Clinical Nurse Specialist最新文献_第10页

Do We Have an Ethical Obligation to Provide a Team Approach to Nursing Care for Obstetric Patients Admitted to the Critical Care Unit? 我们是否有道德义务为入住重症监护室的产科患者提供团队护理方法?

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000726

Tiffany Ward, Brenda Braun, Stacy Hull, Quincy McCrary

{"title":"Do We Have an Ethical Obligation to Provide a Team Approach to Nursing Care for Obstetric Patients Admitted to the Critical Care Unit?","authors":"Tiffany Ward, Brenda Braun, Stacy Hull, Quincy McCrary","doi":"10.1097/NUR.0000000000000726","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000726","url":null,"abstract":"32-year-old woman, 36 weeks' gestation, was admitted from the emergency department with HELLP (hemolysis, elevated liver function, and low platelets) syndrome. She presented with hypotension, tachycardia, and fetal tachycardia as indicators of decom-pensation. The patient was rapidly transported to the operating room on the labor and delivery (L&D) unit for an emergency cesarean delivery under general anesthesia. In the operating room, she ruptured a liver hematoma and had a massive hemorrhage requiring multiple units of blood, an emergency call for a vascular surgeon, and packing of her abdomen to stop the bleeding. A uterine tamponade balloon was placed to promote uterine tone and help stop the hemorrhage. The patient was unstable and was recovered in the L&D unit with a CRNA (certified registered nurse anesthetist) at the bedside. After initial recovery, the patient was transferred to the intensive care unit (ICU). The infant with evidence of hypoxic-ischemic encephalopathy was transferred to a tertiary center for head cooling shortly after delivery. The ICU staff stated that they were uncomfortable monitoring a postpartum patient with this disorder. They were unfamiliar with how to provide breast care, access and in-struct the patient on the use of breast pump, or perform fundal examinations. They did not know the expected ref-erence ranges for vital signs and laboratory values in the postpartum patient. They were also not trained in the management of the uterine tamponade device and therefore not equipped to competently manage this intervention. Lastly, they shared that they were not familiar with how to perform basic postpartum assessments and would need to rely on the obstetric","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 2","pages":"51-53"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10791317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Nurse Specialist and Clinical Nurse Leader Collaboration During the COVID-19 Pandemic. COVID-19大流行期间临床护士专家和临床护士领导的合作。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000727

Pamela Cosper, Julia Bossie, Cynthia L Bond, Donna Hunter

{"title":"Clinical Nurse Specialist and Clinical Nurse Leader Collaboration During the COVID-19 Pandemic.","authors":"Pamela Cosper, Julia Bossie, Cynthia L Bond, Donna Hunter","doi":"10.1097/NUR.0000000000000727","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000727","url":null,"abstract":"Purpose: The aim of this study was to describe an innovative strategy to maintain healthcare worker safety and optimal patient outcomes that was implemented by a healthcare system in the Southeastern United States during the COVID-19 pandemic.Program description: During the surges of the COVID-19 pandemic, healthcare systems have struggled with healthcare worker burnout, high staff turnover rates, and redeployment of staff to unfamiliar areas and the uncertainty regarding COVID-19 personal protection and patient care. Clinical nurse specialist/clinical nurse leader teams were created to help ensure healthcare worker safety and optimize patient care outcomes.Outcome: Healthcare worker safety and desired patient outcomes were maintained. Throughput was expedited for emergency department patients, and there was timely implementation of therapeutic modalities for critically ill patients.Conclusion: Clinical nurse specialist/clinical nurse leader team collaboratively cross-trained staff to ensure their safety and delivery of quality patient care. The team was pivotal in helping safeguard staff from harm while optimizing patient outcomes. Lessons learned will help us in future disasters as well as our daily operations.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 2","pages":"90-101"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10752972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum. 勘误表。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000734

引用次数: 0

The Valuable Skill of the Nurse Grant Writer. 护士Grant作家的宝贵技能。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000729

Pamela Jane Nye

引用次数: 0

Duty to Care. 关心的责任。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000737

Janet S Fulton

引用次数: 0

Children's Letters to God: Words of Praise, Sorrow, Joy, and Consternation. 儿童给上帝的信:赞美、悲伤、喜悦和惊愕的话语。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000730

Jeanine Young-Mason

引用次数: 1

President's Letter: 12 Months of Unstoppable Advocacy. 总统信:12个月的不可阻挡的倡导。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000738

Phyllis Whitehead

引用次数: 0

Demonstrating the Value of the Clinical Nurse Specialist: A "How-to" Guide. 展示临床专科护士的价值:“如何”指南。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000732

Erica Fischer-Cartlidge, Megan Hoffman

{"title":"Demonstrating the Value of the Clinical Nurse Specialist: A \"How-to\" Guide.","authors":"Erica Fischer-Cartlidge, Megan Hoffman","doi":"10.1097/NUR.0000000000000732","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000732","url":null,"abstract":"Purpose/objectives: The purpose of this article is to provide a guide to identifying measurements of value and how to calculate different types of return on investment (ROI). Exemplars of clinical nurse specialist (CNS) work efforts with ROI will be presented.Description of the project/problem: The CNS is the oldest advanced practice role; however, the role can be vague, making it difficult to articulate the value of the CNS in the organization. Functioning in 3 spheres of impact, the CNS can easily impact practice; however, demonstrating the value of this work is not always on top of mind and is rarely taught in academic programs.Outcome: This article describes the difference between revenue generation, cost savings, and cost avoidance, as well as various structural, process, and outcome measures that can be used to calculate ROI. Resources available for performing ROI calculations will be described and shared.Conclusion: Distributing work across the 3 spheres creates various opportunities for the CNS to demonstrate value; however, the CNS must be able to articulate that value to the organization. Developing the skill set to consistently identify metrics can be challenging; however, it is critical to the ongoing success and future of the CNS role. Utilizing these metrics to demonstrate the value and then disseminating the outcomes of these contributions will continue to promote the value of the CNS in the future.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 2","pages":"78-82"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10740281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translational Science: The Final Step for Implementing Evidence-Based Practice. 转化科学:实施循证实践的最后一步。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000728

Sandra L Siedlecki

引用次数: 0

Interprofessional Naloxone Student Training to Manage Suspected Opioid Overdose. 纳洛酮学生管理疑似阿片类药物过量的跨专业培训。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-01-01 DOI: 10.1097/NUR.0000000000000720

Elizabeth Riley, Stephanie Trotter, Lindsey Dayer, Amber Teigen, Corey Nagel, Kimberly Stickley, Pamela LaBorde, Leah Richardson, Rochelle McFerguson, Nicole Ward, Michael Anders

{"title":"Interprofessional Naloxone Student Training to Manage Suspected Opioid Overdose.","authors":"Elizabeth Riley, Stephanie Trotter, Lindsey Dayer, Amber Teigen, Corey Nagel, Kimberly Stickley, Pamela LaBorde, Leah Richardson, Rochelle McFerguson, Nicole Ward, Michael Anders","doi":"10.1097/NUR.0000000000000720","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000720","url":null,"abstract":"Purpose: The study purpose was to examine the effect of interprofessional naloxone training on students' knowledge, confidence, and interprofessional collaboration competency. The overarching goal was to decrease mortality related to opioid overdoses.Design/methods: A training session for interprofessional students consisted of a lecture presentation, demonstration, and hands-on practice regarding appropriate administration of naloxone for suspected opioid overdose. A questionnaire elicited baseline and change in knowledge, confidence, and interprofessional collaboration competency scores at pretraining and posttraining. In addition, changes in knowledge and confidence were also measured 3 weeks after the training. Thematic analysis explored training components that students perceived as valuable or needing improvement.Results: Participants (N = 100) were nursing (n = 33), physician assistant (n = 37), and pharmacy (n = 30) students. Pretraining and posttraining comparison demonstrated increased knowledge (P < .001), confidence (P < .001), and collaboration scores (P < .001). At 3 weeks, knowledge and confidence remained higher than pretraining (P < .001). Knowledge was trending downward compared with posttraining (P = .09). Thematic analysis identified 4 themes: (a) indications for administration of different naloxone types, (b) learning modalities, (c) knowledge application, and (d) improvements.Conclusions: An interprofessional naloxone administration training resulted in increased knowledge, confidence, and interprofessional teamwork. Educators can adapt this training for a variety of future or current healthcare professionals to improve immediate intervention and outcomes in suspected opioid overdoses.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 1","pages":"26-35"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10342960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0