No nurses from the 76 hospital staffs surveyed were able to recall any hospital policy regarding pain assessment. Knowledge regarding pain assessment was rated at 1.9 (SD=1.6) on a (0-7) scale. 27.7% of nurses possessed a positive attitude toward pain assessment. Pain
AL3818 manufacturer assessment was not routine in most of the hospitals surveyed. Nurses who attended continuing education showed greater knowledge and more positive attitudes regarding pain assessment but did not show improvement in their quality of practice.
Conclusions.This study identified inadequate knowledge and low level of self-reported pain assessment practice among nurses working in high-level hospitals in Mainland China. Current
education did not influence nursing self-reported pain assessment practice. Knowledge of pain evaluation should be improved through newer approaches to education. A better policy framework for pain evaluation may also contribute to improvement.”
“The magnetic properties of transitionlike metals are discussed within the single-site approximation, which is a picture to take into account electron correlations. The metal is described by two hybridized bands one of which includes Coulomb correlation. The presented results indicate that ferromagnetism arises for adequate values of hybridization (V), correlation (U), and occupation number (n(sigma)). Some similarities with dynamical mean-field theory are indicated. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3065671]“
“Background: This study was undertaken
CCI-779 research buy to identify predictors of hospital length of stay (LOS) for heart failure (HF) patients using clinical variables available at the time of admission and hospital characteristics.
Methods and Results: A cohort of 70,094 HF patients discharged to home from 246 hospitals participating in the Get With The Guidelines Heart Failure was analyzed for admission predictors for LOS. The analysis incorporated patient characteristics (PC) first, then added hospital characteristics (HC) followed by standard laboratory evaluations (SL), including troponin and brain natriuretic peptide (BNP). There were 31,995 patients (45.6%) with LOS < 4 days, 26,750 (38.2%) with LOS 4 to 7 days, and 11,349 (16.2%) with NVP-AUY922 order LOS > 7 days. Patients with longer LOS had more comorbidities and a higher severity of disease on admission. Overall models explained a modest amount of LOS variation, with an r(2) of 4.8%, with PC responsible for 1.3% of variation and together with SL explained 2.2% of variation. HC did not change the variation.
Conclusions: Based on admission vital signs and BNP levels, patients with longer LOS have more comorbidities and a higher disease seventy. The ability to risk stratify for LOS based on patient admission and hospital characteristics is limited.