“Clinical advancement programs (CAPs) provide nurses opportunities to increase engagement in their nursing practice and increased monetary rewards through opportunities for professional development. This increased engagement can lead to improved patient outcomes, healthy practice environments, and increased retention. The redesigned CAP sought to improve upon these tenants by increasing participation through an objective
process while honoring the contributions and expertise of bedside nurses.”
“The history of American nursing is a record of care across social, racial, economic, and geographic lines. The profession has long aligned itself with the needs of the underserved,
sometimes in direct opposition to the social norms of the time. One of the earliest examples are Lillian Wald, a New York nurse and social reformer serving the immigrant community of New York City’s lower east side, and Mary Eliza Mahoney, who became the first African American professionally trained nurse in the United States in 1879. Both, in their own ways,
championed equity and integration in nursing education and care, laying a foundation for social and racial equity in the profession.”
“Nursing education research demonstrates that lesbian, gay, bisexual, transgender and queer (LGBTQ+) health receives scant attention in nursing curricula. The American Nurses Association (ANA) advocates for “Nurse educators that will help fill the void in knowledge by incorporating the issues of the LGBTQ+ populations as part of the curricula”. Calls to
action from scholars and professional nursing organizations demonstrate that while nurse educators are responsible for including LGBTQ+ related content in nursing curricula, these topics are not adequately suffused into nursing training.”
“Patient outcomes during crisis events directly link to healthcare providers’ swift and appropriate actions, with nurses often the first responders to crisis events within the hospital. Crisis events, such as rapid responses and cardiac arrests, can prompt staff fear and anxiety regardless of years of professional experience, leading to hesitation and low self-confidence in decision-making. To optimize patient outcomes in crisis events, nursing staff should identify a decompensating patient quickly and begin competently performing resuscitation tasks. Previous mock code studies have found alarming delays in resuscitation tasks and overall poor performance; recommendations often discuss the need to focus on the first responders and the tasks being completed before the code team’s arrival Thus, the most critical period of the resuscitation process is left in the hands of nursing staff as first responders.
Bennett, J., et al (2021). Optimizing Nursing Response to Crisis Events through In-Situ Simulation. Medsurg Nursing, 30(2), 108-114.
Continue reading“The aim of the Research to Practice column is to enhance the research critique abilities of both advanced practice registered nurses and emergency nurses, while also aiding in the translation of research findings into clinical practice. Each column focuses on a specific topic and research study. In this article, we used a scenario of left upper quadrant pain to explore the study by de-Madaria et al., titled “Aggressive or moderate fluid resuscitation in acute pancreatitis”.
“Stigma is acutely problematic in health care. The effects of institutional and health care provider stigma toward People with Substance Use Disorder (PWSUD) are sizeable, resulting in undertreatment, resistance to seeking and undergoing treatment, diminished therapeutic alliance, and lower-quality care. In a recent scoping review, Cazalis et al
note that approximately 20% to 51% of health care providers potentially hold negative beliefs/feelings toward PWSUD. As a result, PWSUD underutilize health care services to avoid distressing and stigmatizing experiences within the health care system, such as
decreased health care provider regard and empathy and increased discrimination. Substantial effort is needed to mitigate stigma among health care providers to provide improved quality of care and life for those with SUD.”
Evidence Matters 