scholarly journals Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals: An integrative review and synthesis

2022 ◽  
pp. 104178
Author(s):  
Bernice Redley ◽  
Tracy Douglas ◽  
Leonard Hoon ◽  
Karin White ◽  
Alison Hutchinson
Keyword(s):  
Adult Patients ◽  
Integrative Review ◽  
Prevention Strategies ◽  
Acute Hospitals ◽  
Nursing Guidelines ◽  
Harm Prevention

scholarly journals Investigation on heroin and cocaine quality in Luxembourg

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Adèle Bourmaud ◽  
Georges Dahm ◽  
François Meys ◽  
Nicolas Gengler ◽  
Alain Origer ◽  
...  
Keyword(s):  
Illicit Drugs ◽  
Statistical Evaluation ◽  
Drug Consumption ◽  
Local Market ◽  
Prevention Strategies ◽  
High Concentration ◽  
Concentration Changes ◽  
Harm Prevention ◽  
Local Levels

Abstract Background Heroin and cocaine are among the most dangerous illicit drugs available and their presence on the market is increasing. These facts have led to the investigation of the quality of heroin and cocaine samples seized in Luxembourg by police and customs but also collected at the national supervised drug consumption facilities. Methods Samples obtained from 2019 to 2020 were analyzed to determine their composition and content using GC–MS, HPLC-UV and LC-Q-ToF. The statistical evaluation of concentration changes depending on the source of collection is based on an ANOVA single factor test and a two-tailed t test. Results Results showed important differences between seizure and collection sources. For both drugs, customs samples had significantly higher concentrations than police samples and the latter had significantly higher concentrations than samples from drug consumption facilities, whereas for heroin two cutting steps were identified, for cocaine samples only one appears to occur on the local market. Indeed, cocaine samples seized by police consisted of a mixture of low and high concentration samples. Conclusion The results show that extensive adulteration with pharmacological active and inactive compounds takes place at local levels, which, however, are different for heroin and cocaine. This knowledge on variability of quality of drugs should be considered in the elaboration of drug and harm prevention strategies.

scholarly journals Instruments to Measure Perceptions in the Emergency Department Provider-Patient with Sickle Cell Disease Interaction: Findings of an Integrative Review from a Ph.D. Project

2020 ◽  
Vol 14 (1) ◽  
pp. 263-284
Author(s):  
Aindrea B. Maddray ◽  
Shannon M. Phillips
Keyword(s):  
Emergency Department ◽  
Sickle Cell Disease ◽  
Sickle Cell ◽  
Reliability And Validity ◽  
Adult Patients ◽  
Integrative Review ◽  
Cell Disease ◽  
Related Stigma ◽  
Health Related ◽  
Adequate Reliability

Background & Purpose: The purpose of this review is to examine instruments that measure providers' perceptions of adult patients with Sickle Cell Disease (SCD), examine instruments that measure adult patients with SCD perceptions of providers' behaviors, and determine optimal instruments to use in evaluating the perceptions of Emergency Department (ED) providers and adult patients with SCD of one another's behaviors after an interaction in the ED. Methods: An integrative review was conducted searching EBSCOhost and PubMed databases using the keywords: measure [OR] measure* [OR] assess* [OR] scale [OR] survey [OR] tool [AND] stigma* [OR] stereotype [OR] prejudice [OR] bias [OR] perception [OR] attitude [OR] discrimination [OR] racism [OR] behavior [AND] interaction [OR] relationship [OR] communication [AND] sickle cell. Initial search located 256 articles, but only 15 articles were included in the final review. Results: Fifteen articles reporting six instruments were reviewed. Four instruments evaluated a provider’s perceptions of patients with SCD behaviors, and two instruments evaluated how patients with SCD perceived provider behaviors. The two patient-focused instruments and three provider-focused instruments were found to be adequately reliable and valid according to the Psychometric Grading Framework (PGF). Conclusions: The findings suggest that the General Perceptions About Sickle Cell Disease Patients Scale would be an optimal instrument to evaluate ED providers' perceptions of adult patients with SCD behaviors. One patient-focused instrument, The Sickle Cell Health-Related Stigma Scale (SCD-HRSS), reported adequate reliability and validity but was not specific to measuring the patient's perceptions of ED providers' behaviors, nor was it administered in the ED environment. The SCD-HRSS Doctors subscale has potential adaptability for use in measuring patients with SCD perceptions of ED provider behaviors in the ED environment.

scholarly journals The Effects of a Web-Based Alcohol Prevention Program on Social Norms, Expectancies, and Intentions to Prevent Harm among College Student-Athletes

2016 ◽  
Vol 30 (2) ◽  
pp. 113-122 ◽  
Author(s):  
Melodie Fearnow-Kenney ◽  
David L. Wyrick ◽  
Jeffrey J. Milroy ◽  
Erin J. Reifsteck ◽  
Timothy Day ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Social Norms ◽  
Prevention Program ◽  
Student Athletes ◽  
Alcohol Expectancies ◽  
The United States ◽  
Prevention Strategies ◽  
Effective Prevention ◽  
Harm Prevention ◽  
The Impact

College athletes are at risk for heavy alcohol use, which jeopardizes their general health, academic standing, and athletic performance. Effective prevention programming reduces these risks by targeting theory-based intermediate factors that predict alcohol use while tailoring content to student-athletes. The purpose of this study was to examine the impact of the myPlaybook online prevention program on student-athletes’ social norms, negative alcohol expectancies, and intentions to use alcohol-related harm prevention strategies. NCAA Division II student-athletes were recruited from 60 institutions across the United States to complete myPlaybook and pretest/posttest surveys measuring demographics and targeted outcome variables. Participants were randomly assigned to the treatment group (pretest-program-posttest; final n = 647) or the delayed treatment “control” group (pretest-posttest-program; final n = 709). Results revealed significant program effects on social norms (p < .01) and intentions to use harm prevention strategies (p < .01), while the effect on negative alcohol expectancies was nonsignificant (p = .14). Implications for future research and practice are discussed.

scholarly journals Risk factors for falls in hospitalized adult patients: an integrative review

2014 ◽  
Vol 48 (3) ◽  
pp. 540-554 ◽  
Author(s):  
Isis Marques Severo ◽  
Miriam de Abreu Almeida ◽  
Ricardo Kuchenbecker ◽  
Débora Feijó Villas Boas Vieira ◽  
Michele Elisa Weschenfelder ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Professionals ◽  
Web Of Science ◽  
Hospital Setting ◽  
Adult Patients ◽  
Integrative Review ◽  
Working Process ◽  
Systematic Screening ◽  
Final Sample ◽  
Risk Factors For Falls

Objective: Identifying risk factors for the occurrence of falls in hospitalized adult patients. Method: Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. Results: Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). Conclusion: The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.


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