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https://www.readbyqxmd.com/read/29777552/nursing-care-providers-perceptions-on-their-role-contributions-in-patient-care-an-integrative-review
#1
REVIEW
Elizabeth Kusi-Appiah, Sherry Dahlke, Sarah Stahlke
AIM: The aim of this integrative review was to explore registered nurses', licensed practical nurses', and health care aides' perceptions of their own and each other's role contributions. BACKGROUND: In response to contemporary economic and political pressures, healthcare institutions across the world have endeavored to download job duties to less educated healthcare providers. As a result, nursing care is usually delivered by a team of nursing staff that have different roles...
May 18, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29759676/outcomes-associated-with-electrical-cardioversion-for-atrial-fibrillation-when-performed-autonomously-by-an-advanced-practice-provider
#2
Theresa A Strzelczyk, Rachel M Kaplan, Meena Medler, Bradley P Knight
OBJECTIVES: This study sought to determine the feasibility, safety, and efficacy of elective electrical cardioversion (CV) for atrial fibrillation (AF) when performed autonomously by a trained advanced practice provider (APP) using a guideline-directed protocol. BACKGROUND: APPs have emerged as an integral part of the cardiovascular team. METHODS: A licensed advanced practice nurse-clinical nurse specialist was trained and obtained credentials to perform CVs...
December 11, 2017: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29727378/patient-and-professional-factors-that-impact-the-perceived-likelihood-and-confidence-of-healthcare-professionals-to-discuss-implantable-cardioverter-defibrillator-deactivation-in-advanced-heart-failure-results-from-an-international-factorial-survey
#3
Loreena Hill, Sonja McIlfatrick, Brian J Taylor, Tiny Jaarsma, Debra Moser, Paul Slater, Toni McAloon, Lana Dixon, Patrick Donnelly, Anna Stromberg, Donna Fitzsimons
BACKGROUND: Rate of implantable cardioverter defibrillator (ICD) implantations is increasing in patients with advanced heart failure. Despite clear guideline recommendations, discussions addressing deactivation occur infrequently. AIM: The aim of this article is to explore patient and professional factors that impact perceived likelihood and confidence of healthcare professionals to discuss ICD deactivation. METHODS AND RESULTS: Between 2015 and 2016, an international sample of 262 healthcare professionals (65% nursing, 24% medical) completed an online factorial survey, encompassing a demographic questionnaire and clinical vignettes...
April 26, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29723780/understanding-the-enrolled-nurse-to-registered-nurse-journey-through-a-model-adapted-from-schlossberg-s-transition-theory
#4
Peter Wall, Catherine Fetherston, Caroline Browne
BACKGROUND: Substantial numbers of Enrolled Nurses (ENs) enrol in higher education programs to undergo the transition to Registered Nurse (RN) with the experience described as containing numerous challenges. OBJECTIVES: This paper reports on a synthesis of the literature that explores the experiences of ENs undertaking a program of study to convert to RN. Consequently, a model is developed to identify educational interventions and resources to enable a successful transition for these students...
April 23, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29677046/student-and-preceptor-advancement-in-a-dedicated-education-site-innovation-in-clinical-education-for-advanced-practice-nurses
#5
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/29672373/top-of-license-nursing-practice-describing-common-nursing-activities-and-nurses-experiences-that-hinder-top-of-license-practice-part-1
#6
Jacalyn Buck, Jacqueline Loversidge, Esther Chipps, Lynn Gallagher-Ford, Lynne Genter, Po-Yin Yen
OBJECTIVE: The aims of this study were to describe nurses' perceptions of nursing activities and analyze for consistency with top-of-license (TOL) practice. BACKGROUND: The Advisory Board Company expert panel proposed 8 TOL core nursing responsibilities representing practice at its potential. Thus far, no empirical work has examined nursing practices relative to TOL, from staff nurses' points of view. METHODS: This qualitative study used focus groups to explore perceptions of typical nursing activities...
May 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29658855/the-enhanced-nurse-licensure-compact-enlc-unlocking-access-to-nursing-care-across-the-nation
#7
Dawn M Kappel
Nurses, including school nurses, may reside in a state with compact licensing. On July 20, 2017, an enhanced Nurse Licensure Compact (eNLC) was enacted with implementation beginning on January 19, 2018. Nurses must be knowledgeable about the status of their state's participation in the compact licensure, both their state of residence and their state of practice. Nurses must also be knowledgeable about what is entailed in compact licensure. This brief article provides basic information about compact licensing, along with considerations about nursing delegation, for the practicing school nurse...
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29621109/distinguishing-the-clinical-nurse-specialist-from-other-graduate-nursing-roles
#8
Lynn D Mohr, Lola A Coke
PURPOSE: Today's healthcare environment poses diverse and complex patient care challenges and requires a highly qualified and experienced nursing workforce. To mitigate these challenges are graduate nursing roles, each with a different set of competencies and expertise. With the availability of many different graduate nursing roles, both patients and healthcare professionals can be confused in understanding the benefit of each role. To gain the maximum benefit from each role, it is important that healthcare providers and administrators are able to distinguish the uniqueness of each role to best use the role and develop strategies for effective collaboration and interprofessional interaction...
May 2018: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/29615014/assessing-the-implementation-processes-of-a-large-scale-multi-year-quality-improvement-initiative-survey-of-health-care-providers
#9
Donna Goodridge, Masud Rana, Elizabeth L Harrison, Thomas Rotter, Roy Dobson, Gary Groot, Sonia Udod, Joshua Lloyd
BACKGROUND: Beginning in 2012, Lean was introduced to improve health care quality and promote patient-centredness throughout the province of Saskatchewan, Canada with the aim of producing coordinated, system-wide change. Significant investments have been made in training and implementation, although limited evaluation of the outcomes have been reported. In order to better understand the complex influences that make innovations such as Lean "workable" in practice, Normalization Process Theory guided this study...
April 3, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29596709/leadership-in-nursing-homes-directors-of-nursing-aligning-practice-with-regulations
#10
Elena O Siegel, Kristen Bettega, Debra Bakerjian, Suzanne Sikma
Nursing homes use team nursing, with minimal RN presence, leaving the majority of direct care to licensed practical/vocational nurses (LPNs/LVNs) and unlicensed assistive personnel (UAP), including medication aides. The current article describes challenges faced by nursing home directors of nursing (DONs) leading and managing a team nursing approach, including consideration of scope of practice, delegation and supervision regulations, and related policy implications. A secondary data analysis was performed of qualitative data from a study to develop and test DON guidelines for delegation in nursing home practice...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29595550/changing-neonatal-nurses-perceptions-of-caring-for-infants-experiencing-neonatal-abstinence-syndrome-and-their-mothers-an-evidenced-based-practice-opportunity
#11
Kobi Brooke Tobin
BACKGROUND: Neonatal intensive care units (NICUs) are caring for an increasing number of infants born with neonatal abstinence syndrome (NAS). The literature identifies the need for education for NICU nurses on NAS including skills for interacting with the mother with substance use disorder. PURPOSE: An evidence-based practice project was developed to offer an educational presentation targeting these topics to 206 NICU participants (93% registered nurses, 1% licensed vocational nurses, and 6% nursing assistants) at a level IV NICU...
April 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29578930/interpersonal-conflict-and-organizational-commitment-among-licensed-practical-nurses
#12
Chad N Loes, Mary B Tobin
The shortage of nursing professionals in the United States is unquestionable. This shortage, which is predicted to continue into the foreseeable future, is a particularly salient problem within the nursing profession. This is especially true for long-term care facility administrators who not only are faced with the challenge of increasing numbers of aging residents but also regularly struggle with turnover among more cost-effective nursing staff, such as licensed practical nurses (LPNs). The primary purpose of this study was to examine whether perceived interpersonal conflict influences organizational commitment among LPNs...
March 23, 2018: Health Care Manager
https://www.readbyqxmd.com/read/29570938/building-capacity-for-evidence-based-practice-understanding-how-licensed-practical-nurses-lpns-source-knowledge
#13
Leah Phillips, Melanie Neumeier
BACKGROUND: In Canada, all nurses are required to engage in evidence-based practice (EBP) as an entry-to-practice competency; however, there is little research that examines Licensed Practical Nurses' (LPNs') information seeking behaviors or preferred sources of knowledge to conduct EBP. AIMS: Due to the differences in education and roles of LPNs and Registered Nurses (RNs), it is both necessary and important to gain an understanding of how LPNs utilize evidence in their unique nursing practice...
March 23, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29524937/managing-in-and-out-migration-of-health-workforce-in-selected-countries-in-south-east-asia-region
#14
Viroj Tangcharoensathien, Phyllida Travis, Achmad Soebagjo Tancarino, Krisada Sawaengdee, Yanchen Chhoedon, Safeenaz Hassan, Nareerut Pudpong
BACKGROUND: There is an increasing trend of international migration of health professionals from low- and middle- income countries to high-income countries as well as across middle-income countries. The WHO Global Code of Practice on the International Recruitment of Health Personnel was created to better address health workforce development and the ethical conduct of international recruitment. This study assessed policies and practices in 4 countries in South East Asia on managing the in- and out-migration of doctors and nurses to see whether the management has been in line with the WHO Global Code and has fostered health workforce development in the region; and draws lessons from these countries...
May 8, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29521868/older-nurses-experiences-of-providing-direct-care-in-hospital-nursing-units-a-qualitative-systematic-review
#15
Karen Parsons, Alice Gaudine, Michelle Swab
BACKGROUND: Most developed countries throughout the world are experiencing an aging nursing workforce as their population ages. Older nurses often experience different challenges then their younger nurse counterparts. With the increase in older nurses relative to younger nurses potentially available to work in hospitals, it is important to understand the experience of older nurses on high paced hospital nursing units. This understanding will lend knowledge to ways of lessening the loss of these highly skilled experienced workers and improve patient outcomes...
March 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29483844/to-what-extent-has-doctoral-phd-education-supported-academic-nurse-educators-in-their-teaching-roles-an-integrative-review
#16
Carol Bullin
Background: A doctoral degree, either a PhD or equivalent, is the academic credential required for an academic nurse educator position in a university setting; however, the lack of formal teaching courses in doctoral programs contradict the belief that these graduates are proficient in teaching. As a result, many PhD prepared individuals are not ready to meet the demands of teaching. Methods: An integrative literature review was undertaken. Four electronic databases were searched including the Cumulative Index to Nursing & Allied Health Literature (CINAHL), PubMed, Educational Resources Information Center (ERIC) and ProQuest...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29481460/prelicensure-employment-and-student-nurse-self-efficacy
#17
Khristina L Grimm
There is a lack of literature regarding how prelicensure employment affects self-efficacy in nursing practice. The purpose of this study was to examine the relationship among prelicensure employment and self-efficacy in nursing practice of senior student nurses. Healthcare experience was identified as the best predictor of positive self-efficacy in managing an assignment of three and four patients. Findings of this study provide insight for providing orientation for newly licensed nurses regarding their readiness to practice...
March 2018: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/29465664/knowledge-practices-and-barriers-to-hiv-pre-exposure-prophylaxis-prep-prescribing-among-washington-state-medical-providers
#18
Brian R Wood, Vanessa M McMahan, Kelly Naismith, Jonathan B Stockton, Lori A Delaney, Joanne D Stekler
BACKGROUND: We aimed to assess HIV pre-exposure prophylaxis (PrEP) awareness and prescribing practices among Washington State medical providers from diverse professional disciplines and practice types. METHODS: In May 2016, we administered an anonymous online survey to licensed medical practitioners who provide primary, longitudinal, walk-in, emergency, obstetric, gynecologic, sexually transmitted infection (STI), or family planning care. RESULTS: Of 735 eligible providers, 64...
January 4, 2018: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/29465446/current-practices-and-attitudes-regarding-use-of-inhaled-nitric-oxide-in-the-nicu-results-from-a-survey-of-members-of-the-national-association-of-neonatal-nurse-practitioners
#19
Allyson Kayton, Paula Timoney, Lyn Vargo, Jose A Perez
BACKGROUND: Excessive supplemental oxygen exposure in the neonatal intensive care unit (NICU) can be associated with oxygen-related toxicities, which can lead to negative clinical consequences. Use of inhaled nitric oxide (iNO) can be a successful strategy for avoiding hyperoxia in the NICU. iNO selectively produces pulmonary vasodilation and has been shown to improve oxygenation parameters across the spectrum of disease severity, from mild to very severe, in neonates with hypoxic respiratory failure associated with persistent pulmonary hypertension of the newborn...
April 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29435834/physician-assistants-and-nurse-practitioners-in-head-and-neck-surgery
#20
Chrysanta Patio, Nabilah Ali, Jill Ketner, Candy Young, Esther Chou, Carrie Chong, Wanchi Su
This chapter explores the role of advanced practice clinicians (APCs) and patient care coordinators in the head and neck cancer setting. APCs, which include physician assistants (PAs) and nurse practitioners (NPs), are licensed professional healthcare providers who diagnose and treat illnesses, order and interpret diagnostic tests, and prescribe pharmaceutical and non-pharmaceutical therapies. Although the training, education, and licensure differ between PAs and NPs, their roles are quite similar in head and neck surgery...
2018: Cancer Treatment and Research
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