Online Journal of Issues in Nursing最新文献

{"title":"Overview and Summary: Care Coordination: Benefits of Interprofessional Collaboration","authors":"G. Lamb","doi":"10.3912/OJIN.Vol20No03ManOS","DOIUrl":"https://doi.org/10.3912/OJIN.Vol20No03ManOS","url":null,"abstract":"Care transitions are recognized as a time of significant vulnerability for children and adults with multiple chronic illnesses and complex health and social needs. Moving between settings or between providers requires comprehensive preparation and education of patients and families and accurate and timely flow of essential information. Lack of effective coordination on both sides of the transition leaves patients at risk for serious adverse outcomes influencing quality of life and function and substantial cost.This OJIN topic captures several important steps in the evolution of knowledge and practice of transitional care and care coordination. Together, the articles included in this topic reflect where we have been and where we still need to go to assure that patients and their families have safe and effective transitional care experiences. The articles range from a summary of over two decades of research on the nurse-led Transitional Care Model (TCM) to recent pilot studies developing new models and tools to expand transitional care and care coordination interventions to new settings and populations.In Continuity of Care: The Transitional Care Model, Hirschman and members of the multiprofessional Transitional Care Model (TCM) team at the University of Pennsylvania detail the evidence supporting the impact of their nurse-led transitional care model on quality and cost outcomes for older adults with multiple chronic illnesses. The TCM has undergone rigorous testing over the past two decades and has consistently demonstrated reductions in hospitalizations and costs for Medicare beneficiaries at high risk for adverse outcomes. This well-recognized model has been implemented in hospitals and health systems including patientcentered medical homes across the United States. The nine core TCM interventions and tools developed to measure them are described in the paper. This latest summary of the body of TCM research and its translation into \"real-world\" health care systems is a testament to the importance of rigorous and continuous programs of research for defining and improving care coordination for vulnerable populations with complex care needs.DelBoccio and colleagues describe one hospital's experience in becoming a top performer in transitional care in Successes and Challenges in Patient Care Transition Programming. Spurred to improve transitional care by changes in the Affordable Care Act, Indiana University Health North Hospital launched new programs to enhance patient activation and health team performance in medication management and communication with post-acute providers. Their experience reinforces the importance of effective teamwork and continuous quality improvement in making meaningful improvements in the care transition experience and subsequent performance outcomes.Nurses across academic and clinical settings in Minnesota describe the implementation of two models of care coordination for children with medical complexity (CMC) in their ar","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"1 p preceding 1"},"PeriodicalIF":0.0,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293245","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}

{"title":"Registered Nurse Care Coordination: Creating a Preferred Future for Older Adults with Multimorbidity.","authors":"Jean Scholz, Judith Minaudo","doi":"10.3912/ojin.vol20no03man04","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03man04","url":null,"abstract":"The concept of care coordination is often touted as the preferred way to streamline care for complex patients. Care coordination is even more popular with the mention of it in the Affordable Care Act of 2010 and with new Medicare payment models. The purpose of this article is to define care coordination, briefly describe trends for older adults and care coordination, and explore roles for registered nurses. We describe elder-appropriate models of care coordination useful for older adults with multimorbidity. A brief exemplar provides an example of evidence-based care coordination services provided by a nursing and social work team, a model supported by recent literature. As a result of this discussion, readers will become informed about possibilities for the future of care delivery and the future of professional nursing practice.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2015-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293197","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}

{"title":"Relationships Between Nurses and Physicians Matter.","authors":"S. Siedlecki, Eric D. Hixson","doi":"10.3912/ojin.vol20no03ppt03","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03ppt03","url":null,"abstract":"Both safety and quality of care patients receive depend upon the quality of the practice environment where care is provided. In this article, the authors review relevant literature, and describe their study that identified how nurses and physicians define respectful behavior; examined perceptions of the relationship between nurses and physicians in clinical settings in which they practice together; and analyzed the impact of nurse-physician relationships on nursing care decisions. Perceptions of nurse-physician relationships were assessed using the Professional Practice Environment Assessment Scale and perceptions of respectful behavior and the effect of physician behavior on nursing practice were assessed with single, forced-choice items. The authors report finding that physicians rated relationships significantly better than did nurses. Additionally, they note that 55% of nurses said that a physician's behavior impacted nursing decisions, and that younger, less experienced nurses were more likely to report being affected by negative physician behaviors than older nurses or nurses with more experience. They discuss how nurses' and physicians' different perceptions of the same environment is not surprising, but is instructive, and conclude that acknowledging differences in values, incentives, and perceptions can provide insights that focus improvement initiatives.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2015-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293807","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}

{"title":"Finding Meaning in the Work of Nursing: An International Study.","authors":"D. Malloy, E. Fahey-McCarthy, M. Murakami, Yongho Lee, Eunhee Choi, Eri Hirose, T. Hadjistavropoulos","doi":"10.3912/ojin.vol20no03ppt02","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03ppt02","url":null,"abstract":"Sixty nurses from five countries (Canada, India, Ireland, Japan, and Korea) took part in 11 focus groups that discussed the question: Do you consider your work meaningful? Fostering meaning and mentorship as part of the institutional culture was a central theme that emerged from the discussions. In this article, we begin with a background discussion of meaning and meaningful work as presented in the literature related to existentialism and hardiness. Next, we describe the method and analysis processes we used in our qualitative study asking how nurses find meaning in their very challenging work and report our findings of four themes that emerged from the comments shared by nurses, specifically relationships, compassionate caring, identity, and a mentoring culture. After offering a discussion of our findings and noting the limitations of this qualitative study, we conclude that nursing leaders and a culture of mentorship play an important role in fostering meaningful work and developing hardy employees.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2015-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293518","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}

{"title":"Informatics: The Standardized Nursing Terminologies: A National Survey of Nurses’ Experience and Attitudes—SURVEY II: Evaluation of Standardized Nursing Terminologies","authors":"L. Thede, P. Schwirian","doi":"10.3912/OJIN.VOL21NO01INFOCOL01","DOIUrl":"https://doi.org/10.3912/OJIN.VOL21NO01INFOCOL01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"21 1 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2015-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293950","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}

{"title":"Workplace Discrimination: An Additional Stressor for Internationally Educated Nurses.","authors":"Maria M Baptiste","doi":"10.3912/ojin.vol20no03ppt01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03ppt01","url":null,"abstract":"Discrimination against internationally educated nurses (IENs) remains a seldom-explored topic in the United States. Yet, the literature describing experiences of IENs indicates that some do experience workplace discrimination as an additional workplace stressor. IENs view this discrimination as an obstacle to career advancement and professional recognition. Consequences of workplace discrimination affect IENs' physical and psychological well being, the quality of patient care, and healthcare organizational costs. In anticipation of future nursing shortages, understanding and minimizing workplace discrimination will benefit nurses, patients, and healthcare organizations. In this article the author addresses motivation and challenges associated with international nurse migration and immigration, relates these challenges to Roy's theoretical framework, describes workplace discrimination, and reviews both consequences of and evidence for workplace discrimination. Next, she considers the significance of this discrimination for healthcare agencies, and approaches for decreasing stress for IENs during their transition process. She concludes that workplace discrimination has a negative, multifaceted effect on both professional nursing and healthcare organizations. Support measures developed to promote mutual respect among all nurses are presented.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2015-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293391","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}

{"title":"Ethics: Predatory Publishing: Keeping the Wolves from Your Office Door.","authors":"Jeanne Merkle Sorrell, Jacqueline K. Owens","doi":"10.3912/OJIN.VOL20NO03ETHCOL01","DOIUrl":"https://doi.org/10.3912/OJIN.VOL20NO03ETHCOL01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2015-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293486","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}

{"title":"Cochrane Review Brief: Pharmacotherapies for sleep disturbances in Alzheimer's disease.","authors":"C. Neville","doi":"10.3912/OJIN.VOL20NO03CRBCOL02","DOIUrl":"https://doi.org/10.3912/OJIN.VOL20NO03CRBCOL02","url":null,"abstract":"Review question: \u0000 \u0000What is the effectiveness of pharmacotherapies for sleep disturbances in Alzheimer’s disease?","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2015-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293419","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}

{"title":"Legislative: From Policy to Practice: A Case for Holistic Review Diversifying the Nursing Workforce.","authors":"G. Glazer, Angela Clark, Karen Bankston","doi":"10.3912/ojin.vol20no03legcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03legcol01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 3 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2015-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293101","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}

{"title":"Cochrane Review Brief: Lifestyle interventions to improve school achievement in overweight or obese children and adolescents.","authors":"J. Christie","doi":"10.3912/ojin.vol20no03crbcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no03crbcol01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"128 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2015-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293369","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}