Academic literature on the topic 'Nurse led'

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Journal articles on the topic "Nurse led"

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Brookes, Jane. "Fostering Nurse-Led CareFostering Nurse-Led Care." Learning Disability Practice 16, no. 6 (July 2013): 8. http://dx.doi.org/10.7748/ldp2013.07.16.6.8.s22.

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Brookes, Jane. "Fostering Nurse-Led CareFostering Nurse-Led Care." Nursing Management 20, no. 4 (July 2013): 11. http://dx.doi.org/10.7748/nm2013.07.20.4.11.s17.

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Duffin, Christian. "Nurse-led." Nursing Standard 21, no. 32 (April 18, 2007): 6. http://dx.doi.org/10.7748/ns.21.32.6.s6.

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van Beelen, Adri. "Nurse-led." Bijzijn XL 8, no. 4 (May 2015): 7. http://dx.doi.org/10.1007/s12632-015-0045-1.

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Monsen, Karen A., and Jos de Blok. "Buurtzorg: Nurse-Led Community Care." Creative Nursing 19, no. 3 (2013): 122–27. http://dx.doi.org/10.1891/1078-4535.19.3.122.

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Buurtzorg is a nurse-led, nurse-run organization of self-managed teams that provide home care to patients in their neighborhoods. Championing humanity over bureaucracy, autonomous teams work with primary care providers, community supports, and family resources to bring patients to optimal functioning as quickly as possible. The award-winning organization grew out of a common sense approach based on principles of trust, autonomy, creativity, simplicity, and collaboration. These organizational principles translate into highly effective and efficient care, satisfied patients, and enthusiastic nurses. The model is being replicated worldwide, with teams starting in Minnesota, Sweden, Japan, and other countries.
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Salomons, Teie. "Nurse-led zorg." TVZ - Verpleegkunde in praktijk en wetenschap 132, no. 5 (October 2022): 24. http://dx.doi.org/10.1007/s41184-022-1743-3.

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Mabbott, Irene. "Nurse Led Clinics." Nursing Standard 26, no. 21 (January 25, 2012): 30. http://dx.doi.org/10.7748/ns2012.01.26.21.30.p7359.

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Dammeyer, Jennifer A., Christina D. Mapili, Maria Teresa Palleschi, Sommer Eagle, Linda Browning, Kara Heck, Adam March, Patricia Clark, and Christine George. "Nurse-Led Change." Critical Care Nursing Quarterly 35, no. 1 (2012): 2–14. http://dx.doi.org/10.1097/cnq.0b013e31823b1fec.

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Page, Carole. "Nurse-led discharge." Nursing Management 17, no. 8 (December 8, 2010): 26–27. http://dx.doi.org/10.7748/nm2010.12.17.8.26.c8144.

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Cullum, Nicky, Karen Spilsbury, and Gerry Richardson. "Nurse led care." BMJ 330, no. 7493 (March 24, 2005): 682–83. http://dx.doi.org/10.1136/bmj.330.7493.682.

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Dissertations / Theses on the topic "Nurse led"

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Farrell, Carole Denise. "An exploration of oncology specialist nurses' roles in nurse-led chemotherapy clinics." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/an-exploration-of-oncology-specialist-nurses-roles-in-nurseled-chemotherapy-clinics(9e4907a5-92ac-4719-90f9-12dba4942b0e).html.

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The purpose of this study was to investigate nurses’ roles within nurse-led chemotherapy clinics. There has been a rapid expansion and development of nursing roles and responsibilities in oncology, but little understanding of how roles are enacted and their impact on patient experiences and outcomes. This was a two stage approach comprising a survey of UK oncology specialist nurses followed by an ethnographic study of nurses’ roles in nurse led chemotherapy clinics. Ethics approval was obtained prior to each study; research and development approval was obtained from each hospital site prior to Study 2. Study 1 used a questionnaire survey to explore the scope of nurses’ roles. A purposive sample of oncology specialist nurses perceived to be undertaking nurse-led clinics was obtained using snowball methods. Data analysis included descriptive and inferential statistics. Study 2 used ethnographic methods to explore nurses’ roles in nurse-led chemotherapy clinics, which included clinical observations, interviews with nurse participants and studying documentation (protocols) for nurse-led chemotherapy clinics. Findings were coded and thematic analysis undertaken. In study 1, 103 completed questionnaires were received with a response rate of 64%, however analysis identified 79 (76.7%) nurses undertaking nurse-led clinics, therefore statistical analysis was limited to this sample of 79 nurses. An additional 12 (11.7%) nurses wanted to undertake nurse-led clinics, therefore findings from this group were analysed separately. There was little congruence between nurses’ titles and clinical roles, with significant differences in practice between different groups of nurses, in relation to history-taking (p=.036), assessing response to treatment (p=.033). Although there was no difference in the number of nurses undertaking clinical examinations (p=.065), there were differences in the nature of examinations undertaken, including respiratory (p= .002). There were also significant differences between groups of nurses in relation to nurse prescribing (p<.0001). Study 2 included observations (61 consultations by 13 nurses) and interviews (n=11). There was variability in patient numbers within nurse-led clinics, identifying implications for service delivery and sustainability. Disparities in nurses’ roles and responsibilities revealed four different levels of nurse-led chemotherapy clinics, from chemotherapy administration to totally nurse-led clinics. The identification of four levels of nurse-led chemotherapy is a new finding, and suggests a framework for nurse-led chemotherapy clinics that could link with nurse competencies and training. Five main themes were identified in study 2; a central theme of autonomy linked with themes of knowledge, skills, power and beliefs. A key finding was the reduced emphasis on compassionate care with greater medical (clinical) responsibilities within nurses’ roles, and poor communication skills by some nurses. Despite a great diversity in oncology specialist nurses’ roles, the lack of clarity in roles and responsibilities is creating confusion. Similarly the rapid increase in nurse-led chemotherapy clinics has been ad hoc with no formal evaluations. Although nurses in study 2 perceived they were providing holistic care there was no evidence of this in observations, and nurses appear to use a medical model care based on doctor-nurse substitution, which may have led to reduced emphasis on nursing skills and compassionate care.
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林家寶 and Ka-po Lam. "Nurse-led telephone-based smoking cessation intervention." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251286.

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Gabe, Marie Ellenor. "Nurse-led medication monitoring and adverse events." Thesis, Swansea University, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678307.

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Lam, Ka-po. "Nurse-led telephone-based smoking cessation intervention." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B43251286.

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Vanhook, Patricia M., Trish Aniol, Rachel Clifton, and John Orzechowski. "Changing State Policy through Nurse-Led Medical-Legal Partnership." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/7424.

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Yeung, Man Mandy, and 楊敏. "Nurse-led evidence based (hepatitis B) vaccination programme for nurses in the out-patient department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46583518.

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Novotny, Jacqueline. "A General Design Methodology for Postpartum Nurse Practitioner-Led Clinics." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/41857.

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Having a newborn can be a big change for families, especially for first-time parents. At hospital discharge, parents are often provided with a lot of information, which can be difficult to retain. Due to shortened postnatal lengths of stay, nurses typically have less time to educate parents, which often results in families feeling overwhelmed. After hospital discharge, it is recommended for families to see a health care provider (i.e., physician, nurse practitioner, or registered midwife) within 72 hours for a follow-up appointment. This follow-up appointment is meant to assess both the mother and newborn to ensure they are both in good health and to provide any needed support. Unfortunately, completing the appointment within this timeframe may not be possible for every family or they may not be aware of its importance. Depending on the family’s model of care, completing the follow-up appointment within 72 hours after hospital discharge can be challenging. Families that have a physician as their health care provider may experience delays in scheduling the follow-up appointment. This can be due to the physician’s lack of availability, as there is a physician shortage in most communities. Furthermore, some families do not have access to a health care provider and, therefore, do not see a care provider after hospital discharge. Completing the follow-up appointment later than when it is recommended, or not at all, can result in negative health consequences for the mother and newborn and can also increase re-admission hospital rates and related costs (Cargill et al., 2007). At the moment, postnatal lengths of stay are shortening but the service delivery has not changed to accommodate this trend (Lemyre et al., 2018). This means that the services typically provided to families in the hospital now need to be provided in the community. The follow-up appointment after hospital discharge is an opportunity to provide these services; however, timely access to a health care provider, specifically a physician, can be challenging. Thus, this thesis explores the development of a general design methodology for a postpartum nurse practitioner-led clinic. The aim of the clinic is to provide timely access to any family that needs to complete the necessary postpartum services after hospital discharge within a community. An analytical model was developed to explore the characteristics of a postpartum nurse practitioner-led clinic and how it would operate (i.e., what services would be offered, the amount of time needed for these services, what is needed to offer these services, etc.). The model conducts a simulation of the appointment scheduling process based on the input values entered into it and evaluates a number of performance metrics (e.g., number of diversions, patient wait times, resource idle time, clinic overtime, number of appointments provided within 72 hours and number of appointments provided beyond 72 hours). The findings from the model can support the potential implementation of a postpartum nurse practitioner-led clinic in any community. Implementing such clinics could increase awareness, further educate parents and increase access to postpartum services.
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Willems, Danielle Catharina Mathias. "Nurse-led telemonitoring in asthma process, outcomes and cost-effectiveness /." Maastricht : Maastricht : Universiteit Maastricht ; University Library, Universiteit Maastricht [host], 2008. http://arno.unimaas.nl/show.cgi?fid=9552.

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Salcedo, Maria Victoria Trinidad. "Needs Assessment for a Nurse Practitioner-Led Transitional Care Program." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1450.

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The rising cost of health care and changes in healthcare delivery have prompted a need to improve continuity from the hospital to home. This scholarly project was initiated to assess the impact on patient outcomes related to initiation of a nurse practitioner-led transitional care program (TCP). Using the Diffusion of Innovations and Health Belief Models, the purpose of this study was to identify the impact of a TCP on improving the health of patients with congestive heart failure (CHF), diabetes mellitus Type II (DM II), and chronic obstructive pulmonary disorder (COPD). The impact of the TCP was evaluated by a review of patient satisfaction results, reduction in patient readmission rate, and emergency room consults. Two years of data from a community-based health care program were collated from a sample of 819 individuals with chronic disease between 65- and 85-years-old who had a 30-day hospital readmission after a nurse practitioner home visit and a 30- day readmission for an exacerbation of their CHF, DM II, or COPD. The secondary data were analyzed, using SPSS, to determine changes in rates of readmission. Descriptive statistics were used to represent and compare changes in rates. After implementation of the nurse practitioner home visit program, the 30-day readmission demonstrated an 81.07% reduction and the 30-day readmission for exacerbation of COPD, CHF, and DM II was reduced by 36.77%. The project findings contribute to social change by identifying how a reduction in the frequency of hospitalizations could contribute to decreased health care expenses and improved health outcomes. Home care and chronic health care organizations, as well as advanced-practice nurses working in home care settings, may use the results of the study to establish effective community interventions that reduce health care costs.
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Verschuur, Elisabeth Maria Lutgardis. "Nurse-led Follow-up and Palliative Care of Esophageal Cancer Patients." [S.l.] : Rotterdam : [The Author] ; Erasmus University [Host], 2007. http://hdl.handle.net/1765/10551.

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Books on the topic "Nurse led"

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Hansen-Turton, Tine, Susan Sherman, and Eunice S. King, eds. Nurse-Led Health Clinics. New York, NY: Springer Publishing Company, 2015. http://dx.doi.org/10.1891/9780826128034.

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Richard, Hatchett, ed. Nurse-led clinics: Practical issues. London: Routledge, 2003.

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Nurse-led change and development in clinical practice. London: Whurr, 2003.

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Betz, Cecily L., ed. Worldwide Successful Pediatric Nurse-Led Models of Care. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-22152-1.

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Marais, Frederick. Tuberculosis control: A nurse-led model with case management. London: Foundation of Nursing Studies, 2002.

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Livesey, Heather T. Nurse led primary care: Context and reality : a study tour of Sweden. London: Florence Nightingale Foundation & Dept. of Health, 2000.

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Henriques-Dillon, Molly F. An exploratory study into the role of the ENT Nurse and what, if any, are the implications for nurse-led clinics. Birmingham: Department of Nursing, University of Birmingham, 1996.

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A, Jones Dorothy, Ditomassi Marianne, Massachusetts General Hospital, and Sigma Theta Tau International, eds. Fostering nurse-led care: Professional practice for the bedside leader from Massachusetts General Hospital. Indianapolis, IN: Sigma Theta Tau International, 2013.

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Arthur, Valerie Ann Marie. A survey of nurse led clinics and general practitioner services in the care of patients with rheumatoid arthritis. Wolverhampton: University of Wolverhampton, 2000.

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Pope, Alison. Information needs and information provision for practising in nurse-led minor injuries units and an accident and emergency department in the light of research-based practise.. Birmingham: University of Central England in Birmingham, 1997.

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Book chapters on the topic "Nurse led"

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Duncan, Kathy D., and Christiane Levine. "RRT: Nurse-Led RRSs." In Textbook of Rapid Response Systems, 207–20. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-0-387-92853-1_19.

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Mcmonagle, Lisa-Marie. "Nurse-Led Ambulatory Care." In Nursing Adolescents and Young Adults with Cancer, 199–215. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-73555-9_12.

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Clark, Christopher E. "Nurse Led Interventions in Hypertension." In Drug Adherence in Hypertension and Cardiovascular Protection, 237–52. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-76593-8_18.

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Duncan, Kathy D., Terri Wells, and Amy Pearson. "Nurse-Led Rapid Response Teams." In Textbook of Rapid Response Systems, 181–91. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-39391-9_17.

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Ferrar, Melloney, and Helen Eftekhari. "Nurse-Led PoTS Clinics: A Framework." In Postural Tachycardia Syndrome, 295–301. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-54165-1_42.

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Fulton, Yvonne, and Linda Phillips. "Nurse-led Clinics in Ambulatory Care." In Innovations in Paediatric Ambulatory Care, 115–25. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14367-2_9.

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Buckley, David. "A Practice Nurse Led Cryosurgery Clinic." In Textbook of Primary Care Dermatology, 553–54. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-29101-3_60.

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Brosig, Cindy. "Nurse-Led Canine-Assisted Intervention Practice." In Career Paths in Human-Animal Interaction for Social and Behavioral Scientists, 93–95. New York, NY : Routledge, 2021.: Routledge, 2021. http://dx.doi.org/10.4324/9780429347283-34.

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Grealish, Laurie, and Franziska Trede. "Student Nurse Led Ward in Aged Care." In Realising Exemplary Practice-Based Education, 93–100. Rotterdam: SensePublishers, 2013. http://dx.doi.org/10.1007/978-94-6209-188-7_9.

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Williams, Vivian W., Laura J. Wood, and Debra Lajoie. "Leading a Nurse Practitioner-Designed Newborn Circumcision Clinic." In Worldwide Successful Pediatric Nurse-Led Models of Care, 293–312. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-22152-1_16.

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Conference papers on the topic "Nurse led"

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Marshall, S., and G. Mission. "ENDOSCOPY NURSE LED SERVICE." In ESGE Days. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1704373.

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Madden, Aisling, Breda Cushen, and Claire Lewis. "Nurse-led community care." In ERS International Congress 2021 abstracts. European Respiratory Society, 2021. http://dx.doi.org/10.1183/13993003.congress-2021.oa1510.

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Wojcik, Dorota, Gavin Manmathan, Mahmood Ahmad, Luciano Candilio, Niket Patel, Deven Patel, Gerry Coghlan, Timothy Lockie, and Roby Rakhit. "65 Nurse led radial access for coronary angiography." In British Cardiovascular Society Annual Conference ‘Digital Health Revolution’ 3–5 June 2019. BMJ Publishing Group Ltd and British Cardiovascular Society, 2019. http://dx.doi.org/10.1136/heartjnl-2019-bcs.63.

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Davies, Lynn, and Alice O’Connor. "120 Nurse-led hospice clinic. A curate’s egg?" In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 19–20 March 2020 | Telford International Centre. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/spcare-2020-pcc.140.

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Joesbury, Charlotte, Sarah Keeling, Deepthi Jyothish, Lisa Van Geyzel, and Syed Habibali. "964 Setting up a nurse-led Asthma clinic: ANP-led service improvement project." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.751.

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Bunn, A., J. Srinivas, R. Cook, H. Leigh, and D. Campbell. "G53(P) Leading the way with nurse led discharges." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.53.

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Quillin, M., J. Olivar, J. K. Graham, and C. Kelley. "Nurse-Led Protocol for Early Initiation of Enteral Feeding." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a2915.

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Elmacioglu, Mehmet, Natalia Westerman, Debby Vosse, Annelies Boonen, and Yvonne van Eijk-Hustings. "THU0697-HPR CONTENT OF AND RHEUMATOLOGISTS’ AND NURSES’ OPINIONS ON A NURSE-LED TELEPHONE HELPLINE." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.2624.

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Taylor, Paula. "P-197 The implementation of outpatient nurse led clinics by the community hospice nurse specialist team." In People, Partnerships and Potential, 16 – 18 November 2016, Liverpool. British Medical Journal Publishing Group, 2016. http://dx.doi.org/10.1136/bmjspcare-2016-001245.219.

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Miller, T., A. Canning, A. McNeill, A. Ramsewak, D. Sharma, J. Shand, G. Davidavicius, P. McGlinchey, and A. Peace. "22 Evaluation of a nurse led primary pci activation service." In Irish Cardiac Society Annual Scientific Meeting & AGM, Thursday October 5th – Saturday October 7th 2017, Millennium Forum, Derry∼Londonderry, Northern Ireland. BMJ Publishing Group Ltd and British Cardiovascular Society, 2017. http://dx.doi.org/10.1136/heartjnl-2017-ics17.22.

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Reports on the topic "Nurse led"

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Goodwin, Simon. IMPROVE-Stroke: IMproving the PRevention Of Vascular Events after Stroke or TIA – a randomised controlled pilot trial of nurse independent prescriber-led care pathway-based risk factor management. National Institute for Health and Care Research (NIHR), March 2022. http://dx.doi.org/10.3310/nihropenres.1115183.1.

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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A nurse-led intervention did not reduce post-traumatic stress disorder symptoms in critical care patients. National Institute for Health Research, November 2019. http://dx.doi.org/10.3310/signal-000844.

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Egypt: Expand access to postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1023.

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The Population Council has supported a series of studies to improve the quality of postabortion care (PAC) in Egypt. A 1994 pilot study in two Egyptian hospitals showed that upgrading PAC and training physicians in manual vacuum aspiration (MVA), infection control, and counseling led to significant improvements in the care of postabortion patients. The 1997 study, conducted by the Egyptian Fertility Care Society with support from the Population Council, sought to institutionalize improved postabortion medical care and counseling procedures in ten hospitals. Five senior physicians from each hospital attended a five-day training course in MVA, infection control, and family planning (FP) counseling. The physicians then supervised four months of on-the-job training of doctors and nurses at the ten hospitals. A case management protocol, including emergency medical treatment, pain control, and FP counseling, was also introduced. As reported in this brief, training providers and introducing a case management protocol led to improved PAC at ten government and teaching hospitals in Egypt.
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Senegal: Train more providers in postabortion care. Population Council, 2000. http://dx.doi.org/10.31899/rh2000.1004.

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Recognizing unsafe abortion as a serious health problem, the government of Senegal adopted a national health strategy in 1997 that aims to halve the number of unsafe abortions by 2001. In 1997, the Center for Training and Research in Reproductive Health (CEFOREP) and the Obstetrics and Gynecology clinic (CGO) at Le Dantec University Teaching Hospital in Dakar introduced new clinical techniques to improve emergency treatment for women with complications from miscarriage or abortion. CGO and two other teaching hospitals served as pilot sites. Physicians, nurses, and midwives at the three sites received training in manual vacuum aspiration, family planning, and counseling. To measure the impact of the training, CEFOREP interviewed 320 women receiving emergency treatment and 204 providers before the intervention, and 543 patients and 175 providers after. This brief states that improving postabortion care services can result in shorter hospital stays, decreased patient costs, better communication between providers and patients, increased acceptance of contraceptive use by women treated for abortion or miscarriage, and that local anesthesia is needed for pain control.
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