Latest & greatest articles for nursing

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Top results for nursing

1. Nurses and pharmacists can prescribe as effectively as doctors

Nurses and pharmacists can prescribe as effectively as doctors Signal - Nurses and pharmacists can prescribe as effectively as doctors Dissemination Centre Discover Portal NIHR DC Discover Nurses and pharmacists can prescribe as effectively as doctors Published on 21 March 2017 Prescribing by suitably-trained pharmacists and nurses offers similar outcomes to prescribing by doctors, at least in the management of chronic conditions. This Cochrane review pooled clinical outcomes and patient (...) satisfaction across 45 studies of nurse or pharmacist prescribing compared with doctor prescribing. Most studies were of chronic disease management in primary care settings in high income countries (25 from the US and six from the UK). Independent and supplementary prescribers in the NHS include not only the nurses and pharmacists, as covered in this review, but also other professions such as podiatrists, optometrists, and physiotherapists. At a time of high demand for NHS resources, with shortages

NIHR Dissemination Centre2018

2. Individual support of nurses using electronic medicine monitors can improve HIV treatment

Individual support of nurses using electronic medicine monitors can improve HIV treatment Signal - Individual support of nurses using electronic medicine monitors can improve HIV treatment Dissemination Centre Discover Portal NIHR DC Discover Individual support of nurses using electronic medicine monitors can improve HIV treatment Published on 10 October 2017 Use of electronic pill bottles that record when they are opened and follow-up discussion of the printed readouts with nurses improved HIV (...) attention on any patterns of medication usage so that strategies could be discussed to improve adherence. As non-adherence is the main barrier to effective management of HIV, any measures that improve it are welcomed. However, the intervention tested here requires several hours of training for the nurses delivering it and may not be that easy to introduce in practice. Evaluation of the approach in non-trial settings is necessary before wider implementation. Share your views on the research. Why

NIHR Dissemination Centre2018

3. How nurses support families of intensive care patients towards the end of life

How nurses support families of intensive care patients towards the end of life Signal - How nurses support families of intensive care patients towards the end of life Dissemination Centre Discover Portal NIHR DC Discover How nurses support families of intensive care patients towards the end of life Published on 22 November 2016 Families of people dying in intensive care need to receive personalised communication and ongoing support, and be involved in the dying process. Researchers gathered (...) evidence on how nurses care for patients and their families in intensive care when life-sustaining treatment is withdrawn. The included studies explored the care of the family before, during and after the process. Most of the studies in this small, mixed methods review were qualitative. Reviewers identified three main ways, or themes, in which families are supported. First, information and good communication, such as the focus on careful use of language, was seen commonly. Second, by careful management

NIHR Dissemination Centre2018

4. Nurses lack confidence in escalating or identifying children at risk of abuse and neglect

Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Signal - Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Dissemination Centre Discover Portal NIHR DC Discover Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Published on 6 December 2016 On the face of it, nurses are well placed to safeguard children, but asking them about their experiences reveals barriers which hinder (...) that role. The research points towards areas where support could help nurses fulfil their legal and ethical duties better. In a review of published qualitative research, including surveys, interviews and focus groups, nurses say they have insufficient confidence to report child abuse issues. They often feel a need to convince other professionals, viewed as above them in the hierarchy, before taking action. Some see child protection services as unhelpful; lacking faith that they will take appropriate

NIHR Dissemination Centre2018

5. Nurse staffing levels linked to reports of missed care in adult wards

Nurse staffing levels linked to reports of missed care in adult wards Nurse staffing levels linked to reports of missed care in adult wards Dissemination Centre Discover Portal NIHR DC Discover Nurse staffing levels linked to reports of missed care in adult wards Published on 10 July 2018 doi: Nurses are more likely to report omitting necessary care in acute inpatient wards when registered nurse staffing levels are low, even if there are additional healthcare assistants. Care categorised (...) as planning and communication is reported as missed more often than clinical care. NHS hospitals are responsible for ensuring that the number and skills mix of nursing staff matches patient needs. Previous reviews have shown links between lower registered nurse staffing levels and poor patient outcomes such as higher mortality. This review of 18 observational studies sought to clarify if measuring levels of reported ‘missed nursing care’ might partly explain these relationships. The findings

NIHR Dissemination Centre2018

6. Specialist nurses can manage heart failure drug dosing successfully

Specialist nurses can manage heart failure drug dosing successfully Signal - Specialist nurses can manage heart failure drug dosing successfully Dissemination Centre Discover Portal NIHR DC Discover Specialist nurses can manage heart failure drug dosing successfully Published on 9 February 2016 Use of specialist nurses to optimise drug dosages using protocols in people with heart failure was more effective than dose monitoring by other health professionals. These nurses had advanced practice (...) because outpatient appointments may be infrequent and some GPs are reluctant to increase drug doses due to concerns about potential side effects. Using specialist nurses to optimise dosing in frequent outpatient appointments or home visits, through protocols and consultation with cardiologists, reduced deaths and hospital admissions. It is not clear how much this may have been due to the increased number and frequency of appointments, the protocols used or improved communication with the cardiology

NIHR Dissemination Centre2018

7. Scheduling of night shifts for care and help-nurse personnel

Scheduling of night shifts for care and help-nurse personnel Scheduling of night shifts for care and help-nurse personnel We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Scheduling of night shifts for care and help-nurse personnel Share: Reading time approx. 4 minutes Association between non-standard work hours and employee health is well (...) documented. Individual characteristics of shift work such as shift length, total number of weekly hours, night work, rest opportunities may impact on employees’ job performance and wellbeing. Objectives To identify research on the characteristics of night shift work that influence employee’s wellbeing. To prevent negative health effect and stress on care and help nurse personnel. Table with identified studies Table 1. Systematic reviews Included studies Population Outcome Dall'Ora et al 2016 [1] 35

Swedish Council on Technology Assessement2018

8. Vital signs for frontline Nurses ? Early recognition of meningitis and septicaemia

Vital signs for frontline Nurses ? Early recognition of meningitis and septicaemia Endorsed by the Irish Nurses Organisation Early recognition of meningitis and sepsis* Vital signs for front line nurses Meningitis and sepsis can kill in hours. Sepsis and meningitis can occur on their own but often appear together. Meningococcal sepsis without signs of meningitis is far more life-threatening. Early recognition depends on knowing what to look for: Up to 30% of meningococcal sepsis cases start

Meningitis Research Foundation2018

9. Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study

Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find (...) the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Higher nurse staffing levels were associated with fewer missed observations, reduced length of stay and less adverse events, including mortality. {{author}} {{($index , , , , , , , , , , , , , , , & . Peter Griffiths 1, 2, * , Jane Ball 1, 2 , Karen Bloor 3 , Dankmar Böhning 4 , Jim Briggs 5 , Chiara Dall’Ora 1, 2 , Anya De Iongh 6 , Jeremy Jones 1 , Caroline Kovacs 5 , Antonello

NIHR HTA programme2018

10. Enhancing Health System Integration of Nurse Practitioners in Ontario

Enhancing Health System Integration of Nurse Practitioners in Ontario Rapid Synthesis Enhancing Health System Integration of Nurse Practitioners in Ontario 17 October 2018 McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Enhancing Health System Integration of Nurse Practitioners in Ontario 60-day response 17 October 2018 Enhancing Health System Integration of Nurse Practitioners in Ontario 2 Evidence >> Insight >> Action McMaster Health Forum The McMaster Health Forum’s (...) Gupta, Gurraman Mann, Eilish Scallan, Kartik Sharma, Abeera Shahid, and Sera Whitelaw. We are especially grateful to Denise Bryant-Lukosius and Nancy Carter for their insightful comments and suggestions. Citation Mattison CA, Wilson MG. Rapid synthesis: Enhancing health system integration of nurse practitioners in Ontario. Hamilton, Canada: McMaster Health Forum, 17 October 2018. Product registration numbers ISSN 2292-7999 (online)McMaster Health Forum 3 Evidence >> Insight >> Action KEY MESSAGES

McMaster Health Forum2018

11. Napping on night-shifts among nursing staff: A mixed-methods systematic review

Napping on night-shifts among nursing staff: A mixed-methods systematic review 30229998 2018 11 12 1365-2648 2018 Sep 19 Journal of advanced nursing J Adv Nurs Napping on night-shifts among nursing staff: A mixed-methods systematic review. 10.1111/jan.13859 To synthesize research on the influence of night-shift napping on nurses. Shift work is common for hospital nurses. Various studies corroborate that shift work causes adverse health consequences for nurses. Night-shift napping (...) and Cochrane Risk of Bias Tool were applied to assess the methodological quality of included studies. Twenty-two studies met our inclusion criteria. Many nurses experienced napping during their night-shift although no clear policy emerged. Napping is beneficial to the well-being of nurses and could improve their psychomotor vigilance and performance. However, the related studies are limited. The evidence on reducing sleepiness and fatigue was also insufficient and napping in nursing still faces challenges

EvidenceUpdates2018

12. Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2 diabetes: results from two large US cohorts of female nurses.

Rotating night shift work and adherence to unhealthy lifestyle in predicting risk of type 2 diabetes: results from two large US cohorts of female nurses. OBJECTIVES: To prospectively evaluate the joint association of duration of rotating night shift work and lifestyle factors with risk of type 2 diabetes risk, and to quantitatively decompose this joint association to rotating night shift work only, to lifestyle only, and to their interaction. DESIGN: Prospective cohort study. SETTING: Nurses (...) ' Health Study (1988-2012) and Nurses' Health Study II (1991-2013). PARTICIPANTS: 143 410 women without type 2 diabetes, cardiovascular disease, or cancer at baseline. EXPOSURES: Rotating night shift work was defined as at least three night shifts per month in addition to day and evening shifts in that month. Unhealthy lifestyles included current smoking, physical activity levels below 30 minutes per day at moderate to vigorous intensity, diet in the bottom three fifths of the Alternate Healthy Eating

BMJ2018 Full Text: Link to full Text with Trip Pro

13. Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study.

Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study. Background: Primary care provided by nurse practitioners (NPs) and physician assistants (PAs) has been proposed as a solution to expected workforce shortages. Objective: To examine potential differences in intermediate diabetes outcomes among patients of physician, NP, and PA primary care providers (PCPs). Design: Cohort study using data from the U.S. Department

Annals of Internal Medicine2018

15. Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study

Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study 30247773 2018 10 11 1532-5415 66 10 2018 Oct Journal of the American Geriatrics Society J Am Geriatr Soc Low-Dose Trazodone, Benzodiazepines, and Fall-Related Injuries in Nursing Homes: A Matched-Cohort Study. 1963-1971 10.1111/jgs.15519 To evaluate whether risk of fall-related injuries differs between nursing home (NH) residents newly dispensed low-dose trazodone and those newly dispensed (...) Program, Government of Canada Grant MOP-326559 Canadian Institutes of Health Research Canada Journal Article 2018 09 24 United States J Am Geriatr Soc 7503062 0002-8614 benzodiazepines fall-related injuries nursing home pharmacoepidemiology trazodone 2018 9 25 6 0 2018 9 25 6 0 2018 9 25 6 0 ppublish 30247773 10.1111/jgs.15519

EvidenceUpdates2018

16. The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis

The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis 30043462 2018 10 17 1365-2648 74 11 2018 Nov Journal of advanced nursing J Adv Nurs The effectiveness of exercise for fall prevention in nursing home residents: A systematic review meta-analysis. 2511-2522 10.1111/jan.13814 The aim of this study was to determine the effectiveness of exercise on fall prevention in nursing home residents. Nursing home residents have a high risk (...) of falling. No conclusive evidence exists on the effectiveness of exercise on fall prevention in nursing home residents. Systematic review and meta-analysis of randomized controlled trials. Databases of PubMed, Web of Science, EMBASE, Cochrane Central Register of Controlled Trials, Cumulative Index to Nursing and Allied Health Literature and China Biology Medicine were searched from inception to March 2017, with no language limitation. The review was conducted according to the guidelines of the Cochrane

EvidenceUpdates2018

17. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents 30306541 2018 10 11 1532-5415 2018 Oct 11 Journal of the American Geriatrics Society J Am Geriatr Soc Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents. 10.1111/jgs.15603 To examine the association between central nervous system (CNS) medication dosage burden and risk (...) % confidence interval (CI)=1.03-2.14). Those with 1.0 to 2.9 SDDs had a risk similar to that of those with 0 SDDs (aOR=1.03, 95%CI=0.72-1.48). Nursing home residents with a history of a fall or hip fracture receiving 3.0 or more CNS SDDs were more likely to have a recurrent serious fall than those taking no CNS medications. Interventions targeting this vulnerable population may help reduce serious falls. Published 2018. This article is a U.S. Government work and is in the public domain in the USA. Aspinall

EvidenceUpdates2018

18. NHS managers' use of nursing workforce planning and deployment technologies: a realist synthesis

NHS managers' use of nursing workforce planning and deployment technologies: a realist synthesis NHS managers' use of nursing workforce planning and deployment technologies: a realist synthesis Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue (...) {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This synthesis resulted in seven configurations that constitute a programme theory about what works to support NHS managers in the implementation of workforce planning and deployment technologies for nurse staffing. {{author}} {{($index , , , , , , , , , & . Christopher R Burton 1, * , Jo Rycroft-Malone 1 , Lynne Williams 1 , Siân Davies 1 , Anne McBride 2 , Beth Hall 1 , Anne-Marie Rowlands 3 , Adrian Jones 3 , Denise

NIHR HTA programme2018

19. Stopping Donepezil may be linked to nursing home placement for people with Alzheimer’s disease, but a “cause and effect” not conclusive

Stopping Donepezil may be linked to nursing home placement for people with Alzheimer’s disease, but a “cause and effect” not conclusive Signal - Stopping Donepezil may be linked to nursing home placement for people with Alzheimer’s disease, but a “cause and effect” not conclusive Dissemination Centre Discover Portal NIHR DC Discover Stopping Donepezil may be linked to nursing home placement for people with Alzheimer’s disease, but a “cause and effect” not conclusive Published on 11 December (...) 2015 This follow up study examined whether the drugs donepezil or memantine affected the chance that people with Alzheimer’s disease could continue to live in the community, rather than move permanently to a nursing home. One or both of the drugs was taken for a year and then participants could have any treatment thereafter. The study found that stopping donepezil doubled the risk of going into a nursing home up to a year afterwards, compared with continuing to take donepezil. However

NIHR Dissemination Centre2018

20. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units: A Randomized Clinical Trial.

Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units: A Randomized Clinical Trial. Importance: Nurses working in an intensive care unit (ICU) are exposed to occupational stressors that can increase the risk of stress reactions, long-term absenteeism, and turnover. Objective: To evaluate the effects of a program including simulation in reducing work-related stress and work-related outcomes among ICU nurses. Design, Setting (...) , and Participants: Multicenter randomized clinical trial performed at 8 adult ICUs in France from February 8, 2016, through April 29, 2017. A total of 198 ICU nurses were included and followed up for 1 year until April 30, 2018. Interventions: The ICU nurses who had at least 6 months of ICU experience were randomized to the intervention group (n = 101) or to the control group (n = 97). The nurses randomized to the intervention group received a 5-day course involving a nursing theory recap and situational role

JAMA2018