Nursing Position Statement Research Articles

National Association of School Nurses Position Statement: Prevention and Intervention of Bullying and Cyberbullying in Schools

National Association of School Nurses Position Statement: Prevention and Intervention of Bullying and Cyberbullying in Schools

National Association of School Nurses Position Statement: Transition Planning for Students WithHealthcare Needs.

National Association of School Nurses Position Statement: Transition Planning for Students WithHealthcare Needs.

National Association of School Nurses Position Statement: School-Sponsored Trips-Equitably Addressing Student Health Needs.

National Association of School Nurses Position Statement: School-Sponsored Trips-Equitably Addressing Student Health Needs.

Recognizing Our Biases, Understanding the Evidence, and Responding Equitably: Application of the Socioecological Model to Reduce Racial Disparities in the NICU.

Implicit bias permeates beliefs and actions both personally and professionally and results in negative health outcomes for people of color-even in the neonatal intensive care unit (NICU). NICU clinicians may naïvely and incorrectly assume that NICU families receive unbiased care. Existing evidence establishing associations between sex, race, and neonatal outcomes may perpetuate the tendency to deny racial bias in NICU practice. Using the socioecological model as a framework, this article outlines evidence for racial health disparities in the NICU on multiple levels-societal, community, institutional, interpersonal, and individual. Using current evidence and recommendations from the National Association of Neonatal Nurses Position Statement on "Racial Bias in the NICU," appropriate interventions and equitable responses of the NICU clinician are explored. Based on current evidence, clinicians should reject the notion that the social construct of race is the root cause for certain neonatal morbidities. Instead, clinicians should focus on the confluence of medical and social factors contributing to each individual infant's progress. This critical distinction is not only important for clinicians employing life-saving interventions, but also for those who provide routine care, developmental care, and family education-as these biases can and do shape clinical interactions. Healthcare practitioners have an ethical and moral responsibility to maintain up-to-date knowledge of new evidence that impacts our clinical practice. The evidence demonstrates the importance of recognizing the enduring role of racism in the health and well-being of people of color and the need to adjust care accordingly.

Managing DNP projects in student/faculty groups to facilitate learning with large cohorts.

Despite the initial intent of the 2004 American Association of Colleges of Nursing (AACN) position statement to move all advanced nursing practice education to the doctoral level, many schools remain at the master's degree level. Many schools successfully transitioned their programs but struggled with adequate resources for the growing number of students and the faculty, staff, and preceptor workload associated with the Doctor of Nursing Practice (DNP) project courses. The AACN 2015 taskforce made many recommendations related to quality of DNP projects, but there is little in the literature on best operational practices. The goal of this paper is to describe how one school modified the DNP project courses from a traditional chair and committee driven format to a class driven format with multiple smaller sections to successfully manage large numbers of DNP students across nine specialties. Specifically, a new model with its successes and challenges is described as well as details regarding finances, course coordination, project advisors, project team, annual offerings and grouping of students.

Reflection on young adult transitional care in the Boston Children’s Hospital Perioperative Care Coordination Clinic

Theoretical principlesThe complexity of pediatric healthcare has increased due to advancement in research and identification of new treatment modalities. With these advancements, life expectancy has increased creating a greater need for young adult transition into adult medical settings and specialty care (Marani et al., 2020). The holistic approach of nursing care is essential in assisting young adults during this transitional period. Phenomenon addressedMany pediatric hospitals and subspecialties continue to care for young adults ≥18 years of age that have not transitioned to adult care. In the perioperative care coordination clinic at Boston Children's Hospital, pediatric nurses and advanced practice nurse practitioners provide care to patients from infancy to adulthood, throughout many specialties, to ensure safe perioperative care for a medically complex surgical population. The purpose of this paper is to describe the PCCC young adult care coordination process that provides engaging opportunities for the young adult to advocate for oneself and promote autonomy as they proceed through the stages of transition to adult care. Research linkagesThe perioperative care coordination process at Boston Children's Hospital aligns with the Society of Pediatric Nurses position statement that recommended pediatric nurses utilize a framework (Betz, 2017) and Meleis' middle-range theory of Transitions that identified the nursing role during the transitional process (Meleis et al., 2000). A suggestion for future nursing research includes development of a nursing framework that nurses can utilize when supporting young adults during their progression through the steps of transition from pediatric to adult perioperative programs.

A Mixed-Studies Review of the School-to-Prison Pipeline and a Call to Action for School Nurses.

Zero-tolerance school disciplinary policies have contributed to the proliferation of exclusionary practices, which increase the risk that minoritized students will be harmed by the school-to-prison pipeline (STPP). The purpose of this review was to explore factors that influence the STPP and highlight the role school nurses can play in protecting students from this public health crisis. We used a systematic mixed-studies review method, and 14 studies were included. Exclusionary discipline disproportionately affects minoritized students, but decreased student-teacher ratios, wellness-focused environments, and lower levels of school punishment can improve student achievement and health. The National Association of School Nurses position statement provides a framework to guide school nurses in the dismantlement of the STPP. School nurses should advocate for their position on the interdisciplinary team, funding for alternative disciplinary programs, abolition of school policing, restorative justice approaches, support for at-risk students, and anti-racism education programs for all school staff.

Maximizing the academic nursing model in the era of COVID-19 and beyond

Maximizing the academic nursing model in the era of COVID-19 and beyond

Promoting Evidence-Based Practice and Dispelling Urban Legends to Achieve Safer Pain Management

TODAY, MANY NURSES in the perianesthesia setting help patients control their pain by administering pain medications prescribed by orders in which the analgesic medication is dosed according to pain intensity (either number or descriptive word). Many nurses find this practice challenging, particularly when patients are stirred and then report high numeric pain ratings, yet are noted to be somnolent. This practice of tying an analgesic dose to a pain intensity rating is relatively new, beginning early in the 21st century when a movement started to eliminate as needed (prn) range orders. 1 Crea K.A. Morehead D. Snow R. Reducing adverse drug events involving high-risk medications in acute care. JCOM. 2004; 11: 640-646 Google Scholar , 2 Rich D.S. Point-of-care automated dispensing devices; herbal products; proper medication orders; expiration dating. Hosp Pharm. 1999; 34: 989-996 Crossref Scopus (3) Google Scholar One argument made for eliminating prn range orders was to improve patient safety. 1 Crea K.A. Morehead D. Snow R. Reducing adverse drug events involving high-risk medications in acute care. JCOM. 2004; 11: 640-646 Google Scholar This argument is fraught with irony, contradiction, and misinformation. It is ironic because despite a search of PubMed, the US National Library of Medicine, Medline Plus, Centers for Disease Control and Prevention, the Institute for Safe Medication Practices (ISMP), ScienceDirect, and Cumulative Index to Nursing and Allied Health Literature, no data could be found regarding any adverse events related to the use of range orders. Paradoxically, the practice of dosing to a particular number or pain intensity has caused significant adverse events. 3 Pasero C. Quinlan-Colwell A. Rae D. Broglio K. Drew D. American Society for Pain Management Nursing position statement: Prescribing and administering opioid doses based solely on pain intensity. Pain Manag Nurs. 2016; 17: 170-180 Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar An interesting statement from ISMP in 2002 called for elimination of orders with dosage ranges, but, in the same article, encouraged clinicians to use their professional judgment to assess patients for objective criteria and safety factors as opposed to only linking medication dosages to the self-assessment of pain by the patient. 4 Institute for Safe Medication Practices (ISMP)Pain Scales Don't Weigh Every Risk. 2002https://www.ismp.org/newsletters/acutecare/articles/20020724.aspDate accessed: November 18, 2017 Google Scholar Considering the misinformation and confusion, it is important to clarify the terms used. Ann Quinlan-Colwell, PhD, RN-BC, DAAPM, New Hanover Regional Medical Center, Wilmington, NC.

American association of heart failure nurses (AAHFN) position statement on patient access to healthcare

American association of heart failure nurses (AAHFN) position statement on patient access to healthcare

American Society for Pain Management Nursing Position Statement: Prescribing and Administering Opioid Doses Based Solely on Pain Intensity

The foundation of safe and effective pain management is an individualized, comprehensive pain assessment, which includes, but is not limited to, determining the intensity of pain if the patient is able to report it. An unforeseen consequence of the widespread use of pain intensity rating scales is the practice of prescribing specific doses of opioid analgesics based solely on specific pain intensity. Many factors in addition to pain intensity influence opioid requirements, and there is no research showing that a specific opioid dose will relieve pain of a specific intensity in all patients. The American Society for Pain Management Nursing (ASPMN) holds the position that the practice of prescribing doses of opioid analgesics based solely on a patient's pain intensity should be prohibited because it disregards the relevance of other essential elements of assessment and may contribute to untoward patient outcomes.

Bisphenol A: Understanding the Controversy.

Healthy People 2020 lists Bisphenol A (BPA) as a potential endocrine disruptor for which exposure should be reduced. The Healthy People 2020 Environmental Health Objectives focus on addressing environmental factors that negatively affect individuals' health even though the health effects of some toxic substances are not yet fully understood. An American Association of Occupational Health Nurses (AAOHN) position statement outlined the role occupational health nurses play in creating healthy and productive workplaces by promoting worker health. BPA is implicated in a variety of health outcomes such as breast and prostate cancer, menstrual irregularities, genital abnormalities in male babies, infertility in men and women, early puberty in girls, and metabolic disorders such as diabetes and obesity. The overall health issues attributed to BPA exposure are complex and controversial. Concerns regarding environmental health are growing as individuals become more dependent on plastics. Numerous health concerns have been directly connected to daily exposures to products manufactured with BPA. Government agencies support the use of BPA as a safe consumer product with the exception of BPA use in baby bottles and sippy cups, which has been banned in the United States and several other countries. Many agencies (e.g., Federal Drug Administration [FDA], World Health Organization [WHO], U.S. Department of Health & Human Services [U.S. DHHS], and the Centers for Disease Control and Prevention [CDC]) have expressed "some concern" about BPA based on research, and stated further research is warranted.

Development of a Formalized Pediatric Visitation Program in the PACU Through Evidence-Based Practice.

The national trend and 2003 American Society of PeriAnesthesia Nurses position statement supports visitation during Phase I care. Nurses at our institution had an inconsistent practice of rejoining families with their child during this period. The purpose of this project was to investigate nurses' attitudes and beliefs toward family-centered care. A formalized pediatric visitation program was also created. A survey was used to evaluate nurses' attitudes and beliefs regarding family-centered care. Education was provided for the nurses and patient and/or families. The formalized visitation program included updated policies, use of technological support to improve communication with families, and development of an educational pamphlet. A pediatric visitation program that reunites the family and child while supporting nurses was developed and implemented. This visitation program may be explored for replication in perianesthesia or other applicable settings.

Integrating emerging areas of nursing science into PhD programs

The Council for the Advancement of Nursing Science aims to “facilitate and recognize life-long nursing science career development” as an important part of its mission. In light of fast-paced advances in science and technology that are inspiring new questions and methods of investigation in the health sciences, the Council for the Advancement of Nursing Science convened the Idea Festival for Nursing Science Education and appointed the Idea Festival Advisory Committee to stimulate dialogue about linking PhD education with a renewed vision for preparation of the next generation of nursing scientists. Building on the 2010 American Association of Colleges of Nursing Position Statement “The Research-Focused Doctoral Program in Nursing: Pathways to Excellence,” Idea Festival Advisory Committee members focused on emerging areas of science and technology that impact the ability of research-focused doctoral programs to prepare graduates for competitive and sustained programs of nursing research using scientific advances in emerging areas of science and technology. The purpose of this article is to describe the educational and scientific contexts for the Idea Festival, which will serve as the foundation for recommendations for incorporating emerging areas of science and technology into research-focused doctoral programs in nursing.

Emerging areas of science: Recommendations for Nursing Science Education from the Council for the Advancement of Nursing Science Idea Festival

The Council for the Advancement of Nursing Science aims to “facilitate and recognize life-long nursing science career development” as an important part of its mission. In light of fast-paced advances in science and technology that are inspiring new questions and methods of investigation in the health sciences, the Council for the Advancement of Nursing Science convened the Idea Festival for Nursing Science Education and appointed the Idea Festival Advisory Committee (IFAC) to stimulate dialogue about linking PhD education with a renewed vision for preparation of the next generation of nursing scientists. Building on the 2005 National Research Council report Advancing The Nation's Health Needs and the 2010 American Association of Colleges of Nursing Position Statement on the Research-Focused Doctorate Pathways to Excellence, the IFAC specifically addressed the capacity of PhD programs to prepare nursing scientists to conduct cutting-edge research in the following key emerging and priority areas of health sciences research: omics and the microbiome; health behavior, behavior change, and biobehavioral science; patient-reported outcomes; big data, e-science, and informatics; quantitative sciences; translation science; and health economics. The purpose of this article is to (a) describe IFAC activities, (b) summarize 2014 discussions hosted as part of the Idea Festival, and (c) present IFAC recommendations for incorporating these emerging areas of science and technology into research-focused doctoral programs committed to preparing graduates for lifelong, competitive careers in nursing science. The recommendations address clearer articulation of program focus areas; inclusion of foundational knowledge in emerging areas of science in core courses on nursing science and research methods; faculty composition; prerequisite student knowledge and skills; and in-depth, interdisciplinary training in supporting area of science content and methods.

The Pediatric Bill of Rights

The Pediatric Bill of Rights

WITHDRAWN: Nursing research: The Australian College of Nursing position statement

[Extract] Nursing perspectives play an important role in addressing the health priorities of today's society. The Australian College of Nursing (ACN) acknowledges the significant contribution that nursing research has made since the first nurse researcher,Florence Nightingale, documented the factors that affected the morbidity and mortality of soldiers wounded in the Crimean war in the 1800s. The nursing profession continues to celebrate the significant contribution nursing research made to improving nursing practice and health outcomes.

American Society for Pain Management Nursing Position Statement: Pain Management at the End of Life

Pain at the end of life continues to be of great concern as it may be unrecognized or untreated. While nurses have an ethical obligation to reduce suffering at the end of life, barriers remain regarding appropriate and adequate pain management at the end of life. This position statement from the American Society for Pain Management Nursing contains recommendations for nurses, prescribers, and institutions that would improve pain management for this vulnerable population.

American Society for Pain Management Nursing Position Statement with Clinical Practice Guidelines: Authorized Agent Controlled Analgesia

The American Society for Pain Management Nursing (ASPMN) has updated its 2007 position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to utilize PCA. ASPMN does not support the use of “PCA by Proxy” in which unauthorized individuals activate PCA for a patient. The background of the development of the position statement, definitions related to AACA, and application of ethical principles to the use of AACA are presented in the document. This position statement includes an updated review of the evidence related to AACA and a call for further research. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.

American Society for Pain Management Nursing Position Statement

The American Society for Pain Management Nursing (ASPMN) has updated its position statement on managing pain in patients with substance use disorders. This position statement is endorsed by the International Nurses Society on Addictions (IntNSA) and includes clinical practice recommendations based on current evidence. It is the position of ASPMN and IntNSA that every patient with pain, including those with substance use disorders, has the right to be treated with dignity, respect, and high-quality pain assessment and management. Failure to identify and treat the concurrent conditions of pain and substance use disorders will compromise the ability to treat either condition effectively. Barriers to caring for these patients include stigmatization, misconceptions, and limited access to providers skilled in these two categories of disorders. Topics addressed in this position statement include the scope of substance use and related disorders, conceptual models of addiction, ethical considerations, addiction risk stratification, and clinical recommendations.