RESUMEN
The purpose of this consensus paper was to convene leaders and scholars from eight Expert Panels of the American Academy of Nursing and provide recommendations to advance nursing's roles and responsibility to ensure universal access to palliative care. On behalf of the Academy, these evidence-based recommendations will guide nurses, policy makers, government representatives, professional associations, and interdisciplinary and community partners to integrate palliative nursing services across health and social care settings. Through improved palliative nursing education, nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative care nurses worldwide, nurses can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations. Part II herein provides a summary of international responses and policy options that have sought to enhance universal palliative care and palliative nursing access to date. Additionally, we provide ten policy, education, research, and clinical practice recommendations based on the rationale and background information found in Part I. The consensus paper's 43 authors represent eight countries (Australia, Canada, England, Kenya, Lebanon, Liberia, South Africa, United States of America) and extensive international health experience, thus providing a global context for the subject matter.
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Consenso , Testimonio de Experto , Salud Global , Accesibilidad a los Servicios de Salud , Enfermería de Cuidados Paliativos al Final de la Vida , Cuidados Paliativos/normas , Enfermería Basada en la Evidencia/tendencias , Política de Salud , Accesibilidad a los Servicios de Salud/normas , Accesibilidad a los Servicios de Salud/tendencias , Humanos , Sociedades de Enfermería , Participación de los Interesados , Atención de Salud UniversalRESUMEN
This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five themes: people, planet, peace, prosperity, and partnership. The SDGs build on the work of the UN Millennium Development Goals, which were in effect from 2000 to 2015. The current article discusses the International Council of Nurses Global Nursing Leadership Institute and its integration of the SDGs into a global leadership and policy development program.
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Enfermería Basada en la Evidencia/tendencias , Liderazgo , Rol de la Enfermera , Formulación de Políticas , Salud Pública/tendencias , Desarrollo Sostenible/tendencias , Promoción de la Salud/tendencias , Humanos , Naciones Unidas/tendenciasRESUMEN
BACKGROUND: As genomic science moves beyond government-academic collaborations into routine healthcare operations, nursing's holistic philosophy and evidence-based practice approach positions nurses as leaders to advance genomics and precision health care in routine patient care. PURPOSE: To examine the status of and identify gaps for U.S. genomic nursing health care policy and precision health clinical practice implementation. METHODS: We conducted a scoping review and policy priorities analysis to clarify key genomic policy concepts and definitions, and to examine trends and utilization of health care quality benchmarking used in precision health. FINDINGS: Genomic nursing health care policy is an emerging area. Educating and training the nursing workforce to achieve full dissemination and integration of precision health into clinical practice remains an ongoing challenge. Use of health care quality measurement principles and federal benchmarking performance evaluation criteria for precision health implementation are not developed. DISCUSSION: Nine recommendations were formed with calls to action across nursing practice workforce and education, nursing research, and health care policy arenas. CONCLUSIONS: To advance genomic nursing health care policy, it is imperative to develop genomic performance measurement tools for clinicians, purchasers, regulators and policymakers and to adequately prepare the nursing workforce.
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Atención a la Salud/tendencias , Enfermería Basada en la Evidencia/tendencias , Genómica/tendencias , Política de Salud/tendencias , Enfermería Holística/tendencias , Atención de Enfermería/tendencias , Humanos , Estados UnidosAsunto(s)
Infecciones por Coronavirus , Enfermería Basada en la Evidencia , Enfermería Neonatal , Pandemias , Neumonía Viral , Atención Posnatal , American Nurses' Association , Betacoronavirus , COVID-19 , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Enfermería Basada en la Evidencia/métodos , Enfermería Basada en la Evidencia/tendencias , Femenino , Humanos , Recién Nacido , Control de Infecciones/organización & administración , Enfermería Neonatal/organización & administración , Enfermería Neonatal/normas , Innovación Organizacional , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Atención Posnatal/métodos , Atención Posnatal/organización & administración , Atención Posnatal/tendencias , SARS-CoV-2 , Estados UnidosRESUMEN
It has been widely recognized that healthcare practices should be based on up-to-date high-quality evidence; however, the implementation of evidence has been a slow process in nursing practice. It is crucial for clinical practitioners to be aware of the barriers to implementing evidence-based nursing. The aim of this study was to describe participants' experiences and thoughts on barriers to implementing evidence-based nursing in mainland China. Forty-five participants came from 45 evidence-based nursing implementation projects carried out in 16 hospitals in mainland China. Data were collected through observation and semi-structured interviews, after which qualitative content analysis was undertaken. Then, the five themes and subthemes were extracted from the data. The five themes were evidence-based, nurse-related, patient-related, setting barriers, and lack of support. In this study, a variety of barriers influencing evidence implementation in the Chinese nursing context were identified and further explored from the perspective of clarifying misunderstandings about evidence-based nursing, the profound influence of Chinese culture on patients' preferences and attitudes, and the lack of professional knowledge of nurses.
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Enfermería Basada en la Evidencia/métodos , Liderazgo , Adulto , China , Enfermería Basada en la Evidencia/tendencias , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención de Enfermería/normas , Atención de Enfermería/estadística & datos numéricos , Investigación CualitativaAsunto(s)
Educación Continua en Enfermería/métodos , Investigación Biomédica Traslacional/tendencias , Cicatrización de Heridas , Educación Continua en Enfermería/tendencias , Enfermería Basada en la Evidencia/métodos , Enfermería Basada en la Evidencia/tendencias , Humanos , Encuestas y Cuestionarios , Investigación Biomédica Traslacional/instrumentación , Investigación Biomédica Traslacional/métodosAsunto(s)
Enfermería Basada en la Evidencia/métodos , Enfermeras Administradoras/normas , Investigación Biomédica Traslacional/normas , Enfermería Basada en la Evidencia/tendencias , Humanos , Liderazgo , Enfermeras Administradoras/estadística & datos numéricos , Investigación Biomédica Traslacional/métodosRESUMEN
BACKGROUND: One in three patients who die in the hospital has sepsis. Alerting clinicians to early detection of high-risk patients before deterioration is a top health care priority. Modified Early Warning Scoring (MEWS) tools have assisted organizations in identifying at-risk patients at the first sign of subtle deterioration. AIM AND SETTING: In conjunction with an academic-clinical partner, we evaluated, revised and implemented a modified MEWS-Sepsis screening tool in an acute care facility. PARTICIPANTS: One hundred and thirty-nine direct-care nurses participated in tool evaluation. METHODS: Using a plan-do-study-act cycle of quality improvement, critical care scenarios from septic patient data were created and tested in a simulated setting. RESULTS: Upon implementation of the MEWS-Sepsis tool, the monthly risk-adjusted sepsis mortality rate immediately declined by 24%. The decline in mortality has been sustained from implementation to the present, spanning a 5-year period. CONCLUSIONS: The implementation of a MEWS-Sepsis screening tool contributed to early identification and implementation of time-sensitive interventions aimed at preventing sepsis-associated deaths. MEWS-Sepsis tools hold potential for scale-up and spreading out of evidence-based practice nursing innovations to transform care, improve patient outcomes, and save lives.
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Tamizaje Masivo/métodos , Sepsis/clasificación , Adulto , Enfermería Basada en la Evidencia/métodos , Enfermería Basada en la Evidencia/tendencias , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Tamizaje Masivo/tendencias , Persona de Mediana Edad , Investigación en Enfermería , Sepsis/diagnóstico , Sepsis/fisiopatología , Índice de Severidad de la EnfermedadRESUMEN
AIM: The aim of this article is to clarify the concept of knowledge translation (KT) to close the gap that exists between research knowledge and actionable nursing practice. BACKGROUND: KT addresses the research to practice gap that exists in healthcare. KT is often confused with other terms and needs to be defined further as a concept for clarification and application in nursing practice. DESIGN: Concept analysis using the Walker and Avant method. DATA SOURCES: Databases searched were OVID, CINAHL, ProQuest, Mendeley, Western Libraries, and Google Scholar. Keywords used were "knowledge translation", "knowledge", "translation", "evidence-based practice", "research dissemination". Abstracts were reviewed for relevance, and 27 articles available in full-text and in English from 2000 to 2018 were retained. Online dictionaries included Merriam-Webster. The ancestry method was also used to retrieve relevant articles. RESULTS: KT is one of many terms used to describe the concept of moving research to actionable practice in healthcare. Six attributes of KT were identified: collaboration, action, receptivity, process, translation, and improved healthcare outcomes. CONCLUSIONS: Nurses are responsible to provide the best care to their patients, and effectively using KT in nursing practice can ensure better outcomes for patients.
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Formación de Concepto , Investigación Biomédica Traslacional/métodos , Enfermería Basada en la Evidencia/métodos , Enfermería Basada en la Evidencia/tendencias , Humanos , Investigación Biomédica Traslacional/tendenciasRESUMEN
Human trafficking is a significant women's health issue in the United States. Clinicians who provide care to women are often unaware of the signs and symptoms of human trafficking and are unprepared to provide appropriate care. Nurses represent one of the few agents of change who women may encounter while they are in captivity; this places nurses at the forefront of their care. To provide safe and effective care, nurses can use the ABCD treatment model, which stands for assessment, buy-in, case management, and diversion programming. Any gaps between recognition of women's health care needs and the provision of appropriate care must be closed. Integrating evidence-based human trafficking education and skill building into nursing curricula, standard nursing orientation, and continuing education is an essential step to help nurses transform care and advocate on behalf of those who have been trafficked.