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...

Due to the falling birth rate and large-scale rural–urban migration, ageing population in rural China is critical, quality of life elderly needs be given more attention. In recent years, as an important part new construction China, environment has been greatly improved, but impact such environmental improvement on health not clear. Based Health Retirement Longitudinal Study (CHARLS) data, this ...

BACKGROUND An ageing population is seen as a threat to the quality of life and health in rural communities, and it is often assumed that e-Health services can address this issue. As successful e-Health implementation in organizations has proven difficult, this systematic literature review considers whether this is so for rural communities. This review identifies the critical implementation fact...

General practice in Denmark, and in many other developed countries, is suffering at the current time due to a shortage of general practitioners (GPs) and a rapidly ageing GP population. At the same time, the demand for healthcare services among Danish citizens is increasing.[1,2] Scientific evidence suggests that the general shortage of GPs is likely to be mitigated over the coming years, prima...

background: aging has a growing trend in the world. the elderly experience a high incidence of hospitalization and coronary bypass surgery compared with other age groups, and pain is the most common complaint in these patients. this research was conducted to compare the effect of acupressure and cryotherapy on the pain of removing drain tube from the chest of the elderly who have undergone open...

due to their widespread availability, sandstones are commonly used as a natural stone for buildings, monuments and sculptures. in thecurrent study, nine sandstone samples from the upper red formation (specified by the letters a, b, c, cg, s, s1, sh, tr and min)were studied from a petrophysical point of view and their durability was evaluated. then, their suitability as building stones wasassess...

background sleep apnea (sa) is a common sleep disorder among us adults. associations of sa with alcohol consumption and some chronic diseases have been inconsistent. objectives this study aimed to estimate prevalence of sa and examine its associations with potential factors including alcohol consumption, asthma, diabetes, and hypertension. patients and methods this was a cross-sectional study o...