Pub Date : 2022-07-01DOI: 10.1097/NUR.0000000000000683
E. Scruth, Alma A. Allen
{"title":"Self-Care: The Ethical Imperative for Nurses and Other Healthcare Professionals.","authors":"E. Scruth, Alma A. Allen","doi":"10.1097/NUR.0000000000000683","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000683","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127275930","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}
Pub Date : 2022-07-01DOI: 10.1097/NUR.0000000000000685
Lola A. Coke
{"title":"Academic Practice Partnerships: Working Together to Shape the Future of Nursing.","authors":"Lola A. Coke","doi":"10.1097/NUR.0000000000000685","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000685","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132036304","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}
Pub Date : 2022-07-01DOI: 10.1097/NUR.0000000000000684
J. Manning
{"title":"Implications of the Future of Nursing Report on Clinical Nurse Specialists.","authors":"J. Manning","doi":"10.1097/NUR.0000000000000684","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000684","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"36 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131157243","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}
Pub Date : 2022-07-01DOI: 10.1097/NUR.0000000000000687
Phyllis B. Whitehead
{"title":"President's Message: Unstoppable Advocacy in Action This Spring.","authors":"Phyllis B. Whitehead","doi":"10.1097/NUR.0000000000000687","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000687","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124644522","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}
Pub Date : 2022-07-01DOI: 10.1097/NUR.0000000000000686
J. Young-Mason
{"title":"Langston Hughes Implores Us \"Hold Fast to Your Dreams\".","authors":"J. Young-Mason","doi":"10.1097/NUR.0000000000000686","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000686","url":null,"abstract":"","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127496366","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}
Pub Date : 2022-06-03DOI: 10.1097/NUR.0000000000000682
Fotine Mamais, Maninder Jasdhaul, A. Gawlinski, Mary Lawanson-Nichols, Yuhan Kao, Raquel Branom, Lianna Z. Ansryan
Purpose/Objectives This article describes the contributions of the clinical nurse specialist in navigating the challenges of the COVID-19 pandemic to ensure patient and staff safety while providing science-based quality of care. Description The group of clinical nurse specialists using advanced practice knowledge and skills within the 3 spheres of impact (ie, patient, organization, and nurse) developed and implemented strategies that supported frontline clinicians and met emerging organizational needs during the COVID-19 pandemic. Outcomes The clinical nurse specialist's agility was imperative in navigating the challenges of the pandemic to ensure the safety of patients and staff by providing strategies and standardization to workflow processes across the organization. Conclusion The group's combined clinical expertise and support of frontline nurses positioned the clinical nurse specialist to rapidly escalate the bedside nurse's concerns and provide recommendations to improve workflow while maintaining patient and staff safety.
{"title":"The Agile Clinical Nurse Specialist","authors":"Fotine Mamais, Maninder Jasdhaul, A. Gawlinski, Mary Lawanson-Nichols, Yuhan Kao, Raquel Branom, Lianna Z. Ansryan","doi":"10.1097/NUR.0000000000000682","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000682","url":null,"abstract":"Purpose/Objectives This article describes the contributions of the clinical nurse specialist in navigating the challenges of the COVID-19 pandemic to ensure patient and staff safety while providing science-based quality of care. Description The group of clinical nurse specialists using advanced practice knowledge and skills within the 3 spheres of impact (ie, patient, organization, and nurse) developed and implemented strategies that supported frontline clinicians and met emerging organizational needs during the COVID-19 pandemic. Outcomes The clinical nurse specialist's agility was imperative in navigating the challenges of the pandemic to ensure the safety of patients and staff by providing strategies and standardization to workflow processes across the organization. Conclusion The group's combined clinical expertise and support of frontline nurses positioned the clinical nurse specialist to rapidly escalate the bedside nurse's concerns and provide recommendations to improve workflow while maintaining patient and staff safety.","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115205100","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}
Pub Date : 2022-06-03DOI: 10.1097/NUR.0000000000000679
Holly Kristy S. Tenaglia, P. Bishop
Purpose The purpose of this study was to examine if a relationship exists between the coronavirus 2019 pandemic and posttraumatic stress disorder in clinical nurse specialists. Design The study used a nonexperimental, correlational, cross-sectional design to explore the relationship between exposure to the coronavirus 2019 pandemic and posttraumatic stress disorder signs and symptoms. Methods The National Association of Clinical Nurse Specialists distributed the electronic survey from August to October 2020. State affiliates and accrediting bodies distributed the survey from October to December 2020. The survey consisted of the Impact of Events Scale — Revised, which measures signs and symptoms of posttraumatic stress disorder. The target sample size was at least 100. Results Statistically significant relationships were identified between the participant demographics, coronavirus 2019 exposure, and signs and symptoms of posttraumatic stress disorder in clinical nurse specialists. Of 129 participants, 30% had Impact of Events Scale — Revised scores that are clinically concerning for posttraumatic stress disorder. Conclusions Clinical nurse specialists can guide policy, practice, and education interventions to combat posttraumatic stress disorder due to the coronavirus 2019 pandemic.
{"title":"COVID-19 Posttraumatic Stress Disorder in Clinical Nurse Specialists","authors":"Holly Kristy S. Tenaglia, P. Bishop","doi":"10.1097/NUR.0000000000000679","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000679","url":null,"abstract":"Purpose The purpose of this study was to examine if a relationship exists between the coronavirus 2019 pandemic and posttraumatic stress disorder in clinical nurse specialists. Design The study used a nonexperimental, correlational, cross-sectional design to explore the relationship between exposure to the coronavirus 2019 pandemic and posttraumatic stress disorder signs and symptoms. Methods The National Association of Clinical Nurse Specialists distributed the electronic survey from August to October 2020. State affiliates and accrediting bodies distributed the survey from October to December 2020. The survey consisted of the Impact of Events Scale — Revised, which measures signs and symptoms of posttraumatic stress disorder. The target sample size was at least 100. Results Statistically significant relationships were identified between the participant demographics, coronavirus 2019 exposure, and signs and symptoms of posttraumatic stress disorder in clinical nurse specialists. Of 129 participants, 30% had Impact of Events Scale — Revised scores that are clinically concerning for posttraumatic stress disorder. Conclusions Clinical nurse specialists can guide policy, practice, and education interventions to combat posttraumatic stress disorder due to the coronavirus 2019 pandemic.","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129791783","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}
Pub Date : 2022-04-15DOI: 10.1097/NUR.0000000000000671
K. Girardot, LeAnn Pancake
The detrimental effects of immobility are well documented in the literature, yet immobility still plagues the hospitalized adult. As the influx of COVID-19 patients began, patient mobility was further compromised. The purpose of this quality improvement project was to assess the impact of COVID mobility teams, composed of deployed coworkers, on COVID-19–positive and person under investigation patient outcomes. Using mobility teams improved mobility in COVID-positive and person under investigation patients. Increasing patient mobility results in improved patient outcomes by preventing hospital-acquired functional decline, preventing intensive care unit transfers, and decreasing length of stay.
{"title":"Outcomes of a COVID Mobility Team","authors":"K. Girardot, LeAnn Pancake","doi":"10.1097/NUR.0000000000000671","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000671","url":null,"abstract":"The detrimental effects of immobility are well documented in the literature, yet immobility still plagues the hospitalized adult. As the influx of COVID-19 patients began, patient mobility was further compromised. The purpose of this quality improvement project was to assess the impact of COVID mobility teams, composed of deployed coworkers, on COVID-19–positive and person under investigation patient outcomes. Using mobility teams improved mobility in COVID-positive and person under investigation patients. Increasing patient mobility results in improved patient outcomes by preventing hospital-acquired functional decline, preventing intensive care unit transfers, and decreasing length of stay.","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121532573","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}
Pub Date : 2022-04-15DOI: 10.1097/NUR.0000000000000670
Mariah Foster, Jackeline I. Iseler
Purpose/Objectives The purpose of this article is to share observations one clinical nurse specialist noted after applying the concept of proning to treat acute respiratory distress syndrome in nonintubated patients with a confirmed or suspected diagnosis of coronavirus disease 2019 (COVID-19). Description of the Project/Problem Respiratory distress was a main symptom of many patients. However, hospitals were unable to meet the demand for automatic proning beds at the beginning of the pandemic, and no literature on prone positioning for nonintubated patients was published. One clinical nurse specialist identified self-proning as a means to improve respiratory distress, subsequently disseminating education and applying the practice with nonintubated patients with respiratory distress in the emergency department and throughout the COVID units in 1 hospital. Outcome Improved oxygenation saturation was observed by bedside staff after self-proning was implemented. Patients verbalized breathing easier while in the prone position. Patients were reminded to self-prone if their oxygenation saturations decreased. Self-proning afforded some patients enough stamina to call their loved ones before requiring intubation. Conclusion Through this observational experience, it was apparent that this low-risk intervention of nonintubated self-prone positioning improved oxygenation in patients with respiratory distress with a confirmed or suspected diagnosis of COVID-19.
{"title":"Self-proning in Nonintubated Patients with Coronavirus Disease 2019","authors":"Mariah Foster, Jackeline I. Iseler","doi":"10.1097/NUR.0000000000000670","DOIUrl":"https://doi.org/10.1097/NUR.0000000000000670","url":null,"abstract":"Purpose/Objectives The purpose of this article is to share observations one clinical nurse specialist noted after applying the concept of proning to treat acute respiratory distress syndrome in nonintubated patients with a confirmed or suspected diagnosis of coronavirus disease 2019 (COVID-19). Description of the Project/Problem Respiratory distress was a main symptom of many patients. However, hospitals were unable to meet the demand for automatic proning beds at the beginning of the pandemic, and no literature on prone positioning for nonintubated patients was published. One clinical nurse specialist identified self-proning as a means to improve respiratory distress, subsequently disseminating education and applying the practice with nonintubated patients with respiratory distress in the emergency department and throughout the COVID units in 1 hospital. Outcome Improved oxygenation saturation was observed by bedside staff after self-proning was implemented. Patients verbalized breathing easier while in the prone position. Patients were reminded to self-prone if their oxygenation saturations decreased. Self-proning afforded some patients enough stamina to call their loved ones before requiring intubation. Conclusion Through this observational experience, it was apparent that this low-risk intervention of nonintubated self-prone positioning improved oxygenation in patients with respiratory distress with a confirmed or suspected diagnosis of COVID-19.","PeriodicalId":145249,"journal":{"name":"Clinical nurse specialist CNS","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114333341","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}
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