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Expanded scope of practice

Haruo Hashimoto, Kenichi Yamada, Hajime Hori, Shinji Kumagai, Masaru Murata, Toshio Nagoya, Hirohiko Nakahara, Nobuyuki Mochida
This Document, "Guidelines for personal exposure monitoring of chemicals" ("this Guideline"), has been prepared by "The Committee for Personal Exposure Monitoring" ("the Committee") of the Expert Division of Occupational Hygiene & Ergonomics, Japan Society for Occupational Health. Considering the background of the growing importance of personal exposure monitoring in risk assessment and the need to prepare for the introduction of monitoring using personal samplers from an administrative perspective in recent years, the Committee was organized in November 2012...
April 18, 2018: Journal of Occupational Health
Carol Hustedde, Heather Paladine, Andrea Wendling, Rupa Prasad, Orlando Sola, Sarah Bjorkman, Julie Phillips
INTRODUCTION: The USA needs more rural physicians. Although women represent half of all US trained medical students, the rural physician workforce has remained predominantly male. Insight is needed into what makes rural practice attractive for women and which practice characteristics allow women physicians to practice successfully in rural areas. This study's purpose was to examine aspects of the practice environment that impact women physicians' professional satisfaction and commitment to rural medicine...
April 2018: Rural and Remote Health
Catriona Barrett, James Loughman
PURPOSE: To investigate current diagnostic equipment availability and usage for glaucoma case-finding within community optometric practice, and to explore optometrists' attitudes towards an enhanced scope of clinical practice. METHODS: An anonymous survey was developed, validated, and distributed to all optometrists in Ireland. RESULTS: 199 optometrists (27% of registrants) responded to the survey. 87% had access to the traditional triad of tests necessary to conduct adequate glaucoma case finding...
April 9, 2018: Journal of Optometry
Donna Goodman, Desley Harvey, Tania Cavanagh, Rebecca Nieman
INTRODUCTION: The aim of the present study was to describe the implementation of an expanded-scope physiotherapy service in a regional hospital emergency department (ED) in Australia and discuss the lessons learnt in terms of long-term sustainability of these roles in regional areas. METHODS: The existing ED advanced physiotherapist was trained in extended scope of practice skills. For sustainability, a senior physiotherapist was recruited to develop further ED practice skills through a locally developed professional development package and ultimately be eligible to complete extended-scope training...
April 2018: Rural and Remote Health
M Germuska, R G Wise
Functional magnetic resonance imaging (fMRI) is an essential workhorse of modern neuroscience, providing valuable insight into the functional organisation of the brain. The physiological mechanisms underlying the blood oxygenation level dependent (BOLD) effect are complex and preclude a straightforward interpretation of the signal. However, by employing appropriate calibration of the BOLD signal, quantitative measurements can be made of important physiological parameters including the absolute rate of cerebral metabolic oxygen consumption or oxygen metabolism (CMRO2 ) and oxygen extraction (OEF)...
March 29, 2018: NeuroImage
Clare Delany, Ian Edwards, Caroline Fryer
The profile and reach of physiotherapy has expanded in areas of extended scope of practice, and broader engagement with population needs beyond the individual treatment encounter. These changes raise increasingly complex ethical challenges evidenced by growth in physiotherapy-based ethics studies and discussions. This paper examines how a broad cross section of Australian physiotherapists perceive, interpret, and respond to ethical challenges in their work contexts and how professional codes of conduct are used in their practice...
March 28, 2018: Physiotherapy Theory and Practice
B Fougère, C Lagourdette, P Abele, B Resnick, M Rantz, C Kam Yuk Lai, Q Chen, W Moyle, B Vellas, J E Morley
The increasing demand for healthcare services is placing great strain on healthcare systems throughout the world. Although the older population is increasing worldwide, there is a marked deficit in the number of persons trained in geriatrics. It is now recognized that early detection and treatment of geriatric conditions (e.g., frailty, sarcopenia, falls, anorexia of aging, and cognitive decline) will delay or avert the development of disability. At the same time, recent years have seen an increased interest and use of advanced practice nurses (APN)...
2018: Journal of Nutrition, Health & Aging
Matthew Jon Links, Tim Wilkinson, Craig Campbell
Professionalism is a contested concept and different discourses have differed by scope and epistemology. The theory of communicative action integrates epistemology (knowledge interests) with that of scope (lifeworld). AIM: To pragmatically inform learning of professionalism. METHODS: apply the theory of communicative action to professionalism discourses. RESULTS: Previous professionalism discourses translated into four frames: technical; communicative; improvement, and critical...
March 26, 2018: Medical Teacher
Sungi Kim, Jae-Myoung Kim, Jeong-Eun Park, Jwa-Min Nam
The application scope of plasmonic nanostructures is rapidly expanding to keep pace with the ongoing development of various scientific findings and emerging technologies. However, most plasmonic nanostructures heavily depend on rare, expensive, and extensively studied noble metals such as Au and Ag, with the limited choice of elements hindering their broad and practical applications in a wide spectral range. Therefore, abundant and inexpensive nonnoble metals have attracted attention as new plasmonic nanomaterial components, allowing these nonnoble-metal-based materials to be used in areas such as photocatalysis, sensing, nanoantennas, metamaterials, and magnetoplasmonics with new compositions, structures, and properties...
March 23, 2018: Advanced Materials
Joshua W Elder, Garrett DePalma, Jesse M Pines
The opioid epidemic is the most significant modern-day, public health crisis. Physicians and lawmakers have developed methods and practices to curb opioid use. This article describes one method, prescription drug monitoring programs (PDMP), through the lens of how to optimize use for emergency departments (ED). EDs have rapidly become a central location to combat opioid abuse and drug diversion. PDMPs can provide emergency physicians with comprehensive prescribing information to improve clinical decisions around opioids...
March 2018: Western Journal of Emergency Medicine
Anna Dastiridou, Vikas Chopra
PURPOSE OF REVIEW: Optical coherence tomography angiography (OCTA) is a novel, noninvasive imaging modality that allows assessment of the retinal and choroidal vasculature. The scope of this review is to summarize recent studies using OCTA in glaucoma and highlight potential applications of this new technology in the field of glaucoma. RECENT FINDINGS: OCTA studies have shown that retinal vascular changes may not develop solely as a result of advanced glaucoma damage...
March 15, 2018: Current Opinion in Ophthalmology
Jian-An Li, Jinghong Zhou, Zhu Mao, Zongliang Xie, Zhan Yang, Bingjia Xu, Cong Liu, Xin Chen, Dingyang Ren, Hui Pan, Guang Shi, Yi Zhang, Zhenguo Chi
Persistent luminescence from purely organic materials is basically triggered by light and electricity, which largely confines its practical applications. Herein, we present a purely organic AIEgen that exhibited not only persistent photoluminescence, but also transient and persistent room-temperature mechanoluminescence. By simply turning on and off the UV lamp, tricolor emission switching between blue, white and yellow was also achieved. The data from single-crystal structure analysis and theoretical calculation suggest that mechanism of the observed persistent mechanoluminescence (pML) is correlated with the strong spin-orbit coupling of bromine atom, as well as the formation of H-aggregates and restriction of intramolecular motions in noncentrosymmetric crystal structure...
March 13, 2018: Angewandte Chemie
Emmanuel Coronel, Vineet M Arora, K Gautham Reddy
No abstract text is available yet for this article.
March 1, 2018: JAMA Internal Medicine
Arjun Gupta, Kristin S Alvarez, Deepak Agrawal
No abstract text is available yet for this article.
March 1, 2018: JAMA Internal Medicine
T O'Hehir
OBJECTIVE: Despite expansion of the scope of practice and clinical responsibilities of dental hygienists since 1945, the degrees granted for dental hygiene remain the same. The majority of dental hygienists complete 4 or even 5 years of college to receive an associate's degree while a few earn a baccalaureate degree. The aim of this study was to determine whether an associate's degree appropriately matches the current level of dental hygiene education. METHODOLOGY: This retrospective, analytical pilot study compared contact hours required for dental hygiene programmes in 1945 and three community college dental hygiene programmes and one university programme in Arizona currently...
February 28, 2018: International Journal of Dental Hygiene
Jeremiah M Kinsman, Kathy Robinson
OBJECTIVE: Previous research conducted in November 2013 found there were a limited number of states and territories in the United States (US) that authorize emergency medical technicians (EMTs) and emergency medical responders (EMRs) to administer opioid antagonists. Given the continued increase in the number of opioid-related overdoses and deaths, many states have changed their policies to authorize EMTs and EMRs to administer opioid antagonists. The goal of this study is to provide an updated description of policy on EMS licensure levels' authority to administer opioid antagonists for all 50 US states, the District of Columbia (DC), and the Commonwealth of Puerto Rico (PR)...
February 27, 2018: Prehospital Emergency Care
Jennifer Ernst, Christine D Aliory, Catherine R Yows
: The competing demands of caring for high-acuity patients, reducing health care costs, and improving access to specialty care are complex challenges facing all health care providers. One approach-empowering nurses to expand their scope of practice-has been successfully employed for two decades by the nurse and physician leadership of a neurology department in an urban academic medical center. This article discusses the department's implementation of a quality improvement initiative to enhance access to neurology services in an ambulatory clinic by extending nursing practice to include lumbar puncture...
March 2018: American Journal of Nursing
Sue Bagley
Since the 1980s, the emergency nurse practitioner (ENP) role has evolved as increasing socioeconomic pressures and changing government policy have led to new working practices in emergency departments. Similarly, a lack of consensus regarding educational support for ENPs and the regulation of ENP training, mean that variations remain in the scope of practice, role description and academic requirements for ENPs. AIM: To explore ENPs' perceptions of their changing role, including their educational requirements and whether their training needs are being met...
February 21, 2018: Nursing Standard
Dennis S Freeman, Lesley Manson, Jeff Howard, Joel Hornberger
The PCBH model of integrated care blends behavioral health professionals into the primary care team, thereby enhancing the scope of primary care and expanding the range of services provided to the patient. Despite promising evidence in support of the model and a growing number of advocates and practitioners of PCBH integration, current reimbursement policies are not always favorable. As the nation's healthcare system transitions to value-based payment models, new financing strategies are emerging which will further support the viability of PCBH integration...
February 16, 2018: Journal of Clinical Psychology in Medical Settings
Karen MacKinnon, Diane L Butcher, Anne Bruce
Work relationships between registered nurses (RNs) and practical nurses (LPNs) are changing as new models of nursing care delivery are introduced to create more flexibility for employers. In Canada, a team-based, hospital nursing care delivery model, known as Care Delivery Model Redesign (CDMR), redesigned a predominantly RN-based staffing model to a functional team consisting of fewer RNs and more LPNs. The scope of practice for LPNs was expanded, and unregulated health care assistants introduced. This study began from the standpoint of RNs and LPNs to understand their experiences working on redesigned teams by focusing on discourses activated in social settings...
January 2018: Global Qualitative Nursing Research
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