Zeitschrift für fortgeschrittene Praktiken in der Krankenpflege

Integrating Nurse Practitioners (NP) into Emergency Departments (ED) can be extremely challenging despite the benefits consistently documented in the literature. The purpose of this capstone project was to highlight the barriers preventing successful NP integration into EDs in order to develop an Alberta-specific communication tool that addresses these barriers. There were four recurrent themes identified in the literature. Firstly, confusion existed amongst staff, such as physicians and nurses, regarding the NP scope of practice and roles. Secondly, there is no emergency education program for NPs in Canada; therefore, the development of emergency-specific training relies on mentorship and on the job training. Thirdly, there is a lack of a uniform scope of practice. Lastly, variations exist between physician and NP pay structures. In response to these barriers, an infographic was designed as a reference for a physician that details the role, scope of practice, and education of NPs as well as the importance of physician’s support. This infographic is the first Alberta specific, evidenced-based communication tool that has been developed. The infographic is intended to be used in Alberta only, as scope of practice and regulations for NPs vary between provinces. Opportunities for future research include utilizing the Knowledge-to-Action framework to assess whether the infographic improves physician understanding of the NP role, and ultimately helps deter physician opposition.

Nurse burnout is a pervasive issue in healthcare settings worldwide, affecting both the well-being of healthcare professionals and patient outcomes. This article explores the causes and consequences of nurse burnout, shedding light on its far-reaching impacts on individuals and the healthcare system. Moreover, it offers practical strategies for prevention, emphasizing the importance of proactive measures to address this critical problem. Nurse burnout is not the result of a single factor but rather a complex interplay of various causes. Understanding these causes is crucial for devising effective preventive strategies. One of the primary causes of nurse burnout is excessive workload and inadequate staffing levels. Nurses are often required to work long hours, care for a high number of patients, and handle a wide range of responsibilities. These conditions can lead to physical and emotional exhaustion. Nurses regularly encounter emotionally charged situations, such as dealing with suffering patients, delivering bad news, and witnessing traumatic events. This emotional burden can accumulate over time, leading to burnout. Limited autonomy in decisionmaking and the constant pressure to adhere to strict protocols can be demoralizing for nurses. A sense of control over their work is essential for job satisfaction and preventing burnout.

The Coronavirus pandemic carried phenomenal difficulties to medical services frameworks around the world, influencing each feature of the business. Among the most altogether influenced regions was nursing instruction and preparing. This article investigates the significant impacts of the pandemic on nursing schooling, featuring the versatile procedures and developments that arose to guarantee a vigorous and strong nursing labor force. From the unexpected shift to virtual figuring out how to the development of clinical encounters, this article digs into the enduring changes that will keep on molding nursing training long into the future. The pandemic sped up the reception of advanced innovations in nursing training. Investigate how web based learning stages, computer experiences, and telehealth preparing became fundamental apparatuses in nursing schooling. Examine the difficulties and chances of this advanced change, including admittance to innovation and the improvement of new educating systems. Clinical preparation was seriously disturbed by the pandemic. Examine the novel strategies utilized by nursing programs to provide practical experience while maintaining safety. Examine the utilization of telehealth clinicals, elective clinical locales, and new wellbeing conventions for in-person preparing. Investigate the unexpected shift to remote learning and its effect on understudies and personnel. Discuss the difficulties encountered with regard to assessment, collaboration, and engagement. Feature fruitful methodologies and devices that aided overcome any issues in remote nursing training.

Telehealth nursing, the act of conveying medical care benefits from a distance, has seen huge development and development lately. This article investigates the headways that have moved telehealth nursing into the spotlight, the difficulties it faces, and the promising future possibilities it offers in the domain of medical services conveyance. Telehealth nursing has seen significant improvement, because of mechanical progressions and changes in medical care conveyance models. The multiplication of fast web, cell phones, and secure video conferencing stages has enormously upgraded the abilities of telehealth nursing. Ongoing video interviews empower medical caretakers to evaluate patients, offer direction, and screen conditions from a distance. The improvement of wearable wellbeing gadgets, for example, smartwatches and sensors, has permitted attendants to screen patients' important bodily functions and wellbeing measurements from a distance. These gadgets give significant information to early mediation and anticipation. Coordination of EHRs with telehealth stages has smoothed out persistent data sharing and further developed progression of care. During telehealth encounters, nurses can access a patient's medical history and update records in real time.