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Nursing Outlook

Marilyn H Oermann, Suzan Kardong-Edgren
No abstract text is available yet for this article.
October 10, 2018: Nursing Outlook
Christine Mueller, Yinfei Duan, Amy Vogelsmeier, Ruth Anderson, Eleanor McConnell, Kirsten Corazzini
BACKGROUND: Licensed nurse (registered nurse [RN] and licensed practical nurse [LPN]) roles in nursing homes are often viewed as interchangeable. Interchangeability occurs when the differences in RN and LPN education and scopes of practice are not recognized or acknowledged, leading to staffing patterns where the roles and clinical contributions of RNs and LPNs are perceived as equivalent. PURPOSE: This study describes the perspectives of directors of nursing about interchangeability between RNs and LPNs and factors that contribute to interchangeability...
September 22, 2018: Nursing Outlook
Rachel F Schiffman, Susan G Dorsey, Donna J McCloskey, Patricia A Grady
BACKGROUND: Logic models are tools to evaluate the effectiveness of programs. In 2013, the National Institute of Nursing Research (NINR) Logic Model for Center Sustainability was developed. PURPOSE: The purpose of this paper is to describe the process of revision and implementation of the NINR Logic Model across a continuum of NINR Exploratory Centers and Centers of Excellence. METHODS: The process for incorporating common data elements for symptom, self-management, biomarker science and precision health in the logic model is outlined...
September 8, 2018: Nursing Outlook
Mona Newsome Wicks, Jose Alejandro, Desiree Bertrand, Carol J Boyd, Christopher Lance Coleman, Emily Haozous, Cathy D Meade, Paula M Meek
No abstract text is available yet for this article.
September 8, 2018: Nursing Outlook
Lynn Unruh, Ashley Rutherford, Lori Schirle, Mary Lou Brunell
BACKGROUND: Advanced Practice Registered Nurses (APRNs) provide access to cost-effective, high quality care. APRNs are underutilized in states that restrict their practice. Removing restrictions could expand access to quality health care, cost-effectively relieve the physician shortage, and contribute economically. PURPOSE: This study forecasts the health system and economic impacts of reducing practice restrictions for Florida APRNs. METHODS: The analysis utilized a number of data sources and IMPLAN software and estimated changes in APRN supply given less restrictive practice laws, and consequential health system and economic benefits...
September 7, 2018: Nursing Outlook
Holli A DeVon, Patricia Underwood
No abstract text is available yet for this article.
August 29, 2018: Nursing Outlook
Brigit VanGraafeiland, Elizabeth Sloand, JoAnne Silbert-Flagg, Kelly Gleason, Cheryl Dennison Himmelfarb
Nurse-graduates today must be prepared to practice in a complicated healthcare system with numerous safety challenges. Although patient safety and quality competencies are a priority in nursing education, effective strategies for applying this knowledge into practice are needed. To meet this challenge, the Helene Fuld Leadership Program for the Advancement of Patient Safety and Quality at Johns Hopkins School of Nursing has developed an academic-clinical service partnership. Students are assigned to mentored, quality improvement projects in which they complete 100 hours over 2 semesters...
August 29, 2018: Nursing Outlook
Karen S Cox
No abstract text is available yet for this article.
August 24, 2018: Nursing Outlook
Catherine Battaglia, Russell E Glasgow
BACKGROUND: Pragmatic dissemination and implementation (D&I) research approaches can benefit patient care because they emphasize real-world settings and populations. Nurse scientists have an opportunity to reduce the gap between science and practice by using pragmatic D&I research and sustainability strategies. PURPOSE: This article discusses pragmatic models, methods, and measures used in D&I research and their relevance for nursing research and enhancing population health...
August 6, 2018: Nursing Outlook
Maureen Groer, Denise Maguire, Kailey Taylor
No abstract text is available yet for this article.
July 29, 2018: Nursing Outlook
Elisha Lilienfeld, Patrice K Nicholas, Suellen Breakey, Inge B Corless
BACKGROUND: In 2000, the United Nations (UN) introduced the Millennium Development Goals (MDG), described as a global movement with the primary aim of ending world-wide poverty ("Millennium Summit," 2000). The second phase of the project, known as the post-2015 Sustainable Development Goals (SDG) agenda offers an increased emphasis on lessening the mitigating factors associated with climate change and adapting to the negative effects of climate change. Nurses are in the unique position to address the health-related impacts related to climate change through community health approaches aimed at education and promotion of environmental stewardship...
July 20, 2018: Nursing Outlook
Lorna Finnegan, Barbara Polivka
No abstract text is available yet for this article.
July 19, 2018: Nursing Outlook
Yin Li, George Mark Holmes, Erin P Fraher, Barbara A Mark, Cheryl B Jones
BACKGROUND: Previous studies reported that primary care nurse practitioners working in primary care settings may earn less than those working in specialty care settings. However, few studies have examined why such wage difference exists. PURPOSE: This study used human capital theory to determine the degree to which the wage differences between dingsPCNPs working in primary care versus specialty care settings is driven by the differences in PCNPs' characteristics...
July 17, 2018: Nursing Outlook
Huong Q Nguyen, Marilyn L Moy, Vincent S Fan, Michael K Gould, Anny Xiang, Adrienne Bailey, Smita Desai, Karen J Coleman
BACKGROUND: Observational studies show that physical inactivity is associated with worse outcomes in chronic obstructive pulmonary disease (COPD). Despite practice guidelines recommending regular physical activity (PA), there are no large-scale experimental studies to confirm that patients at high risk for COPD exacerbations can increase their PA and consequently, have improved outcomes. PURPOSE: The purpose of this case study is to describe the use of a widely accepted pragmatic trials framework for the design and implementation of a pragmatic clinical trial (PCT) of PA coaching for COPD in a real-world setting...
July 12, 2018: Nursing Outlook
Patricia Eckardt, Ann Eckardt Erlanger
Pragmatic studies are common in nursing research. These studies range from secondary analysis of large observational datasets to prospective randomized multisite clinical trials. The common elements in pragmatic studies are the real-world settings in which the research occurs: settings that decrease threats to external validity, but may increase threats to internal validity of the research. This manuscript presents a pragmatic study and the methodological considerations in design and analytic approaches that were undertaken to decrease all threats to validity while maintaining study feasibility...
July 12, 2018: Nursing Outlook
Ruth McDermott-Levy, Jeanne Leffers, Jackline Mayaka
BACKGROUND: Nurses are among the many U.S. health professionals engaged in international learning or service experiences and often travel to low-resource countries lacking guidance for ethical practice, respect for host partners, or collaborative work in different health systems. PURPOSE: The aim of this study is to develop evidence-based principles or guidelines for ethical global health nursing practice. METHODS: A three-round Delphi study was conducted...
July 11, 2018: Nursing Outlook
Shannon Munro, Cristina C Hendrix, Linda J Cowan, Catherine Battaglia, Virginia D Wilder, Jill E Bormann, Constance R Uphold, Sheila Cox Sullivan
BACKGROUND: In 1995, VA's Office of Research and Development launched the Nursing Research Initiative (NRI), to encourage nurses to apply for research funding and to increase the role of nurse investigators in the VA's research mission. This program provides novice nurse researchers the opportunity to further develop their research skills with the guidance of a mentor. PURPOSE: Since the NRI's inception, its impact on the research career trajectory of budding nurse researchers had never been fully explored...
July 11, 2018: Nursing Outlook
Ashley Z Ritter, Kathryn H Bowles, Ann L O'Sullivan, Margo Brooks Carthon, Julie A Fairman
The use of legally required supervision occurs across health professionals who provide similar services. Legally required supervision has the potential to disrupt the production of high-quality, cost-efficient, accessible health services across disciplines. This paper examines the effects of nurse practitioner collaborative practice agreements and similar models of health professional regulation, defined as legally required supervision, on the cost and delivery of health services. A policy analysis examines empirical, policy, and law literature between two health professionals providing a similar service...
July 11, 2018: Nursing Outlook
Janet K Williams, William Gregory Feero, David L Veenstra, Angela Starkweather, Ann K Cashion
No abstract text is available yet for this article.
July 11, 2018: Nursing Outlook
George A Zangaro, Robin Streeter, Tiandong Li
BACKGROUND: The case for a more diverse nursing workforce has never been stronger given the rapidly changing demographics of the United States (U.S.) and the underrepresentation of certain racial and ethnic groups in nursing. PURPOSE: The purpose of this paper is to examine how representation of ethnic and racial minority groups in the nursing workforce has changed over a 15-year period (2000-2015). METHODS: The American Community Survey (ACS) data files were used to examine patterns in ethnicity/race and education level in the registered nurse (RN) workforce...
July 2018: Nursing Outlook
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