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https://www.readbyqxmd.com/read/29912069/the-impact-of-critical-care-nursing-certification-on-pediatric-patient-outcomes
#1
Patricia A Hickey, Kimberlee Gauvreau, Courtney Porter, Jean A Connor
OBJECTIVES: To examine the relationship of nursing and unit characteristics including Critical Care Registered Nurse certification on patient complications for children undergoing congenital heart surgery in free-standing children's hospitals in the United States. DESIGN: A cross-sectional descriptive survey of nursing and organizational characteristics was sent electronically. SETTING: Free-standing children's hospitals in the United States...
June 14, 2018: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/29912030/a-capstone-simulation-for-leadership-development-bridging-theory-to-practice
#2
Haley P Strickland, Teresa D Welch
New graduate nurses are expected to function autonomously and be practice-ready upon graduation. However, transitioning from the role of student to one of leadership in the professional nurse's role is a complex experience. Concerns for safety and liability in an increasingly complex health care environment may limit the availability of relevant clinical experiences for nursing students to develop leadership skills. The Mock Hospital, a comprehensive capstone simulation, was designed to immerse senior nursing students into the leadership role of the professional nurse...
June 14, 2018: Nurse Educator
https://www.readbyqxmd.com/read/29912027/evidence-based-practice-in-forensic-mental-health-nursing-a-critical-review
#3
Richard Byrt, Theresa A Spencer-Stiles, Ismail Ismail
METHOD: Literature searches of databases, particularly CINAHL, using key phrases were undertaken. RESULTS: Some authors argue that there is a lack of evidence in forensic mental health (FMH) nursing, with few randomized controlled trials and other methods providing definitive, generalizable evidence. However, literature searches revealed randomized controlled trials of relevance to FMH nursing, many qualitative studies by FMH nurses, and arguments for clinical experience and knowledge of service users, and the latter's views, as sources of evidence...
June 15, 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/29912024/reducing-inappropriate-antibiotics-for-urinary-tract-infections-in-long-term-care-a-replication-study
#4
Denise Cooper, Marilyn McFarland, Francesca Petrilli, Cherrell Shells
BACKGROUND: Nursing home providers face challenges in urinary tract infection assessment and treatment, often prescribing unnecessary antibiotics for asymptomatic bacteriuria, a practice that can result in adverse drug reactions, drug resistance, and an increase in antibiotic-associated diarrhea. PURPOSE: The purpose of this project was to replicate the Cooper Urinary Tract Infection Program in another facility and measure its effectiveness. METHODS: Using a pre-post design, this project was implemented at a 120-bed, long-term care and rehabilitation facility located in the Midwest United States...
June 14, 2018: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29911631/the-effectiveness-of-a-nursing-staff-development-intervention-to-improve-pain-management-a-randomized-controlled-trial
#5
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/29911187/impact-of-the-cms-no-pay-policy-on-hospital-acquired-fall-prevention-related-practice-patterns
#6
Elizabeth A Fehlberg, Robert J Lucero, Michael T Weaver, Anna M McDaniel, A Michelle Chandler, Phyllis A Richey, Lorraine C Mion, Ronald I Shorr
Background and Objectives: In October 2008, the Centers for Medicare & Medicaid Services (CMS) stopped reimbursing hospitals for costs related to patient falls. This study aimed to examine whether the CMS no-pay policy influenced four fall prevention practices: bed alarms, sitters, room changes, and physical restraints. Research Design and Methods: Using electronic medical record data collected from four hospitals between 2005 and 2010, this secondary observational analysis examined the associations between the CMS no-pay policy and nursing interventions and medical orders related to fall prevention...
November 2017: Innovation in Aging
https://www.readbyqxmd.com/read/29910086/respiratory-physiotherapy-in-intensive-care-unit-bibliographic-review
#7
R Goñi-Viguria, E Yoldi-Arzoz, L Casajús-Sola, T Aquerreta-Larraya, P Fernández-Sangil, E Guzmán-Unamuno, B M Moyano-Berardo
INTRODUCTION AND AIMS: Patients in intensive care unit are susceptible to complications due to different causes (underlying disease, immobilisation, infection risk…) The current main intervention in order to prevent these complications is respiratory physiotherapy, a common practice for nurses on a daily basis. Therefore, we decided to carry out this bibliographic review to describe the most efficient respiratory physiotherapy methods for the prevention and treatment of lung complications in patients in intensive care, taking into account the differences between intubated and non-intubated patients...
June 14, 2018: Enfermería Intensiva
https://www.readbyqxmd.com/read/29909742/promoting-hearing-health
#8
Susan A Randolph
Noise-induced hearing loss is a chronic illness that develops gradually over time. Occupational health nurses can intervene in meaningful ways to promote best practices to prevent hearing loss.
June 1, 2018: Workplace Health & Safety
https://www.readbyqxmd.com/read/29909707/the-impact-of-a-mindfulness-intervention-for-nurse-managers
#9
Diane Ceravolo, Deborah A Raines
PURPOSE: To examine the impact of a mindfulness intervention on nurse managers in an acute care hospital. DESIGN: A pre/post intervention design with three data collection points: prior to, at the conclusion of, and at 3 months following the intervention. METHOD: A survey to measure the impact of a mindfulness workshops on nurse managers' perception of professional quality of life, burnout, and perceived wellness. FINDINGS: There were significant changes in the scores on the compassion satisfaction (T-1 mean 3...
June 1, 2018: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
https://www.readbyqxmd.com/read/29909371/drivers-and-strategies-for-avoiding-overuse-a-cross-sectional-study-to-explore-the-experience-of-spanish-primary-care-providers-handling-uncertainty-and-patients-requests
#10
José Joaquín Mira, Irene Carrillo, Carmen Silvestre, Pastora Pérez-Pérez, Cristina Nebot, Guadalupe Olivera, Javier González de Dios, Jesús María Aranaz Andrés
OBJECTIVES: Identify the sources of overuse from the point of view of the Spanish primary care professionals, and analyse the frequency of overuse due to pressure from patients in addition to the responses when professionals face these demands. DESIGN: A cross-sectional study. SETTING: Primary care in Spain. PARTICIPANTS: A non-randomised sample of 2201 providers (general practitioners, paediatricians and nurses) was recruited during the survey...
June 15, 2018: BMJ Open
https://www.readbyqxmd.com/read/29909257/practice-and-effectiveness-of-web-based-problem-based-learning-approach-in-a-large-class-size-system-a-comparative-study
#11
Yongxia Ding, Peili Zhang
Problem-based learning (PBL) is an effective and highly efficient teaching approach that is extensively applied in education systems across a variety of countries. This study aimed to investigate the effectiveness of web-based PBL teaching pedagogies in large classes. The cluster sampling method was used to separate two college-level nursing student classes (graduating class of 2013) into two groups. The experimental group (n = 162) was taught using a web-based PBL teaching approach, while the control group (n = 166) was taught using conventional teaching methods...
June 12, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29908764/development-of-the-ripe-model-reflective-interprofessional-education-model-to-enhance-interprofessional-collaboration
#12
C Lucas, T Power, C Hayes, C Ferguson
This paper describes a novel model to providing interprofessional education (IPE) and interprofessional collaboration (IPC) within a simulated healthcare environment, in the higher education setting. The RIPE Model (Reflective Interprofessional Education Model) was developed for the purpose of enhancing IPE and IPC, clinical judgement, and decision-making between health professional students (pharmacy and nursing students) at the patient's simulated hospital bedside. A foundation 'unfolding' case utilizing the RIPE model was piloted with first year Master of pharmacy students and postgraduate nursing students at an Australian university and included a pharmacy practitioner acting as a resident medical officer (RMO) for the purpose of the teaching module...
June 2, 2018: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/29908686/advanced-practice-nursing-nutrition-nurse-specialist-role-and-function
#13
Kurt Boeykens, Ann Van Hecke
BACKGROUND: Different disciplines should be represented in Nutritional Support Teams, e.g. a physician, dietician, pharmacist and a nurse. The latter one can function as an Advanced Practice Nurse, which implicates that he or she must have sufficiently thorough knowledge, attitudes and competences to fulfill the profile of a nutritional expert in the field of clinical nutrition. METHODS: Description of the scope of practice, education and added value related to a Nutrition Support Nurse, based on detailed published competency profiles...
August 2018: Clinical Nutrition ESPEN
https://www.readbyqxmd.com/read/29908449/embracing-diversity-and-transcultural-society-through-community-health-practicum-among-college-nursing-students
#14
Luna Chang, Shu-Chuan Chen, Shu-Ling Hung
Based on 2015 annual report of foreign spouse populations were above 507,266 people in Taiwan. Most of them (68%) came from Mainland China, 29% from south-east Asia. 92% of foreign spouses were female (2015). Therefore, a challenge arises for nursing students to provide care to clients with multiple cultural variations in Taiwan. The study objectives were to explore the related factors of cultural care competence and estimate the effects of a short-term reinforced cultural course. The study used a quasi-experimental design...
May 19, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29908385/knowledge-and-attitudes-towards-epilepsy-among-nonmedical-health-workers-in-rural-bolivia-results-after-a-long-term-activity-in-the-chaco-region
#15
Loretta Giuliano, Calogero Edoardo Cicero, Sandra Padilla, Mario Camargo, Vito Sofia, Mario Zappia, Alessandro Bartoloni, Elizabeth Blanca Crespo Gómez, Alessandra Nicoletti
INTRODUCTION: Epilepsy represents a major global healthcare issue, particularly in low- and middle-income countries (LMIC), where nonmedical health workers play a key role in providing care to people with epilepsy (PWE). Over the last 20 years, many projects have been carried out by our group in the Chaco region, Plurinational State of Bolivia, with the aim of enhancing knowledge about epilepsy. However, the level of knowledge of epilepsy that nonmedical health workers have reached has never been assessed until now...
June 13, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29907553/development-and-evaluation-of-an-ethical-guideline-for-decisions-to-limit-life-prolonging-treatment-in-advanced-cancer-protocol-for-a-monocentric-mixed-method-interventional-study
#16
Katsiaryna Laryionava, Katja Mehlis, Elena Bierwirth, Friederike Mumm, Wolfgang Hiddemann, Pia Heußner, Eva C Winkler
BACKGROUND: Many patients with advanced cancer receive chemotherapy close to death and are referred too late to palliative or hospice care, and therefore die under therapy or in intensive care units. Oncologists still have difficulties in involving patients appropriately in decisions about limiting tumor-specific or life-prolonging treatment. OBJECTIVE: The aim of this Ethics Policy for Advanced Care Planning and Limiting Treatment Study is to develop an ethical guideline for end-of-life decisions and to evaluate the impact of this guideline on clinical practice regarding the following target goals: reduction of decisional conflicts, improvement of documentation transparency and traceability, reduction of distress of the caregiver team, and better knowledge and consideration of patients' preferences...
June 15, 2018: JMIR Research Protocols
https://www.readbyqxmd.com/read/29907223/an-evidence-based-intraoperative-communication-tool-for-emergency-general-surgery-a-pilot-study
#17
Alexandra B Columbus, Manuel Castillo-Angeles, William R Berry, Adil H Haider, Ali Salim, Joaquim M Havens
BACKGROUND: Emergency general surgery (EGS) is characterized by high rates of morbidity and mortality. Though checklists and associated communication-based huddle strategies have improved outcomes, these tools have never been specifically examined in EGS. We hypothesized that use of an evidence-based communication tool aimed to trigger intraoperative discussion could improve communication in the EGS operating room (OR). MATERIALS AND METHODS: We designed a set of discussion prompts based on modifiable factors identified from previously published studies aimed to encourage all team members to speak up and to centralize awareness of patient disposition and intraoperative transfusion practices...
August 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29907179/-cultural-competency-and-practising-abroad
#18
REVIEW
Alexandra Caniceiro, Sandra Plaut, Élyse Recoupe, Audrey Veaux
Cultural competency assumes an even greater dimension with foreign patients or when practising abroad. After travelling to Cambodia with the aim of enriching their nursing practices, four student nurses share their experiences, questions and reflections in this area.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29907176/-immersion-in-the-world-of-hyperbaric-medicine-with-two-specialist-nurses
#19
Simon Le Nabat, Jean-Guy Martinez, Stéphanie Chevallier, Thibault Le Corfec, Nathalie Tomasso
The speciality of the hyperbaric nurse, whether practised in the civil or military setting, has a wide-reaching scope. Two teams of professionals from Lyon and Toulon share their motivations and demonstrate, through the words of two nurses, a real collective passion for this original and highly technical practice.
June 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29907173/-the-hyperbaric-chamber-a-hostile-working-environment
#20
Thierry Joffre, Nathalie Tomasso, Alexandre Guy, Jean-Guy Martinez, Karim Tazarourte
Nursing practice in the hyperbaric environment draws on very specific skills. This setting, which is presented as a therapeutic tool in a range of indications, is also a hostile care environment for health professionals. A team from Lyon reveals the characteristics of nursing practice in a hyperbaric chamber.
June 2018: Revue de L'infirmière
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