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The role of nurse practitioners in HIV care RAPID RESPONSE SERVICE | #102, MARCH 2016 1 RAPID RESPONSE SERVICE THE ONTARIO HIV TREATMENT NETWORK Questions • What role do nurse practitioners play in HIV care? • What are the benefits of nurse practitioners in HIV care? References 1. Tunnicliff SA, Piercy H, Bowman CA, Hughes C, Goyder EC. The con - tribution of the HIV specialist nurse to HIV care: A scoping review. Journal of Clinical Nursing 2013;22(23-24):3349- 60. 2. Position statement (...) : Advanced practice registered nurses full practice authority. Journal of the Association of Nurses in AIDS Care 2014;25(5):465-7. 3. Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV , et al. Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annals of Internal Medi- cine 2005;143(10):729-36. 4. Vervoort SC, Dijkstra BM, Hazelzet EE, Grypdonck MH, Hoepelman AI, Borleffs JC. The role of HIV nursing consultants in the care of HIV-infected patients
Iranian Nurses Perceptions of Cancer Patients Quality of Life Cancer is the third main cause of death in Iran only after cardiovascular diseases and accidents.The main aim of this research study was to identify nurses' understanding of cancer patients' Quality of Life (QoL) in an Iranian context.This descriptive correlational study was conducted in an educative referral oncology center affiliated to Isfahan University of Medical Sciences, Isfahan, Iran in 2013. 50 pairs of cancer patients (...) and their nurses were conveniently recruited. The sample of nurses were selected based on consensus sampling which included more than 70 percent of eligible nurses in the hospital. Patients and nurses were requested to complete the Farsi version of the world health organization quality of life (WHOQoL-BREF) questionnaire, separately. QoL was measured across four dimensions including physical, psychological, social relationship and environmental.The QoL mean domain scores of patients were 10.06, 11.88, 12.76
Marketing and the Most Trusted Profession: The Invisible Interactions Between Registered Nurses and Industry. The mainstay for addressing conflicts of interest in health care is disclosure of personal financial ties to industry. However, this approach fails to capture the complexity of industry interactions that are built into clinical practice. Further, the policy climate focuses on physicians and traditional pharmaceutical marketing.To describe industry activities targeted at registered (...) nurses.Qualitative, ethnographic study conducted from January 2012 to October 2014.Four acute care hospitals in a western U.S. city.A purposive sample of 72 participants with direct experience with industry, including staff nurses, administrators, and industry and supply chain professionals.Fieldwork, including observations (102 hours), semistructured in-depth interviews (n = 51), focus groups (n = 4), and documents analysis.Nurses' reported financial relationships with industry were similar to those reported
Impact of Proactive Nurse Participation in ICU Family Conferences: A Mixed-Method Study To investigate family perceptions of having a nurse participating in family conferences and to assess the psychologic well being of the same families after ICU discharge.Mixed-method design with a qualitative study embedded in a single-center randomized study.Twelve-bed medical-surgical ICU in a 460-bed tertiary hospital.One family member for each consecutive patient who received more than 48 hours (...) of mechanical ventilation in the ICU.Planned proactive participation of a nurse in family conferences led by a physician. In the control group, conferences were led by a physician without a nurse.Of the 172 eligible family members, 100 (60.2%) were randomized; among them, 88 underwent semistructured interviews at ICU discharge and 86 completed the Peritraumatic Dissociative Experiences Questionnaire at ICU discharge and then the Hospital Anxiety Depression Questionnaire and the Impact of Event Scale
Community Health Workers Versus Nurses as Counselors or Case Managers in a Self-Help Diabetes Management Program To confirm the effectiveness of community health workers' involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014.Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes (...) . We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker-counseled (n = 54) and registered nurse (RN)-counseled (n = 51) intervention groups in comparison with the control group (n = 104).The community health workers' performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes. The community health worker-counseled group showed hemoglobin A1C reductions from
The role of nurse practitioners in HIV care The role of nurse practitioners in HIV care | The Ontario HIV Treatment Network The Ontario HIV Treatment Network The role of nurse practitioners in HIV care The role of nurse practitioners in HIV care , , , Questions What role do nurse practitioners play in HIV care? What are the benefits of nurse practitioners in HIV care? Key take-home messages Nurses are playing an increasing important role as people diagnosed with HIV live longer (1;2). HIV care (...) provided by nurse practitioners is equal to or better than care provided by physicians, including infectious disease specialists (3-6). Nurses are effective in screening for and helping to manage co-morbidities among people living with HIV (7;8). The issue and why it’s important Over the next few years, the demand for HIV care is expected to grow. This is due to three key factors: With improvements in antiretroviral treatment regimens,people with HIV are living longer (1;1). As people with HIV live
Relationship between Work Ability Index and Cognitive Failure among Nurses Frequent nursing errors are considered as factors that affect the quality of healthcare of patients. Capable nurses who are compatible with work conditions are more focused on their tasks, and this reduces their errors and cognitive failures. Therefore, this study was conducted with the aim of investigating the relationship between work ability index (WAI) and cognitive failures (CFs) as well as some factors that affect (...) them in nurses working in the ICU, CCU, and emergency wards.This descriptive-analytical and cross-sectional study was conducted with 750 nurses at educational hospitals affiliated with the Tehran University of Medical Sciences in 2015. A questionnaire of work ability index and cognitive failures was used to collect data. The data were analyzed using SPSS 20 and the Pearson and Spearman correlation coefficients, chi-squared, ANOVA, and the Kruskal-Wallis tests.Using the Pearson correlation test
Principle-based concept analysis: Caring in nursing education The aim of this principle-based concept analysis was to analyze caring in nursing education and to explain the current state of the science based on epistemologic, pragmatic, linguistic, and logical philosophical principles.A principle-based concept analysis method was used to analyze the nursing literature. The dataset included 46 English language studies, published from 2005 to 2014, and they were retrieved through PROQUEST (...) , MEDLINE, CINAHL, ERIC, SCOPUS, and SID scientific databases. The key dimensions of the data were collected using a validated data-extraction sheet. The four principles of assessing pragmatic utility were used to analyze the data. The data were managed by using MAXQDA 10 software.The scientific literature that deals with caring in nursing education relies on implied meaning. Caring in nursing education refers to student-teacher interactions that are formed on the basis of human values and focused
Perspectives of Nurses on Patients With Limited English Proficiency and Their Call Light Use Patients use call light systems to initiate communication with their health care team. Little is known how this process is affected when language barriers exist between an English-speaking nurse and a patient with limited English proficiency (LEP). The aims of this study are to describe (a) the perceptions of nurses regarding their communication with patients with LEP, (b) how call lights affect (...) their communication with patients with LEP, and (c) the perceptions of nurses on the impact of advancement in call light technology on patients with LEP. Using focus groups, nurses were asked about their interactions with patients with LEP. The following themes emerged: barriers to communication, formal tools for communication, gestures and charades, reliance on family, creating a better call light system, and acceptability of Eloquence™. This results show that call lights affect the interaction of nurses
Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture There is increasing interest in how culture may affect the quality of healthcare services, and previous research has shown that 'treatment culture'-of which there are three categories (resident centred, ambiguous and traditional)-in a nursing home may influence prescribing of psychoactive medications.The objective of this study was to explore and understand treatment culture in prescribing (...) of psychoactive medications for older people with dementia in nursing homes.Six nursing homes-two from each treatment culture category-participated in this study. Qualitative data were collected through semi-structured interviews with nursing home staff and general practitioners (GPs), which sought to determine participants' views on prescribing and administration of psychoactive medication, and their understanding of treatment culture and its potential influence on prescribing of psychoactive drugs
Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community Nursing Service: A Retrospective Observational Study Increasing numbers of older people are receiving support with medicines management from community nursing services (CNSs) to enable them to live in their own homes. Little is known about these people and the support they receive.To explore the characteristics of older people referred for medicines management support, type of support (...) provided, medication errors and adverse medication events (AMEs).A retrospective observational study of a random sample of 100 older people referred to a large non-profit CNS for medicines management support over a 3-month period was conducted. Measures were: demographics, referral source, current medical problems, medicines, medication aids, types of medication authorisations used by nurses, frequency of nurse visits and type of support provided, medication errors, AMEs and interdisciplinary teamwork
Exploration of the barriers of reporting nursing errors in intensive care units: A qualitative study The aim of this study was to explore the barriers to reporting nursing errors in intensive care units in Iranian hospitals.A descriptive qualitative analysis design was used. The data were collected through in-depth semi-structured interviews with a purposive sample of 16 nurses working in four general intensive care units in Kurdistan province, Iran. Interviews were transcribed and finally (...) analysed through conventional content analysis.There are four major barriers to the reporting of errors by nurses working in Iranian critical care units: (a) saving professional reputation and preventing stigma; (b) fear of consequences - punishment, legal problems and organisational misconduct; (c) feelings of insecurity - pointing a finger at nurses and lack of managerial support and (d) not investigating the root cause of error.The findings revealed the need to support and provide security to nurses
Public Health Nurses and Mothers Challenge and Shift the Meaning of Health Outcomes Maternal, child, and newborn health is a priority area in Canada and around the world. The work of public health nurses (PHNs) is often invisible and misunderstood. The purpose of this qualitative research project was to explore how universal and targeted home visiting programs for mothers and babies were organized, delivered, and experienced through the everyday practices of PHNs (n = 16) and mothers (n = 16
Nursing documentation of pressure ulcers in nursing homes: comparison of record content and patient examinations The aim of this study was to describe the accuracy and quality of nursing documentation of the prevalence, risk factors and prevention of pressure ulcers, and compare retrospective audits of nursing documentation with patient examinations conducted in nursing homes.This study used a cross-sectional descriptive design.A retrospective audit of 155 patients' records and patient
Expanded Practice Protocol for Performance of Percutaneous Tibial Nerve Stimulation (PTNS) by Colorectal Clinical Nurse Specialists application/vnd.openxmlformats-officedocument.wordprocessingml.document
The Culture of Nurses in a Critical Care Unit Critical care nurses have to adapt to a fast-paced and stressful environment by functioning within their own culture. The objective of this study was to explore and describe the culture of critical care nurses with the purpose of facilitating recognition of wholeness in critical care nurses. The study had a qualitative, exploratory, descriptive, and contextual design. The ethnographic study included data triangulation of field notes written during (...) 12 months of ethnographic observations, 13 interviews from registered nurses, and three completed diaries. Coding and analysis of data revealed patterns of behavior and interaction. The culture of critical care nurses was identified through patterns of patient adoption, armor display, despondency because of the demands to adjust, sibling-like teamwork, and non-support from management and medical doctors. An understanding of the complexity of these patterns of behavior and interaction within
Modified Use of Team-Based Learning to Teach Nursing Documentation Nursing documentation is one of the main parts of clinical documentation. Poor knowledge of nurses in documentation methods could bring about problems for patients and nurses. It is very important to promote nurses' knowledge and skills in this regard through effective teaching methods. The aim of this study was to use Team-Based Learning (TBL) to teach nursing documentation for nurses.TBL was implemented for 20 nurses (...) participating in a nursing documentation workshop in Qazvin, Iran, in 2015. TBL consists of three main stages. The first stage is the learners' reading about the subject matter. The second stage is measuring the learners' knowledge about the subject matter they have studied using the Individual Readiness Assurance Test (IRAT). In the third stage, more profound learning is achieved by forming small groups and performing teamwork. Finally, participants' views and experiences about TBL were investigated using
Influence of Sleep on Quality of Life Among Hospital Nurses Sleep disorders are the cause of morbidity and mortality and can decrease functional capacity and quality of life. Nurses, especially those working irregular or night shifts, are at risk for developing sleep disorders. The present study aims to determine the relationship between sleep quality and health-related quality of life (HRQOL) as well as quantitative and subjective aspects of sleep quality in nurses.This cross-sectional study (...) was conducted on 1456 nurses working in 11 hospitals in Shiraz and Tehran (Iran) in 2014. Structured questionnaires (Pittsburg Sleep Quality Index [PSQI] and Medical Outcomes Study Short Form-36 Survey [SF-36]) were used to collect data on participants' demographic characteristics, sleep quality, and health-related quality of life. Chi-square and independent samples t-test were employed for statistical analysis.Mean age of participants was 30.81 ± 7.8, and most of them were female (89.04%) and poor sleepers