We built on evidence searches developed for a comprehensive systematic review of evidence about staffing in emergency departments [4]. We searched MEDLINE, CINAHL and the Cochrane Library using terms such as “substitute/nurse specialist/physician assistant/advanced practice nurse”, “skill mix”, linked with terms such as ‘‘emergency nursing’’, ‘‘Accident and emergency or emergency department’’, ...

The findings by Peterson et al. show that over half of all family physicians work with nurse practitioners, physician assistants, and certified nurse midwives. While tensions surrounding leadership of teams remain an issue, there are many systems problems that all primary care providers need to face together. This commentary presents the challenges we need to address in order to keep the focus ...

The aim of this study is to analyze the correlation between numbers doctors and nurses, as well effect health expenditure (HE) on employment nurses. data belong Turkish system cover years 1975-2018. amount HE was handled ratio Turkey national income (GDP). Pearson test linear regression model methods were used in study. doctor-nurse examined order see interaction levels relationship doctor nurs...

OBJECTIVE To examine the effectiveness of a brief, school-based intervention for preventing alcohol use. DESIGN AND SETTING Randomized, control trial assigning inner-city public school students to an intervention program or a comparison program. PARTICIPANTS Sixth, seventh, and eighth grade students in Jacksonville, Fla (N=104). INTERVENTIONS Students assigned to the intervention program ...

OBJECTIVE To evaluate how the rating of the severity of sickness - as performed by the physician, nurse and patient - is associated with hospitalisation and acute morbidity. METHODS Prospective observational study, performed in the emergency department of a tertiary hospital. Patients, physicians and nurses were interviewed separately after the first contact from 21 October through to 11 Nove...

OBJECTIVE Overactive bladder (OAB) affects 16.9% of women in the United States. Percutaneous tibial nerve stimulation (PTNS) is a third-line treatment for patients who are refractory to behavioral and pharmacologic therapies. We aimed to evaluate the effects of PTNS on urinary symptoms in patients diagnosed as having refractory OAB and investigate the cost of medications and clinical visits bef...

background and purpose: professionalism refers to the professional character and manners of an individual, which encompasses different attributes and a lifestyle reflecting responsibility and commitment. effective communication between physicians and nurses enhances the quality of patient care, reduces medical errors. over the years, there have been repeated admonitions to improve nurse-physici...

BACKGROUND Underreporting of intraoperative events in anaesthesia is well-known and compromises quality documentation. The reasons for such omissions remain unclear. We conducted a questionnaire-based survey of anaesthesia staff to explore perceived barriers to reliable documentation during anaesthesia. METHODS Participants anonymously completed a paper-based questionnaire. Predefined answers...

OBJECTIVE This study evaluated the efficacy of a nurse-care management system designed to improve outcomes in patients with complicated diabetes. RESEARCH DESIGN AND METHODS In this randomized controlled trial that took place at Kaiser Permanente Medical Center in Santa Clara, CA, 169 patients with longstanding diabetes, one or more major medical comorbid conditions, and HbA(lc) >10% received...

BACKGROUND During recent decades, various factors have modified the nurse-physician professional relationship pattern in hospital settings. The present study investigates the typology and dynamics of this relationship as well as the effects of social structures and the actors' agency by considering the gender variable in two professional groups of nurse and physician. MATERIALS AND METHODS A ...