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The Impact of Cannabinoids on Anesthesia Management
Get PDFThe body of evidence regarding cannabinoid consumption and anesthetic implications lacked enough research to support any conclusive recommendations but did bring attention to several concerns. The following details surrounding a patient’s cannabinoid use could have a significant impact on the anticipated physiological responses seen during the perioperative period: cannabinoid formulation, concentration, routes of use, regularity/chronicity of use, and time/dose of last use. Depending on those details, a patient could exhibit tachycardia, bradycardia, hypertension, hypotension, arrhythmias, bronchodilation, bronchoconstriction, or excess secretions. Additionally, there are concerns for an increased risk of perioperative myocardial infarction (MI) or cerebrovascular accident (CVA), higher pain scores, higher opioid requirements, and airway hyperreactivity or edema. While the literature correlates cannabinoid use to the mentioned complications, the details and circumstances of these complications are still unexplored. Ascertaining the appropriate interventions for both preventing and managing perioperative complications in cannabinoid users is another area of focus necessary for future research. There are little to no studies into the interactions of anesthetic agents with cannabinoids. This is an area of significant consequence for future research when considering the best practices for anesthesia management intraoperatively
The implementation of mindfulness-based practice for nurse leaders
Get PDFFrontline nursing leadership is one of the most demanding positions in the clinical setting. A leader’s negative physical, psychological, emotional, and behavioral issues can directly impact staff and patient satisfaction, quality and safety metrics, and staff retention. The utilization of a mindfulness-based activity has been shown to be successful in a leader’s ability to cope with day-to-day professional stressors
Clinical Practice in a Digital Health Environment
Get PDFThe purpose of this BPG is to foster nurses’ ability to maintain, advance, and strengthen professional practice in the context of a digital health environment. Broadly, this guideline includes information related to: the skills and competencies required by clinical nurses to ensure safe, quality, person-centred and compassionate clinical care through therapeutic relationships in a digital health environment; the skills and competencies required by nurses to engage in the design, development and evaluation of digital health environments; the skills and competencies required by nurse leaders and other leaders in all domains of clinical care, administration, education, research, and policy to support the intersection between nursing practice and technology; and the organizational policies and procedures required to support and enable nurses within health systems to effectively influence, implement and utilize digital health technologies
Addressing the Nursing Shortage in Africa: Strategies for Retention and Workforce Sustainability
Get PDFThe nursing workforce is the backbone of Africa’s healthcare system, yet the continent faces a critical shortage of nurses. This shortage is exacerbated by high attrition rates, inadequate training and working conditions, migration of skilled professionals, and insufficient investment in workforce development. Without urgent intervention, achieving Sustainable Development Goal 3 (SDG 3: Good Health and Well-being) will remain a challenge, particularly in ensuring universal health coverage (UHC) and improving maternal and child health outcomes. This side event at ARFSD-11 provides a platform to discuss sustainable strategies for nursing retention and workforce development. It aligns with the forum’s broader objectives by addressing key policies, financing mechanisms, and capacity-building initiatives needed to strengthen Africa’s healthcare systems
The Impact of Multimorbidities on Social Determinants of Health on Select Hospital-acquired Conditions in the Older Adult Population across an Academic Health System: A Pilot Study
Get PDFThe purpose of this research study was to identify social determinants of health (SDoH) & multi-morbidities associated with hospital-acquired falls & pressure injuries (PrIs)in line with Age-Friendly & High Reliability Organizations (HRO) principles
Digital nursing: Policy recommendations from the WHO State of the World\u27s Nursing 2025 Report
Get PDFThis webinar will provide insights into recommendations from the World Health Organization (WHO) on digital nursing education, research, and practice drawn from the State of the World’s Nursing 2025 report. Everything from the importance of digital literacy in nursing, to how nurses can introduce and use artificial intelligence tools and generating evidence on these to inform professional practice and patient care will be discussed
[Excerpt from] Evidence-Informed Health Policy (2nd ed., rev.)
Get PDFWhat happens in health policy at local, state, and federal levels directly affects patients, nurses, and nursing practice. Some healthcare professionals, though, are intimidated by the complex and often nonlinear policy process or simply don’t know how to take the first step toward implementing policy change. In the second edition of Evidence-Informed Health Policy, authors Jacqueline M. Loversidge and Joyce Zurmehly demystify health policymaking and equip nurses and other healthcare professionals with the knowledge, tools, and confidence to navigate the first of many steps into health policy. This book translates the EBP language of clinical decision-making into an evidence-informed health policy (EIHP) model—a foundation for integrating evidence into health policymaking and leveraging dialogue with stakeholders.
This new revised edition includes: Fresh perspectives on the use of evidence to inform smart health policy Lessons learned from the COVID-19 pandemic and the global crisis to more effectively strategize for sound policy informed by the best science A new visual representation of the EIHP model with added descriptions Beyond-borders strategies to develop a health policy worldview Updated model steps (Chapters 6–9) based on the results of a face-validation studyhttps://www.sigmarepository.org/book_excerpts/1079/thumbnail.jp
Investigation of Neuropsychological Symptoms and Changes in Gut Microbiome Physiology as Risk Factors for Chemotherapy-Induced Nausea in Patients with Breast Cancer
No full textThe primary objective of this study was to investigate associations between chemotherapy-induced nausea (CIN) and gut microbiome characteristics over one cycle of chemotherapy
Technological Competency as Caring in Prelicensure Nursing Students: A US Survey Using the TCCNI-R
No full textBackground. In the U.S., prelicensure nursing students (PNSs) lack informatics competencies due to a lack of educational opportunities and resources. Therefore, there are implications in nursing education for preparing PNSs for patient-centered care using Locsin’s technological competency as caring in nursing theory.Purpose. The purpose is to evaluate the psychometric properties and establish the reliability of the English translation of the TCCNI-R through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and validity via structural equation modeling to examine if the instrument applies in U.S. academic nursing education in PNSs.Methods. The proposed study utilizes a descriptive, cross-sectional design. Approximately 1,950 nationally accredited prelicensure nursing programs in the U.S. offering Associate and Baccalaureate degrees were contacted. Systematic sampling aims to recruit a minimum of 500 PNSs using the REDCap survey platform.Results. Data will be analyzed using Bartlett test of sphericity, Cronbach’s alpha, Kaiser-Meyer-Olkin test to determine suitability for factor analysis, exploratory and confirmatory factor analysis, and structural equation modeling
Pay it Forward: A Peer Mentoring Program for Doctoral Nursing Students
No full textGlobally, nursing needs a diverse group of individuals with doctoral preparation to transform the profession through leadership, scholarship, and practice. Since Ph.D. and Doctor of Nursing Practice (DNP) programs are challenging, mentoring can provide a mechanism for student success. Mentoring occurs when someone with more experience supports someone with less experience (1). The purpose of this mixed methods interventional study was to evaluate the efficacy of a mentoring educational intervention on doctoral nursing students’ self-appraisal of their competency regarding mentoring, and to describe the experience of doctoral nursing students’ who mentored and their mentees. Based on the outcomes, this study elucidated how Watson’s Theory of Human Caring (2) supports mentoring practices.Providing doctoral students with mentoring education and experience offers opportunities for personal and professional growth, builds community, and aids in student retention (1, 3). The theoretical framework for this study is Watson\u27s Theory of Human Caring. This theory supports deeper human-to-human involvement and provides a basis for caring, mentoring relationships (2, 3).This mixed methods interventional study had two phases. Phase I involved a quasi-experimental pre-test-post-test design. The intervention included virtual meetings and Mentoring Fundamentals modules. Mentoring Competency Assessment (4) provided competency data. Pre-and-post intervention scores were compared. After completion of the first phase, students were assigned mentees. Phase II began several months after completion of Phase I. Narrative inquiry (5) was used to uncover students’ stories, through semi-structured interviews, about participating in peer mentoring. The interviews also explored how Watson’s Theory of Human Caring affected their mentoring. University’s IRB approval was obtained. The results of data analysis for both phases will be shared at the presentation.Peer mentoring can assist doctoral students’ socialization in the scholarly community (1). Application of caring practices by mentors fosters deeper understanding and empathy for others, intentionality, and reflective thought (2, 4). The mentoring experience assures students’ professional growth, enhances resilience, and encourages perseverance during difficult times. The mentoring skills acquired can be used throughout these nurses’ leadership career and serve to support the next generation of nurses