Pharmacologic Pain Management Trends among Adults Hospitalized with Cellulitis: An Evidence-Based Practice Project.

Background: Nurses commonly administer opioids, following "as needed" order sets, to patients hospitalized for acute pain conditions like cellulitis. Practice guidelines recommend limiting opioid administration for acute pain management. At two hospitals in the Pacific Northwest, an opioid stewardship committee was formed to align with best practice.

The Cost of Nurse-Midwifery Care: Use of Interventions, Resources, and Associated Costs in the Hospital Setting.

Introduction: Obstetrical care often involves multiple expensive, and often elective, interventions that may increase costs to patients, payers, and the health care system with little effect on patient outcomes. The objectives of this study were to examine the following hospital related outcomes: 1) use of labor and birth interventions, 2) inpatient duration of stay, and 3) total direct health care costs for patients attended by a certified nurse-midwife (CNM) compared with those attended by an obstetrician-gynecologist (OB-GYN), within an environment of safe and high-quality care.

Material And Methods: Electronic health records for 1,441 medically low-risk women who gave birth at a hospital located in the U.

A Course-Based Approach to the Doctor of Nursing Practice Project: Supporting Student Growth From Concept to Completion.

We describe a course-based approach to the doctor of nursing practice project in which students work in groups of 8 to 12 with a faculty member to complete individual final projects that require a minimum of 360 practicum hours in 3-semester-long courses. Project teams include agency or community-based mentors. Project findings are disseminated through written and oral reports.

Implementing AACN's recommendations for environmental sustainability in colleges of nursing: from concept to impact.

In 2011, the American Association of Colleges of Nursing (AACN) released a guidance report titled Toward an Environmentally Sustainable Academic Enterprise: An AACN Guide for Nursing Education. The report was developed in response to a vivid slide presentation at an AACN meeting depicting the deleterious public and environmental health effects of global industrialization. Following the presentation, AACN members capitalized on the opportunity to provide national leadership to U.

Motivational interviewing for older adults in primary care: a systematic review.

Chronic disease is now the leading cause of death and disability in United States. Many chronic illnesses experienced by older adults can be prevented or managed through behavior change, making patient counseling an essential component of disease prevention and management. Motivational Interviewing (MI), a type of conversational method, has been effective in eliciting health behavior changes in people in a variety of settings and may also be a useful tool to help older adults change.

Facilitated family presence at resuscitation: effectiveness of a nursing student toolkit.

Background: Facilitated family presence at resuscitation is endorsed by multiple nursing and specialty practice organizations. Implementation of this practice is not universal so there is a need to increase familiarity and competence with facilitated family presence at resuscitation during this significant life event. One strategy to promote this practice is to use a nursing student toolkit for pre-licensure and graduate nursing students.

Assessing the continuing education needs and preferences of rural nurses.

Background: Difficulty recruiting and retaining well-qualified nursing staff can frustrate rural hospitals. Collaborative relationships between university nursing programs and rural hospitals may lead to the development of continuing education (CE) programs to enhance clinical competence, patient safety, job satisfaction, and nursing work force retention.

Methods: As part of an effort to develop a collaborative relationship between a university nursing program and two rural hospitals, a pilot study was conducted with 27 nurses working at two hospitals to determine needs and preferences for CE topics and delivery.

Advanced practice nursing education: challenges and strategies.

Nursing education programs may face significant difficulty as they struggle to prepare sufficient numbers of advanced practice registered nurses to fulfill the vision of helping to design an improved US healthcare system as described in the Institute of Medicine's "Future of nursing" report. This paper describes specific challenges and provides strategies to improve advanced practice nursing clinical education in order to ensure that a sufficient number of APRNs are available to work in educational, practice, and research settings. Best practices are identified through a review of classic and current nursing literature.

Improving nurse practitioner assessment of woman veterans.

Purpose: To provide nurse practitioners (NPs) with brief screening tools that can be used to identify postmilitary healthcare concerns common among women veterans.

Data Sources: Existing screening tools for posttraumatic stress disorder, traumatic brain injury, and military sexual trauma.

Conclusions: Women represent more than 10% of military veterans who have served in combat settings during the current wars in Afghanistan and Iraq.