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Nursing TimesStroke is one of the world's major health care problems and begins as an acute medical emergency. To ensure the best outcomes, stroke services should comprise an... (Review)
Review
Stroke is one of the world's major health care problems and begins as an acute medical emergency. To ensure the best outcomes, stroke services should comprise an identified stroke unit with a dedicated multidisciplinary team of specialist staff working within agreed protocols. The medical nurse practitioner's intervention at the assessment stage for patients admitted to A&E with stroke should provide a more timely and appropriate referral in order to access stroke beds directly.
Topics: Acute Disease; Critical Pathways; Emergency Nursing; Humans; Nurse Practitioners; Nurse's Role; Nursing Assessment; Patient Care Team; Stroke; Time Factors
PubMed: 12655750
DOI: No ID Found -
Research in Nursing & Health Jun 2021The engagement of frontline practitioners in the production of research-derived knowledge is often advocated. Doing so can address perceived gaps between what is known...
The engagement of frontline practitioners in the production of research-derived knowledge is often advocated. Doing so can address perceived gaps between what is known from research and what happens in clinical practice. Engagement practices span a continuum, from co-production approaches underpinned by principles of equality and power sharing to those which can minimalize practitioners' contributions to the knowledge production process. We observed a conceptual gap in published healthcare literature that labels or defines practitioners' meaningful contribution to the research process. We, therefore, aimed to develop the concept of "Researcher Practitioner Engagement" in the context of academically initiated healthcare research in the professions of nursing, midwifery, occupational therapy, physiotherapy, and speech and language therapy. Guided by Schwartz-Barcott et al.'s hybrid model of concept development, published examples were analyzed to establish the attributes, antecedents, and consequences of this type of engagement. Academic researchers (n = 17) and frontline practitioners (n = 8) with relevant experience took part in online focus groups to confirm, eliminate, or elaborate on these proposed concept components. Combined analysis of theoretical and focus group data showed that the essence of this form of engagement is that practitioners' clinical knowledge is valued from a study's formative stages. The practitioner's clinical perspectives inform problem-solving and decision-making in study activities and enhance the professional and practice relevance of a study. The conceptual model produced from the study findings forms a basis to guide engagement practices, future concept testing, and empirical evaluation of engagement practices.
Topics: Cooperative Behavior; Decision Making; Focus Groups; Health Personnel; Health Services Research; Humans; Internet; Problem Solving; Research Personnel
PubMed: 33774826
DOI: 10.1002/nur.22128 -
Nursing Leadership (Toronto, Ont.) Mar 2022The nurse practitioner's (NP's) role exemplifies the expertise needed to be leaders, researchers and policy influencers. Academia is called upon to provide teaching...
The nurse practitioner's (NP's) role exemplifies the expertise needed to be leaders, researchers and policy influencers. Academia is called upon to provide teaching environments conducive to engaging scholarship that addresses leadership, research and change management skills. By providing opportunities that focus on political processes and policy development, NP students learn and engage in activities that provide a foundation in the development of political savvy, including advocacy and systems change. Deliberative, dialogue-based methods can enhance knowledge of the issues surrounding the NP role and develop students' understanding of political processes needed for policy change in furthering the NP role.
Topics: Humans; Leadership; Nurse Practitioners; Policy Making; Politics; Students
PubMed: 35339199
DOI: 10.12927/cjnl.2022.26751 -
Hospital & Community Psychiatry Jul 1992Although persons with chronic mental illness have a high incidence of physical health problems, they are often ill equipped to seek care within complex health care... (Review)
Review
Although persons with chronic mental illness have a high incidence of physical health problems, they are often ill equipped to seek care within complex health care systems and tend to depend on community mental health centers as their only source of regular health care. The authors describe a role for the nurse practitioner in assessing the medical needs of chronic mentally ill outpatients at a community mental health center and in devising strategies to meet those needs. The nurse practitioner's activities include direct physical health screening and treatment, referral for specialized medical services, consultation, research, and staff and patient education.
Topics: Community Mental Health Centers; Georgia; Hospital Bed Capacity, 500 and over; Humans; Mental Disorders; Neurocognitive Disorders; Nurse Practitioners; Patient Care Team; Primary Health Care; Sick Role; Workforce
PubMed: 1516905
DOI: 10.1176/ps.43.7.724 -
Hospital Topics May 2023The increase in the number of people developing dementia, the growing number of geriatric patients suffering and dying from serious chronic diseases, and the rising...
The increase in the number of people developing dementia, the growing number of geriatric patients suffering and dying from serious chronic diseases, and the rising costs of health care as a result of an aging population have centered attention on advance care planning. Advance care planning is the recurrent conversation between competent patients, their families, and the health care provider about end of life care. Although vital, advance care planning discussions between providers and patients are not occurring regularly, and completion rates of advance directives are low. Barriers to health care providers discussing advance directives include lack of time, knowledge, and confidence. The purpose of this project was to evaluate the effectiveness of an educational program regarding advance directives on nurse practitioner's competency and confidence to start advance care planning discussions. Wilcoxon signed rank test indicated that post-education, confidence improved significantly for all items (average rank of 4.5 vs average rank of 10.65). The study showed that most of the nurse practitioners were knowledgeable about advance directives and the educational program increased their level of confidence about initiating advance directive discussions.
PubMed: 37129933
DOI: 10.1080/00185868.2023.2201693 -
The Nurse Practitioner Apr 2015Necrotizing fasciitis (NF) is a severe bacterial infection that attacks subcutaneous fat tissues, superficial fascia, deep fascia, and muscle. NF is a rare condition...
Necrotizing fasciitis (NF) is a severe bacterial infection that attacks subcutaneous fat tissues, superficial fascia, deep fascia, and muscle. NF is a rare condition with a mortality that requires nurse practitioners to be adept at identifying signs and symptoms to prompt a quick diagnosis and treatment.
Topics: Cost of Illness; Diagnosis, Differential; Early Diagnosis; Fasciitis, Necrotizing; Humans; Nurse Practitioners; Nursing Diagnosis; Risk Factors
PubMed: 25710244
DOI: 10.1097/01.NPR.0000461947.30915.0c -
Journal of the American Academy of... Sep 1997
Review
Topics: Algorithms; Decision Trees; Diagnosis, Differential; Education, Nursing, Continuing; Histamine H1 Antagonists; Humans; Nurse Practitioners; Risk Factors; Urticaria
PubMed: 9355490
DOI: 10.1111/j.1745-7599.1997.tb01031.x -
Journal of Pediatric Health Care :... 1989Care of the premature infant after an intensive care experience offers the pediatric nurse practitioner a myriad of challenges, depending on the infant's neonatal... (Review)
Review
Care of the premature infant after an intensive care experience offers the pediatric nurse practitioner a myriad of challenges, depending on the infant's neonatal course. The focus of this series of articles is an overview of the common pathophysiologic, psychologic, and developmental problems that face the premature infant. This article provides a discussion of the pathophysiology, data collection, treatment modalities, complications, and education necessary to assist parents in coping and dealing with respiratory complications of prematurity.
Topics: Humans; Infant, Newborn; Infant, Premature; Nurse Practitioners; Parents; Respiratory Tract Diseases
PubMed: 2687453
DOI: 10.1016/0891-5245(89)90022-9 -
BMC Primary Care Jul 2022The potential for data collected in general practice to be linked and used to address health system challenges of maintaining quality care, accessibility and safety,...
OBJECTIVE
The potential for data collected in general practice to be linked and used to address health system challenges of maintaining quality care, accessibility and safety, including pandemic support, has led to an increased interest in public acceptability of data sharing, however practitioners have rarely been asked to share their opinions on the topic. This paper attempts to gain an understanding of general practitioner's perceptions on sharing routinely collected data for the purposes of healthcare planning and research. It also compares findings with data sharing perceptions in an international context. MATERIALS AND METHODS: A mixed methods approach combining an initial online survey followed by face-to-face interviews (before and during COVID-19), designed to identify the barriers and facilitators to sharing data, were conducted on a cross sectional convenience sample of general practitioners across Western Australia (WA).
RESULTS
Eighty online surveys and ten face-to-face interviews with general practitioners were conducted from November 2020 - May 2021. Although respondents overwhelmingly identified the importance of population health research, their willingness to participate in data sharing programs was determined by a perception of trust associated with the organisation collecting and analysing shared data; a clearly defined purpose and process of collected data; including a governance structure providing confidence in the data sharing initiative simultaneously enabling a process of data sovereignty and autonomy.
DISCUSSION
Results indicate strong agreement around the importance of sharing patient's medical data for population and health research and planning. Concerns pertaining to lack of trust, governance and secondary use of data continue to be a setback to data sharing with implications for primary care business models being raised.
CONCLUSION
To further increase general practitioner's confidence in sharing their clinical data, efforts should be directed towards implementing a robust data governance structure with an emphasis on transparency and representative stakeholder inclusion as well as identifying the role of government and government funded organisations, as well as building trust with the entities collecting and analysing the data.
Topics: Australia; COVID-19; Cross-Sectional Studies; General Practitioners; Humans; Information Dissemination
PubMed: 35773626
DOI: 10.1186/s12875-022-01759-y -
The Journal of the New York State... 2011This paper is a retrospective review of the literature analyzing the role of the psychiatric mental health nurse practitioner in the community. Presented here is an... (Review)
Review
This paper is a retrospective review of the literature analyzing the role of the psychiatric mental health nurse practitioner in the community. Presented here is an appraisal of national and state mental health initiatives. Professional nursing regulations are reviewed, focusing on New York State advanced practice nursing. Barriers to practice are assessed with discussion on how barriers, such as statutory collaboration, impede access to treatment in the community for mentally ill psychiatric patients. The current New York State legislative agenda is featured. Clinical vignettes from a nurse practitioner's private community practice are presented to introduce and conclude how clinical practice barriers impede autonomous practice.
Topics: Adult; Community Mental Health Services; Female; Health Care Reform; Humans; Male; Middle Aged; New York; Nurse Practitioners; Professional Autonomy; Psychiatric Nursing; United States; Workforce
PubMed: 22187860
DOI: No ID Found