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At least 649 records · Page 36Linked to original sources
PubMed1997

The role of advanced practice nurses in surgical services.

Many of the changes in health care delivery systems have had detrimental effects on nurses; however, some of these same changes are providing opportunities for acute care advanced practice nurses. Advanced practice nurses ensure continuity of care, manage use of resources, and coordinate patient services, which often results in cost savings. This article describes how advanced practice nurses in the department of surgery at Memorial Health Care, Worcester, Mass, are caring for surgical patients with acute and chronic conditions.

Brain Neoplasms↗
PubMed1996

Women's health. The role of advanced practice nurses in the 21st century.

Advanced practice nurses have the capability of providing a variety of services in women's health care. The role and functions of certified nurse midwives, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists are discussed. Current issues and barriers to advanced practice nursing are presented and include role definitions and regulations, second licensure, educational level, prescriptive authority, third party reimbursement, admitting privileges, and malpractice reform. Future directions and recommendations are provided.

Female↗
PubMed2002

Practice nurses and clinical guidelines in a changing primary care context: an empirical study.

BACKGROUND: Practice Nurses form an increasingly large proportion of the English National Health Service primary care workforce and the delegation to them of clinical work from General Practitioners has attracted some academic attention. Central to this process are clinical guidelines, which provide the interface between the movement towards 'evidence-based practice' and a range of government-driven policy developments in primary care. AIMS: To identify the attitudes of practice nurses to clinical guidelines; to investigate the impact of guidelines on nurse/physician relationships; and to describe the impact of the changing primary care context on nurses. METHODS: We interviewed a sample of 29 Practice Nurses three times during a 16-month period to clarify their attitudes towards guidelines, their use of guidelines in practice and their assessment of guidelines' importance. We gathered further data on organizational culture and perceptions of national reforms of primary care structures. RESULTS: We found that practice nurses are generally supportive of clinical guidelines. Moreover, nurses' role and influence within primary care is in a process of transition to one in which they may undertake responsibility for influencing General Practitioners' clinical behaviour so as to adhere to guidelines. Practice nurses themselves recognize and welcome this, though with some reservations. CONCLUSIONS: Our findings support the proposal that explicit codification of the scientific basis of the work of lower paid groups may enhance their relative professional status.

Attitude of Health Personnel↗
PubMedDate not supplied

Advancing nursing practice: an evaluation study of Parse's theory of human becoming.

The purpose of this study was to evaluate the changes in nursing practice and the patient/family perspectives of nursing care when Parse's theory of human becoming was used as a guide for nursing practice in an acute care surgical setting. The patterns of transition in nursing practice were: understanding the unique contribution of nursing from a theoretical perspective; living value priorities to enhance quality of care for patients and families; shifting the focus of care from problems to the nurse-person relationship; finding meaning in nursing through reflection on self and others; supporting colleagues to move towards patient centred care; persisting with new ways while facing resistance to change; and enhancing personal and professional growth. It is evident from the positive patterns of change in nursing practice and patient and family experiences of nursing care that Parse's theory of human becoming is congruent with and supports patient centred nursing practice.

Aged↗
PubMed1992

Conceptual models and nursing practice: the reciprocal relationship.

There is a reciprocal relationship between conceptual models of nursing and nursing practice. Conceptual models influence clinical nursing practice by specifying standards for and purposes of practice; identifying relevant clinical problems, settings for practice, legitimate recipients of nursing care, and the content for the nursing process; suggesting methods for delivery of nursing services; and by providing frameworks for clinical information systems, patient classifications systems and quality assurance programmes. Nursing practice, in turn, provides data that can be used to determine the credibility of the conceptual models. Sources of data from clinical practice for credibility determination include evaluations of nursing interventions, the recipient's perspective of nursing care and quality assurance reviews.

Humans↗
PubMed1994

We are the stories we tell: narrative knowing in nursing practice.

In recent years, nurses have come to (re)value narrative knowing: the knowledge transmitted in the stories that human beings have told each other since the beginning. Narratives area generally understood to be stories with a certain dynamic structure and shape directed toward achieving wholeness, or health. In this article, the author considers why caregivers have become interested in narratives, the nature and function of stories for patients, the location of stories in the diagnostic and healing functions of the nurse, and the significance of stories for holistic nursing practice.

Autobiographies as Topic↗
PubMed2000

The Center for Advanced Nursing Practice evidence-based practice model: promoting the scholarship of practice.

The Center for Advanced Nursing Practice Evidence-Based Practice Model was developed for nurses engaged in clinical practice. It is a practice model, unifying various disciplines for best practice across settings in the care continuum. Each phase of the model's development is described in the manner in which it was used to guide a group of clinical nurse specialists. Clinical applications, ranging from systems- and organization-wide to unit- and population-specific initiatives are presented as selected articles following in this issue to support the efficacy of the model. Conceptually, the model engenders the heart of the practice and has made a difference in shaping the way clinicians think and the way they practice, individually and collectively. In turn, it has promoted the scholarship of practice in the care continuum across treatment settings.

Education, Nursing, Continuing↗
PubMed2006

Enhancing Success in Advanced Practice Nursing: a grant-funded project.

The Enhancing Success in Advanced Practice Nursing (ESAPN) Project is designed to improve access to a diverse and culturally competent and sensitive health professions workforce by increasing the number of Hispanic, African-American and Asian nurses recruited, enrolled in and graduated from the MSN program at the University of Medicine and Dentistry of New Jersey-School of Nursing (UMDNJ-SN). In addition, the project plan includes the development and implementation of a comprehensive program that incorporates academic support services, career advisement and mentoring activities to retain and graduate an increased number of culturally, racially and ethnically diverse advanced practice nurses for the State of New Jersey. The project also seeks to improve the quality of care by preparing advanced practice nurses to provide culturally competent and sensitive care by assuring that the MSN curriculum includes content and clinical experiences relevant to the development of cultural competence. Faculty participation in workshops, designed to increase knowledge of cultural competence, is a key component. The success of the project will be evaluated using a variety of measures that track increases in the number of diverse students recruited and enrolled, the number of students accessing services associated with the ESAPN program, and increased retention and graduation of Hispanic, African-American and Asian nurses prepared as advanced practice nurses.

Accreditation↗
PubMed1997

Teaching pharmacology to advanced practice nursing students: issues and strategies.

A pharmacology course should prepare the advanced practice nursing student to understand the cellular mechanisms of drug action and physiologic outcomes (pharmacodynamics); mechanisms of absorption, distribution, metabolism, and excretion of drugs (pharmacokinetics); and the clinical use of drugs in the diagnosis, prevention, and treatment of disease (pharmacotherapeutics). The goal of a pharmacology course for advance nursing practice is to provide practitioners with knowledge that provides a rational basis for pharmacologic management of patients with complex health problems. A pharmacology course should teach the student the principles of pharmacology along with the process of pharmacologic reasoning.

Curriculum↗
PubMed1998

Language, ideology, and nursing practice.

This article explores the ways in which nursing practice is shaped by language and ideology. It is based on an ethnographic study conducted at two general surgical units in one of the main acute care hospitals in Iceland. The data used were qualitative: transcribed semistructured interviews with registered nurses on two acute care units, field notes from a participant observation on the two units and contextual information from written documents, such as yearly reports from the hospital and newspaper articles. The main findings revealed a stark contrast between the two discourses noticed. The public discourse, observed at team meetings in giving reports and in the written documentation, was characterized by objectivity and distancing from patients' personal understandings. The style of presentation was distant and mechanical. The private discourse, which emerged in private discussions between staff on the units and in interviews with the researcher, reflected the nurses' attempts to understand each patient's situation and outlook on life. This discourse was much more engaged, reflecting the nurses' energy and interest in being of assistance. By highlighting the difference between private and public discourses, this study provides important insight into the complex ways in which language and power interact to create different conditions for nursing practice. Based on these findings inferences are made as to how nursing practice is shaped by ideology.

Anthropology, Cultural↗
PubMedDate not supplied

Use of nursing practice research findings.

Fourteen nursing research findings that meet the Conduct and Utilization of Research in Nursing (CURN) Project (1982) criteria for clinical use were identified from research journals and CURN publications. Data collected from 216 practicing nurses in small, medium, and large hospitals were analyzed to determine their awareness of, persuasion about, and use of the findings. The majority of nurses were aware of the average innovation, were persuaded about it, and used the average innovation at least sometimes. Use of the innovations had no relationship to hospital policies or procedures concerning the nursing research findings.

Attitude of Health Personnel↗