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Nurse Navigator

Marianne H Hutti, Rana Limbo
Providing nursing care to perinatally bereaved women and their families is difficult, emotionally demanding, and complicated. Here we demonstrate how, through understanding the theoretical underpinnings of Guided Participation and perinatal grief intensity, nurses can significantly expand their competence and confidence in their ability to provide highly individualized, supportive, relationship-based perinatal bereavement care. The way that parents respond to a perinatal loss may range from little response to highly intense, long-lasting grief...
January 2019: MCN. the American Journal of Maternal Child Nursing
Melissa Bouws, Janet Weeda
Novice nurses and those new to academic leadership roles may question their career choice when fulfillment and joy are elusive. Resolving these questions often means revisiting the vocation and calling that led nurses to the profession. The authors describe how support from others and gratitude, as well as spiritual awareness, contribute to job satisfaction; a case study illustrates the journey from novice to career-satisfied professional nurse.
January 2019: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
Rebecca Graystone
Today's multigenerational nursing workforce presents unique leadership challenges. With an unprecedented 5 generations in the workplace, each with its own attitudes, beliefs, habits, and expectations, chief nursing officers and others must find ways to navigate disparities and leverage strengths. Leaders who effectively manage their age-diverse teams enjoy numerous advantages and give their organizations a competitive edge. This month's "Magnet Perspectives" column examines how nursing leaders can create a work environment that makes the most of multigenerational differences...
January 2019: Journal of Nursing Administration
Danielle M Varda, Ayelet Talmi
Current approaches to addressing the problems families face when navigating complex service systems on behalf of their children rely largely on state or nationally driven efforts around the development of systems of care (SOCs). However, operationalizing meaningful family involvement within SOCs remains a challenge, with little attention paid to the role of personal social support networks (PSSNs). Specifically, risk factors related to the variations in the social connectedness of family social support networks are difficult to identify, assess, and track over time...
November 23, 2018: EGEMS
Jessica Miller
In the early 2000s, several states legalized marijuana for medicinal uses. Since then, more and more states have either decriminalized or legalized marijuana use for medical or recreational purposes. Federal law has remained unchanged. The state-level decriminalization of marijuana and the concomitant de-stigmatizing and mainstreaming is likely to lead to greater use among the general population, including among nursing mothers. Marijuana is already one of the most widely used illicit substances among lactating women...
December 3, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
Christine M Rachwal, Thorsten Langer, Bethany P Trainor, Mary Anne Bell, David M Browning, Elaine C Meyer
BACKGROUND: Cultivating a healthy work environment and upholding patient safety are important priorities in health care. Challenges in workplace communication are common and affect staff well-being and patient outcomes. Previous interventions have focused on organizational issues and work-life balance. OBJECTIVE: To assess the feasibility of monthly interdisciplinary educational rounds that support clinicians' ability to navigate workplace clinical and communication challenges while promoting interprofessional teamwork and self-care...
December 2018: Critical Care Nurse
Jung Jae Lee, Maggie N Carson, Charlotte L Clarke, Sook Ching Yang, Su Jin Nam
BACKGROUND: The learning of nursing students can be facilitated through direct and/or indirect experiences of using clinical information and communication technology during clinical placements. However, nursing students experience difficulties in using technology for learning. Despite the difficulties, nursing students' learning dynamics with technology in real clinical contexts is poorly understood. OBJECTIVES: To develop a theoretical model by identifying nursing students' learning dynamics with clinical information and communication technology and the factors influencing the dynamics...
November 15, 2018: Nurse Education Today
Karen Zander
PURPOSE: Population health is finally catching up with itself. Before it was known as disease management, it began at New England Medical Center in Boston, MA (now Tufts Medical Center), more than 30 years ago. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: Take-away ideas: (1) population health management is about segmenting and targeting specific patient populations for interventions that are evidence based; (2) there are currently many examples of population health management; (3) population health management will not work without social workers and nurse navigators/care coordinators working side by side...
January 2019: Professional Case Management
Laura F Lewis, Lauren Jarvis
BACKGROUND: With the US facing an opioid epidemic, undergraduate nursing students are increasingly encountering patients with opioid use disorder in the clinical setting. Yet, nursing curriculums have not adapted to meet this need. Previous research indicates students are exposed to negative messages that might influence their views about patients with opioid use disorder. OBJECTIVES: The purpose of this study was to examine nursing students' experiences encountering patients with opioid use disorder in the clinical setting, their attitudes about their encounters, and their perceptions of their educational preparedness to care for this population...
November 9, 2018: Nurse Education Today
Elif Temucin, Nursen O Nahcivan
Although screening programs are known and recommended for the early detection of colorectal cancer (CRC), the screening rates for the fecal occult blood test (FOBT) and colonoscopy are very low among adult individuals. Navigation programs, also known as individualized counseling, have recently begun to be used for increasing screening rates. The purpose of this study was to compare the efficacy of the Nurse Navigation Program versus usual care on CRC screening participation and movement in stage of adoption for CRC screening and to examine perceived benefits of and barriers to CRC screening...
November 23, 2018: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Amy Glasofer, Linda Laskowski-Jones
Nurses everywhere may someday encounter the victims of a mass shooting, whether on the job or in their civilian lives. This article provides US mass shooting statistics, best practice recommendations for nurses, and lessons learned from the experiences of hospitals that have navigated this type of catastrophe.
December 2018: Nursing
Michelle L Jackson
BACKGROUND: The concept of transitional care and the methods and processes to efficiently and effectively transition patients between a variety of care settings remains a continuous healthcare goal. Despite the numerous transitional care models that have been developed and implemented in a myriad of healthcare settings, increasing healthcare costs and substandard patient outcomes persist. OBJECTIVES: This article will examine the topic of older adults with cancer when transitioned to a skilled nursing setting and the challenges they may face along the care continuum...
December 1, 2018: Clinical Journal of Oncology Nursing
Jessica Peckham, Susan Mott-Coles
BACKGROUND: Lung cancer traditionally has a high morbidity and mortality rate because of late diagnosis. Use of a tumor board has been noted as one way to improve patient care and quality of life. OBJECTIVES: This article aimed to determine the contributions of an oncology nurse navigator (ONN) related to physician adherence to guidelines and streamlined patient care in an interprofessional lung cancer tumor board. METHODS: Retrospective chart review was performed for 18 months prior to and following implementation of the lung cancer tumor board...
December 1, 2018: Clinical Journal of Oncology Nursing
Yasuko Igai
AIM: To evaluate whether non-pharmacological nursing interventions improve the quality of life, including both physical and psychosocial states, for patients with idiopathic pulmonary fibrosis, compared to patients receiving the usual care visit or not receiving routine nursing. METHODS: A comprehensive search was conducted of the following electronic databases in English and Japanese: PubMed, MEDLINE, EMBASE, CINAHL, The Cochrane Central Register Controlled Trials (CENTRAL), NPO Japan Medical Abstracts Society's Ichushi - Web database, National Institute of Informatics' Scholarly and Academic Information Navigator (CiNii) database, Grants-in-Aid for Scientific Research (KAKEN) database, and Database of Health Labor Sciences Research Grants...
November 14, 2018: Japan Journal of Nursing Science: JJNS
Candace Sandal
Evidence has consistently revealed international travelers are increasing in numbers every year as more folks travel for business, pleasure, humanitarian reasons, and medical tourism. Clinicians who consistently counsel travelers are well acquainted with the last-minute traveler who would benefit from a travel health assessment, vaccine administration, and health and safety information to manage travel-related issues while en route and upon arrival. Instruction in travel emergencies and packing tips, with advice to be able to address common travel issues associated health matters, are important strategies for the traveler to understand and better navigate his or her journey...
November 15, 2018: Workplace Health & Safety
David Griffith, Jeremy Snyder, Shanna Dell, Kisten Nolan, Jeanne Keruly, Allison Agwu
BACKGROUND: Young adults with HIV (YAHIV) are less likely to be retained in care or achieve viral suppression when seen in adult clinics. We assessed outcomes of a youth focused care model versus standard of care within a large adult HIV clinic. SETTING: The Accessing Care Early (ACE) program for YAHIV is embedded within an adult clinic. Eligibility for ACE includes age 18-30 years with ≥1 criteria: transfer from pediatric care, mental health diagnosis, substance use, or identified adherence barriers...
October 29, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
J Hureaux, M Retailleau, A Georgeault, T Urban
The Plans cancer 1 and 2 created new nursing posts to improve the way that news about cancer was given to patients and to coordinate their care, helping them to navigate the system. We describe the way a nurse, assuming the role of assisting the doctor when a diagnosis of cancer is revealed and coordinating the care of patients in a teaching hospital, uses her time. One thousand and forty-one patients were supported by the nurse during 6515 procedures over 4.27 years. The median (interquartile range) number of interventions per patient was 3 (7)...
November 5, 2018: Revue des Maladies Respiratoires
Marcos Antonio Martínez García, Martha Socorrro Fernández Rosales, Eduardo López Domínguez, Yesenia Hernández Velázquez, Saúl Domínguez Isidro
There are two million people with chronic kidney disease (CKD) worldwide. In Mexico, it is estimated that by 2025, there will be 212 thousand CKD cases. Among the renal replacement treatments, peritoneal dialysis (PD) exists either in the continuous ambulatory (CAPD) or automated (APD) mode, which requires continuous monitoring and strict control. Thus, several software systems have been proposed to perform reliable remote monitoring of patients using PD but also to achieve the goal with effectiveness, efficiency and satisfaction; i...
2018: PloS One
Amber Young-Brice, Kristina Thomas Dreifuerst
BACKGROUND: Meeting projected needs for ethnically diverse nurses depends on a strong pipeline of diverse students within nursing programs. Colleges assume students readily navigate the university; however, this may not be the reality especially among ethnic minority students. PURPOSE: The purpose was to explore the concept of mindfulness among ethnic minority nursing students. Exploring mindfulness, and a lack thereof, may provide strategies for overcoming challenges ethnic minority students experience in prelicensure nursing programs...
November 5, 2018: Nurse Educator
Elizabeth Sloand, Adrienne Nicole Bourguet, Wynnona Engle-Pratt, Joann Bodurtha
BACKGROUND: Research in genetics and genomics has led to the development of precision medicine, with health care increasingly individually based on one's genetic makeup. Implementation of genetics and genomics in primary care has been challenging given the rapid development of new advances. Clinicians report difficulties incorporating genetics and genomics in practice, citing insufficient knowledge, training, confidence, and resources for genetic diagnoses, testing, and result reporting...
November 1, 2018: Journal of Nursing Education
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