Specialist nursing support: The role and nurse prescribing

2020 ◽  
pp. 613-620
Keyword(s):  
Expert Knowledge ◽  
Clinical Skills ◽  
Quality Care ◽  
Cost Effective ◽  
Nurse Specialist ◽  
Shared Decision ◽  
Nursing Support ◽  
Nurse Prescribing ◽  
Effective Use

Rheumatology nurse specialists are key to the delivery and the sustainability of rheumatology services. They provide nurse-led clinics utilizing advanced expert knowledge and clinical skills to ensure patients receive evidence-based quality care using a shared decision-making approach; they educate and empower patients; refer and signpost patients to other services/agencies; keep patients safe; and demonstrate improved health outcome and cost-effective use of healthcare resources. This chapter describes the different components of the nurse specialist role. It then goes on to discuss the principles and methods of nurse prescribing, including managing drug interactions. The chapter ends with a section on the role of nurse specialists in rapid access to specific services (such as early arthritis clinics).

Role of the Pediatrician in Patient Education

PEDIATRICS ◽  
1984 ◽  
Vol 74 (5) ◽  
pp. 914-916
Author(s):  
Vincent A. Fulginiti
Keyword(s):  
Patient Education ◽  
Cost Effective ◽  
Educational Materials ◽  
Residency Programs ◽  
Personal Involvement ◽  
Use Of Time ◽  
Parents And Children ◽  
Printed Materials ◽  
Effective Use

Although most pediatricians agree on the importance of teaching parents and children about health care, they may not succeed in patient education because of a lack of the requisite communication skills, inadequate printed materials to augment personal involvement, a tendency to substitute such materials for personal involvement, and inadequate compensation. Physician recognition of an obligation to teach is a requisite for effective education. Adjustment of current practices is essential: use of educational materials must be systematically incorporated, educational efforts must make effective use of time and be cost-effective. Information should be readily understood, parents given an opportunity to ask questions, and effectiveness of the education evaluated. Pediatricians must have a constant source of supplementary material to use in patient education. Videotapes and interactive computer programs should be considered for more effective communication. Residency programs must teach future pediatricians how to educate parents and children.

The Role of the Pharmacist in Developing Critical Pathways with Warfarin Therapy

1997 ◽  
Vol 10 (6) ◽  
pp. 398-411 ◽  
Author(s):  
Stephanie LaCalamita
Keyword(s):  
Warfarin Therapy ◽  
Cost Effective ◽  
Critical Pathways ◽  
Excellent Opportunity ◽  
Disease States ◽  
Effective Use ◽  
Therapeutic Considerations

The pharmacist can play a key role in the development of critical pathways for disease states with warfarin as a component of therapy. The pharmacist must be familiar with the complex therapeutic considerations involved with warfarin therapy. This paper will briefly review warfarin therapeutics and will discuss strategies for pharmacist involvement in development of critical pathways including warfarin therapy. Participation in the multidisciplinary planning of critical pathways provides an excellent opportunity to contribute to the efficient, safe, and cost-effective use of warfarin.

scholarly journals The Role of Public Participation for Determining Sustainability Indicators for Arctic Tourism

2020 ◽  
Vol 13 (1) ◽  
pp. 295
Author(s):  
Rannveig Ólafsdóttir
Keyword(s):  
Public Participation ◽  
Expert Knowledge ◽  
Cost Effective ◽  
Sustainability Indicators ◽  
Final Decision ◽  
New Paradigm ◽  
System Sustainability ◽  
Holistic Vision ◽  
The Impact

The new paradigm of sustainable development highlights the importance of enforcing defined boundaries between economies, societies, and the environment within a system. Sustainability indicators are tools that have proven to be a successful aid in defining and creating system boundaries. This paper focuses on the development of sustainability indicators for Arctic tourism, with a special emphasis on the role of public participation in their determination. It presents a stakeholder-centric approach to indicator selection by developing a framework that effectively integrates public participation in the processes of indicators’ selection and designation, and highlights the importance of combining local and expert knowledge in these processes. The results reveal that the making of sustainability indicators is an ideal platform for local voices to be heard, and thus have a significant stake in the overall process of tourism development. The most effective way to make their voices heard in the final decision-making process is via their evaluation of the adaptability and prioritization of these indicators. The results, furthermore, stress that sustainability indicators need to be constantly re-evaluated and updated, as tourism is part of a complex and dynamic system that is constantly changing. To provide a holistic vision of the impact of economic, environmental, and social factors, as well as the causality between them in the system, sustainability indicators must be integrated from many indicators. Since the monitoring of conventional indicators is often less complicated and more cost-effective than the monitoring of integrated indicators, a better result can however be reached by combining conventional indicators with sustainability indicators.

Learning from History: The Reliability of Experts and Expert Systems

2008 ◽  
Vol 44-46 ◽  
pp. 15-23
Author(s):  
M. Neil James
Keyword(s):  
Structural Reliability ◽  
Expert Knowledge ◽  
Rapid Development ◽  
Cost Effective ◽  
Service Reliability ◽  
Design Procedures ◽  
Software Packages ◽  
Complete Life Cycle ◽  
Production Stages

Engineering design must be cost-effective over its complete life cycle and this necessitates a statistical approach to product and service reliability. A particular design therefore has a finite probability of failure during its lifetime and this has implications in terms of ensuring that design procedures, management of design, and operation and inspection are appropriate, effective and sufficient. Sophisticated expert system software packages have enabled wide access to rapid development to prototype and production stages. The expert knowledge encapsulated in such systems may be inadvertently used outside its intended application envelope, leading to unexpected and unwelcome failures. This paper highlights the role of failure analysis and fractography in the context of product reliability. It will present case studies illustrating typical structural reliability problems that highlight issues connected with the ‘reliability’ of experts in assessing the reasons for failure.

Stoma formation as a palliative procedure: the role of the clinical nurse specialist in maintaining quality of life

2021 ◽  
Vol 30 (6) ◽  
pp. S4-S10
Author(s):  
Rachel Henbrey
Keyword(s):  
Quality Of Life ◽  
Expert Knowledge ◽  
Clinical Nurse Specialist ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Palliative Procedure ◽  
Client Group ◽  
Stoma Formation

More than half of patients diagnosed with colon cancer present at an advanced stage, and palliative treatment may involve stoma formation. A literature review was undertaken to determine the potential effects of stoma formation as a palliative procedure on a patient's quality of life, and to examine the role of the clinical nurse specialist in this situation. Limited literature was found on this specific subject, so established evidence surrounding stoma formation and quality of life was examined in relation to palliative care. The clinical nurse specialist provides expert knowledge that can help to limit stoma complications and is also able to conduct assessments that identify holistic concerns affecting quality of life. However, access to a clinical nurse specialist may be limited, particularly when surgery is performed as an emergency. There is the potential for research surrounding patient experiences that may improve service provision for this client group.

What is the Role of Organizational Culture in IT Governance Performance of Collaborative Virtual Networks?

2018 ◽  
Vol 9 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Parisa Aasi ◽  
Lazar Rusu ◽  
Dorothy Leidner ◽  
Erik Perjons ◽  
Martha Corrales Estrada
Keyword(s):  
Organizational Culture ◽  
Academic Research ◽  
It Governance ◽  
Cost Effective ◽  
Collaborative Networks ◽  
Business Growth ◽  
Cost Cutting ◽  
Effective Use

In today's complex organizations, IT governance is an important managerial challenge. IT governance deals with decisions and responsibilities concerning IT. There are many factors influencing IT governance. One factor that has remained relatively unexplored by academic research is that of organizational culture. This research explores the influence of the organizational culture of collaborative networks on IT governance performance. A case study was conducted in a large complex company with several networks. The findings indicated that the networks fit better with different organizational culture types based on their priorities for IT governance outcomes to maximize performance. A clan organizational culture is desired when aiming for effective use of IT for asset utilization and cost-effective use of IT. An adhocracy culture fits better when prioritizing the effective use of IT for business growth. Finally, a combination of market and hierarchy organizational culture is desired and fits better when seeking effective use of IT for business flexibility and cost cutting.

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

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