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Nursing And Process

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https://www.readbyqxmd.com/read/30322432/person-centered-care-evaluation-of-a-resident-directed-medication-administration-program
#1
Amal M Badawoud, Mary Martha Stewart, Margarita Orzolek, Krista L Donohoe, Patricia W Slattum
Objective The resident-directed medication administration program (RDMA) is a personalized medication approach designed to improve the medication administration process in long-term care facilities (LTCFs). This evaluation aimed to document staff experience with the RDMA program compared with staff working in facilities using a facility-directed medication administration program (FDMA). Design This descriptive program evaluation invited staff members to share their experiences with the medication administration process through an anonymous survey...
October 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/30321851/a-short-version-of-the-nurse-professional-competence-scale-for-measuring-nurses-self-reported-competence
#2
Jan Nilsson, Maria Engström, Jan Florin, Ann Gardulf, Marianne Carlsson
BACKGROUND: The Nurse Professional Competence (NPC) Scale with 88-items has been used to measure self-reported competence among nursing students and registered nurses in many national and international nursing research projects. However, a shorter version of the scale with maintained quality has been requested to further enhance its usability. OBJECTIVES: To develop and evaluate the construct validity and internal consistency of a shorter version of the NPC Scale...
September 29, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/30320712/embracing-the-future-for-emergency-nurse-practitioners-and-specialty-practice-implications-for-research-clinical-practice-education-and-health-policy
#3
Dian Dowling Evans, Karen Sue Hoyt, Jennifer Wilbeck, Lorna Schumann, Elda Ramirez, Diane Tyler, Donna Agan
The emergency nurse practitioner (ENP) specialty has grown rapidly, responding and adapting to changes within emergency care. Designation and advancement of nurse practitioner (NP) specialties follows a systematic process as defined by the profession. This includes establishment of scope and standards of practice, educational standards, and policy initiatives to ensure quality and safety within the profession. This article describes how the ENP specialty has used evidence to meet health system needs and chart a transformational future...
October 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30320710/beyond-competencies-practice-standards-for-emergency-nurse-practitioners-a-model-for-specialty-care-clinicians-educators-and-employers
#4
Elda Ramirez, Lorna Schumann, Donna Agan, Karen Sue Hoyt, Jennifer Wilbeck, Diane Tyler, Dian Dowling Evans
BACKGROUND/PURPOSE: The growth of advanced practice nursing specialties requires additional expertise for practice that goes beyond entry-level competencies, knowledge, skills, and abilities. A practice standards model for specialty nurse practitioners (PSMSNPs) is introduced that differentiates entry-to-practice population foci competencies from advanced specialty practice standards. OBJECTIVES: (a) Differentiate competencies and practice standards in context to specialty NPs using the emergency specialty as the exemplar, (b) articulate the process to develop the PSMSNP that evolved from an evidence-based practice analysis of NPs working in emergency care, (c) apply the PSMSNP for adaptation to other specialties, and (d) provide implications for the utilization of the PSMSNP by educators, clinicians, and employers...
October 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/30319013/neonatal-nurse-practitioner-ethics-knowledge-and-attitudes
#5
Mobolaji Famuyide, Caroline Compretta, Melanie Ellis
BACKGROUND: Neonatal nurse practitioners have become the frontline staff exposed to a myriad of ethical issues that arise in the day-to-day environment of the neonatal intensive care unit. However, ethics competency at the time of graduation and after years of practice has not been described. Research aim: To examine the ethics knowledge base of neonatal nurse practitioners as this knowledge relates to decision making in the neonatal intensive care unit and to determine whether this knowledge is reflected in attitudes toward ethical dilemmas in the neonatal intensive care unit...
October 14, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/30317782/-advances-in-the-application-of-regional-citrate-anticoagulation-for-continuous-renal-replacement-therapy-in-patients-with-liver-failure
#6
Q Q Ning, Q H Meng, Y K Zhu
Currently, continuous renal replacement therapy (CRRT) is one of the most important means of organ support methods in critical care medicine. Anticoagulation is an essential part of the treatment process due to its prolonged duration. Patients with liver failure often have coagulation dysfunction and heparin anticoagulant can increase the risk of bleeding, but without heparin anticoagulant, coagulation can easily occur. In addition, an increased volumetric load, hemodynamic instability, nursing workload and other problems are major issues...
July 20, 2018: Zhonghua Gan Zang Bing za Zhi, Zhonghua Ganzangbing Zazhi, Chinese Journal of Hepatology
https://www.readbyqxmd.com/read/30316133/student-nurses-perceptions-of-the-importance-of-their-practice-assessment-record-par-a-qualitative-study
#7
Richard Williams
BACKGROUND: Pre-registration nursing programmes aim to prepare students to function effectively within an environment that provides front-line health care, with the over-riding concern being patient safety. Exhibiting the ability to assess practice-based situations and make decisions is critical to demonstrating effective clinical, professional and leadership competence. AIM: This small scale qualitative study explores first year student nurses' understanding of the importance of recording achievement of practice competence and identifying the factors which influence them when prioritising completion of their Practice Assessment Record...
October 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/30316054/development-of-a-self-care-questionnaire-for-clinical-assessment-of-self-care-in-patients-with-inflammatory-bowel-disease-a-psychometric-evaluation
#8
Ulrica Lovén Wickman, Pia Yngman-Uhlin, Henrik Hjortswang, Marika Wenemark, Henrik Stjernman, Barbara Riegel, Gunilla Hollman Frisman
BACKGROUND: Patients with inflammatory bowel disease have lifelong needs to learn how to manage their symptoms and life situation. The range of actions that patients take in order to manage daily life and maintain health is referred to as self-care. Assessment of self-care in patients with inflammatory bowel disease could allow targeted support and education by health care professionals. There are no existing measures assessing self-care in patients with inflammatory bowel disease. OBJECTIVES: The aim was to develop and evaluate the self-care questionnaire for assessment of self-care among patients with inflammatory bowel disease...
September 12, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/30314486/parent-experiences-of-diabetes-care-questionnaire-peq-dc-reliability-and-validity-following-a-national-survey-in-norway
#9
Hilde Hestad Iversen, Ylva Helland, Oyvind Bjertnaes, Torild Skrivarhaug
BACKGROUND: Patient experiences are acknowledged as an important aspect of health care quality but no validated instruments have been identified for the measurement of either parent or patient experiences with outpatient paediatric diabetes care. The aim of the current study was to assess the psychometric properties of a new instrument developed to measure parent experiences of paediatric diabetes care at hospital outpatient departments in Norway. METHODS: The development of the questionnaire was based on a literature review of existing questionnaires, qualitative interviews with both parents and children/adolescents, expert-group consultations, pretesting of the questionnaire and a pilot study...
October 12, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/30312326/sensor-based-measurement-of-critical-care-nursing-workload-unobtrusive-measures-of-nursing-activity-complement-traditional-task-and-patient-level-indicators-of-workload-to-predict-perceived-exertion
#10
Michael A Rosen, Aaron S Dietz, Nam Lee, I-Jeng Wang, Jared Markowitz, Rhonda M Wyskiel, Ting Yang, Carey E Priebe, Adam Sapirstein, Ayse P Gurses, Peter J Pronovost
OBJECTIVE: To establish the validity of sensor-based measures of work processes for predicting perceived mental and physical exertion of critical care nurses. MATERIALS AND METHODS: Repeated measures mixed-methods study in a surgical intensive care unit. Wearable and environmental sensors captured work process data. Nurses rated their mental (ME) and physical exertion (PE) for each four-hour block, and recorded patient and staffing-level workload factors. Shift was the grouping variable in multilevel modeling where sensor-based measures were used to predict nursing perceptions of exertion...
2018: PloS One
https://www.readbyqxmd.com/read/30311428/mandatory-medication-content-in-the-curricula-of-six-healthcare-personnel-types-with-patient-contact-in-denmark
#11
Louise C Druedahl, Johanne Mølby Hansen, Ellen Linnea Freese, Anna Birna Almarsdóttir, Janine M Traulsen
Medication use is a complex process involving different types of healthcare personnel. This study investigated and compared mandatory medication content in the curricula of six types of healthcare personnel with patient contact. Using content analysis, three independent raters analysed the mandatory medication content for physicians, pharmacists, pharmaconomists, nurses, healthcare assistants, and support workers in the Capital Region of Denmark. Three dimensions were analysed: communication with patients about medication, medication use or pharmacology, and medication formulation and production...
October 12, 2018: Basic & Clinical Pharmacology & Toxicology
https://www.readbyqxmd.com/read/30309994/is-care-based-on-comprehensive-geriatric-assessment-with-mobile-teams-better-than-usual-care-a-study-protocol-of-a-randomised-controlled-trial-the-germot-study
#12
Anne Wissendorff Ekdahl, Anna Axmon, Magnus Sandberg, Katarina Steen Carlsson
INTRODUCTION: Comprehensive geriatric assessment (CGA) is a multidimensional, interdisciplinary diagnostic process used to determine the medical, psychological and functional capabilities of frail older people. The primary aim of our current study is to confirm whether CGA-based outpatient care is superior than usual care in terms of health-related outcomes, resource use and costs. METHODS AND ANALYSIS: The Geriatric Mobile Team trial is designed as a single-centre randomised, controlled, assessor-blinded (at baseline) trial...
October 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/30309910/measuring-the-teamwork-performance-of-teams-in-crisis-situations-a-systematic-review-of-assessment-tools-and-their-measurement-properties
#13
Sylvain Boet, Nicole Etherington, Sarah Larrigan, Li Yin, Hira Khan, Katrina Sullivan, James J Jung, Teodor P Grantcharov
BACKGROUND: Educational interventions to improve teamwork in crisis situations have proliferated in recent years with substantial variation in teamwork measurement. This systematic review aimed to synthesise available tools and their measurement properties in order to identify the most robust tool for measuring the teamwork performance of teams in crisis situations. METHODS: Searches were conducted in Embase (via OVID), PsycINFO, Cumulative Index to Nursing and Allied Health Literature, Education Resources Information Center, Medline and Medline In-Process (via OVID) (through 12 January 2017)...
October 11, 2018: BMJ Quality & Safety
https://www.readbyqxmd.com/read/30309897/increasing-timely-family-meetings-in-neonatal-intensive-care-a-quality-improvement-project
#14
Animesh Sabnis, Eunice Hagen, Derjung M Tarn, Lonnie Zeltzer
OBJECTIVES: Timely multidisciplinary family meetings (TMFMs) promote shared decision-making. Despite guidelines that recommend meetings for all patients with serious illness, our NICU TMFM rate was 10%. In this study, we aimed to document a meeting within 5 days of hospitalization for 50% of all new NICU patients hospitalized for ≥5 days within 1 year of introducing interventions. METHODS: A multidisciplinary improvement team used the Model for Improvement to achieve the study aim by targeting key drivers of change...
October 11, 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/30307685/an-integrative-review-on-family-caregivers-involvement-in-care-of-home-dwelling-elderly
#15
REVIEW
Irène Ris, Wilfried Schnepp, Romy Mahrer Imhof
Often family members provide care-giving, which allows older adults to remain in their homes. With declining health and increasing frailty, care-giving of elderly people becomes a task of family caregivers (FC) in conjunction with home care nurses. It has been shown in both acute care settings and long-term care facilities that family members prefer to be involved in decision-making and care planning for their next of kin. Therefore, an integrative review was conducted to explore the body of knowledge of FCs' involvement in home-care settings from the FCs' perspective...
October 11, 2018: Health & Social Care in the Community
https://www.readbyqxmd.com/read/30306956/comparative-study-of-medical-reference-and-information-mobile-apps-for-healthcare-professionals-and-students
#16
Muhammad Ehtisham Irfan, Jeewani Anupama Ginige
This paper presents a framework upon which medical applications can be evaluated both in terms of basic functionality, and their target area of users. The study was conducted on 40 mobile applications that were published within Google Play and Apple App store targeted for clinicians, medical practitioners and students. It was important to first classify the mobile apps selected because there are many generic applications, and some focus on special areas within the medical field. The classification process included determining the specialist areas of these applications such as educational and training, nursing, diagnosis and treatment, patient monitoring, testing and laboratories, and social networking...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/30306099/selecting-a-grounded-theory-approach-for-nursing-research
#17
Shaminder Singh, Andrew Estefan
Grounded theory is a commonly used research methodology. There are three primary approaches to grounded theory in nursing research: those espoused by Glaser, Strauss and Corbin, and Charmaz. All three approaches use similar procedures, yet there are important differences among them, which implies that researchers need to make careful choices when using grounded theory. Researchers new to grounded theory need to find the most appropriate approach that fits their research field, topic, and researcher position...
January 2018: Global Qualitative Nursing Research
https://www.readbyqxmd.com/read/30305066/perceptions-and-decision-making-with-regard-to-pregnancy-among-hiv-positive-women-in-rural-maputo-province-mozambique-a-qualitative-study
#18
Carlos Eduardo Cuinhane, Kristien Roelens, Christophe Vanroelen, Samuel Quive, Gily Coene
BACKGROUND: In preventing the transfer of HIV to their children, the Ministry of Health in Mozambique recommends all couples follow medical advice prior to a pregnancy. However, little is known about how such women experience pregnancy, nor the values they adhere to when making childbearing decisions. This qualitative study explores perceptions and decision-making processes regarding pregnancy among HIV positive women in rural Maputo Province. METHODS: In-depth interviews and five focus group discussions with fifty-nine women who had recently become mothers were carried out...
October 11, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/30304617/using-post-discharge-telephone-follow-up-by-nephrology-nurses-to-reduce-30-day-readmissions-and-post-discharge-complications-for-adult-patients-on-hemodialysis
#19
Gordon T Briscoe, Amy Heerschap, Catherine F Kane, Beth D Quatrara
Hospital readmissions are responsible for considerable health care costs. About 35% of patients with end stage renal disease (ESRD) who are hospitalized are readmitted within 30 days of discharge (United States Renal Data System, 2017). Studies point to the considerable percentage of readmissions that are preventable through effective discharge planning and patient follow-up after discharge (Mistiaen & Poot, 2006). Telephone follow up is a high-quality, low-cost method of providing discharge follow up. This project examined the effectiveness of an evidence-based quality improvement process in providing post-discharge telephone follow up to adult patients on hemodialysis by experienced nephrology nurses through standardized unit workflow and leveraging of the electronic medical record (EMR)...
May 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/30304198/the-use-of-iramuteq-software-for-data-analysis-in-qualitative-research
#20
Marli Aparecida Rocha de Souza, Marilene Loewen Wall, Andrea Cristina de Morais Chaves Thuler, Ingrid Margareth Voth Lowen, Aida Maris Peres
OBJECTIVE: To describe the use of IRAMUTEQ software in qualitative data analysis. METHOD: A description for using a software program as a tool to support data processing in qualitative research, carried out in 2015. Data collection was done through interviews using a semi-structured script. RESULTS: Twenty-one (21) companions participated in the study. The five classes resulting from data processing by the software allowed for analysis and interpretation of the nursing performance with the parturient as an active participant in the process of labor and delivery, and in the role of companion in this period...
October 4, 2018: Revista da Escola de Enfermagem da U S P
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