22 results
Search Results
2. Impact of SBAR on Nurse Shift Reports and Staff Rounding.
- Author
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Cornell, Paul, Townsend Gervis, Mary, Yates, Lauren, and Vardaman, James M.
- Subjects
ANALYSIS of variance ,COMMUNICATION ,MEDICAL communication ,EMPLOYEES ,EXPERIENCE ,HEALTH care teams ,HOSPITALS ,INTERPROFESSIONAL relations ,INTERVIEWING ,MEDICAL protocols ,MEDICAL records ,NURSING ,NURSING practice ,NURSING records ,NURSING specialties ,SCIENTIFIC observation ,ORGANIZATIONAL effectiveness ,PROBABILITY theory ,QUALITY assurance ,SHIFT systems ,STATISTICS ,SURVEYS ,TIME ,TEAMS in the workplace ,PEER relations ,TASK performance ,UNOBTRUSIVE measures ,EVALUATION research ,HOSPITAL rounds ,ELECTRONIC health records ,DESCRIPTIVE statistics ,HOSPITAL nursing staff - Abstract
The Situation-Background-Assessment-Recommendation (SBAR) protocol was used to improve shift reports and interdisciplinary rounding. On a medical-surgical unit, observations were conducted before and after implementation. Both processes were significantly shorter and more consistent. SBAR enabled more focused and efficient communication. [ABSTRACT FROM AUTHOR]
- Published
- 2014
3. An Exploratory Principal Factor Analysis of Very Low Birth Weight Clinical Data and Development-Behavioral Outcomes at 4 Years of Age.
- Author
-
Ozorio Dutra, Samia Valeria, Gordon, Jessica, Shaffer, Emily, Miller, Elizabeth, Harville, II, Cedric, Yoo, Ji Youn, Sarkar, Anujit, Ji, Ming, D’Agata, Amy, and Groer, Maureen
- Subjects
- *
EVALUATION of medical care , *STATISTICS , *CHILD development , *RESEARCH methodology , *MULTIPLE regression analysis , *VERY low birth weight , *CHILD behavior , *INTERVIEWING , *COGNITION , *NEURAL development , *FACTOR analysis , *SCALE analysis (Psychology) , *DESCRIPTIVE statistics , *COMMUNICATION , *DATA analysis software , *DATA analysis , *SOCIAL skills , *MOTOR ability - Abstract
This exploratory paper describes associations between neonatal clinical data and behavioral outcomes among infants born with very low birth weight (VLBW) at 4 years of age. Statistical analysis of 24 VLBW infants was conducted using principal factor analysis (PFA). Multiple linear regressions were calculated to explore the relationship between identified risk factors (demographic and clinical data) and behavioral measures: the Battelle Developmental Inventory (2nd ed.) Screening Test (BDI-2 ST) and the Achenbach Child Behavior Checklist (CBCL). Gestational age was controlled for in the model. Exploratory PFA results indicated that two factors had greater ability to explain observed variations within the sample. The first factor significantly associated high-level neonatal care with aggressive behaviors (β = -0.7477, p < 0.05). The first factor was also predictive of lower personal-social, communication, and cognitive scores. The second factor significantly associated cardiopulmonary complications with pervasive developmental problems (attention deficit hyperactivity disorder, anxiety, depression, and oppositional defiant disorder) (β = 0.1977, p < 0.05). These results showed that behavioral consequences at 4 years of age were found among children born VLBW due to the severity of illness, the need of high-level care, and cardiopulmonary complications during the neonatal period. These findings suggest VLBW infants experience longer term effects from trauma early in life and warrant further study. [ABSTRACT FROM AUTHOR]
- Published
- 2022
4. A CLASSIC Approach to Bridge the Education-Practice Gap in New Graduate Nurses.
- Author
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Pillai, Seema, Hartnett, Josette, and Rose, Suzanne J.
- Subjects
MEDICAL quality control ,NURSING ,CONFIDENCE ,EVALUATION of human services programs ,TRAUMA centers ,THEORY-practice relationship ,TRANSITIONAL programs (Education) ,GRADUATES ,INTERNSHIP programs ,HUMAN services programs ,NURSING education ,NURSING practice ,CLINICAL competence ,COMMUNICATION ,QUALITY assurance ,NEEDS assessment ,MEDICAL-surgical nurses - Abstract
A novel learning model was implemented in an accredited nurse residency program to address gaps in foundational competencies. Results suggest the program positively contributed to bridging the new nurse education practice gap without increasing the total length of orientation. [ABSTRACT FROM AUTHOR]
- Published
- 2023
5. Improving Nurses' Knowledge in Caring for Children with Challenging Behaviors.
- Author
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Conley, Caroline R., Wendt, Lisa, and Schindler, Christine A.
- Subjects
NURSING audit ,NURSING ,SOCIAL support ,CHILDREN'S hospitals ,HUMAN comfort ,TERTIARY care ,BEHAVIOR disorders in children ,HUMAN services programs ,SURVEYS ,PRE-tests & post-tests ,QUALITY assurance ,PEDIATRIC nurses ,CRITICAL care medicine ,DESCRIPTIVE statistics ,SCALE analysis (Psychology) ,COMMUNICATION ,DATA analysis software ,THEMATIC analysis ,AGGRESSION (Psychology) ,PAMPHLETS - Abstract
Hospital admission can be particularly difficult for children with known behavioral health challenges, such as children on the autism spectrum disorder. Nurses are in an ideal role to ease the burden associated with hospitalization. The aims of this quality improvement (QI) project include creating and implementing an evidencebased visual schedule for use with children who have challenging behaviors, and designing and implementing education for nurses specifically intended to describe evidence behind the use of visual activity schedules (VAS) for children with challenging behaviors. A Plan, Do, Study, Act (PDSA) method was used, and the intervention was evaluated via pre- and post-implementation surveys. The QI project was implemented on a 24-bed acute care unit at a large, tertiary care, Midwestern children's hospital. A sample of 46 nurses received the education, with 23 completing the pre-implementation survey and 6 completing the post-implementation survey. Education was provided through in-person teaching and handouts. Nurses initially had a poor understanding of the use of VAS, which improved following the education. They felt comfortable providing care for children at risk for challenging behaviors and in their knowledge about diagnoses for these patients, which remained unchanged following the educational program. Positive feedback was received following implementation, with nurses noting a greater understanding about VAS for children at risk for challenging behaviors. Nurses learned how to identify patients that could benefit from the use of a VAS and how to work with families to create a schedule that could benefit the child. [ABSTRACT FROM AUTHOR]
- Published
- 2023
6. Encouraging Self-Advocacy in Pediatric Patients.
- Author
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Terala, Ananya
- Subjects
SELF advocacy ,SELF-perception ,ABILITY ,TRAINING ,HEALTH literacy ,DECISION making ,COMMUNICATION ,CHILDREN - Abstract
The article addresses how pediatric nurses and allied staff can encourage children and families to become more engaged and confident health care users, employing their professional training in and responsibilities around advocacy. Topics discussed include development of self advocacy, role of health care play in helping pediatric patients develop familiarity with equipment and procedures, and ways to promote self-efficacy and self-advocacy.
- Published
- 2023
7. Implementing Bedside Mobility Assessment Tool to Improve Patient Outcomes and Staff Communication.
- Author
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Rose, Anastasia, Carter, Nicole, Vann, Christina, Lloyd-Penza, Mary, and Andrusko, Monica
- Subjects
EVALUATION of medical care ,COMMUNICATION ,PHYSICAL mobility ,QUALITY assurance - Abstract
Nurses' role in assessing and managing patient mobility is critical due to negative consequences associated with immobility. Bedside Mobility Assess ment Tool (BMAT), a validated tool used to assess mobility in hospitalized patients, was implemented over 6 months on medical-surgical units. Use of the BMAT enhanced communication regarding mobility and mobility equipment, and improved patient and staff safety. [ABSTRACT FROM AUTHOR]
- Published
- 2022
8. Medication Adherence among Home Health Patients Facing Hospital Readmissions.
- Author
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Beckner, Amy, Liberty, Kimberly R., and Cohn, Tanya
- Subjects
DRUG dosage ,CLINICAL drug trials ,OCCUPATIONAL roles ,CAREGIVERS ,ACQUISITION of data methodology ,HOME care services ,RESEARCH methodology ,NURSING specialties ,PATIENT readmissions ,MANN Whitney U Test ,MEDICATION errors ,RISK assessment ,COMPARATIVE studies ,MEDICATION therapy management ,HEALTH literacy ,DESCRIPTIVE statistics ,CHI-squared test ,COMMUNICATION ,MEDICAL records ,DRUG labeling ,DRUGS ,DRUG therapy ,NURSES ,PATIENT compliance ,CONTENT analysis ,THEMATIC analysis ,DATA analysis software ,PHARMACY information services ,MIDDLE age ,OLD age - Abstract
Medication nonadherence can contribute to hospital readmissions. Medical-surgical nurses play a crucial role in reducing medication nonadherence by validating patient knowledge of home medications, providing early education on new medications, involving patients and caregivers when providing new education, and delivering effective communication during care transitions to home health services. [ABSTRACT FROM AUTHOR]
- Published
- 2021
9. Nurses' Degree of Comfort in Caring for Palliative and Hospice Patients: A National Survey.
- Author
-
de Campos, Amisha Parekh and Walsh, Stephen
- Subjects
OCCUPATIONAL roles ,HOSPICE care ,WORK experience (Employment) ,STATISTICS ,NURSING ,JUDGMENT (Psychology) ,ANALYSIS of variance ,NURSING specialties ,HUMAN comfort ,TERMINALLY ill ,CROSS-sectional method ,RESEARCH methodology ,CONVERSATION ,MENTORING ,CURRICULUM ,ADVANCE directives (Medical care) ,COMMUNICATION ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,NEEDS assessment ,NURSES ,EMOTIONS ,DATA analysis ,DOCTOR of philosophy degree ,PALLIATIVE treatment ,SPIRITUAL care (Medical care) - Abstract
The ability to increase palliative and hospice services in the United States requires comprehensive, standardized education for clinicians. With a rise in the number of patients living with serious illnesses, medical-surgical nurses would benefit from more palliative and end-of-life care education. In this study, nurses' comfort in addressing physical, emotional, and spiritual needs for patients receiving palliative and hospice care was examined. [ABSTRACT FROM AUTHOR]
- Published
- 2021
10. Pediatric Nurses' Perceptions of Patient Satisfaction.
- Author
-
Waldron, Mia K.
- Subjects
PEDIATRIC nurses ,PILOT projects ,RESEARCH ,WORK environment ,PSYCHOLOGICAL burnout ,NURSES' attitudes ,SOCIAL support ,PATIENT satisfaction ,MEDICAL personnel ,CONTINUING education units ,QUANTITATIVE research ,NURSE-patient relationships ,PATIENTS' families ,SURVEYS ,QUALITATIVE research ,FAMILY-centered care ,COMPARATIVE studies ,URBAN hospitals ,QUALITY assurance ,SECONDARY traumatic stress ,JOB satisfaction ,NURSES ,DISEASE prevalence ,DESCRIPTIVE statistics ,LATENT semantic analysis ,COMMUNICATION ,CRITICAL care medicine ,QUESTIONNAIRES ,SCALE analysis (Psychology) ,CONTINUING education of nurses ,CONTENT analysis ,STATISTICAL correlation ,PSYCHOLOGICAL resilience - Abstract
Purpose: Improvements in patient satisfaction are perpetual goals for health care organizations, and nurses are the health care providers most frequently in contact with patients and families. Understanding relationships between compassion satisfaction (CS), compassion fatigue (CF), and nurses' perceptions of their role with patient satisfaction may identify opportunities for improvement. Methods: A quality improvement survey pilot project was undertaken to establish data on the prevalence of CS and CF, as well as nurses' demographics and perceptions regarding patient satisfaction from a representative sample of hospital registered nurses from five clinical units. Descriptive statistics were used to analyze quantitative data, and for qualitative data, semantic content analysis was used. Outcomes: A total of 102 nurses voluntarily participated, and findings indicated moderate-high prevalence of CS (3.83 to 4.05) and moderate-low prevalence of CF (2.04 to 2.39) across all five pilot units without significant relationships with unit patient satisfaction ratings. Nurses (60%) perceived themselves as accountable for patient satisfaction and identified similar codes (> 75%) in open-ended responses. Conclusion: Implications for pediatric nursing were increased risk for CF, which can be mediated with proactive interventions that support nurse resiliency, and CS. Further investigation of correlations between nurse satisfaction and patient satisfaction, nursing work environment, communication, and family care in pediatrics is warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2021
11. Quality Improvement Initiative to Decrease Lab Draws for Hospitalized Pediatric Patients.
- Author
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Geaman, Molly E., Brennan, Katherine M., and Vanderway, Joy A.
- Subjects
NURSING education ,HOSPITAL medical staff ,BLOOD collection ,CAREGIVERS ,HOSPITAL care of children ,COMMUNICATION ,CUSTOMER satisfaction ,FAMILIES ,HOSPITAL laboratories ,INTERPROFESSIONAL relations ,EVALUATION of medical care ,MEDICAL care costs ,PERSONNEL management ,PHLEBOTOMY ,QUALITY assurance ,T-test (Statistics) ,HUMAN services programs ,RETROSPECTIVE studies ,ELECTRONIC health records ,DESCRIPTIVE statistics ,EDUCATION - Abstract
Background and Objectives: Frequent blood lab testing within the hospitalized pediatric population can have undesirable consequences, including patient pain and anxiety, increased healthcare costs, and decreased caregiver satisfaction. Nurses on an inpatient unit at a large, urban, academic pediatric hospital recognized the need for quality improvement (QI) to decrease the frequency of lab draws when their patients were experiencing multiple lab draws each day. Methods: A unit-based, collaborative QI project was implemented. Education and communication interventions were developed based on knowledge gained from meetings with frontline workers and stakeholders. Medical resident and nurse education was delivered in the form of flyers, in-person sessions, and PowerPoint presentation. Lab checklists were implemented to facilitate interprofessional daily communication about labs on rounds. Pre-implementation and post-implementation data were collected retrospectively from the electronic health record and compared using paired t tests and percent changes. Results: The average number of lab draw encounters per total patient census per day decreased by 8.2% post-implementation. For patients who had lab draw encounters, their daily average number of lab draw encounters decreased by 7.5%. The average number of patients with lab-free days did not significantly change. Conclusions: Medical resident and nurse education and interprofessional daily communication about labs on rounds were cost-effective methods to improve lab practices within an academic pediatric hospital. QI initiatives can decrease healthcare costs and waste, and decrease patient discomfort and harm. [ABSTRACT FROM AUTHOR]
- Published
- 2019
12. Extended Hospitalization, Patient Demoralization, and Nurse Communication: Influences on Patient Emotional Well-Being.
- Author
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Davis, Donna K.
- Subjects
HOSPITAL care ,PSYCHOLOGICAL adaptation ,AFFECT (Psychology) ,ANXIETY ,COMMUNICATION ,DESPAIR ,INTERVIEWING ,RESEARCH methodology ,NURSE-patient relationships ,SADNESS ,STATISTICAL sampling ,SELF-perception ,QUALITATIVE research ,QUANTITATIVE research ,SOCIAL support ,WELL-being ,THEMATIC analysis ,CONTINUING education units ,PATIENTS' attitudes ,DESCRIPTIVE statistics ,PSYCHOLOGY - Abstract
The article examines patient perceptions of nurse communications and actions that result in negative feelings among patients at increased risk for demoralization. Topics discussed include association between demoralization and adverse health outcomes, four instruments developed to identify demoralization in medical patients, and study on demoralization as a concept of distress in severely ill patients with mixed-diagnosis cancer.
- Published
- 2019
13. Implementation of the Discharge Hospitality Center to Reduce Emergency Department Boarding: A Quality Improvement Project.
- Author
-
Smith, Karin B.
- Subjects
COMMUNICATION ,CROWDS ,LENGTH of stay in hospitals ,HOSPITAL admission & discharge ,HOSPITAL emergency services ,INTERPROFESSIONAL relations ,MEDICAL quality control ,PATIENTS ,PATIENT safety ,QUALITY assurance ,SURVEYS ,TIME ,EMPLOYEES' workload ,PILOT projects ,DISCHARGE planning ,HUMAN services programs ,TRANSPORTATION of patients ,DESCRIPTIVE statistics - Abstract
The article discusses a quality improvement project on the implementation of the Discharge Hospitality Center (DHC) to minimize emergency department boarding. Nurse leaders need to consider strategies to improve patient flow and operational processes in every facet of the healthcare delivery system. The Joint Commission's patient flow standards known as LD.04.03.11 is discussed. The focus of education for implementing the DHC pilot was to general medicine department staff nurses.
- Published
- 2018
14. SBAR, Communication, and Patient Safety: An Integrated Literature Review.
- Author
-
Stewart, Kathryn R.
- Subjects
CINAHL database ,COMMUNICATION ,MEDICAL communication ,INFORMATION storage & retrieval systems ,MEDICAL databases ,LABOR productivity ,RESEARCH methodology ,MEDICAL errors ,MEDICAL records ,MEDLINE ,NURSES ,NURSES' attitudes ,NURSING practice ,NURSING specialties ,ONLINE information services ,PATIENT safety ,SENSORY perception ,PHYSICIANS ,SHIFT systems ,SYSTEMATIC reviews ,EMPIRICAL research ,PRE-tests & post-tests ,CONTINUING education units - Abstract
The SBAR (Situation-Background-Assessment-Recommendation) tool was introduced to health care in 2002 to guide communication of patient care information. Evidence of an integrated literature review indicates SBAR is an effective intervention for patient safety through improved communication. [ABSTRACT FROM AUTHOR]
- Published
- 2017
15. CNE SERIES. Improving Nursing Care: Examining Errors of Omission.
- Author
-
McMullen, Sherri L.
- Subjects
PREVENTION of medical errors ,MEDICAL errors ,CHI-squared test ,COMMUNICATION ,CONFIDENCE intervals ,STATISTICAL correlation ,EXPERIMENTAL design ,FACTOR analysis ,FISHER exact test ,RESEARCH methodology ,NURSES ,NURSES' aides ,NURSING ,PRACTICAL nurses ,PSYCHOMETRICS ,QUALITY assurance ,RESEARCH evaluation ,STATISTICAL sampling ,SURVEYS ,STATISTICAL reliability ,CONTINUING education units ,MULTITRAIT multimethod techniques ,CROSS-sectional method ,RESEARCH methodology evaluation ,DATA analysis software ,INTRACLASS correlation ,PSYCHOLOGY - Abstract
The article discusses a cross-sectional study of missed nursing care in a community in Central New York using the MISSCARE survey. Topics mentioned include the statistical data about the respondents including specialty of care and experience in role, the factors that were identified by respondents as missed in patient care including interventions and assessment, and the causes of missed care including the lack of material resources including medication.
- Published
- 2017
16. Pediatric Diabetes Telemedicine Program Improves Access to Care for Rural Families: Role of APRNs.
- Author
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Smith, Nancy Marie and DiMauro Satyshur, Rosemarie
- Subjects
TYPE 1 diabetes ,TREATMENT of diabetes ,CAREGIVERS ,COMMUNICATION ,CONCEPTUAL structures ,CUSTOMER satisfaction ,FAMILIES ,HEALTH care teams ,HEALTH services accessibility ,LEADERSHIP ,MATHEMATICAL models ,MEDICAL ethics ,NURSE practitioners ,PEDIATRIC nursing ,PRIVACY ,QUALITY assurance ,QUESTIONNAIRES ,RESEARCH ,RURAL conditions ,STATISTICAL sampling ,SURVEYS ,TELEMEDICINE ,VIDEOCONFERENCING ,TEAMS in the workplace ,THEORY ,ELECTRONIC health records ,CHILDREN - Abstract
The article presents an overview of the leadership role of advanced practice registered nurses (APRNs) with the implementation and evaluation of a pediatric diabetes telemedicine program for a rural community with limited access to pediatric diabetes specialists. Topics include implementation of the innovative model of care, limitations and future quality improvement metrics, and benefits and challenges of telemedicine program.
- Published
- 2016
17. Building a Healthy Practice Environment.
- Author
-
Hertel, Robin A.
- Subjects
PSYCHOLOGICAL burnout prevention ,HEALTH facilities ,COMMUNICATION ,CONFIDENCE ,CREATIVE ability ,HOPE ,INTERPERSONAL relations ,INTERPROFESSIONAL relations ,JOB satisfaction ,MEDICAL quality control ,NURSING practice ,NURSING specialties ,PSYCHOLOGICAL resilience ,SAFETY ,JOB performance ,MINDFULNESS ,OFFENSIVE behavior ,STANDARDS - Abstract
The article presents the highlights of a healthy work environment conference sponsored by the Sigma Theta Tau International Honor Society of Nursing in New Orleans, Louisiana in 2019. The conference included sessions on specific aspects of work environments of nurses. The themes of the conference included the impact of effective communication on job satisfaction and the quality of care delivery and the relationships of nurses with other nurses, managers and physicians.
- Published
- 2019
18. Shared Decision Making through Reflective Practice: Part I.
- Author
-
Truglio-Londrigan, Marie
- Subjects
CINAHL database ,CLINICAL competence ,COMMUNICATION ,INFORMATION storage & retrieval systems ,MEDICAL databases ,PSYCHOLOGY information storage & retrieval systems ,INTERPROFESSIONAL relations ,MEDLINE ,NEGOTIATION ,NURSE-patient relationships ,NURSING ,NURSING ethics ,ONLINE information services ,PATIENT education ,REFLECTION (Philosophy) ,TEAMS in the workplace ,PATIENT participation ,SYSTEMATIC reviews ,DECISION making in clinical medicine ,QUALITATIVE research ,QUANTITATIVE research ,EVIDENCE-based nursing ,CULTURAL competence ,PATIENT-centered care - Abstract
The article discusses the background and description of shared decision making, and its importance in patient-centered care. Topics covered include the expansion of share decision making beyond the healthcare provider and patient dyad, the competencies for shared decision making, and the use of reflective questioning to enable nurses adjust their practice as they engage patients in shared decision making.
- Published
- 2016
19. Scripting Nurse Communication to Improve Sepsis Care.
- Author
-
Drahnak, Dawn Marie
- Subjects
SEPTICEMIA prevention ,COMMUNICATION ,MEDICAL communication ,HEALTH facility administration ,LONGITUDINAL method ,MEDICAL protocols ,NURSES' attitudes ,NURSING ,NURSING assessment ,NURSING audit ,PERSONNEL management ,QUALITY assurance ,STATISTICAL sampling ,SCALE analysis (Psychology) ,SEPSIS ,STATISTICS ,SURVEYS ,TRAUMA centers ,DATA analysis ,EVIDENCE-based nursing ,PRE-tests & post-tests ,CONTINUING education units ,RETROSPECTIVE studies ,DATA analysis software ,ELECTRONIC health records ,WORK experience (Employment) ,DESCRIPTIVE statistics ,HOSPITAL nursing staff ,SYMPTOMS - Abstract
The article presents a research study to evaluate the role of nurses in early sepsis recognition and initiation of targeted treatment. Topics covered include the highlights of previous research articles relating to sepsis, sepsis screening, and sepsis bundles, the Six Sigma quality improvement model Define, Measure, Analyze, Improve, and Control (DMAIC) used in the study, and the need for educational intervention for nurses to increase their knowledge about sepsis.
- Published
- 2016
20. e-Leadership: Leading in a Virtual Environment -- Guiding Principles For Nurse Leaders.
- Author
-
Cowan, Lisa D.
- Subjects
COMMUNICATION ,LEADERSHIP ,NURSE administrators ,NURSES ,NURSING services administration ,VIRTUAL reality ,TEAMS in the workplace ,MANAGEMENT styles - Abstract
The article discusses how nurse leaders can effectively lead virtual teams. The definition of e-Leadership and Virtual Teams are also provided. Also discussed are the eight guiding principles of e-leadership including the formation of a trusting relationship, establishing a presence for a sense of leadership, and promotion of social-emotional aspects. Also included is the clinical relevance of e-leadership to the nursing profession.
- Published
- 2014
21. Communication in Autism Spectrum Disorder: A Guide for Pediatric Nurses.
- Author
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Brown, Amanda B. and Elder, Jennifer H.
- Subjects
ATTENTION ,AUTISM in children ,CHILD development ,COMMUNICATION ,COMMUNICATIVE competence ,FACILITATED communication ,LANGUAGE acquisition ,SYMBOLISM (Psychology) ,PEDIATRIC nursing ,PSYCHOLOGY ,SOCIAL skills ,THOUGHT & thinking ,VISUAL perception ,THEORY ,SENSORY disorders ,CONTINUING education units - Abstract
In the United States, one in every 68 children has autism spectrum disorder (ASD) (Centers for Disease Control and Prevention, 2014). ASD is a developmental disorder of the brain that is characterized by impairments in social interaction, communication, and repetitive patterns of behavior (American Psychiatric Association [APA], 2013). Nurses have a duty to provide high quality care to children with ASD. Effective communication is essential to providing quality care. Three main theories attempt to explain how the ASD brain functions and the implications on communication: lack of theory of mind, weak central coherence, and lack of executive function. Children with ASD have difficulties in vocalic, kinesthetic, and proxemic aspects of communication (Notbhom, 2006). Simple adaptations to environment and style can make the communication between nurses and children with ASD easier and more effective (Aylott, 2000; Green et al., 2010). [ABSTRACT FROM AUTHOR]
- Published
- 2014
22. Professional Issues. Coming Full Circle: The Old Becomes New Again -- Cultural Competence and the Transgender Client.
- Author
-
Faught, Dwight D.
- Subjects
COMMUNICATION ,DISCRIMINATION (Sociology) ,GENDER identity ,HEALTH services accessibility ,HEALTH status indicators ,MEDICAL records ,NURSE-patient relationships ,NURSING practice ,TRANSGENDER people ,CULTURAL competence ,PATIENT-centered care - Abstract
The article discusses the provision of culturally competent health are for members of the transgender community. Topics covered include how to provide individualized care for a transgender patient, the transgender issues that affect institutions, health systems, and health providers, and the internal barriers that affect the provision of healthcare for transgender patients. It also discusses the importance of open communication between the health provider and transgender patient.
- Published
- 2016
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