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Certified Emergency Nurse

Nancy Kusmaul, Morgan Bunting
This study sought Certified Nursing Assistants' (CNAs) perspectives on the activities that compose quality care. CNAs provide the majority of hands on care in nursing homes positioning them to have a unique perspective on factors that constitute good quality care. Using semi-structured interviews, 23 CNAs from New York State nursing homes were asked to identify factors they felt were components of good care. Interviews were recorded, transcribed verbatim, and coded using open coding. Three themes emerged: (1) technical aspects of care; (2) care of the environment; and (3) a little bit more...
October 12, 2016: Geriatric Nursing
Paula M Neira, Barbara Maliszewski, RaniMaria Toledo, Kimberly Borries, Diana-Lyn Baptiste
Nationally, hospital emergency departments are met with challenges because of increasing patient demands, overcrowding, and the need to protect patient safety. It is imperative that frontline emergency department nurses are prepared to meet the complex needs of diverse patient populations by having appropriate continuing education, training, and institutional resources. Professional certification is associated with improved patient safety, higher organizational performance scores, professional growth, and credibility among nurses...
September 2016: Journal for Nurses in Professional Development
Darcie M Brady
High levels of staff turnover of certified nursing assistants (CNAs) are costly and disruptive to patient care. A variety of factors contribute to a 36% turnover rate of CNAs nationwide (2015 Staffing Report, 2015). According to Stone and Wiener, high rates of turnover and staff vacancies have multilayered consequences; patient care suffers, cost of constantly replacing workers soars, and worker job dissatisfaction increases. This study examined the CNAs' beliefs about job satisfaction as an approach to prevent job turnover and retain high achieving staff in one acute care hospital in a south eastern region...
October 2016: Critical Care Nursing Quarterly
Sarah A Sterling, Samantha R Seals, Alan E Jones, Melissa H King, Robert L Galli, Kristen C Isom, Richard L Summers, Kristi A Henderson
INTRODUCTION: Timely, appropriate intervention is key to improving outcomes in many emergent conditions. In rural areas, it is particularly challenging to assure quality, timely emergency care. The TelEmergency (TE) program, which utilizes a dual nurse practitioner and emergency medicine-trained, board-certified physician model, has the potential to improve access to quality emergency care in rural areas. The objective of this study was to examine how the implementation of the TE program impacts rural hospital Emergency Department (ED) operations...
July 28, 2016: Journal of Telemedicine and Telecare
Emmanuel Olushola Shobowale, Benjamin Adegunle, Ken Onyedibe
BACKGROUND: Hand hygiene has been described as the cornerstone and starting point in all infection control programs, with the hands of healthcare staff being the drivers and promoters of infection in critically ill patients. The objectives of this study were to access healthcare workers compliance with the World Health Organization (WHO) prescribed five moments of hand hygiene as it relates to patient care and to determine the various strata of healthcare workers who are in default of such prescribed practices...
May 2016: Nigerian Medical Journal: Journal of the Nigeria Medical Association
P P Saramma, L Suja Raj, P K Dash, P S Sarma
CONTEXT: Cardiopulmonary resuscitation (CPR) and emergency cardiovascular care guidelines are periodically renewed and published by the American Heart Association. Formal training programs are conducted based on these guidelines. Despite widespread training CPR is often poorly performed. Hospital educators spend a significant amount of time and money in training health professionals and maintaining basic life support (BLS) and advanced cardiac life support (ACLS) skills among them. However, very little data are available in the literature highlighting the long-term impact of these training...
April 2016: Indian Journal of Critical Care Medicine
Nicole Piela, Steven Kornweiss, Alfred Sacchetti, Amanda Gallagher, Allen Abrams
PURPOSE: Placement of TVPs is a core EM procedure. Despite this, there is no specific outcome data on this procedure in the ED setting. This study examines the success of Emergency Physician (EP) attempted TVPs as well as their hospital courses and survivals. METHODS: The charts of patients undergoing TVP placement in the ED of an urban community hospital were prospectively collected by a department billing abstractor and then underwent a structured review. All patients had a TVP placed by a board eligible or board certified EP or by a PGY2 EM resident under the direct supervision of an attending EP...
August 2016: American Journal of Emergency Medicine
Amy Dereczyk, Rachel DeWitt
This qualitative study explored the clinical experiences of students in an accelerated physician assistant (PA) program. The participants were either certified nursing assistants (CNAs) or emergency medical technicians-basic (EMTs-B). The study was designed to elicit (1) how the participants perceived their older patients and (2) how the participants' experiences might affect their own future communications, bedside manner, and clinical preparedness as PAs. This study used a focus group to explore students' clinical experiences before the graduate phase of their accelerated PA program...
June 2016: Journal of Physician Assistant Education
Michelle Gray, Barbara Shadden, Jean Henry, Ro Di Brezzo, Alishia Ferguson, Inza Fort
Certified nursing assistants (CNAs) provide up to 80% of the direct care to older adults in long-term care facilities. CNAs are perceived as being at the bottom of the hierarchy among healthcare professionals often negatively affecting their job satisfaction. However, many CNAs persevere in providing quality care and even reporting high levels of job satisfaction. The aim of the present investigation was to identify primary themes that may help CNAs make meaning of their chosen career; thus potentially partially explaining increases in job satisfaction among this group...
September 2016: Nursing Inquiry
Rachid Sani, Samuila Sanoussi, James Lassey Didier, Garba Mohamed Salifou, Habibou Abarchi
The purpose of the study was to evaluate the qualitative aspect and global impact of surgery in a district hospital (DH) since the launching of the surgery at the district level. Surgical care was provided by general practitioners (GP) who received 12-month training in surgery, certified by a "Capacity of District Surgery" (CDS) diploma. It was a prospective study during 4 years from 2007 to 2010. Of the 34 DHs, only 21 were functional and included in this study. Most of the DHs had two or more CDS (n = 15)...
December 2015: Indian Journal of Surgery
Karin Reuter-Rice, Maureen A Madden, Sarah Gutknecht, Adele Foerster
INTRODUCTION: Practice research serves as the certification framework for validating advanced practice roles and updating national qualifying examinations. This national study describes the current practice of the acute care pediatric nurse practitioner (AC PNP) to inform an update of the Certified Pediatric Nurse Practitioner-Acute Care (CPNP-AC) examination content outline. METHOD: A descriptive analysis was performed of the responses of 319 pediatric nurse practitioners, practicing in an acute care role, who completed a practice survey in 2014...
May 2016: Journal of Pediatric Health Care
Enza Gucciardi, Sherry Espin, Antonia Morganti, Linda Dorado
BACKGROUND: Specialised diabetes teams, specifically certified nurse and dietitian diabetes educator teams, are being integrated part-time into primary care to provide better care and support for Canadians living with diabetes. This practice model is being implemented throughout Canada in an effort to increase patient access to diabetes education, self-management training, and support. Interprofessional collaboration can have positive effects on both health processes and patient health outcomes, but few studies have explored how health professionals are introduced to and transition into this kind of interprofessional work...
2016: BMC Family Practice
Ching-Yao Wei, Shu-Ti Chiou, Li-Yin Chien, Nicole Huang
PURPOSE/OBJECTIVES: To determine the prevalence of workplace violence and explore the role of hospital organizational characteristics and health promotion efforts in reducing hospital violence among nurses in Taiwan. DESIGN: Cross-sectional survey. SETTING: One hundred hospitals across Taiwan. SAMPLE: The final sample in our study comprised responses from 26,979 nurses. METHODS: The data were obtained from a nationwide hospital survey, Physical and Mental Health and Safety Needs in Full-Time Health Care Staff, which was developed and conducted by the Bureau of Health Promotion, Taiwan, in 2011...
April 2016: International Journal of Nursing Studies
Karen J Richardson, Patricia Sengstack, Jeffrey N Doucette, William E Hammond, Matthew Schertz, Julie Thompson, Constance Johnson
The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enhancements were introduced into the electronic record in an effort to improve nursing documentation: disease-specific documentation flowsheets and clinical decision support alerts...
February 2016: Computers, Informatics, Nursing: CIN
Jens W Krombach, William A Edwards, James D Marks, Oliver C Radke
BACKGROUND: The use of printed or electronic checklists and other cognitive aids has gained increasing interest from anesthesia providers and professional societies. While these aids are not currently considered standard of care, the perceptions of the clinician might have an impact on their adoption. OBJECTIVES: We conducted a comprehensive survey to study the current opinions of anesthesia provider on the use of checklists and other cognitive aids. PATIENTS AND METHODS: A questionnaire was developed by a departmental checklist focus group, which aimed to identify the perception of health care checklists in general as well as specific checklists for routine and crisis situations in anesthesia...
August 2015: Anesthesiology and Pain Medicine
Josh H Bukowski, John R Richards
BACKGROUND: As the prevalence of air travel increases, in-flight medical emergencies occur more frequently. A significant percentage of these emergencies occur when there is no certified physician, nurse, or paramedic onboard. During these situations, flight crews might enlist the help of noncertified passengers, such as medical students, dentists, or emergency medical technicians in training. Although Good Samaritan laws exist, many health care providers are unfamiliar with the limited legal protections and resources provided to them after responding to an in-flight emergency...
January 2016: Journal of Emergency Medicine
Marcio Soares, Fernando A Bozza, Derek C Angus, André M Japiassú, William N Viana, Roberto Costa, Leonardo Brauer, Bruno F Mazza, Thiago D Corrêa, André L B Nunes, Thiago Lisboa, Fernando Colombari, Alexandre T Maciel, Luciano C P Azevedo, Moyzés Damasceno, Haggeas S Fernandes, Alexandre B Cavalcanti, Pedro E A A do Brasil, Jeremy M Kahn, Jorge I F Salluh
PURPOSE: Detailed information on organization and process of care in intensive care units (ICU) in emerging countries is scarce. Here, we investigated the impact of organizational factors on the outcomes and resource use in a large sample of Brazilian ICUs. METHODS: Retrospective cohort study of 59,693 patients (medical admissions, 67 %) admitted to 78 ICUs during 2013. We retrieved patients' data from an ICU quality registry and surveyed ICUs regarding structure, organization, staffing patterns, and process of care...
December 2015: Intensive Care Medicine
Glennys Asselin, Julius H Penning, Savithri Ramanujam, Rebecca Neri, Constance Ward
PURPOSE: To determine an incomplete spinal cord injured veteran's experience following participation in a therapeutic horseback riding program. METHODS: Following the establishment of a nationwide therapeutic riding program for America's wounded service veterans in 2007, a Certified Rehabilitation Registered Nurse from the Michael E. DeBakey Veteran Affairs Medical Center worked with an incomplete spinal cord injured veteran who participated in the Horses for Heroes program...
June 20, 2012: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
Izabela Lubinska-Welch, Tamera Pearson, Linda Comer, Sharon E Metcalfe
OBJECTIVE: To better understand current self-care practices and health-promoting behaviors of nursing staff in a rural hospital and determine if there is a need for further development of a holistic self-care program for nursing staff in the hospital. METHOD: In this cross-sectional, descriptive study, a structured questionnaire was used to collect data on current self-care practices and health needs and interests of hospital registered nurses, licensed practical nurses, and certified nursing assistants from inpatient, outpatient, and emergency departments...
September 2016: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Sarah J Tubbert
UNLABELLED: The aim of this study is to explore the resiliency characteristics of certified emergency nurses. Emergency departments are highly acute patient care environments that are often unpredictable and stressful workplaces. Resiliency theory identifies individual characteristics that allow people to overcome stress. This study describes the resiliency characteristics and experiences of certified emergency nurses. METHODS: In this qualitative directed content analysis study, the resiliency characteristics of emergency nurses were explored...
January 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
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