{"title":"\"How Can I Keep From Singing?\"","authors":"Jeanine Young-Mason","doi":"10.1097/NUR.0000000000000764","DOIUrl":"10.1097/NUR.0000000000000764","url":null,"abstract":"(sing g) |C . F . |C . . . | G . . . | C . . My life goes on---in endless song a-bove Earth’s lamen-tations . | C . F . |C . . . |G . . . |C . . I hear the real, though far off song, that hails a new cre-ation. . | Em . . . |Am . . . |C . . . | G . . Through all the tu-------mult and the strife, I hear that music ringing. . |C . F . |C . . . |Am . G . |C . . It sounds an e------cho in my soul. How can I keep from singing?","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"247-248"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023068","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}
{"title":"Project to Publication-A Writing Mentorship Program.","authors":"Sarah Harne-Britner, Cynthia A Leaver","doi":"10.1097/NUR.0000000000000766","DOIUrl":"10.1097/NUR.0000000000000766","url":null,"abstract":"<p><strong>Purpose/aims: </strong>Evidence is required to inform effective interventions promoting publication among clinical nurses. This study examined the effect of a mentored writing program on clinical nurse perceptions of writerly self-efficacy and publication.</p><p><strong>Design: </strong>A mixed-methods, pretest-posttest study design with an education intervention was implemented. The Revised for Nursing Practice - Postsecondary Writerly Self-efficacy Scale (RNP-PSWSES) measured perception of writerly self-efficacy before and after intervention. Manuscripts submitted for publication were counted.</p><p><strong>Methods: </strong>The purposive, convenience sample included registered nurses with completed research, evidence-based practice, or quality improvement projects. Subjects participated in a 3-month structured mentored writing program and completed the RNP-PSWSES survey before and after program completion. A Wilcoxon signed rank test was performed to determine the significance of difference between the pretest and posttest, and the number of published manuscripts was reported.</p><p><strong>Results: </strong>The RNP-PSWSES items identified pretest-posttest Cronbach's α (.728, .818). Posttest RNP-PSWSES scores were statistically significantly higher than pretest scores (z = -1.96, P = .050) with a large effect size of r = 0.69. Two manuscripts were accepted for publication, and 1 manuscript was withdrawn after the third request for revisions.</p><p><strong>Conclusions: </strong>In this study, mentored writing workshops improve nurses' perceptions of writing ability and increase publications. Generalization of findings is limited by small sample size. Clinical nurse specialists are critical to champion writing and publication.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"237-243"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016584","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}
{"title":"Using a Clinical Triggers System to Improve Early Recognition of Clinical Changes.","authors":"Betty Lee, Jennifer Leng, Russell Kerbel","doi":"10.1097/NUR.0000000000000769","DOIUrl":"10.1097/NUR.0000000000000769","url":null,"abstract":"<p><strong>Purpose: </strong>A medical-surgical telemetry unit implemented a clinical triggers system for early recognition of clinical deterioration and bedside management between nurses and providers. The goal was to decrease cardiopulmonary arrest events.</p><p><strong>Description of the project: </strong>A clinical triggers system was developed to help nurses to identify clinical markers early and advocate for prompt bedside assessment and interventions. When clinical triggers were identified, the nurse notified the provider, who performed a bedside assessment within 15 minutes. If the provider did not respond promptly, the rapid response team was activated.</p><p><strong>Outcomes: </strong>Before intervention, the unit experienced 14 cardiopulmonary arrest events (rate of 1.37 per 1000 patient days). Incidences decreased annually to 5, 4, and 3 events (rates of 0.49, 0.39, and 0.3 per 1000 patient days) during the 3-year implementation period.</p><p><strong>Conclusions: </strong>The clinical triggers system was successful in achieving the project objective of decreasing unit cardiopulmonary arrest events through early recognition and response to patient deterioration during the implementation period. The clinical nurse specialist helped nurses to use the clinical triggers system to detect and respond to clinical changes. Nurses were empowered to address concerns and promote patient safety.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 5","pages":"228-236"},"PeriodicalIF":1.2,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023061","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}
{"title":"The Unique Practice of the Clinical Nurse Specialist.","authors":"Phyllis Whitehead","doi":"10.1097/NUR.0000000000000762","DOIUrl":"10.1097/NUR.0000000000000762","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"154-155"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807911","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}
{"title":"Utilizing Your Expertise as a Nurse Consultant.","authors":"Pamela Jane Nye","doi":"10.1097/NUR.0000000000000754","DOIUrl":"10.1097/NUR.0000000000000754","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"166-168"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807920","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}
{"title":"Rising Xylazine Drug Abuse in Humans: A Deep and Lingering High With Wounds, Amputations, and Death.","authors":"","doi":"10.1097/NUR.0000000000000761","DOIUrl":"10.1097/NUR.0000000000000761","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"E4"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807919","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}
{"title":"Rising Xylazine Drug Abuse in Humans: A Deep and Lingering High With Wounds, Amputations, and Death.","authors":"Patricia Anne O'Malley","doi":"10.1097/NUR.0000000000000758","DOIUrl":"10.1097/NUR.0000000000000758","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"164-165"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807916","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}
{"title":"A Comparison of the 1918 and 2019 Pandemics in the United States.","authors":"Kathleen M Baldwin, Shara Gray","doi":"10.1097/NUR.0000000000000752","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000752","url":null,"abstract":"<p><strong>Abstract: </strong>There are eerie similarities between the 1918 Spanish influenza and 2019 COVID-19 pandemics that are somewhat surprising and disheartening, given that the time interval between the 2 pandemics is more than 100 years. This article covers the national response, etiology and pathophysiology, disease course and treatments, nursing shortages, healthcare responses, sequelae following infections, and economic and social impacts of both pandemics. Understanding the development and course of both pandemics will inform clinical nurse specialists about the changes that need to be made to be better prepared to recognize the changes that need to be made to prepare for the next pandemic.</p>","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"194-200"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9801644","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}
{"title":"The Ethical Concerns and Dilemma in Caring for the Aging Loved Ones.","authors":"Bronwyn Cox, Katherine A Ricossa, Jane G Vergara","doi":"10.1097/NUR.0000000000000759","DOIUrl":"10.1097/NUR.0000000000000759","url":null,"abstract":"","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 4","pages":"156-159"},"PeriodicalIF":1.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9807912","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}