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  1 / 37957 MEDLINE  
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PMID:29240488
Autor:Rosser E
Dirección:Acting Executive Dean, Deputy Dean for Education and Professional Practice, and Professor of Nursing at Bournemouth University.
Título:Encouraging political participation among the next generation.
Fuente:Br J Nurs; 26(22):1253, 2017 Dec 14.
ISSN:0966-0461
País de publicación:England
Idioma:eng
Resumen:Elizabeth Rosser, acting Executive Dean, Deputy Dean for Education and Professional Practice, and Professor of Nursing at Bournemouth University, discusses how nurses can be encouraged to be politically engaged.
Tipo de publicación:JOURNAL ARTICLE


  2 / 37957 MEDLINE  
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PMID:29240468
Autor:Davies A
Dirección:Lead Nurse for Continence and Adult Safeguarding Telford and Wrekin, Shropshire Community Health NHS Trust.
Título:A dual role focusing on continence and safeguarding: collaboration is key.
Fuente:Br J Nurs; 26(22):1226-1228, 2017 Dec 14.
ISSN:0966-0461
País de publicación:England
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE


  3 / 37957 MEDLINE  
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PMID:29406653
Autor:Smith NM; Satyshur RD
Título:Pediatric Diabetes Telemedicine Program Improves Access to Care for Rural Families: Role of APRNs.
Fuente:Pediatr Nurs; 42(6):294-9, 2016 Nov-Dec.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Type 1 diabetes mellitus has increased in children by 23% from 2001 to 2009. Rural communities additionally have increased disparities related to access barriers and a large minority population with poorer overall health. Research evidence supports telemedicine as an effective alternative to bring preventive diabetes care to remote areas. This article presents an overview of the leadership role of advanced practice registered nurses (APRNs) with the implementation and evaluation of a pediatric diabetes telemedicine program at a rural pediatric outpatient specialty clinic in partnership with a tertiary center telemedicine network. The telemedicine program quality improvement (QI) project explored caregiver satisfaction with a convenience sample of caregivers (N = 14) using a nine-item Telemedicine Diabetes Caregiver Satisfaction Survey (TDCSS), with responses ranging from 1 = strongly disagree to 5 = strongly agree. Findings indicate caregivers were highly satisfied with communication/ privacy (M = 4.8), access to care (M = 4.1), and quality of services (M = 5.0). The multidisciplinary collaborative teamwork, continuous QI, and dependable technology were integral to the quality of the telemedicine clinical initiative. APRNs provided technology expertise, interdisciplinary collaboration leadership, care coordination, and advocacy for policy changes. Results demonstrate that telemedicine and APRN leadership can help implement innovative programs into rural communities to improve access to care, healthcare cost, and outcomes.
Tipo de publicación:JOURNAL ARTICLE


  4 / 37957 MEDLINE  
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PMID:29406645
Autor:Sy V
Título:Empowering Staff Nurses as Primary Educators to Children with Type 1 Diabetes.
Fuente:Pediatr Nurs; 42(5):247-51, 2016 Sep-Oct.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Patient and family education is a critical element of diabetes management. Manychildren with new onset type 1 diabetes present with symptoms of diabeticketoacidosis (DKA) and are hospitalized at diagnosis. These children and theirfamilies receive their initial education in the hospital setting. As soon as bloodglucose levels are stabilized and the acidosis is corrected, the patient is dischargedhome, usually within three days (Nettles, 2005). There is little time toprovide the skills and education, as well as emotional support, for a smooth transitionto home. It is a challenge to achieve these goals if the only resource personfor diabetes education is the clinical nurse specialist (CNS). The CNS for a 14-bed pediatric unit sought to expand the role of the bedside nurse to being the primaryeducator of patients with diabetes through education and support. All nursesattended an eight-hour workshop on diabetes. A DKA protocol was developedthrough multidisciplinary collaboration, and nurses were educated on this protocol.Additionally, the CNS organized a diabetes resource cart that contains thetools for diabetes education. The protocol and education materials wereuploaded in the Pediatric SharePoint site to make them accessible to nurses. Most importantly, the CNS developed a structured patient education plan that isoutcome-oriented, and based on review of current literature and practices in theunit. This initiative resulted in an increase in nursing confidence and expertiserelated to diabetes care as demonstrated by competencies met by nurses andanecdotal evidence from nurses and patients' caregivers.
Tipo de publicación:JOURNAL ARTICLE


  5 / 37957 MEDLINE  
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PMID:29406639
Autor:Gillooly D
Título:Current Recommendations on Management of Pediatric Concussions.
Fuente:Pediatr Nurs; 42(5):217-22, 2016 Sep-Oct.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Concussions are a form of traumatic brain injury (TBI). Concussion is defined by the American Academy of Neurology as a "trauma-induced alteration in mental status that may or may not involve loss of consciousness" (Kirkwood, Yeates, & Wilson, 2012, p. 1360). At least 1.7 million TBIs occur annually, with 75% being in the form of concussion. Almost half a million patients ages 14 years and younger visit emergency rooms annually for TBI (Centers for Disease Control and Prevention [CDC], 2011). Diagnosing a concussion can be difficult because symptoms vary among individuals and may be subtle and vague, and neuro-radiologic imaging studies typically reveal no abnormalities. Due to the varying degree of symptomatology and recovery, there are no specific recommendations on when it is safe for patients to resume normal activity. Complications can arise if a second injury occurs prior to complete healing from the initial concussion. This literature review identifies current recommendations on the screening and management of concussion in the pediatric population. A clear, concise definition of concussion is presented, as well as recommendations for concussion management. Return to play and return to learn guidelines are explored. The nursing role in concussion management is discussed, and future implications are explored.
Tipo de publicación:JOURNAL ARTICLE


  6 / 37957 MEDLINE  
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PMID:29406633
Autor:Coleman CL
Título:Empowered by Nurses.
Fuente:Pediatr Nurs; 42(4):193-6, 2016 Jul-Aug.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Before Justice Hope Coleman was born, nurses in an antenatal testing center provided her parents with support and encouragement, the first steps in empowering them in their roles as parents of a child with multiple disabilities and complex medical needs. Over time, other nurses supported Justice's parents as they learned to communicate clearly and collaboratively with professionals; to provide a high level of care for their daughter in a loving, family-oriented way; and to advocate not only for Justice and their family as a whole, but also for other children and families in the healthcare system. This article describes the important role nurses played in empowering Justice's parents.
Tipo de publicación:JOURNAL ARTICLE


  7 / 37957 MEDLINE  
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PMID:29425009
Autor:Horn K; Younger A; Snow T
Título:Improving Coding and Documentation Quality Through Real-Time Collaboration: Nurses and Coding Professionals Team Up to Tackle Documentation Issues.
Fuente:J AHIMA; 87(8):32-4, 2016 08.
ISSN:1060-5487
País de publicación:United States
Idioma:eng
Tipo de publicación:JOURNAL ARTICLE


  8 / 37957 MEDLINE  
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PMID:29406667
Autor:Ahmann E
Título:Supporting Youth Aging Out of Foster Care.
Fuente:Pediatr Nurs; 43(1):43-8, 2017 Jan-Feb.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Over 400,000 children are in foster care in the United States, and more than 100,000 of them are waiting to be adopted. Yet many will age out of foster care into adulthood without an adoptive family. Teens and young adults aging out of foster care, even those with preparation and training for the transition, often do not fare well in young adulthood. Many face challenges in areas of education, employment, homelessness, finances, the criminal justice system, and meeting health and mental healthcare needs. Research demonstrates what only makes sense: teens with tangible support from meaningful adult relationships fare better than those without. This article describes an innovative program that connects teens in foster care with supportive adults through social events that can lead to meaningful long-term teen-adult connections - including friendships, mentoring, and even, in some cases, adoption. Pediatric nurses, aware of the challenges these teens face adjusting to adulthood, can begin to explore referral and support options for such teens in their own locales using the resources herein.
Tipo de publicación:JOURNAL ARTICLE


  9 / 37957 MEDLINE  
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PMID:29394481
Autor:Manente L; McCluskey T; Shaw R
Título:Transitioning Patients from the Intensive Care Unit to the General Pediatric Unit: A Piece of the Puzzle in Family-Centered Care.
Fuente:Pediatr Nurs; 43(2):77-82, 2017 Mar-Apr.
ISSN:0097-9805
País de publicación:United States
Idioma:eng
Resumen:Transitioning patients from one unit to another is a nursing function that occurs daily. When done effectively, it streamlines continuity of care, decreases anxiety, ensures patients and families maintain confidence in care providers, and avoids readmissions to the intensive care unit (ICU). This article describes a transition plan for transferring patients from the ICU to the general pediatric unit developed by an inpatient, non-critical care cardiology/neuro logical unit to facilitate a smooth and informational transition from the ICU to the non-critical unit. Subse quently, this program incorporated the development of educational materials and a program that provides patients and families with clear information on what to expect, the differences between the two units, and the services available by their healthcare team on the unit to which they are transferred. By establishing a process and a liaison to guide and educate patients and families on what to expect during transition, fears and anxieties are decreased or eliminated, while the promotion of healing and successful outcomes for discharge home becomes the focus.
Tipo de publicación:JOURNAL ARTICLE


  10 / 37957 MEDLINE  
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PMID:29384303
Autor:Benoit M; Pilon R; Lavoie AM; Pariseau-Legault P
Título:[Overlapping, interdependence or complementarity, interprofessional collaboration between nurse practitioners and other health professionals in Ontario].
Título:Chevauchement, interdépendance ou complémentarité?, la collaboration interprofessionnelle entre l?infirmière praticienne et d?autres professionnels de santé en Ontario..
Fuente:Sante Publique; 29(5):693-706, 2017 Dec 05.
ISSN:0995-3914
País de publicación:France
Idioma:fre
Resumen:OBJECTIVE: The Naylor Report (2015) states that nurse practitioners (NP) are still underutilized in Canada despite positive evidence of their work and the benefits they provide to health systems and, more generally, the health of the population. METHODS: Why are nurse practitioners not more actively involved in the Canadian health care system? A socio-historical literature review showed that there is overlap, interdependence or complementarity between the role of NPs and that of other health professionals and that this concerns their status, training as well as the scope of their practice. The development of an interprofessional collaborative approach, although supported by most professional nursing associations in Canada, is difficult to establish in NP practice and training. RESULTS: This article describes the emergence of the role of NPs in Canada and provides an update on the current status of their integration in the health system with reference to the Ontario example. It provides insight into the overlap and zones of complementarity or interdependence between NPs and other health professionals. CONCLUSION: In conclusion, the authors call for improved governance by the contribution of a new collaborative contract with other health professionals. This contract should be based on the interdependence of practices and the complementarity of roles between all health professionals including NPs.
Tipo de publicación:JOURNAL ARTICLE



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