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https://www.readbyqxmd.com/read/29757918/regulation-of-pediatric-intensive-care-unit-nurse-practitioner-practice-a-national-survey
#1
Kristin Hittle Gigli, Mary S Dietrich, Peter I Buerhaus, Ann F Minnick
PURPOSE: To describe the extent to which organizational regulation of pediatric intensive care unit (PICU) nurse practitioner (NP) practice and prescriptive authority aligns with state scope-of-practice (SSOP) regulations, to examine differences between PICU medical directors' and NPs' report of regulation, and to describe organizational-level restriction of PICU NP practice. METHODS: A 34-item national, quantitative cross-sectional descriptive survey of US PICU medical directors and NPs included demographic, institutional characteristics, and PICU NP regulation and role-related questions...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29732645/procedural-sedation-in-children-with-autism-spectrum-disorders-a-survey-of-current-practice-patterns-of-the-society-for-pediatric-sedation-members
#2
Pradip P Kamat, Leah N Bryan, Courtney E McCracken, Harold K Simon, John W Berkenbosch, Jocelyn R Grunwell
BACKGROUND: Children with autism spectrum disorder are challenging to sedate because of communication, sensory, and behavioral challenges. AIMS: The aim of this survey was to determine how procedural sedation is provided to children with autism spectrum disorders and whether sedation programs have specialized protocols for procedural sedation of these children. METHODS: We surveyed physician Medical Directors of sedation programs who are members of the Society for Pediatric Sedation, asking about practice characteristics and resource utilization during procedural sedation of children with autism spectrum disorders...
May 6, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29726415/going-mobile-an-empirical-model-for-explaining-successful-information-logistics-in-ward-rounds
#3
Moritz Esdar, Jan-David Liebe, Birgit Babitsch, Ursula Hübner
BACKGROUND: Medical ward rounds are critical focal points of inpatient care that call for uniquely flexible solutions to provide clinical information at the bedside. While this fact is undoubted, adoption rates of mobile IT solutions remain rather low. OBJECTIVES: Our goal was to investigate if and how mobile IT solutions influence successful information provision at the bedside, i.e. clinical information logistics, as well as to shed light at socio-organizational factors that facilitate adoption rates from a user-centered perspective...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29712763/school-bus-transportation-of-children-with-special-health-care-needs
#4
Joseph O'Neil, Benjamin D Hoffman
School systems are responsible for ensuring that children with special needs are safely transported on all forms of federally approved transportation provided by the school system. A plan to provide the most current and proper support to children with special transportation needs should be developed by the Individualized Education Program team, including the parent, school transportation director, and school nurse, in conjunction with physician orders and recommendations. With this statement, we provide current guidance for the protection of child passengers with specific health care needs...
April 30, 2018: Pediatrics
https://www.readbyqxmd.com/read/29703110/registered-nurse-verification-of-expected-adult-death-new-guidance-provides-direction
#5
Diane Laverty, Jo Wilson, Marie Cooper
Despite UK national guidance on care after death, it is clear that the bereaved family can experience distress while waiting for the patient's death to be verified. This distress can escalate if there is a delay in verification. Anecdotally, such delays particularly occur out of hours and in community settings. Verification of death is a clinical task and an act of care whereby the identity of the person and death is confirmed. In addition, the subsequent providers of care to the deceased, such as families, mortuary teams, funeral directors and cremation services, have their health and safety protected by the provision of pertinent patient-specific information, for instance, infection risk and implantable devices, within the bounds of confidentiality...
April 2, 2018: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/29701599/will-making-in-irish-nursing-homes-staff-perspectives-on-testamentary-capacity-and-undue-influence
#6
Aoibheann Houston, Mary Donnelly, Shaun T O'Keeffe
Allegations of lack of testamentary capacity or of undue influence are grounds for many disputed wills. Some people who make (or change an existing) will are resident in a nursing home. A substantial proportion of this population have cognitive or communication difficulties or are physically frail, and concerns regarding testamentary capacity or undue influence may be more likely to arise as a result. A questionnaire examining the experiences and views of staff regarding will-making by nursing home residents was posted to the Directors of Nursing of a random sample of 148 of the approximately 600 nursing homes in the Republic of Ireland and 81 responded...
January 2018: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29698878/educating-new-graduate-nurses-in-their-first-year-of-practice-the-perspective-and-experiences-of-the-new-graduate-nurses-and-the-director-of-nursing
#7
Lesley Doughty, Ann McKillop, Robyn Dixon, Claire Sinnema
New graduate nurses are the future of nursing and the education they receive as they transition into the workforce as a newly registered nurse is critical for building a suitably qualified nursing workforce that will adequately serve the future population. Variation exists in education programmes for new graduate nurses in their first year of practice which is known to impact on transition experience. A qualitative study using focus groups and semi-structured interviews was undertaken to explore the experiences and perceptions of New Graduate Nurses undertaking a new graduate programme and Directors of Nursing supporting them to complete the programme which may or may not have been inclusive of a postgraduate course (Masters Level)...
March 27, 2018: Nurse Education in Practice
https://www.readbyqxmd.com/read/29695198/effect-of-moral-empowerment-program-on-moral-distress-in-intensive-care-unit-nurses
#8
Safura Abbasi, Somayeh Ghafari, Mohsen Shahriari, Nahid Shahgholian
BACKGROUND: Moral distress has been experienced by about 67% of critical care nurses which causes many complications such as job dissatisfaction, loss of capacity for caring, and turnover for nurses and poor quality of care for patients as well as health system. OBJECTIVE: The purpose of this research was to provide a moral empowerment program to nursing directors, school of nursing, and the heads of hospitals to reduce moral distress in nurses and improve the quality of care...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29691843/a-systems-approach-to-identify-factors-influencing-adverse-drug-events-in-nursing-homes
#9
Ali Azeez Al-Jumaili, William R Doucette
The objectives of the study were to identify the incidence rate and characteristics of adverse drug events (ADEs) in nursing homes (NHs) using the ADE trigger tool and to evaluate the relationships between resident and facility work system factors and incidence of ADEs using the System Engineering Initiative for Patient Safety (SEIPS) model. The study used 2 observational quantitative methods, retrospective resident chart extraction, and surveys. The participating staff included Directors of nursing, registered nurses, certified nurse assistants (CNAs)...
April 24, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29686762/awareness-of-bullying-in-residency-results-of-a-national-survey-of-internal-medicine-program-directors
#10
Manasa S Ayyala, Saima Chaudhry, Donna Windish, Denise Dupras, Shalini T Reddy, Scott M Wright
Background : Bullying of medical trainees is believed to occur more frequently in medical education than once thought. Objective : We conducted a survey to understand internal medicine program director (PD) perspectives and awareness about bullying in their residency programs. Methods : The 2015 Association of Program Directors in Internal Medicine (APDIM) annual survey was e-mailed to 368 of 396 PDs with APDIM membership, representing 93% of internal medicine residency programs...
April 2018: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29672370/magnet%C3%A2-or-pathway%C3%A2-recognition-comparing-and-contrasting
#11
Rebecca Graystone, Christine Pabico
The Directors of the Magnet Recognition Program® and Pathway to Excellence® use this column to compare and contrast the 2 programs. Both programs profile nursing excellence.
May 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29667375/core-curriculum-to-facilitate-the-expansion-of-a-rheumatology-practice-to-include-nurse-practitioners-and-physician-assistants
#12
Benjamin J Smith, Marcy B Bolster, Barbara Slusher, Christine Stamatos, Jeanne R Scott, Heather Benham, Salahuddin Kazi, Elizabeth A Schlenk, Daniel E Schaffer, Vikas Majithia, Calvin R Brown, Joan M von Feldt, Joseph Flood, David M Haag, Karen L Smarr
OBJECTIVE: Due to an aging population, increasing prevalence of rheumatic disease, and a growing supply and demand gap of rheumatology providers, innovative solutions are needed to meet the needs of persons with rheumatic conditions. Nurse practitioners (NPs) and physician assistants (PAs) have been identified as a group of health professionals who could help address the workforce shortage. The Executive Committee of the Association of Rheumatology Health Professionals (ARHP), a division of the American College of Rheumatology (ACR), charged a task force to facilitate the preparation of NPs/PAs to work in a rheumatology practice setting...
April 17, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29665608/-level-of-development-of-clinical-ethics-consultation-in-psychiatry-results-of-a-survey-among-psychiatric-acute-clinics-and-forensic-psychiatric-hospitals
#13
Jakov Gather, Sarah Kaufmann, Ina Otte, Georg Juckel, Jan Schildmann, Jochen Vollmann
OBJECTIVE: The aim of this article is to assess the level of development of clinical ethics consultation in psychiatric institutions in North Rhine-Westphalia. METHODS: Survey among medical directors, directors of nursing and administrative directors of all psychiatric acute clinics and forensic psychiatric hospitals in North Rhine-Westphalia. RESULTS: 113 persons working in psychiatric acute clinics responded (reponse rate: 48 %) and 13 persons working in forensic psychiatric hospitals (response rate 54 %)...
April 17, 2018: Psychiatrische Praxis
https://www.readbyqxmd.com/read/29650714/awareness-of-racial-disparities-in-kidney-transplantation-among-health-care-providers-in-dialysis-facilities
#14
Joyce J Kim, Mohua Basu, Laura Plantinga, Stephen O Pastan, Sumit Mohan, Kayla Smith, Taylor Melanson, Cam Escoffery, Rachel E Patzer
BACKGROUND AND OBJECTIVES: Despite the important role that health care providers at dialysis facilities have in reducing racial disparities in access to kidney transplantation in the United States, little is known about provider awareness of these disparities. We aimed to evaluate health care providers' awareness of racial disparities in kidney transplant waitlisting and identify factors associated with awareness. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a cross-sectional analysis of a survey of providers from low-waitlisting dialysis facilities ( n =655) across all 18 ESRD networks administered in 2016 in the United States merged with 2014 US Renal Data System and 2014 US Census data...
April 12, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29642739/care-compassion-courage-commitment-communication-and-competence-the-6-cs
#15
Dot Chadwick
These are words we are all very familiar with and perhaps already some of you may be thinking 'oh no not again'. In the document One Year On (NHS England/Nursing Directorate 2013), comments from patients have been positive on the care they have received, but can we with hand on heart say it happens on a national scale at all times? This may be a reason for the continued requests for the inclusion of the six Cs as a topic for educational days.
October 2017: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/29629911/national-study-of-nursing-research-characteristics-at-magnet%C3%A2-designated-hospitals
#16
Christine Pintz, Qiuping Pearl Zhou, Maureen Kirkpatrick McLaughlin, Katherine Patterson Kelly, Cathie E Guzzetta
OBJECTIVE: To describe the research infrastructure, culture, and characteristics of building a nursing research program in Magnet®-designated hospitals. BACKGROUND: Magnet recognition requires hospitals to conduct research and implement evidence-based practice (EBP). Yet, the essential characteristics of productive nursing research programs are not well described. METHODS: We surveyed 181 nursing research leaders at Magnet-designated hospitals to assess the characteristics in their hospitals associated with research infrastructure, research culture, and building a nursing research program...
May 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29611433/a-real-world-community-health-worker-care-coordination-model-for-high-risk-children
#17
Molly A Martin, Kenita Perry-Bell, Mark Minier, Anne Elizabeth Glassgow, Benjamin W Van Voorhees
Health care systems across the United States are considering community health worker (CHW) services for high-risk patients, despite limited data on how to build and sustain effective CHW programs. We describe the process of providing CHW services to 5,289 at-risk patients within a state-run health system. The program includes 30 CHWs, six care coordinators, the Director of Care Coordination, the Medical Director, a registered nurse, mental health specialists, and legal specialists. CHWs are organized into geographic and specialized teams...
April 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29601424/an-acuity-tool-for-heart-failure-case-management-quantifying-workload-service-utilization-and-disease-severity
#18
Matthew D Kilgore
PURPOSE: The cardiology service line director at a health maintenance organization (HMO) in Washington State required a valid, reliable, and practical means for measuring workloads and other productivity factors for six heart failure (HF) registered nurse case managers located across three geographical regions. The Kilgore Heart Failure Case Management (KHFCM) Acuity Tool was systematically designed, developed, and validated to measure workload as a dependent function of the number of heart failure case management (HFCM) services rendered and the duration of times spent on various care duties...
May 2018: Professional Case Management
https://www.readbyqxmd.com/read/29596709/leadership-in-nursing-homes-directors-of-nursing-aligning-practice-with-regulations
#19
Elena O Siegel, Kristen Bettega, Debra Bakerjian, Suzanne Sikma
Nursing homes use team nursing, with minimal RN presence, leaving the majority of direct care to licensed practical/vocational nurses (LPNs/LVNs) and unlicensed assistive personnel (UAP), including medication aides. The current article describes challenges faced by nursing home directors of nursing (DONs) leading and managing a team nursing approach, including consideration of scope of practice, delegation and supervision regulations, and related policy implications. A secondary data analysis was performed of qualitative data from a study to develop and test DON guidelines for delegation in nursing home practice...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29575635/biomarkers-as-common-data-elements-for-symptom-and-self-management-science
#20
Gayle G Page, Elizabeth J Corwin, Susan G Dorsey, Nancy S Redeker, Donna Jo McCloskey, Joan K Austin, Barbara J Guthrie, Shirley M Moore, Debra Barton, Miyong T Kim, Sharron L Docherty, Drenna Waldrop-Valverde, Donald E Bailey, Rachel F Schiffman, Angela Starkweather, Teresa M Ward, Suzanne Bakken, Kathleen T Hickey, Cynthia L Renn, Patricia Grady
PURPOSE: Biomarkers as common data elements (CDEs) are important for the characterization of biobehavioral symptoms given that once a biologic moderator or mediator is identified, biologically based strategies can be investigated for treatment efforts. Just as a symptom inventory reflects a symptom experience, a biomarker is an indicator of the symptom, though not the symptom per se. The purposes of this position paper are to (a) identify a "minimum set" of biomarkers for consideration as CDEs in symptom and self-management science, specifically biochemical biomarkers; (b) evaluate the benefits and limitations of such a limited array of biomarkers with implications for symptom science; (c) propose a strategy for the collection of the endorsed minimum set of biologic samples to be employed as CDEs for symptom science; and (d) conceptualize this minimum set of biomarkers consistent with National Institute of Nursing Research (NINR) symptoms of fatigue, depression, cognition, pain, and sleep disturbance...
March 25, 2018: Journal of Nursing Scholarship
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