IMPORTANCE When clinicians work with symptoms of infection, they can put patients and colleagues at risk. Little is known about the reasons why attending physicians and advanced practice clinicians (APCs) work while sick. OBJECTIVE To identify a comprehensive understanding of the reasons why attending physicians and APCs work while sick. DESIGN, SETTING, AND PARTICIPANTS We performed a mixe...

Health information technology is revolutionizing the way we interact with health-related data. One example of this can be seen in the rising adoption rates of electronic health records by healthcare providers. Nursing plays a vital role in electronic health record adoption, not only because of their numbers but also their intimate understanding of workflow. The success of an electronic health r...

Limited adoption of mobile technology for informal learning and continuing professional development within Australian healthcare environments has been explained primarily as an issue of insufficient digital and ehealth literacy of healthcare professionals. This study explores nurse supervisors’ use of mobile technology for informal learning and continuing professional development both for their...

BACKGROUND Epidemiologic studies worldwide have provided substantial evidence of the contributions of environmental exposures to the development of childhood cancer, yet this knowledge has not been integrated into the routine practice of clinicians who care for children with this disease. To identify the basis of this deficit, we sought to assess the environmental history-taking behavior and pe...

T he implications for action from the growing body of research on nursing and patient safety are straightforward: hospitals seeking to improve safety outcomes should put a premium on adequate nurse staffing, a high proportion of registered nurses, a well educated nurse workforce, positive nurse-physician relations, and responsiveness of management to addressing problems in patient care identifi...

BACKGROUND Chronically ill and ageing populations demand increasing human resources who can provide on-going and frequent follow-up care. We performed a systematic review to assess the effect of physician-nurse substitution on process care outcomes. METHODS We searched OVID Medline, Embase, CINAHL and The Cochrane Library for all available dates up to August 2012 and updated in February 2014....

PURPOSE This qualitative study explored the impact and appropriateness of structured pro-active care reviews by practice nurses for patients with chronic or recurrent depression and dysthymia within the ProCEED trial. ProCEED (Pro-active Care and its Evaluation for Enduring Depression) was a United Kingdom wide randomised controlled trial, comparing usual general practitioner care with structur...

Fospropofol, a phosphorylated prodrug version of the popular induction agent propofol, is hydrolyzed in vivo to release active propofol, formaldehyde, and phosphate. Pharmacodynamic studies show fospropofol provides clinically useful sedation and EEG/bispectral index suppression while causing significantly less respiratory depression than propofol. Pain at the injection site, a common complaint...

400 Volume 35 | Number 7 www.homehealthcarenow.org fection when “in use” during patient care activities. A window-mounted air conditioning unit that blows air directly in the vicinity of the patient in the home would also be a risk factor. When making home visits with clinicians, a common “seasonal” problem identified is that the staff do not turn off an “in use” fan before removing a dressing ...

An estimated 1 in 1,000 pregnancies is complicated by cancer, and the incidence of cancer during pregnancy is expected to increase as women delay childbirth until their later years. A diagnosis of cancer and the cancer treatment process can be particularly difficult for the pregnant patient, and are challenging for the physician and nurse. This article provides an overview of cancer treatment d...