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Nurse practitioner orientation

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https://www.readbyqxmd.com/read/28505519/impact-of-interactive-situated-and-simulated-teaching-program-on-novice-nursing-practitioners-clinical-competence-confidence-and-stress
#1
Sue-Hsien Chen, Shu-Ching Chen, Shu-Chiou Lee, Yi-Ling Chang, Kun-Yun Yeh
BACKGROUND: Novice nursing practitioners (NNPs) often struggle to make the transition to fully competent professionals. We sought to determine the impact of an interactive, situated learning workshop on a participant's clinical competence. OBJECTIVES: This work aimed to improve the clinical competence, promote the self-confidence, and reduce the number of work-related stressors of NNPs. METHODS: We randomly allocated 31 newly graduated NNPs into interactive situated and simulated teaching (ISST) and non-ISST groups, which were perceived as the homogeneity of the 2 groups based upon no significant difference at age, education level and work units...
May 6, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28459179/variables-of-individual-difference-and-the-experience-of-touch-in-nursing
#2
Monica Pedrazza, Sabrina Berlanda, Elena Trifiletti, Stefania Minuzzo
We aim to investigate nurses' feelings of comfort or discomfort with three different types of touch: task-oriented contact, touch promoting physical comfort, and touch providing emotional containment. A questionnaire was administered to a sample of 198 nurses. We present results of multiple regression analysis identifying some antecedents of nurses' feelings of comfort with touch, namely, attachment style, worry, gender, and length of service. Worry is negatively associated with task-oriented contact and touch promoting physical comfort...
April 1, 2017: Western Journal of Nursing Research
https://www.readbyqxmd.com/read/28411327/racial-differences-in-mental-health-recovery-among-veterans-with-serious-mental-illness
#3
Mana K Ali, Samantha M Hack, Clayton H Brown, Deborah Medoff, Lijuan Fang, Elizabeth A Klingaman, Stephanie G Park, Lisa B Dixon, Julie A Kreyenbuhl
Black consumers with serious mental illness (SMI) face significant challenges in obtaining quality mental health care and are at risk for experiencing significant disparities in mental health care outcomes, including recovery from mental illness. Patient-provider interactions may partly contribute to this disparity. The purpose of the current study was to understand the effects of race, psychosis, and therapeutic alliance on mental health recovery orientation among Veterans with SMI. Participants were Veterans who had an SMI being treated at two Veteran Affairs outpatient mental health clinics by a psychiatrist or nurse practitioner...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28339494/facility-type-and-primary-care-performance-in-sub-district-health-promotion-hospitals-in-northern-thailand
#4
Nithra Kitreerawutiwong, Sue Jordan, David Hughes
BACKGROUND: Poor and middle-income Thai people rely heavily on primary care health services. These are staffed by a range of professionals. However, it is unknown whether the performance of primary care varies according to the staffing and organization of local service delivery units. Tambon (sub-district) health promotion hospitals (THPHs) were introduced in 2009 to upgrade the services offered by the previous health centres, but were faced with continuing shortages of doctors and nurses...
2017: PloS One
https://www.readbyqxmd.com/read/28252495/using-simulation-to-prepare-nursing-staff-for-the-move-to-a-new-building
#5
Sara Knippa, Pol-Andre Senecal
Hospitals that expand or open new nursing units must provide training to staff providing patient care in the new space. Although expansion represents a significant investment and has substantial implications for patient care, there is little evidence to guide best practice. This article describes an approach to education, training, and orientation used by a large academic medical center in the United States, which included simulation. The results of a program evaluation are discussed, demonstrating the positive impact of this program on staff readiness and patient safety...
March 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28239896/adolescents-evaluations-of-the-quality-of-lifestyle-counselling-in-school-based-health-care
#6
Laura Myllymäki, Heidi Ruotsalainen, Maria Kääriäinen
BACKGROUND: Adolescents need effective lifestyle counselling precisely because health problems are so common. Good-quality lifestyle counselling can prevent the problems from becoming worse and decrease the costs of health care. Nurse practitioners in schools are well positioned to promote adolescent health. AIM: This study describes adolescents' evaluations of the quality of lifestyle counselling and factors related to it in school-based health care. METHODS: The data were collected from seventh- to ninth-grade adolescents (n = 846) using the Counselling Quality Instrument, from two junior high schools in northern Finland...
February 26, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/27908947/integrating-nurse-practitioners-into-intensive-care-units
#7
Shari Simone, Carmel A McComiskey, Brooke Andersen
As demand for nurse practitioners in all types of intensive care units continues to increase, ensuring successful integration of these nurses into adult and pediatric general and specialty intensive care units poses several challenges. Adding nurse practitioners requires strategic planning to define critical aspects of the care delivery model before the practitioners are hired, develop a comprehensive program for integrating and training these nurses, and create a plan for implementing the program. Key strategies to ensure successful integration include defining and implementing the role of nurse practitioners, providing options for orientation, and supporting and training novice nurse practitioners...
December 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27860414/an-exploration-of-the-factors-that-influence-nurse-practitioner-transition-in-australia-a-story-of-turmoil-tenacity-and-triumph
#8
Lorna MacLellan, Isabel Higgins, Tracy Levett-Jones
BACKGROUND AND PURPOSE: Nurse practitioner (NP) legislation was introduced in Australia in 1998 with the first NPs endorsed 2 years later. Although the number of NPs has slowly increased, they still face significant challenges adjusting to their new role. The aim of this study was to explore the factors that influence the experience of new NPs. METHODS: Ten newly appointed NPs were interviewed three to four times over a 12-month period. Using a summative content analysis, data were reduced to four key factors that influence the experience of role transition: personal, intraprofessional, interprofessional, and organizational...
March 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/27835945/external-validation-of-multidimensional-prognostic-indices-ado-bodex-and-dose-in-a-primary-care-international-cohort-proepoc-copd-cohort
#9
Maite Espantoso-Romero, Miguel Román Rodríguez, Ana Duarte-Pérez, Jaime Gonzálvez-Rey, Pedro A Callejas-Cabanillas, Durdica Kasuba Lazic, Berta Anta-Agudo, Pere Torán Monserrat, Rosa Magallon-Botaya, Biljana Gerasimovska Kitanovska, Heidrun Lingner, Radost S Assenova, Claudia Iftode, Francisco Gude-Sampedro, Ana Clavería
BACKGROUND: Due to the heterogeneous and systemic nature of the chronic obstructive pulmonary disease (COPD), the new guidelines are oriented toward individualized attention. Multidimensional scales could facilitate its proper clinical and prognostic assessment, but not all of them were validated in an international primary care cohort, different from the original ones used for model development. Therefore, our main aim is to assess the prognostic capacity of the ADO, BODEx and DOSE indices in primary care for predicting mortality in COPD patients and to validate the models obtained in subgroups of patients, classified by revised Global Initiative for Chronic Obstructive Lung Disease (2011) and updated Spanish Guideline (2014)...
November 11, 2016: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/27802843/tackling-obesity-in-areas-of-high-social-deprivation-clinical-effectiveness-and-cost-effectiveness-of-a-task-based-weight-management-group-programme-a-randomised-controlled-trial-and-economic-evaluation
#10
Hayden McRobbie, Peter Hajek, Sarrah Peerbux, Brennan C Kahan, Sandra Eldridge, Dominic Trépel, Steve Parrott, Chris Griffiths, Sarah Snuggs, Katie Myers Smith
BACKGROUND: An increasing number of people require help to manage their weight. The NHS recommends weight loss advice by general practitioners and/or a referral to a practice nurse. Although this is helpful for some, more effective approaches that can be disseminated economically on a large scale are needed. OBJECTIVE: To assess whether or not a task-based weight management programme [Weight Action Programme (WAP)] has better long-term effects than a 'best practice' intervention provided in primary care by practice nurses...
October 2016: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/27570515/promoting-safety-through-well-being-an-experience-in-healthcare
#11
Andreina Bruno, Fabrizio Bracco
Practitioners' well-being and clinical risk management are two interrelated concepts in healthcare. Patient safety, workers' safety and practitioners well-being have often been managed and measured with different methods, even though they are tightly linked. In this paper we propose a method that is suitable to increase organizational health. The action-research project aims to increase the commitment of healthcare managers and practitioners toward the development of an organizational culture which is oriented to patient and practitioner safety and well-being...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27504717/positional-plagiocephaly-reduces-parental-adherence-to-sids-guidelines-and-inundates-the-health-system
#12
A Martiniuk, J Jacob, N Faruqui, W Yu
BACKGROUND: This study sought to better understand parent, grandparent and clinician views of prevention, treatment and costs of plagiocephaly. METHODS: A qualitative study was conducted using focus groups and semi-structured interviews. A grounded theory approach was taken to build theories from the qualitative data collected. A subjectivist epistemological orientation was taken under the paradigm of positivism. RESULTS: Ninety-one parents, 6 grandparents and 24 clinicians were recruited from the community as well as primary and tertiary care clinics...
August 9, 2016: Child: Care, Health and Development
https://www.readbyqxmd.com/read/27453191/provider-use-of-a-novel-ehr-display-in-the-pediatric-intensive-care-unit-large-customizable-interactive-monitor-lcim
#13
Onur Asan, Richard J Holden, Kathryn E Flynn, Yushi Yang, Laila Azam, Matthew C Scanlon
OBJECTIVES: The purpose of this study was to explore providers' perspectives on the use of a novel technology, "Large Customizable Interactive Monitor" (LCIM), a novel application of the electronic health record system implemented in a Pediatric Intensive Care Unit. METHODS: We employed a qualitative approach to collect and analyze data from pediatric intensive care physicians, pediatric nurse practitioners, and acute care specialists. Using semi-structured interviews, we collected data from January to April, 2015...
July 20, 2016: Applied Clinical Informatics
https://www.readbyqxmd.com/read/27440748/knowledge-and-attitudes-of-irish-mental-health-professionals-to-the-concept-of-recovery-from-mental-illness-five-years-later
#14
K Gaffey, D S Evans, F Walsh
UNLABELLED: WHAT IS KNOWN ABOUT THE SUBJECT?: The Advancing Recovery in Ireland (ARI) project (Health Service Executive, 2012) promotes recovery-orientated services. A previous study of Irish mental health practitioners (Cleary & Dowling ) identified the need to improve knowledge and attitudes towards recovery. To facilitate implementation of ARI and monitor progress, this study provided a 'benchmark' of current knowledge and attitudes to recovery. WHAT THIS STUDY ADDS TO EXISTING KNOWLEDGE?: The study provides important baseline information on recovery knowledge and attitudes which can be used to assess the impact of the ARI Project...
August 2016: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/27424171/external-facilitators-and-interprofessional-facilitation-teams-a-qualitative-study-of-their-roles-in-supporting-practice-change
#15
Sylvie Lessard, Céline Bareil, Lyne Lalonde, Fabie Duhamel, Eveline Hudon, Johanne Goudreau, Lise Lévesque
BACKGROUND: Facilitation is a powerful approach to support practice change. The purpose of this study is to better understand the facilitation roles exercised by both external facilitators and interprofessional facilitation teams to foster the implementation of change. Building on Dogherty et al.'s taxonomy of facilitation activities, this study uses an organizational development lens to identify and analyze facilitation roles. It includes a concise definition of what interprofessional facilitation teams actually do, thus expanding our limited knowledge of teams that act as change agents...
July 16, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27417690/strategic-innovation-between-phd-and-dnp-programs-collaboration-collegiality-and-shared-resources
#16
Joellen Edwards, Kathleen Rayman, Sandra Diffenderfer, April Stidham
BACKGROUND: At least 111 schools and colleges of nursing across the nation provide both PhD and DNP programs (AACN, 2014a). Collaboration between nurses with doctoral preparation as researchers (PhD) and practitioners (DNP) has been recommended as essential to further the profession; that collaboration can begin during the educational process. PURPOSE: The purpose of this paper is to describe the development and implementation of successful DNP and PhD program collaboration, and to share the results of that collaboration in an educational setting...
July 2016: Nursing Outlook
https://www.readbyqxmd.com/read/27267763/how-do-general-practitioners-contribute-to-preventing-long-term-work-disability-of-their-patients-suffering-from-depressive-disorders-a-qualitative-study
#17
Chantal Sylvain, Marie-José Durand, Pascale Maillette, Lise Lamothe
BACKGROUND: Depression is a major cause of work absenteeism that general practitioners (GPs) face directly since they are responsible for sickness certification and for supervising the return to work (RTW). These activities give GPs a key role in preventing long-term work disability, yet their practices in this regard remain poorly documented. The objectives of this study were therefore to describe GPs' practices with people experiencing work disability due to depressive disorders and explore how GPs' work context may impact on their practices...
2016: BMC Family Practice
https://www.readbyqxmd.com/read/27247157/western-cape-primary-care-assessment-tool-pcat-study-measuring-primary-care-organisation-and-performance-in-the-western-cape-province-south-africa-2013
#18
MULTICENTER STUDY
Graham F Bresick, Abdul-Rauf Sayed, Cynthia Le Grange, Susheela Bhagwan, Nayna Manga, Derek Hellenberg
BACKGROUND: Major health sector reform and the need for baseline measures of performance to determine impact. AIM: Baseline audit of primary healthcare (PHC) performance. SETTING: Cape Town and Cape Winelands (rural) PHC facilities (PCFs) in Western Cape Province, South Africa. METHOD: The South African cross-culturally validated ZA PCAT to audit PHC performance on 11 subdomains associated with improved health and reduced costs...
May 19, 2016: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/27178973/economic-evaluation-of-manual-therapy-for-musculoskeletal-diseases-a-protocol-for-a-systematic-review-and-narrative-synthesis-of-evidence
#19
Chang-Gon Kim, Su-Jeong Mun, Ka-Na Kim, Byung-Cheul Shin, Nam-Kwen Kim, Dong-Hyo Lee, Jung-Han Lee
INTRODUCTION: Manual therapy is the non-surgical conservative management of musculoskeletal disorders using the practitioner's hands on the patient's body for diagnosing and treating disease. The aim of this study is to systematically review trial-based economic evaluations of manual therapy relative to other interventions used for the management of musculoskeletal diseases. METHODS AND ANALYSIS: Randomised clinical trials (RCTs) on the economic evaluation of manual therapy for musculoskeletal diseases will be included in the review...
May 13, 2016: BMJ Open
https://www.readbyqxmd.com/read/27153306/factors-related-to-successful-transition-to-practice-for-acute-care-nurse-practitioners
#20
Deborah L Dillon, Mary A Dolansky, Kathy Casey, Carol Kelley
The transition from student to acute care nurse practitioner (ACNP) has been recognized as a time of stress. The purpose of this descriptive, correlational-comparative design pilot study was to examine: (1) the relationships among personal resources, community resources, successful transition, and job retention; (2) the difference between ACNPs with 0 to 4 years and ACNPs with more than 4 years of prior experience as a registered nurse in an intensive care unit or emergency department; and (3) the skills/procedures that ACNPs found difficult to perform independently...
April 2016: AACN Advanced Critical Care
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