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generational gaps in nursing

G Greg Peterson, Jelena Zurovac, Randall S Brown, Kenneth D Coburn, Patricia A Markovich, Sherry A Marcantonio, William D Clark, Anne Mutti, Cara Stepanczuk
OBJECTIVES: To test whether a care management program could replicate its success in an earlier trial and determine likely explanations for why it did not. DATA SOURCES/SETTING: Medicare claims and nurse contact data for Medicare fee-for-service beneficiaries with chronic illnesses enrolled in the trial in eastern Pennsylvania (N = 483). STUDY DESIGN: A randomized trial with half of enrollees receiving intensive care management services and half receiving usual care...
October 24, 2016: Health Services Research
(no author information available yet)
Heather Henry talks about the role public health nurses can play bridging the gaps in a broken community. She reflects on her own experiences working with a market town community, which she quickly realised was divided by prejudice. Young people's voices were not heard, and many mothers spoke about disadvantaged children, so she sought to challenge the troubling situations that continued to be ignored.
October 12, 2016: Nursing Standard
Roseanne C Schuster, Octávio de Sousa, Jacqueline Rivera, Rebecca Olson, Delphine Pinault, Sera L Young
BACKGROUND: Performance-based incentives (PBIs) have garnered global attention as a promising strategy to improve healthcare delivery to vulnerable populations. However, literature gaps in the context in which an intervention is implemented and how the PBIs were developed exist. Therefore, we (1) characterized the barriers and promoters to prevention of vertical transmission of HIV (PVT) service delivery in rural Mozambique, where the vertical transmission rate is 12 %, and (2) assessed the appropriateness for a PBI's intervention and application to PVT...
October 7, 2016: Human Resources for Health
Nataliya G Batina, Christopher J Crnich, David F Anderson, Dörte Döpfer
BACKGROUND: Residents of nursing homes are commonly colonized with methicillin-resistant Staphylococcus aureus (MRSA) but there is a limited understanding of the dynamics and determinants of spread in this setting. To address this gap, we sought to use mathematical modeling to assess the epidemic potential of MRSA in nursing homes and to determine conditions under which non-USA300 and USA300 MRSA could be eliminated or reduced in the facilities. METHODS: Model parameters were estimated from data generated during a longitudinal study of MRSA in 6 Wisconsin nursing homes...
2016: Antimicrobial Resistance and Infection Control
Mirna A Fawaz, Ayman M Hamdan-Mansour
BACKGROUND: High-fidelity simulation (HFS) offers a strategy to facilitate cognitive, affective, and psychomotor outcomes and motivate the new generation of students. OBJECTIVES: The purpose of this study was to examine the impact of using high-fidelity simulation on the development of clinical judgment and motivation among Lebanese nursing students. DESIGN: A post-test, quasi-experimental design was used. SETTINGS: Two private universities in Lebanon were targeted to implement the intervention...
November 2016: Nurse Education Today
Pamela K Ginex, Marisol Hernandez, Mark Vrabel
Nurses in clinical settings in which evidence-based, individualized care is expected are often the best resource to identify important clinical questions and gaps in practice. These nurses are frequently challenged by a lack of resources to fully develop their questions and identify the most appropriate methods to answer them. A strategic and ongoing partnership between medical library services and nursing can support nurses as they embark on the process of answering these questions and, ultimately, improving patient care and clinical outcomes...
September 1, 2016: Oncology Nursing Forum
Belinda Jones, Genevieve Hopkins, Sally-Anne Wherry, Christian J Lueck, Chandi P Das, Paul Dugdale
OBJECTIVE: A nurse-led Parkinson's service was introduced at Canberra Hospital and Health Services in 2012 with the primary objective of improving the care and self-management of people with a diagnosis of Parkinson's disease (PD) and related movement disorders. Other objectives of the Service included improving the quality of life of patients with PD and reducing their caregiver burden, improving the knowledge and understanding of PD among healthcare professionals, and reducing unnecessary hospital admissions...
September 2016: Clinical Nurse Specialist CNS
L Entilli, S Cipolletta
AIMS AND OBJECTIVES: To promote a critical approach on the conceptualization of domestic violence by investigating the experience of abuse on the part of men who are victims of domestic violence by their female partners. BACKGROUND: Media attention and prevention programs relating to domestic violence have mainly focused on women as the victims and men as the perpetrators. The underlying idea is that violence is predominantly physical and a prerogative of men. This conceptualization of violence reduces the opportunities for the consideration of different modalities of abuse...
August 9, 2016: Journal of Clinical Nursing
Ioana Vlad, V P Paily, Rajeev Sadanandan, Françoise Cluzeau, M Beena, Rajasekharan Nair, Emma Newbatt, Sujit Ghosh, K Sandeep, Kalipso Chalkidou
BACKGROUND: The implementation of maternal health guidelines remains unsatisfactory, even for simple, well established interventions. In settings where most births occur in health facilities, as is the case in Kerala, India, preventing maternal mortality is linked to quality of care improvements. CONTEXT: Evidence-informed quality standards (QS), including quality statements and measurable structure and process indicators, are one innovative way of tackling the guideline implementation gap...
2016: F1000Research
Tobias Wollersheim, Lilian Jo Engelhardt, Jeanne Pachulla, Rudolf Moergeli, Susanne Koch, Claudia Spies, Michael Hiesmayr, Steffen Weber-Carstens
BACKGROUND: Continuous glucose monitoring (CGM) has not yet been implemented in the intensive care unit (ICU) setting. The purpose of this study was to evaluate reliability, feasibility, nurse acceptance and accuracy of the Medtronic Sentrino(®) CGM system in critically ill patients. METHODS: Sensors were inserted into the subcutaneous tissue of the patient's thigh, quantifying interstitial glucose concentration for up to 72 h per sensor. Reliability and feasibility analysis included frequency of data display, data gaps and reasons for sensor removal...
December 2016: Annals of Intensive Care
Inger Jansson, Kerstin W Ene
A supportive clinical learning environment is important for nursing students' learning. In this study, a contract between a county and a university involving a preceptor model of clinical education for nursing students is described. The aim of this study was to describe nursing students' clinical education based on quality indicators and to describe the students' experiences of what facilitated or hindered the learning process during their clinical practice. During autumn 2012 and spring 2013, 269 student evaluations with quantitative and qualitative answers were filled out anonymously...
September 2016: Nurse Education in Practice
Elizabeth A Curtis, Catherine Comiskey, Orla Dempsey
BACKGROUND: The importance of correlational research has been reported in the literature yet few research texts discuss design in any detail. AIM: To discuss important issues and considerations in correlational research, and suggest ways to avert potential problems during the preparation and application of the design. DISCUSSION: This article targets the gap identified in the literature regarding correlational research design. Specifically, it discusses the importance and purpose of correlational research, its application, analysis and interpretation with contextualisations to nursing and health research...
July 2016: Nurse Researcher
J Craig Phillips, Jean-Laurent Domingue, Mary Petty, Michael A Coker, Terry Howard, Shari Margolese
HIV-related criminal laws in some jurisdictions may hamper population health efforts to manage HIV and bring about an AIDS-free generation. HIV care nurses have an instrumental role to play in ensuring equitable care and health for all in a context of HIV. The purpose of our study was to determine HIV care nurses' knowledge of HIV-related criminal laws. Ecosocial theory and content expert opinion guided development of a questionnaire to assess nurses' knowledge of HIV-related criminal laws. A total of 174 HIV care nurses from Canada (n = 23) and the United States (n = 151) completed the questionnaire...
June 11, 2016: Journal of the Association of Nurses in AIDS Care: JANAC
Gary R Simonds
INTRODUCTION: American health care continues to undergo profound changes at a breakneck speed. Future challenges show no signs of abating. We feel the next generation of health care providers and administrators should be well informed on the many facets of nonclinical health care (regulation, delivery, socioeconomics) to guide health care systems and public servants toward better, more efficient care. We suspect that few possess even rudimentary knowledge in these fields. METHODS: We constructed a 40-question Nonclinical Health Care Delivery aptitude test covering diverse subjects such as economics, finance, public health, governmental oversight, insurance, coding/billing, study design and interpretation, and more...
August 2016: Neurosurgery
Pauline Murray-Parahi, Michelle DiGiacomo, Debra Jackson, Patricia M Davidson
AIMS AND OBJECTIVES: To summarise the literature describing new graduate nurse transition to professional practice within the primary health care (PHC) setting. BACKGROUND: There is a plethora of research literature spanning several decades about new graduate nurse transition in the acute care setting. Yet, the experiences of new graduate nurse in the PHC setting is unremarkable particularly considering the increasing demand for skilled health care workers and focus of health reform to provide care where people work and live...
June 27, 2016: Journal of Clinical Nursing
Giuseppe Lippi, Ana-Maria Simundic, Leocadio Rodriguez-Manas, Patrick Bossuyt, Giuseppe Banfi
Translational research is defined as the process of applying ideas, insights and discoveries generated through basic scientific inquiry to treatment or prevention of human diseases. Although precise information is lacking, several lines of evidence attest that up to 95% early-phase studies may not translate into tangible outcomes for improving clinical management. Major theoretical hurdles exist in the translational process, but is it also undeniable that many studies may have failed for practical reasons, such as the use of inappropriate diagnostic testing for evaluating efficacy, effectiveness or safety of a given medical intervention, or poor quality in laboratory testing...
May 2016: Annals of Translational Medicine
G Jesse Bender, Karen Kennally
OBJECTIVE: Post-war Kosovar health care systems have reduced gaps in maternal and newborn health care. Coordinated neonatal transport programs may further improve survival and morbidities. METHODS: Transport care paradigms were tested using in situ (Kosovo) and ex situ (the United States) mobile immersive simulation. Patient demographics and outcomes were measured at the tertiary referral center. RESULTS: Four paired physician and nurse transport teams performed 7 simulated interfacility transports across Kosovo...
May 2016: Air Medical Journal
Chika Tanaka, Takashi Naruse, Atsuko Taguchi, Satoko Nagata, Azusa Arimoto, Yuki Ohashi, Sachiyo Murashima
AIM: Recreational walking benefits the health of the middle-aged population. Social norms might generate an intention-behavior gap, the state of people forming adequate intentions but failing to translate these intentions into action. People living in a community where the neighbors conform to the average behaviors of those who live in the neighborhood might restrict behaviors that stray from the neighborhood's social norms. This cross-sectional study was conducted in order to examine whether the degree of conformity to the neighbors modified the association between social norms and recreational walking among middle-aged adults in Japan...
May 29, 2016: Japan Journal of Nursing Science: JJNS
Christine R Espina, Betty Bekemeier, Marni Storey-Kuyl
HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo...
May 1, 2016: Journal of Continuing Education in Nursing
Amanda N Canada
UNLABELLED: HOW TO OBTAIN CONTACT HOURS BY READING THIS ISSUE Instructions: 1.2 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo...
April 2016: Journal of Continuing Education in Nursing
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