Taking on waste-prevention exercises: The role regarding buyer issue regarding food spend.

Introduction Hospitalized patients are at risk of unrecognized clinical deterioration that may lead to adverse events.Context Rapid Response Teams (RRTs) exist around the world as a strategy to improve patient safety.Objective To explore how RRTs work, their characteristics, impacts, and methods of implementation.Design Literature review.Method Consultation of the databases CINAHL, MEDLINE, PUBMED, COCHRANE library, SCOPUS, and PROQUEST Dissertations and Theses. Keywords “health care team” and “rapid response team”.Results 121 articles were included. The collected data were divided into five categories 1) composition and operation of RRTs, 2) benefits and limitations of RRTs, 3) perceptions of RRTs by health care teams, organizations, and patients, 4) implementation strategies, and 5) facilitators and barriers to implementation.Discussion Although there are many articles related to RRTs, it appears that 1) few studies analyze the difference in outcomes in hospitalized patients related to the composition of RRTs, 2) few studies describe how RRTs should work, 3) more studies are needed on the impacts of RRTs on hospitalized patients, 4) organizations’ and patients’ perceptions of RRTs are not well studied, and 5) more studies are needed on the best way to implement an RRT.Conclusion The results show that there is a lack of studies on the difference in outcomes in hospitalized patients related to the composition of RRTs, on how RRTs should work, on the impacts of RRTs on hospitalized patients, on organizations’ and patients’ perceptions of RRTs, and on the factors that influence the success or failure of the implementation of an RRT.Introduction Wound care represents a public health issue and is an important concern for nursing care.Context Despite the availability of best practice recommendations and clinical practice guidelines, there is a lack of use of this evidence in clinical practice.Objectives The aim of this integrative review is to identify the barriers to nurses’ optimal knowledge transfer in wound care.Method An integrative literature review based on Whittemore and Knalf’s (2005) methodology was conducted ; six databases were searched.Results Of the 82 articles that were retrieved, 13 were retained for analysis. PI3K inhibitor They were all published in English. The literature highlights a theory–practice gap in wound care. Barriers related to knowledge, attitudes, and environmental factors contribute to this gap.Discussion Nursing could benefit from interventions to improve its role in wound care. The perspectives of new graduate nurses as well as nurses working in rural healthcare settings were limited.Conclusion A strategic plan, adapted to the situation of each healthcare facility, could improve the quality of wound care practice.Introduction Compliance with hygiene rules constitutes a central element of care practices in general and nursing training in particular. This study seeks to comprehend the behaviors associated with adherence to rules of hygiene based on the discourse of students in nursing training. The theoretical frame of reference is ethogenic and aims to explain the behaviors through the social conventions, culture and environment of care professionals.Method 159 students in training were interviewed in focus groups to evoke the themes of violation of and adherence to hygiene rules.Results The participants’ comments collected illustrate that behaviors depend upon the perception of the contexts of care, skills and recognition within an in-training professional care work group.Conclusion The results emphasize the importance of developing rules-based education on hygiene, while avoiding the establishment of resistance associated with the application of rules of hygiene in the workplace.Introduction People living with type 2 diabetes are brought to make demanding behavioral changes that can lead to self-management difficulties.Background The guidelines recommend that healthcare professionals follow a person-centered approach (PCA) when caring. However, this approach seems difficult to adopt in practice.Objective Coconstruct an intervention inspired by the concept map (CM) to promote the adoption of PCA by nurses during self-management support encounters.Method This study is based on a model for developing evidence-based nursing interventions. Five experts (2 patients, 2 nurses, 1 educational specialist) collaborated in the coconstruction of the intervention.Results The Person-Centered Approach Diabetes Self-Management Support (PCA-DSMS) intervention has been developed in accordance with the foundations of a PCA and the CM. It includes four steps 1) Introduce the intervention ; 2) Develop the Needs Map ; 3) Intervene according to priority needs ; 4) Conclude and plan a follow-up.Discussion More studies are needed to explore whether the intervention is acceptable and feasible as well as its ability to lead nurses to adopt PCA.Conclusion The PCA-DSMS could bring nurses to adopt a PCA.Introduction The caritative impact of nursing care provided in forensic mental health settings is rarely questioned.Context Caritative nursing care is indirectly regulated by the Review Board (RB), a para-judicial court which ensures public safety.Objective This study presents a critical reflection on the political and social effects of the RB, forensic psychiatry hospitals and practices of forensic mental health nurses.Method The reflection is centered on the concepts of biopower, degradation ceremonies, moral career and identity (re)construction.Results ‘Therapeutic’ nursing practices are useful for disciplinary purposes in the forensic psychiatric hospital, insofar as they permit the identification and management of dangerous persons. However, the practices also fall within the biopolitical scope of the RB, since they assist the latter in ensuring public safety.Discussion The forensic psychiatric environment can prove problematic for nurses, requiring a double allegiance, whereby their responsibilities to patients (consent and confidentiality) and to the institution (protection of the public) can lead to tension.PI3K inhibitor