kishore karri

Bedside Nurses' Perceptions of Effective Nurse-Physician Communication in General Medical Units: A Qualitative Study

Cureus, May 24, 2022

Background There is a dearth of research on successful interventions to improve nurse-physician c... more Background There is a dearth of research on successful interventions to improve nurse-physician communication (NPC). An important step is identifying what matters to bedside nurses and their perceptions of effective NPC communications and actions. Methods We conducted three focus groups with a total of 19 medical unit nurses across two hospitals in one academic medical center in the United States. Using a convenience sampling strategy, five to eight nurses voluntarily participated in each focus group. The recording was transcribed verbatim and two independent coders performed coding and resolved any discrepancies in codes. Qualitative content analysis was pursued to identify themes and associated quotes. Results The presence of direct communication between physicians and nurses was identified as the first theme and perceived by nurses as very important. Additional themes related to physician communication and attributes emerged including collegiality and respect (e.g., engaging nurses as partners in patient care), attentiveness and responsiveness (e.g., listening carefully and addressing concerns), and directness and support (e.g., backing nurses up in difficult situations). Effective NPC is further facilitated by organizational structure, relationship development separate from patient care, and consistent/timely use of technology. Conclusions Hospital bedside nurses provided valuable insight into improved physician communication and what attributes contribute to more effective NPC. Most importantly, they emphasized the significance of physicians in supporting them with difficult patients.

Download

AIHA - Stay Warm, Stay Safe

Heartland (Tripathi, Nishant) (Singh, Tushi)

Cutaneous Mucormycosis: A Population Based Study of Patient Characteristics and Outcomes

Learn, recognise and prevent adverse drug reactions/events in elderly hospitalised patients

Evidence Based Nursing, 2022

Context WHO defines an adverse drug reaction (ADR) as a response to a medicine which is noxious a... more Context WHO defines an adverse drug reaction (ADR) as a response to a medicine which is noxious and unintended, and which occurs at doses normally used in man and adverse drug event or experience (ADEs) as any untoward medical occurrence that may present during treatment with a medicine but which does not necessarily have a causal relationship with this treatment. ADRs and ADEs represent a significant proportion of older adult acute hospital admissions (8.7%–16.6%) likely resulting in higher costs and increase in length of stay. Evidence shows that older, hospitalised patients are at higher risk of ADRs, yet a dedicated pooled estimate of ADR prevalence is lacking. Jennings et al tried to identify common clinical presentations, causative medications and estimated prevalence of hospitalacquired ADRs from recent literature.

Inequities still exist in the use of digital health technology across different sociodemographic subgroups

Evidence Based Nursing, 2020

Delay in cancer treatment is associated with increased mortality

Evidence Based Nursing

S0607 Effect of Early Esophagogastroduodenoscopy in Upper Gastrointestinal Bleeding: A Quasi-Experimental Study

American Journal of Gastroenterology

Incidence, predisposing conditions and outcomes of cutaneous mucormycosis: A national database study

Mycoses

Deep Venous Aberration

Cureus

Understanding loneliness among older populations in context of depression

Evidence Based Nursing

First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review

Case Reports in Gastrointestinal Medicine

Introduction. Achromobacter species (spp.) peritonitis has seldom been identified in medical lite... more Introduction. Achromobacter species (spp.) peritonitis has seldom been identified in medical literature. Scarce cases of Achromobacter peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis. Achromobacter exhibits intrinsic and acquired resistance, especially in chronic infections, to most antibiotics. This article conducts a literature review of all previously reported Achromobacter spp. peritonitis and describes the first reported case of Achromobacter peritonitis as a complication of percutaneous endoscopic gastrostomy (PEG) tube placement. Discussion. Achromobacter peritonitis as a complication of PEG-tube placement has not been previously reported. In our patients’ case, the recently placed PEG-tube with ascitic fluid leakage was identified as the most plausible infection source. Although a rare bacterial peritonitis pathogen, Achromobacter may be associated with wide antimicrobial resistance and ...

Download

Peripheral Eosinophilia; An Unusual Presentation of Autoimmune Hepatitis

American Journal of Gastroenterology

Rare Microbiologic Etiologies of Spontaneous Bacterial Peritonitis

American Journal of Gastroenterology

A Rare Case of Herpes Simplex Virus-2 Hepatitis with Negative Serology

Case Reports in Hepatology

Herpes simplex virus-2 (HSV2) hepatitis represents a rare but serious complication of HSV2 infect... more Herpes simplex virus-2 (HSV2) hepatitis represents a rare but serious complication of HSV2 infection that can progress to acute liver failure (ALF). We describe a case of a pregnant teenager who presented with four days of fever, headache, malaise, nausea, and vomiting. She was initially misdiagnosed with sepsis of unclear source and treated with broad-spectrum antibiotics. Empiric acyclovir was started one week into her hospitalization despite negative serologies while awaiting HSV2 PCR leading to complete resolution of symptoms. Given its high mortality and nonspecific presentation, clinicians should consider HSV hepatitis in all patients with acute hepatitis especially in high-risk population.

Download

A Rare Case of DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) Syndrome with Cholecystitis in a Patient on Levetiracetam

Cureus

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare idiosyncratic dr... more Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare idiosyncratic drug reaction with a mortality of up to 10%. As the name suggests, it is characterized by skin rash, eosinophilia, and systemic symptoms resulting from the involvement of visceral organs. We present a case of DRESS in a patient who was on both lamotrigine and levetiracetam, where levetiracetam turned out to be the inciting agent. The interesting features of the case include the onset of symptoms about 70 days after the initiation of levetiracetam, the lack of prominent eosinophilia and the involvement of the gall bladder, which was previously unknown with Levetiracetam. It also reinforces the importance of using the RegiSCAR score in the diagnosis of DRESS. The symptoms resolved over the next few months after drug withdrawal.

Download

A Rare Case of DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) Syndrome with Cholecystitis in a Patient on Levetiracetam

Cureus

Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare idiosyncratic dr... more Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare idiosyncratic drug reaction with a mortality of up to 10%. As the name suggests, it is characterized by skin rash, eosinophilia, and systemic symptoms resulting from the involvement of visceral organs. We present a case of DRESS in a patient who was on both lamotrigine and levetiracetam, where levetiracetam turned out to be the inciting agent. The interesting features of the case include the onset of symptoms about 70 days after the initiation of levetiracetam, the lack of prominent eosinophilia and the involvement of the gall bladder, which was previously unknown with Levetiracetam. It also reinforces the importance of using the RegiSCAR score in the diagnosis of DRESS. The symptoms resolved over the next few months after drug withdrawal.

Download

Uploads

Papers by kishore karri

Log In