newborn testing was reduced by 35 times (20.9-0.6%, p<0.001). AB - CONCLUSION: This retrospective study led to an increase in the number of documented drug-exposed newborns. This research emphasizes the importance of and encourages other hospitals to analyze the efficacy of their current protocol and staff training practices in place to ensure the best child protection services. ES - 1476-4954 IL - 1476-4954 DO - http://dx.doi.org/10.3109/14767058.2013.847418 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20131017 DP - 2014 Jul DC - 20140606 YR - 2014 ED - 20150202 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24060204 <150. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24847874 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heckert W AU - Eisenhauer C FA - Heckert, Wende FA - Eisenhauer, Christine IN - Heckert,Wende. Author Affiliation: University of Nebraska Medical Center College of Nursing-Northern Division. TI - A case report of historical trauma among American Indians on a rural Northern Plains reservation. SO - Journal of Forensic Nursing. 10(2):106-9, 2014 Apr-Jun. AS - J. forensic nurs.. 10(2):106-9, 2014 Apr-Jun. NJ - Journal of forensic nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 101234500 SB - Index Medicus SB - Nursing Journal CP - United States MH - Art MH - *Grief MH - *Health Status Disparities MH - History, 19th Century MH - History, 20th Century MH - Humans MH - *Indians, North American/hi [History] MH - *Indians, North American/px [Psychology] MH - Midwestern United States MH - Poverty MH - Rural Population MH - Stress, Psychological/eh [Ethnology] MH - Substance-Related Disorders/eh [Ethnology] MH - Unemployment AB - 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. ES - 1939-3938 IL - 1556-3693 DO - http://dx.doi.org/10.1097/JFN.0000000000000028 PT - Historical Article PT - Journal Article LG - English DP - 2014 Apr-Jun DC - 20140522 YR - 2014 ED - 20150109 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24847874 <151. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25417332 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patestos C AU - Patterson K AU - Fitzsimons V FA - Patestos, Chrysanthe FA - Patterson, Kristen FA - Fitzsimons, Virginia TI - Substance abuse prevention: the role of the school nurse across the continuum of care. SO - NASN school nurse. 29(6):310-4, 2014 Nov. AS - NASN Sch Nurse. 29(6):310-4, 2014 Nov. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - *Continuity of Patient Care MH - Humans MH - *Nurse's Role MH - Program Evaluation MH - Risk Factors MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/mt [Methods] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2014 Nov DC - 20141124 YR - 2014 ED - 20141218 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25417332 <152. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24343350 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rog DJ AU - Marshall T AU - Dougherty RH AU - George P AU - Daniels AS AU - Ghose SS AU - Delphin-Rittmon ME FA - Rog, Debra J FA - Marshall, Tina FA - Dougherty, Richard H FA - George, Preethy FA - Daniels, Allen S FA - Ghose, Sushmita Shoma FA - Delphin-Rittmon, Miriam E TI - Permanent supportive housing: assessing the evidence. [Review] SO - Psychiatric Services. 65(3):287-94, 2014 Mar 1. AS - Psychiatr Serv. 65(3):287-94, 2014 Mar 1. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - *Homeless Persons MH - Humans MH - *Mental Disorders/ec [Economics] MH - *Mentally Ill Persons MH - *Public Housing/st [Standards] AB - OBJECTIVES: Permanent supportive housing provides safe, stable housing for people with mental and substance use disorders who are homeless or disabled. This article describes permanent supportive housing and reviews research. AB - METHODS: Authors reviewed individual studies and literature reviews from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. The authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness. AB - RESULTS: The level of evidence for permanent supportive housing was graded as moderate. Substantial literature, including seven randomized controlled trials, demonstrated that components of the model reduced homelessness, increased housing tenure, and decreased emergency room visits and hospitalization. Consumers consistently rated this model more positively than other housing models. Methodological flaws limited the ability to draw firm conclusions. Results were stronger for studies that compared permanent supportive housing with treatment as usual or no housing rather than with other models. AB - CONCLUSIONS: The moderate level of evidence indicates that permanent supportive housing is promising, but research is needed to clarify the model and determine the most effective elements for various subpopulations. Policy makers should consider including permanent supportive housing as a covered service for individuals with mental and substance use disorders. An evaluation component is needed to continue building its evidence base. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.201300261 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - HHSS283200700006I/HHSS28342003T (United States PHS HHS) NO - HHSS2832007000171/HHSS28300001T (United States PHS HHS) NO - HHSS283200700029I/HHSS28342002T (United States PHS HHS) LG - English DP - 2014 Mar 1 DC - 20140303 YR - 2014 ED - 20141210 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24343350 <153. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24549400 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chinman M AU - George P AU - Dougherty RH AU - Daniels AS AU - Ghose SS AU - Swift A AU - Delphin-Rittmon ME FA - Chinman, Matthew FA - George, Preethy FA - Dougherty, Richard H FA - Daniels, Allen S FA - Ghose, Sushmita Shoma FA - Swift, Anita FA - Delphin-Rittmon, Miriam E TI - Peer support services for individuals with serious mental illnesses: assessing the evidence. [Review] SO - Psychiatric Services. 65(4):429-41, 2014 Apr 1. AS - Psychiatr Serv. 65(4):429-41, 2014 Apr 1. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - Evidence-Based Practice MH - Humans MH - *Mental Disorders/rh [Rehabilitation] MH - *Peer Group MH - Program Evaluation MH - Severity of Illness Index MH - *Social Support AB - OBJECTIVE: This review assessed the level of evidence and effectiveness of peer support services delivered by individuals in recovery to those with serious mental illnesses or co-occurring mental and substance use disorders. AB - METHODS: Authors searched PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature for outcome studies of peer support services from 1995 through 2012. They found 20 studies across three service types: peers added to traditional services, peers in existing clinical roles, and peers delivering structured curricula. Authors judged the methodological quality of the studies using three levels of evidence (high, moderate, and low). They also described the evidence of service effectiveness. AB - RESULTS: The level of evidence for each type of peer support service was moderate. Many studies had methodological shortcomings, and outcome measures varied. The effectiveness varied by service type. Across the range of methodological rigor, a majority of studies of two service types--peers added and peers delivering curricula--showed some improvement favoring peers. Compared with professional staff, peers were better able to reduce inpatient use and improve a range of recovery outcomes, although one study found a negative impact. Effectiveness of peers in existing clinical roles was mixed. AB - CONCLUSIONS: Peer support services have demonstrated many notable outcomes. However, studies that better differentiate the contributions of the peer role and are conducted with greater specificity, consistency, and rigor would strengthen the evidence. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.201300244 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - HHSS283200700006I/HHSS28342003T (United States PHS HHS) NO - HHSS2832007000171/HHSS28300001T (United States PHS HHS) NO - HHSS283200700029I/HHSS28342002T (United States PHS HHS) LG - English DP - 2014 Apr 1 DC - 20140402 YR - 2014 ED - 20141209 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24549400 <154. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24445678 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lyman DR AU - Braude L AU - George P AU - Dougherty RH AU - Daniels AS AU - Ghose SS AU - Delphin-Rittmon ME FA - Lyman, D Russell FA - Braude, Lisa FA - George, Preethy FA - Dougherty, Richard H FA - Daniels, Allen S FA - Ghose, Sushmita Shoma FA - Delphin-Rittmon, Miriam E TI - Consumer and family psychoeducation: assessing the evidence. [Review] SO - Psychiatric Services. 65(4):416-28, 2014 Apr 1. AS - Psychiatr Serv. 65(4):416-28, 2014 Apr 1. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - Evidence-Based Medicine MH - *Family MH - Humans MH - *Mental Disorders/th [Therapy] MH - Mental Health Services MH - *Patient Education as Topic/mt [Methods] AB - OBJECTIVE: Psychoeducation provides adult consumers who have serious mental illness or co-occurring substance use disorders with information to support recovery. Some models also provide this service to family members. This review examined the evidence base for psychoeducation models in group and individual formats. AB - METHODS: Authors reviewed meta-analyses, research reviews, and individual studies from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. Authors chose from three levels of evidence (high, moderate, and low) on the basis of benchmarks for the number of studies and quality of their methodology. They also described service effectiveness. AB - RESULTS: More than 30 randomized controlled trials (RCTs) of consumer psychoeducation and more than 100 RCTs of family psychoeducation provide a high level of evidence for the effectiveness of each model. Reviews of consumer psychoeducation found that experimental groups had reduced nonadherence (primarily with medication regimens), fewer relapses, and reduced hospitalization rates compared with control groups. Some studies found significant improvements in social and global functioning, consumer satisfaction, and quality of life. Multifamily psychoeducation groups (the focus of numerous studies) were associated with significantly improved problem-solving ability and a reduced burden on families, compared with control groups, among other strong outcome effects. AB - CONCLUSIONS: Psychoeducation should be included in covered services. Group and family interventions are especially powerful. Future research should assess psychoeducation models with children and adolescents and with individuals from various racial and ethnic backgrounds. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.201300266 PT - Journal Article PT - Meta-Analysis PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - HHSS283200700006I/HHSS28342003T (United States PHS HHS) NO - HHSS2832007000171/HHSS28300001T (United States PHS HHS) NO - HHSS283200700029I/HHSS28342002T (United States PHS HHS) LG - English DP - 2014 Apr 1 DC - 20140401 YR - 2014 ED - 20141209 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24445678 <155. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24743176 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kane I AU - Mitchell AM AU - Puskar KR AU - Hagle H AU - Talcott K AU - Fioravanti M AU - Droppa M AU - Luongo PF AU - Lindsay D FA - Kane, Irene FA - Mitchell, Ann M FA - Puskar, Kathryn R FA - Hagle, Holly FA - Talcott, Kimberly FA - Fioravanti, Marie FA - Droppa, Mandy FA - Luongo, Peter F FA - Lindsay, Dawn IN - Kane,Irene. 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. TI - Identifying at risk individuals for drug and alcohol dependence: teaching the competency to students in classroom and clinical settings. SO - Nurse Educator. 39(3):126-34, 2014 May-Jun. AS - Nurse Educ. 39(3):126-34, 2014 May-Jun. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Internet JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Alcoholism/nu [Nursing] MH - Clinical Competence MH - Humans MH - Motivational Interviewing MH - *Nursing Assessment/mt [Methods] MH - Nursing Education Research MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Risk Assessment MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching/mt [Methods] AB - 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. ES - 1538-9855 IL - 0363-3624 DO - http://dx.doi.org/10.1097/NNE.0000000000000035 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - D11HP14629 (United States PHS HHS) LG - English DP - 2014 May-Jun DC - 20140418 YR - 2014 ED - 20141126 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24743176 <156. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24602434 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morgan BD FA - Morgan, Betty D IN - Morgan,Betty D. Department of Nursing, School of Health and Environment, University of Massachusetts, Lowell, Massachusetts. Electronic address: betty_morgan@uml.edu. TI - Nursing attitudes toward patients with substance use disorders in pain. SO - Pain Management Nursing. 15(1):165-75, 2014 Mar. AS - Pain Manag Nurs. 15(1):165-75, 2014 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Hospitals, Urban MH - Humans MH - Male MH - Middle Aged MH - *Models, Nursing MH - Nursing Methodology Research MH - *Nursing Staff, Hospital/px [Psychology] MH - *Pain/nu [Nursing] MH - Pain Management/nu [Nursing] MH - Pain Management/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 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. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(12)00138-5 DO - http://dx.doi.org/10.1016/j.pmn.2012.08.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120928 DP - 2014 Mar DC - 20140307 YR - 2014 ED - 20141124 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24602434 <157. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23352730 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aziato L AU - Adejumo O FA - Aziato, Lydia FA - Adejumo, Oluyinka IN - Aziato,Lydia. School of Nursing, University of Ghana, Ghana. Electronic address: laziato@ug.edu.gh. IN - Adejumo,Oluyinka. School of Nursing, University of the Western Cape, Bellville, South Africa. TI - The Ghanaian surgical nurse and postoperative pain management: a clinical ethnographic insight. SO - Pain Management Nursing. 15(1):265-72, 2014 Mar. AS - Pain Manag Nurs. 15(1):265-72, 2014 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Analgesics/tu [Therapeutic Use] MH - Anthropology, Cultural/mt [Methods] MH - *Attitude of Health Personnel MH - Female MH - Ghana MH - Humans MH - Middle Aged MH - Nursing Methodology Research MH - *Pain Management/nu [Nursing] MH - Pain Measurement/nu [Nursing] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pain, Postoperative/nu [Nursing] MH - *Perioperative Nursing/mt [Methods] MH - Young Adult AB - 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. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics) ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(12)00150-6 DO - http://dx.doi.org/10.1016/j.pmn.2012.10.002 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130124 DP - 2014 Mar DC - 20140307 YR - 2014 ED - 20141124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23352730 <158. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24622529 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle M AU - Himmel J AU - Ellis P FA - Naegle, Madeline FA - Himmel, Joy FA - Ellis, Patricia IN - Naegle,Madeline. 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. TI - SBIRT goes to college: interdisciplinary screening for alcohol use. SO - Journal of Addictions Nursing. 24(1):45-50, 2013 Jan-Mar. AS - J ADDICT NURS. 24(1):45-50, 2013 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Ascorbic Acid MH - *Binge Drinking/di [Diagnosis] MH - Binge Drinking/nu [Nursing] MH - Binge Drinking/th [Therapy] MH - Cholecalciferol MH - Dehydroepiandrosterone/aa [Analogs & Derivatives] MH - Faculty MH - Female MH - Humans MH - Male MH - Nicotinic Acids MH - Patient Care Team/og [Organization & Administration] MH - *Patient Care Team MH - Plant Extracts MH - Program Development MH - Student Health Services/mt [Methods] MH - *Student Health Services/og [Organization & Administration] MH - Students/px [Psychology] MH - Substance Abuse Detection/mt [Methods] MH - Substance Abuse Detection/nu [Nursing] AB - 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. RN - 0 (HUM 5007) RN - 0 (Nicotinic Acids) RN - 0 (Plant Extracts) RN - 1C6V77QF41 (Cholecalciferol) RN - 459AG36T1B (Dehydroepiandrosterone) RN - PQ6CK8PD0R (Ascorbic Acid) ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31828768cb PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2013 Jan-Mar DC - 20140313 YR - 2013 ED - 20141124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24622529 <159. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24622528 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson EA FA - Thompson, Elaine Adams IN - Thompson,Elaine Adams. University of Washington School of Nursing, Seattle. TI - Interdisciplinary research training in substance abuse and addictions. SO - Journal of Addictions Nursing. 24(1):39-44, 2013 Jan-Mar. AS - J ADDICT NURS. 24(1):39-44, 2013 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Biomedical Research/ed [Education] MH - Education, Professional/mt [Methods] MH - Education, Professional/og [Organization & Administration] MH - *Education, Professional MH - Evidence-Based Medicine/ed [Education] MH - Humans MH - *Interdisciplinary Studies MH - *Patient Care Team MH - *Substance-Related Disorders/th [Therapy] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e3182876811 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 5 T32 DA007257 (United States NIDA NIH HHS) LG - English DP - 2013 Jan-Mar DC - 20140313 YR - 2013 ED - 20141124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24622528 <160. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24622525 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broyles LM AU - Gordon AJ AU - Rodriguez KL AU - Hanusa BH AU - Kengor C AU - Kraemer KL FA - Broyles, Lauren M FA - Gordon, Adam J FA - Rodriguez, Keri L FA - Hanusa, Barbara H FA - Kengor, Caroline FA - Kraemer, Kevin L IN - Broyles,Lauren M. Lauren M. Broyles, 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, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, and Division of General Internal Medicine, Department of Medicine, School of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania. Keri L. Rodriguez, PhD, Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, and Division of General Internal Medicine, Department of Medicine, School of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania. Barbara H. Hanusa, PhD, Center for Health Equity Research and Promotion and Veterans Integrated Service Network 4 Mental Illness Research, Education, and Clinical Center, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania. Caroline Kengor, MPH, Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania. Kevin L. Kraemer, MD, MSc, Division of General Internal Medicine, Department of Medicine, School of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania. TI - Evaluation of a pilot training program in alcohol screening, brief intervention, and referral to treatment for nurses in inpatient settings. SO - Journal of Addictions Nursing. 24(1):8-19, 2013 Jan-Mar. AS - J ADDICT NURS. 24(1):8-19, 2013 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/th [Therapy] MH - Education, Nursing, Continuing/mt [Methods] MH - Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Nurse's Role MH - Patient Care Team MH - Pilot Projects MH - Program Evaluation MH - Referral and Consultation MH - Substance Abuse Detection/nu [Nursing] AB - Alcohol screening, brief intervention, and referral to treatment (SBIRT) is a set of clinical strategies for reducing the burden of alcohol-related injury, disease, and disability. SBIRT is typically considered a physician responsibility but calls for interdisciplinary involvement requiring basic SBIRT knowledge and skills training for all healthcare disciplines. The purpose of this pilot study was to design, implement, and evaluate a theory-driven SBIRT training program for nurses in inpatient settings (RN-SBIRT) that was developed through an interdisciplinary collaboration of nursing, medical, and public health professionals and tailored for registered nurses in the inpatient setting. In this three-phase study, we evaluated (1) RN-SBIRT's effectiveness for changing nurses' alcohol-related knowledge, clinical practice, and attitudes and (2) the feasibility of implementing the inpatient curriculum. In a quasi-experimental design, two general medical units at our facility were randomized to receive RN-SBIRT or a self-directed Web site on alcohol-related care. We performed a formative evaluation of RN-SBIRT, guided by the RE-AIM implementation framework. After training, nurses in the experimental condition had significant increases in Role Adequacy for working with drinkers and reported increased performance and increased competence for a greater number of SBIRT care tasks. Despite some scheduling challenges for the nurses to attend RN-SBIRT, nurse stakeholders were highly satisfied with RN-SBIRT. Results suggest that with adequate training and ongoing role support, nurses in inpatient settings could play active roles in interdisciplinary initiatives to address unhealthy alcohol use among hospitalized patients. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31828767ef PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2013 Jan-Mar DC - 20140313 YR - 2013 ED - 20141124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24622525 <161. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24622524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA FA - Murphy, Shirley A IN - Murphy,Shirley A. University of Washington, Seattle. TI - Interdisciplinary education in the addictions: a commentary on the current status. SO - Journal of Addictions Nursing. 24(1):4-7, 2013 Jan-Mar. AS - J ADDICT NURS. 24(1):4-7, 2013 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Education, Professional/mt [Methods] MH - Humans MH - *Interdisciplinary Studies MH - Interprofessional Relations MH - Patient Care Team MH - *Substance-Related Disorders/th [Therapy] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31828767b7 PT - Editorial LG - English DP - 2013 Jan-Mar DC - 20140313 YR - 2013 ED - 20141124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24622524 <162. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25152102 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Calvert WJ AU - Allen KR AU - Brockman-Jankowski S FA - Calvert, Wilma J FA - Allen, Kimberly R FA - Brockman-Jankowski, Sarah TI - Interim evaluation of a university-community collaboration to address methamphetamine use in a rural Missouri community. SO - Progress in Community Health Partnerships. 8(2):207-13, 2014. AS - Prog. community health partnersh.. 8(2):207-13, 2014. NJ - Progress in community health partnerships : research, education, and action PI - Journal available in: Print PI - Citation processed from: Print JC - 101273946 SB - Index Medicus CP - United States MH - Adolescent MH - *Amphetamine-Related Disorders/pc [Prevention & Control] MH - Child MH - Community-Based Participatory Research MH - *Community-Institutional Relations MH - Cooperative Behavior MH - Female MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Methamphetamine MH - Missouri MH - *Rural Population MH - *Universities/og [Organization & Administration] AB - BACKGROUND: Methamphetamine use remains a significant public health problem. A multifaceted problem requires a collaborative effort. AB - 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. AB - METHODS: Various strategies were used in the collaboration, including focus groups with school personnel and piloting the curriculum in a local school. AB - 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. AB - CONCLUSIONS: A real-world community problem can be addressed through a university-community collaboration. RN - 44RAL3456C (Methamphetamine) IS - 1557-0541 IL - 1557-0541 DO - http://dx.doi.org/10.1353/cpr.2014.0029 PT - Journal Article LG - English DP - 2014 DC - 20140825 YR - 2014 ED - 20141121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25152102 <163. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24372564 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarsfield E FA - Sarsfield, Eileen IN - Sarsfield,Eileen. Department of Nursing, Malek School of Health Professions, Marymount University, Arlington, Virginia. TI - Differences between novices' and experts' solving ill-structured problems. SO - Public Health Nursing. 31(5):444-53, 2014 Sep-Oct. AS - Public Health Nurs. 31(5):444-53, 2014 Sep-Oct. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Humans MH - Middle Aged MH - *Nurses, Public Health/px [Psychology] MH - Nurses, Public Health/sn [Statistics & Numerical Data] MH - Nursing Evaluation Research MH - Obesity/nu [Nursing] MH - *Problem Solving KW - expertise; ill-structured problems; problem solving; public health nursing; think aloud AB - OBJECTIVE: The purpose of this study was to describe differences in the cognitive processes of novice and expert public health nurses (PHNs) as they solved ill-structured problems commonly found in public health practice. AB - DESIGN AND SAMPLE: This descriptive/exploratory small group design used the think-aloud method, a qualitative technique of collecting verbal data about cognitive processes. Data were coded and analyzed using theoretical thematic analysis. The purposive sample consisted of 12 registered nurses: six novices and six experts. AB - MEASURES: Participants were asked to think-aloud as they solved two ill-structured public health problems (underage drinking and obesity). AB - RESULTS: Findings indicated that novice and expert PHNs solve ill-structured problems differently. Experts used cognitive strategies, such as conversion, to propel the problem-solving process forward, forming complex, detailed problem representations and solutions. Novices asked questions as a strategy in defining the problem and developed broad, superficial problem representations and solutions. AB - CONCLUSIONS: This study suggests the need for the development of strategies in the workplace and in academia that support PHNs in identifying and solving ill-structured problems as they transition from novice to expert.Copyright © 2013 Wiley Periodicals, Inc. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/phn.12100 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20131230 DP - 2014 Sep-Oct DC - 20140827 YR - 2014 ED - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24372564 <164. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24613948 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savage C AU - Dyehouse J AU - Marcus M FA - Savage, Christine FA - Dyehouse, Janice FA - Marcus, Marianne IN - Savage,Christine. 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. TI - Alcohol and health content in nursing baccalaureate degree curricula. SO - Journal of Addictions Nursing. 25(1):28-34, 2014 Jan-Mar. AS - J ADDICT NURS. 25(1):28-34, 2014 Jan-Mar. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000018 PT - Journal Article LG - English DP - 2014 Jan-Mar DC - 20140311 YR - 2014 ED - 20141106 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24613948 <165. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24621548 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Vargas D FA - de Vargas, Divane IN - de Vargas,Divane. School of Nursing, University of Sao Paulo (EEUSP), Brazil. TI - The impact of clinical experience with alcoholics on Brazilian nursing students' attitudes toward alcoholism and associated problems. SO - Journal of Addictions Nursing. 24(3):180-6, 2013 Jul-Sep. AS - J ADDICT NURS. 24(3):180-6, 2013 Jul-Sep. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Brazil MH - Female MH - Humans MH - Male MH - *Students, Nursing/px [Psychology] MH - Young Adult AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e3182a4cc43 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2013 Jul-Sep DC - 20140313 YR - 2013 ED - 20141105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24621548 <166. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24621546 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nilsen SL AU - Stone WL AU - Burleson SL FA - Nilsen, Stacy L FA - Stone, Wendy L FA - Burleson, Stephanie L IN - Nilsen,Stacy L. Naval Medical Center San Diego, California. TI - Identifying medical-surgical nursing staff perceptions of the drug-abusing patient. SO - Journal of Addictions Nursing. 24(3):168-72, 2013 Jul-Sep. AS - J ADDICT NURS. 24(3):168-72, 2013 Jul-Sep. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Humans MH - *Medical Staff/px [Psychology] MH - *Nursing Staff/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - Nurses report a negative, stereotypical, and moralistic view of substance-abusing patients. Unaddressed bias may impede delivery of quality care. There is limited research of the needs specific to medical-surgical nursing staff interacting with substance-abusing patients. Nursing therapeutic commitment refers to the degree the nurse feels prepared with an adequate knowledge base, professional support, and personal ownership of a patient condition. Low therapeutic commitment correlates with job dissatisfaction. The Drug and Drug Problems Perceptions Questionnaire assesses healthcare provider attitude and therapeutic commitment to patients using or abusing medication or illicit substances. This therapeutic commitment survey serves as a staff needs assessment for a targeted educational innovation. The results show that the medical and surgical nursing staff has a constructive attitude and a moderately high degree of therapeutic commitment to the drug-abusing patient population, similar to more specialized multidisciplinary, mental healthcare workers. This study showed that medical-surgical nurses feel professionally responsible and clinically supported with patients with primary or comorbid drug abuse. Consistent with established results, focused and ongoing education on the risk factors, outcomes, and physical and psychological effects of illicit substances is necessary to improve therapeutic commitment to drug-dependent patients. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e3182a4cb9c PT - Journal Article LG - English DP - 2013 Jul-Sep DC - 20140313 YR - 2013 ED - 20141105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24621546 <167. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24621542 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broyles LM AU - Kraemer KL AU - Kengor C AU - Gordon AJ FA - Broyles, Lauren M FA - Kraemer, Kevin L FA - Kengor, Caroline FA - Gordon, Adam J IN - Broyles,Lauren 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 Pittsburgh Healthcare System, and Division of General Internal Medicine, Department of Medicine, School of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pennsylvania. Kevin L. Kraemer, MD, MSc, Division of General Internal Medicine, Department of Medicine, School of Medicine, and Center for Research on Health Care, University of Pittsburgh, Pennsylvania. Caroline Kengor, MPH, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pennsylvania. TI - A tailored curriculum of alcohol screening, brief intervention, and referral to treatment (SBIRT) for nurses in inpatient settings. SO - Journal of Addictions Nursing. 24(3):130-41, 2013 Jul-Sep. AS - J ADDICT NURS. 24(3):130-41, 2013 Jul-Sep. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Curriculum MH - Humans MH - *Inpatients MH - Models, Theoretical MH - *Nursing Staff MH - *Professional Impairment MH - *Referral and Consultation MH - United States AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e3182a4cb0b PT - Journal Article LG - English DP - 2013 Jul-Sep DC - 20140313 YR - 2013 ED - 20141105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24621542 <168. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25153430 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Puskar K AU - Mitchell AM AU - Kane I AU - Hagle H AU - Talcott K FA - Puskar, Kathy FA - Mitchell, Ann M FA - Kane, Irene FA - Hagle, Holly FA - Talcott, Kimberly S TI - Faculty buy-in to teach alcohol and drug use screening. SO - Journal of Continuing Education in Nursing. 45(9):403-8, 2014 Sep. AS - J Contin Educ Nurs. 45(9):403-8, 2014 Sep. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Computer-Assisted Instruction MH - Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Faculty, Nursing MH - Humans MH - Pennsylvania MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - D11HP14629 (United States PHS HHS) LG - English DP - 2014 Sep DC - 20141008 YR - 2014 ED - 20141103 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25153430 <169. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25089747 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bakhshi S AU - While AE FA - Bakhshi, Savita FA - While, Alison E IN - Bakhshi,Savita. Research Associate, Florence Nightingale School of Nursing and Midwifery, King's College London. TI - Older people and alcohol use. SO - British Journal of Community Nursing. 19(8):370-4, 2014 Aug. AS - Br J Community Nurs. 19(8):370-4, 2014 Aug. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - *Community Health Nursing MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - Prevalence MH - Risk Factors KW - Alcohol; Dependency; Health behaviour; Misuse; Older people AB - The proportion of older people drinking alcohol above the recommended levels has been increasing in the UK. Alcohol dependency and misuse can lead to various physical and psychological problems for older people. A range of factors can influence alcohol dependency and misuse among older adults, which need careful consideration when interventions are being developed to reduce consumption. Interventions to reduce alcohol consumption among older people can include: home visits, telephone support, mentoring, one-to-one and group programmes, family and community engagement programmes, outreach programmes, and targeted support groups focused on education and social activities. There is a need for the training of community nurses focused on improving the detection (screening and assessment), treatment and service provision for older people. IS - 1462-4753 IL - 1462-4753 DO - http://dx.doi.org/10.12968/bjcn.2014.19.8.370 PT - Journal Article LG - English DP - 2014 Aug DC - 20140805 YR - 2014 ED - 20141103 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25089747 <170. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24621492 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oswald LM AU - Kverno K FA - Oswald, Lynn M FA - Kverno, Karan TI - An interview with Lynn M. Oswald, PhD, RN. SO - Journal of Addictions Nursing. 24(2):123-5, 2013 Apr-Jun. AS - J ADDICT NURS. 24(2):123-5, 2013 Apr-Jun. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Behavior, Addictive/nu [Nursing] MH - Behavior, Addictive/pp [Physiopathology] MH - Brain/pp [Physiopathology] MH - Child MH - Disease Susceptibility MH - *Education, Nursing MH - *Faculty, Nursing MH - Humans MH - *Nursing Research MH - Research Support as Topic MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31829297d5 PT - Interview LG - English DP - 2013 Apr-Jun DC - 20140313 YR - 2013 ED - 20141103 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24621492 <171. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25153430 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Puskar K AU - Mitchell AM AU - Kane I AU - Hagle H AU - Talcott K FA - Puskar, Kathy FA - Mitchell, Ann M FA - Kane, Irene FA - Hagle, Holly FA - Talcott, Kimberly S TI - Faculty buy-in to teach alcohol and drug use screening. SO - Journal of Continuing Education in Nursing. 45(9):403-8, 2014 Sep. AS - J Contin Educ Nurs. 45(9):403-8, 2014 Sep. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Computer-Assisted Instruction MH - Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Faculty, Nursing MH - Humans MH - Pennsylvania MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - D11HP14629 (United States PHS HHS) LG - English DP - 2014 Sep DC - 20141008 YR - 2014 ED - 20141103 RD - 20161215 UP - 20161222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25153430 <172. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24568286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Claus M AU - Kimbel R AU - Spahn D AU - Dudenhoffer S AU - Rose DM AU - Letzel S FA - Claus, Matthias FA - Kimbel, Renate FA - Spahn, Daniel FA - Dudenhoffer, Sarah FA - Rose, Dirk-Matthias FA - Letzel, Stephan IN - Claus,Matthias. Institute for Teachers' Health at the University Medical Center of the Johannes Gutenberg University of Mainz, Kupferbergterrasse 17-19, 55116 Mainz, Germany. matthias.claus@unimedizin-mainz.de. TI - Prevalence and influencing factors of chronic back pain among staff at special schools with multiple and severely handicapped children in Germany: results of a cross-sectional study. SO - BMC Musculoskeletal Disorders. 15:55, 2014. AS - BMC Musculoskelet Disord. 15:55, 2014. NJ - BMC musculoskeletal disorders PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968565 OI - Source: NLM. PMC3996048 SB - Index Medicus CP - England MH - Adult MH - Alcoholism/ep [Epidemiology] MH - *Back Pain/ep [Epidemiology] MH - Body Mass Index MH - Caregivers/sn [Statistics & Numerical Data] MH - Child MH - *Chronic Pain/ep [Epidemiology] MH - Cross-Sectional Studies MH - Depression/ep [Epidemiology] MH - Disabled Children MH - *Education, Special MH - Female MH - Germany/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - *Moving and Lifting Patients/ae [Adverse Effects] MH - *Musculoskeletal Diseases/ep [Epidemiology] MH - *Occupational Diseases/ep [Epidemiology] MH - Risk Factors MH - *Schools MH - Smoking/ep [Epidemiology] MH - Socioeconomic Factors MH - *Teaching MH - Workplace AB - BACKGROUND: In Germany, about 70,000 teachers and educational staff were teaching at more than 3,000 special schools during the school year 2010/2011. Nursing services like lifting pupils form a substantial part of the work content of the staff at special schools. Since nursing care often involves carrying and lifting pupils, there is a reason to assume an adverse effect on the musculoskeletal health of teachers and other professionals. With the present study we aimed to describe the prevalence and risk factors of chronic back pain among employees at this type of school. AB - METHODS: The cross-sectional survey was carried out between August 2010 and August 2012 at 13 special schools focusing on motoric and/or holistic development of handicapped children in Rhineland-Palatinate (Germany). Teachers and educational staff were interviewed using a questionnaire. We applied multivariable logistic regression analyses to identify influencing factors of chronic back pain. AB - RESULTS: Altogether 395 persons (response rate: 59.7%) participated in our study. Respondents were mostly female (86.8%) with a mean age of 45 years. The prevalence of chronic back pain was 38.7%. More than 40% reported frequently carrying and lifting heavy loads (>20 kg). Age [adjusted OR = 1.03 (95%-CI 1.00-1.05) for 1-year increase in age], current smoking [adjusted OR = 2.31 (95%-CI 1.27-4.23)], depression/depressive mood [adjusted OR = 1.85 (95%-CI 1.12-3.06)], frequently carrying and lifting heavy loads [adjusted OR = 2.69 (95%-CI 1.53-4.75)], and frequent exposure to environmental impacts [adjusted OR = 2.18 (95%-CI 1.26-3.76)] were influencing factors of chronic back pain in the final multivariable regression model. AB - CONCLUSIONS: A large proportion of teachers and educational staff suffered from chronic back pain in our study, indicating a high need for treatment in this professional group. Increasing age, current smoking, a diagnosed depression/depressive mood, carrying and lifting heavy loads, and exposure to environmental impacts were associated with chronic back pain. Due to the sparse literature on the topic, further studies using a longitudinal design are necessary for a better understanding of the risk factors of chronic back pain. ES - 1471-2474 IL - 1471-2474 DO - http://dx.doi.org/10.1186/1471-2474-15-55 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20140225 DP - 2014 DC - 20140331 YR - 2014 ED - 20141031 RD - 20150515 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24568286 <173. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25161064 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gardner DM FA - Gardner, David M IN - Gardner,David M. Professor, Department of Psychiatry and College of Pharmacy, Dalhousie University, Halifax, Nova Scotia. TI - Competent psychopharmacology. [Review] SO - Canadian Journal of Psychiatry - Revue Canadienne de Psychiatrie. 59(8):406-11, 2014 Aug. AS - Can J Psychiatry. 59(8):406-11, 2014 Aug. NJ - Canadian journal of psychiatry. Revue canadienne de psychiatrie PI - Journal available in: Print PI - Citation processed from: Print JC - clr, 7904187 OI - Source: NLM. PMC4143296 SB - Index Medicus CP - Canada MH - Canada MH - *Clinical Competence MH - Cooperative Behavior MH - Curriculum/td [Trends] MH - Education, Medical, Continuing MH - Education, Nursing, Continuing MH - Education, Pharmacy, Continuing MH - Humans MH - Interdisciplinary Communication MH - Off-Label Use MH - Patient Education as Topic/td [Trends] MH - *Psychopharmacology/ed [Education] MH - Psychotropic Drugs/ae [Adverse Effects] MH - Psychotropic Drugs/tu [Therapeutic Use] AB - There is little doubt that undergraduate and post-graduate training of physicians, pharmacists, and nurses is insufficient to prepare them to use psychotropics safely and effectively, especially in the context of their expanded off-label uses. Therefore, the development of competencies in psychotropic prescribing needs to be approached as a long-term, practice-based learning commitment. Proposed are the abilities and knowledge components necessary for safe and effective use of psychotropics. Typical challenges in prescribing for chronic and recurrent illnesses include highly variable responses and tolerability, drug interactions, and adverse effects that can be serious, irreversible, and even fatal. Prescribing psychotropics is further complicated by negative public and professional reports and growing patient concerns about the quality of care, and questions about the efficacy, safety, and addictive risks of psychotropics. Increased efforts are needed to enhance clinical training and knowledge in psychopharmacology among trainees and practising clinicians, with more comprehensive and sustained attention to the assessment of individual patients, and greater reliance on patient education and collaboration. Improved competence in psychotropic prescribing should lead to more informed, thoughtful, and better-targeted applications as one component of more comprehensive clinical care. RN - 0 (Psychotropic Drugs) IS - 0706-7437 IL - 0706-7437 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2014 Aug DC - 20140827 YR - 2014 ED - 20141030 RD - 20150804 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25161064 <174. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25316934 RO - PIP ST - PubMed-not-MEDLINE AU - Sathyanarayana Rao TS AU - Darshan MS AU - Tandon A AU - Raman R AU - Karthik KN AU - Saraswathi N AU - Das K AU - Harsha GT AU - Krishna VS AU - Ashok NC FA - Sathyanarayana Rao, T S FA - Darshan, M S FA - Tandon, Abhinav FA - Raman, Rajesh FA - Karthik, K N FA - Saraswathi, N FA - Das, Keya FA - Harsha, G T FA - Krishna, V S T FA - Ashok, N C IN - Sathyanarayana Rao,T S. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Darshan,M S. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Tandon,Abhinav. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Raman,Rajesh. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Karthik,K N. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Saraswathi,N. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Das,Keya. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Harsha,G T. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Krishna,V S T. Department of Psychiatry, JSS Medical College, JSS University, Mysore, India. IN - Ashok,N C. Department of Community Medicine, JSS Medical College, JSS University, Mysore, India. TI - Suttur study: An epidemiological study of psychiatric disorders in south Indian rural population. SO - Indian Journal of Psychiatry. 56(3):238-45, 2014 Jul. AS - Indian J Psychiatry. 56(3):238-45, 2014 Jul. NJ - Indian journal of psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 0013255 OI - Source: NLM. PMC4181178 CP - India KW - India; Prevalence of psychiatric disorders; age; alcohol consumption and depression; chronic medical disorders; epidemiology and epidemiological study AB - 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. AB - 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. AB - 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%. AB - 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 undergraduate medical and nursing students is likely to play a significant role in addressing the increasing psychiatric morbidities. IS - 0019-5545 IL - 0019-5545 DO - http://dx.doi.org/10.4103/0019-5545.140618 PT - Journal Article LG - English DP - 2014 Jul DC - 20141015 YR - 2014 ED - 20141015 RD - 20141018 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25316934 <175. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24005567 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naranjo A AU - Bilbao A AU - Erausquin C AU - Ojeda S AU - Francisco FM AU - Rua-Figueroa I AU - Rodriguez-Lozano C FA - Naranjo, Antonio FA - Bilbao, Ana FA - Erausquin, Celia FA - Ojeda, Soledad FA - Francisco, Felix M FA - Rua-Figueroa, Inigo FA - Rodriguez-Lozano, Carlos IN - Naranjo,Antonio. Department of Rheumatology, Hospital Universitario de Gran Canaria Dr. Negrin, Universidad de Las Palmas de Gran Canaria, C/Barranco de La Ballena s/n, 35010, Las Palmas de Gran Canaria, Spain, anarher@gobiernodecanarias.org. TI - Results of a specific smoking cessation program for patients with arthritis in a rheumatology clinic. SO - Rheumatology International. 34(1):93-9, 2014 Jan. AS - Rheumatol Int. 34(1):93-9, 2014 Jan. NJ - Rheumatology international PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8206885, tdz SB - Index Medicus CP - Germany MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Arthritis/di [Diagnosis] MH - *Arthritis/th [Therapy] MH - Chi-Square Distribution MH - Counseling MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - Odds Ratio MH - *Outpatient Clinics, Hospital MH - Patient Education as Topic MH - Prospective Studies MH - Recurrence MH - *Rheumatology MH - Risk Factors MH - Risk Reduction Behavior MH - Smoking/ae [Adverse Effects] MH - *Smoking/pc [Prevention & Control] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - Spain MH - Time Factors MH - Tobacco Use Cessation Products MH - Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome MH - Young Adult AB - The purpose of this study is to evaluate an intervention program in smoker patients. We selected consecutive active smoker patients with rheumatoid arthritis, spondyloarthritis, or connective tissue diseases. The intervention consisted of the following: (1) a baseline visit, which included verbal and written advice by the rheumatologist, emphasizing the practical benefits of smoking cessation. Patients completed a questionnaire that included smoking dependence tests and previous attempts to quit. (2) A follow-up visit to the nurse in the 3rd month for reinforcement and the receiving of pharmacological treatment to help patients quit smoking. The primary outcome was total abstinence in the last 7 days of a phone interview at 3, 6, and 12 months. The secondary outcome was a reduction in cigarette consumption by at least 50%. A total of 945 patients were screened. About 185 (19.5%) were current smokers, and 152 were included for intervention. In the previous 5 years, the mean annual withdrawal rate was 4.6%. The smoking cessation rate was 11.8, 14.4, and 15.7% at 3, 6, and 12 months (OR compared with previous cessation rate 3.8 (CI 95% 1.8-8.1)). Twenty-nine patients (19%) reduced >50% of the cigarette consumption at 12 months. The linear regression analysis showed that a score of less dependence (p = 0.03) and previous attempts to quit smoking (p = 0.04) were significantly associated with definitive smoking cessation at 12 months. One out of six patients quit smoking with the aid of an educational program which included verbal and written advice by the rheumatologist and the nurse. As far as we know, this is the first interventional study in smoker patients with arthritis. ES - 1437-160X IL - 0172-8172 DO - http://dx.doi.org/10.1007/s00296-013-2851-8 PT - Journal Article PT - Observational Study LG - English EP - 20130905 DP - 2014 Jan DC - 20140103 YR - 2014 ED - 20141013 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24005567 <176. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25269356 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MacMullen NJ AU - Dulski LA AU - Blobaum P FA - MacMullen, Nancy J FA - Dulski, Laura A FA - Blobaum, Paul TI - Evidence-based interventions for neonatal abstinence syndrome. SO - Pediatric Nursing. 40(4):165-72, 203, 2014 Jul-Aug. AS - Pediatr Nurs. 40(4):165-72, 203, 2014 Jul-Aug. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Cost of Illness MH - Education, Nursing, Continuing MH - *Evidence-Based Nursing MH - Female MH - Humans MH - Incidence MH - Infant MH - Infant, Newborn MH - Neonatal Abstinence Syndrome/ec [Economics] MH - Neonatal Abstinence Syndrome/ep [Epidemiology] MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Pregnancy MH - Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - Young Adult AB - This review aimed to determine best nursing practice by systematically and critically reviewing the appropriate literature and expert guidelines. Using keyword and literature databases, over 480 journal titles were reviewed. Twenty-four articles and three expert guidelines were chosen. The majority of articles selected as evidence were Level IV--opinions of respected authorities based clinical experiences, descriptive studies, case reports, or reports of experts. Two articles were Level I-II--experimental studies. Results of the review showed that traditional supportive interventions also have a body of evidence for their use. Although there is much research regarding neonatal abstinence syndrome (NAS), the majority of future research needs to be at a higher level of evidence. Nursing applications include obtaining evidence for best practice through diligent searches of the literature and expert guidelines. IS - 0097-9805 IL - 0097-9805 PT - Journal Article LG - English DP - 2014 Jul-Aug DC - 20141001 YR - 2014 ED - 20141010 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25269356 <177. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25118431 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scriber KC FA - Scriber, Kelly C TI - Marijuana legalization in Colorado: a nursing student's perspective. SO - Colorado Nurse. 114(2):14, 2014 May. AS - Colo Nurse. 114(2):14, 2014 May. NJ - Colorado nurse (1985) PI - Journal available in: Print PI - Citation processed from: Print JC - con, 8502809 SB - Nursing Journal CP - United States MH - *Cannabis/ae [Adverse Effects] MH - Colorado MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Legislation, Drug MH - Male MH - Medical Marijuana/pd [Pharmacology] MH - *Nurse's Role MH - *Patient Education as Topic MH - Phytotherapy/ae [Adverse Effects] MH - *Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] RN - 0 (Medical Marijuana) IS - 8750-846X IL - 8750-846X PT - Journal Article LG - English DP - 2014 May DC - 20140814 YR - 2014 ED - 20140926 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25118431 <178. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25118429 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kozicki C FA - Kozicki, Caitlin TI - Peer Assistance Services. SO - Colorado Nurse. 114(2):6, 2014 May. AS - Colo Nurse. 114(2):6, 2014 May. NJ - Colorado nurse (1985) PI - Journal available in: Print PI - Citation processed from: Print JC - con, 8502809 SB - Nursing Journal CP - United States MH - Adult MH - Colorado MH - *Counseling/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - *Mental Health Services/og [Organization & Administration] MH - Middle Aged MH - Nurses/px [Psychology] MH - *Occupational Health Services/og [Organization & Administration] MH - Organizational Objectives MH - *Peer Group MH - *Societies, Nursing/og [Organization & Administration] MH - *Stress, Physiological MH - *Stress, Psychological/nu [Nursing] MH - Students, Nursing/px [Psychology] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 8750-846X IL - 8750-846X PT - Journal Article LG - English DP - 2014 May DC - 20140814 YR - 2014 ED - 20140926 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25118429 <179. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24076363 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berentzen TL AU - Gamborg M AU - Holst C AU - Sorensen TI AU - Baker JL FA - Berentzen, Tina Landsvig FA - Gamborg, Michael FA - Holst, Claus FA - Sorensen, Thorkild I A FA - Baker, Jennifer L IN - Berentzen,Tina Landsvig. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark. IN - Gamborg,Michael. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark. IN - Holst,Claus. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark. IN - Sorensen,Thorkild I A. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark; The Novo Nordisk Foundation Center for Basic Metabolic Research, Section of Metabolic Genetics, Faculty of Health Sciences, University of Copenhagen, Denmark. IN - Baker,Jennifer L. Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark; The Novo Nordisk Foundation Center for Basic Metabolic Research, Section of Metabolic Genetics, Faculty of Health Sciences, University of Copenhagen, Denmark. Electronic address: Jennifer.Lyn.Baker@regionh.dk. TI - Body mass index in childhood and adult risk of primary liver cancer. SO - Journal of Hepatology. 60(2):325-30, 2014 Feb. AS - J Hepatol. 60(2):325-30, 2014 Feb. NJ - Journal of hepatology PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ibs, 8503886 SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Aged, 80 and over MH - *Body Mass Index MH - Carcinoma, Hepatocellular/ep [Epidemiology] MH - *Carcinoma, Hepatocellular/et [Etiology] MH - Carcinoma, Hepatocellular/pa [Pathology] MH - Child MH - Cohort Studies MH - Denmark/ep [Epidemiology] MH - Fatty Liver/co [Complications] MH - Fatty Liver/pa [Pathology] MH - Female MH - Humans MH - Liver Neoplasms/ep [Epidemiology] MH - *Liver Neoplasms/et [Etiology] MH - Liver Neoplasms/pa [Pathology] MH - Male MH - Middle Aged MH - Non-alcoholic Fatty Liver Disease MH - Overweight/co [Complications] MH - Overweight/pa [Pathology] MH - Prospective Studies MH - Risk Factors KW - BMI; Body mass index; CSHRR; Childhood; Cohort study; Copenhagen School Health Records Register; HCC; HR; ICD; International Classification of Diseases; Liver cancer; NAFLD; Obesity; Overweight; body mass index; hazard ratios; hepatocellular carcinoma; non-alcoholic fatty liver disease AB - 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. AB - 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. AB - 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. AB - 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.Copyright © 2013 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved. ES - 1600-0641 IL - 0168-8278 DI - S0168-8278(13)00675-2 DO - http://dx.doi.org/10.1016/j.jhep.2013.09.015 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130926 DP - 2014 Feb DC - 20140120 YR - 2014 ED - 20140926 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24076363 <180. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24247197 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall T AU - Goldberg RW AU - Braude L AU - Dougherty RH AU - Daniels AS AU - Ghose SS AU - George P AU - Delphin-Rittmon ME FA - Marshall, Tina FA - Goldberg, Richard W FA - Braude, Lisa FA - Dougherty, Richard H FA - Daniels, Allen S FA - Ghose, Sushmita Shoma FA - George, Preethy FA - Delphin-Rittmon, Miriam E TI - Supported employment: assessing the evidence. [Review] SO - Psychiatric Services. 65(1):16-23, 2014 Jan 1. AS - Psychiatr Serv. 65(1):16-23, 2014 Jan 1. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - *Employment, Supported/st [Standards] MH - Humans AB - OBJECTIVE: Supported employment is a direct service with multiple components designed to help adults with mental disorders or co-occurring mental and substance use disorders choose, acquire, and maintain competitive employment. This article describes supported employment and assesses the evidence base for this service. AB - METHODS: Authors reviewed meta-analyses, research reviews, and individual studies from 1995 through 2012. Databases surveyed were PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. Authors chose from three levels of evidence (high, moderate, and low) based on benchmarks for the number of studies and quality of their methodology. They also described the evidence for service effectiveness. AB - RESULTS: The level of research evidence for supported employment was graded as high, based on 12 systematic reviews and 17 randomized controlled trials of the individual placement and support model. Supported employment consistently demonstrated positive outcomes for individuals with mental disorders, including higher rates of competitive employment, fewer days to the first competitive job, more hours and weeks worked, and higher wages. There was also strong evidence supporting the effectiveness of individual elements of the model. AB - CONCLUSIONS: Substantial evidence demonstrates the effectiveness of supported employment. Policy makers should consider including it as a covered service. Future research is needed for subgroups such as young adults, older adults, people with primary substance use disorders, and those from various cultural, racial, and ethnic backgrounds. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.201300262 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - HHSS283200700006I/HHSS28342003T (United States PHS HHS) NO - HHSS2832007000171/HHSS28300001T (United States PHS HHS) NO - HHSS283200700029I/HHSS28342002T (United States PHS HHS) LG - English DP - 2014 Jan 1 DC - 20140102 YR - 2014 ED - 20140924 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24247197 <181. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25167607 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bozimowski G AU - Groh C AU - Rouen P AU - Dosch M FA - Bozimowski, Gregory FA - Groh, Carla FA - Rouen, Patricia FA - Dosch, Michael TI - The prevalence and patterns of substance abuse among nurse anesthesia students. SO - AANA Journal. 82(4):277-83, 2014 Aug. AS - AANA J. 82(4):277-83, 2014 Aug. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - United States MH - Adult MH - Data Collection MH - Female MH - Humans MH - Male MH - *Nurse Anesthetists/sn [Statistics & Numerical Data] MH - Prevalence MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - Young Adult AB - 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. IS - 0094-6354 IL - 0094-6354 PT - Journal Article LG - English DP - 2014 Aug DC - 20140829 YR - 2014 ED - 20140923 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=25167607 <182. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24937733 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ridner SL AU - Ostapchuk M AU - Cloud RN AU - Myers J AU - Jorayeva A AU - Ling J FA - Ridner, S Lee FA - Ostapchuk, Michael FA - Cloud, Richard N FA - Myers, John FA - Jorayeva, Anna FA - Ling, Jiying IN - Ridner,S Lee. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. IN - Ostapchuk,Michael. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. IN - Cloud,Richard N. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. IN - Myers,John. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. IN - Jorayeva,Anna. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. IN - Ling,Jiying. From the University of Louisville School of Nursing, Family Medicine, Kent School of Social Work, Department of Pediatrics, Louisville, Kentucky. TI - Using motivational interviewing for smoking cessation in primary care. SO - Southern Medical Journal. 107(5):314-9, 2014 May. AS - South Med J. 107(5):314-9, 2014 May. NJ - Southern medical journal PI - Journal available in: Print PI - Citation processed from: Internet JC - uvh, 0404522 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Female MH - Follow-Up Studies MH - Humans MH - Internship and Residency MH - Male MH - Middle Aged MH - *Motivational Interviewing/ma [Manpower] MH - Motivational Interviewing/mt [Methods] MH - Nurse Practitioners MH - *Nurse's Role MH - *Physician's Role MH - *Primary Health Care MH - Self Efficacy MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - Time Factors AB - OBJECTIVES: To compare the effects of resident physician motivational interviewing (MI), resident physician MI plus registered nurse (RN), and the standard of care counseling approach--ask, advise, assess, assist, and arrange follow-up (5 As)--on current smokers' behaviors (readiness to quit, cigarettes smoked per day, current smoking rates), self-efficacy to quit smoking, and nicotine dependence. AB - 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. AB - 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. There was a significant time effect and a decrease in the number of cigarettes smoked per day (F2,160 = 41.04, P < 0.001). Significant group x time interactions were present for self-efficacy (F4,140 = 8.20, P < 0.001), nicotine dependence (F4,140 = 6.22, P < 0.001) and satisfaction with clinician (F4,160 = 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 the MD-plus-RN follow-up group had significant positive changes in satisfaction scores. AB - CONCLUSIONS: Resident physicians who use MI techniques have a tremendous effect on patients' smoking behaviors. When the resident physician and the RN worked together, participants achieved better outcomes. ES - 1541-8243 IL - 0038-4348 DO - http://dx.doi.org/10.1097/SMJ.0000000000000106 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2014 May DC - 20140618 YR - 2014 ED - 20140818 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24937733 <183. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24315276 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Voshall B AU - Dunn KS AU - Shelestak D FA - Voshall, Barbara FA - Dunn, Karen S FA - Shelestak, Debra IN - Voshall,Barbara. School of Nursing, Graceland University, Independence, Missouri. Electronic address: bavoshal@oakland.edu. TI - Knowledge and attitudes of pain management among nursing faculty. SO - Pain Management Nursing. 14(4):e226-35, 2013 Dec. AS - Pain Manag Nurs. 14(4):e226-35, 2013 Dec. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Curriculum MH - Data Collection MH - *Education, Nursing, Baccalaureate MH - *Faculty, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Nursing Theory MH - *Pain/nu [Nursing] MH - *Pain Management/nu [Nursing] MH - Pain Measurement/nu [Nursing] AB - 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. Copyright © 2013 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(12)00023-9 DO - http://dx.doi.org/10.1016/j.pmn.2012.02.001 PT - Journal Article LG - English EP - 20120321 DP - 2013 Dec DC - 20131209 YR - 2013 ED - 20140812 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24315276 <184. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21937097 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanabe P AU - Stevenson A AU - DeCastro L AU - Drawhorn L AU - Lanzkron S AU - Molokie RE AU - Artz N FA - Tanabe, Paula FA - Stevenson, Autumn FA - DeCastro, Laura FA - Drawhorn, Linda FA - Lanzkron, Sophie FA - Molokie, Robert E FA - Artz, Nicole IN - Tanabe,Paula. Durham, NC; Chicago and Maywood, IL; Baltimore, MD. Electronic address: Paula.tanabe@duke.edu. TI - Evaluation of a train-the-trainer workshop on sickle cell disease for ED providers. SO - Journal of Emergency Nursing. 39(6):539-46, 2013 Nov. AS - J Emerg Nurs. 39(6):539-46, 2013 Nov. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 SB - Nursing Journal CP - United States MH - *Anemia, Sickle Cell/nu [Nursing] MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Data Collection/mt [Methods] MH - Data Collection/sn [Statistics & Numerical Data] MH - *Emergency Nursing/ed [Education] MH - Emergency Nursing/mt [Methods] MH - Emergency Nursing/sn [Statistics & Numerical Data] MH - *Emergency Service, Hospital MH - Follow-Up Studies MH - Humans MH - Illinois MH - *Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Program Evaluation/mt [Methods] MH - Program Evaluation/sn [Statistics & Numerical Data] KW - Education; Emergency department; Pain AB - OBJECTIVE: (1) Determine the difference in pre-test and post-test knowledge scores for attendees of a train-the-trainer workshop and (2) determine the number of attendees who disseminated the content within 6 months of attending the workshop. AB - METHODS: A 1-day, train-the-trainer workshop focusing on sickle cell disease (SCD) was developed. ED nurses and physicians from the emergency departments with the highest number of patients with SCD were invited to participate at no cost. A panel consisting of 6 SCD and ED experts planned the workshop and developed 20 items for pre-test and post-test knowledge evaluation. The pre-test and post-test were administered at the beginning and end of the workshop, respectively. All attendees received a flash drive with all conference materials and were asked to disseminate workshop content to other ED colleagues. After 6 months, a brief survey was sent to the participants using Survey Monkey asking the number and type of providers trained. AB - RESULTS: Fifty-five participants attended the workshop. The mean (SD) pre-test score for the entire cohort was 13 (2) and the post-test score was 16 (2); mean difference (95% CI) 2.96 (2.36, 3.57). Items that scored low included questions dealing with pathophysiologic complications, addiction, or ED utilization. Eighteen participants completed the 6-month follow-up survey. Seven participants reported disseminating workshop content to a total of 99 providers. AB - CONCLUSION: A train-the-trainer workshop specifically designed for emergency physicians and nurses that discussed the broad spectrum of SCD was well attended, and 6 months later, 99 additional providers received training.Copyright © 2013 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved. ES - 1527-2966 IL - 0099-1767 DI - S0099-1767(11)00248-0 DO - http://dx.doi.org/10.1016/j.jen.2011.05.010 PT - Journal Article LG - English EP - 20110919 DP - 2013 Nov DC - 20131111 YR - 2013 ED - 20140811 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=21937097 <185. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24335775 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ludwig F FA - Ludwig, Fran TI - An interview with Fran Ludwig, MS, RN, nurse educator. SO - Journal of Addictions Nursing. 24(4):269-71, 2013 Oct-Dec. AS - J ADDICT NURS. 24(4):269-71, 2013 Oct-Dec. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - Career Choice MH - *Community Health Nursing MH - *Education, Nursing MH - Holistic Health/td [Trends] MH - Humans MH - *Religion and Medicine MH - Spirituality MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000009 PT - Interview LG - English DP - 2013 Oct-Dec DC - 20131216 YR - 2013 ED - 20140728 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24335775 <186. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24335770 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Feigenbaum JC FA - Feigenbaum, Janice Cooke IN - Feigenbaum,Janice Cooke. University at Buffalo School of Nursing, New York. TI - A historical review of perceptions of key aspects of spirituality and religion within alcoholics anonymous. [Review] SO - Journal of Addictions Nursing. 24(4):229-36, 2013 Oct-Dec. AS - J ADDICT NURS. 24(4):229-36, 2013 Oct-Dec. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholics Anonymous/hi [History] MH - *Alcoholism/hi [History] MH - Alcoholism/rh [Rehabilitation] MH - Health Knowledge, Attitudes, Practice MH - History, 19th Century MH - History, 20th Century MH - Nurse's Role MH - Nurses/px [Psychology] MH - Nursing Research MH - *Religion and Psychology MH - Spirituality MH - United States AB - This historical research aimed to develop an accurate perception of the role of spirituality and religion within the history of Alcoholics Anonymous. Primary and secondary sources were reviewed. The study identified that Bill W. and Dr. Bob established the format for the support group based on the ideas of William James, which formed the base for the Oxford Groups. Alcoholics Anonymous was clearly viewed as a spiritual group and not a religion. The review also showed that the two founders had each experienced one of the two types of spiritual awakenings that James had addressed. These findings will help nurses clarify their own perceptions of this organization so they may accurately educate individuals who they are encouraging to participate in this program while recovering from an addiction. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0000000000000004 PT - Historical Article PT - Journal Article PT - Review LG - English DP - 2013 Oct-Dec DC - 20131216 YR - 2013 ED - 20140728 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24335770 <187. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23970232 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gil-Garcia E AU - Martini JG AU - Porcel-Galvez AM FA - Gil-Garcia, Eugenia FA - Martini, Jussara Gue FA - Porcel-Galvez, Ana Maria IN - Gil-Garcia,Eugenia. Departamento de Enfermeria, Universidad de Sevilla, Sevilla, Spain. TI - Alcohol consumption and risky sexual practices: the pattern of nursing students from the Spanish University. SO - Revista Latino-Americana de Enfermagem. 21(4):941-7, 2013 Jul-Aug. AS - Rev Lat Am Enfermagem. 21(4):941-7, 2013 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Internet JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Spain MH - *Students, Nursing MH - Surveys and Questionnaires MH - Universities MH - *Unsafe Sex/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. AB - 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). AB - 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. AB - 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. ES - 1518-8345 IL - 0104-1169 DI - S0104-11692013000400941 DO - http://dx.doi.org/10.1590/S0104-11692013000400016 PT - Journal Article LG - English LG - Portuguese LG - Spanish DP - 2013 Jul-Aug DC - 20130823 YR - 2013 ED - 20140728 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23970232 <188. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23968612 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Al-Hamdani M FA - Al-Hamdani, Mohammed IN - Al-Hamdani,Mohammed. Department of Psychology, Saint Mary's University, 923, Robie Street, Halifax, NS. alhamdani.mohammed@gmail.com TI - Disproportionate organizational injustice: a close look at facilities exempted from indoor smoking laws in Canada. SO - Healthcare Policy = Politiques de sante. 8(2):24-9, 2012 Nov. AS - Healthc Policy. 8(2):24-9, 2012 Nov. NJ - Healthcare policy = Politiques de sante PI - Journal available in: Print PI - Citation processed from: Internet JC - 101280107 OI - Source: NLM. PMC3517869 SB - Index Medicus CP - Canada MH - Canada MH - Humans MH - Occupational Exposure/lj [Legislation & Jurisprudence] MH - Occupational Health MH - Residential Facilities/lj [Legislation & Jurisprudence] MH - Residential Facilities/ma [Manpower] MH - *Smoke-Free Policy/lj [Legislation & Jurisprudence] MH - Smoking/ae [Adverse Effects] MH - Smoking/lj [Legislation & Jurisprudence] MH - Social Justice MH - Tobacco Smoke Pollution/lj [Legislation & Jurisprudence] AB - 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. Copyright © 2012 Longwoods Publishing. RN - 0 (Tobacco Smoke Pollution) IS - 1715-6572 IL - 1715-6572 PT - Journal Article LG - English DP - 2012 Nov DC - 20130823 YR - 2012 ED - 20140725 RD - 20150423 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23968612 <189. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24974448 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roberson C FA - Roberson, Charlene TI - Alcohol withdrawal. SO - Alabama Nurse. 41(2):14-6; quiz 18, 2014 Jun-Aug. AS - Ala Nurse. 41(2):14-6; quiz 18, 2014 Jun-Aug. NJ - The Alabama nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 14720150r, 35k SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - *Ethanol/ae [Adverse Effects] MH - Humans MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - Substance Withdrawal Syndrome/pp [Physiopathology] RN - 3K9958V90M (Ethanol) IS - 0002-4317 IL - 0002-4317 PT - Journal Article LG - English DP - 2014 Jun-Aug DC - 20140630 YR - 2014 ED - 20140722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24974448 <190. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23828056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nascimento AL AU - de Souza AF AU - de Amorim AC AU - Leitao MB AU - Maio R AU - Burgos MG FA - Nascimento, Ana Luisa V FA - de Souza, Amanda Fernandes O FA - de Amorim, Ana Carolina R FA - Leitao, Mayara Brasil de S FA - Maio, Regiane FA - Burgos, Maria Goretti P A IN - Nascimento,Ana Luisa V. Departamento de Nutricao, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brasil. nutrianaluisa@gmail.com TI - Alcohol intake in lactating women assisted in a University Hospital. SO - Revista Paulista de Pediatria. 31(2):198-204, 2013 Jun. AS - Rev. paul. pediatr.. 31(2):198-204, 2013 Jun. NJ - Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo PI - Journal available in: Print PI - Citation processed from: Internet JC - 9109353 SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Breast Feeding MH - Cross-Sectional Studies MH - Female MH - Hospitals, University MH - Humans MH - Infant MH - Infant, Newborn MH - *Maternal Behavior MH - Prevalence MH - Young Adult AB - OBJECTIVE: To determine the prevalence of alcohol intake and the degree of alcohol-related risk among nursing mothers attended at the Child Care Service of Hospital das Clinicas of Universidade Federal de Pernambuco, Brazil. AB - METHODS: A cross-sectional study was carried out with 157 nursing mothers enrolled in the Child Care Program of the university hospital. A questionnaire was administered addressing demographic and socioeconomic variables, type and duration of breastfeeding, smoking habits and consumption of foods considered as appetizers. The Alcohol Use Disorders Identification Test (AUDIT C) was applied for assessing alcohol consumption in the previous 12 months. Pearson's chi-square test and Fisher's exact test were used for statistical analysis. AB - RESULTS: Twelve percent of the nursing mothers reported consuming alcoholic beverages, 100% of whom were classified as being at low risk for alcohol use disorders. The frequency of nursing mothers who consumed appetizers during alcohol consumption was 100%, the most common of which was cheese - 18 (95%). AB - CONCLUSIONS: The prevalence of alcohol intake was low in the nursing mothers analyzed. The users exhibited a low risk for alcohol disorders and a high frequency of the consumption of appetizers during alcohol consumption. ES - 1984-0462 IL - 0103-0582 DI - S0103-05822013000200010 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English LG - Portuguese DP - 2013 Jun DC - 20130705 YR - 2013 ED - 20140714 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23828056 <191. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24835142 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neville K AU - Roan N FA - Neville, Kathleen FA - Roan, Nora IN - Neville,Kathleen. Author Affiliations: Professor (Dr Neville), School of Nursing, Kean University, Union; and Advanced Practice Nurse (Dr Roan), Somerset Medical Center, Somerville, New Jersey. TI - Challenges in nursing practice: nurses' perceptions in caring for hospitalized medical-surgical patients with substance abuse/dependence. SO - Journal of Nursing Administration. 44(6):339-46, 2014 Jun. AS - J Nurs Adm. 44(6):339-46, 2014 Jun. NJ - The Journal of nursing administration PI - Journal available in: Print PI - Citation processed from: Internet JC - jel, 1263116 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Comorbidity MH - Education, Nursing, Continuing MH - Ethics, Nursing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Care/es [Ethics] MH - Nursing Care/mt [Methods] MH - Nursing Care/px [Psychology] MH - *Nursing Care MH - *Nursing Staff, Hospital/px [Psychology] MH - Qualitative Research MH - Quality of Health Care MH - *Substance-Related Disorders/nu [Nursing] MH - Suicide/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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. ES - 1539-0721 IL - 0002-0443 DO - http://dx.doi.org/10.1097/NNA.0000000000000079 PT - Journal Article LG - English DP - 2014 Jun DC - 20140523 YR - 2014 ED - 20140711 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24835142 <192. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23358788 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jolly K AU - Archibald C AU - Liehr P FA - Jolly, Kim FA - Archibald, Cynthia FA - Liehr, Patricia IN - Jolly,Kim. 1Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, USA. TI - Risk taking in first and second generation Afro-Caribbean adolescents: an emerging challenge for school nurses. SO - Journal of School Nursing. 29(5):353-60, 2013 Oct. AS - J Sch Nurs. 29(5):353-60, 2013 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/eh [Ethnology] MH - *Adolescent Behavior/px [Psychology] MH - Analysis of Variance MH - Attitude to Health/eh [Ethnology] MH - Caribbean Region/ep [Epidemiology] MH - Emigrants and Immigrants/px [Psychology] MH - Emigrants and Immigrants/sn [Statistics & Numerical Data] MH - Female MH - Florida/eh [Ethnology] MH - *Health Behavior/eh [Ethnology] MH - Humans MH - Male MH - *Risk-Taking MH - *School Nursing/mt [Methods] MH - Sexual Behavior/eh [Ethnology] MH - Sexual Behavior/px [Psychology] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/eh [Ethnology] MH - Substance-Related Disorders/px [Psychology] MH - Violence/eh [Ethnology] MH - Violence/px [Psychology] MH - Violence/sn [Statistics & Numerical Data] KW - Afro-Caribbean; adolescents; behaviors; risk AB - 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. ES - 1546-8364 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840513475819 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130128 DP - 2013 Oct DC - 20130924 YR - 2013 ED - 20140711 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23358788 <193. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23782768 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerolimatos LA AU - Gregg JJ AU - Edelstein BA FA - Gerolimatos, Lindsay A FA - Gregg, Jeffrey J FA - Edelstein, Barry A IN - Gerolimatos,Lindsay A. Department of Psychology, West Virginia University, Morgantown, West Virginia 26506, USA. lgerolim@mix.wvu.edu TI - Assessment of anxiety in long-term care: examination of the Geriatric Anxiety Inventory (GAI) and its short form. SO - International Psychogeriatrics. 25(9):1533-42, 2013 Sep. AS - Int Psychogeriatr. 25(9):1533-42, 2013 Sep. NJ - International psychogeriatrics / IPA PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - a6b, 9007918 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Aging/px [Psychology] MH - *Anxiety/di [Diagnosis] MH - Anxiety/px [Psychology] MH - *Anxiety Disorders/di [Diagnosis] MH - Anxiety Disorders/px [Psychology] MH - Female MH - *Geriatric Assessment/mt [Methods] MH - Homes for the Aged MH - Humans MH - Logistic Models MH - *Long-Term Care MH - Male MH - Nursing Homes MH - *Personality Inventory/st [Standards] MH - Psychological Tests MH - Psychometrics/mt [Methods] MH - Reproducibility of Results MH - Sensitivity and Specificity MH - *Surveys and Questionnaires/st [Standards] MH - United States AB - 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. AB - 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. AB - RESULTS: Internal consistency of the GAI was good (alpha = 0.92) and the GAI-SF was adequate (alpha = 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. AB - 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. ES - 1741-203X IL - 1041-6102 DO - http://dx.doi.org/10.1017/S1041610213000847 PT - Journal Article LG - English EP - 20130620 DP - 2013 Sep DC - 20130729 YR - 2013 ED - 20140707 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23782768 <194. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23782768 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerolimatos LA AU - Gregg JJ AU - Edelstein BA FA - Gerolimatos, Lindsay A FA - Gregg, Jeffrey J FA - Edelstein, Barry A IN - Gerolimatos,Lindsay A. Department of Psychology, West Virginia University, Morgantown, West Virginia 26506, USA. lgerolim@mix.wvu.edu TI - Assessment of anxiety in long-term care: examination of the Geriatric Anxiety Inventory (GAI) and its short form. SO - International Psychogeriatrics. 25(9):1533-42, 2013 Sep. AS - Int Psychogeriatr. 25(9):1533-42, 2013 Sep. NJ - International psychogeriatrics PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - a6b, 9007918 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Aging/px [Psychology] MH - *Anxiety/di [Diagnosis] MH - Anxiety/px [Psychology] MH - *Anxiety Disorders/di [Diagnosis] MH - Anxiety Disorders/px [Psychology] MH - Female MH - *Geriatric Assessment/mt [Methods] MH - Homes for the Aged MH - Humans MH - Logistic Models MH - *Long-Term Care MH - Male MH - Nursing Homes MH - *Personality Inventory/st [Standards] MH - Psychological Tests MH - Psychometrics/mt [Methods] MH - Reproducibility of Results MH - Sensitivity and Specificity MH - *Surveys and Questionnaires/st [Standards] MH - United States AB - 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. AB - 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. AB - RESULTS: Internal consistency of the GAI was good (alpha = 0.92) and the GAI-SF was adequate (alpha = 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. AB - 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. ES - 1741-203X IL - 1041-6102 DO - http://dx.doi.org/10.1017/S1041610213000847 PT - Journal Article LG - English EP - 2013Jun20 DP - 2013 Sep DC - 2013729 YR - 2013 ED - 20140707 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23782768 <195. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24822292 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manthey M FA - Manthey, Marie TI - The impact of one TPAPN workshop. SO - Texas Nursing. 88(1):10, 18, 2014. AS - Tex Nurs. 88(1):10, 18, 2014. NJ - Texas nursing PI - Journal available in: Print PI - Citation processed from: Print JC - vng, 0436240 SB - Nursing Journal CP - United States MH - *Education/og [Organization & Administration] MH - *Education, Nursing/mt [Methods] MH - Humans MH - *Nursing Care/og [Organization & Administration] MH - *Nursing Staff/ed [Education] MH - Peer Group MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Texas IS - 0095-036X IL - 0095-036X PT - Journal Article PT - Personal Narratives LG - English DP - 2014 DC - 20140514 YR - 2014 ED - 20140619 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24822292 <196. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24167767 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson LM AU - Jarvis S AU - Sparacino P AU - Kuo D AU - Genz S FA - Thompson, Lisa M FA - Jarvis, Sarah FA - Sparacino, Patricia FA - Kuo, Devina FA - Genz, Stephanie IN - Thompson,Lisa M. Department of Family Health Care Nursing, University of California, San Francisco; San Francisco, CA (L.M.T., P.S.). TI - Perceptions of health equity and subjective social status among baccalaureate nursing students engaged in service-learning activities in Hawai'i. SO - Hawai'i Journal of Medicine & Public Health : A Journal of Asia Pacific Medicine & Public Health. 72(10):339-45, 2013 Oct. AS - Hawaii J Med Public Health. 72(10):339-45, 2013 Oct. NJ - Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health PI - Journal available in: Print PI - Citation processed from: Internet JC - 101579076 OI - Source: NLM. PMC3796782 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Education, Nursing MH - Female MH - Hawaii MH - Health Services Needs and Demand MH - *Health Status Disparities MH - Humans MH - Male MH - Middle Aged MH - Perception MH - *Social Class MH - *Students, Nursing/px [Psychology] MH - Young Adult AB - 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. ES - 2165-8242 IL - 2165-8242 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - KL2RR024130 (United States NCRR NIH HHS) LG - English DP - 2013 Oct DC - 20131029 YR - 2013 ED - 20140605 RD - 20150422 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24167767 <197. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24167767 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson LM AU - Jarvis S AU - Sparacino P AU - Kuo D AU - Genz S FA - Thompson, Lisa M FA - Jarvis, Sarah FA - Sparacino, Patricia FA - Kuo, Devina FA - Genz, Stephanie IN - Thompson,Lisa M. Department of Family Health Care Nursing, University of California, San Francisco; San Francisco, CA (L.M.T., P.S.). TI - Perceptions of health equity and subjective social status among baccalaureate nursing students engaged in service-learning activities in Hawai'i. SO - Hawai'i Journal of Medicine & Public Health : A Journal of Asia Pacific Medicine & Public Health. 72(10):339-45, 2013 Oct. AS - Hawaii J Med Public Health. 72(10):339-45, 2013 Oct. NJ - Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health PI - Journal available in: Print PI - Citation processed from: Internet JC - 101579076 OI - Source: NLM. PMC3796782 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Education, Nursing MH - Female MH - Hawaii MH - Health Services Needs and Demand MH - *Health Status Disparities MH - Humans MH - Male MH - Middle Aged MH - Perception MH - *Social Class MH - *Students, Nursing/px [Psychology] MH - Young Adult AB - 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. ES - 2165-8242 IL - 2165-8242 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - KL2 RR024130 (United States NCRR NIH HHS) NO - KL2RR024130 (United States NCRR NIH HHS) LG - English DP - 2013 Oct DC - 20131029 YR - 2013 ED - 20140605 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=24167767 <198. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24135687 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knudsen HK AU - Abraham AJ FA - Knudsen, Hannah K FA - Abraham, Amanda J IN - Knudsen,Hannah 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. TI - The employment of nurses in publicly funded substance abuse treatment programs. SO - Journal of Addictions Nursing. 23(3):174-80, 2012 Oct. AS - J ADDICT NURS. 23(3):174-80, 2012 Oct. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 OI - Source: NLM. NIHMS535576 OI - Source: NLM. PMC3877938 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Ambulatory Care/ec [Economics] MH - Ambulatory Care/ma [Manpower] MH - Ambulatory Care/og [Organization & Administration] MH - Decision Making, Organizational MH - Employment/ec [Economics] MH - *Employment/sn [Statistics & Numerical Data] MH - Health Care Surveys MH - Humans MH - Nursing Staff/ec [Economics] MH - *Nursing Staff/sn [Statistics & Numerical Data] MH - *Personnel Selection/og [Organization & Administration] MH - Regression Analysis MH - Residential Treatment/ec [Economics] MH - Residential Treatment/ma [Manpower] MH - Residential Treatment/og [Organization & Administration] MH - Substance Abuse Treatment Centers/ec [Economics] MH - Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31826f4c25 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - R01 DA014482 (United States NIDA NIH HHS) NO - R01DA014482 (United States NIDA NIH HHS) LG - English DP - 2012 Oct DC - 20131018 YR - 2012 ED - 20140602 RD - 20150422 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24135687 <199. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24135687 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knudsen HK AU - Abraham AJ FA - Knudsen, Hannah K FA - Abraham, Amanda J IN - Knudsen,Hannah 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. TI - The employment of nurses in publicly funded substance abuse treatment programs. SO - Journal of Addictions Nursing. 23(3):174-80, 2012 Oct. AS - J ADDICT NURS. 23(3):174-80, 2012 Oct. NJ - Journal of addictions nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 OI - Source: NLM. NIHMS535576 OI - Source: NLM. PMC3877938 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Ambulatory Care/ec [Economics] MH - Ambulatory Care/ma [Manpower] MH - Ambulatory Care/og [Organization & Administration] MH - Decision Making, Organizational MH - Employment/ec [Economics] MH - *Employment/sn [Statistics & Numerical Data] MH - Health Care Surveys MH - Humans MH - Nursing Staff/ec [Economics] MH - *Nursing Staff/sn [Statistics & Numerical Data] MH - *Personnel Selection/og [Organization & Administration] MH - Regression Analysis MH - Residential Treatment/ec [Economics] MH - Residential Treatment/ma [Manpower] MH - Residential Treatment/og [Organization & Administration] MH - Substance Abuse Treatment Centers/ec [Economics] MH - Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - http://dx.doi.org/10.1097/JAN.0b013e31826f4c25 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - R01 DA014482 (United States NIDA NIH HHS) NO - R01DA014482 (United States NIDA NIH HHS) LG - English DP - 2012 Oct DC - 20131018 YR - 2012 ED - 20140602 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=24135687 <200. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23851929 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fis T AU - Meinke-Franze C AU - van den Berg N AU - Hoffmann W FA - Fis, Thomas FA - Meinke-Franze, Claudia FA - van den Berg, Neeltje FA - Hoffmann, Wolfgang IN - Fis,Thomas. German Center for Neurodegenerative Diseases (DZNE), Site Rostock/Greifswald, Ellernholzstreet 1/2, 17487, Greifswald, Germany, Thomas.fiss@uni-greifswald.de. TI - Effects of a three party healthcare network on the incidence levels of drug related problems. SO - International Journal of Clinical Pharmacy. 35(5):763-71, 2013 Oct. AS - Int J Clin Pharm. 35(5):763-71, 2013 Oct. NJ - International journal of clinical pharmacy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101554912 SB - Index Medicus CP - Netherlands MH - Adult MH - Aged MH - Cohort Studies MH - *Community Networks MH - Comorbidity MH - *Drug Interactions MH - Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] MH - Drug-Related Side Effects and Adverse Reactions/nu [Nursing] MH - *Drug-Related Side Effects and Adverse Reactions/pc [Prevention & Control] MH - Electronic Health Records MH - Female MH - General Practitioners MH - Germany/ep [Epidemiology] MH - *Health Services for the Aged MH - Humans MH - Incidence MH - Male MH - Medication Adherence MH - *Medication Reconciliation MH - Nurses, Community Health/ed [Education] MH - Pharmacists MH - Physician Assistants/ed [Education] MH - Prospective Studies MH - *Rural Health/ma [Manpower] AB - BACKGROUND: Drug related problems (DRPs) are impairing patients' health and cause high costs. Neither delegation of home medication review nor regular pharmaceutical care are common in Germany. AB - OBJECTIVE: We aimed to reduce several DRP by the implementation of a three party healthcare team [AGnES-practice assistant, pharmacist, general practitioner (GP)] and adherence supporting strategies (using a medication reminder chart, medication compliance aid). AB - SETTING: The setting was ambulatory primary healthcare in German rural areas with a cohort of home-dwelling, elderly, mostly multimorbid patients with limited mobility (study period: 06/2006-12/2008). AB - METHODS: We conducted a prospective non-randomized implementation cohort study with home medication review (home medication review module; mean participation time: 9 months). Data collection was delegated to additionally qualified AGnES-practice assistants (AGnES: GP-supporting, community-based, e-health-assisted systemic intervention). The intervention comprised pharmaceutical care by the local pharmacy in addition to medical interventions by the GP. 408 patients (mean age: women: 80.7 years; men: 75.3 years) received both pharmaceutical care and at least one follow-up visit. AB - MAIN OUTCOME MEASUREMENT: Outcome measurements comprised self-reported DRPs, objectively evaluated DRP, and prevalence of adherence supporting strategies. AB - RESULTS: The three party healthcare team approach reduced self-reported forgetfulness (7.7-3.2 %; p = 0.001), the proportion of patients with intermittent drug intake (5.3-1.3 %; p < 0.001), and the proportion of patients with potentially clinical relevant drug-drug interaction (61.6-51.2 %; p < 0.001). Self-reported adverse drug reactions decreased non-significantly (5.4-4.6 %; p = 0.564; all tests chi2-McNemar). The median number of active substances taken was reduced from 8 to 7 (p < 0.001; Wilcoxon signed rank test). The proportions of patients using medication charts and compliance aids increased significantly (75.2-90.3 %; p < 0.001) and (70.0-80.1 %; p > 0.001), respectively. AB - CONCLUSION: This is the first study evaluating effects of a three party team on DRPs in a primary healthcare setting in Germany. This approach led to reduction in the occurrence of several DRPs and improved adherence supporting strategies. However, the study is a pre-post analysis, and had no control group. ES - 2210-7711 DO - http://dx.doi.org/10.1007/s11096-013-9804-x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130714 DP - 2013 Oct DC - 20131011 YR - 2013 ED - 20140526 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23851929 <201. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23812679 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lao CK AU - Ho SC AU - Chan KK AU - Tou CF AU - Tong HH AU - Chan A FA - Lao, Cheng Kin FA - Ho, Sao Chan FA - Chan, Ka Kit FA - Tou, Chon Fai FA - Tong, Henry Hoi Yee FA - Chan, Alexandre IN - Lao,Cheng Kin. School of Health Sciences, Macao Polytechnic Institute, Rua de Luis Gonzaga Gomes, Macao, People's Republic of China, cklao@ipm.edu.mo. TI - Potentially inappropriate prescribing and drug-drug interactions among elderly Chinese nursing home residents in Macao. SO - International Journal of Clinical Pharmacy. 35(5):805-12, 2013 Oct. AS - Int J Clin Pharm. 35(5):805-12, 2013 Oct. NJ - International journal of clinical pharmacy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101554912 SB - Index Medicus CP - Netherlands MH - Aged MH - Aged, 80 and over MH - *Aging MH - China/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Drug Interactions MH - Drug Monitoring/mt [Methods] MH - *Drug-Related Side Effects and Adverse Reactions/ep [Epidemiology] MH - Female MH - Geriatric Assessment MH - Homes for the Aged MH - Humans MH - *Iatrogenic Disease/ep [Epidemiology] MH - *Inappropriate Prescribing/ae [Adverse Effects] MH - Male MH - Nursing Homes MH - Polypharmacy MH - Prevalence MH - Risk MH - Severity of Illness Index AB - 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). AB - 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. AB - SETTING: This study was conducted in the largest nursing home in Macao, with a bed capacity of 168. AB - 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. AB - MAIN OUTCOME MEASURES: The proportions of elderly nursing home residents who regularly used PIMs and who were exposed to DDIs. AB - 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. AB - 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. ES - 2210-7711 DO - http://dx.doi.org/10.1007/s11096-013-9811-y PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130628 DP - 2013 Oct DC - 20131011 YR - 2013 ED - 20140526 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23812679 <202. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24707655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beard JW FA - Beard, Joyce W TI - Adolescents and child maltreatment. SO - NASN school nurse. 29(2):71-4, 2014 Mar. AS - NASN Sch Nurse. 29(2):71-4, 2014 Mar. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - Child Abuse/eh [Ethnology] MH - Child Abuse/sn [Statistics & Numerical Data] MH - Domestic Violence MH - Feeding and Eating Disorders/ep [Epidemiology] MH - Health Behavior MH - Humans MH - *Nurse's Role MH - *School Nursing MH - Social Support AB - 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. IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2014 Mar DC - 20140408 YR - 2014 ED - 20140513 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24707655 <203. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24741832 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koenig HG AU - Al Zaben F AU - Sehlo MG AU - Khalifa DA AU - Al Ahwal MS FA - Koenig, Harold G FA - Al Zaben, Faten FA - Sehlo, Mohammad Gamal FA - Khalifa, Doaa Ahmed FA - Al Ahwal, Mahmoud Shaheen TI - Current state of psychiatry in Saudi Arabia. SO - International Journal of Psychiatry in Medicine. 46(3):223-42, 2013. AS - Int J Psychiatry Med. 46(3):223-42, 2013. NJ - International journal of psychiatry in medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0365646, gsj SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Child MH - Female MH - Health Policy/td [Trends] MH - Health Services Accessibility MH - Health Services Needs and Demand MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Male MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/th [Therapy] MH - *Mental Disorders MH - Mental Health Services/og [Organization & Administration] MH - Mental Health Services/td [Trends] MH - *Mental Health Services MH - Policy Making MH - Psychiatry/ed [Education] MH - Psychiatry/mt [Methods] MH - Psychiatry/td [Trends] MH - *Psychiatry MH - Saudi Arabia MH - Social Work, Psychiatric/mt [Methods] MH - Social Work, Psychiatric/td [Trends] AB - 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." AB - 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. AB - 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. AB - 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. IS - 0091-2174 IL - 0091-2174 PT - Historical Article PT - Journal Article LG - English DP - 2013 DC - 20140418 YR - 2013 ED - 20140506 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24741832 <204. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23557452 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chang YP AU - Yang MS FA - Chang, Yu-Ping FA - Yang, Mei-Sang IN - Chang,Yu-Ping. School of Nursing, The State University of New York, University at Buffalo, Buffalo, New York, USA. TI - Nurses' attitudes toward clients with substance use problems. SO - Perspectives in Psychiatric Care. 49(2):94-102, 2013 Apr. AS - Perspect Psychiatr Care. 49(2):94-102, 2013 Apr. NJ - Perspectives in psychiatric care PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel/eh [Ethnology] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Staff/px [Psychology] MH - Nursing Staff/st [Standards] MH - *Substance-Related Disorders/nu [Nursing] MH - Taiwan MH - Young Adult AB - PURPOSE: This study aimed to examine factors associated with nurses' attitudes toward clients with substance use problems. AB - DESIGN AND METHODS: A cross-sectional design was used, and 489 nurses working in two medical centers in Taiwan participated in this study. AB - FINDINGS: Age, total nursing experience, work unit, personal experience, experience of taking care of clients with substance use problems, substance use education in school, and continuing education were significantly associated with nurses' attitudes. Hierarchical regression revealed that continuing education predicted nurses' overall attitudes. However, the model explained a low variance. AB - PRACTICE IMPLICATIONS: Education-focused training alone may not be adequate. Nursing workforce development needs to incorporate multiple strategies, including clinical supervision, when designing substance use education for clinical nurses in order to generate better improvements on attitudes.Copyright © 2012 Wiley Periodicals, Inc. ES - 1744-6163 IL - 0031-5990 DO - http://dx.doi.org/10.1111/ppc.12000 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20121011 DP - 2013 Apr DC - 20130405 YR - 2013 ED - 20140429 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23557452 <205. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23915693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwindt RG AU - Sharp D FA - Schwindt, Rhonda G FA - Sharp, Daryl IN - Schwindt,Rhonda G. Indiana University School of Nursing, Indianapolis, IN 46236, USA. rschwind@iupui.edu TI - Making a case for systematic integration of theory-based tobacco education into graduate psychiatric/mental health nursing curriculum. [Review] SO - Archives of Psychiatric Nursing. 27(4):166-70, 2013 Aug. AS - Arch Psychiatr Nurs. 27(4):166-70, 2013 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Curriculum MH - *Education, Nursing, Graduate MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Mental Disorders/nu [Nursing] MH - Motivation MH - Nurse-Patient Relations MH - *Nursing Theory MH - *Psychiatric Nursing/ed [Education] MH - Referral and Consultation MH - Smoking/ae [Adverse Effects] MH - Smoking/px [Psychology] MH - *Smoking Cessation MH - United States AB - 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. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1532-8228 IL - 0883-9417 DI - S0883-9417(13)00003-4 DO - http://dx.doi.org/10.1016/j.apnu.2012.12.004 PT - Journal Article PT - Review LG - English EP - 20130316 DP - 2013 Aug DC - 20130806 YR - 2013 ED - 20140428 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23915693 <206. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23676101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kazemi DM AU - Levine MJ AU - Dmochowski J AU - Nies MA AU - Sun L FA - Kazemi, Donna M FA - Levine, Maureen J FA - Dmochowski, Jacek FA - Nies, Mary A FA - Sun, Linman IN - Kazemi,Donna M. Assistant Professor, College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC. TI - Effects of motivational interviewing intervention on blackouts among college freshmen. SO - Journal of Nursing Scholarship. 45(3):221-9, 2013 Sep. AS - J Nurs Scholarsh. 45(3):221-9, 2013 Sep. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/px [Psychology] MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - *Motivational Interviewing MH - Program Evaluation MH - Risk-Taking MH - Sex Factors MH - Street Drugs/ae [Adverse Effects] MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - Unconsciousness/ci [Chemically Induced] MH - *Unconsciousness/pc [Prevention & Control] MH - Universities MH - Young Adult KW - Freshmen students; alcohol; blackouts; drug use; motivational interviewing AB - PURPOSE: Alcohol and illicit drug abuse is a serious public health issue facing college students. This study examined the impact of motivational interviewing (MI) as an intervention on the rate of blackouts among freshmen who engaged in high-risk drinking and illicit drug use. AB - DESIGN: A sample of 188 volunteer freshmen from a university were administered the Daily Drinking Questionnaire, the Rutgers Alcohol Problem Index, and the Government Performance and Results Act at baseline and again at 6 months postintervention. MI was applied at baseline and then again at 2 weeks, 3 months, and 6 months. AB - METHODS: Generalized estimated equations and logistic regression models were used to determine associations between the rate of blackouts and time, ethnicity, gender, illicit drug use, and alcohol consumption. AB - FINDINGS: At 6 months, the rate of blackouts decreased from 40% at baseline to 16% (p < .0001). The average number, time, and days of drinking and frequency of drug use also decreased significantly (p < .0001). An association between rate of blackouts and gender was observed, but not with ethnicity. AB - CONCLUSIONS: MI had an impact on reducing alcohol consumption and the rate of blackouts among college freshmen who were engaging in high-risk drinking and illicit drug use. AB - CLINICAL RELEVANCE: The findings support the importance of using MI with freshmen college students to decrease drinking and the associated negative consequences, including blackouts, which has particular relevance for advanced practice registered nurses, physicians, and community health nurses who conduct MI as an intervention with college students.Copyright © 2013 Sigma Theta Tau International. RN - 0 (Street Drugs) ES - 1547-5069 IL - 1527-6546 DO - http://dx.doi.org/10.1111/jnu.12022 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 79TI020209 (United States CSAT SAMHSA HHS) LG - English EP - 20130515 DP - 2013 Sep DC - 20130916 YR - 2013 ED - 20140422 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23676101 <207. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23648642 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jewell C AU - Weaver M AU - Sgroi C AU - Anderson K AU - Sayeed Z FA - Jewell, Carolyn FA - Weaver, Michael FA - Sgroi, Cameron FA - Anderson, Karen FA - Sayeed, Zabe IN - Jewell,Carolyn. From the Departments of Psychiatry (CJ and ZS), Physical Medicine and Rehabilitation (CS), and Care Coordination (KA), Virginia Commonwealth University Health System, and Department of Internal Medicine (MW), Virginia Commonwealth University School of Medicine, Richmond, VA. TI - Residential addiction treatment for injection drug users requiring intravenous antibiotics: a cost-reduction strategy. SO - Journal of Addiction Medicine. 7(4):271-6, 2013 Jul-Aug. AS - J Addict Med. 7(4):271-6, 2013 Jul-Aug. NJ - Journal of addiction medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 SB - Index Medicus CP - United States MH - Adult MH - *Anti-Bacterial Agents/ad [Administration & Dosage] MH - *Bacterial Infections/dt [Drug Therapy] MH - Bacterial Infections/ec [Economics] MH - Cost Control MH - Female MH - Hospitalization/ec [Economics] MH - Humans MH - Male MH - Middle Aged MH - *Residential Treatment/ec [Economics] MH - *Residential Treatment/mt [Methods] MH - Retrospective Studies MH - *Substance Abuse, Intravenous/ec [Economics] MH - Substance Abuse, Intravenous/mi [Microbiology] MH - *Substance Abuse, Intravenous/th [Therapy] AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Anti-Bacterial Agents) IS - 1932-0620 IL - 1932-0620 DO - http://dx.doi.org/10.1097/ADM.0b013e318294b1eb PT - Journal Article LG - English DP - 2013 Jul-Aug DC - 20130806 YR - 2013 ED - 20140422 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23648642 <208. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23676101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kazemi DM AU - Levine MJ AU - Dmochowski J AU - Nies MA AU - Sun L FA - Kazemi, Donna M FA - Levine, Maureen J FA - Dmochowski, Jacek FA - Nies, Mary A FA - Sun, Linman IN - Kazemi,Donna M. Assistant Professor, College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC. TI - Effects of motivational interviewing intervention on blackouts among college freshmen. SO - Journal of Nursing Scholarship. 45(3):221-9, 2013 Sep. AS - J Nurs Scholarsh. 45(3):221-9, 2013 Sep. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/px [Psychology] MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - *Motivational Interviewing MH - Program Evaluation MH - Risk-Taking MH - Sex Factors MH - Street Drugs/ae [Adverse Effects] MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - Unconsciousness/ci [Chemically Induced] MH - *Unconsciousness/pc [Prevention & Control] MH - Universities MH - Young Adult KW - Freshmen students; alcohol; blackouts; drug use; motivational interviewing AB - PURPOSE: Alcohol and illicit drug abuse is a serious public health issue facing college students. This study examined the impact of motivational interviewing (MI) as an intervention on the rate of blackouts among freshmen who engaged in high-risk drinking and illicit drug use. AB - DESIGN: A sample of 188 volunteer freshmen from a university were administered the Daily Drinking Questionnaire, the Rutgers Alcohol Problem Index, and the Government Performance and Results Act at baseline and again at 6 months postintervention. MI was applied at baseline and then again at 2 weeks, 3 months, and 6 months. AB - METHODS: Generalized estimated equations and logistic regression models were used to determine associations between the rate of blackouts and time, ethnicity, gender, illicit drug use, and alcohol consumption. AB - FINDINGS: At 6 months, the rate of blackouts decreased from 40% at baseline to 16% (p < .0001). The average number, time, and days of drinking and frequency of drug use also decreased significantly (p < .0001). An association between rate of blackouts and gender was observed, but not with ethnicity. AB - CONCLUSIONS: MI had an impact on reducing alcohol consumption and the rate of blackouts among college freshmen who were engaging in high-risk drinking and illicit drug use. AB - CLINICAL RELEVANCE: The findings support the importance of using MI with freshmen college students to decrease drinking and the associated negative consequences, including blackouts, which has particular relevance for advanced practice registered nurses, physicians, and community health nurses who conduct MI as an intervention with college students.Copyright © 2013 Sigma Theta Tau International. RN - 0 (Street Drugs) ES - 1547-5069 IL - 1527-6546 DO - http://dx.doi.org/10.1111/jnu.12022 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 79TI020209 (United States CSAT SAMHSA HHS) LG - English EP - 2013May15 DP - 2013 Sep DC - 2013916 YR - 2013 ED - 20140422 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23676101 <209. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23950546 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phoenix BJ FA - Phoenix, Bethany J IN - Phoenix,Bethany J. Department of Community Health Systems, University of California, San Francisco, CA 94543, USA. beth.phoenix@nursing.ucsf.edu TI - Developing a culture of mentoring in psychiatric mental health nursing. SO - Journal of the American Psychiatric Nurses Association. 19(4):215-6, 2013 Jul-Aug. AS - J Am Psychiatr Nurses Assoc. 19(4):215-6, 2013 Jul-Aug. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Internet JC - 9507418 SB - Index Medicus SB - Nursing Journal CP - United States MH - Cooperative Behavior MH - Hostility MH - Humans MH - Interdisciplinary Communication MH - Interpersonal Relations MH - Job Satisfaction MH - Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Mentors/ed [Education] MH - *Mentors/px [Psychology] MH - *Psychiatric Nursing/ed [Education] MH - Societies, Nursing MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - United States MH - Workplace ES - 1532-5725 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390313497797 PT - Journal Article LG - English DP - 2013 Jul-Aug DC - 20130816 YR - 2013 ED - 20140415 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23950546 <210. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23320964 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vitzthum K AU - Koch F AU - Groneberg DA AU - Kusma B AU - Mache S AU - Marx P AU - Hartmann T AU - Pankow W FA - Vitzthum, Karin FA - Koch, Franziska FA - Groneberg, David A FA - Kusma, Bianca FA - Mache, Stefanie FA - Marx, Peter FA - Hartmann, Thomas FA - Pankow, Wulf IN - Vitzthum,Karin. Institute of Occupational Medicine, Charite - University Medicine Berlin, Free University & Humboldt-University Berlin, Thielallee 69-73, 14195 Berlin, Germany. karin.vitzthum@charite.de TI - Smoking behaviour and attitudes among German nursing students. SO - Nurse Education in Practice. 13(5):407-12, 2013 Sep. AS - NURSE EDUC PRACT. 13(5):407-12, 2013 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude MH - Cross-Sectional Studies MH - Female MH - Germany/ep [Epidemiology] MH - Humans MH - Male MH - Prevalence MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Smoking Cessation MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Students, Nursing MH - *Tobacco Smoke Pollution/pc [Prevention & Control] KW - Non-smoker protection; Nurse student; Smoke; Stage of change AB - 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.Copyright © 2012 Elsevier Ltd. All rights reserved. RN - 0 (Tobacco Smoke Pollution) ES - 1873-5223 IL - 1471-5953 DI - S1471-5953(12)00229-6 DO - http://dx.doi.org/10.1016/j.nepr.2012.12.002 PT - Journal Article LG - English EP - 20130112 DP - 2013 Sep DC - 20130809 YR - 2013 ED - 20140403 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23320964 <211. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22595613 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright K FA - Wright, Kerri IN - Wright,Kerri. University of Greenwich, Avery Hill Campus, Eltham, London, SE9 2UG, United Kingdom. k.wright@gre.ac.uk TI - How do nurses solve drug calculation problems?. SO - Nurse Education Today. 33(5):450-7, 2013 May. AS - Nurse Educ Today. 33(5):450-7, 2013 May. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Cognition MH - *Drug Dosage Calculations MH - Humans MH - *Mathematics/mt [Methods] MH - Nursing Staff, Hospital MH - Pilot Projects MH - *Problem Solving MH - *Task Performance and Analysis AB - UNLABELLED: This article reports on a pilot study that examined the cognitive processes and strategies used by senior nurses to solve written drug calculation problems. AB - METHODOLOGY: Verbal protocol methodology was used to gain and analyse data from eight senior nurses now working in the education setting. The data was analysed using verbal protocol analysis. AB - RESULTS: Nurses used a range of strategies to solve the problems, not just the nursing formula. The cognitive processes of the nurses showed a larger number of steps devoted to problem representation and only a few steps devoted to actually solving the problem. AB - CONCLUSION: Nurse educators need to consider the importance of problem representation in solving drug calculations and in particular ensure that written questions are representative of clinical practice.Copyright © 2012 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(12)00114-1 DO - http://dx.doi.org/10.1016/j.nedt.2012.04.009 PT - Journal Article LG - English EP - 20120515 DP - 2013 May DC - 20130429 YR - 2013 ED - 20140403 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22595613 <212. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23692822 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vossius C AU - Testad I AU - Skjaeveland R AU - Nesvag S FA - Vossius, Corinna FA - Testad, Ingelin FA - Skjaeveland, Rune FA - Nesvag, Sverre IN - Vossius,Corinna. Stokka Teaching Nursing Home, Lassaveien 10, Stavanger, N-4022 Norway. c.vossius@hotmail.com TI - The use and costs of health and social services in patients with longstanding substance abuse. SO - BMC Health Services Research. 13:185, 2013. AS - BMC Health Serv Res. 13:185, 2013. NJ - BMC health services research PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 OI - Source: NLM. PMC3665451 SB - Index Medicus CP - England MH - Aged MH - *Continuity of Patient Care/ec [Economics] MH - Female MH - *Health Care Costs/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Norway MH - *Nursing Homes/ec [Economics] MH - Patient Admission/sn [Statistics & Numerical Data] MH - *Residential Treatment/ec [Economics] MH - *Social Work/ec [Economics] MH - Substance Abuse Treatment Centers/ec [Economics] MH - *Substance Abuse Treatment Centers/ut [Utilization] AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1472-6963 IL - 1472-6963 DO - http://dx.doi.org/10.1186/1472-6963-13-185 PT - Journal Article LG - English EP - 20130522 DP - 2013 DC - 20130528 YR - 2013 ED - 20140314 RD - 20150426 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23692822 <213. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23594216 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Xhixha A AU - Rama R AU - Radbruch L FA - Xhixha, Ali FA - Rama, Rudina FA - Radbruch, Lukas IN - Xhixha,Ali. Home Care Team, Ryder Albania Association, Tirana, Albania. alixhixha@yahoo.com TI - Reducing the barriers to pain management in Albania: results from an educational seminar with family doctors. SO - Journal of Palliative Medicine. 16(7):758-61, 2013 Jul. AS - J Palliat Med. 16(7):758-61, 2013 Jul. NJ - Journal of palliative medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - d0c, 9808462 SB - Index Medicus CP - United States MH - Albania MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/st [Standards] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Education, Medical, Continuing MH - Humans MH - Pain Management/mt [Methods] MH - *Pain Management/st [Standards] MH - Pain Management/td [Trends] MH - *Palliative Care/st [Standards] MH - Palliative Care/sn [Statistics & Numerical Data] MH - *Physicians, Family/ed [Education] AB - Palliative care (PC) services are a very limited service in Albania and are provided mainly from the nonprofit sector (nongovernmental organizations [NGOs]) that cover about 30% of the demand. There are very few doctors and nurses qualified in PC and pain management. Training and education programs on opioid treatment do not exist and patients cannot access opioids easily. This study evaluated the attitudes of family doctors on pain assessment, management, and opioid usage before and after seminars on opioid pain management. The Barriers Questionnaire II (BQ-II) was used to evaluate attitudes towards pain management in 227 family doctors (general practitioners) working in the state primary health care system in both urban and rural areas. Data was collected before and after one-day seminars on opioids conducted in six cities located in all the major regions of the country. The response rate was 83.3%. Barriers were measured to be high in the participating physicians, with mean scores of 3 out of 5 or above for 10 of 27 items. The danger of addiction to pain medicines as well as the fear that many people with cancer would get addicted to pain medicine received the highest scores. At the end of the seminar barriers were significantly lower, with the total mean scores (with standard deviation) reduced from 2.4+/-0.6 to 1.6+/-0.7. High barriers to the use of opioids in family physicians in Albania were reduced significantly following a one-day training, demonstrating the effectiveness of the intervention. However, more research on the sustainability of the training effect is needed. RN - 0 (Analgesics, Opioid) ES - 1557-7740 IL - 1557-7740 DO - http://dx.doi.org/10.1089/jpm.2012.0514 PT - Journal Article LG - English EP - 20130417 DP - 2013 Jul DC - 20130624 YR - 2013 ED - 20140303 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23594216 <214. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23814793 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Tobacco Control Sub-group and Health Behavior Expert Panel, American Academy of Nursing FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Tobacco Control Sub-group and Health Behavior Expert Panel, American Academy of Nursing IN - Sarna,Linda. UCLA School of Nursing, Los Angeles, CA, USA. lsarna@sonnet.ucla.edu TI - Nursing scholarship and leadership in tobacco control. SO - Nursing Outlook. 61(3):181-2, 2013 May-Jun. AS - Nurs Outlook. 61(3):181-2, 2013 May-Jun. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Internet JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing/og [Organization & Administration] MH - *Health Policy MH - Humans MH - *Nurse's Role MH - Patient Education as Topic/og [Organization & Administration] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Use Cessation MH - *Tobacco Use Disorder/pc [Prevention & Control] ES - 1528-3968 IL - 0029-6554 PT - Journal Article PT - Practice Guideline LG - English DP - 2013 May-Jun DC - 20130627 YR - 2013 ED - 20140220 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23814793 <215. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23855435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell AM AU - Puskar K AU - Hagle H AU - Gotham HJ AU - Talcott KS AU - Terhorst L AU - Fioravanti M AU - Kane I AU - Hulsey E AU - Luongo P AU - Burns HK FA - Mitchell, Ann M FA - Puskar, Kathryn FA - Hagle, Holly FA - Gotham, Heather J FA - Talcott, Kimberly S FA - Terhorst, Lauren FA - Fioravanti, Marie FA - Kane, Irene FA - Hulsey, Eric FA - Luongo, Peter FA - Burns, Helen K TI - Screening, brief intervention, and referral to treatment: overview of and student satisfaction with an undergraduate addiction training program for nurses. SO - Journal of Psychosocial Nursing & Mental Health Services. 51(10):29-37, 2013 Oct. AS - J Psychosoc Nurs Ment Health Serv. 51(10):29-37, 2013 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Mass Screening/nu [Nursing] MH - Middle Aged MH - Program Development MH - Program Evaluation MH - Psychotherapy, Brief/ed [Education] MH - Referral and Consultation MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Teaching/mt [Methods] MH - United States AB - 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.Copyright 2013, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20130628-01 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - D11HP14629 (United States PHS HHS) LG - English EP - 20130712 DP - 2013 Oct DC - 20131017 YR - 2013 ED - 20140124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23855435 <216. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24308089 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suddaby EC AU - Josephson K FA - Suddaby, Elizabeth C FA - Josephson, Kimberly IN - Suddaby,Elizabeth C. Inova Children's Hospital, Falls Church, VA, USA. TI - Satisfaction of nurses with the Withdrawal Assessment Tool-1 (WAT-1). SO - Pediatric Nursing. 39(5):238-42, 259, 2013 Sep-Oct. AS - Pediatr Nurs. 39(5):238-42, 259, 2013 Sep-Oct. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Anxiety/dt [Drug Therapy] MH - Benzodiazepines/tu [Therapeutic Use] MH - Child MH - Humans MH - Intensive Care Units, Pediatric MH - *Job Satisfaction MH - *Nursing Assessment MH - *Nursing Staff/px [Psychology] MH - Pain/dt [Drug Therapy] MH - *Substance Withdrawal Syndrome/nu [Nursing] AB - BACKGROUND: Use of opioids and benzodiazepines in critically ill children results in an increased risk of withdrawal syndrome requiring the pediatric nurse to accurately assess the patient's clinical state. A valid and reliable pediatric withdrawal assessment tool could be of considerable value to improve nursing care. AB - OBJECTIVE: To evaluate nurses' satisfaction with a new pediatric assessment tool, the Withdrawal Assessment Tool-1 (WAT-1). AB - METHODS: Forty-one Pediatric Intensive Care Unit (PICU) and 27 Pediatric Intermediate Care Unit (PIMC) staff participated in a pre- and post-implementation survey. The survey looked at confidence in assessment skills, perception of communication about withdrawal, and satisfaction with nursing care of the child undergoing withdrawal syndrome. Staff were surveyed, completed online education about the WAT-1, and then repeated the survey after six months of clinical use. AB - RESULTS: Overall confidence in assessment changed very little. There was improvement in the perception of communication (p = 0.005) as well as satisfaction with care provided (p = 0.00002) after implementation of the WAT-1. In particular, satisfaction with nursing documentation of withdrawal syndrome improved significantly (p = 0.00002). AB - CONCLUSIONS: The WAT-1 improves nurses' satisfaction with their care of children undergoing withdrawal syndrome, in particular, their documentation of the level of withdrawal symptoms. RN - 0 (Analgesics, Opioid) RN - 12794-10-4 (Benzodiazepines) IS - 0097-9805 IL - 0097-9805 PT - Journal Article LG - English DP - 2013 Sep-Oct DC - 20131206 YR - 2013 ED - 20140120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24308089 <217. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23577905 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Puskar K AU - Gotham HJ AU - Terhorst L AU - Hagle H AU - Mitchell AM AU - Braxter B AU - Fioravanti M AU - Kane I AU - Talcott KS AU - Woomer GR AU - Burns HK FA - Puskar, Kathryn FA - Gotham, Heather J FA - Terhorst, Lauren FA - Hagle, Holly FA - Mitchell, Ann M FA - Braxter, Betty FA - Fioravanti, Marie FA - Kane, Irene FA - Talcott, Kimberly S FA - Woomer, Gail R FA - Burns, Helen K IN - Puskar,Kathryn. University of Pittsburgh School of Nursing, Pittsburgh, PA 15261, USA. krp12@pitt.edu TI - 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. SO - Substance Abuse. 34(2):122-8, 2013. AS - Subst Abus. 34(2):122-8, 2013. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Middle Aged MH - Program Development MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: Nurses composing the largest group of healthcare workers are in key positions to screen, intervene, and provide education about substance use. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2012.715621 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2013 DC - 20130412 YR - 2013 ED - 20140116 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23577905 <218. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24129536 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eriksen HM AU - Saether AR AU - Viktil KK AU - Andberg L AU - Munkerud MW AU - Willoch K AU - Blix HS FA - Eriksen, Hanne-Merete FA - Saether, Anja Ramberg FA - Viktil, Kirsten K FA - Andberg, Lene FA - Munkerud, Marianne Winther FA - Willoch, Karin FA - Blix, Hege Salvesen TI - Use of antibiotics in nursing homes--surveillance with different methods. SO - Tidsskrift for Den Norske Laegeforening. 133(19):2052-6, 2013 Oct 15. AS - Tidsskr Nor Laegeforen. 133(19):2052-6, 2013 Oct 15. NJ - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke PI - Journal available in: Print PI - Citation processed from: Internet JC - 0413423, 101086543, vrv SB - Index Medicus CP - Norway MH - Amdinocillin Pivoxil/ec [Economics] MH - Amdinocillin Pivoxil/tu [Therapeutic Use] MH - Anti-Bacterial Agents/ec [Economics] MH - *Anti-Bacterial Agents/tu [Therapeutic Use] MH - Bacterial Infections/dt [Drug Therapy] MH - Drug Prescriptions/ec [Economics] MH - Drug Prescriptions/st [Standards] MH - Drug Prescriptions/sn [Statistics & Numerical Data] MH - *Drug Utilization Review MH - Humans MH - Methenamine/ec [Economics] MH - Methenamine/tu [Therapeutic Use] MH - Norway MH - *Nursing Homes/st [Standards] MH - Nursing Homes/sn [Statistics & Numerical Data] AB - BACKGROUND: 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. AB - MATERIAL AND METHODS: 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. AB - RESULTS: 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. AB - INTERPRETATION: 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. RN - 0 (Anti-Bacterial Agents) RN - 1WAM1OQ30B (Amdinocillin Pivoxil) RN - J50OIX95QV (Methenamine) ES - 0807-7096 IL - 0029-2001 DO - http://dx.doi.org/10.4045/tidsskr.12.1480 PT - Journal Article LG - English LG - Norwegian DP - 2013 Oct 15 DC - 20131016 YR - 2013 ED - 20131227 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=24129536 <219. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23442408 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Surani NS AU - Pednekar MS AU - Sinha DN AU - Singh G AU - Warren CW AU - Asma S AU - Gupta PC AU - Singh PK FA - Surani, N S FA - Pednekar, M S FA - Sinha, D N FA - Singh, G FA - Warren, C W FA - Asma, S FA - Gupta, P C FA - Singh, P K IN - Surani,N S. Healis-Sekhsaria Institute for Public Health, Navi Mumbai, India. TI - Tobacco use and cessation counseling in India-data from the Global Health Professions Students Survey, 2005-09. SO - Indian Journal of Cancer. 49(4):425-30, 2012 Oct-Dec. AS - Indian J Cancer. 49(4):425-30, 2012 Oct-Dec. NJ - Indian journal of cancer PI - Journal available in: Print PI - Citation processed from: Internet JC - ghy, 0112040 SB - Index Medicus CP - India MH - Adolescent MH - Counseling MH - Cross-Sectional Studies MH - Data Collection MH - Female MH - Government Regulation MH - Health Occupations MH - Health Plan Implementation MH - Humans MH - India MH - Male MH - Prevalence MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Students, Medical MH - *Tobacco Use Cessation/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. AB - STATISTICAL ANALYSIS: Proportions and prevalence were computed using SUDAAN and SPSS 15.0. AB - 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. AB - CONCLUSION: Tobacco control policy, cessation training and initiatives to help students quit smoking should be undertaken. ES - 1998-4774 IL - 0019-509X DO - http://dx.doi.org/10.4103/0019-509X.107751 PT - Journal Article LG - English DP - 2012 Oct-Dec DC - 20130227 YR - 2012 ED - 20131211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23442408 <220. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23442394 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Venkatesh S AU - Sinha DN FA - Venkatesh, S FA - Sinha, D N IN - Venkatesh,S. Department of AIDS Control, Ministry of Health and Family Welfare, India. drsvenkatesh1@gmail.com TI - Involvement of health professionals in tobacco control in the South-East Asia Region. [Review] SO - Indian Journal of Cancer. 49(4):327-35, 2012 Oct-Dec. AS - Indian J Cancer. 49(4):327-35, 2012 Oct-Dec. NJ - Indian journal of cancer PI - Journal available in: Print PI - Citation processed from: Internet JC - ghy, 0112040 SB - Index Medicus CP - India MH - Adolescent MH - Arecaceae MH - Asia, Southeastern MH - Health Personnel/sn [Statistics & Numerical Data] MH - Health Planning Organizations MH - Humans MH - India MH - Randomized Controlled Trials as Topic MH - *Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Thailand MH - Tobacco Use Cessation MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - 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. ES - 1998-4774 IL - 0019-509X DO - http://dx.doi.org/10.4103/0019-509X.107721 PT - Journal Article PT - Review LG - English DP - 2012 Oct-Dec DC - 20130227 YR - 2012 ED - 20131211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23442394 <221. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23339499 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Langdon R AU - Johnson M AU - Carroll V AU - Antonio G FA - Langdon, Rachel FA - Johnson, Maree FA - Carroll, Vince FA - Antonio, Geraldine IN - Langdon,Rachel. South Western Sydney Centre for Applied Nursing Research, Liverpool, NSW, Australia. rachel.langdon@sswahs.nsw.gov.au TI - Assessment of the elderly: it's worth covering the risks. SO - Journal of Nursing Management. 21(1):94-105, 2013 Jan. AS - J Nurs Manag. 21(1):94-105, 2013 Jan. NJ - Journal of nursing management PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzy, 9306050 SB - Nursing Journal CP - England MH - Accidental Falls MH - Aged MH - Cognition Disorders/di [Diagnosis] MH - Electronic Health Records MH - Female MH - Focus Groups MH - *Geriatric Assessment MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - Middle Aged MH - *Nursing Assessment MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - Risk Assessment AB - BACKGROUND: Comprehensive assessments provide an invaluable opportunity to identify those at risk of adverse health events, enabling timely access to appropriate health care. AB - AIMS: This study aimed to evaluate the effectiveness of a comprehensive assessment tool, the Adult Patient Assessment Tool (APAT), particularly in relation to early identification of older people at risk of falls, pressure areas, cognitive impairment or delirium, or patients with mental illness or substance abuse. AB - METHODS: Concurrent mixed methods including an initial retrospective medical record audit and focus groups were used. AB - RESULTS: With the introduction of the APAT, assessment of falls risk and mental illness increased. The number of nursing actions relating to pressure areas and falls also increased, indicating a greater awareness of patients' individual needs. Non-clinical information gathered through the APAT enabled a more holistic approach to patient care. AB - CONCLUSION: The use of electronic medical records would alleviate pressures on nurses' time, providing an opportunity to store and retrieve comprehensive nursing assessment and benefit patient health care. AB - IMPLICATIONS FOR NURSING MANAGEMENT: Early assessment results in an increased number of nursing activities related to patient care. Further education relating to mental health and substance abuse screening and cognitive assessment may enhance the completion of these tools.Copyright © 2012 Blackwell Publishing Ltd. ES - 1365-2834 IL - 0966-0429 DO - http://dx.doi.org/10.1111/j.1365-2834.2012.01421.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120619 DP - 2013 Jan DC - 20130123 YR - 2013 ED - 20131205 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23339499 <222. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23698697 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pengpid S AU - Peltzer K AU - van der Heever H AU - Skaal L FA - Pengpid, Supa FA - Peltzer, Karl FA - van der Heever, Hendry FA - Skaal, Linda IN - Pengpid,Supa. Department of Health System Management and Policy, University of Limpopo (MEDUNSA Campus), Pretoria 0424, South Africa. supaprom@yahoo.com TI - Screening and brief interventions for hazardous and harmful alcohol use among university students in South Africa: results from a randomized controlled trial. SO - International Journal of Environmental Research & Public Health [Electronic Resource]. 10(5):2043-57, 2013 May. AS - Int J Environ Res Public Health. 10(5):2043-57, 2013 May. NJ - International journal of environmental research and public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101238455 OI - Source: NLM. PMC3709363 SB - Index Medicus CP - Switzerland MH - Adolescent MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/th [Therapy] MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - *Alcohol-Related Disorders/th [Therapy] MH - *Counseling MH - Female MH - Humans MH - Male MH - *Mass Screening MH - Risk Reduction Behavior MH - South Africa MH - Students MH - Universities MH - Young Adult AB - The aim of this study was to assess the effectiveness of Screening and Brief Intervention (SBI) for alcohol problems among university students in South Africa. The study design for this efficacy study is a randomized controlled trial with 6- and 12-month follow-ups to examine the effects of a brief alcohol intervention to reduce alcohol use by hazardous and harmful drinkers in a university setting. The unit of randomization is the individual university student identified as a hazardous or harmful drinker attending public recruitment venues in a university campus. University students were screened for alcohol problems, and those identified as hazardous or harmful drinkers were randomized into an experimental or control group. The experimental group received one brief counseling session on alcohol risk reduction, while the control group received a health education leaflet. Results indicate that of the 722 screened for alcohol and who agreed to participate in the trial 152 (21.1%) tested positive for the Alcohol Use Disorder Identification Test (AUDIT) (score 8 or more). Among the 147 (96.7%) university students who also attended the 12-month follow-up session, the intervention effect on the AUDIT score was -1.5, which was statistically significant (P = 0.009). Further, the depression scores marginally significantly decreased over time across treatment groups, while other substance use (tobacco and cannabis use), self-rated health status and Posttraumatic Stress Disorder (PTSD) scores did not change over time across treatment groups. The study provides evidence of effective brief intervention by assistant nurses with hazardous and harmful drinkers in a university setting in South Africa. The short duration of the brief intervention makes it a realistic candidate for use in a university setting. ES - 1660-4601 IL - 1660-4601 DO - http://dx.doi.org/10.3390/ijerph10052043 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English EP - 20130521 DP - 2013 May DC - 20130523 YR - 2013 ED - 20131125 RD - 20150426 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23698697 <223. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23146011 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wantz RA AU - Firmin MW AU - Stolzfus MJ AU - Ray BN AU - Holmes HJ AU - Geib EF FA - Wantz, Richard A FA - Firmin, Michael W FA - Stolzfus, Melissa J FA - Ray, Brigitte N FA - Holmes, Hannah J FA - Geib, Ellen F IN - Wantz,Richard A. Wright State University, College of Education and Human Services, Dayton, Ohio 45435, USA. rick.wantz@wright.edu TI - Undergraduate college students' perceptions of psychiatric nurses. SO - Issues in Mental Health Nursing. 33(11):769-76, 2012 Nov. AS - Issues Ment Health Nurs. 33(11):769-76, 2012 Nov. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - gy7, 7907126 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude to Health MH - Career Choice MH - *Clinical Competence MH - Female MH - Humans MH - Male MH - Mental Health Services/ut [Utilization] MH - Middle Aged MH - Midwestern United States MH - *Psychiatric Nursing/ed [Education] MH - *Social Stigma MH - *Stereotyping MH - *Students/px [Psychology] MH - Surveys and Questionnaires MH - Utilization Review/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. ES - 1096-4673 IL - 0161-2840 DO - http://dx.doi.org/10.3109/01612840.2012.711432 PT - Journal Article LG - English DP - 2012 Nov DC - 20121113 YR - 2012 ED - 20131118 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23146011 <224. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23906621 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gugelmann H AU - Shofer FS AU - Meisel ZF AU - Perrone J FA - Gugelmann, Hallam FA - Shofer, Frances S FA - Meisel, Zachary F FA - Perrone, Jeanmarie IN - Gugelmann,Hallam. Department of Emergency Medicine, Hospital of the University of Pennsylvania. Electronic address: hallamg@gmail.com. TI - Multidisciplinary intervention decreases the use of opioid medication discharge packs from 2 urban EDs. SO - American Journal of Emergency Medicine. 31(9):1343-8, 2013 Sep. AS - Am J Emerg Med. 31(9):1343-8, 2013 Sep. NJ - The American journal of emergency medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aa2, 8309942 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Decision Support Techniques MH - *Emergency Medicine/ed [Education] MH - Emergency Service, Hospital/og [Organization & Administration] MH - Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - *Emergency Service, Hospital MH - Female MH - Hospitals, Urban MH - Humans MH - Male MH - Medical Order Entry Systems/og [Organization & Administration] MH - Middle Aged MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Patient Care Team MH - Patient Discharge/sn [Statistics & Numerical Data] MH - *Patient Discharge MH - Prospective Studies MH - Risk Factors AB - INTRODUCTION: 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. AB - 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. AB - 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%. AB - 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.Copyright © 2013. RN - 0 (Analgesics, Opioid) ES - 1532-8171 IL - 0735-6757 DI - S0735-6757(13)00373-2 DO - http://dx.doi.org/10.1016/j.ajem.2013.06.002 PT - Journal Article LG - English EP - 20130730 DP - 2013 Sep DC - 20130910 YR - 2013 ED - 20131113 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23906621 <225. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23523319 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vandervoort A AU - Van den Block L AU - van der Steen JT AU - Volicer L AU - Vander Stichele R AU - Houttekier D AU - Deliens L FA - Vandervoort, An FA - Van den Block, Lieve FA - van der Steen, Jenny T FA - Volicer, Ladislav FA - Vander Stichele, Robert FA - Houttekier, Dirk FA - Deliens, Luc IN - Vandervoort,An. End-of-Life Care Research Group, Ghent University & Vrije Universiteit Brussel, Brussels, Belgium. An.Vandervoort@vub.ac.be TI - Nursing home residents dying with dementia in Flanders, Belgium: a nationwide postmortem study on clinical characteristics and quality of dying. SO - Journal of the American Medical Directors Association. 14(7):485-92, 2013 Jul. AS - J AM MED DIR ASSOC. 14(7):485-92, 2013 Jul. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Airway Obstruction/ep [Epidemiology] MH - Anxiety/ep [Epidemiology] MH - Belgium/ep [Epidemiology] MH - Cachexia/ep [Epidemiology] MH - Cross-Sectional Studies MH - Deglutition Disorders/ep [Epidemiology] MH - Dehydration/ep [Epidemiology] MH - *Dementia/mo [Mortality] MH - Fecal Incontinence/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Nursing Homes MH - Pain/ep [Epidemiology] MH - Pressure Ulcer/ep [Epidemiology] MH - Psychomotor Agitation/ep [Epidemiology] MH - Quality of Health Care MH - Restraint, Physical/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Surveys and Questionnaires MH - Terminal Care MH - Terminally Ill MH - Urinary Incontinence/ep [Epidemiology] AB - 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. AB - 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. AB - MEASUREMENTS: Health status, clinical complications, symptoms at the end of life, and quality of dying. AB - 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. AB - 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.Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved. ES - 1538-9375 IL - 1525-8610 DI - S1525-8610(13)00038-8 DO - http://dx.doi.org/10.1016/j.jamda.2013.01.016 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130321 DP - 2013 Jul DC - 20130628 YR - 2013 ED - 20131105 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23523319 <226. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23696468 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gregg JA AU - Jones JS FA - Gregg, Jason A FA - Jones, Jill S IN - Gregg,Jason A. University of Cincinnati College of Nursing, Cincinnati, OH 45221, USA. jason.gregg@uc.edu TI - How do you recognize opiate addiction in the rehabilitation patient?. SO - Rehabilitation Nursing Journal. 38(5):217-20, 2013 Sep-Oct. AS - Rehabil Nurs. 38(5):217-20, 2013 Sep-Oct. NJ - Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 8104825, r25 SB - Nursing Journal CP - United States MH - Adult MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Chronic Pain/dt [Drug Therapy] MH - Chronic Pain/nu [Nursing] MH - Chronic Pain/rh [Rehabilitation] MH - *Chronic Pain MH - Education, Nursing, Continuing MH - Humans MH - Low Back Pain/dt [Drug Therapy] MH - Low Back Pain/nu [Nursing] MH - Low Back Pain/rh [Rehabilitation] MH - Male MH - *Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/nu [Nursing] MH - *Rehabilitation Nursing/mt [Methods] KW - Chronic pain; pharmacology; practice implications RN - 0 (Analgesics, Opioid) IS - 0278-4807 IL - 0278-4807 DO - http://dx.doi.org/10.1002/rnj.90 PT - Case Reports PT - Journal Article LG - English EP - 20130521 DP - 2013 Sep-Oct DC - 20130905 YR - 2013 ED - 20131029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23696468 <227. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23998774 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy-Parker D FA - Murphy-Parker, Dana IN - Murphy-Parker,Dana. College of Nursing and Health Professions, Bellet Building, Room #422, 1505 Race Street, Philadelphia, PA 19102, USA. dam355@drexel.edu TI - Screening, brief intervention, and referral to treatment: a need for educational reform in nursing. SO - Nursing Clinics of North America. 48(3):485-9, vii, 2013 Sep. AS - Nurs Clin North Am. 48(3):485-9, vii, 2013 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Internet JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Advanced Practice Nursing/ed [Education] MH - *Clinical Competence MH - *Education, Nursing, Continuing/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Nurse's Role MH - Nurse-Patient Relations MH - Nursing Evaluation Research MH - *Rehabilitation Nursing/ed [Education] KW - Addictions; Brief intervention; Nursing curricula; Referral; SBIRT; Screening AB - 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. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1558-1357 IL - 0029-6465 DI - S0029-6465(13)00070-4 DO - http://dx.doi.org/10.1016/j.cnur.2013.07.001 PT - Journal Article LG - English DP - 2013 Sep DC - 20130903 YR - 2013 ED - 20131029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23998774 <228. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23998766 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rundio A Jr FA - Rundio, Albert Jr IN - Rundio,Albert Jr. College of Nursing & Health Professions, Drexel University, 1505 Race Street, Room #429, Philadelphia, PA 19102, USA. aar27@drexel.edu TI - Implementing an evidence-based detoxification protocol for alcoholism in a residential addictions treatment facility. SO - Nursing Clinics of North America. 48(3):391-400, v, 2013 Sep. AS - Nurs Clin North Am. 48(3):391-400, v, 2013 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Clinical Protocols MH - Humans MH - *Nurse Practitioners/og [Organization & Administration] MH - *Nurse's Role MH - *Nursing Assessment/og [Organization & Administration] MH - *Residential Facilities/og [Organization & Administration] MH - Secondary Prevention MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States KW - Advanced practice nurse; Chemical dependency; Detoxification; Detoxification protocol; Illicit drugs; Nurse executive; Nurse practitioner; Substance abuse AB - 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. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1558-1357 IL - 0029-6465 DI - S0029-6465(13)00058-3 DO - http://dx.doi.org/10.1016/j.cnur.2013.04.001 PT - Journal Article LG - English EP - 20130716 DP - 2013 Sep DC - 20130903 YR - 2013 ED - 20131029 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23998766 <229. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23944824 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Govier A AU - Rees C FA - Govier, Anne FA - Rees, Colin IN - Govier,Anne. Cardiff and Vale University Health Board, Cardiff, UK. TI - Reducing alcohol-related health risks: the role of the nurse. SO - Nursing Standard. 27(50):42-6, 2013 Aug 14-20. AS - Nurs Stand. 27(50):42-6, 2013 Aug 14-20. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol-Related Disorders/nu [Nursing] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Great Britain MH - Health Promotion/mt [Methods] MH - Humans MH - *Nurse's Role MH - *Nurse-Patient Relations MH - *Patient Education as Topic MH - *Risk Reduction Behavior MH - Surveys and Questionnaires AB - 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. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2013 Aug 14-20 DC - 20130815 YR - 2013 ED - 20131017 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23944824 <230. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23987958 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patterson M FA - Patterson, Melissa IN - Patterson,Melissa. Open University. TI - Starting out - I aim to teach mental health patients about the dangers of illicit drugs. SO - Nursing Standard. 27(47):28, 2013 Jul 24-30. AS - Nurs Stand. 27(47):28, 2013 Jul 24-30. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Goals MH - Humans MH - *Mental Health MH - *Nurse's Role MH - Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - While on placement on an acute admissions mental health ward, a male patient, who I will call Mr Smith, returned after weekend leave. IS - 0029-6570 IL - 0029-6570 DO - http://dx.doi.org/10.7748/ns2013.07.27.47.28.s36 PT - Journal Article LG - English DP - 2013 Jul 24-30 DC - 20130830 YR - 2013 ED - 20130926 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23987958 <231. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23633092 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Terhorst L AU - Gotham HJ AU - Puskar KR AU - Mitchell AM AU - Talcott KS AU - Braxter B AU - Hagle H AU - Fioravanti M AU - Woomer GR FA - Terhorst, Lauren FA - Gotham, Heather J FA - Puskar, Kathryn R FA - Mitchell, Ann M FA - Talcott, Kimberly S FA - Braxter, Betty FA - Hagle, Holly FA - Fioravanti, Marie FA - Woomer, Gail R IN - Terhorst,Lauren. Community Care Behavioral Health Organization, University of Pittsburgh Medical Center, 112 Washington Place, Suite 700, Pittsburgh, PA 15219, USA. TI - Confirming the factor structure of the alcohol and alcohol problems questionnaire (AAPPQ) in a sample of baccalaureate nursing students. SO - Research in Nursing & Health. 36(4):412-22, 2013 Aug. AS - Res Nurs Health. 36(4):412-22, 2013 Aug. NJ - Research in nursing & health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7806136, raq SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcohol-Related Disorders/nu [Nursing] MH - *Alcohol-Related Disorders/px [Psychology] MH - *Attitude of Health Personnel MH - Education, Nursing, Baccalaureate MH - Factor Analysis, Statistical MH - Female MH - Humans MH - Male MH - Reproducibility of Results MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Surveys and Questionnaires MH - Young Adult KW - alcohol problems; factor analysis; student attitudes AB - 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.Copyright © 2013 Wiley Periodicals, Inc. ES - 1098-240X IL - 0160-6891 DO - http://dx.doi.org/10.1002/nur.21537 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PT - Validation Studies NO - D11HP14629 (United States PHS HHS) LG - English EP - 20130430 DP - 2013 Aug DC - 20130722 YR - 2013 ED - 20130923 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23633092 <232. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23448579 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson JA AU - Seale JP AU - Shellenberger S AU - Hamrick M AU - Lott R FA - Johnson, James Aaron FA - Seale, James Paul FA - Shellenberger, Sylvia FA - Hamrick, Maribeth FA - Lott, Robert IN - Johnson,James Aaron. Department of Family Medicine, Mercer University School of Medicine and Medical Center of Central Georgia, 3780 Eisenhower Parkway, Suite 3, Macon, GA 31206, USA. Johnson.Aaron@mccg.org TI - Impact of system-level changes and training on alcohol screening and brief intervention in a family medicine residency clinic: a pilot study. SO - Substance Abuse Treatment, Prevention, & Policy. 8:9, 2013. AS - Subst Abuse Treat Prev Policy. 8:9, 2013. NJ - Substance abuse treatment, prevention, and policy PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258060 OI - Source: NLM. PMC3599914 SB - Index Medicus CP - England MH - Adult MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/nu [Nursing] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Chi-Square Distribution MH - Education, Nursing, Continuing MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Family Practice/td [Trends] MH - Female MH - Georgia MH - *Health Behavior MH - Humans MH - Internship and Residency/mt [Methods] MH - Internship and Residency/td [Trends] MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - *Mass Screening/st [Standards] MH - Middle Aged MH - Pilot Projects MH - Program Evaluation MH - Surveys and Questionnaires AB - BACKGROUND: Although screening and brief intervention (SBI) are effective in reducing unhealthy alcohol use, major challenges exist in implementing clinician-delivered SBI in primary care settings. This 2006-2007 pilot study describes the impact of systems changes and booster trainings designed to increase SBI rates in a family medicine residency clinic which annually screened adults with a self-administered AUDIT-C questionnaire and used paper prompts to encourage physician interventions for patients with positive screens. AB - METHODS: Investigators added the Single Alcohol Screening Question (SASQ) to nursing vital signs forms, added a checkbox for documenting brief interventions to the clinicians' outpatient encounter form, and conducted one-hour nurse and clinician booster trainings. Impact was measured using chart reviews conducted before implementing systems changes, then six weeks and six months post-implementation. AB - RESULTS: At all three time points screening rates using AUDIT-C plus SASQ exceeded 90%, however AUDIT-C screening decreased to 85% after 6 months (p=.025). Identification of unhealthy alcohol users increased from 4% to 22.9% at six weeks and 18.8% at six months (p=.002) using both screens. Nursing vital signs screening using the SASQ reached 71.4% six weeks after implementation but decreased to 45.5% at six months. Changes in clinician brief intervention rates did not achieve statistical significance. AB - CONCLUSIONS: This is the second study reporting sustained primary care alcohol screening rates of more than 90%. Screening patients with SASQ and/or AUDIT-C identified a higher percentage of patients with unhealthy alcohol use. Dissemination of effective strategies for identifying unhealthy alcohol users should continue, while future research should focus on identifying more effective strategies for increasing intervention rates. ES - 1747-597X IL - 1747-597X DO - http://dx.doi.org/10.1186/1747-597X-8-9 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - T1020278 (United States PHS HHS) LG - English EP - 20130228 DP - 2013 DC - 20130320 YR - 2013 ED - 20130906 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23448579 <233. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23448579 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson JA AU - Seale JP AU - Shellenberger S AU - Hamrick M AU - Lott R FA - Johnson, James Aaron FA - Seale, James Paul FA - Shellenberger, Sylvia FA - Hamrick, Maribeth FA - Lott, Robert IN - Johnson,James Aaron. Department of Family Medicine, Mercer University School of Medicine and Medical Center of Central Georgia, 3780 Eisenhower Parkway, Suite 3, Macon, GA 31206, USA. Johnson.Aaron@mccg.org TI - Impact of system-level changes and training on alcohol screening and brief intervention in a family medicine residency clinic: a pilot study. SO - Substance Abuse Treatment, Prevention, & Policy. 8:9, 2013 Feb 28. AS - Subst Abuse Treat Prev Policy. 8:9, 2013 Feb 28. NJ - Substance abuse treatment, prevention, and policy PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258060 OI - Source: NLM. PMC3599914 SB - Index Medicus CP - England MH - Adult MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/nu [Nursing] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Chi-Square Distribution MH - Education, Nursing, Continuing MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Family Practice/td [Trends] MH - Female MH - Georgia MH - *Health Behavior MH - Humans MH - Internship and Residency/mt [Methods] MH - Internship and Residency/td [Trends] MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - *Mass Screening/st [Standards] MH - Middle Aged MH - Pilot Projects MH - Program Evaluation MH - Surveys and Questionnaires AB - BACKGROUND: Although screening and brief intervention (SBI) are effective in reducing unhealthy alcohol use, major challenges exist in implementing clinician-delivered SBI in primary care settings. This 2006-2007 pilot study describes the impact of systems changes and booster trainings designed to increase SBI rates in a family medicine residency clinic which annually screened adults with a self-administered AUDIT-C questionnaire and used paper prompts to encourage physician interventions for patients with positive screens. AB - METHODS: Investigators added the Single Alcohol Screening Question (SASQ) to nursing vital signs forms, added a checkbox for documenting brief interventions to the clinicians' outpatient encounter form, and conducted one-hour nurse and clinician booster trainings. Impact was measured using chart reviews conducted before implementing systems changes, then six weeks and six months post-implementation. AB - RESULTS: At all three time points screening rates using AUDIT-C plus SASQ exceeded 90%, however AUDIT-C screening decreased to 85% after 6 months (p=.025). Identification of unhealthy alcohol users increased from 4% to 22.9% at six weeks and 18.8% at six months (p=.002) using both screens. Nursing vital signs screening using the SASQ reached 71.4% six weeks after implementation but decreased to 45.5% at six months. Changes in clinician brief intervention rates did not achieve statistical significance. AB - CONCLUSIONS: This is the second study reporting sustained primary care alcohol screening rates of more than 90%. Screening patients with SASQ and/or AUDIT-C identified a higher percentage of patients with unhealthy alcohol use. Dissemination of effective strategies for identifying unhealthy alcohol users should continue, while future research should focus on identifying more effective strategies for increasing intervention rates. ES - 1747-597X IL - 1747-597X DO - http://dx.doi.org/10.1186/1747-597X-8-9 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - T1020278 (United States PHS HHS) LG - English EP - 2013Feb28 DP - 2013 Feb 28 DC - 2013320 YR - 2013 ED - 20130906 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23448579 <234. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22776007 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monks R AU - Topping A AU - Newell R FA - Monks, Rob FA - Topping, Annie FA - Newell, Rob IN - Monks,Rob. School of Health, University of Central Lancashire, Preston, UK. rmonks@uclan.ac.uk TI - The dissonant care management of illicit drug users in medical wards, the views of nurses and patients: a grounded theory study. SO - Journal of Advanced Nursing. 69(4):935-46, 2013 Apr. AS - J Adv Nurs. 69(4):935-46, 2013 Apr. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Female MH - Humans MH - *Inpatients/px [Psychology] MH - Male MH - *Models, Theoretical MH - *Nurses/px [Psychology] MH - *Street Drugs MH - *Substance-Related Disorders/th [Therapy] MH - Young Adult AB - AIMS: The aim of this study was to explore how registered nurses manage and deliver care to patients admitted to medical wards and Medical Assessment Units with complications of drug use and to elicit the experiences and views of those receiving that care. AB - BACKGROUND: Illicit drug use is a major public health problem worldwide. The physical complications of problem drug use often result in admission to medical wards. Registered nurses working in these settings have been reported as possessing negative attitudes towards patients who use illicit drugs and lacking preparation to provide problem drug use-related care needs. AB - DESIGN: Grounded theory. AB - METHODS: A grounded theory approach was used to collect and analyse 41 semi-structured interviews. Data collection and analysis were undertaken in nine medical wards in the Northwest of England in 2008. A combination of purposive and theoretical sampling was adopted to recruit registered nurses (n=29) and medical ward patients (n=12) admitted for physical complications of problem drug use. Data were subjected to constant comparative analysis. AB - FINDINGS: Two sub-categories emerged: 'Lack of knowledge to care' and 'Distrust and detachment' and these formed the core category 'Dissonant care'. The combination of lack of educational preparation, negative attitudes and experience of conflict, aggression, and untrustworthiness appeared to affect negatively the nurse-patient relationship. AB - CONCLUSIONS: This study illuminated interplay of factors that complicated the delivery of care. The complexity of caring for patients who are pre-judged negatively by nurses appears to engender dissonance and disparities in care delivery. Better education and training, coupled with role support about problem drug use may reduce conflict, disruption, and violence and facilitate competent care for these patients.Copyright © 2012 Blackwell Publishing Ltd. RN - 0 (Street Drugs) ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2012.06088.x PT - Journal Article LG - English EP - 20120708 DP - 2013 Apr DC - 20130315 YR - 2013 ED - 20130903 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22776007 <235. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23901870 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Powley D FA - Powley, Denise IN - Powley,Denise. NHS Lothian District Nursing Services. denise-powley@live.co.uk TI - Reducing violence and aggression in the emergency department. SO - Emergency Nurse. 21(4):26-9, 2013 Jul. AS - Emerg Nurse. 21(4):26-9, 2013 Jul. NJ - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association PI - Journal available in: Print PI - Citation processed from: Print JC - bia, 9208913 SB - Nursing Journal CP - England MH - *Aggression/px [Psychology] MH - *Emergency Service, Hospital MH - Humans MH - Mental Disorders/nu [Nursing] MH - *Nurse-Patient Relations MH - Substance-Related Disorders/nu [Nursing] MH - *Violence/px [Psychology] AB - 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. IS - 1354-5752 IL - 1354-5752 PT - Journal Article LG - English DP - 2013 Jul DC - 20130807 YR - 2013 ED - 20130827 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23901870 <236. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23808858 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kennedy AJ AU - Mellor D AU - McCabe MP AU - Ricciardelli LA AU - Brumby SA AU - Head A AU - Mercer-Grant C FA - Kennedy, Alison J FA - Mellor, David FA - McCabe, Marita P FA - Ricciardelli, Lina A FA - Brumby, Susan A FA - Head, Alexandra FA - Mercer-Grant, Catherine IN - Kennedy,Alison J. School of Psychology, Deakin University, Burwood, Victoria, Australia. alison.kennedy@wdhs.net TI - Training and experience of nurses in responding to alcohol misuse in rural communities. SO - Public Health Nursing. 30(4):332-42, 2013 Jul. AS - Public Health Nurs. 30(4):332-42, 2013 Jul. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Agriculture MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Australia MH - Clinical Competence MH - Female MH - Humans MH - Male MH - Nursing Education Research MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - *Public Health Nursing/ed [Education] MH - Qualitative Research MH - *Rural Health Services MH - Self Efficacy KW - alcohol; community health nursing; mental health; rural health; training program AB - OBJECTIVE: Alcohol misuse by farmers continues to challenge rural nurses. This article reports on the experiences of Australian nurses participating in the Alcohol Intervention Training Program (AITP). AB - DESIGN AND SAMPLE: Qualitative interviews of 15 rural and remote nurses. AB - MEASURES: Semi-structured phone interviews were utilized to assess the response to and implementation of the AITP-an intervention designed to build nurses' knowledge, confidence and skills when responding to alcohol misuse. It comprises practical and theoretical components and was designed for rural and remote settings where nurses encounter alcohol misuse. AB - RESULTS: Nurses found the training provided new-or built on existing-knowledge of alcohol misuse and offered practical hands-on "real life" skills. A range of workplace and personal situations where the content of the training was now being utilized were identified, and future use anticipated. Barriers to using the new knowledge and skills included both rural and generic issues. Constructive feedback to increasingly target the training to rural settings was recommended. AB - CONCLUSIONS: The AITP is an effective training program. It can be further tailored to meet common needs of rural and remote nurses working with farmers who misuse alcohol, while recognizing diversity in rural practice.Copyright © 2013 Wiley Periodicals, Inc. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/phn.12029 PT - Journal Article LG - English EP - 20130214 DP - 2013 Jul DC - 20130701 YR - 2013 ED - 20130826 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23808858 <237. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23898595 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Linga S AU - Curtis J AU - Brightond R AU - Dunlopb A FA - Linga, Stephen FA - Curtis, Janette FA - Brightond, Renee FA - Dunlopb, Adrian IN - Linga,Stephen. Drug and Alcohol, John Hunter Hospital, Hunter New England Area Health Service, New South Wales, Australia. stephen.ling@hnehealth.nsw.gov.au TI - An examination of barriers to nurse practitioner endorsement in senior rural drug and alcohol nurses in New South Wales. SO - Collegian: Journal of the Royal College of Nursing, Australia. 20(2):79-86, 2013. AS - Collegian. 20(2):79-86, 2013. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - Australia MH - Adult MH - *Attitude of Health Personnel MH - *Career Mobility MH - Education, Nursing, Graduate MH - Female MH - Health Care Surveys MH - Humans MH - Male MH - Middle Aged MH - New South Wales MH - *Nurse Practitioners/sd [Supply & Distribution] MH - *Rural Health Services/ma [Manpower] MH - *Substance-Related Disorders/nu [Nursing] AB - 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). AB - 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. AB - 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. AB - 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. IS - 1322-7696 IL - 1322-7696 PT - Journal Article LG - English DP - 2013 DC - 20130731 YR - 2013 ED - 20130821 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23898595 <238. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23457690 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Denny S AU - Farrant B AU - Cosgriff J AU - Harte M AU - Cameron T AU - Johnson R AU - McNair V AU - Utter J AU - Crengle S AU - Fleming T AU - Ameratunga S AU - Sheridan J AU - Robinson E FA - Denny, Simon FA - Farrant, Bridget FA - Cosgriff, John FA - Harte, Mo FA - Cameron, Toby FA - Johnson, Rachel FA - McNair, Viv FA - Utter, Jennifer FA - Crengle, Sue FA - Fleming, Theresa FA - Ameratunga, Shanthi FA - Sheridan, Janie FA - Robinson, Elizabeth IN - Denny,Simon. Department of Community Paediatrics, School of Population Health, The University of Auckland, PB 92019, Auckland, New Zealand. s.denny@auckland.ac.nz TI - Forgone health care among secondary school students in New Zealand. SO - Journal of Primary Health Care. 5(1):11-8, 2013 Mar. AS - J Prim Health Care. 5(1):11-8, 2013 Mar. NJ - Journal of primary health care PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101524060 SB - Index Medicus CP - New Zealand MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adolescent Health Services/st [Standards] MH - *Adolescent Health Services/ut [Utilization] MH - Age Factors MH - *Attitude to Health MH - *Confidentiality/px [Psychology] MH - Confidentiality/st [Standards] MH - Female MH - Health Services Accessibility/st [Standards] MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - Health Surveys MH - Humans MH - Logistic Models MH - Male MH - New Zealand MH - Oceanic Ancestry Group/sn [Statistics & Numerical Data] MH - Poverty Areas MH - Pregnancy MH - Reproductive Health MH - Risk-Taking MH - Sex Factors MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - INTRODUCTION: Perceived lack of confidential health care is an important barrier for young people accessing health care services in New Zealand (NZ). AB - AIM: To determine the prevalence of forgone health care among a nationally representative sample of NZ secondary school students and to describe the health concerns and specific health issues for which young people had difficulty accessing health care. AB - METHODS: Random sample of 9107 NZ secondary school students participated in a 2007 health survey using internet tablets. Questions about access to health care included whether there had been a time when they had not accessed health care when needed, reasons for difficulty in accessing health care, current health concerns and health risk behaviours. AB - RESULTS: One in six students (17%) had not seen a doctor or nurse when needed in the last 12 months. Female Maori and Pacific students and those living in neighbourhoods with high levels of deprivation were more likely to report forgone health care. Students with chronic health problems, those engaging in health risk behaviours or experiencing symptoms of depression were more likely to report being unable to access health care when needed. Students reporting privacy concerns were more likely to report difficulty accessing health care for sensitive health issues, such as sexual health, emotional problems, pregnancy-related issues, stopping cigarette smoking, or alcohol or drug use. AB - DISCUSSION: NZ secondary school students who forgo health care are at increased risk of physical and mental health problems and in need of accessible and confidential health services. ES - 1172-6156 IL - 1172-6156 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20130301 DP - 2013 Mar DC - 20130304 YR - 2013 ED - 20130820 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23457690 <239. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23785983 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Breen LJ AU - Fernandez M AU - O'Connor M AU - Pember AJ FA - Breen, Lauren J FA - Fernandez, Maria FA - O'Connor, Moira FA - Pember, Amiee-Jade IN - Breen,Lauren J. School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia. lauren.breen@curtin.edu.au TI - The preparation of graduate health professionals for working with bereaved clients: an Australian perspective. SO - Omega - Journal of Death & Dying. 66(4):313-32, 2012-2013. AS - Omega (Westport). 66(4):313-32, 2012-2013. NJ - Omega PI - Journal available in: Print PI - Citation processed from: Print JC - 1272106 SB - Index Medicus CP - United States MH - Adaptation, Psychological MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Death MH - Australia MH - Curriculum MH - Female MH - *Grief MH - Health Personnel/px [Psychology] MH - *Health Personnel/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Needs Assessment MH - *Professional-Family Relations MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. IS - 0030-2228 IL - 0030-2228 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2012-2013 DC - 20130621 YR - 2012 ED - 20130808 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23785983 <240. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22819635 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Chan SS AU - Hollen P AU - O'Connell KA FA - Sarna, Linda FA - Bialous, Stella Aguinaga FA - Chan, Sophia S C FA - Hollen, Patricia FA - O'Connell, Kathleen A IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, Los Angeles, CA 90095, USA. lsarna@sonnet.ucla.edu TI - Making a difference: nursing scholarship and leadership in tobacco control. [Review] SO - Nursing Outlook. 61(1):31-42, 2013 Jan-Feb. AS - Nurs Outlook. 61(1):31-42, 2013 Jan-Feb. NJ - Nursing outlook PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Humans MH - Leadership MH - Nurse's Role MH - *Nursing MH - Nursing Research MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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.Copyright © 2013 Elsevier Inc. All rights reserved. RN - 0 (Tobacco Smoke Pollution) ES - 1528-3968 IL - 0029-6554 DI - S0029-6554(12)00096-6 DO - http://dx.doi.org/10.1016/j.outlook.2012.05.007 PT - Journal Article PT - Review LG - English EP - 20120720 DP - 2013 Jan-Feb DC - 20130208 YR - 2013 ED - 20130805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22819635 <241. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23795538 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Power J AU - McManus O FA - Power, John FA - McManus, Olivia IN - Power,John. School of Nursing and Midwifery, Queen's University Belfast. j.power@qub.ac.uk TI - Development of a short-stay unit in an emergency department. SO - Emergency Nurse. 21(2):18-22, 2013 May. AS - Emerg Nurse. 21(2):18-22, 2013 May. NJ - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association PI - Journal available in: Print PI - Citation processed from: Print JC - bia, 9208913 SB - Nursing Journal CP - England MH - Accidental Falls MH - Adolescent MH - Alcoholism/nu [Nursing] MH - Drug Overdose/nu [Nursing] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Health Plan Implementation MH - *Hospital Units/og [Organization & Administration] MH - Humans MH - Length of Stay MH - Male MH - Northern Ireland MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners MH - Organizational Innovation MH - *Practice Patterns, Nurses' MH - Self-Injurious Behavior/nu [Nursing] AB - In 2009, the Royal Victoria Hospital, Belfast, established a nine-bed, short-stay unit in its emergency department. This article explains the rationale for the model of care delivery adopted, and the importance of developing and working with integrated care pathways. It also discusses four areas essential to the effective running of the unit: interdisciplinary collaboration, training for clinical nurse leaders, management of change and leadership. IS - 1354-5752 IL - 1354-5752 PT - Journal Article LG - English DP - 2013 May DC - 20130625 YR - 2013 ED - 20130802 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23795538 <242. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23600090 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Freeman SA AU - Rosenbluth B AU - Cotton L FA - Freeman, Sally Ann FA - Rosenbluth, Barri FA - Cotton, Laura IN - Freeman,Sally Ann. Dell Children's Medical Center, Austin, TX, USA. TI - Teen dating abuse: recognition and interventions. SO - NASN school nurse. 28(2):79-82, 2013 Mar. AS - NASN Sch Nurse. 28(2):79-82, 2013 Mar. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Education, Nursing, Continuing MH - Female MH - Humans MH - Male MH - *Risk-Taking MH - *School Nursing/ed [Education] MH - *School Nursing/mt [Methods] MH - Sex Offenses/pc [Prevention & Control] MH - *Sex Offenses/px [Psychology] MH - Staff Development AB - 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. IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2013 Mar DC - 20130422 YR - 2013 ED - 20130709 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23600090 <243. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22949569 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zawahir S AU - Omar M AU - Awang R AU - Yong HH AU - Borland R AU - Sirirassamee B AU - Fong GT AU - Hammond D FA - Zawahir, Shukry FA - Omar, Maizurah FA - Awang, Rahmat FA - Yong, Hua-Hie FA - Borland, Ron FA - Sirirassamee, Buppha FA - Fong, Geoffrey T FA - Hammond, David IN - Zawahir,Shukry. Clearinghouse for Tobacco Control, National Poison Center, Universiti Sains Malaysia, Pulau Pinang, Malaysia. shukry2010@gmail.com TI - Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: findings from the international tobacco control southeast Asia project. SO - Nicotine & Tobacco Research. 15(2):482-91, 2013 Feb. AS - Nicotine Tob Res. 15(2):482-91, 2013 Feb. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 OI - Source: NLM. PMC3545717 SB - Index Medicus CP - England MH - Adolescent MH - Female MH - Health Education/mt [Methods] MH - *Health Education/og [Organization & Administration] MH - Health Education/st [Standards] MH - Humans MH - Malaysia MH - Male MH - *Persuasive Communication MH - *Smoking/lj [Legislation & Jurisprudence] MH - Thailand AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-994X IL - 1462-2203 DO - http://dx.doi.org/10.1093/ntr/nts161 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - 79551 (Canada Canadian Institutes of Health Research) NO - P50 CA111236 (United States NCI NIH HHS) NO - R01 CA100362 (United States NCI NIH HHS) LG - English EP - 20120904 DP - 2013 Feb DC - 20130116 YR - 2013 ED - 20130708 RD - 20150223 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22949569 <244. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22949569 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zawahir S AU - Omar M AU - Awang R AU - Yong HH AU - Borland R AU - Sirirassamee B AU - Fong GT AU - Hammond D FA - Zawahir, Shukry FA - Omar, Maizurah FA - Awang, Rahmat FA - Yong, Hua-Hie FA - Borland, Ron FA - Sirirassamee, Buppha FA - Fong, Geoffrey T FA - Hammond, David IN - Zawahir,Shukry. Clearinghouse for Tobacco Control, National Poison Center, Universiti Sains Malaysia, Pulau Pinang, Malaysia. shukry2010@gmail.com TI - Effectiveness of antismoking media messages and education among adolescents in Malaysia and Thailand: findings from the international tobacco control southeast Asia project. SO - Nicotine & Tobacco Research. 15(2):482-91, 2013 Feb. AS - Nicotine Tob Res. 15(2):482-91, 2013 Feb. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 OI - Source: NLM. PMC3545717 SB - Index Medicus CP - England MH - Adolescent MH - Female MH - Health Education/mt [Methods] MH - *Health Education/og [Organization & Administration] MH - Health Education/st [Standards] MH - Humans MH - Malaysia MH - Male MH - *Persuasive Communication MH - *Smoking/lj [Legislation & Jurisprudence] MH - Thailand AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-994X IL - 1462-2203 DO - http://dx.doi.org/10.1093/ntr/nts161 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - 79551 (Canada Canadian Institutes of Health Research) NO - P50 CA111236 (United States NCI NIH HHS) NO - R01 CA100362 (United States NCI NIH HHS) LG - English EP - 2012Sep04 DP - 2013 Feb DC - 2013116 YR - 2013 ED - 20130708 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22949569 <245. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23445186 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arnstein P AU - Herr K FA - Arnstein, Paul FA - Herr, Keela IN - Arnstein,Paul. Massachusetts General Hospital, Boston, Massachusetts 02114, USA. pmarnstein@partners.org TI - Risk evaluation and mitigation strategies for older adults with persistent pain. [Review] SO - Journal of Gerontological Nursing. 39(4):56-65; quiz 66-7, 2013 Apr. AS - J Gerontol Nurs. 39(4):56-65; quiz 66-7, 2013 Apr. NJ - Journal of gerontological nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - United States MH - Aged MH - Analgesics/ae [Adverse Effects] MH - *Analgesics/tu [Therapeutic Use] MH - Drug Interactions MH - Education, Nursing, Continuing MH - Humans MH - *Pain, Intractable/dt [Drug Therapy] MH - *Risk Assessment MH - Substance-Related Disorders AB - The U.S. Food and Drug Administration issued Risk Evaluation and Mitigation Strategies for certain analgesic agents, but all medicines for older adults warrant risk-reduction considerations. Although not all older adults have pain, a higher prevalence of persistent pain exists in this population. Nursing actions are needed to minimize the negative impact persistent pain, analgesic agents, or both have on physical, mental, and social functioning. Practices vary considerably, ranging from failing to use analgesic agents for older adults with considerable pain to exposing them to potentially life-threatening toxicities, overdoses, or drug interactions. Older adults tend to be more vulnerable to side effects and drug interactions due to differences in drug distribution, metabolism, and elimination; thus, vigilant assessment and monitoring is needed to mitigate risks whenever analgesic agents are used. This review delineates these vulnerabilities while informing clinicians of the strategies needed to promote safe, effective use of medications when treating pain in older adults.Copyright 2013, SLACK Incorporated. RN - 0 (Analgesics) IS - 0098-9134 IL - 0098-9134 DO - http://dx.doi.org/10.3928/00989134-20130221-01 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English EP - 20130228 DP - 2013 Apr DC - 20130408 YR - 2013 ED - 20130705 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23445186 <246. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23347874 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keurhorst MN AU - Anderson P AU - Spak F AU - Bendtsen P AU - Segura L AU - Colom J AU - Reynolds J AU - Drummond C AU - Deluca P AU - van Steenkiste B AU - Mierzecki A AU - Kloda K AU - Wallace P AU - Newbury-Birch D AU - Kaner E AU - Gual T AU - Laurant MG FA - Keurhorst, Myrna N FA - Anderson, Peter FA - Spak, Fredrik FA - Bendtsen, Preben FA - Segura, Lidia FA - Colom, Joan FA - Reynolds, Jillian FA - Drummond, Colin FA - Deluca, Paolo FA - van Steenkiste, Ben FA - Mierzecki, Artur FA - Kloda, Karolina FA - Wallace, Paul FA - Newbury-Birch, Dorothy FA - Kaner, Eileen FA - Gual, Toni FA - Laurant, Miranda G H IN - Keurhorst,Myrna N. Scientific Institute for Quality of Healthcare-IQ Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands. m.keurhorst@iq.umcn.nl TI - Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial. SO - Implementation Science. 8:11, 2013. AS - Implement Sci. 8:11, 2013. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC3564747 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/pc [Prevention & Control] MH - Cluster Analysis MH - *Counseling/mt [Methods] MH - Early Diagnosis MH - General Practice/ec [Economics] MH - General Practice/ed [Education] MH - General Practice/st [Standards] MH - Humans MH - Inservice Training/og [Organization & Administration] MH - *Internet MH - Middle Aged MH - Motivation MH - Nurse Practitioners/ed [Education] MH - Outcome Assessment (Health Care) MH - Physician Assistants/ed [Education] MH - Referral and Consultation MH - Reimbursement Mechanisms MH - Sample Size MH - Young Adult AB - BACKGROUND: The European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers. AB - METHODS/DESIGN: In a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals' role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling. AB - DISCUSSION: Effective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers. ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/1748-5908-8-11 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01501552 SL - http://clinicaltrials.gov/search/term=NCT01501552 NO - G0701818 (United Kingdom Medical Research Council) NO - RP-PG-0609-10162 (United Kingdom Department of Health) LG - English EP - 20130124 DP - 2013 DC - 20130206 YR - 2013 ED - 20130703 RD - 20150219 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23347874 <247. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23347874 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keurhorst MN AU - Anderson P AU - Spak F AU - Bendtsen P AU - Segura L AU - Colom J AU - Reynolds J AU - Drummond C AU - Deluca P AU - van Steenkiste B AU - Mierzecki A AU - Kloda K AU - Wallace P AU - Newbury-Birch D AU - Kaner E AU - Gual T AU - Laurant MG FA - Keurhorst, Myrna N FA - Anderson, Peter FA - Spak, Fredrik FA - Bendtsen, Preben FA - Segura, Lidia FA - Colom, Joan FA - Reynolds, Jillian FA - Drummond, Colin FA - Deluca, Paolo FA - van Steenkiste, Ben FA - Mierzecki, Artur FA - Kloda, Karolina FA - Wallace, Paul FA - Newbury-Birch, Dorothy FA - Kaner, Eileen FA - Gual, Toni FA - Laurant, Miranda G H IN - Keurhorst,Myrna N. Scientific Institute for Quality of Healthcare-IQ Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands. m.keurhorst@iq.umcn.nl TI - Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial. SO - Implementation Science. 8:11, 2013 Jan 24. AS - Implement Sci. 8:11, 2013 Jan 24. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC3564747 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/pc [Prevention & Control] MH - Cluster Analysis MH - *Counseling/mt [Methods] MH - Early Diagnosis MH - General Practice/ec [Economics] MH - General Practice/ed [Education] MH - General Practice/st [Standards] MH - Humans MH - Inservice Training/og [Organization & Administration] MH - *Internet MH - Middle Aged MH - Motivation MH - Nurse Practitioners/ed [Education] MH - Outcome Assessment (Health Care) MH - Physician Assistants/ed [Education] MH - Referral and Consultation MH - Reimbursement Mechanisms MH - Sample Size MH - Young Adult AB - BACKGROUND: The European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers. AB - METHODS/DESIGN: In a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals' role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling. AB - DISCUSSION: Effective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers. ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/1748-5908-8-11 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01501552 SA - ClinicalTrials.gov/NCT01501552 SL - http://clinicaltrials.gov/search/term=NCT01501552 SL - http://clinicaltrials.gov/search/term=NCT01501552 NO - G0701818 (United Kingdom Medical Research Council) NO - RP-PG-0609-10162 (United Kingdom Department of Health) LG - English EP - 20130124 DP - 2013 Jan 24 DC - 20130206 YR - 2013 ED - 20130703 RD - 20161206 UP - 20161206 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23347874 <248. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23347874 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keurhorst MN AU - Anderson P AU - Spak F AU - Bendtsen P AU - Segura L AU - Colom J AU - Reynolds J AU - Drummond C AU - Deluca P AU - van Steenkiste B AU - Mierzecki A AU - Kloda K AU - Wallace P AU - Newbury-Birch D AU - Kaner E AU - Gual T AU - Laurant MG FA - Keurhorst, Myrna N FA - Anderson, Peter FA - Spak, Fredrik FA - Bendtsen, Preben FA - Segura, Lidia FA - Colom, Joan FA - Reynolds, Jillian FA - Drummond, Colin FA - Deluca, Paolo FA - van Steenkiste, Ben FA - Mierzecki, Artur FA - Kloda, Karolina FA - Wallace, Paul FA - Newbury-Birch, Dorothy FA - Kaner, Eileen FA - Gual, Toni FA - Laurant, Miranda G H IN - Keurhorst,Myrna N. Scientific Institute for Quality of Healthcare-IQ Healthcare, Radboud University Nijmegen Medical Centre, PO Box 9101, 114 IQ Healthcare, 6500 HB Nijmegen, The Netherlands. m.keurhorst@iq.umcn.nl TI - Implementing training and support, financial reimbursement, and referral to an internet-based brief advice program to improve the early identification of hazardous and harmful alcohol consumption in primary care (ODHIN): study protocol for a cluster randomized factorial trial. SO - Implementation Science. 8:11, 2013 Jan 24. AS - Implement Sci. 8:11, 2013 Jan 24. NJ - Implementation science : IS PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 OI - Source: NLM. PMC3564747 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/pc [Prevention & Control] MH - Cluster Analysis MH - *Counseling/mt [Methods] MH - Early Diagnosis MH - General Practice/ec [Economics] MH - General Practice/ed [Education] MH - General Practice/st [Standards] MH - Humans MH - Inservice Training/og [Organization & Administration] MH - *Internet MH - Middle Aged MH - Motivation MH - Nurse Practitioners/ed [Education] MH - Outcome Assessment (Health Care) MH - Physician Assistants/ed [Education] MH - Referral and Consultation MH - Reimbursement Mechanisms MH - Sample Size MH - Young Adult AB - BACKGROUND: The European level of alcohol consumption, and the subsequent burden of disease, is high compared to the rest of the world. While screening and brief interventions in primary healthcare are cost-effective, in most countries they have hardly been implemented in routine primary healthcare. In this study, we aim to examine the effectiveness and efficiency of three implementation interventions that have been chosen to address key barriers for improvement: training and support to address lack of knowledge and motivation in healthcare providers; financial reimbursement to compensate the time investment; and internet-based counselling to reduce workload for primary care providers. AB - METHODS/DESIGN: In a cluster randomized factorial trial, data from Catalan, English, Netherlands, Polish, and Swedish primary healthcare units will be collected on screening and brief advice rates for hazardous and harmful alcohol consumption. The three implementation strategies will be provided separately and in combination in a total of seven intervention groups and compared with a treatment as usual control group. Screening and brief intervention activities will be measured at baseline, during 12 weeks and after six months. Process measures include health professionals' role security and therapeutic commitment of the participating providers (SAAPPQ questionnaire). A total of 120 primary healthcare units will be included, equally distributed over the five countries. Both intention to treat and per protocol analyses are planned to determine intervention effectiveness, using random coefficient regression modelling. AB - DISCUSSION: Effective interventions to implement screening and brief interventions for hazardous alcohol use are urgently required. This international multi-centre trial will provide evidence to guide decision makers. ES - 1748-5908 IL - 1748-5908 DO - http://dx.doi.org/10.1186/1748-5908-8-11 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01501552 SL - http://clinicaltrials.gov/search/term=NCT01501552 NO - G0701818 (United Kingdom Medical Research Council) NO - RP-PG-0609-10162 (United Kingdom Department of Health) LG - English EP - 20130124 DP - 2013 Jan 24 DC - 20130206 YR - 2013 ED - 20130703 RD - 20161215 UP - 20161222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23347874 <249. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580999 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, Madeline A IN - Naegle,Madeline A. Division of Nursing, New York University, New York, NY, USA. TI - Nursing education in the prevention and treatment of SUD. [Review] SO - Substance Abuse. 23(3 Suppl):247-61, 2002 Sep. AS - Subst Abus. 23(3 Suppl):247-61, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - Curriculum/td [Trends] MH - Education, Nursing/st [Standards] MH - *Education, Nursing/td [Trends] MH - Education, Nursing, Continuing/st [Standards] MH - Education, Nursing, Continuing/td [Trends] MH - Faculty, Nursing/st [Standards] MH - Forecasting MH - Humans MH - Models, Nursing MH - Nurse's Role MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580999 <250. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580998 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vasquez E AU - Onieal ME FA - Vasquez, Elias FA - Onieal, Marie Eileen IN - Vasquez,Elias. Department of Child, Women's, and Family Health, School of Nursing, University of Maryland, Baltimore, MD, USA. TI - Substance abuse education for nurse practitioners in primary care. [Review] SO - Substance Abuse. 23(3 Suppl):235-46, 2002 Sep. AS - Subst Abus. 23(3 Suppl):235-46, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Advanced Practice Nursing/ed [Education] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Combined Modality Therapy MH - Cooperative Behavior MH - Curriculum MH - Education, Nursing, Graduate MH - Family Nursing/px [Psychology] MH - Holistic Nursing MH - Humans MH - Interdisciplinary Communication MH - *Nurse Practitioners/ed [Education] MH - Nurse-Patient Relations MH - *Primary Care Nursing MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580998 <251. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580997 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paluzzi P AU - Deggins N AU - Hutchins E AU - Burkhardt P FA - Paluzzi, Pat FA - Deggins, Nicole FA - Hutchins, Ellen FA - Burkhardt, Patricia IN - Paluzzi,Pat. Baltimore City Health Department, Baltimore, MD, USA. TI - The role of midwives in caring for women with substance use disorders: implications for training. [Review] SO - Substance Abuse. 23(3 Suppl):223-33, 2002 Sep. AS - Subst Abus. 23(3 Suppl):223-33, 2002 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - *Cooperative Behavior MH - Curriculum MH - Female MH - Humans MH - Infant, Newborn MH - *Interdisciplinary Communication MH - *Midwifery/ed [Education] MH - Pregnancy MH - Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review LG - English DP - 2002 Sep DC - 20130412 YR - 2002 ED - 20130701 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580997 <252. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23565835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan SS AU - Wong DC AU - Lam TH FA - Chan, Sophia S C FA - Wong, David C N FA - Lam, Tai-Hing IN - Chan,Sophia S C. School of Nursing, University of Hong Kong, 4/F William MW Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong. nssophia@hku.hk TI - 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. SO - BMC Pediatrics. 13:50, 2013. AS - BMC Pediatr. 13:50, 2013. NJ - BMC pediatrics PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967804 OI - Source: NLM. PMC3626671 SB - Index Medicus CP - England MH - Adult MH - Child MH - *Child Welfare MH - Female MH - Follow-Up Studies MH - *Health Education/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Hong Kong MH - Hospitalization MH - Humans MH - Male MH - *Maternal Behavior MH - Models, Statistical MH - *Mothers/ed [Education] MH - Mothers/px [Psychology] MH - Odds Ratio MH - Outcome Assessment (Health Care) MH - *Paternal Behavior MH - *Pediatric Nursing/mt [Methods] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] AB - 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. AB - METHODS: This was a randomised controlled trial and 1,483 non-smoking women,whowere 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. AB - 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. AB - 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'. AB - TRIAL REGISTRATION: Current Controlled Trials ISRCTN72290421. ES - 1471-2431 IL - 1471-2431 DO - http://dx.doi.org/10.1186/1471-2431-13-50 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN72290421 SL - http://www.controlled-trials.com/ISRCTN72290421 LG - English EP - 20130408 DP - 2013 DC - 20130416 YR - 2013 ED - 20130621 RD - 20150427 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23565835 <253. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22515191 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lin SC AU - Tsai KW AU - Chen MW AU - Koo M FA - Lin, Shih-Chun FA - Tsai, Kun-Wei FA - Chen, Miao-Wen FA - Koo, Malcolm IN - Lin,Shih-Chun. Department of Geriatrics, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan. TI - Association between fatigue and Internet addiction in female hospital nurses. SO - Journal of Advanced Nursing. 69(2):374-83, 2013 Feb. AS - J Adv Nurs. 69(2):374-83, 2013 Feb. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Behavior, Addictive/co [Complications] MH - Cross-Sectional Studies MH - *Fatigue/et [Etiology] MH - Female MH - Humans MH - *Internet MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nursing Staff, Hospital/px [Psychology] MH - Taiwan MH - Young Adult AB - AIMS: To report a study conducted to examine the association between fatigue and Internet addiction among female hospital nurses. AB - 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. AB - DESIGN: Cross-sectional survey. AB - 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. AB - 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. AB - CONCLUSION: This study is the first in reporting a statistically significant association between fatigue levels and Internet addiction in female hospital nurses. AB - 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.Copyright © 2012 Blackwell Publishing Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2012.06016.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120419 DP - 2013 Feb DC - 20130114 YR - 2013 ED - 20130620 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22515191 <254. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22938531 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kawai VK AU - Murray KT AU - Stein CM AU - Cooper WO AU - Graham DJ AU - Hall K AU - Ray WA FA - Kawai, Vivian K FA - Murray, Katherine T FA - Stein, C Michael FA - Cooper, William O FA - Graham, David J FA - Hall, Kathi FA - Ray, Wayne A IN - Kawai,Vivian K. Division of Pharmacoepidemiology, Department of Preventive Medicine, Nashville, TN, USA. TI - Validation of a computer case definition for sudden cardiac death in opioid users. SO - BMC Research Notes. 5:473, 2012. AS - BMC Res Notes. 5:473, 2012. NJ - BMC research notes PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101462768 OI - Source: NLM. PMC3512474 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Analgesics, Opioid/ae [Adverse Effects] MH - Cohort Studies MH - *Death, Sudden, Cardiac/et [Etiology] MH - *Dextropropoxyphene/ae [Adverse Effects] MH - Diagnosis, Computer-Assisted/mt [Methods] MH - Humans MH - *Hydrocodone/ae [Adverse Effects] MH - *Medical Records Systems, Computerized/sn [Statistics & Numerical Data] MH - Middle Aged MH - Predictive Value of Tests MH - Reproducibility of Results AB - BACKGROUND: 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. AB - FINDINGS: 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%. AB - CONCLUSIONS: 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. RN - 0 (Analgesics, Opioid) RN - 6YKS4Y3WQ7 (Hydrocodone) RN - S2F83W92TK (Dextropropoxyphene) ES - 1756-0500 IL - 1756-0500 DO - http://dx.doi.org/10.1186/1756-0500-5-473 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Validation Studies NO - HL081707 (United States NHLBI NIH HHS) NO - P60AR056116 (United States NIAMS NIH HHS) NO - R01 HL081707 (United States NHLBI NIH HHS) LG - English EP - 20120831 DP - 2012 DC - 20121204 YR - 2012 ED - 20130523 RD - 20150223 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22938531 <255. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22938531 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kawai VK AU - Murray KT AU - Stein CM AU - Cooper WO AU - Graham DJ AU - Hall K AU - Ray WA FA - Kawai, Vivian K FA - Murray, Katherine T FA - Stein, C Michael FA - Cooper, William O FA - Graham, David J FA - Hall, Kathi FA - Ray, Wayne A IN - Kawai,Vivian K. Division of Pharmacoepidemiology, Department of Preventive Medicine, Nashville, TN, USA. TI - Validation of a computer case definition for sudden cardiac death in opioid users. SO - BMC Research Notes. 5:473, 2012 Aug 31. AS - BMC Res Notes. 5:473, 2012 Aug 31. NJ - BMC research notes PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101462768 OI - Source: NLM. PMC3512474 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Analgesics, Opioid/ae [Adverse Effects] MH - Cohort Studies MH - *Death, Sudden, Cardiac/et [Etiology] MH - *Dextropropoxyphene/ae [Adverse Effects] MH - Diagnosis, Computer-Assisted/mt [Methods] MH - Humans MH - *Hydrocodone/ae [Adverse Effects] MH - *Medical Records Systems, Computerized/sn [Statistics & Numerical Data] MH - Middle Aged MH - Predictive Value of Tests MH - Reproducibility of Results AB - BACKGROUND: 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. AB - FINDINGS: 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%. AB - CONCLUSIONS: 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. RN - 0 (Analgesics, Opioid) RN - 6YKS4Y3WQ7 (Hydrocodone) RN - S2F83W92TK (Dextropropoxyphene) ES - 1756-0500 IL - 1756-0500 DO - http://dx.doi.org/10.1186/1756-0500-5-473 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Validation Studies NO - R01 HL081707 (United States NHLBI NIH HHS) NO - R01 HL096844 (United States NHLBI NIH HHS) NO - HL081707 (United States NHLBI NIH HHS) NO - P60AR056116 (United States NIAMS NIH HHS) LG - English EP - 2012Aug31 DP - 2012 Aug 31 DC - 2012124 YR - 2012 ED - 20130523 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22938531 <256. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22780986 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finnell DS FA - Finnell, Deborah S IN - Finnell,Deborah S. VA Western New York Healthcare System - Center for Integrated Healthcare, Buffalo, NY 14215, USA. Deborah.Finnell2@va.gov, finnell@buffalo.edu TI - A clarion call for nurse-led SBIRT across the continuum of care. [Review] CM - Comment in: J Addict Nurs. 2012 Oct;23(3):200-2; PMID: 24335737 SO - Alcoholism: Clinical & Experimental Research. 36(7):1134-8, 2012 Jul. AS - Alcohol Clin Exp Res. 36(7):1134-8, 2012 Jul. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print PI - Citation processed from: Internet JC - 35x, 7707242 SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/th [Therapy] MH - *Hospitalization/td [Trends] MH - Humans MH - Nurses/td [Trends] MH - *Nurses MH - *Professional Role MH - *Referral and Consultation/td [Trends] AB - This commentary discusses the impact of the study by Broyles and colleagues (2012) that reported on hospitalized patients' acceptability of nurse-delivered screening, brief intervention, and referral to treatment (SBIRT). This cross-sectional survey study assessed patient acceptability for and comfort with nurse-delivered SBIRT. The majority (95%) of inpatients found it acceptable for the nurse to ask about and/or discuss alcohol use during their hospitalization. This is a significant finding, as hospitals in the United States consider whether and how to implement The Joint Commission's performance measures related to SBIRT for hospitalized patients. The findings related to subgroups of patients who are more accepting of SBIRT and those who expressed some degree of discomfort highlight the importance for individualized patient-centered approaches. This study raises several important implications for nurse-delivered SBIRT. First, intensive efforts must be directed to enhancing the knowledge and competence of healthcare providers in general, and the current and future nursing workforce in particular, related to alcohol use and evidence-based care for patients who are drinking alcohol above recommended limits. Second, registered nurses, working to the full extent of their education and licensure are in key roles as members of the interdisciplinary team to provide cost-effective care at the bedside and across the continuum of care. Nurse-led SBIRT implementation models could help bridge the curricular gap and promote widespread and sustained integration of SBIRT as standard nursing care across all specialties and practice settings.Copyright © 2012 by the Research Society on Alcoholism. ES - 1530-0277 IL - 0145-6008 DO - http://dx.doi.org/10.1111/j.1530-0277.2012.01870.x PT - Journal Article PT - Review LG - English DP - 2012 Jul DC - 20120711 YR - 2012 ED - 20130522 RD - 20131218 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22780986 <257. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23172268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monroe PS AU - Heck WD AU - Lavsa SM FA - Monroe, P Sayer FA - Heck, Wendy D FA - Lavsa, Stacey M IN - Monroe,P Sayer. University of Texas M. D. Anderson Cancer Center, Houston, USA. TI - Changes to medication-use processes after overdose of U-500 regular insulin. CM - Comment in: Am J Health Syst Pharm. 2013 Aug 1;70(15):1284; PMID: 23867484 CM - Comment in: Am J Health Syst Pharm. 2013 Aug 1;70(15):1283-4; PMID: 23867483 SO - American Journal of Health-System Pharmacy. 69(23):2089-93, 2012 Dec 1. AS - Am J Health-Syst Pharm. 69(23):2089-93, 2012 Dec 1. NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists PI - Journal available in: Print PI - Citation processed from: Internet JC - 9503023, cbh SB - Index Medicus CP - United States MH - Aged MH - *Diabetes Mellitus, Type 2/dt [Drug Therapy] MH - *Drug Overdose/pc [Prevention & Control] MH - Humans MH - *Insulin, Regular, Human/ae [Adverse Effects] MH - Male MH - *Medication Errors/pc [Prevention & Control] MH - Patient Care Team/og [Organization & Administration] MH - *Pharmacy Service, Hospital/st [Standards] AB - PURPOSE: Modifications made to medication-use processes after an overdose of U-500 regular insulin are described. AB - SUMMARY: After a medication error occurred with U-500 regular insulin, a multidisciplinary team of physicians, nurses, advanced-practice nurses, and pharmacists was created to review and improve the ordering, dispensing, and administration processes associated with U-500 regular insulin. The group determined that current safety practices for managing insulin were inadequate. New safety processes specific to U-500 regular insulin were developed and implemented. Vials of U-500 regular insulin are no longer dispensed to nursing units and are stored only in the pharmacy and separated from other insulins. The ordering of U-500 regular insulin is limited to the endocrinology service, and all orders are written using a specialized U-500 regular insulin order set. The option for i.v. administration for U-500 regular insulin was removed from the pharmacy order-entry system; thus, only the subcutaneous route is entered by the pharmacist. In addition, patient-specific doses of U-500 regular insulin are prepared in the pharmacy using only tuberculin syringes that require a double check by two pharmacists. These syringes are delivered to patient care areas in a bag distinguishing the medication as "high alert." One last safety check involving a two-nurse check at the bedside to confirm correct medication administration is performed. Lastly, patient education material specifically for U-500 regular insulin is available online. AB - CONCLUSION: A multidisciplinary team recommended modifications to the medication-use system regarding U-500 regular insulin after review of a medication error. No errors involving U-500 regular insulin have been reported since implementation of the changes. RN - 0 (Insulin, Regular, Human) ES - 1535-2900 IL - 1079-2082 DO - http://dx.doi.org/10.2146/ajhp110628 PT - Case Reports PT - Journal Article LG - English DP - 2012 Dec 1 DC - 20121122 YR - 2012 ED - 20130507 RD - 20130912 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23172268 <258. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22939545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flick U AU - Garms-Homolova V AU - Rohnsch G FA - Flick, Uwe FA - Garms-Homolova, Vjenka FA - Rohnsch, Gundula IN - Flick,Uwe. Alice Salomon University of Applied Sciences, Berlin, Germany; University of Vienna, Austria. flick@asfh-berlin.de TI - "And mostly they have a need for sleeping pills": physicians' views on treatment of sleep disorders with drugs in nursing homes. SO - Journal of Aging Studies. 26(4):484-94, 2012 Dec. AS - J Aging Stud. 26(4):484-94, 2012 Dec. NJ - Journal of aging studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8916517 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Ageism/px [Psychology] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Disorders of Excessive Somnolence/dt [Drug Therapy] MH - Disorders of Excessive Somnolence/ep [Epidemiology] MH - Disorders of Excessive Somnolence/et [Etiology] MH - Disorders of Excessive Somnolence/nu [Nursing] MH - Drug Utilization/sn [Statistics & Numerical Data] MH - Female MH - Germany MH - *Homes for the Aged MH - Humans MH - *Hypnotics and Sedatives/ae [Adverse Effects] MH - *Hypnotics and Sedatives/tu [Therapeutic Use] MH - Life Style MH - Male MH - *Nursing Homes MH - Patient Satisfaction MH - Physician-Patient Relations MH - Practice Patterns, Physicians' MH - Risk Assessment MH - Sleep Disorders, Circadian Rhythm/dt [Drug Therapy] MH - Sleep Disorders, Circadian Rhythm/ep [Epidemiology] MH - Sleep Disorders, Circadian Rhythm/et [Etiology] MH - Sleep Disorders, Circadian Rhythm/nu [Nursing] MH - Sleep Initiation and Maintenance Disorders/dt [Drug Therapy] MH - Sleep Initiation and Maintenance Disorders/ep [Epidemiology] MH - Sleep Initiation and Maintenance Disorders/et [Etiology] MH - Sleep Initiation and Maintenance Disorders/nu [Nursing] MH - *Sleep Wake Disorders/dt [Drug Therapy] MH - Sleep Wake Disorders/ep [Epidemiology] MH - Sleep Wake Disorders/et [Etiology] MH - *Sleep Wake Disorders/nu [Nursing] MH - Social Environment MH - *Stereotyping MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Wakefulness AB - 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.Copyright © 2012 Elsevier Inc. All rights reserved. RN - 0 (Hypnotics and Sedatives) ES - 1879-193X IL - 0890-4065 DO - http://dx.doi.org/10.1016/j.jaging.2012.07.001 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120723 DP - 2012 Dec DC - 20120903 YR - 2012 ED - 20130502 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22939545 <259. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23606958 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Tinkle M AU - Kimball R AU - Haozous EA AU - Shuster G AU - Meize-Grochowski R FA - Tinkle, Mindy FA - Kimball, Richard FA - Haozous, Emily A FA - Shuster, George FA - Meize-Grochowski, Robin IN - Tinkle,Mindy. UNM College of Nursing, 1 University of New Mexico MSC 095350, Albuquerque, NM 87131-0001, USA. TI - Dissemination and Implementation Research Funded by the US National Institutes of Health, 2005-2012. SO - Nursing Research and Practice. 2013:909606, 2013. AS - Nurs Res Pract. 2013:909606, 2013. NJ - Nursing research and practice PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101561211 OI - Source: NLM. PMC3625600 CP - Egypt AB - Dissemination and implementation (D&I) research is a growing area of science focused on overcoming the science-practice gap by targeting the distribution of information and adoption of interventions to public health and clinical practice settings. This study examined D&I research projects funded under specific program announcements by the US National Institutes of Health (NIH) from 2005 to 2012. The authors described the projects' D&I strategies, funding by NIH Institute, focus, characteristics of the principal investigators (PIs) and their organizations, and other aspects of study design and setting. Results showed 46 R01s, 6 R03s, and 24 R21s funded totaling $79.2 million. The top funders were the National Cancer Institute and the National Institute of Mental Health, together providing 61% of funding. The majority of PIs were affiliated with Schools of Medicine or large, nonprofit research organizations and think tanks. Only 4% of projects were to PIs with appointments at Schools of Nursing, with 7% of the funding. The most commonly funded projects across all of the studies focused on cancer control and screening, substance abuse prevention and treatment, and mental health services. Typically implemented in community and organizational settings, D&I research provides an excellent opportunity for team science, including nurse scientists and interdisciplinary collaborators. IS - 2090-1429 IL - 2090-1429 DO - http://dx.doi.org/10.1155/2013/909606 PT - Journal Article LG - English EP - 20130327 DP - 2013 DC - 20130422 YR - 2013 ED - 20130423 RD - 20150421 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23606958 <260. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23460957 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cadiz D AU - O'Neill C FA - Cadiz, David FA - O'Neill, Chris TI - Response. CM - Comment on: J Nurs Educ. 2013 Feb;52(2):69-70; PMID: 23368848 CM - Comment on: J Nurs Educ. 2012 Jul;51(7):411-5; PMID: 22588623 SO - Journal of Nursing Education. 52(2):70, 2013 Feb. AS - J Nurs Educ. 52(2):70, 2013 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Awareness MH - Female MH - Humans MH - Male MH - *Professional Impairment MH - *Program Evaluation MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0148-4834 IL - 0148-4834 PT - Comment PT - Letter LG - English DP - 2013 Feb DC - 20130304 YR - 2013 ED - 20130402 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23460957 <261. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23368848 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bennett J FA - Bennett, Joel TI - Adapting team awareness and replication. CM - Comment in: J Nurs Educ. 2013 Feb;52(2):70; PMID: 23460957 CM - Comment on: J Nurs Educ. 2012 Jul;51(7):411-5; PMID: 22588623 SO - Journal of Nursing Education. 52(2):69-70, 2013 Feb. AS - J Nurs Educ. 52(2):69-70, 2013 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Awareness MH - Female MH - Humans MH - Male MH - *Professional Impairment MH - *Program Evaluation MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0148-4834 IL - 0148-4834 DO - http://dx.doi.org/10.3928/01484834-20130123-12 PT - Comment PT - Letter LG - English DP - 2013 Feb DC - 20130201 YR - 2013 ED - 20130402 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23368848 <262. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23448080 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lawrance KA AU - Travis HE AU - Lawler SA FA - Lawrance, Kelli-an G FA - Travis, Heather Elizabeth FA - Lawler, Sharon A IN - Lawrance,Kelli-an G. Community Health Sciences Department, Brock University, St. Catharines, Ontario, Canada. TI - Tobacco intervention practices of postsecondary campus nurses in Ontario. SO - Canadian Journal of Nursing Research. 44(4):142-59, 2012 Dec. AS - Can J Nurs Res. 44(4):142-59, 2012 Dec. NJ - The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres PI - Journal available in: Print PI - Citation processed from: Print JC - cjn, 8910581 SB - Nursing Journal CP - Canada MH - Adult MH - Clinical Nursing Research MH - Female MH - Humans MH - Male MH - Middle Aged MH - Ontario MH - *Smoking Cessation/mt [Methods] MH - *Students MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/th [Therapy] MH - *Universities MH - Young Adult AB - 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. IS - 0844-5621 IL - 0844-5621 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2012 Dec DC - 20130301 YR - 2012 ED - 20130402 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23448080 <263. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22864401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Truncali A AU - Kalet AL AU - Gillespie C AU - More F AU - Naegle M AU - Lee JD AU - Huben L AU - Kerr D AU - Gourevitch MN FA - Truncali, Andrea FA - Kalet, Adina L FA - Gillespie, Colleen FA - More, Frederick FA - Naegle, Madeline FA - Lee, Joshua D FA - Huben, Laura FA - Kerr, David FA - Gourevitch, Marc N IN - Truncali,Andrea. Martin's Point Health Center, 331 Veranda St, Portland, ME 04102, USA. andreatruncali@yahoo.com TI - Engaging health professional students in substance abuse research: development and early evaluation of the SARET program. SO - Journal of Addiction Medicine. 6(3):196-204, 2012 Sep. AS - J Addict Med. 6(3):196-204, 2012 Sep. NJ - Journal of addiction medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 OI - Source: NLM. NIHMS386317 OI - Source: NLM. PMC3417229 SB - Index Medicus CP - United States MH - Computer-Assisted Instruction MH - Cooperative Behavior MH - Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - Interdisciplinary Communication MH - Internet MH - *Mentors MH - Program Evaluation MH - *Research MH - Research Support as Topic MH - *Substance-Related Disorders AB - 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. AB - 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 interest in conducting SA research by tracking participation and conducting participant focus groups and online surveys. AB - 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). AB - CONCLUSIONS: The SARET program stimulates SA clinical and research interest among students of nursing, medicine, and dentistry and may lend itself to dissemination. IS - 1932-0620 IL - 1932-0620 DO - http://dx.doi.org/10.1097/ADM.0b013e31825f77db PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural NO - R25 DA022461 (United States NIDA NIH HHS) NO - R25 DA022461 (United States NIDA NIH HHS) LG - English DP - 2012 Sep DC - 20120810 YR - 2012 ED - 20130402 RD - 20150224 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22864401 <264. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22456492 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castaldi S AU - Gelatti U AU - Orizio G AU - Hartung U AU - Moreno-Londono AM AU - Nobile M AU - Schulz PJ FA - Castaldi, Silvana FA - Gelatti, Umberto FA - Orizio, Grazia FA - Hartung, Uwe FA - Moreno-Londono, Ana Maria FA - Nobile, Marta FA - Schulz, Peter J IN - Castaldi,Silvana. University of Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore di Milano, Italy. silvana.castaldi@unimi.it TI - Use of cognitive enhancement medication among northern Italian university students. SO - Journal of Addiction Medicine. 6(2):112-7, 2012 Jun. AS - J Addict Med. 6(2):112-7, 2012 Jun. NJ - Journal of addiction medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 SB - Index Medicus CP - United States MH - Adolescent MH - Attention/de [Drug Effects] MH - Attitude to Health MH - Drug Utilization/sn [Statistics & Numerical Data] MH - Female MH - Health Surveys MH - Humans MH - Italy MH - Male MH - Memory/de [Drug Effects] MH - Motivation MH - *Nootropic Agents/ad [Administration & Dosage] MH - Nootropic Agents/ae [Adverse Effects] MH - Self Medication MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - This study assesses the use of cognitive enhancement medication among university students in Northern Italy. It was conducted as a cross-sectional analysis on the basis of a paper-and-pencil survey of 77 undergraduate students attending courses in the Faculty of Medicine of the University of Milan, Milano, Italy. Although the share of students who have taken cognitive enhancement medication themselves in the past is still small (16%), the use of these drugs is rather common and freely communicated in some social circles. Enhancing the ability to study outside of the class was students' primary motive for use. Students who think that there is no or an acceptable risk involved in cognitive enhancement medication are more likely to take drugs and dietary supplements than those who perceive the risk as high. RN - 0 (Nootropic Agents) IS - 1932-0620 IL - 1932-0620 DO - http://dx.doi.org/10.1097/ADM.0b013e3182479584 PT - Comparative Study PT - Journal Article LG - English DP - 2012 Jun DC - 20120511 YR - 2012 ED - 20130402 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22456492 <265. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22864401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Truncali A AU - Kalet AL AU - Gillespie C AU - More F AU - Naegle M AU - Lee JD AU - Huben L AU - Kerr D AU - Gourevitch MN FA - Truncali, Andrea FA - Kalet, Adina L FA - Gillespie, Colleen FA - More, Frederick FA - Naegle, Madeline FA - Lee, Joshua D FA - Huben, Laura FA - Kerr, David FA - Gourevitch, Marc N IN - Truncali,Andrea. Martin's Point Health Center, 331 Veranda St, Portland, ME 04102, USA. andreatruncali@yahoo.com TI - Engaging health professional students in substance abuse research: development and early evaluation of the SARET program. SO - Journal of Addiction Medicine. 6(3):196-204, 2012 Sep. AS - J Addict Med. 6(3):196-204, 2012 Sep. NJ - Journal of addiction medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 OI - Source: NLM. NIHMS386317 OI - Source: NLM. PMC3417229 SB - Index Medicus CP - United States MH - Computer-Assisted Instruction MH - Cooperative Behavior MH - Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - Interdisciplinary Communication MH - Internet MH - *Mentors MH - Program Evaluation MH - *Research MH - Research Support as Topic MH - *Substance-Related Disorders AB - 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. AB - 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 interest in conducting SA research by tracking participation and conducting participant focus groups and online surveys. AB - 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). AB - CONCLUSIONS: The SARET program stimulates SA clinical and research interest among students of nursing, medicine, and dentistry and may lend itself to dissemination. IS - 1932-0620 IL - 1932-0620 DO - http://dx.doi.org/10.1097/ADM.0b013e31825f77db PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural NO - R25 DA022461 (United States NIDA NIH HHS) LG - English DP - 2012 Sep DC - 2012810 YR - 2012 ED - 20130402 RD - 20161025 UP - 20161026 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22864401 <266. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22858311 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cund A FA - Cund, Audrey IN - Cund,Audrey. University of West of Scotland, Paisley Campus, School of Nursing, Paisley, United Kingdom. Audrey.cund@uws.ac.uk TI - Alcohol education revisited: exploring how much time we devote to alcohol education in the nursing curriculum. SO - Nurse Education in Practice. 13(1):35-9, 2013 Jan. AS - NURSE EDUC PRACT. 13(1):35-9, 2013 Jan. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Curriculum MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Assessment MH - Nursing Education Research MH - Nursing Evaluation Research MH - *Schools, Nursing/og [Organization & Administration] MH - Scotland MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Time Factors MH - Young Adult AB - 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. AB - 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. AB - 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 (chi(2) = 19.82, df = 4, p < 0.0005); recognise signs of acute alcohol withdrawal (chi(2) = 52.26, df = 16, p < 0.000); and the psychological signs associated with alcohol misuse (chi(2) = 41.81, df = 16, p < 0.000). A baseline figure of 2.5 h of alcohol education is noted at this university. AB - 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.Copyright © 2012 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DI - S1471-5953(12)00136-9 DO - http://dx.doi.org/10.1016/j.nepr.2012.07.005 PT - Journal Article LG - English EP - 20120801 DP - 2013 Jan DC - 20121231 YR - 2013 ED - 20130314 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22858311 <267. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22978503 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berry K AU - Barrowclough C AU - Innes C AU - Fitzgerald M AU - Hartley S AU - Haddock G FA - Berry, Katherine FA - Barrowclough, Christine FA - Innes, Carla FA - Fitzgerald, Martin FA - Hartley, Samantha FA - Haddock, Gillian IN - Berry,Katherine. School of Psychological Sciences, University of Manchester, Manchester, UK. katherine.berry@manchester.ac.uk TI - A description and evaluation of a challenging behaviour workshop. SO - Journal of Mental Health. 21(5):478-84, 2012 Oct. AS - J MENT HEALTH. 21(5):478-84, 2012 Oct. NJ - Journal of mental health (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9212352 SB - Index Medicus CP - England MH - Adult MH - Burnout, Professional/di [Diagnosis] MH - Burnout, Professional/px [Psychology] MH - Commitment of Mentally Ill MH - *Education MH - Female MH - *Hospitals, Psychiatric MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Nurse-Patient Relations MH - Pilot Projects MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Schizophrenia/nu [Nursing] MH - *Schizophrenic Psychology MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - BACKGROUND: Ensuring good quality staff and patient relationships are key goals of long-stay inpatient services. It is therefore essential that staff have a good understanding of patients' needs and how to work with the challenges that can present in these environments. AB - AIMS: We evaluated the feasibility and acceptability of a workshop to help psychiatric staff with challenging behaviours. AB - DESIGN: We used a quasi experimental design with assessments carried out at baseline and post intervention. We provided the training to staff on one low secure psychiatric unit and recorded the uptake of outcome assessments and the workshop itself. We assessed staff-patient relationships, burnout and ward atmosphere and staff also completed satisfaction questionnaires. AB - RESULTS: Sixty-six percent of staff (n=25) who were eligible to participate in the project completed initial outcome measures, but only 42% (n=16) attended the workshop and only 34% (n=13) completed follow-up measures. The workshop had no predicted effects on any of the outcomes assessed, but staff satisfaction with the training was generally positive. AB - CONCLUSIONS: Building up positive relationships with staff, addressing negative expectations and seeking support from all levels of management are essential in terms of reducing barriers to training in psychiatric settings. ES - 1360-0567 IL - 0963-8237 DO - http://dx.doi.org/10.3109/09638237.2012.705920 PT - Journal Article NO - PDF-2009-02-05 (United Kingdom Department of Health) LG - English DP - 2012 Oct DC - 20120917 YR - 2012 ED - 20130304 RD - 20140314 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22978503 <268. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22978503 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berry K AU - Barrowclough C AU - Innes C AU - Fitzgerald M AU - Hartley S AU - Haddock G FA - Berry, Katherine FA - Barrowclough, Christine FA - Innes, Carla FA - Fitzgerald, Martin FA - Hartley, Samantha FA - Haddock, Gillian IN - Berry,Katherine. School of Psychological Sciences, University of Manchester, Manchester, UK. katherine.berry@manchester.ac.uk TI - A description and evaluation of a challenging behaviour workshop. SO - Journal of Mental Health. 21(5):478-84, 2012 Oct. AS - J MENT HEALTH. 21(5):478-84, 2012 Oct. NJ - Journal of mental health (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9212352 SB - Index Medicus CP - England MH - Adult MH - Burnout, Professional/di [Diagnosis] MH - Burnout, Professional/px [Psychology] MH - Commitment of Mentally Ill MH - *Education MH - Female MH - *Hospitals, Psychiatric MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Nurse-Patient Relations MH - Pilot Projects MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Schizophrenia/nu [Nursing] MH - *Schizophrenic Psychology MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - BACKGROUND: Ensuring good quality staff and patient relationships are key goals of long-stay inpatient services. It is therefore essential that staff have a good understanding of patients' needs and how to work with the challenges that can present in these environments. AB - AIMS: We evaluated the feasibility and acceptability of a workshop to help psychiatric staff with challenging behaviours. AB - DESIGN: We used a quasi experimental design with assessments carried out at baseline and post intervention. We provided the training to staff on one low secure psychiatric unit and recorded the uptake of outcome assessments and the workshop itself. We assessed staff-patient relationships, burnout and ward atmosphere and staff also completed satisfaction questionnaires. AB - RESULTS: Sixty-six percent of staff (n=25) who were eligible to participate in the project completed initial outcome measures, but only 42% (n=16) attended the workshop and only 34% (n=13) completed follow-up measures. The workshop had no predicted effects on any of the outcomes assessed, but staff satisfaction with the training was generally positive. AB - CONCLUSIONS: Building up positive relationships with staff, addressing negative expectations and seeking support from all levels of management are essential in terms of reducing barriers to training in psychiatric settings. ES - 1360-0567 IL - 0963-8237 DO - http://dx.doi.org/10.3109/09638237.2012.705920 PT - Journal Article NO - PDF-2009-02-05 (United Kingdom Department of Health) LG - English DP - 2012 Oct DC - 20120917 YR - 2012 ED - 20130304 RD - 20161122 UP - 20161201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22978503 <269. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20156130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boykins AD AU - Alvanzo AA AU - Carson S AU - Forte J AU - Leisey M AU - Plichta SB FA - Boykins, Anita D FA - Alvanzo, Anika A H FA - Carson, Susan FA - Forte, Janett FA - Leisey, Monica FA - Plichta, Stacey B IN - Boykins,Anita D. School of Nursing, University of Southern Mississippi, Hattiesburg, Mississippi 39406-0001, USA. Anita.Boykins@usm.edu TI - Minority women victims of recent sexual violence: disparities in incident history. SO - Journal of Women's Health. 19(3):453-61, 2010 Mar. AS - J Womens Health (Larchmt). 19(3):453-61, 2010 Mar. NJ - Journal of women's health (2002) PI - Journal available in: Print PI - Citation processed from: Internet JC - 101159262, 9208978 SB - Index Medicus CP - United States MH - Adult MH - *African Continental Ancestry Group/sn [Statistics & Numerical Data] MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/eh [Ethnology] MH - Cross-Sectional Studies MH - *European Continental Ancestry Group/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Incidence MH - *Minority Groups/sn [Statistics & Numerical Data] MH - *Rape/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Substance-Related Disorders/ep [Epidemiology] MH - Suburban Population/sn [Statistics & Numerical Data] MH - Urban Population/sn [Statistics & Numerical Data] MH - Violence/eh [Ethnology] MH - *Violence/sn [Statistics & Numerical Data] AB - AIMS: The aims of this descriptive study were to (1) describe assault and care characteristics and (2) determine differences in assault and care characteristics between black women and white women who sought emergency care following sexual violence. AB - METHODS: A retrospective, cross-sectional design was used to examine forensic examination data characterizing the incident history reported by women victims of sexual violence at the time of a forensic nurse examination. Examinations occurred at an urban university-affiliated hospital emergency department (ED) over a 2-year period. AB - RESULTS: Of the women (n = 173) seeking care in the ED, 58.4% were black and 41.6% were white. When compared with white women, black women were more likely to have weapons used in their assaults (42.6% vs. 16.7%, p < 0.00) and to be assaulted in the city rather than the suburbs (82.8% vs. 56.5%, p < 0.00). In general, substance use prior to the assault was reported to have occurred in 49.1% of the victims and 41% of the assailants; however, differences existed in the type and pattern of substance use by race/ethnicity. Black victims were more likely to report use of illicit drugs (28.7% vs. 12.5%, p = 0.01). White women were more likely than black women to report personal alcohol use prior to their assault, with significant differences for drinking by victims (47.2% vs. 23.8%, p = 0.01) or assailant use of alcohol (47.2% vs. 23.8%, p = 0.00). White women were more likely than black women to report both they and the assailant had used some type of substance (38.9 vs. 21.8, p = 0.01). Black women were more likely to arrive to the ED via EMS services (45.5% vs. 29.2%, p = 0.03). There were no reported differences in care characteristics by race. AB - CONCLUSIONS: Findings from this study suggest that differences exist in assault characteristics between black and white women. Use of substances, including alcohol, plays an important role in sexual violence in women and should be a focus of preventive intervention initiatives when conducting a forensic examination. Both coordinated responses and comprehensive, individualized care by specially trained providers are important in the emergency care of minority women who are victims of recent sexual violence. ES - 1931-843X IL - 1540-9996 DO - http://dx.doi.org/10.1089/jwh.2009.1484 PT - Journal Article LG - English DP - 2010 Mar DC - 20100326 YR - 2010 ED - 20130212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20156130 <270. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22154953 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleary M AU - Horsfall J AU - Baines J AU - Happell B FA - Cleary, Michelle FA - Horsfall, Jan FA - Baines, Jenny FA - Happell, Brenda IN - Cleary,Michelle. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, Singapore. michelle_cleary@nuhs.edu.sg TI - Mental health behaviours among undergraduate nursing students: issues for consideration. SO - Nurse Education Today. 32(8):951-5, 2012 Nov. AS - Nurse Educ Today. 32(8):951-5, 2012 Nov. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Faculty, Nursing MH - Forecasting MH - Humans MH - Interprofessional Relations MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/ep [Epidemiology] MH - Nursing Education Research MH - Nursing Evaluation Research MH - Organizational Policy MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Teaching/mt [Methods] AB - 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.Copyright © 2011 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(11)00317-0 DO - http://dx.doi.org/10.1016/j.nedt.2011.11.016 PT - Journal Article LG - English EP - 20111210 DP - 2012 Nov DC - 20121105 YR - 2012 ED - 20130207 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22154953 <271. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23181370 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hudson AL AU - Nandy K FA - Hudson, Angela L FA - Nandy, Karabi IN - Hudson,Angela L. UCLA School of Nursing, Los Angeles, CA, USA. TI - Comparisons of substance abuse, high-risk sexual behavior and depressive symptoms among homeless youth with and without a history of foster care placement. SO - Contemporary Nurse. 42(2):178-86, 2012 Oct. AS - Contemp Nurse. 42(2):178-86, 2012 Oct. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Adolescent MH - *Depression/px [Psychology] MH - Female MH - *Foster Home Care MH - *Homeless Youth MH - Humans MH - Male MH - *Risk-Taking MH - *Sexual Behavior MH - *Substance-Related Disorders/px [Psychology] AB - AIMS AND OBJECTIVES: The purpose of this study was to compare prevalence of substance use, high-risk sexual behaviors, and depression symptoms between homeless youth with and without a history of foster care placement. AB - BACKGROUND: Approximately 26,000 young persons exit foster care annually in the United States. Once they 'age out' of foster care, however, many young persons do not have access to comprehensive health care. They also are at risk for substance abuse, homelessness, or mental illness. Because persons with a history of foster care are at risk for negative psycho-social outcomes, it is unclear if these young people might be different than homeless youth without this history. AB - DESIGN: The design is descriptive and cross-sectional. AB - METHODS: A total of 156 homeless young persons, of whom 44 had a history of foster care placement, were recruited from a drop-in center that caters to homeless youth and young adults. AB - RESULTS: The sample was majority male and white; ages were 16-25. Significantly higher proportion of homeless former foster youth used methamphetamine within the last six months compared to non-fostered homeless youth p = 0.03). Homeless former foster youth were significantly older (p = 0.02) and less educated (p = 0.02) than their homeless counterparts without a history of foster care placement. Prevalence of using tobacco, marijuana, alcohol, crack cocaine, and powder cocaine were similar for both groups. Although not significant, a higher proportion of homeless former foster youth reported trading sex for money or drugs compared to non-fostered, homeless youth (19% versus 12% [trading sex for money], and 26% versus 14% [trading sex for drugs], respectively. AB - CONCLUSIONS: Findings from this study show that, in general, homelessness is a negative outcome, irrespective of having a foster care history. However, those with that history need continued support when transitioning to independent living, such as access to health care, and encouragement to further their education. AB - RELEVANCE TO CLINICAL PRACTICE: It is important that nurses, who serve homeless youth populations, conduct a risk assessment profile, in order to ascertain a history of foster care placement, link former foster youth to social service agencies that provide risk reduction/health promotion education, and advocate for stable housing. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2012.42.2.178 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural NO - DA023521 (United States NIDA NIH HHS) LG - English DP - 2012 Oct DC - 20121127 YR - 2012 ED - 20130204 RD - 20140731 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23181370 <272. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23128805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manasco A AU - Chang S AU - Larriviere J AU - Hamm LL AU - Glass M FA - Manasco, Anton FA - Chang, Shannon FA - Larriviere, Joseph FA - Hamm, L Lee FA - Glass, Marcia IN - Manasco,Anton. Tulane University School of Medicine, New Orleans, Louisiana 70112, USA. anton.manasco@gmail.com TI - Alcohol withdrawal. [Review] SO - Southern Medical Journal. 105(11):607-12, 2012 Nov. AS - South Med J. 105(11):607-12, 2012 Nov. NJ - Southern medical journal PI - Journal available in: Print PI - Citation processed from: Internet JC - uvh, 0404522 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - Alcohol Withdrawal Delirium/dt [Drug Therapy] MH - Alcohol Withdrawal Delirium/pc [Prevention & Control] MH - *Alcohol Withdrawal Delirium MH - Alcohol Withdrawal Seizures/di [Diagnosis] MH - Alcohol Withdrawal Seizures/dt [Drug Therapy] MH - Alcohol Withdrawal Seizures/pc [Prevention & Control] MH - *Alcohol Withdrawal Seizures MH - *Anticonvulsants/tu [Therapeutic Use] MH - *Benzodiazepines/tu [Therapeutic Use] MH - Clinical Protocols MH - Drug Administration Schedule MH - Health Status Indicators MH - Humans MH - *Hypnotics and Sedatives/tu [Therapeutic Use] MH - Quality Improvement AB - Alcohol withdrawal is a common clinical condition that has a variety of complications and morbidities. The manifestations can range from mild agitation to withdrawal seizures and delirium tremens. The treatments for alcohol withdrawal include benzodiazepines, anticonvulsants, beta-blockers and antihypertensives. Although benzodiazepines are presently a first-line therapy, there is controversy regarding the efficacies of these medications compared with others. Treatment protocols often involve one of two contrasting approaches: symptom-triggered versus fixed-schedule dosing of benzodiazepines. We describe these protocols in our review and examine the data supporting symptom-triggered dosing as the preferred method for most patients in withdrawal.The Clinical Institute Withdrawal Assessment for Alcohol scoring system for alcohol withdrawal streamlines care, optimizes patient management, and is the best scale available for withdrawal assessment. Quality improvement implications for inpatient management of alcohol withdrawal include increasing training for signs of withdrawal and symptom recognition, adding new hospital protocols to employee curricula, and ensuring manageable patient-to-physician and patient-to-nurse ratios. RN - 0 (Anticonvulsants) RN - 0 (Hypnotics and Sedatives) RN - 12794-10-4 (Benzodiazepines) ES - 1541-8243 IL - 0038-4348 DO - http://dx.doi.org/10.1097/SMJ.0b013e31826efb2d PT - Journal Article PT - Review LG - English DP - 2012 Nov DC - 20121106 YR - 2012 ED - 20130110 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23128805 <273. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23193727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ducker S AU - Terry J FA - Ducker, Shelley FA - Terry, Jenni IN - Ducker,Shelley. Consumer Healthcare Products Association, Washington, DC, USA. TI - Home to Homeroom program brings school nurses to the forefront of teen substance abuse prevention. SO - NASN school nurse. 27(6):329-30, 2012 Nov. AS - NASN Sch Nurse. 27(6):329-30, 2012 Nov. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - Humans MH - Program Evaluation MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2012 Nov DC - 20121130 YR - 2012 ED - 20130108 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23193727 <274. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23073265 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Ong MK AU - Wells M AU - Kotlerman J FA - Sarna, Linda FA - Bialous, Stella A FA - Ong, Michael K FA - Wells, Marjorie FA - Kotlerman, Jenny IN - Sarna,Linda. School of Nursing, University of California-Los Angeles, Los Angeles, CA 90095, USA. lsarna@sonnet.ucla.edu TI - Increasing nursing referral to telephone quitlines for smoking cessation using a web-based program. SO - Nursing Research. 61(6):433-40, 2012 Nov-Dec. AS - Nurs Res. 61(6):433-40, 2012 Nov-Dec. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Internet JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Female MH - Follow-Up Studies MH - *Hotlines/ut [Utilization] MH - Humans MH - *Internet MH - Male MH - Middle Aged MH - Nursing Education Research MH - Nursing Evaluation Research MH - *Nursing Staff, Hospital/ed [Education] MH - *Practice Patterns, Nurses'/sn [Statistics & Numerical Data] MH - *Referral and Consultation/sn [Statistics & Numerical Data] MH - *Smoking Cessation/mt [Methods] MH - United States AB - 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. AB - 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. AB - 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. AB - 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]). AB - 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. ES - 1538-9847 IL - 0029-6562 DO - http://dx.doi.org/10.1097/NNR.0b013e3182707237 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1- R18/DP001149-04 (United States NCCDPHP CDC HHS) LG - English DP - 2012 Nov-Dec DC - 20121106 YR - 2012 ED - 20130107 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23073265 <275. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22930386 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jenny JL AU - Jenny C AU - Jayadevan S AU - Jayakumary M AU - Mohamed A AU - Arun S AU - Mohamed Mohamed F FA - Jenny, John Lisha FA - Jenny, Cheriathu FA - Jayadevan, Sreedharan FA - Jayakumary, Muttappallymyalil FA - Mohamed, Arifulla FA - Arun, Shirwaikar FA - Mohamed Mohamed, Fathi IN - Jenny,John Lisha. Department of Pharmacology, Gulf Medical University, Ajman, UAE. drlishaj@yahoo.com TI - Nurses opinion on the attributes of polypharmacy in patient safety. SO - Acta Medica Iranica. 50(7):516-21, 2012. AS - Acta Med Iran. 50(7):516-21, 2012. NJ - Acta medica Iranica PI - Journal available in: Print PI - Citation processed from: Internet JC - 1za, 14540050r SB - Index Medicus CP - Iran MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Hospitals, Teaching/ma [Manpower] MH - Humans MH - *Inpatients MH - *Nursing Staff, Hospital/px [Psychology] MH - *Polypharmacy MH - *Safety AB - 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. ES - 1735-9694 IL - 0044-6025 PT - Journal Article LG - English DP - 2012 DC - 20120829 YR - 2012 ED - 20130102 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22930386 <276. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22835752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joyce T AU - Higgins I AU - Magin P AU - Goode S AU - Pond D AU - Stone T AU - Elsom S AU - O'Neill K FA - Joyce, Terry FA - Higgins, Isabel FA - Magin, Parker FA - Goode, Susan FA - Pond, Dimity FA - Stone, Teresa FA - Elsom, Stephen FA - O'Neill, Kerry IN - Joyce,Terry. Discipline of General Practice, Faculty of Health, University of Newcastle, Callaghan, NSW, Australia. terry.joyce@newcastle.edu.au TI - The experiences of nurses with mental health problems: colleagues' perspectives. SO - Archives of Psychiatric Nursing. 26(4):324-32, 2012 Aug. AS - Arch Psychiatr Nurs. 26(4):324-32, 2012 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adult MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Anxiety Disorders/nu [Nursing] MH - Anxiety Disorders/px [Psychology] MH - *Attitude of Health Personnel MH - Bullying MH - Counseling MH - Defense Mechanisms MH - Depressive Disorder/nu [Nursing] MH - Depressive Disorder/px [Psychology] MH - Education MH - Female MH - Humans MH - Interprofessional Relations MH - Interview, Psychological MH - *Mental Disorders/nu [Nursing] MH - *Mental Disorders/px [Psychology] MH - Middle Aged MH - New South Wales MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Pilot Projects MH - *Professional Impairment/px [Psychology] MH - Psychiatric Nursing MH - Self-Injurious Behavior/nu [Nursing] MH - Self-Injurious Behavior/px [Psychology] MH - Social Support MH - Workplace AB - 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).Copyright © 2012 Elsevier Inc. All rights reserved. ES - 1532-8228 IL - 0883-9417 DO - http://dx.doi.org/10.1016/j.apnu.2011.12.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120120 DP - 2012 Aug DC - 20120727 YR - 2012 ED - 20121213 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22835752 <277. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22818263 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Charpiat B AU - Henry A AU - Leboucher G AU - Tod M AU - Allenet B FA - Charpiat, B FA - Henry, A FA - Leboucher, G FA - Tod, M FA - Allenet, B IN - Charpiat,B. Joseph-Fourier University-Grenoble 1, CNRS, TIMC-IMAG UMR 5525, Themas, Domaine de la Merci, 38706 La Tronche cedex, France. bruno.charpiat@chu-lyon.fr TI - Overdosed prescription of paracetamol (acetaminophen) in a teaching hospital. SO - Annales Pharmaceutiques Francaises. 70(4):213-8, 2012 Jul. AS - Ann Pharm Fr. 70(4):213-8, 2012 Jul. NJ - Annales pharmaceutiques francaises PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 2985176r, 5uy SB - Index Medicus CP - France MH - Acetaminophen/ad [Administration & Dosage] MH - *Acetaminophen/ae [Adverse Effects] MH - Adult MH - Aged MH - Analgesics, Non-Narcotic/ad [Administration & Dosage] MH - *Analgesics, Non-Narcotic/ae [Adverse Effects] MH - Databases, Factual MH - Drug Overdose MH - Drug Prescriptions MH - Drug Utilization MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Medication Errors MH - Middle Aged MH - Pharmacy Service, Hospital AB - INTRODUCTION: Paracetamol is the most commonly used analgesic and antipyretic. Reviews of hospital use of paracetamol are scarce. Little is known about the appropriateness of the dose of paracetamol prescribed for hospitalized adults. The aim of this study was to report on the nature and the frequency of the overdosed prescription of paracetamol observed in adult patients over a 4.5-year period in a teaching hospital. AB - METHODS: Prescription analysis by pharmacists was performed once a week in six medical and three surgical departments and daily in a post-emergency unit. In cases of prescription error, the pharmacist notified the physician through an electronic alert when a computerized prescription order entry system was available or otherwise by face-to-face discussion. For each drug-related problem detected, the pharmacists recorded relevant details in a database. AB - RESULTS: From October 2006 to April 2011, 44,404 prescriptions were reviewed and 480 alerts related to the overdosed prescription of paracetamol were made (1% of analyzed prescriptions). The extent of errors of dosage was within the intervals [90-120 mg/kg/d] and greater than 120 mg/kg/d for 87 and 11 patients respectively, who were prescribed a single non-combination paracetamol containing product. Sixty alerts concerned co-prescription of at least two paracetamol containing products with similar frequency for computerized (1.4/1000) or handwritten (1.2/1000) prescriptions. AB - DISCUSSION: Prescriptions of paracetamol for hospitalized adults frequently exceed the recommended dosage. AB - CONCLUSION: These results highlight the need for increased awareness of unintentional paracetamol overdose and support the initiation of an educational program aimed at physicians and nurses.Copyright © 2012. Published by Elsevier Masson SAS. RN - 0 (Analgesics, Non-Narcotic) RN - 362O9ITL9D (Acetaminophen) IS - 0003-4509 IL - 0003-4509 DO - http://dx.doi.org/10.1016/j.pharma.2012.05.002 PT - Journal Article LG - English EP - 20120619 DP - 2012 Jul DC - 20120723 YR - 2012 ED - 20121129 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22818263 <278. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22540263 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Brien A AU - Leonard L AU - Deering D FA - O'Brien, Anthony FA - Leonard, Louise FA - Deering, Daryle IN - O'Brien,Anthony. School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Grafton, Auckland, New Zealand. a.obrien@auckland.ac.nz TI - Could an advance practice nurse improve detection of alcohol misuse in the emergency department?. SO - International Journal of Mental Health Nursing. 21(4):340-8, 2012 Aug. AS - Int J Ment Health Nurs. 21(4):340-8, 2012 Aug. NJ - International journal of mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101140527 SB - Nursing Journal CP - Australia MH - Adolescent MH - Adult MH - Advanced Practice Nursing/ed [Education] MH - *Advanced Practice Nursing/mt [Methods] MH - Aged MH - *Alcoholism/di [Diagnosis] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Female MH - Humans MH - Male MH - Middle Aged MH - New Zealand MH - Young Adult AB - 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.Copyright © 2012 The Authors. International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc. ES - 1447-0349 IL - 1445-8330 DO - http://dx.doi.org/10.1111/j.1447-0349.2011.00797.x PT - Journal Article LG - English EP - 20120430 DP - 2012 Aug DC - 20120704 YR - 2012 ED - 20121128 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22540263 <279. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22074551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rani S AU - Byrne H FA - Rani, S FA - Byrne, H IN - Rani,S. Training and Development Department, Central Mental Hospital, Dundrum, Dublin, Ireland. shobharanig@gmail.com TI - A multi-method evaluation of a training course on dual diagnosis. SO - Journal of Psychiatric & Mental Health Nursing. 19(6):509-20, 2012 Aug. AS - J Psychiatr Ment Health Nurs. 19(6):509-20, 2012 Aug. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - Adult MH - *Diagnosis, Dual (Psychiatry) MH - Education, Nursing, Continuing MH - Female MH - Humans MH - Ireland MH - Male MH - Police/ed [Education] MH - Program Evaluation MH - Social Welfare MH - Social Work/ed [Education] MH - Teaching AB - A training course on dual diagnosis was developed within the Irish forensic mental health service, to bridge the gap in the lack of training on dual diagnosis in Ireland. The course was designed for service providers within mental health and addiction services. Twenty participants involving nursing, social work, police and social welfare disciplines attended the first training course. A mixed methodology research design was adapted to describe participants' evaluation of the training course. Data were collected using multiple methods: pre- and post-test, daily evaluation and focus group interviews. Quantitative data were analysed using the spss Version 16.0 and qualitative data were analysed thematically. Findings from the pre- and post-test suggest an increase in participants' knowledge of dual diagnosis and an increase in confidence in conducting groups. Daily evaluation indicates that the course content largely met participants' needs. Finally, three themes emerged from the focus group interview: increased confidence, the training course/teaching methods and personal/organizational challenges. This study implies that service providers within mental health and addiction services benefit from inter-professional, needs and skills based courses incorporating a variety of teaching methods. The way forward for future dual diagnosis training course developments would be working in partnership with service users and carers.Copyright © 2011 Blackwell Publishing. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2011.01808.x PT - Journal Article LG - English EP - 20110920 DP - 2012 Aug DC - 20120703 YR - 2012 ED - 20121113 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22074551 <280. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23066582 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korzon J AU - Trimmer W FA - Korzon, Juliana FA - Trimmer, Wendy IN - Korzon,Juliana. Faculty of Health at Whitireia, NZ. TI - Integrating mental health and addiction nursing through teaching. SO - Australian Nursing Journal. 20(3):35, 2012 Sep. AS - Aust Nurs J. 20(3):35, 2012 Sep. NJ - Australian nursing journal (July 1993) PI - Journal available in: Print PI - Citation processed from: Print JC - bxo, 9317904 SB - Nursing Journal CP - Australia MH - *Education, Nursing, Graduate/mt [Methods] MH - Humans MH - *Mental Disorders/nu [Nursing] MH - New Zealand MH - Problem-Based Learning MH - *Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 1320-3185 IL - 1320-3185 PT - Journal Article LG - English DP - 2012 Sep DC - 20121016 YR - 2012 ED - 20121108 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=23066582 <281. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738013 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanner TB AU - Wilhelm SE AU - Rossie KM AU - Metcalf MP FA - Tanner, T Bradley FA - Wilhelm, Susan E FA - Rossie, Karen M FA - Metcalf, Mary P IN - Tanner,T Bradley. Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA. TI - Web-based SBIRT skills training for health professional students and primary care providers. SO - Substance Abuse. 33(3):316-20, 2012. AS - Subst Abus. 33(3):316-20, 2012. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 OI - Source: NLM. NIHMS385598 OI - Source: NLM. PMC3398837 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Education, Medical, Undergraduate/mt [Methods] MH - Education, Nursing, Baccalaureate/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Internet MH - *Primary Health Care/mt [Methods] MH - Program Development MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2011.640151 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural NO - HHSN271200900036C (United States NIDA NIH HHS) NO - N44-DA-9-2214 (United States NIDA NIH HHS) NO - R44 AA016724 (United States NIAAA NIH HHS) NO - R44AA016724-01A1 (United States NIAAA NIH HHS) LG - English DP - 2012 DC - 20120628 YR - 2012 ED - 20121105 RD - 20150401 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22738013 <282. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738013 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanner TB AU - Wilhelm SE AU - Rossie KM AU - Metcalf MP FA - Tanner, T Bradley FA - Wilhelm, Susan E FA - Rossie, Karen M FA - Metcalf, Mary P IN - Tanner,T Bradley. Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA. TI - Web-based SBIRT skills training for health professional students and primary care providers. SO - Substance Abuse. 33(3):316-20, 2012. AS - Subst Abus. 33(3):316-20, 2012. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 OI - Source: NLM. NIHMS385598 OI - Source: NLM. PMC3398837 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Education, Medical, Undergraduate/mt [Methods] MH - Education, Nursing, Baccalaureate/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Internet MH - *Primary Health Care/mt [Methods] MH - Program Development MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897077.2011.640151 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural NO - HHSN271200900036C (United States NIDA NIH HHS) NO - R44 AA016724 (United States NIAAA NIH HHS) NO - N44-DA-9-2214 (United States NIDA NIH HHS) NO - R44AA016724-01A1 (United States NIAAA NIH HHS) LG - English DP - 2012 DC - 2012628 YR - 2012 ED - 20121105 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22738013 <283. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22694781 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weston J AU - Speroni KG AU - Ellis T AU - Daniel MG FA - Weston, Jaclyn FA - Speroni, Karen Gabel FA - Ellis, Terri FA - Daniel, Marlon G IN - Weston,Jaclyn. Shore Health System, Cambridge, MD 21613, USA. jweston@shorehealth.org TI - The effect of menstruation on psychiatric hospitalization. SO - Journal of Psychosocial Nursing & Mental Health Services. 50(7):39-43, 2012 Jul. AS - J Psychosoc Nurs Ment Health Serv. 50(7):39-43, 2012 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Bipolar Disorder/nu [Nursing] MH - Bipolar Disorder/px [Psychology] MH - *Depressive Disorder, Major/nu [Nursing] MH - Depressive Disorder, Major/px [Psychology] MH - Female MH - *Hospitalization MH - Hospitals, Rural MH - Humans MH - Menstruation MH - Middle Aged MH - Patient Education as Topic MH - Premenstrual Syndrome/nu [Nursing] MH - Psychiatric Department, Hospital MH - Retrospective Studies MH - Substance-Related Disorders/nu [Nursing] MH - Young Adult AB - 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.Copyright 2012, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20120605-01 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120615 DP - 2012 Jul DC - 20120706 YR - 2012 ED - 20121009 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22694781 <284. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22050211 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nehlin C AU - Fredriksson A AU - Gronbladh L AU - Jansson L FA - Nehlin, Christina FA - Fredriksson, Anders FA - Gronbladh, Leif FA - Jansson, Lennart IN - Nehlin,Christina. Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden. christina.nehlin.gordh@akademiska.se TI - Three hours of training improve psychiatric staff's self-perceived knowledge and attitudes toward problem-drinking patients. SO - Drug & Alcohol Review. 31(4):544-9, 2012 Jun. AS - Drug Alcohol Rev. 31(4):544-9, 2012 Jun. NJ - Drug and alcohol review PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9015440 SB - Index Medicus CP - England MH - *Alcohol Drinking/th [Therapy] MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - *Inservice Training MH - Male MH - Surveys and Questionnaires AB - 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 3 h training is sufficient to improve knowledge and therapeutic attitude toward problem drinking. AB - 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 2 h workshop and a 1 h 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. AB - 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. AB - DISCUSSION AND CONCLUSIONS: Three hours of tailored training for psychiatric staff improve their knowledge and therapeutic attitude to problem-drinking patients.Copyright © 2011 Australasian Professional Society on Alcohol and other Drugs. ES - 1465-3362 IL - 0959-5236 DO - http://dx.doi.org/10.1111/j.1465-3362.2011.00373.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20111103 DP - 2012 Jun DC - 20120607 YR - 2012 ED - 20121009 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22050211 <285. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587844 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Hudmon KS AU - Cataldo JK FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Hudmon, Karen Suchanek FA - Cataldo, Janine K IN - Prochaska,Judith J. Department of Psychiatry, University of California, San Francisco; JProchaska@ucsf.edu. TI - Designing for dissemination: development of an evidence-based tobacco treatment curriculum for psychiatry training programs. SO - Journal of the American Psychiatric Nurses Association. 15(1):24-31, 2009 Feb. AS - J Am Psychiatr Nurses Assoc. 15(1):24-31, 2009 Feb. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States KW - dissemination; education; nicotine dependence; tobacco; training AB - Psychiatry training programs provide a unique arena for affecting professional norms and increasing access to tobacco cessation services among smokers with mental illness. Psychiatry Rx for Change emphasizes evidence-based patient-oriented tobacco treatments relevant for tobacco users with psychiatric disorders. Following Diffusion of Innovations theory and the RE-AIM framework, the curriculum is being disseminated to psychiatry residency and graduate psychiatric nursing programs in the Western United States with plans to study curriculum adoption, implementation, and maintenance on a broad scale. Psychiatry Rx for Change aims to increase the likelihood that smokers with co-occurring disorders will receive evidence-based cessation treatment. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390308329536 PT - Journal Article NO - K23 DA018691 (United States NIDA NIH HHS) NO - K23 DA018691-05 (United States NIDA NIH HHS) NO - P50 DA009253 (United States NIDA NIH HHS) NO - P50 DA009253-12 (United States NIDA NIH HHS) LG - English DP - 2009 Feb DC - 20110613 YR - 2009 ED - 20121002 RD - 20161122 UP - 20161122 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19587844 <286. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21665804 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sharp DL AU - Blaakman SW AU - Cole RE AU - Evinger JS FA - Sharp, Daryl L FA - Blaakman, Susan W FA - Cole, Robert E FA - Evinger, James S IN - Sharp,Daryl L. Nursing Practice Program at the University of Rochester. TI - Report from a national tobacco dependence survey of psychiatric nurses. SO - Journal of the American Psychiatric Nurses Association. 15(3):172-81, 2009 Jun. AS - J Am Psychiatr Nurses Assoc. 15(3):172-81, 2009 Jun. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States AB - BACKGROUND: Persons with mental illness smoke proportionately more cigarettes and die earlier than the general population. Yet compared with other clinicians, psychiatric professionals have intervened slowly with smoking patients. To assess psychiatric nurses' perspectives concerning tobacco dependence interventions, the American Psychiatric Nurses Association (APNA) Tobacco Dependence Task Force surveyed email-accessible APNA members (N = 1,365). AB - OBJECTIVES: This paper reports survey results and implications for psychiatric nursing. AB - STUDY DESIGN: Cross-sectional analysis of a 29-item online survey conducted in early 2008. AB - RESULTS: Most nurses asked if patients smoked but fewer advised against smoking, referred to cessation resources, or delivered intensive interventions. Nurses referred to resources if they felt motivated, knowledgeable, and/or confident in their skills and rated highly their patients' ability and/or motivation to quit smoking. Workplace characteristics were related to nurses' behaviors. Nursing curricula lack tobacco dependence content. AB - CONCLUSIONS: Findings will guide efforts to support nurses in reducing/eliminating smoking by their patients through practice, education, research, and policy initiatives. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390309336746 PT - Journal Article LG - English DP - 2009 Jun DC - 20110613 YR - 2009 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21665804 <287. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21665794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Williams JM AU - Steinberg ML AU - Zimmermann MH AU - Gandhi KK AU - Lucas GE AU - Gonsalves DA AU - Pearlstein I AU - McCabe P AU - Galazyn M AU - Salsberg E FA - Williams, Jill M FA - Steinberg, Marc L FA - Zimmermann, Mia Hanos FA - Gandhi, Kunal K FA - Lucas, Gem-Estelle FA - Gonsalves, Dawn A FA - Pearlstein, Ivy FA - McCabe, Philip FA - Galazyn, Magdalena FA - Salsberg, Edward IN - Williams,Jill M. UMDNJ-Robert Wood Johnson Medical School and UMDNJ-School of Public Health, New Brunswick, NJ, jill.williams@umdnj.edu. TI - Training psychiatrists and advanced practice nurses to treat tobacco dependence. SO - Journal of the American Psychiatric Nurses Association. 15(1):50-8, 2009 Feb. AS - J Am Psychiatr Nurses Assoc. 15(1):50-8, 2009 Feb. NJ - Journal of the American Psychiatric Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9507418 CP - United States AB - The lack of availability of continuing medical education programs on tobacco dependence for psychiatrists and psychiatric nurses is profound. We developed a 2-day curriculum delivered in November 2006 and March 2007 to 71 participants. Ninety-three percent ( n = 66) completed a pretest/posttest, and 91% (n = 65) completed the attitudes and beliefs survey. Scores on the pretest were low (M = 47% correct). Paired t tests found significant increases in raw scores from 6.7 to 13.6, t(65) = -22.8, p < .0001. More than 90% of psychiatrists and nurses indicated that motivating and helping patients to stop smoking and discussing smoking behavior were part of their professional role. Although 80% reported that they usually ask about smoking status, fewer reported recommending nicotine replacement (34%), prescribing pharmacotherapy (29%), or referring smokers to a telephone quit line (26%). Trainings are repeated twice a year because of ongoing demand. Further follow-up should evaluate changes in practices after training. IS - 1078-3903 IL - 1078-3903 DO - http://dx.doi.org/10.1177/1078390308330458 PT - Journal Article LG - English DP - 2009 Feb DC - 20110613 YR - 2009 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21665794 <288. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19040877 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Jukes L AU - Gilchrist M FA - Jukes, Lisa FA - Gilchrist, Mollie IN - Jukes,Lisa. CCU, Southmead Hospital, Westbury-on-Trym, Bristol, BS10 5NB, United Kingdom. TI - Concerns about numeracy skills of nursing students. SO - Nurse Education in Practice. 6(4):192-8, 2006 Jul. AS - NURSE EDUC PRACT. 6(4):192-8, 2006 Jul. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 CP - England AB - Accurate mathematical calculation is a critical skill that nurses must demonstrate in order to administer medications safely. The ability of undergraduate nurses to calculate the correct dosage of medication consistently has been a concern of schools of nursing for a long time. This study explores the ability of a group of nursing students to calculate mathematical drug problems within an English University. A convenience sample of 37 second year nursing students volunteered to complete a 10-item drug calculation test, requiring understanding of simple division and multiplication, percentages, ratio and proportion, conversion of units and multiple-stage procedures. The students' median correct score was 6 out of 10 (range 0-9). No one achieved full marks. Only 3 were able to achieve 9 out of 10, indicating that, on average, students were unable to achieve 90% mastery. This finding supports past literature and is of concern. It is of concern that these student nurses did not have the ability to perform drug calculations at a 90% mastery level. It has been recommended that admission requirements be reviewed, and that students are tested throughout their programme and that skills are reinforced both in the classroom and practice setting. This could be achieved using a variety of methods, supporting a teaching and learning framework to integrate analytical and procedural competence underpinned by the creation of national standards. Also, both educators and practitioners must take responsibility for ensuring adequate support and guidance are available to student nurses. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2005.12.002 PT - Journal Article LG - English EP - 20060207 DP - 2006 Jul DC - 20081201 YR - 2006 ED - 20121002 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19040877 <289. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23008604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Mandil AM AU - Bahnassy AA AU - Aboul-Azm SM AU - Bashawri LA FA - Mandil, A M FA - Bahnassy, A A FA - Aboul-Azm, S M FA - Bashawri, L A IN - Mandil,A M. Department of Family & Community Medicine, College of Medicine, King Faisal University, Dammam, Saudi Arabia. TI - Knowledge, attitude and smoking patterns among nursing and laboratory technology students, dammam, saudi arabia. SO - Journal of Family and Community Medicine. 6(2):51-8, 1999 Jul. AS - J Family Community Med. 6(2):51-8, 1999 Jul. NJ - Journal of family & community medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101553144, 100911100 OI - Source: NLM. PMC3437104 CP - India KW - Saudi Arabia; Smoking; knowledge/attitudes/practice (KAP); laboratory technology; nursing; tobacco consumption; university students AB - OBJECTIVE: To study the reported practices of knowledge about and attitude towards smoking among nursing and medical laboratory technology (MLT) students, College of Medicine, King Faisal University at Dammam and Al-Khobar. AB - SETTING: College of Medicine, Dammam and King Fahd Hospital of the University, Al-Khobar, Saudi Arabia AB - METHODS: A cross-sectional approach involving a sample of 266 students and interns (152 nursing and 114 MLT), which included all enrolled students in the academic year (1998/1999). A self-administered questionnaire was used to collect data covering knowledge, practice and attitude to smoking. SPSS was used for statistical analysis. AB - RESULTS: The overall smoking prevalence was low (5.6%), slightly higher among nursing (6.6%) versus MLT (4.4%) students. Knowledge of and attitude towards smoking was generally satisfactory in both groups, although deficient in some key areas, such as the addictive nature of smoking, some of its consequences on health, and difficulty of quitting. AB - CONCLUSION AND RECOMMENDATIONS: The prevalence of smoking among nursing and MLT students is generally low but their knowledge and attitude need improvement. Health education on facts, dangers and consequences of smoking should start as early as the primary school, and should continue throughout the education of future health professionals (role models for the community). IS - 1319-1683 IL - 1319-1683 PT - Journal Article LG - English DP - 1999 Jul DC - 20120925 YR - 1999 ED - 20121002 RD - 20130530 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23008604 <290. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22436604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cadiz D AU - Truxillo D AU - O'Neill C FA - Cadiz, David FA - Truxillo, Donald FA - O'Neill, Chris IN - Cadiz,David. Oregon Nurses Foundation, Tualatin, 97062, USA. cadiz@oregonrn.org TI - Evaluation of a training program for nurse supervisors who monitor nurses in an alternative-to-discipline program. SO - Advances in Nursing Science. 35(2):135-44, 2012 Apr-Jun. AS - ANS Adv Nurs Sci. 35(2):135-44, 2012 Apr-Jun. NJ - ANS. Advances in nursing science PI - Journal available in: Print PI - Citation processed from: Internet JC - 6e9, 7809992 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Evidence-Based Practice MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Administrators/ed [Education] MH - *Nursing Staff/ed [Education] MH - Oregon MH - *Professional Impairment/px [Psychology] MH - Program Evaluation MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Workplace/og [Organization & Administration] AB - Nurse alternative-to-discipline programs aim to protect the public from the harm of impaired practice and to support nurses in early recovery from substance use disorders. Supervisor observation of work behavior is one key monitoring activity that protects the public. We evaluate a supervisory training called "Fit to Perform" for nurse managers to help them monitor and manage nurses enrolled in an alternative-to-discipline program. We observed significant mean changes in knowledge, training utility, self-efficacy, and substance abuse stigma. The results suggest that the training positively affects knowledge about substance use disorders, confidence to supervise nurses enrolled in an alternative-to-discipline program, and reduces stigma, which may create a supportive workplace for nurses in recovery. ES - 1550-5014 IL - 0161-9268 DO - http://dx.doi.org/10.1097/ANS.0b013e31824fe6e0 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2012 Apr-Jun DC - 20120508 YR - 2012 ED - 20121001 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22436604 <291. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22910174 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaldy J FA - Kaldy, Joanne TI - Riding the wave of younger residents in long-term care. SO - Consultant Pharmacist. 27(8):538-43, 2012 Aug. AS - Consult Pharm. 27(8):538-43, 2012 Aug. NJ - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9013983 SB - Index Medicus CP - United States MH - Adult MH - Age Factors MH - Humans MH - *Long-Term Care/mt [Methods] MH - Long-Term Care/st [Standards] MH - Middle Aged MH - *Nursing Homes/og [Organization & Administration] MH - Pharmaceutical Services/og [Organization & Administration] MH - Pharmacists/og [Organization & Administration] MH - *Quality of Health Care MH - Quality of Life AB - 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. IS - 0888-5109 IL - 0888-5109 DO - http://dx.doi.org/10.4140/TCP.n.2012.538 PT - Journal Article LG - English DP - 2012 Aug DC - 20120822 YR - 2012 ED - 20120925 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22910174 <292. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22621664 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Garcia CM AU - Lechner KE AU - Frerich EA AU - Lust KA AU - Eisenberg ME FA - Garcia, Carolyn M FA - Lechner, Kate E FA - Frerich, Ellen A FA - Lust, Katherine A FA - Eisenberg, Marla E IN - Garcia,Carolyn M. School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA. Garcia@umn.edu TI - Preventing sexual violence instead of just responding to it: students' perceptions of sexual violence resources on campus. SO - Journal of Forensic Nursing. 8(2):61-71, 2012 Jun. AS - J. forensic nurs.. 8(2):61-71, 2012 Jun. NJ - Journal of forensic nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101234500 OI - Source: NLM. NIHMS347349 OI - Source: NLM. PMC3368349 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Female MH - Health Education MH - Humans MH - Interviews as Topic MH - Male MH - Midwestern United States MH - Needs Assessment MH - Safety MH - Security Measures MH - *Sex Offenses/pc [Prevention & Control] MH - *Students MH - Substance-Related Disorders/co [Complications] MH - Universities MH - *Violence/pc [Prevention & Control] MH - Young Adult AB - Rates of sexual assault of college students are higher than the national rates. Colleges are uniquely positioned to offer preventive education and support services to a high-risk group. This qualitative study examines students' perceptions of sexual violence resources and services. Seventy-eight female and male students, between 18 and 24 years old, belonging to various demographic groups, participated in one-to-one walking interviews on five diverse Midwest 2- and 4-year postsecondary campuses. Findings suggest that students are concerned with safety--students want more education regarding sexual violence--and they value services that offer protection from incidents of sexual violence on campus. Participants expressed mixed reactions to prevention education that combined sexual violence prevention with alcohol and drug use. Students shared positive views of the security measures on campus. They emphasized the importance of using varied mechanisms for sexual violence-related resource messaging and advised moving away from the pamphlet toward posters and online resources. Recommendations are offered to strengthen existing resources, such as prevention education and postassault interventions including sexual assault nurse examiner services, and to minimize barriers to access of sexual violence resources.Copyright © 2011 International Association of Forensic Nurses. ES - 1939-3938 IL - 1556-3693 DO - http://dx.doi.org/10.1111/j.1939-3938.2011.01130.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - K12 HD055887 (United States NICHD NIH HHS) NO - K12 HD055887-02 (United States NICHD NIH HHS) NO - K12HD055887 (United States NICHD NIH HHS) LG - English EP - 20111229 DP - 2012 Jun DC - 20120524 YR - 2012 ED - 20120925 RD - 20150531 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22621664 <293. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22204885 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanabe P AU - Paice JA AU - Stancati J AU - Fleming M FA - Tanabe, Paula FA - Paice, Judith A FA - Stancati, Jennifer FA - Fleming, Michael IN - Tanabe,Paula. Duke University School of Nursing, Durham, NC, USA. Paula.tanabe@duke.edu TI - How do emergency department patients store and dispose of opioids after discharge? A pilot study. SO - Journal of Emergency Nursing. 38(3):273-9, 2012 May. AS - J Emerg Nurs. 38(3):273-9, 2012 May. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Drug Storage/mt [Methods] MH - *Emergency Service, Hospital MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - Patient Discharge MH - Pilot Projects MH - Prospective Studies MH - *Refuse Disposal/mt [Methods] AB - 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. AB - 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. AB - 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. AB - 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.Copyright © 2012 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1527-2966 IL - 0099-1767 DO - http://dx.doi.org/10.1016/j.jen.2011.09.023 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20111226 DP - 2012 May DC - 20120514 YR - 2012 ED - 20120925 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22204885 <294. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22621664 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Garcia CM AU - Lechner KE AU - Frerich EA AU - Lust KA AU - Eisenberg ME FA - Garcia, Carolyn M FA - Lechner, Kate E FA - Frerich, Ellen A FA - Lust, Katherine A FA - Eisenberg, Marla E IN - Garcia,Carolyn M. School of Nursing, University of Minnesota, Minneapolis, MN 55455, USA. Garcia@umn.edu TI - Preventing sexual violence instead of just responding to it: students' perceptions of sexual violence resources on campus. SO - Journal of Forensic Nursing. 8(2):61-71, 2012 Jun. AS - J. forensic nurs.. 8(2):61-71, 2012 Jun. NJ - Journal of forensic nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101234500 OI - Source: NLM. NIHMS347349 OI - Source: NLM. PMC3368349 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Female MH - Health Education MH - Humans MH - Interviews as Topic MH - Male MH - Midwestern United States MH - Needs Assessment MH - Safety MH - Security Measures MH - *Sex Offenses/pc [Prevention & Control] MH - *Students MH - Substance-Related Disorders/co [Complications] MH - Universities MH - *Violence/pc [Prevention & Control] MH - Young Adult AB - Rates of sexual assault of college students are higher than the national rates. Colleges are uniquely positioned to offer preventive education and support services to a high-risk group. This qualitative study examines students' perceptions of sexual violence resources and services. Seventy-eight female and male students, between 18 and 24 years old, belonging to various demographic groups, participated in one-to-one walking interviews on five diverse Midwest 2- and 4-year postsecondary campuses. Findings suggest that students are concerned with safety--students want more education regarding sexual violence--and they value services that offer protection from incidents of sexual violence on campus. Participants expressed mixed reactions to prevention education that combined sexual violence prevention with alcohol and drug use. Students shared positive views of the security measures on campus. They emphasized the importance of using varied mechanisms for sexual violence-related resource messaging and advised moving away from the pamphlet toward posters and online resources. Recommendations are offered to strengthen existing resources, such as prevention education and postassault interventions including sexual assault nurse examiner services, and to minimize barriers to access of sexual violence resources.Copyright © 2011 International Association of Forensic Nurses. ES - 1939-3938 IL - 1556-3693 DO - http://dx.doi.org/10.1111/j.1939-3938.2011.01130.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - K12 HD055887 (United States NICHD NIH HHS) NO - K12 HD055887-02 (United States NICHD NIH HHS) NO - K12HD055887 (United States NICHD NIH HHS) LG - English EP - 2011Dec29 DP - 2012 Jun DC - 2012524 YR - 2012 ED - 20120925 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=22621664 <295. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22621294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKenna L AU - Boyle M AU - Brown T AU - Williams B AU - Molloy A AU - Lewis B AU - Molloy L FA - McKenna, Lisa FA - Boyle, Malcolm FA - Brown, Ted FA - Williams, Brett FA - Molloy, Andrew FA - Lewis, Belinda FA - Molloy, Liz IN - McKenna,Lisa. School of Nursing & Midwifery, Monash University, Clayton, Victoria, Australia. Lisa.McKenna@monash.edu TI - Levels of empathy in undergraduate nursing students. SO - International Journal of Nursing Practice. 18(3):246-51, 2012 Jun. AS - Int J Nurs Pract. 18(3):246-51, 2012 Jun. NJ - International journal of nursing practice PI - Journal available in: Print PI - Citation processed from: Internet JC - CVU, 9613615 SB - Nursing Journal CP - Australia MH - Adult MH - *Empathy MH - Female MH - Humans MH - Male MH - *Students, Nursing/px [Psychology] AB - 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.Copyright © 2012 Blackwell Publishing Asia Pty Ltd. ES - 1440-172X IL - 1322-7114 DO - http://dx.doi.org/10.1111/j.1440-172X.2012.02035.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2012 Jun DC - 20120524 YR - 2012 ED - 20120918 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22621294 <296. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22594405 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morton NS FA - Morton, Neil S IN - Morton,Neil S. Department of Anaesthesia, Royal Hospital for Sick Children, Glasgow, UK. neilmorton@mac.com TI - The pain-free ward: myth or reality. [Review] SO - Paediatric Anaesthesia. 22(6):527-9, 2012 Jun. AS - Paediatr Anaesth. 22(6):527-9, 2012 Jun. NJ - Paediatric anaesthesia PI - Journal available in: Print PI - Citation processed from: Internet JC - cg8, 9206575 SB - Index Medicus CP - France MH - Analgesics/pd [Pharmacology] MH - *Anesthesiology/td [Trends] MH - Child MH - Child, Preschool MH - Developmental Biology MH - Evidence-Based Medicine MH - Female MH - Guidelines as Topic MH - Humans MH - Infant MH - Infant, Newborn MH - *Pain Management/td [Trends] MH - Pain Measurement MH - Patient Care Team MH - *Pediatrics/td [Trends] MH - Pregnancy AB - 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.Copyright © 2012 Blackwell Publishing Ltd. RN - 0 (Analgesics) ES - 1460-9592 IL - 1155-5645 DO - http://dx.doi.org/10.1111/j.1460-9592.2012.03881.x PT - Journal Article PT - Review LG - English DP - 2012 Jun DC - 20120518 YR - 2012 ED - 20120914 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22594405 <297. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22866468 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hughes M AU - McKay L FA - Hughes, Margaret FA - McKay, Lisa IN - Hughes,Margaret. Christchurch Polytechnic Institute of Technology. TI - Making the links between cultural safety and let's get real. SO - Nursing New Zealand (Wellington). 18(4):26-8, 2012 May. AS - Nurs N Z. 18(4):26-8, 2012 May. NJ - Nursing New Zealand (Wellington, N.Z. : 1995) PI - Journal available in: Print PI - Citation processed from: Print JC - 9507374, cdl SB - Nursing Journal CP - New Zealand MH - Adult MH - Cholecystectomy/nu [Nursing] MH - *Cultural Competency/ed [Education] MH - *Education, Nursing, Diploma Programs MH - Female MH - Humans MH - New Zealand MH - *Nurse-Patient Relations MH - *Nursing, Practical/ed [Education] MH - *Oceanic Ancestry Group MH - Pain Management MH - Stereotyping MH - Substance-Related Disorders IS - 1173-2032 IL - 1173-2032 PT - Journal Article LG - English DP - 2012 May DC - 20120807 YR - 2012 ED - 20120911 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22866468 <298. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22595920 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gifford H AU - Paton S AU - Cvitanovic L AU - McMenamin J AU - Newton C FA - Gifford, Heather FA - Paton, Sue FA - Cvitanovic, Lynley FA - McMenamin, John FA - Newton, Chloe IN - Gifford,Heather. Community House, Ridgeway Street, Whanganui, New Zealand. heather.whakauae@xtra.co.nz TI - Is routine alcohol screening and brief intervention feasible in a New Zealand primary care environment. CM - Comment in: N Z Med J. 2012 May 11;125(1354):6-9; PMID: 22595916 SO - New Zealand Medical Journal. 125(1354):17-25, 2012 May 11. AS - N Z Med J. 125(1354):17-25, 2012 May 11. NJ - The New Zealand medical journal PI - Journal available in: Electronic PI - Citation processed from: Internet JC - obq, 0401067 SB - Index Medicus CP - New Zealand MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Feasibility Studies MH - Female MH - General Practice MH - Humans MH - Male MH - *Mass Screening MH - Middle Aged MH - New Zealand MH - Primary Health Care MH - Young Adult AB - AIM: To test the feasibility of a systemised ABC alcohol screening and brief intervention (SBI) approach in general practice in a New Zealand region. AB - METHOD: Data were collected on patients over 15 years who had their alcohol status recorded using the AUDIT tool. A concurrent independent process evaluation was conducted to assess effectiveness of ABC alcohol SBI related training and implementation of intervention. AB - RESULTS: In an 8-month period, general practices in the Whanganui region documented alcohol consumption of 43% of their patients. Of the 43% of patients screened 24% were drinking contrary to ALAC's low risk drinking advice. Of these, 36% received brief advice or referral. Success of the approach can be attributed to the use of the Patient Dashboard reminder software and linked alcohol recording form. Other success factors included the use of a clinical champion and project leader, education and training, funding for extra GP and nurse assessment time and linking of the ABC alcohol SBI approach to existing services. AB - CONCLUSION: Primary care in Whanganui has demonstrated the capacity to routinely query patient alcohol use and offer brief advice. If the approach was more widely adopted, there is considerable scope for general practice nationally to address potentially harmful patient alcohol use. ES - 1175-8716 IL - 0028-8446 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120511 DP - 2012 May 11 DC - 20120518 YR - 2012 ED - 20120827 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22595920 <299. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22588623 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cadiz DM AU - O'Neill C AU - Butell SS AU - Epeneter BJ AU - Basin B FA - Cadiz, David M FA - O'Neill, Chris FA - Butell, Sue S FA - Epeneter, Beverly J FA - Basin, Basilia IN - Cadiz,David M. WorkHealthy Oregon, Oregon Nurses Foundation, Tualatin, OR 97062, USA. cadiz@oregonrn.org TI - Quasi-experimental evaluation of a substance use awareness educational intervention for nursing students. CM - Comment in: J Nurs Educ. 2013 Feb;52(2):70; PMID: 23460957 CM - Comment in: J Nurs Educ. 2013 Feb;52(2):69-70; PMID: 23368848 SO - Journal of Nursing Education. 51(7):411-5, 2012 Jul. AS - J Nurs Educ. 51(7):411-5, 2012 Jul. NJ - The Journal of nursing education PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Awareness MH - Case-Control Studies MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Oregon MH - *Professional Impairment MH - *Program Evaluation MH - Self Efficacy MH - Social Stigma MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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.Copyright 2012, SLACK Incorporated. IS - 0148-4834 IL - 0148-4834 DO - http://dx.doi.org/10.3928/01484834-20120515-02 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20120515 DP - 2012 Jul DC - 20120626 YR - 2012 ED - 20120814 RD - 20130304 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22588623 <300. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22463469 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson KE AU - Taliaferro LA FA - Johnson, Karen E FA - Taliaferro, Lindsay A IN - Johnson,Karen E. Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA. joh04404@umn.edu TI - Health behaviors and mental health of students attending alternative high schools: a review of the research literature. [Review] SO - Journal for Specialists in Pediatric Nursing: JSPN. 17(2):79-97, 2012 Apr. AS - J Spec Pediatr Nurs. 17(2):79-97, 2012 Apr. NJ - Journal for specialists in pediatric nursing : JSPN PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101142025 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Diet/td [Trends] MH - *Education, Special/sn [Statistics & Numerical Data] MH - Female MH - *Health Behavior MH - Humans MH - Male MH - *Mental Health/sn [Statistics & Numerical Data] MH - Population Surveillance MH - *Risk-Taking MH - *Schools/sn [Statistics & Numerical Data] MH - Sexual Behavior/px [Psychology] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Smoking/ep [Epidemiology] MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - Violence/sn [Statistics & Numerical Data] AB - PURPOSE: The purpose of this review is to describe current knowledge about health-risk behaviors and mental health among alternative high school students. AB - CONCLUSIONS: Substance use, diet and/or physical activity, sexual-risk behaviors, mental health, and violence were reviewed. Students were described as marginalized youth facing significant social environmental challenges. Findings from 43 studies published from 1997-2010 suggested a high prevalence of health-risk behaviors among alternative high school students. Very few studies were conducted by nurse researchers. Suggestions for future research include addressing social environmental factors, resiliency, and emotional/mental health outcomes. AB - PRACTICE IMPLICATIONS: Alternative high schools offer a venue to conduct research and implement nursing interventions with high-risk, yet resilient, youth.Copyright © 2011, Wiley Periodicals, Inc. ES - 1744-6155 IL - 1539-0136 DO - http://dx.doi.org/10.1111/j.1744-6155.2011.00311.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - R21DK072948 (United States NIDDK NIH HHS) LG - English EP - 20111101 DP - 2012 Apr DC - 20120402 YR - 2012 ED - 20120814 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22463469 <301. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22025103 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dowdell EB FA - Dowdell, Elizabeth Burgess IN - Dowdell,Elizabeth Burgess. Department of Psychology, Villanova University, Villanova, PA 19085, USA. elizabeth.dowdell@villanova.edu TI - Urban seventh grade students: a report of health risk behaviors and exposure to violence. SO - Journal of School Nursing. 28(2):130-7, 2012 Apr. AS - J Sch Nurs. 28(2):130-7, 2012 Apr. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Child MH - Female MH - Humans MH - Male MH - Pennsylvania/ep [Epidemiology] MH - Psychology, Adolescent MH - *Risk-Taking MH - *Students/px [Psychology] MH - Urban Population MH - *Violence/sn [Statistics & Numerical Data] AB - 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. ES - 1546-8364 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840511425678 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20111024 DP - 2012 Apr DC - 20120322 YR - 2012 ED - 20120807 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22025103 <302. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22459527 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daouphars M AU - Magali A AU - Bertrand E AU - Basuyau F AU - Violette S AU - Varin R FA - Daouphars, Mikael FA - Magali, Adam FA - Bertrand, Elisabeth FA - Basuyau, Florence FA - Violette, Sylvie FA - Varin, Remi IN - Daouphars,Mikael. Cancer Centre Henri Becquerel, Rouen, France. mikael.daouphars@rouen.fnclcc.fr TI - Knowledge assessment and information needs of oncology nurses regarding inpatient medication. SO - Clinical Journal of Oncology Nursing. 16(2):182-7, 2012 Apr. AS - Clin J Oncol Nurs. 16(2):182-7, 2012 Apr. NJ - Clinical journal of oncology nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - czm, 9705336 SB - Nursing Journal CP - United States MH - Adult MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Education, Nursing, Continuing MH - Humans MH - *Information Services MH - *Inpatients MH - *Knowledge MH - *Nursing Staff, Hospital/px [Psychology] MH - *Oncology Nursing/ma [Manpower] AB - Although several studies have evaluated the frequency and consequences of medication errors, few have explored their causes. In particular, nurses' knowledge regarding medications has been evaluated minimally. This survey was conducted to determine how nurses master medications prescribed to their patients to determine problems nurses may have with prescribed drugs and identify possible support tools. A questionnaire was created and presented to nurses in a French cancer center. A majority of the respondents correctly identified pharmaceutical classes and medications, as well as administration and storage conditions. However, side effects, contraindications, and drug-drug interactions were not adequately identified. Nurses reported facing problems mainly related to drug administration, drug storage, and generic drugs and their therapeutic equivalence. Multiple tools are in development to help nurses in these areas. This collaborative study between pharmacy and care wards identifies some difficulties nurses have regarding drugs and will help to establish improvement measures within the hospital. RN - 0 (Antineoplastic Agents) ES - 1538-067X IL - 1092-1095 DO - http://dx.doi.org/10.1188/12.CJON.182-187 PT - Journal Article LG - English DP - 2012 Apr DC - 20120330 YR - 2012 ED - 20120730 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22459527 <303. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22126545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ozturk C AU - Bektas M AU - Yilmaz E AU - Salman F AU - Sahin T AU - Ilmek M AU - Goke G FA - Ozturk, Candan FA - Bektas, Murat FA - Yilmaz, Elif FA - Salman, Filiz FA - Sahin, Tugba FA - Ilmek, Meryem FA - Goke, Gamze IN - Ozturk,Candan. School of Nursing, Dokuz Eylul University Izmir, Turkey. TI - Smoking status of Turkish nursing students and factors affecting their behavior. SO - Asian Pacific Journal of Cancer Prevention: Apjcp. 12(7):1687-92, 2011. AS - Asian Pac J Cancer Prev. 12(7):1687-92, 2011. NJ - Asian Pacific journal of cancer prevention : APJCP PI - Journal available in: Print PI - Citation processed from: Internet JC - 101130625 SB - Index Medicus CP - Thailand MH - Adult MH - Cross-Sectional Studies MH - Educational Status MH - Female MH - Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Smoking/ep [Epidemiology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder MH - Turkey/ep [Epidemiology] MH - Young Adult AB - OBJECTIVE: This descriptive-cross sectional study was conducted in order to determine the smoking status of nursing students and factors affecting their behavior. AB - METHODS: 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. AB - FINDINGS: 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. AB - CONCLUSION: 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. IS - 1513-7368 IL - 1513-7368 PT - Journal Article LG - English DP - 2011 DC - 20111130 YR - 2011 ED - 20120730 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22126545 <304. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22712119 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Embrey ML FA - Embrey, Mary Louise IN - Embrey,Mary Louise. NASN, Silver Spring, MD, USA. TI - 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. SO - NASN school nurse. 27(3):166-9, 2012 May. AS - NASN Sch Nurse. 27(3):166-9, 2012 May. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Child MH - *Health Care Surveys MH - Humans MH - *Prescription Drugs/ae [Adverse Effects] MH - *School Nursing/mt [Methods] MH - School Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Consensus Development Conference PT - Journal Article LG - English DP - 2012 May DC - 20120620 YR - 2012 ED - 20120724 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22712119 <305. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22657720 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - 2012 Beers criteria update: how should practicing nurses use the criteria?. SO - Journal of Gerontological Nursing. 38(6):3-5, 2012 Jun. AS - J Gerontol Nurs. 38(6):3-5, 2012 Jun. NJ - Journal of gerontological nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - United States MH - Aged MH - Drug Therapy/st [Standards] MH - *Geriatric Nursing/ma [Manpower] MH - Humans MH - *Nurses MH - *Practice Guidelines as Topic MH - Societies, Nursing MH - United States AB - 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. IS - 0098-9134 IL - 0098-9134 DO - http://dx.doi.org/10.3928/00989134-20120517-01 PT - Editorial LG - English DP - 2012 Jun DC - 20120604 YR - 2012 ED - 20120724 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22657720 <306. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22395102 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elliott DY AU - Geyer C AU - Lionetti T AU - Doty L FA - Elliott, Dolores Y FA - Geyer, Christopher FA - Lionetti, Thomas FA - Doty, Linda IN - Elliott,Dolores Y. Clinical Center, National Institutes of Health (NIH), Bethesda, MD, USA. TI - Managing alcohol withdrawal in hospitalized patients. SO - Nursing. 42(4):22-30; quiz 30-1, 2012 Apr. AS - Nursing. 42(4):22-30; quiz 30-1, 2012 Apr. NJ - Nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - oa3, 7600137 SB - Nursing Journal CP - United States MH - *Alcohol Withdrawal Delirium/dt [Drug Therapy] MH - Alcohol Withdrawal Delirium/ep [Epidemiology] MH - *Alcohol Withdrawal Delirium/nu [Nursing] MH - *Benzodiazepines/tu [Therapeutic Use] MH - Education, Nursing, Continuing MH - Humans MH - Inpatients MH - *Nursing Assessment/mt [Methods] MH - *Nursing Staff, Hospital MH - Risk Factors RN - 12794-10-4 (Benzodiazepines) ES - 1538-8689 IL - 0360-4039 DO - http://dx.doi.org/10.1097/01.NURSE.0000412922.97512.07 PT - Journal Article LG - English DP - 2012 Apr DC - 20120329 YR - 2012 ED - 20120724 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22395102 <307. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22372393 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones SN AU - Waite R AU - Clements PT FA - Jones, Sandra N FA - Waite, Roberta FA - Clements, Paul Thomas IN - Jones,Sandra N. Doctoral Nursing Candidate, Certified Gang Specialist, Drexel University, College of Nursing and Health Professions, Philadelphia, Pennsylvania, USA. sjones9090@aol.com TI - An evolutionary concept analysis of school violence: from bullying to death. SO - Journal of Forensic Nursing. 8(1):4-12, 2012 Mar. AS - J. forensic nurs.. 8(1):4-12, 2012 Mar. NJ - Journal of forensic nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101234500 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Bullying MH - Child MH - *Forensic Nursing MH - Humans MH - *Nurse's Role MH - Peer Group MH - Public Health MH - Schools/lj [Legislation & Jurisprudence] MH - *Schools MH - Substance-Related Disorders/co [Complications] MH - *Violence/pc [Prevention & Control] MH - Violence/sn [Statistics & Numerical Data] MH - Violence/td [Trends] MH - Weapons AB - 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.Copyright © 2012 International Association of Forensic Nurses. ES - 1939-3938 IL - 1556-3693 DO - http://dx.doi.org/10.1111/j.1939-3938.2011.01121.x PT - Journal Article LG - English EP - 20120106 DP - 2012 Mar DC - 20120229 YR - 2012 ED - 20120720 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22372393 <308. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22585075 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kiernan C AU - Ni Fhearail A AU - Coyne I FA - Kiernan, Claire FA - Ni Fhearail, Aislinn FA - Coyne, Imelda IN - Kiernan,Claire. Great Ormond St. Children's Hospital, London. TI - Nurses' role in managing alcohol misuse among adolescents. SO - British Journal of Nursing. 21(8):474-8, 2012 Apr 26-May 9. AS - Br J Nurs. 21(8):474-8, 2012 Apr 26-May 9. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adolescent Health Services/st [Standards] MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Child MH - Female MH - Humans MH - Male MH - *Motivation MH - *Nurse-Patient Relations MH - Nursing Audit AB - Over the past decade, there has been an increase in the amount of alcohol consumed by young people, aged 11-17 years, in the UK and Ireland, which has implications for all health professionals caring for adolescents. Alcohol misuse is increasingly common among adolescents and is a significant concern for families, communities and society. Health professionals need to be aware of the dangers involved with underage drinking, how to recognise the signs of alcohol misuse, and how to intervene appropriately. Over the past few years, there has been a noticeable increase in the number of adolescents presenting to emergency departments (EDs) owing to alcohol-related injuries. This increase means that all nurses and other health professionals are suitably placed to provide education and support to adolescents who are consuming excessive alcohol. Regular alcohol misuse can lead to adverse health outcomes, and therefore nurses need to take an active role in health promotion to ensure that adolescents are aware of the associated dangers. This article summarises the harmful effects of underage drinking, the influencing factors and outlines the current guidelines on alcohol misuse in young people. It discusses strategies that nurses can use in the ED setting, and all healthcare settings, to motivate adolescents to change health-damaging behaviours. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2012 Apr 26-May 9 DC - 20120515 YR - 2012 ED - 20120615 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22585075 <309. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22567785 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Embrey ML FA - Embrey, Mary Louise IN - Embrey,Mary Louise. NASN, Silver Spring, MD, USA. TI - Smart Moves, Smart Choices: how school nurses can help safeguard students from teen prescription drug abuse. SO - NASN school nurse. 27(2):101-2, 2012 Mar. AS - NASN Sch Nurse. 27(2):101-2, 2012 Mar. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - Humans MH - *Prescription Drugs/ae [Adverse Effects] MH - *School Nursing/mt [Methods] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2012 Mar DC - 20120508 YR - 2012 ED - 20120612 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22567785 <310. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21636182 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harling MR AU - Turner W FA - Harling, Martyn R FA - Turner, Warren IN - Harling,Martyn R. School of Education Health and Sciences, The University of Derby, Room G09d, Britannia Mill, Mackworth Road, Derby, DE22 3BL, UK. m.harling@derby.ac.uk TI - Student nurses' attitudes to illicit drugs: a grounded theory study. SO - Nurse Education Today. 32(3):235-40, 2012 Apr. AS - Nurse Educ Today. 32(3):235-40, 2012 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Focus Groups MH - Humans MH - Male MH - Middle Aged MH - Nursing Education Research MH - Nursing Methodology Research MH - *Nursing Theory MH - Qualitative Research MH - Social Stigma MH - *Street Drugs MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Young Adult AB - 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.Copyright © 2011 Elsevier Ltd. All rights reserved. RN - 0 (Street Drugs) ES - 1532-2793 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2011.05.002 PT - Journal Article LG - English EP - 20110601 DP - 2012 Apr DC - 20120220 YR - 2012 ED - 20120608 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=21636182 <311. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22594211 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward F FA - Ward, Frances IN - Ward,Frances. Department of Nursing, Unitec Institute of Technology, Auckland, New Zealand. TI - Openness and honesty. SO - Nursing Standard. 26(32):72, 2012 Apr 11-17. AS - Nurs Stand. 26(32):72, 2012 Apr 11-17. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Humans MH - Models, Psychological MH - New Zealand MH - *Students, Nursing MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2012 Apr 11-17 DC - 20120518 YR - 2012 ED - 20120606 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22594211 <312. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22301543 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lucas K AU - Knobel RB FA - Lucas, Katherine FA - Knobel, Robin B IN - Lucas,Katherine. Department of Nursing, Cape Fear Valley Health System, Fayetteville, North Carolina, USA. TI - Implementing practice guidelines and education to improve care of infants with neonatal abstinence syndrome. SO - Advances in Neonatal Care. 12(1):40-5, 2012 Feb. AS - ADV NEONAT CARE. 12(1):40-5, 2012 Feb. NJ - Advances in neonatal care : official journal of the National Association of Neonatal Nurses PI - Journal available in: Print PI - Citation processed from: Internet JC - 101125644 SB - Index Medicus CP - United States MH - Clinical Competence MH - Humans MH - Infant, Newborn MH - Intensive Care Units, Neonatal MH - *Intensive Care, Neonatal/mt [Methods] MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - *Neonatal Nursing/ed [Education] MH - Neonatal Nursing/mt [Methods] MH - Neonatal Nursing/st [Standards] MH - *Nursing Assessment/mt [Methods] MH - Practice Guidelines as Topic MH - User-Computer Interface AB - 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. AB - SUBJECTS: : Participants included 68 nurses employed in a neonatal intensive care unit (NICU) at a single facility. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1536-0911 IL - 1536-0903 DO - http://dx.doi.org/10.1097/ANC.0b013e318241bd73 PT - Evaluation Studies PT - Journal Article LG - English DP - 2012 Feb DC - 20120203 YR - 2012 ED - 20120604 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22301543 <313. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22267034 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Granville-Garcia AF AU - Sarmento DJ AU - Santos JA AU - Pinto TA AU - de Sousa RV AU - Cavalcanti AL FA - Granville-Garcia, Ana Flavia FA - Sarmento, Dmitry Jose de Santana FA - Santos, Jalber Almeida FA - Pinto, Tassia Almeida FA - de Sousa, Raulison Vieira FA - Cavalcanti, Alessandro Leite IN - Granville-Garcia,Ana Flavia. Departamento de odontologia, Universidade Estadual da Paraiba, Campina Grande, Paraiba. anaflaviagg@hotmail.com TI - Smoking among undergraduate students in the area of health. SO - Ciencia & Saude Coletiva. 17(2):389-96, 2012 Feb. AS - Cienc. saude colet.. 17(2):389-96, 2012 Feb. NJ - Ciencia & saude coletiva PI - Journal available in: Print PI - Citation processed from: Internet JC - 9713483 SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - Brazil MH - Cross-Sectional Studies MH - Female MH - Health Occupations MH - Humans MH - Male MH - Middle Aged MH - *Smoking/ep [Epidemiology] MH - Socioeconomic Factors MH - *Students/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Universities MH - Young Adult AB - The aim of this study was to evaluate the relationship between smoking and socio-demographic and behavioral factors among undergraduate students in the area of health at the State University of Paraiba, Brazil. An analytical cross-sectional study was conducted with a representative sample from each of the following courses: Dentistry, Nursing, Psychology, Pharmacy, Physical Therapy and Physical Education. A total of 492 students were interviewed using a structured questionnaire. The chi-square and Fisher's Exact tests were used for statistical analysis at a 5% level of significance. Smoking prevalence was 5.7% and stress was the main reason for starting the habit (36.8%). In the multivariate analysis by logistic regression, the variables of gender, religious persuasion, semester attended in the course, and alcohol consumption were significantly associated with smoking (p<0.05). Although other studies reported a strong relationship between university students and smoking, the prevalence of smokers was low. Most of the variables studied revealed a correlation with smoking. Since smoking and alcohol consumption are the two major human addictions, this study suggests a bidirectional relationship between these variables. ES - 1678-4561 IL - 1413-8123 DI - S1413-81232012000200013 PT - Journal Article LG - English DP - 2012 Feb DC - 20120123 YR - 2012 ED - 20120529 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22267034 <314. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22439144 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wieland DM AU - Halter MJ AU - Levine C FA - Wieland, Diane M FA - Halter, Margaret J FA - Levine, Ciara IN - Wieland,Diane M. La Salle University, Philadelphia, PA, USA. wieland@lasalle.edu TI - Bath salts: they are not what you think. SO - Journal of Psychosocial Nursing & Mental Health Services. 50(2):17-21, 2012 Feb. AS - J Psychosoc Nurs Ment Health Serv. 50(2):17-21, 2012 Feb. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Benzodioxoles/to [Toxicity] MH - Central Nervous System Stimulants/to [Toxicity] MH - *Central Nervous System Stimulants MH - Cross-Sectional Studies MH - Designer Drugs/to [Toxicity] MH - *Designer Drugs MH - Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - Female MH - Humans MH - Male MH - Methamphetamine/aa [Analogs & Derivatives] MH - Methamphetamine/to [Toxicity] MH - Middle Aged MH - Paranoid Disorders/ci [Chemically Induced] MH - Paranoid Disorders/nu [Nursing] MH - Psychoses, Substance-Induced/nu [Nursing] MH - Pyrrolidines/to [Toxicity] MH - Street Drugs/to [Toxicity] MH - *Street Drugs MH - Substance Abuse Detection/nu [Nursing] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] AB - Psychoactive bath salts are a relatively new group of designer drugs sold as tablets, capsules, or powder and pur-chased in places such as tobacco and convenience stores, gas stations, head shops, and the Internet. Bath salts are stimulant agents that mimic cocaine,lysergic acid diethylamide, methamphetamine, or methylenedioxymethamphetamine (ecstasy). The most common bath salts are the cathinone derivatives 3,4-methylenedioxypyrovalerone(MDPV), 4-methylmethcathinone(mephedrone), and 3,4-methylenedioxy-N-methylcathinone (methylone). The drugs cause intense stimulation, eu-phoria, elevated mood, and a pleasurable "rush" Tachycardia, hypertension,peripheral constriction, chest pain, hallucinations, paranoia, erratic behavior,inattention, lack of memory of substance use, and psychosis have been observed in those who have used bath salts. The U.S. Drug Enforcement Administration recently exercised an emergency authority to name three key ingredients in bath salts as Schedule I, thereby making them illegal to possess or sell in the United States. Nursing implications related to both clinical and educational settings are discussed. RN - 0 (3,4-methylenedioxypyrovalerone) RN - 0 (Benzodioxoles) RN - 0 (Central Nervous System Stimulants) RN - 0 (Designer Drugs) RN - 0 (Pyrrolidines) RN - 0 (Street Drugs) RN - 44RAL3456C (Methamphetamine) RN - 8BA8T27317 (mephedrone) RN - L4I4B1R01F (methylone) IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 2012 Feb DC - 20120321 YR - 2012 ED - 20120501 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22439144 <315. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22123347 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wallman CM AU - Smith PB AU - Moore K FA - Wallman, Carol M FA - Smith, Pat Bohling FA - Moore, Karen IN - Wallman,Carol M. The Children's Hospital, Aurora, Colorado, USA. carolmwallman@aol.com TI - Implementing a perinatal substance abuse screening tool. SO - Advances in Neonatal Care. 11(4):255-67, 2011 Aug. AS - ADV NEONAT CARE. 11(4):255-67, 2011 Aug. NJ - Advances in neonatal care : official journal of the National Association of Neonatal Nurses PI - Journal available in: Print PI - Citation processed from: Internet JC - 101125644 SB - Index Medicus CP - United States MH - Colorado/ep [Epidemiology] MH - Community Mental Health Services MH - Education, Nursing MH - Female MH - Hospitals MH - Humans MH - Infant, Newborn MH - Interdisciplinary Communication MH - Interview, Psychological MH - Meconium/ch [Chemistry] MH - *Perinatal Care/mt [Methods] MH - Pregnancy MH - *Substance Abuse Detection/mt [Methods] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] AB - 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. ES - 1536-0911 IL - 1536-0903 DO - http://dx.doi.org/10.1097/ANC.0b013e318225a20b PT - Journal Article LG - English DP - 2011 Aug DC - 20111129 YR - 2011 ED - 20120424 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22123347 <316. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22114798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Horton-Deutsch S AU - McNelis A AU - O'Haver Day P FA - Horton-Deutsch, Sara FA - McNelis, Angela FA - O'Haver Day, Pamela IN - Horton-Deutsch,Sara. Indiana University School of Nursing, Indianapolis, IN 46202, USA. shortond@iupui.edu TI - Enhancing mutual accountability to promote quality, safety, and nurses' recovery from substance use disorders. SO - Archives of Psychiatric Nursing. 25(6):445-55, 2011 Dec. AS - Arch Psychiatr Nurs. 25(6):445-55, 2011 Dec. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Female MH - Focus Groups MH - Humans MH - Indiana MH - Male MH - Mental Health Services/st [Standards] MH - Middle Aged MH - *Nursing MH - Patient Safety MH - *Professional Impairment/px [Psychology] MH - *Social Responsibility MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - Year after year, the public view nurses at the top of the list of the most honest and ethical professionals. However, nurses impaired with substance use disorders are subject to the tremendous stigma associated with addiction. Successful treatment programs protect public safety and support nurses' recovery and reentry into practice. The purpose of this study was to explore the nurses' experience in an alternative-to-discipline treatment program, the Indiana State Nurses Assistance Program (ISNAP), administered by the Indiana State Nurses Association. For this study, focus groups were used to capture nurses' experience with the ISNAP, a nurse-monitoring program for substance use. Three focus groups were conducted with 25 participants. The overall theme of the focus groups was enhancing mutual accountability. Nurses' views were grouped into four major areas of importance, including accountability, clear expectations, addressing individual concerns, and educating others about substance use disorders. Nurses described how each of these factors supported and impeded their recovery. The findings support the need for further education and research on how to best promote and sustain recovery.Copyright 2011 Elsevier Inc. All rights reserved. ES - 1532-8228 IL - 0883-9417 DO - http://dx.doi.org/10.1016/j.apnu.2011.02.002 PT - Journal Article LG - English EP - 20110420 DP - 2011 Dec DC - 20111125 YR - 2011 ED - 20120413 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22114798 <317. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22052966 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Godleski L AU - Cervone D AU - Vogel D AU - Rooney M FA - Godleski, Linda FA - Cervone, Dana FA - Vogel, Donna FA - Rooney, Meghan IN - Godleski,Linda. National Telemental Health Center, Veterans Health Administration, West Haven, Connecticut, USA. Linda.Godleski2@va.gov TI - Home telemental health implementation and outcomes using electronic messaging. SO - Journal of Telemedicine & Telecare. 18(1):17-9, 2012 Jan. AS - J Telemed Telecare. 18(1):17-9, 2012 Jan. NJ - Journal of telemedicine and telecare PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9506702, cpj SB - Index Medicus CP - England MH - Adult MH - Aged MH - Aged, 80 and over MH - *Community Mental Health Services/mt [Methods] MH - Community Mental Health Services/st [Standards] MH - Depression/th [Therapy] MH - *Electronic Mail MH - Feasibility Studies MH - Female MH - Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Outcome Assessment (Health Care) MH - Patient Satisfaction MH - Schizophrenia/th [Therapy] MH - Stress Disorders, Post-Traumatic/th [Therapy] MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - *Telemedicine/mt [Methods] AB - In 2007, the VA Connecticut Healthcare System began a home electronic messaging programme for mental health patients. During the first two years, 76 patients with diagnoses of schizophrenia, post traumatic stress disorder, depression and substance-use disorders received a home messaging device, which was connected via an ordinary telephone line. There were daily questions, which were based on disease management protocols, and included alerts, data and educational components. Patient data were sent to a nurse practitioner each day for triage and follow-up. Patients used the device for at least six months. In the six months prior to enrolment, 42 patients were hospitalized for 46 admissions. In the following six months, six patients were hospitalized for nine admissions (P < 0.0001). In the six months prior to enrolment, 47 patients had a total of 80 ER visits. In the following six months, 16 patients had a total of 32 ER visits (P < 0.0001). Questionnaire responses indicated a high level of satisfaction with the home messaging programme.Copyright © 2012 by the Royal Society of Medicine Press Ltd ES - 1758-1109 IL - 1357-633X DO - http://dx.doi.org/10.1258/jtt.2011.100919 PT - Journal Article LG - English EP - 20111103 DP - 2012 Jan DC - 20120123 YR - 2012 ED - 20120325 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22052966 <318. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22289399 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Amole J AU - Heath J AU - Joshua TV AU - McLear B FA - Amole, Jacques FA - Heath, Janie FA - Joshua, Thomas V FA - McLear, Beth IN - Amole,Jacques. Department of Biobehavioral Nursing, Georgia Health Sciences University, College of Nursing, 1905 Barnett Shoals Road, Athens, GA 30605, USA. jamole@georgiahealth.edu TI - Online tobacco cessation education to optimize standards of practice for psychiatric mental health nurses. SO - Nursing Clinics of North America. 47(1):71-9, 2012 Mar. AS - Nurs Clin North Am. 47(1):71-9, 2012 Mar. NJ - The Nursing clinics of North America PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Education, Distance/mt [Methods] MH - *Education, Nursing, Continuing/mt [Methods] MH - Female MH - Georgia MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internet MH - Male MH - Mental Disorders/nu [Nursing] MH - Middle Aged MH - Nurse Clinicians/ed [Education] MH - Pilot Projects MH - *Practice Patterns, Nurses' MH - *Psychiatric Nursing/ed [Education] MH - Self Efficacy MH - *Smoking Cessation MH - Substance-Related Disorders/nu [Nursing] AB - 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 of the online education offering are presented with recommendations for future research.Copyright © 2012 Elsevier Inc. All rights reserved. ES - 1558-1357 IL - 0029-6465 DO - http://dx.doi.org/10.1016/j.cnur.2011.10.006 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20111202 DP - 2012 Mar DC - 20120131 YR - 2012 ED - 20120319 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22289399 <319. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22289393 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Inglett S AU - Young S AU - Joshua TV AU - Sakievich N AU - Hawkins J AU - Andrews JO AU - Tingen MS FA - Heath, Janie FA - Inglett, Sandra FA - Young, Sara FA - Joshua, Thomas V FA - Sakievich, Nita FA - Hawkins, James FA - Andrews, Jeannette O FA - Tingen, Martha S IN - Heath,Janie. University of Virginia School of Nursing, Claude Moore Nursing Education Building, PO Box 800826, 225 Jeanette, Lancaster Way, Charlottesville, VA 22908-0826, USA. Janie.heath@virginia.edu TI - The impact of the Georgia Health Sciences University nursing faculty practice on tobacco cessation rates. SO - Nursing Clinics of North America. 47(1):1-12, 2012 Mar. AS - Nurs Clin North Am. 47(1):1-12, 2012 Mar. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Internet JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Evidence-Based Practice MH - Female MH - Georgia MH - Humans MH - Male MH - Middle Aged MH - Models, Organizational MH - *Nursing Faculty Practice MH - *Outcome Assessment (Health Care) MH - *Practice Patterns, Nurses' MH - Program Development MH - Schools, Health Occupations MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation AB - 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.Copyright © 2012. Published by Elsevier Inc. ES - 1558-1357 IL - 0029-6465 DO - http://dx.doi.org/10.1016/j.cnur.2011.10.005 PT - Journal Article LG - English DP - 2012 Mar DC - 20120131 YR - 2012 ED - 20120319 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22289393 <320. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20947797 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hudson ML AU - Droppers OJ 5th FA - Hudson, Marilyn L FA - Droppers, Oliver J 5th IN - Hudson,Marilyn L. Oregon State Board of Nursing, Portland, OR, USA. marilyn.hudson@state.or.us TI - Licensed nurses disciplined in Oregon between September 1996 and June 2008. SO - Western Journal of Nursing Research. 33(8):1030-46, 2011 Dec. AS - West J Nurs Res. 33(8):1030-46, 2011 Dec. NJ - Western journal of nursing research PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - xnz, 7905435 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Employee Discipline MH - Licensure MH - *Nurses MH - Oregon AB - This study is undertaken to better identify the types of errors being made by nurses in Oregon, to have a more thorough understanding of who is making the errors, and to examine how the Board is sanctioning nurses through Board (Board of Nursing) discipline. Results show that older nurses, and a disproportionately high number of male nurses, are being disciplined. RNs tend to be disciplined more for substance abuse and LPNs for substandard or inadequate care or for unprofessional conduct. RNs tend to be reprimanded more often than other licensure types, and LPNs receive more licensure suspensions. It may be helpful for administrators and nurse managers to use the information for staff education and development decisions. It may also inform Oregon nursing regulators, charged with protecting the public, when developing strategies aimed at ensuring equity and consistency in Board actions. ES - 1552-8456 IL - 0193-9459 DO - http://dx.doi.org/10.1177/0193945910384491 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20101014 DP - 2011 Dec DC - 20111117 YR - 2011 ED - 20120313 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20947797 <321. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21314695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsai YF AU - Tsai MC AU - Lin YP AU - Weng CE AU - Chou YL AU - Chen CY FA - Tsai, Yun-Fang FA - Tsai, Mei-Chu FA - Lin, Yea-Pyng FA - Weng, Chih-Erh FA - Chou, Yu-Ling FA - Chen, Ching-Yen IN - Tsai,Yun-Fang. School of Nursing, Chang Gung University, Taiwan. yftsai@mail.cgu.edu.tw TI - An alcohol training program improves Chinese nurses' knowledge, self-efficacy, and practice: a randomized controlled trial. SO - Alcoholism: Clinical & Experimental Research. 35(5):976-83, 2011 May. AS - Alcohol Clin Exp Res. 35(5):976-83, 2011 May. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 35x, 7707242 SB - Index Medicus CP - England MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/th [Therapy] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Asian Continental Ancestry Group/ed [Education] MH - Asian Continental Ancestry Group/px [Psychology] MH - *Attitude of Health Personnel MH - Education/mt [Methods] MH - Education/st [Standards] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses/st [Standards] MH - *Self Efficacy MH - Young Adult AB - BACKGROUND: Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to manage hazardous or harmful drinkers is an important worldwide issue. Alcohol is a legal and accessible substance in Taiwan and is viewed as an acceptable drink for relieving stress and enhancing socialization in Chinese culture. These cultural factors may contribute to drinking problems being easily ignored and to lack of alcohol training programs for health care providers. AB - METHODS: For this randomized controlled clinical trial with 1- and 3-month posttests, six hospitals were randomly selected throughout Taiwan and were randomly assigned to an experimental or control group. In these hospitals, nurses were selected from the Emergency Department, psychiatric, and gastrointestinal medical-surgical units where most patients with alcohol problems are seen. For the experimental group, nurses received a 1.5-hour alcohol training program consisting of an introduction to alcohol, factors influencing alcohol drinking, impacts of high-risk drinking on a person, as well as introduction to and practice of the Alcohol Use Disorders Identification Test and brief alcohol intervention. The program also discussed Taiwanese nurses' perceived barriers and facilitators to intervening for problem alcohol use. Teaching strategies included lecture, discussion, demonstration, practice, role-playing, and sharing experiences. The control group did not receive any training. Data were collected at pretest, 1-month, and 3-month posttests using a self-report questionnaire on knowledge, self-efficacy, clinical practice scales, and a demographic form. AB - RESULTS: The study was completed by 395 nurses, including 191 nurses in the experimental group and 204 nurses in the control group. Knowledge scores significantly improved in the experimental group at the 1- and 3-month posttests but not for the control group. Similarly, nurses' self-efficacy and clinical practice scores significantly improved in the experimental group at the 3-month posttest but not for the control group. AB - CONCLUSIONS: Our results suggest that the alcohol training program could be used to enhance nurses' alcohol knowledge, self-efficacy, and clinical practice not only in Taiwan but also other countries.Copyright © 2011 by the Research Society on Alcoholism. ES - 1530-0277 IL - 0145-6008 DO - http://dx.doi.org/10.1111/j.1530-0277.2010.01428.x PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English EP - 20110211 DP - 2011 May DC - 20110427 YR - 2011 ED - 20120307 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21314695 <322. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22338943 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adams-Leander S FA - Adams-Leander, Sheila IN - Adams-Leander,Sheila. St. Louis University, School of Nursing, St. Louis, MO, USA. leanders@slu.edu TI - The experiences of African-American living kidney donors. SO - Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association. 38(6):499-508; quiz 509, 2011 Nov-Dec. AS - Nephrol Nurs J. 38(6):499-508; quiz 509, 2011 Nov-Dec. NJ - Nephrology nursing journal : journal of the American Nephrology Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - dn8, 100909377 SB - Nursing Journal CP - United States MH - *African Continental Ancestry Group/px [Psychology] MH - Education, Nursing, Continuing MH - Humans MH - *Kidney Failure, Chronic/su [Surgery] MH - *Kidney Transplantation MH - *Living Donors/px [Psychology] AB - In many cases, optimal treatment for end stage renal disease (ESRD) is living kidney donation. African Americans are of interest because of high incidence of ESRD, documented disparities regarding kidney transplantation, and under-representation in living kidney donor research. An interpretive qualitative study was conducted among African Americans to improve understanding of living donation to genetically or emotionally related recipients. Two major themes emerged - context of living kidney donation and work of living kidney donors. Specially noted are the influence of spiritual and religious practices, and experiences of participants with history of substance abuse. Research recommendations and clinical implications are presented. IS - 1526-744X IL - 1526-744X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Studies LG - English DP - 2011 Nov-Dec DC - 20120220 YR - 2011 ED - 20120229 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22338943 <323. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21697708 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krajewska-Kulak E AU - Kulak W AU - Marcinkowski JT AU - Damme-Ostapowicz KV AU - Lewko J AU - Lankau A AU - Lukaszuk C AU - Rozwadowska E FA - Krajewska-Kulak, Elzbieta FA - Kulak, Wojciech FA - Marcinkowski, Jerzy Tadeusz FA - Damme-Ostapowicz, Katarzyna Van FA - Lewko, Jolanta FA - Lankau, Agnieszka FA - Lukaszuk, Cecylia FA - Rozwadowska, Emilia IN - Krajewska-Kulak,Elzbieta. Departments of Integrated Medical Care, Pediatric Rehabilitation,Medical University of Bialystok. elzbieta.krajewska@wp.pl TI - Internet addiction among students of the medical university of bialystok. SO - CIN: Computers, Informatics, Nursing. 29(11):657-61, 2011 Nov. AS - Comput Inform Nurs. 29(11):657-61, 2011 Nov. NJ - Computers, informatics, nursing : CIN PI - Journal available in: Print PI - Citation processed from: Internet JC - 101141667 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Behavior, Addictive MH - Female MH - Humans MH - *Internet MH - Male MH - Poland MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - The objective of this research was to assess Internet addiction among students of the Faculty of Health Prevention at the Medical University of Bialystok. 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. ES - 1538-9774 IL - 1538-2931 DO - http://dx.doi.org/10.1097/NCN.0b013e318224b34f PT - Journal Article LG - English DP - 2011 Nov DC - 20111114 YR - 2011 ED - 20120228 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21697708 <324. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22146269 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Malley PA FA - O'Malley, Patricia Anne IN - O'Malley,Patricia Anne. Miami Valley Hospital, Dayton, Ohio 45409, USA. pomalley@mvh.org TI - Prescription opioid abuse update for the clinical nurse specialist. SO - Clinical Nurse Specialist. 26(1):19-21, 2012 Jan-Feb. AS - Clin Nurse Spec. 26(1):19-21, 2012 Jan-Feb. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Internet JC - cll, 8709115 SB - Nursing Journal CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Humans MH - *Nurse Clinicians/ed [Education] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/mo [Mortality] MH - *Prescription Drugs/ae [Adverse Effects] MH - Risk Factors MH - United States/ep [Epidemiology] RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 1538-9782 IL - 0887-6274 DO - http://dx.doi.org/10.1097/NUR.0b013e31823f8a19 PT - Journal Article LG - English DP - 2012 Jan-Feb DC - 20111207 YR - 2012 ED - 20120220 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=22146269 <325. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22016016 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coffey R AU - Kulisek J AU - Tanda R AU - Chipps E FA - Coffey, Rebecca FA - Kulisek, Janice FA - Tanda, Rika FA - Chipps, Esther IN - Coffey,Rebecca. Burn Center, Ohio State University Health System, Columbus, OH 43210, USA. rebecca.coffey@osumc.edu TI - Impact of the implementation of an alcohol withdrawal guideline on patients with burn injuries. SO - Clinical Nurse Specialist. 25(6):286-93, 2011 Nov-Dec. AS - Clin Nurse Spec. 25(6):286-93, 2011 Nov-Dec. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Internet JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/nu [Nursing] MH - Burns/ep [Epidemiology] MH - *Burns/nu [Nursing] MH - Comorbidity MH - Evidence-Based Nursing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Midwestern United States/ep [Epidemiology] MH - Nursing Methodology Research MH - Nursing Records MH - *Practice Guidelines as Topic MH - Retrospective Studies MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - Treatment Outcome AB - PURPOSE: 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. AB - DESIGN: 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. AB - SETTING: A Midwestern academic medical center with an American Burn Association and the American College of Surgeons verified burn center. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: Screening and treatment of alcohol abuse in the burn patient are still less than ideal. AB - IMPLICATIONS: Greater efforts should be directed at managing alcohol withdrawal. An advance practice nurse can make an important contribution. ES - 1538-9782 IL - 0887-6274 DO - http://dx.doi.org/10.1097/NUR.0b013e318233ea75 PT - Evaluation Studies PT - Journal Article LG - English DP - 2011 Nov-Dec DC - 20111021 YR - 2011 ED - 20120217 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22016016 <326. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22084964 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gage S AU - Melillo KD FA - Gage, Susan FA - Melillo, Karen Devereaux IN - Gage,Susan. Department of Nursing, University of Massachusetts, Lowell, MA, USA. Susan_Gage@student.uml.edu TI - Substance abuse in older adults: policy issues. SO - Journal of Gerontological Nursing. 37(12):8-11, 2011 Dec. AS - J Gerontol Nurs. 37(12):8-11, 2011 Dec. NJ - Journal of gerontological nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 7510258, iax SB - Nursing Journal CP - United States MH - Aged MH - Costs and Cost Analysis MH - Demography MH - *Health Policy MH - Humans MH - *Substance-Related Disorders AB - By 2020, it is projected that the number of older adults needing treatment for drug and alcohol addictions will increase dramatically. Although Medicare covers treatment for mental health issues, copayments can be prohibitive for those with lower incomes. The Positive Aging Act, an amendment to the Public Health Service Act, is a policy alternative that could address substance abuse in the older adult population by (a) demonstrating ways of integrating mental health services for older adults into primary care settings, and (b) supporting the establishment and maintenance of interdisciplinary geriatric mental health outreach teams in community settings where older adults reside or receive social services. Increasing funding to states to emphasize primary care provider education on the detection, evaluation, and treatment of substance abuse problems of older adults has the potential to better meet the substance abuse needs of this population. Educating primary care providers, including gerontological nurses, to recognize signs of substance abuse in this population and providing age-appropriate treatment options is critically important but will require funding beyond what is currently available.Copyright 2011, SLACK Incorporated. IS - 0098-9134 IL - 0098-9134 DO - http://dx.doi.org/10.3928/00989134-20111104-01 PT - Journal Article LG - English EP - 20111116 DP - 2011 Dec DC - 20111214 YR - 2011 ED - 20120123 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22084964 <327. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21948991 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leino J AU - Kauhanen L AU - Hokkinen L AU - Kurl S AU - Toriola AT AU - Voutilainen S AU - Lynch JW AU - Kauhanen J FA - Leino, Janne FA - Kauhanen, Laura FA - Hokkinen, Lasse FA - Kurl, Sudhir FA - Toriola, Adetunji T FA - Voutilainen, Sari FA - Lynch, John W FA - Kauhanen, Jussi IN - Leino,Janne. Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland. janne.leino@uef.fi TI - Psychosocial problems in childhood and later alcohol consumption: a life course approach with historical information. SO - Scandinavian Journal of Public Health. 39(7):749-56, 2011 Nov. AS - Scand J Public Health. 39(7):749-56, 2011 Nov. NJ - Scandinavian journal of public health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dew, 100883503 SB - Index Medicus CP - Sweden MH - Adolescent MH - Adult MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Alcohol-Related Disorders/et [Etiology] MH - Alcohol-Related Disorders/px [Psychology] MH - Child MH - Cohort Studies MH - Ethanol/ad [Administration & Dosage] MH - Ethanol/po [Poisoning] MH - Finland MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - *Social Problems MH - *Socioeconomic Factors MH - Surveys and Questionnaires MH - Young Adult AB - AIMS: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. RN - 3K9958V90M (Ethanol) ES - 1651-1905 IL - 1403-4948 DO - http://dx.doi.org/10.1177/1403494811421056 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - HL44199 (United States NHLBI NIH HHS) LG - English EP - 20110926 DP - 2011 Nov DC - 20111110 YR - 2011 ED - 20120123 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21948991 <328. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21685835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Farrell SP AU - Zerull LM AU - Mahone IH AU - Guerlain S AU - Akan D AU - Hauenstein E AU - Schorling J FA - Farrell, Sarah P FA - Zerull, Lisa M FA - Mahone, Irma H FA - Guerlain, Stephanie FA - Akan, Doruk FA - Hauenstein, Emily FA - Schorling, John IN - Farrell,Sarah P. School of Nursing, Department of Systems and Information Engineering, and Division of General Medicine, University of Virginia, Charlottesville, VA 22908-0782, USA. TI - Electronic screening for mental health in rural primary care: feasibility and user testing. SO - CIN: Computers, Informatics, Nursing. 27(2):93-8, 2009 Mar-Apr. AS - Comput Inform Nurs. 27(2):93-8, 2009 Mar-Apr. NJ - Computers, informatics, nursing : CIN PI - Journal available in: Print PI - Citation processed from: Internet JC - 101141667 OI - Source: NLM. NIHMS204391 OI - Source: NLM. PMC3132812 SB - Index Medicus SB - Nursing Journal CP - United States MH - Feasibility Studies MH - Focus Groups MH - Humans MH - *Mental Disorders/di [Diagnosis] MH - *Mental Health Services/og [Organization & Administration] MH - *Primary Health Care/og [Organization & Administration] MH - Rural Health Services/og [Organization & Administration] AB - Despite attention to prevention and screening for depression and alcohol use, Healthy People 2010 objectives continue to include goals to increase the detection of depression and decrease the rates of alcohol abuse. These problems remain significant. The overall goal of this study was to develop a computer-based electronic screening (eScreening) tool and determine the feasibility of implementing computer-based eScreening technology for rural visitors to a primary care clinic. The study called specifically for an electronic touch screen with voice prompts. This tool, called the eScreening tool, screens for alcohol abuse and depression among rural patients in a primary care setting. The screening was offered to rural adults who are not in acute distress and not at end of life, regardless of their stated reason for seeking medical care. Phase 1 of the pilot was used to determine the perceptions of nurses, other providers, and consumers regarding the acceptability and perceived usefulness of an eScreening tool. Phase 2 involved user testing of the eScreening tool. The longer term goals of the research program are to work with rural nurses to improve patient outcomes and develop interventions and for educational, consultation, and/or direct clinical care. ES - 1538-9774 IL - 1538-2931 DO - http://dx.doi.org/10.1097/NCN.0b013e3181972a0d PT - Journal Article PT - Research Support, N.I.H., Extramural NO - P20 NR009009 (United States NINR NIH HHS) NO - P20 NR009009-01 (United States NINR NIH HHS) LG - English DP - 2009 Mar-Apr DC - 20110620 YR - 2009 ED - 20120110 RD - 20161107 UP - 20161108 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21685835 <329. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21685835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Farrell SP AU - Zerull LM AU - Mahone IH AU - Guerlain S AU - Akan D AU - Hauenstein E AU - Schorling J FA - Farrell, Sarah P FA - Zerull, Lisa M FA - Mahone, Irma H FA - Guerlain, Stephanie FA - Akan, Doruk FA - Hauenstein, Emily FA - Schorling, John IN - Farrell,Sarah P. School of Nursing, Department of Systems and Information Engineering, and Division of General Medicine, University of Virginia, Charlottesville, VA 22908-0782, USA. TI - Electronic screening for mental health in rural primary care: feasibility and user testing. SO - CIN: Computers, Informatics, Nursing. 27(2):93-8, 2009 Mar-Apr. AS - Comput Inform Nurs. 27(2):93-8, 2009 Mar-Apr. NJ - Computers, informatics, nursing : CIN PI - Journal available in: Print PI - Citation processed from: Internet JC - 101141667 OI - Source: NLM. NIHMS204391 OI - Source: NLM. PMC3132812 SB - Index Medicus SB - Nursing Journal CP - United States MH - Feasibility Studies MH - Focus Groups MH - Humans MH - *Mental Disorders/di [Diagnosis] MH - *Mental Health Services/og [Organization & Administration] MH - *Primary Health Care/og [Organization & Administration] MH - Rural Health Services/og [Organization & Administration] AB - Despite attention to prevention and screening for depression and alcohol use, Healthy People 2010 objectives continue to include goals to increase the detection of depression and decrease the rates of alcohol abuse. These problems remain significant. The overall goal of this study was to develop a computer-based electronic screening (eScreening) tool and determine the feasibility of implementing computer-based eScreening technology for rural visitors to a primary care clinic. The study called specifically for an electronic touch screen with voice prompts. This tool, called the eScreening tool, screens for alcohol abuse and depression among rural patients in a primary care setting. The screening was offered to rural adults who are not in acute distress and not at end of life, regardless of their stated reason for seeking medical care. Phase 1 of the pilot was used to determine the perceptions of nurses, other providers, and consumers regarding the acceptability and perceived usefulness of an eScreening tool. Phase 2 involved user testing of the eScreening tool. The longer term goals of the research program are to work with rural nurses to improve patient outcomes and develop interventions and for educational, consultation, and/or direct clinical care. ES - 1538-9774 IL - 1538-2931 DO - http://dx.doi.org/10.1097/NCN.0b013e3181972a0d PT - Journal Article PT - Research Support, N.I.H., Extramural NO - P20 NR009009 (United States NINR NIH HHS) NO - P20 NR009009 (United States NINR NIH HHS) NO - P20 NR009009-01 (United States NINR NIH HHS) LG - English DP - 2009 Mar-Apr DC - 20110620 YR - 2009 ED - 20120110 RD - 20150204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21685835 <330. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21751762 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kirkpatrick H AU - Tweedell D AU - Semogas D FA - Kirkpatrick, Helen FA - Tweedell, Donna FA - Semogas, Dyanne IN - Kirkpatrick,Helen. McMaster University School of Nursing, Ontario, Canada. hkirkpat@stjoes.ca TI - Transformative learning through a research practicum for undergraduate nursing students. SO - Journal of Nursing Education. 50(10):595-8, 2011 Oct. AS - J Nurs Educ. 50(10):595-8, 2011 Oct. NJ - The Journal of nursing education PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - *Education, Nursing, Baccalaureate MH - *Homeless Persons MH - Humans MH - *Narration MH - *Nursing Research/ed [Education] MH - Ontario AB - 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.Copyright 2011, SLACK Incorporated. IS - 0148-4834 IL - 0148-4834 DO - http://dx.doi.org/10.3928/01484834-20110715-03 PT - Journal Article LG - English EP - 20110715 DP - 2011 Oct DC - 20110929 YR - 2011 ED - 20111213 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21751762 <331. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21849078 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - van der Voort TY AU - van Meijel B AU - Goossens PJ AU - Renes J AU - Beekman AT AU - Kupka RW FA - van der Voort, Trijntje Y G FA - van Meijel, Berno FA - Goossens, Peter J J FA - Renes, Janwillem FA - Beekman, Aartjan T F FA - Kupka, Ralph W IN - van der Voort,Trijntje Y G. GGZ ingeest/VU University Medical Center, dept, of Psychiatry, Amsterdam, the Netherlands. n.vandervoort@ggzingeest.nl TI - Collaborative care for patients with bipolar disorder: a randomised controlled trial. SO - BMC Psychiatry. 11:133, 2011. AS - BMC Psychiatry. 11:133, 2011. NJ - BMC psychiatry PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968559 OI - Source: NLM. PMC3170590 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - *Ambulatory Care Facilities/og [Organization & Administration] MH - *Bipolar Disorder/dt [Drug Therapy] MH - *Bipolar Disorder/th [Therapy] MH - Caregivers/px [Psychology] MH - Clinical Protocols MH - *Cooperative Behavior MH - Cost-Benefit Analysis MH - Humans MH - Male MH - *Mental Health Services/og [Organization & Administration] MH - Middle Aged MH - Mood Disorders/dt [Drug Therapy] MH - Mood Disorders/th [Therapy] MH - Netherlands MH - Outcome and Process Assessment (Health Care)/mt [Methods] MH - Patient Education as Topic MH - Patient Participation MH - Psychiatric Status Rating Scales MH - Secondary Prevention AB - BACKGROUND: Bipolar disorder is a severe mental illness with serious consequences for daily living of patients and their caregivers. Care as usual primarily consists of pharmacotherapy and supportive treatment. However, a substantial number of patients show a suboptimal response to treatment and still suffer from frequent episodes, persistent interepisodic symptoms and poor social functioning. Both psychiatric and somatic comorbid disorders are frequent, especially personality disorders, substance abuse, cardiovascular diseases and diabetes. Multidisciplinary collaboration of professionals is needed to combine all expertise in order to achieve high-quality integrated treatment. 'Collaborative Care' is a treatment method that could meet these needs. Several studies have shown promising effects of these integrated treatment programs for patients with bipolar disorder. In this article we describe a research protocol concerning a study on the effects of Collaborative Care for patients with bipolar disorder in the Netherlands. AB - METHODS/DESIGN: The study concerns a two-armed cluster randomised clinical trial to evaluate the effectiveness of Collaborative Care (CC) in comparison with Care as usual (CAU) in outpatient clinics for bipolar disorder or mood disorders in general. Collaborative Care includes individually tailored interventions, aimed at personal goals set by the patient. The patient, his caregiver, the nurse and the psychiatrist all are part of the Collaborative Care team. Elements of the program are: contracting and shared decision making; psycho education; problem solving treatment; systematic relapse prevention; monitoring of outcomes and pharmacotherapy. Nurses coordinate the program. Nurses and psychiatrists in the intervention group will be trained in the intervention. The effects will be measured at baseline, 6 months and 12 months. Primary outcomes are psychosocial functioning, psychiatric symptoms, and quality of life. Caregiver outcomes are burden and satisfaction with care. AB - DISCUSSION: Several ways to enhance the quality of this study are described, as well as some limitations caused by the complexities of naturalistic treatment settings where not all influencing factors on an intervention and the outcomes can be controlled. AB - TRIAL REGISTRATION: The Netherlands Trial Registry, NTR2600. ES - 1471-244X IL - 1471-244X DO - http://dx.doi.org/10.1186/1471-244X-11-133 PT - Journal Article PT - Randomized Controlled Trial LG - English EP - 20110817 DP - 2011 DC - 20110912 YR - 2011 ED - 20111212 RD - 20150204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21849078 <332. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21815578 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cordts GA AU - Grant MS AU - Brandt LE AU - Mears SC FA - Cordts, Grace A FA - Grant, Marian S FA - Brandt, Lynsey E FA - Mears, Simon C IN - Cordts,Grace A. Division of Geriatrics, The Johns Hopkins University, Baltimore, Maryland 21224, USA. TI - A qualitative and quantitative needs assessment of pain management for hospitalized orthopedic patients. SO - Orthopedics. 34(8):e368-73, 2011 Aug. AS - Orthopedics. 34(8):e368-73, 2011 Aug. NJ - Orthopedics PI - Journal available in: Electronic PI - Citation processed from: Internet JC - pcm, 7806107, okl SB - Index Medicus CP - United States MH - Focus Groups MH - *Health Personnel/ed [Education] MH - *Health Services Needs and Demand MH - Hospitalization MH - Hospitals, Teaching MH - Humans MH - Musculoskeletal Diseases/co [Complications] MH - Musculoskeletal Diseases/pp [Physiopathology] MH - *Musculoskeletal Diseases/th [Therapy] MH - Musculoskeletal System MH - *Needs Assessment MH - *Orthopedics/ed [Education] MH - Pain/et [Etiology] MH - Pain/pp [Physiopathology] MH - *Pain Management/mt [Methods] MH - Patients MH - Wounds and Injuries AB - 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 patient-controlled 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.Copyright 2011, SLACK Incorporated. ES - 1938-2367 IL - 0147-7447 DO - http://dx.doi.org/10.3928/01477447-20110627-11 PT - Journal Article LG - English EP - 20110808 DP - 2011 Aug DC - 20110805 YR - 2011 ED - 20111207 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21815578 <333. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22003751 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haidegger T AU - Nagy M AU - Lehotsky A AU - Szilagyi L FA - Haidegger, Tamas FA - Nagy, Melinda FA - Lehotsky, Akos FA - Szilagyi, Laszlo IN - Haidegger,Tamas. Budapest University of Technology and Economics, Dept. of Control Engineering and Information Technology, Budapest, Hungary. haidegger@iit.bme.hu TI - Digital imaging for the education of proper surgical hand disinfection. SO - Medical Image Computing & Computer-Assisted Intervention: MICCAI. 14(Pt 3):619-26, 2011. AS - Med Image Comput Comput Assist Interv Int Conf Med Image Comput Comput Assist Interv. 14(Pt 3):619-26, 2011. NJ - Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention PI - Journal available in: Print PI - Citation processed from: Print JC - 101249582 SB - Index Medicus CP - Germany MH - Alcohols/ch [Chemistry] MH - Anti-Infective Agents, Local MH - *Cross Infection/pc [Prevention & Control] MH - *Education, Medical/mt [Methods] MH - *Hand Disinfection/mt [Methods] MH - Health Personnel MH - Hospitals MH - Humans MH - Hygiene MH - Image Processing, Computer-Assisted/mt [Methods] MH - Infection Control/mt [Methods] MH - Models, Statistical MH - Signal Processing, Computer-Assisted MH - *Teaching/mt [Methods] AB - 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. RN - 0 (Alcohols) RN - 0 (Anti-Infective Agents, Local) PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2011 DC - 20111018 YR - 2011 ED - 20111115 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=22003751 <334. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21999087 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Charney DM AU - Campbell JB FA - Charney, Diane M FA - Campbell, Judy B TI - Unexpected lessons in unexpected places. SO - Journal of Christian Nursing. 28(4):226-7, 2011 Oct-Dec. AS - J Christ Nurs. 28(4):226-7, 2011 Oct-Dec. NJ - Journal of Christian nursing : a quarterly publication of Nurses Christian Fellowship PI - Journal available in: Print PI - Citation processed from: Print JC - joc, 8411743 SB - Nursing Journal CP - United States MH - *Alcoholics Anonymous MH - Alcoholism/nu [Nursing] MH - *Behavior, Addictive/nu [Nursing] MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Humans MH - Hyperphagia/nu [Nursing] MH - *Self-Help Groups MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/nu [Nursing] AB - A new graduate shares important lessons learned from attending Alcoholics Anonymous, Narcotics Anonymous, and Overeaters Anonymous meetings as a nursing student. IS - 0743-2550 IL - 0743-2550 PT - Journal Article LG - English DP - 2011 Oct-Dec DC - 20111017 YR - 2011 ED - 20111115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21999087 <335. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21185782 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Axe S FA - Axe, Sue IN - Axe,Sue. Independent and Supplementary Nurse Prescribing, Buckinghamshire New University, 106 Oxford Road, Uxbridge UB81NA, UK. sue.axe@bucks.ac.uk TI - Numeracy and nurse prescribing: do the standards achieve their aim?. SO - Nurse Education in Practice. 11(5):285-7, 2011 Sep. AS - NURSE EDUC PRACT. 11(5):285-7, 2011 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - *Clinical Competence/st [Standards] MH - *Drug Dosage Calculations MH - Education, Nursing MH - Humans MH - *Practice Patterns, Nurses'/st [Standards] AB - The new standards of proficiency for Nurse and Midwife prescribers have been in place for 4 years and have provided a challenge for education providers and students alike. Many students find the pass mark of 100% for numeracy a frightening prospect, the way numeracy is assessed can vary across the higher education institutions adding to the complexity of the problem. Drug calculation remains a challenge for the nursing profession and the standards for numeracy assessment in nurse prescribing add more to the debate.Copyright © 2010 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2010.11.008 PT - Journal Article LG - English EP - 20101224 DP - 2011 Sep DC - 20110715 YR - 2011 ED - 20111101 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21185782 <336. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21824120 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hanlon JT AU - Wang X AU - Castle NG AU - Stone RA AU - Handler SM AU - Semla TP AU - Pugh MJ AU - Berlowitz DR AU - Dysken MW FA - Hanlon, Joseph T FA - Wang, Xiaoqiang FA - Castle, Nicholas G FA - Stone, Roslyn A FA - Handler, Steven M FA - Semla, Todd P FA - Pugh, Mary Jo FA - Berlowitz, Dan R FA - Dysken, Maurice W IN - Hanlon,Joseph T. Geriatric Research, Education and Clinical Center, and Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA. jth14@pitt.edu TI - Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents. SO - Journal of the American Geriatrics Society. 59(8):1412-20, 2011 Aug. AS - J Am Geriatr Soc. 59(8):1412-20, 2011 Aug. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7503062, h6v OI - Source: NLM. NIHMS301396 OI - Source: NLM. PMC3158263 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/ae [Adverse Effects] MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Comorbidity MH - Cross-Sectional Studies MH - Depressive Disorder/di [Diagnosis] MH - *Depressive Disorder/dt [Drug Therapy] MH - *Depressive Disorder/ep [Epidemiology] MH - Dose-Response Relationship, Drug MH - Drug Interactions MH - Drug Therapy, Combination MH - Drug Utilization/sn [Statistics & Numerical Data] MH - Female MH - Geriatric Assessment/sn [Statistics & Numerical Data] MH - *Homes for the Aged MH - Humans MH - *Inappropriate Prescribing/ut [Utilization] MH - Longitudinal Studies MH - Male MH - *Nursing Homes MH - Off-Label Use/sn [Statistics & Numerical Data] MH - United States MH - *Veterans/px [Psychology] AB - 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. AB - DESIGN: Longitudinal study. AB - SETTING: One hundred thirty-three VA CLCs. AB - 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). AB - 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). AB - 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. AB - 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, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society. RN - 0 (Antidepressive Agents) ES - 1532-5415 IL - 0002-8614 DO - http://dx.doi.org/10.1111/j.1532-5415.2011.03522.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - R01 AG034056 (United States NIA NIH HHS) NO - K07 AG033174 (United States NIA NIH HHS) NO - P30 AG024827 (United States NIA NIH HHS) NO - K07 AG033174-02 (United States NIA NIH HHS) NO - R01 NR010135 (United States NINR NIH HHS) NO - R56 AG027017-04 (United States NIA NIH HHS) NO - R01 AG034056-01 (United States NIA NIH HHS) NO - R01 HS018721 (United States AHRQ HHS) NO - K07 AG033174-01A1 (United States NIA NIH HHS) NO - R56 AG027017 (United States NIA NIH HHS) NO - P30AG024827 (United States NIA NIH HHS) NO - R34 MH082682 (United States NIMH NIH HHS) NO - R01 HS017695 (United States AHRQ HHS) NO - 3U01 AG012553 (United States NIA NIH HHS) NO - K12 HS019461 (United States AHRQ HHS) NO - U01 AG012553 (United States NIA NIH HHS) NO - R01 AG034056-02 (United States NIA NIH HHS) NO - R01AG034056 (United States NIA NIH HHS) NO - T32 AG021885 (United States NIA NIH HHS) NO - R56AG027017 (United States NIA NIH HHS) NO - K07 AG033174-03 (United States NIA NIH HHS) NO - K07AG033174 (United States NIA NIH HHS) LG - English EP - 20110808 DP - 2011 Aug DC - 20110818 YR - 2011 ED - 20111024 RD - 20161122 UP - 20161201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21824120 <337. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21824120 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hanlon JT AU - Wang X AU - Castle NG AU - Stone RA AU - Handler SM AU - Semla TP AU - Pugh MJ AU - Berlowitz DR AU - Dysken MW FA - Hanlon, Joseph T FA - Wang, Xiaoqiang FA - Castle, Nicholas G FA - Stone, Roslyn A FA - Handler, Steven M FA - Semla, Todd P FA - Pugh, Mary Jo FA - Berlowitz, Dan R FA - Dysken, Maurice W IN - Hanlon,Joseph T. Geriatric Research, Education and Clinical Center, and Center for Health Equity Research and Promotion, Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA. jth14@pitt.edu TI - Potential underuse, overuse, and inappropriate use of antidepressants in older veteran nursing home residents. SO - Journal of the American Geriatrics Society. 59(8):1412-20, 2011 Aug. AS - J Am Geriatr Soc. 59(8):1412-20, 2011 Aug. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7503062, h6v OI - Source: NLM. NIHMS301396 OI - Source: NLM. PMC3158263 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/ae [Adverse Effects] MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Comorbidity MH - Cross-Sectional Studies MH - Depressive Disorder/di [Diagnosis] MH - *Depressive Disorder/dt [Drug Therapy] MH - *Depressive Disorder/ep [Epidemiology] MH - Dose-Response Relationship, Drug MH - Drug Interactions MH - Drug Therapy, Combination MH - Drug Utilization/sn [Statistics & Numerical Data] MH - Female MH - Geriatric Assessment/sn [Statistics & Numerical Data] MH - *Homes for the Aged MH - Humans MH - *Inappropriate Prescribing/ut [Utilization] MH - Longitudinal Studies MH - Male MH - *Nursing Homes MH - Off-Label Use/sn [Statistics & Numerical Data] MH - United States MH - *Veterans/px [Psychology] AB - 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. AB - DESIGN: Longitudinal study. AB - SETTING: One hundred thirty-three VA CLCs. AB - 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). AB - 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). AB - 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. AB - 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, Copyright the Authors. Journal compilation © 2011, The American Geriatrics Society. RN - 0 (Antidepressive Agents) ES - 1532-5415 IL - 0002-8614 DO - http://dx.doi.org/10.1111/j.1532-5415.2011.03522.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - 3U01 AG012553 (United States NIA NIH HHS) NO - K07 AG033174 (United States NIA NIH HHS) NO - K07 AG033174-01A1 (United States NIA NIH HHS) NO - K07 AG033174-02 (United States NIA NIH HHS) NO - K07 AG033174-03 (United States NIA NIH HHS) NO - K07AG033174 (United States NIA NIH HHS) NO - K12 HS019461 (United States AHRQ HHS) NO - P30 AG024827 (United States NIA NIH HHS) NO - P30AG024827 (United States NIA NIH HHS) NO - R01 AG034056 (United States NIA NIH HHS) NO - R01 AG034056-01 (United States NIA NIH HHS) NO - R01 AG034056-02 (United States NIA NIH HHS) NO - R01 HS017695 (United States AHRQ HHS) NO - R01 HS018721 (United States AHRQ HHS) NO - R01 NR010135 (United States NINR NIH HHS) NO - R01AG034056 (United States NIA NIH HHS) NO - R34 MH082682 (United States NIMH NIH HHS) NO - R56 AG027017 (United States NIA NIH HHS) NO - R56 AG027017-04 (United States NIA NIH HHS) NO - R56AG027017 (United States NIA NIH HHS) NO - T32 AG021885 (United States NIA NIH HHS) LG - English EP - 20110808 DP - 2011 Aug DC - 20110818 YR - 2011 ED - 20111024 RD - 20150204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21824120 <338. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21766734 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahern NR AU - Greenberg CS FA - Ahern, Nancy R FA - Greenberg, Cindy S IN - Ahern,Nancy R. School of Nursing, California State University, Fullerton, California 92834-6868, USA. nahern@fullerton.edu TI - Psychoactive herb use and youth: a closer look at salvia divinorum. SO - Journal of Psychosocial Nursing & Mental Health Services. 49(8):16-9, 2011 Aug. AS - J Psychosoc Nurs Ment Health Serv. 49(8):16-9, 2011 Aug. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - Hallucinogens/ae [Adverse Effects] MH - *Hallucinogens MH - Humans MH - Patient Education as Topic MH - Plant Preparations/ae [Adverse Effects] MH - *Plant Preparations MH - *Salvia MH - Street Drugs/ae [Adverse Effects] MH - *Street Drugs MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Salvia divinorum is a psychoactive herb and an increasingly popular recreational drug used by young people in our country and abroad. Much of its increased popularity stems from its easy accessibility and affordability; its effects produce an intense and potent "high" and concomitant disorientation and hallucinations. The risks associated with Salvia are poorly defined due to a lack of scientific evidence, leaving Salvia users with false assurances about its safety. Although its safety profile is ill defined, its intense effects are well known and can put young people at risk for injuries and serious errors in judgment. Psychiatric nurses and health care practitioners are in key positions to influence practice, education, and policy regarding the use and abuse of this drug by youth.Copyright 2011, SLACK Incorporated. RN - 0 (Hallucinogens) RN - 0 (Plant Preparations) RN - 0 (Street Drugs) IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20110705-05 PT - Journal Article LG - English EP - 20110715 DP - 2011 Aug DC - 20110815 YR - 2011 ED - 20111013 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21766734 <339. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21649772 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Katz JR AU - Martinez T AU - Paul R FA - Katz, Janet R FA - Martinez, Teressa FA - Paul, Robbie IN - Katz,Janet R. College of Nursing, Washington State University, Spokane, Washington 99210-1495, USA. jkatz@wsu.edu TI - Community-based participatory research and American Indian/Alaska Native nurse practitioners: a partnership to promote adolescent health. SO - Journal of the American Academy of Nurse Practitioners. 23(6):298-304, 2011 Jun. AS - J Am Acad Nurse Pract. 23(6):298-304, 2011 Jun. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Health Services/sn [Statistics & Numerical Data] MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - *Community-Based Participatory Research/sn [Statistics & Numerical Data] MH - *Cooperative Behavior MH - Cultural Competency MH - Female MH - Focus Groups MH - Humans MH - *Indians, North American/sn [Statistics & Numerical Data] MH - *Inuits/sn [Statistics & Numerical Data] MH - Male MH - Mental Health MH - Middle Aged MH - *Nurse Practitioners/sn [Statistics & Numerical Data] MH - Qualitative Research MH - Substance-Related Disorders MH - United States/ep [Epidemiology] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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.Copyright ©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners. ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2011.00613.x PT - Journal Article LG - English EP - 20110427 DP - 2011 Jun DC - 20110608 YR - 2011 ED - 20111007 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21649772 <340. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21279338 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Somers A AU - Robays H AU - Audenaert K AU - Van Maele G AU - Bogaert M AU - Petrovic M FA - Somers, Annemie FA - Robays, Hugo FA - Audenaert, Kurt FA - Van Maele, Georges FA - Bogaert, Marc FA - Petrovic, Mirko IN - Somers,Annemie. Department of Pharmacy, Ghent University Hospital, De Pintelaan 185, 9000 Gent, Belgium. annemie.somers@uzgent.be TI - The use of hypnosedative drugs in a university hospital: has anything changed in 10 years?. SO - European Journal of Clinical Pharmacology. 67(7):723-9, 2011 Jul. AS - Eur J Clin Pharmacol. 67(7):723-9, 2011 Jul. NJ - European journal of clinical pharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Adult MH - Age Factors MH - Aged MH - *Anxiety/dt [Drug Therapy] MH - Cross-Sectional Studies MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Female MH - *Hospitals, University/sn [Statistics & Numerical Data] MH - Humans MH - *Hypnotics and Sedatives/ad [Administration & Dosage] MH - Length of Stay MH - Male MH - Middle Aged MH - Practice Guidelines as Topic MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Prospective Studies MH - Risk Assessment MH - *Sleep Wake Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Time Factors AB - AIM: Our goal was to investigate the use of hypnosedatives (HSs) before and during hospitalization, explore the relationship between their use and various demographic and clinical variables, and compare the results with data from a similar 2000 study with particular interest in adherence to hospital formulary guidelines. AB - METHODS: A cross-sectional observational survey of 326 hospitalized patients recruited from ten wards of the Ghent University Hospital, Gent, Belgium, with a patient interview and by evaluating medical and nursing files. AB - RESULTS: In 30.7% of patients, the use of a HS before admission was reported. According to the patient interview, 33.1% used a HS during hospitalization. However, according to medical and nursing files, use of HSs in the hospital was 10% higher (43.3%). In 19.4% of patients who took HSs before admission, their use was discontinued in the hospital. In 15.6% of patients who took no HS before admission, a HS was started in the hospital, according to the formulary guidelines (data from files). There was a positive correlation between HS use in the hospital and older age, longer hospitalization, not coming from home, higher number of HSs taken before hospitalization, sleeping problems emerging during hospitalization, and central nervous system (CNS) disorders. In comparison with 2000, we registered a slight decrease in HS use during hospitalization and a decrease in the number of newly started patients. AB - CONCLUSIONS: The prevalence of HS use in our university hospital is high, mostly as a result of continuation of HSs started before admission, as there seems to be no general policy of active cessation. Compared with the survey performed 10 years ago, fewer hospitalized patients are newly started on HSs, and when this is the case, the formulary guidelines are followed. RN - 0 (Hypnotics and Sedatives) ES - 1432-1041 IL - 0031-6970 DO - http://dx.doi.org/10.1007/s00228-010-0983-2 PT - Journal Article LG - English EP - 20110129 DP - 2011 Jul DC - 20110614 YR - 2011 ED - 20111004 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21279338 <341. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21879682 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pedlow K FA - Pedlow, Kate IN - Pedlow,Kate. Norlien Foundation. TI - Addictions: preventative practice for professional nurses. SO - Alberta RN. 67(4):18-9, 2011 Jul-Aug. AS - Alta RN. 67(4):18-9, 2011 Jul-Aug. NJ - Alberta RN PI - Journal available in: Print PI - Citation processed from: Print JC - 100883278, dbj SB - Nursing Journal CP - Canada MH - Behavior, Addictive/nu [Nursing] MH - *Behavior, Addictive/pc [Prevention & Control] MH - Brain/gd [Growth & Development] MH - Education, Nursing MH - Humans MH - *Practice Patterns, Nurses' MH - Risk Factors IS - 1481-9988 IL - 1481-9988 PT - Journal Article LG - English DP - 2011 Jul-Aug DC - 201191 YR - 2011 ED - 20110926 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21879682 <342. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21879682 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pedlow K FA - Pedlow, Kate IN - Pedlow,Kate. Norlien Foundation. TI - Addictions: preventative practice for professional nurses. SO - Alberta RN. 67(4):18-9, 2011 Jul-Aug. AS - Alta RN. 67(4):18-9, 2011 Jul-Aug. NJ - Alberta RN / Alberta Association of Registered Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100883278, dbj SB - Nursing Journal CP - Canada MH - Behavior, Addictive/nu [Nursing] MH - *Behavior, Addictive/pc [Prevention & Control] MH - Brain/gd [Growth & Development] MH - Education, Nursing MH - Humans MH - *Practice Patterns, Nurses' MH - Risk Factors IS - 1481-9988 IL - 1481-9988 PT - Journal Article LG - English DP - 2011 Jul-Aug DC - 20110901 YR - 2011 ED - 20110926 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21879682 <343. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21692595 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford R FA - Ford, Rosemary IN - Ford,Rosemary. School of Nursing and Midwifery, Australian Catholic University, Fitzroy, VIC, Australia. TI - Interpersonal challenges as a constraint on care: the experience of nurses' care of patients who use illicit drugs. SO - Contemporary Nurse. 37(2):241-52, 2011 Feb. AS - Contemp Nurse. 37(2):241-52, 2011 Feb. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Adult MH - *Attitude of Health Personnel MH - Australian Capital Territory MH - Cross-Sectional Studies MH - Deception MH - Female MH - Harm Reduction MH - *Health Services Accessibility MH - Humans MH - Linear Models MH - Male MH - Multivariate Analysis MH - Narration MH - *Nurse-Patient Relations MH - Nursing Staff, Hospital MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Violence AB - Men and women who use illicit drugs have a heavy reliance on health care in emergency departments and acute care wards. Nurses' care however, is known to be constrained by inadequate drug education and policy and practice standards. This paper describes an additional constraint on care, namely, patients' behaviour. The findings are part of a broader mixed-methods study of nurses' therapeutic attitude to this patient group. The themes of violence, manipulation and irresponsibility emerged from the data analysis of written reports provided by a sub-sample (N = 311) of the main study sample. Recommendations are made for assisting nurses to reconceptualise their role with this patient group, and importantly, for an increase in violence management education and organisational role support, safety and security measures. Finally, further research in the field is recommended so that a comprehensive analysis of the difficulties faced by nurses and patients can be made. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2011.37.2.241 PT - Journal Article LG - English DP - 2011 Feb DC - 20110622 YR - 2011 ED - 20110923 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21692595 <344. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21877459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Liles AM FA - Liles, Anne Marie IN - Liles,Anne Marie. Auburn University, Harrison School of Pharmacy, Auburn, AL, USA. aml0003@auburn.edu TI - Medication considerations for patients with chronic kidney disease who are not yet on dialysis. [Review] SO - Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association. 38(3):263-70, 2011 May-Jun. AS - Nephrol Nurs J. 38(3):263-70, 2011 May-Jun. NJ - Nephrology nursing journal : journal of the American Nephrology Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - dn8, 100909377 SB - Nursing Journal CP - United States MH - Anticholesteremic Agents/pk [Pharmacokinetics] MH - Anticholesteremic Agents/tu [Therapeutic Use] MH - Antihypertensive Agents/pk [Pharmacokinetics] MH - Antihypertensive Agents/tu [Therapeutic Use] MH - Diabetes Mellitus/dt [Drug Therapy] MH - Diabetes Mellitus/me [Metabolism] MH - Education, Nursing, Continuing MH - Humans MH - Hypercholesterolemia/dt [Drug Therapy] MH - Hypercholesterolemia/me [Metabolism] MH - Hypertension/dt [Drug Therapy] MH - Hypertension/me [Metabolism] MH - Hypoglycemic Agents/pk [Pharmacokinetics] MH - Hypoglycemic Agents/tu [Therapeutic Use] MH - Kidney Failure, Chronic/co [Complications] MH - *Kidney Failure, Chronic/dt [Drug Therapy] MH - Kidney Failure, Chronic/me [Metabolism] MH - Renal Dialysis AB - Because the kidney plays a large role in the absorption, distribution, metabolism, and elimination of drugs, significant medication-related problems can result from failure to properly adjust medications in patients with chronic kidney disease. It is the responsibility of all healthcare providers to be aware of necessary dose adjustments when reviewing medications, assessing drug therapy, changing drug therapy, or prescribing new medications. RN - 0 (Anticholesteremic Agents) RN - 0 (Antihypertensive Agents) RN - 0 (Hypoglycemic Agents) IS - 1526-744X IL - 1526-744X PT - Journal Article PT - Review LG - English DP - 2011 May-Jun DC - 20110831 YR - 2011 ED - 20110915 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21877459 <345. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20350317 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riou Franca L AU - Dautzenberg B AU - Falissard B AU - Reynaud M FA - Riou Franca, Lionel FA - Dautzenberg, Bertrand FA - Falissard, Bruno FA - Reynaud, Michel IN - Riou Franca,Lionel. INSERM U669 - Maison de Solenn - 97, bvd de Port-Royal - 75679 Paris Cedex 14, France. TI - Peer substance use overestimation among French university students: a cross-sectional survey. SO - BMC Public Health. 10:169, 2010. AS - BMC Public Health. 10:169, 2010. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC2858117 SB - Index Medicus CP - England MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Behavior, Addictive/ep [Epidemiology] MH - Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - France/ep [Epidemiology] MH - Humans MH - Male MH - Marijuana Smoking/ep [Epidemiology] MH - Marijuana Smoking/px [Psychology] MH - *Peer Group MH - Prevalence MH - Risk-Taking MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - *Universities MH - Young Adult AB - BACKGROUND: Normative misperceptions have been widely documented for alcohol use among U.S. college students. There is less research on other substances or European cultural contexts. This study explores which factors are associated with alcohol, tobacco and cannabis use misperceptions among French college students, focusing on substance use. AB - METHODS: 12 classes of second-year college students (n = 731) in sociology, medicine, nursing or foreign language estimated the proportion of tobacco, cannabis, alcohol use and heavy episodic drinking among their peers and reported their own use. AB - RESULTS: Peer substance use overestimation frequency was 84% for tobacco, 55% for cannabis, 37% for alcohol and 56% for heavy episodic drinking. Cannabis users (p = 0.006), alcohol (p = 0.003) and heavy episodic drinkers (p = 0.002), are more likely to overestimate the prevalence of use of these consumptions. Tobacco users are less likely to overestimate peer prevalence of smoking (p = 0.044). Women are more likely to overestimate tobacco (p < 0.001) and heavy episodic drinking (p = 0.007) prevalence. Students having already completed another substance use questionnaire were more likely to overestimate alcohol use prevalence (p = 0.012). Students exposed to cannabis prevention campaigns were more likely to overestimate cannabis (p = 0.018) and tobacco use (p = 0.022) prevalence. Other identified factors are class-level use prevalences and academic discipline. AB - CONCLUSIONS: Local interventions that focus on creating realistic perceptions of substance use prevalence could be considered for cannabis and alcohol prevention in French campuses. ES - 1471-2458 IL - 1471-2458 DO - http://dx.doi.org/10.1186/1471-2458-10-169 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100329 DP - 2010 DC - 20100422 YR - 2010 ED - 20110914 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20350317 <346. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21617404 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iles-Shih M AU - Sve C AU - Solotaroff R AU - Bruno R AU - Gregg J FA - Iles-Shih, Matthew FA - Sve, Chuck FA - Solotaroff, Rachel FA - Bruno, Richard FA - Gregg, Jessica IN - Iles-Shih,Matthew. School of Medicine, Oregon Health & Science University, Portland, OR 97239, USA. ilesshim@ohsu.edu TI - Health and illness in context: a pragmatic, interdisciplinary approach to teaching and learning applied public health within an urban safety net system. SO - Journal of Public Health Management & Practice. 17(4):308-12, 2011 Jul-Aug. AS - J Public Health Manag Pract. 17(4):308-12, 2011 Jul-Aug. NJ - Journal of public health management and practice : JPHMP PI - Journal available in: Print PI - Citation processed from: Internet JC - c0l, 9505213 SB - Health Technology Assessment Journals CP - United States MH - Curriculum MH - *Education, Medical MH - *Education, Nursing MH - Healthcare Disparities MH - Homeless Persons MH - Humans MH - *Interdisciplinary Communication MH - Medically Underserved Area MH - Oregon MH - *Public Health/ed [Education] MH - *Social Work/og [Organization & Administration] MH - Substance-Related Disorders/th [Therapy] MH - Universities MH - *Urban Health Services/og [Organization & Administration] MH - Vulnerable Populations AB - BACKGROUND: 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. AB - PROGRAM DESCRIPTION: "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. AB - OUTCOMES: 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. ES - 1550-5022 IL - 1078-4659 DO - http://dx.doi.org/10.1097/PHH.0b013e31820f8e56 PT - Journal Article LG - English DP - 2011 Jul-Aug DC - 20110527 YR - 2011 ED - 20110906 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21617404 <347. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21412637 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vargas Dd AU - Oliveira MA AU - Duarte FA FA - Vargas, Divane de FA - Oliveira, Marcia Aparecida Ferreira de FA - Duarte, Fernando Augusto Bicudo IN - Vargas,Divane de. Escola de Enfermagem, Universidade de Sao Paulo, SP, Brazil. vargas@usp.br TI - Psychosocial care Center for Alcohol and Drugs (CAPS ad): nursing insertion and practices in Sao Paulo City, Brazil. SO - Revista Latino-Americana de Enfermagem. 19(1):115-22, 2011 Jan-Feb. AS - Rev Lat Am Enfermagem. 19(1):115-22, 2011 Jan-Feb. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Internet JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Alcoholism/nu [Nursing] MH - Brazil MH - Community Mental Health Centers MH - Community Mental Health Services MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Substance-Related Disorders/nu [Nursing] MH - Urban Health AB - This exploratory study with a qualitative approach aimed to identify nurses' insertion and practices at Psychosocial Care Centers for alcohol and drugs in Sao Paulo City, Brazil. Sixteen nurses participated in the study. Data were recorded and were analyzed by dialectic hermeneutics and guided by Brazilian psychiatric reform premises. The results evidenced nurses' difficulties to take part in the care recommended at these services, as their practices are more linked up with the traditional mental health care model. Causes of this phenomenon include nurses' lack of preparation to act in psychoactive substance-related issues and lack of knowledge on specific contents that would favor their insertion into care practice in these scenarios. It is concluded that more attention should be paid to these contents in nursing education, as the legal requirement of nursing presence at these services is insufficient as a strategy to guarantee their actual insertion. ES - 1518-8345 IL - 0104-1169 DI - S0104-11692011000100016 PT - Journal Article LG - English DP - 2011 Jan-Feb DC - 20110317 YR - 2011 ED - 20110830 RD - 20140715 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21412637 <348. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21591829 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meissner VG FA - Meissner, Victoria Grace IN - Meissner,Victoria Grace. University of Newcastle, Callaghan Campus, Callaghan NSW, Australia. TI - Exploring indigenous health using the clinical reasoning cycle: a student paper. SO - Contemporary Nurse. 37(1):82-9, 2010 Dec-2011 Jan. AS - Contemp Nurse. 37(1):82-9, 2010 Dec-2011 Jan. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Alcoholism/co [Complications] MH - Australia MH - Cultural Competency MH - Health Behavior MH - Humans MH - Nursing Assessment MH - *Oceanic Ancestry Group MH - Patient Care Planning MH - Patient Education as Topic MH - *Students, Nursing AB - As a requirement for a third year nursing subject based on Australian Indigenous Health and Community Nursing, an assessment was undertaken based on the clinical reasoning cycle. The clinical reasoning cycle refers to clinical judgements and clinical decision-making which can be conceptualised as a logical process of cue collection, processing information, understanding the situation, planning and implementing interventions, evaluating outcomes and reflecting on the process (Levett-Jones et al., 2009). The clinical reasoning cycle for this assessment relates to interactions with Murray (pseudonym), an Australian Indigenous male being treated for alcohol dependence within a community setting. This paper will explore the nursing care of Murray through the clinical reasoning cycle, focusing on community-based, culturally appropriate nursing care. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2011.37.1.082 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Dec-2011 Jan DC - 20110519 YR - 2010 ED - 20110829 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21591829 <349. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21419742 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKenna L AU - Boyle M AU - Brown T AU - Williams B AU - Molloy A AU - Lewis B AU - Molloy L FA - McKenna, Lisa FA - Boyle, Malcolm FA - Brown, Ted FA - Williams, Brett FA - Molloy, Andrew FA - Lewis, Belinda FA - Molloy, Liz IN - McKenna,Lisa. School of Nursing and Midwifery, Monash University, Wellington Road, Clayton, Victoria, Australia. Lisa.McKenna@monash.edu TI - Levels of empathy in undergraduate midwifery students: an Australian cross-sectional study. SO - Women & Birth: Journal of the Australian College of Midwives. 24(2):80-4, 2011 Jun. AS - Women Birth. 24(2):80-4, 2011 Jun. NJ - Women and birth : journal of the Australian College of Midwives PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101266131 SB - Nursing Journal CP - Netherlands MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - Australia MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Nursing MH - *Empathy MH - Female MH - Humans MH - *Midwifery MH - Pregnancy MH - *Students, Nursing MH - Substance-Related Disorders MH - Surveys and Questionnaires AB - OBJECTIVE: This exploratory study investigated empathy and attitudes towards specific medical conditions, two important aspects of the midwife-woman relationship, amongst undergraduate midwifery students at one university. AB - METHOD: Fifty-two Bachelor of Midwifery students across three years of the course completed questionnaires, the Jefferson Scale of Physician Empathy-Health Professional (JSPE-HP) version and the Medical Condition Regard Scale (MCRS). Both the JSPE-HP and the MCRS are standardised, self-report questionnaires with established reliability and validity. AB - FINDINGS: An overall respectable level of empathy was measured, which was shown to increase consistently and substantially with each year level of the student undergraduate program. Attitudes to selected diagnoses were very good with the exception being substance abuse, which received a significantly lower mean. AB - CONCLUSION: The results of this study indicate that the Bachelor of Midwifery course, or studying midwifery, has a positive effect on students' empathy. Low results in participants' attitudes towards patients presenting with substance abuse raises concern that students may harbour prejudice that could impinge upon their professional practice and the way in which they care for these mothers. Hence, this aspect in particular may need further development within midwifery curriculum development. Further research around other conditions may extend on our understandings of empathy and attitudes in midwifery students and practitioners.Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved. ES - 1878-1799 IL - 1871-5192 DO - http://dx.doi.org/10.1016/j.wombi.2011.02.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20110317 DP - 2011 Jun DC - 20110506 YR - 2011 ED - 20110822 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21419742 <350. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21501527 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brumby SA AU - Kennedy AJ AU - Mellor D AU - McCabe MP AU - Ricciardelli LA AU - Head A AU - Mercer-Grant C FA - Brumby, Susan A FA - Kennedy, Alison J FA - Mellor, David FA - McCabe, Marita P FA - Ricciardelli, Lina A FA - Head, Alexandra FA - Mercer-Grant, Catherine IN - Brumby,Susan A. School of Medicine, Deakin University, National Centre for Farmer Health, PO Box 283, Hamilton VIC 3300, Australia. susan.brumby@deakin.edu.au TI - The Alcohol Intervention Training Program (AITP): a response to alcohol misuse in the farming community. SO - BMC Public Health. 11:242, 2011. AS - BMC Public Health. 11:242, 2011. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC3094246 SB - Index Medicus CP - England MH - *Agriculture MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - Australia MH - Clinical Competence MH - *Community Health Nursing/ed [Education] MH - Evidence-Based Nursing MH - Female MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Health MH - *Nurse-Patient Relations MH - Program Development MH - Program Evaluation MH - Rural Health MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] AB - BACKGROUND: Farm men and women in Australia have higher levels of problematic alcohol use than their urban counterparts and experience elevated health risks associated with excessive alcohol consumption. The Sustainable Farm Families (SFF) program has worked successfully with farm men and women to address health, well- being and safety and has identified that further research and training is required to understand and address alcohol misuse behaviours. This project will add an innovative component to the program by training health professionals working with farm men and women to discuss and respond to alcohol-related physical and mental health problems. AB - METHODS/DESIGN: A mixed method design with multi-level evaluation will be implemented following the development and delivery of a training program (The Alcohol Intervention Training Program {AITP}) for Sustainable Farm Families health professionals. Pre-, post- and follow-up surveys will be used to assess both the impact of the training on the knowledge, confidence and skills of the health professionals to work with alcohol misuse and associated problems, and the impact of the training on the attitudes, behaviour and mental health of farm men and women who participate in the SFF project. Evaluations will take a range of forms including self-rated outcome measures and interviews. AB - DISCUSSION: The success of this project will enhance the health and well-being of a critical population, the farm men and women of Australia, by producing an evidence-based strategy to assist them to adopt more positive alcohol-related behaviours that will lead to better physical and mental health. ES - 1471-2458 IL - 1471-2458 DO - http://dx.doi.org/10.1186/1471-2458-11-242 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20110419 DP - 2011 DC - 20110516 YR - 2011 ED - 20110816 RD - 20150204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21501527 <351. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21598870 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mollica MA AU - Hyman Z AU - Mann CM FA - Mollica, Michelle A FA - Hyman, Zena FA - Mann, Catherine M IN - Mollica,Michelle A. D'Youville College School of Nursing, Buffalo, NY 14201, USA. mollicam@dyc.edu TI - Alcohol-related content in undergraduate nursing curricula in the northeastern United States. SO - Journal of Psychosocial Nursing & Mental Health Services. 49(6):22-31, 2011 Jun. AS - J Psychosoc Nurs Ment Health Serv. 49(6):22-31, 2011 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Humans MH - New England AB - 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.Copyright 2011, SLACK Incorporated. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20110503-01 PT - Journal Article PT - Multicenter Study LG - English EP - 20110518 DP - 2011 Jun DC - 20110614 YR - 2011 ED - 20110805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21598870 <352. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21395911 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ray SL AU - Heaslip K FA - Ray, S L FA - Heaslip, K IN - Ray,S L. University of Western Ontario, Faculty of Health Sciences, School of Nursing, London, ON, Canada. slray@uwo.ca TI - Canadian military transitioning to civilian life: a discussion paper. [Review] SO - Journal of Psychiatric & Mental Health Nursing. 18(3):198-204, 2011 Apr. AS - J Psychiatr Ment Health Nurs. 18(3):198-204, 2011 Apr. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - *Adaptation, Psychological MH - Canada MH - Cultural Competency MH - Humans MH - *Needs Assessment MH - *Nursing Care MH - *Social Adjustment MH - Stress Disorders, Post-Traumatic/pc [Prevention & Control] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Veterans/px [Psychology] AB - The purpose of this discussion paper is to explore the existing literature from Canada on transitioning from military to civilian life for veterans of recent deployments. A number of topics relating to the transition experience emerged: interpersonal readjustment, emotional including mental health needs, school needs, and social needs. Implications for nursing will be discussed in terms of veterans as a cultural group and culturally competent nursing care. Recommendations for future nursing research include how well current services are meeting the needs of the younger, more recent veterans transitioning to civilian life; conducting longitudinal studies on the impact of transitioning to civilian life for veterans and their families; comparing the transition experience at an international level; developing a transition model that situates the veteran culture as the overarching framework for testing and understanding the experience of transitioning to civilian life.Copyright © 2010 Blackwell Publishing. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2010.01652.x PT - Journal Article PT - Review LG - English EP - 20101010 DP - 2011 Apr DC - 20110314 YR - 2011 ED - 20110719 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21395911 <353. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21218005 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sadhu S AU - Salins NS AU - Kamath A FA - Sadhu, Sakshi FA - Salins, Naveen Sulakshan FA - Kamath, Asha IN - Sadhu,Sakshi. KMC Manipal, Manipal University, Manipal, India. TI - Palliative Care Awareness among Indian Undergraduate Health Care Students: A Needs-Assessment Study to Determine Incorporation of Palliative Care Education in Undergraduate Medical, Nursing and Allied Health Education. SO - Indian Journal of Palliative Care. 16(3):154-9, 2010 Sep. AS - Indian J. Palliat. Care. 16(3):154-9, 2010 Sep. NJ - Indian journal of palliative care PI - Journal available in: Print PI - Citation processed from: Internet JC - 101261221 OI - Source: NLM. PMC3012238 CP - India KW - Awareness; Education; Palliative care; Undergraduate AB - PURPOSE: Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education. AB - MATERIALS AND METHODS: A non-randomized population based study was conducted using 39-point questionnaire. Undergraduate medical, nursing and allied health students of Manipal University were the target population. AB - RESULTS: 326 students participated in the study. 61.7% of students feel that resuscitation is appropriate in advanced metastatic cancer. 67.5% feel that all dying patients need palliative care and most of the students think that palliative care is equivalent to pain medicine, geriatric medicine and rehabilitation medicine. 89% of students think that Morphine causes addiction in palliative care setting. 60.7% of students feel that prognosis should only be communicated to the family. AB - CONCLUSION: The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care. ES - 1998-3735 IL - 0973-1075 DO - http://dx.doi.org/10.4103/0973-1075.73645 PT - Journal Article LG - English DP - 2010 Sep DC - 20110110 YR - 2010 ED - 20110714 RD - 20130529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21218005 <354. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20835355 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Cardoso G AU - Alexandre J AU - Rosa A FA - Cardoso, Graca FA - Alexandre, Joana FA - Rosa, Alda IN - Cardoso,Graca. Servico de Psiquiatria, Hospital Fernando Fonseca, 2720-276 Amadora, Portugal. TI - Depression, anxiety and alcohol abuse in a gastroenterology intensive care unit: prevalence and detection. SO - Clinical Practice & Epidemiology in Mental Health [Electronic Resource]: CP & EMH. 6:47-52, 2010. AS - Clin Pract Epidemol Ment Health. 6:47-52, 2010. NJ - Clinical practice and epidemiology in mental health : CP & EMH PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101245735 OI - Source: NLM. PMC2936008 CP - England KW - Depression; ICU.; alcohol abuse; anxiety; detection AB - OBJECTIVES: To assess depression, anxiety, and alcohol abuse in a Gastroenterology ICU, and the level of its detection by the staff. AB - METHOD: All patients consecutively admitted to the ICU during a six-month period, 18 or above, and staying > 24 hours, were assessed with the Hospital Anxiety and Depression Scale (HADS) and the CAGE. Doctors and nurses assessed the type and severity of patients' morbidity. Data were analyzed with Student's t-test, Pearson's and Spearman's correlations for ordinal variables, chi-square for nominal variables, and multiple logistic regression. AB - RESULTS: The 65 patients assessed had a mean age of 57, and were predominantly male (58.5%), married (72.3%), and retired (53.8%); 27.7% had a psychiatric history, 24.6% were on psychotropic drugs, and 32.3% had an alcohol intake above standards. Anxiety and depression HADS scores > 8 were present in 29.2% and 35.4% of the patients, respectively; 20%, mainly men, scored positive on the CAGE. Women had significantly higher anxiety scores (=.012) than men but did not differ in depression. A psychiatric history was significantly associated with higher anxiety (p<.001) and depression (p=.007) scores, as well as being on psychotropic drugs regularly (p<.001; p=.03, respectively). Doctors diagnosed somatic illness in 48.8%, and somatic illness with psychiatric co-morbidity in 51%; for nurses the rates were, respectively, 41.5% and 58.6%. Doctors' and nurses' detection of psychiatric disorders were significantly associated with the HADS anxiety scores (p=.013; p=.001, respectively), and doctor's detection with depression (p=.046) scores. There were no significant associations between nurses' detection of psychiatric disorders and depression, and between both professional groups detection and alcohol abuse. AB - CONCLUSION: High prevalence of depression, anxiety, and alcohol abuse in Gastroenterology ICU was confirmed. However, the level of detection by the staff was low and mainly when anxiety symptoms were present. ES - 1745-0179 IL - 1745-0179 DO - http://dx.doi.org/10.2174/1745017901006010047 PT - Journal Article LG - English EP - 20100708 DP - 2010 DC - 20100913 YR - 2010 ED - 20110714 RD - 20130529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20835355 <355. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19561690 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Vaca FE AU - Winn D FA - Vaca, Federico E FA - Winn, Diane IN - Vaca,Federico E. Department of Emergency Medicine, University of California, Irvine School of Medicine. TI - The basics of alcohol screening, brief intervention and referral to treatment in the emergency department. SO - The Western Journal of Emergency Medicine. 8(3):88-92, 2007 Aug. AS - West J Emerg Med. 8(3):88-92, 2007 Aug. NJ - The western journal of emergency medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 101476450 OI - Source: NLM. PMC2672213 CP - United States AB - Nearly eight million emergency department (ED) visits are attributed to alcohol every year in the United States. A substantial proportion is due to trauma. In 2005, 16,885 people were killed as a result of alcohol-related motor vehicle crashes. Patients with alcohol-use problems (AUPs) are not only more likely to drive after drinking but are also at greater risk for serious alcohol-related illness and injury. Emergency departments have an important and unique opportunity to identify these patients and intervene during the "teachable moment" of an ED visit. The American College of Emergency Physicians, Emergency Nurses Association, American College of Surgeons-Committee on Trauma, American Public Health Association, and the National Highway Traffic Safety Administration, have identified Alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) as a pivotal injury- and illness-prevention strategy to improve the health and well-being of ED patients. We provide a general overview of the basis and need for integrating SBIRT into EDs. Models of SBIRT, as well as benefits and challenges to its implementation, are also discussed. IS - 1936-900X IL - 1936-900X PT - Journal Article LG - English DP - 2007 Aug DC - 20090629 YR - 2007 ED - 20110714 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19561690 <356. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21422957 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith MW AU - Lemke S AU - Schaefer J FA - Smith, Mark W FA - Lemke, Sonne FA - Schaefer, Jeanne IN - Smith,Mark W. Health Economics Resource Center, VA Palo Alto Health Care System, Palo Alto, CA, USA. TI - Substance use disorders and health care costs among veterans affairs nursing home residents. SO - Medical Care. 49(6):538-44, 2011 Jun. AS - Med Care. 49(6):538-44, 2011 Jun. NJ - Medical care PI - Journal available in: Print PI - Citation processed from: Internet JC - 0230027, lsm SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Continuity of Patient Care/ec [Economics] MH - Cost-Benefit Analysis MH - Female MH - *Geriatric Assessment/sn [Statistics & Numerical Data] MH - *Health Care Costs/sn [Statistics & Numerical Data] MH - *Health Services for the Aged/ec [Economics] MH - Health Services for the Aged/sn [Statistics & Numerical Data] MH - Health Status MH - Humans MH - Male MH - Mental Health Services/ec [Economics] MH - Middle Aged MH - *Nursing Homes/ec [Economics] MH - Nursing Homes/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - *Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - Veterans/px [Psychology] MH - *Veterans/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1537-1948 IL - 0025-7079 DO - http://dx.doi.org/10.1097/MLR.0b013e318207f257 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2011 Jun DC - 20110516 YR - 2011 ED - 20110713 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21422957 <357. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21177062 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knudsen HK AU - Abraham AJ AU - Roman PM AU - Studts JL FA - Knudsen, Hannah K FA - Abraham, Amanda J FA - Roman, Paul M FA - Studts, Jamie L IN - Knudsen,Hannah K. Department of Behavioral Science, University of Kentucky, Lexington, KY 40536-0086, USA. hannah.knudsen@uky.edu TI - Nurse turnover in substance abuse treatment programs affiliated with the National Drug Abuse Treatment Clinical Trials Network. SO - Journal of Substance Abuse Treatment. 40(3):307-12, 2011 Apr. AS - J Subst Abuse Treat. 40(3):307-12, 2011 Apr. NJ - Journal of substance abuse treatment PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 OI - Source: NLM. NIHMS260667 OI - Source: NLM. PMC3073612 SB - Index Medicus CP - United States MH - Adolescent MH - Clinical Trials as Topic MH - Data Collection MH - Humans MH - National Institute on Drug Abuse (U.S.) MH - Nurses/og [Organization & Administration] MH - *Nurses/sd [Supply & Distribution] MH - Nursing Services/og [Organization & Administration] MH - *Nursing Staff/og [Organization & Administration] MH - Personnel Selection/mt [Methods] MH - *Personnel Turnover/sn [Statistics & Numerical Data] MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Time Factors MH - United States AB - Voluntary nurse turnover, which is costly and disrupts patient care, has not been studied as an organizational phenomenon within substance abuse treatment organizations. In this exploratory study, we examined the frequency and correlates of nurse turnover within treatment programs affiliated with the National Drug Abuse Treatment Clinical Trials Network. During face-to-face interviews conducted in 2005-2006, 215 program administrators reported the number of nurses currently employed. Leaders of programs with nursing staff then described the number of nurses who had voluntarily quit in the past year, the degree to which filling vacant nursing positions was difficult, and the average number of days to fill a vacant position. About two thirds of these programs had at least one nurse on staff. In programs with nurses, the average rate of voluntary turnover was 15.0%. Turnover was significantly lower in hospital-based programs and programs offering adolescent treatment but higher in facilities offering residential treatment. Most of the administrators indicated that filling vacant nurse positions was difficult and took more than 2 months to complete. These findings suggest that nurse turnover is a significant issue facing many substance abuse treatment facilities. Efforts to improve retention of the addiction treatment workforce should be expanded to include nursing professionals.Copyright © 2011 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DO - http://dx.doi.org/10.1016/j.jsat.2010.11.012 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - R01 DA014482-08 (United States NIDA NIH HHS) NO - R01DA14482 (United States NIDA NIH HHS) NO - DA014482-07 (United States NIDA NIH HHS) NO - R01 DA014482 (United States NIDA NIH HHS) NO - R01 DA014482-07 (United States NIDA NIH HHS) LG - English EP - 2010Dec21 DP - 2011 Apr DC - 2011314 YR - 2011 ED - 20110629 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21177062 <358. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21214621 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cusack L AU - de Crespigny C AU - Athanasos P FA - Cusack, Lynette FA - de Crespigny, Charlotte FA - Athanasos, Peter IN - Cusack,Lynette. School of Nursing and Midwifery, Faculty of Health Science, Flinders University, Adelaide, South Australia, Australia. lynette.cusack@flinders.edu.au TI - Heatwaves and their impact on people with alcohol, drug and mental health conditions: a discussion paper on clinical practice considerations. SO - Journal of Advanced Nursing. 67(4):915-22, 2011 Apr. AS - J Adv Nurs. 67(4):915-22, 2011 Apr. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Alcohol Drinking/ae [Adverse Effects] MH - Australia/ep [Epidemiology] MH - Body Temperature Regulation/de [Drug Effects] MH - Body Temperature Regulation/ph [Physiology] MH - Chronic Disease MH - *Clinical Protocols MH - Comorbidity MH - *Disaster Medicine MH - Emergency Medical Services/ut [Utilization] MH - Female MH - Global Warming MH - *Heat Stress Disorders/ep [Epidemiology] MH - Heat Stress Disorders/et [Etiology] MH - Heat Stress Disorders/nu [Nursing] MH - *Hot Temperature/ae [Adverse Effects] MH - Humans MH - Infant MH - Male MH - Mental Disorders/dt [Drug Therapy] MH - *Mental Disorders/ep [Epidemiology] MH - Mental Disorders/nu [Nursing] MH - Nurse's Role MH - Patient Education as Topic MH - Psychotropic Drugs/ae [Adverse Effects] MH - Risk Factors MH - Substance Withdrawal Syndrome/dt [Drug Therapy] MH - Substance Withdrawal Syndrome/et [Etiology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. AB - 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.Copyright © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd. RN - 0 (Psychotropic Drugs) ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05551.x PT - Journal Article LG - English EP - 20110107 DP - 2011 Apr DC - 20110317 YR - 2011 ED - 20110629 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21214621 <359. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21177062 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knudsen HK AU - Abraham AJ AU - Roman PM AU - Studts JL FA - Knudsen, Hannah K FA - Abraham, Amanda J FA - Roman, Paul M FA - Studts, Jamie L IN - Knudsen,Hannah K. Department of Behavioral Science, University of Kentucky, Lexington, KY 40536-0086, USA. hannah.knudsen@uky.edu TI - Nurse turnover in substance abuse treatment programs affiliated with the National Drug Abuse Treatment Clinical Trials Network. SO - Journal of Substance Abuse Treatment. 40(3):307-12, 2011 Apr. AS - J Subst Abuse Treat. 40(3):307-12, 2011 Apr. NJ - Journal of substance abuse treatment PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 OI - Source: NLM. NIHMS260667 OI - Source: NLM. PMC3073612 SB - Index Medicus CP - United States MH - Adolescent MH - Clinical Trials as Topic MH - Data Collection MH - Humans MH - National Institute on Drug Abuse (U.S.) MH - Nurses/og [Organization & Administration] MH - *Nurses/sd [Supply & Distribution] MH - Nursing Services/og [Organization & Administration] MH - *Nursing Staff/og [Organization & Administration] MH - Personnel Selection/mt [Methods] MH - *Personnel Turnover/sn [Statistics & Numerical Data] MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Time Factors MH - United States AB - Voluntary nurse turnover, which is costly and disrupts patient care, has not been studied as an organizational phenomenon within substance abuse treatment organizations. In this exploratory study, we examined the frequency and correlates of nurse turnover within treatment programs affiliated with the National Drug Abuse Treatment Clinical Trials Network. During face-to-face interviews conducted in 2005-2006, 215 program administrators reported the number of nurses currently employed. Leaders of programs with nursing staff then described the number of nurses who had voluntarily quit in the past year, the degree to which filling vacant nursing positions was difficult, and the average number of days to fill a vacant position. About two thirds of these programs had at least one nurse on staff. In programs with nurses, the average rate of voluntary turnover was 15.0%. Turnover was significantly lower in hospital-based programs and programs offering adolescent treatment but higher in facilities offering residential treatment. Most of the administrators indicated that filling vacant nurse positions was difficult and took more than 2 months to complete. These findings suggest that nurse turnover is a significant issue facing many substance abuse treatment facilities. Efforts to improve retention of the addiction treatment workforce should be expanded to include nursing professionals.Copyright © 2011 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DO - http://dx.doi.org/10.1016/j.jsat.2010.11.012 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - R01 DA014482 (United States NIDA NIH HHS) NO - R01 DA014482-07 (United States NIDA NIH HHS) NO - R01 DA014482-08 (United States NIDA NIH HHS) NO - R01DA14482 (United States NIDA NIH HHS) LG - English EP - 20101221 DP - 2011 Apr DC - 20110314 YR - 2011 ED - 20110629 RD - 20150205 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21177062 <360. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21485895 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood A FA - Wood, Antonia TI - Public health re-energised: what the new White Paper will mean. SO - Journal of Family Health Care. 21(1):7-9, 2011 Jan-Feb. AS - J Fam Health Care. 21(1):7-9, 2011 Jan-Feb. NJ - The journal of family health care PI - Journal available in: Print PI - Citation processed from: Print JC - 101142028 SB - Nursing Journal CP - England MH - Great Britain MH - *Health Policy MH - Humans MH - Life Style MH - *Public Health MH - Socioeconomic Factors MH - State Medicine AB - The Coalition Government has set out its intended strategy for public health in England in the White Paper "Healthy Lives, Healthy People" (November 2010). This aims to tackle high levels of "lifestyle" health problems such as obesity, alcohol misuse and smoking, and to reduce health inequalities. Policies will be evidence-based and the emphasis will be on outcomes rather than targets. The focus will be local and will include wider dimensions of public health such as tobacco control and transport. Mental health will have greater prominence. Local government will play a major part, with Directors of Public Health and public health budgets transferring from Primary Care Trusts to Local Authorities. Public health funding will be ring-fenced. A dedicated public health service, Public Health England, will be established in the Department of Health, to provide disease control and support local innovation. There will be greater investment in the early years of life, and an increase in health visitor numbers and Family Nurse Partnerships. The public health role of school nurses is likely to increase under a forthcoming review of school nursing. IS - 1474-9114 IL - 1474-9114 PT - Journal Article LG - English DP - 2011 Jan-Feb DC - 20110413 YR - 2011 ED - 20110628 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21485895 <361. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21561044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mony PK AU - John P AU - Jayakumar S FA - Mony, Prem Kumar FA - John, Priya FA - Jayakumar, Sylvia IN - Mony,Prem Kumar. St John's Research Institute, St John's National Academy of Health Sciences, Koramangala, Bangalore 560034, India. prem_mony@sjri.res.in TI - Tobacco use habits and beliefs among undergraduate medical and nursing students of two cities in southern India. SO - National Medical Journal of India. 23(6):340-3, 2010 Nov-Dec. AS - Natl Med J India. 23(6):340-3, 2010 Nov-Dec. NJ - The National medical journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - bnt, 8809315 SB - Index Medicus CP - India MH - Adult MH - Chi-Square Distribution MH - Cross-Sectional Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - India MH - Male MH - *Students, Medical/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/px [Psychology] AB - BACKGROUND: Unless effective tobacco control is in place, most tobacco-related deaths in the coming decades are likely to be seen in low- and middle-income countries. Tobacco surveillance among medical students offers an opportunity to assess the preparedness for tobacco control among future healthcare professionals in India. AB - METHODS: We did a cross-sectional survey in two cities (Bangalore and Coimbatore) of India. The participants were third year undergraduate students from 7 medical colleges and 6 nursing colleges. A self-administered questionnaire was used to elicit information on tobacco use, exposure to environmental tobacco smoke, knowledge on disease burden and attitudes towards tobacco control. AB - RESULTS: Overall, 829 of 985 eligible students (84.1%) participated in the survey. About 14.5% (95% CI 12.0-17.0) of students had ever used tobacco. Current tobacco use was reported by 1.6% (95% CI 0.8-2.4) of students; 1.5% (95% CL 0.7-2.3) were current smokers and 0.4% (95% CI 0.1-0.7) were current chewers. The rates of smoking among male medical, female medical and female nursing students were 4.0%, 0.3% and 0%, respectively (p < 0.001). About 1 in 6 students reported frequent exposure to environmental tobacco smoke within their homes and over 1 in 4 reported frequent exposure outside the home environment. Median knowledge score on tobacco-related burden was 5/10. More than 80% favoured ban on tobacco sales to adolescents, tobacco advertising and tobacco use in public places. Over 90% reported interest in further training in tobacco control. AB - CONCLUSION: This scenario of comparatively low levels of tobacco use, positive attitudes towards tobacco control and suboptimal levels of knowledge coupled with a high interest in having further knowledge on tobacco control points to the need for a comprehensive curriculum for training in tobacco control that meets national requirements. IS - 0970-258X IL - 0970-258X PT - Journal Article PT - Multicenter Study LG - English DP - 2010 Nov-Dec DC - 20110512 YR - 2010 ED - 20110628 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21561044 <362. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21358770 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quattrin R AU - Zanini A AU - Bulfone G AU - Farneti F AU - Panariti M AU - Calligaris L AU - Brusaferro S FA - Quattrin, Rosanna FA - Zanini, Antonietta FA - Bulfone, Giampiera FA - Farneti, Federico FA - Panariti, Matteo FA - Calligaris, Laura FA - Brusaferro, Silvio IN - Quattrin,Rosanna. Chair of Hygiene, DPMSC School of Medicine, University of Udine, Udine, Italy. quattrin.rosanna@aoud.sanita.fvg.it TI - Italian nurse students' and clinical preceptors' perceptions about clinical practice experiences: a questionnaire survey. SO - Igiene e Sanita Pubblica. 66(6):695-703, 2010 Nov-Dec. AS - Ig Sanita Pubbl. 66(6):695-703, 2010 Nov-Dec. NJ - Igiene e sanita pubblica PI - Journal available in: Print PI - Citation processed from: Print JC - 0373022 SB - Index Medicus CP - Italy MH - *Attitude MH - Education, Nursing MH - Humans MH - Italy MH - *Nursing MH - Preceptorship MH - *Students, Nursing MH - Surveys and Questionnaires AB - 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. IS - 0019-1639 IL - 0019-1639 PT - Comparative Study PT - Journal Article LG - English DP - 2010 Nov-Dec DC - 20110301 YR - 2010 ED - 20110606 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21358770 <363. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21040041 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monroe T AU - Kenaga H FA - Monroe, Todd FA - Kenaga, Heidi IN - Monroe,Todd. Vanderbilt University, School of Nursing, Nashville, TN 37240, USA. todd.b.monroe@vanderbilt.edu TI - Don't ask don't tell: substance abuse and addiction among nurses. [Review] CM - Comment in: J Clin Nurs. 2011 Jul;20(13-14):2083-4; PMID: 21668544 SO - Journal of Clinical Nursing. 20(3-4):504-9, 2011 Feb. AS - J Clin Nurs. 20(3-4):504-9, 2011 Feb. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Employee Discipline MH - Humans MH - *Nurses MH - *Professional Impairment MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. AB - 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. AB - DESIGN: Discursive paper. AB - 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 policies 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. AB - 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. AB - 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.Copyright © 2010 Blackwell Publishing Ltd. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2010.03518.x PT - Journal Article PT - Review LG - English EP - 20101029 DP - 2011 Feb DC - 20110111 YR - 2011 ED - 20110602 RD - 20110802 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21040041 <364. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21044133 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frazer K AU - Glacken M AU - Coughlan B AU - Staines A AU - Daly L FA - Frazer, Kate FA - Glacken, Michele FA - Coughlan, Barbara FA - Staines, Anthony FA - Daly, Leslie IN - Frazer,Kate. School of Nursing, Midwifery & Health Systems, University College Dublin, Ireland. kathleen.frazer@ucd.ie TI - Hepatitis C virus infection in primary care: survey of registered nurses' knowledge and access to information. SO - Journal of Advanced Nursing. 67(2):327-39, 2011 Feb. AS - J Adv Nurs. 67(2):327-39, 2011 Feb. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Clinical Competence/st [Standards] MH - Cross-Sectional Studies MH - Educational Measurement/sn [Statistics & Numerical Data] MH - Family Practice MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Hepatitis C/ep [Epidemiology] MH - *Hepatitis C/nu [Nursing] MH - Hepatitis C/pc [Prevention & Control] MH - Humans MH - Ireland/ep [Epidemiology] MH - Male MH - Nurse Practitioners/ed [Education] MH - Nurse's Role MH - *Nursing Staff/ed [Education] MH - *Primary Health Care MH - *Public Health Nursing/ed [Education] MH - Risk Factors MH - Substance Abuse Treatment Centers MH - Surveys and Questionnaires AB - AIM: This paper is a report of a study conducted to compare knowledge of hepatitis C virus infection amongst three groups of registered nurses working in primary care, to identify their current sources of information and access to educational resources. AB - BACKGROUND: Hepatitis C virus infection is a public health problem; no vaccine exists to prevent the disease. Previous studies identified limitations in nurses' knowledge of hepatitis C virus infection and the impact on care. Limited research has been conducted in primary care. AB - METHODS: A cross-sectional postal census survey of 981 nurses working in one Irish health board region was conducted March-June 2006. Questionnaires measured knowledge of hepatitis C virus infection. Data were collected on demographics, current working practices, information resources and previous education. AB - RESULTS: The response rate was 57.1% (n = 560). A minority (27.3% 145/531) of respondents agreed they were well informed about the virus. Almost 40% reported having contact with clients with the virus; however, information and service provision differed. Factors influencing higher knowledge included: contact with clients with hepatitis C virus infection (P < 0.0001), working in the addiction services (P < 0.0001), educated to degree level and above (P < 0.010) and previously attending education programmes (P < 0.0001). Only 21.5% (119/553) of respondents had attended any form of education on hepatitis C virus infection. AB - CONCLUSION: Gaps in nurses' knowledge exist and can limit information and advice. Educational and information resources need to be developed for registered nurses working in primary care; care for clients with hepatitis C virus infection is not the sole remit of the addiction services.Copyright © 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05489.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20101102 DP - 2011 Feb DC - 20110114 YR - 2011 ED - 20110519 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21044133 <365. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20349889 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahern NR AU - Sole ML FA - Ahern, Nancy R FA - Sole, Mary Lou IN - Ahern,Nancy R. University of Central Florida, College of Nursing, Orlando, FL 32816-2210, USA. nahern@mail.ucf.edu TI - Drinking games and college students. Part 2: Nursing implications. SO - Journal of Psychosocial Nursing & Mental Health Services. 48(4):15-8, 2010 Apr. AS - J Psychosoc Nurs Ment Health Serv. 48(4):15-8, 2010 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Counseling MH - Humans MH - *Leisure Activities MH - Patient Education as Topic MH - *Peer Group MH - Referral and Consultation MH - *Social Facilitation MH - Student Health Services MH - *Students MH - United States MH - Young Adult AB - 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. IS - 0279-3695 IL - 0279-3695 DO - http://dx.doi.org/10.3928/02793695-20100302-03 PT - Journal Article LG - English DP - 2010 Apr DC - 20110414 YR - 2010 ED - 20110517 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20349889 <366. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21208049 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward TD FA - Ward, Terry Dionne IN - Ward,Terry Dionne. Duke University, School of Nursing, Durham, North Carolina, USA. terry.ward@duke.edu TI - The lived experience of adults with bipolar disorder and comorbid substance use disorder. SO - Issues in Mental Health Nursing. 32(1):20-7, 2011. AS - Issues Ment Health Nurs. 32(1):20-7, 2011. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - gy7, 7907126 SB - Nursing Journal CP - England MH - *Adaptation, Psychological MH - Adult MH - *Attitude to Health MH - Bipolar Disorder/ep [Epidemiology] MH - *Bipolar Disorder/px [Psychology] MH - Bipolar Disorder/th [Therapy] MH - Comorbidity MH - Cost of Illness MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - North Carolina/ep [Epidemiology] MH - Nursing Methodology Research MH - Psychiatric Nursing MH - Psychiatric Status Rating Scales MH - Qualitative Research MH - Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - Social Support MH - Spirituality MH - Stereotyping MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - 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. ES - 1096-4673 IL - 0161-2840 DO - http://dx.doi.org/10.3109/01612840.2010.521620 PT - Journal Article LG - English DP - 2011 DC - 20110106 YR - 2011 ED - 20110506 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21208049 <367. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20965077 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Linden MA AU - Redpath SJ FA - Linden, Mark A FA - Redpath, Simon J IN - Linden,Mark A. Queen's University Belfast, United Kingdom. m.linden@qub.ac.uk TI - A comparative study of nursing attitudes towards young male survivors of brain injury: A questionnaire survey. SO - International Journal of Nursing Studies. 48(1):62-9, 2011 Jan. AS - Int J Nurs Stud. 48(1):62-9, 2011 Jan. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Analysis of Variance MH - *Attitude of Health Personnel MH - Brain Injuries/ep [Epidemiology] MH - *Brain Injuries/et [Etiology] MH - Empathy MH - England MH - Female MH - Helping Behavior MH - Humans MH - Intracranial Aneurysm/co [Complications] MH - Male MH - Middle Aged MH - Nurse-Patient Relations MH - Nursing Methodology Research MH - *Nursing Staff, Hospital/px [Psychology] MH - *Prejudice MH - Risk-Taking MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/co [Complications] MH - Survivors/sn [Statistics & Numerical Data] MH - *Survivors MH - Young Adult AB - 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. AB - 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. AB - DESIGN: Independent groups design. AB - 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. AB - 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. AB - 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. AB - 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.Copyright A© 2010 Elsevier Ltd. All rights reserved. ES - 1873-491X IL - 0020-7489 DO - http://dx.doi.org/10.1016/j.ijnurstu.2010.05.011 PT - Journal Article LG - English EP - 20100609 DP - 2011 Jan DC - 20110103 YR - 2011 ED - 20110503 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20965077 <368. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20829177 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy-Oikonen J AU - Brownlee K AU - Montelpare W AU - Gerlach K FA - Murphy-Oikonen, Jodie FA - Brownlee, Keith FA - Montelpare, William FA - Gerlach, Keri IN - Murphy-Oikonen,Jodie. Faculty of Social Work, University of Calgary, Calgary, Canada. TI - The experiences of NICU nurses in caring for infants with neonatal abstinence syndrome. CM - Comment in: Neonatal Netw. 2011 Jan-Feb 1;30(1):74; PMID: 21317104 SO - Neonatal Network - Journal of Neonatal Nursing. 29(5):307-13, 2010 Sep-Oct. AS - Neonat Netw. 29(5):307-13, 2010 Sep-Oct. NJ - Neonatal network : NN PI - Journal available in: Print PI - Citation processed from: Internet JC - 8503921 SB - Nursing Journal CP - United States MH - Adult MH - Burnout, Professional/pc [Prevention & Control] MH - Burnout, Professional/px [Psychology] MH - Canada/ep [Epidemiology] MH - *Clinical Competence/st [Standards] MH - Female MH - Helping Behavior MH - Humans MH - Infant, Newborn MH - *Intensive Care Units, Neonatal/og [Organization & Administration] MH - Maternal Behavior/de [Drug Effects] MH - Middle Aged MH - *Narcotics/ae [Adverse Effects] MH - Neonatal Abstinence Syndrome/ep [Epidemiology] MH - Neonatal Abstinence Syndrome/nu [Nursing] MH - *Neonatal Abstinence Syndrome MH - Nurse-Patient Relations MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Social Problems MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders MH - Workplace/px [Psychology] AB - PURPOSE: This study explored the experiences of NICU nurses in caring for infants with neonatal abstinence syndrome (NAS). AB - DESIGN: A qualitative research approach was used with open-ended questions employing computer-assisted personal interviews. AB - SAMPLE: Fourteen NICU nurses employed in a regional hospital provided responses. AB - RESULTS: 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. AB - DISCUSSION: 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. RN - 0 (Narcotics) ES - 1539-2880 IL - 0730-0832 PT - Journal Article LG - English DP - 2010 Sep-Oct DC - 20100910 YR - 2010 ED - 20110503 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20829177 <369. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21039779 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheffer CE AU - Barone C AU - Anders ME FA - Sheffer, Christine E FA - Barone, Claudia FA - Anders, Michael E IN - Sheffer,Christine E. Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. cesheffer@uams.edu TI - Training nurses in the treatment of tobacco use and dependence: pre- and post-training results. SO - Journal of Advanced Nursing. 67(1):176-83, 2011 Jan. AS - J Adv Nurs. 67(1):176-83, 2011 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l OI - Source: NLM. NIHMS238519 OI - Source: NLM. PMC3057535 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Aged MH - *Education, Nursing, Continuing/mt [Methods] MH - Evidence-Based Nursing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Middle Aged MH - Nursing Evaluation Research MH - Program Evaluation MH - Self Efficacy MH - Smoking/pc [Prevention & Control] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - RESULTS: Statistically significant increases on nearly all measures were achieved, with Registered Nurses and Licensed Practical Nurses realizing the largest gains. AB - 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.Copyright © 2010 Blackwell Publishing Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05483.x PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - R01 NS020246 (United States NINDS NIH HHS) NO - P20 RR020146 (United States NCRR NIH HHS) NO - RR020146-08 (United States NCRR NIH HHS) NO - DA023847-01 (United States NIDA NIH HHS) NO - L30 DA023847-01 (United States NIDA NIH HHS) NO - P20 RR020146-08 (United States NCRR NIH HHS) NO - L30 DA023847 (United States NIDA NIH HHS) LG - English EP - 2010Oct08 DP - 2011 Jan DC - 20101216 YR - 2011 ED - 20110502 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21039779 <370. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21039779 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheffer CE AU - Barone C AU - Anders ME FA - Sheffer, Christine E FA - Barone, Claudia FA - Anders, Michael E IN - Sheffer,Christine E. Department of Health Behavior and Health Education, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. cesheffer@uams.edu TI - Training nurses in the treatment of tobacco use and dependence: pre- and post-training results. SO - Journal of Advanced Nursing. 67(1):176-83, 2011 Jan. AS - J Adv Nurs. 67(1):176-83, 2011 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l OI - Source: NLM. NIHMS238519 OI - Source: NLM. PMC3057535 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Aged MH - *Education, Nursing, Continuing/mt [Methods] MH - Evidence-Based Nursing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Middle Aged MH - Nursing Evaluation Research MH - Program Evaluation MH - Self Efficacy MH - Smoking/pc [Prevention & Control] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - RESULTS: Statistically significant increases on nearly all measures were achieved, with Registered Nurses and Licensed Practical Nurses realizing the largest gains. AB - 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.Copyright © 2010 Blackwell Publishing Ltd. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05483.x PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - L30 DA023847 (United States NIDA NIH HHS) NO - L30 DA023847-01 (United States NIDA NIH HHS) NO - P20 RR020146 (United States NCRR NIH HHS) NO - P20 RR020146-08 (United States NCRR NIH HHS) NO - R01 NS020246 (United States NINDS NIH HHS) LG - English EP - 20101008 DP - 2011 Jan DC - 20101216 YR - 2011 ED - 20110502 RD - 20150205 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21039779 <371. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21208332 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly-Weeder S FA - Kelly-Weeder, Susan IN - Kelly-Weeder,Susan. William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts 02467, USA. kellywee@bc.edu TI - Binge drinking and disordered eating in college students. SO - Journal of the American Academy of Nurse Practitioners. 23(1):33-41, 2011 Jan. AS - J Am Acad Nurse Pract. 23(1):33-41, 2011 Jan. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Alcoholic Intoxication/ep [Epidemiology] MH - Alcoholic Intoxication/nu [Nursing] MH - Clinical Competence/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - *Feeding and Eating Disorders/ep [Epidemiology] MH - Feeding and Eating Disorders/nu [Nursing] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - Male MH - Massachusetts/ep [Epidemiology] MH - Nurse Practitioners MH - Risk Factors MH - *Risk-Taking MH - Self Report MH - Sex Factors MH - *Students/sn [Statistics & Numerical Data] MH - *Universities/sn [Statistics & Numerical Data] MH - Young Adult AB - PURPOSE: To explore the co-occurrence of binge drinking and disordered eating behaviors in college-aged students. AB - DATA SOURCES: Data were collected from 211 college-aged students (mean age 20.7 years) at a private university in the northeastern United States using a web-based survey. Gender-specific binge drinking rates (five drinks per occasion for men and four drinks per occasion for women) were ascertained. Disordered eating behaviors included measures of binge eating as well as unhealthy weight loss behaviors (skipping meals, fasting, diet pills, laxatives, and self-induced vomiting). AB - CONCLUSIONS: Binge drinking rates were high (63% of female, 83% of male students). Binge eating was reported by 48% of students and was correlated with healthy and unhealthy weight loss behaviors. Female students were more likely to endorse the use of skipping meals, fasting, use of diet pills, laxatives, and self-induced vomiting. AB - IMPLICATIONS FOR PRACTICE: Binge drinking and disordered eating behaviors are practiced by both male and female students and are common occurrences on college campuses. Nurse practitioners need to be aware of these behaviors, their co-occurrence, and the need to assess and intervene with students who are at risk for the negative health outcomes associated with the use of these behaviors.Copyright ©2010 The Author Journal compilation ©2010 American Academy of Nurse Practitioners. ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2010.00568.x PT - Journal Article LG - English EP - 20101105 DP - 2011 Jan DC - 20110106 YR - 2011 ED - 20110428 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21208332 <372. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20237960 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shanahan CW AU - Beers D AU - Alford DP AU - Brigandi E AU - Samet JH FA - Shanahan, Christopher W FA - Beers, Donna FA - Alford, Daniel P FA - Brigandi, Eileen FA - Samet, Jeffrey H IN - Shanahan,Christopher W. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA. cshanaha@bu.edu TI - A transitional opioid program to engage hospitalized drug users. SO - Journal of General Internal Medicine. 25(8):803-8, 2010 Aug. AS - J Gen Intern Med. 25(8):803-8, 2010 Aug. NJ - Journal of general internal medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 OI - Source: NLM. PMC2896583 SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid MH - Case Management MH - Female MH - Harm Reduction MH - *Heroin Dependence/ep [Epidemiology] MH - Heroin Dependence/pc [Prevention & Control] MH - Heroin Dependence/rh [Rehabilitation] MH - *Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Interview, Psychological MH - Male MH - Massachusetts/ep [Epidemiology] MH - *Methadone MH - Motivation MH - *Opiate Substitution Treatment MH - Outpatients/sn [Statistics & Numerical Data] MH - Program Development MH - *Program Evaluation MH - Risk Reduction Behavior MH - Street Drugs MH - Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Time Factors AB - BACKGROUND: Many opioid-dependent patients do not receive care for addiction issues when hospitalized for other medical problems. Based on 3 years of clinical practice, we report the Transitional Opioid Program (TOP) experience using hospitalization as a "reachable moment" to identify and link opioid-dependent persons to addiction treatment from medical care. AB - METHODS: A program nurse identified, assessed, and enrolled hospitalized, out-of-treatment opioid-dependent drug users based on their receipt of methadone during hospitalization. At discharge, patients transitioned to an outpatient interim opioid agonist program providing 30-day stabilization followed by 60-day taper. The nurse provided case management emphasizing HIV risk reduction, health education, counseling, and medical follow-up. Treatment outcomes included opioid agonist stabilization then taper or transfer to long-term opioid agonist treatment. AB - RESULTS: From January 2002 to January 2005, 362 unique hospitalized, opioid-dependent drug users were screened; 56% (n = 203) met eligibility criteria and enrolled into the program. Subsequently, 82% (167/203) presented to the program clinic post-hospital discharge; for 59% (119/203) treatment was provided, for 26% (52/203) treatment was not provided, and for 16% (32/203) treatment was not possible (pursuit of TOP objectives precluded by medical problems, psychiatric issues, or incarceration). Program patients adhered to a spectrum of medical recommendations (e.g., obtaining prescription medications, medical follow-up). AB - CONCLUSIONS: The Transitional Opioid Program (TOP) identified at-risk hospitalized, out-of-treatment opioid-dependent drug users and, by offering a range of treatment intensity options, engaged a majority into addiction treatment. Hospitalization can be a "reachable moment" to engage and link drug users into addiction treatment. RN - 0 (Analgesics, Opioid) RN - 0 (Street Drugs) RN - UC6VBE7V1Z (Methadone) ES - 1525-1497 IL - 0884-8734 DO - http://dx.doi.org/10.1007/s11606-010-1311-3 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100317 DP - 2010 Aug DC - 20100705 YR - 2010 ED - 20110428 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20237960 <373. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21242231 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Woodman J AU - Brandon M AU - Bailey S AU - Belderson P AU - Sidebotham P AU - Gilbert R FA - Woodman, Jenny FA - Brandon, Marian FA - Bailey, Sue FA - Belderson, Pippa FA - Sidebotham, Peter FA - Gilbert, Ruth IN - Woodman,Jenny. MRC Centre of Epidemiology for Child Health, UCL-Institute of Child Health, London, UK. j.woodman@ich.ucl.ac.uk TI - Healthcare use by children fatally or seriously harmed by child maltreatment: analysis of a national case series 2005-2007. SO - Archives of Disease in Childhood. 96(3):270-5, 2011 Mar. AS - Arch Dis Child. 96(3):270-5, 2011 Mar. NJ - Archives of disease in childhood PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6xg, 0372434 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adolescent MH - Appointments and Schedules MH - Child MH - Child Abuse/sn [Statistics & Numerical Data] MH - *Child Abuse/th [Therapy] MH - *Child Health Services/ut [Utilization] MH - Child of Impaired Parents/sn [Statistics & Numerical Data] MH - Child, Preschool MH - Delivery of Health Care/ut [Utilization] MH - England/ep [Epidemiology] MH - Family Health MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Medical Records/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - Primary Health Care/ut [Utilization] MH - Social Work/sn [Statistics & Numerical Data] AB - AIM: To determine antecedent patterns of healthcare use by children fatally or seriously harmed by maltreatment. AB - 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. AB - 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. AB - 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. ES - 1468-2044 IL - 0003-9888 DO - http://dx.doi.org/10.1136/adc.2010.190314 PT - Journal Article PT - Research Support, Non-U.S. Gov't NO - (United Kingdom Department of Health) NO - (United Kingdom Medical Research Council) LG - English EP - 20110117 DP - 2011 Mar DC - 20110214 YR - 2011 ED - 20110408 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21242231 <374. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20616459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kubota K AU - Shimazu A AU - Kawakami N AU - Takahashi M AU - Nakata A AU - Schaufeli WB FA - Kubota, Kazumi FA - Shimazu, Akihito FA - Kawakami, Norito FA - Takahashi, Masaya FA - Nakata, Akinori FA - Schaufeli, Wilmar B IN - Kubota,Kazumi. Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. kazumikubota-tky@umin.net TI - Association between workaholism and sleep problems among hospital nurses. SO - Industrial Health. 48(6):864-71, 2010. AS - Ind Health. 48(6):864-71, 2010. NJ - Industrial health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - g9l, 2985065r SB - Index Medicus CP - Japan MH - Adaptation, Psychological MH - Adult MH - *Behavior, Addictive/co [Complications] MH - Behavior, Addictive/px [Psychology] MH - Burnout, Professional MH - Confidence Intervals MH - Cross-Sectional Studies MH - Female MH - Health Status Indicators MH - Health Surveys MH - Humans MH - Japan MH - Job Satisfaction MH - Logistic Models MH - Middle Aged MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Personality Inventory MH - Psychometrics MH - Risk Factors MH - Sleep Wake Disorders/di [Diagnosis] MH - *Sleep Wake Disorders/et [Etiology] MH - Sleep Wake Disorders/px [Psychology] MH - *Stress, Psychological/co [Complications] MH - Surveys and Questionnaires MH - *Work Schedule Tolerance/px [Psychology] MH - *Workload/px [Psychology] MH - Workload/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. ES - 1880-8026 IL - 0019-8366 PT - Journal Article LG - English EP - 20100701 DP - 2010 DC - 20101221 YR - 2010 ED - 20110331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20616459 <375. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20809348 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson ME AU - Robinson RV AU - Corey S AU - Dewane SL AU - Brems C AU - Diane Casto L FA - Johnson, Mark E FA - Robinson, Rebecca Volino FA - Corey, Staci FA - Dewane, Sarah L FA - Brems, Christiane FA - Diane Casto, L IN - Johnson,Mark E. Center for Behavioral Health Research and Services, University of Alaska Anchorage, Anchorage, AK, USA. afmej@uaa.alaska.edu TI - Knowledge, attitudes, and behaviors of health, education, and service professionals as related to fetal alcohol spectrum disorders. SO - International Journal of Public Health. 55(6):627-35, 2010 Dec. AS - Int J Public Health. 55(6):627-35, 2010 Dec. NJ - International journal of public health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101304551 SB - Index Medicus CP - Switzerland MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Data Collection MH - *Faculty MH - Female MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - Fetal Alcohol Spectrum Disorders/pp [Physiopathology] MH - *Fetal Alcohol Spectrum Disorders MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel MH - Humans MH - Male MH - Middle Aged MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - *Social Work AB - OBJECTIVES: We explored differences in fetal alcohol spectrum disorders (FASD) knowledge, attitudes, and behaviors across six groups of professionals in key position to provide primary and secondary prevention efforts (physicians, educators, correctional staff, social workers, public health nurses, and substance abuse counselors). AB - METHODS: Achieving a 60.1% response rate, 2,292 professionals returned surveys, providing data on basic knowledge of FAS, FASD-associated risks and cognitive deficits, and willingness to confront and recommend treatment to alcohol-consuming pregnant women. AB - RESULTS: Across groups, findings revealed ample FASD knowledge and willingness to confront and recommend treatment to alcohol-consuming pregnant women that increases as consumption becomes more frequent and severe. However, results revealed significant between-group differences data that provide valuable guidance for targeted future FASD education efforts. AB - CONCLUSIONS: Public health initiatives regarding FASD have been effective in increasing knowledge among a broad range of professionals. However, between-group differences indicate the need for targeted, discipline-specific interventions. These differences highlight the need for all professional groups to provide a consistent public health message regarding maternal alcohol consumption. ES - 1661-8564 IL - 1661-8556 DO - http://dx.doi.org/10.1007/s00038-010-0186-8 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5UD1SP09198 (United States CSAP SAMHSA HHS) LG - English EP - 20100901 DP - 2010 Dec DC - 20101126 YR - 2010 ED - 20110329 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20809348 <376. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21050334 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nash MJ AU - Romanos MT FA - Nash, M J FA - Romanos, M T IN - Nash,M J. Psychiatric Nursing, School of Nursing and Midwifery, Trinity College Dublin Consultant Forensic Psychiatrist, St Brendan's Hospital, Dublin, Ireland. michael.nash@tcd.ie TI - An exploration of mental health nursing students' experiences and attitudes towards using cigarettes to change client's behaviour. SO - Journal of Psychiatric & Mental Health Nursing. 17(8):683-91, 2010 Oct. AS - J Psychiatr Ment Health Nurs. 17(8):683-91, 2010 Oct. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - *Behavior Therapy/mt [Methods] MH - Female MH - Humans MH - Male MH - Mental Disorders/px [Psychology] MH - Mental Disorders/rh [Rehabilitation] MH - *Mental Disorders/th [Therapy] MH - Motivation MH - *Psychiatric Nursing/ed [Education] MH - *Smoking/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Token Economy AB - 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.Copyright © 2010 Blackwell Publishing. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2010.01605.x PT - Journal Article LG - English EP - 20100708 DP - 2010 Oct DC - 20101105 YR - 2010 ED - 20110311 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21050334 <377. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20405093 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes-Roth B AU - Saker R AU - Amano K FA - Hayes-Roth, B FA - Saker, R FA - Amano, K IN - Hayes-Roth,B. Lifelike Solutions Inc., 54 Marianna Lane, Atherton, CA 94027, USA. bhr@lifelikesolutions.com TI - Automating individualized coaching and authentic role-play practice for brief intervention training. SO - Methods of Information in Medicine. 49(4):406-11, 2010. AS - Methods Inf Med. 49(4):406-11, 2010. NJ - Methods of information in medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - mvi, 0210453 SB - Index Medicus CP - Germany MH - Analysis of Variance MH - Automation/is [Instrumentation] MH - *Automation/mt [Methods] MH - Clinical Competence MH - Curriculum MH - Education MH - *Educational Measurement MH - Educational Status MH - Humans MH - Internet MH - *Role Playing MH - Statistics as Topic MH - Students, Medical MH - Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Teaching MH - Time Factors MH - *User-Computer Interface AB - OBJECTIVES: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. IS - 0026-1270 IL - 0026-1270 DO - http://dx.doi.org/10.3414/ME9311 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural LG - English EP - 20100420 DP - 2010 DC - 20100805 YR - 2010 ED - 20110307 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20405093 <378. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20542191 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fernandez D AU - Martin V AU - Molina AJ AU - De Luis JM FA - Fernandez, Daniel FA - Martin, Vicente FA - Molina, Antonio Jose FA - De Luis, Jose Manuel IN - Fernandez,Daniel. Department of Nursing and Physiotherapy, University of Leon, Oncology Unit, Hospital of Leon, Spain. daniel.fernandez@unileon.es TI - Smoking habits of students of nursing: a questionnaire survey (2004-2006). SO - Nurse Education Today. 30(5):480-4, 2010 Jul. AS - Nurse Educ Today. 30(5):480-4, 2010 Jul. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adolescent MH - Adult MH - Confidence Intervals MH - Health Surveys MH - Humans MH - Incidence MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Odds Ratio MH - Prevalence MH - *Risk-Taking MH - Schools, Nursing/sn [Statistics & Numerical Data] MH - Self-Assessment MH - *Smoking/ep [Epidemiology] MH - Spain/ep [Epidemiology] MH - Statistics, Nonparametric MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Young Adult AB - AIM: To determine changes in the prevalence of tobacco use among students of nursing and associated factors. AB - BACKGROUND: The prevalence and distribution of smokers among nursing students varies according to the country and period of study. AB - METHOD: Transversal descriptive study by self-answered questionnaire. Eight hundred and fifty four subjects (94.9%) were questioned in the period 2004-2006. AB - 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 Fagerstrom 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. AB - 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.Copyright 2009 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2009.10.012 PT - Journal Article LG - English DP - 2010 Jul DC - 20100614 YR - 2010 ED - 20110307 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20542191 <379. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19889482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vandermause RK AU - Townsend RP FA - Vandermause, Roxanne K FA - Townsend, Ryan P IN - Vandermause,Roxanne K. Washington State University, College of Nursing, P.O. Box 1495, Spokane, WA 99210-1495, USA. rvandermause@wsu.edu TI - Teaching thoughtful practice: narrative pedagogy in addictions education. SO - Nurse Education Today. 30(5):428-34, 2010 Jul. AS - Nurse Educ Today. 30(5):428-34, 2010 Jul. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Behavior, Addictive/nu [Nursing] MH - *Curriculum MH - Education, Distance MH - *Education, Nursing MH - Evidence-Based Nursing MH - Humans MH - *Learning MH - Models, Educational MH - *Narration MH - Qualitative Research MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching AB - 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.Copyright 2009 Elsevier Ltd. All rights reserved. ES - 1532-2793 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2009.09.017 PT - Journal Article LG - English EP - 20091103 DP - 2010 Jul DC - 20100614 YR - 2010 ED - 20110307 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19889482 <380. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21278648 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McGraw C AU - Topping C FA - McGraw, Caroline FA - Topping, Claire IN - McGraw,Caroline. NHS, Islington, London. caroline.mcgraw@islingtonpct.nhs.uk TI - The District Nursing Clinical Error Reduction Programme. SO - British Journal of Community Nursing. 16(1):35-40, 2011 Jan. AS - Br J Community Nurs. 16(1):35-40, 2011 Jan. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Clinical Competence MH - Drug Dosage Calculations MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - England MH - Follow-Up Studies MH - Humans MH - Mandatory Programs MH - Medication Errors/nu [Nursing] MH - *Medication Errors/pc [Prevention & Control] MH - Medication Errors/sn [Statistics & Numerical Data] MH - Nursing Evaluation Research MH - Outcome Assessment (Health Care) MH - Program Evaluation MH - Public Health Nursing/ed [Education] MH - Public Health Nursing/og [Organization & Administration] MH - *Public Health Nursing MH - *Safety Management/og [Organization & Administration] MH - State Medicine/og [Organization & Administration] AB - The District Nursing Clinical Error Reduction (DANCER) Programme was initiated in NHS Islington following an increase in the number of reported medication errors. The objectives were to reduce the actual degree of harm and the potential risk of harm associated with medication errors and to maintain the existing positive reporting culture, while robustly addressing performance issues. One hundred medication errors reported in 2007/08 were analysed using a framework that specifies the factors that predispose to adverse medication events in domiciliary care. Various contributory factors were identified and interventions were subsequently developed to address poor drug calculation and medication problem-solving skills and incorrectly transcribed medication administration record charts. Follow up data were obtained at 12 months and two years. The evaluation has shown that although medication errors do still occur, the programme has resulted in a marked shift towards a reduction in the associated actual degree of harm and the potential risk of harm. IS - 1462-4753 IL - 1462-4753 PT - Evaluation Studies PT - Journal Article LG - English DP - 2011 Jan DC - 20110131 YR - 2011 ED - 20110304 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21278648 <381. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21172102 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carson G AU - Cox LV AU - Crane J AU - Croteau P AU - Graves L AU - Kluka S AU - Koren G AU - Martel MJ AU - Midmer D AU - Nulman I AU - Poole N AU - Senikas V AU - Wood R AU - Society of Obstetricians and Gynaecologists of Canada FA - Carson, George FA - Cox, Lori Vitale FA - Crane, Joan FA - Croteau, Pascal FA - Graves, Lisa FA - Kluka, Sandra FA - Koren, Gideon FA - Martel, Marie-Jocelyne FA - Midmer, Deana FA - Nulman, Irena FA - Poole, Nancy FA - Senikas, Vyta FA - Wood, Rebecca FA - Society of Obstetricians and Gynaecologists of Canada TI - Alcohol use and pregnancy consensus clinical guidelines. SO - Journal of Obstetrics & Gynaecology Canada: JOGC. 32(8 Suppl 3):S1-31, 2010 Aug. AS - J Obstet Gynaecol Can. 32(8 Suppl 3):S1-31, 2010 Aug. NJ - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC PI - Journal available in: Print PI - Citation processed from: Print JC - 101126664 SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking MH - Alcoholic Beverages/an [Analysis] MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Canada/ep [Epidemiology] MH - Consensus MH - Counseling MH - Female MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Fetal Alcohol Spectrum Disorders MH - Fetal Diseases/et [Etiology] MH - Fetal Diseases/pc [Prevention & Control] MH - *Fetal Diseases MH - Humans MH - Mass Screening MH - Patient Education as Topic MH - Preconception Care MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Pregnancy Complications/th [Therapy] MH - *Pregnancy Complications MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Temperance AB - OBJECTIVE: 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. AB - 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. AB - VALUES: the quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). AB - SPONSOR: the Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. AB - 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). AB - RECOMMENDATIONS: 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). IS - 1701-2163 IL - 1701-2163 PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Aug DC - 20101221 YR - 2010 ED - 20110224 RD - 20161020 UP - 20161202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21172102 <382. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21172102 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carson G AU - Cox LV AU - Crane J AU - Croteau P AU - Graves L AU - Kluka S AU - Koren G AU - Martel MJ AU - Midmer D AU - Nulman I AU - Poole N AU - Senikas V AU - Wood R AU - Society of Obstetricians and Gynaecologists of Canada FA - Carson, George FA - Cox, Lori Vitale FA - Crane, Joan FA - Croteau, Pascal FA - Graves, Lisa FA - Kluka, Sandra FA - Koren, Gideon FA - Martel, Marie-Jocelyne FA - Midmer, Deana FA - Nulman, Irena FA - Poole, Nancy FA - Senikas, Vyta FA - Wood, Rebecca FA - Society of Obstetricians and Gynaecologists of Canada TI - Alcohol use and pregnancy consensus clinical guidelines. SO - Journal of Obstetrics & Gynaecology Canada: JOGC. 32(8 Suppl 3):S1-31, 2010 Aug. AS - J Obstet Gynaecol Can. 32(8 Suppl 3):S1-31, 2010 Aug. NJ - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC PI - Journal available in: Print PI - Citation processed from: Print JC - 101126664 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking MH - Alcoholic Beverages/an [Analysis] MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Canada/ep [Epidemiology] MH - Consensus MH - Counseling MH - Female MH - Fetal Alcohol Spectrum Disorders/et [Etiology] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Fetal Alcohol Spectrum Disorders MH - Fetal Diseases/et [Etiology] MH - Fetal Diseases/pc [Prevention & Control] MH - *Fetal Diseases MH - Humans MH - Mass Screening MH - Patient Education as Topic MH - Preconception Care MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Pregnancy Complications/th [Therapy] MH - *Pregnancy Complications MH - Randomized Controlled Trials as Topic MH - Risk Factors MH - Temperance AB - OBJECTIVE: 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. AB - 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. AB - VALUES: the quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). AB - SPONSOR: the Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. AB - 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). AB - RECOMMENDATIONS: 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). IS - 1701-2163 IL - 1701-2163 PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Aug DC - 20101221 YR - 2010 ED - 20110224 RD - 20151026 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21172102 <383. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21287847 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - David TI AU - Lee-Woolf E FA - David, Timothy I FA - Lee-Woolf, Elizabeth IN - David,Timothy I. Faculty of Medical and Human Sciences, University of Manchester. TI - Fitness to practise for student nurses: principles, standards and procedures. SO - Nursing Times. 106(39):23-6, 2010 Oct 5-11. AS - Nurs Times. 106(39):23-6, 2010 Oct 5-11. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Deception MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Great Britain MH - Humans MH - Mental Disorders/pc [Prevention & Control] MH - Plagiarism MH - Practice Guidelines as Topic MH - Professional Competence/lj [Legislation & Jurisprudence] MH - *Professional Competence/st [Standards] MH - Professional Misconduct/lj [Legislation & Jurisprudence] MH - *Professional Misconduct MH - *Professional Staff Committees/og [Organization & Administration] MH - School Admission Criteria MH - *Schools, Nursing/og [Organization & Administration] MH - Students, Nursing/lj [Legislation & Jurisprudence] MH - *Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 2010 Oct 5-11 DC - 20110203 YR - 2010 ED - 20110218 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21287847 <384. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20487401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tofthagen R AU - Fagerstrom L FA - Tofthagen, Randi FA - Fagerstrom, Lisbeth IN - Tofthagen,Randi. Lovisenberg Diaconal University College, Oslo, Norway. Randi.tofthagen@ldh.no TI - Clarifying self-harm through evolutionary concept analysis. SO - Scandinavian Journal of Caring Sciences. 24(3):610-9, 2010 Sep. AS - Scand J Caring Sci. 24(3):610-9, 2010 Sep. NJ - Scandinavian journal of caring sciences PI - Journal available in: Print PI - Citation processed from: Internet JC - sjo, 8804206 SB - Nursing Journal CP - Sweden MH - Attitude of Health Personnel MH - Humans MH - Nurses/px [Psychology] MH - *Self-Injurious Behavior AB - Clarification of the concept self-harm is needed in order to enable research and theory development and facilitate the development and evaluation of medical interventions and nursing care for individuals who self-harm. This study presents such a conceptual analysis. Articles from 1997 to 2007 were sought from the Medline, PubMed, Cinahl, and PsychINFO search engines by entering the search words 'self-harm', 'self-harming', and 'psychiatric care'. 25 medicine and 23 nursing science articles were chosen for inclusion and analysed. Rodgers' evolutionary concept analysis process was used to delineate and clarify the concept's context, surrogate terms, antecedents, attributes, and consequences, as well as to determine implications for further research. Attributes of self-harm may include repetitive injury of mouth or exterior body, that is to say the infliction of physical pain to alleviate mental pain, and time spent self-harming. Antecedents may be gender, mental pain, substance abuse and relational problems. Consequences often include the need for medication and help with altering coping behaviour. Some self-harm patients met with negative attitudes from nurses. Individualized care and treatment is recommended. Accordingly, inter-professional collaboration and postgraduate education is needed in order to provide better care and treatment for self-harm patients. Furthermore, better understanding is needed to help enable health care personnel understand why individuals self-harm. The conceptual analysis presented in this study may be helpful as regards theory development within this still rather unexplored field.Copyright © 2010 The Authors. Journal compilation © 2010 Nordic College of Caring Science. ES - 1471-6712 IL - 0283-9318 DO - http://dx.doi.org/10.1111/j.1471-6712.2009.00749.x PT - Journal Article LG - English DP - 2010 Sep DC - 20101105 YR - 2010 ED - 20110217 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20487401 <385. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20378618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bertsche T AU - Bertsche A AU - Krieg EM AU - Kunz N AU - Bergmann K AU - Hanke G AU - Hoppe-Tichy T AU - Ebinger F AU - Haefeli WE FA - Bertsche, T FA - Bertsche, A FA - Krieg, E-M FA - Kunz, N FA - Bergmann, K FA - Hanke, G FA - Hoppe-Tichy, T FA - Ebinger, F FA - Haefeli, W E IN - Bertsche,T. Department of Clinical Pharmacology and Pharmacoepidemiology, INF 410, 69120 Heidelberg, Germany. TI - 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. SO - Quality & Safety in Health Care. 19(5):e26, 2010 Oct. AS - Qual Saf Health Care. 19(5):e26, 2010 Oct. NJ - Quality & safety in health care PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101136980 SB - Health Administration Journals CP - England MH - Administration, Oral MH - Adult MH - Child MH - Child, Preschool MH - Cohort Studies MH - Female MH - Humans MH - Intubation, Gastrointestinal MH - Male MH - *Medical Staff, Hospital/ed [Education] MH - *Medication Errors/pc [Prevention & Control] MH - *Parents/ed [Education] MH - Pilot Projects MH - Prospective Studies MH - *Quality of Health Care MH - Young Adult AB - BACKGROUND: 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. AB - OBJECTIVE: 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. AB - DESIGN, SETTING AND PARTICIPANTS: 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. AB - MAIN OUTCOMES MEASURE: Prevalence of administration errors before and after implementing instructions for appropriate drug administration, and a teaching and training programme supported by information pamphlets. AB - RESULTS: Altogether, 1164 predefined administration tasks were assessed, 675 before and 489 after the intervention. Of these, 95.7% (after the AB - INTERVENTION: 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). AB - CONCLUSION: 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. ES - 1475-3901 IL - 1475-3898 DO - http://dx.doi.org/10.1136/qshc.2009.033753 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20100408 DP - 2010 Oct DC - 20101027 YR - 2010 ED - 20110204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20378618 <386. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20054453 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Warren CW AU - Sinha DN AU - Lee J AU - Lea V AU - Jones NR FA - Warren, Charles W FA - Sinha, Dhirendra N FA - Lee, Juliette FA - Lea, Veronica FA - Jones, Nathan R IN - Warren,Charles W. Office on Smoking and Health, US Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. wcw1@cdc.gov TI - Tobacco use, exposure to secondhand smoke, and training on cessation counseling among nursing students: cross-country data from the Global Health Professions Student Survey (GHPSS), 2005-2009. SO - International Journal of Environmental Research & Public Health [Electronic Resource]. 6(10):2534-49, 2009 Oct. AS - Int J Environ Res Public Health. 6(10):2534-49, 2009 Oct. NJ - International journal of environmental research and public health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101238455 OI - Source: NLM. PMC2790091 SB - Index Medicus CP - Switzerland MH - Adult MH - Confidence Intervals MH - Cross-Sectional Studies MH - *Directive Counseling MH - *Education, Nursing MH - Environmental Exposure/ae [Adverse Effects] MH - Female MH - Health Education MH - Health Occupations/ed [Education] MH - Health Occupations/sn [Statistics & Numerical Data] MH - Health Surveys MH - Humans MH - Male MH - Organizational Policy MH - Patient Education as Topic MH - *Smoking Cessation/mt [Methods] MH - *Students, Nursing MH - *Tobacco Smoke Pollution/ae [Adverse Effects] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/et [Etiology] MH - United States/ep [Epidemiology] MH - Young Adult KW - counseling training; health professionals; nursing students; tobacco use AB - The Nursing Global Health Professions Student Survey (GHPSS) has been conducted in schools in 39 countries and the Gaza Strip/West Bank (identified as "sites" for the remainder of this paper). In half the sites, over 20% of the students currently smoked cigarettes, with males having higher rates than females in 22 sites. Over 60% of students reported having been exposed to secondhand smoke in public places in 23 of 39 sites. The majority of students recognized that they are role models in society, believed they should receive training on counseling patients to quit using tobacco, but few reported receiving any formal training. Tobacco control efforts must discourage tobacco use among health professionals, promote smoke free workplaces, and implement programs that train health professionals in effective cessation-counseling techniques. RN - 0 (Tobacco Smoke Pollution) ES - 1660-4601 IL - 1660-4601 DO - http://dx.doi.org/10.3390/ijerph6102534 PT - Journal Article LG - English EP - 20090928 DP - 2009 Oct DC - 20100107 YR - 2009 ED - 20110201 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20054453 <387. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20582845 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borelli JL AU - Goshin L AU - Joestl S AU - Clark J AU - Byrne MW FA - Borelli, Jessica L FA - Goshin, Lorie FA - Joestl, Sarah FA - Clark, Juliette FA - Byrne, Mary W IN - Borelli,Jessica L. Department of Psychology, Pomona College, Claremont, USA. TI - 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. SO - Attachment & Human Development. 12(4):355-74, 2010 Jul. AS - Attach Hum Dev. 12(4):355-74, 2010 Jul. NJ - Attachment & human development PI - Journal available in: Print PI - Citation processed from: Internet JC - 100901315 OI - Source: NLM. NIHMS219670 OI - Source: NLM. PMC2946896 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Depression/px [Psychology] MH - Female MH - Health Status MH - Health Status Indicators MH - Humans MH - Middle Aged MH - *Mothers/px [Psychology] MH - Multivariate Analysis MH - Nurseries MH - *Object Attachment MH - *Parent-Child Relations MH - Parenting/px [Psychology] MH - *Prisoners/px [Psychology] MH - Prisons MH - Psychometrics MH - Regression Analysis MH - Social Perception MH - Social Support MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - 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. ES - 1469-2988 IL - 1461-6734 DO - http://dx.doi.org/10.1080/14616730903416971 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1-F32AG032310-01 (United States NIA NIH HHS) NO - R01 NR007782 (United States NINR NIH HHS) NO - R01 NR007782-04 (United States NINR NIH HHS) NO - F32 AG032310-01 (United States NIA NIH HHS) NO - F32 AG032310 (United States NIA NIH HHS) LG - English DP - 2010 Jul DC - 20100628 YR - 2010 ED - 20110106 RD - 20161122 UP - 20161201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=20582845 <388. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20838174 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Becker J AU - Mendez-Quigley T AU - Phillips M FA - Becker, Julie FA - Mendez-Quigley, Teresa FA - Phillips, Maureen IN - Becker,Julie. Women's Health & Environmental Network, Philadelphia, Pennsylvania 19130, USA. becker.julie@gmail.com TI - Nursing role in the pharmaceutical life cycle. SO - Nursing Administration Quarterly. 34(4):297-305, 2010 Oct-Dec. AS - Nurs Adm Q. 34(4):297-305, 2010 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - *Drug-Related Side Effects and Adverse Reactions MH - Environmental Exposure MH - Green Chemistry Technology/mt [Methods] MH - Humans MH - *Nurse's Role MH - Pharmaceutical Preparations/ch [Chemistry] MH - Pharmaceutical Preparations/me [Metabolism] MH - Prescription Drugs/ae [Adverse Effects] MH - Prescription Drugs/ch [Chemistry] MH - Prescription Drugs/me [Metabolism] MH - *Water Pollution, Chemical/pc [Prevention & Control] MH - *Water Purification/mt [Methods] MH - Water Supply/an [Analysis] AB - 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. RN - 0 (Pharmaceutical Preparations) RN - 0 (Prescription Drugs) ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/NAQ.0b013e3181f5640a PT - Journal Article LG - English DP - 2010 Oct-Dec DC - 20100914 YR - 2010 ED - 20110106 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20838174 <389. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20582845 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borelli JL AU - Goshin L AU - Joestl S AU - Clark J AU - Byrne MW FA - Borelli, Jessica L FA - Goshin, Lorie FA - Joestl, Sarah FA - Clark, Juliette FA - Byrne, Mary W IN - Borelli,Jessica L. Department of Psychology, Pomona College, Claremont, USA. TI - 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. SO - Attachment & Human Development. 12(4):355-74, 2010 Jul. AS - Attach Hum Dev. 12(4):355-74, 2010 Jul. NJ - Attachment & human development PI - Journal available in: Print PI - Citation processed from: Internet JC - 100901315 OI - Source: NLM. NIHMS219670 OI - Source: NLM. PMC2946896 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Depression/px [Psychology] MH - Female MH - Health Status MH - Health Status Indicators MH - Humans MH - Middle Aged MH - *Mothers/px [Psychology] MH - Multivariate Analysis MH - Nurseries MH - *Object Attachment MH - *Parent-Child Relations MH - Parenting/px [Psychology] MH - *Prisoners/px [Psychology] MH - Prisons MH - Psychometrics MH - Regression Analysis MH - Social Perception MH - Social Support MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - 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. ES - 1469-2988 IL - 1461-6734 DO - http://dx.doi.org/10.1080/14616730903416971 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1-F32AG032310-01 (United States NIA NIH HHS) NO - F32 AG032310-01 (United States NIA NIH HHS) NO - R01 NR007782 (United States NINR NIH HHS) NO - R01 NR007782-04 (United States NINR NIH HHS) NO - R01 NR007782-04 (United States NINR NIH HHS) LG - English DP - 2010 Jul DC - 20100628 YR - 2010 ED - 20110106 RD - 20141203 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20582845 <390. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20525095 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caley LM AU - Riemer S AU - Weinstein HS FA - Caley, Linda M FA - Riemer, Sara FA - Weinstein, Helen S IN - Caley,Linda M. School of Nursing, University at Buffalo, Buffalo, New York 14214-3079, USA. lcaley@buffalo.edu TI - Results of a nurse-led workshop designed to prevent fetal alcohol spectrum disorder. SO - Public Health Nursing. 27(3):232-9, 2010 May-Jun. AS - Public Health Nurs. 27(3):232-9, 2010 May-Jun. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - *Community Health Nursing/og [Organization & Administration] MH - Data Collection MH - Education/sn [Statistics & Numerical Data] MH - *Education, Nursing, Continuing/mt [Methods] MH - Educational Status MH - Female MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Infant, Newborn MH - *Leadership MH - Nursing Education Research MH - Pregnancy MH - *Public Health Nursing/og [Organization & Administration] MH - Qualitative Research MH - Surveys and Questionnaires AB - 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. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/j.1525-1446.2010.00848.x PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 May-Jun DC - 20100607 YR - 2010 ED - 20110106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20525095 <391. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20846223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCreaddie M AU - Lyons I AU - Watt D AU - Ewing E AU - Croft J AU - Smith M AU - Tocher J FA - McCreaddie, May FA - Lyons, Imogen FA - Watt, Debbie FA - Ewing, Elspeth FA - Croft, Jeanette FA - Smith, Marion FA - Tocher, Jennifer IN - McCreaddie,May. Nursing and Midwifery Department, University of Stirling, Stirling, Ireland. TI - Routines and rituals: a grounded theory of the pain management of drug users in acute care settings. [Review] SO - Journal of Clinical Nursing. 19(19-20):2730-40, 2010 Oct. AS - J Clin Nurs. 19(19-20):2730-40, 2010 Oct. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Focus Groups MH - Humans MH - Interviews as Topic MH - Pain/co [Complications] MH - *Pain/dt [Drug Therapy] MH - *Substance-Related Disorders/co [Complications] AB - AIM: This study reviewed the perceptions and strategies of drug users and nurses with regard to pain management in acute care settings. AB - BACKGROUND: Drug users present unique challenges in acute care settings with pain management noted to be at best suboptimal, at worst non-existent. Little is known about why and specifically how therapeutic effectiveness is compromised. AB - DESIGN: Qualitative: constructivist grounded theory. AB - METHOD: A constructivist grounded theory approach incorporating a constant comparative method of data collection and analysis was applied. The data corpus comprised interviews with drug users (n = 11) and five focus groups (n = 22) of nurses and recovering drug users. AB - RESULTS: Moral relativism as the core category both represents the phenomenon and explains the basic social process. Nurses and drug users struggle with moral relativism when addressing the issue of pain management in the acute care setting. Drug users lay claim to expectations of compassionate care and moralise via narration. Paradoxically, nurses report that the caring ideal and mutuality of caring are diminished. Drug users' individual sensitivities, anxieties and felt stigma in conjunction with opioid-induced hyperalgesia complicate the processes. Nurses' and hospitals' organisational routines challenge drug user rituals and vice versa leading both protagonists to become disaffected. Consequently, key clinical issues such as preventing withdrawal and managing pain are left unaddressed and therapeutic effectiveness is compromised. AB - CONCLUSION: This study provides a robust account of nurses' and drug users' struggle with pain management in the acute care setting. Quick technological fixes such as urine screens, checklists or the transient effects of (cognitive-based) education (or training) are not the answer. This study highlights the need for nurses to engage meaningfully with this perceptibly 'difficult' group of patients. AB - RELEVANCE TO CLINICAL PRACTICE: The key aspects likely to contribute to problematic interactions with this patient cohort are outlined so that they can be prevented and, or addressed.Copyright © 2010 Blackwell Publishing Ltd. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2010.03284.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Oct DC - 20100917 YR - 2010 ED - 20101230 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20846223 <392. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21061783 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan JM FA - Brennan, Jane M IN - Brennan,Jane M. Widener University School of Nursing, USA. TI - Understanding the impact of war zone experiences: a primer for civilian nurses. SO - Pennsylvania Nurse. 65(3):20-2, 2010 Sep. AS - Pa Nurse. 65(3):20-2, 2010 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Afghan Campaign 2001- MH - *Brain Injuries/ep [Epidemiology] MH - Brain Injuries/px [Psychology] MH - *Combat Disorders/ep [Epidemiology] MH - Combat Disorders/px [Psychology] MH - *Depression/ep [Epidemiology] MH - Depression/px [Psychology] MH - Emergency Nursing MH - Humans MH - Internet MH - Iraq War, 2003-2011 MH - Military Nursing/ed [Education] MH - Military Nursing/og [Organization & Administration] MH - Military Personnel/px [Psychology] MH - Military Personnel/sn [Statistics & Numerical Data] MH - *Military Personnel MH - Nurse's Role MH - Primary Health Care MH - *Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Suicide/px [Psychology] MH - Suicide/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] AB - 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. IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2010 Sep DC - 20101110 YR - 2010 ED - 20101215 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21061783 <393. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21061780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wieland D AU - Hursey M AU - Delgado D FA - Wieland, Diane FA - Hursey, Melodee FA - Delgado, Deborah IN - Wieland,Diane. La Salle University, School of Nursing & Health Sciences, USA. TI - 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. SO - Pennsylvania Nurse. 65(3):4-11; quiz 12-3, 2010 Sep. AS - Pa Nurse. 65(3):4-11; quiz 12-3, 2010 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Afghan Campaign 2001- MH - Brain Injuries/di [Diagnosis] MH - Brain Injuries/ep [Epidemiology] MH - Brain Injuries/th [Therapy] MH - *Brain Injuries MH - Health Services Accessibility MH - Health Services Needs and Demand MH - Humans MH - Iraq War, 2003-2011 MH - Military Medicine MH - Military Nursing/ed [Education] MH - Military Nursing/og [Organization & Administration] MH - *Military Personnel MH - Military Psychiatry MH - Nurse's Role MH - Risk Factors MH - Stereotyping MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/th [Therapy] MH - *Stress Disorders, Post-Traumatic MH - United States/ep [Epidemiology] MH - *Veterans AB - 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. IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2010 Sep DC - 20101110 YR - 2010 ED - 20101215 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21061780 <394. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21086781 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nitkin DI AU - Gastaldo D FA - Nitkin, Debora Isane R Kirschbaum FA - Gastaldo, Denise IN - Nitkin,Debora Isane R Kirschbaum. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada. TI - Addressing physical health problems experienced by people with schizophrenia in Canada: a critical literature review. [Review] SO - Canadian Journal of Nursing Research. 42(3):124-40, 2010 Sep. AS - Can J Nurs Res. 42(3):124-40, 2010 Sep. NJ - The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres PI - Journal available in: Print PI - Citation processed from: Print JC - cjn, 8910581 SB - Nursing Journal CP - Canada MH - Canada MH - Comorbidity MH - Humans MH - Schizophrenia/co [Complications] MH - *Schizophrenia/pp [Physiopathology] AB - 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. IS - 0844-5621 IL - 0844-5621 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Sep DC - 20101119 YR - 2010 ED - 20101210 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=21086781 <395. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20492022 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsai YF AU - Tsai MC AU - Lin YP AU - Weng CE AU - Chen CY AU - Chen MC FA - Tsai, Yun-Fang FA - Tsai, Mei-Chu FA - Lin, Yea-Pyng FA - Weng, Chih-Erh FA - Chen, Ching-Yen FA - Chen, Min-Chi IN - Tsai,Yun-Fang. School of Nursing, Chang Gung University, Tao-Yuan, Taiwan. yftsai@mail.cgu.edu.tw TI - Facilitators and barriers to intervening for problem alcohol use. SO - Journal of Advanced Nursing. 66(7):1459-68, 2010 Jul. AS - J Adv Nurs. 66(7):1459-68, 2010 Jul. NJ - Journal of advanced nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - *Nursing Assessment MH - *Nursing Staff, Hospital/px [Psychology] MH - Self Efficacy MH - Taiwan MH - Young Adult AB - AIM: This article is a report of a study exploring nurses' perceived facilitators and barriers to conducting brief interventions for problem alcohol use. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1365-2648 IL - 0309-2402 DO - http://dx.doi.org/10.1111/j.1365-2648.2010.05299.x PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English EP - 20100513 DP - 2010 Jul DC - 20100712 YR - 2010 ED - 20101129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20492022 <396. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20181532 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willsher KA FA - Willsher, Kerre A IN - Willsher,Kerre A. University of South Australia, Nursing and Rural Health Unit, 111 Nicolson Ave, Whyalla, South Australia 5600, Australia. kerre.willsher@unisa.edu.au TI - Overcoming mixed messages on alcohol consumption: a teaching strategy. SO - Nurse Education in Practice. 10(5):279-84, 2010 Sep. AS - NURSE EDUC PRACT. 10(5):279-84, 2010 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - *Education, Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Holistic Health MH - Humans MH - South Australia MH - Students, Nursing/px [Psychology] AB - 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.Copyright (c) 2010 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2010.01.003 PT - Journal Article LG - English EP - 20100223 DP - 2010 Sep DC - 20100726 YR - 2010 ED - 20101116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20181532 <397. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20622411 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sinha DN AU - Singh G AU - Gupta PC AU - Pednekar M AU - Warrn CW AU - Asma S AU - Lee J FA - Sinha, D N FA - Singh, G FA - Gupta, P C FA - Pednekar, M FA - Warrn, C W FA - Asma, S FA - Lee, J IN - Sinha,D N. School of Preventive Oncology, Patna, India. TI - Linking India Global Health Professions Student Survey data to the World Health Organization Framework Convention on Tobacco Control. SO - Indian Journal of Cancer. 47 Suppl 1:30-4, 2010 Jul. AS - Indian J Cancer. 47 Suppl 1:30-4, 2010 Jul. NJ - Indian journal of cancer PI - Journal available in: Print PI - Citation processed from: Internet JC - ghy, 0112040 SB - Index Medicus CP - India MH - Counseling MH - *Health Occupations MH - *Health Surveys MH - Humans MH - India/ep [Epidemiology] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Students/px [Psychology] MH - *Tobacco Industry/lj [Legislation & Jurisprudence] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - *World Health Organization AB - 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. ES - 1998-4774 IL - 0019-509X DO - http://dx.doi.org/10.4103/0019-509X.65177 PT - Journal Article LG - English DP - 2010 Jul DC - 20100712 YR - 2010 ED - 20101105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20622411 <398. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20480416 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke S AU - Schaefer JA FA - Lemke, Sonne FA - Schaefer, Jeanne A IN - Lemke,Sonne. Center for Health Care Evaluation, Menlo Park, CA, USA. sonne.lemke@va.gov TI - VA nursing home residents with substance use disorders: Mental health comorbidities, functioning, and problem behaviors. SO - Aging & Mental Health. 14(5):593-602, 2010 Jul. AS - Aging Ment Health. 14(5):593-602, 2010 Jul. NJ - Aging & mental health PI - Journal available in: Print PI - Citation processed from: Internet JC - d46, 9705773 SB - Index Medicus CP - England MH - *Activities of Daily Living MH - Aged MH - Aged, 80 and over MH - Comorbidity MH - Databases, Factual MH - Female MH - Health Status MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - *Mental Health MH - *Nursing Homes MH - Patient Admission MH - *Social Behavior Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] MH - *United States Department of Veterans Affairs AB - 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. AB - 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. AB - 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. AB - 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. ES - 1364-6915 IL - 1360-7863 DO - http://dx.doi.org/10.1080/13607860903586169 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2010 Jul DC - 20100708 YR - 2010 ED - 20101027 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20480416 <399. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20027801 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saade G AU - Warren CW AU - Jones NR AU - Mokdad A FA - Saade, Georges FA - Warren, Charles W FA - Jones, Nathan R FA - Mokdad, Ali IN - Saade,Georges. Lebanese University, Faculty of Public Health, Fanar Campus, Beirut, Lebanon. gasaade@yahoo.com TI - Tobacco use and cessation counseling among health professional students: Lebanon Global Health Professions Student Survey. SO - Journal Medical Libanais - Lebanese Medical Journal. 57(4):243-7, 2009 Oct-Dec. AS - J Med Liban. 57(4):243-7, 2009 Oct-Dec. NJ - Le Journal medical libanais. The Lebanese medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - j1z, 0375352 SB - Index Medicus CP - Lebanon MH - Adult MH - Attitude of Health Personnel MH - *Counseling/ed [Education] MH - Counseling/mt [Methods] MH - Counseling/sn [Statistics & Numerical Data] MH - Female MH - Global Health MH - Health Behavior MH - Humans MH - Lebanon/ep [Epidemiology] MH - Male MH - Population Surveillance MH - Prevalence MH - Risk-Taking MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Students, Dental/sn [Statistics & Numerical Data] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - INTRODUCTION: The number of deaths attributable to tobacco use is rising globally. Health professionals can help reduce tobacco use by providing advice to patients regarding smoking cessation. Very few studies have collected information on tobacco use and cessation counseling training among health professional students. The purpose of this paper is to examine these issues using data from the 2005 Lebanon Global Health Professions Student Survey (GHPSS). AB - METHODS: The 2005 Lebanon GHPSS includes nationally representative estimates of third-year students in all dental, medical, nursing, and pharmacy schools in Lebanon. AB - RESULTS: Current cigarette use ranged from 14.8% for pharmacy students to 26.9% for nursing students and 27.4% for medical students. Current waterpipe use ranged from 20.6% for medical students to 44.9% for nursing students. About 8 in 10 students in all four disciplines were exposed to second-hand smoke in public places. More than 8 in 10 students in medical, nursing, and pharmacy schools believed that health professionals have a role in giving advice or information on smoking cessation to patients. More than 9 in 10 students in all four disciplines believed that health professionals should receive training on smoking cessation techniques. However, those who received training ranged from 19.8% of pharmacy students to 43.7% of nursing students. AB - CONCLUSION: Tobacco use (cigarettes and water-pipe) is high among third-year health professional students in Lebanon. Students are willing to provide smoking-cessation counseling but lack training. The Ministry of Public Health, the Ministry of Education, and educational institutions in Lebanon should work together with other interested partners in developing, testing, and implementing successful patient cessation counseling training programs for health professionals. IS - 0023-9852 IL - 0023-9852 PT - Journal Article LG - English DP - 2009 Oct-Dec DC - 20091223 YR - 2009 ED - 20101014 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20027801 <400. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20836482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gillespie GL AU - Gates DM AU - Miller M AU - Howard PK FA - Gillespie, Gordon Lee FA - Gates, Donna M FA - Miller, Margaret FA - Howard, Patricia Kunz IN - Gillespie,Gordon Lee. University of Cincinnati, College of Nursing, Cincinnati, OH, USA. gordon.gillespie@uc.edu TI - Workplace violence in healthcare settings: risk factors and protective strategies. [Review] [51 refs] SO - Rehabilitation Nursing Journal. 35(5):177-84, 2010 Sep-Oct. AS - Rehabil Nurs. 35(5):177-84, 2010 Sep-Oct. NJ - Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 8104825, r25 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Occupational Exposure/pc [Prevention & Control] MH - *Rehabilitation Nursing MH - Risk Factors MH - *Social Support MH - *Violence/pc [Prevention & Control] MH - *Workplace AB - This article describes the risk factors and protective strategies associated with workplace violence perpetrated by patients and visitors against healthcare workers. Perpetrator risk factors for patients and visitors in healthcare settings include mental health disorders, drug or alcohol use, inability to deal with situational crises, possession of weapons, and being a victim of violence. Worker risk factors are gender, age, years of experience, hours worked, marital status, and previous workplace violence training. Setting and environmental risk factors for experiencing workplace violence include time of day and presence of security cameras. Protective strategies for combating the negative consequences of workplace violence include carrying a telephone, practicing self-defense, instructing perpetrators to stop being violent, self- and social support, and limiting interactions with potential or known perpetrators of violence. Workplace violence is a serious and growing problem that affects all healthcare professionals. Strategies are needed to prevent workplace violence and manage the negative consequences experienced by healthcare workers following violent events. [References: 51] IS - 0278-4807 IL - 0278-4807 PT - Journal Article PT - Review LG - English DP - 2010 Sep-Oct DC - 20100914 YR - 2010 ED - 20100930 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20836482 <401. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19594654 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sobczak JA FA - Sobczak, Janet Ambrogne IN - Sobczak,Janet Ambrogne. College of Nursing, Upstate Medical University, Syracuse, New York 13210, USA. sobczakj@upstate.edu TI - Managing high-acuity-depressed adults in primary care. SO - Journal of the American Academy of Nurse Practitioners. 21(7):362-70, 2009 Jul. AS - J Am Acad Nurse Pract. 21(7):362-70, 2009 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Antidepressive Agents, Tricyclic/tu [Therapeutic Use] MH - Depression/dt [Drug Therapy] MH - *Depression/nu [Nursing] MH - Evidence-Based Nursing MH - Humans MH - *Nurse Practitioners MH - *Primary Health Care MH - Psychometrics MH - Risk Factors MH - Serotonin Uptake Inhibitors/tu [Therapeutic Use] MH - Severity of Illness Index MH - *Suicide/pc [Prevention & Control] AB - PURPOSE: To identify strategies for managing high-acuity-depressed adults in primary care settings. Patients who do not achieve remission with initial treatment, patients at risk for suicide, and patients with co-occurring substance use disorders are specifically addressed. AB - DATA SOURCES: Scientific literature and evidence-based practice guidelines. AB - CONCLUSION: Accurate diagnosis is best accomplished using screening instruments as an adjunct to a thorough history and assessment. The goal of interventions is remission of symptoms as opposed to a partial response. Patient preferences regarding choice of intervention must be considered. Initial pharmacotherapy must include adequate doses and a trial of adequate duration. Patients who do not respond to two medication trials are at risk for suicide and/or have a co-occurring substance use disorder may require: (a) a combination of medications coupled with psychotherapy; or (b) referral to mental health specialists to achieve the best outcomes. AB - IMPLICATIONS FOR PRACTICE: High-acuity patients with mental health needs will continue to be seen in primary care settings. Through educational preparation and a patient-centered focus, advanced practice nurses in primary care settings are in an optimal position to set a high standard of care for complex mental health patients. RN - 0 (Antidepressive Agents) RN - 0 (Antidepressive Agents, Tricyclic) RN - 0 (Serotonin Uptake Inhibitors) ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2009.00422.x PT - Journal Article LG - English DP - 2009 Jul DC - 20090714 YR - 2009 ED - 20100929 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19594654 <402. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20509811 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKenna B AU - Thom K AU - Howard F AU - Williams V FA - McKenna, Brian FA - Thom, Katey FA - Howard, Fiona FA - Williams, Val IN - McKenna,Brian. Centre for Mental Health Research, Policy and Service Development, University of Auckland, Auckland, New Zealand. TI - In search of a national approach to professional supervision for mental health and addiction nurses: The New Zealand experience. SO - Contemporary Nurse. 34(2):267-76, 2010 Feb-Mar. AS - Contemp Nurse. 34(2):267-76, 2010 Feb-Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Credentialing/og [Organization & Administration] MH - Cross-Sectional Studies MH - Cultural Competency/ed [Education] MH - Cultural Competency/og [Organization & Administration] MH - Cultural Competency/px [Psychology] MH - Health Services Needs and Demand MH - Humans MH - Leadership MH - Mental Disorders/nu [Nursing] MH - New Zealand MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/og [Organization & Administration] MH - *Nurse Administrators/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - *Nursing, Supervisory/og [Organization & Administration] MH - *Practice Guidelines as Topic MH - *Professional Competence MH - *Psychiatric Nursing/og [Organization & Administration] MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - A competent nursing workforce is crucial for recovery of mental health and addiction service users. Professional supervision is central to facilitating this competency. This article reports on research that scoped the current provision of professional supervision then explores possibilities for developing a standardised national approach to professional supervision for mental health and addiction nurses in New Zealand. The study involved telephone and mail surveys with nurse leaders and current supervisors from district health boards and non-government organisations. The findings indicated that the majority of those canvassed were supportive of a nationally endorsed approach. Standardisation was seen as a means of assisting in the monitoring and quality refinement of the content and provision of professional supervision, and the training of supervisors. It was also recommended that to be successful, a national approach must incorporate partnerships with significant stakeholders in the sector, including service users and Maori. IS - 1037-6178 IL - 1037-6178 DO - http://dx.doi.org/10.5172/conu.2010.34.2.267 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Feb-Mar DC - 20100531 YR - 2010 ED - 20100916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20509811 <403. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20830986 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aina BA AU - Oyerinde OO AU - Joda AE AU - Dada OO FA - Aina, B A FA - Oyerinde, O O FA - Joda, A E FA - Dada, O O IN - Aina,B A. Department of Clinical Pharmacy and Biopharmacy, Faculty of Pharmacy, University of Lagos, Idi Araba Campus, Lagos, Nigeria. bolajokoaina@yahoo.com TI - Cigarette smoking among healthcare professional students of University of Lagos and Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, Nigeria. SO - Nigerian Quarterly Journal of Hospital Medicine. 19(1):42-6, 2009 Jan-Mar. AS - Niger. q. j. hosp. med.. 19(1):42-6, 2009 Jan-Mar. NJ - Nigerian quarterly journal of hospital medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9713944 SB - Index Medicus CP - Nigeria MH - Adolescent MH - Cross-Sectional Studies MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Nigeria/ep [Epidemiology] MH - Prevalence MH - Sex Distribution MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Universities MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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%). AB - 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. IS - 0189-2657 IL - 0189-2657 PT - Journal Article LG - English DP - 2009 Jan-Mar DC - 20100913 YR - 2009 ED - 20100916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20830986 <404. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20645589 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suydam L AU - Garcia A FA - Suydam, Linda FA - Garcia, Amy IN - Suydam,Linda. Consumer Healthcare Products Association, Washington, DC, USA. TI - School nurses connect schools and parents from home to homeroom to prevent teen medicine abuse. SO - NASN school nurse. 25(4):170-1, 2010 Jul. AS - NASN Sch Nurse. 25(4):170-1, 2010 Jul. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - *Health Education MH - Humans MH - *Nonprescription Drugs MH - Parents MH - *Prescription Drugs MH - Professional-Family Relations MH - *School Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States RN - 0 (Nonprescription Drugs) RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2010 Jul DC - 20100721 YR - 2010 ED - 20100818 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20645589 <405. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20645589 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suydam L AU - Garcia A FA - Suydam, Linda FA - Garcia, Amy IN - Suydam,Linda. Consumer Healthcare Products Association, Washington, DC, USA. TI - School nurses connect schools and parents from home to homeroom to prevent teen medicine abuse. SO - NASN school nurse. 25(4):170-1, 2010 Jul. AS - NASN Sch Nurse. 25(4):170-1, 2010 Jul. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 SB - Nursing Journal CP - United States MH - Adolescent MH - *Health Education MH - Humans MH - *Nonprescription Drugs MH - Parents MH - *Prescription Drugs MH - Professional-Family Relations MH - *School Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States RN - 0 (Nonprescription Drugs) RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Journal Article LG - English DP - 2010 Jul DC - 20100721 YR - 2010 ED - 20100818 RD - 20161221 UP - 20161222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20645589 <406. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19930113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murnion BP AU - Gnjidic D AU - Hilmer SN FA - Murnion, Bridin P FA - Gnjidic, Danijela FA - Hilmer, Sarah N IN - Murnion,Bridin P. Drug Health Services, Royal Prince Alfred Hospital, Royal North Shore Hospital, Sydney, NSW, Australia. bmurnion@med.usyd.edu.au TI - Prescription and administration of opioids to hospital in-patients, and barriers to effective use. SO - Pain Medicine. 11(1):58-66, 2010 Jan. AS - PAIN MED. 11(1):58-66, 2010 Jan. NJ - Pain medicine (Malden, Mass.) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Aged, 80 and over MH - Analgesia, Patient-Controlled MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Australia MH - Cross-Sectional Studies MH - *Drug Prescriptions MH - Drug Utilization MH - Ethnic Groups MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Inpatients MH - Male MH - Middle Aged MH - Morphine/tu [Therapeutic Use] MH - Nurses MH - Oxycodone/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] MH - Pain Measurement MH - Physicians MH - Tramadol/tu [Therapeutic Use] MH - Young Adult AB - OBJECTIVE: This study aimed to describe prescribing and administration of opioids in a tertiary referral teaching hospital. Secondary aims were assessment of staff knowledge of opioid pharmacology and available preparations, and of perceived barriers limiting opioid use. AB - DESIGN: A cross-sectional survey of in-patients requiring opioid analgesia was performed. An anonymous semi-structured questionnaire was administered to medical and nursing staff. AB - SETTING: Australian tertiary referral teaching hospital. AB - PATIENTS: All patients prescribed opioids on study wards over 3 months (N = 190). AB - RESULTS: Oxycodone was the most frequently prescribed opioid (51.4%). The majority (64.7%) of participants had incomplete pain relief, which was significantly associated with having opioid related side effects. There was no association between pain relief and prescribed daily dose or received daily dose of opioids. Limited understanding of opioid preparations, tolerance, and dependence was demonstrated by staff. The most common perceived barriers to opioid use included difficulties in identifying the right dose, staff time required to prescribe and monitor, and large numbers of preparations. While prescription of inadequate doses was perceived as a barrier, this study identified that submaximal doses were administered. An opioid educational session improved knowledge of opioid formulations. AB - CONCLUSION: The majority of participants had incomplete pain relief and the maximum prescribed doses of opioids were not administered. Reported barriers included staff knowledge of opioid dose titration and opioid preparations, and time constraints. Identified barriers included poor knowledge of opioid preparations. RN - 0 (Analgesics, Opioid) RN - 39J1LGJ30J (Tramadol) RN - 76I7G6D29C (Morphine) RN - CD35PMG570 (Oxycodone) ES - 1526-4637 IL - 1526-2375 DO - http://dx.doi.org/10.1111/j.1526-4637.2009.00747.x PT - Journal Article LG - English EP - 20091117 DP - 2010 Jan DC - 20100507 YR - 2010 ED - 20100812 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19930113 <407. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20527483 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shrimpton A FA - Shrimpton, Annabel TI - Intoxicated patient needed an advocate to protect his leg. SO - Nursing Standard. 24(36):29, 2010 May 12-18. AS - Nurs Stand. 24(36):29, 2010 May 12-18. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Alcoholic Intoxication MH - Ankle Injuries/th [Therapy] MH - Cellulitis/di [Diagnosis] MH - *Emergency Service, Hospital MH - Fracture Fixation MH - Humans MH - Male MH - Middle Aged MH - Nurse's Role MH - *Patient Advocacy MH - Students, Nursing IS - 0029-6570 IL - 0029-6570 PT - Case Reports PT - Journal Article LG - English DP - 2010 May 12-18 DC - 20100609 YR - 2010 ED - 20100708 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20527483 <408. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20136166 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruggiero C AU - Lattanzio F AU - Dell'Aquila G AU - Gasperini B AU - Cherubini A FA - Ruggiero, Carmelinda FA - Lattanzio, Fabrizia FA - Dell'Aquila, Giuseppina FA - Gasperini, Beatrice FA - Cherubini, Antonio IN - Ruggiero,Carmelinda. Institute of Gerontology and Geriatrics, Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy. ruggieroc07@hotmail.it TI - Inappropriate drug prescriptions among older nursing home residents: the Italian perspective. [Review] [45 refs] SO - Drugs & Aging. 26 Suppl 1:15-30, 2009 Dec. AS - Drugs Aging. 26 Suppl 1:15-30, 2009 Dec. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Internet JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - *Homes for the Aged MH - Humans MH - Italy MH - North America MH - *Nursing Homes AB - Older people take up a large proportion of health care, including drugs, and evidence shows that drug prescribing to this group is often inappropriate. Negative consequences of potential inappropriate drug prescription (PIDP) include adverse drug events, high healthcare service utilization and high costs for the patients and society. Although nursing home residents are the most vulnerable persons exposed to PIDP, few observational studies have investigated the prevalence, the factors associated with and the consequences of PIDP. Epidemiological studies assessing PIDP mainly based on the Beers' criteria showed that approximately half of US and Canadian nursing home residents have at least one PIDP in this setting. The most frequent inappropriate prescriptions concern neuroleptics and long-term benzodiazepines. Nursing home residents aged 80 years or more, those taking a low number of drugs, cognitive or communication problems are less exposed to PIDP compared with residents younger than 80 years, living in facilities with a high number of beds and a lower registered nurse-to-resident ratio. In European countries, the prevalence of PIDP among older nursing home residents was comparable to or higher than that observed in US and Canadian nursing homes. To date, the issue of PIDP has never been investigated in a representative sample of Italian nursing home residents. In a preliminary study performed by our group in 496 nursing home residents randomly selected from 40 nursing homes in Umbria, the prevalence of residents taking at least one or two inappropriate medications was 28% and 7%, respectively. The prevalence of PIDP considering diagnosis (18%) as well as those regardless of diagnosis (17%), as determined by Beers' criteria, were equally distributed in older Italian nursing home residents and no difference was found between sexes. Overall, this review reveals that the prevalence of PIDP is high in both North American and European nursing homes and highlights the urgent need for intervention trials testing strategies to reduce the health and social burden of PIDP. [References: 45] ES - 1179-1969 IL - 1170-229X DO - http://dx.doi.org/10.2165/11534630-000000000-00000 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2009 Dec DC - 20100208 YR - 2009 ED - 20100708 RD - 20150529 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20136166 <409. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20360274 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke SP AU - Schaefer JA FA - Lemke, Sonne P FA - Schaefer, Jeanne A IN - Lemke,Sonne P. Department of Veterans Affairs Palo Alto Health Care System, Center for Health Care Evaluation, 795 Willow Rd., Menlo Park, CA 94025, USA. sonne.lemke@va.gov TI - Recent changes in the prevalence of psychiatric disorders among VA nursing home residents. CM - Comment in: Psychiatr Serv. 2010 Apr;61(4):335; PMID: 20360269 SO - Psychiatric Services. 61(4):356-63, 2010 Apr. AS - Psychiatr Serv. 61(4):356-63, 2010 Apr. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t SB - Index Medicus CP - United States MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Cohort Studies MH - Cross-Sectional Studies MH - Dementia/di [Diagnosis] MH - Dementia/ep [Epidemiology] MH - Depressive Disorder/di [Diagnosis] MH - Depressive Disorder/ep [Epidemiology] MH - Female MH - Health Services Research MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Homes for the Aged/td [Trends] MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/ep [Epidemiology] MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Nursing Homes/td [Trends] MH - Schizophrenia/di [Diagnosis] MH - Schizophrenia/ep [Epidemiology] MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - United States MH - *Veterans/px [Psychology] MH - *Veterans/sn [Statistics & Numerical Data] AB - OBJECTIVE: This study identified recent changes in the prevalence of psychiatric disorders among Department of Veterans Affairs (VA) nursing home residents. AB - 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). AB - 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). AB - 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. ES - 1557-9700 IL - 1075-2730 DO - http://dx.doi.org/10.1176/appi.ps.61.4.356 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2010 Apr DC - 20100402 YR - 2010 ED - 20100630 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20360274 <410. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20384385 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olsson J AU - Bergman A AU - Carlsten A AU - Oke T AU - Bernsten C AU - Schmidt IK AU - Fastbom J FA - Olsson, Jonny FA - Bergman, Asa FA - Carlsten, Anders FA - Oke, Thimothy FA - Bernsten, Cecilia FA - Schmidt, Ingrid K FA - Fastbom, Johan IN - Olsson,Jonny. Department of Drug Safety, Medical Products Agency, Uppsala, Sweden. TI - Quality of drug prescribing in elderly people in nursing homes and special care units for dementia: a cross-sectional computerized pharmacy register analysis. SO - Clinical Drug Investigation. 30(5):289-300, 2010. AS - Clin Drug Invest. 30(5):289-300, 2010. NJ - Clinical drug investigation PI - Journal available in: Print PI - Citation processed from: Print JC - 9504817 SB - Index Medicus CP - New Zealand MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Dementia/dt [Drug Therapy] MH - Female MH - Humans MH - Male MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Pharmaceutical Preparations/ad [Administration & Dosage] MH - Physicians/st [Standards] MH - *Physicians/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/st [Standards] MH - Quality Indicators, Health Care MH - *Quality of Health Care MH - Registries MH - Sweden AB - BACKGROUND: Drug prescribing to the elderly is extensive and often inappropriate. Furthermore, the number of drugs used is the most important risk factor for adverse drug reactions. Despite this, drug prescribing in the elderly in Sweden is high and increasing. In 2003 the Swedish National Board of Health and Welfare launched a set of indicators to evaluate the quality of drug therapy in the elderly. Use of this tool in combination with the Swedish computerized national register covering all persons receiving multi-dose drug dispensing (drugs dispensed in one dose unit bag for each dose occasion) would enable detection of inappropriate drug prescribing and could help reduce the risk of drug-related problems among the elderly. AB - OBJECTIVES: To assess the extent and quality of drug prescribing in younger and older elderly residents receiving multi-dose drug dispensing in ordinary nursing homes (NHs) and special care units for dementia (NHDs), and to evaluate the relationship between the quality of prescribing and the number of prescribers per resident, in a Swedish county. AB - METHODS: The computerized national pharmacy drug register provided the database and a cross-sectional design was used. Selected drug-specific quality indicators proposed by the Swedish National Board of Health and Welfare in 2003 were used to assess the quality of drug prescribing. AB - RESULTS: This study included 3705 residents. Their mean age was 85 years and 72% were women. The mean number of prescribed drugs was 10.3 per resident. The proportion of residents with prescriptions for psychotropic drugs was 80% in NHs and 85% in NHDs. The prevalence of each drug-specific quality indicator was as follows: long-acting benzodiazepines 16.4% (NHs) versus 11.7% (NHDs), anticholinergic drugs 20.7% versus 18.5%, drug duplication 14.6% versus 13.6%, three or more psychotropic drugs 25.6% versus 35.3%, class C interactions (drug combinations that may require dose adjustment) 41.9% versus 38.7% and class D interactions (drug combinations that should be avoided) 8.1% versus 5.6%. Younger elderly residents (age 65-79 years) had a lower quality of drug prescribing. An increasing number of prescribers per resident was associated with a lower quality of drug therapy. AB - CONCLUSIONS: We found a lower quality of drug prescribing, e.g. anticholinergic drugs prescribed to approximately 20% of residents of NHs and NHDs, and a higher rate of psychotropic drug use (>/=80%) compared with previous studies in NHs. Our results also demonstrated a negative correlation between quality of prescribing and number of prescribers per resident. RN - 0 (Pharmaceutical Preparations) IS - 1173-2563 IL - 1173-2563 DO - http://dx.doi.org/10.2165/11534320-000000000-00000 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 DC - 20100413 YR - 2010 ED - 20100610 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20384385 <411. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737209 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA AU - Rice VH AU - Wewers ME FA - Sarna, Linda FA - Bialous, Stella A FA - Rice, Virginia H FA - Wewers, Mary Ellen IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, CA 90095-6918, USA. lsarna@sonnet.ucla.edu TI - Promoting tobacco dependence treatment in nursing education. [Review] [80 refs] SO - Drug & Alcohol Review. 28(5):507-16, 2009 Sep. AS - Drug Alcohol Rev. 28(5):507-16, 2009 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - Curriculum/td [Trends] MH - *Education, Nursing/mt [Methods] MH - Education, Nursing/td [Trends] MH - Humans MH - *Nurse's Role MH - Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] AB - 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. AB - 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. AB - 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. AB - IMPLICATIONS: Research and changes in policy are needed to ensure that nursing education includes essential content on tobacco control. AB - 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 [References: 80] ES - 1465-3362 IL - 0959-5236 DO - http://dx.doi.org/10.1111/j.1465-3362.2009.00107.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - CDC, 1R18DP001149-01 (United States NCCDPHP CDC HHS) LG - English DP - 2009 Sep DC - 20090909 YR - 2009 ED - 20100518 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19737209 <412. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20015951 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gill JS AU - Gibson C AU - Nicol M FA - Gill, Jan S FA - Gibson, Caroline FA - Nicol, Maggie IN - Gill,Jan S. School of Health Sciences, Queen Margaret University, Edinburgh, EH21 6UU, UK. jgill@qmu.ac.uk TI - Healthcare and medical graduates of 2009: their reactions to four key proposals in the Scottish Government's strategy for tackling alcohol misuse. SO - Alcohol & Alcoholism. 45(2):200-6, 2010 Mar-Apr. AS - Alcohol Alcohol. 45(2):200-6, 2010 Mar-Apr. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 SB - Index Medicus CP - England MH - Accidents, Traffic/lj [Legislation & Jurisprudence] MH - Accidents, Traffic/pc [Prevention & Control] MH - Adult MH - Age Factors MH - *Alcohol Drinking/lj [Legislation & Jurisprudence] MH - Alcoholic Beverages/ec [Economics] MH - Alcoholic Intoxication/bl [Blood] MH - *Alcoholic Intoxication/pc [Prevention & Control] MH - *Allied Health Personnel/ed [Education] MH - *Allied Health Personnel/px [Psychology] MH - *Attitude of Health Personnel MH - Ethanol/bl [Blood] MH - Female MH - *Government Regulation MH - Humans MH - Male MH - Middle Aged MH - Scotland MH - *Students, Medical/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - 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. AB - 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, self-completed questionnaires were administered in spring 2009 through course websites and lectures to final year medical and NAHP students. AB - 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 50 mg/100 ml 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. AB - 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. RN - 3K9958V90M (Ethanol) ES - 1464-3502 IL - 0735-0414 DO - http://dx.doi.org/10.1093/alcalc/agp084 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20091216 DP - 2010 Mar-Apr DC - 20100204 YR - 2010 ED - 20100430 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20015951 <413. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20388674 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stafford N FA - Stafford, Ned TI - At least 25% of elderly residents of German nursing homes are addicted to psychotropic drugs, report claims. SO - BMJ. 340:c2029, 2010. AS - BMJ. 340:c2029, 2010. NJ - BMJ (Clinical research ed.) PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Aged MH - Female MH - Germany/ep [Epidemiology] MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Psychotropic Drugs MH - Risk Factors MH - *Substance-Related Disorders/ep [Epidemiology] RN - 0 (Psychotropic Drugs) ES - 1756-1833 IL - 0959-535X DI - bmj.c2029 DO - http://dx.doi.org/10.1136/bmj.c2029 PT - News LG - English EP - 20100413 DP - 2010 DC - 20100414 YR - 2010 ED - 20100426 RD - 20120306 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20388674 <414. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20038876 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poole S FA - Poole, Susan IN - Poole,Susan. Southwest Horizon Healthcare Consulting, USA. TI - Update on the treatment and management of patients with hepatitis. SO - Journal of Infusion Nursing. 32(5):269-75, 2009 Sep-Oct. AS - J Infus Nurs. 32(5):269-75, 2009 Sep-Oct. NJ - Journal of infusion nursing : the official publication of the Infusion Nurses Society PI - Journal available in: Print PI - Citation processed from: Internet JC - d5m, 101124170 SB - Nursing Journal CP - United States MH - Female MH - Hepatitis A/im [Immunology] MH - *Hepatitis A/nu [Nursing] MH - Hepatitis A Vaccines/tu [Therapeutic Use] MH - Hepatitis B/im [Immunology] MH - *Hepatitis B/nu [Nursing] MH - Hepatitis B Vaccines/tu [Therapeutic Use] MH - Hepatitis C/im [Immunology] MH - *Hepatitis C/nu [Nursing] MH - Hepatitis D/im [Immunology] MH - *Hepatitis D/nu [Nursing] MH - Humans MH - Infusions, Intravenous/nu [Nursing] MH - Male MH - Viral Hepatitis Vaccines/tu [Therapeutic Use] AB - Hepatitis is an inflammation of the liver that can be mild to life-threatening, based on the causative agent. Hepatitis viruses A through G are described along with potential treatments and infusion therapies. Nonviral causes of hepatitis include autoimmune, toxic, drug-induced, and alcoholic. The role of the infusion nurse is critical in prevention, patient education regarding all aspects of the condition, and administering and monitoring appropriate therapy. RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Viral Hepatitis Vaccines) ES - 1539-0667 IL - 1533-1458 DO - http://dx.doi.org/10.1097/NAN.0b013e3181b42d30 PT - Journal Article LG - English DP - 2009 Sep-Oct DC - 20091229 YR - 2009 ED - 20100423 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20038876 <415. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19560771 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Molina AJ AU - Fernandez D AU - Delgado M AU - Martin V FA - Molina, Antonio J FA - Fernandez, Daniel FA - Delgado, Miguel FA - Martin, Vicente IN - Molina,Antonio J. Area of Preventive Medicine and Public Health, Department of Biomedical Sciences, University of Leon, Altos de la Nava s/n; Postal code 24071, Leon, Spain. ajmolt@unileon.es TI - Sensitivity and specificity of a self-administered questionnaire of tobacco use; including the Fagerstrom test. SO - International Journal of Nursing Studies. 47(2):181-9, 2010 Feb. AS - Int J Nurs Stud. 47(2):181-9, 2010 Feb. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Cotinine/an [Analysis] MH - Female MH - Humans MH - Physical Therapy Specialty/ed [Education] MH - Saliva/ch [Chemistry] MH - Sensitivity and Specificity MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Students, Nursing MH - *Surveys and Questionnaires/st [Standards] MH - Tobacco Smoke Pollution AB - BACKGROUND: Preventing tobacco consumption and promoting cessation among health professionals are of great significance as their habits can influence their patients' attitudes. Knowledge of the prevalence and characteristics of tobacco use in a specific population is important for the design of efficient strategies for preventing people from acquiring the habit and persuading them to stop. Self-administered questionnaires are a very common method for determining tobacco use, but assessment is needed of their validity for specific groups, such as occasional smokers or students of health sciences. AB - OBJECTIVES: The aim of this study was to determine the sensitivity and specificity of a self-administered questionnaire for determining tobacco use among a population of young female students of health sciences. As a gold standard, we used a measure of the concentration of cotinine in saliva with different cut-off points. We also analysed the influence on sensitivity and specificity of the questionnaire of nicotine dependence and exposure to secondary smoke. AB - DESIGN: This is an internal validity study (sensitivity and specificity) of a self-administered questionnaire. AB - SETTINGS: The study was carried out in the School of Health Sciences of the University of Leon, at its centres in Leon and Ponferrada. AB - PARTICIPANTS: Data were collected on 432 of a total of 480 women aged under 25 who were studying Health Sciences at the University of Leon in 2007. AB - METHODS: The self-administered questionnaire included data concerning demography, education, tobacco habits and exposure to environmental smoke. Saliva cotinine concentration was determined with an EIA kit. AB - RESULTS: The questionnaire used showed high values of sensitivity and specificity (85.3% and 95.3%) and a very good correlation (Kappa=81.0%) with cotinine values of 10ng/ml or higher. Discrepancies in the test results for those who declared themselves to be smokers only occurred in women with a low nicotine dependency. Among those who did not declare themselves smokers, those exposed to second-hand smoke were 7 times more frequently classified erroneously as smokers than those who had not been exposed. AB - CONCLUSION: The self-administered questionnaire used showed a very good internal validity and a good correlation with cotinine levels of 10ng/mg, and therefore seems to be a good instrument for measuring tobacco use in this population. The availability of information on passive smoking and nicotine dependence is essential for the correct interpretation of the discrepancies.Copyright 2009 Elsevier Ltd. All rights reserved. RN - 0 (Tobacco Smoke Pollution) RN - K5161X06LL (Cotinine) ES - 1873-491X IL - 0020-7489 DO - http://dx.doi.org/10.1016/j.ijnurstu.2009.05.022 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20090627 DP - 2010 Feb DC - 20100201 YR - 2010 ED - 20100422 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19560771 <416. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20222513 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - FL: Nurse used hospital's drugs for murder: hospital's motion to dismiss suit overruled. Herndon v. Shands Teaching Hospital, 1D09-0437 (11/30/2009)-FL. SO - Nursing Law's Regan Report. 50(8):3, 2010 Jan. AS - Nurs Law Regan Rep. 50(8):3, 2010 Jan. NJ - Nursing law's Regan report PI - Journal available in: Print PI - Citation processed from: Print JC - 100936959 SB - Nursing Journal CP - United States MH - *Employee Discipline/lj [Legislation & Jurisprudence] MH - Florida MH - *Homicide/lj [Legislation & Jurisprudence] MH - Humans MH - *Nursing Staff, Hospital/lj [Legislation & Jurisprudence] MH - *Personnel Selection/lj [Legislation & Jurisprudence] MH - *Professional Misconduct/lj [Legislation & Jurisprudence] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders IS - 1528-848X IL - 1528-848X PT - Journal Article PT - Legal Cases LG - English DP - 2010 Jan DC - 20100312 YR - 2010 ED - 20100409 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20222513 <417. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20146552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruetsch C FA - Ruetsch, Charles IN - Ruetsch,Charles. Health Analytics, LLC, 9250 BendixnRd. N., Ste. 240, Columbia, MD 21045, USA. Charles.Ruetsch@healthanalytic.com. TI - Practice strategies to improve compliance and patient self-management. [Review] [4 refs] SO - Journal of Managed Care Pharmacy. 16(1 Suppl B):S26-7, 2010 Feb. AS - J Manage Care Pharm. 16(1 Suppl B):S26-7, 2010 Feb. NJ - Journal of managed care pharmacy : JMCP PI - Journal available in: Print PI - Citation processed from: Print JC - 9605854 SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Behavior Therapy MH - Chronic Disease MH - Combined Modality Therapy MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Opioid-Related Disorders/th [Therapy] MH - *Pain/dt [Drug Therapy] MH - Patient Care Team MH - *Patient Compliance MH - *Patient Education as Topic MH - *Self Care MH - Treatment Outcome AB - 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. AB - OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. AB - 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. AB - 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. [References: 4] RN - 0 (Analgesics, Opioid) IS - 1083-4087 IL - 1083-4087 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2010 Feb DC - 20100211 YR - 2010 ED - 20100408 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20146552 <418. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20081090 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peterson J FA - Peterson, Jane IN - Peterson,Jane. University of Missouri Kansas City, School of Nursing, Kansas City, Missouri, USA. TI - A qualitative comparison of parent and adolescent views regarding substance use. SO - Journal of School Nursing. 26(1):53-64, 2010 Feb. AS - J Sch Nurs. 26(1):53-64, 2010 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Internet JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Attitude to Health MH - Child MH - Female MH - Focus Groups MH - Humans MH - Male MH - Marijuana Smoking/pc [Prevention & Control] MH - Midwestern United States MH - *Parents MH - Risk Factors MH - Smoking/pc [Prevention & Control] MH - *Students MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Young Adult AB - 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. ES - 1546-8364 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840509355586 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2010 Feb DC - 20100118 YR - 2010 ED - 20100407 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20081090 <419. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19366423 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tran DT AU - Stone AM AU - Fernandez RS AU - Griffiths RD AU - Johnson M FA - Tran, Duong Thuy FA - Stone, Andrea M FA - Fernandez, Ritin S FA - Griffiths, Rhonda D FA - Johnson, Maree IN - Tran,Duong Thuy. Centre for Applied Nursing Research, University of Western Sydney, Penrith, New South Wales, Australia. danielle.tran@sswahs.nsw.gov.au TI - Changes in general nurses' knowledge of alcohol and substance use and misuse after education. SO - Perspectives in Psychiatric Care. 45(2):128-39, 2009 Apr. AS - Perspect Psychiatr Care. 45(2):128-39, 2009 Apr. NJ - Perspectives in psychiatric care PI - Journal available in: Print PI - Citation processed from: Internet JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Adult MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/nu [Nursing] MH - Alcohol Withdrawal Delirium/rh [Rehabilitation] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - *Clinical Competence MH - Curriculum MH - Female MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - New South Wales MH - *Nursing Staff, Hospital/ed [Education] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] AB - 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. AB - DESIGN AND METHODS: Pre- and posttest design without a control group. AB - 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. AB - 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. ES - 1744-6163 IL - 0031-5990 DO - http://dx.doi.org/10.1111/j.1744-6163.2009.00213.x PT - Journal Article LG - English DP - 2009 Apr DC - 20090415 YR - 2009 ED - 20100329 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19366423 <420. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192112 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hahn EJ AU - Ashford KB AU - Okoli CT AU - Rayens MK AU - Ridner SL AU - York NL FA - Hahn, Ellen J FA - Ashford, Kristin B FA - Okoli, Chizimuzo T C FA - Rayens, Mary Kay FA - Ridner, S Lee FA - York, Nancy L IN - Hahn,Ellen J. University of Kentucky College of Nursing, USA. TI - Nursing research in community-based approaches to reduce exposure to secondhand smoke. [Review] [116 refs] SO - Annual Review of Nursing Research. 27:365-91, 2009. AS - Annu Rev Nurs Res. 27:365-91, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude to Health MH - Consumer Participation MH - Environmental Exposure/ae [Adverse Effects] MH - *Environmental Exposure/pc [Prevention & Control] MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Nursing Research MH - *Public Policy MH - *Smoking/lj [Legislation & Jurisprudence] MH - Smoking/pc [Prevention & Control] MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - United States MH - Workplace AB - 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. [References: 116] RN - 0 (Tobacco Smoke Pollution) IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192112 <421. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDaniel AM AU - Stratton RM AU - Britain M FA - McDaniel, Anna M FA - Stratton, Renee M FA - Britain, Maria IN - McDaniel,Anna M. Indiana University Schools of Nursing, USA. TI - Systems approaches to tobacco dependence treatment. [Review] [70 refs] SO - Annual Review of Nursing Research. 27:345-63, 2009. AS - Annu Rev Nurs Res. 27:345-63, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Delivery of Health Care, Integrated/og [Organization & Administration] MH - *Diffusion of Innovation MH - Education, Nursing, Continuing MH - Electronic Health Records MH - Health Services Research MH - Humans MH - Nursing Research MH - Patient Identification Systems MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/th [Therapy] MH - United States AB - 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. [References: 70] IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192111 <422. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192104 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tingen MS AU - Andrews JO AU - Stevenson AW FA - Tingen, Martha S FA - Andrews, Jeannette O FA - Stevenson, Ashley W IN - Tingen,Martha S. Department of Pediatrics, School of Medicine, Medical College of Georgia, USA. TI - Primary and secondary tobacco prevention in youth. [Review] [90 refs] SO - Annual Review of Nursing Research. 27:171-93, 2009. AS - Annu Rev Nurs Res. 27:171-93, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Community Health Nursing/mt [Methods] MH - Family Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - Nursing Research MH - School Nursing/mt [Methods] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] AB - 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. [References: 90] IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Review LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192104 <423. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192103 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahijevych K FA - Ahijevych, Karen IN - Ahijevych,Karen. The Ohio State University, College of Nursing, USA. TI - Biological models for studying and assessing tobacco use. [Review] [55 refs] SO - Annual Review of Nursing Research. 27:145-68, 2009. AS - Annu Rev Nurs Res. 27:145-68, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Biomarkers MH - Genetic Predisposition to Disease MH - Humans MH - Models, Biological MH - Smoking/ge [Genetics] MH - Smoking/me [Metabolism] MH - *Smoking/pp [Physiopathology] MH - Tobacco/ch [Chemistry] MH - Tobacco Use Disorder/ge [Genetics] MH - Tobacco Use Disorder/me [Metabolism] MH - *Tobacco Use Disorder/pp [Physiopathology] AB - 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. [References: 55] RN - 0 (Biomarkers) IS - 0739-6686 IL - 0739-6686 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review NO - R01 DA017313 (United States NIDA NIH HHS) LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192103 <424. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20192098 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA FA - Sarna, Linda FA - Bialous, Stella Aguinaga IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, USA. TI - Why nursing research in tobacco control?. SO - Annual Review of Nursing Research. 27:3-31, 2009. AS - Annu Rev Nurs Res. 27:3-31, 2009. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - Health Promotion/td [Trends] MH - *Health Promotion MH - Humans MH - Nursing Research/ec [Economics] MH - Nursing Research/ed [Education] MH - Nursing Research/td [Trends] MH - *Nursing Research MH - Research Support as Topic MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Smoking/th [Therapy] MH - Smoking Cessation MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco Use Disorder/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - 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. RN - 0 (Tobacco Smoke Pollution) IS - 0739-6686 IL - 0739-6686 PT - Journal Article LG - English DP - 2009 DC - 20100302 YR - 2009 ED - 20100323 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=20192098 <425. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19625023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Losa Iglesias ME AU - Becerro de Bengoa Vallejo R AU - Salvadores Fuentes P FA - Losa Iglesias, Marta Elena FA - Becerro de Bengoa Vallejo, Ricardo FA - Salvadores Fuentes, Paloma IN - Losa Iglesias,Marta Elena. Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid, Spain. marta.losa@urjc.es TI - The relationship between experiential avoidance and burnout syndrome in critical care nurses: a cross-sectional questionnaire survey. SO - International Journal of Nursing Studies. 47(1):30-7, 2010 Jan. AS - Int J Nurs Stud. 47(1):30-7, 2010 Jan. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Avoidance Learning MH - *Burnout, Professional MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Staff, Hospital/px [Psychology] MH - Spain MH - Surveys and Questionnaires AB - BACKGROUND: Critical care nurses often face complex stressful situations, and the phenomenon of burnout syndrome has been recognized as an important and increasing problem. Recent research suggests that another phenomenon, experiential avoidance, may be associated with burnout syndrome. AB - OBJECTIVES: To determine the relationship between burnout syndrome and experiential avoidance in Spanish critical care nurses and to evaluate the relationships between burnout, experiential avoidance, certain health habits, and sociodemographic and job-related factors. AB - DESIGN: A descriptive survey. AB - SETTING: Participants were recruited from the critical care units of five major hospitals in the Northern State of Spain, Principado de Asturias. AB - PARTICIPANTS: Of 98 critical care nurses who met the criteria for study inclusion, 80 agreed to participate and completed the survey. The participants were staff nurses who had worked a minimum of 1 year full-time in a critical care unit. Most were women and were aged 22-56 years. AB - METHODS: The survey instrument consisted of the Maslach Burnout Inventory (to measure burnout) and the Acceptance and Action Questionnaire (to measure experiential avoidance). The survey also collected data regarding age, sex, marital status, type of hospital, years of critical care experience, number of patients per nurse, and self-reported tobacco dependency greater than 6 months. AB - RESULTS: Participants showed high levels of emotional exhaustion (25.19+/-10.52), moderate levels of depersonalization (6.53+/-6.04), and low levels of accomplishment (8.95+/-7.890) as measured by the Maslach Burnout Inventory. The Acceptance and Action Questionnaire revealed a mean low pathologic score of 35.29+/-6.56. Pearson product moment correlation analysis indicated a significant inverse correlation between scores on the Maslach Burnout Inventory accomplishment subscale and scores on the Acceptance and Action Questionnaire frequency (r=0.237, p=0.05). More marked and significant was the positive correlation between the Acceptance and Action Questionnaire score and the depersonalization (r=0.525, p=0.01) and emotional exhaustion (r=0.507, p=0.01) subscale scores. Being older than 30 years and having more than 10 years of experience in a critical care environment as a nurse were significantly related to emotional exhaustion as measured by the Maslach Burnout Inventory. Clear evidence was found of an association between marital status and accomplishment (p=0.01) and between tobacco habit and depersonalization (p=0.003). AB - CONCLUSIONS: This study demonstrates a relationship between experiential avoidance and burnout syndrome in critical care nurses in Spain. Being older than 30 years, having more than 10 years of experience, being single, and smoking were associated with a nurse's vulnerability to burnout syndrome. ES - 1873-491X IL - 0020-7489 DO - http://dx.doi.org/10.1016/j.ijnurstu.2009.06.014 PT - Journal Article LG - English EP - 20090722 DP - 2010 Jan DC - 20091208 YR - 2010 ED - 20100309 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19625023 <426. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19889887 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruf D AU - Berner M AU - Kriston L AU - Lohmann M AU - Mundle G AU - Lorenz G AU - Niebling W AU - Harter M FA - Ruf, D FA - Berner, M FA - Kriston, L FA - Lohmann, M FA - Mundle, G FA - Lorenz, G FA - Niebling, W FA - Harter, M IN - Ruf,D. Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research, University Medical Centre Freiburg, D-79104 Freiburg, Germany. daniela.ruf@uniklinik-freiburg.de TI - Cluster-randomized controlled trial of dissemination strategies of an online quality improvement programme for alcohol-related disorders. SO - Alcohol & Alcoholism. 45(1):70-8, 2010 Jan-Feb. AS - Alcohol Alcohol. 45(1):70-8, 2010 Jan-Feb. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 SB - Index Medicus CP - England MH - *Alcohol-Related Disorders/di [Diagnosis] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Nursing/mt [Methods] MH - Evidence-Based Practice/mt [Methods] MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Female MH - Humans MH - *Information Dissemination/mt [Methods] MH - Male MH - Middle Aged MH - Nurses MH - *Online Systems MH - Program Evaluation MH - *Quality of Health Care AB - AIMS: This project investigated different dissemination strategies of an online quality improvement programme for alcohol-related disorders into routine care in South Baden and South Wurttemberg in Germany. AB - METHODS: In a cluster-randomized controlled trial, 112 general practices were randomized into three groups. The first group (n = 43) received access to the online system and a training programme for the general practitioners (GPs). The second group (n = 42) additionally received education for the whole practice team. The third group (n = 27) acted as control and received only access to the online system. AB - RESULTS: Two thousand six hundred and forty-seven practitioners were asked to take part in the study, and it was possible to randomize 112 (4%) practices. There were no significant differences concerning the use of the system between the groups: 41.9% of the GPs in the first group, 42.9% in the second group and 44.4% in the control group used the system. In terms of only the system users, 55.6% of the GPs in the first group, 33.3% in the second group and 8.3% in the control group used the system six times or more (P = 0.019). Diagnostic assessments made by the GPs in the groups differed substantially: 72.2% of diagnoses in the first group were correct, while this figure lay at 69.7% in the second group and 36.4% in the control group (P = 0.034). AB - CONCLUSIONS: No effect of the additional training on the primary outcome (acceptance) was identified, but on two of the secondary outcomes. Further cost-effectiveness studies should investigate whether the effort involved in providing training additionally to the system is justifiable. The study is registered at ClinicalTrials.gov: NCT00314067. This article conforms to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement (Moher et al., 2001; Campbell et al., 2004). ES - 1464-3502 IL - 0735-0414 DO - http://dx.doi.org/10.1093/alcalc/agp079 PT - Journal Article PT - Randomized Controlled Trial SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT00314067 SL - http://clinicaltrials.gov/search/term=NCT00314067 LG - English EP - 20091104 DP - 2010 Jan-Feb DC - 20091229 YR - 2010 ED - 20100304 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19889887 <427. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19882396 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunins HV AU - Sohler NL AU - Roose RJ AU - Cunningham CO FA - Kunins, Hillary V FA - Sohler, Nancy L FA - Roose, Robert J FA - Cunningham, Chinazo O IN - Kunins,Hillary V. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467, USA. hkunins@montefiore.org TI - HIV provider endorsement of primary care buprenorphine treatment: a vignette study. SO - Family Medicine. 41(10):722-8, 2009 Nov-Dec. AS - Fam Med. 41(10):722-8, 2009 Nov-Dec. NJ - Family medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 OI - Source: NLM. NIHMS161102 OI - Source: NLM. PMC2827924 SB - Index Medicus CP - United States MH - African Continental Ancestry Group MH - *Attitude of Health Personnel MH - *Buprenorphine/tu [Therapeutic Use] MH - Cross-Sectional Studies MH - Family Practice MH - Female MH - *HIV Infections/co [Complications] MH - Humans MH - Internal Medicine MH - Male MH - Middle Aged MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Primary Health Care MH - Surveys and Questionnaires AB - BACKGROUND AND OBJECTIVES: Opioid dependence is common among HIV-infected persons in the United States. Factors associated with HIV care providers recommending buprenorphine for opioid dependence are poorly defined. Using vignettes, we sought to identify HIV provider characteristics associated with endorsing buprenorphine treatment in primary care. AB - METHODS: We used a cross-sectional survey of HIV providers, including 497 physicians, nurse practitioners, and physician assistants attending HIV educational conferences in 2006. Anonymous questionnaires distributed to conference attendees contained one of two vignettes depicting opioid-dependent patients. Respondents recommended type of substance abuse treatment for the vignette patient. Using logistic regression, we tested patient and provider factors associated with HIV provider endorsement of buprenorphine in primary care. AB - RESULTS: Sixteen percent of providers endorsed buprenorphine treatment in primary care for vignette patients. Family physicians and general internists (AOR=2.8, CI=1.1-7.1), African American providers (AOR=3.0, CI=1.3-6.8), and those with previous buprenorphine prescribing experience (AOR=4.6, CI=1.2-17.9) were more likely to endorse buprenorphine treatment in primary care. AB - CONCLUSIONS: HIV providers infrequently endorsed buprenorphine treatment in primary care for vignette patients. Generalist and African American providers and those with previous buprenorphine prescribing experience are more likely to endorse buprenorphine treatment in primary care. Targeting generalist and minority providers may be one strategy to promote effective integration of HIV care and opioid addiction treatment. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1938-3800 IL - 0742-3225 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R25 DA014551 (United States NIDA NIH HHS) NO - R25 DA014551-02 (United States NIDA NIH HHS) NO - 6H97HA00247 (United States PHS HHS) NO - R25DA14551 (United States NIDA NIH HHS) NO - M01 RR012248 (United States NCRR NIH HHS) NO - 5P30 A1051519 (United States PHS HHS) NO - M01-RR12248 (United States NCRR NIH HHS) LG - English DP - 2009 Nov-Dec DC - 2009112 YR - 2009 ED - 20100219 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19882396 <428. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19882396 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunins HV AU - Sohler NL AU - Roose RJ AU - Cunningham CO FA - Kunins, Hillary V FA - Sohler, Nancy L FA - Roose, Robert J FA - Cunningham, Chinazo O IN - Kunins,Hillary V. Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10467, USA. hkunins@montefiore.org TI - HIV provider endorsement of primary care buprenorphine treatment: a vignette study. SO - Family Medicine. 41(10):722-8, 2009 Nov-Dec. AS - Fam Med. 41(10):722-8, 2009 Nov-Dec. NJ - Family medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 OI - Source: NLM. NIHMS161102 OI - Source: NLM. PMC2827924 SB - Index Medicus CP - United States MH - African Continental Ancestry Group MH - *Attitude of Health Personnel MH - *Buprenorphine/tu [Therapeutic Use] MH - Cross-Sectional Studies MH - Family Practice MH - Female MH - *HIV Infections/co [Complications] MH - Humans MH - Internal Medicine MH - Male MH - Middle Aged MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Primary Health Care MH - Surveys and Questionnaires AB - BACKGROUND AND OBJECTIVES: Opioid dependence is common among HIV-infected persons in the United States. Factors associated with HIV care providers recommending buprenorphine for opioid dependence are poorly defined. Using vignettes, we sought to identify HIV provider characteristics associated with endorsing buprenorphine treatment in primary care. AB - METHODS: We used a cross-sectional survey of HIV providers, including 497 physicians, nurse practitioners, and physician assistants attending HIV educational conferences in 2006. Anonymous questionnaires distributed to conference attendees contained one of two vignettes depicting opioid-dependent patients. Respondents recommended type of substance abuse treatment for the vignette patient. Using logistic regression, we tested patient and provider factors associated with HIV provider endorsement of buprenorphine in primary care. AB - RESULTS: Sixteen percent of providers endorsed buprenorphine treatment in primary care for vignette patients. Family physicians and general internists (AOR=2.8, CI=1.1-7.1), African American providers (AOR=3.0, CI=1.3-6.8), and those with previous buprenorphine prescribing experience (AOR=4.6, CI=1.2-17.9) were more likely to endorse buprenorphine treatment in primary care. AB - CONCLUSIONS: HIV providers infrequently endorsed buprenorphine treatment in primary care for vignette patients. Generalist and African American providers and those with previous buprenorphine prescribing experience are more likely to endorse buprenorphine treatment in primary care. Targeting generalist and minority providers may be one strategy to promote effective integration of HIV care and opioid addiction treatment. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1938-3800 IL - 0742-3225 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 5P30 A1051519 (United States PHS HHS) NO - 6H97HA00247 (United States PHS HHS) NO - M01-RR12248 (United States NCRR NIH HHS) NO - R25 DA014551 (United States NIDA NIH HHS) NO - R25 DA014551-02 (United States NIDA NIH HHS) NO - R25DA14551 (United States NIDA NIH HHS) LG - English DP - 2009 Nov-Dec DC - 20091102 YR - 2009 ED - 20100219 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19882396 <429. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19929161 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lovi R AU - Barr J FA - Lovi, Renee FA - Barr, Jennieffer IN - Lovi,Renee. School of Nursing and Midwifery, Queensland University of Technology, Brisbane, QLD, Australia. TI - Stigma reported by nurses related to those experiencing drug and alcohol dependency: a phenomenological Giorgi study. SO - Contemporary Nurse. 33(2):166-78, 2009 Oct. AS - Contemp Nurse. 33(2):166-78, 2009 Oct. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Alcoholism/px [Psychology] MH - Health Education MH - Humans MH - Patient Advocacy MH - Queensland MH - *Stereotyping MH - *Substance-Related Disorders/px [Psychology] AB - 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. IS - 1037-6178 IL - 1037-6178 PT - Journal Article LG - English DP - 2009 Oct DC - 20091125 YR - 2009 ED - 20100218 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19929161 <430. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19729111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz SR AU - Cohen SM AU - Dailey SH AU - Rosenfeld RM AU - Deutsch ES AU - Gillespie MB AU - Granieri E AU - Hapner ER AU - Kimball CE AU - Krouse HJ AU - McMurray JS AU - Medina S AU - O'Brien K AU - Ouellette DR AU - Messinger-Rapport BJ AU - Stachler RJ AU - Strode S AU - Thompson DM AU - Stemple JC AU - Willging JP AU - Cowley T AU - McCoy S AU - Bernad PG AU - Patel MM FA - Schwartz, Seth R FA - Cohen, Seth M FA - Dailey, Seth H FA - Rosenfeld, Richard M FA - Deutsch, Ellen S FA - Gillespie, M Boyd FA - Granieri, Evelyn FA - Hapner, Edie R FA - Kimball, C Eve FA - Krouse, Helene J FA - McMurray, J Scott FA - Medina, Safdar FA - O'Brien, Karen FA - Ouellette, Daniel R FA - Messinger-Rapport, Barbara J FA - Stachler, Robert J FA - Strode, Steven FA - Thompson, Dana M FA - Stemple, Joseph C FA - Willging, J Paul FA - Cowley, Terrie FA - McCoy, Scott FA - Bernad, Peter G FA - Patel, Milesh M IN - Schwartz,Seth R. Virginia Mason Medical Center, 1100 Ninth Avenue, MS X10-ON, PO Box 900, Seattle, WA 98111, USA. seth.schwartz@vmmc.org TI - Clinical practice guideline: hoarseness (dysphonia). CM - Comment in: Otolaryngol Head Neck Surg. 2010 Aug;143(2):175-7; discussion 175-80; PMID: 20647114 SO - Otolaryngology - Head & Neck Surgery. 141(3 Suppl 2):S1-S31, 2009 Sep. AS - Otolaryngol Head Neck Surg. 141(3 Suppl 2):S1-S31, 2009 Sep. NJ - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery PI - Journal available in: Print PI - Citation processed from: Internet JC - 7909794, 8508176, on7, on8 SB - Index Medicus CP - United States MH - Anti-Bacterial Agents/tu [Therapeutic Use] MH - Anti-Infective Agents/tu [Therapeutic Use] MH - Botulinum Toxins, Type A/tu [Therapeutic Use] MH - Chronic Disease MH - *Dysphonia/di [Diagnosis] MH - Dysphonia/dt [Drug Therapy] MH - Dysphonia/ep [Epidemiology] MH - Dysphonia/et [Etiology] MH - *Dysphonia/th [Therapy] MH - Evidence-Based Medicine MH - Glucocorticoids/tu [Therapeutic Use] MH - Humans MH - Laryngitis/dt [Drug Therapy] MH - Laryngoscopy MH - Magnetic Resonance Imaging MH - Postoperative Complications/ep [Epidemiology] MH - Proton Pump Inhibitors/tu [Therapeutic Use] MH - Quality of Life MH - Treatment Outcome MH - Voice/de [Drug Effects] MH - Voice Training AB - OBJECTIVE: This guideline provides evidence-based recommendations on managing hoarseness (dysphonia), defined as a disorder characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related quality of life (QOL). Hoarseness affects nearly one-third of the population at some point in their lives. This guideline applies to all age groups evaluated in a setting where hoarseness would be identified or managed. It is intended for all clinicians who are likely to diagnose and manage patients with hoarseness. AB - PURPOSE: The primary purpose of this guideline is to improve diagnostic accuracy for hoarseness (dysphonia), reduce inappropriate antibiotic use, reduce inappropriate steroid use, reduce inappropriate use of anti-reflux medications, reduce inappropriate use of radiographic imaging, and promote appropriate use of laryngoscopy, voice therapy, and surgery. In creating this guideline the American Academy of Otolaryngology-Head and Neck Surgery Foundation selected a panel representing the fields of neurology, speech-language pathology, professional voice teaching, family medicine, pulmonology, geriatric medicine, nursing, internal medicine, otolaryngology-head and neck surgery, pediatrics, and consumers. AB - RESULTS: The panel made strong recommendations that 1) the clinician should not routinely prescribe antibiotics to treat hoarseness and 2) the clinician should advocate voice therapy for patients diagnosed with hoarseness that reduces voice-related QOL. The panel made recommendations that 1) the clinician should diagnose hoarseness (dysphonia) in a patient with altered voice quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related QOL; 2) the clinician should assess the patient with hoarseness by history and/or physical examination for factors that modify management, such as one or more of the following: recent surgical procedures involving the neck or affecting the recurrent laryngeal nerve, recent endotracheal intubation, radiation treatment to the neck, a history of tobacco abuse, and occupation as a singer or vocal performer; 3) the clinician should visualize the patient's larynx, or refer the patient to a clinician who can visualize the larynx, when hoarseness fails to resolve by a maximum of three months after onset, or irrespective of duration if a serious underlying cause is suspected; 4) the clinician should not obtain computed tomography or magnetic resonance imaging of the patient with a primary complaint of hoarseness prior to visualizing the larynx; 5) the clinician should not prescribe anti-reflux medications for patients with hoarseness without signs or symptoms of gastroesophageal reflux disease; 6) the clinician should not routinely prescribe oral corticosteroids to treat hoarseness; 7) the clinician should visualize the larynx before prescribing voice therapy and document/communicate the results to the speech-language pathologist; and 8) the clinician should prescribe, or refer the patient to a clinician who can prescribe, botulinum toxin injections for the treatment of hoarseness caused by adductor spasmodic dysphonia. The panel offered as options that 1) the clinician may perform laryngoscopy at any time in a patient with hoarseness, or may refer the patient to a clinician who can visualize the larynx; 2) the clinician may prescribe anti-reflux medication for patients with hoarseness and signs of chronic laryngitis; and 3) the clinician may educate/counsel patients with hoarseness about control/preventive measures. AB - DISCLAIMER: This clinical practice guideline is not intended as a sole source of guidance in managing hoarseness (dysphonia). Rather, it is designed to assist clinicians by providing an evidence-based framework for decision-making strategies. The guideline is not intended to replace clinical judgment or establish a protocol for all individuals with this condition, and may not provide the only appropriate approach to diagnosing and managing this problem. RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Infective Agents) RN - 0 (Glucocorticoids) RN - 0 (Proton Pump Inhibitors) RN - EC 3-4-24-69 (Botulinum Toxins, Type A) ES - 1097-6817 IL - 0194-5998 DO - http://dx.doi.org/10.1016/j.otohns.2009.06.744 PT - Journal Article PT - Practice Guideline PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Sep DC - 20090904 YR - 2009 ED - 20100218 RD - 20131106 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19729111 <431. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18394848 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Avegno J AU - Mills TJ AU - Mills LD FA - Avegno, Jennifer FA - Mills, Trevor J FA - Mills, Lisa D IN - Avegno,Jennifer. Department of Emergency Medicine, Louisiana State University-New Orleans, New Orleans, Louisiana, USA. TI - Sexual assault victims in the emergency department: analysis by demographic and event characteristics. SO - Journal of Emergency Medicine. 37(3):328-34, 2009 Oct. AS - J Emerg Med. 37(3):328-34, 2009 Oct. NJ - The Journal of emergency medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ibo, 8412174 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - African Americans MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Alcoholic Intoxication MH - Child MH - Emergency Service, Hospital MH - European Continental Ancestry Group MH - Female MH - Hospitals, Teaching/sn [Statistics & Numerical Data] MH - Humans MH - Louisiana/ep [Epidemiology] MH - Male MH - Middle Aged MH - *Rape/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Sex Distribution MH - Urban Population/sn [Statistics & Numerical Data] MH - *Violence/sn [Statistics & Numerical Data] MH - Wounds and Injuries MH - Young Adult AB - The objective of this study was to analyze demographic and event characteristics of patients presenting to the Emergency Department (ED) for evaluation after sexual assault, using a Sexual Assault Nurse Examiner standardized database. Data were prospectively collected as part of the Sexual Assault Nurse Examiner program at an urban teaching hospital. This study reviewed all ED patient records with a complaint of sexual assault between January 1, 2000 and December 31, 2004. Data were collected on 1172 patients; 92.6% were women, with a mean age of 27 years. The sample was 59.1% black, 38.6% white, and 2.3% "Other." Black victims of sexual assault were significantly more likely to be young (25 years or less) than Whites. Over half (54%) reported involvement of drugs or alcohol during the event. Fifty-three percent knew their assailant(s), and black and young patients were significantly more likely to know the perpetrator(s). Threats of force were common (72.4% of sample), and multiple assailants were uncommon (18.1% of sample). Physical evidence of trauma was present in more than half (51.7%), with increased rates among Whites and older persons. Multivariate analysis showed that race, age, threats, and substance use during the event were independent risk factors for evident trauma on physical examination. Survivors of sexual assault who present to the ED are overwhelmingly female, relatively young, often know the perpetrator of the event, and are likely to be threatened and show signs of physical trauma. Differences between patients according to demographic and event characteristics may have important implications for ED management and treatment plans. IS - 0736-4679 IL - 0736-4679 DO - http://dx.doi.org/10.1016/j.jemermed.2007.10.025 PT - Journal Article LG - English EP - 20080418 DP - 2009 Oct DC - 20090922 YR - 2009 ED - 20100112 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18394848 <432. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19715491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tran DT AU - Stone AM AU - Fernandez RS AU - Griffiths RD AU - Johnson M FA - Tran, Duong Thuy FA - Stone, Andrea M FA - Fernandez, Ritin S FA - Griffiths, Rhonda D FA - Johnson, Maree IN - Tran,Duong Thuy. Centre for Applied Nursing Research, Sydney South West Area Health Service, Sydney, NSW, Australia. TI - Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use?. SO - Contemporary Nurse. 33(1):13-9, 2009 Aug. AS - Contemp Nurse. 33(1):13-9, 2009 Aug. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - Attitude of Health Personnel MH - Chi-Square Distribution MH - Clinical Competence MH - *Diffusion of Innovation MH - Education, Nursing, Continuing/og [Organization & Administration] MH - *Guideline Adherence/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Mass Screening/nu [Nursing] MH - *Mass Screening/sn [Statistics & Numerical Data] MH - New South Wales MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Audit MH - Nursing Education Research MH - Nursing Evaluation Research MH - *Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Nursing Staff, Hospital/px [Psychology] MH - *Practice Guidelines as Topic MH - Program Evaluation MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. AB - 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. AB - 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. AB - 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. IS - 1037-6178 IL - 1037-6178 PT - Evaluation Studies PT - Journal Article LG - English DP - 2009 Aug DC - 20090831 YR - 2009 ED - 20100106 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19715491 <433. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19538562 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anthierens S AU - Grypdonck M AU - De Pauw L AU - Christiaens T FA - Anthierens, Sibyl FA - Grypdonck, Mieke FA - De Pauw, Liesbeth FA - Christiaens, Thierry IN - Anthierens,Sibyl. Department of General Practice and Primary Health Care, Ghent University, De Pintelaan 185, Ghent, Belgium. sibyl.anthierens@ugent.be TI - Perceptions of nurses in nursing homes on the usage of benzodiazepines. SO - Journal of Clinical Nursing. 18(22):3098-106, 2009 Nov. AS - J Clin Nurs. 18(22):3098-106, 2009 Nov. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - *Benzodiazepines/ad [Administration & Dosage] MH - Focus Groups MH - Humans MH - *Nurses/px [Psychology] MH - *Nursing Homes/ma [Manpower] AB - 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. AB - 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. AB - DESIGN: Qualitative descriptive. AB - METHOD: Three focus group interviews and 10 additional semi-structured interviews were used with 33 registered nurses. The interviews were thematically analysed. AB - 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. AB - 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. AB - 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. RN - 12794-10-4 (Benzodiazepines) ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2008.02758.x PT - Journal Article LG - English EP - 20090617 DP - 2009 Nov DC - 20091014 YR - 2009 ED - 20091228 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19538562 <434. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19798491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bergqvist M AU - Ulfvarson J AU - Karlsson EA FA - Bergqvist, Monica FA - Ulfvarson, Johanna FA - Karlsson, Eva Andersen IN - Bergqvist,Monica. Department of Clinical Science and Education, Karolinska Institutet, Sodersjukhuset, Stockholm, Sweden. monica.bergqvist@sodersjukhuset.se TI - Nurse-led medication reviews and the quality of drug treatment of elderly hospitalized patients. SO - European Journal of Clinical Pharmacology. 65(11):1089-96, 2009 Nov. AS - Eur J Clin Pharmacol. 65(11):1089-96, 2009 Nov. NJ - European journal of clinical pharmacology PI - Journal available in: Print PI - Citation processed from: Internet JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Aged MH - Aged, 80 and over MH - Drug Therapy/st [Standards] MH - *Drug Utilization Review/mt [Methods] MH - Education, Nursing MH - Female MH - Hospitalization MH - Humans MH - Male MH - *Medication Errors/pc [Prevention & Control] MH - Nurse's Role MH - *Nurses MH - Patient Discharge MH - Patient Readmission MH - Pharmacology/ed [Education] AB - PURPOSE: To evaluate if nurses after receiving training in clinical pharmacology can improve the quality of the drug therapy in elderly hospitalized patients. AB - METHODS: Nurses were given a 1-day training in clinical pharmacology to identify drug-related problems (DRPs).All patients admitted to the ward aged 65 or more were studied. Patients at the same ward before the intervention were considered as control group. Outcome variables were re-hospitalized 3 months from discharge, drug-related readmissions, the proportion of inappropriate drug use (IDU), and DRPs found by the nurses. AB - RESULTS: Of 460 patients (250 intervention group and 210 in the control group) 38 and 36%, respectively, had at least one re-admission to hospital (p=0.86) and 24% of the patients died. Eighteen and 17% (43/37), respectively, used one or more inappropriate drug (p 0.90). The nurses found 86 clinically significant DRPs not detected by the usual care. A substantial part of the DRPs detected by the nurses were revealed with assistance of Symptoms Assessment Form (SYM). There were no statistical difference in the number of drug-related re-admissions between the groups, 14/16, respectively, (p=0.40). AB - CONCLUSIONS: Nurses are able to detect a high proportion of clinically relevant DRPs not detected by the usual care and thereby increase the quality of the drug treatment in elderly hospitalized patients. Our study showed no effect on re-hospitalization or IDU. By using a SYM nurses can find DRPs that computer-based decision support systems miss. ES - 1432-1041 IL - 0031-6970 DO - http://dx.doi.org/10.1007/s00228-009-0728-2 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Nov DC - 20091022 YR - 2009 ED - 20091211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19798491 <435. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19812027 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heikkinen AM AU - Broms U AU - Pitkaniemi J AU - Koskenvuo M AU - Meurman J FA - Heikkinen, Anna Maria FA - Broms, Ulla FA - Pitkaniemi, Janne FA - Koskenvuo, Markku FA - Meurman, Jukka IN - Heikkinen,Anna Maria. Kotka Health Centre/Network of Academic Health Centers, Department of General Practice and Primary Health Care, Institute of Clinical Medicine, Unit of General Practice, Hospital District of Helsinki and Uusimaa, Institute of Dentistry, University of Helsinki, Helsinki, Finland. TI - Key factors in smoking cessation intervention among 15-16-year-olds. SO - Behavioral Medicine. 35(3):93-9, 2009. AS - Behav Med. 35(3):93-9, 2009. NJ - Behavioral medicine (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Print JC - beh, 8804264 SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Circadian Rhythm MH - Dentist-Patient Relations MH - Female MH - Follow-Up Studies MH - Humans MH - Logistic Models MH - Male MH - *Peer Group MH - Psychometrics MH - School Health Services MH - School Nursing MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - *Tobacco Use Disorder/px [Psychology] MH - Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - 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 Fagerstrom 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. IS - 0896-4289 IL - 0896-4289 DO - http://dx.doi.org/10.1080/08964280903232035 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 DC - 20091008 YR - 2009 ED - 20091211 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19812027 <436. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19820860 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - dos Santos SM AU - de Oliveira ML FA - dos Santos, Sonia Maria Soares FA - de Oliveira, Magda Lucia Felix IN - dos Santos,Sonia Maria Soares. Universidade Estadual de Maringa, Brazil. enfso@hotmail.com TI - Knowledge about AIDS and drugs among undergraduate students in a higher education institution in the state of Parana. SO - Revista Latino-Americana de Enfermagem. 17(4):522-8, 2009 Jul-Aug. AS - Rev Lat Am Enfermagem. 17(4):522-8, 2009 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Acquired Immunodeficiency Syndrome MH - Adolescent MH - Adult MH - Brazil MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Students, Nursing MH - *Substance-Related Disorders MH - *Surveys and Questionnaires MH - Young Adult AB - The main objective of this study was to measure the knowledge of undergraduate nursing students about Acquired Immunodeficiency Syndrome (AIDS) and drugs. The study was carried out in 2007 with a random sample of 289 undergraduate students at a State University in the Northwest of Parana, Brazil. The students self-applied a questionnaire validated by experts. Questions were divided into three levels of complexity: low, average and high. The level of correct answers was higher in the questions of low complexity, diminishing as the questions' complexity increased. Thirteen percent of questions concerning risk factors and vulnerability to HIV infection among injection drug users (IDU) and biological material for diagnosis of AIDS was correctly answered by 90% of students. Students possessed knowledge concerning AIDS and drugs, however such knowledge was considered insufficient, showing lack of information and gaps in education with a dissociation of interdisciplinary and inter-curricular content. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692009000400014 PT - Journal Article LG - English DP - 2009 Jul-Aug DC - 20091012 YR - 2009 ED - 20091203 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19820860 <437. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19880694 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson H FA - Wilson, Heather TI - Environmental cues and relapse: an old idea that is new for reentry of recovering anesthesia care professionals. CM - Comment on: Mayo Clin Proc. 2009 Jul;84(7):576-80; PMID: 19567710 SO - Mayo Clinic Proceedings. 84(11):1040-1; author reply 1041, 2009 Nov. AS - Mayo Clin Proc. 84(11):1040-1; author reply 1041, 2009 Nov. NJ - Mayo Clinic proceedings PI - Journal available in: Print PI - Citation processed from: Internet JC - 0405543, lly OI - Source: NLM. PMC2770916 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Anesthesiology/st [Standards] MH - Anesthesiology/td [Trends] MH - *Clinical Competence MH - Cues MH - *Employment/sn [Statistics & Numerical Data] MH - *Environment MH - Female MH - Health Personnel/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Nurse Anesthetists/sn [Statistics & Numerical Data] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - Recurrence MH - Risk Assessment MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] ES - 1942-5546 IL - 0025-6196 DO - http://dx.doi.org/10.1016/S0025-6196(11)60675-7 PT - Comment PT - Letter LG - English DP - 2009 Nov DC - 20091102 YR - 2009 ED - 20091123 RD - 20141204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19880694 <438. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19220620 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsai YF FA - Tsai, Yun-Fang IN - Tsai,Yun-Fang. School of Nursing, Chang Gung University, Tao-Yuan, Taiwan. yftsai@mail.cgu.edu.tw TI - Nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. SO - Journal of Clinical Nursing. 18(14):2078-86, 2009 Jul. AS - J Clin Nurs. 18(14):2078-86, 2009 Jul. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - *Alcohol Drinking MH - Cross-Sectional Studies MH - Humans MH - Middle Aged MH - *Nursing Assessment MH - Taiwan AB - AIMS: To explore nurses' perceived facilitators and barriers to assessing for alcohol use in Taiwan. AB - BACKGROUND: Excessive alcohol use has been associated with health, social and legal problems. Helping health care providers to detect and treat hazardous or harmful drinkers is an important worldwide issue. AB - DESIGN: A cross-sectional design was used. AB - 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. AB - 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. AB - CONCLUSIONS: Our results suggest a need to strengthen nurses' education and training on the assessment of alcohol use in Taiwan. AB - 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. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2008.02590.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20090212 DP - 2009 Jul DC - 20090729 YR - 2009 ED - 20091110 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19220620 <439. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19638045 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vallido T AU - Peters K AU - O'Brien L AU - Jackson D FA - Vallido, Tamara FA - Peters, Kathleen FA - O'Brien, Louise FA - Jackson, Debra IN - Vallido,Tamara. School of Nursing, College of Health and Science, University of Western Sydney, Penrith South DC, NSW, Australia. TI - Sleep in adolescence: a review of issues for nursing practice. [Review] [54 refs] SO - Journal of Clinical Nursing. 18(13):1819-26, 2009 Jul. AS - J Clin Nurs. 18(13):1819-26, 2009 Jul. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adolescent MH - Education, Nursing MH - Humans MH - *Nursing MH - *Sleep Wake Disorders AB - 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. AB - 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. AB - DESIGN: Literature review. AB - METHODS: Searching of key electronic databases. AB - 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. AB - 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. AB - 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. [References: 54] ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2009.02812.x PT - Journal Article PT - Review LG - English DP - 2009 Jul DC - 20090729 YR - 2009 ED - 20091110 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19638045 <440. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19731842 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quinlan D FA - Quinlan, Diana IN - Quinlan,Diana. peerassist@aol.com TI - Peer assistance reaches its 25th year. [Review] [11 refs] SO - AANA Journal. 77(4):254-8, 2009 Aug. AS - AANA J. 77(4):254-8, 2009 Aug. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - United States MH - Health Promotion MH - Humans MH - Internet/og [Organization & Administration] MH - Interprofessional Relations MH - Nurse Anesthetists/ed [Education] MH - Nurse Anesthetists/og [Organization & Administration] MH - *Nurse Anesthetists MH - Occupational Health MH - *Peer Group MH - *Professional Impairment MH - Professional Staff Committees MH - *Self-Help Groups/og [Organization & Administration] MH - *Societies, Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - This column traces the history of the efforts of the American Association of Nurse Anesthetists to provide assistance to members struggling with addiction. The work of the Ad Hoc Committee on Chemical Dependency, the Peer Assistance Advisors, Anesthetists in Recovery, the Council on Public Interest in Anesthesia, and the Wellness Program are examined. [References: 11] IS - 0094-6354 IL - 0094-6354 PT - Journal Article PT - Review LG - English DP - 2009 Aug DC - 20090907 YR - 2009 ED - 20091029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19731842 <441. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587253 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Olsen D AU - Stathes H AU - Boteler L AU - Grossberg P AU - Pfeifer J AU - Schiro S AU - Banning J AU - Skochelak S FA - Fleming, Michael FA - Olsen, Dale FA - Stathes, Hilary FA - Boteler, Laura FA - Grossberg, Paul FA - Pfeifer, Judie FA - Schiro, Stephanie FA - Banning, Jane FA - Skochelak, Susan IN - Fleming,Michael. Department of Family Medicine, University of Wisconsin, Madison, WI 53715, USA. mike.fleming@fammed.wisc.edu TI - Virtual reality skills training for health care professionals in alcohol screening and brief intervention. SO - Journal of the American Board of Family Medicine: JABFM. 22(4):387-98, 2009 Jul-Aug. AS - J Am Board Fam Med. 22(4):387-98, 2009 Jul-Aug. NJ - Journal of the American Board of Family Medicine : JABFM PI - Journal available in: Print PI - Citation processed from: Internet JC - 101256526 OI - Source: NLM. NIHMS92946 OI - Source: NLM. PMC2709742 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Clinical Competence MH - *Computer Simulation MH - Female MH - *Health Personnel MH - Humans MH - Male MH - *Mass Screening/st [Standards] MH - Middle Aged MH - *User-Computer Interface MH - Wisconsin AB - BACKGROUND: Educating physicians and other health care professionals about the identification and treatment of patients who drink more than recommended limits is an ongoing challenge. AB - METHODS: An educational randomized controlled trial was conducted to test the ability of a stand-alone training simulation to improve the clinical skills of health care professionals in alcohol screening and intervention. The "virtual reality simulation" combined video, voice recognition, and nonbranching logic to create an interactive environment that allowed trainees to encounter complex social cues and realistic interpersonal exchanges. The simulation included 707 questions and statements and 1207 simulated patient responses. AB - RESULTS: A sample of 102 health care professionals (10 physicians; 30 physician assistants or nurse practitioners; 36 medical students; 26 pharmacy, physican assistant, or nurse practitioner students) were randomly assigned to a no training group (n = 51) or a computer-based virtual reality intervention (n = 51). Professionals in both groups had similar pretest standardized patient alcohol screening skill scores: 53.2 (experimental) vs 54.4 (controls), 52.2 vs 53.7 alcohol brief intervention skills, and 42.9 vs 43.5 alcohol referral skills. After repeated practice with the simulation there were significant increases in the scores of the experimental group at 6 months after randomization compared with the control group for the screening (67.7 vs 58.1; P < .001) and brief intervention (58.3 vs 51.6; P < .04) scenarios. AB - CONCLUSIONS: The technology tested in this trial is the first virtual reality simulation to demonstrate an increase in the alcohol screening and brief intervention skills of health care professionals. IS - 1557-2625 IL - 1557-2625 DO - http://dx.doi.org/10.3122/jabfm.2009.04.080208 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - AA016486-01 (United States NIAAA NIH HHS) NO - R42 AA016486 (United States NIAAA NIH HHS) NO - 1R42 AA016486-01 (United States NIAAA NIH HHS) NO - R42 AA016486-01 (United States NIAAA NIH HHS) LG - English DP - 2009 Jul-Aug DC - 200979 YR - 2009 ED - 20091013 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19587253 <442. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19587253 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Olsen D AU - Stathes H AU - Boteler L AU - Grossberg P AU - Pfeifer J AU - Schiro S AU - Banning J AU - Skochelak S FA - Fleming, Michael FA - Olsen, Dale FA - Stathes, Hilary FA - Boteler, Laura FA - Grossberg, Paul FA - Pfeifer, Judie FA - Schiro, Stephanie FA - Banning, Jane FA - Skochelak, Susan IN - Fleming,Michael. Department of Family Medicine, University of Wisconsin, Madison, WI 53715, USA. mike.fleming@fammed.wisc.edu TI - Virtual reality skills training for health care professionals in alcohol screening and brief intervention. SO - Journal of the American Board of Family Medicine: JABFM. 22(4):387-98, 2009 Jul-Aug. AS - J Am Board Fam Med. 22(4):387-98, 2009 Jul-Aug. NJ - Journal of the American Board of Family Medicine : JABFM PI - Journal available in: Print PI - Citation processed from: Internet JC - 101256526 OI - Source: NLM. NIHMS92946 OI - Source: NLM. PMC2709742 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Clinical Competence MH - *Computer Simulation MH - Female MH - *Health Personnel MH - Humans MH - Male MH - *Mass Screening/st [Standards] MH - Middle Aged MH - *User-Computer Interface MH - Wisconsin AB - BACKGROUND: Educating physicians and other health care professionals about the identification and treatment of patients who drink more than recommended limits is an ongoing challenge. AB - METHODS: An educational randomized controlled trial was conducted to test the ability of a stand-alone training simulation to improve the clinical skills of health care professionals in alcohol screening and intervention. The "virtual reality simulation" combined video, voice recognition, and nonbranching logic to create an interactive environment that allowed trainees to encounter complex social cues and realistic interpersonal exchanges. The simulation included 707 questions and statements and 1207 simulated patient responses. AB - RESULTS: A sample of 102 health care professionals (10 physicians; 30 physician assistants or nurse practitioners; 36 medical students; 26 pharmacy, physican assistant, or nurse practitioner students) were randomly assigned to a no training group (n = 51) or a computer-based virtual reality intervention (n = 51). Professionals in both groups had similar pretest standardized patient alcohol screening skill scores: 53.2 (experimental) vs 54.4 (controls), 52.2 vs 53.7 alcohol brief intervention skills, and 42.9 vs 43.5 alcohol referral skills. After repeated practice with the simulation there were significant increases in the scores of the experimental group at 6 months after randomization compared with the control group for the screening (67.7 vs 58.1; P < .001) and brief intervention (58.3 vs 51.6; P < .04) scenarios. AB - CONCLUSIONS: The technology tested in this trial is the first virtual reality simulation to demonstrate an increase in the alcohol screening and brief intervention skills of health care professionals. IS - 1557-2625 IL - 1557-2625 DO - http://dx.doi.org/10.3122/jabfm.2009.04.080208 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - 1R42 AA016486-01 (United States NIAAA NIH HHS) NO - R42 AA016486-01 (United States NIAAA NIH HHS) LG - English DP - 2009 Jul-Aug DC - 20090709 YR - 2009 ED - 20091013 RD - 20141207 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19587253 <443. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19573211 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bialous SA AU - Sarna L AU - Wells M AU - Elashoff D AU - Wewers ME AU - Froelicher ES FA - Bialous, Stella Aguinaga FA - Sarna, Linda FA - Wells, Marjorie FA - Elashoff, David FA - Wewers, Mary Ellen FA - Froelicher, Erika S IN - Bialous,Stella Aguinaga. Tobacco Policy International, San Francisco, California, USA. TI - Characteristics of nurses who used the Internet-based nurses QuitNet for smoking cessation. SO - Public Health Nursing. 26(4):329-38, 2009 Jul-Aug. AS - Public Health Nurs. 26(4):329-38, 2009 Jul-Aug. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Internet JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - *Attitude to Computers MH - Chi-Square Distribution MH - Computer-Assisted Instruction MH - Cross-Sectional Studies MH - Female MH - Health Care Surveys MH - Health Education MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internet/og [Organization & Administration] MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nurses/sn [Statistics & Numerical Data] MH - Nursing Methodology Research MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - Social Support MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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. AB - OBJECTIVES: To describe Nurses QuitNet registrants and relationships among the demographic and smoking characteristics, program dissemination strategies, and site utilization patterns. AB - DESIGN: Cross-sectional study. AB - SAMPLE: 1,790 Nurses QuitNets registrants. AB - MEASUREMENTS: Demographics and smoking characteristics on the Nurses QuitNet intake questionnaire. AB - 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. AB - 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. ES - 1525-1446 IL - 0737-1209 DO - http://dx.doi.org/10.1111/j.1525-1446.2009.00787.x PT - Journal Article LG - English DP - 2009 Jul-Aug DC - 20090703 YR - 2009 ED - 20091008 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19573211 <444. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19591059 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin JN AU - Bartek JK AU - Scott DM AU - Davis-Hall RE AU - DeSimone EM 2nd FA - Baldwin, Jeffrey N FA - Bartek, Jean K FA - Scott, David M FA - Davis-Hall, R Ellen FA - DeSimone, Edward M 2nd IN - Baldwin,Jeffrey N. College of Pharmacy, The University of Nebraska Medical Center, Omaha, Nebraska 68198-6045, USA. jbaldwin@unmc.edu TI - Survey of alcohol and other drug use attitudes and behaviors in nursing students. SO - Substance Abuse. 30(3):230-8, 2009 Jul-Sep. AS - Subst Abus. 30(3):230-8, 2009 Jul-Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/px [Psychology] MH - *Attitude of Health Personnel MH - Data Collection MH - Education, Nursing MH - Family Health MH - Humans MH - *Risk-Taking MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - 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. IS - 0889-7077 IL - 0889-7077 DO - http://dx.doi.org/10.1080/08897070903040964 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Jul-Sep DC - 20090710 YR - 2009 ED - 20091006 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19591059 <445. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19560720 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stefanacci RG AU - Lester PE AU - Kohen I AU - Feuerman M FA - Stefanacci, Richard G FA - Lester, Paula E FA - Kohen, Izchak FA - Feuerman, Martin IN - Stefanacci,Richard G. The Institute for Geriatric Studies, Mayes College of Healthcare Business & Policy, University of Sciences in Philadelphia, PA, USA. r.stefan@usp.edu TI - Nursing home policies on items brought in from the outside for facility residents. SO - Journal of the American Medical Directors Association. 10(6):419-22, 2009 Jul. AS - J AM MED DIR ASSOC. 10(6):419-22, 2009 Jul. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Alcoholic Beverages MH - Food MH - Health Care Surveys MH - Humans MH - Nonprescription Drugs MH - *Nursing Homes/og [Organization & Administration] MH - *Organizational Policy MH - Tobacco MH - United States MH - *Visitors to Patients AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Nonprescription Drugs) ES - 1538-9375 IL - 1525-8610 DO - http://dx.doi.org/10.1016/j.jamda.2009.03.003 PT - Journal Article LG - English EP - 20090521 DP - 2009 Jul DC - 20090629 YR - 2009 ED - 20090928 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19560720 <446. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19633600 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright K FA - Wright, Kerri IN - Wright,Kerri. University of Greenwich, London. TI - Resources to help solve drug calculation problems. [Review] [12 refs] SO - British Journal of Nursing. 18(14):878-80, 882-3, 2009 Jul 23-Aug 12. AS - Br J Nurs. 18(14):878-80, 882-3, 2009 Jul 23-Aug 12. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Algorithms MH - *Drug Dosage Calculations MH - Education, Nursing MH - Humans MH - Learning AB - This article is the third in a series of articles discussing drug calculations and discusses the resources, in terms of knowledge and skills, that are required to support the use of methods for solving calculation problems (Wright, 2009). The main resources discussed are clinical practice, numeracy knowledge (including number patterns), proportions and factors, and clinical tools such as syringes. These resources can be used as part of formal teaching sessions, or can be developed and practised by individual nurses to improve knowledge and confidence in solving drug calculations. The most important resource for developing drug calculation skills is regular exposure to drug calculations in clinical practice. Any drug calculation teaching and assessing, therefore must have clinical practice as the starting point, with numeracy knowledge not extracted and taught separately, but developed as a resource from within practice, for the purpose of supporting practice. [References: 12] IS - 0966-0461 IL - 0966-0461 PT - Journal Article PT - Review LG - English DP - 2009 Jul 23-Aug 12 DC - 20090727 YR - 2009 ED - 20090925 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19633600 <447. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19538699 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kip E AU - Ehlers VJ AU - van der Wal DM FA - Kip, Esther FA - Ehlers, Valerie J FA - van der Wal, Dirk M IN - Kip,Esther. University of South Africa, Pretoria, South Africa. TI - Patients' adherence to anti-retroviral therapy in Botswana. SO - Journal of Nursing Scholarship. 41(2):149-57, 2009. AS - J Nurs Scholarsh. 41(2):149-57, 2009. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Acquired Immunodeficiency Syndrome/dt [Drug Therapy] MH - Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Adult MH - Aged MH - *Anti-Retroviral Agents/tu [Therapeutic Use] MH - Botswana/ep [Epidemiology] MH - Female MH - *HIV Infections/dt [Drug Therapy] MH - *HIV Infections/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - *Patient Compliance/sn [Statistics & Numerical Data] MH - Young Adult AB - PURPOSE: To identify factors influencing patients' anti-retroviral therapy (ART) adherence at four clinics in Botswana. AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: ART adherence requires more than free ART. Adherence levels will improve if both patient-centred and service-centred barriers are addressed. AB - 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. RN - 0 (Anti-Retroviral Agents) ES - 1547-5069 IL - 1527-6546 DO - http://dx.doi.org/10.1111/j.1547-5069.2009.01266.x PT - Journal Article LG - English DP - 2009 DC - 2009622 YR - 2009 ED - 20090922 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19538699 <448. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19538699 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kip E AU - Ehlers VJ AU - van der Wal DM FA - Kip, Esther FA - Ehlers, Valerie J FA - van der Wal, Dirk M IN - Kip,Esther. University of South Africa, Pretoria, South Africa. TI - Patients' adherence to anti-retroviral therapy in Botswana. SO - Journal of Nursing Scholarship. 41(2):149-57, 2009. AS - J Nurs Scholarsh. 41(2):149-57, 2009. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau PI - Journal available in: Print PI - Citation processed from: Internet JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Acquired Immunodeficiency Syndrome/dt [Drug Therapy] MH - Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Adult MH - Aged MH - *Anti-Retroviral Agents/tu [Therapeutic Use] MH - Botswana/ep [Epidemiology] MH - Female MH - *HIV Infections/dt [Drug Therapy] MH - *HIV Infections/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - *Patient Compliance/sn [Statistics & Numerical Data] MH - Young Adult AB - PURPOSE: To identify factors influencing patients' anti-retroviral therapy (ART) adherence at four clinics in Botswana. AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: ART adherence requires more than free ART. Adherence levels will improve if both patient-centred and service-centred barriers are addressed. AB - 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. RN - 0 (Anti-Retroviral Agents) ES - 1547-5069 IL - 1527-6546 DO - http://dx.doi.org/10.1111/j.1547-5069.2009.01266.x PT - Journal Article LG - English DP - 2009 DC - 20090622 YR - 2009 ED - 20090922 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19538699 <449. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19281543 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen J AU - Hamilton A AU - Nunn R AU - Crock L AU - Frecker J AU - Burk N FA - Allen, J FA - Hamilton, A FA - Nunn, R FA - Crock, L FA - Frecker, J FA - Burk, N IN - Allen,J. Lecturer in Nursing, Deakin University School of Nursing, Burwood, Victoria, Australia. TI - Evaluation of a community-based mental health drug and alcohol nurse in the care of people living with HIV/AIDS. SO - Journal of Psychiatric & Mental Health Nursing. 16(2):129-36, 2009 Mar. AS - J Psychiatr Ment Health Nurs. 16(2):129-36, 2009 Mar. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - 9439514, b6e SB - Nursing Journal CP - England MH - Acquired Immunodeficiency Syndrome/co [Complications] MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Adolescent MH - Adult MH - Alcoholism/co [Complications] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/rh [Rehabilitation] MH - Australia MH - *Community Mental Health Services/st [Standards] MH - Documentation MH - *HIV Infections/nu [Nursing] MH - Health Promotion MH - Humans MH - Nursing Assessment MH - Patient Advocacy MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - There is a growing need for advanced practice mental health and drug and alcohol nursing roles in the care of people living with HIV/AIDS; however, limited publications address these domains. This study evaluated a community-based mental health drug and alcohol nurse role caring for people living with HIV/AIDS (Mental Health D&A Nurse) in a large not-for-profit district nursing organization providing care to people living with HIV/AIDS in an Australian city. Outcomes from a client assessment and 6-8-week follow-up by the Mental Health D&A Nurse are presented as captured by the Depression Anxiety Stress Scales (DASS 21), Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), Health of the Nation Outcome Scales (HONOS) and WHOQoL BREF. Mean scores and caseness were analysed, and significant differences were found on the 'impairment' and 'social problems' subscales of the HONOS. Results of semi-structured interviews with clients describe effective and supportive mental health care and health-promoting education following visits by the Mental Health D&A Nurse. These positive findings support continuing implementation of the role within this community setting and indicate that even greater benefits will ensue as the role develops further. Findings are of interest to clinicians and policy makers seeking to implement similar roles in community-based HIV/AIDS care. ES - 1365-2850 IL - 1351-0126 DO - http://dx.doi.org/10.1111/j.1365-2850.2008.01340.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Mar DC - 20090313 YR - 2009 ED - 20090917 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19281543 <450. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19520231 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moquin B AU - Blackman MR AU - Mitty E AU - Flores S FA - Moquin, Barbara FA - Blackman, Marc R FA - Mitty, Ethel FA - Flores, Sandi IN - Moquin,Barbara. National Center for Complementary and Alternative Medicine, National Institutes of Health, Bethesda, MD, USA. TI - Complementary and alternative medicine (CAM). [Review] [14 refs] SO - Geriatric Nursing. 30(3):196-203, 2009 May-Jun. AS - Geriatr Nurs. 30(3):196-203, 2009 May-Jun. NJ - Geriatric nursing (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Internet JC - 8309633, FW7 SB - Nursing Journal CP - United States MH - Aged MH - *Complementary Therapies MH - *Geriatric Nursing MH - Humans AB - The use of complementary and alternative medicine (CAM) appears to be on the rise in all adult age groups, including the elderly population. Many herbal and biologic preparations offer promise, but they are largely of unproven benefit. The content(s) are unregulated by government agencies, such as the Food and Drug Administration, making their use problematic to recommend and guide. Use of CAM modalities in assisted living communities (ALCs) is by and large a hidden practice, but it is estimated that 5%-9% of residents ingest some kind of herbal remedy. Belief systems among residents and their families-for example, that a certain kind of tea is a cure for dementia-can be persuasive. Responsible for resident well-being, assisted living nurses are caught in the middle. Nurse licensure considers herbals as medications, yet physicians refuse to prescribe them, and nurses (or certified med techs) cannot administer them. In some states, "alternative practitioners" are not viewed as legal prescribers. Undaunted, residents (or their families) purchase alternative "medicines" that are contraindicated by their traditional medical regimen. Secreted in their room, nurses are unaware of the stash and the self-administrating practice. This article describes the state of the science regarding the efficacy and safety of CAM modalities and actions that ALC nurses might undertake to collaborate with residents to address their CAM interest and use respectfully. [References: 14] ES - 1528-3984 IL - 0197-4572 DO - http://dx.doi.org/10.1016/j.gerinurse.2009.03.002 PT - Journal Article PT - Review LG - English DP - 2009 May-Jun DC - 20090612 YR - 2009 ED - 20090915 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19520231 <451. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19547762 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miceli PC AU - Katz J FA - Miceli, Paula C FA - Katz, Joel IN - Miceli,Paula C. Department of Psychology, Facultyt of Health, York University, Toronto, Ontario. paula_m@yorku.ca TI - The influence of addiction risk on nursing students' expectations of patients' pain reports: a clinical vignette approach. SO - Pain Research & Management. 14(3):223-31, 2009 May-Jun. AS - Pain Res Manag. 14(3):223-31, 2009 May-Jun. NJ - Pain research & management PI - Journal available in: Print PI - Citation processed from: Print JC - 9612504 OI - Source: NLM. PMC2706553 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Age Factors MH - Analysis of Variance MH - Female MH - Humans MH - Male MH - Pain Measurement/mt [Methods] MH - Pain, Postoperative/ep [Epidemiology] MH - *Pain, Postoperative/px [Psychology] MH - Perception MH - Randomized Controlled Trials as Topic MH - Retrospective Studies MH - Risk Factors MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - 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. AB - METHODS: Using a 2 x 2 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). AB - 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. AB - 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). IS - 1203-6765 IL - 1203-6765 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 May-Jun DC - 20090623 YR - 2009 ED - 20090910 RD - 20160520 UP - 20160523 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19547762 <452. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19547762 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miceli PC AU - Katz J FA - Miceli, Paula C FA - Katz, Joel IN - Miceli,Paula C. Department of Psychology, Facultyt of Health, York University, Toronto, Ontario. paula_m@yorku.ca TI - The influence of addiction risk on nursing students' expectations of patients' pain reports: a clinical vignette approach. SO - Pain Research & Management. 14(3):223-31, 2009 May-Jun. AS - Pain Res Manag. 14(3):223-31, 2009 May-Jun. NJ - Pain research & management : the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur PI - Journal available in: Print PI - Citation processed from: Print JC - 9612504 OI - Source: NLM. PMC2706553 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Age Factors MH - Analysis of Variance MH - Female MH - Humans MH - Male MH - Pain Measurement/mt [Methods] MH - Pain, Postoperative/ep [Epidemiology] MH - *Pain, Postoperative/px [Psychology] MH - Perception MH - Randomized Controlled Trials as Topic MH - Retrospective Studies MH - Risk Factors MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - 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. AB - METHODS: Using a 2 x 2 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). AB - 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. AB - 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). IS - 1203-6765 IL - 1203-6765 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 May-Jun DC - 20090623 YR - 2009 ED - 20090910 RD - 20150824 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19547762 <453. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19552113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lacey J FA - Lacey, Joanne IN - Lacey,Joanne. South West Essex Community Services. TI - Alcohol brief interventions: exploring perceptions and training needs. SO - Community Practitioner. 82(6):30-3, 2009 Jun. AS - Community Pract. 82(6):30-3, 2009 Jun. NJ - Community practitioner : the journal of the Community Practitioners' & Health Visitors' Association PI - Journal available in: Print PI - Citation processed from: Print JC - 9809060 SB - Nursing Journal CP - England MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - *Community Health Nursing/ed [Education] MH - England MH - Focus Groups MH - Health Care Surveys MH - Humans MH - *Inservice Training MH - *Needs Assessment MH - *Psychotherapy, Brief/ed [Education] AB - 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. IS - 1462-2815 IL - 1462-2815 PT - Journal Article PT - Multicenter Study LG - English DP - 2009 Jun DC - 20090625 YR - 2009 ED - 20090819 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19552113 <454. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19552044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mason C FA - Mason, Carolyn IN - Mason,Carolyn. Royal College of Nursing Northern Ireland, Belfast. carolyn.mason@rcn.org.uk TI - Improving services for people with alcohol-related problems. SO - Nursing Standard. 23(38):35-40, 2009 May 27-Jun 2. AS - Nurs Stand. 23(38):35-40, 2009 May 27-Jun 2. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Alcohol-Related Disorders/ec [Economics] MH - Alcohol-Related Disorders/nu [Nursing] MH - *Alcohol-Related Disorders/th [Therapy] MH - Cost of Illness MH - Health Policy MH - Humans MH - *Quality of Health Care AB - 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. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2009 May 27-Jun 2 DC - 20090625 YR - 2009 ED - 20090814 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19552044 <455. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19335529 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford R AU - Bammer G AU - Becker N FA - Ford, Rosemary FA - Bammer, Gabriele FA - Becker, Niels IN - Ford,Rosemary. School of Nursing and Midwifery, The Australian Catholic University, Fitzroy, Victoria, Australia. rosemary.ford@acu.edu.au TI - Improving nurses' therapeutic attitude to patients who use illicit drugs: workplace drug and alcohol education is not enough. SO - International Journal of Nursing Practice. 15(2):112-8, 2009 Apr. AS - Int J Nurs Pract. 15(2):112-8, 2009 Apr. NJ - International journal of nursing practice PI - Journal available in: Print PI - Citation processed from: Internet JC - CVU, 9613615 SB - Nursing Journal CP - Australia MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Female MH - *Health Education MH - Humans MH - Male MH - *Nurse-Patient Relations MH - *Nurses MH - *Patient Education as Topic MH - *Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Workplace AB - 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. RN - 0 (Street Drugs) ES - 1440-172X IL - 1322-7114 DO - http://dx.doi.org/10.1111/j.1440-172X.2009.01732.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Apr DC - 20090401 YR - 2009 ED - 20090813 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19335529 <456. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19476032 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monroe T FA - Monroe, Todd IN - Monroe,Todd. University of Tennessee Health Science Center, Memphis, Tennessee, USA. tmonroe@utmem.edu TI - Addressing substance abuse among nursing students: development of a prototype alternative-to-dismissal policy. SO - Journal of Nursing Education. 48(5):272-8, 2009 May. AS - J Nurs Educ. 48(5):272-8, 2009 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing/og [Organization & Administration] MH - *Education, Nursing MH - Humans MH - *Organizational Policy MH - Professional Impairment MH - School Admission Criteria MH - *Students, Nursing/px [Psychology] MH - Substance Abuse Detection MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2009 May DC - 20090529 YR - 2009 ED - 20090805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19476032 <457. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19476029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Butler KM AU - Rayens MK AU - Zhang M AU - Maggio LG AU - Riker C AU - Hahn EJ FA - Butler, Karen M FA - Rayens, Mary Kay FA - Zhang, Mei FA - Maggio, Lisa Greathouse FA - Riker, Carol FA - Hahn, Ellen J IN - Butler,Karen M. University of Kentucky College of Nursing, Lexington, KY 40536, USA. Karen.Butler@uky.edu TI - Tobacco dependence treatment education for baccalaureate nursing students. SO - Journal of Nursing Education. 48(5):249-54, 2009 May. AS - J Nurs Educ. 48(5):249-54, 2009 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Counseling/ed [Education] MH - *Education, Nursing, Baccalaureate MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Smoking Cessation MH - Time Factors MH - *Tobacco Use Disorder/nu [Nursing] MH - United States AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Clinical Trial PT - Comparative Study PT - Journal Article LG - English DP - 2009 May DC - 20090529 YR - 2009 ED - 20090805 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19476029 <458. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19067223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Locca JF AU - Ruggli M AU - Buchmann M AU - Huguenin J AU - Bugnon O FA - Locca, Jean-Francois FA - Ruggli, Martine FA - Buchmann, Michel FA - Huguenin, Jacques FA - Bugnon, Olivier IN - Locca,Jean-Francois. Community Pharmacy Practice Research Unit, Universities of Lausanne and Geneva, Pharmacie de la PMU, Rue du Bugnon 44, 1011 Lausanne, Switzerland. TI - Development of pharmaceutical care services in nursing homes: practice and research in a Swiss canton. SO - Pharmacy World & Science. 31(2):165-73, 2009 Apr. AS - Pharm World Sci. 31(2):165-73, 2009 Apr. NJ - Pharmacy world & science : PWS PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Aged MH - Aged, 80 and over MH - *Drug Costs/sn [Statistics & Numerical Data] MH - Education, Pharmacy, Continuing MH - Female MH - Humans MH - Male MH - Nursing Homes/lj [Legislation & Jurisprudence] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Pharmacy Service, Hospital/ec [Economics] MH - *Pharmacy Service, Hospital/mt [Methods] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Program Evaluation MH - Retrospective Studies MH - Switzerland AB - 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. AB - SETTING: The setting was 42 nursing homes located in the canton of Fribourg, Switzerland under the responsibility of 22 pharmacists. AB - 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). AB - 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. AB - 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. AB - 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. ES - 1573-739X IL - 0928-1231 DO - http://dx.doi.org/10.1007/s11096-008-9273-9 PT - Evaluation Studies PT - Journal Article LG - English EP - 20081206 DP - 2009 Apr DC - 20090324 YR - 2009 ED - 20090803 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19067223 <459. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19379112 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daly M AU - Kermode S AU - Reilly D FA - Daly, Michelle FA - Kermode, Stephen FA - Reilly, David IN - Daly,Michelle. Riverlands Drug & Alcohol Centre, Lismore NSW, Australia. TI - Evaluation of clinical practice improvement programs for nurses for the management of alcohol withdrawal in hospitals. SO - Contemporary Nurse. 31(2):98-107, 2009 Feb. AS - Contemp Nurse. 31(2):98-107, 2009 Feb. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Guideline Adherence MH - Humans MH - New South Wales MH - *Program Evaluation MH - *Substance Withdrawal Syndrome/nu [Nursing] AB - 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. IS - 1037-6178 IL - 1037-6178 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2009 Feb DC - 20090421 YR - 2009 ED - 20090723 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19379112 <460. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19489512 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durkin A AU - O'Connor LG FA - Durkin, Anne FA - O'Connor, Lisa G IN - Durkin,Anne. Quinnipiac University, Hamden, CT 06518, USA. anne.durkin@quinnipiac.edu TI - Preventing unsafe alcohol consumption on the 21st birthday: roles for nurses. [Review] [26 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 47(5):28-33, 2009 May. AS - J Psychosoc Nurs Ment Health Serv. 47(5):28-33, 2009 May. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - *Anniversaries and Special Events MH - Female MH - Health Education MH - Health Promotion MH - Humans MH - Male MH - Motivation MH - *Nurse's Role/px [Psychology] MH - Self Care/px [Psychology] MH - Self Efficacy MH - Students/px [Psychology] MH - Young Adult AB - Because of its legal significance, the 21st birthday is considered a milestone event. Research reveals that turning 21 is an occasion that is often marked by the ingestion of excessive, perhaps even lethal, amounts of alcohol. Peer pressure and lack of knowledge about the potentially life-threatening effects of alcohol overconsumption can make this birthday a perilous event. Birthday rituals have developed that encourage reckless consumption. Literature addressing the prevalence of excessive drinking among college students is abundant. However, the authors found minimal literature addressing the potential contribution of nurses toward the reduction of unsafe alcohol consumption among young adults celebrating their 21st birthday. This article provides a brief review of the physiological effects of alcohol and practical suggestions for promoting safety among young adults celebrating this milestone birthday. [References: 26] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2009 May DC - 20090603 YR - 2009 ED - 20090720 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19489512 <461. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19327552 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleary M AU - Hunt GE AU - Malins G AU - Matheson S AU - Escott P FA - Cleary, Michelle FA - Hunt, Glenn E FA - Malins, Gillian FA - Matheson, Sandra FA - Escott, Phil IN - Cleary,Michelle. Faculty of Nursing and Midwifery, University of Sydney, New South Wales, Australia. michelle.cleary@email.cs.nsw.gov.au TI - Drug and alcohol education for consumer workers and caregivers: a pilot project assessing attitudes toward persons with mental illness and problematic substance use. SO - Archives of Psychiatric Nursing. 23(2):104-10, 2009 Apr. AS - Arch Psychiatr Nurs. 23(2):104-10, 2009 Apr. NJ - Archives of psychiatric nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude to Health MH - *Caregivers MH - Feedback MH - Female MH - *Health Education MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Pilot Projects MH - Professional Competence MH - Program Development MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - With the development of peer support networks in the mental health system, formal training should be provided regarding the adverse effects of substance use. Four educational workshops were conducted with caregivers and consumer workers to increase their knowledge and confidence to support people with a dual diagnosis. Workshops were evaluated through presurvey and postsurvey. The workshops were well received, and postworkshop, participants reported fewer negative attitudes toward people with a dual diagnosis and increased understanding and knowledge regarding substance misuse. This study highlights the effectiveness of targeted workshops for caregivers and consumer workers and advocates that nurses take a more active role in educational projects involving stakeholders. ES - 1532-8228 IL - 0883-9417 DO - http://dx.doi.org/10.1016/j.apnu.2008.05.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081015 DP - 2009 Apr DC - 20090330 YR - 2009 ED - 20090715 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19327552 <462. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19323713 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedman SH AU - Heneghan A AU - Rosenthal M FA - Friedman, Susan Hatters FA - Heneghan, Amy FA - Rosenthal, Miriam IN - Friedman,Susan Hatters. Case Western Reserve University, School of Medicine, 11100 Euclid Avenue, Cleveland, Ohio 44106, USA. susanhfmd@hotmail.com TI - Characteristics of women who do not seek prenatal care and implications for prevention. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 38(2):174-81, 2009 Mar-Apr. AS - J Obstet Gynecol Neonatal Nurs. 38(2):174-81, 2009 Mar-Apr. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN PI - Journal available in: Print PI - Citation processed from: Internet JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude to Health MH - Female MH - Humans MH - *Maternal Behavior MH - Mothers/px [Psychology] MH - *Mothers/sn [Statistics & Numerical Data] MH - Poverty/sn [Statistics & Numerical Data] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - Pregnancy Complications/pc [Prevention & Control] MH - Pregnancy, Unwanted MH - *Prenatal Care/sn [Statistics & Numerical Data] MH - Regression Analysis MH - Retrospective Studies MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Treatment Refusal/px [Psychology] MH - *Treatment Refusal/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Urban Population/sn [Statistics & Numerical Data] MH - Young Adult AB - OBJECTIVES: To describe characteristics of women without prenatal care and their reasons for not seeking prenatal care. AB - DESIGN: Retrospective record review. AB - SETTING: Urban, academic medical center. AB - PARTICIPANTS: Women without prenatal care whose pregnancies reached the third trimester, who presented to the hospital for delivery or immediately postpartum for a 7 year period. AB - METHODS: Records were reviewed for factors including socio-demographic factors, history of pregnancy/miscarriage/abortion, social supports, abuse history, history of substance use, toxicology results, history of mental illness or mental retardation, and the reason for lack of prenatal care. AB - RESULTS: Among 211 women with no prenatal care, the primary reasons were noted: 30% had problems with substance use; 29% experienced denial of pregnancy; 18% had financial reasons; 9% concealed pregnancy; and 6% believed they did not need prenatal care due to multiparity. Women with substance use disorders were significantly more likely to be older, unemployed multigravidas. AB - CONCLUSIONS: Nurses should target specific groups of women for education and intervention based on their rationale for not seeking prenatal care. ES - 1552-6909 IL - 0090-0311 DO - http://dx.doi.org/10.1111/j.1552-6909.2009.01004.x PT - Journal Article LG - English DP - 2009 Mar-Apr DC - 2009327 YR - 2009 ED - 20090707 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19323713 <463. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19323713 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedman SH AU - Heneghan A AU - Rosenthal M FA - Friedman, Susan Hatters FA - Heneghan, Amy FA - Rosenthal, Miriam IN - Friedman,Susan Hatters. Case Western Reserve University, School of Medicine, 11100 Euclid Avenue, Cleveland, Ohio 44106, USA. susanhfmd@hotmail.com TI - Characteristics of women who do not seek prenatal care and implications for prevention. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 38(2):174-81, 2009 Mar-Apr. AS - J Obstet Gynecol Neonatal Nurs. 38(2):174-81, 2009 Mar-Apr. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Internet JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude to Health MH - Female MH - Humans MH - *Maternal Behavior MH - Mothers/px [Psychology] MH - *Mothers/sn [Statistics & Numerical Data] MH - Poverty/sn [Statistics & Numerical Data] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - Pregnancy Complications/pc [Prevention & Control] MH - Pregnancy, Unwanted MH - *Prenatal Care/sn [Statistics & Numerical Data] MH - Regression Analysis MH - Retrospective Studies MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Treatment Refusal/px [Psychology] MH - *Treatment Refusal/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Urban Population/sn [Statistics & Numerical Data] MH - Young Adult AB - OBJECTIVES: To describe characteristics of women without prenatal care and their reasons for not seeking prenatal care. AB - DESIGN: Retrospective record review. AB - SETTING: Urban, academic medical center. AB - PARTICIPANTS: Women without prenatal care whose pregnancies reached the third trimester, who presented to the hospital for delivery or immediately postpartum for a 7 year period. AB - METHODS: Records were reviewed for factors including socio-demographic factors, history of pregnancy/miscarriage/abortion, social supports, abuse history, history of substance use, toxicology results, history of mental illness or mental retardation, and the reason for lack of prenatal care. AB - RESULTS: Among 211 women with no prenatal care, the primary reasons were noted: 30% had problems with substance use; 29% experienced denial of pregnancy; 18% had financial reasons; 9% concealed pregnancy; and 6% believed they did not need prenatal care due to multiparity. Women with substance use disorders were significantly more likely to be older, unemployed multigravidas. AB - CONCLUSIONS: Nurses should target specific groups of women for education and intervention based on their rationale for not seeking prenatal care. ES - 1552-6909 IL - 0090-0311 DO - http://dx.doi.org/10.1111/j.1552-6909.2009.01004.x PT - Journal Article LG - English DP - 2009 Mar-Apr DC - 20090327 YR - 2009 ED - 20090707 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19323713 <464. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19361074 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paniak A FA - Paniak, Amanda IN - Paniak,Amanda. Grant MacEwan College. TI - You must remember this. SO - Alberta RN. 65(3):21, 2009 Mar. AS - Alta RN. 65(3):21, 2009 Mar. NJ - Alberta RN PI - Journal available in: Print PI - Citation processed from: Print JC - 100883278, dbj SB - Nursing Journal CP - Canada MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Humans MH - Models, Nursing MH - *Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - *Students, Nursing/px [Psychology] IS - 1481-9988 IL - 1481-9988 PT - Journal Article LG - English DP - 2009 Mar DC - 2009413 YR - 2009 ED - 20090626 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19361074 <465. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19361074 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paniak A FA - Paniak, Amanda IN - Paniak,Amanda. Grant MacEwan College. TI - You must remember this. SO - Alberta RN. 65(3):21, 2009 Mar. AS - Alta RN. 65(3):21, 2009 Mar. NJ - Alberta RN / Alberta Association of Registered Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100883278, dbj SB - Nursing Journal CP - Canada MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Humans MH - Models, Nursing MH - *Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - *Students, Nursing/px [Psychology] IS - 1481-9988 IL - 1481-9988 PT - Journal Article LG - English DP - 2009 Mar DC - 20090413 YR - 2009 ED - 20090626 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19361074 <466. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19435252 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lightfoot B AU - Panessa C AU - Hayden S AU - Thumath M AU - Goldstone I AU - Pauly B FA - Lightfoot, Beverly FA - Panessa, Ciro FA - Hayden, Sargent FA - Thumath, Meaghan FA - Goldstone, Irene FA - Pauly, Bernadette IN - Lightfoot,Beverly. Insite, Vancouver, British Columbia. TI - Gaining insite: harm reduction in nursing practice. SO - Canadian Nurse. 105(4):16-22, 2009 Apr. AS - Can Nurse. 105(4):16-22, 2009 Apr. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - Canada MH - British Columbia MH - Crime MH - Ethics, Nursing MH - *Harm Reduction MH - *Health Facilities MH - Health Facility Administration MH - Health Promotion MH - Health Services Accessibility/es [Ethics] MH - Humans MH - Nurse-Patient Relations MH - *Nursing MH - Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/nu [Nursing] MH - *Substance Abuse, Intravenous AB - 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. IS - 0008-4581 IL - 0008-4581 PT - Journal Article LG - English DP - 2009 Apr DC - 20090513 YR - 2009 ED - 20090625 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19435252 <467. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19135012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Indig D AU - Copeland J AU - Conigrave KM AU - Rotenko I FA - Indig, Devon FA - Copeland, Jan FA - Conigrave, Katherine M FA - Rotenko, Irene IN - Indig,Devon. National Drug and Alcohol Research Centre, 22-32 King Street, Randwick, NSW 2031, Australia. devon.indig@justicehealth.nsw.gov.au TI - Attitudes and beliefs of emergency department staff regarding alcohol-related presentations. SO - International emergency nursing. 17(1):23-30, 2009 Jan. AS - Int Emerg Nurs. 17(1):23-30, 2009 Jan. NJ - International emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101472191 SB - Nursing Journal CP - England MH - Adult MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Benchmarking MH - Clinical Competence MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Accessibility MH - Humans MH - Male MH - Mass Screening MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - *Medical Staff, Hospital MH - Middle Aged MH - New South Wales/ep [Epidemiology] MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Prevalence MH - Professional Role/px [Psychology] MH - Self Efficacy MH - Substance Abuse Detection AB - OBJECTIVE: This study examined emergency department (ED) staff attitudes and beliefs about alcohol-related ED presentations in order to recommend improved detection and brief intervention strategies. AB - METHODS: The survey was conducted at two inner-Sydney hospital EDs in 2006 to explore ED clinical staff's attitudes, current practice and barriers for managing alcohol-related ED presentations. The sample included N=78 ED staff (54% nurses, 46% doctors), representing a 30% response rate. AB - RESULTS: Management of alcohol-related problems was not routine among ED staff, with only 5% usually formally screening for alcohol problems, only 16% usually conducting brief interventions, and only 27% usually providing a referral to specialist treatment services. Over 85% of ED staff indicated that lack of patient motivation made providing alcohol interventions very difficult. Significant predictors of good self-reported practice among ED staff for patients with alcohol problems included: being a doctor, being confident and having a sense of responsibility towards managing patients with alcohol-related problems. AB - CONCLUSIONS: This study reported that many staff lack the confidence or sense of clinical responsibility to fully and appropriately manage ED patients with alcohol-related problems. ED staff appear to require additional training, resources and support to enhance their management of patients with alcohol-related problems. ES - 1878-013X IL - 1878-013X DO - http://dx.doi.org/10.1016/j.ienj.2008.08.002 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081011 DP - 2009 Jan DC - 20090112 YR - 2009 ED - 20090612 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19135012 <468. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19135010 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelleher S AU - Cotter P FA - Kelleher, Sean FA - Cotter, Patrick IN - Kelleher,Sean. School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Ireland. s.kelleher@ucc.ie TI - A descriptive study on emergency department doctors' and nurses' knowledge and attitudes concerning substance use and substance users. SO - International emergency nursing. 17(1):3-14, 2009 Jan. AS - Int Emerg Nurs. 17(1):3-14, 2009 Jan. NJ - International emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101472191 SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Drug Users/px [Psychology] MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Empathy MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Ireland MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - *Medical Staff, Hospital MH - Middle Aged MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Practice Guidelines as Topic MH - Professional Role MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - AIM: The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. AB - METHODS: Data were collected using an adapted survey questionnaire and the Substance Abuse Attitude Survey (SAAS). By means of convenience/opportunistic sampling all emergency department doctors and nurses (N=145) working in three university teaching hospitals in Ireland were asked to fill out the knowledge and attitudes questionnaire. AB - RESULTS: A response rate of 46%, N=66 was achieved. Results indicate that participants' current level of knowledge about alcohol and drug misuse in general, is satisfactory. A particular knowledge deficit in relation to intervention strategies, and other substances was identified. The majority of participants have never received any specific training regarding substance use and this suggests that substance using patients are managed inadequately. The SAAS results indicate that participants exhibited near-optimal attitudes for constructive working with substance using patients. AB - CONCLUSION: There is an urgent need for further in-service training programmes and the development of standard protocols/guidelines for the identification and management of substance using patients who present in the emergency department. ES - 1878-013X IL - 1878-013X DO - http://dx.doi.org/10.1016/j.ienj.2008.08.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20081011 DP - 2009 Jan DC - 20090112 YR - 2009 ED - 20090612 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19135010 <469. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19244207 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kim-Godwin YS AU - Clements C AU - McCuiston AM AU - Fox JA FA - Kim-Godwin, Yeoun Soo FA - Clements, Carrie FA - McCuiston, Ashley M FA - Fox, Jane A IN - Kim-Godwin,Yeoun Soo. School of Nursing, University of North Carolina at Wilmington, North Carolina, USA. TI - Dating violence among high school students in southeastern North Carolina. SO - Journal of School Nursing. 25(2):141-51, 2009 Apr. AS - J Sch Nurs. 25(2):141-51, 2009 Apr. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - *Courtship MH - Female MH - Humans MH - Male MH - North Carolina MH - Risk Assessment MH - *Risk-Taking MH - School Nursing MH - *Sex Offenses/pc [Prevention & Control] MH - Sex Offenses/sn [Statistics & Numerical Data] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Violence/pc [Prevention & Control] MH - Violence/sn [Statistics & Numerical Data] AB - 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. IS - 1059-8405 IL - 1059-8405 DO - http://dx.doi.org/10.1177/1059840508330679 PT - Journal Article LG - English EP - 20090224 DP - 2009 Apr DC - 20090325 YR - 2009 ED - 20090610 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19244207 <470. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19222396 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Campbell-Heider N AU - Finnell DS AU - Feigenbaum JC AU - Feeley TH AU - Rejman KS AU - Austin-Ketch T AU - Zulawski C AU - Schmitt A FA - Campbell-Heider, Nancy FA - Finnell, Deborah S FA - Feigenbaum, Janice Cooke FA - Feeley, Thomas H FA - Rejman, Karol Susan FA - Austin-Ketch, Tammy FA - Zulawski, Christopher FA - Schmitt, Andrea IN - Campbell-Heider,Nancy. University at Buffalo, USA. nheider@buffalo.edu TI - Survey on addictions: toward curricular change for family nurse practitioners. [Review] [38 refs] SO - International Journal of Nursing Education Scholarship. 6:Article4, 2009. AS - Int. j nurs. educ. scholarsh.. 6:Article4, 2009. NJ - International journal of nursing education scholarship PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101214977 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - Education, Nursing, Continuing/mt [Methods] MH - *Education, Nursing, Graduate/mt [Methods] MH - *Family Practice MH - Female MH - Health Care Surveys MH - Humans MH - Male MH - Nurse Clinicians/ed [Education] MH - *Nurse Practitioners/ed [Education] MH - *Nurse's Role MH - Nursing Evaluation Research MH - Professional Competence MH - Quality of Health Care MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] MH - United States AB - 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. [References: 38] ES - 1548-923X IL - 1548-923X DO - http://dx.doi.org/10.2202/1548-923X.1645 PT - Journal Article PT - Review LG - English EP - 20090118 DP - 2009 DC - 20090219 YR - 2009 ED - 20090521 RD - 20120820 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19222396 <471. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19378442 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Indig D AU - Copeland J AU - Conigrave KM AU - Rotenko I FA - Indig, Devon FA - Copeland, Jan FA - Conigrave, K M FA - Rotenko, Irene IN - Indig,Devon. National Drug and Alcohol Research Centre, Sydney, Australia. d.indig@med.unsw.edu.au TI - Why are alcohol-related emergency department presentations under-detected? An exploratory study using nursing triage text. SO - Drug & Alcohol Review. 27(6):584-90, 2008 Nov. AS - Drug Alcohol Rev. 27(6):584-90, 2008 Nov. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Age Factors MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Australia MH - *Emergency Nursing MH - *Emergency Service, Hospital MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Middle Aged MH - *Patient Admission MH - Time Factors MH - *Triage/mt [Methods] AB - INTRODUCTION AND AIMS: This study examined two methods of detecting alcohol-related emergency department (ED) presentations, provisional medical diagnosis and nursing triage text, and compared patient and service delivery characteristics to determine which patients are being missed from formal diagnosis in order to explore why alcohol-related ED presentations are under-detected. AB - DESIGN AND METHODS: Data were reviewed for all ED presentations from 2004 to 2006 (n = 118,881) for a major teaching hospital in Sydney, Australia. Each record included two nursing triage free-text fields, which were searched for over 60 alcohol-related terms and coded for a range of issues. Adjusted odds ratios were used to compare diagnostically coded alcohol-related presentations to those detected using triage text. AB - RESULTS: Approximately 4.5% of ED presentations were identified as alcohol-related, with 24% of these identified through diagnostic codes and the remainder identified by triage text. Diagnostic coding was more likely if the patient arrived by ambulance [odds ratio (OR) = 2.35] or showed signs of aggression (OR = 1.86). Failure to code alcohol-related issues was more than three times (OR = 3.23) more likely for patients with injuries. AB - DISCUSSION AND CONCLUSIONS: Alcohol-related presentations place a high demand on ED staff and less than one-quarter have an alcohol-related diagnosis recorded by their treating doctor. In order for routine ED data to be more effective for detecting alcohol-related ED presentations, it is recommended that additional resources such as an alcohol health worker be employed in Australian hospitals. These workers can educate and support ED staff to identify more clearly and record the clinical signs of alcohol and directly provide brief interventions. IS - 0959-5236 IL - 0959-5236 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Nov DC - 20090420 YR - 2008 ED - 20090514 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19378442 <472. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19198720 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaki AM AU - Daghistani MF AU - Msabeh AA FA - Kaki, Abdullah M FA - Daghistani, Mohammad F FA - Msabeh, Ahmad A IN - Kaki,Abdullah M. Department of Anesthesia, King Abdulaziz University Hospital, Jeddah 21461, Kingdom of Saudi Arabia. amkaki@yahoo.com TI - Nurses' knowledge of pharmacological measures on acute pain management in Western Saudi Arabia. SO - Saudi Medical Journal. 30(2):279-83, 2009 Feb. AS - Saudi Med J. 30(2):279-83, 2009 Feb. NJ - Saudi medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - dyw, 7909441 SB - Index Medicus CP - Saudi Arabia MH - Female MH - Humans MH - *Knowledge MH - Male MH - Morphine/ad [Administration & Dosage] MH - *Nurses MH - Pain/dt [Drug Therapy] MH - *Pain MH - Pain Measurement MH - Saudi Arabia MH - Surveys and Questionnaires AB - OBJECTIVE: To assess the nursing knowledge of acute pain management in a tertiary hospital. AB - METHODS: Three hundred closed-answer questionnaires were distributed in various hospital departments at King Khalid National Guard Hospital in Jeddah, Saudi Arabia in 2007. Three main topics were tested in the questionnaire; nursing opinion on patient self-report of pain as a main indicator of pain intensity, the need to increase opioids dose when the first dose had been safe but ineffective, and nurses' attitude toward the incidence of addiction, tolerance, and physical dependence. AB - RESULTS: Of the respondents, 45.8% used the patient self-report of pain as an indicator of pain intensity in the smiling patient (A), and 55.1% relied on that in the grimacing patient (B). Fifty percent of respondents in patient A and 30.5% in patient B decided to give no more morphine to both patients despite their pain, while 7.6% and 19.5% of nurses selected the option of giving higher morphine dose to both patients. Only 38.1% of nurses chose the correct answer for risk of addiction (<1%) and 41.6% selected an exaggerated response range from 25-100% as a chance of addiction. Very few nurses recognized the problem of tolerance and physical dependence and picked the right answers. AB - CONCLUSION: Nurses' knowledge of acute pain management is deficient in many aspects. Proper education is needed to improve their knowledge of pain. RN - 76I7G6D29C (Morphine) IS - 0379-5284 IL - 0379-5284 PT - Journal Article LG - English DP - 2009 Feb DC - 20090209 YR - 2009 ED - 20090505 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19198720 <473. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19120588 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly-Weeder S FA - Kelly-Weeder, Susan IN - Kelly-Weeder,Susan. William F Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA. kellywee@bc.edu TI - Binge drinking in college-aged women: framing a gender-specific prevention strategy. [Review] [72 refs] SO - Journal of the American Academy of Nurse Practitioners. 20(12):577-84, 2008 Dec. AS - J Am Acad Nurse Pract. 20(12):577-84, 2008 Dec. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Internet JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/px [Psychology] MH - Attitude to Health MH - *Ethanol/po [Poisoning] MH - Female MH - Humans MH - Life Style MH - Motivation MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners MH - Nurse's Role MH - Nursing Assessment MH - Patient Education as Topic MH - Primary Health Care/mt [Methods] MH - Primary Prevention/mt [Methods] MH - Risk Factors MH - Student Health Services/mt [Methods] MH - Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Students MH - *Universities MH - Women/ed [Education] MH - Women/px [Psychology] MH - *Women MH - Women's Health AB - 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. AB - DATA SOURCES: Original research articles and comprehensive review articles identified through Medline, CINAHL, and OVID databases. AB - 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. AB - 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. [References: 72] RN - 3K9958V90M (Ethanol) ES - 1745-7599 IL - 1041-2972 DO - http://dx.doi.org/10.1111/j.1745-7599.2008.00357.x PT - Journal Article PT - Review LG - English DP - 2008 Dec DC - 20090105 YR - 2008 ED - 20090501 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19120588 <474. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19133494 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleary M AU - Walter G AU - Hunt GE AU - Clancy R AU - Horsfall J FA - Cleary, Michelle FA - Walter, Garry FA - Hunt, Glenn E FA - Clancy, Richard FA - Horsfall, Jan IN - Cleary,Michelle. Faculty of Nursing and Midwifery, University of Sydney. michelle.cleary@email.cs.nsw.gov.au TI - Promoting dual diagnosis awareness in everyday clinical practice. [Review] [29 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 46(12):43-9, 2008 Dec. AS - J Psychosoc Nurs Ment Health Serv. 46(12):43-9, 2008 Dec. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Cooperative Behavior MH - Diagnosis, Dual (Psychiatry) MH - Evidence-Based Practice MH - Humans MH - Interview, Psychological MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - Models, Nursing MH - Models, Psychological MH - Nurse Clinicians MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nurse-Patient Relations MH - Nursing Assessment MH - Patient Care Planning MH - Patient Participation/mt [Methods] MH - Patient Participation/px [Psychology] MH - Practice Guidelines as Topic MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/mt [Methods] MH - Recurrence MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - Working with and treating individuals with co-occurring substance misuse presents unique challenges for mental health nurses. Substance misuse is common in mental health settings, and its clinical challenges with system barriers impede positive treatment outcomes. To work effectively in everyday clinical practice with dual diagnosis clients, nurses need to consider potential guiding principles. These principles pertain to treatment aims, engagement, assessment, symptoms, care plans, cycle of change, motivational interviewing, traps to avoid, active treatment, relapse prevention, agency collaboration, and treatment diversity. Clinical tools are easily accessible resources that can provide a framework for contemporary practice in a range of settings. Such resources are helpful in practice and as a foundation for orientation, education, self-reflection, and peer review. Setting expectations for everyday practice and ensuring that clients with a dual diagnosis receive the best care possible are important goals for the nursing profession. [References: 29] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2008 Dec DC - 20090112 YR - 2008 ED - 20090226 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19133494 <475. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18981907 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark CM AU - Farnsworth J AU - Springer PJ FA - Clark, Cynthia M FA - Farnsworth, Judy FA - Springer, Pamela J IN - Clark,Cynthia M. Department of Nursing, Boise State University, Boise, ID 83725-1840, USA. cclark@boisestate.edu TI - Policy development for disruptive student behaviors. [Review] [22 refs] SO - Nurse Educator. 33(6):259-62, 2008 Nov-Dec. AS - Nurse Educ. 33(6):259-62, 2008 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Internet JC - oau, 7701902 SB - Nursing Journal CP - United States MH - Agonistic Behavior MH - Codes of Ethics MH - *Dangerous Behavior MH - Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - Mental Disorders/pc [Prevention & Control] MH - Mental Disorders/px [Psychology] MH - Nurse's Role MH - Organizational Policy MH - Policy Making MH - Referral and Consultation MH - Risk-Taking MH - Safety Management/es [Ethics] MH - *Safety Management/og [Organization & Administration] MH - Schools, Nursing/es [Ethics] MH - *Schools, Nursing/og [Organization & Administration] MH - Student Dropouts MH - Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Universities/es [Ethics] MH - Universities/og [Organization & Administration] MH - Violence/pc [Prevention & Control] MH - Violence/px [Psychology] AB - 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. [References: 22] ES - 1538-9855 IL - 0363-3624 DO - http://dx.doi.org/10.1097/01.NNE.0000334791.07428.61 PT - Journal Article PT - Review LG - English DP - 2008 Nov-Dec DC - 20081104 YR - 2008 ED - 20090226 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18981907 <476. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19060817 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Role of the school nurse 100 years ago. SO - British Journal of Nursing. 17(21):1345, 2008 Nov 27-Dec 10. AS - Br J Nurs. 17(21):1345, 2008 Nov 27-Dec 10. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Great Britain MH - History, 20th Century MH - Humans MH - *Nurse's Role/hi [History] MH - Periodicals as Topic/hi [History] MH - *School Nursing/hi [History] AB - 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. IS - 0966-0461 IL - 0966-0461 PT - Historical Article PT - Journal Article LG - English DP - 2008 Nov 27-Dec 10 DC - 20081208 YR - 2008 ED - 20090213 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19060817 <477. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19010051 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson TL AU - Bonnel WB FA - Thompson, Teri L FA - Bonnel, Wanda B IN - Thompson,Teri L. School of Nursing, University of Missouri Kansas City, 64108-2718, USA. thompsonte@umkc.edu TI - Integration of high-fidelity patient simulation in an undergraduate pharmacology course. SO - Journal of Nursing Education. 47(11):518-21, 2008 Nov. AS - J Nurs Educ. 47(11):518-21, 2008 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Drug Overdose MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Manikins MH - Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - Nursing Assessment MH - Pain/dt [Drug Therapy] MH - *Pharmacology, Clinical/ed [Education] MH - Urolithiasis/co [Complications] AB - High-fidelity patient simulations provide unique learning opportunities in undergraduate pharmacology. Every year, adverse drug events in the clinical setting affect thousands of patients. Pharmacology content is often taught independently without a clinical application component. Students have difficulty making the connections between learned content and clinical application; high-fidelity patient simulations provide students with the opportunity to make these connections in a safe environment. Implementing a pharmacological simulation with novice nursing students provides an applied learning experience that promotes knowledge retention, improves clinical judgment, and can produce safe practitioners in the clinical setting. This article discusses high-fidelity patient simulations and provides a pharmacology-based case scenario. RN - 0 (Narcotics) IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2008 Nov DC - 20081117 YR - 2008 ED - 20090210 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19010051 <478. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19012844 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lenz BK FA - Lenz, Brenda K IN - Lenz,Brenda K. Department of Nursing Science, St. Cloud State University, St. Cloud, Minnesota 56301, USA. bklenz@stcloudstate.edu TI - Beliefs, knowledge, and self-efficacy of nursing students regarding tobacco cessation. SO - American Journal of Preventive Medicine. 35(6 Suppl):S494-500, 2008 Dec. AS - Am J Prev Med. 35(6 Suppl):S494-500, 2008 Dec. NJ - American journal of preventive medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8704773, apl SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Minnesota MH - *Self Efficacy MH - *Smoking Cessation MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - 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. AB - 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. AB - 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%). AB - 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. ES - 1873-2607 IL - 0749-3797 DO - http://dx.doi.org/10.1016/j.amepre.2008.09.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Dec DC - 20081117 YR - 2008 ED - 20090206 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19012844 <479. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18980936 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miaskowski C FA - Miaskowski, Christine IN - Miaskowski,Christine. Department of Physiological Nursing, The University of California, San Francisco, CA, USA. chris.miaskowski@nursing.ucsf.edu TI - The use of risk-management approaches to protect patients with cancer-related pain and their healthcare providers. [Review] [33 refs] SO - Oncology Nursing Forum. 35 Suppl:20-4, 2008 Nov. AS - Oncol Nurs Forum. 35 Suppl:20-4, 2008 Nov. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Internet JC - 7809033, 7809033 SB - Index Medicus SB - Nursing Journal CP - United States MH - Drug Tolerance MH - *Health Personnel/lj [Legislation & Jurisprudence] MH - Humans MH - Legislation, Drug MH - Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - *Narcotics/tu [Therapeutic Use] MH - Neoplasms/nu [Nursing] MH - *Neoplasms/pp [Physiopathology] MH - Nurse's Role MH - *Nursing Assessment/mt [Methods] MH - *Oncology Nursing/mt [Methods] MH - Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - Pain/nu [Nursing] MH - Pain/px [Psychology] MH - Patient Compliance MH - Patient Education as Topic MH - Risk Factors MH - *Risk Management/mt [Methods] MH - *Risk-Taking MH - Surveys and Questionnaires AB - PURPOSE/OBJECTIVES: To describe the factors that contribute to the risk for undertreatment of cancer pain, as well as the risk factors associated with misuse or abuse of opioid analgesics, and to describe approaches to identify and manage the risks. AB - DATA SOURCES: Published research, articles from a literature review, and U. S. statistics. AB - DATA SYNTHESIS: Oncology nurses should perform systematic assessments to determine whether patients are at risk for undertreatment of cancer pain or whether they are at risk for abuse or addiction to opioid analgesics. Oncology nurses must develop effective approaches to manage both types of risk. Patient education is a critical component to help patients who are at risk for undertreatment to adhere to analgesic regimens and to experience optimal benefit from medications. For patients who are at risk for abuse or addiction, oncology nurses should perform ongoing screening for behaviors that are predictive of addiction and implement appropriate interventions to reduce risks of abuse. AB - CONCLUSIONS: Oncology clinicians should have a balanced perspective of risk management within the context of cancer pain management. AB - IMPLICATIONS FOR NURSING: Clinicians must be cognizant of the fact that a significant risk exists for undertreatment of cancer pain. In addition, oncology nurses should recognize patients who are at risk for abuse or addiction or who are actively abusing opioid analgesics and establish appropriate safeguards for patients with cancer and oncology clinicians. [References: 33] RN - 0 (Narcotics) ES - 1538-0688 IL - 0190-535X DO - http://dx.doi.org/10.1188/08.ONF.S1.20-24 PT - Journal Article PT - Review LG - English DP - 2008 Nov DC - 20081104 YR - 2008 ED - 20090205 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18980936 <480. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18813092 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young LJ FA - Young, Linda J IN - Young,Linda J. South Dakota Board of Nursing, Sioux Falls, SD 57106, USA. Linda.Young@state.sd.us TI - Education for worksite monitors of impaired nurses. SO - Nursing Administration Quarterly. 32(4):331-7, 2008 Oct-Dec. AS - Nurs Adm Q. 32(4):331-7, 2008 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - Adult MH - Female MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - Nursing Staff/px [Psychology] MH - *Nursing Staff MH - *Occupational Health Services MH - *Professional Impairment MH - Program Evaluation MH - South Dakota MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Teaching/mt [Methods] AB - Boards of nursing sponsor programs, including those for alternatives to discipline, for recovering nurses. These programs rely on worksite monitors who are oftentimes other nurses or supervisors of nurses, to work with recovering nurses when they return to practice. The skills of these monitors vary with respect to understanding the monitor role and recognizing traits in chemical dependency and relapse. To determine the degree of content value and the best teaching method for monitors to learn program content, 17 currently active worksite monitors participated in a study to evaluate content value to 2 groups, new and experienced monitors, and to select the best method to teach 4 content topics. Results showed that current content was valued without necessary additions and that group instruction in urban areas was preferred over one-to-one instruction. Implementation of study outcomes yielded that issues of confidentiality made group instruction unsatisfactory. ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/01.NAQ.0000336732.02996.f7 PT - Journal Article LG - English DP - 2008 Oct-Dec DC - 20080924 YR - 2008 ED - 20090204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18813092 <481. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18813091 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dittman PW FA - Dittman, Patricia Welch IN - Dittman,Patricia Welch. Nova Southeastern University, Fort Lauderdale, FL 33328, USA. PDittman@Nova.edu TI - Male nurses and chemical dependency: masterminding the nursing environment. SO - Nursing Administration Quarterly. 32(4):324-30, 2008 Oct-Dec. AS - Nurs Adm Q. 32(4):324-30, 2008 Oct-Dec. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States MH - Florida MH - Humans MH - Male MH - Models, Psychological MH - *Nurses, Male/px [Psychology] MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Spirituality MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Florida men in nursing who are chemically dependent represent a greater percentage of the total number of male nurses than female nurses who are chemically dependent. This study identifies characteristics of 9 men who completed the Florida Intervention Project for Nurses. All participants were interviewed independently and data were analyzed to determine common themes in their behaviors and relationships and how they successfully manipulated professional nursing systems to remain professionally active for prolonged period of time while impaired. A model of caring for nurses with professional impairment graphically depicted the interaction of 2 overarching themes of person and profession. The person theme had 3 subthemes of predetermined risk, altered values, and sensation-seeking behaviors. The profession theme had 6 subthemes of masterminding, professional heteronomy, getting caught, rehabilitation, spirituality, and the nurse becoming the nursed. Findings imply that chemical dependency among male nurses starts in childhood in an abusive family environment and continues throughout the educational process and into the work environment. Findings supporting diversion success include a lack of awareness of the signs and symptoms of impairment by supervisors, poor compliance to drug control procedures, and a common acceptance by peers that impaired men are clinically competent and clinical leaders. When these 3 situations are present, there is greater success in masterminding daily events to maintain undetected drug access. ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/01.NAQ.0000336731.64878.66 PT - Journal Article LG - English DP - 2008 Oct-Dec DC - 20080924 YR - 2008 ED - 20090204 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18813091 <482. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18608077 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ettner SL AU - Conover CJ AU - Proescholdbell RJ AU - Weaver MR AU - Ang A AU - Arno PS AU - HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study Group FA - Ettner, Susan L FA - Conover, Christopher J FA - Proescholdbell, Rae Jean FA - Weaver, Marcia R FA - Ang, Alfonso FA - Arno, Peter S FA - HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study Group IN - Ettner,Susan L. Division of General Internal Medicine and Health Services Research, University of California Los Angeles, Los Angeles, CA, USA. settner@mednet.ucla.edu IR - Kalichman S IR - Knipmeyer MC IR - Meyer P IR - Bell J IR - Andersen M IR - Calsyn R IR - Keane T IR - Sacks S IR - Soto T IR - Uldall K IR - Winiarski M IR - Whetten K IR - Green-Morsell P IR - Tinsley M IR - Flanzer J IR - Stoff DM IR - Bryant K IR - Hilton M IR - Knipmeyer MC IR - Thompson D IR - Manwar A IR - Arno P IR - Bonuck K IR - Brief D IR - Conover CJ IR - Flynn P IR - Harris V IR - Helminiak TW IR - Hendricks A IR - Klinkenberg W IR - Miller A IR - Mood D IR - Morse GA IR - Pfoutz S IR - Porto J IR - Roberts R IR - Sherer R IR - Sadowski L IR - Smereck G IR - Swartz M IR - Trezza G IR - Weaver M IR - Weinstein R TI - Triply-diagnosed patients in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study: patterns of home care use. SO - AIDS Care. 20(10):1177-89, 2008 Nov. AS - AIDS Care. 20(10):1177-89, 2008 Nov. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Internet JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - Costs and Cost Analysis MH - Diagnosis, Dual (Psychiatry) MH - Female MH - HIV Infections/co [Complications] MH - HIV Infections/ec [Economics] MH - *HIV Infections/nu [Nursing] MH - Health Expenditures MH - Home Care Services/ec [Economics] MH - Home Care Services/sn [Statistics & Numerical Data] MH - *Home Care Services/ut [Utilization] MH - Home Nursing/ec [Economics] MH - Home Nursing/sn [Statistics & Numerical Data] MH - *Home Nursing/ut [Utilization] MH - Humans MH - Insurance/sn [Statistics & Numerical Data] MH - Logistic Models MH - Male MH - Mental Disorders/co [Complications] MH - Mental Disorders/ec [Economics] MH - *Mental Disorders/nu [Nursing] MH - Middle Aged MH - Socioeconomic Factors MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - United States MH - Young Adult AB - Although AIDS is a chronic illness, little is known about the patterns and correlates of long-term care use among triply diagnosed HIV patients. We examined nursing and home care use among 1,045 participants in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study, a multi-site study of HIV-positive patients with at least one mental health and one substance disorder. Patient interviews and medical record review data were used to examine the average monthly cost of nursing home, formal home and informal home care. Multinomial logit and two-part regression models were used to identify correlates of the use of formal and informal home care and the number of informal home care hours used. During the three months prior to baseline, 2, 7 and 23% of participants used nursing home, formal home and informal home care, respectively. Patients who were better-educated, had higher incomes, had Medicaid insurance (with or without Medicare coverage) and whose transmission mode was homosexual sex had higher regression-adjusted probabilities of receiving any formal home care; Latinos and physically healthier patients had lower probabilities. Women and patients who abused drugs or alcohol (but not both) were more likely to receive informal care only. Overall, patients who were female, better-educated, physically or mentally sicker or single-substance abusers were more likely to receive any home care (either formal or informal), while those contracting HIV through heterosexual sex were less likely. Women received 28 more monthly hours of informal care than men and married patients received 31 more hours than unmarried patients. We conclude that at least one mutable policy factor (Medicaid insurance) is strongly associated with formal home care use among triply diagnosed patients. Further research is needed to explore possible implications for access among this vulnerable subpopulation. ES - 1360-0451 IL - 0954-0121 DO - http://dx.doi.org/10.1080/09540120801918644 PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 2008 Nov DC - 20081117 YR - 2008 ED - 20090129 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18608077 <483. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19092551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nyamathi A AU - Liu Y AU - Marfisee M AU - Shoptaw S AU - Gregerson P AU - Saab S AU - Leake B AU - Tyler D AU - Gelberg L FA - Nyamathi, Adeline FA - Liu, Yihang FA - Marfisee, Mary FA - Shoptaw, Steven FA - Gregerson, Paul FA - Saab, Sammy FA - Leake, Barbara FA - Tyler, Darlene FA - Gelberg, Lillian IN - Nyamathi,Adeline. School of Nursing, University of California Los Angeles, Los Angeles, CA 90095-1702, USA. anyamath@sonnet.ucla.edu TI - Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults. SO - Nursing Research. 58(1):13-22, 2009 Jan-Feb. AS - Nurs Res. 58(1):13-22, 2009 Jan-Feb. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Internet JC - o9k, 0376404 OI - Source: NLM. NIHMS255733 OI - Source: NLM. PMC3076026 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Case Management/og [Organization & Administration] MH - Contact Tracing MH - Female MH - *Hepatitis A/pc [Prevention & Control] MH - Hepatitis A Vaccines MH - *Hepatitis B/pc [Prevention & Control] MH - Hepatitis B Vaccines MH - Homeless Persons/ed [Education] MH - Homeless Persons/px [Psychology] MH - Homeless Persons/sn [Statistics & Numerical Data] MH - *Homeless Persons MH - Humans MH - Logistic Models MH - Los Angeles MH - Male MH - Middle Aged MH - Motivation MH - Multivariate Analysis MH - Nurse's Role MH - Nursing Evaluation Research MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Patient Education as Topic/og [Organization & Administration] MH - Program Evaluation MH - Prospective Studies MH - Risk-Taking MH - Single-Blind Method MH - Socioeconomic Factors MH - Vaccination/nu [Nursing] MH - Vaccination/px [Psychology] MH - Vaccination/sn [Statistics & Numerical Data] MH - *Vaccination MH - Vaccines, Combined AB - BACKGROUND: Hepatitis B virus (HBV) infection constitutes a major health problem for homeless persons. Ability to complete an HBV vaccination series is complicated by the need to prioritize competing needs, such as addiction issues, safe places to sleep, and food, over health concerns. AB - OBJECTIVES: The objectives of this study were to evaluate the effectiveness of a nurse-case-managed intervention compared with that of two standard programs on completion of the combined hepatitis A virus (HAV) and HBV vaccine series among homeless adults and to assess sociodemographic factors and risk behaviors related to the vaccine completion. AB - METHODS: A randomized, three-group, prospective, quasi-experimental design was conducted with 865 homeless adults residing in homeless shelters, drug rehabilitation sites, and outdoor areas in the Skid Row area of Los Angeles. The programs included (a) nurse-case-managed sessions plus targeted hepatitis education, incentives, and tracking (NCMIT); (b) standard targeted hepatitis education plus incentives and tracking (SIT); and (c) standard targeted hepatitis education and incentives only (SI). AB - RESULTS: Sixty-eight percent of the NCMIT participants completed the three-series vaccine at 6 months, compared with 61% of SIT participants and 54% of SI participants. NCMIT participants had almost 2 times greater odds of completing vaccination than those of participants in the SI program. Completers were more likely to be older, to be female, to report fair or poor health, and not to have participated in a self-help drug treatment program. Newly homeless White adults were significantly less likely than were African Americans to complete the vaccine series. AB - DISCUSSION: The use of vaccination programs incorporating nurse case management and tracking is critical in supporting adherence to completion of a 6-month HAV/HBV vaccine. The finding that White homeless persons were the least likely to complete the vaccine series suggests that programs tailored to address their unique cultural issues are needed. RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Vaccines, Combined) RN - 0 (twinrix) ES - 1538-9847 IL - 0029-6562 DO - http://dx.doi.org/10.1097/NNR.0b013e3181902b93 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - DA016147 (United States NIDA NIH HHS) NO - T32 NR007077 (United States NINR NIH HHS) NO - R01 DA016147 (United States NIDA NIH HHS) NO - DA016147-01A1 (United States NIDA NIH HHS) NO - R01 DA016147-01A1 (United States NIDA NIH HHS) LG - English DP - 2009 Jan-Feb DC - 20081218 YR - 2009 ED - 20090108 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19092551 <484. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19092551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nyamathi A AU - Liu Y AU - Marfisee M AU - Shoptaw S AU - Gregerson P AU - Saab S AU - Leake B AU - Tyler D AU - Gelberg L FA - Nyamathi, Adeline FA - Liu, Yihang FA - Marfisee, Mary FA - Shoptaw, Steven FA - Gregerson, Paul FA - Saab, Sammy FA - Leake, Barbara FA - Tyler, Darlene FA - Gelberg, Lillian IN - Nyamathi,Adeline. School of Nursing, University of California Los Angeles, Los Angeles, CA 90095-1702, USA. anyamath@sonnet.ucla.edu TI - Effects of a nurse-managed program on hepatitis A and B vaccine completion among homeless adults. SO - Nursing Research. 58(1):13-22, 2009 Jan-Feb. AS - Nurs Res. 58(1):13-22, 2009 Jan-Feb. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Internet JC - o9k, 0376404 OI - Source: NLM. NIHMS255733 OI - Source: NLM. PMC3076026 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Case Management/og [Organization & Administration] MH - Contact Tracing MH - Female MH - *Hepatitis A/pc [Prevention & Control] MH - Hepatitis A Vaccines MH - *Hepatitis B/pc [Prevention & Control] MH - Hepatitis B Vaccines MH - Homeless Persons/ed [Education] MH - Homeless Persons/px [Psychology] MH - Homeless Persons/sn [Statistics & Numerical Data] MH - *Homeless Persons MH - Humans MH - Logistic Models MH - Los Angeles MH - Male MH - Middle Aged MH - Motivation MH - Multivariate Analysis MH - Nurse's Role MH - Nursing Evaluation Research MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Patient Education as Topic/og [Organization & Administration] MH - Program Evaluation MH - Prospective Studies MH - Risk-Taking MH - Single-Blind Method MH - Socioeconomic Factors MH - Vaccination/nu [Nursing] MH - Vaccination/px [Psychology] MH - Vaccination/sn [Statistics & Numerical Data] MH - *Vaccination MH - Vaccines, Combined AB - BACKGROUND: Hepatitis B virus (HBV) infection constitutes a major health problem for homeless persons. Ability to complete an HBV vaccination series is complicated by the need to prioritize competing needs, such as addiction issues, safe places to sleep, and food, over health concerns. AB - OBJECTIVES: The objectives of this study were to evaluate the effectiveness of a nurse-case-managed intervention compared with that of two standard programs on completion of the combined hepatitis A virus (HAV) and HBV vaccine series among homeless adults and to assess sociodemographic factors and risk behaviors related to the vaccine completion. AB - METHODS: A randomized, three-group, prospective, quasi-experimental design was conducted with 865 homeless adults residing in homeless shelters, drug rehabilitation sites, and outdoor areas in the Skid Row area of Los Angeles. The programs included (a) nurse-case-managed sessions plus targeted hepatitis education, incentives, and tracking (NCMIT); (b) standard targeted hepatitis education plus incentives and tracking (SIT); and (c) standard targeted hepatitis education and incentives only (SI). AB - RESULTS: Sixty-eight percent of the NCMIT participants completed the three-series vaccine at 6 months, compared with 61% of SIT participants and 54% of SI participants. NCMIT participants had almost 2 times greater odds of completing vaccination than those of participants in the SI program. Completers were more likely to be older, to be female, to report fair or poor health, and not to have participated in a self-help drug treatment program. Newly homeless White adults were significantly less likely than were African Americans to complete the vaccine series. AB - DISCUSSION: The use of vaccination programs incorporating nurse case management and tracking is critical in supporting adherence to completion of a 6-month HAV/HBV vaccine. The finding that White homeless persons were the least likely to complete the vaccine series suggests that programs tailored to address their unique cultural issues are needed. RN - 0 (Hepatitis A Vaccines) RN - 0 (Hepatitis B Vaccines) RN - 0 (Vaccines, Combined) RN - 0 (twinrix) ES - 1538-9847 IL - 0029-6562 DO - http://dx.doi.org/10.1097/NNR.0b013e3181902b93 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - DA016147 (United States NIDA NIH HHS) NO - R01 DA016147 (United States NIDA NIH HHS) NO - R01 DA016147-01A1 (United States NIDA NIH HHS) NO - T32 NR007077 (United States NINR NIH HHS) LG - English DP - 2009 Jan-Feb DC - 20081218 YR - 2009 ED - 20090108 RD - 20140913 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19092551 <485. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19061028 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vargas Dd AU - Luis MA FA - Vargas, Divane de FA - Luis, Margarita Antonia Villar IN - Vargas,Divane de. School of Nursing, University of Sao Paulo, Brazil. vargas@usp.br TI - Development and validation of a scale of attitudes towards alcohol, alcoholism and alcoholics. SO - Revista Latino-Americana de Enfermagem. 16(5):895-902, 2008 Sep-Oct. AS - Rev Lat Am Enfermagem. 16(5):895-902, 2008 Sep-Oct. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Alcoholism MH - *Attitude MH - *Ethanol MH - Humans MH - Psychometrics MH - Reproducibility of Results MH - *Surveys and Questionnaires AB - 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. RN - 3K9958V90M (Ethanol) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000500016 PT - Journal Article PT - Validation Studies LG - English DP - 2008 Sep-Oct DC - 20081208 YR - 2008 ED - 20090108 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19061028 <486. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18620835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chang JC AU - Dado D AU - Frankel RM AU - Rodriguez KL AU - Zickmund S AU - Ling BS AU - Arnold RM FA - Chang, Judy C FA - Dado, Diane FA - Frankel, Richard M FA - Rodriguez, Keri L FA - Zickmund, Susan FA - Ling, Bruce S FA - Arnold, Robert M IN - Chang,Judy C. 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. jchang@mail.magee.edu TI - When pregnant patients disclose substance use: missed opportunities for behavioral change counseling. CM - Comment in: Patient Educ Couns. 2009 Feb;74(2):277; PMID: 19108979 SO - Patient Education & Counseling. 72(3):394-401, 2008 Sep. AS - Patient Educ Couns. 72(3):394-401, 2008 Sep. NJ - Patient education and counseling PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 OI - Source: NLM. NIHMS68089 OI - Source: NLM. PMC2633127 SB - Nursing Journal CP - Ireland MH - Adolescent MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Directive Counseling MH - Female MH - Humans MH - *Mass Screening MH - Pennsylvania MH - Pregnancy MH - *Prenatal Care MH - Professional-Patient Relations MH - *Smoking/pc [Prevention & Control] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Providers were less attentive to alcohol and drugs than smoking where they had pre-established patterns of response. AB - 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. IS - 0738-3991 IL - 0738-3991 DO - http://dx.doi.org/10.1016/j.pec.2008.06.001 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - UL1 TR000005 (United States NCATS NIH HHS) NO - HD043441-02 (United States NICHD NIH HHS) NO - K12 HD043441 (United States NICHD NIH HHS) NO - K12 HD043441-03 (United States NICHD NIH HHS) NO - L30 RR019716-02 (United States NCRR NIH HHS) NO - K12 HD043441-02 (United States NICHD NIH HHS) NO - 5 K12 HD43441-04 (United States NICHD NIH HHS) NO - K12 HD043441-01 (United States NICHD NIH HHS) NO - RR019716-02 (United States NCRR NIH HHS) NO - L30 RR019716-01 (United States NCRR NIH HHS) NO - HD043441-03 (United States NICHD NIH HHS) NO - L30 RR019716 (United States NCRR NIH HHS) NO - RR019716-01 (United States NCRR NIH HHS) LG - English EP - 2008Jul11 DP - 2008 Sep DC - 2008818 YR - 2008 ED - 20081205 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=18620835 <487. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18620835 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chang JC AU - Dado D AU - Frankel RM AU - Rodriguez KL AU - Zickmund S AU - Ling BS AU - Arnold RM FA - Chang, Judy C FA - Dado, Diane FA - Frankel, Richard M FA - Rodriguez, Keri L FA - Zickmund, Susan FA - Ling, Bruce S FA - Arnold, Robert M IN - Chang,Judy C. 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. jchang@mail.magee.edu TI - When pregnant patients disclose substance use: missed opportunities for behavioral change counseling. CM - Comment in: Patient Educ Couns. 2009 Feb;74(2):277; PMID: 19108979 SO - Patient Education & Counseling. 72(3):394-401, 2008 Sep. AS - Patient Educ Couns. 72(3):394-401, 2008 Sep. NJ - Patient education and counseling PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 OI - Source: NLM. NIHMS68089 OI - Source: NLM. PMC2633127 SB - Nursing Journal CP - Ireland MH - Adolescent MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Directive Counseling MH - Female MH - Humans MH - *Mass Screening MH - Pennsylvania MH - Pregnancy MH - *Prenatal Care MH - Professional-Patient Relations MH - *Smoking/pc [Prevention & Control] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Providers were less attentive to alcohol and drugs than smoking where they had pre-established patterns of response. AB - 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. IS - 0738-3991 IL - 0738-3991 DO - http://dx.doi.org/10.1016/j.pec.2008.06.001 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. NO - 5 K12 HD43441-04 (United States NICHD NIH HHS) NO - K12 HD043441 (United States NICHD NIH HHS) NO - K12 HD043441-01 (United States NICHD NIH HHS) NO - K12 HD043441-02 (United States NICHD NIH HHS) NO - K12 HD043441-03 (United States NICHD NIH HHS) NO - L30 RR019716 (United States NCRR NIH HHS) NO - L30 RR019716-01 (United States NCRR NIH HHS) NO - L30 RR019716-02 (United States NCRR NIH HHS) NO - UL1 TR000005 (United States NCATS NIH HHS) LG - English EP - 20080711 DP - 2008 Sep DC - 20080818 YR - 2008 ED - 20081205 RD - 20150414 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18620835 <488. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18728517 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zarling KK AU - Burke MV AU - Gaines KA AU - Gauvin TR FA - Zarling, Kathleen K FA - Burke, Michael V FA - Gaines, Kim A FA - Gauvin, Thomas R IN - Zarling,Kathleen K. Department of Nursing, Mayo Clinic, Rochester, Minnesota, USA. zarling.kathleen@mayo.edu TI - Registered nurse initiation of a tobacco intervention protocol: leading quality care. SO - Journal of Cardiovascular Nursing. 23(5):443-8, 2008 Sep-Oct. AS - J Cardiovasc Nurs. 23(5):443-8, 2008 Sep-Oct. NJ - The Journal of cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - jcn, 8703516 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Clinical Protocols MH - Hospitalization MH - Humans MH - Minnesota MH - Nurse's Role MH - Organizational Case Studies MH - Program Development/mt [Methods] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] AB - UNLABELLED: This article summarizes the development and implementation of a registered nurse-initiated protocol to intervene with hospitalized patients who are tobacco-dependent, may be experiencing tobacco withdrawal, and who are hospitalized in a smoke-free environment. AB - RATIONALE: Tobacco use is the leading cause of preventable death in the United States. Hospitalization provides a unique teachable moment to treat tobacco dependence. Nurses can be effective in talking with patients about tobacco use. AB - DEVELOPMENT: The clinical nurse specialist spheres of influence model and the role of the clinical nurse specialist were important for developing a tobacco use intervention protocol. A multi-disciplinary team created key objectives. These included identifying and assessing all patients who use tobacco, providing treatment to manage both withdrawal and address tobacco dependence, providing comfort to patients while hospitalized in a tobacco-free environment, encouraging lifelong cessation. The bedside admitting nurse was chosen as the pivotal professional to trigger tobacco use interventions. AB - IMPLEMENTATION: A protocol was finalized that requires the bedside nurse to assess all patients for past and current tobacco use. The nurse is then prompted to (1) provide information about tobacco dependence and treatment, (2) ask if the patient wants nicotine patch therapy to address withdrawal and, (3) order a consult with a specialist at the patient's request. Extensive and varied educational programs were developed to support the implementation of the protocol. AB - OUTCOMES: The tobacco use intervention protocol has become important for providing assessment and intervention to patients who use tobacco. It has increased the number of specialist consults provided to patients. It has increased compliance with quality reporting data by national quality accrediting bodies. ES - 1550-5049 IL - 0889-4655 DO - http://dx.doi.org/10.1097/01.JCN.0000317451.64778.e9 PT - Journal Article LG - English DP - 2008 Sep-Oct DC - 20080827 YR - 2008 ED - 20081117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18728517 <489. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18547349 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford R AU - Bammer G AU - Becker N FA - Ford, Rosemary FA - Bammer, Gabriele FA - Becker, Niels IN - Ford,Rosemary. School of Nursing, Australian Catholic University, Fitzroy, Australia. rosemary.ford@acu.edu.au TI - The determinants of nurses' therapeutic attitude to patients who use illicit drugs and implications for workforce development. SO - Journal of Clinical Nursing. 17(18):2452-62, 2008 Sep. AS - J Clin Nurs. 17(18):2452-62, 2008 Sep. NJ - Journal of clinical nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Australia MH - Female MH - Humans MH - Linear Models MH - Male MH - Middle Aged MH - *Nurse's Role/px [Psychology] MH - Nurses/cl [Classification] MH - *Nurses/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - AIM: To examine the determinants of generalist nurses' therapeutic attitude to patients who use illicit drugs, and to model workforce development initiatives. AB - BACKGROUND: Individuals who use illicit drugs rely heavily on healthcare in emergency departments and inpatient hospital wards. Little is known about the determinants of generalist nurses' therapeutic attitude to provide care, therefore limiting our understanding of the important issues for workforce development. AB - DESIGN: The study was a cross-sectional survey of registrants on the Australian Capital Territory Nurses Registration Roll 2002 (N = 3241, 50% response rate). The associations between variables and nurses' therapeutic attitude were examined by multi-variable linear regression analysis. AB - METHOD: Nurses' therapeutic attitude was assessed using a modified version of the Alcohol and Alcohol Problems Perception Questionnaire. Personal characteristics, attitudes to illicit drugs and professional practice variables such as drug and alcohol education, experience with the patient group and role support were examined using a mix of standardised and new questions. AB - RESULTS: Professional practice variables explained 53% of the variation of nurses' therapeutic attitude, the most important being role support. Although a negative attitude to illicit drugs had a statistically significant association with therapeutic attitude, it added less than 1% to the variation explained. Personal characteristics showed no association. AB - CONCLUSIONS: Generalist nurses struggle to provide care to this patient group. Role support was found to be the strongest driver of nurses' therapeutic attitude, and workplace illicit drug education was only useful in combination with high role support. AB - RELEVANCE TO CLINICAL PRACTICE: Nurses' caring role with patients who use illicit drugs is complex and demanding. Nursing workforce development must focus on increasing nurses' role support, in terms of appropriately skilled staff readily available for consultation and advice. Support for nurses, in the form of evidence-based practice standards and appropriate time allocation, is also important. ES - 1365-2702 IL - 0962-1067 DO - http://dx.doi.org/10.1111/j.1365-2702.2007.02266.x PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080628 DP - 2008 Sep DC - 20080818 YR - 2008 ED - 20081106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18547349 <490. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18763655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Umatta F FA - Umatta, Festus IN - Umatta,Festus. Thames Valley University. TI - Self-medicating patient taught me always to ask questions. SO - Nursing Standard. 22(37):26, 2008 May 21-27. AS - Nurs Stand. 22(37):26, 2008 May 21-27. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - Communication MH - *Deception MH - Humans MH - Morphine Dependence/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Assessment MH - Self Medication/nu [Nursing] MH - *Self Medication/px [Psychology] MH - *Students, Nursing/px [Psychology] IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2008 May 21-27 DC - 20080903 YR - 2008 ED - 20081031 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18763655 <491. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18843829 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shishani K AU - Nawafleh H AU - Sivarajan Froelicher E FA - Shishani, Kawkab FA - Nawafleh, Hani FA - Sivarajan Froelicher, Erika IN - Shishani,Kawkab. Faculty of Nursing, The Hashemite University, PO Box 150459, Zarqa, 13115 Jordan. kawkab.shishani@gmail.com TI - Jordanian nurses' and physicians' learning needs for promoting smoking cessation. SO - Progress in Cardiovascular Nursing. 23(2):79-83, 2008. AS - Prog Cardiovasc Nurs. 23(2):79-83, 2008. NJ - Progress in cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Print JC - prn, 8704064 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Chi-Square Distribution MH - Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - *Health Promotion MH - Humans MH - Jordan/ep [Epidemiology] MH - Logistic Models MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - Medical Staff, Hospital/sn [Statistics & Numerical Data] MH - *Medical Staff, Hospital MH - Middle Aged MH - Multivariate Analysis MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Nursing Staff, Hospital MH - Prevalence MH - Self Efficacy MH - Sex Distribution MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Smoking Cessation MH - Surveys and Questionnaires AB - 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. IS - 0889-7204 IL - 0889-7204 PT - Journal Article LG - English DP - 2008 DC - 20081010 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18843829 <492. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18373952 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo - EERP, USP, Ribeirao Preto, Sao Paulo, Brazil. p9800003@sgul.ac.uk TI - The influence of learning styles preference of undergraduate nursing students on educational outcomes in substance use education. SO - Nurse Education in Practice. 8(5):306-14, 2008 Sep. AS - NURSE EDUC PRACT. 8(5):306-14, 2008 Sep. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Consumer Behavior MH - *Education, Nursing, Baccalaureate MH - Female MH - Great Britain MH - Humans MH - *Learning MH - Male MH - Middle Aged MH - Outcome and Process Assessment (Health Care) MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - 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. ES - 1873-5223 IL - 1471-5953 DO - http://dx.doi.org/10.1016/j.nepr.2008.02.001 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080325 DP - 2008 Sep DC - 20080811 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18373952 <493. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18166248 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo-EERP, USP, Ribeirao Preto, Sao Paulo, Brazil. p9800003@sgul.ac.uk TI - Predictors of educational outcomes of undergraduate nursing students in alcohol and drug education. SO - Nurse Education Today. 28(6):691-701, 2008 Aug. AS - Nurse Educ Today. 28(6):691-701, 2008 Aug. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Educational Measurement MH - England MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mass Screening MH - Middle Aged MH - Nurse's Role MH - Nursing Assessment MH - Nursing Education Research MH - Program Evaluation MH - Psychiatric Nursing/ed [Education] MH - Self Efficacy MH - Stereotyping MH - *Students, Nursing/px [Psychology] MH - Substance Abuse Detection MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 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. IS - 0260-6917 IL - 0260-6917 DO - http://dx.doi.org/10.1016/j.nedt.2007.11.005 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20071231 DP - 2008 Aug DC - 20080714 YR - 2008 ED - 20081030 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18166248 <494. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709287 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paredes NP AU - Miasso AI AU - Tirapelli CR FA - Paredes, Nivia Pinos FA - Miasso, Adriana Inocenti FA - Tirapelli, Carlos Renato IN - Paredes,Nivia Pinos. Higher Education Faculty, University of Guayaquil, School of Nursing, Ecuador. TI - Consumption of benzodiazepines without prescription among first-year nursing students at the University of Guayaquil, school of nursing, Ecuador. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:634-9, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:634-9, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Benzodiazepines MH - Catchment Area (Health) MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Ecuador/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Universities/sn [Statistics & Numerical Data] AB - 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-medicinal 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. RN - 12794-10-4 (Benzodiazepines) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700021 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709287 <495. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Delia Rojo M AU - Villela Bueno SM AU - Silva EC FA - Delia Rojo, Maria FA - Villela Bueno, Sonia Maria FA - Silva, Edilaine Cristina da IN - Delia Rojo,Maria. Health Systems and Social Security, Faculty, Cordoba National University, Medical Sciences School, School of Nursing, Argentina. jazni@arnet.com.ar TI - Conceptions of nursing students on health promotion related to psychoactive substances. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:627-33, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:627-33, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Attitude of Health Personnel MH - *Health Promotion MH - Humans MH - *Psychotropic Drugs MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. RN - 0 (Psychotropic Drugs) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700020 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709286 <496. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709285 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henriquez PC AU - Carvalho AM FA - Henriquez, Patricia Cid FA - Carvalho, Ana Maria Pimenta de IN - Henriquez,Patricia Cid. Ribeirao Preto, College of Nursing, University of Sao Paulo. TI - Perceptions of drugs benefits and barriers to quit by undergraduate health students. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Attitude MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] AB - 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. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700019 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709285 <497. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709283 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abarca AM AU - Pillon SC FA - Abarca, Alfonsyna Montoya de FA - Pillon, Sandra Cristina IN - Abarca,Alfonsyna Montoya de. National Autonomous University of Honduras. TI - Nursing students' perception regarding predicting factors of drugs use. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:607-13, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:607-13, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adolescent MH - Adult MH - *Attitude MH - Female MH - Honduras MH - Humans MH - Male MH - Risk Factors MH - Street Drugs MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders AB - The study on the perception of 264 (33.2%) nursing students from the Professionalization 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 Professionalization group consumes tranquilizers and stimulants at a higher rate than the Regular group. The Professionalization 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 Professionalization 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. RN - 0 (Street Drugs) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700017 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709283 <498. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matute RC AU - Pillon SC FA - Matute, Rosa Camila FA - Pillon, Sandra Cristina IN - Matute,Rosa Camila. National Autonomous University of Honduras. TI - Alcohol consumption by nursing students in Honduras. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:584-9, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:584-9, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Female MH - Honduras/ep [Epidemiology] MH - Humans MH - Male MH - Prevalence MH - *Students, Nursing/sn [Statistics & Numerical Data] AB - 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. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700013 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709279 <499. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709277 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hernandez Rodriguez VM AU - Scherer ZA FA - Hernandez Rodriguez, Veronica Margarita FA - Scherer, Zeyne Alves Pires IN - Hernandez Rodriguez,Veronica Margarita. School of Nursing, University Autonoma of Queretaro, Mexico. covetojo@yahoo.com TI - Undergraduate students' motivations for the consumption of legal drugs. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Drug Therapy MH - *Education, Medical, Undergraduate MH - Humans MH - *Motivation MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700011 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709277 <500. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709276 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oliveira EB AU - Furegato AR FA - Oliveira, Elias Barbosa de FA - Furegato, Antonia Regina Ferreira IN - Oliveira,Elias Barbosa de. Rio de Janeiro State University, Brazil. eliasbo@tutopia.com.br TI - Nursing students' work, a risk factor for the consumption of alcohol and other drugs. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:565-71, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:565-71, 2008 Jul-Aug. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Alcohol Drinking/ep [Epidemiology] MH - Anti-Anxiety Agents MH - Humans MH - Prevalence MH - Risk Factors MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Workplace/sn [Statistics & Numerical Data] AB - UNLABELLED: This descriptive, qualitative study aims 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. AB - 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. RN - 0 (Anti-Anxiety Agents) IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700010 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Jul-Aug DC - 20080818 YR - 2008 ED - 20081028 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18709276 <501. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18666908 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Munro I AU - Edward KL FA - Munro, Ian FA - Edward, Karen-Leigh IN - Munro,Ian. School of Nursing, Deakin University, Melbourne Campus, Melbourne, Victoria, Australia. ian.munro@deakin.edu.au TI - Mental illness and substance use: an Australian perspective. [Review] [42 refs] SO - International Journal of Mental Health Nursing. 17(4):255-60, 2008 Aug. AS - Int J Ment Health Nurs. 17(4):255-60, 2008 Aug. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Australia/ep [Epidemiology] MH - Clinical Competence MH - Comorbidity MH - Continuity of Patient Care/og [Organization & Administration] MH - Cooperative Behavior MH - Diagnosis, Dual (Psychiatry) MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - *Mental Health Services/og [Organization & Administration] MH - Nurse's Role MH - Nursing Assessment MH - Prevalence MH - Prognosis MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - Total Quality Management AB - This paper presents a review of the literature of service trends and practice recommendations for management of those with the dual diagnosis of mental illness and substance abuse. The method for the review was to search bibliographical data bases and hand held literature published in English between 1990 and 2007. Using the search terms dual diagnosis, and co-morbidity and mental illness, 93 abstracts were selected and reviewed. The authors concluded that a collaborative approach to care with better integration of drug and alcohol services within mental health would benefit clients with a dual diagnosis. Improved education to enhance the assessment and diagnosis of this client group is also considered essential for clinicians in both mental health and alcohol and drugs services. [References: 42] IS - 1445-8330 IL - 1445-8330 DO - http://dx.doi.org/10.1111/j.1447-0349.2008.00541.x PT - Journal Article PT - Review LG - English DP - 2008 Aug DC - 20080731 YR - 2008 ED - 20081024 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18666908 <502. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17336307 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan SS AU - Sarna L AU - Danao LL FA - Chan, Sophia Siu-Chee FA - Sarna, Linda FA - Danao, Leda L IN - Chan,Sophia Siu-Chee. Department of Nursing Studies, The University of Hong Kong, Hong Kong SAR, China. nssophia@hkucc.hku.hk TI - Are nurses prepared to curb the tobacco epidemic in China? A questionnaire survey of schools of nursing. SO - International Journal of Nursing Studies. 45(5):706-13, 2008 May. AS - Int J Nurs Stud. 45(5):706-13, 2008 May. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - China MH - Clinical Competence MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Faculty, Nursing/sn [Statistics & Numerical Data] MH - Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Hong Kong MH - Humans MH - Needs Assessment MH - Nurse's Role MH - Nursing Education Research MH - Organizational Policy MH - Population Surveillance MH - Prevalence MH - Schools, Nursing/og [Organization & Administration] MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Smoking Cessation/mt [Methods] MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - DESIGN: Cross-sectional survey. AB - METHODS: Deans of 32 nursing schools in Hong Kong and China with an undergraduate programme (representing over 12000 students) completed a self-administered questionnaire. AB - 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 1h 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. AB - 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. IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English EP - 20070302 DP - 2008 May DC - 20080526 YR - 2008 ED - 20081002 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17336307 <503. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18538033 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jorm AF AU - Morgan AJ AU - Wright A FA - Jorm, Anthony F FA - Morgan, Amy J FA - Wright, Annemarie IN - Jorm,Anthony F. ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Locked Bag 10, Parkville, Victoria, Australia. ajorm@unimelb.edu.au TI - First aid strategies that are helpful to young people developing a mental disorder: beliefs of health professionals compared to young people and parents. SO - BMC Psychiatry. 8:42, 2008. AS - BMC Psychiatry. 8:42, 2008. NJ - BMC psychiatry PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968559 OI - Source: NLM. PMC2438354 SB - Index Medicus CP - England MH - Acute Disease MH - Adolescent MH - Adult MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Australia MH - Child MH - Comorbidity MH - *Crisis Intervention MH - Culture MH - Depressive Disorder/di [Diagnosis] MH - Depressive Disorder/px [Psychology] MH - Depressive Disorder/rh [Rehabilitation] MH - Diagnosis, Differential MH - Female MH - Health Surveys MH - Helping Behavior MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - *Mental Disorders/rh [Rehabilitation] MH - *Parents/px [Psychology] MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Care Team MH - Phobic Disorders/di [Diagnosis] MH - Phobic Disorders/px [Psychology] MH - Phobic Disorders/rh [Rehabilitation] MH - Psychotic Disorders/di [Diagnosis] MH - Psychotic Disorders/px [Psychology] MH - Psychotic Disorders/rh [Rehabilitation] MH - Public Opinion MH - Sick Role MH - Suicide/pc [Prevention & Control] MH - Suicide/px [Psychology] AB - BACKGROUND: Little is known about the best ways for a member of the public to respond when someone in their social network develops a mental disorder. Controlled trials are not feasible in this area, so expert consensus may be the best guide. AB - METHODS: To assess expert views, postal surveys were carried out with Australian GPs, psychiatrists and psychologists listed on professional registers and with mental health nurses who were members of a professional college. These professionals were asked to rate the helpfulness of 10 potential first aid strategies for young people with one of four disorders: depression, depression with alcohol misuse, social phobia and psychosis. Data were obtained from 470 GPs, 591 psychiatrists, 736 psychologists and 522 mental health nurses, with respective response rates of 24%, 35%, 40% and 32%. Data on public views were available from an earlier telephone survey of 3746 Australian youth aged 12-25 years and 2005 of their parents, which included questions about the same strategies. AB - RESULTS: A clear majority across the four professions believed in the helpfulness of listening to the person, suggesting professional help-seeking, making an appointment for the person to see a GP and asking about suicidal feelings. There was also a clear majority believing in the harmfulness of ignoring the person, suggesting use of alcohol to cope, and talking to them firmly. Compared to health professionals, young people and their parents were less likely to believe that asking about suicidal feelings would be helpful and more likely to believe it would be harmful. They were also less likely to believe that talking to the person firmly would be harmful. AB - CONCLUSION: Several first aid strategies can be recommended to the public based on agreement of clinicians about their likely helpfulness. In particular, there needs to be greater public awareness of the helpfulness of asking a young person with a mental health problem about suicidal feelings. ES - 1471-244X IL - 1471-244X DO - http://dx.doi.org/10.1186/1471-244X-8-42 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080608 DP - 2008 DC - 20080625 YR - 2008 ED - 20080829 RD - 20140903 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18538033 <504. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18585647 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Locca JF AU - Bula CJ AU - Zumbach S AU - Bugnon O FA - Locca, Jean-Francois FA - Bula, Christophe J FA - Zumbach, Serge FA - Bugnon, Oliver IN - Locca,Jean-Francois. Universities of Lausanne and Geneva, Community Pharmacy Practice Research Unit, Pharmacie de la PMU, Lausanne, Switzerland. TI - Pharmacological treatment of behavioral and psychological symptoms of dementia (BPSD) in nursing homes: development of practice recommendations in a Swiss canton. [Review] [50 refs][Erratum appears in J Am Med Dir Assoc. 2008 Oct;9(8):611] SO - Journal of the American Medical Directors Association. 9(6):439-48, 2008 Jul. AS - J AM MED DIR ASSOC. 9(6):439-48, 2008 Jul. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Internet JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - *Dementia/px [Psychology] MH - Female MH - *Homes for the Aged MH - Humans MH - Male MH - *Mental Disorders/dt [Drug Therapy] MH - Meta-Analysis as Topic MH - *Nursing Homes MH - *Practice Guidelines as Topic MH - Switzerland AB - 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. AB - 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. AB - 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. AB - 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. [References: 50] ES - 1538-9375 IL - 1525-8610 DO - http://dx.doi.org/10.1016/j.jamda.2008.04.003 PT - Journal Article PT - Review LG - English DP - 2008 Jul DC - 20080630 YR - 2008 ED - 20080826 RD - 20090326 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18585647 <505. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18042433 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vadlamudi RS AU - Adams S AU - Hogan B AU - Wu T AU - Wahid Z FA - Vadlamudi, Raja S FA - Adams, Susie FA - Hogan, Beth FA - Wu, Tiejian FA - Wahid, Zia IN - Vadlamudi,Raja S. Section of General Internal Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. rvadlamu@wfubmc.edu TI - Nurses' attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: impact of educational intervention. SO - Nurse Education in Practice. 8(4):290-8, 2008 Jul. AS - NURSE EDUC PRACT. 8(4):290-8, 2008 Jul. NJ - Nurse education in practice PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - *Education, Nursing, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Evaluation Research MH - Primary Health Care/mt [Methods] MH - Self Efficacy MH - Surveys and Questionnaires AB - 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. ES - 1873-5223 IL - 1471-5953 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. LG - English EP - 20071126 DP - 2008 Jul DC - 20080602 YR - 2008 ED - 20080819 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18042433 <506. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18472260 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gustafson DL AU - Goodyear L AU - Keough F FA - Gustafson, Diana L FA - Goodyear, Lesley FA - Keough, Fran IN - Gustafson,Diana L. Division of Community Health and Humanities, Faculty of Medicine HSC 2834, Memorial University, St. John's, NL A1B 3V6, Canada. diana.gustafson@med.mun.ca TI - When the dragon's awake: a needs assessment of people injecting drugs in a small urban centre. SO - International Journal of Drug Policy. 19(3):189-94, 2008 Jun. AS - Int J Drug Policy. 19(3):189-94, 2008 Jun. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Data Collection MH - Female MH - Focus Groups MH - Harm Reduction MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Male MH - *Needs Assessment MH - Newfoundland and Labrador MH - Nurse's Role MH - *Substance Abuse, Intravenous/px [Psychology] MH - *Urban Health Services/sd [Supply & Distribution] AB - BACKGROUND: St. John's, Newfoundland and Labrador is one of the smallest Canadian provincial capitals. Like other Canadian coastal communities, St. John's has been affected by dramatic economic and institutional restructuring that negatively impacted community health. Marginalized populations including people who inject drugs are more negatively affected by the gap between health needs and available services. AB - METHODS: A mixed methods needs assessment began with a survey and key informant and focus group interviews to determine attitudes, knowledge, and practices of people with current or previous experience injecting drugs. An environmental scan of programmes and services was conducted followed by a community consultation with key stakeholders, community agencies, study participants, the media, and members of the public to share and validate findings, solicit feedback, and gather data about future knowledge transfer activities. AB - RESULTS: This paper examines two of the five barriers to health and health services for people injecting drugs: First, there was a discrepancy amongst people injecting drugs between awareness and use of safer practices, and second, there was a limited formalized network of health and social programmes and services. AB - CONCLUSION: Accurate and timely information about safer practices, whilst an essential component of a harm reduction approach, is insufficient to reduce the risk of negative health outcomes for people injecting drugs. Funding new programmes and services, although desirable, is not always feasible in small urban centres with limited human and material resources. Recommendations for promoting health, reducing harm, and building local capacity must consider these limitations. Registered nurses are well positioned to provide leadership through collaborative community-based research, education and advocacy. ES - 1873-4758 IL - 0955-3959 DO - http://dx.doi.org/10.1016/j.drugpo.2008.01.005 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080512 DP - 2008 Jun DC - 20080526 YR - 2008 ED - 20080722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18472260 <507. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18367389 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood RA AU - Wood E AU - Lai C AU - Tyndall MW AU - Montaner JS AU - Kerr T FA - Wood, R Alan FA - Wood, Evan FA - Lai, Calvin FA - Tyndall, Mark W FA - Montaner, Julio S G FA - Kerr, Thomas IN - Wood,R Alan. University of British Columbia School of Nursing, T201-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5 Canada. nurse1@interchange.ubc.ca TI - Nurse-delivered safer injection education among a cohort of injection drug users: evidence from the evaluation of Vancouver's supervised injection facility. SO - International Journal of Drug Policy. 19(3):183-8, 2008 Jun. AS - Int J Drug Policy. 19(3):183-8, 2008 Jun. NJ - The International journal on drug policy PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 SB - Index Medicus CP - Netherlands MH - Adult MH - British Columbia MH - Cohort Studies MH - Female MH - *Harm Reduction MH - Humans MH - Male MH - Multivariate Analysis MH - Nurse's Role MH - *Patient Education as Topic/mt [Methods] MH - Prospective Studies MH - Risk Factors MH - Sex Factors MH - Street Drugs/ae [Adverse Effects] MH - *Substance Abuse Treatment Centers/mt [Methods] MH - *Substance Abuse, Intravenous AB - BACKGROUND: Despite growing implementation of harm reduction programs internationally, unsafe injecting practices remain common among injection drug users (IDU). In response, nursing interventions such as safer injection education (SIE) have been called for. In Vancouver, a supervised injection facility (SIF), where IDU inject pre-obtained illicit drugs under nursing supervision, opened in 2003 in an effort to reduce the impacts of unsafe injecting. We sought to characterize the state of nursing SIE practice in Vancouver and prospectively examine SIE among SIF users. AB - METHODS: We examined correlates of receiving SIE among participants in the Scientific Evaluation of Supervised Injecting (SEOSI) cohort. The SEOSI cohort was derived through random recruitment of SIF users. Characteristics of participants who reported receiving SIE from SIF nurses were examined using bivariate and multivariate generalized estimating equations. AB - RESULTS: 1087 SEOSI participants were surveyed between March 2004 and March 2005 and included in this analysis. Approximately one third of participants reported receiving SIE at baseline and an additional 13.3% reported receiving SIE during follow-up. Those receiving SIE from SIF nurses were more likely to be females (AOR=1.55; 95% CI: 1.18-2.04), persons requiring injecting assistance (AOR=1.52; 95% CI: 1.26-1.84), binge users (AOR=1.37; 95% CI: 1.14-1.64), and those using the SIF for most of their injections (AOR=1.47; 95% CI: 1.22-1.77). AB - CONCLUSIONS: These findings provide evidence to support the need for nurse-delivered SIE in reaching IDU most at risk for injection-related harm. SIFs may afford unique opportunities to deliver SIE to high-risk populations. Individuals receiving SIE from Vancouver's SIF nurses were likely to possess characteristics associated with adverse health outcomes, including HIV infection. RN - 0 (Street Drugs) ES - 1873-4758 IL - 0955-3959 DO - http://dx.doi.org/10.1016/j.drugpo.2008.01.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20080326 DP - 2008 Jun DC - 20080526 YR - 2008 ED - 20080722 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18367389 <508. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18515922 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis PM AU - Carr TL AU - La CB FA - Davis, Penelope M FA - Carr, Tracey L FA - La, Cindy B IN - Davis,Penelope M. Division of Continuing Professional Learning, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan. TI - Needs assessment and current practice of alcohol risk assessment of pregnant women and women of childbearing age by primary health care professionals. SO - Canadian Journal of Clinical Pharmacology. 15(2):e214-22, 2008. AS - Can J Clin Pharmacol. 15(2):e214-22, 2008. NJ - The Canadian journal of clinical pharmacology = Journal canadien de pharmacologie clinique PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dh4, 9804162 SB - Index Medicus CP - Canada MH - *Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/sn [Statistics & Numerical Data] MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/sn [Statistics & Numerical Data] MH - Physicians, Family/ed [Education] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Preconception Care/mt [Methods] MH - Pregnancy MH - Prenatal Care/mt [Methods] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - Risk Assessment/sn [Statistics & Numerical Data] MH - Saskatchewan MH - Sex Factors MH - Surveys and Questionnaires AB - BACKGROUND: Assessing the current practices and learning and resource needs of primary health care professionals in regards to their alcohol risk assessment practices is an important step in providing optimal training and educational methods. Needs and current practices in alcohol risk assessment of pregnant women and women of child bearing years may vary according to practitioner demographics. AB - METHODS: To appraise alcohol risk assessment current practices and learning and resource needs among Saskatchewan primary health care professionals, a mail and online survey was distributed in the spring of 2006 to family physicians/general practitioners and nurse practitioners. AB - RESULTS: In total, 876 surveys were distributed and 386 were returned for an overall response rate of 44.1%. The majority of survey respondents reported either rarely or never using a standardized screening tool in assessing alcohol risk in women or reported using a standardized screening tool that is less sensitive. Current practices varied according to gender, length of time in practice and practice location, while learning and resource needs were more likely to be identified by nurse practitioners, female physicians, and physicians from rural areas. Physicians who had practiced for less than 5 years were more likely to want an online course. AB - DISCUSSION: Knowing the needs and practices of health care professionals may assist learning and resource training and could assist in teaching best practices in alcohol risk assessment. Assessing alcohol risk in pregnant women and women of childbearing age is critical for prevention of FASD. IS - 1198-581X IL - 1198-581X PT - Journal Article LG - English EP - 20080601 DP - 2008 DC - 20080602 YR - 2008 ED - 20080708 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18515922 <509. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18453843 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahn C AU - Mulligan P AU - Salcido RS FA - Ahn, Chulhyun FA - Mulligan, Peter FA - Salcido, Richard Sal IN - Ahn,Chulhyun. Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. TI - Smoking-the bane of wound healing: biomedical interventions and social influences. [Review] [71 refs] SO - Advances in Skin & Wound Care. 21(5):227-36; quiz 237-8, 2008 May. AS - Adv Skin Wound Care. 21(5):227-36; quiz 237-8, 2008 May. NJ - Advances in skin & wound care PI - Journal available in: Print PI - Citation processed from: Internet JC - dkd, 100911021 SB - Nursing Journal CP - United States MH - Advertising as Topic MH - Health Promotion MH - Humans MH - Program Development MH - Program Evaluation MH - *Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Substance-Related Disorders MH - Wound Healing/de [Drug Effects] MH - *Wound Healing/ph [Physiology] MH - *Wounds and Injuries/th [Therapy] AB - PURPOSE: To provide wound care practitioners with information about the effects of smoking on wound healing. AB - TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in wound care. AB - OBJECTIVES: After reading this article and taking this test, the reader should be able to: 1. Describe the physiologic relationship between smoking and wound healing. 2. Discuss the phenomenon of smoking addiction and both pharmacologic and behavioral approaches to smoking cessation. [References: 71] ES - 1538-8654 IL - 1527-7941 DO - http://dx.doi.org/10.1097/01.ASW.0000305440.62402.43 PT - Journal Article PT - Review LG - English DP - 2008 May DC - 20080505 YR - 2008 ED - 20080620 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18453843 <510. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18407355 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suwanpimolkul G AU - Pongkumpai M AU - Suankratay C FA - Suwanpimolkul, Gompol FA - Pongkumpai, Montri FA - Suankratay, Chusana IN - Suwanpimolkul,Gompol. Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, PhraramIV Road, Pathumwan, Bangkok 10330, Thailand. TI - A randomized trial of 2% chlorhexidine tincture compared with 10% aqueous povidone-iodine for venipuncture site disinfection: Effects on blood culture contamination rates. SO - Journal of Infection. 56(5):354-9, 2008 May. AS - J Infect. 56(5):354-9, 2008 May. NJ - The Journal of infection PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ig9, 7908424 SB - Index Medicus CP - England MH - *Anti-Infective Agents, Local/ad [Administration & Dosage] MH - Blood/mi [Microbiology] MH - Blood Specimen Collection MH - *Chlorhexidine/ad [Administration & Dosage] MH - *Disinfectants/ad [Administration & Dosage] MH - Disinfection/mt [Methods] MH - Emergency Service, Hospital MH - *Equipment Contamination MH - Female MH - Gram-Positive Bacteria/cl [Classification] MH - Gram-Positive Bacteria/ip [Isolation & Purification] MH - Hospital Units MH - Humans MH - Male MH - *Phlebotomy MH - *Povidone-Iodine/ad [Administration & Dosage] MH - Skin/mi [Microbiology] MH - Thailand MH - Treatment Outcome AB - 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. AB - 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. AB - 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. AB - 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%). AB - CONCLUSION: Two percent alcoholic chlorhexidine is superior to 10% aqueous povidone-iodine for venipuncture site disinfection before obtaining blood cultures. RN - 0 (Anti-Infective Agents, Local) RN - 0 (Disinfectants) RN - 25655-41-8 (Povidone-Iodine) RN - R4KO0DY52L (Chlorhexidine) ES - 1532-2742 IL - 0163-4453 DO - http://dx.doi.org/10.1016/j.jinf.2008.03.001 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial LG - English EP - 20080414 DP - 2008 May DC - 20080502 YR - 2008 ED - 20080620 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18407355 <511. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17643558 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Rawaf S FA - Rassool, G Hussein FA - Rawaf, Salman IN - Rassool,G Hussein. Addiction and Mental Health, Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da Universidade de Sao Paulo-EERP, USP, Sao Paulo, Brazil. grassool@sgul.ac.uk TI - Educational intervention of undergraduate nursing students' confidence skills with alcohol and drug misusers. SO - Nurse Education Today. 28(3):284-92, 2008 Apr. AS - Nurse Educ Today. 28(3):284-92, 2008 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Clinical Competence MH - *Education, Nursing MH - Female MH - Great Britain MH - Humans MH - Male MH - Program Evaluation MH - *Self Efficacy MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0260-6917 IL - 0260-6917 PT - Clinical Trial PT - Journal Article PT - Multicenter Study LG - English EP - 20070723 DP - 2008 Apr DC - 20080310 YR - 2008 ED - 20080603 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17643558 <512. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18257760 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCartan B AU - McCreary C AU - Healy C FA - McCartan, B FA - McCreary, C FA - Healy, C IN - McCartan,B. Anatomy Department, Royal College of Surgeons, Dublin, Ireland. bmccartan@rcsi.ie TI - Attitudes of Irish dental, dental hygiene and dental nursing students and newly qualified practitioners to tobacco use cessation: a national survey. SO - European Journal of Dental Education. 12(1):17-22, 2008 Feb. AS - Eur J Dent Educ. 12(1):17-22, 2008 Feb. NJ - European journal of dental education : official journal of the Association for Dental Education in Europe PI - Journal available in: Print PI - Citation processed from: Print JC - 9712132, c1l SB - Dental Journals CP - Denmark MH - Adult MH - Attitude of Health Personnel/eh [Ethnology] MH - *Dental Assistants/ed [Education] MH - Dental Assistants/px [Psychology] MH - *Dental Hygienists/ed [Education] MH - Dental Hygienists/px [Psychology] MH - Dentists/px [Psychology] MH - *Education, Dental/st [Standards] MH - Ethnic Groups/sn [Statistics & Numerical Data] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/mt [Methods] MH - Humans MH - Ireland MH - Male MH - Patient Education as Topic/mt [Methods] MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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. IS - 1396-5883 IL - 1396-5883 DO - http://dx.doi.org/10.1111/j.1600-0579.2007.00466.x PT - Comparative Study PT - Journal Article LG - English DP - 2008 Feb DC - 20080208 YR - 2008 ED - 20080522 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18257760 <513. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18399398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Littlejohn C AU - Holloway A FA - Littlejohn, Christopher FA - Holloway, Aisha IN - Littlejohn,Christopher. NHS Tayside Alcohol Problems Service, Dundee. TI - Nursing interventions for preventing alcohol-related harm. [Review] [33 refs] SO - British Journal of Nursing. 17(1):53-9, 2008 Jan 10-23. AS - Br J Nurs. 17(1):53-9, 2008 Jan 10-23. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Directive Counseling/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - Mass Screening/px [Psychology] MH - Medical History Taking/mt [Methods] MH - Models, Nursing MH - Motivation MH - Negotiating/mt [Methods] MH - Negotiating/px [Psychology] MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - *Nursing Assessment/mt [Methods] MH - Nursing Assessment/og [Organization & Administration] MH - Nutrition Policy MH - *Patient Participation/mt [Methods] MH - Patient Participation/px [Psychology] MH - Practice Guidelines as Topic MH - Psychotherapy, Brief MH - Severity of Illness Index AB - 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. [References: 33] IS - 0966-0461 IL - 0966-0461 PT - Journal Article PT - Review LG - English DP - 2008 Jan 10-23 DC - 20080410 YR - 2008 ED - 20080502 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18399398 <514. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18349768 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bryant SK FA - Bryant, Saovarot K IN - Bryant,Saovarot K. St. Mary Health Center, Richmond Heights, Missouri, USA. skpom@hotmail.com TI - Smoking cessation strategies by nurses in an acute care setting. SO - Journal for Nurses in Staff Development - JNSD. 24(1):31-5, 2008 Jan-Feb. AS - J Nurses Staff Dev. 24(1):31-5, 2008 Jan-Feb. NJ - Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization PI - Journal available in: Print PI - Citation processed from: Internet JC - 9809908, C30 SB - Nursing Journal CP - United States MH - Acute Disease MH - Attitude of Health Personnel MH - *Critical Care MH - Educational Measurement MH - Educational Status MH - Health Care Surveys MH - Humans MH - Inservice Training MH - North Carolina MH - Pilot Projects MH - Program Development MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Social Perception MH - Surveys and Questionnaires AB - 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. ES - 1538-9049 IL - 1098-7886 DO - http://dx.doi.org/10.1097/01.NND.0000300849.35340.60 PT - Journal Article LG - English DP - 2008 Jan-Feb DC - 20080321 YR - 2008 ED - 20080430 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18349768 <515. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18330421 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durkin A FA - Durkin, Anne IN - Durkin,Anne. Quinnipiac University, Hamden, Connecticut, USA. anne.durkin@quinnipiac.edu TI - Educating nursing students about the dangers of drinking games. [Review] [25 refs] SO - Nursing Education Perspectives. 29(1):38-41, 2008 Jan-Feb. AS - Nurs Educ Perspect. 29(1):38-41, 2008 Jan-Feb. NJ - Nursing education perspectives PI - Journal available in: Print PI - Citation processed from: Print JC - 101140025 SB - Nursing Journal CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - Curriculum MH - Education, Nursing MH - *Health Education/mt [Methods] MH - Humans MH - *Students, Nursing/px [Psychology] AB - 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 into their curricula. [References: 25] IS - 1536-5026 IL - 1536-5026 PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20080311 YR - 2008 ED - 20080429 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18330421 <516. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18005415 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz D AU - Wesseling G AU - Huibers MJ AU - van Schayck OC FA - Kotz, Daniel FA - Wesseling, Geertjan FA - Huibers, Marcus J H FA - van Schayck, Onno C P IN - Kotz,Daniel. Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands. d.kotz@hag.unimaas.nl TI - Efficacy of confrontational counselling for smoking cessation in smokers with previously undiagnosed mild to moderate airflow limitation: study protocol of a randomized controlled trial. SO - BMC Public Health. 7:332, 2007 Nov 15. AS - BMC Public Health. 7:332, 2007 Nov 15. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC2234415 SB - Index Medicus CP - England MH - *Adrenergic Uptake Inhibitors/tu [Therapeutic Use] MH - Combined Modality Therapy MH - *Counseling/mt [Methods] MH - Humans MH - *Nortriptyline/tu [Therapeutic Use] MH - *Patient Education as Topic MH - Pulmonary Disease, Chronic Obstructive/di [Diagnosis] MH - *Smoking Cessation/mt [Methods] MH - *Spirometry AB - BACKGROUND: The use of spirometry for early detection of chronic obstructive pulmonary disease (COPD) is still an issue of debate, particularly because of a lack of convincing evidence that spirometry has an added positive effect on smoking cessation. We hypothesise that early detection of COPD and confrontation with spirometry for smoking cessation may be effective when applying an approach we have termed "confrontational counselling"; a patient-centred approach which involves specific communication skills and elements of cognitive therapy. An important aspect is to confront the smoker with his/her airflow limitation during the counselling sessions. The primary objective of this study is to test the efficacy of confrontational counselling in comparison to regular health education and promotion for smoking cessation delivered by specialized respiratory nurses in current smokers with previously undiagnosed mild to moderate airflow limitation. AB - METHODS/DESIGN: The study design is a randomized controlled trial comparing confrontational counselling delivered by a respiratory nurse combined with nortriptyline for smoking cessation (experimental group), health education and promotion delivered by a respiratory nurse combined with nortriptyline for smoking cessation (control group 1), and "care as usual" delivered by the GP (control group 2). Early detection of smokers with mild to moderate airflow limitation is achieved by means of a telephone interview in combination with spirometry. Due to a comparable baseline risk of airflow limitation and motivation to quit smoking, and because of the standardization of number, duration, and scheduling of counselling sessions between the experimental group and control group 1, the study enables to assess the "net" effect of confrontational counselling. The study has been ethically approved and registered. AB - DISCUSSION: Ethical as well as methodological considerations of the study are discussed in this protocol. A significant and relevant effect of confrontational counselling would provide an argument in favour of early detection of current smokers with airflow limitation. Successful treatment of tobacco dependence in respiratory patients requires repeated intensive interventions. The results of this study may also show that respiratory nurses are able to deliver this treatment and that intensive smoking cessation counselling is more feasible. AB - TRIAL REGISTRATION: : Netherlands Trial Register (ISRCTN 64481813). RN - 0 (Adrenergic Uptake Inhibitors) RN - BL03SY4LXB (Nortriptyline) ES - 1471-2458 IL - 1471-2458 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN64481813 SL - http://www.controlled-trials.com/ISRCTN64481813 LG - English EP - 20071115 DP - 2007 Nov 15 DC - 20080208 YR - 2007 ED - 20080428 RD - 20161114 UP - 20161114 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=18005415 <517. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18005415 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz D AU - Wesseling G AU - Huibers MJ AU - van Schayck OC FA - Kotz, Daniel FA - Wesseling, Geertjan FA - Huibers, Marcus J H FA - van Schayck, Onno C P IN - Kotz,Daniel. Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, The Netherlands. d.kotz@hag.unimaas.nl TI - Efficacy of confrontational counselling for smoking cessation in smokers with previously undiagnosed mild to moderate airflow limitation: study protocol of a randomized controlled trial. SO - BMC Public Health. 7:332, 2007. AS - BMC Public Health. 7:332, 2007. NJ - BMC public health PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 OI - Source: NLM. PMC2234415 SB - Index Medicus CP - England MH - *Adrenergic Uptake Inhibitors/tu [Therapeutic Use] MH - Combined Modality Therapy MH - *Counseling/mt [Methods] MH - Humans MH - *Nortriptyline/tu [Therapeutic Use] MH - *Patient Education as Topic MH - Pulmonary Disease, Chronic Obstructive/di [Diagnosis] MH - *Smoking Cessation/mt [Methods] MH - *Spirometry AB - BACKGROUND: The use of spirometry for early detection of chronic obstructive pulmonary disease (COPD) is still an issue of debate, particularly because of a lack of convincing evidence that spirometry has an added positive effect on smoking cessation. We hypothesise that early detection of COPD and confrontation with spirometry for smoking cessation may be effective when applying an approach we have termed "confrontational counselling"; a patient-centred approach which involves specific communication skills and elements of cognitive therapy. An important aspect is to confront the smoker with his/her airflow limitation during the counselling sessions. The primary objective of this study is to test the efficacy of confrontational counselling in comparison to regular health education and promotion for smoking cessation delivered by specialized respiratory nurses in current smokers with previously undiagnosed mild to moderate airflow limitation. AB - METHODS/DESIGN: The study design is a randomized controlled trial comparing confrontational counselling delivered by a respiratory nurse combined with nortriptyline for smoking cessation (experimental group), health education and promotion delivered by a respiratory nurse combined with nortriptyline for smoking cessation (control group 1), and "care as usual" delivered by the GP (control group 2). Early detection of smokers with mild to moderate airflow limitation is achieved by means of a telephone interview in combination with spirometry. Due to a comparable baseline risk of airflow limitation and motivation to quit smoking, and because of the standardization of number, duration, and scheduling of counselling sessions between the experimental group and control group 1, the study enables to assess the "net" effect of confrontational counselling. The study has been ethically approved and registered. AB - DISCUSSION: Ethical as well as methodological considerations of the study are discussed in this protocol. A significant and relevant effect of confrontational counselling would provide an argument in favour of early detection of current smokers with airflow limitation. Successful treatment of tobacco dependence in respiratory patients requires repeated intensive interventions. The results of this study may also show that respiratory nurses are able to deliver this treatment and that intensive smoking cessation counselling is more feasible. AB - TRIAL REGISTRATION: : Netherlands Trial Register (ISRCTN 64481813). RN - 0 (Adrenergic Uptake Inhibitors) RN - BL03SY4LXB (Nortriptyline) ES - 1471-2458 IL - 1471-2458 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN64481813 SL - http://www.controlled-trials.com/ISRCTN64481813 LG - English EP - 20071115 DP - 2007 DC - 20080208 YR - 2007 ED - 20080428 RD - 20140904 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18005415 <518. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17364148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan KY AU - Stoove MA AU - Sringernyuang L AU - Reidpath DD FA - Chan, Kit Yee FA - Stoove, Mark A FA - Sringernyuang, Luechai FA - Reidpath, Daniel D IN - Chan,Kit Yee. School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, Melbourne, 3125, VIC, Australia. kit.chan@deakin.edu.au TI - Stigmatization of AIDS patients: disentangling Thai nursing students' attitudes towards HIV/AIDS, drug use, and commercial sex. SO - AIDS & Behavior. 12(1):146-57, 2008 Jan. AS - AIDS BEHAV. 12(1):146-57, 2008 Jan. NJ - AIDS and behavior PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9712133 SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Female MH - *HIV Infections/px [Psychology] MH - Humans MH - Judgment MH - Male MH - Middle Aged MH - Multivariate Analysis MH - *Prostitution MH - *Stereotyping MH - *Students, Nursing/px [Psychology] MH - *Substance Abuse, Intravenous MH - Surveys and Questionnaires MH - Thailand AB - 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. IS - 1090-7165 IL - 1090-7165 PT - Journal Article LG - English EP - 20070316 DP - 2008 Jan DC - 20080123 YR - 2008 ED - 20080422 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17364148 <519. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18365356 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Das BP AU - Rauniar GP AU - Bhattacharya SK FA - Das, B P FA - Rauniar, G P FA - Bhattacharya, S K IN - Das,B P. BP Koirala Institute of Health Science, Dharan, Nepal. bpdas2000@yahoo.com TI - Medical errors challenges for the health professionals: need of Pharmacovigilance to prevent. [Review] [29 refs] SO - Jnma, Journal of the Nepal Medical Association. 45(162):273-8, 2006 Apr-Jun. AS - Jnm. 45(162):273-8, 2006 Apr-Jun. NJ - JNMA; journal of the Nepal Medical Association PI - Journal available in: Print PI - Citation processed from: Print JC - 0045233 SB - Index Medicus CP - Nepal MH - Adverse Drug Reaction Reporting Systems MH - Clinical Pharmacy Information Systems MH - *Health Personnel MH - Humans MH - Incidence MH - *Liability, Legal MH - *Malpractice/lj [Legislation & Jurisprudence] MH - *Medication Errors/pc [Prevention & Control] MH - Medication Systems, Hospital MH - *Professional Practice MH - Professional Role MH - Risk Factors AB - 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. [References: 29] IS - 0028-2715 IL - 0028-2715 PT - Journal Article PT - Review LG - English DP - 2006 Apr-Jun DC - 20080326 YR - 2006 ED - 20080417 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18365356 <520. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18220452 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fritz DJ AU - Wider LC AU - Hardin SB AU - Horrocks M FA - Fritz, Deborah J FA - Wider, Lottchen Crane FA - Hardin, Sally B FA - Horrocks, Michelle IN - Fritz,Deborah J. Maryville University, St. Louis, MO, USA. TI - Program strategies for adolescent smoking cessation. SO - Journal of School Nursing. 24(1):21-7, 2008 Feb. AS - J Sch Nurs. 24(1):21-7, 2008 Feb. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - Counseling MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Midwestern United States MH - Motivation MH - Needs Assessment MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - *Patient Education as Topic/og [Organization & Administration] MH - Practice Guidelines as Topic MH - *Psychology, Adolescent MH - Qualitative Research MH - Risk Factors MH - School Nursing/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - United States/ep [Epidemiology] AB - 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. IS - 1059-8405 IL - 1059-8405 DO - http://dx.doi.org/10.1622/1059-8405(2008)024[0021:PSFASC]2.0.CO;2 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2008 Feb DC - 20080128 YR - 2008 ED - 20080411 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18220452 <521. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18158524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percy MS FA - Percy, Melanie S IN - Percy,Melanie S. New York University College of Nursing, New York, NY, USA. msp5@nyu.edu TI - Oral health of adolescents--it's more than dental caries. [Review] [28 refs] SO - MCN, American Journal of Maternal Child Nursing. 33(1):26-31, 2008 Jan-Feb. AS - MCN Am J Matern Child Nurs. 33(1):26-31, 2008 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Attitude to Health MH - Dental Caries/ep [Epidemiology] MH - Dental Caries/et [Etiology] MH - *Dental Caries/pc [Prevention & Control] MH - *Diabetes Mellitus, Type 2/co [Complications] MH - Diabetes Mellitus, Type 2/ep [Epidemiology] MH - Diabetes Mellitus, Type 2/pc [Prevention & Control] MH - Female MH - Health Education, Dental MH - Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Mass Screening MH - *Nurse's Role MH - Nursing Assessment MH - *Oral Health MH - Oral Hygiene MH - Prevalence MH - Psychology, Adolescent MH - Risk Factors MH - Sex Education MH - Sexual Behavior MH - *Sexually Transmitted Diseases/co [Complications] MH - Sexually Transmitted Diseases/ep [Epidemiology] MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco, Smokeless/ae [Adverse Effects] MH - United States/ep [Epidemiology] AB - Of all the health issues common to adolescents, oral health has not seemed to receive much attention. However, just as "eyes are the windows to the soul," 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. [References: 28] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20071225 YR - 2008 ED - 20080321 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18158524 <522. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18158520 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clemmens DA AU - Kerr AR FA - Clemmens, Donna A FA - Kerr, A Ross IN - Clemmens,Donna A. New York University College of Nursing, New York, NY, USA. dc70@nyu.edu TI - Improving oral health in women: nurses' call to action. [Review] [30 refs] SO - MCN, American Journal of Maternal Child Nursing. 33(1):10-4; quiz 15-6, 2008 Jan-Feb. AS - MCN Am J Matern Child Nurs. 33(1):10-4; quiz 15-6, 2008 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcoholism/co [Complications] MH - Dental Health Surveys MH - Female MH - Health Education, Dental MH - *Health Promotion/og [Organization & Administration] MH - Health Services Needs and Demand MH - Health Status MH - Humans MH - Life Style MH - Mass Screening MH - *Nurse's Role MH - Nursing Assessment MH - Nutritional Status MH - *Oral Health MH - Oral Hygiene/ed [Education] MH - *Oral Hygiene/nu [Nursing] MH - Patient Care Planning/og [Organization & Administration] MH - Periodontitis/co [Complications] MH - Periodontitis/di [Diagnosis] MH - Periodontitis/pc [Prevention & Control] MH - Referral and Consultation MH - Smoking/ae [Adverse Effects] MH - *Women's Health AB - The purpose of this article is to discuss the most significant oral health and related problems experienced by women, and to provide a Nurse's Plan of Action to respond to these largely preventable diseases. Oral health is integral to women's 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's 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's report on oral health in America (U.S. Department of Health and Human Services, 2000) and, more recently, the "National Call to Action to Promote Oral Health" (U.S. Department of Health and Human Services, 2003) 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. [References: 30] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Review LG - English DP - 2008 Jan-Feb DC - 20071225 YR - 2008 ED - 20080321 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18158520 <523. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18052521 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dupont RL AU - Bucher RH AU - Wilford BB AU - Coleman JJ FA - Dupont, Robert L FA - Bucher, Richard H FA - Wilford, Bonnie B FA - Coleman, John J IN - Dupont,Robert L. Institute for Behavior and Health, Inc., Rockville, MD, USA. TI - School-based administration of ADHD drugs decline, along with diversion, theft, and misuse. SO - Journal of School Nursing. 23(6):349-52, 2007 Dec. AS - J Sch Nurs. 23(6):349-52, 2007 Dec. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Amphetamine/ad [Administration & Dosage] MH - *Amphetamine-Related Disorders/ep [Epidemiology] MH - Amphetamine-Related Disorders/et [Etiology] MH - Amphetamine-Related Disorders/pc [Prevention & Control] MH - *Attention Deficit Disorder with Hyperactivity/dt [Drug Therapy] MH - Attention Deficit Disorder with Hyperactivity/ep [Epidemiology] MH - Attention Deficit Disorder with Hyperactivity/nu [Nursing] MH - *Attitude of Health Personnel MH - *Central Nervous System Stimulants/ad [Administration & Dosage] MH - Central Nervous System Stimulants/ch [Chemistry] MH - Chemistry, Pharmaceutical MH - Child MH - Confidentiality MH - Delayed-Action Preparations MH - Drug Administration Schedule MH - Drug Utilization/td [Trends] MH - Drug and Narcotic Control MH - Health Services Needs and Demand MH - Humans MH - Methylphenidate/ad [Administration & Dosage] MH - Nursing Methodology Research MH - Nursing Staff/px [Psychology] MH - Nursing Staff/td [Trends] MH - Patient Admission/td [Trends] MH - Patient Selection MH - *School Nursing/td [Trends] MH - Surveys and Questionnaires MH - *Theft/td [Trends] MH - United States/ep [Epidemiology] AB - 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. RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 207ZZ9QZ49 (Methylphenidate) RN - CK833KGX7E (Amphetamine) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Dec DC - 20071206 YR - 2007 ED - 20080307 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18052521 <524. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17933485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz D AU - van Litsenburg W AU - van Duurling R AU - van Schayck CP AU - Wesseling GJ FA - Kotz, D FA - van Litsenburg, W FA - van Duurling, R FA - van Schayck, C P FA - Wesseling, G J IN - Kotz,D. Department of General Practice, School for Public Health and Primary Care (CAPHRI), Maastricht University, The Netherlands. d.kotz@hag.unimaas.nl TI - Smoking cessation treatment by Dutch respiratory nurses: reported practice, attitudes and perceived effectiveness. SO - Patient Education & Counseling. 70(1):40-9, 2008 Jan. AS - Patient Educ Couns. 70(1):40-9, 2008 Jan. NJ - Patient education and counseling PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - *Clinical Competence MH - Counseling/st [Standards] MH - Cross-Sectional Studies MH - Education, Nursing MH - Female MH - *Guideline Adherence MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Netherlands MH - Respiratory Therapy/ed [Education] MH - *Respiratory Therapy/nu [Nursing] MH - Self Efficacy MH - Smoking/dt [Drug Therapy] MH - Smoking/pc [Prevention & Control] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - Social Support AB - OBJECTIVE: To describe Dutch respiratory nurses' current smoking cessation practices, attitudes and beliefs, and to compare these with a survey from the year 2000, before the national introduction of a protocol for the treatment of nicotine and tobacco addiction (the L-MIS protocol). AB - METHODS: Questionnaire survey among all 413 registered respiratory nurses in the Netherlands in 2006. AB - RESULTS: The response rate was 62%. Seventy-seven percent of the respondents reported to have "fairly good" or "good" knowledge of all steps of the L-MIS protocol. Seven out of 10 behavioural techniques for smoking cessation from the protocol were used by more than 94% of the respondents. Seventy-four percent of the respiratory nurses recommended the use of either nicotine replacement therapy (70%) or bupropion (44%). Almost two-thirds (65% of 254) perceived lack of patient's motivation as the most important barrier for smoking cessation treatment; a four-fold increase compared to the year 2000. AB - CONCLUSION: We conclude that respiratory nurses are compliant with the L-MIS protocol. They offer intensive support and use behavioural techniques for smoking cessation more frequently than evidence-based pharmacological aids for smoking cessation. Perceived lack of patient's motivation forms the most important threat to respiratory nurses' future smoking cessation activities. AB - PRACTICE IMPLICATIONS: International guidelines acknowledge that respiratory patients have a more urgent need to stop smoking but have more difficulty doing so. They should be offered the most intensive smoking cessation counselling in combination with pharmacotherapy. This kind of counselling may be more feasible for respiratory nurses than for physicians who often lack time. Their efforts could be increased by reimbursing pharmacological aids for smoking cessation and by developing simple tools to systematically assess motivation to quit and psychiatric co-morbidity in smoking patients. IS - 0738-3991 IL - 0738-3991 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20071015 DP - 2008 Jan DC - 20071221 YR - 2008 ED - 20080305 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17933485 <525. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18229646 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maciorkowska E AU - Buraczewska E AU - Sacharewicz A FA - Maciorkowska, E FA - Buraczewska, E FA - Sacharewicz, A IN - Maciorkowska,E. Department of Pediatric Nursing, Medical University of Bialystok, Poland. emaciorkowska@o2.pl TI - Familial and social conditions of alcohol drinking in children and adolescents. SO - Advances in Medical Sciences. 52 Suppl 1:115-8, 2007. AS - Adv Med Sci. 52 Suppl 1:115-8, 2007. NJ - Advances in medical sciences PI - Journal available in: Print PI - Citation processed from: Print JC - 101276222 SB - Index Medicus CP - Poland MH - Adolescent MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/ge [Genetics] MH - *Alcohol Drinking/px [Psychology] MH - Child MH - *Family MH - Female MH - Hospitals, University MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - *Social Conditions MH - Surveys and Questionnaires AB - PURPOSE: The aim of the study was to evaluate the frequency of alcoholic beverage use among children and young people of Bialystok city and to assess the influence of familial and environmental factors on this phenomenon. AB - MATERIAL AND METHODS: The study included 894 pupils in the city of Bialystok. An anonymous questionnaire, prepared in the Department of Pediatric Nursery of the Medical University of Bialystok was used in the study. AB - RESULTS: The examinations revealed that alcohol use among adolescents of Bialystok 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%). AB - CONCLUSION: 1. Alcohol use by children and adolescents from the city of Bialystok 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. IS - 1896-1126 IL - 1896-1126 PT - Journal Article LG - English DP - 2007 DC - 20080130 YR - 2007 ED - 20080304 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18229646 <526. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18237661 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Desy PM AU - Perhats C FA - Desy, Pierre M FA - Perhats, Cydne IN - Desy,Pierre M. ENA Injury Prevention Institute/EN CARE, Emergency Nurses Association, Des Plaines, Ill 60016-6569, USA. pdesy@ena.org TI - Alcohol screening, brief intervention, and referral in the emergency department: an implementation study. SO - Journal of Emergency Nursing. 34(1):11-9, 2008 Feb. AS - J Emerg Nurs. 34(1):11-9, 2008 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 SB - Nursing Journal CP - United States MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - *Crisis Intervention MH - Emergency Nursing/ed [Education] MH - *Emergency Service, Hospital MH - Health Plan Implementation MH - Humans MH - *Mass Screening/og [Organization & Administration] MH - Prospective Studies MH - *Referral and Consultation MH - United States AB - INTRODUCTION: Alcohol is the single greatest contributor to injury in the United States. Numerous studies have reported that a standardized screening, brief intervention, and referral to treatment (SBIRT) intervention can effectively minimize future alcohol consumption, reduce injury recurrence, and decrease the number of repeat ED visits. To date, SBIRT studies have been conducted in settings in which physicians or research assistants carried out SBIRT. Little is known about ED nurses carrying out SBIRT. The purpose of this study was to examine ED nurse training needs and identify both barriers to, and enablers of, SBIRT implementation in the emergency department. AB - METHODS: Two coordinators from each of the 5 ED sites selected for the study attended a 1-day SBIRT educational session. Site coordinators then trained their staff nurses to conduct SBIRT. Site coordinators were surveyed at the midpoint and end of the 6-month implementation study period. Patient data from each facility was collected. AB - RESULTS: Ten site coordinators were trained and held subsequent training sessions with nursing staff in their respective emergency departments. All sites encountered barriers to implementation, but 2 of 5 sites were able to implement the SBIRT process fully by the end of the evaluation period. A total of 3265 patients were screened for alcohol use problems. Of those screened, 678 (21%) were classified as hazardous drinkers. Overall, 56% of the positive-screened patients received 3 to 5 minutes of a brief intervention. After the brief intervention, between 9% and 82% of patients were referred for further care. AB - DISCUSSION: The SBIRT process can be conducted successfully by emergency nurses. However, substantial operational barriers to widespread routine implementation exist. These barriers need to be addressed before emergency nurses incorporate SBIRT as routine part of ED care. ES - 1527-2966 IL - 0099-1767 DO - http://dx.doi.org/10.1016/j.jen.2007.03.019 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English EP - 20071203 DP - 2008 Feb DC - 20080201 YR - 2008 ED - 20080221 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18237661 <527. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17433462 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Luleci E AU - Hey W AU - Subasi F FA - Luleci, Emel FA - Hey, William FA - Subasi, Feryal IN - Luleci,Emel. Department of Health Education, Faculty of Health Education, Marmara University, 34865 Kartal, Istanbul, Turkey. TI - Assessing selected quality of life factors of nursing home residents in Turkey. SO - Archives of Gerontology & Geriatrics. 46(1):57-66, 2008 Jan-Feb. AS - Arch Gerontol Geriatr. 46(1):57-66, 2008 Jan-Feb. NJ - Archives of gerontology and geriatrics PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 8214379, 7ax SB - Index Medicus CP - Netherlands MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Female MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Interviews as Topic MH - *Long-Term Care/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Quality of Life MH - Turkey/ep [Epidemiology] AB - As a result of improved public health and medical advances, not only has life expectancy among older people increased, but the importance of quality of life in terms of health in later life has also increased. The aim of this study was to investigate the relationship between socio-demographic factors, health-related behaviors, residents' satisfaction, and functional disability levels among elderly people living in nursing homes in Turkey using the World Health Organization's Quality of Life-BREF (WHOQOL-BREF). Data regarding socio-demographic characteristics, chronic health problems, health-related behaviors (smoking, alcohol consumption, physical activity, etc.) were collected from the study group (N=107) by a structured questionnaire during face-to-face interviews. Dependencies in activities of daily living (ADL) of the study group were also assessed using Katz's ADL index. The mean WHOQOL-BREF scores were significantly higher in participants who had independence in performing ADL (bathing, dressing, toileting, transfer, continence, feeding) (p<0.0001, p<0.0001, p<0.0001, p<0.001, p<0.0001, and p<0.001, respectively). It was found that WHOQOL-BREF scores were positively associated with having physical exercise habits and residents' satisfaction with nursing homes; being dependent in dressing were significant predictors of in the study (R(2): 0.38, p<0.003, p<0.0001, and p<0.0001, respectively). Residents' satisfaction from living nursing homes and participation in physical exercise were significant predictors of WHOQOL-BREF scores for those that participated in this study. IS - 0167-4943 IL - 0167-4943 PT - Journal Article LG - English EP - 20070412 DP - 2008 Jan-Feb DC - 20071206 YR - 2008 ED - 20080221 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17433462 <528. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18206840 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fontana JS FA - Fontana, Joyce S IN - Fontana,Joyce S. Division of Nursing, Saint Joseph College, West Hartford, CT 06117, USA. jfontana@sjc.edu TI - The social and political forces affecting prescribing practices for chronic pain. SO - Journal of Professional Nursing. 24(1):30-5, 2008 Jan-Feb. AS - J Prof Nurs. 24(1):30-5, 2008 Jan-Feb. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Internet JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Conflict of Interest MH - Drug Utilization MH - Ethics, Nursing/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - New England MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/es [Ethics] MH - Nurse-Patient Relations MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - Patient Advocacy MH - Politics MH - *Quality of Health Care AB - Very little attention has been given to chronic nonmalignant pain in the nursing literature. Although there has been increasing debate concerning prescribing practices among physicians for patients with chronic nonmalignant pain, little, if any, understanding exists about advanced practice registered nurses (APRNs) in this context. This study critically examined subjective factors that influence the prescribing practices of APRNs for patients with chronic nonmalignant pain. It was grounded in the critical tradition of Habermas as well as the emancipatory theory of Freire and used a critical methodology. Data were collected through semistructured interviews with participating APRNs. Dialectical analysis and critique were used to interpret the interviews. Critical analysis of the data revealed that prescribing decisions for patients with chronic pain were characterized by a conflict of interests in which the patients' best interests were given a low priority. This conflict, which is socially and politically created and maintained, renders these nurses unlikely to fulfill their ethical responsibility to patients. Teaching basic pain management as an ethical responsibility of practice in graduate education is a first step toward ending the conflict and ensuring that the patients' best interests are addressed. RN - 0 (Analgesics, Opioid) ES - 1532-8481 IL - 8755-7223 DO - http://dx.doi.org/10.1016/j.profnurs.2007.06.002 PT - Journal Article PT - Multicenter Study LG - English DP - 2008 Jan-Feb DC - 20080121 YR - 2008 ED - 20080212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18206840 <529. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18073656 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Watts M FA - Watts, Malcolm IN - Watts,Malcolm. School of Health, Park Campus, University of Northampton, Northampton. TI - High expressed emotion, severe mental illness and substance use disorder. [Review] [31 refs] SO - British Journal of Nursing. 16(20):1259-62, 2007 Nov 8-21. AS - Br J Nurs. 16(20):1259-62, 2007 Nov 8-21. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adolescent MH - Commitment of Mentally Ill MH - Comorbidity MH - Diagnosis, Dual (Psychiatry) MH - *Expressed Emotion MH - *Family/px [Psychology] MH - Family Therapy/ed [Education] MH - Family Therapy/og [Organization & Administration] MH - Female MH - Hostility MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/th [Therapy] MH - *Mental Disorders MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - Recurrence MH - Risk Factors MH - Severity of Illness Index MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - 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. [References: 31] IS - 0966-0461 IL - 0966-0461 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2007 Nov 8-21 DC - 20071212 YR - 2007 ED - 20080124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18073656 <530. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17995515 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leung SF AU - French P AU - Chui C AU - Arthur D FA - Leung, Sau Fong FA - French, Peter FA - Chui, Caroline FA - Arthur, David IN - Leung,Sau Fong. School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong. hsfong@inet.polyu.edu.hk TI - Computerized mental health assessment in integrative health clinics: a cross-sectional study using structured interview. SO - International Journal of Mental Health Nursing. 16(6):441-6, 2007 Dec. AS - Int J Ment Health Nurs. 16(6):441-6, 2007 Dec. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Adolescent MH - Adult MH - Aged MH - Child MH - Cross-Sectional Studies MH - *Diagnosis, Computer-Assisted MH - Female MH - Hong Kong MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - *Mental Disorders/pc [Prevention & Control] MH - Middle Aged MH - *Patient Satisfaction MH - *Psychiatric Status Rating Scales AB - 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. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Dec DC - 20071112 YR - 2007 ED - 20080124 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17995515 <531. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18044245 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leonard L AU - O'Brien A FA - Leonard, Louise FA - O'Brien, Anthony TI - Building the alcohol and other drug workforce in New Zealand. SO - Australian Nursing Journal. 15(5):40, 2007 Nov. AS - Aust Nurs J. 15(5):40, 2007 Nov. NJ - Australian nursing journal (July 1993) PI - Journal available in: Print PI - Citation processed from: Print JC - bxo, 9317904 SB - Nursing Journal CP - Australia MH - Health Planning/og [Organization & Administration] MH - Humans MH - *National Health Programs/og [Organization & Administration] MH - New Zealand MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse's Role MH - Nursing Staff/ed [Education] MH - *Nursing Staff/og [Organization & Administration] MH - Personnel Selection/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 1320-3185 IL - 1320-3185 PT - Journal Article LG - English DP - 2007 Nov DC - 20071129 YR - 2007 ED - 20080118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18044245 <532. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18044242 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Not "just" a drug and alcohol nurse. SO - Australian Nursing Journal. 15(5):34-5, 2007 Nov. AS - Aust Nurs J. 15(5):34-5, 2007 Nov. NJ - Australian nursing journal (July 1993) PI - Journal available in: Print PI - Citation processed from: Print JC - bxo, 9317904 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Career Choice MH - Humans MH - *Job Satisfaction MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Specialties, Nursing/ed [Education] MH - Specialties, Nursing/og [Organization & Administration] MH - *Specialties, Nursing MH - *Substance-Related Disorders/nu [Nursing] IS - 1320-3185 IL - 1320-3185 PT - Journal Article LG - English DP - 2007 Nov DC - 20071129 YR - 2007 ED - 20080118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18044242 <533. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17846871 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oakes J AU - Battersby MW AU - Pols RG AU - Cromarty P FA - Oakes, Jane FA - Battersby, Malcolm W FA - Pols, Rene G FA - Cromarty, Paul IN - Oakes,Jane. Flinders Therapy Service for Problem Gamblers, Centre for Anxiety & Related Disorders, Flinders Medical Centre, Flinders University, Bedford Park, 5042, South Australia. jane.oakes@fmc.sa.gov.au TI - Exposure therapy for problem gambling via Videoconferencing: a case report. SO - Journal of Gambling Studies. 24(1):107-18, 2008 Mar. AS - J Gambl Stud. 24(1):107-18, 2008 Mar. NJ - Journal of gambling studies PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9425991 SB - Index Medicus CP - United States MH - Adult MH - Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive/th [Therapy] MH - *Cognitive Therapy/mt [Methods] MH - Counseling/mt [Methods] MH - Follow-Up Studies MH - Gambling/px [Psychology] MH - Humans MH - Male MH - Rural Health Services MH - *Telemedicine/mt [Methods] MH - Treatment Outcome MH - Video Games AB - This case report of a 31 year old woman who described her main problem as an uncontrollable urge to gamble on electronic gaming machines describes the application of exposure therapy (ET) by videoconferencing and the use of a clinical therapy assistant in the treatment of pathological gambling. The case study is used to demonstrate the effectiveness of this treatment with six sessions of therapy and 4 year follow up. The use of videoconferencing is discussed in relation to treatment effectiveness, ongoing follow up for the client and education and support for a community mental health nurse, therapy assistant, in a rural setting in South Australia. The implications of using this modality for the treatment of rural patients with problem gambling is discussed. ES - 1573-3602 IL - 1050-5350 PT - Case Reports PT - Journal Article LG - English EP - 2007Sep05 DP - 2008 Mar DC - 200814 YR - 2008 ED - 20080115 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17846871 <534. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17846871 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oakes J AU - Battersby MW AU - Pols RG AU - Cromarty P FA - Oakes, Jane FA - Battersby, Malcolm W FA - Pols, Rene G FA - Cromarty, Paul IN - Oakes,Jane. Flinders Therapy Service for Problem Gamblers, Centre for Anxiety & Related Disorders, Flinders Medical Centre, Flinders University, Bedford Park, 5042, South Australia. jane.oakes@fmc.sa.gov.au TI - Exposure therapy for problem gambling via Videoconferencing: a case report. SO - Journal of Gambling Studies. 24(1):107-18, 2008 Mar. AS - J Gambl Stud. 24(1):107-18, 2008 Mar. NJ - Journal of gambling studies / co-sponsored by the National Council on Problem Gambling and Institute for the Study of Gambling and Commercial Gaming PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9425991 SB - Index Medicus CP - United States MH - Adult MH - Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive/th [Therapy] MH - *Cognitive Therapy/mt [Methods] MH - Counseling/mt [Methods] MH - Follow-Up Studies MH - Gambling/px [Psychology] MH - Humans MH - Male MH - Rural Health Services MH - *Telemedicine/mt [Methods] MH - Treatment Outcome MH - Video Games AB - This case report of a 31 year old woman who described her main problem as an uncontrollable urge to gamble on electronic gaming machines describes the application of exposure therapy (ET) by videoconferencing and the use of a clinical therapy assistant in the treatment of pathological gambling. The case study is used to demonstrate the effectiveness of this treatment with six sessions of therapy and 4 year follow up. The use of videoconferencing is discussed in relation to treatment effectiveness, ongoing follow up for the client and education and support for a community mental health nurse, therapy assistant, in a rural setting in South Australia. The implications of using this modality for the treatment of rural patients with problem gambling is discussed. ES - 1573-3602 IL - 1050-5350 PT - Case Reports PT - Journal Article LG - English EP - 20070905 DP - 2008 Mar DC - 20080104 YR - 2008 ED - 20080115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17846871 <535. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18077305 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Bernstein J AU - Feldman J AU - Fernandez W AU - Hagan M AU - Mitchell P AU - Safi C AU - Woolard R AU - Mello M AU - Baird J AU - Lee C AU - Bazargan-Hejazi S AU - Broderick K AU - Laperrier KA AU - Kellermann A AU - Wald MM AU - Taylor RE AU - Walton K AU - Grant-Ervin M AU - Rollinson D AU - Edwards D AU - Chan T AU - Davis D AU - Buchanan Marshall J AU - Aseltine R AU - James A AU - Schilling E AU - Abu-Hasaballah K AU - Baumann BM AU - Boudreaux ED AU - Maio RF AU - Cunningham RM AU - Murrell T AU - Doezema D AU - Anglin D AU - Eliassen A AU - Martin M AU - Pines J AU - Buchanan L AU - Turner J AU - D'Onofrio G AU - Degutis LC AU - Owens P FA - Bernstein, Edward FA - Bernstein, Judith FA - Feldman, James FA - Fernandez, William FA - Hagan, Melissa FA - Mitchell, Patricia FA - Safi, Clara FA - Woolard, Robert FA - Mello, Mike FA - Baird, Janette FA - Lee, Christina FA - Bazargan-Hejazi, Shahrzad FA - Broderick, Kerry FA - Laperrier, Kathryn A FA - Kellermann, Arthur FA - Wald, Marlena M FA - Taylor, Robert E FA - Walton, Kim FA - Grant-Ervin, Michelle FA - Rollinson, Denise FA - Edwards, David FA - Chan, Theodore FA - Davis, Dan FA - Buchanan Marshall, Jean FA - Aseltine, Robert FA - James, Amy FA - Schilling, Elizabeth FA - Abu-Hasaballah, Khamis FA - Baumann, Brigitte M FA - Boudreaux, Edwin D FA - Maio, Ronald F FA - Cunningham, Rebecca M FA - Murrell, Teresa FA - Doezema, David FA - Anglin, Deirdre FA - Eliassen, Adriana FA - Martin, Marcus FA - Pines, Jesse FA - Buchanan, Leslie FA - Turner, James FA - D'Onofrio, Gail FA - Degutis, Linda C FA - Owens, Patricia IN - Bernstein,Edward. Department of Emergency Medicine, Boston University School of Medicine, Dowling 1 South, One Boston Medical Center Place, Boston, MA 02118, USA. ebernste@bu.edu TI - An evidence based alcohol screening, brief intervention and referral to treatment (SBIRT) curriculum for emergency department (ED) providers improves skills and utilization. SO - Substance Abuse. 28(4):79-92, 2007. AS - Subst Abus. 28(4):79-92, 2007. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS193448 OI - Source: NLM. PMC3976968 SB - Index Medicus CP - United States MH - Alcoholism/th [Therapy] MH - *Curriculum MH - Education MH - *Emergency Medicine/ed [Education] MH - *Evidence-Based Medicine/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Mass Screening/mt [Methods] MH - *Mental Health Services/ut [Utilization] MH - *Professional Competence MH - *Psychotherapy, Brief MH - *Referral and Consultation AB - OBJECTIVE: Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff to screen, perform brief intervention and refer to treatment (SBIRT). We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience improves provider beliefs and practices. AB - METHODS: ED faculty, residents, nurses, physician extenders, social workers, and Emergency Medical Technicians (EMTs) were surveyed prior to participating in either a two hour interactive workshops with case simulations, or a web-based program (www.ed.bmc.org/sbirt). A pre-post repeated measures design assessed changes in provider beliefs and practices at three and 12 months post-exposure. AB - RESULTS: Among 402 ED providers, 74% reported < 10 hours of prior professional alcohol-related education and 78% had < 2 hours exposure in the previous year. At 3-month follow-up, scores for self-reported confidence in ability, responsibility to intervene, and actual utilization of SBIRT skills all improved significantly over baseline. Gains decreased somewhat at 12 months, but remained above baseline. Length of time in practice was positively associated with SBIRT utilization, controlling for gender, race and type of profession. Persistent barriers included time limitations and lack of referral resources. AB - CONCLUSIONS: ED providers respond favorably to SBIRT. Changes in utilization were substantial at three months post-exposure to a standardized curriculum, but less apparent after 12 months. Booster sessions, trained assistants and infrastructure supports may be needed to sustain changes over the longer term. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - R25 AA014957 (United States NIAAA NIH HHS) NO - R25 AA014957-01 (United States NIAAA NIH HHS) NO - 1R03 AA 01511-14 (United States NIAAA NIH HHS) NO - 1R25 AA 014957 (United States NIAAA NIH HHS) LG - English DP - 2007 DC - 20071213 YR - 2007 ED - 20080110 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=18077305 <536. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18077305 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Bernstein J AU - Feldman J AU - Fernandez W AU - Hagan M AU - Mitchell P AU - Safi C AU - Woolard R AU - Mello M AU - Baird J AU - Lee C AU - Bazargan-Hejazi S AU - Broderick K AU - Laperrier KA AU - Kellermann A AU - Wald MM AU - Taylor RE AU - Walton K AU - Grant-Ervin M AU - Rollinson D AU - Edwards D AU - Chan T AU - Davis D AU - Buchanan Marshall J AU - Aseltine R AU - James A AU - Schilling E AU - Abu-Hasaballah K AU - Baumann BM AU - Boudreaux ED AU - Maio RF AU - Cunningham RM AU - Murrell T AU - Doezema D AU - Anglin D AU - Eliassen A AU - Martin M AU - Pines J AU - Buchanan L AU - Turner J AU - D'Onofrio G AU - Degutis LC AU - Owens P FA - Bernstein, Edward FA - Bernstein, Judith FA - Feldman, James FA - Fernandez, William FA - Hagan, Melissa FA - Mitchell, Patricia FA - Safi, Clara FA - Woolard, Robert FA - Mello, Mike FA - Baird, Janette FA - Lee, Christina FA - Bazargan-Hejazi, Shahrzad FA - Broderick, Kerry FA - Laperrier, Kathryn A FA - Kellermann, Arthur FA - Wald, Marlena M FA - Taylor, Robert E FA - Walton, Kim FA - Grant-Ervin, Michelle FA - Rollinson, Denise FA - Edwards, David FA - Chan, Theodore FA - Davis, Dan FA - Buchanan Marshall, Jean FA - Aseltine, Robert FA - James, Amy FA - Schilling, Elizabeth FA - Abu-Hasaballah, Khamis FA - Baumann, Brigitte M FA - Boudreaux, Edwin D FA - Maio, Ronald F FA - Cunningham, Rebecca M FA - Murrell, Teresa FA - Doezema, David FA - Anglin, Deirdre FA - Eliassen, Adriana FA - Martin, Marcus FA - Pines, Jesse FA - Buchanan, Leslie FA - Turner, James FA - D'Onofrio, Gail FA - Degutis, Linda C FA - Owens, Patricia IN - Bernstein,Edward. Department of Emergency Medicine, Boston University School of Medicine, Dowling 1 South, One Boston Medical Center Place, Boston, MA 02118, USA. ebernste@bu.edu TI - An evidence based alcohol screening, brief intervention and referral to treatment (SBIRT) curriculum for emergency department (ED) providers improves skills and utilization. SO - Substance Abuse. 28(4):79-92, 2007. AS - Subst Abus. 28(4):79-92, 2007. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS193448 OI - Source: NLM. PMC3976968 SB - Index Medicus CP - United States MH - Alcoholism/th [Therapy] MH - *Curriculum MH - Education MH - *Emergency Medicine/ed [Education] MH - *Evidence-Based Medicine/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Mass Screening/mt [Methods] MH - *Mental Health Services/ut [Utilization] MH - *Professional Competence MH - *Psychotherapy, Brief MH - *Referral and Consultation AB - OBJECTIVE: Emergency Departments (EDs) offer an opportunity to improve the care of patients with at-risk and dependent drinking by teaching staff to screen, perform brief intervention and refer to treatment (SBIRT). We describe here the implementation at 14 Academic EDs of a structured SBIRT curriculum to determine if this learning experience improves provider beliefs and practices. AB - METHODS: ED faculty, residents, nurses, physician extenders, social workers, and Emergency Medical Technicians (EMTs) were surveyed prior to participating in either a two hour interactive workshops with case simulations, or a web-based program (www.ed.bmc.org/sbirt). A pre-post repeated measures design assessed changes in provider beliefs and practices at three and 12 months post-exposure. AB - RESULTS: Among 402 ED providers, 74% reported < 10 hours of prior professional alcohol-related education and 78% had < 2 hours exposure in the previous year. At 3-month follow-up, scores for self-reported confidence in ability, responsibility to intervene, and actual utilization of SBIRT skills all improved significantly over baseline. Gains decreased somewhat at 12 months, but remained above baseline. Length of time in practice was positively associated with SBIRT utilization, controlling for gender, race and type of profession. Persistent barriers included time limitations and lack of referral resources. AB - CONCLUSIONS: ED providers respond favorably to SBIRT. Changes in utilization were substantial at three months post-exposure to a standardized curriculum, but less apparent after 12 months. Booster sessions, trained assistants and infrastructure supports may be needed to sustain changes over the longer term. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, N.I.H., Extramural NO - 1R03 AA 01511-14 (United States NIAAA NIH HHS) NO - 1R25 AA 014957 (United States NIAAA NIH HHS) NO - R25 AA014957 (United States NIAAA NIH HHS) NO - R25 AA014957-01 (United States NIAAA NIH HHS) LG - English DP - 2007 DC - 20071213 YR - 2007 ED - 20080110 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18077305 <537. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16996517 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Munro A AU - Watson HE AU - McFadyen A FA - Munro, Alison FA - Watson, H E FA - McFadyen, Angus IN - Munro,Alison. School of Nursing, Midwifery and Community Health, Glasgow Caledonian University, Cowcaddens Rd, Glasgow G4 0BA, UK. alison.munro@gcal.ac.uk TI - Assessing the impact of training on mental health nurses' therapeutic attitudes and knowledge about co-morbidity: a randomised controlled trial. SO - International Journal of Nursing Studies. 44(8):1430-8, 2007 Nov. AS - Int J Nurs Stud. 44(8):1430-8, 2007 Nov. NJ - International journal of nursing studies PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Analysis of Variance MH - Comorbidity MH - Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/nu [Nursing] MH - Scotland MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. AB - OBJECTIVES: To test the impact of training for staff who work with people who have co-existing mental health and substance use problems. AB - DESIGN: A randomised controlled trial. AB - SETTING: An NHS Primary Care Division in the West of Scotland. AB - PARTICIPANTS: Forty-nine mental health nurses. AB - METHODS: Intervention. A four-day training programme. AB - 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. AB - 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). AB - 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. IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English EP - 20060922 DP - 2007 Nov DC - 20071023 YR - 2007 ED - 20071220 RD - 20140730 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16996517 <538. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17949275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan KY AU - Reidpath DD FA - Chan, Kit Yee FA - Reidpath, Daniel D IN - Chan,Kit Yee. School of Health and Social Development, Deakin University, Burwood, Victoria, Australia. kchan16@gmail.com TI - Stigmatization of patients with AIDS: understanding the interrelationships between Thai nurses' attitudes toward HIV/AIDS, drug use, and commercial sex. SO - AIDS Patient Care & Stds. 21(10):763-75, 2007 Oct. AS - AIDS Patient Care STDS. 21(10):763-75, 2007 Oct. NJ - AIDS patient care and STDs PI - Journal available in: Print PI - Citation processed from: Print JC - 9607225, ckd SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Female MH - HIV Infections/di [Diagnosis] MH - *HIV Infections/px [Psychology] MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - *Prostitution MH - *Stereotyping MH - *Substance Abuse, Intravenous MH - Thailand AB - There is currently a scarcity of research on the nature of HIV/AIDS stigma within the Thai health context. This is problematic given the negative role of stigma in hindering the provision of patient care and treatment. This study used a mixed-method approach to investigate the interrelationships between the stigma of HIV/AIDS and the stigmas relating to its various modes of disease transmission including injection drug use (IDU). Twenty interviews were conducted with trainees and qualified nurses from a Bangkok college. Participants were presented with vignettes describing a hypothetical person varying in disease diagnoses (AIDS, leukemia, no disease) and co-characteristics (IDU, commercial sex (CS), blood transfusion, no co-characteristic). Using a Q-sort task, participants arranged the vignettes along a bipolar scale according to their willingness to interact with the persons, and were asked to explain their decisions. Univariate and multivariate regression analyses showed that IDU, AIDS, and CS were all individually stigmatizing. Strong interactions were found between the stigmas of HIV/AIDS, IDU, and CS. Interview data also showed clear biases toward patients according to their IDU and CS habits. The findings suggest that addressing these co-stigmas could be vital to the success of efforts aimed at reducing the disease stigma of HIV/AIDS. IS - 1087-2914 IL - 1087-2914 PT - Journal Article LG - English DP - 2007 Oct DC - 20071022 YR - 2007 ED - 20071212 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17949275 <539. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17701518 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffiths RD AU - Stone A AU - Tran DT AU - Fernandez RS AU - Ford K FA - Griffiths, R D FA - Stone, A FA - Tran, D T FA - Fernandez, R S FA - Ford, K IN - Griffiths,R D. University of Western Sydney, Sydney, Australia. Rhonda.Griffiths@swsahs.nsw.gov.au TI - Drink a little; take a few drugs: do nurses have knowledge to identify and manage in-patients at risk of drugs and alcohol?. SO - Drug & Alcohol Review. 26(5):545-52, 2007 Sep. AS - Drug Alcohol Rev. 26(5):545-52, 2007 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/nu [Nursing] MH - Data Collection MH - Evidence-Based Medicine MH - Female MH - Guideline Adherence MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - Medical Audit MH - Medical Records/st [Standards] MH - Middle Aged MH - New South Wales MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/st [Standards] MH - Patient Admission/st [Standards] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/nu [Nursing] AB - 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. AB - DESIGN AND METHODS: A chart audit of medical records was completed and a survey was distributed to nurses working in the study wards. AB - 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. AB - 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. IS - 0959-5236 IL - 0959-5236 PT - Journal Article LG - English DP - 2007 Sep DC - 20070816 YR - 2007 ED - 20071129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17701518 <540. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17723930 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lamb L AU - Pereira JX AU - Shir Y FA - Lamb, Louise FA - Pereira, John Xavier FA - Shir, Yoram IN - Lamb,Louise. Pain Centre, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada. TI - Nurse case management program of chronic pain patients treated with methadone. SO - Pain Management Nursing. 8(3):130-8, 2007 Sep. AS - Pain Manag Nurs. 8(3):130-8, 2007 Sep. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Aged MH - Ambulatory Care MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Case Management/og [Organization & Administration] MH - Chronic Disease MH - Drug Monitoring/nu [Nursing] MH - Feasibility Studies MH - Female MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Middle Aged MH - *Nurse's Role MH - Nursing Assessment MH - Nursing Evaluation Research MH - Pain/di [Diagnosis] MH - Pain/dt [Drug Therapy] MH - *Pain/nu [Nursing] MH - Pain/px [Psychology] MH - Pain Clinics MH - Pain Measurement MH - Patient Education as Topic MH - Patient Satisfaction MH - Professional Autonomy MH - Program Evaluation MH - Prospective Studies MH - Quebec AB - Methadone treatment in chronic pain patients is still limited owing to misconceptions about addiction, safety, and its unique pharmacokinetic and pharmacodynamic properties. Nevertheless, patients with chronic noncancer pain are frequently treated with methadone at our Pain Centre either as the first opioid of choice, for specific pain conditions, or as a second-line opioid in patients developing tolerance or intractable side effects with other opioids. The aim of this study was to examine whether a nurse case management program of chronic pain patients treated with methadone is feasible and safe in trying to improve patients' care in an ambulatory setting. This program consisted of three phases: initial primary education session, telephone follow-up during methadone titration, and a subsequent maintenance period. The nurse case manager functioned autonomously and when required reported to and consulted the physician. The study included 75 subjects and was done over a nine-month period by completing follow-up questionnaires for every call. Of a total of 194 recorded calls, 41% were unscheduled. Forty-four percent of phone calls resulted in a methadone increase and 11% led to a decrease or cessation of methadone. No patients developed serious morbidity or mortality. Fifty-seven percent of patients were either satisfied or very satisfied with their treatment. A nurse-led case management program of methadone in chronic pain patients can improve patient care in an ambulatory setting. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1524-9042 IL - 1524-9042 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Sep DC - 20070828 YR - 2007 ED - 20071109 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17723930 <541. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17908740 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olds DL AU - Kitzman H AU - Hanks C AU - Cole R AU - Anson E AU - Sidora-Arcoleo K AU - Luckey DW AU - Henderson CR Jr AU - Holmberg J AU - Tutt RA AU - Stevenson AJ AU - Bondy J FA - Olds, David L FA - Kitzman, Harriet FA - Hanks, Carole FA - Cole, Robert FA - Anson, Elizabeth FA - Sidora-Arcoleo, Kimberly FA - Luckey, Dennis W FA - Henderson, Charles R Jr FA - Holmberg, John FA - Tutt, Robin A FA - Stevenson, Amanda J FA - Bondy, Jessica IN - Olds,David L. Department of Pediatrics, University of Colorado at Denver and Health Sciences Center, Denver, CO 80218, USA. olds.david@tchden.org TI - Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial. CM - Comment in: Evid Based Nurs. 2008 Apr;11(2):41; PMID: 18364411 SO - Pediatrics. 120(4):e832-45, 2007 Oct. AS - Pediatrics. 120(4):e832-45, 2007 Oct. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 OI - Source: NLM. NIHMS180267 OI - Source: NLM. PMC2839449 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Birth Intervals MH - Birth Weight MH - Child MH - Child Mortality MH - Child, Preschool MH - Educational Status MH - Female MH - Follow-Up Studies MH - *Home Care Services MH - Humans MH - Infant MH - Infant Mortality MH - Infant, Newborn MH - Interpersonal Relations MH - Interviews as Topic MH - Program Evaluation MH - Public Assistance/ut [Utilization] MH - Social Welfare/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Tennessee/ep [Epidemiology] MH - Time Factors AB - OBJECTIVE: Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers' fertility and children's functioning 7 years after the program ended at child age 2. AB - METHODS: We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks' gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services. Primary outcomes consisted of intervals between births of first and second children and number of children born per year; mothers' stability of relationships with partners and relationships with the biological father of the child; mothers' use of welfare, food stamps, and Medicaid; mothers' use of substances; mothers' arrests and incarcerations; and children's academic achievement, school conduct, and mental disorders. Secondary outcomes were the sequelae of subsequent pregnancies, women's employment, experience of domestic violence, and children's mortality. AB - RESULTS: Nurse-visited women had longer intervals between births of first and second children, fewer cumulative subsequent births per year, and longer relationships with current partners. From birth through child age 9, nurse-visited women used welfare and food stamps for fewer months. Nurse-visited children born to mothers with low psychological resources, compared with control-group counterparts, had better grade-point averages and achievement test scores in math and reading in grades 1 through 3. Nurse-visited children, as a trend, were less likely to die from birth through age 9, an effect accounted for by deaths that were attributable to potentially preventable causes. AB - CONCLUSIONS: By child age 9, the program reduced women's rates of subsequent births, increased the intervals between the births of first and second children, increased the stability of their relationships with partners, facilitated children's academic adjustment to elementary school, and seems to have reduced childhood mortality from preventable causes. ES - 1098-4275 IL - 0031-4005 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - R01 MH061428-01 (United States NIMH NIH HHS) NO - 1-R01-MH61428-01 (United States NIMH NIH HHS) NO - R01 MH061428 (United States NIMH NIH HHS) NO - R01 HD043492 (United States NICHD NIH HHS) NO - 1-K05-MH01382-01 (United States NIMH NIH HHS) NO - 8R01 HD43492 (United States NICHD NIH HHS) NO - MCJ 360579 (United States PHS HHS) NO - K05 MH001382 (United States NIMH NIH HHS) NO - NR01-01691-05 (United States NINR NIH HHS) NO - R01 DA021624 (United States NIDA NIH HHS) LG - English DP - 2007 Oct DC - 20071002 YR - 2007 ED - 20071029 RD - 20161203 UP - 20161205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17908740 <542. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17908740 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olds DL AU - Kitzman H AU - Hanks C AU - Cole R AU - Anson E AU - Sidora-Arcoleo K AU - Luckey DW AU - Henderson CR Jr AU - Holmberg J AU - Tutt RA AU - Stevenson AJ AU - Bondy J FA - Olds, David L FA - Kitzman, Harriet FA - Hanks, Carole FA - Cole, Robert FA - Anson, Elizabeth FA - Sidora-Arcoleo, Kimberly FA - Luckey, Dennis W FA - Henderson, Charles R Jr FA - Holmberg, John FA - Tutt, Robin A FA - Stevenson, Amanda J FA - Bondy, Jessica IN - Olds,David L. Department of Pediatrics, University of Colorado at Denver and Health Sciences Center, Denver, CO 80218, USA. olds.david@tchden.org TI - Effects of nurse home visiting on maternal and child functioning: age-9 follow-up of a randomized trial. CM - Comment in: Evid Based Nurs. 2008 Apr;11(2):41; PMID: 18364411 SO - Pediatrics. 120(4):e832-45, 2007 Oct. AS - Pediatrics. 120(4):e832-45, 2007 Oct. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 OI - Source: NLM. NIHMS180267 OI - Source: NLM. PMC2839449 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Birth Intervals MH - Birth Weight MH - Child MH - Child Mortality MH - Child, Preschool MH - Educational Status MH - Female MH - Follow-Up Studies MH - *Home Care Services MH - Humans MH - Infant MH - Infant Mortality MH - Infant, Newborn MH - Interpersonal Relations MH - Interviews as Topic MH - Program Evaluation MH - Public Assistance/ut [Utilization] MH - Social Welfare/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Tennessee/ep [Epidemiology] MH - Time Factors AB - OBJECTIVE: Our goal was to test the effect of prenatal and infancy home visits by nurses on mothers' fertility and children's functioning 7 years after the program ended at child age 2. AB - METHODS: We conducted a randomized, controlled trial in a public system of obstetric and pediatric care. A total of 743 primarily black women <29 weeks' gestation, with previous live births and at least 2 sociodemographic risk characteristics (unmarried, <12 years of education, unemployed), were randomly assigned to receive nurse home visits or comparison services. Primary outcomes consisted of intervals between births of first and second children and number of children born per year; mothers' stability of relationships with partners and relationships with the biological father of the child; mothers' use of welfare, food stamps, and Medicaid; mothers' use of substances; mothers' arrests and incarcerations; and children's academic achievement, school conduct, and mental disorders. Secondary outcomes were the sequelae of subsequent pregnancies, women's employment, experience of domestic violence, and children's mortality. AB - RESULTS: Nurse-visited women had longer intervals between births of first and second children, fewer cumulative subsequent births per year, and longer relationships with current partners. From birth through child age 9, nurse-visited women used welfare and food stamps for fewer months. Nurse-visited children born to mothers with low psychological resources, compared with control-group counterparts, had better grade-point averages and achievement test scores in math and reading in grades 1 through 3. Nurse-visited children, as a trend, were less likely to die from birth through age 9, an effect accounted for by deaths that were attributable to potentially preventable causes. AB - CONCLUSIONS: By child age 9, the program reduced women's rates of subsequent births, increased the intervals between the births of first and second children, increased the stability of their relationships with partners, facilitated children's academic adjustment to elementary school, and seems to have reduced childhood mortality from preventable causes. ES - 1098-4275 IL - 0031-4005 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - 1-K05-MH01382-01 (United States NIMH NIH HHS) NO - 1-R01-MH61428-01 (United States NIMH NIH HHS) NO - 8R01 HD43492 (United States NICHD NIH HHS) NO - MCJ 360579 (United States PHS HHS) NO - NR01-01691-05 (United States NINR NIH HHS) NO - R01 DA021624 (United States NIDA NIH HHS) NO - R01 MH061428 (United States NIMH NIH HHS) NO - R01 MH061428-01 (United States NIMH NIH HHS) LG - English DP - 2007 Oct DC - 20071002 YR - 2007 ED - 20071029 RD - 20140919 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17908740 <543. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17624780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelleher S FA - Kelleher, Sean IN - Kelleher,Sean. Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland. s.kelleher@ucc.ie TI - Health care professionals' knowledge and attitudes regarding substance use and substance users. [Review] [34 refs] SO - Accident & Emergency Nursing. 15(3):161-5, 2007 Jul. AS - Accid Emerg Nurs. 15(3):161-5, 2007 Jul. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cost of Illness MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - *Emergency Nursing MH - Emergency Treatment/mt [Methods] MH - Emergency Treatment/nu [Nursing] MH - *Emergency Treatment MH - Harm Reduction MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Ireland/ep [Epidemiology] MH - Negativism MH - Nursing Education Research MH - Nursing Methodology Research MH - Personnel, Hospital/ed [Education] MH - Personnel, Hospital/px [Psychology] MH - *Personnel, Hospital MH - Prejudice MH - Professional Role MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - In Ireland one in four (28%) of those attending hospital emergency departments have substance abuse-related injury/illness and one in eight (13%) present in a state of clinical intoxication. Health care professionals working in emergency departments are frequently exposed to patients with substance use problems and are in ideal positions to provide early diagnosis and treatment. The success rate in detecting these patients is however disturbingly low (25-50%) and as a result many substance use problems are misdiagnosed or remain undetected. International studies that focus on primary care and addiction within the mental health sector suggest that health care professionals' knowledge and attitudes regarding substance use and substance users may negatively influence the care that these patients receive. There is a dearth of empirical research, internationally, and particularly in Ireland that addresses health care professionals' knowledge and attitudes in relation to substance use and substance users with no empirical evidence to ascertain in particular, emergency department doctors' and nurses' knowledge and attitudes. [References: 34] IS - 0965-2302 IL - 0965-2302 PT - Journal Article PT - Review LG - English EP - 20070710 DP - 2007 Jul DC - 20070827 YR - 2007 ED - 20071025 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17624780 <544. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17628126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berkman ND AU - Bulik CM AU - Brownley KA AU - Lohr KN AU - Sedway JA AU - Rooks A AU - Gartlehner G FA - Berkman, Nancy D FA - Bulik, Cynthia M FA - Brownley, Kimberly A FA - Lohr, Kathleen N FA - Sedway, Jan A FA - Rooks, Adrienne FA - Gartlehner, Gerald TI - Management of eating disorders. [Review] [401 refs] SO - Evidence Report/Technology Assessment. (135):1-166, 2006 Apr. AS - Evid rep/technol assess. (135):1-166, 2006 Apr. NJ - Evidence report/technology assessment PI - Journal available in: Print PI - Citation processed from: Print JC - 101082681 OI - Source: NLM. PMC4780981 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Anorexia Nervosa/th [Therapy] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bulimia Nervosa/th [Therapy] MH - Combined Modality Therapy MH - Feeding and Eating Disorders/dt [Drug Therapy] MH - *Feeding and Eating Disorders/th [Therapy] MH - Female MH - Humans MH - Male MH - Psychotherapy MH - Treatment Outcome AB - OBJECTIVES: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED), harms associated with treatments, factors associated with the treatment efficacy and with outcomes of these conditions, and whether treatment and outcomes for these conditions differ by sociodemographic characteristics. AB - DATA SOURCES: We searched MEDLINE, the Cumulative Index to Nursing and Applied Health (CINAHL), PSYCHINFO, the Educational Resources Information Center (ERIC), the National Agricultural Library (AGRICOLA), and Cochrane Collaboration libraries. AB - REVIEW METHODS: We reviewed each study against a priori inclusion/exclusion criteria. For included articles, a primary reviewer abstracted data directly into evidence tables; a second senior reviewer confirmed accuracy. We included studies published from 1980 to September 2005, in all languages. Studies had to involve populations diagnosed primarily with AN, BN, or BED and report on eating, psychiatric or psychological, or biomarker outcomes. AB - RESULTS: We report on 30 treatment studies for AN, 47 for BN, 25 for BED, and 34 outcome studies for AN, 13 for BN, 7 addressing both AN and BN, and 3 for BED. The AN literature on medications was sparse and inconclusive. Some forms of family therapy are efficacious in treating adolescents. Cognitive behavioral therapy (CBT) may reduce relapse risk for adults after weight restoration. For BN, fluoxetine (60 mg/day) reduces core bulimic symptoms (binge eating and purging) and associated psychological features in the short term. Individual or group CBT decreases core behavioral symptoms and psychological features in both the short and long term. How best to treat individuals who do not respond to CBT or fluoxetine remains unknown. In BED, individual or group CBT reduces binge eating and improves abstinence rates for up to 4 months after treatment; however, CBT is not associated with weight loss. Medications may play a role in treating BED patients. Further research addressing how best to achieve both abstinence from binge eating and weight loss in overweight patients is needed. Higher levels of depression and compulsivity were associated with poorer outcomes in AN; higher mortality was associated with concurrent alcohol and substance use disorders. Only depression was consistently associated with poorer outcomes in BN; BN was not associated with an increased risk of death. Because of sparse data, we could reach no conclusions concerning BED outcomes. No or only weak evidence addresses treatment or outcomes difference for these disorders. AB - CONCLUSIONS: The literature regarding treatment efficacy and outcomes for AN, BN, and BED is of highly variable quality. In future studies, researchers must attend to issues of statistical power, research design, standardized outcome measures, and sophistication and appropriateness of statistical methodology. [References: 401] RN - 0 (Antidepressive Agents) IS - 1530-4396 IL - 1530-4396 PT - Journal Article PT - Review LG - English DP - 2006 Apr DC - 20070713 YR - 2006 ED - 20071012 RD - 20160323 UP - 20160325 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17628126 <545. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17628126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berkman ND AU - Bulik CM AU - Brownley KA AU - Lohr KN AU - Sedway JA AU - Rooks A AU - Gartlehner G FA - Berkman, Nancy D FA - Bulik, Cynthia M FA - Brownley, Kimberly A FA - Lohr, Kathleen N FA - Sedway, Jan A FA - Rooks, Adrienne FA - Gartlehner, Gerald TI - Management of eating disorders. [Review] [401 refs] SO - Evidence Report/Technology Assessment. (135):1-166, 2006 Apr. AS - Evid rep/technol assess. (135):1-166, 2006 Apr. NJ - Evidence report/technology assessment PI - Journal available in: Print PI - Citation processed from: Print JC - 101082681 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Anorexia Nervosa/th [Therapy] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bulimia Nervosa/th [Therapy] MH - Combined Modality Therapy MH - Feeding and Eating Disorders/dt [Drug Therapy] MH - *Feeding and Eating Disorders/th [Therapy] MH - Female MH - Humans MH - Male MH - Psychotherapy MH - Treatment Outcome AB - OBJECTIVES: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed evidence on efficacy of treatment for anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED), harms associated with treatments, factors associated with the treatment efficacy and with outcomes of these conditions, and whether treatment and outcomes for these conditions differ by sociodemographic characteristics. AB - DATA SOURCES: We searched MEDLINE, the Cumulative Index to Nursing and Applied Health (CINAHL), PSYCHINFO, the Educational Resources Information Center (ERIC), the National Agricultural Library (AGRICOLA), and Cochrane Collaboration libraries. AB - REVIEW METHODS: We reviewed each study against a priori inclusion/exclusion criteria. For included articles, a primary reviewer abstracted data directly into evidence tables; a second senior reviewer confirmed accuracy. We included studies published from 1980 to September 2005, in all languages. Studies had to involve populations diagnosed primarily with AN, BN, or BED and report on eating, psychiatric or psychological, or biomarker outcomes. AB - RESULTS: We report on 30 treatment studies for AN, 47 for BN, 25 for BED, and 34 outcome studies for AN, 13 for BN, 7 addressing both AN and BN, and 3 for BED. The AN literature on medications was sparse and inconclusive. Some forms of family therapy are efficacious in treating adolescents. Cognitive behavioral therapy (CBT) may reduce relapse risk for adults after weight restoration. For BN, fluoxetine (60 mg/day) reduces core bulimic symptoms (binge eating and purging) and associated psychological features in the short term. Individual or group CBT decreases core behavioral symptoms and psychological features in both the short and long term. How best to treat individuals who do not respond to CBT or fluoxetine remains unknown. In BED, individual or group CBT reduces binge eating and improves abstinence rates for up to 4 months after treatment; however, CBT is not associated with weight loss. Medications may play a role in treating BED patients. Further research addressing how best to achieve both abstinence from binge eating and weight loss in overweight patients is needed. Higher levels of depression and compulsivity were associated with poorer outcomes in AN; higher mortality was associated with concurrent alcohol and substance use disorders. Only depression was consistently associated with poorer outcomes in BN; BN was not associated with an increased risk of death. Because of sparse data, we could reach no conclusions concerning BED outcomes. No or only weak evidence addresses treatment or outcomes difference for these disorders. AB - CONCLUSIONS: The literature regarding treatment efficacy and outcomes for AN, BN, and BED is of highly variable quality. In future studies, researchers must attend to issues of statistical power, research design, standardized outcome measures, and sophistication and appropriateness of statistical methodology. [References: 401] RN - 0 (Antidepressive Agents) IS - 1530-4396 IL - 1530-4396 PT - Journal Article PT - Review LG - English DP - 2006 Apr DC - 20070713 YR - 2006 ED - 20071012 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17628126 <546. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17113686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ashmore R AU - Carver N AU - Banks D FA - Ashmore, Russell FA - Carver, Neil FA - Banks, David IN - Ashmore,Russell. Sheffield Hallam University, Faculty of Health and Wellbeing, Mundella House, Collegiate Crescent, S1 1WB, United Kingdom. r.j.ashmore@shu.ac.uk TI - Mental health nursing students' relationships with the pharmaceutical industry. SO - Nurse Education Today. 27(6):551-60, 2007 Aug. AS - Nurse Educ Today. 27(6):551-60, 2007 Aug. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Bias (Epidemiology) MH - Clinical Competence MH - Codes of Ethics MH - Conflict of Interest MH - Drug Industry/es [Ethics] MH - *Drug Industry/og [Organization & Administration] MH - Drug Information Services MH - Education, Nursing, Graduate/es [Ethics] MH - Education, Nursing, Graduate/og [Organization & Administration] MH - Female MH - Gift Giving/es [Ethics] MH - *Gift Giving MH - Great Britain MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Interprofessional Relations/es [Ethics] MH - *Interprofessional Relations MH - Male MH - Nursing Methodology Research MH - Persuasive Communication MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing MH - Qualitative Research MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English EP - 20061120 DP - 2007 Aug DC - 20070725 YR - 2007 ED - 20071005 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17113686 <547. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17675113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Crowell NA FA - Heath, Janie FA - Crowell, Nancy A IN - Heath,Janie. Acute Care Nurse Practitioner and Critical Care Clinical Nurse Specialist Program, School of Nursing and Health Studies, Georgetown University, Washington, DC, USA. ejh@georgetown.edu TI - Factors influencing intentions to integrate tobacco education among advanced practice nursing faculty. SO - Journal of Professional Nursing. 23(4):189-200, 2007 Jul-Aug. AS - J Prof Nurs. 23(4):189-200, 2007 Jul-Aug. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - *Faculty, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Intention MH - Linear Models MH - Male MH - Models, Psychological MH - Multivariate Analysis MH - Needs Assessment MH - Nurse Anesthetists/ed [Education] MH - Nurse Anesthetists/px [Psychology] MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - Nurse Midwives/ed [Education] MH - Nurse Midwives/px [Psychology] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - Nursing Education Research MH - Nursing Methodology Research MH - Professional Competence MH - Self Efficacy MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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, chi(2) analysis, Pearson correlation, and linear regression were used to analyze the data. The findings revealed that sex (chi(2) = 7.949, P = .024), level of education (chi(2) = 26.853, P = .0005), years of academic teaching (chi(2) = 19.418, P = .013), and combined clinical and course responsibility (chi(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 (>or=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. IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Jul-Aug DC - 20070806 YR - 2007 ED - 20070928 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17675113 <548. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837408 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheltonh A AU - Harvin S AU - White J FA - Sheltonh, Andrea FA - Harvin, Sheila FA - White, Janeana IN - Sheltonh,Andrea. Texas Southern University, Houston, USA. TI - Substance abuse prevention program for children and adolescents in a community-based clinic. SO - Substance Abuse. 26(3-4):21-5, 2005 Dec. AS - Subst Abus. 26(3-4):21-5, 2005 Dec. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adolescent MH - *Alcoholism/pc [Prevention & Control] MH - Child MH - Child of Impaired Parents/ed [Education] MH - Child of Impaired Parents/sn [Statistics & Numerical Data] MH - *Cognitive Therapy MH - *Community Health Services MH - Education, Nursing MH - Fellowships and Scholarships MH - Female MH - *Health Education MH - Humans MH - Male MH - Program Evaluation MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Texas AB - This paper describes a community-based substance abuse prevention program utilizing a cognitive-behavioral curriculum to children and adolescents affected by a substance use disorder in a parent or caretaker. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 2005 Dec DC - 20060713 YR - 2005 ED - 20070926 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837408 <549. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16150679 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baez A AU - Eckert-Norton M AU - Morrison A FA - Baez, Annecy FA - Eckert-Norton, Margaret FA - Morrison, Ann IN - Baez,Annecy. Lehman College, City University of New York, 250 Bedford Park Blvd West, Bronx, NY 10468, USA. TI - Knowing how and showing how: interdisciplinary collaboration on substance abuse skill OSCEs for medical, nursing and social work students. SO - Substance Abuse. 25(3):33-7, 2004 Sep. AS - Subst Abus. 25(3):33-7, 2004 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Humans MH - *Interdisciplinary Communication MH - *Social Work MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching/mt [Methods] MH - Videotape Recording IS - 0889-7077 IL - 0889-7077 PT - Case Reports PT - Journal Article LG - English DP - 2004 Sep DC - 20050909 YR - 2004 ED - 20070925 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16150679 <550. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17696111 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pittman M FA - Pittman, Mark TI - Hedonistic or suicidal?. CM - Comment on: Emerg Nurse. 2007 Jun;15(3):30-5; PMID: 17760238 SO - Emergency Nurse. 15(4):4-5; author reply 5, 2007 Jul. AS - Emerg Nurse. 15(4):4-5; author reply 5, 2007 Jul. NJ - Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association PI - Journal available in: Print PI - Citation processed from: Print JC - bia, 9208913 SB - Nursing Journal CP - England MH - Dangerous Behavior MH - Diagnosis, Differential MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/mt [Methods] MH - Humans MH - *Nursing Assessment/mt [Methods] MH - Risk-Taking MH - *Self-Injurious Behavior/di [Diagnosis] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Suicide, Attempted/pc [Prevention & Control] IS - 1354-5752 IL - 1354-5752 PT - Comment PT - Letter LG - English DP - 2007 Jul DC - 20070816 YR - 2007 ED - 20070921 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17696111 <551. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17635627 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shattell MM AU - Starr SS AU - Thomas SP FA - Shattell, Mona M FA - Starr, Sharon S FA - Thomas, Sandra P IN - Shattell,Mona M. School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA. mona_shattell@uncg.edu TI - 'Take my hand, help me out': mental health service recipients' experience of the therapeutic relationship. SO - International Journal of Mental Health Nursing. 16(4):274-84, 2007 Aug. AS - Int J Ment Health Nurs. 16(4):274-84, 2007 Aug. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - Adult MH - Attitude of Health Personnel MH - *Attitude to Health MH - Empathy MH - Female MH - Helping Behavior MH - Humans MH - Male MH - Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Mental Disorders MH - Middle Aged MH - Morale MH - *Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Methodology Research MH - Nursing Theory MH - Problem Solving MH - *Psychiatric Nursing/mt [Methods] MH - Psychological Theory MH - Qualitative Research MH - Self Disclosure MH - Social Support MH - Stereotyping MH - Surveys and Questionnaires AB - 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. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Aug DC - 20070719 YR - 2007 ED - 20070921 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17635627 <552. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135178 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin JN AU - Scott DM AU - Agrawal S AU - Bartek JK AU - Davis-Hall RE AU - Reardon TP AU - DeSimone EM 2nd FA - Baldwin, Jeffrey N FA - Scott, David M FA - Agrawal, Sangeeta FA - Bartek, Jean K FA - Davis-Hall, R Ellen FA - Reardon, Thomas P FA - DeSimone, Edward M 2nd IN - Baldwin,Jeffrey N. College of Pharmacy, The University of Nebraska Medical Center, Omaha, NE, 68198-2135, USA. jbaldwin@unmc.edu TI - Assessment of alcohol and other drug use behaviors in health professions students. SO - Substance Abuse. 27(3):27-37, 2006 Sep. AS - Subst Abus. 27(3):27-37, 2006 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - United States MH - Adult MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/ge [Genetics] MH - Alcohol-Related Disorders/px [Psychology] MH - Allied Health Occupations/ed [Education] MH - Cross-Sectional Studies MH - Female MH - Genetic Predisposition to Disease MH - Health Surveys MH - Humans MH - Male MH - Nebraska MH - Students, Dental/px [Psychology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/px [Psychology] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/px [Psychology] AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Sep DC - 20061130 YR - 2006 ED - 20070917 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135178 <553. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17558822 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borrelli B AU - Novak SP FA - Borrelli, Belinda FA - Novak, Scott P IN - Borrelli,Belinda. Brown Medical School and The Miriam Hospital, Providence, RI 02903, USA. belinda_borrelli@brown.edu TI - Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies. SO - Nicotine & Tobacco Research. 9(6):653-61, 2007 Jun. AS - Nicotine Tob Res. 9(6):653-61, 2007 Jun. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 SB - Index Medicus CP - England MH - Adult MH - Counseling/mt [Methods] MH - Female MH - *Health Education/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - Middle Aged MH - *Nicotine/ae [Adverse Effects] MH - *Nurse's Role MH - Nurse-Patient Relations MH - Rhode Island MH - Risk Factors MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - Light and ultra-light cigarettes are associated with little or no risk reduction versus regular cigarettes, but the majority of smokers believe they are safer. We evaluated whether nurses believe that certain products (light and ultra-light cigarettes, reduced-tar cigarettes, nicotine replacement), cigarette design features (filters, no additives), and smoking behaviors (smoking reduction) reduce health risks among their patients. Nurses (N = 178; 93% female, 10% smokers) completed questionnaires before mandatory training in smoking cessation counseling. Among respondents, 25% believed that light and ultra-light cigarettes are equal in tar to regular cigarettes, 55% believed that two light cigarettes are equal in tar to one regular cigarette, and 51% believed that three or more ultra-light cigarettes are equal to one regular cigarette. Further, 40% believed that light and ultra-light cigarettes are less dangerous; younger nurses (<41 years old) were more likely to believe this than older nurses (p<.05). A total of 14% of nurses would recommend light and ultra-light cigarettes to help patients reduce health risks, 15% said that cigars are less harmful than cigarettes, 41% said that additive-free cigarettes are less dangerous, and 81% said that cutting down to 5 cigarettes/day improves health. Nurses had misperceptions about nicotine replacement: 60% believed that nicotine causes cancer, 72% believed that nicotine patches could cause heart attacks, and 40% and 15% believed that a prescription is needed for the nicotine patch or gum, respectively. Among nurses, smokers were more likely than nonsmokers to believe that smoking risks are exaggerated (p<.05). Nurse misinformation could lead to inaccurate recommendations and failure to capitalize on the teachable moment provided by the medical encounter. RN - 6M3C89ZY6R (Nicotine) IS - 1462-2203 IL - 1462-2203 PT - Journal Article LG - English DP - 2007 Jun DC - 20070611 YR - 2007 ED - 20070913 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17558822 <554. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17679636 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Szanto K AU - Kalmar S AU - Hendin H AU - Rihmer Z AU - Mann JJ FA - Szanto, Katalin FA - Kalmar, Sandor FA - Hendin, Herbert FA - Rihmer, Zoltan FA - Mann, J John IN - Szanto,Katalin. University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, PA, USA. TI - A suicide prevention program in a region with a very high suicide rate. SO - Archives of General Psychiatry. 64(8):914-20, 2007 Aug. AS - Arch Gen Psychiatry. 64(8):914-20, 2007 Aug. NJ - Archives of general psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 72c, 0372435 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Antidepressive Agents/tu [Therapeutic Use] MH - Comorbidity MH - Curriculum MH - Depressive Disorder/dt [Drug Therapy] MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Utilization MH - Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Health Education/mt [Methods] MH - Humans MH - Hungary/ep [Epidemiology] MH - Liver Diseases, Alcoholic/ep [Epidemiology] MH - Liver Diseases, Alcoholic/mo [Mortality] MH - Middle Aged MH - Practice Patterns, Physicians' MH - *Program Development/mt [Methods] MH - Program Evaluation MH - Psychiatry/ed [Education] MH - Psychiatry/mt [Methods] MH - Remote Consultation/mt [Methods] MH - Risk Factors MH - Sex Factors MH - *Suicide/pc [Prevention & Control] MH - *Suicide/sn [Statistics & Numerical Data] MH - Suicide/td [Trends] AB - CONTEXT: Suicide is a major cause of mortality worldwide. Rates vary widely within and between countries. A suicide prevention program has never been tested in a region with a very high suicide rate in comparison with control regions without such intervention over the same period. AB - OBJECTIVE: To determine the effectiveness of a depression-management educational program for general practitioners (GPs) on the suicide rate in a region with a high suicide rate in Hungary. AB - DESIGN: Effects were compared with a control region, the larger surrounding county, and Hungary. AB - SETTING: Southwest Hungary. AB - PARTICIPANTS: Twenty-eight GPs servicing 73,000 inhabitants participated in the educational program. AB - INTERVENTION: A 5-year depression-management educational program for GPs and their nurses was implemented together with establishment of a Depression Treatment Clinic and psychiatrist telephone consultation service in the intervention region. AB - MAIN OUTCOME MEASURES: The primary study outcome measure was annual suicide rate. The secondary outcome measure was antidepressant prescription use. AB - RESULTS: The annual suicide rate in the intervention region decreased from the 5-year preintervention average of 59.7 in 100,000 to 49.9 in 100,000. The decrease was comparable with the control region but greater than both the county and Hungary (P < .001 and P < .001, respectively). In rural areas, the female suicide rate in the intervention region decreased by 34% and increased by 90% in the control region (P < .07). The increase in antidepressant treatment was greater in the intervention region compared with the control region, the county, and Hungary and in women compared with men (P < .002). AB - CONCLUSIONS: A GP-based intervention produced a greater decline in suicide rates compared with the surrounding county and national rates. Increases in patients with depression treated and of dosing were modest and may require additional measures such as depression-care managers. The importance of alcoholism in local suicides was unanticipated and not addressed. Optimal suicide prevention plans must consider major local risk factors. RN - 0 (Antidepressive Agents) IS - 0003-990X IL - 0003-990X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Aug DC - 20070807 YR - 2007 ED - 20070829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17679636 <555. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17546359 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dessunti EM AU - Advincula Reis AO FA - Dessunti, Elma Mathias FA - Advincula Reis, Alberto Olavo IN - Dessunti,Elma Mathias. State University of Londrina. elma@sercomtel.com.br TI - Psychosocial and behavioral factors associated to STD/AIDS risk among health students. SO - Revista Latino-Americana de Enfermagem. 15(2):267-74, 2007 Mar-Apr. AS - Rev Lat Am Enfermagem. 15(2):267-74, 2007 Mar-Apr. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - *Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Humans MH - *Infectious Disease Transmission, Patient-to-Professional/pc [Prevention & Control] MH - *Infectious Disease Transmission, Patient-to-Professional/sn [Statistics & Numerical Data] MH - *Occupational Diseases/pc [Prevention & Control] MH - Psychology MH - Risk Factors MH - *Sexual Behavior MH - *Sexually Transmitted Diseases/pc [Prevention & Control] MH - *Social Behavior MH - *Students, Medical/sn [Statistics & Numerical Data] AB - This study aimed to identify and compare psychosocial and behavioral factors associated to STD/AIDS risk among students enrolled in the first and last years of the Nursing and Medical Undergraduate Programs at State University of Londrina. A convenience sample was selected from 263 enrolled students, and the 183 students who were sexually active (70.4%) had their data assessed. The Aids Risk Reduction Model framework was used to design the questionnaire in which a 5% statistical significance level was considered. Some risk factors were identified such as the perception of invulnerability, multiple sexual partners, consumption of alcoholic beverages before intercourse, and the discontinuous use or no use of condom. The risk factors are common both to the freshman and senior students, with no significant differences related to the passage of time or to the students' higher educational level. Senior students tend to be monogamous which makes them feel safer and decrease the use of condom with their sexual partners. IS - 0104-1169 IL - 0104-1169 PT - Journal Article LG - English DP - 2007 Mar-Apr DC - 20070604 YR - 2007 ED - 20070827 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17546359 <556. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17268937 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - King MA AU - Roberts MS FA - King, Michelle A FA - Roberts, Michael S IN - King,Michelle A. Department of General Practice and Primary Care, University of Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, United Kingdom. michelle.king@abdn.ac.uk TI - The influence of the Pharmaceutical Benefits Scheme (PBS) on inappropriate prescribing in Australian nursing homes. SO - Pharmacy World & Science. 29(1):39-42, 2007 Feb. AS - Pharm World Sci. 29(1):39-42, 2007 Feb. NJ - Pharmacy world & science : PWS PI - Journal available in: Print PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Adult MH - Aged MH - Aged, 80 and over MH - Australia MH - *Cost Sharing MH - Cross-Sectional Studies MH - Drug Costs MH - Drug Prescriptions/ec [Economics] MH - *Drug Prescriptions/st [Standards] MH - Drug Utilization/ec [Economics] MH - Drug Utilization/st [Standards] MH - *Formularies as Topic MH - Health Policy MH - Humans MH - *Medication Errors/sn [Statistics & Numerical Data] MH - Middle Aged MH - National Health Programs/ec [Economics] MH - National Health Programs/og [Organization & Administration] MH - Nursing Homes MH - Practice Patterns, Physicians'/ec [Economics] MH - *Practice Patterns, Physicians'/st [Standards] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Quality Assurance, Health Care AB - 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. AB - METHODS: Cross-sectional survey of nursing home records, including 7-days data from medication charts. AB - SETTING: Fiveteen randomly selected nursing homes (998 residents) in Southeast Queensland and Northern New South Wales, Australia. AB - MAIN OUTCOME MEASURES: The prevalence of inappropriate prescribing as defined by modified Beers' criteria and its correlation with PBS restrictions. AB - 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 (p = -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. AB - 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. IS - 0928-1231 IL - 0928-1231 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Feb DC - 20070704 YR - 2007 ED - 20070727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17268937 <557. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17536923 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jannone L AU - O'Connell KA FA - Jannone, Laura FA - O'Connell, Kathleen A IN - Jannone,Laura. Monmouth University, Marjorie K. Unterberg School of Nursing, NJ, USA. TI - Coping strategies used by adolescents during smoking cessation. SO - Journal of School Nursing. 23(3):177-84, 2007 Jun. AS - J Sch Nurs. 23(3):177-84, 2007 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Adaptation, Psychological MH - Adolescent MH - Female MH - Humans MH - Male MH - New Jersey MH - School Nursing MH - *Smoking Cessation/px [Psychology] MH - *Substance Withdrawal Syndrome/px [Psychology] AB - 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. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Jun DC - 20070531 YR - 2007 ED - 20070717 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17536923 <558. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17481462 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagedorn H AU - Dieperink E AU - Dingmann D AU - Durfee J AU - Ho SB AU - Isenhart C AU - Rettmann N AU - Willenbring M FA - Hagedorn, Hildi FA - Dieperink, Eric FA - Dingmann, Debra FA - Durfee, Janet FA - Ho, Samuel B FA - Isenhart, Carl FA - Rettmann, Nancy FA - Willenbring, Mark IN - Hagedorn,Hildi. Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417, USA. hildi.hagedorn@va.gov TI - Integrating hepatitis prevention services into a substance use disorder clinic. SO - Journal of Substance Abuse Treatment. 32(4):391-8, 2007 Jun. AS - J Subst Abuse Treat. 32(4):391-8, 2007 Jun. NJ - Journal of substance abuse treatment PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - United States MH - Female MH - Follow-Up Studies MH - Hepatitis A/co [Complications] MH - *Hepatitis A/pc [Prevention & Control] MH - Hepatitis B/co [Complications] MH - *Hepatitis B/pc [Prevention & Control] MH - Hepatitis C/co [Complications] MH - *Hepatitis C/pc [Prevention & Control] MH - Hospitals, Veterans MH - Humans MH - Immunization Programs/og [Organization & Administration] MH - Male MH - Mass Screening/og [Organization & Administration] MH - Medical Audit MH - Middle Aged MH - Minnesota MH - Patient Education as Topic/og [Organization & Administration] MH - Pilot Projects MH - Preventive Health Services/ec [Economics] MH - *Preventive Health Services/og [Organization & Administration] MH - Preventive Health Services/ut [Utilization] MH - Program Development MH - Program Evaluation MH - Referral and Consultation MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/th [Therapy] MH - Substance-Related Disorders/vi [Virology] MH - United States MH - United States Department of Veterans Affairs MH - *Veterans AB - 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. IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English EP - 20061212 DP - 2007 Jun DC - 20070507 YR - 2007 ED - 20070717 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17481462 <559. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17489957 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bairan A AU - Taylor GA AU - Blake BJ AU - Akers T AU - Sowell R AU - Mendiola R Jr FA - Bairan, Annette FA - Taylor, Gloria Ann Jones FA - Blake, Barbara J FA - Akers, Timothy FA - Sowell, Richard FA - Mendiola, Rick Jr IN - Bairan,Annette. Kennesaw State University, Kennesaw, Georgia, USA. abairan@kennesaw.edu TI - A model of HIV disclosure: disclosure and types of social relationships. SO - Journal of the American Academy of Nurse Practitioners. 19(5):242-50, 2007 May. AS - J Am Acad Nurse Pract. 19(5):242-50, 2007 May. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adult MH - *Attitude to Health MH - Fear MH - Female MH - Focus Groups MH - Georgia MH - HIV Infections/di [Diagnosis] MH - HIV Infections/et [Etiology] MH - *HIV Infections/px [Psychology] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Interpersonal Relations MH - Male MH - Middle Aged MH - *Models, Psychological MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Methodology Research MH - Qualitative Research MH - Risk Assessment MH - *Self Disclosure MH - Sexual Behavior/px [Psychology] MH - Social Behavior MH - Social Support MH - Stereotyping MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] AB - PURPOSE: The purpose of this study was to assess perceptions of HIV positive (+) persons regarding disclosure of their serostatus to others with the goal of developing a model of HIV disclosure that could be used by healthcare providers (HCPs) in HIV prevention. AB - DATA SOURCES: Data were collected through 13 focus groups from 104 HIV+ participants. The groups were formed based on three HIV risk exposure categories--men who have sex with men, high-risk heterosexuals, and substance users. AB - CONCLUSIONS: Data analysis revealed three themes: disclosure of one's HIV+ serostatus depends on type of social relationships, fear, and stigma, with social relationships being the major theme. A model of HIV disclosure emerged from the data analysis of social relationships. In the model, social relationships were categorized as sexual and nonsexual, with varying degrees of HIV disclosure-depending on the social relationship with the person to whom one did or did not disclose. Results indicated that HIV is still a fearful and stigmatizing disease, and disclosure of HIV status is a complex phenomenon embedded in various types of social relationships. AB - IMPLICATIONS FOR PRACTICE: Results of this study provide a "Model of HIV Disclosure" that can be utilized by nurse practitioners and other HCPs in clinical practice when providing treatment, counseling, and prevention education for HIV+ clients and for prevention education for HIV negative clients--especially for family, friends, sexual partners, and employers of HIV+ clients. IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May DC - 20070510 YR - 2007 ED - 20070711 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17489957 <560. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17456127 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pirskanen M AU - Laukkanen E AU - Pietila AM FA - Pirskanen, Marjatta FA - Laukkanen, Eila FA - Pietila, Anna-Maija IN - Pirskanen,Marjatta. Department of Nursing Science, University of Kuopio, Finland, and Kuopio Social and Health Care Centre, Kuopio, Finland. marjatta.pirskanen@kuopio.fi TI - A formative evaluation to develop a school health nursing early intervention model for adolescent substance use. SO - Public Health Nursing. 24(3):256-64, 2007 May-Jun. AS - Public Health Nurs. 24(3):256-64, 2007 May-Jun. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Health Services/og [Organization & Administration] MH - Attitude of Health Personnel MH - Cooperative Behavior MH - Early Diagnosis MH - Finland MH - Focus Groups MH - Humans MH - Mass Screening/og [Organization & Administration] MH - *Models, Nursing MH - Needs Assessment MH - Nurse's Role/px [Psychology] MH - Nurse-Patient Relations MH - *Nursing Assessment/og [Organization & Administration] MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Nursing Process/og [Organization & Administration] MH - Nursing Staff/og [Organization & Administration] MH - Nursing Staff/px [Psychology] MH - Qualitative Research MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Surveys and Questionnaires/st [Standards] AB - 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. AB - 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. AB - METHODS: Four focus group interviews involving a total of 24 nurses and partners were implemented. Interview data were analyzed with qualitative content analysis. AB - 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. AB - 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. IS - 0737-1209 IL - 0737-1209 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May-Jun DC - 20070425 YR - 2007 ED - 20070629 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17456127 <561. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17526329 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kudless MW AU - White JH FA - Kudless, Mary W FA - White, Jane H IN - Kudless,Mary W. Fairfax-Falls Church Community Services Board, Fairfax, Virginia 22035, USA. marykudless@comcast.net TI - Competencies and roles of community mental health nurses. SO - Journal of Psychosocial Nursing & Mental Health Services. 45(5):36-44, 2007 May. AS - J Psychosoc Nurs Ment Health Serv. 45(5):36-44, 2007 May. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - *Clinical Competence MH - Community Health Nursing/ed [Education] MH - *Community Health Nursing/og [Organization & Administration] MH - Female MH - Health Services Needs and Demand MH - Humans MH - Job Description MH - Male MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/og [Organization & Administration] MH - Nurse Administrators/px [Psychology] MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nursing Administration Research MH - Nursing Evaluation Research MH - Organizational Innovation MH - Patient Care Team/og [Organization & Administration] MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Southeastern United States MH - Surveys and Questionnaires MH - Time and Motion Studies AB - Community mental health nurses practice in a range of behavioral health care settings, including community mental health centers, detoxification centers, group homes for individuals with mental retardation or serious mental illnesses, and residential substance abuse treatment programs. As the population for whom they care grows and ages and with an increase in comorbid conditions, different skills may be needed or different roles may require emphasis. This can present challenges related to role competencies and nursing preparation and to the allocation of their time. The overall purposes of this project were to compare the competencies of basic and advanced practice nurses with accepted psychiatric-mental health nursing competencies and to assess the nurses' roles and division of work time among various roles. The findings support the need for changes related to nursing roles and job descriptions. Specific recommendations have been implemented based on the findings. IS - 0279-3695 IL - 0279-3695 PT - Evaluation Studies PT - Journal Article LG - English DP - 2007 May DC - 20070528 YR - 2007 ED - 20070621 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17526329 <562. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17214752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clancy C AU - Oyefeso A AU - Ghodse H FA - Clancy, Carmel FA - Oyefeso, Adenekan FA - Ghodse, Hamid IN - Clancy,Carmel. School of Health and Social Sciences, Middlesex University, London, UK. c.clancy@mdx.ac.uk TI - Role development and career stages in addiction nursing: an exploratory study. SO - Journal of Advanced Nursing. 57(2):161-71, 2007 Jan. AS - J Adv Nurs. 57(2):161-71, 2007 Jan. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Focus Groups MH - Humans MH - Male MH - Nurse's Role/px [Psychology] MH - *Nurse's Role MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/og [Organization & Administration] MH - Personnel Staffing and Scheduling MH - *Staff Development/og [Organization & Administration] MH - Staff Development/st [Standards] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 2007 Jan DC - 20070111 YR - 2007 ED - 20070621 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17214752 <563. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17120179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colon-Emeric C AU - Lyles KW AU - Levine DA AU - House P AU - Schenck A AU - Gorospe J AU - Fermazin M AU - Oliver K AU - Alison J AU - Weisman N AU - Xie A AU - Curtis JR AU - Saag K FA - Colon-Emeric, C FA - Lyles, K W FA - Levine, D A FA - House, P FA - Schenck, A FA - Gorospe, J FA - Fermazin, M FA - Oliver, K FA - Alison, J FA - Weisman, N FA - Xie, A FA - Curtis, J R FA - Saag, K IN - Colon-Emeric,C. Duke University Center for Aging and Human Development, and the Durham VA GRECC, Erwin Rd, Durham, NC 27710, USA. colon001@mc.duke.edu TI - Prevalence and predictors of osteoporosis treatment in nursing home residents with known osteoporosis or recent fracture. SO - Osteoporosis International. 18(4):553-9, 2007 Apr. AS - Osteoporos Int. 18(4):553-9, 2007 Apr. NJ - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9100105, be0 OI - Source: NLM. NIHMS19340 OI - Source: NLM. PMC1839837 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - Arizona/ep [Epidemiology] MH - Bone Density Conservation Agents/tu [Therapeutic Use] MH - Calcitonin/tu [Therapeutic Use] MH - Calcium, Dietary/ad [Administration & Dosage] MH - California/ep [Epidemiology] MH - Diphosphonates/tu [Therapeutic Use] MH - Female MH - *Fractures, Bone/ep [Epidemiology] MH - Fractures, Bone/pc [Prevention & Control] MH - Hip MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes MH - Osteoporosis/dt [Drug Therapy] MH - Osteoporosis/ep [Epidemiology] MH - *Osteoporosis/th [Therapy] MH - Osteoporosis, Postmenopausal/dt [Drug Therapy] MH - Osteoporosis, Postmenopausal/th [Therapy] MH - Prevalence MH - Protective Devices MH - Quality of Health Care MH - Treatment Outcome MH - Vitamin D/ad [Administration & Dosage] AB - 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. AB - INTRODUCTION: We determined the prevalence and predictors of osteoporosis evaluation and treatment in high-risk nursing home residents. AB - 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. AB - 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. AB - CONCLUSIONS: There is substantial variation in the quality of osteoporosis treatment across nursing homes. Interventions that improve osteoporosis quality of care are needed. RN - 0 (Bone Density Conservation Agents) RN - 0 (Calcium, Dietary) RN - 0 (Diphosphonates) RN - 1406-16-2 (Vitamin D) RN - 9007-12-9 (Calcitonin) IS - 0937-941X IL - 0937-941X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - K23 AG024787 (United States NIA NIH HHS) NO - U18 HS010389 (United States AHRQ HHS) NO - 500-02-AZ0020 (United States PHS HHS) LG - English EP - 2006Nov21 DP - 2007 Apr DC - 200732 YR - 2007 ED - 20070618 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17120179 <564. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17120179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colon-Emeric C AU - Lyles KW AU - Levine DA AU - House P AU - Schenck A AU - Gorospe J AU - Fermazin M AU - Oliver K AU - Alison J AU - Weisman N AU - Xie A AU - Curtis JR AU - Saag K FA - Colon-Emeric, C FA - Lyles, K W FA - Levine, D A FA - House, P FA - Schenck, A FA - Gorospe, J FA - Fermazin, M FA - Oliver, K FA - Alison, J FA - Weisman, N FA - Xie, A FA - Curtis, J R FA - Saag, K IN - Colon-Emeric,C. Duke University Center for Aging and Human Development, and the Durham VA GRECC, Erwin Rd, Durham, NC 27710, USA. colon001@mc.duke.edu TI - Prevalence and predictors of osteoporosis treatment in nursing home residents with known osteoporosis or recent fracture. SO - Osteoporosis International. 18(4):553-9, 2007 Apr. AS - Osteoporos Int. 18(4):553-9, 2007 Apr. NJ - Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9100105, be0 OI - Source: NLM. NIHMS19340 OI - Source: NLM. PMC1839837 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - Arizona/ep [Epidemiology] MH - Bone Density Conservation Agents/tu [Therapeutic Use] MH - Calcitonin/tu [Therapeutic Use] MH - Calcium, Dietary/ad [Administration & Dosage] MH - California/ep [Epidemiology] MH - Diphosphonates/tu [Therapeutic Use] MH - Female MH - *Fractures, Bone/ep [Epidemiology] MH - Fractures, Bone/pc [Prevention & Control] MH - Hip MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes MH - Osteoporosis/dt [Drug Therapy] MH - Osteoporosis/ep [Epidemiology] MH - *Osteoporosis/th [Therapy] MH - Osteoporosis, Postmenopausal/dt [Drug Therapy] MH - Osteoporosis, Postmenopausal/th [Therapy] MH - Prevalence MH - Protective Devices MH - Quality of Health Care MH - Treatment Outcome MH - Vitamin D/ad [Administration & Dosage] AB - 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. AB - INTRODUCTION: We determined the prevalence and predictors of osteoporosis evaluation and treatment in high-risk nursing home residents. AB - 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. AB - 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. AB - CONCLUSIONS: There is substantial variation in the quality of osteoporosis treatment across nursing homes. Interventions that improve osteoporosis quality of care are needed. RN - 0 (Bone Density Conservation Agents) RN - 0 (Calcium, Dietary) RN - 0 (Diphosphonates) RN - 1406-16-2 (Vitamin D) RN - 9007-12-9 (Calcitonin) IS - 0937-941X IL - 0937-941X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 500-02-AZ0020 (United States PHS HHS) NO - K23 AG024787 (United States NIA NIH HHS) NO - K23 AG024787 (United States NIA NIH HHS) LG - English EP - 20061121 DP - 2007 Apr DC - 20070302 YR - 2007 ED - 20070618 RD - 20140908 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17120179 <565. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17430454 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kukulu K AU - Ergun G FA - Kukulu, K FA - Ergun, G IN - Kukulu,K. Akdeniz University, Antalya, Turkey. kkamile@akdeniz.edu.tr TI - Stigmatization by nurses against schizophrenia in Turkey: a questionnaire survey. SO - Journal of Psychiatric & Mental Health Nursing. 14(3):302-9, 2007 May. AS - J Psychiatr Ment Health Nurs. 14(3):302-9, 2007 May. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Attitude to Health MH - Causality MH - Health Knowledge, Attitudes, Practice MH - Hospitals, Psychiatric MH - Hospitals, University MH - Humans MH - Middle Aged MH - Negativism MH - Nurse's Role MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Advocacy MH - Prognosis MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Schizophrenia/et [Etiology] MH - Schizophrenia/th [Therapy] MH - *Schizophrenia MH - Schizophrenic Psychology MH - Social Distance MH - Social Perception MH - Social Problems MH - *Stereotyping MH - Surveys and Questionnaires MH - Turkey AB - Individuals who have been diagnosed with schizophrenia face discrimination, exclusion and stigmatization by society. Nurses who work on psychiatric wards frequently face individuals diagnosed with schizophrenia throughout their careers. This study was conducted for the purpose of evaluating nurses' opinions about individuals who had been diagnosed with schizophrenia. A total of 543 nurses working on the psychiatric wards of 27 university hospitals (164), six training and research hospitals (21) and six psychiatric hospitals (358) in Turkey completed the questionnaire. The majority of the nurses stated that schizophrenia is caused by social problems, that they would be able to work with someone who has schizophrenia, that they would not be able to marry someone with schizophrenia, that they would not be bothered by having a neighbour with schizophrenia, that schizophrenia cannot be completely cured, that it can be improved with psychotherapy, that schizophrenic patients are aggressive and that medications used to treat schizophrenia have serious side effects and are addictive. It is important for nurses to avoid stigmatizing patients in order to promote a therapeutic environment--particularly on the wards--and also to improve individual awareness and perceptions in society. IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 May DC - 20070413 YR - 2007 ED - 20070612 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17430454 <566. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16553492 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Tobias DE FA - Tobias, Dianne E IN - Tobias,Dianne E. Tobias Consulting Services, Davis, CA, USA. TI - Medication-related problems in nursing homes. Commentary: Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. SO - Consultant Pharmacist. 19(7):629-30, 2004 Jul. AS - Consult Pharm. 19(7):629-30, 2004 Jul. NJ - The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9013983 CP - United States IS - 0888-5109 IL - 0888-5109 PT - Journal Article LG - English DP - 2004 Jul DC - 20060323 YR - 2004 ED - 20070612 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=16553492 <567. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16831495 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Oyefeso A FA - Rassool, G Hussein FA - Oyefeso, Adenekan IN - Rassool,G Hussein. Departamento de Enfermagem Psiquiatrica e Ciencias Humanas da, Universidade de Sao Paulo (EERP-USP), Sao Paulo, Brazil. grassool@sgul.ac.uk TI - Predictors of course satisfaction and perceived course impact of addiction nurses undertaking a postgraduate diploma in addictive behaviour. SO - Nurse Education Today. 27(3):256-65, 2007 Apr. AS - Nurse Educ Today. 27(3):256-65, 2007 Apr. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - *Attitude of Health Personnel MH - *Behavior, Addictive/nu [Nursing] MH - Clinical Competence MH - Cross-Sectional Studies MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Linear Models MH - Male MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - *Nurse Clinicians MH - Nursing Education Research MH - Nursing Methodology Research MH - Outcome Assessment (Health Care) MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - Self-Assessment MH - Surveys and Questionnaires AB - 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. IS - 0260-6917 IL - 0260-6917 PT - Evaluation Studies PT - Journal Article LG - English EP - 20060710 DP - 2007 Apr DC - 20070305 YR - 2007 ED - 20070525 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16831495 <568. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17410996 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bartlett R AU - Holditch-Davis D AU - Belyea M FA - Bartlett, Robin FA - Holditch-Davis, Diane FA - Belyea, Michael IN - Bartlett,Robin. School of Nursing, University of North Carolina-Greensboro, Greensboro, NC, USA. TI - Problem behaviors in adolescents. [Review] [38 refs] SO - Pediatric Nursing. 33(1):13-8, 2007 Jan-Feb. AS - Pediatr Nurs. 33(1):13-8, 2007 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Absenteeism MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Adolescent Behavior MH - Deception MH - Humans MH - *Nurse's Role MH - Nursing Assessment MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Patient Education as Topic MH - *Pediatric Nursing/og [Organization & Administration] MH - Psychology, Adolescent MH - Risk Factors MH - Risk-Taking MH - Runaway Behavior/pc [Prevention & Control] MH - Runaway Behavior/px [Psychology] MH - Runaway Behavior/sn [Statistics & Numerical Data] MH - School Nursing/og [Organization & Administration] MH - Sexual Behavior/px [Psychology] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Social Behavior Disorders/di [Diagnosis] MH - Social Behavior Disorders/ep [Epidemiology] MH - *Social Behavior Disorders/pc [Prevention & Control] MH - Social Behavior Disorders/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] MH - Violence/pc [Prevention & Control] MH - Violence/px [Psychology] MH - Violence/sn [Statistics & Numerical Data] AB - 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. [References: 38] IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review NO - T32 NR07091 (United States NINR NIH HHS) LG - English DP - 2007 Jan-Feb DC - 20070406 YR - 2007 ED - 20070517 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17410996 <569. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17302851 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green JH FA - Green, Jennifer H IN - Green,Jennifer H. Department of Psychology, Miami University, Oxford, OH 45056, USA. greenjh@muohio.edu TI - Fetal Alcohol Spectrum Disorders: understanding the effects of prenatal alcohol exposure and supporting students. [Review] [35 refs] SO - Journal of School Health. 77(3):103-8, 2007 Mar. AS - J Sch Health. 77(3):103-8, 2007 Mar. NJ - The Journal of school health PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 SB - Index Medicus SB - Nursing Journal CP - United States MH - Abnormalities, Drug-Induced/px [Psychology] MH - Abnormalities, Drug-Induced/rh [Rehabilitation] MH - Child MH - *Child Behavior Disorders/ci [Chemically Induced] MH - Child Behavior Disorders/px [Psychology] MH - Child Behavior Disorders/rh [Rehabilitation] MH - Early Diagnosis MH - Early Intervention (Education) MH - Education, Special MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/pp [Physiopathology] MH - Fetal Alcohol Spectrum Disorders/px [Psychology] MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - *Learning Disorders/ci [Chemically Induced] MH - Learning Disorders/px [Psychology] MH - Learning Disorders/rh [Rehabilitation] MH - Pregnancy MH - *School Health Services AB - 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. AB - METHODS: A comprehensive review of FAS and FASD literature as it relates to school functioning was conducted. AB - 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. AB - 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. [References: 35] IS - 0022-4391 IL - 0022-4391 PT - Journal Article PT - Review LG - English DP - 2007 Mar DC - 20070216 YR - 2007 ED - 20070516 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17302851 <570. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15887987 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Barnes M AU - Walsh A AU - Courtney M AU - Dowd T FA - Barnes, M FA - Walsh, A FA - Courtney, M FA - Dowd, T IN - Barnes,M. Queensland University of Technology, Brisbane, Queensland, Australia. m.barnes@qut.edu.au TI - School based youth health nurses' role in assisting young people access health services in provincial, rural and remote areas of Queensland, Australia. SO - Rural & Remote Health. 4(4):279, 2004 Oct-Dec. AS - RURAL REMOTE HEALTH. 4(4):279, 2004 Oct-Dec. NJ - Rural and remote health PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101174860 CP - Australia AB - INTRODUCTION: People living in rural and remote areas have poorer health and more limited access to health services than those in urban areas. Adolescence, generally a period of optimum health, is fraught with risky health behaviours, increasing morbidity and mortality. Increasingly, mental health problems including depression, alcohol and drug use, suicide, self-harm, sexual health, inappropriate nutrition and physical activity are key areas of adolescent health concern in Queensland, Australia. To address the health and well being needs of young people the School Based Youth Health Nurse (SBYHN) Program was introduced into State high schools in Queensland in 1998. SBYHN responsibilities include individual consultations and health promotion within the high school environment. This study was undertaken to explore the referral role of SBYHN in provincial, rural and remote Queensland and to ascertain the availability of referral services. AB - METHOD: A self-report survey was posted to all SBYHN in Queensland. Forty-four (62%) nurses participated; 27 from provincial, 11 from rural and 6 from remote areas. AB - RESULTS: SBYHN consult with young people in provincial, rural and remote State high schools in the areas of psychological concerns, drug and alcohol concerns and/or abuse, family conflict and/or abuse, sexual and reproductive health, social and isolation concerns and nutritional advice. However, the frequency with which SBYHN reported themselves as an appropriate source for young people to seek assistance from varied from over 90% for areas such as sexual and nutritional advice to approximately 30% for areas such as physical abuse and drug and alcohol abuse. When required by the SBYHN, referral services were locally accessible to young people less than 50% of the time. Access to some referral services was reduced because some young people do not want parental involvement in their health and the service requires parental consent. When referral services were unavailable SBYHN used phone counselling, available generalists, supported and monitored the young people until a service was available, or they accepted this as an aspect of residing outside the metropolitan areas and did the best they could. Sometimes, when a young person was reluctant to attend a recommended service or there was a long wait for an appointment, SBYHN provided ongoing support while endeavouring to persuade attendance at the recommended service. Situations like these, experienced by at least half those studied, place SBYHN in the precarious position of practicing beyond their scope of practice. AB - CONCLUSIONS: Health problems during adolescence can be reduced by ensuring assistance and support are available for young people when and if they require it. Thorough confidential individual consultations are provided by SBYHN and young people are availing themselves of this service. SBYHN are practicing at an advanced level and need to be recognised as such. Additionally, the availability of services in rural and remote regions needs consideration. As rural youth are more vulnerable to a number of health concerns, it is imperative that services are available for them. The issue of parental consent remains a barrier to young people seeking health services and it may be timely for community debate on this issue. ES - 1445-6354 IL - 1445-6354 PT - Journal Article LG - English EP - 20041201 DP - 2004 Oct-Dec DC - 20050512 YR - 2004 ED - 20070515 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=15887987 <571. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17352785 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meadus RJ FA - Meadus, R J IN - Meadus,R J. School of Nursing, Memorial University, St. John's, NL, Canada. meadusr@mun.ca TI - Adolescents coping with mood disorder: a grounded theory study. SO - Journal of Psychiatric & Mental Health Nursing. 14(2):209-17, 2007 Apr. AS - J Psychiatr Ment Health Nurs. 14(2):209-17, 2007 Apr. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - *Adaptation, Psychological MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - Cost of Illness MH - Female MH - Health Services Needs and Demand MH - Humans MH - Interpersonal Relations MH - Life Change Events MH - Male MH - Mood Disorders/pc [Prevention & Control] MH - Mood Disorders/px [Psychology] MH - *Mood Disorders MH - Nursing Methodology Research MH - Psychiatric Nursing MH - Psychological Theory MH - *Psychology, Adolescent MH - Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - Sex Factors MH - Social Support MH - Socialization MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/px [Psychology] MH - Suicide/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 Apr DC - 20070313 YR - 2007 ED - 20070511 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17352785 <572. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17393971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eisenhauer LA AU - Hurley AC AU - Dolan N FA - Eisenhauer, Laurel A FA - Hurley, Ann C FA - Dolan, Nancy IN - Eisenhauer,Laurel A. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA 02467 , USA. TI - Nurses' reported thinking during medication administration. SO - Journal of Nursing Scholarship. 39(1):82-7, 2007. AS - J Nurs Scholarsh. 39(1):82-7, 2007. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Communication MH - *Drug Therapy/nu [Nursing] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hospitals, Teaching MH - Humans MH - Male MH - Medication Errors/nu [Nursing] MH - Medication Errors/pc [Prevention & Control] MH - Medication Systems, Hospital/og [Organization & Administration] MH - Middle Aged MH - New England MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Methodology Research MH - *Nursing Process/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Education as Topic MH - Point-of-Care Systems/og [Organization & Administration] MH - Problem Solving MH - Safety Management MH - Surveys and Questionnaires MH - *Thinking AB - PURPOSE: To document nurses' reported thinking processes during medication administration before and after implementation of point-of-care technology. AB - DESIGN AND METHODS: Semistructured interviews and real-time tape recordings were used to document the thinking processes of 40 nurses practicing in inpatient care units in a large tertiary care teaching hospital in the northeastern US. AB - FINDINGS: Content analysis resulted in identification of 10 descriptive categories of nurses' thinking: communication, dose-time, checking, assessment, evaluation, teaching, side effects, work arounds, anticipating problem solving, and drug administration. Situations requiring judgment in dosage, timing, or selection of specific medications (e.g., pain management, titration of antihypertensives) provided the most explicit data about nurses' use of critical thinking and clinical judgment. A key element was nurses' constant professional vigilance to ensure that patients received their appropriate medications. AB - CONCLUSIONS: Nurses' thinking processes extended beyond rules and procedures and were based on patient data and interdisciplinary professional knowledge to provide safe and effective care. Identification of thinking processes can help nurses to explain the professional expertise inherent in medication administration beyond the technical application of the "5 rights." IS - 1527-6546 IL - 1527-6546 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 DC - 2007330 YR - 2007 ED - 20070504 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17393971 <573. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17393971 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eisenhauer LA AU - Hurley AC AU - Dolan N FA - Eisenhauer, Laurel A FA - Hurley, Ann C FA - Dolan, Nancy IN - Eisenhauer,Laurel A. William F. Connell School of Nursing, Boston College, 140 Commonwealth Avenue, Chestnut Hill, MA 02467 , USA. TI - Nurses' reported thinking during medication administration. SO - Journal of Nursing Scholarship. 39(1):82-7, 2007. AS - J Nurs Scholarsh. 39(1):82-7, 2007. NJ - Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau PI - Journal available in: Print PI - Citation processed from: Print JC - dod, 100911591 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Communication MH - *Drug Therapy/nu [Nursing] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hospitals, Teaching MH - Humans MH - Male MH - Medication Errors/nu [Nursing] MH - Medication Errors/pc [Prevention & Control] MH - Medication Systems, Hospital/og [Organization & Administration] MH - Middle Aged MH - New England MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Methodology Research MH - *Nursing Process/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Education as Topic MH - Point-of-Care Systems/og [Organization & Administration] MH - Problem Solving MH - Safety Management MH - Surveys and Questionnaires MH - *Thinking AB - PURPOSE: To document nurses' reported thinking processes during medication administration before and after implementation of point-of-care technology. AB - DESIGN AND METHODS: Semistructured interviews and real-time tape recordings were used to document the thinking processes of 40 nurses practicing in inpatient care units in a large tertiary care teaching hospital in the northeastern US. AB - FINDINGS: Content analysis resulted in identification of 10 descriptive categories of nurses' thinking: communication, dose-time, checking, assessment, evaluation, teaching, side effects, work arounds, anticipating problem solving, and drug administration. Situations requiring judgment in dosage, timing, or selection of specific medications (e.g., pain management, titration of antihypertensives) provided the most explicit data about nurses' use of critical thinking and clinical judgment. A key element was nurses' constant professional vigilance to ensure that patients received their appropriate medications. AB - CONCLUSIONS: Nurses' thinking processes extended beyond rules and procedures and were based on patient data and interdisciplinary professional knowledge to provide safe and effective care. Identification of thinking processes can help nurses to explain the professional expertise inherent in medication administration beyond the technical application of the "5 rights." IS - 1527-6546 IL - 1527-6546 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2007 DC - 20070330 YR - 2007 ED - 20070504 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17393971 <574. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17313202 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hosia-Randell H AU - Suominen M AU - Muurinen S AU - Pitkala KH FA - Hosia-Randell, Helka FA - Suominen, Merja FA - Muurinen, Seija FA - Pitkala, Kaisu H IN - Hosia-Randell,Helka. Department of Public Health, Faculty of Medicine, University of Helsinki, Helsinki, Finland. TI - Use of laxatives among older nursing home residents in Helsinki, Finland. SO - Drugs & Aging. 24(2):147-54, 2007. AS - Drugs Aging. 24(2):147-54, 2007. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Print JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - Aged, 80 and over MH - *Cathartics/tu [Therapeutic Use] MH - Constipation/ci [Chemically Induced] MH - *Constipation/dt [Drug Therapy] MH - Constipation/et [Etiology] MH - Cross-Sectional Studies MH - Feeding Behavior MH - Female MH - Finland MH - *Frail Elderly MH - Humans MH - Logistic Models MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Cathartics) IS - 1170-229X IL - 1170-229X PT - Journal Article LG - English DP - 2007 DC - 20070222 YR - 2007 ED - 20070501 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17313202 <575. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17198753 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kerrison SA AU - Chapman R FA - Kerrison, Shirilee A FA - Chapman, Rose IN - Kerrison,Shirilee A. Sir Charles Gairdner Hospital, Hospital Ave, Nedlands WA 6009, Australia. shirilee.kerrison@health.wa.gov.au TI - What general emergency nurses want to know about mental health patients presenting to their emergency department. SO - Accident & Emergency Nursing. 15(1):48-55, 2007 Jan. AS - Accid Emerg Nurs. 15(1):48-55, 2007 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Communication Barriers MH - *Emergency Nursing/ed [Education] MH - Emergency Service, Hospital MH - Emergency Services, Psychiatric MH - Focus Groups MH - Hospitals, Teaching MH - Humans MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/px [Psychology] MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Education Research MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Nursing Theory MH - Occupational Health MH - Patient-Centered Care MH - *Psychiatric Nursing/ed [Education] MH - Qualitative Research MH - Safety Management MH - Self Efficacy MH - Surveys and Questionnaires MH - Triage MH - Western Australia AB - This paper presents the findings of a qualitative project conducted to investigate the education and training requirements that non-mental health trained emergency nurses need to enable them to effectively care for psychiatric patients presenting to a West Australian emergency department. Non-mental health trained nurses are ill-equipped in their psychiatric knowledge, assessment and communication skills to provide best possible care to the one in ten patients presenting to the emergency department with a complex mental health issue. The area of assessment and management of mental health patients in the emergency department is a complex one and staff are required to assess, triage and manage these patients appropriately. Furthermore, with aggression and violence increasing, emergency department nurses are concerned about their safety in the workplace. Focus groups with emergency nurses and semi-structured interviews with subject matter experts were conducted at one West Australian teaching hospital. The findings of the project demonstrated that these nurses considered that customer focus, workplace aggression and violence, psychiatric theory, mental health assessment and chemical dependence as key learning areas. These findings will form a platform for further education and training for ED staff. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English EP - 20070102 DP - 2007 Jan DC - 20070205 YR - 2007 ED - 20070420 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17198753 <576. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17113773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bendtsen P AU - Holmqvist M AU - Johansson K FA - Bendtsen, Preben FA - Holmqvist, Marika FA - Johansson, Kjell IN - Bendtsen,Preben. Department of Health and Society, Division of Social Medicine and Public Health Science, Linkoping University, S-581 83 Linkoping, Sweden. prebe@ihs.liu.se TI - Implementation of computerized alcohol screening and advice in an emergency department--a nursing staff perspective. SO - Accident & Emergency Nursing. 15(1):3-9, 2007 Jan. AS - Accid Emerg Nurs. 15(1):3-9, 2007 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - Adolescent MH - Adult MH - Aged MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Attitude to Health MH - Clinical Competence/st [Standards] MH - *Computer-Assisted Instruction/mt [Methods] MH - *Diagnosis, Computer-Assisted/mt [Methods] MH - Diagnosis, Computer-Assisted/px [Psychology] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital MH - Female MH - Hospitals, University MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - Mass Screening/px [Psychology] MH - Middle Aged MH - Nursing Assessment MH - Nursing Evaluation Research MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - *Nursing Staff, Hospital/px [Psychology] MH - *Patient Education as Topic/mt [Methods] MH - Self Efficacy MH - Surveys and Questionnaires MH - Sweden MH - Workload AB - 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. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English EP - 20061120 DP - 2007 Jan DC - 20070205 YR - 2007 ED - 20070420 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17113773 <577. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17214651 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lashley M FA - Lashley, Mary IN - Lashley,Mary. Department of Nursing, Towson University, Towson, Maryland, USA. mlashley@towson.edu TI - A targeted testing program for tuberculosis control and prevention among Baltimore city's homeless population. SO - Public Health Nursing. 24(1):34-9, 2007 Jan-Feb. AS - Public Health Nurs. 24(1):34-9, 2007 Jan-Feb. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Baltimore MH - Health Services Accessibility MH - *Homeless Persons MH - Humans MH - *Mass Screening/og [Organization & Administration] MH - Program Development MH - Public Health Nursing MH - *Tuberculosis/pc [Prevention & Control] AB - OBJECTIVE: To identify cases of latent tuberculosis infection (LTBI) and improve access to TB treatment among the inner-city homeless. AB - DESIGN: This is an intervention study describing the impact of a public health program on TB prevention and control. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0737-1209 IL - 0737-1209 PT - Evaluation Studies PT - Journal Article LG - English DP - 2007 Jan-Feb DC - 20070111 YR - 2007 ED - 20070416 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17214651 <578. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16713030 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Milligan FJ FA - Milligan, Frank J IN - Milligan,Frank J. Faculty of Health Sciences, University of Luton, Britannia Road, Bedford MK42 9DJ, United Kingdom. frank.milligan@luton.ac.uk TI - Establishing a culture for patient safety - the role of education. [Review] [29 refs][Erratum appears in Nurse Educ Today. 2015 May;35(5):727] SO - Nurse Education Today. 27(2):95-102, 2007 Feb. AS - Nurse Educ Today. 27(2):95-102, 2007 Feb. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Attitude of Health Personnel MH - Communication MH - Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Great Britain MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Human Engineering MH - Humans MH - Interprofessional Relations MH - Medical Errors/nu [Nursing] MH - *Medical Errors/pc [Prevention & Control] MH - Medical Errors/px [Psychology] MH - Nursing, Supervisory/og [Organization & Administration] MH - Organizational Culture MH - Outcome and Process Assessment (Health Care) MH - *Patient-Centered Care/og [Organization & Administration] MH - *Safety Management/og [Organization & Administration] MH - State Medicine/og [Organization & Administration] MH - Students, Nursing/px [Psychology] MH - Total Quality Management AB - 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). [References: 29] IS - 0260-6917 IL - 0260-6917 PT - Journal Article PT - Review LG - English EP - 20060519 DP - 2007 Feb DC - 20070129 YR - 2007 ED - 20070413 RD - 20150903 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16713030 <579. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17339668 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lear JG FA - Lear, Julia Graham IN - Lear,Julia Graham. Department of Prevention and Community Health, School of Public Health and Health Services, George Washington University, Washington, DC, USA. jgl@gwu.edu TI - Health at school: a hidden health care system emerges from the shadows. [Review] [23 refs] SO - Health Affairs. 26(2):409-19, 2007 Mar-Apr. AS - Health Aff (Millwood). 26(2):409-19, 2007 Mar-Apr. NJ - Health affairs (Project Hope) PI - Journal available in: Print PI - Citation processed from: Internet JC - 8303128, gag SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Health Services/og [Organization & Administration] MH - Child MH - *Child Welfare MH - Child, Preschool MH - *Community Health Services/og [Organization & Administration] MH - Cost-Benefit Analysis MH - Delivery of Health Care/st [Standards] MH - Delivery of Health Care/td [Trends] MH - Female MH - Forecasting MH - Health Education/og [Organization & Administration] MH - Health Policy MH - Humans MH - Male MH - Needs Assessment MH - Policy Making MH - *School Health Services/st [Standards] MH - School Health Services/td [Trends] MH - United States AB - 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. [References: 23] ES - 1544-5208 IL - 0278-2715 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2007 Mar-Apr DC - 20070306 YR - 2007 ED - 20070330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17339668 <580. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17210496 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jervis LL AU - Shore J AU - Hutt E AU - Manson SM FA - Jervis, Lori L FA - Shore, Jay FA - Hutt, Evelyn FA - Manson, Spero M IN - Jervis,Lori L. American Indian and Alaska Native Programs, Department of Psychiatry, University of Colorado at Denver and Health Sciences Center, Aurora, CO 80045, USA. lori.jervis@uchsc.edu TI - Suboptimal pharmacotherapy in a tribal nursing home. SO - Journal of the American Medical Directors Association. 8(1):1-7, 2007 Jan. AS - J AM MED DIR ASSOC. 8(1):1-7, 2007 Jan. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Attitude of Health Personnel MH - Drug Interactions MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Utilization Review MH - Female MH - Geriatric Assessment MH - Health Services Needs and Demand MH - Health Services Research MH - Humans MH - *Indians, North American MH - Male MH - Medical Audit MH - Medical History Taking MH - Middle Aged MH - Nursing Homes/sn [Statistics & Numerical Data] MH - *Nursing Homes MH - *Polypharmacy MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Qualitative Research MH - *Quality of Health Care/sn [Statistics & Numerical Data] MH - Rural Health Services MH - Surveys and Questionnaires MH - United States AB - OBJECTIVE: Suboptimal medication use among nursing home (NH) residents is common. NH residents tend to be older, suffer from multiple conditions, and take numerous medications, increasing their risk of serious complications. This article examines pharmacotherapy in a rural, tribally owned NH. AB - DESIGN: Medical records were reviewed and case studies were conducted by a team composed of a medical anthropologist, psychiatrist, and geriatrician. AB - SETTING: A rural, American Indian-owned NH in the US northern plains. AB - PARTICIPANTS: 40 American Indian and 5 EuroAmerican NH residents. AB - MEASUREMENTS: Minimum Data Set assessments, admission records, care plans, social histories, prescription lists, and behavioral consultation reports. AB - RESULTS: Potential underuse affected almost 75% of residents; undertreatment of depressive and psychotic/agitated symptoms was especially common. Potential inappropriate use, especially of analgesics, psychotropics, and antihistamines, affected 30% of residents. A smaller, but still substantial, number of residents (21%) experienced potential overuse, much of which involved anticonvulsants, antibiotics, cardiovascular, and psychotropic agents. The prescription of 10 or more medications was significantly associated with potential drug interactions, as well as underuse, inappropriate medication use, and overuse. AB - CONCLUSIONS: Psychotropic medications were the most potentially problematic medication category, and were strongly implicated in potential underuse, inappropriate use, and overuse. Fewer medications; the discontinuation of drugs known to be potentially problematic for NH residents; modification of psychotropic medication regimens; use of cognitive-enhancing medications where appropriate; implementation of an electronic medical record system; and greater use of nonpharmacological behavioral interventions may have substantially improved residents' treatment regimens. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. NO - K01 AG 20232 (United States NIA NIH HHS) LG - English EP - 20060605 DP - 2007 Jan DC - 20070109 YR - 2007 ED - 20070330 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17210496 <581. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17264693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arora S AU - Geppert CM AU - Kalishman S AU - Dion D AU - Pullara F AU - Bjeletich B AU - Simpson G AU - Alverson DC AU - Moore LB AU - Kuhl D AU - Scaletti JV FA - Arora, Sanjeev FA - Geppert, Cynthia M A FA - Kalishman, Summers FA - Dion, Denise FA - Pullara, Frank FA - Bjeletich, Barbara FA - Simpson, Gary FA - Alverson, Dale C FA - Moore, Lori B FA - Kuhl, Dave FA - Scaletti, Joseph V IN - Arora,Sanjeev. Department of Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131-0001, USA. SArora@salud.unm.edu TI - Academic health center management of chronic diseases through knowledge networks: Project ECHO. SO - Academic Medicine. 82(2):154-60, 2007 Feb. AS - Acad Med. 82(2):154-60, 2007 Feb. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 OI - Source: NLM. NIHMS461626 OI - Source: NLM. PMC3855463 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - *Computer Communication Networks/og [Organization & Administration] MH - *Hepatitis C, Chronic/th [Therapy] MH - Humans MH - New Mexico MH - Program Development MH - *Remote Consultation/og [Organization & Administration] AB - 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. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - M01 RR000997 (United States NCRR NIH HHS) NO - UC1 HS015135 (United States AHRQ HHS) NO - 1 UC1 HS015135 (United States AHRQ HHS) LG - English DP - 2007 Feb DC - 2007131 YR - 2007 ED - 20070316 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17264693 <582. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17264693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arora S AU - Geppert CM AU - Kalishman S AU - Dion D AU - Pullara F AU - Bjeletich B AU - Simpson G AU - Alverson DC AU - Moore LB AU - Kuhl D AU - Scaletti JV FA - Arora, Sanjeev FA - Geppert, Cynthia M A FA - Kalishman, Summers FA - Dion, Denise FA - Pullara, Frank FA - Bjeletich, Barbara FA - Simpson, Gary FA - Alverson, Dale C FA - Moore, Lori B FA - Kuhl, Dave FA - Scaletti, Joseph V IN - Arora,Sanjeev. Department of Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131-0001, USA. SArora@salud.unm.edu TI - Academic health center management of chronic diseases through knowledge networks: Project ECHO. SO - Academic Medicine. 82(2):154-60, 2007 Feb. AS - Acad Med. 82(2):154-60, 2007 Feb. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 OI - Source: NLM. NIHMS461626 OI - Source: NLM. PMC3855463 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - *Computer Communication Networks/og [Organization & Administration] MH - *Hepatitis C, Chronic/th [Therapy] MH - Humans MH - New Mexico MH - Program Development MH - *Remote Consultation/og [Organization & Administration] AB - 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. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 UC1 HS015135 (United States AHRQ HHS) NO - M01 RR000997 (United States NCRR NIH HHS) LG - English DP - 2007 Feb DC - 20070131 YR - 2007 ED - 20070316 RD - 20140907 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17264693 <583. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17269846 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - LaFleur J AU - McBeth C AU - Gunning K AU - Oderda L AU - Steinvoort C AU - Oderda GM FA - LaFleur, Joanne FA - McBeth, Carrieann FA - Gunning, Karen FA - Oderda, Lynda FA - Steinvoort, Carin FA - Oderda, Gary M IN - LaFleur,Joanne. Drug Regimen Review Center, Department of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA. joanne.lafleur@pharm.utah.edu TI - Prevalence of drug-related problems and cost-savings opportunities in medicaid high utilizers identified by a pharmacist-run drug regimen review center. SO - Journal of Managed Care Pharmacy. 12(8):677-85, 2006 Oct. AS - J Manage Care Pharm. 12(8):677-85, 2006 Oct. NJ - Journal of managed care pharmacy : JMCP PI - Journal available in: Print PI - Citation processed from: Print JC - 9605854 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Cost Savings/sn [Statistics & Numerical Data] MH - *Cost Savings MH - Drug Therapy, Combination MH - *Drug Utilization Review MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Male MH - *Medicaid MH - Middle Aged MH - Pharmaceutical Services MH - *Polypharmacy MH - Utah AB - BACKGROUND: Despite numerous reports of state Medicaid drug utilization review (DUR) programs, little data are available about the prevalence of drugrelated 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. AB - 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. AB - 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. AB - 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 dollars; by contrast, the average pharmacy cost per month for all other patients receiving at least 1 prescription was 91 dollars. AB - 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. IS - 1083-4087 IL - 1083-4087 PT - Journal Article LG - English DP - 2006 Oct DC - 20070202 YR - 2006 ED - 20070227 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17269846 <584. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17145457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Snow D FA - Snow, Diane IN - Snow,Diane. Department of Community and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL 60612, USA. TI - Substance use and recovery: charting a course toward optimism. Interview by Kathleen R Delaney. SO - Archives of Psychiatric Nursing. 20(6):288-90, 2006 Dec. AS - Arch Psychiatr Nurs. 20(6):288-90, 2006 Dec. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - Curriculum MH - Diffusion of Innovation MH - Evidence-Based Medicine MH - Harm Reduction MH - Health Services Needs and Demand MH - Humans MH - Naloxone/tu [Therapeutic Use] MH - Nurse's Role MH - Nursing Assessment MH - Patient Care Planning MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - United States/ep [Epidemiology] RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) IS - 0883-9417 IL - 0883-9417 PT - Interview LG - English DP - 2006 Dec DC - 20061205 YR - 2006 ED - 20070223 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17145457 <585. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17116153 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pirskanen M AU - Pietila AM AU - Halonen P AU - Laukkanen E FA - Pirskanen, Marjatta FA - Pietila, Anna-Maija FA - Halonen, Pirjo FA - Laukkanen, Eila IN - Pirskanen,Marjatta. Department of Nursing Science, University of Kuopio, Kuopio, Finland. marjatta.pirskanen@uku.fi TI - School health nurses and substance use among adolescents - towards individual identification and early intervention. SO - Scandinavian Journal of Caring Sciences. 20(4):439-47, 2006 Dec. AS - Scand J Caring Sci. 20(4):439-47, 2006 Dec. NJ - Scandinavian journal of caring sciences PI - Journal available in: Print PI - Citation processed from: Print JC - sjo, 8804206 SB - Nursing Journal CP - Sweden MH - Adolescent MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Counseling MH - Finland MH - Humans MH - Risk Factors MH - *School Nursing MH - Social Environment MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 0283-9318 IL - 0283-9318 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Dec DC - 20061122 YR - 2006 ED - 20070213 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17116153 <586. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16971276 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Braitstein P AU - Li K AU - Kerr T AU - Montaner JS AU - Hogg RS AU - Wood E FA - Braitstein, P FA - Li, K FA - Kerr, T FA - Montaner, J S G FA - Hogg, R S FA - Wood, E IN - Braitstein,P. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada. pbraitstein@ispm.unibe.ch TI - Differences in access to care among injection drug users infected either with HIV and hepatitis C or hepatitis C alone. SO - AIDS Care. 18(7):690-3, 2006 Oct. AS - AIDS Care. 18(7):690-3, 2006 Oct. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - *Body Weight/ph [Physiology] MH - Cross-Sectional Studies MH - *Delivery of Health Care/ut [Utilization] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections/th [Therapy] MH - *Health Services Accessibility/st [Standards] MH - Health Status MH - Hepatitis C/co [Complications] MH - *Hepatitis C/th [Therapy] MH - Humans MH - Logistic Models MH - Middle Aged MH - Self-Assessment MH - Socioeconomic Factors MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/th [Therapy] AB - Access to HCV (Hepatitis C virus) care for HIV/HCV-co-infected patients is an urgent public health concern. The objective of the present study was to describe the self-reported health status of HIV/HCV-co-infected and HCV-mono-infected injection drug users and to describe their access to HCV-related care. Beginning in May 1996, persons who had injected illicit drugs in the previous month were recruited into the Vancouver Injection Drug User Study (VIDUS). At baseline and then semi-annually, participants complete an interviewer-administered questionnaire. Blood is drawn at each semi-annual interview and tested for HIV and Hepatitis C infection. Data for this descriptive, cross-sectional study were drawn from the most recent of either the July 2003 or December 2003 nurse-administered questionnaire. Statistics used were the chi-square, Wilcoxon Rank Sum and Student's t-test. Logistic regression was used to examine factors independently associated with accessing HCV care. There were 707 individuals eligible for this analysis, including 240 HIV/HCV-co-infected and 467 HCV-mono-infected persons. Co-infected individuals were more likely to be female, younger, of Aboriginal ethnicity and less likely to use heroin daily. The HCV-mono-infected group tended to report higher rates of HCV-related symptoms, including fatigue, liver pain, nausea, night-sweats and stomach pain. However, it was the HIV/HCV-co-infected group who were more likely to report that they believed their hepatitis C was affecting them. The HIV/HCV-co-infected group were also more likely to report having received any hepatitis-related follow-up care, including blood work, liver biopsies and referrals to specialists. In logistic regression analysis, factors independently associated with ever receiving any hepatitis C related follow-up were HIV/HCV-co-infection (AOR 3.1; 95% CI: 2-4.7), being older (AOR 1.04; 95% CI: 1.02-1.06 per year older), using heroin daily (AOR 0.54; 95% CI: 0.36-0.82) and believing that hepatitis C was affecting one's health (AOR 1.4; 95% CI: 1.0-2.1). In conclusion, our data indicate more HCV healthcare utilization among those HIV/HCV-co-infected. IS - 0954-0121 IL - 0954-0121 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Oct DC - 20060914 YR - 2006 ED - 20070208 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16971276 <587. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17108794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown MS AU - Sebego M AU - Seboni N AU - Ntsayagae E AU - Mogobe KD AU - Sabone M FA - Brown, Marie Scott FA - Sebego, Miriam FA - Seboni, Naomi FA - Ntsayagae, Esther FA - Mogobe, Keitshokile D FA - Sabone, Motshedisi IN - Brown,Marie Scott. Intercollegiate School of Nursing, Washington State University, Vancouver, Washington, USA. brownm10@comcast.net TI - Using qualitative methods for course evaluation: a case study from Botswana. SO - Nurse Educator. 31(6):275-80, 2006 Nov-Dec. AS - Nurse Educ. 31(6):275-80, 2006 Nov-Dec. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - Alcoholism/eh [Ethnology] MH - Attitude of Health Personnel MH - Attitude to Health/eh [Ethnology] MH - Botswana/ep [Epidemiology] MH - Clinical Competence MH - Condoms MH - Curriculum MH - Data Collection MH - Data Interpretation, Statistical MH - Faculty, Nursing MH - Focus Groups MH - Global Health MH - HIV Infections/eh [Ethnology] MH - HIV Infections/nu [Nursing] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - International Educational Exchange MH - *Nursing Education Research/og [Organization & Administration] MH - *Nursing Methodology Research/og [Organization & Administration] MH - *Program Evaluation/mt [Methods] MH - *Qualitative Research MH - Research Design MH - Safe Sex/eh [Ethnology] MH - Students, Nursing/px [Psychology] MH - United States AB - 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. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 2006 Nov-Dec DC - 20061119 YR - 2006 ED - 20070202 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17108794 <588. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17004023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blix HS AU - Viktil KK AU - Moger TA AU - Reikvam A FA - Blix, Hege Salvesen FA - Viktil, Kirsten K FA - Moger, Tron Anders FA - Reikvam, Asmund IN - Blix,Hege Salvesen. Norwegian Institute of Public Health, P.O. Box 4404, Nydalen, NO-0403 Oslo, Norway. Hege.salvesen.blix@fhi.no TI - Characteristics of drug-related problems discussed by hospital pharmacists in multidisciplinary teams. SO - Pharmacy World & Science. 28(3):152-8, 2006 Jun. AS - Pharm World Sci. 28(3):152-8, 2006 Jun. NJ - Pharmacy world & science : PWS PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Interprofessional Relations MH - Male MH - Middle Aged MH - *Patient Care Team MH - Patients MH - *Pharmacists MH - Pharmacy Service, Hospital MH - Prospective Studies MH - Quality Assurance, Health Care MH - Risk Factors AB - OBJECTIVE: To investigate pharmacist contribution in the therapeutic hospital team by studying drug-related problems (DRPs), pharmacist therapy advice and consequences of the advice. AB - 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. AB - 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. AB - 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 significant 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. AB - 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. IS - 0928-1231 IL - 0928-1231 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't LG - English EP - 20060927 DP - 2006 Jun DC - 20061018 YR - 2006 ED - 20070126 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17004023 <589. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17145491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plaisance L AU - Logan C FA - Plaisance, Louise FA - Logan, Cynthia IN - Plaisance,Louise. Southeastern Louisiana University School of Nursing, Hammond, Louisiana, USA. louisep9983@aol.com TI - Nursing students' knowledge and attitudes regarding pain. SO - Pain Management Nursing. 7(4):167-75, 2006 Dec. AS - Pain Manag Nurs. 7(4):167-75, 2006 Dec. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Accreditation MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Cross-Sectional Studies MH - Curriculum/st [Standards] MH - *Education, Nursing, Associate/st [Standards] MH - *Education, Nursing, Baccalaureate/st [Standards] MH - Educational Measurement MH - Evidence-Based Medicine/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Louisiana MH - Male MH - Nursing Education Research MH - Nursing Methodology Research MH - Pain/di [Diagnosis] MH - *Pain MH - Pain Management MH - Practice Guidelines as Topic MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 1524-9042 IL - 1524-9042 PT - Comparative Study PT - Journal Article LG - English DP - 2006 Dec DC - 20061205 YR - 2006 ED - 20070119 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17145491 <590. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17062328 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Handler SM AU - Wright RM AU - Ruby CM AU - Hanlon JT FA - Handler, Steven M FA - Wright, Rollin M FA - Ruby, Christine M FA - Hanlon, Joseph T IN - Handler,Steven M. Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. handlersm@upmc.edu TI - Epidemiology of medication-related adverse events in nursing homes. [Review] [68 refs] SO - American Journal of Geriatric Pharmacotherapy. 4(3):264-72, 2006 Sep. AS - Am J Geriatr Pharmacother. 4(3):264-72, 2006 Sep. NJ - The American journal of geriatric pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - 101190325 SB - Index Medicus CP - United States MH - Aged MH - *Drug-Related Side Effects and Adverse Reactions MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Medication Errors/sn [Statistics & Numerical Data] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Substance Withdrawal Syndrome/ep [Epidemiology] AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. [References: 68] IS - 1543-5946 IL - 1876-7761 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review NO - P30 AG024827 (United States NIA NIH HHS) NO - AG027017 (United States NIA NIH HHS) NO - K12RR023267 (United States NCRR NIH HHS) NO - P30AG024827 (United States NIA NIH HHS) LG - English DP - 2006 Sep DC - 20061025 YR - 2006 ED - 20070112 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17062328 <591. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17062328 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Handler SM AU - Wright RM AU - Ruby CM AU - Hanlon JT FA - Handler, Steven M FA - Wright, Rollin M FA - Ruby, Christine M FA - Hanlon, Joseph T IN - Handler,Steven M. Division of Geriatric Medicine, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. handlersm@upmc.edu TI - Epidemiology of medication-related adverse events in nursing homes. [Review] [68 refs] SO - American Journal of Geriatric Pharmacotherapy. 4(3):264-72, 2006 Sep. AS - Am J Geriatr Pharmacother. 4(3):264-72, 2006 Sep. NJ - The American journal of geriatric pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - 101190325 SB - Index Medicus CP - United States MH - Aged MH - *Drug-Related Side Effects and Adverse Reactions MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Medication Errors/sn [Statistics & Numerical Data] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Substance Withdrawal Syndrome/ep [Epidemiology] AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. [References: 68] IS - 1543-5946 IL - 1876-7761 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review NO - AG027017 (United States NIA NIH HHS) NO - K12RR023267 (United States NCRR NIH HHS) NO - P30 AG024827 (United States NIA NIH HHS) NO - P30AG024827 (United States NIA NIH HHS) LG - English DP - 2006 Sep DC - 20061025 YR - 2006 ED - 20070112 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17062328 <592. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17120863 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kerber CS AU - Schlenker E FA - Kerber, Cindy Sullivan FA - Schlenker, Emily IN - Kerber,Cindy Sullivan. Illinois Wesleyan University, Bloomington, IL 61701, USA. ckerber@iwu.edu TI - Use of a breathalyzer in a local bar: A community education project. SO - Journal of Nursing Education. 45(11):455-7, 2006 Nov. AS - J Nurs Educ. 45(11):455-7, 2006 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Alcoholic Intoxication/di [Diagnosis] MH - *Alcoholic Intoxication/nu [Nursing] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Breath Tests/mt [Methods] MH - *Breath Tests MH - *Central Nervous System Depressants/bl [Blood] MH - Chicago MH - *Community Health Nursing/ed [Education] MH - Community Health Nursing/mt [Methods] MH - Community-Institutional Relations MH - *Ethanol/bl [Blood] MH - Female MH - Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Nurse's Role MH - Nursing Methodology Research AB - 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. RN - 0 (Central Nervous System Depressants) RN - 3K9958V90M (Ethanol) IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2006 Nov DC - 20061122 YR - 2006 ED - 20070111 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17120863 <593. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16785215 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weaver MF AU - Hoffman HJ AU - Johnson RE AU - Mauck K FA - Weaver, Michael F FA - Hoffman, Heather J FA - Johnson, Robert E FA - Mauck, Kimberly IN - Weaver,Michael F. Department of Internal Medicine and Psychiatry, Virginia Commonwealth University, USA. mfweaver@vcu.edu TI - Alcohol withdrawal pharmacotherapy for inpatients with medical comorbidity. SO - Journal of Addictive Diseases. 25(2):17-24, 2006. AS - J Addict Dis. 25(2):17-24, 2006. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Adult MH - Aged MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/dt [Drug Therapy] MH - Alcohol Withdrawal Delirium/ep [Epidemiology] MH - Alcohol Withdrawal Delirium/nu [Nursing] MH - Cohort Studies MH - Comorbidity MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Guideline Adherence/sn [Statistics & Numerical Data] MH - *Hospitalization MH - Humans MH - *Hypnotics and Sedatives/ad [Administration & Dosage] MH - Hypnotics and Sedatives/ae [Adverse Effects] MH - Internal Medicine MH - *Lorazepam/ad [Administration & Dosage] MH - Lorazepam/ae [Adverse Effects] MH - Male MH - Middle Aged MH - Nursing Assessment MH - Prospective Studies AB - Studies show that symptom-triggered dosing is best for treatment of alcohol withdrawal in patients on chemical dependence wards without other illness. On general medical hospital wards, withdrawal may be affected by comorbid medical illness. A clinical trial was undertaken to determine whether there is a difference between symptom-triggered (ST) and fixed-schedule (FS) dosing of lorazepam in patients hospitalized on general medical wards at a university medical center. One hundred eighty-three subjects were assessed by their nurses with the Revised Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) scale. Subjects in the ST arm received lorazepam doses based on CIWA-Ar score. Subjects in the FS arm received scheduled lorazepam with tapering over 4 days. Symptom-triggered dosing for alcohol withdrawal for general medicine inpatients results in less lorazepam given with similar reduction in CIWA-Ar scores for the first 2 days, but a higher proportion of protocol errors. RN - 0 (Hypnotics and Sedatives) RN - O26FZP769L (Lorazepam) IS - 1055-0887 IL - 1055-0887 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural NO - K23 AA00222 (United States NIAAA NIH HHS) LG - English DP - 2006 DC - 20060620 YR - 2006 ED - 20070109 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16785215 <594. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17107569 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weber MT AU - Snow D FA - Weber, Mary T FA - Snow, Diane IN - Weber,Mary T. Arlington School of Nursing, VA, USA. mweber@uta.edu TI - An introductory clinical core course in psychiatric management: an innovative lifespan course blending all nurse practitioner majors. [Review] [10 refs] SO - Perspectives in Psychiatric Care. 42(4):245-51, 2006 Nov. AS - Perspect Psychiatr Care. 42(4):245-51, 2006 Nov. NJ - Perspectives in psychiatric care PI - Journal available in: Print PI - Citation processed from: Print JC - ozt, 0401133 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Clinical Competence MH - Curriculum MH - Delphi Technique MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - Faculty, Nursing MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Mental Disorders/nu [Nursing] MH - *Nurse Practitioners/ed [Education] MH - Nurse Practitioners/og [Organization & Administration] MH - Nurse Practitioners/px [Psychology] MH - Nurse's Role MH - Nursing Assessment MH - Nursing Process MH - Program Development MH - *Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - Referral and Consultation MH - Role Playing MH - Teaching/og [Organization & Administration] MH - Texas AB - 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). AB - 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. AB - 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. AB - 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. [References: 10] IS - 0031-5990 IL - 0031-5990 PT - Journal Article PT - Review LG - English DP - 2006 Nov DC - 20061119 YR - 2006 ED - 20070105 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17107569 <595. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17172197 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guzys D AU - Kendall S FA - Guzys, Diana FA - Kendall, Sharon IN - Guzys,Diana. School of Nursing and Midwifery, La Trobe University, Bendigo, Victoria, Australia. TI - Advocating for a harm-minimization approach to drug education in Australian schools. [Review] [16 refs] SO - Journal of School Nursing. 22(5):259-63, 2006 Oct. AS - J Sch Nurs. 22(5):259-63, 2006 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Attitude to Health MH - Curriculum MH - Evidence-Based Medicine MH - *Harm Reduction MH - *Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Health Policy MH - Health Promotion/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Models, Educational MH - Nurse's Role MH - Organizational Objectives MH - Patient Advocacy MH - Philosophy, Nursing MH - Psychology, Adolescent MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Victoria AB - 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. [References: 16] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2006 Oct DC - 20061218 YR - 2006 ED - 20061229 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17172197 <596. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16831798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Etter JF FA - Etter, Jean-Francois IN - Etter,Jean-Francois. Institute of Social and Preventive Medicine, University of Geneva, CMU, Switzerland. jean-francois.etter@imsp.ch TI - Impact of educational outreach visits on smoking cessation activities performed by specialist physicians: a randomized trial. SO - Education for Health. 19(2):155-65, 2006 Jul. AS - EDUC HEALTH. 19(2):155-65, 2006 Jul. NJ - Education for health (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 9607101 SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - Clinical Competence MH - *Community Health Nursing MH - Counseling MH - *Education, Medical, Continuing MH - Humans MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Prevention MH - Private Practice MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - *Specialization MH - Statistics, Nonparametric MH - Surveys and Questionnaires MH - Switzerland MH - *Therapy, Computer-Assisted/mt [Methods] MH - Treatment Outcome AB - 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. AB - 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. AB - 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. AB - 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. IS - 1357-6283 IL - 1357-6283 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jul DC - 20060711 YR - 2006 ED - 20061207 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16831798 <597. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16922291 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gallagher J AU - O'Gara C AU - Sessay M AU - Luty J FA - Gallagher, John FA - O'Gara, Colin FA - Sessay, Mohammed FA - Luty, Jason IN - Gallagher,John. Anglia Ruskin University, Chelmsford, Essex. TI - Nurse prescribing in addiction services: client benefits. [Review] [14 refs] SO - Nursing Standard. 20(48):42-4, 2006 Aug 9-15. AS - Nurs Stand. 20(48):42-4, 2006 Aug 9-15. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Community Health Nursing/ed [Education] MH - Community Health Nursing/og [Organization & Administration] MH - *Drug Prescriptions MH - Education, Nursing, Continuing MH - Humans MH - *Nurse's Role MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Nursing Staff/og [Organization & Administration] MH - Nursing, Supervisory MH - *Professional Autonomy MH - *Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/nu [Nursing] MH - Total Quality Management/og [Organization & Administration] MH - Workload AB - Recent changes to prescribing regulations mean that nurse independent prescribers and supplementary prescribers are now able to prescribe any licensed medicine for conditions within their competence, including some controlled drugs. This article discusses the anticipated benefits of these prescribing changes for patients receiving treatment for substance misuse. [References: 14] IS - 0029-6570 IL - 0029-6570 PT - Journal Article PT - Review LG - English DP - 2006 Aug 9-15 DC - 20060822 YR - 2006 ED - 20060929 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16922291 <598. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16915993 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durmaz A AU - Ustun B FA - Durmaz, Aylin FA - Ustun, Besti IN - Durmaz,Aylin. Psychiatric and Mental Health Nursing Department, Dokuz Eylul University, School of Nursing, Izmir, Turkey. aylin_durmaz@yahoo.com TI - Determination of smoking habits and personality traits among nursing students. SO - Journal of Nursing Education. 45(8):328-33, 2006 Aug. AS - J Nurs Educ. 45(8):328-33, 2006 Aug. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - Education, Nursing, Baccalaureate MH - Female MH - Habits MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Internal-External Control MH - Male MH - Models, Psychological MH - Nursing Methodology Research MH - Peer Group MH - *Personality MH - Personality Inventory MH - Prevalence MH - Severity of Illness Index MH - Sex Distribution MH - Sex Factors MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Turkey/ep [Epidemiology] AB - 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 Fagerstrom 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2006 Aug DC - 20060818 YR - 2006 ED - 20060929 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16915993 <599. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16910130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peltzer K AU - Seoka P AU - Babor T AU - Obot I FA - Peltzer, K FA - Seoka, P FA - Babor, T FA - Obot, I IN - Peltzer,K. Human Sciences Research Council & University Limpopo, Cape Town, South Africa. KPeltzer@hsrc.ac.za TI - Training primary care nurses to conduct alcohol screening and brief interventions in South Africa. SO - Curationis. 29(2):16-21, 2006 May. AS - Curationis. 29(2):16-21, 2006 May. NJ - Curationis PI - Journal available in: Print PI - Citation processed from: Print JC - c1a, 7901092 SB - Nursing Journal CP - South Africa MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - *Counseling MH - *Education, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training MH - Male MH - *Mass Screening/nu [Nursing] MH - Middle Aged MH - Primary Health Care MH - South Africa AB - 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. IS - 0379-8577 IL - 0379-8577 PT - Clinical Trial PT - Journal Article PT - Multicenter Study LG - English DP - 2006 May DC - 20060816 YR - 2006 ED - 20060927 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16910130 <600. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16809110 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Visnegarwala F AU - Rodriguez-Barradass MC AU - Graviss EA AU - Caprio M AU - Nykyforchyn M AU - Laufman L FA - Visnegarwala, F FA - Rodriguez-Barradass, M C FA - Graviss, E A FA - Caprio, M FA - Nykyforchyn, M FA - Laufman, L IN - Visnegarwala,F. Department of Medicine, Section of Infectious Diseases, Baylor College Of Medicine, One Baylor Plaza, Room #465 EC, Houston, TX 77030, USA. fehmidav@bcm.tmc.edu TI - 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. SO - AIDS Care. 18(4):332-8, 2006 May. AS - AIDS Care. 18(4):332-8, 2006 May. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - *Antiretroviral Therapy, Highly Active MH - *Cognitive Therapy/mt [Methods] MH - Community Health Services MH - Female MH - *HIV Infections/th [Therapy] MH - Humans MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - Patient Compliance MH - Pilot Projects MH - Texas MH - Treatment Outcome AB - 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 naive 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. IS - 0954-0121 IL - 0954-0121 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't NO - AI36211 (United States NIAID NIH HHS) LG - English DP - 2006 May DC - 20060630 YR - 2006 ED - 20060926 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16809110 <601. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16862029 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoyt CA FA - Hoyt, Constance A IN - Hoyt,Constance A. University of California, Riverside, USA. cahoyt01@adelphia.net TI - Integrating forensic science into nursing processes in the ICU. [Review] [16 refs] SO - Critical Care Nursing Quarterly. 29(3):259-70, 2006 Jul-Sep. AS - Crit Care Nurs Q. 29(3):259-70, 2006 Jul-Sep. NJ - Critical care nursing quarterly PI - Journal available in: Print PI - Citation processed from: Print JC - ccn, 8704517 SB - Nursing Journal CP - United States MH - Adult MH - Aged, 80 and over MH - Child MH - *Critical Care/og [Organization & Administration] MH - Data Collection/mt [Methods] MH - Documentation MH - Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Forensic Sciences/ed [Education] MH - *Forensic Sciences/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Intuition MH - Joint Commission on Accreditation of Healthcare Organizations MH - Mass Screening/og [Organization & Administration] MH - Medical History Taking/mt [Methods] MH - *Nurse's Role MH - Nursing Assessment/og [Organization & Administration] MH - *Nursing Process/og [Organization & Administration] MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Physical Examination/mt [Methods] MH - Physical Examination/nu [Nursing] MH - Referral and Consultation/og [Organization & Administration] MH - United States AB - The critical care nurse is in an ideal position to assume responsibilities related to the identification of forensic cases and the preservation of associated evidence. Victims of child and elder abuse and neglect, individuals involved in vehicular or industrial accidents, substance abusers, and incarcerated populations are among the several types of patients that are likely to managed in the intensive care unit (ICU). Hospitals and their personnel assume considerable liability in such cases for detecting, collecting, and preserving evidence, as well as for reporting and referring the cases to appropriate law enforcement or judicial authorities. The Joint Commission for the Accreditation of Healthcare Organizations has published specific regulatory guidance to ensure that all healthcare personnel are properly educated to assume certain forensic responsibilities. The orientation and in-service programs of the ICU nurse should include specific guidance regarding forensic principles, practices, and procedures. [References: 16] IS - 0887-9303 IL - 0887-9303 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2006 Jul-Sep DC - 20060724 YR - 2006 ED - 20060921 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16862029 <602. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16849931 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Phillips S AU - Haycock C AU - Boyle D FA - Phillips, Susan FA - Haycock, Camille FA - Boyle, Deborah IN - Phillips,Susan. Banner Good Samaritan Medical Center, Phoenix, Ariz. 85338, USA. susan.phillips@bannerhealth.com TI - Development of an alcohol withdrawal protocol: CNS collaborative exemplar. [Review] [29 refs] SO - Clinical Nurse Specialist. 20(4):190-8; quiz 199-200, 2006 Jul-Aug. AS - Clin Nurse Spec. 20(4):190-8; quiz 199-200, 2006 Jul-Aug. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Acute Disease MH - *Alcohol-Induced Disorders/th [Therapy] MH - Algorithms MH - *Clinical Protocols/st [Standards] MH - *Cooperative Behavior MH - Critical Care/og [Organization & Administration] MH - Decision Trees MH - Evidence-Based Medicine/og [Organization & Administration] MH - Humans MH - Interprofessional Relations MH - Leadership MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Records MH - Organizational Innovation MH - Outcome and Process Assessment (Health Care)/og [Organization & Administration] MH - Patient Advocacy MH - Patient Care Team/og [Organization & Administration] MH - Problem Solving MH - Program Development MH - Severity of Illness Index MH - *Substance Withdrawal Syndrome/th [Therapy] MH - Total Quality Management/og [Organization & Administration] AB - PURPOSE: The purpose of this process improvement project was to develop an Alcohol Withdrawal Syndrome (AWS) management protocol for acute care. AB - 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. AB - 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. AB - 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. [References: 29] IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060719 YR - 2006 ED - 20060921 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16849931 <603. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16929875 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tsao JC AU - Dobalian A AU - Wiens BA AU - Gylys JA AU - Clawson A AU - Brooks R FA - Tsao, Jennie C I FA - Dobalian, Aram FA - Wiens, Brenda A FA - Gylys, Julius A FA - Clawson, Art FA - Brooks, Robert IN - Tsao,Jennie C I. Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024, USA. jtsao@mednet.ucla.edu TI - PTSD and substance use: unrecognized sequelae of bioterrorism in primary care providers. SO - Southern Medical Journal. 99(8):817-22, 2006 Aug. AS - South Med J. 99(8):817-22, 2006 Aug. NJ - Southern medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - uvh, 0404522 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Bioterrorism MH - Female MH - Florida/ep [Epidemiology] MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/st [Standards] MH - Humans MH - Incidence MH - Male MH - Mental Health MH - Middle Aged MH - *Primary Health Care MH - Rural Population MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - *Stress Disorders, Post-Traumatic/et [Etiology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/et [Etiology] AB - BACKGROUND: Psychological casualties following public health emergencies are likely to significantly outnumber physical casualties. However, postevent psychological disorders may be underrecognized by primary care providers (PCPs). AB - METHODS: Rural PCPs in northern and central Florida were interviewed using a series of open-ended questions to assess knowledge of likely mental disorders, their risk factors, and preferred treatment options following such events (n=21). AB - RESULTS: PTSD was identified by 14% and substance abuse by 10% of the sample. Physicians were significantly more likely to identify posttraumatic stress disorder (PTSD) as an expected postevent psychological disorder than nonphysician providers. PCPs were significantly more likely to endorse counseling (86%) than medications (43%) as a preferred treatment option. AB - CONCLUSIONS: Our findings support the need for increased education and training regarding the mental health consequences of bioterrorism in rural PCPs, particularly for nursing-level and other nonphysician providers. Improvements in knowledge may enhance preparedness for such emergencies. IS - 0038-4348 IL - 0038-4348 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - 7 R04 RH01310 (United States PHS HHS) LG - English DP - 2006 Aug DC - 20060825 YR - 2006 ED - 20060915 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16929875 <604. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16808752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Upshur CC AU - Luckmann RS AU - Savageau JA FA - Upshur, Carole C FA - Luckmann, Roger S FA - Savageau, Judith A IN - Upshur,Carole C. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA. Carole.upshur@umassmed.edu TI - Primary care provider concerns about management of chronic pain in community clinic populations. SO - Journal of General Internal Medicine. 21(6):652-5, 2006 Jun. AS - J Gen Intern Med. 21(6):652-5, 2006 Jun. NJ - Journal of general internal medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 OI - Source: NLM. PMC1924617 SB - Index Medicus CP - United States MH - Adult MH - *Attitude to Health MH - Chronic Disease MH - *Community Health Services MH - Health Surveys MH - Humans MH - Narcotics/ae [Adverse Effects] MH - Narcotics/tu [Therapeutic Use] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain/dt [Drug Therapy] MH - Pain/pc [Prevention & Control] MH - *Pain Management MH - *Patient Satisfaction MH - *Primary Health Care AB - BACKGROUND: Chronic pain is a common patient complaint in primary care, yet providers and patients are often dissatisfied with treatment processes and outcomes. AB - 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. AB - DESIGN: Mailed survey to primary care providers (PCPs) at 8 community clinics. AB - 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. AB - 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. RN - 0 (Narcotics) ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. NO - R03 HS013455 (United States AHRQ HHS) NO - 1 R03 HS013455-01A1. (United States AHRQ HHS) LG - English DP - 2006 Jun DC - 2006630 YR - 2006 ED - 20060911 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=16808752 <605. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16808752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Upshur CC AU - Luckmann RS AU - Savageau JA FA - Upshur, Carole C FA - Luckmann, Roger S FA - Savageau, Judith A IN - Upshur,Carole C. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA. Carole.upshur@umassmed.edu TI - Primary care provider concerns about management of chronic pain in community clinic populations. SO - Journal of General Internal Medicine. 21(6):652-5, 2006 Jun. AS - J Gen Intern Med. 21(6):652-5, 2006 Jun. NJ - Journal of general internal medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 OI - Source: NLM. PMC1924617 SB - Index Medicus CP - United States MH - Adult MH - *Attitude to Health MH - Chronic Disease MH - *Community Health Services MH - Health Surveys MH - Humans MH - Narcotics/ae [Adverse Effects] MH - Narcotics/tu [Therapeutic Use] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain/dt [Drug Therapy] MH - Pain/pc [Prevention & Control] MH - *Pain Management MH - *Patient Satisfaction MH - *Primary Health Care AB - BACKGROUND: Chronic pain is a common patient complaint in primary care, yet providers and patients are often dissatisfied with treatment processes and outcomes. AB - 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. AB - DESIGN: Mailed survey to primary care providers (PCPs) at 8 community clinics. AB - 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. AB - 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. RN - 0 (Narcotics) ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. NO - 1 R03 HS013455-01A1. (United States AHRQ HHS) LG - English DP - 2006 Jun DC - 20060630 YR - 2006 ED - 20060911 RD - 20140909 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16808752 <606. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16835672 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reid RD AU - Pipe AL AU - Quinlan B FA - Reid, Robert D FA - Pipe, Andrew L FA - Quinlan, Bonnie IN - Reid,Robert D. Preventive and Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Canada. breid@ottawaheart.ca TI - Promoting smoking cessation during hospitalization for coronary artery disease. SO - Canadian Journal of Cardiology. 22(9):775-80, 2006 Jul. AS - Can J Cardiol. 22(9):775-80, 2006 Jul. NJ - The Canadian journal of cardiology PI - Journal available in: Print PI - Citation processed from: Print JC - chp, 8510280 OI - Source: NLM. PMC2560518 SB - Index Medicus CP - Canada MH - *Coronary Disease/pc [Prevention & Control] MH - Female MH - Follow-Up Studies MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - *Program Evaluation MH - Retrospective Studies MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - Treatment Outcome AB - 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. AB - OBJECTIVES: The objectives of the present paper are to describe core elements of this program and present data concerning its reach and effectiveness. AB - 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. AB - 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. AB - 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. IS - 0828-282X IL - 0828-282X PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jul DC - 20060712 YR - 2006 ED - 20060829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16835672 <607. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16797268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Piccoli GB AU - Soragna G AU - Putaggio S AU - Consiglio V AU - Mezza E AU - Bonetto A AU - Geuna S FA - Piccoli, G B FA - Soragna, G FA - Putaggio, S FA - Consiglio, V FA - Mezza, E FA - Bonetto, A FA - Geuna, S IN - Piccoli,G B. Nephrology, University of Torino, Torino, Italy. gbpiccoli@yahoo.it TI - Drug use and kidney donation: what are high-risk behaviors today?. SO - Transplantation Proceedings. 38(5):1221-3, 2006 Jun. AS - Transplant Proc. 38(5):1221-3, 2006 Jun. NJ - Transplantation proceedings PI - Journal available in: Print PI - Citation processed from: Print JC - we9, 0243532 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Attitude to Health MH - Education, Medical, Continuing MH - Humans MH - Italy/ep [Epidemiology] MH - Middle Aged MH - *Patient Selection MH - Risk-Taking MH - Students MH - Students, Medical MH - Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - *Tissue Donors/sn [Statistics & Numerical Data] MH - Tissue Donors/sd [Supply & Distribution] AB - 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. AB - 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). AB - 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). AB - 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. IS - 0041-1345 IL - 0041-1345 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jun DC - 20060626 YR - 2006 ED - 20060822 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16797268 <608. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829777 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malone RE FA - Malone, Ruth E IN - Malone,Ruth E. Department of Social and Behavioral Sciences, School of Nursing, University of California, San Francisco 94118, USA. ruth.malone@ucsf.edu TI - Nursing's involvement in tobacco control: historical perspective and vision for the future. [Review] [72 refs] SO - Nursing Research. 55(4 Suppl):S51-7, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S51-7, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Health Education/og [Organization & Administration] MH - History MH - Humans MH - Leadership MH - *Nurse's Role MH - *Nursing Research/og [Organization & Administration] MH - Nursing Research/td [Trends] MH - Primary Prevention/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - Societies, Nursing/og [Organization & Administration] MH - Tobacco Industry MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States/ep [Epidemiology] AB - 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. [References: 72] IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829777 <609. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829776 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J FA - Heath, Janie FA - Andrews, Jeannette IN - Heath,Janie. Critical Care Clinical Nurse Specialist Program, School of Nursing and Health Studies, Georgetown University, Washington, DC 20007-1107, USA. ejh@georgetown.edu TI - Using evidence-based educational strategies to increase knowledge and skills in tobacco cessation. [Review] [36 refs] SO - Nursing Research. 55(4 Suppl):S44-50, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S44-50, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Counseling/og [Organization & Administration] MH - *Evidence-Based Medicine/og [Organization & Administration] MH - Health Education/og [Organization & Administration] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Joint Commission on Accreditation of Healthcare Organizations MH - *Nurse's Role MH - *Nursing Research/og [Organization & Administration] MH - Primary Prevention/og [Organization & Administration] MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Use Cessation/mt [Methods] MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States/ep [Epidemiology] AB - 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. [References: 36] IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Review LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829776 <610. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16829770 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous SA FA - Sarna, Linda FA - Bialous, Stella Aguinaga IN - Sarna,Linda. School of Nursing, University of California, Los Angeles 90095, USA. lsarna@ucla.edu TI - Strategic directions for nursing research in tobacco dependence. SO - Nursing Research. 55(4 Suppl):S1-9, 2006 Jul-Aug. AS - Nurs Res. 55(4 Suppl):S1-9, 2006 Jul-Aug. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Information Dissemination MH - *Nurse's Role MH - Nursing Informatics/og [Organization & Administration] MH - *Nursing Research/og [Organization & Administration] MH - Practice Guidelines as Topic MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Use Cessation MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - 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. IS - 0029-6562 IL - 0029-6562 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R13 HS015503 (United States AHRQ HHS) LG - English DP - 2006 Jul-Aug DC - 20060710 YR - 2006 ED - 20060816 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16829770 <611. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16752255 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goransson M AU - Magnusson A AU - Heilig M FA - Goransson, Mona FA - Magnusson, Asa FA - Heilig, Markus IN - Goransson,Mona. Division of Psychiatry, NEUROTEC, Karolinska Institute, Stockholm, Sweden. mona.goransson@slpo.sll.se TI - Identifying hazardous alcohol consumption during pregnancy: implementing a research-based model in real life. SO - Acta Obstetricia et Gynecologica Scandinavica. 85(6):657-62, 2006. AS - Acta Obstet Gynecol Scand. 85(6):657-62, 2006. NJ - Acta obstetricia et gynecologica Scandinavica PI - Journal available in: Print PI - Citation processed from: Print JC - 0370343 SB - Index Medicus CP - Denmark MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - *Midwifery/ed [Education] MH - Pregnancy MH - *Prenatal Care/mt [Methods] MH - Prevalence MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - AIMS: It has been repeatedly demonstrated that hazardous alcohol use during pregnancy is rarely detected in regular antenatal care, and that detection can be markedly improved using systematic screening. A major challenge is to translate research-based strategies into regular antenatal care. Here, we examined whether a screening strategy using the Alcohol Use Disorder Test (AUDIT) and time-line follow-back (TLFB) could be implemented under naturalistic conditions and within available resources; and whether it would improve detection to the extent previously shown in a research context. AB - METHODS: Regular midwives at a large antenatal care clinic were randomized to receive brief training and then implement AUDIT and TLFB ("intervention"); or to a waiting-list control group continuing to deliver regular care ("control"). In the intervention-condition, AUDIT was used to collect data about alcohol use during the year preceding pregnancy, and TLFB to assess actual consumption during the first trimester. Data were collected from new admissions over 6 months. AB - RESULTS: Drop out was higher among patients of the intervention group than control midwives, 14% (23/162) versus 0% (0/153), and p<0.0001. A one-day training session combined with continuous expert support was sufficient to implement systematic screening with AUDIT and TLFB largely within resources of regular antenatal care. The use of these instruments identified patients with hazardous consumption during the year preceding pregnancy i.e. AUDIT score 6 or higher (17%, 23/139), and patients with ongoing consumption exceeding 70 g/week and/or binge consumption according to TLFB (17%, 24/139), to a significantly higher degree than regular antenatal screening (0/162). The AUDIT- and TLFB-positive populations overlapped partially, with 36/139 subjects screening positive with either of the instrument and 11/139 were positive for both. AB - CONCLUSIONS: We confirm previous findings that alcohol use during pregnancy is more extensive in Sweden than has generally been realized. Systematic screening using AUDIT and TLFB detects hazardous use in a manner which regular antenatal care does not. This remains true under naturalistic conditions, following minimal training of regular antenatal care staff, and can be achieved with minimal resources. The proposed strategy appears attractive for broad implementation. IS - 0001-6349 IL - 0001-6349 PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2006 DC - 20060605 YR - 2006 ED - 20060725 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16752255 <612. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16802685 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edwards K FA - Edwards, Karen TI - A new role for pediatric nurses: teaching teen drug users how to sterilize their equipment for prevention of infectious disease; a course outline. SO - Pediatric Nursing. 32(3):257-62, 2006 May-Jun. AS - Pediatr Nurs. 32(3):257-62, 2006 May-Jun. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - *Attitude to Health MH - California MH - Curriculum MH - Female MH - Focus Groups MH - HIV Infections/et [Etiology] MH - HIV Infections/pc [Prevention & Control] MH - HIV Infections/tm [Transmission] MH - Hepatitis C/et [Etiology] MH - Hepatitis C/pc [Prevention & Control] MH - Hepatitis C/tm [Transmission] MH - Humans MH - Information Services MH - Internet MH - Male MH - Needle Sharing MH - *Nurse's Role MH - Nursing Methodology Research MH - Patient Care Planning MH - *Patient Education as Topic/og [Organization & Administration] MH - *Pediatric Nursing/og [Organization & Administration] MH - Psychology, Adolescent MH - Sterilization/mt [Methods] MH - *Sterilization MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/nu [Nursing] MH - Substance Abuse, Intravenous/px [Psychology] MH - Teaching Materials AB - 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. IS - 0097-9805 IL - 0097-9805 PT - Case Reports PT - Journal Article LG - English DP - 2006 May-Jun DC - 20060628 YR - 2006 ED - 20060720 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16802685 <613. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16462405 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dakin CL AU - O'Connor CA AU - Patsdaughter CA FA - Dakin, Cynthia L FA - O'Connor, Catherine A FA - Patsdaughter, Carol A IN - Dakin,Cynthia L. School of Nursing, Bouve College of Health Sciences, Northeastern University, Boston, MA 02115, USA. c.dakin@neu.edu TI - HAART to heart: HIV-related cardiomyopathy and other cardiovascular complications. [Review] [53 refs] SO - AACN Clinical Issues. 17(1):18-29; quiz 88-90, 2006 Jan-Mar. AS - AACN Clin Issues. 17(1):18-29; quiz 88-90, 2006 Jan-Mar. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - United States MH - African Americans/sn [Statistics & Numerical Data] MH - Antiretroviral Therapy, Highly Active MH - CD4 Lymphocyte Count MH - Cardiomyopathy, Dilated/di [Diagnosis] MH - Cardiomyopathy, Dilated/ep [Epidemiology] MH - Cardiomyopathy, Dilated/th [Therapy] MH - *Cardiomyopathy, Dilated/vi [Virology] MH - Cardiovascular Diseases/di [Diagnosis] MH - Cardiovascular Diseases/ep [Epidemiology] MH - Cardiovascular Diseases/th [Therapy] MH - *Cardiovascular Diseases/vi [Virology] MH - Community Health Nursing MH - Comprehensive Health Care MH - Electrocardiography MH - Global Health MH - *HIV Infections/co [Complications] MH - HIV Infections/di [Diagnosis] MH - HIV Infections/px [Psychology] MH - Health Services Needs and Demand MH - Home Care Services MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Nurse's Role MH - Nursing Assessment MH - Referral and Consultation MH - Risk Factors MH - Substance Abuse, Intravenous/co [Complications] MH - Treatment Refusal MH - United States/ep [Epidemiology] AB - 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. [References: 53] IS - 1079-0713 IL - 1079-0713 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2006 Jan-Mar DC - 20060207 YR - 2006 ED - 20060720 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16462405 <614. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16646888 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ott CH AU - Doyle LH AU - Tarantino SL FA - Ott, Carol H FA - Doyle, Lynn H FA - Tarantino, Sharyl-Lynn IN - Ott,Carol H. University of Wisconsin-Milwaukee, USA. carolott@uwm.edu TI - The impact of an urban outreach teaching project: developing cultural competence. SO - International Journal of Nursing Education Scholarship. 1:Article22, 2004. AS - Int. j nurs. educ. scholarsh.. 1:Article22, 2004. NJ - International journal of nursing education scholarship PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101214977 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Community-Institutional Relations MH - *Cultural Diversity MH - Data Collection MH - *Education, Nursing MH - Female MH - *Health Promotion MH - Humans MH - Male MH - School Health Services MH - Students, Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - Urban Health Services MH - Urban Population AB - 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. ES - 1548-923X IL - 1548-923X PT - Evaluation Studies PT - Journal Article LG - English EP - 20041101 DP - 2004 DC - 20060501 YR - 2004 ED - 20060717 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16646888 <615. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16499531 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunn J AU - Hegarty K AU - Nagle C AU - Forster D AU - Brown S AU - Lumley J FA - Gunn, Jane FA - Hegarty, Kelsey FA - Nagle, Cate FA - Forster, Della FA - Brown, Stephanie FA - Lumley, Judith IN - Gunn,Jane. Department of General Practice, University of Melbourne, Australia. TI - Putting woman-centered care into practice: a new (ANEW) approach to psychosocial risk assessment during pregnancy. SO - Birth. 33(1):46-55, 2006 Mar. AS - Birth. 33(1):46-55, 2006 Mar. NJ - Birth (Berkeley, Calif.) PI - Journal available in: Print PI - Citation processed from: Print JC - abd, 8302042 SB - Index Medicus CP - United States MH - Adult MH - Child Abuse/di [Diagnosis] MH - *Clinical Competence MH - *Communication MH - Depression/di [Diagnosis] MH - Domestic Violence MH - *Education, Medical MH - Female MH - Humans MH - Infant MH - Infant Care MH - Infant, Newborn MH - *Midwifery/ed [Education] MH - Mothers/px [Psychology] MH - Practice Patterns, Physicians' MH - Pregnancy MH - *Prenatal Care/st [Standards] MH - *Prenatal Diagnosis MH - Psychometrics MH - *Risk Assessment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] AB - BACKGROUND: When antenatal care is provided, identification and management of challenging problems, such as depression, domestic violence, child abuse, and substance abuse, are absent from traditional midwifery and medical training. The main objective of this project was to provide an alternative to psychosocial risk screening in pregnancy by offering a training program (ANEW) in advanced communication skills and common psychosocial issues to midwives and doctors, with the aim of improving identification and support of women with psychosocial issues in pregnancy. AB - METHODS: ANEW used a before-and-after survey design to evaluate the effects of a 6-month educational intervention for health professionals. The setting for the project was the Mercy Hospital for Women in Melbourne, Australia. Surveys covered issues, such as perceived competency and comfort in dealing with specific psychosocial issues, self-rated communication skills, and open-ended questions about participants' experience of the educational program. AB - RESULTS: Educational program participants (n = 22/27) completed both surveys. After the educational intervention, participants were more likely to ask directly about domestic violence (p = 0.05), past sexual abuse (p = 0.05), and concerns about caring for the baby (p = 0.03). They were less likely to report that psychosocial issues made them feel overwhelmed (p = 0.01), and they reported significant gains in knowledge of psychosocial issues, and competence in dealing with them. Participants were highly positive about the experience of participating in the program. AB - CONCLUSIONS: The program increased the self-reported comfort and competency of health professionals to identify and care for women with psychosocial issues. IS - 0730-7659 IL - 0730-7659 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Mar DC - 20060227 YR - 2006 ED - 20060703 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16499531 <616. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16722113 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sadler C FA - Sadler, Catharine TI - Snowed under. SO - Nursing Standard. 20(35):22-4, 2006 May 10-16. AS - Nurs Stand. 20(35):22-4, 2006 May 10-16. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Clinical Competence MH - Cocaine-Related Disorders/ep [Epidemiology] MH - *Cocaine-Related Disorders/th [Therapy] MH - Education, Nursing, Continuing MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/og [Organization & Administration] MH - Great Britain/ep [Epidemiology] MH - Health Services Needs and Demand MH - Humans MH - Inservice Training MH - Urban Health/sn [Statistics & Numerical Data] AB - The escalating use of cocaine is having a major impact on many A&E departments, especially in urban areas. Nurses can feel out of their depth when managing patients who present with a mix of social, physical and mental health problems. Debate centres on whether this patient group should be managed by general A&E nurses, specialists or a combination of the two. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2006 May 10-16 DC - 20060525 YR - 2006 ED - 20060623 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16722113 <617. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16723902 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee S AU - Knight D FA - Lee, Soo FA - Knight, Denise IN - Lee,Soo. University of Hertfordshire. s.n.lee@herts.ac.uk TI - District nurses' involvement in mental health: an exploratory survey. SO - British Journal of Community Nursing. 11(4):138-42, 2006 Apr. AS - Br J Community Nurs. 11(4):138-42, 2006 Apr. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Curriculum MH - Education, Nursing, Continuing MH - England/ep [Epidemiology] MH - Female MH - Health Services Accessibility/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Interprofessional Relations MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/nu [Nursing] MH - Mental Health MH - Middle Aged MH - Models, Nursing MH - Nurse's Role MH - Nursing Methodology Research MH - Nursing Staff/ed [Education] MH - Nursing Staff/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Primary Health Care/og [Organization & Administration] MH - Public Health Nursing/ed [Education] MH - *Public Health Nursing/og [Organization & Administration] MH - Referral and Consultation/og [Organization & Administration] MH - Self-Assessment MH - Surveys and Questionnaires AB - This article reports on a survey of district nurses' involvement in mental health interventions in one county. Seventy-nine questionnaires were sent and 46 were returned. Descriptive analysis was carried out using statistical software. The DNs reported encountering a wide range of mental health issues and interventions in practice: dementia, anxiety and depression featured highly. Over half (55%) of the respondents reported involvement in bereavement counselling, and 28% and 23% of respondents reported encountering anxiety management, and problem solving and alcohol advice respectively. A large proportion, however, reported no involvement in mental health interventions. Among the psychiatric professionals, district nurses tended to have most frequent contacts with social workers. GPs were the most likely person to whom DNs made referrals, followed by community psychiatric nurses. Despite the apparent awareness of the values of psychosocial interventions, DNs were equally influenced by the medical model of treatment. In order to realize the potential contribution of district nurses in mental health interventions, there is a need for primary care teams to foster a closer working relationship with mental health specialist services. IS - 1462-4753 IL - 1462-4753 PT - Journal Article LG - English DP - 2006 Apr DC - 20060525 YR - 2006 ED - 20060620 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16723902 <618. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16280091 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Voyer P AU - Verreault R AU - Azizah GM AU - Desrosiers J AU - Champoux N AU - Bedard A FA - Voyer, Philippe FA - Verreault, Rene FA - Azizah, Ginette M FA - Desrosiers, Johanne FA - Champoux, Nathalie FA - Bedard, Annick IN - Voyer,Philippe. Faculty of Nursing, Laval University, Quebec City, Canada. philippe.voyer@fsi.ulaval.ca TI - Prevalence of physical and verbal aggressive behaviours and associated factors among older adults in long-term care facilities. SO - BMC Geriatrics. 5:13, 2005. AS - BMC geriatr.. 5:13, 2005. NJ - BMC geriatrics PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968548 OI - Source: NLM. PMC1310539 SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Aggression MH - Female MH - *Homes for the Aged MH - Humans MH - *Long-Term Care MH - Male MH - Prevalence MH - Risk Factors MH - *Violence/sn [Statistics & Numerical Data] AB - 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. AB - 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). AB - 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. AB - 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. ES - 1471-2318 IL - 1471-2318 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20051110 DP - 2005 DC - 20051212 YR - 2005 ED - 20060614 RD - 20140910 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16280091 <619. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15761757 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holmquist IB AU - Svensson B AU - Hoglund P FA - Holmquist, Ing-Britt FA - Svensson, Bengt FA - Hoglund, Peter IN - Holmquist,Ing-Britt. Department of Nursing, Lund University, Sweden. TI - Perceived anxiety, depression, and sleeping problems in relation to psychotropic drug use among elderly in assisted-living facilities. SO - European Journal of Clinical Pharmacology. 61(3):215-24, 2005 May. AS - Eur J Clin Pharmacol. 61(3):215-24, 2005 May. NJ - European journal of clinical pharmacology PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Aged MH - *Anxiety/di [Diagnosis] MH - Anxiety/dt [Drug Therapy] MH - *Assisted Living Facilities MH - Cross-Sectional Studies MH - Data Collection/mt [Methods] MH - *Depression/di [Diagnosis] MH - Depression/dt [Drug Therapy] MH - Homes for the Aged MH - Humans MH - Professional-Patient Relations MH - Psychotropic Drugs/ad [Administration & Dosage] MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Sleep Initiation and Maintenance Disorders/di [Diagnosis] MH - Sleep Initiation and Maintenance Disorders/dt [Drug Therapy] MH - *Sleep Wake Disorders/di [Diagnosis] MH - Sleep Wake Disorders/dt [Drug Therapy] MH - Social Support MH - Surveys and Questionnaires MH - Sweden AB - OBJECTIVE: The aim of the present study was to investigate the perceived anxiety, depression, sleeping habits, and participation in social activities in relation to psychotropic drug use among elderly in assisted-living facilities and to identify factors of importance for the use of these drugs. AB - METHOD: The study had a cross-sectional design and included 93 residents living in old-age homes or in nursing homes in a municipality in southern Sweden. Data regarding medication was obtained from medical records and included all psychoactive drugs. The perceived anxiety, depression and sleeping habits of the residents were assessed using a structured interview questionnaire. AB - RESULTS: Many of the residents had sleeping problems and also reported problems concerning anxiety and depression. Of the study population, 65 (70%) used one or more psychoactive drug; 9 were prescribed neuroleptics (10%), 29 anxiolytics (31%), 43 hypnotics (43%) and 31 were prescribed anti-depressants (33%). The most commonly used psychotropic drugs as it related to the residents' problems were: benzodiazepines (oxazepam) against anxiety, benzodiazepine-related agents (zoldipem and zopiclon) against insomnia and serotonin reuptake inhibitors (SSRI; citalopram) against depression. The residents who had been treated with psychotropic drugs at home continued this treatment after moving to assisted-living facilities and approximately 30% of the residents were prescribed new psychotropic drugs. Of those that perceived anxiety, insomnia or felt depressed, between 58% and 69%, respectively, had spoken to neither a nurse nor a physician about these problems. Of those that had talked to a nurse/physician about these problems, a majority had been prescribed psychotropic drugs. Factors of importance for treatment with psychotropic drugs against anxiety, insomnia and depression were: prior treatment with these drugs at home and discussing their problems with a physician. AB - CONCLUSION: The communication between the residents and the nurses/physicians appears to be insufficient as the residents state that they have not discussed their problems with a nurse or a physician and that the prescription of psychotropic drugs does not seem to be in proportion to the residents' perceived problems. RN - 0 (Psychotropic Drugs) IS - 0031-6970 IL - 0031-6970 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20050311 DP - 2005 May DC - 20050520 YR - 2005 ED - 20060530 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15761757 <620. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16389415 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon SC AU - Laranjeira RR FA - Pillon, Sandra Cristina FA - Laranjeira, Ronaldo Ramos IN - Pillon,Sandra Cristina. Universidade Federal de Sao Paulo--Escola Paulista de Medicina, Brazil. pillon@eerp.usp.br TI - Formal education and nurses' attitudes towards alcohol and alcoholism in a Brazilian sample. SO - Sao Paulo Medical Journal = Revista Paulista de Medicina. 123(4):175-80, 2005 Jul 7. AS - Sao Paulo Med J. 123(4):175-80, 2005 Jul 7. NJ - Sao Paulo medical journal = Revista paulista de medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 100897261, dio SB - Index Medicus CP - Brazil MH - Adult MH - *Alcoholism/px [Psychology] MH - *Attitude of Health Personnel MH - Brazil MH - *Education, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Nursing Staff, Hospital MH - Surveys and Questionnaires AB - 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. AB - DESIGN AND SETTING: Quantitative, descriptive survey at Universidade Federal de Sao Paulo--Escola Paulista de Medicina and Hospital Sao Paulo. AB - 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. AB - 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. AB - CONCLUSION: Formal education regarding the use of alcohol and its consequences is limited, especially with regard to offering adequate care management for patients who have problems with or are addicted to alcohol. IS - 1516-3180 IL - 1516-3180 PT - Journal Article LG - English DP - 2005 Jul 7 DC - 20060104 YR - 2005 ED - 20060510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16389415 <621. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16546016 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley FJ AU - Heath J AU - Crowell N FA - Kelley, Frances J FA - Heath, Janie FA - Crowell, Nancy IN - Kelley,Frances J. Family Nurse Practitioner Program, Georgetown University School of Nursing and Health Studies, 3700 Reservoir Road NW, Washington, DC 20057, USA. kelleyj@georgetown.edu TI - Using the Rx for Change tobacco curriculum in advanced practice nursing education. SO - Critical Care Nursing Clinics of North America. 18(1):131-8, xiv, 2006 Mar. AS - Crit Care Nurs Clin North Am. 18(1):131-8, xiv, 2006 Mar. NJ - Critical care nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - aju, 8912620 SB - Nursing Journal CP - United States MH - Adult MH - Clinical Competence MH - Counseling MH - Critical Care MH - *Curriculum/st [Standards] MH - District of Columbia MH - *Education, Nursing, Graduate/st [Standards] MH - Educational Measurement MH - Family Nursing MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/ed [Education] MH - Nurse Clinicians/px [Psychology] MH - Nurse Midwives/ed [Education] MH - Nurse Midwives/px [Psychology] MH - *Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - Nursing Education Research MH - Pilot Projects MH - Program Evaluation MH - Self Efficacy MH - Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Cessation MH - Tobacco Use Disorder/pc [Prevention & Control] AB - In today's health care system driven by quality outcome indicators and performance care measures, it is essential for nurses to know how to intervene with tobacco-dependent patients. This article discusses pilot results from the "Rx for Change: Clinician Assisted Tobacco Cessation Curriculum" intervention conducted at Georgetown University School of Nursing and Health Studies using advanced practice students. The results reveal that 6 hours of tobacco-cessation training can increase knowledge and self-efficiency scores. IS - 0899-5885 IL - 0899-5885 PT - Evaluation Studies PT - Journal Article LG - English DP - 2006 Mar DC - 20060320 YR - 2006 ED - 20060504 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16546016 <622. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16546014 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sarna L AU - Bialous S AU - Barbeau E AU - McLellan D FA - Sarna, Linda FA - Bialous, Stella FA - Barbeau, Elizabeth FA - McLellan, Deborah IN - Sarna,Linda. School of Nursing, University of California, Los Angeles, 700 Tiverton Avenue, Box 95918, Los Angeles, CA 90095, USA. lsarna@ucla.edu TI - Strategies to implement tobacco control policy and advocacy initiatives. [Review] [58 refs] SO - Critical Care Nursing Clinics of North America. 18(1):113-22, xiii, 2006 Mar. AS - Crit Care Nurs Clin North Am. 18(1):113-22, xiii, 2006 Mar. NJ - Critical care nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - aju, 8912620 SB - Nursing Journal CP - United States MH - *Critical Care/og [Organization & Administration] MH - Education, Nursing/og [Organization & Administration] MH - *Health Plan Implementation/og [Organization & Administration] MH - *Health Policy MH - Helping Behavior MH - Humans MH - Interinstitutional Relations MH - Leadership MH - Nurse's Role MH - Nursing Research/og [Organization & Administration] MH - Patient Advocacy MH - Professional Competence MH - *Societies, Nursing/og [Organization & Administration] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - Critical care nursing organizations and individual critical care nurses can have an important impact on tobacco-related health policies. This article reviews the importance of critical care nursing involvement in policy efforts to achieve tobacco control goals, barriers to such involvement, and strategies to implement successful tobacco control policy initiatives. The involvement of the Association of Critical-Care Nurses and other nursing organizations in the Nursing Leadership in Tobacco Control Task Force is described. [References: 58] IS - 0899-5885 IL - 0899-5885 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2006 Mar DC - 20060320 YR - 2006 ED - 20060504 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16546014 <623. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16464809 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nilsen P AU - Aalto M AU - Bendtsen P AU - Seppa K FA - Nilsen, Per FA - Aalto, Mauri FA - Bendtsen, Preben FA - Seppa, Kaija IN - Nilsen,Per. Department of Health and Society, Division of Social Medicine and Public Health Science, Linkoping University, Sweden. TI - Effectiveness of strategies to implement brief alcohol intervention in primary healthcare. A systematic review. [Review] [47 refs] SO - Scandinavian Journal of Primary Health Care. 24(1):5-15, 2006 Mar. AS - Scand J Prim Health Care. 24(1):5-15, 2006 Mar. NJ - Scandinavian journal of primary health care PI - Journal available in: Print PI - Citation processed from: Print JC - 8510679, sif SB - Index Medicus CP - Norway MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Communication MH - Counseling MH - Follow-Up Studies MH - *Health Promotion MH - Humans MH - Nurse-Patient Relations MH - Outcome Assessment (Health Care) MH - Patient Participation MH - Physician-Patient Relations MH - *Primary Health Care MH - Risk Factors AB - 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? AB - METHOD: Literature search from Medline, Cinahl, PsychLIT, Cochrane. AB - SETTING: Primary healthcare. AB - MATERIAL: A total of 11 studies encompassing 921 GPs, 266 nurses, 88 medical students, and 44 "non-physicians" from Europe, the USA, and Australia. AB - MAIN OUTCOME MEASURES: Material utilization, screening, and brief intervention rates. AB - 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. [References: 47] IS - 0281-3432 IL - 0281-3432 PT - Journal Article PT - Review LG - English DP - 2006 Mar DC - 20060208 YR - 2006 ED - 20060419 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16464809 <624. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16490734 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morgan BD FA - Morgan, Betty D IN - Morgan,Betty D. University of Massachusetts Lowell School of Health and Environment, Department of Nursing, Lowell, Massachusetts 01854, USA. Betty_Morgan@uml.edu TI - Knowing how to play the game: hospitalized substance abusers' strategies for obtaining pain relief. SO - Pain Management Nursing. 7(1):31-41, 2006 Mar. AS - Pain Manag Nurs. 7(1):31-41, 2006 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adult MH - Agonistic Behavior MH - Attitude of Health Personnel MH - Attitude to Health MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - *Inpatients/px [Psychology] MH - Machiavellianism MH - Middle Aged MH - Models, Nursing MH - *Models, Psychological MH - Negativism MH - Nurse's Role/px [Psychology] MH - *Nurse-Patient Relations MH - Nursing Methodology Research MH - *Nursing Staff, Hospital/px [Psychology] MH - Pain/co [Complications] MH - *Pain/pc [Prevention & Control] MH - Pain/px [Psychology] MH - Patient Advocacy MH - Prejudice MH - Stereotyping MH - *Substance-Related Disorders/co [Complications] AB - 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 " Strategizing 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. IS - 1524-9042 IL - 1524-9042 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Mar DC - 20060221 YR - 2006 ED - 20060413 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16490734 <625. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16490733 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arnaert A AU - Ciccotosto G FA - Arnaert, Antonia FA - Ciccotosto, Gina IN - Arnaert,Antonia. McGill University, School of Nursing, Montreal, Quebec, Canada. Antonia.arnaert@mcgill.ca TI - Response phases in methadone treatment for chronic nonmalignant pain. SO - Pain Management Nursing. 7(1):23-30, 2006 Mar. AS - Pain Manag Nurs. 7(1):23-30, 2006 Mar. NJ - Pain management nursing : official journal of the American Society of Pain Management Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 100890606 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Causality MH - Chronic Disease MH - Family/px [Psychology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Middle Aged MH - Models, Psychological MH - Negativism MH - Nurse's Role MH - Nursing Methodology Research MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - *Pain/px [Psychology] MH - *Patient Acceptance of Health Care/px [Psychology] MH - Patient Education as Topic MH - Qualitative Research MH - Quebec MH - Self Disclosure MH - Self Efficacy MH - Social Support MH - Stereotyping MH - Surveys and Questionnaires MH - Trust AB - 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. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1524-9042 IL - 1524-9042 PT - Journal Article LG - English DP - 2006 Mar DC - 20060221 YR - 2006 ED - 20060413 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16490733 <626. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16393188 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Samet JH AU - Galanter M AU - Bridden C AU - Lewis DC FA - Samet, Jeffrey H FA - Galanter, Marc FA - Bridden, Carly FA - Lewis, David C IN - Samet,Jeffrey H. Clinical Addiction Research and Education Unit (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston Medical Center, MA 02118, USA. jsamet@bu.edu TI - Association for medical education and research in substance abuse. SO - Addiction. 101(1):10-5, 2006 Jan. AS - Addiction. 101(1):10-5, 2006 Jan. NJ - Addiction (Abingdon, England) PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 SB - Index Medicus CP - England MH - Awards and Prizes MH - Curriculum MH - *Education, Medical/mt [Methods] MH - Financing, Organized/mt [Methods] MH - Health Education/mt [Methods] MH - Health Personnel/ed [Education] MH - Humans MH - Leadership MH - Mental Health Associations/ec [Economics] MH - *Mental Health Associations MH - Periodicals as Topic MH - *Research MH - *Staff Development/mt [Methods] MH - *Substance-Related Disorders MH - *Teaching/og [Organization & Administration] MH - United States AB - The Association for Medical Education and Research in Substance Abuse (AMERSA) is a multi-disciplinary organization committed to health professional faculty development in substance abuse. In 1976, members of the Career Teachers Training Program in Alcohol and Drug Abuse, a US federally funded multi-disciplinary faculty development program, formed AMERSA. The organization grew from 59 founding members, who were primarily medical school faculty, to over 300 health professionals from a spectrum of disciplines including physicians, nurses, social workers, dentists, allied health professionals, psychologists and other clinical educators who are responsible for advancing substance abuse education. AMERSA members promote substance abuse education among health professionals by developing curricula, promulgating relevant policy and training health professional faculty to become excellent teachers in this field. AMERSA influences public policy by offering standards for improving substance abuse education. The organization publishes a peer-reviewed, quarterly journal, Substance Abuse, which emphasizes research on the education and training of health professions and also includes original clinical and prevention research. Each year, the AMERSA National Conference brings together researchers and health professional educators to learn about scientific advances and exemplary teaching approaches. In the future, AMERSA will continue to pursue this mission of advancing and supporting health professional faculty who educate students and trainees to address substance abuse in patients and clients. IS - 0965-2140 IL - 0965-2140 PT - Journal Article LG - English DP - 2006 Jan DC - 20060105 YR - 2006 ED - 20060413 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16393188 <627. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16501780 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright Mda G AU - Caufield C AU - Gray G AU - Olson J AU - Luduena Adel C AU - Musayon Oblitas FY AU - Huaiquian Silva J AU - David HM AU - Piedra Chavez KA AU - Bernal Roldan MC AU - Cartana Mdo H AU - Allonso Castillo MM AU - Pillon S AU - Galera SA AU - Randuz V FA - Wright, Maria da Gloria Miotto FA - Caufield, Catherine FA - Gray, Genevieve FA - Olson, Joanne FA - Luduena, Alicia del Carmen FA - Musayon Oblitas, Flor Yesenia FA - Huaiquian Silva, Julia FA - David, Helena Maria Scherlowski FA - Piedra Chavez, Ketty Aracely FA - Bernal Roldan, Maria Carmen FA - Cartana, Maria do Horto Fontoura FA - Allonso Castillo, Maria Magdalena FA - Pillon, Sandra FA - Galera, Sueli Aparecida Frari FA - Randuz, Vera IN - Wright,Maria da Gloria Miotto. Inter-American Drug Abuse Control Commission, Organization of American States. TI - 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. SO - Revista Latino-Americana de Enfermagem. 13 Spec No:1102-17, 2005 Nov-Dec. AS - Rev Lat Am Enfermagem. 13 Spec No:1102-17, 2005 Nov-Dec. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Alberta MH - Argentina MH - Brazil MH - Chile MH - Colombia MH - Curriculum MH - Ecuador MH - *Education, Nursing MH - Humans MH - International Agencies MH - *International Cooperation MH - Leadership MH - Mexico MH - *Nursing Research MH - Peru MH - Program Development MH - *Schools, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0104-1169 IL - 0104-1169 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20060223 DP - 2005 Nov-Dec DC - 20060227 YR - 2005 ED - 20060410 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16501780 <628. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16501779 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright Mda G AU - Caufield C AU - Gray G AU - Olson J FA - Wright, Maria da Gloria Miotto FA - Caufield, Catherine FA - Gray, Genevieve FA - Olson, Joanne IN - Wright,Maria da Gloria Miotto. Inter-American Drug Abuse Control Commission/CICAD-Organization of American States. TI - International Research Capacity-Building Programs for Nurses to Study the Drug Phenomenon in Latin America: challenges and perspectives. SO - Revista Latino-Americana de Enfermagem. 13 Spec No:1095-101, 2005 Nov-Dec. AS - Rev Lat Am Enfermagem. 13 Spec No:1095-101, 2005 Nov-Dec. NJ - Revista latino-americana de enfermagem PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bxx, 9420934 SB - Nursing Journal CP - Brazil MH - Alberta MH - Humans MH - International Agencies MH - International Cooperation MH - *International Educational Exchange MH - Latin America MH - *Nursing Research MH - Program Development MH - *Schools, Nursing MH - Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. RN - 0 (Street Drugs) IS - 0104-1169 IL - 0104-1169 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20060223 DP - 2005 Nov-Dec DC - 20060227 YR - 2005 ED - 20060410 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16501779 <629. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16536398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooper P AU - Doolin N AU - Hemming I AU - Rowlands E FA - Cooper, Phil FA - Doolin, Neil FA - Hemming, Ian FA - Rowlands, Elizabeth IN - Cooper,Phil. philip.cooper@5boroughspartnership.nhs.uk TI - Participants' evaluation of a training programme in dual diagnosis. SO - Nursing Standard. 20(25):48-56, 2006 Mar 1-7. AS - Nurs Stand. 20(25):48-56, 2006 Mar 1-7. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - Benchmarking MH - Clinical Competence/st [Standards] MH - Community Health Nursing/ed [Education] MH - Community Mental Health Services/og [Organization & Administration] MH - Community-Institutional Relations MH - Curriculum/st [Standards] MH - Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - England MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training/og [Organization & Administration] MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/th [Therapy] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - Program Development MH - Program Evaluation MH - Psychiatric Nursing/ed [Education] MH - Self-Assessment MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - 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. IS - 0029-6570 IL - 0029-6570 PT - Evaluation Studies PT - Journal Article LG - English DP - 2006 Mar 1-7 DC - 20060315 YR - 2006 ED - 20060331 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16536398 <630. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16441402 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young A FA - Young, A IN - Young,A. Faculty of Health and Wellbeing, Sheffield Hallam University, UK. a.young@shu.ac.uk TI - Dual diagnosis and forensic care. Are the needs of service users being met?. [Review] [35 refs] SO - Journal of Psychiatric & Mental Health Nursing. 13(1):117-24, 2006 Feb. AS - J Psychiatr Ment Health Nurs. 13(1):117-24, 2006 Feb. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Benchmarking MH - *Diagnosis, Dual (Psychiatry) MH - Forensic Psychiatry/ed [Education] MH - *Forensic Psychiatry/st [Standards] MH - Great Britain/ep [Epidemiology] MH - *Health Services Needs and Demand MH - Humans MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - Nurse's Role MH - Practice Guidelines as Topic MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Review LG - English DP - 2006 Feb DC - 20060130 YR - 2006 ED - 20060317 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16441402 <631. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16441398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Villar-Luis M AU - Carraro TE AU - Lopes G FA - Rassool, G H FA - Villar-Luis, M FA - Carraro, T E FA - Lopes, G IN - Rassool,G H. University of Sao Paulo (EERP-USP), Sao Paulo, Brazil. grasscool@sgul.ac.uk TI - Undergraduate nursing students' perceptions of substance use and misuse: a Brazilian position. SO - Journal of Psychiatric & Mental Health Nursing. 13(1):85-9, 2006 Feb. AS - J Psychiatr Ment Health Nurs. 13(1):85-9, 2006 Feb. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Brazil/ep [Epidemiology] MH - Causality MH - Clinical Competence/st [Standards] MH - Curriculum/st [Standards] MH - Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Baccalaureate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Male MH - Nurse's Role/px [Psychology] MH - Nursing Assessment MH - Nursing Education Research MH - Nursing Methodology Research MH - Organizational Innovation MH - Philosophy, Nursing MH - Social Values MH - Stereotyping MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 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. IS - 1351-0126 IL - 1351-0126 PT - Journal Article LG - English DP - 2006 Feb DC - 20060130 YR - 2006 ED - 20060317 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16441398 <632. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16330188 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galimberti CA AU - Magri F AU - Magnani B AU - Arbasino C AU - Cravello L AU - Marchioni E AU - Tartara A FA - Galimberti, Carlo Andrea FA - Magri, Flavia FA - Magnani, Barbara FA - Arbasino, Carla FA - Cravello, Luca FA - Marchioni, Enrico FA - Tartara, Amelia IN - Galimberti,Carlo Andrea. I.R.C.C.S. C. Mondino Institute of Neurology Foundation, via Mondino 2, 27100 Pavia, Italy. carloandrea.galimberti@mondino.it TI - Antiepileptic drug use and epileptic seizures in elderly nursing home residents: a survey in the province of Pavia, Northern Italy. SO - Epilepsy Research. 68(1):1-8, 2006 Jan. AS - Epilepsy Res. 68(1):1-8, 2006 Jan. NJ - Epilepsy research PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ema, 8703089 SB - Index Medicus CP - Netherlands MH - Age Factors MH - Aged MH - Aged, 80 and over MH - *Anticonvulsants/tu [Therapeutic Use] MH - Epilepsy/di [Diagnosis] MH - *Epilepsy/dt [Drug Therapy] MH - Epilepsy/ep [Epidemiology] MH - Female MH - Health Care Surveys MH - *Homes for the Aged MH - Humans MH - Italy MH - Logistic Models MH - Male MH - Middle Aged MH - *Nursing Homes MH - Prevalence AB - 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. RN - 0 (Anticonvulsants) IS - 0920-1211 IL - 0920-1211 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20051205 DP - 2006 Jan DC - 20060109 YR - 2006 ED - 20060316 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16330188 <633. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16340695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Valente S AU - Nemec C FA - Valente, Sharon FA - Nemec, Constance IN - Valente,Sharon. Department of Veterans Affairs, Los Angeles, CA 90049, USA. sharon.valente@med.va.gov TI - An evidence-based project to improve depression and alcohol use screening. SO - Journal of Nursing Care Quality. 21(1):93-8, 2006 Jan-Mar. AS - J Nurs Care Qual. 21(1):93-8, 2006 Jan-Mar. NJ - Journal of nursing care quality PI - Journal available in: Print PI - Citation processed from: Print JC - a82, 9200672 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Attitude of Health Personnel MH - Benchmarking MH - Curriculum MH - *Depressive Disorder/di [Diagnosis] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Evidence-Based Medicine/ed [Education] MH - *Evidence-Based Medicine/og [Organization & Administration] MH - Health Services Accessibility/st [Standards] MH - Home Care Services/st [Standards] MH - Humans MH - Mass Screening/px [Psychology] MH - *Mass Screening/st [Standards] MH - Nurse's Role MH - Nursing Education Research MH - Nursing Methodology Research MH - Outcome Assessment (Health Care) MH - Primary Health Care/st [Standards] MH - Program Development MH - Program Evaluation MH - *Total Quality Management/og [Organization & Administration] AB - 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%. IS - 1057-3631 IL - 1057-3631 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2006 Jan-Mar DC - 20051212 YR - 2006 ED - 20060314 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16340695 <634. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16079435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Bernstein J FA - Bernstein, Edward FA - Bernstein, Judith TI - SBIRT: qualified trained assistants are necessary but not sufficient. CM - Comment on: Acad Emerg Med. 2005 Mar;12(3):245-6; PMID: 15741588 SO - Academic Emergency Medicine. 12(8):786; author reply 786-7, 2005 Aug. AS - Acad Emerg Med. 12(8):786; author reply 786-7, 2005 Aug. NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - ce1, 9418450 SB - Index Medicus CP - United States MH - *Behavior Therapy/mt [Methods] MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine/mt [Methods] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/mt [Methods] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Humans MH - Outcome and Process Assessment (Health Care) MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States ES - 1553-2712 IL - 1069-6563 PT - Comment PT - Letter LG - English DP - 2005 Aug DC - 20050804 YR - 2005 ED - 20060310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16079435 <635. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16443956 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy N AU - Canales MK AU - Norton SA AU - DeFilippis J FA - Murphy, Nancy FA - Canales, Mary K FA - Norton, Sally A FA - DeFilippis, Jeannette IN - Murphy,Nancy. Center for Comprehensive Care, St. Luke's Roosevelt Hospital Center, USA. TI - Striving for congruence: the interconnection between values, practice, and political action. SO - Policy, Politics, & Nursing Practice. 6(1):20-9, 2005 Feb. AS - POLICY POLIT NURS PRACT. 6(1):20-9, 2005 Feb. NJ - Policy, politics & nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - 100901316 SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing MH - Harm Reduction MH - *Health Policy MH - Humans MH - *Lobbying MH - *Nursing MH - *Patient Advocacy MH - Social Justice MH - *Social Values MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. IS - 1527-1544 IL - 1527-1544 PT - Journal Article LG - English DP - 2005 Feb DC - 20060130 YR - 2005 ED - 20060216 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16443956 <636. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16295995 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - West MM FA - West, Margaret Mary IN - West,Margaret Mary. Thomas Jefferson University, Department of Nursing, Nursing Education Center at Geisinger Medical Center, USA. TI - Early risk patterns in substance abuse impaired nurses. SO - Pennsylvania Nurse. 60(4):20-1, 2005 Sep. AS - Pa Nurse. 60(4):20-1, 2005 Sep. NJ - The Pennsylvania nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ooj, 19540010r SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel MH - Case-Control Studies MH - Discriminant Analysis MH - Education, Nursing, Continuing MH - Exploratory Behavior MH - Female MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - Nursing Staff/ed [Education] MH - Nursing Staff/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Occupational Health MH - *Professional Impairment/px [Psychology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - *Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] IS - 0031-4617 IL - 0031-4617 PT - Journal Article LG - English DP - 2005 Sep DC - 20051118 YR - 2005 ED - 20060209 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16295995 <637. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16350761 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stevenson JS AU - Sommers MS FA - Stevenson, Joanne Sabol FA - Sommers, Marilyn Sawyer IN - Stevenson,Joanne Sabol. Graduate Program, Mount Carmel College of Nursing, Columbus, OH, USA. TI - The case for alcohol research as a focus of study by nurse researchers. SO - Annual Review of Nursing Research. 23:3-26, 2005. AS - Annu Rev Nurs Res. 23:3-26, 2005. NJ - Annual review of nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - arr, 8406387 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking MH - *Alcohol-Related Disorders/nu [Nursing] MH - Curriculum MH - Education, Nursing MH - Humans MH - *Nursing Research MH - Research Support as Topic MH - United States AB - 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. IS - 0739-6686 IL - 0739-6686 PT - Journal Article LG - English DP - 2005 DC - 20051214 YR - 2005 ED - 20060112 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16350761 <638. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16043435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geirsson M AU - Bendtsen P AU - Spak F FA - Geirsson, Magnus FA - Bendtsen, Preben FA - Spak, Fredrik IN - Geirsson,Magnus. Ekangsvagen 15, 541 40 Skovde, Sweden. magnus.geirsson@vgregion.se TI - Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. SO - Alcohol & Alcoholism. 40(5):388-93, 2005 Sep-Oct. AS - Alcohol Alcohol. 40(5):388-93, 2005 Sep-Oct. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - aal, 8310684 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Education, Medical, Graduate MH - Female MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Life Style MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Patient Compliance/px [Psychology] MH - *Physicians, Family/px [Psychology] MH - Secondary Prevention MH - Sweden AB - AIMS: To explore the attitudes of Swedish general practitioners (GPs) and 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. AB - 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. AB - 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. AB - 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. IS - 0735-0414 IL - 0735-0414 PT - Journal Article LG - English EP - 20050725 DP - 2005 Sep-Oct DC - 20050818 YR - 2005 ED - 20060111 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16043435 <639. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15956267 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL FA - Brennan, Penny L IN - Brennan,Penny L. Center for Health Care Evaluation (152- VA Palo Alto Health Care System, Menlo Park Division, 795 Willow Road, Menlo Park, CA 94025, USA. penny.brennan@med.va.gov TI - Functioning and health service use among elderly nursing home residents with alcohol use disorders: findings from the National Nursing Home Survey. SO - American Journal of Geriatric Psychiatry. 13(6):475-83, 2005 Jun. AS - Am J Geriatr Psychiatry. 13(6):475-83, 2005 Jun. NJ - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - cm3, 9309609 SB - Index Medicus CP - United States MH - Activities of Daily Living MH - Aged MH - *Alcoholism/ep [Epidemiology] MH - Demography MH - Female MH - *Health Services/ut [Utilization] MH - Humans MH - Male MH - Mental Health Services/ut [Utilization] MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Patient Admission/sn [Statistics & Numerical Data] MH - Social Work/sn [Statistics & Numerical Data] MH - *Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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 x 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. AB - 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. IS - 1064-7481 IL - 1064-7481 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - AA 06699 (United States NIAAA NIH HHS) NO - AA 12718 (United States NIAAA NIH HHS) LG - English DP - 2005 Jun DC - 20050615 YR - 2005 ED - 20060110 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15956267 <640. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15890286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tarzian AJ AU - Hoffmann DE FA - Tarzian, Anita J FA - Hoffmann, Diane E IN - Tarzian,Anita J. Law and Health Care Program, University of Maryland School of Law, Baltimore, MD 21201-1786, USA. atarzian@law.umaryland.edu TI - Barriers to managing pain in the nursing home: findings from a statewide survey. SO - Journal of the American Medical Directors Association. 6(3 Suppl):S13-9, 2005 May-Jun. AS - J AM MED DIR ASSOC. 6(3 Suppl):S13-9, 2005 May-Jun. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - *Clinical Competence MH - Connecticut MH - *Guideline Adherence MH - Health Care Surveys MH - *Health Services Accessibility MH - *Homes for the Aged/st [Standards] MH - Humans MH - Long-Term Care/st [Standards] MH - *Nursing Homes/st [Standards] MH - Nursing Staff/ed [Education] MH - Organizational Policy MH - Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Practice Guidelines as Topic AB - 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. AB - DESIGN: Mailed survey. AB - SETTING: All licensed Connecticut nursing homes. AB - PARTICIPANTS: Directors of Nursing (DONs). AB - MEASUREMENTS: Survey eliciting pain management demographics, perceived resources, and perceived barriers to adequately manage pain in respondents' nursing home. AB - 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. AB - 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. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 May-Jun DC - 20050513 YR - 2005 ED - 20051227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15890286 <641. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16177579 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crumpler J AU - Ross A FA - Crumpler, Janet FA - Ross, Amelia IN - Crumpler,Janet. Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA. jcrumple@wfubmc.edu TI - Development of an alcohol withdrawal protocol: a quality of care initiative. SO - Journal of Nursing Care Quality. 20(4):297-301, 2005 Oct-Dec. AS - J Nurs Care Qual. 20(4):297-301, 2005 Oct-Dec. NJ - Journal of nursing care quality PI - Journal available in: Print PI - Citation processed from: Print JC - a82, 9200672 SB - Index Medicus SB - Nursing Journal CP - United States MH - Aged MH - *Alcohol Withdrawal Delirium/pc [Prevention & Control] MH - *Alcohol Withdrawal Seizures/pc [Prevention & Control] MH - Algorithms MH - Anti-Anxiety Agents/tu [Therapeutic Use] MH - Benchmarking MH - Benzodiazepines/tu [Therapeutic Use] MH - *Clinical Protocols/st [Standards] MH - Decision Trees MH - Drug Monitoring/mt [Methods] MH - Drug Monitoring/nu [Nursing] MH - Evidence-Based Medicine MH - Humans MH - Male MH - North Carolina MH - Nurse Clinicians/ed [Education] MH - Nurse Clinicians/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/og [Organization & Administration] MH - Pilot Projects MH - Practice Guidelines as Topic MH - *Quality Assurance, Health Care/og [Organization & Administration] MH - Severity of Illness Index MH - *Total Quality Management/og [Organization & Administration] MH - Trauma Centers RN - 0 (Anti-Anxiety Agents) RN - 12794-10-4 (Benzodiazepines) IS - 1057-3631 IL - 1057-3631 PT - Case Reports PT - Evaluation Studies PT - Journal Article LG - English DP - 2005 Oct-Dec DC - 20050922 YR - 2005 ED - 20051223 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16177579 <642. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16114584 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Van Duijl M AU - Cardena E AU - De Jong JT FA - Van Duijl, Marjolein FA - Cardena, Etzel FA - De Jong, Joop T V M IN - Van Duijl,Marjolein. Center for Mental Health, Winschoten, The Netherlands. marjolein.vanduijl@planet.nl TI - The validity of DSM-IV dissociative disorders categories in south-west Uganda. SO - Transcultural Psychiatry. 42(2):219-41, 2005 Jun. AS - TRANSCULT PSYCHIATRY. 42(2):219-41, 2005 Jun. NJ - Transcultural psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 9708119 SB - Index Medicus CP - England MH - Adult MH - Clergy/px [Psychology] MH - *Cross-Cultural Comparison MH - Diagnosis, Differential MH - *Diagnostic and Statistical Manual of Mental Disorders MH - Dissociative Disorders/di [Diagnosis] MH - *Dissociative Disorders/eh [Ethnology] MH - Female MH - Humans MH - Male MH - Medicine, Traditional MH - Middle Aged MH - Psychometrics MH - Religion and Psychology MH - Reproducibility of Results MH - Spiritualism MH - Statistics as Topic MH - Students, Medical/px [Psychology] MH - Students, Nursing/px [Psychology] MH - Uganda AB - There is little systematic research on the cross-cultural validity of the dissociative disorders, especially in non-western countries. This study evaluates the fit of the DSM-IV classification and concepts of these disorders with local concepts, experiences and local presentations in south-west Uganda. We conducted focus group discussions with medical students, traditional healers, religious leaders, counselors, community members and other health workers (n=48). They were supplemented by key informant interviews with religious people, traditional healers and leaders (n=11). The responses were subjected to thematic analysis. Dissociative amnesia and depersonalization were generally recognized and seen as the result of traumatic experiences and were useful categories in Uganda. However, dissociative fugue did not match local concepts and was confused with spirit possession and other conditions such as alcoholic fugues and dementia. The description of dissociative identity disorder was always interpreted as a possession trance disorder by the local healers. We found only partial support for the validity of the DSM-IV classification of dissociative disorders in Uganda. IS - 1363-4615 IL - 1363-4615 PT - Comparative Study PT - Journal Article LG - English DP - 2005 Jun DC - 20050823 YR - 2005 ED - 20051201 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16114584 <643. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15991149 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy-Parker D AU - Martinez RJ FA - Murphy-Parker, Dana FA - Martinez, Ruby J IN - Murphy-Parker,Dana. Division of Nursing, The Steinhardt School of Education, New York University, New York, NY 10009, USA. dmp334@nyu.edu TI - Nursing students' personal experiences involving alcohol problems. SO - Archives of Psychiatric Nursing. 19(3):150-8, 2005 Jun. AS - Arch Psychiatr Nurs. 19(3):150-8, 2005 Jun. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Culture MH - Curriculum MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - Prognosis MH - *Psychiatric Nursing/ed [Education] MH - Social Distance MH - *Students, Nursing/px [Psychology] MH - United States AB - 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. IS - 0883-9417 IL - 0883-9417 PT - Journal Article LG - English DP - 2005 Jun DC - 20050701 YR - 2005 ED - 20051130 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15991149 <644. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16170266 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffrey R AU - Zerwekh J AU - Keller K FA - McCaffrey, Ruth FA - Zerwekh, Joyce FA - Keller, Kathryn IN - McCaffrey,Ruth. College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, USA. rmccaffr@fau.edu TI - Pain management: cognitive restructuring as a model for teaching nursing students. [Review] [26 refs] SO - Nurse Educator. 30(5):226-30, 2005 Sep-Oct. AS - Nurse Educ. 30(5):226-30, 2005 Sep-Oct. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Cognitive Therapy MH - *Education, Nursing MH - Humans MH - Models, Educational MH - *Pain/nu [Nursing] MH - *Students, Nursing/px [Psychology] MH - *Teaching/mt [Methods] AB - 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. [References: 26] IS - 0363-3624 IL - 0363-3624 PT - Journal Article PT - Review LG - English DP - 2005 Sep-Oct DC - 20050919 YR - 2005 ED - 20051129 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16170266 <645. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16048368 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee Ridner S AU - Staten RR AU - Danner FW FA - Lee Ridner, S FA - Staten, Ruth R FA - Danner, Fred W IN - Lee Ridner,S. School of Nursing, University of Louisville, Louisville, KY, USA. TI - Smoking and depressive symptoms in a college population. SO - Journal of School Nursing. 21(4):229-35, 2005 Aug. AS - J Sch Nurs. 21(4):229-35, 2005 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adult MH - Attitude to Health MH - Cross-Sectional Studies MH - *Depression/ep [Epidemiology] MH - Female MH - *Health Status MH - Humans MH - Male MH - Peer Group MH - Regression Analysis MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - Southeastern United States/ep [Epidemiology] MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/nu [Nursing] AB - 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. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 2005 Aug DC - 20050728 YR - 2005 ED - 20051115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16048368 <646. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16047529 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan PL AU - Greenbaum MA FA - Brennan, Penny L FA - Greenbaum, Mark A IN - Brennan,Penny L. Center for Health Care Evaluation, Department of Veterans Affairs Palo Alto Health Care System, Menlo Park Division, Menlo Park, California, USA. penny.brennan@med.va.gov TI - Functioning, problem behavior and health services use among nursing home residents with alcohol-use disorders: nationwide data from the VA minimum data set. SO - Journal of Studies on Alcohol. 66(3):395-400, 2005 May. AS - J. stud. alcohol. 66(3):395-400, 2005 May. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/th [Therapy] MH - Female MH - Health Status MH - Humans MH - Male MH - *Mental Health Services/ut [Utilization] MH - Middle Aged MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Patient Acceptance of Health Care MH - Residential Treatment MH - United States/ep [Epidemiology] MH - United States Department of Veterans Affairs AB - 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. AB - 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. AB - 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. AB - 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. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - AA06699 (United States NIAAA NIH HHS) NO - AA12718 (United States NIAAA NIH HHS) LG - English DP - 2005 May DC - 20050728 YR - 2005 ED - 20051108 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16047529 <647. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16006380 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mulvihill D FA - Mulvihill, Deanna IN - Mulvihill,Deanna. University of Western Ontario, London, Canada. dmulvih@uwo.ca TI - The health impact of childhood trauma: an interdisciplinary review, 1997-2003. [Review] [80 refs] SO - Issues in Comprehensive Pediatric Nursing. 28(2):115-36, 2005 Apr-Jun. AS - Issues Compr Pediatr Nurs. 28(2):115-36, 2005 Apr-Jun. NJ - Issues in comprehensive pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - g94, 7702326 SB - Nursing Journal CP - United States MH - Child MH - Child Abuse/di [Diagnosis] MH - Child Abuse/pc [Prevention & Control] MH - *Child Abuse/px [Psychology] MH - *Child Welfare MH - Health Services Needs and Demand MH - Humans MH - Mass Screening MH - Models, Psychological MH - *Patient Care Team/og [Organization & Administration] MH - Research Design MH - Risk Factors MH - Social Support MH - Stress Disorders, Post-Traumatic/di [Diagnosis] MH - *Stress Disorders, Post-Traumatic/et [Etiology] MH - Stress Disorders, Post-Traumatic/px [Psychology] MH - Stress Disorders, Post-Traumatic/th [Therapy] MH - Surveys and Questionnaires MH - Time Factors AB - 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. [References: 80] IS - 0146-0862 IL - 0146-0862 PT - Journal Article PT - Review LG - English DP - 2005 Apr-Jun DC - 20050711 YR - 2005 ED - 20051014 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16006380 <648. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15893097 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lappalainen-Lehto R AU - Seppa K AU - Nordback I FA - Lappalainen-Lehto, Riitta FA - Seppa, Kaija FA - Nordback, Isto IN - Lappalainen-Lehto,Riitta. Department of Surgery, Tampere University Hospital, Finland. ritta.lappalainen-lehto@pshp.fi TI - Cutting down substance abuse--present state and visions among surgeons and nurses. SO - Addictive Behaviors. 30(5):1013-8, 2005 Jun. AS - Addict Behav. 30(5):1013-8, 2005 Jun. NJ - Addictive behaviors PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Clinical Competence MH - Female MH - *General Surgery MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Nurses/px [Psychology] MH - *Nurses MH - Self-Assessment MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] AB - BACKGROUND: Although substance abuse is variably common among surgical patients, detection of the problem and brief interventions are seldom undertaken. The aim of the present study was to assess surgeons' and nurses' activity in screening substance abuse among their patients and obstacles concerning intervention of patients with substance abuse. AB - METHODS: Surgeons and nurses of The Department of Surgery, Tampere University Hospital were asked to predict if the surgical patients treated during a 24-h period (n=211) had a substance abuse disorder. This was compared to the patients' self-reports based on the Alcohol Use Disorders Identification Test (AUDIT) and questions about use of other substances. The surgeons and the nurses were also asked to complete a questionnaire related to interventions of patients with substance abuse; perceived knowledge, skills, attitudes and obstacles. AB - RESULTS: Of the surgical patients, 47 (22%) proved to be substance abusers. Out of them, 23% were detected by surgeons and nurses. Of the surgeons (n=44) 83% and of the nurses (n=332) 84% perceived responsibility for intervention but claimed many obstacles. Nurses reported the lack of knowledge as the main obstacle. Of the nurses 18% reported enough knowledge to conduct the whole brief intervention compared to 34% of surgeons (p=0.021). The main obstacle reported by surgeons was the lack of time. AB - CONCLUSIONS: Surgeons and nurses detect only minority of the substance abusing surgical patients. Lack of knowledge and time prevent intervening in patients' substance abuse. These results may be utilized when developing a program to better involve surgeons and nurses in detection and intervention of surgical patients' substance abuse. IS - 0306-4603 IL - 0306-4603 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jun DC - 20050516 YR - 2005 ED - 20051013 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15893097 <649. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16097200 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knott G FA - Knott, Gill IN - Knott,Gill. Gateshead NHS. TI - Nightlife and health. CM - Comment on: Nurs Stand. 2005 Apr 6-12;19(30):63-71; quiz 73; PMID: 15835440 SO - Nursing Standard. 19(46):67, 2005 Jul 27-Aug 2. AS - Nurs Stand. 19(46):67, 2005 Jul 27-Aug 2. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/mt [Methods] MH - *Health Promotion/mt [Methods] MH - Humans MH - *Leisure Activities MH - Nurse's Role MH - Nursing Staff, Hospital/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Time Factors IS - 0029-6570 IL - 0029-6570 PT - Comment PT - Journal Article LG - English DP - 2005 Jul 27-Aug 2 DC - 20050815 YR - 2005 ED - 20050929 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16097200 <650. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16146063 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kalinowski P AU - Karwat ID FA - Kalinowski, Pawel FA - Karwat, Irena Dorota IN - Kalinowski,Pawel. Chair and Department of Epidemiology, Skubiszewski Medical University of Lublin. TI - The influence of environmental factors and education on tobacco smoking among students of the Faculty of Nursing, Medical University of Lublin. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 59(2):124-8, 2004. AS - Ann Univ Mariae Curie Sklodowska [Med]. 59(2):124-8, 2004. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - Adult MH - *Education, Nursing MH - Environment MH - Female MH - Health Behavior MH - Humans MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Students, Nursing AB - 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. IS - 0066-2240 IL - 0066-2240 PT - Journal Article LG - English DP - 2004 DC - 20050908 YR - 2004 ED - 20050922 RD - 20090605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16146063 <651. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16146043 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zolnierczuk-Kieliszek D AU - Wachowska-Gil K FA - Zolnierczuk-Kieliszek, Dorota FA - Wachowska-Gil, Karolina IN - Zolnierczuk-Kieliszek,Dorota. Interfaculty Chair and Department of Public Health, Skubiszewski Medical University of Lublin. TI - Attitudes of patients and staff towards tobacco smoking in hospital. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 59(2):19-25, 2004. AS - Ann Univ Mariae Curie Sklodowska [Med]. 59(2):19-25, 2004. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - *Attitude MH - *Attitude of Health Personnel MH - Hospitals MH - Humans MH - Organizational Policy MH - *Personnel, Hospital MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] AB - The aim of this paper was to establish the frequency and intensity of smoking by the patients and hospital staff and to define the attitudes of the polled persons towards smoking tobacco on the premises of the hospital and their opinions about the limitations in force. The examination in the form of a distributed questionnaire, comprised 101 patients and 127 staff members of Henryk Klimontowicz Specialist Hospital in Gorlice (province of Malopolska /Little Poland/). Both mobile and bed-ridden patients participated in the study. The personnel was represented by physicians, nurses, ward attendants, psychologists, secretaries, Medical University students doing their apprenticeships on the premises of the hospital, employees of technical and administrative departments. The study was carried out by means of a diagnostic sounding with the use of a distributed questionnaire technique in the period from September 2002 to July 2003. The questionnaire contained 38 questions, including closed, open, half-open and multiple-choice questions. In our poll we used the Fagerstrom test, which determined the type of addiction to smoking tobacco (physical or psychological), and which was completed by tobacco-smokers. The statistical analysis was carried out by means of the Chi2 test for independence, assuming the significance level of 0.05. The obtained results were analyzed according to the sex of the polled persons and their functions in the premises of the hospital (patient, staff member). The results of the obtained analysis show that 13.9% of the polled patients of the Specialist Hospital in Gorlice smoked cigarettes every day. The percentage of everyday smokers among the staff of this hospital was significantly higher and equalled 18.1%. Half of the polled persons were exposed to passive smoking on the premises of the hospital, the staff more than the patients. The patients supported the restrictions concerning smoking on the premises of the hospital to a greater extent than the personnel. Most of the smokers claimed that they were trying to cut down on smoking on the premises of the hospital. Despite these declarations, tobacco-smokers smoked cigarettes in the area of the hospital anyway, and one fifth of the smokers smoked also outside the places designed for that purpose. RN - 0 (Tobacco Smoke Pollution) IS - 0066-2240 IL - 0066-2240 PT - Journal Article LG - English DP - 2004 DC - 20050908 YR - 2004 ED - 20050922 RD - 20090605 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16146043 <652. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15942144 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sekijima K AU - Seki N AU - Suzuki H FA - Sekijima, Kayoko FA - Seki, Nao FA - Suzuki, Hiroshi IN - Sekijima,Kayoko. Department of Public Health, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan. sekijima@clg.niigata-u.ac.jp TI - Smoking prevalence and attitudes toward tobacco among student and staff nurses in Niigata, Japan. SO - Tohoku Journal of Experimental Medicine. 206(3):187-94, 2005 Jul. AS - Tohoku J Exp Med. 206(3):187-94, 2005 Jul. NJ - The Tohoku journal of experimental medicine PI - Journal available in: Print PI - Citation processed from: Print JC - vtf, 0417355 SB - Index Medicus CP - Japan MH - *Attitude to Health MH - Education, Nursing MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Japan MH - Nurses MH - Personnel, Hospital MH - Prevalence MH - *Smoking MH - Smoking Cessation MH - Students, Nursing MH - Time Factors MH - Tobacco MH - Tobacco Use Disorder AB - 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. IS - 0040-8727 IL - 0040-8727 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jul DC - 20050608 YR - 2005 ED - 20050916 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15942144 <653. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15850892 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corelli RL AU - Kroon LA AU - Chung EP AU - Sakamoto LM AU - Gundersen B AU - Fenlon CM AU - Hudmon KS FA - Corelli, Robin L FA - Kroon, Lisa A FA - Chung, Eunice P FA - Sakamoto, Leanne M FA - Gundersen, Berit FA - Fenlon, Christine M FA - Hudmon, Karen Suchanek IN - Corelli,Robin L. Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA. TI - Statewide evaluation of a tobacco cessation curriculum for pharmacy students. SO - Preventive Medicine. 40(6):888-95, 2005 Jun. AS - Prev Med. 40(6):888-95, 2005 Jun. NJ - Preventive medicine PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 SB - Index Medicus CP - United States MH - Adult MH - Cohort Studies MH - *Curriculum MH - Education, Pharmacy MH - *Educational Measurement MH - Female MH - Humans MH - Male MH - Sensitivity and Specificity MH - *Smoking/pc [Prevention & Control] MH - Students, Pharmacy MH - *Tobacco Use Cessation MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 0091-7435 IL - 0091-7435 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R25 90720 (United States PHS HHS) LG - English DP - 2005 Jun DC - 20050426 YR - 2005 ED - 20050906 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15850892 <654. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16082798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoge MA AU - Paris M Jr AU - Adger H Jr AU - Collins FL Jr AU - Finn CV AU - Fricks L AU - Gill KJ AU - Haber J AU - Hansen M AU - Ida DJ AU - Kaplan L AU - Northey WF Jr AU - O'Connell MJ AU - Rosen AL AU - Taintor Z AU - Tondora J AU - Young AS FA - Hoge, Michael A FA - Paris, Manuel Jr FA - Adger, Hoover Jr FA - Collins, Frank L Jr FA - Finn, Cherry V FA - Fricks, Larry FA - Gill, Kenneth J FA - Haber, Judith FA - Hansen, Marsali FA - Ida, D J FA - Kaplan, Linda FA - Northey, William F Jr FA - O'Connell, Maria J FA - Rosen, Anita L FA - Taintor, Zebulon FA - Tondora, Janis FA - Young, Alexander S IN - Hoge,Michael A. Department of Psychiatry, Yale University School of Medicine, New Haven, CT 06519, USA. michael.hoge@yale.edu TI - Workforce competencies in behavioral health: an overview. SO - Administration & Policy in Mental Health. 32(5-6):593-631, 2005 May-Jul. AS - Adm Policy Ment Health. 32(5-6):593-631, 2005 May-Jul. NJ - Administration and policy in mental health PI - Journal available in: Print PI - Citation processed from: Print JC - 8914574 SB - Index Medicus CP - United States MH - *Behavioral Medicine/ed [Education] MH - Behavioral Medicine/st [Standards] MH - *Clinical Competence MH - Competency-Based Education MH - Employee Performance Appraisal MH - Family Therapy/st [Standards] MH - Humans MH - Mental Disorders/rh [Rehabilitation] MH - Mental Disorders/th [Therapy] MH - Mental Health Services/ma [Manpower] MH - *Mental Health Services/st [Standards] MH - Patient Care Team/st [Standards] MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/st [Standards] MH - Psychiatry/ed [Education] MH - Psychiatry/st [Standards] MH - Psychology, Clinical/ed [Education] MH - Psychology, Clinical/st [Standards] MH - Social Work, Psychiatric/ed [Education] MH - Social Work, Psychiatric/st [Standards] MH - Staff Development/mt [Methods] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Substance-Related Disorders/th [Therapy] MH - United States AB - Competency-based training approaches are being used more in healthcare to guide curriculum content and ensure accountability and outcomes in the educational process. This article provides an overview of the state of competency development in the field of behavioral health. Specifically, it identifies the groups and organizations that have conducted and supported this work, summarizes their progress in defining and assessing competencies, and discusses both the obstacles and future directions for such initiatives. A major purpose of this article is to provide a compendium of current competency efforts so that these might inform and enhance ongoing competency development in the varied behavioral health disciplines and specialties. These varied resources may also be useful in identifying the core competencies that are common to the multiple disciplines and specialties. IS - 0894-587X IL - 0894-587X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 03M00013801D (United States PHS HHS) LG - English DP - 2005 May-Jul DC - 20050808 YR - 2005 ED - 20050826 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16082798 <655. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15152275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giarelli E AU - Ledbetter N AU - Mahon S AU - McElwain D FA - Giarelli, Ellen FA - Ledbetter, Nancy FA - Mahon, Suzanne FA - McElwain, Diane IN - Giarelli,Ellen. School of Nursing, University of Pennsylvania, Philadelphia, PA, USA. giarelli@nursing.upenn.edu TI - "Not lighting up": a case study of a woman who quit smoking. [Review] [58 refs] SO - Oncology Nursing Forum. 31(3):E54-63, 2004 May. AS - Oncol Nurs Forum. 31(3):E54-63, 2004 May. NJ - Oncology nursing forum PI - Journal available in: Electronic-Print PI - Citation processed from: Internet JC - 7809033, 7809033 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Behavior, Addictive/nu [Nursing] MH - *Cause of Death MH - Child MH - Female MH - Humans MH - Incidence MH - Lung Neoplasms/et [Etiology] MH - Lung Neoplasms/mo [Mortality] MH - Male MH - Mass Media/td [Trends] MH - Middle Aged MH - Nicotine/ad [Administration & Dosage] MH - *Oncology Nursing/mt [Methods] MH - Patient Advocacy MH - Peer Group MH - Periodontal Diseases/et [Etiology] MH - Prevalence MH - Reinforcement, Social MH - Risk Assessment MH - Self Concept MH - Smoking/ae [Adverse Effects] MH - *Smoking/mo [Mortality] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/lj [Legislation & Jurisprudence] MH - *Smoking Cessation/mt [Methods] MH - Survival Rate MH - United States/ep [Epidemiology] MH - *Women's Health AB - PURPOSE/OBJECTIVES: To review the prevalence, incidence, and risks of smoking by American women; to outline services, treatments, and educational options for smoking prevention and cessation; and to present the conceptual link between the epidemiologic and research literature and experiences of one individual in the target population--an adult female former smoker with a 30-year habit who began smoking during her teenage years. AB - DATA SOURCES: Published literature, expert opinion, and an interview with a former smoker--a female healthcare professional who had a 30-year habit. AB - DATA SYNTHESIS: Literature was reviewed and the content was evaluated for relevance, accuracy, and timeliness. The relevant content was augmented with the author's practical experience and applied to the case study to make recommendations. AB - CONCLUSIONS: Oncology nurses may use a number of strategies to assist people to never start or to stop using tobacco products. The most effective strategy begins with collaboration between healthcare professionals and patients and a combination of instruction, counseling, and emotional support. Oncology nurses can participate in grassroots efforts to educate the public about addiction related to tobacco use, provide counseling for patients who smoke, and become actively involved in legislative solutions to the problem of tobacco use. AB - IMPLICATIONS FOR NURSING: Oncology nurses may intervene to affect positive behavioral change and participate in grassroots efforts to educate the public. Substantial resources are available to professionals and patients who wish to quit smoking or prevent tobacco use by friends and relatives. Nurses should take every opportunity to support smoking cessation and tobacco use prevention. [References: 58] RN - 6M3C89ZY6R (Nicotine) ES - 1538-0688 IL - 0190-535X PT - Case Reports PT - Journal Article PT - Review LG - English EP - 20040512 DP - 2004 May DC - 20040520 YR - 2004 ED - 20050824 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15152275 <656. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16018128 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klesmit N FA - Klesmit, Nicole TI - Importance of alcohol education. CM - Comment on: J Psychosoc Nurs Ment Health Serv. 2004 Nov;42(11):46-55; PMID: 15566165 SO - Journal of Psychosocial Nursing & Mental Health Services. 43(6):12-3; author reply 13, 2005 Jun. AS - J Psychosoc Nurs Ment Health Serv. 43(6):12-3; author reply 13, 2005 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - *Clinical Competence/st [Standards] MH - *Curriculum/st [Standards] MH - Education, Nursing/st [Standards] MH - Health Services Needs and Demand MH - Humans MH - *Nursing Staff/ed [Education] MH - United States/ep [Epidemiology] IS - 0279-3695 IL - 0279-3695 PT - Comment PT - Letter LG - English DP - 2005 Jun DC - 20050715 YR - 2005 ED - 20050809 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16018128 <657. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15904880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gonzalez B AU - Lupon J AU - Herreros J AU - Urrutia A AU - Altimir S AU - Coll R AU - Prats M AU - Valle V FA - Gonzalez, Beatriz FA - Lupon, Josep FA - Herreros, Joan FA - Urrutia, Agustin FA - Altimir, Salvador FA - Coll, Ramon FA - Prats, Montserrat FA - Valle, Vicente IN - Gonzalez,Beatriz. Unitat d'Insuficiencia Cardiaca, Servei de Cardiologia, Hospital Universitari Germans Trias i Pujol, Carretera del Canyet s/n. 08916 Badalona, Spain. TI - Patient's education by nurse: what we really do achieve?. SO - European Journal of Cardiovascular Nursing. 4(2):107-11, 2005 Jun. AS - EUR J CARDIOVASC NURS. 4(2):107-11, 2005 Jun. NJ - European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology PI - Journal available in: Print PI - Citation processed from: Print JC - 101128793 SB - Index Medicus SB - Nursing Journal CP - Netherlands MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - Body Weight MH - Diet, Sodium-Restricted/px [Psychology] MH - Educational Measurement MH - Exercise MH - Female MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Heart Failure/et [Etiology] MH - *Heart Failure/nu [Nursing] MH - Heart Failure/pc [Prevention & Control] MH - Heart Failure/px [Psychology] MH - Humans MH - Male MH - Middle Aged MH - *Nurse's Role MH - Nursing Evaluation Research MH - Patient Compliance/px [Psychology] MH - *Patient Education as Topic/st [Standards] MH - Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - Self Care/st [Standards] MH - Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - Surveys and Questionnaires AB - AIM: To evaluate what is really achieved with nurse education in an outpatient heart failure population. AB - 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. AB - 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. AB - 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. IS - 1474-5151 IL - 1474-5151 PT - Evaluation Studies PT - Journal Article LG - English DP - 2005 Jun DC - 20050520 YR - 2005 ED - 20050722 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15904880 <658. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898855 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hudlow R FA - Hudlow, Rebecca IN - Hudlow,Rebecca. Eden Prairie Schools, Eden Prairie, MN, USA. TI - What are the odds? Random drug testing of students: a practice perspective. [Review] [5 refs] SO - Journal of School Nursing. 21(3):179-81, 2005 Jun. AS - J Sch Nurs. 21(3):179-81, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Child MH - Child Behavior/px [Psychology] MH - Diagnostic Tests, Routine MH - Humans MH - *Mandatory Testing/st [Standards] MH - *Nurse's Role MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/st [Standards] MH - Schools/og [Organization & Administration] MH - Students/px [Psychology] MH - *Substance Abuse Detection/nu [Nursing] MH - Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. [References: 5] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898855 <659. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898854 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roach CA FA - Roach, Charles A IN - Roach,Charles A. Rider Bennett, LLP, Minneapolis, MN, USA. TI - What are the odds? Random drug testing of students: a legal perspective. [Review] [7 refs] SO - Journal of School Nursing. 21(3):176-9, 2005 Jun. AS - J Sch Nurs. 21(3):176-9, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Child MH - Child Behavior/px [Psychology] MH - Diagnostic Tests, Routine MH - Humans MH - *Mandatory Testing/lj [Legislation & Jurisprudence] MH - *School Health Services/lj [Legislation & Jurisprudence] MH - School Health Services/og [Organization & Administration] MH - *School Nursing/lj [Legislation & Jurisprudence] MH - School Nursing/st [Standards] MH - Schools/lj [Legislation & Jurisprudence] MH - Students/px [Psychology] MH - *Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - *Substance Abuse Detection/nu [Nursing] MH - Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. [References: 7] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898854 <660. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898850 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olson PM AU - Pacheco MR FA - Olson, Patricia M FA - Pacheco, Mary Rae IN - Olson,Patricia M. Nova Southeastern University, Ft. Lauderdale, FL, USA. TI - Bipolar disorder in school-age children. [Review] [26 refs] SO - Journal of School Nursing. 21(3):152-7, 2005 Jun. AS - J Sch Nurs. 21(3):152-7, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Antipsychotic Agents/tu [Therapeutic Use] MH - Bipolar Disorder/di [Diagnosis] MH - *Bipolar Disorder/dt [Drug Therapy] MH - Bipolar Disorder/ep [Epidemiology] MH - *Bipolar Disorder/nu [Nursing] MH - Bipolar Disorder/pp [Physiopathology] MH - Child MH - Child Behavior/px [Psychology] MH - *Child Welfare MH - Humans MH - Nursing Assessment/mt [Methods] MH - Prevalence MH - Psychology, Child MH - *School Health Services/st [Standards] MH - School Nursing/mt [Methods] MH - *School Nursing/st [Standards] MH - United States/ep [Epidemiology] AB - 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. [References: 26] RN - 0 (Antipsychotic Agents) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898850 <661. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15898848 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caley LM AU - Kramer C AU - Robinson LK FA - Caley, Linda M FA - Kramer, Charlotte FA - Robinson, Luther K IN - Caley,Linda M. School of Nursing, State University of New York at Buffalo, Buffalo, NY, USA. TI - Fetal alcohol spectrum disorder. [Review] [24 refs] SO - Journal of School Nursing. 21(3):139-46, 2005 Jun. AS - J Sch Nurs. 21(3):139-46, 2005 Jun. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Abnormalities, Drug-Induced/nu [Nursing] MH - Adult MH - Child MH - *Child Welfare MH - Developmental Disabilities/ci [Chemically Induced] MH - Developmental Disabilities/di [Diagnosis] MH - *Developmental Disabilities/nu [Nursing] MH - Developmental Disabilities/pc [Prevention & Control] MH - Female MH - *Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Education/st [Standards] MH - Humans MH - Intellectual Disability/nu [Nursing] MH - *Nurse's Role MH - Pregnancy MH - Primary Prevention/st [Standards] MH - *School Health Services/st [Standards] MH - School Nursing/ed [Education] MH - *School Nursing/st [Standards] MH - United States AB - 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. [References: 24] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2005 Jun DC - 20050518 YR - 2005 ED - 20050715 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15898848 <662. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15966359 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffith R FA - Griffith, Richard IN - Griffith,Richard. Centre for Philosophy, Law and Healthcare, University of Wales, Swansea. richard.griffith@swan.ac.uk TI - Health protection and age-related legislation. [Review] [13 refs] SO - British Journal of Community Nursing. 10(4):187-91, 2005 Apr. AS - Br J Community Nurs. 10(4):187-91, 2005 Apr. NJ - British journal of community nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9815827 SB - Nursing Journal CP - England MH - Adolescent MH - Child MH - *Child Welfare/lj [Legislation & Jurisprudence] MH - Child, Preschool MH - Civil Rights/lj [Legislation & Jurisprudence] MH - Community Health Nursing MH - Employment/lj [Legislation & Jurisprudence] MH - Great Britain MH - Humans MH - Infant MH - Infant, Newborn MH - Legal Guardians/lj [Legislation & Jurisprudence] MH - Sex Education/lj [Legislation & Jurisprudence] AB - Community children's nurse Debbie James has developed an innovative scheme to allow secondary school children to obtain health advice by texting her service using mobile phones. As well as general advice about spots and rubella immunization, Sister James is also receiving inquiries about children's legal rights that also have a health protection purpose, such how old a child has to be before owning a pet or have an alcoholic drink. This article looks at how the law seeks to protect children by incrementally giving them legal rights as they develop to mature adults and how legal awareness can help inform community health practitioners' advice to their child clients. [References: 13] IS - 1462-4753 IL - 1462-4753 PT - Journal Article PT - Review LG - English DP - 2005 Apr DC - 20050621 YR - 2005 ED - 20050712 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15966359 <663. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15855290 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riley JB AU - Durbin PT AU - D'Ariano M FA - Riley, Joan Burggraf FA - Durbin, Patrick T FA - D'Ariano, Mary IN - Riley,Joan Burggraf. Georgetown University School of Nursing and Health Studies, Washington, DC, USA. TI - Under the influence: taking alcohol issues into the college classroom. SO - Health Promotion Practice. 6(2):202-6, 2005 Apr. AS - HEALTH PROMOT PRACT. 6(2):202-6, 2005 Apr. NJ - Health promotion practice PI - Journal available in: Print PI - Citation processed from: Print JC - 100890609 SB - Index Medicus CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - District of Columbia MH - *Education, Nursing MH - Harm Reduction MH - *Health Education/mt [Methods] MH - Humans MH - Student Health Services AB - 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. IS - 1524-8399 IL - 1524-8399 PT - Journal Article LG - English DP - 2005 Apr DC - 20050427 YR - 2005 ED - 20050712 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15855290 <664. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15882365 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savenstedt S AU - Haggstrom T FA - Savenstedt, Stefan FA - Haggstrom, Terttu IN - Savenstedt,Stefan. Department of Nursing, Umea University, Vardvetarhuset, Umea S-90187, Sweden. stefan.savenstedt@ltu.se TI - Working with girls living on the streets in East Africa: professionals' experiences. SO - Journal of Advanced Nursing. 50(5):489-97, 2005 Jun. AS - J Adv Nurs. 50(5):489-97, 2005 Jun. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adult MH - Africa, Eastern MH - Attitude of Health Personnel MH - Attitude to Health MH - *Community Health Services/mt [Methods] MH - Counseling/mt [Methods] MH - Culture MH - Female MH - Gender Identity MH - Homeless Persons/px [Psychology] MH - *Homeless Persons MH - Humans MH - Professional-Patient Relations MH - Substance-Related Disorders/px [Psychology] MH - Trust/px [Psychology] AB - AIM: This paper reports a study elucidating the meaning of caring for girls of the street, as experienced by female staff members working with street children in Eastern Africa. AB - BACKGROUND: The phenomenon of children living on the streets is a global and escalating problem, and girls are presumed to be especially vulnerable. In East Africa, the traditional extended family system is rapidly breaking down and traditional gender values seem to remain. This was the context for investigating female carers' experience of caring for girls. AB - METHOD: Interviews were conducted with 37 project staff members working with children living on the streets in the framework of non-governmental organizations in Kenya, Uganda and Tanzania between 1997 and 1998. Transcribed text from female interviewees (n = 13) working with girls of the street was analysed using a phenomenological-hermeneutic approach. AB - FINDINGS: The meaning of caring for girls of the street for female professional carers in East Africa was comprehensively understood as counselling the girls to integrate the past of their adverse life stories with their present identity. Counselling meant conveying visions for a possible re-direction of the life stories, from being a girl of the street into being an accepted family girl. Caring in this context meant being squeezed between ethical demands and gender values. Experiencing frustration and powerlessness was related to gender structures in society, having to fight the grip of street culture, and a lack of professional tools. Hope and satisfaction were related to success in changing the course of life stories of girls and to seeing possibilities for contributing to empowerment of girls and community members. AB - CONCLUSIONS: Gender issues are critical to care provided to girls of the street. Carers felt that they lacked relevant knowledge and support. Ethical aspects and gender issues in relation to professional care for vulnerable girls ought to be addressed in nursing education and practice, not only for developing countries, but also as a matter of global interest. IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 2005 Jun DC - 20050510 YR - 2005 ED - 20050705 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15882365 <665. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15790012 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pearlstein I FA - Pearlstein, Ivy IN - Pearlstein,Ivy. HiTOPS, Inc. TI - Evidence-based practice: A theory-based tobacco dependence treatment at an adolescent health clinic. SO - New Jersey Nurse. 35(1):15, 2005 Jan-Feb. AS - N J Nurse. 35(1):15, 2005 Jan-Feb. NJ - New Jersey nurse PI - Journal available in: Print PI - Citation processed from: Print JC - o3u, 7907163 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Health Services/og [Organization & Administration] MH - Attitude to Health MH - Evidence-Based Medicine/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Psychological MH - New Jersey MH - Nurse Practitioners/og [Organization & Administration] MH - Nursing Assessment MH - Nursing Evaluation Research MH - *Patient Education as Topic/og [Organization & Administration] MH - Program Evaluation MH - Psychology, Adolescent MH - Psychology, Educational MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - *Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/px [Psychology] AB - 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. IS - 0196-4895 IL - 0196-4895 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2005 Jan-Feb DC - 20050325 YR - 2005 ED - 20050512 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15790012 <666. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15708021 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Millward LJ AU - Bryan K AU - Everatt J AU - Collins R FA - Millward, Lynne J FA - Bryan, Karen FA - Everatt, John FA - Collins, Rachel IN - Millward,Lynne J. Department of Psychology, University of Surrey, Guildford, Surrey GU2 5HX, UK. l.purvis@surrey.ac.uk TI - Clinicians and dyslexia--a computer-based assessment of one of the key cognitive skills involved in drug administration. SO - International Journal of Nursing Studies. 42(3):341-53, 2005 Mar. AS - Int J Nurs Stud. 42(3):341-53, 2005 Mar. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adaptation, Psychological MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Cognition MH - *Diagnosis, Computer-Assisted/mt [Methods] MH - *Drug Therapy/nu [Nursing] MH - *Dyslexia/di [Diagnosis] MH - Dyslexia/pc [Prevention & Control] MH - Dyslexia/px [Psychology] MH - *Employee Performance Appraisal/mt [Methods] MH - Female MH - Humans MH - Male MH - Medication Errors/mt [Methods] MH - Medication Errors/nu [Nursing] MH - Medication Errors/px [Psychology] MH - Middle Aged MH - Models, Nursing MH - Models, Psychological MH - Needs Assessment MH - Nurses/px [Psychology] MH - Nursing Evaluation Research MH - Occupational Health MH - Paired-Associate Learning MH - Self Efficacy MH - *Self-Evaluation Programs/mt [Methods] MH - Social Support MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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). IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2005 Mar DC - 20050214 YR - 2005 ED - 20050510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15708021 <667. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15708019 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beckstead JW FA - Beckstead, Jason W IN - Beckstead,Jason W. College of Nursing, University of South Florida, 12901 Bruce B. Downs Boulervard, Tampa, FL 33612-4766, USA. jbeckste@hsc.usf.edu TI - Reporting peer wrongdoing in the healthcare profession: the role of incompetence and substance abuse information. SO - International Journal of Nursing Studies. 42(3):325-31, 2005 Mar. AS - Int J Nurs Stud. 42(3):325-31, 2005 Mar. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 OI - Source: KIE. 128775 OI - Source: NRCBL. VF 7.3 SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Algorithms MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Cues MH - Decision Trees MH - Female MH - Florida MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Likelihood Functions MH - Male MH - Models, Psychological MH - *Nurses/px [Psychology] MH - Nursing Methodology Research MH - *Peer Group MH - *Professional Impairment MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - *Thinking MH - *Whistleblowing/px [Psychology] MH - Workplace/px [Psychology] KW - Bioethics and Professional Ethics; Empirical Approach AB - This article reports an analysis of the thinking processes nurses use when making decisions to report peer wrongdoing. Nurses (N=120) were asked to provide subjective probability estimates of the likelihood that they would report a hypothetical coworker for substance abuse and/or incompetence related to practice. Data were analyzed using formal inference-based recursive modeling (FIRM). Findings confirm that when considering workplace wrongdoing, nurses view working under the influence of any type of substance to be a very serious offense. More interesting, nurses combined incompetence and substance-abuse cues in complex ways, possibly due to the critical-thinking skills acquired during their education and practice. NT - 20 refs. NT - KIE Bib: fraud and misconduct; nursing ethics IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2005 Mar DC - 20050214 YR - 2005 ED - 20050510 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15708019 <668. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15599873 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith DR AU - Wei N AU - Kang L AU - Wang RS FA - Smith, Derek R FA - Wei, Ning FA - Kang, Lin FA - Wang, Rui-Sheng IN - Smith,Derek R. Department of Hazard Assessment, National Institute of Industrial Health, 6-21-1 Nagao, Tama-Ku, Kawasaki 214-8585, Japan. smith@niih.go.jp TI - Musculoskeletal disorders among professional nurses in mainland China. SO - Journal of Professional Nursing. 20(6):390-5, 2004 Nov-Dec. AS - J Prof Nurs. 20(6):390-5, 2004 Nov-Dec. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Attitude of Health Personnel MH - China/ep [Epidemiology] MH - Female MH - Health Surveys MH - Hospitals, Teaching MH - Human Engineering MH - Humans MH - Logistic Models MH - *Musculoskeletal Diseases/ep [Epidemiology] MH - Musculoskeletal Diseases/et [Etiology] MH - Musculoskeletal Diseases/pc [Prevention & Control] MH - *Nursing Staff, Hospital/og [Organization & Administration] MH - Nursing Staff, Hospital/px [Psychology] MH - *Occupational Diseases/ep [Epidemiology] MH - Occupational Diseases/et [Etiology] MH - Occupational Diseases/pc [Prevention & Control] MH - Occupational Health MH - Prevalence MH - Risk Factors MH - Sick Leave MH - Surveys and Questionnaires MH - Work Schedule Tolerance MH - Workload AB - Although musculoskeletal disorders represent a significant occupational issue for professional nurses worldwide, few epidemiological studies have been conducted in mainland China. Therefore, we investigated 180 nurses (84.1 percent response rate) from a teaching hospital in Shijiazhuang, Hebei Province, using a previously validated, self-reporting musculoskeletal disorder survey. The overall prevalence of musculoskeletal disorders was 70.0 percent, with individual categories reported as follows: lower back (56.7 percent), neck (42.8 percent), shoulders (38.9 percent) and upper back (38.9 percent). Period pain was shown to increase the risk of musculoskeletal disorders 23.8 times (odds ratio [OR] 23.8; 95 percent confidence interval [CI], 4.3-189.1; P = .0008). Excessive mental pressure incurred a 10.5-fold risk increase (OR 10.5; 95 percent CI, 2.2-67.5; P = .0058). Interestingly, occasional consumption of alcoholic drinks reduced the risk of musculoskeletal disorders 10-fold (OR 0.1; 95 percent CI, 0.01-0.4; P = .0046), as did working in the gynecology department (OR 0.1; 95 percent CI, 0.01-0.7, P = .0240). Overall, our study showed that musculoskeletal disorders are common among nursing professionals in mainland China and represent an important occupational issue for this Asian demographic. IS - 8755-7223 IL - 8755-7223 PT - Journal Article LG - English DP - 2004 Nov-Dec DC - 20041215 YR - 2004 ED - 20050222 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15599873 <669. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15597004 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vallerand AH AU - Hasenau SM AU - Templin T FA - Vallerand, April Hazard FA - Hasenau, Susan M FA - Templin, Thomas IN - Vallerand,April Hazard. Wayne State University College of Nursing, Detroit, MI 48202, USA. April.Vallerand@wayne.edu TI - Barriers to pain management by home care nurses. SO - Home Healthcare Nurse. 22(12):831-8; quiz 839-40, 2004 Dec. AS - Home Healthc Nurse. 22(12):831-8; quiz 839-40, 2004 Dec. NJ - Home healthcare nurse PI - Journal available in: Print PI - Citation processed from: Print JC - g3c, 8403379, 8403379 SB - Nursing Journal CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Clinical Competence MH - *Community Health Nursing/st [Standards] MH - Female MH - Health Care Surveys MH - Health Services Needs and Demand MH - *Home Care Services/st [Standards] MH - Home Care Services/td [Trends] MH - Humans MH - Male MH - Nursing Assessment MH - Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/nu [Nursing] MH - Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - Pain Measurement/nu [Nursing] MH - *Practice Guidelines as Topic MH - Quality of Health Care MH - Risk Assessment MH - Severity of Illness Index MH - Surveys and Questionnaires AB - 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. RN - 0 (Analgesics, Opioid) IS - 0884-741X IL - 0884-741X PT - Comparative Study PT - Journal Article LG - English DP - 2004 Dec DC - 20041214 YR - 2004 ED - 20050211 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15597004 <670. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15530160 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH AU - Villar-Luis M FA - Rassool, G H FA - Villar-Luis, M IN - Rassool,G H. Department of Psychiatric Nursing & Human Sciences, University of Sao Paulo, Ribeirao Preto EERP.USP. Campus Universitao Preto, SP, Brazil. hussein@eerp.usp.br TI - Tackling drug and alcohol misuse in Brazil: priorities and challenges for nurses. [Review] [38 refs] SO - International Nursing Review. 51(4):201-7, 2004 Dec. AS - Int Nurs Rev. 51(4):201-7, 2004 Dec. NJ - International nursing review PI - Journal available in: Print PI - Citation processed from: Print JC - gtp, 7808754 SB - Index Medicus SB - Nursing Journal CP - England MH - Brazil/ep [Epidemiology] MH - Cost of Illness MH - Curriculum MH - Education, Nursing, Baccalaureate/st [Standards] MH - Health Policy MH - *Health Priorities MH - Humans MH - Needs Assessment MH - *Nurse's Role MH - Nursing Research/og [Organization & Administration] MH - Nursing Staff/ed [Education] MH - Professional Competence/st [Standards] MH - Public Health MH - Regional Medical Programs/og [Organization & Administration] MH - Research Support as Topic/og [Organization & Administration] MH - Social Support MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] AB - 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. AB - 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. AB - 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. [References: 38] IS - 0020-8132 IL - 0020-8132 PT - Journal Article PT - Review LG - English DP - 2004 Dec DC - 20041108 YR - 2004 ED - 20050110 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15530160 <671. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15263054 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Greenberg DB FA - Greenberg, Donna B IN - Greenberg,Donna B. Department of Psychiatry, Massachusetts General Hospital, Boston, 02114, USA. dgreenberg@partners.org TI - Barriers to the treatment of depression in cancer patients. [Review] [81 refs] SO - Journal of the National Cancer Institute. Monographs. (32):127-35, 2004. AS - J Natl Cancer Inst Monogr. (32):127-35, 2004. NJ - Journal of the National Cancer Institute. Monographs PI - Journal available in: Print PI - Citation processed from: Print JC - atr, 9011255 SB - Index Medicus CP - United States MH - Delivery of Health Care/og [Organization & Administration] MH - *Depressive Disorder/et [Etiology] MH - *Depressive Disorder/th [Therapy] MH - Health Services Accessibility MH - Humans MH - Leadership MH - *Neoplasms/co [Complications] MH - *Neoplasms/px [Psychology] MH - *Practice Guidelines as Topic MH - Prognosis MH - Quality of Health Care MH - Referral and Consultation MH - *Survivors/px [Psychology] AB - 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. [References: 81] IS - 1052-6773 IL - 1052-6773 PT - Journal Article PT - Review LG - English DP - 2004 DC - 20040720 YR - 2004 ED - 20050104 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15263054 <672. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15566165 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hyman Z FA - Hyman, Zena IN - Hyman,Zena. Department of Nursing, Daemen College, 4380 Main Street, Amherst, N Y 14226, USA. zhyman@daemen.edu TI - Historical interpretations of alcohol use and misuse. implications for nursing curricula. [Review] [49 refs] CM - Comment in: J Psychosoc Nurs Ment Health Serv. 2005 Jun;43(6):12-3; author reply 13; PMID: 16018128 SO - Journal of Psychosocial Nursing & Mental Health Services. 42(11):46-55, 2004 Nov. AS - J Psychosoc Nurs Ment Health Serv. 42(11):46-55, 2004 Nov. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Alcohol Drinking/bl [Blood] MH - Alcohol Drinking/hi [History] MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Automobile Driving MH - *Curriculum MH - *Education, Nursing MH - Female MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - History, Ancient MH - Humans MH - Male MH - Terminology as Topic MH - United States AB - 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. [References: 49] IS - 0279-3695 IL - 0279-3695 PT - Historical Article PT - Journal Article PT - Review LG - English DP - 2004 Nov DC - 20041129 YR - 2004 ED - 20041230 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15566165 <673. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15371136 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nance DC FA - Nance, Douglas C IN - Nance,Douglas C. School of Nursing, Universidad Panamericana, Mexico City, Mexico. big_gato@hotmail.com TI - Depression, alcohol abuse, and generational differences in Mazahua women in a rural Mexican village. SO - Issues in Mental Health Nursing. 25(7):673-92, 2004 Oct-Nov. AS - Issues Ment Health Nurs. 25(7):673-92, 2004 Oct-Nov. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Age Factors MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/eh [Ethnology] MH - *Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - Clinical Nursing Research MH - Comorbidity MH - Cross-Sectional Studies MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/eh [Ethnology] MH - *Depressive Disorder/nu [Nursing] MH - Depressive Disorder/px [Psychology] MH - Female MH - Humans MH - Incidence MH - Mexico MH - Middle Aged MH - *Population Groups/px [Psychology] MH - Population Groups/sn [Statistics & Numerical Data] MH - Psychiatric Nursing/ed [Education] MH - *Rural Population/sn [Statistics & Numerical Data] MH - Social Work AB - This first study of depression and alcohol abuse in indigenous women in Mexico focuses on Mazahua women in a rural village. Women between the ages of 15 and 55 were interviewed using the Beck Depression Inventory, an Alcohol and Other Drug Abuse survey, and a socioeconomic survey. Unexpected results showed that although alcohol abuse was absent, these women experience depression a generation earlier than the international and national averages for women, with an overall incidence about twice as great. Depression was associated with spouse's emigration, infidelity, or alcoholism. Sharp intergenerational differences were found in identity and socioeconomic status. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 2004 Oct-Nov DC - 20040916 YR - 2004 ED - 20041230 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15371136 <674. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15555485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fillenbaum GG AU - Hanlon JT AU - Landerman LR AU - Artz MB AU - O'Connor H AU - Dowd B AU - Gross CR AU - Boult C AU - Garrard J AU - Schmader KE FA - Fillenbaum, Gerda G FA - Hanlon, Joseph T FA - Landerman, Lawrence R FA - Artz, Margaret B FA - O'Connor, Heidi FA - Dowd, Bryan FA - Gross, Cynthia R FA - Boult, Chad FA - Garrard, Judith FA - Schmader, Kenneth E IN - Fillenbaum,Gerda G. Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC 27710, USA. ggf@geri.duke.edu TI - Impact of inappropriate drug use on health services utilization among representative older community-dwelling residents. SO - American Journal of Geriatric Pharmacotherapy. 2(2):92-101, 2004 Jun. AS - Am J Geriatr Pharmacother. 2(2):92-101, 2004 Jun. NJ - The American journal of geriatric pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - 101190325 SB - Index Medicus CP - United States MH - Aged MH - Aged, 80 and over MH - Cohort Studies MH - Drug Interactions MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Therapy/ct [Contraindications] MH - *Drug Utilization Review/mt [Methods] MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - *Health Services/sn [Statistics & Numerical Data] MH - Hospitalization MH - Humans MH - Male MH - *Medication Errors/sn [Statistics & Numerical Data] MH - Nursing Homes MH - Prospective Studies MH - Risk Factors MH - Surveys and Questionnaires AB - BACKGROUND: There is limited objective information regarding the impact of drugs identified as inappropriate by drug utilization review (DUR) or the Beers drugs-to-avoid criteria on health service use. AB - OBJECTIVE: The goal of this study was to examine the predictive validity of DUR and the Beers criteria employed to define inappropriate drug use in representative community residents, aged >or=68 years, as determined by the relationship of these criteria to health service use in older community residents. AB - METHODS: Data came from participants in the Duke University Established Populations for Epidemiologic Studies of the Elderly seen in 1989/1990 and for whom information was also available 3 years later. Two sets of inappropriate drug use criteria were examined: (1) DUR regarding dosage, duration, duplication, and drug-drug and drug-disease interactions; and (2) the Beers criteria, applied to drug use reported in an in-home interview. Outpatient visits and nursing-home entry were determined by personal report; hospitalization information came from Medicare Part A files from the Centers for Medicare and Medicaid Services. AB - RESULTS: A total of 3165 participants were available at the fourth interview in 1989/1990. The majority were aged >74 years (51.1%), white (64.8%), women (64.7%), had fair or poor health (77.0%), consistently saw the same physician (86.9%), and possessed supplemental health insurance (62.8%). Use of inappropriate drugs meeting DUR criteria, especially for drug-drug or drug-disease interaction problems, was associated with increased outpatient visits (P<0.05) but not with time to hospitalization or time to nursing home entry. The use of inappropriate drugs according to the Beers criteria was associated with reduced time to hospitalization (adjusted hazard ratio, 1.20; 95% CI, 1.04-1.39) but not to outpatient visits or nursing home entry. AB - CONCLUSIONS: Our data suggest that in representative community residents aged >or=68 years, current criteria for inappropriate drug use should be used with caution in evaluating quality of care because they have minimal impact on use of health services. We found increases only in the use of outpatient services (with DUR) and more rapid use of hospitalization (with the Beers criteria). IS - 1543-5946 IL - 1876-7761 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - K24 AI51324 (United States NIAID NIH HHS) NO - N01-AG-12102 (United States NIA NIH HHS) NO - R01-AG-14158 (United States NIA NIH HHS) NO - R01-AG-15432 (United States NIA NIH HHS) NO - R01-AG-17559 (United States NIA NIH HHS) LG - English DP - 2004 Jun DC - 20041123 YR - 2004 ED - 20041229 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15555485 <675. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15472880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Luck S AU - Hedrick J FA - Luck, Stephanie FA - Hedrick, Jane IN - Luck,Stephanie. St. Luke's Medical Center, Milwaukee, WI 53215, USA. sluck77@yahoo.com TI - The alarming trend of substance abuse in anesthesia providers. [Review] [12 refs] SO - Journal of PeriAnesthesia Nursing. 19(5):308-11, 2004 Oct. AS - J Perianesth Nurs. 19(5):308-11, 2004 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - Anesthesiology/ed [Education] MH - *Anesthesiology/og [Organization & Administration] MH - Attitude of Health Personnel MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Nurse Anesthetists/ed [Education] MH - *Nurse Anesthetists/og [Organization & Administration] MH - Nurse's Role MH - Occupational Health MH - Population Surveillance MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - The role of the anesthesia provider requires a high level of awareness and constant vigilance. Literature indicates, however, that the substance abuse rate in certified registered nurse anesthetists (CRNAs) and anesthesiologists has reached staggering levels. The literature also shows that there has been a change in which controlled drugs are being misused. It is imperative that perianesthesia nurses be aware of the current problem and take steps when indicated to protect both providers and patients. This article discusses the current trends of addiction in anesthesia providers, treatment, and reentry, as well as the role of the perianesthesia nurse in recognizing, reporting, and preventing substance abuse. [References: 12] IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2004 Oct DC - 2004108 YR - 2004 ED - 20041119 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=15472880 <676. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15472880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Luck S AU - Hedrick J FA - Luck, Stephanie FA - Hedrick, Jane IN - Luck,Stephanie. St. Luke's Medical Center, Milwaukee, WI 53215, USA. sluck77@yahoo.com TI - The alarming trend of substance abuse in anesthesia providers. [Review] [12 refs] SO - Journal of PeriAnesthesia Nursing. 19(5):308-11, 2004 Oct. AS - J Perianesth Nurs. 19(5):308-11, 2004 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - Anesthesiology/ed [Education] MH - *Anesthesiology/og [Organization & Administration] MH - Attitude of Health Personnel MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Nurse Anesthetists/ed [Education] MH - *Nurse Anesthetists/og [Organization & Administration] MH - Nurse's Role MH - Occupational Health MH - Population Surveillance MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - The role of the anesthesia provider requires a high level of awareness and constant vigilance. Literature indicates, however, that the substance abuse rate in certified registered nurse anesthetists (CRNAs) and anesthesiologists has reached staggering levels. The literature also shows that there has been a change in which controlled drugs are being misused. It is imperative that perianesthesia nurses be aware of the current problem and take steps when indicated to protect both providers and patients. This article discusses the current trends of addiction in anesthesia providers, treatment, and reentry, as well as the role of the perianesthesia nurse in recognizing, reporting, and preventing substance abuse. [References: 12] IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2004 Oct DC - 20041008 YR - 2004 ED - 20041119 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15472880 <677. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15253846 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Snow LA AU - Hovanec L AU - Brandt J FA - Snow, Lynn A FA - Hovanec, Linda FA - Brandt, Jason IN - Snow,Lynn A. Houston Center for Quality of Care and Utilization Studies, Health Services Research and Development Service, Michael E.Debakey Veterans Affairs Medical Center, Houston, TX 77030, USA. asnow@bcm.tmc.edu TI - A controlled trial of aromatherapy for agitation in nursing home patients with dementia. SO - Journal of Alternative & Complementary Medicine. 10(3):431-7, 2004 Jun. AS - J Altern Complement Med. 10(3):431-7, 2004 Jun. NJ - Journal of alternative and complementary medicine (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Print JC - 9508124, cy7 SB - Index Medicus CP - United States MH - Aged MH - *Aromatherapy/mt [Methods] MH - Dementia/co [Complications] MH - *Dementia/th [Therapy] MH - Humans MH - Nursing Homes MH - *Oils, Volatile/tu [Therapeutic Use] MH - Olfaction Disorders/et [Etiology] MH - *Plant Oils/tu [Therapeutic Use] MH - Psychomotor Agitation/pc [Prevention & Control] MH - *Psychomotor Agitation/th [Therapy] MH - Seeds MH - Smell MH - Thymus Plant MH - Time Factors MH - Treatment Outcome MH - Vitis AB - OBJECTIVES: Two controlled trials of aromatherapy to decrease agitation in persons with dementia have recently produced promising results. However, both studies combined the use of essential oils with massage. Thus, it is unclear if the effect of the aromatherapy intervention was the result of smelling or the cutaneous absorption of the oils. The purpose of this study was to determine whether smelling lavender oil decreases the frequency of agitated behaviors in patients with dementia. AB - DESIGN: The study design was within-subjects ABCBA (A = lavender oil, B = thyme oil, C = unscented grapeseed oil): 4 weeks of baseline measurement, 2 weeks for each of the five treatment conditions (10-week total intervention time), and 2 weeks of postintervention measurement. Oil was placed every 3 hours on an absorbent fabric sachet pinned near the collarbone of each participant's shirt. AB - SETTING: A long-term care facility specifically for persons with dementia. AB - PARTICIPANTS: Seven agitated nursing home residents with advanced dementia. AB - MEASUREMENTS: Agitation was assessed every 2 days using a modified Cohen-Mansfield Agitation Inventory. Olfactory functioning was assessed with structured olfactory identification and discrimination tasks, and with qualitative behavioral observation during those tasks. AB - RESULTS: Split-middle analyses conducted separately for each patient revealed no treatment effects specific to lavender, no treatment effects nonspecific to pleasant smelling substances, and no treatment effects dependent on order of treatment administration. There were no differences between participants with more and less intact olfactory abilities. AB - CONCLUSION: There is significant evidence in the neurologic and neuropsychologic literature that persons with dementia have impaired olfactory abilities. Concordant with this literature, this study found no support for the use of a purely olfactory form of aromatherapy to decrease agitation in severely demented patients. Cutaneous application of the essential oil may be necessary to achieve the effects reported in previous controlled studies.Copyright Mary Ann Liebert, Inc. RN - 0 (Oils, Volatile) RN - 0 (Plant Oils) RN - 8000-28-0 (lavender oil) IS - 1075-5535 IL - 1075-5535 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Jun DC - 20040715 YR - 2004 ED - 20041119 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15253846 <678. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15450054 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruths S AU - Straand J AU - Nygaard HA AU - Bjorvatn B AU - Pallesen S FA - Ruths, Sabine FA - Straand, Jorund FA - Nygaard, Harald A FA - Bjorvatn, Bjorn FA - Pallesen, Stale IN - Ruths,Sabine. Section for Geriatric Medicine, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway. sabine.ruths@isf.uib.no TI - Effect of antipsychotic withdrawal on behavior and sleep/wake activity in nursing home residents with dementia: a randomized, placebo-controlled, double-blinded study. The Bergen District Nursing Home Study. SO - Journal of the American Geriatrics Society. 52(10):1737-43, 2004 Oct. AS - J Am Geriatr Soc. 52(10):1737-43, 2004 Oct. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Aged MH - *Antipsychotic Agents/ae [Adverse Effects] MH - *Dementia/dt [Drug Therapy] MH - Double-Blind Method MH - Female MH - Humans MH - Leisure Activities MH - Male MH - Mental Disorders/ci [Chemically Induced] MH - Norway MH - Nursing Homes MH - *Sleep Wake Disorders/ci [Chemically Induced] MH - *Substance Withdrawal Syndrome AB - OBJECTIVES: To explore the effect on sleep/wake activity and on behavioral and psychological symptoms of the withdrawal of antipsychotic medications from nursing home (NH) patients with dementia. AB - DESIGN: Randomized, placebo-controlled, double-blind trial. AB - SETTING: NHs in Bergen, Norway. AB - PARTICIPANTS: Thirty patients (mean age 83.5) taking haloperidol, risperidone, or olanzapine for nonpsychotic symptoms. AB - INTERVENTION: Study participants were randomly assigned to withdrawal (intervention group) or continued treatment with antipsychotic medications (reference group) for 4 consecutive weeks. AB - MEASUREMENTS: Behavioral rating using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and actigraphy. AB - RESULTS: After antipsychotic withdrawal, behavioral scores remained stable or improved in 11 of 15 patients, whereas four had worsening scores. Actigraphy revealed decreased sleep efficiency after drug discontinuation and increased 24-hour and night activity in both groups. Actigraphy records of nighttime and daytime activity indicated sleep problems and restlessness, in terms of the NPI-Q. One patient was restarted on antipsychotics. AB - CONCLUSION: Antipsychotic drug withdrawal affected activity and sleep efficiency over the short term. Increases in total activity and impaired sleep quality after drug discontinuation should be monitored, because the long-term effect of these changes is not known. The NPI-Q and actigraphy are feasible tools that disclose relevant changes occurring during antipsychotic withdrawal in NH patients with dementia. Their use in clinical practice should be substantiated by larger studies. RN - 0 (Antipsychotic Agents) IS - 0002-8614 IL - 0002-8614 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2004 Oct DC - 20040928 YR - 2004 ED - 20041102 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15450054 <679. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15331804 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones KR AU - Fink R AU - Pepper G AU - Hutt E AU - Vojir CP AU - Scott J AU - Clark L AU - Mellis K FA - Jones, Katherine R FA - Fink, Regina FA - Pepper, Ginny FA - Hutt, Evelyn FA - Vojir, Carol P FA - Scott, Jill FA - Clark, Lauren FA - Mellis, Karen IN - Jones,Katherine R. School of Nursing, Yale University, 100 Church St. S., Box 9740, New Haven, CT 06536-0740, USA. katherine.jones@yale.edu TI - Improving nursing home staff knowledge and attitudes about pain. SO - Gerontologist. 44(4):469-78, 2004 Aug. AS - Gerontologist. 44(4):469-78, 2004 Aug. NJ - The Gerontologist PI - Journal available in: Print PI - Citation processed from: Print JC - fp5, 0375327 SB - Index Medicus CP - United States MH - Adult MH - Analysis of Variance MH - Female MH - *Geriatrics/ed [Education] MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Health Personnel/px [Psychology] MH - Humans MH - Inservice Training MH - Linear Models MH - Male MH - Middle Aged MH - *Nursing Homes MH - *Pain/nu [Nursing] MH - *Professional Competence AB - 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. AB - 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. AB - 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. AB - 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. IS - 0016-9013 IL - 0016-9013 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - U18-HS11093 (United States AHRQ HHS) LG - English DP - 2004 Aug DC - 20040827 YR - 2004 ED - 20041021 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15331804 <680. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15323195 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kulik TB AU - Kobylecka E AU - Modzelewska T AU - Kachaniuk H AU - Stefanowicz A FA - Kulik, Teresa Bernadetta FA - Kobylecka, Elzbieta FA - Modzelewska, Teresa FA - Kachaniuk, Hanna FA - Stefanowicz, Agata IN - Kulik,Teresa Bernadetta. Interfaculty Chair and Department of Public Health, Medical University of Lublin. TI - Primary health care physicians' knowledge of prophylactics of drug abuse. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 58(2):220-6, 2003. AS - Ann Univ Mariae Curie Sklodowska [Med]. 58(2):220-6, 2003. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 SB - Index Medicus CP - Poland MH - Education, Medical, Continuing MH - Humans MH - *Physicians, Family/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - The purpose of the study was the evaluation of the assumptions of drug addiction prophylactics and its realization in the practice of primary health care physicians as well as determination of the possibilities of introducing changes in the training of physicians which would favour the increase and extension of knowledge in this field. The method applied in the study was a survey based on the questionnaire distributed among 410 primary health care physicians who attended up-dating courses on family medicine organized by the Institute of Rural Medicine in Lublin. The results were statistically analyzed with application of Excel Statistica Stargraf 6.0 software and the authors' own programmes. The results indicate that primary health care physician's basic and limited knowledge on drug abuse originates from university studies and it is limited to information concerning the reasons, mechanisms, medical effects and some methods of treatment. In the procedures created for the practice of primary health care physicians direct activities related to the drug abuse prophylactics are not considered but only a general health care in the region. However, indirectly the primary health care physicians and family physicians realize so called educational care in the region by cooperating with the nurses and midwives employed in the region or in so called practice of a family physician where educational packages are created, ie. prophylactics of addiction. IS - 0066-2240 IL - 0066-2240 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 DC - 20040824 YR - 2003 ED - 20041020 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15323195 <681. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15283609 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwab NC AU - Pohlman KJ FA - Schwab, Nadine C FA - Pohlman, Katherine J TI - Records--the Achilles' heel of school nursing: answers to bothersome questions. SO - Journal of School Nursing. 20(4):236-41, 2004 Aug. AS - J Sch Nurs. 20(4):236-41, 2004 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - *Confidentiality/lj [Legislation & Jurisprudence] MH - Government Regulation MH - Health Insurance Portability and Accountability Act MH - Humans MH - *Nursing Records/lj [Legislation & Jurisprudence] MH - School Nursing/lj [Legislation & Jurisprudence] MH - *School Nursing/og [Organization & Administration] MH - Schools/lj [Legislation & Jurisprudence] MH - *Schools/og [Organization & Administration] MH - United States AB - 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. IS - 1059-8405 IL - 1059-8405 PT - Journal Article LG - English DP - 2004 Aug DC - 20040730 YR - 2004 ED - 20041012 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15283609 <682. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15039693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rupp T AU - Delaney KA FA - Rupp, Timothy FA - Delaney, Kathleen A IN - Rupp,Timothy. Department of Surgery, Division of Emergency Medicine, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA. timothy.rupp@utsouthwestern.edu TI - Inadequate analgesia in emergency medicine. [Review] [102 refs] CM - Comment in: Ann Emerg Med. 2004 Apr;43(4):504-6; PMID: 15039694 SO - Annals of Emergency Medicine. 43(4):494-503, 2004 Apr. AS - Ann Emerg Med. 43(4):494-503, 2004 Apr. NJ - Annals of emergency medicine PI - Journal available in: Print PI - Citation processed from: Internet JC - 8002646 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Abdominal Pain/di [Diagnosis] MH - Abdominal Pain/dt [Drug Therapy] MH - Acute Disease MH - Adult MH - Aged MH - Analgesia/px [Psychology] MH - Analgesics/ae [Adverse Effects] MH - *Analgesics/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Child MH - Child, Preschool MH - Chronic Disease MH - Drug and Narcotic Control MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine MH - Female MH - Humans MH - Informed Consent MH - Male MH - Mental Competency MH - *Pain/dt [Drug Therapy] MH - Pain/eh [Ethnology] MH - *Practice Patterns, Physicians' MH - Substance-Related Disorders/px [Psychology] MH - United States AB - 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. [References: 102] RN - 0 (Analgesics) ES - 1097-6760 IL - 0196-0644 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2004 Apr DC - 20040324 YR - 2004 ED - 20040922 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15039693 <683. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15326817 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sharma RR FA - Sharma, R R IN - Sharma,R R. DTC (H&FW) Bhilwara, Rajasthan. TI - Knowledge of psycho active substance use; disorders among college students. SO - Nursing Journal of India. 92(2):29-30, 2001 Feb. AS - Nurs J India. 92(2):29-30, 2001 Feb. NJ - The Nursing journal of India PI - Journal available in: Print PI - Citation processed from: Print JC - o97, 0376403 SB - Nursing Journal CP - India MH - Adult MH - *Attitude to Health MH - Education, Nursing/st [Standards] MH - Educational Measurement MH - Female MH - Health Education/st [Standards] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - India/ep [Epidemiology] MH - Male MH - Mass Media MH - Needs Assessment MH - *Psychotropic Drugs/ae [Adverse Effects] MH - Socioeconomic Factors MH - *Students/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - *Universities RN - 0 (Psychotropic Drugs) IS - 0029-6503 IL - 0029-6503 PT - Comparative Study PT - Journal Article LG - English DP - 2001 Feb DC - 20040825 YR - 2001 ED - 20040916 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15326817 <684. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15295916 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lennihan B FA - Lennihan, Begabati IN - Lennihan,Begabati. Teleosis School of Homeopathy, Cambridge, MA 02140, USA. begabati@theworld.com TI - Homeopathy: natural mind-body healing. [Review] [25 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 42(7):30-40, 2004 Jul. AS - J Psychosoc Nurs Ment Health Serv. 42(7):30-40, 2004 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Evidence-Based Medicine MH - Homeopathy/mt [Methods] MH - Homeopathy/st [Standards] MH - *Homeopathy MH - Humans MH - *Mental Disorders/dt [Drug Therapy] MH - Mental Disorders/nu [Nursing] MH - *Mind-Body Relations, Metaphysical MH - *Nonprescription Drugs/tu [Therapeutic Use] MH - Nurse's Role MH - Plants, Medicinal MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/st [Standards] MH - *Psychiatric Nursing MH - Self Medication AB - 1. Homeopathy is an accepted form of health care in many countries worldwide. 2. Homeopathy is deeply healing, yet does so without causing side effects, tolerance, or addiction problems. 3. Homeopathic remedies are available over the counter in health food stores and some pharmacies. 4. Homeopathy is distinct from herbal medicine and does not interact with conventional treatments. [References: 25] RN - 0 (Nonprescription Drugs) IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2004 Jul DC - 20040805 YR - 2004 ED - 20040826 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15295916 <685. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15237789 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cook LJ FA - Cook, Linda J IN - Cook,Linda J. Department of Nursing, Bloomsburg University, Pennsylvania 17815, USA. lcook@bloomu.edu TI - Educating women about the hidden dangers of alcohol. [Review] [20 refs] SO - Journal of Psychosocial Nursing & Mental Health Services. 42(6):24-31, 2004 Jun. AS - J Psychosoc Nurs Ment Health Serv. 42(6):24-31, 2004 Jun. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking MH - Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Attitude to Health MH - Behavior, Addictive/nu [Nursing] MH - Body Composition MH - Female MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Education/st [Standards] MH - *Health Education MH - Humans MH - Infant, Newborn MH - Male MH - Nurse's Role MH - *Nurse-Patient Relations MH - Pregnancy MH - Psychiatric Nursing/mt [Methods] MH - *Psychiatric Nursing/st [Standards] MH - Risk Factors MH - Sex Factors MH - United States MH - *Women's Health AB - 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. [References: 20] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2004 Jun DC - 20040707 YR - 2004 ED - 20040812 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15237789 <686. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15156968 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kenna GA AU - Wood MD FA - Kenna, George A FA - Wood, Mark D IN - Kenna,George A. Department of Psychiatry and Human Behavior, Brown University Medical School, Providence, RI, USA. george_kenna@brown.edu TI - Substance use by pharmacy and nursing practitioners and students in a northeastern state. SO - American Journal of Health-System Pharmacy. 61(9):921-30, 2004 May 1. AS - Am J Health-Syst Pharm. 61(9):921-30, 2004 May 1. NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9503023, cbh SB - Index Medicus CP - United States MH - Humans MH - New England/ep [Epidemiology] MH - *Nurses MH - *Pharmacists MH - *Professional Impairment MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] AB - PURPOSE: The prevalence and predictors of substance use among pharmacists and nurses and pharmacy and nursing students were studied. AB - 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. AB - 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). AB - CONCLUSION: A survey of pharmacy and nursing practitioners and students in a northeastern state provided important information on alcohol, tobacco, and illicit drug use among these groups and highlighted the need for prevention and intervention. IS - 1079-2082 IL - 1079-2082 PT - Journal Article LG - English DP - 2004 May 1 DC - 20040525 YR - 2004 ED - 20040812 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15156968 <687. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15149457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nkowane AM AU - Saxena S FA - Nkowane, Annette M FA - Saxena, Shekhar IN - Nkowane,Annette M. Department of Mental Health and Substance Dependence, World Health Organization, Geneva, Switzerland. nkowanemwansa@who.int TI - Opportunities for an improved role for nurses in psychoactive substance use: review of the literature. [Review] [77 refs] SO - International Journal of Nursing Practice. 10(3):102-10, 2004 Jun. AS - Int J Nurs Pract. 10(3):102-10, 2004 Jun. NJ - International journal of nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - CVU, 9613615 SB - Nursing Journal CP - Australia MH - Clinical Competence/st [Standards] MH - Community Health Nursing/ed [Education] MH - Community Health Nursing/og [Organization & Administration] MH - Diagnosis, Dual (Psychiatry) MH - Humans MH - *Nurse's Role MH - Nursing Evaluation Research MH - Primary Prevention MH - Professional Autonomy MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Psychotropic Drugs/ae [Adverse Effects] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - Nurses form a core component of many health care systems so their role in responding to problems related to psychoactive substance use is crucial. They are often under-utilized, mainly because of anxieties concerning role adequacy, legitimacy, lack of support and failure to implement interventions in a variety of settings. Nurses have unique opportunities through interactions they have with young people, families and significant others. Training and career preparation should encompass development of innovative strategies, taking a leading role in management of substance use patients, involvement in the treatment of the homeless mentally ill, HIV-infected individuals and persons with dual disorders of mental health and substance use. Future directions should focus on developing skills for critical thinking, preventive and therapeutic interventions, clinical judgement, effective organizational capacity and team work. Barriers such as scope of practice, authority, ethical and legal issues surrounding health care for substance use need to be addressed. [References: 77] RN - 0 (Psychotropic Drugs) IS - 1322-7114 IL - 1322-7114 PT - Journal Article PT - Review LG - English DP - 2004 Jun DC - 20040519 YR - 2004 ED - 20040810 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15149457 <688. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15140463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yates P AU - Edwards H AU - Nash R AU - Aranda S AU - Purdie D AU - Najman J AU - Skerman H AU - Walsh A FA - Yates, Patsy FA - Edwards, Helen FA - Nash, Robyn FA - Aranda, Sanchia FA - Purdie, David FA - Najman, Jake FA - Skerman, Helen FA - Walsh, Anne IN - Yates,Patsy. Center for Health Research, Queensland University of Technology, Kelvin Grove Campus, Victoria Park Road, Kelvin Grove, Brisbane 4059, Australia. p.yates@qut.edu.au TI - A randomized controlled trial of a nurse-administered educational intervention for improving cancer pain management in ambulatory settings. CM - Comment in: Evid Based Nurs. 2005 Jan;8(1):17; PMID: 15688491 SO - Patient Education & Counseling. 53(2):227-37, 2004 May. AS - Patient Educ Couns. 53(2):227-37, 2004 May. NJ - Patient education and counseling PI - Journal available in: Print PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - Aged MH - Aged, 80 and over MH - *Ambulatory Care/mt [Methods] MH - Attitude to Health MH - Causality MH - Educational Status MH - Female MH - Follow-Up Studies MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - *Neoplasms/co [Complications] MH - *Nurse's Role MH - Nursing Evaluation Research MH - Pain/di [Diagnosis] MH - Pain/et [Etiology] MH - *Pain/pc [Prevention & Control] MH - Pain/px [Psychology] MH - Pain Measurement MH - *Patient Education as Topic/mt [Methods] MH - Program Evaluation MH - *Self Care/mt [Methods] MH - Self Care/px [Psychology] AB - 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. IS - 0738-3991 IL - 0738-3991 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 May DC - 20040513 YR - 2004 ED - 20040810 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15140463 <689. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15202314 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Licanin I AU - Laslo E AU - Kelly KB AU - Lagerkvist B AU - Fisekovic S FA - Licanin, Ifeta FA - Laslo, Erdes FA - Kelly, Kristina-Berg FA - Lagerkvist, Bengt FA - Fisekovic, Saida IN - Licanin,Ifeta. Clinic for Psychiatry, Clinical Centre of Sarajevo. TI - Comparing youth health in Sweden and Bosnia. SO - Medicinski Arhiv. 58(2):91-2, 2004. AS - Med Arh. 58(2):91-2, 2004. NJ - Medicinski arhiv PI - Journal available in: Print PI - Citation processed from: Print JC - lny, 0400722, 101635337 SB - Index Medicus CP - Bosnia and Herzegovina MH - Adolescent MH - *Adolescent Behavior MH - Alcohol Drinking/ep [Epidemiology] MH - Bosnia and Herzegovina/ep [Epidemiology] MH - Child MH - Female MH - *Health Behavior MH - *Health Status MH - Humans MH - Male MH - *Psychology, Adolescent MH - Smoking/ep [Epidemiology] MH - Socioeconomic Factors MH - Stress, Psychological/ep [Epidemiology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - 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. IL - 0350-199X PT - Comparative Study PT - Journal Article LG - English DP - 2004 DC - 20040618 YR - 2004 ED - 20040729 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15202314 <690. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15187616 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA AU - Richardson H AU - Morton K FA - Naegle, Madeline A FA - Richardson, Hila FA - Morton, Kathy IN - Naegle,Madeline A. New York University, New York City, USA. TI - Rehab instead of prison: drug courts provide opportunities for nurse practitioners. SO - American Journal of Nursing. 104(6):58-61, 2004 Jun. AS - Am. j. nurs.. 104(6):58-61, 2004 Jun. NJ - The American journal of nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 3mw, 0372646 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Case Management MH - Criminal Law MH - Education, Nursing MH - Female MH - Humans MH - Infant MH - Male MH - Middle Aged MH - New York City MH - Nurse Practitioners/og [Organization & Administration] MH - *Nurse Practitioners MH - *Nurse's Role MH - Pregnancy MH - Prisons/ut [Utilization] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance Abuse Treatment Centers/ut [Utilization] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0002-936X IL - 0002-936X PT - Case Reports PT - Journal Article LG - English DP - 2004 Jun DC - 20040609 YR - 2004 ED - 20040701 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15187616 <691. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15152718 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruff JM AU - Gerding G AU - Hong O FA - Ruff, Jill M FA - Gerding, Gail FA - Hong, OiSaeng IN - Ruff,Jill M. University of Michigan, Ann Arbor, MI, USA. TI - Workplace violence against K-12 teachers: implementation of preventive programs. SO - AAOHN Journal. 52(5):204-9, 2004 May. AS - AAOHN J. 52(5):204-9, 2004 May. NJ - AAOHN journal : official journal of the American Association of Occupational Health Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 8608669, aa0 SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Community-Institutional Relations MH - *Faculty MH - Family/px [Psychology] MH - Humans MH - Nurse's Role MH - *Occupational Health MH - *Occupational Health Nursing/og [Organization & Administration] MH - *Program Development MH - *School Health Services/og [Organization & Administration] MH - *Schools MH - United States MH - *Violence/pc [Prevention & Control] MH - Workplace/px [Psychology] MH - Workplace/st [Standards] AB - 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. IS - 0891-0162 IL - 0891-0162 PT - Journal Article LG - English DP - 2004 May DC - 20040521 YR - 2004 ED - 20040618 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15152718 <692. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15095545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yu W AU - Wagner TH AU - Chen S AU - Barnett PG FA - Yu, Wei FA - Wagner, Todd H FA - Chen, Shuo FA - Barnett, Paul G IN - Yu,Wei. VA HSR&D Health Economics Resource Center, Stanford University, USA. TI - Average cost of VA rehabilitation, mental health, and long-term hospital stays. SO - Medical Care Research & Review. 60(3 Suppl):40S-53S, 2003 Sep. AS - Med Care Res Rev. 60(3 Suppl):40S-53S, 2003 Sep. NJ - Medical care research and review : MCRR PI - Journal available in: Print PI - Citation processed from: Print JC - 9506850 SB - Index Medicus CP - United States MH - Blindness/ec [Economics] MH - Blindness/rh [Rehabilitation] MH - Budgets MH - Data Interpretation, Statistical MH - Databases, Factual MH - Episode of Care MH - Health Services Research MH - Home Care Services/ec [Economics] MH - Home Care Services/ut [Utilization] MH - *Hospital Costs/sn [Statistics & Numerical Data] MH - Hospital Costs/ut [Utilization] MH - *Hospitals, Veterans/ec [Economics] MH - Hospitals, Veterans/ut [Utilization] MH - Humans MH - Intermediate Care Facilities/ec [Economics] MH - Intermediate Care Facilities/ut [Utilization] MH - Length of Stay/ec [Economics] MH - *Long-Term Care/ec [Economics] MH - Long-Term Care/ut [Utilization] MH - Mental Disorders/ec [Economics] MH - Mental Disorders/rh [Rehabilitation] MH - *Mental Health Services/ec [Economics] MH - Mental Health Services/ut [Utilization] MH - Nursing Homes/ec [Economics] MH - Nursing Homes/ut [Utilization] MH - Regression Analysis MH - *Rehabilitation/ec [Economics] MH - Residential Treatment/ec [Economics] MH - Spinal Cord Injuries/ec [Economics] MH - Spinal Cord Injuries/rh [Rehabilitation] MH - Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States MH - *United States Department of Veterans Affairs/ec [Economics] MH - United States Department of Veterans Affairs/ut [Utilization] AB - 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. IS - 1077-5587 IL - 1077-5587 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 2003 Sep DC - 20040420 YR - 2003 ED - 20040526 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15095545 <693. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15073590 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wewers ME AU - Kidd K AU - Armbruster D AU - Sarna L FA - Wewers, Mary Ellen FA - Kidd, Kellie FA - Armbruster, Debra FA - Sarna, Linda IN - Wewers,Mary Ellen. Ohio State University College of Nursing, Columbus, USA. wewers.1@osu.edu TI - Tobacco dependence curricula in U.S. baccalaureate and graduate nursing education. SO - Nursing Outlook. 52(2):95-101, 2004 Mar-Apr. AS - Nurs Outlook. 52(2):95-101, 2004 Mar-Apr. NJ - Nursing outlook PI - Journal available in: Print PI - Citation processed from: Print JC - o9h, 0401075 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Graduate MH - Humans MH - Smoking MH - Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder MH - United States IS - 0029-6554 IL - 0029-6554 PT - Journal Article LG - English DP - 2004 Mar-Apr DC - 20040409 YR - 2004 ED - 20040525 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15073590 <694. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15029927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKay A AU - Koranda A AU - Axen D FA - McKay, Ann FA - Koranda, Ann FA - Axen, Dianne IN - McKay,Ann. Mayo Medical Center, Rochester, MN, USA. TI - Using a symptom-triggered approach to manage patients in acute alcohol withdrawal. [Review] [23 refs] SO - MEDSURG Nursing. 13(1):15-20, 31; quiz 21, 2004 Feb. AS - Medsurg Nurs. 13(1):15-20, 31; quiz 21, 2004 Feb. NJ - Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - btm, 9300545 SB - Nursing Journal CP - United States MH - Alcohol Withdrawal Delirium/et [Etiology] MH - Alcohol-Induced Disorders/et [Etiology] MH - *Alcohol-Induced Disorders/pp [Physiopathology] MH - *Ethanol/ae [Adverse Effects] MH - Humans MH - *Substance Withdrawal Syndrome/et [Etiology] MH - Substance Withdrawal Syndrome/pp [Physiopathology] AB - 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. [References: 23] RN - 3K9958V90M (Ethanol) IS - 1092-0811 IL - 1092-0811 PT - Journal Article PT - Review LG - English DP - 2004 Feb DC - 20040319 YR - 2004 ED - 20040511 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15029927 <695. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14984618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tarzian AJ AU - Hoffmann DE FA - Tarzian, Anita J FA - Hoffmann, Diane E IN - Tarzian,Anita J. University of Maryland School of Law, Baltimore, Maryland, USA. atarzian@law.umaryland.edu TI - Barriers to managing pain in the nursing home: findings from a statewide survey. CM - Comment in: J Am Med Dir Assoc. 2004 Mar-Apr;5(2):133-4; PMID: 14984625 SO - Journal of the American Medical Directors Association. 5(2):82-8, 2004 Mar-Apr. AS - J AM MED DIR ASSOC. 5(2):82-8, 2004 Mar-Apr. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Analgesia/mt [Methods] MH - Analgesia/sn [Statistics & Numerical Data] MH - Attitude of Health Personnel MH - Connecticut MH - Health Care Surveys MH - Humans MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - *Pain Management MH - Physician Executives/sn [Statistics & Numerical Data] MH - Practice Guidelines as Topic MH - *Quality of Health Care/sn [Statistics & Numerical Data] MH - Staff Development/sn [Statistics & Numerical Data] AB - 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. AB - DESIGN: Mailed survey. AB - SETTING: All licensed Connecticut nursing homes. AB - PARTICIPANTS: Directors of Nursing (DONs). AB - MEASUREMENTS: Survey eliciting pain management demographics, perceived resources, and perceived barriers to adequately manage pain in respondents' nursing home. AB - 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. AB - 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. IS - 1525-8610 IL - 1525-8610 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Mar-Apr DC - 20040226 YR - 2004 ED - 20040511 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14984618 <696. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14986289 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Earlywine A FA - Earlywine, Andrea TI - Examining the relationships of addiction and beliefs of nursing students towards persons with alcohol problems. CM - Comment on: Arch Psychiatr Nurs. 2003 Aug;17(4):156-64; PMID: 14508771 SO - Archives of Psychiatric Nursing. 18(1):35, 2004 Feb. AS - Arch Psychiatr Nurs. 18(1):35, 2004 Feb. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Attitude to Health MH - *Behavior, Addictive MH - *Culture MH - Humans MH - *Students, Nursing IS - 0883-9417 IL - 0883-9417 PT - Comment PT - Letter LG - English DP - 2004 Feb DC - 20040226 YR - 2004 ED - 20040430 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14986289 <697. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15061445 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J AU - Balkstra CR FA - Heath, Janie FA - Andrews, Jeannette FA - Balkstra, Cindy R IN - Heath,Janie. School of Nursing and Health Studies, Georgetown University, Washington, DC, USA. ejh@georgetown.edu TI - Potential reduction exposure products and FDA tobacco and regulation: a CNS call to action. [Review] [47 refs] SO - Clinical Nurse Specialist. 18(1):40-8; quiz 49-50, 2004 Jan-Feb. AS - Clin Nurse Spec. 18(1):40-8; quiz 49-50, 2004 Jan-Feb. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Candy MH - Drug Delivery Systems MH - Ganglionic Stimulants/ad [Administration & Dosage] MH - *Government Regulation MH - *Harm Reduction MH - Humans MH - Lobbying MH - Nicotine/ad [Administration & Dosage] MH - Nurse Clinicians/ed [Education] MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse's Role MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Industry/og [Organization & Administration] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco, Smokeless MH - United States MH - *United States Food and Drug Administration/og [Organization & Administration] AB - A new generation of tobacco harm reduction products is stirring controversy and confusion among healthcare providers. These products, known as "potential reduction exposure products" (PREPs), can be described in terms of reported scientific evidence, as "the good, the bad, and the ugly." On the good side, there is sufficient scientific evidence to support the use of Commit, a new over-the-counter nicotine lozenge PREP, approved for smoking cessation. On the bad side, there is no scientific evidence to support the use of Ariva, another over-the-counter nicotine lozenge PREP, marketed as an alternative to cigarettes when smoking is restricted. On the ugly side, both of these PREPs are nicotine delivery systems with "candy-like" appearances; however, one (Commit) has the Food and Drug Administration (FDA) approval and the other (Ariva) does not. This article provides an overview of PREPs and strategies to help clinical nurse specialists (CNSs) address tobacco harm reduction issues. [References: 47] RN - 0 (Ganglionic Stimulants) RN - 6M3C89ZY6R (Nicotine) IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Review LG - English DP - 2004 Jan-Feb DC - 20040405 YR - 2004 ED - 20040428 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15061445 <698. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14769459 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baron-Epel O AU - Josephsohn K AU - Ehrenfeld M FA - Baron-Epel, Orna FA - Josephsohn, Karen FA - Ehrenfeld, Mali IN - Baron-Epel,Orna. The Cheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Studies, University of Haifa, Mount Carmel 31095, Israel. ornaepel@research.haifa.ac.il TI - Nursing students' perceptions of smoking prevention. SO - Nurse Education Today. 24(2):145-51, 2004 Feb. AS - Nurse Educ Today. 24(2):145-51, 2004 Feb. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Adult MH - Attitude of Health Personnel MH - Ethics, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Israel/ep [Epidemiology] MH - Male MH - Nurse's Role MH - Nursing Education Research MH - Prevalence MH - Smoking/ep [Epidemiology] MH - *Smoking/pc [Prevention & Control] MH - *Social Perception MH - *Students, Nursing/sn [Statistics & Numerical Data] AB - 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. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 2004 Feb DC - 20040210 YR - 2004 ED - 20040422 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14769459 <699. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14765087 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson CE FA - Wilson, Claudia E IN - Wilson,Claudia E. sweetbayqi@yahoo.com TI - Raising college students' alcohol awareness: a successful program at the University of Virginia. SO - Journal of Emergency Nursing. 30(1):64-7, 2004 Feb. AS - J Emerg Nurs. 30(1):64-7, 2004 Feb. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - *Alcoholic Intoxication/pc [Prevention & Control] MH - Curriculum MH - Education, Nursing/og [Organization & Administration] MH - *Health Education/og [Organization & Administration] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Peer Group MH - *Program Development/mt [Methods] MH - *Student Health Services/og [Organization & Administration] MH - *Students MH - Virginia IS - 0099-1767 IL - 0099-1767 PT - Journal Article LG - English DP - 2004 Feb DC - 20040206 YR - 2004 ED - 20040422 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14765087 <700. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14734961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schiffman RF FA - Schiffman, Rachel F IN - Schiffman,Rachel F. University of Wisconsin-Milwaukee, College of Nursing, University of Wisconsin-MIlwaukee, Milwaukee, WI 53201, USA. schiffma@uwm.edu TI - Drug and substance use in adolescents. [Review] [28 refs] SO - MCN, American Journal of Maternal Child Nursing. 29(1):21-7; quiz 28-9, 2004 Jan-Feb. AS - MCN Am J Matern Child Nurs. 29(1):21-7; quiz 28-9, 2004 Jan-Feb. NJ - MCN. The American journal of maternal child nursing PI - Journal available in: Print PI - Citation processed from: Print JC - ma3, 7605941 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Humans MH - *Maternal-Child Nursing/mt [Methods] MH - Nursing Assessment/mt [Methods] MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - 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. [References: 28] IS - 0361-929X IL - 0361-929X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review LG - English DP - 2004 Jan-Feb DC - 20040121 YR - 2004 ED - 20040422 RD - 20071029 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14734961 <701. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15008686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Watt CA AU - Carosella AM AU - Podgorski C AU - Ossip-Klein DJ FA - Watt, Celia A FA - Carosella, Ann Marie FA - Podgorski, Carol FA - Ossip-Klein, Deborah J IN - Watt,Celia A. Department of Health Science, State University of New York-Brockport, Brockport, NY 14420-2914, USA. cwatt@brockport.edu TI - Attitudes toward giving smoking cessation advice among nursing staff at a long-term residential care facility. SO - Psychology of Addictive Behaviors. 18(1):56-63, 2004 Mar. AS - Psychol Addict Behav. 18(1):56-63, 2004 Mar. NJ - Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors PI - Journal available in: Print PI - Citation processed from: Print JC - dlk, 8802734 SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Long-Term Care MH - Male MH - Multivariate Analysis MH - *Nursing Staff MH - Organizational Policy MH - *Residential Facilities MH - *Smoking Cessation MH - United States AB - The objective of this study was to provide a first assessment of (a) long-term care staffs' prevalence of and attitudes toward giving smoking cessation advice to residents and (b) predictors of advice giving. Results of a survey (N = 115) found that 54.8% of licensed nurses and 34.6% of nursing assistants reported ever advising. Advising was associated with job classification and believing that residents' problem lists should include smoking. Not advising was associated with believing advice is the physicians' responsibility. Staff somewhat endorsed risks of smoking and benefits of cessation for residents, smoking as a right and pleasure, and that some residents cannot make decisions about smoking. Staff moderately endorsed safety concerns: 36% wanted policy changes. Lack of institutional support and perceived residents' cessation disinterest were key barriers. The findings suggest that staff may be missing intervention opportunities and that institutional support of advising cessation may facilitate maintenance and improvement of nursing home residents' health. IS - 0893-164X IL - 0893-164X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1-R01-CA67594 (United States NCI NIH HHS) NO - 5 T32 DA07232 (United States NIDA NIH HHS) LG - English DP - 2004 Mar DC - 20040310 YR - 2004 ED - 20040421 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15008686 <702. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14998101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lemke DM FA - Lemke, Denise M IN - Lemke,Denise M. Medical College of Wisconsin, Milwaukee, WI, USA. dmlemke@mcw.edu TI - Riding out the storm: sympathetic storming after traumatic brain injury. [Review] [22 refs] SO - Journal of Neuroscience Nursing. 36(1):4-9, 2004 Feb. AS - J Neurosci Nurs. 36(1):4-9, 2004 Feb. NJ - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - ij6, 8603596 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adrenergic beta-Antagonists/ae [Adverse Effects] MH - *Adrenergic beta-Antagonists/pd [Pharmacology] MH - *Adrenergic beta-Antagonists/tu [Therapeutic Use] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/pd [Pharmacology] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Brain Injuries/dt [Drug Therapy] MH - Brain Injuries/me [Metabolism] MH - *Brain Injuries/pp [Physiopathology] MH - Humans MH - *Hypothalamus/de [Drug Effects] MH - Hypothalamus/me [Metabolism] MH - *Hypothalamus/pp [Physiopathology] MH - Risk Factors MH - Substance Withdrawal Syndrome/et [Etiology] MH - Substance Withdrawal Syndrome/pc [Prevention & Control] MH - *Sympathetic Nervous System/de [Drug Effects] AB - Following acute multiple trauma, hypothalamic stimulation of the sympathetic nervous system and adrenal glands causes an increase in circulating corticoids and catecholamines, or a stress response. In individuals with severe traumatic brain injury or a Glasgow Coma Scale score of 3-8, this response can be exaggerated and episodic. A term commonly used by nurses caring for these individuals to describe this phenomenon is storming. Symptoms can include alterations in level of consciousness, increased posturing, dystonia, hypertension, hyperthermia, tachycardia, tachypnea, diaphoresis, and agitation. These individuals generally are at a low level of neurological activity with minimal alertness, minimal awareness, and reflexive motor response to stimulation, and the storming can take a seemingly peaceful individual into a state of chaos. Diagnosis is commonly made solely on clinical assessment, and treatment is aimed at controlling the duration and severity of the symptoms and preventing additional brain injury. Storming can pose a challenge for the nurse, from providing daily care for the individual in the height of the storming episode and treating the symptoms, to educating the family. Careful assessment of the individual leads the nurse to the diagnosis and places the nurse in the role of moderator of the storming episode, including providing treatment and evaluating outcomes. [References: 22] RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Analgesics, Opioid) IS - 0888-0395 IL - 0888-0395 PT - Journal Article PT - Review LG - English DP - 2004 Feb DC - 20040304 YR - 2004 ED - 20040414 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14998101 <703. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15038638 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fried JL AU - Reid BC AU - DeVore LE FA - Fried, Jacquelyn L FA - Reid, Britt C FA - DeVore, Linda E IN - Fried,Jacquelyn L. Dental Hygiene Program, Department of Health Promotion and Policy, School of Dentistry, University of Maryland, Baltimore 21201, USA. jlf001@dental.umaryland.edu TI - A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles. SO - Journal of Dental Education. 68(3):370-7, 2004 Mar. AS - J Dent Educ. 68(3):370-7, 2004 Mar. NJ - Journal of dental education PI - Journal available in: Print PI - Citation processed from: Print JC - hy7, 8000150 SB - Dental Journals SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Curriculum MH - Dental Hygienists/ed [Education] MH - Dental Hygienists/sn [Statistics & Numerical Data] MH - *Education, Professional/sn [Statistics & Numerical Data] MH - Ethics, Professional MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Patient Education as Topic MH - Physical Therapy Specialty/ed [Education] MH - *Professional Role MH - Smoking/ep [Epidemiology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. IS - 0022-0337 IL - 0022-0337 PT - Comparative Study PT - Journal Article LG - English DP - 2004 Mar DC - 20040324 YR - 2004 ED - 20040408 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15038638 <704. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14711470 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ger LP AU - Chang CY AU - Ho ST AU - Lee MC AU - Chiang HH AU - Chao CS AU - Lai KH AU - Huang JM AU - Wang SC FA - Ger, Luo-Ping FA - Chang, Ching-Ying FA - Ho, Shung-Tai FA - Lee, Ming-Chien FA - Chiang, Hsien-Hsien FA - Chao, Co-Shi FA - Lai, Kwok-Hung FA - Huang, Jui-Mei FA - Wang, Shih-Chun IN - Ger,Luo-Ping. Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. TI - Effects of a continuing education program on nurses' practices of cancer pain assessment and their acceptance of patients' pain reports. SO - Journal of Pain & Symptom Management. 27(1):61-71, 2004 Jan. AS - J Pain Symptom Manage. 27(1):61-71, 2004 Jan. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - United States MH - Adult MH - *Education, Nursing, Continuing MH - Humans MH - *Neoplasms/co [Complications] MH - *Pain/di [Diagnosis] MH - *Pain/et [Etiology] MH - *Pain Measurement/nu [Nursing] MH - Program Evaluation MH - *Self-Assessment AB - 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. IS - 0885-3924 IL - 0885-3924 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2004 Jan DC - 20040108 YR - 2004 ED - 20040402 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14711470 <705. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14725782 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broekmans S AU - Vanderschueren S AU - Morlion B AU - Kumar A AU - Evers G FA - Broekmans, S FA - Vanderschueren, S FA - Morlion, B FA - Kumar, A FA - Evers, G IN - Broekmans,S. Multidisciplinary Pain Centre, University Hospital, Leuven, Belgium. susan.broekmans@med.kuleuven.ac.be TI - Nurses' attitudes toward pain treatment with opioids: a survey in a Belgian university hospital. SO - International Journal of Nursing Studies. 41(2):183-9, 2004 Feb. AS - Int J Nurs Stud. 41(2):183-9, 2004 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Belgium MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hospitals, University MH - Humans MH - Male MH - Middle Aged MH - Needs Assessment MH - Negativism MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Prejudice MH - Risk Factors MH - Self-Assessment MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - AIM: To investigate nurses' attitudes toward pain treatment with opioids in a Belgian university hospital. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2004 Feb DC - 20040116 YR - 2004 ED - 20040312 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14725782 <706. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14687294 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ahmadi J AU - Maharlooy N AU - Alishahi M FA - Ahmadi, Jamshid FA - Maharlooy, Najmeh FA - Alishahi, Mohammadjavad IN - Ahmadi,Jamshid. Shiraz University Of Medical Sciences, Shiraz, Iran. jamshid_ahmadi@yahoo.com TI - Substance abuse: prevalence in a sample of nursing students. SO - Journal of Clinical Nursing. 13(1):60-4, 2004 Jan. AS - J Clin Nurs. 13(1):60-4, 2004 Jan. NJ - Journal of clinical nursing PI - Journal available in: Print PI - Citation processed from: Print JC - bzz, 9207302 SB - Nursing Journal CP - England MH - Adult MH - Attitude of Health Personnel/eh [Ethnology] MH - Attitude to Health/eh [Ethnology] MH - Chi-Square Distribution MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Iran/ep [Epidemiology] MH - Male MH - Motivation MH - Needs Assessment MH - Occupational Health MH - Population Surveillance MH - Prevalence MH - Professional Impairment/px [Psychology] MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Sex Distribution MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - AIMS: The aim of this research was to evaluate the prevalence of substance abuse in a sample of Iranian nursing students. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0962-1067 IL - 0962-1067 PT - Journal Article LG - English DP - 2004 Jan DC - 20031222 YR - 2004 ED - 20040305 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14687294 <707. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14753122 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percival J FA - Percival, Jennifer IN - Percival,Jennifer. Royal College of Nursing, London. TI - Want to give up smoking? Self-help tips for professionals. SO - Journal of Family Health Care. 13(6):165-7, 2003. AS - J Fam Health Care. 13(6):165-7, 2003. NJ - The journal of family health care PI - Journal available in: Print PI - Citation processed from: Print JC - 101142028 SB - Nursing Journal CP - England MH - Health Behavior MH - Health Personnel/ed [Education] MH - *Health Personnel/px [Psychology] MH - Humans MH - *Self Care/mt [Methods] MH - Self Care/px [Psychology] MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] AB - 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. IS - 1474-9114 IL - 1474-9114 PT - Journal Article LG - English DP - 2003 DC - 20040202 YR - 2003 ED - 20040305 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14753122 <708. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14753088 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ilardi D FA - Ilardi, Deb TI - Internet information that's free, accurate and helpful. SO - School Nurse News. 21(1):30-2, 2004 Jan. AS - School Nurse News. 21(1):30-2, 2004 Jan. NJ - School nurse news PI - Journal available in: Print PI - Citation processed from: Print JC - 100956395 SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - *Health Education/og [Organization & Administration] MH - Humans MH - *Information Services/og [Organization & Administration] MH - *Internet/og [Organization & Administration] MH - Nurse's Role MH - School Nursing/ed [Education] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 1080-7543 IL - 1080-7543 PT - Journal Article LG - English DP - 2004 Jan DC - 20040202 YR - 2004 ED - 20040227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14753088 <709. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14702865 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Percival J AU - Bialous SA AU - Chan S AU - Sarna L FA - Percival, Jennifer FA - Bialous, Stella Aguinaga FA - Chan, Sophia FA - Sarna, Linda IN - Percival,Jennifer. Royal College of Nursing, Hertfordshire, UK. TI - International efforts in tobacco control. [Review] [70 refs] SO - Seminars in Oncology Nursing. 19(4):301-8, 2003 Nov. AS - Semin Oncol Nurs. 19(4):301-8, 2003 Nov. NJ - Seminars in oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - sem, 8504688 SB - Index Medicus SB - Nursing Journal CP - United States MH - Africa MH - Asia MH - Europe MH - Global Health MH - Humans MH - *International Cooperation MH - Latin America MH - Lung Neoplasms/et [Etiology] MH - Nursing Methodology Research MH - *Oncology Nursing/st [Standards] MH - *Public Health/lj [Legislation & Jurisprudence] MH - Quality Assurance, Health Care MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Social Control, Formal MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - World Health Organization AB - OBJECTIVES: To review international nursing involvement in tobacco control and discuss opportunities and challenges to enhance nurses' participation in decreasing tobacco-related morbidity and mortality. AB - DATA SOURCES: Published literature and published and unpublished material developed by nurses in their tobacco control initiatives. AB - CONCLUSION: Worldwide, nurses have been involved in tobacco control. However, many opportunities remain for involvement in the areas of education, research, and practice. AB - IMPLICATIONS FOR NURSING PRACTICE: There are numerous opportunities for nurses throughout the world to enhance their involvement in tobacco control. [References: 70] IS - 0749-2081 IL - 0749-2081 PT - Journal Article PT - Review LG - English DP - 2003 Nov DC - 20040101 YR - 2003 ED - 20040213 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14702865 <710. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14702860 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiFranza JR AU - Wellman RJ FA - DiFranza, Joseph R FA - Wellman, Robert J IN - DiFranza,Joseph R. Department of Family and Community Medicine, University of Massachusetts Medical Center, 55 Lake Ave, Worcester, MA 01655, USA. TI - Preventing cancer by controlling youth tobacco use. [Review] [35 refs] SO - Seminars in Oncology Nursing. 19(4):261-7, 2003 Nov. AS - Semin Oncol Nurs. 19(4):261-7, 2003 Nov. NJ - Seminars in oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - sem, 8504688 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Adolescent Behavior MH - Advertising as Topic/lj [Legislation & Jurisprudence] MH - Attitude to Health MH - Child MH - Child Behavior MH - Commerce/lj [Legislation & Jurisprudence] MH - Health Education/mt [Methods] MH - *Health Education MH - Humans MH - Lung Neoplasms/et [Etiology] MH - Lung Neoplasms/pc [Prevention & Control] MH - *Nurse's Role MH - Nursing Methodology Research MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - Smoking/lj [Legislation & Jurisprudence] MH - Smoking/pc [Prevention & Control] MH - *Smoking MH - Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder MH - United States AB - OBJECTIVES: To review the epidemiology and prevention of teen smoking and the risks of smoking among survivors of childhood cancer. AB - DATA SOURCES: Research articles, government reports, and surveys. AB - 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. AB - 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. [References: 35] IS - 0749-2081 IL - 0749-2081 PT - Journal Article PT - Review LG - English DP - 2003 Nov DC - 20040101 YR - 2003 ED - 20040213 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14702860 <711. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14630384 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaner E AU - Lock C AU - Heather N AU - McNamee P AU - Bond S FA - Kaner, Eileen FA - Lock, Catherine FA - Heather, Nick FA - McNamee, Paul FA - Bond, Senga IN - Kaner,Eileen. Centre for Health Services Research, 21 Claremont Place, University of Newcastle upon Tyne, NE2 4AA, UK. e.f.s.kaner@newcastle.ac.uk TI - Promoting brief alcohol intervention by nurses in primary care: a cluster randomised controlled trial. SO - Patient Education & Counseling. 51(3):277-84, 2003 Nov. AS - Patient Educ Couns. 51(3):277-84, 2003 Nov. NJ - Patient education and counseling PI - Journal available in: Print PI - Citation processed from: Print JC - pec, 8406280 SB - Nursing Journal CP - Ireland MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Cluster Analysis MH - Cost-Benefit Analysis MH - *Counseling/og [Organization & Administration] MH - Education, Nursing, Continuing MH - England MH - Family Practice/og [Organization & Administration] MH - Female MH - Humans MH - Inservice Training MH - Male MH - Mass Screening/nu [Nursing] MH - *Mass Screening/og [Organization & Administration] MH - Middle Aged MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - Practice Guidelines as Topic MH - *Primary Health Care/og [Organization & Administration] MH - Program Evaluation MH - *Psychotherapy, Brief/og [Organization & Administration] AB - This trial evaluated the clinical impact and cost-effectiveness of strategies promoting screening and brief alcohol intervention (SBI) by nurses in primary care. Randomisation was at the level of the practice and the interventions were: written guidelines (controls, n=76); outreach training (n=68); and training plus telephone-based support (n=68). After 3 months, just 39% of controls implemented the SBI programme compared to 74% of nurses in trained practices and 71% in trained and supported practices. Controls also screened fewer patients and delivered fewer brief interventions to risk drinkers than other colleagues. However, there was a trade-off between the extent and the appropriateness of brief intervention delivery with controls displaying the least errors in overall patient management. Thus cost-effectiveness ratios (cost per patient appropriately treated) were similar between the three strategies. Given the potential for anxiety due to misdirected advice about alcohol-related risk, the balance of evidence favoured the use of written guidelines to promote SBI by nurses in primary care. IS - 0738-3991 IL - 0738-3991 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Nov DC - 20031121 YR - 2003 ED - 20040206 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14630384 <712. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12845366 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon SC AU - Luis MA AU - Laranjeira R FA - Pillon, Sandra Cristina FA - Luis, Margarita Antonia Villar FA - Laranjeira, Ronaldo IN - Pillon,Sandra Cristina. Department os Psychiatric Nursing, School of Nursing, University of Sao Paulo, Ribeirao Preto, SP, Brazil. TI - Nurses' training on dealing with alcohol and drug abuse: a question of necessity. [Review] [23 refs] SO - Revista do Hospital das Clinicas; Faculdade de Medicina Da Universidade de Sao Paulo. 58(2):119-24, 2003 Mar-Apr. AS - Rev Hosp Clin Fac Med Sao Paulo. 58(2):119-24, 2003 Mar-Apr. NJ - Revista do Hospital das Clinicas PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - s3l, 0415246 SB - Index Medicus CP - Brazil MH - *Alcoholism/nu [Nursing] MH - *Education, Nursing MH - Humans MH - Nurse's Role MH - *Patient Care MH - *Substance-Related Disorders/nu [Nursing] AB - 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. [References: 23] IS - 0041-8781 IL - 0041-8781 PT - Journal Article PT - Review LG - English EP - 20030625 DP - 2003 Mar-Apr DC - 20030707 YR - 2003 ED - 20040130 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12845366 <713. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12834923 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schultz AS FA - Schultz, Annette S H IN - Schultz,Annette S H. School of Nursing, University of British Columbia, T201-2211 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5. annettes@interchange.ubc.ca TI - Nursing and tobacco reduction: a review of the literature. [Review] [84 refs] SO - International Journal of Nursing Studies. 40(6):571-86, 2003 Aug. AS - Int J Nurs Stud. 40(6):571-86, 2003 Aug. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Clinical Trials as Topic MH - Guidelines as Topic MH - Humans MH - International Council of Nurses MH - Nurses MH - *Nursing MH - Nursing Research MH - Professional Practice MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - *Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] MH - World Health Organization AB - 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. [References: 84] IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2003 Aug DC - 20030701 YR - 2003 ED - 20040130 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12834923 <714. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14685959 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cowan L AU - Deering D AU - Crowe M AU - Sellman D AU - Futterman-Collier A AU - Adamson S FA - Cowan, Lois FA - Deering, Daryle FA - Crowe, Marie FA - Sellman, Doug FA - Futterman-Collier, Ann FA - Adamson, Simon IN - Cowan,Lois. School of Nursing, Christchurch Polytechnic Institute of Technology, PO Box 540, Christchurch, New Zealand. cowanl@cpit.ac.nz TI - Alcohol and drug treatment for women: clinicians' beliefs and practice. SO - International Journal of Mental Health Nursing. 12(1):48-55, 2003 Mar. AS - Int J Ment Health Nurs. 12(1):48-55, 2003 Mar. NJ - International journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 101140527 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - Counseling/ed [Education] MH - Counseling/og [Organization & Administration] MH - Curriculum MH - Female MH - Health Facility Administrators/ed [Education] MH - Health Facility Administrators/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Needs Assessment MH - New Zealand MH - Nurse Administrators/ed [Education] MH - Nurse Administrators/px [Psychology] MH - Nurse's Role MH - Parenting MH - *Practice Patterns, Physicians'/og [Organization & Administration] MH - Psychiatric Nursing MH - Referral and Consultation MH - Social Work/ed [Education] MH - Social Work/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - *Women's Health AB - The present paper reports on the results of a telephone survey of 217 alcohol and drug treatment clinicians on their beliefs and practice, in relation to service provision for women. Nurses comprised the second largest professional group surveyed. Seventy-eight percent of clinicians believed that women's treatment needs differed from men's and 74% reported a range of approaches and interventions, such as assisting with parenting issues and referral to women-only programmes. Several differences emerged in relation to approaches and interventions used, depending on clinician gender, work setting and proportion of women on clinicians' caseload. Implications for mental health nursing include the need to more systematically incorporate gender-based treatment needs into practice and undergraduate and postgraduate education and training programmes. IS - 1445-8330 IL - 1445-8330 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Mar DC - 20031222 YR - 2003 ED - 20040116 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14685959 <715. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12406206 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Carta B AU - Pinikahana J FA - Happell, Brenda FA - Carta, Bill FA - Pinikahana, Jaya IN - Happell,Brenda. Center for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Victoria, Australia. TI - Nurses' knowledge, attitudes and beliefs regarding substance use: a questionnaire survey. SO - Nursing & Health Sciences. 4(4):193-200, 2002 Dec. AS - Nurs Health Sci. 4(4):193-200, 2002 Dec. NJ - Nursing & health sciences PI - Journal available in: Print PI - Citation processed from: Print JC - dov, 100891857 SB - Nursing Journal CP - Australia MH - Adult MH - Alcoholism MH - Attitude of Health Personnel MH - *Clinical Competence MH - Education, Nursing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Nurses/px [Psychology] MH - *Nurses/st [Standards] MH - *Substance-Related Disorders MH - *Surveys and Questionnaires MH - Victoria AB - 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. IS - 1441-0745 IL - 1441-0745 PT - Journal Article LG - English DP - 2002 Dec DC - 20021030 YR - 2002 ED - 20040106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12406206 <716. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14514165 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kyasova M FA - Kyasova, M IN - Kyasova,M. Department of Geriatrics, Nursing and General Practice, Faculty of Medicine, Masaryk University, Brno, Jostova 10, 662 43, Czech Republic. mkyasova@med.muni.cz TI - Imagery and associations of adolescents reflected in their behaviour. SO - Central European Journal of Public Health. 11(3):132-7, 2003 Sep. AS - Cent Eur J Public Health. 11(3):132-7, 2003 Sep. NJ - Central European journal of public health PI - Journal available in: Print PI - Citation processed from: Print JC - bo6, 9417324 SB - Index Medicus CP - Czech Republic MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adult MH - Alcohol Drinking/px [Psychology] MH - Cocaine-Related Disorders/px [Psychology] MH - Czech Republic MH - Exercise/px [Psychology] MH - Female MH - *Health Behavior MH - Health Education MH - Humans MH - *Imagination MH - Marijuana Smoking/px [Psychology] MH - *Risk Reduction Behavior MH - *Risk-Taking MH - Seat Belts/ut [Utilization] MH - Sexual Behavior/px [Psychology] MH - Smoking/px [Psychology] MH - Surveys and Questionnaires MH - Word Association Tests AB - 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, USA. 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. Nearly 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. IS - 1210-7778 IL - 1210-7778 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Sep DC - 20030929 YR - 2003 ED - 20031229 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14514165 <717. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14498773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benton J FA - Benton, Jeremy IN - Benton,Jeremy. Waunakee Community Schools, Waunakee, WI, USA. TI - Making schools safer and healthier for lesbian, gay, bisexual, and questioning students. [Review] [25 refs] SO - Journal of School Nursing. 19(5):251-9, 2003 Oct. AS - J Sch Nurs. 19(5):251-9, 2003 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - United States MH - Adolescent MH - Attitude of Health Personnel MH - Confidentiality MH - Female MH - Humans MH - Male MH - Nurse's Role MH - Nurse-Patient Relations MH - Patient Advocacy MH - *School Nursing/mt [Methods] MH - School Nursing/og [Organization & Administration] MH - Self Disclosure MH - Sex Education/mt [Methods] MH - *Sexuality MH - Societies, Nursing MH - *Students MH - United States AB - 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. [References: 25] IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 2003 Oct DC - 20030922 YR - 2003 ED - 20031211 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14498773 <718. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12970145 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skipper C AU - Guy JM AU - Parkes J AU - Roderick P AU - Rosenberg WM FA - Skipper, C FA - Guy, J M FA - Parkes, J FA - Roderick, P FA - Rosenberg, W M IN - Skipper,C. HMP Parkhurst, Isle of Wight, UK. TI - Evaluation of a prison outreach clinic for the diagnosis and prevention of hepatitis C: implications for the national strategy. CM - Comment in: Gut. 2004 May;53(5):771-2; PMID: 15082602 SO - Gut. 52(10):1500-4, 2003 Oct. AS - Gut. 52(10):1500-4, 2003 Oct. NJ - Gut PI - Journal available in: Print PI - Citation processed from: Print JC - fvt, 2985108r OI - Source: NLM. PMC1773842 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adult MH - Community-Institutional Relations MH - England MH - *Health Policy MH - *Hepatitis C/di [Diagnosis] MH - *Hepatitis C/pc [Prevention & Control] MH - Humans MH - Male MH - Nurse Clinicians MH - *Outpatient Clinics, Hospital/og [Organization & Administration] MH - Patient Education as Topic MH - Prevalence MH - *Prisoners MH - *Prisons/og [Organization & Administration] MH - Risk Factors MH - Substance Abuse, Intravenous AB - BACKGROUND: Hepatitis C virus (HCV) infection is a major public health problem recognised by the UK National Strategy that proposes that a care pathway for assessment, diagnosis, and treatment be established in all prisons, integrated within managed clinical networks. A prison sentence provides the opportunity to focus on traditionally hard to reach patients. AB - AIMS: To evaluate the prevalence of HCV infection in a UK prison cluster and to assess the effectiveness of a prison outreach service for hepatitis C. AB - SUBJECTS: Male prisoners. AB - METHODS: A nurse specialist led clinic within a cluster of adult prisons was established, offering health education on hepatitis C, advice on harm minimisation, and HCV testing. Infected prisoners were offered access to a care pathway leading to treatment. Outcome measures were uptake of the service, and diagnosis and treatment of hepatitis C. AB - RESULTS: A total of 8.5% of 1618 prisoners accepted testing: 30% had active infection with HCV. Most were ineligible for treatment due to psychiatric illness or did not receive treatment for logistic reasons. Injecting drug use was the major risk factor in all cases. Only 7% of HCV polymerase chain amplification positive inmates received treatment in prison. AB - CONCLUSION: There is a large pool of HCV infected prisoners at risk of complications, constituting a source of infection during their sentence and after discharge. A prison outreach clinic and care pathway was perceived as effective in delivering health education, reducing the burden on prison and hospital services. It provided an opportunity for intervention but had a limited effect in eradicating HCV in prisoners and it remains unclear how this might be achieved. IS - 0017-5749 IL - 0017-5749 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 Oct DC - 20030912 YR - 2003 ED - 20031209 RD - 20140611 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12970145 <719. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14596217 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hammond A FA - Hammond, Andrea IN - Hammond,Andrea. Substance Misuse Service, West Kent NHS, Social Care Trust, Dartford, Kent. andrea.hammond@tgt.sthames.nhs.uk TI - Substance misuse and serious mental illness: spiritual care. [Review] [22 refs] SO - Nursing Standard. 18(2):33-8, 2003 Sep 24-30. AS - Nurs Stand. 18(2):33-8, 2003 Sep 24-30. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Community Health Nursing MH - Humans MH - Mental Disorders/co [Complications] MH - *Mental Disorders/nu [Nursing] MH - *Mental Disorders/px [Psychology] MH - Models, Nursing MH - Patient Care Planning MH - Psychiatric Nursing MH - Religion MH - *Spiritual Therapies/nu [Nursing] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] AB - 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. AB - 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. [References: 22] IS - 0029-6570 IL - 0029-6570 PT - Journal Article PT - Review LG - English DP - 2003 Sep 24-30 DC - 20031104 YR - 2003 ED - 20031204 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14596217 <720. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12956545 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moody KA AU - Childs JC AU - Sepples SB FA - Moody, Kimberly A FA - Childs, Janis C FA - Sepples, Susan B IN - Moody,Kimberly A. University of Basel, Basel, Switzerland. TI - Intervening with at-risk youth: evaluation of the youth empowerment and support program. SO - Pediatric Nursing. 29(4):263-70, 2003 Jul-Aug. AS - Pediatr Nurs. 29(4):263-70, 2003 Jul-Aug. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - United States MH - Child MH - Female MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Leadership MH - Male MH - Mentors MH - Peer Group MH - Program Evaluation MH - Risk Factors MH - Risk-Taking MH - Self Concept MH - Social Behavior MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Urban Population AB - 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. IS - 0097-9805 IL - 0097-9805 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jul-Aug DC - 20030905 YR - 2003 ED - 20031204 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12956545 <721. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14555574 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patkar AA AU - Hill K AU - Batra V AU - Vergare MJ AU - Leone FT FA - Patkar, Ashwin A FA - Hill, Kevin FA - Batra, Vikas FA - Vergare, Michael J FA - Leone, Frank T IN - Patkar,Ashwin A. Department of Psychiatry and Human Behavior, Jefferson Medical College and Thomas Jefferson University, Philadelphia, PA 19107, USA. ashwin.patkar@mail.tju.edu TI - A comparison of smoking habits among medical and nursing students. SO - Chest. 124(4):1415-20, 2003 Oct. AS - Chest. 124(4):1415-20, 2003 Oct. NJ - Chest PI - Journal available in: Print PI - Citation processed from: Print JC - 0231335, d1c SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. AB - 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). AB - 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. AB - 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. IS - 0012-3692 IL - 0012-3692 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Oct DC - 20031013 YR - 2003 ED - 20031201 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14555574 <722. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14508771 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martinez RJ AU - Murphy-Parker D FA - Martinez, Ruby J FA - Murphy-Parker, Dana IN - Martinez,Ruby J. University of Colorado Health Sciences Center-School of Nursing in Denver, CO 80262, USA. ruby.martineez@uchsc.edu TI - Examining the relationship of addiction education and beliefs of nursing students toward persons with alcohol problems. CM - Comment in: Arch Psychiatr Nurs. 2004 Feb;18(1):35; PMID: 14986289 SO - Archives of Psychiatric Nursing. 17(4):156-64, 2003 Aug. AS - Arch Psychiatr Nurs. 17(4):156-64, 2003 Aug. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Attitude to Health MH - *Culture MH - Female MH - *Health Education MH - Humans MH - Male MH - Middle Aged MH - *Social Perception MH - *Students, Nursing AB - 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. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Aug DC - 20030925 YR - 2003 ED - 20031201 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14508771 <723. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12913364 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gassman RA FA - Gassman, Ruth A IN - Gassman,Ruth A. Department of Sociology, Karl Schuessler Institute of Social Research, Indiana University, Bloomington, Indiana 47405, USA. rgassman@indiana.edu TI - Medical specialization, profession, and mediating beliefs that predict stated likelihood of alcohol screening and brief intervention: targeting educational interventions. SO - Substance Abuse. 24(3):141-56, 2003 Sep. AS - Subst Abus. 24(3):141-56, 2003 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS433496 OI - Source: NLM. PMC3567772 SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Data Collection MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Physicians/px [Psychology] MH - *Psychotherapy, Brief/mt [Methods] MH - Surveys and Questionnaires AB - Practitioner-level educational approaches that promote screening and brief intervention (SBI) seldom consider providers' profession and medical specialization. Strategies that consider these variables may be better equipped to affect change in beliefs and behavior. The aim of this study was to identify beliefs that predict stated likelihood of practicing SBI by specialty and health profession in order to guide the direction of educational strategies. Physicians and nurse practitioners were studied that specialized in family, internal, obstetric gynecology (ObGyn), and pediatric medicine. The results indicated that independent of amount of previous postgraduate alcohol education and knowledge, self-rated competence mediated between specialty and likelihood of practicing SBI. For instance, low self-rated competence for ObGyn was a barrier that suppressed likelihood of practicing SBI. Other findings were that role legitimacy mediated the association between profession and likelihood of SBI, so that lack of role legitimacy was a barrier for physicians but not for nurse practitioners. We suggest that targeted educational strategies for ObGyn and pediatric clinicians may prove more effective than the prevalent one-size-fits all approaches aimed at general adult populations. IS - 0889-7077 IL - 0889-7077 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - R01 AA011713 (United States NIAAA NIH HHS) NO - R29 AA011713 (United States NIAAA NIH HHS) NO - R01 AA11713 (United States NIAAA NIH HHS) LG - English DP - 2003 Sep DC - 2003812 YR - 2003 ED - 20031107 RD - 20161019 UP - 20161020 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=12913364 <724. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12913364 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gassman RA FA - Gassman, Ruth A IN - Gassman,Ruth A. Department of Sociology, Karl Schuessler Institute of Social Research, Indiana University, Bloomington, Indiana 47405, USA. rgassman@indiana.edu TI - Medical specialization, profession, and mediating beliefs that predict stated likelihood of alcohol screening and brief intervention: targeting educational interventions. SO - Substance Abuse. 24(3):141-56, 2003 Sep. AS - Subst Abus. 24(3):141-56, 2003 Sep. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 OI - Source: NLM. NIHMS433496 OI - Source: NLM. PMC3567772 SB - Index Medicus CP - Netherlands MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Data Collection MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Physicians/px [Psychology] MH - *Psychotherapy, Brief/mt [Methods] MH - Surveys and Questionnaires AB - Practitioner-level educational approaches that promote screening and brief intervention (SBI) seldom consider providers' profession and medical specialization. Strategies that consider these variables may be better equipped to affect change in beliefs and behavior. The aim of this study was to identify beliefs that predict stated likelihood of practicing SBI by specialty and health profession in order to guide the direction of educational strategies. Physicians and nurse practitioners were studied that specialized in family, internal, obstetric gynecology (ObGyn), and pediatric medicine. The results indicated that independent of amount of previous postgraduate alcohol education and knowledge, self-rated competence mediated between specialty and likelihood of practicing SBI. For instance, low self-rated competence for ObGyn was a barrier that suppressed likelihood of practicing SBI. Other findings were that role legitimacy mediated the association between profession and likelihood of SBI, so that lack of role legitimacy was a barrier for physicians but not for nurse practitioners. We suggest that targeted educational strategies for ObGyn and pediatric clinicians may prove more effective than the prevalent one-size-fits all approaches aimed at general adult populations. IS - 0889-7077 IL - 0889-7077 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - R01 AA011713 (United States NIAAA NIH HHS) NO - R01 AA11713 (United States NIAAA NIH HHS) NO - R29 AA011713 (United States NIAAA NIH HHS) LG - English DP - 2003 Sep DC - 20030812 YR - 2003 ED - 20031107 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12913364 <725. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13677728 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson A FA - Wilson, Ann IN - Wilson,Ann. School of Health and Social Sciences (Nursing), Coventry University, Coventry. a.wilson@coventry.ac.uk TI - Nurses' maths: researching a practical approach. SO - Nursing Standard. 17(47):33-6, 2003 Aug 6-12. AS - Nurs Stand. 17(47):33-6, 2003 Aug 6-12. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - *Education, Nursing MH - *Educational Measurement MH - Humans MH - *Mathematics AB - AIM: To compare a new practical maths test with a written maths test. The tests were undertaken by qualified nurses training for intravenous drug administration, a skill dependent on maths accuracy. The literature showed that the higher education institutes (HEIs) that provide nurse training use traditional maths tests, a practical way of testing maths had not been described. AB - METHOD: Fifty five nurses undertook two maths tests based on intravenous drug calculations. One was a traditional written test. The second was a new type of test using a simulated clinical environment. All participants were also interviewed one week later to ascertain their thoughts and feelings about the tests. AB - RESULTS: There was a significant improvement in maths test scores for those nurses who took the practical maths test first. It is suggested that this is because it improved their conceptualisation skills and thus helped them to achieve accuracy in their calculations. AB - CONCLUSION: Written maths tests are not the best way to help and support nurses in acquiring and improving their maths skills and should be replaced by a more practical approach. IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2003 Aug 6-12 DC - 20030918 YR - 2003 ED - 20031030 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=13677728 <726. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12930035 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Litton KA FA - Litton, Kimberley A IN - Litton,Kimberley A. Coronary Care Unit, Allegheny General Hospital, Pittsburgh, Pa., USA. klitton@wpahs.org TI - Delirium in the critical care patient: what the professional staff needs to know. [Review] [9 refs] SO - Critical Care Nursing Quarterly. 26(3):208-13, 2003 Jul-Sep. AS - Crit Care Nurs Q. 26(3):208-13, 2003 Jul-Sep. NJ - Critical care nursing quarterly PI - Journal available in: Print PI - Citation processed from: Print JC - ccn, 8704517 SB - Nursing Journal CP - United States MH - Aged MH - Alcohol Withdrawal Delirium/et [Etiology] MH - Anxiety/et [Etiology] MH - Comorbidity MH - Confusion/et [Etiology] MH - *Critical Care MH - Delirium/di [Diagnosis] MH - Delirium/ep [Epidemiology] MH - *Delirium/nu [Nursing] MH - Delirium/pp [Physiopathology] MH - Education, Continuing MH - Humans MH - Nurse's Role MH - Nursing Assessment MH - Psychotic Disorders/et [Etiology] MH - Risk Factors AB - Delirium has been recognized in the literature as a significant problem in the care and treatment of the critical care patient. Delirium, a medical disorder that results in the morbidity and mortality of the patients, especially in the elderly, is often misdiagnosed and inappropriately treated. Nurses and other health care professionals need in-depth education about delirium, validated and understandable assessment tools, and astute clinical observational skills. A comprehensive and aggressive clinical management plan that incorporates appropriate pharmacological agents will result in less morbidity and improved long-term outcomes. [References: 9] IS - 0887-9303 IL - 0887-9303 PT - Journal Article PT - Review LG - English DP - 2003 Jul-Sep DC - 20030821 YR - 2003 ED - 20031009 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12930035 <727. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12829961 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castledine G FA - Castledine, George TI - Nurses should know how to tackle alcohol withdrawal. SO - British Journal of Nursing. 12(11):644, 2003 Jun 12-25. AS - Br J Nurs. 12(11):644, 2003 Jun 12-25. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - *Alcohol Withdrawal Delirium/nu [Nursing] MH - Clinical Competence MH - Education, Nursing, Continuing MH - Ethanol/ae [Adverse Effects] MH - Humans MH - Nurse's Role RN - 3K9958V90M (Ethanol) IS - 0966-0461 IL - 0966-0461 PT - Editorial LG - English DP - 2003 Jun 12-25 DC - 20030627 YR - 2003 ED - 20031002 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12829961 <728. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12874710 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Smardon M FA - Smardon, M TI - An integrative review of substance abuse among nurses from 1981-1997. SO - Online Journal of Knowledge Synthesis for Nursing. 5:1, 1998 Jan 26. AS - Online J Knowl Synth Nurs. 5:1, 1998 Jan 26. NJ - The online journal of knowledge synthesis for nursing PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 9432589 CP - United States AB - The body of literature suggests that the prevalence of substance abuse among nurses and nursing students is less than or similar to the general population, but that younger nurses may be more at risk. Male nurses may be at increased risk for substance abuse. Prevalence of substance abuse by clinical specialty remains unclear. Several risk factors for impairment including depression and lack of social support were identified in the descriptive and qualitative studies. Perceptions and attitudes toward impaired nurses and colleagues reveal a lack of optimism about treatment by nursing management. Acceptance of the illness concept varied by ethnicity. Impaired nurses did not feel supported by nursing management. Peer assistance groups may be an effective means of addressing substance abuse among nurses. ES - 1072-7639 IL - 1072-7639 PT - Journal Article LG - English EP - 19980126 DP - 1998 Jan 26 DC - 20030722 YR - 1998 ED - 20030930 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=12874710 <729. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12477593 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nishiyama T AU - Hanaoka K FA - Nishiyama, Tomoki FA - Hanaoka, Kazuo IN - Nishiyama,Tomoki. Surgical Center, Institute of Medical Science, and Department of Anesthesiology, The University of Tokyo, Tokyo, Japan. nishi-tky@umim.ac.jp TI - Accidental overdose of midazolam as intramuscular premedication. SO - Journal of Clinical Anesthesia. 14(7):543-5, 2002 Nov. AS - J Clin Anesth. 14(7):543-5, 2002 Nov. NJ - Journal of clinical anesthesia PI - Journal available in: Print PI - Citation processed from: Print JC - an9, 8812166 SB - Index Medicus CP - United States MH - *Adjuvants, Anesthesia/ae [Adverse Effects] MH - Aged MH - Drug Overdose MH - Humans MH - Injections, Intramuscular MH - Male MH - *Medication Errors/ae [Adverse Effects] MH - *Midazolam/ae [Adverse Effects] MH - Middle Aged MH - *Preanesthetic Medication/ae [Adverse Effects] AB - We report two cases of overdoses of intramuscular midazolam used as a premedication. Both cases had no resedation or complications, but the accidents happened as a result of a resident and nurse's lack of experience with midazolam. The intramuscular doses, given at four times the normal quantity, fortunately caused no harm in our cases. However, the situations suggest that we should carefully check the dosage and review the correct procedures, even when using a drug that is considered to be familiar with most practitioners.Copyright 2002 by Elsevier Science Inc. RN - 0 (Adjuvants, Anesthesia) RN - R60L0SM5BC (Midazolam) IS - 0952-8180 IL - 0952-8180 PT - Case Reports PT - Journal Article LG - English DP - 2002 Nov DC - 20021212 YR - 2002 ED - 20030912 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12477593 <730. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12882052 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saunder L FA - Saunder, Lorna IN - Saunder,Lorna. City University, London. TI - An audit of interventions for dual diagnosis in a psychiatric unit. SO - Nursing Times. 99(27):34-6, 2003 Jul 8-14. AS - Nurs Times. 99(27):34-6, 2003 Jul 8-14. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Curriculum MH - *Diagnosis, Dual (Psychiatry) MH - *Education, Nursing, Continuing/st [Standards] MH - Humans MH - *Inservice Training/st [Standards] MH - Models, Nursing MH - Needs Assessment MH - Nursing Audit MH - Nursing Education Research MH - Nursing Evaluation Research MH - Nursing Records MH - Practice Guidelines as Topic MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0954-7762 IL - 0954-7762 PT - Evaluation Studies PT - Journal Article LG - English DP - 2003 Jul 8-14 DC - 20030728 YR - 2003 ED - 20030911 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12882052 <731. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12789872 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Calabrese AT AU - Cholka K AU - Lenhart SE AU - McCarty B AU - Zewe G AU - Sunseri D AU - Roberts M AU - Kapoor W FA - Calabrese, Amy T FA - Cholka, Kerry FA - Lenhart, Susan E FA - McCarty, Beth FA - Zewe, Gretchen FA - Sunseri, Diane FA - Roberts, Mark FA - Kapoor, Wishwa IN - Calabrese,Amy T. University of Pittsburgh (UP), University of Pittsburgh Medical Center-Presbyterian (UPMC-Presbyterian), Pittsburgh, PA, USA. TI - Pharmacist involvement in a multidisciplinary inpatient medication education program. SO - American Journal of Health-System Pharmacy. 60(10):1012-8, 2003 May 15. AS - Am J Health-Syst Pharm. 60(10):1012-8, 2003 May 15. NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists PI - Journal available in: Print PI - Citation processed from: Print JC - 9503023, cbh SB - Index Medicus CP - United States MH - Administration, Oral MH - Humans MH - *Inpatients/ed [Education] MH - *Patient Care Team MH - Patient Compliance MH - *Patient Education as Topic/og [Organization & Administration] MH - *Pharmacists MH - *Pharmacy Service, Hospital/og [Organization & Administration] MH - Program Evaluation MH - *Self Administration MH - United States AB - 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 administration 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. IS - 1079-2082 IL - 1079-2082 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 May 15 DC - 20030606 YR - 2003 ED - 20030829 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12789872 <732. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12703667 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Buchanan RJ AU - Gorman DM AU - Wang S AU - Huang C FA - Buchanan, Robert J FA - Gorman, D M FA - Wang, Suojin FA - Huang, Chunfeng IN - Buchanan,Robert J. Department of Health Policy and Management, School of Rural Public Health, The Texas A&M University System Health Science Center, College Station 77843-1266, USA. buchanan@srph.tamu.edu TI - Co-morbidity and treatment needs among nursing home residents receiving alcohol and drug treatment. SO - Journal of Addictive Diseases. 22(2):31-47, 2003. AS - J Addict Dis. 22(2):31-47, 2003. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - United States MH - Activities of Daily Living MH - Adult MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Cognition Disorders/di [Diagnosis] MH - *Cognition Disorders/ep [Epidemiology] MH - Comorbidity MH - Female MH - *HIV Seropositivity/ep [Epidemiology] MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - Health Status MH - Humans MH - Male MH - *Mental Health Services/sd [Supply & Distribution] MH - Middle Aged MH - Neuropsychological Tests MH - *Nursing Homes MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - CA-57030 (United States NCI NIH HHS) LG - English DP - 2003 DC - 20030421 YR - 2003 ED - 20030819 RD - 20080512 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12703667 <733. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12861894 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brotherson JD AU - Marshall ES AU - Measom G AU - Clark JR FA - Brotherson, Jason D FA - Marshall, Elaine S FA - Measom, Gary FA - Clark, John R IN - Brotherson,Jason D. Utah Vasular Center, Provo, Utah, USA. TI - Tobacco use and degenerative joint disease of the spine. SO - Journal of the American Academy of Nurse Practitioners. 15(6):277-81, 2003 Jun. AS - J Am Acad Nurse Pract. 15(6):277-81, 2003 Jun. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Analysis of Variance MH - Chi-Square Distribution MH - Female MH - Health Status MH - Humans MH - *Joint Diseases/et [Etiology] MH - Joint Diseases/pp [Physiopathology] MH - Joint Diseases/su [Surgery] MH - Male MH - Middle Aged MH - Risk Factors MH - *Smoking/ae [Adverse Effects] MH - *Spinal Diseases/et [Etiology] MH - Spinal Diseases/pp [Physiopathology] MH - Spinal Diseases/su [Surgery] MH - *Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/pp [Physiopathology] MH - *Tobacco, Smokeless/ae [Adverse Effects] AB - PURPOSE: To examine differences between tobacco users and nonusers who required surgical treatment for degenerative joint disease (DJD) of the spine. AB - DATA SOURCES: Two hundred randomly selected medical records of patients who had undergone surgery for DJD of the spine. AB - 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. AB - 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. IS - 1041-2972 IL - 1041-2972 PT - Comparative Study PT - Journal Article LG - English DP - 2003 Jun DC - 20030716 YR - 2003 ED - 20030808 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12861894 <734. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12854238 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dongier M AU - Brown TG FA - Dongier, Maurice FA - Brown, Thomas G IN - Dongier,Maurice. McGill University, Montreal, Quebec, Canada. donmau@douglas.mcgill.ca TI - Nursing research and alcohol problems: learning from recent history?. [Review] [28 refs] SO - Canadian Journal of Nursing Research. 35(1):13-22, 2003 Mar. AS - Can J Nurs Res. 35(1):13-22, 2003 Mar. NJ - The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres PI - Journal available in: Print PI - Citation processed from: Print JC - cjn, 8910581 SB - Nursing Journal CP - Canada MH - Alcohol Deterrents/tu [Therapeutic Use] MH - Alcoholism/et [Etiology] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Disease Progression MH - Genetic Predisposition to Disease/ge [Genetics] MH - Humans MH - Motivation MH - Needs Assessment MH - Nurse's Role MH - *Nursing Research/td [Trends] MH - Patient Care Team MH - Psychotherapy, Brief MH - Remission, Spontaneous MH - Risk Factors RN - 0 (Alcohol Deterrents) IS - 0844-5621 IL - 0844-5621 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 2003 Mar DC - 20030711 YR - 2003 ED - 20030805 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12854238 <735. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12807582 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldberg RJ AU - Grabowski R FA - Goldberg, Roy J FA - Grabowski, Robert IN - Goldberg,Roy J. New York Medical College, Valhalla, New York, NY 10801, USA. TI - Methadone maintenance: its future in skilled nursing facilities. SO - Journal of the American Medical Directors Association. 4(2):98-100, 2003 Mar-Apr. AS - J AM MED DIR ASSOC. 4(2):98-100, 2003 Mar-Apr. NJ - Journal of the American Medical Directors Association PI - Journal available in: Print PI - Citation processed from: Print JC - 100893243 SB - Index Medicus CP - United States MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Pain/dt [Drug Therapy] MH - Patient Acceptance of Health Care MH - Skilled Nursing Facilities/st [Standards] MH - *Skilled Nursing Facilities MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Time Factors MH - United States AB - 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. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) IS - 1525-8610 IL - 1525-8610 PT - Case Reports PT - Journal Article LG - English DP - 2003 Mar-Apr DC - 20030616 YR - 2003 ED - 20030731 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12807582 <736. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12792006 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruths S AU - Straand J AU - Nygaard HA FA - Ruths, S FA - Straand, J FA - Nygaard, H A IN - Ruths,S. Section for Geriatric Medicine, Department of Public Health and Primary Health Care, University of Bergen, Norway. sabine.ruths@isf.uib.no TI - Multidisciplinary medication review in nursing home residents: what are the most significant drug-related problems? The Bergen District Nursing Home (BEDNURS) study. SO - Quality & Safety in Health Care. 12(3):176-80, 2003 Jun. AS - Qual Saf Health Care. 12(3):176-80, 2003 Jun. NJ - Quality & safety in health care PI - Journal available in: Print PI - Citation processed from: Print JC - 101136980 OI - Source: NLM. PMC1743717 SB - Health Administration Journals CP - England MH - Aged MH - Cross-Sectional Studies MH - *Drug Therapy/ut [Utilization] MH - *Drug Utilization Review MH - *Drug-Related Side Effects and Adverse Reactions MH - Female MH - Health Services Misuse MH - Health Services Research MH - Humans MH - Male MH - Medication Errors MH - Norway MH - *Nursing Homes/og [Organization & Administration] MH - Psychotropic Drugs/tu [Therapeutic Use] AB - 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. AB - 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). AB - 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%). AB - 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. RN - 0 (Psychotropic Drugs) IS - 1475-3898 IL - 1475-3898 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jun DC - 20030606 YR - 2003 ED - 20030730 RD - 20140611 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12792006 <737. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12858927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ocitti EF AU - Adwok JA FA - Ocitti, E F FA - Adwok, J A IN - Ocitti,E F. Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi, Kenya. TI - Post-operative management of pain following major abdominal and thoracic operations. SO - East African Medical Journal. 77(6):299-302, 2000 Jun. AS - East Afr Med J. 77(6):299-302, 2000 Jun. NJ - East African medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - edg, 0372766 SB - Index Medicus CP - Kenya MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Female MH - Humans MH - *Laparotomy MH - Male MH - Middle Aged MH - *Pain, Postoperative/dt [Drug Therapy] MH - Prospective Studies MH - *Thoracotomy AB - 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. AB - DESIGN: A prospective descriptive study. AB - SETTINGS: Three general surgical wards and one cardiothoracic ward at the Kenyatta National Hospital, Nairobi, between 1st September 1996 and 30th November 1996. AB - PATIENTS: One hundred and six adult patients admitted in the hospital for thoracotomy and/or laparotomy over a period of three months. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) IS - 0012-835X IL - 0012-835X PT - Journal Article LG - English DP - 2000 Jun DC - 20030715 YR - 2000 ED - 20030730 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12858927 <738. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12870447 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henry K FA - Henry, K TI - HAART and medical management: the realities of clinical care. Interview with Keith Henry, M.D. Interview by John S. James. SO - AIDS Treatment News. (338):2-8, 2000 Mar 3. AS - AIDS Treat News. (338):2-8, 2000 Mar 3. NJ - AIDS treatment news PI - Journal available in: Print PI - Citation processed from: Print JC - 8809835, b6v SB - AIDS/HIV Journals CP - United States MH - *Antiretroviral Therapy, Highly Active MH - *HIV Infections/dt [Drug Therapy] MH - Humans AB - In many outpatient HIV clinics the medical staff is so poorly funded that over 95% of the cost of patient care goes to drugs and laboratory tests--and less than 5% to physicians, nurses, other staff, clinic overhead, medical records, patient education, adherence monitoring, and other costs of care. This misdirection of resources results in patients not receiving the professional time and attention they need, and drug being taken incorrectly, leading to unnecessary drug failure and other medical problems. Keith Henry, M.D., who recently called for more cautious use of antiretroviral therapy, describes the realities of inadequate funding for medical care, and some needed steps for improvement. Also, we asked him to explain how his clinic has consistently performed leading-edge research without the major funding usually available at research institutions. IS - 1052-4207 IL - 1052-4207 PT - Interview PT - Newspaper Article LG - English DP - 2000 Mar 3 DC - 20030701 YR - 2000 ED - 20030728 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12870447 <739. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12811890 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anderson JJ AU - Flanigan CC AU - Jauhar PJ FA - Anderson, J J FA - Flanigan, C C FA - Jauhar, P J IN - Anderson,J J. Parkhead Hospital, 81 Salamanca Street, Glasgow G31 5BA. TI - Knowledge of alcohol-related problems in clinical staff in psychiatric community resource centres in Glasgow. SO - Health Bulletin. 57(3):162-4, 1999 May. AS - Health Bull (Edinb). 57(3):162-4, 1999 May. NJ - Health bulletin PI - Journal available in: Print PI - Citation processed from: Print JC - g1y, 0012330, 19030070r SB - Index Medicus CP - Scotland MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pp [Physiopathology] MH - *Community Mental Health Centers/ma [Manpower] MH - Community Mental Health Centers/st [Standards] MH - Health Personnel/ed [Education] MH - *Health Personnel/st [Standards] MH - Humans MH - Knowledge MH - Professional Competence MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/st [Standards] MH - Scotland MH - Surveys and Questionnaires AB - We report on a survey of knowledge of alcohol-related problems in the multi-disciplinary staff in 12 general adult psychiatry community resource centres. In total we obtained data from 111 staff, the majority of whom (63%) were community psychiatric nurses (CPNs). Seventy-three per cent of staff routinely ask clients about their alcohol consumption and 66% felt that they could identify those clients with an alcohol problem. We identified gaps in knowledge that could be seen as significant, for example, the legal driving limit and the number of units of alcohol in bottles of wine and spirits. Less than a third of staff knew the criteria for alcohol dependence. The majority of staff were able to recognise clinical complications of alcohol abuse and to identify alcohol withdrawal symptoms. We consider that it would be useful to provide a simple concise data-sheet, containing basic information about alcohol, for clinical staff. IS - 0374-8014 IL - 0374-8014 PT - Journal Article LG - English DP - 1999 May DC - 20030618 YR - 1999 ED - 20030725 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12811890 <740. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12800693 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berardinelli C AU - Kupecz D FA - Berardinelli, Candace FA - Kupecz, Deborah TI - Annual update: drugs, diagnostics and devices. [Review] [7 refs] SO - Nurse Practitioner. 28(3):30, 33-7; quiz 37-9, 2003 Mar. AS - Nurse Pract. 28(3):30, 33-7; quiz 37-9, 2003 Mar. NJ - The Nurse practitioner PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 SB - Index Medicus SB - Nursing Journal CP - United States MH - Anti-Inflammatory Agents/tu [Therapeutic Use] MH - Dermatitis, Atopic/dt [Drug Therapy] MH - Drug Approval MH - *Drug Therapy/td [Trends] MH - Education, Nursing, Continuing MH - *Equipment and Supplies MH - HIV Infections/di [Diagnosis] MH - Humans MH - Migraine Disorders/dt [Drug Therapy] MH - Nurse Practitioners MH - Opioid-Related Disorders/dt [Drug Therapy] MH - Sterilization, Reproductive AB - As NPs continue to play an important role in health care as administers of prescriptions, the value of reviewing the latest Food and Drug Administration (FDA) approvals for new drugs and devices is immeasurable. In 2002, the FDA approved several new drugs and devices, as well as monitored previously approved drugs for adverse reactions and untoward events. This article provides a brief review of relevant primary care topics. [References: 7] RN - 0 (Anti-Inflammatory Agents) IS - 0361-1817 IL - 0361-1817 PT - Journal Article PT - Review LG - English DP - 2003 Mar DC - 20030612 YR - 2003 ED - 20030717 RD - 20051117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12800693 <741. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12789672 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lindesay J AU - Matthews R AU - Jagger C FA - Lindesay, James FA - Matthews, Ruth FA - Jagger, Carol IN - Lindesay,James. Division of Psychiatry for the Elderly, Department of Psychiatry, University of Leicester, Leicester, UK. jeb11@le.ac.uk TI - Factors associated with antipsychotic drug use in residential care: changes between 1990 and 1997. SO - International Journal of Geriatric Psychiatry. 18(6):511-9, 2003 Jun. AS - Int J Geriatr Psychiatry. 18(6):511-9, 2003 Jun. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - England MH - Activities of Daily Living MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Antidepressive Agents/tu [Therapeutic Use] MH - *Antipsychotic Agents/tu [Therapeutic Use] MH - Cognition Disorders/co [Complications] MH - Cognition Disorders/dt [Drug Therapy] MH - *Cognition Disorders/ep [Epidemiology] MH - England/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Prevalence MH - *Residential Facilities MH - Social Behavior Disorders/co [Complications] MH - *Social Behavior Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Urinary Incontinence/co [Complications] AB - BACKGROUND: There is limited information from population-based studies about the rates of antipsychotic drug use in residential and nursing homes in the UK, and associated adverse effects. AB - OBJECTIVES: To examine the relationship between antipsychotic drug prescription, cognitive impairment and disturbed behaviour in this population over time, and to identify possible adverse consequences of their use. AB - METHODS: Two censuses of the residential and nursing home population aged 65 years and older in Leicestershire, carried out in 1990 and 1997. A questionnaire was completed by care staff for each resident, including information on demographic details, physical functioning, cognitive impairment, behaviour disturbance, urinary incontinence, falls, mobility, daytime alertness (1997 only), and prescribed medication. AB - RESULTS: The prevalence of staff-rated moderate or severe cognitive impairment increased from 38.0% in 1990 to 44.3% in 1997. The prevalence of staff-rated disturbed behaviour decreased from 11.8% in 1990 to 10.4% in 1997. Cognitive impairment was strongly associated with disturbed behaviour in both years. The prescription rate of antipsychotic drugs increased from 17.8% in 1990 to 21.9% in 1997. There was no significant change in the prescription rates to cognitively impaired residents between 1990 and 1997 (29.1% vs 30.7%). In residents without cognitive impairment, the prescription rate rose from 10.7% to 15.0%. Antipsychotic drug use was independently associated with: younger age, type of home (1990 only), cognitive impairment, offensive behaviour, lower ADL dependency (1990 only), antidepressant drug use, reported urinary incontinence and greater mobility. There was no association with increased liability to falls or drowsiness. In the cognitively unimpaired residents, antipsychotic drug use was not associated with urinary incontinence in 1997, and there was an association with increased drowsiness in that year. AB - CONCLUSIONS: The only significant change in antipsychotic drug prescribing practice in this population over the period covered by this study was an increase in the prescription rate in cognitively unimpaired residents in 1997, possibly related to mental hospital closures. Urinary incontinence was the principal adverse effect of antipsychotic drug use observed in the group as a whole. Changes in the adverse effects associated with antipsychotic drug use may be a function of the increasing frailty.Copyright 2003 John Wiley & Sons, Ltd. RN - 0 (Antidepressive Agents) RN - 0 (Antipsychotic Agents) IS - 0885-6230 IL - 0885-6230 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Jun DC - 20030605 YR - 2003 ED - 20030715 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12789672 <742. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12776652 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kirsner KM FA - Kirsner, Kenneth M IN - Kirsner,Kenneth M. University of Texas M.D. Anderson Cancer Center, Houston, Tex., USA. TI - Cancer: new therapies and new approaches to recurring problems. [Review] [12 refs] SO - AANA Journal. 71(1):55-62, 2003 Feb. AS - AANA J. 71(1):55-62, 2003 Feb. NJ - AANA journal PI - Journal available in: Print PI - Citation processed from: Print JC - 0431420 SB - Nursing Journal CP - United States MH - *Anesthetics/tu [Therapeutic Use] MH - *Antineoplastic Agents/tu [Therapeutic Use] MH - Education, Nursing, Continuing MH - Humans MH - *Nurse Anesthetists MH - *Spinal Neoplasms/dt [Drug Therapy] MH - Spinal Neoplasms/nu [Nursing] MH - *Spinal Neoplasms/su [Surgery] AB - Caring for patients with cancer presents unique challenges to anesthetists. Chemotherapeutic regimens can cause cardiac, pulmonary, and other complications that will influence the anesthesia provider's care. New surgical techniques, including vertebroplasty, vertebrectomy, radiofrequency ablation of the liver, and sentinel node biopsy, present issues related to the surgical techniques and drugs administered. Recurring problems, including tumors of the airway and cardiac tamponade, continue to present challenges for anesthesia providers. Many patients with cancer who undergo surgery not only have acute pain related to the surgical procedure but also have chronic pain that will influence anesthetic and postoperative pain management. This Journal course discusses new therapies and procedures and approaches to recurring problems in cancer care. [References: 12] RN - 0 (Anesthetics) RN - 0 (Antineoplastic Agents) IS - 0094-6354 IL - 0094-6354 PT - Journal Article PT - Review LG - English DP - 2003 Feb DC - 20030602 YR - 2003 ED - 20030625 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12776652 <743. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12682598 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Raeside L FA - Raeside, Lavinia IN - Raeside,Lavinia. Neonatal Intensive Care Unit, King Edward VII Memorial Hospital, Bermuda. TI - Attitudes of staff towards mothers affected by substance abuse. SO - British Journal of Nursing. 12(5):302-10, 2003 Mar 13-26. AS - Br J Nurs. 12(5):302-10, 2003 Mar 13-26. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Middle Aged MH - *Mothers MH - *Neonatal Nursing MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - Pregnancy Complications/px [Psychology] MH - Scotland MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - The purpose of this study was to explore the influence of education and experience on the attitudes of neonatal nurses/midwives when caring for mothers and infants affected by substance abuse. A self-report questionnaire was completed by 50 nurses/midwives. The attitude of nurses/midwives towards mothers affected by substance abuse was generally negative/judgemental, and their knowledge base was low. The most experienced nursing staff generally had a more negative attitude than those nurses/midwives with less neonatal experience. Formal neonatal education did not appear to have a positive effect on knowledge base or attitudes; however, results implied that in-service education on substance abuse might have a mildly positive effect on attitudes. Results indicate a need for formal education on substance abuse and its effect on the neonate and mother, and that specialist education on substance abuse may influence attitudes. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2003 Mar 13-26 DC - 20030408 YR - 2003 ED - 20030520 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12682598 <744. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13209511 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - STEELE R FA - STEELE, R TI - Report on Nurses' Institute on Alcoholism held at Yale University, July 29, 30, 31, 1954. SO - Canadian Services Medical Journal. 10(5):376-84, 1954 Dec. AS - Can Serv Med J. 10(5):376-84, 1954 Dec. NJ - Canadian services medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - 16020700r OI - Source: CLML. 5527:21288:19:325 SB - OLDMEDLINE Citations CP - Not Available MH - *Academies and Institutes MH - *Alcoholism/pc [Prevention & Control] MH - *Education, Nursing MH - Humans MH - *Nurses MH - *Universities KW - *ALCOHOLISM/prevention and control; *NURSING PROFESSION/education PT - Journal Article LG - English DP - 1954 Dec DC - 19551201 YR - 1954 ED - 20030501 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13209511 <745. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12559136 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allcock N AU - Toft C FA - Allcock, Nick FA - Toft, Cheryl IN - Allcock,Nick. School of Nursing, Faculty of Medicine and Health Sciences, The University of Nottingham, Queen's Medical Centre, Room B50, NG7 2UH, Nottingham, UK. nick.allcock@nottingham.ac.uk TI - Student nurses' attitudes to pain relieving drugs. SO - International Journal of Nursing Studies. 40(2):125-31, 2003 Feb. AS - Int J Nurs Stud. 40(2):125-31, 2003 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - *Analgesics MH - *Attitude of Health Personnel MH - Longitudinal Studies MH - Narcotics MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders AB - 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. RN - 0 (Analgesics) RN - 0 (Narcotics) IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 Feb DC - 20030131 YR - 2003 ED - 20030401 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12559136 <746. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12407474 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kitajima T AU - Ohida T AU - Harano S AU - Kamal AM AU - Takemura S AU - Nozaki N AU - Kawahara K AU - Minaowa M FA - Kitajima, T FA - Ohida, T FA - Harano, S FA - Kamal, A M M FA - Takemura, S FA - Nozaki, N FA - Kawahara, K FA - Minaowa, M IN - Kitajima,T. Department of Public Health, School of Medicine, Nihon University, Tokyo, Japan. TI - Smoking behavior, initiating and cessation factors among Japanese nurses: a cohort study. SO - Public Health. 116(6):347-52, 2002 Nov. AS - Public Health. 116(6):347-52, 2002 Nov. NJ - Public health PI - Journal available in: Print PI - Citation processed from: Print JC - qi7, 0376507 SB - Index Medicus CP - England MH - Adult MH - Cohort Studies MH - Female MH - *Health Behavior MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Prevalence MH - Regression Analysis MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tokyo/ep [Epidemiology] MH - Women's Health MH - Women, Working/px [Psychology] AB - The prevalence of smoking among Japanese nurses, specially in their twenties, is higher than that among the general female population. To examine smoking behavior, smoking initiating and cessation factors, we conducted a cohort study through questionnaire survey, targeting nurses (n=1572) working at 11 hospitals located in Tokyo metropolitan area. The first survey was conducted using a confidential questionnaire on smoking, followed by a second survey conducted in the same manner on the same subjects two years later. As to smoking status after two years, 8% (95%CI=1.5%) started smoking and 6% (95%CI=1.4%) quitted resulting in a 2% increase in the prevalence of current smoking. The average nicotine dependence for nurses who were smokers in the two surveys rose from 3.9 to 4.3 (P<0.05). Smoking behavior of mother, friends, or superiors at work had a significant influence on smoking behavior of nurses. As to smoking cessation factors, the idea that women and medical workers should not smoke, and living with family each had a significant influence. Considering the fact that 6% of nurses in this study succeeded in quitting smoking within two years, it is required that anti-smoking education be conducted at medical institutions to decrease the prevalence of current smoking among the nurses in Japan. IS - 0033-3506 IL - 0033-3506 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Nov DC - 20021030 YR - 2002 ED - 20030220 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12407474 <747. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12529084 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Crespigny C AU - Emden C AU - Drage B AU - Hobby C AU - Smith S FA - de Crespigny, Charlotte FA - Emden, Carolyn FA - Drage, Beverly FA - Hobby, Christine FA - Smith, Sara IN - de Crespigny,Charlotte. School of Nursing & Midwifery, The Flinders University of South Australia. charlotte.decresoigny@flinders.edu.au TI - Missed opportunities in the field: caring for clients with co-morbidity problems. SO - Collegian: Journal of the Royal College of Nursing, Australia. 9(3):29-34, 2002 Jul. AS - Collegian. 9(3):29-34, 2002 Jul. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - Australia MH - Attitude of Health Personnel MH - Community Mental Health Services MH - Family/px [Psychology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Needs Assessment MH - Psychiatric Nursing/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] AB - 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. IS - 1322-7696 IL - 1322-7696 PT - Journal Article LG - English DP - 2002 Jul DC - 20030116 YR - 2002 ED - 20030211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12529084 <748. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12443701 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green AJ AU - Holloway DG FA - Green, Anita J FA - Holloway, David G IN - Green,Anita J. Lecturer (Clinical) in Mental Health, Duke of Kent Building European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK. a.green@surrey.ac.uk TI - An education programme for professionals who specialize in substance misuse in St. Petersburg, Russia: part 2. SO - Nurse Education Today. 22(8):648-53, 2002 Nov. AS - Nurse Educ Today. 22(8):648-53, 2002 Nov. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Cross-Cultural Comparison MH - *Education, Medical MH - *Education, Nursing MH - Great Britain MH - Humans MH - *International Cooperation MH - Program Evaluation/mt [Methods] MH - Russia MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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) (). 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. IS - 0260-6917 IL - 0260-6917 PT - Comparative Study PT - Evaluation Studies PT - Journal Article LG - English DP - 2002 Nov DC - 20021121 YR - 2002 ED - 20030204 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12443701 <749. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12444361 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes PD FA - Hayes, Patricia D IN - Hayes,Patricia D. Northwest Area Health Education Center, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1060, USA. phayes@wfubmc.edu TI - Substance abuse integration in nursing education: an innovative collaborative model. SO - Substance Abuse. 23(1):67-79, 2002 Mar. AS - Subst Abus. 23(1):67-79, 2002 Mar. NJ - Substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 SB - Index Medicus CP - Netherlands MH - Adult MH - Curriculum/st [Standards] MH - *Education, Nursing/og [Organization & Administration] MH - Faculty MH - Female MH - *Health Planning/og [Organization & Administration] MH - Humans MH - Male MH - *Substance-Related Disorders AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Mar DC - 20021121 YR - 2002 ED - 20030123 RD - 20150330 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12444361 <750. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12473018 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weiner DK AU - Rudy TE FA - Weiner, Debra K FA - Rudy, Thomas E IN - Weiner,Debra K. Department of Medicine, Division of Geriatric Medicine, University of Pittsburgh, Pennsylvania, USA. dweiner@pitt.edu TI - Attitudinal barriers to effective treatment of persistent pain in nursing home residents. SO - Journal of the American Geriatrics Society. 50(12):2035-40, 2002 Dec. AS - J Am Geriatr Soc. 50(12):2035-40, 2002 Dec. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Female MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - *Nurses' Aides/px [Psychology] MH - *Pain Management MH - Substance-Related Disorders MH - Surveys and Questionnaires AB - OBJECTIVES: To systematically explore nursing home (NH) resident and staff attitudes that serve as barriers to detection and management of persistent pain. AB - DESIGN: Survey. AB - SETTING: Six community-based and one Veterans Affairs long-term care facility AB - 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." AB - 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). AB - 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. AB - 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. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - K08 AG00643 (United States NIA NIH HHS) NO - P01 HD33989 (United States NICHD NIH HHS) NO - R01 AG18299 (United States NIA NIH HHS) LG - English DP - 2002 Dec DC - 20021210 YR - 2002 ED - 20030116 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12473018 <751. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12230044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klein WC AU - Jess C FA - Klein, Waldo C FA - Jess, Carol IN - Klein,Waldo C. School of Social Work, University of Connecticut, West Hartford 06117-2698, USA. wklein@uconnvm.uconn.edu TI - One last pleasure? Alcohol use among elderly people in nursing homes. SO - Health & Social Work. 27(3):193-203, 2002 Aug. AS - Health Soc Work. 27(3):193-203, 2002 Aug. NJ - Health & social work PI - Journal available in: Print PI - Citation processed from: Print JC - 7611528, fz6 SB - Index Medicus CP - United States MH - Aged MH - *Alcoholism/ep [Epidemiology] MH - Attitude of Health Personnel MH - Female MH - Geriatric Assessment MH - Health Personnel/px [Psychology] MH - Humans MH - *Inpatients/px [Psychology] MH - Inpatients/sn [Statistics & Numerical Data] MH - Inservice Training MH - Interviews as Topic MH - Male MH - *Nursing Homes/og [Organization & Administration] MH - *Organizational Policy MH - Social Work/ed [Education] MH - United States/ep [Epidemiology] AB - 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. IS - 0360-7283 IL - 0360-7283 PT - Comparative Study PT - Journal Article LG - English DP - 2002 Aug DC - 20020916 YR - 2002 ED - 20030116 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12230044 <752. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102431 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parker J FA - Parker, Jill TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):317, 401; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):317, 401; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102431 <753. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102429 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wheeler E FA - Wheeler, Erin TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):316-7; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):316-7; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102429 <754. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12102430 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Robinette A FA - Robinette, Anne TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment on: Am J Crit Care. 2002 Jan;11(1):27-33; PMID: 11785554 SO - American Journal of Critical Care. 11(4):316; author reply 401, 2002 Jul. AS - Am J Crit Care. 11(4):316; author reply 401, 2002 Jul. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Competency-Based Education MH - *Curriculum MH - Education, Nursing, Continuing MH - Guidelines as Topic MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - United States IS - 1062-3264 IL - 1062-3264 PT - Comment PT - Letter LG - English DP - 2002 Jul DC - 20020709 YR - 2002 ED - 20021227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12102430 <755. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12473914 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hardie TL FA - Hardie, Thomas L IN - Hardie,Thomas L. Department of Nursing, University of Delaware, Newark, DE 19716, USA. Thardie@udel.edu TI - The genetics of substance abuse. [Review] [32 refs] SO - AACN Clinical Issues. 13(4):511-22, 2002 Nov. AS - AACN Clin Issues. 13(4):511-22, 2002 Nov. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/ge [Genetics] MH - Counseling MH - Female MH - Humans MH - Male MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] AB - 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. [References: 32] IS - 1079-0713 IL - 1079-0713 PT - Journal Article PT - Review LG - English DP - 2002 Nov DC - 20021210 YR - 2002 ED - 20021224 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12473914 <756. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12449007 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pharris MD AU - Nafstad SS FA - Pharris, Magaret Dexheimer FA - Nafstad, Sarah Stoddard IN - Pharris,Magaret Dexheimer. Nursing Department, F-22, College of St. Catherine, 2004 Randolph Avenue, St. Paul, MN 55105, USA. mdpharris@stkate.edu TI - Nursing care of adolescents who have been sexually assaulted. SO - Nursing Clinics of North America. 37(3):475-97, 2002 Sep. AS - Nurs Clin North Am. 37(3):475-97, 2002 Sep. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Adaptation, Psychological MH - Adolescent MH - Female MH - Humans MH - Male MH - Nursing Assessment MH - *Nursing Care MH - Parenting MH - Rape/px [Psychology] MH - Rape/rh [Rehabilitation] MH - *Rape MH - Sexually Transmitted Diseases/pc [Prevention & Control] MH - Stress Disorders, Post-Traumatic/et [Etiology] MH - Stress Disorders, Post-Traumatic/pc [Prevention & Control] MH - Substance-Related Disorders AB - 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. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 2002 Sep DC - 20021125 YR - 2002 ED - 20021211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12449007 <757. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12418148 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Helmstadter C FA - Helmstadter, Carol IN - Helmstadter,Carol. Faculty of Nursing, University of Toronto, 50 St. George Street, Toronto, M5S 3H4, Ontario, Canda. TI - "A real tone": professionalizing nursing in nineteenth-century London. SO - Nursing History Review. 11:3-30, 2003. AS - Nurs Hist Rev. 11:3-30, 2003. NJ - Nursing history review : official journal of the American Association for the History of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - bqa, 9303945 SB - Index Medicus SB - Nursing Journal SB - History of Medicine Journals CP - United States MH - Alcoholism MH - Education, Nursing MH - Great Britain MH - *History of Nursing MH - History, 19th Century MH - Humans MH - Morals MH - Nursing Staff, Hospital MH - Professional Competence MH - Sexual Behavior MH - Warfare IS - 1062-8061 IL - 1062-8061 PT - Historical Article PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2003 DC - 20021106 YR - 2003 ED - 20021209 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12418148 <758. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12395304 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fallon MA AU - Eifler K AU - Niffenegger JP FA - Fallon, Moira A FA - Eifler, Karen FA - Niffenegger, Joann Plutis IN - Fallon,Moira A. School of Education, University of Portland, Portland, OR, USA. mfallon@brockport.edu TI - Preventing and treating sexual abuse in children with disabilities: use of a team model of intervention. SO - Journal of Pediatric Nursing. 17(5):363-7, 2002 Oct. AS - J Pediatr Nurs. 17(5):363-7, 2002 Oct. NJ - Journal of pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jns, 8607529 SB - Index Medicus SB - Nursing Journal CP - United States MH - Child MH - *Child Abuse, Sexual/pc [Prevention & Control] MH - *Child Abuse, Sexual/th [Therapy] MH - *Child Advocacy MH - Child, Preschool MH - *Disabled Children MH - Female MH - Humans MH - Male MH - Needs Assessment MH - Nurse's Role MH - Patient Care Team MH - *Pediatric Nursing/mt [Methods] MH - United States AB - The general effects of poverty, unemployment, alcohol and drug abuse, or other social problems are likely to be entangled with the specific effects of sexual abuse. The team is the most appropriate model for the prevention and treatment of the complex issue of sexual abuse in children with disabilities. Advanced practice pediatric nurses can play a key role as team leaders, providing much-needed expertise on this issue of sexual abuse. The purposes of this article are to address the needs of children with disabilities who are in the public school system and to describe how a team model, with an advanced practice pediatric nurse as team leader, could be used to identify and treat children with disabilities who have been sexually abused.Copyright 2002, Elsevier Science (USA). All rights reserved. IS - 0882-5963 IL - 0882-5963 PT - Journal Article LG - English DP - 2002 Oct DC - 20021023 YR - 2002 ED - 20021129 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12395304 <759. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12270080 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Deehan A AU - McCambridge J AU - Ball DM AU - Strang J FA - Deehan, Ann FA - McCambridge, Jim FA - Ball, David M FA - Strang, John IN - Deehan,Ann. National Addiction Centre, Institute of Psychiatry, London, UK. TI - Increasing practice nurse access to alcohol training. SO - Drug & Alcohol Review. 21(3):281-6, 2002 Sep. AS - Drug Alcohol Rev. 21(3):281-6, 2002 Sep. NJ - Drug and alcohol review PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - *Education, Nursing, Continuing/mt [Methods] MH - Female MH - Great Britain MH - Humans MH - Middle Aged MH - *Nurse's Role AB - 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. IS - 0959-5236 IL - 0959-5236 PT - Journal Article LG - English DP - 2002 Sep DC - 20020924 YR - 2002 ED - 20021126 RD - 20091103 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12270080 <760. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12046973 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baker SD AU - Borys DJ FA - Baker, S David FA - Borys, Douglas J IN - Baker,S David. Texas Poison Center Network, Scott & White Clinic and Memorial Hospital, Scott, Sherwood and Brindley Foundation, Texas A&M University System Health Science Center College of Medicine, Temple 76508, USA. TI - A possible trend suggesting increased abuse from Coricidin exposures reported to the Texas Poison Network: comparing 1998 to 1999. SO - Veterinary & Human Toxicology. 44(3):169-71, 2002 Jun. AS - Vet Hum Toxicol. 44(3):169-71, 2002 Jun. NJ - Veterinary and human toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - xbv, 7704194 SB - Index Medicus CP - United States MH - *Acetaminophen/po [Poisoning] MH - Adolescent MH - Adolescent Behavior MH - Age Factors MH - *Antitussive Agents/po [Poisoning] MH - Child MH - *Chlorpheniramine/po [Poisoning] MH - Databases, Factual MH - *Dextromethorphan/po [Poisoning] MH - Drug Combinations MH - Drug Overdose/ep [Epidemiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Medical Records MH - *Nonprescription Drugs/po [Poisoning] MH - *Phenylpropanolamine/po [Poisoning] MH - Population Surveillance MH - Retrospective Studies MH - Texas/ep [Epidemiology] AB - 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 > or = 10y old, intentional use or abuse, and single substance ingestion of I 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 Coriciding 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 14.67 years, 77% being between 13 to 17 years 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. RN - 0 (Antitussive Agents) RN - 0 (Drug Combinations) RN - 0 (Nonprescription Drugs) RN - 0 (acetaminophen, chlorpheniramine, dextromethorphan, phenylpropanolamine drug combination) RN - 33RU150WUN (Phenylpropanolamine) RN - 362O9ITL9D (Acetaminophen) RN - 3U6IO1965U (Chlorpheniramine) RN - 7355X3ROTS (Dextromethorphan) IS - 0145-6296 IL - 0145-6296 PT - Journal Article LG - English DP - 2002 Jun DC - 20020605 YR - 2002 ED - 20021114 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12046973 <761. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12389275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ott CH AU - Haertlein C FA - Ott, Carol H FA - Haertlein, Carol IN - Ott,Carol H. School of Nursing, University of Wisconsin-Milwaukee, 1921 E. Hartford Avenue, Milwaukee, WI 53211, USA. carolott@uwm.edu TI - Social norms marketing: a prevention strategy to decrease high-risk drinking among college students. SO - Nursing Clinics of North America. 37(2):351-64, ix, 2002 Jun. AS - Nurs Clin North Am. 37(2):351-64, ix, 2002 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/pc [Prevention & Control] MH - Health Plan Implementation MH - Humans MH - Peer Group MH - *Social Control, Informal MH - *Social Marketing MH - *Student Health Services MH - Wisconsin AB - 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. IS - 0029-6465 IL - 0029-6465 PT - Journal Article LG - English DP - 2002 Jun DC - 20021022 YR - 2002 ED - 20021106 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12389275 <762. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12389273 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scheibmeir MS AU - O'Connell KA FA - Scheibmeir, Monica S FA - O'Connell, Kathleen A IN - Scheibmeir,Monica S. School of Nursing, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160-7502, USA. mscheibm@kumc.edu TI - Promoting smoking cessation in adults. [Review] [28 refs] SO - Nursing Clinics of North America. 37(2):331-40, 2002 Jun. AS - Nurs Clin North Am. 37(2):331-40, 2002 Jun. NJ - The Nursing clinics of North America PI - Journal available in: Print PI - Citation processed from: Print JC - o92, 0042033 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Humans MH - Insurance, Health, Reimbursement MH - Models, Psychological MH - Nurse Practitioners MH - Practice Guidelines as Topic MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - Tobacco Use Disorder/pp [Physiopathology] MH - United States/ep [Epidemiology] AB - 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. [References: 28] IS - 0029-6465 IL - 0029-6465 PT - Journal Article PT - Review LG - English DP - 2002 Jun DC - 20021022 YR - 2002 ED - 20021106 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12389273 <763. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12230524 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chalmers K AU - Seguire M AU - Brown J FA - Chalmers, Karen FA - Seguire, Marilyn FA - Brown, Judy IN - Chalmers,Karen. Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Winnipeg, Canada. karen_chalmers@umanitoba.ca TI - Tobacco use and baccalaureate nursing students: a study of their attitudes, beliefs and personal behaviours. SO - Journal of Advanced Nursing. 40(1):17-24, 2002 Oct. AS - J Adv Nurs. 40(1):17-24, 2002 Oct. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Canada/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Education, Nursing, Baccalaureate MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Life Style MH - Male MH - Needs Assessment MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires AB - AIM: To report findings about student nurses' attitudes, beliefs and personal behaviour in relation to tobacco issues. AB - 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. AB - 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 Fagerstrom Nicotine Tolerance Scale. AB - 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. AB - 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. IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Oct DC - 20020916 YR - 2002 ED - 20021028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12230524 <764. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12353727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gaffney KF AU - Wichaikhum OA AU - Dawson EM FA - Gaffney, Kathleen F FA - Wichaikhum, Orn-Anong FA - Dawson, Ellen M IN - Gaffney,Kathleen F. College of Nursing and Health Science, George Mason University, Fairfax, VA 22030-4444, USA. kgaffney@gmu.edu TI - Smoking among female college students: a time for change. [Review] [34 refs] SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 31(5):502-7, 2002 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 31(5):502-7, 2002 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adolescent MH - Adult MH - Attitude to Health MH - Female MH - Human Development MH - Humans MH - *Nurse's Role MH - Peer Group MH - Preconception Care MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Stress, Psychological/co [Complications] MH - Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] MH - Student Health Services/og [Organization & Administration] MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - *Women/px [Psychology] MH - Women's Health AB - 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. [References: 34] IS - 0884-2175 IL - 0090-0311 PT - Journal Article PT - Review LG - English DP - 2002 Sep-Oct DC - 2002930 YR - 2002 ED - 20021022 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=12353727 <765. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12353727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gaffney KF AU - Wichaikhum OA AU - Dawson EM FA - Gaffney, Kathleen F FA - Wichaikhum, Orn-Anong FA - Dawson, Ellen M IN - Gaffney,Kathleen F. College of Nursing and Health Science, George Mason University, Fairfax, VA 22030-4444, USA. kgaffney@gmu.edu TI - Smoking among female college students: a time for change. [Review] [34 refs] SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 31(5):502-7, 2002 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 31(5):502-7, 2002 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adaptation, Psychological MH - Adolescent MH - Adult MH - Attitude to Health MH - Female MH - Human Development MH - Humans MH - *Nurse's Role MH - Peer Group MH - Preconception Care MH - Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - *Smoking MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Stress, Psychological/co [Complications] MH - Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] MH - Student Health Services/og [Organization & Administration] MH - *Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - *Women/px [Psychology] MH - Women's Health AB - 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. [References: 34] IS - 0884-2175 IL - 0090-0311 PT - Journal Article PT - Review LG - English DP - 2002 Sep-Oct DC - 20020930 YR - 2002 ED - 20021022 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12353727 <766. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12239870 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sadler C FA - Sadler, Catharine TI - Sobering thoughts. SO - Nursing Standard. 16(50):15-7, 2002 Aug 28-Sep 3. AS - Nurs Stand. 16(50):15-7, 2002 Aug 28-Sep 3. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Aged MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/pc [Prevention & Control] MH - Education, Nursing MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - Nursing Assessment MH - Risk Factors IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2002 Aug 28-Sep 3 DC - 20020920 YR - 2002 ED - 20021016 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12239870 <767. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12238562 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connell MJ AU - Gill D AU - Artar A AU - Jones A AU - Vargas T FA - O'Connell, Maria J FA - Gill, Duncan FA - Artar, Ali FA - Jones, Amanda FA - Vargas, Terry IN - O'Connell,Maria J. Yale University School of Medicine, New Haven, CT 06519, USA. mjoconn@msn.com TI - Student voices: perspectives on behavioral health education. SO - Administration & Policy in Mental Health. 29(4-5):421-34, 2002 May. AS - Adm Policy Ment Health. 29(4-5):421-34, 2002 May. NJ - Administration and policy in mental health PI - Journal available in: Print PI - Citation processed from: Print JC - 8914574 SB - Index Medicus CP - United States MH - *Behavioral Sciences/ed [Education] MH - *Education, Graduate MH - Humans MH - Interprofessional Relations MH - Teaching/mt [Methods] MH - United States AB - The Annapolis Conference on Behavioral Health Workforce Education and Training was convened in September 2001 to address the relevance and quality of efforts to educate those who provide mental health and addiction services. It was essential that students, as the consumers of educational programs, be represented in the dialogue. Four students and one recent graduate joined a diverse group in Annapolis, which included professionals, administrators, educators, consumers of behavioral health services, and family members. The students who attended were drawn from the professions of psychiatry, psychology, social work, and nursing. In a series of personal narratives, these individuals present their views on the conference, on education and training, and on the behavioral health field in general. IS - 0894-587X IL - 0894-587X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - R13 HS10965 (United States AHRQ HHS) LG - English DP - 2002 May DC - 20020919 YR - 2002 ED - 20021016 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12238562 <768. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12204144 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mundy LM AU - Kalluri P AU - Meredith K AU - Marshall L AU - Fraser VJ AU - Thompson P FA - Mundy, L M FA - Kalluri, P FA - Meredith, K FA - Marshall, L FA - Fraser, V J FA - Thompson, P IN - Mundy,L M. Division of Infectious Diseases, Washington University School of Medicine, St. Louis, MO 63110, USA. lmundy@imgate.wustl.edu TI - Women with HIV infection: a model of university-based care, training and research. SO - AIDS Care. 14 Suppl 1:S95-107, 2002 Aug. AS - AIDS Care. 14 Suppl 1:S95-107, 2002 Aug. NJ - AIDS care PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - Aged MH - Case Management/og [Organization & Administration] MH - *Comprehensive Health Care/og [Organization & Administration] MH - Female MH - *HIV Infections/th [Therapy] MH - HIV Infections/tm [Transmission] MH - Humans MH - Infectious Disease Transmission, Vertical MH - Middle Aged MH - Missouri MH - Needs Assessment MH - Organizational Case Studies MH - Patient Compliance MH - Pilot Projects MH - Pregnancy MH - Pregnancy Complications, Infectious/th [Therapy] MH - Prenatal Care/og [Organization & Administration] MH - Retrospective Studies MH - *Social Support MH - Universities MH - *Women's Health Services/og [Organization & Administration] AB - 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 167 (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. IS - 0954-0121 IL - 0954-0121 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 98-0705 (P) (United States PHS HHS) LG - English DP - 2002 Aug DC - 20020902 YR - 2002 ED - 20020927 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12204144 <769. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11936711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Midlov P AU - Bondesson A AU - Eriksson T AU - Petersson J AU - Minthon L AU - Hoglund P FA - Midlov, Patrik FA - Bondesson, Asa FA - Eriksson, Tommy FA - Petersson, Jesper FA - Minthon, Lennart FA - Hoglund, Peter IN - Midlov,Patrik. Department of Clinical Pharmacology, Lund University Hospital, Sweden. TI - Descriptive study and pharmacotherapeutic intervention in patients with epilepsy or Parkinson's disease at nursing homes in southern Sweden. SO - European Journal of Clinical Pharmacology. 57(12):903-10, 2002 Feb. AS - Eur J Clin Pharmacol. 57(12):903-10, 2002 Feb. NJ - European journal of clinical pharmacology PI - Journal available in: Print PI - Citation processed from: Print JC - en4, 1256165 SB - Index Medicus CP - Germany MH - Activities of Daily Living MH - Adult MH - Aged MH - Aged, 80 and over MH - *Epilepsy/dt [Drug Therapy] MH - Epilepsy/px [Psychology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Homes MH - *Parkinson Disease/dt [Drug Therapy] MH - Parkinson Disease/px [Psychology] MH - Quality of Life MH - Sweden AB - 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. AB - METHODS: Nursing home residents with epilepsy or Parkinson's disease in the county of Skane 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. AB - 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. AB - 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. IS - 0031-6970 IL - 0031-6970 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Feb DC - 20020408 YR - 2002 ED - 20020926 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11936711 <770. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12170485 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Child D FA - Child, D IN - Child,D. Clinical Services, South Manchester University Hospitals NHS Trust, School of Pharmacy and Pharmaceutical Sciences, University of Manchester. TI - Hospital nurses' perceptions of pharmacist prescribing. SO - British Journal of Nursing. 10(1):48-54, 2001 Jan 11-24. AS - Br J Nurs. 10(1):48-54, 2001 Jan 11-24. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - *Attitude of Health Personnel MH - *Drug Prescriptions/st [Standards] MH - England MH - Hospitals, Teaching MH - Humans MH - Nurse's Role MH - *Nursing Staff, Hospital/px [Psychology] MH - Patient Care Team/og [Organization & Administration] MH - Pharmacists/lj [Legislation & Jurisprudence] MH - *Pharmacists/st [Standards] MH - Pharmacy Service, Hospital MH - Professional Autonomy MH - Professional Competence/st [Standards] MH - *Professional Role MH - State Medicine MH - Surveys and Questionnaires AB - The final report from the Crown review team was published in March 1999. It proposed that new groups of healthcare professionals should be permitted to prescribe medicines. Most of the recent progress has centred on the extension of community nurse prescribing. However, changes have also been proposed to prescribing practices within the hospital setting to include nurses, pharmacists, and other healthcare professionals. This study is an initial piece of work examining hospital nurses' perceptions of pharmacist prescribing to identify if there are issues that warrant further investigation. Postal questionnaires, seeking responses to statements describing pharmacists writing prescriptions for drug treatment, were sent to 200 nurses at five NHS teaching hospitals in Birmingham. Completed questionnaires were received from 115 nurses (a response rate of 57.5%). Fifty-four respondents added comments to the questionnaire, giving some insight into their responses to the statements on pharmacist prescription-writing and prescribing. These comments indicated five key issues that may warrant further investigation: (1) pharmacists' knowledge of the patient (2) doctors losing the opportunity to review drug treatment (3) potential communication problems (4) pharmacists' workload, and (5) legal and professional accountability. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2001 Jan 11-24 DC - 20020812 YR - 2001 ED - 20020905 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12170485 <771. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11884179 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green AJ AU - Holloway DG AU - Fleming PM FA - Green, A J FA - Holloway, D G FA - Fleming, P M IN - Green,A J. European Institute of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 5TE, UK. a.green@surrey.ac.uk TI - An education programme for professionals who specialize in substance misuse in St Petersburg, Russia: part 1. SO - Nurse Education Today. 21(8):656-62, 2001 Nov. AS - Nurse Educ Today. 21(8):656-62, 2001 Nov. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - Scotland MH - Alcoholism/nu [Nursing] MH - Great Britain MH - Humans MH - *International Cooperation MH - Mental Health Services/og [Organization & Administration] MH - Russia MH - *Specialties, Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] AB - 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 a forthcoming paper that will detail evaluation processes that the provision has undergone and examine the findings in more detail.Copyright 2001 Harcourt Publishers Ltd. IS - 0260-6917 IL - 0260-6917 PT - Journal Article LG - English DP - 2001 Nov DC - 20020308 YR - 2001 ED - 20020828 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11884179 <772. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12096707 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith PM AU - Reilly KR AU - Houston Miller N AU - DeBusk RF AU - Taylor CB FA - Smith, Patricia M FA - Reilly, Kelly R FA - Houston Miller, Nancy FA - DeBusk, Robert F FA - Taylor, C Barr IN - Smith,Patricia M. Cardiac Rehabilitation Program, Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA, USA. pmsmith@healthy.uwaterloo.ca TI - Application of a nurse-managed inpatient smoking cessation program. SO - Nicotine & Tobacco Research. 4(2):211-22, 2002 May. AS - Nicotine Tob Res. 4(2):211-22, 2002 May. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Case Management MH - Counseling MH - Female MH - Ganglionic Stimulants/tu [Therapeutic Use] MH - Humans MH - Inpatients MH - Male MH - Middle Aged MH - Nicotine/tu [Therapeutic Use] MH - *Nurse's Role MH - Patient Education as Topic MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/nu [Nursing] MH - Treatment Outcome AB - This study reports on the effectiveness of a nurse case-managed smoking cessation program for general hospitalized patients that was continued for 3 years after clinical trials were completed. Patients admitted to the hospital who smoked were offered a smoking cessation program during their hospitalization. The program included physician advice, bedside education and counseling with a nurse specially trained in smoking cessation techniques, take-home materials (videotape, workbook, and relaxation audiotape), nicotine replacement therapy if requested or indicated, and four nurse-initiated post-discharge telephone counseling calls. Of the 2091 patients identified as smokers, 52% enrolled in the program, 18% wanted to quit on their own, 20% did not want to quit, and 10% were ineligible. The 12-month self-reported cessation rate (7-day point prevalence) was 35% if patients lost to follow-up were considered smokers, 49% if not. Patients hospitalized for cancer, cardiovascular, or pulmonary reasons were most likely to participate and had the highest self-reported cessation rates (63%, 57%, and 46%, respectively). This nurse-managed smoking cessation intervention was effective when it was put into standard hospital practice outside of its originating randomized clinical trial structure. The program, relatively inexpensive to deliver, appears to be acceptable to the majority of smokers who are hospitalized, resulted in high 1-year cessation rates, and can be extended to hospital employees and their families, work-sites, and communities on a cost-recovery basis. RN - 0 (Ganglionic Stimulants) RN - 6M3C89ZY6R (Nicotine) IS - 1462-2203 IL - 1462-2203 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 May DC - 20020703 YR - 2002 ED - 20020813 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12096707 <773. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11998578 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cheung WW AU - Heeney L AU - Pound JL FA - Cheung, W W H FA - Heeney, L FA - Pound, J L IN - Cheung,W W H. Emergency Department, Centenary Health Centre, Toronto, Canada. TI - An advance triage system. SO - Accident & Emergency Nursing. 10(1):10-6, 2002 Jan. AS - Accid Emerg Nurs. 10(1):10-6, 2002 Jan. NJ - Accident and emergency nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - Scotland MH - Algorithms MH - Canada MH - Clinical Protocols MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/mt [Methods] MH - Humans MH - Program Development/mt [Methods] MH - Program Evaluation MH - Staff Development/mt [Methods] MH - *Triage/mt [Methods] AB - This paper describes the redesign of the triage process in an Emergency Department with the purpose of improving the patient flow and thus increasing patient satisfaction through the reduction of the overall length of stay. The process, Advance Triage, allows the triage nurse to initiate diagnostic protocols for frequently occurring medical problems based on physician-approved algorithms. With staff and physician involvement and medical specialist approval, nine Advance Triage algorithms were developed-abdominal pain, eye trauma, chest pain, gynaecological symptoms, substance abuse, orthopaedic trauma, minor trauma, paediatric fever and paediatric emergent. A comprehensive educational program was provided to the triage nurses and Advance Triage was initiated. A process was established at one year to evaluate the effectiveness of the Advance Triage System. The average length of stay was found to be 46 min less for all patients who were advance triaged with the greatest time-saving of 76 min for patients in the 'Urgent' category. The most significant saving was realized in the patient's length of stay (LOS) after the Emergency Physician assessed them because diagnostic results, available during the initial patient assessment, allowed treatment decisions to be made at that time. Advance Triage utilizes patient waiting time efficiently and increases the nurses' and physicians' job satisfaction. IS - 0965-2302 IL - 0965-2302 PT - Journal Article LG - English DP - 2002 Jan DC - 20020509 YR - 2002 ED - 20020802 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11998578 <774. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11811335 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iocolano CF FA - Iocolano, C F IN - Iocolano,C F. Patient Care Services, Beth Israel Medical Center, New York, NY 10003, USA. TI - Perioperative pain management in the chemically dependent patient. [Review] [56 refs] SO - Journal of PeriAnesthesia Nursing. 15(5):329-44; quiz 344-7, 2000 Oct. AS - J Perianesth Nurs. 15(5):329-44; quiz 344-7, 2000 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - *Analgesics/ad [Administration & Dosage] MH - Education, Nursing, Continuing MH - Humans MH - Pain, Postoperative/co [Complications] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pain, Postoperative/nu [Nursing] MH - *Perioperative Nursing/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/nu [Nursing] AB - Chemical dependence constitutes a significant public health problem with immeasurable physical and psychological sequelae. Pain management is generally undertreated in this population because of the associated stigma and misconceptions about both pain and chemical dependence. The plan of care in the perioperative period is complicated by the increased incidence of related trauma, medical and psychiatric problems, and the risk for withdrawal. An overview of assessment, anesthetic considerations, pain management, postoperative care, and treatment modalities for chemical dependence is presented in this article. Perianesthesia nurses need to become competent and confident when caringfor this population by increasing their knowledge base and confronting long-held myths and biases. Adherence to established standards of care will help to promote clinician accountability and quality patient care. [References: 56] RN - 0 (Analgesics) IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2000 Oct DC - 2002128 YR - 2000 ED - 20020717 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=11811335 <775. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11811335 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iocolano CF FA - Iocolano, C F IN - Iocolano,C F. Patient Care Services, Beth Israel Medical Center, New York, NY 10003, USA. TI - Perioperative pain management in the chemically dependent patient. [Review] [56 refs] SO - Journal of PeriAnesthesia Nursing. 15(5):329-44; quiz 344-7, 2000 Oct. AS - J Perianesth Nurs. 15(5):329-44; quiz 344-7, 2000 Oct. NJ - Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses / American Society of PeriAnesthesia Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9610507, CKX SB - Nursing Journal CP - United States MH - *Analgesics/ad [Administration & Dosage] MH - Education, Nursing, Continuing MH - Humans MH - Pain, Postoperative/co [Complications] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pain, Postoperative/nu [Nursing] MH - *Perioperative Nursing/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/nu [Nursing] AB - Chemical dependence constitutes a significant public health problem with immeasurable physical and psychological sequelae. Pain management is generally undertreated in this population because of the associated stigma and misconceptions about both pain and chemical dependence. The plan of care in the perioperative period is complicated by the increased incidence of related trauma, medical and psychiatric problems, and the risk for withdrawal. An overview of assessment, anesthetic considerations, pain management, postoperative care, and treatment modalities for chemical dependence is presented in this article. Perianesthesia nurses need to become competent and confident when caringfor this population by increasing their knowledge base and confronting long-held myths and biases. Adherence to established standards of care will help to promote clinician accountability and quality patient care. [References: 56] RN - 0 (Analgesics) IS - 1089-9472 IL - 1089-9472 PT - Journal Article PT - Review LG - English DP - 2000 Oct DC - 20020128 YR - 2000 ED - 20020717 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11811335 <776. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11933798 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Akid M FA - Akid, Matthew TI - Alcohol misuse. The demon drink. SO - Nursing Times. 98(11):13, 2002 Mar 14-20. AS - Nurs Times. 98(11):13, 2002 Mar 14-20. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - England MH - Alcoholism/ec [Economics] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Community Health Nursing/ed [Education] MH - Great Britain/ep [Epidemiology] MH - Humans MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - *Nurse's Role MH - Primary Health Care/st [Standards] IS - 0954-7762 IL - 0954-7762 PT - News LG - English DP - 2002 Mar 14-20 DC - 20020405 YR - 2002 ED - 20020716 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11933798 <777. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12009824 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colombo C AU - Giger H AU - Grote J AU - Deplazes C AU - Pletscher W AU - Luthi R AU - Ruef C FA - Colombo, C FA - Giger, H FA - Grote, J FA - Deplazes, C FA - Pletscher, W FA - Luthi, R FA - Ruef, C IN - Colombo,C. Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, Raemistrasse 100, 8091 Zurich, Switzerland. infcco@usz.unizh.ch TI - Impact of teaching interventions on nurse compliance with hand disinfection. SO - Journal of Hospital Infection. 51(1):69-72, 2002 May. AS - J Hosp Infect. 51(1):69-72, 2002 May. NJ - The Journal of hospital infection PI - Journal available in: Print PI - Citation processed from: Print JC - id6, 8007166 SB - Index Medicus CP - England MH - *Guideline Adherence MH - *Hand Disinfection/mt [Methods] MH - Humans MH - Infection Control/mt [Methods] MH - Intensive Care Units MH - *Nursing Care MH - *Teaching AB - 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.Copyright 2002 The Hospital Infection Society. IS - 0195-6701 IL - 0195-6701 PT - Journal Article LG - English DP - 2002 May DC - 20020515 YR - 2002 ED - 20020712 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12009824 <778. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11929324 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Szanto K AU - Gildengers A AU - Mulsant BH AU - Brown G AU - Alexopoulos GS AU - Reynolds CF 3rd FA - Szanto, Katalin FA - Gildengers, Ariel FA - Mulsant, Benoit H FA - Brown, Greg FA - Alexopoulos, George S FA - Reynolds, Charles F 3rd IN - Szanto,Katalin. Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213, USA. szantok@msx.upmc.edu TI - Identification of suicidal ideation and prevention of suicidal behaviour in the elderly. [Review] [114 refs] SO - Drugs & Aging. 19(1):11-24, 2002. AS - Drugs Aging. 19(1):11-24, 2002. NJ - Drugs & aging PI - Journal available in: Print PI - Citation processed from: Print JC - bek, 9102074 SB - Index Medicus CP - New Zealand MH - Aged MH - Alcoholism/px [Psychology] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Bereavement MH - Depression/dt [Drug Therapy] MH - Depression/ep [Epidemiology] MH - Depression/px [Psychology] MH - Electroconvulsive Therapy/mt [Methods] MH - Humans MH - Mood Disorders/dt [Drug Therapy] MH - *Mood Disorders/px [Psychology] MH - Psychotherapy/mt [Methods] MH - Risk Factors MH - Self-Injurious Behavior/dt [Drug Therapy] MH - Self-Injurious Behavior/pc [Prevention & Control] MH - *Self-Injurious Behavior/px [Psychology] MH - Social Isolation/px [Psychology] MH - Suicide/pc [Prevention & Control] MH - *Suicide/px [Psychology] MH - Suicide, Attempted/pc [Prevention & Control] MH - Suicide, Attempted/px [Psychology] AB - 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. [References: 114] RN - 0 (Antidepressive Agents) IS - 1170-229X IL - 1170-229X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - MH01613 (United States NIMH NIH HHS) NO - MH37896 (United States NIMH NIH HHS) NO - MH4279 (United States NIMH NIH HHS) NO - MH43832 (United States NIMH NIH HHS) NO - MH5219 (United States NIMH NIH HHS) NO - MH52247 (United States NIMH NIH HHS) NO - MH59381 (United States NIMH NIH HHS) LG - English DP - 2002 DC - 20020403 YR - 2002 ED - 20020712 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11929324 <779. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12054398 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moran S FA - Moran, Sandy TI - Re: National drug policy: implications of the 'tough on drugs' ideology by Rosemary Norman. SO - Collegian: Journal of the Royal College of Nursing, Australia. 9(2):8-9, 2002 Apr. AS - Collegian. 9(2):8-9, 2002 Apr. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - Australia MH - Australia MH - *Education, Nursing MH - *Health Policy MH - Humans MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 1322-7696 IL - 1322-7696 PT - Letter LG - English DP - 2002 Apr DC - 20020610 YR - 2002 ED - 20020625 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12054398 <780. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11995573 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Touger G FA - Touger, G TI - Thoughts on chemical dependency. SO - Tar Heel Nurse. 60(1):23, 1998 Jan-Feb. AS - Tar Heel Nurse. 60(1):23, 1998 Jan-Feb. NJ - Tar heel nurse PI - Journal available in: Print PI - Citation processed from: Print JC - vjv, 21110560r SB - Nursing Journal CP - United States MH - Credentialing MH - Education, Nursing MH - *Substance-Related Disorders/th [Therapy] MH - United States IS - 0039-9620 IL - 0039-9620 PT - Journal Article LG - English DP - 1998 Jan-Feb DC - 20020508 YR - 1998 ED - 20020621 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11995573 <781. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12012510 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ball K FA - Ball, K TI - Drinks tonight at 7 pm: nursing students and alcohol use. SO - Nursing New Zealand (Wellington). 6(4):18-9, 2000 May. AS - Nurs N Z. 6(4):18-9, 2000 May. NJ - Nursing New Zealand (Wellington, N.Z. : 1995) PI - Journal available in: Print PI - Citation processed from: Print JC - 9507374, cdl SB - Nursing Journal CP - New Zealand MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - Guidelines as Topic MH - Health Promotion MH - Humans MH - Risk Management MH - Schools, Nursing MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires IS - 1173-2032 IL - 1173-2032 PT - Journal Article LG - English DP - 2000 May DC - 20020515 YR - 2000 ED - 20020617 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12012510 <782. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11974301 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffin K FA - Griffin, K IN - Griffin,K. University of Wolverhampton. TI - Leading the way. SO - Nursing Standard. 14(38):53, 2000 Jun 7-13. AS - Nurs Stand. 14(38):53, 2000 Jun 7-13. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - England MH - Education, Nursing, Baccalaureate MH - *HIV Infections/th [Therapy] MH - Hospitals, Urban MH - Humans MH - *International Educational Exchange MH - *National Health Programs/og [Organization & Administration] MH - Netherlands MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 2000 Jun 7-13 DC - 20020426 YR - 2000 ED - 20020613 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11974301 <783. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12001130 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anderson KO AU - Richman SP AU - Hurley J AU - Palos G AU - Valero V AU - Mendoza TR AU - Gning I AU - Cleeland CS FA - Anderson, Karen O FA - Richman, Stephen P FA - Hurley, Judith FA - Palos, Guadalupe FA - Valero, Vicente FA - Mendoza, Tito R FA - Gning, Ibrahima FA - Cleeland, Charles S IN - Anderson,Karen O. Department of Symptom Research, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA. koanderso@mdanderson.org TI - Cancer pain management among underserved minority outpatients: perceived needs and barriers to optimal control. SO - Cancer. 94(8):2295-304, 2002 Apr 15. AS - Cancer. 94(8):2295-304, 2002 Apr 15. NJ - Cancer PI - Journal available in: Print PI - Citation processed from: Print JC - 0374236, clz SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *African Americans MH - Attitude of Health Personnel MH - Female MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - *Hispanic Americans MH - Humans MH - Male MH - Neoplasms/co [Complications] MH - *Neoplasms/pp [Physiopathology] MH - Pain Measurement MH - *Pain, Intractable/eh [Ethnology] MH - Pain, Intractable/et [Etiology] MH - *Pain, Intractable/th [Therapy] AB - BACKGROUND: Minority patients with cancer are at risk for undertreatment of cancer-related pain. Most studies of patient-related barriers to pain control have surveyed primarily non-Hispanic Caucasian patients. The purpose of the current study was to explore barriers to optimal pain management among African-American and Hispanic patients with cancer through the use of structured patient interviews. Structured interviews allowed the authors to probe for previously unidentified barriers to pain management in these populations. AB - METHODS: Thirty-one socioeconomically disadvantaged minority patients with cancer (14 African-American patients and 17 Hispanic patients) who had cancer-related pain completed structured interviews that assessed three main content areas: information and communication regarding cancer pain, treatment of cancer pain, and the meaning of cancer pain. AB - RESULTS: The African-American and Hispanic patients reported severe pain and many concerns about pain management. The majority of patients in both ethnic groups expressed a belief in stoicism and concerns about possible addiction to opioid medications and the development of tolerance. The patients described their physicians as the most frequent and trusted source of information about cancer pain. However, patients also reported difficulties with communication and a reluctance to complain of pain. AB - CONCLUSIONS: The reported barriers to pain management indicate that socioeconomically disadvantaged African-American and Hispanic patients can benefit from educational interventions on cancer pain that dispel myths about opioids and teach patients to communicate assertively about their pain with their physicians and nurses.Copyright 2002 American Cancer Society. IS - 0008-543X IL - 0008-543X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - CA64766 (United States NCI NIH HHS) LG - English DP - 2002 Apr 15 DC - 20020523 YR - 2002 ED - 20020612 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12001130 <784. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11921824 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cooke CL FA - Cooke, Cheryl L IN - Cooke,Cheryl L. University of Washington School of Nursing, Seattle, USA. TI - Understanding incarcerated populations. [Review] [39 refs] SO - AORN Journal. 75(3):568-70, 573-6, 578 passim, 2002 Mar. AS - AORN J. 75(3):568-70, 573-6, 578 passim, 2002 Mar. NJ - AORN journal PI - Journal available in: Print PI - Citation processed from: Print JC - 6jr, 0372403 SB - Index Medicus SB - Nursing Journal CP - United States MH - Communication MH - Elective Surgical Procedures/nu [Nursing] MH - Elective Surgical Procedures/px [Psychology] MH - Emergencies/nu [Nursing] MH - Emergencies/px [Psychology] MH - Family/px [Psychology] MH - Female MH - Humans MH - Male MH - Minority Groups/px [Psychology] MH - Needs Assessment MH - Nurse-Patient Relations MH - *Operating Room Nursing/mt [Methods] MH - Perioperative Care/mt [Methods] MH - Perioperative Care/nu [Nursing] MH - *Prisoners/px [Psychology] MH - Prisoners/sn [Statistics & Numerical Data] MH - Restraint, Physical/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - 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. [References: 39] IS - 0001-2092 IL - 0001-2092 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - 1F31 NR07529-02 (United States NINR NIH HHS) LG - English DP - 2002 Mar DC - 20020329 YR - 2002 ED - 20020604 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11921824 <785. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11930604 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark BS AU - Rapkin K AU - Busen NH AU - Vasquez E FA - Clark, B S FA - Rapkin, K FA - Busen, N H FA - Vasquez, E IN - Clark,B S. Baylor College of Medicine, Texas Children's Liver Center, USA. bsclark@texaschildrenshospital.org TI - Nurse practitioners and parent education: a partnership for health. SO - Journal of the American Academy of Nurse Practitioners. 13(7):310-6, 2001 Jul. AS - J Am Acad Nurse Pract. 13(7):310-6, 2001 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - United States MH - Child MH - *Child Care MH - Female MH - *Health Education/mt [Methods] MH - Humans MH - Middle Aged MH - *Mothers/ed [Education] MH - Nurse Practitioners MH - Parenting MH - *Program Development MH - Substance-Related Disorders/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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. IS - 1041-2972 IL - 1041-2972 PT - Journal Article LG - English DP - 2001 Jul DC - 20020404 YR - 2001 ED - 20020517 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11930604 <786. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11855025 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norman R FA - Norman, R IN - Norman,R. School of Nursing, University of Canberra. TI - Have you got an attitude problem? Caring for illicit drug-using patients. [Review] [30 refs] SO - Contemporary Nurse. 10(1-2):83-90, 2001 Mar. AS - Contemp Nurse. 10(1-2):83-90, 2001 Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal CP - Australia MH - *Attitude of Health Personnel MH - *Education, Nursing/og [Organization & Administration] MH - Humans MH - *Substance-Related Disorders/nu [Nursing] AB - 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. [References: 30] IS - 1037-6178 IL - 1037-6178 PT - Journal Article PT - Review LG - English DP - 2001 Mar DC - 20020221 YR - 2001 ED - 20020510 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11855025 <787. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11832839 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schofield I AU - Tolson D FA - Schofield, I FA - Tolson, D IN - Schofield,I. Caledonian Nursing and Midwifery Research Centre, Glasgow Caledonian University. TI - The nurse's role in assessing alcohol use by older people. SO - British Journal of Nursing. 10(19):1260-8, 2001 Oct 25-Nov 7. AS - Br J Nurs. 10(19):1260-8, 2001 Oct 25-Nov 7. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Aged MH - *Alcohol Drinking MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/nu [Nursing] MH - *Drug Interactions MH - Ethanol/pk [Pharmacokinetics] MH - *Geriatric Nursing MH - Humans MH - Surveys and Questionnaires AB - 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. RN - 3K9958V90M (Ethanol) IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2001 Oct 25-Nov 7 DC - 20020208 YR - 2001 ED - 20020509 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11832839 <788. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11769955 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pierce CS FA - Pierce, C S IN - Pierce,C S. Binghamton University, Decker School Nursing, New York 13902-6000, USA. TI - Implications of chemically impaired students in clinical settings. SO - Journal of Nursing Education. 40(9):422-5, 2001 Dec. AS - J Nurs Educ. 40(9):422-5, 2001 Dec. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - *Clinical Competence MH - Curriculum MH - *Education, Nursing, Baccalaureate MH - Faculty, Nursing MH - Female MH - Humans MH - Male MH - Policy Making MH - *Professional Impairment/px [Psychology] MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2001 Dec DC - 20011224 YR - 2001 ED - 20020509 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11769955 <789. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842683 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arber A FA - Arber, A IN - Arber,A. Kingston University and St George's Hospital Medical School, London, UK. TI - Student nurses' knowledge of palliative care: evaluating an education module. SO - International Journal of Palliative Nursing. 7(12):597-603, 2001 Dec. AS - Int J Palliat Nurs. 7(12):597-603, 2001 Dec. NJ - International journal of palliative nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9506762, ds7 SB - Nursing Journal CP - England MH - *Education, Nursing MH - Educational Status MH - Great Britain MH - Humans MH - *Palliative Care MH - Surveys and Questionnaires AB - 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. IS - 1357-6321 IL - 1357-6321 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 Dec DC - 20020214 YR - 2001 ED - 20020423 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842683 <790. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842680 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCormack PJ AU - Cooper R AU - Sutherland S AU - Stewart H FA - McCormack, P J FA - Cooper, R FA - Sutherland, S FA - Stewart, H IN - McCormack,P J. Marie Curie Cancer Care/Department of Palliative Medicine, Roxburghe House, Aberdeen, UK. TI - The safe use of syringe drivers for palliative care: an action research project. SO - International Journal of Palliative Nursing. 7(12):574-80, 2001 Dec. AS - Int J Palliat Nurs. 7(12):574-80, 2001 Dec. NJ - International journal of palliative nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9506762, ds7 SB - Nursing Journal CP - England MH - Equipment Design MH - Humans MH - *Medication Errors MH - *Nursing Staff, Hospital/ed [Education] MH - *Palliative Care MH - Research MH - Scotland MH - *Syringes AB - A palliative care team in north Scotland identified serious drug errors occurring in the local health-care trust. These were connected with the use of variable rate syringe drivers (IVAC P100) to deliver pain and symptom management rather than the more suitable Graseby MS26. An action research approach was taken to effecting change. An educational workshop was set up which 23 nurses attended. Clinical support was provided and 3 months later an evaluation was carried out. Of the 13 nurses who had used an MS26, most were able to correctly follow the process of setting up the driver and had made appropriate observations, but drug calculations were a problem. Change was stated to have taken place in seven clinical areas but the degree of change was variable. Facilitators and obstacles to the change process are identified and recommendations made for the next round in the action research cycle. IS - 1357-6321 IL - 1357-6321 PT - Journal Article LG - English DP - 2001 Dec DC - 20020214 YR - 2001 ED - 20020423 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842680 <791. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11785554 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heath J AU - Andrews J AU - Thomas SA AU - Kelley FJ AU - Friedman E FA - Heath, Janie FA - Andrews, Jeaninette FA - Thomas, Sue Ann FA - Kelley, Frances J FA - Friedman, Erika IN - Heath,Janie. Georgetown University, School of Nursing and Health Studies, Washington, DC, USA. TI - Tobacco dependence curricula in acute care nurse practitioner education. CM - Comment in: Am J Crit Care. 2002 Jul;11(4):316; author reply 401; PMID: 12102430 CM - Comment in: Am J Crit Care. 2002 Jul;11(4):316-7; author reply 401; PMID: 12102429 CM - Comment in: Am J Crit Care. 2002 Jul;11(4):317, 401; author reply 401; PMID: 12102431 SO - American Journal of Critical Care. 11(1):27-33, 2002 Jan. AS - Am J Crit Care. 11(1):27-33, 2002 Jan. NJ - American journal of critical care : an official publication, American Association of Critical-Care Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bum, 9211547 SB - Index Medicus SB - Nursing Journal CP - United States MH - Critical Care MH - *Curriculum MH - Education, Nursing, Graduate MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Smoking Cessation MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - 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. AB - OBJECTIVE: To assess the content and extent of tobacco education in the curricula of acute care nurse practitioner programs in the United States. AB - 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. AB - 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. AB - 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. IS - 1062-3264 IL - 1062-3264 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2002 Jan DC - 20020110 YR - 2002 ED - 20020417 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11785554 <792. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11869927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson JG AU - Harris ES AU - Spitzer RL AU - Williams JB FA - Johnson, Jeffrey G FA - Harris, Emily S FA - Spitzer, Robert L FA - Williams, Janet B W IN - Johnson,Jeffrey G. Department of Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, New York 10032, USA. jjohnso@pi.cpmc.columbia.edu TI - The patient health questionnaire for adolescents: validation of an instrument for the assessment of mental disorders among adolescent primary care patients. SO - Journal of Adolescent Health. 30(3):196-204, 2002 Mar. AS - J Adolesc Health. 30(3):196-204, 2002 Mar. NJ - The Journal of adolescent health : official publication of the Society for Adolescent Medicine PI - Journal available in: Print PI - Citation processed from: Print JC - a0j, 9102136 SB - Index Medicus CP - United States MH - Adolescent MH - Female MH - *Health Surveys MH - Humans MH - Male MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Prevalence MH - *Primary Health Care MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. IS - 1054-139X IL - 1054-139X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Studies LG - English DP - 2002 Mar DC - 20020228 YR - 2002 ED - 20020411 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11869927 <793. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11842493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zack E FA - Zack, Eric IN - Zack,Eric. Eric_S_Zack@rush.edu TI - Smoking withdrawal and prolonged hospitalization. [Review] [27 refs] CM - Comment in: Clin J Oncol Nurs. 2002 Mar-Apr;6(2):71; PMID: 11889679 SO - Clinical Journal of Oncology Nursing. 6(1):7-11, 2002 Jan-Feb. AS - Clin J Oncol Nurs. 6(1):7-11, 2002 Jan-Feb. NJ - Clinical journal of oncology nursing PI - Journal available in: Print PI - Citation processed from: Print JC - czm, 9705336 SB - Nursing Journal CP - United States MH - Adult MH - Behavior Therapy MH - Combined Modality Therapy MH - Humans MH - Inpatients/px [Psychology] MH - *Length of Stay MH - Long-Term Care MH - *Lymphoma, Non-Hodgkin/co [Complications] MH - Male MH - Risk Assessment MH - Sensitivity and Specificity MH - *Smoking/pc [Prevention & Control] MH - Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/co [Complications] MH - *Tobacco Use Disorder/nu [Nursing] AB - Many individuals who smoke are hospitalized for extended periods of time for treatment of their diseases. These patients are at increased risk for developing withdrawal symptoms and maladaptive behavior because hospitals have adopted smoke-free policies in accordance with federal law and consumer pressures. Tobacco addiction often is overlooked by healthcare providers or receives low priority on admission. Oncology nurses care for a chronic population of people who often require lengthy treatments and frequent complications resulting in admissions to the hospital. Nurses need to identify high-risk patients; continually educate themselves, their patients, and their patients' families about smoking withdrawal and cessation therapies; anticipate coping difficulties; and be prepared to manage inappropriate behavior when necessary. A multidisciplinary team approach using consistent reinforcement and support offers the best patient outcomes while maximizing safety. [References: 27] IS - 1092-1095 IL - 1092-1095 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2002 Jan-Feb DC - 20020214 YR - 2002 ED - 20020409 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11842493 <794. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11725997 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Norman R FA - Norman, R IN - Norman,R. School of Nursing, University of Canberra, Australian Capital Territory. TI - Experiential learning in drug and alcohol education. SO - Journal of Nursing Education. 40(8):371-4, 2001 Nov. AS - J Nurs Educ. 40(8):371-4, 2001 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Empathy MH - *Games, Experimental MH - Humans MH - Models, Educational MH - Needs Assessment MH - Nurse-Patient Relations MH - Nursing Education Research MH - Patient Education as Topic/mt [Methods] MH - *Patient Simulation MH - *Problem-Based Learning/mt [Methods] MH - Program Evaluation MH - *Role Playing MH - Stereotyping MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Teaching/mt [Methods] IS - 0148-4834 IL - 0148-4834 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Nov DC - 20011129 YR - 2001 ED - 20020409 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11725997 <795. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11878503 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hooke E AU - Bennett L AU - Dwyer R AU - van Beek I AU - Martin C FA - Hooke, E FA - Bennett, L FA - Dwyer, R FA - van Beek, I FA - Martin, C IN - Hooke,E. Clinical Academic Nursing Unit, Faculty of Nursing, The University of Sydney and Sydney Hospital, Australia. TI - Nurse practitioners: an evaluation of the extended role of nurses at the Kirketon Road Centre in Sydney, Australia. SO - Australian Journal of Advanced Nursing. 18(3):20-8, 2001 Mar-May. AS - Aust J Adv Nurs. 18(3):20-8, 2001 Mar-May. NJ - The Australian journal of advanced nursing : a quarterly publication of the Royal Australian Nursing Federation PI - Journal available in: Print PI - Citation processed from: Print JC - aja, 8409358 SB - Nursing Journal CP - Australia MH - Adolescent MH - Adult MH - *Clinical Competence/st [Standards] MH - Community Health Centers MH - Female MH - Homeless Youth MH - Humans MH - *Job Description MH - Male MH - Needs Assessment MH - New South Wales MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/og [Organization & Administration] MH - *Nurse's Role MH - Nursing Assessment/st [Standards] MH - Nursing Evaluation Research MH - Patient Care Planning/st [Standards] MH - Primary Health Care/ma [Manpower] MH - *Primary Health Care/og [Organization & Administration] MH - *Professional Autonomy MH - Prostitution MH - Sexually Transmitted Diseases/di [Diagnosis] MH - Sexually Transmitted Diseases/et [Etiology] MH - Sexually Transmitted Diseases/th [Therapy] MH - Substance Abuse, Intravenous/co [Complications] AB - The aim of the present study was to formally evaluate the effectiveness, professional appropriateness and acceptability of the extended role of the nurse practitioner at the Kirketon Road Centre (KRC) in Sydney, Australia. Data collection consisted of client and staff surveys and case file review by two assessors (one medical and one nursing). This paper will report on one section of this research, namely the case file review section of the study. Total study subjects were 1046 'at risk' youth, sex workers and injecting drug users attending KRC for their primary health care needs between September 1994 and April 1995. Nurse practitioners (NP) saw 613 of the clients who presented over this period. The majority of these clients were women (77.3%). The majority of NP consults were related to STD (51%), gynaecological (17%) and hepatitis (16%) issues. The results demonstrated that nurse practitioners were professionally appropriate in all aspects of expected 'best practice' in over 95% of consultations. IS - 0813-0531 IL - 0813-0531 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 Mar-May DC - 20020306 YR - 2001 ED - 20020404 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11878503 <796. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868959 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leino-Kilpi H AU - Solante S AU - Katajisto J FA - Leino-Kilpi, H FA - Solante, S FA - Katajisto, J IN - Leino-Kilpi,H. Department of Nursing, University of Turku, Finland. TI - Problems in the outcomes of nursing education create challenges for continuing education. SO - Journal of Continuing Education in Nursing. 32(4):183-9, 2001 Jul-Aug. AS - J Contin Educ Nurs. 32(4):183-9, 2001 Jul-Aug. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Cooperative Behavior MH - Counseling/st [Standards] MH - *Education, Nursing, Baccalaureate/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Finland MH - Humans MH - Interpersonal Relations MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Supervisory/st [Standards] MH - Self Efficacy MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 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. AB - 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). AB - 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. AB - CONCLUSION: The results highlight some of the strengths and weaknesses of the nurse education system and provide insights for continuing education. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jul-Aug DC - 20020228 YR - 2001 ED - 20020404 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868959 <797. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Silverman BE AU - Goodine WM AU - Ladouceur MG AU - Quinn J FA - Silverman, B E FA - Goodine, W M FA - Ladouceur, M G FA - Quinn, J IN - Silverman,B E. Office of Research and Intstitutional Effectiveness, Mt. San Antonio College, Walnut, California 91789, USA. TI - Learning needs of nurses working in Canada's First Nations communities and hospitals. SO - Journal of Continuing Education in Nursing. 32(1):38-45, 2001 Jan-Feb. AS - J Contin Educ Nurs. 32(1):38-45, 2001 Jan-Feb. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - Curriculum/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Female MH - Health Priorities MH - Humans MH - *Indians, North American MH - *Inservice Training/st [Standards] MH - Male MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Surveys and Questionnaires MH - Teaching/mt [Methods] MH - Teaching/st [Standards] AB - 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 Metis 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. AB - METHOD: A Canada-wide survey was completed to determine the learning needs of nurses working with Canada's Aboriginal persons. AB - 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. AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jan-Feb DC - 20020228 YR - 2001 ED - 20020404 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11868711 <798. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868959 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leino-Kilpi H AU - Solante S AU - Katajisto J FA - Leino-Kilpi, H FA - Solante, S FA - Katajisto, J IN - Leino-Kilpi,H. Department of Nursing, University of Turku, Finland. TI - Problems in the outcomes of nursing education create challenges for continuing education. SO - Journal of Continuing Education in Nursing. 32(4):183-9, 2001 Jul-Aug. AS - J Contin Educ Nurs. 32(4):183-9, 2001 Jul-Aug. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Cooperative Behavior MH - Counseling/st [Standards] MH - *Education, Nursing, Baccalaureate/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Finland MH - Humans MH - Interpersonal Relations MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Supervisory/st [Standards] MH - Self Efficacy MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 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. AB - 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). AB - 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. AB - CONCLUSION: The results highlight some of the strengths and weaknesses of the nurse education system and provide insights for continuing education. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jul-Aug DC - 20020228 YR - 2001 ED - 20020404 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=11868959 <799. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11868711 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Silverman BE AU - Goodine WM AU - Ladouceur MG AU - Quinn J FA - Silverman, B E FA - Goodine, W M FA - Ladouceur, M G FA - Quinn, J IN - Silverman,B E. Office of Research and Intstitutional Effectiveness, Mt. San Antonio College, Walnut, California 91789, USA. TI - Learning needs of nurses working in Canada's First Nations communities and hospitals. SO - Journal of Continuing Education in Nursing. 32(1):38-45, 2001 Jan-Feb. AS - J Contin Educ Nurs. 32(1):38-45, 2001 Jan-Feb. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - Curriculum/st [Standards] MH - *Education, Nursing, Continuing/st [Standards] MH - Female MH - Health Priorities MH - Humans MH - *Indians, North American MH - *Inservice Training/st [Standards] MH - Male MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Surveys and Questionnaires MH - Teaching/mt [Methods] MH - Teaching/st [Standards] AB - 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 Metis 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. AB - METHOD: A Canada-wide survey was completed to determine the learning needs of nurses working with Canada's Aboriginal persons. AB - 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. AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2001 Jan-Feb DC - 20020228 YR - 2001 ED - 20020404 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=11868711 <800. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11858452 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley FJ AU - Thomas SA AU - Friedmann E FA - Kelley, F J FA - Thomas, S A FA - Friedmann, E IN - Kelley,F J. Georgetown University School of Nursing, Washington, DC 20057-1107, USA. kelleyj@gunet.georgetown.edu TI - Smoking patterns, health behaviors, and health-risk behaviors of college women. SO - Clinical Excellence for Nurse Practitioners. 4(5):302-8, 2000 Sep. AS - Clin Excell Nurse Pract. 4(5):302-8, 2000 Sep. NJ - Clinical excellence for nurse practitioners : the international journal of NPACE PI - Journal available in: Print PI - Citation processed from: Print JC - 9816180, DGC SB - Nursing Journal CP - United States MH - Adolescent MH - Adult MH - Female MH - *Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - Leisure Activities MH - Nurse Practitioners MH - Patient Education as Topic MH - *Risk-Taking MH - Self Efficacy MH - *Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - Smoking Cessation MH - *Students/px [Psychology] MH - Surveys and Questionnaires MH - *Universities MH - Women/ed [Education] MH - *Women/px [Psychology] AB - 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. IS - 1085-2360 IL - 1085-2360 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Sep DC - 20020222 YR - 2000 ED - 20020402 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11858452 <801. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11885212 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stafford LL FA - Stafford, L L IN - Stafford,L L. University of Texas, Houston Health Science Center, School of Nursing, 1100 Holcombe Blvd., Houston, TX 77030, USA. lstaffor@sonl.nur.uth.tmc.edu TI - Is codependency a meaningful concept?. SO - Issues in Mental Health Nursing. 22(3):273-86, 2001 Apr-May. AS - Issues Ment Health Nurs. 22(3):273-86, 2001 Apr-May. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - United States MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - *Codependency (Psychology) MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - Mental Disorders/nu [Nursing] MH - *Mental Disorders/px [Psychology] MH - Personality Inventory MH - Psychiatric Nursing AB - 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. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 2001 Apr-May DC - 20020311 YR - 2001 ED - 20020401 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11885212 <802. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11865861 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beatty RM FA - Beatty, R M IN - Beatty,R M. The Pennsylvania State University, School of Nursing, University Park 16802, USA. TI - Health professionals' knowledge of women's health care. SO - Journal of Continuing Education in Nursing. 31(6):275-9, 2000 Nov-Dec. AS - J Contin Educ Nurs. 31(6):275-9, 2000 Nov-Dec. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - Educational Measurement MH - Female MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Health Personnel/px [Psychology] MH - Humans MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Patient Care Team MH - Pennsylvania MH - Rural Health MH - Surveys and Questionnaires MH - *Women's Health AB - Until 1986, the only issues in women's health which received direct attention were those related to childbearing. At that time the National Institutes of Health made inclusion of women in research a criteria for funding. Since then, the knowledge base to guide disease prevention and treatment of women has grown dramatically. Unfortunately, the incorporation of these data into clinical practice has been much slower. The purpose of this needs assessment was to establish a comprehensive data base on which future programming decisions could be based. Areas of interest identified by health care providers included stress reduction, breast health, prevention of heart disease, and osteoporosis. Other topics that emerged were menopause and reproduction issues, cancer prevention, domestic violence, substance abuse, nutrition, and weight control. These data suggest topics for future programming. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2000 Nov-Dec DC - 20020227 YR - 2000 ED - 20020327 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11865861 <803. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11865861 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beatty RM FA - Beatty, R M IN - Beatty,R M. The Pennsylvania State University, School of Nursing, University Park 16802, USA. TI - Health professionals' knowledge of women's health care. SO - Journal of Continuing Education in Nursing. 31(6):275-9, 2000 Nov-Dec. AS - J Contin Educ Nurs. 31(6):275-9, 2000 Nov-Dec. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - Curriculum MH - Educational Measurement MH - Female MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Health Personnel/px [Psychology] MH - Humans MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Education Research MH - *Patient Care Team MH - Pennsylvania MH - Rural Health MH - Surveys and Questionnaires MH - *Women's Health AB - Until 1986, the only issues in women's health which received direct attention were those related to childbearing. At that time the National Institutes of Health made inclusion of women in research a criteria for funding. Since then, the knowledge base to guide disease prevention and treatment of women has grown dramatically. Unfortunately, the incorporation of these data into clinical practice has been much slower. The purpose of this needs assessment was to establish a comprehensive data base on which future programming decisions could be based. Areas of interest identified by health care providers included stress reduction, breast health, prevention of heart disease, and osteoporosis. Other topics that emerged were menopause and reproduction issues, cancer prevention, domestic violence, substance abuse, nutrition, and weight control. These data suggest topics for future programming. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 2000 Nov-Dec DC - 20020227 YR - 2000 ED - 20020327 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=11865861 <804. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11847834 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kingon YS AU - O'Sullivan AL FA - Kingon, Y S FA - O'Sullivan, A L IN - Kingon,Y S. University of Pennsylvania, School of Nursing, USA. TI - The family as a protective asset in adolescent development. [Review] [41 refs] SO - Journal of Holistic Nursing. 19(2):102-21; quiz 122-6, 2001 Jun. AS - J Holist Nurs. 19(2):102-21; quiz 122-6, 2001 Jun. NJ - Journal of holistic nursing : official journal of the American Holistic Nurses' Association PI - Journal available in: Print PI - Citation processed from: Print JC - 8506709, ib4 SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - *Family Relations MH - Humans MH - *Personality Development MH - *Psychology, Adolescent MH - Risk Factors MH - Social Environment MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States MH - Violence/pc [Prevention & Control] AB - 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. [References: 41] IS - 0898-0101 IL - 0898-0101 PT - Journal Article PT - Review LG - English DP - 2001 Jun DC - 20020218 YR - 2001 ED - 20020307 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11847834 <805. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11697072 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gagner-Tjellesen D AU - Yurkovich EE AU - Gragert M FA - Gagner-Tjellesen, D FA - Yurkovich, E E FA - Gragert, M IN - Gagner-Tjellesen,D. College of Nursing, University of North Dakota, Grand Forks, North Dakota, Box 9025, University Station, Grand Forks, ND 58202-9025, USA. TI - Use of music therapy and other ITNIs in acute care. SO - Journal of Psychosocial Nursing & Mental Health Services. 39(10):26-37, 2001 Oct. AS - J Psychosoc Nurs Ment Health Serv. 39(10):26-37, 2001 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Acute Disease MH - Adult MH - Cross-Sectional Studies MH - Humans MH - Mental Disorders/px [Psychology] MH - *Mental Disorders/th [Therapy] MH - *Mental Health Services/ut [Utilization] MH - Middle Aged MH - *Music Therapy/mt [Methods] MH - Psychiatric Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 2001 Oct DC - 20011107 YR - 2001 ED - 20020228 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11697072 <806. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11572526 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Faucher MA AU - Carter S FA - Faucher, M A FA - Carter, S IN - Faucher,M A. University of Texas Southwestern Medical Center at Dallas, USA. TI - Why girls smoke: a proposed community-based prevention program. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 30(5):463-71, 2001 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 30(5):463-71, 2001 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Adolescent Health Services MH - Community Health Nursing MH - Female MH - Humans MH - *Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - *Smoking Cessation AB - OBJECTIVES: To review the literature on reasons teenage girls start smoking and to identify the role and opportunities for nurses to have an impact on this public health problem. In addition, a proposed smoking prevention program targeted to teenage girls is presented. AB - DATA SOURCES: Information was gathered from professional journals and texts and from MEDLINE and PROQUEST. Keywords used in the searches were smoking prevention, tobacco use, smoking and adolescents, teenage girls and smoking, health education and smoking, and smoking prevention programs. AB - DATA SYNTHESIS AND CONCLUSIONS: Smoking initiation in teenage girls is a problem with ramifications for individual health as well as for public health. Although the literature demonstrates the rising incidence of smoking in teenage girls and evidence suggests the reasons girls start smoking differ from those of their male counterparts, a dearth of information on smoking prevention programs exists for this population. It is reasonable to assume that the best practices for adolescent smoking prevention can be applied to programs specifically for girls, along with efforts to address social influences, self-image, and self-esteem, which may be particularly important to teenage girls. The theory of reasoned action provides a framework for prevention strategies that target the behavioral beliefs and attitudes that influence teenage girls to smoke. Nurses can educate themselves about contributing factors that lead teenage girls to start smoking. Implementing this knowledge into nursing practice in a variety of settings could help meet the Healthy People 2010 goals of reducing teenage smoking to 16%. IS - 0884-2175 IL - 0090-0311 PT - Journal Article LG - English DP - 2001 Sep-Oct DC - 2001926 YR - 2001 ED - 20020117 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=11572526 <807. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11572526 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Faucher MA AU - Carter S FA - Faucher, M A FA - Carter, S IN - Faucher,M A. University of Texas Southwestern Medical Center at Dallas, USA. TI - Why girls smoke: a proposed community-based prevention program. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 30(5):463-71, 2001 Sep-Oct. AS - J Obstet Gynecol Neonatal Nurs. 30(5):463-71, 2001 Sep-Oct. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Adolescent Health Services MH - Community Health Nursing MH - Female MH - Humans MH - *Smoking/pc [Prevention & Control] MH - *Smoking/px [Psychology] MH - *Smoking Cessation AB - OBJECTIVES: To review the literature on reasons teenage girls start smoking and to identify the role and opportunities for nurses to have an impact on this public health problem. In addition, a proposed smoking prevention program targeted to teenage girls is presented. AB - DATA SOURCES: Information was gathered from professional journals and texts and from MEDLINE and PROQUEST. Keywords used in the searches were smoking prevention, tobacco use, smoking and adolescents, teenage girls and smoking, health education and smoking, and smoking prevention programs. AB - DATA SYNTHESIS AND CONCLUSIONS: Smoking initiation in teenage girls is a problem with ramifications for individual health as well as for public health. Although the literature demonstrates the rising incidence of smoking in teenage girls and evidence suggests the reasons girls start smoking differ from those of their male counterparts, a dearth of information on smoking prevention programs exists for this population. It is reasonable to assume that the best practices for adolescent smoking prevention can be applied to programs specifically for girls, along with efforts to address social influences, self-image, and self-esteem, which may be particularly important to teenage girls. The theory of reasoned action provides a framework for prevention strategies that target the behavioral beliefs and attitudes that influence teenage girls to smoke. Nurses can educate themselves about contributing factors that lead teenage girls to start smoking. Implementing this knowledge into nursing practice in a variety of settings could help meet the Healthy People 2010 goals of reducing teenage smoking to 16%. IS - 0884-2175 IL - 0090-0311 PT - Journal Article LG - English DP - 2001 Sep-Oct DC - 20010926 YR - 2001 ED - 20020117 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11572526 <808. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11421976 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Taylor C FA - Happell, B FA - Taylor, C IN - Happell,B. Centre for Psychiatric Nursing Research and Practice, School of Postgraduate Nursing, University of Melbourne, Carlton, Victoria, Australia. b.happell@nursing.unimelb.edu.au TI - Negative attitudes towards clients with drug and alcohol related problems: finding the elusive solution. SO - Australian New Zealand Journal of Mental Health Nursing. 10(2):87-96, 2001 Jun. AS - Aust N Z J Ment Health Nurs. 10(2):87-96, 2001 Jun. NJ - The Australian and New Zealand journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9442872 SB - Nursing Journal CP - Australia MH - *Alcoholism/nu [Nursing] MH - *Attitude of Health Personnel MH - Clinical Competence/st [Standards] MH - Education, Nursing, Continuing MH - Educational Status MH - *Health Knowledge, Attitudes, Practice MH - Hospital Units MH - Hospitals, Private MH - Hospitals, Urban MH - Humans MH - Inservice Training MH - *Negativism MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - *Prejudice MH - Psychiatric Nursing/ed [Education] MH - Referral and Consultation/ut [Utilization] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - Victoria AB - The difficulties experienced by nurses in providing care to clients with drug and alcohol related problems within general hospital settings have been clearly identified in the literature. Despite this, the problem continues with little or no evidence of improvement. This paper reports the results of a research project undertaken in a large private hospital in metropolitan Melbourne, Victoria, Australia. The study sought to ascertain whether a difference in attitudes, confidence and perceived knowledge related to the care of clients with drug and alcohol problems would be evident between those nurses who used consultation and liaison services from a specialist drug and alcohol unit and those who did not. A questionnaire was administered to 200 nurses, with a 53% completion rate (n = 106). The results showed very little difference between the groups with the exception of the perceived knowledge category which indicated a statistically significant difference. IS - 1324-3780 IL - 1324-3780 PT - Journal Article LG - English DP - 2001 Jun DC - 20010625 YR - 2001 ED - 20020114 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11421976 <809. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11699021 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pack-Mabien A AU - Labbe E AU - Herbert D AU - Haynes J Jr FA - Pack-Mabien, A FA - Labbe, E FA - Herbert, D FA - Haynes, J Jr IN - Pack-Mabien,A. University of South Alabama Comprehensive Sickle Cell Center, Mobile, AL, USA. TI - Nurses' attitudes and practices in sickle cell pain management. SO - Applied Nursing Research. 14(4):187-92, 2001 Nov. AS - Appl Nurs Res. 14(4):187-92, 2001 Nov. NJ - Applied nursing research : ANR PI - Journal available in: Print PI - Citation processed from: Print JC - 6lv, 8901557 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Anemia, Sickle Cell/dt [Drug Therapy] MH - *Anemia, Sickle Cell/nu [Nursing] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Humans MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/st [Standards] MH - *Opioid-Related Disorders MH - Statistics, Nonparametric MH - United States AB - 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 RN - 0 (Analgesics, Opioid) IS - 0897-1897 IL - 0897-1897 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - P60HL-3839 (United States NHLBI NIH HHS) LG - English DP - 2001 Nov DC - 20011107 YR - 2001 ED - 20011228 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11699021 <810. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11695491 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brush BL AU - Powers EM FA - Brush, B L FA - Powers, E M IN - Brush,B L. Boston College School of Nursing Chestnut Hill, MA 02167, USA. TI - Health and service utilization patterns among homeless men in transition: exploring the need for on-site, shelter-based nursing care. SO - Scholarly Inquiry for Nursing Practice. 15(2):143-54; discussion 155-9, 2001. AS - Sch Inq Nurs Pract. 15(2):143-54; discussion 155-9, 2001. NJ - Scholarly inquiry for nursing practice PI - Journal available in: Print PI - Citation processed from: Print JC - sin, 8709011 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - Ambulatory Care Facilities/ut [Utilization] MH - Boston/ep [Epidemiology] MH - *Community Health Nursing MH - Community Health Planning MH - Cost-Benefit Analysis MH - Efficiency, Organizational MH - *Halfway Houses MH - *Health Services/ut [Utilization] MH - Health Services Research MH - *Homeless Persons/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Medically Uninsured/sn [Statistics & Numerical Data] MH - Middle Aged MH - Morbidity MH - *Needs Assessment MH - Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/og [Organization & Administration] MH - Nursing Evaluation Research MH - Program Evaluation AB - 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. IS - 0889-7182 IL - 0889-7182 PT - Evaluation Studies PT - Journal Article LG - English DP - 2001 DC - 20011106 YR - 2001 ED - 20011221 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11695491 <811. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11529805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Butz AM AU - Pulsifer M AU - Marano N AU - Belcher H AU - Lears MK AU - Royall R FA - Butz, A M FA - Pulsifer, M FA - Marano, N FA - Belcher, H FA - Lears, M K FA - Royall, R IN - Butz,A M. Department of Pediatrics, The Johns Hopkins University School of Medicine, 600 N Wolfe St, Room CMSC-144, Baltimore, MD 21287-3144, USA. abutz@jhmi.edu TI - Effectiveness of a home intervention for perceived child behavioral problems and parenting stress in children with in utero drug exposure. SO - Archives of Pediatrics & Adolescent Medicine. 155(9):1029-37, 2001 Sep. AS - Arch Pediatr Adolesc Med. 155(9):1029-37, 2001 Sep. NJ - Archives of pediatrics & adolescent medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Affective Symptoms/ci [Chemically Induced] MH - Affective Symptoms/nu [Nursing] MH - Baltimore MH - *Child Behavior Disorders/ci [Chemically Induced] MH - Child Behavior Disorders/di [Diagnosis] MH - Child Behavior Disorders/nu [Nursing] MH - Child, Preschool MH - *Cocaine/ae [Adverse Effects] MH - *Community Health Nursing MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - *Mothers/ed [Education] MH - *Narcotics/ae [Adverse Effects] MH - *Parenting MH - Personality Assessment MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Treatment Outcome MH - *Urban Population AB - OBJECTIVE: To determine if a home-based nurse intervention (INT), focusing on parenting education/skills and caregiver emotional support, reduces child behavioral problems and parenting stress in caregivers of in utero drug-exposed children. AB - DESIGN: Randomized clinical trial of a home-based INT. AB - SETTINGS: Two urban hospital newborn nurseries; homes of infants (the term infant is used interchangeably in this study with the term child to denote those from birth to the age of 36 months); and a research clinic in Baltimore, Md. AB - PARTICIPANTS: In utero drug-exposed children and their caregivers (N = 100) were examined when the child was between the ages of 2 and 3 years. Two groups were studied: standard care (SC) (n = 51) and INT (n = 49). AB - INTERVENTION: A home nurse INT consisting of 16 home visits from birth to the age of 18 months to provide caregivers with emotional support and parenting education and to provide health monitoring for the infant. AB - MAIN OUTCOME MEASURES: Scores on the Child Behavior Checklist and the Parenting Stress Index. AB - RESULTS: Significantly more drug-exposed children in the SC group earned t scores indicative of significant emotional or behavioral problems than did children in the INT group on the Child Behavior Checklist Total (16 [31%] vs 7 [14%]; P =.04), Externalizing (19 [37%] vs 8 [16%]; P =.02), and Internalizing (14 [27%] vs. 6 [12%]; P =.05) scales and on the anxiety-depression subscale (16 [31%] vs. 5 [10%]; P =.009). There was a trend (P =.06) in more caregivers of children in the SC group reporting higher parenting distress than caregivers of children in the INT group. AB - CONCLUSIONS: In utero drug-exposed children receiving a home-based nurse INT had significantly fewer behavioral problems than did in utero drug-exposed children receiving SC (P =.04). Furthermore, those caregivers receiving the home-based INT reported a trend toward lower total parenting distress compared with caregivers of children who received SC with no home visits. RN - 0 (Narcotics) RN - I5Y540LHVR (Cocaine) IS - 1072-4710 IL - 1072-4710 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - NR03442 (United States NINR NIH HHS) LG - English DP - 2001 Sep DC - 20010831 YR - 2001 ED - 20010927 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11529805 <812. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11324173 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ameling A AU - Povilonis M FA - Ameling, A FA - Povilonis, M IN - Ameling,A. Yale University School of Nursing, 100 Church Street South, P. O. Box 9740, New Haven, CT 06536-0740 TI - Spirituality, meaning, mental health, and nursing. [Review] [17 refs] CM - Comment in: J Psychosoc Nurs Ment Health Serv. 2001 Aug;39(8):10; PMID: 11503424 SO - Journal of Psychosocial Nursing & Mental Health Services. 39(4):14-20, 2001 Apr. AS - J Psychosoc Nurs Ment Health Serv. 39(4):14-20, 2001 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - United States MH - Humans MH - *Mental Disorders/nu [Nursing] MH - Nursing Assessment/mt [Methods] MH - Psychiatric Nursing/ed [Education] MH - *Religion and Psychology MH - Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - 1. Spirituality, defined as meaning making, is a primary motivation in life. 2. The medical literature increasingly demonstrates an important positive relationship between spirituality and health. 3. Nurses often feel uncomfortable or unprepared to discuss spiritual issues with patients. 4. Through a few simple questions, nurses can easily make spiritual assessment a routine part of taking a patient's psychosocial history. [References: 17] IS - 0279-3695 IL - 0279-3695 PT - Journal Article PT - Review LG - English DP - 2001 Apr DC - 20010427 YR - 2001 ED - 20010830 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11324173 <813. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11214850 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Nursing and Health Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon. TI - The effects of the problem-based Alcohol Early-Intervention Education Package on the knowledge and attitudes of students of nursing. SO - Journal of Nursing Education. 40(2):63-72, 2001 Feb. AS - J Nurs Educ. 40(2):63-72, 2001 Feb. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - *Education, Professional, Retraining/mt [Methods] MH - Educational Status MH - Factor Analysis, Statistical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Nursing Education Research MH - *Problem-Based Learning/mt [Methods] MH - Program Evaluation MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - Time Factors AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article LG - English DP - 2001 Feb DC - 20010214 YR - 2001 ED - 20010802 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11214850 <814. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11247060 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zozula R AU - Bodow M AU - Yatcilla D AU - Cody R AU - Rosen RC FA - Zozula, R FA - Bodow, M FA - Yatcilla, D FA - Cody, R FA - Rosen, R C IN - Zozula,R. The Comprehensive Sleep Disorders Center, Robert Wood Johnson University Hospital, New Brunswick, NJ, USA. zozularo@umdnj.edu TI - Development of a brief, self-administered instrument for assessing sleep knowledge in medical education: "the ASKME Survey". SO - Sleep. 24(2):227-33, 2001 Mar 15. AS - Sleep. 24(2):227-33, 2001 Mar 15. NJ - Sleep PI - Journal available in: Print PI - Citation processed from: Print JC - sws, 7809084 SB - Index Medicus CP - United States MH - *Attitude to Health MH - *Cognition MH - *Education, Medical MH - *Health Behavior MH - Humans MH - Reproducibility of Results MH - *Sleep/ph [Physiology] MH - *Surveys and Questionnaires AB - STUDY OBJECTIVES: This report describes the construction and validation of a brief self-administered scale to assess sleep knowledge in medical education ("ASKME Survey"). Few measures of this type have been developed previously; none have been validated or widely adopted. The current instrument was designed as a standardized assessment measure for use in medical education in sleep. AB - DESIGN: Instrument was developed in four phases: initial item selection, expert panel review, reliability and construct validity assessment, and final item selection. Content validity was assessed in six general domains: basic sleep principles; circadian sleep/wake regulation; normal sleep architecture; sleep disorders; effects of drugs and alcohol on sleep; and sleep in medical disorders. AB - SETTING: N/A. AB - PARTICIPANTS: Medical students at Robert Wood Johnson Medical School (RWJMS) and University of Kentucky College of Medicine; students in clinical psychology, nursing and other health-related professions at Rutgers University; school nurses at Texas Christian University; practicing physicians; accredited sleep specialists. AB - INTERVENTIONS: N/A. AB - MEASUREMENTS AND RESULTS: Individual item analysis of 30-item survey demonstrated a high degree of discriminant validity. Internal consistency for test items was relatively high (KR-20=0.89). Overall mean percentage correct was highest for accredited sleep specialists (85.3%+/-10.8%) and lowest for school nurses (53.1%+/-13.7%). Significant group differences were observed across all question categories (p < 0.0001). Medical students scored significantly higher than the nurses on questions related to sleep architecture (59.5% vs. 42.5%) and narcolepsy (36.4% vs. 21.3%). AB - CONCLUSIONS: "ASKME" demonstrates a high degree of internal consistency and reliability among survey items. It discriminates between samples with varied levels of education, experience, and specialty training. The survey is currently available via the American Academy of Sleep Medicine website (http://www.aasmnet.org). IS - 0161-8105 IL - 0161-8105 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - K07 HL 03635 (United States NHLBI NIH HHS) LG - English DP - 2001 Mar 15 DC - 20010314 YR - 2001 ED - 20010726 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11247060 <815. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11380752 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bedford S AU - Melzer D AU - Guralnik J FA - Bedford, S FA - Melzer, D FA - Guralnik, J IN - Bedford,S. Addenbrooke's NHS Trust, Cambridge, United Kingdom. TI - Problem behavior in the last year of life: prevalence, risks, and care receipt in older Americans. SO - Journal of the American Geriatrics Society. 49(5):590-5, 2001 May. AS - J Am Geriatr Soc. 49(5):590-5, 2001 May. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - United States MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - Dementia/co [Complications] MH - Female MH - Health Care Surveys MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - *Health Services for the Aged/ut [Utilization] MH - Humans MH - Lung Diseases, Obstructive/co [Complications] MH - Male MH - Mental Disorders/co [Complications] MH - *Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/et [Etiology] MH - Mental Disorders/th [Therapy] MH - Population Surveillance MH - Prevalence MH - Retrospective Studies MH - Risk Factors MH - Sensitivity and Specificity MH - Sex Distribution MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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. AB - DESIGN: Retrospective analysis of data from the 1993 National Mortality Followback Survey, conducted by the National Center for Health Statistics (NCHS). AB - SETTING: Persons who resided and died in the United States (except South Dakota) in 1993. AB - 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%). AB - 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. AB - 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. AB - 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. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 May DC - 20010530 YR - 2001 ED - 20010705 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11380752 <816. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11304095 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ohida T AU - Kamal AA AU - Takemura S AU - Sone T AU - Minowa M AU - Nozaki S FA - Ohida, T FA - Kamal, A A FA - Takemura, S FA - Sone, T FA - Minowa, M FA - Nozaki, S IN - Ohida,T. Department of Public Health Administration, National Institute of Public Health, Tokyo, Japan. tohida@iph.go.jp TI - Smoking behavior and related factors among Japanese nursing students: a cohort study. SO - Preventive Medicine. 32(4):341-7, 2001 Apr. AS - Prev Med. 32(4):341-7, 2001 Apr. NJ - Preventive medicine PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 SB - Index Medicus CP - United States MH - Adult MH - Chi-Square Distribution MH - Cohort Studies MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Japan/ep [Epidemiology] MH - Logistic Models MH - Multivariate Analysis MH - Odds Ratio MH - Prevalence MH - Risk-Taking MH - Smoking/ep [Epidemiology] MH - *Smoking/td [Trends] MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Smoking prevalence is increasing among Japanese nursing students. Smoking prevention and cessation interventions should be instituted in all nursing training programs.Copyright 2001 American Health Foundation and Academic Press. IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Apr DC - 20010417 YR - 2001 ED - 20010705 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11304095 <817. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11261083 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montagna RA AU - Hupcey JE FA - Montagna, R A FA - Hupcey, J E IN - Montagna,R A. Lebanon Valley Family Medicine, Palmyra. TI - Increasing smoking cessation counseling by advanced practice nurses. [Review] [43 refs] SO - Clinical Excellence for Nurse Practitioners. 4(4):224-30, 2000 Jul. AS - Clin Excell Nurse Pract. 4(4):224-30, 2000 Jul. NJ - Clinical excellence for nurse practitioners : the international journal of NPACE PI - Journal available in: Print PI - Citation processed from: Print JC - 9816180, DGC SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Counseling/mt [Methods] MH - Education, Nursing, Continuing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Inservice Training MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/px [Psychology] MH - *Nurse Practitioners MH - Office Visits MH - *Patient Education as Topic/mt [Methods] MH - *Primary Health Care/mt [Methods] MH - Psychological Theory MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] AB - 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. [References: 43] IS - 1085-2360 IL - 1085-2360 PT - Journal Article PT - Review LG - English DP - 2000 Jul DC - 20010322 YR - 2000 ED - 20010705 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11261083 <818. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11229623 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riedel-Heller SG AU - Matschinger H AU - Schork A AU - Angermeyer MC FA - Riedel-Heller, S G FA - Matschinger, H FA - Schork, A FA - Angermeyer, M C IN - Riedel-Heller,S G. Department of Psychiatry, University of Leipzig, Germany. ries@server3.medizin.uni-leipzig.de TI - The utilization of antidepressants in community-dwelling and institutionalized elderly--results form a representative survey in Germany. SO - Pharmacopsychiatry. 34(1):6-12, 2001 Jan. AS - Pharmacopsychiatry. 34(1):6-12, 2001 Jan. NJ - Pharmacopsychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - p49, 8402938 SB - Index Medicus CP - Germany MH - Aged MH - Aged, 80 and over MH - *Antidepressive Agents/tu [Therapeutic Use] MH - Data Collection MH - *Depressive Disorder/dt [Drug Therapy] MH - Depressive Disorder/px [Psychology] MH - Drug Utilization MH - Female MH - Germany MH - Humans MH - Institutionalization MH - Logistic Models MH - Male MH - Nursing Homes AB - 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. RN - 0 (Antidepressive Agents) IS - 0176-3679 IL - 0176-3679 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2001 Jan DC - 20010302 YR - 2001 ED - 20010614 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11229623 <819. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11285101 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller MP AU - Gillespie J AU - Billian A AU - Davel S FA - Miller, M P FA - Gillespie, J FA - Billian, A FA - Davel, S IN - Miller,M P. Clemson University, Clemson, South Carolina 29634, USA. marilyn@clemson.edu TI - Prevention of smoking behaviors in middle school students: student nurse interventions. SO - Public Health Nursing. 18(2):77-81, 2001 Mar-Apr. AS - Public Health Nurs. 18(2):77-81, 2001 Mar-Apr. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Curriculum MH - *Health Behavior MH - Humans MH - Male MH - Program Evaluation MH - *School Nursing MH - *Smoking/pc [Prevention & Control] MH - Smoking/px [Psychology] MH - South Carolina MH - Students, Nursing AB - 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. IS - 0737-1209 IL - 0737-1209 PT - Journal Article LG - English DP - 2001 Mar-Apr DC - 20010404 YR - 2001 ED - 20010531 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11285101 <820. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11223055 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Van Niekerk LM AU - Martin F FA - Van Niekerk, L M FA - Martin, F IN - Van Niekerk,L M. School of Psychology, University of Tasmania, Hobart, Tasmania 7001, Australia. lm_van@postoffice.utas.edu.au TI - Tasmanian nurses' knowledge of pain management. SO - International Journal of Nursing Studies. 38(2):141-52, 2001 Apr. AS - Int J Nurs Stud. 38(2):141-52, 2001 Apr. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - Analgesics/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Education, Nursing/st [Standards] MH - Female MH - Humans MH - Inservice Training/st [Standards] MH - Male MH - Middle Aged MH - Needs Assessment MH - Nursing Assessment MH - Nursing Evaluation Research MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - Pain/di [Diagnosis] MH - Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Pain Measurement MH - Surveys and Questionnaires MH - Tasmania AB - The aim of this research was to obtain information concerning knowledge of the pain management practices of Tasmanian nurses. We examined the knowledge of Tasmanian Registered Nurses in relation to pain management issues such as addiction, use of analgesics and the assessment of pain. In addition, we queried them about their satisfaction with information they had received about how to manage pain in both workplace programs and in their initial education. A total of 2768 registered nurses were mailed a 29-item survey examining knowledge of pain management practices. One thousand and fifteen valid surveys were returned. Mean scores on the knowledge questions (72% correct) of the survey revealed deficits in knowledge. Nurses specifically lacked up-to-date knowledge concerning the pharmacological management of pain, but displayed a more up-to-date knowledge concerning the effect of patient variables on pain perception. Nurses also rated the information they received about pain management during workplace programs as poor, feeling that they acquired significantly more in-depth information during their initial education. The results of this study have implications for institutions involved in both patient pain management and pain management education. RN - 0 (Analgesics) IS - 0020-7489 IL - 0020-7489 PT - Journal Article LG - English DP - 2001 Apr DC - 20010306 YR - 2001 ED - 20010521 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11223055 <821. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11301385 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plesnicar S AU - Plesnicar A FA - Plesnicar, S FA - Plesnicar, A IN - Plesnicar,S. Dr J. Cholewa Foundation for Cancer Research, Ljubljana, Slovenia. TI - Cancer: a reality in the emerging world. SO - Seminars in Oncology. 28(2):210-6, 2001 Apr. AS - Semin Oncol. 28(2):210-6, 2001 Apr. NJ - Seminars in oncology PI - Journal available in: Print PI - Citation processed from: Print JC - un5, 0420432 SB - Index Medicus CP - United States MH - *Cost of Illness MH - *Developing Countries MH - *Global Health MH - Humans MH - International Cooperation MH - *Neoplasms/ep [Epidemiology] MH - *Neoplasms/pc [Prevention & Control] MH - World Health Organization AB - 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. Semin Oncol 28:210-216.Copyright 2001 by W.B. Saunders Company. IS - 0093-7754 IL - 0093-7754 PT - Journal Article LG - English DP - 2001 Apr DC - 20010413 YR - 2001 ED - 20010426 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11301385 <822. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11276643 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castledine G FA - Castledine, G IN - Castledine,G. University of Central England, Birmingham, and Dudley Group of Hospitals NHS Trust. TI - Students whose application to the nursing register is not supported. SO - British Journal of Nursing. 9(15):965, 2000 Aug 10-Sep 13. AS - Br J Nurs. 9(15):965, 2000 Aug 10-Sep 13. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - England MH - Great Britain MH - Humans MH - *Licensure, Nursing/lj [Legislation & Jurisprudence] MH - *Professional Impairment/lj [Legislation & Jurisprudence] MH - *Students, Nursing/lj [Legislation & Jurisprudence] MH - *Substance-Related Disorders IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2000 Aug 10-Sep 13 DC - 20010329 YR - 2000 ED - 20010426 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11276643 <823. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11249424 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sloan A AU - Vernarec E FA - Sloan, A FA - Vernarec, E TI - Impaired nurses: reclaiming careers. [Review] [6 refs] SO - RN. 64(2):58-63; quiz 64, 2001 Feb. AS - RN. 64(2):58-63; quiz 64, 2001 Feb. NJ - RN PI - Journal available in: Print PI - Citation processed from: Print JC - twp, 20010080r SB - Nursing Journal CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - *Depression/rh [Rehabilitation] MH - Education, Nursing, Continuing MH - Employment MH - Female MH - Humans MH - *Intervertebral Disc Displacement/rh [Rehabilitation] MH - Male MH - *Nursing Staff, Hospital MH - *Professional Impairment IS - 0033-7021 IL - 0033-7021 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 2001 Feb DC - 20010315 YR - 2001 ED - 20010412 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11249424 <824. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11271125 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ravetti LM FA - Ravetti, L M TI - Assessment and treatment of addictions in primary care. [Review] [20 refs] SO - Lippincott's Primary Care Practice. 4(3):273-86; quiz 287-9, 2000 May-Jun. AS - Lippincotts Prim Care Pract. 4(3):273-86; quiz 287-9, 2000 May-Jun. NJ - Lippincott's primary care practice PI - Journal available in: Print PI - Citation processed from: Print JC - CU6, 9706704, 9706704 SB - Nursing Journal CP - United States MH - Education, Nursing, Continuing MH - Humans MH - *Primary Health Care/mt [Methods] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/th [Therapy] AB - Most clinicians are faced with the challenge of providing care and treatment for patients who experience the chronic relapsing brain disease known as addiction. The purpose of this article is to increase awareness of techniques and tools available to primary care clinicians (PCCs) for assessing and treating addictions in the office or clinic setting. A review of the history, physical examination, laboratory tests, and diagnostics relevant to addictive illness will help PCCs to hone their skills in addiction management. Addiction screening instruments and brief interventions used in primary care are presented. Adjunct therapies designed to promote the biopsychosocial and spiritual well-being of patients who are addicted have shown promise. [References: 20] IS - 1088-5471 IL - 1088-5471 PT - Journal Article PT - Review LG - English DP - 2000 May-Jun DC - 20010222 YR - 2000 ED - 20010329 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11271125 <825. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11108419 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Khunti K AU - Kinsella B FA - Khunti, K FA - Kinsella, B IN - Khunti,K. Department of General Practice and Primary Health Care, University of Leicester, Leicester General Hospital, UK. kk22@le.ac.uk TI - Effect of systematic review of medication by general practitioner on drug consumption among nursing-home residents. SO - Age & Ageing. 29(5):451-3, 2000 Sep. AS - Age Ageing. 29(5):451-3, 2000 Sep. NJ - Age and ageing PI - Journal available in: Print PI - Citation processed from: Print JC - 0375655, 2xr SB - Index Medicus CP - ENGLAND MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Drug Costs MH - Drug Interactions MH - Drug Prescriptions/ec [Economics] MH - *Drug Prescriptions/st [Standards] MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Therapy, Combination MH - *Drug Utilization Review/st [Standards] MH - England MH - *Family Practice/st [Standards] MH - Female MH - Humans MH - Male MH - Medical Audit MH - Middle Aged MH - *Nursing Homes MH - Patient Selection MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians'/ec [Economics] MH - *Practice Patterns, Physicians'/st [Standards] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Program Evaluation AB - BACKGROUND: nursing-home patients usually have many medical problems and often take many drugs. They are therefore at risk from drug side effects and interactions. AB - AIMS: to evaluate the impact of a visit by a general practitioner and a comprehensive repeat prescribing review on the consumption of inappropriate drugs in nursing homes. AB - METHOD: two general practitioners made one comprehensive visit to four randomly selected nursing homes. In each home we discussed all patients in detail with a senior member of staff. We reviewed the prescribing record of each patient and stopped items if we considered them inappropriately prescribed or unnecessary. AB - RESULTS: repeat prescriptions were altered in 65% of patients: 51% had an item stopped and 26% had an item changed to a cheaper alternative or the dose reduced. There was a reduction in the mean number of repeat prescriptions prescribed. AB - CONCLUSIONS: a single visit by a general practitioner to a nursing home and a comprehensive repeat prescribing review can lead to a reduction in the number of items prescribed and to substantial savings for the health service. Further rigorous, cost-effectiveness studies are needed. IS - 0002-0729 IL - 0002-0729 PT - Evaluation Studies PT - Journal Article LG - English DP - 2000 Sep DC - 20010301 YR - 2000 ED - 20010329 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11108419 <826. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11198710 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pepino MY AU - Spear NE AU - Molina JC FA - Pepino, M Y FA - Spear, N E FA - Molina, J C IN - Pepino,M Y. Instituto de Investigacion Medica Mercedes y Martin Ferreyra, Argentina. TI - Nursing experiences with an alcohol-intoxicated rat dam counteract appetitive conditioned responses toward alcohol. SO - Alcoholism: Clinical & Experimental Research. 25(1):18-24, 2001 Jan. AS - Alcohol Clin Exp Res. 25(1):18-24, 2001 Jan. NJ - Alcoholism, clinical and experimental research PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 SB - Index Medicus CP - United States MH - *Alcoholic Intoxication MH - Animals MH - Animals, Suckling MH - *Appetitive Behavior/de [Drug Effects] MH - Appetitive Behavior/ph [Physiology] MH - *Central Nervous System Depressants/pd [Pharmacology] MH - *Conditioning (Psychology)/de [Drug Effects] MH - Conditioning (Psychology)/ph [Physiology] MH - *Ethanol/pd [Pharmacology] MH - Female MH - Mothers MH - Rats MH - Rats, Wistar MH - Sucrose/pd [Pharmacology] MH - Weight Gain/de [Drug Effects] MH - Weight Gain/ph [Physiology] AB - BACKGROUND: Infant rats detect small amounts of alcohol (175 mg%) that are present in maternal milk whenever the dam is moderately intoxicated with alcohol. Interaction with an alcohol-intoxicated mother during the first 2 weeks of life facilitates the preweanling's subsequent discrimination of alcohol's orosensory attributes and produces conditioned aversion to alcohol. The present study further analyzed the hedonic content of infantile alcohol memories established in the nursing context by testing the interaction between experiences with an alcohol-intoxicated dam and learning procedures aimed at establishing an appetitive conditioned response toward alcohol. AB - METHODS: Experiment 1 was to determine appropriate parameters to establish a reliable conditioned preference for alcohol in 16-day-old infants. For conditioning, intraorally infused sucrose solution (appetitive reinforcer) was paired with alcohol's orosensory cues derived from an acute state of alcohol intoxication (3 g/kg). Two control groups included an unpaired condition and a group given sucrose after water intubation. Infants then were evaluated in an alcohol intake test. Relative to control animals, a reliable conditioned preference for alcohol was registered in paired pups. In experiment 2, these conditioning procedures were applied to infant rats which, before conditioning, suckled from dams subjected to a 2.5 g/kg alcohol dose (intragastric) or from water-treated females during postpartum days 3, 5, 7, 9, 11, and 13. AB - RESULTS: Experiment 2 showed that maternal treatment significantly affected the establishment of conditioned preferences for alcohol. Whereas pups reared by control dams exhibited reliable appetitive conditioning to alcohol, infants raised by alcohol dams completely failed to develop appetitive conditioning. AB - CONCLUSIONS: The present results suggest that alcohol-related memories generated via infantile interactions with an intoxicated dam counteract subsequent conditioning of alcohol ingestion. In conjunction with prior studies, it is concluded that alcohol-related nursing experiences are capable of promoting alcohol memories with a negative hedonic content. RN - 0 (Central Nervous System Depressants) RN - 3K9958V90M (Ethanol) RN - 57-50-1 (Sucrose) IS - 0145-6008 IL - 0145-6008 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01AA10223 (United States NIAAA NIH HHS) NO - R01AA11960 (United States NIAAA NIH HHS) LG - English DP - 2001 Jan DC - 20010124 YR - 2001 ED - 20010322 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11198710 <827. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11188456 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swenson-Britt E AU - Carrougher G AU - Martin BW AU - Brackley M FA - Swenson-Britt, E FA - Carrougher, G FA - Martin, B W FA - Brackley, M IN - Swenson-Britt,E. University Hospital, San Antonio, Texas, USA. TI - Project Hope: changing care delivery for the substance abuse patient. SO - Clinical Nurse Specialist. 14(2):92-100, 2000 Mar. AS - Clin Nurse Spec. 14(2):92-100, 2000 Mar. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - United States MH - Attitude of Health Personnel MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Nursing Evaluation Research MH - Nursing Staff, Hospital/ed [Education] MH - *Specialties, Nursing/ed [Education] MH - *Staff Development/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0887-6274 IL - 0887-6274 PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20010112 YR - 2000 ED - 20010315 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11188456 <828. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11216116 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reutzel TJ AU - Patel R AU - Myers MA FA - Reutzel, T J FA - Patel, R FA - Myers, M A IN - Reutzel,T J. Department of Pharmaceutical Sciences, Chicago College of Pharmacy, Midwestern University, 555 31st Street, Downers Grove, IL 60515, USA. treutz@midwestern.edu TI - Medication management in primary and secondary schools. [Review] [66 refs] SO - Journal of the American Pharmaceutical Association. 41(1):67-77, 2001 Jan-Feb. AS - J Am Pharm Assoc (Wash). 41(1):67-77, 2001 Jan-Feb. NJ - Journal of the American Pharmaceutical Association (Washington,D.C. : 1996) PI - Journal available in: Print PI - Citation processed from: Print JC - 9601004, cil SB - Index Medicus CP - United States MH - Child MH - *Community Pharmacy Services MH - *Health Policy MH - Humans MH - Pharmaceutical Preparations/ad [Administration & Dosage] MH - *Pharmaceutical Preparations MH - *School Health Services MH - *School Nursing MH - United States AB - 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. AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. [References: 66] RN - 0 (Pharmaceutical Preparations) IS - 1086-5802 IL - 1086-5802 PT - Journal Article PT - Review LG - English DP - 2001 Jan-Feb DC - 20010216 YR - 2001 ED - 20010308 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11216116 <829. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11138748 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blazer LK FA - Blazer, L K IN - Blazer,L K. Lancaster Institute for Health Education, School of Nursing, Pennsylvania, USA. TI - Discovering a role for nurses in an addictions treatment facility for women and their children. SO - Journal of Nursing Education. 39(9):415-7, 2000 Dec. AS - J Nurs Educ. 39(9):415-7, 2000 Dec. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States MH - Child MH - *Community Health Nursing/ed [Education] MH - *Education, Nursing, Baccalaureate/mt [Methods] MH - Empathy MH - Female MH - Humans MH - Interpersonal Relations MH - *Maternal-Child Health Centers MH - Parenting MH - Pennsylvania MH - Self Care MH - *Substance Abuse Treatment Centers MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/rh [Rehabilitation] IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 2000 Dec DC - 20010102 YR - 2000 ED - 20010308 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11138748 <830. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11137727 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galvin K AU - Webb C AU - Hillier V FA - Galvin, K FA - Webb, C FA - Hillier, V IN - Galvin,K. Institute of Health & Community Studies, Bournemouth University, Royal London House, Christchurch Road, BH1 3ER, UK. kgalvin@bournemouth.ac.uk TI - 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. SO - International Journal of Nursing Studies. 38(1):91-105, 2001 Feb. AS - Int J Nurs Stud. 38(1):91-105, 2001 Feb. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - England MH - Aged MH - Biomarkers/an [Analysis] MH - Biomarkers/ur [Urine] MH - Breath Tests MH - Carbon Monoxide/an [Analysis] MH - Cotinine/ur [Urine] MH - Female MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/st [Standards] MH - Nursing Evaluation Research MH - *Patient Education as Topic/mt [Methods] MH - *Peripheral Vascular Diseases/et [Etiology] MH - Program Evaluation MH - Smoking/ae [Adverse Effects] MH - *Smoking/pc [Prevention & Control] MH - *Smoking Cessation/mt [Methods] MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - Substance Withdrawal Syndrome/me [Metabolism] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - *Substance Withdrawal Syndrome/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Treatment Outcome AB - 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. RN - 0 (Biomarkers) RN - 7U1EE4V452 (Carbon Monoxide) RN - K5161X06LL (Cotinine) IS - 0020-7489 IL - 0020-7489 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 2001 Feb DC - 20010126 YR - 2001 ED - 20010222 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11137727 <831. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11141899 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spier BE AU - Matthews JT AU - Jack L AU - Lever J AU - McHaffie EJ AU - Tate J FA - Spier, B E FA - Matthews, J T FA - Jack, L FA - Lever, J FA - McHaffie, E J FA - Tate, J IN - Spier,B E. University of Pittsburgh School of Nursing, Pennsylvania, USA. bsp 100+@pitt.edu TI - Impaired student performance in the clinical setting. A constructive approach. SO - Nurse Educator. 25(1):38-42, 2000 Jan-Feb. AS - Nurse Educ. 25(1):38-42, 2000 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - United States MH - *Absenteeism MH - *Clinical Competence/st [Standards] MH - Counseling MH - Documentation MH - *Faculty, Nursing MH - Humans MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Students, Nursing/px [Psychology] MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - 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. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 2000 Jan-Feb DC - 20010104 YR - 2000 ED - 20010215 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11141899 <832. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11078116 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Melani AS AU - Verponziani W AU - Boccoli E AU - Trianni GL AU - Federici A AU - Amerini R AU - Vichi MG AU - Sestini P FA - Melani, A S FA - Verponziani, W FA - Boccoli, E FA - Trianni, G L FA - Federici, A FA - Amerini, R FA - Vichi, M G FA - Sestini, P IN - Melani,A S. Fisiopatologia Respiratoria, Azienda Ospedaliera Senese, Universita di Siena. a.melani@ao-siena.toscana.it TI - Tobacco smoking habits, attitudes and beliefs among nurse and medical students in Tuscany. SO - European Journal of Epidemiology. 16(7):607-11, 2000. AS - Eur J Epidemiol. 16(7):607-11, 2000. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Age Factors MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Female MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Mothers MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] MH - Smoking Cessation MH - *Students, Medical MH - *Students, Nursing MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] AB - 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. IS - 0393-2990 IL - 0393-2990 PT - Comparative Study PT - Journal Article LG - English DP - 2000 DC - 20010215 YR - 2000 ED - 20010215 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11078116 <833. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11190975 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott CM AU - Popovich DJ FA - Scott, C M FA - Popovich, D J IN - Scott,C M. Resurrection Home Health Services, Skokie, Illinois, USA. cscott1922@aol.com TI - Undiagnosed alcoholism & prescription drug misuse among the elderly. Special considerations for home assessment. SO - Caring. 20(1):20-3; quiz 24-5, 2001 Jan. AS - Caring. 20(1):20-3; quiz 24-5, 2001 Jan. NJ - Caring : National Association for Home Care magazine PI - Journal available in: Print PI - Citation processed from: Print JC - 8301759, c9v SB - Health Administration Journals CP - United States MH - Aged MH - Aged, 80 and over MH - *Aging/px [Psychology] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/nu [Nursing] MH - *Alcoholism/px [Psychology] MH - Anti-Anxiety Agents/ad [Administration & Dosage] MH - Benzodiazepines MH - *Community Health Nursing/mt [Methods] MH - Drug Prescriptions MH - Education, Nursing, Continuing MH - Female MH - Geriatric Assessment MH - Humans MH - Longevity/ph [Physiology] MH - Male MH - Risk Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] AB - Elderly patients are living longer than ever. Often, health care providers perceive this longevity as a measure of professional success. These patients don't always share this cheerful perspective. Living to a "ripe old age" can impose tremendous stress. An alarming number of these patients turn to alcohol and prescription drugs to escape the physical, emotional, spiritual, social and financial losses associated with aging. RN - 0 (Anti-Anxiety Agents) RN - 12794-10-4 (Benzodiazepines) IS - 0738-467X IL - 0738-467X PT - Case Reports PT - Journal Article LG - English DP - 2001 Jan DC - 20010117 YR - 2001 ED - 20010125 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11190975 <834. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10926393 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boyce JM AU - Kelliher S AU - Vallande N FA - Boyce, J M FA - Kelliher, S FA - Vallande, N IN - Boyce,J M. Miriam Hospital, Brown University, Providence, Rhode Island, USA. TI - Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel. CM - Comment in: Infect Control Hosp Epidemiol. 2000 Jul;21(7):438-41; PMID: 10926392 SO - Infection Control & Hospital Epidemiology. 21(7):442-8, 2000 Jul. AS - Infect Control Hosp Epidemiol. 21(7):442-8, 2000 Jul. NJ - Infection control and hospital epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ich, 8804099 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Antisepsis MH - *Ethanol/ae [Adverse Effects] MH - *Exanthema/ci [Chemically Induced] MH - Gels MH - Hand MH - *Hand Disinfection MH - Humans MH - Nursing Staff, Hospital MH - Skin Irritancy Tests MH - *Soaps/ae [Adverse Effects] AB - 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. AB - 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. AB - SETTING: Miriam Hospital, a 200-bed university-affiliated teaching hospital. AB - PARTICIPANTS: Thirty-two nurses working on three hospital wards participated in the trial, which lasted 6 weeks. AB - 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). AB - 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. RN - 0 (Gels) RN - 0 (Soaps) RN - 3K9958V90M (Ethanol) IS - 0899-823X IL - 0899-823X PT - Clinical Trial PT - Comparative Study PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Jul DC - 20001205 YR - 2000 ED - 20001205 RD - 20150127 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10926393 <835. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11012790 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H TI - Addiction: global problem and global response. Complacency or commitment. [Review] [21 refs] SO - Journal of Advanced Nursing. 32(3):505-7, 2000 Sep. AS - J Adv Nurs. 32(3):505-7, 2000 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Education, Nursing MH - *Global Health MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Job Description MH - Needs Assessment MH - *Nurses/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0309-2402 IL - 0309-2402 PT - Editorial PT - Review LG - English DP - 2000 Sep DC - 20001101 YR - 2000 ED - 20001101 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11012790 <836. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11022435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott HK FA - Scott, H K IN - Scott,H K. Lanarkshire Primary Care NHS Trust, Motherwell. TI - Screening for hazardous drinking in a population of well women. SO - British Journal of Nursing. 9(2):107-14, 2000 Jan 27-Feb 9. AS - Br J Nurs. 9(2):107-14, 2000 Jan 27-Feb 9. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/et [Etiology] MH - *Alcoholism/nu [Nursing] MH - Community Health Nursing/ed [Education] MH - *Community Health Nursing/mt [Methods] MH - Female MH - Health Status MH - Humans MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - Nursing Evaluation Research MH - Program Evaluation MH - Risk Factors AB - Previous research suggests that only about 15% of people who experience alcohol problems come to the notice of healthcare providers. Research has also shown that there is often a failure among healthcare providers to identify alcohol problems in patients whose primary presentation is not overtly alcohol related. It has been implied that this failure is contributed to by a lack of training and support on the part of the organization. This article reports on a project in which a group of health visitors were trained in a brief method of screening for and intervention with alcohol problems and then supported in identifying and intervening with women among their caseload who were drinking at unsafe levels. The sample comprised 430 'well women' between the ages of 18 and 45 years, with no known previous or current alcohol-related problem. All the women were on the caseloads of health visitors in one health board area and all women had children under the age of 16 years. It was found at screening that 13% of the sample consumed more than 14 units of alcohol per week. Consumption was measured 6 months after one session of minimal intervention, and it was found that 92% of the intervention group reduced their alcohol consumption. Mean consumption had decreased by 55%, from 21.11 units to 9.24 units per week. Among those women whose drinking had been at levels which were potentially problematic (capable of sustaining physical, psychological or social problems due to alcohol consumption), the mean weekly amount consumed decreased by 59% from 30.7 units weekly to 12.43 units. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 2000 Jan 27-Feb 9 DC - 20001019 YR - 2000 ED - 20001019 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11022435 <837. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10846644 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Segatore M AU - Adams D AU - Lange S FA - Segatore, M FA - Adams, D FA - Lange, S IN - Segatore,M. St. Joseph's Hospital, Milwaukee, WI 53210-1688, USA. TI - Managing alcohol withdrawal in the acutely ill hospitalized adult. SO - Journal of Neuroscience Nursing. 31(3):129-41, 1999 Jun. AS - J Neurosci Nurs. 31(3):129-41, 1999 Jun. NJ - The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - ij6, 8603596 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Acute Disease MH - Adult MH - Aged MH - Alcohol Withdrawal Delirium/nu [Nursing] MH - Alcohol Withdrawal Delirium/pc [Prevention & Control] MH - Comorbidity MH - Confounding Factors (Epidemiology) MH - *Ethanol/ae [Adverse Effects] MH - Female MH - Humans MH - *Inpatients MH - Male MH - Medical Records MH - Middle Aged MH - Outcome Assessment (Health Care) MH - Retrospective Studies MH - Severity of Illness Index MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - Substance Withdrawal Syndrome/dt [Drug Therapy] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - Surveys and Questionnaires AB - 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. RN - 3K9958V90M (Ethanol) IS - 0888-0395 IL - 0888-0395 PT - Journal Article LG - English DP - 1999 Jun DC - 20000906 YR - 1999 ED - 20000906 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10846644 <838. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10869245 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Owens L AU - Gilmore IT AU - Pirmohamed M FA - Owens, L FA - Gilmore, I T FA - Pirmohamed, M IN - Owens,L. Department of Pharmacology and Therapeutics, The University of Liverpool, UK. TI - General practice nurses' knowledge of alcohol use and misuse: a questionnaire survey. SO - Alcohol & Alcoholism. 35(3):259-62, 2000 May-Jun. AS - Alcohol Alcohol. 35(3):259-62, 2000 May-Jun. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 SB - Index Medicus CP - ENGLAND MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Education, Nursing, Continuing MH - Family Practice MH - Female MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - *Nurse Practitioners/st [Standards] MH - Nurse Practitioners/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - Nurses in general practice (termed practice nurses) are an under-utilized resource for the detection and management of patients with alcohol misuse. However, little is known about their knowledge and attitudes towards alcohol use and misuse. We therefore conducted a postal questionnaire survey of 132 practice nurses in Liverpool (UK). The results of our survey (response rate 77%) show that a knowledge and skills gap exists in the delivery of effective advice on alcohol-related issues. Indeed, our results suggest that only one in two women and one in three men are receiving correct advice on sensible limits of alcohol consumption, this despite the fact that alcohol histories are taken. Further training was requested by most nurses to develop their screening and health promotion roles, and to become involved in the management of patients with alcohol-related problems in primary care. We suggest practice nurses should be encouraged to become involved in screening for, and management of, alcohol-related problems. However, it is important to ensure that the nurses receive appropriate training and have adequate back-up facilities from doctors and other workers involved in the care of patients with alcohol-related problems. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 May-Jun DC - 20000829 YR - 2000 ED - 20000829 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10869245 <839. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10889686 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cook KR FA - Cook, K R IN - Cook,K R. D'Youville College, Buffalo, New York, USA. TI - Assessment of potential inhalant use by students. [Review] [16 refs] SO - Journal of School Nursing. 15(5):20-3, 1999 Dec. AS - J Sch Nurs. 15(5):20-3, 1999 Dec. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adhesives/ae [Adverse Effects] MH - Aerosols/ae [Adverse Effects] MH - Child MH - Humans MH - Inhalation Exposure/ae [Adverse Effects] MH - *Inhalation Exposure MH - *Nursing Assessment/mt [Methods] MH - *School Nursing/mt [Methods] MH - Solvents/ae [Adverse Effects] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. [References: 16] RN - 0 (Adhesives) RN - 0 (Aerosols) RN - 0 (Solvents) IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Review LG - English DP - 1999 Dec DC - 20000810 YR - 1999 ED - 20000810 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10889686 <840. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10818875 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jeffries PR FA - Jeffries, P R IN - Jeffries,P R. Indiana University School of Nursing, Indianapolis, USA. TI - Developing a drug awareness program in an international school. Cross-cultural issues. SO - Journal of School Nursing. 15(4):6-11, 1999 Oct. AS - J Sch Nurs. 15(4):6-11, 1999 Oct. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Child MH - Cross-Cultural Comparison MH - *Cultural Diversity MH - Curriculum MH - *Health Education/og [Organization & Administration] MH - Humans MH - Indonesia MH - International Cooperation MH - *Program Development/mt [Methods] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Transcultural Nursing/og [Organization & Administration] MH - United States AB - 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. IS - 1059-8405 IL - 1059-8405 PT - Comparative Study PT - Journal Article LG - English DP - 1999 Oct DC - 20000803 YR - 1999 ED - 20000803 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10818875 <841. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808761 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCracken LM FA - McCracken, L M IN - McCracken,L M. Emergency Department, Foothills Medical Centre, Calgary Regional Health Authority, Canada. TI - Living forensics: a natural evolution in emergency care. SO - Accident & Emergency Nursing. 7(4):211-6, 1999 Oct. AS - Accid Emerg Nurs. 7(4):211-6, 1999 Oct. NJ - Accident and emergency nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9305090 SB - Nursing Journal CP - SCOTLAND MH - Data Collection MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/og [Organization & Administration] MH - *Emergency Treatment/mt [Methods] MH - *Emergency Treatment/nu [Nursing] MH - *Forensic Medicine/og [Organization & Administration] MH - Humans MH - Information Services MH - Internet MH - *Job Description MH - Male MH - Nurse Clinicians/ed [Education] MH - *Nurse Clinicians/og [Organization & Administration] MH - Practice Guidelines as Topic AB - 'Throughout history, health care professionals have been called upon to assist the legal system in the prosecution of cases where patient care overlaps with the law and physiological realities collide' (Lynch 1995). Working for the last 21 years in the Accident & Emergency setting, the author is dedicated to increasing the awareness and assisting in the establishment of basic forensic evidence collection guidelines for the emergency care provider. Due to the nature of the clientele and setting, emergency personnel will inevitably care for 'victims of violence'. Domestic violence injuries, abuse and neglect in the elderly and young, the addictive client seeking emergency care, the sexual assault victim, and sufferers of occupational injuries, are but a few of the cases that would be classified in the forensic arena. Holistic care dictates looking after the patient as a whole. The nurse must meet the patient's physical and psychosocial needs. The forensic nurse ensures that the patient's civil and constitutional rights are also met. This forensic health care role can be achieved and strengthened by recognizing potential evidence and maintaining a 'chain of custody' of this evidence. IS - 0965-2302 IL - 0965-2302 PT - Case Reports PT - Journal Article LG - English DP - 1999 Oct DC - 20000803 YR - 1999 ED - 20000803 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808761 <842. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10745800 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hall-Long BA AU - Dishop ML FA - Hall-Long, B A FA - Dishop, M L IN - Hall-Long,B A. University of Delaware, College of Health and Nursing Sciences, Newark, USA. TI - Never too soon: a pilot first and third grade drug education program. SO - Journal of School Nursing. 15(3):34-9, 1999 Aug. AS - J Sch Nurs. 15(3):34-9, 1999 Aug. NJ - The Journal of school nursing : the official publication of the National Association of School Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - bgs, 9206498 SB - Nursing Journal CP - UNITED STATES MH - Age Factors MH - Child MH - Curriculum MH - *Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Pilot Projects MH - Program Evaluation MH - *School Health Services/og [Organization & Administration] MH - *School Nursing/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - 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. IS - 1059-8405 IL - 1059-8405 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Aug DC - 20000727 YR - 1999 ED - 20000727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10745800 <843. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10882317 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koniak-Griffin D AU - Anderson NL AU - Verzemnieks I AU - Brecht ML FA - Koniak-Griffin, D FA - Anderson, N L FA - Verzemnieks, I FA - Brecht, M L IN - Koniak-Griffin,D. School of Nursing, University of California, Los Angeles 90095-6919, USA. TI - A public health nursing early intervention program for adolescent mothers: outcomes from pregnancy through 6 weeks postpartum. SO - Nursing Research. 49(3):130-8, 2000 May-Jun. AS - Nurs Res. 49(3):130-8, 2000 May-Jun. NJ - Nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - o9k, 0376404 SB - Core Clinical Journals (AIM) SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Birth Weight MH - Female MH - Hospitalization MH - Humans MH - Models, Nursing MH - Obstetric Labor, Premature/pc [Prevention & Control] MH - Outcome and Process Assessment (Health Care) MH - *Postpartum Period MH - Poverty MH - Pregnancy MH - Pregnancy Outcome MH - *Pregnancy in Adolescence MH - Prenatal Care MH - *Public Health Nursing MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. AB - 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. AB - 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). AB - 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). AB - 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. IS - 0029-6562 IL - 0029-6562 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - NR02325-S1 (United States NINR NIH HHS) NO - NR02325-S2 (United States NINR NIH HHS) NO - R0-1 NR02325 (United States NINR NIH HHS) LG - English DP - 2000 May-Jun DC - 20000724 YR - 2000 ED - 20000724 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10882317 <844. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10889655 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cramer C AU - Davidhizar R FA - Cramer, C FA - Davidhizar, R IN - Cramer,C. Bethel College, Mishawaka, Indiana 46545-5591, USA. TI - FAS/FAE: impact on children. [Review] [9 refs] SO - Journal of Child Health Care. 3(3):31-4, 1999. AS - J Child Health Care. 3(3):31-4, 1999. NJ - Journal of child health care : for professionals working with children in the hospital and community PI - Journal available in: Print PI - Citation processed from: Print JC - 9806360, dcl SB - Nursing Journal CP - ENGLAND MH - Child MH - Female MH - Fetal Alcohol Spectrum Disorders/co [Complications] MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - *Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - Humans MH - Job Description MH - Male MH - Parents/ed [Education] MH - Parents/px [Psychology] MH - Patient Advocacy MH - *Pediatric Nursing/mt [Methods] MH - Practice Guidelines as Topic MH - Pregnancy MH - *School Nursing/mt [Methods] AB - Alcohol is a teratogen and it can cause lasting birth defects called Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Effects (FAE). FAS is one of the leading causes of mental retardation. FAS/FAE can result in a myriad of behavioral, learning and developmental problems. There are estimates of 12,000 new cases of FAS yearly. The school nurse plays an important advocacy and educational role in helping the child with FAS. Family involvement is important for the child with FAS. [References: 9] IS - 1367-4935 IL - 1367-4935 PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1999 DC - 20000720 YR - 1999 ED - 20000720 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10889655 <845. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808839 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Rickman KA AU - Sobhan T FA - Marcus, M T FA - Rickman, K A FA - Sobhan, T IN - Marcus,M T. Department of Nursing Systems and Technology, University of Texas-Houston Health Science Center School of Nursing 77030, USA. TI - Substance abuse education liaisons: a collaborative continuing education program for nurses in acute care settings. SO - Journal of Continuing Education in Nursing. 30(5):229-34, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):229-34, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Acute Disease/nu [Nursing] MH - Attitude of Health Personnel MH - *Cooperative Behavior MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - *Interprofessional Relations MH - Needs Assessment MH - Nursing Education Research MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Program Evaluation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Texas AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Project SAEL (Substance Abuse Education Liaisons) is a model that can be emulated by others. IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 1 TO1 AA 7509 (United States NIAAA NIH HHS) LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808839 <846. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808838 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass JC Jr AU - Todd-Atkinson S FA - Glass, J C Jr FA - Todd-Atkinson, S IN - Glass,J C Jr. Department of Adult and Community College Education, North Carolina State University, Raleigh 27695-7801, USA. TI - Continuing education needs of nurses employed in nursing facilities. SO - Journal of Continuing Education in Nursing. 30(5):219-28, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):219-28, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Geriatric Nursing/ed [Education] MH - Humans MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - North Carolina MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Practical/ed [Education] MH - *Skilled Nursing Facilities MH - Surveys and Questionnaires AB - The purpose of this investigation was to determine the self-perceived learning needs of nurses, both RNs and licensed practical nurses (LPNs), employed in nursing facilities. Questionnaires were used to gather data from 319 nurses employed in 14 nursing facilities, representing 10% of all nursing facilities in North Carolina. A total of 164 nurses returned usable questionnaires. The nurses indicated a large number of continuing education needs, with Management Skills, Drug Therapy/Interactions, and Behavioral Problems being particularly important. Night shift nurses and nurse educators had different leaning needs when compared to other subsets of nurses. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808838 <847. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808839 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Rickman KA AU - Sobhan T FA - Marcus, M T FA - Rickman, K A FA - Sobhan, T IN - Marcus,M T. Department of Nursing Systems and Technology, University of Texas-Houston Health Science Center School of Nursing 77030, USA. TI - Substance abuse education liaisons: a collaborative continuing education program for nurses in acute care settings. SO - Journal of Continuing Education in Nursing. 30(5):229-34, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):229-34, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - *Acute Disease/nu [Nursing] MH - Attitude of Health Personnel MH - *Cooperative Behavior MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - *Interprofessional Relations MH - Needs Assessment MH - Nursing Education Research MH - *Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Program Evaluation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Texas AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Project SAEL (Substance Abuse Education Liaisons) is a model that can be emulated by others. IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - 1 TO1 AA 7509 (United States NIAAA NIH HHS) LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=10808839 <848. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808838 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass JC Jr AU - Todd-Atkinson S FA - Glass, J C Jr FA - Todd-Atkinson, S IN - Glass,J C Jr. Department of Adult and Community College Education, North Carolina State University, Raleigh 27695-7801, USA. TI - Continuing education needs of nurses employed in nursing facilities. SO - Journal of Continuing Education in Nursing. 30(5):219-28, 1999 Sep-Oct. AS - J Contin Educ Nurs. 30(5):219-28, 1999 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - *Geriatric Nursing/ed [Education] MH - Humans MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - North Carolina MH - *Nursing Staff/ed [Education] MH - *Nursing Staff/px [Psychology] MH - Nursing, Practical/ed [Education] MH - *Skilled Nursing Facilities MH - Surveys and Questionnaires AB - The purpose of this investigation was to determine the self-perceived learning needs of nurses, both RNs and licensed practical nurses (LPNs), employed in nursing facilities. Questionnaires were used to gather data from 319 nurses employed in 14 nursing facilities, representing 10% of all nursing facilities in North Carolina. A total of 164 nurses returned usable questionnaires. The nurses indicated a large number of continuing education needs, with Management Skills, Drug Therapy/Interactions, and Behavioral Problems being particularly important. Night shift nurses and nurse educators had different leaning needs when compared to other subsets of nurses. IS - 0022-0124 IL - 0022-0124 PT - Journal Article LG - English DP - 1999 Sep-Oct DC - 20000720 YR - 1999 ED - 20000720 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=10808838 <849. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10860314 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT FA - Marcus, M T IN - Marcus,M T. Department of Nursing Systems and Technology, University of Texas-Houston Health Science Center 77030, USA. TI - An interdisciplinary team model for substance abuse prevention in communities. [Review] [52 refs] SO - Journal of Professional Nursing. 16(3):158-68, 2000 May-Jun. AS - J Prof Nurs. 16(3):158-68, 2000 May-Jun. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Community Health Nursing MH - *Education, Nursing, Continuing MH - *Faculty, Nursing MH - Humans MH - *Models, Educational MH - *Patient Care Team MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. [References: 52] IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review NO - 1T15P07775 (United States PHS HHS) LG - English DP - 2000 May-Jun DC - 20000719 YR - 2000 ED - 20000719 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10860314 <850. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10772279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edgardh K AU - Ormstad K FA - Edgardh, K FA - Ormstad, K IN - Edgardh,K. Department of Venhalsan, Soder Hospital, Stockholm, Sweden. TI - Prevalence and characteristics of sexual abuse in a national sample of Swedish seventeen-year-old boys and girls. CM - Comment in: Acta Paediatr. 2000 Mar;89(3):268-71; PMID: 10772272 SO - Acta Paediatrica. 89(3):310-9, 2000 Mar. AS - Acta Paediatr. 89(3):310-9, 2000 Mar. NJ - Acta paediatrica (Oslo, Norway : 1992) PI - Journal available in: Print PI - Citation processed from: Print JC - bgc, 9205968 SB - Index Medicus CP - NORWAY MH - Adolescent MH - Child Abuse, Sexual/px [Psychology] MH - *Child Abuse, Sexual/sn [Statistics & Numerical Data] MH - Data Collection MH - Female MH - Humans MH - Male MH - Pilot Projects MH - Prevalence MH - Sexual Behavior/px [Psychology] MH - Surveys and Questionnaires MH - Sweden/ep [Epidemiology] AB - 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. IS - 0803-5253 IL - 0803-5253 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20000713 YR - 2000 ED - 20000713 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10772279 <851. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10812312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carroll JF AU - McGovern JJ AU - McGinley JJ AU - Torres JC AU - Walker JR AU - Pagan ES AU - Biafora FA FA - Carroll, J F FA - McGovern, J J FA - McGinley, J J FA - Torres, J C FA - Walker, J R FA - Pagan, E S FA - Biafora, F A IN - Carroll,J F. Project Return Foundation, Inc., 10 Astor Place, New York, NY 10003-6935, USA. jfxc4318@aol.com TI - A program evaluation study of a nursing home operated as a modified therapeutic community for chemically dependent persons with AIDS. Project Samaritan AIDS Services, Inc.'s Residential Health Care Facility, Highbridge Section, Bronx, NY. SO - Journal of Substance Abuse Treatment. 18(4):373-86, 2000 Jun. AS - J Subst Abuse Treat. 18(4):373-86, 2000 Jun. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/px [Psychology] MH - Adaptation, Psychological MH - Adult MH - Aged MH - Combined Modality Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nursing Homes MH - Outcome and Process Assessment (Health Care) MH - Personality Inventory MH - Program Evaluation MH - Sick Role MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Therapeutic Community AB - An interagency evaluation of the treatment effectiveness of a speciality nursing home (NH) run as a therapeutic community (TC) for residents diagnosed with acquired immunodeficiency syndrome (AIDS) and substance abuse/dependence (SA/D) was conducted. A total of 79 chemically dependent men and women with AIDS were: (a) administered the Tennessee Self-Concept Scale (TSCS; Roid & Fitts, 1991) at initial testing (T(1)) and 8 months after their initial testing (T(2)); and (b) assessed on specific physical health indicators (i.e. , weight, CD-4 count, and viral load) and other treatment outcomes (e.g., abstinence) over the same two time periods. The TSCS results identified a valid and invalid TSCS test group and further distinguished among three subgroups of invalid responders. Significant improvements were observed from T(1) testing to T(2) testing on the TSCS, on the physical health indicators, and on other treatment outcomes. The need for additional and continued mental health services for this population was noted. IS - 0740-5472 IL - 0740-5472 PT - Journal Article LG - English DP - 2000 Jun DC - 20000710 YR - 2000 ED - 20000710 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10812312 <852. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10382471 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell KT AU - Donaldson T FA - Mitchell, K T FA - Donaldson, T TI - Preventing fetal alcohol syndrome. SO - Journal of Pediatric Health Care. 13(2):87-9, 1999 Mar-Apr. AS - J Pediatr Health Care. 13(2):87-9, 1999 Mar-Apr. NJ - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - jml, 8709735 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/nu [Nursing] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - Infant MH - Mass Screening MH - Nurse Practitioners/ed [Education] MH - Pediatric Nursing/ed [Education] MH - Pregnancy MH - *Primary Prevention/lj [Legislation & Jurisprudence] MH - *Primary Prevention/mt [Methods] MH - United States/ep [Epidemiology] IS - 0891-5245 IL - 0891-5245 PT - News LG - English DP - 1999 Mar-Apr DC - 20000706 YR - 1999 ED - 20000706 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10382471 <853. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10789826 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - van den Bemt PM AU - Egberts TC AU - de Jong-van den Berg LT AU - Brouwers JR FA - van den Bemt, P M FA - Egberts, T C FA - de Jong-van den Berg, L T FA - Brouwers, J R IN - van den Bemt,P M. Hospital Pharmacy Medisch Centrum Leeuwarden, De Tjongerschans Hospital, Heerenveen, The Netherlands. bemtp@mcz-nw.znb.nl TI - Drug-related problems in hospitalised patients. [Review] [89 refs] SO - Drug Safety. 22(4):321-33, 2000 Apr. AS - Drug Saf. 22(4):321-33, 2000 Apr. NJ - Drug safety PI - Journal available in: Print PI - Citation processed from: Print JC - ahq, 9002928 SB - Index Medicus CP - NEW ZEALAND MH - *Drug Hypersensitivity MH - *Drug-Related Side Effects and Adverse Reactions MH - *Hospitalization MH - Humans MH - *Medication Errors AB - 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. [References: 89] IS - 0114-5916 IL - 0114-5916 PT - Journal Article PT - Review LG - English DP - 2000 Apr DC - 20000621 YR - 2000 ED - 20000621 RD - 20141117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10789826 <854. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10690114 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reiskin H AU - Gendrop S AU - Bowen A AU - Wright P AU - Walsh E FA - Reiskin, H FA - Gendrop, S FA - Bowen, A FA - Wright, P FA - Walsh, E IN - Reiskin,H. College of Nursing, University of Massachusetts at Boston, USA. TI - Collaboration between community nurses and nursing faculty using substance abuse prevention focus groups. SO - Nursingconnections. 12(2):31-6, 1999. AS - Nursingconnections. 12(2):31-6, 1999. NJ - NursingConnections PI - Journal available in: Print PI - Citation processed from: Print JC - nuc, 8809326, 8809326 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Attitude to Health/eh [Ethnology] MH - *Community Health Nursing/og [Organization & Administration] MH - *Cooperative Behavior MH - European Continental Ancestry Group/px [Psychology] MH - *Faculty, Nursing MH - Female MH - *Focus Groups MH - Humans MH - *Interprofessional Relations MH - *Nursing Faculty Practice/og [Organization & Administration] MH - *Nursing Staff/px [Psychology] MH - Poverty/px [Psychology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Urban Population AB - 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. IS - 0895-2809 IL - 0895-2809 PT - Journal Article LG - English DP - 1999 DC - 20000615 YR - 1999 ED - 20000615 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10690114 <855. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10808747 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kohn R AU - Sharma D AU - Camilleri CP AU - Levav I FA - Kohn, R FA - Sharma, D FA - Camilleri, C P FA - Levav, I IN - Kohn,R. Butler Hospital, Providence, Rhode Island 02906, USA. Robert_Kohn@brown.edu TI - Attitudes towards mental illness in the Commonwealth of Dominica. SO - Pan American Journal of Public Health. 7(3):148-54, 2000 Mar. AS - Rev Panam Salud Publica. 7(3):148-54, 2000 Mar. NJ - Revista panamericana de salud publica = Pan American journal of public health PI - Journal available in: Print PI - Citation processed from: Print JC - csl, 9705400 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Data Interpretation, Statistical MH - Depression/di [Diagnosis] MH - Dominica MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders MH - Middle Aged MH - Psychotic Disorders/di [Diagnosis] MH - Sampling Studies MH - Socioeconomic Factors MH - Surveys and Questionnaires AB - 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. IS - 1020-4989 IL - 1020-4989 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar DC - 20000525 YR - 2000 ED - 20000525 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10808747 <856. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10752048 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gorman EM AU - Carroll RT FA - Gorman, E M FA - Carroll, R T IN - Gorman,E M. University of Washington Alcohol and Drug Abuse Institute, University of Washington School of Nursing, Seattle, USA. TI - Substance abuse and HIV: considerations with regard to methamphetamines and other recreational drugs for nursing practice and research. SO - Journal of the Association of Nurses in AIDS Care. 11(2):51-62, 2000 Mar-Apr. AS - J Assoc Nurses AIDS Care. 11(2):51-62, 2000 Mar-Apr. NJ - The Journal of the Association of Nurses in AIDS Care : JANAC PI - Journal available in: Print PI - Citation processed from: Print JC - a7p, 9111870 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Adult MH - Focus Groups MH - *HIV Infections/co [Complications] MH - HIV Infections/nu [Nursing] MH - HIV Infections/px [Psychology] MH - *Homosexuality, Male MH - Humans MH - Los Angeles MH - Male MH - Middle Aged MH - Nursing Research MH - Patient Care Planning MH - San Francisco MH - Specialties, Nursing/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/vi [Virology] MH - Washington AB - Substance use continues to be closely associated with both HIV infection and treatment considerations in all at-risk populations. Among those groups heretofore not well characterized epidemiologically or clinically are those dual-risk men who have sex with other men (MSM) and use and/or inject drugs. Of particular current concern with regard to drug-using MSM is the growth in popularity of a group of recreational or so-called party drugs associated with specific social and sexual environments and networks. Chief among these drugs are hallucinogens, such as MDMA, ketamine, and GHB, and stimulants, such as cocaine, amphetamines, and methamphetamine. Increased methamphetamine use by MSM is particularly alarming because of its reported associations with high-risk injecting and sexual behaviors. Preliminary data are reported from an ethnographic exploration of MSM methamphetamine users in the Pacific Northwest of the United States. Case studies drawn from the data illustrate the complex and variable patterns of methamphetamine use among MSM. Finally, implications for nursing are discussed, and "upstream nursing" is suggested as a means of patient advocacy for HIV nurses working with substance-using populations. IS - 1055-3290 IL - 1055-3290 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Mar-Apr DC - 20000524 YR - 2000 ED - 20000524 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10752048 <857. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10741539 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Howard MO AU - Chung SS FA - Howard, M O FA - Chung, S S IN - Howard,M O. George Warren Brown School of Social Work, Washington University, St. Louis, Missouri 63130, USA. howard@gwbmail.wustl.edu TI - Nurses' attitudes toward substance misusers. II. Experiments and studies comparing nurses to other groups. [Review] [28 refs] SO - Substance Use & Misuse. 35(4):503-32, 2000 Mar. AS - Subst Use Misuse. 35(4):503-32, 2000 Mar. NJ - Substance use & misuse PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 SB - Index Medicus CP - UNITED STATES MH - Age Factors MH - Alcohol Drinking MH - *Attitude of Health Personnel MH - Educational Status MH - Female MH - Humans MH - Male MH - Nurse-Patient Relations MH - *Nurses/px [Psychology] MH - Nurses/sn [Statistics & Numerical Data] MH - Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - Sex Factors MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] AB - Experimental investigations of nurses consistently indicate that a patent labeled as a substance misuser is perceived far more negatively across a range of personal attributes than an identical patient who is not so labeled. Comparative evaluations suggest that nurses are less tolerant of social drinking and drug use and are more morally condemnatory of the chemically dependent than are other health-care professionals. [References: 28] IS - 1082-6084 IL - 1082-6084 PT - Comparative Study PT - Journal Article PT - Review LG - English DP - 2000 Mar DC - 20000404 YR - 2000 ED - 20000404 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10741539 <858. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10529962 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edmands MS AU - Hoff LA AU - Kaylor L AU - Mower L AU - Sorrell S FA - Edmands, M S FA - Hoff, L A FA - Kaylor, L FA - Mower, L FA - Sorrell, S IN - Edmands,M S. College of Health Professions, Department of Nursing, University of Massachusetts, USA. TI - Bridging gaps between mind, body, & spirit. Healing the whole person. SO - Journal of Psychosocial Nursing & Mental Health Services. 37(10):35-42, 1999 Oct. AS - J Psychosoc Nurs Ment Health Serv. 37(10):35-42, 1999 Oct. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal SB - History of Medicine Journals CP - UNITED STATES MH - Adult MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Fibromyalgia/th [Therapy] MH - History, 17th Century MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - History, Ancient MH - Holistic Nursing/hi [History] MH - *Holistic Nursing/td [Trends] MH - Humans MH - Mental Disorders/hi [History] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/pp [Physiopathology] MH - Mental Health Services/ma [Manpower] MH - Mental Health Services/td [Trends] MH - Mind-Body Relations, Metaphysical/ph [Physiology] MH - *Mind-Body Relations, Metaphysical MH - Nurse Practitioners/ed [Education] MH - Nurse Practitioners/td [Trends] MH - Psychiatric Nursing/mt [Methods] MH - Psychiatric Nursing/td [Trends] MH - Psychophysiology MH - Somatoform Disorders/th [Therapy] MH - Stress Disorders, Post-Traumatic/th [Therapy] AB - 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. IS - 0279-3695 IL - 0279-3695 PT - Case Reports PT - Historical Article PT - Journal Article LG - English DP - 1999 Oct DC - 20000313 YR - 1999 ED - 20000313 RD - 20101118 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10529962 <859. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10675051 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nacion KW AU - Norr KF AU - Burnett GM AU - Boyd CB FA - Nacion, K W FA - Norr, K F FA - Burnett, G M FA - Boyd, C B IN - Nacion,K W. University of Illinois at Chicago, College of Nursing, USA. Knacion@uic.edu TI - Validating the safety of nurse-health advocate services. SO - Public Health Nursing. 17(1):32-42, 2000 Jan-Feb. AS - Public Health Nurs. 17(1):32-42, 2000 Jan-Feb. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Clinical Competence/st [Standards] MH - *Community Health Nursing/ed [Education] MH - *Home Health Aides/ed [Education] MH - Humans MH - *Mass Screening/st [Standards] MH - *Maternal-Child Nursing/ed [Education] MH - *Nursing Assessment/st [Standards] MH - Nursing Evaluation Research MH - Nursing Staff/ed [Education] MH - *Patient Advocacy MH - Referral and Consultation/st [Standards] AB - Prior to promoting the use of community health care advocates for home visits, it is necessary to evaluate their ability to safely screen for health problems. This study examined trained maternal-child health advocates (MCHAs) who, supervised by professional nurses, conducted maternal-child home visits consisting of health promotion and problem identification. Problems identified by MCHAs were compared to problems identified by professional, validating nurses, who were not part of the service project, on hypothetical home visit situations and during 213 duplicate home visits. There were no significant differences between MCHAs and professional nurses in their identifications of infant health problems, infant health care deficits, other family members' health problems, prenatal care deficits, emotional problems, and substance abuse on either the hypothetical home visits or the duplicate home visits. The validating nurses identified significantly more women's health problems (p = 0.01) and women's health care deficits (p = 0.02) than the MCHAs on the duplicate home visits. These findings validate the safety of using the model of trained community health advocates teamed with registered nurses to screen for infant health problems during home visits. IS - 0737-1209 IL - 0737-1209 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 R15 NR02776-01A1 (United States NINR NIH HHS) LG - English DP - 2000 Jan-Feb DC - 20000225 YR - 2000 ED - 20000225 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10675051 <860. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10678337 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vinson DC AU - Elder N AU - Werner JJ AU - Vorel LA AU - Nutting PA FA - Vinson, D C FA - Elder, N FA - Werner, J J FA - Vorel, L A FA - Nutting, P A IN - Vinson,D C. University of Missouri-Columbia, Family Medicine, 65212, USA. VinsonD@health.missouri.edu TI - Alcohol-related discussions in primary care: a report from ASPN. Ambulatory Sentinel Practice Network. SO - Journal of Family Practice. 49(1):28-33, 2000 Jan. AS - J. FAM. PRACT.. 49(1):28-33, 2000 Jan. NJ - The Journal of family practice PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - Canada MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - *Family Practice/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/sn [Statistics & Numerical Data] MH - *Nurse Practitioners/ed [Education] MH - *Nurse Practitioners/sn [Statistics & Numerical Data] MH - Patient Education as Topic/mt [Methods] MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - *Physician Assistants/ed [Education] MH - *Physician Assistants/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Health Care/mt [Methods] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - United States AB - BACKGROUND: Problem drinking is common, and a 15-minute intervention can help some patients reduce drinking to safe levels. Little is known, however, about the frequency and duration of alcohol-related discussions in primary care. AB - METHODS: Nineteen clinicians in the Ambulatory Sentinel Practice Network (ASPN) collected data about alcohol-related discussions for 1 week following their usual office routine (Phase 1) and for 1 week with the addition of routine screening for problem drinking (Phase 2). Of those, 15 clinicians collected data for a third week after receiving training in brief interventions with problem drinkers (Phase 3). Clinicians collected data on standard ASPN reporting cards. AB - RESULTS: In Phase 1 the clinicians discussed alcohol during 9.6% of all visits. Seventy-three percent of those discussions were shorter than 2 minutes long, and only 10% lasted longer than 4 minutes. When routine screening was added (Phase 2), clinicians were more likely to discuss alcohol at acute-illness visits, but the frequency, duration, and intensity of such discussions did not change. Only 32% of Phase 2 discussions prompted by a positive screening result lasted longer than 2 minutes. After training, the duration increased (P <.004). In Phase 3, 58% of discussions prompted by a positive screening result lasted longer than 2 minutes, but only 26% lasted longer than 4 minutes. AB - CONCLUSION: Routine screening changed the kinds of visits during which clinicians discussed alcohol use. Training in brief-intervention techniques significantly increased the duration of alcohol-related discussions, but most discussions prompted by a positive screening result were still shorter than effective interventions reported in the literature. IS - 0094-3509 IL - 0094-3509 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 2000 Jan DC - 20000224 YR - 2000 ED - 20000224 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10678337 <861. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10619208 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weyerer S AU - Schaufele M AU - Zimber A FA - Weyerer, S FA - Schaufele, M FA - Zimber, A IN - Weyerer,S. Central Institute of Mental Health, Mannheim, Germany. weyerer@as200.ze-mannheim.de TI - Alcohol problems among residents in old age homes in the city of Mannheim, Germany. SO - Australian & New Zealand Journal of Psychiatry. 33(6):825-30, 1999 Dec. AS - Aust N Z J Psychiatry. 33(6):825-30, 1999 Dec. NJ - The Australian and New Zealand journal of psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - 9i6, 0111052 SB - Index Medicus CP - AUSTRALIA MH - Accidental Falls/pc [Prevention & Control] MH - Accidental Falls/sn [Statistics & Numerical Data] MH - Aged MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/px [Psychology] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Germany/ep [Epidemiology] MH - *Homes for the Aged/sn [Statistics & Numerical Data] MH - Humans MH - Incidence MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Risk MH - *Urban Population/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - 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. AB - 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. IS - 0004-8674 IL - 0004-8674 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Dec DC - 20000202 YR - 1999 ED - 20000202 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10619208 <862. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10603687 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wills BS AU - Wootton YS FA - Wills, B S FA - Wootton, Y S IN - Wills,B S. Chinese University of Hong Kong. TI - Concerns and misconceptions about pain among Hong Kong Chinese patients with cancer. SO - Cancer Nursing. 22(6):408-13, 1999 Dec. AS - Cancer Nurs. 22(6):408-13, 1999 Dec. NJ - Cancer nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7805358, cnc SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - China/eh [Ethnology] MH - Female MH - Hong Kong MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/eh [Ethnology] MH - *Neoplasms/nu [Nursing] MH - Neoplasms/px [Psychology] MH - Pain, Intractable/eh [Ethnology] MH - *Pain, Intractable/nu [Nursing] MH - *Pain, Intractable/px [Psychology] MH - *Sick Role MH - Surveys and Questionnaires AB - It is estimated that approximately 50% of patients with cancer experience pain, and this percentage increases to 80% in patients with terminal cancer. Misconceptions and concerns of patients with cancer regarding the use of opioid analgesics have been identified as one of the major barriers to achieving optimal pain control. Misconceptions and concerns regarding addiction and tolerance to opioid analgesics and patients' desire to be "good" have been reported in the United States. The aim of this survey was to determine if similar misconceptions and concerns exist in Hong Kong Chinese patients with cancer. The results indicate that Hong Kong Chinese patients have the same concerns regarding the use of opioid analgesics. The respondents' fatalistic beliefs are a major hindrance to optimizing pain control, with 79% indicating that pain is an inevitable aspect of hospitalization because they believe that cancer pain cannot be relieved by medications. Fear of addiction was a major concern for 52% of the respondents, and about the same number of respondents believed that opioid analgesics should be administered only as a last resort. Regarding a desire to be "good," more patients reported that they would prefer to disturb nurses rather than physicians. It is desirable that culturally specific education programs be provided to dispel patient misconceptions and concerns regarding the use of opioid analgesics. IS - 0162-220X IL - 0162-220X PT - Journal Article LG - English DP - 1999 Dec DC - 20000114 YR - 1999 ED - 20000114 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10603687 <863. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10614319 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen K FA - Allen, K TI - Developing awareness of elderly alcoholism. SO - Florida Nurse. 46(7):15, 1998 Sep. AS - Fla Nurse. 46(7):15, 1998 Sep. NJ - The Florida nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ex8, 16930510r SB - Nursing Journal CP - UNITED STATES MH - Aged MH - *Alcoholism/nu [Nursing] MH - Curriculum MH - Education, Nursing, Baccalaureate MH - *Geriatric Nursing/ed [Education] MH - Humans IS - 0015-4199 IL - 0015-4199 PT - Journal Article LG - English DP - 1998 Sep DC - 20000113 YR - 1998 ED - 20000113 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10614319 <864. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10565056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boutain DM AU - Olivares SA FA - Boutain, D M FA - Olivares, S A IN - Boutain,D M. University of Washington School of Nursing, Seattle, WA 98105, USA. TI - Nurturing educational multiculturalism in psychosocial nursing: creating new possibilities through inclusive conversations. SO - Archives of Psychiatric Nursing. 13(5):234-9, 1999 Oct. AS - Arch Psychiatr Nurs. 13(5):234-9, 1999 Oct. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cultural Diversity MH - Curriculum MH - Education, Nursing, Graduate MH - Humans MH - *Nurse Practitioners/ed [Education] MH - *Psychiatric Nursing/ed [Education] MH - Washington AB - 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. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 5 D23NUO1209 (United States BHP HRSA HHS) LG - English DP - 1999 Oct DC - 20000103 YR - 1999 ED - 20000103 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10565056 <865. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10382401 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wells SA FA - Wells, S A IN - Wells,S A. Buckell University, Lewisburg, Pennsylvania. TI - The health beliefs, values, and practices of gay adolescents. [Review] [23 refs] SO - Clinical Nurse Specialist. 13(2):69-73, 1999 Mar. AS - Clin Nurse Spec. 13(2):69-73, 1999 Mar. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adolescent Health Services MH - *Attitude to Health MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - *Homosexuality, Male/px [Psychology] MH - Humans MH - Male MH - Needs Assessment MH - Nurse Clinicians MH - Pediatric Nursing MH - *Psychology, Adolescent MH - School Nursing MH - Self Concept AB - Barriers to optimal health in the gay adolescent population include a lack of recognition or acceptance by healthcare providers, homophobic attitudes, and an absence of awareness regarding the healthcare needs of this vulnerable population. The literature suggests that gay youths experience such problems as lack of self-esteem, school truancy and dropout, runaway behavior and subsequent homelessness, drug and alcohol abuse, prostitution and sexually transmitted diseases, depression, and suicide. Advanced practice nurses have the opportunity to improve the health of gay youths through recognition, education, outreach, and advocacy. [References: 23] IS - 0887-6274 IL - 0887-6274 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review LG - English DP - 1999 Mar DC - 19991223 YR - 1999 ED - 19991223 RD - 20141120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10382401 <866. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10410019 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clark CM FA - Clark, C M IN - Clark,C M. Boise State University, Idaho, USA. cclark@bsu.idbsu.edu TI - Substance abuse among nursing students. Establishing a comprehensive policy and procedure for faculty intervention. SO - Nurse Educator. 24(2):16-9, 1999 Mar-Apr. AS - Nurse Educ. 24(2):16-9, 1999 Mar-Apr. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing/og [Organization & Administration] MH - Humans MH - Interprofessional Relations MH - Organizational Policy MH - Program Development MH - Program Evaluation MH - Social Support MH - *Student Health Services/og [Organization & Administration] MH - *Students, Nursing/px [Psychology] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - 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. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1999 Mar-Apr DC - 19991222 YR - 1999 ED - 19991222 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10410019 <867. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10543856 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoptman MJ AU - Yates KF AU - Patalinjug MB AU - Wack RC AU - Convit A FA - Hoptman, M J FA - Yates, K F FA - Patalinjug, M B FA - Wack, R C FA - Convit, A IN - Hoptman,M J. Nathan Kline Institute for Psychiatric Research in Orangeburg, New York, USA. TI - Clinical prediction of assaultive behavior among male psychiatric patients at a maximum-security forensic facility. SO - Psychiatric Services. 50(11):1461-6, 1999 Nov. AS - Psychiatr Serv. 50(11):1461-6, 1999 Nov. NJ - Psychiatric services (Washington, D.C.) PI - Journal available in: Print PI - Citation processed from: Print JC - 9502838, b8t SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Aggression/px [Psychology] MH - Child MH - Child Abuse/di [Diagnosis] MH - Child Abuse/px [Psychology] MH - *Commitment of Mentally Ill MH - Dangerous Behavior MH - Hospitals, Psychiatric MH - Humans MH - Male MH - Middle Aged MH - New York City MH - *Prisoners/px [Psychology] MH - Risk Assessment MH - Schizophrenia/di [Diagnosis] MH - Schizophrenic Psychology MH - *Security Measures MH - Violence/pc [Prevention & Control] MH - *Violence/px [Psychology] AB - OBJECTIVE: Patient characteristics associated with the clinical prediction of assaultive behavior in a forensic psychiatric hospital were compared with characteristics associated with actual assaultive behavior. AB - METHODS: Treating psychiatrists at a New York forensic psychiatric hospital were asked to predict which of a sample of 183 recently admitted male patients were likely to show assaultive behavior during a three-month period. The predictions were compared with incident reports of actual assaultive behavior. Several patient characteristics, including race, legal status, age, education, criminal history, psychiatric symptoms rated independently by raters other than the treating psychiatrists, and ward behavior, were examined for their association with predicted and actual assaultive behavior. AB - RESULTS: Clinicians' rate of correct prediction of assaultive behavior was 71 percent, with a diagnostic sensitivity of 54 percent and a diagnostic specificity of 79 percent. Characteristics associated with the prediction of assaultive behavior were race, transfer from a civil facility because of violence or dangerousness, age, education, arrests for violent offenses, childhood physical abuse, hostility, temper (or nurses' assessment of the patient's irritability), and inability to follow ward routine. Characteristics associated with actual assaultive behavior were transfer from a civil hospital, dual diagnosis of schizophrenia and substance abuse or dependence, childhood physical abuse, age, thought disorder, and temper. AB - CONCLUSIONS: Clinicians were significantly more accurate than chance in prospectively predicting which male forensic patients would show assaultive behavior. However, some of the factors associated with clinical prediction, such as race, ability to follow ward routine, and arrest history, were not associated with actual assaultive behavior. In addition, clinicians failed to use dual diagnosis of schizophrenia and substance use disorder as a predictor. IS - 1075-2730 IL - 1075-2730 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MH-45060 (United States NIMH NIH HHS) LG - English DP - 1999 Nov DC - 19991201 YR - 1999 ED - 19991201 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10543856 <868. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10558480 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Minority fellowship program. CMHS, CSAP, and CSAT, SAMHSA, DHHS. Notice of planned awards for renewal of clinical training grants under the Minority Fellowship Program (MFP) to the American Nurses Association, the American Psychiatric Association (APA) and the Council on Social Work Education (CSWE). SO - Federal Register. 64(78):20009-10, 1999 Apr 23. AS - Fed Regist. 64(78):20009-10, 1999 Apr 23. NJ - Federal register PI - Journal available in: Print PI - Citation processed from: Print JC - 7808722, b58 SB - Health Technology Assessment Journals CP - UNITED STATES MH - Career Mobility MH - *Education, Medical/ec [Economics] MH - *Education, Nursing/ec [Economics] MH - *Fellowships and Scholarships MH - *Financing, Government MH - Government Agencies MH - Humans MH - *Mental Health Services/ec [Economics] MH - *Minority Groups MH - Organizations MH - Social Work/ed [Education] MH - United States AB - SAMHSA plans to award renewal MFP grants to the ANA, APA, and CSWE to help facilitate the entry of ethnic minority students into mental health and/or substance abuse careers and increase the number of nurses, psychiatrists, and social workers trained to teach, administer, and provide direct mental health and substance abuse services to ethnic minority groups. The project period is anticipated to be 3 years. The first year will be funded for up to $400,000 for each award. This is not a general request for applications. The renewal clinical training grants will only be made to the ANA, APA, and the CSWE based on the receipt of satisfactory applications that are considered to have sufficient merit by an Initial Review Group and the National Advisory Council. IS - 0097-6326 IL - 0097-6326 PT - Journal Article LG - English DP - 1999 Apr 23 DC - 19991109 YR - 1999 ED - 19991109 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10558480 <869. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10483608 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eriksson T AU - Henricson K AU - Arrhenius K AU - Hoglund P AU - Hedner K AU - Stenberg P FA - Eriksson, T FA - Henricson, K FA - Arrhenius, K FA - Hoglund, P FA - Hedner, K FA - Stenberg, P IN - Eriksson,T. Hospital Pharmacy, Malmo University Hospital, Sweden. TI - Perceived problems of pharmacotherapy: a problem detection study among physicians and nurses at a Swedish university hospital. SO - Pharmacy World & Science. 21(4):190-3, 1999 Aug. AS - Pharm World Sci. 21(4):190-3, 1999 Aug. NJ - Pharmacy world & science : PWS PI - Journal available in: Print PI - Citation processed from: Print JC - bo7, 9307352 SB - Index Medicus CP - NETHERLANDS MH - *Drug Monitoring/st [Standards] MH - *Drug Prescriptions/st [Standards] MH - *Drug Therapy/st [Standards] MH - *Medication Systems, Hospital/st [Standards] MH - Patient Compliance/sn [Statistics & Numerical Data] MH - *Pharmacy Service, Hospital/st [Standards] MH - Surveys and Questionnaires MH - Sweden AB - 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 order sheets 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. IS - 0928-1231 IL - 0928-1231 PT - Journal Article LG - English DP - 1999 Aug DC - 19991029 YR - 1999 ED - 19991029 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10483608 <870. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10484857 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sloan PA AU - Vanderveer BL AU - Snapp JS AU - Johnson M AU - Sloan DA FA - Sloan, P A FA - Vanderveer, B L FA - Snapp, J S FA - Johnson, M FA - Sloan, D A IN - Sloan,P A. Department of Anesthesiology, University of Kentucky, Lexington, USA. TI - Cancer pain assessment and management recommendations by hospice nurses. University of Kentucky, Lexington, Kentucky. SO - Journal of Pain & Symptom Management. 18(2):103-10, 1999 Aug. AS - J Pain Symptom Manage. 18(2):103-10, 1999 Aug. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - *Hospice Care/mt [Methods] MH - Humans MH - Neoplasms/co [Complications] MH - *Neoplasms/nu [Nursing] MH - *Nursing Assessment MH - *Pain Measurement AB - Pain is often the most prevalent symptom among cancer patients referred to hospice or palliative care programs. This study was designed to use performance-based testing to evaluate the skills of hospice nurses in assessing the severe pain of a cancer patient and the pain management recommendations they would present to the patient's primary care physician. Twenty-seven hospice nurses (ranging in experience from 1 month to 10 years) were presented with the same standardized patient with cancer pain. In Part A (7 minutes), one of the investigators checked for predetermined behaviors as the nurses performed the clinical pain assessment. In Part B (7 minutes), the nurses answered questions regarding their recommendations for pain management for the patient seen in Part A. In the admission pain assessment, hospice nurses did well in assessing pain intensity (85%), pain location (70%), and pain-relieving factors (59%). However, only 48% of the nurses adequately assessed the pain onset, and only 44% adequately assessed other symptoms the patient might be experiencing. In Part B, 96% of the nurses recommended opioids, 96% recommended the oral route of administration, and 82% recommended regular dosing of the opioids. Fifty-six percent of nurses included a breakthrough medication in their analgesic recommendations. All of the hospice nurses treated the patient's fear of addiction in an appropriate manner, and 93% of the nurses recommended increasing the patient's opioid dosage to treat the persisting pain problem. There were no significant differences among nurses with regard to length of time as a hospice nurse or hospice certification on any of the items in either Part A or Part B. Most practicing hospice nurses were judged to be competent in the assessment and management of the severe pain of the standardized cancer patient, although some deficits were noted. Regular oral opioids were the analgesics of choice. Co-analgesics were rarely recommended. IS - 0885-3924 IL - 0885-3924 PT - Guideline PT - Journal Article PT - Practice Guideline LG - English DP - 1999 Aug DC - 19991019 YR - 1999 ED - 19991019 RD - 20060815 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10484857 <871. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10557892 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mason MJ AU - Wood TA FA - Mason, M J FA - Wood, T A IN - Mason,M J. Department of Counseling & Human Development, Warner School, University of Rochester, NY 14627, USA. mjmn@troi.cc.rochester.edu TI - Clinical mental health training within a multidisciplinary school-based health clinic. SO - Journal of Health & Social Policy. 11(3):45-65, 2000. AS - J Health Soc Policy. 11(3):45-65, 2000. NJ - Journal of health & social policy PI - Journal available in: Print PI - Citation processed from: Print JC - 9000937, a4h SB - Health Administration Journals CP - UNITED STATES MH - Adolescent MH - Child MH - *Clinical Clerkship MH - *Community Mental Health Services/og [Organization & Administration] MH - Data Collection MH - Health Policy MH - Humans MH - Models, Educational MH - Outcome Assessment (Health Care) MH - Program Evaluation MH - *School Health Services/og [Organization & Administration] MH - United States AB - 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 to mental health services. Process data suggest that the SBHC is an effective site for multidisciplinary clinical mental health training. IS - 0897-7186 IL - 0897-7186 PT - Journal Article LG - English DP - 2000 DC - 19991014 YR - 2000 ED - 19991014 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10557892 <872. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10430368 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stefanini GF AU - Caputo F AU - Lizzani L AU - Castelli E AU - Dall'Aglio C AU - Baudanza P AU - Marsigli L AU - Foschi FG AU - Patussi V AU - Addolorato G AU - Bernardi M AU - Gasbarrini G FA - Stefanini, G F FA - Caputo, F FA - Lizzani, L FA - Castelli, E FA - Dall'Aglio, C FA - Baudanza, P FA - Marsigli, L FA - Foschi, F G FA - Patussi, V FA - Addolorato, G FA - Bernardi, M FA - Gasbarrini, G IN - Stefanini,G F. Ospedale degli Infermi, Faenza, Italy. TI - Different efficacy of alcohol education tools among trainee nurses. SO - Hepato-Gastroenterology. 46(27):1910-6, 1999 May-Jun. AS - Hepatogastroenterology. 46(27):1910-6, 1999 May-Jun. NJ - Hepato-gastroenterology PI - Journal available in: Print PI - Citation processed from: Print JC - 8007849, ga7 SB - Index Medicus CP - GREECE MH - Adolescent MH - Adult MH - Alcoholism/nu [Nursing] MH - *Alcoholism MH - Curriculum MH - *Education, Nursing MH - Educational Measurement MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Italy MH - Male AB - BACKGROUND/AIMS: The evaluation of the efficacy of two different forms of scientific information concerning alcohol-related problems (ARP), among Italian trainee nurses. AB - 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). AB - 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. AB - 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. IS - 0172-6390 IL - 0172-6390 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 May-Jun DC - 19990922 YR - 1999 ED - 19990922 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10430368 <873. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10335247 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mahony DL AU - Murphy JM FA - Mahony, D L FA - Murphy, J M IN - Mahony,D L. Boston College School of Nursing, Chestnut Hill, MA, USA. TI - Neonatal drug exposure: assessing a specific population and services provided by visiting nurses. SO - Pediatric Nursing. 25(1):27-34, 108, 1999 Jan-Feb. AS - Pediatr Nurs. 25(1):27-34, 108, 1999 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Boston/ep [Epidemiology] MH - *Community Health Nursing/mt [Methods] MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - *Needs Assessment/og [Organization & Administration] MH - *Neonatal Abstinence Syndrome/co [Complications] MH - Neonatal Abstinence Syndrome/ep [Epidemiology] MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - *Nursing Assessment/mt [Methods] MH - Nursing Evaluation Research MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Prevalence MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Risk Factors AB - Historically, community health nurses have provided nursing services to infants who were exposed to licit and illicit drugs in utero and their mothers. The charts of 145 infants whose mothers had a history of drug and alcohol abuse and who were referred to a visiting nurse agency between 1988 and 1994 were reviewed for this study. Of the infants who were reported to have been exposed to drugs in utero, 69% were exposed to cocaine, 11% to heroin, and 6% to marijuana. The average age of the mothers was 26 years; 83.4% were single; 82.1% received Aid for Families of Dependent Children (AFDC); 92.4% were on Medicaid; and 95.9% were involved with child protective services. The most frequent nursing problems identified were (a) maternal-child attachment, (b) sleep patterns, (c) infant feeding, and (d) infant development. Nursing interventions included nutritional management, physical assessment, monitoring growth and development, and education in parenting skills. Fifty percent of the infants increased their weight by at least one percentile and 31% increased two percentiles. Resolution of nursing problems occurred in 50% of the cases. IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1999 Jan-Feb DC - 19990917 YR - 1999 ED - 19990917 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10335247 <874. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10335145 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller CE FA - Miller, C E IN - Miller,C E. University of British Columbia, Vancouver, Canada. TI - Stages of change theory and the nicotine-dependent client: direction for decision making in nursing practice. SO - Clinical Nurse Specialist. 13(1):18-22, 1999 Jan. AS - Clin Nurse Spec. 13(1):18-22, 1999 Jan. NJ - Clinical nurse specialist CNS PI - Journal available in: Print PI - Citation processed from: Print JC - cll, 8709115 SB - Nursing Journal CP - UNITED STATES MH - *Adaptation, Psychological MH - *Decision Making MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Nurse-Patient Relations MH - *Patient Education as Topic/mt [Methods] MH - *Psychological Theory MH - *Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] AB - Clinical practice is the basic purpose of nursing. Nursing's evolving professional development calls for the application of theory to direct decision making in nursing practice. Therefore, in an attempt to bridge what has been described as the "theory-practice gap," the author demonstrates how Prochaska and DiClemente's stages of change theory is relevant to nursing practice. According to Prochaska and DiClemente, behavioral change, such as smoking cessation, involves a process of five identified stages: precontemplation, contemplation, preparation, action, and maintenance. The author discusses each stage of change and the framework it provides for decision making in nursing practice. The concept of relapse is described and highlighted as a valuable learning experience. Finally, using the criteria set by Chinn and Kramer, systematic evaluation of the stages of change theory pinpoints strengths and discusses integration of the theory into nursing practice. IS - 0887-6274 IL - 0887-6274 PT - Journal Article LG - English DP - 1999 Jan DC - 19990917 YR - 1999 ED - 19990917 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10335145 <875. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10448776 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cohen-Mansfield J AU - Lipson S AU - Werner P AU - Billig N AU - Taylor L AU - Woosley R FA - Cohen-Mansfield, J FA - Lipson, S FA - Werner, P FA - Billig, N FA - Taylor, L FA - Woosley, R IN - Cohen-Mansfield,J. Research Institute of the Hebrew Home of Greater Washington, Rockville, MD 20852, USA. cohen-mansfield@hebrew-home.org TI - Withdrawal of haloperidol, thioridazine, and lorazepam in the nursing home: a controlled, double-blind study. SO - Archives of Internal Medicine. 159(15):1733-40, 1999 Aug 9-23. AS - Arch Intern Med. 159(15):1733-40, 1999 Aug 9-23. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Affect/de [Drug Effects] MH - Aged MH - Aged, 80 and over MH - *Anti-Anxiety Agents/ad [Administration & Dosage] MH - Anti-Anxiety Agents/ae [Adverse Effects] MH - *Antipsychotic Agents/ad [Administration & Dosage] MH - Antipsychotic Agents/ae [Adverse Effects] MH - Cognition/de [Drug Effects] MH - Cross-Over Studies MH - Double-Blind Method MH - Female MH - *Haloperidol/ad [Administration & Dosage] MH - Haloperidol/ae [Adverse Effects] MH - Homes for the Aged MH - Humans MH - *Lorazepam/ad [Administration & Dosage] MH - Lorazepam/ae [Adverse Effects] MH - Male MH - Nursing Homes MH - Sleep/de [Drug Effects] MH - *Substance Withdrawal Syndrome MH - Suburban Population MH - *Thioridazine/ad [Administration & Dosage] MH - Thioridazine/ae [Adverse Effects] AB - BACKGROUND: Ongoing regimens of haloperidol, thioridazine, and lorazepam are commonly administered to manage behavior problems in nursing home residents. Nevertheless, there is controversy over whether periodic drug withdrawal should be attempted when those medications are prescribed. This study addressed that issue by examining the effects of discontinuing treatment with haloperidol, thioridazine, and lorazepam among residents of a large suburban nursing home. AB - METHODS: In a double-blind, crossover study, half of 58 nursing home residents (43 women and 15 men with a mean age of 86 years) continued to take the psychotropic medication they had been prescribed, whereas the other half were tapered to placebo. After 6 weeks of taking placebo or original drug, patients were tapered to the reverse schedule and remained on it for 6 weeks. Assessments included informant ratings by the nursing staff who completed the Brief Psychiatric Rating Scale and the Cohen-Mansfield Agitation Inventory. AB - RESULTS: Analyses comparing residents taking placebo to those taking medication after completion of the first phase showed no impact of drug therapy discontinuation on their behavior. Similarly, using the crossover design to compare residents' behaviors while taking placebo vs. taking drugs, withdrawal of medication had no impact on Cohen-Mansfield Agitation Inventory or Brief Psychiatric Rating Scale scores. AB - CONCLUSIONS: Results of this work suggest that longterm use of haloperidol, thioridazine, and lorazepam in nursing homes to manage agitation should be closely monitored for their efficacy. Furthermore, routine attempts at drug withdrawal should be considered for most residents taking psychotropic medication. RN - 0 (Anti-Anxiety Agents) RN - 0 (Antipsychotic Agents) RN - J6292F8L3D (Haloperidol) RN - N3D6TG58NI (Thioridazine) RN - O26FZP769L (Lorazepam) IS - 0003-9926 IL - 0003-9926 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - AG00547 (United States NIA NIH HHS) NO - AG10172 (United States NIA NIH HHS) LG - English DP - 1999 Aug 9-23 DC - 19990826 YR - 1999 ED - 19990826 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10448776 <876. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10442052 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weissman DE AU - Matson S FA - Weissman, D E FA - Matson, S IN - Weissman,D E. Department of Medicine, Medical College of Wisconsin, Milwaukee 53226-0509, USA. TI - Pain assessment and management in the long-term care setting. [Review] [53 refs] SO - Theoretical Medicine & Bioethics. 20(1):31-43, 1999 Jan. AS - Theor Med Bioeth. 20(1):31-43, 1999 Jan. NJ - Theoretical medicine and bioethics PI - Journal available in: Print PI - Citation processed from: Print JC - cw1, 9805378 OI - Source: KIE. 62122 SB - Bioethics Journals SB - Index Medicus CP - NETHERLANDS MH - Aged MH - Dementia/co [Complications] MH - *Homes for the Aged MH - Humans MH - Long-Term Care MH - *Nursing Homes MH - Pain/co [Complications] MH - *Pain Management MH - *Pain Measurement MH - Risk Assessment MH - United States KW - Mental Health Therapies; Professional Patient Relationship AB - 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. [References: 53] NT - KIE BoB Subject Heading: patient care/aged NT - KIE BoB Subject Heading: patient care/drugs NT - KIE BoB Subject Heading: patient care/mentally disabled NT - Full author name: Weissman, David E NT - Full author name: Matson, Sandra IS - 1386-7415 IL - 1386-7415 PT - Journal Article PT - Review LG - English DP - 1999 Jan DC - 19990825 YR - 1999 ED - 19990825 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10442052 <877. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10210463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Nursing and Health Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon. TI - Assessing nursing students' basic communication and interviewing skills: the development and testing of a rating scale. SO - Journal of Advanced Nursing. 29(3):658-65, 1999 Mar. AS - J Adv Nurs. 29(3):658-65, 1999 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Alcoholism/nu [Nursing] MH - Alcoholism/rh [Rehabilitation] MH - Analysis of Variance MH - *Communication MH - Cross-Over Studies MH - *Education, Nursing, Baccalaureate MH - *Educational Measurement/mt [Methods] MH - Humans MH - New South Wales MH - *Nurse-Patient Relations MH - *Psychotherapy, Brief AB - 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. IS - 0309-2402 IL - 0309-2402 PT - Clinical Trial PT - Journal Article LG - English DP - 1999 Mar DC - 19990611 YR - 1999 ED - 19990611 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10210463 <878. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10351855 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Werch CE AU - Pappas DM AU - Carlson JM AU - DiClemente CC FA - Werch, C E FA - Pappas, D M FA - Carlson, J M FA - DiClemente, C C IN - Werch,C E. Department of Health Science, University of North Florida, Jacksonville 32224-2645, USA. TI - Six-month outcomes of an alcohol prevention program for inner-city youth. SO - American Journal of Health Promotion. 13(4):237-40, iii, 1999 Mar-Apr. AS - Am J Health Promot. 13(4):237-40, iii, 1999 Mar-Apr. NJ - American journal of health promotion : AJHP PI - Journal available in: Print PI - Citation processed from: Print JC - amj, 8701680 SB - Health Technology Assessment Journals CP - UNITED STATES MH - *Alcoholism/pc [Prevention & Control] MH - Child MH - Female MH - Florida MH - Follow-Up Studies MH - Health Promotion/mt [Methods] MH - *Health Promotion MH - Humans MH - Male MH - *Students MH - Surveys and Questionnaires MH - *Urban Health AB - Six-hundred and fifty 6th grade students were randomly assigned with the intervention group receiving the STARS for Families Program, an alcohol reduction program consisting of standardized health consultations provided by nurses and mailed follow-up information. The control group received minimum information. Students in the study attended either a neighborhood or a bused inner-city middle school. Students receiving the intervention had significantly less intentions to use alcohol in the future and less alcohol quantity. The study suggests that brief, provider-involved interventions may be a viable school based approach to prevention. IS - 0890-1171 IL - 0890-1171 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - AA9283 (United States NIAAA NIH HHS) LG - English DP - 1999 Mar-Apr DC - 19990527 YR - 1999 ED - 19990527 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10351855 <879. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10196922 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Happell B AU - Taylor C FA - Happell, B FA - Taylor, C IN - Happell,B. School of Nursing, University of Melbourne, Victoria, Australia. b.happell@nursing.unimelb.edu.au TI - "We may be different, but we are still nurses": an exploratory study of drug and alcohol nurses in Australia. SO - Issues in Mental Health Nursing. 20(1):19-32, 1999 Jan-Feb. AS - Issues Ment Health Nurs. 20(1):19-32, 1999 Jan-Feb. NJ - Issues in mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - gy7, 7907126 SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - Humans MH - *Job Description MH - *Nurse Clinicians/og [Organization & Administration] MH - Nurse Clinicians/px [Psychology] MH - Nursing Methodology Research MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires MH - Victoria AB - The problems experienced by generalist nurses in providing care to patients who abuse alcohol and other drugs have been acknowledged in the literature. Despite the demonstrated success of educational programs in improving attitudes and enhancing the confidence of nurses in dealing with this clientele, the problem remains. Although large numbers of nurses specialize in the care of patients with drug- and alcohol-related problems, their specific skills have not been well researched. This article reports on a qualitative research project undertaken with 6 nurses currently practicing in a drug and alcohol unit in metropolitan Victoria, Australia. The findings suggest that these nurses are very skilled in their area of practice, and they can potentially provide information and support to nurses from other areas. This liaison role can help minimize the negative experiences frequently encountered by nonspecialist nurses caring for patients with drug- and alcohol-related problems. IS - 0161-2840 IL - 0161-2840 PT - Journal Article LG - English DP - 1999 Jan-Feb DC - 19990415 YR - 1999 ED - 19990415 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10196922 <880. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11362065 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor CA AU - Patsdaughter CA AU - Grindel CG AU - Taveira PF AU - Steinberg JL FA - O'Connor, C A FA - Patsdaughter, C A FA - Grindel, C G FA - Taveira, P F FA - Steinberg, J L IN - O'Connor,C A. East Boston Neighborhood Health Center, East Boston, Massachusetts, USA. TI - A mobile HIV education and testing program: bringing services to hard-to-reach populations. SO - AIDS Patient Care & Stds. 12(12):931-7, 1998 Dec. AS - AIDS Patient Care STDS. 12(12):931-7, 1998 Dec. NJ - AIDS patient care and STDs PI - Journal available in: Print PI - Citation processed from: Print JC - 9607225, ckd SB - AIDS/HIV Journals CP - UNITED STATES MH - Boston MH - *Counseling MH - *HIV Infections/di [Diagnosis] MH - *HIV Infections/pc [Prevention & Control] MH - *Health Services Accessibility MH - Humans MH - *Mobile Health Units MH - *Patient Education as Topic MH - Pilot Projects AB - Few programs exist that offer a range of human immunodeficiency virus (HIV) services to multiple populations (i.e., substance abusers, individuals on probation, sex workers and their clients, court-mandated perpetrators of domestic violence) in multiple settings (i.e., courts, methadone maintenance clinics, residential and outpatient substance abuse treatment programs). The purpose of this article is to describe a model mobile HIV program, highlighting its flexibility in providing services to clients who infrequently present to traditional clinic-based testing sites. This mobile HIV program was developed to provide on-site HIV testing and counseling, education, and linkages to primary care services. The implementation of the program begins with training of agency staff, who then provide preliminary orientation with clients regarding HIV testing. Approximately 3 weeks later, the mobile program staff (HIV nurse specialist and HIV counselors) provide standardized group pretest counseling and education. Clients who decide to be tested meet with mobile program staff for individualized risk assessment and specimen collection. Two weeks later, clients meet with mobile program staff to obtain results and receive posttest counseling; risk reduction strategies are reemphasized at that time. Unique to this program is the provision of referrals for a wide range of primary care services for both seropositive and seronegative clients. Since 1994, the mobile program has been implemented at six sites, and over 1100 clients have been served. Two major outcomes from the program have been observed: 1. With adequate preparation and psychological support, 40% of hard-to-reach populations will elect to be HIV tested. 2. Through social networks of program participants, HIV-positive individuals not previously engaged in care have been referred to a comprehensive HIV primary care program. IS - 1087-2914 IL - 1087-2914 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1998 Dec DC - 19990401 YR - 1998 ED - 19990401 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11362065 <881. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9847741 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Health Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong. TI - Alcohol-related problems: a critical review of the literature and directions in nurse education. [Review] [47 refs] SO - Nurse Education Today. 18(6):477-87, 1998 Aug. AS - Nurse Educ Today. 18(6):477-87, 1998 Aug. NJ - Nurse education today PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 SB - Nursing Journal CP - SCOTLAND MH - Adult MH - *Alcoholism/nu [Nursing] MH - Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Humans MH - Models, Nursing MH - Professional Autonomy AB - 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. [References: 47] IS - 0260-6917 IL - 0260-6917 PT - Journal Article PT - Review LG - English DP - 1998 Aug DC - 19990318 YR - 1998 ED - 19990318 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9847741 <882. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9677906 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McNaughton S AU - Sauve L AU - Ashmore J AU - Robson E FA - McNaughton, S FA - Sauve, L FA - Ashmore, J FA - Robson, E IN - McNaughton,S. Capital Health, Community Care and Public Health, Edmonton. TI - Drinking decisions. An innovative approach to problem drinking. SO - Canadian Nurse. 94(6):26-9, 1998 Jun. AS - Can Nurse. 94(6):26-9, 1998 Jun. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - CANADA MH - *Alcoholism/pc [Prevention & Control] MH - Canada MH - Consumer Participation MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Patient Selection MH - Program Evaluation MH - Public Health Nursing/ed [Education] MH - *Public Health Nursing/og [Organization & Administration] IS - 0008-4581 IL - 0008-4581 PT - Journal Article LG - English DP - 1998 Jun DC - 19990318 YR - 1998 ED - 19990318 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9677906 <883. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10025278 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy GT AU - Brennan M FA - Murphy, G T FA - Brennan, M IN - Murphy,G T. Dalhousie University School of Nursing, Halifax, N.S. TI - Nursing students with disabilities. [Review] [13 refs] SO - Canadian Nurse. 94(10):31-4, 1998 Nov. AS - Can Nurse. 94(10):31-4, 1998 Nov. NJ - The Canadian nurse PI - Journal available in: Print PI - Citation processed from: Print JC - 0405504, cl9 SB - Nursing Journal CP - CANADA MH - Crime MH - *Disabled Persons MH - Education, Nursing, Baccalaureate MH - Ethics, Nursing MH - Humans MH - Nova Scotia MH - Organizational Policy MH - *School Admission Criteria MH - Schools, Nursing/og [Organization & Administration] MH - *Schools, Nursing MH - *Students, Nursing MH - Substance-Related Disorders AB - 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. [References: 13] IS - 0008-4581 IL - 0008-4581 PT - Journal Article PT - Review LG - English DP - 1998 Nov DC - 19990305 YR - 1998 ED - 19990305 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10025278 <884. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9934161 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Rourke AM FA - O'Rourke, A M TI - Bruised but not beaten. Interview by Adrian O'Dowd. SO - Nursing Times. 94(48):14-5, 1998 Dec 2-8. AS - Nurs Times. 94(48):14-5, 1998 Dec 2-8. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Female MH - Humans MH - *Job Application MH - *Professional Impairment MH - *Students, Nursing MH - *Substance-Related Disorders/px [Psychology] IS - 0954-7762 IL - 0954-7762 PT - Interview LG - English DP - 1998 Dec 2-8 DC - 19990211 YR - 1998 ED - 19990211 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9934161 <885. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9778885 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pillon S AU - Laranjeira R AU - Dunn J FA - Pillon, S FA - Laranjeira, R FA - Dunn, J IN - Pillon,S. Department of Gastroenterology, Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Brazil. pillon@psiquiatria.epm.br TI - Nurses' attitudes towards alcoholism: factor analysis of three commonly used scales. SO - Sao Paulo Medical Journal = Revista Paulista de Medicina. 116(2):1661-6, 1998 Mar-Apr. AS - Sao Paulo Med J. 116(2):1661-6, 1998 Mar-Apr. NJ - Sao Paulo medical journal = Revista paulista de medicina PI - Journal available in: Print PI - Citation processed from: Print JC - 100897261, dio SB - Index Medicus CP - BRAZIL MH - *Alcoholism/di [Diagnosis] MH - *Attitude of Health Personnel MH - Factor Analysis, Statistical MH - Humans MH - *Nurses MH - Psychometrics MH - Surveys and Questionnaires AB - OBJECTIVE: To investigate the psychometric properties of three scales commonly used to measure attitudes and beliefs about alcoholism. AB - DESIGN: Cross-sectional study using a systematic sample. AB - SETTING: Hospital Sao Paulo (a public general tertiary hospital) and the adjoining Federal University of Sao Paulo, Brazil. AB - PARTICIPANTS: 310 nurses and nursing teachers. AB - 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. AB - ANALYSIS: The scales were re-grouped into their original formats and each underwent a principal components analysis with orthogonal rotation of factors. AB - 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. AB - 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. IS - 1516-3180 IL - 1516-3180 PT - Comparative Study PT - Journal Article LG - English DP - 1998 Mar-Apr DC - 19990122 YR - 1998 ED - 19990122 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9778885 <886. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9865241 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee DC AU - Lee GY FA - Lee, D C FA - Lee, G Y IN - Lee,D C. Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY 11030, USA. dlee@nshs.edu TI - The use of pamidronate for hypercalcemia secondary to acute vitamin D intoxication. SO - Journal of Toxicology - Clinical Toxicology. 36(7):719-21, 1998. AS - J Toxicol Clin Toxicol. 36(7):719-21, 1998. NJ - Journal of toxicology. Clinical toxicology PI - Journal available in: Print PI - Citation processed from: Print JC - kan, 8213460 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Aged MH - *Diphosphonates/tu [Therapeutic Use] MH - Drug Overdose MH - Female MH - Humans MH - Hypercalcemia/ci [Chemically Induced] MH - *Hypercalcemia/dt [Drug Therapy] MH - Iatrogenic Disease MH - *Vitamin D/po [Poisoning] AB - INTRODUCTION: Pamidronate disodium, a bone resorption inhibitor through osteoclast mediation, has been used to treat chronic hypercalcemia secondary to malignancy and chronic renal failure. We report the use of pamidronate for acute, severe hypercalcemia secondary to iatrogenic vitamin D poisoning. AB - CASE REPORT: A 77-year-old female nursing home resident was inadvertently administered 50,000 units of oral vitamin D daily for 6 days. The patient presented with lethargy, abdominal pain, and vomiting. The patient's initial serum calcium concentration was 5.25 mmol/L (21 mg/dL). The patient was initially treated with hydration and furosemide but developed congestive heart failure. Pamidronate was used and calcium concentrations normalized by 24 hours after treatment. AB - CONCLUSION: We report a case of the use of pamidronate for significant hypercalcemia secondary to acute vitamin D poisoning. Although evidence of congestive heart failure was evident, dialysis was avoided without significant sequelae. Pamidronate therapy should be considered in patients with hypercalcemia secondary to acute vitamin D poisoning. RN - 0 (Diphosphonates) RN - 1406-16-2 (Vitamin D) RN - OYY3447OMC (pamidronate) IS - 0731-3810 IL - 0731-3810 PT - Case Reports PT - Journal Article LG - English DP - 1998 DC - 19990107 YR - 1998 ED - 19990107 RD - 20121115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9865241 <887. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9866555 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Freed PE AU - York LN FA - Freed, P E FA - York, L N IN - Freed,P E. Barnes College of Nursing, University of Missouri, USA. TI - A chemical dependence clinical experience. SO - Nurse Educator. 23(5):13-5, 1998 Sep-Oct. AS - Nurse Educ. 23(5):13-5, 1998 Sep-Oct. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Baccalaureate MH - Humans MH - Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1998 Sep-Oct DC - 19981231 YR - 1998 ED - 19981231 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9866555 <888. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9814244 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith K AU - Holmseth J AU - Macgregor M AU - Letourneau M FA - Smith, K FA - Holmseth, J FA - Macgregor, M FA - Letourneau, M IN - Smith,K. Sexual Assault Response Team, Mankato, Minn., USA. TI - Sexual Assault Response Team: overcoming obstacles to program development. SO - Journal of Emergency Nursing. 24(4):365-7, 1998 Aug. AS - J Emerg Nurs. 24(4):365-7, 1998 Aug. NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association PI - Journal available in: Print PI - Citation processed from: Print JC - 7605913 SB - Nursing Journal CP - UNITED STATES MH - *Emergency Nursing/ed [Education] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Female MH - *Forensic Medicine/ed [Education] MH - Humans MH - Minnesota MH - *Nursing Staff, Hospital/ed [Education] MH - Program Development MH - *Psychiatric Nursing/ed [Education] MH - *Quality Assurance, Health Care/og [Organization & Administration] MH - *Rape/di [Diagnosis] MH - Rape/px [Psychology] AB - After several years of planning, The SART at Immanuel St. Joseph's--Mayo Health Systems became a reality in August 1997. The nurses who were trained for this program were already providing 24-hour coverage in the emergency department for psychiatric emergencies and patients with chemical dependency. The SANE responsibilities were added to their on-call duties. Five nurses participated in a 40-hour training program by SANE specialists and experts in the local community. As expected, nurses were apprehensive as they conducted their first examinations; however, all has gone well. Over time, the providers' and clients' satisfaction with the program has improved. The examination is completed in less time, and the person assaulted does not have to wait as long for the SANE to arrive. Members of law enforcement and the prosecutor's office are especially pleased with the quality of evidence collected and the procedures followed to maintain chain of evidence so the evidence obtained can be used in prosecution. The program has resulted in kind and compassionate care for persons who have been sexually assaulted. The providers are continuing to meet monthly as an interdisciplinary, interagency team and are addressing concerns as they arise. Members of the SART are developing a good working relationship. Everyone involved agrees that developing this program has been a worthwhile effort and that the hospital is providing a valued service for the community. IS - 0099-1767 IL - 0099-1767 PT - Journal Article LG - English DP - 1998 Aug DC - 19981120 YR - 1998 ED - 19981120 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9814244 <889. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9752178 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fellowes K FA - Fellowes, K IN - Fellowes,K. David Morgan Neonatal Unit, Airedale General Hospital, Steeton. TI - Born in the USA. SO - Nursing Times. 94(32):38-9, 1998 Aug 12-18. AS - Nurs Times. 94(32):38-9, 1998 Aug 12-18. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Adult MH - Female MH - Great Britain/eh [Ethnology] MH - Humans MH - Infant, Newborn MH - *International Educational Exchange MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - *Neonatal Nursing/mt [Methods] MH - Pregnancy MH - United States AB - How are newborn babies affected by their mothers' use of drugs nursed in specialist units the USA? A Nursing Times/Birmingham Hospitals Saturday Fund travel award allowed Karena Fellowes to find out. IS - 0954-7762 IL - 0954-7762 PT - Journal Article LG - English DP - 1998 Aug 12-18 DC - 19981119 YR - 1998 ED - 19981119 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9752178 <890. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9730295 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jensenius M AU - Ringertz SH AU - Berild D AU - Bell H AU - Espinoza R AU - Grinde B FA - Jensenius, M FA - Ringertz, S H FA - Berild, D FA - Bell, H FA - Espinoza, R FA - Grinde, B IN - Jensenius,M. Department of Internal Medicine, Aker University Hospital, Oslo, Norway. TI - Prolonged nosocomial outbreak of hepatitis A arising from an alcoholic with pneumonia. SO - Scandinavian Journal of Infectious Diseases. 30(2):119-23, 1998. AS - Scand J Infect Dis. 30(2):119-23, 1998. NJ - Scandinavian journal of infectious diseases PI - Journal available in: Print PI - Citation processed from: Print JC - ucx, 0215333 SB - Index Medicus CP - SWEDEN MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcoholism/co [Complications] MH - Cross Infection/di [Diagnosis] MH - *Cross Infection/ep [Epidemiology] MH - Cross Infection/vi [Virology] MH - Disease Outbreaks/pc [Prevention & Control] MH - *Disease Outbreaks MH - Female MH - Hepatitis A/di [Diagnosis] MH - *Hepatitis A/ep [Epidemiology] MH - Hepatitis A/et [Etiology] MH - *Hepatitis A/tm [Transmission] MH - Hepatitis A Vaccines MH - Hepatitis A Virus, Human/ip [Isolation & Purification] MH - Humans MH - Incidence MH - *Infectious Disease Transmission, Patient-to-Professional/sn [Statistics & Numerical Data] MH - Injections, Subcutaneous MH - Lung Diseases, Obstructive/co [Complications] MH - Male MH - Middle Aged MH - Norway/ep [Epidemiology] MH - Pneumonia/co [Complications] MH - Risk Factors MH - Serologic Tests MH - Viral Hepatitis Vaccines/ad [Administration & Dosage] AB - From April to June 1996, an outbreak of hepatitis A virus (HAV) infection affecting 15 nurses, patients and household contacts occurred in the Department of Internal Medicine at Aker University Hospital, Oslo. The index case was a homeless alcoholic who was hospitalized in March 1996 with pneumonia while simultaneously incubating HAV infection. Four secondary cases were infected by the index case, while another 10 cases were caused by a continuous spread of infection within the department during the following months. Sequence of the VP1/P2A junction of HAV was obtained from 9 patients, including the index case, and all sequences were identical to each other. Mass vaccination of hospital employees with a formalin-inactivated HAV-vaccine took place in late May, and following this the outbreak stopped. Several factors probably combined to account for this unusual outbreak, e.g. an index case unsuspected of incubating with HAV infection, and a low prevalence rate of protective antibodies to HAV among the hospital staff. RN - 0 (Hepatitis A Vaccines) RN - 0 (Viral Hepatitis Vaccines) IS - 0036-5548 IL - 0036-5548 PT - Case Reports PT - Journal Article LG - English DP - 1998 DC - 19981119 YR - 1998 ED - 19981119 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9730295 <891. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14450500 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - IBER FL FA - IBER, F L TI - Instruction in alcoholism in nursing education. SO - Maryland State Medical Journal. 10:653-4, 1961 Nov. AS - Md State Med J. 10:653-4, 1961 Nov. NJ - Maryland state medical journal PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r SB - OLDMEDLINE Citations CP - Not Available MH - *Alcoholism MH - *Breast Feeding MH - *Education, Nursing MH - Humans KW - *ALCOHOLISM; *EDUCATION, NURSING IS - 0025-4363 IL - 0025-4363 PT - Journal Article LG - English DP - 1961 Nov DC - 19621201 YR - 1961 ED - 19981101 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14450500 <892. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9764005 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward C FA - Ward, C IN - Ward,C. School of Nursing, Curtin University of Technology, Perth. TI - Caring by degrees. SO - Contemporary Nurse. 7(1):24-8, 1998 Mar. AS - Contemp Nurse. 7(1):24-8, 1998 Mar. NJ - Contemporary nurse PI - Journal available in: Print PI - Citation processed from: Print JC - bh9, 9211867 SB - Nursing Journal SB - AIDS/HIV Journals CP - AUSTRALIA MH - *Acquired Immunodeficiency Syndrome/nu [Nursing] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - Adult MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Education, Nursing, Baccalaureate MH - *Empathy MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Hemophilia A/co [Complications] MH - Homosexuality, Male MH - Humans MH - Male MH - Prejudice MH - *Students, Nursing/px [Psychology] MH - Substance Abuse, Intravenous/co [Complications] AB - 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. IS - 1037-6178 IL - 1037-6178 PT - Journal Article LG - English DP - 1998 Mar DC - 19981009 YR - 1998 ED - 19981009 RD - 20120302 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9764005 <893. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9738181 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Emans SJ AU - Bravender T AU - Knight J AU - Frazer C AU - Luoni M AU - Berkowitz C AU - Armstrong E AU - Goodman E FA - Emans, S J FA - Bravender, T FA - Knight, J FA - Frazer, C FA - Luoni, M FA - Berkowitz, C FA - Armstrong, E FA - Goodman, E IN - Emans,S J. Division of Adolescent/Young Adult Medicine, Children's Hospital, Boston, MA 02115, USA. TI - Adolescent medicine training in pediatric residency programs: are we doing a good job?. SO - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. AS - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Print JC - oxv, 0376422 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Adolescent Medicine/ed [Education] MH - Adolescent Medicine/sn [Statistics & Numerical Data] MH - Data Collection MH - Internship and Residency/mt [Methods] MH - Internship and Residency/og [Organization & Administration] MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - *Pediatrics/ed [Education] MH - Pediatrics/sn [Statistics & Numerical Data] MH - Preventive Medicine/ed [Education] MH - United States AB - 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. AB - DESIGN: A 3-part 92-item survey mailed to all US pediatric residency training programs. AB - SETTING: Pediatric residency programs. AB - PARTICIPANTS: Residency program directors and directors of AM training. AB - 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. AB - 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. AB - 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. IS - 0031-4005 IL - 0031-4005 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MCJ 259368 (United States PHS HHS) LG - English DP - 1998 Sep DC - 19980924 YR - 1998 ED - 19980924 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9738181 <894. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9670120 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reilly CE FA - Reilly, C E IN - Reilly,C E. College of Health and Nursing Sciences, University of Delaware, Newark, USA. TI - A satisfaction survey on distance education: a model for educating nurses in the cognitive treatment of patients with addictive disorders. SO - Journal of Psychosocial Nursing & Mental Health Services. 36(7):38-41, 1998 Jul. AS - J Psychosoc Nurs Ment Health Serv. 36(7):38-41, 1998 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - *Cognitive Therapy/ed [Education] MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Professional, Retraining/og [Organization & Administration] MH - Humans MH - Models, Educational MH - Models, Psychological MH - Program Evaluation MH - *Psychiatric Nursing/ed [Education] MH - *Students, Nursing/px [Psychology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - *Telecommunications/og [Organization & Administration] AB - 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. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1998 Jul DC - 19980918 YR - 1998 ED - 19980918 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9670120 <895. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9164805 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taylor JA AU - Davis RL AU - Kemper KJ FA - Taylor, J A FA - Davis, R L FA - Kemper, K J IN - Taylor,J A. Department of Pediatrics, University of Washington, Seattle 98195, USA. TI - A randomized controlled trial of group versus individual well child care for high-risk children: maternal-child interaction and developmental outcomes. SO - Pediatrics. 99(6):E9, 1997 Jun. AS - Pediatrics. 99(6):E9, 1997 Jun. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 SB - Index Medicus CP - UNITED STATES MH - Adult MH - Child Care/sn [Statistics & Numerical Data] MH - *Child Health Services/og [Organization & Administration] MH - Child Health Services/sn [Statistics & Numerical Data] MH - Confidence Intervals MH - Female MH - *Group Structure MH - Humans MH - Infant MH - Infant, Newborn MH - *Mother-Child Relations MH - Odds Ratio MH - *Outcome and Process Assessment (Health Care)/sn [Statistics & Numerical Data] MH - *Parenting MH - Risk Assessment MH - Socioeconomic Factors MH - Universities MH - Washington AB - 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). AB - STUDY DESIGN: Randomized controlled trial. AB - 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. AB - SETTING: Two urban, university pediatric clinics in Seattle, Washington. AB - 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. AB - 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). AB - 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. ES - 1098-4275 IL - 0031-4005 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jun DC - 19980914 YR - 1997 ED - 19980914 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9164805 <896. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9346995 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MacMahon JR FA - MacMahon, J R IN - MacMahon,J R. Department of Pediatrics, Division of General Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA. TI - Perinatal substance abuse: the impact of reporting infants to child protective services. SO - Pediatrics. 100(5):E1, 1997 Nov. AS - Pediatrics. 100(5):E1, 1997 Nov. NJ - Pediatrics PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 SB - Index Medicus CP - UNITED STATES MH - *Child Custody/sn [Statistics & Numerical Data] MH - Female MH - Follow-Up Studies MH - *Foster Home Care/sn [Statistics & Numerical Data] MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Retrospective Studies MH - Substance Abuse Detection MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - OBJECTIVE: The purposes of this study were to follow the judicial placement of newborns with positive toxicology screening results and to determine how long such infants remained in foster care, separated from their mothers or other relatives, and the length of court dependency. We also determined the mothers' compliance with court orders, the availability and use of rehabilitative services, factors used by the court to determine the final disposition, and the eventual placement of the infants. AB - METHODS: The cohort sample consisted of all infants from San Mateo County (CA) born at Stanford University Hospital during a 2-year period whose urine tests in the well-baby nursery were positive for illicit substances. Fifty-three newborns were identified, and their medical records and court documents were matched and reviewed from birth until termination of judicial review (or 5 years). Data were summarized and analyzed by logistic regressions to identify predictors of specific outcomes. AB - RESULTS: All 53 infants had normal physical examinations and uneventful hospital courses. Their ethnic distribution, with 68% being African-American and 7% being Hispanic, differed from the rest of the nursery population, which was predominantly Hispanic. Twenty-six (46%) of the 53 infants were returned to their mothers within 1 week of birth; 39 (76%) of the infants were reunited with some relative within the first month of life. At 12 months of age, 10 infants (19%) remained in foster care; however, none remained in foster care beyond 18 months. The length of time infants were dependents of the court ranged from 1 month to >5 years; 70% of the cases were "closed" between 6 and 30 months of life. Nine (17%) were dependents of the court for >36 months. Final placement of the infants was 35 (66%) reunited with at least one parent, 9 (17%) in long-term guardianship relationships with other relatives, and 9 (17%) adopted. All of the mothers were ordered to complete a drug rehabilitation program; 24 mothers (44%) fully complied and had repeatedly drug-free urine tests; 2 others (4%) had drug-free urine tests after incomplete participation in drug rehabilitation. Twenty-two (42%) of the mothers never complied with drug rehabilitation. Subsequent drug use was evident in less than half of the mothers during the period of study. Only one mother was reported for child abuse. Characteristics that most strongly predicted failure in family reunification were a history of failed drug rehabilitation, previous involvement of Child Protective Services, or previous removal of a child because of substance abuse. AB - CONCLUSION: Identifying and reporting newborns exposed to maternal substance abuse during pregnancy can be associated with beneficial changes in the environment of the infants and successful rehabilitation of many mothers. The use of judicial supervision, rehabilitative and supportive services, and long-term involvement of social services without criminal prosecution are key to successful outcome. This study supports the policy and recommendation of the American Academy of Pediatrics and should lessen health professionals' concerns about negative effects of reporting these patients to Child Protective Services. ES - 1098-4275 IL - 0031-4005 PT - Journal Article LG - English DP - 1997 Nov DC - 19980911 YR - 1997 ED - 19980911 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9346995 <897. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9628046 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kutlenios RM FA - Kutlenios, R M IN - Kutlenios,R M. Department of Nursing, Wheeling Jesuit University, WV 26003, USA. TI - Genetics and alcoholism: implications for advanced practice psychiatric/mental health nursing. [Review] [27 refs] SO - Archives of Psychiatric Nursing. 12(3):154-61, 1998 Jun. AS - Arch Psychiatr Nurs. 12(3):154-61, 1998 Jun. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/ge [Genetics] MH - *Alcoholism/nu [Nursing] MH - Genetic Markers MH - Genetics, Population MH - Humans MH - Molecular Biology MH - Nursing Assessment MH - *Psychiatric Nursing MH - Risk Factors AB - This article uses the research findings on genetics and alcoholism as a basis for nursing practice. Alcoholism is a complex genetic disorder in which multiple genes and the environment interact and contribute to the disease process. Family, twin, and adoption studies have consistently shown the genetic influence on alcoholism. Animal and human studies are identifying biological and genetic markers for alcoholism. The results of these studies should direct nurses in assessing patients at risk, educating patients about the disease and the rationale for selected treatments, referring at-risk individuals to support groups, and using supportive therapy. [References: 27] RN - 0 (Genetic Markers) IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Review LG - English DP - 1998 Jun DC - 19980706 YR - 1998 ED - 19980706 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9628046 <898. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9543034 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gafoor M AU - Rassool GH FA - Gafoor, M FA - Rassool, G H IN - Gafoor,M. Addiction Counselling Trust, Aylesbury, England. TI - The co-existence of psychiatric disorders and substance misuse: working with dual diagnosis patients. [Review] [30 refs] SO - Journal of Advanced Nursing. 27(3):497-502, 1998 Mar. AS - J Adv Nurs. 27(3):497-502, 1998 Mar. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Community Mental Health Services MH - Diagnosis, Differential MH - Education, Nursing, Continuing MH - Great Britain MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/th [Therapy] MH - *Psychiatric Nursing MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/th [Therapy] AB - The co-existence of substance misuse and psychiatric disorders is often referred to by the term 'dual diagnosis'. The health-related problems associated with dual diagnosis has received growing attention by clinicians and researchers alike. Severely mentally ill patients who misuse drugs (prescribed and illicit) or alcohol have complex health and social needs. Mental health nurses have a key role to play in the early recognition and management of this group of patients. This paper examines the nature and extent of dual diagnosis and its implications for mental health nurses. It also addresses treatment strategies that are required to meet the needs of this cohort of patients. [References: 30] IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Review LG - English DP - 1998 Mar DC - 19980526 YR - 1998 ED - 19980526 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9543034 <899. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9555435 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rudy SF AU - Wilkinson MA AU - Dropkin MJ AU - Stevens G FA - Rudy, S F FA - Wilkinson, M A FA - Dropkin, M J FA - Stevens, G IN - Rudy,S F. Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA. TI - Otorhinolaryngology nursing research priorities: results of the 1996/1997 SOHN Delphi survey. SO - ORL - Head & Neck Nursing. 16(1):14-20, 1998. AS - ORL Head Neck Nurs. 16(1):14-20, 1998. NJ - ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses PI - Journal available in: Print PI - Citation processed from: Print JC - 9206573, cfr SB - Nursing Journal CP - UNITED STATES MH - Delphi Technique MH - Female MH - Health Priorities MH - Humans MH - *Nursing Research MH - *Otolaryngology MH - *Specialties, Nursing AB - This study was initiated by the Society of Otorhinolaryngology and Head-Neck Nurses, Inc. (SOHN) to establish research priorities for the specialty. Otorhinolaryngology (ORL) Nurses were asked to identify, rate, and rank priorities for ORL nursing research. The survey sample was gleaned from attendees at the 20th Annual SOHN Congress and Nursing Symposium plus a follow-up mailing to active SOHN members who did not attend. A decision-making method, the reactive delphi technique, was employed. Four rounds of soliciting opinions by questionnaires were completed. Data from each round were reviewed and analyzed by three ORL nurse investigators. The respondents were largely actively employed, female SOHN members who were seasoned nurses, experienced in ORL nursing. The majority were Registered Nurses (RN) or held Bachelor of Science (BSN) degrees. They were primarily employed as staff nurses in outpatient settings and working with a general otorhinolaryngology patient population of all ages. The fourteen priorities identified fall in the areas of patient outcomes (three), patient education (three), symptom management (two), patient self-care (two), psychosocial issues (two), and nursing care delivery (two), spanning the practice spectra of all ORL nurse generalists and subspecialists. The top five research priorities identified are; care of neck stomas and related equipment, quality of life in head and neck cancer patients, impact of managed care on ORL nursing care delivery, value of ORL specialty nurses/nursing units, and effective techniques to promote cessation of substance abuse in adolescents. This priority identification provides a baseline for the newly forming SOHN Foundation. IS - 1064-3842 IL - 1064-3842 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1998 DC - 19980501 YR - 1998 ED - 19980501 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9555435 <900. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9476819 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boccoli E AU - Federici A AU - Trianni GL AU - Melani AS FA - Boccoli, E FA - Federici, A FA - Trianni, G L FA - Melani, A S IN - Boccoli,E. Centro per lo Studio e la Prevenzione Oncologica, Firenze, Italy. TI - Changes of smoking habits and beliefs during nurse training: a longitudinal study. SO - European Journal of Epidemiology. 13(8):899-902, 1997 Dec. AS - Eur J Epidemiol. 13(8):899-902, 1997 Dec. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Asthma/ep [Epidemiology] MH - *Attitude to Health MH - Bronchitis/ep [Epidemiology] MH - Cohort Studies MH - Coronary Artery Disease/ep [Epidemiology] MH - Education, Nursing MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Italy/ep [Epidemiology] MH - Longitudinal Studies MH - Lung Neoplasms/ep [Epidemiology] MH - Male MH - Middle Aged MH - Nicotine MH - Nurses/sn [Statistics & Numerical Data] MH - Personnel, Hospital/sn [Statistics & Numerical Data] MH - Prevalence MH - Prospective Studies MH - Recurrence MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - 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. RN - 6M3C89ZY6R (Nicotine) IS - 0393-2990 IL - 0393-2990 PT - Journal Article LG - English DP - 1997 Dec DC - 19980327 YR - 1997 ED - 19980327 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9476819 <901. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9475121 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olson M FA - Olson, M TI - Understanding addiction. CM - Comment on: J Obstet Gynecol Neonatal Nurs. 1997 Jul-Aug;26(4):441-8; PMID: 9252892 SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 27(1):12, 1998 Jan-Feb. AS - J Obstet Gynecol Neonatal Nurs. 27(1):12, 1998 Jan-Feb. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Education, Nursing MH - Humans MH - Professional-Patient Relations MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] IS - 0884-2175 IL - 0090-0311 PT - Comment PT - Letter LG - English DP - 1998 Jan-Feb DC - 1998326 YR - 1998 ED - 19980326 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=9475121 <902. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9475121 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olson M FA - Olson, M TI - Understanding addiction. CM - Comment on: J Obstet Gynecol Neonatal Nurs. 1997 Jul-Aug;26(4):441-8; PMID: 9252892 SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 27(1):12, 1998 Jan-Feb. AS - J Obstet Gynecol Neonatal Nurs. 27(1):12, 1998 Jan-Feb. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing MH - Humans MH - Professional-Patient Relations MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/px [Psychology] IS - 0884-2175 IL - 0090-0311 PT - Comment PT - Letter LG - English DP - 1998 Jan-Feb DC - 19980326 YR - 1998 ED - 19980326 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9475121 <903. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9475816 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmidt IK AU - Claesson CB AU - Westerholm B AU - Nilsson LG FA - Schmidt, I K FA - Claesson, C B FA - Westerholm, B FA - Nilsson, L G IN - Schmidt,I K. National Board of Health and Welfare, Stockholm. TI - Physician and staff assessments of drug interventions and outcomes in Swedish nursing homes. SO - Annals of Pharmacotherapy. 32(1):27-32, 1998 Jan. AS - Ann Pharmacother. 32(1):27-32, 1998 Jan. NJ - The Annals of pharmacotherapy PI - Journal available in: Print PI - Citation processed from: Print JC - bbx, 9203131 SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - *Drug Utilization MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - *Nurses MH - Nurses' Aides MH - *Nursing Homes MH - Nursing, Practical MH - Patient Care Team MH - *Pharmacists MH - *Physicians MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Sweden AB - 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 interventions and residents' outcomes. AB - DATA SOURCES AND METHODS: The data were collected within the context of a controlled trial with the primary aim of exploring the effects of regular team interventions on drug 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, made 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. AB - 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. AB - CONCLUSIONS: Regular intervention 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. RN - 0 (Psychotropic Drugs) IS - 1060-0280 IL - 1060-0280 PT - Case Reports PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1998 Jan DC - 19980311 YR - 1998 ED - 19980311 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9475816 <904. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9456542 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fraser AD FA - Fraser, A D IN - Fraser,A D. Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, Nova Scotia, Canada. adfraser@is.dal.ca TI - Urine drug testing for social service agencies in Nova Scotia, Canada. SO - Journal of Forensic Sciences. 43(1):194-6, 1998 Jan. AS - J Forensic Sci. 43(1):194-6, 1998 Jan. NJ - Journal of forensic sciences PI - Journal available in: Print PI - Citation processed from: Print JC - i5z, 0375370 SB - Index Medicus CP - UNITED STATES MH - Benzodiazepines/ur [Urine] MH - Cannabinoids/ur [Urine] MH - Cocaine/ur [Urine] MH - Codeine/ur [Urine] MH - Ethanol/ur [Urine] MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Immunoassay MH - Morphine/ur [Urine] MH - Nova Scotia/ep [Epidemiology] MH - Prevalence MH - *Social Work MH - *Street Drugs/ur [Urine] MH - *Substance Abuse Detection/mt [Methods] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ur [Urine] MH - *Urinalysis/mt [Methods] AB - 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%. RN - 0 (Cannabinoids) RN - 0 (Street Drugs) RN - 12794-10-4 (Benzodiazepines) RN - 3K9958V90M (Ethanol) RN - 76I7G6D29C (Morphine) RN - I5Y540LHVR (Cocaine) RN - Q830PW7520 (Codeine) IS - 0022-1198 IL - 0022-1198 PT - Journal Article LG - English DP - 1998 Jan DC - 19980309 YR - 1998 ED - 19980309 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9456542 <905. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9444217 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harvey T AU - Taplin S FA - Harvey, T FA - Taplin, S IN - Harvey,T. Western Sydney Drug and Alcohol Services. TI - Alcohol and other drug issues. SO - Lamp. 54(10):28, 1997 Nov. AS - LAMP. 54(10):28, 1997 Nov. NJ - The Lamp PI - Journal available in: Print PI - Citation processed from: Print JC - 0015376 SB - Nursing Journal CP - AUSTRALIA MH - Clinical Competence MH - *Education, Nursing/og [Organization & Administration] MH - *Health Planning MH - Humans MH - New South Wales MH - *Rural Health MH - *Substance-Related Disorders/nu [Nursing] IS - 0047-3936 PT - Journal Article LG - English DP - 1997 Nov DC - 19980129 YR - 1997 ED - 19980129 RD - 20091111 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9444217 <906. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9399275 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riddell A AU - Fitch MI FA - Riddell, A FA - Fitch, M I IN - Riddell,A. Princess Margaret Hospital, Toronto, Ontario, Canada. TI - Patients' knowledge of and attitudes toward the management of cancer pain. SO - Oncology Nursing Forum. 24(10):1775-84, 1997 Nov-Dec. AS - Oncol Nurs Forum. 24(10):1775-84, 1997 Nov-Dec. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Canada MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Neoplasms/co [Complications] MH - Neoplasms/nu [Nursing] MH - *Pain/et [Etiology] MH - Pain/nu [Nursing] MH - *Pain/pc [Prevention & Control] MH - Patient Satisfaction MH - Severity of Illness Index AB - PURPOSE/OBJECTIVES: To examine patients' knowledge of and attitudes toward the management of cancer pain and to identify, from the patients' perspectives, factors contributing to effective and ineffective pain relief. AB - DESIGN: Descriptive, correlational. AB - SETTING: Ambulatory care oncology facility in Canada. AB - SAMPLE: Convenience sample of 42 patients receiving oral pain medication for chronic cancer-related pain. AB - METHODS: Participants completed a modified version of the Patient Pain Questionnaire and a demographic questionnaire and responded to two open-ended questions. AB - MAIN RESEARCH VARIABLES: Patients' knowledge of and attitudes toward cancer pain management and their perceptions of factors contributing to effective and ineffective pain relief. AB - FINDINGS: Many patients locked knowledge of the principles involved in effective cancer pain management and had unrealistic concerns about taking pain medications. Significant negative relationships were found between pain intensity ratings and factors such as patients' knowledge of pain management, their level of satisfaction with pain relief, and their perception of the goal of pain management. Patients identified a number of impediments to effective pain relief, including concerns about addiction and various side effects to pain medications. AB - CONCLUSIONS: Many patients have inadequate knowledge about the management of cancers pain and have unrealistic concerns about taking pain medications, both of which have been identified in the literature as barriers to effective cancer pain management. AB - IMPLICATIONS FOR NURSING PRACTICE: A need exists for patient education that addresses patients' misconceptions and concerns about using pain medications and the principles involved in effective cancer pain management. IS - 0190-535X IL - 0190-535X PT - Journal Article LG - English DP - 1997 Nov-Dec DC - 19980123 YR - 1997 ED - 19980123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9399275 <907. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9395984 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Calleri PP FA - Calleri, P P IN - Calleri,P P. Chemical Dependency Unit, Columbus Community Health Center, Division of Buffalo General Hospital, NY, USA. TI - Use of analogy to educate clients about the roles of neurotransmitters in addictions. SO - Journal of Psychosocial Nursing & Mental Health Services. 35(11):14-7, 1997 Nov. AS - J Psychosoc Nurs Ment Health Serv. 35(11):14-7, 1997 Nov. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Brain/pp [Physiopathology] MH - Humans MH - *Neurotransmitter Agents/ph [Physiology] MH - Nurse-Patient Relations MH - *Patient Education as Topic MH - Receptors, Neurotransmitter/ph [Physiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pp [Physiopathology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. RN - 0 (Neurotransmitter Agents) RN - 0 (Receptors, Neurotransmitter) IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1997 Nov DC - 19980112 YR - 1997 ED - 19980112 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9395984 <908. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9399374 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wancata J AU - Benda N AU - Meise U AU - Muller C FA - Wancata, J FA - Benda, N FA - Meise, U FA - Muller, C IN - Wancata,J. Department of Psychiatry, University of Vienna, Austria. TI - Psychotropic drug intake in residents newly admitted to nursing homes. SO - Psychopharmacology. 134(2):115-20, 1997 Nov. AS - Psychopharmacology (Berl). 134(2):115-20, 1997 Nov. NJ - Psychopharmacology PI - Journal available in: Print PI - Citation processed from: Print JC - qgi, 7608025 SB - Index Medicus CP - GERMANY MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Austria MH - Drug Utilization MH - Female MH - Humans MH - Male MH - Mental Disorders/dt [Drug Therapy] MH - Middle Aged MH - *Nursing Homes MH - *Psychotropic Drugs MH - Rural Population MH - Sex Factors MH - Sleep Wake Disorders/dt [Drug Therapy] MH - Urban Population AB - While several surveys have shown that psychotropic drugs are frequently used by nursing home residents, no studies have been performed to investigate whether the rates of drug use increase during the stay in nursing homes or whether residents have taken these drugs already before admission. Therefore, we investigated 262 residents admitted to rural and urban nursing homes in Austria for prevalence of psychotropic drug intake before admission, shortly after admission, and 6 months later. Two weeks after admission, 72.1% of the residents were being treated with psychotropics, while 6 months later 79.0% were receiving these drugs. The significantly higher rates of psychotropic drug use among the psychiatrically ill and in those suffering from sleeping problems suggest that these drugs were prescribed aptly, but residents without appropriate criteria for drug intake were often also treated with psychotropics. During 3 months before admission to nursing homes, 45.5% of the sample reported having taken psychotropics. In more than half of residents without drug intake before admission, psychotropic treatment was initiated within the first 2 weeks after admission, while during the first 6 months after admission the rate of drug use increased only slightly. This suggests that a large percentage of psychotropic intake is due to nursing home orders. RN - 0 (Psychotropic Drugs) IS - 0033-3158 IL - 0033-3158 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Nov DC - 19980109 YR - 1997 ED - 19980109 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9399374 <909. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9407897 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown C AU - Pirmohamed M AU - Park BK FA - Brown, C FA - Pirmohamed, M FA - Park, B K IN - Brown,C. Department of Pharmacology, University of Liverpool. TI - Nurses' confidence in caring for patients with alcohol-related problems. SO - Professional Nurse. 13(2):83-6, 1997 Nov. AS - Prof Nurse. 13(2):83-6, 1997 Nov. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - *Alcohol-Related Disorders/nu [Nursing] MH - Attitude of Health Personnel MH - Clinical Competence MH - Great Britain MH - Hospitals, General MH - Humans MH - *Nursing Staff, Hospital/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 0266-8130 IL - 0266-8130 PT - Journal Article LG - English DP - 1997 Nov DC - 19971231 YR - 1997 ED - 19971231 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9407897 <910. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9393023 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bunce C FA - Bunce, C TI - Addiction. The vice of fame. [Review] [5 refs] SO - Nursing Times. 93(44):30-2, 1997 Oct 29-Nov 4. AS - Nurs Times. 93(44):30-2, 1997 Oct 29-Nov 4. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Crime MH - Education, Nursing MH - Humans MH - *Mass Media MH - Models, Psychological MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Truth Disclosure IS - 0954-7762 IL - 0954-7762 PT - Journal Article PT - Review LG - English DP - 1997 Oct 29-Nov 4 DC - 19971218 YR - 1997 ED - 19971218 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9393023 <911. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9365794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Markey BT AU - Stone JB FA - Markey, B T FA - Stone, J B IN - Markey,B T. Department of Nursing, Bloomsburg University, PA, USA. TI - An alcohol and drug education program for nurses. SO - AORN Journal. 66(5):845-53, 1997 Nov. AS - AORN J. 66(5):845-53, 1997 Nov. NJ - AORN journal PI - Journal available in: Print PI - Citation processed from: Print JC - 6jr, 0372403 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism MH - *Curriculum MH - *Education, Nursing, Continuing MH - Humans MH - Pennsylvania MH - Staff Development MH - *Substance-Related Disorders MH - Teaching/mt [Methods] AB - 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. IS - 0001-2092 IL - 0001-2092 PT - Journal Article LG - English DP - 1997 Nov DC - 19971216 YR - 1997 ED - 19971216 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9365794 <912. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9355268 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sander W FA - Sander, W TI - Protocol for intervention and treatment of alcohol withdrawal. SO - AXON. 19(1):10-3, 1997 Sep. AS - AXON. 19(1):10-3, 1997 Sep. NJ - Axone (Dartmouth, N.S.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8804393 SB - Nursing Journal CP - CANADA MH - Aged MH - Clinical Protocols MH - *Ethanol/ae [Adverse Effects] MH - Hospital Units MH - Humans MH - Length of Stay MH - Male MH - Nursing Assessment MH - Orthopedic Nursing MH - Quality of Health Care MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - *Substance Withdrawal Syndrome/nu [Nursing] MH - *Total Quality Management AB - The incidence of alcohol dependence/abuse in patients of a general health care facility is 35-50%. The diagnosis and treatment of patients experiencing or at risk of alcohol withdrawal is problematic. The admitting diagnosis is usually another medical condition, illness or injury. Signs and symptoms of alcohol withdrawal is complicated by pre-existing conditions. In an attempt to improve the quality of care, decrease the length of stay of these patients, and decrease demands on nursing staff, a protocol for intervention and treatment of alcohol withdrawal was developed on the orthopedic ward of Royal University Hospital. The protocol enables each nurse to assess. Intervene and initiate the proper referrals. The recognized tool of assessment used to identify at risk patients is the CAGE questionnaire. The Clinical Institute WithDrawal Assessment for Alcohol scale is used to determine when it is appropriate to use Benzodiazepines. General nursing considerations are addressed through a pre-printed care plan. Nurses refer to social work, Alcoholics Anonymous and make use of available resource material. The protocol enables nurses to provide safe and effective care with few associated costs. Except for mass immunization, there is no other single intervention in health care that has the same far reaching consequences (Sullivan, 1995). RN - 3K9958V90M (Ethanol) IS - 0834-7824 IL - 0834-7824 PT - Case Reports PT - Journal Article LG - English DP - 1997 Sep DC - 19971211 YR - 1997 ED - 19971211 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9355268 <913. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348834 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham AV AU - Christy K AU - Emmitt-Myers S AU - Zyzanski S FA - Graham, A V FA - Christy, K FA - Emmitt-Myers, S FA - Zyzanski, S IN - Graham,A V. Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106-5036, USA. TI - Substance abuse education for clinical nurses: a controlled study. SO - Journal of Continuing Education in Nursing. 28(5):217-22, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):217-22, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Clinical Competence/st [Standards] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/ed [Education] MH - *Nursing Staff, Hospital/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - 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. AB - 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. AB - RESULTS: The nurses in the intervention group had greater increases in knowledge and competence. AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - AA07520 (United States NIAAA NIH HHS) LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9348834 <914. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348833 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pullen LM AU - Green LA FA - Pullen, L M FA - Green, L A IN - Pullen,L M. University of Tennessee, Knoxville 37922, USA. TI - Identification, intervention and education: essential curriculum components for chemical dependency in nurses. [Review] [30 refs] SO - Journal of Continuing Education in Nursing. 28(5):211-6, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):211-6, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Continuing/mt [Methods] MH - Humans MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - *Peer Group MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - 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. AB - 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. [References: 30] IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Review LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20130520 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9348833 <915. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348834 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham AV AU - Christy K AU - Emmitt-Myers S AU - Zyzanski S FA - Graham, A V FA - Christy, K FA - Emmitt-Myers, S FA - Zyzanski, S IN - Graham,A V. Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106-5036, USA. TI - Substance abuse education for clinical nurses: a controlled study. SO - Journal of Continuing Education in Nursing. 28(5):217-22, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):217-22, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - Adult MH - *Clinical Competence/st [Standards] MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Clinicians/ed [Education] MH - *Nursing Staff, Hospital/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - 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. AB - 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. AB - RESULTS: The nurses in the intervention group had greater increases in knowledge and competence. AB - 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. IS - 0022-0124 IL - 0022-0124 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - AA07520 (United States NIAAA NIH HHS) LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=9348834 <916. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9348833 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pullen LM AU - Green LA FA - Pullen, L M FA - Green, L A IN - Pullen,L M. University of Tennessee, Knoxville 37922, USA. TI - Identification, intervention and education: essential curriculum components for chemical dependency in nurses. [Review] [30 refs] SO - Journal of Continuing Education in Nursing. 28(5):211-6, 1997 Sep-Oct. AS - J Contin Educ Nurs. 28(5):211-6, 1997 Sep-Oct. NJ - Journal of continuing education in nursing PI - Journal available in: Print PI - Citation processed from: Print JC - hwd, 0262321 SB - Nursing Journal CP - United States MH - *Curriculum MH - *Education, Nursing, Continuing/mt [Methods] MH - Humans MH - *Nursing Staff/ed [Education] MH - Nursing Staff/px [Psychology] MH - *Peer Group MH - Professional Impairment/px [Psychology] MH - *Professional Impairment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - 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. AB - 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. [References: 30] IS - 0022-0124 IL - 0022-0124 PT - Journal Article PT - Review LG - English DP - 1997 Sep-Oct DC - 19971211 YR - 1997 ED - 19971211 RD - 20161215 UP - 20161221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=9348833 <917. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9350453 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vanelli M AU - Chiari G AU - Adinolfi B AU - Street ME AU - Capuano C AU - Nizzia P AU - Terzi C FA - Vanelli, M FA - Chiari, G FA - Adinolfi, B FA - Street, M E FA - Capuano, C FA - Nizzia, P FA - Terzi, C IN - Vanelli,M. Department of Paediatrics, University of Parma, Italy. vanelli@IPRUNIV.CCE.UNIPR.IT TI - Management of insulin-dependent diabetes mellitus in adolescents. [Review] [12 refs] SO - Hormone Research. 48 Suppl 4:71-5, 1997. AS - Horm Res. 48 Suppl 4:71-5, 1997. NJ - Hormone research PI - Journal available in: Print PI - Citation processed from: Print JC - gbi, 0366126 SB - Index Medicus CP - SWITZERLAND MH - Adolescent MH - Adult MH - Alcohol Drinking MH - Blood Glucose/me [Metabolism] MH - Diabetes Mellitus, Type 1/pp [Physiopathology] MH - Diabetes Mellitus, Type 1/rh [Rehabilitation] MH - *Diabetes Mellitus, Type 1/th [Therapy] MH - Female MH - Humans MH - *Insulin/tu [Therapeutic Use] MH - Male MH - Patient Care Team MH - Patient Compliance MH - Puberty MH - Sex Factors MH - Smoking MH - Substance-Related Disorders AB - There are many reasons for a specific management plan for adolescents with insulin-dependent diabetes mellitus (IDDM). Although most new patients can be managed initially on an outpatient basis, as they reach their teenage years, blood glucose control deteriorates and insulin requirements increase. Eating disorders, missing insulin injections, excess of alcohol all contribute to poor glycaemic control. Teenagers who have had diabetes for a number of years may have developed microvascular complications and disturbances of growth can occur, more often in girls than in boys. The transition to adult care continues to be a significant problem both for paediatricians and patients. Diabetes management during adolescence requires a team effort involving nurse educator, dietitian, paediatric diabetologist and, possibly, a social worker, with referral to specialists if necessary. Organizing this type of care requires a Regional Paediatric Diabetes Centre. [References: 12] RN - 0 (Blood Glucose) RN - 0 (Insulin) IS - 0301-0163 IL - 0301-0163 PT - Journal Article PT - Review LG - English DP - 1997 DC - 19971209 YR - 1997 ED - 19971209 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9350453 <918. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9384008 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arthur D FA - Arthur, D IN - Arthur,D. Department of Health Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong. HSARTHUR@POLYU.EDU.HK TI - Alcohol early intervention: a nursing model for screening and intervention strategies. SO - Australian New Zealand Journal of Mental Health Nursing. 6(3):93-101, 1997 Sep. AS - Aust N Z J Ment Health Nurs. 6(3):93-101, 1997 Sep. NJ - The Australian and New Zealand journal of mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9442872 SB - Nursing Journal CP - AUSTRALIA MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - Curriculum MH - Education, Nursing MH - Humans MH - *Mass Screening/mt [Methods] MH - *Models, Nursing MH - *Nursing Assessment/mt [Methods] MH - Practice Guidelines as Topic MH - *Psychotherapy, Brief/mt [Methods] AB - 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. IS - 1324-3780 IL - 1324-3780 PT - Journal Article LG - English DP - 1997 Sep DC - 19971204 YR - 1997 ED - 19971204 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9384008 <919. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9361574 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ockene JK AU - Wheeler EV AU - Adams A AU - Hurley TG AU - Hebert J FA - Ockene, J K FA - Wheeler, E V FA - Adams, A FA - Hurley, T G FA - Hebert, J IN - Ockene,J K. Division of Preventive and Behavioral Medicine, University of Massachusetts Medical Center, Worcester, USA. TI - Provider training for patient-centered alcohol counseling in a primary care setting. SO - Archives of Internal Medicine. 157(20):2334-41, 1997 Nov 10. AS - Arch Intern Med. 157(20):2334-41, 1997 Nov 10. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Alcohol Drinking MH - Ambulatory Care MH - *Counseling MH - *Education, Medical, Continuing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Nurse Practitioners/ed [Education] MH - *Patient Education as Topic MH - *Patient-Centered Care AB - OBJECTIVE: To assess the impact of a brief training program on primary care providers' skills, attitudes, and knowledge regarding high-risk and problem drinking. AB - DESIGN: Training plus pretesting and posttesting for program efficacy. AB - SETTING: Ambulatory primary care clinic; academic medical center. AB - 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. AB - 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. AB - 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. AB - RESULTS: After training, providers scored significantly higher on measures of counseling skills, preparedness to intervene, perceived usefulness and importance of intervening, and knowledge. AB - 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. IS - 0003-9926 IL - 0003-9926 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. NO - R01-AA09153-01A1 (United States NIAAA NIH HHS) LG - English DP - 1997 Nov 10 DC - 19971125 YR - 1997 ED - 19971125 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9361574 <920. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9342920 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Littman PS AU - Ritterbusch J FA - Littman, P S FA - Ritterbusch, J IN - Littman,P S. Center for Health Policy and Program Evaluation, University of Wisconsin, Madison, USA. TI - Tried, true, and new: public health nursing in a county substance abuse treatment system. SO - Public Health Nursing. 14(5):286-92, 1997 Oct. AS - Public Health Nurs. 14(5):286-92, 1997 Oct. NJ - Public health nursing (Boston, Mass.) PI - Journal available in: Print PI - Citation processed from: Print JC - phn, 8501498, 19930080r SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Child, Preschool MH - Female MH - Health Plan Implementation MH - Humans MH - Infant MH - Interprofessional Relations MH - Models, Nursing MH - Pregnancy MH - Program Evaluation MH - *Public Health Nursing MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Wisconsin AB - 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. IS - 0737-1209 IL - 0737-1209 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - TI00019 (United States CSAT SAMHSA HHS) LG - English DP - 1997 Oct DC - 19971125 YR - 1997 ED - 19971125 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9342920 <921. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9382665 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bootman JL AU - Harrison DL AU - Cox E FA - Bootman, J L FA - Harrison, D L FA - Cox, E IN - Bootman,J L. Department of Pharmacy Practice and Science, College of Pharmacy, University of Arizona, Tucson, USA. TI - The health care cost of drug-related morbidity and mortality in nursing facilities. SO - Archives of Internal Medicine. 157(18):2089-96, 1997 Oct 13. AS - Arch Intern Med. 157(18):2089-96, 1997 Oct 13. NJ - Archives of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Cost of Illness MH - *Drug-Related Side Effects and Adverse Reactions MH - Humans MH - *Iatrogenic Disease/ep [Epidemiology] MH - Models, Statistical MH - *Nursing Homes/ec [Economics] MH - Pharmacists MH - Referral and Consultation/ec [Economics] MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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 million. IS - 0003-9926 IL - 0003-9926 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Oct 13 DC - 19971110 YR - 1997 ED - 19971110 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9382665 <922. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9378872 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olsen DP FA - Olsen, D P IN - Olsen,D P. Yale University School of Nursing, New Haven, CT 06536-0740, USA. TI - When the patient causes the problem: the effect of patient responsibility on the nurse-patient relationship. SO - Journal of Advanced Nursing. 26(3):515-22, 1997 Sep. AS - J Adv Nurs. 26(3):515-22, 1997 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l OI - Source: KIE. 113045 OI - Source: NRCBL. VF 8.1 SB - Bioethics Journals SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Adult MH - Alcoholism MH - *Attitude of Health Personnel MH - Cocaine-Related Disorders MH - Empathy MH - *Ethics, Nursing MH - Female MH - Homosexuality, Male MH - Humans MH - Male MH - Middle Aged MH - *Nurse-Patient Relations MH - United States KW - Empirical Approach; Professional Patient Relationship AB - 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. NT - 55 refs. NT - KIE Bib: professional patient relationship IS - 0309-2402 IL - 0309-2402 PT - Journal Article LG - English DP - 1997 Sep DC - 19971110 YR - 1997 ED - 19971110 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9378872 <923. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9303256 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lebovits AH AU - Florence I AU - Bathina R AU - Hunko V AU - Fox MT AU - Bramble CY FA - Lebovits, A H FA - Florence, I FA - Bathina, R FA - Hunko, V FA - Fox, M T FA - Bramble, C Y IN - Lebovits,A H. Department of Anesthesiology, New York University Medical Center, New York 10016, USA. TI - Pain knowledge and attitudes of healthcare providers: practice characteristic differences. SO - Clinical Journal of Pain. 13(3):237-43, 1997 Sep. AS - Clin J Pain. 13(3):237-43, 1997 Sep. NJ - The Clinical journal of pain PI - Journal available in: Print PI - Citation processed from: Print JC - beg, 8507389 SB - Index Medicus CP - UNITED STATES MH - *Attitude of Health Personnel MH - Hospitals MH - Humans MH - Nurses MH - *Pain/px [Psychology] MH - *Pain Management MH - Pharmacists MH - Physicians MH - Professional Practice MH - Students, Medical MH - Students, Nursing MH - Surveys and Questionnaires AB - 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. AB - 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. AB - SETTING: The three hospital settings were a large city hospital, a private community hospital, and a state medical school-based hospital. AB - 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. AB - 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. IS - 0749-8047 IL - 0749-8047 PT - Journal Article LG - English DP - 1997 Sep DC - 19971106 YR - 1997 ED - 19971106 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9303256 <924. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9329477 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borson S AU - Loebel JP AU - Kitchell M AU - Domoto S AU - Hyde T FA - Borson, S FA - Loebel, J P FA - Kitchell, M FA - Domoto, S FA - Hyde, T IN - Borson,S. Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, USA. TI - Psychiatric assessments of nursing home residents under OBRA-87: should PASARR be reformed? Pre-Admission Screening and Annual Review. SO - Journal of the American Geriatrics Society. 45(10):1173-81, 1997 Oct. AS - J Am Geriatr Soc. 45(10):1173-81, 1997 Oct. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Adult MH - Aged MH - Cross-Sectional Studies MH - Female MH - *Geriatric Assessment MH - Health Care Reform/lj [Legislation & Jurisprudence] MH - Health Services Needs and Demand MH - Humans MH - Male MH - Medicare/lj [Legislation & Jurisprudence] MH - *Mental Disorders/pc [Prevention & Control] MH - Mental Status Schedule MH - Middle Aged MH - *Nursing Homes/lj [Legislation & Jurisprudence] MH - *Patient Admission/st [Standards] MH - Psychiatric Status Rating Scales MH - *Referral and Consultation/lj [Legislation & Jurisprudence] MH - Reproducibility of Results MH - United States MH - Washington AB - 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. AB - DESIGN: Cross-sectional study. AB - SETTING: The 54 Medicare-certified King County nursing homes (total beds = 7013). AB - PARTICIPANTS: All patients referred for psychiatric evaluation under PASARR (n = 510). AB - 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. AB - 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. AB - 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. IS - 0002-8614 IL - 0002-8614 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - P50 AG 05136 (United States NIA NIH HHS) LG - English DP - 1997 Oct DC - 19971031 YR - 1997 ED - 19971031 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9329477 <925. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9283927 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oslin DW AU - Streim JE AU - Parmelee P AU - Boyce AA AU - Katz IR FA - Oslin, D W FA - Streim, J E FA - Parmelee, P FA - Boyce, A A FA - Katz, I R IN - Oslin,D W. University of Pennsylvania, Philadelphia, USA. TI - Alcohol abuse: a source of reversible functional disability among residents of a VA nursing home. SO - International Journal of Geriatric Psychiatry. 12(8):825-32, 1997 Aug. AS - Int J Geriatr Psychiatry. 12(8):825-32, 1997 Aug. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - ENGLAND MH - Activities of Daily Living MH - Aged MH - Alcoholism/co [Complications] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - *Cognition Disorders/ep [Epidemiology] MH - *Depressive Disorder/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nursing Homes MH - Prevalence MH - *Veterans AB - 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. IS - 0885-6230 IL - 0885-6230 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - MH52129 (United States NIMH NIH HHS) LG - English DP - 1997 Aug DC - 19971023 YR - 1997 ED - 19971023 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9283927 <926. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9260150 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crespo-Fierro M FA - Crespo-Fierro, M IN - Crespo-Fierro,M. Visiting Nurse Service of New York, USA. TI - Compliance/adherence and care management in HIV disease. [Review] [80 refs] SO - Journal of the Association of Nurses in AIDS Care. 8(4):43-54, 1997 Jul-Aug. AS - J Assoc Nurses AIDS Care. 8(4):43-54, 1997 Jul-Aug. NJ - The Journal of the Association of Nurses in AIDS Care : JANAC PI - Journal available in: Print PI - Citation processed from: Print JC - a7p, 9111870 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - *Case Management MH - Cultural Diversity MH - HIV Infections/co [Complications] MH - HIV Infections/dt [Drug Therapy] MH - *HIV Infections/nu [Nursing] MH - *HIV Infections/px [Psychology] MH - Humans MH - Nurse-Patient Relations MH - Patient Compliance/px [Psychology] MH - *Patient Compliance MH - Patient Education as Topic MH - Substance-Related Disorders/co [Complications] MH - United States AB - 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. [References: 80] IS - 1055-3290 IL - 1055-3290 PT - Journal Article PT - Review LG - English DP - 1997 Jul-Aug DC - 19971021 YR - 1997 ED - 19971021 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9260150 <927. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9291704 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCaffery M AU - Ferrell BR FA - McCaffery, M FA - Ferrell, B R IN - McCaffery,M. City of Hope National Medical Center, Duarte, California, USA. TI - Nurses' knowledge of pain assessment and management: how much progress have we made?. [Review] [39 refs] SO - Journal of Pain & Symptom Management. 14(3):175-88, 1997 Sep. AS - J Pain Symptom Manage. 14(3):175-88, 1997 Sep. NJ - Journal of pain and symptom management PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj SB - Index Medicus CP - UNITED STATES MH - Evaluation Studies as Topic MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Pain/nu [Nursing] MH - *Pain Measurement/mt [Methods] AB - 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. [References: 39] IS - 0885-3924 IL - 0885-3924 PT - Journal Article PT - Review LG - English DP - 1997 Sep DC - 19971002 YR - 1997 ED - 19971002 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9291704 <928. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9305048 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wright S FA - Wright, S IN - Wright,S. Georgetown University, School of Nursing, Washington, D.C., USA. TI - Alcohol abuse among college students: implications for nurse practitioners. [Review] [31 refs] SO - Journal of the American Academy of Nurse Practitioners. 8(10):483-8, 1996 Oct. AS - J Am Acad Nurse Pract. 8(10):483-8, 1996 Oct. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Alcoholism/nu [Nursing] MH - Female MH - Humans MH - Male MH - *Nurse Practitioners MH - Student Health Services MH - *Students MH - *Universities IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Review LG - English DP - 1996 Oct DC - 19971002 YR - 1996 ED - 19971002 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9305048 <929. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9251942 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joseph CL AU - Rasmussen J AU - Ganzini L AU - Atkinson RM FA - Joseph, C L FA - Rasmussen, J FA - Ganzini, L FA - Atkinson, R M IN - Joseph,C L. Veterans Affairs Medical and Regional Office Center, Honolulu, HI 96813, USA. TI - Outcome of nursing home care for residents with alcohol use disorders. SO - International Journal of Geriatric Psychiatry. 12(7):767-72, 1997 Jul. AS - Int J Geriatr Psychiatry. 12(7):767-72, 1997 Jul. NJ - International journal of geriatric psychiatry PI - Journal available in: Print PI - Citation processed from: Print JC - co0, 8710629 SB - Index Medicus CP - ENGLAND MH - Age Factors MH - Aged MH - *Alcohol Drinking MH - Alcoholism/mo [Mortality] MH - Alcoholism/px [Psychology] MH - *Alcoholism/th [Therapy] MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - *Health Services Needs and Demand MH - Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Long-Term Care/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - *Nursing Homes MH - Treatment Outcome AB - 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. AB - DESIGN: Retrospective cohort study with participant interviews at NH admission and 3 years later. AB - SETTING: Urban Veterans Affairs (VA) Medical Center and Nursing Home Care Unit (NHCU). AB - 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. AB - MAIN OUTCOME MEASURES: AUD as determined by DSM-III-R criteria. Demographics, health services utilization and mortality as abstracted from the VA medical record. AB - 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. AB - 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. IS - 0885-6230 IL - 0885-6230 PT - Journal Article LG - English DP - 1997 Jul DC - 19970926 YR - 1997 ED - 19970926 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9251942 <930. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9281978 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Quick S FA - Quick, S TI - Fetal alcohol syndrome: the nurse practitioner perspective. [Review] [22 refs] SO - Journal of the American Academy of Nurse Practitioners. 8(7):343-9; quiz 350-2, 1996 Jul. AS - J Am Acad Nurse Pract. 8(7):343-9; quiz 350-2, 1996 Jul. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Fetal Alcohol Spectrum Disorders/th [Therapy] MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - Infant, Newborn MH - Nurse Practitioners MH - Pregnancy MH - Primary Prevention MH - Risk Factors MH - United States/ep [Epidemiology] AB - Fetal alcohol syndrome is the leading cause of mental retardation in the United States. The tragedy is that while FAS is irreversible, it is 100% preventable. FAS is caused by maternal consumption of alcohol during pregnancy. Alcohol is a teratogen and acts in different ways to produce physical and central nervous system malformations and defects in the developing embryo and fetus. FAS is characterized by a history of maternal alcohol ingestion, central nervous system dysfunction, growth deficiencies, and specific physical anomalies. Adolescents and adults with FAS have behavioral problems that differentiate them from other mentally disabled individuals. Nurse practitioners can have an impact on the prevalence of FAS by educating clients about FAS and its relationship to alcohol consumption. NPs need to carefully identify high-risk women and their partners before a pregnancy occurs and assist with interventions to stop active alcoholism or alcohol use during pregnancy. NPs have the capability to decrease the severity of alcohol's effects during pregnancy through education, counseling, and intervention. NPs have the skills to work with case-finding and early identification of infants and children who display signs and symptoms of FAS. With such case-finding, early identification, and prompt referral to the appropriate diagnostic and/or supportive community agencies, individuals with FAS can receive timely intervention to minimize the effects of FAS. Adults with behavioral problems can be assessed for FAS and referred for appropriate assistance as well. Finally, NPs can facilitate public awareness of FAS through educational efforts with individuals, families, and communities. [References: 22] IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Review LG - English DP - 1996 Jul DC - 19970911 YR - 1996 ED - 19970911 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9281978 <931. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9069880 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Toot J FA - Toot, J IN - Toot,J. Lawrence Memorial Hospital, Lawrence, USA. TI - The effects of tobacco on the surgical patient ... (continuing education credit). SO - Kansas Nurse. 72(1):4-5, 1997 Jan. AS - Kans Nurse. 72(1):4-5, 1997 Jan. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - Education, Nursing, Continuing MH - Humans MH - Patient Education as Topic MH - Perioperative Nursing MH - *Smoking/ae [Adverse Effects] MH - Smoking Cessation MH - *Surgical Procedures, Operative MH - Wound Healing/de [Drug Effects] AB - Smoking is proven to have an adverse effect on an individual's health. Long term use of tobacco products has a cumulative effect leading to compromised physiology of several body systems. Clinical research studies support the premise that tobacco users are at an increased risk for surgical complications. Individuals with a history of tobacco abuse present a challenge to the nurse. Throughout the perioperative phase the nurse initiates interventions to prevent or minimize complications. This article presents a general overview of the adverse effects of tobacco on the surgical patient and nursing interventions when caring for a patient with a history of tobacco abuse. IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1997 Jan DC - 19970828 YR - 1997 ED - 19970828 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9069880 <932. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9203125 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Engs RC AU - Van Teijlingen E FA - Engs, R C FA - Van Teijlingen, E IN - Engs,R C. Department of Applied Health Science, Indiana University, Bloomington 47405, USA. TI - Correlates of alcohol, tobacco and marijuana use among Scottish postsecondary helping-profession students. SO - Journal of Studies on Alcohol. 58(4):435-44, 1997 Jul. AS - J. stud. alcohol. 58(4):435-44, 1997 Jul. NJ - Journal of studies on alcohol PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Alcoholism/ep [Epidemiology] MH - Career Choice MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Incidence MH - Male MH - Marijuana Abuse/ep [Epidemiology] MH - Marijuana Abuse/px [Psychology] MH - *Marijuana Smoking/ep [Epidemiology] MH - Marijuana Smoking/px [Psychology] MH - Scotland/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - RESULTS: A slightly (p < .05) higher percent of women (92.7%) consumed alcohol compared to men (90%), but men consumed significantly (p < .001) more 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. AB - 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. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jul DC - 19970812 YR - 1997 ED - 19970812 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9203125 <933. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9201739 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carter BJ FA - Carter, B J IN - Carter,B J. Corry College, Milton, MA, USA. TI - Women's experiences of lymphedema. SO - Oncology Nursing Forum. 24(5):875-82, 1997 Jun. AS - Oncol Nurs Forum. 24(5):875-82, 1997 Jun. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Activities of Daily Living MH - *Adaptation, Psychological MH - Adult MH - Aged MH - *Breast Neoplasms/su [Surgery] MH - Female MH - Humans MH - Lymphedema/et [Etiology] MH - *Lymphedema/px [Psychology] MH - *Mastectomy/ae [Adverse Effects] MH - Middle Aged MH - Nursing Methodology Research MH - *Quality of Life MH - Self Care MH - Surveys and Questionnaires MH - Survival Analysis AB - PURPOSE/OBJECTIVES: To explore women's experiences of lymphedema. AB - DESIGN: Qualitative descriptive. AB - SETTING: An urban community in the midwestern United States. AB - SAMPLE: Ten women who experienced lymphedema after breast cancer treatment and who had (a) completed their treatment for stage I or stage II breast cancer at least one year before the study, (b) experienced an onset of lymphedema at least two months after surgery, (c) no current evidence of cancer disease or cancer recurrence, (d) lymphedema not caused by cancer in the brachial plexus, and (e) no history of hospitalization for alcoholism, substance abuse, or psychiatric conditions. The women ranged in age from 36-75 years. Mean survival time was seven years, and the mean time since onset of lymphedema was four years. AB - METHODS: Two in-depth interviews per participant. AB - PATIENTS: Most women were able to continue living their normal lives. Some women experienced depression, anxiety, and impairments related to their intimate, work, and social relationships. Physicians' limited knowledge about lymphedema, conflicting treatment information, and the limited number of available treatment centers caused distress for the participants. Their experiences can be categorized into three predominant themes: Abandonment by Medicine, Concealing the imperfect image, and Living the Interrupted Life. AB - CONCLUSIONS: Research efforts to expand the knowledge base regarding the epidemiology, prevention, and treatment of lymphedema are needed. Also needed is research that explores the impact of lymphedema on quality of life and functional ability as well as the psychosocial impact of lymphedema on body image, self esteem, and social support. AB - IMPLICATIONS FOR NURSING PRACTICE: Care providers and breast cancer survivors should be educated about the prevention and treatment of lympedema. Nurses should refer patients to advocacy hot lines and support groups for information and support when appropriate. Women with lymphedema should be assessed periodically for psychosocial distress and referred for care as needed. IS - 0190-535X IL - 0190-535X PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1997 Jun DC - 19970807 YR - 1997 ED - 19970807 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9201739 <934. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9224004 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gournay K AU - Sandford T AU - Johnson S AU - Thornicroft G FA - Gournay, K FA - Sandford, T FA - Johnson, S FA - Thornicroft, G IN - Gournay,K. Institute of Psychiatry, London. TI - Dual diagnosis of severe mental health problems and substance abuse/dependence: a major priority for mental health nursing. [Review] [42 refs] SO - Journal of Psychiatric & Mental Health Nursing. 4(2):89-95, 1997 Apr. AS - J Psychiatr Ment Health Nurs. 4(2):89-95, 1997 Apr. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal SB - AIDS/HIV Journals CP - ENGLAND MH - Great Britain MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/nu [Nursing] MH - Models, Nursing MH - Prevalence MH - Psychiatric Nursing/ed [Education] MH - Psychiatric Nursing/og [Organization & Administration] MH - *Psychiatric Nursing MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/nu [Nursing] AB - It is now established that very significant numbers of people with severe mental illness abuse or depend on drugs and/or alcohol. This combination (Dual Diagnosis) leads to increased rates of violence and service use, a reduction in adherence to treatment regimes, an increase in susceptibility to human immunodeficiency virus (HIV) infection and is now found in in-patient populations. Because of their vulnerability to accidents and physical illnesses, dual diagnosis patients are found increasingly in accident and emergency departments, general medical wards and primary care settings. For this reason nurses and other health professionals working in general hospitals should be as aware as their mental health colleagues of the specific needs of this population. There are some excellent models of service organization and training for dealing with dual diagnoses populations in some parts of the USA. However, there is little such development in the UK. There are clear pathways to be followed, but the need for action is urgent. [References: 42] IS - 1351-0126 IL - 1351-0126 PT - Journal Article PT - Review LG - English DP - 1997 Apr DC - 19970801 YR - 1997 ED - 19970801 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9224004 <935. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9265493 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Crespigny C FA - de Crespigny, C IN - de Crespigny,C. Flinders University of SA School of Nursing, South Australia. TI - Alcohol and other drug problems in Australia: the urgent need for nurse education. [Review] [25 refs] SO - Collegian: Journal of the Royal College of Nursing, Australia. 3(3):23-9, 1996 Jul. AS - Collegian. 3(3):23-9, 1996 Jul. NJ - Collegian (Royal College of Nursing, Australia) PI - Journal available in: Print PI - Citation processed from: Print JC - 9612493 SB - Nursing Journal CP - AUSTRALIA MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - Clinical Competence MH - Cost of Illness MH - *Education, Nursing, Baccalaureate MH - *Education, Nursing, Continuing MH - *Education, Nursing, Graduate MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. [References: 25] IS - 1322-7696 IL - 1322-7696 PT - Journal Article PT - Review LG - English DP - 1996 Jul DC - 19970801 YR - 1996 ED - 19970801 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9265493 <936. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9183110 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coleman EA AU - Honeycutt G AU - Ogden B AU - McMillan DE AU - O'Sullivan PS AU - Light K AU - Wingfield W FA - Coleman, E A FA - Honeycutt, G FA - Ogden, B FA - McMillan, D E FA - O'Sullivan, P S FA - Light, K FA - Wingfield, W IN - Coleman,E A. College of Nursing, University of Arkansas for Medical Sciences, Little Rock 77205, USA. TI - Assessing substance abuse among health care students and the efficacy of educational interventions. SO - Journal of Professional Nursing. 13(1):28-37, 1997 Jan-Feb. AS - J Prof Nurs. 13(1):28-37, 1997 Jan-Feb. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/pc [Prevention & Control] MH - Arkansas/ep [Epidemiology] MH - Curriculum MH - Databases, Factual MH - *Health Education/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Nursing Education Research/mt [Methods] MH - Program Evaluation/mt [Methods] MH - Research Design MH - *Students, Nursing MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 8755-7223 IL - 8755-7223 PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. LG - English DP - 1997 Jan-Feb DC - 19970710 YR - 1997 ED - 19970710 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9183110 <937. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9197612 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shewey HM FA - Shewey, H M IN - Shewey,H M. Kansas Department of Health and Environment, Topeka, USA. TI - Identification and assistance for chemically dependent nurses working in long-term care. [Review] [10 refs] SO - Geriatric Nursing. 18(3):115-8, 1997 May-Jun. AS - Geriatr Nurs. 18(3):115-8, 1997 May-Jun. NJ - Geriatric nursing (New York, N.Y.) PI - Journal available in: Print PI - Citation processed from: Print JC - 8309633, FW7 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Nurse Administrators MH - *Nursing Homes MH - *Nursing Staff/px [Psychology] MH - *Professional Impairment/px [Psychology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - 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. [References: 10] IS - 0197-4572 IL - 0197-4572 PT - Journal Article PT - Review LG - English DP - 1997 May-Jun DC - 19970707 YR - 1997 ED - 19970707 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9197612 <938. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9167406 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT FA - Marcus, M T IN - Marcus,M T. Department of Nursing Systems and Technology, School of Nursing, University of Texas-Houston Health Science Center 77030, USA. TI - Faculty development and curricular change: a process and outcomes model for substance abuse education. SO - Journal of Professional Nursing. 13(3):168-77, 1997 May-Jun. AS - J Prof Nurs. 13(3):168-77, 1997 May-Jun. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Consultants MH - *Curriculum MH - *Education, Nursing MH - Health Knowledge, Attitudes, Practice MH - Health Planning Organizations MH - Humans MH - *Outcome and Process Assessment (Health Care) MH - Program Development MH - Program Evaluation MH - *Staff Development/mt [Methods] MH - Students, Nursing MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 8755-7223 IL - 8755-7223 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - 1 T01 AA07509 (United States NIAAA NIH HHS) LG - English DP - 1997 May-Jun DC - 19970626 YR - 1997 ED - 19970626 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9167406 <939. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9134070 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lifrak P AU - Gariti P AU - Alterman AI AU - McKay J AU - Volpicelli J AU - Sparkman T AU - O'Brien C FA - Lifrak, P FA - Gariti, P FA - Alterman, A I FA - McKay, J FA - Volpicelli, J FA - Sparkman, T FA - O'Brien, C IN - Lifrak,P. University of Pennsylvania School of Medicine, Philadelphia 19104, USA. TI - Results of two levels of adjunctive treatment used with the nicotine patch. SO - American Journal on Addictions. 6(2):93-8, 1997. AS - Am J Addict. 6(2):93-8, 1997. NJ - The American journal on addictions PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 SB - Index Medicus CP - England MH - Administration, Cutaneous MH - Adult MH - Aged MH - *Cognitive Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nicotine/ad [Administration & Dosage] MH - *Nicotinic Agonists/ad [Administration & Dosage] MH - Patient Education as Topic MH - Prospective Studies MH - Recurrence MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - 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. RN - 0 (Nicotinic Agonists) RN - 6M3C89ZY6R (Nicotine) IS - 1055-0496 IL - 1055-0496 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 1997 DC - 1997625 YR - 1997 ED - 19970625 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=9134070 <940. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9134070 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lifrak P AU - Gariti P AU - Alterman AI AU - McKay J AU - Volpicelli J AU - Sparkman T AU - O'Brien C FA - Lifrak, P FA - Gariti, P FA - Alterman, A I FA - McKay, J FA - Volpicelli, J FA - Sparkman, T FA - O'Brien, C IN - Lifrak,P. University of Pennsylvania School of Medicine, Philadelphia 19104, USA. TI - Results of two levels of adjunctive treatment used with the nicotine patch. SO - American Journal on Addictions. 6(2):93-8, 1997. AS - Am J Addict. 6(2):93-8, 1997. NJ - The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 SB - Index Medicus CP - UNITED STATES MH - Administration, Cutaneous MH - Adult MH - Aged MH - *Cognitive Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nicotine/ad [Administration & Dosage] MH - *Nicotinic Agonists/ad [Administration & Dosage] MH - Patient Education as Topic MH - Prospective Studies MH - Recurrence MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] MH - Treatment Outcome AB - 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. RN - 0 (Nicotinic Agonists) RN - 6M3C89ZY6R (Nicotine) IS - 1055-0496 IL - 1055-0496 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial LG - English DP - 1997 DC - 19970625 YR - 1997 ED - 19970625 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9134070 <941. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9097345 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vega Torres RA AU - Conde JG AU - Diaz M FA - Vega Torres, R A FA - Conde, J G FA - Diaz, M IN - Vega Torres,R A. Department of Family Medicine, University of Puerto Rico, San Juan, USA. TI - Prevalence of tuberculin reactivity and risk factors for the development of active tuberculosis upon admission to a nursing home. SO - Puerto Rico Health Sciences Journal. 15(4):275-7, 1996 Dec. AS - P R Health Sci J. 15(4):275-7, 1996 Dec. NJ - Puerto Rico health sciences journal PI - Journal available in: Print PI - Citation processed from: Print JC - 8303541, qjf SB - Index Medicus CP - PUERTO RICO MH - Age Factors MH - Aged MH - Alcoholism/co [Complications] MH - Body Weight MH - Diabetes Complications MH - Humans MH - Logistic Models MH - *Nursing Homes MH - Nutritional Status MH - Prevalence MH - Puerto Rico MH - Risk Factors MH - *Tuberculin Test MH - *Tuberculosis/ep [Epidemiology] AB - 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%). IS - 0738-0658 IL - 0738-0658 PT - Journal Article LG - English DP - 1996 Dec DC - 19970613 YR - 1996 ED - 19970613 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9097345 <942. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9155279 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ryan T AU - Rothwell V FA - Ryan, T FA - Rothwell, V TI - Residential alcohol detoxification: new role for mental health nurses. SO - British Journal of Nursing. 6(5):280-4, 1997 Mar 13-26. AS - Br J Nurs. 6(5):280-4, 1997 Mar 13-26. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adult MH - *Alcoholism/rh [Rehabilitation] MH - *Community Health Nursing MH - Female MH - Halfway Houses MH - Humans MH - Male MH - *Psychiatric Nursing MH - *Residential Treatment/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] AB - This article discusses the philosophy and practice of a community-based residential detoxification service for people with alcohol problems. The service is provided on a direct-access basis and has a team of 19 nurses who are supported by a GP practice. The article highlights issues relevant to nursing in this community facility by referring to three case studies. The case studies demonstrate that this client group finds it difficult to access other forms of health and social care. The case examples emphasize both the qualitative aspects of nursing care and the decision-making involved in this type of service. The authors suggest that large populations with complex needs can be served by nursing-led services adopting a 'direct access' approach. IS - 0966-0461 IL - 0966-0461 PT - Case Reports PT - Journal Article LG - English DP - 1997 Mar 13-26 DC - 19970529 YR - 1997 ED - 19970529 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9155279 <943. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9137027 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Espeland KE FA - Espeland, K E IN - Espeland,K E. Medcenter One College of Nursing, Bismarck, ND, USA. TI - Inhalants: the instant, but deadly high. [Review] [25 refs] SO - Pediatric Nursing. 23(1):82-6, 1997 Jan-Feb. AS - Pediatr Nurs. 23(1):82-6, 1997 Jan-Feb. NJ - Pediatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - oun, 7505804 SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Child MH - Gases MH - Humans MH - Nursing Assessment MH - Patient Education as Topic MH - Pediatric Nursing MH - Risk Factors MH - Solvents MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - There is an alarming increase in the number of children and adolescents inhaling chemicals for euphoric purposes. This trend merits serious concern, as abuse of inhalants can cause cardiac arrest, asphyxiation, and accidents. Substances such as gas, butane, and lighter fluid are highly toxic and destroy organs, and in some cases, inhalants have caused death on the first use. Pediatric nurses are in a key position to identify abusers and educate parents and children about these potentially fatal chemicals. [References: 25] RN - 0 (Gases) RN - 0 (Solvents) IS - 0097-9805 IL - 0097-9805 PT - Journal Article PT - Review LG - English DP - 1997 Jan-Feb DC - 19970515 YR - 1997 ED - 19970515 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9137027 <944. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9128695 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stanislas N AU - Radcliffe J FA - Stanislas, N FA - Radcliffe, J TI - The physiological effects of alcohol misuse. CM - Comment on: Prof Nurse. 1996 Jul;11(10):646-8; PMID: 8718369 SO - Professional Nurse. 12(5):387, 1997 Feb. AS - Prof Nurse. 12(5):387, 1997 Feb. NJ - Professional nurse (London, England) PI - Journal available in: Print PI - Citation processed from: Print JC - 8612884, pzx SB - Nursing Journal CP - ENGLAND MH - *Alcoholism/nu [Nursing] MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Nursing/st [Standards] MH - Humans MH - *Nursing Assessment IS - 0266-8130 IL - 0266-8130 PT - Comment PT - Letter LG - English DP - 1997 Feb DC - 19970515 YR - 1997 ED - 19970515 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9128695 <945. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9035357 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saeed AA AU - Khoja TA AU - Khan SB FA - Saeed, A A FA - Khoja, T A FA - Khan, S B IN - Saeed,A A. Department of Community Health Sciences, College Of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia. TI - Smoking behaviour and attitudes among adult Saudi nationals in Riyadh City, Saudi Arabia. SO - Tobacco Control. 5(3):215-9, 1996. AS - Tob Control. 5(3):215-9, 1996. NJ - Tobacco control PI - Journal available in: Print PI - Citation processed from: Print JC - clu, 9209612 OI - Source: NLM. PMC1759520 SB - Index Medicus CP - ENGLAND MH - Adolescent MH - Adult MH - Age of Onset MH - *Attitude to Health MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Random Allocation MH - Saudi Arabia/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Smoking/pc [Prevention & Control] AB - OBJECTIVE: To measure the smoking behaviour and attitudes among Saudi adults residing in Riyadh City, the capital of the Kingdom of Saudi Arabia. AB - DESIGN: Cross-sectional survey. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0964-4563 IL - 0964-4563 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1996 DC - 19970507 YR - 1996 ED - 19970507 RD - 20081120 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9035357 <946. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9069678 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller JB FA - Miller, J B IN - Miller,J B. Student Health Service at Bowling Green State University. TI - Clinic nurses: confronting campus alcohol use on the frontline. SO - Journal of American College Health. 45(5):205-8, 1997 Mar. AS - J Am Coll Health. 45(5):205-8, 1997 Mar. NJ - Journal of American college health : J of ACH PI - Journal available in: Print PI - Citation processed from: Print JC - h5e, 8214119, 7503059 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/nu [Nursing] MH - Female MH - Humans MH - Male MH - *Nursing Assessment MH - *Student Health Services MH - Students MH - Universities AB - 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. IS - 0744-8481 IL - 0744-8481 PT - Journal Article LG - English DP - 1997 Mar DC - 19970430 YR - 1997 ED - 19970430 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9069678 <947. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9033521 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meador KG AU - Taylor JA AU - Thapa PB AU - Fought RL AU - Ray WA FA - Meador, K G FA - Taylor, J A FA - Thapa, P B FA - Fought, R L FA - Ray, W A IN - Meador,K G. Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA. TI - Predictors of antipsychotic withdrawal or dose reduction in a randomized controlled trial of provider education. SO - Journal of the American Geriatrics Society. 45(2):207-10, 1997 Feb. AS - J Am Geriatr Soc. 45(2):207-10, 1997 Feb. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v SB - Index Medicus CP - UNITED STATES MH - Aged MH - Aged, 80 and over MH - *Antipsychotic Agents/ad [Administration & Dosage] MH - Antipsychotic Agents/ae [Adverse Effects] MH - Female MH - Forecasting MH - Health Personnel/ed [Education] MH - Humans MH - *Inservice Training MH - Male MH - Nursing Homes/lj [Legislation & Jurisprudence] MH - *Nursing Homes/st [Standards] MH - Substance Withdrawal Syndrome MH - Tennessee MH - United States AB - OBJECTIVES: To evaluate the effects of an educational program to reduce antipsychotic use in nursing homes that had high use rates post-OBRA-87 and to identify factors that predicted antipsychotic withdrawal or 50% or greater dose reduction. AB - DESIGN/SETTING: A randomized controlled trial (RCT) of the educational program (nursing home the unit of randomization and analysis) was conducted in 12 Tennessee nursing homes (6 education/6 control). Cohort analysis in baseline antipsychotic users identified factors predicting withdrawal or dose reduction. AB - SUBJECTS: The RCT analysis included 1152 patients in the homes at baseline and 6 months. The cohort analysis included 133 baseline antipsychotic users in the five education homes able to implement the recommendations of the educational program. AB - OUTCOME MEASURES: Change in days of antipsychotic use per 100 days of nursing home residence, withdrawal from antipsychotics, reduction in antipsychotic dose by 50% or more. AB - RESULTS: Following the educational intervention, use of antipsychotics in the six education homes decreased from 25.3 days per 100 at baseline to 19.7 days per 100 by month 6, a 23% reduction relative to control homes (P = .014). In the withdrawal analysis, 44 (33%) of 133 baseline antipsychotic users were withdrawn. Factors at baseline predicting successful withdrawal were low antipsychotic dose, no use of benzodiazepines or antidepressants, and behavioral symptoms score below the median. However, although an additional 22 patients had dose reductions > or = 50%, none of the predictors of withdrawal were associated with dose reductions. AB - CONCLUSIONS: Focused provider education programs may facilitate antipsychotic reduction above and beyond that attributable to regulatory changes. Patients who are poor candidates for total antipsychotic withdrawal may tolerate substantial dose reductions, which should reduce their risk of adverse antipsychotic effects. RN - 0 (Antipsychotic Agents) IS - 0002-8614 IL - 0002-8614 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - ED-U-000073-08 (United States PHS HHS) LG - English DP - 1997 Feb DC - 19970319 YR - 1997 ED - 19970319 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9033521 <948. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8923312 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Gerace LM AU - Sullivan EJ FA - Marcus, M T FA - Gerace, L M FA - Sullivan, E J IN - Marcus,M T. Department of Nursing Systems and Technology, School of Nursing, University of Texas Houston, Houston Health Science Center 77030, USA. TI - Enhancing nursing competence with substance abusing clients. SO - Journal of Nursing Education. 35(8):361-6, 1996 Nov. AS - J Nurs Educ. 35(8):361-6, 1996 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Alcoholics Anonymous MH - *Alcoholism/nu [Nursing] MH - Clinical Competence MH - *Curriculum MH - *Education, Nursing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - Nurse Practitioners/ed [Education] MH - Nursing Faculty Practice MH - *Staff Development/mt [Methods] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 Nov DC - 19970306 YR - 1996 ED - 19970306 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923312 <949. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8923311 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA AU - Scott CS AU - Mandel LP FA - Murphy, S A FA - Scott, C S FA - Mandel, L P IN - Murphy,S A. Department of Psychosocial Nursing, University of Washington, Seattle 98195, USA. TI - Clinical knowledge and skill priorities in substance abuse education: a nursing faculty longitudinal survey. SO - Journal of Nursing Education. 35(8):356-60, 1996 Nov. AS - J Nurs Educ. 35(8):356-60, 1996 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - *Faculty, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Longitudinal Studies MH - Male MH - Specialties, Nursing/ed [Education] MH - Staff Development MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. NO - 1 T01 AA07496 (United States NIAAA NIH HHS) LG - English DP - 1996 Nov DC - 19970306 YR - 1996 ED - 19970306 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923311 <950. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11660234 RO - KIE ST - MEDLINE AU - Richter DL AU - Stoskopf CH AU - Samuels ME AU - Baker SL AU - Shi L AU - Sy F FA - Richter, Donna L FA - Stoskopf, Carleen H FA - Samuels, Michael E FA - Baker, Samuel L FA - Shi, Leiyu FA - Sy, Francisco TI - Nurses' perceptions of barriers to care of HIV/AIDS patients: implications for continuing education. SO - AIDS Patient Care. 9(3):121-6, 1995 Jun. AS - AIDS Patient Care. 9(3):121-6, 1995 Jun. NJ - AIDS patient care PI - Journal available in: Print PI - Citation processed from: Print JC - 8710781 OI - Source: KIE. 52373 OI - Source: NRCBL. 9.5.6 SB - Bioethics Journals CP - United States MH - *Acquired Immunodeficiency Syndrome MH - Age Factors MH - *Attitude MH - Confidentiality MH - Data Collection MH - Disclosure MH - Education, Continuing MH - Education, Nursing MH - *HIV Seropositivity MH - *Health Knowledge, Attitudes, Practice MH - Homosexuality MH - Humans MH - *Nurses MH - Occupational Exposure MH - *Patient Care MH - Professional Competence MH - Refusal to Treat MH - Risk MH - South Carolina MH - Substance-Related Disorders MH - Surveys and Questionnaires KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship NT - KIE BoB Subject Heading: AIDS/health personnel NT - 17 refs. IS - 0893-5068 IL - 0893-5068 PT - Journal Article LG - English DP - 1995 Jun DC - 19970228 YR - 1995 ED - 19970228 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=11660234 <951. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9025464 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ackeret JA FA - Ackeret, J A IN - Ackeret,J A. Baker University School of Nursing, Stormont-Vail Campus, USA. TI - Smoking cessation: educating for the nursing role. SO - Kansas Nurse. 71(10):4-5, 1996 Nov-Dec. AS - Kans Nurse. 71(10):4-5, 1996 Nov-Dec. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Continuing MH - Humans MH - *Smoking Cessation MH - *Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/rh [Rehabilitation] IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1996 Nov-Dec DC - 19970227 YR - 1996 ED - 19970227 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9025464 <952. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9025463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boncella C FA - Boncella, C IN - Boncella,C. Lawrence Memorial Hospital, Kansas, USA. TI - The powerful punch of nicotine: a smoking cessation facilitator's account. SO - Kansas Nurse. 71(10):1-2, 1996 Nov-Dec. AS - Kans Nurse. 71(10):1-2, 1996 Nov-Dec. NJ - The Kansas nurse PI - Journal available in: Print PI - Citation processed from: Print JC - ku3, 18110790r SB - Nursing Journal CP - UNITED STATES MH - Counseling MH - Education, Nursing, Continuing MH - Humans MH - *Patient Education as Topic MH - *Smoking Cessation MH - Tobacco Use Disorder/nu [Nursing] MH - *Tobacco Use Disorder/rh [Rehabilitation] IS - 0022-8710 IL - 0022-8710 PT - Journal Article LG - English DP - 1996 Nov-Dec DC - 19970227 YR - 1996 ED - 19970227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9025463 <953. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8998044 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moore K FA - Moore, K TI - Myths on the rocks: uses and abuses of alcohol (continuing education credit). SO - Nursing Standard. 11(6 Suppl Nu):5-17; quiz 20-4, 1996 Oct 30. AS - Nurs Stand. 11(6 Suppl Nu):5-17; quiz 20-4, 1996 Oct 30. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - Alcohol Drinking/pp [Physiopathology] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Alcoholism/nu [Nursing] MH - Alcoholism/pp [Physiopathology] MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Education, Nursing, Continuing MH - Humans MH - Social Behavior IS - 0029-6570 IL - 0029-6570 PT - Journal Article LG - English DP - 1996 Oct 30 DC - 19970130 YR - 1996 ED - 19970130 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8998044 <954. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8876400 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rassool GH FA - Rassool, G H TI - Addiction nursing and substance misuse: a slow response to partial accommodation. SO - Journal of Advanced Nursing. 24(3):425-7, 1996 Sep. AS - J Adv Nurs. 24(3):425-7, 1996 Sep. NJ - Journal of advanced nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Curriculum MH - *Education, Nursing, Graduate MH - Great Britain MH - Health Policy MH - Humans MH - Nurse Clinicians/ed [Education] MH - Specialties, Nursing MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 0309-2402 IL - 0309-2402 PT - Editorial LG - English DP - 1996 Sep DC - 19970123 YR - 1996 ED - 19970123 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8876400 <955. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8842849 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCrady BS AU - Richter SS AU - Morgan TJ AU - Slade J AU - Pfeifer C FA - McCrady, B S FA - Richter, S S FA - Morgan, T J FA - Slade, J FA - Pfeifer, C IN - McCrady,B S. Rutgers, State University of New Jersey, USA. TI - Involving health care workers in screening for alcohol problems. SO - Journal of Addictive Diseases. 15(3):45-58, 1996. AS - J Addict Dis. 15(3):45-58, 1996. NJ - Journal of addictive diseases PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 SB - Index Medicus CP - UNITED STATES MH - Admitting Department, Hospital/st [Standards] MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Diagnostic Tests, Routine/mt [Methods] MH - *Diagnostic Tests, Routine/ut [Utilization] MH - Female MH - Humans MH - Inservice Training MH - Internship and Residency MH - Interviews as Topic/mt [Methods] MH - *Interviews as Topic/ut [Utilization] MH - Male MH - Medical History Taking/mt [Methods] MH - *Medical History Taking/st [Standards] MH - Medical Records/st [Standards] MH - Middle Aged MH - Nurses/px [Psychology] MH - Students, Medical/px [Psychology] MH - Substance Abuse Detection/mt [Methods] MH - *Substance Abuse Detection/ut [Utilization] AB - 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. AB - 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. AB - SETTING: Teaching hospital in an urban/suburban community. AB - PATIENTS/PARTICIPANTS: Residents on internal medicine and family practice services; surgical nurses. AB - MEASUREMENTS AND MAIN RESULTS: Compliance with conducting the interview was low (14.7% of residents' admissions; 13.53% of nurses' admissions). Review of the medical records indicated that some alcohol-related information was recorded in most patients' medical records (physicians recorded information on 94% of patients on the teaching services, nurses on the surgical unit recorded alcohol-related information on 71% of patients). Surgeons and surgical residents recorded alcohol-related information on 30% of their patients. Residents were more likely to interview male than female patients, and residents and nurses tended to interview patients with higher GGTP values. AB - CONCLUSIONS: (1) Compliance with administering a standardized alcohol screening interview was low. (2) Nurses, and residents in family practice and internal medicine made some assessment of drinking for most patients. Surgeons assessed drinking in a minority of patients. (3) Expressed reasons for not administering the standardized interview included discomfort with the interview, viewing the interview as too time-consuming, or not part of the usual responsibilities of the nurses or residents. Other possible reasons for the low levels of compliance are discussed. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - P50 08747 (United States PHS HHS) LG - English DP - 1996 DC - 19970121 YR - 1996 ED - 19970121 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8842849 <956. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8832509 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mynatt S FA - Mynatt, S IN - Mynatt,S. University of Memphis Loewenberg School of Nursing, Tennessee 38152, USA. TI - A model of contributing risk factors to chemical dependency in nurses. SO - Journal of Psychosocial Nursing & Mental Health Services. 34(7):13-22, 1996 Jul. AS - J Psychosoc Nurs Ment Health Serv. 34(7):13-22, 1996 Jul. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - Holistic Health MH - Humans MH - Male MH - *Models, Psychological MH - *Nurses/px [Psychology] MH - *Professional Impairment/px [Psychology] MH - Retrospective Studies MH - Risk Factors MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1996 Jul DC - 19961213 YR - 1996 ED - 19961213 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8832509 <957. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8854551 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sigsby LM AU - Bullock L FA - Sigsby, L M FA - Bullock, L IN - Sigsby,L M. College of Nursing, University of Florida, Gainesville 32610-0187, USA. TI - Nursing education and research in New Zealand. SO - Image - the Journal of Nursing Scholarship. 28(3):269-72, 1996. AS - Image J Nurs Sch. 28(3):269-72, 1996. NJ - Image--the journal of nursing scholarship PI - Journal available in: Print PI - Citation processed from: Print JC - gg1, 8400753 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - *Education, Nursing, Graduate/og [Organization & Administration] MH - Faculty MH - Health Care Reform MH - Humans MH - New Zealand MH - Nursing Research/ed [Education] MH - *Nursing Research/og [Organization & Administration] MH - Organizational Innovation MH - Research Support as Topic MH - Surveys and Questionnaires AB - 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. IS - 0743-5150 IL - 0743-5150 PT - Journal Article LG - English DP - 1996 DC - 19961113 YR - 1996 ED - 19961113 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8854551 <958. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8751325 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Joseph CL FA - Joseph, C L IN - Joseph,C L. Extended Care Services, Portland Veterans Affairs Medical Center, Oregon. TI - Alcohol and drug misuse in the nursing home. [Review] [100 refs] SO - International Journal of the Addictions. 30(13-14):1953-84, 1995 Nov-Dec. AS - Int J Addict. 30(13-14):1953-84, 1995 Nov-Dec. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Aged MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Nicotine MH - *Nursing Homes MH - Street Drugs MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] AB - 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 pyscho-active medications. Regulations regarding the prescription of psycho-active drugs in nursing homes is also discussed. [References: 100] RN - 0 (Street Drugs) RN - 6M3C89ZY6R (Nicotine) IS - 0020-773X IL - 0020-773X PT - Case Reports PT - Journal Article PT - Review LG - English DP - 1995 Nov-Dec DC - 19961028 YR - 1995 ED - 19961028 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8751325 <959. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8718781 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wennerstrom PA AU - Rooda LA FA - Wennerstrom, P A FA - Rooda, L A IN - Wennerstrom,P A. Indiana University Northwest Campus, Gary 46408, USA. TI - Attitudes and perceptions of nursing students toward chemically impaired nurses: implications for nursing education. SO - Journal of Nursing Education. 35(5):237-9, 1996 May. AS - J Nurs Educ. 35(5):237-9, 1996 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - *Nurses MH - *Professional Impairment MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 May DC - 19961001 YR - 1996 ED - 19961001 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8718781 <960. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8718773 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marion LN AU - Fuller SG AU - Johnson NP AU - Michels PJ AU - Diniz C FA - Marion, L N FA - Fuller, S G FA - Johnson, N P FA - Michels, P J FA - Diniz, C IN - Marion,L N. Department of Public Health Nursing, College of Nursing, University of Illinois at Chicago 60612-7350, USA. TI - Drinking problems of nursing students. SO - Journal of Nursing Education. 35(5):196-203, 1996 May. AS - J Nurs Educ. 35(5):196-203, 1996 May. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Cohort Studies MH - Education, Nursing, Baccalaureate MH - Faculty, Nursing MH - Female MH - Humans MH - Incidence MH - Male MH - Mass Screening MH - Middle Aged MH - Risk Factors MH - *Students, Nursing MH - Surveys and Questionnaires AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article LG - English DP - 1996 May DC - 19961001 YR - 1996 ED - 19961001 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8718773 <961. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8749794 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA AU - Scott CS AU - Mandel LS FA - Murphy, S A FA - Scott, C S FA - Mandel, L S IN - Murphy,S A. Department of Psychosocial and Community Health, University of Washington, Seattle 98195-7263, USA. TI - Evaluating students' substance abuse assessment skills. SO - Journal of Substance Abuse. 7(3):357-64, 1995. AS - J Subst Abuse. 7(3):357-64, 1995. NJ - Journal of substance abuse PI - Journal available in: Print PI - Citation processed from: Print JC - bjp, 9001404 SB - Index Medicus CP - UNITED STATES MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ge [Genetics] MH - Alcoholism/px [Psychology] MH - Cohort Studies MH - Cross-Sectional Studies MH - *Education, Nursing, Baccalaureate MH - Female MH - Humans MH - Male MH - Medical History Taking MH - *Nursing Assessment/sn [Statistics & Numerical Data] MH - *Personality Assessment/sn [Statistics & Numerical Data] MH - *Psychotropic Drugs MH - *Street Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ge [Genetics] MH - Substance-Related Disorders/px [Psychology] AB - Graduating nursing students' abilities to assess clients for substance use were evaluated using two standardized 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. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0899-3289 IL - 0899-3289 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - T01 AA07496 (United States NIAAA NIH HHS) LG - English DP - 1995 DC - 19960927 YR - 1995 ED - 19960927 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8749794 <962. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8755141 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous TI - Policy and guidelines for prevention and management of substance abuse in the nursing education community. American Association of Colleges of Nursing. SO - Journal of Professional Nursing. 12(4):253-7, 1996 Jul-Aug. AS - J Prof Nurs. 12(4):253-7, 1996 Jul-Aug. NJ - Journal of professional nursing : official journal of the American Association of Colleges of Nursing PI - Journal available in: Print PI - Citation processed from: Print JC - h3p, 8511298 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Faculty, Nursing MH - *Health Policy MH - Humans MH - Organizational Policy MH - *Professional Impairment MH - *School Nursing/og [Organization & Administration] MH - Societies, Nursing MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States IS - 8755-7223 IL - 8755-7223 PT - Guideline PT - Journal Article LG - English DP - 1996 Jul-Aug DC - 19960920 YR - 1996 ED - 19960920 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8755141 <963. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8700410 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Espeland K FA - Espeland, K TI - Helping students understand substance abuse. SO - Nurse Educator. 21(1):31, 1996 Jan-Feb. AS - Nurse Educ. 21(1):31, 1996 Jan-Feb. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate MH - Humans MH - *Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] IS - 0363-3624 IL - 0363-3624 PT - News LG - English DP - 1996 Jan-Feb DC - 19960905 YR - 1996 ED - 19960905 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8700410 <964. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8699370 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ludwig MA AU - Marecki M AU - Wooldridge PJ AU - Sherman LM FA - Ludwig, M A FA - Marecki, M FA - Wooldridge, P J FA - Sherman, L M TI - Neonatal nurses' knowledge of and attitudes toward caring for cocaine-exposed infants and their mothers. SO - Journal of Perinatal & Neonatal Nursing. 9(4):81-95, 1996 Mar. AS - J Perinat Neonatal Nurs. 9(4):81-95, 1996 Mar. NJ - The Journal of perinatal & neonatal nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jpn, 8801387 SB - Nursing Journal CP - UNITED STATES MH - Adult MH - *Cocaine/ae [Adverse Effects] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Infant, Newborn MH - Male MH - Middle Aged MH - Models, Psychological MH - *Mothers MH - *Neonatal Abstinence Syndrome/nu [Nursing] MH - Neonatal Nursing/ed [Education] MH - Neonatal Nursing/mt [Methods] MH - *Neonatal Nursing MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Surveys and Questionnaires AB - The knowledge, attitudes, and backgrounds of 215 nurses employed in the nurseries of six hospitals were studied by means of a questionnaire survey. The nurses' attitudes toward the mothers of cocaine-addicted infants were found to be generally negative and/or judgmental and their knowledge to be low. More experience with nursing cocaine-addicted infants and greater acuity of the neonatal unit in which the nurse worked correlated with more positive attitudes toward the infants but not toward their mothers. Knowledge and attitude correlated positively with formal education, inservice education, and self-education, but the correlations were weak. RN - I5Y540LHVR (Cocaine) IS - 0893-2190 IL - 0893-2190 PT - Journal Article LG - English DP - 1996 Mar DC - 19960905 YR - 1996 ED - 19960905 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8699370 <965. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8696786 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kinsella C AU - Chaloner C FA - Kinsella, C FA - Chaloner, C TI - Attitude to treatment and direction of interest of forensic mental health nurses: a comparison with nurses working in other specialties. SO - Journal of Psychiatric & Mental Health Nursing. 2(6):351-7, 1995. AS - J Psychiatr Ment Health Nurs. 2(6):351-7, 1995. NJ - Journal of psychiatric and mental health nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 9439514, b6e SB - Nursing Journal CP - ENGLAND MH - *Attitude of Health Personnel MH - *Forensic Psychiatry MH - Humans MH - Nurse-Patient Relations MH - *Nursing Staff, Hospital/px [Psychology] MH - *Psychiatric Nursing MH - Specialties, Nursing MH - Surveys and Questionnaires AB - The attitudes of nurses working within forensic psychiatry are often perceived as being custodially oriented. Working on this commonly held assumption the authors hypothesized that nurses working within a physically controlled environment such as a Regional Secure Unit would hold more conservative/biological attitudes toward treatment, and would be more 'object'-oriented (as opposed to 'psychologically' oriented) than those working in less physically controlled clinical areas. [For the purpose of this paper the term 'Regional Secure Unit' is used to describe the medium secure facilities that were included in this study, although one of the units did not serve a wholly regional function.] This paper outlines a study that attempted to examine this hypothesis. A total of 84 nurses from three clinical specialties (Regional Secure Units, Acute Admission Wards and Drug Dependence Units) completed the Attitude to Treatment Questionnaire (ATQ) and the Direction of Interest Questionnaire (DIQ) (Caine et al. 1981). Each nurse also completed a demographic information questionnaire, supplying details of age, professional experience and educational attainment. The results indicate no significant differences on measures used between specialty groups. Significant positive correlations were found between age and conservatism on the ATQ, and between ATQ conservatism and DIQ object centredness. Implications of these results are discussed and suggestions for future research are made. IS - 1351-0126 IL - 1351-0126 PT - Comparative Study PT - Journal Article LG - English DP - 1995 DC - 19960904 YR - 1995 ED - 19960904 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8696786 <966. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8684408 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davies HD AU - McGeer A AU - Schwartz B AU - Green K AU - Cann D AU - Simor AE AU - Low DE FA - Davies, H D FA - McGeer, A FA - Schwartz, B FA - Green, K FA - Cann, D FA - Simor, A E FA - Low, D E IN - Davies,H D. Division of Infectious Diseases, Hospital for Sick Children, Toronto, Canada. TI - Invasive group A streptococcal infections in Ontario, Canada. Ontario Group A Streptococcal Study Group. CM - Comment in: N Engl J Med. 1996 Aug 22;335(8):590-1; PMID: 8678939 CM - Comment in: N Engl J Med. 1997 Feb 13;336(7):513; author reply 514; PMID: 9019655 CM - Comment in: N Engl J Med. 1997 Feb 13;336(7):513; author reply 514; PMID: 9019654 SO - New England Journal of Medicine. 335(8):547-54, 1996 Aug 22. AS - N Engl J Med. 335(8):547-54, 1996 Aug 22. NJ - The New England journal of medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0255562, now SB - Core Clinical Journals (AIM) SB - Index Medicus SB - AIDS/HIV Journals CP - UNITED STATES MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Child MH - Child, Preschool MH - Cross Infection/ep [Epidemiology] MH - Cross Infection/mi [Microbiology] MH - Fasciitis, Necrotizing/ep [Epidemiology] MH - Fasciitis, Necrotizing/mi [Microbiology] MH - Female MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Ontario/ep [Epidemiology] MH - Population Surveillance MH - Prospective Studies MH - Risk Factors MH - Shock, Septic/ep [Epidemiology] MH - Shock, Septic/mi [Microbiology] MH - *Streptococcal Infections/ep [Epidemiology] MH - Streptococcal Infections/mi [Microbiology] MH - Streptococcal Infections/tm [Transmission] MH - Streptococcus pyogenes/cl [Classification] MH - Streptococcus pyogenes/ip [Isolation & Purification] MH - *Streptococcus pyogenes MH - Time Factors AB - BACKGROUND: Several reports suggest that the incidence of invasive group A streptococcal infections, including streptococcal toxic shock syndrome and necrotizing fasciitis, is increasing. AB - 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. AB - 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). AB - 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 steptococcal infection is associated with a substantial risk of transmission in households and health care institutions. IS - 0028-4793 IL - 0028-4793 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1996 Aug 22 DC - 19960822 YR - 1996 ED - 19960822 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8684408 <967. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8679482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lehane M FA - Lehane, M TI - Courses conflict and control. SO - Nursing Standard. 10(10):50-1, 1995 Nov 29-Dec 5. AS - Nurs Stand. 10(10):50-1, 1995 Nov 29-Dec 5. NJ - Nursing standard (Royal College of Nursing (Great Britain) : 1987) PI - Journal available in: Print PI - Citation processed from: Print JC - 9012906, awh, 8508427 SB - Nursing Journal CP - ENGLAND MH - *Education, Nursing, Continuing MH - Humans MH - Inservice Training MH - Male MH - Nurse-Patient Relations MH - *Nursing Staff, Hospital/ed [Education] MH - *Psychiatric Nursing/ed [Education] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Violence IS - 0029-6570 IL - 0029-6570 PT - Case Reports PT - Journal Article LG - English DP - 1995 Nov 29-Dec 5 DC - 19960822 YR - 1995 ED - 19960822 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8679482 <968. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8642150 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Capezuti E AU - Evans L AU - Strumpf N AU - Maislin G FA - Capezuti, E FA - Evans, L FA - Strumpf, N FA - Maislin, G IN - Capezuti,E. School of Nursing, University of Pennsylvania, Philadelphia 19104, USA. TI - Physical restraint use and falls in nursing home residents. CM - Comment in: J Am Geriatr Soc. 1996 Jun;44(6):727-8; PMID: 8642169 SO - Journal of the American Geriatrics Society. 44(6):627-33, 1996 Jun. AS - J Am Geriatr Soc. 44(6):627-33, 1996 Jun. NJ - Journal of the American Geriatrics Society PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v OI - Source: KIE. 51579 SB - Bioethics Journals SB - Index Medicus CP - UNITED STATES MH - Accidental Falls/pc [Prevention & Control] MH - *Accidental Falls/sn [Statistics & Numerical Data] MH - Aged MH - Aged, 80 and over MH - *Behavior Control MH - Chi-Square Distribution MH - Control Groups MH - Female MH - Geriatric Assessment MH - Humans MH - Logistic Models MH - Longitudinal Studies MH - Male MH - *Nursing Homes/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Psychotropic Drugs/tu [Therapeutic Use] MH - *Restraint, Physical MH - *Risk Assessment MH - Risk Factors MH - Risk Management KW - Empirical Approach; Professional Patient Relationship AB - OBJECTIVE: To examine the relationship between restraint use and falls while controlling for the effect of psychoactive drug use among nursing home residents, including subgroups of nursing home residents with high rates of restraint use and/or falls. AB - DESIGN: Secondary analysis of data from a longitudinal clinical trial designed to reduce restraint use. AB - SETTING: Three nursing homes. AB - PARTICIPANTS: Subjects (n = 322) were either restrained (n = 119) or never restrained (n = 203) at each observation point during a 9.5-month data collection period that preceded the intervention phase of the clinical trial. AB - MEASUREMENTS: We evaluated restraint status (independent variable) three times during the data collection period by direct observation over a 72-hour period. Incident reports documenting falls and fall-related injuries (dependent variables) were reviewed. Cognitive status was measured using the Folstein Mini-Mental State Exam and functional status (including ambulation status) by the Psychogeriatric Dependency Rating Scale. Psychoactive drug use profile was obtained through record review. AB - MAIN RESULTS: Using multiple logistic regression, we compared the effect of restraint use on fall risk between a confused ambulatory subgroup and the remaining sample and found a significant difference in the odds ratio for falls and recurrent falls (P = .02; chi-square = 5.24, df = 1; P = .003, chi-square = 9.12, df = 1). In the confused ambulatory subgroup, restraint use was associated with increased falls (odds ratio: 1.65, 95% CI: 0.69, 3.98) as well as recurrent fall risk (odds ratio: 2.46, 95% CI: 1.03, 5.88). Increased falls and recurrent fall risk was not observed in the remaining sample (falls odds ratio: 0.49, 95% CI: 0.28, 0.87; recurrent falls odds ratio: 0.42, 95% CI: 0.20, 0.91). One subgroup, the nonconfused ambulatory residents, were never restrained; after removing this subgroup, the confused ambulatory continued to be associated, though not significantly, with a higher risk of falls and injuries. Only nonconfused nonambulatory restraints were associated with a lower risk of all three outcomes: falls (odds ratio: 0.28, 95% CI: 0.05, 1.58), recurrent falls (odds ratio: 0.48, 95% CI: 0.05, 4.72), and injurious falls (odds ratio:0.42, 95% CI: 0.04, 4.01); these results, however, were not statistically significant. There was no evidence that the effect of restraint use on fall risk depended upon the use of psychoactive drugs (chi square = 4.43; df = 2, P = .11). AB - CONCLUSION: Restraints were not associated with a significantly lower risk of falls or injuries in subgroups of residents likely to be restrained. These findings support individualized assessment of fall risk rather than routine use of physical restraints for fall prevention. Researchers and clinicians should continue to focus efforts on developing a variety of approaches that reduce risk of falls and injuries and promote mobility rather than immobility. NT - KIE BoB Subject Heading: behavior control NT - KIE BoB Subject Heading: patient care/aged NT - Full author name: Capezuti, Elizabeth NT - Full author name: Evans, Lois NT - Full author name: Strumpf, Neville NT - Full author name: Maislin, Greg RN - 0 (Psychotropic Drugs) IS - 0002-8614 IL - 0002-8614 PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. NO - R01 5-24670 (United States PHS HHS) LG - English DP - 1996 Jun DC - 19960712 YR - 1996 ED - 19960712 RD - 20080310 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8642150 <969. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10172600 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones H AU - Lindsay AU - Ballard T FA - Jones, H FA - Lindsay FA - Ballard, T IN - Jones,H. Children's Medical Center of Dallas, TX, USA. TI - Improving outcomes in therapeutic drug monitoring--a case history. SO - Clinical Laboratory Management Review. 10(2):160-6, 1996 Mar-Apr. AS - Clin Lab Manage Rev. 10(2):160-6, 1996 Mar-Apr. NJ - Clinical laboratory management review : official publication of the Clinical Laboratory Management Association PI - Journal available in: Print PI - Citation processed from: Print JC - abv, 8805785, 8805785 SB - Health Administration Journals CP - United States MH - *Clinical Laboratory Techniques/st [Standards] MH - *Drug Monitoring MH - Guidelines as Topic MH - Hospital Bed Capacity, 100 to 299 MH - *Hospitals, Pediatric/st [Standards] MH - Hospitals, Teaching/st [Standards] MH - Retrospective Studies MH - Texas MH - Total Quality Management MH - *Treatment Outcome AB - A case history describes quality improvement initiatives undertaken by the Laboratory, the Pharmacy, and the Department of Nursing at Children's Medical Center in Dallas, Texas, a 266-bed pediatric teaching hospital affiliated with the University of Texas Southwestern Medical School. The initial purpose of the study was to correct problems identified by a retrospective review of randomly selected patient charts. The problems included laboratory schedules for drug assays, the timing and documenting of blood collections, the reporting of toxic results to physicians, and the interpreting of serum drug concentrations. The major changes in the program included increased frequency of testing in the laboratory, educating nurses as to sample collection guidelines, introducing a clinical pharmacy consultation service, daily reporting of all drug levels to the pharmacy from the laboratory computer, and reporting toxic levels to the clinical pharmacist who then notified the physician and offered a consult. The study then began to focus on attempting to monitor the service related to outcome indicators. Outcome data included a comparison of test volumes (15.7% decrease), tests per adjusted patient day (15.4% decrease), and tests per patient day of therapy for aminoglycosides (gentamicin decreased 6.8%) before and after the changes were implemented. Data also included aminoglycoside tests reported as therapeutic and as toxic. Plans for further improvement have been identified and include differentiating peak and trough serum drug concentrations for aminoglycosides, possibly developing protocols for vancomycin and cyclosporine monitoring, continuing to educate laboratory technologists and nurses, and continuing to monitor usage and outcome indicators. IS - 0888-7950 IL - 0888-7950 PT - Journal Article LG - English DP - 1996 Mar-Apr DC - 199673 YR - 1996 ED - 19960703 RD - 20161021 UP - 20161024 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10172600 <970. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10172600 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones H AU - Lindsay AU - Ballard T FA - Jones, H FA - Lindsay FA - Ballard, T IN - Jones,H. Children's Medical Center of Dallas, TX, USA. TI - Improving outcomes in therapeutic drug monitoring--a case history. SO - Clinical Laboratory Management Review. 10(2):160-6, 1996 Mar-Apr. AS - Clin Lab Manage Rev. 10(2):160-6, 1996 Mar-Apr. NJ - Clinical laboratory management review : official publication of the Clinical Laboratory Management Association / CLMA PI - Journal available in: Print PI - Citation processed from: Print JC - abv, 8805785, 8805785 SB - Health Administration Journals CP - UNITED STATES MH - *Clinical Laboratory Techniques/st [Standards] MH - *Drug Monitoring MH - Guidelines as Topic MH - Hospital Bed Capacity, 100 to 299 MH - *Hospitals, Pediatric/st [Standards] MH - Hospitals, Teaching/st [Standards] MH - Retrospective Studies MH - Texas MH - Total Quality Management MH - *Treatment Outcome AB - A case history describes quality improvement initiatives undertaken by the Laboratory, the Pharmacy, and the Department of Nursing at Children's Medical Center in Dallas, Texas, a 266-bed pediatric teaching hospital affiliated with the University of Texas Southwestern Medical School. The initial purpose of the study was to correct problems identified by a retrospective review of randomly selected patient charts. The problems included laboratory schedules for drug assays, the timing and documenting of blood collections, the reporting of toxic results to physicians, and the interpreting of serum drug concentrations. The major changes in the program included increased frequency of testing in the laboratory, educating nurses as to sample collection guidelines, introducing a clinical pharmacy consultation service, daily reporting of all drug levels to the pharmacy from the laboratory computer, and reporting toxic levels to the clinical pharmacist who then notified the physician and offered a consult. The study then began to focus on attempting to monitor the service related to outcome indicators. Outcome data included a comparison of test volumes (15.7% decrease), tests per adjusted patient day (15.4% decrease), and tests per patient day of therapy for aminoglycosides (gentamicin decreased 6.8%) before and after the changes were implemented. Data also included aminoglycoside tests reported as therapeutic and as toxic. Plans for further improvement have been identified and include differentiating peak and trough serum drug concentrations for aminoglycosides, possibly developing protocols for vancomycin and cyclosporine monitoring, continuing to educate laboratory technologists and nurses, and continuing to monitor usage and outcome indicators. IS - 0888-7950 IL - 0888-7950 PT - Journal Article LG - English DP - 1996 Mar-Apr DC - 19960703 YR - 1996 ED - 19960703 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10172600 <971. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8610194 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kochersberger G AU - Clipp EC FA - Kochersberger, G FA - Clipp, E C IN - Kochersberger,G. Department of Veteran Affairs Medical Center, Canandaigua NY, USA. TI - Resident smoking in long-term care facilities--policies and ethics. SO - Public Health Reports. 111(1):66-70, 1996 Jan-Feb. AS - Public Health Rep. 111(1):66-70, 1996 Jan-Feb. NJ - Public health reports (Washington, D.C. : 1974) PI - Journal available in: Print PI - Citation processed from: Print JC - 9716844, qja OI - Source: KIE. 63997 OI - Source: NLM. PMC1381745 OI - Source: NRCBL. 9.5.9 SB - Core Clinical Journals (AIM) SB - Bioethics Journals SB - Index Medicus CP - UNITED STATES MH - Aged MH - *Behavior Control MH - Ethics, Professional MH - Humans MH - *Nursing Homes MH - Organizational Policy MH - Paternalism MH - Patient Advocacy MH - *Patient Rights MH - Personal Autonomy MH - Smoking/ep [Epidemiology] MH - United States MH - United States Department of Veterans Affairs KW - Empirical Approach; Health Care and Public Health; Professional Patient Relationship AB - OBJECTIVE: To characterize smoking behavior, facility policies related smoking, and administrators' views of smoking-related problems in Veterans Affairs nursing home care units nationwide. AB - METHODS: An anonymous mail survey of long-term care facilities was administered to 106 nursing home supervisors at VA Medical Centers with nursing home care units. The response rate was 82%. AB - RESULTS: Administrators from 106 VA nursing home units reported smoking rates ranging from 5% to 80% of long-term care residents, with an average of 22%. Half of the nursing homes had indoor smoking areas. Frequent complaints from nonsmokers about passive smoke exposure were reported in 23% of the nursing homes. The nursing administrators reported that patient safety was their greatest concern. Seventy- eight percent ranked health effects to the smokers themselves a "major concern," while 70% put health effects to exposed nonsmokers in that category. Smoking in the nursing home was described as a "right" by 59% of respondents and a "privilege" by 67%. Some individuals reported that smoking was both a right and a privilege. AB - CONCLUSION: Smoking is relatively common among VA long-term care patients. The promotion of personal autonomy and individual resident rights stressed in the Omnibus Budget Reconciliation Act of 1987 may conflict with administrative concerns about the safety of nursing home smokers and those around them. NT - KIE BoB Subject Heading: behavior control NT - KIE BoB Subject Heading: health NT - KIE BoB Subject Heading: patients' rights NT - Full author name: Kochersberger, Gary NT - Full author name: Clipp, Elizabeth C IS - 0033-3549 IL - 0033-3549 PT - Journal Article LG - English DP - 1996 Jan-Feb DC - 19960529 YR - 1996 ED - 19960529 RD - 20130919 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8610194 <972. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8583274 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Christian A FA - Christian, A IN - Christian,A. Harris Home Health Services, Fort Worth, TX, USA. TI - Home care of the battered pregnant woman: one battered woman's pregnancy. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 24(9):836-42, 1995 Nov-Dec. AS - J Obstet Gynecol Neonatal Nurs. 24(9):836-42, 1995 Nov-Dec. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Female MH - *Home Care Services MH - Humans MH - Male MH - Nursing Assessment MH - Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Prenatal Care MH - Professional-Patient Relations MH - Social Support MH - *Spouse Abuse MH - Substance-Related Disorders/px [Psychology] MH - Treatment Refusal AB - 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. IS - 0884-2175 IL - 0090-0311 PT - Case Reports PT - Journal Article LG - English DP - 1995 Nov-Dec DC - 1996318 YR - 1995 ED - 19960318 RD - 20161020 UP - 20161021 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=8583274 <973. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8583274 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Christian A FA - Christian, A IN - Christian,A. Harris Home Health Services, Fort Worth, TX, USA. TI - Home care of the battered pregnant woman: one battered woman's pregnancy. SO - JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing. 24(9):836-42, 1995 Nov-Dec. AS - J Obstet Gynecol Neonatal Nurs. 24(9):836-42, 1995 Nov-Dec. NJ - Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG PI - Journal available in: Print PI - Citation processed from: Print JC - jg8, 8503123 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Female MH - *Home Care Services MH - Humans MH - Male MH - Nursing Assessment MH - Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Prenatal Care MH - Professional-Patient Relations MH - Social Support MH - *Spouse Abuse MH - Substance-Related Disorders/px [Psychology] MH - Treatment Refusal AB - 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. IS - 0884-2175 IL - 0090-0311 PT - Case Reports PT - Journal Article LG - English DP - 1995 Nov-Dec DC - 19960318 YR - 1995 ED - 19960318 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8583274 <974. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8577618 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coleman EA AU - Coon SK AU - Thompson PJ AU - Lemon SJ AU - Depuy RS FA - Coleman, E A FA - Coon, S K FA - Thompson, P J FA - Lemon, S J FA - Depuy, R S IN - Coleman,E A. College of Nursing, University of Arkansas for Medical Sciences (UAMS), Little Rock, USA. TI - Impact of silicone implants on the lives of women with breast cancer. SO - Oncology Nursing Forum. 22(10):1493-500, 1995 Nov-Dec. AS - Oncol Nurs Forum. 22(10):1493-500, 1995 Nov-Dec. NJ - Oncology nursing forum PI - Journal available in: Print PI - Citation processed from: Print JC - 7809033, pad SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Aged MH - Anger MH - Attitude to Health MH - *Breast Implants/ae [Adverse Effects] MH - *Breast Neoplasms/su [Surgery] MH - Decision Making MH - Female MH - Humans MH - Mammaplasty/nu [Nursing] MH - *Mammaplasty MH - *Mastectomy/rh [Rehabilitation] MH - Middle Aged MH - Patient Education as Topic MH - *Patient Satisfaction MH - Physician-Patient Relations MH - *Silicones MH - Truth Disclosure MH - United States AB - PURPOSE/OBJECTIVES: To describe the impact of silicone implants on the lives of women with breast cancer. AB - DESIGN: Qualitative analysis of telephone interview data. AB - SAMPLE: 120 women from across the United States who have reported to the Food and Drug Administration problems with breast implants following mastectomies. AB - METHODS: Telephone interviews were used to gather responses to 110 questions. Qualitative analysis of narrative data was linked with quantitative data. AB - MAIN RESEARCH VARIABLES: Concerns and feelings about breast implants; potential problems with silicone implants; source of information about problems; how they coped with the silicone implant controversy; problems related to their breast implants; the effect of health problems on day-to-day activities, relationships with significant others, work, and any other important aspects of their lives; and advice they would give other women regarding breast implant surgery. By linking the qualitative analysis of narrative data with quantitative data, the investigators sought to answer the following research question: Do the patterns of responses differ based on specific systemic physical problems, reported localized breast problems, or implant problems? AB - FINDINGS: The women reported poorer quality of life and feelings of worry and anger because of health problems. They perceived they had received incomplete information and often had complaints dismissed by their healthcare providers. Most of them would not recommend silicone implants for patients undergoing mastectomy. The women's levels of satisfaction were directly associated with their feelings of being informed and the type of health problems they experienced. AB - CONCLUSIONS: Women need reconstruction options following mastectomy, however, use of silicone implants can result in additional health problems and decreased quality of life as a result of those problems. AB - IMPLICATIONS FOR NURSING PRACTICE: Nurses can assume the role of breast health educator, which includes counseling women with breast cancer about breast implants and other reconstructive options. Study results will help health providers care both for those patients considering treatment options and those coping with the problems and concerns related to their breast implants. Women should be told the inherent risks and complications associated with breast implants and also told when "we don't know." RN - 0 (Silicones) IS - 0190-535X IL - 0190-535X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. LG - English DP - 1995 Nov-Dec DC - 19960314 YR - 1995 ED - 19960314 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8577618 <975. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8558286 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelley BR FA - Kelley, B R IN - Kelley,B R. Northeastern University College of Nursing, Boston, Massachusetts, USA. TI - Community-based research: a tool for community empowerment and student learning. SO - Journal of Nursing Education. 34(8):384-6, 1995 Nov. AS - J Nurs Educ. 34(8):384-6, 1995 Nov. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Boston MH - Child MH - *Community Health Nursing/ed [Education] MH - *Consumer Participation MH - Humans MH - Manuals as Topic MH - Models, Nursing MH - *Nursing Research/ed [Education] MH - Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Nov DC - 19960227 YR - 1995 ED - 19960227 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8558286 <976. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8537832 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Porter LA AU - Dunbar SB FA - Porter, L A FA - Dunbar, S B IN - Porter,L A. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA. TI - Drug profiles: maximizing therapeutic effectiveness. [Review] [29 refs] SO - Journal of Cardiovascular Nursing. 10(1):64-72, 1995 Oct. AS - J Cardiovasc Nurs. 10(1):64-72, 1995 Oct. NJ - The Journal of cardiovascular nursing PI - Journal available in: Print PI - Citation processed from: Print JC - jcn, 8703516 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Cardiovascular Agents/ad [Administration & Dosage] MH - Cardiovascular Agents/ae [Adverse Effects] MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Drug Monitoring/nu [Nursing] MH - Humans MH - *Myocardial Infarction/nu [Nursing] MH - *Nursing Assessment MH - Patient Compliance MH - Patient Education as Topic MH - Treatment Outcome AB - Major cardiac events are inevitably followed with a pharmacologic plan of therapy for cardiac patients. Careful assessment of the patient's drug regimen is an important aspect of cardiovascular nursing practice. Such assessment will reveal implications for education, compliance counseling, and side effect evaluation. A thorough drug history should include information about both prescription and nonprescription drug use. Assessment for adherence is improved by using supportive, open-ended questions. Assessment for side effects that affect quality of life is important, particularly in the area of sexual dysfunction. Sexual function should be assessed before beginning cardiovascular drug therapy and monitored for changes during treatment. Using principles of chronopharmacology, or therapy based on the time-dependent effects of drugs, nurses can schedule cardiovascular medications and evaluate patient responses in relation to circadian variability in vulnerability and symptoms. Assessment for ease of self-management of the drug regimen should be a particular focus with non-English-speaking patients and those with complex or costly drug regimens. [References: 29] RN - 0 (Cardiovascular Agents) IS - 0889-4655 IL - 0889-4655 PT - Journal Article PT - Review LG - English DP - 1995 Oct DC - 19960206 YR - 1995 ED - 19960206 RD - 20071115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8537832 <977. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8520034 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sagliocca L AU - Mele A AU - Ferrigno L AU - Palumbo F AU - Converti F AU - Tosti ME AU - Amoroso P AU - Manzillo G FA - Sagliocca, L FA - Mele, A FA - Ferrigno, L FA - Palumbo, F FA - Converti, F FA - Tosti, M E FA - Amoroso, P FA - Manzillo, G IN - Sagliocca,L. Regione Campania, Osservatorio Epidemiologico, Napoli, Italy. TI - Case control study of risk factors for hepatitis A: Naples 1990-1991. Hepatitis Collaborating Group. SO - Italian Journal of Gastroenterology. 27(4):181-4, 1995 May. AS - Ital J Gastroenterol. 27(4):181-4, 1995 May. NJ - The Italian journal of gastroenterology PI - Journal available in: Print PI - Citation processed from: Print JC - a9i, 8000544 SB - Index Medicus CP - ITALY MH - Acute Disease MH - Adult MH - Case-Control Studies MH - Child MH - Child Day Care Centers MH - Child, Preschool MH - Hepatitis A/ep [Epidemiology] MH - *Hepatitis A/tm [Transmission] MH - Humans MH - Incidence MH - Infant MH - Italy/ep [Epidemiology] MH - Jaundice/co [Complications] MH - Risk Factors MH - Shellfish MH - Substance Abuse, Intravenous MH - Time Factors MH - Travel AB - 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. IS - 0392-0623 IL - 0392-0623 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 May DC - 19960124 YR - 1995 ED - 19960124 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8520034 <978. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7501509 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Day M FA - Day, M TI - Agony and ecstasy. SO - Nursing Times. 91(44):14-5, 1995 Nov 1-7. AS - Nurs Times. 91(44):14-5, 1995 Nov 1-7. NJ - Nursing times PI - Journal available in: Print PI - Citation processed from: Print JC - 0423236, o9u SB - Nursing Journal CP - ENGLAND MH - Clinical Competence/st [Standards] MH - *Education, Nursing/st [Standards] MH - Great Britain/ep [Epidemiology] MH - Humans MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] IS - 0954-7762 IL - 0954-7762 PT - News LG - English DP - 1995 Nov 1-7 DC - 19960118 YR - 1995 ED - 19960118 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7501509 <979. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7499053 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gournay K FA - Gournay, K IN - Gournay,K. Middlesex University, Enfield, UK. TI - Mental health nurses working purposefully with people with serious and enduring mental illness--an international perspective. [Review] [68 refs] SO - International Journal of Nursing Studies. 32(4):341-52, 1995 Aug. AS - Int J Nurs Stud. 32(4):341-52, 1995 Aug. NJ - International journal of nursing studies PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 SB - Index Medicus SB - Nursing Journal CP - ENGLAND MH - Behavior Therapy MH - Case Management MH - Community Health Services/og [Organization & Administration] MH - *Community Health Services/td [Trends] MH - Family Therapy MH - Great Britain MH - Humans MH - Mental Disorders/dt [Drug Therapy] MH - *Mental Disorders/nu [Nursing] MH - Mental Disorders/rh [Rehabilitation] MH - Psychiatric Nursing/ed [Education] MH - *Psychiatric Nursing/td [Trends] MH - United States AB - There has been a world-wide refocus on people with serious and enduring mental health problems. This has provided major challenges for all those involved in mental health care, as the last two decades have produced radical changes in service delivery and a range of new interventions. Mental health nurses are playing a central role as community based clinical case managers and are beginning to use a range of psychosocial interventions. They are also revitalizing skills in the more traditional areas of medication management and residential care. In addition, there are growing problems of substance abuse and violence which needs to be addressed. Mental health nursing is responding in this new era by various training initiatives. However, these programmes need rapid expansion as mental health nurses will continue to play a key role in the services of the future and therefore need these new skills. [References: 68] IS - 0020-7489 IL - 0020-7489 PT - Journal Article PT - Review LG - English DP - 1995 Aug DC - 19960117 YR - 1995 ED - 19960117 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7499053 <980. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7472640 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Church OM AU - Babor TF FA - Church, O M FA - Babor, T F IN - Church,O M. University of Connecticut School of Nursing, Storrs, USA. TI - Barriers and breakthroughs: substance abuse curricula in nursing education. SO - Journal of Nursing Education. 34(6):278-81, 1995 Sep. AS - J Nurs Educ. 34(6):278-81, 1995 Sep. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing, Baccalaureate/og [Organization & Administration] MH - Faculty, Nursing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - *Nursing Education Research/og [Organization & Administration] MH - Program Development MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] MH - Training Support IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - ADM 281-88-0007 (United States ADAMHA HHS) NO - P50-AA3510 (United States NIAAA NIH HHS) LG - English DP - 1995 Sep DC - 19951215 YR - 1995 ED - 19951215 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7472640 <981. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7487170 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gerace LM AU - Hughes TL AU - Spunt J FA - Gerace, L M FA - Hughes, T L FA - Spunt, J IN - Gerace,L M. University of Illinois, Chicago College of Nursing, Rockford Regional Program 61107, USA. TI - Improving nurses' responses toward substance-misusing patients: a clinical evaluation project. SO - Archives of Psychiatric Nursing. 9(5):286-94, 1995 Oct. AS - Arch Psychiatr Nurs. 9(5):286-94, 1995 Oct. NJ - Archives of psychiatric nursing PI - Journal available in: Print PI - Citation processed from: Print JC - 6yr, 8708534, 8708535 SB - Index Medicus SB - Nursing Journal CP - UNITED STATES MH - Adult MH - Clinical Competence MH - *Education, Nursing, Continuing/og [Organization & Administration] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Longitudinal Studies MH - Male MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Program Development MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 0883-9417 IL - 0883-9417 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. NO - HHS 75-08-3885 (United States AHRQ HHS) LG - English DP - 1995 Oct DC - 19951208 YR - 1995 ED - 19951208 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7487170 <982. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7580073 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McLaughlin C FA - McLaughlin, C TI - Counselling the overdose patient in casualty. SO - British Journal of Nursing. 4(12):688-90, 707-8, 1995 Jun 22-Jul 12. AS - Br J Nurs. 4(12):688-90, 707-8, 1995 Jun 22-Jul 12. NJ - British journal of nursing (Mark Allen Publishing) PI - Journal available in: Print PI - Citation processed from: Print JC - big, 9212059 SB - Nursing Journal CP - ENGLAND MH - Adult MH - Attitude of Health Personnel MH - Clinical Competence MH - *Counseling/mt [Methods] MH - *Drug Overdose/nu [Nursing] MH - Emergency Nursing/ed [Education] MH - *Emergency Nursing/st [Standards] MH - Humans MH - Nursing Staff, Hospital/ed [Education] MH - *Nursing Staff, Hospital/px [Psychology] MH - Self-Evaluation Programs MH - *Suicide, Attempted/pc [Prevention & Control] MH - Surveys and Questionnaires AB - This article investigates the competency of casualty nurses in counselling overdose patients. Significant differences exist between nurses' competence in counselling an overdose patient as opposed to other patients. Examination of a study raises doubts concerning the casualty nurse's competence in counselling overdose patients. Its implications for theory and practice are outlined. IS - 0966-0461 IL - 0966-0461 PT - Journal Article LG - English DP - 1995 Jun 22-Jul 12 DC - 19951207 YR - 1995 ED - 19951207 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7580073 <983. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7552444 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dimond B FA - Dimond, B TI - Dilemmas in practice: the pregnant drug user. SO - Modern Midwife. 5(9):34, 1995 Sep. AS - Mod. Midwife. 5(9):34, 1995 Sep. NJ - Modern midwife PI - Journal available in: Print PI - Citation processed from: Print JC - 9443126 SB - Nursing Journal CP - ENGLAND MH - Child Welfare/lj [Legislation & Jurisprudence] MH - Female MH - Great Britain MH - Humans MH - Infant, Newborn MH - *Nurse Midwives/lj [Legislation & Jurisprudence] MH - Pregnancy MH - *Pregnancy Complications/nu [Nursing] MH - *Students, Nursing/lj [Legislation & Jurisprudence] MH - *Substance-Related Disorders/nu [Nursing] IS - 0963-276X IL - 0963-276X PT - Journal Article LG - English DP - 1995 Sep DC - 19951109 YR - 1995 ED - 19951109 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7552444 <984. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7574224 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrell BA FA - Ferrell, B A IN - Ferrell,B A. University of California, Los Angeles, School of Medicine, USA. TI - Pain evaluation and management in the nursing home. [Review] [75 refs] SO - Annals of Internal Medicine. 123(9):681-7, 1995 Nov 1. AS - Ann Intern Med. 123(9):681-7, 1995 Nov 1. NJ - Annals of internal medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Analgesics/tu [Therapeutic Use] MH - Drug Prescriptions MH - *Homes for the Aged MH - Humans MH - *Nursing Homes MH - Pain/ep [Epidemiology] MH - *Pain/pc [Prevention & Control] MH - Pain Management MH - Prevalence MH - United States/ep [Epidemiology] AB - As many as 45% to 80% of nursing home residents have pain that contributes materially to functional impairment and decreased quality of life. Substantial barriers, including a high frequency of dementia, multiple pain problems, and increased sensitivity to drug side effects often make pain assessment and management more difficult in the nursing home setting. Logistic problems in carrying out diagnostic procedures and management interventions are also common. Pain can be alleviated in nursing homes through the careful use of analgesic drugs combined with nonpharmacologic strategies, including exercise programs and other physical therapies. Elderly nursing home residents are more sensitive to the side effects associated with many analgesic drugs, but this does not justify the failure to treat pain, especially in those who are terminally ill or near the end of life. Structured programs for routine pain assessment and treatment are needed. Physician involvement in pain assessment and management is necessary if pain control is to be improved for nursing home patients. [References: 75] RN - 0 (Analgesics) IS - 0003-4819 IL - 0003-4819 PT - Journal Article PT - Review LG - English DP - 1995 Nov 1 DC - 19951107 YR - 1995 ED - 19951107 RD - 20111117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7574224 <985. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7672074 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bergamaschi A AU - Zanetti F AU - Stampi S AU - De Luca G FA - Bergamaschi, A FA - Zanetti, F FA - Stampi, S FA - De Luca, G IN - Bergamaschi,A. Institute of Hygiene, University of Bologna, Italy. TI - Consumption, behaviour and knowledge with respect to alcoholic drinks in student nurses in the province of Bologna, Italy. SO - European Journal of Epidemiology. 11(2):185-91, 1995 Apr. AS - Eur J Epidemiol. 11(2):185-91, 1995 Apr. NJ - European journal of epidemiology PI - Journal available in: Print PI - Citation processed from: Print JC - ere, 8508062 SB - Index Medicus CP - NETHERLANDS MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Alcoholic Beverages/ae [Adverse Effects] MH - *Alcoholic Beverages MH - Alcoholic Intoxication/et [Etiology] MH - Attitude to Health MH - Beer/ae [Adverse Effects] MH - Ethanol/ad [Administration & Dosage] MH - Ethanol/ae [Adverse Effects] MH - Family MH - Female MH - Health Behavior MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Italy MH - Male MH - Mass Media MH - Risk Factors MH - Sex Factors MH - Smoking MH - *Students, Nursing MH - Wine/ae [Adverse Effects] AB - 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, l'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. RN - 3K9958V90M (Ethanol) IS - 0393-2990 IL - 0393-2990 PT - Journal Article LG - English DP - 1995 Apr DC - 19951019 YR - 1995 ED - 19951019 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7672074 <986. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7662056 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waldrop RD AU - Mandry C FA - Waldrop, R D FA - Mandry, C IN - Waldrop,R D. Department of Emergency Medicine, Earl K. Long Medical Center, Baton Rouge, LA 70805, USA. TI - Health professional perceptions of opioid dependence among patients with pain. SO - American Journal of Emergency Medicine. 13(5):529-31, 1995 Sep. AS - Am J Emerg Med. 13(5):529-31, 1995 Sep. NJ - The American journal of emergency medicine PI - Journal available in: Print PI - Citation processed from: Print JC - aa2, 8309942 SB - Index Medicus CP - UNITED STATES MH - Analysis of Variance MH - *Anemia, Sickle Cell/pp [Physiopathology] MH - *Attitude of Health Personnel MH - Emergency Service, Hospital MH - Humans MH - *Narcotics MH - *Pain/dt [Drug Therapy] MH - *Personnel, Hospital/px [Psychology] MH - *Substance-Related Disorders AB - The purpose of this study was to determine the percentage of patients perceived by health professionals to be opioid dependent among all patients presenting with pain and specifically among sickle cell patients with pain. Surveys were completed by all staff, residents, and nurses at an urban teaching hospital with an emergency department population consisting primarily of lower socioeconomic patients of African-American origin. The surveys requested a percentage estimate of all pain patients and sickle cell patients with pain presenting to this hospital who they perceived to be opioid dependent. The estimated percentage of opioid dependent patients presenting to the emergency department with pain was 4% for staff (P < .05, n = 14), 9% for residents (n = 31), and 7% for nurses (n = 41), and the estimates for sickle cell patients presenting with pain only were 8%, 17%, and 13% respectively (P < .05). All health professional groups surveyed estimated opioid dependence in patients with pain far in excess of that shown in previous studies. It is unknown whether pain medication are withheld inappropriately by physicians who perceived patients with pain to be opioid dependent, and that this deserved further study especially among sickle cell patients. RN - 0 (Narcotics) IS - 0735-6757 IL - 0735-6757 PT - Comparative Study PT - Journal Article LG - English DP - 1995 Sep DC - 19951006 YR - 1995 ED - 19951006 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7662056 <987. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7633338 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wasson D AU - Anderson MA FA - Wasson, D FA - Anderson, M A TI - Chemical dependency and adolescent self-esteem. SO - Clinical Nursing Research. 4(3):274-89, 1995 Aug. AS - Clin Nurs Res. 4(3):274-89, 1995 Aug. NJ - Clinical nursing research PI - Journal available in: Print PI - Citation processed from: Print JC - 9208508, bnz SB - Nursing Journal CP - UNITED STATES MH - Adolescent MH - Case-Control Studies MH - Female MH - Humans MH - Male MH - *Psychology, Adolescent MH - *Self Concept MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - The purpose of this descriptive study is to determine whether self-esteem differs between chemically dependent adolescents and adolescents from the general high school population. The Self-Esteem Inventory (Coopersmith, 1987) was completed by 119 adolescents (31 inpatient, 31 aftercare, and 57 general high school students) aged 13 to 18. Findings suggest that inpatient, chemically dependent adolescents have lower self-esteem than the other two groups. For the chemically dependent adolescent, nursing case management with communication among and between health care providers, school professionals, and family may facilitate successful, long-term recovery. For adolescents at risk for development of chemical dependence, nursing health promotion behaviors, such as early assessment and implementation of self-esteem-building activities, may assist in prevention of chemical dependency. IS - 1054-7738 IL - 1054-7738 PT - Journal Article LG - English DP - 1995 Aug DC - 19950914 YR - 1995 ED - 19950914 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7633338 <988. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7623297 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bennett JB AU - Scholler-Jaquish A FA - Bennett, J B FA - Scholler-Jaquish, A IN - Bennett,J B. New Outlook, Glass Substance Abuse Program, Baltimore, MD, USA. TI - The winner's group: a self-help group for homeless chemically dependent persons. SO - Journal of Psychosocial Nursing & Mental Health Services. 33(4):14-9, 1995 Apr. AS - J Psychosoc Nurs Ment Health Serv. 33(4):14-9, 1995 Apr. NJ - Journal of psychosocial nursing and mental health services PI - Journal available in: Print PI - Citation processed from: Print JC - juw, 8200911 SB - Index Medicus SB - Nursing Journal SB - AIDS/HIV Journals CP - UNITED STATES MH - Adult MH - Alcoholism/nu [Nursing] MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Baltimore MH - Education, Nursing MH - Female MH - HIV Seropositivity/nu [Nursing] MH - HIV Seropositivity/px [Psychology] MH - HIV Seropositivity/rh [Rehabilitation] MH - *Homeless Persons/px [Psychology] MH - Humans MH - Male MH - Motivation MH - Nurse-Patient Relations MH - Psychiatric Nursing/ed [Education] MH - *Self-Help Groups MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - The homeless chemically addicted person presents many unique problems that cannot be addressed in standard treatment programs. Homeless clients are difficult to track and are not consistent in follow-up care. The health and mental health conditions found in this population are straining the resources of drug treatment programs, hospitals, the criminal justice system, and social agencies that serve the homeless (Bassuck, 1991). The Winner's Group located in an inner city soup kitchen demonstrates the adaptability and flexibility of nursing practice. The nurses exhibited creativity in developing methods to meet the diverse needs of homeless chemically addicted persons. The goals and objective that were achieved were neither successes nor failures, they were reflections of efforts to make lifestyle changes. Some of those persons responded in a very positive manner, while others continued to deteriorate. An overall desire was to instill a seed of hope and knowledge that there is always a potential for change and that recovery from chemical dependency is possible. Nurses who work with the homeless must be knowledgeable and realistic about the impact and importance of substance abuse. Nontraditional programs that meet the unique needs of a particular setting and a particular population can provide an opportunity to gain access to health care providers. IS - 0279-3695 IL - 0279-3695 PT - Journal Article LG - English DP - 1995 Apr DC - 19950831 YR - 1995 ED - 19950831 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7623297 <989. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7606036 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Foley KM FA - Foley, K M IN - Foley,K M. Memorial Sloan-Kettering Cancer Center, New York, NY 10021, USA. TI - Misconceptions and controversies regarding the use of opioids in cancer pain. [Review] [97 refs] SO - Anti-Cancer Drugs. 6 Suppl 3:4-13, 1995 Apr. AS - Anticancer Drugs. 6 Suppl 3:4-13, 1995 Apr. NJ - Anti-cancer drugs PI - Journal available in: Print PI - Citation processed from: Print JC - a9f, 9100823 SB - Index Medicus CP - ENGLAND MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/pd [Pharmacology] MH - Humans MH - *Neoplasms/pp [Physiopathology] MH - *Pain/dt [Drug Therapy] AB - The WHO has created a Cancer Pain Relief Programme and developed guidelines for the treatment of cancer pain. Implementation of the analgesic guidelines, assurance of drug availability (specifically opioids), education of healthcare professionals, and designating cancer pain as a priority for all national cancer control programmes are the major goals. Recent studies of medical students, physicians, nurses and state medical boards demonstrate a significant lack of knowledge with regard to the theoretical and practical understanding of the use of analgesic drugs, particularly opioids, in the management of cancer pain. Communication between physicians and patients about pain symptoms has also been shown to be problematic. Limited availability of opioids, their excessive regulation, and the lack of use of alternatives to systemic analgesics also prevent adequate management. Although analgesic drug therapy is the mainstay of treatment, opioid use remains a controversial issue. Some of the controversies include their role in the management of neuropathic pain, which has been suggested to be 'opioid-resistant', as well as the choice of opioid drug. A third controversy is the route of administration. The impetus for the development of novel routes has come from the goals of maximising analgesia, minimising side effects, and providing convenient dosing schedules for patients who require parenteral administration. Other important controversial issues are the development of tolerance and the relationship of pain management to patient requests for physician-assisted suicide and euthanasia. [References: 97] RN - 0 (Analgesics, Opioid) IS - 0959-4973 IL - 0959-4973 PT - Journal Article PT - Review LG - English DP - 1995 Apr DC - 19950817 YR - 1995 ED - 19950817 RD - 20051116 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7606036 <990. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7794463 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korotkov Y AU - Potechina M AU - Tcherniavski V FA - Korotkov, Y FA - Potechina, M FA - Tcherniavski, V IN - Korotkov,Y. Unit of Primary Health Care, Research Public Health Institute MedSocEconInform, Ministry of Health, Moscow, Russia. TI - General practitioners for primary health care in Russia. SO - World Health Forum. 16(2):187-9, 1995. AS - World Health Forum. 16(2):187-9, 1995. NJ - World health forum PI - Journal available in: Print PI - Citation processed from: Print JC - 8010746, ad2 OI - Source: PIP. 105777 OI - Source: POP. 00244040 SB - Index Medicus SB - Population Information Citations CP - SWITZERLAND MH - Curriculum MH - Family Practice/ec [Economics] MH - Family Practice/ed [Education] MH - *Family Practice MH - *Health Care Reform MH - *Primary Health Care/og [Organization & Administration] MH - Russia MH - Salaries and Fringe Benefits KW - *Advisory Services; Delivery Of Health Care; Developed Countries; Eastern Europe; Education; Europe; Health; Health Personnel; Health Services; Medicine; *Organization And Administration; *Physicians; *Preventive Medicine; *Primary Health Care; Russia; *Training Programs AB - General practice is being introduced into the Russian health system to bolster primary care. The main features of this undertaking are outlined below. OA - PIP: In Russia general practitioners are expected to be involved in the treatment and the prevention of the commonest diseases, and the coordination of the activities of nurses, midwives, and social workers. Primary health care will receive special dispensation in the restructuring of Russia's health care system. In 1992 the Ministry of Health issued an order dealing with the organization of primary health care on the basis of general practice. Regulations govern the work of both general practitioners and nurses, their qualifications, curricula, training, equipment, and facilities. Regional programs were designed so that each general practitioner would serve between 1200 and 1500 people. Among the duties were provision of primary health care, preventive medicine, community work, and certification. The curriculum for general practice consists of 1400 hours of training of in each of two successive years in internal medicine, surgery, obstetrics and gynecology, pediatrics, communicable diseases, urology, psychiatry, emergency care, and other fields. Staff development will also receive priority attention. The vocational preparation may take place over a period of 2-3 years in a degree course, or postgraduate training and requalification may be required. The best results have been obtained with a mixture of distance learning for 1.5 years and full-time training for up to 6 months. A practice may include one or more doctors, who may have contracts with insurance companies or local authorities, carrying out their work in polyclinics and health centers. Their income consists of basic salary, fees, payment for student training, and allowances from the social welfare system. Particularly important functions of general practitioners are the care of the elderly, the disabled, pregnant women, and large families; promotion; monitoring of alcohol and drug abuse patients; treating psychosocial disorders; and health promotion with lifestyle change. Advisory services, record keeping, and community councils should adequately support this work.; Language: English NT - TJ: WORLD HEALTH FORUM. IS - 0251-2432 IL - 0251-2432 PT - Journal Article LG - English DP - 1995 DC - 19950802 YR - 1995 ED - 19950802 RD - 20021004 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7794463 <991. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7596239 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDuff DR AU - Tommasello AC AU - Hoffman KJ AU - Johnson JL FA - McDuff, D R FA - Tommasello, A C FA - Hoffman, K J FA - Johnson, J L IN - McDuff,D R. Division of alcohol and drug abuse, University of Maryland School of Medicine, USA. TI - Addictions training for physicians and other licensed health care professionals in Maryland. SO - Maryland Medical Journal. 44(6):453-9, 1995 Jun. AS - Md Med J. 44(6):453-9, 1995 Jun. NJ - Maryland medical journal (Baltimore, Md. : 1985) PI - Journal available in: Print PI - Citation processed from: Print JC - man, 8506985 SB - Index Medicus CP - UNITED STATES MH - *Alcoholism/th [Therapy] MH - *Education, Medical MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - *Substance-Related Disorders/th [Therapy] AB - Physicians and other health care providers have multiple opportunities in the course of a typical practice year to identify and treat individuals who abuse alcohol and other drugs. Although substance abuse is very common in clinical practice, providers routinely fail to intervene in a timely fashion due to negative attitudes, incomplete knowledge, and poorly developed practice skills. Over the past ten years, addictions training of licensed health care providers nationally and in Maryland has improved significantly. This article describes recent national training trends and current educational programs statewide for medical students, physicians in residency and fellowship programs, and licensed providers in dentistry, nursing, pharmacy, psychology, and social work. Several strategies for improving professional training in addictions in the future are discussed and the importance of shifting to an interprofessional training model is emphasized. IS - 0886-0572 IL - 0886-0572 PT - Journal Article LG - English DP - 1995 Jun DC - 19950728 YR - 1995 ED - 19950728 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7596239 <992. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7790126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller P AU - Plant M AU - Plant M AU - Duffy J FA - Miller, P FA - Plant, M FA - Plant, M FA - Duffy, J IN - Miller,P. Department of Psychiatry, University of Edinburgh, Scotland, United Kingdom. TI - Alcohol, tobacco, illicit drugs, and sex: an analysis of risky behaviors among young adults. SO - International Journal of the Addictions. 30(3):239-58, 1995 Feb. AS - Int J Addict. 30(3):239-58, 1995 Feb. NJ - The International journal of the addictions PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism MH - Great Britain/ep [Epidemiology] MH - Humans MH - Male MH - Middle Aged MH - Nurses MH - *Risk-Taking MH - *Sexual Behavior MH - *Street Drugs MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder AB - This paper reexamines data from two previous surveys. It looks at self-reported alcohol, tobacco, and illicit drug use and sexual risk-taking among three subgroups of young adults. All subjects (N = 1,387) were aged 20-30. The samples consisted of nurses in the Lothian Region, and residents in Muirhouse (Edinburgh) and Easterhouse (Glasgow). Factor analysis revealed that risk-taking behavior was neither entirely general nor entirely specific. Although there was some tendency for a risk-taker in one area to be a risk-taker in others, five fairly distinct types of risk-taking could be distinguished. These included sexual risk-taking, illicit use of drugs, and excessive alcohol consumption. The samples differed in the extent to which they indulged in the different types of risk-taking, and various other predictors of these behaviors were found. Different patterns of association emerged in relation to specific subgroups of respondents. RN - 0 (Street Drugs) IS - 0020-773X IL - 0020-773X PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Feb DC - 19950727 YR - 1995 ED - 19950727 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7790126 <993. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7773842 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flanders KL AU - Pfeiffer J AU - Ryan VH FA - Flanders, K L FA - Pfeiffer, J FA - Ryan, V H TI - Survey of addiction education of Iowa nursing students. SO - Perspectives on Addictions Nursing. 5(3):5-6, 1994. AS - Perspect Addict Nurs. 5(3):5-6, 1994. NJ - Perspectives on addictions nursing : a publication of the National Nurses Society on Addictions PI - Journal available in: Print PI - Citation processed from: Print JC - cdn, 9302030 SB - Nursing Journal CP - UNITED STATES MH - *Curriculum MH - *Education, Nursing MH - Humans MH - Iowa MH - Schools, Nursing MH - Students, Nursing MH - *Substance-Related Disorders/nu [Nursing] MH - Surveys and Questionnaires IS - 1057-1639 IL - 1057-1639 PT - Journal Article LG - English DP - 1994 DC - 19950713 YR - 1994 ED - 19950713 RD - 20151119 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7773842 <994. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7770158 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Asteriadis M AU - Davis V AU - Masoodi J AU - Miller M FA - Asteriadis, M FA - Davis, V FA - Masoodi, J FA - Miller, M TI - Chemical impairment of nursing students: a comprehensive policy and procedure. SO - Nurse Educator. 20(2):19-22, 1995 Mar-Apr. AS - Nurse Educ. 20(2):19-22, 1995 Mar-Apr. NJ - Nurse educator PI - Journal available in: Print PI - Citation processed from: Print JC - oau, 7701902 SB - Nursing Journal CP - UNITED STATES MH - Humans MH - Organizational Policy MH - Program Development MH - *Schools, Nursing/og [Organization & Administration] MH - *Students, Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0363-3624 IL - 0363-3624 PT - Journal Article LG - English DP - 1995 Mar-Apr DC - 19950706 YR - 1995 ED - 19950706 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7770158 <995. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7767424 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hofkosh D AU - Pringle JL AU - Wald HP AU - Switala J AU - Hinderliter SA AU - Hamel SC FA - Hofkosh, D FA - Pringle, J L FA - Wald, H P FA - Switala, J FA - Hinderliter, S A FA - Hamel, S C IN - Hofkosh,D. Department of Pediatrics, University of Pittsburgh, School of Medicine, Pa, USA. TI - Early interactions between drug-involved mothers and infants. Within-group differences. SO - Archives of Pediatrics & Adolescent Medicine. 149(6):665-72, 1995 Jun. AS - Arch Pediatr Adolesc Med. 149(6):665-72, 1995 Jun. NJ - Archives of pediatrics & adolescent medicine PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - Child Development MH - *Cocaine MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - *Maternal Behavior MH - Maternal Welfare MH - *Mother-Child Relations MH - *Mothers MH - Neonatal Screening MH - Pregnancy MH - *Prenatal Exposure Delayed Effects MH - Prospective Studies MH - *Substance-Related Disorders/co [Complications] AB - OBJECTIVE: To explore differences in maternal characteristics, mother-infant interaction, and infant development within a group of women who used cocaine, alcohol, and tobacco during pregnancy and their infants. AB - DESIGN: Prospective survey. AB - SETTING: Countywide, voluntary, home-based clinical intervention program. AB - PARTICIPANTS: Thirty-two mother-infant pairs identified through a risk-assessment screen who participated in the program for 1 year. AB - VARIABLES: Maternal characteristics, neonatal characteristics, interactional measures (Nursing Child Assessment Feeding Scale and Home Observation for Measurement of the Environment scale), and developmental assessment (Bayley Scales of Infant Development at 1 year). AB - RESULTS: The majority of women were black, single, and unemployed. Fifteen (47%) of the infants were born prematurely; four (13%) were small for gestational age. Mean Bayley Scales of Infant Development scores were as follows: the mental development index was 99.8, and the psychomotor development index was 102.4. Older mothers (r = .41, P = .04), mothers of higher parity (r = .42, P = .02), and mothers who were more actively involved in the program (r = .41, P = .04) had higher scores on the Nursing Child Assessment Satellite Training Feeding Scale. Mothers who were better educated (r = .49, P = .009) and mothers who were more active in the program (r = .44, P = .02) had higher scores on the Home Observation for Measurement of the Environment scale. Several of the subscales of the Home Observation for Measurement of the Environment scale were significantly associated with scores on the Bayley Scales of Infant Development. AB - CONCLUSIONS: For this group of substance-exposed infants whose mothers were receiving support services, developmental skills at 1 year were age appropriate. Despite drug abuse and poverty, there was some variability in the ability of mothers to provide a developmentally supportive environment for their infants. Those who were better organized to support infant development had infants who performed better on global developmental assessments. RN - I5Y540LHVR (Cocaine) IS - 1072-4710 IL - 1072-4710 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Jun DC - 19950630 YR - 1995 ED - 19950630 RD - 20131121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7767424 <996. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7756035 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Talashek ML AU - Gerace LM AU - Miller AG AU - Lindsey M FA - Talashek, M L FA - Gerace, L M FA - Miller, A G FA - Lindsey, M TI - Family nurse practitioner clinical competencies in alcohol and substance use. SO - Journal of the American Academy of Nurse Practitioners. 7(2):57-63, 1995 Feb. AS - J Am Acad Nurse Pract. 7(2):57-63, 1995 Feb. NJ - Journal of the American Academy of Nurse Practitioners PI - Journal available in: Print PI - Citation processed from: Print JC - ase, 8916634 SB - Nursing Journal CP - UNITED STATES MH - *Alcoholism/nu [Nursing] MH - *Clinical Competence/st [Standards] MH - Curriculum MH - Education, Nursing, Graduate MH - *Family Practice/ed [Education] MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/nu [Nursing] AB - 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. IS - 1041-2972 IL - 1041-2972 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. NO - AA07487-0251 (United States NIAAA NIH HHS) NO - SRD(33)3-TO1 (United States PHS HHS) LG - English DP - 1995 Feb DC - 19950629 YR - 1995 ED - 19950629 RD - 20071114 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7756035 <997. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7749482 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naegle MA FA - Naegle, M A TI - Prescription drugs and nursing education: knowledge gaps and implications for role performance. SO - Journal of Law, Medicine & Ethics. 22(3):257-61, 1994. AS - J Law Med Ethics. 22(3):257-61, 1994. NJ - The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics PI - Journal available in: Print PI - Citation processed from: Print JC - bv9, 9315583 SB - Nursing Journal CP - UNITED STATES MH - American Nurses' Association MH - Curriculum MH - *Drug Prescriptions MH - *Education, Nursing MH - Humans MH - *Nurse Practitioners/ed [Education] MH - Psychiatric Nursing/ed [Education] MH - *Substance-Related Disorders/nu [Nursing] MH - United States IS - 1073-1105 IL - 1073-1105 PT - Journal Article LG - English DP - 1994 DC - 19950622 YR - 1994 ED - 19950622 RD - 20081121 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7749482 <998. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7752295 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corse SJ AU - McHugh MK AU - Gordon SM FA - Corse, S J FA - McHugh, M K FA - Gordon, S M IN - Corse,S J. Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA. TI - Enhancing provider effectiveness in treating pregnant women with addictions. SO - Journal of Substance Abuse Treatment. 12(1):3-12, 1995 Jan-Feb. AS - J Subst Abuse Treat. 12(1):3-12, 1995 Jan-Feb. NJ - Journal of substance abuse treatment PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 SB - Index Medicus CP - UNITED STATES MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - Female MH - Humans MH - Infant, Newborn MH - Inservice Training MH - Medical Assistance MH - Midwifery/ed [Education] MH - Neonatal Abstinence Syndrome/pc [Prevention & Control] MH - *Patient Care Team MH - Pregnancy MH - Pregnancy Complications/pc [Prevention & Control] MH - *Pregnancy Complications/rh [Rehabilitation] MH - *Prenatal Care MH - *Psychotropic Drugs MH - *Street Drugs MH - Substance Abuse Detection MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Suburban Population MH - Treatment Outcome AB - Prenatal care providers can play an important role in identifying, intervening in, and making referrals for substance abuse problems among pregnant women. Although studies suggest that most addicted persons who need treatment do not receive it, innovative methods such as the one described here can help increase the number of pregnant women who engage in treatment, with likely benefits to the client, her unborn baby, and other children whom she may parent. A qualitative study of the implementation of an innovative model to prevent and treat substance abuse among pregnant women is presented. The study took place in a prenatal clinic staffed by nurse-midwives in a dense suburb serving a population largely covered by Medical Assistance. Results indicate that education, training, and structural changes in care delivery led to changes in the attitudes and behaviors of nurse-midwives toward pregnant addicted women and increased their effectiveness. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English DP - 1995 Jan-Feb DC - 19950621 YR - 1995 ED - 19950621 RD - 20061115 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7752295 <999. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7748378 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schmoke KL FA - Schmoke, K L TI - Medicalizing the war on drugs. CM - Comment in: Acad Med. 1995 Dec;70(12):1059; PMID: 7495444 SO - Academic Medicine. 70(5):355-8, 1995 May. AS - Acad Med. 70(5):355-8, 1995 May. NJ - Academic medicine : journal of the Association of American Medical Colleges PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - UNITED STATES MH - *Drug and Narcotic Control MH - Humans MH - Public Policy MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - 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.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 1040-2446 IL - 1040-2446 PT - Journal Article LG - English DP - 1995 May DC - 19950620 YR - 1995 ED - 19950620 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7748378 <1000. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7736304 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Church OM FA - Church, O M TI - When do we say when? Reflections and reexamination of nursing's response to addictive behaviors. SO - AACN Clinical Issues. 6(1):47-52, 1995 Feb. AS - AACN Clin Issues. 6(1):47-52, 1995 Feb. NJ - AACN clinical issues PI - Journal available in: Print PI - Citation processed from: Print JC - 9508191, cdm SB - Nursing Journal CP - UNITED STATES MH - *Attitude of Health Personnel MH - Education, Nursing MH - *Health Priorities MH - Humans MH - *Nursing MH - Politics MH - *Substance-Related Disorders/nu [Nursing] IS - 1079-0713 IL - 1079-0713 PT - Journal Article LG - English DP - 1995 Feb DC - 19950608 YR - 1995 ED - 19950608 RD - 20041117 UP - 20151216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7736304