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Objective: The purpose of this project was to develop evidence‐based clinical practice guidelines (CPGs) for the management of oral health (OH) for patients with Parkinson’s disease (PD). Background: Individuals with PD have significantly poorer OH than the general population. Poor OH is a risk factor for systemic diseases, including cardiovascular disease, diabetes, and respiratory infections. Materials and Methods: After an extensive literature review was completed, available evidence was evaluated for inclusion in the initial draft of the guidelines. The draft was then reviewed for content validity by experts in the areas of dentistry, dental hygiene and neurology using the Delphi method. After consensus among the content experts, final guidelines were completed. The final CPG was presented to individuals with PD and their caregivers at a support group. Participants were asked to review the information in the guidelines for 2 weeks and then submit a survey regarding the usefulness of the CPG. The CPG was also evaluated by practicing nurse practitioners (NPs) and dental hygienists using the AGREE II tool. Results: Twenty people from the PD support group participated in the educational intervention, and surveys were received from 14 participants. Overall, participants agreed or strongly agreed with each statement related to the applicability and usefulness of the guidelines. The CPG was evaluated using the AGREE II tool, and scores were >80% in all domains with an overall score of 97.1%. Conclusion: Development of these guidelines represent an initial step in improving the oral health and overall health of individuals with PD.

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Problem: While shared governance (SG) literature is present in practice, minimal literature exists addressing SG in nursing education. Using principles of quality improvement one College of Nursing (CON) transformed its hierarchal, paternalistic model to a SG model for its governance structure. Purpose: This discussion will introduce the SG model and the CON’s stages of transformation by blending quality improvement approaches with Prochaska’s change theory.Method: Frustration during the pre-contemplation stage with the college administration’s perceived communication deficits was an initial barrier to SG. This deficit was a primary reason that faculty wanted SG. As faculty began to look inward, it became apparent that administration was not solely responsible. The governing model was ineffective as well. During the contemplation stage, faculty explored the CON governance structure. Many faculty were ambivalent about these explorations which resulted in faculty turnover and instability in the classroom. Concurrently, during this tumultuous time, many faculty banded together, held meetings, gathered facts, weighed options, and began exploring SG. The preparation stage involved faculty embracing a vision of SG for the CON. The CON hired a mediator to address faculty anxieties and administration’s ineffective attempts to appease faculty requests. Mediation resulted in a change in CON top administration and departmental structure. The lengthy action stage had some faculty and staff disillusioned that SG was not in the best interest of the CON. Transforming the governance model had mishaps and setbacks. These misfortunes led the employees charged with designing the SG model insight into how all CON employees would have representation. Perseverance of formal and informal CON leadership prevailed. Evaluation: Currently, the CON faculty, staff and administration are adjusting to the SG model. During this year, evaluation of the SG model will occur. Providing an example of how methods associated with quality improvement and Prochaska’s change theory can be applied to a CON governance will assist organizations in how transformation occurs.

Book Summary: This is the only advanced practice guide to provide an overview of the major DSM-IV-TR disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. It has been compiled by expert practitioners in psychiatric care and is designed for use by nurse practitioners and other primary caregivers in clinical practice. The guide is organized in an easy-to-access format with disorders for which drugs can play a significant therapeutic role. The listing for each disorder includes clinical features and symptoms, as well as information about the most current and effective drugs for management. A clearly formatted table identifies the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification, and each listing provides the essential information needed to safely prescribe and monitor a patient's response to a particular drug. This includes brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations. Convenient, practical, and portable, this guide will be a welcome and frequently used resource.

Book Summary: This quick reference serves as an authoritative clinical guide to diagnostic treatment and monitoring recommendations for patients with mental disorders in the primary care setting. It offers fast and efficient access to evidence-based diagnostic and therapeutic guidelines for managing psychiatric and mental health conditions. The book guides family and adult advanced practice nurses in making clinical decisions that are supported by the best available evidence, reflecting current research and expert consensus. Additionally, researchers may use this book to identify important clinical questions where more research could be conducted to improve treatment decision making. This comprehensive text is organized by major diagnostic categories, such as anxiety disorders, with specific diagnoses organized alphabetically within each category. It supports informed practice, which increases confidence in differential diagnosis, safe and effective treatment decision making, reliable treatment monitoring and, ultimately, improved patient outcomes. Additionally, DSM-IV-TR diagnostic standard summaries and ICD-9 codes are incorporated for use in the clinical setting. It is an essential resource in everyday practice for all health care providers.

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