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Role of Advanced practice nurse

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https://www.readbyqxmd.com/read/28629486/the-collaboration-of-general-practitioners-and-nurses-in-primary-care-a-comparative-analysis-of-concepts-and-practices-in-slovenia-and-spain
#1
Kerstin Hämel, Carina Vössing
Aim A comparative analysis of concepts and practices of GP-nurse collaborations in primary health centres in Slovenia and Spain. BACKGROUND: Cross-professional collaboration is considered a key element for providing high-quality comprehensive care by combining the expertise of various professions. In many countries, nurses are also being given new and more extensive responsibilities. Implemented concepts of collaborative care need to be analysed within the context of care concepts, organisational structures, and effective collaboration...
June 20, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28618078/the-perceptions-of-key-stakeholders-of-the-roles-of-specialist-and-advanced-nursing-and-midwifery-practitioners
#2
Mary Casey, Laserina O'Connor, Emma Nicholson, Rita Smith, Denise O'Brien, Denise O'Leary, Gerard M Fealy, Martin S Mcnamara, Diarmuid Stokes, Claire Egan
AIM: To explore the perceptions of key stakeholders of the roles of specialist and advanced nursing and midwifery practitioners. BACKGROUND: There is evidence that the contribution of these roles to patient care is poorly understood. DESIGN: This research took place over two months in 2015 and is part of a larger study involving a rapid review to inform policy development on the specialist and advanced nursing and midwifery practice in Ireland...
June 15, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28614465/implementation-strategy-for-advanced-practice-nursing-in-primary-health-care-in-latin-america-and-the-caribbean
#3
David Oldenburger, Silvia Helena De Bortoli Cassiani, Denise Bryant-Lukosius, Ruta Kristina Valaitis, Andrea Baumann, Joyce Pulcini, Ruth Martin-Misener
SYNOPSIS Advanced practice nursing (APN) is a term used to describe a variety of possible nursing roles operating at an advanced level of practice. Historically, APN roles haves evolved informally, out of the need to improve access to health care services for at-risk and disadvantaged populations and for those living in underserved rural and remote communities. To address health needs, especially ones related to primary health care, nurses acquired additional skills through practice experience, and over time they developed an expanded scope of practice...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28597528/enhancement-of-recovery-from-mental-illness-with-l-methylfolate-supplementation
#4
REVIEW
Gerald Martone
People suffering from depression, schizophrenia, and dementia often have measurably lower levels of serum folate compared to people not experiencing psychiatric disorders. Augmentation of SSRI and SNRI antidepressant medications with l-methylfolate has been demonstrated to increase their effectiveness and onset of action. Even the use of l-methylfolate as a stand-alone monotherapy has been observed to exert antidepressant properties. The role of folate in mental illness has been known for many decades, but the strategic use of l-methylfolate supplementation has not yet been accepted as a standard regimen...
June 8, 2017: Perspectives in Psychiatric Care
https://www.readbyqxmd.com/read/28590945/addressing-the-global-zika-epidemic-locally-an-interprofessional-model-of-universal-screening-at-one-center
#5
Rosha N Forman, Pooja K Mehta, Kettie R Louis, Molly K Finneseth, Christina D Yarrington
Escalating evidence for the fetal impact of Zika virus infection required a change in care by all prenatal providers. This article describes an effective model of rapid implementation of universal prenatal screening at one hospital and its network of community health centers for a large and diverse immigrant population exploring the challenges, experiences, and lessons learned. Implementation of national recommendations required a workflow change, challenging a system with a heterogeneity of settings and providers...
June 6, 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28586430/national-study-of-excellence-and-innovation-in-physical-therapist-education-part-1-design-method-and-results
#6
Gail M Jensen, Terrence Nordstrom, Elizabeth Mostrom, Laurita M Hack, Janet Gwyer
Background.: The Carnegie Foundation for the Advancement of Teaching commissioned the Preparation for the Professions Program, a qualitative study of professional education in 5 professions: medicine, nursing, law, engineering and clergy. These studies identified curricular structures, instructional practices, assessment approaches and environmental characteristics that support the preparation of professionals and led to educational reforms. The physical therapy profession has not had any in-depth, national investigation of physical therapist education since the Catherine Worthingham studies conducted more than 50 years ago...
June 6, 2017: Physical Therapy
https://www.readbyqxmd.com/read/28583175/are-advance-directives-helpful-for-good-end-of-life-decision-making-a-cross-sectional-survey-of-health-professionals
#7
Eimantas Peicius, Aurelija Blazeviciene, Raimondas Kaminskas
BACKGROUND: This paper joins the debate over changes in the role of health professionals when applying advance directives to manage the decision-making process at the end of life care. Issues in relation to advance directives occur in clinical units in Lithuania; however, it remains one of the few countries in the European Union (EU) where the discussion on advance directives is not included in the health-care policy-making agenda. To encourage the discussion of advance directives, a study was designed to examine health professionals' understanding and preferences related to advance directives...
June 5, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28581350/determining-the-key-drivers-and-mitigating-factors-that-influence-the-role-of-the-nurse-and-or-midwife-consultant-a-cross-sectional-survey
#8
Ritin S Fernandez, Suzanne Sheppard-Law, Vicki Manning
BACKGROUND: Globally, many nurses and midwives are working at an advanced practice level. The role of a Nurse and/or Midwife Consultant encompasses a diverse and complex interaction between five specified domains namely Clinical Service and Consultancy, Clinical Leadership, Research, Education, and Clinical Services Planning and Management. OBJECTIVE: The objective of this replication study was to identify the key drivers and mitigating factors that impact the role of Australian Nurse and/or Midwife Consultants...
June 21, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/28579285/the-experience-of-advanced-practice-nurses-in-us-emergency-care-settings
#9
Lisa A Wolf, Altair M Delao, Cydne Perhats, Michael D Moon, Margaret J Carman
INTRODUCTION: Little information has been published regarding the actual practice, training, and validation of basic skills and competencies needed by the advanced practice registered nurse (APRN) in the emergency care setting. The purpose of this study was to (1) identify skills being performed by APRNs practicing in emergency care settings (2); explore types of training; and (3) describe competency validation. Additionally, we explored frequency of skill use and facilitators and barriers to performing a skill to the full extent of training and education...
June 1, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28577478/association-between-advanced-practice-nursing-and-30-day-mortality-in-mechanically-ventilated-critically-ill-patients-a-retrospective-cohort-study
#10
Kojiro Morita, Hiroki Matsui, Hayato Yamana, Kiyohide Fushimi, Tomoaki Imamura, Hideo Yasunaga
PURPOSE: Little is known about the association between advanced practice nursing and mortality. The aim of this study was to evaluate whether the presence of advanced practice nurses (APN), that is, certified nurse (CN) and certified nurse specialist (CNS) in intensive care, is associated with 30-day mortality for mechanically ventilated critically ill patients. MATERIALS AND METHODS: Using a Japanese national in-patient database, we identified 45,620 patients who were admitted to an intensive care unit (ICU) and received mechanical ventilation within 2 days of hospital admission between 1 April 2014 and 31 March 2015...
May 24, 2017: Journal of Critical Care
https://www.readbyqxmd.com/read/28571045/new-zealand-doctors-and-nurses-views-on-legalising-assisted-dying-in-new-zealand
#11
Pam Oliver, Michael Wilson, Phillipa Malpas
BACKGROUND: Assisted dying (AD) has been legalised by statute or court decisions in at least 15 jurisdictions internationally. Nonetheless, only three medical professional bodies (and none in nursing) across those jurisdictions have proactively developed authorised policy, practice standards, guidelines or protocols, or other professional supports for health practitioners who may legally participate in AD services, and the majority internationally remain formally opposed to AD. There is a perceived likelihood that AD may be legalised in New Zealand soon...
June 2, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28570303/current-status-of-fellowship-programs-for-advanced-practice-registered-nurses-in-the-nurse-practitioner-role
#12
Carlos Alberto Camal Sanchez
Students completing an advanced practice RN program for practice as a nurse practitioner may seek options for further advancement. Although postgraduate clinical fellowship programs exist, information about such programs is not readily available. This article offers a resource for faculty to assist graduate students in finding advanced practice RN nurse practitioner fellowship programs in the United States.
May 31, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28561871/promoting-role-clarity-for-health-professional-students-participating-in-an-interprofessional-behavior-change-counseling-workshop
#13
JoAnne M Saxe, Kirsten Balano, Maria Wamsley, Midori Nakajima, Tina Brock
Interprofessional role clarity is linked to improving team collaboration and clinical care, yet there are barriers to implementing interprofessional curricula targeted to learner achievement of this competency. A behavior change counseling skills workshop for first-year advanced practice nursing (APN) (n=153) and third-year pharmacy (PharmD) (n=127) students was modified to include learning experiences for enhancing interprofessional role clarity. Students rated the importance of each profession's contributions in nine patient care activities before and after the workshop...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28561713/collaborating-with-advanced-practice-providers-impact-and-opportunity
#14
Heather M Hylton, G Lita Smith
Although significant progress has been made in cancer care, access to coordinated, high-quality care across the cancer care continuum remains a challenge for many patients. With significant workforce shortages in oncology anticipated, physician assistants (PAs) and nurse practitioners (NPs)-known collectively as advanced practice providers (APPs)-are considered to be a part of the solution to bridging the gap between the supply of and demand for oncology services. APPs are integral to the provision of team-based care in oncology, and optimizing the roles of all members of the patient's care team is vital to ensuring the teams are cost-effective and that each team member is performing at the functional level intended...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28561709/practice-model-for-advanced-practice-providers-in-oncology
#15
Jamie Cairo, Mary Ann Muzi, Deanna Ficke, Shaunta Ford-Pierce, Katrina Goetzke, Diane Stumvoll, Laurie Williams, Federico A Sanchez
According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attrition...
2017: American Society of Clinical Oncology Educational Book
https://www.readbyqxmd.com/read/28558580/assessing-an-individual-s-fitness-to-be-interviewed-in-police-custody
#16
Matthew Peel
Nurses working in police custody settings may be called on to assess a detainee's fitness to be interviewed by police, for example where the person is thought to have a mental disorder or vulnerability. This article outlines the role of the custody nurse in the fitness-to-interview assessment. This assessment is complex and multifaceted. It requires custody nurses to assess a detainee's medical, mental health, educational and social history, as well as any substance misuse. It should include a mental state examination and, where appropriate, a physical examination...
May 31, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28558517/nurse-performed-endoscopy
#17
Christine Duffield, Susan Chapman, Samantha Rowbotham, Nicole Blay
Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used...
January 1, 2017: Policy, Politics & Nursing Practice
https://www.readbyqxmd.com/read/28549737/organizational-intellectual-capital-and-the-role-of-the-nurse-manager-a-proposed-conceptual-model
#18
Jason H Gilbert, Diane Von Ah, Marion E Broome
BACKGROUND: Nurse managers must leverage both the human capital and social capital of the teams they lead in order to produce quality outcomes. Little is known about the relationship between human capital and social capital and how these concepts may work together to produce organizational outcomes through leadership of nurses. PURPOSE: The purpose of this article was to explore the concepts of human capital and social capital as they relate to nursing leadership in health care organizations...
April 19, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28524895/scope-and-standards-defining-the-advanced-practice-role-in-genetics
#19
Alice S Kerber, Nancy J Ledbetter
Because knowledge concerning genetics and genomics and its application to oncology care is continuing to grow, oncology nurses must be aware of appropriate advanced scope of practice roles based on education and training. All nurses must develop and maintain knowledge of the field, but advanced practice nurses working in genetics have additional competencies and management expectations. Collaboration among practice levels and disciplines is essential. This article focuses on the advanced practice role as further defined in published resources outlining scope of practice in genetics...
June 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28503644/what-s-the-buzz-tell-me-what-s-happening-in-breast-cancer-screening
#20
REVIEW
Sharon K Byrne
Many controversies have come to light related to breast cancer screening recommendations for average- and high-risk populations. This manuscript focuses on factors to consider when coordinating and conducting breast cancer screening programs in an average or "healthy women" population. As presented at the 2016 ONS Congress, a brief comparison of current screening recommendations among various organizations for early detection of breast cancer is provided. Lessons learned regarding key components of successful screening programs such as being patient focused, accessible, and sustainable are shared...
April 2017: Asia-Pacific Journal of Oncology Nursing
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