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https://www.readbyqxmd.com/read/29927817/the-human-papilloma-vaccine-a-time-for-np-leadership
#1
Robin L Hardwicke, Laura J Benjamins, Richard M Grimes
The human papilloma virus (HPV) causes approximately 30,700 annual cancer cases of the cervix, vulva, vagina, penis, oral cavity, and anus. Nurse practitioners can use their unique relationships with patients to advocate for the HPV vaccine. The purpose of this article is to update NPs on current knowledge regarding the HPV vaccine while providing appropriate information necessary for counseling patients and parents.
July 2018: Nurse Practitioner
https://www.readbyqxmd.com/read/29927383/exploring-the-effectiveness-of-multisource-feedback-and-coaching-with-nurse-practitioners
#2
Ross Graham, Rosanne Beuthin
Background: While multisource feedback and coaching have shown promise as effective professional development strategies for physicians, the effectiveness of these interventions with nurse practitioners - a growing profession in Canada - remains unknown. Despite this knowledge gap, multiple nursing colleges in Canada require their nurse practitioner members to participate in multisource feedback processes. Methods: An exploratory study was performed with twelve nurse practitioners using an online multisource feedback process (based on the CanMEDS Framework) and an in-person coaching session (using the R2C2 Model)...
2018: Nursing Leadership
https://www.readbyqxmd.com/read/29926916/the-provision-of-alcohol-and-breastfeeding-information-by-maternal-health-practitioners-in-the-australian-setting
#3
Roslyn Carmel Giglia, Martyn Symons, Thérèse Shaw
BACKGROUND: In the 2009 National Health and Medical Research Council (NHMRC) Australian Guidelines to Reduce Health Risks from Drinking, a guideline specific to lactating women was included. For the first time the effect of alcohol at this important developmental stage was nationally and internationally acknowledged. AIMS: To determine the degree to which maternal health practitioners adopted an Australian national policy guideline (Guideline 4B) on alcohol and breastfeeding into their everyday health practice and the factors associated with adoption...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29926579/an-exploratory-study-investigating-perceptions-opinions-and-experiences-of-safeguarding-education-in-pre-registration-children-s-nursing-curricula
#4
Nadine Littler
AIM: To explore perceptions, opinions and experiences of safeguarding education within pre-registration children's nursing curricula. METHODS: Using a qualitative research method, an online questionnaire was developed and disseminated to pre-registration children's nursing students to complete via a weblink added to their programme's virtual learning environment. FINDINGS: This study highlighted the need to integrate other pedagogies in safeguarding education...
June 21, 2018: Nursing Children and Young People
https://www.readbyqxmd.com/read/29925846/-a-palliative-end-stage-copd-patient-does-not-exist-a-qualitative-study-of-barriers-to-and-facilitators-for-early-integration-of-palliative-home-care-for-end-stage-copd
#5
Charlotte Scheerens, Luc Deliens, Simon Van Belle, Guy Joos, Peter Pype, Kenneth Chambaere
Early integration of palliative home care (PHC) might positively affect people with chronic obstructive pulmonary disease (COPD). However, PHC as a holistic approach is not well integrated in clinical practice at the end-stage COPD. General practitioners (GPs) and community nurses (CNs) are highly involved in primary and home care and could provide valuable perspectives about barriers to and facilitators for early integrated PHC in end-stage COPD. Three focus groups were organised with GPs (n = 28) and four with CNs (n = 28), transcribed verbatim and comparatively analysed...
June 20, 2018: NPJ Primary Care Respiratory Medicine
https://www.readbyqxmd.com/read/29923939/picu-provider-supply-and-demand-a-national-survey
#6
Kristin H Gigli, Mary S Dietrich, Peter I Buerhaus, Ann F Minnick
OBJECTIVES: To describe physicians' and nurse practitioners' perceptions of the national and local PICU physician and other provider supply in institutions that employ PICU nurse practitioners, assess for differences in perceptions of supply, and evaluate the intent of institutions to hire additional nurse practitioners to work in PICUs. DESIGN: National, quantitative, cross-sectional descriptive study via a postal mail survey from October 2016 to January 2017. SETTING: Institutions (n = 140) identified in the 2015 American Hospital Association Annual Survey with a PICU who employ PICU nurse practitioners...
June 19, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29923900/evaluating-a-surfactant-containing-polymeric-membrane-foam-wound-dressing-with-glycerin-in-patients-with-chronic-pilonidal-sinus-disease
#7
R Gary Sibbald, Reneeka Persaud Jaimangal, Patricia M Coutts, James A Elliott
GENERAL PURPOSE: To present an evaluation of a surfactant-containing polymeric membrane foam wound dressing for use on patients with chronic pilonidal sinus disease. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be able to:1...
July 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29923637/geographic-distribution-of-providers-with-a-dea-waiver-to-prescribe-buprenorphine-for-the-treatment-of-opioid-use-disorder-a-5-year-update
#8
C Holly A Andrilla, Tessa E Moore, Davis G Patterson, Eric H Larson
PURPOSE: Opioid use disorder (OUD) is a substantial public health problem. Buprenorphine is an effective medication-assisted treatment (MAT) for OUD, but access is difficult for patients, especially in rural locations. To improve access, the Comprehensive Addiction and Recovery Act of 2016 extended the ability to get a Drug Enforcement Administration (DEA) waiver to prescribe buprenorphine to treat OUD to nurse practitioners (NPs) and physician assistants (PAs). This study summarizes the geographic distribution of waivered physicians, NPs, and PAs at the end of 2017 and compares it to the distribution of waivered physicians 5 years earlier...
June 20, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29921679/cross-sectional-study-of-cognitive-stress-appraisal-and-related-factors-among-workers-in-metropolitan-areas-of-japan
#9
Natsuka Tohmiya, Etsuko Tadaka, Azusa Arimoto
OBJECTIVE: Stress has major socioeconomic implications for all spheres of employment. It is a trigger for depression, and affects absenteeism, turnover, productivity, morale and suicide. Positive or negative cognitive stress appraisal can be a self-care strategy that affects workers' ability to cope with stress. This study examined cognitive stress appraisal among workers and identified related individual and environmental factors. DESIGN: Cross-sectional study using self-administered postal questionnaires...
June 19, 2018: BMJ Open
https://www.readbyqxmd.com/read/29921629/provider-based-barriers-to-provision-of-intrauterine-contraception-in-general-practice
#10
Lesley Hoggart, Susan Walker, Victoria Louise Newton, Mike Parker
OBJECTIVES: Intrauterine contraception (IUC) is highly effective, safe and long-lasting, but is not a popular method of contraception among British women. This study examined barriers to the uptake of IUC in general practice in England. METHOD: A sequential mixed-method approach to explore the views of practitioners regarding the provision of IUC. We e-surveyed 208 practitioners from 69 practices in a region of England and subsequently interviewed 14 practitioners from eight practices...
April 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/29920906/-outside-the-original-remit-co-production-in-uk-mental-health-research-lessons-from-the-field
#11
Nicky Lambert, Sarah Carr
The aim of this discursive paper was to explore the development of co-production and service user involvement in UK university-based mental health research and to offer practical recommendations for practitioners co-producing research with service users and survivors, informed by an overview of the key literature on co-production in mental health and from a critical reflection on applied research through the medium of a case study. The paper is co-written by a mental health nurse academic and a service user/survivor researcher academic...
June 19, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29916329/teaching-and-learning-from-case-studies-the-added-value-of-using-a-nursing-conceptual-model-to-construct-cases
#12
Jennifer Hackel, Jacqueline Fawcett
The purpose of this paper is to discuss the influence of applying Orem's self-care framework practice methodology on the content and comprehensiveness of a case study about a woman who denied having self-care deficits. The discussion begins with presentation of the case as it might have been found in a classroom or health professions journal and contrasts this with application of Orem's self-care framework practice methodology to illustrate how much more comprehensive the content of the case study is and how well it highlights the role of the primary care nurse practitioner in complex geriatric care...
July 2018: Nursing Science Quarterly
https://www.readbyqxmd.com/read/29914805/physiotherapy-education-is-a-good-financial-investment-up-to-a-certain-level-of-student-debt-an-inter-professional-economic-analysis
#13
Richard K Shields, Shauna Dudley-Javoroski
QUESTIONS: What is the economic value of a physiotherapy career relative to other healthcare professions? Is the graduate debt reported for physiotherapy manageable according to recommended salary-weighted debt service ratio benchmarks? DESIGN: Net present value (NPV) is an economic modelling approach that compares costs and benefits of an investment such as healthcare education. An economic analysis using the NPV approach was conducted and reported in US dollars for the Doctor of Physical Therapy degree...
June 15, 2018: Journal of Physiotherapy
https://www.readbyqxmd.com/read/29914436/treatment-in-the-stampede-era-for-castrate-resistant-prostate-cancer-in-the-uk-ongoing-challenges-and-underappreciated-clinical-problems
#14
Rosa U Greasley, Rebecca Turner, Karen Collins, Janet Brown, Liam Bourke, Derek J Rosario
BACKGROUND: This study aimed to explore the opinions of healthcare professionals regarding the management of men with advanced prostate cancer with particular emphasis on treatment timing and sequencing; treatment adverse-effects and exercise a supportive therapy. METHODS: Semi-structured interviews with a purposively selected group of healthcare professionals involved in prostate cancer care within the NHS, conducted over the phone or face to face. A total of 37 healthcare professionals participated in the interviews including urologists, clinical oncologists, medical oncologists, clinical nurse specialists, general practitioners, physiotherapists, exercise specialists, service managers, clinical commissioners and primary care physicians...
June 19, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29914051/impact-of-nurse-practitioner-practice-regulations-on-rural-population-health-outcomes
#15
Judith Ortiz, Richard Hofler, Angeline Bushy, Yi-Ling Lin, Ahmad Khanijahani, Andrea Bitney
Background: For decades, U.S. rural areas have experienced shortages of primary care providers. Nurse practitioners (NPs) are helping to reduce that shortage. However, NP scope of practice regulations vary from state-to-state ranging from autonomous practice to direct physician oversight. The purpose of this study was to determine if clinical outcomes of older rural adult patients vary by the level of practice autonomy that states grant to NPs. Methods: This cross-sectional study analyzed data from a sample of Rural Health Clinics (RHCs) (n = 503) located in eight Southeastern states...
June 15, 2018: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/29912676/evaluation-of-team-dynamics-before-and-after-remote-simulation-training-utilizing-certain-platform
#16
Kelly M Pennington, Yue Dong, Hongchuan H Coville, Bo Wang, Ognjen Gajic, Diana J Kelm
OBJECTIVE: The current study examines the feasibility and potential effects of long distance, remote simulation training on team dynamics. DESIGN: The study design was a prospective study evaluating team dynamics before and after remote simulation. SUBJECTS: Study subjects consisted of interdisciplinary teams (attending physicians, physicians in training, advanced care practitioners, and/or nurses). SETTING: The study was conducted at nine training sites in eight countries...
December 2018: Medical Education Online
https://www.readbyqxmd.com/read/29909371/drivers-and-strategies-for-avoiding-overuse-a-cross-sectional-study-to-explore-the-experience-of-spanish-primary-care-providers-handling-uncertainty-and-patients-requests
#17
José Joaquín Mira, Irene Carrillo, Carmen Silvestre, Pastora Pérez-Pérez, Cristina Nebot, Guadalupe Olivera, Javier González de Dios, Jesús María Aranaz Andrés
OBJECTIVES: Identify the sources of overuse from the point of view of the Spanish primary care professionals, and analyse the frequency of overuse due to pressure from patients in addition to the responses when professionals face these demands. DESIGN: A cross-sectional study. SETTING: Primary care in Spain. PARTICIPANTS: A non-randomised sample of 2201 providers (general practitioners, paediatricians and nurses) was recruited during the survey...
June 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29908764/development-of-the-ripe-model-reflective-interprofessional-education-model-to-enhance-interprofessional-collaboration
#18
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29907508/using-a-real-time-location-system-to-measure-patient-flow-in-a-radiation-oncology-outpatient-clinic
#19
Kevin Conley, Chester Chambers, Shereef Elnahal, Amanda Choflet, Kayode Williams, Theodore DeWeese, Joseph Herman, Maqbool Dada
PURPOSE: Common performance metrics for outpatient clinics define the time between patient arrival and entry into an examination room as "waiting time." Time spent in the room is considered processing time. This characterization systematically ignores time spent in the examination room waiting for service. If these definitions are used, performance will consistently understate total waiting times and overstate processing times. Correcting such errors will provide a better understanding of system behavior...
May 5, 2018: Practical Radiation Oncology
https://www.readbyqxmd.com/read/29907181/a-patient-presents-with-a-history-suggestive-of-potential-elder-abuse
#20
Ghislaine Young
Catherine is an Advanced Nurse Practitioner and runs clinics in primary care where she is qualified to assess and manage patients autonomously. Today Joan, an elderly woman in her mid-80s, attends for a general health check-up. She is hypertensive and has a history of coronary artery disease. Joan is widowed and lives with her only son.
June 2018: Revue de L'infirmière
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