Journal of evaluation in clinical practice
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The increasing number of immigrants in the United States (U.S.) has resulted in more patients with limited English proficiency (LEP). LEP contributes to patient-provider language discordance, which may impact oncologic health outcomes. ⋯ Studies assessing the impact of LEP and EP on the health outcomes of cancer patients are sparse and inconsistent in the measurements of outcomes and data reporting. The inconclusiveness of our study indicates that further standardized research is needed to assess the impact of LEP on the outcomes of cancer patients in the United States.
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Randomized Controlled Trial
The effect of music on pain, anxiety and satisfaction during nonstress testing.
To determine the effect of instrumental music played during Nonstress Test (NST) on pain, anxiety and satisfaction. ⋯ A successful pregnancy is important for the health of mother and baby. Reducing anxiety and stress, especially during the examinations, ensures that the process continues successfully. It is recommended that music played during pregnancy examinations and screening tests be used in clinics and during the procedure to increase satisfaction and reduce anxiety.
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Review
More Than a Sense: The Sense of Smell and Its Reflection in Mother and Baby: A Comprehensive Review.
The sense of smell is one of the most developed and important senses that forms the bond between the newborn and the mother and allows the newborn to reach the mother's breast. The sense of smell begins to form during intrauterine life, and the sense of smell can be a marking tool for a newborn baby, so that the baby can recognize both his mother and his immediate environment and develop his behaviour accordingly. This is necessary not only for feeding babies but also for them to feel safe and peaceful in their new environment. In the early stages of life, olfactory stimulation (maternal odour, breast milk odour, amniotic fluid odour, smell of people or different environments) plays an important role in adapting to the environment. Smell stimulation, in particular, is critical for newborns' postnatal survival because it supports a wide range of early regulatory functions and motor responses. This review also aims to examine the current evidence in the field of olfactory skills in mother and infant in the development and care of the infant. Another aim is to summarize the research conducted to determine the effect of the sense of smell on the life of the mother and baby. ⋯ However, more well-designed experimental studies are needed in this regard. We look forward to future studies that closely examine various aspects of how olfactory stimulation affects both mother and baby.
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Individuals living in rural or medically underserved areas (MUA) with chronic obstructive pulmonary disease (COPD) face significant barriers to specialised pulmonary care, including pulmonologists, diagnostic spirometry, and pulmonary rehabilitation. Remote spirometry for diagnostic screening and disease monitoring may mitigate access barriers and contribute to improved COPD management in this population. This study protocol describes the proposed implementation of a Mobile Health (mHealth) intervention using Bluetooth-enabled portable spirometry combined with a mobile disease management platform. ⋯ An mHealth intervention using Bluetooth-enabled remote portable spirometry is a potential solution to expanding healthcare access and improving outcomes in under-resourced populations at risk for increased morbidity and mortality. This study will evaluate the acceptability and feasibility of mHealth and remote monitoring, including symptom reporting among at-risk under-resourced adults with COPD.
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Healthcare systems are facing unprecedented need to respond to an ever-evolving context of providing safe person-centred care to its citizens and staff. This transformation requires a rethink of healthcare leadership. Systems leaders are critical for culture change; to support safe patient care, facilitate innovation, build person-centred teams, and develop a collaborative workforce. ⋯ However, a global model would translate this role within health systems more broadly. Potential exists for integrated expertise to enable quality care across the system to meet the needs of their local communities. With this in mind, this scoping review aimed at exploring the Multi Professional Consultant Practitioner role-what it is and how it contributes to system transformation.