6 results on '"Abram, Marissa D."'
Search Results
2. Harm Reduction as a Form of ‘Wrap‐Around’ Care: The Nursing Role.
- Author
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Abram, Marissa D., Jugdoyal, Adrian, Seabra, Paolo, Murphy‐Parker, Dana, and Searby, Adam
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MENTAL health services , *HARM reduction , *HEALTH facilities , *TREATMENT of addictions , *HEALTH services accessibility , *DRUG abuse treatment - Abstract
ABSTRACT In addiction treatment, harm reduction is a philosophy that aims to reduce the harms from ongoing alcohol and other drug use. Although abstinence may be the ‘gold standard’ in reducing harm from ongoing alcohol and other drug use, harm reduction recognises that abstinence may not be achievable for certain individuals. Accordingly, harm reduction is used to enable medical or mental health treatment for individuals who continue to use alcohol and other drugs, providing a form of care which meets individuals where they present to healthcare facilities. Harm reduction accepts ongoing alcohol and other drug use, while providing a traditionally marginalised cohort of individuals access to healthcare services. In this perspective paper, we argue that the role of nurses in promoting and utilising harm reduction as part of their regular practice is essential to both reducing harm from alcohol and other drug use, engaging individuals who use alcohol and other drugs in healthcare services, and providing a means to accept individuals as they are to build trust and rapport for engagement in addiction treatment when they are ready, and at their own pace. Nurses, by virtue of their role and number in the healthcare landscape (approximately 28 million globally), are ideally placed to implement harm reduction in their practice to achieve better outcomes for individuals who use alcohol and other drugs. [ABSTRACT FROM AUTHOR]
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- 2024
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- View/download PDF
3. Nurse‐led models of care for metabolic syndrome in primary care: A scoping review.
- Author
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Marzano, Maryta, Caniano, Lori, and Abram, Marissa D.
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METABOLIC syndrome risk factors ,ONLINE information services ,CINAHL database ,MEDICAL databases ,NURSING ,SYSTEMATIC reviews ,CARDIOVASCULAR diseases ,PRIMARY health care ,RISK assessment ,HEALTH behavior ,NURSE practitioners ,LITERATURE reviews ,MEDLINE ,INFORMATION storage & retrieval systems ,BEHAVIOR modification ,HEALTH promotion - Abstract
Aim: To identify and map out existing nurse‐led models of care for treatment and prevention of metabolic syndrome in primary care settings. Design: A scoping review. Methods: Conducted in accordance with the JBI methodology. Data Sources: A search of the databases PubMed, CINAHL Complete, Cochrane Library, Scopus, handsearch and a grey literature search was conducted in June 2022 and updated in March 2023. Results: Title and abstract screening was performed on 926 articles resulting in 40 articles for full text screening. Full text screening yielded seven articles that met inclusion criteria. Conclusion: Additional research is needed on nursing models of care to prevent and treat metabolic syndrome. Future studies should concentrate on rigour with clearly defined objective inclusion criteria. Implications to Clinical Practice: This review contributes a synthesis of the evidence on nurse‐led models for metabolic syndrome in primary care. Impact: This scoping review addresses metabolic syndrome, the precursor to non‐communicable disease. The review mapped the evidence for nurse‐led models of care for metabolic syndrome in the primary care setting. These findings promote the development and evaluation of novel nurse‐led models of care which can mitigate the effect of the current epidemic. Reporting Method: PRISMA checklist for scoping reviews. No patient or public contribution was part of this study. Protocol Registration: Open Science Framework accessible at: https://osf.io/jfpw7/. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
4. Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences
- Author
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Seabra, Paulo, Nunes, Inês Robalo, Sequeira, Rui, Sequeira, Ana, Simões, Ana Susete De Abreu, Filipe, Fernando Miguel, Amaral, Paula, Abram, Marissa D., and Sequeira, Carlos
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substance-related disorders ,self-management ,nursing ,program evaluation ,Delphi study - Abstract
Therapeutic interventions for people with problematic use of psychoactive substances can help tackle specific needs related to substance addiction consequences. This modified e-Delphi study aimed to establish consensus on a training program for self-management of substance addiction consequences. The study was conducted between February and April 2022, with an experts’ sample of 28 participants in the first round and 24 in the second. A priori consensus criteria were defined for each round. The results revealed a very strong consensus was achieved on the structure of the program and on clinical areas, such as the problematic use of substances, general health knowledge, health-seeking behavior and adherence, self-knowledge and well-being, social role and personal dignity, and family process. Additionally, over 80% participant consensus was achieved on an extensive number of interventions categorized as psychoeducational, psychotherapeutic, socio therapeutic, brief interventions, social skills training, problem solving techniques, relaxation techniques, and counseling. These findings may be able to fulfill a gap concerning structured treatment approaches for people with problematic use of psychoactive substances. Supporting self-management of the consequences of substance addiction and its application can change nurses’ interventions. info:eu-repo/semantics/publishedVersion
- Published
- 2023
5. High-Fidelity Simulation: An Application to Psychopharmacological Training for the Psychiatric Nurse Practitioner Student.
- Author
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Abram, Marissa D. and Forbes, Maryann O.
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CLINICAL medicine , *CURRICULUM planning , *HUMAN anatomical models , *MENTAL health , *NURSING , *NURSING education , *NURSING students , *PSYCHIATRIC nursing , *PSYCHOPHARMACOLOGY , *SCHOOL environment , *GRADUATE education , *TEACHING methods , *HUMAN services programs , *COURSE evaluation (Education) , *KOLB'S Experiential Learning theory - Abstract
As the demand for Psychiatric Mental Health Nurse Practitioners (PMHNPs) continues to grow, innovative teaching strategies that can enhance competency learning with skill transfer into the clinical setting is essential. Educational programs must adequately prepare the student for the complexity of the clinical environment. Simulation is an educational approach that replicates aspects of the real world in a safe environment so that learners can engage in an interactive manner. High-fidelity simulation (HFS) has been identified as an effective teaching strategy and mechanism to transfer knowledge and skills learned in the classroom to the clinical setting. HFS uses a human patient simulator to immerse the learner in a contextual learning environment by engaging in a realistic clinical scenario to develop cognitive, affective and psychomotor skills through deliberate practice. This article describes the theoretical foundation, development process, case scenarios, and implementation of HFS, an innovative teaching pedagogy, in a Psychopharmacology didactic course for PMHNP. [ABSTRACT FROM AUTHOR]
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- 2019
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- View/download PDF
6. Stigma towards a nursing specialty: A qualitative analysis of the perceptions of the addiction nursing workforce.
- Author
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Searby, Adam, Burr, Dianna, and Abram, Marissa D.
- Abstract
Addiction nurses are highly skilled providers of holistic care and ensuring workforce sustainability is key to providing quality care to a traditionally marginalised group of healthcare consumers. The aim of this study was to explore perceived stigma towards the addiction nursing speciality, addiction nursing (also known as alcohol and other drug nursing) and its impact on workforce sustainability, retention and recruitment. Secondary analysis of qualitative interview data with nurses (n = 50) and survey data (n = 337) was conducted as part of a workforce mapping exercise in 2019. COREQ reporting guidelines were used. After structural coding was applied, three themes emerged: stigma experienced by clients of alcohol and other drug treatment services, stigma experienced by addiction nurses and a lack of awareness of the specialty of addiction nursing itself. Participants overwhelmingly felt that these forms of stigma made addiction nursing less attractive to new entrants, particularly new nurses and posed a threat to the sustainability of the specialty. The findings from this study indicate that urgent attention is required to address stigma towards individuals who use alcohol and other drugs, and the nurses providing care for them. Furthermore, creating awareness of the addiction nursing specialty is paramount to ensure workforce sustainability and to improve care for individuals who use alcohol and other drugs. Beyond addiction nurses, our results indicate that stigma towards other specialties (such as mental health nursing) is a substantive barrier to workforce sustainability. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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