Clinical nurse specialist CNS
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The clinical nurse specialist is in a unique position to identify and study clinical problems in need of answers, but lack of time and resources may discourage nurses from conducting research. However, some research methods can be used by the clinical nurse specialist that are not time-intensive or cost prohibitive. The purpose of this article is to explain the utility of survey methodology for answering a number of nursing research questions. The article covers survey content, reliability and validity issues, sample size considerations, and methods of survey delivery.
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The purpose of this article is to discuss the role of the adult-gerontology clinical nurse specialist in addressing the problem of delirium in hospitalized older adults through strategies to improve nurse knowledge. ⋯ The goal of the identified adult-gerontology clinical nurse specialist-led educational initiatives is to improve knowledge of delirium, which will assist nurses in providing evidence-based, safe, appropriate care to all hospitalized older adults.
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The purpose of this program evaluation was to explore whether incorporating deliberate learning concepts, through the use of simulated patient scenarios to teach interprofessional collaboration skills to a healthcare team on one acute-care hospital unit, would improve the resuscitation response in the first 5 minutes on that unit. ⋯ A unit-based quality-improvement simulation training program could help improve the first-5-minute response and resuscitation skills of staff by increasing the frequency of unit-based training overseen by the unit's clinical nurse specialist.
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Delirium is a frequently encountered condition in critically ill patients that has significant clinical impacts. Associated costs for patients impacted by delirium are higher, including a 39% higher intensive care unit (ICU) cost and 31% higher hospital costs, yet delirium goes unnoticed in up to 72% of cases. If ICU nurses are not aware of risk factors and presentation of delirium, the condition may go unrecognized, allowing for development of negative sequelae. ⋯ If ICU nurses are not aware of the fluctuating nature of delirium and its varied clinical presentations, they cannot be expected to consistently identify its development when providing care. Through educational activities, it is possible to increase team member knowledge levels, potentially resulting in increased identification of delirium and a reduction in negative sequelae.