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Advanced Practice Registered Nurse

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https://www.readbyqxmd.com/read/29216974/position-statement-full-practice-authority-for-advanced-practice-registered-nurses-is-necessary-to-transform-primary-care
#1
Jordon Bosse, Katherine Simmonds, Charlene Hanson, Joyce Pulcini, Lynne Dunphy, Patricia Vanhook, Lusine Poghosyan
No abstract text is available yet for this article.
November 2017: Nursing Outlook
https://www.readbyqxmd.com/read/29212639/advanced-practice-registered-nurses-on-therapeutic-hypothermia-response-teams
#2
Jason Wannemacher, Dana Tschannen, Kim Biery, Cynthia Arslanian-Engoren
BACKGROUND: Therapeutic hypothermia can improve neurological recovery after cardiac arrest when implemented quickly. OBJECTIVE: To determine whether outcomes are improved among patients undergoing therapeutic hypothermia by adding advanced practice registered nurses to a therapeutic hypothermia response team. METHODS: A pilot quality improvement project was conducted in a Midwest community teaching hospital using a retrospective chart review of all adult patients undergoing therapeutic hypothermia before and after the addition of advanced practice registered nurses to the therapeutic hypothermia response team...
2017: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29208447/impact-of-advanced-practice-registered-nurses-on-quality-measures-the-missouri-quality-initiative-experience
#3
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius, Bin Ge, Gregory Petroski
PURPOSE: The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services Innovations Center. While the goals of the MOQI for long-stay nursing home residents did not specifically include improvement of the QM scores, it was anticipated that improvement most likely would occur...
December 2, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29194336/international-nursing-constructing-an-advanced-practice-registered-nurse-practice-model-in-the-uae-using-innovation-to-address-cultural-implications-and-challenges-in-an-international-enterprise
#4
Sue A Behrens
Despite utilization of the advanced practice registered nurse (APRN) in the United States health care system, there is little information about the introduction, utilization, and challenges of the APRN role globally, especially in the Middle East. This article will look at how one hospital in the United Arab Emirates introduced the APRN role to a health care environment of a country where it has not been recognized historically. Cultural challenges and barriers for the implementation of the role include regulatory, societal, and institutional...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29191762/aprn-conducted-medication-reviews-for-long-stay-nursing-home-residents
#5
Amy Vogelsmeier, Lori Popejoy, Charles Crecelius, Sabrina Orique, Greg Alexander, Marilyn Rantz
OBJECTIVE: As part of the Missouri Quality Initiative (MOQI) to reduce hospitalizations for long-stay nursing home residents, this article describes reasons MOQI advanced practice registered nurses (APRNs) recommended medication order changes as part of their medication review process as well as the outcomes of their recommendations. DESIGN: Cross-sectional descriptive study of MOQI APRN-conducted medication reviews. SETTING: Long-stay nursing homes participating in the MOQI project...
November 28, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29166260/the-development-and-content-validation-of-a-multidisciplinary-evidence-based-wound-infection-prevention-and-treatment-guideline
#6
Sammy A Zakhary, Chris Davey, Rebecca Bari, Jordan Bean, Tyler Reber, Kathy Gallagher, Kara Couch, Jennifer Hurlow, Karen Laforet, Corrine McIssac, Karen Napier, Diana Vilar-Compte, Emily Zakhary, Michel Hermans, Laura Bolton
Acute and chronic wound infections create clinical, economic, and patient-centered challenges best met by multidisciplinary wound care teams providing consistent, valid, clinically relevant, safe, evidence-based management across settings. To develop an evidence-based wound infection guideline, PubMed, Cochrane Library, and Cumulative Index to Nursing and Allied Health Literature databases were searched from inception through August 1, 2017 using the terms (or synonyms) wound infection and risk factor, significant, diagnosis, prevention, treatment, or surveillance...
November 2017: Ostomy/wound Management
https://www.readbyqxmd.com/read/29158912/a-phase-2-quasi-experimental-trial-evaluating-the-feasibility-acceptability-and-potential-effectiveness-of-complex-nursing-intervention-focused-on-qol-assessment-on-advanced-cancer-patients-with-palliative-care-needs-study-protocol
#7
Gianluca Catania, Annamaria Bagnasco, Alessio Signori, Paola Pilastri, Marta Bottino, Claudia Cervetti, Milko Zanini, Giuseppe Aleo, Loredana Sasso
Background: Palliative care (PC) is an approach that improves the quality of life (QoL) of patients and their families facing the problem associated with incurable terminal disease. A number of QoL assessment tools have been validated in PC and their use described for research purposes, to support clinical practice, and as part of the quality improvement programs. There is a paucity of evidence on the implementation of a nursing intervention focused on QoL assessment in PC practice.The aim of this study is to model and determine the feasibility of a nursing complex intervention focused on QoL assessment in PC practice...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29157120/evaluating-nurse-understanding-and-participation-in-the-informed-consent-process
#8
Sydney A Axson, Nicholas A Giordano, Robin M Hermann, Connie M Ulrich
BACKGROUND: Informed consent is fundamental to the autonomous decision-making of patients, yet much is still unknown about the process in the clinical setting. In an evolving healthcare landscape, nurses must be prepared to address patient understanding and participate in the informed consent process to better fulfill their well-established role as patient advocates. RESEARCH OBJECTIVE: This study examines hospital-based nurses' experiences and understandings of the informed consent process...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29124914/experiences-of-using-simulation-in-dementia-education
#9
Vicki Leah, Julie Combes, Madeline McMillan, Lydia Russell, Kirsty McCune
This article describes the development of a simulation training day for multidisciplinary teams (MDTs) working on acute adult wards with the aim of improving their confidence in supporting people with dementia who are distressed. Recommendations are made for those who may be interested in delivering simulation training in their area of practice. Registered nurses, non-registered support workers and occupational therapists experienced in dementia care took part in a one-day simulation training pilot session that included three 'skill stations' with three patient simulation scenarios...
September 29, 2017: Nursing Older People
https://www.readbyqxmd.com/read/29117055/improving-patient-experience-through-nursing-satisfaction
#10
Amanda McNicholas, Abby McCall, Alanna Werner, Ronda Wounderly, Erin Marinchak, Pamela Jones
Patient experience is a vital component of quality health care. In our institution we sought to improve both nursing satisfaction and collaboration, in conjunction with improving patient experience, predicting the two are directly proportional. We hypothesized that a more satisfied nursing team would result in an overall improvement in patient experience. To explore this hypothesis, we implemented multiple process changes to create an advanced practitioner-directed floor (APDF) on our 28-bed trauma, medical-surgical unit...
November 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/29112580/the-role-of-the-registered-nurse-in-the-insertion-of-nontunneled-central-vascular-access-devices
#11
Ann Plohal, Cheryl Dumont, Cathy Perry, Velda Biddix, Diedre B Bird, Teresa Darst, Candee J Eisenhart, Melanie Pugh
As the result of requests from several state boards of nursing, the Infusion Nurses Society (INS) convened a task force to determine whether insertion of central vascular access devices by appropriately trained registered nurses (RNs) should be recommended. The task force consisted of RNs and advanced practice registered nurses with infusion therapy experience in various practice settings. The results are presented in INS' newest position paper, adopted by the INS Board of Directors, September 2017.
November 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29084123/a-survey-of-prescribers-attitudes-knowledge-comfort-and-fear-of-consequences-related-to-an-opioid-overdose-education-and-naloxone-distribution-program
#12
Alyssa M Peckham, Maria E Niculete, Howard Steinberg, Douglas L Boggs
CONTEXT: The alarming increase in opioid-related fatalities has placed the United States in the midst of an opioid epidemic. In an effort to reduce opioid-related fatalities, each Veterans Affairs (VA) hospital is responsible for development of an OEND (Overdose Education and Naloxone Distribution) program to enhance naloxone distribution. OBJECTIVE: To assess attitudes, knowledge, comfort level, and fear of consequences at the prescriber level related to the OEND program at VA Connecticut Healthcare System (VACHS)...
October 27, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29080398/interdisciplinary-skills-review-program-to-improve-team-responses-during-postpartum-hemorrhage
#13
Marianne Bittle, Kathleen O'Rourke, Sindhu K Srinivas
OBJECTIVE: To develop an interdisciplinary, interactive, skills review program to improve team responses during a postpartum hemorrhage (PPH). DESIGN: Online didactic modules in combination with an interdisciplinary skills program consisting of seven hemorrhage-related stations. SETTING/LOCAL PROBLEM: The project was conducted in the Women's Health Department in a quaternary-care Magnet- and Baby Friendly-designated academic medical center in Philadelphia, Pennsylvania...
October 25, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29045609/stakeholder-perspectives-on-the-optimizing-patient-transfers-impacting-medical-quality-and-improving-symptoms-transforming-institutional-care-optimistic-project
#14
Mary Ersek, Susan E Hickman, Anne C Thomas, Brittany Bernard, Kathleen T Unroe, Suzanne Meeks
Background and Objectives: The need to reduce burdensome and costly hospitalizations of frail nursing home residents is well documented. The Optimizing Patient Transfers, Impacting Medical Quality, and Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project achieved this reduction through a multicomponent collaborative care model. We conducted an implementation-focused project evaluation to describe stakeholders' perspectives on (a) the most and least effective components of the intervention; (b) barriers to implementation; and (c) program features that promoted its adoption...
October 17, 2017: Gerontologist
https://www.readbyqxmd.com/read/29017589/randomized-trial-of-telephone-versus-in-person-delivery-of-a-brief-psychosocial-intervention-in-post-stroke-depression
#15
Catherine J Kirkness, Kevin C Cain, Kyra J Becker, David L Tirschwell, Ann M Buzaitis, Pamela L Weisman, Sylvia McKenzie, Linda Teri, Ruth Kohen, Richard C Veith, Pamela H Mitchell
BACKGROUND: A psychosocial behavioral intervention delivered in-person by advanced practice nurses has been shown effective in substantially reducing post-stroke depression (PSD). This follow-up trial compared the effectiveness of a shortened intervention delivered by either telephone or in-person to usual care. To our knowledge, this is the first of current behavioral therapy trials to expand the protocol in a new clinical sample. 100 people with Geriatric Depression Scores ≥ 11 were randomized within 4 months of stroke to usual care (N = 28), telephone intervention (N = 37), or in-person intervention (N = 35)...
October 10, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28993075/call-to-action-aprns-in-u-s-nursing-homes-to-improve-care-and-reduce-costs
#16
Marilyn J Rantz, Nancy M Birtley, Marcia Flesner, Charles Crecelius, Cathy Murray
BACKGROUND: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. PURPOSE: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). METHOD: MOQI APRN model was implemented for 4 years in 16 nursing homes in a metro area of the Midwest. Hospitalizations were reduced (40% all-cause, 58% potentially avoidable), emergency room visits (54% all-cause, 65% potentially avoidable), Medicare expenditures for hospitalizations (34% all-cause, 45% potentially avoidable), and Medicare expenditures for emergency room visits (50% all-cause, 60% potentially avoidable) for long-stay nursing home residents...
September 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28970179/creation-and-efficacy-of-a-cadaver-based-prosection-anatomical-course-for-critical-care-advanced-practice-providers
#17
Melissa K Stewart, Stephen Gondek, Roslyn Green, Jason Young, Raeanna C Adams, Timothy Nunez
OBJECTIVE: Intensive care units (ICUs) increasingly rely on advanced practice providers (APPs) to care for critically ill patients. Our institutional APPs perceived functional anatomical knowledge deficits. To meet this need, a cadaver-based prosection course was developed. The purpose of our study was to describe and evaluate the learner-perceived course efficacy. DESIGN: A precourse survey collected participant demographics. Precourse and postcourse surveys assessed perceived confidence in 13 anatomical areas...
September 29, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28953166/a-post-master-s-advanced-certificate-in-gerontology-for-nps
#18
Sherry A Greenberg, Allison Squires, Jennifer Adams, Lisa Altshuler, So-Young Oh, Nina L Blachman, Tara A Cortes
This article describes an innovative post-master's advanced certificate in gerontology program developed by the Hartford Institute for Geriatric Nursing at the New York University Rory Meyers College of Nursing. The program provides advanced practice registered nurses geriatric content to meet eligibility criteria for the Adult-Gerontology Primary Care NP certification exam and develops interprofessional care providers to care for complex older adults.
August 4, 2017: Nurse Practitioner
https://www.readbyqxmd.com/read/28899303/philosophical-clarity-and-justifying-the-scope-of-advanced-practice-nursing
#19
Pamela G Reed
The United States (US) Department of Veterans Affairs proposed a policy change for nursing practice that would grant full practice authority to advanced practice registered nurses (APRNs) nationwide. In this article, the author briefly explains this proposed policy and explores the relevance and implications of bringing philosophy into policy debates and discussions about the nature and scope of practice.
January 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28898556/critical-appraisal-tools-and-reporting-guidelines-for-evidence-based-practice
#20
Robin K Buccheri, Claire Sharifi
BACKGROUND: Nurses engaged in evidence-based practice (EBP) have two important sets of tools: Critical appraisal tools and reporting guidelines. Critical appraisal tools facilitate the appraisal process and guide a consumer of evidence through an objective, analytical, evaluation process. Reporting guidelines, checklists of items that should be included in a publication or report, ensure that the project or guidelines are reported on with clarity, completeness, and transparency. PURPOSE: The primary purpose of this paper is to help nurses understand the difference between critical appraisal tools and reporting guidelines...
September 12, 2017: Worldviews on Evidence-based Nursing
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