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JMIR Med Inform ; 9(11): e28962, 2021 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-34762059


BACKGROUND: A high risk of mental health or substance addiction issues among sexual and gender minority populations may have more nuanced characteristics that may not be easily discovered by traditional statistical methods. OBJECTIVE: This review aims to identify literature studies that used machine learning (ML) to investigate mental health or substance use concerns among the lesbian, gay, bisexual, transgender, queer or questioning, and two-spirit (LGBTQ2S+) population and direct future research in this field. METHODS: The MEDLINE, Embase, PubMed, CINAHL Plus, PsycINFO, IEEE Xplore, and Summon databases were searched from November to December 2020. We included original studies that used ML to explore mental health or substance use among the LGBTQ2S+ population and excluded studies of genomics and pharmacokinetics. Two independent reviewers reviewed all papers and extracted data on general study findings, model development, and discussion of the study findings. RESULTS: We included 11 studies in this review, of which 81% (9/11) were on mental health and 18% (2/11) were on substance use concerns. All studies were published within the last 2 years, and most were conducted in the United States. Among mutually nonexclusive population categories, sexual minority men were the most commonly studied subgroup (5/11, 45%), whereas sexual minority women were studied the least (2/11, 18%). Studies were categorized into 3 major domains: web content analysis (6/11, 54%), prediction modeling (4/11, 36%), and imaging studies (1/11, 9%). CONCLUSIONS: ML is a promising tool for capturing and analyzing hidden data on mental health and substance use concerns among the LGBTQ2S+ population. In addition to conducting more research on sexual minority women, different mental health and substance use problems, as well as outcomes and future research should explore newer environments, data sources, and intersections with various social determinants of health.

J Nurs Adm ; 46(3): 154-60, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26866326


OBJECTIVE: The aim of this study was to examine the effectiveness of a subcutaneous insulin double-checking preparation intervention on insulin administration errors. BACKGROUND: Insulin accounts for 3.5% of medication-related errors. The Joint Commission and Institute for Safe Medication Practices recommend a 2-nurse double-checking procedure when preparing insulin. METHODS: This study used a randomized, controlled, nonblinded, intent-to-treat methodology. RESULTS: In total, 266 patients were enrolled, and over 4 weeks of data collection, there were 5238 opportunities for insulin administration. Overall, 3151 insulin administration opportunities had no errors; the double-checking group had more no-error periods than usual care. Of error types, wrong time was predominant, but less prevalent in the double-checking group. Omission errors were uncommon and occurred less in the double-checking group. CONCLUSIONS: The subcutaneous insulin double-checking preparation procedure led to less insulin administration errors; however, timing errors were most prevalent and are not resolved with double-checking interventions.

Diabetes Mellitus/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Insulina/administração & dosagem , Erros de Medicação/prevenção & controle , Erros de Medicação/estatística & dados numéricos , Segurança do Paciente/normas , Adulto , Diabetes Mellitus/enfermagem , Feminino , Humanos , Injeções Subcutâneas , Análise de Intenção de Tratamento , Masculino , Erros de Medicação/enfermagem , Pessoa de Meia-Idade , Distribuição Aleatória , Gestão da Segurança/normas , Estados Unidos
Appl Nurs Res ; 27(3): 157-61, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24674695


BACKGROUND: Nurses are responsible for critical aspects of diabetes care. PURPOSE: The purpose of this study was to examine nurses' knowledge of inpatient diabetes management principles before and after a structured diabetes education program. METHODS: In this descriptive, correlation study, 2250 registered nurses working in a quaternary health care center completed a 20 question assessment. The assessment was administered pre and post attendance at a 4hour diabetes management course. FINDINGS: Nurses' knowledge of inpatient diabetes management principles was low. There was no correlation between knowledge scores and age, education, employment status, years of experience or clinical specialty. CONCLUSIONS: In general, our findings suggest that nurses do not feel comfortable and are not adequately prepared to make patient care decisions or provide survival skill education for patients with diabetes in the hospital.

Diabetes Mellitus/enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Educação Continuada em Enfermagem , Avaliação Educacional , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/educação
Diabetes Educ ; 39(3): 293-313, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23493577


The intent of this project was to create a formalized educational program for bedside nurses responsible for inpatient diabetes management. Bedside nurses are recruited to serve as diabetes management mentors. The mentors receive advanced education concerning teaching and learning principles, the AADE7™ Self-Care Behaviors, and diabetes management strategies. They teach their peers, advocate for patients, and facilitate referrals for outpatient Diabetes Self-Management Education (DSME) programs. The focus of these ongoing educational activities is to foster the development of diabetes management mentors and to create teaching tools that mentors can use with peers to address practice gaps or skill deficiencies. The diabetes management mentor is integral in enhancing the care of patients with diabetes in the hospital. The empowerment of bedside nurses as mentors for their peers and their patients is an invaluable asset that helps nurses take ownership of their practice. This role could be applied to other complex disease entities, helping nurses to develop specific management skills to improve patient outcomes and enhance patient satisfaction.

Competência Clínica/normas , Diabetes Mellitus/enfermagem , Docentes de Enfermagem/normas , Pacientes Internados , Mentores/educação , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Autocuidado , Docentes de Enfermagem/organização & administração , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Indiana , Relações Interprofissionais , Liderança , Masculino , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Ohio , Grupo Associado , Poder Psicológico
Health Soc Work ; 35(3): 191-200, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20853646


To date, there is little evidence to inform social work practice with lesbian and bisexual women who are trying to conceive (TTC). The authors report a preliminary examination of the mental health experiences of lesbian and bisexual women who are TTC, through a comparison with lesbian and bisexual women in the postpartum period (PP). Thirty-three lesbian and bisexual women (TTC, n = 15; PP, n = 18) completed standardized questionnaires assessing symptoms of depression and anxiety as well as relationship satisfaction and perceived social support. Qualitative interviews were also conducted to further investigate the experience of TTC. No significant differences were found between groups on any of the dependent variables. Analysis of qualitative data highlighted the challenges for lesbian and bisexual women who are TTC, particularly in terms of difficulty conceiving, lack of support during the conception process, and heterosexism in the fertility system. Women perceived these challenges to conception as having emotional consequences. The findings from this study begin to elucidate the unique context of TTC for lesbian and bisexual women, and they highlight the importance of culturally competent social work practice with this population.

Bissexualidade/psicologia , Homossexualidade Feminina/psicologia , Saúde Mental , Técnicas de Reprodução Assistida/psicologia , Adulto , Ansiedade , Estudos de Casos e Controles , Depressão , Feminino , Humanos , Ontário , Apoio Social , Serviço Social , Cônjuges/psicologia
Work ; 33(4): 389-94, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19923661


BACKGROUND: The experiences and barriers associated with the return to paid employment following healing from recurrent suicide attempts related to mental illness have not been addressed in the literature to date. METHOD: This paper is a collaborative case study between graduates (experts by experience) and facilitators of a psychosocial/psychoeducational group for people with recurrent suicide attempts. The journeys taken by the experts by experience are explored through thematic narrative analysis. FINDINGS/RESULTS: Issues of stigma, disclosure, accommodations, maintaining wellness and coming to re-define a sense of self were consistent themes found throughout all narratives. CONCLUSIONS: The paper identified key areas of challenge and celebration, suggesting the need for enhanced support from health care providers, workplace managers, supervisors and colleagues for successful transitions into the workplace.

Emprego , Ajustamento Social , Tentativa de Suicídio , Feminino , Humanos , Entrevistas como Assunto , Transtornos Mentais/reabilitação , Ontário , Estereotipagem