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Nursing practice

Natalie Douglas, Jennifer Brush, Michelle Bourgeois
The current mandate for person-centered care throughout the health care system, and especially in the nursing home industry, requires that speech-language pathologists ensure that the services they provide to elders with dementia are skilled, person centered, and relevant to positive overall health outcomes. Guidelines developed by the Association Montessori International Advisory Board for Montessori for Aging and Dementia are one avenue toward such skilled and person-centered services. The purpose of this article is to provide clinicians with practical strategies for guiding their assessment, goal writing, and intervention plans to meet the expectations of a person-centered approach to services for elders with dementia, using the Montessori approach as a philosophical guide...
July 2018: Seminars in Speech and Language
Mahnaz Jabraeili, Hadi Hassankhani, Reza Negarandeh, Mohammad Abbaszadeh, Lisa M Cleveland
BACKGROUND: Each year, 5% to 8% of Iranian newborns require care in a neonatal unit (NU). Reasons for admission include prematurity, infection, and congenital anomalies. Little research has been conducted on the culture of Iranian NUs and the impact this has on mothers' emotional caregiving experiences. PURPOSE: To explore the emotional caregiving experiences of mothers in an Iranian NU. METHODS: Focused ethnography was used for this study...
June 21, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Linda Moody, Cynthia Teel, Jill Peltzer
AIM: This project developed a comprehensive set of bachelor of science in nursing (BSN) completion messaging materials that associate degree in nursing (ADN) faculty can use to advise and encourage students to complete the BSN. BACKGROUND: The Future of Nursing report calls for increasing the proportion of baccalaureate-prepared nurses to 80 percent by 2020. Faculty who teach in ADN programs have opportunities to advise students in advancing their nursing education yet often lack information to guide these conversations...
June 21, 2018: Nursing Education Perspectives
Zhiping Hu, Xiaoling Zhou, Weiwei Duan, Wenge Lei, Min Zhang, Lingxia Zeng
BACKGROUND: Maintenance of good functional status and improvement of quality of life (QOL) in patients with head and neck cancer help to determine the efficacy of anticancer therapies. OBJECTIVE: The aims of this study were to describe the profile of QOL changing over time and evaluate the correlation between anxiety, pain severity, and shoulder and neck function with QOL in patients. METHODS: A prospective cohort study was conducted. Quality of life, neck and shoulder function, anxiety, and pain were assessed at the time of presurgery, 1 week, and 3 and 6 months postsurgery...
June 22, 2018: Cancer Nursing
Anna Holm, Pia Dreyer
The use of light and no sedation is gaining currency in the intensive care unit, resulting in more conscious patients. Due to mechanical ventilation, patients are unable to communicate verbally, and may feel frustration. Communication tools may help; however, they are not used systematically in clinical practice. Based on "complex interventions" and a qualitative approach, a communication tool was modified, tested, and evaluated in this study. The tools consisted of a tablet with communication software and a laminated "communication book" with identical structure...
June 22, 2018: Computers, Informatics, Nursing: CIN
Masamichi Sato, Akira Horiuchi, Michio Tamaki, Yasuyuki Ichise, Masashi Kajiyama, Yuta Yamamoto, Naoki Tanaka
BACKGROUND & AIMS: Esophagogastroduodenoscopy (EGD) and colonoscopy are common outpatient gastrointestinal endoscopic procedures that frequently use sedation. We aimed to identify a protocol that combines safety with cost effectiveness. METHODS: We collected data from consecutive outpatients (20-98 years old) who underwent diagnostic EGD (n=117,661) or colonoscopy (n=32,550) with propofol sedation from January 2006 through December 2016. Propofol was administered by a nurse via bolus injection using an age-adjusted standard protocol, up to a total of 200 mg...
June 19, 2018: Clinical Gastroenterology and Hepatology
Glenmore Hendricks, Andrew P Corr, Annie P Odell, Joy R Goebel
The purpose of this integrative review was to synthesize the existing evidence on diabetes care within a Patient-Centered Medical Home (PCMH) model to evaluate its effectiveness on quality outcomes. Literature published in English between 2005 and 2015 was searched using thefollowing keywords: PCMH and diabetes, comprehensive care, care coordination, patient-centered care, quality and safety, and accessible care. The following databases were searched: Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Cochrane Review, Academic Premier (EBSCO), and Psych INFO...
July 2017: Journal of National Black Nurses' Association: JNBNA
Paula Perry Hampton, Jerell D Chua, Emily Johnson, Barbara J Edlund
The purpose of this study was to improve healthcare outcomes by reducing blood pressure and weight in adult patients with diabetes at afederally qualified health center. NextGen electronic health record was used to review aggregate data of blood pressures and weight pre-intervention and post-intervention for women and men (N = 304) between 20 and 87 years of age with type 2 diabetes and a BMI : 30. Findings from this study showed that blood pressure and weight did not improve as anticipated using a variety of educational approaches and strategies within the study population...
July 2017: Journal of National Black Nurses' Association: JNBNA
Suzanne G Pitama, Suetonia C Palmer, Tania Huria, Cameron Lacey, Tim Wilkinson
CONTEXT: The effectiveness of cultural competency education in improving health practitioner proficiency and addressing health inequities for minoritised patient groups is uncertain. Identification of institutional factors that shape or constrain development of indigenous health curricula may provide insights into the impact of these factors on the broader cultural competency curricula. METHODS: We undertook a systematic review using actor-network theory to inform our interpretive synthesis of studies that reported indigenous health curricula evaluated within medical, nursing and allied health education...
June 22, 2018: Medical Education
Robert McSherry, Fiona Timmins, Jan M A de Vries, Wilfred McSherry
BACKGROUND: Following declining health care practices at one UK health care site the subsequent and much publicized Francis Report made several far-reaching recommendations aimed at recovering optimal levels of care including stringent monitoring of practice. The aftermath of these deliberations have had resounding consequences for quality care both nationally and internationally. DESIGN: A reflective qualitative appreciative qualitative inquiry using a hybrid approach combining case study and thematic analysis outlines the development and analysis of a solution-focused intervention aimed at restoring staff confidence and optimal care levels at one key UK hospital site...
June 22, 2018: Journal of Nursing Management
S Zwakhalen, R E Docking, I Gnass, E Sirsch, C Stewart, N Allcock, P Schofield
BACKGROUND: We aimed to explore the existing use of pain assessment tools and guidelines, and develop understanding of the practical considerations required to facilitate their use within the nursing home, hospital and community settings. METHODS: A self-administered web-based survey was conducted with nurses, health and social care workers with an interest in the assessment of pain in older adults with cognitive impairment. The survey was distributed to participants in Austria, Belgium, Denmark, Germany, The Netherlands, Switzerland and United Kingdom...
June 21, 2018: Der Schmerz
Gretchen J Carrougher, Kathleen A Hollowed, Jill L Sproul, Bradley J Wiggins, Elizabeth Mann-Salinas
Competency standards for nurses who specialize in the care of burn-injured patients are lacking. Currently, there are no nationally agreed on standards that define safe and competent burn nursing practice. In 2014, nurse members of the American Burn Association proposed the Burn Nurse Competency Initiative (BNCI) with the intent of establishing a core set of competency standards for burn nursing. The BNCI used the Delphi technique of consensus building with input from up to 178 registered nurse burn care experts...
November 24, 2017: Journal of Burn Care & Research: Official Publication of the American Burn Association
Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chester Fox
Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery. Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach...
July 4, 2017: EGEMS
Mary D Adu, Usman H Malabu, Emily J Callander, Aduli Eo Malau-Aduli, Bunmi S Malau-Aduli
BACKGROUND: There is increased research interest in the use of mobile phone apps to support diabetes management. However, there are divergent views on what constitute the minimum standards for inclusion in the development of mobile phone apps. Mobile phone apps require an evidence-based approach to development which will consequently impact on their effectiveness. Therefore, comprehensive information on developmental considerations could help designers and researchers to develop innovative and effective patient-centered self-management mobile phone apps for diabetes patients...
June 21, 2018: JMIR MHealth and UHealth
Christine L Savage, Jill Daniels, J Aaron Johnson, Karen Kesten, Deborah S Finnell, J Paul Seale
No abstract text is available yet for this article.
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Claire Mallette, Liz Rykert
Organizations are complex with cultures that influence excellence, commitment and job satisfaction. In nursing schools, faculty are required to succeed within the performance driven culture of academic scholarship alongside the organizational culture that influences the work environment. The purpose of this article is to describe the process that a School of Nursing engaged in using complexity science and liberating structures to shift a perceived unhealthy organizational culture to a healthier one. Complexity science focuses on patterns of relationships within a system while Liberating Structures provide strategies for people to identify new patterns of working together which can contribute to culture change...
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Patricia Gonce Morton
No abstract text is available yet for this article.
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Gang Liu, Yanping Li, Yang Hu, Geng Zong, Shanshan Li, Eric B Rimm, Frank B Hu, JoAnn E Manson, Kathryn M Rexrode, Hyun Joon Shin, Qi Sun
BACKGROUND: Evidence is limited regarding the impact of healthy lifestyle practices on the risk of subsequent cardiovascular events among patients with diabetes. OBJECTIVES: The purpose of this study was to examine the associations of an overall healthy lifestyle, defined by eating a high-quality diet (top two-fifths of Alternative Healthy Eating Index), nonsmoking, engaging in moderate- to vigorous-intensity physical activity (≥150 min/week), and drinking alcohol in moderation (5 to 15 g/day for women and 5 to 30 g/day for men), with the risk of developing cardiovascular disease (CVD) and CVD mortality among adults with type 2 diabetes (T2D)...
June 26, 2018: Journal of the American College of Cardiology
Maaike C M Ronda, Lioe-Ting Dijkhorst-Oei, Rimke C Vos, Guy E H M Rutten
BACKGROUND: To gain insight into the opinions and working methods of diabetes care providers after using a diabetes web portal for 4 years in order to understand the role of the provider in patients' web portal use. METHODS: Survey among physicians and nurses from general practices and an outpatient clinic, correlated with data from the common web portal. RESULTS: One hundred twenty-eight questionnaires were analysed (response rate 56.6%)...
June 21, 2018: BMC Family Practice
Kirsti Malterud, Aase Aamland, Kristina Riis Iden
BACKGROUND: Research often fails to impose substantial shifts in clinical practice. Evidence-based health care requires implementation of documented interventions, with implementation research as a science-informed strategy to identify core experiences from the process and share preconditions for achievement. Evidence developed in hospital contexts is often neither relevant nor feasible for primary care. Different evidence types may constitute a point of departure, stretching and testing the transferability of the intervention by piloting it in primary care...
June 21, 2018: BMC Family Practice
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