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Expanded scope of practice

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https://www.readbyqxmd.com/read/29029587/-here-if-you-need-me-exploring-peer-support-to-enhance-access-to-physical-health-care
#1
Julia Bocking, Stephanie B Ewart, Brenda Happell, Chris Platania-Phung, Robert Stanton, Brett Scholz
BACKGROUND: People diagnosed with mental illness (hereinafter "consumers") have higher rates of chronic disease and significantly shorter lives than the wider population. Peer workers have become increasingly involved in facilitating access to physical health care, yet the consumer perspective regarding peer involvement is unknown. This absent voice is needed to inform strategic planning and generate solutions to address the current inequity in health status. AIM: To articulate the views of consumers in regards to the potential use of peer workers to further the physical health of people with mental illness...
October 13, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/29023172/basic-and-advanced-ems-providers-are-equally-effective-in-naloxone-administration-for-opioid-overdose-in-northern-new-england
#2
Nazey Gulec, Joseph Lahey, James C Suozzi, Matthew Sholl, Charles D MacLean, Daniel L Wolfson
OBJECTIVE: Overdose mortality from illicit and prescription opioids has reached epidemic proportions in the United States, especially in rural areas. Naloxone is a safe and effective agent that has been shown to successfully reverse the effects of opioid overdose in the prehospital setting. The National EMS Scope of Practice Model currently only recommends advanced life support (ALS) providers to administer naloxone; however, some individual states have expanded this scope of practice to include intranasal (IN) administration of naloxone by basic life support (BLS) providers, including the Northern New England states...
October 12, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29023167/state-regulation-of-community-paramedicine-programs-a-national-analysis
#3
Melody Glenn, Olivia Zoph, Kim Weidenaar, Leila Barraza, Warren Greco, Kylie Jenkins, Pooja Paode, Jonathan Fisher
BACKGROUND: Community Paramedicine (CP) is a rapidly evolving field within prehospital care where paramedics step outside of their traditional roles of treating acute conditions to provide elements of primary and preventive care. It is unclear if current state oversight regarding the scope of practice (SOP) for paramedics provides clear guidance on the novel functions provided and skills performed by CP programs. OBJECTIVE: To determine the process and authority, as currently defined by state laws and regulations in the United States, to expand paramedic SOP in order to perform CP roles and to assess state EMS agencies' interpretation of paramedic SOP as it applies to CP...
October 12, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28984354/cpd-of-the-future-a-partnership-between-quality-improvement-and-competency-based-education
#4
Joan Sargeant, Brian M Wong, Craig M Campbell
CONTEXT: Many of those involved in continuing professional development (CPD) over the past 10 years have engaged in discussions about its goals and activities. Whereas in the past CPD was viewed as an education intervention directed towards the medical expert role, recent research highlights the need to expand the scope of CPD and to promote its more explicit role in improving patient care and health outcomes. Recent developments in quality improvement (QI) and competency-based medical education (CBME), guided by appropriate theories of learning and change, can shed light on how the field might best advance...
October 6, 2017: Medical Education
https://www.readbyqxmd.com/read/28972509/health-literacy-insights-and-issues
#5
Rima E Rudd
Definitions, by their very nature, establish a shared understanding of words and concepts but also set parameters for inquiry and measures. Health literacy, a term that emerged in the 1990s, has been defined in numerous ways over time and is still considered an evolving concept. This chapter provides a discussion of the difficulties inherent in restricted definitions that have led to research gaps. The discussion highlights the need for an expanded understanding of health literacy and it identifies missing elements...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28960746/scope-of-nursing-practice-in-a-tertiary-pediatric-setting-associations-with-nurse-and-job-characteristics-and-job-satisfaction
#6
Johanne Déry, Sean P Clarke, Danielle D'Amour, Régis Blais
PURPOSE: While professional nursing, like other health professions, has a recognized educational base and a legal scope of practice that is remarkably consistent across societies, there are important variations even within the same institution or organization in the extent to which professional nurses engage in the full range of activities for which they are qualified. There has been limited study of enacted (actual) scope of nursing practice (ESOP) or of its impacts on nurse job outcomes, such as job satisfaction...
September 29, 2017: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/28957967/introduction-of-the-nurse-endoscopist-role-in-one-australian-health-service
#7
Nerissa Duncan, Deanne Bonney, Catherine Au, Cheyne Chalmers, Paul N Bennett
In Australia, nurses performing endoscopic procedures is a recent phenomenon and is uncommon. Challenges include gastroenterologist and patient acceptance of the nurse endoscopist role. This article aims to explore Monash Health's experience with the introduction of a nurse endoscopist. A nurse endoscopist trainee undertook a comprehensive training program under the supervision of a gastroenterologist. All procedural data were collected, organizational policy and procedures were developed, and patients (n = 40) completed a telephone interview postprocedure...
September 2017: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/28931576/partnerships-for-global-child-health
#8
REVIEW
Andrew P Steenhoff, Heather L Crouse, Heather Lukolyo, Charles P Larson, Cynthia Howard, Loeto Mazhani, Suzinne Pak-Gorstein, Michelle L Niescierenko, Philippa Musoke, Roseda Marshall, Miguel A Soto, Sabrina M Butteris, Maneesh Batra
Child mortality remains a global health challenge and has resulted in demand for expanding the global child health (GCH) workforce over the last 3 decades. Institutional partnerships are the cornerstone of sustainable education, research, clinical service, and advocacy for GCH. When successful, partnerships can become self-sustaining and support development of much-needed training programs in resource-constrained settings. Conversely, poorly conceptualized, constructed, or maintained partnerships may inadvertently contribute to the deterioration of health systems...
October 2017: Pediatrics
https://www.readbyqxmd.com/read/28925929/canadian-guidelines-for-controlled-pediatric-donation-after-circulatory-determination-of-death-summary-report
#9
Matthew J Weiss, Laura Hornby, Bram Rochwerg, Michael van Manen, Sonny Dhanani, V Ben Sivarajan, Amber Appleby, Mary Bennett, Daniel Buchman, Catherine Farrell, Aviva Goldberg, Rebecca Greenberg, Ram Singh, Thomas A Nakagawa, William Witteman, Jill Barter, Allon Beck, Kevin Coughlin, Alf Conradi, Cynthia Cupido, Rosanne Dawson, Anne Dipchand, Darren Freed, Karen Hornby, Valerie Langlois, Cheryl Mack, Meagan Mahoney, Deepak Manhas, Christopher Tomlinson, Samara Zavalkoff, Sam D Shemie
OBJECTIVES: Create trustworthy, rigorous, national clinical practice guidelines for the practice of pediatric donation after circulatory determination of death in Canada. METHODS: We followed a process of clinical practice guideline development based on World Health Organization and Canadian Medical Association methods. This included application of Grading of Recommendations Assessment, Development, and Evaluation methodology. Questions requiring recommendations were generated based on 1) 2006 Canadian donation after circulatory determination of death guidelines (not pediatric specific), 2) a multidisciplinary symposium of national and international pediatric donation after circulatory determination of death leaders, and 3) a scoping review of the pediatric donation after circulatory determination of death literature...
September 15, 2017: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/28922039/teaching-and-learning-activities-to-educate-nursing-students-for-interprofessional-collaboration-a-scoping-review
#10
Natalie L Murdoch, Sheila Epp, Jeanette Vinek
To prepare new graduates with the knowledge, skills, and attitudes to engage in effective interprofessional collaboration (IPC) in practice, healthcare professional programmes need to ensure their curriculum provides opportunities for interprofessional education (IPE) and IPC. To strengthen IPE within an undergraduate curriculum and meet the professional requirements set out by regulatory bodies to prepare new graduate nurses to achieve IPC competencies, a curriculum initiative was developed to expand IPE across the four years of the Baccalaureate of Science in Nursing (BSN) programme...
September 18, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28910495/nursing-service-innovation-a-case-study-examining-emergency-nurse-practitioner-service-sustainability
#11
Amanda Fox, Glenn Gardner, Sonya Osborne
AIM: This research aimed to explore factors that influence sustainability of health service innovation, specifically emergency nurse practitioner service. BACKGROUND: Planning for cost effective provision of healthcare services is a concern globally. Reform initiatives are implemented often incorporating expanding scope of practice for health professionals and innovative service delivery models. Introducing new models is costly in both human and financial resources and therefore understanding factors influencing sustainability is imperative to viable service provision...
September 14, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28900801/time-for-action-key-considerations-for-implementing-social-accountability-in-the-education-of-health-professionals
#12
William Ventres, Charles Boelen, Cynthia Haq
Within health professional education around the world, there exists a growing awareness of the professional duty to be socially responsible, being attentive to the needs of all members of communities, regions, and nations, especially those who disproportionately suffer from the adverse influence of social determinants. However, much work still remains to progress beyond such good intentions. Moving from contemplation to action means embracing social accountability as a key guiding principle for change. Social accountability means that health institutions attend to improving the performance of individual practitioners and health systems by directing educational and practice interventions to promote the health of all the public and assessing the systemic effects of these interventions...
September 12, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28864797/oral-health-research-and-scholarship-in-2040-executive-summary
#13
Peter J Polverini
This executive summary for Section 6 of the "Advancing Dental Education in the 21(st) Century" project provides an overview of five background articles that address the role of research and scholarship in dental education in the year 2040. Beginning with a historical account of research and discovery science in dentistry's evolution as a profession, the article then reviews the role of early thought leaders and organized dentistry in establishing research as a cornerstone of dental education and dental practice...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28864710/principles-of-child-health-care-financing
#14
Mark L Hudak, Mark E Helm, Patience H White
After passage of the Patient Protection and Affordable Care Act, more children and young adults have become insured and have benefited from health care coverage than at any time since the creation of the Medicaid program in 1965. From 2009 to 2015, the uninsurance rate for children younger than 19 years fell from 9.7% to 5.3%, whereas the uninsurance rate for young adults 19 to 25 years of age declined from 31.7% to 14.5%. Nonetheless, much work remains to be done. The American Academy of Pediatrics (AAP) believes that the United States can and should ensure that all children, adolescents, and young adults from birth through the age of 26 years who reside within its borders have affordable access to high-quality and comprehensive health care, regardless of their or their families' incomes...
September 2017: Pediatrics
https://www.readbyqxmd.com/read/28864199/silica-stationary-phase-functionalized-by-4-carboxy-benzoboroxole-with-enhanced-boronate-affinity-nature-for-selective-capture-and-separation-of-cis-diol-compounds
#15
Hengye Li, Xuemeng Zhang, Lin Zhang, Weihua Cheng, Fenying Kong, Dahe Fan, Lei Li, Wei Wang
4-Carboxy-benzoboroxole was designed and synthesized. It was then combined with the modification effect of polyethyleneimine (PEI) for the preparation of boronate affinity silica stationary phase. The stationary phase showed improved binding strength with dissociation constant (Kd) towards xanthosine as low as 2.48 × 10(-4) M. The column showed excellent selectivity, high binding capacities (88.3 μmol adenosine g(-1), pH 7.0) and the lowest binding pH (4.0 for cytidine and as low as 2.24 for xanthosine)...
September 8, 2017: Analytica Chimica Acta
https://www.readbyqxmd.com/read/28855447/guidelines-for-personal-exposure-monitoring-of-chemicals-part-i
#16
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...
September 28, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/28819982/hiv-testing-in-the-dental-setting-perspectives-and-practices-of-experienced-dental-professionals
#17
Carrigan L Parish, Karolynn Siegel, Terri Liguori, Stephen N Abel, Harold A Pollack, Margaret R Pereyra, Lisa R Metsch
The dental setting is a largely untapped venue to identify patients with undiagnosed HIV infection. Yet, uptake of rapid HIV testing within the dental community remains low. This study sought to better understand the experiences of dental professionals who have administered the test and how these experiences might inform efforts to promote greater uptake of rapid HIV testing in dental settings. Qualitative interviews were conducted with United States dentists (N = 37) and hygienists (N = 5) who offered rapid HIV testing in their practices...
August 18, 2017: AIDS Care
https://www.readbyqxmd.com/read/28819716/neurological-complications-of-therapeutic-monoclonal-antibodies-trends-from-oncology-to-rheumatology
#18
REVIEW
Chandler Gill, Stasia Rouse, Ryan D Jacobson
PURPOSE OF REVIEW: This review is to describe the scope of neurological complications associated with monoclonal antibody-based therapies, applied across medical specialties, to demonstrate the common and rare neurological syndromes that may be encountered in clinical practice according to the therapeutic agent being receive, and to explain appropriate work-up, diagnosis, and management of drug complications, as supported by the literature. RECENT FINDINGS: The number of commercially available, evidence-based therapeutic monoclonal antibodies continues to expand...
August 17, 2017: Current Neurology and Neuroscience Reports
https://www.readbyqxmd.com/read/28814732/dual-contrast-magnetic-resonance-fingerprinting-dc-mrf-a-platform-for-simultaneous-quantification-of-multiple-mri-contrast-agents
#19
Christian E Anderson, Shannon B Donnola, Yun Jiang, Joshua Batesole, Rebecca Darrah, Mitchell L Drumm, Susann M Brady-Kalnay, Nicole F Steinmetz, Xin Yu, Mark A Griswold, Chris A Flask
Injectable Magnetic Resonance Imaging (MRI) contrast agents have been widely used to provide critical assessments of disease for both clinical and basic science imaging research studies. The scope of available MRI contrast agents has expanded over the years with the emergence of molecular imaging contrast agents specifically targeted to biological markers. Unfortunately, synergistic application of more than a single molecular contrast agent has been limited by MRI's ability to only dynamically measure a single agent at a time...
August 16, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28813346/current-opinion-in-clinical-sport-psychology-from-athletic-performance-to-psychological-well-being
#20
REVIEW
Zella E Moore, Kehana Bonagura
Clinical sport psychology (CSP) is a contemporary, empirically informed model that employs a scope, style, and mode of practice built upon cutting-edge findings from both clinical and sport sciences, and that follows the sound methodological traditions of clinical psychology [1(••)]. Conceptualizing athletic performance and well-being through the context of empirical research in both athletic and nonathletic domains of functioning, CSP practice can involve the enhancement of athletic performance, and also the personal development and psychological well-being of performers...
August 2017: Current Opinion in Psychology
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