Articles: outcome-assessment-health-care.
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Eur J Phys Rehabil Med · Mar 2012
Multicenter Study Comparative StudyCardiorespiratory comorbidity: a new challenge for physical and rehabilitation medicine specialist.
The cardiorespiratory comorbidity can reduce the participation in the rehabilitation project of patients with motor disorders. ⋯ The results of the survey suggest that rehabilitation is useful even in patients with motor disorders and cardiorespiratory comordibity.
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Multicenter Study
Effects of nurse staffing ratios on patient mortality in Taiwan acute care hospitals: a longitudinal study.
The nurse workload in Taiwan averages two to seven times more than that in the United States and other developed countries. Previous studies have indicated heavy nursing workload as an underlying cause of preventable patient death. No studies have yet explored the relationship between nurse staffing ratio and patient mortality in Taiwan. ⋯ Nurse staffing levels affect patient outcomes. Faced with the problem of inadequate nurses for hospital healthcare needs, Taiwanese policymakers should work to implement a legislatively mandated minimum patient-nurse ratio on a shift-by-shift basis to regulate nurse staffing. In setting guidelines for nurse staffing, policymakers must consider nursing staff characteristics in addition to the number of nurses.
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Multicenter Study
Nurse-led central venous catheter insertion-procedural characteristics and outcomes of three intensive care based catheter placement services.
Nurse-led central venous catheter placement is an emerging clinical role internationally. Procedural characteristics and clinical outcomes is an important consideration in appraisal of such advanced nursing roles. ⋯ This study has demonstrated safe patient outcomes with nurse led CVC insertion as compared with published data. Nurses who are formally trained and credentialed to insert CVCs can improve organisational efficiencies. This study adds to emerging data that developing clinical roles that focus on skills, procedural volume and competency can be a viable option in health care facilities.
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Randomized Controlled Trial Multicenter Study Comparative Study
The access randomized clinical trial of public versus private physiotherapy for low back pain.
Pragmatic randomized clinical trial. ⋯ Despite differences between public and private PT regarding waiting times for treatment and therapist experience, there were no significant differences between groups in the majority of clinical outcome measure scores at follow-up, apart from SF-36 Role Physical and satisfaction with treatment outcome in favor of the private PT group.
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Health Technol Assess · Jan 2012
Randomized Controlled Trial Multicenter StudyREMCARE: reminiscence groups for people with dementia and their family caregivers - effectiveness and cost-effectiveness pragmatic multicentre randomised trial.
The aim of the REMiniscence groups for people with dementia and their family CAREgivers (REMCARE) study was to assess the effectiveness and cost-effectiveness of joint reminiscence groups for people with dementia and their family caregivers as compared with usual care. ⋯ This trial does not provide support for the effectiveness or cost-effectiveness of joint reminiscence groups for people with dementia and their carers. Although there may be some beneficial effects for people with dementia who attend sessions as planned, this must be viewed in the context of raised anxiety and stress in their carers. The reasons for these discrepant outcomes need to be explored further, and may necessitate reappraisal of the movement towards joint interventions.