More Snakebites and Less Antivenom: Prescribing Burdens for Venomous Envenoming
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: CE Test Source Type: research

What Is Open Culture and Why Is It Important?
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Nursing and the Arts Source Type: research

Becoming a Clinical Nurse Specialist in the United States
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Educator’s Corner Source Type: research

Implementation of a Risk Assessment Tool to Reduce Aspiration Pneumonia in Nonstroke Patients
Conclusions: Implementation of an adapted aspiration risk assessment screening tool to document risk of hospital-acquired aspiration pneumonia and aspiration precautions protocol was associated with a decrease in aspiration pneumonia rates. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: Feature Article Source Type: research

Achieving Disease-Specific Care Joint Commission Certification: The Impact of Clinical Nurse Specialist Practice
Conclusion: By influencing a certain patient population throughout the organization, population-focused CNSs are in a unique role to lead an interprofessional team or serve as an expert consultant in pursuing DSC certification from The Joint Commission. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: Feature Article Source Type: research

Building a Renowned Clinical Nurse Specialist Team: Recruitment, Role Development, and Value Identification
Conclusion: As challenges facing the role put it at risk and healthcare becomes increasingly value based, the need for expert clinicians who can demonstrate their value becomes essential. Clinical nurse specialists and hospital leadership can benefit from exploring successful interventions to rebuild CNS teams to achieve these goals. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: Feature Article Source Type: research

More Snakebites and Less Antivenom: Prescribing Burdens for Venomous Envenoming
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Pharmacology Consult Source Type: research

Tips for Developing Good Questionnaire Items
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Using Research to Advance Nursing Practice Source Type: research

Applying an Ethical Approach to Building Great Preceptorships
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Legal and Ethical Source Type: research

Impact of the Clinical Nurse Specialist in the Transformation of Military Healthcare From Bedside to Battlefield
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

NACNS Newsletter: President’s Message: The Value of a Mission Moment
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - October 16, 2019 Category: Nursing Tags: DEPARTMENTS: NACNS News Source Type: research

Think Tramadol Is a Safer Option? Think Again!
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: CE Test Source Type: research

Have We Forgotten That We Belong to One Another?
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Nursing and the Arts Source Type: research

Preventing Aspiration Complications: Implementing a Swallow Screening Tool
Conclusion: Our findings suggest implementation of a nursing-led aspiration risk screening process with acutely ill patients is a factor in decreasing patient mortality from acquired aspiration. These clinical practice changes of identifying patients at risk of aspirating and involving dysphagia therapists prior to oral intake increase patient safety while decreasing acquired aspiration mortality. Impact: This study addressed upward trends in patient mortality with acquired aspiration. Mortality rates declined after implementation of the aspiration risk screening process on hospitalized patients. These findings have p...
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: Feature Article Source Type: research

Clinical Nurse Specialist Preceptor Protocol
Conclusions: The literature informed the CNS preceptor protocol development. The protocol may be evaluated within a preceptor-preceptee relationship across multiple settings. Higher levels of CNS research are vital to identify evidence-based CNS preceptorship strategies. As CNSs are integrated into advanced practice roles, a structured preceptor protocol and education program is critical to provide quality outcomes. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: Feature Article Source Type: research

Instrument Development for Evaluation of Gerontological Nurse Specialists Core Competencies in China
Conclusion: The results showed that the core competencies of Chinese gerontological nurse specialists were reliable and that gerontological nurse specialists could use this self-evaluation instrument to assess their core competencies. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: Feature Article Source Type: research

Creating a Nonprofit Organization in Response to a Clinical Need
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Nurse Entrepreneur Source Type: research

Early Enteral Nutrition Within 24 Hours of Lower Gastrointestinal Surgery Versus Later Commencement for Length of Hospital Stay and Postoperative Complications
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Cochrane Nursing Care Corner Source Type: research

Think Tramadol Is a Safer Option? Think Again!: Prescribing Considerations for the Clinical Nurse Specialist
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Pharmacology Consult Source Type: research

Pilot or Feasibility Studies: An Option for the Clinical Nurse Specialist to Consider
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Using Research to Advance Nursing Practice Source Type: research

Reliability and Validity Measurement Issues: Nothing New to Clinical Nurse Specialists; But Liability Issues, Too?
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Legal and Ethical Source Type: research

Nursology?!
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

NACNS Newsletter: President’s Message
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - August 13, 2019 Category: Nursing Tags: DEPARTMENTS: NACNS News Source Type: research

Pharmaceutical Advertising: The Cost for Fantasy Over Reality Evidence for the Prescribing Clinical Nurse Specialist
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: CE Test Source Type: research

The Mystical Intuition of Rumi
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Nursing and the Arts Source Type: research

Using Clinical Nurse Specialist Competencies for Advanced Practice Registered Nurse Designation: Our Time Has Come
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Legislative and Regulatory Update Source Type: research

Fecal Occult Blood Tests: Valuable for Screening, Wasteful for Diagnostics
Conclusion Clinical nurse specialists can question the empirical origin and patient outcomes associated with clinical practice and are positioned to assess and champion deimplementation processes. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: Feature Article Source Type: research

Clinical Nurse Specialist–Led Implementation of an Early Discharge Protocol After Cardiac Surgery
Purpose/Aims Current practice in Korean medical institutions executes prolonged average length of stay post–cardiac surgery, imposing higher risks of mortality and morbidity, along with administrative issues resulting in long waiting lists for future cardiac surgery. The purpose of this article is to develop and evaluate an early discharge protocol after cardiac surgery led by clinical nurse specialist in a Korean medical institution. Description of the Project/Program The project of implementing early discharge protocol seeks to provide an efficient delivery system for patients who are undergoing cardiac surger...
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: Feature Article Source Type: research

Clinical Nurse Specialist–Facilitated Collaborative Skin Assessments for Respiratory Care Devices
Conclusions: Respiratory therapists and nurses should partner to perform skin assessments under respiratory devices each shift and develop a plan of care to prevent skin injury. Protocol orders to prevent and treat skin alterations found under respiratory care devices and a dedicated area in the medical record to document skin assessments may be helpful to support efforts to prevent injuries. Additionally, as a result of these efforts, pressure injuries specific to endotracheal tubes declined greater than 50% in 2 critical care units in the year following this quality improvement project. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: Feature Article Source Type: research

Clinical nurse specialist practice interventions for second victims of adverse patient events
Conclusions: Clinical nurse specialists have the potential to mitigate the effects of second-victim impact associated with adverse patient events and secondary complications through use of evidence-based practice interventions. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: Feature Article Source Type: research

Nurse Researchers Move to the Cloud: Protecting Sensitive Data in Cloud-Based Storage Environments
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Nurse Entrepreneur Source Type: research

Prophylactic Antibiotic Therapy for Chronic Obstructive Pulmonary Disease
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Cochrane Nursing Care Corner Source Type: research

Pharmaceutical Advertising: The Cost for Fantasy Over Reality Evidence for the Prescribing Clinical Nurse Specialist
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Pharmacology Consult Source Type: research

Publication: Creating a Culture Where Ethical Practices Are the Norm
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Legal and Ethical Source Type: research

Professional Citizenship
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

NACNS Newsletter: President’s Message
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - June 8, 2019 Category: Nursing Tags: DEPARTMENTS: NACNS News Source Type: research

Therapeutic and Recreational Marijuana: Safe Practice Within the Web of Politics, Science, Law, and Nursing
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: CE Test Source Type: research

Erratum
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Erratum Source Type: research

The Elusive Art of Solitude
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Nursing and the Arts Source Type: research

Integrating Entrepreneurial Skills Into Clinical Nurse Specialist Education: The Need for Improved Marketing, Negotiation, and Conflict Resolution Skills
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Educator’s Corner Source Type: research

Pain Management Pillars for the Clinical Nurse Specialist: Summary of National Association of Clinical Nurse Specialists Opioid Pain Management Task Force
Conclusions: As an expert in clinical, professional, and systems leadership, the CNS is ideally suited to convene interprofessional groups focused on pain management including development of organizational philosophies, policies, and evidence-based care. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: Feature Article Source Type: research

Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric
Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: Feature Article Source Type: research

Making the Transition: A Critical Care Skills Program to Support Newly Hired Nurses
Conclusion: The CNS has the responsibility to ensure nursing practice is reflective of hospital policy and current evidence. This program demonstrates the impact of CNSs in staff education, mentorship, and competency assessment. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: Feature Article Source Type: research

Establishing the Clinical Nurse Specialist Identity by Transforming Structures, Processes, and Outcomes
Conclusion: The CNS role was successfully established and differentiated from other nursing roles by redesigning the job description, documenting role-specific activities, and capturing role-sensitive outcomes. Success was captured and disseminated using a year-end report, resulting in a positive response from hospital leadership and a recognized need for current and additional CNSs. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: Feature Article Source Type: research

Scientific Inquiry Meets the Bedside: Improving Practices in Airway Management
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Nurse Entrepreneur Source Type: research

Therapeutic and Recreational Marijuana: Safe Practice Within the Web of Politics, Science, Law, and Nursing
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Pharmacology Consult Source Type: research

The Transition From Expert to Novice and Back to Expert: Ensuring Competent and Safe Practice
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Legal and Ethical Source Type: research

Be a Manuscript Reviewer
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: Editorial Source Type: research

NACNS Newsletter: President's Message
No abstract available (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - April 4, 2019 Category: Nursing Tags: DEPARTMENTS: NACNS News Source Type: research

Improving the Patient Experience and Decreasing Patient Anxiety With Nursing Bedside Report
Conclusions: Journal responses showed communication played a significant role in patients’ perceptions of their patient experience. Because patients exhibited different baseline anxiety levels, assessing anxiety level on admission may help nurses develop plans of care that improve the patient experience. Further study is needed about the patient experience. (Source: Clinical Nurse Specialist)
Source: Clinical Nurse Specialist - March 1, 2019 Category: Nursing Tags: Feature Article Source Type: research