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https://www.readbyqxmd.com/read/29351520/beyond-clinical-complexity-non-medical-barriers-to-nursing-home-care-for-rural-residents
#1
Carrie Henning-Smith, Katy B Kozhimannil, Michelle M Casey, Shailendra Prasad
We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around non-medical barriers to rural nursing home placement with particular salience in rural areas: financial issues; transportation; nursing home availability and infrastructure; and timeliness. We also identified policy and programmatic interventions across four themes: loosen bureaucratic requirements; improve communication between facilities; increase rural long-term care capacity; and address underlying social determinants of health...
January 19, 2018: Journal of Aging & Social Policy
https://www.readbyqxmd.com/read/29351313/effectiveness-and-safety-of-early-medication-abortion-provided-in-pharmacies-by-auxiliary-nurse-midwives-a-non-inferiority-study-in-nepal
#2
Corinne H Rocca, Mahesh Puri, Prabhakar Shrestha, Maya Blum, Dev Maharjan, Daniel Grossman, Kiran Regmi, Philip D Darney, Cynthia C Harper
BACKGROUND: Expanding access to medication abortion through pharmacies is a promising avenue to reach women with safe and convenient care, yet no pharmacy provision interventions have been evaluated. This observational non-inferiority study investigated the effectiveness and safety of mifepristone-misoprostol medication abortion provided at pharmacies, compared to government-certified public health facilities, by trained auxiliary nurse-midwives in Nepal. METHODS: Auxiliary nurse-midwives were trained to provide medication abortion through twelve pharmacies and public facilities as part of a demonstration project in two districts...
2018: PloS One
https://www.readbyqxmd.com/read/29351310/healthy-ageing-at-work-efficacy-of-group-interventions-on-the-mental-health-of-nurses-aged-45-and-older-results-of-a-randomised-controlled-trial
#3
Imad Maatouk, Andreas Müller, Peter Angerer, Renate Schmook, Christoph Nikendei, Kirsten Herbst, Melanie Gantner, Wolfgang Herzog, Harald Gündel
OBJECTIVE: This multicentre, randomised controlled trial (RCT) aimed to evaluate the efficacy of a small-group intervention promoting successful ageing at work in older nurses (aged ≥45). METHOD: A sample of 115 nurses aged ≥45 from 4 trial sites in Germany were randomly assigned to either the intervention group (IG), that received a small-group intervention of seven weekly sessions of 120 min with a booster session after six weeks or to a wait-list control condition (WLC)...
2018: PloS One
https://www.readbyqxmd.com/read/29351179/measuring-care-coordination-in-the-pediatric-cardiology-ambulatory-setting
#4
Jean A Connor, Richard C Antonelli, Cheryl A OʼConnell, Hillary Bishop Kuzdeba, Courtney Porter, Patricia A Hickey
The role of ambulatory nursing is diverse, and the impact on patient outcomes is difficult to measure. The concept of care coordination is an important focus for the ambulatory nurse. We describe the efforts to implement the Cardiac Care Coordination Measurement Tool to document and quantify care coordination activities in a pediatric cardiac ambulatory setting.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351178/using-time-referenced-data-to-assess-medication-administration-performance-and-quality
#5
John M Welton, Catherine Kleiner, Carolyn Valdez, Sara Richardson, Kathy Boyle, Eric Lucas
OBJECTIVE: This study tests the feasibility of using a large (big) clinical data set to test the ability to extract time-referenced data related to medication administration to identify late doses and as-needed (PRN) administration patterns by RNs in an inpatient setting. METHODS: The study is a secondary analysis of a set of data using bar-code medication administration time stamps (n = 3043812) for 50883 patients admitted to a single, urban, 525-bed hospital in 11 inpatient units by 714 nurses between April 1, 2013, and March 31, 2015...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351177/units-of-distinction-creating-a-blueprint-for-recognition-of-high-performing-medical-surgical-nursing-units
#6
Alvin D Jeffery, Sammie Mosier, Allison Baker, Kimberly Korwek, Cindy Borum, Jane Englebright
BACKGROUND: Hospital medical-surgical (M/S) nursing units are responsible for up to 28 million encounters annually, yet receive little attention from professional organizations and national initiatives targeted to improve quality and performance. OBJECTIVE: We sought to develop a framework recognizing high-performing units within our large hospital system. METHODS: This was a retrospective data analysis of M/S units throughout a 168-hospital system...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351176/technological-complexity-and-emergence-of-the-entanglement
#7
Thomas R Clancy
As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on the application of management strategies in health systems. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This article is the 3rd in a series of articles that focus on why technological complexity is increasing and strategies nurse administrators can use to successfully implement change in the face of it...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351175/2017-national-magnet-nurses-of-the-year%C3%A2
#8
Rebecca Graystone
The Magnet Recognition Program® recognizes healthcare organizations for quality patient care, nursing excellence, and innovations in professional nursing practice. Consumers rely on the Magnet designation as the ultimate credential for high-quality nursing. The ANCC National Magnet Nurse of the Year® awards were created in 2010 to recognize the outstanding contributions of clinical nurses for innovation, consultation, leadership, and professional risk taking.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351174/the-evolving-science-of-patient-and-family-engagement-an-interview-with-dr-karen-drenkard
#9
Patricia Reid-Ponte
Patient- and family-centered care is a central tenet of nursing practice. This concept has evolved to include patient partnerships, patient engagement, and patient activation. This column differentiates these concepts and describes the core principles embedded in the overriding intention of ensuring that patients (and their families or significant others) are orchestrators of their health and their care plans. In this interview, Karen Drenkard, PhD, RN, FAAN, NEA-BC, CNO, of the GetWellNetwork, discusses work by the O'Neil Center as a leader in this area...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351173/bsn-preparation-for-rns-the-time-is-now
#10
Mary Krugman, Colleen J Goode
Some nurse executives and academic nurse leaders believe that the issue of educational entry into professional nursing practice is an "old" issue. Nursing is the only healthcare profession that still does not require the minimum of a baccalaureate degree (BSN). It is time for nurse leaders to act: eliminate the multiple educational levels and require a minimum BSN degree for professional nurse practice.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351132/mixed-methods-approach-to-humanistic-interprofessional-faculty-development
#11
Alice Fornari, Leanne M Tortez, Monika Lay, Bruce Hirsch, Donna Tanzi, Isabel Friedman, Alison P Ricardo, Renee Pekmezaris, William Branch
INTRODUCTION: This study evaluated the effectiveness of the Mentoring and Professionalism in Training (MAP-IT) program, a longitudinal, interprofessional faculty development curriculum designed to enhance clinicians' humanistic mentoring skills, specifically nurses and physicians. METHODS: During 2014 to 2016, two consecutive cohorts of nurses and physicians completed the MAP-IT program. Participants included 169 high potential mentors (HPMs) and 61 facilitator leaders...
January 16, 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29351050/hidden-medical-devices-in-the-school-setting-what-the-school-nurse-needs-to-know-about-the-safe-use-of-baclofen-pumps
#12
Barbara Obst, Megan Roesler
One of the "hidden" medical devices in the school setting is the baclofen pump, which is used for the treatment of spasticity. The goals of spasticity treatment are to decrease muscle tone, deformity, and pain in order to maximize function and ease of care for both child and caregiver. The use of an intrathecal baclofen pump, often for children with cerebral palsy, spinal cord injury, brain injury, or stroke, has been effective in spasticity treatment. It is important for school nurses to be aware of the safety implications associated with this type of device...
January 1, 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29351049/school-nursing-ebp-clinical-guidelines-what-they-are-and-are-not-and-why-they-matter
#13
Robin Adair Shannon
Quality school nursing practice should be evidence-based. However registered nurses in autonomous school nursing practice have limited capacities to access, synthesize, and implement the best evidence into practice. Clinical guidelines are important tools to reduce barriers to evidence-based practice (EBP) and support the delivery of high-quality school nursing care. The purpose of this article is to outline what EBP clinical guidelines are, are not, and why they matter.
January 1, 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29351048/academic-community-partnership-educating-children-about-weather-related-disaster-preparedness
#14
Melissa Foster, Elizabeth Barnby
Children are a population that has an increased risk of harm during any disaster events. This risk can be decreased by educating children in disaster preparedness skills. This article outlines a basic modifiable curriculum for teaching weather-related disaster preparedness to children ages 10-13, and shares how this was accomplished at an elementary school in North Alabama through a collaboration between the school and a local college of nursing.
January 1, 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29350978/nurses-underscore-value-of-collaboration-when-implementing-health-technology
#15
Nicole Denham, Bonnie Matthews
No abstract text is available yet for this article.
January 2018: Biomedical Instrumentation & Technology
https://www.readbyqxmd.com/read/29350974/use-of-simulation-based-training-to-aid-in-implementing-complex-health-technology
#16
Veffa Devers
Clinicians are adult learners in a complex environment that historically does not invest in training in a way that is conducive to these types of learners. Adult learners are independent, self-directed, and goal oriented. In today's fast-paced clinical setting, a practical need exists for nurses and clinicians to master the technology they use on a daily basis, especially as medical devices have become more interconnected and complex. As hospitals look to embrace new technologies, medical device companies must provide clinical end-user training...
January 2018: Biomedical Instrumentation & Technology
https://www.readbyqxmd.com/read/29350782/realism-and-pragmatism-in-a-mixed-methods-study
#17
Peter Allmark, Katarzyna Machaczek
AIM: A discussion of how adopting a Realist rather than Pragmatist methodology affects the conduct of mixed methods research. BACKGROUND: Mixed methods approaches are now extensively employed in nursing and other health care research. At the same time, realist methodology is increasingly used as philosophical underpinning of research in these areas. However, the standard philosophical underpinning of mixed methods research is Pragmatism, which is generally considered incompatible or at least at odds with Realism...
January 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29350781/effects-of-work-environment-and-job-characteristics-on-the-turnover-intention-of-experienced-nurses-the-mediating-role-of-work-engagement
#18
Qiaoqin Wan, Zhaoyang Li, Weijiao Zhou, Shaomei Shang
AIM: To assess turnover intention among experienced nurses and explore the effects of work environment, job characteristics and work engagement on turnover intention. BACKGROUND: The nursing shortage is an urgent concern in China. A high turnover rate of experienced nurses could have serious effects on the quality of care, costs and the efficiency of hospitals. It is crucial to explore the predictors of turnover intention and develop strategies tailored to experienced nurses...
January 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29350780/an-evolutionary-concept-analysis-of-futility-in-healthcare
#19
Lauren Morata
AIM: To report a concept analysis of futility in healthcare. BACKGROUND: Each member of the healthcare team, the physician, the nurse, the patient, the family and all others involved perceive futility differently. The current evidence and knowledge in regard to futility in healthcare manifest a plethora of definitions, meanings and interpretations without consensus. DESIGN: Concept analysis. DATA SOURCES: Databases searched included Medline, Cumulative Index of Nursing and Allied Health Literature, Academic Search Premier, Cochrane Database of Systematic Reviews and PsycINFO...
January 19, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29350776/the-existential-experience-of-everyday-life-with-systemic-lupus-erythematosus
#20
Janni Lisander Larsen, Elisabeth O C Hall, Søren Jacobsen, Regner Birkelund
AIM: To explore, from the perspective of women the nature of basic existential conditions while living with systemic lupus erythematosus. BACKGROUND: Systemic lupus erythematosus has an unpredictable disease course and is documented to cause an existential rearrangement of life. The significance of changes in existential conditions and related experiences are unclear in the context of nursing and women with systemic lupus erythematosus. DESIGN: A qualitative design guided by Van Manen's hermeneutic phenomenological methodology...
January 19, 2018: Journal of Advanced Nursing
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