Making waves: nurse-led urgent community response

2022 ◽  
Vol 27 (1) ◽  
pp. 6-10
Author(s):  
Kirsty Robb ◽  
Gemma Barber ◽  
Fay Mohedeen
Keyword(s):  
Hospital Admission ◽  
Clinical Skills ◽  
Crisis Response ◽  
Community Response ◽  
Service Model ◽  
The Core ◽  
Nursing Services ◽  
Assessment Skills ◽  
Core Service ◽  
At Home

Anyone in England over 18 whose health or wellbeing suddenly deteriorates at home will have access to an urgent community response (UCR) team within 2 hours by April 2022. Community nursing services are providing the core service model to provide these crisis response services. Nurse leads from three UCR accelerator sites (Kirklees, Warrington and Bromley) elaborate on how they are making waves of change for the better, using their clinical skills and building key relationships with other health services. Acutely unwell patients are being seen by practitioners with advanced assessment skills, which keeps eight out of 10 patients at home safe, avoiding hospital admission.

Introduction to core principles in children’s nursing

2010 ◽  
Author(s):  
Imelda Coyne ◽  
Joan Livesley
Keyword(s):  
Clinical Skills ◽  
Quality Care ◽  
Well Being ◽  
High Quality ◽  
Quality Healthcare ◽  
High Quality Care ◽  
The Core ◽  
Nursing Services ◽  
The Impact ◽  
Health And Well Being

The aim of this chapter is to discuss the core principles in children’s nursing and the application of these principles in everyday practice for nurses working with children and families. These essential principles are fundamental in the delivery of high quality care and as such will be evident throughout this textbook. This chapter will explain these principles in the context of community and hospital care and illustrate how nurses can use this knowledge in their clinical practice. There is no doubt that clinical skills are an essential component of high quality healthcare, but they are on their own insufficient to ensure that the needs of children and their families are met. Clinical skills need to be embedded in children’s services that are child centred and clearly focused around the needs of children and their families; but how is this possible? To ensure high quality care for children in hospital and the community you need to incorporate the core principles of family centred care into your everyday nursing practice and interventions. It is essential to understand the principles of family centred care and the importance of partnership and negotiation in the delivery of clinical skills. Knowing where to begin can be difficult, but we think that you can start with the concept of attachment and loss. Understanding this in relation to children’s separation from their family and home will help you to understand the impact of hospitalization on children, particularly those younger than five years old. The adverse aspects of hospitalization have been a substantial driving force in delivering more nursing services to children at home. However, it is also important to remain aware of the ongoing impact of lifelong illness on children and their families and why it is essential to use effective communication skills, maintain safe environments, and incorporate play into your practice. Together with evidence-based clinical skills, these facets of practice will enable you to maintain and promote children’s and families’ health and well-being. Specific learning outcomes are as follows. At the end of this chapter you will: ● Understand the basic elements of attachment and loss theory.

The Core 4 Clinical Model: Strengthening the rural behavioral health workforce through a focus on foundational clinical skills.

2020 ◽  
Vol 44 (2) ◽  
pp. 118-128
Author(s):  
David K. Dan ◽  
Amy D. Herschell ◽  
Tiberiu Bodea-Crisan ◽  
Patricia L. Schake ◽  
James G. Gavin
Keyword(s):  
Behavioral Health ◽  
Health Workforce ◽  
Clinical Skills ◽  
Clinical Model ◽  
The Core ◽  
Behavioral Health Workforce

Opioid Crisis Response and Resilience: Results and Perspectives from a Multi-Agency Tabletop Exercise at the Pennsylvania Emergency Management Agency

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Alexander Siedschlag ◽  
Tiangeng Lu ◽  
Andrea Jerković ◽  
Weston Kensinger
Keyword(s):  
Public Health ◽  
Emergency Management ◽  
Health Care Professionals ◽  
Resource Sharing ◽  
Crisis Response ◽  
Community Response ◽  
First Responder ◽  
Management Agency ◽  
Opioid Crisis ◽  
State And Local

Abstract This article presents and discusses, in the new context of COVID-19, findings from a tabletop exercise on response and resilience in the ongoing opioid crisis in Pennsylvania. The exercise was organized by [identifying information removed] and held at the Pennsylvania Emergency Management Agency (PEMA), in further collaboration with the Governor’s Office of Homeland Security, the Pennsylvania Department of Health, and with the participation of several additional agencies and institutions. It addressed first-responder and whole-community response and resilience to the ongoing opioid crisis. More than 50 experts participated in the one-day program that involved state and local agencies, first-responder organizations, as well as academia in a discussion about effectuating comprehensive response to overdose incidents. Participant experts represented a wide array of backgrounds, including state and local law enforcement agencies; emergency medical technicians; public health and health care professionals; and scholars from the fields of law, security studies, public policy, and public health, among other relevant areas. Participants addressed specific challenges, including resource sharing among responders; capacity-building for long-term recovery; effective integration of non-traditional partners, such as spontaneous volunteers and donors; and public education and outreach to improve prevention. The exercise aimed to strengthen the whole-community approach to emergency response.

scholarly journals PEP-CoV protocol: a PEP flute-self-care randomised controlled trial to prevent respiratory deterioration and hospitalisation in early COVID-19

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e050582
Author(s):  
Annette Mollerup ◽  
Sofus Christian Larsen ◽  
Anita Selmer Bennetzen ◽  
Marius Henriksen ◽  
Mette Kildevaeld Simonsen ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Hospital Admission ◽  
Usual Care ◽  
Pulmonary Disease ◽  
Controlled Trial ◽  
Self Care ◽  
Secondary Outcome ◽  
Link Type ◽  
Randomised Controlled ◽  
At Home

IntroductionInfection with SARS-CoV-2 may progress to severe pulmonary disease, COVID-19. Currently, patients admitted to hospital because of COVID-19 have better prognosis than during the first period of the pandemic due to improved treatment. However, the overall societal susceptibility of being infected makes it pivotal to prevent severe courses of disease to avoid high mortality rates and collapse of the healthcare systems. Positive expiratory pressure (PEP) self-care is used in chronic pulmonary disease and has been shown to prevent pneumonia in a high-risk cohort of patients with leukaemia. PEP flute self-care to prevent respiratory deterioration and hospitalisation in early COVID-19: a randomised trial (The PEP-CoV trial) examines the effectiveness on respiratory symptoms and need of hospital admission by regular PEP flute use among non-hospitalised individuals with confirmed SARS-CoV-2 infection and COVID-19 symptoms.Methods and analysisIn this randomised controlled trial, we hypothesise that daily PEP flute usage as add-on to usual care is superior to usual care as regards symptom severity measured by the COPD Assessment Test (CAT) at 30-day follow-up (primary outcome) and hospital admission through register data (secondary outcome). We expect to recruit 400 individuals for the trial. Participants in the intervention group receive a kit of 2 PEP flutes and adequate resistances and access to instruction videos. A telephone hotline offers possible contact to a nurse. The eight-item CAT score measures cough, phlegm, chest tightness, dyspnoea, activities of daily living at home, feeling safe at home despite symptoms, sleep quality and vigour. The CAT score is measured daily in both intervention and control arms by surveys prompted through text messages.Ethics and disseminationThe study was registered prospectively at www.clinicaltrials.gov on 27 August 2020 (NCT04530435). Ethical approval was granted by the local health research ethics committee (Journal number: H-20035929) on 23 July 2020. Enrolment of participants began on 6 October 2020. Results will be published in scientific journals.Trial registration numberNCT04530435; Pre-results.

Integration of nursing services provided to patients with heart failure living at home: A longitudinal ethnographic study

2021 ◽  
Author(s):  
Kristin Bjornsdottir ◽  
Audur Ketilsdottir ◽  
Margret Gudnadottir ◽  
Inga V. Kristinsdottir ◽  
Brynja Ingadottir
Keyword(s):  
Heart Failure ◽  
Ethnographic Study ◽  
Nursing Services ◽  
Patients With Heart Failure ◽  
At Home

Home Videorecording of "Spells" in Children

PEDIATRICS ◽  
1985 ◽  
Vol 76 (4) ◽  
pp. 612-613
Author(s):  
ROBERT C. WOODY
Keyword(s):  
Hospital Admission ◽  
Seizure Activity ◽  
Tonic Activity ◽  
Partial Seizures ◽  
High Quality ◽  
Complex Partial Seizures ◽  
Permanent Record ◽  
First Case ◽  
The Family ◽  
At Home

The increasing availability of videorecording cameras and cassette recorders now permits the visual documentation of medical events in children at home by parents. On two occasions recently, we asked families to videorecord their children's presumed seizure activity at home. In the first case, a 10-month-old white boy had frequent "spells" which by history appeared to be complex partial seizures. Routine awake and asleep EEG tracings were normal, and the family resisted hospital admission for financial reasons. Anticonvulsant medications were prescribed, and the family suggested that they borrow their parent's videocassette recorder to document their son's spells at home. Their videorecordings produced a high quality, permanent record of definite complex partial symptom activity clearly revealing eye deviation, nystagmus, and associated head and arm tonic activity.

Protective Practice in Serving the Mentally Impaired Aged

1971 ◽  
Vol 52 (8) ◽  
pp. 510-522 ◽  
Author(s):  
Edna Wasser
Keyword(s):  
Ancillary Services ◽  
The Core ◽  
Voluntary Agency ◽  
Core Service ◽  
Mentally Impaired

A model is reported that uses casework as the core service complemented by extensive ancillary services within the structure of a voluntary agency

scholarly journals Construction of a Scale for Investigating Pre-School Children’s Social Situations of Development: Focusing on Activities instead of Abilities

2020 ◽  
Vol 16 (2) ◽  
pp. 25-32 ◽  
Author(s):  
M. Hedegaard ◽  
N. Lyberth
Keyword(s):  
Preschool Children ◽  
Child Development ◽  
Day Care ◽  
Social Situation ◽  
Social Situations ◽  
Local Conditions ◽  
The Core ◽  
Independent Features ◽  
Core Activity ◽  
At Home

This paper discuss principles for the design of a tool to screen 3- and 5-year-old children’s social situation of development in Greenland. We describe this tool as radical-local, building it on a theory of child development that focuses on children´s activities as cultural, anchored in local conditions and traditions, where play is seen as the core activity for preschool children. In constructing Investigating children’s situation of development (Undersøgelse af børns udviklingssituation — UBUS 3 and UBUS 5) we have aimed at creating an instrument that can be used to evaluate children’s health, wellbeing and activities in their everyday settings of day-care and at home in Greenland. The assessment focus on interaction with care-persons and other children, not on children’s abilities as isolated and independent features. For preschool children these conditions and their participation in these conditions create the child’s social situation of development.

scholarly journals Validity Evidence for the Medical Student Core Physical Examination

2021 ◽  
Author(s):  
Todd Guth ◽  
Yoon Soo Park ◽  
Janice Hanson ◽  
Rachel Yudkowsky
Keyword(s):  
Medical Students ◽  
Clinical Skills ◽  
Validity Evidence ◽  
Clinical Experiences ◽  
Colorado School ◽  
The Core ◽  
University Of Colorado ◽  
School Of Medicine ◽  
Core Cluster ◽  
Cut Score

Abstract Background The Core Physical Exam (CPE) has been proposed as a set of key physical exam (PE) items for teaching and assessing PE skills in medical students, and as the basis of a Core + Cluster curriculum. Beyond the initial development of the CPE and proposal of the CPE and the Core + Cluster curriculum, no additional validity evidence has been presented for use of the CPE to teach or assess PE skills of medical students. As a result, a modified version of the CPE was developed by faculty at the University of Colorado School of Medicine (UCSOM) and implemented in the school’s clinical skills course in the context of an evolving Core + Cluster curriculum. Methods Validity evidence for the 25-item University of Colorado School of Medicine (UCSOM) CPE was analyzed using longitudinal assessment data from 366 medical students (Classes of 2019 and 2020), obtained from September 2015 through December 2019. Using Messick's unified validity framework, validity evidence specific to content, response process, internal structure, relationship to other variables, and consequences was gathered. Results Content and response process validity evidence included expert content review and rater training. For internal structure, a generalizability study phi coefficient of 0.258 suggests low reliability for a single assessment due to variability in learner performance by occasion and CPE items. Correlations of performance on the UCSOM CPE with other PE assessments were low, ranging from .00-.34. Consequences were explored through determination of a pass-fail cut score. Following a modified Angoff process, clinical skills course directors selected a consensus pass-fail cut score of 80% as a defensible and practical threshold for entry into precepted clinical experiences. Conclusions Validity evidence supports the use of the UCSOM CPE as an instructional strategy for teaching PE skills and as a formative assessment of readiness for precepted clinical experiences. The low generalizability coefficient suggests that inferences about PE skills based on the UCSOM CPE alone should be made with caution, and that the UCSOM CPE in isolation should be used primarily as a formative assessment.

Teaching Reform of Obstetrics and Gynecology Nursing Course in Higher Vocational Colleges Based on OBE Education Concept from the Perspective of Big Data

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Shanshan Huang ◽  
◽  
Huifang Chen ◽  
Hua Cao ◽  
Lulu Yan ◽  
...  
Keyword(s):  
Big Data ◽  
Course Design ◽  
Clinical Skills ◽  
Curriculum Evaluation ◽  
Teaching Quality ◽  
Obstetrics And Gynecology ◽  
The Core ◽  
Teachers And Students ◽  
Vocational Colleges

The application of big data puts forward new requirements for the talent training mode and curriculum reform of big data in higher vocational colleges. Through statistical data, the classroom quality can be measured, evaluated and traced. Under the framework of “Internet plus big data”, taking the cultivation of innovative ability as the core, realizing the multidimensional integration of technology and science, general knowledge and specialty, teaching and research, and teachers and students has become a new concept and Practice for improving the quality of big data talents training in higher vocational colleges. Obstetrics and gynecology nursing is one of the core courses of nursing specialty in higher vocational colleges, which is of great significance to the cultivation of professional talents. The purpose of nursing specialty in higher vocational colleges is to cultivate skilled and technical applied talents to meet the needs of medical and health posts, which requires the combination of theoretical knowledge and practical skills, so as to cultivate students’ clinical thinking and ability. There are some problems in the course design of Obstetrics and gynecology nursing in higher vocational colleges, such as the derailment of theoretical teaching and practical teaching, teaching materials lagging behind the update of clinical skills, students’ low learning initiative, single teaching mode and so on. Based on the OBE teaching concept from the perspective of big data, this paper carries out curriculum design, curriculum implementation and Curriculum Evaluation Guided by students’ learning achievements, and through the reverse design of achievements, highlights the student-centered, quantifies teaching output, and cultivates students’ learning ability and creativity. By reasonably mobilizing students’ learning initiative, students can achieve “self-education, self-management, self-service, and common improvement”, so as to improve the teaching quality of this course, improve students’ clinical skills, promote the self-development of teachers and students, and realize the “winwin” of education.

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