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Nurse practitioner orientation

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
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
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...
2016: Applied Clinical Informatics
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
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...
2016: Implementation Science: IS
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
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
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...
2016: African Journal of Primary Health Care & Family Medicine
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...
2016: BMJ Open
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
Hillegonda A Stallinga, Gerard J Jansen, Marijke C Kastermans, Albert Pranger, Pieter U Dijkstra, Petrie F Roodbol
AIM: To explore the focus of nurse practitioners on health care in terms of cure and care. BACKGROUND: Nurse practitioners are expected to act on the intersection of cure and care. However, in clinical practice and education, a clear model covering this area is lacking; therefore, it is unknown to what extent nurse practitioners are focused on this specific area. Graduate theses may reflect the focus of nurse practitioners. DESIGN: Sequential exploratory mixed method...
July 2016: Journal of Advanced Nursing
Michael S Irwig
OBJECTIVE: Little is known about the attitudes and practice patterns of transgender care by endocrinologists. The objective of this study was to assess the knowledge, practice patterns, access, and competency among a representative sample of endocrinologists in the mid-Atlantic region of the United States. METHODS: An anonymous 19-item paper survey was administered to 80 conference attendees that included 61 adult endocrinologists, 13 endocrinology fellows, 2 pediatric endocrinologists, and 4 nurse practitioners/physician assistants...
July 2016: Endocrine Practice
Rosemary L Hoffmann, Sara Jo Klein, Margaret Q Rosenzweig
Nurse practitioners are entering specialized areas of practice immediately after graduation from nurse practitioner (NP) education and certification and are finding employment in specialized areas such as oncology. Rapidly achieving a knowledge base in this highly specialized area of medicine coupled with the stress of the new nurse practitioner role can lead to a very difficult orientation and transition period. There are several methods to provide specialized education to NPs during their orientation period...
January 18, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
Carla J Berg, Erin Stratton, Natia Esiashvili, Ann Mertens, Robin C Vanderpool
OBJECTIVES: We examined healthcare providers' perspectives on how childhood cancer impacts young adult health behaviors and psychosocial functioning, how healthy lifestyle and psychosocial issues are addressed in this population, challenges related to addressing these issues, and potential resources for addressing them. METHODS: In 2012, we recruited 21 healthcare providers (e.g., oncologists, nurses, social workers) who treat young adult survivors of childhood cancer from a children's hospital and a cancer center in the Southeastern U...
2015: American Journal of Clinical Cancer Research
Caryn Mei Hsien Chan, Wan Azman Wan Ahmad, Mastura Md Yusof, Gwo Fuang Ho, Edward Krupat
BACKGROUND: We aimed to explore whether levels of patient-centredness, job satisfaction and psychological distress varied between oncology nurses and doctors. MATERIALS AND METHODS: In a cross-sectional study using self-administered questionnaires, a total of 24 nurses and 43 doctors were assessed for patient-centredness, psychological distress, and job satisfaction using the Patient-Practitioner Orientation Scale, Hospital Anxiety and Depression Scale, and Job Satisfaction Scale...
2015: Asian Pacific Journal of Cancer Prevention: APJCP
Keith P Sutton, Kent Patrick, Darryl Maybery, Kaytlyn Eaton
INTRODUCTION: Ongoing workforce shortages affect the provision of mental health services to rural and remote communities. This article examines the immediate impact of a novel recruitment strategy that aims to increase the number of mental health professionals commencing their careers in a rural area of Australia. METHODS: This study utilised a sequential confirmatory mixed methods design which included both online pre- and post-program surveys and semi-structured individual interviews...
October 2015: Rural and Remote Health
Margaret Yen, Franziska Trede, Carmel Patterson
Objective This research explores Nurse Managers' (NMs') influence on workplace learning. The facilitation of staff learning has implications for the role of NMs, who are responsible for the quality and safety of patient care. However, this aspect of their work is implicit and there is limited research in the area. Methods This paper discusses the findings from one hospital as part of a broader philosophical hermeneutic study conducted in two public hospitals over a 20-month timeframe. NMs participated in interviews, a period of observation, follow-up interviews and a focus group...
June 2016: Australian Health Review: a Publication of the Australian Hospital Association
Lyne St-Martin, Anastasia Harripaul, Rosetta Antonacci, Devon Laframboise, Margaret Purden
BACKGROUND: New graduate nurses (NGNs) are a precious resource, but their development from advanced beginners to competent nurses is challenging. METHOD: This qualitative descriptive study explored NGNs' perceptions of strategies that influenced their development in the first 2 years of employment. Semistructured interviews were conducted with a sample of 13 nurses. RESULTS: The study revealed that NGNs learn to master aspects of the nursing role as they construct a professional identity...
September 2015: Journal of Continuing Education in Nursing
Selverani Govender, Petra Brysiewicz, Busisiwe Bhengu
BACKGROUND: Compulsory community service (CCS) for nurses commenced in South African January 2008 after it was legislated in the new Nursing Act (Act No. 33 of 2005). Nurses completing their registered nurse programme are registered as community nurse practitioners (CNPs) during the CCS period and make up the largest number of health professionals serving CCS. Whilst health institutions have welcomed CNPs as additional resources for the shortage of nursing staff, no structured guidelines have been provided at a regional level as to how these nurses should be utilised or managed during the CCS year...
2015: Curationis
Sean M Hayes, Sophie Peloquin, Jonathan G Howlett, Karen Harkness, Nadia Giannetti, Carol Rancourt, Nancy Ricard
BACKGROUND: In North America and other industrialized countries, heart failure (HF) has become a national public health priority. Studies indicate there is significant heterogeneity in approaches to treat and manage HF and suggest targeted changes in health care delivery are needed to reduce unnecessary health care utilization and to optimize patient outcomes. Most recent published studies have reported on the care of HF patients in tertiary care hospitals and the perspective of non-specialist stakeholders on HF management, such as general practitioners and clinics or hospital administrators is rarely considered...
2015: BMC Health Services Research
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