keyword
https://read.qxmd.com/read/38546681/enhanced-recovery-after-surgery-orthopaedics-program-in-a-community-based-health-care-system
#1
JOURNAL ARTICLE
Peter J Schams, Matthew W Tradewell, Charles P Nolte, Christine A Feller, Sandra J Elsen, Jamie L Ludlum, Andrew R Jagim, Micaela M Schollmeier
Enhanced Recovery After Surgery programs are common among healthcare systems and various surgical disciplines. Although evidence supporting the physiological rationale of multiple nutrition, physical activity, and pain control strategies before, during, and after surgical procedures is accumulating, implementing such strategies may pose a substantial challenge. The purpose of this quality improvement initiative was to outline the development, workflow, and implementation of an Enhanced Recovery After Surgery program for same-day total joint replacement procedures in a rural healthcare setting...
March 2024: Orthopaedic Nursing
https://read.qxmd.com/read/38545749/moving-beyond-ignorance-and-epistemic-violence-indigenous-health-nurses-response-to-systems-transformation
#2
JOURNAL ARTICLE
Meste'si Llucmetkwe, Colleen Seymour, Mona Lisa Bourque Bearskin, Liquaa Wazni, Rose Melnyk, Nikki Rose Hunter Porter, Michelle Padley
Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to experience much poorer health outcomes due to the intersectional legacies of colonialism and racism. In this commentary, we reflect on structural, systemic and service delivery racism at all levels of care, which are deeply embedded in historical, political, institutional and socioeconomic policies and practices that continue to perpetuate harm and genocide of Indigenous Peoples...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545748/a-compendium-of-clinical-nurse-specialist-roles-in-a-canadian-health-authority
#3
JOURNAL ARTICLE
Tannis Andersen, Shannon Paul-Jost, Allyson Thomas, Sherry Miyashita, Vicki Kennedy, Amanda Lavigne
Interior Health in British Columbia advocates for and supports advanced practice nurses, inclusive of regional clinical nurse specialists (CNSs). CNSs develop evidence-informed programs, education, policies and practice standards. The article uses an advanced practice nursing framework to anchor two case studies: (1) the operationalization and implementation of a regional CNS role in primary care and (2) the use of a knowledge translation strategy to build clinical capacity in serious illness conversations...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545747/leaders-role-in-fostering-a-just-culture
#4
JOURNAL ARTICLE
Laura Danielle Pozzobon, Kim Sears, Aleksandra Zuk
Just culture supports learning, encourages transparency and minimizes harm following reported patient safety incidents. Healthcare leaders have a key role in establishing and maintaining a just culture to improve patient safety at the macro, meso and micro levels of the healthcare system. In this paper, we discuss the role of leaders at various levels in the healthcare system in fostering a just culture to support the reporting of and learning from patient safety incidents. Specifically, leadership challenges related to establishing a just culture to improve patient safety are analyzed...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545746/insights-on-a-national-safety-improvement-learning-collaborative-using-the-consolidated-framework-for-implementation-research
#5
JOURNAL ARTICLE
Lianne Jeffs, Rui Lin Zeng, Frances Bruno, Noah Schonewille, Marie Oliveira, Kim Kinder, Maryanne D'Arpino, Gina De Souza, G Ross Baker
BACKGROUND: There is a growing interest in quality improvement collaboratives (QICs), even though less remains known about contextual factors that impact collective and local project implementation. A study was undertaken that used the Consolidated Framework for Implementation Research (CFIR) to explore the contextual factors impacting the use of this nationwide QIC in Canada. METHODS: A deductive or direct qualitative content analysis using CFIR was employed to explore the contextual factors impacting the implementation of a nationwide QIC and participating organizations...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545745/creating-a-dual-degree-nursing-education-goes-global
#6
JOURNAL ARTICLE
Lorna Butler, Karen Ursel, Judith Angelitta Noronha, Jessica Webster, Linu Sara George, Stephen VanSlyke
A global health human resource crisis has intensified the need for innovative education programs to maximize the supply of nurses worldwide. In response to the current and anticipated shortage of nurses globally, a novel collaborative undergraduate nursing program was developed at the University of New Brunswick in Fredericton, NB, and Manipal Academy of Higher Education in Karnataka, India. The resulting dual degree model is shaped by the contexts of the participating countries and current activities related to the international recruitment and migration of registered nurses...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545744/big-challenges-meet-big-leadership-in-2024
#7
JOURNAL ARTICLE
Ruth Martin-Misener
As we begin the year 2024, we do so with some very big challenges that have spilled over from 2023 and, indeed, many years before that. Every day, we are confronted with concerning experiential and research-based evidence about worsening access to healthcare, pervasive racism and widening disparities. Clearly, there is a great deal of work to be done in our healthcare system to support and improve the health of the diverse populations that we serve. Yet, along with the challenges come opportunities to reflect, collaborate, innovate, evaluate and learn...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38544301/setting-the-context-for-a-complex-dental-intervention-of-role-substitution-in-care-homes-initial-process-evaluation-findings
#8
JOURNAL ARTICLE
Annie Hendry, Sarah R Baker, Gerry McKenna, Georgios Tsakos, Ivor Chestnutt, Craig Smith, Vicki Jones, Ciaran O'Neill, Alison Jenkins, Rachel Evans, Saif Sayeed Syed, Afshan Mirza, Michelle Harvey, Anup Karki, Kirstie Moons, Fiona Sandom, Michael Donaldson, Caroline Lappin, Karen Shepherd, Paul R Brocklehurst
OBJECTIVES: SENIOR (uSing rolE-substitutioN In care homes to improve oRal health) is a randomised controlled trial designed to determine whether role substitution could improve oral health for this population. A parallel process evaluation was undertaken to understand context. This paper reports on the first phase of the process evaluation. BACKGROUND: The oral health and quality-of-life of older adults residing in care homes is poorer than those in the community...
March 27, 2024: Gerodontology
https://read.qxmd.com/read/38540566/perceptions-of-quality-of-interprofessional-collaboration-staff-well-being-and-nonbeneficial-treatment-a-comparison-between-nurses-and-physicians-in-intensive-and-palliative-care
#9
JOURNAL ARTICLE
Daniel Schwarzkopf, Frank Bloos, Winfried Meißner, Hendrik Rüddel, Daniel O Thomas-Rüddel, Ulrich Wedding
This study assessed differences in interprofessional collaboration, perception of nonbeneficial care, and staff well-being between critical care and palliative care teams. In six German hospitals, a staff survey was conducted between December 2013 and March 2015 among nurses and physicians in intensive and palliative care units. To allow comparability between unit types, a matching was performed for demographic characteristics of staff. N = 313 critical care and 79 palliative care staff participated, of which 72 each were successfully matched...
March 7, 2024: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/38539189/digital-stress-perception-among-german-hospital-nurses-and-associations-with-health-oriented-leadership-emotional-exhaustion-and-work-privacy-conflict-a-cross-sectional-study
#10
JOURNAL ARTICLE
Jessica Kräft, Tanja Wirth, Volker Harth, Stefanie Mache
BACKGROUND: The use of digital information and communication technologies (ICT) can be accompanied by increased technostress for nursing staff, which in turn can be associated with health consequences. In addition, the use-related constant accessibility through ICT can have a negative impact on health-related recovery and regeneration phases. Health-promoting behaviors of supervisors can influence health complaints and conflicts between employees' work and private lives. The present study investigates whether there is a corresponding relationship between digital stressors (technostressors) as well as health-oriented leadership and health outcomes among nurses...
March 28, 2024: BMC Nursing
https://read.qxmd.com/read/38537519/determinants-of-patient-aligned-care-team-pact-members-burnout-and-its-relationship-with-patient-centered-care
#11
JOURNAL ARTICLE
Amany Farag, Bonnie J Wakefiled, Erin Jaske, Monica Paez, Greg Stewart
Burnout is a prevalent issue among healthcare providers affecting up to 54% of physicians and 35% of nurses. Patient Aligned Care Teams (PACT) is a team-based primary care delivery model designed to assure the delivery of high-quality care while improving clinicians' well-being. Limited studies evaluated the relationship between work environment variables and PACT members' burnout and the relationship between PACT members' burnout and patient-centered care. This cross-sectional study is based on the 2018 Veterans Health Administration (VHA) national web-based PACT survey...
March 26, 2024: Applied Ergonomics
https://read.qxmd.com/read/38532673/-establishment-of-administrative-core-competencies-and-evaluation-indicators-for-head-nurses
#12
JOURNAL ARTICLE
Hsueh-Ming Kuo, Fang-Ru Yueh, Pei-Mei Chan, Shih-Hsin Liang, Ying-Ju Chang
BACKGROUND: The increasing complexity of the healthcare environment in recent years highlights the importance of cultivating in head nurses the leadership and management competencies necessary to effectively handle complicated administrative tasks and lead nurses in facing various challenges. Identifying the core administrative management competencies required of head nurses and evaluating competency level using behavioral indicators are fundamental to evaluating related training outcomes...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532620/exploring-the-role-of-communication-in-effective-nurse-leadership-and-patient-care
#13
JOURNAL ARTICLE
Beth McKillen
Nurses have to be aware of their personal responsibility to demonstrate effective leadership and thereby contribute to safe and effective patient care. One of the primary skills that nurses can use to become effective leaders is communication. This article explores how communication is a vital tool in enabling nurse leaders to motivate their team members and advocate for patients. The author details some of the essential communication skills that nurses require if they are to promote person-centred care and explores the often-neglected areas of non-verbal and written communication...
March 27, 2024: Nursing Management (Harrow)
https://read.qxmd.com/read/38528438/implementing-a-ward-level-intervention-to-improve-nursing-handover-communication-with-a-focus-on-bedside-handover-a-qualitative-study
#14
JOURNAL ARTICLE
Laura J Chien, Diana Slade, Liza Goncharov, Joanne Taylor, Maria R Dahm, Bernadette Brady, Jake McMahon, Suzanne Eggins Raine, Anna Thornton
AIM: To improve the effectiveness of nursing clinical handover through a qualitative, tailored communication intervention. DESIGN: A multisite before and after intervention using qualitative ethnography combined with discourse analysis of nursing handover interactions. METHODS: We implemented a tailored ward-based intervention to redesign nursing handover practice with co-constructed recommendations for organisational and cultural change on seven wards across three affiliated metropolitan hospitals between February 2020 and November 2022...
March 25, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38525784/the-frailty-reduction-via-implementation-of-exercise-nutrition-and-deprescribing-friend-trial-study-protocol-and-recruitment-results
#15
JOURNAL ARTICLE
Michael Inskip, Carolina Almendrales Rangel, Chidiamara Maria Njoku, Fiona Barnett, Isabel Shih, Leonie O'Neill, Maria A Fiatarone Singh, Trinidad Valenzuela
INTRODUCTION: Virtually all adults in aged care facilities are frail, a condition which contributes to falls, cognitive decline, hospitalisation, and mortality. Polypharmacy, malnutrition, sedentariness, and sarcopenia are risk factors amenable to intervention. The Asia-Pacific Frailty Management Guidelines recommend anabolic exercise and the optimisation of medications and nutrition. However, no study has evaluated this best practice intervention triad in aged care. METHODS: The Frailty Reduction via the Implementation of Exercise, Nutrition, and Deprescribing (FRIEND) Trial (ANZCTR No...
March 22, 2024: Methods and Protocols
https://read.qxmd.com/read/38523801/updating-factors-influencing-nurse-work-engagement-in-the-hospital-settings-a-systematic-review
#16
REVIEW
Yupin Aungsuroch, Joko Gunawan, I Gede Juanamasta, Jed Montayre
BACKGROUND: Understanding the factors influencing work engagement among nurses is crucial for ensuring high-quality care and positive patient outcomes. Despite numerous factors associated with nurse work engagement, many were explored before the pandemic, potentially overlooking aspects relevant to the current context. AIM: To explore and update factors related to nurse work engagement in the new normal era. DESIGN: Systematic review. DATA SOURCES: The search was restricted to articles published from 2019 to 2024 in CINAHL, PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest, with full English text...
2024: Journal of Healthcare Leadership
https://read.qxmd.com/read/38522183/laying-the-foundations-for-implementing-magnet-principles-in-hospitals-in-europe-a-qualitative-analysis
#17
JOURNAL ARTICLE
Ingrid Svensson, Jackie Bridges, Jaimie Ellis, Noeleen Brady, Simon Dello, Jonathan Hooft, Joan Kleine, Dorothea Kohnen, Elaine Lehane, Rikard Lindqvist, Claudia B Maier, Vera J C Mc Carthy, Ingeborg Strømseng Sjetne, Lars E Eriksson, Lisa Smeds Alenius
BACKGROUND: Magnet hospitals, a concept developed in the U.S., have been associated with improved nurse recruitment and retention, and better patient outcomes. Magnet principles may be useful to address workforce challenges in European hospitals, but they have not been implemented or evaluated on a large scale in the European hospital context. OBJECTIVE: This study aims to explore the initial phase of implementing Magnet principles in 11 acute care hospitals in six European countries...
March 14, 2024: International Journal of Nursing Studies
https://read.qxmd.com/read/38521688/aonn-navigation-metrics-that-support-the-oncology-navigation-standards-of-professional-practice
#18
JOURNAL ARTICLE
Tricia Strusowski, Danelle Johnston, Brenda Nevidjon
OBJECTIVES: To offer a comprehensive overview of the critical elements contributing to the achievements of oncology navigation, address challenges in standardized implementation, and examine recent advancements influencing the acknowledgment and reimbursement of navigation services. Lastly, the AONN+ 35 evidence-based navigation metrics will be shared, emphasizing the five core metrics that should be utilized by all navigation models in all settings. METHODS: Employed in this review involves synthesizing information from established oncology organizations, documenting the development of navigator professional standards of practice and navigation metrics that measure patient experience, clinical outcomes, and return on investment, and analyzing outcomes from national studies and collaborations to present a summary of advancements in oncology navigation...
March 22, 2024: Seminars in Oncology Nursing
https://read.qxmd.com/read/38520146/implementation-of-nutritional-care-in-hospitals-a-qualitative-study-of-barriers-and-facilitators-using-implementation-theory
#19
JOURNAL ARTICLE
Lærke Prietzel Nielsen, Krista Horsholt Thomsen, Camilla Alleslev, Sabina Mikkelsen, Mette Holst
BACKGROUND: Disease-related malnutrition is prevalent among hospitalised patients, but not all patients achieve the needed nutritional care. At a Danish University Hospital, focus has been on implementing nutritional practices based on clinical guidelines, but there is continuously variation between the wards regarding the quality of nutritional care. AIM: The aim of this study was to identify the potential barriers and facilitators for implementation of the clinical guidelines for nutritional practices and to recommend suggestions for development of nutritional practices, using a theoretical implementation strategy...
March 23, 2024: Scandinavian Journal of Caring Sciences
https://read.qxmd.com/read/38518403/missed-nursing-care-among-nursing-students-a-scoping-review
#20
REVIEW
Muktar Abadiga Abawaji, Rachel Cardwell, Lisa McKenna
BACKGROUND: Nursing students report facing inconsistencies between theoretical knowledge and actualities of clinical practice, and research indicates they witness missed nursing care during clinical practice. Understanding nursing students' experiences can inform improved clinical learning environments and enhance patient care quality. Recently, research has focused on students' views regarding missed care, yet comprehensive understandings of this phenomenon are lacking. OBJECTIVE: This review explored what is known about missed nursing care from perspectives of nursing students...
March 20, 2024: Nurse Education Today
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