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https://www.readbyqxmd.com/read/29422167/identification-of-populations-at-risk-stillbirth-toolkit-for-health-care-providers
#1
Amy L Ford, Mary E Cramer, Leeza Struwe
BACKGROUND: Maternity care and women's health are measured, in part, by the stillbirth rate of a country. The purposes of this pilot project were to: a) establish a baseline of health care provider knowledge regarding stillbirth risk factors based on geographic distribution (urban/rural) and provider licensure (MD, APRN, PA, CNM) and b) evaluate the utility of a Stillbirth Risk Factor Toolkit and its effects on provider knowledge. METHODS: Evaluative research using a retrospective pre-posttest survey design was completed...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29422147/alcohol-and-drug-screening-and-brief-intervention-behaviors-among-advanced-practice-registered-nurse-aprn-students-in-clinical-settings
#2
Katherine Covington, J Aaron Johnson, Dena Henry, Sharon Chalmers, Freida Payne, Linda Tuck, J Paul Seale
Previous research on training health professionals to identify and address unhealthy alcohol and drug use in patients through screening, brief intervention, and referral to treatment (SBIRT) has found that training increases knowledge about substance use and increases students' confidence in addressing substance use in patients. To date, however, there is little information on how health professional students integrate SBIRT into individual practice. Within a U.S. SBIRT training consortium, advanced practice registered nurse (APRN) students were required to practice SBIRT in clinical settings and complete assessment logs for each patient screened...
February 2018: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/29411244/strain-screening-from-traditional-fermented-soybean-foods-and-induction-of-nattokinase-production-in-bacillus-subtilis-mx-6
#3
Li-Li Man, Dian-Jun Xiang, Chun-Lan Zhang
The plasminogen-free fibrin plate assay method was used to isolate Bacillus subtilis MX-6, a strain with high production of nattokinase from Chinese douchi. The presence of aprN, a gene-encoding nattokinase, was verified with PCR method. The predicted amino acid sequence was aligned with homologous sequences, and a phylogenetic tree was constructed. Nattokinase was sublimated with ammonium sulfate, using a DEAE-Sepharose Fast Flow column, a CM-Sepharose Fast Flow column and a Sephadex G-75 gel filtration column...
February 6, 2018: Probiotics and Antimicrobial Proteins
https://www.readbyqxmd.com/read/29369869/removing-practice-barriers
#4
Fran Kritz
States continue to expand practice authority and innovation opportunities for APRNS.
February 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29330178/development-of-an-efficient-genome-editing-tool-in-bacillus-licheniformis-using-crispr-cas9-nickase
#5
Kaifeng Li, Dongbo Cai, Zhangqian Wang, Zhili He, Shouwen Chen
Bacillus strains are important industrial bacteria that can produce various biochemical products. However, low transformation efficiencies and a lack of effective genome editing tools have hindered its widespread application. Recently, clustered regularly interspaced short palindromic repeat (CRISPR)/cas9 techniques have been utilized in many organisms as genome editing tools because of their high efficiency and easy manipulation. In this study, an efficient genome editing method was developed for Bacillus licheniformis using a CRISPR-Cas9 nickase integrated into the genome of B...
January 12, 2018: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/29306423/institute-for-emergency-nursing-advanced-practice-advisory-council-focusing-on-aprn-issues
#6
Karen Reilly Follin, Carla B Brim, Margaret J Carman
No abstract text is available yet for this article.
January 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/29300295/role-of-the-aprn-wound-care-clinician-in-the-management-of-lower-extremity-arterial-disease-wounds
#7
Kathy Kump
No abstract text is available yet for this article.
January 2018: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29240621/30th-annual-aprn-legislative-update-improving-access-to-healthcare-one-state-at-a-time
#8
Susanne J Phillips
The Annual Legislative Update describes recent legislative changes to practice, reimbursement, and prescriptive authority that have the most impact on NPs and other advanced practice nurses across the country.
January 15, 2018: Nurse Practitioner
https://www.readbyqxmd.com/read/29237105/nephrology-nursing-scope-and-standards-of-practice-integration-into-clinical-practice
#9
Norma J Gomez, Debra Castner, Debra Hain
The eighth edition of the Nephrology Nursing Scope and Standards of Practice, published by the American Nephrology Nurses Association (Gomez, 2017), defines the scope of nephrology nursing practice, and provides standards of practice and professional performance in an approach similar to the American Nurses Association (ANA) 2016 standards. ANNA's eighth edition of the Nephrology Nursing Scope and Standards of Practice incorporates competencies for graduate level-prepared nurses in addition to the registered nurse (RN) and advanced practice registered nurse (APRN)...
January 2017: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/29227383/the-aprn-as-servant-leader
#10
Lauren Olvera, Kelly Hunt, Keara Johnson, Sandy Y Li
No abstract text is available yet for this article.
January 2018: Journal of Christian Nursing: a Quarterly Publication of Nurses Christian Fellowship
https://www.readbyqxmd.com/read/29208447/impact-of-advanced-practice-registered-nurses-on-quality-measures-the-missouri-quality-initiative-experience
#11
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius, Bin Ge, Gregory Petroski
PURPOSE: The purpose of this article is to review the impact of advanced practice registered nurses (APRNs) on the quality measure (QM) scores of the 16 participating nursing homes of the Missouri Quality Initiative (MOQI) intervention. The MOQI was one of 7 program sites in the US, with specific interventions unique to each site tested for the Centers for Medicaid and Medicare Services Innovations Center. While the goals of the MOQI for long-stay nursing home residents did not specifically include improvement of the QM scores, it was anticipated that improvement most likely would occur...
December 2, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29194336/international-nursing-constructing-an-advanced-practice-registered-nurse-practice-model-in-the-uae-using-innovation-to-address-cultural-implications-and-challenges-in-an-international-enterprise
#12
Sue A Behrens
Despite utilization of the advanced practice registered nurse (APRN) in the United States health care system, there is little information about the introduction, utilization, and challenges of the APRN role globally, especially in the Middle East. This article will look at how one hospital in the United Arab Emirates introduced the APRN role to a health care environment of a country where it has not been recognized historically. Cultural challenges and barriers for the implementation of the role include regulatory, societal, and institutional...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29191762/aprn-conducted-medication-reviews-for-long-stay-nursing-home-residents
#13
Amy Vogelsmeier, Lori Popejoy, Charles Crecelius, Sabrina Orique, Greg Alexander, Marilyn Rantz
OBJECTIVE: As part of the Missouri Quality Initiative (MOQI) to reduce hospitalizations for long-stay nursing home residents, this article describes reasons MOQI advanced practice registered nurses (APRNs) recommended medication order changes as part of their medication review process as well as the outcomes of their recommendations. DESIGN: Cross-sectional descriptive study of MOQI APRN-conducted medication reviews. SETTING: Long-stay nursing homes participating in the MOQI project...
November 28, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29107257/translating-evidence-into-practice-how-advanced-practice-rns-can-guide-nurses-in-challenging-established-practice-to-arrive-at-best%C3%A2-practice
#14
Jennifer L Fencl, Candace Matthews
Nursing is an information-intensive profession, requiring nurses to have high information literacy and the skills to find, understand, evaluate, and use information from a multitude of sources. The advanced practice RN (APRN) is a valuable resource to support and guide nurses in this effort. The APRN's skills encompass understanding and implementing evidence-based practice, evaluating the organizational structure (eg, units, facilities, multisystem organizations) across the continuum of care, and facilitating collaboration between perioperative nurses and other interprofessional team members to sustain practice changes in the clinical setting...
November 2017: AORN Journal
https://www.readbyqxmd.com/read/28993075/call-to-action-aprns-in-u-s-nursing-homes-to-improve-care-and-reduce-costs
#15
Marilyn J Rantz, Nancy M Birtley, Marcia Flesner, Charles Crecelius, Cathy Murray
BACKGROUND: Centers for Medicare and Medicaid Innovation Center sponsored the initiative to reduce avoidable hospitalizations among nursing facility residents. PURPOSE: Missouri Quality Initiative (MOQI) designed inter-professional model in nursing homes with advanced practice registered nurses (APRNs). METHOD: MOQI APRN model was implemented for 4 years in 16 nursing homes in a metro area of the Midwest. Hospitalizations were reduced (40% all-cause, 58% potentially avoidable), emergency room visits (54% all-cause, 65% potentially avoidable), Medicare expenditures for hospitalizations (34% all-cause, 45% potentially avoidable), and Medicare expenditures for emergency room visits (50% all-cause, 60% potentially avoidable) for long-stay nursing home residents...
September 21, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28968340/reducing-avoidable-hospitalizations-and-improving-quality-in-nursing-homes-with-aprns-and-interdisciplinary-support-lessons-learned
#16
Marilyn J Rantz, Lori Popejoy, Amy Vogelsmeier, Colleen Galambos, Greg Alexander, Marcia Flesner, Cathy Murray, Charles Crecelius
No abstract text is available yet for this article.
January 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28899303/philosophical-clarity-and-justifying-the-scope-of-advanced-practice-nursing
#17
Pamela G Reed
The United States (US) Department of Veterans Affairs proposed a policy change for nursing practice that would grant full practice authority to advanced practice registered nurses (APRNs) nationwide. In this article, the author briefly explains this proposed policy and explores the relevance and implications of bringing philosophy into policy debates and discussions about the nature and scope of practice.
January 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28865985/extended-continuous-measures-of-functional-status-in-community-dwelling-persons-with-alzheimer-s-and-related-dementia-infrastructure-performance-tradeoffs-preliminary-data-and-promise
#18
Bradley Zylstra, George Netscher, Julien Jacquemot, Michael Schaffer, Galen Shen, Angela D Bowhay, Tamara L Braley, Katherine L Possin, Bruce L Miller, Alexandre M Bayen, Stephen J Bonasera, A Katrin Schenk
BACKGROUND: The past decades have seen phenomenal growth in the availability of inexpensive and powerful personal computing devices. Efforts to leverage these devices to improve health care outcomes promise to remake many aspects of healthcare delivery, but remain in their infancy. NEW METHOD: We describe the development of a mobile health platform designed for daily measures of functional status in ambulatory, community dwelling subjects, including those who have Alzheimer's disease or related neurodegenerative disorders...
September 1, 2017: Journal of Neuroscience Methods
https://www.readbyqxmd.com/read/28859003/a-rural-grow-your-own-strategy-building-providers-from-the-local-workforce
#19
Ingrid M Johnson
Rural health care leaders are increasingly tasked with the responsibility of providing health access to 21% of the national population with only 10% of the provider workforce. Provider recruitment strategies offering loan repayment have had some success in the short term but are less impactful at creating a long-term retention rate, unless the providers have an existing connection to either the community in which they are working or rural health care. Responding to these data, a demonstration project and study has been underway in Colorado to test a rural focused "grow your own" advanced practice registered nurse (APRN) model...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28834807/scope-of-practice-barriers-for-advanced-practice-registered-nurses-a-state-task-force-to-minimize-barriers
#20
Maria A Lofgren, Susan K Berends, Jimmy Reyes, Carmen Wycoff, Meghan Kinnetz, Ami Frohling, Laura Baker, Sue Whitty, Mary Dirks, Mary OʼBrien
Collegial relationships, administrative champions, and persistence are key components to breaking down barriers to advanced practice RN (APRN) practice. This article addresses how Iowa APRNs in a state-sanctioned task force identified barriers for practicing at the top of their licensure in a full practice authority state including defending the right to control the scope of nursing practice in court.
September 2017: Journal of Nursing Administration
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