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Rounding and Quick Access Education to Reduce Catheter-Associated Urinary Tract Infections Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-05-01 Danielle M. Garcia, Mary Beth Flynn Makic, Kathy Casey
Purpose/Objectives The acute care division of a tertiary medical center experienced a 167% increase in catheter-associated urinary tract infections, with 2 inpatient surgical units accounting for 67% of infections. A quality improvement project was implemented to address the infection rates on the 2 inpatient surgical units. The aim was to reduce catheter-associated urinary tract infection rates by
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Advocating for the Vulnerable: The Clinical Nurse Specialist and Nursing Home Reform Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-05-01 Jennie Matays, Elizabeth Scruth, Lina Najib Kawar, Sarah Comey Cluff, Alexandra Fogli, Mary Salas, Charlene Harrington
Introduction Nursing homes have been disproportionally affected by the COVID-19 pandemic, particularly because of resident vulnerability, inadequate staffing, and poor quality of care. Current State Despite billions of dollars in funding, nursing homes often do not meet minimum federal staffing requirements and are frequently cited for infection prevention and control deficiencies. These factors
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Hospital-Based Credentialing and Privileging: Overview and Implications for the Clinical Nurse Specialist Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-05-01 Susan C. Dresser, Kimberly W. Elgin
Purpose/Objectives The purpose of this article is to provide an overview of hospital-based credentialing and privileging processes for clinical nurse specialists (CNSs), describe barriers to success, and share lessons learned from CNSs who have successfully navigated the credentialing and privileging process. Description of Project This article shares knowledge, experiences, and lessons learned from
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Increasing Understanding and Perceived Confidence of Nurses Working in an Emergency Department in Assessing Patients at Risk of Violent Behavior Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-05-01 Blossom Inuenwi, Lisa Lommel, Swapna B. Peter, Annette Carley
Purpose The aims of this quality improvement project were to improve understanding and perceived confidence in using a tool that assesses patients at risk of violence. Project Description The Brøset Violence Checklist is valid at assessing patients at risk of violence. Participants were given access to an e-learning module that demonstrated how to use the tool. Improvement in understanding and perceived
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The Influence of a Doctor of Nursing Practice Health Policy Course on Clinical Nurse Specialist Practice and Competencies. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-04-15 Keitha R Beamer,Susan B Fowler
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Food and Drug Administration Accelerated Approval of Lecanemab for Early Alzheimer's Disease-Hope, Reality, and the Unknown Going Forward. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-04-15 Patricia Anne O'Malley
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Advanced Practice Entrepreneurial Partners in Birthing. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-04-15 Pamela Jane Nye
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President's Letter: Welcome to the 2023-2024 Board of Directors. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-04-15 Mitzi Saunders
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Children's Letters to God: Words of Praise, Sorrow, Joy, and Consternation. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Jeanine Young-Mason
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So Where is a Vaccine for Respiratory Syncytial Virus? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18
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The Valuable Skill of the Nurse Grant Writer. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Pamela Jane Nye
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So Where Is a Vaccine for Respiratory Syncytial Virus? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Patricia Anne O'Malley
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Translational Science: The Final Step for Implementing Evidence-Based Practice. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Sandra L Siedlecki
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Do We Have an Ethical Obligation to Provide a Team Approach to Nursing Care for Obstetric Patients Admitted to the Critical Care Unit? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Tiffany Ward,Brenda Braun,Stacy Hull,Quincy McCrary
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President's Letter: 12 Months of Unstoppable Advocacy. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-02-18 Phyllis Whitehead
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Current Practice and Practice Competencies of Clinical Nurse Specialists Working in US Emergency Care Settings: A Survey Study Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-03-01 Lisa Wolf, Cydne Perhats, Altair Delao, Denise Campbell, Carla Brim, Gabriel Campos, David House, Amy Rettig, Darlene Williams, Garrett K. Chan
Purpose/Aims The aim of this study was to investigate the current practice of clinical nurse specialists working in US emergency care settings to (1) explicate the application of the Emergency Nurses Association core competencies and define the specialized clinical nurse specialist role in emergency care and (2) align current clinical nurse specialist practice in emergency settings with the National
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Demonstrating the Value of the Clinical Nurse Specialist: A “How-to” Guide Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-03-01 Erica Fischer-Cartlidge, Megan Hoffman
Purpose/Objectives The purpose of this article is to provide a guide to identifying measurements of value and how to calculate different types of return on investment (ROI). Exemplars of clinical nurse specialist (CNS) work efforts with ROI will be presented. Description of the Project/Problem The CNS is the oldest advanced practice role; however, the role can be vague, making it difficult to articulate
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Multisite Evaluation of Toothbrushes and Microbial Growth in the Hospital Setting Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-03-01 Patti DeJuilio, Jan Powers, Lisa M. Soltis, Jo Ann Brooks
Design This observational, descriptive study was conducted to determine the prevalence of microbial growth on toothbrushes found in hospital patient rooms. Methods Toothbrush sampling was conducted in 136 acute care hospitals and medical centers from November 2018 through February 2022. Inclusion criteria for the units and patient rooms sampled were as follows: general adult medical-surgical units
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Clinical Nurse Specialist and Clinical Nurse Leader Collaboration During the COVID-19 Pandemic Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-03-01 Pamela Cosper, Julia Bossie, Cynthia L. Bond, Donna Hunter
Purpose The aim of this study was to describe an innovative strategy to maintain healthcare worker safety and optimal patient outcomes that was implemented by a healthcare system in the Southeastern United States during the COVID-19 pandemic. Program Description During the surges of the COVID-19 pandemic, healthcare systems have struggled with healthcare worker burnout, high staff turnover rates
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Finnish Version of the Specialist Outcomes and Barriers Analysis Scale: Evaluation of Psychometric Properties. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Mea Mirella Marjatta Wright,Tarja Anneli Kvist,Santtu Juhani Mikkonen,Krista Susanna Jokiniemi
PURPOSE To evaluate the psychometric properties of the Finnish version of the Specialist Outcomes and Barriers Analysis Scale. DESIGN This was a cross-sectional survey study. METHODS Cultural adaptation of the translation and content validity of the translated instrument were assessed by expert panelists (n = 5) using the content validity index. The construct validity was assessed with principal component
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Hospital Environmental Disruptors and Caregiver Sleep During Hospitalization. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Laura Fernández-Puerta,Germán Prados,María Dolores Quiñoz-Gallardo,Dolores Vellido-González,María Leticia González-Guerrero,Antonio Rivas-Campos,Eladio Jiménez-Mejías
PURPOSE Caregivers must cope with a poor sleep environment when caring for someone admitted to the hospital. The aim was to study the environmental factors associated with a sleep disruption pattern in caregivers during hospitalization and to test their association with caregivers' insomnia symptoms. DESIGN This was a cross-sectional study. METHODS One hundred twenty-three caregivers completed the
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Increasing COVID-19 Immunization Awareness in Rural Communities Through a Multimedia Campaign. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Alexis Skuras,Jackeline Iseler
PURPOSE/OBJECTIVES The purpose of this project was to implement a multimedia campaign to increase COVID-19 vaccine awareness and acceptance in rural communities. DESCRIPTION OF PROJECT This project was created and implemented in partnership with a public university in Michigan and targeted to rural Michigan communities. The campaign consisted of digital advertisements and video interviews with nurses
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Medicare Overall Hospital Star Rating and Value Based Purchasing: What You Need to Know. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Laurie E Lisk,Elizabeth Ann Scruth
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Promoting Health Equity: The Role of Nurses in Addressing Social Determinants of Health. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Susan Alexander,Sripriya Rajamani,Robin R Austin
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Promoting Type 1 Diabetes Self-care Management in the Hospital: Can It Be Done? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Pamela Combs,Evelyn Duffy,Mary Beth Modic
PURPOSE The specific aim of the study was to determine whether there was an increased time in target glucose range for individuals with type 1 diabetes mellitus who were permitted to self-manage their insulin plan while hospitalized. DESIGN A retrospective chart review was conducted of 60 inpatients with type 1 diabetes mellitus who met the criteria to self-manage their diabetes care with the use of
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Micro-credentialing: An Option for Clinical Nurse Specialists? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Amy Shay
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A Nonhormonal Selective NK3R Antagonist for Moderate to Severe Vasomotor Symptoms in Menopause. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Patricia Anne O'Malley
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President's Message: Leading the Next Generation: CNS Fiscal Impact is Key. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Mitzi M Saunders
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Project to Publication-A Writing Mentorship Program. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Sarah Harne-Britner,Cynthia A Leaver
PURPOSE/AIMS Evidence is required to inform effective interventions promoting publication among clinical nurses. This study examined the effect of a mentored writing program on clinical nurse perceptions of writerly self-efficacy and publication. DESIGN A mixed-methods, pretest-posttest study design with an education intervention was implemented. The Revised for Nursing Practice - Postsecondary Writerly
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ChatGPT: Implications for Faculty, Students, and Patients: May 19, 2023. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Amy Shay
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Using a Clinical Triggers System to Improve Early Recognition of Clinical Changes. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Betty Lee,Jennifer Leng,Russell Kerbel
PURPOSE A medical-surgical telemetry unit implemented a clinical triggers system for early recognition of clinical deterioration and bedside management between nurses and providers. The goal was to decrease cardiopulmonary arrest events. DESCRIPTION OF THE PROJECT A clinical triggers system was developed to help nurses to identify clinical markers early and advocate for prompt bedside assessment and
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Credentialed and Privileged Clinical Nurse Specialists. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Jackeline Iseler,Taylor Long,Melissa Barach,Molly L McClelland,Mitzi M Saunders
PURPOSE/OBJECTIVES The purpose of this article is to illustrate, using exemplars, the practice of clinical nurse specialists (CNSs) in Michigan who are credentialed and privileged as providers by hospital/healthcare agencies to practice in acute inpatient and ambulatory settings. DESCRIPTION The CNS provides expert specialty direct patient care to improve patient outcomes. They hold a graduate degree
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Artificial Intelligence, Digital Health Research, and the Clinical Nurse Specialist. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Sandra L Siedlecki
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Decreasing the Frequency of Nursing Assessment for Medically Stable Hospitalized Patients. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Jessica L Nelson,Stephanie P Chambers,Holly E Brakke,Jessica H Hus
PURPOSE/OBJECTIVES During the COVID-19 pandemic, a large Midwest tertiary care medical center had prolonged hospitalizations due to strained staffing and few options for post-acute care recovery. Patients deemed medically ready for discharge were receiving the same care interventions as all other hospitalized medical-surgical patients. The study objective was to appropriately match care assessment
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Quality Improvement and Clinical Audits: What Is the Ethical Oversight? Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Elizabeth Ann Scruth,Robin K Betts,Laure Lisk
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Defining Nurse Work: The Groundbreaking Research of the 1950s. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Janet S Fulton
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The Unique Practice of the Clinical Nurse Specialist. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Phyllis Whitehead
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Exploring Clinical Nurse Specialist Impact in Primary Health Care: Exemplars From a Student's Clinical Practice. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Chelsea Bostelman,Chelsea Passwater,Michael Urton
PURPOSE/OBJECTIVES Primary healthcare (PHC) is a clinical frontier full of opportunities for clinical nurse specialists (CNSs) to improve population outcomes, facilitate smooth care transitions, and overcome challenges through a unique lens. Clinical nurse specialist practice in primary care is exceedingly rare, and there is a paucity of literature on the topic. This article provides exemplary projects
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The Magic in Reading to Another. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Jeanine Young-Mason
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A Comparison of the 1918 and 2019 Pandemics in the United States. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Kathleen M Baldwin,Shara Gray
There are eerie similarities between the 1918 Spanish influenza and 2019 COVID-19 pandemics that are somewhat surprising and disheartening, given that the time interval between the 2 pandemics is more than 100 years. This article covers the national response, etiology and pathophysiology, disease course and treatments, nursing shortages, healthcare responses, sequelae following infections, and economic
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Rising Xylazine Drug Abuse in Humans: A Deep and Lingering High With Wounds, Amputations, and Death. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01
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Utilizing Your Expertise as a Nurse Consultant. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Pamela Jane Nye
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Rising Xylazine Drug Abuse in Humans: A Deep and Lingering High With Wounds, Amputations, and Death. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Patricia Anne O'Malley
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The Ethical Concerns and Dilemma in Caring for the Aging Loved Ones. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Bronwyn Cox,Katherine A Ricossa,Jane G Vergara
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Interface of Clinical Nurse Specialist Practice and Healthcare Technology. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Justin M Smith,Kristina K Pearson,Amy E Roberson
PURPOSE This article demonstrates the leadership role of the clinical nurse specialist in developing and implementing healthcare technology across the continuum of care. DESCRIPTION Three virtual nursing practices-facilitated self-care, remote patient monitoring, and virtual acute care nursing-illustrate how the clinical nurse specialist is well suited to transform traditional practice models to ones
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Tables, Figures, and Graphs-Oh My: How to Best Display Data. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Sandra L Siedlecki
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Self-efficacy in Clinical Nurse Specialists During the COVID-19 Pandemic. Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Wendy D Greenwood,Pamela Bishop
PURPOSE The purpose of this study was to examine the perceived self-efficacy of the clinical nurse specialist working in the United States during the COVID-19 pandemic and explore whether there was any difference in self-efficacy based on practice focus (spheres of impact) and if differences existed between self-efficacy and demographics. DESIGN This study used a nonexperimental, correlational, cross-sectional
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What the Joint Commission Medication Management Titration Standards Mean to Quality Care for Complex Patients Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Laura Chechel, Barbara McLean, Theresa Slazinski, Teresa Rincon
The Joint Commission (TJC), the nation’s largest healthcare accreditor, was founded in the 1950s. Its Standards for Medication Management (MM) of titratable medications focused on prescriptive ordering practices versus reliance on nurse clinical decision making. The use of measurable endpoints to guide nurse decision making regarding medication titration has been the standard of care since the inception
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Melody Moezzi's The Rumi Prescription: How an Ancient Mystic Poet Changed My Modern Manic Life. Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Jeanine Young-Mason
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Antiviral Considerations for Monkeypox Infection - USE CAUTION! Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13
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Considerations With Developing a Distance Clinical Nurse Specialist Education Program. Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Lynn D Mohr,Susan Dresser
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Concierge Nurse Case Manager: Keeping People Living in Their Homes. Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Pamela Jane Nye
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Patient Refusal of Nursing Care-An Ethical Dilemma for Bedside Nurses. Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Doanh Ly
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Antiviral Considerations for Monkeypox Infection - USE CAUTION! Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Patricia Anne O'Malley
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President's Message: President's Letter 2022: A Year of Unstoppable Advocacy. Clin. Nurse Spec. (IF 1.2) Pub Date : 2022-12-13 Phyllis Whitehead
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Enhancing Evidence-Based Practice Integration Into Clinical Practice: Using Policy as a Tool for Culture Change in a Large Urban Academic Medical Center Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Megan D. Snyder, Tracy Campbell, Kimberly A. DiGerolamo
Purpose This article describes how a large urban medical center was able to enhance the integration of evidence-based practice in the clinical environment by reconfiguring its approach to policy and procedures documentation. Project Description Leaders at a large urban medical center observed that numerous nursing practice documents lacked a base of evidence. No standard process existed for building
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Successful Clinical Nurse Specialist Recruitment: Creating a Talent Pipeline Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Erica Fischer-Cartlidge, Kathleen Short
Background The future of the clinical nurse specialist (CNS) role depends on nurses enrolling in CNS programs and having access to clinical experiences. At 1 institution, challenges with CNS recruitment and variations in how students were precepted were noted. This article describes a successful CNS student program and its value in creating a talent pipeline. Project A revision to student placements
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Interprofessional Naloxone Student Training to Manage Suspected Opioid Overdose Clin. Nurse Spec. (IF 1.2) Pub Date : 2023-01-01 Elizabeth Riley, Stephanie Trotter, Lindsey Dayer, Amber Teigen, Corey Nagel, Kimberly Stickley, Pamela LaBorde, Leah Richardson, Rochelle McFerguson, Nicole Ward, Michael Anders
Purpose The study purpose was to examine the effect of interprofessional naloxone training on students' knowledge, confidence, and interprofessional collaboration competency. The overarching goal was to decrease mortality related to opioid overdoses. Design/Methods A training session for interprofessional students consisted of a lecture presentation, demonstration, and hands-on practice regarding