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Role of Advanced practice nurse

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https://www.readbyqxmd.com/read/29629909/exploring-nurse-manager-support-of-evidence-based-practice-clinical-nurse-perceptions
#1
Laura Caramanica, LeeAnna Spiva
OBJECTIVE: The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP). BACKGROUND: Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear. METHODS: Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP. Data were collected preintervention, mid-intervention, and postintervention from observations, interviews, journaling, and surveys...
April 7, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29628674/the-intensive-care-unit-perspective-of-becoming-a-level-i-trauma-center-challenges-of-strategy-leadership-and-operations-management
#2
Richard H Savel, Wess Cohen, Dena Borgia, Ronald J Simon
The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a highly functioning surgical ICU and align it for the inevitable changes that happen as trauma go-live occurs; (3) intensivist staffing changes; (4) roles for and training of advanced practice practitioners; (5) graduate medical education issues; (6) optimizing interactions with closely related services; (7) nursing, staffing, and training issues; (8) bed allocation issues; and (9) reconciling the advantages of a "unified adult critical care service" with the realities of the central relationship between trauma and surgical critical care...
January 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29628333/multidisciplinary-difficult-airway-course-an-essential-educational-component-of-a-hospital-wide-difficult-airway-response-program
#3
W Robert Leeper, Elliott R Haut, Vinciya Pandian, Sajan Nakka, Jeffrey Dodd-O, Nasir Bhatti, Elizabeth A Hunt, Mustapha Saheed, Nicholas Dalesio, Adam Schiavi, Christina Miller, Thomas D Kirsch, Lauren Berkow
OBJECTIVE: A hospital-wide difficult airway response team was developed in 2008 at The Johns Hopkins Hospital with three central pillars: operations, safety monitoring, and education. The objective of this study was to assess the outcomes of the educational pillar of the difficult airway response team program, known as the multidisciplinary difficult airway course (MDAC). DESIGN: The comprehensive, full-day MDAC involves trainees and staff from all provider groups who participate in airway management...
April 5, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29622005/changing-hearts-and-minds-examining-student-nurses-experiences-and-perceptions-of-a-general-practice-placement-through-a-community-of-practice-lens
#4
Robin Lewis, Shona Kelly
BACKGROUND: The recent UK Government paper 'Five year forward view' describes the need to move much patient management from secondary to primary care, and this will require a significant increase in the numbers of General Practice Nurses (GPNs). Until recently, there has been no clear recruitment strategy to address this. There have however been a number of proposed solutions to address the impending GPN recruitment crisis and to increase the numbers of new GPNs in post. General Practitioners (GPs) working in the Advanced Training Practice Scheme (ATPS) have been commissioned by Health Education England to provide placements for student nurses...
April 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29621072/a-comprehensive-onboarding-and-orientation-plan-for-neurocritical-care-advanced-practice-providers
#5
Tamra M Langley, Jeremy Dority, Justin F Fraser, Kevin W Hatton
BACKGROUND: As the role of advanced practice providers (APPs) expands to include increasingly complex patient care within the intensive care unit, the educational needs of these providers must also be expanded. An onboarding process was designed for APPs in the neurocritical care service line. METHODS: Onboarding for new APPs revolved around 5 specific areas: candidate selection, proctor assignment, 3-phased orientation process, remediation, and mentorship. To ensure effective training for APPs, using the most time-conscious approach, the backbone of the process is a structured curriculum...
April 4, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29616598/knowledge-beliefs-and-behaviors-related-to-palliative-care-delivery-among-pediatric-oncology-health-care-providers
#6
Jessica L Spruit, Cynthia J Bell, Valerie B Toly, Maryjo Prince-Paul
The care of pediatric patients with cancer and their families is complex and rapidly evolving. Despite significant advances in outcomes, symptoms of the disease and complications of therapy continue to cause suffering that may improve with the involvement of pediatric palliative care (PPC) services. This descriptive study responds to the observation of great variability in PPC utilization within pediatric oncology. Data collected from 156 health care professionals (nurses, advanced practice professionals, and physicians) from a statewide hematology alliance evaluates the knowledge, beliefs, and perceived barriers to PPC involvement...
April 1, 2018: Journal of Pediatric Oncology Nursing: Official Journal of the Association of Pediatric Oncology Nurses
https://www.readbyqxmd.com/read/29613919/addressing-dual-patient-and-staff-safety-through-a-team-based-standardized-patient-simulation-for-agitation-management-in-the-emergency-department
#7
Ambrose H Wong, Marc A Auerbach, Halley Ruppel, Lauren J Crispino, Alana Rosenberg, Joanne D Iennaco, Federico E Vaca
INTRODUCTION: Emergency departments (EDs) have seen harm rise for both patients and health workers from an increasing rate of agitation events. Team effectiveness during care of this population is particularly challenging because fear of physical harm leads to competing interests. Simulation is frequently employed to improve teamwork in medical resuscitations but has not yet been reported to address team-based behavioral emergency care. As part of a larger investigation of agitated patient care, we designed this secondary study to examine the impact of an interprofessional standardized patient simulation for ED agitation management...
April 3, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29603347/the-experiences-and-preparedness-of-family-carers-for-best-interest-decision-making-of-a-relative-living-with-advanced-dementia-a-qualitative-study
#8
Gillian Carter, Dorry Mclaughlin, W George Kernohan, Peter Hudson, Mike Clarke, Katherine Froggatt, Peter Passmore, Kevin Brazil
AIM: To explore the experience and the preparedness of family carers in their caregiving role as best interest decision-makers of a relative living with advanced dementia. BACKGROUND: The prevalence of dementia is a global issue. The role of being a carer of a relative living with dementia does not necessarily lessen once they are admitted to a nursing home. Best interest decision-making including end-of-life care decisions need to be made and reaching these choices can be challenging...
March 30, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29589821/the-2017-diabetes-educator-and-the-diabetes-self-management-education-national-practice-survey
#9
Joanne Rinker, Jane K Dickinson, Michelle L Litchman, Ann S Williams, Leslie E Kolb, Carla Cox, Ruth D Lipman
Purpose The American Association of Diabetes Educators conducts the National Practice Survey (NPS) biennially to document current practice in diabetes education in the United States. The purpose of the study is to obtain insight about factors influencing the work of the diabetes educator. Method The 2017 NPS was comprised of 100 questions covering diabetes educator demographics, profile populations of people with diabetes, practice information, program accreditation, program curriculum, staffing, education delivery methods, data collection, and reporting...
March 1, 2018: Diabetes Educator
https://www.readbyqxmd.com/read/29583172/collaborative-communication-learning-from-advanced-clinical-practice-patient-consultations
#10
Julian Barratt
Advanced nurse practitioners, and nurses aspiring to this role, are required to understand how to communicate effectively and on a collaborative basis with patients and carers during consultations, with the aim of enhancing patient outcomes such as improved patient satisfaction, ability to self-manage healthcare needs and adherence to care plans. This article explores collaborative communication in consultations and how best to achieve this, using the author's doctoral observational research based on the findings of a mixed methods observational study of communication in advanced clinical practice patient consultations...
March 27, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29582884/involvement-of-advanced-practice-nurse-in-the-management-of-geriatric-conditions-examples-from-different-countries
#11
B Fougère, C Lagourdette, P Abele, B Resnick, M Rantz, C Kam Yuk Lai, Q Chen, W Moyle, B Vellas, J E Morley
The increasing demand for healthcare services is placing great strain on healthcare systems throughout the world. Although the older population is increasing worldwide, there is a marked deficit in the number of persons trained in geriatrics. It is now recognized that early detection and treatment of geriatric conditions (e.g., frailty, sarcopenia, falls, anorexia of aging, and cognitive decline) will delay or avert the development of disability. At the same time, recent years have seen an increased interest and use of advanced practice nurses (APN)...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29575330/clinician-researcher-career-pathway-for-registered-nurses-and-midwives-a-proposal
#12
Sheree Smith, Janice Gullick, Jacqueline Ballard, Lin Perry
AIM: To consider clinician researcher career frameworks and propose a new pathway, integrating university and health service components to support research career progression within nursing and midwifery practice. BACKGROUND: Hospitals with research-active clinicians report fewer adverse events and better patient outcomes. Nursing clinician researcher career development is therefore an international priority, yet positions and expectations associated with this are not always well articulated, with nurses and midwives challenged to accommodate research and clinical careers...
March 25, 2018: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29569420/impact-of-postgraduate-education-on-advanced-practice-nurse-activity-a-national-survey
#13
J Wilkinson, J Carryer, C Budge
BACKGROUND: There is a wealth of international evidence concerning the contribution post-registration master's level education makes to advancing the discipline of nursing. There are approximately 277 nurse practitioners registered in NZ, but they account for only a small portion of nurses who have undertaken master's level education. The additional contribution these nurses make to the work environment through advanced practice activities has not, hitherto, been documented. OBJECTIVES: To report the extent of advanced practice nurse activity associated with various levels of nursing education in a sample of nurses working in clinical practice in New Zealand...
March 22, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29562033/advanced-practice-nursing-a-possibility-for-primary-health-care
#14
Manoel Vieira de Miranda Neto, Talita Rewa, Valéria Marli Leonello, Maria Amélia de Campos Oliveira
OBJECTIVE: Reflect on the role of advanced practice nursing (APN) in the context of Brazilian primary health care. METHOD: analysis of the main scientific productions and of the discussion on the implementation of APN. RESULTS: there are favorable areas for the work of APN in primary health care, especially in the family health strategy. Professional master's degree and nurse residency programs constitute powerful training spaces. As a challenge, standardized definition of the roles of advanced practice nurses and of minimum training for work are necessary...
2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29552098/antimicrobial-stewardship-and-pre-registration-student-nurses-evaluation-of-teaching
#15
Jo McEwen, Emma Burnett
Background: Antimicrobial resistance (AMR) is a global health concern. It is therefore imperative that healthcare professionals receive ongoing and relevant education and training to ensure they are competent in contributing to antimicrobial stewardship (AMS). At present, few undergraduate nursing programmes include AMS within their curriculum. Objective: The aim of the evaluation was to determine the relevancy of AMS within the undergraduate nursing programme through the perceptions of student nurses...
March 2018: Journal of Infection Prevention
https://www.readbyqxmd.com/read/29547868/between-demarcation-and-discretion-the-medical-administrative-boundary-as-a-locus-of-safety-in-high-volume-organisational-routines
#16
Suzanne Grant, Bruce Guthrie
Patient safety is an increasing concern for health systems internationally. The majority of administrative work in UK general practice takes place in the context of organisational routines such as repeat prescribing and test results handling, where high workloads and increased clinician dependency on administrative staff have been identified as an emerging safety issue. Despite this trend, most research to date has focused on the redistribution of the clinical workload between doctors, nurses and allied health professionals within individual care settings...
March 2, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29528194/multisite-studies-demonstrate-positive-relationship-between-practice-environments-and-smoking-cessation-counseling-evidence-based-practices
#17
Robin Newhouse, Ha Do Byon, Emily Storkman Wolf, Meg Johantgen
PROBLEM: High-quality smoking cessation counseling guidelines for people who use tobacco are not fully integrated in acute-care services presenting missed opportunities to improve health outcomes. The role of the practice environment on enhancing or inhibiting guideline use is unknown. OBJECTIVE: To examine the relationship between the nurse practice environment and nurses' use of smoking cessation counseling practices, and to evaluate the effect of the individual nurse and organization characteristics on nurse smoking cessation counseling practices...
March 12, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/29521716/interprofessional-care-and-teamwork-in-the-icu
#18
Anne L Donovan, J Matthew Aldrich, A Kendall Gross, Denise M Barchas, Kevin C Thornton, Hildy M Schell-Chaple, Michael A Gropper, Angela K M Lipshutz
OBJECTIVES: We describe the importance of interprofessional care in modern critical care medicine. This review highlights the essential roles played by specific members of the interprofessional care team, including patients and family members, and discusses quality improvement initiatives that require interprofessional collaboration for success. DATA SOURCES: Studies were identified through MEDLINE search using a variety of search phrases related to interprofessional care, critical care provider types, and quality improvement initiatives...
March 7, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29518668/advanced-practice-nurses-leading-the-way-interprofessional-collaboration
#19
EDITORIAL
Jennifer W Goldsberry
Healthcare delivery has become increasingly complex and fragmented. Leading healthcare organizations, such as the Institute of Medicine and the World Health Organization, have recognized that interprofessional collaboration is essential to improve healthcare delivery. The process of integrating interprofessional collaboration is complex and involves overcoming historical hierarchical factors and professional boundaries. The integration of interprofessional education in healthcare professions can help to alleviate these barriers...
February 28, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29517330/developing-advanced-clinical-practice-skills-in-gastrointestinal-consequences-of-cancer-treatment
#20
Caroline Gee, Jervoise Andreyev, Ann Muls
This article explores the transition from a clinical nurse specialist (CNS) towards developing advanced clinical practice skills within a gastrointestinal consequences of cancer clinic. It presents data on the first 50 patients assessed by the CNS from a prospective service evaluation, demonstrating how this informed the nurse's future learning. There is high demand for advanced clinical practice skills to address unmet health needs and improve the quality, efficiency, and sustainability of healthcare services...
March 8, 2018: British Journal of Nursing: BJN
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