Emory Authors: Factors related to cognitive performance among black caregivers of persons living with a chronic illness: An exploratory study

“While several studies have investigated the impact of informal caregiving on physical and mental health outcomes, there is a gap in the literature concerning the effect of caregiving on cognitive performance, an essential component of independent living and caregiving. The limited research to date predominantly suggests that informal caregiving increases the risk of cognitive impairment and even dementia. This increased risk is related to the stress and
poor sleep associated with the caregiving role, along with various psychosocial, behavioral, and physiological factors that negatively impact caregivers.”

“Despite the increased risk that caregivers have for cognitive impairment, to our knowledge, no studies to date have examined caregiving and cognitive performance among Black caregivers. Black caregivers are the second largest population of caregivers in the U.S.
They face systemic inequities that result in unique challenges and stressors which affect their caregiving roles and compound negative health outcomes. Black caregivers are also more likely to have lower household incomes, experience financial hardship, and are less likely to self-report good physical health.”

Continue reading

Intrahospital Transfers

“Intra-hospital handover requires clear processes, to promote high-quality information sharing. Ensuring these processes are broad and acceptable across units may ensure nurses’ needs are met. Relational continuity between nurses is an important consideration when improving intra-hospital handover.”

Tobiano

“Improvement in intra-hospital handover is challenging because multiple hospital units are involved. A meso-level leader could liaise across units and standardise handover processes using SOPs. Within SOPs, checklists could support standardisation consisting of broad content that is acceptable to end-users across varying units, which could be incorporated into EMR. Acknowledging handover as a high-risk task and giving nurses permission to spend time preparing for handover may also facilitate high-quality handover.”

Tobiano, G., et al. (2020). Front‐line nurses’ perceptions of intra‐hospital handover. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 29(13/14), 2231–2238.

Continue reading

JONA Highlights: Exploring the Synergies Between the Magnet Recognition Program and the International Council of Nurses’ Charter for Change.

“Healthcare organizations across the globe apply the Magnet® Model framework to achieve excellence in nursing practice, thriving work environments, and improved patient, nursing, and organizational outcomes. The International Council of Nurses’ (ICN) Charter for Change (2023) commissioned actionable measures for change to advance the nursing profession into the future. This article explores the synergies between the Magnet Recognition Program® and the ICN Charter for Change, aiming to demonstrate that integrating the principles of both models can provide a roadmap for healthcare organizations to enhance
nursing professional development, foster a culture of innovation and evidence-based practice, and ultimately improve healthcare outcomes for patients and communities globally.”

Continue reading

Emory Authors: Design health care systems to protect resilience in nursing

“There is no one definition of resilience. It is a fascinating word because it simultaneously can invoke great meaning—such as the ability to reclaim purpose or dignity following trauma—and imply wholly different things to different people”

“Nurses were intimately familiar with moral distress and burnout prior to COVID-19. When the pandemic began, it brought an avalanche of stressors that piled on top of existing nursing strain from decades of cumulative, unaddressed system dysfunction. The nursing resignations that have followed are not a function of individual nurses’ mental strength or ability to perform self-care during off-hours; they are a function of many health care systems’ failure to recognize and invest in the nursing workforce. The truth is that the majority of nurses show a great capacity for resilience. Resilience is a requirement for long-term success in most nursing roles. (In ideal training settings, this inherent resilience is enhanced
through mentorship and teaching. During the pandemic, it was health care systems that crumbled under mounting pressures while nurses often carried the pieces.”

Continue reading

Journal of Research in Nursing: Capturing the value and core concepts of the Clinical Research Nurse

“The art and science of the Clinical Research Nurse (CRN) role is found within the weaving of care throughout the research process, and the value added to patient care that this produces. CRNs play a vital role in improving patient care and contributing to enhanced treatment pathways through delivering and leading clinical research activities but research nursing is not simply about task-based actions. Rather, it amplifies the nursing values consistent within patient care provided by nurses across all settings. Recognition of this connection to the nursing process and the inherent skill of the CRN role can be difficult to capture. In addition, the role is often misunderstood within wider clinical practice, and the scope, value, and skills of the CRN are often under-utilized, possibly further exacerbated by a lack of formal research into the topic.”

Continue reading

Guidance on preoperative fasting

“This multicentre prospective audit from the East Midlands region of the UK demonstrates poor compliance with national and international preoperative fasting guidelines. Patients were fasting from clear fluids and food much longer than is recommended, with the majority of patients undergoing elective surgery fasting >4 h from clear fluids and >12 h from food. Patients undergoing emergency surgery fasted for even more prolonged periods with the
majority fasting >12 h from clear fluids and >24 h from food.” (El-Sharkawy)

El-Sharkawy

El-Sharkawy, A. M. etal (2021). Fasting and surgery timing (FaST) audit. Clinical Nutrition, 40(3), 1405–1412.

Continue reading

Emory Authors: Opioid utilization after orthopaedic trauma hospitalization among Medicaid-insured adults

“Opioids are vital to pain management and sedation after trauma-related hospitalization. However, there are many confounding clinical, social, and environmental factors that exacerbate pain, post-injury care needs, and receipt of opioid prescriptions following orthopaedic trauma. This retrospective study sought to characterize differences in opioid prescribing and dosing in a national Medicaid eligible sample from 2010–2018. The study population included adults, discharged after orthopaedic trauma hospitalization, and receiving an opioid prescription within 30 days of discharge.”

Continue reading