Scope Of Specialty Research Articles

Update to the essential genomic nursing competencies and outcome indicators.

Genomic healthcare applications have relevance to all healthcare professionals including nursing, and most evidence-based clinical applications impact the quality and safety of healthcare. To guide nursing genomic competency initiatives, the Essential Nursing Competencies and Curricula Guidelines for Genetics and Genomics were established through a process of consensus in 2005. A 2009 update incorporated outcome indicators consisting of specific areas of knowledge and clinical performance indicators, to help support academic integration. Almost 20 years have elapsed since these competencies were first established, yet incorporating the competencies into general and specialty scope and standards of nursing practice is inconsistent, competency integration into curricula is highly uneven, continuing education in genomics for nurses is limited, and the genomic capacity of the nursing workforce remains low. These deficits have persisted despite substantial advances in genomic technology which substantially reduced costs and increased evidence-based clinical applications, including direct to consumer genomic tests, the integration of genomics into evidence-based guidelines, and evidence that genomics impacts the quality and safety of healthcare. The aim of this project was to update and achieve consensus on genomic competencies applicable to all registered nurses. This was a mixed methods study. The update to the competencies was performed based first on a literature review to update the competencies based on the current state of the evidence. Using the updated content, a modified Delphi study was conducted with registered nurse panelists from clinical, academic, and research settings. Once consensus was achieved, the competencies were made available through the American Nurses Association for public comment. Public comments were then reviewed and integrated as needed. The literature review resulted in a transition from genetics to genomics, given the reduction in costs, which resulted in an expansion of the scope of testing in both the germline and somatic contexts. Two Delphi rounds were required to reach consensus prior to the public comment period. Public comments were solicited through the American Nurses Association, and each comment was reviewed by the authors and addressed as indicated. The Essentials of Genomic Nursing: Competencies and Outcome Indicators constitute the minimum competency in genomics required of all registered nurses regardless of the level of academic training, role, or specialty. Evidence-based genomic applications span the entire healthcare continuum and, therefore, are relevant for all registered nurses regardless of academic training, role, practice setting, or clinical expertise. These competencies serve as the guide for the minimum requirements for registered nurse practice as well as guide curricula and continuing education for all registered nurses, including but not limited to administrators, educators, nursing leaders, practicing nurses, and researchers.

Knowledge or ignorance about correct use of inhalers among physicians in Primary Health Care Centers in Serbia

<p>Introduction. In daily use, a large majority of patients make inhalation errors. Primary health care doctors have an important role in preventing improper use of inhalers. The aim of this study is to evaluate the level of knowledge regarding the correct use of inhalers among physicians who work in primary health care centers as well as to evaluate the method of acquiring knowledge regarding an adequate inhalation technique. Methods. The research belonged to a cross sectional study, conducted on March 2019., in Belgrade, Serbia. The sample consisted of physicians who work in primary health care centers in Serbia. The data were collected by means of a questionnaire. The results were shown by parameters of descriptive statistics. The difference in the number of points among the two groups and other variables were tested by means of X2 test. The data were analyzed using SPSS 20. Results. The survey included 364 physicians in primary health care. 86.5% of them were female respondents. The mean work experience was 19 ± 11.22 years. In half of respondents family medicine was the scope of specialty (53%). The majority of respondents acquired knowledge about the correct use of inhalers by participating in lectures and workshops (50.3%). It was found that the physicians possessed an unsatisfactory level of knowledge. Conclusion. Primary health care physicians possess inadequate knowledge and skills concerning the proper use of inhalers. Lectures and workshops are not sufficient enough to educate doctors concerning the use of inhalers.</p>

Модуль «железнодорожный путь» - в программе «магистр инфраструктуры и эксплуатации скоростных и высокоскоростных железных дорог»

Objective: To report on “Railway track” module which is included in international educational program of supplementary education “Master of infrastructure and operation of rapid and high-speed railroads”. Methods: Methodological foundations of learning materials’ selection were considered, including the conducted survey of home and international experience in engineering, construction and operation of high-speed networks. Moreover, FGBOU VO PGUPS participation in research and training program of OAO “RZhD” high-speed traffic realization was characterized. Results: The experience in project realization was presented by the international creative team, which included organizations and higher educational establishments of Russia, Ukraine and France. The difficulties connected with the difference in the normative base and different methodological approaches of academic schools were analyzed, which occurred in the process of creating educational learning materials by the developers and teachers The emphasis was placed on audience make-up diversity both in the level of audience competence and the scope of specialties. The review of events related to participants’ training in Beijing Transport University of People’s Republic of China was conducted. Practical importance: The conclusion was made on the demand for supplementary educational program among students and experts.

Plastic Surgery Interaction with Other Specialities: Scope of Specialty in Different Minds

Plastic Surgery Interaction with Other Specialities: Scope of Specialty in Different Minds

Abstract 181: What’s in the Black Box?: Describing Current Practice, Challenges, and Barriers of Cardiology and Palliative Care Collaboration

Background: Guidelines recommend involvement of palliative care (PC) for patients with cardiovascular (CV) disease and their families. Little is known about the current integration of PC and CV services. Research Objectives: Our national survey aimed to describe current practices and to identify benefits, challenges, and barriers with collaboration. Methods: Qualitative content analysis of open-response questions in an investigator-developed electronic survey study of CV and PC providers (MDs, NPs, PAs, and other allied health) using email listservs, social media, and crowdsourcing. Frequencies were tabulated using SAS statistical software. Results: Of 134 respondents, most were physicians (n=56, 57%) or advanced practice RNs or PAs (n=37, 28%), from 52 U.S. institutions, representing 33 states. The most common care for which PC was integrated were mechanical circulatory support, advanced heart failure, and heart transplantation; the least common care for which PC was integrated were TAVR, ECMO, and pulmonary hypertension. Integrated practice (n=80, 61%), PC identification of goals of care (n=20, 15%) and PC aid in patient/family communication (n=15, 11%) were the most commonly identified as positives in current practice. PC provider workforce (n=22, 16%), underutilization of PC referrals (n=20, 15%), late disease PC referral (n=19, 14%), and fundamental knowledge deficit of specialty scope (n=18, 14%) were most frequently identified as challenges. Other barriers specifically noted were underdeveloped health infrastructure and limited allocated resources (n=23,17%) and mis-/negative perception of services (n=15, 11%). Conclusion: PC and CV collaboration occurs for a high proportion of CV patients and is viewed as overwhelming positive, despite the challenges of limited PC specialists availability, underdeveloped healthcare infrastructure, limited understanding of specialty practice, and late referrals. Priorities includes increasing PC provider availability, expanding knowledge of PC services, educating providers on models of collaboration, and improving institutional support.

Accessibility to editorial information in Oral and Maxillofacial Surgery journals: The authors' point of view

ObjectiveTo evaluate the accessibility to editorial information in Oral & Maxillofacial Surgery journals. Material and methodsA cross-sectional study using the WOS–Web of Science database in three categories: “Surgery,” “Otorhinolaryngology,” and “Dentistry, Oral Surgery & Medicine” was designed. Journals were filtered by title and classified under three headings: OMFS specialty; OMFS subspecialty and related sciences; and multidisciplinary journals. Specialty scope (OMFS vs. other); impact factor; path for the manuscript; blinding policy; accessibility to reviewers' criteria; and percentage of acceptance. ResultsOnly 46 of 330 journals met the inclusion criteria. All OMFS journals provided comprehensive information about the review process, compared to 5 of 27 (18.5%) of Oral Surgery and related sciences periodicals. Most specialty journals do not inform about the blind review mode used (20 of 33; 60.6%). Generally, information about the reviewers' assessment criteria is scarce, but is available from all OMFS journals, which also state the percentage of manuscript acceptance (100% vs. 14.8%). ConclusionsOMFS JCR journals provide adequate information about their editorial process in terms of path for the manuscript, accessibility to reviewers' criteria, and percentage of acceptance. Additional efforts are needed to increase accessibility to information about blinding policy and average time from submission to acceptance.

Training in pediatric surgery

Specialty training is an essential stage in the educational process of a pediatric surgeon. To result in integral formation of a competent professional, the planning of curriculum programme should take into account not only the content, but also the methods, organization, setting and trainees profile. The focus should be placed in the establishment and assessment of criteria for recognition, i.e. accreditation, as training centres and periodic monitoring of apprenticeship. The goal of training is fundamental for programme designing and is dependent on the pediatric surgical care model and scope of specialty. To educate specialists with academic attitude and professionalism to whom patients' well being should be the main concern is the most important contribute for affirmation and prestige of Pediatric Surgery.

Specialty Nursing Scope and Standards of Practice: Incorporating Content about the Care of Older Adults

According to the American Nurses Association (ANA), the scope of practice statement and standards of practice for the nursing profession describe “what nursing is, what nurses do, and those responsibilities for which nurses are accountable.” Similarly, the more detailed specialty nursing scope statement and standards of practice can deeply influence nursing practice in each specialty. Specialty scope and standards of practice describe the knowledge, skills, and abilities that hospitals and other health care agencies can expect from the nurses they hire. They influence the development of continuingeducation programs, are directly tied to the contents of specialty certification examinations, and guide the development of curricula that nurses are taught in specialty master’s programs. Agencies that employ nurses rely on the scope and standards of practice when creating job descriptions and establishing baseline competencies. Although older adults make up the majority of patients in many nursing specialties, until recently, the scope and standards documents for specialty nursing practice rarely addressed issues related to older adults, and, in fact, many simply did not mention the age of the patient as influencing practice. In September 2005, the ANA included formal language addressing care of older adults in its document Recognition of a Nursing Specialty, Approval of a Specialty Nursing Scope of Practice Statement and Acknowledgement of Specialty Nursing Standards of Practice, which was approved by the ANA Congress on Nursing Practice and Economics. All new or revised specialty nursing scopes and standards of

Care of the Specialty Scope

Care of the Specialty Scope

The American Board of Otolaryngology, 1924-1999: 75 years of excellence.

This year marks the 75th anniversary of the founding of the American Board of Otolaryngology (the Board or ABO). It has been a productive and innovative 75 years as the Board has strived to elevate the standards of otolaryngology, certify qualified practitioners, protect against unqualified practitioners, and advance the cause of the specialty. Along with American ophthalmologists, otorhinolaryngologists should have considerable pride for the role their specialty has played in introducing board certification to American medicine. The ABO established and maintains a successful certification process that enhances the professional life of its diplomates and provides health care organizations and patients with confirmation of the education, training, and continuing education of practitioners. Otolaryngologists should also be grateful to the ABO for its foresight and tenacity in preserving the specialty's scope of practice against possible diminishment.