<h3>Abstract</h3> <b>Objectives</b>: To determine whether a serious paracetamol overdose in the medical television drama <i>Casualty</i> altered incidence and nature of general hospital presentations for deliberate self poisoning. <b>Design</b>: Interrupted time series analysis poisoning at accident emergency departments during three week periods before after broadcast. Questionnaire responses collected from patients same periods. <b>Setting</b>: 49 psychiatric services United Kingdom data;...

Implementation of evidence-based clinical interventions in real-world settings becomes a futile effort when effective strategies to foster adoption are not used. A toolkit, or collection adaptable documents inform and facilitate implementation, can increase the use interventions. Most available toolkits provide resources about intervention but lack guidance for adaptation different contexts support implementation. This paper describes development toolkit guide implementation an identify...

Objectives: To evaluate the safety and efficacy of aromatherapy on symptom burden associated outcomes.Sample & Setting: 92 inpatients who underwent hematopoietic stem cell transplantation hematology-oncology units in an academic hospital.Methods Variables: Participants this pilot randomized controlled trial received essential oil–infused or blank patches completed a journal. Mixed-model analysis variance was used to analyze chemotherapy-induced nausea, vomiting, retching (CINVR) anxiety...

Abstract Background Psychoactive substances contribute to numerous deaths annually, and more than 60% of the US population aged 12 + years reports past-month substance use. Screening, brief intervention, referral treatment (SBIRT) may support identification substance-related risks facilitate targeted interventions, but best practices implementation designs remain elusive. Our study examined whether a standardized SBIRT toolkit training-of-trainers for nurse site coordinators was...

Injury falls are common, with nearly a million hospitalized patients falling annually. Fall risk identification and prevention largely clinician-centric, lacking patient input.

Abstract Background Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a clinical intervention used address alcohol illicit drug use. SBIRT use has resulted in positive health social outcomes; however, implementation remains low. Research on implementing interventions, such as SBIRT, lacks information about challenges successes related implementation. The Expert Recommendations for Implementing Change (ERIC) provides framework guide comprehension, clarity, relevance of...

The purpose of this study was to validate a tool assess alcohol withdrawal in acute care patients. Study aims included (1) establish content validity, (2) examine criterion-related (3) test interrater reliability, and (4) nurse usability.A psychometric research designed evaluate the Alcohol Withdrawal Assessment Tool.Validation conducted using an expert panel determine validity. Clinical Institute for Alcohol-Revised used as comparison criterion related Interrater reliability determined by...

Patients admitted to the acute care setting with persistent pain are at risk for inadequate control. Nursing education and management perceptions affect partnership patient achieve effective management. Traditional educational approaches that of didactic nature do not necessarily promote problem-solving critical thinking skills. This pilot study used a mixed-media vignette approach provide real-life examples influence both knowledge attitudes staff nurses through problem-based learning....

Abstract Background Measuring behavioral health treatment accessibility requires timely, comprehensive and accurate data collection. Existing public sources of have inconsistent metrics, delayed times to publication do not measure all factors related accessibility. This study seeks capture this additional information determine its importance for informing care coordination. Methods The 2018 National Survey Substance Abuse Treatment Services (N-SSATS) were used identify facilities in Indiana...

Background High patient activation is associated with a variety of positive health outcomes. Although increasing in persons opioid use disorder (OUD) intensive outpatient treatment (IOT) programs may increase engagement and improve outcomes, little known about how manifested these programs. Aims To describe types instances which play an active role their IOT or show self-determination recovery generally (patient activation) they passive have directed by others nonactivation). Methods A...

Background: Despite scholarly articles and pathway models delineating quality improvement (QI), evidence-based practice (EBP), research, innovation, guidance is lacking when determining the project method. A practical, step-by-step approach needed to support navigation. Purpose: To describe development evaluation of a decision-making model. Methods: The INQUIRE Model was developed using an iterative evaluated with 23 national conference attendees. included 4 Likert-type items ranging from 1...

Healthcare is a complex adaptive system, requiring agile, innovative leaders to transform care. Clinical nurse specialists (CNSs) are uniquely positioned influence change and achieve high-quality outcomes. Nurse need strategies onboard retain CNSs considering high demand across the nation. The purpose of this program evaluation was describe core components outcomes CNS fellowship programs.

Background: Continuous glucose monitoring (CGM) can decrease hypoglycemic events and health care costs; however, barriers facilitators that influence CGM use are unknown. Purpose: The purpose of this study was to evaluate cost outcomes after implementation describe associated facilitators. Methods: A mixed-methods design used on 2 pulmonary units within an academic center. Hypoglycemic were evaluated before implementation, nurses interviewed about use. Results: decreased from a rate 0.0906...

The purpose of this study was to determine the alignment between American Nurses Credentialing Center's Magnet Recognition Program® standards and clinical nurse specialist (CNS) practice competencies.Despite documentation CNS contributions achieving sustaining Recognition®, there is a lack evidence clearly aligning Magnet® competencies.Using crosswalk method, an expert panel CNSs chief nursing executives analyzed 50 with 44 National Association Clinical Nurse Specialists core...