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https://www.readbyqxmd.com/read/27918400/a-strategic-approach-for-developing-an-advanced-practice-workforce-from-postgraduate-transition-to-practice-fellowship-programs-and-beyond
#1
Dennis A Taylor, Britney S Broyhill, Allison M Burris, Mary Ann Wilcox
The healthcare provider landscape is rapidly changing. Given the imminent retirement of baby boomer physicians, implementation of the Affordable Care Act, and the increased utilization of health care services by an ever-aging population, the supply of providers cannot keep pace with the demand for services. This has led to an increased utilization of advanced clinical practitioners (ACPs). This article shows how one large highly-matrixed health care system approached identifying this workforce, and how thought leaders worked collaboratively with physicians, administrators, and ACPs to meet a growing demand for providers...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27917548/nurses-comfort-level-with-spiritual-assessment-a-study-among-nurses-working-in-diverse-healthcare-settings
#2
Pamela H Cone, Tove Giske
AIMS: To gain knowledge about nurses' comfort level in assessing spiritual matters and to learn what questions nurses use in practice related to spiritual assessment. BACKGROUND: Spirituality is important in holistic nursing care; however, nurses report feeling uncomfortable and ill-prepared to address this domain with patients. Education is reported to impact nurses' ability to engage in spiritual care. DESIGN: This cross-sectional exploratory survey reports on a mixed-method study examining how comfortable nurses are with spiritual assessment...
December 5, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27875344/patient-centred-hand-hygiene-information-in-orthopaedics-units-an-evidence-based-implementation-project
#3
Arielle Yi Jia Ong, Joanne Tan, Hui Ling Yeo, Mien Li Goh
AIM: This project aimed to improve patients' knowledge on the importance of hand hygiene. It involved providing patients with a patient and family education on the importance of hand hygiene using a patient information leaflet that introduces the rationale of hand hygiene, possible consequences of poor hand hygiene, and the seven steps of hand hygiene. METHODS: This projected used a preimplementation and postimplementation audit strategy using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research Into Practice programs...
November 21, 2016: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/27843423/exploring-health-information-exchange-implementation-using-qualitative-assessments-of-nursing-home-leaders
#4
Gregory L Alexander, Lori Popejoy, Vanessa Lyons, Sue Shumate, Jessica Mueller, Colleen Galambos, Amy Vogelsmeier, Marilyn Rantz, Marcia Flesner
OBJECTIVES: Limited research exists on nursing home information technologies, such as health information exchange (HIE) systems. Capturing the experiences of early HIE adopters provides vital information about how these systems are used. In this study, we conduct a secondary analysis of qualitative data captured during interviews with 15 nursing home leaders representing 14 nursing homes in the midwestern United States that are part of the Missouri Quality Improvement Initiative (MOQI) national demonstration project...
2016: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/27832047/core-elements-of-outpatient-antibiotic-stewardship
#5
Guillermo V Sanchez, Katherine E Fleming-Dutra, Rebecca M Roberts, Lauri A Hicks
The Core Elements of Outpatient Antibiotic Stewardship provides a framework for antibiotic stewardship for outpatient clinicians and facilities that routinely provide antibiotic treatment. This report augments existing guidance for other clinical settings. In 2014 and 2015, respectively, CDC released the Core Elements of Hospital Antibiotic Stewardship Programs and the Core Elements of Antibiotic Stewardship for Nursing Homes. Antibiotic stewardship is the effort to measure and improve how antibiotics are prescribed by clinicians and used by patients...
November 11, 2016: MMWR. Recommendations and Reports: Morbidity and Mortality Weekly Report. Recommendations and Reports
https://www.readbyqxmd.com/read/27764716/mobile-clinics-in-haiti-part-2-lessons-learned-through-service
#6
Janice M Haley, Pamela H Cone
Learning from experience is a positive approach when preparing for mobile clinic service in a developing country. Mobile clinics provide healthcare services to people in hard to reach areas around the world, but preparation for their use needs to be done in collaboration with local leaders and healthcare providers. For over 16 years, Azusa Pacific University School of Nursing has sponsored mobile clinics to rural northern Haiti with the aim to provide culturally sensitive healthcare in collaboration with Haitian leaders...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27762959/a-fantastic-opportunity-to-develop-the-clinical-leaders-of-the-future
#7
(no author information available yet)
After qualifying as a registered nurse in 1985, Nicky Hayes held clinical and academic posts before becoming consultant nurse for older people at London's King's College Hospital NHS Foundation Trust in 2001.
October 12, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27756434/triage-treatment-and-transfer-of-patients-with-stroke-in-emergency-department-trial-the-t-3-trial-a-cluster-randomised-trial-protocol
#8
Sandy Middleton, Chris Levi, Simeon Dale, N Wah Cheung, Elizabeth McInnes, Julie Considine, Catherine D'Este, Dominique A Cadilhac, Jeremy Grimshaw, Richard Gerraty, Louise Craig, Verena Schadewaldt, Patrick McElduff, Mark Fitzgerald, Clare Quinn, Greg Cadigan, Sonia Denisenko, Mark Longworth, Jeanette Ward
BACKGROUND: Internationally recognised evidence-based guidelines recommend appropriate triage of patients with stroke in emergency departments (EDs), administration of tissue plasminogen activator (tPA), and proactive management of fever, hyperglycaemia and swallowing before prompt transfer to a stroke unit to maximise outcomes. We aim to evaluate the effectiveness in EDs of a theory-informed, nurse-initiated, intervention to improve multidisciplinary triage, treatment and transfer (T(3)) of patients with acute stroke to improve 90-day death and dependency...
October 18, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27755211/a-leadership-education-and-development-program-for-clinical-nurses
#9
Joyce J Fitzpatrick, Mary Beth Modic, Jennifer Van Dyk, K Kelly Hancock
OBJECTIVE: The Leadership Education and Development (LEAD) Program was designed to transform care at the bedside by empowering clinical nurses as leaders. BACKGROUND: The heart of LEAD was enhancing communication skills of clinical nurses with clinical colleagues and, most importantly, patients and families. Key concepts of leadership/management were included: personal awareness, personal leadership skills/abilities, leading change, leading others individually and in teams, enhancing the patient/provider experience, and the leadership role in outcomes management...
November 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27749686/implementation-of-the-neonatal-nurse-practitioner-role-in-a-community-hospital-s-labor-delivery-and-level-1-postpartum-unit
#10
Tara Follett, Sara Calderon-Crossman, Denise Clarke, Marcia Ergezinger, Christene Evanochko, Krystal Johnson, Natalie Mercy, Barbara Taylor
BACKGROUND: A level 1 community hospital with a labor, delivery, recovery, and postpartum (LDRP) unit delivering over 2800 babies per year was operating without dedicated neonatal resuscitation and stabilization support. PURPOSE: With lack of funding and space to provide an onsite level 2 neonatal intensive care unit (NICU), a position was created to provide neonatal nurse practitioner (NNP) coverage to support the LDRP unit. METHOD: The article describes the innovative solution of having an NNP team rotate from a regional neonatal intensive care program to a busy community LDRP unit...
October 4, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27737997/documenting-coordination-of-cancer-care-between-primary-care-providers-and-oncology-specialists-in-canada
#11
Melissa C Brouwers, Marija Vukmirovic, Jennifer R Tomasone, Eva Grunfeld, Robin Urquhart, Mary Ann O'Brien, Melanie Walker, Fiona Webster, Margaret Fitch
OBJECTIVE: To report on the findings of the CanIMPACT (Canadian Team to Improve Community-Based Cancer Care along the Continuum) Casebook project, which systematically documented Canadian initiatives (ie, programs and projects) designed to improve or support coordination and continuity of cancer care between primary care providers (PCPs) and oncology specialists. DESIGN: Pan-Canadian environmental scan. SETTING: Canada. PARTICIPANTS: Individuals representing the various initiatives provided data for the analysis...
October 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27719681/human-resource-constraints-and-the-prospect-of-task-sharing-among-community-health-workers-for-the-detection-of-early-signs-of-pre-eclampsia-in%C3%A2-ogun-state-nigeria
#12
David O Akeju, Marianne Vidler, J O Sotunsa, M O Osiberu, E O Orenuga, Olufemi T Oladapo, A A Adepoju, Rahat Qureshi, Diane Sawchuck, Olalekan O Adetoro, Peter von Dadelszen, Olukayode A Dada
BACKGROUND: The dearth of health personnel in low income countries has attracted global attention. Ways as to how health care services can be delivered in a more efficient and effective way using available health personnel are being explored. Task-sharing expands the responsibilities of low-cadre health workers and allows them to share these responsibilities with highly qualified health care providers in an effort to best utilize available human resources. This is appropriate in a country like Nigeria where there is a shortage of qualified health professionals and a huge burden of maternal mortality resulting from obstetric complications like pre-eclampsia...
September 30, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27718366/expert-panel-to-track-nurses-effect-on-maternal-morbidity-and-mortality
#13
Debra Bingham, Andria Cornell
Rates of maternal morbidity and mortality in the United States have increased since 1990. Registered nurses are members of the health care work force who provide essential care to women during pregnancy, during birth, and after birth. Tools are needed to more effectively measure and track the effect of nursing care on maternal health outcomes. The Association of Women's Health, Obstetric and Neonatal Nurses and the Association of Maternal Child Health Programs co-convened an expert panel to develop a set of tools for use by public health and clinical leaders to support this effort...
October 5, 2016: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/27684321/speaking-up-behaviours-safety-voices-of-healthcare-workers-a-metasynthesis-of-qualitative-research-studies
#14
Kelly J Morrow, Allison M Gustavson, Jacqueline Jones
BACKGROUND: A critical characteristic of effective teams in any setting is when each member is willing to speak up to share thoughts and ideas to improve processes. In spite of attempts by healthcare systems to encourage employees to speak up, employee silence remains a common cause of communication breakdowns, contributing to errors and suboptimal care delivery. Nurses in particular have reported low confidence in their communication abilities, and cite the belief that speaking up will not make a difference...
September 21, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27683167/the-mindful-nurse-leader-advancing-executive-nurse-leadership-skills-through-participation-in-action-learning
#15
Kate FitzPatrick, Jeffrey N Doucette, Amy Cotton, Debra Arnow, Teri Pipe
In this second installment of a three-part series on mindfulness, we describe the process of producing video vignettes to illustrate how clinical nurses draw on the power of mindfulness to build their own resiliency while delivering compassionate care.
October 2016: Nursing Management
https://www.readbyqxmd.com/read/27681511/a-qualitative-study-of-factors-facilitating-clinical-nurse-engagement-in-emergency-department-catheter-associated-urinary-tract-infection-prevention
#16
Eileen J Carter, Daniel J Pallin, Leslie Mandel, Corine Sinnette, Jeremiah D Schuur
OBJECTIVE: The aim of this study was to explore the actions of nurse leaders that facilitated clinical nurses' active involvement in emergency department (ED) catheter-associated urinary tract infection (CAUTI) prevention programs. BACKGROUND: Hospitals face increasing financial pressures to reduce CAUTI. Urinary catheters, often inserted in the ED, expose patients to CAUTI risk. Nurses are the principal champions of ED CAUTI prevention programs. METHODS: This was a qualitative analysis from a multisite, comparative case study project...
October 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27677063/exposing-baccalaureate-nursing-students-to-transitional-care
#17
Melissa OʼConnor, Angelina Arcamone, Frances Amorim, Mary Beth Hoban, Regina M Boyd, Lauren Fowler, Theresa Marcelli, Jacalyn Smith, Kathleen Nassar, M Louise Fitzpatrick
Management and facilitation of care transitions from hospital to alternative settings requires skill and attention to avoid adverse events. Several interprofessional organizations and nurse leaders have called for the expansion and redesign of undergraduate nursing curricula to include care transitions. Yet there is little evidence describing how undergraduate baccalaureate nursing students are educated on this critical topic or how successful they are in improving student knowledge about care transitions. To address this gap, an in-classroom and clinical experience was implemented to prepare students to manage and facilitate care transitions from the hospital to alternative settings-including the home...
October 2016: Home Healthcare Now
https://www.readbyqxmd.com/read/27665303/mobile-clinics-in-haiti-part-1-preparing-for-service-learning
#18
Pamela H Cone, Janice M Haley
Mobile clinics have been used successfully to provide healthcare services to people in hard to reach areas around the world, but their use is sometimes controversial. There are advantages to using mobile clinics among rural underserved populations, and providing access to those who are vulnerable will improve health and decrease morbidity and mortality. However, some teams use inappropriate approaches to international service. For over 15 years, Azusa Pacific University School of Nursing has sponsored mobile clinics to rural northern Haiti with the aim to provide culturally sensitive healthcare in collaboration with Haitian leaders...
November 2016: Nurse Education in Practice
https://www.readbyqxmd.com/read/27583910/influence-of-patient-and-provider-factors-on-the-workload-of-on-call-physicians-a-general-internal-medicine-cohort-observational-study
#19
Nin-Chieh Hsu, Chun-Che Huang, Jih-Shuin Jerng, Chia-Hao Hsu, Ming-Chin Yang, Ray-E Chang, Wen-Je Ko, Chong-Jen Yu
Factors associated with the physician workload are scarcely reported. The study aims to investigate the associated factors of on-call physician workload based on a published conceptual framework.The study was conducted in a general internal medicine unit of National Taiwan University Hospital. On-call physician workloads were recorded on a shift basis from 1198 hospitalized patients between May 2010 and April 2011. The proxy of on-call workloads included night calls, bedside evaluation/management (E/M), and performing clinical procedures in a shift...
August 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27576227/effect-of-complex-working-conditions-on-nurses-who-exert-coercive-measures-in-forensic-psychiatric-care
#20
Niclas Gustafsson, Martin Salzmann-Erikson
Nurses who exert coercive measures on patients within psychiatric care are emotionally affected. However, research on their working conditions and environment is limited. The purpose of the current study was to describe nurses' experiences and thoughts concerning the exertion of coercive measures in forensic psychiatric care. The investigation was a qualitative interview study using unstructured interviews; data were analyzed with inductive content analysis. Results described participants' thoughts and experiences of coercive measures from four main categories: (a) acting against the patients' will, (b) reasoning about ethical justifications, (c) feelings of compassion, and (d) the need for debriefing...
September 1, 2016: Journal of Psychosocial Nursing and Mental Health Services
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