Last month, the Section of General and Family Practice of the Ontario Medical Association took out advertisements in major newspapers and magazines insinuating that Ontarians might put themselves at risk if they were to receive care from nurse practitioners and pharmacists.1 I was shocked and dismayed at the message put forward—yet not surprised. Turf wars are not new. But in primary care they ...

Clinical Nurse Specialists (CNS) is by their title clinicians in focus, and the literature emphasises this. However the CNS has many roles, the clinical, educator and researcher roles are frequently articulated but the CNS operates in many other roles also. These include the less articulated roles such as leadership, manager, consultant and change agent/innovator. These roles require functions ...

The number of patients with a tracheostomy being cared for in the ward setting has increased recently as intensive care clinicians use this procedure to aid early weaning from mechanical ventilation. As a result, ward staff are providing the specialist care required by patients with a tracheostomy more frequently. This article describes how the outreach team and the critical care practice devel...

Scope and Standards of Practice) is a vital resource for every wound, ostomy and continence (WOC) nurse (WOCN, 2010). Recognition as a specialty nursing practice validates the contributions that WOC nursing brings to the health care delivery system in the United States. Accessible to all members of the health care community, the WOCN Scope and Standards of Practice is a reference that documents...

Object-relations theory explains human behavior in terms of a person's inner experiences of others, which are called objects. Internalization of relationships, projective identification, and containment are concepts within object-relations theory that help to explain the confusing and frustrating behavior of acutely psychotic patients. These concepts also provide a framework for understanding t...

Fospropofol, a phosphorylated prodrug version of the popular induction agent propofol, is hydrolyzed in vivo to release active propofol, formaldehyde, and phosphate. Pharmacodynamic studies show fospropofol provides clinically useful sedation and EEG/BIS suppression while causing significantly less respiratory depression than propofol. Pain at the injection site, a common complaint with propofo...

Women and clinicians said that a question prompt tool (QPT) about hypertensive disorders of pregnancy (HDP) could improve awareness premature cardiovascular disease (CVD) risk. In this study, we explored views the design draft QPT for HDP. We interviewed 21 including 7 midwives, 6 nurse practitioners 8 physicians differing specialty, ethno-culturally diverse women; identified themes using conte...

the changing demands on the health sectors in low- and middle-income countries especially sub-saharan african countries continue to challenge efforts to address critical shortages of the health workforce. addressing these challenges have led to the evolution of “non-physician clinicians” (npcs), that assume some physician roles and thus mitigate the continuing shortage of doctors in these count...

Purpose: General self-efficacy, occupational and grit have a correlation with academic practical success amongst nursing students. The role of these same characteristics during the first 18-24 months following transition from student to nurse is poorly understood. In addition, when graduate begins consider career in rural area also remains unclear. This study sought understand change, if any, g...

BACKGROUND Atrial fibrillation (AF) is a common and preventable cause of stroke. Barriers to reducing stroke risk through appropriate prescribing have been identified at the system, provider, and patient levels. To ensure a multifaceted initiative to address these barriers is effective, it is essential to incorporate user-centered design to ensure all intervention components are optimized for u...