Journal ArticleNursing administration quarterly · October 2025
Creative solutions are needed to enhance mobility activities in the ICU to combat the sequela of prolonged bed rest. Virtual reality has gained favor for use in outpatient areas, yet the user experience of the ICU patient is relatively unknown. This qualit ...
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Journal ArticleNurse Leader · August 1, 2025
Over one-half of all registered nurse turnover is generated by those within their first 2 years of practice. Common strategies to retain new graduate nurses are ineffective and our baseline study found 3 themes that contributed to this turnover: disrupted ...
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Journal ArticleThe Journal of nursing administration · July 2025
AimThe aim of this study was to describe the 6-month outcomes of a pilot study testing a web-based decision-making tool for nurse managers (NMs) to use in determining RN hiring needs, and to evaluate the effect on workforce stability and NM satisf ...
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Journal ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses · May 2025
BackgroundBedside nurse turnover in the United States is 22.5%, representing a national challenge that has been attributed to poor work environments. Poor work environments result in decreased nurse satisfaction and retention as well as poor patie ...
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Journal ArticleCritical care nurse · February 2025
BackgroundPatient and family satisfaction with care in intensive care units is not reflected in Hospital Consumer Assessment of Healthcare Providers and Systems surveys. Gaps may be unknown.Local problemIn a cardiothoracic intensive care ...
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ConferenceProceedings 2025 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops Vrw 2025 · January 1, 2025
Patients in intensive care units (ICUs) undergoing prolonged bed rest are at high risk of physical, cognitive, and psychological impairments due to immobility. While early mobilization protocols are critical for rehabilitation, the implementation is hinder ...
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Journal ArticleJ Am Heart Assoc · December 17, 2024
BACKGROUND: Significant gap remains in the implementation of guideline-directed medical therapy (GDMT) in patients with heart failure after a hospitalization. We aimed to evaluate the use and titration of GDMT at discharge and over a 12-month period after ...
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Journal ArticleNurse Leader · December 1, 2024
The role of the charge nurse is critical to daily operations, patient flow, and appropriate staffing. Despite this, there is a paucity of evidence to support the process by which individuals are identified, selected, and promoted to the charge nurse role. ...
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Journal ArticleThe Nursing clinics of North America · December 2024
This scoping review delves into psychometric measures assessing the strong Black woman and superwoman constructs among African American women. It evaluates various scales, emphasizing their clinical relevance and implications for women's health. By recogni ...
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Journal ArticleJ Card Fail · November 2024
BACKGROUND: Randomized controlled trials typically require study-specific visits, which can burden participants and sites. Remote follow-up, such as centralized call centers for participant-reported or site-reported, holds promise for reducing costs and en ...
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Journal ArticleThe American journal of hospice & palliative care · October 2024
BackgroundApproximately 6.7 million American adults are living with heart failure (HF). Current therapies are geared toward preventing progression and managing symptoms, as there is no cure. Multiple studies have shown the benefit of including pal ...
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Journal ArticleNurse Leader · October 1, 2024
Nurse managers’ academic training and post-employment resources for developing skills required to manage local staffing needs are under-reported. Using a qualitative descriptive design, we conducted surveys to assess nurse manager perceptions of existing s ...
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Journal ArticleAACN advanced critical care · September 2024
Prolonged bed rest is a known contributor to muscle atrophy, weakness, and deconditioning. Early active mobilization protocols aim to combat acquired weakness and loss of function in patients in the intensive care unit. Despite these benefits, mobilization ...
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Journal ArticleJ Nurs Care Qual · April 2024
BACKGROUND: Nearly half of American adults have hypertension (HTN), and non-Hispanic Black patients are diagnosed at a higher rate than others. LOCAL PROBLEM: Our local clinic population reflected disproportionate rates of uncontrolled HTN among Black pati ...
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Journal ArticleN C Med J · March 2024
INTRODUCTION: Efforts to improve population health by being responsive to patients' social and economic conditions will benefit from care models and technologies that assess and address unmet social needs. In 2019, NCCARE360 launched in North Carolina as t ...
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Journal ArticlePatient Educ Couns · February 2024
OBJECTIVES: To use the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to evaluate an educational model addressing self-management of uncontrolled hypertension. METHODS: We used a pre-post single cohort design to identify min ...
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Journal ArticleAmerican heart journal plus : cardiology research and practice · October 2023
BackgroundWe developed a three-pronged complex intervention to improve selfcare and deliver whole person care for patients with heart failure, underpinned by the 'extant cycle' theory - a theory based on our formative work.MethodsThis is ...
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Journal ArticleCirculation · August 2023
Cardiovascular disease remains the leading cause of death and disability in the United States and globally. Disease burden continues to escalate despite technological advances associated with improved life expectancy and quality of life. As a result, longe ...
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Journal ArticleQuality management in health care · July 2023
Background and objectivesCentral line-associated bloodstream infections (CLABSIs) are a common, preventable healthcare-associated infection. In our 3-hospital health system, CLABSI rates in non-intensive care unit (ICU) settings were above the int ...
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Journal ArticleComputers, informatics, nursing : CIN · May 2023
Clinical decision support in the EHR is an innovation that can support guideline adherence in acute myocardial infarction. Cardiac rehabilitation referral and left ventricular systolic function assessment are part of evidence-based clinical practice guidel ...
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Journal ArticleCatheter Cardiovasc Interv · January 14, 2023
BACKGROUND: Invasive cardiac catheterization (CC) temporarily increases pain, discomfort, and anxiety. Procedural sedation is deployed to mitigate these symptoms, though practice varies. Research evaluating peri-procedural patient-reported outcomes is lack ...
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Journal ArticleDimensions of critical care nursing : DCCN · January 2023
BackgroundClinicians are often familiar with quality improvement (QI) and evidence-based practice (EBP) processes, which provides guidance into what evidence should be implemented; however, these processes do not address how to successfully implem ...
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Journal ArticlePloS one · January 2023
AimsTo evaluate the impact of a lay health worker support role in the inpatient setting.BackgroundHealthcare systems are facing critical nursing and nurse assistant staffing shortages. These disciplines can be challenging to recruit and r ...
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Journal ArticleNurse education today · December 2022
IntroductionUsing evidence-based teaching approaches can improve nursing students' learning. However, variation in how - or if - these approaches are implemented by faculty and nursing educators is prevalent. A thorough, applied understanding of h ...
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Journal ArticleBMJ Open · November 24, 2022
OBJECTIVE: To examine factors contributing to racial differences in 30-day readmission in patients with cardiovascular disease (CVD). DESIGN: Patients were enrolled from 1 January 2015 to 31 August 2017 and data were collected from electronic health record ...
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Journal ArticleThe Journal of cardiovascular nursing · November 2022
BackgroundTransitional care components are well studied, but their coordination has not been systematically reviewed. Viewing transitional care through a social network framework can focus attention on processes leading to information and relation ...
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Journal ArticleJ Card Fail · November 2022
BACKGROUND: Mobile health (mHealth) platforms can affect health behaviors but have not been rigorously tested in randomized trials. OBJECTIVES: We sought to evaluate the effectiveness of a pragmatic mHealth intervention in patients with heart failure (HF) ...
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Journal ArticleJ Card Fail · October 2022
BACKGROUND: It is unknown whether digital applications can improve guideline-directed medical therapy (GDMT) and outcomes in heart failure with reduced ejection fraction (HFrEF). METHODS AND RESULTS: Care Optimization Through Patient and Hospital Engagemen ...
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Journal ArticleThe Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · October 2022
AbstractBACKGROUND: Ischemic stroke continues to be a leading cause of serious disability within the United States, affecting 795 000 people annually. Approximately 12% to 21% of post-ischemic stroke patients will be readmitted to the hospital wit ...
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Journal ArticleComput Inform Nurs · August 1, 2022
Increased treatment complexity in patients with diabetes contributes to medication nonadherence. Patient portals that are accessible through electronic health records may offer improved patient-provider communication and better medication management in pat ...
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Journal ArticleJ Card Fail · August 2022
BACKGROUND: Health system-level interventions to improve use of guideline-directed medical therapy (GDMT) often fail in the acute care setting. We sought to identify factors associated with high performance in adoption of GDMT among health systems in CONNE ...
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Journal ArticleDimensions of critical care nursing : DCCN · July 2022
Background and objectivesEvaluation of implementation science research is warranted to better understand and determine the success of translating evidence-based infection prevention practices at the bedside. The purpose of this program evaluation ...
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Journal ArticleThe Journal of nursing administration · July 2022
ObjectiveTo explore the practices and self-confidence of nurse manager (NM) decision-making related to evaluating RN hiring needs.BackgroundEvidence-based hiring strategies to sustain workforce stability were identified as a gap in the li ...
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Journal ArticleClin Cardiol · June 2022
Treatment options for patients with heart failure have improved rapidly over the last few decades. Data from large scale clinical trials demonstrate that medical and device therapies can improve quality of life, reduce hospitalizations for acute heart fail ...
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Journal ArticleJ Am Heart Assoc · April 5, 2022
Background The COVID-19 pandemic resulted in a rapid implementation of telemedicine into clinical practice. This study examined whether early outpatient follow-up via telemedicine is as effective as in-person visits for reducing 30-day readmissions in pati ...
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Journal ArticleJournal of nursing management · April 2022
AimThe purpose of this study was to examine the impact of nurse staffing on inpatient falls performance across a multi-hospital system.BackgroundEvidence to support which staffing variables influence fall performance so that health care o ...
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Journal ArticleJACC Heart Fail · April 2022
With advances in heart failure (HF) treatment, patients are living longer, putting further emphasis on quality of life (QOL) and the role of palliative care principles in their care. Spirituality is a core domain of palliative care, best defined as a dynam ...
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Journal ArticleJournal of professional nursing : official journal of the American Association of Colleges of Nursing · March 2022
BackgroundThe process of adopting evidence-based educational practices and teaching methods has not been examined in nursing education.PurposeThis article provides a framework for adopting educational evidence and designing studies in nur ...
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Journal ArticleNursing outlook · March 2022
BackgroundThe nurse scientist in the clinical setting is a role that has evolved over recent decades to encompass the concomitant development of personal research programs and the facilitation of staff and advanced practice nurse research in healt ...
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Journal ArticleRehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · March 2022
PurposeNursing assistant turnover is a growing healthcare concern that negatively impacts healthcare organization work environments and has significant financial implications. The purpose of this study was to implement a career ladder program for ...
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Journal ArticleNurse Leader · February 1, 2022
Nursing leaders must engage with evidence-based practice (EBP) to advance quality patient care. The purpose of this study was to understand the impact of an implementation science study on nurse manager competencies. Qualitative focus group interviews were ...
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Journal ArticleJ Card Fail · February 2022
BACKGROUND: Palliative care (PC) in advanced heart failure (HF) aims to improve symptoms and quality of life (QOL), in part through medication management. The impact of PC on polypharmacy (>5 medications) remains unknown. METHODS AND RESULTS: We explored p ...
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Journal ArticleJ Palliat Med · February 2022
Introduction: Black patients have a higher incidence of heart failure (HF) and worse outcomes than white patients. Guidelines recommend palliative care for patients with advanced HF, but no studies have examined outcomes in a black patient cohort. Methods: ...
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Journal ArticleWorldviews Evid Based Nurs · February 2022
BACKGROUND: Uncontrolled hypertension disproportionately affects Black men. Patient engagement with health promotion and health behavior programs for hypertension control is low. We held evidence-based hypertension classes at a Federally Qualified Health C ...
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Journal ArticleWorldviews Evid Based Nurs · February 2022
BACKGROUND: The high prevalence of uncontrolled hypertension (systolic blood pressure [SBP] ≥140 mmHg or diastolic blood pressure [DBP] ≥90 mmHg) in Black patients represents a significant racial health disparity in the United States. AIMS: This study eval ...
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Journal ArticleJournal of nursing management · January 2022
AimThe purpose was to evaluate an innovative Prospective Hiring Equation to determine registered nurse hiring needs.BackgroundThe American Organization for Nursing Leadership identifies human resource management as a competency for nurse ...
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Journal ArticleJournal for Nurse Practitioners · January 1, 2022
Medication nonadherence is a widespread problem among cardiovascular patients. Advanced practice providers (APPs) play a critical role in assessing for medication adherence upon hospital admission. A pre–post intervention design was used to determine the e ...
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Journal ArticleNurs Outlook · 2022
Nurses are well-positioned to solve many problems in healthcare through engagement in innovation. Support from healthcare organizations to facilitate creative partnerships may accelerate nurses' ability to innovate and improve job satisfaction. The value o ...
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Journal ArticleAmerican journal of infection control · December 2021
Measuring compliance with the appropriate chlorhexidine gluconate (CHG) bathing process through direct observation audits can be helpful in sustaining this important practice; however, capturing this data may be difficult. This study reports the difference ...
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Journal ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses · November 2021
BackgroundBedside nurse turnover in the United States is 15.9%, representing a national challenge that has been attributed to poor work environments. Healthy work environments are associated with improved nurse satisfaction and retention as well a ...
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Journal ArticleThe Journal of nursing administration · October 2021
Nurse scientist (NS) roles in clinical practice settings are key components of The Future of Nursing and ANCC Magnet® recognition. Despite increased opportunities for NS roles, leveraging these roles to advance nursing science remains at an early stage. We ...
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Journal ArticleCritical care nurse · October 2021
BackgroundAortic stenosis is prevalent among older adults and is commonly treated with transcatheter aortic valve replacement. Both high- and low-risk patients benefit from early mobility and discharge after this procedure; however, hospital proto ...
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Journal ArticleHeart & lung : the journal of critical care · September 2021
BackgroundEffective patient care transitions require consideration of social and clinical context, yet how these factors and relational processes in care coordination relate remains poorly described. This case report aims to describe provider netw ...
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Journal ArticleJAMA · July 27, 2021
IMPORTANCE: Adoption of guideline-directed medical therapy for patients with heart failure is variable. Interventions to improve guideline-directed medical therapy have failed to consistently achieve target metrics, and limited data exist to inform efforts ...
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Journal ArticlePrev Chronic Dis · July 15, 2021
Structural racism has contributed to persistent racial disparities in hypertension control, with Black men suffering the highest prevalence of uncontrolled hypertension. Lincoln Community Health Center, our urban Federally Qualified Health Center (FQHC), a ...
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Journal ArticlePublic Health Nurs · July 2021
Due to the impact of persistent structural racism, Black men have low rates of hypertension treatment and control despite having high rates of hypertension-related mortality. Peer-based education can improve blood pressure monitoring and lower blood pressu ...
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Journal ArticleJ Card Fail · June 2021
BACKGROUND: In a randomized control trial, Palliative Care in Heart Failure (PAL-HF) improved heart failure-related quality of life, though cost-effectiveness remains unknown. The aim of this study was to evaluate the cost-effectiveness of the PAL-HF trial ...
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Journal ArticleCrit Care Nurse · June 1, 2021
BACKGROUND: Prolonged intubation after cardiac surgery increases the risk of morbidity and mortality and lengthens hospital stays. Factors that influence the ability to extubate patients with speed and efficiency include the operation, the patient's baseli ...
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Journal ArticleHealth Science Reports · June 1, 2021
Background: Increasing healthcare costs need to be contained in order to maintain equality of access to care for all EU citizens. A cross-disciplinary consortium of experts was supported by the EU FP7 research programme, to produce a roadmap on cost contai ...
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Journal ArticleImplementation science : IS · April 2021
BackgroundCentral line-associated bloodstream infections (CLABSIs) result in approximately 28,000 deaths and approximately $2.3 billion in added costs to the U.S. healthcare system each year, and yet, many of these infections are preventable. At t ...
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Journal ArticleJournal of professional nursing : official journal of the American Association of Colleges of Nursing · January 2021
BackgroundDoctor of Nursing Practice programs prepare nurse leaders for unique roles to address healthcare needs across the quality spectrum. However, additional mentoring and training in implementation science and analytical skills is needed to e ...
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Journal ArticleCirc Cardiovasc Qual Outcomes · January 2021
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in the United States, and patients with CVD are at a high risk of readmission after discharge. We examined whether patients' perceived risk of readmission at discharge was ass ...
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Journal ArticlePloS one · January 2021
BackgroundPrior reports have documented extremely poor adherence to evidence-based medications among South Asian patients with established chronic cardiovascular diseases. Treatment adherence is now considered a part of the 'self-care' process, th ...
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Journal ArticleAm J Prev Med · November 2020
INTRODUCTION: Severe hypertension (≥180 mmHg systolic or ≥110 mmHg diastolic) is associated with a twofold increase in the relative risk of death. At the authors' Federally Qualified Health Center in the Southeast, 39% of adults (n=8,695) had hypertension, ...
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Journal ArticleJournal for Nurse Practitioners · July 1, 2020
Heart failure is the leading cause of hospitalizations and readmissions. Guideline-directed medical therapy is the cornerstone to improving outcomes, but less than 20% of patients with heart failure marked by reduced ejection fraction receive target doses. ...
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Journal ArticleCirc Cardiovasc Qual Outcomes · July 2020
Stroke is one of the leading causes of morbidity and mortality in the United States. While age-adjusted stroke mortality was falling, it has leveled off in recent years due in part to advances in medical technology, health care options, and population heal ...
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Journal ArticleCatheter Cardiovasc Interv · June 1, 2020
OBJECTIVES: Patient centeredness is an essential component of high-quality care, yet little is known regarding the patient experience during procedures performed in the cardiac catheterization lab. BACKGROUND: Available literature focuses on the safe deliv ...
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Journal ArticleCirculation · June 2020
Heart failure is a clinical syndrome that affects >6.5 million Americans, with an estimated 550 000 new cases diagnosed each year. The complexity of heart failure management is compounded by the number of patients who experience adverse downstream effects ...
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Journal ArticleJournal of continuing education in nursing · June 2020
BackgroundNurse graduates (NGs) are ill prepared when faced with patient death and dying, despite receiving educational preparation on end-of-life (EOL) care in their prelicensure nursing programs.MethodThis qualitative descriptive study ...
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Journal ArticleCirc Heart Fail · April 2020
BACKGROUND: Palliative care improves quality of life in patients with heart failure. Whether men and women with heart failure derive similar benefit from palliative care interventions remains unknown. METHODS: In a secondary analysis of the PAL-HF trial (P ...
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Journal ArticleRes Social Adm Pharm · March 2020
Compared to white patients in the United States, people of racial and ethnic minority groups face higher rates of chronic disease including diabetes, obesity, stroke, cardiovascular disease and cancer. Minority groups are also less likely to receive medica ...
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Journal ArticleJournal of nursing management · March 2020
AimsTo improve predictability and accuracy of hiring using historical staffing data, quality improvement and workforce engagement.BackgroundTwenty-three per cent of newly licensed nurses leave their first job within one year, costing empl ...
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Journal ArticleContemporary clinical trials · March 2020
BackgroundThe per-protocol effect provides important information in randomized trials with incomplete adherence. Yet, because valid estimation typically requires adjustment for prognostic factors that predict adherence, per-protocol effect estimat ...
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Journal ArticleAm Heart J · February 2020
Many therapies have been shown to improve outcomes for patients with heart failure (HF) in controlled settings, but there are limited data available to inform best practices for hospital and post-discharge quality improvement initiatives. The CONNECT-HF st ...
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Journal ArticleWellcome open research · January 2020
Background: Adherence to a complex, yet effective medication regimen improves clinical outcomes in patients with chronic heart failure (CHF). However, patient adherence to an agreed upon plan for medication-taking is sub-optimal and continues to hov ...
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Journal ArticleJournal of nursing care quality · October 2019
BackgroundThe commonly employed medication reconciliation process leaves room for mismanagement of medications in the complex end-stage renal disease patient population.PurposeThe purpose of this quality improvement project was to impleme ...
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Journal ArticleAm Heart J · May 2019
Heart failure (HF) and diabetes mellitus (DM) are major public health issues that place significant burden on patients and health care systems. Patients with both HF and DM are at higher risk of adverse cardiovascular and HF outcomes than those with either ...
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Journal ArticleAm J Manag Care · May 1, 2019
Many patients struggle to take their prescription medications as prescribed. Multiple interacting factors influence medication nonadherence. The cost of medications, particularly a patient's out-of-pocket cost, spans several of these domains. One proposed ...
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Journal ArticleEur J Cardiovasc Nurs · April 2019
BACKGROUND: Atrial fibrillation is associated with stroke, yet approximately 50% of patients are not treated with guideline-directed oral anticoagulants (OACs). AIMS: Given that the etiology of this gap in care is not well understood, we explored decision- ...
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Journal ArticleJournal of nursing care quality · April 2019
BackgroundEvidence supports daily bathing using chlorhexidine gluconate (CHG) cloths to decrease preventable hospital-acquired central line-associated bloodstream infections (CLABSIs). However, implementation of this practice is inconsistent. Usin ...
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Journal ArticleJournal of doctoral nursing practice · April 2019
BackgroundPreoperative education is an important component of preparing patients for surgery. Preoperative anxiety is one of the most important problems for patients, because it causes emotional and psychiatric problems as well as physical problem ...
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Journal ArticleComputers, informatics, nursing : CIN · November 2018
Clinical decision support systems are used to ensure compliance with guidelines and can assist providers in improving quality of care. This quality improvement initiative was designed to evaluate the use of a clinical decision support system to improve spe ...
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Journal ArticleThe Journal of cardiovascular nursing · September 2018
Hypertension is a leading risk factor for heart disease, stroke, kidney failure, and diabetes and is a predisposing risk factor for most cardiovascular chronic illnesses. The risk for major cardiovascular events drops significantly when guideline-based blo ...
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Journal ArticlePrim Care Diabetes · April 2018
AIMS: Type 2 diabetes mellitus imposes significant burdens on patients and health care systems. Population-level interventions are being implemented to reach large numbers of patients at risk of or diagnosed with diabetes. We describe a population-based ev ...
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Journal ArticleTransl Behav Med · March 1, 2018
Relatively few successful medication adherence interventions are translated into real-world clinical settings. The Prevention of Cardiovascular Outcomes in African Americans with Diabetes (CHANGE) intervention was originally conceived as a randomized contr ...
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Journal ArticleWorldviews on evidence-based nursing · February 2018
This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are a ...
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Journal ArticleAm Heart J · February 2018
BACKGROUND: Studies have shown that access to routine medical care is associated with the prevention, diagnosis, and treatment of chronic diseases. However, studies have not examined whether patient-reported difficulties in access to care are associated wi ...
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Journal ArticleAm J Med Sci · December 2017
BACKGROUND: Recent studies have drawn attention to nonclinical factors to better understand disparities in the development, treatment and prognosis of patients with cardiovascular disease. However, there has been limited research describing the nonclinical ...
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Journal ArticleJournal for nurses in professional development · November 2017
Nursing professional development practitioners are in a key position to use tools that foster nurses' interpretation of research findings for increased use of evidence in practice. An online course was developed to teach statistics as language. The feasibi ...
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Journal ArticleEur J Cardiovasc Nurs · October 2017
BACKGROUND: Ineffective medication management contributes to repeated hospitalisation and death among patients with heart failure. The meaning ascribed to medications and the influence of meaning on how patients manage medications is unknown. The purpose o ...
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Journal ArticleComputers, informatics, nursing : CIN · October 2017
Increasing health portal participation actively engages patients in their care and improves outcomes. The primary aim for this project was to increase patient health portal utilization. Nurses used a tablet-based demo to teach patients how to navigate the ...
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Journal ArticleThe Journal of cardiovascular nursing · September 2017
ObjectiveWe present the design and feasibility testing for the "Digital Drag and Drop Pillbox" (D-3 Pillbox), a skill-based educational approach that engages patients and providers, measures performance, and generates reports of medication managem ...
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Journal ArticleCirculation · August 2017
Behavioral challenges are often present in human illness, so behavioral economics is increasingly being applied in healthcare settings to better understand why patients choose healthy or unhealthy behaviors. The application of behavioral economics to healt ...
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Journal ArticleJ Am Coll Cardiol · July 18, 2017
BACKGROUND: Advanced heart failure (HF) is characterized by high morbidity and mortality. Conventional therapy may not sufficiently reduce patient suffering and maximize quality of life. OBJECTIVES: The authors investigated whether an interdisciplinary pal ...
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Journal ArticleJMIR Res Protoc · June 15, 2017
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of hospitalization in older adults and high readmission rates have attracted considerable attention as actionable targets to promote efficiency in care and to reduce costs. Despite a plethora of ...
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Journal ArticleJ Am Med Inform Assoc · April 1, 2017
OBJECTIVE: We assessed the sensitivity and specificity of 8 electronic health record (EHR)-based phenotypes for diabetes mellitus against gold-standard American Diabetes Association (ADA) diagnostic criteria via chart review by clinical experts. MATERIALS ...
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Journal ArticlePatient Prefer Adherence · 2017
There is little debate that medication nonadherence is a major public health issue and that measuring nonadherence is a crucial step toward improving it. Moreover, while measuring adherence is becoming both more feasible and more common in the era of elect ...
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Journal ArticleInternational journal of cardiology · June 2016
BackgroundMultimorbidity in heart failure (HF), defined as HF of any aetiology and multiple concurrent conditions that require active management, represents an emerging problem within the ageing HF patient population worldwide.MethodsTo i ...
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Journal ArticleJMIR Med Inform · March 15, 2016
BACKGROUND: The use of health information technology (HIT) may improve medication adherence, but challenges for implementation remain. OBJECTIVE: The aim of this paper is to review the current state of HIT as it relates to medication adherence programs, ac ...
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Journal ArticleCrit Care Nurse · February 2016
Poor education-related discharge preparedness for patients with heart failure is believed to be a major cause of avoidable rehospitalizations. Technology-based applications offer innovative educational approaches that may improve educational readiness for ...
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Journal ArticleBMJ Open Diabetes Res Care · 2016
OBJECTIVE: Medication adherence in type 2 diabetes mellitus (T2DM) improves glycemic control and is associated with reduced adverse clinical events, and accurately assessing adherence assessment is important. We aimed to determine agreement between two com ...
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Journal ArticlePatient Prefer Adherence · 2016
THE PROBLEM: Nonadherence to prescription medications is a common and costly problem with multiple contributing factors, spanning the dimensions of individual behavior change, psychology, medicine, and health policy, among others. Addressing the problem of ...
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Journal ArticleAm Heart J · November 2015
BACKGROUND: Heart failure disease management programs can influence medical resource use and quality-adjusted survival. Because projecting long-term costs and survival is challenging, a consistent and valid approach to extrapolating short-term outcomes wou ...
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Journal ArticleJ Gen Intern Med · May 2015
BACKGROUND: Several trials have demonstrated the efficacy of nurse telephone case management for diabetes (DM) and hypertension (HTN) in academic or vertically integrated systems. Little is known about the real-world potency of these interventions. OBJECTI ...
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Journal ArticleAm Heart J · April 2015
BACKGROUND: Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept stud ...
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Journal ArticleQuality management in health care · April 2015
PurposeThe purpose of this project was to decrease heart failure (HF) readmissions in a rural community by redesigning the inpatient education model.MethodsAn integrated plan of care (ICP) was developed using 6 interventions, tailored to ...
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Journal ArticleAmerican Heart Journal · April 1, 2015
Background Poor adherence to evidence-based medications in heart failure (HF) is a major cause of avoidable hospitalizations, disability, and death. To test the feasibility of improving medication adherence, we performed a randomized proof-of-concept study ...
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Journal ArticleJ Clin Transl Endocrinol · March 2015
OBJECTIVE: The Durham Diabetes Coalition (DDC) was established in response to escalating rates of disability and death related to type 2 diabetes mellitus, particularly among racial/ethnic minorities and persons of low socioeconomic status in Durham County ...
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Journal ArticlePatient Prefer Adherence · 2015
Effective medications are a cornerstone of prevention and disease treatment, yet only about half of patients take their medications as prescribed, resulting in a common and costly public health challenge for the US health care system. Since poor medication ...
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Journal ArticleAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · January 2015
Medication non-adherence is a major public health issue, and measuring non-adherence is a crucial step toward improving it. A paucity of retrievable data prevents researchers from effectively measuring, tracking and sharing outcomes on medication managemen ...
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Journal ArticleAm Heart J · November 2014
BACKGROUND: The progressive nature of heart failure (HF) coupled with high mortality and poor quality of life mandates greater attention to palliative care as a routine component of advanced HF management. Limited evidence exists from randomized, controlle ...
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Journal ArticleCurrent heart failure reports · September 2014
Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, s ...
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Journal ArticlePatient Prefer Adherence · 2014
Improving medication adherence is a critically important, but often enigmatic objective of patients, providers, and the overall health care system. Increasing medication adherence has the potential to reduce health care costs while improving care quality, ...
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Journal ArticleCurrent Heart Failure Reports · January 1, 2014
Heart failure is a debilitating illness that requires patients to be actively engaged in self-management. Self-management practices, including maintenance and management of an evidence-based medication regimen, are associated with improved outcomes. Yet, s ...
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Journal ArticleJournal for nurses in professional development · November 2013
In clinical practice, nurses are expected to understand and implement the science that supports patient care, yet they fall short of goals to implement evidence in practice. One reason is difficulty in interpreting research results. Interpretation requires ...
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Journal ArticleJournal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · September 2013
PurposeSeveral literature reviews have been published summarizing objective knowledge about older patients with heart failure (HF). Although of vital importance to the treatment and diagnosis of HF, these reviews fail to explicate and summarize ol ...
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Journal ArticleContemp Clin Trials · September 2013
BACKGROUND: Despite recognition of the benefits associated with well-controlled diabetes and hypertension, control remains suboptimal. Effective interventions for these conditions have been studied within academic settings, but interventions targeting both ...
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Journal ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses · September 2013
BackgroundGlycemic control in critically ill patients decreases infection and mortality. Patients receiving vasopressors have altered peripheral perfusion, which may affect accuracy of capillary blood glucose values measured with point-of-care dev ...
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Journal ArticleAm J Crit Care · September 2013
BACKGROUND: Alcohol withdrawal syndrome, characterized by confusion, agitation, and hallucinations, decreases the safety of patients with acute myocardial infarction. Unexpected hospitalization and sudden cessation of alcohol consumption may increase in-ho ...
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Journal ArticleAmerican journal of critical care : an official publication, American Association of Critical-Care Nurses · September 2013
BackgroundNosocomial infections caused by multidrug-resistant organisms are commonly associated with longer hospital stays up to 12 to 18 days and annual estimated costs of $5.7 billion to $6.8 billion. One common mode of transmission is cross-con ...
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Journal ArticleEur J Cardiovasc Nurs · June 2013
BACKGROUND: The purpose of this study was to explore the theoretical linkages between symptom experiences and meaning associated with medication adherence. The specific objectives were to evaluate the key constructs of Meaning-Response theory for understan ...
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Journal ArticleAMIA Jt Summits Transl Sci Proc · 2013
Data within a continuing use context (also known as secondary use) can require translation into the variables necessary for project analysis. We have developed and applied a framework in which: Project objectives inform the curation of data elements. Data ...
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Journal ArticleFront Pharmacol · 2013
PURPOSE: Poor adherence to prescribed medicines is associated with increased rates of poor outcomes, including hospitalization, serious adverse events, and death, and is also associated with increased healthcare costs. However, current approaches to evalua ...
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Journal ArticleAm J Crit Care · September 2012
BACKGROUND: The Patient Self-Determination Act of 1990 mandates that hospitals reimbursed by Medicare and Medicaid inform each patient about the patient's right to a natural death. OBJECTIVE: To describe and explore implementation of the Patient Self-Deter ...
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Journal ArticleMedicine, health care, and philosophy · May 2012
In recent years the formerly quite strong interest in patient compliance has been questioned for being too paternalistic and oriented towards overly narrow biomedical goals as the basis for treatment recommendations. In line with this there has been a shif ...
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Journal ArticleJ Nurs Scholarsh · March 2012
PURPOSE: To describe the development of an academic-health services partnership undertaken to improve use of evidence in clinical practice. APPROACH: Academic health science schools and health service settings share common elements of their missions: to ed ...
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Journal ArticleAm Heart J · September 2011
Poor adherence to efficacious cardiovascular-related medications has led to considerable morbidity, mortality, and avoidable health care costs. This article provides results of a recent think-tank meeting in which various stakeholder groups representing ke ...
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Journal ArticleEuropean journal of heart failure · August 2011
AimTo validate a previously developed instrument for measurement of breathlessness in patients with acute heart failure (HF).Methods and resultsWe tested descriptors of breathlessness among 190 patients seeking care at the emergency depar ...
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Journal ArticleCurr Opin Cardiol · July 2011
PURPOSE OF REVIEW: Adherence to proven, effective medications remains low, resulting in high rates of clinical complications, hospital readmissions, and death. The use of technology to identify patients at risk and to target interventions for poor adherenc ...
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Journal ArticleAm J Crit Care · July 2010
BACKGROUND: Tailoring care for patients and their families at the end of life is important. PURPOSE: To examine factors associated with patients' choices for level of care at the end of life. METHODS: Data on demographics and level of care (full code, do n ...
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Journal ArticleEur J Heart Fail · November 2009
AIMS: Although many patients with heart failure have incomplete adherence to prescribed medications, predisposing factors remain unclear. This analysis investigates factors associated with adherence, with particular emphasis on age and sex. METHODS AND RES ...
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Journal ArticleJournal of professional nursing : official journal of the American Association of Colleges of Nursing · July 2009
To gain insight into high school students' perceptions of the role of the nurse and to explore students' impressions of nursing following a nurse-shadowing intervention. Often nurses abandon staffing positions in the first 1-2 years, reporting a "poor fit" ...
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Journal ArticleThe Journal of cardiovascular nursing · July 2009
Background and research objectiveDespite the known benefit of self-care strategies for symptom management in heart failure (HF), most patients are unable to perform self-care activities successfully. This study therefore examined how communication ...
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Journal ArticleAACN advanced critical care · July 2008
Evidence-based practice is a goal for all institutions and often an accreditation requirement. However, moving forward to "just do it" poses a problem for nurses in most patient care units. In spite of increased focus on evidence-based practice initiatives ...
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Journal ArticleQualitative health research · October 2007
Fatigue is a common symptom in patients with chronic heart failure (CHF). Characteristics of the experience and consequences of fatigue might be unique in these patients. The authors interviewed 15 patients with CHF and analyzed focused online observations ...
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Journal ArticleProgress in cardiovascular nursing · January 2007
Chronic heart failure (CHF) is a costly Medicare expenditure, with approximately 70% of the costs of heart failure care attributable to acute, symptom-related hospitalizations. The most common preventable cause of rehospitalization is nonadherence to the C ...
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Journal ArticleEuropean journal of cardiovascular nursing · September 2006
The purpose of this paper is to examine gaps in our understanding of the heart failure experience and describe the use of Trajectory of Chronic Illness Theory to bridge these gaps. New pharmacotherapeutic strategies have improved survival in heart failure, ...
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Journal ArticleLancet · December 10, 2005
BACKGROUND: Chronic heart failure (CHF) is an important cause of hospital admission and death. Poor adherence to medication is common in some chronic illnesses and might reduce the population effectiveness of proven treatments. Because little is known abou ...
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Journal ArticleNursing management · July 2004
Explore current practices in the multidisciplinary management of cardiovascular disease in women and innovative educational approaches to health promotion and disease prevention. ...
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Journal ArticleCritical care nursing clinics of North America · December 2001
If there is a story waiting to be told about nurses and research, it is this: research is part of our past, our present, and our future. Research gives "caring" a mental muscle that makes it stronger than caring would be without it. Since the Crimean War, ...
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Journal ArticleNursing · November 2001
Important new protocols fundamentally alter how you assess and treat patients with cardiac chest pain. Here, we'll spell out the changes and how they affect your practice. ...
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Journal ArticleArch Intern Med · October 8, 2001
BACKGROUND: To handle the increasing complexity of congestive heart failure (CHF) care, several new models for the care of patients with CHF have been developed to replace traditional strategies. We undertook this study to evaluate the potential benefit of ...
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Journal ArticleAm J Crit Care · January 2001
BACKGROUND: Depressive symptoms are an independent risk factor for outcome in patients with cardiac disease, but their effect on outcome among patients undergoing coronary artery bypass grafting is not well understood. OBJECTIVES: To determine whether or n ...
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Journal ArticleThe Nursing clinics of North America · December 2000
Advances in the understanding of acute coronary syndromes have occurred rapidly in the last 5 years and have dramatically changed the way patients are evaluated, diagnosed, and managed. Medical advances, such as antiplatelet and antithrombin agents and gro ...
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Journal ArticleAm J Cardiol · April 1, 2000
We evaluated cardiac troponin T (cTnT) and creatine kinase-MB (CK-MB) for risk stratification of chest pain unit (CPU) patients. We studied 383 consecutive patients with chest pain assigned to our CPU by emergency department physicians. At baseline all had ...
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Journal ArticleAm J Manag Care · April 1999
AUDIENCE: This article is designed for primary care physicians, cardiovascular specialists, medical directors, and other managed care administrators responsible for heart failure patients. GOAL: To provide the reader with a basic understanding of heart fai ...
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Journal ArticleProgress in cardiovascular nursing · January 1999
Our Heart Center staff identified a need to become more involved in nursing research and evidence based practice. A lack of awareness of the research process and current Heart Center nursing research studies resulted in low patient enrollment. To overcome ...
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Journal ArticleAm J Crit Care · March 1998
BACKGROUND: Methods of converting treatment with i.v. nitroglycerin to treatment with nitroglycerin ointment 2% vary greatly and may affect the length of time patients remain in the ICU, nursing time, and possible recurrent angina. To date, no randomized, ...
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Journal ArticleCritical care nursing clinics of North America · June 1995
Our rapidly changing health care environment requires critical care nurses to develop creative and innovative approaches to patient care. Empowering and enabling these nurses are the only ways that health care institutions will be able to meet the challeng ...
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