<1. > 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 <2. > 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 <3. > 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 <4. > 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 <5. > 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 <6. > 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 <7. > 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 <8. > 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 <9. > 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 <10. > 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 <11. > 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 <12. > 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 <13. > 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 <14. > 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 <15. > 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 <16. > 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 <17. > 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 <18. > 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 <19. > 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 <20. > 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 <21. > 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 <22. > 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 <23. > 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 <24. > 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 <25. > 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 <26. > 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 <27. > 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 <28. > 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 <29. > 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 <30. > 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 <31. > 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 <32. > 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 <33. > 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 <34. > 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 - P30 CA016056 (United States NCI NIH HHS) NO - P30 CA046592 (United States NCI NIH 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 - 20160310 UP - 20160314 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25928792 <35. > 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 <36. > 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 <37. > 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 <38. > 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 <39. > 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 <40. > 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 <41. > 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 / 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 RD - 20160208 UP - 20160209 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=25851187 <42. > 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 <43. > 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 <44. > 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 - Sweden 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. ES - 2001-8525 IL - 2001-8525 DO - http://dx.doi.org/10.3402/ecrj.v2.27915 PT - Journal Article LG - English EP - 20150807 DP - 2015 DC - 20151217 YR - 2015 ED - 20151217 RD - 20151219 UP - 20151221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26672958 <45. > 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 <46. > 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 <47. > 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 <48. > 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 <49. > 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 <50. > 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 <51. > 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 <52. > 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 <53. > 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 <54. > 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 <55. > 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 <56. > 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 <57. > 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 <58. > 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 <59. > 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 <60. > 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 <61. > 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 <62. > 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 <63. > 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 <64. > 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 <65. > 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 <66. > 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 <67. > 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 <68. > 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 <69. > 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 <70. > 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 <71. > 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 <72. > 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 <73. > 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 <74. > 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 <75. > 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 <76. > 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 <77. > 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 <78. > 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 <79. > 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 <80. > 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 <81. > 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 <82. > 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 <83. > 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 <84. > 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 <85. > 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 <86. > 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 <87. > 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 <88. > 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 <89. > 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 <90. > 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 <91. > 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 <92. > 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 <93. > 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 <94. > 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 <95. > 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 <96. > 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 <97. > 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 <98. > 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 <99. > 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 <100. > 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 <101. > 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 <102. > 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 <103. > 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 <104. > 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 <105. > 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 <106. > 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 <107. > 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 <108. > 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 <109. > 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 <110. > 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 <111. > 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 <112. > 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 <113. > 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 <114. > 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 <115. > 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 <116. > 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 <117. > 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 <118. > 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 <119. > 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 <120. > 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 <121. > 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 <122. > 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 <123. > 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 <124. > 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 <125. > 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 <126. > 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 <127. > 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 <128. > 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 <129. > 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 <130. > 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 <131. > 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 <132. > 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 <133. > 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 <134. > 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 <135. > 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 <136. > 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 <137. > 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 <138. > 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 <139. > 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 <140. > 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 <141. > 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 <142. > 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 <143. > 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 <144. > 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 <145. > 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 <146. > 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 <147. > 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 <148. > 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 <149. > 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 <150. > 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 <151. > 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 <152. > 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 <153. > 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 <154. > 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 <155. > 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 <156. > 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 <157. > 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 <158. > 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 <159. > 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 <160. > 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 <161. > 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 <162. > 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 <163. > 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 <164. > 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 <165. > 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 <166. > 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 <167. > 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 <168. > 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 <169. > 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 <170. > 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 <171. > 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 <172. > 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 <173. > 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 <174. > 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 <175. > 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 <176. > 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 <177. > 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 <178. > 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 <179. > 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 <180. > 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 <181. > 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 <182. > 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 <183. > 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 <184. > 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 <185. > 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 <186. > 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 <187. > 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 <188. > 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 <189. > 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 <190. > 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 <191. > 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 <192. > 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 <193. > 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 <194. > 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 <195. > 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 <196. > 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 <197. > 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 <198. > 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 <199. > 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 <200. > 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 <201. > 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 <202. > 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 <203. > 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 <204. > 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 <205. > 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 <206. > 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 <207. > 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 <208. > 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 <209. > 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 <210. > 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 <211. > 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 <212. > 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 <213. > 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 <214. > 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 <215. > 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 <216. > 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 <217. > 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 <218. > 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 <219. > 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 <220. > 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 <221. > 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 <222. > 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 <223. > 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 <224. > 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 <225. > 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 <226. > 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 <227. > 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 <228. > 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 <229. > 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 <230. > 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 <231. > 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 <232. > 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 <233. > 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 <234. > 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 <235. > 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 <236. > 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 <237. > 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 <238. > 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 <239. > 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 <240. > 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 <241. > 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 <242. > 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 <243. > 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 <244. > 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 <245. > 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 <246. > 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 <247. > 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 <248. > 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 <249. > 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 <250. > 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 <251. > 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 <252. > 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 <253. > 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 <254. > 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 <255. > 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 <256. > 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 <257. > 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 <258. > 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 <259. > 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 <260. > 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 <261. > 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 <262. > 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 <263. > 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 <264. > 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 <265. > 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 <266. > 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 <267. > 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 <268. > 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 <269. > 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 <270. > 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 <271. > 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 <272. > 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 <273. > 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 <274. > 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 <275. > 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 <276. > 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 <277. > 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 <278. > 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 <279. > 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 <280. > 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 <281. > 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 <282. > 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 <283. > 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 <284. > 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 <285. > 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 <286. > 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 <287. > 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 <288. > 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 <289. > 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 <290. > 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 <291. > 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 <292. > 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 <293. > 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 <294. > 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 <295. > 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 <296. > 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 <297. > 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 <298. > 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 <299. > 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 <300. > 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 <301. > 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 <302. > 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 <303. > 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 <304. > 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 <305. > 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 <306. > 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 <307. > 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 <308. > 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 <309. > 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 <310. > 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 <311. > 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 <312. > 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 <313. > 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 <314. > 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 <315. > 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 <316. > 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 <317. > 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 <318. > 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 <319. > 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 <320. > 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 <321. > 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 <322. > 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 <323. > 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 <324. > 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 <325. > 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 <326. > 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 <327. > 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 <328. > 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 <329. > 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 <330. > 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 <331. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27259126 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Adams SM AU - Black P FA - Adams, Susie M FA - Black, Patricia IN - Adams,Susie M. Vanderbilt University School of Nursing, Nashville, Tennessee (Dr Adams); and American Psychiatric Nurses Association, Falls Church, Virginia (Dr Black). TI - American Psychiatric Nurses Association-Transitions in Practice Certificate Program: Bridging the Knowledge Gap in Caring for Psychiatric Patients Within the General Nursing Workforce. SO - Nursing Administration Quarterly. 40(3):225-36, 2016 Jul-Sep. AS - Nurs Adm Q. 40(3):225-36, 2016 Jul-Sep. NJ - Nursing administration quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - oae, 7703976 SB - Nursing Journal CP - United States AB - The purpose of this article is to publicize an important new Web-based educational program. Recognizing the growing gap in psychiatric-mental health knowledge and the need to better prepare new graduates and nurses transitioning from other service lines into psychiatric inpatient nursing settings, the American Psychiatric Nurses Association developed a 15-hour, modularized curriculum to provide foundational psychiatric-mental health knowledge. This modularized curriculum, called American Psychiatric Nurses Association Transitions in Practice (ATP) focuses on the knowledge and skills to insure the success of nurses new to psychiatric-mental health nursing settings and to improve the overall care for persons with mental health and substance use disorders. The ATP program is also proving to be useful content for nurses in emergency departments, hospitals, and other health settings to improve their care of patients with psychiatric and mental health needs. A summary of the program modules and a toolkit with suggested measures for nurses, patients, and agency outcomes is described. Feedback from participants completing the ATP program within the first 6 months is overwhelmingly positive and holds promise for widespread application across a variety of health care settings. ES - 1550-5103 IL - 0363-9568 DO - http://dx.doi.org/10.1097/NAQ.0000000000000168 PT - Journal Article LG - English DP - 2016 Jul-Sep DC - 20160604 YR - 2016 UP - 20160606 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27259126 <332. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27221909 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Name N AU - Mohamadian R AU - Rahmani A AU - Fizollah-Zadeh H AU - Jabarzadeh F AU - Azadi A AU - Rostami H FA - Name, Name FA - Mohamadian, Robab FA - Rahmani, Azad FA - Fizollah-Zadeh, Hussein FA - Jabarzadeh, Franak FA - Azadi, Arman FA - Rostami, Hussein IN - Name,Name. Medical-Surgical Department, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran E-mail : azad.rahmani@yahoo.com. TI - Nurse Attitude-Related Barriers to Effective Control of Cancer Pain among Iranian Nurses. SO - Asian Pacific Journal of Cancer Prevention: Apjcp. 17(4):2141-4, 2016. AS - Asian Pac J Cancer Prev. 17(4):2141-4, 2016. 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 AB - BACKGROUND: Many cancer patients still experience pain worldwide. There are many barriers for effective control of cancer pain and many of these are related to health care providers. There is a need for further investigation of these barriers. The aim of this study was to investigate nurse-related barriers to control of cancer pain among Iranian nurses. AB - MATERIALS AND METHODS: In this descriptive study 49 nurses from two hospitals affiliated to Tabriz and Ardebil Universities of Medical Sciences participated using a census sampling method. A demographic and profession related checklist and Barriers Questionnaire II (BQ-II) were used for data collection. AB - RESULTS: The results showed negative attitudes of participants regarding control of cancer pain. Participants believed that cancer pain medications do not manage cancer pain at acceptable levels; patients may become addicted by using these drugs; cancer pain medications have many uncontrollable effects; and controlling cancer pain may distract the physicians from treating disease. AB - CONCLUSIONS: Iranian nurses have negative attitudes toward pain control in cancer patients especially about effectiveness of pain medication and their side effects. Educational intervention to reduce these misconceptions is needed. IS - 1513-7368 IL - 1513-7368 PT - Journal Article LG - English DP - 2016 DC - 20160525 YR - 2016 UP - 20160526 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27221909 <333. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26412480 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Padoveze MC AU - Fortaleza CM AU - Kiffer C AU - Barth AL AU - Carneiro IC AU - Giamberardino HI AU - Rodrigues JL AU - Santos Filho L AU - de Mello MJ AU - Pereira MS AU - Gontijo Filho P AU - Rocha M AU - de Medeiros EA AU - Pignatari AC FA - Padoveze, Maria Clara FA - Fortaleza, Carlos Magno Castelo Branco FA - Kiffer, Carlos FA - Barth, Afonso Luis FA - Carneiro, Irna Carla do Rosario Souza FA - Giamberardino, Heloisa Ilhe Garcia FA - Rodrigues, Jorge Luiz Nobre FA - Santos Filho, Lauro FA - de Mello, Maria Julia Goncalves FA - Pereira, Milca Severino FA - Gontijo Filho, Paulo FA - Rocha, Mirza FA - de Medeiros, Eduardo Alexandrino Servolo FA - Pignatari, Antonio Carlos Campos IN - Padoveze,Maria Clara. Department of Collective Health Nursing, School of Nursing of University of Sao Paulo, Sao Paulo, Brazil. Electronic address: padoveze@usp.br. IN - Fortaleza,Carlos Magno Castelo Branco. Department of Infectious Diseases, Botucatu School of Medicine, State University of Sao Paulo, Botucatu, Brazil. IN - Kiffer,Carlos. Special Clinical Microbiology Laboratory, Infectious Diseases Discipline, Federal University of Sao Paulo, Sao Paulo, Brazil. IN - Barth,Afonso Luis. Laboratory of Research in Bacterial Resistance, Center for Experimental Research, Clinical Hospital of Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. IN - Carneiro,Irna Carla do Rosario Souza. Department of Infectious Diseases, Federal University of Para, Belem do Para, Brazil. IN - Giamberardino,Heloisa Ilhe Garcia. Epidemiology and Infection Control Department, Pequeno Principe Hospital, Curitiba, Brazil. IN - Rodrigues,Jorge Luiz Nobre. Department of Community Health, Faculty of Medicina, Federal University of Ceara, Ceara, Brazil. IN - Santos Filho,Lauro. Clinical Microbiology Discipline, Federal University of Paraiba, Joao Pessoa, Brazil. IN - de Mello,Maria Julia Goncalves. Hospital Infection Control Committee, Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil. IN - Pereira,Milca Severino. Department of Nursing, Pontifical Catholic University, Goias, Brazil. IN - Gontijo Filho,Paulo. Microbiology, Biomedical Sciences Institute, Uberlandia Federal University, Uberlandia, Brazil. IN - Rocha,Mirza. Nucleo de Vigilancia Hospitalar, Instituto Nacional de Saude da Mulher, da Crianca e do Adolescente Fernandes Figueira, Fundacao Oswaldo Cruz, Rio de Janeiro, Brazil. IN - de Medeiros,Eduardo Alexandrino Servolo. Division of Infectious Diseases, Federal University of Sao Paulo, Sao Paulo, Brazil. IN - Pignatari,Antonio Carlos Campos. Division of Infectious Diseases, Federal University of Sao Paulo, Sao Paulo, Brazil. TI - Structure for prevention of health care-associated infections in Brazilian hospitals: A countrywide study. SO - American Journal of Infection Control. 44(1):74-9, 2016 Jan 1. AS - Am J Infect Control. 44(1):74-9, 2016 Jan 1. NJ - American journal of infection control PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 4t6, 8004854 SB - Index Medicus CP - United States KW - Hand hygiene; Hospital infection control program; Hospital infections; Infection control; Public health; Sterilization AB - BACKGROUND: Minimal structure is required for effective prevention of health care-associated infection (HAI). The objective of this study was to evaluate the structure for prevention of HAI in a sample of Brazilian hospitals. AB - METHODS: This was a cross-sectional study from hospitals in 5 Brazilian regions (n = 153; total beds: 13,983) classified according to the number of beds; 11 university hospitals were used as reference for comparison. Trained nurses carried out the evaluation by using structured forms previously validated. The evaluation of conformity index (CI) included elements of structure of the Health Care-Associated Prevention and Control Committee (HAIPCC), hand hygiene, sterilization, and laboratory of microbiology. AB - RESULTS: The median CI for the HAIPCC varied from 0.55-0.94 among hospital categories. Hospitals with >200 beds had the worst ratio of beds to sinks (3.9; P < .001). Regarding alcoholic product for handrubbing, the worst ratio of beds to dispensers was found in hospitals with <50 beds (6.4) compared with reference hospitals (3.3; P < .001). The CI for sterilization services showed huge variation ranging from 0.0-1.00. Reference hospitals were more likely to have their own laboratory of microbiology than other hospitals. AB - CONCLUSION: This study highlights the need for public health strategies aiming to improve the structure for HAI prevention in Brazilian hospitals.Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. ES - 1527-3296 IL - 0196-6553 DI - S0196-6553(15)00851-2 DO - http://dx.doi.org/10.1016/j.ajic.2015.08.004 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150926 DP - 2016 Jan 1 DC - 20160115 YR - 2016 UP - 20160510 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26412480 <334. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27091584 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Riemondy S AU - Gonzalez L AU - Gosik K AU - Ricords A AU - Schirm V FA - Riemondy, Susan FA - Gonzalez, Lorie FA - Gosik, Kirk FA - Ricords, Amy FA - Schirm, Victoria IN - Riemondy,Susan. Penn State Hershey Medical Center, Hershey, Pennsylvania. IN - Gonzalez,Lorie. Penn State Hershey Medical Center, Hershey, Pennsylvania. IN - Gosik,Kirk. Penn State Hershey Medical Center, Hershey, Pennsylvania. IN - Ricords,Amy. Penn State Hershey Medical Center, Hershey, Pennsylvania. IN - Schirm,Victoria. Penn State Hershey Medical Center, Hershey, Pennsylvania. Electronic address: vschirm@hmc.psu.edu. TI - Nurses' Perceptions and Attitudes Toward Use of Oral Patient-Controlled Analgesia. SO - Pain Management Nursing. 17(2):132-9, 2016 Apr. AS - Pain Manag Nurs. 17(2):132-9, 2016 Apr. 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 AB - Patient-controlled analgesia (PCA) administered intravenously is a generally well-accepted therapy by nurses and patients. PCA devices are now available for oral medications, allowing patients to self-administer pain pills without requesting them from the nurse. Successful introduction of new pain medication delivery devices can depend on nurses' knowledge and attitudes. The aim of this institutional review board approved project was to evaluate nurses' perceptions and attitudes toward using an oral PCA device for patients' pain. A 4-week study was designed and conducted at an academic medical center on an orthopedic unit and a women's health unit. Nurse participants received education on using the oral PCA device and were invited to complete a pre- and poststudy knowledge and attitude survey regarding pain management. Nurses and patients also completed a questionnaire about perceptions related to using the oral PCA device. Findings showed that nurses' attitudes toward using the oral PCA device were less favorable than those of patients, suggesting that nurses may require additional education for acceptance of this device. Results from 37 nurses showed improvement in overall knowledge and attitudes, from 70.8% pretest to 74.2% post-test. Although improvement was not statistically significant (p = .1637), two items showed significant improvement. Knowledge about the effectiveness of NSAIDS was 27.5% pretest compared with 60.0% post-test (p = .0028); and understanding about use of opioids in patients with a history of substance abuse was 50% pretest compared with 70% post-test (p = .0531). Helping nurses overcome the perceived barriers to use of an oral PCA device has potential implications for better pain management as well as enhanced patient satisfaction. Copyright © 2016 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved. ES - 1532-8635 IL - 1524-9042 DI - S1524-9042(16)00074-6 DO - http://dx.doi.org/10.1016/j.pmn.2016.02.051 PT - Journal Article LG - English EP - 20160416 DP - 2016 Apr DC - 20160506 YR - 2016 UP - 20160509 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27091584 <335. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26279461 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 - Journal Article PT - Research Support, Non-U.S. Gov't LG - English EP - 20150817 DP - 2015 Dec DC - 20160115 YR - 2015 UP - 20160509 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26279461 <336. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27125162 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Cho S AU - Lee E FA - Cho, Sumi FA - Lee, Eunjoo IN - Cho,Sumi. College of Nursing, Research Institute of Nursing Science, Kyungpook National University 680, Gukchaebosang-ro, Jung-gu, Daegu, 700-422, Republic of Korea. Electronic address: pmpmq@naver.com. IN - Lee,Eunjoo. College of Nursing, Research Institute of Nursing Science, Kyungpook National University 680, Gukchaebosang-ro, Jung-gu, Daegu, 700-422, Republic of Korea. Electronic address: jewelee@knu.ac.kr. TI - Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: A cross-sectional descriptive study of nursing students. SO - Nurse Education Today. 40:128-33, 2016 May. AS - Nurse Educ Today. 40:128-33, 2016 May. NJ - Nurse education today PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ned, 8511379 SB - Nursing Journal CP - Scotland KW - Cell phones; Distraction; Nurses; Nursing students; Smartphone; Smartphone addiction AB - BACKGROUND: Smartphone use in healthcare settings may distract healthcare providers and disrupt patient care. Moreover, it may lead to adverse events, thereby threatening patient safety. AB - OBJECTIVES: This study assessed nursing students' smartphone use as a source of distraction in clinical practice and identified their opinions about policies restricting smartphone use during patient care. AB - DESIGN: A cross-sectional descriptive design was used with convenience sampling. AB - PARTICIPANTS: Third-year nursing students (n=312) from two nursing schools in the Republic of Korea completed the survey in 2012. AB - METHODS: A self-report questionnaire-based on addiction theories for problem behaviors and literature on the distraction caused by cellular phone use-was used to assess smartphone use, experiences of distraction caused by smartphone use, and opinions about restriction policies on smartphone use during clinical practice. AB - RESULTS: Nearly half (46.2%) of the nursing students used smartphones at least sometimes during clinical practice and about a quarter of the respondents (24.7%) were at least sometimes distracted by smartphones during clinical practice. The majority of the respondents (83.7%) had witnessed nurses using smartphones at least sometimes during their work. A few respondents (15.7%) agreed or strongly agreed with the policy for restricting smartphone use in hospitals. Students who used smartphones more often tended to disagree with restriction policies for smartphone use in hospitals. AB - CONCLUSION: Awareness about the risks of smartphone use, especially regarding patient safety, is necessary for nursing students in school and hospital settings. Educators and faculty of nursing schools need to develop policies that encourage intelligent and safe use of smartphones during clinical practice.Copyright © 2016. Published by Elsevier Ltd. ES - 1532-2793 IL - 0260-6917 DI - S0260-6917(16)00093-9 DO - http://dx.doi.org/10.1016/j.nedt.2016.02.021 PT - Journal Article LG - English EP - 20160303 DP - 2016 May DC - 20160429 YR - 2016 UP - 20160502 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27125162 <337. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26697818 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 UP - 20160415 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26697818 <338. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26691209 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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. ES - 2046-4924 IL - 1366-5278 DO - http://dx.doi.org/10.3310/hta191020 PT - Journal Article PT - Research Support, Non-U.S. Gov't SI - ISRCTN SA - ISRCTN/ISRCTN88782125 SL - http://www.controlled-trials.com/ISRCTN88782125 LG - English DP - 2015 Dec DC - 20151222 YR - 2015 RD - 20160323 UP - 20160414 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26691209 <339. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26669227 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 UP - 20160406 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26669227 <340. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26669223 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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. 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 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 LG - English DP - 2015 Oct-Dec DC - 20151216 YR - 2015 UP - 20160406 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26669223 <341. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27023895 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Agley J AU - McNelis AM AU - Carlson JM AU - Schwindt R AU - Clark CA AU - Kent KA AU - Lay K AU - Gassman RA AU - Crabb DW FA - Agley, Jon FA - McNelis, Angela M FA - Carlson, Joan M FA - Schwindt, Rhonda FA - Clark, Carol A FA - Kent, Kathleen A FA - Lay, Kathy FA - Gassman, Ruth A FA - Crabb, David W TI - If You Teach It, They Will Screen: Advanced Practice Nursing Students' Use of Screening and Brief Intervention in the Clinical Setting. SO - Journal of Nursing Education. 55(4):231-5, 2016 Apr 1. AS - J Nurs Educ. 55(4):231-5, 2016 Apr 1. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Internet JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States AB - BACKGROUND: In the United States, approximately 30% of adults drink at risky levels or meet the criteria for harmful or dependent alcohol use. Screening, brief intervention, and referral to treatment (SBIRT) in primary care settings is indicated. This study assessed whether knowledge, attitudes, and beliefs about SBIRT, evaluated after a three-part, mixed-methods training, predicted whether 21 family nurse practitioner (FNP) students screened for alcohol use during clinical patient encounters. AB - METHOD: After training, students completed a survey and documented implementation of SBIRT during their clinical practice-specific management courses. AB - RESULTS: FNP students who reported higher levels of perceived competence in their posttraining surveys were more likely to screen for alcohol in the clinical setting. AB - CONCLUSION: Screening for alcohol misuse and identifying patients engaged in hazardous drinking meet important nurse practitioner competencies. Further research is needed to explore training programs that specifically emphasize activities to increase perceived competence, knowledge, and comfort regarding SBIRT. [J Nurs Educ. 2016;55(4):231-235.].Copyright 2016, SLACK Incorporated. ES - 1938-2421 IL - 0148-4834 DO - http://dx.doi.org/10.3928/01484834-20160316-10 PT - Journal Article LG - English DP - 2016 Apr 1 DC - 20160330 YR - 2016 UP - 20160331 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27023895 <342. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27023891 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - LoGiudice JA AU - Douglas S FA - LoGiudice, Jenna A FA - Douglas, Sherifa TI - Incorporation of Sexual Violence in Nursing Curricula Using Trauma-Informed Care: A Case Study. SO - Journal of Nursing Education. 55(4):215-9, 2016 Apr 1. AS - J Nurs Educ. 55(4):215-9, 2016 Apr 1. NJ - The Journal of nursing education PI - Journal available in: Print PI - Citation processed from: Internet JC - jen, 7705432 SB - Index Medicus SB - Nursing Journal CP - United States AB - BACKGROUND: One in five women will experience sexual violence in their lifetime. As a consequence of this violence, survivors face health care concerns such as depression, anxiety, substance abuse, and gynecologic problems. Nurses are at the forefront of health care delivery to survivors of sexual violence, yet literature about nursing curricula addressing sexual violence is scant. AB - METHOD: A holistic, single-case study from a student survivor about the impact of sexual violence, being taught from a trauma-informed care perspective, is presented. AB - RESULTS: The powerful case study highlights the personal and professional benefits stemming from a sexual violence curriculum being taught from a trauma-informed care lens. The student survivor reports personal growth and an understanding of herself, as well as a new framework with which to care for patients who have experienced sexual violence. AB - CONCLUSION: In preparation to deliver care to sexual violence survivors, students must be educated about the prevalence, long-term sequela, and health care needs of survivors, which can be effectively done using the model of trauma-informed care. The student's case suggests that discussing sexual violence is imperative for one's own healing and contribution to the nursing profession. [J Nurs Educ. 2016;55(4):215-219.].Copyright 2016, SLACK Incorporated. ES - 1938-2421 IL - 0148-4834 DO - http://dx.doi.org/10.3928/01484834-20160316-06 PT - Journal Article LG - English DP - 2016 Apr 1 DC - 20160330 YR - 2016 UP - 20160331 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27023891 <343. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26880399 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review 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 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. 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 UP - 20160322 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26880399 <344. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26980897 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Villegas-Pantoja MA AU - Mendez-Ruiz MD FA - Villegas-Pantoja, Miguel A FA - Mendez-Ruiz, Martha D IN - Villegas-Pantoja,Miguel A. Professor, Nursing School of Nuevo Laredo, University of Tamaulipas, Mexico. IN - Mendez-Ruiz,Martha D. Professor, Nursing School of Nuevo Laredo, University of Tamaulipas, Mexico. TI - Nursing and Substance Use Disorders in Mexico. SO - Nursing Science Quarterly. 29(2):163-6, 2016 Apr. AS - Nurs Sci Q. 29(2):163-6, 2016 Apr. NJ - Nursing science quarterly PI - Journal available in: Print PI - Citation processed from: Internet JC - obh, 8805022 SB - Nursing Journal CP - United States KW - Mexico; nurses; substance use disorders AB - The authors of this article see substance use disorders as a major public health problem in Mexico in which nursing is taking on an increasingly important role in addressing. The authors discuss some the challenges and opportunities nurse researchers, educators, and clinicians face in the prevention and treatment of substance use disorders in Mexico. Copyright © The Author(s) 2016. ES - 1552-7409 IL - 0894-3184 DO - http://dx.doi.org/10.1177/0894318416630092 PT - Journal Article LG - English DP - 2016 Apr DC - 20160316 YR - 2016 UP - 20160317 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26980897 <345. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26950838 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review 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 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 LG - English DP - 2016 Jan-Mar DC - 20160308 YR - 2016 UP - 20160309 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26950838 <346. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26929211 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - King R FA - King, Rebecca IN - King,Rebecca. School Nurse/Clinical Nursing Instructor, St. George's Technical High School, New Castle County Vocational School District, Middletown, DE. TI - Science Over Stigma: Saving Lives-Implementation of Naloxone Use in the School Setting. SO - NASN school nurse. 31(2):96-101, 2016 Mar. AS - NASN Sch Nurse. 31(2):96-101, 2016 Mar. NJ - NASN school nurse (Print) PI - Journal available in: Print PI - Citation processed from: Internet JC - 101528330 SB - Nursing Journal CP - United States KW - addiction; harm reduction; heroin; naloxone; prescription drugs; school nurses; stigma AB - Unintentional drug overdose is a leading cause of preventable death in the United States. Administration of naloxone hydrochloride ("naloxone") can reverse a potentially fatal opioid overdose and save lives. The school nurse is an essential part of the school team responsible for developing emergency response procedures and should facilitate access to naloxone for the management of opioid-related overdose in the school setting. Delaware has been leading efforts to provide education, increase awareness, and help erase the stigma of substance use disorder through school nurse collaboration with a grassroots organization and state stakeholders. This article discusses the successful implementation of naloxone use in the school setting in Delaware public high schools. Copyright © 2016 The Author(s). ES - 1942-6038 IL - 1942-602X DO - http://dx.doi.org/10.1177/1942602X16628890 PT - Journal Article LG - English DP - 2016 Mar DC - 20160301 YR - 2016 UP - 20160302 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26929211 <347. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25411992 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Gutierrez A AU - Sher L FA - Gutierrez, Alfredo FA - Sher, Leo TI - Alcohol and drug use among adolescents: an educational overview. 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 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 LG - English DP - 2015 May DC - 20150430 YR - 2015 UP - 20160217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25411992 <348. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26517793 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Oliveira KD AU - Baracat EC AU - Lanaro R AU - Eugeni C AU - Ricci E AU - Rabello MS AU - de Souza JP AU - Gimenes VC AU - de Azevedo RC AU - Fraga GP FA - Oliveira, Karina Diniz FA - Baracat, Emilio Carlos Elias FA - Lanaro, Rafael FA - Eugeni, Caroline FA - Ricci, Ellen FA - Rabello, Mayara Schiavon FA - de Souza, Juliana Perpetuo FA - Gimenes, Vitoria Carneiro FA - de Azevedo, Renata Cruz Soares FA - Fraga, Gustavo Pereira IN - Oliveira,Karina Diniz. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Baracat,Emilio Carlos Elias. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Lanaro,Rafael. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Eugeni,Caroline. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Ricci,Ellen. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Rabello,Mayara Schiavon. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - de Souza,Juliana Perpetuo. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Gimenes,Vitoria Carneiro. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - de Azevedo,Renata Cruz Soares. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. IN - Fraga,Gustavo Pereira. Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, Brazil. TI - Alcohol and brief intervention for trauma victims. SO - Revista do Colegio Brasileiro de Cirurgioes. 42(4):202-8, 2015 Jul-Aug. AS - Rev. Col. Bras. Cir.. 42(4):202-8, 2015 Jul-Aug. NJ - Revista do Colegio Brasileiro de Cirurgioes PI - Journal available in: Print PI - Citation processed from: Internet JC - 7809515 SB - Index Medicus CP - Brazil AB - OBJECTIVE: to describe the causes and severities of trauma in patients who met the criteria for alcohol abuse or dependence according to Mini International Neuropsychiatric Interview, and to display the pattern of alcohol consumption and subsequent changes one year after trauma. AB - METHODS: a transversal and longitudinal quantitative study carried out between November 2012 and September 2013 in the ED. Medical and nursing students collected blood samples, applied the J section of the Mini International Neuropsychiatric Interview (MINI) and submitted alcohol abusers and dependents to BI. One year after admission, patients were contacted and asked about their patterns of alcohol use and their reasons for any changes. AB - RESULTS: from a sample of 507 patients admitted to the ED for trauma, 348 responded to MINI, 90 (25.9%) being abusers and 36 (10.3%) dependent on alcohol. Among the abusers, the most frequent cause of injury was motorcycle accident (35.6%) and among the dependents it was predominantly interpersonal violence (22.2%). Positive blood samples for alcohol were identified in 31.7% of the abusers and 53.1% of the dependents. One year after trauma, 66 abusers and 31 dependents were contacted, and it was ascertained that 36.4% of the abusers and 19.4% of the dependents had decreased alcohol consumption. The main reported reason for the reduction was the experienced trauma. AB - CONCLUSION: the motorcycle accident was the most common cause of injury. The detection of problematic alcohol use and implementation of BI are important strategies in the ED, however for alcohol abusers and dependents, BI was not the most reported reason for any changes in patterns of alcohol use. ES - 1809-4546 IL - 0100-6991 DI - S0100-69912015000500202 DO - http://dx.doi.org/10.1590/0100-69912015004002 PT - Journal Article PT - Research Support, Non-U.S. Gov't LG - English LG - Portuguese DP - 2015 Jul-Aug DC - 20151031 YR - 2015 UP - 20160202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26517793 <349. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26517342 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 UP - 20160201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26517342 <350. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25979457 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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. 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 UP - 20160107 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25979457 <351. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26406772 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26406772 <352. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26077341 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26077341 <353. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25497402 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process 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 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. 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 UP - 20151217 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25497402