Transmission of hepatitis C from a midwife to a patient through non-exposure prone procedures.
J Med Virol. 2014 Feb;86(2):235-40
Authors: Muir D, Chow Y, Tedder R, Smith D, Harrison J, Holmes A
A woman developed acute hepatitis C (HCV) infection 2 months after delivering her baby at a London Hospital. The other patients who had been on the unit at the same time all had negative HCV serology antenatally. Testing of the healthcare workers who had been involved in this patient's care revealed that one of the midwives who only worked on the postnatal unit was chronically infected with the same viral genotype. Sequencing and phylogenetic analysis revealed close identity between the viruses from the two individuals. Although, the midwife had only performed non-exposure prone procedures including venepuncture and cannulation, our findings indicate that transmission of the virus had occurred from the healthcare worker to the patient. The potential implications of this case within the setting of national policy on blood borne viruses and healthcare workers are discussed.
PMID: 24166559 [PubMed - indexed for MEDLINE]
A health policy resource guide for nurses.
J Contin Educ Nurs. 2014 May;45(5):203-4
Authors: Falk NL
This column helps nurses and advanced practice nurses learn why it is essential to engage in health policy. It also supports readers in their efforts to discover new understanding and take action.
PMID: 24801823 [PubMed - indexed for MEDLINE]
Core communication competencies in patient-centered care.
ABNF J. 2014;25(2):40-5
Authors: Boykins AD
Effective communication between the patient and nurse is an essential requirement for nursing practice and for patient-centered care. Nursing faculty that teach in undergraduate and graduate nursing programs play a significant role in preparing the nursing workforce to communicate effectively and provide patient-centered care. Patient-centered care, interprofessional collaboration, and informatics are necessary knowledge, skills, and attitudes for nurses across educational levels in order to meet the needs of patients, and improve the quality and safety of the health care system environment. The focus of this article is to provide information on core nursing competencies for effective communication and to discuss communication tools used in patient-centered care, interprofessional collaboration, and informatics.
PMID: 24855804 [PubMed - indexed for MEDLINE]
Caveat evidence: be a discriminating scrutinizer of health care information.
Crit Care Nurse. 2013 Aug;33(4):11-7
Authors: Alspach JG
PMID: 23908165 [PubMed - indexed for MEDLINE]
Mother lodes and mining tools: big data for nursing science.
Nurs Res. 2014 May-Jun;63(3):155
Authors: Henly SJ
PMID: 24785242 [PubMed - indexed for MEDLINE]
Transitioning to ICD-10.
Urol Nurs. 2014 Jan-Feb;34(1):29-32, 37
Authors: Talebian S
PMID: 24716378 [PubMed - indexed for MEDLINE]
The Connected Age and the 2014 Horizon Report.
Nurs Educ Perspect. 2014 Mar-Apr;35(2):131-2
Authors: Skiba DJ
PMID: 24783732 [PubMed - indexed for MEDLINE]
Hormonal contraception and headaches: what are the prescriber's options?
Nurse Pract. 2013 Dec 10;38(12):32-7; quiz 37-8
Authors: Hellier S
This article will review evidence-based hormonal contraception prescribing options in the primary care setting for reproductive age women who experience headaches. Safe prescribing of hormonal contraception requires the nurse practitioner to be able to differentiate between the common primary headache phenotypes, such as the migraine and the tension-type headache.
PMID: 24177025 [PubMed - indexed for MEDLINE]
Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare.
AMIA Annu Symp Proc. 2013;2013:1353-61
Authors: Topaz M, Shalom E, Masterson-Creber R, Rhadakrishnan K, Monsen KA, Bowles KH
Homecare is the fastest growing healthcare sector and evidence based information systems are critically needed. Nurses provide most of the care in homecare setting, yet there is a lack of knowledge on the feasibility of applying existing methodologies to generate computer interpretable nursing guidelines for home care. This study examined the feasibility of encoding homecare nursing heart failure guideline into a computer interpretable format. First, we achieved experts' consensus on the relevant guideline. Then, after training on the graphical tool for gradual knowledge specification (Gesher), we generated a comprehensive, hierarchical and time-oriented computer interpretable guideline using one of the guideline modeling languages (Asbru). The final guideline included 167 recommendations and experts' evaluation confirmed the adequacy of guideline knowledge representation. Future work should expand the applicability of our methodology and tools to nursing specialties other than heart failure and develop methods for comprehensive quality evaluation of the resulting guidelines.
PMID: 24551412 [PubMed - indexed for MEDLINE]
Collaborative development and maintenance of health terminologies.
AMIA Annu Symp Proc. 2013;2013:572-7
Authors: Hardiker N, Kim TY, Bartz CC, Coenen A, Jansen K
The quest for a standardized terminology that can meet the varying needs of healthcare practice, and requirements for secondary use, is ongoing. The number of potential users and the number of potential uses for standardized terminologies make collaborative development, rather than the traditional de jure approach, an imperative, and there appears to be significant worldwide interest in this area. In this article we describe an initiative of the International Council of Nurses (ICN), ICNP C-Space (Collaborative Space), which utilized a social media platform to encourage and facilitate global collaborative development of its terminology, the International Classification for Nursing Practice (ICNP(®)). We report on several years of experience of managing the platform and provide valuable lessons on collaborative terminology development. Our experience suggests that web-based platforms such as ICNP C-Space certainly offer the promise of a broader, wider-reaching, and more inclusive community of contributors to the terminology development process. However, there are also potential limitations for which we provide practical recommendations.
PMID: 24551359 [PubMed - indexed for MEDLINE]
A pilot study to explore the feasibility of using theClinical Care Classification System for developing a reliable costing method for nursing services.
AMIA Annu Symp Proc. 2013;2013:364-71
Authors: Dykes PC, Wantland D, Whittenburg L, Lipsitz S, Saba VK
While nursing activities represent a significant proportion of inpatient care, there are no reliable methods for determining nursing costs based on the actual services provided by the nursing staff. Capture of data to support accurate measurement and reporting on the cost of nursing services is fundamental to effective resource utilization. Adopting standard terminologies that support tracking both the quality and the cost of care could reduce the data entry burden on direct care providers. This pilot study evaluated the feasibility of using a standardized nursing terminology, the Clinical Care Classification System (CCC), for developing a reliable costing method for nursing services. Two different approaches are explored; the Relative Value Unit RVU and the simple cost-to-time methods. We found that the simple cost-to-time method was more accurate and more transparent in its derivation than the RVU method and may support a more consistent and reliable approach for costing nursing services.
PMID: 24551343 [PubMed - indexed for MEDLINE]
[Interactive digital applications, social research and professional applications].
Soins. 2014 Mar;(783):63-4
Authors: Cazellet L
PMID: 24761527 [PubMed - indexed for MEDLINE]
Participatory design of an integrated information system design to support public health nurses and nurse managers.
Public Health Nurs. 2014 Mar-Apr;31(2):183-92
Authors: Reeder B, Hills RA, Turner AM, Demiris G
OBJECTIVES: The objectives of the study were to use persona-driven and scenario-based design methods to create a conceptual information system design to support public health nursing.
DESIGN AND SAMPLE: We enrolled 19 participants from two local health departments to conduct an information needs assessment, create a conceptual design, and conduct a preliminary design validation.
MEASURES: Interviews and thematic analysis were used to characterize information needs and solicit design recommendations from participants. Personas were constructed from participant background information, and scenario-based design was used to create a conceptual information system design. Two focus groups were conducted as a first iteration validation of information needs, personas, and scenarios.
RESULTS: Eighty-nine information needs were identified. Two personas and 89 scenarios were created. Public health nurses and nurse managers confirmed the accuracy of information needs, personas, scenarios, and the perceived usefulness of proposed features of the conceptual design. Design artifacts were modified based on focus group results.
CONCLUSION: Persona-driven design and scenario-based design are feasible methods to design for common work activities in different local health departments. Public health nurses and nurse managers should be engaged in the design of systems that support their work.
PMID: 24117760 [PubMed - indexed for MEDLINE]
Kennedy Axis V: Clinimetric properties assessed by mental health nurses.
Int J Ment Health Nurs. 2013 Oct;22(5):453-64
Authors: Faay MD, van de Sande R, Gooskens F, Hafsteinsdóttir TB
The Kennedy Axis V is a routine outcome measurement instrument which can assist the assessment of the short-term risk for violence and other adverse patient outcomes. The purpose of this study was to evaluate the interrater reliability and clinical utility of the instrument when used by mental health nurses in daily care of patients with mental illness. This cross-sectional study was conducted in inpatient and outpatient adult psychiatric care units and in one adolescent inpatient unit at a university hospital in the Netherlands. Interrater reliability was measured based on the independent scores of two different nurses for the same patients. The clinical utility of the instrument was evaluated by means of a clinical utility questionnaire. To gain a deeper understanding of rating difficulties at the adolescent unit, additional data were collected in two focus group interviews. The overall results revealed a substantial level of agreement between nurses (intraclass correlation coefficient and Pearson 0.79). Some rating challenges were identified, including difficulties with scoring the instrument and using tailor-made interventions related to the scores. These challenges can be resolved using refined training and implementation strategies. When the Kennedy Axis V is accompanied by a solid implementation strategy in adult mental health care, the instrument can be used for short-term risk assessment and thereby contribute in efforts to reduce violence, suicide, self-harm, severe self-neglect, and enhanced objectivity in clinical decision-making.
PMID: 23211020 [PubMed - indexed for MEDLINE]