Pub Date : 2022-02-15DOI: 10.1097/JDN.0000000000000670
Emine Aktas, M. Esin, K. Monsen
ABSTRACT The Omaha System is one of the most applicable classification systems and can be used effectively to recognize occupational health nurse(s) in practice. Describing occupational health nurse interventions and outcomes can be an example for planning care in a specific case such as hair stylist apprentices with hand eczema symptoms by using the Omaha System. The study consists of 15 cases. The “Turkish-Nordic Occupational Skin Questionnaire” was used for data collection related to eczema symptoms. The assessment was made by using electronic health record system based on the Omaha System. For the 15 cases, 113 problems and 624 nursing interventions were reported. According to the Omaha System's Problem Classification Scheme, the frequently diagnosed problems were skin (100%), neighborhood/workplace safety (100%), health care supervision (67%), respiration (53%), and pain (40%). The identified intervention categories were 98.5% about teaching, guidance, and counseling; 89.2% about surveillance; and 6.4% about case management. The occupational health nursing outcomes scores were more likely to show higher level after the intervention (p < .05). The Omaha System can be effectively used in occupational healthcare settings for specific cases in workplaces.
{"title":"Describing Occupational Health Nursing Interventions and Outcomes in Hair Stylist Apprentices With Hand Eczema Using the Omaha System as a Framework","authors":"Emine Aktas, M. Esin, K. Monsen","doi":"10.1097/JDN.0000000000000670","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000670","url":null,"abstract":"ABSTRACT The Omaha System is one of the most applicable classification systems and can be used effectively to recognize occupational health nurse(s) in practice. Describing occupational health nurse interventions and outcomes can be an example for planning care in a specific case such as hair stylist apprentices with hand eczema symptoms by using the Omaha System. The study consists of 15 cases. The “Turkish-Nordic Occupational Skin Questionnaire” was used for data collection related to eczema symptoms. The assessment was made by using electronic health record system based on the Omaha System. For the 15 cases, 113 problems and 624 nursing interventions were reported. According to the Omaha System's Problem Classification Scheme, the frequently diagnosed problems were skin (100%), neighborhood/workplace safety (100%), health care supervision (67%), respiration (53%), and pain (40%). The identified intervention categories were 98.5% about teaching, guidance, and counseling; 89.2% about surveillance; and 6.4% about case management. The occupational health nursing outcomes scores were more likely to show higher level after the intervention (p < .05). The Omaha System can be effectively used in occupational healthcare settings for specific cases in workplaces.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"61 1","pages":"67 - 75"},"PeriodicalIF":0.4,"publicationDate":"2022-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83427217","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 : 2022-01-01DOI: 10.1097/jdn.0000000000000667
{"title":"Thank You to Our JDNA Reviewers—2020–2021","authors":"","doi":"10.1097/jdn.0000000000000667","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000667","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89157034","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 : 2022-01-01DOI: 10.1097/jdn.0000000000000668
{"title":"Epidermolysis Bullosa Simplex Disorder of Tissue Fragility","authors":"","doi":"10.1097/jdn.0000000000000668","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000668","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"86 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83262716","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000659
Heidi Bai, Sylvana A. Brickley
{"title":"Skin Cancer Back to Basics","authors":"Heidi Bai, Sylvana A. Brickley","doi":"10.1097/jdn.0000000000000659","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000659","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"9 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82125341","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000664
G. A. Holmes, B. Furukawa
{"title":"Hand Dermatitis in Response to Water Exposure","authors":"G. A. Holmes, B. Furukawa","doi":"10.1097/jdn.0000000000000664","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000664","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"22 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82607356","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000657
Ana Preda-Naumescu, Kayla M. Penny, Chelsea S. Mockbee, V. Nahar
{"title":"Sun Protection Behaviors Among Outdoor Workers, Dermatology Influencers on Instagram, and Teledermatology","authors":"Ana Preda-Naumescu, Kayla M. Penny, Chelsea S. Mockbee, V. Nahar","doi":"10.1097/jdn.0000000000000657","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000657","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"17 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79199517","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000665
Jamie K. Johnson, Brandi Duncan, Melinda Ly, K. Buys
ABSTRACT Background Atopic dermatitis is the most common pediatric skin disorder in the United States. Literature consensus designates patient education as crucial in atopic dermatitis management. Local problem Representing Alabama's only pediatric dermatology clinic, the clinic at Children's of Alabama receives a disproportionate number of referrals. The volume impedes on the clinician's ability to provide comprehensive patient education for new referrals. Methods All new atopic dermatitis referrals, newborn to 5 years old, are scheduled between August 2, 2019, and October 25, 2019, for the pediatric dermatology nurse practitioner's weekly clinic. To complete the visit, the nurse practitioner customizes an eczema action plan to be individually reviewed by the dermatology nurse with the patient. Interventions Before the visit, caregivers complete the Patient-Oriented Eczema Measure questionnaire to quantify eczema symptoms. They repeat this by phone 4–6 weeks later along with another Likert questionnaire measuring caregiver treatment confidence. Results Using SPSS Statistics 25 to analyze descriptive statistics, there was a statistically significant change in scores. Caregiver treatment confidence was uniformly high. Conclusion Improved atopic dermatitis symptoms and increased caregiver treatment confidence were observed after implementing nurse-led education with customized eczema action plans in new visits.
{"title":"Pediatric Atopic Dermatitis","authors":"Jamie K. Johnson, Brandi Duncan, Melinda Ly, K. Buys","doi":"10.1097/jdn.0000000000000665","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000665","url":null,"abstract":"ABSTRACT Background Atopic dermatitis is the most common pediatric skin disorder in the United States. Literature consensus designates patient education as crucial in atopic dermatitis management. Local problem Representing Alabama's only pediatric dermatology clinic, the clinic at Children's of Alabama receives a disproportionate number of referrals. The volume impedes on the clinician's ability to provide comprehensive patient education for new referrals. Methods All new atopic dermatitis referrals, newborn to 5 years old, are scheduled between August 2, 2019, and October 25, 2019, for the pediatric dermatology nurse practitioner's weekly clinic. To complete the visit, the nurse practitioner customizes an eczema action plan to be individually reviewed by the dermatology nurse with the patient. Interventions Before the visit, caregivers complete the Patient-Oriented Eczema Measure questionnaire to quantify eczema symptoms. They repeat this by phone 4–6 weeks later along with another Likert questionnaire measuring caregiver treatment confidence. Results Using SPSS Statistics 25 to analyze descriptive statistics, there was a statistically significant change in scores. Caregiver treatment confidence was uniformly high. Conclusion Improved atopic dermatitis symptoms and increased caregiver treatment confidence were observed after implementing nurse-led education with customized eczema action plans in new visits.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"32 1","pages":"50 - 55"},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76900207","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000663
Ronald A. Yang, Sarah Nodine, Jaclyn B. Anderson, M. Laughter, T. Zangara, Rebecca Dinkel, C. Dunnick
{"title":"Tzanck Smear in Dermatologic Practice","authors":"Ronald A. Yang, Sarah Nodine, Jaclyn B. Anderson, M. Laughter, T. Zangara, Rebecca Dinkel, C. Dunnick","doi":"10.1097/jdn.0000000000000663","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000663","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"46 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88911529","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 : 2021-12-24DOI: 10.1097/JDN.0000000000000661
A. Kirchner, E. Lake
ABSTRACT Atopic dermatitis (AD) is defined as a chronic inflammatory skin disease characterized by pruritus and xerosis. AD is the most common inflammatory skin disease, affecting about 200 million people worldwide. Although AD is diagnosed in all ages and races, there are distinct findings associated with the different age groups that can help guide the diagnosis. Recent, robust studies have identified hereditary and genetic risk factors, which have guided the treatment options for AD. This includes various topical agents, a new generation of systemic biologics (dupilumab, tralokinumab, and lebrikizumab), and Janus kinase inhibitors (abrocitinib and baricitinib). Here, we describe some of the common clinical manifestations, hypothesized mechanisms, and current therapeutic treatment options for patients with moderate-to-severe AD.
{"title":"Clinical Manifestations, Proposed Mechanisms, and Updated Management of Severe Atopic Dermatitis and Associated Pruritus","authors":"A. Kirchner, E. Lake","doi":"10.1097/JDN.0000000000000661","DOIUrl":"https://doi.org/10.1097/JDN.0000000000000661","url":null,"abstract":"ABSTRACT Atopic dermatitis (AD) is defined as a chronic inflammatory skin disease characterized by pruritus and xerosis. AD is the most common inflammatory skin disease, affecting about 200 million people worldwide. Although AD is diagnosed in all ages and races, there are distinct findings associated with the different age groups that can help guide the diagnosis. Recent, robust studies have identified hereditary and genetic risk factors, which have guided the treatment options for AD. This includes various topical agents, a new generation of systemic biologics (dupilumab, tralokinumab, and lebrikizumab), and Janus kinase inhibitors (abrocitinib and baricitinib). Here, we describe some of the common clinical manifestations, hypothesized mechanisms, and current therapeutic treatment options for patients with moderate-to-severe AD.","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"42 1","pages":"20 - 27"},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78908326","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 : 2021-12-24DOI: 10.1097/jdn.0000000000000656
Jacob Nelson, S. M. Mengden Koon, N. Fett
{"title":"Diagnosing a Diffuse Blistering Rash","authors":"Jacob Nelson, S. M. Mengden Koon, N. Fett","doi":"10.1097/jdn.0000000000000656","DOIUrl":"https://doi.org/10.1097/jdn.0000000000000656","url":null,"abstract":"","PeriodicalId":17315,"journal":{"name":"Journal of the Dermatology Nurses' Association","volume":"39 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73193421","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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