Effect of a Cardiology Nurse Practitioner Service on the Reduction in Length of Stay for Low Risk Chest Pain Patients

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis Effect of a Cardiology Nurse Practitioner Service on the Reduction in Length of Stay for Low Risk Chest Pain Patients by : Marcia Reid

Download or read book Effect of a Cardiology Nurse Practitioner Service on the Reduction in Length of Stay for Low Risk Chest Pain Patients written by Marcia Reid and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Effect of HEART Score Risk Stratification Tool on Length of Stay

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Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis The Effect of HEART Score Risk Stratification Tool on Length of Stay by : Kelly Huffman

Download or read book The Effect of HEART Score Risk Stratification Tool on Length of Stay written by Kelly Huffman and published by . This book was released on 2020 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt: With increasing national health care expenditures, different methods of reducing health care costs, along with supportive evidence-based research, are essential. This research will lead to changes in clinical practice standards including the utilization of tools by emergency room and hospitalist providers to reduce costs by decreasing the length of stay for acute chest pain admissions. The researcher utilized a retrospective review of charts for participants admitted into the acute care setting with the primary diagnosis of acute chest pain, with a focus on determining whether an initial calculation of a HEART Score risk stratification variable was completed and if there was a correlated relationship with reduced hospital length of stay. A total of 86 randomly selected participant charts were reviewed, and a specific data set was collected as determined in the methodology of the project. The analysis was completed by using Statistical Package for Social Sciences (Version 24.0) software for the calculation of an independent samples t test, which was used to analyze the differences between each acute chest pain admission, with and without the HEART Score calculation, and the associated length of stay. The study analysis did not support the hypothesis, as the null hypothesis was not rejected based on statistical findings. Other study findings assisted in further development of health care changes for leaders, managers, providers, and nursing teams. Further research should be conducted with a larger sample size, in an institution with greater ethnic diversity, and with an additional qualitative component to support the existing evidence-based research that supports a correlation between the variables in this study.

Care Without Coverage

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Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Interventions for Cardiovascular Disease, An Issue of Critical Care Nursing Clinics of North America, E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323654843
Total Pages : pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Interventions for Cardiovascular Disease, An Issue of Critical Care Nursing Clinics of North America, E-Book by : Leanne H Fowler

Download or read book Interventions for Cardiovascular Disease, An Issue of Critical Care Nursing Clinics of North America, E-Book written by Leanne H Fowler and published by Elsevier Health Sciences. This book was released on 2019-02-06 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: With collaboration of Dr. Jan Foster, Consulting Editor, Drs. Landry and Fowler has created a current clinical look at nursing interventions for cardiovascular disease. They have invited authors from top institutions to contribute reviews on the following topics: Evidence-Based Strategies for Late Stages of Heart Failure; Cardiovascular Risk Reduction: A Pharmacotherapeutic Update for Antiplatelet Medications; Comprehensive Nursing Management for Cardiac Valvular Dysfunction; Recovery Management After Cardiothoracic Surgery: Nursing Priorities; Cardiovascular Disease Management in Minority Women: Special Considerations; STEMI and NSTEMI: Medical and Surgical Interventions; Nursing Management for Patients Post-Operative Cardiac Device Insertion & Minimally Invasive Procedures; Acute and Chronic Nursing Management of Atrial Fibrillation; Hospital Discharge Teaching for Patients with Peripheral Vascular Disease; Acute and Chronic Hypertension: Advanced Nursing Management; and Culinary Medicine: Patient Education for Therapeutic Lifestyle Changes. Readers will come away with the clinical updates they need to improve outcomes in cardiovascular patients.

Cumulated Index Medicus

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Publisher :
ISBN 13 :
Total Pages : 1828 pages
Book Rating : 4.3/5 (243 download)

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Book Synopsis Cumulated Index Medicus by :

Download or read book Cumulated Index Medicus written by and published by . This book was released on 1997 with total page 1828 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

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Publisher : OECD Publishing
ISBN 13 : 9264805907
Total Pages : 447 pages
Book Rating : 4.2/5 (648 download)

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Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD

Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Improving Outcomes in Chronic Heart Failure

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Publisher : John Wiley & Sons
ISBN 13 : 0470750197
Total Pages : 264 pages
Book Rating : 4.4/5 (77 download)

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Book Synopsis Improving Outcomes in Chronic Heart Failure by : Simon Stewart

Download or read book Improving Outcomes in Chronic Heart Failure written by Simon Stewart and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart failure is a condition that often results in chronic tiredness and shortness of breath. It also requires complex nursing and medical treatment, especially after a hospital admission, which is all too frequent for persons with heart failure. This book describes and discusses the latest research concerning the benefits of having specially trained nurses manage the care of patients with heart failure after they have been discharged from hospital to their own home. Leading nurses and doctors from around the world discuss their experiences with this type of innovative and effective care program. Building upon these experiences, the book also contains a practical guide to developing this type of care program into a fully functional service that provides quality care to those patients admitted to hospital with heart failure.

Chronic Cardiac Care

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Publisher : John Wiley & Sons
ISBN 13 : 1405171820
Total Pages : 168 pages
Book Rating : 4.4/5 (51 download)

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Book Synopsis Chronic Cardiac Care by : Simon Stewart

Download or read book Chronic Cardiac Care written by Simon Stewart and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a practical book for nurses on the management of patients with chronic cardiac disease. With the number of patients who have survived a heart attack but need continuous monitoring increasing, the role of nurse specialists is becoming ever more important. This book provides the necessary information for them to fulfil the role. It complements the lead author's earlier book, Improving Outcomes in Chronic Heart Failure, by providing the details of clinical management for working directly with patients (e.g. therapeutic targets in hypertension) and for working with patients to ensure compliance with medication.

Bioresorbable Scaffolds

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Publisher : CRC Press
ISBN 13 : 1498779778
Total Pages : 533 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Bioresorbable Scaffolds by : Yoshinobu Onuma

Download or read book Bioresorbable Scaffolds written by Yoshinobu Onuma and published by CRC Press. This book was released on 2017-10-02 with total page 533 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book focuses on the coronary bioresorbable scaffold, a new interventional treatment for coronary artery disease, differentiated from a permanent metallic stent. The book provides an overview of the technology including non-clinical studies and clinical evidences in order to help clinicians understand the appropriate application of the technology and the optimal techniques of implantation. It covers the basics of bioresorbable scaffolds; bench test results; preclinical studies; clinical evidences; and tips and tricks of implantation.

Impact of a Nurse Practitioner Managed Heart Failure Clinic

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Impact of a Nurse Practitioner Managed Heart Failure Clinic by : Alison Mowery

Download or read book Impact of a Nurse Practitioner Managed Heart Failure Clinic written by Alison Mowery and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Heart failure (HF) affects a significant and growing number of Americans and carries a considerable cost to society. The incidence and cost of HF continues to increase with HF being the most common cause of hospitalization in the United States. Cost estimates for HF in 2008 are $69.4 billion dollars. HF care delivery has been identified by the author's healthcare system as a major strategic concern. Within this health care system there was no formal process in place for coordination of disease management and implementation to goal of evidence based therapies (EBT) for the HF population. The author, along with leaders from this health care system determined a need for better coordination and use of EBT for this patient population. Multidisciplinary care, use of proven pharmacologic and non-pharmacologic therapies, nurse directed education and intervention have been shown to be effective in reducing readmission and improving quality of life (QoL) of the HF patient and have been reported in the literature. In this paper the development and implementation of a nurse practitioner (NP) facilitated and managed heart failure clinic which provided comprehensive, coordinated, evidence based care for this patient population is presented, also in this paper is a discussion of the patient outcomes as a result of participation in this disease management HF clinic. This Capstone Project consisted of a quality improvement project which examined the impact of an NP facilitated and managed HF clinic on adherence to evidence based guidelines for HF on use of proven therapies, QoL, and readmissions and was implemented at a large referral center hospital with adult HF patients considered for participation. These patients were followed in the HF clinic by NPs working in collaboration with HF subspecialist cardiologists and received individualized, intensive education on self care strategies and risk factor modification. Participating patients also received medical management of their HF in order to better coordinate care and increase the use of EBT. This author chose to use Bandura's self efficacy theory as a theoretical framework for this project as self care strategies are based on theories of self efficacy. For the evidence based practice model this author selected the Rosswurm and Larrabee model to use as the framework for the development and implementation of this clinic. This author proposed that NP facilitated care of this patient population would prove to be effective at decreasing readmission, improving QoL and, improving use to goal of proven therapies. The results demonstrated thus far have been supportive of this assumption as use of EBT and QoL increased and readmissions decreased as a result of participation in this disease management HF clinic. The author believes that this practice change with a solid foundation in evidence based practice has proven effective and should be expanded throughout the author's health system. Recommendation is also made to use this clinic as a model for other chronic diseases in order to improve outcomes for other populations of patients.

Acute Heart Failure

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Publisher : Springer Science & Business Media
ISBN 13 : 1846287820
Total Pages : 922 pages
Book Rating : 4.8/5 (462 download)

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Book Synopsis Acute Heart Failure by : Alexandre Mebazaa

Download or read book Acute Heart Failure written by Alexandre Mebazaa and published by Springer Science & Business Media. This book was released on 2009-12-24 with total page 922 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many years, there has been a great deal of work done on chronic congestive heart failure while acute heart failure has been considered a difficult to handle and hopeless syndrome. However, in recent years acute heart failure has become a growing area of study and this is the first book to cover extensively the diagnosis and management of this complex condition. The book reflects the considerable amounts of new data reported and many new concepts which have been proposed in the last 3-4 years looking at the epidemiology, diagnostic and treatment of acute heart failure.

Nursing Staff in Hospitals and Nursing Homes

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Publisher : National Academies Press
ISBN 13 : 0309175704
Total Pages : 558 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Nursing Staff in Hospitals and Nursing Homes by : Institute of Medicine

Download or read book Nursing Staff in Hospitals and Nursing Homes written by Institute of Medicine and published by National Academies Press. This book was released on 1996-03-27 with total page 558 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

Clinical Case Studies for the Family Nurse Practitioner

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Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Impact of a Nurse Practitioner Managed Heart Failure Clinic

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Publisher :
ISBN 13 :
Total Pages : 102 pages
Book Rating : 4.:/5 (974 download)

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Book Synopsis Impact of a Nurse Practitioner Managed Heart Failure Clinic by : Alison Mowery

Download or read book Impact of a Nurse Practitioner Managed Heart Failure Clinic written by Alison Mowery and published by . This book was released on 2010 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Delivering Sustainability and Transformation Plans

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Publisher :
ISBN 13 : 9781909029712
Total Pages : 56 pages
Book Rating : 4.0/5 (297 download)

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Book Synopsis Delivering Sustainability and Transformation Plans by : Christopher Ham

Download or read book Delivering Sustainability and Transformation Plans written by Christopher Ham and published by . This book was released on 2017-02 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Development and Testing of a Nurse Practitioner Secondary Intervention for Patients After Acute Myocardial Infarction

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Publisher :
ISBN 13 : 9780494782132
Total Pages : 402 pages
Book Rating : 4.7/5 (821 download)

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Book Synopsis Development and Testing of a Nurse Practitioner Secondary Intervention for Patients After Acute Myocardial Infarction by : Patricia Harbman

Download or read book Development and Testing of a Nurse Practitioner Secondary Intervention for Patients After Acute Myocardial Infarction written by Patricia Harbman and published by . This book was released on 2011 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with acute myocardial infarction (AMI) are at high risk for reinfarction and death, with the highest rate of death and reinfarction occurring within 30 days of AMI. Therapies that have been shown to reduce these risks (secondary prevention) continue to be underutilized. Nurse practitioners are well positioned to provide secondary prevention during and following hospitalization. The purpose of this pilot study was to examine the feasibility, acceptability, and preliminary effects of an NP delivered secondary prevention intervention. The specific objectives were: 1) to describe NP activities when delivering the secondary prevention intervention; 2) to evaluate the effect of the NP intervention on the rate of implementation of evidence-based secondary prevention treatment strategies and the patients' achievement of secondary prevention target goals; and, 3) to examine the relationship between the NP activities delivering the intervention and secondary prevention goal achievement by patients.A prospective cohort design was used, in which patients' achievement of target goals were compared between patients who received secondary prevention care from an NP and those who received usual care. The sample of convenience consisted of 65 patients with AMI. Data on practice activities and implementation of secondary prevention by the NP were collected before discharge from hospital and one week, two weeks, six weeks and 3 months after discharge. Data on patients' achievement of goals were obtained before discharge from hospital and 3 months after discharge from both groups. This study's results provide preliminary evidence that an NP delivered secondary prevention intervention, beginning prior to discharge and continuing for three months post myocardial infarction, significantly improves the implementation and uptake of guideline based secondary prevention treatments and risk factor reduction strategies. NP-led interventions such as this warrant replication. The unique contribution of the NP with this patient population is the training and skills needed to deliver all aspects of secondary prevention, including pharmacological and nonpharmacological therapies, without the immediate availability of a physician.

Health Informatics

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323100953
Total Pages : 564 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Health Informatics by : Ramona Nelson

Download or read book Health Informatics written by Ramona Nelson and published by Elsevier Health Sciences. This book was released on 2013-06-14 with total page 564 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Informatics: An Interprofessional Approach was awarded first place in the 2013 AJN Book of the Year Awards in the Information Technology/Informatics category. Get on the cutting edge of informatics with Health Informatics, An Interprofessional Approach. Covering a wide range of skills and systems, this unique title prepares you for work in today's technology-filled clinical field. Topics include clinical decision support, clinical documentation, provider order entry systems, system implementation, adoption issues, and more. Case studies, abstracts, and discussion questions enhance your understanding of these crucial areas of the clinical space. 31 chapters written by field experts give you the most current and accurate information on continually evolving subjects like evidence-based practice, EHRs, PHRs, disaster recovery, and simulation. Case studies and attached discussion questions at the end of each chapter encourage higher level thinking that you can apply to real world experiences. Objectives, key terms and an abstract at the beginning of each chapter provide an overview of what each chapter will cover. Conclusion and Future Directions section at the end of each chapter reinforces topics and expands on how the topic will continue to evolve. Open-ended discussion questions at the end of each chapter enhance your understanding of the subject covered.