Pub Date : 2014-09-01DOI: 10.1097/NHH.0000000000000130
Mary Ann Christopher
{"title":"The role of nursing and population health in achieving the triple aim: how nurses are helping to drive patient-centered, community-based care.","authors":"Mary Ann Christopher","doi":"10.1097/NHH.0000000000000130","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000130","url":null,"abstract":"","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"505-6"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625664","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 : 2014-09-01DOI: 10.1097/NHH.0000000000000124
Julia Stocker Schneider
Nursing informatics refers to a specialty “that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (American Nurses Association [ANA], 2008, p. 1). The practice of nursing informatics involves making information available to support patients, nurses, and other healthcare providers in decision making. In 2008, there were 8,100 nurse informaticists working in the United States (Health Resources and Services Administration, 2010). Demand has grown markedly in the last several years, primarily driven by the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, which has stimulated electronic health record (EHR) use (Furukawa et al., 2012). In 2013, the U.S. Department of Health and Human Services (HHS) reported that 80% of hospitals and more than 50% of physician and other providers were adopting the use of EHRs (HHS, 2013). Other factors contributing to the rising demand for nurse informaticists include the advances in technology and increasing pressure for health organizations to deliver • system development: customizing or updating vendor systems and developing or updating homegrown systems; • clinical analytics: discovering and communicating meaningful patterns of clinical data for performance monitoring, compliance and integrity management, quality improvement, decision support, and population health management; • quality initiatives/reporting: problem solving, system evaluation, and quality improvement;
{"title":"Nursing informatics.","authors":"Julia Stocker Schneider","doi":"10.1097/NHH.0000000000000124","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000124","url":null,"abstract":"Nursing informatics refers to a specialty “that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice” (American Nurses Association [ANA], 2008, p. 1). The practice of nursing informatics involves making information available to support patients, nurses, and other healthcare providers in decision making. In 2008, there were 8,100 nurse informaticists working in the United States (Health Resources and Services Administration, 2010). Demand has grown markedly in the last several years, primarily driven by the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, which has stimulated electronic health record (EHR) use (Furukawa et al., 2012). In 2013, the U.S. Department of Health and Human Services (HHS) reported that 80% of hospitals and more than 50% of physician and other providers were adopting the use of EHRs (HHS, 2013). Other factors contributing to the rising demand for nurse informaticists include the advances in technology and increasing pressure for health organizations to deliver • system development: customizing or updating vendor systems and developing or updating homegrown systems; • clinical analytics: discovering and communicating meaningful patterns of clinical data for performance monitoring, compliance and integrity management, quality improvement, decision support, and population health management; • quality initiatives/reporting: problem solving, system evaluation, and quality improvement;","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"497-8"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000124","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625659","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 : 2014-09-01DOI: 10.1097/NHH.0000000000000123
Carrie Scott
Dementia is a highly prevalent, progressive, life-limiting illness for which there is no cure. Palliative care is a specialized area of healthcare that focuses on improving the quality of life for individuals with life-limiting diseases. Symptoms such as disorientation, tension, and anxiety occur in patients with dementia at moderate to severe levels as they approach the end of their lives, as well as other common symptoms found with cancer patients, yet the dementia population continues to be unrecognized for their need for palliative care. This article examines current literature with respect to palliative care for patients with dementia.
{"title":"Palliative care and dementia.","authors":"Carrie Scott","doi":"10.1097/NHH.0000000000000123","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000123","url":null,"abstract":"<p><p>Dementia is a highly prevalent, progressive, life-limiting illness for which there is no cure. Palliative care is a specialized area of healthcare that focuses on improving the quality of life for individuals with life-limiting diseases. Symptoms such as disorientation, tension, and anxiety occur in patients with dementia at moderate to severe levels as they approach the end of their lives, as well as other common symptoms found with cancer patients, yet the dementia population continues to be unrecognized for their need for palliative care. This article examines current literature with respect to palliative care for patients with dementia. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"466-9"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625747","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 : 2014-09-01DOI: 10.1097/NHH.0000000000000129
Barbara Freeland
Diabetes is a common diagnosis for home care patients. Conducting an assessment of diabetes self-care management knowledge and skills can identify areas for improvement and support and pinpoint individual self-care barriers. This article will provide targeted questions that may be used by the home care nursing professional when conducting such an assessment.
{"title":"Diabetes self-care assessment.","authors":"Barbara Freeland","doi":"10.1097/NHH.0000000000000129","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000129","url":null,"abstract":"<p><p>Diabetes is a common diagnosis for home care patients. Conducting an assessment of diabetes self-care management knowledge and skills can identify areas for improvement and support and pinpoint individual self-care barriers. This article will provide targeted questions that may be used by the home care nursing professional when conducting such an assessment. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 8","pages":"458-65"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32625746","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 : 2014-07-01DOI: 10.1097/NHH.0000000000000112
Mary Mcgoldrick
Beginning in the 1880s, nurses donned uniforms that were considered to be state-of-theart protection against illness. The original nurses’ uniform was known as the “fever-proof” shield to protect the entire body of the visiting nurse from infection, although it left the face and the hands uncovered (Figure 1). Over the years, the nurse’s uniform has changed significantly. Gone are the days of a nurse wearing a starched white dress, white stockings and shoes, and a white nurse’s cap. The typical home care clinician today wears street clothes for home visits. This clothing can become transiently colonized with microorganisms, such as methicillin-resistant Staphylococcus aureus, and potentially serve as a fomite for the transmission of healthcareassociated microorganisms as clinicians travel from home to home. Although there are no clinical data at this time that colonization of clothing can cause the direct transmission of microorganisms to patients,
{"title":"Bare below the elbows: preventing crosscontamination via the staff's attire.","authors":"Mary Mcgoldrick","doi":"10.1097/NHH.0000000000000112","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000112","url":null,"abstract":"Beginning in the 1880s, nurses donned uniforms that were considered to be state-of-theart protection against illness. The original nurses’ uniform was known as the “fever-proof” shield to protect the entire body of the visiting nurse from infection, although it left the face and the hands uncovered (Figure 1). Over the years, the nurse’s uniform has changed significantly. Gone are the days of a nurse wearing a starched white dress, white stockings and shoes, and a white nurse’s cap. The typical home care clinician today wears street clothes for home visits. This clothing can become transiently colonized with microorganisms, such as methicillin-resistant Staphylococcus aureus, and potentially serve as a fomite for the transmission of healthcareassociated microorganisms as clinicians travel from home to home. Although there are no clinical data at this time that colonization of clothing can cause the direct transmission of microorganisms to patients,","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 7","pages":"440-1"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32465883","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}
{"title":"NIH-funded study finding: data supports benefits of colon cancer screening.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 7","pages":"395"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32575766","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}
The purpose of this study was to (a) determine how effective the state's campaign has been in informing rural and urban residents who are reliant on electronic medical equipment about the campaign and (b) determine how effective the state campaign has been in informing medical suppliers about the campaign. Approximately 2,000 residents were interviewed about their understanding of the emergency preparedness campaign. Results indicate that approximately 74% of the rural residents and 82% or the urban residents using electronic medical equipment were unaware of the state's disaster preparedness program. Implications for home health clinicians are discussed.
{"title":"A survey comparison of rural versus urban residents and household preparedness.","authors":"Cynthia Zidek, Edith West, Janice Holmes, Michele Crytzer","doi":"10.1097/NHH.0000000000000109","DOIUrl":"https://doi.org/10.1097/NHH.0000000000000109","url":null,"abstract":"<p><p>The purpose of this study was to (a) determine how effective the state's campaign has been in informing rural and urban residents who are reliant on electronic medical equipment about the campaign and (b) determine how effective the state campaign has been in informing medical suppliers about the campaign. Approximately 2,000 residents were interviewed about their understanding of the emergency preparedness campaign. Results indicate that approximately 74% of the rural residents and 82% or the urban residents using electronic medical equipment were unaware of the state's disaster preparedness program. Implications for home health clinicians are discussed. </p>","PeriodicalId":77162,"journal":{"name":"Home healthcare nurse","volume":"32 7","pages":"420-9"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/NHH.0000000000000109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32465878","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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