UNLABELLED This article summarizes the development and implementation of a registered nurse-initiated protocol to intervene with hospitalized patients who are tobacco-dependent, may be experiencing tobacco withdrawal, and who are hospitalized in a smoke-free environment. RATIONALE Tobacco use is the leading cause of preventable death in the United States. Hospitalization provides a unique tea...

BACKGROUND Multiple sclerosis (MS) is a disease of the central nervous system. The cause is unknown. There are about 80-160 people with MS per 100,000 population, with twice as many women affected as men. The management of individuals with MS includes treatment of acute relapses and chronic symptoms. The care of MS patients is provided by various healthcare professionals, such as general practi...

The objective of this paper is to report the experience of implementing a model of advanced nursing practice that integrates a clinical nurse specialist into the nursing staff. The authors describe the concept of this model and the process of its implementation in a pediatric oncology reference institution in the city of São Paulo, Brazil. The main result achieved in evaluating the clinical nur...

347 Ruth Zu-Kei Lin, RN, MSN, AOCN®, APN-C, is an oncology clinical nurse specialist at Morristown Memorial Hospital (MMH) in New Jersey; Susan Fowler, PhD, RN, CNRN, FAHA, is a clinical nurse researcher at the Visiting Nurse Association of Central Jersey in Red Bank and was a clinical nurse researcher at MMH at the time of this research; and Craig A. Dise, MD, PhD, is chair of pathology and Ra...

The clinical nurse specialist (CNS) provides an important clinical leadership role for the nursing profession and broader healthcare system; yet the prominence and deployment of this role have fluctuated in Canada over the past 40 years. This paper draws on the results of a decision support synthesis examining advanced practice nursing roles in Canada. The synthesis included a scoping review of...

Heart failure is growing in incidence as a result of the aging of the population and of improved survival from myocardial infarction. However, quality of life is poor among patients with heart failure, and has shown to be worse than in most chronic conditions. These patients often have a poor prognosis—around 50% of those with severe heart failure will die within the first year. Since this is a...

Dan Negoianu, MD Assistant Professor of Medicine Medical Director, Inpatient Dialysis Director, ICU Nephrology Hospital of the University of Pennsylvania “ nurse specialists play an integral role on the leadership team. Their expertise in practice and quality are drivers for patient outcomes. It is a pleasure to partner and collaborate with clinical nurse specialists on everyday projects and sy...

District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purpor...

The issue of defining advanced practice nursing roles is increasingly a subject of national discussion and debate. Central to this discussion has been the issue of merging nurse practitioner (NP) and clinical nurse specialist (CNS) roles and the tendency for the term "nurse practitioner" to replace that of "clinical nurse specialist" in denotation of these roles. The authors note the lack of an...