Relevant bibliographies by topics / Management|Nursing

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Management|Nursing'

Author: Grafiati
Published: 9 July 2021
Last updated: 15 February 2022

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Journal articles on the topic "Management|Nursing"

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Haynor, Patricia. "Nursing Resources: Nursing Management." American Journal of Nursing 99, no. 3 (March 1999): 24A. http://dx.doi.org/10.2307/3472091.

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ROLFE, GARY. "Nursing management and the management of nursing." Journal of Nursing Management 15, no. 5 (July 2007): 559–60. http://dx.doi.org/10.1111/j.1365-2834.2007.00788.x.

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&NA;. "Nursing Management." Nursing Management (Springhouse) 30, no. 11 (November 1999): 15. http://dx.doi.org/10.1097/00006247-199911000-00006.

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&NA;. "Nursing Management." Nursing Management (Springhouse) 30, Supplement (January 1999): 42. http://dx.doi.org/10.1097/00006247-199901001-00001.

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Haynor, Patricia. "Nursing Management." American Journal of Nursing 99, no. 3 (March 1999): 24A. http://dx.doi.org/10.1097/00000446-199903000-00014.

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Brogna, Luanne, and Mary Lakaszawski. "Nursing management." Journal of Wound, Ostomy and Continence Nursing 13, no. 4 (July 1986): 139–47. http://dx.doi.org/10.1097/00152192-198607000-00038.

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Nazarko, Linda. "Nursing Management." Nursing Management 4, no. 7 (November 1997): 21–23. http://dx.doi.org/10.7748/nm.4.7.21.s18.

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Chalmers, Helen. "Nursing management." Nurse Education Today 6, no. 3 (June 1986): 141–42. http://dx.doi.org/10.1016/0260-6917(86)90110-3.

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Hua Wang, Cheng, Yuan Duen Lee, Hui Lin Chou, and Jen Hwa Kuo. "Mapping the Intellectual Structure of Nursing Management." International Journal of Modeling and Optimization 4, no. 2 (February 2014): 163–66. http://dx.doi.org/10.7763/ijmo.2014.v4.366.

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Halstead, Helen L. "Nursing Home Management." Journal of Gerontological Nursing 15, no. 11 (November 1, 1989): 43. http://dx.doi.org/10.3928/0098-9134-19891101-22.

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Dissertations / Theses on the topic "Management|Nursing"

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Hughes, Susan D. "Participatory Management and Absenteeism and Turnover of Nursing Assistants in Nursing Homes." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1609104/.

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Nursing assistants (NAs) provide the majority of daily care to older adults in nursing homes (NHs); NAs working in NHs are the focus of this study. This study examined the influence of participatory management (the independent variable), and mediating variables, burnout – measured as emotional exhaustion, task performance, and affective organizational commitment, on NA withdrawal behaviors (the dependent variables absenteeism and turnover). Most of the data come from a 113-item self-administered questionnaire designed to measure NAs' perceptions of their job and work environment. Turnover data were collected from the NA's NH, on average about 16 months later. The two dependent variables were examined in separate analyses with the samples consisting of 246 participants for the absenteeism analysis and 244 for the turnover analysis. Data were analyzed using SPSS 25 and PROCESS 3.3, an SPSS macro add-in. Both ordinary least squares and logistic binary regression were used to examine the associations between variables. The results indicated that participatory management had statistically significant indirect effects on both outcomes. There were two significant mediation results for absenteeism: 1) participatory management increased NA task performance, which, in turn, decreased absenteeism and, 2) participatory management also decreased NA burnout, which, in turn, increased their performance and decreased absenteeism. There were four significant mediation results for turnover: 1) participatory management increased NA attachment to the NH, which, in turn, decreased turnover, 2) participatory management improved NAs' perceptions of their job performance, which, in turn, increased their turnover, 3) participatory management tended to decrease NA burnout, which, in turn, tended to increase attachment to the NH, and, then, tended to decrease turnover, and 4) participatory management tended to decrease NA burnout, which, in turn, tended to increase task performance, and, then, tended to increase turnover. These findings broaden the research on NAs' withdrawal behaviors and demonstrate the need to further explore this hypothesized model.
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Briggs, Emma Victoria. "Postoperative pain : nursing management and organisational commitment." Thesis, University of Hull, 2003. http://hydra.hull.ac.uk/resources/hull:5830.

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Postoperative pain management has been the subject of several national reports (Royal College of Surgeons of England and College of Anaesthetists, 1990; Audit Commission, 1997; Clinical Standards Advisory Group, 2000) that have each made recommendations for practice at ward level and Trust-wide strategies to improve pain management within an organisation. These two areas represent the foci of the work undertaken in this thesis. The research consisted of two studies; the first surveyed hospital Trusts in the Northern and Yorkshire region (n=35) and the second explored nursing care of 120 patients admitted to four English hospitals (two with an acute pain service) through nonparticipant observation, patient interviews and examination of nursing documentation. The questionnaire results highlighted increases in funding for pain management, staff education, audit practices and written guidelines compared to previous work by the Audit Commission (1998) but wide variations in the nature of these activities. In the second study, hospital two (without a pain service) achieved the lowest pain scores at rest (p=0.018) and on movement (p=0.013) but also had one of the lowest rates of analgesic administration and morphine equivalent doses. This ward had the highest number of pain-related interactions (p=0.004), entries onto pain assessment charts (p=0.03) and documented evaluations in nursing care plans. Data also illustrate the differences between observed and documented care in all hospitals and the low use of pain assessment tools in practice to inform analgesic decision-making. This study provides an insight into hospital activities aimed at improving pain management and surgical nursing practice across Trusts. Recommendations are made to further enhance pain relief in hospital including the promotion of pain as a quality of care indicator and increasing accountability within organisations.
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Curtis, Kathleen Anne Public Health &amp Community Medicine Faculty of Medicine UNSW. "Trauma nursing case management: impact on patient outcomes." Awarded by:University of New South Wales. School of Public Health and Community Medicine, 2006. http://handle.unsw.edu.au/1959.4/33367.

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Aim The purpose of the study was to formally identify trauma care delivery problems at the study institution, implement a solution in the form of trauma case management (TCM), and measure the effect of TCM on staff satisfaction, clinical coding accuracy and patient outcomes, using practice-specific outcome variables such as in-hospital complication rates, length of stay, resource use and allied health service intervention rates. This research also aimed to make a unique contribution to the international trauma literature by addressing the lack of any evidence specifically measuring the impact of trauma case management intervention. Methods St George Hospital is a 600 bed urban Teaching Hospital of the University of NSW. It is a designated Trauma Centre, seeing around 200 severely injured patients and around 2500 injury admissions per year. A series of focus groups and a staff satisfaction survey identified perceived problems associated with trauma care, and a trauma case management program was implemented. A preliminary study was conducted with positive results and funding was obtained to provide TCM seven days a week to all trauma patient admissions. A larger clinical trial was conducted and data from 754 patients were collected over fourteen months after TCM was introduced at the study hospital. These data were compared with 777 matched patients from the previous 14 months as a control group. An audit was conducted on trauma patient clinical coding using the daily progress record kept by the trauma case manager. The data were analysed with SPSS. The statistical tests used were Mann-Whitney U, chi-squared (2) logistic regression and generalised linear models. Results Focus groups and the staff satisfaction survey identified communication and coordination as the main problems associated with trauma care delivery. Following the initial implementation of the program, staff support for TCM was overwhelming. TCM greatly improved the rate of and time to Allied Health intervention (p<0.0001). Results demonstrated a decrease in the occurrence of deep vein thrombosis (p<0.038), coagulopathy (p=0.041) and respiratory failure. A reduced hospital length of stay (LOS), particularly in the paediatric (p<0.05) and 45 - 64 years age group was noted. There were 6621 fewer pathology tests performed (p<0.0001) and the total number of bed days was 483 days less than predicted from the control group. Many hospital clinical coding errors and omissions were highlighted by the TCM record comparison. The use of TCM records resulted in Twenty eight percent of recoded records having their Australian national diagnostic related group (AN-DRG) changed, which resulted in the identification over $39,000 in unidentified funding. Conclusion TCM improves staff satisfaction, communication and clinical coding accuracy. The introduction of TCM improved the efficiency and effectiveness of trauma patient care in our institution. This initiative demonstrates that TCM results in improvements to quality of care, trauma patient morbidity, financial performance and resource use. This research makes an important and original contribution to the international trauma literature by providing the results of a clinical trial formally measuring the impact of trauma nursing case management intervention.
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Russell, Anthony Charles. "A workshop intervention approach to nursing stress management." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/MQ33447.pdf.

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Blyden, Letitia. "Nursing knowledge and attitudes toward cancer pain management /." Staten Island, N.Y. : [s.n.], 2000. http://library.wagner.edu/theses/nursing/2000/thesis_nur_2000_blyde_nursi.pdf.

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Ko, Cindy. "Emotional Self-Management Experiences of Practical Nursing Students." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5739.

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In Ontario, Canada, practical nurses (PN) are educated through a 2-year diploma program. A review of PN program curricula in Ontario suggested that emotional intelligence (EI) and the core concept of emotional self-management are not specified in curriculum outcomes or courses. The study explored PN students' lived experiences with emotional self-management in the clinical settings where they are exposed to stress related situations using van Manen's orientation to hermeneutic phenomenology. The original four-branch ability model of EI by Mayer and Salovey was used as the theoretical framework to guide the explorative and interpretative processes of the study. Face-to-face interviews were conducted with a purposive convenience sample of 10 PN students at a southern Ontario community college in Canada. Van Manen's selective reading thematic analysis approach was used to analyze the data. Findings of this study suggested that the participants perceived themselves to have basic EI knowledge and are usually aware of their own and others' emotions, and indicated the notion of professionalism, ability to reflect, and empathy were meaningful in relation to EI. Participants expressed that their first knowing of EI provided them with more confidence and awareness and they would like to learn more about EI. An increased understanding of emotional self-management could enhance teaching and learning approaches, particularly with PN students who are exposed to high-stress clinical environments, thereby contributing to positive social change.
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Murphy, Kerri. "Nursing Staff Education for Heart Failure Disease Management." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6252.

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Heart failure (HF) has a global significance for the older population and is the most common reason for hospitalization. Patients with HF can reduce their risk for hospital readmissions and adverse outcomes through self-management of their disease. Nurses are responsible for educating patients about HF self-management; however, nurses at the project site lacked sufficient understanding and confidence to perform adequate HF patient education, creating a gap in practice. This project was guided by Pender's health promotion model and adult learning theory with the goal to increase nurses' knowledge and confidence with the self-management principles of HF. The purpose of this project was to develop an educational program for nurses to increase their knowledge of HF disease management and patient self-management principles. The education program was supported by research literature and recommendations from the Agency for Healthcare Research and Quality, in addition to input from a planning team consisting of 3 nursing leaders from the project site. The planning team provided process evaluation regarding satisfaction with the planning process by completing an anonymous, 10-question, Likert-type survey. Seven project evaluations were completed and all respondents indicated that they agreed or strongly agreed in response to questions regarding the effectiveness of the project, it's planning, and the leader. At the completion of the project, the education program was delivered to the project site, with a plan for later implementation and learner evaluation using assessment tools of HF knowledge and confidence. This project has the potential to achieve positive social change in relation to nurses' commitment to improving patient outcomes through quality initiatives and dedication to the implementation of evidence-based practice, thus, promoting positive patient outcomes.
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Carr, Elizabeth K. "Feeding difficulties after stroke - their assessment and nursing management." Thesis, University of Nottingham, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.330092.

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Hoyle, Louise P. "New public management and nursing relationships in the NHS." Thesis, University of Stirling, 2011. http://hdl.handle.net/1893/7507.

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Western governments face increasing demands to achieve both cost efficiency and responsiveness in their public services leading to radical and challenging transformations. Following the imposition of New Public Management (NPM) approaches within England, it is argued that similar elements of NPM can be also seen within Scottish healthcare, despite policy divergences following devolution. This thesis considers the influence of NPM on Scottish hospital frontline nursing staff in their work. It explores the ways in which managerial practices (specifically professional management; discipline & parsimony; standard setting & performance measurement; and consumerism) have shaped the working relationships, interactions, and knowledge-exchange between managers, staff and patients and the ability of staff to carry out nursing duties within an acute hospital setting. The study is a qualitative interpretivist study grounded in the methodology of adaptive theory and draws upon the works of Lipsky (1980) in order to explore how the front-line nurses cope with and resist the demands of the workplace. Based on thirty-one qualitative interviews with front-line nursing staff in an inner city hospital in Scotland, this thesis presents the findings resulting from nurses’ views of management, finances, policies, targets, audits and consumerism. The findings show that these nurses believe there has been a proliferation of targets, audits and policies, an increasing emphasis on cost efficiency and effectiveness, a drive for professional management and a greater focus on consumerism in NHS Scotland. These are all closely linked to the ethos of NPM. From the findings it can be seen that many elements influence the working relationships of the frontline hospital nursing staff. The study suggests that the main reason for conflict between managers and nursing staff is due to their differing foci. Managers are seen to concentrate on issues of targets, audits and budgets with little thought given to the impact these decisions will have on patient care or nurses’ working conditions. Furthermore the findings highlight high levels of micro-management, self-surveillance, control and the regulation of the frontline nursing staff which has led to tensions both between nursing staff and managers, but also with patients and the public. Finally, although there has supposedly been policy divergence between Scotland and England, this thesis has identified many similarities between Scottish and English polices and NPM approaches continues to influence the working relationships of front-line nursing staff within this study despite the rhetoric that Scotland has moved away from such practices.
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MacLaren, Jill E. "Training nursing students in evidence-based nonpharmacological pain management techniques." Morgantown, W. Va. : [West Virginia University Libraries], 2006. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4680.

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Thesis (Ph. D.)--West Virginia University, 2006.
Title from document title page. Document formatted into pages; contains vi, 79 p. : ill. Includes abstract. Includes bibliographical references (p. 36-40).
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Books on the topic "Management|Nursing"

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Nursing leadership & management. 3rd ed. Clifton Park, NY: Cengage Learning, 2012.

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Kelly-Heidenthal, Patricia. Nursing leadership & management. Clifton Park, NY: Thomson/Delmar Learning, 2003.

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Nursing management handbook. Edinburgh: Churchill Livingstone, 1988.

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H, Massey Veta, ed. Nursing leadership, management & research. Springhouse, Pa: Springhouse Corp., 1999.

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Sullivan, Maureen P. Nursing leadership and management. Springhouse, Pa: Springhouse Corp., 1990.

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Nursing leadership and management. 2nd ed. Springhouse, Pa: Springhouse Corp., 1995.

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J, Decker Phillip, ed. Effective management in nursing. 2nd ed. Menlo Park, Calif: Addison-Wesley, Health Sciences Division, 1988.

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Sullivan, Maureen P. Nursing leadership and management. 3rd ed. Philadelphia, Pa: F.A Davis, 1995.

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Guide to nursing management. 3rd ed. St. Louis: Mosby, 1988.

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Ann, Hogan Mary. Nursing leadership and management. Upper Saddle River, N.J: Pearson/Prentice Hall, 2009.

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Book chapters on the topic "Management|Nursing"

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Kipp, Heidi, Lisa J. Musshafen, and Lisa Norsen. "Inpatient Nursing Management." In Manual of Heart Failure Management, 229–45. London: Springer London, 2009. http://dx.doi.org/10.1007/978-1-84882-185-9_18.

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Peterson, Mary, and Kathryn J. Hannah. "Nursing Management Information Systems." In Nursing Informatics, 190–205. New York, NY: Springer New York, 1988. http://dx.doi.org/10.1007/978-1-4757-4160-5_21.

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Alexandrov, Anne W. "Acute Stroke Nursing Management." In Stroke Nursing, 75–102. Chichester, UK: John Wiley & Sons, Ltd, 2019. http://dx.doi.org/10.1002/9781119581161.ch4.

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Can, Gulbeyaz. "Nursing Care and Management." In Breast Disease, 693–704. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-16792-9_45.

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Harrow, M., and C. Tristram. "Nursing and Resource Management." In Medical Informatics Europe ’90, 484–90. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-51659-7_90.

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Can, Gulbeyaz. "Nursing Care and Management." In Breast Disease, 805–20. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-26012-9_46.

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Weaver, Charlotte A. "Nursing Benefits Realization: Effective Nursing Information Management Systems." In Nursing Informatics ’91, 158–62. Berlin, Heidelberg: Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-95656-0_23.

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Paul, Steven M. "Data Management in Nursing Research." In Nursing and Computers, 492–96. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-2182-1_65.

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Williams, Ena. "Nursing Perspective on Pain Management." In Essentials of Pain Management, 367–77. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-0-387-87579-8_17.

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Larkin, Philip J. "Symptom Management: The Nursing View." In Palliative Care in Oncology, 93–107. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-662-46202-7_7.

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Conference papers on the topic "Management|Nursing"

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"Application Effect of Nursing Risk Management in Nursing of Kidney Diseases." In 2018 3rd International Conference on Life Sciences, Medicine, and Health. Francis Academic Press, 2018. http://dx.doi.org/10.25236/iclsmh.18.002.

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Guedes, Mariana, Antonio Luis Carvalho, Sandra Cruz, and Fátima Pinho. "Clients’ Physical Restraint Management: Nursing Approach." In 2nd icH&Hpsy International Conference on Health and Health Psychology. Cognitive-crcs, 2016. http://dx.doi.org/10.15405/epsbs.2016.07.02.17.

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Lin, Jiun-Hung, Kuo-Feng Chou, Yu-Hsiang Kuan, and Shih-Tsang Tang. "The object-oriented nursing management system." In 2010 IEEE Region 8 International Conference on "Computational Technologies in Electrical and Electronics Engineering" (SIBIRCON 2010). IEEE, 2010. http://dx.doi.org/10.1109/sibircon.2010.5556395.

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Tsumoto, Shusaku, Shoji Hirano, and Haruko Iwata. "Temporal Data Mining for Nursing Schedule Management." In 2012 3rd International Conference on Innovations in Bio-Inspired Computing and Applications (IBICA). IEEE, 2012. http://dx.doi.org/10.1109/ibica.2012.64.

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Yang, Xueqin, Tao Zan, Lan Wang, and Deli Li. "Research on Nursing Management Based on Big Data." In 2020 12th International Conference on Measuring Technology and Mechatronics Automation (ICMTMA). IEEE, 2020. http://dx.doi.org/10.1109/icmtma50254.2020.00168.

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Li, Guijie, Yutao Liu, Hang Zhao, and Hengyu Cai. "Researchon Application of Network System to Nursing Management." In 2019 11th International Conference on Measuring Technology and Mechatronics Automation (ICMTMA). IEEE, 2019. http://dx.doi.org/10.1109/icmtma.2019.00161.

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Franchi, D., D. Cini, A. Belardinelli, L. Guerriero, A. Mazzarisi, A. Ripoli, I. Marinaro, and R. Bedini. "Web based nursing management of a cardiology department." In Computers in Cardiology, 2003. IEEE, 2003. http://dx.doi.org/10.1109/cic.2003.1291180.

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Abe, Akinori, Hiromi Ozaku, Noriaki Kuwahara, and Kiyoshi Kogure. "Cooperation Between Abductive and Inductive Nursing Risk Management." In Sixth IEEE International Conference on Data Mining - Workshops (ICDMW'06). IEEE, 2006. http://dx.doi.org/10.1109/icdmw.2006.53.

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McAndrew, I. R., and G. P. Wise. "Crew Resource Management and its possible role in nursing risk management." In RISK ANALYSIS 2014. Southampton, UK: WIT Press, 2014. http://dx.doi.org/10.2495/risk140221.

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Rachmania, Diana, Widyasih Sunaringtyas, and Dhina Widayati. "INSTRUMENT DEVELOPMENT OF MANPOWER (M1) NURSING MANAGEMENT BASED ON PROFESSIONAL NURSING CARE METHODS AND JCI ACCREDITATION." In THE 4th INTERNATIONAL NURSING CONFERENCE “LIFE CYCLE APPROACH FOR SUCCESSFUL AGING”. Universitas Muhammadiyah Jember, 2019. http://dx.doi.org/10.32528/inc.v0i0.2697.

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Reports on the topic "Management|Nursing"

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DEPARTMENT OF THE ARMY WASHINGTON DC. The Workload Management System for Nursing. Fort Belvoir, VA: Defense Technical Information Center, November 1990. http://dx.doi.org/10.21236/ada353798.

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Horrell, Margaret A. Educating Physicians on the Workload Management Systems for Nursing. Fort Belvoir, VA: Defense Technical Information Center, July 1990. http://dx.doi.org/10.21236/ada237860.

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Warren, Carolyn S. The Ambulatory Care Workload Management System for Nursing Reference Manual. Fort Belvoir, VA: Defense Technical Information Center, May 1991. http://dx.doi.org/10.21236/ada237257.

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Mullins, Juanita. Using Human Patient Simulation to Improve Emergency Airway Management Safety in Post Anesthesia Nursing: A Pilot Project. Fort Belvoir, VA: Defense Technical Information Center, August 2010. http://dx.doi.org/10.21236/ada529790.

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Rieder, Karen A., and Susan S. Jackson. An Evaluative Study of the Navy Medical Department's Patient Classification System and Staffing Allocation System. (The Workload Management System for Nursing). Fort Belvoir, VA: Defense Technical Information Center, December 1985. http://dx.doi.org/10.21236/ada170377.

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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Lumpkin, Shamsie, Isaac Parrish, Austin Terrell, and Dwayne Accardo. Pain Control: Opioid vs. Nonopioid Analgesia During the Immediate Postoperative Period. University of Tennessee Health Science Center, July 2021. http://dx.doi.org/10.21007/con.dnp.2021.0008.

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Background Opioid analgesia has become the mainstay for acute pain management in the postoperative setting. However, the use of opioid medications comes with significant risks and side effects. Due to increasing numbers of prescriptions to those with chronic pain, opioid medications have become more expensive while becoming less effective due to the buildup of patient tolerance. The idea of opioid-free analgesic techniques has rarely been breached in many hospitals. Emerging research has shown that opioid-sparing approaches have resulted in lower reported pain scores across the board, as well as significant cost reductions to hospitals and insurance agencies. In addition to providing adequate pain relief, the predicted cost burden of an opioid-free or opioid-sparing approach is significantly less than traditional methods. Methods The following groups were considered in our inclusion criteria: those who speak the English language, all races and ethnicities, male or female, home medications, those who are at least 18 years of age and able to provide written informed consent, those undergoing inpatient or same-day surgical procedures. In addition, our scoping review includes the following exclusion criteria: those who are non-English speaking, those who are less than 18 years of age, those who are not undergoing surgical procedures while admitted, those who are unable to provide numeric pain score due to clinical status, those who are unable to provide written informed consent, and those who decline participation in the study. Data was extracted by one reviewer and verified by the remaining two group members. Extraction was divided as equally as possible among the 11 listed references. Discrepancies in data extraction were discussed between the article reviewer, project editor, and group leader. Results We identified nine primary sources addressing the use of ketamine as an alternative to opioid analgesia and post-operative pain control. Our findings indicate a positive correlation between perioperative ketamine administration and postoperative pain control. While this information provides insight on opioid-free analgesia, it also revealed the limited amount of research conducted in this area of practice. The strategies for several of the clinical trials limited ketamine administration to a small niche of patients. The included studies provided evidence for lower pain scores, reductions in opioid consumption, and better patient outcomes. Implications for Nursing Practice Based on the results of the studies’ randomized controlled trials and meta-analyses, the effects of ketamine are shown as an adequate analgesic alternative to opioids postoperatively. The cited resources showed that ketamine can be used as a sole agent, or combined effectively with reduced doses of opioids for multimodal therapy. There were noted limitations in some of the research articles. Not all of the cited studies were able to include definitive evidence of proper blinding techniques or randomization methods. Small sample sizes and the inclusion of specific patient populations identified within several of the studies can skew data in one direction or another; therefore, significant clinical results cannot be generalized to patient populations across the board.
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