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Nurse Professional Development

Martha Y Kubik, Jayne A Fulkerson, John R Sirard, Ann Garwick, Judy Temple, Olga Gurvich, Jiwoo Lee, Bonnie Dudovitz
Rising levels of severe obesity among children, worsening disparities by race and ethnicity and reluctance of primary care clinicians' to provide obesity management to children are compelling reasons to consider alternatives to primary care management of childhood obesity. The Students Nurses and Parents Seeking Healthy Options Together (SNAPSHOT) trial will test the efficacy of an elementary school-based, school nurse-led, healthy weight management program to reduce excess weight gain among children, 8- to 12-years old with a body mass index (BMI) ≥75th percentile, by increasing healthy dietary practices and physical activity and decreasing sedentary behaviors...
October 17, 2018: Contemporary Clinical Trials
Wen-Qing Li, Eunyoung Cho, Shaowei Wu, Suyun Li, Natalie H Matthews, Abrar A Qureshi
Background Several host characteristics, including pigmentary traits (hair color, sunburn susceptibility and tanning ability), number of common nevi (moles), and family history of melanoma, have been associated with risk of melanoma. Methods We prospectively examined the associations between host characteristics and risk of incident melanoma by Breslow thickness (≤1mm, thin melanoma; or >1mm, "thicker melanoma") based on the Nurses' Health Study (NHS, n=86,380 women), NHS-II (n=104,100 women), and Health Professionals Follow-up Study (HPFS, n=46,934 men)...
October 19, 2018: Cancer Epidemiology, Biomarkers & Prevention
Mark Taubert, James Norris, Sioned Edwards, Veronica Snow, Ilora Gillian Finlay
BACKGROUND: A national Do Not Attempt Cardiopulmonary Resuscitation policy was rolled out for the National Health Service in Wales in 2015. A national steering group led on producing information videos and a website for patients, carers and healthcare professionals, forming part of a quality improvement program. Videos were planned, scripted and produced with healthcare professionals and patient/carer representatives, and were completed with both English and Welsh language versions. The TalkCPR videos encourage and promote open discussion about Cardiopulmonary Resuscitation (CPR) and DNACPR in palliative care situations...
October 19, 2018: BMC Palliative Care
Oliver Hämmig
BACKGROUND: Burnout and the intention to leave the profession are frequently studied outcomes in healthcare settings that have not been investigated together and across different health professions before. This study aimed to examine work-related explanatory factors or predictors of burnout and the intention to leave the profession among health professionals in general, and nurses and physicians in particular. METHODS: Cross-sectional survey data of 1840 employees of six public hospitals and rehabilitation clinics recorded in 2015/16 in German-speaking Switzerland were used...
October 19, 2018: BMC Health Services Research
Louise H Strickland, Laura Kelly, Thomas W Hamilton, David W Murray, Hemant G Pandit, Crispin Jenkinson
PURPOSE: The aim of this study was to explore health care professionals' perceptions and perspectives of surgery and early recovery for patients undergoing lower limb arthroplasty. DESIGN: Thematic analysis with semi-structured qualitative interviews. METHODS: Following ethical approval, interviews were performed with recovery room nurses (n=3), ward nurses (n=2), surgeons (n=5), anesthesiologists (n=5), physiotherapists (n=5), and occupational therapists (n=2)...
October 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
M Ortiz, J Masjuan, M I Egocheaga, A Martín, C Suarez, I Roldán, R Salgado, J J Mira, P Llamas
OBJECTIVE: To describe the milestones in the anticoagulant care process of atrial fibrillation patients (AF), as well as quality and safety indicators, in order to establish an integrated care process of these patients in the Community of Madrid. METHODS: A consensus conference technique was applied, with the participation of 21 professionals (seven in the Steering Group and 14 known experts), from the specialties of Emergency, Internal Medicine, Cardiology, Neurology, Haematology, Family Medicine, Nursing, and Quality...
May 2018: Journal of healthcare quality research
Oscar Andrés Gamboa, Sergio Iván Agudelo, María Jose Maldonado, Diana C Leguizamón, Sandra M Cala
OBJECTIVE: To evaluate two debriefing strategies for the development of neonatal resuscitation skills in health professionals responsible for the critical newborn care in a high-complexity university Hospital. RESULTS: A simple blind randomized clinical trial was conducted. Twenty-four professionals (pediatricians, nurses, and respiratory therapists) were randomly assigned for two interventions; one group received oral debriefing and the other oral debriefing assisted by video...
October 17, 2018: BMC Research Notes
Elizabeth Moulton, Rosemary Wilson, Pilar Camargo Plazas, Kathryn Halverson
As nursing continues to develop as a professional discipline, it is important for nurses to have a central question to guide their research. Since the 1800s, nursing practice and research have covered a wide scope in cooperation with other disciplines. This wide area of nursing practice and research has led to the proposal that the central question be: How can the well-being of a person, family, community, or population be improved? The proposed question must remain flexible and open to revision because nurses will continue to adapt to the changing needs of their patients and populations and to their complex and evolving work environments...
October 17, 2018: Nursing Philosophy: An International Journal for Healthcare Professionals
Rajneesh Kaur, Bettina Meiser, Elvira Zilliacus, W K Tim Wong, Lisa Woodland, Kaaren Watts, Sarah Tomkins, David Kissane, Afaf Girgis, Phyllis Butow, Sandra Hale, Astrid Perry, Sanchia K Aranda, Tim Shaw, Helen Tebble, Christie Norris, David Goldstein
OBJECTIVE: This study aimed to develop and assess the feasibility of an online communication skills training intervention to increase cultural competence amongst oncology nurses working with individuals from minority backgrounds. METHODS: The intervention provided examples of communication strategies using vignette-based, professionally produced videos, developed through an iterative process with input from a large multidisciplinary team. Fifty-three oncology nurses completed all three questionnaires at baseline, within 2 weeks and then 3 months after accessing the programme...
October 16, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Hanneke J A Smaling, Karlijn J Joling, Peter M van de Ven, Judith E Bosmans, Joyce Simard, Ladislav Volicer, Wilco P Achterberg, Anneke L Francke, Jenny T van der Steen
INTRODUCTION: Quality of life of people with advanced dementia living in nursing homes is often suboptimal. Family caregivers can feel frustrated with limited contact with their relatives, which results in visits that are perceived as stressful and not very meaningful. Few psychosocial interventions are specifically developed for people with advanced dementia, and actively involve family caregivers or volunteers. Also, interventions usually stop when it becomes difficult for people to participate...
October 15, 2018: BMJ Open
Claire Sunyach, Barbara Antonelli, Sophie Tardieu, Michele Marcot, Jeanne Perrin, Florence Bretelle
The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations...
October 15, 2018: International Journal of Environmental Research and Public Health
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
Jan M Nick, Amy H Wonder, Alfa R Suero, Darrell Spurlock
BACKGROUND: Government and professional organizations have issued a call for evidence-based practice (EBP), prompting the development of competencies and expectations for knowledge, skills, and attitudes. However, EBP is still inconsistently implemented. To advance the science of nursing globally, educators and leaders need to use consistent, rigorous evaluation methods to assess the EBP knowledge of students and clinicians. AIMS: This study sought to translate the Evidence-based Practice Knowledge Assessment in Nursing (EKAN) instrument into Spanish, evaluate the psychometric performance of the newly translated instrument, and establish a baseline measure of EBP knowledge of baccalaureate nursing (BSN) students for future program improvement...
October 15, 2018: Worldviews on Evidence-based Nursing
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
Diane O Tyler, Karen Sue Hoyt, Dian Dowling Evans, Lorna Schumann, Elda Ramirez, Jennifer Wilbeck, Donna Agan
BACKGROUND AND PURPOSE: A practice analysis of nurse practitioners (NPs) working in emergency care was undertaken to define their job tasks and develop a specialty certification by examination. METHOD: In phase I, clinical experts created a qualitative description of domains of practice, tasks performed, knowledge required, and procedures performed by NPs in emergency care. Phase II involved validating the qualitative description through a national survey (N = 474) of emergency nurse practitioners (ENPs)...
October 2018: Journal of the American Association of Nurse Practitioners
Erin M Wright, Maude Theo Matthai, Chakra Budhathoki
INTRODUCTION: Professionally-related stress among midwives has been demonstrated in a global context to have deleterious effects on their professional, physical, and psychological health. Despite global interest in the subject, there has been no study about professional stress in a cohort of US midwives. METHODS: A convergent parallel mixed-methods design was used. The Job-Related Tension Index (JRTI) survey was administered to a self-selected sample of certified nurse-midwives and certified midwives in clinical practice in the United States via email solicitation of the American College of Nurse-Midwives' membership...
October 15, 2018: Journal of Midwifery & Women's Health
Diego José Garcia-Capilla, Alfonso Rubio-Navarro, Maria José Torralba-Madrid, Jane Rutty
INTRODUCTION: Clinical policies control several aspects of clinical practice, including individual treatment and care, resource management and healthcare professionals' etiquette. This article presents Clinical Policy Ethics Assessment Tool, an ethical assessment tool for clinical policies that could be used not only by clinical ethics committees but also by policy committees or other relevant groups. AIM: The aim of this study was to find or create a tool to identify ethical issues and/or confirm ethical validity in nursing practice policies, protocols and guidelines...
October 14, 2018: Nursing Ethics
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
Ellen M Denzen, Jaime M Preussler, Elizabeth A Murphy, K Scott Baker, Linda J Burns, Jackie Foster, Lensa Idossa, Heather K Moore, Tammy J Payton, Darlene Haven, Balkrishna Jahagirdar, Naynesh Kamani, J Douglas Rizzo, Lizette Salazar, Barry A Schatz, Karen L Syrjala, John R Wingard, Navneet S Majhail
PURPOSE: This study aimed to develop a survivorship care plan (SCP) that could be individualized to facilitate long-term follow-up care of hematopoietic cell transplantation (HCT) survivors. METHODS: A sample SCP was developed that included two documents- a treatment summary and preventive care recommendations that combined data on treatment exposures routinely submitted by HCT centers to the Center for International Blood and Marrow Transplant Research (CIBMTR) with long-term follow-up guidelines...
October 10, 2018: Biology of Blood and Marrow Transplantation
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
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