The clinical nurse specialist (CNS) role in Canada has 5 key components: clinical practice, consultation, education, research, and leadership. This study focuses on the consultation component: how it is described by CNSs and the facilitators and barriers to its implementation. A qualitative descriptive design was used to interview 8 CNSs who worked with adult populations in a university hospital setting.The findings indicate that managing crisis situations, ensuring continuity of care, and supporting other health professionals and health-care teams are key areas of consultation. Role ambiguity perceived by other professionals and constant demands and expectations due to a changing environment constitute the major challenges of CNS practice, requiring CNSs to continuously clarify their role in accordance with changes in time and place.
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Jpn J Ophthalmol
January 2025
Department of Ophthalmology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka, Tokyo, 181-8611, Japan.
Purpose: Chemical chelation with ethylenediaminetetraacetic acid (EDTA) is an established treatment for calcific band keratopathy (CBK), whereas removal of calcium deposits from the subepithelial layer of the cornea may cause corneal irregularity. Using Fourier harmonic analysis, we analyzed the corneal topography in eyes with CBK treated by EDTA chelation.
Study Design: Retrospective, single-center study.
Curr Diab Rep
January 2025
Sections of Adult and Pediatric Endocrinology, University of Chicago Medicine, Outpatient CDCES, Chicago, USA.
Purpose Of Review: Evidence over the past few decades have proven the benefits and cost savings of diabetes self-management education and support (DSMES) and medical nutrition therapy (MNT). Yet, the benefits continue to be underutilized. Little evidence is available to definitively assess insurance coverage for both services.
View Article and Find Full Text PDFJMIR Dermatol
January 2025
Department of Dermatology, College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Background: Dermoscopy is a noninvasive technology used to examine the skin's invisible microstructures in dermatological practice and is gaining prominence as a crucial tool. Dermoscopy is an evidence-based practice used to enhance the early detection of skin malignancies and to help distinguish between various skin conditions, including pigmented and nonpigmented skin malignancies. Currently, the vast majority of global guidelines for skin cancer recommend dermoscopy as a critical component.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
January 2025
Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
Objectives: The goal of the current study was to assess the effectiveness of a peer integrated collaborative care intervention for postinjury outcomes.
Methods: Injury survivors ≥18 years of age were screened for post-traumatic stress disorder (PTSD) symptoms and severe postinjury concerns; screen-positive patients were randomized to the intervention versus enhanced usual care control conditions. The collaborative care intervention included peer support and care management.
Front Psychol
January 2025
Department of Educational Sciences, Atatürk Faculty of Education, Marmara University, Istanbul, Türkiye.
Introduction: Adverse and destructive situations can have a significant and long-lasting impact on organizational members, resulting in considerable disruption to organizational functioning. The occurrence of negative or traumatic events in organizations can be attributed to a range of factors, including natural adversities, as well as intentional or human-induced crises. The concept of organizational healing encompasses both the processes that enable an organization to regain functionality following adversity and the strategies that facilitate enhanced performance in the period following trauma or harm.
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