OJIN: The Online Journal of Issues in Nursing最新文献_第3页

Accessibility and Financial Barriers in the Utilization of Alternative to Discipline Programs in the United States 可及性和财政障碍在美国替代纪律计划的利用

OJIN: The Online Journal of Issues in Nursing Pub Date : 2023-01-31 DOI: 10.3912/OJIN.Vol28No01Man06

A. Choflet, C. Rivero, Arianna Barnes, K. Waite-Labott, Kelly C. Lee, J. Davidson

{"title":"Accessibility and Financial Barriers in the Utilization of Alternative to Discipline Programs in the United States","authors":"A. Choflet, C. Rivero, Arianna Barnes, K. Waite-Labott, Kelly C. Lee, J. Davidson","doi":"10.3912/OJIN.Vol28No01Man06","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man06","url":null,"abstract":"Nurses are facing increased mental health issues, substance use, and even suicide since the novel coronavirus pandemic arrived in the United States. Nurses with substance use disorder (SUD) may enroll in alternative-to-discipline (ATD) programs to retain their license during initial treatment with the goal to return to practice, but this process is not without challenges. For example, previous analyses have shown that the time surrounding disciplinary/regulatory process regarding substance use disorder (SUD) by either employers or licensure boards was a trigger for nurses who died by suicide. Internet searches are a common approach to find information on health-related topics. This limited critical review sought to replicate and evaluate a simple internet search that a nurse seeking information on their state ATD program may complete. Google searches for information on ATD programs were completed on the 50 continental states and Washington, DC between April and September 2022. States with ATD programs were evaluated for evidence-based components and barriers to accessing program information. Publicly available ATD program information ranged from requirements for contact information to obtain details to websites that outline the entire program, including associated costs. While ATD programs offer a significant improvement over traditional disciplinary responses to nurse substance use, a significant barrier is program cost, which can often exclude participation. In this article, we discuss the detailed results of our critical review and offer implications for practice that include opportunities for research and a national database to track ATD program components and target outcomes to support return to practice for nurses with SUDs.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132659416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Take 5: Virtual Learning Sessions on Trauma Informed Care for Healthcare Staff During COVID-19 评估单元5:COVID-19期间医护人员创伤知情护理虚拟学习课程

OJIN: The Online Journal of Issues in Nursing Pub Date : 2023-01-31 DOI: 10.3912/OJIN.Vol28No01Man03

Sabrina Baumgartner, Betty Hurley, Allyson D Crinklaw, L. Senter, M. Steilen, Michelle Hyland, B. Cicatelli

{"title":"Evaluating Take 5: Virtual Learning Sessions on Trauma Informed Care for Healthcare Staff During COVID-19","authors":"Sabrina Baumgartner, Betty Hurley, Allyson D Crinklaw, L. Senter, M. Steilen, Michelle Hyland, B. Cicatelli","doi":"10.3912/OJIN.Vol28No01Man03","DOIUrl":"https://doi.org/10.3912/OJIN.Vol28No01Man03","url":null,"abstract":"Trauma disproportionately impacts people with HIV. To mitigate these adverse impacts, primary care providers can identify and address trauma with clients using a trauma informed care (TIC) approach. In 2018, CAI, an organization that provides national level training and capacity-building developed a TIC implementation model, now delivered in HIV and primary care agencies throughout the United States to integrate TIC into their culture, environment, and service delivery. New Jersey Trauma Informed Care (NJTIC) is the organization’s longest standing TIC initiative. To respond to the complex challenges of the COVID-19 pandemic, we developed a webinar series, Take 5, to leverage and expand upon the existing knowledge and skills of providers across 15 agencies part of the NJTIC project. This article describes the series’ purpose, to support staff and sustain and develop their TIC competencies during this unprecedented reality. Results of our evaluation indicated the reaction, satisfaction, and impact described by staff, who enhanced their TIC knowledge and utilized new skills with clients and themselves. Staff and their supervisors reported that the series offered consistency and support during an uncertain time. These promising practices can be applied broadly during crises to bolster knowledge, skills, collaboration, and self-care.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132203686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANA Position Statement: Nurses’ Professional Responsibility to Promote Ethical Practice Environments ANA立场声明:护士的职业责任促进道德执业环境

OJIN: The Online Journal of Issues in Nursing Pub Date : 2023-01-23 DOI: 10.3912/ojin.vol28no01poscol01

引用次数: 1

Faculty Scholarship Addressing Health Disparities with Persons with Intellectual and Developmental Disabilities: A Case Study Based on Boyer’s Model of Scholarship 解决智力和发育残疾者健康差异的教师奖学金:基于Boyer奖学金模型的案例研究

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man05

S. Ailey, Tanya R. Friese

{"title":"Faculty Scholarship Addressing Health Disparities with Persons with Intellectual and Developmental Disabilities: A Case Study Based on Boyer’s Model of Scholarship","authors":"S. Ailey, Tanya R. Friese","doi":"10.3912/ojin.vol27no03man05","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man05","url":null,"abstract":"Approximately seven million Americans with intellectual and developmental disabilities (IDD) face disparities and inequities in health, access to healthcare, and health outcomes. Contributing to the health disparities that face people with IDD is the lack of preparation of healthcare professionals related to their care and the lack of attention to research and quality improvement to address their unique disparities. This article describes a case study in which two faculty developed a program of scholarship, often in collaboration with graduate students in nursing and other health professions, which addresses promotion of health equity and social justice in general and specifically in the health disparities facing people with IDD. The program of scholarship is based on Boyer’s Model of Scholarship. The description of our work considers application of Boyer’s model to IDD scholarship in the context of discovery, teaching application, quality improvement across spheres of care , and integration. We offer a summary of the outcomes of our work that demonstrates impact at micro-, miso, and macro systems levels and conclude with implications for developing nursing scholarship.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"312 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122984644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adults and Seniors with Autism Spectrum Disorder: Implications for Person Centered Care 患有自闭症谱系障碍的成人和老年人:以人为本护理的意义

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man01

C. Kartoz, M. Wells, Sara Muñoz

{"title":"Adults and Seniors with Autism Spectrum Disorder: Implications for Person Centered Care","authors":"C. Kartoz, M. Wells, Sara Muñoz","doi":"10.3912/ojin.vol27no03man01","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man01","url":null,"abstract":"Autism spectrum disorder (ASD) occurs in approximately 1 in 44 children in the United States. As the pediatric population of individuals with an ASD age, and prevalence of ASD continues to trend upward, nurses who care for adults and older adults can expect to see a steadily increasing percentage of patients affected by an ASD. Individuals and families affected by this complicated and heterogeneous neurological disorder grapple with a wide range of social and behavioral impairments as well as substantial medical and psychological comorbidities, making nursing care complex and multi-faceted. Individuals with an ASD comprise a vulnerable population with a markedly reduced life expectancy of nearly 36 years. This article reviews foundational information about the essentials of ASD, such as the definition and characteristics and discusses research about ASD and aging. We have created an embedded case study throughout the discussion that offers an exemplar based on evidence related to functionality, comorbidities, family centered care, and becoming informed through descriptions of the moment experience. Finally, we discuss implications for person-centered care for those with ASD that consider practice, education, research, and nursing administration.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128032360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Care of Students with Disabilities in Schools: A Team Approach 照顾学校中的残疾学生:团队方法

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man02

Kathleen Johnson

引用次数: 0

Overview and Summary: Addressing Disabilities in Healthcare 概述和摘要:解决医疗保健中的残疾问题

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03manos

R. Fischbein

引用次数: 1

Nurses with Disability: Transforming Healthcare for All 残疾护士:改变所有人的医疗保健

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man04

B. Marks, Jasmina Sisirak

{"title":"Nurses with Disability: Transforming Healthcare for All","authors":"B. Marks, Jasmina Sisirak","doi":"10.3912/ojin.vol27no03man04","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man04","url":null,"abstract":"Disability is a natural part of the human experience and nurses with disability add greatly needed value as our colleagues. People with disability represent the largest marginalized group, making up more than 15% of the global population. Recognizing the value of nurses with disability requires an understanding of the ongoing systematic exclusion of students with disability entering the nursing profession and nurses with disability maintaining employment. Nurses with disability can offer patient-provider concordance, supporting a shared experience, valuing disability, and modeling positive expectations. In this article, we first discuss disability, ableism, and nursing. Also included is information about universal design structures for access that can be useful to support students and nurses with disability in academic and clinical settings. Lastly, we provide recommendations for nursing education and practice to include and value people with disability in these environments. Because systemic barriers can be easy to fix but often ignored, employing nurses with disability who directly experience these barriers provides an opportunity and incentive to advocate for change. Nurses with disability have enormous potential to expand healthcare from a medicalized view of disability as an inherently negative trait to a marker of diversity and the hallmark of equitable care.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121112747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Finding the Right Words: Cohesion and Divergence in Inclusive Language Guidelines 寻找合适的词语:包容性语言指南中的衔接与分歧

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man03

Miriam R B Abbott

引用次数: 0

Access to Secondary Healthcare for People with Intellectual Disabilities: The Role of Community Learning Disability Nurses in Wales 智力残疾者获得二级保健:威尔士社区学习障碍护士的作用

OJIN: The Online Journal of Issues in Nursing Pub Date : 2022-09-30 DOI: 10.3912/ojin.vol27no03man06

Stacey Rees, R. Northway

{"title":"Access to Secondary Healthcare for People with Intellectual Disabilities: The Role of Community Learning Disability Nurses in Wales","authors":"Stacey Rees, R. Northway","doi":"10.3912/ojin.vol27no03man06","DOIUrl":"https://doi.org/10.3912/ojin.vol27no03man06","url":null,"abstract":"People with intellectual disabilities experience many health disparities including difficulties with access to healthcare, and a lack of appropriate and timely healthcare. Nurses are well placed to address such disparities. In the UK, this is a key focus of the role of specialist community learning (intellectual) disabilities nurses (CLDNs), as explained in our background section. Research relating to this aspect of their role is limited. This qualitative research study explored the role of the CLDN to support access to secondary healthcare. This article reviews our study methods, which included semi-structured interviews (n = 14) conducted with CLDNs using critical incident technique. These were subsequently transcribed and critical incidents (n = 74) analysed using thematic analysis. We describe in our findings four emerging themes: Proactive/Preparatory Work; Therapeutic Relationships; Coordination; and Influencing Healthcare Outcomes. Within each theme and several subthemes there is evidence of CLDNs identifying and removing or reducing barriers to effective and timely healthcare. The discussion section asserts that CLDNs use a range of strategies to support access to healthcare and with a focus on barriers, they promote health within a social model of disability. We conclude that, whilst specialist CLDNs do not exist in many other countries, the strategies they employ could be utilised by non-specialist nurses working both within the UK and elsewhere to enhance access and reduce health disparities for people with intellectual disabilities.","PeriodicalId":225312,"journal":{"name":"OJIN: The Online Journal of Issues in Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128607560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0