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Nurse Navigator

Barbara J Zarowitz, James E Tisdale
BACKGROUND: The exponential increase in the number of medications associated with clinically important prolongation of the heart rate-corrected QT interval (QTc) places older adults at increased risk of arrhythmias including life-threatening torsade de pointes (TdP) and sudden death. Risk factors, other than age older than 65 years and female sex, include multiple concurrent drugs that prolong QTc and a variety of underlying predisposing conditions. Although electronic medical records and pharmacy dispensing systems can alert clinicians to the risk of QTc-prolonging therapy, more than 95% of safety alerts are overridden, and many systems have deactivated QTc drug interaction alerts...
February 12, 2019: Journal of the American Geriatrics Society
Azizeh Khaled Sowan, Meghan Leibas, Albert Tarriela, Charles Reed
BACKGROUND: The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes. OBJECTIVE: This study aimed to evaluate nurses' perceptions of the usability of a nursing care plan solution that includes 234 CPGs. METHODS: A total of 100 nurses from 4 adult intensive care units (ICUs) responded to a survey measuring nurses' perceptions of system usability...
February 12, 2019: JMIR Human Factors
Thomas Knickelbine, Lori Jia, Susan K White, Ross F Garberich, Sandra J Oberembt, Samantha Wills, Michael D Miedema, Emmanouil S Brilakis
BACKGROUND: Despite patient and provider interest, the use of PCSK9i therapy remains limited in clinical practice. High annual listed prices have created intense payer scrutiny and frequent health plan denials, with national approval rates in the range of 30% to 40%. OBJECTIVE: Our goal was to validate the strategies for increasing PCSK9i approval rates and to present a framework for successful PCSK9i prescribing in clinical practice. METHODS: In Sept 2015, a systematic team-based approach was developed and implemented at our institution...
January 16, 2019: Journal of Clinical Lipidology
Deborah J Stilgenbauer, Joyce J Fitzpatrick
OBJECTIVE: The purposes of the study were to describe levels of innovativeness in nurse executives, clinical directors, and nurse managers in acute care settings in the United States and to compare innovativeness between the groups. BACKGROUND: Nurse leaders must navigate the complex ever-changing landscape of healthcare. New strategies are necessary for managing resources and improving patient outcomes. METHODS: A survey was posted in the American Organization of Nurse Executives newsletter using the Scales for Measurement of Innovativeness to measure innovativeness...
February 6, 2019: Journal of Nursing Administration
Katrina Lynn Piggott, Ameen Patel, Arthur Wong, Leslie Martin, Alexandra Patel, Matthew Patel, Yudong Liu, Sukhbinder Dhesy-Thind, John J You
BACKGROUND: Cancer is the leading cause of death in the developed world, and yet healthcare practitioners infrequently discuss goals of care (GoC) with hospitalized cancer patients. We sought to identify barriers to GoC discussions from the perspectives of staff oncologists, oncology residents, and oncology nurses. METHODS: This was a single center survey of staff oncologists, oncology residents, and inpatient oncology nurses. Barriers to GoC discussions were assessed on a 7-point Likert scale (1 = extremely unimportant; 7 = extremely important)...
February 8, 2019: BMC Cancer
Erin Kitt-Lewis, Susan J Loeb, Valerie H Myers, Rachel K Wion, Brenda Baney, Sophia Strickfaden
The purpose of this article is to explain the strategies used in the "Set-up" phase of developing computer-based education on the care and management of incarcerated people who are older and/or dying. Public health nurses have an opportunity to support efforts in educating corrections staff to enhance health care for older and dying inmates. Such endeavors can promote social justice through inmates receiving evidence-based care that parallels that received by the community at large. "Set-up" is the first of four phases in the Institute for Healthcare Improvement's Framework for Going to Full Scale...
February 7, 2019: Public Health Nursing
Kim Bellamy, Remo Ostini, Nataly Martini, Therese Kairuz
Resettled refugees in Australia have been shown to exhibit a high prevalence of limited health literacy and are at greater risk of mismanaging their medication and not being able to access the healthcare services they need. The aim of the current study is to explore the barriers to accessing medicines and pharmacy services in Queensland, Australia, among resettled refugees from Africa; this research was conducted from the perspectives of healthcare professionals and people who help the refugees to resettle in their adopted country (resettlement workers)...
February 6, 2019: Australian Journal of Primary Health
Samuel Cykert, Eugenia Eng, Paul Walker, Matthew A Manning, Linda B Robertson, Rohan Arya, Nora S Jones, Dwight E Heron
BACKGROUND: Advances in early diagnosis and curative treatment have reduced high mortality rates associated with non-small cell lung cancer. However, racial disparity in survival persists partly because Black patients receive less curative treatment than White patients. METHODS: We performed a 5-year pragmatic, trial at five cancer centers using a system-based intervention. Patients diagnosed with early stage lung cancer, aged 18-85 were eligible. Intervention components included: (1) a real-time warning system derived from electronic health records, (2) race-specific feedback to clinical teams on treatment completion rates, and (3) a nurse navigator...
February 4, 2019: Cancer Medicine
Carolina Santiago de Araújo Pio, Gabriela Ss Chaves, Philippa Davies, Rod S Taylor, Sherry L Grace
BACKGROUND: International clinical practice guidelines routinely recommend that cardiac patients participate in rehabilitation programmes for comprehensive secondary prevention. However, data show that only a small proportion of these patients utilise rehabilitation. OBJECTIVES: First, to assess interventions provided to increase patient enrolment in, adherence to, and completion of cardiac rehabilitation. Second, to assess intervention costs and associated harms, as well as interventions intended to promote equitable CR utilisation in vulnerable patient subpopulations...
February 1, 2019: Cochrane Database of Systematic Reviews
Kellie St Cyr Brisini, Denise Haunani Solomon
Autism spectrum disorder (ASD) is a pervasive and often difficult health condition, the consequences of which ripple through family relationships. This paper engages relational turbulence theory, which addresses communication in romantic relationships, and the experiencing life transitions model, from the field of nursing, to examine how communication between parents affects the marital relationship during a major transition in the life of a child with ASD. Transition processing communication (TPC) includes four forms of communication that can help married partners navigate difficult life events: increasing interaction, promoting connection, promoting feeling situated, and increasing confidence in the relationship...
February 1, 2019: Health Communication
Precious J Kilimo, Tai Le, Ngoc T Phan, Huy-Dung Han, Hoc T Hoang, Nguyen C Vu, Nga Tt Pham, Hung Cao, Cuong K Nguyen
BACKGROUND: Having mobile devices that provide patients with the ability to record and monitor the electrical activity of their heart enhances patient self-care and the early detection of irregular heartbeat (cardiac arrhythmia), yet few such devices exist in Vietnam. Challenges exist for introducing mobile electrocardiography (ECG) monitoring devices in Vietnam, including patient accessibility and affordability. A low-cost mobile ECG monitoring device designed and developed in Vietnam, which allows patients to easily measure their heart's electrical activity and navigate recordings, may be a solution...
January 31, 2019: JMIR Research Protocols
Lena Saltbæk, Randi V Karlsen, Pernille E Bidstrup, Beverley L Høeg, Vibeke Zoffmann, Trine A Horsbøl, Niels H Holländer, Mads N Svendsen, Helle G Christensen, Susanne O Dalton, Christoffer Johansen
BACKGROUND: Traditionally, women treated for breast cancer (BC) have been followed up through regular oncologist-led visits in outpatient clinics, focusing on detection of recurrences, new primary BC, symptom management, and psychological support. However, this follow-up routine is expensive and its effectiveness has been questioned. Consequently, alternative follow-up programs have been tested. The Guided Self-Determination method (GSD), which facilitates partnership between health-care provider and patient, has been shown to improve self-management in patients with chronic conditions, including cancer...
January 30, 2019: Acta Oncologica
Kristen L Mauk, Deborah Almauhy, Lelia Barks, Terrie Black, Michelle Camicia, Grace B Campbell, Laura Cox Dzurec, Theresa L Green, Leslie Neal-Boylan, Linda L Pierce
BACKGROUND AND PURPOSE: Potential nurse authors may find writing a challenge, including managing the publication process from getting started through submission to revision of the work and its acceptance. This special article presents strategies to help inexperienced writers develop and hone skills for journal publication. POTENTIAL PUBLICATION STRATEGIES: Tips discussed here that may lead to manuscript acceptance include selecting a topic of interest, using motivational self-talk approaches and structuring time to write, choosing coauthors, targeting a journal for submission, writing strong sentences in active voice, developing a structured abstract, using correct citation and reference formats, understanding reviews and resubmitting the manuscript, and keeping momentum to produce continued writing results...
January 25, 2019: Rehabilitation Nursing: the Official Journal of the Association of Rehabilitation Nurses
Susan Yackzan, Stacy Stanifer, Sara Barker, Belinda Blair, Alena Glass, Holly Weyl, Peggy Wheeler
BACKGROUND: Satisfaction with care is a reported outcome of patient navigation. Assessment methods vary, as do navigation programs, including the use of oncology nurse navigators (ONNs). OBJECTIVES: The purpose of this study is to evaluate the effect of contact with an ONN on patient satisfaction. METHODS: A retrospective review of oncology Press Ganey outpatient satisfaction surveys was conducted. Groups with and without ONN contact were compared on responses to survey items relevant to ONN roles...
February 1, 2019: Clinical Journal of Oncology Nursing
Vania Rohsig, Poliana Silva, Rosane Teixeira, Elisiane Lorenzini, Rubia Maestri, Taiana Saraiva, Aline Souza
BACKGROUND: Nurse navigators play a major role in the care provided to patients with cancer within the healthcare system. OBJECTIVES: This study aims describe the outcomes of a pioneering nurse navigation program established in a breast cancer center in a private, nonprofit hospital in Porto Alegre, Brazil. METHODS: This is a cross-sectional, retrospective, descriptive study based on electronic health records. Descriptive statistics were used for data analysis...
February 1, 2019: Clinical Journal of Oncology Nursing
Ellen Carr
As an oncology nurse and lifelong beneficiary of libraries and librarians, I know that libraries provide a solid foundation to frame our points of view, practice strategies, and policies. Even in this age of "just Google that," any sturdy, scholarly response is rooted in the literature, relying on libraries or, in this day and age, information resources. But, let's face it, the most robust access to any library system is not possible without the help of an expert navigator: a librarian who knows how to mine information and package it for our own needs...
February 1, 2019: Clinical Journal of Oncology Nursing
Cynthia Cantril, Deb Christensen, Elizabeth Moore
BACKGROUND: Since the introduction of patient navigation, challenges persist in standardizing the oncology nurse navigator (ONN) role, educational preparation, and scope of work. OBJECTIVES: With a goal of systemwide understanding of navigation services, two healthcare institutions examined the educational preparation, responsibilities, and understanding of the ONN role. METHODS: Two nurse leaders in navigation concurrently used surveys, focus groups, and interprofessional discussions to assess the current state of navigation within their comparable organizations...
February 1, 2019: Clinical Journal of Oncology Nursing
Nahed Alquwez, Jonas Preposi Cruz, Farhan Alshammari, Ebaa Marwan Felemban, Joseph Almazan, Regie B Tumala, Hawa Alabdulaziz, Fatmah Alsolami, John Paul Ben T Silang, Hanan M M Tork
AIMS AND OBJECTIVES: This study assessed the perceived patient safety competence during clinical training of Saudi nursing students. BACKGROUND: Ensuring safety in healthcare settings requires improvements in the educational and clinical practice of professionals. Experts stressed that shared patient safety culture must be of primary importance; they also emphasized the resolute need for theoretically driven research approaches for patient safety competence in healthcare organizations and educational institutions...
January 22, 2019: Journal of Clinical Nursing
Gillian Mukula
No abstract text is available yet for this article.
January 1, 2019: Journal of Gerontological Nursing
Laura M Enomoto, Joyce Fenstermaker, Rodwige J Desnoyers, Boris C Pasche, A William Blackstock, Russell M Howerton, Clancy J Clark, Edward A Levine, Perry Shen
BACKGROUND: Care of pancreatic cancer patients has become increasingly complex, which has led to delays in the initiation of therapy. Nurse navigators have been added to care teams, in part, to ameliorate this delay. This study investigated the difference in time from first oncology visit to first treatment date in patients with any pancreatic malignancy before and after the addition of an Oncology Navigator. METHODS: A single-institution database of patients with any pancreatic neoplasm evaluated by a provider in radiation, medical, or surgical oncology between 1 October 2015 and 30 September 2017 was analyzed...
January 16, 2019: Annals of Surgical Oncology
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