Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “nursing practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 541 records · Page 30Linked to original sources
PubMed1997

The psychiatric advanced practice nurse with prescriptive authority: role development, practice issues, and outcomes measurement.

Within the rapidly changing health care system, there is an increased need for professionals who can provide cost-effective primary health care for mentally ill patients. This article discusses the role of the Psychiatric Advanced Practice Nurse (APN) with Prescriptive Authority as a cost-effective, high-quality component of comprehensive mental health care delivery. Historical aspects of the development of the Nurse Practitioner (NP) role are discussed, as well as issues specific to the role in psychiatric nursing. The implementation of this role at Rochester is described, followed by recommendations for studying the impact of the psychiatric NP on care delivery, including process and outcome variables.

Cost-Benefit Analysis↗
PubMedDate not supplied

Impact of educational preparation on entry into nursing practice.

There are currently three educational routes for entering nursing practice, and all three routes provide eligibility to take state examinations for registered nurse licensure. The pros and cons of each of the types of nursing education programs--associate degree, diploma, and baccalaureate in nursing--are discussed. If the current system is retained, the graduates of the different programs must be clearly identified, since their education has prepared them for different levels of responsibility, and they must be employed in appropriate roles. There are options, however, to retaining this system: implement a dual entry system with the associate degree for entry into technical nursing practice and the baccalaureate for entry into professional nursing practice, or implement a single entry system with the baccalaureate as the prerequisite for entry into nursing practice.

Clinical Competence↗
PubMed1995

The practice nurse: roles and perceptions.

In the winter of 1992, a postal survey was conducted on all practice nurses in Gateshead, England. The aim of the research was to describe the work of practice nurses (nurses working with and employed by general practitioners), with particular reference to health promotion and communication, and to explore the practice nurses' perceptions of their roles. The research found little conformity about what practice nurses do, apart from practical tasks. This confirms the essentially practical nature of their work, with poor role definition with regard to screening, health promotion and prevention. Training was found to vary, indicating a need for improvement. Women's health and surveillance of the health of elderly people were used to illustrate these issues. A wide consensus was found about what tasks are appropriate to practice nurses, indicating either that the list of tasks used in the survey accurately describes their potential role or that they are prepared to perform most tasks. Practice nurses perceive themselves as the specialists in health promotion although it was not possible to gain an understanding of whether they had a conception of the wider issues involved, which illustrated a limitation of survey methods. The information obtained will be relevant in the debate about the future of practice nurses, as well as the future of primary health care services in general.

Adult↗
PubMed1993

Attitudes towards practice nurses--survey of a sample of general practitioners in England and Wales.

Practice nursing has expanded rapidly since the 1990 contract for general practitioners. In 1990, a national survey was undertaken of the attitudes of a random sample of general practitioners towards practice nurses. Responses to the postal questionnaire were received from 41.9% of the 4800 general practitioners sampled. Of the responding general practitioners, 90.0% were satisfied with the role of the practice nurse within their practice. To fulfil the requirements of the 1990 contract for general practitioners 50.7% had created a new nursing post, and 83.1% had expanded the role of nurses already employed; 89.7% wished to see further expansion of the practice nurse's role. However, lack of space was the factor most frequently reported as limiting the expansion of the practice nurse's role, mentioned by 76.0% of general practitioners. Only 43.7% of general practitioners recognized lack of opportunities for practice nurse training as a hindrance to role expansion. The key to managing the expansion of the role of the practice nurse lies in the provision of resources and in training. A pressing need exists for a national training scheme based in general practice.

Attitude of Health Personnel↗
PubMed1995

Regulation of advanced nursing practice: Part One--Second licensure.

PURPOSE: To present an overview of the issues relating to second licensure and advanced nursing practice in oncology and to summarize recommendations regarding second licensure from the State-of-the-Knowledge Conference on Advanced Practice in Oncology Nursing. DATA SOURCES: Published journal articles, a position paper and survey prepared by the National Council of State Boards of Nursing, and papers presented at the conference. DATA SYNTHESIS: The use of second licensure to regulate advanced nursing practice is controversial and has advantages and disadvantages. CONCLUSIONS: The Oncology Nursing Society should not adopt a position on second licensure until more is known about its advantages and disadvantages. IMPLICATIONS FOR NURSING PRACTICE: Advanced practice nurses must understand how licensure laws affect their scope of practice, their prescriptive authority, reimbursement, and other practice issues.

Drug Prescriptions↗
PubMed2001

Advance practice nursing in heart transplantation.

This article describes the role of the advanced practice nurse in the field of cardiac transplantation. A brief review of the history of cardiac transplantation is presented. The role of advanced practice nursing is evolving and changing to meet patients' needs in an increasingly complex health care environment. The advanced practice nurse is uniquely qualified to meet those needs in a variety of roles and settings. The advanced practice nurse maybe a clinical nurse specialist, nurse practitioner, nurse mid-wife, or nurse anesthetist. Each role must include the element of clinical practice in order to be considered advanced practice nurse described in this article. The advanced practice nurse was a clinical nurse specialist in the role of cardiac transplant coordinator. This role comprises the sub-roles of educator, clinician, consultant, researcher, and administrator. The responsibilities and challenges of each sub-role are discussed. Suggestions for the direction of future practice are also presented.

Consultants↗
PubMed1992

Caught in the middle. A profile of licensed practical nurses in home care.

Licensed practical nurses are the smallest major segment of the home care industry, providing services with registered nurses and home care aides. Although they report high job satisfaction, LPNs are caught at a middle stage in the health care system. With new demographics, labor market considerations, and recruitment experiences, this report points out the discrepancy between the stalled LPN status and their industry growth.

Data Collection↗
PubMed1997

[Goodness in nurse's heart matters. What is goodness in nursing practice?].

Manifestation of goodness in nursing has been researched very little contrary to good care. This article is based on a Master's thesis the aim of which is to describe goodness in nursing as it is experienced by a nurse. The research is qualitative and based on the phenomenological philosophy of science in which the truth is understood through an individual experience. The research method is developed by Paterson and Zderad. There were 15 nurses who participated in the research and the following results were derived from their essays. Life experience and prevailing values of society influence on the nurse's values which are reflected in nursing practice. The nurse's sensitivity, maturity, flexibility, hardiness and ability to grow combined with technical skills facilitate goodness. Goodness is an open relationship with another people. In this constantly living relationship closeness, listening by heart and willingness to bring good to the other people exist simultaneously.

Empathy↗
PubMed2001

An evaluation of a local clinical supervision scheme for practice nurses.

This paper presents the findings of an evaluation of a local clinical supervision scheme for practice nurses in Leicestershire, UK. A baseline and a follow-up postal questionnaire were sent to all practice nurses (including supervisors) and general practice senior partners to find out how far the objectives of the local scheme had been met during the first year of implementation. Two focus groups gathered qualitative data about the process of implementation. Twelve months after implementation 12% of practice nurses and over two thirds of GPs reported that they were unaware of the scheme. Forty-three percent of practice nurses did not know who their local supervisor was; most reported that they would like to have known. Eighteen percent of practice nurses reported uptake of supervision through the local scheme. The benefits of involvement were professional development tailored to individual learning needs and regular opportunities to share work-related problems with peers; about a third reported benefits for the practice as well. The existing availability of peer support and time needed to undertake clinical supervision were common reasons given for non-involvement in the scheme. Misconceptions about the purpose of clinical supervision presented further obstacles. At follow-up over half of the practice nurses remained undecided about their future involvement in the scheme. If the benefits associated with clinical supervision are to be realized, the obstacles that currrently hinder practice nurses' involvement need addressing.

Attitude of Health Personnel↗
PubMedDate not supplied

[International classification of nursing practice (ICNP): introduction].

The identification and organization of nursing practice, or concerns that are the focus to nursing practice are the primary aim of the International Classification for Nursing practice (ICNP) that is being developed by the International Council of Nurses (ICN). In this article we like to present to you some background information about the ICNP, so that you can get familiar with this new development and gain some insight about its importance. We start with the beginning and the history of ICNP, and explain why we need it. Next we will discuss the objectives and current ICNP programme. Then we will present you a broad outline of the ICNP Beta version and some first experiences about the practicability and usefulness of it. At the end we will present some closing remarks.

Internationality↗
PubMed1996

Nurse practice centers in academia: an emerging subsystem.

Nurse practice centers have been instituted by numerous schools of nursing throughout the United States. This study was done in part to better identify their components as well as the forces constraining and stimulating their development. General systems theory was used as the theoretical base. Academically-based nursing centers were identified as a subsystem of both the health care system and the higher education system in America. As a subsystem of both of these systems, the nurse practice center operated by a school of professional nursing represents an entity that has the capacity to foster all components of professional nursing including scholarly practice, education and research. Forty such centers were found to be sites for a wide variety of care, research and learning involving faculty and students. Forces stimulating the development of such centers were faculty clinical practice, clinical learning experiences and service opportunities. Constraining forces were time management and role ambiguity. Faculty members' job satisfaction correlated significantly with the budget at the .007 level.

Ambulatory Care Facilities↗
PubMed1994

Advanced practice nurses' application of the Stetler model for research utilization: improving bereavement care.

PURPOSE: To describe the role of the advanced practice nurse in applying the Stetler Model for Research Utilization, to demonstrate advanced practice nurse use of the model as applied to improving bereavement care, and to discuss problems and opportunities that advanced practice nurses encountered when applying a research utilization model to a clinical problem. DATA SOURCES: Published articles identified through computerized literature searches; both assessment- and intervention-focused research articles were selected for review if the study populations and settings were comparable to those of the authors and the research design used was experimental or quasi-experimental. DATA SYNTHESIS: The Stetler model guided formal review of selected research reports for applicability and feasibility of translation into clinical practice. Final recommendations were made for departmental implementation to improve bereavement care. CONCLUSIONS: The Stetler model facilitates implementation of research findings into clinical nursing practice, practice change recommendations based on research utilization can be both clinical and organizational in nature, and advanced practice nurses have an important departmental role to play in a formal research utilization process. IMPLICATIONS FOR NURSING PRACTICE: Advanced practice nurses are ideally suited for leadership roles in the research utilization process; however, research utilization task forces require that individuals who already face multiple demands on their clinical time invest a significant amount of time. Despite this, it is advantageous for advanced practice nurses to adopt and apply a formal research utilization model in their practice.

Bereavement↗
PubMed2002

The role of the advanced practice nurse in anticoagulation.

The advanced practice nurse is uniquely qualified to act as a consultant and specialist in the field of anticoagulation at an acute care hospital. The advanced practice nurse acts at both a system level and a patient care level to improve anticoagulation with low-molecular-weight heparins, heparin, and warfarin through education, research, quality improvement initiatives, and patient care management.

Anticoagulants↗