BACKGROUND African Americans suffer disproportionately from diabetes complications, but little research has focused on how to improve diabetic control in this population. There are also few or no data on a combined primary care and community-based intervention approach. METHODS We randomly assigned 186 urban African Americans with type 2 diabetes (76% female, mean A SD age 59 A 9 years) to 1 ...

introduction: medical tourism as one of the dimensions of tourism is helping in sustainable development and dynamics of the economy. considering the low cost and high income of the industry and its role on strengthening country health structures, many developing countries focused their attention on the industrial sector and planning for it. the purpose of this research was to investigate effect...

A clinical nurse leader (CNL) is an advanced generalist prepared at the master’s degree level to oversee the lateral integration of care for a specific group of patients (American Association of Colleges of Nursing [AACN], 2013). According to Reid and Dennison (2011), the intended purpose of the CNL was to provide clinical leadership directly at the point of care to ensure safe, evidence-based,...

This study considers empowerment in nurse–manager relations by examining how conflict is handled on both sides and how the critical social perspective has influenced these relations. The authors use inductive analysis of empirical data to explain how (1) nursing work is organized, structured, and circumscribed by centrally determined policies and practices that downplay nurses’ professional jud...

Jackie Stephen-Haynes is Professor in Tissue Viability, Professional Development Unit, Birmingham City University and Consultant Nurse, Worcestershire Health Care NHS Trust; Alistair Bielby is Clinical Project Manager, Smith and Nephew Healthcare Ltd; Richard Searle is Health Economics Manager, Smith and Nephew Healthcare Ltd, Hull This article proposes a systematic, measured and disciplined ap...

Clinical Risk Management Unit, Wimmera Health Care Group, Horsham, VIC. Alan M Wolff, FRACGP, MBA, Director of Medical Services; Sally A Taylor, BN, RM, MAM (Health), Clinical Risk Manager; Janette F McCabe, BN, CritCareCert, MAM (Health), Nurse Unit Manager (formerly Clinical Pathway Coordinator). Reprints: Dr Alan M Wolff, Clinical Risk Management Unit, Wimmera Health Care Group, Baillie Stre...

Rural healthcare organizations face significant challenges when implementing quality and safety initiatives due to limited human and financial resources. The Clinical Nurse Leader (CNL), a new nursing role developed to address the quality and safety concerns of healthcare organizations and providers, may prove to be an exceptionally valuable member of the rural nursing leadership team. Educatio...

OBJECTIVE The aim of this study was to investigate job satisfaction and intent to stay for ambulatory oncology nurses. BACKGROUND An oncology provider shortage suggests that retention is a high priority, and factors associated with job outcomes are unknown in this setting. METHOD Data were derived from a cross-sectional survey completed by 402 oncology nurses employed in ambulatory settings...

OBJECTIVE This study explored factors that affect the adoption or rejection of evidence-based practice (EBP) changes and differences in nurse manager and staff nurse perceptions about those factors. BACKGROUND Roger's Diffusion of Innovations Theory explains relevant organizational strategies for guiding practice change. METHODS The primary author developed the Evidence-Based Practice Chang...