Although the burden of a cancer diagnosis for patients is profound, healthcare systems often fail to address patients' and families' psychosocial, information, and care coordination needs. The authors of this article designed an oncology nurse navigator program to proactively address these care gaps and tested the program's effectiveness in providing high-quality cancer care through a randomize...

BACKGROUND PhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)-based mobile devices. OBJECTIVE The aim of this study was to describe usage patterns of PhotoExam in primary care and to assess clinician-level factors that influence the use of the PhotoExam app for teledermatology (TD) purposes. ...

PURPOSE/OBJECTIVES To evaluate the quality of evidence on sleep-wake disturbances in people with cancer as a basis for clinical decision making and to discuss implications of the evidence for oncology clinicians, educators, and researchers. DATA SOURCES Published, peer-reviewed articles. DATA SYNTHESIS Members of the 2001 Oncology Nursing Society (ONS) Advanced Practice Nurse Retreat Eviden...

OBJECTIVE To develop clinical practice guidelines for a simplified approach to primary prevention of cardiovascular disease (CVD), concentrating on CVD risk estimation and lipid management for primary care clinicians and their teams; we sought increased contribution from primary care professionals with little or no conflict of interest and focused on the highest level of evidence available. M...

BACKGROUND The U.S. health care system is at a critical juncture in health care workforce planning. The nation has a shortage of primary care physicians. Policy analysts have proposed expanding the supply and scope of practice of nurse practitioners to address increased demand for primary care providers. These proposals are controversial. METHODS From November 23, 2011, to April 9, 2012, we c...

CONTEXT Multifactorial barriers prevent primary care clinicians from helping their adult patients with type 2 diabetes achieve good control of hemoglobin A1c (HbA1c) levels. Patients' depression and low self-efficacy can complicate diabetes management by impairing tasks needed for effective disease self-management. OBJECTIVES To evaluate whether nurse practitioners in collaborative practices ...

OBJECTIVES Despite the growing use of online databases by clinicians, there has been very little research documenting how effectively they are used. This study assessed the ability of medical and nurse-practitioner students to answer clinical questions using an information retrieval system. It also attempted to identify the demographic, experience, cognitive, personality, search mechanics, and ...

In addition to teaching and research, nurse lecturers are expected to maintain clinical credibility and competence by spending at least 20% of their time in practice; this requirement is included in many nurse lecturer/teacher employment contracts. The a imof this paper is to suggest a number of realistic, pragmatic approaches that can be used to enhance clinical credibility and competence, whi...

Nurse clinicians need to make complex decisions on a continual basis, while delivering costeffective treatments. The rapid proliferation of medical and nursing knowledge complicates the decision-making process, particularly for novice nurses. We describe a Clinical Decision Support System (CDSS) for the novice nurse that combines evidence-based nursing knowledge with specific patient informatio...

This article describes in practical terms the approach to selection and maintenance of clinical experience sites for nurse-midwifey educational programs. The responsibilities of clinical instructors, University programs, and student nurse-midwives in clinical settings are examined. Guidelines are offered to assist in providing a sound educational environment for the learning of the role of the ...