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Clinical Nurse Specialist最新文献

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Erratum. 勘误表。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000734
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引用次数: 0
The Valuable Skill of the Nurse Grant Writer. 护士Grant作家的宝贵技能。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000729
Pamela Jane Nye
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引用次数: 0
Duty to Care. 关心的责任。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000737
Janet S Fulton
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引用次数: 0
Children's Letters to God: Words of Praise, Sorrow, Joy, and Consternation. 儿童给上帝的信:赞美、悲伤、喜悦和惊愕的话语。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000730
Jeanine Young-Mason
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引用次数: 1
President's Letter: 12 Months of Unstoppable Advocacy. 总统信:12个月的不可阻挡的倡导。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000738
Phyllis Whitehead
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引用次数: 0
Demonstrating the Value of the Clinical Nurse Specialist: A "How-to" Guide. 展示临床专科护士的价值:“如何”指南。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000732
Erica Fischer-Cartlidge, Megan Hoffman

Purpose/objectives: The purpose of this article is to provide a guide to identifying measurements of value and how to calculate different types of return on investment (ROI). Exemplars of clinical nurse specialist (CNS) work efforts with ROI will be presented.

Description of the project/problem: The CNS is the oldest advanced practice role; however, the role can be vague, making it difficult to articulate the value of the CNS in the organization. Functioning in 3 spheres of impact, the CNS can easily impact practice; however, demonstrating the value of this work is not always on top of mind and is rarely taught in academic programs.

Outcome: This article describes the difference between revenue generation, cost savings, and cost avoidance, as well as various structural, process, and outcome measures that can be used to calculate ROI. Resources available for performing ROI calculations will be described and shared.

Conclusion: Distributing work across the 3 spheres creates various opportunities for the CNS to demonstrate value; however, the CNS must be able to articulate that value to the organization. Developing the skill set to consistently identify metrics can be challenging; however, it is critical to the ongoing success and future of the CNS role. Utilizing these metrics to demonstrate the value and then disseminating the outcomes of these contributions will continue to promote the value of the CNS in the future.

目的/目标:本文的目的是为确定价值度量以及如何计算不同类型的投资回报(ROI)提供指南。临床护理专家(CNS)的工作努力与投资回报率的例子将被提出。项目/问题描述:CNS是最古老的高级实践角色;然而,这个角色可能是模糊的,这使得很难阐明CNS在组织中的价值。中枢神经系统有三个影响领域,可以很容易地影响练习;然而,证明这项工作的价值并不总是最重要的,也很少在学术课程中教授。结果:本文描述了收入产生、成本节约和成本避免之间的区别,以及可用于计算ROI的各种结构、过程和结果度量。将描述和共享用于执行ROI计算的可用资源。结论:将工作分配到三个领域为中枢神经系统展示价值创造了各种机会;然而,CNS必须能够向组织阐明这一价值。开发一致识别指标的技能集可能具有挑战性;然而,它对中枢神经系统的持续成功和未来至关重要。利用这些指标来展示价值,然后传播这些贡献的成果,将在未来继续提升CNS的价值。
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引用次数: 0
Translational Science: The Final Step for Implementing Evidence-Based Practice. 转化科学:实施循证实践的最后一步。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000728
Sandra L Siedlecki
Healthcare organizations and especially nursing have been obsessedwith evidence-based practice (EBP) projects, yet too often these projects end prematurely, and any ability to create a sustainable change is lost. Perhaps it is because the final steps to the successful implementation of a practice change based on evidence are the steps omitted. Translation requires much more than an attempt at implementation; translation requires research, and perhaps this step is omitted out of fear of research itself. Because the clinical nurse specialist is uniquely qualified to lead EBP projects, it is important that they are also versed in how to use translational sciencemethods to evaluate the implementation process and ensure it is effective, feasible, and sustainable. The purpose of this article is to describe the steps involved in moving evidence into nursing practice.
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引用次数: 0
Interprofessional Naloxone Student Training to Manage Suspected Opioid Overdose. 纳洛酮学生管理疑似阿片类药物过量的跨专业培训。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-01-01 DOI: 10.1097/NUR.0000000000000720
Elizabeth Riley, Stephanie Trotter, Lindsey Dayer, Amber Teigen, Corey Nagel, Kimberly Stickley, Pamela LaBorde, Leah Richardson, Rochelle McFerguson, Nicole Ward, Michael Anders

Purpose: The study purpose was to examine the effect of interprofessional naloxone training on students' knowledge, confidence, and interprofessional collaboration competency. The overarching goal was to decrease mortality related to opioid overdoses.

Design/methods: A training session for interprofessional students consisted of a lecture presentation, demonstration, and hands-on practice regarding appropriate administration of naloxone for suspected opioid overdose. A questionnaire elicited baseline and change in knowledge, confidence, and interprofessional collaboration competency scores at pretraining and posttraining. In addition, changes in knowledge and confidence were also measured 3 weeks after the training. Thematic analysis explored training components that students perceived as valuable or needing improvement.

Results: Participants (N = 100) were nursing (n = 33), physician assistant (n = 37), and pharmacy (n = 30) students. Pretraining and posttraining comparison demonstrated increased knowledge (P < .001), confidence (P < .001), and collaboration scores (P < .001). At 3 weeks, knowledge and confidence remained higher than pretraining (P < .001). Knowledge was trending downward compared with posttraining (P = .09). Thematic analysis identified 4 themes: (a) indications for administration of different naloxone types, (b) learning modalities, (c) knowledge application, and (d) improvements.

Conclusions: An interprofessional naloxone administration training resulted in increased knowledge, confidence, and interprofessional teamwork. Educators can adapt this training for a variety of future or current healthcare professionals to improve immediate intervention and outcomes in suspected opioid overdoses.

目的:探讨纳洛酮跨专业训练对学生知识、自信和跨专业协作能力的影响。总体目标是降低与阿片类药物过量有关的死亡率。设计/方法:针对跨专业学生的培训课程包括演讲、演示和实践练习,内容涉及纳洛酮对疑似阿片类药物过量的适当管理。一份调查问卷在训练前和训练后引出了知识、信心和跨专业协作能力得分的基线和变化。此外,在培训后3周,还测量了知识和信心的变化。专题分析探讨了学生认为有价值或需要改进的培训内容。结果:参与者(N = 100)为护理学生(N = 33)、医师助理(N = 37)和药学学生(N = 30)。训练前和训练后的比较显示知识(P < .001)、信心(P < .001)和协作分数(P < .001)的增加。在3周时,知识和信心仍高于训练前(P < .001)。与培训后相比,知识水平呈下降趋势(P = .09)。专题分析确定了4个主题:(a)不同纳洛酮类型的用药指示,(b)学习方式,(c)知识应用,以及(d)改进。结论:纳洛酮跨专业给药培训增加了知识、信心和跨专业团队合作。教育工作者可以为未来或当前的各种医疗保健专业人员调整这一培训,以改善对疑似阿片类药物过量的即时干预和结果。
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引用次数: 0
Considerations With Developing a Distance Clinical Nurse Specialist Education Program. 开发远程临床护士专科教育项目的考虑。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-01-01 DOI: 10.1097/NUR.0000000000000718
Lynn D Mohr, Susan Dresser
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引用次数: 0
Patient Refusal of Nursing Care-An Ethical Dilemma for Bedside Nurses. 病人拒绝护理——床边护士的伦理困境。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-01-01 DOI: 10.1097/NUR.0000000000000723
Doanh Ly
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引用次数: 0
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Clinical Nurse Specialist
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