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CANNT journal = Journal ACITN最新文献

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Applying the PARiHS framework in a knowledge dissemination initiative. 在知识传播计划中应用parhis框架。
CANNT journal = Journal ACITN Pub Date : 2013-04-01
Anna Gozdzik
{"title":"Applying the PARiHS framework in a knowledge dissemination initiative.","authors":"Anna Gozdzik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the process of facilitating knowledge dissemination using the Promoting Action on Research Implementation in Health Services (PARiHS) framework, including articulation of findings, barriers, implications, and recommendations. Advanced practice nurses (APNs) are in a unique position to facilitate the dissemination of evidence-based knowledge to front-line staff in health care organizations. At a community acute care hospital in Toronto, Ontario, the collaborative competency of an APN was used to develop partnerships with three units in order to implement interprofessional knowledge dissemination via education sessions. The goal was to increase nurses' knowledge of best practices and, consequently, improve outcomes for nephrology patients under their care. The PARiHS framework was used to facilitate the process of knowledge dissemination. The framework consists of three elements: evidence, context, and facilitation. In order for the implementation of a project to be successful, it is necessary to understand the context of the organization. Implications and recommendations for advance practice nurses will be described.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"23 2","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31762549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The 5th modality: psychonephrology. 第五种形态:精神病理学。
CANNT journal = Journal ACITN Pub Date : 2013-04-01
Marta Novak, Gavril Hercz
{"title":"The 5th modality: psychonephrology.","authors":"Marta Novak,&nbsp;Gavril Hercz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"23 2","pages":"59-60"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31762555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving beyond the "perpetual novice": understanding the experiences of novice hemodialysis nurses and cannulation of the arteriovenous fistula. 超越“永远的新手”:了解血液透析新手护士动静脉瘘插管的经验。
CANNT journal = Journal ACITN Pub Date : 2013-01-01
Barbara Wilson, Lori Harwood, Abe Oudshoorn
{"title":"Moving beyond the \"perpetual novice\": understanding the experiences of novice hemodialysis nurses and cannulation of the arteriovenous fistula.","authors":"Barbara Wilson,&nbsp;Lori Harwood,&nbsp;Abe Oudshoorn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cannulation of the arteriovenous fistula (AVF) is an essential skill for hemodialysis (HD) nurses. With declining rates of AVFs, opportunities to develop expert cannulation skills have become limited. This study explored the concept of perpetual novice and AVF cannulation from the perspective of the novice cannulator. Nine hemodialysis nurses were interviewed using ethnographic methodology. The study identified the interplay between personal and environmental/contextual factors that hindered skill acquisition. Personal attributes identified by participants included HD nurses' approach to learning and previous experience, emotional reaction to stress, and interpersonal relationships with colleagues. Environmental/contextual factors identified as impediments to cannulation skill development included limited learning opportunities, attitudes and demands from patients, unit flow and time pressures, and limitations imposed by the current model of nursing care. This study will be helpful in directing future educational, operational, and supportive interventions for novice HD nurses around cannulation skill development.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"23 1","pages":"11-8"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31509875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new year--a new approach. 新的一年，新的方法。
CANNT journal = Journal ACITN Pub Date : 2013-01-01
Janet Baker, Alison Thomas
{"title":"A new year--a new approach.","authors":"Janet Baker,&nbsp;Alison Thomas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"23 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31509868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding pruritis in dialysis patients. 了解透析患者的瘙痒。
CANNT journal = Journal ACITN Pub Date : 2013-01-01
Joy Makari, Karen Cameron, Marisa Battistella
{"title":"Understanding pruritis in dialysis patients.","authors":"Joy Makari,&nbsp;Karen Cameron,&nbsp;Marisa Battistella","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"23 1","pages":"19-23; quiz 24-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31509872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New agent to treat elevated phosphate levels: magnesium carbonate/calcium carbonate tablets. 治疗磷酸盐水平升高的新药剂:碳酸镁/碳酸钙片。
CANNT journal = Journal ACITN Pub Date : 2012-10-01
Caitlin Meyer, Karen Cameron, Marisa Battistella
{"title":"New agent to treat elevated phosphate levels: magnesium carbonate/calcium carbonate tablets.","authors":"Caitlin Meyer,&nbsp;Karen Cameron,&nbsp;Marisa Battistella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In summary, Binaphos CM, a magnesium carbonate/calcium carbonate combination phosphate binder, is marketed for treating elevated phosphate levels in dialysis patients. Although studies using magnesium/calcium carbonate as a phosphate binder are short term with small numbers of patients, this phosphate binder has shown some promising results and may provide clinicians with an alternative for phosphate binding. Using a combination phosphate binder may reduce pill burden and encourage patient compliance. In addition to calcium and phosphate, it is imperative to diligently monitor magnesium levels in patients started on this medication, as magnesium levels may increase with longer duration of use. Additional randomized controlled trials are necessary to evaluate long-term efficacy and safety of this combination phosphate binder.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 4","pages":"33-5; quiz 36-7"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31242339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Blood pressure knowledge in hypertensive hemodialysis patients. 高血压血液透析患者的血压知识。
CANNT journal = Journal ACITN Pub Date : 2012-10-01
Zorica Kauric-Klein
{"title":"Blood pressure knowledge in hypertensive hemodialysis patients.","authors":"Zorica Kauric-Klein","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The major purpose of this quantitative study was to determine if a supportive educative nursing intervention incorporating blood pressure (BP) education, monitoring, goal setting and reinforcement would improve BP control in a chronic hemodialysis (HD) population. One of the specific aims of this study was to determine if the intervention increased BP knowledge in the treatment group compared to the usual care group at 12 weeks and if that knowledge translated into improved BP control.</p><p><strong>Design: </strong>A randomized experimental design.</p><p><strong>Sample: </strong>One hundred and eighteen participants recruited from six HD units in the Detroit metro area.</p><p><strong>Method: </strong>The study group received BP education sessions and a 12-week intervention. The intervention consisted of the participants monitoring and recording their BP, salt and fluid intake daily for 12 weeks. BP, fluid and salt logs were reviewed weekly with the principal investigator (PI) to determine if goals were met or not met. Reinforcement was given for goals met and problem-solving offered when goals were not met. The control group received standard care.</p><p><strong>Findings: </strong>Patients had fairly good levels of knowledge about blood pressure control behaviours at baseline and there was no significant improvement at follow-up. There was no significant difference in BP knowledge scores between the two groups at 12 weeks (t = 1.4, p = .16). There was no significant increase in BP knowledge scores within the treatment group at 12 weeks (t = -.74, p = .47). Overall, there was a significant decrease in systolic (t = 3.02, p = .003) and diastolic BPs (t = .48, p = .001) in the treatment group compared to the control group at 12 weeks. There were no significant correlations between BP knowledge scores and systolic BP or diastolic BP.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 4","pages":"18-25"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31242338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The availability of exercise rehabilitation programs in hemodialysis centres in Ontario. 安大略省血液透析中心运动康复方案的可得性。
CANNT journal = Journal ACITN Pub Date : 2012-10-01
Sunny Ma, Jonathan Lui, Dina Brooks, Trisha L Parsons
{"title":"The availability of exercise rehabilitation programs in hemodialysis centres in Ontario.","authors":"Sunny Ma,&nbsp;Jonathan Lui,&nbsp;Dina Brooks,&nbsp;Trisha L Parsons","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Exercise training is effective at promoting physical fitness, cardiovascular outcomes, and quality of life amongst persons with chronic kidney disease. To our knowledge, no published data exist to date on the prevalence of exercise programs offered to Canadians undergoing dialysis. The study purpose was to characterize existing exercise programs in hemodialysis centres in the province of Ontario.</p><p><strong>Methods: </strong>An online survey was created and distributed to 95 dialysis facilities across Ontario.</p><p><strong>Results: </strong>There was a 61% survey response rate. Only eight facilities offered exercise programs, which included intradialytic and cardiac rehabilitation programs. Lack of funding (n = 22), lack of human resources (n = 18), and lack of equipment (n = 17) were reported as the most commonly perceived barriers of offering an exercise program.</p><p><strong>Conclusion: </strong>Although exercise has been shown to be effective, prevalence of programs is low. Work is underway to administer the online survey tool to dialysis programs across Canada.</p>","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 4","pages":"26-32"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31242340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing a successful intradialytic exercise program: part 2 of 2. 建立一个成功的分析性锻炼计划:2 / 2。
CANNT journal = Journal ACITN Pub Date : 2012-10-01
Kristen Parker
{"title":"Establishing a successful intradialytic exercise program: part 2 of 2.","authors":"Kristen Parker","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 4","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31242343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of depression in hemodialysis patients. 血液透析患者抑郁的处理。
CANNT journal = Journal ACITN Pub Date : 2012-07-01
Marisa Battistello
{"title":"Management of depression in hemodialysis patients.","authors":"Marisa Battistello","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":83648,"journal":{"name":"CANNT journal = Journal ACITN","volume":"22 3","pages":"29-34; quiz 35-6"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31060939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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