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Nurse Navigator

Serena Phillips, Aubrey V K Villalobos, Graham S N Crawbuck, Mandi L Pratt-Chapman
PURPOSE: Patient navigation has emerged as a promising strategy in reducing disparities among diverse cancer patients. However, little is known about navigators' own perspectives on their roles in providing culturally competent care. The purpose of the present study is to describe these self-identified roles. METHODS: Data were collected from an online survey with a convenience sample of cancer patient navigators. Using NVivo 10, qualitative content analysis was conducted on free text responses to the question: "In your opinion, what is the role of a patient navigator or nurse navigator in the provision of culturally sensitive care to patients?" Frequencies of each navigator-identified role mentioned were tabulated...
August 14, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Hannah Beks, Christopher Healey, Kate G Schlicht
INTRODUCTION: A higher proportion of chronic mental illness is reported for populations residing in inner and outer regional (IOR) areas when compared to major cities in Australia. Conversely, fewer mental health professionals work in IOR areas when compared to major cities indicating poorer access to services for rural populations. Rural emergency departments (EDs) and urgent care centres (UCCs) deliver a broad range of services. Often they are the first point of care for consumers experiencing acute mental health issues...
August 2018: Rural and Remote Health
Donald O Johnson, Christine G Westphal
In 1968, the neurologic or "brain death" standard for declaration was introduced as an accepted standard for declaration of death in hospitals where heartbeat and breathing are being sustained by technology, but functions of the brain, including the brain stem, have ceased. For many people, this accepted ethical, legal, and medical definition of death by neurologic standards can seem to blur the line between life and death as the heart is still beating, the lungs are still moving air albeit by mechanical ventilation, and the body is still warm...
June 2018: Journal of Hospice and Palliative Nursing: JHPN
Istvan Mucsi, Marta Novak, Deanna Toews, Amy Waterman
Purpose: In this article, we describe a province-wide collaborative project in which we adapted the Explore Transplant (ET) education program for use in Ontario, Canada, to develop Explore Transplant Ontario (ETO). Kidney transplantation (KT), especially living donor kidney transplantation (LDKT), is the best treatment for many patients with end-stage kidney disease (ESKD), with the best patient survival and quality of life and also reduced health care costs. Yet KT and LDKT are underutilized both internationally and in Canada...
2018: Canadian Journal of Kidney Health and Disease
Craig Lockwood, Lucylynn Lizarondo, Margaret B Harrison, Sandeep Moola, Yasser S Amer, Susanne Bernhardsson, Hector Pardo-Hernandez
AIM: The aim of this research was to evaluate CAN-Implement.Pro as a structured and systematic process for planning local evidence implementation, to develop a contextual and demographic profile of potential users and assess their initial perceptions and intention to use CAN-Implement.Pro. METHODS: Ethics approval was obtained from the University of Adelaide Human Research Ethics Committee (Approval number: H-2016-157). A descriptive cross-sectional study was undertaken to capture the demographic characteristics of participants, as well as their initial perceptions of, and intention to use, the software for guideline adaptation projects...
July 23, 2018: International Journal of Evidence-based Healthcare
Jane M Liebschutz, Allison V Lange, Orlaith D Heymann, Karen E Lasser, Pamela Corey, Christopher W Shanahan, Hannah S Kopinski, Jawad M Husain, Phoebe A Cushman, Victoria A Parker
OBJECTIVE: One approach to potential misuse of prescription opioids by patients with chronic pain is team-based collaborative primary care, with primary care visits complemented by frequent visits with nurse care managers (NCMs) specializing in addiction care. However, little is known about the communication strategies NCMs employ in these visits. This study aimed to describe strategies NCMs used with patients when discussing aberrancies encountered during opioid monitoring. DESIGN: Observational study of NCM-patient interactions...
May 2018: Journal of Opioid Management
Fernanda Felipe Pautasso, Alice de Medeiros Zelmanowicz, Cecília Dias Flores, Rita Catalina Aquino Caregnato
OBJECTIVE: To identify scientific literature on oncology nurses who provide patient navigation services as nurse navigators. METHODS: Integrative review of literature searches in the databases LILACS, MEDLINE/PubMed, SCOPUS, SciELO, Web of Science and Science Direct based on the descriptors patient; navigation; nurse; professional; cancer; oncology; navigator; and navigators. RESULTS: Seventeen articles were identified and grouped according to the following thematic approach: Care Processes; Patients; and Health Workers...
July 23, 2018: Revista Gaúcha de Enfermagem
Thierry Morineau, John M Flach
Cognitive Work Analysis is an original method that seeks to describe work systems made up of nested sets of constraints, from ecological constraints imposed by the work domain to cognitive constraints. This top-down approach starts with a work domain model in order to analyze and specify contexts of activity. To complement this method, we propose a bottom-up version of Cognitive Work Analysis focusing on contexts of activity and depicting how operators adapt to the ecological constraints. Based on Rasmussen's Dynamic Safety Model, the ecological constraints involved are those bounding the workspace in which operators dynamically navigate with control loops, strategies, work organization, and competencies...
July 18, 2018: Applied Ergonomics
Marianne Ota, Blake Peck, Joanne Porter
In Australia, the emerging use of technology in higher education has brought about significant change in the delivery of undergraduate nursing programs. Universities are now tasked with delivering a blend of online and face-to-face education, while students face new and sometimes challenging online learning environments with little technical support. This article explores the attitudes held by Bachelor of Nursing students toward the blended educational mode at a rural university in Victoria, Australia. A total of 109 participants constituted a convenience sample from a Bachelor of Nursing program across all 3-year levels...
July 6, 2018: Computers, Informatics, Nursing: CIN
Peggi Banahan Winter
A nursing professional practice model is designed to provide a framework for how nursing practices, communicates, leads, collaborates, and provides the highest quality of care as individuals navigate the complex healthcare system. An infrastructure for learning, competency, and performance needs to be integrated into this model as a foundation for accelerating business and clinical initiatives, promoting standardization, and sharing successful practices. This article describes the process that a large healthcare system used to develop a 5-year strategy whose outcomes resulted in professional and foundational competency domains, assumptions about their use, and future work to align and embed these competencies into the current environment...
July 2018: Journal for Nurses in Professional Development
Petra Mäkelä
Older people who live with a combination of conditions experience fluctuations over time, which others may interpret as a need for medical attention. For some nursing home residents, this results in transitions in and out of hospital. Such transfers may be arranged without expectation of improved quality of life, can be associated with significant morbidity and mortality, and may preclude end-of-life preferences. Factors affecting avoidable hospitalization for nursing home residents are not well understood...
July 3, 2018: Journal of Evaluation in Clinical Practice
Mollie Rose Canzona, Deborah Love, Rolland Barrett, Joanne Henley, Sara Bridges, Adam Koontz, Sharon Nelson, Serena Daya
AIMS & OBJECTIVES: To (1) investigate challenges nurses face when providing care for oncology patients transitioning from curative to palliative care and (2) identify educational and support opportunities for nurses. BACKGROUND: Communicating with oncology patients/families transitioning from curative treatments to care focused on comfort can be problematic due to a variety of factors. Research suggests discrepancies exist between physicians' perspectives on patient probable length of life and patients' beliefs...
July 3, 2018: Journal of Clinical Nursing
G Park, G M Johnston, R Urquhart, G Walsh, M McCallum
Background: Cancer-patient navigators who are oncology nurses support and connect patients to resources throughout the cancer care trajectory, including end of life. Although qualitative and cohort studies of navigated patients have been reported, no population-based studies were found. The present population-based study compared demographic, disease, and outcome characteristics for decedents who had been diagnosed with cancer by whether they did or did not see a navigator. Methods: This retrospective study used patient-based administrative data in Nova Scotia (cancer registry, death certificates, navigation visits) to generate descriptive statistics...
June 2018: Current Oncology
Bobbie Johannes, Deanna Graaf, Barbara Blatt, Daniel George, Jed D Gonzalo
AimTo investigate which populations of patients are considered 'vulnerable' across varying clinical sites, and to identify the barriers encountered by these patient populations limiting optimal health. BACKGROUND: Vulnerable patient populations encounter diverse barriers that limit their ability to successfully navigate the health system, potentially resulting in poor health outcomes. Little current-day work has described types of barriers encountered by vulnerable patient populations across numerous clinical sites and settings, which is necessary to ensure health systems can begin to improve quality and disparities for all patient populations...
June 28, 2018: Primary Health Care Research & Development
Sarah A Birken, Sarah Raskin, Yuqing Zhang, Gema Lane, Alexandra Zizzi, Mandi Pratt-Chapman
Survivorship care plans (SCPs)-documents intended to improve care for cancer survivors who have completed active treatment-are required, yet implementation is poor. We sought to understand SCP implementation in cancer programs in the USA with the objective of identifying opportunities for improvement. We recruited cancer care providers in the USA via several cancer care networks to participate in a survey regarding SCP implementation. We used descriptive statistics to analyze the data. Three hundred ninety-five providers from diverse cancer programs in 47 states and Washington, DC responded to the survey...
June 14, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Ingrid Tjoflåt, Tone Knutsen Brandeggen, Ellen Synnøve Strandberg, Dagrunn Nåden Dyrstad, Sissel Eikeland Husebø
Background: vSim® for Nursing is the first web-based platform linked to the nursing education curriculum. It is an American simulation tool, developed in 2014 through a collaboration between Wolters Kluwer Health, Laerdal Medical and the National League for Nursing. To our knowledge, no studies have evaluated vSim® for Nursing from the nursing students' perspective in Norway. The aim of the study was to evaluate second year Norwegian nursing students' experiences with the virtual clinical simulation scenario in surgical nursing from vSim® for Nursing...
2018: Advances in Simulation
Julie T Sanford
In any job setting, the sudden or expected death of a coworker can cause profound grief and loss. Moreover, in academic settings there are unique challenges that warrant further discussion. Given the aging of the nursing professoriate, the shortage of nursing faculty, and the medical advances prolonging our life expectancy, we can forecast a greater frequency of loss of faculty while employed. The impact of a faculty member death on colleagues, staff, and students can cause great distress and therefore requires careful attention and consideration for all...
May 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
Lani M Alison
No abstract text is available yet for this article.
April 2018: American Journal of Managed Care
Andrew J Luzzi, Andrew N Fleischman, Christopher N Matthews, Meredith P Crizer, John Wilsman, Javad Parvizi
BACKGROUND: Recently, a bundled payment model was implemented in the United States to improve quality and reduce costs. While hospitals may be rewarded for lowering costs, they may be financially exposed by high cost complications, the so-called bundle busters. We aimed at determining the incidence, etiology, and costs of postacute complications after total joint arthroplasty (TJA). METHODS: A retrospective study was conducted using a prospectively collected database of patients who underwent primary total hip arthroplasty (THA) or total knee arthroplasty (TKA) from January 2015 to April 2016...
June 11, 2018: Journal of Arthroplasty
Hilde Laholt, Kim McLeod, Marilys Guillemin, Ellinor Beddari, Geir Lorem
BACKGROUND: Visual technologies are central to youth culture and are often the preferred communication means of adolescents. Although these tools can be beneficial in fostering relations, adolescents' use of visual technologies and social media also raises ethical concerns. AIMS: We explored how school public health nurses identify and resolve the ethical challenges involved in the use of visual technologies in health dialogues with adolescents. RESEARCH DESIGN: This is a qualitative study utilizing data from focus group discussions...
January 1, 2018: Nursing Ethics
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