Types, Frequency, and Depth of Direct Patient Care Experiences of Family Nurse Practitioner Students in the United States

2021 ◽  
Vol 12 (1) ◽  
pp. 19-27
Author(s):  
Angela M. McNelis ◽  
Kristina Thomas Dreifuerst ◽  
Sarah Beebe ◽  
Darrell Spurlock
Keyword(s):  
United States ◽  
Patient Care ◽  
Nurse Practitioner ◽  
The United States ◽  
Direct Patient Care ◽  
Family Nurse Practitioner ◽  
Nurse Practitioner Students

Volunteering in the United States of America

2018 ◽  
Author(s):  
Greg Schneider
Keyword(s):  
United States ◽  
Palliative Care ◽  
Patient Care ◽  
United States Of America ◽  
The United States ◽  
Care Quality ◽  
Direct Patient Care ◽  
Hospice Movement ◽  
The Usa ◽  
Hospice And Palliative Care

Hospice and palliative care volunteering in the United States of America (USA) has changed dramatically since its inception in the late 1960s. Inspired by physician Dame Cicely Saunders, the modern hospice movement officially began in the USA in 1971 with Florence Wald founding the first hospice, Hospice, Inc., a non-profit in New Haven, Connecticut. Then in 1983, the US Congress established the Medicare Hospice Benefit, whose Conditions of Participation (CoPs) mandated that volunteers must provide administrative or direct patient care in an amount that, at a minimum, equals 5 per cent of the total patient care hours expended by all paid hospice employees and contract staff. Hence, every hospice programme must have a volunteer programme in order to receive reimbursement for services rendered. The primary forces currently shaping hospice and palliative care volunteering have been regulations, care quality, skill requirements, liability concerns, and changing business objectives in a highly competitive environment.

Quality improvement in neurology residency programs

Neurology ◽  
1997 ◽  
Vol 49 (5) ◽  
pp. 1205-1207 ◽  
Author(s):  
W. G. Bradley ◽  
J. Daube ◽  
J. R. Mendell ◽  
J. Posner ◽  
D. Richman ◽  
...  
Keyword(s):  
United States ◽  
Quality Improvement ◽  
Patient Care ◽  
The United States ◽  
Direct Patient Care ◽  
Educational Goals ◽  
Care Needs ◽  
Residency Programs ◽  
One Year ◽  
Minimum Criteria

The neurology residency programs in the United States are facing a crisis of quality. The Association of University Professors of Neurology (AUPN) approved the Quality Improvement Committee to examine this situation and make recommendations, which have been accepted by the AUPN. The recommendations are (1) that the educational goals of neurology residency training be dissociated from patient-care needs in academic medical centers and (2) that minimum levels of quality be applied to residents in neurology residency programs and to these programs themselves. These minimum criteria should include minimum educational criteria for entry into the program, minimum criteria for advancement from one year to the next in the program, and minimum criteria for performance of the graduates of neurology residency programs for program accreditation. The implementation of these recommendations will require a shift of funding of the care of indigent patients from the graduate medical education budget to direct patient-care sources. These recommendations will significantly improve the quality of neurologists and neurologic care in the United States.

scholarly journals Initial estimates of COVID-19 infections in hospital workers in the United States during the first wave of pandemic

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242589
Author(s):  
Junaid A. Razzak ◽  
Junaid A. Bhatti ◽  
Muhammad Ramzan Tahir ◽  
Omrana Pasha-Razzak
Keyword(s):  
United States ◽  
High Risk ◽  
Patient Care ◽  
Burden Of Illness ◽  
The United States ◽  
Population Based ◽  
Direct Patient Care ◽  
Hospital Workers ◽  
The Us ◽  
The Impact

Objective We estimated the number of hospital workers in the United States (US) that might be infected or die during the COVID-19 pandemic based on the data in the early phases of the pandemic. Methods We calculated infection and death rates amongst US hospital workers per 100 COVID-19-related deaths in the general population based on observed numbers in Hubei, China, and Italy. We used Monte Carlo simulations to compute point estimates with 95% confidence intervals for hospital worker (HW) infections in the US based on each of these two scenarios. We also assessed the impact of restricting hospital workers aged ≥ 60 years from performing patient care activities on these estimates. Results We estimated that about 53,000 hospital workers in the US could get infected, and 1579 could die due to COVID19. The availability of PPE for high-risk workers alone could reduce this number to about 28,000 infections and 850 deaths. Restricting high-risk hospital workers such as those aged ≥ 60 years from direct patient care could reduce counts to 2,000 healthcare worker infections and 60 deaths. Conclusion We estimate that US hospital workers will bear a significant burden of illness due to COVID-19. Making PPE available to all hospital workers and reducing the exposure of hospital workers above the age of 60 could mitigate these risks.

scholarly journals ESTIMATING COVID-19 INFECTIONS IN HOSPITAL WORKERS IN THE UNITED STATES

2020 ◽  
Author(s):  
Junaid A. Razzak ◽  
Junaid A. Bhatti ◽  
Ramzan Tahir ◽  
Omrana Pasha-Razzak
Keyword(s):  
United States ◽  
Patient Care ◽  
Burden Of Illness ◽  
The United States ◽  
Direct Care ◽  
Direct Patient Care ◽  
Hospital Workers ◽  
Hospital Worker ◽  
The Us ◽  
The Impact

ABSTRACTObjectiveWe estimated that how many hospital workers in the United States (US) might get infected or die in the COVID-19 pandemic. We also estimated the impact of personal protective equipment (PPE) and age restrictions on these estimates.MethodsOur secondary analyses estimated hospital worker infections in the US based on health worker infection and death rates per 100 deaths from COVID-19 in Hubei and Italy. We used Monte Carlo simulations to compute point estimates with 95% confidence intervals for hospital worker infections in the US based on the two scenarios. We computed potential decrease in infections if the PPE were available only to those involved in direct care of COVID-19 patients (∼ 30%) and if workers aged ≥ 60 years are restricted from patient care. Estimates were adjusted for hospital workers per bed in the US compared to China and Italy.ResultsThe hospital worker infections per 100 deaths were 108.2 in Hubei and 94.1 in Italy. Based on Hubei scenario, we estimated that about 53,640 US hospital workers (95% CI: 43,160 to 62,251) might get infected from COVID-19. The Italian scenario suggested 53,097 US hospital worker (95% CI: 37,133 to 69,003) might get infected during the pandemic. Availability of PPE to high-risk workers could reduce counts to 28,100 (95% CI: 23,048 to 33,242) considering Hubei and to 28,354 (95% CI: 19,829 to 36,848) considering Italy. Restricting hospital workers aged ≥ 60 years from direct patient care reduced counts to 1,985 (95% CI: 1,627 to 2,347) considering Hubei and to 2,002 (95% CI: 1,400 to 2,602) considering the Italian scenario.ConclusionWe estimated significant burden of illness due to COVID-19 if no strategies are adopted. Making PPE available to all hospital workers and reducing exposure of hospital workers above the age of 60 could have significant reductions in hospital worker infections.VISUAL ABSTRACTFigure 1.Estimated number of COVID-19 related infections among healthcare workers in the United States based on Hubei and Italian scenarios

scholarly journals Trends in Clinical Pharmacist Integration in Family Medicine Residency Programs in North America

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 126
Author(s):  
Jennie B. Jarrett ◽  
Jody L. Lounsbery
Keyword(s):  
United States ◽  
North America ◽  
Family Medicine ◽  
Patient Care ◽  
The United States ◽  
Direct Patient Care ◽  
Residency Programs ◽  
Clinical Pharmacists ◽  
Family Medicine Residency ◽  
Clinician Educators

(1) Objective: To determine the change in prevalence of clinical pharmacists as clinician educators within family medicine residency programs (FMRPs) in North America and to describe their clinical, educational and administrative scope over time. (2) Methods: A systematic review of the literature was performed starting with an electronic search of PubMed and Embase for articles published between January 1980 and December 2019. Studies were included if they surveyed clinical pharmacists regarding their clinical, educational, or other roles in FMRPs in the United States or Canada. The primary outcome was the change in prevalence of clinical pharmacists in North America. Secondary outcomes included: demographic information of clinical pharmacists, change in the prevalence in Canada and United States, and descriptions of clinical services, educational roles, and other activities of clinical pharmacists within FMRPs. (3) Results: Of the 65 articles identified, six articles met the inclusion criteria. The prevalence of clinical pharmacists as clinician educators in FMRPs in North America has grown from 24% to 53% in the United States (U.S.) and from 14% to 47% in Canada over the study period. The clinical and educational roles are similar including: the direct patient care, clinical education, and interprofessional education and practice. (4) Conclusion: The prevalence of clinical pharmacists in FMRPs is growing across North America. Clinical pharmacists are highly educated and trained to support these clinician educator positions. While educational roles are consistent, clinical pharmacists’ patient care roles are unique to their clinical site and growing.

Psychology Staffing at Cancer Centers: Data From National Comprehensive Cancer Network Member Institutions

2020 ◽  
Vol 16 (11) ◽  
pp. e1343-e1354
Author(s):  
Laura Melton ◽  
Diana Krause ◽  
Jessica Sugalski
Keyword(s):  
National Comprehensive Cancer Network ◽  
Patient Care ◽  
Clinical Care ◽  
The United States ◽  
Direct Patient Care ◽  
Cancer Center ◽  
Network Member ◽  
Full Time ◽  
Cancer Centers ◽  
Cancer Network

PURPOSE: The field of psycho-oncology is relatively undeveloped, with little information existing regarding the use of psychologists at cancer centers. Comprising 30 leading cancer centers across the United States, the National Comprehensive Cancer Network (NCCN) set out to understand the trends in its Member Institutions. METHODS: The NCCN Best Practices Committee surveyed NCCN Member Institutions regarding their use of psychologists. The survey was administered electronically in the spring/summer of 2017. RESULTS: The survey was completed by 18 cancer centers. Across institutions, 94% have psychologists appointed to provide direct care to their cancer center patients. The number of licensed psychologist full-time equivalents (FTEs) on staff who provide direct patient care ranged from < 1.0 FTE (17%) to 17.0-17.9 FTEs (6%). Regarding psychologist appointments, 41% have both faculty and staff appointments, 41% have all faculty appointments, and 18% have all staff appointments. Forty-three percent of institutions indicated that some licensed psychologists at their centers (ranging from 1%-65%) do not provide any direct clinical care, and 57% indicated that all licensed psychologist on staff devote some amount of time to direct clinical care. The percent of clinical care time that is spent on direct clinical care ranged from 15%-90%. CONCLUSION: There is great variability in psychology staffing, academic appointments, and the amount of direct patient care provided by on-staff psychologists at cancer centers.

Philip S. Hench’s Rheumatology Axiomatic Generalizations: Table 1.

2011 ◽  
Vol 38 (12) ◽  
pp. 2664-2670
Author(s):  
GENE G. HUNDER ◽  
LEROY GRIFFING
Keyword(s):  
Internal Medicine ◽  
United States ◽  
Patient Care ◽  
Education Program ◽  
Mayo Clinic ◽  
The United States ◽  
Internal Medicine Residents ◽  
The Status ◽  
Rheumatology Education ◽  
Unique Part

Philip S. Hench, MD, the first Mayo Clinic rheumatologist, came to Mayo Clinic in 1921. Because of his efforts in patient care, education, and research, and those of his colleagues, Mayo Clinic has been considered the first academic rheumatology center established in the United States. An early, popular lecture he gave to the internal medicine residents was an important and unique part of the rheumatology education program and was entitled “Axiomatic Generalizations Useful in the Diagnosis of Rheumatic Diseases.” We review the axioms in light of the status of rheumatology in the 1920s and 1930s when they were written, and assess their relevance today, 70 to 80 years later.

scholarly journals Nursing care in the anesthetic procedure: an integrative review

2016 ◽  
Vol 50 (1) ◽  
pp. 154-162 ◽  
Author(s):  
Cassiane de Santana Lemos ◽  
Aparecida de Cassia Giani Peniche
Keyword(s):  
United States ◽  
Health System ◽  
Patient Care ◽  
Nursing Care ◽  
Scientific Evidence ◽  
The United States ◽  
Nurse Anesthetists ◽  
Integrative Review ◽  
Nursing Professional

Abstract OBJECTIVE To search for the scientific evidence available on nursing professional actions during the anesthetic procedure. METHOD An integrative review of articles in Portuguese, English and Spanish, indexed in MEDLINE/PubMed, CINAHL, LILACS, National Cochrane, SciELO databases and the VHL portal. RESULTS Seven studies were analyzed, showing nurse anesthetists' work in countries such as the United States and parts of Europe, with the formulation of a plan for anesthesia and patient care regarding the verification of materials and intraoperative controls. The barriers to their performance involved working in conjunction with or supervised by anesthesiologists, the lack of government guidelines and policies for the legal exercise of the profession, and the conflict between nursing and the health system for maintenance of the performance in places with legislation and defined protocols for the specialty. Conclusion Despite the methodological weaknesses found, the studies indicated a wide diversity of nursing work. Furthermore, in countries absent of the specialty, like Brazil, the need to develop guidelines for care during the anesthetic procedure was observed.

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