Clinical Nurse Specialist最新文献_第2页

Medical Cannabis: Breaking Through the Grass Ceiling for Inpatient Care and Use. 医用大麻：突破住院病人护理和使用的草天花板。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-05-01 DOI: 10.1097/NUR.0000000000000899

Chris Tofanelli, Kevin Burson

{"title":"Medical Cannabis: Breaking Through the Grass Ceiling for Inpatient Care and Use.","authors":"Chris Tofanelli, Kevin Burson","doi":"10.1097/NUR.0000000000000899","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000899","url":null,"abstract":"Purpose/objectives: Medical cannabis is often prohibited for inpatient use. This disallows patients from using a substance they find beneficial, when other treatments have failed, for symptom relief including pain, nausea, insomnia, and mood. We found no other facilities with medical cannabis policies. Our team amended the medical cannabis policy to align with California state laws to facilitate inpatient use. Project aims were to (1) align the policy with state guidelines, (2) update workflow including eligibility algorithm with lockbox, and (3) improve patients' pain relief.Description: A clinical nurse specialist spearheaded a cannabis interdisciplinary integration committee. A medical cannabis policy existed but did not meet recent legislative changes, prohibiting inpatient cannabis utilization. The committee revamped existing policy and created an eligibility algorithm, a medical administration record order, and a drug cross-referencing guide.Outcome: Fifty patients were able to utilize cannabis during their inpatient stay over a 1-year period after medical cannabis policy implementation. Pain relief was the primary reason for cannabis usage, with 60% of surveyed patients reporting reducing opioids since starting cannabis.Conclusion: Implementation of the revamped medical cannabis procedure to facilitate inpatient use was successful in implementation and patient outcomes. This can serve as a guiding framework for other institutions.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 3","pages":"130-139"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044192","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

Improving Accuracy of Sample Collection in Polymerase Chain Reaction Testing for Chlamydia/Gonorrhea: A Small Change With a Big Impact! 提高衣原体/淋病聚合酶链反应检测样品采集的准确性：小变化大影响！

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-05-01 DOI: 10.1097/NUR.0000000000000890

Samantha Biddle

引用次数: 0

Using Kamishibai Cards to Identify Barriers and Display Adherence to the Central Line-Associated Bloodstream Infection Prevention Bundle. 使用Kamishibai卡片识别障碍并显示对中心线相关血流感染预防束的依从性。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-03-01 DOI: 10.1097/NUR.0000000000000879

Shelly L Brown, Dori L Klemanski, Joni Tornwall, Michelle M Ross, Kristine K Browning

{"title":"Using Kamishibai Cards to Identify Barriers and Display Adherence to the Central Line-Associated Bloodstream Infection Prevention Bundle.","authors":"Shelly L Brown, Dori L Klemanski, Joni Tornwall, Michelle M Ross, Kristine K Browning","doi":"10.1097/NUR.0000000000000879","DOIUrl":"10.1097/NUR.0000000000000879","url":null,"abstract":"Purpose: Central line-associated bloodstream infection (CLABSI) rates have been consistently high at an academic comprehensive cancer hospital. CLABSI prevention bundles can mitigate central line infections, and many components focus on nursing practice. Identification of barriers to maintaining adherence to these elements is not always assessed or addressed. The purpose of this project was to increase adherence to CLABSI prevention nursing practices and to implement a sustainable program to elevate nurses' skills and documentation of CLABSI prevention bundle components.Description: Pre-implementation/post-implementation chart reviews, post-implementation visual audits, and a survey for nurses post project were completed over a 9-week period. This project identified and addressed barriers to CLABSI prevention bundle compliance. Audits assessed nursing practice elements of the CLABSI prevention bundle. Evidence-based Kamishibai cards (K-cards) were used as a visual audit tool to display compliance of CLABSI bundle elements.Outcomes: Compliant documentation of daily chlorhexidine gluconate (CHG) bathing increased to 75%. Inconsistent communication practices and knowledge gaps were frequent barriers to compliance. Seventy-five percent of nurses reported the K-card display changed their own CLABSI prevention practices.Conclusion: This project increased knowledge, adherence to CLABSI prevention practices, and awareness of components most often missed.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 2","pages":"82-90"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451102","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

Implementing the Clinical Nurse Specialist Role in Hospital Settings: A Scoping Review. 实施临床护士专科角色在医院设置：范围审查。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-03-01 DOI: 10.1097/NUR.0000000000000884

Alejandra Bachiller-Barquín, Jesús Martín-Martín, Mónica Vázquez-Calatayud

{"title":"Implementing the Clinical Nurse Specialist Role in Hospital Settings: A Scoping Review.","authors":"Alejandra Bachiller-Barquín, Jesús Martín-Martín, Mónica Vázquez-Calatayud","doi":"10.1097/NUR.0000000000000884","DOIUrl":"10.1097/NUR.0000000000000884","url":null,"abstract":"Purpose/aims: To understand, based on the literature, how to implement the role of a clinical nurse specialist (CNS) in the hospital setting.Design: A scoping review was conducted following the methodological framework of Arksey and O'Malley and the Joanna Briggs Institute.Method: The search was conducted during March and April 2023 and was updated in November 2023. Electronic searches were conducted in the following major databases: PubMed, CINAHL, Web of Science, Scopus, PsycINFO, and Cochrane Library. Additionally, a \"snowballing\" strategy was used. A critical reading was conducted using the Joanna Briggs Institute methodological quality criteria. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for the Scoping Review guidelines were used.Results: Eleven relevant studies were included in this review. The primary results are presented in 4 sections related to the framework, process, components, and evaluation of the implementation of the CNS role. The findings of the reviewed studies suggest that the implementation process of the CNS is cyclical, variable, context-dependent, and multifactorial and can be assessed using the indicators of structure, process, and outcome.Conclusions: This scoping review provides relevant information to support the design of implementation and evaluation strategies for the role of the CNS in the hospital context. Based on the findings of the reviewed studies, a comprehensive strategy is suggested for implementing the role of the CNS in a hospital setting.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 2","pages":"65-81"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451093","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

Continuous Glucose Monitoring for Inpatients on Intravenous Insulin. 静脉注射胰岛素住院患者持续血糖监测。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-03-01 DOI: 10.1097/NUR.0000000000000888

Karen Good, Renu Joshi, Vanessa Snell

{"title":"Continuous Glucose Monitoring for Inpatients on Intravenous Insulin.","authors":"Karen Good, Renu Joshi, Vanessa Snell","doi":"10.1097/NUR.0000000000000888","DOIUrl":"10.1097/NUR.0000000000000888","url":null,"abstract":"Purpose: This article describes a protocol used to implement a continuous glucose monitoring program for patients treated with intravenous insulin.Description: Although continuous glucose monitoring is not indicated for use in hospitalized patients, the COVID-19 pandemic created an immediate need to effectively address the increasing number of people hospitalized with hyperglycemia. The article highlights the implementation process and key glycemic outcomes, discusses the impact of continuous glucose monitoring use on staff time and healthcare resource utilization, and provides information about program expansion.Outcome: Most patients achieved established glycemic targets. Our program improved staff safety by reducing their exposure to infection. Use of continuous glucose monitoring decreased staff time by almost 2 hours per person per day compared with point-of-care testing and resulted in an average cost savings of $278.00 per patient.Conclusion: Continuous glucose monitoring is safe and effective in managing glycemia among patients treated with intravenous insulin.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 2","pages":"99-106"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451087","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

Developing a Competency Assessment Index System for Hematology Nurses in China: Delphi Study Insights. 建立中国血液科护士能力评价指标体系：德尔菲研究的启示。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-03-01 DOI: 10.1097/NUR.0000000000000880

Baohui Xu, Daoqin Gu, Yun Wu, Meijuan Tu, Li Sun, Fengxia Li, Chengwen Hu

{"title":"Developing a Competency Assessment Index System for Hematology Nurses in China: Delphi Study Insights.","authors":"Baohui Xu, Daoqin Gu, Yun Wu, Meijuan Tu, Li Sun, Fengxia Li, Chengwen Hu","doi":"10.1097/NUR.0000000000000880","DOIUrl":"10.1097/NUR.0000000000000880","url":null,"abstract":"Purpose: Patient management, care, and education are influenced by the core competencies of hematology nurses. Nurse specialists enhance patient safety and nursing care quality. However, no study has constructed an index of core competence assessment for hematology nurses.Design: In this study, a literature review, theoretical analysis, and group discussion were performed to construct the core competency evaluation index system for hematology nurses.Methods: Twenty-six experts from 7 provinces and cities across China were selected by purposive sampling for 2 rounds of Delphi expert consultation, and the indicators were selected based on the mean importance score >3.5 and coefficient of variation <0.25. A precedence chart determined the indicator weights at all levels.Results: The evaluation index included 6 primary, 18 secondary, and 70 tertiary indicators. The positive coefficients of the questionnaire on the 2 rounds were 100% and 92.86%. The Kendall's harmony coefficients for indicators at all levels were 0.176 to 0.461 and 0.197 to 0.220. Experts' familiarity, judgment, and authority coefficients were 0.892, 0.871, and 0.882, respectively.Conclusions: The evaluation index system may provide references for the training, curriculum setting, assessment, and qualification certification of hematology nurses.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 2","pages":"91-98"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451089","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

Outcomes Associated With Wound Care Nurses' Practice for the Management of Venous Leg Ulcers: A Scoping Review. 与伤口护理护士治疗下肢静脉溃疡相关的结果：一项范围审查。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-01-01 DOI: 10.1097/NUR.0000000000000868

Dario Monaco, Paolo Iovino, Carlo Turci, Roberta Marchini, Stefania Scarozza, Cristina Matranga, Simona Ursino, Serenella Savini

{"title":"Outcomes Associated With Wound Care Nurses' Practice for the Management of Venous Leg Ulcers: A Scoping Review.","authors":"Dario Monaco, Paolo Iovino, Carlo Turci, Roberta Marchini, Stefania Scarozza, Cristina Matranga, Simona Ursino, Serenella Savini","doi":"10.1097/NUR.0000000000000868","DOIUrl":"10.1097/NUR.0000000000000868","url":null,"abstract":"Introduction: The role of the wound care nurse is identified as a key element in the management of patients with venous leg ulcers (VLUs). However, the literature offers fragmented knowledge of the outcomes associated with their practice.Aims: To identify, summarize, and map all available evidence based on the wound care nurses practice for the treatment of VLUs.Methods: A scoping review was conducted in May 2024 on PubMed, CINAHL, Scopus, and Cochrane Library databases. Observational or experimental studies related to patients affected by VLUs and cared for by wound care nurse specialists were included.Results: Of the 1562 articles reviewed, 9 studies met the inclusion criteria. The most frequently measured outcomes were clinical responses and included healing rate and ulcer recurrence. Less frequent outcomes were patient-reported and resource utilization measures.Conclusion: This review indicates a general predominance of outcomes related to objective clinical responses. Future studies should broaden the types of outcomes by also including patient-reported parameters (eg, pain, quality of life, stress) in order to gain greater evidence on the impact of wound care nurse specialists in the care of patients affected by VLUs.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"39 1","pages":"18-28"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803463","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

Early Identification, Intervention, and Prevention of Hospital-Acquired Pressure Injuries Using a Nurse-Driven Pressure Injury Prevention Program: Erratum. 早期识别，干预和预防医院获得性压力伤害使用护士驱动的压力伤害预防程序：勘误。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2025-01-01 DOI: 10.1097/NUR.0000000000000878

引用次数: 0

Elements Supporting Translation of Evidence Into Practice: A Model for Clinical Nurse Specialist and Nurse Scientist Collaboration. 支持将证据转化为实践的要素：临床专科护士与科学家护士的合作模式。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2024-11-01 DOI: 10.1097/NUR.0000000000000854

Joshua D Smith, Gina L Eberhardt, Bethany I Atwood, Kenneth J Romito, David F Bradley, Patricia M Schmidt

{"title":"Elements Supporting Translation of Evidence Into Practice: A Model for Clinical Nurse Specialist and Nurse Scientist Collaboration.","authors":"Joshua D Smith, Gina L Eberhardt, Bethany I Atwood, Kenneth J Romito, David F Bradley, Patricia M Schmidt","doi":"10.1097/NUR.0000000000000854","DOIUrl":"10.1097/NUR.0000000000000854","url":null,"abstract":"Purpose/objectives: To present evidence-based elements supporting the synergistic relationship between nurse scientists and clinical nurse specialists to improve the translation of evidence into practice.Description of the project/program: Using best-practice elements to support the improvement of evidence-based translation, we define the roles and synergies between nurse scientists and clinical nurse specialists within clinical environments.Outcome: Five themes were identified in the literature review:● Although clinical nurse specialists and nurse scientists differ in focus and competencies, they are in key positions to collaborate to meet healthcare demands.● Clinical nurse specialists are well-equipped to implement the science developed by nurse scientists.● To meet the increased demands and complexity of the healthcare system and patient needs, organizational leadership must lend support to clinical nurse specialists and nurse scientist collaboration.● Clinical nurse specialists are well-positioned to foster interprofessional partnerships and generate opportunities for evidence-based project initiatives across healthcare disciplines.● Clinical nurse specialists should utilize professional models to inform practice to improve the review, translation, and implementation of research into practice.Conclusion: Projects conducted using a collaborative structure had a system-level impact and long-term sustainability capabilities. Additionally, projects were more likely to be disseminated by clinical nurse specialists within a formal structure.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"38 6","pages":"263-270"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513281","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

Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium. 护士对实施以家庭为中心的护理以预防小儿谵妄的先决条件的体验。

IF 1.1 4区医学

Clinical Nurse Specialist Pub Date : 2024-09-01 DOI: 10.1097/NUR.0000000000000842

Tiina Saarenpää, Miia Jansson, Heli Kerimaa, Riitta Alanko, Outi Peltoniemi, Miikka Tervonen, Tiina Lahtela, Tarja Pölkki

{"title":"Nurses' Experiences of the Prerequisites for Implementing Family-Centered Care to Prevent Pediatric Delirium.","authors":"Tiina Saarenpää, Miia Jansson, Heli Kerimaa, Riitta Alanko, Outi Peltoniemi, Miikka Tervonen, Tiina Lahtela, Tarja Pölkki","doi":"10.1097/NUR.0000000000000842","DOIUrl":"10.1097/NUR.0000000000000842","url":null,"abstract":"Purpose: The aim of this study was to describe nurses' experiences of the prerequisites for implementing family-centered care to prevent pediatric delirium.Design: The research employed a qualitative, descriptive study design.Methods: A total of 10 nurses working in the pediatric intensive care unit at 1 university hospital participated in the study. The quality data were collected using individual semistructured interviews, and the data were then analyzed by inductive content analysis.Results: The prerequisites for implementing family-centered care to prevent delirium among pediatric patients consisted of 30 subcategories that were grouped into 11 generic categories. The generic categories were further grouped into 5 main categories: (1) an environment that supports family presence, (2) psychosocial support for the family, (3) individual family involvement, (4) family participation in shared decision-making, and (5) nurses' professional competence.Conclusions: According to the nurses' experiences, the implementation of a family-centered approach to preventing delirium in pediatric patients requires creating a supportive environment for families, providing psychosocial support, encouraging family involvement in decision-making, and ensuring that all nurses have the necessary skills.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"38 5","pages":"221-228"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0