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Contemporary nursing

Gail G Salvatierra, Ruth C Bindler, Kenn B Daratha
PURPOSE: The purpose of this article is to present an overview of rapid response team (RRT) history in the United States, provide a review of prior RRT effectiveness research, and propose the reframing of four new questions of RRT measurement that are designed to better understand RRTs in the context of contemporary nursing practice as well as patient outcomes. ORGANIZING CONSTRUCT: RRTs were adopted in the United States because of their intuitive appeal, and despite a lack of evidence for their effectiveness...
September 26, 2016: Journal of Nursing Scholarship
Joseph D Tariman, Enisa Mehmeti, Nadia Spawn, Sarah P McCarter, Jessica Bishop-Royse, Ima Garcia, Lisa Hartle, Katharine Szubski
This study aimed to describe the contemporary role of the oncology nurse throughout the entire cancer shared decision-making (SDM) process. Study participants consisted of 30 nurses and nurse practitioners who are actively involved in direct care of patients with cancer in the inpatient or outpatient setting. The major themes that emerged from the content analysis are: oncology nurses have various roles at different time points and settings of cancer SDM processes; patient education, advocacy, and treatment side effects management are among the top nursing roles; oncology nurses value their participation in the cancer SDM process; oncology nurses believe they have a voice, but with various degrees of influence in actual treatment decisions; nurses' level of disease knowledge influences the degree of participation in cancer SDM; and the nursing role during cancer SDM can be complicated and requires flexibility...
October 1, 2016: Clinical Journal of Oncology Nursing
Natalie Susan McAndrew, Jane Leske, Kathryn Schroeter
BACKGROUND: Moral distress is a complex phenomenon frequently experienced by critical care nurses. Ethical conflicts in this practice area are related to technological advancement, high intensity work environments, and end-of-life decisions. OBJECTIVES: An exploration of contemporary moral distress literature was undertaken to determine measurement, contributing factors, impact, and interventions. REVIEW METHODS: This state of the science review focused on moral distress research in critical care nursing from 2009 to 2015, and included 12 qualitative, 24 quantitative, and 6 mixed methods studies...
September 22, 2016: Nursing Ethics
Cynda Hylton Rushton
Undisputedly, the United States' health care system is in the midst of unprecedented complexity and transformation. In 2014 alone there were well over thirty-five million admissions to hospitals in the nation, indicating that there was an extraordinary number of very sick and frail people requiring highly skilled clinicians to manage and coordinate their complex care across multiple care settings. Medical advances give us the ability to send patients home more efficiently than ever before and simultaneously create ethical questions about the balance of benefits and burdens associated with these advances...
September 2016: Hastings Center Report
Pam Grace, Aimee Milliken
Because health care professions exist to provide a good for society, ethical questions are inherently part of them. Such professions and their members can be assessed based on how effective they are in developing knowledge and enacting practices that further the health and well-being of individuals and society. The complexity of contemporary health care environments makes it important to prepare clinicians who can anticipate, recognize, and address problems that arise in practice or that prevent a profession from fulfilling its service goals and obligations...
September 2016: Hastings Center Report
Melanie Birks, Jenny Davis, John Smithson, Robyn Cant
The nursing profession comprises Australia's largest regulated health workforce yet its practice boundaries are poorly understood. The ambiguity surrounding the practice scope of nurses limits the profession's ability to fully respond to Australia's current and emerging health system challenges. The aim of this review is to explore the concept of scope of practice of registered nurses (RN) in Australia, as reflected in contemporary literature. An integrative review of literature relating to the scope of practice of the Australian registered nurse published between 2007 and 2014 was conducted...
October 13, 2016: Contemporary Nurse
Danette Alexander, Lincoln Abbott, Qiuping Zhou, Ilene Staff
: Contemporary emergency departments experience crowded conditions with poor patient outcomes. If triage nurses could accurately predict admission, one theoretical intervention to reduce crowding is to place patients in the admission cue on arrival to the emergency department. The purpose of this study was to determine if triage nurses could accurately predict patient dispositions. METHODS: This prospective study was conducted in a tertiary academic hospital's emergency department using a data collection tool embedded in the ED electronic information system...
September 13, 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
David B Bekelman, Larry A Allen, Jamie Peterson, Brack Hattler, Edward P Havranek, Diane L Fairclough, Connor F McBryde, Paula M Meek
While contemporary heart failure management has led to some improvements in morbidity and mortality, patients continue to report poor health status (i.e., burdensome symptoms, impaired function, and poor quality of life). The Collaborative Care to Alleviate Symptoms and Adjust to Illness (CASA) trial is a NIH-funded, three-site, randomized clinical trial that examines the effect of the CASA intervention compared to usual care on the primary outcome of patient-reported health status at 6months in patients with heart failure and poor health status...
September 12, 2016: Contemporary Clinical Trials
Donna J Perry, Danny G Willis, Kenneth S Peterson, Pamela J Grace
This article expands upon previous work by the authors to develop a model of nursing essential and effective freedom to facilitate nursing action in behalf of social justice. The article proposes that while social justice is rooted in nursing's ontological, epistemological, and moral foundations, the discipline's social justice mandate is constrained by its historical and contemporary location within an institutionalized medical paradigm. We present a model of nursing "essential" and "effective" freedom based on the philosophy of Bernard Lonergan to illustrate how nursing can transcend these barriers...
September 7, 2016: ANS. Advances in Nursing Science
Fiona Timmins, Maryanne Murphy, Thelma Begley, Freda Neill, Greg Sheaf
National and international professional health and nursing guidelines recommend that attention should be given to the spiritual and religious needs of patients. This suggests that spiritual care is an important aspect of holistic patient care that needs to be considered and supported, if relevant, in a healthcare context. However, many nurses lack knowledge and awareness of the subject, and it is unclear to what extent core textbooks provide the information they need. This article reports on a study that explored the extent to which contemporary core nursing textbooks support and advocate the provision of spiritual care by nurses...
September 2016: Nursing Management (Harrow)
Thayane Roberto Simões de Lucca, Marli Terezinha Oliveira Vannuchi, Mara Lúcia Garanhani, Brígida Gimenez Carvalho, Paloma de Souza Cavalcante Pissinati
OBJECTIVE: To understand the meaning of care management attributed by faculty members of a nursing course from the viewpoint of complex thinking. METHODS: Qualitative and comprehensive research with case studies, and individual interviews with 17 faculty members of a nursing course of a public university in southern Brazil. The data were subjected to comprehensive analysis based on the principle of complex thinking of Edgar Morin. RESULTS: Two categories emerged: "classical fragmentation versus the contemporary whole" and "teaching care management and the nursing work process", whereby it was observed that despite the integrating proposal of the curriculum, care management is viewed as fragmented...
September 2016: Revista Gaúcha de Enfermagem
Angela L Matwick, Roberta L Woodgate
Social justice is presented frequently as a core or shared value at the very foundation of nursing practice. Despite its acceptance as a core value, its use is varied and there has been inherent difficulty in establishing a definitive explanation for what is meant by social justice. As such, a clearly defined meaning for the concept of social justice does not exist in contemporary nursing literature. Following the method outlined by Walker and Avant, an analysis of the concept of social justice provides clarity to the meaning of social justice as it is used within the nursing profession, in academia, education, and practice...
August 23, 2016: Public Health Nursing
Charmaine McPherson, Sume Ndumbe-Eyoh, Claire Betker, Dianne Oickle, Nancy Peroff-Johnston
BACKGROUND: Effectively addressing the social determinants of health and health equity are critical yet still-emerging areas of public health practice. This is significant for contemporary practice as the egregious impacts of health inequities on health outcomes continue to be revealed. More public health organizations seek to augment internal organizational capacity to address health equity while the evidence base to inform such leadership is in its infancy. The purpose of this paper is to report on findings of a study examining key factors influencing the development and implementation of the social determinants of health public health nurse (SDH-PHN) role in Ontario, Canada...
2016: International Journal for Equity in Health
Debbie Barry, Trish Houghton, Tyler Warburton
This article, the ninth in a series of 11, provides guidance for new and established mentors and practice teachers on evidence-based practice, the seventh domain of the Nursing and Midwifery Council's Standards to Support Learning and Assessment in Practice (SSLAP). Evidence-based practice is an important aspect of contemporary healthcare and is central to student preparation programmes for nursing, midwifery and specialist community public health nursing (SCPHN). The article describes evidence-based practice, discussing the importance and implementation of an evidence-based approach in the context of role development for mentors and practice teachers in the preparation of nursing, midwifery and SCPHN students...
August 17, 2016: Nursing Standard
Jessica Barkimer
Clinical growth is an essential component of nursing education, although challenging to evaluate. Considering the paradigm shift toward constructivism and student-centered learning, clinical growth requires an examination within contemporary practices. A concept analysis of clinical growth in nursing education produced defining attributes, antecedents, and consequences. Attributes included higher-level thinking, socialization, skill development, self-reflection, self-investment, interpersonal communication, and linking theory to practice...
July 2016: ANS. Advances in Nursing Science
Fenella J Gill, Tina Kendrick, Hugh Davies, Melanie Greenwood
BACKGROUND: Observational work to develop the ACCCN Competency Standards was undertaken more than 20 years ago. Since then the landscape of critical care nursing as a specialty has changed and it is not known if the Competency Standards reflected contemporary practice. OBJECTIVES: To revise the ACCCN Competency Standards for Specialist Critical Care Nurses to ensure they continue to meet the needs of critical care nurses and reflect current practice. METHODS: A two-phased project was undertaken...
July 27, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Uroš Rajkovič, Marija Milavec Kapun, Dejan Dinevski, Vesna Prijatelj, Marija Zaletel, Olga Šušteršič
Health documentation is a prerequisite for good and sustainable health and social care. It is especially important for patient involvement and their empowerment. A transition from paper to e-documentation together with the electronic patient record should be based on thorough knowledge of the current state of documentation and its usages. The main objective of this paper was to analyse which documents and work methods of documenting processes within nursing are being used within different environments. Furthermore, what are the main reasons for their discrepancies from theoretical approaches and best practices...
September 2016: Journal of Medical Systems
(no author information available yet)
Being able to understand research language is a requisite for the contemporary nurse in the era of evidence-based care provision. The user-friendly text provides extremely accessible information for this purpose.
July 20, 2016: Nursing Standard
Evridiki Papastavrou, Maria Dimitriadou, Haritini Tsangari, Christos Andreou
BACKGROUND: The acquisition of quality clinical experience within a supportive and pedagogically adjusted clinical learning environment is a significant concern for educational institutions. The quality of clinical learning usually reflects the quality of the curriculum structure. The assessment of the clinical settings as learning environment is a significant concern within the contemporary nursing education. The nursing students' satisfaction is considered as an important factor of such assessment, contributing to any potential reforms in order to optimize the learning activities and achievements within clinical settings...
2016: BMC Nursing
Gavin J Andrews
Spatial thought is undergoing somewhat of a renaissance in nursing. Building on a long disciplinary tradition of conceptualizing and studying 'nursing environment', the past twenty years has witnessing the establishment and refinement of explicitly geographical nursing research. This article - part one in a series of two - reviews the perspectives taken to date, ranging from historical precedent in classical nursing theory through to positivistic spatial science, political economy, and social constructivism in contemporary inquiry...
October 2016: Nursing Philosophy: An International Journal for Healthcare Professionals
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