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Licensed practical nurse

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
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
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
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...
September 7, 2016: Journal of the American Geriatrics Society
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
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
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
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
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
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
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No abstract text is available yet for this article.
September 2016: NASN School Nurse
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...
August 6, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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
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
Denise Cloutier, Amy Cox, Ruth Kampen, Karen Kobayashi, Heather Cook, Deanne Taylor, Gina Gaspard
Residential, long-term care serves vulnerable older adults in a facility-based environment. A new care delivery model (CDM) designed to promote more equitable care for residents was implemented in a health region in Western Canada. Leaders and managers faced challenges in implementing this model alongside other concurrent changes. This paper explores the question: How did leadership style influence team functioning with the implementation of the CDM? Qualitative data from interviews with leadership personnel (directors and managers, residential care coordinators and clinical nurse educators), and direct care staff (registered nurses, licensed practical nurses, health care aides, and allied health therapists), working in two different facilities comprise the main sources of data for this study...
2016: Healthcare (Basel, Switzerland)
Seung Ju Kim, Kyu-Tae Han, Hyo Jung Lee, Jeoung A Kwon, Eun-Cheol Park
BACKGROUND: Improving quality of care is a major healthcare goal; however, the relationship between limited resources and appropriate healthcare distribution has always been problematic. Planning for resource shortages is important for improving healthcare quality. The aim of our study was to evaluate the effects of manpower planning on improvements in quality of care by estimating the effects of medical staffing on readmission within 30 days after discharge. METHODS: We conducted an observational study using 2011-14 National Health Claim data from 692 hospitals and 633 461 admissions...
July 13, 2016: European Journal of Public Health
Marita G Titler, Paul Conlon, Margaret A Reynolds, Robert Ripley, Alex Tsodikov, Deleise S Wilson, Mary Montie
BACKGROUND: Falls are a major public health problem internationally. Many hospitals have implemented fall risk assessment tools, but few have implemented interventions to mitigate patient-specific fall risks. Little research has been done to examine the effect of implementing evidence-based fall prevention interventions to mitigate patient-specific fall risk factors in hospitalized adults. OBJECTIVES: To evaluate the impact of implementing, in 3 U.S. hospitals, evidence-based fall prevention interventions targeted to patient-specific fall risk factors (Targeted Risk Factor Fall Prevention Bundle)...
August 2016: Applied Nursing Research: ANR
Linda Ld Zhong, Nan-Nan Shi, Liang Dai, Tat Chi Ziea, Bacon Ng, Xu-Dong Tang, Zhao-Xiang Bian, Ai-Ping Lu
Stomach pain in Chinese medicine (CM) is a very common disorder in clinical practice and it has been listed as one of the pilot three conditions in Hong Kong to develop evidence-based CM clinical practice guidelines (CM CPGs). The aim of this stomach Pain CPG is to summarize the treatment methods of stomach pain with CM and evaluate reasonably, then to guide local licensed CM practitioners and provide beneficial reference for social medical decision makers and patients. In this manuscript, we defifi ned stomach pain in CM and the category of chronic gastritis in Western medicine...
June 23, 2016: Chinese Journal of Integrative Medicine
Ryan E Childers, Amy Laird, Kian Keyashian
BACKGROUND AND AIMS: Preventing missed appointments, or "no-shows," is an important target in improving efficient patient care and lowering costs in gastrointestinal endoscopy practices. We aimed to investigate whether a nurse telephone call would reduce no-show rates for endoscopic appointments, and to determine if hiring and maintaining a nurse dedicated to pre-endoscopy phone calls is economically advantageous. Our secondary aim was to identify predictors of no-shows to endoscopy appointments...
June 17, 2016: Gastrointestinal Endoscopy
Bertrand Fougère, John E Morley, Frédérique Decavel, Fati Nourhashémi, Patricia Abele, Barbara Resnick, Marilyn Rantz, Claudia Kam Yuk Lai, Wendy Moyle, Maryse Pédra, Bruno Chicoulaa, Emile Escourrou, Stéphane Oustric, Bruno Vellas
Many countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors and growing health care demand. The development of new nursing roles varies greatly from country to country. The United States and Canada established "nurse practitioners" (NPs) in the mid-1960s. The United Kingdom and Finland also have a long experience in using different forms of collaboration between doctors and nurses...
September 1, 2016: Journal of the American Medical Directors Association
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