Advocacy in Pain Management: The Role of the Anaesthetic Nurse Specialist

2013 ◽  
Vol 14 (3-4) ◽  
pp. 43-48 ◽  
Author(s):  
G. McLean ◽  
D. Martin ◽  
A. Cousley ◽  
L. Hoy
Keyword(s):  
Pain Management ◽  
Nursing Practice ◽  
Patient Advocacy ◽  
Professional Autonomy ◽  
Nurse Specialist ◽  
High Quality ◽  
Operative Care ◽  
Specialist Knowledge

AbstractPeri-operative nursing practice is constantly changing and demanding specialist knowledge, skills and expertise to embrace these changes. All patients in need of anaesthesia are entitled to the same high quality peri-operative care and therefore those assisting the anaesthetist must be competent and effective practitioners. With this in mind the authors shall give a reflective account highlighting the role of Anaesthetic Nurse Specialist (ANS) in promoting leadership within the peri-operative environment and how it can be nurtured and facilitated to achieve professional autonomy and promote patient advocacy.

Florence Nightingale: Visionary for the Role of Clinical Nurse Specialist

2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Jennifer Matthews ◽  
Phyllis Whitehead ◽  
Cindy Ward ◽  
Marion Kyner ◽  
Terri Crowder
Keyword(s):  
Nursing Practice ◽  
Healthcare Systems ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Florence Nightingale ◽  
Army Hospitals ◽  
Expert Clinician ◽  
Key Events

Florence Nightingale is well known as the mother of nursing, aptly recognized as “Lady in Chief”, immortalized as “the Lady with the Lamp”, and revered as a visionary and a catalyst for healthcare reform. Nightingale’s life and impact on patient care, nursing and nursing practice, and healthcare systems and organizations parallel the clinical nurse specialist (CNS) roles and three spheres of impact. In this article we highlight key events of Nightingale’s work that illustrate her calling and devotion as a nurse and review her observations of organizations and nursing practice and her famous twenty-month experience (1854-1856) in the Crimean War at the British Army Hospitals at Scutari. Nightingale’s critical thinking and problem analyses; implementation of interventions and positive outcomes; advancement of nursing practice based on evidence; detailed documentation and statistical analysis; and tenacious political advocacy to reform healthcare systems resembles the role of the CNS as an expert clinician, nurse educator, researcher, consultant, and leader in healthcare systems and policy creation. This article explores Nightingale’s contribution to nursing practice and education as a visionary for the role of the clinical nurse specialist.

scholarly journals The role of the clinical nurse specialist in haemoglobinopathies

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Bernadette Hylton
Keyword(s):  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Patient Centred Care ◽  
Complex Disorders ◽  
Expert Patient ◽  
Specialist Knowledge ◽  
Multi Disciplinary Team

The role of the Clinical Nurse Specialist (CNS) is an everdeveloping role that is integral in the care of individuals with haemoglobinopathies. Haemoglobinopathies are complex disorders that require specialist knowledge to deliver the very best care. In order to offer the best possible patient centred care, the CNS is required to be a constant member of the team, who practises at the highest standard and promotes independence and the expert patient. The CNS supports and challenges patients and members of the multi-disciplinary team to ensure the best possible outcome. This talk highlights the importance of the CNS role and the vital aspects of the role that a CNS should adopt, develop and improve upon.

scholarly journals Spending the pupil premium: What influences leaders’ decision-making?

2020 ◽  
pp. 174114322090506
Author(s):  
Rebecca Morris ◽  
Graeme Dobson
Keyword(s):  
Decision Making ◽  
School Leaders ◽  
Social Disadvantage ◽  
Professional Autonomy ◽  
High Quality ◽  
Accessible Information ◽  
Attainment Gap ◽  
Decision Making Processes ◽  
Effective Use

Introduced in England in 2011, the pupil premium policy was an ambitious reform aimed at tackling the persistent attainment gap between disadvantaged pupils and their more affluent peers. The policy provides school leaders with the professional autonomy to determine how pupil premium funding should be used. This article examines the decision-making processes and influences involved in the use of these additional resources. We conducted interviews with 21 school leaders from different contexts across the Midlands in order to investigate the approaches, perceptions and experiences that influenced their engagement with the pupil premium policy. The findings highlight the range of strategies employed to determine how the funding should be used and the factors that influence the decisions made. Our data also indicate the tensions and challenges that are experienced by school leaders in relation to effective use of the funding. We conclude with recommendations for policymakers and practitioners in relation to the requirement for high-quality, accessible information to support pupil premium use, the role of accountability mechanisms and the need for wider societal reform in order to tackle social disadvantage.

scholarly journals Are nursing infusion practices delivering full-dose antimicrobial treatment?

2019 ◽  
Vol 74 (12) ◽  
pp. 3418-3422 ◽  
Author(s):  
J Rout ◽  
S Essack ◽  
P Brysiewicz
Keyword(s):  
Infection Prevention ◽  
Nursing Practice ◽  
Antimicrobial Treatment ◽  
Infection Prevention And Control ◽  
Nurse Specialist ◽  
Bedside Nurse ◽  
The Past ◽  
Strong Focus ◽  
And Control

Abstract Antimicrobial stewardship (AMS) has developed over the past decade as a critical tool to promote the appropriate use of antimicrobials in order to contain antimicrobial resistance (AMR) and conserve antimicrobial medicines. Current literature supports the role of the nurse in AMR, with a strong focus on the responsibilities of the nurse in infection prevention and control (IPC), both in the formal role of the IPC nurse specialist, and the more general IPC role of the bedside nurse. There is also growing support for the collaborative role of the nurse in the multidisciplinary AMS team. There is, however, very little literature examining the clinical practice role of the nurse in AMS. In this discussion, we contend that nursing practice may unknowingly contribute to AMR owing to varying methods of administration of intermittent intravenous infusions, resulting in under-dosing of antimicrobial medicines.

The Role of the Doctor of Nursing Practice in Promoting Nonpharmacologic Pain and Comfort Management

2019 ◽  
Vol 25 (4) ◽  
pp. e28-e35
Author(s):  
Tara Nichols
Keyword(s):  
Nursing Practice ◽  
Systems Of Care ◽  
Shared Vision ◽  
Nurse Specialist ◽  
Evidence Based ◽  
Clinical Nurse ◽  
Doctor Of Nursing Practice ◽  
Interprofessional Teams ◽  
Whole Systems

In this article the author presents her vision for integration of nonpharmacologic treatments, many taken from whole systems of care (Verhoef et al., 2005), for both pain and comfort management. By combining the evidence-based practice expertise of the clinical nurse specialist role with the knowledge of innovation, systems thinking, health policy, and implementation science acquired in the Doctor of Nursing Practice program, she is engaging interprofessional teams to join her shared vision.

«Wie ein ANP-Team laufen lernt» – Herausforderungen und Chancen von ANP-Teams am Universitätskinderspital Zürich

Pflege ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 21-28 ◽  
Author(s):  
Andrea Ullmann-Bremi ◽  
Anna-Barbara Schlüer ◽  
Gabriela Finkbeiner ◽  
Yvonne Huber
Keyword(s):  
Nurse Practitioner ◽  
Nursing Practice ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Advanced Nursing Practice ◽  
Clinical Nurse

Im angloamerikanischen und nordeuropäischen Raum wurden verschiedene ANP-Einzelrollen entwickelt, unter anderem die der Clinical Nurse Specialist und der Nurse Practitioner. Diese universitär ausgebildeten Pflegespezialisten sind in der Schweiz weiterhin sehr rar. Um vor diesem Hintergrund die Praxis dennoch nachhaltig weiterentwickeln zu können, wurden in den letzten acht Jahren im Kinderspital Zürich kontinuierlich Advanced-Nursing-Practice-Teams (ANP-Teams) aufgebaut. Dieser Ansatz bewährte sich durch gezielte und angemessene Leistungserbringung in hochkomplexen Situationen. In diesem Artikel wird die Zusammensetzung der ANP-Teams diskutiert, wobei der Personalmix einen Schlüsselfaktor darstellt. Unterstützende Elemente stellen dabei sowohl die Aufgabendefinition als auch Aufgabenteilung in Klinik- und Konzeptteams dar. Die ANP-Teams arbeiten motiviert und zielgerichtet, sie integrieren Pflegende verschiedenster Erfahrungs- und Ausbildungsniveaus, wodurch gegenseitiges Lernen gefördert wird.

Making Movies and Community of Talent

2019 ◽  
Vol 10 (11) ◽  
pp. 1057-1064
Author(s):  
Katsuhiko Hirasawa ◽  
Keyword(s):  
Shop Floor ◽  
High Quality ◽  
Democratic Leadership ◽  
Staff Members

Staff members at a movie company Daiei, known for presumably the world’s best film technology, continued to produce movies for several months even after the company went bankrupt. It was because they desired to make outstanding films. A director can create a high-quality film by combining the skills and ideas of such staff. Akira Kurosawa named the group that could produce excellent works the “Community of Talents”. By using research on a community as a clue, this paper aims to highlight how the “Community of Talents” is organized. First I point out that a “Community of Talents” is formulated primarily by the labor of the staff based on Kumazawa’s “Community on the Shop Floor”. The paper subsequently refers to research by Heinrich Nicklish, a representative researcher on the study of community in Germany, in an attempt to verify that the community is a group of people established on functions. Lastly, the paper explores Guido Fisher’s research to reveal the role of democratic leadership centered on the director who transforms the objectified staff in the organization into an independently-minded presence and help them prove their abilities. The paper continues to emphasize the significance of leadership in the formation of the “Community of Talents”.

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