Considerations and Recommendations for Care of Black Pregnant Patients During COVID 19
Black pregnant patients experience perinatal morbidity and mortality rates greater than other ethnic groups. These health disparities exist primarily due to systemic racism, bias, and discriminatory acts within the healthcare system. The COVID 19 pandemic has reinforced health disparities experienced by all vulnerable populations in the United States, including Black pregnant patients. This paper highlights some of the factors that may impact the experience of Black people as they navigate the COVD-19 pandemic and presents strategies that every provider can implement to minimize the detrimental effects of this devastating ...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Jacquelyn McMillian-Bohler, Lacrecia M. Bell Source Type: research
Multidimensional Aspects of Nurse Staffing in Nursing Homes
Nurse staffing involves determining, allocating, and delivering nursing resources and care to residents in order to achieve the desired and required quality of care and life for residents. A comprehensive evidence-based framework for nurse staffing in nursing homes is presented to be considered beyond the number of nurse staff and consequently the nurse staffing strategies needed to address care quality in nursing homes. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Christine Mueller Source Type: research
Age-Friendly Nursing Homes
Age-Friendly Health Systems is a movement to ensure that all care and support for and with older adults across all settings is age-friendly care. Age-Friendly Health Systems provide staff, leadership, and care partner education based on the 4M Framework (What Matters, Medications, Mentation, Mobility). Nursing homes and other settings are often left out of local, state, or federal strategic plans on aging. In addition, limited quality and quantity of nursing home staff impact new program implementation. We consider how programs and services to support older adults can create and sustain an Age-Friendly Ecosystem, including...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Alice Bonner, Terry Fulmer, Leslie Pelton, Marina Renton Source Type: research
Essential Reform in Long-Term Care
This article focuses on factors contributing to the state of long-term care in this country. It highlights federal legislation which delegated much oversight to the states resulting in the lack of uniform standards for leadership qualifications, staffing levels, and payment. It describes how existing payment models and hierarchical leadership styles contribute to the system ’s inability to recruit and retain qualified staff and the need for education to prepare nurses and direct caregivers to work with the complex population in today’s nursing homes. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Tara A. Cortes Source Type: research
Dementia-Specific Nursing Care Competencies for Nursing Education and Long-Term Care Practice
This article proposes a set of dementia nursing care competencies that reflect current scientific findings on neurodegenerative dementia diseases, communication and shared decision-making, supportive care management for symptoms of distress and deficits in activities of daily living, risk assessments for adverse outcomes, palliative care and advance directives, and caregiver issues. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Ann M. Mayo Source Type: research
Nursing Leadership and Palliative Care in Long-Term Care for Residents with Advanced Dementia
Alzheimer disease and related dementias (ADRD) are irreversible, progressive brain disorders. Many people with ADRD experience the final stage of the disease, advanced dementia, in nursing homes (NHs). Although palliative care, including symptom management and emotional support for caregivers, is advocated for those with advanced dementia, many NH residents experience potentially burdensome interventions, such as feeding tubes, hospital transfers, and intensive rehabilitation. Nurses play a critical role in ensuring high-quality palliative care to residents with advanced dementia. The aim of this article is to raise awaren...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Ruth Palan Lopez, Alison E. Kris, Sarah C. Rossmassler Source Type: research
Leading Improvements in the Delivery of Nursing Care for Older Adults with Frailty in Long-Term Care Using Mitchell ’s Quality Health Outcome Model and Health Outcome Data
Protecting frail older residents from adverse health outcomes associated with preventable illnesses and conditions, such as geriatric syndromes within the long-term care (LTC) health system requires attention by the health care team, led by professional nurse leaders, to all of the operant contextual factors influencing health outcomes. Mitchell ’s Health Outcomes Model helps to frame these operant contextual factors to help understand how the person and the situation are viewed, which then directs professional nurse leaders’ interventions. Utilization of the LTC facilities Quality Metrics data can shape and inform nur...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Deanna Gray-Miceli, Pamela B. de Cordova, Jeannette A. Rogowski, Laurie Grealish Source Type: research
The Advanced Practice Registered Nurse Leadership Role in Nursing Homes
This article highlights the critical role of advanced practice registered nurses in the care of older adults living in nursing homes. This population is one of the frailest, marginalized, and often neglected in the United States. The COVID-19 pandemic impact on nursing homes resulted in a stunning number of infections and subsequent resident deaths. This is a shameful reminder of the many challenges and gaps in the nursing home industry including inadequate staffing, high staff turnover, improper isolation technique, and lack of fundamental knowledge of how to adequately implement infection prevention and control processes...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Deb Bakerjian Source Type: research
The Art of Nursing Leadership in a Challenging Patient Care Environment
Long-term care is often thought to encompass the final stages of life for our aging and older adult population. The National Institute on Aging (2017)1 describes the intent of long-term care as meeting a person ’s health and personal care needs through a variety of services. The goal of this specialized patient care is to help individuals live as independently and safely as possible when day-to-day activities have become challenging. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Benjamin Smallheer Tags: Foreword Source Type: research
Overview of Nurse Leadership
As the largest and most trusted health care discipline, nurses are uniquely positioned to provide leadership in the delivery of quality care. Nowhere is this more obvious than in long-term care settings that service the growing population of older adults. Long-term care settings are places where nursing skills and interests are particularly well matched with residents ’ needs.1 They are also settings where there is enormous potential for nurses to innovate and implement models of professional practice that successfully integrate these settings into the mainstream of health care. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 2, 2022 Category: Nursing Authors: Melodee Harris, Ann Kolanowski, Sherry Greenberg Tags: Preface Source Type: research
Systematic Review of Burnout in US Nurses
Nurses experience high levels of burnout, and this has become a major factor in recruitment and retention of nurses. Several factors have been associated with burnout, but it is not clear which factors are the most significant predictors. Understanding the most prevalent factors that are associated with burnout will allow for the development and implementation of interventions to ameliorate and/or reduce burnout in the nursing workforce. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: George A. Zangaro, Dorothy Dulko, Debra Sullivan, Deborah Weatherspoon, Kathleen M. White, Vincent P. Hall, Robin Squellati, Amber Donnelli, Julie James, Debra Rose Wilson Source Type: research
Comparison of Factors Associated with Physician and Nurse Burnout
Burnout is a condition resulting from chronic workplace stress that has not been effectively managed, described in 3 dimensions: (a) feelings of energy depletion or exhaustion, (b) increased mental distance from one ’s job, and (c) reduced professional efficacy. Burnout is a widespread problem reaching concerning levels among health care professionals, with more than 50% of physicians and one-third as many as 80% of nurses reporting symptoms. The National Academy of Medicine (NAM) action collaborative on clin ician well-being and resilience has prioritized exploring ways to enhance baseline understanding of clinician wel...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Dorothy Dulko, George A. Zangaro Source Type: research
Eight Ways Nurses Can Manage a Burnt-Out Leader
Health professionals, including nurses, are vulnerable to burnout, which occurs when chronic stress is not managed. COVID-19 led to nurses working in stressful environments, and being required to work mandatory overtime. The result was an increase in burnout. Nurses exhibited physical, psychological, emotional, and behavioral signs of burnout. There are several ways that nurses can mitigate the situation and have more control over burnout. Nurses need to work together to support each other, including supporting the leader. There are several actions, such as mindfulness activities and maintaining a healthy lifestyle that ca...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Robin Squellati, George A. Zangaro Source Type: research
The Effect of Burnout on Quality of Care Using Donabedian ’s Framework
Donabedian ’s framework offers a model to evaluate the relationship between patient outcomes, influenced by clinical care delivery structures and processes. Applying this model proposes that adequate and appropriate structures and processes within organizations are necessary to realize optimal outcomes; it i s imperative that leadership focuses on those structures and processes to reduce the risk of burnout. Current research cannot determine whether burnout causes decreased quality or working in a setting with decreased quality causes burnout. The follow-up question is whether curtailing burnout will im prove quality or ...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Kathleen M. White, Dorothy Dulko, Bonnie DiPietro Source Type: research
Burnout in Nursing: Causes, Management, and Future Directions
NURSING CLINICS OF NORTH AMERICA (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: George A. Zangaro, Dorothy Dulko, Debra Sullivan Source Type: research
