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Clinical Nurse Specialist最新文献

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So Where Is a Vaccine for Respiratory Syncytial Virus? 呼吸道合胞病毒的疫苗在哪里?
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000735
Patricia Anne O'Malley
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引用次数: 0
So Where is a Vaccine for Respiratory Syncytial Virus? 呼吸道合胞病毒的疫苗在哪里?
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000736
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引用次数: 0
Do We Have an Ethical Obligation to Provide a Team Approach to Nursing Care for Obstetric Patients Admitted to the Critical Care Unit? 我们是否有道德义务为入住重症监护室的产科患者提供团队护理方法?
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000726
Tiffany Ward, Brenda Braun, Stacy Hull, Quincy McCrary
32-year-old woman, 36 weeks' gestation, was admitted from the emergency department with HELLP (hemolysis, elevated liver function, and low platelets) syndrome. She presented with hypotension, tachycardia, and fetal tachycardia as indicators of decom-pensation. The patient was rapidly transported to the operating room on the labor and delivery (L&D) unit for an emergency cesarean delivery under general anesthesia. In the operating room, she ruptured a liver hematoma and had a massive hemorrhage requiring multiple units of blood, an emergency call for a vascular surgeon, and packing of her abdomen to stop the bleeding. A uterine tamponade balloon was placed to promote uterine tone and help stop the hemorrhage. The patient was unstable and was recovered in the L&D unit with a CRNA (certified registered nurse anesthetist) at the bedside. After initial recovery, the patient was transferred to the intensive care unit (ICU). The infant with evidence of hypoxic-ischemic encephalopathy was transferred to a tertiary center for head cooling shortly after delivery. The ICU staff stated that they were uncomfortable monitoring a postpartum patient with this disorder. They were unfamiliar with how to provide breast care, access and in-struct the patient on the use of breast pump, or perform fundal examinations. They did not know the expected ref-erence ranges for vital signs and laboratory values in the postpartum patient. They were also not trained in the management of the uterine tamponade device and therefore not equipped to competently manage this intervention. Lastly, they shared that they were not familiar with how to perform basic postpartum assessments and would need to rely on the obstetric
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引用次数: 0
Clinical Nurse Specialist and Clinical Nurse Leader Collaboration During the COVID-19 Pandemic. COVID-19大流行期间临床护士专家和临床护士领导的合作。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2023-03-01 DOI: 10.1097/NUR.0000000000000727
Pamela Cosper, Julia Bossie, Cynthia L Bond, Donna Hunter

Purpose: The aim of this study was to describe an innovative strategy to maintain healthcare worker safety and optimal patient outcomes that was implemented by a healthcare system in the Southeastern United States during the COVID-19 pandemic.

Program description: During the surges of the COVID-19 pandemic, healthcare systems have struggled with healthcare worker burnout, high staff turnover rates, and redeployment of staff to unfamiliar areas and the uncertainty regarding COVID-19 personal protection and patient care. Clinical nurse specialist/clinical nurse leader teams were created to help ensure healthcare worker safety and optimize patient care outcomes.

Outcome: Healthcare worker safety and desired patient outcomes were maintained. Throughput was expedited for emergency department patients, and there was timely implementation of therapeutic modalities for critically ill patients.

Conclusion: Clinical nurse specialist/clinical nurse leader team collaboratively cross-trained staff to ensure their safety and delivery of quality patient care. The team was pivotal in helping safeguard staff from harm while optimizing patient outcomes. Lessons learned will help us in future disasters as well as our daily operations.

目的:本研究的目的是描述在COVID-19大流行期间由美国东南部的医疗保健系统实施的一种创新策略,以维持医护人员的安全和最佳患者预后。项目描述:在2019冠状病毒病大流行期间,卫生保健系统一直在努力应对医护人员职业倦怠、人员流失率高、将工作人员重新部署到不熟悉的地区以及COVID-19个人防护和患者护理方面的不确定性。建立了临床护士专家/临床护士领导团队,以帮助确保医护人员的安全并优化患者护理结果。结果:维持了医护人员的安全和预期的患者结果。急诊科病人的吞吐量加快,对危重病人的治疗方式及时实施。结论:临床专科护士/临床护士长团队协作,交叉培训员工,确保他们的安全和提供高质量的患者护理。该团队在帮助保护员工免受伤害同时优化患者预后方面发挥了关键作用。吸取的教训将有助于我们应对未来的灾难以及我们的日常业务。
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引用次数: 0
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
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Clinical Nurse Specialist
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