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The Zika Virus Epidemic: Public Health Roles for Nurses 寨卡病毒流行:护士的公共卫生角色
Online Journal of Issues in Nursing Pub Date : 2017-01-31 DOI: 10.3912/OJIN.Vol22No01Man04
Anne Wilson, Thi N M Nguyen
{"title":"The Zika Virus Epidemic: Public Health Roles for Nurses","authors":"Anne Wilson, Thi N M Nguyen","doi":"10.3912/OJIN.Vol22No01Man04","DOIUrl":"https://doi.org/10.3912/OJIN.Vol22No01Man04","url":null,"abstract":"Zika virus has emerged as a health issue of public importance in several countries. Given the increase of congenital anomalies, Guillain-Barré syndrome, and other neurological and autoimmune syndromes, the Pan American Health Organization/World Health Organization has made recommendations for healthcare facilities related to strengthening capacity and specialized care. Many nurses hold lead positions in health education, health promotion, and health surveillance in the identification, prevention, and management of Zika virus disease. This article briefly describes the history of Zika virus, clinical manifestation, and transmission. Our review examined public health concerns and identified potential strategies and direct responses for nurses. The article summarizes for nurses what is currently known about Zika virus, in the context of several limitations.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"22 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2017-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34982953","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: 12
Nurses Need Not Be Guilty Bystanders: Caring for Vulnerable Immigrant Populations 护士不必成为有罪的旁观者:照顾弱势移民群体
Online Journal of Issues in Nursing Pub Date : 2016-12-01 DOI: 10.3912/OJIN.Vol22No01PPT43
Elizabeth Moran Fitzgerald, Judith G Myers, Paul Clark
{"title":"Nurses Need Not Be Guilty Bystanders: Caring for Vulnerable Immigrant Populations","authors":"Elizabeth Moran Fitzgerald,&nbsp;Judith G Myers,&nbsp;Paul Clark","doi":"10.3912/OJIN.Vol22No01PPT43","DOIUrl":"https://doi.org/10.3912/OJIN.Vol22No01PPT43","url":null,"abstract":"<p><p>Nurses face many dilemmas when providing healthcare to immigrants, a vulnerable population. Racist, rancorous dialogue can create a hostile care environment that may place patients at risk for substandard care. This article presents a two part case study about a Hispanic patient to illustrate both examples of inappropriate dialogue (Part I) and potential nursing actions (Part 2). The authors review myths versus facts about Hispanic immigrants and introduce activist Thomas Merton’s concept of the guilty bystander, the nursing professional code of ethics, and Professor Joseph Badaracco’s concepts of quiet leadership as practical tools and approaches that nurses can use to advocate for safe, quality, ethical care of immigrant populations.</p>","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"22 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34981323","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: 8
Caring for Patients with Service Dogs: Information for Healthcare Providers 照顾有服务犬的病人:给医疗保健提供者的信息
Online Journal of Issues in Nursing Pub Date : 2016-11-29 DOI: 10.3912/OJIN.Vol22No01PPT45
Michelle Krawczyk
{"title":"Caring for Patients with Service Dogs: Information for Healthcare Providers","authors":"Michelle Krawczyk","doi":"10.3912/OJIN.Vol22No01PPT45","DOIUrl":"https://doi.org/10.3912/OJIN.Vol22No01PPT45","url":null,"abstract":"<p><p>People with disabilities use various assistance devices to improve their capacity to lead independent and fulfilling lives. Service dogs can be crucial lifesaving companions for their owners. As the use of service dogs increases, nurses are more likely to encounter them in healthcare settings. Service dogs are often confused with therapy or emotional support dogs. While some of their roles overlap, service dogs have distinct protection under the American Disabilities Act (ADA). Knowing the laws and proper procedures regarding service dogs strengthens the abilities of healthcare providers to deliver holistic, patient-centered care. This article provides background information about use of dogs, and discusses benefits to patients and access challenges for providers. The author reviews ADA laws applicable to service dog use and potential challenges and risks in acute care settings. The role of the healthcare professional is illustrated with an exemplar, along with recommendations for future research and nursing implications related to care of patients with service dogs.</p>","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"22 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2016-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34981322","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: 7
Implementing the New ANA Standard 8: Culturally Congruent Practice 实施新的ANA标准8:文化一致性实践
Online Journal of Issues in Nursing Pub Date : 2016-11-18 DOI: 10.3912/OJIN.Vol22No01PPT20
Lucy Marion, Marilyn (Marty) Douglas, Mary Ann Lavin, Nancy Barr, Shena Gazaway, Elizabeth (Libby) Thomas, Carol Bickford
{"title":"Implementing the New ANA Standard 8: Culturally Congruent Practice","authors":"Lucy Marion,&nbsp;Marilyn (Marty) Douglas,&nbsp;Mary Ann Lavin,&nbsp;Nancy Barr,&nbsp;Shena Gazaway,&nbsp;Elizabeth (Libby) Thomas,&nbsp;Carol Bickford","doi":"10.3912/OJIN.Vol22No01PPT20","DOIUrl":"https://doi.org/10.3912/OJIN.Vol22No01PPT20","url":null,"abstract":"<p><p>The American Nurses Association (ANA) is responsible for the contract between society and the nursing profession, including the nursing scope and standards of practice. In 2015, an ANA workgroup produced Nursing: Scope and Standards of Practice, 3rd Ed during a time of social change and an increase of culturally and ethnically diverse consumers. Subsequently, a subset of workgroup members and an invited transcultural nursing expert led to the creation of the new Standard 8: Culturally Congruent Practice, describing nursing care that is in agreement with the preferred values, beliefs, worldview, and practices of the healthcare consumer. This article records the history of the revised scope and standards and new Standard 8, the reasoning behind this standard and its impact on nursing practice, education, and research. The article also guides nurses in the application of Standard 8 to nursing practice and offers discussion about implementing culturally congruent practice through the nursing process. We also discuss cultural congruence for the graduate-prepared nurse; offer brief comments related to evaluation of culturally congruent practice using Standard 8 and future research; and conclude with a call to action.</p>","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"22 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2016-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34986012","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: 46
Registered Nurses as Caregivers: Influencing the System as Patient Advocates 作为护理者的注册护士:作为患者倡导者影响系统
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man02
M. Lucatorto, Timothy W Thomas, T. Siek
{"title":"Registered Nurses as Caregivers: Influencing the System as Patient Advocates","authors":"M. Lucatorto, Timothy W Thomas, T. Siek","doi":"10.3912/OJIN.Vol21No03Man02","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man02","url":null,"abstract":"Registered Nurses (RNs) influence the health of individual patients and populations. RNs provide the most value for the healthcare system when they work collaboratively with other healthcare team members, work to their full scope of practice, and when they are engaged and accountable. In 2011, the Institute of Medicine report on the future of nursing made the call to achieve the full value of nursing care. Creation of this future state requires both a vision of the “to be” as well as removal of existing barriers. In this article, we present a description of this future state in the context of a team based culture that utilizes collaboration to achieve the full scope of practice, accountability to deliver healthcare based on a discrete body of knowledge, and accountability to provide value and measure effectiveness of nursing care. This proposed future vision focuses on patient advocacy for nurses working in healthcare systems. Barriers that currently exist, such as overlaps in professional scopes of practice, organizational policy and structure, and a lack of the ability to grant privileges to nurses based upon their education and skills are discussed. We offer recommendations to remove barriers and contribute to creation of a new future state of nursing, and conclude that the removal of barriers to inhibit the fullest scope of nursing practice will continue to require focus in purpose and persistence in action.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294635","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: 5
Enhancing Patient Safety: Factors Influencing Medical Error Recovery Among Medical-Surgical Nurses 提高患者安全:影响内外科护士医疗差错恢复的因素
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man06
T. Gaffney, B. Hatcher, R. Milligan, A. Trickey
{"title":"Enhancing Patient Safety: Factors Influencing Medical Error Recovery Among Medical-Surgical Nurses","authors":"T. Gaffney, B. Hatcher, R. Milligan, A. Trickey","doi":"10.3912/OJIN.Vol21No03Man06","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man06","url":null,"abstract":"Keeping patients safe is a core nursing duty. The dynamic nature of the healthcare environment requires that nurses practice to the full extent of their education, experience, and role to keep patients safe. Research has focused on error causation rather than error recovery, a process that occurs before patient harm ensues. In addition, little is known about the role nurses play in error recovery. A descriptive cross-sectional, correlational study using a sample of 184 nurses examined relationships between nurse characteristics, organizational factors, and recovery of medical errors among medical-surgical nurses in hospitals. In this article, we provide background information to introduce the concept of error recovery, and present our study aims and methods. Study results suggested that medical-surgical nurses recovered on average 22 medical errors and error recovery was positively associated with education and expertise. The discussion section further considers the important role of medical-surgical nurses and error recovery to enhance patient safety. In conclusion, we suggest that creating a safer healthcare system will depend on the ability of nurses to fully use their education, expertise and role to identify, interrupt, and correct medical errors; thereby, preventing patient harm.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294766","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: 13
Registered Nurses as Professionals: Accountability for Education and Practice 注册护士作为专业人员:教育和实践的责任
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man01
B. Zittel, E. Moss, A. O’sullivan, T. Siek
{"title":"Registered Nurses as Professionals: Accountability for Education and Practice","authors":"B. Zittel, E. Moss, A. O’sullivan, T. Siek","doi":"10.3912/OJIN.Vol21No03Man01","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man01","url":null,"abstract":"This article explores the theme that, as professionals, all registered nurses (RNs) are accountable for their own educational development and execution of their individual professional role. To assure that RNs perform to the full scope of their practice and impact the highest possible patient outcomes, a standardized educational preparation of RNs at the BSN level is essential, either through initial education or educational progression. The authors support the need for BSN preparation with a brief review of research to identify seminal works that demonstrate the added value, both economically and in terms of patient outcomes, that results when higher percentages of BSN-prepared RNs provide care. They also discuss RN accountability for educational progression and barriers to earning the BSN. The article summary offers recommendations and action steps to support BSN education and promote RN full scope of practice.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294994","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: 3
Registered Nurses as Interprofessional Collaborative Partners: Creating Value-Based Outcomes 注册护士作为跨专业合作伙伴:创造基于价值的成果
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man04
E. Moss, P. C. Seifert, A. O’sullivan
{"title":"Registered Nurses as Interprofessional Collaborative Partners: Creating Value-Based Outcomes","authors":"E. Moss, P. C. Seifert, A. O’sullivan","doi":"10.3912/OJIN.Vol21No03Man04","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man04","url":null,"abstract":"State-specific nurse practice acts, a defined registered nurse (RN) scope of practice, and nurse-led initiatives prepare nurses to lead in a meaningful and ethical way within the professional practice setting. However, barriers still exist that challenge the full RN scope of practice. One of these barriers is insufficient interprofessional collaboration among healthcare providers from multiple disciplines. We will briefly discuss the RN scope of practice and describe several evidence-based transition to practice programs and activities that are effectively helping to minimize these barriers. The article will also consider opportunities for interprofessional collaboration for RNs to implement evidence-based programs to support transition to practice, create interprofessional collaborative environments, and care for patients in a culturally competent way to minimize healthcare disparities. We conclude by offering recommendations to enhance interprofessional collaboration.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294703","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: 17
Registered Nurses as Professionals, Advocates, Innovators, and Collaborative Leaders: Executive Summary 注册护士作为专业人士、倡导者、创新者和协作领导者:执行摘要
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man05
T. Williams, K. Baker, Leda Evans, M. Lucatorto, E. Moss, A. O’sullivan, P. C. Seifert, T. Siek, Timothy W Thomas, B. Zittel
{"title":"Registered Nurses as Professionals, Advocates, Innovators, and Collaborative Leaders: Executive Summary","authors":"T. Williams, K. Baker, Leda Evans, M. Lucatorto, E. Moss, A. O’sullivan, P. C. Seifert, T. Siek, Timothy W Thomas, B. Zittel","doi":"10.3912/OJIN.Vol21No03Man05","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man05","url":null,"abstract":"This article concludes a series that described work completed by the American Nurses Association (ANA) Barriers to RN Scope of Practice Professional Issues Panel (Panel). The Panel has summarized the roles of the registered nurse (RN) as professional, advocate, innovator, and collaborative leader. As professionals, RNs are accountable for their own educational development, growth of their own practice, and execution of their own professional role. As advocates, RNs provide direct and indirect care focused on the achievement of optimal health. As innovators, RNs act as agents of change in driving processes and policy and leveraging technology. As collaborative leaders, RNs lead within the professional practice setting with state-specific nurse practice acts, a defined scope of practice, and nurse-led initiatives. In this article, Panel members describe their methodology, offer role definitions and recommendations, and provide individual recommendations for RNs to remove barriers and practice to the full extent of their scope of practice. We conclude with some future considerations.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294751","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: 4
Registered Nurses Leading Innovative Changes 注册护士引领创新变革
Online Journal of Issues in Nursing Pub Date : 2016-09-30 DOI: 10.3912/OJIN.Vol21No03Man03
Timothy W Thomas, P. C. Seifert, J. C. Joyner
{"title":"Registered Nurses Leading Innovative Changes","authors":"Timothy W Thomas, P. C. Seifert, J. C. Joyner","doi":"10.3912/OJIN.Vol21No03Man03","DOIUrl":"https://doi.org/10.3912/OJIN.Vol21No03Man03","url":null,"abstract":"As innovators, all registered nurses (RNs) act as agents of change to drive processes and policy and leverage technology to prove better, more affordable care for individuals and the community. The authors consider examples of RNs leading innovative ideas and practices to create new knowledge; develop healthcare policies and practices; improve the quality of care; and advance health information technology. This article describes a number of key innovation goals identified by the American Nurses Association Professional Issues Panel, Barriers to RN Scope of Practice, discusses relevant literature related to overcoming barriers to innovation, and identifies recommendations for leading innovative change to achieve innovation goals.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 3 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70294647","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: 27
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