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Medicare Overall Hospital Star Rating and Value Based Purchasing: What You Need to Know. 医疗保险整体医院星级评定和基于价值的购买：你需要知道的。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-11-01 DOI: 10.1097/NUR.0000000000000776
Laurie E Lisk, Elizabeth Ann Scruth
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引用次数: 0
Micro-credentialing: An Option for Clinical Nurse Specialists? 微型认证：临床护理专家的一种选择？
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-11-01 DOI: 10.1097/NUR.0000000000000780
Amy Shay
{"title":"Micro-credentialing: An Option for Clinical Nurse Specialists?","authors":"Amy Shay","doi":"10.1097/NUR.0000000000000780","DOIUrl":"10.1097/NUR.0000000000000780","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 6","pages":"299-300"},"PeriodicalIF":1.2,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49694187","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
Decreasing the Frequency of Nursing Assessment for Medically Stable Hospitalized Patients. 降低医疗稳定住院患者的护理评估频率。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000768
Jessica L Nelson, Stephanie P Chambers, Holly E Brakke, Jessica H Hus
{"title":"Decreasing the Frequency of Nursing Assessment for Medically Stable Hospitalized Patients.","authors":"Jessica L Nelson,&nbsp;Stephanie P Chambers,&nbsp;Holly E Brakke,&nbsp;Jessica H Hus","doi":"10.1097/NUR.0000000000000768","DOIUrl":"10.1097/NUR.0000000000000768","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>During the COVID-19 pandemic, a large Midwest tertiary care medical center had prolonged hospitalizations due to strained staffing and few options for post-acute care recovery. Patients deemed medically ready for discharge were receiving the same care interventions as all other hospitalized medical-surgical patients. The study objective was to appropriately match care assessment frequency for these patients with their individual needs by reducing the frequency of routine nursing assessments.</p><p><strong>Description of the project/program: </strong>This quality improvement initiative reduced the frequency of nursing assessments, including routine monitoring of vital signs, to once daily for medically stable patients whose discharge was delayed.</p><p><strong>Outcome: </strong>During the 4-week pilot, 40 hospitalized patients were enrolled; 960 assessments were eliminated, and nurses were able to reallocate approximately 500 hours to other nursing tasks. No adverse outcomes were observed among patients who received once-daily assessment.</p><p><strong>Conclusion: </strong>By decreasing nursing assessment frequency for hospitalized patients with discharge delays, nurses appropriately matched care interventions with the patient's needs.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"223-227"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028510","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
ChatGPT: Implications for Faculty, Students, and Patients: May 19, 2023. ChatGPT：对教师、学生和患者的影响：2023年5月19日。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000770
Amy Shay
{"title":"ChatGPT: Implications for Faculty, Students, and Patients: May 19, 2023.","authors":"Amy Shay","doi":"10.1097/NUR.0000000000000770","DOIUrl":"10.1097/NUR.0000000000000770","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"245-246"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016580","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
The CNS and Policy 101. CNS和政策101。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000771
Sally Raphel
{"title":"The CNS and Policy 101.","authors":"Sally Raphel","doi":"10.1097/NUR.0000000000000771","DOIUrl":"10.1097/NUR.0000000000000771","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"244"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016582","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
Defining Nurse Work: The Groundbreaking Research of the 1950s. 定义护士工作：20世纪50年代的开创性研究。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000773
Janet S Fulton
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引用次数: 0
NACNS Newsletter. NACNS时事通讯。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000772
Mitzi M Saunders
{"title":"NACNS Newsletter.","authors":"Mitzi M Saunders","doi":"10.1097/NUR.0000000000000772","DOIUrl":"10.1097/NUR.0000000000000772","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"203-207"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028509","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
Credentialed and Privileged Clinical Nurse Specialists. 具有资格和特权的临床护理专家。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000767
Jackeline Iseler, Taylor Long, Melissa Barach, Molly L McClelland, Mitzi M Saunders
{"title":"Credentialed and Privileged Clinical Nurse Specialists.","authors":"Jackeline Iseler,&nbsp;Taylor Long,&nbsp;Melissa Barach,&nbsp;Molly L McClelland,&nbsp;Mitzi M Saunders","doi":"10.1097/NUR.0000000000000767","DOIUrl":"10.1097/NUR.0000000000000767","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>The purpose of this article is to illustrate, using exemplars, the practice of clinical nurse specialists (CNSs) in Michigan who are credentialed and privileged as providers by hospital/healthcare agencies to practice in acute inpatient and ambulatory settings.</p><p><strong>Description: </strong>The CNS provides expert specialty direct patient care to improve patient outcomes. They hold a graduate degree as a CNS, are professionally certified as a CNS in a specialty practice population, and are licensed or otherwise recognized to practice as an advanced practice nurse by the state nursing practice regulatory agency.</p><p><strong>Outcome: </strong>The exemplars illustrate CNS practice as an independent provider within a health system.</p><p><strong>Conclusion: </strong>Hospital-based credentialing and privileging facilitates CNS practice within the full scope of practice authority that consists of education, certification, and licensure and is a valuable contribution to cost-effective, high-quality clinical care for specialty populations.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"218-222"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023060","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
Quality Improvement and Clinical Audits: What Is the Ethical Oversight? 质量改进和临床审核：什么是道德监督？
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000765
Elizabeth Ann Scruth, Robin K Betts, Laure Lisk
{"title":"Quality Improvement and Clinical Audits: What Is the Ethical Oversight?","authors":"Elizabeth Ann Scruth, Robin K Betts, Laure Lisk","doi":"10.1097/NUR.0000000000000765","DOIUrl":"10.1097/NUR.0000000000000765","url":null,"abstract":"INTRODUCTION Quality improvement (QI) is described by the Agency for Healthcare Research and Quality as the process to test, understand, and revise processes constantly to improve the way care is delivered to patients. A high-reliability healthcare organization (HRO) is one that participates in QI and clinical audits as part of standard work. To achieve this, real and potential threats to reliability are solved quickly through both cognitive and behavioral standards used every time. Patient outcomes including reduction in patient harm, empowering patient decision-making, and improving health equity and delivery of services are enhanced through ongoing QI initiatives. Quality improvement has often been described as existing in a zone between clinical practice and health research. There is confusion of what constitutes the foundations of QI and what is required in terms of ethical oversight and by whom. There is limited international collaboration to achieve consensus on what ethical oversight or frameworks should apply to QI initiatives. A systematic qualitative review exploring the ethical issues in a learning healthcare system revealed the following:","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"211-213"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028508","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
Artificial Intelligence, Digital Health Research, and the Clinical Nurse Specialist. 人工智能、数字健康研究和临床护理专家。
IF 1.2 4区 医学
Clinical Nurse Specialist Pub Date : 2023-09-01 DOI: 10.1097/NUR.0000000000000763
Sandra L Siedlecki
{"title":"Artificial Intelligence, Digital Health Research, and the Clinical Nurse Specialist.","authors":"Sandra L Siedlecki","doi":"10.1097/NUR.0000000000000763","DOIUrl":"10.1097/NUR.0000000000000763","url":null,"abstract":"In this age of digital technology, many new and exciting opportunities exist for nurses to become involved in research using digital interventions and digital outcome measures. Artificial intelligence and wearable sensors are enhancing our ability to capture data in real time and use it to assess the impact of our actions and interventions on patients. Because the clinical nurse specialist is most often the resource for nurses interested in research projects, it is important that they become versed in these new interventions and new ways of collecting data. The purpose of this article is to explore how digital technology can be used to improve recruitment and retention of subjects in clinical trials and how it can be used to enhance data capture, providing a better and more complete picture of the results of our interventions. Finally, the benefits and limitations of the use of digital health resources in research will be discussed.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"214-217"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10028511","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
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