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https://www.readbyqxmd.com/read/29759261/deriving-a-framework-for-a-systems-approach-to-agitated-patient-care-in-the-emergency-department
#1
Ambrose H Wong, Halley Ruppel, Lauren J Crispino, Alana Rosenberg, Joanne D Iennaco, Federico E Vaca
BACKGROUND: The rising agitated patient population presenting to the emergency department (ED) has caused increasing safety threats for health care workers and patients. Development of evidence-based strategies has been limited by the lack of a structured framework to examine agitated patient care in the ED. In this study, a systems approach from the patient safety literature was used to derive a comprehensive theoretical framework for addressing ED patient agitation. METHODS: A mixed-methods approach was used with ED staff members at an academic site and a community site of a regional health care network...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29757916/filling-the-gaps-preparing-nurse-practitioners-for-hospitalist-practice
#2
Sharon E Bryant
Over the last 20 years, the emergence of the hospitalist has changed the face of medicine. Hospitalists may serve as either general or specialty-focused providers caring for acutely ill patients in the hospital setting. As the demands and constraints of hospital-specific patient management have continued to grow, an increased need for inclusion of nurse practitioners (NP) into current hospitalist staffing models has occurred. A hospitalist-focused educational model has been developed to better prepare NP students for a variety of hospitalist roles after graduation...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757785/global-emergence-of-nurse-practitioner-advanced-practice-nursing-roles
#3
Madrean Schober
No abstract text is available yet for this article.
April 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29753519/state-of-the-national-emergency-department-workforce-who-provides-care-where
#4
M Kennedy Hall, Kevin Burns, Michael Carius, Mitchel Erickson, Jane Hall, Arjun Venkatesh
STUDY OBJECTIVE: We describe the current US emergency medicine workforce in terms of clinician type and examine rural and urban emergency medicine workforce differences. METHODS: Using the 2014 Medicare Public Use Files, we performed a cross-sectional study of all clinicians receiving reimbursement for evaluation and management (E/M) services (levels 1 to 5) to Medicare fee-for-service Part B beneficiaries in the emergency department. Providers were defined as emergency physicians, nonemergency physicians, or advanced practice providers, corresponding with the Medicare Public Use Files data set...
May 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29731391/outcomes-and-provider-perspectives-on-geriatric-care-by-a-nurse-practitioner-led-community-paramedicine-program
#5
Rebecca E Kant, Maria Vejar, Bennett Parnes, Joy Mulder, Andrea Daddato, Daniel D Matlock, Hillary D Lum
This study explores the use of a nurse practitioner-led paramedicine program for acute, home-based care of geriatric patients. This case series describes patients, outcomes, and geriatric primary care provider perspectives related to use of this independent paramedicine program. There were 40 patient visits from August 2016-May 2017. We reviewed patient demographics, medical conditions, healthcare utilization, and communication processes and used semi-structured interviews and content analysis to explore staff perspectives...
May 3, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29720084/implementation-of-the-smart-move-intervention-in-primary-care-a-qualitative-study-using-normalisation-process-theory
#6
Liam G Glynn, Fergus Glynn, Monica Casey, Louise Gaffney Wilkinson, Patrick S Hayes, David Heaney, Andrew W M Murphy
BACKGROUND: Problematic translational gaps continue to exist between demonstrating the positive impact of healthcare interventions in research settings and their implementation into routine daily practice. The aim of this qualitative evaluation of the SMART MOVE trial was to conduct a theoretically informed analysis, using normalisation process theory, of the potential barriers and levers to the implementation of a mhealth intervention to promote physical activity in primary care. METHODS: The study took place in the West of Ireland with recruitment in the community from the Clare Primary Care Network...
May 2, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29717068/nursing-and-dental-students-reflections-on-interprofessional-practice-after-a-service-learning-experience-in-appalachia
#7
Susan Nierenberg, Linda Paine Hughes, Molli Warunek, Joseph E Gambacorta, Suzanne S Dickerson, Nancy Campbell-Heider
Nowhere is the discrepancy between good and poor oral health status more pronounced in the U.S. than in the Appalachian region, where there is a high incidence of dental problems related to non-flouridated water, limited access to care, and tooth loss. To address these disparities, in 2016 University at Buffalo dental and nurse practitioner faculty members led a group of dental and nursing students on a two-day service-learning experience in rural Tennessee. The aim of this study was to assess the dental and nursing students' reflections on this interprofessional service-learning experience in Appalachia...
May 2018: Journal of Dental Education
https://www.readbyqxmd.com/read/29715255/an-emergency-medicine-residency-for-nurse-practitioners-the-new-york-presbyterian-weill-cornell-medicine-experience
#8
Flavio G Gaudio, Rosa Borensztein
Growing numbers of nurse practitioners (NPs) are entering emergency medicine at a time when emergency departments are experiencing an increasing practice intensity and acuity. In this context, to further prepare NPs for a career in emergency medicine, postgraduate educational programs have emerged in the United States: from post-master's programs with 300-400 clinical hours in emergency medicine to intense residency or fellowship tracks with 2,000-3,000 clinical hours of training. This article describes the development and general organization of one such residency at New York Presbyterian Hospital-Weill Cornell Medical Center, while also noting several broader trends in emergency medicine and emergency NPs in the workforce...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715252/ocular-chemical-burns-secondary-to-accidental-administration-of-e-cigarette-liquid
#9
Yvonne McCague
Chemical burns to the eye represent a true ocular emergency, requiring immediate and proficient attention to preserve visual function. Although there have been very few reports of serious ocular burns secondary to the accidental administration of electronic cigarette liquid, this case report discusses the risk of same because of product confusion between electronic cigarette liquid and ocular preparations. This article presents a patient's case including patient history and management in the emergency department...
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29715248/emergency-nurse-practitioners-state-by-state-a-call-to-action
#10
K Sue Hoyt, Elda G Ramirez
No abstract text is available yet for this article.
April 2018: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/29705979/achieving-service-change-through-the-implementation-of-a-trauma-informed-care-training-program-within-a-mental-health-service
#11
Nicola Palfrey, Rebecca E Reay, Velissa Aplin, Jeffery C Cubis, Virginia McAndrew, Denise M Riordan, Beverley Raphael
As evidence continues to accumulate for the association between childhood trauma and long-term adverse outcomes, Trauma-Informed Care (TIC) approaches are emerging as fundamental to contemporary mental health services. To evaluate a workshop designed to influence mental health practitioners in TIC principles and practices. Nursing, medical and allied health professionals completed pre and post measures of confidence, awareness and attitudes towards TIC practice. The workshop was rated as highly relevant and useful to clinician's practice...
April 28, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29704980/emergency-department-crowding-and-time-at-the-bedside-a-wearable-technology-feasibility-study
#12
Jessica Castner, Heidi Suffoletto
INTRODUCTION: ED crowding is a public health crisis, limiting quality and access to lifesaving care. The purpose of this study was to (1) evaluate the feasibility of radio-frequency identification tags to measure clinician-patient contact and (2) to test the relationship between ED occupancy and clinician-patient contact time. METHODS: In this 4-week observational study, radio-frequency identification tags were worn by emergency clinicians in a 21-bay urban teaching hospital emergency department...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29704979/improving-emergency-health-care-workers-knowledge-competency-and-attitudes-toward-lesbian-gay-bisexual-and-transgender-patients-through-interdisciplinary-cultural-competency-training
#13
Sarah Bristol, Teresa Kostelec, Ryan MacDonald
INTRODUCTION: Emergency staff members have a unique role in providing episodic care to marginalized populations. The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized population that is routinely encountered by ED staff. Implicit prejudice may influence emergency staff interactions and contribute to distrust of health care providers by some members of the LGBT community. The purpose of our study is to evaluate aggregate ED health care team member's knowledge and attitudes toward lesbian, gay, bisexual, and transgender people pre- and post-cultural competency training education...
April 25, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29699427/promoting-a-culture-of-health-through-cross-sector-collaborations
#14
Grant R Martsolf, Jennifer Sloan, Antonia Villarruel, Diana Mason, Cheryl Sullivan
In this study, we explore the experiences of innovative nurses who have developed cross-sector collaborations toward promoting a culture of health, with the aim of identifying lessons that can inform similar efforts of other health care professionals. We used a mixed-methods approach based on data from both an online survey and telephone interviews. A majority of the participants had significant collaborations with health care providers and non-health care providers. Strong partners included mental health providers, specialists, and primary care providers on the health side, and for non-health partners, the strongest collaborations were with community leaders, research institutions, and local businesses...
April 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29665585/-outpatient-emergency-care-for-nursing-home-residents-a-status-quo-from-a-nursing-perspective
#15
Markus Bleckwenn, Linnea Bell, Rieke Schnakenberg, Klaus Weckbecker, Manuela Klaschik
AIM OF THE STUDY: At present about 2 million people need care in Germany, about one third of them live in old people's homes or nursing homes. Outpatient emergency care of nursing home residents is ensured by primary care physicians, the medical emergency service and the emergency services. Emergency care has rarely been examined from the perspective of nurses. Therefore, in our study, we investigated how the nurses perceive medical care in medical emergencies and what suggestions for improvements they have...
April 17, 2018: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#16
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29622005/changing-hearts-and-minds-examining-student-nurses-experiences-and-perceptions-of-a-general-practice-placement-through-a-community-of-practice-lens
#17
Robin Lewis, Shona Kelly
BACKGROUND: The recent UK Government paper 'Five year forward view' describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses...
April 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29614188/diagnostic-reasoning-and-cognitive-biases-of-nurse-practitioners
#18
Thomas N Lawson
BACKGROUND: Diagnostic reasoning is often used colloquially to describe the process by which nurse practitioners and physicians come to the correct diagnosis, but a rich definition and description of this process has been lacking in the nursing literature. METHOD: A literature review was conducted with theoretical sampling seeking conceptual insight into diagnostic reasoning. RESULTS: Four common themes emerged: Cognitive Biases and Debiasing Strategies, the Dual Process Theory, Diagnostic Error, and Patient Harm...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29613873/quality-of-primary-care-provided-to-medicare-beneficiaries-by-nurse-practitioners-and-physicians
#19
Peter Buerhaus, Jennifer Perloff, Sean Clarke, Monica O'Reilly-Jacob, Galina Zolotusky, Catherine M DesRoches
OBJECTIVE: To examine differences in the quality of care provided by primary care nurse practitioners (PCNPs), primary care physicians (PCMDs), or both clinicians. DATA SOURCES: Medicare part A and part B claims during 2012-2013. STUDY DESIGN: Retrospective cohort design using standard risk-adjustment methodologies and propensity score weighting assessing 16 claims-based quality measures grouped into 4 domains of primary care: chronic disease management, preventable hospitalizations, adverse outcomes, and cancer screening...
April 2, 2018: Medical Care
https://www.readbyqxmd.com/read/29609790/-the-nurse-mobilised-in-the-face-of-precarity-in-the-rural-environment
#20
REVIEW
Pierre Francès
In the rural environment, faced with people in situations of precarity, the nurse is an ideal partner for health professionals, as a general practitioner working in a centre for emergency housing and social reintegration explains.
April 2018: Revue de L'infirmière
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