The Patient Protection and Affordable Care Act (ACA) fosters a preventive health care model that emphasizes primary care, funds community health initiatives and promotes quality care. The article, The Affordable Care Act: Primary Care and the Doctor of Nursing Practice Nurse, will add to the recent OJIN topic about evolving and emerging nursing roles. Authors Breanna Lathrop, MSN, MPH, FNP-BC, and Donna R. Hodnicki, PhD, FNP-BC, FAAN, will describe the role of Doctor of Nursing Practice (DNP) nurses as primary care providers, explain how preventive health care can be enhanced through the use of a primary care model, and address associated challenges related to increasing preventive care in our health care system. They will also discuss DNP nurse leadership opportunities and professional and legal barriers that need to be removed before DNP nurses will be able to provide the care they are prepared to offer.
Dysphagia in adults affects their quality of life and can lead to life-threatening conditions. The OJIN topic about patient safety will soon be updated with an article by Dennis C. Tanner, PhD, and William R. Culbertson, PhD, Avoiding Negative Dysphagia Outcomes. Both authors draw on 30 years of experience as clinicians and also on expert testimony in adult, dysphagia-malpractice cases to offer five detailed recommendations for nurses with the aim of preventing dysphagia-related deaths. They discuss specific nursing actions to reduce unnecessary tragedies related to dysphasia: the importance of diet status, speech-language-pathologist recommendations, familiarity with dysphagia assessment, need for an instrumental assessment, and appropriate communication among health care professionals.
Advanced practice nursing students require quality clinical education to prepare them to assume collaborative roles in health care settings. Although graduate clinical preceptors are vitally important in the clinical education and professional socialization of advanced practice students, there is little evidence about factors that influence their role commitment. The article, Graduate Clinical Nurse Preceptors: Implications for Improved Intra-Professional Collaboration, will add to the OJIN topic on partnerships and collaboration. Sister Rosemary Donley, PhD, APRN, FAAN; Sister Mary Jean Flaherty, PhD, RN, FAAN; Eileen Sarsfield, PhD, PHCNS-BC; Agnes Burkhard, PhD, RN, APHN-BC; Sandra O’Brien, PhD, FNP, PHCNS-BC; and Kelley M. Anderson, PhD, FNP, will describe their study that identified factors influencing graduate clinical preceptors’ role commitment. They will discuss conclusions about the integration of the graduate clinical preceptor role and the need for intra-professional collaboration among nursing faculty, administrators and clinicians to facilitate recruitment, cultivation and retention of graduate clinical nurse preceptors.
The next Informatics Column, Integrating a Geographic Information System into Nursing Research: Potentials and Challenges, by Jehad Rababah, MSN, RN; Andrew Curtis, PhD, MA, BA; and Barbara L. Drew, PhD, PMHCNS-BC, will provide a basic introduction as to how a Geographic Information System (GIS) can be used as a research tool to study various nursing phenomena. The column will discuss examples of GIS used in nursing, and offer recommendations and implications for future nursing research.
Finally, this spring will bring two additions to the Cochrane Review Column. Ergonomic Design and Training for Preventing Work-Related Musculoskeletal Disorders of the Upper Limb and Neck in Adults, by Nerys Brick, MSc (Renal), BSc (Hons), PGCLT(HE) NMC, RN, will consider the review question, “What effects do workplace ergonomic design or training interventions, or both, have in the prevention of work-related upper limb and neck musculoskeletal disorders in adults?” The column, Chinese Herbal Medicine for Endometriosis, by ChenLing Luo, PhD, RN, will consider the review question, “What is the effectiveness and safety of Chinese herbal medicine (CHM), compared with conventional treatment, on endometriosis-related pain and infertility in women with endometriosis?”
— Jackie Owens is the editor-in-chief of OJIN.
Read these articles in OJIN at www.nursingworld.org/OJIN.