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Role of Advanced practice nurse

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https://www.readbyqxmd.com/read/29440014/presenting-the-primary-care-team-to-the-public-a-qualitative-exploration-of-general-practice-websites
#1
Helen Anderson, Joy Adamson, Yvonne Birks
BACKGROUND: Increasing demand and expanded primary care provision, coupled with a reduced GP workforce, present challenges for primary care. New workforce models aim to reduce GP workload by directing patients to a variety of alternative clinicians. Concurrently, the principle of patient choice in relation to healthcare providers has gained prominence. It is, therefore, necessary to provide patients with sufficient information to negotiate access to appropriate primary healthcare professionals...
February 12, 2018: British Journal of General Practice: the Journal of the Royal College of General Practitioners
https://www.readbyqxmd.com/read/29436805/la-vision-des-soins-port%C3%A3-e-par-l%C3%A3-onie-chaptal%C3%A2-une-erreur-strat%C3%A3-gique-dans-le-d%C3%A3-veloppement-de-la-discipline-des-sciences-infirmi%C3%A3-res-en-france
#2
Jean-Marie Januel
The issue of the development of the discipline displayed by nursing sciences in France is crucial, especially since the Law of Modernization of the Health System has established a legal framework for advanced practice since 2016. This article presents a discussion on the important role that Léonie Chaptal has played in the development of nursing care in France, based on a purely professional vision, guaranteeing the subordination of the nurses to the medical physicians the in the spirit of the law of November 30, 1892 which had established a stranglehold of medical profession on health...
February 2, 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29435834/physician-assistants-and-nurse-practitioners-in-head-and-neck-surgery
#3
Chrysanta Patio, Nabilah Ali, Jill Ketner, Candy Young, Esther Chou, Carrie Chong, Wanchi Su
This chapter explores the role of advanced practice clinicians (APCs) and patient care coordinators in the head and neck cancer setting. APCs, which include physician assistants (PAs) and nurse practitioners (NPs), are licensed professional healthcare providers who diagnose and treat illnesses, order and interpret diagnostic tests, and prescribe pharmaceutical and non-pharmaceutical therapies. Although the training, education, and licensure differ between PAs and NPs, their roles are quite similar in head and neck surgery...
2018: Cancer Treatment and Research
https://www.readbyqxmd.com/read/29422142/medical-and-pharmacy-students-shadowing-advanced-practice-nurses-to-develop-interprofessional-competencies
#4
Laura Monahan, Kathleen Sparbel, Judie Heinschel, Kathryn Wirtz Rugen, Kelly Rosenberger
AIM: This article describes a job-shadowing project that partnered second-year medical and third-year pharmacy students with an advanced practice nurse (APN) for a four-hour job- shadowing experience. BACKGROUND: In order to address the Interprofessional Education Collaborative (IPEC) Expert Panel core competencies of interprofessional communication, teamwork, and roles/responsibilities, this project implemented a job-shadowing experience to increase students' knowledge of APN roles and interprofessional collaborative team practices...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29419579/role-transition-after-clinical-nurse-specialist-education
#5
Terri L Ares
PURPOSE: This study explored the transition of clinical nurse specialists into new roles after completion of their graduate education. DESIGN: A quantitative longitudinal survey was used to measure certification, employment, career commitment, and the imposter phenomenon. METHODS: An online survey was sent to 113 participants from a previous national study that agreed to follow-up. The Student Nurse Anesthetist Experience Questionnaire and Clance Imposter Phenomenon Scale instruments were used...
March 2018: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/29391365/social-and-structural-conditions-for-the-avoidance-of-advance-care-planning-in-neuro-oncology-a-qualitative-study
#6
Henry Llewellyn, Jane Neerkin, Lewis Thorne, Elena Wilson, Louise Jones, Elizabeth L Sampson, Emma Townsley, Joseph T S Low
BACKGROUND: Primary brain tumours newly affect >260 000 people each year worldwide. In the UK, every year >10 000 people are diagnosed with a brain tumour while >5000 die annually from the disease. Prognoses are poor, cognitive deterioration common and patients have prolonged palliative needs. Advance care planning (ACP) may enable early discussion of future care decisions. Although a core commitment in the UK healthcare strategy, and the shared responsibility of clinical teams, ACP appears uncommon in practice...
January 31, 2018: BMJ Open
https://www.readbyqxmd.com/read/29390159/improving-shared-decision-making-in-chronic-lymphocytic-leukemia-through-multidisciplinary-education
#7
Gabrielle B Rocque, Courtney P Williams, Karina I Halilova, Uma Borate, Bradford E Jackson, Emily S Van Laar, Maria Pisu, Thomas W Butler, Randall S Davis, Amitkumar Mehta, Sara J Knight, Monika M Safford
New treatments for chronic lymphocytic leukemia (CLL) with excellent response rates and varying toxicity profiles have emerged in recent years, creating an opportunity for a patient's personal preferences to contribute to treatment decisions. We conducted a prospective, quasi-experimental pre- and post-evaluation of a multilevel educational program and its impact on knowledge of CLL and shared decision-making (SDM). We educated patients, lay navigators, nurses/advanced practice providers (APPs), and physicians...
January 30, 2018: Translational Behavioral Medicine
https://www.readbyqxmd.com/read/29383079/interprofessional-emergency-training-leads-to-changes-in-the-workplace
#8
Dorothea Eisenmann, Fabian Stroben, Jan D Gerken, Aristomenis K Exadaktylos, Mareen Machner, Wolf E Hautz
Introduction: Preventable mistakes occur frequently and can lead to patient harm and death. The emergency department (ED) is notoriously prone to such errors, and evidence suggests that improving teamwork is a key aspect to reduce the rate of error in acute care settings. Only a few strategies are in place to train team skills and communication in interprofessional situations. Our goal was to conceptualize, implement, and evaluate a training module for students of three professions involved in emergency care...
January 2018: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29377534/the-five-attributes-of-a-supportive-midwifery-practice-climate-a-review-of-the-literature
#9
REVIEW
E Brie Thumm, Linda Flynn
INTRODUCTION: A supportive work climate is associated with decreased burnout and attrition, and increased job satisfaction and employee health. A review of the literature was conducted in order to determine the unique attributes of a supportive practice climate for midwives. METHODS: The midwifery literature was reviewed and synthesized using concept analysis technique guided by literature from related professions. The search was conducted primarily in PubMed, CINAHL, Web of Science, and Google Scholar...
January 27, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29350701/genetic-testing-how-genetics-and-genomics-can-affect-healthcare-disparities%C3%A2
#10
Deborah Allen
Advances in oncology care have transformed treatment approaches as genetics and genomics analyses promote implementation of personalized medicine. Genetics and genomics research in TP53 have demonstrated that some mutations are prevalent in minority populations. This has implications on personalized treatment approaches, particularly in early disease stages. The purpose of this article is to describe oncology nurses' role in applying these findings in practice to reduce disparities observed in cancer and survivorship care...
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29350694/collaborative-practice-model-improving-the-delivery-of-bad-news
#11
Pamela N Bowman, Kim Slusser, Deborah Allen
Ideal bad news delivery requires skilled communication and team support. The literature has primarily focused on patient preferences, impact on care decisions, healthcare roles, and communication styles, without addressing systematic implementation. This article describes how an interdisciplinary team, led by advanced practice nurses, developed and implemented a collaborative practice model to deliver bad news on a unit that had struggled with inconsistencies. Using evidence-based practices, the authors explored current processes, role perceptions and expectations, and perceived barriers to developing the model, which is now the standard of care and an example of interprofessional team collaboration across the healthcare system...
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29327604/strategies-to-improve-recruitment-of-people-with-dementia-to-research-studies
#12
Ruth Bartlett, Richard Milne, Rebecca Croucher
Background Low participation in research is one of the key challenges to advancing understanding of dementia, and improving the care and treatment of those who live with this condition. Nurses and nurse researchers play a vital role in recruiting people with dementia to studies, as several countries including the United States and the United Kingdom set national targets and develop initiatives to encourage more people with dementia to take part in research. Aim To highlight the challenges to recruiting people with dementia to studies, and to identify strategies that nurses, and in particular, nurse researchers can use for overcoming them...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29318772/mental-health-nursing-daring-to-be-different-special-and-leading-recovery-focused-care
#13
Peter Santangelo, Nicholas Procter, Denise Fassett
How mental health nursing is differentiated from other disciplines and professions, and what special contribution mental health nurses make to health services, is a question at the heart of contemporary practice. One of the significant challenges for mental health nurses is identifying, developing and advancing those aspects of their practice that they consider differentiate them in the multi-disciplinary mental health care team and to articulate clearly what a mental health nurse is and does. This paper draws on data from interviews with 36 mental health nurses in Australia who identified their practice as autonomous...
February 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29308713/an-enhanced-cultural-competence-curriculum-and-changes-in-transcultural-self-efficacy-in-doctor-of-nursing-practice-students
#14
Joanne K Singleton
PURPOSE: The Doctor of Nursing Practice (DNP) degree is the most advanced clinical leadership role in nursing. Curricula prepare these students to design, implement, evaluate, and continuously improve high-quality culturally specific health care delivery and outcomes. DESIGN: Guided by the cultural competence and confidence model, the Transcultural Self-Efficacy Tool was used to assess the impact of an enhanced cultural competence curriculum on transcultural self-efficacy perceptions of DNP students ( n = 54)...
September 2017: Journal of Transcultural Nursing: Official Journal of the Transcultural Nursing Society
https://www.readbyqxmd.com/read/29306921/building-a-high-quality-oncology-nursing-workforce-through-lifelong-learning-the-de-souza-model
#15
Mary Jane Esplen, Jiahui Wong, Esther Green, Joy Richards, Jane Li
AbstractCancer is one of the leading causes of death in the world. Along with increased new cases, cancer care has become increasingly complex due to advances in diagnostics and treatments, greater survival, and new models of palliative care. Nurses are a critical resource for cancer patients and their families. Their roles and responsibilities are expanding across the cancer care continuum, calling for specialized training and support. Formal education prepares nurses for entry level of practice, however, it does not provide the specialized competencies required for quality care of cancer patients...
January 5, 2018: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/29300235/forensic-nursing-state-of-the-science-research-and-practice-opportunities
#16
Stacy A Drake, Cathy Koetting, Kathi Thimsen, Nancy Downing, Carolyn Porta, Peggy Hardy, Julie L Valentine, Cris Finn, Joan Engebretson
INTRODUCTION: The International Association of Forensic Nurses (IAFN) is the only nursing organization advancing the forensic nursing specialty. The organization seeks to advance the profession, and one mechanism for doing so is development of a research agenda. METHODS: The purpose of this action-based research study was to aid in the development of a forensic nursing research agenda. The study was carried out in two integral stages: (a) focus groups with IAFN members attending the annual conference and (b) reviewing posted IAFN member listserv material...
January 3, 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29283474/the-work-and-challenges-of-care-managers-in-the-implementation-of-collaborative-care-a-qualitative-study
#17
Gritt Overbeck, Marius Brostrøm Kousgaard, Annette Sofie Davidsen
INTRODUCTION: In collaborative care models for anxiety and depression the care manager (CM), often a mental health nurse, has a key role. However, the work and challenges related to this role remain poorly investigated. AIM: To explore CMs' experiences of their work and the challenges they face when implementing their role in a collaborative care intervention in the Capital Region of Denmark. METHODS: Interviews with eight CMs, a group-interview with five CMs, and a recording of one supervision session were analyzed by thematic analysis...
December 28, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29281934/ethical-challenges-experienced-by-clinical-research-nurses-a-qualitative-study
#18
Mary E Larkin, Brian Beardslee, Enrico Cagliero, Catherine A Griffith, Kerry Milaszewski, Marielle T Mugford, Joanna M Myerson, Wen Ni, Donna J Perry, Sabune Winkler, Elizabeth R Witte
BACKGROUND: Clinical investigation is a growing field employing increasing numbers of nurses. This has created a new specialty practice defined by aspects unique to nursing in a clinical research context: the objectives (to implement research protocols and advance science), setting (research facilities), and nature of the nurse-participant relationship. The clinical research nurse role may give rise to feelings of ethical conflict between aspects of protocol implementation and the duty of patient advocacy, a primary nursing responsibility...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29280806/increasing-the-connectivity-and-autonomy-of-rns-with-low-risk-obstetric-patients
#19
Anne M Baron, Jennifer L Ridgeway, Susan L Stirn, Megan A Morris, Megan E Branda, Jonathan W Inselman, Dawn M Finnie, Christine A Baker
: Objective: RNs are adopting an ever-larger role in health care models designed to reduce costs, increase patient satisfaction, and improve patient outcomes. Most research exploring such models has focused on those involving physicians or advanced practice nurses rather than RNs. This study explored the perspectives of patients, RNs, and other providers regarding a new prenatal connected care model for low-risk patients aimed at reducing in-office visits and creating virtual patient-RN connections. METHODS: This qualitative evaluation was performed as part of a larger randomized controlled trial of the new care model...
January 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29240660/healthcare-provider-views-on-transitioning-from-task-shifting-to-advanced-practice-nursing-in-tanzania
#20
Joanes Faustine Mboineki, Weihong Zhang
BACKGROUND: The Tanzanian health sector suffers from shortages of healthcare workers as well as uneven distribution of healthcare workers in urban and rural areas. Task shifting-delegation of tasks from professionals to other healthcare team members with less training, such as medical attendants-is practiced, compromising quality of care. Advanced practice nursing is underutilized. OBJECTIVE: The purpose of this study was to explore the views of nurses and physicians on current responses to shortages of healthcare workers and the potential for utilization of advanced practice nurses...
January 2018: Nursing Research
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