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  1 / 37604 MEDLINE  
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PMID:29065069
Autor:Boston-Fleischhauer C
Dirección:Author Affiliation: Managing Director and Chief Nursing Officer, The Advisory Board Company, Washington, DC.
Título:Consumer-Centric Care: Latest Buzzword or New Reality?
Fuente:J Nurs Adm; 47(11):532-534, 2017 Nov.
ISSN:1539-0721
País de publicación:United States
Idioma:eng
Resumen:With the industry in flux as federal healthcare reform legislation debates continue, leaders are preparing for what the post-Affordable Care Act world might look like. Predictions include patients assuming more responsibility for healthcare costs and therefore behaving like consumers, including choosing providers based on perceived value. What actions should chief nurse executives take to ensure the nursing enterprise responds to rising consumerism in healthcare?
Tipo de publicación:JOURNAL ARTICLE


  2 / 37604 MEDLINE  
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PMID:28840982
Autor:Rossiter AG; Sabol VK; Hicks RW
Dirección:College of Nursing, University of South Florida, Tampa, Florida.
Título:So you want to be a Fellow in the American Association of Nurse Practitioners: Navigating the Fellowship process to ensure your success.
Fuente:J Am Assoc Nurse Pract; 29(9):501-505, 2017 Sep.
ISSN:2327-6924
País de publicación:United States
Idioma:eng
Resumen:The professional designation as Fellow of the American Association of Nurse Practitioners (FAANP) is the highest professional designation for any nurse practitioner (NP). The Fellows of the American Association of Nurse Practitioners (AANP) operate the FAANP program and annually invite colleagues that have made a significant impact on the NP profession for consideration of this prestigious designation. Since its inception in 2000, nearly 700 NPs, or less than 1% of the membership, have been inducted as FAANPs. The number of candidates for consideration has continued to rise given that there are more than 75,000 members, many of whom have made significant contributions to health care. This article provides updates regarding the Fellows application process and provides guidance for both the candidate and the sponsors on how to prepare a competitive application.
Tipo de publicación:JOURNAL ARTICLE


  3 / 37604 MEDLINE  
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PMID:28822955
Autor:Kelly J; Watson R; Watson J; Needham M; Driscoll LO
Dirección:Anglia Ruskin University, East Road Campus, Young Street Site, Cambridge CB1 1PT, UK. Electronic address: jacinta.kelly@anglia.ac.uk.
Título:Studying the old masters of nursing: A critical student experience for developing nursing identity.
Fuente:Nurse Educ Pract; 26:121-125, 2017 Sep.
ISSN:1873-5223
País de publicación:England
Idioma:eng
Resumen:In the past professional identity in nursing was inculcated in students alongside institutional pride. A strong sense of professional identity is key to staff retention and recruitment and key to the delivery of quality nursing care. With the wholesale transfer of pre-registration nursing education to the third level sector, however, the reality is that students now divide their affiliations between university and healthcare institutions and professional identity development may be stymied. For this reason, there is need to explore alternative means of developing professional identity. Exposure to nursing history may counteract this tendency. Based on adult nursing students' reflections of a visit to the Florence Nightingale Museum, we discuss the potential of this activity in aiding development of critical professional identity.
Tipo de publicación:JOURNAL ARTICLE


  4 / 37604 MEDLINE  
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PMID:28689106
Autor:Morris H
Dirección:University of Brighton, School of Health Sciences, Westlain House, Village Way, Falmer, Brighton, East Sussex, BN1 9PH, United Kingdom. Electronic address: H.Morris3@brighton.ac.uk.
Título:Reinstating district nursing: A UK perspective.
Fuente:Nurse Educ Pract; 26:59-63, 2017 Sep.
ISSN:1873-5223
País de publicación:England
Idioma:eng
Resumen:As policy directives gather pace for service provision to be delivered in primary care, district nursing has not been recognised as a valuable asset to facilitate this agenda. Investment in district nursing and specialist district nursing education has fallen. This is concurrent with an ageing district nursing workforce, a lack of recruitment and growing caseloads, as district nursing adapts to meet the challenges of the complexities of contemporary healthcare in the community. The district nurse role is complex and multifaceted and includes working collaboratively and creatively to coordinate care. Redressing the shortages of specialist district nurse practitioners with increased numbers of health care support workers will not replace the skill, knowledge, experience required to meet the complex care needs of today's society. District nursing needs to be reinstated as the valuable asset it is, through renewed investment in the service, research development and in specialist practice education. To prevent extinction district nurses need to be able to demonstrate and articulate the complexities and dynamisms of the role to reinstate themselves to their commissioners as a valuable asset for contemporary practice that can meet current health and social care needs effectively.
Tipo de publicación:JOURNAL ARTICLE


  5 / 37604 MEDLINE  
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PMID:28472577
Autor:Zwar N; Hermiz O; Halcomb E; Davidson PM; Bodenheimer T
Dirección:MBBS, MPH, PhD, FRACGP, Professor of General Practice, School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW.
Título:Improving blood pressure control in general practice: A pilot study of the ImPress intervention.
Fuente:Aust Fam Physician; 46(5):306-311, 2017.
ISSN:0300-8495
País de publicación:Australia
Idioma:eng
Resumen:BACKGROUND: Patients with hypertension and at high absolute cardiovascular disease risk are a priority group for improved blood pressure control. This study examined the impact of an intervention, primarily delivered by the general practice nurse, to identify, recall and manage patients with uncontrolled hypertension who are at high risk of cardiovascular disease. METHODS: A before-and-after pilot study with a six-month follow-up period was conducted in eight general practices in Sydney, Australia. RESULTS: From 507 patients identified, 82 (16.2%) attended an assessment visit, were eligible and provided baseline data. Of these, 55 (67.1%) completed the six-month follow-up. The mean decrease in blood pressure was 14.5 mmHg systolic and 7 mmHg diastolic. Significant decreases were also found in mean weight (1.3 kg), body mass index (0.5 kg/m">22) and waist circumference (1.9 cm). Adherence to blood pressure treatment, as measured by the Hill-Bone scale, significantly improved (P = 0.01) DISCUSSION: The results of this study justify further investigation in a randomised trial. If effective, the approach could alter the way hypertension care is organised and delivered in Australian general practice.
Tipo de publicación:JOURNAL ARTICLE
Nombre de substancia:0 (Antihypertensive Agents)


  6 / 37604 MEDLINE  
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PMID:28452141
Autor:Splendore E; Grant C
Dirección:Department of Health Promotion and Development, University of Pittsburgh, Pittsburgh, Pennsylvania.
Título:A nurse practitioner-led community workshop: Increasing adult participation in advance care planning.
Fuente:J Am Assoc Nurse Pract; 29(9):535-542, 2017 Sep.
ISSN:2327-6924
País de publicación:United States
Idioma:eng
Resumen:BACKGROUND AND PURPOSE: Advance directives (ADs) and advance care planning (ACP) aid in expressing an individual's preferences and guide future medical decision-making. Despite the potential of ADs and ACP to positively impact care, consistently low rates of ADs and ACP (5%-39%) have been documented. The purpose of this project was to increase understanding and participation in the ACP process among rural-dwelling community members. METHODS: A pre-post repeated measures design with an evaluation component to measure understanding, completion, discussion, and dissemination of ADs and ACP. A sample of N = 40 were recruited to participate in a one-time nurse practitioner-led Five Wishes workshop delivered in a community setting. CONCLUSIONS: Postworkshop evaluations indicated an overall acceptance and understanding of ADs and ACP. Completion rates of ADs and discussion in the ACP process significantly increased at 1-month follow-up. IMPLICATIONS FOR PRACTICE: Nurses and advanced practice nurses are well positioned to educate individuals and facilitate the ACP process. There is a need to educate individuals on importance of sharing their AD wishes with their family and primary care provider. This nurse practitioner-led workshop using the Five Wishes demonstrated the feasibility and potential effectiveness of initiating the ACP process in the community.
Tipo de publicación:JOURNAL ARTICLE


  7 / 37604 MEDLINE  
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PMID:28103161
Autor:Ding S; Lin F; Marshall AP; Gillespie BM
Dirección:Clinical Nurse, School of Nursing and Midwifery, Griffith University, Australia; and Gold Coast Hospital and Health Service.
Título:Nurses' practice in preventing postoperative wound infections: an observational study.
Fuente:J Wound Care; 26(1):28-37, 2017 Jan 02.
ISSN:0969-0700
País de publicación:England
Idioma:eng
Resumen:OBJECTIVE: Surgical site infections (SSIs) are serious postoperative complications that may lead to undesired patient outcomes. Previous research has used survey and chart audit methods to describe wound care practices. However, little research has been published using contemporaneous observations to describe the surgical wound management practices of nurses. The aim of this study was to prospectively describe surgical nurses' postoperative wound care practices and the extent to which observed surgical wound practices aligned with evidence-based guideline recommendations. METHOD: In this cross-sectional prospective study, we observed a convenience sample of 60 nurses from four surgical units using a specifically developed observational audit tool. Inter-rater reliability for this tool was assessed during the observation period. RESULTS: Of 60 observed episodes of wound care, post-procedure hand hygiene (n=49, 81.7%) was less evident compared with pre-procedure hand hygiene practice (n=57, 95%). Over one-third of nurses observed did not correctly use clean gloves (n=16, 38.1%) and one in five did not properly use sterile gloves (n=4, 22%). More than half of surgical nurses (n=37, 61.7%) did not educate patients on post-discharge wound management. Fewer than a quarter (n=14, 23.3%) of wound care events were recorded on both wound assessment charts and patients' progress notes. Inter-rater reliability testing indicated good agreement (intra-class correlation coefficient 0.859; 95% CI: 0.771-0.923; p<0.0005). CONCLUSION: Despite surgical wound care guideline recommendations on aseptic technique compliance, patient education, wound assessment and documentation practices, there is a clear gap between recommended and observed wound care practice. This study highlights an area where clinical practice is not reflective of evidence-based recommendations, suggesting that to minimise SSI as an adverse event, practice should be evaluated and strategies incorporating evidence into practice are explored.
Tipo de publicación:JOURNAL ARTICLE; OBSERVATIONAL STUDY


  8 / 37604 MEDLINE  
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PMID:28094228
Autor:Lundberg K; Jong MC; Kristiansen L; Jong M
Dirección:Department of Nursing, Mid Sweden University, Sundsvall, Sweden; Husum Health Center, Västernorrland County Council, Husum, Sweden. Electronic address: Kristina.lundberg@miun.se.
Título:Health Promotion in Practice-District Nurses׳ Experiences of Working with Health Promotion and Lifestyle Interventions Among Patients at Risk of Developing Cardiovascular Disease.
Fuente:Explore (NY); 13(2):108-115, 2017 Mar - Apr.
ISSN:1878-7541
País de publicación:United States
Idioma:eng
Resumen:OBJECTIVE: Health Promotion Practice (HPP) has the objective to promote a healthier lifestyle and reduce the risk of disease. The aim of this study was to examine district nurses׳ experiences of working with health preventive actions among patients with risk factors for cardiovascular disease (CVD), and to identify facilitators and obstacles in HPP. DESIGN/SETTING: The study was carried out with a qualitative approach where individual semistructured interviews were performed with a total of 12 district nurses in primary care. Data transcripts were analyzed with a manifest content analysis. FINDINGS: Five categories were identified. Firstly, informants regarded HPP as the core essence of their work. Secondly, counseling and coaching were reported as crucial elements in working with HPP. Thirdly, informants identified tools such as motivational interviewing (MI) to facilitate HPP. In the fourth category facilitators and barriers of HPP appeared, consisting of both positive and negative attitudes and presence as well as lack of organizational culture and structure. Finally, some informants were dissatisfied with HPP and viewed it as compulsory or as a burden, while others were satisfied and experienced it as a stimulating challenge. CONCLUSION: This study identified that HPP is the core of the district nurses׳ work to promote a healthier lifestyle in individuals with CVD. Organizational structures and culture need to be improved in order to support district nurses to successfully work with HPP. To optimize health promotion and strengthen patients׳ self-care, it is recommended that HPP include holistic elements of care.
Tipo de publicación:JOURNAL ARTICLE


  9 / 37604 MEDLINE  
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PMID:28899302
Autor:Karnick PM
Dirección:1 Indiana University, South Bend, IN, USA.
Título:Healthcare Crisis: Do Nurses Help or Hurt?
Fuente:Nurs Sci Q; 30(1):32-33, 2017 Jan.
ISSN:1552-7409
País de publicación:United States
Idioma:eng
Resumen:Healthcare is becoming a tangled web of dead ends, refusal of treatments by insurance companies who continue to report incredible profits, leaving many of the middle class and underserved without benefits, treatment, and care. The nursing profession must rise to this catastrophic state and strive for both in unison and individually so patients receive the care they need and deserve.
Tipo de publicación:JOURNAL ARTICLE


  10 / 37604 MEDLINE  
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PMID:28899295
Autor:Stinson KJ
Dirección:1 Assistant Professor, College of Nursing, Seton Hall University, South Orange, NJ, USA.
Título:Benner's Framework and Clinical Decision-Making in the Critical Care Environment.
Fuente:Nurs Sci Q; 30(1):52-57, 2017 Jan.
ISSN:1552-7409
País de publicación:United States
Idioma:eng
Resumen:Completed as part of a larger dissertational study, the purpose of this portion of this descriptive correlational study was to examine the relationships among registered nurses' clinical experiences and clinical decision-making processes in the critical care environment. The results indicated that there is no strong correlation between clinical experience in general and clinical experience in critical care and clinical decision-making. There were no differences found in any of the Benner stages of clinical experience in relation to the overall clinical decision-making process.
Tipo de publicación:JOURNAL ARTICLE



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