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https://www.readbyqxmd.com/read/27903297/variability-of-staffing-and-staff-mix-across-acute-care-units-in-alberta-canada
#1
Krishna Sharma, Stephanie E Hastings, Esther Suter, Judy Bloom
BACKGROUND: The health workforce has a crucial position in healthcare, and effective distribution of the workforce is one of the critical areas for healthcare improvement. This requires a proper understanding of the allocation of healthcare providers including staffing levels and staffing variability within a healthcare system. High variability may imply significant differences in outcomes and greater opportunity to better distribute staffing and improve patient outcomes. The objective of this study was to examine staffing variation across acute care units in a large and integrated healthcare system...
December 1, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27860170/variation-across-u-s-assisted-living-facilities-admissions-resident-care-needs-and-staffing
#2
Kihye Han, Alison M Trinkoff, Carla L Storr, Nancy Lerner, Bo Kyum Yang
PURPOSE: Though more people in the United States currently reside in assisted living facilities (ALFs) than nursing homes, little is known about ALF admission policies, resident care needs, and staffing characteristics. We therefore conducted this study using a nationwide sample of ALFs to examine these factors, along with comparison of ALFs by size. DESIGN: Cross-sectional secondary data analysis using data from the 2010 National Survey of Residential Care Facilities...
November 10, 2016: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/27856482/evaluation-of-nurses-changing-perceptions-when-trained-to-implement-a-self-management-programme-for-dual-sensory-impaired-older-adults-in-long-term-care-a-qualitative-study
#3
Lieve M Roets-Merken, Myrra J F J Vernooij-Dassen, Sytse U Zuidema, Marianne K Dees, Pieter G J M Hermsen, Gertrudis I J M Kempen, Maud J L Graff
OBJECTIVES: To gain insights into the process of nurses' changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care, and into the factors that contributed to these changes in their perceptions. DESIGN: Qualitative study alongside a cluster randomised controlled trial. SETTING: 17 long-term care homes spread across the Netherlands. PARTICIPANTS: 34 licensed practical nurses supporting 54 dual sensory impaired older adults...
November 17, 2016: BMJ Open
https://www.readbyqxmd.com/read/27843815/deregulation-of-allopathic-prescription-and-medical-practice-in-india-benefits-and-pitfalls
#4
EDITORIAL
Raman Kumar, Pritam Roy
In the background of debates on Universal Health Coverage, skill transfer from the medical practice license holders to other health-care providers such as nurse practitioner has become a global norm. In India, where the world's largest numbers of medical graduates are produced, this discussion is expanding to extremes and serious suggestions are coming forward for the development of legal framework for allowing dentists, homeopaths, pharmacists, and half duration trained doctors; permission to issue allopathic prescription...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27789309/a-prospective-cohort-study-of-the-feasibility-and-acceptability-of-depot-medroxyprogesterone-acetate-administered-subcutaneously-through-self-injection
#5
Jane Cover, Allen Namagembe, Justine Tumusiime, Jeanette Lim, Jennifer Kidwell Drake, Anthony K Mbonye
OBJECTIVES: Evidence on contraceptive self-injection from the United States and similar settings is promising, and the practice may increase access. There are no published studies on the feasibility of contraceptive self-injection in sub-Saharan Africa to date. The purpose of this study was to assess feasibility of subcutaneous depot medroxyprogesterone acetate self-injection in Uganda, with specific objectives to (a) measure the proportion of participants who self-injected competently, (b) measure the proportion who self-injected on time 3 months after training (defined conservatively as within 7 days of their reinjection date) and (c) assess acceptability...
October 24, 2016: Contraception
https://www.readbyqxmd.com/read/27782920/successful-integrative-medicine-assessment-and-treatment-of-chronic-pain-associated-with-breast-surgery-a-report-of-3-cases
#6
Myung Kyu Chung, Patrick J LaRiccia
Presented is the first reported case series of chronic neck and back pain associated with breast scars from breast surgery and successfully treated with an integrative medicine assessment and treatment approach, which included the assessment technique of autonomic response testing and the scar therapy technique of neural therapy. Implications for nursing practice are discussed.
January 2017: Holistic Nursing Practice
https://www.readbyqxmd.com/read/27697086/infection-prevention-and-antimicrobial-stewardship-knowledge-for-selected-infections-among-nursing-home-personnel
#7
Barbara W Trautner, M Todd Greene, Sarah L Krein, Heidi L Wald, Sanjay Saint, Andrew J Rolle, Sara McNamara, Barbara S Edson, Lona Mody
OBJECTIVE To assess knowledge about infection prevention among nursing home personnel and identify gaps potentially addressable through a quality improvement collaborative. DESIGN Baseline knowledge assessment of catheter-associated urinary tract infection, asymptomatic bacteriuria, antimicrobial stewardship, and general infection prevention practices for healthcare-associated infections. SETTING Nursing homes across 14 states participating in the national "Agency for Healthcare Research and Quality Safety Program for Long-Term Care: Healthcare-Associated Infections/Catheter-Associated Urinary Tract Infection...
October 4, 2016: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/27660554/motivational-interviewing-competencies-among-uk-family-nurse-partnership-nurses-a-process-evaluation-component-of-the-building-blocks-trial
#8
Sue Channon, Marie-Jet Bekkers, Julia Sanders, Rebecca Cannings-John, Laura Robertson, Kristina Bennert, Christopher Butler, Kerenza Hood, Michael Robling
BACKGROUND: Motivational Interviewing (MI) is a person-centred counselling approach to behaviour change which is increasingly being used in public health settings, either as a stand-alone approach or in combination with other structured programmes of health promotion. One example of this is the Family Nurse Partnership (FNP) a licensed, preventative programme for first time mothers under the age of 20, delivered by specialist family nurses who are additionally trained in MI. The Building Blocks trial was an individually randomised controlled trial comparing effectiveness of Family Nurse Partnership when added to usual care compared to usual care alone within 18 sites in England...
2016: BMC Nursing
https://www.readbyqxmd.com/read/27659757/setting-the-stage-for-success-mentoring-and-leadership-development
#9
Patricia A Tabloski
The New Careers in Nursing (NCIN) Program funded by The Robert Wood Johnson Foundation has expanded enrollment in schools of nursing with accelerated nursing programs and increased diversity in the nursing workforce. As the demand for highly educated and skilled nurses continues to grow, accelerated nursing programs are thriving and increasing in number. The growing cadre of nontraditional nursing students has challenged nursing faculty to institute innovative teaching methods to develop accelerated students' leadership skills and to provide mentoring resources for newly licensed nurses to guide the successful and complex transition from the student to professional practice...
September 2016: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/27603747/challenges-for-nurses-caring-for-individuals-with-peripherally-inserted-central-catheters-in-skilled-nursing-facilities
#10
Molly Harrod, Ana Montoya, Lona Mody, Helen McGuirk, Suzanne Winter, Vineet Chopra
OBJECTIVES: To understand the perceived preparedness of frontline nurses (registered nurses (RNs), licensed practical nurses (LPNs)), unit nurse managers, and skilled nursing facility (SNF) administrators in providing care for residents with peripherally inserted central catheters (PICCs) in SNFs. DESIGN: Exploratory, qualitative pilot study. SETTING: Two community based SNFs. PARTICIPANTS: Residents with PICCs, frontline nurses (RNs, LPNs), unit nurse managers, and SNF administrators...
October 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27601433/a-comparison-of-psychiatric-and-nonpsychiatric-nurse-practitioner-knowledge-and-management-recommendations-regarding-adolescent-mild-traumatic-brain-injury
#11
Tracy A Klein, Janessa M Graves
BACKGROUND: Nurse practitioners (NPs) are statutorily authorized to provide assessment and cognitive recommendations for concussion in most states. Their scope of practice includes assessment and management of concussion sequalae including anxiety, insomnia, and depression, as well as return to school and activity guidance. OBJECTIVES: Analysis of symptom-based diagnosis of mild traumatic brain injury (TBI) in adolescents, including return to school and school workload recommendations comparing psychiatric and nonpsychiatric NPs...
September 6, 2016: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/27592381/people-are-failing-something-needs-to-be-done-canadian-students-experience-with-the-nclex-rn
#12
Linda McGillis Hall, Michelle Lalonde, Jordana Kashin
BACKGROUND: Canada's nurse regulators adopted the NCLEX as the entry-to-practice licensing exam for Canada's registered nurses effective January 2015. It is important to determine whether any issues from this change emerged for nursing students in preparing for and taking this new exam. OBJECTIVES: To explore the experiences of Canadian graduate student nurses who were the first to write the NCLEX examination for entry to practice in Canada, determine whether any issues with implementation were identified and how these could be addressed...
November 2016: Nurse Education Today
https://www.readbyqxmd.com/read/27572341/work-life-stress-and-career-resilience-of-licensed-nursing-facility-administrators
#13
Dennis R Myers, Rob Rogers, Harold H LeCrone, Katherine Kelley, Joel H Scott
Career resilience provided a frame for understanding how Licensed Nursing Facility Administrators (LNFAs) sustain role performance and even thrive in stressful skilled nursing facility work environments. Quantitative and qualitative analyses of in-depth interviews with18 LNFAs, averaging 24 years of experience were conducted by a five-member research team. Analysis was informed by evidence-based frameworks for career resilience in the health professions as well as the National Association of Long-Term Care Administrator Boards' (NAB) five domains of competent administrative practice...
August 28, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27541435/prenatal-depression-screening-by-certified-nurse-midwives-oregon
#14
Kathryn S Rompala, Nicole Cirino, Kenneth D Rosenberg, Rochelle Fu, William E Lambert
INTRODUCTION: About 18% of pregnant women have major or minor depression during pregnancy, but many are neither screened nor treated. Lack of treatment can have serious adverse consequences for the woman and her child. Since 2002, the American College of Nurse-Midwives has advised midwives to integrate prevention, universal screening, treatment, and/or referral for depression into the care they provide. The American College of Obstetricians and Gynecologists' 2015 guidelines recommend screening at least once in the perinatal period using a standardized, validated tool...
August 19, 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27540192/review-of-independent-nurse-prescribing-in-a-paediatric-cystic-fibrosis-cf-and-respiratory-population
#15
Gabis Chana, Michelle Tabberner, Wendy Nixon, Sue Frost, Leslie Barrett, Maya Desai, Lucy Paskin
AIM: With pressures on junior doctors' availability in the NHS, non-medical prescribing is topical. Independent Nurse Prescribers (INPs) can prescribe any licensed medicine for any medical condition within their level of competence.1 An audit was undertaken of the four INPs employed by the Respiratory Department evaluating current prescribing practices. METHOD: The requirement for this audit was identified by the multidisciplinary team (MDT) and Trust approval was obtained...
September 2016: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/27540082/informing-health-policy-decision-makers-a-nebraska-scope-of-practice-case-study
#16
Linda L Lazure, Mary E Cramer, Katherine A Hoebelheinrich
Medicare patients seeking care from nurse practitioners (NPs) increased 15-fold from 1998 to 2010, and a 2.5-fold patient increase was recorded in states that have eased the regulatory environment for NPs. It is increasingly important that state regulatory and licensing boards-charged with protecting the public through the assurance of a qualified health-care workforce-examine whether their state regulatory environment restricts or promotes public access to quality health care. This article presents a case study of a statutory scope of practice credentialing review process for NPs in Nebraska...
May 2016: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/27520984/role-of-the-licensed-practical-nurse-licensed-vocational-nurse-in-the-school-setting-position-statement
#17
(no author information available yet)
No abstract text is available yet for this article.
September 2016: NASN School Nurse
https://www.readbyqxmd.com/read/27507548/emergency-nurse-transport-of-telemetry-patients-benefits-and-drawbacks
#18
Marcia Schram, Andrea Prentiss, Eve Butler, Joy M Cerilo Delgado, Ann M D'Elia, Vivian Fuentes, Teresa Mancuso, Yvette Naranjo, Brenda Rojas, Martha Tijerino, Michelle Thomas, Christine Williams
PROBLEM: Emergency nurse-accompanied telemetry transport on admission to the hospital is a common practice. Potential drawbacks include inefficient use of nursing resources, unnecessary telemetry transports, and disruption of care for remaining ED patients. METHODS: This was a 2-part descriptive quality improvement study using retrospective chart review and prospective documentation of patient transports. Charts were selected by American Heart Association Practice Standards for ECG Monitoring to classify transported telemetry patients into 3 categories...
November 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27496045/connecting-professional-practice-and-technology-at-the-bedside-nurses-beliefs-about-using-an-electronic-health-record-and-their-ability-to-incorporate-professional-and-patient-centered-nursing-activities-in-patient-care
#19
Melissa Gomes, Pamela Hash, Liana Orsolini, Aimee Watkins, Andrea Mazzoccoli
The purpose of this research is to determine the effects of implementing an electronic health record on medical-surgical registered nurses' time spent in direct professional patient-centered nursing activities, attitudes and beliefs related to implementation, and changes in level of nursing engagement after deployment of the electronic health record. Patient-centered activities were categorized using Watson's Caritas Processes and the Relationship-Based Care Delivery System. Methods included use of an Attitudes and Beliefs Assessment Questionnaire, Nursing Engagement Questionnaire, and Rapid Modeling Corporation's personal digital assistants for time and motion data collection...
August 4, 2016: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/27417982/open-label-randomized-trial-of-titrated-disease-management-for-patients-with-hypertension-study-design-and-baseline-sample-characteristics
#20
George L Jackson, Morris Weinberger, Miriam A Kirshner, Karen M Stechuchak, Stephanie D Melnyk, Hayden B Bosworth, Cynthia J Coffman, Brian Neelon, Courtney Van Houtven, Pamela W Gentry, Isis J Morris, Cynthia M Rose, Jennifer P Taylor, Carrie L May, Byungjoo Han, Christi Wainwright, Aviel Alkon, Lesa Powell, David Edelman
Despite the availability of efficacious treatments, only half of patients with hypertension achieve adequate blood pressure (BP) control. This paper describes the protocol and baseline subject characteristics of a 2-arm, 18-month randomized clinical trial of titrated disease management (TDM) for patients with pharmaceutically-treated hypertension for whom systolic blood pressure (SBP) is not controlled (≥140mmHg for non-diabetic or ≥130mmHg for diabetic patients). The trial is being conducted among patients of four clinic locations associated with a Veterans Affairs Medical Center...
September 2016: Contemporary Clinical Trials
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