Clinical Nurse Specialist最新文献_第9页

Food and Drug Administration Accelerated Approval of Lecanemab for Early Alzheimer's Disease-Hope, Reality, and the Unknown Going Forward. 美国食品和药物管理局加速批准Lecanemab治疗早期阿尔茨海默病——希望、现实和未知的未来。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000745

Patricia Anne O'Malley

引用次数: 0

President's Letter: Welcome to the 2023-2024 Board of Directors. 总裁信:欢迎加入2023-2024年董事会。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000739

Mitzi Saunders

引用次数: 0

Increasing Understanding and Perceived Confidence of Nurses Working in an Emergency Department in Assessing Patients at Risk of Violent Behavior. 在急诊室工作的护士在评估有暴力行为风险的病人时增加理解和感知的信心。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000740

Blossom Inuenwi, Lisa Lommel, Swapna B Peter, Annette Carley

{"title":"Increasing Understanding and Perceived Confidence of Nurses Working in an Emergency Department in Assessing Patients at Risk of Violent Behavior.","authors":"Blossom Inuenwi, Lisa Lommel, Swapna B Peter, Annette Carley","doi":"10.1097/NUR.0000000000000740","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000740","url":null,"abstract":"Purpose: The aims of this quality improvement project were to improve understanding and perceived confidence in using a tool that assesses patients at risk of violence.Project description: The Brøset Violence Checklist is valid at assessing patients at risk of violence. Participants were given access to an e-learning module that demonstrated how to use the tool. Improvement in understanding and perceived confidence in using the tool were assessed preintervention and postintervention via an investigator-developed survey. Analysis of the data was conducted using descriptive statistics, and open-ended survey responses were analyzed using content analysis.Outcome: Participants did not demonstrate an increase in understanding and perceived confidence after introduction of the e-learning module. Nurses reported that the Brøset Violence Checklist was easy to use, clear, reliable, and accurate and could be used to standardize assessments of at-risk patients.Conclusion: Emergency department nursing staff were educated in use of a risk assessment tool for identifying patients at risk of violence. This supported the implementation and integration of the tool into emergency department workflow.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"139-143"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9685256","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: 1

Advocating for the Vulnerable: The Clinical Nurse Specialist and Nursing Home Reform. 倡导弱势群体:临床专科护士与养老院改革。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000743

Jennie Matays, Elizabeth Scruth, Lina Najib Kawar, Sarah Comey Cluff, Alexandra Fogli, Mary Salas, Charlene Harrington

{"title":"Advocating for the Vulnerable: The Clinical Nurse Specialist and Nursing Home Reform.","authors":"Jennie Matays, Elizabeth Scruth, Lina Najib Kawar, Sarah Comey Cluff, Alexandra Fogli, Mary Salas, Charlene Harrington","doi":"10.1097/NUR.0000000000000743","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000743","url":null,"abstract":"Introduction: Nursing homes have been disproportionally affected by the COVID-19 pandemic, particularly because of resident vulnerability, inadequate staffing, and poor quality of care.Current state: Despite billions of dollars in funding, nursing homes often do not meet minimum federal staffing requirements and are frequently cited for infection prevention and control deficiencies. These factors significantly contributed to resident and staff deaths. For-profit nursing homes were associated with more COVID-19 infections and deaths. Nearly 70% of US nursing homes are for-profit ownership, where quality measures and staffing levels are often lower than their nonprofit counterparts. Nursing home reform is urgently needed to improve staffing and care quality in these facilities. Some states, such as Massachusetts, New Jersey, and New York, have made legislative progress in establishing standards for nursing home spending. The Biden Administration has also announced initiatives, through the Special Focus Facilities Program, to improve nursing home quality and the safety of residents and staff. Concurrently, the \"National Imperative to Improve Nursing Home Quality\" report from the National Academies of Science, Engineering, and Medicine made specific staffing recommendations, including an increase in direct care registered nurse coverage.Conclusion: There is an urgent need to advocate for nursing home reform by partnering with congressional representatives or supporting nursing home legislation to improve care for this vulnerable patient population. Adult-gerontology clinical nurse specialists have an opportunity to leverage their advanced knowledge and unique skill set to lead and facilitate change to improve quality of care and patient outcomes.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"124-132"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315065","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

Rounding and Quick Access Education to Reduce Catheter-Associated Urinary Tract Infections. 围舍和快速通道教育减少导尿管相关性尿路感染。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000741

Danielle M Garcia, Mary Beth Flynn Makic, Kathy Casey

{"title":"Rounding and Quick Access Education to Reduce Catheter-Associated Urinary Tract Infections.","authors":"Danielle M Garcia, Mary Beth Flynn Makic, Kathy Casey","doi":"10.1097/NUR.0000000000000741","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000741","url":null,"abstract":"Purpose/objectives: The acute care division of a tertiary medical center experienced a 167% increase in catheter-associated urinary tract infections, with 2 inpatient surgical units accounting for 67% of infections. A quality improvement project was implemented to address the infection rates on the 2 inpatient surgical units. The aim was to reduce catheter-associated urinary tract infection rates by 75% in the acute care inpatient surgical units.Description of the project/program: A survey identified educational needs of staff, with response data informing the development of a quick response code containing resources for prevention of catheter-associated urinary tract infections. Champions rounded on patients and audited maintenance bundle adherence. Educational handouts were disseminated to increase compliance with bundle interventions. Outcome and process measures were tracked on a monthly basis.Outcome: Infection rates decreased from 1.29 to 0.64 per 1000 indwelling urinary catheter days, catheter utilization increased 14%, and maintenance bundle compliance was 67%.Conclusion: The project enhanced quality care through the standardization of preventive practices and education. The data reflect a positive effect on catheter-associated urinary tract infection rates from increased awareness of the nurse's role in the prevention process.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 3","pages":"117-123"},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315064","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

Authorship and ChatGPT. 作者和ChatGPT。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-05-01 DOI: 10.1097/NUR.0000000000000750

Janet S Fulton

引用次数: 2

Multisite Evaluation of Toothbrushes and Microbial Growth in the Hospital Setting. 医院环境中牙刷和微生物生长的多站点评价。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000733

Patti DeJuilio, Jan Powers, Lisa M Soltis, Jo Ann Brooks

{"title":"Multisite Evaluation of Toothbrushes and Microbial Growth in the Hospital Setting.","authors":"Patti DeJuilio, Jan Powers, Lisa M Soltis, Jo Ann Brooks","doi":"10.1097/NUR.0000000000000733","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000733","url":null,"abstract":"Design: This observational, descriptive study was conducted to determine the prevalence of microbial growth on toothbrushes found in hospital patient rooms.Methods: Toothbrush sampling was conducted in 136 acute care hospitals and medical centers from November 2018 through February 2022. Inclusion criteria for the units and patient rooms sampled were as follows: general adult medical-surgical units or critical care units; rooms occupied by adults 18 years or older who were capable of (1) mobilizing to the bathroom; (2) using a standard manual, bristled toothbrush; and (3) room did not have signage indicating isolation procedures.Results: A total of 5340 patient rooms were surveyed. Of the rooms included, 46% (2455) of patients did not have a toothbrush available or had not used a toothbrush (still in package and/or toothpaste not opened). Of the used toothbrushes collected (n = 1817): 48% (872/1817) had at least 1 organism; 14% (251/1817) of the toothbrushes were positive for 3 or more organisms.Conclusions: These results identify the lack of availability of toothbrushes for patients and support the need for hospitals to incorporate a rigorous, consistent, and comprehensive oral care program to address the evident risk of microbe exposure in the oral cavity.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 2","pages":"83-89"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/95/96/cns-37-83.PMC9969552.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9363174","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

Current Practice and Practice Competencies of Clinical Nurse Specialists Working in US Emergency Care Settings: A Survey Study. 当前实践和实践能力的临床护士专家工作在美国急诊护理设置:一项调查研究。

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000731

Lisa Wolf, Cydne Perhats, Altair Delao, Denise Campbell, Carla Brim, Gabriel Campos, David House, Amy Rettig, Darlene Williams, Garrett K Chan

{"title":"Current Practice and Practice Competencies of Clinical Nurse Specialists Working in US Emergency Care Settings: A Survey Study.","authors":"Lisa Wolf, Cydne Perhats, Altair Delao, Denise Campbell, Carla Brim, Gabriel Campos, David House, Amy Rettig, Darlene Williams, Garrett K Chan","doi":"10.1097/NUR.0000000000000731","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000731","url":null,"abstract":"Purpose/aims: The aim of this study was to investigate the current practice of clinical nurse specialists working in US emergency care settings to (1) explicate the application of the Emergency Nurses Association core competencies and define the specialized clinical nurse specialist role in emergency care and (2) align current clinical nurse specialist practice in emergency settings with the National Association of Clinical Nurse Specialists core competencies and the identified substantive areas of clinical nurse specialist practice.Design: This study used a quantitative exploratory descriptive approach using survey data.Methods: A purposive convenience sample was recruited from the Emergency Nurses Association and the National Association of Clinical Nurse Specialists. Participants completed a 39-item survey based on a consensus process to develop competencies for emergency department (ED)-situated clinical nurse specialists.Results: Respondents (n = 285) reported spending more than 50% of their work time in a primary clinical nurse specialist role. Significant differences in practice were found between geographic location, setting, educational preparation, title protection status, and type of institution.Conclusions: Our findings suggest that that the competencies ascribed to ED-situated clinical nurse specialists are valid in both frequency and importance. However, ED-situated clinical nurse specialists are not fully credentialed or practicing to the full extent of their education and licenses, because of professional, legislative, and environmental limitations.","PeriodicalId":55249,"journal":{"name":"Clinical Nurse Specialist","volume":"37 2","pages":"64-77"},"PeriodicalIF":1.2,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10364785","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: 1

So Where Is a Vaccine for Respiratory Syncytial Virus? 呼吸道合胞病毒的疫苗在哪里?

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000735

Patricia Anne O'Malley

引用次数: 0

So Where is a Vaccine for Respiratory Syncytial Virus? 呼吸道合胞病毒的疫苗在哪里?

IF 1.2 4区医学

Clinical Nurse Specialist Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000736

引用次数: 0