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https://www.readbyqxmd.com/read/29596709/leadership-in-nursing-homes-directors-of-nursing-aligning-practice-with-regulations
#1
Elena O Siegel, Kristen Bettega, Debra Bakerjian, Suzanne Sikma
Nursing homes use team nursing, with minimal RN presence, leaving the majority of direct care to licensed practical/vocational nurses (LPNs/LVNs) and unlicensed assistive personnel (UAP), including medication aides. The current article describes challenges faced by nursing home directors of nursing (DONs) leading and managing a team nursing approach, including consideration of scope of practice, delegation and supervision regulations, and related policy implications. A secondary data analysis was performed of qualitative data from a study to develop and test DON guidelines for delegation in nursing home practice...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29589800/telemental-health-standards-reimbursement-and-interstate-practice-formula-see-text
#2
Susie M Adams, Michael J Rice, Sara L Jones, Edward Herzog, Lauri John Mackenzie, Leslie G Oleck
BACKGROUND: TeleMental Health (TMH) is gaining widespread acceptance in the United States. OBJECTIVE: Summarize current evidence regarding TMH risks and benefits, standards of care, practice guidelines, reimbursement, and interstate practice issues pertinent to psychiatric nurses and consumers. DESIGN: A targeted review of literature, current practice, and TMH websites was generated using the following key search words: clinical outcomes, practice guidelines, regulations, interstate practice, and reimbursement for TMH...
March 1, 2018: Journal of the American Psychiatric Nurses Association
https://www.readbyqxmd.com/read/29583064/prescribing-bioidentical-menopausal-hormone-therapy-a-survey-of-physician-views-and-practices
#3
Jamie P Dubaut, Fanglong Dong, Bruce L Tjaden, David A Grainger, Jennifer Duong, Laura L Tatpati
BACKGROUND: It is estimated that 1-2.5 million U.S. women use compounded bioidentical menopausal hormone therapy (MHT). However, the proportion of American physicians prescribing compounded bioidentical hormones remains unknown. This study aims to evaluate obstetrician-gynecologists' (OB/GYNs) and family medicine physicians' decisions reflected in prescribing practices of MHT in Kansas, and level of agreement with the American College of Obstetricians and Gynecologists (ACOG) recommendations...
March 27, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29505070/review-of-state-boards-of-nursing-rules-and-regulations-for-nurse-preceptors
#4
Kristine M L'Ecuyer, Shelley von der Lancken, Diane Malloy, Geralyn Meyer, Matthew J Hyde
BACKGROUND: The clinical education of undergraduate nursing students relies heavily on the use of staff nurses who assume the preceptor role. The best and most efficient utilization of preceptors is unknown. METHOD: This study reviewed Board of Nursing rules and regulations for all 50 states, the District of Columbia, and the U.S. territories for their published requirements regarding preceptors. Specifically, this review focused on preceptor-student and faculty-student ratios, role responsibilities, and requirements of preceptors and faculty in undergraduate precepted clinical experiences...
March 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29502903/the-role-of-disengagement-in-the-psychology-of-competence-drift
#5
Zubin Austin, Paul A M Gregory
BACKGROUND: The framing of competence as a binary "either-or" process may be shaped by the measurement tools and assessment methods used to define it. Blunt measures such as passing or failing a licensure examination, or revoking/suspending a license after a single dispensing error fosters anxiety amongst professionals and potentially leads to behaviours where learning needs are actually hidden from educators, employers or regulators. Such framing may not accurately capture the lived experience of those labelled "incompetent" and in fact may be counterproductive to remediation and skills enhancement...
February 27, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29485484/what-regulatory-requirements-and-existing-structures-must-change-if-competency-based-time-variable-training-is-introduced-into-the-continuum-of-medical-education-in-the-united-states
#6
Jennifer R Kogan, Alison J Whelan, Larry D Gruppen, Lorelei A Lingard, Pim W Teunissen, Olle Ten Cate
As competency-based medical education is adopted across the training continuum, discussions regarding time-variable medical education have gained momentum, raising important issues that challenge the current regulatory environment and infrastructure of both undergraduate and graduate medical education in the United States. Implementing time-variable medical training will require recognizing, revising, and potentially reworking the multiple existing structures and regulations both internal and external to medical education that are not currently aligned with this type of system...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29476355/pain-states-the-opioid-epidemic-and-the-role-of-radiologists
#7
REVIEW
Mark R Jones, Alan D Kaye, Laxmaiah Manchikanti, Joshua A Hirsch
PURPOSE OF REVIEW: The prevalence of chronic pain and prescription opioid abuse has resulted in epidemic problems for patients and clinicians. The consequences are taking a heavy toll on patients, physicians, and society. Specific to radiology, a significant need exists for best practice assessment and treatment approaches for pain management, as patients with chronic pain often undergo radiological tests of unclear clinical relevance. RECENT FINDINGS: The USA is amid an opioid-prescribing epidemic and resultant overdose public health emergency...
February 23, 2018: Current Pain and Headache Reports
https://www.readbyqxmd.com/read/29461681/united-states-model-midwifery-legislation-and-regulation-development-of-a-consensus-document
#8
Holly Powell Kennedy, Jo Anne Myers-Ciecko, Katherine Camacho Carr, Ginger Breedlove, Tanya Bailey, Marinah V Farrell, Mary Lawlor, Ida Darragh
INTRODUCTION: Midwifery is defined and regulated across all 50 United States. However, states' regulations vary markedly, creating confusion for policy makers and consumers, and can limit services to women. In 2011, the International Confederation of Midwives released Global Standards for Midwifery Education, Regulation, and Association, providing guidance for international midwifery for the first time. US organizations representing midwifery education, regulation, and professional associations (US MERA) agreed to work together on common goals...
February 20, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29375174/a-bayesian-finite-mixture-change-point-model-for-assessing-the-risk-of-novice-teenage-drivers
#9
Qing Li, Feng Guo, Inyoung Kim, Sheila G Klauer, Bruce G Simons-Morton
The driving risk during the initial period after licensure for novice teenage drivers is typically the highest but decreases rapidly right after. The change-point of driving risk is a critical parameter for evaluating teenage driving risk, which also varies substantially among drivers. This paper presents latent class recurrent-event change-point models for detecting the change-points. The proposed model is applied to the Naturalist Teenage Driving Study, which continuously recorded the driving data of 42 novice teenage drivers for 18 months using advanced in-vehicle instrumentation...
2018: Journal of Applied Statistics
https://www.readbyqxmd.com/read/29289489/who-informal-consultation-on-development-of-guidelines-on-procedures-and-data-requirements-for-changes-to-approved-biotherapeutic-products-seoul-republic-of-korea-27-28-april-2017
#10
Meenu Wadhwa, Hye-Na Kang, Hugo Hamel, Teeranart Jivapaisarnpong
In April 2017, WHO convened an informal consultation to develop WHO guidelines on procedures and data requirements for changes to approved biotherapeutic products. The objective of the meeting was to review the draft of WHO guidelines and the comments received from the public consultation. The guidelines were recognized by the participants as a tool for regulatory convergence and harmonization. Regulation of changes to approved biotherapeutic products is a key in ensuring that products of consistent quality, safety and efficacy are distributed after they receive authorization or licensure...
December 27, 2017: Biologicals: Journal of the International Association of Biological Standardization
https://www.readbyqxmd.com/read/29238452/letter-to-the-editor-licensure-portability-for-occupational-audiologists-is-essential
#11
George R Cook
Occupational audiologists have a crisis in their profession and need advocates. These audiologists are primarily responsible for industrial hearing conservation programs and their compliance with multiple regulations, such as Occupational Safety and Health Administration (OSHA), Mine Safety and Health Administration (MSHA) and the Federal Railroad Administration. Occupational hearing programs, for the most part, are multi-state programs as companies and corporations are national organizations. Also, companies may contract services across state lines as local services may not be desired or available...
2017: International Journal of Telerehabilitation
https://www.readbyqxmd.com/read/29209759/-private-medical-education-in-germany
#12
REVIEW
Beatrix Schwörer, Frank Wissing
Through the years, a range of privately funded medical training opportunities has been established in Germany. Only a few of them operate along the German Medical Licensure Act and thus underlie quality assurance regulations in Germany. Most of the courses are a result of German hospitals cooperating with universities from other EU countries. The content of the courses and the examinations underlie the regulations of the university's home country. This article aims to give an overview of the private medical training opportunities offered in Germany and to show differences compared to state funded German medical schools...
February 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29203014/teens-distracted-driving-behavior-prevalence-and-predictors
#13
Pnina Gershon, Chunming Zhu, Sheila G Klauer, Tom Dingus, Bruce Simons-Morton
INTRODUCTION: Teen drivers' over-involvement in crashes has been attributed to a variety of factors, including distracted driving. With the rapid development of in-vehicle systems and portable electronic devices, the burden associated with distracted driving is expected to increase. The current study identifies predictors of secondary task engagement among teenage drivers and provides basis for interventions to reduce distracted driving behavior. We described the prevalence of secondary tasks by type and driving conditions and evaluated the associations between the prevalence of secondary task engagement, driving conditions, and selected psychosocial factors...
December 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/29170922/vaccine-safety-and-surveillance-for-adverse-events-following-immunization-aefi-in-india
#14
Jyoti Joshi, Manoja Kumar Das, Deepak Polpakara, Satinder Aneja, Mahesh Agarwal, Narendra Kumar Arora
Assured quality vaccines and safe immunization practices are pre-requisite to successful immunization programs. All vaccines go through stringent safety checks during pre-licensure stage. Adverse Events Following Immunization (AEFI) Surveillance program is an integral part of routine immunization program in India to monitor the vaccine safety in the post licensure phase. Indian AEFI Program: National AEFI surveillance relies on passive surveillance and reporting by the health functionaries and practitioners...
February 2018: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/29049113/the-us-opioid-crisis-current-federal-and-state-legal-issues
#15
REVIEW
Cobin D Soelberg, Raeford E Brown, Derick Du Vivier, John E Meyer, Banu K Ramachandran
The United States is in the midst of a devastating opioid misuse epidemic leading to over 33,000 deaths per year from both prescription and illegal opioids. Roughly half of these deaths are attributable to prescription opioids. Federal and state governments have only recently begun to grasp the magnitude of this public health crisis. In 2016, the Centers for Disease Control and Prevention released their Guidelines for Prescribing Opioids for Chronic Pain. While not comprehensive in scope, these guidelines attempt to control and regulate opioid prescribing...
November 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29036253/understanding-state-regulation-of-biosimilars-and-effect-on-prescribers
#16
Katerina Yale, Olabola Awosika, Monica Rengifo-Pardo, Alison Ehrlich
Biologics are a mainstay of treatment for many dermatologic conditions, however the high costs can be prohibitive for many patients. A growing market of biosimilar drugs is emerging with the hope of providing patients access to more affordable medications. While the FDA has created an abbreviated licensure pathway for these drugs, states are still in the process of creating regulations regarding their substitution for reference biologics. This article looks to raise awareness of the current federal regulations and the differences among state regulations regarding the use of biosimilars...
October 1, 2017: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/28992203/music-therapy-practice-status-and-trends-worldwide-an-international-survey-study
#17
Petra Kern, Daniel B Tague
Background: The field of music therapy is growing worldwide. While there is a wealth of country-specific information available, only a few have databased workforce censuses. Currently, little to no descriptive data exists about the global development of the profession. Objectives: The purpose of this study was to obtain descriptive data about current demographics, practice status, and clinical trends to inform worldwide advocacy efforts, training needs, and the sustainable development of the field...
November 1, 2017: Journal of Music Therapy
https://www.readbyqxmd.com/read/28864801/the-evolution-of-the-dental-assisting-profession
#18
Connie Kracher, Carolyn Breen, Kim McMahon, Lorraine Gagliardi, Cara Miyasaki, Katherine Landsberg, Constance Reed
The objectives of this article are to describe the dental assistant's role in the dental delivery system; assess the educational structure of the dental assisting profession; and project factors likely to impact the future role of the dental assistant. The article summarizes the current status and trends of the dental assisting profession including general responsibilities, credentialing, and regulation. An overview of the workforce and parameters of employment is provided with a description of the broad scope of practice, education, and licensure options, which vary by state...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28864799/expected-changes-in-regulation-and-licensure-influence-on-future-education-of-dentists
#19
Frank A Catalanotto
This article is based on the following assumptions about dental care in the United States: there is an access to oral health care problem; the number of individuals with dental insurance is increasing; the demographics of the dental profession does not mirror the overall demographics of the U.S. population; and emerging oral health workforce models may help improve access to care. Based on these assumptions, this article explores related licensure and regulatory factors that will influence the education and practice of dentists in the future...
September 2017: Journal of Dental Education
https://www.readbyqxmd.com/read/28843874/alternative-futures-fields-boundaries-and-divergent-professionalisation-strategies-within-the-chiropractic-profession
#20
Caragh Brosnan
Sociological studies of the complementary and alternative medicine (CAM) occupations have documented the professionalisation strategies these groups use to establish boundaries between themselves and their competitors, including seeking educational accreditation and statutory regulation/licensure. Chiropractic has been particularly successful at professionalising and in Australia and the UK it is taught within public universities. Recent events have threatened chiropractic's university foothold, however, showing that professionalisation needs to be understood as an ongoing process of negotiation...
October 2017: Social Science & Medicine
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