PURPOSE/OBJECTIVES To review historical and current research data on prevention and treatment of acute radiation dermatitis. DATA SOURCES 18 research trials and 1 case report published from 1967-2001 and 1 unpublished research trial from 1972. DATA SYNTHESIS Washing the skin with mild soap and water and the hair with mild shampoo is safe during radiation therapy. Biafine (Medix Pharmaceutic...

Task shifting should not be viewed as a panacea for the human-resources challenges facing sub-Saharan Africa. Rather, it must be part of an overall strategy that includes measures to increase, retain, and sustain health staff . In health care, the term “task shifting” generally refers to a process of delegation of tasks to health workers with lower qualifi cations. It may include task shifting ...

Acute health care environments can be stressful settings with clinicians experiencing deleterious effects of burnout and compassion fatigue affecting their mental health. Subsequently, the quality of patient care and outcomes may be threatened if clinicians experience burnout or compassion fatigue. Therefore, the aim of this descriptive, cross-sectional study was to evaluate the prevalence of b...

The objective of this study was to identify conditions that influence primary care clinicians' referral decisions related to depression care. Forty primary care clinicians (15 general internists, 10 nurse practitioners, and 15 family practice physicians) were included in this study. The clinicians participated in semistructured interviews and completed two quantitative instruments (with 33 item...

Adult primary care in the United States faces a dilemma. Many patients report poor access to their primary care clinician. Yet the growing demand for primary care leads to high levels of clinician burnout. A commonly voiced solution is to increase the numbers of adult primary care clinicians—physicians, nurse practitioners, and physician assistants. However, most workforce projections find that...

OBJECTIVE To evaluate the quality of patient-clinician communication and shared decision making (SDM) when two disparate treatments for early stage non-small cell lung cancer (NSCLC) are discussed. METHODS We conducted a qualitative study to evaluate the experiences of 20 clinicians caring for patients with clinical Stage I NSCLC prior to treatment, focusing on communication practices. We use...

BACKGROUND The role of the clinical nurse/midwife specialist and advanced nurse/midwife practitioner is complex not least because of the diversity in how the roles are operationalised across health settings and within multidisciplinary teams. This aim of this paper is to use The SCAPE Study: Specialist Clinical and Advanced Practitioner Evaluation in Ireland to illustrate how case study was use...

Abstract Background Most patients nearing the end of life can benefit from a palliative approach in primary care. We currently do not know how to measure family practice. The objective this study was describe provision and evaluate clinicians’ perceptions results. Methods conducted descriptive deceased an interprofessional team integrated conceptual models create chart review tool capture last ...

background and objectives: in this paper, a real life nurse scheduling model is described based on the conditions in iranian hospitals such as monthly shift rotation, consecutive morning and evening shifts and consecutive evening and night shift.   methods: the developed model considers both hospital constraints and nurses’ preferences. hospital constraints include assigning adequate qualified ...