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Behavioral Health Integration and Outcomes that Matter to Patients: A Longitudinal Mixed-Methods Observational Study
Get PDFThe study team hypothesized that patients would have a better experience over time in clinics that had greater degrees of behavioral health integration.https://knowledgeconnection.mainehealth.org/reach/1013/thumbnail.jp
Primary adrenal insufficiency in adults: When to suspect, how to diagnose and manage
No full textPrimary adrenal insufficiency is rare but serious; it puts patients at risk of acute decompensation and adrenal crisis due to insufficient cortisol and aldosterone production. Further, its diagnosis is often delayed, or it is mistaken for secondary adrenal insufficiency, which can have life-threatening consequences. Early recognition and appropriate treatment can greatly improve patient outcomes and quality of life
Early Ambulatory Cardiac Monitoring for Detection of Arrhythmias in Stroke Patients: Holter Monitor vs Zio Patch
Get PDFIn patients diagnosed with acute ischemic stroke, is 14-day monitoring with an ECG patch (e.g., Zio patch, Ezypro) more effective at detecting cardiac arrhythmias than traditional 24–48-hour Holter monitoring?https://knowledgeconnection.mainehealth.org/nurseresidency/1075/thumbnail.jp
Preventing Post Operative Complications with Early Ambulation
Get PDFIn patients who undergo surgery, how does early mobilization following surgery prevent post operative complications and shorten their length of stay?https://knowledgeconnection.mainehealth.org/nurseresidency/1095/thumbnail.jp
Reduction in Hospital-Acquired Pressure Injuries
Get PDFIn admitted in-patient adult patients, is the Braden scale assessment tool compared to other nursing interventions, more accurate in decreasing hospital acquired pressure injuries?https://knowledgeconnection.mainehealth.org/nurseresidency/1114/thumbnail.jp
Psychosocial Health of Patients with a Left Ventricular Assist Device
Get PDFAmong adult patients diagnosed with advanced heart failure, what is the effect of left ventricular assist device (LVAD) implantation on self-reported measures of psychosocial health during the post implantation period?https://knowledgeconnection.mainehealth.org/nurseresidency/1111/thumbnail.jp
Simulation-Based Resuscitative Transesophageal Echocardiography Training for Emergency Medicine Residents
No full textBACKGROUND: Transesophageal echocardiography (TEE) is an emerging resuscitation tool in emergency medicine. Simulation-based training is necessary for teaching this skill set. There has been no evaluation of how simulation prepares emergency medicine (EM) residents to perform this skill in live patients. OBJECTIVES: The objective of this study is to evaluate competency following simulation training and performance of resuscitative TEE on live patients in the operating room (OR). METHODS: A prospective study at a single academic site, enrolling volunteer postgraduate year (PGY)2 and PGY3 EM residents. Residents underwent the following: Pretest examination to assess general TEE knowledge; 30-minute lecture on a resuscitative protocol: mid-esophageal four-chamber (ME4C), mid-esophageal long axis (MELAX), trans-gastric short axis (TGSAX) and ascending aortic short axis (AscAoSAX); Two 1-hour sessions with a HeartWorks TEE simulator led by a physician trained in resuscitative TEE; post-test examination; TEE examination in the OR with a cardiac anesthesiologist. Data were summarized with descriptive statistics. Test scores were compared with paired t-test or Wilcoxon rank-sum tests. RESULTS: Fifteen residents participated. The pretest mean score was 11.07, 95% CI: 9.35 to 12.79. The post-test mean score was 19.40, 95% CI: 18.94 to 19.86. A significant difference in scores was noted, t = -11.996, p \u3c 0.0001. The OR assessment findings included: number of placement attempts (mean: 1.27; 95% CI: 1.01-1.52); clinically acceptable views (ME4C 93.3%, MELAX 93.3%, AscAoSAX 60%, and TGSAX 60%). Of 60 total views, 76.7% were acceptable. CONCLUSION: Simulation training in resuscitative TEE is an effective method for preparing EM residents to obtain and interpret TEE imaging in a live patient
Reducing Implicit Bias in Nursing to Decrease Maternal Racial Health Disparities and Improve Patient Outcomes
Get PDFPICOT Question: For Black birthing patients, how does receiving nursing care from nurses trained in implicit bias and racial health disparities impact maternal morbidity, mortality, and patient satisfaction, compared to those receiving current standard current nursing care?https://knowledgeconnection.mainehealth.org/nurseresidency/1039/thumbnail.jp
Betamethasone and the effects on newborns of various gestations
Get PDFPICOT Question: In newborns of various gestational ages, how does administering betamethasone affect newborn outcomes within the first 72 hours of life?https://knowledgeconnection.mainehealth.org/nurseresidency/1063/thumbnail.jp