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721. Racial and Ethnic Disparities in the VA Healthcare System

in communication behaviors (e.g. questions, assertions) that typically elicit more information from doctors. In focus groups, black veterans placed greater emphasis on the need for trust in their physicians in deciding about invasive procedures, while white veterans placed greater emphasis on clinical indications. While racial differences were apparent in factors that might influence the use of cardiac care— e.g., aversion to surgery, trust, communication—studies that were able to examine the influence (...) blacks and whites with cancer suggest that for some cancers, blacks are less likely to undergo potentially curative surgical resection but equally likely to undergo non-surgical interventions, such as chemotherapy and radiation. Studies exploring possible reasons for this disparity suggest that physicians engage in less effective partnerships with black veterans and provide them with less information as compared to white veterans. Part of this communication disparity appears to be related to black

2007 Veterans Affairs Evidence-based Synthesis Program Reports

722. A cost-effectiveness and cost-utility study of lung transplantation

and physician fees. The health care resources were derived from medical files and through patient interview. The resource values were based on national and provincial cost data obtained from the University Health Network in Ontario and the Ministry of Health in Quebec. A correction factor of 58.2%, based on provincial differences of total operating teaching hospital costs per total patient-day, was applied to Ontario costs when they were used to estimate the costs. Physician fees for consultations (...) , for the first time, as active candidates for lung transplantation as of 1 January 1997. Setting The study setting was secondary care. The economic study was carried out in Quebec, Canada. Dates to which data relate The effectiveness evidence and resource use data were collected over 5 years. The closing date for entry into the cohort study was 31 May 2001, and patients were subsequently followed until 28 October 2001. The price year was 2001. Source of effectiveness data The effectiveness data were derived

2005 NHS Economic Evaluation Database.

723. Randomized trial of a nurse-administered, telephone-based disease management program for patients with heart failure

monitoring by specially trained nurses supervised by cardiologists specialising in HF. Telephone calls were intended to promote self-management skills, appropriate diet, and adherence to guideline-based therapy prescribed by primary physicians. Patients were encouraged to contact programme nurses any time they experienced an increase in symptoms or had questions about their disease or treatment. Some patients received home visits and were provided with bathroom scales. Patients also received (...) enrolled. Of the 647 potential candidates admitted at the authors' institution, 382 were excluded due to the strict inclusion criteria. Of the remaining admissions, 25 patients' physicians and 100 patients refused participation in the study, and 19 enrolment attempts failed. It should be noted that patients could be contacted more than once. Thus, the final study sample included 151 patients out of 647 (23.3%) potential candidates and 151 out of 276 (54.7%) individuals who met all inclusion

2005 NHS Economic Evaluation Database.

724. Clinical practice guidelines for the management of women with epithelial ovarian cancer

with epithelial ovarian cancer; • assist the decision-making process by women with epithelial ovarian cancer and their doctors; and • facilitate the optimal treatment of women with epithelial ovarian cancer. In the ?rst chapter of these guidelines, Ovarian cancer in Australian women, the data provided covers all types of ovarian cancer. In the following chapters, the information provided will be for epithelial ovarian cancer (borderline and invasive) only. Most information will be about invasive epithelial (...) guidance for research. The guidelines will be evaluated to determine their impact and their effects on patient outcomes. A consumer booklet will be developed by the Ovarian Cancer Program of the National Breast Cancer Centre, based on the clinical practice guidelines. This booklet will be for use by women with epithelial ovarian cancer and their families, as well as for discussion between the woman and her doctor. Clinical practice guidelines for the management of women with epithelial ovarian cancer 3

2004 Cancer Australia

725. Assessing the challenges of applying standard methods of economic evaluation to public health programmes

. In particular, it was initially considered that methodological challenges existed in four main areas (i) intersectoral costs and consequences (ii) attribution of outcomes (iii) measuring and valuing outcomes and (iv) equity considerations. 13 This is not to say that other methodological issues in economic evaluation are not important in the assessment of public health interventions. Key issues include the framing of the question (including the selection of alternatives), choosing the discount rate (...) ) to assess the barriers to undertaking economic evaluations of public health interventions and lessons arising from the report and finally (iv) to explore the gaps in research in the area. YHEC reviewed the methods employed to undertake cost minimisation, cost- effectiveness, cost-utility and cost-benefit analyses. They explored the options as to who might value outcomes (e.g. by patients, doctors, other health professionals, non- clinical experts or the general public). Additionally they explored

2006 Public Health Research Consortium

726. Stroke Assessment Across the Continuum of Care

the recommendations using associated tools and resources. The HSFO and RNAO are interested in hearing how you have implemented this guideline. Please contact us to share your story. Implementation resources will be made available through the RNAO website at www.rnao.org/bestpractices to assist individuals and organizations to implement best practice guidelines. Nursing Best Practice GuidelineProgram Team: Tazim Virani, RN, MScN, PhD(candidate) Program Director Heather McConnell, RN, BScN, MA(Ed) Program Manager (...) (PT) Clinical Supervisor Physiotherapy, Credit Valley Hospital. Mississauga, Ontario Gerald Bigham, Hon BA, MD Family Physician. Oxford Medical Centre. London, Ontario Cindy Bolton, RN, MBA Program Manager, Nursing Research Unit. Kingston General Hospital, Kingston, Ontario Michelle Bott, RN, BScN, MN Professional Practice Coordinator, Guelph General Hospital. Guelph, Ontario Corina Caila, RN RN Supervisor, Paramed Home Health Care. Orleans, Ontario Janice Cicoria, RN, BScN, CNN(c) Clinical

2005 Registered Nurses' Association of Ontario

727. Oral Health: Nursing Assessment and Intervention

Horst, RN, BScN, MScN, MBA Regional Best Practice Coordinator Long-Term Care Central South Region The Village of Wentworth Heights LTC Home Ministry of Health and Long-Term Care Hamilton, Ontario Minn Yoon, BSc, PhD(C) Doctoral Student University of Toronto Toronto, Ontario Heather McConnell, RN, BScN, MA(Ed) Associate Director International Affairs and Best Practice Guidelines Program Registered Nurses’ Association of Ontario Toronto, Ontario Meagan Cleary, BA Project Coordinator International (...) . . . . . . . . . . . . . . . . . . . . . . . 65 Appendix D – Oral Hygiene History – Sample Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Appendix E – Oral Health Assessment Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Appendix F – Sample Care Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Appendix G – Brief Reference – Oral Hygiene

2008 Registered Nurses' Association of Ontario

728. Woman Abuse: Screening, Identification and Initial Response

Abuse: Screening, Identification and Initial Response 2 Program Team: Tazim Virani, RN, MScN, PhD(candidate) Program Director Jane M. Schouten, RN, BScN, MBA Program Coordinator Heather McConnell, RN, BScN, MA(Ed) Program Manager Stephanie Lappan-Gracon, RN, MN Program Coordinator – Best Practice Champions Network Josephine Santos, RN, MN Program Coordinator Bonnie Russell, BJ Program Assistant Carrie Scott Administrative Assistant Julie Burris Administrative Assistant Keith Powell, BA, AIT Web (...) in Women’s Health, Toronto, Ontario Shona McIntyre, RN, BEd, MEd(C) Educator, Critical Care, St. Joseph’s Healthcare, Hamilton, Ontario Marie McKeary, MA, MSW, PhD Candidate Program Director, Phoenix Place Second Stage, Hamilton, Ontario Mary Jane McNally, RN, BScN, Clinical Director, Emergency, Medicine, Family Community Health, University MN, CMHPN(C) Health Network, Toronto, Ontario Jennifer Medves, RN, PhD Assistant Professor, Queen’s University, Kingston, Ontario Janet Moorhead-Cassidy, BSW Manager

2005 Registered Nurses' Association of Ontario

729. Nursing Management of Hypertension

in hearing how you have implemented this guideline. Please contact us to share your story. Implementation resources are available through the RNAO website to assist individuals and organizations to implement best practice guidelines. This guideline has been endorsed by the Canadian Hypertension Education Program. Nursing Best Practice GuidelineProgram Team Tazim Virani, RN, MScN, PhD(candidate) Program Director Heather McConnell, RN, BScN, MA(Ed) Program Manager Stephanie Lappan-Gracon, RN, MN Program (...) Hospital, Kingston, Ontario Lisa Beck, RN, BScN, MScN Critical Care Educator/CNS, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario Kaye Benson, RN, BScN, MN-ACNP , CCN(C) Acute Care Nurse Practitioner, Cardiology, University Health Network – Toronto General Hospital, Toronto, Ontario Gerald Bigham, Hon BA, MD Family Physician/Stroke Rehab Care, Oxford Medical Centre, London, Ontario John and Elaine Bolton Consumer Reviewers, Cloyne, Ontario Michelle Bott, RN, BScN, MN Manager

2005 Registered Nurses' Association of Ontario

730. Promoting Asthma Control in Children

in contact with us. Let’s make them the real winners of this important effort! RNAO will continue to work hard at developing and evaluating future guidelines. We wish you the best for a successful implementation! Doris Grinspun, RN, MScN, PhD (candidate) Executive Director Registered Nurses Association of OntarioHow to Use this Document This nursing best practice guideline is a comprehensive document providing resources necessary for the support of evidence-based nursing practice. The document needs (...) , the Level IV level of control should be assessed based on : short-acting ß 2 -agonist use daytime symptoms night-time symptoms physical activity absence from school/work exacerbations ** If suspected of having asthma, further evaluation by a physician is required. 1.3 For children identified as potentially having uncontrolled asthma, Level IV the level of acuity needs to be assessed by the nurse and an appropriate medical referral provided (i.e., urgent care or follow-up appointment). Medications

2004 Registered Nurses' Association of Ontario

731. Assessment and Management of Venous Leg Ulcers

every time they come in contact with us. Let’s make them the real winners of this important effort! RNAO will continue to work hard at developing and evaluating future guidelines. We wish you the best for a successful implementation! Doris Grinspun, RN, MScN, PhD (candidate) Executive Director Registered Nurses Association of OntarioHow to Use this Document This nursing best practice guideline is a comprehensive document providing resources necessary for the support of evidence-based nursing (...) Dermatology Centre Office of Dr. R. Gary Sibbald Mississauga, Ontario Diane Gregoire, RN, ET, MScN Spina Bifida Service Coordinator Coordinatrice des Services de Spina Bifida Ottawa, Ontario Margaret Harrison, RN, PhD Associate Professor School of Nursing Queen’s University Kingston, Ontario Nurse Scientist Clinical Epidemiology Program Ottawa Health Research Institute Ottawa, Ontario Staff Nurse St. Joseph’s Healthcare London Parkwood Site London, Ontario Karen Lorimer, RN, MScN (candidate) Clinical

2004 Registered Nurses' Association of Ontario

732. Cervical Cancer

Cervical Cancer NIH Consensus Statement Volume 14, Number 1 April 1Ð3, 1996 Cervical Cancer NATIONAL INSTITUTES OF HEALTH Office of the DirectorAbout the NIH Consensus Development Program NIH Consensus Development Conferences are convened to evaluate available scientific information and resolve safety and efficacy issues related to a biomedical technology. The resultant NIH Consensus Statements are intended to advance understanding of the technology or issue in question and to be useful (...) to health professionals and the public. NIH Consensus Statements are prepared by a nonadvocate, non-Federal panel of experts, based on (1) presentations by investigators working in areas relevant to the consensus questions during a 2-day public session, (2) questions and statements from conference attendees during open discus- sion periods that are part of the public session, and (3) closed deliberations by the panel during the remainder of the second day and morning of the third. This statement

1996 NIH Consensus Statements

733. Cost-utility analysis of the cochlear implant in children

and resource use data corresponded to the period between July 1998 and May 2000. The price year was 1999. Source of effectiveness data The evidence for the final outcomes was based on a single study. Link between effectiveness and cost data Costing was retrospectively performed and appears to have been based on the costs for the typical resources used in the context in question. Study sample Power calculations were not used to determine the sample size. The study participants were parents of 78 profoundly (...) for the TTO, and 73% (22 of 30) for the HUI. The number of families surveyed from the cohort of cochlear implant candidates was 48 for VAS, 32 for TTO, and 12 for HUI. Study design This was a before and after study using cross-sectional surveys carried out in a single centre. The duration of the follow-up was not clear, except for the fact that recipients had an average of 1.9 years of implant use. Loss to follow-up was not reported. Parents rated their child's health state at the time of the survey

2000 NHS Economic Evaluation Database.

734. Laparoscopy as the primary modality for the treatment of women with endometrial carcinoma

that the incidence rate in the lower group was 10%. It was not stated whether this was a prospective or retrospective power calculation. There were 86 patients in the intervention group excluding the four who were judged, for clinical reasons, not to be candidates for LAVH. The number of patients in the control group was not reported but is deduced to have been 57. The intervention group was comprised of women with clinical stage 1 endometrial carcinoma or uterine sarcoma who presented to this particular (...) of postoperative pain, days to return to full activity, days to return to work and satisfaction with treatment, all measured by an in-person or telephone interview). Effectiveness results The significant results for the LAVH group versus the TAH group are summarised as follows: the mean postoperative change in haematocrit was 4.6 versus 5.4, (p<0.001); the mean operative time was 190.5 minutes versus 132.8 minutes, (p<0.001); the mean number of pelvic lymph nodes harvested was 10.8 versus 4.9, (p<0.001

2001 NHS Economic Evaluation Database.

735. Children and physical activity: a systematic review of barriers and facilitators

in children 10 1.4 Using research to inform physical activity promotion 11 1.5 Some notes on research with children 13 1.6 Review questions and approach 15 2. MAPPING EXERCISE: METHODS 17 2.1 Inclusion and exclusion criteria 17 2.2 Identification of relevant studies 19 2.3 Classification of relevant studies 21 3. MAPPING EXERCISE: RESULTS 23 3.1 Identification of relevant studies 24 3.2 Classification of studies 25 3.3 Characteristics of intervention studies 27 3.4 Methodological attributes (...) in physical activity directly, and others may play a mediating role. Many of these studies examine children’s or parents’ views about what affects children’s physical activity levels. Relevant research designs range from large-scale surveys and epidemiological analyses of large datasets, to ‘qualitative’ studies examining views through in-depth interviews or focus groups, or even illuminative techniques such as the ‘draw and write’ method (MacGregor et al., 1998; McWhirter et al., 2000). Research relevant

2003 EPPI Centre

736. Risk Assessment and Prevention of Pressure Ulcers

implementation! Doris Grinspun, RN, MSN, PhD(cand), OOnt Executive Director Registered Nurses’ Association of Ontario1 Nursing Best Practice Guideline Program Team: Tazim Virani, RN, MScN, PhD(candidate) Program Director Heather McConnell, RN, BScN, MA(Ed) Program Manager Stephanie Lappan-Gracon, RN, MN Program Coordinator – Best Practice Champions Network Josephine Santos, RN, MN Program Coordinator Jane M. Schouten, RN, BScN, MBA Program Coordinator Bonnie Russell, BJ Program Assistant Carrie Scott (...) away from the skin. Replace pads and linens when damp. ¦ Use topical agents that provide protective barriers to moisture. ¦ If unresolved skin irritation exists in a moist area, consult with the physician for evaluation and topical treatment. ¦ Establish a bowel and bladder program. 3.11 A nutritional assessment with appropriate interventions should be implemented on entry to any new health care environment and when the client’s condition changes. If a nutritional deficit is suspected: ¦ Consult

2002 Registered Nurses' Association of Ontario

737. Supporting and Strengthening Families Through Expected and Unexpected Life Events

of these areas). Wright & Leahey (1999) identify that the most common reason offered by nurses for not routinely assessing and involving families in their practice is because “they don’t have time” . They propose that a 15-minute family interview can be purposeful, effective, informative, and even therapeutic for family members. Key components of a 15-minute family interview include therapeutic discussions and questions, identifying who makes up the family unit, and identifying family and individual (...) families and clients about their ideas and concerns in relation to treatments and discharge (Wright & Leahey, 1999). In the 15-minute interview, Wright and Leahey (1999) identify questions that address important themes such as sharing of information, expectations and challenges of the life event, and the most pressing concerns/problems that need to be assessed. Laforet-Fliesser & Ford-Gilboe (1996) also identify five broad questions that can be explored with families to assist nurses in identifying how

2002 Registered Nurses' Association of Ontario

738. Establishing Therapeutic Relationships

possible care every time they come in contact with us. Let’s make them the real winners of this important effort! RNAO will continue to work hard at developing and evaluating future guidelines. We wish you the best for a successful implementation! Doris Grinspun, RN, MScN, PhD (candidate) Executive Director Registered Nurses Association of OntarioHow to Use this Document This nursing best practice guidelineis a comprehensive document providing resources necessary for the support of evidence-based (...) bodies are also encouraged to incorporate nursing best practice guidelines into their standards. 9 Nursing Best Practice Guideline10 Establishing Therapeutic Relationships “I find myself, perhaps, listening more intently to my clients now. I find myself using more open-ended questions. I find myself much more easily and quickly gaining their trust and their rapport through them understanding me and where I’m coming from… So the result, for me, certainly was very positive and very rewarding.” (Pilot

2002 Registered Nurses' Association of Ontario

739. Familial Schizophrenia and Spectrum Personality Disorders

to be associated with genetic risk for schizophrenia, and to determine how these phenotypes aggregate in families. Some of the analyses will focus on examining associations between candidate genes and these alternative phenotypes. Thus if we are not able to recruit relatives we may still collect these phenotypic data in probands and their genetic sample for future genotype/phenotype association studies. Testing procedures require a 10-12 hour time commitment and testing will be completed over 2 or more days (...) phenotypes identified in specific aims 1 and 2. We plan to examine how nicotine dependence may run in families and to examine if patterns of nicotine use may be related to a family history of schizophrenia. Participants will be asked about their smoking history and current smoking habits. Current smokers will be asked more specific questions about their smoking behaviors to estimate level of current nicotine dependence. It is hoped that this information will give us clues about why so many individuals

2008 Clinical Trials

740. The Effects of Bariatric Surgery Weight Loss on Knee Pain in Patients With Osteoarthritis of the Knee

patients with co-morbidity of knee osteoarthritis. An interview will be administered and if appropriate, potential candidates will be asked a series of questions taken from the pain section of the Western Ontario McMaster Universities Index of Osteoarthritis (WOMAC). Patients with a WOMAC pain score ≥ 3 will then be asked to have a series of X-rays taken of their knees. Those individuals who display radiographic evidence of knee OA will be asked to participate in the study until the twenty five (...) , 2015 Sponsor: Penn State University Information provided by (Responsible Party): Kevin P. Black, Penn State University Study Details Study Description Go to Brief Summary: This project is a prospective observational study that will involve the participation of 25 volunteers that qualify for having knee osteoarthritis, are going to be having gastric bypass surgery and are willing to participate in this study which is designed to last up to two years. Potential candidates will be interviewed using

2008 Clinical Trials

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