1,354,174 research outputs found
Non-biomedical Perspectives on Pain and its Prevention and Management
No full textOverreliance on the biomedical paradigm has contributed, in part, to overuse of surgery and long-term drug medication with harmful physical, psychological, social, and economic consequences. Research is dominated by a tissue-centric biomedical view of pain at the expense of a holistic first-person experience of living with pain in communities of people habiting modern-world settings. Pain practice seems overly consumed with the burden of pain at an individual level (patient-centred pain management) and has neglected exploration of societal level (community-centred) or environmental level (ecologically-centred) solutions.
This Research Topic acknowledges that the biomedical paradigm does not provide a complete understanding of pain by focussing attention upstream towards the role of the environment in fashioning the experience and impact of pain on health. Research methodologies from non-biomedical disciplines can explore social, cultural, economic, political, and environmental conditions that influence the living experience of pain in the modern era. Investigating the phenomenon of pain using socio-ecological frameworks provide opportunities to shift perspectives and open-up new avenues for exploration, including innovative strategies to reduce the burden of pain on society.
The purpose of this Research Topic is to broaden and deepen the conceptual understanding of pain in the modern era by showcasing contributions from non-biomedical disciplines. This includes exploration of the concept of painogenic lifestyles and environments, and non-medical strategies[...]”
Excerpt From
Non-biomedical perspectives on pain and its prevention and management
Mark I. Johnson, James Woodall, Emmanouil Georgiadis and Antonio Bonacaro
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Simulation: Challenges and Opportunities along the Way of Learning
No full textSimulation: what is and what will be. Embark on a stimulating journey into this fascinating topic. Discover when simulation was born and how it has been changing the world surrounding us. Aerospatial industry, higher education, clinical training are some of the most representative settings in which simulation has been playing a vital role to guarantee safe, effective and sustainable procedures. How is simulation able to positively influence the learning process ? Does it have a place in any learning theory ? And if so, does it offer any support to the current educational learning needs towards a lifelong learning ? Are there any significant differences in the way information is retained due to the type of simulation performed ? Considering the learning outcomes, is this information not only more easily retained but also easly transferable, according to the type of simulation ? Explore all of these questions and take part in the debateGriffith Health, School of Nursing and MidwiferyNo Full Tex
The Planning Process Applied to Hospital Companies: How is the Italian health care system changing face?
No full textSince its creation in 1978 the Italian health care system has been delivering a wide range of services and interventions and it is considered one of the most advanced health organizations among the industrialized countries. In accordance with the Italian Constitution, it provides services free of charge to all without any discrimination. The affirmation of the free choice principle, the progressive introduction of private hospitals and the significant increase in health spending have induced the legislator to introduce cost - effective measures to limit cost and satisfy patients' needs. After having examined the profound changes that have been generally influencing the Italian health care system discover how the San Carlo Hospital of Potenza in Italy is trying to rearrange its strategy to detect patients' needs, reduce cost and face challenges posed by emerging competitors.Griffith Health, School of Nursing and MidwiferyNo Full Tex
O Processo de Envelhecimento e o Florescer de una Nova Estratégia de Cuidados: a Experiencia Italiana
No full textThe presentation focuses on the implementation of state-of-the-art and evidence-based practices aimed at better equipping nursing students with invaluable skills and abilities to better face the challenges of a progressively ageing population
Gestational Diabetes Mellitus and Client's Quality of Life: the Role of Continuing Education in Nurses' and Midwifes' Clinical Practice
No full textExpectant mothers who have never had diabetes before in their life and experience elevated blood glucose levels during pregnancy are at risk of developing Gestational Diabetes Mellitus (GDM). What triggers it? Does it harm the mother and the baby? Is continuing education part of a successful strategy to improve quality of care? GDM can be a source of anxiety for pregnant women. In order to relieve anxiety, knowledgeable nurses working hand in hand with other interdisciplinary staff can help to turn the concern into a healthy pregnancy for the mother to be and a healthy life for the newborn.Griffith Health FacultyNo Full Tex
Simulated Mindfulness Meditation: A Major Breakthrough in the Management of Chronic Pain
No full textOne of the most important challenges facing nursing today is pro-
viding proper pain management for patients suffering from chro-
nic pain (1). According to recent surveys 100 million US adults
suffer from chronic pain (2) and one in five people in Europe and
developing countries are affected (3). As a result of the strong
psychological component of pain perception, supplemental use of
non-pharmacological analgesic techniques, such as mindfulness
meditation, have proved highly effective (6). This literature review
describes mindfulness meditation as an effective and affordable
method to alter the pain experience and improve the quality of nur-
sing care
Artificial Intelligence and Big Data. Exploring Current and Future Nursing Practitioners' Views on the Future of Healthcare and Education.
No full textBACKGROUND ChatGPT, is novel language model developed by OpenAI that has the potential to play a role in healthcare provision (Biswas, 2023). By generating a human-like text based on large amounts of data, ChatGPT has the potential to support patients, communities, and healthcare practitioners in making informed and evidence-based decisions about their health (Burger, 2020). Furthermore, this innovative language model has been recently identified as a potential threat to the educational system as it allows students to produce essays and presentations rapidly and effortlessly (Cotton et al., 2023). Similarly, educators may avail this promising system to organise ideas and produce teaching materials. AIMS This study aims at exploring nursing practitioners', educators', and students' views on how ChatGPT would potentially impact on the world of healthcare and education in the foreseeable future and the possible repercussions this may cause in the nurse-patient relationship. METHOD An observational study was conducted on a convenient sample of 177 nursing practitioners, educators, and students voluntarily recruited in a Northern Italy University. A 45 items online questionnaire based among others on multiple choice and Likert-type questions was administered in April 2023. CONCLUSIONS AI is an emerging concept that has been gaining importance in recent years among the nursing community. In fact, almost half of the sample stated of being familiar with it and with its implication in clinical practice. Furthermore, 27% of the respondents believe AI has the potential to improve the quality of nursing care even though only 7% of them uses it frequently. Interestingly, 53% of the participants think AI has the potential to ameliorate both clinical outcomes and job satisfaction. A significant part of our sample (65%) believes AI might limit the interaction between the nursing team and patients thus dehumanising nursing care. Conversely, 64% of our sample considers AI has a great opportunity to enhance patient monitoring and consequently provide safe care. Lack of financial resources and internal resistance within the profession do pose a threat to AI implementation for well the 64% of the respondents. Generally, AI is considered as a precious opportunity in nursing education for the vast majority of our sample. In fact, 64% of the participants would be willing to introduce AI in clinical placement even though they do not have any previous experience in this regard. In this area, AI could support clinical reasoning process 58% of respondents say. Although, this seems to contradict the idea that AI would negatively impact the possibility of acquiring relevant clinical information by limiting social interaction. AI is a relatively new technology that elicits a great interest among students, educators and practitioners while creating a strong educational need. It is no surprise that 85% of the sample perceives AI as an essential area to focus on in a lifelong learning perspective. Further studies are recommended in order to explore more in details the nursing community needs and reshape the future of nursing care and education in a more technologically advanced manner
Exploring the role of nurses in Antimicrobial Stewardship: barriers, facilitators, and change promotion. A meta-synthesis.
No full textBackground:
Antimicrobial stewardship comprises targeted actions to promote the appropriate use of antibiotics in
healthcare, optimizing patient outcomes and preserving antibiotic efficacy for future use. Despite their
crucial role, nurses' involvement in AMS varies due to factors like national policies, existing programs,
organizational contexts, and education levels.
Aim:
This paper aims to evaluate nurses' knowledge of antimicrobial stewardship (AMS) and their perceptions
of the barriers and facilitators affecting their participation in stewardship programs.
Methology:
According the Joanna Briggs Institute (JBI) methodology for qualitative systematic reviews, relevant
studies from the past five years were sourced from databases like PubMed, CINAHL, Embase, PsycINFO,
and Google Scholar. These studies were appraised using the CASP checklist, and nineteen articles
spanning five continents met the inclusion criteria.
Results:
Analysis of the studies revealed six recurring themes: organization of AMS programs, context and
resources, training and education, communication and relationships, antibiotic usage, and the role of
nurses. These themes reflect the experiences and opinions of nurses involved in AMS programs.
Discussion:
Nurses at all levels are pivotal to the success of antimicrobial stewardship. While there is global interest
in the active engagement of nurses in AMS, more research, particularly qualitative and in non-hospital
settings, is necessary to understand and enhance their involvement better
The use of wearable devices in preventing hospital readmission and in improving the quality of life of chronic patients in the homecare Setting: A Narrative Literature Review
No full textINTRODUZIONE: Secondo l’Organizzazione Mondiale della Sanità (OMS) le malattie croniche sono la causa principale di mortalità nel mondo, rappresentando il 60% di tutte le morti. Le strategie impiegate per affrontare le malattie croniche agiscono sui fattori di rischio mediante l’adozione di un sano stile di vita. Queste strategie potrebbero grandemente beneficiare dell’adozione di moderne tecnologie che permettono un monitoraggio minimamente invasivo dei dati clinici dei pazienti. Questa revisione esplora le evidenze ottenute mediante una revisione di letteratura allo scopo di chiarire se i dispositivi indossabili possono aiutare nel prevenire i ripetuti ricoveri e miglio- rare la qualità della vita dei pazienti cronici. METODO: Una ricerca della letteratura è stata effettuata nel gennaio del 2017 attraverso le seguenti banche dati elettroniche: Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Pub Med, EMBASE e MEDLINE. RISULTATI: 33 articoli sono stati inclusi DISCUSSIONE: Nonostante l’ampio numero di articoli sui dispositivi indossabili presenti in lette- ratura solo pochi cercano di far luce sui benefici clinici derivanti dall’adozione di questi apparecchi sui pazienti cronici dato che il maggior numero delle pubblicazioni è prettamente tecnico. Un più elevato livello di accettabilità ed usabilità sono raggiunti quando gli utilizzatori sono coin- volti nella fase di prova prima del rilascio del dispositivo e/o le funzioni e i termini di uso sono chiaramente descritti ai pazienti e a coloro che se ne prendono cura. Oltre all’efficace trattamento di quadri clinici altamente pericolosi per la vita, i dispositivi indossabili hanno anche dimostrato di essere più accurati nella stima del rischio di cadute nei pazienti cronici rispetto alle sole valuta- zioni cliniche contribuendo così a migliorare la sicurezza nel contesto domiciliare. Nonostante le loro funzioni, i dispositivi indossabili non sono ancora utilizzati da professionisti sanitari e pazienti su vasta scala. Ulteriori studi sono necessari per comprendere come queste preziose tecnologie possano essere integrate nel sistema sanitario e come i dati clinici possano essere validamente condivisi tra pazienti e professionisti sanitari.INTRODUCTION: According to the World Health Organisation chronic diseases are the leading cause of mortality in the world, representing 60% of all deaths. Strategies employed to tackle chronic diseases aim to act on risk factors through adopting a healthy lifestyle. These strategies can be greatly implemented from the adoption of wearable devices, which allow a thorough and mini- mally invasive monitoring of patients' clinical data. This article aims to clarify whether wearable devices can help in preventing hospital readmission and improve quality of life in chronic patients. METHOD: A literature search of electronic databases was performed in January 2017. The following databases were searched: The Cochrane Database of Systematic Reviews, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Pub Med, EMBASE and MEDLINE. RESULTS: 33 articles met the inclusion criteria and were included in the literature review. DISCUSSION: Various wearable devices are currently available to monitor and keep records of diffe- rent clinical information. Some of them are proved to prevent hospital re-admissions and to treat effectively life-threatening situations in certain categories of chronic patients. Higher level of acceptability and usability are achieved when users are involved in the testing stage prior to the release of the device and/or the features and terms of use are clearly described to patients and carers. Wearable devices are also proved to be more accurate than clinical assessment only in estimating the risk of falls in chronic patients, thus improving safety in the home care setting. Regardless of their features, wearable devices are yet to be used by both healthcare professionals and patients on a large scale
Medical Errors: A Serious Issue in the Middle Eastern Countries. Can Simulation be an effective solution?
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