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Tarja Välimäki, Pirjo Partanen, Arja Häggman-Laitila
BACKGROUND: The most common barriers to evidence-based nursing (EBN) are related to nurse leadership and to organizational characteristics. Scientific evidence is needed regarding interventions that support nurse leadership. AIMS: The aim was to gather, assess, and synthesize the current empirical evidence regarding interventions for enhancing nursing leadership in EBN implementation. METHODS: We conducted an integrative review of interventions that enhance the roles of nurse leaders in EBN implementation using reporting guidance according to the PRISMA statement...
October 15, 2018: Worldviews on Evidence-based Nursing
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
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
Karen Sue Hoyt, Dian Dowling Evans, Jennifer Wilbeck, Elda Ramirez, Donna Agan, Diane Tyler, Lorna Schumann
The role of the Emergency Nurse Practitioner (ENP) has evolved as a specialty and is appreciated within the context of the 2008 Consensus Model document (APRN Consensus Work Group & National Council of State Boards of Nursing APRN Advisory Committee, 2008). The first in a series of five articles, this article describes the appraisal of the ENP role as well as the specialty and the distinctive role of the ENP. The second article, Emergency Nurse Practitioner Practice Analysis: Report and Implications of the Findings, presents research to support the scientific basis of emergency specialty practice and content validity for a national certification program...
October 2018: Journal of the American Association of Nurse Practitioners
Arzu Şentürk, Pınar Tekinsoy Kartın
Sleep and anxiety problems occur in hemodialysis (HD) patients due to physical symptoms, lifestyle changes, and psychosocial changes. To remove these sleep and anxiety problems, lavender oil inhalation is one of the nonpharmacological treatment options with less adverse effects than pharmacological methods. The purpose of this study was to determine the effect of lavender oil application via inhalation pathway on HD patients' anxiety level and sleep quality. The study was conducted with 34 HD patients who have been on HD treatment at 2 dialysis centers...
November 2018: Holistic Nursing Practice
Margaret Louise Phillips, Vijo Kuruvilla, Michael Bailey
BACKGROUND: Pain is a common stressor for ICU patients, necessitating routine assessment. For patients who are unable to communicate, self-report tools are unsuitable, and the use of an observational tool is required to assess pain appropriately. The Critical Care Pain Observation Tool (CPOT) is the most reliable tool currently available to assess pain in these patients. We investigated whether the implementation of the CPOT in one Australian ICU could increase frequency of appropriate pain assessments, and if this would affect the administration of analgesia and sedation...
October 9, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Claudia B Maier, Hannah Budde, James Buchan
Chronic conditions and health inequalities are increasing worldwide. Against this backdrop, several countries, including Israel, have expanded the roles of nurses as one measure to strengthen the primary care workforce. In Israel, community nurses work in expanded roles with increased responsibilities for patients with chronic conditions. They also work increasingly in the field of health promotion and disease prevention. Common barriers to role change in Israel are mirrored by other countries. Barriers include legal and financial restrictions, resistance by professional associations, inflexible labor markets and lack of resources...
October 12, 2018: Israel Journal of Health Policy Research
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
Lauren A Eberly, Emmanuel Rusingiza, Paul H Park, Gedeon Ngoga, Symaque Dusabeyezu, Francis Mutabazi, Emmanuel Harerimana, Joseph Mucumbitsi, Philippe F Nyembo, Ryan Borg, Cyprien Gahamanyi, Cadet Mutumbira, Evariste Ntaganda, Christian Rusangwa, Gene F Kwan, Gene Bukhman
BACKGROUND: Heart failure is a significant cause of morbidity and mortality in sub-Saharan Africa. Our understanding of the heart failure burden in this region has been limited mainly to registries from urban referral centers. Starting in 2006, a nurse-driven strategy was initiated to provide echocardiography and decentralized heart failure care within noncommunicable disease (NCD) clinics in rural district hospitals in Rwanda. METHODS: We conducted a retrospective review of patients with cardiologist-confirmed heart failure treated at 3 district hospital NCD clinics in Rwanda from 2006 to 2017 to determine patient clinical characteristics and disease distribution RESULTS: Over 10 years, 719 patients with confirmed heart failure were identified...
October 9, 2018: Journal of Cardiac Failure
Taddese Alemu Zerfu, Henok Taddese, Tariku Nigatu, Girma Tenkolu, Dina Neelofur Khan, Sibhatu Biadgilign, Amare Deribew
BACKGROUND: Low coverage of Skilled Birth Attendance (SBA) is one of the major drivers of maternal mortality in many low- and middle-income countries (LMICs) including Ethiopia. We conducted a cluster-randomized controlled community trial to assess the effect of deploying trained community based nurses to rural communities on the uptake levels of SBA in Ethiopia. METHODS: A three-arm, parallel groups, cluster-randomized community trial was conducted to assess the effect of deploying trained community based reproductive health nurses (CORN) on the uptake of SBA services...
2018: PloS One
M S Barreto, C Garcia-Vivar, M Mitchell, S S Marcon
AIM: The study explored the views and attitudes of nurses and physicians on family presence during resuscitation in emergency departments in Brazil. BACKGROUND: International emergency associations endorse family presence during resuscitation; however, the extent to which it is practiced remains unclear, particularly in the Brazilian context. Research of emergency staff views and attitudes towards this practice is desirable so that actions can be identified to support families at the bedside...
October 12, 2018: International Nursing Review
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
Anne Deborah Scholz-Hehn, Jana Christina Müller, Ruben Deml, Isabel Methfessel, David Zilles, Florian Hädrich, Gregory Hecht, Daniel Luedecke, Janina Gornisch, Heiko Albrecht, Laura Stumm, Nils Freundlieb
OBJECTIVES: Despite being a highly effective treatment, electroconvulsive therapy (ECT) is still stigmatized even among professionals. The aim of this study was to identify factors associated with a positive attitude toward ECT among health care workers. METHODS: We investigated staff's attitude and their self-assessment of knowledge while introducing ECT in 3 German psychiatric clinics. Furthermore, we compared this data to that of a clinic where ECT has been applied with a long tradition...
October 11, 2018: Journal of ECT
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
Fabiana Rossi Varallo, Aline Cristina Passos, Tales Rubens de Nadai, Patricia de Carvalho Mastroianni
OBJECTIVE: The purpose was to identify the barriers of underreporting, the factors that promote motivation of health professionals to report, and strategies to enhance incidents reporting. METHOD: Group conversations were carried out within a hospital multidisciplinary team. A mediator stimulated reflection among the subjects about the theme. Sixty-five health professionals were enrolled. RESULTS: Complacency and ambition were barriers exceeded...
October 4, 2018: Revista da Escola de Enfermagem da U S P
Marcos Antonio de Oliveira Souza, Nauã Rodrigues de Souza, Jessica Thamires da Silva Melo, Maria Alessandra Campos Absalão Xavier, Gabriela Lopes de Almeida, Isabel Cristina Ramos Vieira Santos
OBJECTIVE: Checking for the existence of assessment instruments for odor in neoplastic wounds. METHOD: Integrative review performed in the databases Lilacs, SCiELO, Ibecs and MedLine, including national and international publications. RESULTS: 15 articles were analyzed, in its majority performed by nurses and being of the revision type. Nine scales were found, of which the majority assesses only the odor intensity. The scale most used to evaluate products and/or bandage covers for neoplastic injuries was the Odor Evaluation Guideline, of qualitative-quantitative nature, that establishes the symptom within four levels; only one of which being validated (Teler scale)...
September 2018: Revista Brasileira de Enfermagem
Abel Mukengeshayi Ntambue, Françoise Kaj Malonga, Michèle Dramaix-Wilmet, Tabitha Mpoyi Ilunga, Angel Nkola Musau, Charles Matungulu Matungulu, Karen D Cowgill, Philippe Donnen
OBJECTIVE: In the Democratic Republic of the Congo, insufficient state financing of the health system produced weak progress toward targets of Millennium Development Goals 4 and 5. In Lubumbashi, almost all women pay out-of-pocket for obstetric and neonatal care. As no standard pricing system has been implemented, there is great variation in payments related to childbirth between health facilities and even within the same facility. This work investigates the determinants of this variation...
2018: PloS One
Eun Young Kim, Ye-Na Lee, Sung Ok Chang
This study explored subjectivity frames of reference of resilience of patients on hemodialysis by using Q methodology. Participants included 35 patients on hemodialysis. Data were obtained from October to December 2016 and were analyzed by the PQ method. Five factors were identified: 1) finding the value of life by focusing on the meaning of a new life through hemodialysis, 2) compromising actively with the situation of hemodialysis, 3) internalizing sadness and emphasizing the meaning of life itself, 4) finding a support system to help overcome hemodialysis, and 5) building the will to live by getting strength from family...
July 2018: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
Kari F Brisolara, Sonia Gasparini, Alison H Davis, Shane Sanne, Sandra Carlin Andrieu, Jerald James, Donald E Mercante, Raquel Baroni De Carvalho, Tina Patel Gunaldo
The purpose of the study was to determine the impact of an interprofessional education (IPE) experience on first year students across all schools of a health sciences center on the topic of pediatric immunizations. The authors conducted a pre-/post-test at Louisiana State University Health Sciences Center-New Orleans with 731 first year students from 25 academic programs encompassing all six schools (Allied Health, Dentistry, Graduate Studies, Medicine, Nursing and Public Health). In the four questions related to the Interprofessional Education Collaborative (IPEC) sub-competencies and the three questions related to professional role regarding immunizations, there was a statistically significant difference in the pre-/post-test survey results (P < 0...
October 10, 2018: Journal of Interprofessional Care
Jack Lazerson, Judith Rosenthal, Carolyn Glaubensklee, Thomas Hunt, Bruce Morgenstern, Jayabala Pamidimukkala, David M Penn, Ken Rosenthal, Mira Sarsekeyeva, Stephanie Wragg
Medical education has evolved over time toward a model which integrates clinical medicine with the basic sciences. More recently, medical education has put an emphasis on outcome-based education. Other areas of health care education have had a similar emphasis which can provide models to inform a new model for medical education. The Roseman University of Health Sciences has developed and implemented a model based on underlying tenets of mastery learning since 1999. The model has been implemented in pharmacy, nursing, and dental education...
January 2018: Journal of Medical Education and Curricular Development
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