Evidence-Based Solution-Focused Care for School-Age Children Experiencing Cyberbullying

Cyberbullying is a global phenomenon. The experiences of bullied children are the same across cultures and languages, and psychiatric nursing interventions are known to be effective. It is critical to widely disseminate effective interventions to identify and address cyberbullying. Therefore, evidence-based care plans addressing cyberbullying at the individual and community levels were developed using the Omaha System, a terminology that is used internationally to guide and document care. This article presents a case study in which an evidence-based intervention was used to help a bullied child arrive at a solution, and demonstrates the use of the Omaha System to document evidence-based cyberbullying interventions with individuals and communities

An Informatics Approach to Interprofessional Management of Low Back Pain: A Feasibility Study using the Omaha System

Background: Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology (HIT) holds promise to improve care delivery by providing infrastructure for communication, clinical documentation, and management of patient data. Standardized terminology is essential for interoperability and enables evaluation of clinical data generated by documentation in an electronic health record (EHR).Objective: The purpose of this study was to demonstrate the feasibility of mapping evidence-based practice for conservative management of low back pain to the Omaha System and foster inter-professional communication and collaboration among diverse practitioners and patients.Methods: Evidence-based practice (EBP) guidelines for non-invasive treatment of low back pain were mapped to the Omaha System using a clinical expert approach with attention to content feasibility, linguistic validity, and granularity of terms. Results: A clinical guideline for low back pain management was developed consisting of 13 interventions for Pain and Neuro-musculo-skeletal problems. The most common intervention categories were Case management followed by Treatments and procedures, Teaching, guidance, and counseling and Surveillance. Scope of practice overlap was identified between primary care, chiropractic, and physical therapy practice.Conclusion: Use of the guideline may facilitate clinical documentation using the Omaha System for low back pain management, and has potential to generate meaningful data to evaluate clinical effectiveness and promote quality research. The use of encoded EBP evidence within an EHR can increase use of available evidence, enable interprofessional communication, improve quality of care, and enhance usability of data across care settings

A model for continuous monitoring of patients with major depression in short and long term periods

The final publication is available at IOS Press through http://dx.doi.org/10.3233/THC-161289BACKGROUND AND OBJECTIVE: Major depressive disorder causes more human suffering than any other disease affecting humankind. It has a high prevalence and it is predicted that it will be among the three leading causes of disease burden by 2030. The prevalence of depression, all of its social and personal costs, and its recurrent characteristics, put heavy constraints on the ability of the public healthcare system to provide sufficient support for patients with depression. In this research, a model for continuous monitoring and tracking of depression in both short-term and long-term periods is presented. This model is based on a new qualitative reasoning approach. METHOD: This paper describes the patient assessment unit of a major depression monitoring system that has three modules: a patient progress module, based on a qualitative reasoning model; an analysis module, based on expert knowledge and a rules-based system; and the communication module. These modules base their reasoning mainly on data of the patient's mood and life events that are obtained from the patient's responses to specific questionnaires (PHQ-9, M.I.N.I. and Brugha). The patient assessment unit provides synthetic and useful information for both patients and physicians, keeps them informed of the progress of patients, and alerts them in the case of necessity. RESULTS: A set of hypothetical patients has been defined based on clinically possible cases in order to perform a complete scenario evaluation. The results that have been verified by psychiatrists suggest the utility of the platform. CONCLUSION: The proposed major depression monitoring system takes advantage of current technologies and facilitates more frequent follow-up of the progress of patients during their home stay after being diagnosed with depression by a psychiatrist.Peer ReviewedPostprint (author's final draft

フォレンジック カンゴ ニ カンスル シミュレーション ガクシュウ ノ シサツ ホウコク

フォレンジック看護に関するシミュレーション学修について視察したので報告する。シミュレーションは、新卒や経験豊富な看護師の発達を促進し、学修、リテンション、全体的なパフォーマンス、およびコミュニケーションスキルを向上させることで注目されている。高性能および従来のマネキン等を用いたシミュレーションは、臨床現場で独自の実現可能性と使用目的に合わせて使い分けられている。フォレンジック看護の臨床家が最高の患者ケアを提供し、最初に安全な環境を促進しながら、被害者の法的、医学的ニーズに対応するためにシミュレーション学修が有益である。The purpose of this paper is to provide information from my observation tour regarding skill training and simulation in forensic nursing in the United States. Simulations have been shown to improve learning, retention, overall performance, and communication skills as well as to foster the development of consistently competent new graduates and experienced nurses. High-fidelity and low-fidelity simulation have their own feasibility and usability in such clinical settings. It is imperative that forensic nurse clinicians provide the best patient care and address the legal and the medical needs of the victims while also promoting a safety-first environment