Abstract:
:Quality of care at rural health centers in Rwanda is often limited by gaps in individual nurses' knowledge and skills, as well as systems-level issues, such as supply and human resource management. Typically, nurse training is largely didactic and supervision infrequent. Partners In Health and the Rwandan Ministry of Health (MOH) collaborated to implement the nurse-focused Mentoring and Enhanced Supervision at Health Centers (MESH) program. Rwandan nurse-mentors trained in quality improvement and mentoring techniques were integrated into the MOH's district supervisory team to provide ongoing, on-site individual mentorship to health center nurses and to drive systems-level quality improvement activities. The program targeted 21 health centers in two rural districts and supported implementation of MOH evidence-based protocols. Initial results demonstrate significant improvement in a number of quality-of-care indicators. Emphasis on individual provider and systems-level issues, integration within MOH systems, and continuous monitoring efforts were instrumental to these early successes.
journal_name
Nurs Outlookjournal_title
Nursing outlookauthors
Anatole M,Magge H,Redditt V,Karamaga A,Niyonzima S,Drobac P,Mukherjee JS,Ntaganira J,Nyirazinyoye L,Hirschhorn LRdoi
10.1016/j.outlook.2012.10.003subject
Has Abstractpub_date
2013-05-01 00:00:00pages
137-44issue
3eissn
0029-6554issn
1528-3968pii
S0029-6554(12)00291-6journal_volume
61pub_type
杂志文章相关文献
NURSING OUTLOOK文献大全abstract::Systematic evaluations of nursing educational programs can be difficult, time-consuming, contentious, and unrewarding processes. Yet there is little doubt of the value of a well-designed, systematic evaluation. Nurse educators and administrators currently face challenges to maximize the value of educational resources ...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Children with complex chronic conditions (CCC) need extensive, costly care, usually provided at home by parents. These children often rely on technology to survive or avoid complications. Children with CCC receive nursing care in hospital, community, and home settings. An integrative review of 22 nursing studies, from...
journal_title:Nursing outlook
pub_type: 杂志文章,评审
doi:10.1016/j.outlook.2013.03.008
更新日期:2013-09-01 00:00:00
abstract::Nurse-graduates today must be prepared to practice in a complicated healthcare system with numerous safety challenges. Although patient safety and quality competencies are a priority in nursing education, effective strategies for applying this knowledge into practice are needed. To meet this challenge, the Helene Fuld...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2018.08.003
更新日期:2019-01-01 00:00:00
abstract::Teachers and educational researchers in nursing have persisted in their attempts to teach students critical thinking and to evaluate the effectiveness of these efforts. Yet, despite the plethora of studies investigating critical thinking, there is a paucity of research providing evidence that teachers' efforts improve...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2006.02.002
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:During the transition, newly graduated nurses undergo complex challenges, which exacerbate their intention to leave. PURPOSE:To examine the longitudinal change of intention to leave and identify the potential factors of intention to leave in the first year. METHODS:A total of 343 newly graduated nurses wer...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2016.10.007
更新日期:2017-01-01 00:00:00
abstract::The purpose of this article was to highlight innovative analytic approaches in symptom science. Complex systems modeling is discussed using fatigue as an example. Fatigue is a common symptom among individuals of any age. It can be acute or chronic, and it can vary across the day and on weekends compared with weekdays....
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2014.07.002
更新日期:2014-09-01 00:00:00
abstract::This article describes a regional education/service partnership that has thrived for > 20 years. The collaboration takes place between a tertiary medical center and a university-based school of nursing located in a rural underserved area. Several critical issues have been creatively addressed by the partners including...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2007.01.002
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Extended hospital stays and complications are common among older adults and may lead to morbidity and loss of independence. Specialized geriatric units have been shown to improve outcomes but, with the growing numbers of older adults, may be difficult to scale to meet needs. PURPOSE:The purpose was to evalu...
journal_title:Nursing outlook
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.outlook.2015.11.014
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Concern regarding newly licensed registered nurses' abilities to cope with the increasing complexity of care has led to the development of a variety of nurse residency program (NRP) initiatives. The unknowns are the extent to which and how various program elements are implemented across NRPs. Without underst...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2013.12.008
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Nurses' turnover has a costly impact on organizations, patients, and nurses. Numerous studies have highlighted the critical role of nursing leadership in enhancing new nurses' retention. PURPOSE:To examine the influence of authentic leadership on new nurses' job turnover intentions through their personal id...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2016.11.020
更新日期:2017-01-01 00:00:00
abstract::The ongoing Ebola epidemic in West Africa has drawn attention to global health inequalities, in particular the inadequacies of health care systems in sub-Saharan African countries for appropriately managing and containing infectious diseases. The purpose of this article is to examine the sociopolitical and economic co...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2014.12.013
更新日期:2015-01-01 00:00:00
abstract::This article traces the funding priorities of the John A. Hartford Foundation--the largest private philanthropy in the United States dedicated to aging and health--to increase the competence of the health care workforce (physicians, nurses, and social workers) to care for our aging society. A review of the Foundation'...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2011.05.002
更新日期:2011-07-01 00:00:00
abstract::Grim statistics on infant mortality and women's health alone are not enough to keep Medicaid funded. What is also needed is a strong, vociferous lobby dedicated to protecting these important programs. ...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract:BACKGROUND:The Department of Veterans Affairs (VA) Quality Scholars (VAQS) program, an interprofessional fellowship that includes pre- and postdoctoral nurses, aims to inspire practice change leaders. Fellows participate in a national curriculum, lead improvement/research teams, and establish professional development p...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2020.09.003
更新日期:2020-10-21 00:00:00
abstract::In summary, nursing and nutrition have matured as scholarly professional disciplines. Both have bodies of knowledge and professional practice arenas that are unique, yet interrelated. Professional maturity and social necessity are resulting in increased collaboration and cooperation between nurses and dietitians after...
journal_title:Nursing outlook
pub_type: 杂志文章,评审
doi:
更新日期:1993-07-01 00:00:00
abstract::Transdisciplinary health research training has been identified as a major initiative to achieve the vision for research teams of the future as articulated in the National Institutes of Health (NIH) Roadmap for Medical Research. To address the need for scientists who can integrate diverse scientific approaches and work...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2008.02.004
更新日期:2008-05-01 00:00:00
abstract::The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides foods, education, and referrals to participants who are considered to be at nutritional risk. The outreach of the program is impressive, and nearly 9.17 million people participated in the program in 2010. WIC participation is as...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2013.05.010
更新日期:2013-11-01 00:00:00
abstract:BACKGROUND:The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. PURPOSE:We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. METHODS:The nurses engage w...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2020.12.011
更新日期:2021-01-20 00:00:00
abstract:BACKGROUND:Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved. PURPOSE:We sought to update our previously published model with new empirical, synthetic, and theoretical work. MET...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2014.10.003
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Pillboxes are widely available, have evidence of effectiveness, but translating pillboxes in self-management interventions requires an understanding of intervention components. PURPOSE:To review components of intervention design, interventionist training, delivery, receipt, enactment, and targeted behaviors...
journal_title:Nursing outlook
pub_type: 杂志文章,评审
doi:10.1016/j.outlook.2016.12.011
更新日期:2017-01-01 00:00:00
abstract::The Institute of Medicine's quality initiatives have collectively emphasized the importance of information technology to the transformation of health care. Not coincidentally, federal initiatives in 2004 have signaled the start of "the decade of health information technology." Building on those reports, this article d...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2005.02.006
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:The purpose of this study, an oral history, was to create a documented account of how Virginia Cleland was experienced by her colleagues and those she mentored. DESIGN:Data were collected for 8 months by snowball sampling of colleagues and mentorees. Nineteen individuals from across the United States were cont...
journal_title:Nursing outlook
pub_type: 传,历史文章
doi:10.1067/mno.2002.128882
更新日期:2002-11-01 00:00:00
abstract::The processes and outcomes of nurses' work are described extensively in studies about patient care, nursing education and training, job satisfaction, health care quality and management, and organizational behavior. These studies evaluate the relationship between nurses' behavior and organizational health (ie, producti...
journal_title:Nursing outlook
pub_type: 杂志文章,评审
doi:10.1016/j.outlook.2005.10.001
更新日期:2005-11-01 00:00:00
abstract::The University of Minnesota has developed a limited-cohort distance education graduate program to overcome geographic barriers and address the shortage of master's-prepared specialty nurses in rural areas of the upper Midwest. Such a program offers graduate nursing education in various specialty areas to distance site...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/s0029-6554(99)90038-6
更新日期:1999-01-01 00:00:00
abstract::Haiti has long had the largest proportion of people living in poverty and the highest mortality level of any country in the Americas. On January 12, 2010, the most powerful earthquake to hit Haiti in 200 years struck. Before the earthquake, half of all Haitians lacked any access to modern medical care services. Health...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2011.03.016
更新日期:2012-01-01 00:00:00
abstract::First, present research on the selection and characteristics of practitioners is both controversial and important. We need good answers to be helpful to those planning directions for the future of nursing. Second, we need good descriptive research indicating how applicants for different types of programs vary; how age...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to identify common components of diversity pipeline programs across a national sample of nursing institutions and determine what effect these programs have on increasing underrepresented minority enrollment and graduation. DESIGN:Linked data from an electronic survey conducted ...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2014.04.006
更新日期:2014-07-01 00:00:00
abstract::Focus group methodology uses focused interviews to obtain information from individuals and interactions among individuals in a small group setting. In this article we share the insights we have gained from using focus group methodology in work with an under-served population of black menopausal women. This methodology...
journal_title:Nursing outlook
pub_type: 杂志文章,评审
doi:10.1016/j.outlook.2005.03.010
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:The VA Quality Scholars (VAQS) program is an interprofessional fellowship that provides a unique opportunity for predoctoral nurse scientists to embed their work in quality improvement learning "laboratories" to inform their scholarship, science, and research. PURPOSE:To describe the VAQS program in relatio...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2020.08.003
更新日期:2020-09-24 00:00:00
abstract:BACKGROUND:Further efforts are warranted to identify innovative approaches to best implement competencies in nursing education. To bridge the gap between competency-based education, practice, and implementation of knowledge, skills, and attitudes, one emerging approach is entrustable professional activities (EPAs). PU...
journal_title:Nursing outlook
pub_type: 杂志文章
doi:10.1016/j.outlook.2017.11.001
更新日期:2018-01-01 00:00:00