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PubMed2005

The relevance of standards of professional school nursing practice.

This descriptive correlational study assessed school nurses' knowledge of and perceived relevance of the Standards of Professional School Nursing Practice. Of the 1,162 Ohio school nurses sent questionnaires, 345 returned usable questionnaires (30%). The typical respondent was a 50-year-old Caucasian woman with 24 years of nursing experience, 12 years of school nursing experience, and a caseload of 3 public schools serving 1,500 students. Factors that positively related to the school nurses' knowledge and perceptions of the relevance of the standards were age, advanced degree preparation, school nursing experience, and practicing in a metropolitan area. Factors that negatively related to knowledge and perceived relevance were practicing in a rural area and caseload of special needs students. Standards of practice provide a mechanism for defining and supporting practice roles for nurses. Thus, it is important to increase awareness and use of the standards, especially among school nurses practicing in rural areas.

Adult↗
PubMed2005

A short report: survey of practice nurses' attitudes towards giving smoking cessation advice.

BACKGROUND: Although practice nurses play an important role in implementing smoking cessation strategies in primary care, relatively little is known of their attitudes and beliefs about giving smoking cessation advice. OBJECTIVES: To describe practice nurses' attitudes towards giving smoking cessation advice. METHODS: 152 of 200 (76%) practice nurses randomly selected from Medical Research Council General Practice Research Framework records completed a postal survey. The Attitudes to Smoking Cessation Advice Questionnaire was used. RESULTS: Overall, nurses were enthusiastic about giving smoking cessation advice and perceived such advice as effective. Nurses who were non-smokers perceived such advice as more effective than current smokers, as did those who had been trained in smoking cessation, who were also more enthusiastic than those who had not been trained. CONCLUSION: Training all practice nurses in smoking cessation, and offering nurses who smoke effective smoking cessation services, is likely to help achieve Government targets for smoking cessation.

Adult↗
PubMed2004

Promoting professional oncology nursing practice through position papers.

The position papers discussed in this article emphasize issues that relate to the clinical practice of oncology nursing and focus on promoting nursing roles, decreasing barriers to nursing practice, and address issues pertinent to nursing education and research. Position papers are not only helpful for advocating policy change with government and regulatory bodies, but nurses can use them to directly improve their work environments.

Ambulatory Care↗
PubMedDate not supplied

Nursing practice and the National Cholesterol Education Program guidelines for detecting, evaluating, and treating high blood cholesterol in adults.

Recently published guidelines, The Report of the Adult Treatment Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, have tremendous implications for the practice of nursing. This paper presents key elements from that report and discusses how these guidelines can be used to enhance clinical practice among nurses treating and counseling patients with elevated blood cholesterol levels. In addition to discussing the major treatment modalities of diet and drugs, this paper considers implications for nurses working with Black patients.

Adult↗
PubMed1993

Federal reimbursement of advanced practice nurses' services empowers the profession.

In recent years, advanced practice nurses have achieved authority for the direct payment of their services under the four federal health programs--Medicare, Medicaid, Civilian Health and Medical Program of Uniformed Services, and the Federal Employee Health Benefit Plan. This article describes the importance of direct reimbursement and the barriers that have been overcome in achieving reimbursement. It also gives an overview of how advanced practice nurse services are covered and paid for in the federal programs. Increased authority has positioned nurses as visible members of the health care team. Direct payment for advanced practice nurses' services promotes public visibility for their role as direct providers of primary care and as managers of their patients' plan of care. Our nation is in an era of health care reform where additional primary care practitioners are needed. Recognition of advanced practice nurses allows them to be seen as a solution to our nation's pressing need for more primary care providers.

Financing, Government↗
PubMed1996

The advanced practice nurse and physician relationship: considerations for practice.

Although physician and nurse relationships have traditionally been a challenge, evolving changes in health care delivery offer the advanced practice nurse (APN) on opportunity to redefine the scope. Several issues will have an impact on this course. Initially, the condition of employment, as well as the physician's perception of the APN's role and the physician's commitment to role preservation, will be primary influences. Secondary factors include defining the role, scope of practice, and mechanisms for practice evaluation. This process will require and ongoing dialogue and selected strategies to develop and maintain physician relationships.

Humans↗
PubMed1993

Regulation of advanced nursing practice: one state's approach.

The concept of advanced nursing practice varies widely in interpretation and regulation. The economic, societal, and political forces affecting change in the U.S. health care delivery system have heightened the public's interest in alternative approaches to health care. Traditional acts of medicine increasingly overlap with those of other providers, such as nurse practitioners, nurse midwives, nurse anesthetists, and clinical nurse specialists. Crucial challenges face state Boards of Nursing as they balance their public protection responsibilities with their support of the evolution of nursing practice. This article provides information regarding the national approach to the regulation of advanced practice nursing, followed by an overview of one state's approach to this issue.

Certification↗
PubMed1988

The integration of HIV testing and counseling into nursing practice.

Historically, registered professional nurses have responded to the health care needs of the community in a variety of roles. Practitioner, educator, administrator, consultant, or researcher--health promotion and prevention have served as an integral part of nursing practice. With the emergence this decade of HIV infection, nurses are responding with much needed education, skill, expertise, and care.

AIDS Serodiagnosis↗
PubMed1995

Clarification of advanced nursing practice: characteristics and competencies.

Although the term advanced nursing practice has been used extensively to describe the practice of the CNS, it is difficult to find a clear definition of the term. The role has been articulated as a constellation of subroles: clinician, educator, researcher, and consultant. However, describing various subroles does not capture the broader picture of the CNS's contribution to health care delivery. This has lead to discussions among faculty of one university regarding the need to clarify advanced nursing practice as the first step in redesigning the educational preparation for the CNS as an advanced nurse practitioner. In this article, an overview of advanced practice is provided, differences in practice levels are discussed, and characteristics and competencies inherent to advanced nursing practice are delineated. How these characteristics and competencies interact to present a picture of advanced nursing practice is illustrated in a case study.

Aged↗
PubMedDate not supplied

Cancer genetics and nursing practice: what every gastroenterology nurse needs to know.

Most nurses will care for and provide health information about cancer to a patient at some point in their careers. Cancer care will change dramatically in the coming years as a result of the translation of information gained from the Human Genome Project into clinical practice and the enhanced understanding of cancer at a molecular level. A select group of cancers, known as hereditary cancers, result from mutations in the germline that confer a greatly increased lifetime risk of developing cancer. Advances in technology and discoveries stemming from the Human Genome Project now provide the means to test individuals for the presence of mutations associated with some known hereditary cancer syndromes. Of particular importance to gastroenterology nurses are hereditary colorectal cancer syndromes. Although many ethical, legal, and psychosocial issues associated with testing remain unresolved, predisposition genetic testing is having a significant impact on health care. Nurses will have vital roles in the future assessing patients and their family members for increased cancer risk, educating them about the availability of testing, making referrals for cancer genetic counseling and risk assessment, and providing follow-up care in the community for patients found to be at increased risk.

Colorectal Neoplasms↗
PubMed1994

Planning an independent nursing practice for continence services.

Nurses are assuming greater leadership in the field of continence care. Many of the services necessary to assess and manage incontinence can be provided through an independent nurse practice. With advanced practice NP skills and a desire to be an entrepreneur, this article provides a guideline for conceptualizing and organizing an independent practice for managing urinary incontinence.

Humans↗
PubMed1999

The success of an integrated care programme for patients with ischaemic heart disease: the practice nurses' perspective of SHIP.

Follow-up care of patients with angina and myocardial infarction after hospital discharge is known to be suboptimal across the UK. The employment of cardiac liaison nurses ensured timely notification of hospital discharge and good communication of each patient's current and planned care. The direct ongoing support of the liaison nurse was valued by more practice nurses than educational support meetings and the initial counselling skills course. The most important factor which enabled practice nurses to expand their role to provide post-hospital follow-up care was the support of the doctors in the practice. After the conclusion of the Southampton Heart Integrated Care Project (SHIP) and the withdrawal of cardiac liaison nurses, the lack of hospital discharge notification was the most important reason for practice nurses discontinuing follow-up care.

Aftercare↗
PubMed1991

Perceived needs of general practitioners and practice nurses for the care of diabetic patients.

This study compared the aims and needs of General Practitioners (GPs) and practice nurses who wished to improve the service they provided for non-insulin-treated diabetic patients. Contact was made with 242 GPs in 110 practices in Central and North Nottingham, and a questionnaire was sent to the 149 (62%) who requested one. Completed questionnaires were returned by 110 (74%) of these, and by 48 (80% of 60) of their practice nurses. Only 19 GPs ran a specific diabetic clinic, but nearly all (95%) wanted to improve the service they provided for diabetes care. In doing so, many wished for involvement of opticians, chiropodists, and dietitians, and all wished to involve the practice nurse. The need for involvement of hospital-based diabetes specialist nurses was perceived by only 37% GPs. More than two-thirds (69%) of practice nurses wanted more input into the care of diabetes. Both GPs and practice nurses felt that the role of the practice nurse should include screening for complications, although there was some disagreement about the extent of this involvement. GPs envisaged that patient education would be a major problem in establishing a diabetes service, but only 58% identified education as a task that could be accomplished by the practice nurse.

Attitude of Health Personnel↗
PubMedDate not supplied

The advanced practice nurse in gastroenterology serving as patient educator.

The role of the advanced practice nurse is evolving in the specialty of gastroenterology, requiring flexibility and an openness to change on the part of the practitioner. The gastroenterology advanced practice nurse performs history and physical assessments, orders diagnostic studies, determines medical and nursing diagnoses, prescribes and evaluates pharmacologic and other therapeutic regimens, manages followup care, and evaluates patient outcomes. The advance practice nurse also provides patient, family, and group education and screening programs. Collaboration with other healthcare professionals; serving as a mentor and as a consultant; participating in continuing education, research and quality management; and providing professional leadership underscore the professional aspects of advance practice nurse activities. The focus of this article is the educational role of the advanced practice nurse. The body of knowledge applicable to the educational role is discussed, in addition to contributory professional activities.

Aftercare↗
PubMedDate not supplied

Nurses' attitudes toward control over nursing practice.

A random sample of 323 nurses registered in Illinois was used to examine nurses' attitudes toward nurse control over nursing practice. Most supported nurse autonomy, independent practice, and third-party reimbursement, though a fairly sizable minority did not, particularly with regard to independent practice. Regression analyses found that favorable attitudes were associated with a more college-based initial nursing program, a more recent year of initial licensure, a greater attachment to the labor force, and a stronger commitment to a nursing career. Neither family status, current employment situation, nor future career plans had any significant effect.

Adult↗
PubMedDate not supplied

Editing a nursing practice book.

Publishing a nursing practice book can be an exciting challenge for the critical care nurse who identifies a gap in the literature. This article provides information on how to produce an edited book from the starting point to successful publication. Identifying a book idea, selecting chapter authors, finding a publisher, writing a prospectus, the editing process, production, and marketing the book are discussed. Examples drawn from the authors' experiences in editing a transplantation nursing book are provided, as well as comments from other book editors.

Books↗