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Virtual Group Appointments Improve Outcomes in Veterans with Heart Failure During a Global Pandemic: A Quality Improvement Project. 虚拟团体预约改善全球疫情期间心力衰竭退伍军人的预后:一个质量改进项目。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195490
Mary P Hansen, Shannon L Stewart, Christine Ensign, Carrie M Puckett, Sarah Caviness
{"title":"Virtual Group Appointments Improve Outcomes in Veterans with Heart Failure During a Global Pandemic: A Quality Improvement Project.","authors":"Mary P Hansen,&nbsp;Shannon L Stewart,&nbsp;Christine Ensign,&nbsp;Carrie M Puckett,&nbsp;Sarah Caviness","doi":"10.1177/10784535231195490","DOIUrl":"10.1177/10784535231195490","url":null,"abstract":"<p><p>This report on a quality improvement initiative describes a multi-professional approach to improving self-care behaviors and reducing hospitalizations in Veterans with heart failure (HF) by implementing virtual group appointments. Patients with HF are more susceptible to complications related to COVID-19 infection, creating the need for alternative communication methods for patient education during the social isolation and reduced health-care resources brought on by the global pandemic. From March 2020 to June 2021, 57 Veterans participated in 1 of 12 group appointments at the VA Portland Health Care System in Portland, Oregon. Each group was led by a multi-professional team who provided education on self-care behaviors, nutrition, medications, and mental health impacts of HF. Chart reviews and pre-/post-self-care behavior questionnaires showed that the virtual group HF appointments were associated with a decrease in hospitalizations, compared to previous data with the same population, and self-reported self-care behaviors improved from pre- to post-questionnaire. Group appointments offer a unique educational and motivational experience for those with HF and provide the ability to engage with each other during challenging times.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"223-228"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174699","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: 1
How Wise is Conventional Wisdom? 传统智慧有多聪明?
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231192190
Marty Lewis-Hunstiger
{"title":"How Wise is Conventional Wisdom?","authors":"Marty Lewis-Hunstiger","doi":"10.1177/10784535231192190","DOIUrl":"https://doi.org/10.1177/10784535231192190","url":null,"abstract":"<p><p>This editorial connects each article in this issue to the theme, Challenging Long-Held Assumptions, by raising questions. How do we really determine value in health care? How do good, new ideas make it into practice? Why the untapped potential of Doctor of Nursing Practice preparation? Can we actually teach nursing students creativity? Do virtual group appointments actually work? How in the world do families care for loved ones at home on mechanical ventilation? Can nursing educators truly decolonize their own thinking? Is simulation a poor substitute for clinical placements, or just as good and sometimes better? Can the power of social media be used for good? Can simulation actually make new nurses more likely to call a code when it's needed? How can farm animals help people dealing with mental illness? And a question crucial to us all as human beings: Can forgiveness ever be bad?</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"167-171"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175133","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
Animal-Assisted Green Care Farming for Patients With Mental and Physical Disorders: A Narrative Review. 精神和身体疾病患者的动物辅助绿色护理养殖:叙述性综述。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195433
Alex Sargsyan, Lora H Beebe
{"title":"Animal-Assisted Green Care Farming for Patients With Mental and Physical Disorders: A Narrative Review.","authors":"Alex Sargsyan,&nbsp;Lora H Beebe","doi":"10.1177/10784535231195433","DOIUrl":"10.1177/10784535231195433","url":null,"abstract":"<p><p>Green care is an umbrella term that includes numerous therapeutic interventions that immerse the patient into nature and natural environments. Animal-assisted therapy (AAT) with farm animals is a component of green care that may benefit patients with mental health disorders. While the majority of research exploring farm AATs originated in Europe, interest in this therapeutic intervention is emerging in the United States. While there are green care farms utilizing animal therapies in the United States, these therapeutic interventions have not been reported in the scientific literature. Further exploration of this topic in the United States may benefit various patient populations and contribute to overall better health care. A literature review found that farm AATs may be beneficial for patients with mental health disorders, but did not identify any studies addressing AAT with farm animals in the context of physical health disorders. This may be a desirable direction for future research.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"192-196"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155377","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
Ethical Considerations of Replacing Clinical Hours With Simulation in Undergraduate Nursing Education: Means to an End, or an End in Itself? 护理本科教学以模拟取代临床课时的伦理思考:达到目的的手段,还是本身的目的?
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195432
Roseanne Sadd
{"title":"Ethical Considerations of Replacing Clinical Hours With Simulation in Undergraduate Nursing Education: Means to an End, or an End in Itself?","authors":"Roseanne Sadd","doi":"10.1177/10784535231195432","DOIUrl":"https://doi.org/10.1177/10784535231195432","url":null,"abstract":"<p><p>In the current health-care environment, undergraduate nursing programs are expected to provide high-quality clinical experiences for students despite increasing difficulty accessing clinical placements. Expectations for newly graduated nurses have increased in the last few years, with an emphasis on \"work-ready\" graduates. At the same time, the availability of a variety of clinical practicum placements has decreased in some areas, increasing the difficulty of meeting the increasing numbers of nursing students required for future workforce planning, a situation exacerbated by the ongoing COVID-19 global pandemic. Nursing educators are caught between industry requirements for clinically prepared students and the regulatory requirements of their educational institutions. One solution being espoused internationally is substituting simulation for clinical practicum hours. Simulation offers many advantages, especially for patient safety, providing students with opportunities to link theory to practice in a controlled environment. This article discusses the ethical considerations of substituting simulation for clinical hours in undergraduate nursing education. Is this substitution justified as a means to an end or an end in itself?</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"187-191"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41163594","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: 1
How Value is Determined in Health Care. 如何在医疗保健中确定价值。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195428
Craig Solid
{"title":"How Value is Determined in Health Care.","authors":"Craig Solid","doi":"10.1177/10784535231195428","DOIUrl":"10.1177/10784535231195428","url":null,"abstract":"<p><p>The ability to assess the value of various health-care activities, processes, and outcomes is critical for decision making and essential to maintain the fidelity of value-based payment mechanisms. However, value is subjective and differs by perspective, context, and situation. Furthermore, the complex nature of health-care delivery and payment complicates efforts to determine the value of individual components or interventions. While a variety of methods exist to quantify and compare value, none have been able to fully capture value for all stakeholders. As an alternative, a general framework that guides how one should define, measure, and interpret value would provide some needed consistency for those looking to assess value while allowing for enough flexibility to address different perspectives, situations, and evaluation goals.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"182-186"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41106433","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: 1
Use of the Virtual Environment as a Strategy for Disseminating Information during the COVID-19 Pandemic. 在新冠肺炎大流行期间使用虚拟环境作为传播信息的策略。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195482
Letícia Noelle Corbo, Michel Marcossi, Larissa Okano, Marla Andreia Garcia de Avila, Karina de Fátima Bimbatti, Christoph Kaeppler, Fabiana Faleiros
{"title":"Use of the Virtual Environment as a Strategy for Disseminating Information during the COVID-19 Pandemic.","authors":"Letícia Noelle Corbo,&nbsp;Michel Marcossi,&nbsp;Larissa Okano,&nbsp;Marla Andreia Garcia de Avila,&nbsp;Karina de Fátima Bimbatti,&nbsp;Christoph Kaeppler,&nbsp;Fabiana Faleiros","doi":"10.1177/10784535231195482","DOIUrl":"https://doi.org/10.1177/10784535231195482","url":null,"abstract":"<p><p><b>Background:</b> The virtual environment has democratized information and research in the health area, especially during the coronavirus disease 2019 (COVID-19) pandemic. <b>Purpose:</b> This study analyzed the boosting strategies of social networks and identified the most accessed posts from a previously developed and validated information portal aimed at people with disabilities. <b>Methods:</b> This quantitative, cross-sectional, descriptive, exploratory study used Google Analytics® to collect data on origins and access numbers; boost data were obtained from the Facebook® and Instagram® networks themselves, after the end of each boost. <b>Conclusions:</b> Greater interest in publications related to the acquisition of rights for persons with disabilities and about COVID-19 was identified. The virtual environment, especially social networks in Brazil, proved to be a useful tool for disseminating information during the COVID-19 pandemic, highlighting the importance of boosting access to health information. In addition, the investment in social networks was relevant due to the increase in the number of followers on the page. Implications for Practice: Social networks can be a valuable means of disseminating research, improving access to information based on scientific evidence in an inclusive way.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"204-210"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157311","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: 1
On Repentance and Repair: Making Amends in an Unapologetic World, by Rabbi Danya Ruttenberg. 《忏悔与修复:在一个毫无歉意的世界里做出弥补》,作者:拉比丹雅·鲁滕伯格。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195515
Rebecca Smith
{"title":"<i>On Repentance and Repair: Making Amends in an Unapologetic World</i>, by Rabbi Danya Ruttenberg.","authors":"Rebecca Smith","doi":"10.1177/10784535231195515","DOIUrl":"10.1177/10784535231195515","url":null,"abstract":"<p><p>Rabbi Danya Ruttenberg's 2022 book, <i>On Repentance and Repair: Making Amends in an Unapologetic World</i>, questions the conventional wisdom that being quick to forgive is a virtue. Unless the person who has caused harm has acknowledged the harm, started to change, made restitution, apologized, and is now making different choices, forgiveness is not just unwarranted, it is potentially harmful to individuals and societies.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"238-240"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157288","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: 1
The Role of Doctor of Nursing Practice-Prepared Nurses to Improve Quality of Patient Care. 护理实习医生的作用为护士提高病人护理质量做好准备。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195425
Staci S Reynolds, Valerie K Sabol
{"title":"The Role of Doctor of Nursing Practice-Prepared Nurses to Improve Quality of Patient Care.","authors":"Staci S Reynolds,&nbsp;Valerie K Sabol","doi":"10.1177/10784535231195425","DOIUrl":"https://doi.org/10.1177/10784535231195425","url":null,"abstract":"<p><p>Translating evidence-based practices (EBPs) and quality improvement (QI) initiatives to the bedside is a significant need among hospitals and outpatient settings to improve the provision of quality nursing care. However, health-care systems continue to struggle with implementing and sustaining EBPs. To improve the application of EBPs and QI initiatives, hospitals should consider using Doctor of Nursing Practice (DNP)-prepared nurses in Quality Improvement roles, as DNP graduates have acquired unique expertise in these topics. However, health-care settings do not routinely maximize the use of DNP-prepared nurses in these roles. This article provides an overview of the challenges to understanding the value and impact of DNP-prepared nurses, along with recommendations and opportunities for future practice.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"172-176"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41167920","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: 1
Effectiveness of a Supportive Program on Caregiver Burden of Families Caring for Patients on Invasive Mechanical Ventilation at Home: An Experimental Study. 家庭护理有创机械通气患者家庭护理人员负担支持计划的有效性:一项实验研究。
IF 0.7
Creative Nursing Pub Date : 2023-05-01 DOI: 10.1177/10784535231195507
Maryam Esmaeili, Nahid Dehghan Nayeri, Fatemeh Bahramnezhad, Samrand Fattah Ghazi, Parvaneh Asgari
{"title":"Effectiveness of a Supportive Program on Caregiver Burden of Families Caring for Patients on Invasive Mechanical Ventilation at Home: An Experimental Study.","authors":"Maryam Esmaeili,&nbsp;Nahid Dehghan Nayeri,&nbsp;Fatemeh Bahramnezhad,&nbsp;Samrand Fattah Ghazi,&nbsp;Parvaneh Asgari","doi":"10.1177/10784535231195507","DOIUrl":"10.1177/10784535231195507","url":null,"abstract":"<p><p>The prevalence of patients on mechanical ventilation who are being supported at home is increasing. Due to these patients' complex and chronic conditions, the subjective burden on their family caregivers increases after discharge. The aim of this study was to evaluate the effectiveness of a supportive home care program on the caregiver burden of families caring for patients on invasive mechanical ventilation at home. Sixty patients hospitalized in three university-affiliated hospitals in Tehran, Iran between 7/2020 and 8/2021 were randomly assigned to one of two groups: A supportive home care program, and routine hospital education. The supportive home care program included six educational sessions delivered in the hospital before discharge, and home visits and continued education after discharge. Caregiver burden was measured using the Zarit Burden Interview. Results showed that caregiver burden increased significantly (<i>p</i> ≥ .001) after discharge without the supportive home care program intervention. Follow-up by nurses after discharge is essential to reduce the psychological burden of caring for patients on invasive mechanical ventilation at home.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 2","pages":"229-237"},"PeriodicalIF":0.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174785","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: 1
Connecting Contemporary Trauma Care to Florence Nightingale's Visionary Work. 将当代创伤护理与弗洛伦斯·南丁格尔的幻想作品联系起来。
IF 0.7
Creative Nursing Pub Date : 2023-02-01 DOI: 10.1177/107845352202900111
Lynn Stover Nichols, Michael T Hyde, Michael Mosley, Melanie Gibbons Hallman
{"title":"Connecting Contemporary Trauma Care to Florence Nightingale's Visionary Work.","authors":"Lynn Stover Nichols,&nbsp;Michael T Hyde,&nbsp;Michael Mosley,&nbsp;Melanie Gibbons Hallman","doi":"10.1177/107845352202900111","DOIUrl":"https://doi.org/10.1177/107845352202900111","url":null,"abstract":"<p><p>The impact of Florence Nightingale's visionary work continues to influence the delivery of nursing care in the contemporary emergency department (ED). Her foundational work in the Crimean War resulted in data-based recommendations for using the environment to promote healing and wellness among sick and wounded British soldiers. She advocated for attention to environmental details, including ventilation, air, warmth, drainage, cleanliness, natural light, and low noise levels. These important environmental concepts play a significant role in the nursing management of trauma patients in today's ED. This article features an application of Nightingale's environmental concepts to a trauma patient case exemplar and demonstrates the enduring impact of her work for trauma patients who receive care in the ED.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":"29 1","pages":"147-156"},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9959357","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: 1
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