Policy, Politics, and Nursing Practice最新文献_第7页

Branded Care: The Policy Implications of Pharmaceutical Industry-Funded Nursing Care Related to Specialty Medicines. 品牌护理:制药业资助的与专业药物相关的护理的政策含义。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2023-02-01 DOI: 10.1177/15271544221121749

Quinn Grundy, Larkin Davenport Huyer, Lisa Parker, Lisa Bero

{"title":"Branded Care: The Policy Implications of Pharmaceutical Industry-Funded Nursing Care Related to Specialty Medicines.","authors":"Quinn Grundy, Larkin Davenport Huyer, Lisa Parker, Lisa Bero","doi":"10.1177/15271544221121749","DOIUrl":"https://doi.org/10.1177/15271544221121749","url":null,"abstract":"An increasing proportion of new drugs approved for market worldwide are now high cost, specialty medicines. Pharmaceutical marketers face the challenge of convincing payers, prescribers, and patients that the cost and complexity of care associated with specialty medicines is worth the trouble, and now offer patient support programs, free of charge, to patients prescribed their drug. We conducted a secondary, qualitative, interpretive analysis of 24 interviews with leaders of patient groups and members of hospital formulary committees in Australia to describe the work of pharmaceutical company-employed or contracted nurses who provide support to patients prescribed specialty medicines, and to prompt discussion around the policy implications of relying on industry-funded nursing care within publicly funded health systems. Participants affirmed the value of specialist, holistic, person-centered nursing care, but perceived gaps within the public health system related to the availability and provision of nursing care for people living with chronic disease. Consequently, participants described the pharmaceutical industry as addressing health system gaps through sponsorship or direct provision of medication-related nursing care, but recognized that care was contingent on commercial interest. Participants highlighted a number of ethical and policy concerns stemming from industry-funded nursing care of people prescribed specialty medicines related to patient safety, continuity of care, inducement to prescribe, and health equity. This analysis suggests that outsourcing necessary medication-related care to pharmaceutical companies has implications for the health system and equitable, sustainable pharmaceutical policy that extend far beyond the care encounter.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"24 1","pages":"67-75"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10473490","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: 2

Nurse Child Care Health Consultants, Professional Development, and Accreditation Improve Medication Safety in Child Care Programs. 护士儿童保健健康顾问，专业发展和认证提高儿童保健计划的药物安全。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2023-02-01 DOI: 10.1177/15271544221130979

Angela A Crowley, Tony Yong-Zhan Ma, Sangchoon Jeon

{"title":"Nurse Child Care Health Consultants, Professional Development, and Accreditation Improve Medication Safety in Child Care Programs.","authors":"Angela A Crowley, Tony Yong-Zhan Ma, Sangchoon Jeon","doi":"10.1177/15271544221130979","DOIUrl":"https://doi.org/10.1177/15271544221130979","url":null,"abstract":"Medication administration is a critical safety issue in hospitals and the community. Children are especially at risk because of their dependence on adults to safely administer medications. The purpose of this study was to examine non-compliance with state child care medication administration regulations and factors associated with improved compliance. The data included routine, unannounced inspections of child care programs by state licensing specialists collected in two time periods over 10 years. Factors potentially associated with regulatory compliance were included in this secondary analysis. Most child care center medication administration regulations showed decreased non-compliance between the two time periods. However, regulations pertaining to prescriber orders and parent permission revealed a significant increase in non-compliance (58.4%). Factors positively associated with medication administration regulatory compliance included: compliance with annual professional development (p < 0.0001 in both periods), achievement of accreditation (p = 0.0115 in Time 1), and among centers with children under 3 years of age, compliance with a weekly mandatory visit by a nurse consultant (p = 0.0004 in Time 2). Though family child care homes had a lower frequency of medication administration non-compliance, only 19% were administering medications in Time 1. High quality, safe, and affordable child-care is essential for all children including those with special health care needs. This study highlights the importance of medication safety practices in child care programs, national child care health and safety standards, federal and state policies regarding medication administration regulations, and the critical role of nurse child care health consultants in promoting safe medication administration in child care programs.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"24 1","pages":"36-50"},"PeriodicalIF":1.8,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10840249","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

A Case of Pharmaceutical Messianism Amidst the COVID-19 Pandemic: An Infodemiological Study of Ivermectin in the Philippines. COVID-19大流行中的医药救世主案例：菲律宾伊维菌素信息学研究》。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2023-02-01 Epub Date: 2022-12-14 DOI: 10.1177/15271544221139455

Rowalt Alibudbud

{"title":"A Case of Pharmaceutical Messianism Amidst the COVID-19 Pandemic: An Infodemiological Study of Ivermectin in the Philippines.","authors":"Rowalt Alibudbud","doi":"10.1177/15271544221139455","DOIUrl":"10.1177/15271544221139455","url":null,"abstract":"Pharmaceutical messianism is a manifestation of medical populism. It arises during extraordinary crises, is built on the familiar, endorsed by heterodox authorities, and involves a highly accessible panacea. Amid the politics and public desperation in the Philippines during the COVID-19 pandemic, pharmaceutical messianism can be observed in the form of Ivermectin, a panacea offered to prevent and treat COVID-19. Thus, it may be worthwhile to determine the changes and patterns of public interest toward Ivermectin. This infodemiological study utilized and described Search Volume Index and related queries for Ivermectin from Google Trends vis-à-vis reported societal events in the Philippines to determine changes in public interest in Ivermectin use. It revealed that a tremendous increase in public interest in Ivermectin has emerged during surges of COVID-19 cases, endorsement by politicians and heterodox health authorities, and public distribution of Ivermectin. It also showed that public interest increased as the number of component characteristics of pharmaceutical messianism increased. Search-related queries and topics also showed that the public might be using the internet to inform themselves regarding the use of Ivermectin for humans, including its use for COVID-19. These findings suggest that people may study the endorsed panacea and weigh it against conventional and orthodox treatment during rising COVID-19 cases. Thus, easily understandable, highly searchable, reliable, and trustworthy online information is ever-crucial in this age of information and disinformation.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"24 1","pages":"17-25"},"PeriodicalIF":2.1,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9760496/pdf/10.1177_15271544221139455.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in Nursing Home Populations Challenge Practice and Policy. 疗养院人口的变化对实践和政策提出了挑战。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-11-01 Epub Date: 2022-08-11 DOI: 10.1177/15271544221118315

M Barton Laws, Aly Beeman, Sylvia Haigh, Ira B Wilson, Renée R Shield

{"title":"Changes in Nursing Home Populations Challenge Practice and Policy.","authors":"M Barton Laws, Aly Beeman, Sylvia Haigh, Ira B Wilson, Renée R Shield","doi":"10.1177/15271544221118315","DOIUrl":"10.1177/15271544221118315","url":null,"abstract":"U.S. nursing homes (NH) have a growing prevalence of individuals with severe mental illness (SMI) and substance use disorders (SUD), and an associated increasing proportion of people under 65. We explored how Directors of Nursing (DONs) perceive challenges and strategies in caring for these populations. We conducted semi-structured telephone interviews with 32 DONs from diverse facilities around the U.S. Participants reported that people with SUD and SMI often present behavioral challenges requiring resource intensive responses, while regulations constrain optimal medication treatment. Younger individuals are considered more demanding of staff and impatient with traditional NH activities designed for older people. Some NHs report they screen out people with behavioral health disorders; they tend to be concentrated in NHs in economically disadvantaged communities. Individuals may remain in NHs because suitable settings for discharge are unavailable. These developments constitute a back door \"re-institutionalization\" of people with behavioral health disorders, and a growing crisis.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 4","pages":"238-248"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10155416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9398937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Methods of Current Practice: Qualitative Analysis of Intervention Strategies Utilized by Vaccine Waiver Educators in Michigan. 当前实践的方法:密歇根州疫苗豁免教育者使用的干预策略的定性分析。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-11-01 DOI: 10.1177/15271544221114293

Duduzile P Mashinini, Mary D Lagerwey, Kieran J Fogarty, Rachel C Potter

{"title":"Methods of Current Practice: Qualitative Analysis of Intervention Strategies Utilized by Vaccine Waiver Educators in Michigan.","authors":"Duduzile P Mashinini, Mary D Lagerwey, Kieran J Fogarty, Rachel C Potter","doi":"10.1177/15271544221114293","DOIUrl":"https://doi.org/10.1177/15271544221114293","url":null,"abstract":"By enacting administrative rule 325.176 (12), Michigan added a vaccine education component as a precondition to granting vaccine waivers to vaccine-hesitant parents wishing to file a nonmedical vaccine exemption for their school-aged child. The purpose of the study was to identify best practices for reaching vaccine-hesitant parents during face-to-face vaccine education sessions conducted by vaccine waiver educators in Michigan. This study utilized qualitative descriptive content analysis of semi-structured phone interviews with vaccine waiver educators from local health departments (LHDs) in Michigan. Participants were vaccine waiver educators who were employed by a local health department in Michigan and had conducted at least 30 vaccine waiver education sessions. Strategies, resources, and techniques identified by educators as beneficial included using and providing information from a variety of sources, compiling their own educational materials, creating a positive experience, holding personalized sessions, and streamlining exemption and vaccination sessions. However, unexpected themes that emerged from the interviews revealed that vaccine waiver educators need additional training in discussing vaccine ingredients with parents, handling religious vaccine exemption requests, and assessing the role of schools. Implementing successful vaccine education interventions targeting vaccine-hesitancy is crucial to public health. Charging LHDs with overseeing vaccine education via a face-to-face discussion is a novel intervention strategy, the effective implementation of which may inform vaccine education intervention nationwide and may even be translated into international contexts and prove useful to current COVID-19 vaccination efforts.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 4","pages":"249-258"},"PeriodicalIF":1.8,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9647316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9531052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy. 高级护理和助产领导的发展实践:改善南太平洋卫生政策的途径。

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-08-01 DOI: 10.1177/15271544221095768

Michele Rumsey, Elizabeth Iro, Di Brown, Michael Larui, Harriet Sam, Fiona Brooks

{"title":"Development Practices in Senior Nursing and Midwifery Leadership: Pathways to Improvement in South Pacific Health Policy.","authors":"Michele Rumsey, Elizabeth Iro, Di Brown, Michael Larui, Harriet Sam, Fiona Brooks","doi":"10.1177/15271544221095768","DOIUrl":"https://doi.org/10.1177/15271544221095768","url":null,"abstract":"The Pacific Islands countries consist of thousands of isolated islands with a combined population of over 10 million people. It is a heterogeneous and diverse region culturally, linguistically economically and politically. Health challenges are considerable and healthcare systems are often overstretched. Framed in the context of the World Health Organisation's strategic directions and policy priorities, this paper describes an account of collaboration across these countries to develop leadership skills in the nursing and midwifery professions. It outlines lessons for nursing leadership, healthcare policy development and the valuable role of Government Chief Nursing and Midwifery Officers. The South Pacific Chief Nursing and Midwifery Officers Alliance (SPCNMOA) is a cooperative partnership, which was formed to improve the quality of healthcare in the region. It acts as an enabler to promote leadership skills and provide a safe space for learning, developing policy and the sharing of good practice. Through mentorship programs, international meetings and strong relationship-building, the SPCNMOA has strengthened partnerships within the region and improved community health services in even the most remote areas. By strengthening leadership and collaboration, these health professionals are now recognised by key policy makers as knowledgeable experts who have a legitimate role in guiding policy development, changing practice and delivering health policy improvements at local, country and international levels.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 3","pages":"195-206"},"PeriodicalIF":1.8,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10516093","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: 2

A Theoretically Derived Approach to Impact: Implementing Policy Influence Strategies 影响的理论推导方法:实施政策影响战略

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-06-03 DOI: 10.1177/15271544221100164

P. de Raeve, Francesco Bolzonella, Patricia M. Davidson

引用次数: 1

Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study. 医院工作场所暴力事件报告做法的差异：混合方法研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2022-05-01 Epub Date: 2022-03-23 DOI: 10.1177/15271544221088248

Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong

{"title":"Differences in Hospitals' Workplace Violence Incident Reporting Practices: A Mixed Methods Study.","authors":"Rachel Odes, Susan Chapman, Sara Ackerman, Robert Harrison, OiSaeng Hong","doi":"10.1177/15271544221088248","DOIUrl":"10.1177/15271544221088248","url":null,"abstract":"Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California's WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 - June 30, 2020. In addition, we collected qualitative data from six California hospitals/hospital systems during 2019-2020 to better understand reporting practices. Over the three-year period, the 413 hospitals using the WVIRS reported between zero and six incidents per staffed bed. Sixteen hospitals (3.9%) reported two or more incidents per staffed bed while the rest reported fewer than two incidents. Qualitative analysis identified that reporting procedures vary considerably among hospitals. Several organizations rely on workers to complete incident reports electronically while others assign managers or security personnel to data collection. Some hospitals appear to report only those incidents involving physical harm to the worker. Regulatory guidance for reporting practices and hospitals' commitment to thorough data collection may improve consistency. As hospitals throughout the U.S. consider practice changes to comply with new WV standards, those engaged in implementation efforts should look closely at reporting practices. Greater consistency in reporting across facilities can help to build evidence for best practices and lead to safety improvements.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"23 2","pages":"98-108"},"PeriodicalIF":2.1,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10800348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements 美国的结构性种族主义:国家护理组织声明的总结性内容分析

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-04-04 DOI: 10.1177/15271544221089657

Naila C Russell, Sherrie Flynt Wallington

{"title":"Structural Racism in America: A Summative Content Analysis of National Nursing Organization Statements","authors":"Naila C Russell, Sherrie Flynt Wallington","doi":"10.1177/15271544221089657","DOIUrl":"https://doi.org/10.1177/15271544221089657","url":null,"abstract":"The public and brutal death of Black American George Floyd was a tragedy that had the potential to push the profession of nursing toward a perspective transformation. A summative content analysis of 49 professional nursing organization statements served as a pilot to explore the research question: Did the nursing profession experience a perspective transformation relating to racial justice and health equity following the death of George Floyd? Texts from the statements were analyzed for the presence of an equity lens, which is necessary for a perspective transformation. Each statement was assigned a rating score to determine the organization's readiness for a perspective transformation based on equity competencies adapted from CommonHealth Action. Findings demonstrated that the nursing profession is beginning to articulate the issue of racism in health care and is committed to advocating for patients of color; however, further understanding of the historical context of structural racism and the development of meaningful policy remains necessary for the profession to experience a perspective transformation.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"2 1","pages":"85 - 97"},"PeriodicalIF":1.8,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74597556","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

The European Standard EN 17398:2020 on Patient Involvement in Health Care – a Fairclough-Inspired Critical Discourse Analysis 关于患者参与医疗保健的欧洲标准EN 17398:2020 - fairclough启发的关键话语分析

IF 1.8

Policy, Politics, and Nursing Practice Pub Date : 2022-03-21 DOI: 10.1177/15271544221088250

Sigrid Stjernswärd, S. Glasdam

引用次数: 1