Rural emergency nurses face unique obstacles to providing quality end-of-life (EOL) care. Stories provided by emergency nurses embody their most difficult EOL care obstacles. METHODS A questionnaire was sent to 53 rural hospitals. Respondents were asked to share stories that epitomized the obstacles faced while providing EOL care in the rural emergency setting. RESULTS The lack of an ideal ...

There is a paucity of research demonstrating how best to address inequalities in health and access to specialist care faced by rural disadvantaged populations in high HIV-prevalent settings in Sub Saharan Africa. Delivering equitable and cost-effective specialist clinical services in many parts of Africa is challenging, given human resource shortages, poor transport infrastructure and competing...

OBJECTIVE This study explored the relationship between perceived barriers to research use and the implementation of evidence-based practice (EBP) among rural hospital nurses. BACKGROUND The Institute of Medicine recommends that 90% of clinical decisions be evidence based by 2020. METHODS This descriptive, quality improvement study used a convenience sampling of registered nurses (RNs). Part...

OBJECTIVE To explore the reasons why individuals recurrently present with asthma to hospital emergency departments. DESIGN A predominantly qualitative study in which participants were interviewed in-depth about their asthma. Data on medication use, respiratory health and asthma knowledge were also collected, and asthma severity was determined from medical records. SETTING A tertiary teachin...

Given an evolution equation, a standard way to prove the well posedness of the Cauchy problem is to establish a Gronwall type estimate, bounding the distance between any two trajectories. There are important cases, however, where such estimates cannot hold, in the usual distance determined by the Euclidean norm or by a Banach space norm. In alternative, one can construct different distance func...

we mean an equivalence class of paths modulo reparametrizations. Write CD for the set of chords in D. Given a path γ, we write [γ] for the associated chord; more generally, if γ is a continuous map from any compact subinterval I of [0,∞] to Û , starting at z0 and ending at z1, we can obtain a chord [γ] in D by choosing an increasing homeomorphism φ : [0, 1] → I and setting [γ] = [γ ◦ φ]. Write ...

1- introduction despite a lot of plans for rural and remote areas in recent years, many of iran’s local community's health and medical needs are not enough supplied, yet. residents of rural and remote community’s situations show that health care services are weaker than urban centers and health and medical indexes in indigenous communities remain unacceptable. many rural and remote communities ...

The World Health Organisation estimates there are approximately 3 million cases of needlestick injury (NSI) in healthcare workers (HCW) each year, with 90% of these occurring in developing countries 1 . Student nurses are thought to be at high risk of NSI due to poor technique, inexperience and poor use of universal precautions 2 . There has been little research into the incidence of NSI in Afr...

Faculty in Canadian undergraduate nursing programs have come to rely on preceptorship as the primary model for teaching and learning during the final clinical course. A focused ethnography was completed in order to examine undergraduate nursing students' experience of rural hospital preceptorship in western Canada. Data analysis revealed that students perceive nursing faculty involvement and su...