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Advanced practice nursing

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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
#1
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/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/29907553/development-and-evaluation-of-an-ethical-guideline-for-decisions-to-limit-life-prolonging-treatment-in-advanced-cancer-protocol-for-a-monocentric-mixed-method-interventional-study
#3
Katsiaryna Laryionava, Katja Mehlis, Elena Bierwirth, Friederike Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C Winkler
BACKGROUND: Many patients with advanced cancer receive chemotherapy close to death and are referred too late to palliative or hospice care, and therefore die under therapy or in intensive care units. Oncologists still have difficulties in involving patients appropriately in decisions about limiting tumor-specific or life-prolonging treatment. OBJECTIVE: The aim of this Ethics Policy for Advanced Care Planning and Limiting Treatment Study is to develop an ethical guideline for end-of-life decisions and to evaluate the impact of this guideline on clinical practice regarding the following target goals: reduction of decisional conflicts, improvement of documentation transparency and traceability, reduction of distress of the caregiver team, and better knowledge and consideration of patients' preferences...
June 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29894915/nursing-students-stress-and-satisfaction-in-clinical-practice-along-different-stages-a-cross-sectional-study
#4
Hanna Admi, Yael Moshe-Eilon, Dganit Sharon, Michal Mann
BACKGROUND: Research in the field of nursing students' stress shifted internationally in recent decades from Western to Eastern countries with an emphasis on Middle East and Far East countries. The clinical experience has always been at the heart of nursing education cross-culturally and is a major source of stress and attrition. OBJECTIVES: To investigate the perceptions of stress and satisfaction of undergraduate nursing students during three stages of clinical learning experiences: preclinical, clinical and advanced clinical...
June 5, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29893975/clinical-genomics-in-physical-therapy-where-to-from-here
#5
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/29893922/how-do-dutch-primary-care-providers-overcome-barriers-to-advance-care-planning-with-older-people-a-qualitative-study
#6
Jolien J Glaudemans, Anja E de Jong, Bregje D Onwuteaka Philipsen, Jan Wind, Dick L Willems
Background: Few older people benefit from advance care planning (ACP), due to several barriers related to primary care professionals, such as insufficient knowledge, negative beliefs and a lack of time. Information on overcoming these barriers is limited. We assumed primary care professionals experienced in ACP with older patients are likely to have learned how to overcome these barriers. Objective: To investigate how Dutch primary care professionals experienced in ACP with older patients overcome these barriers...
June 11, 2018: Family Practice
https://www.readbyqxmd.com/read/29893441/developing-and-sustaining-specialist-and-advanced-practice-roles-in-nursing-and-midwifery-a-discourse-on-enablers-and-barriers
#7
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
#8
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/29885457/validity-reliability-and-responsiveness-of-the-thai-palliative-care-outcome-scale-staff-and-patient-versions-among-cancer-patients
#9
Panate Pukrittayakamee, Ladarat Sapinum, Panadda Suwan, Richard Harding
BACKGROUND: Palliative care is now part of Universal Health Coverage goals. Measurement of person-centred outcomes is central to determining quality and effectiveness. Guidance in psychometrics requires tools applied in new settings to have their properties tested. AIMS: To translate staff and patient versions of the Palliative care Outcome Scale (POS version 2) into Thai, and to determine its psychometric properties among cancer patients in a Thai public hospital...
June 6, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29883269/an-eye-on-vision-five-questions-about-vision-screening-and-eye-health-part-2
#10
P Kay Nottingham Chaplin, Kira Baldonado, Susan Cotter, Bruce Moore, Geoffrey E Bradford
Current evidence-based and best practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the last 3 years and advances in research during the past 18 years. To help the busy school nurse, with little time to keep up with changes in children's vision practices and a growing body of literature, the National Center for Children's Vision and Eye Health at Prevent Blindness is providing answers to five questions that are often received from the field...
June 1, 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29878963/food-and-drug-administration-upscheduling-of-hydrocodone-and-the-effects-on-nurse-practitioner-pain-management-practices
#11
Rachel Mack
BACKGROUND AND PURPOSE: In 2013, the Advisory Committee of the Food and Drug Administration determined hydrocodone combination medications (HCMs) needed tighter regulation due to high abuse potential; they recommended upscheduling HCMs from Schedule III to II. The purpose of this study was to examine the effect of upscheduling of HCMs on pain management practices of advanced practiced registered nurses (APRNs) in Oklahoma. METHODS: In this qualitative study, 25 participants described their primary care experiences after the upscheduling...
June 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29875116/evidence-based-review-of-clinical-trials-in-neurocritical-care
#12
Molly McNett, Cristina Moran, Halee Johnson
Neurocritical care is a rapidly growing specialty of complex care for the critically ill patient with neurological injury. This rapid growth has led to an increase in the number of important clinical trials to guide clinical practice and evidence-based care of the critically ill patient with neurological injury. Specialty-trained critical care nurses and advanced practice providers are integral members of neurocritical care teams and must remain informed about pivotal trials shaping practice recommendations...
2018: AACN Advanced Critical Care
https://www.readbyqxmd.com/read/29873645/-knowledge-retain-of-bls-and-bls-d-theoretical-contents-in-a-long-term-follow-up
#13
Enrico Paolini, Elettra Conti, Federico Guerra, Alessandro Capucci
BACKGROUND: Despite the many recent improvements in basic life support (BLS) and the widespread training to a great number of lay rescuers, out-of-hospital cardiac arrest (OHCA) is still a major cause of death. Nowadays, BLS teaching protocols ask for many concepts to be learned and specific algorithms to be applied, without any available data on how much all these inputs are retained by the students. The present survey aims to evaluate how BLS is really retained by those rescuers (laypersons and nurses) who do not often put it into practice...
March 2018: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29873472/advances-in-the-pharmacological-management-of-acute-and-chronic-pain
#14
Felicia Cox
Effective management of acute and chronic pain is an important aspect of nursing practice. Relieving patients' pain requires nurses to have an understanding of the latest evidence-based approaches, which will enable them to assess pain, implement appropriate management strategies and monitor their effectiveness. This article outlines the developments in evidence-based guidelines and recommendations for the pharmacological management of acute and chronic pain, including migraine, and in the use of analgesics such as opioids...
June 6, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29871730/development-and-implementation-of-a-situation-awareness-workshop-to-advance-safe-practice-in-novice-nurses
#15
Steven J Kass, Christopher O Downing, Kahla A Davis, Stephen J Vodanovich, Cynthia Smith-Peters, Jill J Van Der Like
The current study evaluated the effectiveness of a workshop designed to provide nurses (n = 6) with the means to improve their situation awareness. The nurses participated in a full-day workshop in which their situation awareness performance was measured before and after using the Situation Awareness Global Assessment Technique. Following the workshop, nurses demonstrated improvement in their perception of relevant cues, comprehension of what the combination of cues means, and projection of the patient's future status...
May 1, 2018: Creative Nursing
https://www.readbyqxmd.com/read/29871491/core-components-of-the-rural-nurse-specialist-role-in-new-zealand
#16
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/29869813/reconceptualizing-pain-through-patient-centered-care-in-the-complementary-and-alternative-medicine-therapeutic-relationship
#17
Vinita Agarwal
AIMS: The study aim was to understand the patient description of the therapeutic relationship with their CAM provider in the context of pain self-management. BACKGROUND: Because pain is a subjective state, its assessment depends on patient perception of and response to pain. For nurses to provide empathetic and compassionate care, there is a need to explicate patient perceptions of the therapeutic relationship to (re)conceptualize models of patient-centered care...
June 5, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29868549/capacity-development-in-an-undergraduate-nursing-program-in-vietnam
#18
Sunjoo Kang, Thi Thuy Trang Ho, Thi Anh Phuong Nguyen
Background: Nurses are an essential human resource to ensure a healthy population and support the socio-economic development. However, little research has focused on the capacity development of nurses. Objective: The performance of a capacity development project for an undergraduate nursing program in Vietnam was reviewed to share lessons. Design: A descriptive case report. Setting: A baccalaureate nursing program in Vietnam from June 2014 to June 2016. Methods: A case report was analyzed in terms of the project's process, and the outcomes of 2 years' activities were evaluated...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29866081/evaluation-of-the-impact-of-the-arc-program-on-national-nursing-and-midwifery-regulations-leadership-and-organizational-capacity-in-east-central-and-southern-africa
#19
Jessica M Gross, Carey F McCarthy, Andre R Verani, Jill Iliffe, Maureen A Kelley, Kenneth W Hepburn, Melinda K Higgins, Alphonce T Kalula, Agnes N Waudo, Patricia L Riley
BACKGROUND: The African Health Professions Regulatory Collaborative (ARC) was launched in 2011 to support countries in East, Central, and Southern Africa to safely and sustainably expand HIV service delivery by nurses and midwives. While the World Health Organization recommended nurse initiated and managed antiretroviral therapy, many countries in this region had not updated their national regulations to ensure nurses and midwives were authorized and trained to provide essential HIV services...
June 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29864128/associations-between-psychosocial-work-factors-and-provider-mental-well-being-in-emergency-departments-a-systematic-review
#20
Anna Schneider, Matthias Weigl
BACKGROUND: Emergency departments (ED) are complex and dynamic work environments with various psychosocial work stressors that increase risks for providers' well-being. Yet, no systematic review is available which synthesizes the current research base as well as quantitatively aggregates data on associations between ED work factors and provider well-being outcomes. OBJECTIVE: We aimed at synthesizing the current research base on quantitative associations between psychosocial work factors (classified into patient-/ task-related, organizational, and social factors) and mental well-being of ED providers (classified into positive well-being outcomes, affective symptoms and negative psychological functioning, cognitive-behavioural outcomes, and psychosomatic health complaints)...
2018: PloS One
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