Nurse Clinicians
Nurses
Nurse Practitioners
Nurse's Practice Patterns
Home care of high risk pregnant women by advanced practice nurses: nurse time consumed. (1/122)
This study examined the time spent by advanced practice nurses (APNs) in providing prenatal care to women with high risk pregnancies. The results indicate that the overall mean APN time spent in providing prenatal care was 51.3 hours per woman. The greatest amount of time was spent in the clinic and women with pregestational diabetes consumed the most APN time and required the most contacts. Historically, home care services have been measured by number of visits or contacts. This study assists home care nurses and administrators to consider additional measurements including time spent. (+info)Randomised controlled trial of follow up care in general practice of patients with myocardial infarction and angina: final results of the Southampton heart integrated care project (SHIP). The SHIP Collaborative Group. (2/122)
OBJECTIVE: To assess the effectiveness of a programme to coordinate and support follow up care in general practice after a hospital diagnosis of myocardial infarction or angina. DESIGN: Randomised controlled trial; stratified random allocation of practices to intervention and control groups. SETTING: All 67 practices in Southampton and south west Hampshire, England. SUBJECTS: 597 adult patients (422 with myocardial infarction and 175 with a new diagnosis of angina) who were recruited during hospital admission or attendance at a chest pain clinic between April 1995 and September 1996. INTERVENTION: Programme to coordinate preventive care led by specialist liaison nurses which sought to improve communication between hospital and general practice and to encourage general practice nurses to provide structured follow up. MAIN OUTCOME MEASURES: Serum total cholesterol concentration, blood pressure, distance walked in 6 minutes, confirmed smoking cessation, and body mass index measured at 1 year follow up. RESULTS: Of 559 surviving patients at 1 year, 502 (90%) were followed up. There was no significant difference between the intervention and control groups in smoking (cotinine validated quit rate 19% v 20%), lipid concentrations (serum total cholesterol 5.80 v 5.93 mmol/l), blood pressure (diastolic pressure 84 v 85 mm Hg), or fitness (distance walked in 6 minutes 443 v 433 m). Body mass index was slightly lower in the intervention group (27.4 v 28.2; P=0.08). CONCLUSIONS: Although the programme was effective in promoting follow up in general practice, it did not improve health outcome. Simply coordinating and supporting existing NHS care is insufficient. Ischaemic heart disease is a chronic condition which requires the same systematic approach to secondary prevention applied in other chronic conditions such as diabetes mellitus. (+info)Follow-up care in general practice of patients with myocardial infarction or angina pectoris: initial results of the SHIP trial. Southampton Heart Integrated Care Project. (3/122)
OBJECTIVE: We aimed to assess the effectiveness of a nurse-led programme to ensure that follow-up care is provided in general practice after hospital diagnosis of myocardial infarction (MI) or angina pectoris. METHODS: We conducted a randomized controlled trial with stratified random allocation of practices to intervention and control groups within all 67 practices in Southampton and South-West Hampshire, England. The subjects were 422 adult patients with a MI and 175 patients with a new diagnosis of angina recruited during hospital admission or chest pain clinic attendance between April 1995 and September 1996. Intervention involved a programme of secondary preventive care led by specialist liaison nurses in which we sought to improve communication between hospital and general practice and to encourage general practice nurses to provide structured follow-up. The main outcome measures were: extent of general practice follow-up; attendance for cardiac rehabilitation; medication prescribed at hospital discharge; self-reported smoking, diet and exercise; and symptoms of chest pain and shortness of breath. Follow-ups of 90.1 % of subjects at 1 month and 80.6% at 4 months were carried out. RESULTS: Median attendance for nurse follow-up in the 4 months following diagnosis was 3 (IQR 2-5) in intervention practices and 0 (IQR 0-1) in control practices; the median number of visits to a doctor was the same in both groups. At hospital discharge, levels of prescribing of preventive medication were low in both intervention and control groups: aspirin 77 versus 74% (P = 0.32), cholesterol lowering agents 9 versus 10% (P = 0.8). Conversely, 1 month after diagnosis, the vast majority of patients in both groups reported healthy lifestyles: 90 versus 84% reported eating healthy food (P = 0.53); 73 versus 67% taking regular exercise (P = 0.13); 89 versus 92% not smoking (P = 0.77). Take up of cardiac rehabilitation was 37% in the intervention group and 22% in the control group (P = 0.001); the median number of sessions attended was also higher (5 versus 3 out of 6). CONCLUSIONS: The intervention of a liaison nurse is effective in ensuring that general practice nurses follow-up patients after hospital discharge. It does not alter the number of follow-up visits made by the patient to the doctor. Levels of prescribing and reported changes in behaviour at hospital discharge indicate that the main tasks facing practice nurses during follow-up are to help patients to sustain changes in behaviour, to encourage doctors to prescribe appropriate medication and to encourage patients to adhere to medication while returning to an active life. These are very different tasks to those traditionally undertaken by practice nurses in relation to primary prevention, where the emphasis has been on identifying risk and motivating change. Assessment of the effectiveness of practice nurses in undertaking these new tasks requires a longer follow-up. (+info)Effect of a primary care based epilepsy specialist nurse service on quality of care from the patients' perspective: results at two-years follow-up. (4/122)
Epilepsy specialist nurses have the potential to improve the quality of care of community-based patients with epilepsy, although evidence of their effectiveness is limited by the lack of formal or long-term evaluation. Results of a controlled trial that assessed the effectiveness of a primary care based specialist nurse-led service suggested improvements in communication and satisfaction but not health status at one-year follow-up. A second follow-up was conducted to assess the effects after two years. Patients who reported having seen the nurse at least once in the two years ('users') were compared with those who had not ('non-users'). Comparisons between users and non-users were adjusted for baseline differences. Results were based on 40% of all 595 adult patients known to have epilepsy in 14 general practices and who answered questionnaires at baseline and two years later. The new epilepsy service was used more by those with greatest needs for care. Users of the new service were significantly more likely than non-users to have discussed 8 of 11 topics asked about epilepsy [odds ratios (ORs) ranging from 2.42 to 7.91] with their general practitioner (GP), and 2 of the 11 topics with the hospital doctor (ORs 5.59, 5. 74). Service users were significantly less likely than non-users to feel their GP knew enough about epilepsy [OR 0.27, 95% confidence intervals (CI) 0.74-0.98], and significantly more likely to report epilepsy as having an adverse impact on 3 of 10 areas of everyday life (ORs ranging from 2.09 to 2.50). Users were more likely than non-users to have seen their GP for any reason in the previous year and to change their medication from use of more than one antiepileptic drug to monotherapy, although findings were not significant. Results suggest that the epilepsy specialist nurse service is not a cost-reducing substitute, particularly for general practitioner care, but it appears to improve communication and prescribing of monotherapy, and increases access for the most needy. The service may, however, have an adverse impact on patients' perceptions of the effects of epilepsy on aspects of everyday life. (+info)General-practice-based nurse specialists-taking a lead in improving the care of people with epilepsy. (5/122)
Epilepsy is almost as common as diabetes and some 750 people with epilepsy die suddenly and prematurely each year. Unfortunately, the management of epilepsy has been much neglected and services often remain fragmented and difficult for patients to understand. We employed a nurse specialist in epilepsy to work with practice nurses in a group of general practices to promote better care, to make patients aware of sources of help and support, and to provide information about issues such as driving, employment and pregnancy. Over 70% of patients with epilepsy attended 'clinics' run by the specialist nurse and many previously unidentified problems were successfully resolved-including misdiagnosis, over-medication and lack of awareness of the side-effects of antiepileptic drugs. Nurse specialists in epilepsy, working with groups of general practices but in collaboration with hospital specialists and voluntary organizations, can take a lead role in facilitating joint working between all those involved in service provision, in training practice nurses and others in the special needs of people with epilepsy and in providing support in hospital clinics. (+info)Improving the epilepsy service: the role of the specialist nurse. (6/122)
There is currently a wide variation in the level of service provided for patients with epilepsy across the UK. Evidence is becoming available to suggest that improvements in local service provision may be achieved through the intervention of a specialist nurse. Using practical examples, this article explores the roles of the epilepsy specialist nurse, and examines how they may benefit patients and improve services. Functions such as liaison, patient assessment and management, counselling, provision of information, education, and audit are considered. It is hoped that the improved co-ordination and management of epilepsy services, that is achieved through specialist nurse intervention, will lead to improved patient outcomes and increased cost-effectiveness. (+info)The effect of specially trained epilepsy nurses in primary care: a review. (7/122)
The paper describes the evidence on potential effects of specially trained nurses working in primary care for patients with epilepsy. The method used was a search and review of evidence published from 1992 to 1999. It was found that where nurses have been trained in epilepsy care, there is good evidence that it is feasible for them to set up and run clinics in family practice. Where this has been undertaken, there is level I evidence that this is acceptable and satisfactory to patients. Where clinics have been set up in primary care, there is level I evidence that there has been an increase in the information and advice recorded as being provided to patients. Structured checklists may additionally prompt service providers to increase the level of information provided to patients, and this hypothesis is being tested currently. In conclusion, epilepsy nurses can set up clinics for patients in primary care which are well attended, satisfy patients, and which are associated with better recording of advice given. There is little published evidence on outcome as opposed to process measures. Trials with adequate sample size and long-term follow-up are necessary to identify whether nurse monitoring with advice and counselling can benefit patients in terms of epilepsy self-management in the long run. (+info)Do learning disability services need epilepsy specialist nurses? (8/122)
Epilepsy is known to cause higher rates of morbidity and mortality than in the general population. It is estimated that one third of people with a learning disability also have epilepsy, and that their epilepsy is generally more difficult to control. Given these two statements and with the trend to place the majority of people with learning disabilities in small community homes rather than large medical institutions, it follows that there is a need for up-to-date information and education for individuals and carers in a variety of settings to ensure best care and quality of life is achieved. Is there a need for specialist epilepsy nurses to work in this field? (+info)'Office nursing' is not a term that has a specific or widely accepted medical definition in the healthcare profession. However, it generally refers to the practice of nursing in an office setting, often providing direct patient care and managing administrative tasks for a healthcare provider or a group of providers in an outpatient clinic or private practice.
Office nurses may perform various duties, such as:
1. Taking medical histories and vital signs
2. Administering medications, vaccinations, or treatments
3. Wound care and dressing changes
4. Case management and coordination of patient care
5. Providing patient education and counseling
6. Managing office appointments, referrals, and communications with patients
7. Handling medical records, insurance forms, and billing processes
While 'office nursing' is not a formal specialty or certification in the nursing field, it does require a unique set of skills to effectively balance clinical responsibilities with administrative tasks in an outpatient setting.
A Nurse Clinician, also known as Clinical Nurse Specialist (CNS), is an advanced practice registered nurse who has completed a master's or doctoral degree in nursing with a focus on clinical expertise. They are experts in their specific clinical specialty area, such as pediatrics, gerontology, critical care, or oncology.
Nurse Clinicians demonstrate advanced levels of knowledge and skills in assessment, diagnosis, and treatment of patients' health conditions. They provide direct patient care, consult with other healthcare professionals, coordinate care, and often serve in leadership and education roles within their healthcare organizations. Their work includes developing and implementing evidence-based practice guidelines, participating in quality improvement initiatives, and mentoring staff nurses.
Nurse Clinicians play a critical role in improving patient outcomes, enhancing the quality of care, and promoting cost-effective care delivery. They are licensed and regulated by their state's Board of Nursing and may hold national certification in their clinical specialty area.
I'm happy to help, but it seems there might be a slight misunderstanding in your question. "Nurses" is not a medical term per se, but rather a job title or professional role within the healthcare field. Here's a brief description of what nurses do:
Nurses are healthcare professionals who work closely with patients to provide and coordinate care, education, and support. They play a critical role in promoting health, preventing illness, and helping patients cope with various medical conditions. Nurses can be found in various settings such as hospitals, clinics, private practices, long-term care facilities, community health centers, and patient homes.
There are different nursing specialties and levels of education, including:
1. Registered Nurse (RN): Typically holds an associate's or bachelor's degree in nursing and has passed a licensing exam. RNs provide direct patient care, administer medications, and coordinate treatment plans.
2. Advanced Practice Registered Nurse (APRN): Has completed additional education and training beyond the RN level, often earning a master's or doctoral degree. APRNs can specialize in areas such as nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, or certified nurse-midwife.
3. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN): Holds a diploma or certificate from a practical nursing program and has passed a licensing exam. LPNs/LVNs provide basic patient care under the supervision of RNs and physicians.
These definitions are not exhaustive, but they should give you an idea of what nurses do and their roles within the healthcare system.
A Nurse Practitioner (NP) is a registered nurse who has completed advanced education (at least a master’s degree) and training in specialized areas of clinical practice. They are licensed to provide a wide range of healthcare services, including ordering and interpreting diagnostic tests, diagnosing and treating acute and chronic conditions, prescribing medications, and managing overall patient care.
Nurse practitioners may work independently or collaboratively with physicians and other healthcare professionals. Their scope of practice varies by state, but they often provide primary and specialty care in settings such as hospitals, clinics, private practices, and long-term care facilities. The focus of nurse practitioner practice is on holistic patient-centered care, health promotion, disease prevention, and patient education.
'Hospital Nursing Staff' refers to the group of healthcare professionals who are licensed and trained to provide nursing care to patients in a hospital setting. They work under the direction of a nurse manager or director and collaborate with an interdisciplinary team of healthcare providers, including physicians, therapists, social workers, and other support staff.
Hospital nursing staff can include registered nurses (RNs), licensed practical nurses (LPNs) or vocational nurses (LVNs), and unlicensed assistive personnel (UAPs) such as nursing assistants, orderlies, and patient care technicians. Their responsibilities may vary depending on their role and the needs of the patients, but they typically include:
* Administering medications and treatments prescribed by physicians
* Monitoring patients' vital signs and overall condition
* Providing emotional support and education to patients and their families
* Assisting with activities of daily living such as bathing, dressing, and grooming
* Documenting patient care and progress in medical records
* Collaborating with other healthcare professionals to develop and implement individualized care plans.
Hospital nursing staff play a critical role in ensuring the safety, comfort, and well-being of hospitalized patients, and they are essential members of the healthcare team.
Nurse's practice patterns refer to the professional behaviors and actions exhibited by nurses as they deliver patient care. These patterns are shaped by education, experience, clinical judgment, and evidence-based practice guidelines. They encompass various nursing activities such as assessment, diagnosis, planning, implementation, and evaluation of patient care.
Nurse's practice patterns also include communication with patients, families, and other healthcare providers, as well as the management of nursing interventions and resources. These patterns may vary depending on the nurse's specialty, setting, and population served, but they are all guided by the overall goal of providing safe, effective, and high-quality care to promote positive patient outcomes.
Nurse administrators, also known as nursing managers or healthcare executives, are registered nurses who have advanced education and training in management, leadership, and business. They are responsible for overseeing the operations of healthcare facilities or units within those facilities, such as hospitals, clinics, or long-term care centers.
Their duties may include:
* Developing and implementing policies, procedures, and standards of care
* Managing budgets and resources
* Hiring, training, and supervising staff
* Ensuring compliance with regulatory and accreditation requirements
* Improving the quality and efficiency of healthcare services
* Collaborating with other healthcare professionals to develop and implement programs that improve patient outcomes and satisfaction.
Nurse administrators may work in a variety of settings, including hospitals, long-term care facilities, home health agencies, public health organizations, and physician practices. They may also work in consulting firms, insurance companies, and other organizations that provide healthcare services or products.
To become a nurse administrator, one typically needs to have a bachelor's or master's degree in nursing, as well as experience in clinical nursing practice. Many nurse administrators also earn additional certifications, such as the Nurse Executive (NE) or Nurse Executive-Advanced (NEA-BC), offered by the American Nurses Credentialing Center.