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Workforce agility: An answer to turbulence in acute care nursing environments? 劳动力敏捷性:急症护理环境动荡的答案?
Pub Date : 2019-08-01 DOI: 10.1097/01.NUMA.0000575324.93453.5f
K. Snyder, B. Brewer
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引用次数: 4
A rural perspective on the opioid crisis. 阿片类药物危机的农村视角。
Pub Date : 2019-08-01 DOI: 10.1097/01.NUMA.0000575336.16325.45
R. Knox
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引用次数: 0
Cybersecurity Matters 网络安全问题
Pub Date : 2018-04-03 DOI: 10.1097/01.NUMA.0000530432.50911.a0
Future issues of the Journal of Organizational Computing and Electronic Commerce will contain an ongoing series of research papers referred to as JOCEC’s Cybersecurity Matters. This content initiative cuts across all of the traditional areas of organizational computing and electronic commerce—from enterprise systems to technologies for supporting multiparticipant decision making, collaborative work, organizational learning, and supply chain management to electronic commerce, collaborative commerce, and business/government/private-sector uses of social media. All of these traditional areas, which have been covered in JOCEC’s 27 prior volumes, will continue to be subjects of future articles published in the journal; submissions in these areas continue to be welcome. Establishing the recurring section of Cybersecurity Matters across JOCEC’s future issues reflects and highlights the ever-growing, pervasive significance of cybersecurity for organizations, electronic commerce, nations, and societies. This research series aims to furnish readers with high-value, actionable insights on cybersecurity and related matters. Accordingly, the team of Associate Editors devoted to evaluating cybersecurity submissions includes practitioners working in the field of cybersecurity and its governance, as well as academicians working in the field:
《组织计算和电子商务杂志》的未来几期将包含一系列正在进行的研究论文,称为JOCEC的网络安全问题。这一内容倡议跨越了组织计算和电子商务的所有传统领域——从企业系统到支持多参与者决策制定、协作工作、组织学习和供应链管理的技术,再到电子商务、协作商务,以及企业/政府/私营部门对社会媒体的使用。所有这些传统领域已经在JOCEC之前的27卷中涵盖,将继续成为该杂志未来发表的文章的主题;我们继续欢迎这些方面的意见。在JOCEC的未来议题中建立网络安全事务的循环部分,反映并强调了网络安全对组织、电子商务、国家和社会日益增长的普遍意义。本研究系列旨在为读者提供有关网络安全和相关事务的高价值、可操作的见解。因此,致力于评估网络安全提交的副编辑团队包括在网络安全和治理领域工作的从业者,以及在该领域工作的学者:
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引用次数: 1
Nurse perceptions of traditional and bedside shift report 护士对传统和床边轮班报告的看法
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511921.67645.47
D. Small, J. Fitzpatrick
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引用次数: 10
Nurse scientists: One size doesn't fit all 护士科学家:一种方法不适合所有人
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511917.44775.95
J. Vessey, M. McCabe, Amanda J Lulloff
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引用次数: 10
Successful career transitions. 成功的职业转型。
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511925.98139.bc
Jeffrey N. Doucette
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引用次数: 0
The power of peer review: A pathway to professionalism. 同行评议的力量:通往专业的途径。
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511927.05764.77
Patricia H Goble, D. Langford, S. Vincent, K. Powers
Peer review is one strategy used to create the constructive work environments needed for positive patient care outcomes. The American Nurses Association (ANA) first defined peer review in 1988—a definition that remains relevant today. Peer reviews should be performed on a continuous basis, practice-focused, timely, based on the reviewed nurse’s experience level, and implemented by nurses of the same rank.1 More recently, the ANA reaffirmed the need for peer review of all practicing nurses to promote reflection and practice improvement.2 The American Nurses Credentialing Center also recognizes the necessity of peer review and mandates its completion for healthcare facilities to meet the exemplary professional practice component of Magnet® recognition.3 However, despite recommendations to improve nursing practice and care quality through peer review implementation, many nurse managers only utilize peer review annually and often don’t follow the ANA guidelines.4 We conducted a pilot study of an innovative peer review committee to determine if peer reviews positively influence nurses’ professionalism. (See Figure 1.)
同行评议是一种策略,用于创造积极的病人护理结果所需的建设性工作环境。美国护士协会(ANA)在1988年首次定义了同行评议——这个定义今天仍然适用。同行评议应在持续的基础上,以实践为中心,及时进行,以被评议护士的经验水平为基础,并由同级护士实施最近,ANA重申需要对所有执业护士进行同行评议,以促进反思和实践改进美国护士资格认证中心也认识到同行评审的必要性,并要求医疗机构完成同行评审,以满足Magnet®认证的模范专业实践组成部分然而,尽管建议通过实施同行评议来改善护理实践和护理质量,但许多护士管理者只利用每年一次的同行评议,往往不遵循ANA指南我们对一个创新的同行评议委员会进行了一项试点研究,以确定同行评议是否对护士的专业精神产生积极影响。(参见图1。)
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引用次数: 0
Population health management: A formula for value. 人口健康管理:价值公式。
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511918.82892.99
P. Cipriano
I n 2010, the Patient Protection and Affordable Care Act (ACA, otherwise known as Obamacare) created a blueprint for a potential sea change that’s not well understood by many Americans. The ACA’s most visible impacts are the more than 20 million people now covered with health insurance and the shifting of payments to reward quality rather than quantity of care. What may be less apparent are the imperatives to improve the health of all people and reduce disease burden, embodied in the 2011 U.S. Department of Health and Human Services’ (HHS) National Quality Strategy.1 Mandated in the ACA, the strategy embraces the goals of the Institute for Healthcare Improvement’s Triple Aim: better experience of care that’s accessible, reliable, and safer; healthier people and communities, which addresses the behavioral, social, and environmental determinants of health; and more affordable care through lower costs.
2010年,《患者保护和平价医疗法案》(Patient Protection and Affordable Care Act,简称ACA,又称奥巴马医改)为一场潜在的巨变描绘了一幅蓝图,但许多美国人并不十分了解这幅蓝图。《平价医疗法案》最明显的影响是,现在有2000多万人获得了医疗保险,支付方式也开始转向奖励医疗服务的质量,而不是数量。可能不太明显的是,改善所有人的健康和减少疾病负担的必要性体现在2011年美国卫生与公众服务部(HHS)的国家质量战略中。1在ACA的授权下,该战略包含了医疗保健改善研究所的三重目标:更好的护理体验,更容易获得,更可靠,更安全;更健康的人和社区,解决健康的行为、社会和环境决定因素;通过更低的成本提供更实惠的医疗服务。
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引用次数: 2
Strategies to heighten EBP engagement. 加强EBP参与的策略。
Pub Date : 2017-02-01 DOI: 10.1097/01.NUMA.0000511928.43882.55
M. Kowalski
Nursing practice isn't static. How many nurses can remember procedures learned in school that are obsolete today due to the generation of new knowledge? Many nurse leaders support the Institute of Medicine goal to have 90% of practice decisions based on evidence by 2020 to improve quality care.1
护理实践不是一成不变的。有多少护士还记得学校里学到的程序,这些程序由于新知识的产生而在今天已经过时了?许多护士领导支持医学研究所的目标,即到2020年使90%的实践决策基于证据,以提高护理质量
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引用次数: 4
HAP prevention for nonventilated adults in acute care: Can a structured oral care program reduce infection incidence? 急性护理中不通气成人的HAP预防:结构化口腔护理方案能否降低感染发生率?
Pub Date : 2016-12-01 DOI: 10.1097/01.NUMA.0000508259.34475.4c
L. Talley, J. Lamb, J. Harl, H. Lorenz, L. Green
ospital-acquired pneumonia (HAP) has become a costly and dangerous healthcare issue. An estimated 200,000 cases of aspiration pneumonia occur every year in the United States, resulting in more than 15,000 deaths.1 HAP causes unnecessary patient suffering, mortality as high as 20% to 30%, and significantly increased length and cost of hospital stay.2,3 As reported by the American Thoracic Society and the Infectious Diseases Society of America, treatment of HAP costs approximately $40,000 per patient.4 Most of this incidence and outcome information is collected from patients with ventilatorassociated pneumonia (VAP). By deduction, information regarding VAP can be applied to patients with HAP.4 Given that HAP is one of the most common hospital-acquired infections, evidence-based prevention could save the healthcare industry several billion dollars annually.5 Relation between HAP and dental health Considerable evidence supports a relation between poor oral health and bacterial pneumonia. In a systematic review of evidence for an association between oral health and pneumonia, experts found that cariogenic and periodontal pathogens, dental decay, and poor oral hygiene are potential risk factors for pneumonia.6 In addition, poor oral hygiene has been linked to significant increases in the numbers of febrile days and cases of pneumonia.7 Specifically, dental plaque is composed of a complex population of more than 700 different bacterial species.8 Poor dental hygiene can result in continual bacterial cell growth and increased bacterial diversity within dental plaque. Without proper dental hygiene, dental plaque may serve as a reservoir for respiratory pathogens in hospitalized patients. Matching organisms have been found in dental plaque and bronchoalveolar lavage fluid from patients with HAP, implicating aspiration of organisms within dental plaque as the etiology of HAP in these patients.9 This is thought to occur via a mechanism in which aspirated respiratory pathogens shed HAP prevention for nonventilated adults in acute care Can a structured oral care program reduce infection incidence?
医院获得性肺炎(HAP)已成为一个代价高昂且危险的医疗保健问题。据估计,美国每年发生20万例吸入性肺炎,导致1.5万多人死亡HAP造成患者不必要的痛苦,死亡率高达20%至30%,并显著增加住院时间和费用。据美国胸科学会和美国传染病学会报道,HAP的治疗费用约为每位患者40,000美元这些发病率和结局信息大多来自呼吸机相关性肺炎(VAP)患者。由此推断,关于VAP的信息可以应用于HAP患者。4鉴于HAP是最常见的医院获得性感染之一,基于证据的预防可以每年为医疗保健行业节省数十亿美元相当多的证据支持口腔健康不良与细菌性肺炎之间的关系。在对口腔健康与肺炎相关证据的系统回顾中,专家发现,龋齿和牙周病原体、蛀牙和口腔卫生不良是肺炎的潜在危险因素此外,不良的口腔卫生与发热天数和肺炎病例的显著增加有关具体来说,牙菌斑是由700多种不同的细菌组成的复杂种群不良的口腔卫生会导致牙菌斑内持续的细菌细胞生长和细菌多样性增加。如果没有适当的口腔卫生,牙菌斑可能成为住院患者呼吸道病原体的储存库。在HAP患者的牙菌斑和支气管肺泡灌洗液中发现了匹配的微生物,暗示牙菌斑内的微生物吸入是这些患者HAP的病因这被认为是通过一种机制发生的,在这种机制中,吸入性呼吸道病原体脱落HAP预防急性护理中不通气的成年人,结构化的口腔护理计划能降低感染发生率吗?
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引用次数: 6
期刊
Nursing Management (springhouse)
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