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https://www.readbyqxmd.com/read/29911631/the-effectiveness-of-a-nursing-staff-development-intervention-to-improve-pain-management-a-randomized-controlled-trial
#1
S Zoëga, S E Ward, R C Serlin, H Sveinsdottir, E Th Gretarsdottir, N Fridriksdottir, E J G Hafsteinsdottir, S Gunnarsdóttir
Aims To test the effectiveness of the Pain Resource Nurse (PRN) education program in a university hospital. Methods This was a randomized controlled trial. Two nurses from each of the 23 participating surgical and medical units were selected to participate in the PRN program. The program consisted of a three day course in pain management with a structured follow up. After a baseline measurement, the units were randomized to either receive the intervention or to serve as a wait-list control. The control group received the intervention following a second data collection 10 months from baseline...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29903799/the-silkie-skin-grafting-low-friktion-environment-study-a-non-randomised-proof-of-concept-and-feasibility-study-on-the-impact-of-low-friction-nursing-environment-on-skin-grafting-success-rates-in-adult-and-paediatric-burns
#2
Linda Hollén, Rosemary Greenwood, Rebecca Kandiyali, Jenny Ingram, Chris Foy, Susan George, Sandra Mulligan, Francesca Spickett-Jones, Simon Booth, Anthony Sack, Alan Emond, Ken Dunn, Amber Young
OBJECTIVES: To evaluate the impact of low-friction (LF) bedding on graft loss in an acute burn care setting, and to examine the feasibility and costs of using LF bedding compared with standard care. DESIGN: Proof of concept before and after study with feasibility of delivering the intervention. SETTING: Three burns services within two UK hospital trusts. PARTICIPANTS: Inclusion criteria were patients older than 4 weeks, who received a skin graft after burn injury and were admitted overnight...
June 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29896073/barriers-of-physical-assessment-skills-among-nursing-students-in-arab-peninsula
#3
Majed Sulaiman Alamri, Joseph U Almazan
Objective: There is a growing demand for health-care nursing services in several health care institutions. Understanding barriers to physical assessment among nursing students create a more detailed assessment in the development of quality patient's care in nursing practice. This study examined the barriers to physical assessment skills among nursing students in a government university in Arab Peninsula. Methods: A cross-sectional research survey design of 206 nursing students using a standardized questionnaire was used...
May 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29893469/leadership-and-registered-nurses-rns-working-after-hours-in-residential-aged-care-facilities-racfs-a-structured-literature-review
#4
REVIEW
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29892477/bromocriptine-for-the-treatment-of-peripartum-cardiomyopathy
#5
REVIEW
Tobias Koenig, Johann Bauersachs, Denise Hilfiker-Kleiner
Peripartum cardiomyopathy (PPCM) is a life-threatening, pregnancy-associated heart disease that develops towards the end of pregnancy or in the first months following delivery in previously healthy women. Understanding of the pathophysiology has progressed in recent years, highlighting an oxidative-stress mediated cleavage of the nursing hormone prolactin into a toxic 16-kDa prolactin fragment as a major factor driving the disease. The 16-kDa prolactin fragment induces detrimental but potentially reversible effects on heart function...
May 2018: Cardiac Failure Review
https://www.readbyqxmd.com/read/29891575/education-research-variation-in-priorities-for-neurocritical-care-education-expressed-across-role-groups
#6
Abigail S Cohen, Saef Izzy, Monisha A Kumar, Cara J Joyce, Stephen A Figueroa, Matthew B Maas, Christiana E Hall, David L McDonagh, David P Lerner, Paul M Vespa, Lori A Shutter, Eric S Rosenthal
OBJECTIVE: To define expectations for neurocritical care (NCC) core competencies vs competencies considered within the domain of other subspecialists. METHODS: An electronic survey was disseminated nationally to NCC nurses, physicians, fellows, and neurology residents through Accreditation Council for Graduate Medical Education neurology residency program directors, United Council for Neurologic Subspecialties neurocritical care fellowship program directors, and members of the Neurocritical Care Society...
June 12, 2018: Neurology
https://www.readbyqxmd.com/read/29889727/development-and-validation-of-simulation-based-procedural-checklists-for-evaluation-of-neonatal-nurse-practitioner-performance
#7
Laura Jarding, Laurie A Hogden, Stephen E Messier, Valeriy Kozmenko, Edward Simanton, Kerri Bjornson, Charisse Ortman Brockmueller
BACKGROUND: Neonatal nurse practitioner (NNP) procedural competence is essential. Procedural simulation provides opportunity to practice high-risk, low-frequency procedures and helps improve skill retention. A formal procedural simulation experience was created in an attempt to provide sufficient experience for NNPs. While preparing for the simulation experience, the group recognized the lack of validated competency metrics for most neonatal intensive care unit (NICU) procedures. PURPOSE: The purpose of this study was to create and validate procedural checklists measuring competence of NNPs participating in simulated performance of 9 high-risk NICU procedures...
June 8, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29889725/introduction-of-continuous-video-eeg-monitoring-into-2-different-nicu-models-by-training-neonatal-nurses
#8
Ipsita Goswami, Luis Bello-Espinosa, Jeffrey Buchhalter, Harish Amin, Alexandra Howlett, Michael Esser, Sumesh Thomas, Cathy Metcalfe, Jan Lind, Norma Oliver, Silvia Kozlik, Khorshid Mohammad
BACKGROUND: Continuous video electroencephalographic (EEG) (cvEEG) monitoring is emerging as the standard of care for diagnosis and management of neonatal seizures. However, cvEEG is labor-intensive and the need to initiate and interpret studies on a 24-hour basis is a major limitation. PURPOSE: This study aims at establishing consistency in monitoring of newborns admitted to 2 different neonatal intensive care units (NICUs) managed by the same neurocritical care team...
June 8, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29887258/pharmacist-medication-therapy-management-in-home-health-care-investigation-of-a-sustainable-practice-model
#9
Katherine Corsi, Virginia Lemay, K Kelly Orr, Lisa Cohen
OBJECTIVES: The objective of this study was to quantify the financial impact of a pharmacist-driven pilot medication therapy management (MTM) program within a visiting nurse service (VNS) and identify types of medication-related problems affecting the home health care population. METHODS: Patients were contacted to schedule a home visit with the primary investigator. At the appointment, a comprehensive medication review (CMR) was completed, and data collected included primary reason for VNS care, comorbid diagnoses, number of prescription and nonprescription medications at time of visit, and type of pharmacist-identified medication therapy intervention(s)...
June 7, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29885547/exploring-the-quality-of-the-dying-and-death-experience-in-the-emergency-department-an-integrative-literature-review
#10
REVIEW
Kay J McCallum, Debra Jackson, Helen Walthall, Helen Aveyard
AIM: The aim of this integrative literature review was to explore the quality of the dying and death experience in the Emergency Department from the perspective of staff and carers. BACKGROUND: Death in the Emergency Department is common. Understanding the quality of the death and dying experience of patients and their family members is crucial to building knowledge and improving care. DESIGN: Systematic integrative literature review reported following the PRISMA guidelines...
May 23, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29883912/the-relationship-between-critical-thinking-and-emotional-intelligence-in-nursing-students-a-longitudinal-study
#11
Hülya Kaya, Emine Şenyuva, Gönül Bodur
BACKGROUND: Emotional Intelligence and critical thinking are regarded as important traits that nurses have which may influence the quality of their work including clinical decision-making and reasoning ability and adoption of evidence-based practice and practice-based knowledge. OBJECTIVES: The aim of this study is to investigate nursing students' critical thinking dispositions and emotional intelligence as an essential skill, over the course of the undergraduate nursing program...
June 1, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29883535/strategies-for-managing-smart-pump-alarm-and-alert-fatigue-a-narrative-review
#12
Parth K Shah, Jamie Irizarry, Sean O'Neill
Although smart infusion pumps are intended to prevent medication errors by alerting users about doses that exceed set thresholds, a large number of clinically insignificant alarms and alerts create the potential for alert and alarm fatigue. We searched the PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases for peer-reviewed literature (January 1, 2004-August 31, 2017) on managing smart pump alerts, alarms, and related fatigue. Twenty-nine articles that met the inclusion criteria were reviewed and organized into themes...
June 8, 2018: Pharmacotherapy
https://www.readbyqxmd.com/read/29882731/-the-practice-of-special-observation-in-adults-in-the-german-speaking-part-of-switzerland-a-descriptive-cross-sectional-study
#13
Andrea Lienhardt, Franziska Rabenschlag, Eva-Maria Panfil
The practice of special observation in adults in the German-speaking part of Switzerland - a descriptive cross-sectional study Abstract. INTRODUCTION: Psychiatric Special Observation (PSO) is an intervention often used by nurses to prevent service users of harming themselves or to protect others. The intervention ranges between control and therapy and is resource intensive. Despite the widespread use of PSO, there is still no data on the practice of the intervention in Switzerland. AIM: What is the current practice of PSO in adults in psychiatric hospitals in the German-speaking part of Switzerland? METHOD: Descriptive cross-sectional study...
June 8, 2018: Pflege
https://www.readbyqxmd.com/read/29880574/tackling-the-workforce-crisis-in-district-nursing-can-the-dutch-buurtzorg-model-offer-a-solution-and-a-better-patient-experience-a-mixed-methods-case-study
#14
Vari M Drennan, Melania Calestani, Fiona Ross, Mary Saunders, Peter West
Despite policy intentions for more healthcare out of hospital, district nursing services face multiple funding and staffing challenges, which compromise the care delivered and policy objectives. OBJECTIVES: What is the impact of the adapted Buurtzorg model on feasibility, acceptability and effective outcomes in an English district nursing service? DESIGN: Mixed methods case study. SETTING: Primary care. PARTICIPANTS: Neighbourhood nursing team (Buurtzorg model), patients and carers, general practitioners (GPs), other health professionals, managers and conventional district nurses...
June 6, 2018: BMJ Open
https://www.readbyqxmd.com/read/29880525/development-of-a-standardized-citywide-process-for-managing-smart-pump-drug-libraries
#15
Todd A Walroth, Shannon Smallwood, Karen Arthur, Betsy Vance, Alana Washington, Therese Staublin, Tammy Haslar, Jennifer G Reddan, James Fuller
PURPOSE: Development and implementation of an interprofessional consensus-driven process for review and optimization of smart-pump drug libraries and dosing limits are described. SUMMARY: The Indianapolis Coalition for Patient Safety (ICPS), which represents 6 Indianapolis-area health systems, identified an opportunity to reduce clinically insignificant alerts that smart infusion pumps present to end users. Through a consensus-driven process, ICPS aimed to identify best practices to implement at individual hospitals in order to establish specific action items for smart-pump drug library optimization...
June 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29878963/food-and-drug-administration-upscheduling-of-hydrocodone-and-the-effects-on-nurse-practitioner-pain-management-practices
#16
Rachel Mack
BACKGROUND AND PURPOSE: In 2013, the Advisory Committee of the Food and Drug Administration determined hydrocodone combination medications (HCMs) needed tighter regulation due to high abuse potential; they recommended upscheduling HCMs from Schedule III to II. The purpose of this study was to examine the effect of upscheduling of HCMs on pain management practices of advanced practiced registered nurses (APRNs) in Oklahoma. METHODS: In this qualitative study, 25 participants described their primary care experiences after the upscheduling...
June 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29878930/a-workshop-for-addressing-the-impact-of-the-imposter-syndrome-on-clinical-nurse-specialists
#17
Tina Sweeney Haney, Lorri Birkholz, Carolyn Rutledge
PURPOSE: The imposter syndrome creates feelings of self-doubt in individuals, which can result in emotional paralysis preventing them from achieving their fullest potential. Clinical nurse specialists are not immune to this phenomenon. The purpose of this article is to describe an educational program designed to assist healthcare professionals, including clinical nurse specialist students, in identifying, understanding, and addressing imposter syndrome. DESCRIPTION OF PROGRAM: Interprofessional students from 8 professions came together for a 2-week interprofessional education experience that included a 1-day workshop...
July 2018: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/29875079/screening-mammography-among-nursing-home-residents-in-the-united-states-current-guidelines-and-practice
#18
Deborah S Mack, Mara M Epstein, Catherine Dubé, Robin E Clark, Kate L Lapane
OBJECTIVE: United States (US) guidelines regarding when to stop routine breast cancer screening remain unclear. No national studies to-date have evaluated the use of screening mammography among US long-stay nursing home residents. This cross-sectional study was designed to identify prevalence, predictors, and geographic variation of screening mammography among that population in the context of current US guidelines. MATERIALS AND METHODS: Screening mammography prevalence, identified with Physician/Supplier Part B claims and stratified by guideline age classification (65-74, ≥75 years), was estimated for all women aged ≥65 years residing in US Medicare- and Medicaid- certified nursing homes (≥1 year) with an annual Minimum Data Set (MDS) 3...
June 4, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29870492/transitioning-nurse-handoff-to-the-bedside-engaging-staff-and-patients
#19
Karen White-Trevino, Valorie Dearmon
The emergency department is a complex environment in which reliable communication is vital for safe patient care. Communication during nurse shift report can be risky without an effective report process in practice. Reliability improves with the use of a standardized, patient-centered nurse handoff process. Quality improvement methods were used to promote reliable information exchange during nurse shift handoff through the implementation of a standardized, patient-centric bedside report process. Forty-six hospital-based emergency nurses participated in the project...
July 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29866633/factors-for-compliance-with-infection-control-practices-in-home-healthcare-findings-from-a-survey-of-nurses-knowledge-and-attitudes-toward-infection-control
#20
David Russell, Dawn W Dowding, Margaret V McDonald, Victoria Adams, Robert J Rosati, Elaine L Larson, Jingjing Shang
BACKGROUND: Infection is a leading cause of hospitalization among home healthcare patients. Nurses play an important role in reducing infection among home healthcare patients by complying with infection control procedures. However, few studies have examined the compliance of home healthcare nurses with infection control practices or the range of sociocultural and organizational factors that may be associated with compliance. METHODS: This study analyzed survey responses from nurses at 2 large, certified home healthcare agencies (n = 359), to explore levels of compliance with infection control practices and identify associated demographic, knowledge, and attitudinal correlates...
June 1, 2018: American Journal of Infection Control
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