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Nursing research is increasing its use of theories derived from family sociology and family social science. A number of these theories are helpful in explaining health phenomena and guiding nursingpractice in clinical settings wherein the family is an integral part of the intervention. The use of family stress theory in clinical practice is especially relevant in promoting health during normal family transitions, and in assessing family changes during a family member's acute or chronic illness. PMID:3785770
A description is provided of "Theories for Extended Pediatric NursingPractice," a required course for pediatric and family nurse practitioner students in a California state university program. The course description presents information on the curricular placement of the course, prerequisites, in-class time allotments, and the focus of the course…
s nursing strives to be recognised as a profession the theories that underpin our practice are increasingly put under the microscope. Nursingtheory and its relevance to clinical practice has long been a subject of controversy. Indeed, a lack of agreement in the professional literature serves to confuse nurses and has caused many to dismiss nursingtheory as being long-winded
The advancement of professional nursing requires integration of theory, practice and research. One realistic mechanism to achieve this integration is collaborative nursing research. A collaborative experience between clinical nurse specialists and faculty researchers is described and evaluated. The collaborative research project focused on contraceptive nursing care and self-care conceptualized within Orem's theory. A major finding was that while job titles and settings of the participants differed markedly, role components were not disparate; rather, they were compatible and complementary. The collaborative project strengthened both the theory base for a primary care nursingpractice and the practice base for faculty research and theory development efforts. PMID:2703599
Denyes, M J; O'Connor, N A; Oakley, D; Ferguson, S
The article presents a narrative and exemplar from an independent nursingpractice underpinned by the theory of health as expanding consciousness. The journey illustrates the importance of developing personal and professional awareness of theories that are congruent with one's worldview. This enhances meaning in nursingpractice and contributes to closing the theory-practice gap. The benefits of independent nursingpractice to closing the gap are also discussed. PMID:21304284
'Nurse Triage' refers to the formal process of early assessment of patients attending an accident and emergency (A&E) department by a trained nurse, to ensure that they receive appropriate attention, in a suitable location, with the requisite degree of urgency. The benefits claimed for nurse triage include better patient outcomes, through clinical management reaching those in greatest need of it
S George; S Read; L Westlake; B Williams; P Pritty; A Fraser-Moodie
Compassionate practice is expected of Registered Nurses (RNs) around the world while at the same time remaining a contested concept. Nevertheless, student nurses are expected to enact compassionate practice in order to become RNs. In order for this to happen they require professional socialisation within environments where compassion can flourish. However, there is concern that student nurse socialisation is not enabling compassion to flourish and be maintained upon professional qualification. In order to investigate this further, a glaserian Grounded Theory study was undertaken using in-depth, digitally recorded interviews with student nurses (n=19) at a university in the north of England during 2009 and 2010. Interviews were also undertaken with their nurse teachers (n=5) and data from National Health Service (NHS) patients (n=72,000) and staff (n=290,000) surveys were used to build a contextual picture of the student experience. Within the selected findings presented, analysis of the data indicates that students aspire to the professional ideal of compassionate practice although they have concerns about how compassionate practice might fit within the RN role because of constraints on RN practice. Students feel vulnerable to dissonance between professional ideals and practice reality. They experience uncertainty about their future role and about opportunities to engage in compassionate practice. Students manage their vulnerability and uncertainty by balancing between an intention to uphold professional ideals and challenge constraints, and a realisation they might need to adapt their ideals and conform to constraints. This study demonstrates that socialisation in compassionate practice is compromised by dissonance between professional idealism and practice realism. Realignment between the reality of practice and professional ideals, and fostering student resilience, are required if students are to be successfully socialised in compassionate practice and enabled to retain this professional ideal within the demands of 21st century nursing. PMID:22583813
This article presents a case study that examined the work practice of nurses in a cardiac step-down unit (CSDU). The action research included interviews, participant observation, and a self-reporting questionnaire. Nurses in the unit used a conceptual framework that was inconsistent with the rehabilitation-oriented nursing necessary to enhance patient outcomes in a CSDU. The results of this study show that a need exists for greater alignment between the practice and the educational preparation of nurses who work in a CSDU. A framework such as Dorothea Orem's Self-Care Theory of Nursing (1995) offers a conduit for nurses to deliver care appropriate to CSDU patient needs. However, there is a need for continuing education for nursing staff to align the cardiac rehabilitation nursing philosophy and the theories that underpin it (such as the Self-Care Theory) with nursingpractice. Practice development provides a mechanism through which to examine the congruence between patient needs and nurse perception of those needs. PMID:17004397
Conway, Jane; McMillan, Margaret A; Solman, Annette
|Professional empowerment is vital to nurses' productivity and job satisfaction. A grounded theory study was conducted to describe the basic social process experienced by school nurses in relation to professional empowerment. Interviews with 10 school nurses led to the development of a situation-specific theory of school nurse empowerment, "Making…
Spiritual care has been recognized as integral to nursing care for centuries, as described by Florence Nightingale, and has been studied in both medicine and sociology. Health care institutions, particularly faith-based health systems, also have recognized the importance of spiritual care. Both qualitative and quantitative research support the importance of spirituality in patient health. Although the profession, health care institutions, and research support spiritual care, there is no empirically derived theoretical framework to guide research in spiritual assessment and spiritual care. We used focus group data from registered nurses who care for the chronically ill (n = 25) in a large Midwestern academic health center to generate a grounded theory of spiritual care in nursingpractice. What emerged from this study was a beginning theoretical framework to guide future spiritual care research. PMID:18552319
The theory-practice gap has been the subject of much debate within nursing. Issues include: where the gap is, whether it is a positive or negative phenomenon and whether attempts should be made to bridge it. This paper describes a research study adopting an innovative approach to exploring the theory-practice gap by investigating it from the perspectives of three different groups:
Deconstruction of three British nursing research projects found that, due to a "Utopian" perspective, they reintroduce theory-practice gaps they sought to close. Future nursing research should avoid idealistic prescriptions and promote more skeptical and realistic approaches. (SK)
In the context of health care system complexity, nurses need responsive leadership and organizational support to maintain intrinsic motivation, moral sensitivity and a caring stance in the delivery of patient care. The current complexity of nurses' work environment promotes decreases in work motivation and moral satisfaction, thus creating motivational and ethical dissonance in practice. These and other work-related factors increase emotional stress and burnout for nurses, prompting both new and seasoned nurse professionals to leave their current position, or even the profession. This article presents a theoretical conceptual model for professional nurses to review and make sense of the ethical reasoning skills needed to maintain a caring stance in relation to the competing values that must coexist among nurses, health care administrators, patients and families in the context of the complex health care work environments in which nurses are expected to practice. A model, Nurses' Ethical Reasoning Skills, is presented as a framework for nurses' thinking through and problem solving ethical issues in clinical practice in the context of complexity in health care. PMID:20444776
Practicenursing in New Zealand is not well described in the literature. One survey illustrated that most of the New Zealand practicenurses sampled did not know of the country's two premier evidence-based health websites. A recent review compared general practice in the UK, New Zealand and Australia and found that whereas there had been significant developments in empowering the practicenurse workforce to run nurse-led clinics in the UK, New Zealand and Australia lagged behind. The aim of this reported constructivist grounded theory study was to investigate practicenurses' use of information. Conducted in Auckland, New Zealand, data were collected through ethnographic techniques in one general practice between September 2009 and January 2010 to enhance theoretical sensitivity to the area of information use. Subsequently, six experienced practicenurses (one twice after moving jobs) and five new graduate nurses from five different general practices were interviewed, using open-ended questions, between January 2010 and August 2011. Concurrent data collection and analysis occurred throughout the study period. The use of memos, the constant comparative method, data categorisation and finally, data abstraction resulted in the final theory of reciprocal role modelling. Experienced practicenurses role modelled clinical skills to new graduate nurses. Unexpectedly, new graduate nurses were unconscious experts at sourcing information and role modelled this skill to experienced practicenurses. Once this attribute was acknowledged by the experienced practicenurse, mutual learning occurred that enabled both groups of nurses to become better practitioners. Graduate nurses of the millennial generation were identified as a resource for experienced practicenurses who belong to the baby boomer generation and generation X. PMID:23638795
Describes ongoing research engaged in an antiracist critique of transcultural nursingtheory (TCN). TCN's core theme of cultural sensitivity organizes and reproduces White racial identity as a dominant but invisible presence in nursing texts. The research will test an instrument that supports nursing faculty and students in examining…
The alleged gap between theory and practice in nursing is usually understood as dissonance between what is taught in educational institutions and that which is performed in the every day world of nursingpractice. Historically strategies devised to enhance the relationship between theory and practice have focused upon manipulating factors in the environment in which learning takes place. Thus far, this has at best proved to be only partially successful. To increase understanding of the relationship this paper proposes the emerging and complementary theory of enactivism. Enactivism is a theory that enfolds the student, the context for learning and the leaned as intimate components. PMID:12785611
The relationship of nursing science and nursingpractice has been the topic of numerous discussions over the past decades. According to Orem, nursing science is a practical science, meaning that knowledge is developed for the sake of nursingpractice. Within Orem's self-care deficit nursingtheory, the concept of nursing agency links nursing science and nursingpractice. Nursing agency refers to the power or ability of the nurse to design and produce systems of care. The relationship of practicalnursing science, nursingpractice, and nursing agency is examined in this article. Suggestions for further work related to nursing agency are provided. PMID:21220575
Topic Nursing time has relevance for those who produce it, those who receive it and those who must pay for it. Though the term nursing time may be commonly used, a common understanding of the concept within the fields of nursing and healthcare administration is lacking. Purpose The purposes of this paper are to explore the concept of nursing time and to identify implications for theory development, clinical and administrative practice, and research. Discussion Both physical and psychological forms of time are viewed as fundamental to our experience of time as social beings. Nursing time has significant intrinsic and instrumental value in nursing and healthcare. A holistic approach incorporating the physical, psychological, and sociological aspects and dimensions of nursing time is advocated. Conclusions Multiple strategies to enhance the patient experience of nursing time are warranted and should address how much time nurses spend with patients as well as how they spend that time. Patterns of overlapping and competing time structures for nurses should be identified and evaluated for their effect on physical time available for patient care and the psychological experiences of time by nurses and patients.
This study aims at evaluating the usefulness of Orem's theory of self-care, applied to the hypertense woman. The analysis criteria of nursingtheories are classified into Internal and External Criteria. The usefulness of the theory, as one of the Internal Criteria, considers that the theory be useful when applied to professional practicing, be it in assistance, teaching, research or in administration. It has been found out that the theory is based on the basic needs of development. The application of the model in the health-disease cycle delimited the usefulness of Orem's self-care theory. PMID:15083787
Diógenes, Maria Albertina Rocha; Pagliuca, Lorita Marlena Freitag
Nationally, 9–10% of hospital in-patients acquire an infection during their admission. These infections are a major source of avoidable morbidity, mortality and additional resource use. Many could be prevented by use of effective infection control practi ces. However, the theory-practice gap affects compliance with infection control procedures in the same way that it affects other areas of nursingpractice. Infection
Nursingtheories provide inspiration for practice by describing how to meet needs, enhance wellness, and respond to clients as whole persons. This paper discusses the McGill Model of Nursing with reference to how its ideas can support nursingpractice for patients with cancer during the end-of-life phase. We suggest this model provides for a relational approach that is congruent with the philosophy of palliative care. The goal of this paper is to stimulate reflection amongst oncology nurses and nursing leaders. By comparing the value base of our practice against extant nursingtheory, we may discover new opportunities for teaching and learning about what it means to be an end-of-life care nurse. PMID:22970473
Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practicalnurses. Unit 16 deals with basic concepts in the nursing of the aged, in community health, and in the legal responsibilities of the practicalnurse. Covered next are nursing care procedures for adults with the…
This article explicates the concept of community as the relational processes that constitute a coming togetherness and explores the role of advanced practicenursing in community. Community as process and health as process are described from the theoretical perspectives of Parse's nursingtheory of human becoming and Newman's theory of health as expanding consciousness. Advanced practicenurses, in engaging with community, participate in a nurse-person-community-health process. This engagement occurs in the reality of managed health care. The focus of advanced practicenursing in community is health, wholeness, and quality of life. To participate with presence in the nurse-person-community-health process is viewed as nursing's opportunity. PMID:9447109
Theory-guided research has a long tradition in nursing that spans at least 50 years. Yet the use of nursingtheory with qualitative research approaches continues to raise questions. Grounded theory is selected by nurses as a research methodology to address research questions that are aimed at understanding the nuances of nursing communication processes. Nurse theorist Margaret Newman is recognized in this issue for her theoretical contributions to practice and research, and a Newman scholar is introduced who explains her use of grounded theory research methodology guided by Newman's theory of health as expanding consciousness. PMID:21742706
Health education has long been recognized as an important function of nursingpractice. The use of nursingtheories with health education groups has been less well explored. At this time there has been an increasing emphasis on basing nursingpractice on nursingtheory. The authors applied the theories of Hildegard Peplau and Dorothea Orem to two different health education groups
Background Nurse anaesthetists in the US have faced continued, repeated challenges to their profession. Regardless, they have met these challenges and have established themselves as major anaesthesia care providers. In this paper we address the research question: How do certified registered nurse anaesthetists (CRNAs) manage the socio-political context in which they provide care for their patients? Methods Grounded theory was used to explore how nurse anaesthetists protect and promote their profession. Purposive, snowball, and theoretical sampling was used and data were collected through participant observation and interviews conducted at a conference of the professional association, an educational program, by telephone, email exchanges, and time spent in operating rooms and an outpatient surgical clinic. Analysis included coding at increasingly abstract levels and constant comparison. Results The basic social process identified was Keeping Vigil Over the Profession, which explains how nurse anaesthetists protect and promote their profession. It is comprised of three contextual categories: Establishing Public Credibility through regulatory and educational standards, Political Vigilance and taking action in governmental and policy arenas, and Tending the Flock through a continuous information loop between local and administrative/political levels. Conclusions From our study of the context of nurse anaesthesia practice, it is clear that CRNAs are dedicated to protecting their ability to provide high quality patient care by maintaining constant vigilance over their profession.
In the past decade, much research has been conducted on the practicenurses engage in diagnosing the clinical condition of patients. Many of the studies suggest that diagnostic practices of nurses in simulation settings follow a hypothetical deductive model that similar to the clinical decision-making or diagnostic reasoning process. A second line of inquiry claims that experience used in conjunction
BACKGROUND: Nurse anaesthetists in the US have faced continued, repeated challenges to their profession. Regardless, they have met these challenges and have established themselves as major anaesthesia care providers. In this paper we address the research question: How do certified registered nurse anaesthetists (CRNAs) manage the socio-political context in which they provide care for their patients? METHODS: Grounded theory was
Interest in Problem-Based Learning (PBL) within nurse education has increased internationally in recent years. The expectations of this teaching\\/learning strategy are that it will enable nurses to develop skills required for professional practice including: enquiry, reasoning, interpersonal and lifelong learning skills. However, to date, there is little empirical evidence within nursing literature to support such expectations.This study evaluated the reiterative
Elizabeth J Barrow; Geraldine Lyte; Tony Butterworth
Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practicalnurses. The first unit deals with the various aspects of pediatric nursing, including the growth and development levels of children, diseases and conditions specific to children, and the application of health…
Part of a health occupations program, these instructional units consist of materials for use by those who are studying to become practicalnurses. Covered in the units are the following: the nursing care of mothers and newborns (obstetrics, prenatal care and complications, patient needs, care of the newborn, prematurity, medications, and cultural…
Literature articles and clinical observation suggest disease and environmental factors as primary causes of the low self-esteem and stigmatization that typify most psychiatric patients. These patients are at risk of injury when subjected to inappropriate physical restraint. Hospital staffs, including nurses, are in immediate and close contact with psychiatric patients. Mencius's and Kant's thoughts on human dignity can enhance reflections on clinical nursingpractices. Mencius's belief that preserving life is not the most desirable thing and death is not the most hated thing can help nurses realize the human dignity of psychiatric patients by understanding that, as an unrighteous act is more detestable than death, the meaning and value of righteousness are greater than life itself. In light of Kant's views on human dignity, nurses should treat patients as goals rather than means. Exploring such ideas can raise nursing quality, restore a positive sense of humanity to psychiatric patients, and develop nursing values and meaning to a higher plane. PMID:22469899
Nurses’ informal teaching practices have been viewed as secondary to formal teaching. This article places them at the centre of professional nursingpractice. On the basis of extended observation of 12 experienced surgical nurses, I assert they teach inexperienced physicians as well as patients, that their teaching is planned but more often informal and embedded in other work, and that
Background The patient-nurse relationship is a traditional concern of healthcare research. However, patient-nurse interaction is under examined from a social perspective. Current research focuses mostly on specific contexts of care delivery and experience related to medical condition or illness, or to nurses’ speciality. Consequentially, this paper is about the social meanings and understandings at play within situated patient-nurse interaction in the community practice setting in a transforming healthcare service. Methods Grounded theory methodology was used and the research process was characterised by principles of theoretical sensitivity and constant comparative analysis. The field of study was four health centres in the community. The participants were patients and nurses representative of those attending or working in the health centres and meeting there by scheduled appointment. Data collection methods were observations, informal interviews and semi-structured interviews. Results Key properties of ‘Being a good patient, being a good nurse’, ‘Institutional experiences’ and ‘Expectations about healthcare’ were associated with the construction of a category entitled ‘Experience’. Those key properties captured that in an evolving healthcare environment individuals continually re-constructed their reality of being a patient or nurse as they endeavoured to perform appropriately; articulation of past and present healthcare experiences was important in that process. Modus operandi in role as patient was influenced by past experiences in healthcare and by those in non-healthcare institutions in terms of engagement and involvement (or not) in interaction. Patients’ expectations about interaction in healthcare included some uncertainly as they strived to make sense of the changing roles and expertise of nurses and, differentiating between the roles and expertise of nurses and doctors. Conclusions The importance of social meanings and understandings in patient-nurse interaction is not fully apparent to nurses, but important in the patient experience. Seeking understanding from a social perspective makes a contribution to enhancing knowledge about patient-nurse interaction with subsequent impact on practice, in particular the development of the patient-nurse relationship. The implications are that the meanings and understandings patients and nurses generate from experiences beyond and within their situated interaction are pivotal to the development of their relationship in the transforming community healthcare environment.
King's theory is a broad theory designed to provide a framework for nursing (I.M. King, 1981), whereas emotional intelligence (EI; J.D. Mayer & P. Salovey, 2004) is a theory that is specific for addressing potential competency in dealing with emotions and emotional information. J.D. Mayer, P. Salovey, D.R. Caruso, and G. Sitarenios (2001) defined EI as the "ability to recognize the meaning of emotions and their relationships and to use them as a basis for reasoning and problem solving" (p. 234). These researchers believed that EI is related to cognitive intellect through the ability to use reasoning by way of information to find meaning. J.D. Mayer and P. Salovey (2004) argued that the skills that comprise EI were likely enhanced through obtaining a liberal education infused with values exploration. J.D. Mayer, P. Salovey, D.R. Caruso, and G. Sitarenios (2001) contended that there are 4 branches of abilities that create EI: (a) the skill of perceiving emotion within oneself and others, (b) assimilation of an emotion to facilitate thinking, (c) understanding and knowledge of emotion, and (d) conscious regulation of emotion. Each level or branch builds upon the previous one, and awareness of what each branch offers the individual in enhancing relationships with others is a key component of healthy emotional interactions. This article will provide a theoretic foundation based upon King's interacting systems theory (IST; 1981) that embraces EI as a crucial component in the nurse's ability to provide holistic care for patients, peers, and themselves. King's IST underscores the necessity of nurses possessing abilities of EI as they care for others but does not fully describe a mechanism to understand and incorporate emotions within the complex nurse-patient interactions and communications that are part of the nursing process. PMID:23706971
The incidence of anal cancer is increasing among HIV-infected men and women. The process of screening for anal dysplasia and the management of abnormal findings are currently and most often based on a medical model. The needs of these patients, however, go well beyond medical care. A more comprehensive and holistic approach to health care is, therefore, required. Given the scope of practice of advanced practicenurses who are involved in the diagnosis and treatment of patients with anal dysplasia, it is appropriate for them to assume leadership roles in addressing the needs of these patients. This article describes the application of a theory of caring to create an advanced practicenursing model of care for HIV-infected men and women in infectious diseases anal dysplasia clinics. PMID:22035527
Ahern, Richard L; Corless, Inge B; Davis, Sheila M; Kwong, Jeffrey J
Dorthea Orem believed that people have a natural ability for self care, and nursing should focus on affecting that ability. Using a literature search of studies involving adults receiving hemodialysis for end stage renal disease (ESRD) in an outpatient dialysis setting and self-care/management publications in peer-reviewed journals and dissertations, this article explores the implementation of Dorthea Orem's Self Care Theory in the hemodialysis setting, considering the ways it relates to a population in which self-management is critical for patients' positive quality of life, nurses' ability to promote self care for this population, and potential health outcomes. In order to maximize the health of patients with ESRD, considerable lifestyle changes must be made. As healthcare professionals who provide direct care, nurses can assist with these changes by providing educational opportunities and strategies that increase self-care agency, thus making a positive impact on patient quality of life. PMID:19715109
The purpose of this praxis research was to address the process of a researcher's partnering with practicingnurses to incorporate Newman's theory of health as expanding consciousness as a guide for nursingpractice. Initially the nurses were bound by their commitment to help clients within a philosophy of cure, but as they began to engage in a caring relationship of pattern recognition with clients, they experienced the clients' transformations in a way that was transformative for them and that pervaded the total realm of their nursingpractice. The process illustrates the immediate applicability of Newman's theory. PMID:15802746
This article uses an exemplar of phenomenological research of middle school boys, experiences of being bullied as applied philosophy and science to illuminate the intersection of the moral and scientific realms for theory-oriented research and practice. As a consequence, a clear foundation for advancing nursing science and envisioning innovative nursingpractice with boys who experience being bullied is provided. Included is a weaving together of phenomenological perspective for research and practice, Roger's (nursing) Science of Unitary Human Beings (SUHB), and SUHB-derived middle range theories of self-transcendence and power. PMID:21394964
ABSTRACT OBJECTIVE To provide a picture of the unique role and competencies of family practice registered nurses (FP-RNs). DESIGN Case-study approach using interviews and focus groups. SETTING Ontario. PARTICIPANTS Seven FP-RNs identified as exemplary by family medicine and nursing peers. METHODS An e-mail was sent to 9200 health care providers from nursing and family medicine, asking them to identify names of exemplary family practicenurses. Using a purposive sampling methodology, 7 exemplary FP-RNs were selected, taking into consideration the number of years in practice as a nurse, location of practice, length of practice as an FP-RN, and type of family practice. Individual interviews were held, and focus groups were organized with colleagues. Narratives were analyzed iteratively by the project team. MAIN FINDINGS Four main themes emerged: The first theme relates to the relationship-centred approach to care delivered by FP-RNs, founded upon trust. The second theme highlights the FP-RN’s unique skills in balancing the priorities of patients, colleagues, and the clinic as a whole. The third theme capitalizes on the nurses’ commitment to advancing their learning to enhance their abilities to be FP-RNs. The fourth theme illuminates the perspectives shared by FP-RNs that family practice is uniquely different from acute care in the manner in which care is delivered. We draw attention to the approach and role of FP-RNs in Ontario. The 4 themes that emerged have striking similarities to stories shared by family physicians and to the evolutionary development of the discipline of family medicine. CONCLUSION We believe the findings from this paper can help shape the role of the FP-RN within clinical practice and that they will propagate discussion among nursing educators to consider the necessary educational preparation required to develop the FP-RNs needed in this country.
Home healthcare (HHC) agencies and schools of nursing (SONs) share the mutual goal of using evidence-based knowledge to deliver care while fostering a professionally stimulating environment. As HHC agencies strive to deliver clinically effective, cost-efficient, patient-centered nursing care, SONs use scholarly methods to develop sound practitioners with investigative skills. Collaborations have long existed between these two entities, but few studies describe how theory and practice meld in the ever-growing HHC arena. The purpose of this article is to highlight the need for such future collaborations and to summarize some of the successful collaborative methods used by schools and agencies. Additionally, the collaboration between one nonprofit HHC agency and a university-based SON is described along with the challenges and benefits to both partners. PMID:24081130
As healthcare becomes more knowledge intensive, nurses are challenged to effectively manage clinical information and keep abreast of professional knowledge (Procter 2001; Snyder – Halpern et al 2001; Pare & Elam 1998). Rapid proliferation of new knowledge, expanding professional practice expectations and changing practice environments require that nurses become lifelong learners capable of constantly reflecting on and modifying their practice.
A key challenge facing pre-registration nurse educators is to turn out students who are fit for practice by the end of their training (United Kingdom Central Council for Nursing, Midwifery and Health Visiting, 1999). This includes developing their understanding of professionalism (Department of Health, 2003; Nursing and Midwifery Council, 2004; 2007). This paper provides an evaluation of a special personal
This paper analyses the relationship between the theory and practice of the art of teaching as experienced by the author during a period of teaching practice in a school of nursing. It examines such concepts as 'aims', 'objectives', 'scheme of work' and 'lesson plans' and sets these in the context of practical classroom teaching. PMID:3639891
BackgroundOver the last three decades, nurse theorists have strongly advocated the use of conceptual models of nursing to guide nursingpractice. Within coronary care units, conceptual model-based care has had inconsistent application and is currently challenged by contemporary approaches such as pathways of care.
The term advanced practicenurse is a descriptor that includes nurse practitioners (NP), certified nurse-midwives (CNM), nurse anesthetists (CRNA) and clinical nurse specialists (CNS). Advanced practicenurses make independent and collaborative health care decisions. They are expert clinicians engaged in active clinical practice. The advanced practicenurse demonstrates leadership as a consultant, educator, administrator and researcher. An important leadership function
The participation of advanced practice registered nurses in neonatal care continues to be accepted and supported by the American Academy of Pediatrics. Recognized categories of advanced practice neonatal nursing are the neonatal clinical nurse specialist and the neonatal nurse practitioner. PMID:19482773
The advanced practice neonatal nurse's participation in newborn care continues to be accepted and supported by the American Academy of Pediatrics. Recognized categories of advanced practice neonatal nurse are the neonatal clinical nurse specialist and the neonatal nurse practitioner. Training and credentialing requirements have been updated recently and are endorsed in this revised statement. PMID:12777571
Theory based nursingpractice provides a framework for initiation of the research process. Orem's Self-Care Deficit Theory of Nursing clearly relates and can be easily applied to continence care. Orem's Theory guides nursingpractice with theoretical concepts and goal setting providing a foundation upon which nurses can question the practice and expand the avenue for nursing research. PMID:12593229
Intentionality is an important concept for nurses to study for professional and theoretical reasons. Lewis states that intentionality is best studied within an active, rather than reactive, worldview. This article is a level-by-level outline of Lewis' five-level model for the study of intentionality. These levels are: necessity, interactive necessity, action intent, divergent intent, and conscious intent. Newman's tri-part categorization of nursingtheory paradigms (particularate-deterministic, interactive-integrative, and unitary-transformative) proves to be a useful framework to compare the Lewis model of intentionality with nursingtheory. Examples from nursingtheory development, such as the Roy adaptation model, chronotherapeutics, Rogers' theory of unitary human being, health as expanding consciousness, and therapeutic touch, are used to support all five levels of intentionality in providing guidance for practice and research by nurse theorists. PMID:12060945
Part of the South Carolina Cooperative Health Statistics System, this report contains data on registered and licensed practicalnurses in the State as of 1979. Ten licensing boards for health or health-related manpower professions exist in South Carolina,...
|A study was made to determine whether nurses apply scientific theories in rearing their children or whether social class values have more influence on their childrearing practices. Surveyed were 119 registered nurses whose educational levels ranged from a diploma to a doctorate in nursing; 62 percent of the nurses responded. A questionnaire was…
WITH THE recent publication of the Francis report and focus on nurses' responsibility to raise concerns about and challenge poor practice, this book is timely. Although targeted specifically at nursing students with reference to the Nursing and Midwifery Council standards and essential skills clusters, it is relevant to all nurses working with adults at risk and provides a useful update on an area of UK policy that is changing rapidly. PMID:24067035
|Advanced practicenursing is defined as professional health care focused on clinical services, using a nursing orientation and based on competencies from graduate nursing education. AP nurses are involved in clinical practice, systems management, and health care discourse. (SK)|
Written in outline format, this reference will help nurses further their understanding of advanced nursing procedures. Information is provided on the physiological, psychological, environmental, and safety considerations of nursing activities associated with diagnostic and therapeutic procedures. Special consideration is given to the areas of pediatric nursing, nursing assessment, and selected radiologic and nuclear medicine procedures for each system. Contents: Clinical Introduction. Clinical NursingPractice: Focus on Basics. Focus on Cardiovascular Function. Focus on Respiratory Function. Focus on Gastrointestinal Function. Focus on Renal and Genito-Urological Function. Focus on Neuro-Skeletal and Muscular Function. Appendices.
To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Data are from the 2004 National Nursing Assistant Survey, responses by the nursin...
C. E. Bishop J. Meagher J. M. Wiener M. R. Squillace W. L. Anderson
Research is essential to every nurse's clinical practice. There is a reciprocity between nursingpractice and research; they inform each other, producing insights about nursing interventions and the impact of nursing interventions on the lives of nursing clients. Nursing research has become a major force in changing nursingpractice by solving practice problems and by increasing the body of nursing knowledge. Understanding the research process can assist school nurses to identify the knowledge embedded in the clinical work of other school nurses. This article is directed toward increasing that understanding through a discussion of the general steps of the quantitative research process. PMID:9384117
Nurse practitioners have endless possibilities for innovative practice. Deciding on provision of independent practice, suggestions for implementation and service, possible barriers, and solutions are discussed. Future directions for services are outlined. PMID:6562268
The purpose of this study was to describe parish nursespractice using the framework of the Nursing Minimum Data Set (NMDS). Nineteen parish nursespracticing in 22 faith communities collected data using standardized nursing classification systems (North American Nursing Diagnosis Association [NANDA] Taxonomy and Nursing Intervention Classification [NIC]). A database was developed for quantitative analysis. Nurses recorded 1,557 encounters for services provided to 776 individuals. Over the period studied, the nurses recorded 1,730 nursing diagnoses and 3,451 nursing interventions. The most frequent nursing diagnoses and nursing interventions are reported and emphasized health promotion and illness prevention. The parish nurse roles of educator, counselor, referral agent, and advocate/facilitator, described in the literature, were consistent with the findings of this study. A focus group of the parish nurses provided validation of the results of the database descriptions of practice. The nurses also identified issues related to the use of NANDA and NIC in documenting practice. PMID:10620251
Psychotherapy is an accepted role of the advanced practice psychiatric nurse. Nursing theorists, notably Hildegard Peplau and Margaret Newman, offer guidance on the psychological and professional development of the nurse. This paper examines Newman's theory of health as expanding consciousness and the concept of awareness of self in Peplau's theory, and suggests that psychiatric advanced practicenursing programs consider the need for nurses to develop self-knowledge to facilitate the nurse-patient relationship and to improve outcomes of patient care in psychotherapy. PMID:16923732
|The purpose of this updated manual is to define and describe standardized nursing languages, highlight how nursing languages are a part of the nursing process, and illustrate through case examples how nursing languages are used in school nursingpractice. This manual also summarizes the history and development of three nursing classifications,…
|Purpose: To estimate the impact of nursing home work practices, specifically compensation and working conditions, on job satisfaction of nursing assistants employed in nursing homes. Design and Methods: Data are from the 2004 National Nursing Assistant Survey, responses by the nursing assistants' employers to the 2004 National Nursing Home…
Bishop, Christine E.; Squillace, Marie R.; Meagher, Jennifer; Anderson, Wayne L.; Wiener, Joshua M.
|Explains why content related to role acquisition and transition is critical in preparing advanced practicenurses. Recommends teaching strategies and timing and placement options for role content in graduate education. (Contains 26 references.) (SK)|
The person with dementia uses behavior to communicate, but their behavior is altered by the combination of neurological damage and impairment, altered interpersonal relationships and reactions of others, and the individual's loss or weakening of their lifelong defenses or coping mechanisms. This article discusses the routes by which behavior can be understood and describes a constellation of needs of a person with dementia that has a unique fit with person-centered care. Three evidence-based models (theories) and interventions specific to dementia behaviors are discussed: the Need-Driven Dementia-Compromised Behavior Model, the Progressively Lowered Stress Threshold Model, and the utilization of self-identity roles. Montessori-based activities are another approach to person-centered dementia care that respect, as do the models, the dignity, worthiness and interests of the person afflicted with dementia. The models discussed in this article all seek to improve the quality of life of the person with dementia. Other than those at the profound end stage of dementia, most sufferers can communicate feelings. Subjective quality of life must be determined based on the self-report of the person suffering with dementia so that treatment interventions and effectiveness are grounded in that person's reality. PMID:17923285
Knowledge representation in nursing is poised to address the depth of nursing knowledge about the specific phenomena of importance to nursing. Nursingtheories and models may provide a starting point for making this knowledge explicit in representations. We combined knowledge building methods from nursing and ontology design methods from biomedical informatics to create a nursing representation of family health history. Our experience provides an example of how knowledge representations may be created to facilitate electronic support for nursingpractice and knowledge development. PMID:19592863
Humor is an important but underutilized resource in nurse-patient interaction. The multidimensional value of humor in providing nursing care has recently begun to receive attention. The purpose of this phenomenological study was to describe the meaning of nurses' use of humor in their nursingpractice. Twenty-one registered nurses enrolled in a graduate nursing program described in detail an experience they
Since the advent of Sputnik, research in all fields of endeavor has been receiving international attention, and nursing is no exception with phenomenal growth of research. The general articles on research appearing in our literature, the recent numbers of...
Combining abstract concepts from grand theories with the pragmatics of nursingpractice presents a dilemma for nursing that is being addressed with the emphasis on middle-range theory. The philosophical perspective of constructivism is the foundation for a middle-range theory that links the nursing process to holism through the respective worlds and knowledge of the nurse and client. The nursing process is situated in the context of the cultural worlds of the nurse, client, and health care system and in the greater social context. This model allows the nursing process to be recast in new language that captures the interdependence of the client-nurse interaction. This model accommodates the social values and beliefs of both the health care system and the social context. PMID:11677516
Newly graduated registered nurses face a barrage of physical and mental challenges in their first few years of practice, especially in the hospital setting. This article explores discrepancies between student nursepractice and professional nursingpractice and the challenges that new nurses face in bridging the gap between idealistic theory and realistic practice. The author's subsequent graduate nursing education and continued practice in the field resulted in a personal evolution of practice that elicited a profound sense of appreciation for the field and a desire to share these experiences with other practicingnurses and students. PMID:20333920
The centerpiece of this article is an exemplar of an elderly woman who makes a startling revelation to a clinical nurse specialist who is making a consultative home visit related to a physical condition. The exemplar illustrates the uniquely powerful contribution of the nurse work of intentionality, presencing, mutuality, knowing, and caring in helping patients to heal. Newman's theory of Health as Expanding Consciousness provides the framework for a paradigm shift from a curative to a healing practice of nursing. PMID:10076243
Advanced practicenursing education is at a crossroads. Societal changes, increased health care demands, and leadership nursing organizations have identified the need of a doctor of nursingpractice (DNP) degree as the advanced practice degree. WOC nurses need to examine DNP programs when considering returning for an advanced practice degree. This article explores nursing education at the doctorate level and areas the WOC nurse should consider when making a decision about attending a program. The WOC nurse needs to understand the similarities and differences of the doctor of philosophy and the DNP, issues about each program and its completion, personal factors, and the application process. Although selecting a doctoral program is a daunting experience, the education will provide opportunities for the WOC nurse to excel as a scholar, thus influencing the profession and the practice. PMID:22572897
The purpose of this study was to describe 1 aspect of parish nurses' practice: working with client aggregates. Nineteen parish nursespracticing in 22 faith communities collected data using 2 standardized nursing classification systems--North American Nurses Diagnosis Association Taxonomy and Nursing Intervention Classification. Nurses recorded 77 group encounters for services provided over a 5-month period. The most frequent nursing diagnoses and nursing interventions are reported and emphasize health promotion and illness prevention. The parish nurse roles of educator, counselor, referral agent, and advocate-facilitator described in the literature were consistent with the findings of this study. In addition, the parish nurse as a member of the ministerial team is discussed. A focus group of the parish nurses provided validation of the results of aggregate practice. PMID:12073303
Weis, Darlene M; Schank, Mary Jane; Coenen, Amy; Matheus, Rosemarie
New nurses entering practice experience a challenging transition, one that can be moderated by the presence of mentors in the practice setting. Seeking mentors who enter into informal mentoring relationships with new nurses can be difficult for those new nurses who don’t know what to look for in a mentor. In this Grounded Theory study, the author explored nurses’ perspectives
Objective: To explore and understand the nursingpractice processes of psychiatric nurses for school-aged sexually abused children admitted to psychiatric wards. Material and Method: Grounded theory approach. Twelve psychiatric nurses, aged between 35-59 years old, experienced with sexually abused child patients, participated in the present study. Data was collected by using in-depth interview that were tape-recorded and transcribed verbatim, line
|The explosion of new knowledge and increased specialization have heightened the nurse's need for continuing education. The concepts of motivation, obsolescence, competence, and lifelong learning are inherent in the continuing education process. These concepts and the theories of learning and change are presented and related to nursingpractice.…
The pre-surgery nursingpractice model derived from Newman's theory was developed to change the delivery of nursing care in a pre-surgical clinic. Guided by the theoretical knowledge of health as expanding consciousness, transpersonal caring, and reflective practice, key practice changes included a) incorporating Newman's praxis process, b) changing the physical space, and c) providing opportunities to reflect on practice. The purpose of this study was to utilize a phenomenological approach to evaluate a new model of care among 31 patients and 4 nurses. PMID:19342715
In preparation for the changing needs ofundergraduate nursing students undertaking a Project 2000 degree, it was necessary to rethink the nursing skills programme. After studying the literature a nursing skills laboratory was designed which provided both an institutional and a domestic setting.A progressive programme wasdeveloped, to help the students learn nursingpractices, which was based on the Objective Structured Clinical
Two perspectives for assessing the impact of clinical data management systems on nursing are suggested. The microscopic view is the unit-level, direct patient care perspective. A macroscopic view entails consideration of national nursing issues. Nursing role issues can arise during system selection and implementation and these issues can affect system effectiveness. Professional issues influence the decisions made about CDMS and subsequent system usefulness to nursing. A shift in evaluation emphasis from time savings to assessment of effect is necessary. Suggested nursing areas to be examined are system impact on the development and use of nursingtheory in practice, support for the cognitive work of nursing, and changes in the physical work of nursing. PMID:3794509
This descriptive study compared the inclusion of spirituality in the practice of two groups of nurses: nurses prepared in parish nursing (PN) and nurses not specifically prepared in spiritual care (NonPN). The Spirituality in Nursing Care tool was used to determine sources of spiritual strength and spiritual experiences of the respondents, the application of spirituality in their practice, and the interventions and indicators they used in determining the need for spiritual assistance. Random sampling using U.S. postal codes selected 600 members from a national mailing list of nurses prepared in parish nursing and 600 similarly selected nurses not prepared in parish nursing. A total of 645 questionnaires were returned with complete data. The following question was asked: How do nurses prepared in providing spiritual care (PN) compare to nurses not similarly prepared (NonPN) in terms of: (a) personal sources of spiritual strength, (b) spiritual experiences, (c) application of spirituality in their practice, (d) identification of indicators of spiritual needs in their clients, and (e) interventions used to meet the spiritual needs of their clients? The findings indicate there are differences in how PN and NonPN groups of nurses respond to spirituality of self and their use of spirituality in clinical practice. It is suggested that parish nurses take the lead to further study spirituality and the indicators and appropriate interventions, and identify patient outcomes when spiritual needs are addressed by nurses in providing "holistic nursingpractice." PMID:12004420
|The effect of the following on bridging the theory-practice gap in nursing education was examined: (1) theory taught by preceptors or nurse educators; (2) nurse educator/preceptor collaboration on content; and (3) immediate clinical placements following theory learning. Preceptors were more effective, collaboration was ineffective, and delay was…
Corlett, Jo; Palfreyman, J. W.; Staines, H. J.; Marr, H.
Although sintering is an essential process in the manufacture of ceramics and certain metals, as well as several other industrial operations, until now, no single book has treated both the background theory and the practical application of this complex and often delicate procedure. In Sintering Theory and Practice, leading researcher and materials engineer Randall M. German presents a comprehensive treatment
Although the evolution of clinical nurse specialists and nurse practitioners during the previous several decades has led to a sense of novelty regarding advanced practice, it is important to remember that nurses have engaged in such roles for nearly 100 years. This article will review the history of advanced nursingpractice, summarize current definitions of specialty and advanced practice, discuss
During the decade of the 1990s, health care reform, market forces, population needs, new knowledge in neuroscience and changes in advanced practice regulation provided the impetus for the development of the role of the psychiatric nurse practitioner. Debate about issues of role, scope of practice, educational preparation, titling, and credentialing for the advanced practice psychiatric nurse (APPN) of the future
Hospital work environments that support the professional practice of nurses are critical to patient safety. Nurse managers are responsible for creating these professional practice environments for staff nurses, yet little is known about the environments needed to support nurse managers. Domains of nurse managers' practice environment have recently been defined. This is a secondary analysis of 2 cross-sectional studies of organizational characteristics that influence nurse manager practice. Content analysis of the free text comments from 127 nurse managers was used to illustrate the 8 domains of nurse managers' practice environments. Nurse managers valued time spent with their staff; therefore, workloads must permit meaningful interaction. Directors demonstrated trust when they empowered nurse managers to make decisions. Administrative leaders should build patient safety cultures on the basis of shared accountability and mutual respect among the health care team. The expectations of nurse managers have greatly expanded in the volume and complexity of direct reports, patient care areas, and job functions. The nurse managers in this analysis reported characteristics of their practice environments that limit their role effectiveness and may negatively impact organizational performance. Further research is needed to understand the effects of nurse managers' practice environments on staff and patient outcomes. PMID:24022285
Warshawsky, Nora E; Lake, Sharon W; Brandford, Arica
Clinical nurse specialist practice is essential in providing the clinical expertise, leadership, and organizational influence necessary for attaining the excellence in care reflected by the American Nurses Credentialing Center's Magnet designation. Clinical nurse specialists, prepared as advanced practicenurses, bring clinical expertise, knowledge of advanced physiology, and pathology and a system-wide vision for process improvements. This unique curriculum specifically prepares clinical nurse specialists (CNSs) to immediately practice as leaders of interdisciplinary groups to improve outcomes. Clinical nurse specialist graduates possess an understanding of complex adaptive systems theory, advanced physical assessment, and pathophysiology and knowledge of optimal learning modalities, all applicable to improving the health care environment. Their practice specifically links complex clinical data with multidisciplinary partnering and understanding of organizational systems. The basis for optimal clinical practice change and sustained process improvement, foundational to Magnet designation, is grounded in the combined educational preparation and systems impact of CNS practice. This article describes the role of the CNS in achieving and sustaining Magnet designation in an urban, academic quaternary care center. Using the National Association of Clinical Nurse Specialists model of spheres of influence, focus is on the CNS's contribution to improving clinical outcomes, nurse satisfaction, and patient satisfaction. Exemplars demonstrating use of a champion model to implement practice improvement and rapid adoption of optimal practice guidelines are provided. These exemplars reflect improved and sustained patient care outcomes, and implementation strategies used to achieve these improvements are discussed. PMID:20716978
Muller, Anne C; Hujcs, Marianne; Dubendorf, Phyllis; Harrington, Paul T
The Australian general practicenurse workforce has grown exponentially in recent years as a conse- quence of supportive government policy and the increasing burden of chronic and complex disease in the community. This descriptive survey sought to identify the educational and professional develop- ment needs of NSW practicenurses. A total of 231 nurses employed within 12 NSW Divisions of
ELIZABETH HALCOMB; ELIZABETH MEADLEY; SHERRYN STREETER
The faculties of three schools of nursing involved in a collaborative family nurse practitioner (FNP) program designed a study to address issues involved in preparing the nurse practitioner for the challenges of practice management in the clinical environment. The purposes of the study were to (1) identify business concepts necessary to successfully manage a primary care practice; (2) determine which
Susan Sportsman; Linda J. Hawley; Susan Pollock; Gayle Varnell
Reviews modifications in state health practice statutes to recognize the expanded scope of nursingpractice in view of the disparity between medical functions actually performed by nurses and those considered within the legal definition. Various state approaches indicate a trend to give legal validity to acts performed by nurses. (MF)
Trandel-Korenchuk, Darlene M.; Trandel-Korenchuk, Keith M.
School nursing is notable for autonomous practice and independent decision-making. School nursespractice within a complex school health services environment that is subject to constant change, the influence of multiple stakeholders, and a chronic state of uncertain resources. Other professional challenges faced by school nurses are a lack of…
In today's society, health care systems are characterized by change, unpredictability, increasing speed of information and knowledge exchanges, redefined organizational boundaries and hierarchy, emphasis on value, teamwork, interdisciplinary collaboration, diversity, and interconnectedness. This new reality has forced nurse educators to redefine nursing leadership and prepare the Doctorate of NursingPractice (DNP) leader through innovative courses offering experiential learning based on complex adaptive systems and quantum leadership theory. This article describes the experiential learning approach and integrated learning experience for DNP students. PMID:21654485
|The overall nurse career-patterns study actually consists of four concurrent longitudinal studies relating to the four kinds of nursing programs in which, if possible, each subject will be followed from the time of entrance through a 15-year period after graduation. The practicalnurse study seeks to determine whether certain biographical data or…
Recommended staffing standards were developed by ASPAN to guide decisions for optimal outcomes and efficiency in a PACU. In the midst of a nursing shortage, providing optimal staffing can be challenging. Licensed practicalnurses can be educated to meet evidence-based standards for optimal patient recovery. Determining critical skills and competencies and performing a thorough interview assists in selecting suitable licensed practicalnurse candidates. Supplying a high-quality orientation contributes to team success. High-performing teams promote greater efficiency in patient care and consequently improve quality of care and staff morale. This article provides details of a model of care that includes licensed practicalnurses in the nurse staff mix. Suitability qualities, orientation program, and scope of practice of licensed practicalnurses will be discussed. Improved patient experience and efficiency can be successfully achieved with mixed registered and licensed practicalnurse PACU staffing. PMID:19962102
Evidence-based practice has become part of the language of health care. This article illustrates the professional implications for orthopaedic nurses and the challenges it raises for current and future practice development. The article suggests steps for developing an evidence-based approach to orthopaedic practice, the necessary skills nurses need to develop, and the benefits of a multidisciplinary view in developing practice.
Grounded theory is a methodology widely used in human and social sciences as well as nursing science. It is based on an inductive approach applied to data gathered in the field and which aims to offer an explanation of the phenomenon studied.The theorisation is a preliminary stage enabling care procedures to be developed and to be tested through research, with the aim of acting positively on the phenomenon. PMID:22641951
|Discusses the development of the roles of nurse practitioner and clinical nurse specialist and evaluates the strengths and weaknesses of each role in current practice and education. Concludes that inadequate justification exists for continuing both roles. (Author/JOW)|
Discusses the development of the roles of nurse practitioner and clinical nurse specialist and evaluates the strengths and weaknesses of each role in current practice and education. Concludes that inadequate justification exists for continuing both roles. (Author/JOW)
Aim This paper presents a middle-range Theory of Flight Nursing Expertise. Background Rotary-wing (helicopter) medical transport has grown rapidly in the USA since its introduction, particularly during the past 5 years. Patients once considered too sick to transport are now being transported more frequently and over longer distances. Many limitations are imposed by the air medical transport environment and these require nurses to alter their practice. Data sources A literature search was conducted using Pubmed, Medline, CINAHL, secondary referencing and an Internet search from 1960 to 2008 for studies related to the focal concepts in flight nursing. Discussion The middle-range Theory of Flight Nursing Expertise is composed of nine concepts (experience, training, transport environment of care, psychomotor skills, flight nursing knowledge, cue recognition, pattern recognition, decision-making and action) and their relationships. Five propositions describe the relationships between those concepts and how they apply to flight nursing expertise. Implications for nursing After empirical testing, this theory may be a useful tool to assist novice flight nurses to attain the skills necessary to provide safe and competent care more efficiently, and may aid in designing curricula and programmes of research. Conclusion Research is needed to determine the usefulness of this theory in both rotary and fixed-wing medical transport settings, and to examine the similarities and differences related to expertise needed for different flight nurse team compositions. Curriculum and training innovations can result from increased understanding of the concepts and relationships proposed in this theory.
The relevance of nurses' attitudes for establishing an evidence-based nursingpractice (EBP) has been proven internationally. For German-speaking countries so far only few data are available. The present survey aims at assessing nurses' perceptions of relevant context factors for implementing an EBP. Therefore, 1384 nurses in 21 hospitals in Northern-Germany received a self-developed questionnaire based on established instruments in March and April 2012. 1023 (74 %) nurses responded. In principal, results show a positive attitude towards EBP. The majority of participants regards research as relevant for nursingpractice. Support from superiors and colleagues is seen as important prerequisite. However, implementation remains a challenge. Nurses are not informed about recent research results. Original articles are hardly used. Only a minority is prepared to spend own money on congresses or to start academic nursing training in the near future. For the first time in German-speaking countries, the study provides meaningful data on nurses' attitudes towards EBP. Nurses confirm the value of research for their own practice. However, there is a lack of basic requirements to identify and implement relevant research findings as for example the use of recent scientific evidence. Nursing education in Germany should therefore focus more strongly on building competencies required for EBP, for example through properly designed academic nursing training. PMID:23732313
Köpke, Sascha; Koch, Frauke; Behncke, Anja; Balzer, Katrin
Clinically based nurses often question the value of nursingtheory, ultimately resulting in the reluctance to implement nursingtheory into practice. This clinical practicum project successfully used Nightingale’s primary tenets, such as building trust, self-assessment, and group leadership, as a theoretical framework in a nursingpractice group for the purpose of teaching a group of preadolescent children about negative peer
The theory-practice-ethics gap - a new paradigm to contemplate. Practices based on tradition, rituals and outdated information are placed into a nonscientific paradigm called the theory-practice gap. Within this paradigm there is often a gap between theoretical knowledge and its application in practice. This theory-practice gap has always existed [Allmark, P., 1995. A classical view of the theory-practice gap in nursing. J. Adv. Nurs. 22 (1), 18-23; Hewison, A. et al., 1996. The theory-practice gap in nursing: a new dimension. J. Adv. Nurs. 24 (4), 754-761]. Its creation is often sited as a culmination of theory being idealistic and impractical, even if practical and beneficial, are often ignored. Most of the evidence relating to the non integration of theory and practice makes the assumption that environmental factors are responsible and will affect learning and practice outcomes, hence the "gap". In fact, it is the author's belief, that to "bridge the gap" between theory and practice an additional component is required, called ethics. A moral duty and obligation ensuring theory and practice integrate. In order to effectively implement new practices, one must deem these practices are worthy and relevant to their role as healthcare providers. Otherwise, we fall victims to providing nothing more than a lip service. This introduces a new concept which the author refers to as the theory-practice-ethics gap. This theory-practice-ethics gap must be considered when reviewing some of the unacceptable outcomes in health care practice. The author believes that there is a crisis of ethics where theory and practice integrate, and as a consequence, malfeasance. We are failing to fulfill our duty as healthcare providers and as patient advocates. One practice of major concern, which the author will endeavor to unfold relates to adult and pediatric resuscitation. PMID:23960564
|Purpose: Recruiting and retaining registered nurses (RNs) in nursing homes is problematic, and little research is available to guide efforts to make nursing homes a more attractive practice environment for RNs. The purpose of this study was to examine relationships between aspects of the nursingpractice environment and job satisfaction among RNs…
The basic objective of the study is to provide information to the Division of Nursing about the feasibility of increasing the production of advanced practicenurses in four specialty areas: nurse practitioners (NPs), nurse-midwives (NMWs), clinical nurse ...
|School nurses need to demonstrate that their practice is based on the best evidence available, which is usually data obtained from research. Evidence-based practice involves combining the best evidence available with nursing expertise and patient and family preferences to determine optimum care. Evidence-based practice guidelines are developed by…
This paper explores the gatekeeping practices used by operating room nurses to control information flow in their everyday clinical practice. In nursing, gatekeeping appears only sporadically in the literature and usually emerges as a secondary concept rather than being the primary focus of studies. As gatekeeping is a communication practice that has the potential to impact directly on patient safety,
The interface and complexity of licensure and scope of practice issues with professional standards of practice can be very confusing, particularly because they vary from state to state. This article provides an overview of the influences of regulatory boards, professional nursing organizations, and employers on the nursingpractice. The roles of both regulatory boards and professional organizations are reviewed, including
Many faculty argue that theory and theorizing are closely related to the clinical practice, that the disciplinary knowledge grows, more relevantly, from the specific care context in which it takes place and, moreover, that knowledge does not proceed only by the application of general principles of the grand theories to specific cases. Every nurse, in fact, have a mental model, of what may or may not be aware, that motivate and substantiate every action and choice of career. The study describes what the nursing theoretical model is; the mental model and the tacit knowledge underlying it. It identifies the explicit theoretical model of the professional group that rapresents nursing partecipants, aspects of continuity with the theoretical model proposed by this degree course in Nursing.. Methods Four focus groups were made which were attended by a total of 22 nurses, rapresentatives of almost every Unit of Reggio Emilia Hospital's. We argue that the theoretical nursing model of each professional group is the result of tacit knowledge, which help to define the personal mental model, and the theoretical model, which explicitly underlying theoretical content learned applied consciously and reverted to / from nursingpractice. Reasoning on the use of theory in practice has allowed us to give visibility to a theoretical model explicitly nursing authentically oriented to the needs of the person, in all its complexity in specific contexts. PMID:23900146
This chapter explores the discovery of new or enhanced theory within the action research process. Action research is an empirical research method with two purposes: (1) to solve an immediate practical problem, and (2) to develop new scientific knowledge. Action research projects sometimes succeed at the first, but fail at the second. The highly practical nature of action research sometimes
A knowledge base of nursingtheory supports computerized consultation to nursing service administrators and staff about patient care. Three scenarios portray different nurses utilizing the system for inservice development, continuing education, and development of standards of care or protocols for practice. The advantages of the system including cost savings are discussed.
In Israel, nursing research, nursingpractice, and academic education collaborate in nursing education. The close relationship helps prepare nursing graduates for the integration of the humanistic and technical aspects of practice. (SK)
This qualitative study explores how recently qualified nurse prescribers describe, and rate, the safety of their prescribing. Internationally, the costs of drug errors are enormous and they can have serious implications for staff and patients. Nurses are now undertaking extended prescribing practice throughout the UK. Nurse prescribers work across different work settings and although safe prescribing is a priority in
|Assessed medication administration practices among school nurses, surveying members of the National Association of School Nurses. Respondents were extremely concerned about medication administration. Errors in administering medications were reported by 48.5 percent of respondents, with missed doses the most common error. Most nurses followed…
McCarthy, Ann Marie; Kelly, Michael W.; Reed, David
|The purpose of this article is to present a state-by-state summary of rules and regulations governing school nursingpractice in the United States. Official government and agency sites were reviewed to determine providers of services in schools, criteria for becoming a school nurse, protection of titling, mandates for school nursing, and the…
Assessed medication administration practices among school nurses, surveying members of the National Association of School Nurses. Respondents were extremely concerned about medication administration. Errors in administering medications were reported by 48.5 percent of respondents, with missed doses the most common error. Most nurses followed…
McCarthy, Ann Marie; Kelly, Michael W.; Reed, David
Critical reflective inquiry for knowledge development in nursingpractice This paper presents a method of inquiry which uses nurses' situated, individual instances of nursingpractice as the basis for developing knowledge for nursing and improving practice. This method of inquiry is founded upon the ideas in action science and reflective practice, and critical philosophy. Nursingpractice is viewed as a
Background: Nurses' dyslexia knowledge is crucial for early detection of dyslexia before referring suspected children for further assessment. This study aims to obtain a profile of nursing students' knowledge on dyslexia so as to explore the implications for nursing education for both nursing students and practicingnurses as well as for current and future nursingpractices. Method: Nursing students (N=133)
This article presents a brief overview of theory as background for a more detailed discussion of midrange theory-its origins, the critical role for midrange theory in the development of nursingpractice knowledge, and the criteria for evaluating midrange theory. We then chronicle Cheryl Tatano Beck's program of research on postpartum depression (PPD) and advance the thesis that her theory of PPD, titled Teetering on the Edge, is an exemplar of a substantive midrange nursingtheory. We demonstrate Beck's progression from identification of a clinical problem to exploratory-descriptive research, to concept analysis and midrange theory development, and finally to the application and testing of the theory in the clinical setting. Through ongoing refinement and testing of her theory, Beck has increased its generalizability across various practice settings and continually identifies new issues for investigation. Beck's program of research on PPD exemplifies using nursing outcomes to build and test nursingpractice knowledge. PMID:15920359
Evidence-based practice (EBP) has emerged as a marker for health care quality. However, several barriers prevent the transition of nursing research to practice, such as lack of knowledge, lack of time, and little perceived value. The purpose of this descriptive study was to examine the extent of current understanding of EBP, knowledge\\/skills, and attitudes among registered nurses in an urban
With an aging population, aging nurse workforce, and high nurse vacancy rates, our hospital had a clear mandate to assess and redesign our practice environment. The authors describe a project created to provide a framework for current and ongoing evaluation of the practice environment. PMID:20010376
This curriculum guide was designed for use in postsecondary practicalnursing education programs in Georgia. Its purpose is to provide for the development of entry level skills in practicalnursing in the areas of knowledge, theoretical structure, tool usage, diagnostic ability, related supportive skills, and occupational survival skills. The…
An adequate measure of Control Over NursingPractice (CONP) at the organizational level of the nurse's work unit, was needed. The purpose of this study was to estimate the reliability and validity of a new unit-level version of an existing CONP scale usin...
This paper explores the concept of caring when used to define the nature of nursing. It is suggested that explorations of caring in nursing fail to acknowledge the real world of work in nursing, which is influenced by personal career choice and the organization of the health-care systems in which nurses work. In some situations nurses delegate the caring role to others thus giving 'care by proxy', a factor that is not clearly acknowledged in the literature on caring. It is suggested that if caring in nursingpractice was defined as 'formalized caring' it would offer a framework for the analysis of caring more conductive to the reality of nursingpractice today. PMID:7704374
The purpose of this study was to extend the theory of self-care deficit nursing by including specific constructs of religion, spirituality, and spiritual self-care practices within the structure suggested by Orem's self-care deficit nursingtheory. Based on an extensive literature review, practice experience, and a discovery theory-building approach, a new mid-range theory called White's theory of spirituality and spiritual self-care
The purpose of this study was to extend the theory of self-care deficit nursing by including specific constructs of religion, spirituality, and spiritual self-care practices within the structure suggested by Orem's self-care deficit nursingtheory. Based on an extensive literature review, practice experience, and a discovery theory-building approach, a new mid-range theory called White's theory of spirituality and spiritual self-care
BackgroundThe first year of nursingpractice is critical to developing new graduate nurses into safe practitioners. Many new graduate nurses leave the profession because of job stress, lack of organizational support, poor nurse-physician relations, unreasonable workloads, uncivil work environments, and difficulty transitioning into practice. In response, Nurse Residency programs reflect an organizational commitment to support new nurses, allowing them time
In Korea, since the first specialized areas of nursing were first recognized in 1973, 10 areas have been established by the Medicine Law, 2003: public health, anesthesia, mental health, home care nursing, gerontological nursing, critical care nursing, industrial nursing, hospice, emergency nursing, and infection control. Education for advanced practicenurses is the MSN level curriculum requiring 33 credit semester hours
The basic ingredients of a public health nursing program are presented in manual format by the Michigan Department of Public Health as a tool for use in planning a community nursing program. The manual deals with nursing skills, and includes: a guide to t...
C. L. Corriveau S. Buckman P. Hatfield A. Krause M. Mrozinski
Integrative review, held in the databases LILACS, SciELO and BDENF from January 2005 to May 2009, aimed to summarize the Brazilian scientific production based on Orem's NursingTheory. We obtained 23 articles, analyzed by simple descriptive statistics. It was found that 100% of the studies focused on adults. Of this total, 65,22% returned to the chronicle diseases. In 39,15% of the searches, the theory was used in full and in 34,80% one of the constructs. 91,30% of publications aimed to the construction and deployment of the structured and theoretically grounded practice of care. It was concluded that the theory has been used as theoretical and philosophical basis to justify the practice of nursing in a variety of situations in order to emphasize the role of the nurse in the care. PMID:23032347
Raimondo, Maria Lúcia; Fegadoli, Débora; Méier, Marineli Joaquim; Wall, Marilene Loewen; Labronici, Liliana Maria; Raimondo-Ferraz, Maria Isabel
In spite of a growing trend toward academic education and increasing numbers of "nursing experts" functioning as change agents in Germany, actual nursing experts as in the internationally described Advanced NursingPractice (ANP) are scarce. Drawing from a ten-year experience in implementing the international concept, the University Hospital Freiburg (UKF), Germany, constitutes a notable exception, as it presently employs ten clinically practicingnursing experts. Based on this background of educating nursing experts, this presentation aims at describing the implementation of the nursing expert's role and its fit and conformance with the international ANP. A 3-stage Delphi design was used for interviewing all the nursing experts at the hospital (n = 10) about their expert opinions; in addition, all nursing managers (n = 7) as well as unit and team leaders (n = 49) were asked about their opinion to relevant functions and domains of nursing experts. The following clinical practice domains of nursing experts were identified: Direct patient care, patient education, support and supervision of nurses, maintenance and expansion of professional skills and knowledge of the nursing staff, counselling of managers, quality assurance and organizational development, theory to practice transfer, nursing research, maintenance of own professional skills and knowledge and continuing education, and publicity work. Additionally, a three-year nursing education, a longer lasting professional experience, a degree in nursing science or nursing education, and specialist skills in the respective area of expertise were identified as credentials for nursing expert practice. The nursing expert concept at UKF shows elements of the international ANP with similarities to the role of a Clinical Nurse Specialist. PMID:19496033
The purpose of this article is to provide an overview of key concepts in understanding complex adaptive systems theory (CAS) and its application to nursing management. CAS concerns altering management practice and revolutionizing how nurse leaders think, behave, and problem solve. CAS discards former beliefs and embraces the concepts of self-organization and attractors (catalysts that allow new behaviors to emerge spontaneously) that enable order and creativity to emerge. Stressing that the most powerful processes begin at the micro level of an organization with the staff, complexity science offers nursing leadership new strategies for successfully navigating chaotic, complex times in health care management. PMID:16206697
On September 21, 1990, at the University of California, Los Angeles, Neuropsychiatric Institute and Hospital, six nurse theorists participated in a panel discussion on theory development for the 21st century. The theorists included Dorothy Johnson, Betty Neuman, Dorothea E. Orem, Rosemarie Rizzo Parse, Martha E. Rogers and Callista Roy. The panel provided the participants the opportunity to speculate on the course for future development of nursing knowledge. Three questions were posed to the panel relating to the development of their models, the direction nursingtheory will take in the 21st century, and current research emerging from the extant theories. The panel also addressed questions from the audience. PMID:1454278
The purpose of this study was to clarify the learning of the nursing students and to examine the educational methods of the clinical nursingpractice in incorporating the critical care nursing, by analyzing practical training records written by 48 nursing students who had experienced nursingpractical training at the intensive care unit. Extracted phrases and contents from these records, summing
Moral deliberation has been receiving more attention in nursing ethics. Several ethical conversation models have been developed. This article explores the feasibility of the so-called CARE (Considerations, Actions, Reasons, Experiences) model as a framework for moral deliberation in psychiatric nursingpractice. This model was used in combination with narrative and dialogical approaches to foster discourse between various stakeholders about coercion
This article reports the types and complexity level of decisions made in everyday clinical practice by critical care nurses. It also reports factors that influence the complexity of those decisions. A combination of methods were chosen for the two phase study. In the first phase, 12 qualified critical care nurses documented decisions (over a 2 hour period) on a clinical
Nursing informatics has become a useful tool for worldwide patient care and management; however, its implementation greatly varies according to specialty, healthcare setting, and nation. The purpose of this study was to determine nursing informatics implementation in Qiqihar, China. Questionnaires evaluating the advantages and disadvantages of nursing informatics implementation and hospital information system knowledge were distributed among three hospitals in Qiqihar. A convenient sample of 50 nurses from each hospital (total N = 150) was selected to participate in this study. Responses indicated that despite a relatively brief training period, nursing informatics was adequately implemented, and nurses were knowledgeable about hospital information systems. Respondents identified several key advantages of nursing informatics implementation, particularly its usefulness in aiding patient care for data management. Finally, respondents identified hospital information system instability as a major obstacle to nursing informatics implementation. Our study results may help clinical nursing practitioners improve their technology skills and help nursing administrators improve information programs. These findings provide an important reference for both nursing informatics practice and further studies. PMID:23549042
The report documents a project to obtain information on the congruence of the educational preparation of public health nurses at the baccalaureate level with their practice in official public health agencies. A series of small group discussions were held ...
The Assistant Secretary for Planning and Evaluation (ASPE) contracted with the University of Colorado Health Sciences Center (UCHSC) to examine and describe models of physician practices in nursing homes; the financing arrangements and payment rates assoc...
To reiterate the purpose of this editorial was not to delve into, and debate, the research evidence to substantiate or refute the purpose of ‘linking with practice’, in fact quite the opposite. Based upon our experiences we hope to encourage further debate on the purpose of nurse educators being in practice. It could be argued that as each author self-selected to work in practice for a week, there was a positive bias towards success. Indeed without exception this opportunity to ‘be a nurse and do nursing’, albeit undersupervision, had the desired outcome in that we achieved our predetermined goals and expectations. On an individual basis, it was a success. We eagerly became learners and absorbed information like a ‘good’ student should and received excellent feedback from practitioners. Moreover, our ability to recall and draw upon our years of nursing experience rapidly came to the fore thus enabling integration and participation in the work of nursingpractice from a critical and in-depth perspective. We therefore conclude that being in practice, engaging in nursing and caring for people not only was/is a privilege but serves to enrich nurse educator’s knowledge base. By origin we are all nurses, this was how we began and we feel strongly that this ‘route or link in’ should be strong, valued and respected as meaningful to being a nurse educator. After all we are not, (to coin the phrase rejected by the Royal College of Nursing in 2004) ‘too posh to wash or too clever to care’, in fact the opposite is the reality. PMID:20732831
Nursing units are social systems whose function depends on many variables. Available nursing data, combined with a theory of organizational diagnosis, can be used to understand nursing unit performance. One troubled unit served as a case study in organizational diagnosis and treatment using modern methods of data mining and performance improvement. Systems theory did not prescribe how to fix an underbounded system. The theory did suggest, however, that addressing the characteristics of overbounded and underbounded systems can provide some order and structure and identify helpful resources. In this instance, the data analysis served to help define the unit's problems in conjunction with information gained from talking with the nurses and touring the unit, but it was the theory that gave hints for direction for change. PMID:23923239
Diers, Donna; Hendrickson, Karrie; Rimar, Joan; Donovan, Donna
|A process for teaching research synthesis to advanced practicenurses includes two courses: a first research applications course in which students build bibliographic databases, practice statistical analysis, and develop search skills; and a second course in which they complete literature reviews or meta analyses of research on clinical practice…
Upchurch, Sandra; Brosnan, Christine A.; Grimes, Deanna E.
There is a growing body of evidence to support that specialization in nursing leads to improved outcomes for patients, including increased QOL, improved symptom management, and fewer hospital admissions. Oncology nurses face several challenges in pursuing specialization, due to individual and system issues such as limited time and resources. To address these challenges, de Souza Institute launched a province-wide study group for nurses in Ontario who planned to write the Canadian Nurses Association (CNA) Oncology Certification Exam. The study group was led by educators from de Souza and Princess Margaret Hospital and drew expertise from nursing leaders across Ontario who shared the same vision of oncology nursing excellence. The study group was innovative by embracing telemedicine and web-based technology, which enabled flexibility for nurses' work schedules, learning styles, physical location and practice experience. The study group utilized several theoretical perspectives and frameworks to guide the curriculum: Adult Learning Theories, Cooperative Learning, Generational Learning Styles, CANO standards for practice and the CNA exam competencies. This approach enabled 107 oncology nurses across the province in 17 different sites to connect, as a group, study interactively and fully engage in their learning. A detailed evaluation method was utilized to assess baseline knowledge, learning needs, cooperative group process, exam success rates, and document unexpected outcomes. Ninety-four per cent of participants passed the CNA Oncology Exam. Lessons learned and future implications are discussed. The commitment remains to enable thriving through generating new possibilities, building communities of practice, mentoring nurses and fostering excellence in oncology practice. PMID:21462874
This grounded theory research into the role of the community health nurse in Australia identified that moving from the comfort and structure of an institutional setting to the client's turf results in profound changes to the purpose of nursingpractice. Data were collected from 17 'excellent' community health nurses practising in a range of community health settings in three states of Australia. Data included transcripts from in-depth interviews, questionnaires, group discussions with participants, job descriptions, agency documentation, professional organisation documentation and focus groups. Data were analysed using constant comparative techniques. In community health nursingpractice, the client's role changes from a sick role to a well role and there is a shift in responsibility for outcomes from the nurse to the client. The central purpose of the community health nursing role is to facilitate Situated Health Competence, which the client achieves within the context of going about their everyday life, including work, recreation, relationships and role responsibilities. Situated Health Competence requires families, groups and communities to address their own illnesses, health problems, health issues and health behaviours; have enough knowledge and power to make their own decisions; question matters that impact on their health; and seek out and access appropriate health resources on an ongoing basis. The findings of this study make the intangible motivations of the community health nurse more explicit. The aim of facilitating Situated Health Competence results in an expanded view of the boundaries of nursingpractice. The traditional foci of nursingpractice are still present, but are incorporated within a broader 'situated' role. PMID:10401284
This article describes findings from a qualitative policy study focused on female nurses' activism in relation to lesbian health. Critical feminist analysis and comparative life history methodology were applied to career histories obtained from 10 diversely situated female nurses across Ontario, Canada. The findings show that nursing activist practices are informed by advocacy experiences that foster inclusive professional and community education plus formal education processes that shape their political socialization. Implications for nursingtheory include the development of political knowledges and practices that support caring science, sociopolitical knowing, and primary healthcare nursingpractice in a community context. PMID:19461232
Although Dorothea Orem's Self-Care Deficit NursingTheory has been used for curricula framework for years, it was not until 2001 that Orem identified the nursingpractice sciences and the foundational nursing sciences and specified the appropriate content for the two sciences. The broad purpose of this paper is to reinforce the importance of utilizing nursingtheories as curricular conceptual frameworks. The specific purpose is to delineate the appropriate content for baccalaureate programs that adopt a Self-Care Deficit NursingTheory conceptual framework for their curriculum. PMID:21471038
The nursing profession is patient-centered and responsible to meet the disparate health needs of a wide range of client "groups". Ensuring continued innovation and change to further improve care quality in an evolving health care system is an important issue. A focus on resolving minor points rather than on achieving major change may be the best approach to realizing continuous innovation in nursing. The advantages include not only promoting nursing quality and decreasing costs and manpower, but also giving satisfaction and self-fulfillment to the innovator. Successful innovation is affected by environmental structural support as well as the characteristics of the innovation and innovator. A successful innovator is sensitive to each opportunity, but is not a risk creator. This article describes innovator characteristics and innovation execution, and investigates the content and process of nursing innovation from various points of view in order to create new ideas and values related to the traditional nursing role. PMID:23588694
This paper examines factors that have lead to increasing internationalisation in nursing workforce and nursing education and contends that education and support for nurse managers and nurse academics is required in order to better prepare them for the challenges they will face. There are many benefits to be gained from internationalisation of nursing, the most significant being greater cross-cultural understanding and improved practices in workplaces across countries. However, the way in which nursing and nurses contribute to the international agenda is crucial to maintaining standards of education and nursing care in Australia and in countries with whom Australians collaborate. Internationalisation poses numerous challenges that need to be carefully thought through. This paper seeks to unravel and scrutinize some of the issues central to internationalisation in nursing, particularly in the Australian context. PMID:17563321
The recent increase in the amount of published work relating reflection and reflective practice to nurses and nursingpractice suggests that nurses value the opportunities which this approach is believed to provide. There also appears to be an underlying assumption that we all share the same concepts, hence the association with Humpty Dumpty. Indications of attempts to mechanize the processes and to endow the perceived skills with an élitism are becoming evident. In contrast, there are other attempts to foster the notion of accepting uncertainty, unpredictability and the opportunity for increased understanding to emerge. In this paper, the roots of some of these concepts are traced. The appropriateness of traditional values and assumptions, based on natural science perspectives, in relation to reflective processes and the practice of nursing is questioned. The development of a multi-faceted approach which takes account of differing contexts and the factors which influence them is suggested. PMID:7665766
Constructive alignment theory has been used to underpin the development of curricula in higher education for some time (Biggs and Tang, 2007), however, its use to inform and determine skills curricula in nursing is less well documented. This paper explores the use of constructive alignment theory within a study of undergraduate student nurses undertaking clinical skill acquisition in the final year of a BSc (Hons) Nursing course. Students were followed up as newly qualified nurses (NQN) (n = 58) to ascertain the impact of skill acquisition in this way. Comparisons were made with newly qualified nurses who did not participate in a constructively aligned curriculum. This mixed methods study reported skill identification within the immediate post-registration period and evaluated the constructively aligned curriculum as having positive benefits for NQNs in terms of confidence to practice. This was supported by preceptors' views. The study recommends two process models for nursing skills curriculum development and reports that constructive alignment is a useful theoretical framework for nurse educators. PMID:21664187
Nursingpractice in North Dakota was studied as part the development of a statewide nursing resource planning system. In addition to the current scope of nursingpractice, the study investigated: (1) specific competencies currently targeted by nursing education; (2) differences in specific competencies endorsed by nurses with various education…
New nurses entering practice experience a challenging transition, one that can be moderated by the presence of mentors in the practice setting. Seeking mentors who enter into informal mentoring relationships with new nurses can be difficult for those new nurses who don't know what to look for in a mentor. In this Grounded Theory study, the author explored nurses' perspectives on what makes a mentor effective, and how they engaged in mentoring relationships with their informal mentors. Two key factors in the development of these mentoring relationships was 1) the relational connection that existed between new nurses and one of their more experienced colleagues in the practice setting, and 2) the perception of new nurses of the quality of the experienced nurses' practices. New nurses entered practice expecting to learn from their more experienced colleagues but recognized that they wanted to emulate the practice of experienced nurses who practicednursing in the way new nurses idealized. In this article, the author describes the characteristics of effective mentors, from the perspectives of nurses who had mentors, and described their processes of engaging with their mentors. PMID:21159558
|The data in this report are the result of the first in a series of five proposed inventories of licensed practicalnurses. The study revealed a total of 343,635 practicalnurses holding licenses to practice at the time of the study. About 74 percent reported they were employed in nursing, 20 percent indicated they were not employed in nursing,…
|This position statement of the American Association of Colleges of Nursing asserts that the nursing profession must develop a standardized national advanced practicenursing certification process by 2000. Professional certification validates and standardizes the qualifications and practice competencies of the advanced practicenurse. (Author/JOW)|
|The use of evidence-based practice (EBP) has become the standard of health care practice. Nurses are expected to use best evidence on a wide range of topics, yet most nurses have limited time, resources, and/or skills to access and evaluate the quality of research and evidence needed to practice evidence-based nursing. EBP guidelines allow nurses…
BACKGROUND: Nursing student's experiences of their clinical practice provide greater insight to develop an effective clinical teaching strategy in nursing education. The main objective of this study was to investigate student nurses' experience about their clinical practice. METHODS: Focus groups were used to obtain students' opinion and experiences about their clinical practice. 90 baccalaureate nursing students at Shiraz University of
This study aimed to enhance nursingpractice in developmental care for preterm infants. A participatory action research (PAR) model was used as a catalyst for changing nursingpractice. Participants were 30 neonatal nurses working in a neonatal intensive care unit (NICU) at a university hospital in Bangkok. Data was collected using multiple methods. The findings revealed that enhancing nursingpractice
As the 21st century approaches, one very important issue for nursing is the increased prevalence of chronic conditions such as arthritis. Self-management is one way that individuals can cope with the uncertainty and many changes chronic illness brings. The purpose of this article is to describe a nursing model that addresses the need for enhanced self-management skills and the rehabilitation nurse's role in this process. The model is based on the concept of intentional action and uses Orem's (1995) self-care deficit nursingtheory as its conceptual structure. The expected outcomes of care for clients are effective self-management skills and subsequently improved health status and quality of life. The model will be useful in the design of rehabilitation nursing research as well as in the planning of care for individuals with chronic illness. PMID:10754910
Communication and teamwork problems are leading causes of documented preventable adverse outcomes in perinatal care. An essential component of perinatal safety is the organizational culture in which clinicians work. Clinicians’ individual and collective authority to question the plan of care and take action to change the direction of a clinical situation in the patient’s best interest can be viewed as their “agency for safety.” However, collective agency for safety and commitment to support nurses in their advocacy role is missing in many perinatal care settings. This paper draws from Organizational Accident Theory, High Reliability Theory, and Symbolic Interactionism to describe the nurse’s role in maintaining safety during labor and birth in acute care settings, and suggests actions for supporting the perinatal nurse at individual, group, and systems levels to achieve maximum safety in perinatal care.
The pre-conference workshop at the 32nd Annual Conference of the Association of Pediatric Hematology/Oncology Nursing, held in September 2008, focused on issues faced by pediatric oncology nurses in the ambulatory setting. The workshop was developed after several years of intense discussions at several forums. Therefore the need for an extended discussion period with ambulatory pediatric oncology nurses across the country to address these concerns was evident. There has been a major shift over the past ten years from inpatient to outpatient treatment in oncology (Chabot & Fox, 2005). This shift has resulted in numerous unique challenges for the pediatric oncology nurse. Challenges include lack of staffing resources for fluctuating patient volume and acuity, telephone triage volume and management, home care patient issues, scheduling systems, patient flow and wait time, and multi-institutional communication. This article reports the results of the APHON workshop which utilized the evidence from adult ambulatory oncology literature and standards and the recommendations of the expert pediatric oncology nurse participants to develop global statements about pediatric oncology ambulatory practice standards. The energy and productivity of the group was evidence of a common theme and demand for attention to the ambulatory nursing staff and practice. The ability to identify common threads and reach consensus with powerful statements of practice supports the continued use of such forums to move practice forward. PMID:19897837
Although licensed practicalnurses (LPNs) organized into professional groups as early as 1941, there is little in the literature about the practice, work, demand for, or efficient utilization of the licensed practicalnurse. There also is little guidance ...
This article discusses how aspects of a holistic comfort theory were adapted to create a taxonomic structure to apply its concepts to a fast-track nursing education program. The principles of learner-centered education were combined with comfort theory to develop strategies that appear to have produced positive influences on the attributes and con- texts of comfort within the learning community. With
|The purpose of this study was to examine the leadership practices perceived by nursing education leaders as measured by the Leadership Practices Inventory (LPI). The framework used was a contemporary transformational leadership model described in "The Leadership Challenge" ("4th ed.") by Dr. James Kouzes and Dr. Barry Posner, which identifies the…
An Australia-wide survey of nursing research education practices found wide variability in subject requirements for the same award. Respondents disagreed about when students should first implement research projects using 'real' data from the clinical practice environment. Half believed research projects at the undergraduate level were more appropriate, while the other half thought research implementation should be reserved for honours and
BACKGROUND: Nurses play a crucial role in patient-care. Therefore, assessing nurses’ clinical competence is essential to achieve qualified and safe care. The aim of this study was to determine and compare the competence assessments made by head nurses and practicingnurses in a university hospital in Iran in 2009. METHODS: A cross-sectional survey was conducted to make comparisons of both self-assessment of nurse competence as well as assessment made by their respective head nurses working in a university hospital setting in Iran. The instrument employed for data collection was Nurse Competence Scale (NCS), whose reliability and validity have been previously confirmed. The clinical competence of the nurses in 73 skills under 7 categories was determined based on a Visual Analogue Scale (VAS) (0 to 100). They were also asked to indicate the extent to which their competence was actually used in clinical practice on a four-point scale of Likert. The data was analyzed through descriptive and inferential statistics. RESULTS: Comparison of self-assessment (87.03 ± 10.03) and the assessment done by head nurses (80.15 ± 15.54) showed a significant difference but no precise differences were found between the assessment methods for the frequency of using these competencies. CONCLUSIONS: The results of this study indicated no consensus between the nurses owns assessment and their head nurse assessment. Therefore, it is necessary to use a combination of nurses’ competence assessment methods in order to reach a more valid and precise conclusion.
Using the same methodology previously used to collect data for a survey of registered nurses, the American Nurses' Association (ANA) conducted the first survey of licensed practicalnurses (LPNs) in 1969; findings are presented here. The ANA utilized its ...
|A comparison of results of two studies regarding the actual practice of clinical nurse specialists and nurse practitioners revealed a shared core of advanced practice competencies as well as distinct differences between practice roles. (JOW)|
A comparison of results of two studies regarding the actual practice of clinical nurse specialists and nurse practitioners revealed a shared core of advanced practice competencies as well as distinct differences between practice roles. (JOW)
In the French health care system, most nurses work in hospitals as salaried, but a number are also salaried in health centers or operate in their private offices. About 48,000 are private practitioners, they provide nearly all the ambulatory nursing care to the population. A survey undertaken in early 2004 shows that on the average, their weekly working time is 40 hours: 10 hours are devoted to injections, 9 to dressings, 17 to nursing care and 4 to other activities. Out of 10 nurses in private practice, 3 think that their workload is too heavy. Moreover, 19% declare that they are willing to leave private practice over the 3 coming years. If all the individual plans become reality, more that 9000 private nurses would disappear during the coming years from a workforce of 48,000:2900 would retire, 2700 would become salaried in hospitals, 3200 would take up an other job and 400 would become temporary workers in interim companies. Will the tasks they let be carried out by their remaining colleagues? No doubt that this will not be the case only 7% of the surveyed professionals declare that they are willing to increase their workload. As nurses shortage in French hospitals is evident nowadays, it seems that shortage in ambulatory care is unavoidable. The surveyed nurses point out 3 important difficulties they are encountering. One nurse out of 4 complain about the heavy administrative procedures i.e. the numerous and complex forms they have to fill out. One out of 6 complains about the lack of locum tenets. Furthermore, one out of 15 are in favour of suppressing the official "Nursing Care Approach" which was promoted recently, precisely to highlight the importance of their professional work. PMID:16605059
We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses’ management of children's pain. RCP is an interactive, content-focused, and Kolb's Experiential Learning Theory-based intervention. Using a one-group, pre/posttest design, we evaluated feasibility of RCP and pre/post difference in scores for nurses’ beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pre-to-posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and keterolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses’ beliefs and pain management practices. The 2-hour RCP program is promising and warrants replication with an attention control group and a larger sample.
Vincent, Catherine Van Hulle; Wilkie, Diana J.; Wang, Edward
The purpose of this paper is to describe the use of a nursingtheory-based strategy to create an undergraduate nursing clinical course that extended the nursing curriculum to meet the requisites for University Honors College credit. Using the middle range theory of story theory, this innovative teaching strategy had two goals: to plan nursing care with a focus on the human response to illness, and to integrate this strategy into an existing clinical course. Methods of teaching the theory and application to practice are described.A schedule is provided that outlines and describes how the experience was put into action, documented, and discussed. Use of this strategy raised the quality of the clinical experience for all students.This quality was seen in the ability to expand the curriculum, and in the student course evaluations. Students were able to understand theory, apply it to practice, and plan holistic nursing care. PMID:20397477
Three nurse leaders recount their experiences transitioning from a practice career to an academic career. These nurse leaders discuss their experiences with role transition and gaining new competencies, comparing and contrasting the competencies of nurse educators and nurse leaders. Specific examples are presented addressing collaborative efforts between practice and education. PMID:20166648
The "Scope and Standards of Professional School NursingPractice" states that school nurses should evaluate the quality and effectiveness of their practice. School nurses have not yet identified and adopted outcomes by which this effectiveness can be measured. This study used focus groups during a national meeting of school nurse leaders to…
The development of nursing models can be traced to the inception of nursing as a profession. Florence Nightingale laid the foundation for current nursingpractice and differentiated nursing from medicine. The late 19th and early 20th centuries contributed a number of important nurse theorists, better known for other contributions to the neophyte…
Traditionally, nurses have been over-managed and led inadequately, yet today they face unprecedented challenges and opportunities. Organisations constantly face changes that require an increasingly adaptive and flexible leadership. This type of adaptive leadership is referred to as 'transformational'; under it, environments of shared responsibilities that influence new ways of knowing are created. Transformational leadership motivates followers by appealing to higher ideas and moral values, where the leader has a deep set of internal values and ideas. This leads to followers acting to sustain the greater good, rather than their own interests, and supportive environments where responsibility is shared. This article focuses on transformational leadership and its application to nursing through the four components of transformational leadership. These are: idealised influence; inspirational motivation; intellectual stimulation; and individual consideration. PMID:23132001
Repertory grid technique was used to compare the personal constructs that three groups of nurses (critical care nurses, gerontology nurses and general nurses) used to characterize effective nursing within their areas of practice. To seek differences in the distribution of constructs across the three groups, the repertory grid data were represented by non-metric multidimensional scaling (MDS) which revealed separation between
"Curriculum: From Theory to Practice" introduces readers to curriculum theory and how it relates to classroom practice. Wesley Null provides a unique organization of the curriculum field into five traditions: systematic, existential, radical, pragmatic, and deliberative. He discusses the philosophical foundations of curriculum as well as…
Individual factors are known to influence engagement in research utilization and evidence-based practice (EBP). Cognitive maturity is one factor that may enhance interest in and willingness to engage in clinical inquiry, research utilization, and EBP. Adult cognitive development theory explains why research training alone may not suffice to prepare nurses for EBP. Epistemic assumptions held by pre-reflective and quasireflective thinkers interfere with openness to uncertainty and ambiguity in practice and accurate understanding of the value of research for practice. Nurses may use good formal logic, but they also believe in authority, or revealed truth, as the criterion for knowledge and sometimes fail to perceive the need to evaluate evidence. Developmentally oriented educational efforts informed by the reflective judgment model have the potential to foster the cognitive development required in students of EBP. Further inquiry into the relationship between cognitive maturity and EBP will enhance these educational efforts. PMID:23181461
Using fictional and autobiographical literature in nursing education is a primary way of understanding patients' lived experiences and fostering development of essential relational and reflective thinking skills. Application of literary theory to this pedagogic practice can expand conceptualization of teaching goals, inform specific teaching strategies, and potentially contribute to socially consequential educational outcomes. This article describes a theoretical schema that focuses on pedagogical goals in terms of the three related skills (i.e., reading, interpretation, criticism) of textual competence. PMID:12238895
Developed through a modified DACUM (Developing a Curriculum) process involving business, industry, labor, and community agency representatives in Ohio, this document is a comprehensive and verified employer competency profile for practicalnursing. The list contains units (with and without subunits), competencies, and competency builders that…
Ohio State Univ., Columbus. Vocational Instructional Materials Lab.
Spiritual care has the potential to improve clients' health and quality of life. Since clients desire spiritual care from their health care providers as they age or as their health worsens, geriatric nurse practitioners (GNPs) were chosen to participate in this study. This cross-sectional, descriptive, survey design investigates the relationships and differences between practicing GNPs spiritual perspectives and their ability
By practical logic is meant the search for adequate premises, and not the theoretical discussions of the logician. The field of color theory offers a splendid opportunity for the study of errors in scientific reasoning. A satisfactory theory must take account of all the facts of color sensation. Among recent theories which sin against fundamental methodological principles are those of
|THE RELATIVELY UNCHANGING FACTORS UNDERLYING NURSING AND ITS PRACTICE ARE PRESENTED AND APPLIED IN THE DEVELOPMENT OF CURRICULUMS FOR THE EDUCATION OF PRACTICALNURSES. THE GUIDE FOR DEVELOPING CURRICULUMS WAS PREPARED BY A REGISTERED NURSE IN COOPERATION WITH SEVERAL GROUPS AND MANY INDIVIDUALS, INCLUDING TWO PROGRAM SPECIALISTS OF THE PRACTICAL…
Governments across Canada and internationally are implementing nurse telephone advice services to their populations as a means to address healthcare access issues. This paper briefly reviews the international and Canadian history of telephone nursing services and outlines the research that has established the relative safety of these services to patients. The standards, competencies and decision systems that support safe tele-practice are reviewed. The paper focuses on the realities of this emerging nursingpractice. A number of concerns related to the marriage of clinical practice and call centres are identified that require further dialogue, research and debate within the profession. The call centre environment can lead to a focus on efficiency measures, such as call length and quick turnaround to the next call, without evidence to ensure that these are safe or desirable standards. Quality of work life for staff in call centres is also raised as an issue that requires more research and dialogue. Other issues include cross-jurisdictional licensure, patient safety, privatization and the differing models of telephone nursing services that are being implemented in Canada. PMID:18303723
In 2009, the National League for Nursing reported that there are over 3.4 million persons in the United States employed in nursing in the roles of Registered Nurses (RNs) and Advanced PracticeNurses (APRNs). In 2007, the Bureau of Labor Statistics also reported that in 2006, there were over 749,000 Licensed PracticalNurses (LPNs) working in the United States with a projected increase of 14% by 2016. Buerhaus et al, in 2009, stated that between 2016 and 2025, it is estimated that the U.S. will need over 260,000 registered nurses (RNs) Using the conceptual framework of Vroom's expectancy theory on motivation as well as theories addressing student and career development, this paper demonstrates a synthesis of Vroom's model with other educational theories and its application to nursing education, specifically the prediction of motivation to advance one's nursing education. By putting Vroom's theory into a context, Vroom's fairly simple model could help nurse educators predict the factors that make for success in midcareer educational advancement--and even possibly manipulate those factors to increase that success. In today's economy, that practical part seems too good to lose. PMID:20832146
This paper draws on classical theories of wisdom to explore the organisational impact of nurses on Australian general practice. Between 2004 and 2008, numbers of general practicenurses doubled, the most rapid influx of nurses into any Australian workplace over the decade. Using data from the Australian General PracticeNurses Study, we argue that nurses had a positive impact because they introduced techne at the organisational level and amplified phronesis in clinical activities. In its Hippocratic formulation, techne refers to a field of definable knowledge, which is purposeful and useful and requires mastery of rational principles. Nursing, with its focus on system and accountability, brought techne out of the GP's consulting room and into the general practice as a whole. Nurses also exemplify phronesis, an Aristotelian virtue connoting a reasoned and honourable capacity to make judgements: the practical wisdom that defines the interaction between clinician and patient in general practice. At a time of significant GP shortage, doctors and nurses began to collaborate around their more complex and time-consuming patients, leading to a deepening of phronesis in the workplace. By bringing techne to bear on the organisation, and complementing and enhancing phronesis, nurses propel organisational wisdom in general practices. PMID:22571814
AIM: This paper is a report of a study to assess the applicability of a theoretical model of social information processing in expanding a nursingtheory addressing how nurses respond to patients.\\u000aBACKGROUND: Nursing communication affects patient outcomes such as anxiety, adherence to treatments and satisfaction with care. Orlando's theory of nursing process describes nurses' reactions to patients' behaviour as
|This paper examines the recent development of a computer-assisted learning program--in Practice--at the School of Health Science, in the University of Wales Swansea. The project, which began in 2001, was developed in close collaboration with The Meningitis Trust, the aim being to produce a software package to increase nursing students' knowledge…
This paper examines the recent development of a computer-assisted learning program--in Practice--at the School of Health Science, in the University of Wales Swansea. The project, which began in 2001, was developed in close collaboration with The Meningitis Trust, the aim being to produce a software package to increase nursing students' knowledge…
|This descriptive correlational study assessed school nurses' knowledge of and perceived relevance of the "Standards of Professional School NursingPractice". Of the 1,162 Ohio school nurses sent questionnaires, 345 returned usable questionnaires (30%). The typical respondent was a 50-year-old Caucasian woman with 24 years of nursing experience,…
Rice, Susan K.; Biordi, Diana L.; Zeller, Richard A.
Urinary incontinence is considered a significant social problem affecting many individuals' quality of life. Nursingtheory is a set of concepts or propositions derived from philosophical beliefs about the phenomena of interest to the discipline. The ability to use theory to guide nursingpractice brings reasoning and logic to professional nursingpractice. Orem's Self-Care Deficit Theory of Nursing gets to the heart of what nursing is and how continence nursing care can be offered and delivered as a broadly inclusive professional, rather than narrowly procedural, practice offering individual care targeting the self-care agent (client) rather than the medical diagnosis. PMID:12593228
In the present study, we outline the evolution of a process-focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3-year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group-as-a-whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process-focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision. PMID:23009276
Although clinical scholarship is an espoused professional ideal, how nurses develop and maintain a scholarly approach to nursingpractice throughout different stages of their careers is not well understood. This qualitative study describes early-career nurses' accounts of pursuing professional practice as a scholarly endeavor. Semi-structured interviews were conducted with 18 early-career nurses purposively sampled from an ANCC Magnet-designated tertiary-care facility. The data were analyzed using content analysis. Findings center on four major themes. I Need Skills First and My Practice Evolves explain how early-career nurses conceptualized their practice in its initial stage. I Think I Know What It Looks Like and I Am Not There Yet reflect their assessment of how their current practice level in comparison with their understanding of scholarly nursingpractice. Nursing needs requires a new scholarly practice development paradigm for a multistage career beginning with a concerted focus on the critical first stage of practice. PMID:23036689
Aim: To develop a grounded theory of nursing’s contribution to patient rehabilitation from the perspective of nurses working in inpatient rehabilitation.Design: Grounded theory method, informed by the theoretical perspective of symbolic interactionism, was used to guide data collection and analysis, and the development of a grounded theory.Setting: Five inpatient rehabilitation units in Australia.Participants: Thirty-five registered and 18 enrolled nurses participated
Julie Pryor; Annette Walker; Beverly OConnell; Linda Worrall-Carter
A co-ordinated approach was adopted to monitor practice standards among clinical nurse specialists (CNSs) in West Midlands breast screening assessment nursing teams. A regional working party was assembled and a patient satisfaction survey was produced. Results of the survey show that for women attending for breast screening assessment, interaction with a CNS is perceived to be highly beneficial. Contact points vary with local practice, but the majority of women had contact with a CNS at some point during the assessment process for support and information. The results of the survey are used as an integral part of the quality assurance process in relation to CNS provision in the West Midlands. Services should aim to ensure that sufficient CNSs are available for women attending breast screening assessment centres. PMID:23914694
Baker, Joanne; Kearins, Olive; O'Sullivan, Emma; Casey, Margaret
This project facilitated reflective practice processes in experienced Registered Nurses (RNs) in order to raise critical awareness of practice problems, work systematically through problem-solving processes to uncover constraints, and improve the quality of care given by nurses in light of the identified constraints and possibilities. Twelve experienced female RNs working in a large Australian rural hospital shared their experiences of nursing during three action research cycles. A thematic concern of dysfunctional nurse-nurse relationships was identified, as evidenced by bullying and horizontal violence. The negotiated action plan was put into place and participants reported varying degrees of success in attempting to improve nurse-nurse relationships. PMID:11785443
Integrating evidence-based practice into the culture of an acute care hospital requires assessment, planning, and intervention by nursing leadership. The authors discuss a statewide study that assessed the skill level of nurses in obtaining evidence for their nursingpractice, using computers and databases, as well as evaluating the perceived availability of resources in their hospitals to access evidence. PMID:18997555
Cadmus, Edna; Van Wynen, Elizabeth A; Chamberlain, Barbara; Steingall, Patricia; Kilgallen, Mary Ellen; Holly, Cheryl; Gallagher-Ford, Lynn
The practice continuum of perianesthesia nursing interacts in concert with other nursing and medical professional organizations. Professional standards of care establish frameworks that guide these practitioners in the delivery of care. ASPAN is charged with the ethical responsibility of defining and promulgating minimum standards of perianesthesia nursingpractice. This article discusses the various definitions and uses of standards, as well
Simulations using human patient simulator technology are being used in many areas of nursing education. As simulation use increases, nurse educators and those in staff development need examples of how to design and use simulations for various levels of nursingpractice. This project describes the development, implementation, and evaluation of an asthma scenario using a human patient simulator with practical
Nursing praxis was explored from the perspective of one Newman scholar. She shared her evolving perspectives on research as a doctoral candidate and as a member of a hospital-based praxis team she went on to develop with colleagues focusing on women with cancer. Using Newman's research method, the team interviewed families regarding meaningful persons and events in their lives. They then conducted another study in the form of action research. The praxis team found that Newman's theory resonated throughout nursingpractice. Newman nursing praxis integrates theory, practice, and research. PMID:15090083
This article deals with the theory and practice of sovereignty from the perspective of a trend in theoretical perspectives as well as the relevant trend in practice. The article provides a survey of the leading thinkers and philosophers views on the nature and importance of sovereignty. The concept of sovereignty is exceeding the complex. Unpacking its meanings and uses over
As part of its ongoing work, the AANA's Practice Committee reviewed the Scope and Standards for Nurse Anesthesia Practice, particularly focusing on the Standards for Nurse Anesthesia Practice. Revisions and updates were made to the standards to ensure clarity and reflect current anesthesia practice. This article highlights several of the important revisions made to the Standards for Nurse Anesthesia Practice, specifically focusing on the importance of documentation, updates to Standard V-Patient Monitoring, and changes to other documents affected by the updates. This is not an exhaustive discussion of all changes made to the document. The updated Standards for Nurse Anesthesia Practice are presented in their entirety. PMID:23971226
Radiology nursing needs to apply research to practice when the evidence is available and to identify areas of further research. Evidence-based practice is defined as the synthesis and use of evidence from scientific investigations and other types of knowledge to guide practice and clinical decision making. Many practices in nursing are based on tradition–for example, using heparin to maintain IV
Ramona Lynd; Donna J Anderson; Phyllis L Miller; Nelson A Kimberly; Schaffer Judith
The discipline of nursing continues to evolve in keeping with the dramatic expansion of scientific knowledge, technology, and a concomitant increase in complexity of patient care in all practice settings. Changing patient demographics require complex planning for co-morbidities associated with chronic diseases and life-saving advances that have altered mortality in ways never before imagined. These changes in practice, coupled with findings from sophisticated nursing research and the continuous development of new nursing knowledge, call for realignments of the relationships among academic faculty in schools of nursing, advanced practicenurse administrators, and staff nurses at the forefront of practice. This article offers a model designed to bridge the gaps among academic settings, administrative offices and the euphemistic “bedsides” where staff nursespractice. Here we describe the nurse attending model in place at the New York University Langone Medical Center (NYULMC) and provide qualitative data that support progress in our work.
A key component of workforce reform is the international growth in Advanced PracticeNursing (APN) roles. This study evaluated one APN role in Australia, the Clinical Nurse Consultant (CNC). All 56 CNCs employed in a tertiary hospital in New South Wales took part in the study. Demographic and work activity data were collected by an online questionnaire. Face-to-face interviews included the administration of a 50-point tool to score the level of practice of each CNC against five domains. The domains of practice did not appear to have played a central role in the design of these CNC roles despite being defined in the industrial legislation and linked to a pay structure. There was widespread variability in the level of practice both within and between the CNC grades as well as significant differences in job content. Few CNCs managed to achieve a moderate level of practice across all five domains. The findings suggest that the distinctive features of the CNC roles as articulated in the domains of practice are often not realized in practice. PMID:23692175
BACKGROUND: In spite of much literature written about the theory-practice gap in the international nursing journals, there is evidence that indicates this subject has not been probed comprehensively since nursing education was transferred to universities in Iran. In the recent years, the public and the government have criticized Iranian nurses because of poor quality of patient care. Although this subject has been lamented by some researchers, there is no comprehensive work on how this gap resulted. In the process of a larger study on “nursing knowledge translation to practice”, of one PhD thesis, this process was explored. METHODS: Using grounded theory analysis, indepth interviews were undertaken with a purposive sample of 29 nurses, with different levels of experience, from the school of nursing in Tehran University of Medical Sciences in 2006 from January to August. Data were analyzed using the constant comparative method. RESULTS: Three main themes emerging from this study included clinical behavior structure, paradoxical knowledge and practice, and divergent nursing organization. CONCLUSIONS: It seems that nursing education with some praxis and paradoxes in the realm of nursing knowledge and practice, along with divergent organizational structure have decreased nurses’ ability in applying their professional knowledge and skills in order to bridge the gap between theory and practice. Moreover, in spite of increased academic input into nursing education, clinical behaviors of both education and practice settings was perceived as “traditional routine-based”.
Cheraghi, Mohammad Ali; Salsali, Mahvash; Safari, Mahmoud
|Elementary schools are an optimal setting to provide obesity prevention interventions, yet little is known about the obesity prevention practices of elementary school nurses. The purpose of this study was to gain insight into current obesity-related school nursingpractice in elementary schools in Minnesota, opinions regarding school nurse-led…
Morrison-Sandberg, Leslie F.; Kubik, Martha Y.; Johnson, Karen E.
The recently released American Nephrology Nurses' Association (ANNA) Nephrology Nursing Scope and Standards of Practice, 7th edition, provides a broad foundation for defining and evaluating nephrology nursingpractice. ANNA's standards present a similar approach as the American Nurses Association (ANA) 2010 standards. The ANNA Nephrology Nursing Scope and Standards of Practice, 7th edition, is expanded to incorporate a section on how to use the standards in practice. This article provides an overview of the scope of practice, standards, and situations that require intervention by nephrology nurses. Samples of tools that can be used to incorporate the standards into the various situations are discussed. PMID:21928607
The Theory Into Practice (TIP) database contains summarized descriptions of 50 educational theories related to human learning and instruction. It was compiled by Dr. Greg Kearsley, and independent consultant specializing in online education who has a PhD in educational psychology. For each instructional theory, Kearsley provides a brief overview, explains its scope and application, outlines its principles, offers a theoretical example, and lists references. In addition, some of the overviews include Quicktime video clips of Dr. Kearsley or others lecturing on specific theories. The TIP database is accessible via three indices: an alphabetic index, a learning domain index, and a learning concepts index.
This article examines the nature of advanced nursingpractice. It identifies confusion around the terms of advanced nurse practitioners (ANPs), nurse practitioners and specialist nurses, and identifies what advanced practice is. The history of how ANPs evolved is discussed from its haphazard development to a more organised approach. Current advanced practice is identified, along with NHS plans for nurse development. Law, ethics and professional accountability are examined in relation to the additional responsibility ANPs have. Finally, the author's role as an ANP is considered within the context of primary care and NHS reforms. PMID:23123749
This article by Darlene Sredl considers qualitative statements from US nurse executives about their belief in and implementation of evidence-based nursingpractice. Their statements suggest uncertainty about the way forward. PMID:18700660
Educating hospital nurses about the clinical nursing preceptor role is necessary to attract expert nurses to become preceptors for undergraduate nursing students. To accomplish the goal of teaching and recruiting nurse preceptors, partnerships were developed to provide preceptor workshops in the New Orleans, Louisiana, area. Collaboration between hospital nurse educators and the Louisiana State University Health Sciences Center School of Nursing faculty resulted in several workshop offerings. Workshop content included clinical teaching strategies, adult learning theories, and strategies for evaluating students in the clinical setting. These workshops benefited the nursing community, improved collaboration between hospital nurse educators and the Louisiana State University Health Sciences Center School of Nursing faculty, and increased the number of clinical preceptors. This article highlights the program description, the results of program evaluation, and the participants' demographic features. PMID:20411886
The purpose of this Heideggerian phenomenological study was to uncover the meanings of the clinical experiences of registered nurses working in maternity settings after they studied maternity nursing from a woman-centered, feminist perspective in a generic baccalaureate nursing program. Purposeful sampling was conducted to locate and recruit nurses who had graduated from this nursing program between the December 1996 and December 1998 semesters and were currently working in a maternal-newborn clinical setting. Each participant had taken the required woman-centered, maternity-nursing course during her/his undergraduate education. Data collection included an individual, open-ended interview that focused on the nurses' descriptions of their everyday practices as maternity nurses. Nineteen maternal-newborn nurses between the ages of 23 and 43 years who had been in practice from six months to three years were interviewed. The constitutive patterns identified from the interviews were: “Otherness,” “Being and Becoming Woman-Centered,” and “Tensions in Practicing Woman-Centered Care.” Findings revealed that the nurses had a raised awareness of oppressive maternity care practices and applied ideology of woman-centeredness as a framework for providing more humanistic care. Creating woman-centered maternity care meant negotiating tensions and barriers in medically focused maternity settings and looking for opportunities for advocacy and woman-empowerment. The barriers the nurses faced in implementing woman-centered care exposed limitations to childbearing choices and nursingpractices that remain problematic in maternity care.
The distinction between doctor and nurse has been historically visible to patients, and the scope of practice for each healthcare provider has been clearly marked by a wall of separation rooted in state law. In fact, even the titles by which these providers have been addressed have remained constant, with the term “doctor” being reserved for reference to physicians. With the advent of the new doctor of nursingpractice degree, however, the clear distinction between doctor and nurse is in jeopardy. Moreover, accompanying the push toward a practice doctorate for advanced nursingpractice is a call for the expansion of the scope of advanced nursingpractice. The urgent questions at hand are the following: First, is a practice doctorate necessary or even appropriate for advanced nursingpractice? Second, should the scope of advanced nursingpractice be extended at this time? In addition to the increased educational requirements placed on aspiring advanced practicenurses and the associated increase in costs of obtaining the requisite education, requiring a practice doctorate for advanced practicenursing risks blurring the line between doctor and nurse and creates a potential for patient confusion. A true need for requiring a practice doctorate for advanced practicenursing has not been demonstrated. Moreover, the states should tread carefully when considering expanded roles for advanced practicenurses to avoid creating conflict within the medical community. Considering the level of qualification of today's medical school applicants, perhaps we should be training more physicians to meet the demand head-on rather than creating a separate practice doctorate to fill the gap.
|The purposes of this conference were: (1) to present research representing a variety of topics and study designs; (2) to disseminate findings of nursing research; and (3) to stimulate the use of research and theory as a basis for clinical, educational, and administrative practice. The keynote address and two invited presentations are presented in…
The role of advanced practice (AP) nurses must be clearly articulated and defined and not overshadowed by medical functions. Consensus on their educational preparation and explication of the nature of expertise in advanced practice are needed if AP nurses are to realize the full scope of their practice. (Contains 35 references.) (SK)
In 2006, The American Association of Colleges of Nursing approved a new doctoral degree for clinical leaders, the Doctor of NursingPractice. These new advanced practice leaders will need sophisticated skills in informatics to acquire and use data, information, and knowledge in their roles. This paper proposes a foundational course for all Doctor of NursingPractice students and some strategies for integrating informatics throughout the curriculum.
Nursing is remarkable for the scope of activities that it includes. Nursingpractice involves so many things in so many places that finding a definition that includes everything and applies everywhere is no easy task. This report by the WHO Expert Committee on NursingPractice describes the basic functions of nursingpractice and how they are manifested in different socioeconomic situations. Whatever the environment, the report concludes, there are certain core elements that are the responsibility of nurses the world over. The influence that social attitudes and political and economic policies have on nursingpractice is examined. The report is honest in its admission that the situation in many places is far from ideal and that in most there is clear room for improvement. Policy-makers, legislators, managers, educators, researchers, other professionals and nurses themselves have important roles to play in a comprehensive approach to the development of nursingpractice proposed by the Expert Committee. The report emphasizes the importance of a well educated and highly skilled nursing workforce that is consistent in maintaining quality of care but is also responsive to change. It points the way to international standards in nursingpractice and lays the foundation for new strategies to ensure that nurses will be fully equipped to meet future challenges in the delivery of health care. PMID:8686331
Glaserian grounded theory is a powerful research methodology for understanding client behaviour in a particular area. It is therefore especially relevant for nurse researchers. Nurse researchers use grounded theory more frequently than other qualitative analysis research methods because of its ability to provide insight into clients' experiences and to make a positive impact. However, there is much confusion about the use of grounded theory.The author delineates key components of grounded theory methodology, areas of concern, and the resulting implications for nursing knowledge development. Knowledge gained from Glaserian grounded theory research can be used to institute measures for enhancing client-nurse relationships, improving quality of care, and ultimately improving client quality of life. In addition, it can serve to expand disciplinary knowledge in nursing because the resulting substantive theory is a middle-range theory that can be subjected to later quantitative testing. PMID:20420098
Infection is spread in hospital mainly by hands, making hand decontamination the most important means of preventing dissemination. There is some evidence to suggest that when access to hand-decontaminating agents is poor or the agents available are disliked, hands are washed too seldom, increasing risks of cross-infection. However, little attention has been paid to the use of towels and factors which promote their use, although it is known that damp hands transfer bacteria more readily than dry ones and that hands which become sore through poor drying have higher bacterial counts, contributing to the risk of cross-infection. This paper reports the results of the Nursing Times Hand Drying survey designed to assess nurses' access to hand decontamination agents and towels. The results suggest that the 112 nurses who participated were aware of the need for attention to hand hygiene but that access to both hand-decontaminating agents and paper towels was variable. Forty-one per cent complained of a shortage of soap and although nearly all used paper towels, these were in many cases of poor quality. Such towels were perceived as damaging to hands, leaving them feeling damp and sore. Good-quality, soft, paper towels were much appreciated by respondents in this sample. It is concluded that the quality of paper towels contributes to good infection control practice. PMID:7753663
"Mind of Compassion", as elaborated by Mencius, emphasizes practice in life. It is a concept also highly valued in Confucian. The moral practice stressed by Confucian is a categorical imperative. Because the main concern is on life itself, moral actions should be taken "as is," without the need to refer to any other conditions. Nursingpractice deals with patient diseases and death. Such is precisely the environment in which moral practice should take place. Professional healthcare workers may make very good use of the values and meanings of this moral practice and employ such to its fullest. As Mencius' "Mind of Compassion" reflects the main essence of nursingpractice, its elaboration can be highly beneficial in nursing care. This article uses Mencius' concept as well as relevant Western theories and concepts (e.g., caring, empathy and sympathy) to clarify the main values and ways to practice a meaningful life. PMID:21678261
|The third in a series of pamphlets on practicalnursing education, this document contains information on accreditation standards governing nursing programs. Included are announcements of: (1) available accreditation and consultation services, (2) policies regulating accreditation eligibility, (3) standards of ethics by which nursing programs are…
National Association for Practical Nurse Education and Service, Inc., New York, NY.
|The purpose of this study was to illuminate the qualitatively different ways in which three nurses with an associate degree (ADN) and three nurses with a baccalaureate degree (BSN) experience, conceptualize, perceive, and understand their own nursingpractice within the context of their educational background. Using a phenomenographic methodology…
The Doctor of NursingPractice (DNP) degree is a new terminal degree for nursing. This article reviews the essentials of the DNP degree as published by the American Association of Colleges of Nursing and describes the author's personal journey toward completion of the DNP degree in December 2008. PMID:20333921
One baccalaureate nursing program and five community college programs collaboratively developed a shared philosophy, curriculum design, and model for nursing education and practice. The model takes a holistic view of the client/patient's mind, body, and spirit engaged in life-changing transitions and depicts the role of nursing care. (SK)
|The Penn School of Nursing and the Macy Foundation established a comprehensive institute and technical assistance program to help nursing schools advance academic nursingpractice. The Penn School consulted with 21 participating schools, providing institutes, conferences, a listserv and a web-based knowledge center focused on integrating…
Evidence- based practice (EBP) is an effective way for nurses to improve patient outcomes. Although EBP has gained popularity, barriers to implementation exist. This study explored whether mentoring neonatal intensive care unit (NICU) nurses in EBP would increase their participation in EBP. A sample of 20 nurses were mentored in an EBP project. The EBP Beliefs Scale and EBP Implementation
Kathleen DiGaudio Mariano; Linda M. Caley; Linda Eschberger; Ann Woloszyn; Patricia Volker; Michael S. Leonard; Ying Tung
51 nurses in the out patient department (OPD) were surveied by Eysenck Personality Questionaire and Cattle 16 Personality Factors. Some nurses' jobs were changed and the psychological principles were applied to improve the nurses' mental health by the manager according to the result. The management in the out patient department was more effective after behavior theory was adopted. PMID:8826189
Filipino nurses are the leading group of immigrant nurses in Canada, making up a substantial portion of the nursing workforce, yet little is known about the contexts surrounding their immigration and transition experiences at the individual level. This study examines the transition experiences of Filipino nurses who immigrated to Canada between 1970 and 2000. Using oral history as the framework and method, it establishes a body of work in examining the history of this group of nurses in a Canadian context. Individual interviews were conducted with 9 Filipino nurses working in 2 Canadian provinces. Findings suggest that nurses may have delayed the process of becoming a Registered Nurse because the family was considered a priority, they found that adjusting to the role and scope of Canadian nursingpractice required time, and they felt "foreign" and sensed a need to prove their competence to Canadian nurses. PMID:23448077
|This article offers an overview of the method of narrative inquiry and explores competing trends in the use of the approach. It not only examines the theories relating to the method but also offers practical guidance on using narrative inquiry, including an exploration of what might count as a narrative and ways of analysing narrative data. The…
|In their breakthrough anthology of women's rhetoric, "Available Means," Kate Ronald and Joy Ritchie presented the first comprehensive collection of women's rhetorical theory and practice from the third century B.C. to 2001. With that expansive gathering of women's rhetoric, they raised questions about gender, difference, and the rhetorical canon,…
The need to integrate clinical practice and research has been stressed for many years in both public health and nursing. This article describes such a collaborative project between two rural upper Midwest public health nursing agencies and public health nursing faculty from a small, liberal arts, baccalaureate nursing program. The high-risk prenatal research project provided an opportunity for nursing staff and faculty research consultants to work together on a clinical study. A model for collaborative research is illustrated, and advantages and disadvantages for practice, administration, and research are discussed. PMID:1484810
|Advanced practicenurses are assuming increasingly accountable roles in primary health care. A doctor of nursingpractice degree would signify the high level of competency they achieve. Columbia University's training model is an example of the preparation needed for this level of professional practice. (SK)|
Mundinger, Mary O.; Cook, Sarah Sheets; Lenz, Elizabeth R.; Piacentini, Karen; Auerhahn, Carolyn; Smith, Jennifer
Psychiatric nursing care is based on an interpersonal process that relies on the therapeutic use of self in the service of patient care. Despite acknowledgment of the importance of the relationship, there has been little attention paid to the knowledge embedded in psychodynamic theory that can provide a basis for understanding the nurse-patient relationship. This paper argues that nurses need to understand and apply such theory if they are to pursue the assertion that the relationship with the patient is the foundation of their practice. The authors discuss the essential components of psychodynamic theory and their application to nursing as well as the possible reasons for the loss of interest in such theory. PMID:12554429
The International Council of Nurses (ICN) issued the title, Positive Practice Environments: Quality Workplaces = Quality Patient Care, as the theme of International Nurses Day in 2007. An appeal is being made for all ICN National Nursing Associations to focus on improving practice environments and protecting nursing staff. The purpose of the study was to explore the perceived practice environment of nurses in Taiwan on the basis of the tool kit of positive environments designed by ICN, involving the eight dimensions of safety, supplies, resources, pay, continuing education, support, equipment, and respect. A self- administered Practice Environment Survey Scale was used. The findings indicated that participants were mostly female, the average age was 34.15 years old, and most of them worked in northern Taiwan (33.4%). The perceived practice environment score was determined as a percentage, and the average score among nurses was 65. The three lowest scores were recorded in the domains of pay, resources and equipment. There were significant differences in the perceived practice environment scores among participants' demographic characteristics (p < .05). Nurses recorded more negative practice environment scores than administrators. The results will be useful in the formulation of nursing policy and in nursing administration. PMID:18668480
This article illustrates how one academic health science center in a large metropolitan area sought to improve the quality of patient care by soliciting the input of their nursing staff in devising an action plan for change. The research model incorporated both survey and focus group methods used by nursing leaders in administration and practice to identify and prioritize nursing
Peri Rosenfeld; Elizabeth Duthie; Jacqueline Bier; Susan Bowar-Ferres; Terry Fulmer; Linda Iervolino; Margaret L. McClure; Diane O. McGivern; Marianne Roncoli
|This document demonstrates the relationships among four Florida nursing education programs (home health aide, nursing assistant, patient care assistant, and practicalnursing) by listing student performance standards and indicating which ones are required in each program. The 268 student performance standards are arranged in 23 areas of…
Florida State Univ., Tallahassee. Center for Instructional Development and Services.
This is the final article in a series which examines the impact of computer technology on nursing and nursingpractice. In it we briefly explore the concept of informatics and the role of a unified nursing language in data collection and statistical comparisons.
|Despite scientific advances in pain management, inadequate pain relief in hospitalized patients continues to be an on-going phenomenon. Although nurses do not prescribe medication for pain, the decision to administer pharmacological or other interventions for pain relief is part of nursingpractice. Nurses play a critical role in the relief of…
A survey of 15 nurse practitioners initially prepared as clinical nurse specialists found that their post-master's training broadened knowledge and skills in patient data collection and increased role autonomy and clinical decision making. Results verified the practice domains in the curriculum guidelines of the National Association of Nurse…
Lindeke, Linda L.; Kay, Margaret M.; Canedy, Brenda H.
In this project, 2 performance improvement (PI) methodologies were used to evaluate the process of nursing admission and history collection. Nurses have a responsibility to methodically assess bedside care, ensuring that practice changes do not merely add on to an often inefficient workload but add value. This article illustrates the use of PI to modify the initial nursing inpatient admission assessment process. PMID:22922754
Ackman, Martha; Perry, Leonard A; Wolfard, Eileen; Steckel, Cynthia; Hill, Carol
The changing Australian health care system is creating new opportunities for nurses who work directly with clients in private practice settings. This study examines the scope of practice of a cohort of nurses in private practice. In a questionnaire sent to 106 self-employed nurse entrepreneurs, questions were asked pertaining to the participants' scope of practice, their clients, the types of services offered, and their fee structures. Questions about scope of practice were divided into domains of clinical practice, business consultancy, education, and research. Quantitative and qualitative data were collected for a final sample 54 eligible responses. Participants had been in private practice for an average of 7.6 years (range: 1-20) and reported a mean of 21 years of nursing experience (range: 4-42) before entering private practice. Over half held diplomas in specialty areas. Most participants reported clinical practice, consultancy, or education as the primary work domain; research was much less important as a work activity. Nurses reported difficulties with building client base and receiving adequate fees for service, particularly in clinical practice. Increasing awareness within the nursing profession and health sector about various aspects of private practicenursing could improve service quality for their clients. PMID:15363028
AbstractObjective: To study the feasibility of a practicenurse caring for patients with minor illnesses.Design: Nurse given training in dealing with patients with minor illnesses. Patients requesting a same day appointment were offered a nurse consultation.Setting: Group practice in Stockton on Tees.Main outcome measures: Number of consultations which required a doctor contact, treatment, and rate of reconsultation.Results: Of 696 consultations
Therapeutic patient education, which with the "Hospital, patients, health and territories" law became a priority of the healthcare system, notably for chronic diseases, has been rooted in nursing training and practice since the 1960s. Following in the steps of the World Health Organisation and the International Council of Nurses, successive laws relating to the profession have continuously emphasised it. Now that it has an official and general framework in France, it should develop within nursingpractice. PMID:22641939
A delay in hepatic artery infusion catheter removal may prolong patient discomfort and lead to additional complications. As a result, this article evaluated the effectiveness of shifting the responsibility of catheter removal from advanced practice or medical staff to nurses. Overall, patients were satisfied, felt comfortable, and experienced minimal pain irrespective of whether their catheter was removed by a nurse, physician, or advanced practice staff. Nurses also were satisfied and felt they had enhanced their ability to provide quality patient care. PMID:21951733
One of the most difficult arenas in the emergency environment for the new and seasoned clinical nurse specialist is the clinical remediation of professional nursing staff. It is easy to say that each person must be treated the same, but the foundation of each practice issue and problem is unique. Identifying and utilizing a standardized process with which concerns are addressed on the basis of theoretical models, expert nursing knowledge, and standards of practice are the keys to success. PMID:23636045
This article explores a new approach to taking theory into practice—one that offers a direct route from research to practice. Traditionally, theory makes its way to practice cloaked in particular curriculum interventions. We argue that taking theory into practice is essentially a matter of transfer—applying teaching and learning principles in new situations. New ideas about transfer have implications for both
Purposes\\/Aims: With no end in sight for the nation’s nursing shortage, hospitals are directing greater attention toward recruitment and retention of graduate nurses. Qualified nurses are needed in health care facilities throughout the country, including rural hospitals. A lack of qualified nurses and geographical disparities in rural health care play a major role in the delivery of quality patient care.
E’Raina Hatch; Mary Randall; Helen Ryan; Heather Taylor
...Administration National Advisory Council on Nurse Education and Practice; Notice of Meeting...meeting: Name: National Advisory Council on Nurse Education and Practice (NACNEP) Dates...Assistant, National Advisory Council on Nurse Education and Practice, Parklawn...
...Administration National Advisory Council on Nurse Education and Practice; Notice of Meeting...meeting: Name: National Advisory Council on Nurse Education and Practice (NACNEP). Dates...Specialist, National Advisory Council on Nurse Education and Practice, Parklawn...
...Administration National Advisory Council on Nurse Education and Practice; Notice of Meeting...meetings: Name: National Advisory Council on Nurse Education and Practice (NACNEP). Dates...Officer, National Advisory Council on Nurse Education and Practice, Parklawn...
OBJECTIVESTo assess general practitioners' and practicenurses' self reported behaviour, attitudes, and knowledge in relation to smoking cessation.DESIGN AND SETTINGTwo postal surveys of random national samples of 303 GPs (survey 1) and 459 practicenurses (survey 2) covering England and Wales; effective response rates were 75% and 96%, respectively.RESULTSSurvey 1 found that 96% of GPs accepted that intervening against smoking
Recent advances in technology, research, and knowledge have amplified the need for longer and more in-depth education for neonatal nurse practitioners (NNPs). In this article we will briefly review the history of NNP's role and education, define the Doctor of NursingPractice (DNP), and propose that the practice doctorate is the primary mechanism to meet that need and thus is
|This study was designed to provide the College of Lake County with data to promote critical thinking and discussion about the revision of the present admission criteria for the practicalnursing program. Subjects were the coordinators/directors of the 36 approved schools of practicalnursing in Illinois. A letter and a questionnaire comprised of…
This paper describes processes used to validate the Scope of NursingPractice Decision-Making Framework developed and implemented by the nurse regulatory authority in Queensland, Australia. Various components of the Framework are also outlined. The validity and usefulness of the Framework were tested through survey research and validation in practice. The majority of participants in both validation processes found all components
The purpose of this article was to describe nursingpractices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention to prevent falls whereas only 10% mentioned ambulation. No nurse manager identified that RN hours per patient-day were adjusted to prevent falls or fall-related injuries. More work is needed to build systems that ensure evidence-based nursing interventions are consistently applied in acute care. PMID:20921126
This series will help you examine how clinical supervision can be used to advance your practice, whether you are a staff nurse or nurse consultant. The previous articles have discussed the Nursing and Midwifery Council's (NMC) perspective and described the differences between mentoring, preceptorship and clinical supervision, exploring the reasons why the concept of clinical supervision entered the nursing culture in the 1980s. PMID:24037396
Mental health nursing as a distinct speciality has been in decline in New South Wales (NSW), Australia, for two decades. Arguably, this decline has worsened both consumer outcomes and the workplace experiences of mental health nurses. This article reports on a study designed to ascertain the nature of contemporary mental health nursingpractice in New South Wales. The study utilised focus group research methodology, with participants recounting the realities of their day-to-day professional practice and perceptions of their professional identity. The findings indicate a contracting, if not moribund, profession; a decrease in the value attached to mental health nursing; and a pattern of persistent underfunding by successive governments of mental health services. An analysis of present and historical trends reveals there is a pressing need for a restructure and re-formation of mental health nursing in rural areas. This article links the shortage of mental health nurses in NSW to the closure of the mental health nursing register, a shift to comprehensive/generalist nurse education models, a perceived lack of nurses' professional standing, and natural attrition without suitably qualified replacements. Mental health nurses in this study perceived that they were not valued by other health professionals or by their own managers. Participants in this study reported mental health nursing in rural areas was an unattractive career choice. These findings are important to the understanding of recruitment and retention issues in rural mental health nursing in Australia. PMID:21767253
The University of Tennessee, Knoxville has established a masters and PhD in nursing with a concentration in homeland security degree to meet the need of advanced nursing expertise to provide nursing care in mass casualty incidents related to natural disasters, accidental exposure to toxic agents, war and terrorism or other threats to the homeland. Homeland security nurses will prepare and
This interpretive descriptive, qualitative study explored secondary school nurses' perceptions of factors that impact on their role and their views on how their role can be best supported. Nine secondary school nurses from four Department of Human Services regions in Victoria, Australia, participated in semistructured, in-depth interviews. Purposive sampling was used, with participants required to have a minimum of 2?years' experience as secondary school nurses. Data were thematically analyzed, revealing a complex and challenging role. The findings identified key factors necessary to support quality practice. All stakeholders need a shared understanding of the purpose and principles underpinning the secondary school nurse role and the nurse's professional obligations. Knowledge and experience are required that recognize the breadth and depth necessary for secondary school nurses to work effectively within their scope of practice. The adoption of a model of critical companionship is recommended to provide facilitated reflection on practice as a support mechanism for the role. PMID:23480208
The goal was to understand the nurse/patient communication process, emphasizing nursing care to mastectomized women. Symbolic Interactionism and Grounded Theory were used to interview eight nurses from a referral institution in cancer treatment, using the guiding question: how do nurses perceive their communication process with mastectomized women? Data analysis allowed for the creation of a central theory: the meaning of communication in nursing care to women, constituted by three distinct but inter-related phenomena: perceiving communication, the relationship nurse/mastectomized woman and rethinking the communication nurse/mastectomized woman. With a view to satisfactory communication, professionals need to get involved and believe that their presence is as important as the performance of technical procedures that relieve situations of stress. PMID:20428697
de Almeida Araújo, Iliana Maria; da Silva, Raimunda Magalhães; Bonfim, Isabela Melo; Fernandes, Ana Fátima Carvalho
This course outline provides information to be used by students in conjunction with Nursing 89, a seminar on the legal aspects of nursing to be offered starting in Spring 1982 at Diablo University (California). General information is provided first, including a class calendar, a statement defining the purpose of the course, an outline of…
The Australian nurse teacher competencies were introduced in 1996; however, the researchers perceived that changes to the health care system and a nursing workforce shortage may have affected nurse teacher roles over the past decade. This study aimed to explore perceptions of nurse teachers on the applicability of the current Australian nurse teacher competencies to practice, and modify the nurse teacher competencies to better reflect current practice. Methodology utilized mixed methods, and data collection was via focus groups, telephone interviews, and survey data. Results revealed that participants were mostly positive about the original competency statements, although there were some variations between items. Themes that emerged from the qualitative data were: changing trends in health care; preparation for teaching; understanding of the competencies, contextual influences on education role; nurse teachers as change agents, and resource management. Conclusions were that the Australian nurse teacher competencies (1996) were reflective of the current generic roles of nurse teachers however some of the competencies needed reframing to meet the current needs of nurse teachers. However, changes needed to be made in areas such as reducing complex language, inclusion of technology, and cultural competencies. Nurse teachers were supportive of the research because they valued the teacher competencies for reflection on their practice and the development of portfolios, job descriptions and performance appraisals. PMID:21093124
As the scope of advanced practicenursing expands and the educational requirements increase, so do the ethical responsibilities. How prepared are advanced practicenurses (APNs) to manage the ethical challenges in advanced practice? The purpose of this study was to determine APNs' ethics knowledge and perceived level of confidence in their ability to manage ethical problems in advanced practice. Assuming ethics knowledge and abilities of APNs are similar to those of medical residents, a survey instrument for medical residents was modified for use with APNs. Responses to the modified survey indicated a fairly high level of confidence but a fairly low level of knowledge. Studies show that ethics education can be effective in improving knowledge, confidence, and ethical behavior. Given the expanding role of APNs as doctors of nursingpractice, research is needed to determine the ethics knowledge needs and teaching strategies to better prepare nurses for the challenges of advanced practice. PMID:22416534
Nursing students are not afforded the opportunity to take a full patient assignment before transitioning into practice. It then often takes students months to feel comfortable caring for more than 2 patients once in practice. To assist students with transition-into-practice issues, the authors discuss a senior internship where students work one-to-one with an expert nurse, becoming acclimated to taking a full patient assignment. PMID:21857340
Haleem, Diane M; Manetti, Wendy; Evanina, Kathleen; Gallagher, Robin
Purpose: The purposes of this study were to describe the advice that expert holistic nurses gave to nursing students regarding the theory and practice of holistic nursing and to describe nursing students’ experience and perceptions of their interaction with the experts. Design: This was a qualitative descriptive study. Methods: Nursing students who attended the 2008 and 2009 conferences of the
Glenda Christiaens; Jo Ann Abegglen; Andrea Gardner
Cited author searches were conducted in Nursing Citation Index to determine its utility in locating clinical studies that apply the conceptual frameworks of Dorothea Orem, Callista Roy, Martha Rogers, Betty Neuman, and Dorothy Johnson. Fully 75 percent of the relevant papers would have been missed by a conventional subject/textword search in the MEDLINE or CINAHL databases. Had Nursing Citation Index not been available, only 22 percent of relevant papers could have been retrieved by cited author searches of Social Science Citation Index. In summary, Nursing Citation Index provides an important indexing link between nursingtheory and nursing research.
Cited author searches were conducted in Nursing Citation Index to determine its utility in locating clinical studies that apply the conceptual frameworks of Dorothea Orem, Callista Roy, Martha Rogers, Betty Neuman, and Dorothy Johnson. Fully 75 percent of the relevant papers would have been missed by a conventional subject/textword search in the MEDLINE or CINAHL databases. Had Nursing Citation Index not been available, only 22 percent of relevant papers could have been retrieved by cited author searches of Social Science Citation Index. In summary, Nursing Citation Index provides an important indexing link between nursingtheory and nursing research. PMID:2655783
Specialists in nursing have existed since the turn of the century. The term denoted a nurse with extensive experience in a particular area of nursing who performed with technical expertise. The modern advanced practicenurse (APN) is a master's degree-prepared clinical expert who has a high level of expertise in the assessment, diagnosis, and treatment of the complex responses of individuals or populations to health problems. The APN delivers comprehensive, cost-effective care and has a recognized role in the multidisciplinary world of healthcare. Despite these advancements, the role of the hospital-based APN is poorly understood. Other hospital positions such as "nurse educator" or "nurse clinician" add to the role confusion. The APN practice in a large urban hospital will be examined. The journey of preserving the role integrity of the hospital-based APN will be explored. PMID:19395893
|The American Association of Colleges of Nursing (AACN), which defines the expectations of a new baccalaureate-prepared nurse, includes a liberal education as a desired outcome for bachelor of science in nursing (BSN) graduates. A liberal education is thought to provide the professional nurse with the skills needed to practicenursing, including…
A survey of 172 Australian triage nurses was undertaken to describe their scope of practice, educational background and to explore the self-reported influences perceived to impact on their decision-making.The survey results reveal variability in the educational requirements for nurses to triage. Indeed, over half of the nurses who participated in the study worked in emergency departments that provided no specified
Issues concerning sex and sexuality are relevant to nursingpractice. The objective of this study was to determine the relationship between knowledge of and attitude towards sexuality, and nursingpractice. Nursingpractice in this case was defined as the discussion of sexuality with the patient, with particular reference to taking a sexual history on admission to the ward. A multi-choice questionnaire with sections establishing demographic details and nursingpractice, and including the Sex, Knowledge and Attitude Test (SKAT), was administered to 357 registered general nurses (RGNs). Results show a relationship between knowledge and attitude but no relationship between either of these and the nursingpractice scale. However, a slight but significant correlation between receiving teaching about sexual history taking and questioning patients about sexuality on admission suggests that nursingpractice and knowledge are weakly related. There is evidence that factors other than those within the scope of this study influence all three independent variables, and these are discussed. The implications of the study suggest the need for an improvement in nurse education regarding sexuality at all stages of training. PMID:7930142
This paper shares the experience of establishing a research nurse forum aimed at knowledge sharing, problem solving, and community building from the perspective of a group of clinical research nurses at Massachusetts General Hospital (MGH), a tertiary care center in Boston, -Massachusetts. We report on a sequence of developmental steps taken to create this forum as an example of best practice for research nurses. Logistical considerations, mission and goals, as well as outcomes and implications for practice are described, with the intent that others interested in building similar forums can replicate aspects of this model within their own practice settings. PMID:23067357
Purpose The aims for this article are to provide an overview of the current state of research on genetic contributions to the development of childhood obesity and to suggest genetic-focused nursingpractices to prevent childhood obesity. Organizing Constructs Genetic epidemiology of childhood obesity, modes to identifying obesity genes, types of human obesity genes, and nursing implications are discussed. Clinical Relevance The successful integration of genetics into nursingpractice will provide opportunities for nurses to participate fully as major agents and collaborators in the health care revolution. Conclusions Practicingnurses across the profession will need to become knowledgeable about genetics and take part in obesity prevention through genetic assessment of susceptibility and appropriate environmental interventions.
This paper discusses a strategic collaborative partnership between a Western Australian university and a community health service based on a Practice-Research Model. The partnership has involved a senior academic (0.2 FTE) working in the community health setting as a Nurse Research Consultant since 1998. The first section of the paper draws on the nursing literature on collaborative models and describes the broad background to the partnership and development of the Model. The second section presents in detail the results of a recent evaluation that involved a brief survey and follow-up interviews to determine community health nurses' understanding and perceptions of the partnership Model. Three main themes emerged from the interviews: (1) Advancement of learning captured the extent to which the Nurse Research Consultant position helped to educate nurses and promote and develop research and best-practice; (2) Job satisfaction and self-confidence encompassed the extent to which participants felt nursing management were supportive of their professional education and pursuit of best-practice solutions, and (3) Situational opportunity, which reflected the more negative comments expressed by participants and related mostly to the restricted availability of Nurse Research Consultant and a focus on mainstream research priorities. The results suggest that the partnership Model provided the nurses with the opportunity to develop an increased understanding of the role of research in clinical practice and confidence in their own ability to reflect on current nursingpractice. This allowed them to identify clinical problems in order to deliver and evaluate best-practice solutions, as evidenced by a change in attitude from the previous evaluation. However, it was also noted that the operational performance of the Model needs continual monitoring to ensure that all nurses have equitable access opportunities. PMID:16393100
Aim: To assess the prescribing practice, use and potential adverse effects of psychoactive medications in Singapore nursing homes. Method: From a list of existing 24 voluntary welfare organisation (VWO) run nursing homes, four homes with the largest bed capacity were selected from the eastern zone of Singapore. When contacted, two homes agreed to participate in the study. Medical records of
Objectives: To examine home health nurses' attitudes towards physician capabilities in home health care, and whether nurses' attitudes are associated with their experience, practice setting, degree of physician interaction, or use of home health guidelines.Design: A multiple regression analysis of a 90 item survey on agency characteristics, degree of interaction with physicians, and ratings of physicians' capabilities across multiple dimensions
Evidence-based practice (EBP) is the process of using current, best evidence to guide nursing care and improve patient outcomes. This article discusses the differences between research and EBP, reviews the process of EBP, and applies EBP guidelines to central catheter infections, a clinical problem relevant to infusion nursing. PMID:20631583
The objective of this study is to update evidence-based best practice guidelines for nursing in weight loss surgery (WLS). We performed a systematic search of English-language literature on WLS and perioperative nursing, postoperative, anesthesia, and discharge published between April 2004 and May 2007 in MEDLINE, CINHAL and the Cochrane Library. Key words were used to narrow the search for a
Ann T. Mulligan; Anne M. McNamara; Hannah W. Boulton; Linda S. Trainor; Carol Raiano; Ann Mullen
A Delphi panel of 28 Australian nurse educators and 42 clinicians identified 58 practice items in which reality was far from ideal. In particular, for 16 items related to patient empowerment, nursing research, and technology policy, clinical behavior was rated below the median. (SK)
Nurses are the first role models for students in clinical settings. They can have a significant role on students' motivation. The purpose of this study was to explore the understanding of nursing students and instructors concerning the role of nurses in motivating nursing students through clinical education. The sampling was first started purposefully and continued with theoretical sampling. The study collected qualitative data through semistructured and interactive interviews with 16 nursing students and 4 nursing instructors. All interviews were recorded, transcribed, and analyzed using grounded theory approach. One important pattern emerged in this study was the “concerns of becoming a nurse,” which itself consisted of three categories: “nurses clinical competency,” “nurses as full-scale mirror of the future,” and “Monitoring and modeling through clinical education” (as the core variable). The findings showed that the nurses' manners of performance as well as the profession's prospect have a fundamental role in the process of formation of motivation through clinical education. Students find an insight into the nursing profession by substituting themselves in the place of a nurse, and as result, are or are not motivated towards the clinical education.
This study aimed to highlight and analyze the nurses' practices in care management described in the scientific production in Brazil and internationally, through an integrative review. It was examined articles published between 2005 and 2010, in the LILACS, SciELO, BDENF and CINAHL databases, with the descriptors Management and Administration, in conjunction with Care and Nursing, and the terms Nursing Management and Nursing Care, totaling 27 publications. The management of care performed by nurses is directly related to the search for quality care and better working conditions through actions such as: care realization, human and material resources management, leadership, assistance planning, nursing team training, care coordination and evaluation of nursing actions. PMID:23743847
Why should all nurses and student nurses receive instruction in the subject of torture, its purpose, methods and sequelae on body and soul? One reason is because torture is an atrocity, the most perverted and digusting act that exists. Some nurses meet torture survivors and their families in their private lives and at work. Many countries have ratified codes and declarations in relation to torture, and are therefore obliged to educate some professional groups in the subject. This article describes how the subject 'Torture' is dealt with at the School of Nursing in Aalborg, Denmark. Aspects of how the course is planned, the placement of the subject, teaching objectives, content of the lessons, teaching methods and teaching materials are mentioned. This article also underlines why it is so important to educate student and qualified nurses about torture. The conclusion is that nurses can help to alleviate the effects of torture in a merciless and unfeeling world. PMID:7850513
|Simulation is often used in nursing education as a teaching methodology. Simulation is rooted in adult learning theory. Three learning theories, cognitive, social, and constructivist, explain how learners gain knowledge with simulation experiences. This article takes an in-depth look at each of these three theories as each relates to simulation.…
This article depicts the journey that the clinical educators of a 296-bed community hospital pursued to develop a specific orientation pathway for the licensed practicalnurse to registered nurse transition. When the orientation templates were originally developed, the new hires transitioning from LPN to RN were placed in the experienced nurse pathway without considering that they would have specific developmental needs. This journey reflects the educational challenges and subsequent revisions that were made for this specific population. PMID:19820530
This article explores the main elements of the Mental Capacity Act 2005 and the implications for nurses. Many vulnerable adults have impaired capacity, and it is vital that nurses are confident in understanding when and how to assess an individual's capacity. Nurses should be supported and given training to ensure they can apply the principles of the Mental Capacity Act 2005 to practice. It is also important that nurses have a good understanding of the deprivation of liberty safeguards and can identify when their interventions may deprive patients of their liberty, ensuring that these are only undertaken legally. PMID:24020575
As the voice of and advocate for nurses, nursing administration should assume the leadership position in the development of evidence-based practice models. One of its most important tasks is to advocate for ubiquitous information technology (IT) to support these models. This article examines evidence-based nursing and the importance of IT to its development and growth. It explains the role of nursing administration in guiding IT implementation, as well as key issues that must be examined in system selection and development. PMID:16878015
Nursing school deans and faculty heads should be given greater support by universities to develop their academic leadership skills and aid transition from clinical practice, research has concluded. PMID:24107016
Anecdotal statements by military nurse anesthetists have claimed a greater scope of practice than their civilian counterparts. There is no systematically obtained data in the literature to refute or support this claim. This study sought through a descript...
The development and evaluation of a proficiency examination for administration to licensed practicalnurses who received State licensure under clauses waiving certain educational credentials are discussed. The proficiency examination is detailed in terms ...
To provide optimal postoperative pain relief, nursingpractice should be based on the best evidence available. For over 20 years, results of studies regarding nurses' use of evidence-based practices, including postoperative pain assessment practices, have shown that nurses use the practices inconsistently. The present cross-sectional survey study was conducted to: 1) determine the extent to which registered nurses caring for
Objectives This study is to cross-map telephone nursing consultation documentations with International Classification for NursingPractice (ICNP; ver. 1.0 concepts). Methods The narrative telephone nursing consultation documentations of 170 ophthalmology nursing unit patients were analyzed. The nursing statements were examined and cross-mapped with the Korean version of the ICNP ver. 1.0. If all the concepts of a statement were mapped to ICNP concepts, it was classified as 'completely mapped'. If any concept of a statement wasnot mapped, it was classified as 'partially mapped'. If none of the concepts were mapped, it was classified as 'not mapped'. Results A total of 738 statements wereused for documenting telephone nursing consultations. These statements were divided into 3 groups according to their content: 1) 294 nursing phenomena-related statements (72 unique statements), 2) 440 nursing actions-related statements (76 unique statements), and 3) 4 other statements (2 unique statements). In total, 189 unique nursing concepts extracted from 150 unique statements and 108 concepts (62.44%) were mapped onto ICNP concepts. Conclusions This study demonstrated the feasibility of computerizing narrative nursing documentations for electronic telephone triagein the ophthalmology nursing unit.
|Developing national standards for school nurse competencies can influence professional practice, student wellbeing, and achievement. Collaboration between national experts is key. Closely aligning work of the Southern Regional Education Board Council on Collegiate Education for Nursing on entry-level competencies with the "Standards of…
Teaching a graduate-level nursing research course can be quite challenging, especially one that is offered online and asynchronously. One of the assignments required of master of science in nursing (MSN) students is to develop a paper that examines a clinical problem that might be improved by using research knowledge. Students are then required to review the studies in this problem
Primary nursing is purported to be a care management system that promotes effective student-centred learning through a partnership approach to care and supervision. Exemplars from a qualitative longitudinal study, highlighted in this paper, suggest that the student's learning is holistic and meaningful when a patient-orientated approach to care intervention is utilized. However, many of the nursing contexts in this study
Although many have suggested strategies to resolve the nursing shortage, few have considered inactive RNs. This pilot study investigated reasons why nurses leave the practice, the type of work environment and resources necessary to entice RNs to return to practice, and the specific skills required to assist RNs in feeling confident and competent to return to practice. Herzberg's Two-Factor Theory was used to study motivation and hygiene factors enticing RNs to practice. A screening questionnaire was sent to 1,004 randomly selected RNs in Missouri to determine who were licensed but not practicing. Fifty-two full questionnaires were mailed and 33 (63%) were returned. Quantitative data were analyzed using SPSS, whereas qualitative data were coded and analyzed using manifest content analysis. The lack of motivators such as recognition of one's work and achievements was one reason why RNs left the practice. The hygiene factors of money, improved working conditions, refresher courses, and health insurance would motivate RNs to return to practice. Those wishing to entice inactive nurses to practice will need to offer sign-on bonuses or make the hourly wages and benefits package very competitive. This study indicates that nurses value flexible working hours, part-time opportunities, consideration of family lives, and positive relationships with administrators. PMID:17292129
In tele-intensive care units, informatics, telecommunication technology, telenursing, and telemedicine are merged to provide expert, evidence-based, and cutting-edge services to critically ill patients. Telenursing is an emerging subspecialty in critical care that is neither well documented in the extant literature nor well understood within the profession. Documentation and quantification of telenursing interventions help to clarify the impact of the telenurse's role on nursingpractice, enhancement of patient care, patient safety, and outcomes. Tele-intensive care unit nursing will continue to transform how critical care nursing is practiced by enhancing/leveraging available resources through the use of technology. PMID:23203956
Although advanced practicenurses (APNs) have existed in Canada for over 40 years and there is abundant evidence of their safety and effectiveness, their full integration into our healthcare system has not been fully realized. For this paper, we drew on pertinent sections of a scoping review of the Canadian literature from 1990 onward and interviews or focus groups with 81 key informants conducted for a decision support synthesis on advanced practicenursing to identify the factors that enable role development and implementation across the three types of APNs: clinical nurse specialists, primary healthcare nurse practitioners and acute care nurse practitioners. For development of advanced practicenursing roles, many of the enabling factors occur at the federal/provincial/territorial (F/P/T) level. They include utilization of a pan-Canadian approach, provision of high-quality education, and development of appropriate legislative and regulatory mechanisms. Systematic planning to guide role development is needed at both the F/P/T and organizational levels. For implementation of advanced practicenursing roles, some of the enabling factors require action at the F/P/T level. They include recruitment and retention, role funding, intra-professional relations between clinical nurse specialists and nurse practitioners, public awareness, national leadership support and role evaluation. Factors requiring action at the level of the organization include role clarity, healthcare setting support, implementation of all role components and continuing education. Finally, inter-professional relations require action at both the F/P/T and organizational levels. A multidisciplinary roundtable formulated policy and practice recommendations based on the synthesis findings, and these are summarized in this paper. PMID:21478695
The school leader's behaviors are inspired by theories, and theories are intrinsic to practice. This paper provides an overview of an emerging perspective in educational administration, critical theory. The paper first highlights the philosophies of Immanuel Kant, Fichte, Hegel, Marx, and the Frankfurt School. It then discusses critical theory…
LEARNING OUTCOMESOn completion of the article, the reader should be able to:Describe the importance of reflective practice in everyday orthopaedic nursingpracticeBegin to identify and challenge the various types of knowledge used in everyday orthopaedic nursingpracticeUse a simple model of structured reflection to begin to validate ones’ own practice and of the potential for engaging in more formalized reflective
This study aims to evaluate the importance of theory in enhancing student nurses' experiences in a rural psychiatric practicum and also identify positive, negative and potentially helpful factors which could be used to improve student nurses' psychiatric practicum. A pilot study of sixty-five undergraduate nursing students were given a questionnaire after their psychiatric practicum. Positive, negative and potentially helpful factors were derived from themes of their responses. Results indicated that theory played an important role in enhancing students' learning in their clinical practicum. Positive factors included interaction with clients; improvement of knowledge and understanding of mental health, thus dispelling myths; staff's professionalism, enthusiasm and acceptance of students; direct involvement with clients; diversity of learning opportunities and shift work. Negative factors related to nursing staff performance. Potentially helpful factors were those promoting goodness of fit between theory and practicum and characteristics of the clinical setting. PMID:10734846
This article argues that in the current setting of nursingpractice, therapeutic touch should be treated as a religious practice. The article examines the religious sources of the ideas and documents the connection with the teachings of particular religious groups. Recognizing therapeutic touch as a religious issue requires new kinds of approaches in the practice and teaching of therapeutic touch
A national study of parish nurses used the Nursing Intervention Classification (NIC) Use Survey (3rd Ed.) to characterize parish nursingpractice. The study categorized NIC interventions based on frequency of use by parish nurses. The majority of nursing interventions focused on the Behavioral Domain, which supports psychosocial functioning and facilitates lifestyle changes and the Coping Assistance Class, which includes spiritual support. Data provides evidence to further understand what parish nurses do in their daily practice, as well as clarifies the complexity and scope of this specialty practice. Findings confirm that parish nursing is a specialty nursingpractice as well as a ministry. Objective descriptions of parish nursepractice, including the identification of the most commonly used parish nurse interventions, will assist in providing direction for defining the role of the parish nurse and providing a basis for reviewing the current content of parish nurse curriculum. The database, which uses a standardized nursing language, also provides evidence for a new paradigm of the ministry of parish nursingpractice that is intelligible to other nurses, policy makers, and funders. PMID:20362775
This book presents John Dewey's theory of inquiry and applies it to various areas of the primary, middle, and secondary school curricula. "Deweyan Inquiry" brings Dewey's theory of inquiry together with educational theory and practice. James Scott Johnston uses Dewey's late masterpiece "Logic: The Theory of Inquiry" as a guide and looks at inquiry…
|This book presents John Dewey's theory of inquiry and applies it to various areas of the primary, middle, and secondary school curricula. "Deweyan Inquiry" brings Dewey's theory of inquiry together with educational theory and practice. James Scott Johnston uses Dewey's late masterpiece "Logic: The Theory of Inquiry" as a guide and looks at…
More than 25 years ago, the name "Friends of Nursing" was adopted by an academic, community Magnet(®) hospital to signify a model for community support of nursing. From inception, the intent was to recruit philanthropic dollars to promote recognition of and excellence in nursingpractice, education, and research. Although philanthropy in health care settings is common, what is unique about this program is the long-standing, dedicated conceptual framework for nursing philanthropy and the very significant number of philanthropic dollars from literally thousands of donors to support a diverse range of activities to affect and advance the professional excellence of nurses and the quality of patient care. This model has been successfully replicated within a wide variety of other health care organizations and nursing services throughout the United States and abroad. PMID:22320159
Hitchings, Kim S; Capuano, Terry Ann; Herzog, Mary Ellen
Background Case management is widely promoted as a means of ensuring continuity of care, improving patient outcomes, and achieving efficient management of resources. Community matrons have been introduced recently as specialists in the case management of patients with multiple complex problems. Aim To understand how nurse case managers are seen by GPs and NHS managers. Setting (1) Telephone interviews with 41 community nurse managers recruited from 10 English strategic health authorities and two Welsh health boards; (2) face-to-face interviews with 12 nurse case managers, 12 GPs and five NHS community service managers in three study sites with different population and practitioner characteristics. Method Semi-structured individual interviews, by telephone or face to face. Results Attitudes among GPs to nurse case managers were shaped by perceptions of the quality of community nursing on the one hand and the perceived benefit of case management as a method of reducing hospital use on the other. The dominant mood was scepticism about the ability of nurse case managers to reduce hospital admissions. Community matrons were seen as staff who were imposed on local health services, sometimes to detrimental effect. Conclusion The introduction of case management and community matrons may disrupt existing communities of practice and be perceived negatively, at least in areas where good working relationships between nurses and GPs have developed. Commissioners should be aware of the potential resistance to changes in skill mix and role in nursing services, and promote innovation in ways that minimise disruption to functional communities of practice.
The purpose of this paper is to describe the experience and effect of moral distress in clinical practice and to present the implications of this phenomena for nurse administrators. Findings from three recent investigations provide the descriptive data for this paper. Nurses in clinical practice are frequently confronted with situations which challenge personal moral beliefs. Life and death events, sudden unexpected emergencies and professional role conflict have been identified as some examples of the kinds of situations that are most difficult to cope with. Feelings of emotional distress may occur as a result of participation in a patient care situation which involves an ethical issue. Personal and professional wholeness may be significantly compromised by the ineffective resolution of such issues. Moral distress may affect the nurse's ability to care for the patient and may require a significant period of resolution. Moral distress has been identified as one reason that nurses choose to leave their jobs and occasionally to leave the profession. Implications for the nurse administrator include a responsibility to be aware and supportive of the nurse in this situation. Commitment to developing effective strategies to assist nurses to cope successfully with the ethical dimension of clinical practice is an important management concern. PMID:3154037
Clinically based nurses often question the value of nursingtheory, ultimately resulting in the reluctance to implement nursingtheory into practice. This clinical practicum project successfully used Nightingale's primary tenets, such as building trust, self-assessment, and group leadership, as a theoretical framework in a nursingpractice group for the purpose of teaching a group of preadolescent children about negative peer pressure. Preadolescent children are particularly vulnerable to peer group culture. Proactive strategies, as demonstrated through this project, can be used to positively influence children's behavior toward each other during the formative middle years. Group sessions addressed such topics as moral beliefs and values, bullying, and saying "no" to peer pressure and were structured using a variety of contemporary resources to develop interactive exercises that engaged the children and enhanced group communication. The children and their parents reported positive outcomes from the nurse-led group sessions. PMID:15185254
Recent advances in technology, research, and knowledge have amplified the need for longer and more in-depth education for neonatal nurse practitioners (NNPs). In this article we will briefly review the history of NNP's role and education, define the Doctor of NursingPractice (DNP), and propose that the practice doctorate is the primary mechanism to meet that need and thus is the future of our profession. Doctor of NursingPractice programs are designed to prepare the practitioner as an expert clinical NNP. Graduates obtain the highest level of practice expertise integrated with the ability to translate scientific knowledge into complex clinical interventions tailored to meet individual, family, and community health and illness needs. Doctor of NursingPractice education also expands the scientific basis for practice and clinical practice education, and provides organization and system management and leadership, quality improvement, analytic methods to evaluate practice and apply evidence to practice, enhanced skills in information technology, health policy development, and interdisciplinary collaboration for enhanced patient outcomes. PMID:17208163
Nurses need a comprehensive knowledge of doctrine, laws, regulations,programs, and processes that build the operational framework for health care preparedness. Key components of this knowledge base reside in the areas of: evolution of homeland security: laws and mandates affecting health care and compliance and regulatory issues for health care organizations. This article addresses primary components in both of these areas, after first assessing the status of nursing's involvement (in homeland security), as portrayed in the professional literature. PMID:16111994
Chaos theory states that complex and unpredictable results can and will occur in systems that are sensitive to their initial conditions. The Butterfly Effect, an example of Chaos Theory in practice, states that the flutter of a butterfly's wings in China could possibly affect weather patterns in New York City, thousands of miles away. In other words, a very small
Nursing Education and Research Rounds (NEARR), a webinar-based series of continuing education presentations focused on nursing research, was developed to engage nurses in discussion about evidence-based practice. Evaluation of NEARR indicated a large majority of participants considered the information provided useful in their practice and planned to attend future NEARR sessions. Nursing professional development specialists can use this approach to support evidence-based practice. PMID:24060661
Objective: This paper presents a section of data from a larger study into the sole practice of rural community mental health nurses, highlighting the uniqueness of the therapeutic model and the stresses associated with sole practice.Method: A grounded theory method was used that involved interviews with senior community mental health nurses from five rural and remote sites in New South
This article discusses how aspects of a holistic comfort theory were adapted to create a taxonomic structure to apply its concepts to a fast-track nursing education program. The principles of learner-centered education were combined with comfort theory to develop strategies that appear to have produced positive influences on the attributes and contexts of comfort within the learning community. With emphasis
This paper sets out to explore the experience of newly qualified community nurses, one year on in practice, and to establish if the specialist course prepares them for the reality of practice. It presents a piece of action research evaluating the education process for community nurses through a series of cycles of self-reflection which lead to recommendations for both policy and curriculum changes. Our findings show that community nurses are very positive about their new roles and their work with clients and patients, that they are able to use their newly acquired analytical skills in their practice, but felt inadequately prepared for the reality of practice. Our most significant finding was the lack of preparation for the world of work, the pressure of work and the pace of activity in the health service. As curriculum planners we realized that the course fell short in preparing for actual practice. As a result, changes to the course are underway and in partnership with local health trusts we have set up a support programme for newly qualified community nurses. Our work in community nurse education builds upon the findings from the Peach Report (1999), which only looked at pre-registration nursing and midwifery education. PMID:11170799
Nursing home social workers were asked to provide information about their current practice circumstances, and to rate relative importance of resident and family psychosocial needs and frequency of functions performed or overseen by social workers to meet these needs. Both consultant and full-time staff social workers practiced under severe time constraints. Practitioners viewed psychosocial needs similarly, but staff and consultants
Betsy S. Vourlekis; Roberta R. Greene; Donald E. Gelfand; Joan Levy Zlotnik
|Describes the National Institute on Aging Teaching Nursing Home (TNH) Program, devised to bring to long-term care research and training activities similar to those in teaching hospitals and thus develop an interface between research and practice. Conflicting goals, orientations, organizations, value systems, and practices are discussed. (JAC)|
Traditionally, acupuncture is embedded in naturalistic theories that are compatible with Confucianism and Taoism. Such ideas as yin-yang, qi, dampness, and wind represent East Asian conceptual frameworks that emphasize the reliability of ordinary, human sensory awareness. Many physicians who practice acupuncture reject such prescientific notions. Numerous randomized, controlled trials and more than 25 systematic reviews and meta-analyses have evaluated the clinical efficacy of acupuncture. Evidence from these trials indicates that acupuncture is effective for emesis developing after surgery or chemotherapy in adults and for nausea associated with pregnancy. Good evidence exists that acupuncture is also effective for relieving dental pain. For such conditions as chronic pain, back pain, and headache, the data are equivocal or contradictory. Clinical research on acupuncture poses unique methodologic challenges. Properly performed acupuncture seems to be a safe procedure. Basic-science research provides evidence that begins to offer plausible mechanisms for the presumed physiologic effects of acupuncture. Multiple research approaches have shown that acupuncture activates endogenous opioid mechanisms. Recent data, obtained by using functional magnetic resonance imaging, suggest that acupuncture has regionally specific, quantifiable effects on relevant brain structures. Acupuncture may stimulate gene expression of neuropeptides. The training and provision of acupuncture care in the United States are rapidly expanding. PMID:11874310
Spirituality, as a basic characteristic of humans and a contributor to human health, is regarded as part of nursingpractice. The purpose of this study was to examine how Tanzanian nurses understand spirituality and spiritual care. Using the qualitative method of interpretive description, fifteen registered nurses engaged in clinical practice in a Tanzanian hospital were recruited to participate in this study. In-depth interviews using open-ended questions were carried out, tape-recorded, and transcribed verbatim. Data collection and inductive analysis occurred concurrently. In this paper, key findings are grouped under the following headings: meaning of spiritual care, recognition of spiritual needs, and interventions to respond to spiritual needs. Although there were some differences, overall participants' understanding of spirituality and spiritual care was similar to what is found in the literature about nurses in other countries. The provision of spiritual care also included some unique elements that may reflect the African context.
A cross-sectional survey was conducted among a random sample of 449 nurses in Italy, using a self-administered questionnaire to assess knowledge, attitudes, and behaviors regarding evidence-based practice (EBP). A significantly higher level of knowledge was observed among nurses who (a) did not work in medical and surgical wards; (b) believed that the evaluation of the efficacy of the health interventions
Alberico Filippini; Alessandra Sessa; Gabriella Di Giuseppe; Italo F. Angelillo
The intent of this article is twofold: to expand the dialogue on research as praxis in nursing as articulated by Newman and to support the concept of praxis as a catalyst for extending nursing knowledge. The article revisits the concept of research as praxis through examining critiques by other writers. It explores the notion of praxis as practice within the methodology and research protocol developed by Newman and extended by other researcher-practitioners including the author. PMID:10036458
|To secure information about the characteristics of the practicalnurse population and their opinions about registered nurse preparation, questionnaires were distributed to 2,923 practicalnurses employed by the New York City Municipal Hospitals. Usable questionnaires numbered 2,361 or 81 percent of the employed PN population. Approximately 9…
There is an on-going debate in the field of evaluation about which approach is best to facilitate the processes involved. This article reviews current approaches to evaluation of training both in theory and in practice. Particular attention is paid to the complexities associated with evaluation practice and whether these are addressed in the theory. Furthermore, possible means of expediting the
The problem of the relation of theory and practice is not a problem of theory alone; it is that, but it is also the most practical problem of life, For it is the question of how intelligence may inform action, and how action may bear the fruit of increased insight into meaning; a clear view of the values that are
Older adults' sexuality and sexual expression are often overlooked in nursing home and residential care settings. Despite cultural beliefs that this population is asexual, sexual activity occurs frequently among residents in long-term care. This study, using written survey instrumentation, examines the scope of resident sexuality, staff reactions to sexual behavior, and the policies and guidelines used in 91 nursing homes to address residents' sexual activity. Eighty-five percent of respondents reported that sexual activity had occurred in their homes, and staff reactions to sexual activity were based on general guidelines. Many responses indicated that sexual expression of residents was considered non-normative. Issues of consent, especially concerning residents with dementia, and residents' right to privacy were addressed using existing general policies. Survey results demonstrate a need for specific policies and staff training regarding sexual expression to be developed with the input of nurses, family members, and residents. PMID:23614386
Registered nurses make measurable contributions to the health and wellness of persons living in nursing homes. However, most nursing homes do not employ adequate numbers of professional nurses with specialized training in the nursing care of older adults to positively impact resident outcomes. As a result, many people never receive excellent geriatric nursing while living in a long-term care facility. Nurses have introduced various professional practice models into health care institutions as tools for leading nursingpractice, improving client outcomes, and achieving organizational goals. Problematically, few professional practice models have been implemented in nursing homes. This article introduces an evidence-based framework for professional nursingpractice in long-term care. The Everyday Excellence framework is based upon eight guiding principles: Valuing, Envisioning, Peopling, Securing, Learning, Empowering, Leading, and Advancing Excellence. Future research will evaluate the usefulness of this framework for professional nursingpractice.
Lyons, Stacie Salsbury; Specht, Janet Pringle; Karlman, Susan E.
This is an investigative case study with descriptive and participative character, based on an educational experience with the Simulation in Nursing learning trigger. It was carried out during the second semester of the first cycle of Faculdade de Enfermagem (FEN), Universidade Federal de Pelotas (UFPel). The aim is to study the recontextualization of pedagogic practice of simulation-based theories developed by Basil Bernstein, an education sociologist, and to contribute with the improvement process of education planning, and especially the evaluation of learning trigger. The research shows that Bernstein's theory is a powerful tool semiotic pedagogical of practices which contributes to the planning and analysis of curricular educational device. PMID:21805886
dos Santos, Mateus Casanova; Leite, Maria Cecília Lorea; Heck, Rita Maria
Purpose – The purpose of the paper is to present and test a particular theory of pricing of police services. Design\\/methodology\\/approach – A theory of police pricing was developed, then tested using data collected from a mail survey of Chiefs of Police in Pennsylvania. Findings – Pricing practices vary considerably among police departments. There appears to be no underlying theory
Background Theories of behavior change indicate that an analysis of barriers to change is helpful when trying to influence professional practice. The aim of this study was to assess the perceived barriers to practice change by eliciting nurses' opinions with regard to barriers to, and facilitators of, implementation of a Fall Prevention clinical practice guideline in five acute care hospitals in Singapore. Methods Nurses were surveyed to identify their perceptions regarding barriers to implementation of clinical practice guidelines in their practice setting. The validated questionnaire, 'Barriers and facilitators assessment instrument', was administered to nurses (n = 1830) working in the medical, surgical, geriatric units, at five acute care hospitals in Singapore. Results An 80.2% response rate was achieved. The greatest barriers to implementation of clinical practice guidelines reported included: knowledge and motivation, availability of support staff, access to facilities, health status of patients, and, education of staff and patients. Conclusion Numerous barriers to the use of the Fall Prevention Clinical Practice Guideline have been identified. This study has laid the foundation for further research into implementation of clinical practice guidelines in Singapore by identifying barriers to change in acute care settings.
Koh, Serena SL; Manias, Elizabeth; Hutchinson, Alison M; Donath, Susan; Johnston, Linda
Considering the side effects of environmental changes over the population's health, a theoretical model is proposed in this study in order to incorporate ecologic matters into the nursingpractices. The reference for this work is the eco-socialist-marxist theory. The model is based on the analysis of the capitalist economic process, its production technologies and consumption. It is known that this economic model generates ecoinequalities and anthropogenic impacts that rebound on the health-disease profile of the population. The nursing action, permeated by ecological awareness, can prevent and also combat ecoinequalities and destructive human actions on the environment. PMID:12138633
This study examined the relationships among nurses' perceptions of physician communication practices, nurse–physician collaboration, and nurses' job satisfaction. Two hundred five nurses employed at a pediatric hospital completed surveys on site that examined perceptions of nurse–physician and physician–patient communication, job satisfaction, and nurse–physician collaboration. Nurse reports of physicians who listened effectively and used clear, humorous, immediate, and empathic messages were
Melissa Bekelja Wanzer; Ann M. Wojtaszczyk; Jill Kelly
|In "Towards a systemic theory of gifted education", Ziegler and Phillipson offer a useful critique of current research and the current paradigm in gifted education. They provide an interesting and useful merging of systems theory with their actiotope model, and using this paradigm they suggest many fruitful areas for future research. However, the…
Purpose/Objectives To examine practice variation in hematopoietic stem cell transplantation (HSCT) nursing and to identify the gap between recommended standards of practice and actual practice across settings. Additional practices relevant to HSCT nursing also were explored. Research Approach Cross-sectional, descriptive survey. Setting National and international cancer centers. Participants A convenience sample was obtained from the 2006 Oncology Nursing Society Blood and Marrow Stem Cell Transplant Special Interest Group membership list (N = 205). Most participants were women (94%) with a median age of 45 years. The primary role was bedside nurse (46%), with an adult-only population (78%) in an academic (84%), inpatient (68%-88%) center. 39 (94%) U.S. states and 7 (6%) non-U.S. countries were represented. Methodologic Approach Survey development was guided by Dillman Mail and Internet survey design. Electronic questionnaires were conducted with Zoomerang™ Market Tools. Main Research Variables Infection control practices across bone marrow transplantation settings. Findings Descriptive statistics revealed minimal practice variation regarding infection control across transplantation types or conditioning regimens. Practices regarding implementation of restrictions on patients’ hygiene, diet, and social interactions varied by phase of transplantation, with the greatest variations occurring during the post-transplantation phase. Sixty-two percent of respondents reported using published guidelines; 72% reported using organization-specific policies. Conclusions Although published standards are under consideration, practice variation exists across transplantation centers. Whether the variation is caused by a lack of compliance with published guidelines or by the poor delineation of details for providers to translate the guidelines into practice is not known. Interpretation Identifying gaps in the literature and inconsistencies in HSCT practices is an important first step in designing evidence-based projects that can be used to standardize practice and link best practices to improved patient outcomes.
Bevans, Margaret; Tierney, D. Kathryn; Bruch, Coleen; Burgunder, Mary; Castro, Kathleen; Ford, Rosemary; Miller, Michelle; Rome, Sandra; Schmit-Pokorny, Kim
Community mental health nurses (CMHNs) work in an increasingly complex health and social care environment. Over recent years, the evolving direction of general health service and specific mental health policy has directed CMHNs towards: the provision of clinically-effective interventions; a closer attention to meeting the needs of people experiencing severe and long-term mental health problems; the simultaneous provision of services
AimThe aim of the study was to describe variations in clinical nurses’ conceptions of how an alternative supervision model influences their competence in assessing nursing students in clinical practice.
Solveig Struksnes; Ragna I. Engelien; Wenche B. Bogsti; Öyfrid L. Moen; Siv S. Nordhagen; Elisabeth Solvik; Barbro Arvidsson
COMPASSION IS at the heart of what we believe nursing to be. But recent cases of poor nursing care have led us to question the fundamentals of compassion, caring and communication, and their place in patient care. PMID:24063332
Anthropomorphic machines are embodied mechanical entities interacting with humans. This paper describes the relationship between robotics, nursing, persons as whole in the moment, and technological competency as nursing. Natural language processing and semantic interpretation are described. Critical to the relationship between the nurse and nursed is the practice of 'knowing person' through technological competency as caring in nursing. Are anthropomorphic
|The nursing shortage is compounded by nursing student attrition. Schools of nursing have limited enrollment, making the admission process an important factor in resolving the ongoing nursing shortage. The purpose of this study was to identify preadmission criteria that accurately identify applicants to practical/vocational nursing (P/VN) schools…
Nurses globally are required and expected to report nursing errors. As is clearly demonstrated in the international literature, fulfilling this requirement is not, however, without risks. In this discussion paper, the notion of ‘nursing error’, the practical and moral importance of defining, distinguishing and disclosing nursing errors and how a distinct definition of ‘nursing error’ fits with the new ‘system
Purpose – The purpose of this research is to describe a model of nurses' work motivation relevant to the human caring stance of professional nursing work. Design\\/methodology\\/approach – The model was derived from selected theories of behavioral motivation and work motivation. Evidence-based theory addressing nurses' work motivation and nurses' motivational states and traits in relation to characteristics of organizational culture
There are persistent calls from Government, health regulators and even the Parliamentary health select committee for health professionals to report poor practice. The Government argues that district nurses who blow the whistle on substandard care will be protected by changes to the NHS Constitution for England. However, a recent decision of the Court of Appeal shows that whistleblowers who are subject to bullying and recriminations from colleagues are not protected by the law and cannot claim compensation. In this article Richard Griffith and Cassam Tengnah review the law protecting whistleblowers, and discusses ways in which district nurses who have concerns can safely report poor practice. PMID:22875168
The purpose of this project was to identify and characterize patient safety issues across advanced practicenursing (APN) care settings including ambulatory care visits. A total of 162 registered nurses enrolled in an APN education program completed an online survey. Respondents reported patient safety issues related to diagnosis or management and treatment in almost half of 489 encounters. The most common issues were clinician communication problems with patients, which occurred during 42.4% of encounters. Adoption of information technology may be a pathway for improving patient safety issues in APN practice settings. PMID:21915064
Background: The purpose of the study was to ascertain the place of knowledge and evidence in the context of Australian general practicenursing. General practicenursing is a rapidly developing area of specialized nursing in Australia. The provision of primary care services in Australia rests largely with medical general practitioners who employ nurses in a small business model. Methods: A
Background and Objectives: The number of physicians who care for nursing home patients is inadequate. This study determined predictors of current nursing home practice, including whether making nursing home rounds with an attending physician during residency is a predictor of subsequent nursing home practice. Methods: We used a cross-sectional survey to study 170 family physicians in private or aca- demic
There are many relubrication theories for grease lubrication of rolling element bearings. They range from the very simplistic, such as that in the NLGI handbook, to the extremely complex, such as the GfT Working Sheet. This presentation looks at various different theories and compares the assumptions required for each theory, as well as the variability in relubrication intervals. A practical approach to using these theories to answer the question, ``What is my relubrication interval?`` will be discussed.
In response to the 2004 tsunami disaster in the Indian Ocean, the U.S. Navy deployed teams aboard the USNS Mercy to provide aid during Operation Unified Assistance (OUA). To date, few research studies have examined how Navy nurses prepared for and clinica...
The American Nurses Association (ANA) Cabinet on NursingPractice mandated the formation of the Steering Committee on Databases to Support Clinical NursingPractice. The Committee has established the process and the criteria by which to review and recommend nursing classification schemes based on the ANA Nursing Process Standards and elements contained in the Nursing Minimum Data Set (NMDS) for inclusion of nursing data elements in national databases. Four classification schemes have been recognized by the Committee for use in national databases. These classification schemes have been forwarded to the National Library of Medicine (NLM) for inclusion in the Unified Medical Language System (UMLS) and to the International Council of Nurses for the development of a proposed International Classification of NursingPractice.
McCormick, K A; Lang, N; Zielstorff, R; Milholland, D K; Saba, V; Jacox, A
Major theories of motivation are classified as those dealing either with exogenous causes or with endogenous processes. Whereas the latter help explain motivation, the former identify levers for improving worker motivation and performance. Seven key strategies for improving work motivation are distilled from the exogenous theories. Illustrative programs are described for implementing those strategies, programs that aim at creating organizations
In Australia, more nurses are entering general practice, and nurses' work is being funded in increasingly complex ways through Medicare. Little research has explored the ways doctors and nurses realign their priorities and activities when working together in general practice. We undertook rapid, intensive multimethod studies of 25 general practices to explore the ways in which the labour of nurses and doctors was structured, and the implicit decisions made by both professions about the values placed on different ways of working and on their time. Data collected included photographs, floor-plans, interviews with 37 nurses, 24 doctors and 22 practice managers, and 50 hours of structured observation. Nursing time was constructed by both nurses and doctors as being fluid and non-contingent; they were regarded as being 'available' to patients in a way that doctors were not. Compared to medical time, nursing time could be disposed more flexibly, underpinning a valorized attribute of nursing: deep clinical and personal contact with patients. The location of practicenurses' desks in areas of traffic, such as administrative stations, or in the treatment room, underpinned this valuable unstructured contact with patients. Changes to the practicenurse role through direct fee-for-service items for nurses may lead to greater congruence between the microeconomies of nursing and medicine in general practice. In a time of pressure upon a primary care workforce, this is likely to lead to more independent clinical work by nurses, but may also lead to a decrease in flexible contact with patients. PMID:18041994
A recent report from the Institute of Medicine of the National Academies (IOM) calls for states to amend regulations on the practice of advanced practice registered nurses (APRNs). This article reviews the roles of APRNs, the IOM recommendations, and efforts by national and state stakeholders to remove legal barriers to APRN practice. PMID:22128689
Kugler, Eileen C; Burhans, Linda D; George, Julia L
Inadequate pain medication management is pervasive in nursing homes (NHs). Licensed practicalnurses (LPNs) deliver the majority of licensed nursing care, but LPNs are neither trained nor licensed to provide comprehensive pain assessment and medication management. In this study, we describe how pain medication management occurs in NHs by exploring LPNs' management approaches, while considering scope-of-practice differences between RNs and LPNs. Using comparative case studies of 10 NHs in North Carolina and Minnesota, we found practice variations in pain detection, assessment, and medication administration. Differences clustered in three areas: (a) the extent to which RNs and LPNs connected formally and informally to provide pain care, (b) the degree to which RNs and LPNs were considered interchangeable with one another, and (c) the RN-to-LPN ratio. Results highlight quality issues and suggest ways to improve pain medication management in NHs. PMID:23445182
This is the second in a series of articles describing a research study that examined the efficacy of an infection control link nurse programme, which had an educational programme based upon adult learning theory, delivered using an action research approach. This article describes the results of a quantitative study that aimed to identify if the utilisation of this programme led
The innovative practice that resulted from the Ottawa Charter challenges public health knowledge about programming and evaluation. Specifically, there is a need to formulate program theory that embraces social determinants of health and local actors’ mobilization for social change. Likewise, it is imperative to develop a theory of evaluation that fosters reflexive understanding of public health programs engaged in social change. We believe advances in contemporary social theory that are founded on a critique of modernity and that articulate a coherent theory of practice should be considered when addressing these critical challenges.
Potvin, Louise; Gendron, Sylvie; Bilodeau, Angele; Chabot, Patrick
A model of clinical practice involving neonatal nurse practitioners (NNP) and neonatologists is presented through the application of collaboration theory. This strategy has been used in business and other applications. In this article, the terms and principles of the model will be explained. The relevant features will be identified, including interdependence, communication, strategic negotiation, independent billing, NNP licensure support, semiformal systems, and radical tailorability. Recommendations for structure and components to ensure safe practice involving the unique contributions of the NNP will be highlighted. An example of such a successful practice will be described. PMID:21730898
There are multiple interpretations of the nurse practitioner role which appear to be shaped by discourses within and outside the profession and its regulatory body. This study aimed to explore and clarify the role and scope of practice of emergency nurse practitioners in a region in the United Kingdom and determine if they fulfil the proposed criteria for Advanced Nurse Practitioners. A survey approach using questionnaires (n=42) was adopted. The sample included all emergency nurse practitioners working in Accident and Emergency Departments and Minor Injury Units in the region. Statistical data was analysed using SPSS for Windows and qualitative data was content analysed for themes. Results revealed a variation in education. Investigation of role typology and scope of practice revealed a relatively homogenous group where the clinical aspect of the role dominated. The scope of practice was perceived to be influenced by internal factors such as competence; however protocol use, referral rights and prescribing authority could be considered ways that nursing management and medical staff indirectly control the role. Findings suggested that emergency nurse practitioners were working at a level significantly beyond registration, yet do not fulfil the Nursing and Midwifery Council proposed criteria for Advanced Nurse Practitioner. PMID:23615513
McConnell, Donna; Slevin, Oliver D; McIlfatrick, Sonja J
Although the community of practice (CoP) concept has been heavily utilized in business literature since its inception in the 1990s, it has not been significantly featured in nursing research. With student-centered approaches increasingly infusing nursing classrooms, including opportunities for collaborative learning and the development of student learning communities, it may be time to ask: Do we practice what we teach? Nursing academia faces challenges related to recruitment and retention, scholarly productivity and engagement of new faculty, and increasing demands for collaborative research. Challenges, some would argue, that could be addressed through CoPs; a sentiment reflected in the recent expansion of nursing CoP literature. What is the current state of the application of this concept in nursing academia and what barriers present in the promotion and development of CoPs in the academy? This article addresses these questions and provides guidance for those in search of community. PMID:23969471
The purpose of this article is to summarize the previous articles in this special issue of the Journal of Nursing Education that are based on the Committee on Institutional Cooperation's Dean's Conference on the Doctor of NursingPractice (DNP) and to identify areas of consensus, as well as areas of controversy. Areas of consensus include the high level of interest in DNP programs and the intent to expand the role of the advanced practicenurse to population health, policy, and leadership. Areas of controversy include the nature of the DNP product, the definition of clinical experiences, the nature of the capstone project, the outcomes of these new practitioners, and the impact on schools. Suggestions for achieving higher levels of consensus, including the need for respective, inclusive dialogue, are provided. PMID:23875725
Returning to school for an advanced degree in nursing is a major lifetime decision and a new phase in life, whether you set an academic, career or professional goal. As in any new experience some degree of anxiety is to be expected and could result in frustration and uncertainty. For some African American students navigating the application process can be a challenging experience. However by following a few practical tips and using a variety of resources, your experience can be an exhilarating and a successful accomplishment. The primary aim of this article is to delineate strategies for academic success with a focus on African American students who are considering graduate education in nursing. This article offers practical help on how to get started in selecting a graduate nursing program, details on navigating the application process, and suggested approaches for surviving in graduate school. PMID:19715227
As a practice-based discipline a key component of undergraduate nurse education is clinical practice experience. The quality of clinical experiences has a significant impact on the students' ability to function competently post graduation. The relationship between higher education institutions (HEIs) and health service placement providers impacts upon the quality of clinical placements. In Australia, the growth of primary care nursing and the shortage of acute clinical places has prompted HEIs to explore the placement of students in general practice. Given the increasing attention being paid to non-traditional clinical placements, it is timely to explore how universities are establishing relationships and models of clinical placement. This paper uses qualitative research methods to explore the perspectives of 12 Australian general practicenurses who have experience in facilitating undergraduate clinical placements about the relationships between HEIs and nurses. Findings are presented in the following three themes: (1) Appropriate preparation for placement: They don't know what primary health really means, (2) Seeking greater consultation in the organisation of clinical placements: they've got to do it one way for everyone, and (3) Uncertainty and lack of support: I had no contact with the university. Clinical placements in general practice can be an innovative strategy providing non-traditional, yet high quality, teaching and learning experiences for undergraduate nursing students. To optimise the quality of these placements, however, it is essential that HEIs provide appropriate support to the practicenurses mentoring these students. PMID:23069694
Peters, Kathleen; Halcomb, Elizabeth J; McInnes, Susan
A significant international development agenda in the practice of nurses supporting families with young children focuses on establishing partnerships between professionals and service users. Qualitative data were generated through interviews and focus groups with 22 nurses from three child and family health service organisations, two in Australia and one in New Zealand. The aim was to explore what is needed in order to sustain partnership in practice, and to investigate how the concept of practice architectures can help understand attempts to enhance partnerships between nurses and families. Implementation of the Family Partnership Model (FPM) is taken as a specific point of reference. Analysis highlights a number of tensions between the goals of FPM and practice architectures relating to opportunities for ongoing learning; the role of individual nurses in shaping the practice; relationships with peers and managers; organisational features; and extra-organisational factors. The concept of practice architectures shows how changing practice requires more than developing individual knowledge and skills, and avoids treating individuals and context separately. The value of this framework for understanding change with reference to context rather than just individual's knowledge and skills is demonstrated, particularly with respect to approaches to practice development focused on providing additional training to nurses. PMID:23336287
Implementing a philosophy of care which emphasises quality of life, holism, futility and family involvement and sees death as a natural end of life is an enormous challenge for nurses in current complex healthcare environments. This article explores the practice-based reality of using the palliative approach in multiple settings and the challenges in such care. PMID:19475794
|Papers on "Current Issues and Their Implications for PracticalNurse Programs" included in the document were authored by Margaret McLaughlin, Ruth B. Edelson, and Kenneth G. Skaggs. Summaries of presentations by Robert M. Morgan and Helen K. Powers are also included. (JK)|
National League for Nursing, New York, NY. Dept. of Practical Nursing Programs.
Senior nursing students (N=505) attending 13 schools in the NY metropolitan area were administered a questionnaire to assess their beliefs about the importance of health promotion behaviors to the average person. Respondents rated 23 health promotion practices on a Likert scale. The five most important items concerned: knowledge of drug contents and their side effects; the elimination of cigarette and
|This document contains entry-level practicalnursing competencies arranged in eight categories. Each competency appears on a separate sheet on which is included a list of points of knowledge the student should possess in order to meet the competency and a statement regarding evaluative criteria for the competency. Competencies in the following…
New Jersey State Dept. of Education, Trenton. Div. of Vocational Education.
|Background: Persons with an intellectual and developmental disability frequently face barriers in accessing preventive services in community-based health care systems. As they age into middle years, they are at increased risk for functional decline. This paper presents a description of an advanced practicenurse (APN) intervention used in a pilot…
An escalating elderly population has necessitated a corresponding need for social workers trained in gerontology and who can practice in nursing homes. In order to enhance professional knowledge and skills, the authors present a teaching model that uses an apprenticeship framework to help students develop social work skills in working with elderly residents in long term care facilities. Responses to
Background: Persons with an intellectual and developmental disability frequently face barriers in accessing preventive services in community-based health care systems. As they age into middle years, they are at increased risk for functional decline. This paper presents a description of an advanced practicenurse (APN) intervention used in a pilot…
A major portion of the collection of 20 readings authored by practicing professionals consists of field observations presented both as raw data (field notes) and as analyzed and organized data. About the work of nurses in a variety of settings, a recurrent theme is that work behavior is greatly influenced by organizational and structural elements…
|This curriculum guide, revised from a 1975 edition, provides teachers with up-to-date information and skill-related applications needed by practicalnurses. It includes 4 sections and 24 instructional units. Each unit of instruction consists of eight basic components: performance objectives, teacher activities, information sheets, assignment…
New long-term care legislation and managed care legitimate case management for gatekeeping and advocacy for frail elderly. Qualitative in-depth interviews with case managers who are social workers and nurses were used to address the question: To what extent is client-centered theory reflected in case management practice? Differences between reported client-centered theory and directive practice were identified by five themes: (a)
Elizabeth Clemens; Terrie Wetle; Michael Feltes; Benjamin Crabtree; Deborah Dubitzky
The purpose of this study was to test the feasibility of an electronic nursing records system for perinatal care that is based on information models and clinical practice guidelines in perinatal care. We first generated 799 nursing statements describing nursing assessment, diagnoses, interventions, and outcomes using the entities, attributes, and value sets of detailed clinical models for perinatal care that we developed in a previous study. We then extracted 506 detailed recommendations from clinical practice guidelines. Finally, we created sets of nursing statements to be used for nursing documentation by grouping nursing statements based on these detailed recommendations. A prototype electronic nursing records system providing nurses with detailed recommendations for nursingpractice and sets of nursing statements based on the detailed recommendations to guide nursing documentation was developed and evaluated. PMID:22874402
Park, Hyeoun-Ae; Min, Yul Ha; Jeon, Eunjoo; Kim, Younglan; Km, Hyun-Young
Twenty Vietnamese families in Salt Lake City, Utah, were interviewed concerning postpartum practices. Results show that special dietary and activity proscriptions are widely accepted for Vietnamese primiparae and less rigidly accepted for multiparae. Activity proscriptions relate to the avoidance of cold, including drafts and showers, and avoidance of sexual intercourse. Bed rest and limitation of activity were also important to the subjects. Implications for nursingpractice in the inpatient obstetrical unit are presented. PMID:6555395
There is a preponderance of descriptive studies, ranging from those using a simple descriptive correlational approach to multivariate approaches. Only one study is clearly identified as an experimental study (Moore, 1987) and two clearly identified as replication studies (Lenatsch, 1999; Schott-Baer, Fisher, & Gregory, 1995). Fewer than half make clear links between the variables being examined and situations of nursingpractice; that is, they examine elements of the theory of self-care without making the link to nursingpractice an explicit part of the study. While this work is increasing our knowledge about self-care (Stage II), further work needs to be done to put the results of these in the context of nursingpractice as in Stages III, IV, or V. Most of the studies reviewed are Stage II and provide an enhanced or broader description of an element or component of the theory, empirically describing the relationships between or among age, gender, self-care actions, disease, and so forth. These studies add to our understanding of existing and known or proposed relationships within the extant theory. The majority of studies examine self-care and/or self-care deficits. There are many studies but little evidence that sustained research programs are developing and expanding the theory. The bricks are piling up around the framework, but only a few scholars are working on building the walls. These programs of research are occurring in universities where a critical mass of interested scholars and students can be found. The use of theoretical language is sometimes imprecise and at other times inaccurate. Valid new terms are introduced but the relationship to existing theoretical constructs is not always explicit. There is little critical review of research in the literature. Ongoing dialog among scholars is minimal. There is a need for nurse scholars to come together and to engage in such a dialogue to enhance the work. Given the relatively short history of nursing research and, more importantly, the conduct of nursingtheory-based research, the number and quality of the work being conducted is quite remarkable. There has been a substantial amount of work produced and the quality of it has improved over time. Orem has provided nurse researchers with a theoretical system comprising an ontological structure, related epistemology, and numerous models that give direction to scholarly efforts. Scholars using this theoretical system would be well-advised to use these in conceptualizing and interpreting their work. PMID:11847693
Taylor, S G; Geden, E; Isaramalai, S; Wongvatunyu, S
This article questions the viability of humanist educational theory in nurse education and raises the issue of which interests are served by humanist ideology. The limitations of the humanist approach are traced. Self-directed learning is shown to be problematic in nurse education, leading to tensions between independent learning and required course content, and the appropriateness of student-centred learning to the professional education of nurses is queried. The need to produce safe practitioners compromises the humanist model. Lifelong learning, for example, becomes institutionalized, and its self-directed character transformed into a mandatory process of lifelong professional education. The humanist model has become the new orthodoxy in nurse education and operates as a form of social control. Through its individualism the approach supports a competency model, which in turn restricts the potential diversity of 'product'. This individualistic bias denies the social reality of nursing and fails to empower the nurse by emphasizing individual growth at the expense of social learning. The article concludes that humanist ideology serves the needs of a free-market philosophy. If nurse education is to be challenging it must break with individualism and seek to develop a different rationale, that of a collectivist ideology. PMID:9277159
Social media has been used globally as a key vehicle for communication. As members of an innovative profession, many nurses have embraced social media and are actively utilizing its potential to enhance practice and improve health. The ubiquity of the Internet provides social media with the potential to improve both access to health information and services and equity in health care. Thus there are a number of successful nurse-led initiatives. However, the open and democratising nature of social media creates a number of potential risks, both individual and organisational. This article considers the use of social media within nursing from a global perspective, including discussion of policy and guidance documents. The impact of social media on both healthcare consumers and nurses is reviewed, followed by discussion of selected risks associated with social media. To help nurses make the most of social media tools and avoid potential pitfalls, the article conclusion suggests implications appropriate for global level practice based on available published guidance. PMID:23036062
The highly practical nature of action research sometimes leads to results that have little to contribute in terms of new scholarly knowledge. Although a difficult practical problem may have been resolved, academic publications will often reject reports of the results because the theoretical value is trivial. It appears necessary for IS theory, knowledge and methods to be selected and operationalized
Richard Baskerville; Mike Chiasson; Allen Lee; Lars Mathiassen
Historically, nurses have relied on traditions, clinical expertise, and expert opinion as a foundation for practice. Although these sources of knowledge are important and valued in nursing, the approach is unsystematic and not always based on scientific evidence. Although medicine used evidence-based practice (EBP) guidelines in their practice for decades, nurses have only recently embraced this concept. The purpose of
John Bowlby revolutionized the view of mother-infant bonds and relationships when he outlined attachment theory. This article reviews attachment theory and how history and research impact clinical practice. Attachment definitions and components are offered, some research history is highlighted and critiqued, new areas of research are indicated from globalization and marginalization perspectives, and implications for social work treatment with children
Debate on the evaluation of safe motherhood programs has mainly focused on the outcome or process measure to be used. Less attention is paid to the application of different approaches to evaluation. This article reviews current theories of evaluation and provides examples of the extent to which these theories have been applied in the actual practice of evaluation. Most evaluations
Lesley Milne; Graham Scotland; Nargiz Tagiyeva-Milne; Julia Hussein
While deterrence emerged as the central concept in US strategic theory by the 1960s, preemptive counter-force targeting has remained a permanent option in US strategic planning, and by weight of numbers and types of targets has shaped the 35 years on internal debates on US nuclear strategy. This inconsistency points up a major gap between theory and practice in nuclear
Providing a foundation in which researchers may build future research and theory and in which teachers may design more effective classroom practice, this book presents 12 essays that bring together the contributions of researchers and teacher-scholars to present the significant theory and research related to the writing process. The book is…
|Providing a foundation in which researchers may build future research and theory and in which teachers may design more effective classroom practice, this book presents 12 essays that bring together the contributions of researchers and teacher-scholars to present the significant theory and research related to the writing process. The book is…
|Examines four career theories: developmental theory, person-environment fit, social cognitive career theory, and social learning theory. Highlights the potential of each to inform school-to-work practices. Presents practical interventions. (Contains 41 references.) (SK)|
In the past decade, the use of information technology (IT) to support healthcare delivery has greatly expanded. Introducing new clinical information systems and updating existing systems require continued learning and training among registered nurses (RNs) and other clinicians. Consequently, a 5-item measure was designed as a subscale to the Practice Environment Scale of the Nursing Work Index. This new subscale, the Nursing Information Technology Subscale (NITS) measures RNs' perception of the extent to which IT in their practice environment supports patient care delivery. A psychometric evaluation of the NITS was conducted at 8 Veterans Affairs hospitals. The findings demonstrated that this brief subscale has acceptable reliability as well as convergent and discriminant validity. PMID:20014031
Moorer, Oyweda W; Meterko, Mark; Alt-White, Anna C; Sullivan, Jennifer L
In this paper we argue that psychosocial interventions with children 2 can be made more effective if they are informed by theory and research. This may seem an obvious point. However practitioners and researchers often work in different worlds. Practitioners face enormous demands on their time. And the pressing needs of those they serve call for quick responses, leaving little
Drawing upon recent research, this article reviews the theory underlying the use of socioscientific issues (SSI) in science education. We begin with a definition and rationale for SSI and note the importance of SSI for advancing functional scientific literacy. We then examine the various roles of context, teachers, and students in SSI lessons as…
This paper presents a brief summary of a 35 years study of the software process and the software evolution phenomenon. It draws attention, inter alia, to the SPE program classification, a principle of software uncertainty and laws of software evolution. Recent studies have led to refinement of earlier conclusions and provided a basis for formation of a theory of software
|The 13 essays in this book examine the theory of constructivism in relation to teaching and learning. The first section provides an account of the epistemological, psychological, and sociocultural research that serves as the theoretical basis of constructivism, and includes the following chapters: "Introduction: Aspects of Constructivism" (Ernst…
Nurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the National Sample Survey of Registered Nurses and a dataset of state-level nurse practitioner prescribing authority, a multivariate estimation is performed analysing the impact of greater practice authority on the probability of a nurse practitioner moving from a state. The empirical results indicate that nurse practitioners in states that grant expanded practice are less likely to move from the state than nurse practitioners in states that have not granted expanded practice authority. The estimated effect is robust and is statistically and economically meaningful. This finding is in concert with and strengthens the wider literature which finds states that grant expanded practice authority to nurse practitioners tend to have larger nurse practitioner populations.
Nurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the National Sample Survey of Registered Nurses and a dataset of state-level nurse practitioner prescribing authority, a multivariate estimation is performed analysing the impact of greater practice authority on the probability of a nurse practitioner moving from a state. The empirical results indicate that nurse practitioners in states that grant expanded practice are less likely to move from the state than nurse practitioners in states that have not granted expanded practice authority. The estimated effect is robust and is statistically and economically meaningful. This finding is in concert with and strengthens the wider literature which finds states that grant expanded practice authority to nurse practitioners tend to have larger nurse practitioner populations. PMID:23227322
Rhetorical Knowledge in Legal Practice and Critical Legal Theory has just been published by the University of Alabama Press as part of its series, Rhetoric, Culture and Social Critique. My central themes are that rhetorical knowledge - however imperfectly pursued and attained - is a feature of social life; that rhetorical knowledge plays an important role in legal practice; and
Purpose – The purpose of this paper is to review the relevant literature on travel motivation and provides a scenario-based discussion on the applications of travel motivation theories in the industry practice. The paper offers an invaluable practical interpretation of travel motivation and related management issues. Design\\/methodology\\/approach – A comprehensive literature review on travel motivation is conducted to acknowledge the
|The three books reviewed in this article represent the continuous effort to make visible the significant bridge between theory and practice in the fields of literacy and children's literature. While the authors maintain distinct purposes for their creations, the texts each speak to a strong theoretical support for the practices they describe. The…
This descriptive survey assessed the perception of evidence-based practice (EBP) among nurses in the United States. Although evidence-based healthcare results in improved patient outcomes and reduced costs, nurses do not consistently implement evidence-based best practices. A descriptive survey was conducted with a random sample of 1015 RNs who are members of the American Nurses Association. Although nurses believe in evidence-based care, barriers remain prevalent, including resistance from colleagues, nurse leaders, and managers. Differences existed in responses of nurses from Magnet® versus non-Magnet institutions as well as nurses with master's versus nonmaster's degrees. Nurse leaders and educators must provide learning opportunities regarding EBP and facilitate supportive cultures to achieve the Institute of Medicine's 2020 goal that 90% of clinical decisions be evidence-based. PMID:22922750
Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen; Gallagher-Ford, Lynn; Kaplan, Louise
Four associate degree nursing curriculums are presented, along with competencies, program guidelines, and job opportunities identified as those appropriate for the associate degree nursing programs offered in the North Carolina community college system. Chapter I introduces North Carolina's curriculum development project and the phases in which…
Patient safety is one of the most critical issues for health care today. The escalating need to decrease preventable complications serves as a significant catalyst to identify and use evidence-based practice (EBP) at the bedside. Decreasing preventable complications requires a synergistic relationship between the nurses at the bedside and nursing leadership. This article presents an overview of the concepts and the specific structures and processes used at Baylor Health Care System to increase the use of EBP and improve patient safety. PMID:19167550
If intense pain is "world-destroying," as Elaine Scarry has argued, one of the ways nurses respond to that loss is by re-enacting the commonplace-both in practice and in writing-through daily, accumulating acts of care. Such care poses a critique of medicine's emphasis on the exceptional moment and stresses forms of physical tending that are quotidian rather than heroic, ongoing rather than permanent or conclusive. I develop this view of care through the writings of nurses like Walt Whitman, Louisa May Alcott, Cortney Davis and Joyce Renwick. PMID:15926033
General practice is an ideal setting to be providing nutrition advice; however, it is important that the role of general practitioners (GPs) and practicenurses in providing nutrition advice is acknowledged and defined. This article aims to discuss the role of GPs and practicenurses in the delivery of nutrition advice. Ten general practitioners and 12 practicenurses from a NSW urban Division of General Practice participated in questionnaires and a Lifescripts implementation study, as well as their consenting patients receiving Lifescripts (n=13). An online survey was conducted with 90 Australian private practice dietitians. Semi-structured telephone interviews were conducted with 52 Australian private practice dietitians. The provision of basic nutrition advice is acknowledged to be part of the role of GPs and practicenurses, as they are the first point of contact for patients, allowing them to raise nutrition awareness. However, it is important that this advice is evidence based and able to be delivered in a time-efficient manner. Increased nutrition education and the availability of appropriate resources and nutrition-related best practice guidelines will assist in this process. PMID:21645478
Mitchell, Lana J; Macdonald-Wicks, Lesley; Capra, Sandra
The purpose of this study was to evaluate current research on evidence-based practice (EBP) and best practices for school nurses addressing student asthma, as well as how school nurses integrate those practices with the IHP, the IEP, and other factors in daily practice. The objective of this study was is to explicate the framework for a qualitative meta-analysis of the
Contents: Introduction; Critical issues confronting public health nursing; Preparing the nurse for practice as a generalist in public health nursing; Preparing the nurse for practice as a specialist in public health nursing; An agenda for the future; Cont...
This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursingpractice and culture. A conceptual model of the "Diffusion of Innovations" theory was adapted to explain the application of the program. The Institutional Review Boards at Walter Reed National Military Medical Center and Duke University School of Medicine reviewed and exempted this quality improvement project. A pretest-posttest design was used with four instruments at each facility. The EBP program was successful in enhancing organizational culture and readiness for EBP (p < 0.01) and nursing staff's belief about the value of EBP and their ability to implement it (p < 0.05). Another indicator that the EBP program achieved its goals was the significant difference (p = 0.002) in the movement of the outpatient health care facilities toward an EBP culture. These results suggest that this EBP program may be an effective method for empowering outpatient nursing staff with the knowledge and tools necessary to use evidence-based nursingpractice. PMID:24005550
Yackel, Edward E; Short, Nancy M; Lewis, Paul C; Breckenridge-Sproat, Sara T; Turner, Barbara S
Two pilot studies tested a postgraduate internship model to prepare entry-level nurses with the support of clinical preceptors. Elements included preceptor training and a core competence assessment tool. The second pilot resulted in improvements in transition to practice and satisfaction with preceptors. (Contains 15 references.) (SK)
Effective clinical learning requires integration of nursing students into ward activities, staff engagement to address individual student learning needs, and innovative teaching approaches. Assessing characteristics of practice environments can provide useful insights for development. This study identified predominant features of clinical learning environments from nursing students' perspectives across studies using the same measure in different countries over the last decade. Six studies, from three different countries, using the Clinical Leaning Environment Inventory (CLEI) were reviewed. Studies explored consistent trends about learning environment. Students rated sense of task accomplishment high. Affiliation also rated highly though was influenced by models of care. Feedback measuring whether students' individual needs and views were accommodated consistently rated lower. Across different countries students report similar perceptions about learning environments. Clinical learning environments are most effective in promoting safe practice and are inclusive of student learners, but not readily open to innovation and challenges to routine practices. PMID:21514982
Margaret Newman's theory of health as expanding consciousness provides an excellent nursing perspective for nursing grounded theory research studies. Application of this nursingtheory to grounded theory research provides a unitary-transformative paradigm perspective to the sociological underpinnings of grounded theory methodology. The fit between this particular nursingtheory and grounded theory methodology is apparent when purpose, timing, process, and health outcomes of the two are compared. In this column, the theory of health as expanding consciousness is described and the theory's research as praxis methodology is compared to grounded theory methodology. This is followed by a description of how the theory of health as expanding consciousness can be utilized as a perspective for nursing grounded theory research. PMID:21742707
A national agenda has been established for mental health systems to move toward a recovery model of care. Recovery principles are embedded in the foundations of nursing science and practice. Orem's Self-Care Deficit NursingTheory (SCDNT) is in alignment with the ideals of recovery and can provide a structure for changing cultures on inpatient psychiatric units. SCDNT can guide research activities that link a patient's self-care abilities to improved recovery model outcomes. This paradigm shift is an opportunity for psychiatric nursing to return to its roots and deliver care that is patient-centered and conducive to recovering from mental illness. PMID:22646204
Multiple intelligences have only recently entered the teaching dialogue in nurse education and research. It is argued that despite the rhetoric of a student centred approach nurse education remains wedded to conventional teaching approaches that fail to engage with the individual and unwittingly silence the student's voice. This paper will examine the concept of multiple intelligences (MI) and outline Gardner's contention that the brain functions using eight intelligences which can be employed to improve learning at an individual level. It will then outline the use of MI using a five phase model, developed by Weber, known as a multiple intelligence teaching approach (MITA). It is contended that MITA has great potential in nurse education, particularly in terms of reinforcing learning beyond the educational domain and into the individual's professional development and clinical practice. PMID:17459538
Denny, Margaret; Weber, Ellen F; Wells, John; Stokes, Olga Redmond; Lane, Paula; Denieffe, Suzanne
An important domain that emerged from the interpretation of 91 nurse manager (NM) narratives was achieving the right relationship between a NM and a recalcitrant staff member. This article depicts the qualitative distinctions in 2 stages of NM practice to show the importance of reflection on experiential learning in the development of expertise. This work confirms that NM development is more complex than teaching a curriculum of business and management theory and should include teaching for mastery of the skilled know-how of clinical leadership practice and formation of the person as manager. PMID:23151927
The safety of dyslexic nurses, and whether they are a danger to their patients, has been widely discussed. This empirical study sought to discover the impact of the dyslexic profile on clinical practice for nursing students. Two focus groups of third-year nursing students in higher education were set up: a control group and a dyslexic group. The…
A survey of 93 community nurses, 48 health visitors, and 45 district nurses was carried out in one area health authority where nurses had been attached to general practice schemes for up to 10 years. The purpose of the study was to determine the nurses' impression of teamwork within their attachment arrangements. Half the group surveyed had either a geographical
Parish nursing is a new model of health care delivery in which practitioners build partnerships to extend health care from institutions into the community. The study discussed in this article focused on the applicability of the North American Nurses Diagnosis Association taxonomy and the Nursing Intervention Classification to describe parish nursepractice with older adults. Findings from this study may
The research aims were to (a) explore how correctional facility nurses in Montana perceived the balance between the autonomy required in their field and their scope of practice rights, and (b) contrast the correctional nursing specialty from the more traditional nurse setting. Twenty percent of Montana correctional nurses surveyed said there are times where they simply have to work beyond
This paper proposes that: 1) sophisticated electronic physiological monitoring devices can be used to collect data in clinical nursing studies; 2) the devices can be coupled to an off-site computer over a telephone modem for data recording; and 3) the computer can be controlled during data input from the clinical area. The paper presents two studies. The first demonstrates the use of a 5-channel miniaturized telemetric monitoring system with a 100-yard range to a receiver and magnetic tape recorder to collect data in critical care settings. Shivering in human subjects (N=35) undergoing therapeutic surface cooling to decrease core temperature was diminished by wrapping the lower arms and legs with 3 thicknesses of terrycloth toweling (X2 6.43, p ? .02). The second study used a constant current, tetrapolar impedance converter at 2 mAmp, 75 KHz, to measure urinary bladder fullness in normal humans (N=40) and spinal cord injured patients (N=23); predicted fullness was 74.6 and 77.3%, respectively (p ? .05). Data was input via telephone to an off-site computer controlled in the clinical setting by investigators.
The nurse faculty shortage and new requirements for teaching have led to thousands of qualified applicants being turned away from prelicensure nursing programs. In response, the Chief Nursing Officer in one organization created nursing faculty consultant positions to collaborate with faculty, teach prelicensure students in clinical practice, ensure the consistency of care by students in the hospital system, and enhance the relationships between schools of nursing and the organization. In the past 4 years the nursing faculty consultants have been employed they have taught over 500 nursing students from six different nursing programs. PMID:22992633
Home health care (HHC) is a regulated program of care delivered by a multidisciplinary team in the patient’s home. It is of high demand in Saudi Arabia; however there are shortages in health care personnel. Moreover, current internship programs do not address the concepts and unique skills involved in HHC practice. The purpose of this article is to present a
This article explains how the new technology of personal data assistants can be used to enhance and augment comprehensive nursing care. Nurses are constantly challenged in their need for current, reliable, and accurate information at the point of patient care. Professional books and journals, by the very nature of their print format, have been prepared long before they can be actually used in practice. More current information is available from the World Wide Web, but it is often impractical for a nurse to access a computer during a patient encounter. Personal data assistants [PDAs] allow clinicians to access and document absolutely current information at the moment the patient is being seen. There are many general applications for PDAs that nurses might use such as keeping electronic calendars, address books, and reminder lists. In addition, however, there are even more actual healthcare applications, including patient tracking systems, access to pharmacologic databases, and a variety of clinical decision-making support tools. This article describes the wide variety of PDAs, along with the factors a nurse should consider in the decision of whether to purchase a PDA, and which type of device is best suited for which application. PMID:12629310
The design, techniques, and application of heat exchangers (HE) for the recycling of energy in industry are surveyed, with a focus on current industrial experience and practical testing. Topics covered include evaporation/condensation, heat transfer and pressure drop in tube banks, HE-tube vibration, air-cooled HE, compact HE, fluidized-bed systems, regenerative HE, HE design, HE for power-generation systems and fouling in HE. Also covered are the performance of enhancement devices such as internally finned tubes, spirally fluted tubing, and static mixers for very viscous fluids.
In this article, we describe the developmental process of a Doctor of NursingPractice (DNP) program that uses interdisciplinary resources to create unique DNP curriculum opportunities. Other schools may benefit from this experience in the development of their own DNP programs. The program delivers an innovative curriculum from post-baccalaureate to doctorate, emphasizing health care engineering and interdisciplinary collaboration among faculty, hospitals, community leaders, and policymakers. This DNP program is uniquely situated to provide leadership in solving complex clinical problems through its partnership with the Regenstrief Center for Healthcare Engineering, the School of Pharmacy, the Homeland Security Institute, and the Center on Aging and the Life Course. Doctoral coursework, interdisciplinary collaboration, health care engineering/systems approaches, and new knowledge result in uniquely qualified providers. Post-baccalaureate students complete the university's Adult Nurse Practitioner program or its developing Pediatric Nurse Practitioner program during the first 2 years of the 4-year curriculum. A total of 83 post-baccalaureate credit hours include 1,526 hours of supervised clinical practice, a health policy residency, and cognate residencies in an area of specialization. The seven core competencies recommended by the American Association of Colleges of Nursing are incorporated into the curriculum. PMID:16220646
Wall, Barbra M; Novak, Julie C; Wilkerson, Sharon A
The move to managed care has expanded the role and opportunities for the advanced practicenurse (APN). The focus on building the continuum of care, the movement out of institutional models of service delivery, and the need for well-developed primary health services have created a major role for APNs. The major obligation for APNs today is to ensure their presence in the places where the design and structuring of the future health care system are unfolding. PMID:9295643
One objective of the present study was to further establish the external validity for a model on spurned helpers' reactions\\u000a through examining the spurning-burnout linkage in practicingnurses. A second objective was to explore whether or not social\\u000a support from one's supervisor and one's colleague could reduce the negative impact of spurn-ing on burnout. The last objective\\u000a was to assess
Significant advances in biomedical science and in the complexity of health care, coupled with a worsening nursing shortage and numerous reports of unsafe and inadequate patient care, have prompted concerns about both nursing education and nursingpractice. Beginning in 2000, the American Association of Colleges of Nursing (AACN) made a thorough study of nursing education, regulation, and practice issues. Input
Evidence-based nursing is recognized as an indicator of quality in nursingpractice, a basis for accountability and the gold standard of professional nursing care. The aim of this study was to explore nurses' experiences and perceptions about evidence-based nursingpractice in giving care to patients with diabetic foot ulcers. A qualitative research design was adopted, and content analysis was used to analyse data. Semistructured interviews were held with 19 bachelor-degree nurses working in a teaching hospital in an urban area of Iran. During data analysis, two main themes developed: 'structural backgrounds of the organization' and 'empowerment'. Accordingly, it was concluded that successful implementation of evidence-based nursing requires the reconfiguration of the administrative structure in the hospital. In addition, it requires the support of nurse leaders to facilitate the implementation of evidence-based nursing in the practice. PMID:24090300
Varaei, Shokoh; Salsali, Mahvash; Cheraghi, Mohammad Ali
This article describes components of a qualitative research study that investigated the process of how acute care nurses successfully transition into home health nursingpractice. The sequences of activities in choosing home health as a specialty to practice and the phases of successful transition from acute care practice to home health practice are described. The sequence of activities and phases
Background Health practitioners play a pivotal role in providing patients with up-to-date evidence and health information. Evidence-based practice and patient-centred care are transforming the delivery of healthcare in the UK. Health practitioners are increasingly balancing the need to provide evidence-based information against that of facilitating patient choice, which may not always concur with the evidence base. There is limited research exploring how health practitioners working in the UK, and particularly those more autonomous practitioners such as health visitors and practicenurses working in community practice settings, negotiate this challenge. This research provides a descriptive account of how health visitors and practicenurses negotiate the challenges of communicating health information and research evidence in practice. Methods A total of eighteen in-depth telephone interviews were conducted in the UK between September 2008 and May 2009. The participants comprised nine health visitors and nine practicenurses, recruited via adverts on a nursing website, posters at a practitioner conference and through recommendation. Thematic analysis, with a focus on constant comparative method, was used to analyse the data. Results The data were grouped into three main themes: communicating evidence to the critically-minded patient; confidence in communicating evidence; and maintaining the integrity of the patient-practitioner relationship. These findings highlight some of the daily challenges that health visitors and practicenurses face with regard to the complex and dynamic nature of evidence and the changing attitudes and expectations of patients. The findings also highlight the tensions that exist between differing philosophies of evidence-based practice and patient-centred care, which can make communicating about evidence a daunting task. Conclusions If health practitioners are to be effective at communicating research evidence, we suggest that more research and resources need to be focused on contextual factors, such as how research evidence is negotiated, appraised and communicated within the dynamic patient-practitioner relationship.
This article reports the results of a qualitative research study which explored patients' experience of caring. To elicit stories relating to the experience of caring, a hermeneutic approach was selected incorporating a narrative method. One-to-one interviews were conducted with 24 patients in their homes, shortly after discharge from hospital. The findings uncovered a number of categories comprising the experience of caring in nursing. This resulted in the development of the conceptual framework based on Donabedian's constructs of structure, process and outcome. Structures included nurse attributes, organizational issues, and patient attributes. Processes comprised the activities of caring, which included providing for patients' physical and psychological needs, being attentive, getting to know the patient, taking time, being firm, showing respect, and the extra touch. The outcomes emanated from the process of caring and included a feeling of well-being, patient satisfaction, and effect on the environment. The conceptual framework emphasizes a potential link between the three constructs. Data from narrative analysis suggest a positive linear relationship between the structures required for the process that lead to patient outcomes. When compared to current theoretical literature, the findings support elements of existing theories. These include the importance of the nurse attributes for professional caring (structure), the activities of caring, which can be viewed as nurse interventions and the dual nature of caring, which encompasses attitudes and actions (process). PMID:12880216
Background: Foot ulceration is one of the most common complications associated with diabetes that needs to be managed. In Iran, prevalence of diabetes foot ulcer is 3%. According to studies, evidence-based nursing (EBN) is an effective alternative to facilitate clinical decision making in patient care and may lead to quality improvement in nursingpractice. The aims of this study are to assess the effects of EBN education on the knowledge, attitude, and practice of nurses who take care of patient with diabetes foot ulcer. Materials and Methods: A quasi-experimental study (based on IOWA model as a framework to improve nursingpractice) was conducted using a before-and-after design. All of nurses (consisted of 19 baccalaureate nurses) who are working in an endocrinology ward were chosen and taught using EBN approach through different workshops. Before and after educational intervention, the data about nurses’ knowledge, attitude, and practice were gathered by questionnaire and then compared. The nurses’ performance in patient care was evaluated in 3 months by one checklist. The data were analyzed using descriptive and inferential statistics. Results: There were statistically significant differences in knowledge, attitude, and practice of nurses before and after intervention (P = 0.001). The nurses’ performance in caring for patient with diabetes foot ulcer, based on clinical guideline, showed the improvement in clinical practice. Conclusion: Education of EBN can improve the nurse's knowledge and attitude to EBN, and be used as a basis on which to influence the professional practice of nursing.
Varaei, Shokoh; Salsali, Mahvash; Cheraghi, Mohammad Ali; Tehrani, Mohammad Reza Mohajeri; Heshmat, Ramin
This article examines holism and healing in nursing as a paradigm and explores at how the use of an integral approach may help articulate and guide the future of contemporary caring-healing-holistic-sustainable nursingpractices. PMID:22343931
Behaviorist teaching of communication skills can interfere with learning of humanistic nursing. Interpretive inquiry can help students experience the transformative power for relationships and develop confidence and trust in their capacity for relational nursingpractice. (Contains 20 references.) (SK)
Graduate nursing students (n=21) wrote descriptions of how they used intuition in clinical practice. Undergraduates in a nursing research course used these exemplars to learn about content analysis and develop their own intuitive thinking. (SK)
|When school nurses embrace evidence-based practice (EBP), higher-quality care is provided to students, their families, and the larger community. Despite this, school nursing has been slow to embrace EBP. Practice-Based Research Networks (PBRNs), which capitalize on the combined strengths of clinicians and researchers to study clinical questions,…
The purpose of this article is to describe the development and implementation of a shared position with a focus on evidence-based practice (EBP) between the Visiting Nurse Service of New York and the Lienhard School of Nursing, Pace University. A preexisting relationship between the two institutions in providing student experiences in a community setting paved the way for the evolution a new collaborative effort. The shared position was initially conceived by two of the authors as an outcome of research they were conducting in the home care setting, which tested a model of mentoring frontline nurses in the EBP process on health care professional and patient outcomes. An initial conception of the new role provided a working document for discussions between the two institutions and the creation of a workable contract. The implementation of several initiatives has already provided support for the position, and each partner has benefited from building this bridge between nursing education and service. Benefits include advancing knowledge of and implementing EBP in both settings and promoting collaborative, clinically related scholarship. PMID:18053962
Levin, Rona F; Vetter, Mary Jo; Chaya, Joan; Feldman, Harriet; Marren, Joan
Advanced practice registered nurses have assumed an increasing role as providers in the health care system, particularly for underserved populations. The aim of this systematic review was to answer the following question: Compared to other providers (physicians or teams without APRNs) are APRN patient outcomes of care similar? This systematic review of published literature between 1990 and 2008 on care provided by APRNs indicates patient outcomes of care provided by nurse practitioners and certified nurse midwives in collaboration with physicians are similar to and in some ways better than care provided by physicians alone for the populations and in the settings included. Use of clinical nurse specialists in acute care settings can reduce length of stay and cost of care for hospitalized patients. These results extend what is known about APRN outcomes from previous reviews by assessing all types of APRNs over a span of 18 years, using a systematic process with intentionally broad inclusion of outcomes, patient populations, and settings. The results indicate APRNs provide effective and high-quality patient care, have an important role in improving the quality of patient care in the United States, and could help to address concerns about whether care provided by APRNs can safely augment the physician supply to support reform efforts aimed at expanding access to care. PMID:22372080
Newhouse, Robin P; Stanik-Hutt, Julie; White, Kathleen M; Johantgen, Meg; Bass, Eric B; Zangaro, George; Wilson, Renee F; Fountain, Lily; Steinwachs, Donald M; Heindel, Lou; Weiner, Jonathan P
Evaluated a low cost and practical intervention designed to decrease children's, parents', and nurses' distress during children's immunizations. The intervention consisted of children viewing a popular cartoon movie and being coached by nurses and parents to attend to the movie. Ninety-two children, 4-6 years of age, and their parents were alternatively assigned to either a nurse coach intervention, a nurse coach plus train parent and child intervention, or a standard medical care condition. Based on previous findings of generalization of adult behaviors during medical procedures, it was hypothesized that training only the nurses to coach the children would cost-effectively reduce all participants levels of distress. Observational measures and subjective ratings were used to assess the following dependent variables: children's coping, distress, pain, and need for restraint; nurses' and parents' coaching behavior; and parents' and nurses' distress. Results indicate that, in the two intervention conditions, children coped more and were less distressed, nurses and parents exhibited more coping promoting behavior and less distress promoting behavior, and parents and nurses were less distressed than in the control condition. Although neither intervention was superior on any of the variables assessed in the study, nurse coach was markedly more practical and cost-effective. Therefore, nurses' coaching of children to watch cartoon movies has great potential for dissemination in pediatric settings. PMID:9212553
Marketing is widely recognized as an essential business function across all industries, including healthcare. While many long-term care facilities adopted basic healthcare marketing practices and hired marketing staff by the early 1990s, a paucity of research on nursing home marketing exists in the literature. This study examines the extent to which nursing homes have developed more formulated marketing and related communication and promotional strategies as market competition has increased in this sector during the past two decades. In addition, we explored managers' perceptions of their control over marketing decision making, the impact of competition on the use of marketing practices, and areas for enhanced competitive positioning. Administrators from 230 nursing homes in 18 Southeastern Michigan counties were surveyed regarding (1) the adoption level of approximately 40 literature-based, best-practice marketing strategies; (2) the types of staff involved with the marketing function; and (3) their perception of their level of control over marketing functions and of local competition. Results from 101 (44 percent) survey participants revealed that although respondents viewed their markets as highly competitive, their marketing practices remained focused on traditional and relatively constrained practices. In relation to the importance of customer relationship management, the majority of the administrators reported intensive efforts being focused on residents and their families, referrers, and staff, with minimal efforts being extended to insurers and other types of payers. A significant positive relation was found between the intensity of marketing initiatives and the size of the facility (number of beds), whereas significant negative correlations were revealed in relation to occupancy and the perceived level of control over the function. PMID:16770906
Calhoun, Judith G; Banaszak-Holl, Jane; Hearld, Larry R
In Australia, the traditional Quality Assurance approach used in the hospital setting has played an important role in nursingpractice. During the past decade, nurses have begun making a paradigm shift from Quality Assurance to Total Quality Management but scant attention has been paid to quality management practices in nursing in the higher education sector. This paper reports on a quantitative study examining the perceptions of nurse academics to the applicability of TQM to nursing in universities. The findings identified how TQM could be applied to suit the nursing culture in the higher education sector. PMID:15485391
Being reflective is well established as an important conduit of practice development, a desirable tertiary graduate quality and a core competency of health professional membership. By assisting students to be more effective in their ability to reflect, they are better able to formulate strategies to manage issues experienced within a professional context, which ultimately assists them to be better service providers. However, some students are challenged by the practice of reflection and these challenges are even more notable for international students. This paper presents a teaching initiative that focused specifically on enhancing the capacity of an international cohort of nursing students, to engage in reflective practice. The initiative centered on an evaluation of a reflective practice core subject, which was taught in a Master of Nursing programme delivered in Hong Kong. A learning-centered framework was used to evaluate the subject and identify innovative strategies that would better assist international students to develop reflective practices. The outcomes of curriculum and teaching analysis and proposed changes and innovations in teaching practice to support international students are presented and discussed. PMID:23232086
|How can philosophical instruction inform practical analysis and decision making among college students in a way that demonstrably benefits them as individual members of our polity and economy? I pose this question because each year, I introduce classic political theory to first- and second-year college students who simultaneously confront a…
This article unveils the largely unknown theories and practices of "cultural reattachment Africentric education leaders," because many people of African descent are now choosing to reattach (in whole or in part) to aspects of certain African cultures (such as Wolof or Akan). The article offers a brief background of African-centered education,…
|In this book, the author covers the history, theory, and practices that influence early childhood education along with an emphasis on infant and toddler care and education. He also presents a comparison of the conflict between education planners who support early childhood studies and state school systems whose cost-saving measures are…
While in recent years there has been a good deal of critique of the representation and participation of women in sport, there have been relatively few attempts to link theory and practice by means of cultural policy interventions. This article discusses a community-based research project designed principally to encourage teenage girls to engage voluntarily in sport by improving local media
The aim of this study was to identify nurses' interventions, views, and attitudes concerning critical incidents. Using semi-structured interviews, a descriptive study was conducted among mental health nurses working in three major psychiatric hospitals. Analysis of nurses' audio-recorded data indicated that they had used a number of different interventions under six main categories: counseling, performing security practices, monitoring thinking disturbances, contacting the psychiatrist on-call, contacting the chief nurse on-call, and administering medication. The need for specialized training was noticed and problems like accountability, nurse-patient interactions, and nurse-doctor relationships were considered crucial by the mental health nurses. PMID:23477440
Koukia, Evmorfia; Mangoulia, Polyxeni; Stathopoulos, Theodore; Madianos, Michael
AIM: To explore the mechanisms through which nursepractice environment dimensions are associated with job outcomes and nurse-assessed quality of care. Mediating variables tested included nurse work characteristics of workload, social capital, decision latitude, as well as burnout dimensions of emotional exhaustion, depersonalization, and personal accomplishment. BACKGROUND: Acute care hospitals face daily challenges to their efforts to achieve nurse workforce stability, safety, and quality of care. A body of knowledge shows a favourably rated nursepractice environment as an important condition for better nurse and patient outcome variables; however, further research initiatives are imperative for a clear understanding to support and guide the practice community. DESIGN: Cross-sectional survey. METHOD: Grounded on previous empirical findings, a structural equation model designed with valid measurement instruments was tested. The study population was registered acute care nurses (N=1201) in two independent hospitals and one hospital group with six hospitals in Belgium. RESULTS: Nursepractice environment dimensions predicted job outcome variables and nurse ratings of quality of care. Analyses were consistent with features of nurses' work characteristics including perceived workload, decision latitude, and social capital, as well as three dimension of burnout playing mediating roles between nursepractice environment and outcomes. A revised model adjusted using various fit measures explained 52% and 47% of job outcomes and nurse-assessed quality of care, respectively. CONCLUSION: The study refines understanding of the relationship between aspects of nursingpractice in order to achieve favourable nursing outcomes and offers important concepts for managers to track in their daily work. The findings of this study indicate that it is important for clinicians and leaders to consider how nurses are involved in decision-making about care processes and tracking outcomes of care and whether they are able to work with physicians, superiors, peers, and subordinates in a trusting environment based on shared values. The involvement of nurse managers at the unit level is especially critical because of associations with nurse work characteristics such as decision latitude and social capital and outcome variables. Further practice and research initiatives to support nurses' involvement in decision-making process and interdisciplinary teamwork are recommended. PMID:23777786
Van Bogaert, Peter; Kowalski, Christoph; Weeks, Susan Mace; Van Heusden, Danny; Clarke, Sean P
Despite concerns that the rise of evidence-based practice threatens to transform nursingpractice into a performative exercise disciplined by scientific knowledge, others have found that scientific knowledge is by no means the preeminent source of knowledge within the dynamic settings of health-care. We argue that the contexts within which evidence-based innovations are implemented are as influential in the outcomes as the individual practitioners who attempt these changes. A focused ethnography was done in follow-up to an earlier trial that evaluated the effectiveness of a marketing strategy to encourage the adoption of evidence-based intrapartum nursingpractice. Bourdieu's (1990, 1991) concepts of habitus, capital and social field were used in our refinement of the analysis of the ethnographic findings. Nursing leadership, interprofessional struggle with physicians, the characteristics of the community and the physical environment were prominent issues at all of the sites. Detailed descriptions of the sociohistorical context and of the experiences at two sites are presented to illustrate the complexities encountered when implementing innovations. PMID:14622368
Over the past 30 years, postoperative pain relief has been shown to be inadequate. To provide optimal postoperative pain relief, it is imperative for nurses to use evidence-based postoperative pain assessment practices. This correlational descriptive study was conducted to identify factors, termed prior conditions, that influenced nurses' decisions to adopt three evidence-based postoperative pain assessment practices. A convenience sample of nurses who cared for adult postoperative patients in two Midwestern hospitals were surveyed, and 443 (46.9%) nurses responded. The previous practice and innovativeness of nurses were supportive of adoption of the three practices. Nurses felt that patients received adequate pain relief, which is unsupportive of adoption of the three practices because there is no impetus to change. Nurses who perceived the prior conditions as being supportive of adoption of pain management practices used multiple sources to identify solutions to clinical practice problems, and those who read professional nursing journals were more likely to have adopted the three practices and were more innovative. The number of sources used to identify solutions to clinical practice problems, previous practices, and innovativeness were predictive of nurses' adoption of the three evidence-based postoperative pain assessment practices. Nurses need to be encouraged to use multiple sources, including professional nursing journals, to identify solutions to clinical practice problems. Innovative nurses may be considered to be opinion leaders and need to be identified to promote the adoption of evidence-based postoperative pain assessment practices. Further exploration of the large unexplained variance in adoption of evidence-based postoperative pain assessment practices is needed. PMID:21095599
Evidence-based practice requires flexible systems for information retrieval. Search processes in electronic databases must be based on terms, which are familiar to professionals and describe accurately the problem to be solved. The paper describes the process of evolving a controlled nursing vocabulary for indexing and information retrieval purposes. The vocabulary is based on terms of the Medline thesaurus the medical
BackgroundMaking the right decisions, while simultaneously showing respect for patient autonomy, represents a great challenge to nursing home staff in the issues of life-prolonging treatment, hydration, nutrition and hospitalisation to dying patents in end-of-life.ObjectivesTo study how physicians and nurses protect nursing home patients' autonomy in end-of-life decisions, and how they justify their practice.DesignA qualitative descriptive design with analysis of the
Evidence-based nursingpractice is essential to the delivery of high-quality care that optimizes patients' outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. Despite awareness of the importance of practicing by using best evidence, achieving and sustaining evidence-based practice within practice environments can be challenging, and research suggests that integration of evidence-based practice into daily clinical practice remains inconsistent. This article addresses 4 practice issues that, first, are within the realm of nursing and if changed might improve care of patients and, second, are areas in which the tradition and the evidence do not agree and practice continues to follow tradition. The topics addressed are (1) noninvasive measurement of blood pressure in children, (2) oxygen administration for patients with chronic obstructive pulmonary disease, (3) intravenous catheter size and blood administration, and (4) infection control practices to prevent infections. The related beliefs, current evidence, and recommendations for practice related to each topic are described. PMID:23547123
Makic, Mary Beth Flynn; Martin, Sarah A; Burns, Suzanne; Philbrick, Dinah; Rauen, Carol
Purpose. Smoking is prevalent in psychiatric facilities among staff and patients. However, there have been few studies of how contextual factors in specific cultures influence rates of smoking and the health promotion role of psychiatric nurses. This paper reports the findings of a classical grounded theory study conducted to understand how contextual factors in the workplace influences the smoking behaviors of Jordanian psychiatric nurses (JPNs). Method. Semi-structured individual interviews were conducted with a sample of eight male JPNs smokers at a psychiatric facility in Amman, Jordan. Findings. Constant comparative analysis identified becoming a heavy smoker as a psychosocial process characterized by four sub-categories: normalization of smoking; living in ambiguity; experiencing workplace conflict; and, facing up to workplace stressors. Conclusion. Specific contextual workplace factors require targeted smoking cessation interventions if JPNs are to receive the help they need to reduce health risks associated with heavy smoking.
Rising healthcare costs coupled with patient safety considerations and quality of care have become major concerns for healthcare purchasers, providers, and policymakers. Health information technology, particularly the electronic health record (EHR), is posed as a solution to address these concerns by delivering greater efficiencies and improved quality of care. Despite the national movement toward EHR adoption, successful EHR implementation continues to be challenging for many healthcare organizations, both large and small. This article uses sociotechnical systems theory as a framework to discuss 5 best practice guidelines for EHR implementation and outlines what clinical nurse specialists can do to make the process successful. PMID:24107749
Evidence-based practice has been demonstrated to improve quality of care, increase patients' satisfaction, and reduce the costs of medical care. Therefore, evidence-based practice is now central to the clinical decision-making process and to achieving better quality of care. Today, it is one of the important indicators of core competences for healthcare providers and accreditation for healthcare and educational systems. Further, evidence-based practice encourages in-school and continuous education programs to integrate evidence-based elements and concepts into curricula. Healthcare facilities and professional organizations proactively host campaigns and encourage healthcare providers to participate in evidence-based related training courses. However, the clinical evidence-based practice progress is slow. The general lack of a model for organizational follow-up may be a key factor associated with the slow adoption phenomenon. The authors provide a brief introduction to the evidence-based practice model, then described how it may be successfully translated through a staged process into the evidence-based practices of organizational cultures. This article may be used as a reference by healthcare facilities to promote evidence-based nursingpractice. PMID:24096462
Practice learning is an important part of the curriculum and accounts for approximately 50% of the pre-qualifying nursing programme in the United Kingdom. However, the nature of practice learning is very often ill defined, and mentors and nurse teachers apply a range of models to enhance learning in practice settings.Supporting students to learn is an important function for both educators
The authors propose an integration of the concepts of spirituality and spiritual self-care within Orem's self-care deficit nursingtheory as a critical step in theory development. Theoretical clarity is needed to understand the contributions of spirituality to health and well-being. Spirituality is the beliefs persons hold related to their subjective sense of existential connectedness including beliefs that reflect relationships with others, acknowledge a higher power, recognize an individual's place in the world, and lead to spiritual practices. Spiritual self-care is the set of spiritually-based practices in which people engage to promote continued personal development and well-being in health and illness. PMID:21220576
White, Mary L; Peters, Rosalind; Schim, Stephanie Myers
Traditional education has been studied over time for the purpose of documenting what constitutes good practice in teaching. Online education in nursing is still relatively new and has not endured the same scrutiny as classroom education. The authors discuss how Chickering and Gamson's Seven Principles of Good Practice for Undergraduate Education apply to online nursing education and provide practical examples of how the principles can be implemented in Web-based nursing courses. PMID:12464770
Koeckeritz, Jane; Malkiewicz, Judy; Henderson, Ann
The purpose of this research was to conduct a study of the art of caring in nursing administration. By means of a phenomenologic-hermeneutic approach, the caring experiences of six nurse administrators were revealed and analyzed. Essential themes emerged from their descriptions of their experiences. Interpretation of the data served as the lens through which the expressions of the art of caring related to archetypical philosophies of art: living form, imitation, and expression. An ethical theory, Existential Authenticity, was uncovered as the unity of meaning of nursing administrative caring art. This unity of meaning embodied statespersonship, which was viewed by Plato as the highest form of art. Implications for the transformation of nursing administrative practice as an ethical caring enterprise by the manifestation of statespersonship are presented. PMID:9287523
BACKGROUND. A study of practicenurse workload in 1989 by the East Anglian reporting system revealed that nurses were undertaking a wide range of activities, with 12% of nursing time being spent on administration. The 1990 contract for general practitioners emphasized the role of general practice in health promotion. AIM. The 1989 study was repeated by the East Anglian reporting system in 1992 to investigate changes in practicenurse workload. METHOD. Nurses in 22 practices recorded all the procedures they performed and their duration, over a two week period. RESULTS. The number of practicenurses in each practice had increased from 0.7 full time equivalents in 1989 to 1.2 in 1992. The proportion of time spent on administration had increased to 19%. The number of different procedures performed by practicenurses had risen from 36 in 1989 to 54 in 1992, with most new activity in well person and new patient clinics. CONCLUSION. Changes have taken place in the volume and range of work undertaken by practicenurses. There is potential for practicenurses to use the results both for negotiation and for education.
BACKGROUND: The ability to locate information pertinent to guide clinical practice is important for quality nursing care and patient safety. To date, little is known about the transfer of information literacy skills as student nurses transition to clinical practice as new graduates. This study begins to address this gap from the perspective of student nurses, recent nurse graduates (RNs), nurse leaders and library staff. OBJECTIVES: To describe the information-seeking behaviors of student nurses and RNs within their clinical settings. DESIGN AND PARTICIPANTS: This is a descriptive study that included both cross-sectional surveys and key informant interviews. Participants were senior-level undergraduate students and recently graduated RNs (graduated since 2008), and nurse leaders and library staff employed in one of the clinical sites accepting undergraduate students from the McMaster Mohawk and Conestoga BScN program. The study was completed in two large hospital corporations in Hamilton, Ontario, Canada. METHODS: Student nurses and RNs were invited to complete online surveys to assess their access to and use of information sources and resources within clinical practice. Students completed a survey comprised of five open-ended questions, while RNs completed a survey comprised of 13 fixed choice and open-ended questions. Nurse leaders and library staff participated in qualitative interviews to verify the extent and availability of information resources. RESULTS: Eighteen RNs and 62 students completed their respective surveys. Three categories of information sources and resources were identified: electronic, print and interpersonal. Electronic sources of information were the most used resource by both students and RNs. More RNs reported using interpersonal sources, while students reported using more print sources of information. CONCLUSIONS: Recent RN graduates meet the Canadian Association of Schools of Nursing performance indicators related to information access for the entry to practiceNursing Informatics competencies. PMID:23664089
OBJECTIVE To examine role transition and support requirements for nurse practitioner (NP) graduates in their first year of practice from the perspectives of the NPs and coparticipants familiar with the NPs’ practices; and to make recommendations for practice, education, and policy. DESIGN Descriptive qualitative design informed by focused ethnography and narrative analysis using semistructured, in-depth, qualitative interviews. SETTING Primary health care (PHC) settings in Ontario in which NPs worked. PARTICIPANTS Twenty-three NPs who had graduated from the Ontario Primary Health Care Nurse Practitioner program, and 21 coparticipants including family physicians, NPs, and managers who were familiar with the NPs’ practices. METHODS Anglophone and francophone NPs in their first year of practice in PHC settings were contacted by e-mail or letter. Participating NPs nominated colleagues in the workplace who could comment on their practice. Interviews were conducted within the first 3 months, at 6 months, and at 12 months of the NPs’ first year of practice and were transcribed verbatim and coded. Job descriptions and organizational charts demonstrating the NPs’ organization positions were also analyzed. The researchers collaboratively analyzed the interviews using a systematic data analysis protocol. MAIN FINDINGS Familiarity of colleagues and employers with the NP role and scope of practice was an important element in successful NP role transition. Lack of preparation for integrating NPs into clinical settings and lack of infrastructure, orientation, mentorship, and awareness of the NP role and needs made the transition difficult for many. One-third of the NPs had changed employment, identifying interprofessional conflict or problems with acceptance of their role in new practice environments as reasons for the change. CONCLUSION The transition of NP graduates in Ontario was complicated by the health care environment being ill-prepared to receive them owing to rapid changes in PHC. Strategies for mentorship and for the integration of new NPs into PHC settings are available and need to be implemented by health professionals and administrators. Recommendations for family physicians to support NP graduate transition into practice are provided.
Cystic fibrosis (CF) is an inherited disorder occurring in 1 in 2,500 Caucasians of Northern European descent (which will be referred to as "white Americans" hereafter). One in 25 white Americans carries a single mutation of the CF gene. Recent molecular genetic breakthroughs have led to the localization of the gene on chromosome 7. Specific gene mutations have been identified in approximately 80% of individuals with this disorder. These new breakthroughs allow for the accurate identification of individuals affected with this disorder and of approximately 90% of individuals who carry the gene that causes this disorder. Nurses must become familiar with these molecular genetic technologies and their implications for nursingpractice. They must be able to identify individuals who can benefit from genetic testing, communicate effectively regarding the risks and benefits of this testing, and support them once results become available. Genetic testing for CF is the first of many such tests that will become available in the future. How nurses deal with CF testing will serve as the model for future, similar testing programs. PMID:1548558
BACKGROUND: A task force of the American Psychiatric Nurses Association and the International Society of Psychiatric Mental Health Nurses initiated a survey to identify how advanced practice psychiatric nurses were addressing the mental health needs of children and adolescents.OBJECTIVES:Practice patterns of Child and Adolescent Psychiatric—Mental Health Nurses (CACNSs) and Family Psychiatric Nurse Practitioners (FPNPs) were compared. DESIGN:An electronic survey was
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A study to describe conditions under which nursing exerts self-regulation focused on the responses of nurses and nurse administrators (n=38) to colleagues who are considered to be in breach of professional practice codes and on actions typically initiated in such situations. Found that supervisors operate on the basis of well-established…
The overall goal of this research was to analyze implementation processes translating the nursing education reform agenda into practice across 20 Western European countries. The analysis centered on the substantial changes in structure and ethos created in nursing programs and the adjustments required from nursing faculty members as part of their integration into higher education institutions. Based on the model
|A survey of 23 advanced practicenursing programs showed only 3 had HIV-specific graduate-level nursing courses. Recommendations were made for HIV-specific courses, integration of HIV content into other courses, use of Centers for Disease Control and Occupational Safety and Health Administration guidelines, and subspecialties in HIV nursing. (SK)|
A survey of 23 advanced practicenursing programs showed only 3 had HIV-specific graduate-level nursing courses. Recommendations were made for HIV-specific courses, integration of HIV content into other courses, use of Centers for Disease Control and Occupational Safety and Health Administration guidelines, and subspecialties in HIV nursing. (SK)
Citizen participation is heralded as a critical element of community health programs that emphasize empowerment and health promotion strategies. Although there is a growing body of research on public health nurses' primary health care practice, few studies have described how public health nurses foster citizen participation. This article presents findings from an interpretive qualitative study of public health nurses' perceptions
Megan Aston; Donna Meagher-Stewart; Nancy Edwards; Linda M. Young