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https://www.readbyqxmd.com/read/27918406/the-advanced-practice-clinical-nurse-specialist
#1
Ann M Mayo, Melinda Mercer Ray, Tracy B Chamblee, Linda D Urden, Rachel Moody
The clinical nurse specialist (CNS), one of the 4 advanced practice registered nurse (APRN) categories, has a unique role to play in contributing to high-quality patient care and system-level change across multiple health care settings. CNS practice requires advanced knowledge and skills, including specialty expertise, the ability to integrate new knowledge and innovation into the system of care, the ability to consult and collaborate with all health professions, and the mentoring of nursing staff to support and fully implement that new knowledge...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918401/establishing-a-viable-workforce-pipeline-of-primary-care-nurse-practitioners-benefits-of-a-health-system-and-academic-partnership
#2
Billie Madler, Mary Helland
Maldistribution and shortages of primary care providers, changing reimbursement structures, movement from inpatient to community-based models of care, an aging population, and health care reform lead to increased numbers of patients seeking care. All of these phenomena have a part in creating a health care landscape that requires industry leaders enlist innovative strategies to meet the health care needs of their communities. Delivery of high-quality, efficient care by qualified providers is essential for the success of any health care system...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918399/the-evolution-of-the-new-provider-team-driving-cultural-change-through-data
#3
Trish Anen, Debra McElroy
Nursing executives are continually challenged to address a rapidly evolving health care system. Every aspect of care delivery is being scrutinized, yet the constant requirement remains assurance of high-quality, highly reliable care that is cost-effective and easily accessible. The nursing workforce remains visible in traditional roles as well as in new and innovative capacities, whereas nurse executives experience expanded realms of focus and responsibility. As health systems continue to adapt to the changing environment, the ability to leverage the role and scope of the advanced practice registered nurse (APRN) as a health care provider is emerging as an essential business and care strategy...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27894307/regional-health-workforce-monitoring-as-governance-innovation-a-german-model-to-coordinate-sectoral-demand-skill-mix-and-mobility
#4
E Kuhlmann, O Lauxen, C Larsen
BACKGROUND: As health workforce policy is gaining momentum, data sources and monitoring systems have significantly improved in the European Union and internationally. Yet data remain poorly connected to policy-making and implementation and often do not adequately support integrated approaches. This brings the importance of governance and the need for innovation into play. CASE: The present case study introduces a regional health workforce monitor in the German Federal State of Rhineland-Palatinate and seeks to explore the capacity of monitoring to innovate health workforce governance...
November 28, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27894030/fatigue-in-hospital-nurses-supernurse-culture-is-a-barrier-to-addressing-problems-a-qualitative-interview-study
#5
Linsey M Steege, Jessica G Rainbow
BACKGROUND: Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce. OBJECTIVES: The overall aim of this study was to explore barriers and facilitators within the hospital nurse work system to nurse coping and fatigue...
November 21, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27890315/global-surgery-a-view-from-the-south
#6
REVIEW
Nobhojit Roy
: This article is based on the Hugh Greenwood Lecture delivered at the 2016 Congress of the British Association of Paediatric Surgeons. It presents the view of the global surgery movement from the bottom of the surgical food chain and proposes what HICs (high-income countries) can do for global surgery in a coordinated fashion. From the LMIC (low- and middle-income countries) surgeon perspective, global surgery is transitioning from the charity-based surgery model to codevelopment with multiple stakeholders...
November 12, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27884194/global-health-education-in-germany-an-analysis-of-current-capacity-needs-and-barriers
#7
Ioannis Kaffes, Fabian Moser, Miriam Pham, Aenne Oetjen, Maya Fehling
BACKGROUND: In times of increasing global challenges to health, it is crucial to create a workforce capable of tackling these complex issues. Even though a lack of GHE in Germany is perceived by multiple stakeholders, no systematic analysis of the current landscape exists. The aim of this study is to provide an analysis of the global health education (GHE) capacity in Germany as well as to identify gaps, barriers and future strategies. METHODS: An online search in combination with information provided by student representatives, course coordinators and lecturers was used to create an overview of the current GHE landscape in Germany...
November 25, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/27860141/diversifying-the-midwifery-workforce-inclusivity-culturally-sensitive-bridging-and-innovation
#8
Holliday Tyson, Karline Wilson-Mitchell
Midwifery educators and regulators in Canada have begun to address diversity, equity, and inclusion in admission processes and program curricula. Populations served by midwives value internationally educated midwives from their countries of origin. The International Midwifery Pre-Registration Program at Ryerson University in Toronto, Ontario, provides assessment, midwifery workplace orientation, and accelerated education for internationally educated midwives on behalf of the regulatory College of Midwives of Ontario...
November 8, 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27834242/communityrx-a-population-health-improvement-innovation-that-connects-clinics-to-communities
#9
Stacy T Lindau, Jennifer Makelarski, Emily Abramsohn, David G Beiser, Veronica Escamilla, Jessica Jerome, Daniel Johnson, Abel N Kho, Karen K Lee, Timothy Long, Doriane C Miller
The CommunityRx system, a population health innovation, combined an e-prescribing model and community engagement to strengthen links between clinics and community resources for basic, wellness, and disease self-management needs in Chicago. The components of CommunityRx were a youth workforce, whose members identified 19,589 public-serving entities in the 106-square-mile implementation region between 2012 and 2014; community health information specialists, who used the workforce's findings to generate an inventory of 14,914 health-promoting resources; and a health information technology (IT) platform that was integrated with three electronic health record systems at thirty-three clinical sites...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27800632/the-dnp-mph-dual-degree-an-innovative-graduate-education-program-for-advanced-public-health-nursing
#10
Kathy Shaw, Scott Harpin, Geraldine Steinke, Marilyn Stember, Marilyn Krajicek
Strong professional priorities, evolving Affordable Care Act requirements, and a significantly limited public health nursing workforce prompted the University of Colorado College of Nursing to collaborate with the School of Public Health to implement one of the first Doctor of Nursing Practice/Master of Public Health dual degree programs in the nation. Federal grant funding supported the development, implementation, and evaluation of this unique post-baccalaureate dual degree program, for which there were no roadmaps, models, or best practices to follow...
October 31, 2016: Public Health Nursing
https://www.readbyqxmd.com/read/27790608/adapting-to-the-needs-of-the-public-health-workforce-an-integrated-case-based-training-program
#11
Shannon L Sibbald, Mark Speechley, Amardeep Thind
The goal of any public health education at the Masters level is to transmit knowledge and skills to meet current and future public health challenges. We suggest an innovative multi-modal approach to public health education using a case-based pedagogy combined with competency-based curriculum and a team-based approach to foster truly experiential learning. We describe each pedagogical approach in connection to the relevance of optimal methods for training public health professionals. Western University's Schulich Interfaculty Masters of Public Health (MPH) program (ON, Canada) provides a unique interprofessional education through case-based learning and competency-based curriculum...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27783832/capitalizing-on-military-nurse-skills-for-second-career-leadership-and-staff-development-roles
#12
Donna M Lake, Patricia E Allen, Myrna L Armstrong
Nursing continues to face professional workforce and diversity shortage problems. This article advocates for examining an untapped resource-the consideration of applicants for nursing leadership and educational positions in civilian health care organizations. This untapped resource is highly qualified, already retired (or going to be separated) military nurse officers (MNOs) who possess extensive health care knowledge, as well as distinctive ethnicity and gender composition. Clinical educators, as part of the organizational leadership, can play an important role in assisting the MNO civilian position assimilation because they come from a structured and unique cultural environment...
November 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27715307/challenges-and-innovations-in-surveying-the-governmental-public-health-workforce
#13
Jonathon P Leider, Gulzar Shah, Nikki Rider, Angela Beck, Brian C Castrucci, Jenine K Harris, Katie Sellers, Danielle Varda, Jiali Ye, Paul C Erwin, Ross C Brownson
Surveying governmental public health practitioners is a critical means of collecting data about public health organizations, their staff, and their partners. A greater focus on evidence-based practices, practice-based systems research, and evaluation has resulted in practitioners consistently receiving requests to participate in myriad surveys. This can result in a substantial survey burden for practitioners and declining response rates for researchers. This is potentially damaging to practitioners and researchers as well as the field of public health more broadly...
November 2016: American Journal of Public Health
https://www.readbyqxmd.com/read/27703991/impact-of-a-telehealth-program-that-delivers-remote-consultation-and-longitudinal-mentorship-to-community-hiv-providers
#14
Brian R Wood, Kenton T Unruh, Natalia Martinez-Paz, Mary Annese, Christian B Ramers, Robert D Harrington, Shireesha Dhanireddy, Lisa Kimmerly, John D Scott, David H Spach
Background.  To increase human immunodeficiency virus (HIV) care capacity in our region, we designed a distance mentorship and consultation program based on the Project ECHO (Extension for Community Healthcare Outcomes) model, which uses real-time interactive video to regularly connect community providers with a multidisciplinary team of academic specialists. This analysis will (1) describe key components of our program, (2) report types of clinical problems for which providers requested remote consultation over the first 3...
September 2016: Open Forum Infectious Diseases
https://www.readbyqxmd.com/read/27679964/strategic-planning-for-research-in-pediatric-critical-care
#15
Robert F Tamburro, Tammara L Jenkins, Patrick M Kochanek
OBJECTIVE: To summarize the scientific priorities and potential future research directions for pediatric critical care research discussed by a panel of experts at the inaugural Strategic Planning Conference of the Pediatric Trauma and Critical Illness Branch of the Eunice Kennedy Shriver National Institute of Child Health and Human Development. DATA SOURCES: Expert opinion expressed during the Strategic Planning Conference. STUDY SELECTION: Not applicable...
November 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27663195/workforce-planning-and-development-in-times-of-delivery-system-transformation
#16
Patricia Pittman, Ellen Scully-Russ
BACKGROUND: As implementation of the US Affordable Care Act (ACA) advances, many domestic health systems are considering major changes in how the healthcare workforce is organized. The purpose of this study is to explore the dynamic processes and interactions by which workforce planning and development (WFPD) is evolving in this new environment. METHODS: Informed by the theory of loosely coupled systems (LCS), we use a case study design to examine how workforce changes are being managed in Kaiser Permanente and Montefiore Health System...
2016: Human Resources for Health
https://www.readbyqxmd.com/read/27659755/advancing-diversity-in-academic-nursing
#17
Michael V Relf
: As the world around us evolves and as society becomes increasingly diverse, the demographics of the health professions workforce, including nursing, have been slow to change. Even with influential public relations campaigns sponsored by Johnson & Johnson (2015), pivotal policy reports such as the Institute of Medicine the Future of Nursing: Leading Change, Advancing Health report (Institute of Medicine, 2010), and programs such as the New Careers in Nursing Program funded by the Robert Wood Johnson Foundation/New Careers in Nursing (2015), much work remains if the nursing workforce is to match the demographics of the U...
September 2016: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/27659219/mental-health-academics-in-rural-and-remote-australia
#18
David Pierce, Fiona Little, James Bennett-Levy, Anton N Isaacs, Heather Bridgman, Sarah J Lutkin, Timothy A Carey, Kate G Schlicht, Zita P McCabe-Gusta, Elizabeth Martin, Lee A Martinez
CONTEXT: The significant impact of mental ill health in rural and remote Australia has been well documented. Included among innovative approaches undertaken to address this issue has been the Mental Health Academic (MHA) project, established in 2007. Funded by the Australian Government (Department of Health), this project was established as a component of the University Departments of Rural Health (UDRH) program. All 11 UDRHs appointed an MHA. Although widely geographically dispersed, the MHAs have collaborated in various ways...
July 2016: Rural and Remote Health
https://www.readbyqxmd.com/read/27650769/proposing-evidence-based-strategies-to-strengthen-implementation-of-healthcare-reform-in-resource-limited-settings-a-summative-analysis
#19
Tsegahun Manyazewal, Martha J Oosthuizen, Mokgadi C Matlakala
OBJECTIVES: Many resource-limited countries have adopted and implemented healthcare reform to improve the quality of healthcare, but few have had much impact and strategies in support of these efforts remain limited. We aimed to explore and propose evidence-based strategies to strengthen implementation of healthcare reform in resource-limited settings. DESIGN: Descriptive and exploratory designs in two phases. Phase I involved assessing the effectiveness of the healthcare reform implemented in Ethiopia in the form of business process reengineering, with evidence compiled from healthcare professionals through a self-administered questionnaire; and phase II involved proposing strategies and seeking consensus from experts using Delphi method...
2016: BMJ Open
https://www.readbyqxmd.com/read/27621082/defining-a-typology-of-primary-care-practices-a-novel-approach
#20
Nicolas Senn, Christine Cohidon, Jean-Christophe Zuchuat
OBJECTIVE: To define a typology of primary care (PC) practices based on a mixed inductive/deductive approach that uses a large number of variables describing organizational and demographic characteristics of practices and a priori hierarchical structuring of the data. DESIGN: Secondary analysis of the Swiss part of the QUALICOPC study using a multiple factor analysis approach incorporating 74 variables hierarchically structured and including information on infrastructures, clinical care, workforces, accessibility and geographic location of PC practices...
September 12, 2016: International Journal for Quality in Health Care
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