Clancymolina9863

Changing from the M-NZEWS to NZEWS will reduce the number of medical emergency team activation triggers, with the biggest impact on Māori. Electronic vital sign data does not accurately reflect the number of ward medical emergency team triggers or activations.

Changing from the M-NZEWS to NZEWS will reduce the number of medical emergency team activation triggers, with the biggest impact on Māori. Electronic vital sign data does not accurately reflect the number of ward medical emergency team triggers or activations.

To explore perceptions and experiences of patients discharged the same day (or not) and their family members towards same-day discharge following percutaneous coronary intervention.

A qualitative interpretative design. Semi-structured phone interviews were conducted with consented patients who underwent percutaneous coronary intervention, and their family members (n=23). Data were analysed using a content analysis approach.

This study was undertaken in the cardiac services department of an Australian tertiary hospital.

Perceptions and experiences of same-day discharge.

A total of 31 patients and 23 family members were interviewed. Two categories emerged from the analysis communication challenges with hospital staff and perceptions of same-day discharge. Family members were often not provided discharge instructions, and some same-day discharged patients felt vulnerable following discharge. When asked, most participants perceived same-day discharge as a preferred option because of its comfort and convenience. Some expressed uncertainty towards same-day discharge due to feeling anxious and apprehensive. Others misperceived same-day discharge as a signal that their heart problem was fixed without realising their underlying chronic health conditions.

Most patients and family members perceived same-day discharge as a preferred option. However, strategies are needed to support their transition from hospital to home, therefore, recognising and improving their long-term disease management.

Most patients and family members perceived same-day discharge as a preferred option. However, strategies are needed to support their transition from hospital to home, therefore, recognising and improving their long-term disease management.

To compare nurses' self-assessed competence and perceived need for more training in intensive care units treating patients with respiratory insufficiency before and after completion of a seven-hour educational programme, and to assess whether factors such as age, educational level, years of experience and percentage of employment are associated with these outcomes.

The study had a quantitative, cross-sectional, descriptive design, with two measurement times. The ProffNurse SAS questionnaire was used to assess nurses' self-assessed competence and perceived need for more training.

Nurses in one medical/surgical intensive care unit and one medical intensive care unit in a hospital in Norway.

Nurses' self-assessed competence and perceived need for more training.

The pre- and post-education studies comprised responses from 85 (52%) and 52 (32%) nurses, respectively. The educational programme contributed to increased self-assessed competence in seven items. Self-assessed competence was significantly associated with nurses' educational level, and critical care nurses reported higher self-assessed competence than registered nurses on 50% of the items.

The findings fill a gap in knowledge about nurses' competence in treating patients with respiratory insufficiency in intensive care units. Both education days and further education have beneficial effects on self-assessed competence.

The findings fill a gap in knowledge about nurses' competence in treating patients with respiratory insufficiency in intensive care units. Both education days and further education have beneficial effects on self-assessed competence.

To systematically evaluate the acceptability of high-technology augmentative and alternative communication (high-tech AAC) among ICU patients who are voiceless guided by the technology acceptance model (TAM).

We searched the Cochrane Library, EMBASE, PubMed, CINAHL, PsycINFO, Web of Science, SinoMed, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database and Wanfang Database from database inception to September 2019. Studies that examined conscious nonverbal ICU patients with high-tech AAC intervention were included. Two reviewers independently collected and evaluated all the studies. The methodological quality was assessed by using the Joanna Briggs Institute critical appraisal tool.

Eighteen studies with a total of 914 patients met the inclusion criteria, and the quality of the studies varied from low to moderate. Based on the TAM, ICU voiceless patients perceived that high-tech AAC was useful, was easy to use, decreased communication difficulties, reduced negative emotions, and improved symptom identification and management. Patients maintained a positive attitude and were willing to continue to use high-tech AAC.

Although the existing evidence is limited, voiceless patients regard high-tech AAC devices as a useful, reliable, and acceptable alternative communication choice in the ICU. Multicenter, large-sample, and high-quality studies are highly recommended in the future.

Although the existing evidence is limited, voiceless patients regard high-tech AAC devices as a useful, reliable, and acceptable alternative communication choice in the ICU. Multicenter, large-sample, and high-quality studies are highly recommended in the future.

Our objective was to determine whether acute ischemic stroke (AIS) patients' language preference is associated with differences in time from symptom discovery to hospital arrival, activation of emergency medical services, door-to-imaging time (DTI), and door-to-needle (DTN) time.

We identified consecutive AIS patients presenting to a single urban, tertiary, academic center between 01/2003-05/2014 for whom language preference was available. Data were abstracted from the institution's Research Patient Data Registry and Get with the Guidelines-Stroke Registry. Bivariate and regression models evaluated the relationship between language preference and 1) time from symptom onset to hospital arrival, 2) use of EMS, 3) DTI, and 4) DTN time.

Of 3190 AIS patients, 300 (9.4%) were non-English preferring (NEP). SMS 201-995 Comparing NEP to English preferring (EP) patients in unadjusted or adjusted analyses, time from symptom discovery to arrival and rate of EMS utilization were not significantly different (overall median time 157min, IQR 55-420; EMS utilization 65% vs.