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Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view.

The main goal of the study was to determine the incidence and the character of drug related problems (DRPs) identified in chronic kidney disease patients by the clinical pharmacist at the nephrology department. As secondary objective, the aim was to identify the frequency and character of DRPs of selected high risk drugs in medication reviews. The clinical pharmacist reviewed patients' medication records and made drug therapy-related recommendations to physicians. The clinical pharmacists' interventions were categorized using an adaptation of the Pharmaceutical Care Network Europe. During the

Cost utility analysis of pharmacist counseling care for breast cancer chemotherapy outpatients.

Chemotherapy for cancer is increasingly implemented in the outpatient setting. Pharmacists contribute to cancer treatment by conducting counseling during outpatient chemotherapy visits. They provide guidance on drug treatment, side effects, and side effect countermeasures on every visit. However, there have been few economic evaluations of pharmacist involvement in outpatient chemotherapy. Therefore, we performed a cost utility analysis. We assigned usual care (control) and pharmacist counseling to two groups of 19 patients receiving outpatient chemotherapy for breast cancer at Gifu Municipal

Increased Nursing Participation in Multidisciplinary Rounds to Enhance Communication, Patient Safety, and Parent Satisfaction.

Effective communication among health care team members is a mainstay of patient safety, especially in a neonatal ICU (NICU), given small errors can have serious and life-threating consequences. Ineffective communication with families of hospitalized children can lead to decreased satisfaction and trust in the health care team. To enhance communication, the NICU nursing staff at the Johns Hopkins Children's Center spearheaded an initiative to create an enhanced nursing role in multidisciplinary patient rounds. Education of the nursing staff and other team members and the development of a roundi

Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study.

OBJECTIVES: This study was designed to identify the services provided by community pharmacists in Kuwait and their views regarding self-care in pregnancy and lactation. In addition, it determined the pharmacists' recommendations for treatment of pregnancy-related and breast feeding-related ailments. DESIGN: Cross-sectional questionnaire-based survey. SETTING: Community pharmacies in Kuwait. PARTICIPANTS: 207 pharmacies were randomly selected from the Ministry of Health database. One registered pharmacist was approached from each pharmacy. One hundred and ninety-two (92.8%) pharmacists agree

A routine tool with far-reaching influence: Australian midwives' views on the use of ultrasound during pregnancy.

BACKGROUND: Ultrasound is a tool of increasing importance in maternity care. Midwives have a central position in the care of pregnant women. However, studies regarding their experiences of the use of ultrasound in this context are limited. The purpose of this study was to explore Australian midwives' experiences and views of the role of obstetric ultrasound particularly in relation to clinical management of complicated pregnancy, and situations where maternal and fetal health interests conflict. METHODS: A qualitative study was undertaken in Victoria, Australia in 2012, based on six focus gro

'It's not my job. I'm the patient not the doctor': patient perspectives on medicines management in the treatment of schizophrenia.

OBJECTIVES: Medicines management plays a key role in schizophrenia treatment. Objectives were to investigate the feasibility of undertaking in-depth research involving in-patients with a diagnosis of schizophrenia and to determine patients' views and experiences of medicines management. METHODS: Research was carried out in the forensic ward of a psychiatric hospital and two rehabilitation settings in north-east Scotland. A qualitative methodology was adopted incorporating semi-structured interviews. Full text transcripts were produced and analysed. RESULTS: Fifteen of 16 patients approached

Professions, families, and control in the management of the cadaver organ donor.

In times of medical crisis, control over the treatment process is vested with the patient's attending physician. The role of the other members of the treatment team is clearly supporting of the physician while the patient's family exercises little or no influence over the treatment process. In certain "rare" events, the traditional roles are suspended and control of the process is, at lest temporarily, shifted to an outside group of health professionals. The process of cadaver organ donor donation is presented as an example of the suspension of traditional role responsibilities and the delegat

Developing a hospital emergency preparedness program.

The emergency preparedness program is not a static entity that only needs to be taken off the shelf and looked at once or twice a year. The various components of the program require that it be a daily part of the hospital's routine. Only by becoming a part of the everyday operation of the hospital can the full benefits of an emergency preparedness program be realized in an actual disaster. A part of the recovery activities after a hospital experiences an actual disaster should be to examine all phases of the emergency preparedness program. The program should be viewed as if it were being desig

What shapes job satisfaction for middle nurse managers in hospitals and community care? A qualitative study.

BACKGROUND: Middle nurse managers (MNMs) play a pivotal role in healthcare organizations, acting as a bridge between senior management and frontline staff. Despite their strategic importance, their job satisfaction remains insufficiently explored, particularly within the Italian healthcare context. AIM: To identify the organizational, relational, and professional sources of satisfaction and dissatisfaction characterizing the MNMs' role, seeking to capture the complexity of MNMs' experiences and to foreground their voices and narratives within the Italian healthcare context. METHODS: A qualit

Practices, barriers, and opportunities for dietitians-nutrionists in critical care in Latin America: A cross-sectional study.

BACKGROUND: Dietitians-nutritionists (DNs) play a key role in intensive care units (ICUs), yet their scope of practice varies across settings. This study aimed to describe the professional practices of DNs working in ICUs in Latin America and to identify factors associated with their level of professional activity. METHODS: A cross-sectional study was conducted using an online survey targeting DNs working in ICUs across 18 Latin American countries. The survey included two questionnaires: one assessing professional functions and responsibilities, and another evaluating practices, dynamics, and

The role, scope and impact of Chief Midwives - Findings from a global study.

BACKGROUND: Strengthening midwifery leadership is a global priority for improving maternal and newborn health outcomes. While dedicated Chief Midwife roles are increasingly recommended as a means to achieve this, little evidence exists on how these positions are structured, enacted, and whether they influence policy, practice, and the profession at the national level. AIM: To explore the role, scope, and impact of Chief Midwives across diverse health system contexts. METHODS: A qualitative study was conducted. Ten individual semi-structured interviews were conducted online in 2025 with Chief

The role of surgical margins as outcome metrics in a quality assurance program for robot-assisted radical prostatectomy.

BACKGROUND: Positive surgical margins (PSMs) serve as outcome metrics after robot-assisted radical prostatectomy (RARP) and are frequently used in quality assurance programs (QAPs). Despite their central role as a quality indicator, the prognostic significance of PSMs remains debated, and limited research examines how clinicians actually interpret and use this metric within QAPs. This qualitative study explores how urologists collectively interpret and use PSM metrics within a regional prostate cancer QAP and considers the implications for quality improvement and clinical collaboration. METHO

Готовность китайских медсестер к новым инфекционным заболеваниям: данные общенационального онлайнового перекрестного обследования знаний о обезьянопоксе и отношения к ним.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Новые инфекционные заболевания (ВИД) по-прежнему создают постоянные проблемы для глобальных систем здравоохранения. Медсестры, работающие на передовой линии, играют ключевую роль в раннем обнаружении, борьбе с инфекциями и лечении пациентов. Вспышки Mpox (обезьянья обезьяна) дают реальный тест на стресс в мире для оценки готовности медсестер к ЭИД. В ходе этого исследования была проведена оценка знаний китайских медсестер и их отношения к Mpox и были изучены связанные с подготовкой и профессиональной подготовкой факторы, определяющие готовность. МЕТОДЫ: В период с января

Совпадение в аннотации оригинала
BACKGROUND: Emerging infectious diseases (EIDs) continue to pose recurrent challenges to global health systems. Nurses, as frontline healthc … x in the post-outbreak period, suggesting a high baseline awareness of EIDs. Workplace training and professional role differentiation appear central to preparedness. These findings highlight the importance of sustained, structured infectious disease education and leadership-oriented training to strengthen nursing preparedness for future EID threats.

Use of interactive theater and role play to develop medical students' skills in breaking bad news.

Creative arts have been increasingly implemented in medical education. This study investigated the use of interactive theater and role play with professional actors in teaching breaking bad news to medical students. The objectives were to explore the contexts, approaches, experiences, and reactions in giving and receiving bad news. Second-year medical students participated in a required educational session that utilized interactive theater which helps students learn about the issues of breaking bad news to a patient with cancer. Following the interactive theater piece, professional actors prov

Principles of Sociopolitical Competency in Psychological Practice, Research, and Teaching.

Research shows that sociopolitical attitudes and values (SPAVs) often play an important role in people's personal and social identity, life choices, psychological and behavioral functioning, and interpersonal relationships (including those between psychologists and their clients). Thus, SPAVs are frequently relevant to the work that psychologists do, whether as clinicians, researchers, or educators. After reviewing the research on the impact of SPAVs on people's lives and relationships, we provide a set of evidence-based principles for effectively addressing SPAVs in clinical practice, psychol

The working lives of nurse teachers in mainland China and the United Kingdom: a questionnaire survey.

BACKGROUND: Nurse education has undergone considerable changes creating new opportunities and challenges for nurse teachers. Limited comparative research of the working lives of nurse teachers has been reported, thus similarities and differences that may exist are unidentified. AIM: This paper reports a study of the working lives of nurse teachers in mainland China and the United Kingdom. DESIGN: A cross-sectional questionnaire survey. PARTICIPANTS: Census sample of nurse teachers working in four nursing schools in mainland China (n=3) and the United Kingdom (n=1). The overall response rate

Perception of patient aggression among nurses working in a university hospital in Turkey.

The way patient aggression is perceived influences nurses' attitudes and behaviour towards patients. The aim of this cross-sectional, descriptive study was to investigate how nurses working in a university hospital perceive aggression and whether certain variables (sociodemographic and professional characteristics, exposure to aggressive behaviour) affect that perception. Two hundred and eighteen nurses (response rate 68.1%) from different departments were administered the Perception of Aggression Scale, a self-reported scale measuring perception of patient aggression towards nurses. The nurse

Cultural Competence and Transcultural Teaching Behaviors and Influencing Factors in Nursing Academia: A Mixed-Methods Study Among Nurse Educators.

INTRODUCTION: Cultural competence is crucial in nursing education, with nurse educators playing a key role. However, limited research has explored factors influencing their cultural competence. OBJECTIVES: This study has two aims: to assess cultural competence levels and transcultural teaching behaviors among academic nurse educators and to explore the factors influencing these cultural competencies through both quantitative and qualitative analyses. METHODS: A convergent mixed-method design was used. A convenience sample of 45 nurse educators in a Saudi college completed the Cultural Divers