Read by QxMD icon Read

Leading change in nursing practice

Jeanine N Gordon
Nurses at the bed- or chairside are knowledgeable about clinical and operational concerns that need improvement and, consequently, are in the best position to generate and evaluate practical options and potential solutions to improve efficacy and care processes. Implementation of a shared governance model is effective in engaging staff nurses to make meaningful and sustainable change in patient care processes.
November 1, 2016: Oncology Nursing Forum
Joyce J Fitzpatrick, Mary Beth Modic, Jennifer Van Dyk, K Kelly Hancock
OBJECTIVE: The Leadership Education and Development (LEAD) Program was designed to transform care at the bedside by empowering clinical nurses as leaders. BACKGROUND: The heart of LEAD was enhancing communication skills of clinical nurses with clinical colleagues and, most importantly, patients and families. Key concepts of leadership/management were included: personal awareness, personal leadership skills/abilities, leading change, leading others individually and in teams, enhancing the patient/provider experience, and the leadership role in outcomes management...
October 12, 2016: Journal of Nursing Administration
Hsiao-Yen Hsieh, Richard Henker, Dianxu Ren, Wan-Yi Chien, Jia-Ping Chang, Lifan Chen, Patricia K Tuite
PURPOSE/OBJECTIVES: An efficient but comprehensive documentation system is essential for reducing nursing workload and ensuring adequate time for direct patient care. A "focus" is a nursing diagnosis or patient problem. The purpose of this project is to review and revise the focuses in the electronic charting system and to develop new focuses for documentation of clinical pathways. In addition, this project evaluated the impact of these changes on time required for documentation and nurse satisfaction...
November 2016: Clinical Nurse Specialist CNS
S Seidu, D H Bodicoat, M J Davies, H Daly, B Stribling, A Farooqi, E M Brady, K Khunti
: Diabetes is an ambulatory care-sensitive condition and a high quality primary care or risk factor control can lead to a decrease in the risk of non-elective hospitalisations while ensuring continuity of care with usual primary care teams. AIMS AND METHODS: In this before and after study, eight primary care practices providing a newer enhanced diabetes model of care in Leicester UK, were compared with matched neighbouring practices with comparable demographic features providing a more expensive integrated specialist-community care diabetes service...
October 10, 2016: Primary Care Diabetes
Arthur Carr
I met Fiona Barrett-Gray, lead nurse in respiratory illnesses at the North Carlisle Medical Practice, more than 12 years ago and her professional and compassionate care has changed my life. I know of many other patients with respiratory illnesses who she has helped cope with loneliness and panic attacks.
September 28, 2016: Nursing Standard
Jennifer Bail, Karen Meneses
BACKGROUND: Advancements in chemotherapy have greatly increased breast cancer survival, leading to an increased focus on the management of long-term effects of treatment. Chemotherapy-related cognitive impairment, one such long-term effect, is experienced by as many as 90% of breast cancer survivors (BCS) and negatively affects employment, daily function, and quality of life. Chemotherapy-related cognitive impairment is a top research and clinical practice priority. OBJECTIVES: The aim of this article is to review computer-based cognitive training intervention studies tested in BCS, present implications for practice and directions for future research, and discuss neuroplasticity and cognitive reserve, the mechanisms by which computer-based cognitive training produces physiologic changes in the brain...
October 1, 2016: Clinical Journal of Oncology Nursing
Dianne Goeman, Sue Conway, Ralph Norman, Jo Morley, Rona Weerasuriya, Richard H Osborne, Alison Beauchamp
Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS)...
2016: Journal of Diabetes Research
M Vallée, F Luyckx
INTRODUCTION: The lengthening of life expectancy associated with multiple comorbidities leads physicians and nurses to manage more and more patients with long-term urinary catheterization (LTUC). No recommendation is written about the management of LTUC patients. To assess the need to publish recommendations and tools to help nurses in a better management of LTUC, we conducted a survey of theoretical and practical knowledge of French nurses. MATERIALS AND METHODS: Epidemiological prospective study, type of practical studies in a declarative fashion, anonymous, made via computerized poll released on the website www...
September 20, 2016: Progrès en Urologie
Susan Hayes Lane, Reimund Serafica, Carolyn Huffman, Alyssa Cuddy
In the current healthcare environment, nurses must have a basic understanding of research to lead change and implement evidence-based practice. The purpose of this study was to evaluate the effectiveness of an educational intervention formulated on the framework of the Great American Cookie Experiment measuring nurses' research knowledge, attitudes, and practice using mobile device gaming. This multisite quantitative study provides insight into promotion of research and information about best practices on innovative teaching strategies for nurses...
September 2016: Journal for Nurses in Professional Development
Nick Evans
Essential facts Leading Change, Adding Value is NHS England's new nursing and midwifery framework. It is designed to build on Compassion in Practice (CiP), which was published 3 years ago and set out the 6Cs: compassion, care, commitment, courage, competence and communication. CiP established the values at the heart of nursing and midwifery, while the new framework sets out how staff can help transform the health and care sectors to meet the aims of the NHS England's Five Year Forward View.
September 12, 2016: Nursing Children and Young People
Michelle Lobchuk, Gayle Halas, Christina West, Nicole Harder, Zulfiya Tursunova, Chantal Ramraj
BACKGROUND: Stressed family carers engage in health-risk behaviours that can lead to chronic illness. Innovative strategies are required to bolster empathic dialogue skills that impact nursing student confidence and sensitivity in meeting carers' wellness needs. PURPOSE: To report on the development and evaluation of a promising empathy-related video-feedback intervention and its impact on student empathic accuracy on carer health risk behaviours. DESIGN: A pilot quasi-experimental design study with eight pairs of 3rd year undergraduate nursing students and carers...
November 2016: Nurse Education Today
Evamaria Müller, Pola Hahlweg, Isabelle Scholl
BACKGROUND: Shared decision making (SDM) is particularly relevant in oncology, where complex treatment options with varying side effects may lead to meaningful changes in the patient's quality of life. For several years, health policies have called for the implementation of SDM, but SDM remains poorly implemented in routine clinical practice. Implementation science has highlighted the importance of assessing stakeholders' needs to inform the development of implementation programs. Thus, the aim of the present study was to assess different stakeholders' needs regarding the implementation of SDM in routine care...
September 8, 2016: Acta Oncologica
Barbara Wadsworth, Fiona Felton, Rita Linus
In 2013, a new system chief nursing officer engaged the nursing leaders and staff in an Appreciative Inquiry process utilizing strengths, opportunities, aspirations, and results (SOAR), and a Journey of Excellence to assess and understand the current environment. The ultimate goal was to engage all nurses in strategic planning and goal setting to connect their patient care to the system strategic initiatives. This work led to the creation of a nursing vision, a revised professional practice model and greater council alignment, resulting in significant positive change and ongoing advancement throughout the system...
October 2016: Nursing Administration Quarterly
Fiona Culligan
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Pathological changes in the circulation reduce the blood supply to major organs, causing them to fail. This may lead to death, therefore rapid recognition and treatment of sepsis is vital. Sepsis research has focused on patients in acute hospital settings. However, most cases of sepsis originate in the community, suggesting that the identification of sepsis and delivery of timely care is necessary before hospital admission...
August 31, 2016: Nursing Standard
I Papadopoulos, A Zorba, C Koulouglioti, S Ali, M Aagard, O Akman, L-M Alpers, P Apostolara, J Biles, Á Martín-García, T González-Gil, C Kouta, R Krepinska, B N Kumar, M Lesińska-Sawicka, L Lopez, M Malliarou, M Nagórska, S Nissim, L Nortvedt, C Oter-Quintana, C Ozturk, S B Pangilinan, K Papp, O Eldar Regev, F O Rubiano, M Y Tolentino Diaz, V Tóthová, M Vasiliou
BACKGROUND: Compassion is considered the cornerstone of nursing practice. However, the recent failures in delivering high-quality compassionate nursing care in the UK's National Health Service have brought the topic of compassion to the attention of the public, service providers, policy makers and academics. AIM: The aim of this study was to explore the nurses' views and experiences of a number of compassion-related issues in nursing and describe similarities and differences at an international level as well as from the different nursing roles of the participating nurses...
September 2016: International Nursing Review
Lauren Williams, Neil Caldwell, Elizabeth Collins
BACKGROUND: Medicines given to children in hospital are often prepared, checked and administered by two-registered nurses. Children are more likely to accept medicines given by a parent/carer1 but many hospital policies do not support such practice. Indeed the Trusts Medicines Management Policy allows single person medicines administration, except for children, but does not specify how medicine preparation and administration should take place or who should witness this. Our aim was to identify ways of increasing parent/carer involvement in giving medicines to children in hospital...
September 2016: Archives of Disease in Childhood
Charmaine McPherson, Sume Ndumbe-Eyoh, Claire Betker, Dianne Oickle, Nancy Peroff-Johnston
BACKGROUND: Effectively addressing the social determinants of health and health equity are critical yet still-emerging areas of public health practice. This is significant for contemporary practice as the egregious impacts of health inequities on health outcomes continue to be revealed. More public health organizations seek to augment internal organizational capacity to address health equity while the evidence base to inform such leadership is in its infancy. The purpose of this paper is to report on findings of a study examining key factors influencing the development and implementation of the social determinants of health public health nurse (SDH-PHN) role in Ontario, Canada...
2016: International Journal for Equity in Health
Kay Shannon, Barbara McKenzie-Green
BACKGROUND: Challenges facing healthcare assistants in aged residential care are a focus of global debate. These challenges involve remuneration, education, skill mix, work conditions and organisational structures. OBJECTIVES/AIMS: We enter the discussion by acknowledging current work, education and remuneration for healthcare assistants. We then consider the supervisory relationships between registered nurses (RNs), enrolled nurses (ENs) and healthcare assistants, educational levels for RNs, ENs and healthcare assistants, and the interplay between organisation and practice in aged residential care...
April 2016: Contemporary Nurse
Yu Chen, Li Zhu, Fei Xu, Jun Chen
BACKGROUND: Heart failure is a major public health concern which contributes significantly to rising healthcare costs. Comprehensive discharge planning can improve health outcomes and reduce readmission rates which, in turn, can lead to cost savings. OBJECTIVES: The aim of this project was to promote best practice in the discharge planning of heart failure patients admitted in the coronary care unit of Zhongshan Hospital. METHODS: A clinical audit was undertaken using the Joanna Briggs Institute Practical Application of Clinical Evidence System tool...
February 2016: JBI Database of Systematic Reviews and Implementation Reports
Caroline Whiteford, Sarahlouise White, Matthew Stephenson
BACKGROUND: Ear, nose and throat complaints are very common and can cause significant disruption to patients' lives. Many conditions are of a chronic nature and are not currently managed in a timely manner by general practitioners in the community. This may be due to a lack of specialized knowledge, necessary diagnostic equipment or time for lengthy patient education on management of their condition. A nurse-led model of care may be an effective alternative. OBJECTIVE: To examine the effectiveness of nurse-led clinics on adults with chronic ear, nose and throat complaints...
April 2016: JBI Database of Systematic Reviews and Implementation Reports
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"