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https://www.readbyqxmd.com/read/28747238/exploratory-factor-analysis-and-reliability-of-the-primary-health-care-engagement-phce-scale-in-rural-and-remote-nurses-findings-from-a-national-survey
#1
Julie G Kosteniuk, Norma J Stewart, Chandima P Karunanayake, Erin C Wilson, Kelly L Penz, Judith C Kulig, Kelley Kilpatrick, Ruth Martin-Misener, Debra G Morgan, Martha L P MacLeod
Aim The study purpose was to provide evidence of validity for the Primary Health Care Engagement (PHCE) Scale, based on exploratory factor analysis and reliability findings from a large national survey of regulated nurses residing and working in rural and remote Canadian communities. BACKGROUND: There are currently no published provider-level instruments to adequately assess delivery of community-based primary health care, relevant to ongoing primary health care (PHC) reform strategies across Canada and elsewhere...
July 27, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28703084/case-study-on-an-ipilimumab-cost-containment-strategy-in-an-italian-hospital
#2
Alberto Russi, Vanna Chiarion-Sileni, Vera Damuzzo, Francesca Di Sarra, Jacopo Pigozzo, Angelo Claudio Palozzo
OBJECTIVES: Ipilimumab is the first licensed immune checkpoint inhibitor for treatment of melanoma. The promising results of the registration clinical study need confirmation in real practice and its clinical success comes together with a relevant budget impact due to the high price of this drug. The aim of this work is to describe a new model of economical sustainability of ipilimumab developed in an Italian reference center for melanoma treatment. METHODS: This retrospective, observational, and monocentric study was carried out at the Veneto Institute of Oncology...
July 13, 2017: International Journal of Technology Assessment in Health Care
https://www.readbyqxmd.com/read/28685966/the-impact-of-a-web-based-educational-program-on-the-recognition-and-management-of-deteriorating-patients
#3
Sok Ying Liaw, Devon Yun Jia Chng, Lai Fun Wong, Jasmine Tze Yin Ho, Siti Zubaidah Mordiffi, Simon Cooper, Wei Ling Chua, Emily Neo Kim Ang
AIMS AND OBJECTIVES: To evaluate the effectiveness of a web-based educational program to enhance enrolled nurses' knowledge and skills in the recognition and management of deteriorating patients. BACKGROUND: Ward nurses of different skill levels play a pivotal role in detecting and responding to deteriorating patients. A skill-mix of registered nurses, enrolled nurses, licensed practice nurses or healthcare assistants is often employed for the provision of nursing care in acute settings...
July 6, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28677848/the-impact-of-regulatory-perspectives-and-practices-on-professional-innovation-in-nursing
#4
Sarah Stahlke Wall
Since at least the 1970s in Canada, there have been calls for health system reforms based on innovative roles and expanded scopes of practice for nurses. Professional regulatory organizations, through legislation, define the standards and parameters of professional nursing practice. Nursing regulators emphasize public protection over the advancement of nursing; regulatory processes and decisions tend to be conservative and risk-averse. This study explored the impact that regulatory processes have on innovation in nursing roles...
July 5, 2017: Nursing Inquiry
https://www.readbyqxmd.com/read/28671027/coping-cognitive-emotion-regulation-and-burnout-in-long-term-care-nursing-staff-a-preliminary-study
#5
Patricia Bamonti, Elizabeth Conti, Casey Cavanagh, Lindsay Gerolimatos, Jeffrey Gregg, Carol Goulet, Marisa Pifer, Barry Edelstein
Direct care workers (e.g., certified nursing assistants [CNAs]) employed in long-term care (LTC) are particularly vulnerable to the experience of burnout, yet they have received relatively less research attention compared to Licensed Practical Nurses and Registered Nurses. Within the burnout literature, evidence suggests that the deployment of certain coping strategies influences levels of burnout. The current study examined the extent to which coping (e.g., problem-focused, emotion-focused, and dysfunctional coping) and cognitive emotion regulation strategies (e...
June 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28670209/surveying-hospital-nurses-to-discover-educational-needs-and-preferences
#6
J Michael Lindsay, Sandy Oelschlegel, Martha Earl
OBJECTIVE: The author investigated the educational needs of nurses in an American Nurses Credentialing Center Magnet hospital to determine topics of interest, instruction time and delivery preferences, and interest in a research information skills certificate provided by the library. METHODS: A 9-question survey was distributed to 1,500 nursing staff of the hospital through email. RESULTS: Surveys were completed by 865 respondents, which represented a response rate of 58%...
July 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28660150/expanding-treatment-access-for-chronic-hepatitis-c-with-task-shifting-in-the-era-of-direct-acting-antivirals
#7
REVIEW
Eric R Yoo, Ryan B Perumpail, George Cholankeril, Channa R Jayasekera, Aijaz Ahmed
In the United States, the fight to eradicate hepatitis C virus (HCV) infection has been ongoing for many years, but the results have been less than ideal. Historically, patients with chronic hepatitis C (CHC) were treated with interferon-based regimens, which were associated with frequent adverse effects, suboptimal response rates, and long durations of treatment - of up to 48 weeks. Expertise from specialist-physicians, such as hepatologists and gastroenterologists, was needed to closely follow patients on these medications so as to monitor laboratory values and manage adverse effects...
June 28, 2017: Journal of Clinical and Translational Hepatology
https://www.readbyqxmd.com/read/28628073/evaluating-the-need-for-organ-donation-and-transplant-related-education-in-nursing-curricula
#8
Annette Cerrato, Emerson Ea, Peter Flom
Transplant education has been historically unstructured and inconsistent. The purpose of this study was to measure nursing students' knowledge and attitudes toward organ donation, allocation, and preparation for practice using a modified version of the Organ Donation Attitude Questionnaire II-Student Version. Scores were low, particularly regarding brain death and organ allocation. Preparedness for practice was related to knowledge of brain death (z = 2.05, p = .04); knowledge (t = 2.24, p = .03) and attitude (t = 7...
July 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28604507/visits-to-registered-nurses-an-opportunity-to-increase-contraceptive-access-in-california
#9
Emese C Parker, Kevin Kong, Leslie A Watts, Eleanor B Schwarz, Philip D Darney, Heike Thiel de Bocanegra
BACKGROUND: In 2013, California passed Assembly Bill (A.B.) 2348, approving registered nurses (RNs) to dispense patient self-administered hormonal contraceptives and administer injections of hormonal contraceptives. The Family Planning, Access, Care and Treatment (Family PACT) program, which came into effect in 1997 to expand low-income, uninsured California resident access to contraceptives at no cost, is one program in which qualified RNs can dispense and administer contraceptives. AIMS: The aims of this study were to (a) describe utilization of RN visits within California's Family PACT program and (b) evaluate the impact of RN visits on client birth control acquisition during the first 18 months after implementation of A...
July 2017: Nursing Research
https://www.readbyqxmd.com/read/28576295/alternative-payment-models-lead-to-strategic-care-coordination-workforce-investments
#10
Clese E Erikson, Patricia Pittman, Alicia LaFrance, Susan A Chapman
BACKGROUND: Care coordination is generally viewed as a key to success for health systems seeking to adapt to a range of new value-based payment policies. PURPOSE: This study explores care coordination staffing in four health systems participating in new payment models, including Medicaid payment reform and Accountable Care Organizations. METHODS: Comparative case study design is used to describe models of care coordination. Analysis of 43 semi-structured interviews with leadership, clinicians, and care coordination staff at four health systems engaged in value-based contracts...
April 13, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28575301/reducing-antipsychotic-medication-use-in-nursing-homes-a-qualitative-study-of-nursing-staff-perceptions
#11
Sandra F Simmons, Kemberlee R Bonnett, Emily Hollingsworth, Jennifer Kim, James Powers, Ralf Habermann, Paul Newhouse, David G Schlundt
Background and Objectives: The purpose of this study was to use qualitative methods to explore nursing home staff perceptions of antipsychotic medication use and identify both benefits and barriers to reducing inappropriate use from their perspective. Research Design and Methods: Focus groups were conducted with a total of 29 staff in three community nursing homes that served both short and long-stay resident populations. Results: The majority (69%) of the staff participants were licensed nurses...
May 30, 2017: Gerontologist
https://www.readbyqxmd.com/read/28574917/an-intervention-to-improve-cultural-competence-in-graduate-nursing-education
#12
Constance Creech, Marilyn Filter, Hiba Wehbe-Alamah, Marilyn R McFarland, Margaret Andrews, Gwendolyn Pryor
Noting the small number of studies on the influence of an entire curriculum on graduate nursing students' cultural competence, the researchers examined the effect of a curricular intervention using a pretest-posttest design. The study, conducted from 2012 to 2014, focused solely on the Doctor of Nursing Practice program at a midwestern university. Results from a pre- and postintervention faculty curriculum survey indicated that the percentage of courses including a cultural competence objective increased from 65 percent to 81 percent...
June 1, 2017: Nursing Education Perspectives
https://www.readbyqxmd.com/read/28535773/nurses-who-work-in-rural-and-remote-communities-in-canada-a-national-survey
#13
Martha L P MacLeod, Norma J Stewart, Judith C Kulig, Penny Anguish, Mary Ellen Andrews, Davina Banner, Leana Garraway, Neil Hanlon, Chandima Karunanayake, Kelley Kilpatrick, Irene Koren, Julie Kosteniuk, Ruth Martin-Misener, Nadine Mix, Pertice Moffitt, Janna Olynick, Kelly Penz, Larine Sluggett, Linda Van Pelt, Erin Wilson, Lela Zimmer
BACKGROUND: In Canada, as in other parts of the world, there is geographic maldistribution of the nursing workforce, and insufficient attention is paid to the strengths and needs of those providing care in rural and remote settings. In order to inform workforce planning, a national study, Nursing Practice in Rural and Remote Canada II, was conducted with the rural and remote regulated nursing workforce (registered nurses, nurse practitioners, licensed or registered practical nurses, and registered psychiatric nurses) with the intent of informing policy and planning about improving nursing services and access to care...
May 23, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28502249/psychiatric-mental-health-nursing-advanced-practice-workforce-capacity-to-address-shortages-of-mental-health-professionals
#14
Kathleen R Delaney
There is a recognized shortage of mental health professionals licensed to provide the full scope of mental health services, including assessment, diagnosis, and prescribing. Psychiatric mental health advanced practice nurses (PMH APNs) have the education and licensure to provide these services, address provider shortages and increase access to services. Unfortunately, federal reports and mental health workforce studies inaccurately depict important characteristics of PMH APNs, particularly their scope of practice, a situation that creates misunderstanding and impedes workforce planning...
May 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28457775/experiences-of-rural-and-remote-nurses-assisting-with-disasters
#15
Judith C Kulig, Kelly Penz, Chandima Karunanayake, Martha L P MacLeod, Sharleen Jahner, Mary Ellen Andrews
BACKGROUND: Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences. METHODS: A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n=2465) for the logistic regression of predictors of assisting with a disaster event within the last five years...
May 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/28456338/urgent-care-medicine-and-the-role-of-the-app-within-this-specialty
#16
Jessica Memmel, Marcy Spalsbury
The field of urgent care medicine offers an additional medical pathway for patients who have immediate, but non-life-threatening, medical concerns. Urgent care medicine offers a more varied set of resources and services than a physician office setting, with more flexible hours. This gives patients an opportunity to not have to go to the emergency department for non-emergent care. As a newer specialty within the medical field, certain roles of healthcare providers other than physicians are becoming established, including the advanced practice provider (APP)...
May 2017: Disease-a-month: DM
https://www.readbyqxmd.com/read/28448302/qsen-institute-rn-bsn-task-force-white-paper-on-recommendation-for-systems-based-practice-competency
#17
Ann M Stalter, Janet M Phillips, Mary A Dolansky
The Quality and Safety Education for Nurses (QSEN) Institute RN-BSN Task Force presents a white paper on Recommendation for a Systems-based Practice Competency. The task force proposes a seventh QSEN competency, systems-based practice, to improve patient quality and safety. Recommendations to integrate systems-based practice into both education and practice settings, consistent with job descriptions and promotion criteria, involve a comprehensive continuing education program for nurses upon interview, orientation, residency programming, performance evaluation, and license renewal...
April 26, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28414623/licensed-practical-vocational-nurses-a-place-on-the-team
#18
(no author information available yet)
No abstract text is available yet for this article.
April 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28394469/medical-management-of-acute-coronary-syndromes
#19
REVIEW
Nicole Ciffone, Betsy B Dokken
BACKGROUND: Recent updates to clinical guidelines and pharmacological indications have added to the complexity of acute coronary syndrome (ACS) management. Advanced practice nurses working with ACS patients need clear and up-to-date information to optimize patient care. PURPOSE: To provide a practical overview of the management of ACS from patient presentation through to long-term secondary prevention based on recent guidelines and randomized controlled trials, with particular emphasis on medical management...
April 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28383331/the-path-to-advanced-practice-licensure-for-clinical-nurse-specialists-in-washington-state
#20
Heather Schoonover
PURPOSE: The aim of this study was to provide a review of the history and process to obtaining advanced practice licensure for clinical nurse specialists in Washington State. Before 2016, Washington State licensed certified nurse practitioners, certified nurse midwives, and certified nurse anesthetists under the designation of an advanced registered nurse practitioner; however, the state did not recognize clinical nurse specialists as advanced practice nurses. The work to drive the rule change began in 2007...
May 2017: Clinical Nurse Specialist CNS
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