scholarly journals Many People Are Afraid of White Coats. They Should Be

2018 ◽  
Author(s):  
Kathryn Tente
Keyword(s):  
Systematic Review ◽  
Patient Outcomes ◽  
Nurse Practitioners ◽  
Multidisciplinary Team ◽  
Healthcare Workers ◽  
Cross Contamination ◽  
Potential Source ◽  
Do No Harm ◽  
Figure Of Speech ◽  
Culture And Sensitivity

The concept of “do no harm” is not a figure of speech. It is a pledge to our patients to insert ourselves between them and anything that can harm them physically or emotionally. “Do lab coats harbor microbes that are detrimental to our clients’ health?” was the question that drove this systematic review. Using a search to cover articles regarding the microbial integrity of the coat, several studies were found to include culture and sensitivity reports along with participants’ surveys that increase the data to include demographics, handling habits of the coat along with laundering habits of the owners of the coats. Eight studies were reviewed, seven of the eight did provide survey information, to extract data and conclusions for the summarization of the integrity of the coat. The microbial compromise of the garment was confirmed, and solutions were uncovered as the eight studies were examined. All studies referred to the garment as a source or a potential source of cross contamination. Using education guided by a multidisciplinary team, nurse practitioners can lead an effective approach to aid in the safe handling of the white coat. Standards for the handling of the coat along with monitoring of the compliance of healthcare workers can lead to a safer environment and better patient outcomes.

scholarly journals Nurse practitioners and physician assistants working in ambulance care: A systematic review

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1182
Author(s):  
Risco van Vliet ◽  
Remco Ebben ◽  
Nicolette Diets ◽  
Thomas Pelgrim ◽  
Jorik Loef ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Outcomes ◽  
Nurse Practitioners ◽  
Resource Use ◽  
Selection Process ◽  
Physician Assistants ◽  
Referral And Consultation ◽  
Cochrane Library ◽  
Process Of Care

Background: This review aims to describe the activities of nurse practitioners (NPs) and physician assistants (PAs) working in ambulance care, and the effect of these activities on patient outcomes, process of care, provider outcomes, and costs. Methods: PubMed, MEDLINE (EBSCO), EMBASE (OVID), Web of Science, the Cochrane Library (Cochrane Database of Systematic Review), CINAHL Plus, and the reference lists of the included articles were systematically searched in November 2019. All types of peer-reviewed designs on the three topics were included. Pairs of independent reviewers performed the selection process, the quality assessment, and the data extraction. Results: Four studies of moderate to poor quality were included. Activities in medical, communication and collaboration skills were found. The effects of these activities were found in process of care and resource use outcomes, focusing on non-conveyance rates, referral and consultation, on-scene time, or follow-up contact Conclusions: This review shows that there is limited evidence on activities of NPs and PAs in ambulance care. Results show that NPs and PAs in ambulance care perform activities that can be categorized into the Canadian Medical Education Directives for Specialists (CanMED) roles of Medical Expert, Communicator, and Collaborator. The effects of NPs and PAs are minimally reported in relation to process of care and resource use, focusing on non-conveyance rates, referral and consultation, on-scene time, or follow-up contact. No evidence on patient outcomes of the substitution of NPs and PAs in ambulance care exists. PROSPERO registration: CRD42017067505 (07/07/2017)

The impact of advanced nurse practitioners on patient outcomes in chronic kidney disease: A systematic review

2018 ◽  
Vol 44 (4) ◽  
pp. 197-209 ◽  
Author(s):  
Geraldine McCrory ◽  
Declan Patton ◽  
Zena Moore ◽  
Tom O'Connor ◽  
Linda Nugent
Keyword(s):  
Systematic Review ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Patient Outcomes ◽  
Nurse Practitioners ◽  
The Impact

scholarly journals First do no harm: Moving beyond universal pre-procedural testing for COVID-19

2021 ◽  
Author(s):  
Jessica Penney ◽  
Sajani Shah ◽  
Shira Doron
Keyword(s):  
Patient Outcomes ◽  
Healthcare Workers ◽  
Test Results ◽  
Patient Centered ◽  
Do No Harm ◽  
Community Transmission ◽  
Polymerase Chain ◽  
Community Infection ◽  
Improve Patient ◽  
Rate Threshold

Abstract Pre-procedural testing for SARS-CoV-2 was introduced early in the pandemic in an effort to protect healthcare workers, direct appropriate use of personal protective equipment (PPE), and improve patient outcomes. In light of our appreciation for the efficacy of PPE and the nuances associated with interpretation of polymerase chain reaction (PCR) testing for SARS-CoV-2, particularly as community transmission decreases, we call for a re-evaluation of universal pre-procedural testing. We propose a transition to a patient-centered approach, focusing on testing patients whose outcomes would be improved by a delayed procedure in the event of a positive test and a greater reliance on appropriate PPE rather than pre-procedural test results. We recommend that a community infection rate threshold be set at which point pre-procedural testing is discontinued, understanding that there is an inflection point at which testing downsides outweigh the benefits.

Prevalence of Depression, Anxiety, and Insomnia Among Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Sofia Pappa ◽  
Vasiliki Ntella ◽  
Timoleon Giannakas ◽  
Vassilis G. Giannakoulis ◽  
Eleni Papoutsi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Workers ◽  
Meta Analysis ◽  
Prevalence Of Depression
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