The Nursing clinics of North America
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Transgender individuals are at an increased risk of experiencing health inequalities, such as anxiety, depression, and HIV. It is important that providers and staff in the health care setting are prepared to care for this population to ensure best patient outcomes. ⋯ Developing an understanding of potential gender-affirming treatments and surgeries also optimizes patient care. Improving the quality care will reduce health disparities commonly faced by the transgender population.
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Nurs. Clin. North Am. · Mar 2019
ReviewImpact of Nurse-Led Interprofessional Rounding on Patient Experience.
Interprofessional collaborative practice (IPCP) was recommended to improve siloed and fragmented patient care. The Institute of Medicine recommended nurses lead this change through innovative models of patient-centered care and IPCP participation. ⋯ Outcomes were analyzed using Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores to examine patient experience. Postimplementation results demonstrate an increase in HCAHPS patient experience scores for this patient population above hospital and national average.
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Nurs. Clin. North Am. · Mar 2019
ReviewEvaluation of Telemetry Utilization on Medical-Surgical Units.
Alarm fatigue is the most common contributing factor in alarm-related sentinel events. Researchers have demonstrated a 35% overuse of telemetry, a key factor in alarm fatigue. ⋯ Practice patterns were reviewed to determine if they aligned with the American Heart Association evidence-based practice guidelines for telemetry monitoring and whether the order indication was congruent with the patient's clinical status. Nurse's attitudes and practices related to alarm safety were evaluated.
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Nurs. Clin. North Am. · Sep 2017
ReviewImpaired Mobility and Functional Decline in Older Adults: Evidence to Facilitate a Practice Change.
The Centers for Medicare and Medicaid services report nearly 55% of Medicare beneficiaries older than 85 experience impaired mobility and nearly 28% (n = 671,833) of these individuals have difficulty getting help. Impaired mobility is a precursor to disability, which has notable clinical significance and importance to older adults. Using case exemplars of older adults who have experienced a "serious" fall, along with evidence-based research, the physical, psychosocial, emotional, and clinical consequences are discussed, along with assessment parameters and interventions for maximizing function and early mobility.
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Nurs. Clin. North Am. · Sep 2017
ReviewClinical and Community Strategies to Prevent Falls and Fall-Related Injuries Among Community-Dwelling Older Adults.
Falls in older adults are the result of several risk factors across biological and behavioral aspects of the person, along with environmental factors. Falls can trigger a downward spiral in activities of daily living, independence, and overall health outcomes. ⋯ A multifactorial comprehensive clinical fall assessment coupled with tailored interventions can result in a dramatic public health impact, while improving older adult quality of life. For community-dwelling older adults, effective fall prevention has the potential to reduce serious fall-related injuries, emergency room visits, hospitalizations, institutionalization, and functional decline.