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Nursing change of practice

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https://www.readbyqxmd.com/read/29679403/nature-and-scope-of-certified-nurse-midwifery-practice-in-one-large-state-in-the-united-states
#1
Marie Hastings-Tolsma, Sarah Wilcox Foster, Mary C Brucker, Priscilla Nodine, Rebecca Burpo, Barbara Camune, Jackie Griggs, Tiffany J Callahan
AIMS AND OBJECTIVES: To describe the nature and scope of nurse-midwifery practice in Texas and to determine legislative priorities and practice barriers. BACKGROUND: Across the globe, midwives are the largest group of maternity care providers despite little known about midwifery practice. With a looming shortage of midwives, there is a pressing need to understand midwives' work environment and scope of practice. DESIGN: Mixed methods research utilizing prospective descriptive survey and interview...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29679402/person-centred-leadership-a-relational-approach-to-leadership-derived-through-action-research
#2
Shaun Cardiff, Brendan McCormack, Tanya McCance
AIMS & OBJECTIVES: How does person-centred leadership manifest in clinical nursing. BACKGROUND: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing. DESIGN: A three year participatory action research study where participant leaders planned, researched and learned from their practice development...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29678009/from-narratives-to-numbers-data-work-and-patient-generated-health-data-in-consultations
#3
Tomas Lindroth, Anna Sigridur Islind, Gunnar Steineck, Johan Lundin
This article presents preliminary findings on how the introduction of patient-generated health data (PGHD) triggers changes during patient-nurse consultations. This article builds on a two-year case study, examining the work practice at a cancer rehabilitation clinic at a Swedish Hospital using PGHD. The study focuses on how nurses' use data, gathered by patients with a mobile phone app, during consultations. The use of PGHD introduce a change in the translation work, the work of turning rich patient descriptions and transform them into data, during the consultation for documentation and clinical decision-making...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29677693/does-the-consecutive-interpreting-approach-enhance-medical-english-communication-skills-of-japanese-speaking-students
#4
Hideki Iizuka, Alan K Lefor
Objectives: To determine if the Consecutive Interpreting Approach enhances medical English communication skills of students in a Japanese medical university and to assess this method based on performance and student evaluations. Methods:  This is a three-phase study using a mixed-methods design, which starts with four language reproduction activities for 30 medical and 95 nursing students, followed by a quantitative analysis of perfect-match reproduction rates to assess changes over the duration of the study and qualitative error analysis of participants' language reproduction...
April 19, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29677380/end-of-life-education-and-discussions-with-assisted-living-certified-nursing-assistants
#5
Wendy L Mohlman, Kara Dassel, Katherine P Supiano, Michael Caserta
In previous work, the current researchers examined attitudes and experiences of certified nursing assistants (CNAs) providing end-of-life (EOL) care in an assisted living facility (ALF). Results showed that 70% of participating CNAs felt unprepared to provide EOL care, largely due to not having received prior EOL care education within their schools or workplaces. Therefore, the goal of the current study was to implement and evaluate EOL and postmortem education to ALF CNAs. A focus group of 14 CNAs within an ALF was provided EOL education pertaining to the physiological and psychological changes observed in patients nearing EOL and postmortem care...
April 19, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29677046/student-and-preceptor-advancement-in-a-dedicated-education-site-innovation-in-clinical-education-for-advanced-practice-nurses
#6
Katherine C Hall, Sandy K Diffenderfer, April Stidham, Christine M Mullins
In the 1990s, dedicated education units transformed undergraduate preceptorships, but graduate preceptorships remain static. The dyadic nurse practitioner preceptorship model supports an environment where faculty, students, and preceptors may overlook nuances that affect the teaching-learning process. This article describes an innovative clinical education model, Student and Preceptor Advancement in a Dedicated Education Site, designed to improve preceptorships for advanced practice nurses. The focus is on adaptations made to facilitate use in advanced practice nursing programs...
April 19, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29676399/nursing-research-cer-pico-and-pcori
#7
Darpan I Patel
Community and public health nurse researchers encompass a unique cohort of nurse researchers that have the skills and capacity to lead projects and programs of science centered on improvement of patient outcomes through methods of comparative effectiveness research (CER). CER, as a general method, has been taught to all nurses in the form of the PICO question to improve evidence-based practices. As the climate for funding becomes more and more competitive, nurse researchers are primed to lead the change in improving patient outcomes through patient centered outcomes research (PCOR)...
2018: Journal of community & public health nursing
https://www.readbyqxmd.com/read/29675972/the-american-academy-of-nursing-jonas-policy-scholars-program-mentoring-future-nurse-leaders-to-advance-health-policy
#8
EDITORIAL
Sarah Oerther, Sunny Hallowell, Alicia Rossiter, Deborah Gross
In 2010, the Institute of Medicine released a landmark report, "The Future of Nursing: Leading Change, Advancing Health," calling for a transformation of the nursing profession in education, leadership, and practice (Institute of Medicine [IOM], 2010). Consistent with the call to transform nursing and its role in health and health care, the American Academy of Nursing (the Academy), an organization of approximately 2,500 nursing leaders from around the world, created the Jonas Policy Scholars Program...
April 20, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29674441/promoting-accrual-of-older-patients-with-cancer-to-clinical-trials-an-alliance-for-clinical-trials-in-oncology-member-survey-a171602
#9
Rachel A Freedman, Travis J Dockter, Jacqueline M Lafky, Arti Hurria, Hyman J Muss, Harvey J Cohen, Aminah Jatoi, M Margaret Kemeny, Kathryn J Ruddy
BACKGROUND: There are multiple known individual- and practice-level barriers to enrollment of older patients with cancer to clinical trials, but little is known about how the clinical research workforce feels about potential higher-level strategy changes aimed to promote increased enrollment of older patients. SUBJECTS, MATERIALS, AND METHODS: We invited all 11,351 Alliance for Clinical Trials in Oncology ("Alliance") members to participate in an anonymous, web-based survey to examine awareness of current accrual patterns for older patients to clinical trials, to ascertain consensus on how to tackle enrollment challenges, and to provide the impetus for high-level changes to improve clinical trial accrual of older patients with cancer...
April 19, 2018: Oncologist
https://www.readbyqxmd.com/read/29672424/the-struggle-is-real-investigating-the-challenge-of-assigning-a-failing-clinical-grade
#10
Jeannie Couper
AIM: The aim of the study was to explore the relationships between role strain, faculty stress, and perceived organizational support for nurse faculty who faced the decision to assign a failing clinical grade. BACKGROUND: Although faculty are responsible for assigning a grade reflecting students' competence and ability to practice safely, faculty find it troublesome and stressful to assign a failing clinical grade. METHOD: A national sample consisting of 390 nursing faculty completed an online four-part questionnaire with an open-ended question...
May 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29672240/national-survey-of-operating-room-nurses-aseptic-techniques-and-interventions-for-patient-preparation-to-reduce-surgical-site-infections
#11
Camilla Wistrand, Karin Falk-Brynhildsen, Ulrica Nilsson
BACKGROUND: Surgical site infection (SSI), the third most common type of nosocomial infection in Sweden, is a patient injury that should be prevented. Methods of reducing SSIs include, for instance, disinfecting the skin, maintaining body temperature, and ensuring an aseptic environment. Guidelines for most of these interventions exist, but there is a lack of studies describing to what extent the preventive interventions have been implemented in clinical practice. We describe the daily clinical interventions Swedish operating room (OR) nurses performed to prevent SSIs following national guidelines...
April 19, 2018: Surgical Infections
https://www.readbyqxmd.com/read/29671901/using-dolls-for-therapeutic-purposes-a-study-on-nursing-home-residents-with-severe-dementia
#12
A Cantarella, E Borella, S Faggian, A Navuzzi, R De Beni
OBJECTIVES: Among the psychosocial interventions intended to reduce the behavioral and psychological symptoms of dementia (BPSD), doll therapy (DT) is increasingly used in clinical practice. Few studies on DT have been based on empirical data obtained with an adequate procedure; however, none have assessed its efficacy using an active control group, and the scales used to assess changes in BPSD are usually unreliable. The aim of the present study was to measure the impact of DT on people with severe dementia with a reliable, commonly used scale for assessing their BPSD, and the related distress in formal caregivers...
April 19, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29669455/third-year-nursing-students-lived-experience-of-caring-for-the-dying-a-hermeneutic-phenomenological-approach
#13
Kristen Ranse, Jamie Ranse, Mikayla Pelkowitz
BACKGROUND: In preparation for practice as a Registered Nurse, it is essential that students are equipped to care for the dying patient and their family. AIM: To explore nursing students' lived experience of caring for a dying patient and their family. DESIGN: Hermeneutic phenomenology. METHODS: Students who had cared for a dying patient in their final year of study were invited to participate in an interview. Participants' narratives (n = 6) were thematically analysed...
April 18, 2018: Contemporary Nurse
https://www.readbyqxmd.com/read/29669364/clinician-perceptions-of-the-nicu-infant-experience-is-the-nicu-hospitalization-traumatic
#14
Amy L D'Agata, Mary Coughlin, Marilyn R Sanders
OBJECTIVE:  Infants cared for in a newborn intensive care unit (NICU) experience pain, parental separation, and stress that may approach toxic levels, thus are potentially traumatic. Lack of accepted clinical terminology to describe the infant experience may result in under appreciation of NICU hospitalization on infant and family outcomes. This study explored NICU clinician perceptions of the infant experience and how the terms trauma/traumatic would impact their clinical roles and practices...
April 18, 2018: American Journal of Perinatology
https://www.readbyqxmd.com/read/29667694/a-grounded-theory-investigation-into-sophomore-students-recall-of-depression-during-their-freshman-year-in-college-a-pilot-study
#15
Julie M Brandy, Theresa A Kessler, Christina H Grabarek
Using a grounded theory approach, the current descriptive qualitative design was conducted with sophomore students to understand the meaning participants gave their freshman experiences with depression. Twelve participants were recruited using scripted class announcements across campus. After informed consent, interviews began with the question: What was the experience of your freshman year in college? All interviews were completed with the primary investigator and transcribed verbatim. Interviews were analyzed using constant comparative methodology...
April 17, 2018: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29667312/predatory-publishing-and-cybercrime-targeting-academics
#16
Mary Grace Umlauf, Yuki Mochizuki
The purpose of this report is to inform and warn academics about practices used by cybercriminals who seek to profit from unwary scholars and undermine the industry of science. This report describes the signs, symptoms, characteristics, and consequences of predatory publishing and related forms of consumer fraud. Methods to curb these cybercrimes include educating scholars and students about tactics used by predatory publishers; institutional changes in how faculty are evaluated using publications; soliciting cooperation from the industries that support academic publishing and indexing to curb incorporation of illegitimate journals; and taking an offensive position by reporting these consumer fraud crimes to the authorities...
April 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29666161/implementation-of-the-sepsis-risk-calculator-at-an-academic-birth-hospital
#17
Miren B Dhudasia, Sagori Mukhopadhyay, Karen M Puopolo
BACKGROUND: Multivariate predictive models for estimating the risk of neonatal early-onset sepsis (EOS) are available as a Web-based sepsis risk calculator (SRC) and may reduce the proportion of newborns empirically treated with antibiotics after birth. EOS risk assessment based on such models would require workflow changes at most birth hospitals. METHODS: A multidisciplinary team of obstetric, neonatal, and information technology staff at a large, academic, birth hospital collaborated to implement the SRC...
April 17, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29661609/assessing-the-effect-of-an-educational-intervention-on-nurses-and-patient-care-assistants-comprehension-and-documentation-of-functional-ability-in-pediatric-patients-with-sickle-cell-disease
#18
Katherine M Bernier, Megan Strobel, Ruth Lucas
PURPOSE: In 2014, the Youth Acute Pain Functional Ability Questionnaire (YAPFAQ) was developed to investigate patient's self-rated functional ability during times of acute pain in the inpatient clinical setting. Although it has great potential, the application of this tool has not been made a standard of care. The purpose of this multiple methods study was to determine if, through an educational intervention, hospital staff could consistently document the YAPFAQ in children with sickle cell disease (SCD) during a vaso-occlusive episode...
April 13, 2018: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#19
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29659468/routine-versus-clinically-indicated-short-peripheral-catheter-replacement-an-evidence-based-practice-project
#20
Catherine Stevens, Kerry A Milner, Jennifer Trudeau
Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1.9% to 3.5%, and SPC use decreased by 14.2%, resulting in estimated cost savings of $2100 and 70 hours of nursing time saved...
May 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
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