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Role of Advanced practice nurse

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https://www.readbyqxmd.com/read/29926473/nurse-led-versus-doctor-led-care-for-bronchiectasis
#1
REVIEW
Kathryn Lawton, Karen Royals, Kristin V Carson-Chahhoud, Fiona Campbell, Brian J Smith
BACKGROUND: Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills, within the context of bronchiectasis management in subacute, ambulatory, and/or community care...
June 20, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29908686/advanced-practice-nursing-nutrition-nurse-specialist-role-and-function
#2
Kurt Boeykens, Ann Van Hecke
BACKGROUND: Different disciplines should be represented in Nutritional Support Teams, e.g. a physician, dietician, pharmacist and a nurse. The latter one can function as an Advanced Practice Nurse, which implicates that he or she must have sufficiently thorough knowledge, attitudes and competences to fulfill the profile of a nutritional expert in the field of clinical nutrition. METHODS: Description of the scope of practice, education and added value related to a Nutrition Support Nurse, based on detailed published competency profiles...
August 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29893975/clinical-genomics-in-physical-therapy-where-to-from-here
#3
Jon Cornwall, James M Elliott, David M Walton, Peter G Osmotherly
Clinical genomics, involving the examination of an individual's genetic material, is becoming more frequently used in healthcare. Increasingly, genomic testing is providing information that is relevant to clinical management and decision-making. Some healthcare professions, such as medicine and nursing, are integrating clinical genomics competencies into their educational frameworks to enable practitioners to work safely with patients and families who have had or require genomic testing. The uptake of clinical genomics within healthcare is of interest to physical therapist practice worldwide because of a growing direct-to-consumer accessibility to testing and the potential for such information to influence patient care as some genetic variants have been linked to many common conditions...
June 8, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29893441/developing-and-sustaining-specialist-and-advanced-practice-roles-in-nursing-and-midwifery-a-discourse-on-enablers-and-barriers
#4
Gerard M Fealy, Mary Casey, Denise F O'Leary, Martin S Mcnamara, Denise O'Brien, Laserina O'Connor, Rita Smith, Diarmuid Stokes
AIMS AND OBJECTIVES: The aim of this discursive paper is to collate, synthesise and discuss published evidence and expert professional opinion on enablers and barriers to the development and sustainability of specialist and advanced practice roles in nursing and midwifery. BACKGROUND: Expanded practice is a response to population health needs, healthcare costs and practitioners' willingness to expand their scope of practice through enhanced responsibility, accountability and professional autonomy...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29887283/an-interprofessional-learning-experience-for-trainee-general-practitioners-in-an-academic-urban-minor-injuries-unit-with-advanced-nurse-practitioners-emergency
#5
Laserina O'Connor, Bernadette Carpenter, Cora O'Connor, Julie O'Driscoll
BACKGROUND: There is a body of empirical literature indicating that interprofessional education (IPE) not only enriches students' understanding of their own discipline but of other disciplines. However, giving the on-going emphasis on the importance of IPE to healthcare processes and outcomes, on-going attention is needed to advancing the research evidence related to the emergency department setting. The aim of this qualitative descriptive study was to determine the clinical learning experiences of GPs who rotated through an academic urban minor injuries unit as part of their training, led by advanced nurse practitioners (emergency)...
June 7, 2018: International Emergency Nursing
https://www.readbyqxmd.com/read/29871491/core-components-of-the-rural-nurse-specialist-role-in-new-zealand
#6
Jennie Bell, Ruth Crawford, Kathy Holloway
INTRODUCTION: New Zealand has a rural population with unique healthcare needs. Traditionally, rural health care has been provided by medical general practitioners (GPs); however, as the number of GPs declines, the rural nurse specialist (RNS) role has emerged. The RNS is a registered nurse with advanced nursing skills that enable independent, autonomous practice within rural areas. The health needs of each rural community are specific to that area and the RNS role has been developed according to local healthcare needs...
June 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29862869/report-on-the-apna-national-psychiatric-mental-health-advanced-practice-registered-nurse-survey
#7
Kathleen R Delaney, Barbara L Drew, Amy Rushton
BACKGROUND: Further exploration of the practice roles of psychiatric mental health (PMH) advanced practice registered nurses (APRNs) is warranted. OBJECTIVE: In March of 2016, the American Psychiatric Nurses Association (APNA) conducted a national survey to gather data on the demographics, practice roles, and activities of certified PMH APRNs. DESIGN: The e-mail survey contained 46 questions consistent with minimum data set requirements of the Forum of State Nursing Workforce Centers...
June 1, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29857373/supporting-nursing-informatics-in-practice-lessons-learned-by-nursing-informatics-pioneers
#8
Laura-Maria Peltonen, Joyce Sensmeier, Kaija Saranto, Susan K Newbold, Claudine Ramírez
The advancement of Nursing Informatics (NI) in practice differs between regions and there is a need to support the advancement of NI all over the world. Exemplifying means that have been successful in supporting NI in practice could be used to guide the development of NI in other places as well. To address this need, the IMIA-NI SIG Student and Emerging Professionals (SEP) group proposes a panel of pioneers in the field to discuss means of how to support NI in practice throughout the continuum - from places where the field is just emerging to those where NI today is more advanced...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29851154/factors-influencing-nurses-knowledge-acquisition-of-diabetes-care-and-its-management-a-qualitative-study
#9
Abdulellah Alotaibi, Leila Gholizadeh, Ali Hussein Alek Al-Ganmi, Lin Perry
AIM: The aim of this qualitative study was to identify and explore the factors nurses perceive as influencing their knowledge acquisition in relation to diabetes care and its management in Saudi Arabia. BACKGROUND: Diabetes continues to pose major healthcare challenges despite advances in diabetes management. Nurses have a crucial role in diabetes care but diabetes knowledge deficits deter effective collaboration with other healthcare providers in educating patients about diabetes self-management...
May 31, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29847354/practical-nurses-lived-experience-of-returning-to-school
#10
Kathryn Chachula, Mary Smith, Kathryn Hyndman
The lived experience of licensed practical nurses (LPNs) pursuing Bachelor of Nursing (BN) education is not commonly studied in Canada. The aim was to understand the transition experience of LPNs who bridged into a BN program. Max van Manen's phenomenological methodology was used through use of a semistructured interview guide to explore the lived experience of LPNs who pursued baccalaureate nursing education. Five themes were found: seeking advancement; stepping back into the student role; juggling work, school, and family; struggling to be understood; and seeing things differently...
May 25, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29804875/-advance-directives-in-hospital-practice-a-matter-of-concern-for-every-healthcare-professional-and-consumer
#11
T de Courson, C Sfeir, G de Guillebon, H Sanson, A Yannoutsos, P Priollet
INTRODUCTION: In France, Leonetti and Claeys-Leonetti laws relating to patients' rights and end-of-life practice have introduced the advance healthcare directives (ADs). Although family doctor's role is important in initiating discussions regarding AD, hospital healthcare professionals should also be concerned by the health care planning laws. METHODS: A descriptive, quantitative and qualitative study was conducted in Paris Saint-Joseph hospital to evaluate the knowledge of nursing personnel regarding ADs...
May 24, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29801452/task-shifting-between-physicians-and-nurses-in-acute-care-hospitals-cross-sectional-study-in-nine-countries
#12
Claudia B Maier, Julia Köppen, Reinhard Busse
BACKGROUND: Countries vary in the extent to which reforms have been implemented expanding nurses' Scopes-of-Practice (SoP). There is limited cross-country research if and how reforms affect clinical practice, particularly in hospitals. This study analyses health professionals' perceptions of role change and of task shifting between the medical and nursing professions in nine European countries. METHODS: Cross-sectional design with surveys completed by 1716 health professionals treating patients with breast cancer (BC) and acute myocardial infarction (AMI) in 161 hospitals across nine countries...
May 25, 2018: Human Resources for Health
https://www.readbyqxmd.com/read/29759257/developing-a-medical-scribe-program-at-an-academic-hospital-the-hennepin-county-medical-center-experience
#13
Marc L Martel, Brian H Imdieke, Kayla M Holm, Sara Poplau, William G Heegaard, Jon L Pryor, Mark Linzer
BACKGROUND: Medical scribes are frequently incorporated into the patient care model to improve provider efficiency and enable providers to refocus their attention to the patient rather than the electronic health record (EHR). The medical scribe program was based on four pillars (objectives): (1) provider satisfaction, (2) standardized documentation, (3) documentation components for risk adjustment, and (4) revenue enhancement. METHODS: The medical scribe program was deployed in nine non-resident-supported clinics (internal medicine, ophthalmology, orthopedics, hematology/oncology, urology), with the medical scribes (who have no clinical duties) supporting both physicians and advanced practice providers (nurse practitioners and physician assistants)...
May 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/29757917/nurse-practitioners-completion-of-physician-orders-for-scope-of-treatment-forms-in-west-virginia-a-secondary-analysis-of-12-months-of-data-from-the-state-registry
#14
Lori Anne Constantine, Toni Dichiacchio, Evan C Falkenstine, Alvin H Moss
BACKGROUND AND PURPOSE: Advanced care planning documents, such as the Physician Orders for Life-Sustaining Treatment (POLST), require authorized medical provider signatures; only recently have nurse practitioners (NPs) been authorized to sign these forms. Recent legislation in West Virginia (WV) granting NPs signatory authority on POLST forms and the creation of a statewide registry provides an opportunity to examine the completion rates. The aim of this study was to investigate how recent legislation allowing NPs signatory authority for POLST forms has affected POLST completion...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757916/filling-the-gaps-preparing-nurse-practitioners-for-hospitalist-practice
#15
Sharon E Bryant
Over the last 20 years, the emergence of the hospitalist has changed the face of medicine. Hospitalists may serve as either general or specialty-focused providers caring for acutely ill patients in the hospital setting. As the demands and constraints of hospital-specific patient management have continued to grow, an increased need for inclusion of nurse practitioners (NP) into current hospitalist staffing models has occurred. A hospitalist-focused educational model has been developed to better prepare NP students for a variety of hospitalist roles after graduation...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757790/barriers-to-implementation-of-long-acting-reversible-contraception-a-systematic-review
#16
Jessamyn Phillips, Prabjot Sandhu
BACKGROUND AND PURPOSE: Long-acting reversible contraception (LARC) is one of the most effective forms of contraception available. The utilization of LARC remains low despite being recommended by major health organizations such as Centers for Disease Control and Prevention, American Congress of Obstetricians and Gynecologists, American Academy of Pediatrics, American Academy of Family Physicians, and the National Committee for Quality Assurance. Health care professionals play an essential role in the potential increased use of LARC...
April 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29757785/global-emergence-of-nurse-practitioner-advanced-practice-nursing-roles
#17
Madrean Schober
No abstract text is available yet for this article.
April 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29727378/patient-and-professional-factors-that-impact-the-perceived-likelihood-and-confidence-of-healthcare-professionals-to-discuss-implantable-cardioverter-defibrillator-deactivation-in-advanced-heart-failure-results-from-an-international-factorial-survey
#18
Loreena Hill, Sonja McIlfatrick, Brian J Taylor, Tiny Jaarsma, Debra Moser, Paul Slater, Toni McAloon, Lana Dixon, Patrick Donnelly, Anna Stromberg, Donna Fitzsimons
BACKGROUND: Rate of implantable cardioverter defibrillator (ICD) implantations is increasing in patients with advanced heart failure. Despite clear guideline recommendations, discussions addressing deactivation occur infrequently. AIM: The aim of this article is to explore patient and professional factors that impact perceived likelihood and confidence of healthcare professionals to discuss ICD deactivation. METHODS AND RESULTS: Between 2015 and 2016, an international sample of 262 healthcare professionals (65% nursing, 24% medical) completed an online factorial survey, encompassing a demographic questionnaire and clinical vignettes...
April 26, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29708093/addressing-religion-and-spirituality-in-the-intensive-care-unit-a-survey-of-clinicians
#19
Philip J Choi, Farr A Curlin, Christopher E Cox
OBJECTIVE: Studies have shown that when religious and spiritual concerns are addressed by the medical team, patients are more satisfied with their care and have lower healthcare costs. However, little is known about how intensive care unit (ICU) clinicians address these concerns. The objective of this study was to determine how ICU clinicians address the religious and spiritual needs of patients and families. METHOD: We performed a cross-sectional survey study of ICU physicians, nurses, and advance practice providers (APPs) to understand their attitudes and beliefs about addressing the religious and spiritual needs of ICU patients and families...
April 30, 2018: Palliative & Supportive Care
https://www.readbyqxmd.com/read/29706152/health-care-system-leaders-perspectives-on-infection-preventionist-and-registered-nurse-engagement-in-antibiotic-stewardship
#20
Mary Lou Manning, Monika Pogorzelska-Maziarz
BACKGROUND: Infection preventionists (IPs) and registered nurses (RNs) have an important role to play in antibiotic stewardship programs (ASPs). Recent articles highlight their potential roles in practice, research, education, and policy; however, little is known about their actual ASP engagement. Leaders often have early knowledge of emerging trends and evolving health care worker roles. METHODS: A survey was developed using the Centers for Disease Control and Prevention's Core Elements of Hospital Antibiotic Stewardship Programs to assess health care system infection prevention and control leaders' perceptions of IP and RN engagement in hospital ASPs...
May 2018: American Journal of Infection Control
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