Clinical nurse specialist CNS
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Specialists in nursing have existed since the turn of the century. The term denoted a nurse with extensive experience in a particular area of nursing who performed with technical expertise. The modern advanced practice nurse (APN) is a master's degree-prepared clinical expert who has a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals or populations to health problems. ⋯ Other hospital positions such as "nurse educator" or "nurse clinician" add to the role confusion. The APN practice in a large urban hospital will be examined. The journey of preserving the role integrity of the hospital-based APN will be explored.
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This study aimed to determine intensive care nurses' reasons for the application and removal of physical restraint and physical restraint patterns used in Turkey intensive care units. ⋯ Identifying the reasons for application and removal of physical restraints can help clinical nurse specialist tailor education, impact policy, and serve as role models to reduce the use of restraints in hospitals.
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Meta-analysis is becoming increasingly used in contemporary nursing to synthesize the evidence from the biomedical literature. However, interpreting the meta-analysis graph continues to remain a problem for many clinicians. The purpose of this article is to provide clinicians with a basic understanding of the meta-analysis graph to objectively interpret the findings and implement them when applicable in clinical practice.
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Lifelong learning is essential in today's work world, with the rapid explosion of knowledge and technology. Busy nurses find the challenge overwhelming to keep pace with current practice. Journal clubs work within inpatient settings but not for ambulatory nurses where the pace is much different. ⋯ The traveling journal club idea was adopted by the inpatient units that face similar issues with time and patient needs. The traveling journal club was a success in the setting originally planned and extended to other areas.
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More than 90 million Americans have low levels of health literacy that may contribute to poor health outcomes. Assessment of the readability of patient education materials (PEMs) is a vital component of health education. ⋯ Nurses must expand their knowledge of all aspects of literacy and readability and take a proactive role in assessment and development of PEMs. Further research is needed to determine the best readability measures.