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Nurse Navigator

Jancelice Dos Santos Santana, Maria Miriam Lima da Nóbrega, Jacira Dos Santos Oliveira, Maria Júlia Guimarães Oliveira Soares
OBJECTIVE: To report the development of a nursing consultation software for hypertensive users of the Family Health Strategy. METHOD: Applied methodological research based on Roger Pressman's Software Engineering, developed in three cycles: planning, composed of the definition of the database prototyping and modelling; development of the navigation interface; and development of functional expressions and programming. RESULT: The software consists of administrative and nursing consultation screens...
September 2018: Revista Brasileira de Enfermagem
Stacy M Fischer, Sung-Joon Min, Adam Atherly, Danielle M Kline, Wendolyn S Gozansky, John Himberger, Joseph Lopez, Kathleen Lester, Regina M Fink
Latinos are more likely to experience uncontrolled pain, and institutional death, and are less likely to engage in advance care planning. Efforts to increase access to palliative care must maximize primary palliative care and community based models to meet the ever-growing need in a culturally sensitive and congruent manner. Patient navigator interventions are community-based, culturally tailored models of care that have been successfully implemented to improve disease prevention, early diagnosis, and treatment...
October 10, 2018: Research in Nursing & Health
Claire Minton, Lesley Batten, Annette Huntington
BACKGROUND: It is widely acknowledged a critical illness is a stressful life event for not only the patient but also their family members; when an illness becomes prolonged, the impact is profound. It is suggested that as medical technologies advance, the number of days patients stay in an intensive care unit will increase. Therefore, it is important nurses understand how families experience a prolonged critical illness of their family member in an intensive care unit. OBJECTIVE: To explore the trajectory of a prolonged critical illness in the intensive care unit from the experiences of family...
October 5, 2018: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Kysha Cerisier
INTRODUCTION: The use of the emergency department by uninsured patients with chronic health problems may adversely affect those patients' health outcomes. Successful interventions have involved the use of patient navigators to connect the uninsured adult population with medical coverage and a medical home. The aim of this project was to use principles of patient navigation in a nurse-led process improvement intervention to connect uninsured patients to medical homes. METHOD: ED nurses were trained to refer uninsured patients with chronic health problems to care coordinators when they were discharged from emergency departments...
October 4, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Claire Schwegel, Nicole Rothman, Kimberly Muller, Stephanie Loria, Katherine Raunig, Jamie Rumsey, Johanna Fifi, Thomas Oxley, J Mocco
Growth in the neurointerventional field, as a result of the emergence of thrombectomy as the gold standard treatment for large vessel occlusions, has created complex challenges. In an effort to meet evolving demands and fill workflow gaps, nurse practitioners have taken on highly specialized roles. Neurointerventional care has rapidly evolved similarly to interventional cardiac care, in that nurse practitioners are successfully being incorporated as procedural assistants in catheterization laboratories. Similar utilization of nurse practitioners in interventional neuroradiology holds the capacity to decrease physician workload, mitigate stresses contributing to burn-out, and reallocate more physician time to procedures...
September 30, 2018: Interventional Neuroradiology
Shilpi Chabra, Taylor Sawyer
The transformation of a general pediatrician into a neonatologist requires rigorous training in a diverse range of core skills during neonatal-perinatal medicine fellowship. This training includes the care of high-risk newborn infants, as well as interdisciplinary communication with care team members and families in the neonatal intensive care unit. In addition, neonatal-perinatal medicine fellows need to acquire competency in key procedurals skills, including neonatal resuscitation techniques, to be able to safely practice neonatology without direct supervision on graduation...
January 2018: Journal of Medical Education and Curricular Development
Robin Muñoz, Leyla Farshidpour, Uzair B Chaudhary, Amir H Fathi
BACKGROUND: Patients with cancer often experience prominent deficiencies in cancer care in the immediate period following initial cancer diagnosis. OBJECTIVES: This article aims to determine whether the inclusion of a gastrointestinal (GI) oncology nurse navigator (ONN) on the multidisciplinary cancer care team is associated with improved quality of care for patients. METHODS: This retrospective study compared randomly selected patients with GI cancer with and without an ONN...
October 1, 2018: Clinical Journal of Oncology Nursing
Petr Zajicek, Christian Wolter
Recreational and commercial navigation is omnipresent, rendering European large rivers highways for cargo vessels, passenger ships and sport boats. Any types of motorized vessels create waves and drawdown eroding shallow shore areas. Consequently, inland navigation alters the living environment of fish with specific habitat requirements on nursing, hatching and spawning along shorelines. We assess the influence of recreational (sport boats) and commercial navigation (passenger ships, cargo vessels) on fish assemblages...
January 1, 2019: Science of the Total Environment
Michel A Taylor, Selene G Parekh
Outpatient total ankle arthroplasty is a potential significant source of cost savings. The ability to institute an effective outpatient total ankle program depends on appropriate patient selection, surgeon experience with total ankle replacement, addressing preoperative patient expectations, the involvement of an experienced multidisciplinary care team including experienced anesthesiologists, nurse navigators, recovery room nursing staff and physical therapists, and most importantly, such a program requires complete institutional logistical support...
October 2018: Orthopedic Clinics of North America
Vy Nguyen, Danielle Altares Sarik, Michael C Dejos, Elora Hilmas
OBJECTIVES: Numerous challenges face clinically complex patients as they transition from hospital to home. The purpose of this project was to add pharmacy discharge services to an existing nurse-led discharge service (patient navigation program) to facilitate the transition of care process for clinically complex pediatric patients. METHODS: For select patients referred to the service, a pharmacist resolved medication discrepancies, provided discharge counseling, and conducted follow-up telephone encounters on days 1, 7, and 14 post discharge...
July 2018: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
Karin Nelson, Tiffanie Fennell, Kristen E Gray, Jennifer L Williams, Marie C Lutton, Julie Silverman, Kamala Jain, Matthew R Augustine, Walter Kopf, Leslie Taylor, George Sayre, Christopher Vanderwarker
BACKGROUND: Peer support can improve health for patients with chronic conditions; however, evidence for disease prevention is less clear and peer recruitment strategies are not well described. This paper describes a study protocol to evaluate a peer support intervention to improve hypertension control and reduce cardiovascular disease (CVD) risk. METHODS & RESEARCH DESIGN: Target enrollment for this two-site study is n = 400. Eligibility criteria include Veterans enrolled in Veterans Health Administration (VHA) primary care with poorly controlled hypertension and one other cardiovascular disease risk (smoking, overweight/obesity, or hyperlipidemia) who live in census tracts with high rates of hypertension...
October 2018: Contemporary Clinical Trials
Manish Ranpara
No abstract text is available yet for this article.
September 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Liane Ginsburg, Adam Easterbrook, Whitney Berta, Peter Norton, Malcolm Doupe, Jennifer Knopp-Sihota, Ruth A Anderson, Adrian Wagg
BACKGROUND: Despite emerging frameworks for quality improvement (QI) implementation, little is known about how the implementation process works, particularly in nursing home settings. A study was conducted to describe "how"' a complex frontline worker-led QI program was implemented in nursing homes. METHODS: Six focus groups were conducted in February 2017 with participants of a year-long, multicomponent, unit-level QI intervention in seven nursing homes in the Canadian province of Manitoba...
September 2018: Joint Commission Journal on Quality and Patient Safety
Laura E Starbird, Hae-Ra Han, Mark S Sulkowski, Chakra Budhathoki, Nancy R Reynolds, Jason E Farley
Co-infection with HIV and hepatitis C virus (HCV) results in a threefold increase in relative risk of progression to end stage liver disease and cirrhosis compared to HCV alone. Although curative treatments exist, less than one quarter of people with HCV are linked to care, and even fewer have received treatment. The Care2Cure study is a single-blinded, randomized controlled trial to improve the HCV care continuum among people co-infected with HIV. This ongoing study was designed to test whether a nurse case management intervention can (i) improve linkage to HCV care and (ii) decrease time to HCV treatment initiation among 70 adults co-infected with HIV who are not engaged in HCV care...
August 28, 2018: Research in Nursing & Health
Adele Baldwin, Clare Harvey, Eileen Willis, Bridget Ferguson, Tanya Capper
BACKGROUND: High-risk pregnancy, or one with escalating complexities, requires the inclusion of numerous health professions in care provision. A strategy of midwife navigators to facilitate the smooth transition across models of care and service providers has now been in place in Queensland, Australia, for over twelve months, and a formal review process will soon begin. Navigators are experienced nurses or midwives who have the expertise and authority to support childbearing women with chronic or complex problems through the health system so that it is co-ordinated and they can transition to self-care...
August 22, 2018: Women and Birth: Journal of the Australian College of Midwives
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
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