Conversations about goals of care with the patient and family are a critical component of advanced practice in oncology. However, there are often inadequate team structures, training, or resources available to assist advanced practitioners in initiating these conversations. We conducted a study to assess nurses' perceived role and communication tasks in such conversations about goals of care. I...

AIM To examine in-patient diabetes services in all UK acute hospitals. METHODS We asked the diabetes specialist team in all UK acute hospitals to complete a structured questionnaire on in-patient diabetes management guidelines, in-patient referral patterns, diabetes in-patient specialist nurse (DISN) services and diabetes bed occupancy in their hospital. RESULTS Of the 262 UK acute hospital...

INTRODUCTION Teamwork and interprofessional practice and learning are becoming integral to health care. It is anticipated that these approaches can maximize professional resources and optimize patient care. Current research, however, suggests that primary health care teams may lack the capacity to function at a level that enhances the individual contributions of their members and team effective...

AIM This article describes a new conceptual framework for acute care nurse practitioner role enactment, boundary work and perceptions of team effectiveness. BACKGROUND Acute care nurse practitioners contribute positively to patient care by enacting an expanded scope of practise. Researchers have found both positive and negative reactions to the introduction of acute care nurse practitioners i...

OBJECTIVE To assess the relative cost effectiveness of clinical nurse specialist care, inpatient team care, and day patient team care. METHODS Incremental cost effectiveness analysis and cost utility analysis, alongside a prospective randomised controlled trial with two year follow up. Included were patients with rheumatoid arthritis (RA) with increasing difficulty in performing activities of...

Introduction Our hospital is a tertiary 1000-bed hospital. In 2011, rapid response system (RRS) was introduced in the hospital. Our rapid response team (RRT) includes critical care physicians, critical care nurses and physical therapists. Usually, team members are working at ICU. They also provides respiratory care or critical care interventions to the patients in the wards, after discharged fr...

Health care delivery has evolved in reaction to scientific and technological discoveries, emergent patient needs, and market forces. A current focus on patient-centered care has pointed to the need for the reallocation of resources to improve access to and delivery of efficient, cost-effective, quality care. In response to this need, primary care physicians will find themselves in a new role as...

This article explores the hypothesis that when a child has a life-limiting illness, the interpersonal boundaries between the patient, the patient's parents, and the health care team members differ from traditional provider, patient, and parent boundaries because of the unique dynamics of palliative care in pediatrics. Providers from the Journey's Palliative Care Team at Albany Medical Center co...

in recent decades, by increasing complexity of drug therapy, pharmacists considered as health- care members who can help optimizing drug therapy. we know that medicines do not have the anticipated effects all the times and a vast variability may exist in their behaviors in the body. so, it is very crucial to individualize treatment for every single patient. nowadays, optimizing drug therapy in ...