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Nurse practitioner policy

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https://www.readbyqxmd.com/read/29444736/recognition-of-the-complexity-facing-residential-care-homes-a-practitioner-inquiry
#1
Jenny Dudman, Julienne Meyer, Cheryl Holman, Wendy Moyle
Aim To explore the experiences and challenges for residential care home staff when managing the healthcare needs of their residents, in particular those living with dementia. BACKGROUND: Increasing number of older people, with complex health and social care needs are living in residential care homes. Yet there is limited appreciation of why staff sometimes struggle to manage residents' healthcare needs, or understanding of their working relationship with district nurses (DNs), whose responsibility it is to provide nursing support...
February 15, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29443434/expanding-the-abortion-provider-workforce-a-qualitative-study-of-organizations-implementing-a-new-california-policy
#2
Molly Frances Battistelli, Sara Magnusson, M Antonia Biggs, Lori Freedman
CONTEXT: Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. METHODS: Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions...
February 14, 2018: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/29442472/safe-transfusion-of-blood-components
#3
Alister Jones
Administering the wrong blood component to the wrong patient can have serious clinical consequences, including death. Patients have a right to safe clinical practice in line with nurses' professional standards and code of conduct, and other healthcare regulatory frameworks. Transfusion of blood components is no exception to this; therefore, it is important for healthcare organisations to have policies in place to support healthcare practitioners in ensuring patient safety throughout the transfusion process...
February 14, 2018: Nursing Standard
https://www.readbyqxmd.com/read/29438575/primary-care-professionals-providing-non-urgent-care-in-hospital-emergency-departments
#4
REVIEW
Daniela Gonçalves-Bradley, Jaspreet K Khangura, Gerd Flodgren, Rafael Perera, Brian H Rowe, Sasha Shepperd
BACKGROUND: In many countries emergency departments (EDs) are facing an increase in demand for services, long waits, and severe crowding. One response to mitigate overcrowding has been to provide primary care services alongside or within hospital EDs for patients with non-urgent problems. However, it is unknown how this impacts the quality of patient care and the utilisation of hospital resources, or if it is cost-effective. This is the first update of the original Cochrane Review published in 2012...
February 13, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29429309/the-experiences-of-patients-and-carers-living
#5
Stephen R Leeder, Tanisha Jowsey, Justin W McNab
BACKGROUND: Non-communicable diseases (NCDs) are increasing in prevalence and straining health systems globally. This creates a so-called 'burden of disease', which can be traced in terms of fiscal health system matters and in terms of quality of life and lived experiences of people with NCDs. The United Nations has called for a global agenda to manage NCDs and reduce their burden. OBJECTIVE: The purpose of this article is to summarise key findings from the Serious and Continuing Illness Policy and Practice Study concerning patients’ and carers’ experiences of multimorbid NCDs in Australia...
January 2018: Aust J Gen Pract
https://www.readbyqxmd.com/read/29424573/a-multi-method-evaluation-of-interprofessional-education-for-healthcare-professionals-caring-for-women-during-and-after-pregnancy
#6
Ellinor Olander, Rose Coates, Judy Brook, Susan Ayers, Debra Salmon
This multi-method evaluation assessed the perceived impact of interprofessional workshops targeting enhanced collaboration between healthcare professionals who care for women during and after pregnancy. Current policy recommends partnership working to improve care for women and babies, however, there is little interprofessional education in this area. Five one-day workshops were delivered to 18 healthcare professionals (47.4% of the 38 healthcare professionals registered). The workshop was evaluated through questionnaires before and after the workshop measuring attitudes and willingness towards collaboration; observations of the workshops by a researcher and follow-up interviews 2 months' post-workshop to explore changes in practice...
February 9, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29424436/predictors-of-saudi-nursing-students-attitudes-towards-environment-and-sustainability-in-health-care
#7
J P Cruz, F Alshammari, R F D Felicilda-Reynaldo
AIM: This study aimed to investigate the predictors of Saudi nursing students' attitudes towards the environment and sustainability in health care. BACKGROUND: With rising temperature and decreasing annual rainfall, Saudi Arabia is threatened by the harmful effects of climate change on its population. In response to these threats, the Ministry of Health adapted sustainable development and environmental preservation in their National E-Health strategy. INTRODUCTION: To implement these policies successfully, healthcare practitioners should be educated on how climate change could impact human health negatively...
February 9, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29406472/novel-approach-to-emergency-departments-pediatric-readiness-across-a-health-system
#8
Isabel A Barata, Joriane M Stadnyck, Meredith Akerman, Kate OʼNeill, Jill Castaneda, Anupama Subramony, Paula Fessler, Charles Schleien, John DʼAngelo
STUDY OBJECTIVE: A gap analysis of emergency departments' (EDs') pediatric readiness across a health system was performed after the appointment of a service line health system pediatric emergency medicine (PEM) quality director. METHODS: A 55-question survey was completed by each eligible ED to generate a weighted pediatric readiness score (WPRS). The survey included questions regarding volume, ED configuration, presence of a pediatric emergency care coordinator (PECC), quality initiatives, policies and procedures, and equipment...
February 5, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/29404881/appointment-scheduling-in-multi-stage-outpatient-clinics
#9
Kenneth J Klassen, Reena Yoogalingam
Healthcare providers can benefit from adding less costly capacity to their existing resources in order to satisfy demand while maintaining the quality of patient care. The addition of mid-level service providers (MLSPs) such as physician assistants or nurse practitioners that carry out portions of patient care provides a viable alternative for adding physician capacity. This research considers the circumstances under which adding an MLSP to a single-physician outpatient office becomes the best strategy for the clinic, and determines how scheduling policies from the widely-researched single-stage environment should be adjusted for a multi-stage environment...
February 5, 2018: Health Care Management Science
https://www.readbyqxmd.com/read/29369887/grade-experience-of-online-nurse-practitioner-students-effects-of-taking-more-than-1-clinical-course-per-term
#10
Phyllis D Morgan, Jennifer Stone, Mahaman Moussa, Joshua Fogel, Linda Steele
This study examined the grade experience for online nurse practitioner students (N = 3760) who took more than 1 clinical course per academic term as compared with those who did not. Students who had more than 1 clinical course per term had a greater percentage of clinical course failures than other students (2.1% vs 0.8%, P = .001). Nurse practitioner programs should develop clear policies and guidelines for students taking more than 1 clinical course at a time.
January 25, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29338741/knowledge-and-practices-of-general-practitioners-at-district-hospitals-towards-cervical-cancer-prevention-in-burundi-2015-a-cross-sectional-study
#11
Zacharie Ndizeye, Davy Vanden Broeck, Heleen Vermandere, John Paul Bogers, Jean-Pierre Van Geertruyden
BACKGROUND: Well-organized screening and treatment programmes are effective to prevent Invasive Cervical Cancer (ICC) in LMICs. To achieve this, the World Health Organization (WHO) recommends the involvement of existing health personnel in casu doctors, nurses, midwives in ICC prevention. A necessary precondition is that health personnel have appropriate knowledge about ICC. Therefore, to inform policy makers and training institutions in Burundi, we documented the knowledge and practices of general practitioners (GPs) at district hospital level towards ICC control...
January 16, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29338539/primary-care-provider-experience-with-breast-density-legislation-in-massachusetts
#12
Christine M Gunn, Nancy R Kressin, Kristina Cooper, Cinthya Marturano, Karen M Freund, Tracy A Battaglia
BACKGROUND: Dense breasts on mammography independently increases breast cancer risk and decreases mammography sensitivity. Thirty-two states have adopted notification laws to raise awareness among women with dense breasts about supplemental screening. Little is known about these policies' impact on clinical practice among primary care providers (PCPs). MATERIALS AND METHODS: This study explores PCP attitudes, knowledge, and the impact of the Massachusetts dense breast notification legislation on clinical practice after its enactment in 2015...
January 17, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29336920/pediatric-nurse-practitioners-perspectives-on-health-care-transition-from-pediatric-to-adult-care
#13
Lisa Lestishock, Alison Moriarty Daley, Patience White
INTRODUCTION: This study examined the perspectives of pediatric nurse practitioners (PNPs) regarding the needs of adolescents, parents/caregivers, clinicians, and institutions in the health care transition (HCT) process for adolescents/young adults. METHODS: PNPs (N = 170) participated in a luncheon for those interested in transition at an annual conference. Small groups discussed and recorded their perspectives related to health care transition from adolescent to adult services...
January 12, 2018: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/29319251/time-to-revisit-recommendations-on-doctor-to-population-ratio-in-india
#14
Madhav G Deo
A buzzword in Indian press and amongst the policy makers is that India is short of the WHO recommended doctor to population ratio of 1:1000. The recommendations were formulated to facilitate programs to achieve some of the health related UN-Millennium Development Goals (MDGs). Infections and malnutrition, which can be comfortably handled by a basic MBBS doctor, were the dominant health issues at the time of the formulation of the MDGs. However, all countries worldwide are going through health epidemiological transition and health impact of the non-communicable disorders (NCDs) can be no more ignored even by the low income nations...
October 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/29314366/barriers-to-midwives-and-nurses-addressing-mental-health-issues-with-women-the-mind-mothers-study
#15
Agnes Higgins, Carmel Downes, Mark Monahan, Ailish Gill, Stephen A Lamb, Margaret Carroll
AIM: To explore barriers to midwives and nurses addressing mental health issues with women during the perinatal period. BACKGROUND: Perinatal mental health is considered an important public health issue with health policy internationally identifying the importance of psychological support for women in the perinatal period. Midwives and primary care nurses are ideally positioned to detect mental distress early, but evidence suggests that they are reluctant to discuss mental health issues with women during pregnancy or in the postnatal period...
January 3, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29280708/justifying-rehabilitation-intensity-through-functional-performance-measures-in-postacute-care
#16
Christine Kroll, Thomas Fisher
The Centers for Medicare and Medicaid Services (CMS) has scrutinized the provision of rehabilitation services in skilled nursing facilities (SNFs) for some time. Little research guidance exists on appropriate dosage or rehabilitation intensity (RI) among SNF patients or patients in other postacute care (PAC) settings. CMS developed a PAC assessment, the Continuity Assessment Record and Evaluation (CARE) Tool, in response to questions about what issues drive placement in various PAC settings under Medicare. The ability to adequately assess functional outcomes and correlate them to the RI provided by using the CARE Tool is promising...
January 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29217143/team-work-and-collaborative-practice-agreements-among-pharmacists-and-nurse-practitioners
#17
Kylee A Funk, Krystalyn K Weaver
OBJECTIVES: The authors share their knowledge about partnering and establishing collaborative practice agreements with nurse practitioners. State laws and regulations were reviewed that affect pharmacists' ability to fully partner with nurse practitioners. SUMMARY: Nurse practitioners' role in primary care is growing, and, in many states, nurse practitioners practice independently. Collaborative practice agreements (CPAs) enable pharmacists to work with prescribers more efficiently...
December 4, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29204104/assessing-the-consultation-and-relational-empathy-care-measure-in-sexual-health-nurses-consultations
#18
Annemieke P Bikker, Bridie Fitzpatrick, Douglas Murphy, Lorraine Forster, Stewart W Mercer
Background: Increasingly healthcare policies emphasise the importance of person-centred, empathic care. Consequently, healthcare professionals are expected to demonstrate the 'human' aspects of care in training and in practice. The Consultation and Relational Empathy (CARE) Measure is a patient-rated measure of the interpersonal skills of healthcare practitioners. It has been widely validated for use by healthcare professionals in both primary and secondary care. This paper reports on the validity and reliability of the CARE Measure with sexual health nurses...
2017: BMC Nursing
https://www.readbyqxmd.com/read/29202651/why-equity-in-health-and-in-access-to-health-care-are-elusive-insights-from-canada-and-south-africa
#19
Solomon Benatar, Terrence Sullivan, Adalsteinn Brown
Health and access to health care vary strikingly across the globe, and debates about this have been pervasive and controversial. Some comparative data in Canada and South Africa illustrate the complexity of achieving greater equity anywhere, even in a wealthy country like Canada. Potential bi-directional lessons relevant both to local and global public health are identified. Both countries should consider the implications of lost opportunity costs associated with lack of explicit resource allocation policies...
December 4, 2017: Global Public Health
https://www.readbyqxmd.com/read/29193041/early-nurse-attrition-in-new-zealand-and-associated-policy-implications
#20
L Walker, J Clendon
AIM: To examine the factors contributing to nurses choosing to exit the nursing profession before retirement age. BACKGROUND: Population growth, ageing and growing demand for health services mean increased demand for nurses. Better retention could help meet this demand, yet little work has been done in New Zealand to understand early attrition. METHODS: An online survey of registered and enrolled nurses and nurse practitioners who had left nursing was used...
November 28, 2017: International Nursing Review
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