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https://www.readbyqxmd.com/read/28010731/a-survey-of-facilitators-and-barriers-to-recruitment-to-the-magnetic-trial
#1
Geetinder Kaur, Rosalind L Smyth, Colin V E Powell, Paula Williamson
BACKGROUND: Recruitment to randomised controlled trials with children is challenging. It is imperative to understand the factors that boost or hinder recruitment of children to clinical trials. We conducted a survey of facilitators and barriers to recruitment to the MAGNETIC trial, using a previously developed web-based tool. METHODS: MAGNETIC is a multicentre randomised trial of nebulised magnesium in acute severe asthma, recruiting 508 children from 30 UK sites...
December 23, 2016: Trials
https://www.readbyqxmd.com/read/28009093/contract-theories-and-partnership-in-health-care-a-philosophical-inquiry-to-the-philosophy-of-john-rawls-and-seyla-benhabib
#2
Sylvia Määttä, Kim Lützén, Stina Öresland
Over the last 20 years, a paternalistic view in health care has been losing ground. The question about less asymmetrical positions in the healthcare professional-patient relationship is, for example, being addressed by the increased emphasis on person-centred care, promoted in disciplines such as medicine and nursing. Partnership is considered as a key component in person-centred care. Although the previous studies have addressed the attributes inherent in partnership, there is still potential for further discussion on how the various interpretations of partnership influence their use in healthcare literature...
December 23, 2016: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/28000300/nurse-perceived-quality-of-care-in-intensive-care-units-and-associations-with-work-environment-characteristics-a-multicentre-survey-study
#3
Dewi Stalpers, Dimitri van der Linden, Marian J Kaljouw, Marieke J Schuurmans
AIMS: To examine nurse-perceived quality of care, controlling for overall job satisfaction among critical care nurses and to explore associations with work environment characteristics. BACKGROUND: Nurse-perceived quality of care and job satisfaction have been positively linked to quality outcomes for nurses and patients. Much evidence exists on factors contributing to job satisfaction. Understanding specific factors that affect nurse-perceived quality potentially enables for improvements of nursing care quality...
December 21, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27999522/effect-of-comorbidities-on-outcomes-of-neurorehabilitation-interventions-in-multiple-sclerosis-a-scoping-review
#4
Afolasade Fakolade, Etienne J Bisson, Julie Pétrin, Julie Lamarre, Marcia Finlayson
Background: Interest in comorbidities has increased in the past few years, but the effect of comorbidities on outcomes of multiple sclerosis (MS) neurorehabilitation interventions is unclear. The aim of this review was to identify and summarize the existing evidence regarding the effect of comorbidities on outcomes of neurorehabilitation interventions targeting people with MS. Methods: Five databases (Embase, MEDLINE through Ovid, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, and Web of Science) were searched using index terms and keywords relating to MS and a wide range of rehabilitation interventions...
November 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27955957/hospital-magnet%C3%A2-designation-and-missed-nursing-care-in-neonatal-intensive-care-units
#5
Heather L Tubbs-Cooley, Rita H Pickler, Constance A Mara, Mohammad Othman, Allison Kovacs, Barbara A Mark
Missed nursing care is an emerging measure of front-line nursing care effectiveness in neonatal intensive care units (NICUs). Given Magnet® hospitals' reputations for nursing care quality, missed care comparisons with non-Magnet® hospitals may yield insights about how Magnet® designation influences patient outcomes. The purpose of this secondary analysis was to evaluate the relationship between hospital Magnet® designation and 1) the occurrence of nurse-reported missed care and 2) reasons for missed nursing care between NICU nurses employed in Magnet® and non-Magnet® hospitals...
December 9, 2016: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/27929703/comprehensive-guide-for-the-safe-administration-of-rtms-while-providing-for-patient-comfort
#6
Kimberly Van Trees, James K Rustad, Mark Weisman, Sean Phillips, Jaffrey Hashimie, F Andrew Kozel
Repetitive Transcranial Magnetic Stimulation (rTMS) is a relatively new treatment modality available for patients with depression that have not shown a significant response to medications. The involvement of nurses in providing safe, comfortable, and effective treatments is increasing. Psychiatric nurses are uniquely equipped to assess the patient, provide rTMS treatments, and coordinate care. In order to perform their role effectively, nurses must be well informed regarding this new technology. The focus of this article is to provide accurate information and guidance for those who are or will be administering rTMS treatments...
December 8, 2016: Issues in Mental Health Nursing
https://www.readbyqxmd.com/read/27906736/an-exploratory-descriptive-study-of-registered-nurse-innovation-implications-for-levels-of-adoption
#7
Debra Polster, Dana Villines
PURPOSE: The aims of this study were to describe registered nurses' levels of personal innovativeness and registered nurses' perceived organizational innovativeness and determine the relationship between these 2 variables. BACKGROUND: There is limited research to describe the levels of innovation of nurses within a hospital. The levels of innovation can determine the likelihood of adoption of evidence-based practices at the bedside. As change agents, clinical nurse specialists can determine successful implementation strategies tailored to nurse levels of innovation...
January 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27893496/do-leadership-style-unit-climate-and-safety-climate-contribute-to-safe-medication-practices
#8
Amany Farag, Susan Tullai-McGuinness, Mary K Anthony, Christopher Burant
OBJECTIVES: This study aims at: examining if leadership style and unit climate predict safety climate; and testing the direct, indirect, and total effect of leadership style, unit climate, and safety climate on nurses' safe medication practices. BACKGROUND: The Institute of Medicine and nursing scholars propose that safety climate is a prerequisite to safety practices. However, there is limited empirical evidence about factors contributing to the development of safety climate and about the association with nurses' safe medication practices...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27868351/essential-elements-of-the-nursing-practice-environment-in-nursing-homes-psychometric-evaluation
#9
Brigitte Johanna Maria de Brouwer, Marian J Kaljouw, Lisette Schoonhoven, Theo van Achterberg
AIMS AND OBJECTIVES: To develop and psychometrically test the Essentials of Magnetism II in nursing homes. BACKGROUND: Increasing numbers and complex needs of older people in nursing homes strain the nursing workforce. Fewer adequately trained staff and increased care complexity raise concerns about declining quality. Nurses' practice environment has been reported to affect quality of care and productivity. The Essentials of Magnetism II © measures processes and relationships of practice environments that contribute to productivity and quality of care and can therefore be useful in identifying processes requiring change to pursue excellent practice environments...
November 20, 2016: International Journal of Older People Nursing
https://www.readbyqxmd.com/read/27851700/a-stronger-patient-voice-improves-transparency-and-care
#10
Barbara Wadsworth, Catherine A Harmer
In the 2nd of a 3-part series on the value of patient and family advisory councils, an early adopter at a large, Magnet®-recognized healthcare system reveals ways in which an environment focused on strong partnerships, a culture of safety, and a commitment to transparency led to the creation of successful councils at multiple hospitals. The authors discuss nursing's integral role in championing and leading the councils, as well as the benefits of a strong patient-family voice in hospital operations and care processes...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27846090/the-design-and-redesign-of-a-clinical-ladder-program-thinking-big-and-overcoming-challenges
#11
Geri-Anne Warman, Faye Williams, Ashlea Herrero, Pariya Fazeli, Connie White-Williams
Clinical Ladder Programs or Clinical Advancement Programs (CAPs) are an essential component of staff nurse professional development, satisfaction, and retention. There is a need for more evidence regarding developing CAPs. CAP initially launched in 2004. Nurses accomplished tasks in four main areas: clinical, education, leadership, and research, which reflected and incorporated the 14 Forces of Magnetism. In February 2012, the newly revised program was launched and renamed Professional Nursing Development Program...
November 2016: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/27793470/utility-of-skinfold-thickness-measurement-in-non-ambulatory-patients-with-duchenne-muscular-dystrophy
#12
Masatoshi Ishizaki, Chika Kedoin, Hidetsugu Ueyama, Yasushi Maeda, Satoshi Yamashita, Yukio Ando
Nutritional disorders in Duchenne muscular dystrophy (DMD) worsen the medical condition. In particular, obesity is a serious problem that increases the risk of cardiomyopathy and affects nursing care. However, it is often difficult to evaluate body fatness in the advanced stages of DMD. Skinfold thickness measurement is a classical method to evaluate body fatness and is easily performed, even for bed-bound patients at home. We aimed to investigate the utility of skinfold thickness measurement in non-ambulatory DMD patients...
September 30, 2016: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/27779542/the-center-for-nursing-excellence-a-health-system-model-for-intentional-improvement-and-innovation
#13
Joanne T Clavelle, Miki Goodwin
An innovative Center for Nursing Excellence model that supports structural empowerment and the achievement of exemplary nursing, patient, and organizational outcomes was implemented in 2 separate health systems in the western United States. Formal leadership roles for nursing practice, research, professional education, and Magnet® continual readiness are aligned to ensure that Magnet designation is attained and maintained in system hospitals.
November 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27779539/a-pilot-study-testing-of-the-psychological-conditions-scale-among-hospital-nurses
#14
Donna M Fountain, Charlotte Thomas-Hawkins
OBJECTIVE: The aim of this study was to test the reliability and validity of the Psychological Conditions Scale (PCS), a measure of drivers of engagement in hospital-based nurses. BACKGROUND: Research suggests drivers of engagement are positive links to patient, employee, and hospital outcomes. Although this scale has been used in other occupations, it has not been tested in nursing. METHODS: A cross-sectional, methodological study using a convenience sample of 200 nurses in a large Magnet® hospital in New Jersey...
November 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27779533/partnering-with-patients-to-improve-care-the-value-of-patient-and-family-advisory-councils
#15
Regina Cunningham, Mary K Walton
Increasingly, healthcare organizations are adopting patient and family advisory councils as a key strategy to create a culture grounded in patient- and family-centered principles and improve the patient experience. In the 1st of a 3-part series, the chief nurse executive and the director of patient- and family-centered care at a Magnet®-designated academic medical center discuss how a stronger patient voice can lead to better care and improved clinical outcomes. The authors examine ways in which the Magnet culture helped drive change and offer tips to establish a successful patient and family advisory council...
November 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27754558/emergency-room-nurses-pathway-to-turnover-intention-a-moderated-serial-mediation-analysis
#16
Luk Bruyneel, Tom Thoelen, Jef Adriaenssens, Walter Sermeus
AIM: To explore the association between the quality of the work environment, job characteristics, demographic characteristics and a pathway of job satisfaction, emotional exhaustion and turnover intention among nurses in emergency departments and perform subgroup analyses. BACKGROUND: Turnover intention among nurses is high. Multiple causes have been described, mostly in large studies of nurses working on general wards, often without considering complementarity of conceptual models and showing scant interest in the consistency of associations across subgroups of nurses...
October 18, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27753671/comparing-clinical-nurse-specialist-students-socialization-based-on-magnet-employment
#17
Terri L Ares
PURPOSE: The purpose of this study is to ascertain if clinical nurse specialist students differed on measures of professional socialization based on employment in a Magnet-oriented hospital. DESIGN: A secondary analysis of data from a previous national study of the socialization of clinical nurse specialist students was used. Anticipatory socialization variables (nursing leadership, workplace exposure to the role, and preconceived impression of the role), mentorship by a clinical nurse specialist, and socialization outcomes (self-concept, perceived preparedness for practice, and nursing specialty certification) were explored...
November 2016: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27738595/a-description-and-critical-analysis-of-the-therapeutic-uses-of-transcranial-direct-current-stimulation-implications-for-clinical-practice-and-research
#18
David E Vance, Pariya L Fazeli, Shameka L Cody, Tyler R Bell, Caitlin Northcutt Pope
For centuries, since the advent of harnessing magnetic and electrical energies, humans have been applying such energies to various body parts, including the brain, with the goal of improving health. Advancements over the past two decades in the production and affordability of such devices that precisely deliver such energies have resulted in novel therapeutic uses. One technique in particular, transcranial Direct Current Stimulation (tDCS), uses electrodes placed on the scalp to deliver a low electrical current to various areas on the surface of the neocortex...
2016: Nursing: Research and Reviews
https://www.readbyqxmd.com/read/27692079/body-art-and-the-perioperative-process
#19
Debra Dunn
Body modification, also known as body art, has been a common cultural practice for thousands of years and includes body piercings, transdermal and subdermal implants, tattoos, scarification, body stretching and sculpting, dental grills, and nail art. Perioperative nurses must learn more about body art to provide nonjudgmental, nonprejudicial care and to ensure patient safety when they prepare patients for surgery. A welcoming environment engages patients and fosters communication so that patients are more likely to share hidden body art...
October 2016: AORN Journal
https://www.readbyqxmd.com/read/27681514/beyond-magnet%C3%A2-designation-perspectives-from-nurse-managers-on-factors-of-sustainability-and-high-performance-programming
#20
Margaret A Hayden, Gail A Wolf, Judith F Zedreck-Gonzalez
OBJECTIVE: The aim of this study was to identify patterns of high-performing behaviors and nurse manager perceptions of the factors of Magnet® sustainability at a multidesignated Magnet organization. BACKGROUND: The Magnet program recognizes exemplary professional nursing practice and is challenging to achieve and sustain. Only 10% (n = 42) of Magnet hospitals sustained designation for 12 years or longer. This study explored the perspectives of Magnet nurse managers regarding high-performing teams and the sustainability of Magnet designation...
October 2016: Journal of Nursing Administration
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