Integrating Care for Mother-Infant Dyads After Preterm Birth: A Qualitative Study of Clinician Perspectives on Feasibility.

Objective: There are gaps in receipt of maternal preventive services in the interconception period. Yet mother-infant dyads have frequent health care visits. Health systems have opportunities to better capitalize on existing visits to address dyad needs, but this possibility has not been fully explored.

Acceptability of Dyad Care Management After Preterm Birth: A Qualitative Study.

Objectives: Care management programs for medically complex infants interact with parents after complicated pregnancies, when gaps in maternal health care are well documented. These care managers may have the relationships and skills to promote postpartum and interconception health and health care access. It is unknown whether expanding these care management models to address maternal needs would be acceptable.

Screen Media Overuse and Associated Physical, Cognitive, and Emotional/Behavioral Outcomes in Children and Adolescents: An Integrative Review.

Introduction: Screen media overuse is seen as a public health concern because of its negative effects on child and adolescent health. This integrative literature review examines recent empirical evidence on the relationship between screen media overuse and physical, cognitive, and emotional/behavioral outcomes in children and adolescents.

Methods: Empirical research of experimental design, observational studies, and systematic reviews from several data sources was reviewed and synthesized to form the basis of this integrative review.

Nurse practitioner student clinical placement processes: A national survey of nurse practitioner programs.

Background: Providing quality clinical sites and preceptors is one of the greatest challenges for nurse practitioner programs.

Purpose: To conduct a national survey of nurse practitioner (NP) program directors to better understand the complex process for clinical site placement in the United States.

Methods: In 2018, a web-based survey was sent to program directors to ascertain the faculty and staff effort allocation and processes related to NP student placements, the number of required clinical rotations, the total hour requirement, and preceptor incentives and barriers.

A Policy Analysis of Legally Required Supervision of Nurse Practitioners and Other Health Professionals.

The use of legally required supervision occurs across health professionals who provide similar services. Legally required supervision has the potential to disrupt the production of high-quality, cost-efficient, accessible health services across disciplines. This paper examines the effects of nurse practitioner collaborative practice agreements and similar models of health professional regulation, defined as legally required supervision, on the cost and delivery of health services.

Building on Self-efficacy for Experienced Family Caregivers: The Savvy Advanced Program.

Background And Objectives: The Savvy Advanced psychoeducation program was designed for previously trained caregivers of persons living with dementia to refine their problem-solving and planning skills and enhance their sense of self-efficacy as dementia progressed for the care recipient. Implementation, feasibility, participant satisfaction, and perceived program benefits were also evaluated.

Research Design And Methods: A total of 100 dementia family caregivers participated in the 12-month evaluation of Savvy Advanced.

Registered Nurses as Professionals, Advocates, Innovators, and Collaborative Leaders: Executive Summary.

This article concludes a series that described work completed by the American Nurses Association (ANA) Barriers to RN Scope of Practice Professional Issues Panel (Panel). The Panel has summarized the roles of the registered nurse (RN) as professional, advocate, innovator, and collaborative leader. As professionals, RNs are accountable for their own educational development, growth of their own practice, and execution of their own professional role.

Registered Nurses as Interprofessional Collaborative Partners: Creating Value-Based Outcomes.

State-specific nurse practice acts, a defined registered nurse (RN) scope of practice, and nurse-led initiatives prepare nurses to lead in a meaningful and ethical way within the professional practice setting. However, barriers still exist that challenge the full RN scope of practice. One of these barriers is insufficient interprofessional collaboration among healthcare providers from multiple disciplines.

Registered Nurses as Professionals: Accountability for Education and Practice.

This article explores the theme that, as professionals, all registered nurses (RNs) are accountable for their own educational development and execution of their individual professional role. To assure that RNs perform to the full scope of their practice and impact the highest possible patient outcomes, a standardized educational preparation of RNs at the BSN level is essential, either through initial education or educational progression. The authors support the need for BSN preparation with a brief review of research to identify seminal works that demonstrate the added value, both economically and in terms of patient outcomes, that results when higher percentages of BSN-prepared RNs provide care.

Pulled from all sides: The sandwich generation at work.

Employees who are members of the "sandwich generation", those who are raising children and assisting older adult family members, are a population at risk for issues related to physical and emotional health, balancing work and family responsibilities, and taking care of themselves. This commentary examines their situation and challenges, some of the potential negative effects of these compounded stressors, and recommends strategies that employers, families, and the individuals themselves can use to create a sustainable work/caregiving situation.

Low prevalence of risk markers in cases of sudden death due to Brugada syndrome relevance to risk stratification in Brugada syndrome.

Objectives: The objective of this study was to determine the prevalence of conventional risk factors in sudden arrhythmic death syndrome (SADS) probands with Brugada syndrome (BrS).

Background: Patients with BrS and previous aborted sudden cardiac death (SCD) are at high risk of recurrent events. Other universally accepted clinical features associated with higher risk include unheralded syncope and the presence of a spontaneous type 1 electrocardiogram (ECG).

Efficacy and safety of once daily low molecular weight heparin (tinzaparin sodium) in high risk pregnancy.

Low molecular weight heparin (LMWH) is widely regarded as the anticoagulant treatment of choice for the prevention and treatment of venous thromboembolism during pregnancy. However, previous studies have demonstrated that the pharmacokinetic profiles of LMWH vary significantly with increasing gestation. Consequently, it remains unclear whether LMWH regimens recommended for use in nonpregnant individuals can be safely extrapolated to pregnant women.

Developing a blueprint for cultural competence education at Penn.

This article describes the structure, process, and outcomes of developing a blueprint for integration of cultural competence education into the curriculum at the University of Pennsylvania, School of Nursing. The overarching framework of Kotter (1995) on leading change and organizational transformation was used as a guide for evaluation of faculty efforts. Within the setting of a research-intensive university, the process consisted of implementing a series of action steps which included appointment of a Director of Diversity Affairs, selection of a Master Teachers Taskforce on Cultural Diversity as catalysts for change; conduction of intensive faculty development programs, dissemination of information about cultural competence education, and use of innovative teaching approaches and student participation in curriculum activities.

Hand-to-hand combat: Preventing MRSA infection.

Purpose: To provide practitioners with a general overview of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) and hospital-acquired methicillin-resistant Staphylococcus aureus (HA-MRSA) and their diagnoses and treatment.

Target Audience: This continuing education activity is intended for physicians and nurses with an interest in preventing, diagnosing, and treating MRSA infection.

Objectives: After reading this article and taking the test, the participant should be able to: 1.

Moving forward together: the practice doctorate in nursing.

Societal drivers, as well as trends in education and health care, are advancing the practice doctorate in nursing. For nurse practitioner preparation, the current resurgence of interest in the practice doctorate could precipitate change that mimics the evolution from post-basic certificate to Master's level education. The National Organization of Nurse Practitioner Faculties (NONPF) is a resource for the study of the practice doctorate relative to quality nurse practitioner education.