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Nursing change of practice

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https://www.readbyqxmd.com/read/29035967/pediatric-clinical-handover-a-best-practice-implementation-project
#1
Zhuowen Yu, Yuxia Zhang, Ying Gu, Xiaofeng Xu, Alexa McArthur
BACKGROUND: Communication of information between and among healthcare providers is an essential element of patient care. Poor clinical handover has been associated with inaccurate clinical assessment and diagnosis, delays in diagnosis, medication errors and decreased patient satisfaction. Effective and efficient transition of patient care information requires an evidence-based handover approach. OBJECTIVES: The aim of this evidence implementation project was to make a contribution to promote evidence-based practice in clinical handover in a pediatric setting and thereby enhance patient safety and service delivery...
October 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29031290/privately-practising-nurse-practitioners-provision-of-care-subsidised-through-the-medicare-benefits-schedule-and-the-pharmaceutical-benefits-scheme-in-australia-results-from-a-national-survey
#2
Jane Currie, Mary Chiarella, Thomas Buckley
Objective Since legislative changes in 2010, certain health care services provided by privately practising nurse practitioners (PPNPs) in Australia have been eligible for reimbursement under the Medicare Benefits Schedule (MBS) and the Pharmaceutical Benefits Scheme (PBS). The aim of the present study was to describe survey results relating to the care provided by PPNPs subsidised through the MBS and PBS.Methods PPNPs in Australia were invited to complete an electronic survey exploring their practice activities...
October 16, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29028777/taboo-in-the-workplace-a-qualitative-study-of-taiwanese-nurses-not-eating-pineapple-in-clinical-practice
#3
Shu-Ling Tsai, Chang-Hsiung Tsai, Yu-Chien Hsu, Mei-Hui Hsieh, Hsia-Tzu Kao, Min-Tao Hsu
There has been an increased emphasis on nurses' mental health and well-being in the workplace. Psychologists have established a correlative link between individual's beliefs on luck and mental health. The pineapple taboo has been observed among Taiwanese hospital nurses as a prevalent superstitious belief for bringing luck or warding off increased clinical workloads, but how and why the ritual persists in the hospital workplace remains unknown. This article aims to explore the latent meaning of observance of the taboo and how it is related to nurses' clinical practice and possibly affects their mental health at work...
November 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/29028566/concept-mapping-to-promote-meaningful-learning-help-relate-theory-to-practice-and-improve-learning-self-efficacy-in-asian-mental-health-nursing-students-a-mixed-methods-pilot-study
#4
Daniel T Bressington, Wai-Kit Wong, Kar Kei Claire Lam, Wai Tong Chien
OBJECTIVES: Student nurses are provided with a great deal of knowledge within university, but they can find it difficult to relate theory to nursing practice. This study aimed to test the appropriateness and feasibility of assessing Novak's concept mapping as an educational strategy to strengthen the theory-practice link, encourage meaningful learning and enhance learning self-efficacy in nursing students. DESIGN: This pilot study utilised a mixed-methods quasi-experimental design...
October 5, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29028282/characteristics-of-quality-improvement-champions-in-nursing-homes-a-systematic-review-with-implications-for-evidence-based-practice
#5
Kyungmi Woo, Gvira Milworm, Dawn Dowding
BACKGROUND: Improving care quality while reducing cost has always been a focus of nursing homes. Certified nursing assistants comprise the largest proportion of the workforce in nursing homes and have the potential to contribute to the quality of care provided. Quality improvement (QI) initiatives using certified nursing assistants as champions have the potential to improve job satisfaction, which has been associated with care quality. AIMS: To identify the role, use and preparation of champions in a nursing home setting as a way of informing future QI strategies in nursing homes...
October 13, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29026730/important-role-of-medical-training-curriculum-to-promote-the-rate-of-human-milk-feeding
#6
REVIEW
Yong Joo Kim
The rate of human milk feeding has been decreasing despite the diverse efforts of many physicians and nurses, as well as numerous professional organizations and various international health institutions. The number of physicians and nurses who can provide proper guidance for human milk feeding and offer appropriate knowledge and techniques to allow the most beneficial and convenient manner of breastfeeding is quite deficient. It is suggested that physicians and nurses be trained to teach and educate about the medical importance of human milk feeding to lactating mothers...
September 2017: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/29025104/implementation-of-a-brief-abuse-and-basic-needs-tool-impact-on-utilization-of-social-services-in-ambulatory-medical-clinics
#7
Jay Michael Sherman, Kari Sand-Jecklin, Jessica Walters, Courtney Fox Dunithan, Teassa Eddy, Cynthia Harper
Domestic violence (DV) screening has become increasingly common in recent years; however, many organizations still do not practice universal screening, and there is considerable debate concerning the best screening tool for detecting DV. The current research suggests that a brief tool would be ideal and that existing brief tools are comparable to more extensive instruments. Per Joint Commission standards, the ambulatory clinics at West Virginia University Hospitals instituted the use of the Functional Health Screening (FHS), a three-item tool that screens for unexplained weight changes, DV, and basic needs deficits...
September 7, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29024553/obesity-risk-factors-complications-and-strategies-for-sustainable-long-term-weight-management
#8
Sharon M Fruh
BACKGROUND AND PURPOSE: The aims of this article are to review the effects of obesity on health and well-being and the evidence indicating they can be ameliorated by weight loss, and consider weight-management strategies that may help patients achieve and maintain weight loss. METHODS: Narrative review based on literature searches of PubMed up to May 2016 with no date limits imposed. Search included terms such as "obesity," "overweight," "weight loss," "comorbidity," "diabetes," cardiovascular," "cancer," "depression," "management," and "intervention...
October 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29024550/biology-of-obesity-and-weight-regain-implications-for-clinical-practice
#9
Mary Madeline Rogge, Bibha Gautam
BACKGROUND AND PURPOSE: Weight loss is recommended as first-line therapy for many chronic illnesses, including obesity. Most patients who do successfully lose weight are unable to maintain their reduced weight. Recent research findings are reviewed and synthesized to explain the biology of obesity, adaptation to weight loss, and weight regain. FINDINGS: Weight regain is a common consequence of successful weight loss. Current obesity management strategies fail to take into consideration the underlying genetic and environmental causes of obesity...
October 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29022404/the-significance-of-breastfeeding-on-sleep-patterns-during-the-first-48%C3%A2-hours-postpartum-for-first-time-mothers
#10
O Hughes, M M Mohamad, P Doyle, G Burke
Postpartum women sleep less during the early days following delivery. Long-term sleep disturbance and fatigue can have significant implications for physical and mental health, relationships, employment and parental competence. Most studies focus on the quality and quantity of maternal sleep between weeks one and six postpartum. We explored sleep patterns and reasons for wakefulness of first-time mothers immediately following delivery. Thirty first-time mothers completed a postnatal sleep questionnaire, detailing their total sleep time (TST), the reasons for being awake and their level of fatigue...
October 12, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29021894/occupational-stress-and-the-importance-of-self-care-and-resilience-focus-on-veterinary-nursing
#11
REVIEW
Ciaran Lloyd, Deirdre P Campion
BACKGROUND: Burnout and compassion fatigue are frequently mentioned in relation to veterinary work. Veterinary nursing is a caring profession and those who seek a career within this field do so because of a natural empathetic desire to care for animals. However it is the individuals who are the most caring and empathetic towards others that will be most at risk of experiencing occupational stress when they are confronted with psychologically demanding workplace roles and working environments...
2017: Irish Veterinary Journal
https://www.readbyqxmd.com/read/29021714/enhancing-utility-and-understanding-of-evidence-based-practice-through-undergraduate-nurse-education
#12
Joanne Reid, Jordan Briggs, Susan Carlisle, David Scott, Claire Lewis
BACKGROUND: The concept of evidence-based practice is globally relevant in current healthcare climates. However, students and teachers struggle with integrating evidence based practice effectively into a curriculum. This has implications for nurse education and in particular the way in which research is presented and delivered to students. A new undergraduate Evidence Based Practice module (Evidence Based Nursing 1) was developed in a large University within the United Kingdom. It commenced in October 2014 running in year one of a 3 year undergraduate nursing programme...
2017: BMC Nursing
https://www.readbyqxmd.com/read/29021128/psychometric-properties-of-patient-facing-ehealth-evaluation-measures-systematic-review-and-analysis
#13
Bonnie J Wakefield, Carolyn L Turvey, Kim M Nazi, John E Holman, Timothy P Hogan, Stephanie L Shimada, Diana R Kennedy
BACKGROUND: Significant resources are being invested into eHealth technology to improve health care. Few resources have focused on evaluating the impact of use on patient outcomes A standardized set of metrics used across health systems and research will enable aggregation of data to inform improved implementation, clinical practice, and ultimately health outcomes associated with use of patient-facing eHealth technologies. OBJECTIVE: The objective of this project was to conduct a systematic review to (1) identify existing instruments for eHealth research and implementation evaluation from the patient's point of view, (2) characterize measurement components, and (3) assess psychometrics...
October 11, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29016516/barriers-to-effective-teamwork-relating-to-pediatric-resuscitations-perceptions-of-pediatric-emergency-medicine-staff
#14
Joshua M Sherman, Todd P Chang, Nurit Ziv, Alan L Nager
BACKGROUND: In the pediatric emergency department (PED), resuscitations require medical teams form ad hoc, rarely communicating beforehand. Literature has shown that the medical community has deficiencies in communication and teamwork. However, we as medical providers do not know or understand the perceived barriers of our colleagues. Physicians may perceive a barrier that is different from nurses, respiratory therapists, pharmacists, or technicians. Perhaps we do not know in which area of teamwork and communication we are deficient...
October 9, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29016467/the-development-and-psychometric-testing-on-psychiatric-nurses-of-a-nurse-case-management-competence-scale-in-taiwan
#15
Shing-Chia Chen, Shih-Kai Lee, Jiin-Ru Rong, Chien-Chang Wu, Wen-I Liu
BACKGROUND: Case management is a complex process involving multiple activities. It is vital that nurses are competent in all related tasks for case management. A competence scale is a valuable tool for assessing task-related competency. PURPOSE: The aims of this study were to examine the reliability and validity of an assessment scale for nurse case management competence and to use this scale to assess the current competency of nurses. METHODS: A nurse case management competence scale was developed in three stages: (a) selection of assessment items according to standards of practice for case management and literature review, (b) determination of content validity using the Delphi technique with a panel of experts, and (c) psychometric testing of the developed competence scale using a cross-sectional design...
October 10, 2017: Journal of Nursing Research: JNR
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/28991603/nurses-opinions-of-patient-involvement-in-relation-to-patient-centered-care-during-bedside-handovers
#17
Lee Khuan, Muhamad Hanafiah Juni
PURPOSE: Advocates for societal change and consumerism have been instrumental in popularizing patient involvement in various aspects of health care. Patient involvement in bedside handovers during shift changes should facilitate patient-centered care. This study's purpose was to explore Malaysian nurses' opinions about patient involvement during bedside handovers, and whether patient involvement during bedside handovers reflected patient-centered care. METHODS: A qualitative study with four focus-group discussions was conducted with 20 registered nurses from general wards in a Malaysian public hospital...
September 2017: Asian Nursing Research
https://www.readbyqxmd.com/read/28991034/a-retrospective-analysis-of-nursing-students-clinical-experience-in-an-all-male-maximum-security-prison
#18
Mary T Bouchaud, Madeline Brooks, Beth Ann Swan
Prisons provide an ideal learning experience to prepare prelicensure students with the knowledge and skill set needed for practice in the 21st century. Beginning descriptive evidence demonstrates that correctional health is an innovative community resource to educate nursing students in today's changing model of health care delivery and practice. This article shares results from a retrospective analysis of the perceptions and experiences of nursing students during their community clinical rotation in an all-male maximum security prison...
October 5, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28991018/clinical-nurse-specialist-driven-practice-change-standardizing-vital-sign-monitoring
#19
Kelly M Derby, Natalie A Hartung, Sherry L Wolf, Heather L Zak, Laura K Evenson
PURPOSE: The purpose of this project was to standardize vital sign (VS) monitoring throughout a patient's stay in the hospital, including at admission, following transitions to different levels of care, reassessment of abnormal VS results, daily monitoring, and before dismissal. The population of focus was adult general and progressive care patients. DESCRIPTION OF THE PROJECT: Standards for VS monitoring, documentation, and provider notification were established...
November 2017: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/28990823/the-effectiveness-of-suicide-prevention-education-programs-for-nurses
#20
Monika S Ferguson, Julie A Reis, Lyn Rabbetts, Heather-Jean Ashby, Miriam Bayes, Tara McCracken, Christine Ross, Nicholas G Procter
BACKGROUND: Education to improve health professionals' responses to suicide is considered an important suicide prevention strategy. However, the effectiveness of this approach for nurses is unclear. AIM: To systematically review the peer-reviewed literature regarding the effectiveness of suicide prevention education programs for nurses. METHOD: Nine academic databases (CINAHL, Cochrane Reviews & Trials, Embase, Informit Health Collection, Joanna Briggs Institute, Medline, PsycINFO, Scopus, and Web of Science) were searched in November 2016, utilizing search terms related to suicide, education, and nurses, with no limits placed on publication date or study design...
October 6, 2017: Crisis
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