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https://www.readbyqxmd.com/read/28936009/collaborative-care-in-ambulatory-psychiatry-content-analysis-of-consultations-to-a-psychiatric-pharmacist
#1
REVIEW
Dorothy Gotlib, Jolene R Bostwick, Seema Calip, Elizabeth Perelstein, Jacob E Kurlander, Thomas Fluent
OBJECTIVES: To determine the volume and nature (or topic) of consultations submitted to a psychiatric pharmacist embedded in an ambulatory psychiatry clinic, within a tertiary care academic medical center and to increase our understanding about the ways in which providers consult with an available psychiatric pharmacist. EXPERIMENTAL DESIGN: Authors analyze and describe the ambulatory psychiatric pharmacist consultation log at an academic ambulatory clinic. All consultation questions were submitted between July 2012 and October 2014...
September 15, 2017: Psychopharmacology Bulletin
https://www.readbyqxmd.com/read/28929554/optimizing-patient-and-public-involvement-ppi-identifying-its-essential-and-desirable-principles-using-a-systematic-review-and-modified-delphi-methodology
#2
Rebecca L Baines, Sam Regan de Bere
BACKGROUND: There is international interest in the active involvement of patients and the public. However, consensus on how best to optimize its application is currently unavailable. OBJECTIVE: To identify and assess the underlying principles of patient and public involvement (PPI) in health and social care services, research, education and regulation across medicine, dentistry and nursing. DESIGN: A four-phase methodology: (i) an extensive systematic review of published and grey literature; (ii) inductive thematic analysis of review findings; (iii) development of best practice principles; and (iv) consensus testing of identified principles using a modified Delphi methodology...
September 19, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28891879/accelerating-the-development-of-higher-level-clinical-thinking-in-novice-nurses
#3
Sonya A Flanders, Sharon Gunn, Megan Wheeler, Emily Newsome, Helen Altman Klein
Enhancing clinical expertise of novice nurses is a challenge for nursing professional development practitioners. Time and availability of expert preceptors are limited. This article describes a process evaluation project using a specific method of cognitive skills training to expose inexperienced nurses to expert thinking and help them develop more advanced cognitive skills. Development of scenarios, decision points, and expert rationale is described along with project outcomes and lessons learned. Nursing professional development practitioners and inexperienced nurses may benefit from using this method...
September 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28880423/variation-in-job-titles-within-the-nursing-workforce
#4
Alison Leary, Katrina Maclaine, Paul Trevatt, Mark Radford, Geoffrey Punshon
AIMS AND OBJECTIVES/BACKGROUND: The work of specialist nursing has been under scrutiny for many years in the UK due to a perception that it is not cost-effective. A common issue is the lack of consistency of job titles, which causes confusion to the public, employing organisations, colleagues and commissioners of services. Lack of consistency has implications for the wider perception of advanced specialist practice in the worldwide community and the workforce more generally. This study aims to understand the variation in job titles in the UK population...
September 7, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28876446/use-of-simulation-to-integrate-cultural-humility-into-advanced-health-assessment-for-nurse-practitioner-students
#5
Abraham N Ndiwane, Nancy C Baker, Antonia Makosky, Patricia Reidy, Anthony J Guarino
BACKGROUND: Increasing cultural humility among nursing students requires the application of knowledge and skills. The integration of an Objective Structured Clinical Examination (OSCE) offered nurse practitioner students practice in simulation. METHOD: This learning activity included pre- and postassessments of knowledge regarding cultural issues and level of student satisfaction. Course content included an exemplar video and a simulation interview with an African American standardized patient...
September 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28876442/progressive-dosing-of-observed-real-life-clinical-exposure-for-nurse-practitioner-training
#6
Imelda Reyes, Sharron Close, Jeannie Rodriguez, Dian Evans
BACKGROUND: In most advanced practice programs, preceptors are relied on for providing student clinical experiences. Preceptor feedback often indicates that many students show competency deficits in well child care, case presentation, and clinical skills. METHOD: An innovative preclinical experience was developed using nonscripted pediatric patient and family volunteers from the local community. During the three 4-hour experiences, students obtained a health history, performed a full physical examination, and presented their findings using a standardized case presentation format...
September 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28863055/the-last-state-to-grant-nurse-practitioners-dea-licensure-an-education-improvement-initiative-on-the-florida-prescription-drug-monitoring-program
#7
Joni R Kellams, John P Maye
Nurse practitioners (NPs) now have prescriptive authority for controlled substances in all 50 states in the United States. Florida, the last state to grant NPs DEA licensure, has been wrought with prescription diversion practices for a number of years as pill mills, doctor shopping, and overprescribing proliferated. Prescription Drug Monitoring Programs (PDMPs) help curb drug diversion activity and play a key role in reducing the abuse of controlled substances. The primary objective of this education improvement initiative was to increase knowledge of actively licensed NPs in the state of Florida regarding the state's PDMP...
July 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28858221/telemonitoring-via-self-report-and-video-review-in-community-palliative-care-a-case-report
#8
Deidre D Morgan, Kate Swetenham, Timothy H M To, David C Currow, Jennifer J Tieman
Continuous monitoring and management of a person's symptoms and performance status are critical for the delivery of effective palliative care. This monitoring occurs routinely in inpatient settings; however, such close evaluation in the community has remained elusive. Patient self-reporting using telehealth offers opportunities to identify symptom escalation and functional decline in real time, and facilitate timely proactive management. We report the case of a 57-year-old man with advanced non-small cell lung cancer who participated in a telehealth trial run by a community palliative care service...
August 31, 2017: Healthcare (Basel, Switzerland)
https://www.readbyqxmd.com/read/28832425/transitioning-florida-nps-to-opioid-prescribing
#9
Alicia Craig-Rodriguez, Glenna Gordon, Louise Kaplan, Laurie Grubbs
Prior to statutory changes in prescriptive authority for controlled substances, this study examined the knowledge gaps and prescribing limitations of Florida advanced registered nurse practitioners regarding opioids. Study results revealed statistically significant knowledge gaps in the areas of federal and state guidelines; opioid classes and proper doses; risk assessment skills; monitoring of treatment; and confidence in dealing with challenges of opioid prescribing.
September 21, 2017: Nurse Practitioner
https://www.readbyqxmd.com/read/28827063/beyond-simple-planning-existential-dimensions-of-conversations-with-patients-at-risk-of-dying-from-heart-failure
#10
Valerie Schulz, Allison Crombeen, Denise Marshall, Joshua Shadd, Kori LaDonna, Lorelei Lingard
INTRODUCTION: Despite the recent promotion of communication guides to improve decision-making with patients nearing the end of their lives, these conversations remain challenging. Deeper and more comprehensive understanding of communication barriers that undermine discussions and decisions with patients at risk of dying from heart failure (HF) are vital for informing communication in healthcare. OBJECTIVES: To explore experiences and perspectives of patients with advanced HF, their caregivers and providers, regarding conversations for patients at risk of dying from HF...
August 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28821217/a-practice-based-theory-of-healing-through-therapeutic-touch-advancing-holistic-nursing-practice
#11
Mary Anne Hanley, Denise Coppa, Deborah Shields
For nearly 50 years, Therapeutic Touch (TT) has contributed to advancing holistic nursing practice and has been recognized as a uniquely human approach to healing. This narrative explores the development of a practice-based theory of healing through TT, which occurred between 2010 and 2016. Through the in-depth self-inquiry of participatory reflective dialogue in concert with constant narrative analysis, TT practitioners revealed the meaning of healing within the context of their TT practice. As the community of TT experts participated in an iterative process of small group and community dialogues with analysis and synthesis of emerging themes, the assumptions and concepts central to a theory of healing emerged, were clarified and verified...
August 1, 2017: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/28813191/effect-and-efficiency-of-an-embedded-palliative-care-nurse-practitioner-in-an-oncology-clinic
#12
Anne M Walling, Sarah F D'Ambruoso, Jennifer L Malin, Sara Hurvitz, Ann Zisser, Anne Coscarelli, Robin Clarke, Andrew Hackbarth, Christopher Pietras, Frances Watts, Bruce Ferrell, Samuel Skootsky, Neil S Wenger
PURPOSE: To test a simultaneous care model for palliative care for patients with advanced cancer by embedding a palliative care nurse practitioner (NP) in an oncology clinic. METHODS: We evaluated the effect of the intervention in two oncologists' clinics beginning March 2014 by using implementation strategies, including use of a structured referral mechanism, routine symptom screening, integration of a psychology-based cancer supportive care center, implementation team meetings, team training, and a metrics dashboard for continuous quality improvement...
September 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/28792323/psoriasis-nurse-of-the-year-helped-me-lead-a-normal-life
#13
(no author information available yet)
I have had psoriasis for about 20 years. I can safely say that the care I have received from advanced nurse practitioner Zahira Koreja over the past two years is the best I have ever had. Her care has been instrumental in helping me finally live a normal life by keeping my psoriasis under control.
August 9, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28770663/a-successful-model-for-clinical-training-in-child-adolescent-cognitive-behavior-therapy-for-graduate-psychiatric-advanced-practice-nursing-students
#14
Pamela Lusk, Beverly G Hart Abney, Bernadette Mazurek Melnyk
BACKGROUND: Graduate faculty in advanced practice nursing programs seek to provide clinical training in psychotherapy for psychiatric mental health nurse practitioner (PMHNP) students and prepare them for practice with patients across the lifespan, including children and adolescents. OBJECTIVE: To develop a clinical training model for child/adolescent cognitive behavior therapy (CBT) that is adaptable to all graduate nursing programs including online, classroom, and blended programs...
August 1, 2017: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/28759514/postgraduate-emergency-nurse-practitioner-fellowships-opportunities-for-specialty-education
#15
Susanna Rudy, Jennifer Wilbeck
Specialty trained emergency nurse practitioners (ENPs) can meet the demands of an unpredictable emergency care environment within an overburdened health care system. Although existing literature supports fellowship training as a method for bridging academic knowledge with clinical experiences for the novice nurse practitioner, the currently available emergency care postgraduate fellowship programs are inconsistent in approach. Building upon descriptive data provided by the existing 9 postgraduate ENP fellowship programs, a comparison and gap analysis of program content was conducted to identify perceived standards for ENP specialty education and the congruence with published ENP competencies...
July 2017: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/28754053/complex-decision-making-in-patients-with-dementia-in-an-internal-medicine-department
#16
Ladislav Kabelka
With the increase of polymorbidity, extending life expectancy and improving treatment options for chronic diseases, the care for dementia is moving into other areas of medicine. The length and quality of life with advanced dementia is directly dependent on the quality of medical and nursing care, early detection and treatment of complications, nutritional support and palliative care plan. Significant is also the support for family carers. The key coordinators of care for patients with dementia are general practitioners (GPs), geriatricians, psychiatrists, and an increasingly important role play internists...
October 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28745964/introduction-of-a-nurse-led-intravitreal-injection-service-in-ophthalmology
#17
Mary-Josephine Gallagher
Anti-VEGF (anti-vascular endothelial growth factor) agents are useful for a variety of previously untreatable eye conditions; indications for their use are increasing. As this treatment evolved from cutting-edge to mainstream NHS practice, it resulted in a significant increase in appointments for intravitreal (IVT) injections, clinical assessment and follow-up, and hence an increasing challenge to ensure its timely availability to all who needed it. In addressing that challenge, NHS Lothian successfully initiated an advanced nurse practitioner IVT service in addition to its medical IVT service, which has increased its capacity to provide the requisite high-quality care to this patient group...
July 27, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28738236/early-predictors-of-study-success-in-a-dutch-advanced-nurse-practitioner-education-program-a-retrospective-cohort-study
#18
Ercolie R Bossema, Tineke H J M Meijs, Jeroen W B Peters
BACKGROUND: Study delay and attrition are major concerns in higher education. They cost time and effort, and threaten the availability of higher qualified professionals. Knowing early what factors contribute to delay and attrition may help prevent this. OBJECTIVE: The aim of this study was to examine whether student characteristics, including a literature study report grade as a proxy of cognitive abilities, predicted study success in a dual advanced nurse practitioner education program...
October 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28722784/the-universal-collaborative-dynamic-model-of-specialist-and-advanced-nursing-and-midwifery-practice-a-way-forward
#19
Laserina O'Connor, Mary Casey, Rita Smith, Gerard Michael Fealy, Denise O' Brien, Denise O'Leary, Diarmuid Stokes, Martin S McNamara, Mary Ellen Glasgow, Andrew Cashin
BACKGROUND: There is a sizable body of empirical literature supporting the unique contributions of specialist and advanced practice roles to health care. However, there is very little international evidence to inform the integration of a future model for advanced or specialist practice in the Irish health care system. AIM: The aim of this study was to inform and guide the development of a future model of specialist and advanced nursing and midwifery practice. DESIGN: A qualitative study was conducted to initiate this important area of inquiry...
July 19, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28714173/the-use-of-advanced-web-based-survey-design-in-delphi-research
#20
Christopher Helms, Anne Gardner, Elizabeth Mcinnes
AIM: A discussion of the application of metadata, paradata and embedded data in web-based survey research, using two completed Delphi surveys as examples. BACKGROUND: Metadata, paradata and embedded data use in web-based Delphi surveys has not been described in the literature. The rapid evolution and widespread use of online survey methods imply paper-based Delphi methods will likely become obsolete. Commercially-available web-based survey tools offer a convenient and affordable means of conducting Delphi research...
July 16, 2017: Journal of Advanced Nursing
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