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Recommendations for Specialty Palliative APRN Graduate Education.
Nurse Educ
November 2024
Author Affiliations: Palliative Care Catalyst Network (Ms Dahlin), Beverly, Massachusetts, Palliative Care Services (Ms Dahlin), Mass General Brigham-Salem Hospital, Salem, Massachusetts; Meyers College of Nursing (Dr Wholihan), New York University, New York, New York; School of Nursing (Dr Wiencek), Loyola University, New Orleans, Louisiana; College of Nursing (Dr Acker), University of Alabama Capstone, Tuscaloosa, Alabama; College of Nursing (Dr Breakwell), Marquette University, Milwaukee, Wisconsin; School of Nursing (Ms Buschman), Columbia University, New York, New York; College of Nursing (Dr Cormack), Medical University of South Carolina, Charleston, South Carolina; College of Nursing (Dr DeSanto-Madaya), University of Rhode Island, Providence, Rhode Island; School of Nursing (Dr Doherty), University of Pennsylvania, Philadelphia, Pennsylvania; School of Nursing (Dr Edwards), The University of Alabama at Birmingham, Birmingham, Alabama; School of Nursing (Dr English), University of Colorado Anschutz Medical Campus, Aurora, Colorado; School of Medicine and College of Nursing (Dr Fink), University of Colorado Anschutz Medical Campus, Aurora, Colorado; Interprofessional MSPC & Palliative Certificate Programs (Dr Goodnough), University of Colorado Anschutz Medical Campus, Aurora, Colorado; College of Nursing (Dr Lindell), Medical University of South Carolina, Charleston, South Carolina; Francis Payne Bolton School of Nursing (Dr Mazanec), Case Western Reserve University, Cleveland, Ohio; College of Nursing (Dr McHugh), Columbia University Irving Medical Center, New York, New York; School of Nursing (Dr Moore), University of Southern Alabama, Mobile, Alabama; College of Nursing (Dr Obrecht), University of Illinois Chicago, Chicago, Illinois; School of Nursing (Dr Pawlow), University of Pennsylvania, Philadelphia, Pennsylvania; Palliative Care Department (Dr Johnstone-Petty), Providence Alaska Medical Group, Anchorage, Alaska; College of Nursing (Dr Quinlin), The Ohio State University, Columbus, Ohio; and School of Nursing (Dr Tresgallo), Columbia University Irving Medical Center, New York, New York.
Background: Advanced practice registered nurses (APRNs) are essential to care for the growing number of individuals with advanced illness given the shortage of palliative care clinicians.
Problem: Graduate education for specialty practice palliative APRNs lacks consistency in structure, content, and standardization of specialty palliative APRN education.
Approach: A workgroup of expert palliative APRNs and graduate faculty conducted focused discussions and a literature review to develop consensus recommendations based on national palliative APRN competencies and aligned with the 8 core concepts of the AACN Essentials.
Implementation of a Checklist Tool to Improve Understanding of Rapid Response Team Protocols.
J Intensive Care Med
January 2025
Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Rapid response teams (RRT) are multidisciplinary teams activated to assess patients outside of the Intensive Care Unit (ICU) and require a shared framework for approaching a deteriorating patient. In this project, we aimed to improve the understanding of RRT protocols through the development and implementation of the RRT Huddle Checklist. This quality improvement project took place from 2019 to 2022.
View Article and Find Full Text PDFA Quality Improvement Initiative to Reduce Surgical Site Infections in Pediatric Patients Undergoing Cardiothoracic Surgery.
Pediatr Qual Saf
January 2025
Division of Cardiology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Article Synopsis
- The project focused on reducing surgical site infections (SSIs) in pediatric patients undergoing cardiothoracic surgery to less than 1 per 100 cases.
- A multidisciplinary team identified risk factors and created a quality improvement (QI) initiative, which included enhanced hygiene practices and wound care education.
- The result was a significant decrease in SSIs, dropping from 2.82 to 0.55 per 100 cases, without any increase in major complications or mortality.
Assessing the Comparative Efficacy of Sentinel Lymph Node Detection Techniques in Vulvar Cancer: Protocol for a Systematic Review and Meta-Analysis.
Life (Basel)
November 2024
Department of Obstetrics and Gynecology, Semmelweis University, 1082 Budapest, Hungary.
This systematic review and meta-analysis protocol aims to evaluate the comparative efficacy of different sentinel lymph node (SLN) detection techniques in the management of vulvar cancer. Vulvar cancer, though rare, predominantly affects older women and requires effective management strategies. The SLN technique has become a standard approach for early-stage cases, offering reduced morbidity compared to complete lymphadenectomy.
View Article and Find Full Text PDFConsensus findings of an International Workshops on Genotoxicity Testing workshop on using transcriptomic biomarkers to predict genotoxicity.
Environ Mol Mutagen
January 2025
Department of Biology, University of Ottawa, Ottawa, Ontario, Canada.
Article Synopsis
- Gene expression biomarkers can help identify both genotoxic and non-genotoxic carcinogens, which could reduce the need for animal testing.
- In August 2022, a workshop reviewed current methods for using transcriptomic profiling to detect genotoxic chemicals, examining 1341 papers to find reliable biomarkers.
- The analysis identified two promising in vivo biomarkers and three in vitro biomarkers that show over 92% predictive accuracy and can be adapted for various testing conditions, with support from workshop participants for their regulatory adoption.
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