keyword
MENU ▼
Read by QxMD icon Read
search

Leading change in nursing practice

keyword
https://www.readbyqxmd.com/read/29791219/approaches-to-leadership-and-managing-change-in-the-nhs
#1
Melanie Lumbers
The NHS is continually changing as research evidence leads to new practices and technology transforms the workplace. Resistance to some changes may occur because of staff fears about adapting to and coping with new methods. This is where change models and leadership are important. This article discusses changes taking place in the NHS, and some theoretical models of change. Leadership styles are also discussed, including those most useful for the nurse to use when leading a team and implementing change.
May 24, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29789278/the-effectiveness-of-a-computer-tailored-e-learning-program-for-practice-nurses-to-improve-their-adherence-to-smoking-cessation-counseling-guidelines-randomized-controlled-trial
#2
Dennis de Ruijter, Math Candel, Eline Suzanne Smit, Hein de Vries, Ciska Hoving
BACKGROUND: Improving practice nurses' (PN) adherence to smoking cessation counseling guidelines will benefit the quality of smoking cessation care and will potentially lead to higher smoking abstinence rates. However, support programs to aid PNs in improving their guideline uptake and adherence do not exist yet. OBJECTIVE: The aim of this study was to assess the effects of a novel computer-tailored electronic learning (e-learning) program on PNs' smoking cessation guideline adherence...
May 22, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29775080/mindfulness-meditation-and-interprofessional-cardiopulmonary-resuscitation-a-mixed-methods-pilot-study
#3
Diana J Kelm, Jennifer L Ridgeway, Becca L Gas, Monali Mohan, David A Cook, Darlene R Nelson, Roberto P Benzo
PROBLEM: Mindfulness training includes mindfulness meditation, which has been shown to improve both attention and self-awareness. Medical providers in the intensive care unit often deal with difficult situations with strong emotions, life-and-death decisions, and both interpersonal and interprofessional conflicts. The effect of mindfulness meditation training on healthcare providers during acute care tasks such as cardiopulmonary resuscitation remains unknown. Mindfulness meditation has the potential to improve provider well-being and reduce stress in individuals involved in resuscitation teams, which could then translate into better team communication and delivery of care under stress...
May 18, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29752645/a-tale-of-two-countries-innovation-and-collaboration-aimed-at-changing-the-culture-of-medicine-in-uruguay
#4
Juan J Dapueto, Mercedes Viera, Charles Samenow, William H Swiggart, Jeffrey Steiger
This is a case study of a program to address professionalism at the Universidad de la República in Uruguay. We describe a five-year ongoing international collaboration. Relevant characteristics of the context, the program components, activities, and results were analyzed. The expected outcomes were to introduce standards of professional practices in the curricula of medical students and residents and the implementation of a program that might lead to a significant change in the culture of medicine in the University...
May 11, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29750692/trainability-of-cricoid-pressure-force-application-a-simulation-based-study
#5
Eric Noll, Shivam Shodhan, Arnavi Varshney, Christopher Gallagher, Pierre Diemunsch, F Barry Florence, Jamie Romeiser, Elliott Bennett-Guerrero
BACKGROUND: Aspiration of gastric contents is a leading cause of airway management-related mortality during anesthesia practice. Cricoid pressure (CP) is widely used during rapid sequence induction to prevent aspiration. National guidelines for CP suggest a target force of 10 N before and 30 N after loss of consciousness. However, few studies have rigorously assessed whether clinicians can be trained to consistently achieve these levels of force. We hypothesized that clinicians can be trained effectively to deliver 10-30 N during application of CP...
May 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29747550/influence-of-organisational-culture-on-the-implementation-of-health-sector-reforms-in-low-and-middle-income-countries-a-qualitative-interpretive-review
#6
Rahab Mbau, Lucy Gilson
BACKGROUND: Health systems, particularly in low- and middle-income countries, are commonly plagued by poor access, poor performance, inefficient use and inequitable distribution of resources. To improve health system efficiency, equity and effectiveness, the World Development Report of 1993 proposed a first wave of health sector reforms, which has been followed by further waves. Various authors, however, suggest that the early reforms did not lead to the anticipated improvements. They offer, as one plausible explanation for this gap, the limited consideration given to the influence over implementation of the software aspects of the health system, such as organisational culture - which has not previously been fully investigated...
2018: Global Health Action
https://www.readbyqxmd.com/read/29729949/prevention-of-glucocorticoid-induced-osteoporosis-clinical-audit-to-evaluate-the-implementation-of-national-osteoporosis-guideline-group-2017-guidelines-in-a-primary-care-setting
#7
Matthew Carter
Treatment with glucocorticoids is the leading cause of drug-induced osteoporosis. National Osteoporosis Guideline Group (NOGG) 2017 guidelines advise a case-finding strategy for patients at risk. The aims of the audit were to evaluate the implementation of the NOGG 2017 guidelines for patients receiving long-term glucocorticoid therapy in a suburban general practice, to instigate changes to ensure 90% of patients are investigated and treated appropriately, and to evaluate impact at a 6-mo re-audit. Reporting Analysis and Intelligence Delivering Results (RAIDR) is a health-care intelligence tool accessing primary care clinical data...
April 12, 2018: Journal of Clinical Densitometry
https://www.readbyqxmd.com/read/29729652/critical-care-nurses-experiences-of-caring-for-a-dying-child-a-qualitative-evidence-synthesis
#8
REVIEW
Mitchell Grimston, Ashleigh E Butler, Beverley Copnell
AIM: To synthesise qualitative research examining the experience of critical care nurses caring for a dying child. BACKGROUND: Caring for a dying child remains one of the most difficult aspects of nursing, potentially leading to personal and professional distress. A thorough understanding of this experience for critical care nurses allows for improved delivery of care and support for the nurse. DESIGN: A qualitative evidence synthesis was undertaken, informed by Thomas and Harden's thematic synthesis methodology...
May 5, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29719874/reducing-the-rate-of-post-surgical-urinary-tract-infections-in-orthopedic-patients
#9
Amit Thakker, Natasha Briggs, Azusa Maeda, Julie Byrne, John Roderick Davey, Timothy D Jackson
Urinary tract infection (UTI) is the fourth leading cause of healthcare-associated infections, with approximately 70%-80% being attributed to the inappropriate use of indwelling catheters. In many cases, indwelling catheters are used inappropriately without any valid indication, creating potentially avoidable and significant patient distress, discomfort, pain and activity restrictions, together with substantial care burden, cost and hospitalisation. In the Division of Orthopedic Surgery at Toronto Western Hospital (TWH), we identified UTI rate reduction as a quality improvement priority...
2018: BMJ Open Quality
https://www.readbyqxmd.com/read/29701865/factors-influencing-registered-nurses-perceptions-of-their-professional-identity-an-integrative-literature-review
#10
Philippa Rasmussen, Ann Henderson, Nicky Andrew, Tiffany Conroy
BACKGROUND: This review synthesizes contemporary research investigating the factors influencing RNs' perceptions of their professional identity. METHOD: The method used was an integrative literature review. RESULTS: Factors influencing RNs' perceptions of their professional identity were synthesized into three categories: the self, the role, and the context. The self is the nurse who enacts the role in practice, and the context is the practice setting...
May 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29686983/systematic-multimethod-assessment-of-adaptations-across-four-diverse-health-systems-interventions
#11
Borsika A Rabin, Marina McCreight, Catherine Battaglia, Roman Ayele, Robert E Burke, Paul L Hess, Joseph W Frank, Russell E Glasgow
Background: Many health outcomes and implementation science studies have demonstrated the importance of tailoring evidence-based care interventions to local context to improve fit. By adapting to local culture, history, resources, characteristics, and priorities, interventions are more likely to lead to improved outcomes. However, it is unclear how best to adapt evidence-based programs and promising innovations. There are few guides or examples of how to best categorize or assess health-care adaptations, and even fewer that are brief and practical for use by non-researchers...
2018: Frontiers in Public Health
https://www.readbyqxmd.com/read/29683117/patient-use-of-electronic-methods-to-self-report-symptoms-an-integrative-literature-review
#12
Sharyn Carrasco, Lene Symes
PROBLEM IDENTIFICATION: Clinicians are unaware of most of their patients' symptoms. Symptoms may be poorly documented and their impact underestimated. Undertreatment of symptoms may lead to increased symptom distress and decreased quality of life. Improving the communication of symptoms to nurses is vital in symptom management and quality-of-life improvement. Electronic patient self-report of symptoms may be beneficial. LITERATURE SEARCH: An integrative review of the literature was conducted to describe the use of electronic methods for symptom self-report by patients with cancer and to inform best practices...
May 1, 2018: Oncology Nursing Forum
https://www.readbyqxmd.com/read/29679402/person-centred-leadership-a-relational-approach-to-leadership-derived-through-action-research
#13
Shaun Cardiff, Brendan McCormack, Tanya McCance
AIMS & OBJECTIVES: How does person-centred leadership manifest in clinical nursing. BACKGROUND: Person-centred practice fosters healthful relationships and is gaining increasing attention in nursing and healthcare, but nothing is known about the influence of a person-centred approach to leadership practice. Most leadership models used in nursing were originally developed outside of nursing. DESIGN: A three year participatory action research study where participant leaders planned, researched and learned from their practice development...
April 21, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29676399/nursing-research-cer-pico-and-pcori
#14
Darpan I Patel
Community and public health nurse researchers encompass a unique cohort of nurse researchers that have the skills and capacity to lead projects and programs of science centered on improvement of patient outcomes through methods of comparative effectiveness research (CER). CER, as a general method, has been taught to all nurses in the form of the PICO question to improve evidence-based practices. As the climate for funding becomes more and more competitive, nurse researchers are primed to lead the change in improving patient outcomes through patient centered outcomes research (PCOR)...
2018: Journal of community & public health nursing
https://www.readbyqxmd.com/read/29675972/the-american-academy-of-nursing-jonas-policy-scholars-program-mentoring-future-nurse-leaders-to-advance-health-policy
#15
EDITORIAL
Sarah Oerther, Sunny Hallowell, Alicia Rossiter, Deborah Gross
In 2010, the Institute of Medicine released a landmark report, "The Future of Nursing: Leading Change, Advancing Health," calling for a transformation of the nursing profession in education, leadership, and practice (Institute of Medicine [IOM], 2010). Consistent with the call to transform nursing and its role in health and health care, the American Academy of Nursing (the Academy), an organization of approximately 2,500 nursing leaders from around the world, created the Jonas Policy Scholars Program...
April 20, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29609624/can-education-improve-clinical-practice-concerning-delirium-in-older-hospitalised-patients-results-of-a-pre-test-post-test-study-on-an-educational-intervention-for-nursing-staff
#16
Eveline L van Velthuijsen, Sandra M G Zwakhalen, Ron M J Warnier, Ton Ambergen, Wubbo J Mulder, Frans R J Verhey, Gertrudis I J M Kempen
BACKGROUND: Delirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients...
April 2, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29608394/surrogate-decision-makers-perspectives-on-family-members-prognosis-after-intracerebral-hemorrhage
#17
Darin B Zahuranec, Renee R Anspach, Meghan E Roney, Andrea Fuhrel-Forbis, Daniel M Connochie, Emily P Chen, Bradford B Thompson, Panayiotis N Varelas, Lewis B Morgenstern, Angela Fagerlin
BACKGROUND: Surrogate communication with providers about prognosis in the setting of acute critical illness can impact both patient treatment decisions and surrogate outcomes. OBJECTIVES: To examine surrogate decision maker perspectives on provider prognostic communication after intracerebral hemorrhage (ICH). DESIGN: Semistructured interviews were conducted and analyzed qualitatively for key themes. SETTING/SUBJECTS: Surrogate decision makers for individuals admitted with ICH were enrolled from five acute care hospitals...
April 2, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29581198/care-home-services-at-the-vanguard-a-qualitative-study-exploring-stakeholder-views-on-the-development-and-evaluation-of-novel-integrated-approaches-to-enhancing-healthcare-in-care-homes
#18
Rachel Stocker, Claire Bamford, Katie Brittain, Rachel Duncan, Suzanne Moffatt, Louise Robinson, Barbara Hanratty
OBJECTIVES: To explore stakeholders' understanding of novel integrated approaches to enhancing care in care homes (a care home 'vanguard') and identify priorities for evaluation. DESIGN: A qualitative study, using semistructured interviews with commissioners and service providers to/within care homes, and third sector organisations with thematic analysis. SETTING: A Clinical Commissioning Group (CCG) area in England. PARTICIPANTS: Thirty interviewees from care homes, the National Health Service (NHS; England) and local authority, third sector (10 care home managers, 5 general practitioners, 4 CCG employees, 4 local authority employees, 1 national (NHS England) vanguard lead, 2 specialist nurses, 2 geriatricians, 1 third sector and 1 health manager)...
March 25, 2018: BMJ Open
https://www.readbyqxmd.com/read/29573768/factors-influencing-the-implementation-of-screening-and-brief-interventions-for-alcohol-use-in-primary-care-practices-a-systematic-review-protocol
#19
Frederico Rosário, Maria Inês Santos, Kathryn Angus, Leo Pas, Niamh Fitzgerald
INTRODUCTION: Alcohol is a leading risk factor contributing to the global burden of disease. National and international agencies recommend evidence-based screening and brief interventions in primary care settings in order to reduce alcohol consumption. However, the majority of primary care professionals do not routinely deliver such interventions. OBJECTIVE: To identify factors influencing general practitioners/family physicians' and primary care nurses' routine delivery of alcohol screening and brief intervention in adults...
January 31, 2018: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/29566003/changes-and-specificities-in-health-behaviors-among-healthcare-students-over-an-8-year-period
#20
M P Tavolacci, J Delay, S Grigioni, P Déchelotte, J Ladner
BACKGROUND: Healthcare students are future health care providers and serve as role models and coaches to enhance behaviors for healthy lifestyles. However healthcare students face multiple stressors that could lead to adopting risk behaviors. OBJECTIVES: To assess the changes in health risk factors among healthcare students between 2007 and 2015, and to identify specific health behaviors based on the curriculum in a population of healthcare students. METHODS: Two cross sectionnal studies were conducted in 2007 and 2015 among nursing, medical, pharmacy, and physiotherapy students (Rouen, France)...
2018: PloS One
keyword
keyword
63141
1
2
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"