Tuberculosis has reemerged as an important public health problem, and the frequency of drug resistance is increasing. A major reason for development resistant infections relapse poor compliance with medical regimens. In Tarrant County, Texas, we initiated a program universal directly observed treatment tuberculosis. We report effect on rates primary acquired among patients

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To examine how skilled nursing facility (SNF) nurses transition the care of individuals admitted from hospitals, barriers they experience, and outcomes associated with variation in quality transitions.Qualitative study using grounded dimensional analysis, focus groups, in-depth interviews.Five Wisconsin SNFs.Twenty-seven registered nurses.Semistructured questions guided group individual interviews.SNF rely heavily on written hospital discharge communication to into SNF effectively. Nurses...

The influence of uncertainty, optimism, seriousness the illness, and control over physical function upon psycho-social adjustment in 54 women with gynecologic cancer was studied during time period between receiving a diagnosis beginning treatment. Three four variables were significantly related to adjustment. Only relationship illness not significant. Patients more uncertainty had lower optimism scores problems. Subjects difficulties areas attitude toward health care, immediate extended...

A growing aging population will require nurses who prefer to work with older adults. Schools of nursing have used several strategies improve students' attitudes, and encourage preferences for working However, research on these is inconsistent, some programs improving attitudes whereas others no effect. More recent studies found that although improved, adults generally the least preferred area nursing. The purpose this longitudinal mixed methods study describe explain student nurse preference...

Falls are common events for hospitalized older adults, resulting in negative outcomes both patients and hospitals. The Center Medicare Medicaid (CMS) has placed pressure on hospital administrators by identifying falls as a "never event", zero goal many Staff nurses responsible providing direct care to meeting the no goal. Little is known about impact of "zero falls" nurses, organization. A qualitative study, using Grounded Dimensional Analysis (GDA) was conducted explore nurses' experiences...

Rifabutin was recommended in place of rifampin during treatment HIV-related tuberculosis (TB) to facilitate concomitant potent antiretroviral therapy, but this approach has not been evaluated a prospective study.To evaluate the activity intermittent rifabutin-based therapy.Patients with culture-confirmed TB were treated under direct supervision 2 mo rifabutin, isoniazid, pyrazinamide, and ethambutol (given daily, thrice-weekly, or twice-weekly per local control program), followed by 4...

Abstract Purpose To evaluate the frequency and duration of nursing care activity related to mobilizing older patients in acute settings determining who initiates mobility event (patient or nurse). Methods This was an observation study using time motion. Observers shadowed 15 registered nurses (RNs) each for two three 8‐hr periods hand‐held computer tablets collect data on six events (standing, transferring, walking from patient bathroom, room, hallway) that occurred nurse's presence. Chart...

To develop a system-based intervention including five components that target barriers to nurse-initiated patient ambulation.Pilot study of Mobilizing Older adult patients VIa Nurse-driven (MOVIN).Twenty-six bed general medical unit.Nursing staff (registered nurses and certified nursing assistants) were recruited participate in focus groups.Information on frequency distance ambulated documentation ambulation retrieved from the electronic record. Regression discontinuity analysis was used...

Objectives. Factors related to the utilization of dental care by 5- 11-year-old children from low-income households were investigated using a comprehensive multivariate model that assessed contribution structure, history, cognition, and expectations. The influence dentist-patient interactions, psychosocial health beliefs, particularly fear dentist, on investigated. Methods. Children chosen randomly public schools, 895 mothers surveyed their interviewed in home. Utilization was studied during...

Adults over the age of 65 years account for 60% all hospital admissions and experience consequential negative outcomes directly related to hospitalization. Negative include falls, delirium, loss in ability perform basic activities daily living, new walking dependence. New dependence, defined as walk independently, occurs 16%--59% hospitalized older patients. Nurses are pivotal promoting functional independence However, little is known about how nurses make decisions whether, when, ambulate A...

To describe skilled nursing facility (SNF) nurses' perspectives on the experiences and needs of persons with dementia (PwD) during hospital-to-SNF transitions to identify factors related quality these transitions. Grounded dimensional analysis study using individual focus group interviews nurses (N = 40) from 11 SNFs. Hospital-to-SNF were largely described as distressing for PwD their caregivers dominated by dementia-related behavioral symptoms that perceived being purposely...

Objectives To identify trajectories of recovery community mobility in acutely ill older adults using the University Alabama at Birmingham Life‐Space Assessment (LSA). Design Prospective observation cohort study. Setting Central Alabama, Veterans Affairs Medical Center. Participants Community‐dwelling aged 65 and hospitalized for nonsurgical medical reasons (N=173). Measurements We determined LSA scores month before monthly 6 months after hospitalization (composite ranging from 0–120, with...

In the USA, Black girls and women face significant health disparities disproportionately experience violence, racism, discrimination, stereotype messaging elevated STI/HIV rates. Research shows importance of familial systems effective communication in decreasing risky behaviours among girls. This grounded theory study explored sociocultural conditions that influence process becoming a sexual woman. Analytic results interviews with 20 identified protection as major category associated female...

We developed an ankle-worn gait monitoring system for tracking parameters, including length, width, and height. The utilizes ankle bracelets equipped with wide-angle infrared (IR) stereo cameras tasked a marker on the opposing ankle. A computer vision algorithm we have also processes imaged positions to estimate height of person's gait. Through testing multiple participants, prototype proposed exhibited notable performance, achieving average accuracy 96.52%, 94.46%, 95.29% measurements,...

We demonstrate a shoe-mounted gait monitoring system capable of tracking up to 17 parameters, including step length, time, stride velocity, among others. The employs stereo camera mounted on one shoe track marker placed the opposite shoe, enabling estimation spatial parameters. Additionally, force sensitive resistor (FSR) affixed heel combined with custom-designed algorithm, is utilized measure temporal Through testing multiple participants and comparison mat, our exhibited excellent...

Abstract Purpose To explore nurse–family communication during and after family meetings. Design A cross‐sectional study in which 36 meetings were audio‐recorded two intensive care units an urban, community hospital. Methods Data analyzed using conversation analysis, a qualitative method. Findings Nurses spoke 10 (28%) of the During meetings, nurses mostly self‐selected to take turn by interrupting physician or member, finishing their sentences, responding questions, and, one instance, asking...