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https://www.readbyqxmd.com/read/27918406/the-advanced-practice-clinical-nurse-specialist
#1
Ann M Mayo, Melinda Mercer Ray, Tracy B Chamblee, Linda D Urden, Rachel Moody
The clinical nurse specialist (CNS), one of the 4 advanced practice registered nurse (APRN) categories, has a unique role to play in contributing to high-quality patient care and system-level change across multiple health care settings. CNS practice requires advanced knowledge and skills, including specialty expertise, the ability to integrate new knowledge and innovation into the system of care, the ability to consult and collaborate with all health professions, and the mentoring of nursing staff to support and fully implement that new knowledge...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27905252/preparing-registrants-for-mentor-roles-the-chicken-or-egg-conundrum
#2
Claire McGuinness, Jacqueline McCallum, Kathleen Duffy
The Nursing and Midwifery Council's (NMC) Standards to Support Learning and Assessment in Practice ( 2008 ) outline requirements for the preparation of those who support nursing and midwifery pre-registration students in practice, formally known as mentors. Pre-registration nursing and midwifery programme providers, and practice learning environments (PLEs), work collaboratively to prepare registrants to undertake this role, and to help them maintain mentor status. An important NMC requirement is that registrants, when undertaking mentor preparation programmes, must be supported by experienced mentors in their workplace...
December 1, 2016: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/27903941/prep-t1-preteen-re-education-with-parents-type-1-diabetes-feasibility-intervention-results
#3
Susan Sullivan-Bolyai, Sybil Crawford, Kim Johnson, Neesha Ramchandani, Diane Quinn, Bianca D'Alesandro, Kailyn Stern, Terry Lipman, Gail Melkus, Randi Streisand
There has been a 2% to 3% increase in Type 1 diabetes (T1D) in children below 11 years old. Preteens (9-12 years old) with T1D are often overlooked regarding future diabetes self-management (DSM) expectations because parents are still in the "driver's seat." The study purpose was to explore feasibility/ability to recruit and conduct a two-arm trial on reeducation, collaboration, and social support. One component of DSM was reviewed (hypoglycemia) with preteens (n = 22) and parents (n = 22). The experimental preteens discussed hypoglycemia management with a teen mentor and nurse educator using a human patient simulator for practice, and working collaboratively with parents...
November 2016: Journal of Family Nursing
https://www.readbyqxmd.com/read/27880858/precepting-101-teaching-strategies-and-tips-for-success-for-preceptors
#4
REVIEW
Judy Lazarus
The current shortage of certified nurse-midwives and certified midwives willing to serve as preceptors for midwifery education programs limits the number of students accepted into education programs. Preceptors are an essential link between academic programs and clinical practice and are indispensable to the growth of the midwifery profession. Preceptors create a safe environment for learning and teach adult learners through a variety of clinical teaching strategies. Novice preceptors need training and support to learn a new role, and experienced preceptors desire continued support and training...
November 2016: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/27875451/developing-a-framework-to-help-bedside-nurses-bring-about-change
#5
Jordan S Porter, Kelley A Strout
: Nurses across all care settings and experience levels are being called upon to lead. In a 2011 report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine examined the ways nurses could more fully apply their knowledge of direct patient care to address the increasing demands placed on the health care system since the passage of the Affordable Care Act. The report asked: "What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?"Multiple variables influence a nurse's ability to assume a leadership role, and multiple barriers to these roles continue to exist...
December 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27866945/a-global-call-from-five-countries-to-collaborate-in-antibiotic-stewardship-united-we-succeed-divided-we-might-fail
#6
REVIEW
Debra A Goff, Ravina Kullar, Ellie J C Goldstein, Mark Gilchrist, Dilip Nathwani, Allen C Cheng, Kelly A Cairns, Kevin Escandón-Vargas, Maria Virginia Villegas, Adrian Brink, Dena van den Bergh, Marc Mendelson
In February, 2016, WHO released a report for the development of national action plans to address the threat of antibiotic resistance, the catastrophic consequences of inaction, and the need for antibiotic stewardship. Antibiotic stewardship combined with infection prevention comprises a collaborative, multidisciplinary approach to optimise use of antibiotics. Efforts to mitigate overuse will be unsustainable without learning and coordinating activities globally. In this Personal View, we provide examples of international collaborations to address optimal prescribing, focusing on five countries that have developed different approaches to antibiotic stewardship-the USA, South Africa, Colombia, Australia, and the UK...
November 17, 2016: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/27865010/a-mixed-methods-study-exploring-sign-off-mentorship-practices-in-relation-to-the-nursing-midwifery-council-nmc-standards
#7
Joanna Newton, Rachel M Taylor, Liz Crighton
AIMS AND OBJECTIVES: to investigate the current practice and experience of sign-off mentors in one NHS Trust. BACKGROUND: In the UK sign-off mentors support nursing students in their last clinical placement and are accountable for the final assessment of fitness-to-practice as a registered nurse. DESIGN: Mixed methods study. METHODS: The focus was on two key NMC standards: the requirement for students to work at least 40% of their time on clinical placement with a sign-off mentor/mentor; the sign-off mentor had 1-hour/week protected time to meet the final placement student...
November 16, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27834526/support-for-mentors-an-exploration-of-the-issues
#8
Liz Clark, Debbie Casey
Nursing and midwifery mentors are fundamental to the process of ensuring future practitioners are adequately prepared and supported during the practice element of their degrees. However, there is evidence to suggest that the infrastructure and support for the mentoring role is not always adequate. This article provides a review of some of the issues including the emotional labour associated with supporting pre-registration students, difficulties in accessing protected learning time for mentoring, and lack of supportive networks for mentors to develop within the role...
November 10, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27818414/an-innovative-approach-to-enhancing-access-to-medical-screening-for-miners-using-a-mobile-clinic-with-telemedicine-capability
#9
Kandace Evans, Shawn Lerch, Tawny Wilson Boyce, Orrin B Myers, Elizabeth Kocher, Linda S Cook, Akshay Sood
Inadequate access to medical care in underserved and geographically isolated rural communities may limit the delivery of quality screening care to miners. Use of mobile screening clinics, manned by a physician assistant or nurse practitioner, is one way to improve their access. Miners demonstrate a high level of satisfaction with services provided by the mobile screening clinic. The addition of telemedicine to mobile screening clinics allows miners to have access to university-based specialist care and provides an opportunity to specialists to tele-mentor other providers...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27809819/helping-palliative-care-healthcare-professionals-get-the-most-out-of-mentoring-in-a-low-income-country-a-qualitative-study
#10
J L Whitehurst, J Rowlands
BACKGROUND: Being a mentor in any setting brings challenges in addition to recognised benefits. Working in a low-income country confers specific challenges including logistical and communication issues. The need to adequately support UK-based international health volunteers prior to, during and after their trip is recognised at government level. Whilst the need to support mentors is recognised little is known about their support needs. This study aims to explore the lived experience of mentorship in a low-income country and gain insight into mentors' support and information needs and the barriers and facilitators to mentoring...
November 4, 2016: BMC Palliative Care
https://www.readbyqxmd.com/read/27805792/issues-and-challenges-of-curriculum-reform-to-competency-based-curricula-in-africa-a-meta-synthesis
#11
REVIEW
Claudine Muraraneza, Ntombifikile Gloria Mtshali, Donatilla Mukamana
Although in recent decades reforms to undergraduate nursing and midwifery education have increasingly been guided by the concept of competency-based curriculum in a drive to produce competent graduates in the African context, the topic remains poorly researched in-depth. The related issues and challenges need to be explored in the interest of evidence-based practice. This article stems from a systematic review of qualitative literature on the design and implementation of competency-based curriculum. Data was inductively analyzed using constant comparison...
November 2, 2016: Nursing & Health Sciences
https://www.readbyqxmd.com/read/27804187/partners-in-research-building-academic-practice-partnerships-to-educate-and-mentor-advanced-practice-nurses
#12
Patricia Harbman, Denise Bryant-Lukosius, Ruth Martin-Misener, Nancy Carter, Christine L Covell, Faith Donald, Sharyn Gibbins, Kelley Kilpatrick, James McKinlay, Krista Rawson, Diana Sherifali, Joan Tranmer, Ruta Valaitis
RATIONALE: Clinical practice is the primary focus of advanced practice nursing (APN) roles. However, with unprecedented needs for health care reform and quality improvement (QI), health care administrators are seeking new ways to utilize all dimensions of APN expertise, especially related to research and evidence-based practice. International studies reveal research as the most underdeveloped and underutilized aspect of these roles. AIMS: To improve patient care by strengthening the capacity of advanced practice nurses to integrate research and evidence-based practice activities into their day-to-day practice...
November 1, 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27792072/unique-educational-needs-of-emergency-nurse-practitioners
#13
Vicki A Keough, Dina Tell, Colleen Andreoni, Paula Tanabe
The purpose of this study is to identify the unique educational needs of emergency nurse practitioners (ENPs). A survey from 167 nurse practitioners (NPs) practicing in the emergency department (ED) settings was analyzed. A variety of certified NPs practice in EDs: family NPs (30%), adult NPs (18%), acute care NPs (40%), and some with 2 or more certifications (12%). NPs come with a variety of basic educational preparations. The top educational needs specific to ENP preparation identified were managing critically ill patients, pharmacology, interpretation of laboratory tests, electrocardiograms, radiographs, and computed tomographic scans, suturing superficial lacerations, and mentoring by MDs and NPs...
October 2016: Advanced Emergency Nursing Journal
https://www.readbyqxmd.com/read/27787190/evaluation-of-the-student-learning-experience
#14
Trish Houghton
This article, the final in a series of 11, discusses the importance of evaluating the students' learning experience. Mentoring is integral to effective nursing care and professional development. It is important that mentors are able to establish whether they are effective in their role, including identifying their strengths and areas for improvement, and whether they are making a difference to the students' learning and contributing to the learning experience and assessment process. The article relates to the fourth domain and outcomes of the Nursing and Midwifery Council's Standards to Support Learning and Assessment in Practice on evaluation of learning and presents several ways in which mentors and practice teachers can evaluate their role and the students' learning experience...
October 26, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27783832/capitalizing-on-military-nurse-skills-for-second-career-leadership-and-staff-development-roles
#15
Donna M Lake, Patricia E Allen, Myrna L Armstrong
Nursing continues to face professional workforce and diversity shortage problems. This article advocates for examining an untapped resource-the consideration of applicants for nursing leadership and educational positions in civilian health care organizations. This untapped resource is highly qualified, already retired (or going to be separated) military nurse officers (MNOs) who possess extensive health care knowledge, as well as distinctive ethnicity and gender composition. Clinical educators, as part of the organizational leadership, can play an important role in assisting the MNO civilian position assimilation because they come from a structured and unique cultural environment...
November 1, 2016: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/27783820/peer-mentoring-during-practicum-to-reduce-anxiety-in-first-semester-nursing-students
#16
Danielle Walker, Terese Verklan
BACKGROUND: The clinical setting creates significant anxiety for students that can decrease their ability to learn. METHOD: This quasi-experimental study examined whether nursing students who participate in peer mentoring during their first clinical experience (n = 18) experienced less anxiety than those in traditional clinical experiences (n = 19). Anxiety was measured using the standardized State Trait Anxiety Index and the Clinical Experiences Anxiety Form (CEAF)...
November 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27783814/enhancing-the-educational-environment-for-diverse-nursing-students-through-mentoring-and-shared-governance
#17
Christine L Latham, Harsimran Singh, Karen K Ringl
BACKGROUND: A structured peer-mentoring program for diverse nursing students culminated in shared governance meetings between mentors and program coordinators to address mentees' concerns and issues. METHOD: After informed consent, mentees reviewed mentor profiles online and selected mentors. Baseline data were collected on ethnic identity, lifestyle, social support, and academic habits. Outcome data included mentors' self-reflective journal themes and student satisfaction surveys and focus group evaluation of the program...
November 1, 2016: Journal of Nursing Education
https://www.readbyqxmd.com/read/27779495/exploring-nicu-nurses-affective-responses-to-end-of-life-care
#18
Stephanie Lacefield Lewis
BACKGROUND: The survival rate for infants born with life-threatening problems has improved greatly over the last few decades. Nevertheless, infants still die in neonatal intensive care units (NICUs) every day. Despite existing standards of care, some aspects of end-of-life care (EOLC) are still not delivered consistently. Little is known about how NICU nurses' individual experiences affect EOLC. PURPOSE: The purpose of this study was to explore, through lived and told stories, the affective, interactional, and meaning-related responses that NICU nurses have while caring for dying infants and their families...
October 24, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27777798/mentoring-nurses-in-political-skill-to-navigate-organizational-politics
#19
Wanda Montalvo, Mary W Byrne
Objective. The aim of this study was to describe and analyze the correlations between mentoring functions and political skill development among nurses who have earned or are candidates for a Ph.D. or doctorate of nursing practice (DNP) degree. Background. The healthcare system is in flux; future generations of Ph.D. and DNP nurse leaders will be required to demonstrate political acumen. Political skill to navigate organizational politics has had limited research within nursing. Methods. A cross-sectional research design using a web-based survey of 222 nurses who have earned or are candidates for a Ph...
2016: Nursing Research and Practice
https://www.readbyqxmd.com/read/27769019/in-pursuit-of-an-optimal-model-of-undergraduate-nurse-clinical-education-an-integrative-review
#20
REVIEW
Jan Forber, Michelle DiGiacomo, Bernie Carter, Patricia Davidson, Jane Phillips, Debra Jackson
Clinical learning experiences are an essential part of nurse education programs. Numerous approaches to clinical education and student supervision exist. The aim of this integrative review was to explore how studies have compared or contrasted different models of undergraduate nurse clinical education. A search of eight databases was undertaken to identify peer-reviewed literature published between 2006 and 2015. Eighteen studies met the inclusion criteria. A diverse range of methodologies and data collection methods were represented, which primarily explored student experiences or perceptions...
November 2016: Nurse Education in Practice
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